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turmeric-health-benefits

3 Reasons to Include Turmeric In Your Diet

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Native to southwest India, and known for its radiant golden color and unique taste, turmeric has been used as a culinary herb for thousands of years, and is found in abundance in many Indian dishes, especially curries. But it is its role as a healing herb that has caused scientists to take a closer look at this “miracle spice.”

The magic of turmeric resides in the roots, specifically in the chemical compound called curcumin. Curcumin is a polyphenol – a chemical compound found in plants with antioxidant properties, and myriad therapeutic attributes. A study in Advances in Experimental Medicines and Biology, went so far as to state that “Curcumin has been shown to exhibit antioxidant, anti-inflammatory, antiviral, antibacterial, antifungal, and anticancer activities and thus has a potential against various malignant diseases, diabetes, allergies, arthritis, Alzheimer’s disease, and other chronic illnesses.”

#1 – Defense against cognitive decline

A 2018 article in the Journal of Alzheimer’s Disease highlighted the protective effects of curcumin in the treatment for Alzheimer’s disease (AD). The review particularly looked at curcumin’s effect against amyloid beta (Aß), a peptide that plays a central role in the pathology of AD.

  • Curcumin may help the macrophages – critical cells of the immune system – clear plaque deposits of Aß. Unlike a healthy brain, patients with Alzheimer’s Disease show an accumulation of amyloid plaques between nerve cells (neurons).
  • Curcumin has demonstrated that it has neuro-protective effect against Aß induced cell death of cortical neurons.
  • Curcumin has shown to inhibit the accumulation of Aß and promote its reduction.

Furthermore, curcumin has anti-proliferative actions on microglia. Microglia are immune cells of the central nervous system that become active in response to any number of stressors on the body. However, if the microglia have been stimulated to react too often, they become hyper-reactive, which can trigger system-wide inflammation that can be difficult to stop.

#2 – Defense against cancer

A 2019 review of research on the role of curcumin in cancer therapy, confirmed that “curcumin exhibits anticancer ability by targeting different cell signaling pathways including growth factors, cytokines, transcription factors, and genes modulating cellular proliferation and apoptosis,” all of which are associated with the progression of cancer.

  • Curcumin’s antioxidant properties help prevent the increase of free radicals. Antioxidants scavenge free radical. When free radicals are left unchecked, it results in oxidative stress which damages cells and plays a big role in the early stages of cancer.
  • Curcumin has shown an ability to inhibit nuclear factor kß (NF-kß). NF-kß is a proinflammatory molecule associated with cancer progression and inflammation.

According to another systematic review in 2020, curcumin shows both preventative and therapeutic effects on various types of cancers when used as an adjunct therapy in cancer treatment.

  • Curcumin’s low toxicity allows for widespread use, with no harmful side effects.
  • Curcumin can help improve quality of life by its ability to reduce side effects of chemotherapy or radiotherapy.

#3 – Treatment of Osteoarthritis

Curcumin’s anti-inflammatory properties also make it a strong candidate for treating inflammatory diseases such as osteoarthritis. A 2017 study in the Journal of Exercise Rehabilitation found that supplementation with a bioavailable form of curcumin “appeared to be effective in reducing the pain and enhancing muscular and balancing function” in patients with knee osteoarthritis.

How should you add curcumin to your diet?

  • Supplementation: Curcumin is not a major component of American diets, so supplementation could be considered. Unfortunately, because curcumin is not easily absorbed in the bloodstream, its bioavailability is diminished. Bioavailability can be increased, however, by partnering the extract with another compound to enhance its absorption. Piperine, a compound found in black pepper, is one such example. At the Kaplan Center, the curcumin supplement* we prescribe is micronized in colloidal particles and as a result, has significantly higher plasma concentration over other leading brands. Remember, supplements are not regulated by the FDA, so make sure to purchase your supplement from a trusted source. You should also speak to your physician before you begin taking any supplement to rule out any possible interactions with other medications.
  • Eat more curry! Eating more curried dishes that are rich in turmeric spice as well as black pepper regularly can be a good source of curcumin.
  • Enjoy a cup of turmeric milk: End your day with a cup of delicious Golden Turmeric Milk (see video below!). Curcumin is fat-soluble, therefore combining it with milk will help to make the curcumin more readily absorbed into the body.

Studies on curcumin and its efficacy in humans is ongoing, but the research looks quite promising. With very few side effects, powerful anti-inflammatory, anti-cancer, and antioxidant properties, and a long history of medicinal use, curcumin can play an important role in maintaining the body’s normal inflammatory response, while also supporting healing and relieving pain.

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

 

 

 

Dr. Kaplan’s article first appeared on U.S. News and World Reports on July 24, 2015. Updated in Jan 2023.

Managing Colds And Flu

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Flu season starts as early as October and can last through April. For this reason, we recommend that you get vaccinated against the flu if you haven’t done so already. We recommend that you wait a minimum of 2 weeks before getting any other vaccine. Or if you have just received another vaccine, wait 2 weeks before getting the flu shot.

Many may get a cold during the winter months, and for the majority of cold-sufferers, rest, fluids, and over-the-counter medications are enough to help them recover. But winter sickness can mean something more serious for the 3-11% of US residents that come down with the flu each season, with approximately 200,000 hospitalizations attributed annually to flu-related complications.

Basic Flu Prevention Recommendations

In addition to getting a flu shot, there are other precautions that you can take to lower your risk of contracting the flu or to shorten the duration of any respiratory illness.

Dr. Kaplan offers the following basic flu-prevention steps:

  1. Get a preservative-free flu shot. (We recommend that you wait a minimum of 2 weeks before getting any other vaccine. Or if you have just received another vaccine, wait 2 weeks before getting the flu shot.)
  2. Wash your hands often and thoroughly.
  3. Keep unwashed hands away from your mouth and eyes.
  4. Use a friendly cleaner to wipe down doorknobs, phones, your mouse, and keyboards.
  5. Get plenty of sleep (7-9 hours is optimal for most).
  6. Drink plenty of fluids – water is needed for your body to clear toxins and helps to thin secretions.
  7. Make wise nutritional choices, including limiting your consumption of alcohol, refined carbohydrates, and sugar, all of which lower immune system functioning.
  8. Exercise regularly, preferably outdoors. Exercise is great for an immune system boost.
  9. Take some deep breaths and meditate, it can boost your immune system significantly.
  10. Talk to your provider about whether periodic vitamin IV’s would be right for you.

Homeopathic Remedies and Supplements

Homeopathic remedies and supplements can be very effective in preventing flu infection, & they can be used in combination with other remedies. We have found the following products to be particularly useful in helping to prevent colds & flu. Please check with your provider to see which ones may be right for you.

  • Take 5000 IU’s of Vitamin D3 daily. Have your Vitamin D-25-Hydroxy level checked every 3 months and aim for a level between 50 – 80.
  • Oscillococcinum – ½ a tube a week through the flu season (October – April).
  • Monolaurin – 2 pills twice a day through the flu season.
  • Probiotics– Increase the intake of probiotics. 70-80% of your immune system cells are found in the gut. Certain probiotic strains have been shown to reduce the risk of acquiring common cold infections so take a high-quality probiotic or better yet, include fermented foods in your diet. Ask your provider how to start to include these in your diet or supplement regimen.
  • Take a high-quality multivitamin.

Many of the supplements above are available to buy from our online store. We offer the highest quality supplements from manufacturers that have been vetted. Consumers should always buy supplements from a trusted source as they are not regulated by the FDA. 

Treatment Strategies If You Do Get Sick

At the first sign of winter respiratory problems, there are several products you can take on your own to minimize the seriousness of an infection, including influenza. We’ve listed several below with general instructions.

Please note: if you are sure you have the flu, we usually recommend taking Tamiflu, a prescribed, antiviral medication that the Centers for Disease Control has determined is effective in treating flu. This medication must be started within the first 48 hours of experiencing flu-like symptoms. For personal guidance as to whether this would be helpful in treating your symptoms, please call our office. In any event, if you get sick with a fever of 100.5 degrees or more, please call the office at 703-532-4892, so we can give you our immediate personal assistance.

If you are already taking medication for another medical condition, you should check with your provider before taking any of the remedies described below. We also do not recommend that anyone take all of these products simultaneously, so ask your provider which combination of products would benefit you most.

Herbal Remedies:

Dispel Invasion – Take at the first sign of infection (sore throat, sneezing, fever, chills, or joint pain). Recommended dose: Take 6-8 drops in warm water every 4-6 hours for the first 1-2 days. If taking pill form, take 2 pills 3x/day for 5 days. Patients with Lupus, MS, rheumatoid arthritis, or other autoimmune diseases should not take this herbal product.

Sambucol – This product boosts the immune system and supports the respiratory tract. In addition to tablets, Sambucol is available as a cough syrup. Dosage: Take as directed by product packaging.

Monolaurin – This supplement can be taken both as a preventative and treatment method because of its ability to strengthen the immune system and fight infections. Dosage: As a treatment method, take 3 pills, 3x/day or as directed by your provider.

Homeopathic Remedies:

Oscillococcinum – Take at the first signs of flu to alleviate symptoms and shorten the duration of your illness. It will not make you drowsy, and it has no known drug interactions. Recommended dosage for acute illness: Take 1/2 tube 3 times/day for the first 3-5 days of the flu.

Umcka – Strengthens the immune system and is pleasant tasting and safe for children. Dosage: Take 6-7 drops in water every 3 hrs, but do not take for more than 5 day in a row. Patients with Lupus, MS, rheumatoid arthritis, or other autoimmune diseases should not take this product. NOTE: Do not take Dispel Invasion & Umcka simultaneously.

Supplements:

Zinc Lozenges – There is strong evidence that zinc in lozenge form reduces the severity of symptoms of the common cold. Recommended dose: Dissolve in mouth, 3-4 times daily.

Vitamin C – A powerful immune system booster that you can take as soon as you suspect you are coming down with a respiratory illness. Dosage: Take 3000 mg./day during symptoms. People who are prone to nausea should look for a buffered Vitamin C as it is more gentle on the gut and will not cause an upset stomach. For others, we recommend liposomal Vitamin C, which is better absorbed by the body.

There’s a lot you can do to minimize your risk of flu or respiratory illness but prevention from infection isn’t guaranteed. Therefore, if you do develop flu-like symptoms this winter, make sure to see your provider right away to discuss the most effective treatment options available.

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

overlooked causes of migraines

5 Overlooked Causes Of Migraine Headaches

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With migraine headaches, it’s important to look beyond the symptom to target the disease.

Lindsay was 23 years old, fresh out of college, and working at her dream job in Washington, D.C., as a congressional aid. Working in Congress, 10-hour days are the norm and for Lindsey, typically the first to arrive in the morning and last to leave in the evening – that was a short day.

She was in charge not only of the Senator’s schedule but also required to be at his side taking notes at all his meetings, as well as keeping him informed as to who he was meeting with and why.

Young, energetic, with an excellent memory and a gift for attention to detail, Lindsay was a rapidly rising star in the highly competitive world of Capitol Hill. When we met, Lindsay was clearly intelligent, completely charming, and terrified that everything she had achieved could be completely undone by progressively crippling migraines.

She had suffered from migraines since she was 16 and had seen several physicians, including neurologists. Yet despite trials of numerous medications, the headaches had become more frequent and debilitating within the last year.

According to the American Migraine Foundation, 1 billion Americans of all ages suffer from migraines. Women are disproportionately affected, impacting approximately 1 in 5 American women versus 1 in 16 men.

For most migraine sufferers, the attacks occur one to two times a month or less, but about 4 million people agonize with a migraine 15 days or more a month. Migraine headaches are regarded as one of the top 20 of the world’s most debilitating medical illnesses.

Most physicians treat migraines as a disease, when in fact, they may be a symptom. By this, I mean that if you go to your doctor complaining of headaches that are diagnosed as migraines, the appointment typically ends with a prescription for medications to either prevent the occurrence of the headache or treat the acute headache, with little if any testing.

It’s rare for any consideration to be given to why you get the headaches. But, if you can find the underlying cause, you have a much better chance of finding the cure.

Questions? Give Us a Call!

703-532-4892 x2

Here are five frequently overlooked causes of migraine headaches:

1. Celiac disease and gluten intolerance

Celiac disease is an autoimmune disease to gluten, a protein found in the grains wheat, barley, and rye. About 1% of the population suffers from Celiac disease and unfortunately, it’s estimated that over 80% of the people with Celiac disease are undiagnosed.

Gluten intolerance (GI) affects about 6% of the American population. GI, while not associated with the damage to the lining of the small intestines as seen in Celiac disease, can make you almost as sick as Celiac disease.

Because eating grains causes Celiac disease and GI, we tend to think that this is an intestinal problem and expect to see people complaining of abdominal symptoms such as bloating, diarrhea and abdominal pain. In fact, both these diseases can present with minimal or no gastrointestinal symptoms and a large number of other symptoms including migraines, peripheral nerve damage, seizures, anxiety disorders, depression, and even schizophrenia. This was documented in an excellent review published in 2012.

You can screen for Celiac disease with a simple blood test, but we do not have any reliable testing for GI as of yet. Treatment for both conditions is the elimination of all gluten-containing foods from your diet.

Questions? Give Us a Call!

703-532-4892 x2

2. Magnesium deficiency

This may play a role in the occurrence of migraines in up to 50% of the people who suffer from this condition. (An excellent summary of this research was published in 2012.)

Magnesium is essential for a wide range of functions in the body and unfortunately, it’s easy to become deficient in magnesium and difficult to measure with a blood test.

Low nutritional intake, excess consumption of coffee, sodas, and alcohol, chronic stress, chronic illness, and intestinal problems (such as Celiac disease creating problems with absorption of magnesium) can all lead to deficiency.

The foods highest in magnesium, such as halibut, mackerel, boiled spinach, bran breakfast cereal, and nuts such as almonds, cashews, and pumpkin seeds, are not foods that typically make up much of our diets.

I encourage my patients suffering from migraines to make the necessary dietary changes and to supplement with between 250 and 500mg of magnesium a day.

One of the side effects of taking magnesium is diarrhea. If you develop diarrhea while taking magnesium, decrease the dose or try switching the type of magnesium you are taking.

We also treat many of our migraine patients with IV magnesium.

3. TMJ disorder

The temporal mandibular joint (TMJ) is the joint where your jaw connects with your skull. The joints are located in front of your ears on either side of your face. If your teeth are misaligned or you grind your teeth, a condition called bruxism, you can develop dysfunction and pain at the TMJ.

Symptoms of TMJ dysfunction include popping of the joint, pain at the joint, difficulty opening your mouth, and headaches. Proper diagnosis and treatment require that you see a dentist familiar with this condition. The headaches caused by TMJ can be misdiagnosed as migraines and TMJ can be a trigger for migraines.

4. Thyroid disease

Both low and high thyroid levels can cause headaches. Thyroid disease, usually associated with fatigue, dry skin, and hair loss when thyroid levels are low, and rapid heart rate and anxiety when thyroid levels are high, may present with migraine as the only significant symptom. This so-called subclinical presentation of thyroid disease can also be seen in adults and children.

Diagnosis can be made with a simple blood test.

5. Mold toxicity

This is highly controversial, but in my experience, mold toxicity is a significant cause of many diseases, including migraines. Molds can produce allergic reactions when inhaled, but the bigger concern is the toxins called mycotoxins that are chemical toxins present within or on the surface of the mold.

Mold toxins can affect almost every organ in the body, but the brain is almost always affected, resulting in neurotoxicity. People with mold toxicity have complaints that vary from mild cognitive impairment to symptoms that look like multiple sclerosis.

Headaches are a common complaint of people suffering from mold toxicity. Mold toxicity should be considered in anyone who has migraines and a history of exposure to water-damaged buildings where mold grows. Unfortunately, very few doctors know about this condition or how to evaluate a patient for the problem. For more information on mold toxicity, see the Biotoxicity and Neurotoxicity page on this website or visit Dr. Shoemaker’s website SurvivingMold.com.

As it turns out, Lindsay’s migraines were a result of being gluten intolerant and having low magnesium levels. Once she eliminated all gluten from her diet and improved her magnesium levels with magnesium IVs, her migraines dramatically improved.

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

Supplements May Be Helpful for COVID-19

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Those of us in the integrative medicine field have long seen the benefits of supplements and herbal medicine in healthcare.

COVID-19 is a novel virus, meaning it has never been seen before in nature. There is a lot that we don’t know about this virus, but there is a lot that we are learning as well. There have been studies done with supplements for other types of coronaviruses like SARS CoV. We also have research about the effects of supplements on the immune system suggesting that they may be helpful for upper respiratory infections in general.

Below is a list of several supplements along with a short discussion on research and clinical experience and references where you can read more on each topic. Please note: None of these have been proven as treatments for COVID-19, and none of the information should be taken as medical advice.

Dietary supplements are generally considered safe, but it’s important to review your medical history and current medications with a practitioner before starting. Please call (703) 532-4892 to make an appointment with your provider, nutritionist, or acupuncturist/herbalist. If you suspect you have any kind of infection, please make a telemedicine/ cloud appointment with your doctor.

Please remember that supplements are not regulated by the FDA and sometimes do not contain ingredients that they claim. At The Kaplan Center, we do extensive research to find the best companies with 3rd party testing to make sure you get the highest quality products. You can order your supplements directly through our online store at: https://store.kaplanclinic.com/

It is important to continue following guidelines from health departments and governments including frequently washing hands for 20 seconds, staying physically distant and socially innovative. When in public places like grocery stores, be sure to wear a mask.

ANTIOXIDANTS

Vitamin C

Vitamin C is long known for helping the immune system prevent colds and flu. It is important for the function of white blood cells to fight infections and the overall immune system.  High dose Vitamin C is being used by IV in several hospitals around the world including in New York. There is a small study that showed critically ill patients with COVID-19 who were given 1-6 g of Vitamin C either intravenous (IV) or oral decreased ventilation time by 25%.  There are other trials in progress to see if high dose Vitamin C can improve outcomes. Doses range in 12-24g administered by IV. At this time there is no evidence that taking Vitamin C orally will prevent or cure COVID-19. As a supplement, it is suggested to take 3g of Vitamin C per day. Talk to your doctor about if IVs would be right for you.

Glutathione/NAC

Glutathione is a powerful antioxidant in the body. It scavenges damaging free radicals and is involved in tissue repair and builds chemicals and proteins that are used for the immune system. N-Acetyl cysteine, or NAC, promotes the production of glutathione and is also used as a supplement. Studies in animal models of other viral infections have shown that NAC reduced the severity and duration of symptoms by increasing cellular defense and repair. NAC is taken in doses of 500-600mg. Glutathione can be taken orally 500mg or by IV 400-2400 mg with a doctor’s order.

Quercetin

Quercetin is a bioflavonoid found in a variety of fruits and vegetables. Laboratory and animal studies have shown that quercetin may inhibit a wide variety of viruses, including a coronavirus SARS CoV which is related to COVID-19. Quercetin supports antioxidant capacity and protects lung tissue. As a supplement is combined with Vitamin C, bromelain or sold as a single supplement. Recommendation is between 500mg-1000mg daily.

Food Sources: Leafy green vegetables, dill, peppers, apples, grapes, fennel leaf, red onion, oregano, chili pepper, green tea, and black tea.

ANTI-VIRAL PROPERTIES

Chinese Medicine

Computer analysis done in February of this year showed which drugs and natural compounds have the potential to inhibit COVID-19. Several Chinese herbs were shown to have the potential to interact with specific targets of SARS-CoV-2. These included Andrographis paniculate and Scutellaria baicalensis, two herbs that are commonly used in formulas for upper respiratory infections. This data is preliminary and does not meet the standards of evidence-based medicine.

Chinese herbal medicine is a complex system of medicine that is based on sequential diagnoses of signs and symptoms that change throughout the illness. It is personalized and a formula should be prescribed by an NCCAOM certified herbalist.

Monolaurin

Generally considered anti-viral, coconut oil contains lauric acid and the derivative monolaurin. It prevents the adherence of viruses to tissues by fluidizing the lipids and phospholipids in the envelope surrounding the virus that leads to the disintegration of viral particles and symptom improvement. Studies have not been conducted in humans on coronaviruses. Unrefined coconut oil contains the most lauric acid. Refined coconut oils and MCT oils contain very little. Supplementation of monolaurin is 1,200 -1,800 mg 2-3 times per day.

Biofilm Disruptors

Biofilm disruptors are enzymes that have the ability to weaken the virus by inactivating or fluidizing its outer layer, then exposing its viral content to the immune system. Biofilm disruptors are extensively studied for the treatment of bacterial infections, as most bacteria protect themselves within biofilms to hide away from antibacterial therapies. They slowly multiply until they form important colonies that then attack the body’s immune defense. An example of a biofilm disruptor is Lumbrokinase found in Buluoke, made from earthworms.

Probiotics

Are friendly bacteria that reside in the intestinal tract, they actively participate in the modulation of the immune system, synthesize vitamins, and aid digestion. Studies have shown that probiotic use can decrease the number of respiratory infections, particularly in children. Food sources include fermented foods like sauerkraut, kefir, yogurt, kombucha, kimchi, natto, and tempeh.  We can’t overstate the importance of gut health and nutrition on the immune system. For that reason, look for an entire article on this subject in a future newsletter.

IMMUNE BOOSTERS

Zinc/Copper

Zinc may improve the chance of avoiding respiratory tract infections in the elderly and those who are zinc deficient and is shown to have strong anti-viral properties.  It is found in beef, crab, lobster, and smaller amounts in chicken, cheese, kidney beans, garbanzo beans, cashews, and almonds. Supplementation can be taken in a pill or lozenge, daily recommendation is between 30-60mg.

Copper is a trace mineral that is needed in small amounts. It also has immune-boosting properties. The problem with supplementation of trace minerals is that they compete for absorption, so it’s necessary to take about 8 mg of copper along with Zinc. Typically a multivitamin supplement contains a small amount of copper for this reason. Be sure to eat food sources like two squares of 80% dark chocolate!

Food Sources of Immune-Boosting Nutrients

Food sources of immune boosting Nutrients

DOWNLOAD THE INFOGRAPHIC

 

Vitamin D

Vitamin D is created in the body in response to sunlight. While vitamin D has not been studied for coronavirus, low Vitamin D levels have been linked to a higher risk of upper respiratory infections in general. Most people do not have optimal levels of Vitamin D, especially in the winter. Since it is not found in foods at doses needed, supplementation is recommended at 2,000-5,000 IU per day.

Melatonin

Melatonin is used as a sleep aid that also has antioxidant and anti-inflammatory properties. Melatonin also has been shown to have an inhibitory effect on NLRP3 inflammasomes, which COVID-19 stimulates to create a cytokine storm in the late stage of the disease. This compelling research suggests the potential for melatonin as adjuvant treatment for COVID-19 but more research is needed. Dosage is typically 5-20 mg at bedtime.

 

Sources/ Additional reading:

Vitamin C:
https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-020-0432-y

NAC/Glutathione:
https://www.sciencedirect.com/science/article/pii/S0033062020300372?via%3Dihub

Quercetin:
https://www.tandfonline.com/doi/abs/10.1080/019021490927088?journalCode=ielu20&fbclid=IwAR1ZQN3xo9wHbqsp_53Fq57o4AEO19y0ChJWcph9QND9Fp8F8elkgysp11g&

Chinese herbs:
https://www.sciencedirect.com/science/article/pii/S2211383520302999

Monolaurin:
Seleem, D., Freitas-Blanco, V.S., Noguti, J., Zancope, B.R., Pardi, V., & Murata, R.M. (2018). In Vivo Antifungal Activity of Monolaurin against Candida albicans Biofilms. Biological & pharmaceutical bulletin., 41(8), 1299-1302. doi:10.1248/bpb.b18-00256
https://www.liebertpub.com/doi/abs/10.1089/act.2006.12.310?journalCode=act

Melatonin:
https://www.sciencedirect.com/science/article/pii/S0024320520303313?via%3Dihub
http://www.melatonin-research.net/index.php/MR/article/view/71

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

Maximizing Sleep During COVID-19

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Life’s demands before COVID-19, like keeping up with work, relationships, health, and finances, were already enough to negatively impact sleep for millions. Today, we are learning to deal with new stresses including how to live in isolation, along with the constant worry and uncertainty of the future. Despite our best efforts to remain focused on the mundane and simple pleasures of life – if for nothing else but to keep our sanity – our thoughts are diverted by fears. Getting to sleep and staying asleep seems impossible.

But preventing and recovering from the COVID-19 virus requires our immune system to be as strong as possible. Sleep is a crucial factor that cannot be overlooked.

If you are having trouble sleeping, here are some actionable steps that may help you wind down and get a good night’s rest.

1. Stick with a routine.

Although our lives turned upside down in just a matter of days, keeping a routine, particularly a nighttime routine, is important to regulate your body’s internal clock. Aim for a bedtime that will allow 7-9 hours of sleep each night.

2. Turn it off.

We all want to stay informed about the COVID-19 pandemic, but a continuous barrage of negative news can have a profound effect on sleep, mental health, and immune system. Avoid watching the news before turning in for the night.

3. Avoid caffeinated beverages after 3 pm.

4. Get regular physical exercise.

Regular exercise will help tire you out and reduce stress levels. If you can safely exercise outside while keeping within today’s social distancing guidelines set by the CDC, try to do so every day. If that’s not possible, look to the web for home workout appropriate to your fitness level.

5. Avoid artificial light at night.

Light from the computer screen at night may interfere with melatonin production.

6. Meditate*.

Quieting the mind with a regular meditation routine can help shed the day’s worries and fears.

7. Breathe deeply*.

Research has shown that breathing exercises can change the body’s response to stress and improve sleep quality.

8. Talk to your doctor about sleep supplements.

Sleep aids can help individuals who have difficulty falling asleep but may come with side effects. It’s also very important to note that the FDA does not regulate the supplement industry with the result that some products may have labeling inaccuracies. For these reasons, be sure to talk to your doctor before taking any type of sleep aid. Click here for a list of supplements to help regulate sleep, naturally.

9. Try herbal teas.

Herbal teas are a very gentle way to reduce stress and anxiety that also promotes sleep. They have been used across the globe for centuries, and are very accessible to all of us. Click here for a list of herbal teas recommended for sleep.

We hope the tips above will make a difference in your sleep routine. We are all going through the hardest of times, but remember, you are not alone. Most importantly, please call your healthcare provider right away if you feel overwhelmed and are in need of help.

 

*If you are a patient of The Kaplan Center, our psychotherapist, Jodi Brayton, is currently offering these services via cloud visit/telemedicine appointments. Please call today for more information: 703-532-4892.

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

 

SPECIAL REPORT
Understanding Post-Covid Syndrome

Understanding Post-Covid Syndrome
Be Prepared for Covid

Preparing for COVID-19 and Immune Boosting

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Experts are predicting that many of us in our communities will contract the COVID-19 virus at some point in the next year. So what can you do to prevent getting sick? What do you do if you get sick? Here is some specific guidance:

Prevention:

Please click this link for a complete list of ideas, supplements and herbs for preventing colds and flu. Remember, we’re still in the middle of the flu season!

Here are some other things you can do to be prepared:

  • Make sure you have a working thermometer
  • Have a 30-day supply of all prescription medications
  • If you have a history of asthma, make sure you have an unexpired inhaler
  • Have food in the house for two weeks including foods you like when you’re sick. Check out our e-book with nutrient-packed recipes.
  • Have Tylenol available to reduce fevers. Don’t use NSAIDS like Advil which have been linked to worsening symptoms
  • Nyquil, Dayquil, Mucinex are all helpful over the counter medications for symptom relief
  • Have a saline nasal spray like Ocean Spray to rinse out your nose
  • Consider a consultation with our acupuncturist/ Chinese herbalist Rebecca Berkson, L.Ac. to be prepared with herbal medicine for COVID-19

If you do get sick:

Remember, this is cold and flu season so every cough, sniffle, and sneeze is not COVID-19. We want to appropriately use emergency rooms so we do not overwhelm our medical system. In addition, we do not want you to be exposed to people with COVID-19.

The vast majority of people who will get sick with COVID-19 will have mild to moderate symptoms and will need to stay at home to recover. We are not sure how long after having the disease you are still contagious. The estimates from experts are between 10-37 days.

Over the years, our office has used a number of strategies to boost the immune system. The following are things that have been used for other viral infections and may be helpful for COVID-19.

These are strategies that might help to boost the immune system:

  • Wash your hands for at least 20 seconds, go to https://washyourlyrics.com/ to create a washing guide with your favorite song lyrics.
  • Stay hydrated, drink at least ½ of body weight (in ounces), for example, if you weigh 130 lbs, your daily water intake should be about 65 oz.
  • Get plenty of sleep (7-9 hours), put your electronic devices to sleep at least one hour before you go to bed
  • Take a multivitamin that contains zinc, selenium, and vitamin C.
  • Relax and breathe! Relaxation and meditation can boost the immune system.
  • Please don’t watch the news all day long!!
  • Limit processed sugar consumption, as it weakens the immune system. Choose fresh fruits over desserts and ice cream.
  • Exercise, take a walk outside. Maximize your vitamin D exposure and absorption in the morning hours and take a vitamin D supplement if you’re deficient.
  • Talk to your doctor about Vitamin IVs
  • Cook with plenty of garlic, onion, fresh or dried herbs (especially oregano, thyme, and rosemary), and coconut oil, as well as foods rich in antioxidants.
  • Talk to your doctor, herbalist or nutritionist about supplements.

COVID-19 is a novel illness and we do not have any data showing evidence of protection or treatment with any supplement. There have been studies showing effectiveness on other coronaviruses, such as SARS. Some of these are listed below. Please make an appointment with your doctor, nutritionist, or acupuncturist/herbalist to personalize for your needs.

  • Monolaurin: 1800-2400 mg per day
  • Bioflavanoids / Quercetin
  • Vitamin C, oral: 3g per day
  • IV Vitamin C: requires a physician’s order
  • N-Acetyl Cysteine (NAC): 100 mg
  • Vitamin D: 2,000-5,000 IU per day
  • Zinc: 25-35 mg
  • Garlic supplement: Allicin 400-500 mg
  • Selenium: 200 mcg
  • Chinese herbal medicine, requires an appointment

If you are having difficulty finding these supplements in stores, food as medicine is the best way to get them in their most natural and absorbable form.

Click here for a reference guide on food sources for a variety of immune-boosting nutrients.

We are working hard to stay updated on the most current information in order to provide you with the best care. The Kaplan Center family is here for you as we go through these challenging times together. Please contact our office if you have any questions (703)532-4892.

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

SPECIAL REPORT
Understanding Post-COVID Syndrome

Understanding Post-Covid Syndrome
large amounts of supplements

Supplements Offer Value, But Come With Caveats

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A recent article in the Washington Post rightly expressed outrage on the massive amount of money Americans are spending on dietary supplements each year. In this country alone, $35 billion dollars of our hard-earned money is being pumped into in an industry that has little oversight and is selling products that for the most part have no known benefits whatsoever.

I completely agree with the fact that the overwhelming number of supplements taken by Americans are pretty much worthless if not outright dangerous. The majority of the supplements sold and discussed in this study are for weight loss, muscle building, and sexual enhancement. Studies have repeatedly shown that these products are frequently not what they claim to be. Many are adulterated with medications that can potentially harm the people who are taking the supplement. Many have other potentially harmful contaminants. Most of them have little if any scientific support for efficacy.

Is there a time and place for supplements?

Absolutely. Caveats abound, however. The FDA does not regulate over-the-counter nutritional supplements. One study showed that many over-the-counter melatonin supplements did not contain the dose advertised on the label with ranges from 0% of the advertised supplement to over 200 x the dose. This can be an especially serious problem in taking a supplement like vitamin D where overdoses can have serious health consequences. So, the first caveat is that you need to know if you can trust the manufacturer.

The second caveat is – why are you taking the supplement? For people on a healthy diet, a general multivitamin is not necessary. Supplements should address specific issues and be monitored appropriately. Is there any research that the supplement is helpful? At what dose for which patients? The research is ongoing, conflicting, and ever-changing so you really need to be talking with someone who is knowledgeable about supplements if you are going to be serious about improving your health.

The third caveat is – are you on the right diet for you? The definition of a healthy diet is changing and as we get better with genetic and other testing methods, we are learning that one diet fits all is not true. It turns out that foods that might be excellent for one person, such as a paleo diet, may be a disaster for another, resulting in gout and heart disease. Also, the diet that is appropriate for you today might not be appropriate when you are sick or after a major illness. This gets complicated and you need a good coach who can help tailor a proper diet for YOU.

The supplement issue is complicated. If we are going to take supplements, we are going to need to be smart consumers and treat them as seriously as we would anything else that we put in our bodies.

Gary Kaplan, D.O., DABFM, DABPM, FAAMA
Medical Director Kaplan Center for Integrative Medicine

The Kaplan Medical Center Store offers a variety of supplements from trusted suppliers. Click here to visit the store. 

New study shows that probiotics may improve bone health.

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A new study, published recently in the Journal of Internal Medicine, showed that probiotic supplementation may have a positive affect on bone health in humans. The double‐blind, placebo‐controlled study involved 90 women aged between 75 to 80 years old and had low bone mineral density (BMD). They were randomized to receive daily oral supplementation (1010 colony‐forming units of L. reuteri 6475) or placebo over a 12 month period. The results of the study showed that daily supplementation reduced bone loss in older women with low bone density. While more studies are necessary to back up these results, this study introduces new possibilities for those who are looking for non-pharmacological approaches to treating osteoporosis in the aging population.

To read the abstract, click here.

 

Essential Turmeric Oils: A Hopeful Treatment For Ulcerative Colitis

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The positive health effects of turmeric have been touted by age-old healers as well as modern science. Turmeric’s active ingredient, curcumin, has powerful antioxidant and anti-inflammatory properties that help prevent free radical damage and calm the inflammatory process at the root of many chronic diseases.

However, the use of turmeric in treating chronic illness on a grander scale has been limited due to its relative low bioavailability, or “the proportion of a drug or other substance that enters the circulation when introduced into the body and so is able to have an active effect.”

Because of this limitation, research has primarily focused on ways to enhance absorption.

Past studies have shown that combining turmeric with other compounds, one such example being piperine (found in black pepper), can increase bioavailability, and there are supplements* now available formulated to allow maximum absorption.

Adding to this research, a new study authored by Dr. Ajay Goel, director of gastrointestinal research and translation genomics and oncology at Baylor Scott & White Research Institute, and published in Nature: Scientific Reports, confirmed that combining curcumin with essential turmeric oils (ETO-curcumin) significantly enhanced anti-inflammatory efficacy in DSS-induced colitis animal models (dextran sulfate sodium (DSS) is frequently used to induce colitis in experimental animals).

Clinical applications

Possible clinical applications of curcumin currently include neurodegenerative diseases, osteoarthritis, and rheumatoid arthritis. There is also evidence that curcumin can kill certain types of cancer cells, as well as reduce the development of several forms of cancer in lab animals.

Dr. Goel’s research highlights the anti-inflammatory potential of turmeric and suggests it may also have a place in the treatment of large intestinal diseases like ulcerative colitis.

Crohn’s disease and ulcerative colitis are autoimmune, inflammatory bowel diseases (IBD) that can cause a lifetime of painful symptoms. It is estimated that nearly 3 million people in the United States are living with IBD. Conventional treatment typically involves medications such as antibiotics, immunomodulators, or corticosteroids, amongst other types. However, a growing population of patients are exploring natural healing options instead of – or in conjunction with – medications. Our experience with IBD has shown that with the right lifestyle changes and dietary modifications, including supplementation and nutritional support, many people will see an improvement of symptoms.

“The takeaway for patients who want to experience the health benefits of curcumin through a commercially available supplement is to look for products that include additional compounds of turmeric – specifically, essential turmeric oils,” says Dr. Goel.

Remember, supplements are not regulated by the FDA, so before purchasing or taking any commercial supplements, speak to your physician who can recommend trusted sources, and more importantly, rule out any possible interactions with other medications.

**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