Author: Blum Center

Posted on

How To Tell If You Have SIBO or IBS?

Irritable bowel syndrome, also known as IBS, is the most common gastrointestinal diagnosis.

How common is IBS?  Scientific tests show that 10%-15% of Americans suffer from IBS. IBS is more common in women with almost twice as many women having it than men.  IBS is characterized by a cluster of symptoms, including recurrent abdominal discomfort, as well as a change in the frequency and/or consistency of bowel movements. Diagnosis is based on these symptoms; there is no official test for IBS. 

Due to this broad definition, at times ‘IBS’ is considered a catch-all term for anyone suffering from digestive symptoms who does not have inflammatory bowel disease. When assigned too broadly, it can provide a diagnosis without adequate investigation into the root cause of symptoms, and treatment may focus solely on providing temporary symptom relief rather than permanent resolution. Additionally, IBS is often falsely determined to be solely psychogenic, denying patients access to further investigation while reducing the cause of their suffering to ‘all in their head’. 

Changing Tides in Digestive Health

 Thankfully, our understanding of gut health – and gut disease – is changing rapidly.  Recent research indicates that the development of IBS is multifactorial, and is largely influenced by the health of the gut microbiome, the complex microbial ecosystem that houses fungi, viruses, and bacteria within the gastrointestinal tract. This is most evident when chronic IBS symptoms begin following acute gastroenteritis due to exposure to a pathogen. The introduction of a pathogenic microbe can create both the acute symptoms associated with acute gastroenteritis, such as vomiting, diarrhea, and fever, while creating a long-term shift in gut motility that sets the stage for chronic IBS.  

Alterations to the microbiome also appear to underlie the two main categories of IBS: diarrhea-predominant IBS (IBS-D) and constipation-predominant IBS (IBS-C). IBS-D has been associated with increased levels of hydrogen-producing bacteria, while IBS-C has been associated with increased levels of methane-producing bacteria; both of these microbial imbalances are collectively known as small intestinal bacterial overgrowth (SIBO).

Does IBS = SIBO?

The gold standard for diagnosing SIBO is small intestinal aspirate, though it is rarely used clinically. Instead, lactulose breath tests are utilized to measure both hydrogen and methane levels; these measurements are indicative of bacterial levels within the small intestine. Research values vary but indicate that anywhere from 33-78% of patients diagnosed with IBS actually test positive for hydrogen and/or methane SIBO.  There is now a trio-smart test that also tests for sulfate gas.  An additional study of patients who tested positive for SIBO found a 7-8 fold increase in both Escherichia/Shigella and Klebsiella bacteria compared to non-SIBO patients.  An additional study in patients with IBS-like symptoms showed roughly 25% of them had an excessive number of fungal organisms within the small intestine, known as small intestinal fungal overgrowth or SIFO.   Recently, a large-scale study at Cedars Sinai has identified elevations of a third gas, hydrogen sulfide, in cases of IBS-D, indicating elevation in hydrogen sulfide-producing bacteria as both an additional type of SIBO, and another possible root cause of IBS.  Several therapeutic trials that aimed to treat gut microbes with antibiotics have shown favorable improvements in IBS-symptoms, further supporting the theory that microbial imbalances play a key role in the development of IBS.

All of this research indicates that for a huge percentage of IBS-sufferers, microbial imbalances, either in levels and/or locations of bacteria (as in SIBO) or fungi (SIFO), or a combination of both, are largely to blame for their symptoms. These findings are essential in providing relief for IBS patients, as these complex imbalances in the microbiome will not be corrected simply by following the typical treatment recommendations for IBS, such as stress management, increased fiber intake, laxatives or anti-diarrheals, or pain medications. 

IBS: A Way Forward To Healing

The diagnosis of IBS simply labels the symptoms as a syndrome, without providing any answers as to why a patient may be experiencing those symptoms. Without a root cause, it is difficult to provide the correct treatment methods. But with a correct diagnosis, the correct treatment methods can be applied.

Depending on symptomatology, it may also be helpful to test for Celiac disease, lactose intolerance, and food sensitivities, in addition to completing imaging to evaluate for inflammatory bowel disease such Crohn’s or Ulcerative colitis. While we have yet to gain access to testing methods for SIFO or hydrogen-sulfide SIBO, a comprehensive stool analysis can provide insight into the body’s ability to breakdown and absorb nutrients, as well as the health of the gut microbiome.  It is through these testing methods that specific imbalances in the gut can be identified; once they are identified, targeted treatments can be applied. For patients previously diagnosed with IBS, particularly if they have seen no resolution in their symptoms following the standard IBS treatment methods, identifying the root cause of their symptoms can be life-changing.

At Blum Center for Health, our team of practitioners and health coaches can work with you to heal your digestive distress. Whether you have an existing condition, are experiencing symptoms, or simply want to prevent future complications we are here to support you on the journey. Book an appointment by calling 914.652.7800.  

Posted on

What are Adaptogens?

Adaptogens are the wellness industry’s latest buzzword – adaptogenic lattes are popping up in salad bars and blends are finding their home on the shelves of apothecaries. Some adaptogens, like ashwagandha, can be taken in a powdered form. While others, like Lion’s Mane mushroom, can be a nice dinnertime side dish. So, what are they?

Adaptogens are a category of herbs and mushrooms that help balance your body’s reaction to stress by modulating its hormonal and physiological functions. Adaptogens improve adrenal function, protect you from disease, boost immune function and improve overall well-being. Adaptogens help your body handle stress. They are meant to bring us “back to the middle.”

Top Adaptogenic Herbs and Mushrooms

Ashwagandha

What it is: Ashwagandha, also known as “Indian Ginseng,” is a powerful Ayurvedic root that can help your body manage stress.

How it’s consumed: You can add ashwagandha to smoothies and teas. You can buy ashwagandha in powder, capsule, or tincture form.

What it tastes like: In Sanskrit, ashwagandha means “smell of the horse”, which refers to its interesting smell, and supposed ability to increase strength. It tastes slightly bitter, with herbal undertones, but pairs very well with creamy, cocoa flavors.

What it does, according to science: This Ayurvedic root helps reduce long-term stress and alleviate the hormonal imbalances that result from chronic stress. All without inducing a sense of fatigue, ashwagandha helps you build up tolerances to stressful situations, and relaxes an anxious mind. Some research suggests that Ashwagandha helps combat stress-induced weight gain.

Eleuthero Root (Siberian Ginseng)

What it is: Eleuthero root, also nicknamed “Siberian Ginseng,” has been part of the herbal repertoire of Traditional Chinese Medicine for centuries. There are more published scientific studies on eleuthero root than any other herb – and when you dig into the research it’s easy to see why so many scientists have been fascinated by this stringy, beige root. Not only has it been shown to decrease stress, but it has immune-boosting properties to boot.

How it’s consumed: People usually take the root and stem extracts of the eleuthero plant either as a tincture or as a powder. Either way, it can be added to smoothies, lattes, or other drinks and tonics.

What it tastes like: We’ll tell it to you straight: Eleuthero root is bitter, and not exactly a pleasant taste. This is definitely not a herb you’ll be downing with water (unless you’re super hardcore).

What it does, according to science: Siberian Ginseng decreases fatigue by increasing your work and exercise capacity without the “crash” that comes with a morning cup of coffee. With this herb, you’ll also recover faster from acute stress and intense workouts. Some preliminary research also suggests that eleuthero can protect against cognitive decline and reduce DNA damage.

There is abundant scientific research confirming their adaptogenic properties such as the ability to help the body resist a stress response in a non-specific way and the ability to help the body maintain homeostasis. Primary adaptogens directly influence the hypothalamic-adrenal-pituitary (HPA) axis in response to stress.

Reishi Mushroom

What it is: Reishi is an adaptogenic mushroom that has been a staple of holistic wellness and herbal medicines for decades — over 200 to be exact. As a species of the “woody” mushroom family, the fan-shaped ‘shroom boasts orange to reddish-brown hues and can be found in the forest areas of Asia, Europe, South America, and the United States. Reishi’s effects on the body are widely ranging – it’s been shown to have anywhere from anti-depressant qualities to anti-fatigue effects on the body.

How it’s consumed:Reishi mushroom has a tough, thick form that is hard to bite into – it’s definitely not a mushroom that you can just cut into and stir fry with your dinner veggies. Most consume it as a dehydrated mushroom powder, or in a liquid tincture form. Though, some cut the mushroom into long strips, then steep it in hot water to make tea.

What it tastes like: This isn’t the most delicious mushroom you’ll taste. Reishi has an earthy bitterness that has been compared to tree bark.

What it does, according to science: Reishi mushroom’s positive effects on the body are widely ranging. It’s been shown to decrease depression and work as an anti-fatigue agent in a population of breast cancer patients. There’s also ongoing research into whether the trace amounts of cytotoxins found in Reishi could be used in targeting cancer cells.

Maca Root

What it is: Maca is a plant native to Peru that has been traditionally used to improve energy and stamina, while also improving sex drive and fertility. It looks like a cross between a turnip and a radish, with thick rosemary-like leaves. Different varieties come in different colors: red, pink, black, and yellow.

How it’s consumed: For most, maca root is supplemented as a dried powder. The caramel-like taste mixes very well into smoothies, lattes, and even the occasional oatmeal bowl.

What it tastes like: It has a delicious caramel-like flavor, with a subtle earthy aftertaste. Out of all the adaptogens, some vote for maca root as the best tasting.

What it does, according to science: This Peruvian root, long used by Spanish royalty, helps improve memory recall ability and overall learning ability. This super root is also known for its ability to protect against depression and age-related cognitive decline.

Rhodiola Rosea

What it is: Also commonly called “Golden Root” and “Arctic Root”, Rhodiola typically grows in the cold, mountainous regions of Europe and Asia, as well as high altitudes in the Arctic region, such as Finland, Norway, and Russia. Historically, people in northern regions of Scandinavia and the Nordics have used Rhodiola for anxiety, fatigue, and depression, People also have used it to increase physical endurance and to improve resistance to high-altitude sickness.

How it’s consumed: Typically it’s taken as an extract that confers both 3% rosavin and 1% salidroside.

What it tastes like: It actually tends to taste somewhat sweet with only a slight bitterness, which allows it to mix very well with many drinks and desserts.

What it does, according to science: It has been shown to help with physical performance in non-athletes by modulating cortisol levels after exercise-induced stress, and to reduce general anxiety as well. Note: it is not recommended in high amounts for pregnant women or those taking Warfarin.

Schisandra Chinensis

What it is: Known also as “Omija”, it is a bright red berry that is natively found in China, where it has been used to make medicine, tea, and wine for centuries.

How it’s consumed: Normally it’s taken in the form of dried powdered fruit, although can also be found in the form of whole dried fruit, juice, or part of a tea blend.

What it tastes like: Called “the five flavor fruit” in Chinese, it has an interesting mixture of flavors described as sweet, salty, bitter, pungent, and sour.

What it does, according to science: It possibly reduces anxiety, and could affect cortisol levels, although most of the research from numerous human trials that were done in Russia have been kept secret. New research is still being currently done however and shows promising possibilities, and the fruit itself is high in beneficial lignans which can aid in maintaining a healthy bacterial gut biome.

Angelicae Sinensis

What it is: Natively referred to as Dong Quai (which translates to female ginseng), this antioxidant-rich, adaptogenic root has long been cultivated in Traditional Chinese Medicine for its health effects in women. Although most likely first widely cultivated in Asia for medical purposes, this nomadic herb canalso be found in the middle east and eastern Europe, and possibly originated in modern-day Syria. It is also very commonly used as a botanical in many popular gins.

How it’s consumed: The root is normally dried and/or powdered and can be found in loose powdered form or with the powder encapsulated into pills.

What it tastes like: Bitter and earthy, but with a very subtly sweet and flowery undertone.

What it does, according to science: The polysaccharides in Angelicae Sinensis have been shown to cause hematopoietic effects in both animal models and in humans, meaning it aids in the formation of new red blood cells and thus could aid in the bioavailability of other compounds in the bloodstream, as well as having anti coagulative effects. There is also some evidence that it does indeed affect the female reproductive system with a kind of hormone regulation and is, therefore, advised to not take it if pregnant.

 

In Closing….

Adaptogens can have a wide array of benefits to the human body due to the balancing effects they can bring and have properties that can truly aid against the added stresses and anxieties of a modern lifestyle. Adding adaptogens into your diet or taken as an added nutritional supplement could bring some health benefits – at least based on current research – and they are similar in their role against stressors as antioxidants are to oxidizers.

 

Jennifer L Jennings, DNP is a board-certified Family Nurse Practitioner with a doctoral degree in nursing practice (DNP), an IFM Certified Practitioner, and a diplomate for the American Academy for Anti-Aging Medicine (A4M). She explored functional medicine for her own health journey and observed her body healing through dietary changes, stress management, GI healing and key supplements as well as bioidentical thyroid management. She knew in that moment that the foundations of functional medicine were the comprehensive medicine that she wanted to discover, learn and deliver to her patients. Book an appointment with Jennifer through Blum Center for Health by calling 914.652.7800

Posted on

The Power of Visceral Manipulation: Improving Digestive Function

Guest post by Dr. Miho Urisaka, PT, DPT, OCS

Many patients who come to see me for low back pain often have underlying chronic digestive issues that contribute to their musculoskeletal pain. I often use visceral manipulation to the mesentery as a technique that can help reduce their low back pain as well as alleviate symptoms of digestive dysfunction. 

The mesentery is a sheet of tissue that attaches the stomach and intestines to the abdominal wall. It is also responsible for providing blood supply and nerve innervation to these organs. When the mesentery becomes restricted, it can cause tension in the organs it attaches to, leading to symptoms such as bloating, constipation, and abdominal pain.

Visceral manipulation is a gentle manual therapy technique that aims to release these restrictions and improve the mobility of the organs. The technique involves the therapist using their hands to gently move and manipulate the organs and surrounding tissue. This can help to break up adhesions and scar tissue, which can cause the organs to become stuck in one position. By improving the mobility of the organs, blood flow and nerve function can be restored, leading to a reduction in symptoms.

Visceral manipulation can also be used to help improve the function of the gut by encouraging the movement of food through the intestines. This is known as peristalsis, and it is important for maintaining regular bowel movements.

Lifestyle changes such as regular exercise, stress management and a healthy diet can also be beneficial for improving digestive function. Nutritional therapy can help to address underlying causes of digestive dysfunction, such as nutrient deficiencies or food sensitivities. Visceral manipulation can help to support these changes by improving the function of the gut and allowing for better absorption of nutrients.

A comprehensive approach that includes both nutritional therapy and visceral manipulation can provide the best results for digestive issues. It can help to reduce symptoms, improve the function of the gut and support the body’s ability to absorb nutrients, and overall, improve the results of nutritional therapy. If you are experiencing symptoms of digestive dysfunction, it may be worth incorporating visceral manipulation as part of your treatment plan.

 

.

 

Book an appointment with Miho who sees patients on select days at Blum Center for Health.

Contact info:

Orthopedic Movement Physical Therapy

info@omptny.com

212-695-2769

Posted on

Is Mold Making You Sick?

Are you struggling with non-specific vague symptoms that do not fit a known pattern for diagnosis? Have you been to a slew of specialist physicians and are still left without answers? Have you ever lived or worked in a place with water damage? Have you noticed your symptoms change or improve if you’re away from your primary home for an extended period of time?

If this resonates with you it’s time to consider mold as the root cause of your illness. 

Here’s why: Mold is dangerous to your health. Hard stop. 

Add to that, it is often overlooked as a source of illness since most conventional doctors are not trained in identifying it. 

But, don’t worry! It has become my mission to uncover and treat mold illnesses. My private practice is filled with people suffering from mold exposure, many of which were misdiagnosed or told there was nothing wrong and had they considered a psychiatrist.

Here are some of the most frequent questions I hear:

What is Mold, Mold Allergies, and Mycotoxins?

Mold is a type of fungus that loves to grow in moist, damp, and dark environments.

We are constantly exposed to mold in our outdoor and even indoor environments. Some people are more sensitive to such mold spores and develop mold allergies. You may recognize these symptoms to be watery/itchy eyes, sneezing, and or runny nose. Doctors can diagnose mold allergies through blood testing and such allergies are treated with antihistamine medications. Finally, some molds produce mycotoxins, compounds that are invisible and can be inhaled or absorbed through your skin. These are the toxins that may cause mold illness if you are susceptible.

How do you know if you have been exposed to or are currently exposed to mold?

Part of my approach is taking a thorough environmental history during our first visit together. I delve into the history of water damage, musty smells, visible mold in your current and past homes. In general, most people find themselves with mold in their homes if the initial water damage is not remediated properly, if there’s a hidden leak behind a wall, or if there is moisture intrusion in the house that’s not obvious, just to name a few scenarios. 

Why are mold toxins difficult for the body to process?

Your liver helps process mycotoxins through bile and ultimately they are removed in the stool. In some, this process is not successful and leads to recirculation of the mycotoxin. So your immune system may have successfully killed the actual mold; however, the mycotoxins that the mold secreted can persist in your body. 

Many people are exposed to toxic mold; however, not all become sick. Why? About 25% of people are genetically handicapped to deal with these toxins. Even if you’re not one of the 25%, anyone’s detox system can become overwhelmed if exposed to high quantities of toxins over a long time. This helps explain why some members of your household can become severely ill and others are fine while being exposed to the same mold environment. The molds that produce the most dangerous mycotoxins include Stachybotrys, Aspergillus, Penicillium, Fusarium, Alternaria, and Walemia. 

Are you suffering from mold toxicity?

Mold is always a part of my differential diagnosis in anyone who presents with a myriad of symptoms in multiple organ systems. At the Blum Center, our patients complete a Medical Symptom Questionnaire and when their score is more than 80, I often suspect mold. 

Some of the more specific symptoms include electrical sensations in the body, areas of numbness/tingling that leave neurologists perplexed, unusual tics/muscle spasms, seizure-like events, and dizziness. These symptoms are often paired with fatigue, brain fog, intense anxiety/depression, chronic sinus congestion/recurrent infections, and shortness of breath.

How do mold mycotoxins cause such chronic complex presentations?

The following explanation is based on the ground breathing work of Dr. Shoemaker who synthesized how mold toxins impair your body’s biochemistry and thus came up with The Biotoxin Pathway. 

Mold toxins can easily dissolve in water and fat allowing them to penetrate various tissues. 

  1. Mycotoxin enters your body through inhalation or food (this is less common cause of systemic illness), or are made in your body (i.e. think the sinuses or your gut that has been colonized with mold).
  2. Toxin enters your fat cell and triggers a cascade of events inside the cell leading to cytokine production. Cytokines send signals to activate the immune system causing inflammation. If you are one of the genetically fortunate, the immune system binds the toxins and prevents this cascade of events; however, in 25% of the population there is no process to turn off this activation so the inflammation persists. 
  3. Cytokines affect your brain chemistry, endocrine/immune systems, thus explaining why patients present with such a variety of symptoms that transverse multiple organ systems. This can lead to inadequate production of adrenal, sex, and thyroid hormones. Overall this will also affect your pain pathways (think decrease in endorphins), sleep (think less melatonin), and also cause increased intestinal permeability (think leaky gut). 

If mold is suspected, how do we evaluate it?

Although there are some serum blood markers that give us an idea if you are suffering from mold illness, they are non diagnostic. The best test we have at this time is to assess urine mycotoxins. There are several functional medicine labs on the market offering such testing including RealTime Labs and Great Plains Laboratory. 

As part of the evaluation, It is also important to determine where the mold exposure is coming from (i.e. home, work, or your car), particularly if it’s ongoing. To do this, we recommend you partner with an environmental indoor expert who is trained in how to properly assess the home’s health and perform accurate mold testing and then guide you in remediation (if necessary).

You may prefer to try your own home assessment. You can order testing through Mycometrics the ERMI test (Environmental Relative Moldiness index). You collect dust from your home which is tested for mold.

How is mold toxicity treated?

The journey is often complex with many detours. Two people exposed to the same mycotoxin may present with completely different symptomatology. Treatment progress/resolution often depends on your terrain (what else are you battling with, i.e. your gut health, tick borne infections, viruses, other toxins-i.e. heavy metals) and how sensitive you may be to treatment. 

My approach is influenced by Dr. Neil Nathan’s work, an expert in mold treatment. What does that mean? We assess your gut microbiome, look for exposure in your home (and bring in a home expert if needed), support your detox pathways (after all, we have to get the mycotoxins out of your body), use appropriate botanicals and/or pharmaceuticals for treatment and mold decolonization. 

In the meantime, what can you do to help your body with mycotoxins starting today?

  1. Increase foods that support your liver’s detox pathways such as cruciferous vegetables (think broccoli/kale).
  2. Increase antioxidants, think eating colorful fruits and vegetables that are rich in quercetin/polyphenols (i.e. pomegranates, berries, yellow peppers, green tea).
  3. Spice up your food with turmeric and curry powder.
  4. Move more! Sweating is one of your body’s key daily detox methods. Just remember to shower after exercising so the toxins do not get reabsorbed through your skin.

 

If you’re interested in learning more about mold illness, testing, and treatment please come see me at Blum Center! For more information visit www.blumcenterforhealth.com or call 914.652.7800. 

 

 

References:

Biotoxin Pathway:

https://www.survivingmold.com/resources-for-patients/diagnosis/the-biotoxin-pathway

 

“Toxic” by Neil Nathan, MD; published 2018

 

Resources:

https://iseai.org/about/

 

Posted on

How Conventional Medicine Gets Autoimmune Disease Wrong

Here’s a common scenario in our 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 our practitioners chose to continue their 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

We 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 us! We would be happy to help. People travel from all over the world to work with us. Come join our family!

Keep your eyes peeled for our new LIVE course: Immune System Strong!  Slated to start late September (it will be here before you know it!) Immune System Strong will feature 4 LIVE classes with me that feature tangible next steps that you will be able to implement immediately, as well as community, accountability, group coaching and access to the answers you need on a daily basis.  Details will be available soon! Get On The First-To-Know List (even if you’re only a little bit interested), because we’ll be rewarding with an offer that won’t be available to anyone else.) I want the special reward!

Posted on

Viewing Depression Through a New Lens

Many people accept depression as natural or even earned.  But everyone deserves full access to their rich potential, which is why treating depression first starts with acknowledgement. Once acknowledged, the next step is searching out proper care for ailing self and loved ones.  

Careful diagnostics are necessary to identify the specific type of depression and what factors underlie it. Diagnosis drives treatment. We need root cause insight into why one is depressed.  Then a comprehensive and personalized treatment plan can be developed regardless of the cause, because there is always something constructive to be done to help.

In the case of major depression, medical assessment, psychodynamic interview, exploration of mental health history, and detailed psychiatric categorization combine to reveal sophisticated diagnostic conclusions. A thorough workup is productive. And a comprehensive treatment plan maximizes the likelihood for an optimal outcome.  

Orthodox, functional and holistic medical interventions often make a huge difference. Direct manipulation of brain chemistry by medicines – natural or synthetic or nutraceutical –  can be profound.  Various psychotherapeutic interventions can bring sizeable reward. A major facet of an inclusive strategy for managing depression is self-help and the nurturing of self-perception that emphasizes patient empowerment and health over passivity, powerlessness/valuelessness, and sick role. Healthy lifestyle also plays a key part in supporting optimal mental health. And an enriching doctor-patient relationship is a virtual prerequisite to push patient health forward.

Many Depressions, Many Treatments

There is depression like, “These hapless New York Knicks depress me.”  And there is depression like “I am ill, with overall dysfunction, and with loss of interest in things.”  This kind of depression can come wIth sadness, plus hopelesssness and worthlessness, with lethargy and apathy.  It can even come with changes in eating and sleeping or with suicidal thinking. Same word, two very different entities.  Different causes.

Depression can have many different root causes.  Once we determine the root cause, the treatment can be targeted and personalized.  Underlying causes include:

  • Bipolar disorder  
  • Various metabolic, neurological, immunological inflammatory and infectious diseases cause depression.  
  • Substance abuse is a prime culprit for depressive outcomes.
  • Traumas, catastrophes and maladaptations will fuel depressive reactions.
  • Environmental and interpersonal “toxins” feed depression.  
  • Certain Psychodynamic and personality features tilt one towards mood problems.  
  • A biochemical predisposition to depression  will result in episodic, seasonal, and chronic depressive states.  

Here’s the Great News: Depression Can Be Reversed

Sufferers with major depressive disorder and dysthymic disorder (chronic depression) alone represent the second most costly disease on planet Earth and number roughly one in seven of us! All forms of depression ruin lives and can be reversed. Major depression alone is a devastating illness but it is amenable to improvement.  Nothing works better than a comprehensive, integrative, game plan. Let’s make one for you.

 

Dr. Stephan J. Quentzel, MD, MA, is an Integrative Psychiatrist at Blum Center for Health.  In his practice, Dr. Quentzel sees teenagers and adults for the widest of psychiatric concerns. He integrates brain sciences and psychiatry with general medicine, psychopharmacology, psychology, philosophy, ecology, psychotherapies, preventive medicine, herbal pharmacotherapy and nutritional studies, self-help, lifestyle improvements,  and the healing strength of compassion,  all in pursuit of optimal broad health and happiness for each client, specific to their unique needs and interests.  Man an appointment with Dr. Quentzel at 914-652-7800.