Healing Arthritis

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The Doctor's 4-Step Program to Treat Autoimmune Disease

DR. Blum

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The 3 Must-Do’s to Heal Your Arthritis

Did you know that about one in four people have arthritis at this very moment? This number one cause of disability worldwide affects an estimated 54.4 million Americans, which is about 22.7% of the population. The biggest misconception is that it’s a disease that only old people get. It is, I believe, the 21st Century epidemic.

This rise in arthritis is why I’ve been spending the better part of two years studying arthritis and writing a book, Healing Arthritis. You see, over the past two decades in my private practice I have seen more and more people suffering with arthritis. Learn More about Healing Arthritis 

Why So Many People Have Arthritis

  1. Evidence clearly points to environmental changes. Simply put, the food you eat and your exposure to microbes and toxins are the likely root of arthritis as well as other chronic inflammatory conditions, such as autoimmunity, heart disease, diabetes, Alzheimers, and cancer.

    Scientists believe that disease and inflammation are probably the result of a mismatch between our genetics and our environment. In other words, the changes in the environment are relatively recent in the history of mankind and our genes haven’t had a chance to catch up and adapt!
  2. Your gut has not adapted to the changes in the environment. This is very important because thousands of research studies and articles have been published in the past decade proving the gut-arthritis connection, and showing us how system-wide inflammation begins deep inside your digestive system.

    Your gut microbiome, the 100 trillion or so bacteria that live within you, are key players in the health of your immune system and a healthy gut is mandatory for preventing and treating any inflammatory disease. It’s clear that healing the gut to heal the joints is a valid, scientifically supported approach to treating arthritis.

The 3 Must-Do’s to Heal Your Arthritis

  1. The single most important influence on gut health, and arthritis, over the long term is the food you eat. Hands down the most potent step you can take is eating an anti-inflammatory, anti-arthritis diet. The foods you eat have a direct impact on your gut, your immune system and your arthritic symptoms. It’s important to eat loads of vegetables and fruits, and incorporate high-quality fats and oils, (like avocado, olive oil, nuts & seeds), and to choose high-quality, grass-fed, non-GMO animal products. After all, everything an animal eats, you eat in a more concentrated form!
  2. Heal Your Gut. There is no doubt that the gut bacteria are involved in the onset of inflammation and pain in arthritis. By addressing the root cause of inflammation with food and supplements, and building resiliency to stress, you can repair your gut, reduce inflammation and alleviate the pain in your joints. In my practice we remove known inflammatory foods, such as sugar, white flour, and low-quality processed foods to allow the gut to heal in combination with gut-healing supplements, like curcumin, and l-glutamine. 
  3. Build Resiliency Against Stress. The impact of stress and trauma have serious consequences on the gut, the immune system and your arthritis. Stress can be sudden, or it can be chronic and under the surface. Even good things, like getting married, can cause a stress response in the body. Learning a new way to respond to stress before it takes hold protects your whole body, your immune system and ultimately prevents your arthritis from flaring. Strategies could include anything from mindfulness meditation to hanging out in nature or dancing to invigorating music!

The great thing is you can do this yourself!

In my new book, Healing Arthritis, I present the exact 3-Step Protocol that I use with patients in my private practice. You will learn the best food plan for arthritis, the precise supplements and dosage I recommend for an arthritis-free life, how to build resiliency so that life’s stressors won’t affect your health, and what your gut has to do with your arthritis symptoms. In essence, I give you all the tools you need to fix your gut and heal your arthritis. Get The Book Now

Another Way to Begin Healing Your Arthritis

When I discovered I had arthritis, (yes, I had arthritis!) I couldn’t believe it.  I had been treating arthritis in my clinical practice for almost two decades with great success using Functional Medicine, but never thought it would happen to me.

I decided to make it my personal mission to bring healing to the millions of people suffering with this condition.

In fact, I recently interviewed the TOP EXPERTS in arthritis, gut health, nutrition and mind-body medicine, including Amy Myers, MD, Aviva Romm, MD, David Perlmutter, MD, James Gordon, MD, and Jeffrey Bland, MD. See Who Else I Interviewed 

And I’m bringing everything I learned from them to you for FREE!

Join my FREE Arthritis Summit, a week-long series that consists of interviews from the top experts in Functional Medicine, nutrition, integrative, and mind-body healthcare. Join Now

The summit will cover the functional medicine approach to finding the triggers of the inflammation, with a focus on the research looking at the connection between the gut, your microbiome and arthritis, including specific treatment approaches with case studies. We’ll review exactly the best nutritional advice for reducing inflammation and keeping your gut healthy, and also the connection between stress and inflammation and what you can do to make yourself more resilient to the effects of stress in your life.  Yes, I Want the FREE Interviews

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Why Arthritis is the 21st Century Epidemic

arthritis

Several weeks ago I sent a survey to my entire email list asking “What do you want to know about arthritis?”

The results stunned me! Hundreds of people took the time to share their concerns about arthritis — a topic near and dear to my heart.  

You see, I’ve been spending the better part of two years studying arthritis and writing a book, Healing Arthritis. Why? Because over the past 10 years in my private practice I have seen more and more people suffering with arthritis. Learn More about Healing Arthritis.

Mark my words … Arthritis is the 21st Century epidemic.

One in four people have arthritis at this very moment. This number one cause of disability worldwide affects an estimated 54.4 Americans, which is about 22.7% of the population. The biggest misconception is that it’s a disease that only old people get.

And here are what my readers told me, overwhelmingly, are their top concerns:

  • I experience pain and uncomfortable symptoms.    62% of respondents
  • I want to learn how to create healthy habits.             62% of respondents
    that help my symptoms.
  • I want to know exactly how to heal my arthritis.      60% of respondents
  • I want to know which supplements and herbs.        59% of respondents
    and how to take them, to heal my arthritis.
  • I want to improve my quality of life.                          59% of respondents
  • I am afraid my arthritis will get worse.                     57% of respondents
  • I need an easy, step-by-step plan to follow.             56% of respondents

This is exactly why I wrote my latest book, Healing Arthritis. And, I can relate!

When I discovered I had arthritis, (yes, I had arthritis!) I couldn’t believe it.  I had been treating arthritis in my clinical practice for almost two decades with great success using Functional Medicine, but never thought it would happen to me. Over the years, I discovered the exact steps needed to treat and heal arthritis, and after using these steps to heal myself, I decided to make it my personal mission to bring healing to the millions of people suffering with this condition.

I have learned through my own clinical experience, working with thousands of patients in my private practice, and through personal experience, just how debilitating arthritis can be.

The great news is: There is something you can do about it!

Here are two ways you can get started on healing your arthritis for the rest of your life:

  1. Join my FREE Arthritis Summit! I am excited to share that I am hosting the Arthritis Summit, a week-long FREE series that consists of interviews from the top experts in Functional Medicine, nutrition, integrative, and mind-body healthcare.  Sign up now.  

    The summit will cover the functional medicine approach to finding the triggers of the inflammation, with a focus on the research looking at the connection between the gut, your microbiome and arthritis, including specific treatment approaches with case studies. We’ll review exactly the best nutritional advice for reducing inflammation and keeping your gut healthy, and also the connection between stress and inflammation and what you can do to make yourself more resilient to the effects of stress in your life. 
  2. Order my new book, Healing Arthritis! It is the exact 3-Step Protocol that I use with patients in my private practice. You will learn the best food plan for arthritis, the precise supplements and dosage I recommend for an arthritis-free life, how to build resiliency so that life’s stressors won’t affect your health, and what your gut has to do with your arthritis symptoms. In essence, I give you all the tools you need to fix your gut and heal your arthritis. Get The Book Now

It is my intention to bring relief and healing to the millions of people suffering unnecessarily with all types of arthritis. I’ve healed my patients, I’ve healed myself and now I want to help you and your loved ones.

And, I am grateful to everyone who took my survey. If you didn’t take it, and you want me to know what’s important to you about arthritis, there’s still time.  Take The Survey Now 

Honestly, if you do any one thing right now, join my FREE Arthritis Summit. I have interviewed the TOP EXPERTS in arthritis, gut health, nutrition and mind-body medicine, including Amy Myers, MD, Aviva Romm, MD, David Perlmutter, MD, James Gordon, MD, and Jeffrey Bland, MD. I learned so much about arthritis in these interviews and you will too! –> Join For FREE Now

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Improve Your Sleep and Improve Your Life

A good night of sleep – seems like the simplest thing, yes? Almost a right  – shouldn’t everyone sleep like a baby?

While this appears to be true, we know that even babies don’t always sleep well. And for some, a full evening of rest is an elusive thing. According to a study conducted by the Center for Disease Control, nearly 9 million Americans have used prescription sleep aides in the last month.1 That study also found that more women than men use them, and their use is greater in the 50 and older age group.

Sleep disorders can significantly impact one’s work and home life – and your health. Snoring and sleep apnea are the Number One medical cause of relationship and marriage break-ups. Prolonged sleep apnea can lead to hypertension, diabetes, obesity, depression, heart attack, and stroke.  Chronic fatigue that results from sleep issues can keep one from being at their best and contributes to poor work performance.

Is Your Sleep Disturbance Chronic or Acute?

Sleep can be disordered for a number of reasons. Some can’t fall asleep or stay asleep – this is known as insomnia. Everyone at sometime in their life will not sleep due to an acute condition – a problematic day at work, racing mind, or maybe just too much coffee close to bedtime. These times are short and self-limited. Chronic insomnia is defined as having difficulty falling asleep 3 nights a week, for 3 months or longer. Insomnia can be “co-morbid” – due to a medical condition that is known to cause sleep issues. Both psychiatric and medical conditions can cause this to happen, as can a host of medications.

So, no, it’s not all in your head, and as you well know, if you’ve ever had trouble sleeping – wishing it away won’t work. While there is no definitive test for insomnia, the diagnosis usually involves an inventory of sleep-related medical questions, a sleep log, and blood work or sleep testing. Thus, visiting a sleep professional is essential to getting the right diagnosis and proper help.

Do You Have Sleep Apnea?

For some, falling asleep easily is actually the sign of a sleep issue. Long-standing fatigue can make one fall asleep inappropriately – as a passenger in a car, in the theatre, or at your desk when it’s expected you will be alert and productive. In this case, the problem is poor quality sleep. It could be that you are frequently awakened by something known as “apnea.”

An apnea is a cessation or pause in the breath – the cause for this is either in the central nervous system, or because the airway is unable to stay open enough to allow you to sleep. The body reflexively awakens you when your airway closes off – a protective response that wakes us up enough to breathe. Humans of all ages have some degree of apnea during sleep – and it is usually a combination of “central” and “obstructive.” But., when it becomes excessive and sleep becomes fragmented, there is a bigger problem.

Despite common belief, you don’t have to be obese to have obstructive sleep apnea (OSA). In fact, OSA in and of itself can lead to insulin resistance and cause or promote obesity. OSA occurs in up to 10% of children of various weights and sizes and is the most common sleep disorder in children. We often observe that if we get children to breathe better at night, they gain weight, become more productive at school, and behavior and learning issues sometimes disappear.

There are definitive tests for apnea. While going to a sleep lab was once the gold-standard way to diagnose obstructive sleep apnea, most insurance companies now prefer in home sleep testing. A doctor who is familiar with the diagnosis and treatment of sleep can easily order such testing. It has to be interpreted by a sleep specialist, and recommendations are made how best to get treated. CPAP (continuous positive airway pressure) is one way to treat obstructive apnea, and continues to be recommended for the most severe cases. But there are an array of other treatments, which the doctor will discuss with you when reviewing the results.

What You Can Do to Help Yourself, Your Child or Loved One Sleep Better

Try to get enough of sleep every night The American Sleep Foundation recommends at least 7 hours of sleep nightly.

Establish a consistent bedtime and stick to it The body does respond to a circadian rhythm that once broken is difficult to re-establish. That is as true of shift workers as it is of children. Try to go to sleep and awaken at about the same time every day. 

Exercise consistently, but not close to bedtime — Exercise is important for sleep as it decreases arousal, anxiety and depressive symptoms all of which are beneficial for sleeping. There is also a drop in body temperature after exercise – which helps you get sleepy.  Vigorous activity too close to bedtime will cause arousal, though, so make sure you have a gap of at least a few hours between activity and lights out.

Maintain good sleep hygiene – Limit screen time close to bedtime and give your body a period of time to wind down. Also don’t pick up your mobile or turn on your computer should you awaken in the middle of the night. This is not the time for catching up on your emails! Make sure your little ones don’t take their iPads and cellphones to bed. Make their rooms a sleep-only zone, so that homework and other activities occur outside of the sleeping space.

Be sure to have a comfortable bed and sleep position — Don’t expect your body to adapt to the wrong mattress and pillow. This will only worsen aberrant musculoskeletal feedback to the central nervous system – and make your sleep less restful.

Supplements for Better Sleep

In addition to the behavioral techniques, there are herbal remedies and supplements that can naturally help you get better sleep. It’s hard to know which one your body will respond to, and we recommend trying each one for 2-3 weeks before giving up and moving on to the next one.

Magnesium – This is one of the most important minerals for your sleep, muscle relaxation and mental health. Clinical studies have shown that magnesium improves insomnia, sleep efficiency, sleep time and sleep onset. Can be taken by mouth, put into a warm bath (Epsom Salts), or rubbed on the skin as a cream or oil.  We recommend an absorbable form of magnesium, like magnesium glycinate, instead of magnesium citrate which can cause loose stool (and in fact is used to treat constipation).

Melatonin – This hormone is produced by your body in response to light to help regulate your sleep-wake cycle. Melatonin can also help reflux – a condition that often occurs alongside obstructive sleep apnea. It should be used in small amounts, starting with 1 mg and perhaps increasing to 2, then 3 mg over a few weeks if you don’t feel it’s helping.  Take it about an hour prior to bedtime.

Valerian –This amino acid increases the neurotransmitter GABA in the brain. As such, it does what prescribed sleep aids like Xanax and Valium do – only without the associated risks. We love blends of valerian, passionflower and lemon balm, all combined. At Blum Center we use Myocalm PM.

L-Theanine – Well known as an anxiolytic, L-Theanine not only helps produce a state of calm, but has been shown to aid overall sleep quality.

Live in our area and want to sleep better? Join Dr. Gereau and special guest Dr. Brad Gilden for their FREE community talk, Sleep: The Essential Pathway to Optimum Health on Monday, September 25th at 7pm. The discussion and demonstration will include sleep position, posture, the importance of nasal breathing and stress management. You will walk away with 7 strategies to improve your sleep immediately. Join Us! Sign Up 

Meet Dr. Gereau: Sezelle Gereau, MD, is an integrative ENT/Allergist with more than 20 years of experience. She uses an integrative and functional medicine approach to conditions such as sleep apnea, headaches, allergies and chronic sinusitis.

The Blum Center is teaming up with Elite Health Services to provide patients suffering from sleep disturbances with a natural and holistic solution to improving breathing and sleep-related problems. Elite Health Services located in Greenwich and Westport CT provides hands on manual physical therapy to improve postural and mechanical limitations that may be depriving you of a restful night sleep. Elite’s team of physical therapists and performance specialists are at the forefront of collaborating with your medical team to solve your sleep dilemma.  

 

 

Reference: 

NCHS Data Brief. 2013 Aug;(127):1-8.

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Conventional Medicine Gets the Autoimmune Wrong

Here’s a common scenario in my practice:  A patient comes in with a prior diagnosis of autoimmune disease. Sometimes it is a new diagnosis, and the patient is worried about how to proceed. Sometimes it is a longstanding illness they have lived with for much of their life. In most cases, they are looking for help where the conventional approach to autoimmunity has failed them.

There are many different types of autoimmune disease. All have in common the curious fact that the person’s immune system has become misdirected. The immune system is meant to provide protection against infection and foreign invaders to the body – like bacteria, viruses and other pathogens. When one has autoimmune activity, it means that the person’s own body is under attack.  

Falling under the umbrella of autoimmune disease is a variety of ailments, which vary widely in prevalence, symptomatology and severity. Some autoimmune diseases are very common, like Hashimoto’s thyroid disease. Others are rare, like Scleroderma. Some attack a single part of the body, like Hashimoto’s, while others, like lupus, can be more systemic, attacking multiple organ systems. Other examples of autoimmune disease are rheumatoid arthritis, multiple sclerosis, Grave’s disease, Type I diabetes, inflammatory bowel disease, psoriasis, and alopecia.

The Typical Conventional Response to Autoimmune Disease

Patients routinely describe that their physician — be it primary care or specialist — has diagnosed a condition or worse, a disease. Sometimes the patient is already on prescribed medications as treatment, but other times they are not.

Invariably, what they have been told is that there is nothing to be done:

  • “We will wait and see.”  
  • “You will probably need to be on medication at some point.”
  • “Let’s continue to watch your blood testing yearly and wait and see when symptoms develop.”  

Few, if any of these doctors, offer advice on how to potentially keep the disease from progressing. Or, if already in the throes of symptomatic disease, offer suggestions how to lessen the symptoms with anything but anti-inflammatory medications, replacement hormones or immune-modulating drugs.

This is a very serious problem, and a failing of conventional medicine. It’s exactly why I chose to continue my training with the Institute for Functional Medicine.

A Functional vs Conventional Approach to Autoimmune Disease

Let’s take the case of early autoimmune thyroid disease:

With Hashimoto’s, for instance, the patient will often be told that they have autoantibodies – which means there are immune markers in the bloodstream directed not against invaders, like bacteria or viruses, but actively attacking the body’s own tissues of the thyroid or its receptors. This is the basis of autoimmune thyroiditis, or Hashimoto’s thyroid disease, which often leads to low functioning thyroid and the need to take thyroid hormone medication.  

The conventional doctor will let the patient know that these antibodies are there, and that most likely the thyroid will begin to malfunction, causing too little hormone to be released into the blood and causing the symptoms of hypothyroidism – low energy, weight gain, constipation, dry skin …  When that occurs, treatment with thyroid hormone replacement will begin.  

This leaves many people wondering – what can I do now?  Is there anything I can do to stop this from happening?  Am I going down a road I can’t switch out of?  

How can one reverse the damage – or halt the progression of the autoimmune disease ravaging the body?

The Functional Medicine Approach

I like to think of a Functional Medicine approach to treatment as two-fold:

  • Doing everything we can to improve the immune system’s ability to rebalance while …
  • Lessening the odds of the immune system continuing to rebel — and, quite possibly, beginning another attack on another system in the body — which could then lead to another autoimmune disease.

How do we do this? First, we work to support whatever system or systems in the body are under attack – replacing nutrients or hormones that are lacking due to the autoimmunity. We frequently use B-complex, D3 and multivitamin supplementation; and, of course, hormone replacement, as needed in hypothyroidism.

Then, we work to build resilience and decrease inflammation in the body by using good old detective work to find the root cause, or triggers, of the immune dysfunction, and treat that. We look at food, stress, gut health, toxin exposure and infections.

5 Steps to Decrease Inflammation & Rebalance Your Immune System

  • Practice improving your emotional and physical response to stress. Getting good sleep and exercising is imperative. Mindfulness meditation and other mind/body techniques are helpful for reducing stress hormones.
  • Experiment with your food – discover sensitivities, triggers, and intolerances. We usually recommend an allergy elimination diet – taking out gluten, dairy, soy, corn, and eggs, along with other common allergens depending on your specific medical condition- for a short time and reintroducing to see if symptoms are affected by food.
  • Support your microbiome and heal your leaky gut.  Eat healthy whole foods and lots of vegetables and fiber. Start taking a probiotic. Our go-to is Dr. Blum’s formula, created for our patients. Learn More
  • Decrease your exposure to toxins and improve your body’s ability to manage exposures. Watch out for common toxins in food (herbicides and pesticides), cleaning supplies, and even in personal care products.  We recommend looking at the Environmental Working Group and following their suggestions for cleaning up toxins in the home.

    If you are concerned about the toxin build-up in your body, you might want to consider our 21-Day Simply Detox. It’s the exact program we use with our patients at the Blum Center for Health. Learn More
  • Be assessed with functional testing for nutritional needs and to rule out any chronic or acute infectious disease processes.  We will often request stool testing for microbial balance, in depth blood testing for nutritional needs, and more extensive saliva and urine testing for hormone balance.

If you live near the New York City metro area, come see me, or one of my colleagues. We would be happy to help. People travel from all over the world to work with us. Come join our family!

If traveling to us is not possible, you can work with our Director of Nutrition or Health Coach by phone or Skype. Call 914-652-7800 for more information.

Or, you can also find a functional medicine practitioner through the search feature on the Institute of Functional Medicine’s website

Meet Darcy McConnell, M.D.:  Dr. McConnell brings her broad expertise in prevention, mind-body medicine, and women’s health to Blum Center for Health, in Rye Brook, NY. She is board certified in Family Medicine and Integrative Medicine, with postgraduate training from the Institute for Functional Medicine. Darcy lives with her husband and three sons and enjoys the outdoors, cooking healthy meals for her family and friends and is an enthusiastic yogi.

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How to Use Genetic Testing to Improve Your Health

My great-grandmother Greig, her son (my grandfather), and my father all had diabetes. Both my father and his father were diagnosed with it in their 40s. Being the whole-hearted, fun-loving Texans that they were, they smoked for at least 20+ years, drank bourbon and beer, and ate barbecue brisket on a regular basis. My grandfather put 2 teaspoons of sugar in his coffee and my dad couldn’t pass up dessert.

I, on the other hand, quit smoking right after college, was a vegetarian for about 20 years, and my favorite drink was hot water with lemon with an occasional glass of wine. I’m two decades beyond 40 now and my blood sugar has never been even borderline high.

Is it my genes, just my luck, or is it my lifestyle?  

Genetic Expression: Nature and Nurture

Most chronic human health conditions have multiple genes that contribute to the condition, so this often means there are a number of ways to intervene to change how that condition will show up in any particular individual. Lifestyle changes can have big effects on our genes as my family example shows. Change your lifestyle, change your genes! Or at least change your genetic expression.

How genes are expressed—in other words, how they show up in your biochemistry, which translates, ultimately, in how you look and feel—is affected by food, stress, meditation, toxins and other environmental factors. This change in gene expression can be temporary or permanent and, in some cases, can even be passed on to your children, not as a change to the gene, but as a change in gene expression.  

What this means is that you can change your genetic destiny by changing your inner and outer environment.

Genetic Testing Is Here!

The exciting news: The future of medicine has arrived! You can find out what genes may be affecting your destiny through genetic testing. Genetic testing can help to direct you to the more significant changes you can make to have an effect on how your genes turn on or off.

Genetic testing, particularly online, direct-to-consumer testing, is on the rise, but the hype can also lead to confusion and misinformation. There are lots of benefits to genetic testing and some downsides, so it’s good to think it through before you leap in.

What Genetics Testing Tells You

The job or our most important and powerful genes is to code for making proteins in the body which then build body tissues and organs and control our chemistry. There are somewhere between 19,000 and 21,000 of these genes in humans. When you get genetic testing done, you may get an overwhelming amount of information, so it’s good to know what you’re looking for so you can be selective in what you get.  

For instance, you may or may not want to know you have the gene that increases your risk for Alzheimer’s by 40% when it’s not yet clear what you can do to avoid developing Alzheimer’s. Some people like to know, though, so they can plan ahead or start doing all the fabulous things in life they were putting off until retirement. It depends on your personality and your approach to life.

To get your raw genetic data, you can do home genetic testing to get your full genome from companies like 23andMe.com. They will give also you an analysis of where your ancestors came from and for an additional fee they will tell you your risk for developing a variety of genetically linked illnesses and conditions.   

How We Use Genetic Testing

Here at Blum Center, one of the ways we use genetic testing is to have you upload your raw genetic data into a website called Genetic Genie.  They will then give you a genetic Detox Profile and Methylation Analysis — these are the genetic backbones of your ability to detoxify your inner environment, as well as create some of your brain neurotransmitters and the body’s most powerful antioxidant glutathione. These profiles can sometimes provide very useful insight into why you get sick when you are around chemicals smells or why you seem to be overly sensitive to medications. We have found these to be especially useful in people with a lot of environmental chemical and pesticide exposures (e.g., golf courses, soccer fields, horse barns, living next to I-95) who just can’t see any improvement with their chronic health condition.

Do you want to know more about your genes and changing their genetic expression? If you live in our area consider making an appointment at Blum Center with either me, Elizabeth Greig, or our Director of Nutrition, Mary Gocke. Both of us have experience making lifestyle recommendations after looking at the Genetic Genie profiles.  Are you ready for a change? Call to set up your appointment today at 914-652-7800.

Meet Elizabeth: In her dual role as our Functional Medicine Nurse Practitioner and a teacher in our Mind.Body.Spirit programs at Blum Center for Health, Elizabeth Greig, MSN, FNP, helps treat and heal patients with complex chronic health conditions. Whether she’s treating a medical condition or leading a class in meditation, Elizabeth helps people understand that when it comes to healing, it’s more about nourishing life, than it is about battling illness. Learn more about Elizabeth’s practice.

 

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How Chasteberry Supports Women’s Health

Vitex agnus-castus, also known as Chaste Tree or Chasteberry is a powerhouse herb in women’s health. Indigenous to Central Asia and the Mediterranean, it has been used for thousands of years for menstrual irregularities, premenstrual syndrome, premenstrual dysphoric disorder, breast tenderness, infertility, and more. The Latin root: agnus castus means “chaste lamb” purportedly alluding to the ancient culinary use of Vitex (also “monk’s berry”) to curb libido in monks!   

Historical uses aside, what we DO know about Vitex is that it contains glycosides, flavonoids, essential oils, essential fatty acids (oleic and linolenic). It works at the level of the brain to decrease prolactin levels, increase progesterone levels, and bind opiate receptors — which might be how it improves anxiety, food cravings, physical discomfort associated with premenstrual syndrome (PMS). Vitex is approved by the German Commission E for use in menstrual cycle irregularities, premenstrual disturbances, and mastodynia (breast pain).

3 Reasons To Consider Taking Chasteberry

Do you have PMS?

There are multiple studies that validate chaste tree for gynecological problems including PMS. One well-designed study of 170 women compared Vitex to a placebo pill during three consecutive menstrual cycles and women who got the herb reported 52% improvement in symptoms compared to just 24% in the placebo group. Specific symptoms looked at in this study were irritability, mood changes, anger, headaches, breast fullness, bloating and ALL had significant differences between Vitex and placebo pills1.  

Heavy Bleeding

Many women suffer from heavy bleeding during their periods.  This can be especially true for women who have a copper containing intrauterine device (IUD). One prospective study of 84 women looked at Vitex compared to mefenamic acid (an anti-inflammatory medicine) to reduce heavy bleeding in IUD users over the course of 4 menstrual cycles. Researchers found that women in both groups had significant improvement in symptoms, 52% in the anti-inflammatory group and 46% in the Vitex group2. I look forward to seeing additional studies with more subjects and that include a placebo group to fully understand the role for Vitex.

Irregular Periods

Many women have irregular periods and are often prescribed progesterone to help regulate their period, either in the form of birth control pills or sometimes progesterone alone.  Since we know that Vitex increases one’s one progesterone production, it makes sense that we would use it to help regulate an irregular period. Additionally, chaste tree works by decreasing prolactin, which for some women is the culprit in causing too few periods. I always lean towards supporting your body’s ability to make its own hormones over prescribing additional ones, especially if the ones we give are synthetic progestins. After all, synthetic progestins (the type of progesterone in birth control pills) can cause side effects such as weight gain, bloating, acne, moodiness, hair loss: not what you are looking for when suffering already from period problems!

Chasteberry and Infertility: A Word of Warning

Some people take Vitex for infertility due to irregular periods since it increases progesterone. Adding progesterone during infertility treatments is quite common. The studies on Vitex for infertility are mixed, leaving us without firm conclusion that it will help you get pregnant. While historical use supports this approach, there is no safety data on Chaste tree during pregnancy or lactation. For these reasons, I do not recommend starting it specifically for fertility and I DO recommend stopping the herb if you become pregnant.  

How to Take Chasteberry

Chasteberry does take time to see full impact, so stick with it for at least three months before deciding if it is working for you.The dose is usually 200-500 mg a day of dried fruit or 20-40mg/d of extract standardized to agnuside or casticin. At Blum Center for Health, we use Chasteberry Plus, at the dose of 1 tablet in the morning and 1 in the evening, with or without food.  Because Chasteberry has an impact on your body’s hormone production, it is wise to avoid if you have a hormone sensitive cancer, are pregnant, or are nursing. It could potentially impact hormonal birth control. It could interfere with dopamine-related medicines, such as some medicines used in Parkinson’s and some antipsychotic medicines. Side effects are not common but include GI upset, headaches, fatigue, increase in menses, hair loss. Rarely women with a history of depression may see a worsening of their symptoms.  Before starting herbal remedies, if you are taking other medications or have any hormone related health issues, remember to always check with your doctor, or come and see me at Blum Center.

Live in our neighborhood and want to learn more about using herbs for women’s health? Make an appointment with Dr. Fitz!  In her practice at Blum Center for Health she takes a multi-pronged, holistic approach, a combination of medical and lifestyle considerations, to address, diagnosis and treat your condition. For more information, call 914-652-7800.

Meet Dr. Fitz:  Bronwyn Fitz, M.D. is a board certified Obstetrician Gynecologist who is fellowship trained in Integrative Medicine. In her practice she melds traditional medicine with non-Western approaches, nutrition, botanicals, mind/body therapies and lifestyle interventions to help women address their gynecological and reproductive health concerns. Her interest in mindfulness and meditation led her to pursue a two-year Fellowship at The Arizona Center for Integrative Medicine, under the leadership of world-renowned Integrative physician, Dr. Andrew Weil.

 

References:

  1. Schellenberg R BMJ. 2001 Jan 20;322(7279):134-7.
  2. 2. Yavarikia P, Shahnazi M, Hadavand Mirzaie S, Javadzadeh Y, Lutfi R. J Caring Sci. 2013 Aug 31;2(3):245-54.
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The 5 Most Common Food Sensitivities And How to Avoid Them

Trigger Foods

Food sensitivities result when undigested food slips through gaps in an unhealthy (leaky) gut and triggers an immune response, which can cause inflammation, pain, and swelling in the joints. Food sensitivities are extremely common, though little known, in those with arthritis, autoimmune disease, and chronic ailments.

Since food sensitivities activate the immune system they can aggravate and even cause symptoms in chronic conditions. Thus, eliminating certain foods prevents a great opportunity to reclaim wellness.

In My Practice, I’ve Identified 5 Major Culprits

Gluten

You need to read food labels and look at the ingredient lists for the words wheat, barley, kamut, rye, or spelt. For example, did you know that soy sauce is made from wheat?  Or that beer is made from barley?  Probably not and you’re certainly not alone. Because it is not possible to list all the foods that contain gluten here, reading food labels is key. Oats are only okay if the label says “gluten free oats.”

What to Eat Instead: Look for grains made from quinoa, millet, buckwheat, and rice.

Dairy

This includes any milk product made from cow, goat, or sheep such as yogurt, cheese, milk, kefir, and butter. Often after doing an elimination diet test, many patients realize that milk is causing other symptoms that go beyond their stomachs. These include chronic congestion and sinusitis, post nasal drip, ear infections, and more.

What to Eat Instead: almond, rice, hemp, or coconut milk.  These milk substitutes are also made into yogurt, kefir, and cheese so you can get your fill, without having to settle for dairy.

Corn

When I say corn I don’t just mean corn on the cob. It is used for other purposes, like making an ingredient called high fructose corn syrup that is used in many, many foods because it tastes sweeter and is cheaper than sugar!  Remember, you need to remove whole corn whether on the cob, in a can, or frozen, and popcorn, too. You also need to be careful about reading labels, look for the word corn, which can often be found as corn starch, corn syrup, corn syrup solids, and high fructose corn syrup.

What to Eat Instead: Look for natural sweeteners or stevia (though, keeping sugar consumption down is a good idea too!).

Soy

Soy is on the list here because it causes digestive upset and inflammation for many people, something I’ve seen in my practice over and over. Soy is also used as an additive in many foods, especially packaged processed foods so you must read labels and avoid anything that lists soy protein, soy lecithin, or soy oil in its ingredient list.  When you start reading labels looking for these words, you will be shocked at how many foods contain them!

Eggs

Eggs are usually the food that people are the most upset that they have to give up!  Unfortunately, eggs have proteins that are common allergies and that’s why they are also common triggers for food sensitivities, too. Eggs are often found as ingredients in other foods, and again, you must read labels to make sure you eliminate it completely.

To read more about how to do an elimination diet see my article on conducting an elimination diet.  

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10 Reasons You Can’t Lose Weight

Are you trying to lose weight and just can’t seem to get the scale to budge? You may even feel like you’re doing everything “right” to no avail. Some people blame their metabolism or wonder if their age or gender is the issue. Some people go through a life transition like a stressful time or childbirth or menopause and feel like their body has never been the same since. Does this sound like you?

If so, don’t despair. It does not have to be this way. There is usually an underlying reason to stubborn weight loss.

10 Reasons You Can’t Lose Weight

1. Portion Distortion — You might find it hard to believe but portion size alone is often a culprit, particularly in the United States where portion sizes have grown over the years. Researchers have found, for instance, that meal sizes at restaurants have tripled in size since the 1970s¹ and the plates we serve our meals on have also increased in size.2 At every turn, we are encouraged to eat more than we need.

In my health coaching practice at Blum Center for Health, I find that many people overdo it on “healthy” foods. Prime example: Nuts are healthy addition to your diet — they are a healthy fat, a good source of protein, fiber and have anti-inflammatory properties. But, one serving of Brazil nuts, for example, is two nuts. Yes, one serving is only 2 nuts! One serving of almonds is six nuts. If you’re eating nuts like popcorn, you’re not going to lose weight.

While I’m not a big fan of calorie counting, I do think using a phone app, like My Fitness Pal, for a week will give you an accurate view of your caloric and nutrient intake. How much fiber are you consuming? How much sugar, for example? This is important information for weight loss.

2.  The Right Mix of Nutrients — Beyond the amount you are eating, is what you are eating. Are you living on rice cakes and cottage cheese, thinking that low-calorie diet foods are going to help you reach your goal? That strategy is likely undermining your weight loss objective. Weight loss is often about moving away from processed foods and into a whole foods, anti-inflammatory food plan that includes increased fats, ample protein and unlearning the reliance on empty carbs, even the so-called “healthy” ones like gluten-free bread and “nutrition” bars. This will ramp up your metabolism, jumpstart weight loss and teach you to eat for life, rather than going on and off diets continually.

3.  Chronic Stress — Stress is a major player in stubborn weight loss. We live stressful, fast-paced lives. Stress elevates cortisol and adrenaline, hormones responsible for “fight or flight” in what your body perceives as an emergency — something as serious as jumping out the way of a careening car, or something as nerve-wracking as public speaking. Once the event is over, our cortisol and adrenaline levels return to normal. This is a healthy stress response.Chronic stress, however, creates havoc in the body. Cortisol levels, which spike during a stress-inducing event, remain elevated. Think … a stressful job, a stressful relationship or even the everyday stress of “getting everything done.”This rise in cortisol puts a damper on weight loss. In fact, chronically elevated cortisol can cause weight gain!3  And, perhaps even more importantly, as Susan Blum, MD, discusses in her book, The Immune System Recovery Plan, this increased baseline can damage the immune system and prevent it from healing. Ultimately, chronic stress can have a negative effect on the levels of good bacteria in the gut, reducing the ability of the immune system to fight infection and puts us at risk for autoimmune disease.

4.  Lack of Consistent Quality Sleep — Research4 demonstrates that even slight sleep loss boosts cortisol levels and can accelerate the development of insulin resistance. In fact, one study found that getting just 30 fewer minutes sleep than you should per weekday can increase your risk of obesity and diabetes.5 Not getting enough sleep is related to a host of other issues including heart disease, high blood pressure, accidents, mood disorders, depression and decreased productivity.

5.  Inflammation — Do you unknowingly fill your body with foods that create systemic inflammation, a slow, quiet disturbance that never seems to shut off?The fact is, If we could “see” the damage, like we can feel and see a swollen ankle, surely we would ban those substances from ever entering our mouths!Systemic inflammation is our body’s immune response to substances it sees as a foreign invader. Over time chronic inflammation can lead to many heavy-hitting diseases, such as heart disease, many cancers and even Alzheimer’s. It is also associated with allergies, anemia, asthma, autism, arthritis, carpal tunnel syndrome, celiac, Crohn’s, fibromyalgia, gall bladder disease, GERD, Hashimoto’s, psoriasis, and more6.

Inflammation makes us feel sluggish, bloated, and gives us achy joints or muscles. It is associated with high blood pressure, blood sugar problems, headaches, depression and anxiety.

And for those struggling to lose weight, inflammation makes you, well … inflamed. You see, there is a very important hormone, called Leptin, that regulates your body’s level of fat by controlling your appetite and metabolism. In healthy people, the production of leptin signals the brain to suppress appetite and speed up metabolism—leading these people to feel less hunger, burn more calories and lose the excess fat. Chronic inflammation, however, impairs the brain’s ability to receive leptin’s appetite-suppressing message.

To put the fire out on inflammation a great place to start is with an elimination diet to determine which foods are triggering inflammation. A program like HealMyGut includes the ever-important elimination diet and all the supplements you need to address shoring up your gut lining and returning bacterial balance to your digestive tract. I just finished it myself after taking antibiotics for a month to treat Lyme Disease. I feel great! Learn More.

6.  Thyroid Dysfunction — The American Thyroid Association7 estimates that 20 million Americans have a thyroid problem, and that up to 60% are unaware of their condition.  Whoa, that’s jaw-dropping! Hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormone, is characterized by unexplained weight gain and/or difficulty losing weight. To find out if your thyroid gland is functioning properly, you will a blood test ordered by your doctor. I highly recommend working with a functional or integrative physician who will look beyond whether or not your numbers are “in range,” including lifestyle and mind-body medicine.

7.  Insulin Imbalance — If your blood sugar levels and insulin are off, you can experience carb cravings, difficulty losing weight and excess belly fat. Insulin resistance means your cells can’t absorb the extra blood glucose your body keeps generating from the food you eat, and your liver converts the glucose into fat. Processed foods, including beloved foods like pasta and bread, sugary drinks, and even foods marketed as “healthy,” like granola bars, play a role in insulin resistance. Insulin imbalance can give rise to Type 2 diabetes so it is important to get those numbers under control. Again, I recommend working with a functional or integrative physician who will also address lifestyle factors that contribute to insulin issues.

8.  Estrogen Dominance — Too much estrogen relative to progesterone plays a role in weight gain. Estrogen dominance can cause increased cravings and decrease metabolism. If you are experiencing more cravings, and particularly for sugar, it’s entirely possible to fall into a loop that feels like you have no control over those cravings. Increased cravings combined with a sluggish metabolism is a recipe for weight gain.To learn more about Estrogen Dominance, and its symptoms, check out this article: Do You Have Estrogen Dominance.

9.  Low Testosterone — Research8 shows that testosterone levels in men often drop with age and this can cause an increase in body fat, insulin resistance, heart disease and even certain cancers.  The inverse is also true: being overweight causes testosterone levels to drop even more.  A tell-tale sign of low testosterone is belly fat in the mid-section that is resistant to weight loss.

10.  Toxic Overload —  Everyday you are exposed to chemicals, pesticides, herbicides, heavy metals, hormones, medications and other toxins that create a toxic load in your body. These toxins are found at every turn — in your food and water, household cleaning products, cosmetics, candles and plastics. Even seemingly healthy products, including shampoo and conditioner, face cream, toothpaste and your favorite sandwich bread, can contain toxic ingredients.Toxins affect hormones and can create hormonal imbalances that lead to weight-loss resistance. When you carry a toxic burden, leptin, the hormone that tells the brain to burn fat for energy, does not do its job of informing the brain to burn fat. So, even if you are eating well and exercising weight loss becomes stymied when your body is in a state of toxicity.Personally, I detox at least once a year and use Dr. Blum’s Simply Detox program. It includes everything — a real food detox food plan, detox supplements and daily email. Learn more.


Losing weight can feel difficult but it does not have to be impossible. Your hard work can pay off. It’s a matter of figuring out the underlying challenges. Not sure where to start? Explore one area at a time and put a plan in place. If you feel overwhelmed, you might want to consider working with a Health Coach (hey, I’m one!) who will help you create a plan and stick with it. Even if it’s not me, (sniff, sniff), a health coach can be your greatest ally, helping you clear away the noise and the overwhelm that often gets in the way of success.
Learn more about CoachMe.

 

Meet Melissa: Melissa Rapoport is the Manager of Health Coaching and Lifestyle Programming at Blum Center for Health in Rye Brook, NY. She combines her graduate work in Developmental Psychology with her education in nutrition, health and coaching to create highly individualized programs that result in lifetime change. A contributing author to three international bestselling books, Melissa’s greatest joy is her relationship with her two daughters.

 

Resources:
  1. Young, L. R., & Nestle, M. (2002). The contribution of expanding portion sizes to the US obesity epidemic. American Journal of Public Health, 92(2), 246–249.
  2. Wansink, B., & van Ittersum, K. (2006). The visual illusions of food: Why plates, bowls, and spoons can bias consumption volume. FASEB Journal, 20(4), A618.
  3. Moyer, A. E., Rodin, J., Grilo, C. M., Cummings, N., Larson, L. M. and Rebuffé-Scrive, M. (1994). Stress-Induced Cortisol Response and Fat Distribution in Women. Obesity Research, 2: 255–262. doi:10.1002/j.1550-8528.1994.tb00055.x
  4. Leproult R., Copinschi G., Buxton O., Van Cauter, E. (1997)  Sleep loss results in an elevation of cortisol levels the next evening. Sleep. 20(10), 865-70.
  5. Endocrine Society. (2015, March 6). Losing 30 minutes of sleep per day may promote weight gain and adversely affect blood sugar control. ScienceDaily. www.sciencedaily.com/releases/2015/03/150306082541.htm
  6. Marquis, D.M. (2013, March 7) How inflammation affects every aspect of your health. http://articles.mercola.com/sites/articles/archive/2013/03/07/inflammation-triggers-disease-symptoms.aspx
  7. American Thyroid Association. General information/press room. https://www.thyroid.org/media-main/about-hypothyroidism/
  8. E M Camacho, E.M., Huhtaniemi, I.T., O’Neill, T.W., Finn, J.D., Pye, S.R., Lee, D.M., Tajar, A. … and the EMAS Group (2013). Age-associated changes in hypothalamic–pituitary–testicular function in middle-aged and older men are modified by weight change and lifestyle factors: longitudinal results from the European Male Ageing Study. European Journal of Endocrinology, 168 445-455, doi: 10.1530/EJE-12-0890

 

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Leaky Gut and Food Sensitivities

Did you know that your biggest exposure to the outside world every day is through your mouth?  That’s why 70% of your immune system lives in your gut, lying in wait to protect you from anything that seems foreign to the body (called antigens because they stimulate the immune system), which believe it or not includes food and the toxins and microbes that ride along with the food that you ingest while eating.

Your gut, which starts in your mouth, travels through your stomach, small intestine, colon or large intestine, and ends in your rectum, is supposed to be a closed tube – with the intestinal lining creating a barrier that separates the inside of your body and immune system from these outside exposures.  When you digest your food, the intestinal lining can then selectively choose what can enter your body by opening and closing special gates called tight junctions.

In functional medicine, an intestinal barrier with damaged tight junctions that isn’t keeping antigens out of the body is known as a leaky gut.  Studies have increasingly found that a leaky gut is associated with arthritis, autoimmune disease, allergies, and food sensitivities.

Causes of leaky gut vary, but the most important is dysbiosis, which is an imbalance in the bacteria in the gut, also called the gut microbiome.  Dysbiosis can be an overgrowth of harmful bacteria, yeast or parasites, or not enough good bacteria, and is commonly caused by a poor diet, a course of antibiotics, frequent use of antacids, and stress. These gut bacteria are important because not only do they interact with your immune system to keep it healthy, they also turn the food we eat into healthy compounds, especially something called short chain fatty acids which heal the tight junctions between your cells and protect the integrity of the gut barrier.  This is why food is so important, too, because the food you eat determines which bacteria will thrive and what kinds of compounds they will make when they digest your food.  

But why is leaky gut associated with inflammatory disease like arthritis? When the contents of your gut, which includes pieces of food and gut bacteria, “leak” into your body, your immune system is activated creating inflammatory chemicals that travel throughout your body and cause system-wide inflammation, especially in the joints. And this happens non-stop until your gut microbiome and lining are repaired.  

The good news is that you can rebuild your microbiome and repair your gut. Food has the most influence on the diversity of the microbiome, and that’s why you should always start with changing your diet by increasing fruits and veggies, especially those rich in polyphenols, bioflavonoids, and fiber because these tend to increase the good bacteria that make short-chain fatty acids and heal the gut. Also, you need to remove foods from your diet that feed the bad bacteria like sugar, processed flour products, alcohol, and too many animal products.  You also need to test yourself for food sensitivities and remove sensitive foods such as gluten, dairy, soy, corn, eggs and the nightshade vegetables. Our elimination diet explainer shows how to do this.

The next step is to treat your dysbiosis. At Blum Center for Health we start with cleansing herbs like berberine, grape seed extract, black walnut, and oregano that can clear out bad bacteria and yeast. In fact, we created our own custom herbal antibiotic mix called Gut Cleanse. Once you have eliminated the bad bacteria and yeast, probiotics and the right food can help you rebuild the good stuff, repair the gut lining, reduce inflammation, and eliminate food sensitivities.

For more, please review the video above.

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Herbs As Medicine: What You Need To Know

Herbs are used medicinally all over the world. For instance, morphine comes from the Poppy plant, aspirin comes from Willow Bark, digitalis comes from Fox Glove, taxol an important cancer drug, comes from the Yew tree. The list goes on.

It is ironic that doctors in the U.S. don’t learn about the healing powers of plants given that many powerful medicines are derived from plants. As a traditionally-trained Ob Gyn I was taught to prescribe a lot of medicine —  hormones, antibiotics, non-steroidal anti-inflammatories (NSAIDs), to name a few.

The problem is that many of these medicines have pretty hefty side effects.  NSAIDs are prescribed widely for menstrual pain and heavy bleeding, but prolonged use can cause GI bleeding. The three month injectable progestin shot, medroxy progesterone acetate (aka: “Depo”) works very well to prevent pregnancy, but at the expense of bone density.  It is well established that Depo users sustain a decrease in their bone density while taking the shot, but long term outcomes were not known until relatively recently.  According to a 2015 Cochrane review, we now we have evidence that postmenopausal women who took Depo in the past have increased risk of bone fractures.  

After practicing in the traditional model for many years, and being concerned about these types of side effects, I began to wonder, “what other choices do we have?”  This quest for more options to offer my patients led me to pursue an Integrative Medicine Fellowship, where I received extensive training in herbal medicine. I can tell you for certain that herbs are a wonderful addition, and sometimes replacement, for traditional pharmaceuticals.

3 Ways Herbs Outperform Standard Medicines

  1. Lower dose and less toxicity — The medicines I listed above — morphine, aspirin, digitalis and taxol — are all made from an active ingredient that has been isolated, extracted, purified, and packaged in a highly potent form. With high potency, comes increased risk of toxicity and side effects.  When you consume an herb in its natural form (root, leaf, bark) you are often getting lower doses of the active ingredient, which are often less toxic.  Still, even herbs can have side effects and can interact with other herbs and medicines that you might be taking.  It is important to be well informed about these potential side effects and interactions.
  1. Herbs are multi-faceted — Most medicines have one active ingredient whereas each plant has multiple active ingredients that work synergistically. There can be hundreds of distinct compounds in the plant that potentially contribute to its medicinal properties.  Sometimes these compounds work together to make the herb more efficient.  

For example: Red Yeast Rice, the fermented product of a fungus, Monascus purpureus, is known to contain monacolin K, which is lovastatin, a commonly prescribed cholesterol lowering drug. Many studies have proven that Red Yeast Rice also lowers LDL cholesterol by 30%. Some wonder how Red Yeast Rice, which has relatively low doses of monacolin K, can result in such great clinical outcomes when compared to the typical dose of lovastatin.  

Likely the answer resides in the fact that monacolin K is not the only compound in it.  Red Yeast Rice contains eight other monacolins, plus other plant compounds with beneficial health effects such as sterols, isoflavones and monounsaturated fatty acids.  

A word of caution: it is important to do research to find a reputable brand of herb to take because there is also the unfortunate practice of cutting herbal products with both active drugs (Red Yeast Rice can be spiked with lovastatin), heavy metals, or the opposite problem of not having enough active ingredient.  Working with a good Herbalist or Healthcare provider who is trained in herbs is essential.

  1. Less Side Effects — There are numerous examples of herbs that have fewer side effects than conventional medicines. St. John’s Wort (SJW) is a perfect example.  We often recommend SJW for mild depression. It has been extensively studied and found to be safe and efficacious. There is even a Cochrane Review (traditional medicine’s gold standard of evidenced-based medicine) that evaluated 29 studies of over 5,000 patients and concluded that SJW is more effective than placebo, as effective as other antidepressants with fewer side effects.  A word of caution, however: SJW can interfere with some medications (like birth control pills, antidepressants, coumadin, digoxin, cancer therapies, immunosuppressive agents) so ALWAYS check with your provider before taking it.  

Herbs are worthwhile additions to your medicine cabinet. Unfortunately, herbs are not well understood, particularly in places like the United States, where traditional medicine is the norm. Over the next few months I will be writing an informational series highlighting some of my favorite herbs for women’s health. Keep your eyes peeled!

Live in our neighborhood and want to learn more about using herbs for women’s health? Make an appointment with Dr. Fitz!  In her practice at Blum Center for Health she takes a multi-pronged, holistic approach, a combination of medical and lifestyle considerations, to address, diagnosis and treat your condition. For more information, call 914-652-7800.

Meet Dr. Fitz:  Bronwyn Fitz, M.D. is a board certified Obstetrician Gynecologist who is fellowship trained in Integrative Medicine. In her practice she melds traditional medicine with non-Western approaches, nutrition, botanicals, mind/body therapies and lifestyle interventions to help women address their gynecological and reproductive health concerns. Her interest in mindfulness and meditation led her to pursue a two-year Fellowship at The Arizona Center for Integrative Medicine, under the leadership of world-renowned Integrative physician, Dr. Andrew Weil.