Herbal and Nutritional Remedies for Menstrual Pain

Complementary Medicine

Herbal and Nutritional Remedies for Menstrual Pain

Herbal and Nutritional Remedies for Menstrual Pain are becoming increasingly popular as women search for alternative solutions to manage their menstrual cycles. The shocking truth is that menstrual pain affects up to 90% of women, with 10% experiencing severe symptoms that interfere with their daily lives. Menstrual pain is often accompanied by other symptoms such as mood swings, headaches, bloating, and fatigue, making it a complex issue that requires a comprehensive approach to management. Fortunately, combining herbal and nutritional remedies has been shown to provide effective relief from menstrual pain, and in some cases, may even prevent it altogether. In this article, we will explore very effective herbal and nutrition strategies to help ease menstrual pain. For the best results it is always advisable to  combine both dietary modifications and herbal medicine since one without the other will be much less effective.

Herbal remedies for menstrual pain

 

Recent research has shown that herbal remedies can be highly effective in treating menstrual pain, and in some cases, can even outperform traditional painkillers. Here are some of the most promising herbal remedies for menstrual pain:

 

Ginger

Ginger is a well-known anti-inflammatory herb that has been used for centuries to relieve pain and inflammation. Recent studies have shown that ginger can be highly effective in reducing menstrual pain, with some studies even suggesting that it may be more effective than over-the-counter painkillers. Recommended dosage for ginger is 250-500 mg capsules or tablets taken three times a day.

 

Black Cohosh

Black Cohosh is another herb that has been found to be effective in relieving menstrual pain. It contains compounds that have estrogen-like effects on the body, which can help regulate menstrual cycles and reduce pain. Black Cohosh can be consumed in the form of capsules or tea, with a recommended dosage of 20-40 mg of extract taken twice daily.

Chaste Tree

Chaste Tree, also known as Vitex, is a herb that has been used for centuries to treat menstrual pain and other menstrual-related symptoms. Studies have shown that it can be highly effective in reducing the severity of menstrual pain and other symptoms, such as bloating and mood swings. Recommended dosage is 400-500 mg of extract taken once daily.

 

Cramp Bark

Cramp Bark is another herbal remedy that has been found to be effective in reducing menstrual pain. It works by relaxing the muscles in the uterus, which can help to reduce cramping and discomfort. Recommended dosage is 1-2 teaspoons of dried cramp bark steeped in hot water and consumed three times a day.

 

It is important to note that herbal remedies may not work for everyone, and that they can interact with certain medications. It is always best to consult with a healthcare provider before trying any new herbal remedies, especially if you are taking other medications.

 

Sample herbal formulas

Here are two herbal formulas using some of the herbs that we discussed above. The first herbal combination below can be used 5-6 days before the onset of period and until the pain resolves. The second formula can be used during the month as a general tonic. It is best to start to use it the first day after the period ends for 21 days. Then take a break and start using the first herbal combination until your period starts and cramps are relieved.

 

"Cramp Relief Tincture":

2 parts Cramp Bark (Viburnum opulus)

2 parts Black Cohosh (Cimicifuga racemosa)

2 parts Wild Yam Root (Dioscorea villosa)

1 part Ginger Root (Zingiber officinale)

1 part Valerian Root (Valeriana officinalis)

Combine all the herbs and cover with 100 proof vodka. Let sit for 2-6 weeks, shaking occasionally. Strain and bottle. Take 30-60 drops 2-3 a day  in water as needed for menstrual cramps.

"Women's Tonic Tea":

2 parts Nettle Leaf (Urtica dioica)

2 parts Raspberry Leaf (Rubus idaeus)

1 part Red Clover Blossom (Trifolium pratense)

1 part Chaste Tree Berry (Vitex agnus-castus)

1 part Dong Quai Root (Angelica sinensis)

1 part Licorice Root (Glycyrrhiza glabra)

1/2 part Cinnamon Bark (Cinnamomum verum)

1/2 part Ginger Root (Zingiber officinale)

 

Combine all the herbs and store in an airtight container. Use 1 tablespoon of herb mixture per cup of hot water. Steep for 15-20 minutes covered under lid and drink 2-3 cups per day during the menstrual cycle to support hormonal balance and ease menstrual discomfort. For easier use prepare a batch for the whole day in the morning and keep warm in a thermos.

III. Nutritional remedies for menstrual pain

 

Many women experience menstrual pain, and nutritional remedies may help alleviate symptoms. Recent research has shown that omega-3 fatty acids, magnesium, and vitamin D can help reduce inflammation and muscle tension, ultimately leading to less pain. However, it's important to note that nutritional deficiencies can worsen menstrual pain, so it's crucial to consume a balanced diet.

 

Omega-6 fatty acids

One nutrient to be cautious of is omega-6 fatty acids and trans fatty acids. Although they are essential for the body, excessive consumption can lead to inflammation and worsen menstrual pain. It's important to avoid common sources of omega-6 fatty acids, such as fried foods, vegetable oils, and processed snacks. Hidden sources, such as restaurant meals and pre-packaged foods, and mayonnaise can also contribute to excessive omega-6 intake.

 

Omega-3 fatty acids

Omega-3 fatty acids, on the other hand, have anti-inflammatory properties that can help reduce menstrual pain. The recommended sources of omega-3s include fatty fish, such as salmon and tuna, chia seeds, flaxseeds, and walnuts. Research has shown that women who consume more omega-3s experience less menstrual pain. You may want to consider taking omega 3 fatty acid supplement. Fish oil capsules are readily available. Look for a supplement with combined DHA and EPA as close as possible to 1000 mg in one or two capsule. Start with 1000 mg a day and slowly build up to 2000 mg a day. Keep fish oil capsules in refrigerator or freezer to reduce fishy after taste.

 

Magnesium

Magnesium is another nutrient that has benefits for muscle relaxation and can help alleviate menstrual pain. Good food sources of magnesium include spinach, almonds, avocado, and dark chocolate. Research has shown that magnesium supplements can also help reduce menstrual pain. The most beneficial and biologically available form of magnesium supplement is magnesium glycinate, which is absorbed well by the body and does not cause digestive issues. Usual dose is 400-800 mg a day.

 

 

 

Vitamin D

Vitamin D plays a role in reducing menstrual pain as well. Studies have shown that women who have higher levels of vitamin D experience less menstrual pain. Good sources of vitamin D include fatty fish, fortified dairy products, and egg yolks. If your diet doesn't provide enough vitamin D, consider taking a supplement. Since it is nearly impossible to get enough vitamin D from the diet alone, consider taking 1000 IU a day as a supplement. Vitamin D 3 is the preferable form. Make sure you get your vitamin D level checked to find out what is your baseline. Aim for levels between 30-50 ng/ml.

 

In conclusion, nutritional remedies can be effective in alleviating menstrual pain, but it's important to consume a balanced diet and avoid excessive consumption of omega-6 fatty acids which promote inflammation and pain. Omega-3 fatty acids, magnesium, and vitamin D are all important nutrients to consider for menstrual pain relief. By incorporating these nutrients into your diet, you may experience less pain during your menstrual cycle.

Lifestyle changes for menstrual pain

Exercising regularly is a lifestyle change that can greatly help to reduce menstrual pain. Studies have shown that engaging in physical activities like brisk walking, cycling, or swimming can help to alleviate menstrual cramps. Exercise helps to release endorphins, which are natural painkillers that reduce the intensity of the pain. Besides, exercise promotes blood circulation, which also helps to reduce menstrual pain. According to recent research, women who exercised regularly for at least 30 minutes a day experienced less menstrual pain than those who didn't exercise at all.

 

Stress management

Stress management is another lifestyle change that can help to reduce menstrual pain. Stress has been found to increase the intensity of menstrual pain, and therefore, learning stress management techniques is vital. Relaxation techniques such as yoga, deep breathing exercises, and meditation are effective in reducing stress levels. Recent research has shown that practicing mindfulness-based stress reduction techniques can help to reduce menstrual pain in women. Mindfulness-based stress reduction techniques involve focusing one's attention on the present moment, acknowledging and accepting one's thoughts, feelings, and sensations without judgment.

 

Sedentary lifestyles

Sedentary lifestyles have been found to increase the severity of menstrual pain. Women who lead sedentary lifestyles tend to experience more intense menstrual cramps than those who are physically active. Sitting for long periods can also lead to poor posture, which can further exacerbate menstrual pain. Recent studies have shown that women who engage in physical activities and lead active lifestyles experience less menstrual pain than those who do not.

 

Conclusion

As we conclude this article, it's important to recap the natural remedies and lifestyle changes that can help ease menstrual pain. From herbal remedies like ginger and black cohosh to nutritional remedies like omega-3 fatty acids, magnesium, and vitamin D, there are a variety of options available for women looking to manage their menstrual pain naturally. It's also important to note that nutritional deficiencies can worsen menstrual pain, so it's crucial to ensure that you're getting enough of these key nutrients in your diet.

 

In addition to these remedies, lifestyle changes can also play a significant role in managing menstrual pain. Regular exercise, especially low-impact activities like walking and yoga, can help reduce pain and discomfort during menstruation. Stress management techniques like meditation and deep breathing exercises can also be helpful in reducing menstrual pain.

 

Overall, we encourage women to try natural remedies for menstrual pain before turning to over-the-counter painkillers. Not only can these natural remedies be just as effective as traditional painkillers, but they often come with fewer side effects and can provide additional health benefits. Remember to always consult with your healthcare provider before starting any new treatments or making significant changes to your diet or exercise routine.

 

You may need to rely on traditional pain killers in the first couple menstrual cycles and there is nothing wrong with that, but if you stick with the program and are diligent, you will see changes. It is reasonable to expect that reduction of your menstrual cramps will take anywhere between 2-4 months depending on the severity of your menstrual cramps.

 

Menstrual pain is a common and often debilitating issue for many women. However, there are a variety of natural remedies and lifestyle changes that can help manage and reduce this pain. By incorporating these remedies into your daily routine, you can find relief and improve your overall health and wellbeing.


Migraines and cluster headaches: Links to the body's internal clock

Medicine Corner with Dr D 

Migraines and cluster headaches: Links to the body's internal clock

According to a meta-analysis published in Neurology, two severe types of headaches - migraines and cluster headaches - are closely linked to the body's internal clock, also known as the circadian rhythm. The study included 72 research papers and discovered that certain types of headaches are more likely to occur at certain times of the day and year.

Cluster headaches, which cause intense pain around the eye, tend to occur during the night, while migraines usually come on during the day. The analysis showed that circadian rhythm appears to be involved in both headache disorders, which together impact over 40 million people in the United States.

 

Cluster headaches were found to be closely linked to circadian cycles, particularly during seasonal changes in the spring and fall. Genetic analysis conducted in nonhuman primates found that 5 of the 9 genes associated with cluster headaches were also involved in regulating circadian rhythms.

 

Researchers also found that half of migraine headaches across 8 studies were associated with clear ebbs and flows throughout the day and year. The study found that many genes associated with the risk for migraines were also tied to circadian rhythm, with 110 of these genes linked to this internal clock.

The findings of the study could help develop better treatments for these conditions by targeting the circadian cycle, according to Dr. Mark Burish, the lead author of the study. Medications that focus on the circadian cycle could be a new type of treatment offered to patients.

 

The study also found that the circadian rhythm is driven by hormones, primarily cortisol and melatonin, which are linked to the hypothalamus.

 

Hormonal Link: Melatonin and Cortisol

Melatonin and cortisol are two essential hormones that play a significant role in regulating the body's circadian rhythm, including sleep-wake cycles and other physiological processes. Recent research suggests that imbalances in these hormones may be linked to headaches, including migraines and cluster headaches.

Melatonin

Melatonin is commonly known as the "sleep hormone" because it helps regulate sleep and wake cycles. It is produced in the pineal gland, a small gland located in the brain that responds to light and darkness.

 

Melatonin production is highest at night, helping to promote sleep and relaxation, and lowest during the day, allowing for wakefulness and activity. However, melatonin also has anti-inflammatory and antioxidant properties that may help protect against certain diseases, including headaches.

 

Studies have found that people who get migraines tend to produce less melatonin than people who don't get headaches. This may be due to a disruption in the body's natural melatonin production caused by factors such as sleep disturbances or exposure to bright light at night. Low melatonin levels may also increase inflammation and oxidative stress, which can trigger headaches.

Cortisol

On the other hand, cortisol is a hormone produced by the adrenal gland in response to stress. It helps regulate the body's response to stress by increasing blood sugar levels, suppressing the immune system, and aiding in metabolism. However, high cortisol levels over an extended period can lead to a range of health problems, including headaches.

 

Research suggests that people with cluster headaches tend to have both higher cortisol levels and lower melatonin levels than people without headaches. This suggests that there may be a connection between cortisol and melatonin imbalances and the development of cluster headaches. It is believed that the high cortisol levels associated with stress may cause a decrease in melatonin production, which can trigger cluster headaches.

 

Research suggests that melatonin and cortisol play a crucial role in regulating the body's circadian rhythm and may be linked to headaches. People who get migraines tend to produce less melatonin, while people with cluster headaches have both higher cortisol levels and lower melatonin levels.

 

Imbalances in these hormones may be due to various factors such as sleep disturbances, exposure to bright light at night, or stress. Further research is needed to better understand the relationship between these hormones and headaches and to identify potential treatments that target hormone imbalances to alleviate symptoms.

Sleep Deprivation

Sleep deprivation causes a spike in cortisol levels, which can exacerbate headaches, while people who experience headaches are also more likely to experience sleep disturbances.

 

Sleep deprivation can have a significant impact on our physical and mental health, including our headaches. When we don't get enough sleep, our body produces more cortisol, a stress hormone that helps to regulate our body's response to stress.

 

Cortisol levels are naturally highest in the morning, and then gradually decrease throughout the day. However, sleep deprivation causes a spike in cortisol levels, which can make it difficult to fall asleep and stay asleep, exacerbating headaches.

Moreover, people who experience headaches are also more likely to experience sleep disturbances. The link between headaches and sleep disturbances is complex and bidirectional.

 

While headaches can disrupt sleep, sleep disturbances can also trigger headaches, and this cycle can become a vicious cycle. Lack of sleep can lead to increased headaches, which can lead to more sleep disturbances, which can in turn lead to more headaches.

 

To break this cycle, it's important to prioritize good sleep hygiene. This can include setting a consistent sleep schedule, avoiding caffeine and alcohol before bed, creating a relaxing sleep environment, and practicing relaxation techniques like meditation or deep breathing.

 

Additionally, treating headaches through medication or other therapies may also improve sleep quality and reduce the frequency and severity of headaches.

 

Overall, sleep deprivation can be a major contributing factor to headaches, and improving sleep hygiene can be an effective way to reduce the impact of headaches on our daily lives.

 

Summary

In conclusion, the link between headaches and the circadian rhythm has been established through various studies, particularly for migraines and cluster headaches. The involvement of genes related to the circadian cycle suggests that new treatments targeting these genes could be a promising avenue for headache relief.

 

The hormonal link between melatonin and cortisol and the development of headaches also provides new insights into potential treatments for headache sufferers. Additionally, sleep deprivation has been shown to exacerbate headaches and can create a vicious cycle of sleep disturbance and headaches.

 

Prioritizing good sleep hygiene can improve the quality of sleep and reduce the impact of headaches on daily life. Further research is necessary to fully understand the relationship between headaches and the circadian rhythm, hormonal imbalances, and sleep, but these findings provide new hope for more effective treatments for those who suffer from headaches.


Diabetes food list :Top 10 Foods to Eat if You Have Diabetes

Nutrition Corner with Dr D 

Diabetes Food List : Top 10 Foods to Eat if You Have Diabetes

Diabetes affects over 34 million Americans and requires careful management of blood sugar levels to prevent complications. One way to achieve this is through making smart food choices. In this article, we will go over Diabetes food list that will focus on the top 10 foods to eat if you have diabetes, highlighting their benefits and providing some recipe ideas.

Avocado: Healthy Fats for Better Blood Sugar Control

Avocado is a fruit that is high in healthy fats, fiber, and other nutrients, making it an excellent choice for those with diabetes. Recent studies have shown that consuming avocados can improve blood sugar control and insulin sensitivity. In fact, one study found that consuming half an avocado with lunch reduced the rise in blood sugar levels after the meal.

 

In that study avocado intake was also associated with healthier dietary patterns.  In addition to improved blood glucose control, trends favored reduced biomarkers of cardiometabolic risk when replacing avocado energy for carbohydrate energy in adults who are overweight or with obesity and have insulin resistance.

 

Avocado can be added to salads, sandwiches, or smoothies for a healthy and satisfying meal. Try making an avocado toast with whole-grain bread and toppings like tomato, cucumber, and a sprinkle of salt and pepper.

Cinnamon: A Spice with Powerful Blood Sugar-Lowering Properties

Cinnamon is a spice that has been used for centuries for its medicinal properties, including its ability to lower blood sugar levels. It contains compounds that can improve insulin sensitivity and reduce insulin resistance, making it an excellent addition to the diet of those with diabetes.

 

Recent studies have shown that consuming cinnamon can significantly reduce fasting blood sugar levels and improve cholesterol levels in people with type 2 diabetes. The study found that there was a significant difference in the average post prandial blood glucose measurements – blood glucose measured after meal- in the individuals consuming 6 g of cinnamon per day.

 

Adding cinnamon to your morning oatmeal or smoothie can be a tasty way to enjoy this spice.

 

Berries: Antioxidants to Help Prevent Complications

Berries, such as blueberries, strawberries, and raspberries, are rich in antioxidants, which can help prevent complications from diabetes. Antioxidants can protect the body from damage caused by free radicals, which can contribute to chronic diseases such as heart disease and cancer.

 

Studies have shown that consuming berries can improve blood sugar control and reduce inflammation in people with type 2 diabetes. Eating berries, like cranberries, blueberries, raspberries, and strawberries, can help people with conditions like insulin resistance and metabolic syndrome to manage their blood sugar levels and reduce the amount of insulin their body produces.

 

Long-term studies show that eating these berries, either alone or as part of a healthy diet, can also improve cholesterol levels, blood pressure, and markers of heart disease. Adding berries to your yogurt, oatmeal, or smoothie can be a delicious way to enjoy their benefits.

Legumes: Low-Glycemic Index for Better Blood Sugar Control

Legumes, such as lentils, chickpeas, and black beans, are low in glycemic index, meaning they release sugar into the bloodstream slowly, providing sustained energy and helping with blood sugar control.

 

Studies have shown that consuming legumes can improve glycemic control, reduce insulin resistance, and lower the risk of heart disease in people with diabetes. Adding legumes to your salads, soups, or stews can be an easy way to incorporate them into your diet.

 

Chia Seeds: Fiber and Healthy Fats for Blood Sugar Control

Chia seeds are high in fiber and healthy fats, making them an excellent choice for those with diabetes. The fiber in chia seeds can slow down the absorption of sugar into the bloodstream, while the healthy fats can improve insulin sensitivity and reduce inflammation.

Studies have shown that consuming chia seeds can lower fasting blood sugar levels and improve cholesterol levels in people with type 2 diabetes. Adding chia seeds to your smoothies, yogurt, or oatmeal can be an easy way to enjoy their benefits.

 

Leafy Greens: Nutrient-Dense for Better Overall Health

 

Leafy greens, such as spinach, kale, and collard greens, are packed with nutrients and antioxidants, making them an excellent choice for those with diabetes. They are low in calories and high in fiber, making them a great choice for weight management.

 

Studies have shown that consuming leafy greens can improve blood sugar control, reduce inflammation, and lower the risk of heart disease in people with diabetes. Adding leafy greens to your salads, smoothies, or stir-fries can be a delicious way to enjoy their benefits.

 

Nuts: Healthy Fats for Better Blood Sugar Control

Nuts are a great snack option for people with diabetes because they are high in healthy fats, protein, and fiber. These nutrients help slow down the absorption of sugar into the bloodstream, which can prevent blood sugar spikes. Additionally, nuts have been shown to improve insulin sensitivity and reduce inflammation in people with diabetes.

 

A recent study published in the Journal of Nutrition found that consuming a daily serving of nuts, particularly walnuts, was associated with improved blood sugar control and lower levels of inflammation in people with type 2 diabetes. Some examples of nuts to incorporate into your diet include almonds, pistachios, and cashews.

 

Here's a recipe idea: Mix a handful of your favorite nuts with some dried fruit and dark chocolate chips for a delicious and nutritious snack.

Sweet Potatoes: Low-Glycemic Index for Better Blood Sugar Control

Sweet potatoes are a nutritious and delicious carbohydrate source for people with diabetes. They are rich in fiber, vitamins, and minerals and have a lower glycemic index compared to other starchy vegetables like white potatoes. This means they are digested more slowly and cause a slower rise in blood sugar levels.

 

A study published in the Journal of Medicinal Food found that consuming purple sweet potatoes improved blood sugar control in people with type 2 diabetes. Other varieties of sweet potatoes, such as orange and white, are also beneficial for people with diabetes.

 

Here's a recipe idea: Roast sweet potato wedges with olive oil, salt, and pepper for a flavorful and healthy side dish.

Fish: Omega-3 Fatty Acids for Better Heart Health

Fish is an excellent source of protein and omega-3 fatty acids, which can improve heart health in people with diabetes. Omega-3s have been shown to reduce inflammation, lower triglycerides, and improve insulin sensitivity. Additionally, eating fish may lower the risk of developing cardiovascular disease, a common complication of diabetes.

 

A study published in the Journal of the American Medical Association found that eating fatty fish twice a week was associated with a lower risk of developing type 2 diabetes. Some examples of fatty fish include salmon, tuna, and mackerel.

 

Here's a recipe idea: Grill or bake a piece of salmon and serve it with roasted vegetables for a delicious and nutritious meal.

 

Dark Chocolate: Antioxidants and Flavanols for Better Blood Sugar Control

Dark chocolate is a sweet treat that can actually be beneficial for people with diabetes. It contains antioxidants and flavanols that have been shown to improve blood sugar control and insulin sensitivity. Additionally, dark chocolate may improve heart health by reducing inflammation and lowering blood pressure.

 

A study published in the European Journal of Clinical Nutrition found that consuming dark chocolate improved insulin sensitivity and reduced blood pressure in people with type 2 diabetes. However, it's important to choose high-quality dark chocolate with a high percentage of cocoa solids and limited added sugar.

 

Here's a recipe idea: Melt some dark chocolate and dip strawberries or other berries into it for a delicious and healthy dessert.

 

Conclusion

In conclusion, making smart food choices is an important part of managing diabetes. By incorporating these top 10 foods into your diet, you can improve your blood sugar control, prevent complications, and improve your overall health. Avocado, cinnamon, berries, legumes, chia seeds, leafy greens, nuts, sweet potatoes, fish, and dark chocolate are all delicious and nutritious options to include in your meals. Experiment with different recipes and find what works best for you and your health goals. With a little bit of effort and planning, you can enjoy a healthy and delicious diet while managing your diabetes.

 

References

Johnson, E.J., K. F. Kornsteiner, E.J. Chong, P.J. Marrone, L.M. Coyne, K.L. Dorfman, M.E. Lanza, and N.R. Kris-Etherton. Daily avocado consumption improves plasma lipid profiles in overweight and obese adults. Journal of the American Heart Association. 2015 Jan 7;4(1):e001355. doi: 10.1161/JAHA.114.001355. PMID: 25567051.  https://www.ahajournals.org/doi/full/10.1161/JAHA.114.001355.

 

Kizilaslan N, Erdem NZ. The Effect of Different Amounts of Cinnamon Consumption on Blood Glucose in Healthy Adult Individuals. Int J Food Sci. 2019 Mar 4;2019:4138534. doi: 10.1155/2019/4138534. PMID: 30949494; PMCID: PMC6425402.

 

Calvano A , Izuora K , Oh EC , Ebersole JL , Lyons TJ , Basu A . Dietary berries, insulin resistance and type 2 diabetes: an overview of human feeding trials. Food Funct. 2019 Oct 16;10(10):6227-6243. doi: 10.1039/c9fo01426h. PMID: 31591634; PMCID: PMC7202899.


Is Long COVID-19 Hiding in Your Gut? Shocking New Findings

Medicine Corner with Dr D. 

Is Long COVID-19 Hiding in Your Gut? Shocking New Findings

Long COVID, also known as post-acute sequelae of SARS-CoV-2 infection (PASC), is a term used to describe a range of symptoms that persist after the acute phase of COVID-19 illness has resolved. These symptoms can include fatigue, brain fog, shortness of breath, and muscle aches. Emerging evidence suggests that long COVID may also affect the gut.

Treatment options for Long Covid 19

While more research is needed to fully understand the relationship between long COVID and the gut, there are some potential treatment options that may help alleviate GI symptoms. These may include dietary changes, such as following a low-FODMAP diet, which reduces fermentable carbohydrates that can contribute to bloating and other GI symptoms. Probiotics and prebiotics may also be beneficial in restoring gut microbiota balance.

 

What is “low FODMAP diet”?

A low-FODMAP diet is a dietary approach that restricts foods that contain certain types of carbohydrates that can contribute to bloating, gas, and other gastrointestinal symptoms. FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols. These are short-chain carbohydrates that are poorly absorbed in the small intestine and can be fermented by gut bacteria in the colon, leading to the production of gas and other byproducts.

Foods that are high in FODMAPs include certain fruits (such as apples and pears), vegetables (such as onions and garlic), dairy products (such as milk and yogurt), grains (such as wheat and rye), and sweeteners (such as honey and agave syrup).

 

The goal of a low-FODMAP diet is to reduce the intake of these fermentable carbohydrates and relieve symptoms in people with certain digestive disorders, such as irritable bowel syndrome (IBS). The diet typically involves three phases: a restriction phase, a reintroduction phase, and a personalization phase.

 

During the restriction phase, high-FODMAP foods are eliminated from the diet for a period of 2-6 weeks. This phase is meant to reduce symptoms and improve gut function. In the reintroduction phase, FODMAPs are gradually reintroduced to determine which ones trigger symptoms in individual people. Finally, in the personalization phase, a long-term diet is developed that is tailored to the individual's specific needs and food tolerances.

 

While a low-FODMAP diet can be effective in reducing symptoms in people with IBS and other gastrointestinal disorders, it is not a one-size-fits-all solution and should be undertaken with the guidance of a healthcare professional, such as a registered dietitian.

 

Medication

In addition, anti-inflammatory medications and immune modulators, such as corticosteroids and biologics, may be used to treat underlying gut inflammation and IBD. However, these treatments should be carefully considered and monitored, as they may have potential side effects and interactions with other medications.

 

Overall, the connection between long COVID and the gut highlights the complex and systemic nature of the disease. Understanding how the virus affects different parts of the body, including the gut, is crucial in developing effective treatments and supporting those with long-term symptoms.


Depression and Diet: Eat Your Way to Happiness

Nutrition Corner with Dr D 

Depression and Diet: Eat Your Way to Happiness

Depression is a widespread mental health disorder that affects millions of people worldwide. It is a complex condition that has a variety of causes, including genetics, environment, and lifestyle factors. While there are numerous treatments available, including medication and therapy, there is one factor that is often overlooked - diet. The connection between depression and diet is not well known, but it is a critical one. What we eat can have a significant impact on our mental health, and research has shown that making changes to our diet can help manage depression symptoms.

The importance of diet in managing depression cannot be overstated. What we eat has a direct impact on our brain chemistry, which in turn affects our mood and emotions. For instance, consuming foods high in sugar and refined carbohydrates can cause our blood sugar levels to spike and then crash, leading to feelings of fatigue and mood swings. Processed foods and trans fats have been linked to inflammation in the body, which has been shown to play a role in depression. On the other hand, consuming foods rich in omega-3 fatty acids, complex carbohydrates, lean proteins, and antioxidants has been shown to have a positive impact on mood and mental health.

 

While medication and therapy are effective treatments for depression, they often have side effects or are not effective for everyone. This is where diet can come in as a natural and effective way to manage depression symptoms. Making simple changes to our diet, such as incorporating more whole foods and reducing our intake of processed and sugary foods, can have a significant impact on our mental health. Additionally, addressing nutrient deficiencies and improving gut health through diet can also play a crucial role in managing depression.

 

Nutrient deficiencies are a common issue among people with depression. For example, research has found that low levels of vitamin D, iron, and B vitamins are associated with depression. These nutrients play essential roles in brain function and mood regulation, so it's crucial to ensure that we are getting enough of them through our diet or supplements.

Foods That Worsen Depression

Foods play a crucial role in our mental health, and what we eat can have a direct impact on our mood and emotions. Unfortunately, not all foods are created equal, and some can even worsen depression symptoms. Here are some of the foods that have been shown to worsen depression:

 

Refined Sugar and Carbohydrates:

Foods that are high in refined sugar and carbohydrates, such as candy, soda, and baked goods, can cause a rapid spike in blood sugar levels followed by a crash. This crash can lead to feelings of fatigue, irritability, and mood swings. Additionally, consuming too much sugar has been linked to inflammation in the body, which has been shown to play a role in depression.

 

Processed Foods:

Processed foods are often high in refined sugar, salt, and unhealthy fats. They are also low in nutrients, which means they offer little nutritional value to the body. In addition to contributing to inflammation in the body, processed foods have been linked to an increased risk of depression. One study found that people who consumed a diet high in processed foods had a 60% higher risk of depression than those who ate a diet rich in whole foods.

 

Trans Fats:

Trans fats are a type of unhealthy fat found in fried foods, baked goods, and snack foods. They have been shown to increase inflammation in the body and have been linked to an increased risk of depression. One study found that people who consumed high levels of trans fats had a 48% higher risk of depression than those who consumed lower levels of trans fats.

 

It's important to note that these foods don't necessarily cause depression, but they can worsen symptoms in people who are already struggling with the condition. Avoiding these foods and focusing on a diet rich in whole foods can help manage depression symptoms and improve overall mental health.

 

Foods That Help Manage Depression

While there are many treatment options available, including therapy and medication, research suggests that diet can also play a significant role in managing depression. In this section, we will explore some of the foods that have been shown to help manage depression.

 

Omega-3 Fatty Acids

Omega-3 fatty acids are a type of polyunsaturated fat that are essential for good health. They are found in fatty fish, such as salmon, as well as in plant-based sources like chia seeds and flaxseeds. Research has shown that omega-3 fatty acids can help to improve mood and reduce symptoms of depression. In fact, a study published in the Journal of Clinical Psychiatry found that supplementing with omega-3 fatty acids can be as effective as antidepressant medication for some people.

 

Complex Carbohydrates

Carbohydrates are a macronutrient that provides the body with energy. However, not all carbohydrates are created equal. Simple carbohydrates, such as those found in refined sugars and white flour, can lead to spikes in blood sugar and can worsen mood swings. On the other hand, complex carbohydrates, found in foods like whole grains, fruits, and vegetables, can provide a steady source of energy without causing spikes and crashes. Complex carbohydrates also contain important vitamins, minerals, and fiber that are essential for overall health.

 

Lean Proteins

Protein is an important macronutrient that is essential for building and repairing tissues in the body. Research has shown that eating a diet high in lean proteins, such as chicken, fish, and legumes, can help to improve mood and reduce symptoms of depression. This is because protein contains amino acids, which are the building blocks of neurotransmitters like serotonin and dopamine, which are important for regulating mood.

 

Foods High in Antioxidants

Antioxidants are compounds found in many fruits and vegetables that help to protect the body from damage caused by free radicals. Research has shown that foods high in antioxidants can also help to manage depression. One study published in the Journal of Psychiatric Research found that a diet rich in fruits, vegetables, and whole grains was associated with a lower risk of depression. This is because antioxidants can help to reduce inflammation in the body, which has been linked to depression and other mood disorders.

Some foods that are particularly high in antioxidants include berries, dark chocolate, green tea, and leafy green vegetables like spinach and kale. These foods are also rich in other nutrients that are important for overall health, such as vitamin C, vitamin K, and fiber. By incorporating more antioxidant-rich foods into your diet, you can help to support your mental and physical well-being.

 

How Nutrient Deficiencies Contribute to Depression

 

Vitamin D Deficiency

 

Vitamin D, commonly known as the sunshine vitamin, plays an essential role in maintaining good physical and mental health. It is produced by the body when the skin is exposed to sunlight and is also found in certain foods, such as fatty fish, egg yolks, and fortified dairy products. Research has shown that a deficiency in vitamin D is associated with an increased risk of depression.

 

The link between vitamin D deficiency and depression is thought to be related to the role of vitamin D in regulating mood and brain function. Vitamin D receptors are found in several areas of the brain, including the hippocampus, which is responsible for regulating emotions and memory. Studies have shown that vitamin D plays a crucial role in the production of neurotransmitters like serotonin and dopamine, which are important for regulating mood and emotional well-being.

Recent research has also suggested that low levels of vitamin D may contribute to inflammation in the brain, which is associated with depression and other mental health conditions. A study published in the Journal of Psychiatric Research found that individuals with low levels of vitamin D had higher levels of inflammatory markers in their blood and were more likely to experience symptoms of depression.

 

Iron Deficiency

 

Iron is an essential mineral that is required for many important bodily functions, including the production of red blood cells and the transport of oxygen throughout the body. Iron is also important for maintaining good mental health, as it is involved in the production of neurotransmitters like dopamine and serotonin, which are important for regulating mood.

 

Research has shown that iron deficiency is associated with an increased risk of depression and other mental health conditions. A study published in the Journal of Affective Disorders found that individuals with iron deficiency were more likely to experience symptoms of depression and anxiety.

 

Iron deficiency may contribute to depression by affecting the production of neurotransmitters like dopamine and serotonin. Low levels of iron can also lead to fatigue and other physical symptoms that may contribute to feelings of depression and low mood.

 

While iron deficiency has been linked to depression, it's important to note that supplementing with iron when levels are already adequate can be harmful. Over-supplementation with iron can lead to iron toxicity and may cause symptoms such as constipation, nausea, and vomiting. It's essential to have blood levels checked to determine if there is an actual iron deficiency before starting to supplement with iron. In general, it's best to obtain iron from whole foods rather than supplements, as foods that are high in iron are also typically rich in other nutrients that are important for overall health. If iron deficiency is confirmed, a healthcare provider can recommend the appropriate dose and form of iron supplementation to help manage symptoms of depression.

 

B Vitamins Deficiency

 

B vitamins are a group of essential vitamins that play an important role in many bodily functions, including energy metabolism, brain function, and the production of neurotransmitters like serotonin and dopamine. Research has shown that a deficiency in B vitamins, particularly vitamin B12 and folate, is associated with an increased risk of depression.

 

Vitamin B12 is involved in the production of neurotransmitters and is important for maintaining good brain function. Studies have shown that individuals with a deficiency in vitamin B12 are more likely to experience symptoms of depression, as well as cognitive decline and other neurological symptoms. Vitamin B12 deficiency is particularly common in older adults and vegetarians or vegans who may not consume enough B12-rich foods.

 

Folate, also known as vitamin B9, is important for the production of neurotransmitters like serotonin and dopamine, which play a crucial role in regulating mood and emotional well-being. Studies have shown that low levels of folate are associated with an increased risk of depression and other mood disorders.

 

B vitamins are also important for energy metabolism, and low levels of these vitamins can contribute to fatigue and other physical symptoms that may contribute to depression.

 

Overall, nutrient deficiencies can have a significant impact on mental health and contribute to the development of depression and other mood disorders. Mental health providers usually check the levels of important vitamins to determine if there is any vitamin deficiency that could be contributing to depression.  It is important to ensure that you are getting enough of these essential nutrients through a balanced diet or supplements, if necessary, in order to maintain good physical and mental health.

Foods That Improve Gut Health

 

Consuming a healthy, balanced diet is essential for maintaining optimal gut health. Foods rich in fiber, prebiotics, and probiotics can promote the growth of beneficial gut bacteria, enhance gut barrier function, and reduce inflammation, all of which can help improve mental health.

 

The Connection Between Gut Health and Depression

 

The Gut-Brain Axis

 

The gut-brain axis is a complex communication network that connects the central nervous system to the enteric nervous system, which controls the gut. The gut is home to trillions of microbes, collectively known as the gut microbiota, that play an essential role in regulating various physiological processes, including digestion, metabolism, and immune function.

 

Recent research has revealed that the gut-brain axis also plays a crucial role in the development and management of depression. Studies have shown that alterations in the gut microbiota composition and function can affect the brain's neurochemistry and alter behavior, including mood.

 

Recent research has revealed that the gut-brain axis also plays a crucial role in the development and management of depression. Studies have shown that alterations in the gut microbiota composition and function can affect the brain's neurochemistry and alter behavior, including mood.

Fiber-rich foods

Fiber is a type of carbohydrate that is not digested by the body. Instead, it passes through the digestive system, providing bulk and promoting regular bowel movements. Foods rich in fiber, such as fruits, vegetables, whole grains, nuts, and seeds, can help feed beneficial gut bacteria, promote the growth of short-chain fatty acids (SCFAs), and reduce inflammation in the gut.

 

Prebiotic-rich foods

Prebiotics are types of fiber that resist digestion in the small intestine and make their way to the colon, where they are fermented by gut bacteria. This fermentation process produces SCFAs, which have anti-inflammatory properties and can help improve gut barrier function. Foods rich in prebiotics include garlic, onions, leeks, asparagus, bananas, and chicory root.

 

Probiotic-rich foods

Probiotics are live bacteria and yeasts that are beneficial for gut health. They can help increase the abundance and diversity of beneficial gut bacteria, improve gut barrier function, and reduce inflammation. Probiotic-rich foods include yogurt, kefir, kimchi, sauerkraut, tempeh, and miso.

 

In summary, maintaining optimal gut health is essential for managing depression. The gut-brain axis plays a crucial role in regulating mood and behavior, and alterations in gut microbiota composition and function can affect mental health. Consuming a diet rich in fiber, prebiotics, and probiotics can help improve gut health, promote the growth of beneficial gut bacteria, and reduce inflammation, all of which can have a positive impact on mental health. By prioritizing gut health, individuals can take an important step towards managing depression and improving overall well-being.

 

Conclusion

 

In conclusion, depression is a complex condition that can be influenced by many factors, including diet. The foods we eat have a significant impact on our physical and mental health, and making conscious choices about what we consume can help manage symptoms of depression.

 

Foods that worsen depression include refined sugar and carbohydrates, processed foods, and trans fats. These types of foods can lead to inflammation in the body and have been linked to a higher risk of depression.

 

On the other hand, foods that help manage depression include those that are high in omega-3 fatty acids, complex carbohydrates, lean proteins, and antioxidants. Omega-3 fatty acids, in particular, have been found to be helpful in reducing symptoms of depression.

 

Nutrient deficiencies, such as vitamin D, iron, and B vitamins, can also contribute to depression. It's essential to make sure you're getting enough of these nutrients in your diet or through supplementation.

 

Moreover, recent research has highlighted the connection between gut health and depression. The gut-brain axis is a bidirectional communication pathway between the gut and the brain, and disturbances in the gut microbiome can impact our mental health.

 

Therefore, incorporating foods that improve gut health into our diet, such as fermented foods like yogurt, kefir, and sauerkraut, can be beneficial in managing depression symptoms.

 

Overall, while diet alone may not be a cure for depression, making healthy choices and prioritizing nutrient-dense foods can be a helpful tool in managing symptoms and improving overall well-being. It's essential to work with a healthcare provider to develop a personalized treatment plan that incorporates diet, exercise, and other lifestyle factors for optimal mental health.


Optimizing Back Pain Recovery: Best Practices

Musculoskeletal Health with Dr D. 

Optimizing Back Pain Recovery : Best Practices

In this article we will look at the best practices for optimizing back pain recovery. Despite the fact that back pain can cause a significant amount of pain and discomfort, it usually recovers spontaneously on its own. The speed of recovery depends on many variables. There is no one single magic remedy to speed up the recovery process.  However there are certain strategies that can be used for optimizing back pain recovery to help you recover faster. Understanding that you may not have control over certain aspects of your recovery process, will also allow you to create more realistic expectations and avoid undue frustrations.

Physical fitness and age

Individuals who are more physically fit and do not have other major medical conditions, generally tend to recover much faster. The body can fully focus on the healing of the injury when there are no other chronic conditions that also require attention, energy, and resources.

 

The smaller the number of raging fires present at the time of injury, the faster and more efficient the recovery process can be. Since most chronic conditions tend to accumulate over the years, age becomes an important player in the recovery process.

 

For the most part, healing is much faster in younger and healthier individuals. That is not to say, however, that growing old is always plagued with long term recovery process. A healthy and active 60-year-old individual with back strain may recover much faster than a 30-year-old sedentary obese office worker.

Prior injuries

History of prior back pain or the presence of other chronic musculoskeletal injuries plays a significant role in the recovery process. Individuals who suffer from chronic pain which is not well controlled, have gone through a process of so-called sensitization.

 

In other words, their nervous system has become more sensitive to any pain stimulus. Any new injury will, therefore, cause a lot more intense pain and take much longer to subside, despite the fact that the area of injury may be already healed.

 

Importance of early mobilization

When significant acute injury develops, bed rest may be necessary. It should be, however, limited to no more than 24 - 48 hours. Numerous studies have demonstrated the detrimental effect of prolonged bed rest on the recovery process.

 

Motion is the lotion and muscles need to move to heal. While you should not push through the pain to further aggravate your condition, gentle exercises focused on a pain-free range of motion and stretching will allow the muscles to become less stiff and maintain their flexibility.

 

Muscles that are not used, start to deteriorate very rapidly. They lose flexibility, mass, strength and become stiff. Intense pain with even small movements may then result from any attempt to use the stiff muscle since it will be pulling on the injured area.

 

Movement also creates important muscle pump which helps to increase local blood circulation. Increased blood circulation helps to flush out the inflammatory chemicals present at the site of the injury. The accumulated inflammatory chemicals irritate the nerve endings at the site of the injured area.

 

These chemicals are the primary reason for sensation of pain. Increased blood circulation also helps to supply the injured area with nutrients, oxygen and white blood cells that help to heal the injured tissue. Getting an early referral to a physical therapist to start the rehabilitation from acute injury is important for fast recovery and preventing the development of chronic conditions.

 

Application of heat versus cold

Using cold compresses for the injured muscles may be soothing in the first 24 – 48 hrs. This should be, however, followed by the application of heat to promote local blood circulation and to relax the muscle spasm.

 

Moist heat is preferred over dry heat, and moist heating pads, hot showers or baths work great. Heating pads can be applied to the injured area several times a day, but no longer than 20 minutes at a time.

 

You should never sleep on the heating pad. Exposing the injured area to the heat longer than 20 minutes at the time leads to overheating. This will trigger a protective mechanism, which may cause changes in the local vasculature and eventually decrease blood circulation in the injured area.

 

If pain prevents you from getting good night restful sleep, talk to your provider about prescribing short course of pain medication that can decrease the intensity of pain at night, while at the same time help you get better sleep.

 

Taking a muscle relaxant 30 minutes to one hour before sleep is generally a good option. However, your medical provider will be able to make more specific recommendations based on your particular condition.

Sleep and Depression

Getting a sufficient amount of sleep is important for everybody, but it is critical when recovering from an acute injury. The body heals and tissue regenerates when we sleep.

 

Insufficient sleep promotes systemic inflammation within our body, which slows down the healing and contributes to more pain perception. A minimum of seven, but preferably eight hours of sleep is recommended for optimal functioning and recovery.

 

Additionally, an insufficient amount of sleep combined with new intense pain has a strong effect on mood and may lead to depression. Whether depression results from sleep deprivation and pain or the depression has been present prior to the injury, it’s presence further intensifies pain and interferes with sleep, thus creating downward spiral leading to worse outcomes.

Complementary medicine, pain medication, and acute pain

An increasing number of patients do not wish to take any pain medication when they develop acute pain from fear of their side effects. There is an ongoing battle and numerous initiatives to fight the opioid crisis around the world.

 

Additionally, it is also true that every medication carries a risk of side effects. This, however, doesn’t mean that taking pain medication is bad and should be avoided by all means.

 

It is important to understand that there is a role for pain medication in particular when it comes to severe pain. Getting pain under control as soon as possible will prevent altering the way in which our brain deals with pain.

 

Any uncontrolled pain lasting longer than several days can sensitize the brain to pain and lower the pain threshold. This ultimately translates to experiencing painful sensation at much higher intensity with much lover stimulus. A simple gentle touch over the painful area could, therefore, lead to severe pain.

 

Complementary and alternative medicine modalities have been used successfully for the management of pain and injuries for hundreds of years. Many of them have been extensively studied and their effectiveness proven in rigorous trials.

 

Despite their popularity, however, their role is primarily in the management of chronic pain and injuries. This is largely because their main mechanism of action, by which they help to control pain and promote recovery, is through stimulating body own healing processes and pain control.

 

In other words, their primary role is to restore the body homeostasis. The subtle changes they produce over time are sufficient to create a noticeable difference when treating chronic pain or injuries.

 

It is, however, usually not enough to promote lasting pain relief in severe acute pain Click here to read more about the complementary medicine, pain medication and acute pain.

The role of Nutrition

The importance of nutrition cannot be emphasized enough when it comes to recovery from an acute injury. Providing our body with a sufficient amount of lean protein which is important for building tissue, as well as getting enough vitamin C to promote formation of collagen, is the very minimum.

 

Minimizing the intake of vegetable oils by decreasing consumption of fried foods and pastries and replacing them with monounsaturated fats from olive oil, canola oil, and avocados helps to decrease inflammatory process in the body.

 

Eating a wild salmon or other fish high in omega 3 fatty acids at least 2-3 times a week, or taking 1000- 2000 mg of mercury-free omega 3 fatty acids daily in the form of a supplement, has been also shown to decrease systemic inflammation.

 

Having fresh vegetables at least two times a day and eating 2-3 pieces of seasonal fruits will add much-needed vitamins and phytochemicals to act as powerful antioxidants.

Topical analgesic creams

Topical analgesic creams, ointments, and plasters have been used in many traditions to treat injured muscles and bones for millenniums. They have been made from a variety of herbs and other natural substances.

 

Their use not only soothes the pain but also promotes healing. A number of topical analgesic creams have been developed by the pharmaceutical industry based on these old folk remedies.

 

Most of these products contain some combination of menthol, capsaicin and salicylic acid. While these products have been marketed primarily to help to soothe the pain and aches, they also promote local blood circulation by stimulating special receptors on the skin.

 

As mentioned throughout this article, increased blood circulation in the area of pain promotes healing. The use of these products should be therefore encouraged for any musculoskeletal injury where application of topical creams is not contraindicated.

 

Before rubbing any of these products to the skin, try to apply only a small amount to observe for any skin reaction. You should also never apply these creams right before or after hot shower to avoid intense burning sensation.

 

In summary

Recovering from an acute musculoskeletal injury is a complex process. There is no one single recipe since everybody has a unique combination of factors that may either promote or hinder the recovery process.

 

In this article, we have covered only few of the most important aspects that exert a major influence on the recovery process. Optimizing sleep, physical activity, nutrition, and appropriate use of heat/cold and topical creams, can have significant effect on the speed of your recovery.

 

To learn more about complementary therapies that can be used for recovery from acute back pain, visit National Center for Complementary and Integrative Health