psoriasis
Naturopathic Approach For Caring For Your Skin: Psoriasis

Psoriasis is a skin condition that affects many people and in many different ways. Similar to eczema, psoriasis presents itself as a dry, flaky, red, and inflamed skin condition, but also typically has a characteristic scaly plaque present on the skin. Psoriasis can appear in many locations including the scalp, knees, elbows, arms, legs, and neck. A common underlying cause for psoriasis is the immune system, and oftentimes, factors that affect the immune system will also lead to psoriasis flare-ups. We will review some basic ways from a naturopathic approach to help stabilize the immune system, improve the appearance of psoriasis, and prevent future flares.

Immune-modulation

When looking into a condition that is commonly linked to an immune response, it is important to control the immune system as much as possible, most basically through diet and lifestyle. Gut health commonly has an impact on immunity and healing your gut needs to be addressed in order to modulate your immune system. Avoiding reactive foods can also help to reduce inflammation. This elimination and healing with the help of specific supplements such as probiotics, adaptogens, plant sterols, and zinc can help reduce psoriasis flares and concomitant psoriatic symptoms.

Topical support

Psoriatic skin appears as a scaly rash due to its overproliferation of epithelial tissue. This leads to the skin producing excessive new skin cells without having sloughed off the most superficial layer of skin. This epithelialization occurs more with a stressed and overly active immune system and while addressing issues internally is a great start, there are some topical things that can be included in your skincare to help improve the appearance of flares. Some topical product actions you may want to consider are anti-plaque, anti-inflammatory, vulnerary and hydrating.

Anti-plaque herbs such as Oregon grape root can often be found in topical salves, lotions, shampoos, and soaps that can be used to reduce the proliferation of skin cells.

Anti-inflammatory topicals are commonly found as oils such as fish oil and vitamin E. Topicals that are oil-based can also be hydrating to the skin, particularly on a lipid level, but some such as vitamin E can also have the added benefit of being vulnerary or skin healing.

Prevention

Managing and preventing stressors is an important way to decrease experiencing psoriasis flare-ups. Maintaining a specific and clean diet is helpful and important, but we often forget what else can be truly stressful to our bodies. The word stress applies to more than just having a difficult or overextending schedule, it applies to anything that you actively or passively experience that can push your body into an overly active state. Over-indulging in things such as alcohol, smoking and tobacco products, and exposure to harsh chemicals can push your body into a state of immune overactivity. Not having a healthy relationship with yourself or those around you can cause stress and that is where practices such as journaling, art, meditation, or even exercise can help you to cope with those stressors.

Ultimately, management of psoriasis flares consists of a unique and comprehensive diet plan, lifestyle changes, skincare, and stress management implementation. While these tasks can seem difficult to implement, a naturopathic doctor can help guide you along your journey. For help with psoriasis or other skin conditions, book an appointment with Dr. Vanessa Ferreira, ND.

Dr. Vanessa Ferreira is a Naturopathic Doctor at Richmond Natural Medicine Vanessa Ferreira, ND is a naturopathic doctor with a specialization in skincare, anti-aging, lifestyle and stress management, dermatology, women’s health, mean’s health, homeopathy, and hormone optimization.

Dr. Ferreira received her B.S. degree in Exercise Physiology, with a double minor in Biology and Disability Studies, from the University of Delaware. She then received her naturopathic medical doctorate degree from Southwest College of Naturopathic Medicine. In 2016, she completed a residency in general medicine at the Southwest College of Naturopathic Medical Center.

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medicinal mushrooms
The Benefits of Medicinal Mushrooms

How do you support your immune health each day?

Too often, we concern ourselves with our immune health only once there is a problem, rather than taking a preventative approach with our diet and lifestyle each day. What we do each day makes a difference. The western model of medicine is very much an acute model – fixing things immediately when the system is compromised or severe symptoms occur.

Read More: Immune Health Is A Daily Practice

The immune system is a living, breathing, highly complex part of our overall health and wellness. There are so many daily practices that nurture and strengthen our immune health and vitality. Incorporating healthy foods such as adequate protein and nutrient-rich vegetables can be a great start. In particular, vegetables that photosynthesize such as kale, broccoli, and cabbage contain unique nutrients. There are nutrient-rich foods, however, that do not undergo photosynthesis, such as mushrooms (fungi). There is a tremendous benefit to adding medicinal mushrooms to our diets regularly. Here’s why.

Mushrooms and the Immune System

There are approximately 400 species of fungi that have been identified with medicinal properties, and many have antiviral, antimicrobial, or anti-inflammatory qualities. Medicinal mushrooms like reishi, chaga, maitake, shiitake, and oyster mushrooms, all have incredible benefits for our immune function long term and are ideal to take for preventive health. These mushrooms have a long history of medicinal use and have been widely studied for their immune-modulating, cancer-fighting, and anti-inflammatory effects. Some mushrooms also have naturally occurring vitamin D- an essential vitamin for immune function. Most people are deficient in vitamin D due to lack of sunlight/time spent outdoors and do not consume foods rich in vitamin D. Thus, low levels of vitamin D have been found to contribute to a weakened immune system, osteoporosis and negative effects for those with high blood pressure and diabetes.

Read More: How Does Vitamin D Affect Immune Health?

Medicinal mushrooms are an excellent addition to a long term, holistic approach to our immune system. Mushrooms like reishi, chaga, and shiitake are considered immune-modulating, meaning they support the immune system without either stimulating or depleting it. In contrast, herbs like echinacea are immune enhancing – stimulating the immune system for acute situations. It’s important to understand the difference between immune-modulating and immune-enhancing foods because we don’t want to be constantly stimulating the immune system, as this could lead to autoimmune issues and immune imbalance. Rather, we want to balance. We want to modulate and support immune health long term and to match our current health. And this is where medicinal mushrooms can provide support in conjunction with a robust healthy diet and lifestyle practices.

What is the best way to take medicinal mushrooms?

A classic way to enjoy medicinal mushrooms is in a delicious soup or broth. You can use fresh or dried mushrooms such as reishi slices, shiitake, oyster mushrooms, and maitake in your broths and bases for soups and stews. It’s best to let them simmer in filtered water for at least an hour. Add your favorite culinary herbs for flavorings such as rosemary, thyme, sage, fennel, or oregano for a truly delicious mushroom broth that you can either drink like tea or use as a base for vegetable soups. You can also supplement with medicinal mushrooms daily. For specific product or mushroom formula recommendations, consult with your naturopathic doctor or clinical herbalist for the best choices for your specific needs.

Read More: The Naturopathic Approach to Autoimmune Disease

Want to find more ways to support your immune system through diet & lifestyle adjustments? Request an appointment with one of our naturopathic doctors. Submit a request online or call our office, (804) 977-2634.

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chronic infection
Naturopathic Care & Chronic Infections

Those dealing with chronic infections, and even individuals with chronically weakened immune function, often face a challenging and frustrating health obstacle to overcome. Chronic or persistent infections are ones in which the virus (or instigating pathogen) is not clearing, and remains in specific cells, sometimes reactivating and causing symptoms. There are many reasons why a chronic infection may not be clear, and some of these infections are not always responsive to antiviral or antibiotic drug treatments. Each chronic infection may have a different presentation from person to person, making treatments even more difficult.

Some viruses, for example, can remain latent for months or even years before they are activated again. Examples of this may be HPV, shingles, and Epstein-Barr virus (EBV). Some of the biggest triggers of reactivating a chronic infection can be the presence of another virus weakened immune function or stress. Chronic infections may also present with cyclical or seasonal patterns, therefore taking a proactive approach could be very helpful. Having a “big picture” perspective while understanding the nuances of chronic infections or viral patterns is a big help to approach your care holistically, effectively, and individually. That’s where naturopathic medicine can help.

Read More: Integrating Naturopathic Care and Western Medicine
The Naturopathic Approach to Chronic Infections

When supporting a person with a persistent chronic infection, the naturopathic doctor will always assess your entire health picture, not just your acute symptoms. Family history, epigenetics, sleep, diet, stress, and your own health history are important factors that can influence the presentation and healing of chronic infections. Dr. Leah Hollon, ND, MPH takes both a big picture and a fine-point view of dealing with an infection, looking for the specific triggers and symptom presentation:

“The chronic viruses can heighten and worsen with stress. For example, The TRAF1 enzyme (also known as Epstein Barr Virus-induced enzyme 6) is part of serving as a checkpoint or protector against many viruses. And it is epigenetic (of the family line) and thus based on this you can see EBV, shingles or any herpes family virus to be more likely to get set off. TRAF1 also governs SIBO and Lyme. If stress does occur, then being proactive is important so that recurrence or worse symptoms do not set up. Part of this is epigenetic and also related to stress. If a person knows that they are sensitive to stress, then they will need to be very proactive now and be conscious of this throughout their life.”

Dr. Hollon also recommends that through the approaching Fall and Winter months, it is important to have your vitamin D levels checked and within good range:

“Often those reactivating with viruses have their Vit D below 20 but often around 12 or less”.

If you find that your vitamin D levels are deficient, you can consult with your primary care or naturopathic doctor for appropriate supplementation to bring your levels back into the optimal range.

Read More: How does Vitamin D Affect Immune Health?

The naturopathic approach to healing chronic infection will almost always utilize multiple approaches, including diet, lifestyle (including your relationship with stress), and botanical, homeopathic, and supplements when needed.

Nutrition Support for Chronic Infections

Everything we put into our body affects its daily function, either strengthening our body or depleting it. Every day in every season, it is important to maintain a whole food, a seasonal and colorful diet rich in phytonutrients (vegetables!), antioxidants (fruits!), adequate fiber (vegetables, fruits, whole grains, legumes) and probiotic-rich foods (fermented foods like yogurt, miso, kimchi, and sauerkraut) can help to maintain our natural vitality. Avoiding pro-inflammatory foods is just as important, especially empty calories, processed sugars, alcohol, and processed carbs.

Read More: Nutrition Support for Balances Probiotics and Gut Health

If you need support managing a chronic infection, a weakened immune system, or building better dietary habits to support these conditions, request an appointment with one of our naturopathic doctors trained both in nutrition and other natural modalities.

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Combating Seasonal Allergies with Naturopathic Medicine

Sneezing, itchy, watery eyes, nasal congestion, and sore throat – all signs and symptoms of having seasonal allergies – can make it difficult to enjoy the beauty and rejuvenation of Spring.

If you suffer from seasonal allergies here are some tips on how to reduce spring allergic reactions and symptoms.

Home Environment

Keep your living and sleeping space as “allergy-friendly” as possible. Consider making your bedroom an “oasis” from allergies, noise, distractions, electronics, etc. This should be a clean, quiet, peaceful room for relaxation and recovery during sleep. Here are some tips to help with your home environment:

  • If possible use an air filter in your home, especially in 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.
  • Regularly clean curtains, rugs, wall decor, and clutter. These items can increase the amount of dust and allergen build-up. Wood or tile floors are easiest to clean and keep allergen-free.
  • 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 keeping your pets– try to at least keep them out of your bedroom and off the bed. Remember, the bedroom is an allergy-free sanctuary. Eight hours of quality sleep in a clean, restful environment gives 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 on where you live.

Our Internal Systems

Allergies are essentially the response of 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 that try to protect the body from foreign invaders.

To improve our response to allergies, we must first “stabilize” these immune cells so they are not so quick to release 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 exposure to allergens without having a negative response. Here are some ways to work with your internal environment:

  • Diet – Avoid your food sensitivities to reduce inflammation. Some common aggravating foods when it comes to allergies 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 proteins and fats each day. Make sure you stay hydrated by drinking plenty of water as well.
  • Add flavonoid-rich foods – Bioflavonoids, such as quercetin, 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 and also preventing further inflammation. Quercetin also works as a stabilizer of cells that release histamine (i.e. it can reduce histamine released in the body), so it is particularly helpful with seasonal allergies. Quercetin-rich foods include onions, apples, citrus fruit, green tea, parsley, sage, grapes, dark berries (blueberry, blackberry) and dark cherries. You can also supplement with quercetin – usually, 1500mg/day for adults is adequate.
  • Include essential fatty-acid (EFA) rich foods: Omega 3 fats help reduce inflammation and soothe mucous membranes – this includes fish, nuts (such as walnuts and almonds), seeds (flax or 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!
  • Probiotic-rich foods: 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 some time to balance gut flora.
  • Herbs – 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 to allergens. Some common herbs used for allergies include nettles, eyebright, khella, thyme, butterbur, feverfew, ginkgo, curcumin, and yarrow. I typically recommend taking these herbs in tincture format, but teas and capsules can be used as well. Your naturopathic doctor or herbalist can custom-blend a formula for you, depending on your particular symptoms, triggers, and individual constitution.
  • Supplements –Vitamin C, 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. For allergies, recommendations range between 500mg/day up to 3,000mg/day. As always, check with your ND before taking high levels of any vitamin or supplement. When choosing a Vitamin C, look for a whole-food-based supplement, rather than just the ascorbic acid component.
  • Exercise – Moderate exercise helps improve peripheral blood flow and lower inflammation, so try to get at least 30 minutes 4-5 times per week. You may want to head outside at times or on days when the pollen count is lower to avoid aggravating allergy symptoms.

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

As with any other health concern, prevention is key to reducing seasonal allergies. Consider taking local honey and/or an appropriate amount of the herb nettles (as a tea or freeze-dried in capsules) during the winter months, or for at least 1 month before allergy season to prevent or reduce the onset of allergic symptoms.

To get personalized recommendations for your seasonal allergies, request an appointment with one of our naturopathic doctors. There is no single way to support allergies, find out what your body needs to get through peak allergy season! Call our office for more information or if you have questions, (804) 977-2634.

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Autoimmune disease
Supporting Autoimmune Conditions Through Naturopathic Care

Functions of the Immune System

The human immune system is a highly complex and intelligent system that is constantly protecting us from pathogens, viruses, and diseases. It has the ability to recall past pathogens and vigilantly protect us again and again, as well as fight off multiple new external attacks at once. The immune system serves several functions, including:

  1. Protecting against antigens (small proteins that can lead to an immune response, like pollen)
  2. Fighting off viruses and parasites
  3. Flushing the body of damaged or dead cells
  4. Detecting cancerous or precancerous cells

Recognizing the Internal vs. External

For the immune system to function properly, it must be able to identify between a cell that belongs to the body and external foreign pathogens. Cells inside the body include our own organs, tissues, lymphatic system, blood, bacteria, and microbiome. The immune system works in harmony with our body to protect and maintain the balance of everything within us.

The body typically recognizes foreign pathogens as anything outside of us, including viruses, antigens, parasites, infections, and allergens. When the immune system recognizes these invaders, it works quickly to flag and attack them. During minor attacks, we hardly notice this is happening. But when our immune system is working hard to fight off an invasion, we may experience flu-like symptoms or redness and inflammation at the site of an injury. We may also notice an increase in body temperature and symptoms of intense fatigue that require bed rest. Ideally, the immune system should respond to foreign attacks only when dealing with an acute issue, not on a regular basis. Thus, when the immune response becomes uncontrolled within the body, it can easily trigger an autoimmune condition.

A Triggered Immune Response

Autoimmune conditions develop when the immune system is unable to distinguish between the internal and the external. It begins to attack our own healthy cells and then becomes an uncontrolled response. Although the specific cause of autoimmune conditions is not fully clear, we know that they can develop in any part of the body. Some of the most common culprits of autoimmune disease include our genes, viruses, bacteria, toxic chemicals, certain pharmaceutical drugs, childhood trauma, poor mental health, chronic stress, and even elevated levels of histamines or estrogen. More often, the development of any autoimmune disease is caused by multiple factors. Because we do not yet understand the single causes of autoimmune disease, it is important to first identify the triggers that contribute to a patient’s heightened autoimmune response and work to decrease the burden on the body.

Naturopathic Approach to Autoimmune Conditions

Here at Richmond Natural Medicine, we believe that your history and experience with an autoimmune condition is unique and worthy of a personalized approach. First, your naturopathic doctor will assess both your family and complete health history, all the way back to your first illnesses. Your early health history can provide insight into your past immune system function. Your naturopath will take great care to hear about your symptoms and develop a timeline of their presentation. They will also inquire about your lifestyle, stress levels, allergies, sleep cycles, and current dietary intake.

Our diet plays a huge role in impacting the function of the immune system and therefore is a significant part of re-balancing any autoimmune disease in the body. Consuming foods that are unsuitable with your ancestry or are highly inflammatory could be worsening the presence or impact of any symptoms you are experiencing. Your naturopath may make suggestions for lowering or removing the inflammatory habits in your diet and lifestyle, as well as implementing supplemental, herbal, or homeopathic supports along the way.

True Healing Takes Time

Following a holistic approach to any autoimmune condition often requires balancing multiple body systems at once for long periods of time. There is rarely a quick fix for any autoimmune condition because rewiring the immune system to stop attacking the body takes time. Through a naturopathic approach, we gently teach the immune system how to properly engage with the body again. Your naturopathic doctor is here to empower you in your health, and to be part of your care team for a truly comprehensive, safe and personalized approach. Some examples of the autoimmune conditions supported at Richmond Natural Medicine include:

  • Lupus
  • Hashimoto’s thyroiditis
  • Rheumatoid arthritis
  • Psoriasis
  • Celiac Disease
  • Endometriosis
  • PANDA’s
  • Ulcerative Colitis
  • Inflammatory Bowel Disease (IBD)
  • Type-1 diabetes
  • Multiple Sclerosis
  • POTS

If you are struggling with an autoimmune condition and would like to layer in a comprehensive, personalized, and holistic approach to balancing your immune system, call our office at (804) 977-2634 or visit our website here to schedule an appointment with one of our Naturopathic Doctors specializing in this area.

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