A Nutritionist’s Take On Supplements

Not every population or demographic can obtain all of the nutrients that they need from their accessible food source alone, and that’s when supplementation can be beneficial.

For about 5 years, I worked in the supplement industry of small health food stores learning the in’s and out’s of hundreds of different formulas and manufactures. At first, this was a job to tide me through graduate school while I was learning the intricate in’s and out’s of nutrition and clinical practice.  Fast forward to the present day, and it’s sometimes tricky to separate the two between whole food nutrition (the ideal), and nutrition in pill form (the substitute). As a nutritionist, I’m usually working with both. A large part of my goal during my one-on-one nutrition consultations is to weed through a sometimes lengthy list of supplements and end at a minimal list of supplements while keeping whole food nutrition at a maximum. It’s always my goal to get as many nutrients on your plate every day as possible, and through a detailed inquiry of your daily nutrition, get an idea of how we can feasibly do that together and supplement with only the things that are dramatically lacking in the diet.

But not everyone can see a nutritionist, and not everyone has access to customized nutrition plans or a wide variety of foods. And thats when supplements can play a contributing role in a comprehensive health plan.

When I counsel people about when and how to choose supplements, I usually have five guidelines:

  1. If you have access to good quality foods that are affordable and available, always choose whole foods first over supplements. Do not purchase supplements in order to substitute for good nutrition if you have access to good quality, pure foods (i.e – just because you take your multivitamin every day doesnt mean you can skip out on eating your vegetables).
  2. If you feel like you need to supplement with something (like a multi-vitamin or supplemental minerals or essential fatty acids for example), make sure it’s good quality and from a reputable store or manufacturer. The supplement industry is not regulated, so knowing that the company has third party testing, organic standards and is non-GMO are all good things to look for.
  3. Before you go on the internet to read about all the things you might be deficient in, get tested for vitamin and mineral deficiencies before spending hundreds of dollars on supplements you may very well not need.
  4. Always try to get a 100% food-based supplement (not just extracted solitary minerals) for optimal digestion and absorption. You want your body to absorb as much as of that supplement as possible, and in a food-basedform, its much easier for the digestive system to do this.
  5. Do your research on what you should be taking before going into the store to purchase supplements. Folks that work in supplement departments legally cannot give you any advice whatsoever about what to take for anything, but they can educate you about the different brand choices and quality standards. Do not expect supplement stewards to tell you what to take for your given issues. Most simply do not have the training to do this, and legally theyre prohibited from giving you that kind of information.

We are extremely fortunate that most of us have access to a decent amount of good quality foods, however, for many people this is not the case. Not every population or demographic can obtain all of the nutrients that they need from their accessible food source alone, and thats when supplementation with multi-minerals, multivitamins and omega-3 based oils (essential fatty acids) are ideal to incorporate into the diet. Supplements can add up quickly, both in quantity and in price, and its my opinion that you get what you pay for when it comes to quality supplements.

Another excellent rule of thumb (that I see over and over again during my nutrition appointments) is that if you have a cabinet full of supplements that you take every day, and you dont remember why youre taking a particular supplement, re-visit that and either research why you were taking it in the first place and educate yourself on whether you need to continue. Supplements, just like any part of a health plan, should change and shift as your health changes and shifts. You dont necessarily need to take a supplement indefinitely.

If youd like to get a more thorough understanding of your nutrition needs or need further guidance on selecting appropriate supplements for your health plan, consider making an appointment at Richmond Natural Medicine with one of our practitioners.

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How to Purchase Herbal Products and Supplements

When purchasing supplements and herbal products from the health food store, there is often a lot of uncertainty surrounding efficacy and potency (along with reputability of brands and standardization) that consumers face in the supplement aisles.

If you’ve been overwhelmed at the number of choices and ingredient lists of herbal or nutritional supplements, you’re not alone. Knowing which product to choose and which product to trust in terms of quality and potency is difficult, especially if you do not have an expert herbalist or naturopathic doctor recommending the product. The underlying reason for this is that the supplement industry is self regulated (meaning not overseen by the FDA), so the quality and potency standards for nutritional and herbal supplements has an enormous range. Everything from questionable sourcing and iffy ingredients all the way to the gold standard of good manufacturing practices and the highest quality products are sold in thousands of stores.

Testing herbal products and supplements for efficacy:

There was some uproar regarding this article from 2015. The NY attorney general had several random supplements taken from major retailers subjected to DNA barcoding methods to deduce what the contents of the herbal supplements actually were. Unsurprising to them, the tested herbal supplements contained little to no DNA of the actual marketed product, leading to a massive sales halt of many supplements and “buyer beware” tactics spread internet wide about the safety of herbal supplements due to lack of oversight and regulation.

But here’s the thing: DNA barcoding is not an appropriate or anywhere near accurate way of testing herbal products. Professional and expert herbalists know that DNA gets denatured or broken apart based on extraction methods such as alcohol (for tinctures), or grinding (for encapsulation). Most of the time the genomic material is not considered an active principle in the extract. The secondary metabolites produced by the plant are biologically active and what are extracted and used primarily as the medicine. Someone may be DNA barcoding an echinacea supplement that appears to have no full DNA sequences of echinacea, yet the entire supplement could in fact, still be echinacea and potent medicine. This is not an appropriate way to test herbal supplements.

Just because the FDA does not regulate or oversee the supplement industry doesn’t mean you need to run away from all of those products that say “…These statements have not been evaluated by the food and drug administration…” on the back of their label. On the contrary, lack of FDA regulation is a very good thing for all of the smaller companies that are doing it right and continue to manufacture high quality products. With FDA regulation comes an enormous amount of red tape and paperwork, quality testing, standardizations, tracking, and third party analysis. All of this is usually a good thing for monitoring good manufacturing practices and safety (minus the hefty stack of paperwork). However, small local companies are held to the same standards as multi million dollar companies, making it impossible for them to stay in business when the professional herbalists are having to invest tens of thousands of dollars trying to prove to the FDA (who are not experts in herbal medicine) that a dandelion is a dandelion.

So, without this current oversight, how does one know what herbal products and supplements to purchase and what is reputable?

  1. When purchasing herbal products, we would recommend purchasing from smaller companies that are certified organic (or very close), that really specialize in herbal products alone (not a bunch of other, foods, cosmetics or other products) and have legitimate third party research to back up their products. This specialization makes their products usually more specific, higher quality and well researched. We recommend Gaia Herbs, New Chapter, Herb Pharm, Oregon’s Wild Harvest, and Mountain Rose Herbs for excellent quality herbal supplements.
  2. When purchasing fish oils, make sure they are always tested for heavy metals and go through the IFOS third-party testing. You can read further specifics about choosing a fish oil supplement from our previous blog post, Fish oils: Do the Benefits Outweigh the Risks.
  3. If you take supplements regularly or have been recommended a supplement by your doctor/health care provider to take long term, we would suggest shopping for supplements at a reputable store that actually has high standards about what they will carry. These stores usually have strict guidelines about what companies they will carry and what companies need to provide in order to be sold at their stores (like research-based evidence to back up claims, certified organic seals or non-GMO verification and absolutely no harmful filler ingredients). Typically these will be more expensive supplements and rightly so – the companies are investing in good quality raw materials, research and expert staff. You get what you pay for with nutritional and herbal supplements.

If you are looking for support in using supplements or re-evaluating your health goals, consider making an appointment with one of our naturopathic doctors.

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Homeopathy in The News

We here at Richmond Natural Medicine utilize homeopathy has one of our key modalities and wanted to shed some light on and clarify some information about homeopathy.

Understanding Homeopathy

Homeopathy is a practice of natural medicine that has been around since the late 18th Century and is rooted in the efforts of a German physician named Dr. Samuel Hahnemann. Its practice is based in research and testing, prescribed dosages, and recommended tinctures based on science and evidence.

Homeopathy is also a safe and gentle system that works with your body to restore itself, relieve symptoms, and improve overall health. It can be used on its own as a treatment, or in conjunction with other prescription medications to help relieve associated symptoms.

What it is

Based on the Greek word hómoios, meaning like, the science of homeopathy is based on the idea that small doses of a medicine that creates symptoms in a healthy person will actually cure those same symptoms in a person who is ill. It sounds counter-intuitive but consider the science behind vaccines. At one time the concept of injecting a person with a small dose of an illness to allow their body to fight back and develop an antibody to that same illness likely raised the same questions.

Homeopathic remedies are made from natural plants and minerals such as chamomile, mountain daisy, onion and St. John’s Wort. Remedies are diluted and given in prescribed dosages to ensure they are both safe and effective.

Understanding that the body is designed to heal itself, as long as all of our systems are working as they should, and that our symptoms are often a result of that internal battle, homeopathy works to support the continued work, rather than suppress it.

It is important as well to understand that because homeopathy is intended to work naturally, it also works slowly. It does not promise a quick fix, nor does it promise to eliminate symptoms within a day. Rather, homeopathy works gradually, helping your body heal itself, over time and for a deeper and more lasting result. 

What is Homeopathy For?

Homeopathy can be used to treat a wide variety of conditions and symptoms. It can be used to treat viral illnesses including colds and flus, bacterial infections including sore throats, and more chronic conditions including asthma and allergies.

Many homeopathic remedies can be used for behavioral support as well, including supporting children with behavioral struggles, or even supporting adults for particular fears of anxieties.

Homeopathy can also be used to treat symptoms associated with other prescription medications. As a natural product, homeopathic remedies are less intrusive, working with the body and resulting in fewer side effects.  Homeopathic remedies do not counteract prescription drugs, can be used, under the guidance of a professional, in conjunction with a host of other medicines, and can be effective in supporting the effectiveness of some prescriptions.

Mainstream Homeopathy

Many homeopathic remedies are available today through large drug stores and smaller natural food stores and come under the general symptoms they are intended to address. Labels might list conditions or symptoms such as headache, nausea or restless leg. These generic formulas are prepared based on the general symptoms someone might experience and so, while they may work for some people, may also not work for others because their symptom list is not exactly the same.

This may in fact be one of the reasons some people question the effectiveness of homeopathic remedies. It is important to remember though that an over-the-counter cough and cold medicine will often not be as effective as one recommended by a physician or even a pharmacist, who will look at your specific symptoms and recommend something appropriate. So too with homeopathic remedies, one that is recommended by a practitioner who has heard and understood your symptoms fully will be more effective than one picked up in the grocery store line.

For homeopathic remedies to work best, as with prescription medicine, they should be recommended by a practitioner with experience in homeopathic treatments. Those experienced in the practice work with each patient to look for a complete list of symptoms, even typical symptoms that may be lacking, and then can prescribe or create a specific tincture and specific remedy to meet that individual’s needs.

Homeopath vs Physician

A Homeopath or Naturopathic doctor is trained in the ways of the human body, and in science, as is a physician. Many people who practice homeopathy in fact come from a more traditional medical background and opt to take a more natural approach to healing.

In many countries in the world homeopathic medicine is much more widely accepted and more widely practiced than in the United States. England’s Dr. Peter Fisher is physician to Her Majesty Queen Elizabeth II, as well as both Clinical and Research Director of the Royal London Hospital for Integrated Medicine–the largest public sector provider of holistic medicine in Europe (formerly called the Royal London Homoeopathic Hospital) where he says the royal family has been treated by homeopathic medicine for hundreds of years.

Naturopathic doctor Dr. Leah Hollon explains the alignment between the two practices:

“Instilled in me from one of my mentors, I am a physician first and homeopath second. Prescribing homeopathic remedies does not prevent me from doing my due diligence in assessing the severity of each patient case and referring to the hospital or appropriate medical specialist as needed, nor do I encourage patients to discontinue helpful pharmaceutical medications or self-diagnose and treat. However, in my experience, having access to homeopathic remedies as either the sole or adjunctive therapy has been the most powerful and effective tool in helping patients get well.”

Regulation

The manufacture of homeopathic medicines are regulated under federal law and by FDA. Medicines are made according to the Homeopathic Pharmacopoeia of the United States.

Licenses to practice homeopathy are governed and issued by individual states based on strict criteria and are issued to a range of medical practitioners including medical doctors, dentists, veterinarians, osteopaths, podiatrists, nurse practitioners, chiropractors and more. 

The Controversy

Today’s media sources are ready to give us advice on everything from what we eat to who we date and how we raise our kids. Reporters, sometimes with deadlines of an hour or less, give us information, report on the issues of the day, and sometimes misinterpret the information they get, or are paid to take a stand on something, whether they believe it or not and whether it is based in fact or not.

As with anything, it is always best to read from multiple sources, to speak with people who are experts in the field, and to make decisions based on accurate information and thoughtful consideration.

If you are interested in incorporating homeopathic remedies into your health journey,

please contact our office at (804) 977-2634 to book an appointment with one of our practitioners.

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Naturopathic Medicine and Child Wellness

 

Childhood is a time when seemingly limitless potential inspires children and parents to work toward success and achievement in life and in health, and naturopathic medicine is a fitting medical treatment modality for helping them attain these goals.

Naturopathic Approach to Child Wellness:

Naturopathic medicine focuses on preventive medicine and helping children get on the right track with regard to diet, exercise and treatments that will support the body to heal itself, which is important today. Many pediatricians in conventional medicine offer few sustainable options for healing, and writing a prescription for short term symptom management is all too common.

A pediatric naturopathic medical visit is focused on investigating the health, environment, and behavior of the entire child, including diet, activity, stresses within the family, with a goal of identifying any underlying causes of recurring health issues. The first appointment is generally regarding as a “getting to know you visit,” that explores a child’s health all the way back to the mother’s pregnancy.

A naturopathic doctor will also want to learn about a child’s personality. With regard to ADHD and other developmental health issues, sometimes doctors are too fast to pull out their prescription pad. Putting the individual into the context of their own behavior tendencies and predispositions can be important to recognizing abnormalities.

In the state of Virginia, a naturopathic physician that works with children also works alongside a pediatrician in their care, who handles immunizations and prescriptions for antibiotics and other medications, as necessary.

Preventative Medicine:

“Doctor as teacher” is a principle of naturopathic medicine, and teaching people when they are children, as well as their parents, to follow a healthy lifestyle is important to prevent some of the damage that can occur later in life and cause chronic disease. Genetic predisposition and other factors can make preventive medicine a defining factor for preventing chronic disease and determining future quality of life.

Standard health concerns for parents of young children often include the common cold, ear infections, stomach aches, and even developmental disorders, such as ADHD.  In some cases, offering an alternative to standard drug therapy may be an option, and there are a far range of safe and effective remedies that can be administered to children, such as an herbal blend in a glycerite base, for example.

The range of therapies is nearly always different because the treatment is based on the individual, which is a more engaging form of medicine.

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