Author: Melissa Rapoport

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Constipation Issues? Here are 4 Tips to Get You Going

Do you struggle with constipation? You’re not alone. Constipation is the most common gastrointestinal complaint, resulting in 2.5 million doctor visits annually.

Constipation is frustrating, painful and can be connected to other health issues either as a cause or as a symptom. It can create bloating, irritability, lack of appetite, incontinence and even vomiting.

People often ask, “How often should I poop a week?” Well, that’s a great question! 

You should be pooping every day – ideally, twice a day. Yes, seriously. I know, I know, it’s not what your internist said. But, here’s the thing: Going to the bathroom daily is a sign of a healthy digestive tract and critical to your overall health. 

Think about it this way: When you poop, your body is eliminating waste. Waste! Do you really want waste sitting in your large intestines for days on end? Absolutely not. 

Plus, it’s important to recognize that your ever-important liver flushes out toxins housed in your body, and disposes of them into your intestines. If you’re not pooping daily, then all those toxins get reabsorbed into your body. Not good. 

You are considered constipated if you experience: 

  • Straining during a bowel movement
  • Hard, dry stools or stools like pellets or balls
  • Incomplete evacuation, meaning you don’t feel like you’ve passed the entire stool
  • Less than one normal formed, soft stool daily

There are many factors that contribute to constipation. Some are lifestyle, some are medical. Let’s take a look …

Lifestyle causes of constipation and what you can do about it: 

Diet! We always start with diet: Eat more fiber. The average person eats less than 15 grams a fiber a day, yet your body requires optimally in the range of 30-40 grams a day, depending on your size. Vegetables, legumes, fruits and whole grains like oats, brown rice and quinoa will help add “bulk” to your stools (with the added benefit of feeding your gut microbiome.) Here’s an easy way to add 5 grams of fiber a day to your diet: Fiber Blend

Drink more fluid – you need fluid to help pass a bowel movement. Aim to drink half your body weight in ounces. If you weigh 150 pounds, for example, you’ll want to drink about 75 ounces of liquid – water, herbal teas, mineral water. Coffee and other caffeinated drinks don’t count. They are dehydrating and may be contributing to your constipation. And remember, as you add more fiber, you must add more liquid!

Move more – Exercise helps constipation by lowering the time it takes food to move through the large intestine. By moving through quickly, water doesn’t get reabsorbed from the stool, thus helping keep it soft and moving easily. 

Reduce stress – Stress hormones affect your gut which can lead to constipation. There are lots of ways to reduce stress, such as yoga, meditation, gentle exercise, journaling, Qi Gong and Tai Chi. Try them all and find the best fit for you. 

Go to the bathroom when you need to go to the bathroom – chronically suppressing the urge to poop can lead to constipation. 

Stop using laxatives – laxatives decrease your colon’s ability to contract and they can actually worsen constipation.

But, sometimes we all need a little help.

Here are 4 simple ways to “get you going”:

Try our constipation recipe – Mix together 1 cup pure applesauce, 1 cup prune juice and 1 cup cooked oat bran – start with 2 tablespoons and add an additional tablespoon until you reach the point of regularity.

Take a probiotic – According to research, probiotics have been shown to  increase “gut transit time” by 12.4 hours, increase the number of weekly bowel movements by 1.3, and help soften stools, making them easier to pass. Bifidobacterium and Lactobacillus positively affect constipation. Our Probiotics is a blend of 7 strains of Lactobacillus and 4 strains of Bifidobacterium. Score!

Magnesium – One of the first lines of defense I typically recommend is adding magnesium citrate at bedtime. Magnesium citrate not only pulls fluid into the colon making easier to poop, but magnesium helps many sleep better and have less muscle pain.  Start with 200mg and titrate up to 500mg nightly. Here’s my Magnesium Go-To. 

Vitamin C – High dose Vitamin C (4-6 grams/day) can cause diarrhea, therefore, taking Vitamin C in amounts just below bowel tolerance (gas, bloating or diarrhea) can definitely improve bowel movements and regularity. Start slow with 3000 mg spread throughout the day. Then, every 2-3 days add another 1,000 mg. Once stools loosen up, maintain the dose that works for you. Plus, it’s an important antioxidant! Our Vitamin C fits the bill. 

While lifestyle goes a long way in alleviating constipation, the root cause of constipation may be medical. It’s important to address the root cause of constipation. If you make the lifestyle changes but continue to need daily supplement support to poop, it’s time to take a deeper look under the hood. 

Medical causes of constipation and what to do about it …

  • Dybiosis and Small Intestinal Bacterial Overgrowth – an imbalance in the gut microbiome or an overgrowth of bacteria in the small intestine are often implicated in chronic constipation. Besides constipation you might be experiencing gas, bloating, burping and/or reflux. 
  • Food sensitivities – certain foods are known to cause constipation, such as gluten, diary, corn, soy and eggs. 
  • Autoimmune disorders, such as Hashimoto’s and Celiac Disease.
  • Nutrient deficiencies – often associated with the first three medical causes of constipation listed here, nutrient deficiencies, such as Vitamin C, Magnesium and Fiber can contribute to difficult stooling. 
  • Too many antacids, and too much calcium and iron in supplements – are well-known instigators of constipation.
  • Toxins, such as lead and mercury, are an oft-overlooked source of constipation. 
  • Neurological conditions, like Parkinson’s Disease or Multiple Sclerosis.
  • Prescription medications, such as antidepressants or painkillers.

 

The best thing you can do for yourself is work with a functional medicine practitioner. We take a Whole Body approach, working with you to understand how all your symptoms are connected. We use “food as medicine,” assess your gut microbiome and your detox pathways. We can run the appropriate functional medicine tests based on your symptoms, if warranted. As a certified Functional Medicine Coach I can help lead the way. Click here set up an appointment, or learn more.

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. To learn more about Melissa’s coaching practice at Blum Center for Health, click here.

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The 5 Steps to Ensure Your Immune System is Ready to Protect You

Here’s an important question: Is your immune system ready for the next hit?

This question has been at the top of my mind for months. Having struggled with chronic tick-borne diseases, I’m concerned about my immune system mounting a response against other pathogens, such as COVID, influenza and even the common cold. 

Perhaps you relate? The pandemic has been a reality check … we are not as big and strong as we’d like to think we are. One little virus brought our world to its knees. 

There’s good reason to be concerned. Infectious diseases are on the rise globally. From medical journals to the news, it seems something new is constantly popping up. Today we’re talking about Monkey Pox and Tomato Flu. What will be next?

The statistics are sobering: 

 

  • The World Health Organization reports infectious diseases kill more than 17 million people a year. In fact, 30 new diseases have emerged in the last 20 years.

  • A report from the CDC shows a three-fold increase in the number of diseases from mosquitoes, ticks and fleas like West Nile, Zika, Malaria and Lyme disease from 2004 to 2016. Climate change will only make this worse.

  • Viral infections, bacterial and spirochete infections, such as tick-borne diseases, are implicated in the root cause of autoimmune disease. Infections such as Epstein-Barr Virus and Lyme Disease have been well studied as triggers of autoimmunity. And, you guessed it, autoimmune diseases are increasing year over year – over a 50% increase in the last 25 years.

You read correctly: Pathogens are potential triggers of autoimmune disease and their flares. 

Autoimmune diseases are a family of more than 80 chronic, often debilitating and, in some cases, life-threatening illnesses. According to the National Institutes of Health, up to 23.5 million Americans (more than 7% percent of the population) suffer from an autoimmune disease.

This begs the question (stick with me, there is good news): If infectious diseases and autoimmune diseases and flares are on the rise, what are we to do?

Here’s the quick answer: Ensure that your immune system is working optimally. Period. End of story. 

And the good news is: You can do this!

The 5 Steps to Ensure Your Immune System is Ready to Protect You:

Give your undivided attention to your gut microbiome – Nearly 80% of your immune system lives in your digestive tract. Yep, 80%! Your gut plays a key role in your body’s ability to defend itself against infection. It is imperative that your gut is in top working order. Signs your gut needs attention: gas, bloating, constipation, diarrhea, heartburn, food intolerances, undigested food in your stool, feeling tired or lethargic. If you struggling with Long Covid or get sick a lot, this is an absolute must-do. 

Eat foods that support your immune system – Food is medicine, or food can be poison. –Minimize immune-suppressing foods, such as sugar, processed foods, refined carbs, fried foods, vegetable oils, artificial anything and alcohol. 

–Maximize vegetables, fruit, olive oil, whole grains, nuts, seeds, fermented foods and healthy fats, like avocado and wild caught salmon.

Reduce your toxin load and remove toxins from your home – We live in a world filled with toxins that can harm the immune system (and even trigger autoimmune disease). These include pesticides/herbicides, hormones and plastics in food and water, solvents and mold in our homes and heavy metals in the fish we eat and water we drink. Others can come from cosmetics and products we use at home. 

Become stress resilient – Bottom line: Stress damages the immune system. Even low grade stress (you know, they kind we wave away, like having to deal with a daily commute) depletes your immune system, opening you up to pathogenic infection, and fueling the fire of autoimmunity. Even good stress, like getting ready to go on vacation, can be problematic

Consider supplementation – There are targeted supplements that will support your immune system and make your body less hospitable to viruses. These include Vitamins A, C, and D3, Zinc, N-Acetylcysteine, mushroom extracts, and herbs, such as elderberry, astragalus, and echinacea. Not all of these are appropriate for everyone. If you have an autoimmune disease, the mushrooms and herbs may not be right for you. 

Bringing this full circle … if you are like me … if you are concerned that your immune system is up to the task of protecting you from infectious disease and the havoc it creates in the body, consider joining Dr. Blum and me for our newly-updated course — Immune System Strong. Two LIVE classes and four video classes with Dr. Blum, and 9 LIVE coaching calls with me, you’ll learn exactly what you need to do to fortify your immune system.

We begin soon! I’ll be with you every step of the way. Learn More

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5 Ways to Protect Your Gut in the Summer

Warmth, water, mountains, family, friends … summer means fun in the sun. But, what could be more annoying than an uptick in gut symptoms – particularly gas and bloating? No one likes to feel uncomfortable in their summer clothes.

Perhaps you can relate to this: I recently went on vacation. By the end of my time away I felt pretty good in the morning, but by dinnertime bloating was making me feel (and look) like I was pregnant.

What gives? Well, a bit of alcohol and eating more of the foods I generally avoid, added up in a negative way. And even though it wasn’t excessive, it impacted my gut in a relatively short amount of time.

If this resonates with you, don’t despair. In 10 quick days, you can reverse course. More about that in a moment. Can’t wait? Join Me

In the meantime, here’s what you can do to support your gut for the rest of the summer…

5 WAYS TO PROTECT YOUR GUT IN THE SUMMER: 

→ RETHINK ALCOHOL – Summer typically equals an increase in cocktails. Get clear: How many drinks are you consuming daily. If you’re in good health, and at low risk for cancer, then alcohol in moderation is likely okay. What is moderation? A few social drinks a week. There’s no need to drink every day, afterall. Plan for them — wait for the rooftop get-together or the weekend summertime bash. And If you’re a beer drinker, switch! Beer contains gluten and can be bloating if you’re sensitive to it. Have you considered a mocktail? Take a look at my Blueberry Lime “Margarita” recipe. 

→ GET YOUR SLEEP – Long, summer days with evenings out often lead to burning the candle at both ends. When your sleep suffers, so does your gut. And don’t forget, many of your summer activities affect the quality of your sleep: drinking alcohol, consuming sugar, eating foods that don’t serve you, and even travel and activity stress can all cause sleep disturbances. And, sleep disturbances and stressors suppress your immune system, making you vulnerable to infections. Get your zzzzz’s!

→ SUPPORT YOUR GUT WITH APPROPRIATE SUPPLEMENTS – Now is not the time to leave your gut-loving supplements behind. In fact, now is the time to be vigilant. If you’re indulging in alcohol, eating foods that you generally avoid, you’ll want to make sure you’re protecting your gut microbiome and gut lining as best you can. My summer go-to’s are:

→ Probiotics – support and influence the bacteria that live in your digestive tract. Use a well-rounded, multi-strain product, and since it’s summer, opt for a shelf-stable, heat-resistant probiotic like this one: my favorite summer probiotic. 

→ L-Glutamine – this important amino acid will help support the integrity your digestive tract lining by shoring tight junctions and helping to prevent a leaky gut. You want this why? Because about 80% of your immune system lives in your digestive tract and your gut lining is imperative to keeping out invaders, such as viruses (yep, like COVID). Oh, and it’s relevant to add: Alcohol consumption puts your optimal gut health at risk. Alcohol can, in fact, increase gut permeability. Here’s the the L-Glutamine I use. 

→ EAT SUMMERY GUT-LOVING FOODS – Summer produce is here! Take advantage of it while you can. Make sure half of the food you eat everyday comes in the form of produce. Eat the rainbow – all the different colors offer a range of necessary phytonutrients. Plus, the fiber found in produce provides much needed food for your gut microbiome. Also consider adding some kimchi, sauerkraut and low-sugar kombucha. Some of my favorite summer foods are: berries (love them all!), herbs like basil and mint, as well as broccoli, cucumbers, snap peas, green beans, watermelon and peaches. 

→ REMEMBER TO HYDRATE & REPLACE ELECTROLYTES – Hydrate, hydrate, hydrate. You might think eight glasses of water is enough. Actually, the proper amount of fluid is half your body weight in ounces. So if you weigh 150 pounds, you’re aiming to consume 75 ounces of liquid. And for every hour you’re outside, add another 16 ounces of water. Yes, really. Since it’s hot and you’re likely sweating, you might consider adding electrolytes to your day. Many of my clients like Nuun. My personal fave is Ultima.  

Which brings me back to what you can do right now about summer bloating and digestive discomfort  … Join me for the 10-Day Summer ReBoot! We’ll bring down the bloat and make the remainder of your summer gut-happy. Learn More Now

Happy summer!

 

 

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. To learn more about Melissa’s coaching practice at Blum Center for Health, click here.