Project Nido Group Photo 2022

Why I Keep Going Back

July 9, 2025/by Nidhi Reva
Woman with a migraine on sofa.

Acupuncture for Headaches: A Holistic Approach to Lasting Relief

June 30, 2025/by Rebecca Berkson, L.Ac, Dipl.OM
Low ferritin value can indicate inflammation in the body.

Ferritin: More Than Iron—A Diagnostic Power Tool

June 24, 2025/by Nidhi Reva
Callie’s Story of Seizures, Strength, and Starting Over

“Not All in Her Head”: Callie’s Story of Seizures, Strength, and Starting Over

June 19, 2025/by Nidhi Reva
save your tick

An Important Reminder From Nurse Nan: Save Your Tick

June 17, 2025/by Nan Kinder, RN
Losing your mind or are you sick?

“I Think I’m Losing My Mind”: When Treating Tick-Borne Illness Feels Worse Before It Gets Better

June 12, 2025/by Nidhi Reva
Chronic joint and muscle pain or is it EDS?

A Patient’s Story: From Pushing Herself to Be Stronger—To Acceptance

June 12, 2025/by Nidhi Reva

Long COVID Webinar and Q&A

June 3, 2025/by Kaplan Center
Gary Kaplan on Good Morning Washington

Good Morning Washington Visits the Kaplan Center! Part 2

June 2, 2025/by Kaplan Center
Nidhi Reva on Good Morning Washington

Good Morning Washington Visits The Kaplan Center! Part 1

May 13, 2025/by Kaplan Center
Which Respiratory Infection Do You Have

Which Respiratory Infection Do You Have?

December 10, 2024/by Kaplan Center
Diets and Blood Sugar

Eating “Right” But Feeling Wrong? The Problem with One-Size-Fits-All Diets and Blood Sugar

December 4, 2024/by Kaplan Center
Nutrition Tips for Thyroid Health

Nutrition Tips for Thyroid Health

November 21, 2024/by Kaplan Center
cultivating gratitude

4 Ways to Practice Gratitude During the Holidays

November 21, 2024/by Gary Kaplan, DO
Sharpen Your Cognitive Health and Eliminate Brain Fog

Out of the Fog: Strategies to Prevent Brain Fog and Sharpen Cognitive Function

November 19, 2024/by Kaplan Center
Marlene Ekwede

Employee of the Quarter: Marlene Ekwede

October 28, 2024/by Kaplan Center
Stop Eating These Foods

Stop Eating These Foods And Clear Up Your Brain!

October 28, 2024/by Gary Kaplan, DO
managing_medications

8 Tips To Help You Manage Your Medications

October 21, 2024/by Gary Kaplan, DO
Yoga for osteoporosis

Preventing & Treating Osteoporosis with Yoga, Resistance Training, Diet, & Medications

October 14, 2024/by Lisa Lilienfield, MD
Managing Chronic Inflammation

The Role of Functional Medicine in Managing Chronic Inflammation

October 9, 2024/by Kaplan Center
Marlene Ekwede

Employee of the Quarter: Marlene Ekwede

The Kaplan Center Recognizes Marlene Ekwede as Employee of the Quarter!

The front desk is the first and last stop for all of our patients and we’re lucky to have Marlene Ekwede front and center! Her positive attitude and excellent communication skills make her a wonderful asset to our Kaplan Center Team.

Since Marlene arrived, she has always shown a high level of professionalism and dedication to maintaining a smooth front office experience for everyone. She anticipates the needs of our patients and manages a tremendous number of responsibilities in an organized and timely manner. Marlene is always ready to help whenever a new project or task comes up. Our patients love her and so do our staff!

In addition to all she does at the Kaplan Center, Marlene is currently in school studying Bioinformatics and Computational Sciences at George Mason University. She is expected to graduate in May 2026.  We are so proud of Marlene and excited about her future. Thanks for all you do, Marlene!

Stop Eating These Foods

Stop Eating These Foods And Clear Up Your Brain!

Feeling unproductive? Fatigued? Having trouble concentrating? These are just some of the complaints associated with brain fog – or when your brain is not on top of its game.

Brain fog is characterized by cognitive impairments to memory, attention, executive function, and the speed of cognitive processing. It is not a medical condition itself, but rather symptomatic of an underlying condition that can range from poor nutrition or illness to undiagnosed food sensitivities or sleep deprivation.

If you haven’t already spoken to your physician about how you feel, make that priority number one in determining what may be causing your brain fog. In the meantime, there are things you can do right away to “clear up” your brain for optimal functioning. Environmental factors, particularly nutrition, can worsen or improve your symptoms.

Here are 5 types of foods and drinks that may be contributing to your brain fog – and why!

1. Processed foods with MSG

The food additive Monosodium Glutamate (MSG), used as a taste enhancer and flavoring agent, is hidden in almost all processed foods, ranging from bottled salad dressings, soups, and canned goods to many restaurant meals. People who tend to eat a lot of processed foods with MSG can experience physical symptoms that can last from a few hours to days, and the most common of these is brain fog. Here’s how it works:

  • Free glutamic acid is the active component in MSG and is converted to glutamate in the body.
  • Glutamate is a neurotransmitter, or simply a chemical messenger, that transmits signals between neurons in the brain. However, too much glutamate is toxic to the brain as it triggers an excitotoxic state which leads to cell death.
  • In addition, glutamate overload depletes glutathione and other powerful antioxidants that are needed to scavenge free radicals (toxic cellular waste) in the body.

Identifying foods with MSG can be tricky, however, because it goes by many names. For more information on how MSG can be identified on food labels, visit www.TruthInLabeling.org.

How can you make a difference? Focus on eating a variety of whole and unprocessed foods, for one, and eating food products with as few ingredients as possible.

Questions? Give Us a Call!

703-532-4892 x2

2. Your “must-have” daily diet soft drink

Aspartame is one of the most widely used artificial sweeteners worldwide, and also one of the most controversial. The public health crisis of rising obesity drove us to embrace the idea of sweetness without the calories. But study upon study has shown that artificial sweeteners, such as aspartame, can do more harm than good.

When aspartame is ingested, it breaks down into 3 different compounds: aspartic acid, phenylalanine, and methanol. Phenylalanine and aspartic acid are amino acids (protein building blocks) that are beneficial to the human body when they occur naturally with other amino acids in foods. However, when consumed in isolated and large amounts, like it is in aspartame, they then are able to cross the blood-brain barrier, excite the brain cells and trigger their death. Even worse, methanol further breaks down to formaldehyde, which is neurotoxic and carcinogenic.

Common symptoms of aspartame toxicity are headaches, mental confusion, problems with balance, and numbness.

3. Processed meats – bacon, jerky & hot dogs

Sodium nitrite, sodium nitrate, and sodium/potassium benzoate are salts added to processed foods, particularly meats, to preserve freshness. The food industry relies on these additives as taste enhancers, and as a way to preserve bright colors that will catch the eye of the consumer.

Although the use of these additives is approved by the Food & Drug Administration in regulated amounts, processed meats that contain these chemicals have been classified as “Group 1 Carcinogen” by World Health Organization (WHO) experts. A large number of health complaints have been reported by consumers; among them skin issues, respiratory problems, headaches, dizziness, and brain fog.

The best way to avoid these additives, commonly found in bacon, jerky, hotdogs, pepperoni, and sausages, is to read the labels and choose to eat unprocessed foods whenever possible.

4. Alcohol

Various components in alcohols can cause sensitivity, and the severity of the allergic reactions depends on the person’s genetic profile; one major symptom being brain fog.

Here is a list of the ingredients in wine, beer, liquor, and spirits that may be worsening your brain fog.

  • Sulfite additives are used to sterilize barrels and tanks before fermentation takes place.
  • Histamines are suggested to play a major role in allergic-like reactions to wine.
  • Ethanol is found to play a role in inducing allergic reactions – especially in Asians and certain other populations – due to their lack of the enzyme that metabolizes ethanol.
  • Most beers contain gluten. People who are sensitive to gluten report an improvement in brain fog when gluten is cut out of their diets.

5. Cheese/Dairy

Milk and dairy products, such as cheese, yogurt, and whey protein (found in bodybuilding and energy drinks) are just one of the food categories that the FDA has also recognized as a major allergen, potentially causing allergic reactions in some people that can range from mild to severe, and in some cases can be fatal. Other foods considered major allergens are: gluten, soy, egg, shellfish (two kinds: crustacea and mollusk), tree nuts (such as walnuts, almonds, and cashews), peanuts (in the legume family), certain types of finned fish, and sesame. For people with sensitivities or allergies to these foods, the body sees the proteins as a threat and produces antibodies to chase them out.

If you experience symptoms of brain fog, headache, or digestive discomfort when you eat a specific type of food, you may have a sensitivity but not necessarily an allergy. With either situation it is best to avoid those foods altogether; and be careful when reading labels, as there may be hidden ingredients, especially milk and eggs.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

This article was originally written in July 2017. It was reviewed and updated in October 2024.

Additional References:

Abu-Taweel, G. M., A, Z. M., Ajarem, J. S., & Ahmad, M. (2014). Cognitive and biochemical effects of monosodium glutamate and aspartame, administered individually and in combination in male albino mice. Neurotoxicology And Teratology4260-67. doi:10.1016/j.ntt.2014.02.001

Ahluwalia, P., Tewari, K., & Choudhary, P. (1996). Studies on the effects of monosodium glutamate (MSG) on oxidative stress in erythrocytes of adult male mice. Toxicology Letters84(3), 161-165.

Foran, L., Blackburn, K., & Kulesza, R. J. (2017). Auditory hindbrain atrophy and anomalous calcium binding protein expression after neonatal exposure to monosodium glutamate. Neuroscience344406-417. doi:10.1016/j.neuroscience.2017.01.004

Onaolapo, O. J., Onaolapo, A. Y., Akanmu, M. A., & Gbola, O. (2016). Evidence of alterations in brain structure and antioxidant status following ‘low-dose’ monosodium glutamate ingestion. Pathophysiology: The Official Journal Of The International Society For Pathophysiology23(3), 147-156. doi:10.1016/j.pathophys.2016.05.001 

VALLY, H. and THOMPSON, P. (2003), Allergic and asthmatic reactions to alcoholic drinks. Addiction Biology, 8: 3–11. doi:10.1080/1355621031000069828

Whitehouse, C. R., Boullata, J., & McCauley, L. A. (2008). The potential toxicity of artificial sweeteners. AAOHN Journal: Official Journal Of The American Association Of Occupational Health Nurses56(6), 251-259.

Wild, C. P., & Gong, Y. Y. (2010). Mycotoxins and human disease: a largely ignored global health issue. Carcinogenesis31(1), 71-82. doi:10.1093/carcin/bgp264

http://www.mpwhi.com/main.htm

https://www.foodallergy.org/allergens

http://acaai.org/allergies/types

 

 

managing_medications

8 Tips To Help You Manage Your Medications

For many ailments, treatments most often involve some type of medication. Whether it’s an antibiotic to treat an infection, a statin to control cholesterol, or even a simple daily aspirin to reduce the risk of heart attack, we take the medications our providers recommend and hope for the best.

Painkillers, statins, sleeping pills, and other commonly prescribed medications all have their proper place in managing our health but can have unintended side effects. It is the provider’s responsibility to carefully explain what to expect from taking a particular drug.

Routinely evaluating prescriptions is extremely important, especially for older adults whose bodies are less efficient at metabolizing and clearing medications from the bloodstream, which can increase the risk of being overmedicated. Those who take multiple medications must be particularly aware of possible side effects and interactions with other drugs.

Here are 8 important tips to help you safely manage your medication intake.

1) Keep a list of all the medications and supplements you are taking, the prescribed dosages for each, why you are taking them, and the prescribing provider. Provide a copy to a family member, friend, or caretaker and keep a copy of this list in your wallet or on your refrigerator in case of an emergency.

2) Review your medications with your provider on a regular basis to ensure that the medications and doses are still appropriate.

3) Report any new symptoms you are experiencing as a result of taking a new medication to your provider as soon as they occur.

4) Be sure to tell your provider about all of the herbal remedies and nutritional supplements you are taking as they can interact with your prescribed medications.

5) Before you start a new medication, ask your provider about any potential side effects or interactions of your medications, medicinal herbs, and supplements.

6) If your medication seems ineffective, make sure to speak up so your provider can reconsider the drug or dosage.

7) Missing your meds may trigger unexpected symptoms or side effects so make sure to take your medications as directed to avoid complications.

8) If at all possible, use the same pharmacy for filling your prescriptions. This allows the pharmacist to determine if there are any interactions or side effects you should be aware of – especially if multiple providers are prescribing for you.

In summary, be sure you know what medications you’re taking and why. If you have questions, ask!  Your provider and pharmacist are important resources and can help guide and manage your medications.

We are here for you, and we want to help.

Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2

This article was originally published in March 2015. It was reviewed in October 2024.