Longevity is about more than living a long life—it’s about living a healthy one! Dr. Lisa discusses the advanced screenings and cutting-edge treatments available at the Kaplan Center to help our patients stay ahead of health risks and improve overall health and longevity.
Dr. Lisa is board-certified in family medicine and is a member of the American Academy of Medical Acupuncture. She also serves as a Clinical Assistant Professor at Georgetown University School of Medicine’s Department of Community and Family Medicine. Dr. Lisa’s approach to care comes from a Functional Medicine (FM) perspective, treating the “whole person,” not just her patient’s symptoms.
“My goal is to help my patients get well by finding a balance in life — not just physically, but in mind, body and spirit. I look at each patient’s medical history, family history, medications, sleep problems, adrenal and other endocrine problems. We do a thorough workup and develop a treatment plan. Sometimes relatively simple changes can radically improve a patient’s health!”
After a thorough physical examination, targeted blood work and other specialized tests to find hormonal imbalances, nutritional deficiencies, or other fundamental dysfunctions within the body will be ordered. Dr. Lisa then creates a unique treatment plan that aims to address those imbalances and lower inflammation so the body can begin healing.
Once upon a time it was thought that the health of our gut was only dictated by what we ate and that any problems originating in the gut stayed in the gut. Fast forward to today where research has shown that those two ideas are almost completely inaccurate. We now know that factors other than what we eat can have a big impact on our digestive health. Furthermore, we also know that our digestive system is much more important and extensive than first thought.
Our gut microbiome is made up of trillions of tiny microorganisms whose role, apart from helping us digest food, is to help our body fight off infection and regulate hormone production. Yet it’s not only what we eat that can affect our microbiome. Other factors can play a role.
Additionally, research has found that our digestive system and brain are closely connected. Known as the gut-brain connection, it is the link that our feelings and emotions have to our digestive system.
So, what does all this mean for your digestive health? It means that our gut health can be improved by certain nutritional choices that we make alongside other lifestyle factors. Furthermore, it also highlights the importance of considering gut health in conjunction with emotional or mental health.
Gut problems run the range from minor tummy aches and pains to more serious issues like Crohn’s disease or ulcerative colitis. Gut problems can also include intestinal permeability or “leaky gut” a condition which allows toxins to enter the bloodstream. In all cases, the principles of keeping our gut happy and healthy still apply. This involves eating the right foods (i.e., gut-friendly foods) and taking a few steps to ensure that we’re trying to keep our microbiome in balance. When balance is restored, some common digestive symptoms may resolve.
Restoring gut balance
1. Increase your fiber intake
A simple but effective step. Nutrition experts say adults should consume at least 25 grams of fiber each day for regulating digestion (it’s thought that most Americans eat only 16 grams a day on average!). Fiber also acts as a prebiotic, serving as a food source for many strains of beneficial gut bacteria. Apples, avocados, bananas, potatoes, lentils, and oats are just a few examples of fiber-rich foods.
2. Consider gut-friendly diets: Low-FODMAP diet
Common diets for individuals with conditions like Irritable Bowel Syndrome (IBS) include the low-FODMAP diet, a specific carbohydrate exclusion diet. Those with IBS may experience symptoms such as cramping, diarrhea or bloating after consuming certain carbohydrates that are hard to digest; the low-FODMAP diet eliminates these carbohydrates. A 2017 study in the Journal Gastroenterology & Hepatology reviewed existing research and found that 50% to 86% of people with IBS responded well to a low-FODMAP diet.
However, before starting any gut-friendly diet, it is important to remember that diets like FODMAP come with mixed results. They work well for some individuals while having no impact on others. It is always advised to speak to a physician or nutritionist about any major changes to your diet.
3. Stay active
Regular exercise has positive effects on the gut microbiome. Whether it’s running, walking, yoga or going to the gym, any exercise is good. Recent studies suggest that exercise can enhance the number of good bacteria in the gut.
4. Add food diversity to your diet
A healthy microbiome is one that’s diverse. That means the microbiome is populated with a range of food items: asparagus, artichokes, radishes, leeks, and particularly fermented foods like: sauerkraut, kefir, kimchi and miso. A 2016 study in the Journal Molecular Metabolism notes that the more diverse the diet, the more diverse the microbiome and the more adaptable it will be to changes.
5. Dealing with stress? Consider cognitive behaviour therapy
The term “butterflies in your stomach” refers to having a nervous feeling in the stomach during certain situations. Although it’s not meant to be taken literally, there is a lot of truth to the statement as it links our feelings to digestion. Anger, anxiety, sadness — all of these feelings (and others) can trigger symptoms in the gut. This is where Cognitive Behavioral Therapy (CBT) might help. CBT is one of the most common forms of psychotherapy. It is a form of talk therapy that explores the way that your thoughts and emotions impact your behavior and health. The therapy can help teach relaxation to reduce stress, and promote relaxation which can in turn reduce gut symptoms.
6. Limit the amount of processed food you eat
Highly processed foods can throw the microbiome off balance. Replace canned foods, soft drinks and packaged snack foods with natural, whole foods.
7. Probiotics
Early studies have suggested that imbalances in intestinal bacteria can cause “arthritis, diarrhea, autoimmune illness, B12 deficiency, chronic fatigue syndrome.” Probiotics may help correct that imbalance. Probiotics are defined as live microorganisms that may have health benefits when consumed or applied to the body. While this is still an emerging field of study, researchers have found that certain strains of probiotics can help reduce inflammation in people with certain diseases. You can find probiotics in yogurt and fermented foods.
8. Cut back on NSAIDs.
Regular use of non-steroidal anti-inflammatory drugs medications (NSAIDs) such as Ibuprofen or Aspirin can cause a massive disruption of the gut flora. NSAIDs simultaneously reduce pain and prevent healing, and because the lining of the intestines is repaired and replaced every 3 to 5 days, the mechanism of NSAIDs dangerously interrupts and blocks that process.
Be kind to your gut and help take care of it with some of these simple steps. If you notice food intolerances or food-related symptoms that aren’t improving or getting worse with time, please give us a call to make an appointment with one of our providers.
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
Feeling tired is a common experience for many of us. We often brush it off as a result of a long day at work, a busy schedule, or simply not getting enough sleep. How do you know when your tiredness is just a normal part of life and when it might be a sign of something more serious, like Chronic Fatigue Syndrome (CFS)? Understanding the difference can help you manage your energy better and know when to seek professional help.
Everyday Tiredness: What’s Normal?
Everyday tiredness is something most people experience from time to time. It typically results from various factors that can be addressed with simple lifestyle changes. Here’s a deeper look into common causes:
Sleep Deprivation: One of the most common reasons for feeling tired is simply not getting enough sleep. Adults generally need between seven to nine hours of sleep per night. Inadequate sleep can affect your mood, cognitive function and overall energy levels. If you’re frequently waking up tired, you might need to reassess your sleep habits and environment. Ensure that your bedroom is dark, quiet and cool, and establish a regular sleep schedule.
Stress and Anxiety: Chronic stress and anxiety can drain your energy. When you’re under stress, your body remains in a state of heightened alertness, which can leave you feeling exhausted. Managing stress through techniques such as mindfulness, meditation and relaxation exercises can help mitigate these effects. Regular physical activity and a balanced diet also play a significant role in stress management.
Diet and Hydration: Your diet and hydration levels greatly influence how you feel. Skipping meals, consuming high-sugar foods, or not drinking enough water can lead to feelings of fatigue. Eating a balanced diet rich in fruits, vegetables, lean proteins and whole grains helps maintain steady energy levels. Staying hydrated by drinking plenty of water throughout the day is equally important.
Physical Activity: Both too much and too little physical activity can affect your energy levels. Engaging in regular exercise improves overall fitness and energy. However, over-exercising without proper rest can lead to exhaustion. Finding a balance that works for your body and incorporating rest days into your routine is essential.
Caffeine and Alcohol: While caffeine can provide a temporary boost, relying on it too much can disrupt your sleep patterns and lead to fatigue. Alcohol may also help you fall asleep but often disrupts the quality of sleep, leaving you feeling tired the next day.
Chronic Fatigue Syndrome: When Fatigue Isn’t Just Fatigue
Chronic Fatigue Syndrome (CFS), also known as myalgic encephalomyelitis (ME), is a complex, multi-system disease characterized by severe, persistent fatigue that doesn’t improve with rest and often worsens with physical or mental exertion. There is no specific known cause of CFS, but research points to inflammation of the central nervous system, which in turn can cause a wide range of debilitating symptoms.
The following is a more detailed look into the symptoms and features of CFS:
Persistent Fatigue: Unlike the temporary tiredness you might feel after a long day, CFS involves a deep, persistent exhaustion that lasts for at least six months. This fatigue is not relieved by rest and is often debilitating.
Unrefreshing Sleep: People with CFS may find that, despite sleeping for a full night, they still wake up feeling tired. This unrefreshing sleep can contribute to the ongoing sense of fatigue.
Cognitive Difficulties: Known as “brain fog,” this symptom includes problems with memory, concentration and mental clarity. Individuals may struggle to process information or focus on tasks, which can interfere with daily functioning.
Muscle and Joint Pain: CFS often involves unexplained muscle pain, joint pain, or headaches. These symptoms are typically not accompanied by swelling or redness but can still be very uncomfortable.
Post-Exertional Malaise (PEM): One of the hallmark features of CFS is post-exertional malaise, where symptoms worsen after physical or mental exertion. This can mean that even mild activities can lead to significant fatigue and prolonged recovery times.
Additional Symptoms: CFS can also be associated with other symptoms, such as sore throat, enlarged lymph nodes and sensitivity to light or sound. These symptoms can vary in intensity and may impact different individuals in different ways.
Diagnosing Chronic Fatigue Syndrome
Diagnosing CFS can be challenging because there is no specific test for it. Healthcare providers typically diagnose CFS based on a combination of symptoms, medical history and ruling out other conditions that could cause similar symptoms. A thorough evaluation may include:
Medical History and Physical Exam: Your doctor will review your symptoms, medical history and conduct a physical examination.
Laboratory Tests: While there is no definitive test for CFS, your doctor may order blood tests or other investigations to rule out other potential causes of fatigue.
Symptom Tracking: Keeping a detailed record of your symptoms, including when they occur and how they affect your daily life, can help your healthcare provider make an accurate diagnosis.
Managing Fatigue and Improving Your Well-Being
Regardless of whether you’re dealing with everyday tiredness or CFS, there are steps you can take, and services available that can help you manage fatigue and improve your overall well-being:
Optimize Sleep: Prioritize good sleep hygiene. Create a sleep-friendly environment and maintain a regular sleep schedule. If you are not able to improve your sleep on your own, you may benefit from a sleep evaluation.
Stress Reduction: Incorporate stress-management techniques, such as meditation, deep breathing, or hobbies, that help you relax. Acupuncture, biofeedback, yoga and other mind-body therapies are proven to help reduce stress.
Balanced Nutrition: Eat a varied diet rich in essential nutrients and stay hydrated. Avoid excessive caffeine and alcohol. Nutritional counseling can be a valuable tool to make long-lasting positive nutritional changes.
Exercise Wisely: Engage in regular, moderate exercise. If you have CFS, start slowly and listen to your body to avoid overexertion.
Support Systems: Seek support from friends, family, or a mental health professional if you’re feeling overwhelmed.
When to Seek Medical Advice
Seeking medical advice is crucial if you suspect your fatigue might be more than just everyday tiredness. If you have prolonged fatigue or unexplained and persistent symptoms and your fatigue is impacting your daily life, please give us a call. While everyday fatigue can often be addressed with lifestyle adjustments, persistent and severe fatigue may indicate a more serious condition that requires professional attention.
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
Living Longer, Living Better: Advanced Diagnostics and Unique Treatments for Longevity
/in Treatments, Videos, Wellness/by Lisa Lilienfield, MDLongevity is about more than living a long life—it’s about living a healthy one! Dr. Lisa discusses the advanced screenings and cutting-edge treatments available at the Kaplan Center to help our patients stay ahead of health risks and improve overall health and longevity.
Watch now!
About Dr. Lisa Lilienfield
Dr. Lisa is board-certified in family medicine and is a member of the American Academy of Medical Acupuncture. She also serves as a Clinical Assistant Professor at Georgetown University School of Medicine’s Department of Community and Family Medicine. Dr. Lisa’s approach to care comes from a Functional Medicine (FM) perspective, treating the “whole person,” not just her patient’s symptoms.
“My goal is to help my patients get well by finding a balance in life — not just physically, but in mind, body and spirit. I look at each patient’s medical history, family history, medications, sleep problems, adrenal and other endocrine problems. We do a thorough workup and develop a treatment plan. Sometimes relatively simple changes can radically improve a patient’s health!”
After a thorough physical examination, targeted blood work and other specialized tests to find hormonal imbalances, nutritional deficiencies, or other fundamental dysfunctions within the body will be ordered. Dr. Lisa then creates a unique treatment plan that aims to address those imbalances and lower inflammation so the body can begin healing.
Click here to read more on Dr. Lisa’s specialities and treatment techniques.
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
8 Steps to a Healthier Gut
/in Digestive Issues, Inflammation/by Kaplan CenterOnce upon a time it was thought that the health of our gut was only dictated by what we ate and that any problems originating in the gut stayed in the gut. Fast forward to today where research has shown that those two ideas are almost completely inaccurate. We now know that factors other than what we eat can have a big impact on our digestive health. Furthermore, we also know that our digestive system is much more important and extensive than first thought.
Our gut microbiome is made up of trillions of tiny microorganisms whose role, apart from helping us digest food, is to help our body fight off infection and regulate hormone production. Yet it’s not only what we eat that can affect our microbiome. Other factors can play a role.
Additionally, research has found that our digestive system and brain are closely connected. Known as the gut-brain connection, it is the link that our feelings and emotions have to our digestive system.
So, what does all this mean for your digestive health? It means that our gut health can be improved by certain nutritional choices that we make alongside other lifestyle factors. Furthermore, it also highlights the importance of considering gut health in conjunction with emotional or mental health.
Gut problems run the range from minor tummy aches and pains to more serious issues like Crohn’s disease or ulcerative colitis. Gut problems can also include intestinal permeability or “leaky gut” a condition which allows toxins to enter the bloodstream. In all cases, the principles of keeping our gut happy and healthy still apply. This involves eating the right foods (i.e., gut-friendly foods) and taking a few steps to ensure that we’re trying to keep our microbiome in balance. When balance is restored, some common digestive symptoms may resolve.
Restoring gut balance
1. Increase your fiber intake
A simple but effective step. Nutrition experts say adults should consume at least 25 grams of fiber each day for regulating digestion (it’s thought that most Americans eat only 16 grams a day on average!). Fiber also acts as a prebiotic, serving as a food source for many strains of beneficial gut bacteria. Apples, avocados, bananas, potatoes, lentils, and oats are just a few examples of fiber-rich foods.
2. Consider gut-friendly diets: Low-FODMAP diet
Common diets for individuals with conditions like Irritable Bowel Syndrome (IBS) include the low-FODMAP diet, a specific carbohydrate exclusion diet. Those with IBS may experience symptoms such as cramping, diarrhea or bloating after consuming certain carbohydrates that are hard to digest; the low-FODMAP diet eliminates these carbohydrates. A 2017 study in the Journal Gastroenterology & Hepatology reviewed existing research and found that 50% to 86% of people with IBS responded well to a low-FODMAP diet.
However, before starting any gut-friendly diet, it is important to remember that diets like FODMAP come with mixed results. They work well for some individuals while having no impact on others. It is always advised to speak to a physician or nutritionist about any major changes to your diet.
3. Stay active
Regular exercise has positive effects on the gut microbiome. Whether it’s running, walking, yoga or going to the gym, any exercise is good. Recent studies suggest that exercise can enhance the number of good bacteria in the gut.
4. Add food diversity to your diet
A healthy microbiome is one that’s diverse. That means the microbiome is populated with a range of food items: asparagus, artichokes, radishes, leeks, and particularly fermented foods like: sauerkraut, kefir, kimchi and miso. A 2016 study in the Journal Molecular Metabolism notes that the more diverse the diet, the more diverse the microbiome and the more adaptable it will be to changes.
5. Dealing with stress? Consider cognitive behaviour therapy
The term “butterflies in your stomach” refers to having a nervous feeling in the stomach during certain situations. Although it’s not meant to be taken literally, there is a lot of truth to the statement as it links our feelings to digestion. Anger, anxiety, sadness — all of these feelings (and others) can trigger symptoms in the gut. This is where Cognitive Behavioral Therapy (CBT) might help. CBT is one of the most common forms of psychotherapy. It is a form of talk therapy that explores the way that your thoughts and emotions impact your behavior and health. The therapy can help teach relaxation to reduce stress, and promote relaxation which can in turn reduce gut symptoms.
6. Limit the amount of processed food you eat
Highly processed foods can throw the microbiome off balance. Replace canned foods, soft drinks and packaged snack foods with natural, whole foods.
7. Probiotics
Early studies have suggested that imbalances in intestinal bacteria can cause “arthritis, diarrhea, autoimmune illness, B12 deficiency, chronic fatigue syndrome.” Probiotics may help correct that imbalance. Probiotics are defined as live microorganisms that may have health benefits when consumed or applied to the body. While this is still an emerging field of study, researchers have found that certain strains of probiotics can help reduce inflammation in people with certain diseases. You can find probiotics in yogurt and fermented foods.
8. Cut back on NSAIDs.
Regular use of non-steroidal anti-inflammatory drugs medications (NSAIDs) such as Ibuprofen or Aspirin can cause a massive disruption of the gut flora. NSAIDs simultaneously reduce pain and prevent healing, and because the lining of the intestines is repaired and replaced every 3 to 5 days, the mechanism of NSAIDs dangerously interrupts and blocks that process.
Be kind to your gut and help take care of it with some of these simple steps. If you notice food intolerances or food-related symptoms that aren’t improving or getting worse with time, please give us a call to make an appointment with one of our providers.
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
Reviewed on October 3, 2024.
References
https://www.hopkinsmedicine.org/health/wellness-and-prevention/fodmap-diet-what-you-need-to-know#
https://my.clevelandclinic.org/health/treatments/22466-low-fodmap-diet
https://www.health.harvard.edu/staying-healthy/ibs-a-low-fodmap-diet-may-help
https://www.bmj.com/content/361/bmj.k2179
https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/high-fiber-foods/art-20050948
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357536/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837298/#
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1727292/
Tired vs. Exhausted: How to Tell When Fatigue Needs More Attention
/in Chronic Fatigue/by Kaplan CenterFeeling tired is a common experience for many of us. We often brush it off as a result of a long day at work, a busy schedule, or simply not getting enough sleep. How do you know when your tiredness is just a normal part of life and when it might be a sign of something more serious, like Chronic Fatigue Syndrome (CFS)? Understanding the difference can help you manage your energy better and know when to seek professional help.
Everyday Tiredness: What’s Normal?
Everyday tiredness is something most people experience from time to time. It typically results from various factors that can be addressed with simple lifestyle changes. Here’s a deeper look into common causes:
Chronic Fatigue Syndrome: When Fatigue Isn’t Just Fatigue
Chronic Fatigue Syndrome (CFS), also known as myalgic encephalomyelitis (ME), is a complex, multi-system disease characterized by severe, persistent fatigue that doesn’t improve with rest and often worsens with physical or mental exertion. There is no specific known cause of CFS, but research points to inflammation of the central nervous system, which in turn can cause a wide range of debilitating symptoms.
The following is a more detailed look into the symptoms and features of CFS:
Diagnosing Chronic Fatigue Syndrome
Diagnosing CFS can be challenging because there is no specific test for it. Healthcare providers typically diagnose CFS based on a combination of symptoms, medical history and ruling out other conditions that could cause similar symptoms. A thorough evaluation may include:
Managing Fatigue and Improving Your Well-Being
Regardless of whether you’re dealing with everyday tiredness or CFS, there are steps you can take, and services available that can help you manage fatigue and improve your overall well-being:
When to Seek Medical Advice
Seeking medical advice is crucial if you suspect your fatigue might be more than just everyday tiredness. If you have prolonged fatigue or unexplained and persistent symptoms and your fatigue is impacting your daily life, please give us a call. While everyday fatigue can often be addressed with lifestyle adjustments, persistent and severe fatigue may indicate a more serious condition that requires professional attention.
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