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5 Steps For Better Health If You Have a Chronic Illness or Pain

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Today, medical care is a highly specialized and compartmentalized business, and many physicians are pressured by significant time constraints. When your health problems are complex, it can be difficult and frustrating to find answers. Be your own advocate, don’t be afraid to ask questions, and seize control of your health.

5 Important Steps For Better Health When You Have a Chronic Illness or Pain

  1. Find An Expert. Chronic pain can undermine every aspect of your life – your work, relationships, recreational activities, self-esteem, and hope for the future. You want – and need – a pain specialist who is going to investigate the causes of your particular pain problem, strive to understand exactly how it has affected your life, and work with you to create and implement a personalized and comprehensive treatment strategy that fits the context of your life. You don’t have to just live with it. Chronic pain or illness should not define who you are and what you do.
  2. Understand Your Diagnosis. A diagnosis is not just a label; expect your doctor to provide you with resources to help you better understand your own condition; and expect him or her to lay out clear recommendations for your short and long-term treatment, including steps that you can take to assist with your own healing process.
  3. Understand the Value of Non-invasive Manual Therapies to Your Recovery. Seek out a physician who is knowledgeable about non-invasive manual therapies that will support your recovery. Ideally, you want a doctor who can recommend highly skilled manual practitioners who will communicate with your doctor about your progress and the need for adjustments in your ongoing medical care.
  4. Be Careful about Using Pain Medication. While medications may help with pain, some also have the potential to cause other problems with your health and quality of life. Be confident that the medication your doctor has prescribed for you is truly the most effective and least invasive way of treating your chronic pain problem.
  5. Understand All the Factors that May Be Contributing to Your Condition. Many times there are underlying, undiagnosed factors that may be contributing to your pain. Nutrition, emotional issues, hormone imbalances, biotoxicity or neurotoxicity, and sleep disorders can all cause inflammatory reactions in the body which can lead to a cascade of painful symptoms.

Chronic pain is a multi-faceted problem that requires a multi-disciplinary approach to diagnosing and treating your pain.

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

Updated September 16, 2024

Food & Mood; These Dietary Recommendations are Positively Uplifting!

Food and Mood – These Dietary Recommendations are Positively Uplifting!

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The connection between nutrition and your physical health is unequivocal. Excessive sugar consumption can lead to obesity and is also linked to inflammation and other chronic diseases such as diabetes; a high intake of unhealthy trans-fats increases your risk of future cardiac events; deficiencies in essential vitamins can accelerate cellular degeneration, thereby heightening your susceptibility to cancers and other serious illnesses. While these connections may appear simplified, their validity is well-supported by scientific evidence.

Yet despite the growing body of research illustrating the connection between a nutritious diet and enhanced mood and cognitive function, your dietary habits are often disregarded as a factor contributing to your emotional distress.

Research is increasingly confirming that inflammation of the central nervous system is a key factor in many chronic conditions, including mental health disorders such as anxiety, depression, and more severe disorders such as Major Depressive Disorder. Eating foods that are high in sugar and saturated fats can elevate inflammatory markers in your body and impact mental health by exacerbating anxiety, depression, and mood fluctuations. Dietary changes aimed at reducing inflammation and oxidative stress, as well as enhancing the gut microbiome — crucial for nervous system development and function — can substantially enhance your mental well-being.

If you would like to discuss strategies on how to improve your nutritional intake to optimize your mental and overall health, please give us a call today at 703-532-5892. We use a functional medicine approach to treatment; our goal is to treat the “whole you” so that all areas of your health are improved.

In the meantime, as the old saying goes, “you are what you eat,” so with your emotional wellbeing in mind, here are some dietary tips on how you can improve your mood and mental health.

1. Incorporate more foods rich in B-vitamins (B12, B6, Folate). B-vitamins are involved in a number of important processes in the brain: they support cellular energy production, proper functioning of the nervous system, red blood cell formation, DNA formation, and the regulation of hormones. Studies show that deficiencies in certain B vitamins can result in an increased risk of depression.

Foods rich in B vitamins include beans, lentils, raw spinach, asparagus, romaine lettuce, broccoli, avocado, fish, shellfish & eggs.
 
2. Talk to us about supplements. Even if you think you have a relatively healthy diet, supplements can provide additional support to your immune system and lower your risk of developing a host of inflammatory conditions, including depression.

Vitamin D (serotonin synthesis), vitamin C, magnesium (stress support), vitamin E (mood regulation), CoQ10, glutathione, and Omega-3 are additional examples of supplements with clinical applications in depression, anxiety and other mental health disorders.
 
3. Eat foods that provide gut support. One of the many neurotransmitters used by the brain is serotonin. Among its many functions, serotonin is involved in regulating mood. We now know that as much as 95% of serotonin is produced in the intestines so maintaining the integrity of your gut microbiome with a proper balance of good and bad bacteria will help keep the production of serotonin in balance as well.

Regularly eating foods like fermented vegetables, sauerkraut, miso, and bone broth will keep your gut microbiome stocked with good bacteria.
 
4. Eat high protein foods at every meal to support neurotransmitter production. Your body produces neurotransmitters by utilizing nutrients in the food you eat, primarily amino acids. For example, serotonin is a byproduct of the amino acid tryptophan; noradrenaline is made from the amino acid tyrosine, which is also converted to dopamine. Serotonin, noradrenaline (aka norepinephrine) and dopamine belong to a group of neurotransmitters called monoamines that play a major role in mood & cognitive function.

High protein foods like raw nuts, cold water fish, beans, and eggs, consumed on a regular basis, will ensure that your body is getting enough of the building blocks it needs to produce these important chemical messengers that will keep your mood stabilized.
 
5. When snacking, always balance carbs with fats and protein. Keeping your carbohydrate and protein intake in balance will help stabilize mood and mental clarity and while avoiding the peaks and valleys of blood sugar levels that can also lead to other serious conditions like insulin resistance and pre-diabetes.

What does a complete protein and carb combination look like? Try combinations like: hummus with celery, bell peppers and/or carrots; apple, pear, or banana with almond butter (or any nut butter); sunflower seeds and raisins.

Read: Snack on This!
 
6. Saffron and turmeric may support people with anxiety & depression. Foods with turmeric and saffron have for ages been eaten for medicinal support. A study published in Journal of Affective Disorders, reported that a treatment of curcumin (the active ingredient in turmeric) and saffron were effective at easing anxiety and depressive symptoms in people with major depressive disorder.

The anti-inflammatory and antioxidant properties in turmeric and saffron help calm inflammation. Add them to your foods for flavor and anti-inflammatory benefits.

While more severe mental health conditions may necessitate treatments such as psychotherapy and medication, especially if your emotional well-being poses a risk of harm to yourself or others, your diet remains as an effective healing resource. When complemented by other strategies that address inflammation, such as exercise, meditation, and stress-reduction techniques, the result can be a brighter and more positive perspective on your life.

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

References:

Gorbachev D, Markina E, Chigareva O, Gradinar A, Borisova N, Syunyakov T. Dietary Patterns as Modifiable Risk Factors for Depression: a Narrative Review. Psychiatr Danub. 2023 Oct;35(Suppl 2):423-431. PMID: 37800271.

Ma Q, Xing C, Long W, Wang HY, Liu Q, Wang RF. Impact of microbiota on central nervous system and neurological diseases: the gut-brain axis. J Neuroinflammation. 2019 Mar 1;16(1):53. doi: 10.1186/s12974-019-1434-3. PMID: 30823925; PMCID: PMC6397457.

Marx W, Moseley G, Berk M, Jacka F. Nutritional psychiatry: the present state of the evidence. Proc Nutr Soc. 2017 Nov;76(4):427-436. doi: 10.1017/S0029665117002026. Epub 2017 Sep 25. PMID: 28942748.

Petridou ET, Kousoulis AA, Michelakos T, Papathoma P, Dessypris N, Papadopoulos FC, Stefanadis C. Folate and B12 serum levels in association with depression in the aged: a systematic review and meta-analysis. Aging Ment Health. 2016 Sep;20(9):965-73. doi: 10.1080/13607863.2015.1049115. Epub 2015 Jun 8. PMID: 26055921.

Elizabeth Lipski, Digestive Wellness: How to Strengthen the Immune System and Prevent Disease through Healthy Digestion, 3rd ed. (New York: McGraw-Hill, 2004)

Roth W, Zadeh K, Vekariya R, Ge Y, Mohamadzadeh M. Tryptophan Metabolism and Gut-Brain Homeostasis. Int J Mol Sci. 2021 Mar 15;22(6):2973. doi: 10.3390/ijms22062973. PMID: 33804088; PMCID: PMC8000752.

Lopresti AL, Drummond PD. Efficacy of curcumin, and a saffron/curcumin combination for the treatment of major depression: A randomised, double-blind, placebo-controlled study. J Affect Disord. 2017 Jan 1;207:188-196. doi: 10.1016/j.jad.2016.09.047. Epub 2016 Oct 1. PMID: 27723543.

The Relationship Between Sleep & Good Health

The Relationship Between Sleep & Good Health

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In our pursuit of optimal health, we often concentrate on diet and exercise, sometimes overlooking a critical aspect: sleep. The connection between sleep and good health is profound, influencing various facets of our well-being that go beyond just feeling rested.

At the heart of this connection is the fundamental role sleep plays in regulating our body’s functions and supporting the day to day activities that our body carries out. Adequate sleep isn’t merely about feeling refreshed,  it’s a cornerstone of good health.

Here are six benefits of getting good quality sleep

1) Heart health
Sleep plays a pivotal role in our cardiovascular and metabolic health. Consistently getting a good night’s sleep of at least seven hours can help regulate our blood pressure and reduce the risk of heart disease and stroke. In fact, studies have shown that sleep deprivation is associated with an increased risk of hypertension, coronary heart disease and diabetes. So sleep has an outsized impact on our heart.

2) Enhanced mental health
Quality sleep is closely linked to mental wellness. It contributes to cognitive function, memory consolidation, and emotional stability. Additionally, the link between sleep and mental health is bi-directional. This means that experiencing conditions such as anxiety and depression can affect our sleep. Sleep can impact our mental health and mental health can impact our sleep.

3) Immune system support
The process of sleep gives the immune system a chance to strengthen, repair and rejuvenate itself. During sleep, the immune system releases proteins known as cytokines, which increase during periods of infection, inflammation, or stress. Sleep deprivation can lower the production of these cytokines and reduce the number of infection-fighting antibodies and cells.

4) Weight management
The relationship between sleep and weight is intricate. It is governed by hormones that regulate hunger and satiety -the feeling of being full. It is also tied to our metabolism and insulin levels.. When the link between these factors is disrupted, it can result in unforeseen weight gain. Inadequate sleep acts like a disruptor and it can lead to increased appetite and weight gain over time.

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5) Removal of waste products from the brain
Researchers believe that sleep may promote the removal of waste products or toxins from brain cells—something that appears to occur less efficiently when the brain is awake. Essentially, sleep helps to flush out toxins in the brain that build up during waking hours.

6) Cellular restoration
Sleep is a crucial time for the body to repair tissues, restore energy, and release growth factors essential for growth and development.

Sleep is an extremely complicated process that even scientists do not fully understand. But when you consider that we spend about one third of our life sleeping, the process of sleep takes on even greater importance. Therefore, understanding the significance of quality sleep in overall good health is vital.

How much sleep should you get

The question of how much sleep to get each night is both easy and hard to answer. Different people require differing amounts of sleep to stay healthy so exact sleep time needs vary from person to person. Officially, the Centers for Disease Control (CDC) recommends that most adults get between 7 and 9 hours of sleep per night. But when it comes to how much sleep you personally need, listening to your body is incredibly important. Consider how you feel when you wake up – are you refreshed or still tired? The goal is to wake up from sleep feeling alert, energetic and not fatigued. That would be considered as having a good night of quality sleep.

Strategies for better quality sleep 

For the reasons listed above, good sleep plays a key role in our health. Conversely, insufficient sleep and untreated sleep disorders can be detrimental to it. When thinking about good sleep hygiene and strategies for better sleep, remember to:

  • Prioritize sleep: Make a conscious effort to get 7-9 hours of quality sleep each night. Create a relaxing bedtime routine, limit screen time before bed, and ensure your sleeping environment is comfortable and conducive to rest.
  • Establish a sleep schedule: Consistency is key. Going to bed and waking up at the same time every day helps regulate your body’s internal clock, promoting better sleep quality.
  • Environment matters: Make sure your bedroom is quiet, dark and at a comfortable temperature. The idea is to make your space for sleep a warm, welcoming and relaxing one.
  • Get your exercise done earlier on in the day: Engage in regular physical activity but try to complete your workout at least a few hours before bedtime. Exercise can contribute to better sleep but intense workouts too close to bedtime may have the opposite effect.
  • Limit screen-time: Studies confirm that screen time in the evening can disrupt your natural sleep-wake cycle. At least one hour before going to bed, unplug from all of your gadgets and consider removing electronic devices, such as tablets, computers, and smartphones, from the bedroom altogether.
  • Watch what – and when – you eat: Eating close to bedtime not only affects digestion and sleep quality but it can also lead to other health problems like GERD. Avoid eating meals or excessive drink (including alcohol) after 7 p.m. and avoid drinking caffeinated beverages after noon.

A lot of good things happen in our brains while we sleep: learning and memories are consolidated, waste is removed and the immune system works to restore and repair cellular damage. So remember to ask for help if you’re having difficulty falling asleep or staying asleep – a good night’s sleep is worth investing in.

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

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845795/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3256323/

ttps://www.cdc.gov/sleep/about_sleep/sleep_hygiene.html

 

 

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cognitive benefits of curcumin

Cognitive Benefits of Curcumin

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The daily consumption of curcumin, the active compound in turmeric, can have significant benefits on cognitive health.

According to the National Institutes of Health (NIH), more than 88 million Americans over the age of 65 will be diagnosed with neurodegenerative disease by 2050. The progression of neurodegeneration has been associated with the imbalance between the level of antioxidants and the increased oxidative damage by free radicals to proteins, DNA, and lipids.

Curcumin is a chemical compound found in plants, with anti-bacterial, anti-inflammatory, anti-proliferative, and antioxidant properties. Research has seen an astounding success proving the benefits of curcumin as an antioxidant and anti-inflammatory, with over 7000 articles published in the last two decades. Its neuroprotective properties help prevent free radical damage and calms the inflammatory process at the root of many chronic diseases. Studies have shown it to be effective against many gastrointestinal diseases and metabolic diseases such as diabetes and obesity, certain cancers, cardiovascular disease, and neurodegenerative diseases such as Alzheimer’s. In fact, curcumin has long been suspected to be the reason behind the low rates of Alzheimer’s disease in India, where turmeric spice is widely and frequently used in curry meal preparation.

However, curcumin is unique in that it is not easily absorbed by the body on its own. In order to increase its bioavailability, it must be paired with other compounds, one such example is piperine, a compound found in black pepper.

But for those who don’t have a taste for this beautiful golden spice, supplementation can be key. Research on the supplement Theracurmin* a bioavailable (more easily absorbed by the body) form of curcumin, has shown it contains significantly higher plasma concentration of curcumin than other leading brands of supplements. Clinical studies have also shown it to have benefits in osteoarthritis, muscle fatigue after exercise, and clearing alcohol metabolites. There are on-going clinical trials investigating the effects of Theracurmin on other inflammatory diseases.

A 2019 study on curcumin, led by Dr. Gary Small, director of geriatric psychiatry at UCLA’s Longevity Center, was conducted over an 18 month period and included 40 adults that ranged in age from 51 to 84. Twenty-one randomly selected participants were given twice daily doses of Theracurmin, and the remaining 19 participants were given a placebo. Cognitive assessments were taken every 6 months and curcumin levels were measured at both the start and end of the study. In addition, 30 participants (15 placebo & 15 curcumin) underwent PET scans to measure levels of the proteins amyloid and tau in their brains both at the start of the study and after 18 months. These two proteins are targeted because of their association with neurodegenerative disorders; when accumulated in the brain, they are thought to contribute to the breakdown of neurons which can potentially lead to symptoms of Alzheimer’s disease.

At the end of the study, researchers concluded that the daily intake of Theracurmin resulted in “improved memory performance and attention in non-demented adults.” Based on the PET findings, the study further concluded that “behavioral and cognitive benefits are associated with decreases in plaque and tangle accumulation in brain regions modulating mood and memory.”

While this study was quite small, the results are indeed promising and warrant continued research. Supplementation with a bioavailable form of curcumin, like Theracurmin, shows tremendous potential as a preventative measure against age-related cognitive decline. Furthermore, the effect curcumin has on decreasing existing amyloid plaque and tau accumulation in the brain shows that it may play a significant role in delaying the onset of other neurodegenerative diseases such as Alzheimer’s dementia.

As research continues to reveal turmeric’s bounty of health benefits, including its ability to limit and possibly reverse the damage of inflammation in the brain, it is becoming more and more evident why it is widely referred to as a miracle spice!

Before taking any supplement consult with your physician to discuss any potential side effects.

*Theracurmin®HP  is available for purchase from the Kaplan Medical Center Store.

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

References:

https://www.sciencedirect.com/science/article/pii/S1064748117305110?via%3Dihub

https://www.ninds.nih.gov/health-information/disorders/dementias

https://link.springer.com/chapter/10.1007/978-3-030-56153-6_18

https://pubmed.ncbi.nlm.nih.gov/36367124/

https://ajcn.nutrition.org/article/S0002-9165(23)46260-0/fulltext

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8833931/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6835707/

https://www.alzheimersorganization.org/turmeric-curcumin-and-alzheimers

https://pubmed.ncbi.nlm.nih.gov/36720711/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097512/

https://www.ncbi.nlm.nih.gov/pubmed/29326901

 

This article was originally published in Feb 2018. It was reviewed and updated in November 2023.

lifestyle_medicine

Lifestyle Medicine and Chronic Disease

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Changing behavior is hard. Changing the way we think about a topic, an issue, or a pattern that we routinely engage in is hard. In fact, making change is so difficult that there’s an entire field of psychology dedicated to it. It’s the science of behavioral change and it looks at how we make change successfully and why.

Whether it’s the ability to start exercising, eating healthier foods, or just doing things to reduce stress levels, change takes effort. For example, study after study shows that after starting a new diet, most people will eventually regain the weight they lost. Experts think that as many as 80 to 95% of dieters gain back the weight they worked so hard to lose. Although that’s a bit disheartening, the point is that making meaningful and lasting change is a process and not a quick fix. This is true for many things, but it is especially true for lifestyle habits that impact our health. And this is where lifestyle medicine enters the picture.

What is Lifestyle medicine?

Lifestyle medicine is a field of medicine that uses behavioral change psychology to help tackle the rising levels of chronic disease. Chronic problems like heart disease, obesity, stroke, hypertension, cancer, and diabetes are among the most prevalent and costly health conditions in the United States. Consider that approximately 60% of all Americans suffer from at least one chronic disease; and this number is only increasing.

Lifestyle medicine can play an important role in the management of chronic disease because many of these conditions revolve around the same lifestyle issues – exercise, healthy eating, restful sleep, ideal body weight and reducing the esposure of harmful substances. Furthermore, promoting healthier habits and reducing stress can serve as an important tool for lowering inflammation and mitigating pain and depression – components of many chronic diseases. We know from research that engaging in certain positive lifestyle changes early on can dramatically lower the risk of developing these illnesses in the first place.

Lifestyle medicine focuses on these key aspects of health:

Physical activity

Study after study shows that regular and consistent physical activity is one of the best ways to improve mood, health, and longevity.

Stress

Periods of stress that come and go are natural but if stress becomes a constant part of an individual’s life, it can have negative impact on health. Ongoing stress can affect heart health, digestion, mental wellbeing (mood, focus), and physical health.

Nutrition

Research has highlighted the benefits of a healthy and nutrient-rich diet in lowering inflammation and reducing the risk of heart disease, high blood pressure and other medical conditions. The role of good nutrition in overall wellbeing cannot be understated.

Restorative sleep

Good sleeping patterns and habits can help bolster the immune system, remove waste products from the brain, improve focus and physical energy, and help lower the risk of stroke, obesity, heart disease and high blood pressure.

Mental health

Human beings are social creatures and meaningful social connections make up a large part of one’s mental and spiritual well-being. Research has shown that individuals who have stronger social connections are more resilient and less likely to develop cognitive impairment.

Lifestyle medicine attempts to address all of these areas. It does not mean that all of these items need to be fixed in a jiffy; it just means that the importance of these factors and their role in good health should be recognized. If there is a particular area where changes can be made to improve your health, then a discussion should be had with your provider.

Where do you begin?

The first step is being open to change; self-motivation is key. You should educate yourself and be open to understand the benefits of the change you want to make to keep you motivated and focused on your goals. Can you foresee some challenges? Try o identify any barriers that are keeping you from moving forward and be prepared to deal with setbacks because they will happen. Be forgiving and keep moving forward.

For many, having an accountability partner or being a part of a structured program that considers the key aspects listed above can be the difference between success and failure. Lifestyle program teams are trained and experienced in these challenges and are supportive to those who are ready to embrace these changes.

Lifestyle medicine is relatively new as a field of practice and its principals are very similar to those of functional medicine (functional medicine also investigates and treats the root cause of disease and dysfunction). It sheds light on the importance of the day-to-day activities that we undertake, how they impact us, and why small changes can make a huge difference. Although change is hard, it is possible, and lifestyle medicine speaks to the tools and resources that we can use to help bring those positive changes about.

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

 

References

https://www.acpm.org/initiatives/lifestyle-medicine/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876976/

https://health.clevelandclinic.org/why-people-diet-lose-weight-and-gain-it-all-back/

https://www.cdc.gov/chronicdisease/index.htm

https://pubmed.ncbi.nlm.nih.gov/21056174/

https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-science-of-sleep-understanding-what-happens-when-you-sleep

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985951/

 

 

Dealing with Anxiety

8 Commonly Overlooked Causes Of Anxiety and Depression

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With the right treatment, people seeking relief from depression or anxiety can live happy, productive lives. But if you’re one of the many Americans seeking relief from depression or anxiety, you’re no doubt aware of just how elusive successful treatment can be. It is estimated that as many as 30% of depressed patients do not respond to treatment, raising an important question: could it be that we’re thinking about — and therefore treating — these conditions in the wrong way?

A growing body of research suggests that depression and anxiety might not be mental disorders in and of themselves, but rather symptoms of a physical inflammation stemming from increased microglial activity in the brain. Microglia are the immune cells of the Central Nervous System (CNS) and are responsible for producing inflammatory chemicals in response to infection or other CNS damage.

This gives the medical community and those living with these debilitating conditions new hope. In thinking about depression and anxiety as symptoms, we’re afforded new insights into potential root causes, as well as alternative methods of treatment.

Here are eight often-overlooked causes of depression and anxiety that you should consider:

1. Celiac disease or gluten intolerance.

About 1% of Americans have celiac disease, an autoimmune disorder caused by the body’s negative reaction to gluten, the protein found in wheat, barley and rye. And gluten intolerance — also called non-celiac gluten sensitivity — is estimated to impact six times as many Americans.

While we don’t yet understand the mechanism of gluten intolerance in the body, the impact can be very similar to that seen with celiac disease. While intestinal complaints are most common, research is showing that some people with these conditions may, in fact, present with anxiety and depression as the only symptoms.

You can test for celiac disease with a simple blood test. The only way to test for gluten intolerance is to go gluten-free for six weeks and watch for any improvement. (Before making any major dietary changes, make sure to consult your provider or a registered dietitian.)

2. Sleep apnea.

There are two types of sleep apnea. Obstructive sleep apnea is the more common form and occurs when the soft tissue in the back of the throat collapses, thereby blocking the airway during sleep. Central sleep apnea, although not as common, is a result of the brain forgetting to tell the body to breathe. Studies confirm the relationship between sleep apnea and depression.

If you get plenty of sleep but never feel quite rested, or you find yourself often nodding off, a first step you can take is to answer the 8 questions on the Epworth Sleepiness Scale. If your score is equal to or higher than 10, the results should be discussed with your provider.

3. Lyme disease.

Lyme and other tick-borne diseases are becoming increasingly prevalent. While the most common symptom is joint pain, these diseases can also be associated with depression and anxiety disorders (affective disorders).

This link between Lyme disease and neuropsychiatric disease was first documented in 1994 in the American Journal of Psychiatry and has been widely documented since, but the potential connection is frequently overlooked when diagnosing those with psychiatric illness. If you are suffering from chronic pain and a mental disorder, this diagnosis should be considered.

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4. Unhealthy diet.

A study published in PNAS (Proceedings of the National Academy of Sciences of the United States of America) confirmed that “…frequent fried food consumption is strongly associated with a higher risk of anxiety and depression.”

On the other hand, eating a diet high in omega-3 fatty acids (fish oils, walnuts, and flaxseed) and antioxidants (colorful fruits, berries, and greens including spinach, broccoli, and collards) can help provide the brain with the nutrients it needs to repair free radical damage and optimize function.

5. Thyroid disease.

Both an under-functioning thyroid (hypothyroidism) and an over-functioning thyroid (hyperthyroidism) can present as depression or anxiety — not to mention other symptoms like weight changes and exhaustion. If you suffer from depression or anxiety, you may wish to have your thyroid hormone levels checked to rule out any disorder.

6. Medications.

It’s also possible that regular medications may be causing or worsening your depression or anxiety. Beta-blockers used to treat high blood pressure are known to cause depression, and acne-fighting Accutane, birth control pills, and even statins all list depression as a possible side effect.

If you take medication regularly, I recommend talking with your provider about the chances that your medication is bringing you down or making you anxious.

7. Toxic mold exposure.

Exposure to certain indoor molds can result in a wide range of symptoms, including depression, ADHD, difficulty concentrating, fatigue, chronic sinus infections, and various pulmonary and neurologic issues. If you fear that you’ve been exposed to indoor molds, it’s critical that you speak with a physician who is familiar with mold toxicity disorder.

8. Coffee.

Several studies have demonstrated a link between coffee consumption and heightened anxiety. While most people can tolerate one to two cups of coffee per day without issue, if you are prone to anxiety, you may want to rethink your morning pick-me-up. Try cutting out coffee altogether for at least two months and observe whether or not your mental state changes as a result.

This article first appeared in Dr. Kaplan’s column on MindBodyGreen.com in September 2015. It was reviewed and updated in May 2023.

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

Additional Resources

Harding CF, Pytte CL, Page KG, Ryberg KJ, Normand E, Remigio GJ, DeStefano RA, Morris DB, Voronina J, Lopez A, Stalbow LA, Williams EP, Abreu N. Mold inhalation causes innate immune activation, neural, cognitive and emotional dysfunction. Brain Behav Immun. 2020 Jul;87:218-228. doi: 10.1016/j.bbi.2019.11.006. Epub 2019 Nov 18. PMID: 31751617; PMCID: PMC7231651.

Temple JL, Bernard C, Lipshultz SE, Czachor JD, Westphal JA, Mestre MA. The Safety of Ingested Caffeine: A Comprehensive Review. Front Psychiatry. 2017 May 26;8:80. doi: 10.3389/fpsyt.2017.00080. PMID: 28603504; PMCID: PMC5445139.

Aerobic_exercise_health_benefits

Regular Aerobic Exercise Allows for Longer, Happier Lives

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These publications reinforce the benefits of aerobic exercise and provide even more motivation to get out and break a sweat.

Benefits of exercise on cognitive function.

A study published in Journal of Neurology, Neurosurgery and Psychiatry determined that adults who exercise as little as one time per month have improved cognitive function (thinking and memory) later in life. The study followed a cohort of 1417 participants over a period of 33 years who were asked to periodically categorize their physical activity level. At age 69, participants were assessed and those who were the most active showed the highest cognition later in life. However, the study clearly showed that any level of activity had cognitive benefits, even when physical activity was minimal or began later in life.

Benefits of exercise on mental health disorders.

A review published in the British Journal of Sports Medicine examined the existing evidence on the effect of physical activity on depression, anxiety and psychological distress in adults. Over one thousand trials were looked at and the results showed that physical activity is “highly beneficial for improving symptoms of depression, anxiety and distress across a wide range of adult populations–including the general population, people with diagnosed mental health disorders and people with chronic disease.”

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A 2018 review and meta-analysis, published in the journal Depression & Anxiety, looked at the association between aerobic exercise and major depressive disorder (MDD). The results of 11 qualifying studies were examined and it was determined that aerobic exercise had a significant anti-depressant effect and can be considered an effective intervention for MDD and other mental health disorders.

Benefits of exercise on chronic illness.

Another study, published in JAMA Network Open, found that sedentary lifestyles are as harmful to one’s health as having a chronic illness. Over the span of 23 years 122,000 adult patients underwent periodic stress testing to determine the link between mortality and aerobic exercise. The study found that better cardiorespiratory fitness was directly associated with longer life spans and better overall health, with the inverse also being true.

Look, we all know about the benefits of exercising, but we don’t always stick with it. These studies highlight the importance of daily movement for living longer and happier lives. Start slowly and find something you like and most importantly stick with it, consistency is the key to reaping the long-term benefits and safeguarding your health.

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

HRV Biofeedback for Managing Stress

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Emotions, even more than thoughts, activate and drive the physiological changes in the stress response. Feelings of anxiety, irritation, frustration, impatience, and hopelessness are what people mean when they say they are “stressed out.”

For optimal health and resilience, it is important to regulate emotional reactions because they are what push the imbalance in the nervous system. The heart is a key component of the emotional system and negative emotions sap our energy and rob us of the ability to think clearly. You can either deplete or renew your physical, mental, and emotional energy reserves.

“Fight or Flight” versus “Rest and Digest”

Heart Rate Variable (HRV) is a biomarker of the balance in the Autonomic Nervous System (ANS). The ANS is tied to every automatic process in the body and is comprised of two main branches that work together to control the body’s stress and recovery processes.

Under stress, one branch of your nervous system, the “fight or flight” branch, becomes very active. When this happens, HRV goes down and there is an imbalance between the two branches.

In an ideal situation, the stress is only temporary, the “rest, digest, and recover” branch of the nervous system kicks in causing the HRV to go up again, and the nervous system returns to equilibrium. However, a busy, frenetic, and stressful lifestyle can cause the imbalance to persist throwing the system into a chronic state of fight or flight.

Because this shift happens at such a gradual pace, we might not even notice there is a problem. In fact, a chronic state of fight or flight can become so familiar that any other way of being can just feel wrong and unfamiliar.

Since the insidious effect of long-term stress may be the single most harmful assault against our body’s health, getting an objective measure of it is important.

Click here to learn more about Heart Rate Variability assessments.

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

Gentle Yoga Poses for Back, Neck and Hips

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Yoga is a wonderful tool to alleviate stress, which in turn can improve both your mental and physical health. Taking just a few minutes each day to gently move and stretch your body can make a big difference. Here are some gentle yoga poses to try at home, demonstrated by Laura Dorsett, MTS, RYT500.

Seated Pigeon Pose

This gentle stretch opens up the hips, glutes, and lower back.

Eagle Arms Posture

Eagle Arms helps to release tension in the head, neck and shoulders.

Runners Lunge/Yogic Lunge

Yogic Lunge opens up the hips and releases the lower back.

Seated Spinal Twist

Seated Spinal Twist gently loosens strained muscles in the back to revitalize the spine and posture.

Small Choices, Big Impacts – Technology for Immune System Boosts

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“Between stimulus and response, there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.”

  – Viktor Frankl

At this moment we’ve been asked to pause our lives and isolate from most of our family, friends, and colleagues. We are powerless to stop the contagion of disease or the conflict of politics but we are free to choose how we respond in this moment. And we can definitely control what sort of changes we want to see in our future selves when this time of turmoil comes to an end, as indeed it will. Though the world may seem too full of threats and too overwhelming to make any change right now, keep in mind that the biggest transformations are often the result of tiny, almost imperceptible steps we take along the way. And as every gardener knows, fallow ground is actually the most fertile because it has had time to rest and regenerate. This Spring may be just the right time to plant and nurture small seeds that will germinate and grow into the healthy changes we want to see in our lives. And the best news is that the same steps that will result in a healthier future self, will also stabilize our mood and calm our nerves leading to more equanimity in the home, as well as giving a vital boost to the immune system. Small choices that help nurture inner calm can also help bring peace to a not so peaceful world.

Be gentle with yourself

During this time of fear and uncertainty we all yearn to feel loved, nurtured, and safe. Yet the voice we often choose when speaking to ourselves — which is, after all, the person we talk to more than anyone else in the world — is neither kind nor helpful, or even truthful!  Pay attention to the voice in your head and choose kind and respectful communication. In a world full of threat and danger it is important to have a sanctuary where you feel safe and calm, especially in your own mind. A small increase in self-awareness and self-compassion will lead to better self-regulation and management of emotions, which in turn will lead to more harmony and peace within. In this time of global stress, inner peace is our greatest gift and most valuable asset. Choose to nurture inner peace. Be gentle with yourself.

Technology:  Immune System Boost or Bust 

That little phone in our pocket (which is a million times more powerful than the computer that landed man on the moon 50 years ago) has the power to fill us with global and local news that can so overwhelm our nervous system we no longer sleep at night or even think straight. When we are so absorbed in feelings of distress that it robs us of energy and the ability to think clearly, it destroys the immune system’s ability to function at full capacity. Use technology to get absorbed in a more comfortable way of being and reconnect to the great potential that lies within.

Technology for immune system boosts:

Establish a schedule that includes lots of self-care:  This profound disruption to everyday life makes it vital that we re-establish a sense of continuity. Set a firm schedule that includes appointments with yourself to get exercise, go outside, meditate, and connect with people you love even if it’s only on-line. Right now taking care of yourself is taking care of others.

Connect with people:   We grow in connection with others. Reach out and let others know you’re thinking of them, they are important and you are grateful for their presence in your life. This is no time to regret things left unspoken.

Laughter:  A good laugh will increase oxygen to the heart, lungs, and muscles, release endorphins in the brain to improve mood and decrease stress and elevate the immune system. That is good medicine!  Contact a fun friend or watch a movie that makes you laugh.

Stories of triumph over adversity:  Whether through movies, books, or chats, seek out stories where we overcome hard times. Can we get enough of these right now?

Music:  Music is medicine – use it. There’s something especially touching about some of the videos musicians are putting online right now. Stripped of flashy makeup and distracting backups they feel vulnerable and powerful at the same time.

Engage the healing power of creativity:   The creative process can tap into incredible inner strength and art doesn’t have to be perfect, beautiful, or significant to be powerful. One family has a nightly photography contest where the person with the most creative picture on a chosen subject gets bragging rights for a full 24 hours. That’s a great way to ease feelings of isolation!

Heart Rate Variability BioFeedback:  A simple and effective way to interrupt the stress response and shift your heart, mind, and emotions into healthy coherence, you can use Inner Balance technology to replenish your energy, balance your emotions, and increase resilience. Buy the Inner Balance device here at The Kaplan Center or go to HeartMath.com for this fun and efficient bio-hack to your meditation practice.

Gratitude journal:  Relishing good experiences can improve health, outlook, and relationships. A definite boost to the immune system!

Expressive writing:  A form of therapy that can be good for your sleep, your state of mind, and your emotional well-being, all of which bolster your immune system and improve your health. Click here for instructions on this powerful technique.

Benefit finding:  Finding the silver lining in a dark cloud can be a potent boost to the immune system. Then taking the time to write these thoughts is like doubling down on a good bet.

Random acts of kindness:  Nothing makes us happier than to know we’ve touched someone’s life in a positive way. There are many lonely people out there. Reach out and do something kind. It will boost your health and make them feel better.

Pit stop reminders:  Fear, uncertainty, and helplessness can rev the nervous system like a race car so schedule regular pit stops to refuel and make mechanical adjustments so you can stay in it for the long haul. Set a timer that goes off every two hours and stop, stretch, do a minute of deep breathing, and drink water to hydrate. Small steps are giant leaps when it comes to countering fear and balancing the nervous system.

Guided Imagery and Self-Hypnosis:  Tap into the tremendous power of your own mind to relieve stress, relax your body, improve sleep, and elevate immune system functions. The health benefits are numerous and there are no risks or side effects. You can explore different imageries on-line or call for an in-person or video conference appointment at The Kaplan Center.

Or… turn off all technology

Use this opportunity to find the beauty in small things and contemplate what is really important in life. Better days are ahead.  In the meantime, be gentle with yourself, use technology wisely and find ways to control what you can in order to ease the feelings of helplessness and reconnect with the potential that exists within you.

We are here for you at The Kaplan Center. Call to schedule an appointment in person or on-line with the doctors and therapists that can help you get through this change with as much health and resilience as possible. We very much look forward to seeing you.

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