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10 Ways To Help Your Body Detox Right Now

Spring is in full bloom, summer is on the horizon and it’s time to give your body the boost it needs to once again feel vibrant, enthusiastic and energized! 

Living through more than a year of a global pandemic has taken a toll — whether you’ve suffered with being sick from COVID, the chronic elevated stress and anxiety of living through the pandemic and how it’s affected your family, or poor food choices from the altered reality that you’ve been living — you are left in need of a serious reboot.

This is the perfect time to give your body the nourishment it needs to support its innate ability to regenerate and thrive. To help you feel like you again.

If you’re like me, you might be feeling any of the following symptoms: sluggish, lack of clarity, chronic headaches, poor sleep, constipation, undesired weight gain.  If you do, your body is yelling out to you…it’s time to detox!

Even without COVID, most people encounter many toxins every day and these toxins are undermining their health and they don’t realize it!  Where do toxins come from?  Here are some examples:   

  • chemicals in the air
  • mercury in fish
  • medications and bacteria in the water supply
  • pesticides and herbicides in food
  • Hormones, antibiotics and herbicides in the animals we eat
  • even plastics from water bottles
  • And now let’s add hand sanitizers and antiviral cleaning chemicals to the list

Normally, your liver is in charge of helping rid the body of most toxins.  Here’s what happens when your body becomes overburdened with too many toxins for your liver to handle: 

  • Your immune system becomes compromised and your liver uses up your glutathione supply, not to mention many other nutrients, to process these toxins out. (FYI Glutathione is the mother of all detoxifying antioxidants, and helps prevent damage to your cells).  
  • Next, you get run down and become susceptible to infections and are at risk for developing disease, including viruses, like COVID. 
  • And if that’s not enough, your fat cells do a great job of storing toxins (ewww!) which results in excess weight.  

Supporting your liver with targeted nutrients so that it can do an amazing job lowering your toxin load is what detox is all about!  And then you feel better!  And the best way to begin is to focus on eating lots of liver loving food.

Detoxing is also about lifestyle — from what you eat (and don’t eat) to chemicals found in your home, hydration, sleep and self-care. It is synergistic, working together to reduce your toxin load. And, spring  is the perfect time to detox! 

10 Ways to Help Your Body Detox Right Now:

Eat only whole foods, avoiding food that is highly processed, void of essential nutrients and generally full of unwanted additives and chemicals. The Spring is here! Look for fresh produce at local farmers markets where food was recently harvested. It contains more nutrients and tastes delicious!  Liver loving food is rich in antioxidants, colorful whole foods, lots of fiber, dark leafy greens and cruciferous veggies!

Remove sugar from your diet. One of the most important things you can do for your health is to stop eating sugar. Sugar suppresses your immune system! And, sugar in all forms can be toxic for the body, putting you at risk for fatty liver, heart disease, obesity and diabetes. Stick with natural sugars found in fresh fruits or other whole foods, such as raw honey or pure maple syrup added in small quantities to a recipe.

Pay attention to your body and how it feels after eating certain foods. Consider a 3-week elimination diet from common allergens and/or inflammatory foods such as dairy, gluten, soy, sugar, alcohol. Each person responds differently to foods and not all foods that are considered “healthy” are right YOUR body. 

Eat an abundance of seasonal vegetables in your diet each day including a variety of colors.  Best picks for the Spring include cabbage, bok choy, broccoli, asparagus, collard greens, garlic, onions, and Swiss chard. Also, vegetables and fibrous fruits, such as berries, provide beneficial fiber, an important part of the elimination of excess waste in your body.

Hydrate! Drinking adequate water ensures good filtration of the kidneys, digestion, and bowel regularity. Eliminating waste in your body is vital to preventing toxic overload in your body. As a general rule, drink half your body weight (in pounds) as ounces. When exercising and in the warmer months, add more! Add fresh lemon and receive even more benefits for your liver. Consider a good water filtration system that uses a carbon filter.

Purge your home from harmful chemicals and environmental pollutants. Dump the harsh chemical cleaners and opt for a simple but effective solution of equal parts of water and vinegar. Be aware of harmful substances in your cosmetics and toiletries such as oxybenzone, parabens, and phthalates. Add an air purifier and/or a green plant.

Make time to unwind. Making time to rest in today’s fast paced world we often need to be reminded to do. Incorporate stress reduction each day, such as mindfulness, taking a 10-minute walk, reading, writing, listening to music — anything that slows you down and brings you into the here and now.  

Consider intermittent fasting. Intermittent fasting is generally considered a time period of caloric restriction such as 14-16 hours a day. When you “fast” it gives your body time to digest and ultimately deplete our glycogen stores (stored liver glucose). When this happens, your body looks for another source of energy to function. It turns to using your fat stores. This state, known as ketosis, results in the generation of new mitochondria, reduced insulin resistance and weight loss.

Sleep! Sleep! Sleep! Studies confirm that a lack of sleep correlates with a lack of concentration, weight gain, poor eating habits, as well as puts stress on your immune system. The best way to make sure you include adequate sleep each day is to plan it. Set a bedtime each day by shutting your electronics off at a certain hour while setting up a bedtime routine to help you unwind at the end of the day. Shoot for a minimum of 7-9 hours a night.

Be positive! Ever spend time around someone who’s energy is addictive? Being pessimistic is nonproductive, and bad for your health. Just be kind … to yourself, and others.

If you’re ready to jump into summer full of energy and optimism, if you want to recover from COVID — whether you had the virus, It’s time to detox! Consider joining me for our 14-Day Whole Life Detox. Two LIVE workshops, a private Facebook Group, all the materials and supplements you need plus me at your side every step of the way. We begin soon! 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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Fall Update on Supplement Usage During the Coronavirus Pandemic

As of 10.1.2020

By the team at Blum Center for Health:  Susan S. Blum, MD, MPH; Pamela Yee, MD; Elizabeth Greig MSN, FNP 

As the pandemic wears on and the seasons change, we find ourselves preparing for winter, a time when we will be back inside with less opportunity to see people, connect and socialize, as we might have been doing in warmer weather.  I can say that for me, I am not looking forward to this and am trying to stay focused on and appreciate this moment, when we have beautiful fall weather in the Northeast.  I encourage you all to spend as much time outdoors as possible while you still can!  Of course I am also making a commitment to myself to bundle up and still make myself go outside this winter…we will see!  

Since the pandemic began, I have been updating my recommendations for using supplements to support your immune system.  As time keeps marching on, and we prepare for month #8, and the likelihood of a surge in COVID during the winter months, I thought I would go back and update my supplement recommendations.  It’s really important that we step up our game and renew our vigilance for protecting ourselves from getting sick, and if we do get COVID, to have a mild course of illness and recover quickly.  From a Functional/Integrative medicine perspective, we continue to focus on nutrients and herbs that have been well studied, for their ability to support, modify or boost the immune system, or to fight viruses.  

**Please note that these recommendations are NOT medical advice.  Most are not safe for pregnant women, and if you are taking medication or have any serious health condition, please check with your doctor.

Immune Boosting Supplements 

These are generally safe for those with Autoimmune Conditions. For pregnancy check dosing with your doctor.  We recommend that you take Vitamins D and C now at a minimum, and add Vitamin A and NAC if you are exposed or get sick. 

  • Vitamin D: 5000 IU daily in absence of serum levels from blood test   
  • Vitamin C: 1-3 grams daily
  • N-Acetylcysteine (NAC): 600 – 900 mg twice/day (precursor for Glutathione (GSH), or can take GSH
  • Vitamin A: up to 10,000 – 25,000 IU/day (not safe for pregnancy)

We do not recommend the following supplements for those with Autoimmune Conditions or pregnancy.We recommend that you take 1 of the following at the recommended dose, or a blend that includes several of these, in which a lower dose of each are typically used:

  • Elderberry: 500 mg daily (of USP standard of 17% anthocyanosides)
  • Beta Glucans: 250 – 500 mg daily
  • Mushrooms: Shiitake, Lion’s mane, Maitake, Reishi. D Mushrooms: Shiitake, Lion’s mane, Maitake, Reishi. Dose depends on preparation
  • Astragalus: Dose depends on preparation
  • Echinacea: Dose depends on preparation
  • Andrographis: 200 mg/day

To make this easy for you, we added our favorite herbal blend to our store, called Immune Support. You can read more about it HERE.

Anti-Viral Supplements

These are generally safe for those with Autoimmune Conditions. For pregnancy, check dosing with your doctor.
We recommend that you take Zinc and add Quercetin if you are exposed or get sick:

  • Zinc: 30 – 60 mg daily in divided doses
  • Quercetin: 1 gram twice/day. Phytosome: 500 mg twice/day

At BlumHealthMD.com we offer our signature Antiviral Bundle, with all the supplements you need to keep your immune system strong, plus a Mediterranean Food Plan to follow! Check it out here.

Reduce Cytokine Storm

The illness caused by coronavirus, COVID-19, can cause a “runaway train” of inflammation in some people, causing terrible tissue and organ damage that can lead to the worst outcomes. This group of herbs and supplements appear effective in turning off this overactive immune response and helping bring the immune system back into balance. 

These are generally safe to use for those with Autoimmune Conditions. For pregnancy check dosing with your doctor.

We recommend that you choose a minimum of 1 of the following and add more if you get sick:

  • Curcumin: 500 – 1000 mg twice/day. Choose absorption enhanced.  
  • EGCG: 4 cups daily or 225 mg daily.
  • Resveratrol: 100 – 150 mg/day
  • Melatonin: 5-20 mg/day

Remember, you should also be focused on improving the functioning of your immune foundations.  Here are the things you should continue to do for risk reduction:

  • Good gut health: which means lots of beneficial bacteria. Take a probiotic every day with at least 20 billion cfu of mixed strains lactobacillus and bifidus species and join our 10-Day Spring HealMyGut Coaching Program
  • Balanced stress hormones: Get a good night’s sleep and don’t overwork yourself during flu season. Stress harms your ability to fight viruses.  Practice some form of mediation daily.  Melissa, Blum Center’s Health Coachwrote a great blog with tips for managing stress during this time. 
  • Eat foods that are good for your immune system: Avoid processed foods and focus on fruits and veggies that are rich in antioxidants and vitamins. Support the removal of toxins by eating lots of cruciferous veggies, which boost the detox system in your liver.

Sending prayers and good wishes for you and all of us to stay safe and well during this challenging time!

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It’s Flu Season – Is the Flu Shot Right for You

Every year, this is a common question I get asked from our patients and also submitted by the public on social media and online. This year it’s even more confusing and the answers aren’t easy for many with chronic illness or autoimmune conditions.  It doesn’t help that public health officials and the media are promoting the flu shot as a critical part of the fight against COVID-19.  The main concern is that people could get both illnesses at the same time, which would increase the risks of severe complications or death if this happened.  

However, let me just add a few words of calm into this storm.  First, if you are a high risk person and quarantining this winter, or at least being extremely cautious and wearing a mask and maintaining social distance guidelines when outside your home or your “quarantine bubble”, then you are unlikely to get either the flu or Covid.  The same measures you are doing not to get coronavirus will drastically reduce your likelihood of getting the flu.  

I think we need to continue to discuss the flu shot in the same context that I have talked about it for years.  In my opinion, all medical decisions should be based on comparing the risks vs. benefits of any medication or treatment for each individual person. This approach is called Personalized Medicine, and how we approach all treatment decisions through the lens of Functional Medicine at Blum Center for Health.  What is good for your friend might not be good for you.

IS THE FLU SHOT RIGHT FOR YOU?

In general I do recommend the flu shot, especially this year, for people who could likely become hospitalized or die from getting the flu: children, anyone over 65; those with pulmonary or respiratory diseases like asthma and emphysema; and people with any chronic illnesses like cancer or severe/life threatening illnesses.  And for those at high risk of becoming hospitalized or dying from COVID:  people with obesity, diabetes, high blood pressure, cardiovascular disease.  Also important to note, if you are a caretaker for the elderly or anyone at home who fits the criteria above, or if you are a parent to children living at home, these would be additional situations you need to keep in mind as accepted indications for receiving the influenza vaccination.  And this holds true for this winter, during the COVID pandemic.

However, on the flip side, some people with autoimmune conditions, or who take immune suppressing medications, should talk to their doctor before getting the shot.  The aluminum used as adjuvants, and the mercury used as preservatives, can cause side effects or flares for those with autoimmunity, and those on certain immune suppressing medication might not even become immune after getting the vaccine.  For you, it is a personalized decision and I cannot give you medical advice about that here.  But it might be that during this pandemic, your decision might be different than it usually is.

In either case, my approach is to help you build a strong immune foundation so that you don’t get sick from any virus. A strong immune system is the basis for staying healthy in general, and should be a year round strategy…not just during flu season. This is, by far, the best prevention and protection! 

Click here for more on supplement recommendations to strengthen your immune system.

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5 Ways to Protect Yourself From the Flu and COVID-19 This Fall and Winter

As we move into fall, many people are asking, “What is going to happen when COVID-19 meets influenza and the common cold? What can I do to protect myself?”  Beginning this fall we will have to deal with a flu season wrapped in a global pandemic. Many experts are expecting it to be the “perfect storm.” 

One thing we know for sure is that COVID-19 is deadly, and it does not seem to be seasonal. Remember in March when many people believed it would “die off” in the summer when actually it surged?

We can only expect that COVID-19 will complicate our upcoming flu season.

But, there are very tangible steps you can take to protect yourself.  We’ve got you covered!

This is exactly why Dr. Blum created Immune System Strong — an 8-week LIVE online course designed to fortify your immune system to fight viruses, like COVID-19, influenza and the common cold as we move into flu season Learn more here

5 Ways to Protect Yourself From the Flu and COVID-19 This Fall and Winter

The basics: As we move indoors it will be important to wear a mask in public places at all times, and wash your hands throughout the day. COVID, influenza and the common cold are all spread person to person through respiratory droplets — talking, coughing, sneezing — from contaminated surfaces and by direct touch. So come winter, you will be protecting yourself, and others, from not only COVID, but also influenza, pneumonia and the common cold. 

Make sure your immune system is functioning at its absolute best. Since over 75% of your immune system lives in your digestive tract, 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 get sick a lot, this is an absolute must-do. 

Eat an immune-boosting diet. 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.

Detoxify your body and your environment. 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. 

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. 

If you’re as concerned as I am about shoring up your immune system to protect yourself from infections like COVID-19, influenza and the common cold as we begin to move indoors, consider joining Dr. Blum and me for our new course — Immune System Strong. Four LIVE classes with Dr. Blum, 8 coaching calls with me, you’ll learn exactly what you need to do to fortify your immune system. We begin soon! 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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Your Autoimmune Disease and COVID-19

It’s September!  I don’t know about you, but this is usually this time of year I am preparing to buckle back down to work after a summer spent outdoors, with some of it on vacation. If you are raising school age or college kids, and this is usually back-to-school time.  

But, as we are in the midst of an infectious disease pandemic, these are not usual times. In fact, as we are preparing to move into fall, you might be struggling through and muddling along, coping with coronavirus and hoping not to get COVID-19, the illness that is caused by this virus.

But some of us worry more than others about what would happen if we get this virus.  I am thinking about all of my autoimmune patients, who have been writing and asking me very specific questions about how their autoimmunity might change their risk, and what to do about the supplements they should take to prevent the virus from making them very sick were they to be exposed.  I decided to write this blog to answer these questions all in one place.  For all of my autoimmune patients, clients, friends and family, this is dedicated to you!

Does my Autoimmune condition put me at a higher risk for getting very sick if I get COVID-19?

The most important thing to understand is that there are over 100 different autoimmune conditions and they are all different.  Thus, it is hard to answer this with a quick answer.  But there are some guidelines that you can follow:

FIRST: There is no evidence that your Autoimmune disease itself puts you at a higher risk for getting very sick with COVID-19.  The underlying imbalance in Autoimmunity, where the immune system is mis-directed and attacks your own body, hasn’t been identified as a risk factor. 

However, in studying the underlying mechanisms of autoimmunity in people with systemic rheumatological diseases like Lupus (SLE), Sjogren’s Syndrome, Scleroderma, Polymyositis among others, researchers have found that while part of the immune system is overactive, the lymphocytes that fight viruses might be underactive.  

Therefore, if you have one of these conditions, you might be at a higher risk of getting COVID if you are exposed.  But there are supplements you can take to boost this part of your immune system, and I will share that below. 

SECOND: If you have an Autoimmune condition, is that you might have secondary issues like weight gain, high blood pressure, or disease-specific issues, like increased risk for making blood clots, and other possible problems that would influence your risk.  To determine if your specific Autoimmune issue could be putting you at risk, you need to check with your doctor.

THIRD: If you are taking immunosuppressant medications to treat your condition, you are definitely at increased risk for getting sick because these medications can reduce your ability to fight the virus, and you should follow the strictest social distancing and mask wearing guidelines.  

That being said, never stop your medication on your own.  But it’s good to set out a goal for being able to stop.  First, meet with your doctor and see if you have any other options.  Second, from my perspective, using a Functional Medicine approach and treating the underlying issues like repairing the gut microbiome and reducing toxic load, it is possible to taper off medication as you feel better and your condition improves.  

If I get COVID-19, will my Autoimmune Disease get worse?

There is no information that I have read about people with Autoimmunity and what happens to their illness when they have COVID-19.  But based on medical logic and experience, my guess is that your current health issues are likely to flare and get worse if you were to get sick.  This might be triggered by the virus itself, but more likely from the widespread immune and inflammatory reaction the body mounts against the virus. If your Autoimmune disease is very active and you still have symptoms and are still struggling, consider yourself at high risk and practice stricter social distancing and mask wearing.

Which immune-boosting supplements are good for me and which one’s should I avoid?

I have a great Blog on supplements for boosting immunity to fight coronavirus.  You can read it HERE.  For this discussion, I want to zero in on the concerns of my patients with Autoimmunity.

GOOD FOR EVERYONE: First, here are the categories of supplements that are all completely safe for all of you, and my previous blog reviews the dosing:

  1. Antioxidants:  Vitamins A, C, Glutathione, NAC, Quercetin, EGCG
  2. Antiviral and Immunomodulators:  Zinc, Vitamin D
  3. Anti-inflammatory:  Fish oil, Curcumin.

See dosing  HERE.

IF YOU HAVE AN AUTOIMMUNE CONDITION: You need to choose supplements carefully.  The concern is that these are immune boosting, which means they stimulate an increase in your natural killer cells.  On one hand, this is a great thing for fighting viruses.  However, for some people with autoimmunity, this could conceivably make your condition worse, although this is a theoretical concern because there haven’t been any studies on this.  Therefore, I recommend you check with your health practitioner before taking these.

Immune Boosting Supplements:  take with caution

  1. Mushrooms:  maitake, reishi, shitake, beta glucan
  2. Astragalus and echinacea
  3. Elderberry and Andrographis

If you’d like to learn more about how to use supplements to protect yourself from viruses, like COVID-19, consider joining my new LIVE course, Immune System Strong, led personally by me! Learn More 

What can I do to reduce my risk of getting very sick with COVID-19?  

Let’s end this blog on a high note!  There is plenty you can do to improve your immune function and reduce your risk of getting sick with COVID.  These same steps will also help repair your immune system and reverse your Autoimmune condition.  My main focus as a Functional Medicine physician is on the foundations of a healthy immune system:  food, stress, gut health, toxin load, oxidative stress and inflammation. 

The popularity of these questions is exactly why I designed a new just-in-time, 8-week program called Immune System Strong to teach you in real time with verified, no-nonsense information on how to fortify your immune system to fight viruses, like COVID-19, as we move into winter flu season!  We begin soon! Learn More

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The #1 Thing You Can Do For Your Immune System Starting Today

So, let’s be real … with COVID still sweeping through communities, you might be wondering what you can do to protect yourself as we move into the flu and cold season. Yes, very soon, we will be moving indoors with closed windows and that begs the question, “How will I keep myself safe?”

With over 70% of your immune system living in your digestive tract (yes, that’s true!), it makes sense that the food you eat is the first stop in empowering your immune system to fight infections and keep you healthy. 

There are foods that are particularly good at boosting immunity, but the reality is the first order of business is to use “food as medicine” to reduce inflammation. Often when I talk with people about “reducing inflammation” their eyes glass over. It’s not easy to grasp.

Inflammation. When it’s on the outside, like arthritis, we can see it.  When it’s on the inside we can’t see it. And often we can’t even feel it. (Although I’ve heard so many times, “I didn’t realize I wasn’t supposed to feel that way.”) But if you get sick often, if you’ve taken lots of antibiotics in your life, if you’ve had stress or trauma, or if you eat inflammatory foods (like sugar) or the Modern American Diet, you’ve likely experienced inflammation. In fact, you’re likely inflamed right now.

Inflammation is when your immune system or other cells in your body release irritating chemicals that cause irritation on the inside.  Remember this is a normal process because this is how your body fights infections or an injury, and the inflammation resolves once the infection or injury is over.  

However, if high levels of these inflammatory chemicals are released continuously (which can happen if you are eating a lot of SUGAR), the normal functioning of your cells can be interrupted, and healthy tissue gets damaged, including your immune system. This is not so good-especially since more and more studies link inflammation in the body to many serious illnesses and conditions.

To make sure your immune system is in tip top shape, which will protect you from foreign invaders like COVID-19, influenza and the common cold, it’s important to avoid processed foods and eat an anti-inflammatory, antioxidant-rich diet, full of vegetables, fruits, cultured foods, healthy fats, planted-based proteins and minimal animal protein.  

If there’s only one diet change you choose to make it’s this: 

GET RID OF SUGAR TO REDUCE INFLAMMATION!

Sugar is inflammatory and suppresses your immune system. Sugar stimulates your immune cells to actively release inflammatory molecules that travel throughout your body causing damage and irritation. 

Avoid high glycemic foods like soda, white flour and processed sugar. When it comes to sugar, you always want to choose low-glycemic vs. high-glycemic foods. The glycemic index determines how quickly a particular food raises your blood sugar level. High blood sugar causes inflammation and damages your immune system, and puts you at risk for diabetes, high blood pressure, and cardiovascular disease. Any food processed with white sugar or white flour is high-glycemic and should be eliminated. That means bagels, breads, breakfast cereals, cakes, cookies, crackers, candy, and soda.

Avoid an over-focus on carbohydrates as the main source of calories for the day. Make your plate for lunch and dinner half vegetables — that’s a great start. Natural, unprocessed foods, like fruits, vegetables, legumes and whole grains provide health-promoting vitamins, minerals, fiber, and phytochemicals — all good for your immune system. Use rice and other grains like condiments.

Read the labels of everything that comes in a package. Food manufacturers are sneaky. They often add sugar (and a lot of sugar) to foods that need very little sugar. Yeah, I know our panels are in grams. Definitely annoying, but here’s what you need to know: We recommend keeping your added sugars at about 24 grams. And, 4 grams of sugar = 1 teaspoon. So, if that granola bar you love has 24 grams of sugar — that’s six teaspoons (and your allotment for the day).

Here are some substitution suggestions for common high glycemic foods: 

Do you like soda, fruit juice, sweetened drinks? Drink filtered water, herbal teas, mineral water, fruit-infused water.

Do you consume products with corn syrup, cane sugar, or any other added sugar (check your condiments!)? Try paleo ketchup, mustard, fancy vinegars, and herbs and spices, such as basil, cinnamon, cumin, dill, garlic, ginger, rosemary, tarragon, thyme, turmeric.

Do you eat dried fruit, frozen yogurt, ice cream, sorbet, cookies, candy or other sweets? Try coconut milk yogurt with your own fruit, dark chocolate covered almonds and carob.

Do you typically eat pretzels, potato chips, corn chips, cookies and crackers made from white flour, muffins, waffles, pancakes, popcorn or bagels? Switch to gluten-free whole grain cookies, gluten-free almond meal crackers with hummus or guacamole, nuts, seeds, fresh fruit. 

P.S. If you’re as concerned as I am about shoring up your immune system to protect yourself from infections like COVID-19, influenza and the common cold as we begin to move indoors, consider joining Dr. Blum and I for our new course — Immune System Strong. Four LIVE classes with Dr. Blum, 8 coaching calls with me, you’ll learn exactly what you need to do to fortify your immune system. We begin soon!

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 Never Ending COVID-19 Summer and What to Expect This Fall

It’s been a while since I wrote or spoke on the Public Health issues with COVID-19 swirling around us.  When the pandemic started I held open live office hours every Friday for about 8 weeks to answer your questions, and to share my Public Health expertise to make sense out of what we were going through collectively. 

As our long summer days at home (and hopefully outside, too) come to an end, I feel the need once again to provide information and to offer my view of where we are and what to expect as we are now moving into the fall.

THE GREAT MASK DEBATE

Public health is the understanding that decisions need to be made by the government to protect the health of the public — with the known understanding, and acceptance, that these laws or rules can infringe on someone’s personal liberties. The idea is that individual people need to sacrifice some personal liberties for the sake of the community.  

Public health has always been the place where there has historically been tension between individual rights and the collective.  And nowhere has this been on grand display but in the United States for the past few months and the great debate over whether it’s ok to make people wear masks. 

While in many places in our Country you are seeing a shift toward individual sacrifice for the greater good, not everyone feels this way. I am not saying this to make a political statement, but to point out this has always been understood as a classic public health dilemma, and we are seeing it play out right before our eyes.  

Evidence continues to mount every day proving that wearing a mask slows the virus spread, and my hope is that this battle will finally end.  We seem to be moving in the right direction.  But the battle lines have already been drawn, and I expect other public health initiatives (like vaccines) to be met with resistance in many parts of the country.  Our country’s internal war has added to the stress and burden that we all carry during the pandemic.

WHEN WILL COVID-19 END?

I am not terribly optimistic. Get used to your current living situation, or make plans for the winter now, because I predict we will be living like this until Spring 2021.  Here are the various ways we will get out of the pandemic, with my rating of the likelihood of each one:

COVID-19 VACCINE

We still don’t know how long immunity lasts, which means that even if we get a vaccine, we don’t know how long it will protect you. Any early vaccines will be fought over between all the countries of the world, and in our country, it will be doled out, based on who-knows-what formula. Which means that I wouldn’t expect the general public to have anything until next spring. Which suits me just fine, because I wouldn’t recommend being the first guinea pigs to get the vaccine for the first few months anyway!  

Bottom line: Don’t count on the vaccine to save you this winter.  Hopefully there will be available vaccines that work by the spring. And…be prepared for the possibility that no vaccines will work.

BETTER COVID-19 TREATMENT 

Some promising drugs are out there, but there hasn’t been a centralized effort to get enough doses produced to distribute to everyone. Remdesivir is a good example of a drug that has been shown to work in hospitalized people to reduce virus load and decrease hospital stay.  It has been distributed to only some hospitals, and even those hospitals are now running out. Everyone is fighting for a share of the limited supply.  Without a national response, treatment is hodge-podge depending on what hospital you go to, and which state you are in.  And there is the issue of affordability now that the drug company is charging full cost going forward. This in my opinion has been a disaster.  I think we won’t get this organized until there is national leadership on this issue.  

There are some interesting new treatments in the pipeline, but I don’t expect we will see them before the winter if they even prove effective.

Here’s one:

https://www.scientificamerican.com/article/costa-rica-readies-horse-antibodies-for-trials-as-an-inexpensive-covid-19-therapy/

And this one I think is really interesting:

https://www.ucsf.edu/news/2020/08/418241/aeronabs-promise-powerful-inhalable-protection-against-covid-19

Bottom line: Don’t count on life going back to normal again this winter based on the treatments that we have so far.

HERD IMMUNITY 

Think of herd immunity as something that happens when the virus runs its course through a population.  It keeps going until it infects enough people and then fizzles out because there aren’t enough uninfected people to keep it burning.  Public health dogma has always been that at least 50% of people need to be infected for this to happen, and we are far away from this number.  Unless there is a drastic change in our approach or some big medical breakthrough (which would be GREAT), this virus will continue like a forest fire that will keep burning until it’s done.  If this is the scenario, then we will all be home perhaps longer than next spring.  

HOWEVER, cases have started leveling off in our country (probably due to more widespread mask wearing and social distancing) and some areas are doing well, like here in NY.  I am wondering if the virus might also be slowing down in some areas (like NY) because there is more immunity in the community then we think, and/or that herd immunity is being reached sooner than we expected in areas that saw the worst outbreaks. These are intriguing ideas and I am hoping these are true!  

Bottom line:  Even if there are pockets of immunity to the virus, most areas are still very susceptible and this fire will continue to burn well through the winter.

BEST CASE COVID-19 SCENARIOS

OK, now that I’ve been a real downer, I will end this blog by sharing what I hope will happen.  This is the information you should be looking for in the news to give you some optimism.  

Here is what to pray for every day:

  1. Antibodies to the Coronavirus last at least 1 year after infection or vaccine, and protects you from reinfection.  This is a requirement for almost everything else to work!  
  2. A mutation in the virus makes it less deadly (this is the one that I pray for the hardest because it doesn’t rely on humans to figure out the solution).  I think there is a fairly good chance this might happen.
  3. Herd immunity happens much sooner than anyone thinks.  Some new mathematical models suggest for this virus, it could be 20-30% of the population instead of 50-60%.  This would mean the forest fire would still rage unchecked for months, but self-extinguish sooner.  There are signs this might be happening!
  4. The people in our country unify around best public health practices to slow the spread and save lives. I pray that our internal war on Public Health will end.

WHAT YOU CAN DO TO BOOST YOUR IMMUNE SYSTEM

It is frustrating to have such little control over the world around us. But you can feel more empowered if you take control over your own health. Making sure your immune system is primed and ready to go, just in case it encounters the coronavirus, should be your number one job during the pandemic.  

I have written before in previous blogs about supplements, but my main focus as a Functional Medicine physician is on the foundations of a healthy immune system:  food, stress, gut health, toxin load, oxidative stress and inflammation.   If you haven’t read my book on this topic, The Immune System Recovery Plan, what are you waiting for?!  

I have a lot more great info coming out in the next weeks and months on this topic.  To start, check out my FREE 3-part video series!  How To Boost Your Immunity and Resiliency to Viruses: DOWNLOAD FREE NOW

Keep your eyes peeled for my 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!

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Tips for Boosting Your Immunity

My anti-viral approach is to help you build a strong immune foundation so that you boost your immunity and don’t get sick from any virus. A strong immune system is the basis for staying healthy in general and should be a year-round strategy…not just during flu season or when there is a threat of a novel previously unknown virus. This is, by far, the best prevention and protection!

Good gut health: which means lots of beneficial bacteria. Take a probiotic every day with at least 20 billion cfu of mixed strains lactobacillus and bifidus species. If you are taking antacids or proton pump inhibitors -stop- because this alters your gut flora in a negative way.

Balanced stress hormones: Get a good night’s sleep to boost your immunity and don’t overwork yourself during flu season. Stress harms your ability to fight viruses.

Eat foods that are good for your immune system: Avoid processed foods and focus on fruits and veggies that are rich in antioxidants and vitamins. Support the removal of toxins by eating lots of cruciferous veggies, which boost the detox system in your liver.

Take your vitamins! Here are some important ones you will need:

a. Vitamin D 2000 iu/day minimum. The dose is based on your blood levels, so if you havelow vitamin D you will need more.

b. Vitamin A retinyl palmitate 5000 iu/day. If you are pregnant or nursing, do not take morethan 5000 iu/day of this kind of Vitamin A (retinyl palmitate).

c. Zinc 30 mg/day.

d. Vitamin C 3-4000 mg/day as an immune booster. 1-2000 mg/day is good for general prevention.

Additional supplements to consider to boost your immunity:

a. N-Acetylcysteine (NAC):  One of my favorites for preventing cold and flu. NAC is widely used in the medical community for a number of conditions , and has terrific clinical data that shows it to be helpful for patients with chronic respiratory illnesses ( and so it is very useful for support treating respiratory viral illnesses). It also converts to Glutathione, the body’s most powerful antioxidant.  I usually recommend 900 milligram capsules or tablets – start with one twice daily and increase to two twice daily if needed. Pharmanac, a Canadian brand that comes in an effervescent form is easy to take as a fizzy drink – even for children!

b. Whey Protein Powder is high in immunoglobulins that boost your immune system. For a non-dairy alternative, try SBI Protect powder from Orthomolecular, packed with immunoglobulins

c. Herbs like Elderberry, Echinacea, Astragalus, and Beta Glucan (mushroom extracts). We love Immunoberry Liquid from Designs for Health, which is a potent and convenient blend of these. 1 dropper each day in your shake, or in a little water, is all you need for ongoing protection. We also love Immune Builder from Mushroom Science: 2 daily for prevention. Both of these supplement doses can be doubled or tripled if you are concerned that you had exposure or feel you have early symptoms of a viral illness.

Lastly, make sure to wash your hands multiple times a day — especially before you eat, and after exposure to public transportation like riding the subway.

 

Check out my FREE 3-part video series! Last month I led live classes on the immune system and I’m happy to share with you the three videos:  How To Boost Your Immunity and Resiliency to Viruses: DOWNLOAD FREE NOW

The items listed are available for purchase from our office, or from our online store:

https://us.fullscript.com/welcome/blumcenter

 

Susan Blum, MD, MPH an Assistant Clinical Professor in the Department of Preventive Medicine at the Icahn School of Medicine at Mount Sinai, has been treating, healing and preventing chronic diseases for nearly two decades. A Preventive Medicine and Chronic Disease Specialist, Dr. Blum is the Founder and Director of Blum Center for Health in Rye Brook, New York, where she leads a multi-specialty team of physicians, nurse practitioners, nutritionists and health coaches, all providing cutting edge Functional and Integrative Medicine services.

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6 Signs You Found the Right Detox!

Truth #1: The beauty industry and its celebrity trendsetters have corrupted “detox.”  They’ve led you to believe that you must starve yourself, advocating extreme, medically-unsound programs that promise weight loss, beautiful skin and liver detoxification. They’ve built a $5 billion industry through marketing, Instagram and bad nutrition.

Truth #2: A real detox — a medically-sound, healthy, safe detox — reduces your body’s toxic load with targeted nutrients to help your liver effectively do its job. A proper detox includes real food. Detoxification does not include starvation.

Why You Need to Detox

Clearing toxins out of your body is critical for preventing illness and reversing chronic conditions like heart disease, diabetes, autoimmune diseases, and cancer.

We live in a world filled with toxins: With over 8,000 chemicals in circulation in the environment, we need to detox. Otherwise, your liver pathways get jammed, become overburdened, and toxins can accumulate in tissues and fat cells. You may not realize that this accumulation is making you feel crappy!

It does not matter how vigilant you are, you are exposed to chemicals in your food, your water, your home, your clothes, your furniture, your cosmetics, your personal care products, and even the gas you put in your car.

Signs You Are Carrying a Toxic Load:

  • You have difficulty losing weight.
  • You constantly feel tired.
  • You experience achiness in your joints.
  • You experience brain fog.
  • You suffer with headaches.
  • You experience mood swings.
  • You feel heavy in your body and in your mind.

A good detox program can lead to a reversal of these symptoms, and protect you against disease.

That is why we offer our 14-Day Whole Life Detox at Blum Center for Health every spring! In-person only (don’t worry we will be offering an online class in June!) I will be co-teaching with Dr. Blum! That’s right, Dr. Blum is leading our first session. Live in the neighborhood? Get more info here >>> https://clients.mindbodyonline.com/asp/main_enroll.asp?fl=true&tabID=103.

Top 6 Reasons You Need to Detox

Remove toxins from the body — Toxins are stored throughout your body — in your fat, bones, tissues, cells and even your brain. Long-term exposure can affect your immune system (autoimmune disease, anyone?), metabolism (trouble losing weight, anyone?), behavior and mood (depression and anxiety, anyone?) and can lead to disease (hello, cancer).  

Improve immune system function — When your immune system is compromised, you are vulnerable to colds and flus, and perhaps most importantly, toxins can trigger autoimmune disease. A healthy immune system helps protect you from autoimmune conditions, and fortifies you against viral and bacterial infections.

Improve your health — Depression, anxiety, joint pain, sluggishness, sleep disorders, brain fog and the inability to lose weight can bring you down. You must reduce your toxic load to help your body function at its best.

Increase energy and promote mental clarity — You will experience an increase in energy, and an uplift in mental clarity. Many people report clearer thinking and the ability to deal with stressors more easily.

Lose weight — Detoxing helps rid the body of toxins stored in fat cells, and revs your metabolism to jumpstart weight loss.

Improve skin quality — This is one of the benefits the beauty industry has hung its hat on. But, beyond reducing acne, and giving skin a natural glow, detoxing with antioxidant rich foods reduces the toxins that promote premature aging. It can also help clear psoriasis and eczema.

 

If you live near Blum Center, consider joining Dr. Blum and me for our 14-Day Whole Life Detox Group Program, a healthy, safe jumpstart to reduce your toxic load, promote weight loss and bring balance back to your body. Dr. Blum kicks us off on Monday, April 29th at 6:30pm. Space is limited. Join Now

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.

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5 Truths and 5 Myths about the Common Cold

Ready or not, cold and flu season is on its way!

Take this quiz with Blum Center for Health’s resident Integrative ENT, Dr Sezelle Gereau, and test your knowledge about the health of your nose and sinuses.

True or False:

  1. Allergies, colds and sinusitis are all manifestations of immune dysfunction.
  2. If you have a cold for more than 7 days, it’s a sinus infection.
  3. 3 sinus infections in a year, which last 1 month each, means you have chronic sinusitis.
  4. Green or brown nasal secretions means it’s time for antibiotics.
  5. True immune deficiencies are rare.
  6. Saline spray in a can or squeeze bottle is inferior to a neti pot.
  7. Food allergies can give you nasal symptoms.
  8. Taking Vitamin D on a regular basis can help prevent recurrent colds.
  9. Viruses cause most recurrent colds or sinus infections.
  10. Your gut is responsible for recurrent colds.

By the way, if you are constantly dealing with colds, flu, sinus infections or allergies, you’ll want to check out Dr. Blum’s new LIVE course, The Immune Recovery Challenge! It’s a group program specifically designed to help you heal your immune system. Check it out

Answers:

  1. Allergies, colds and sinusitis are all manifestations of immune dysfunction.

TRUE

Upper respiratory infections and sinusitis are not the only ways the body demonstrates that the immune system is not working well.  Allergies are in and of themselves a way that your body is telling you that something is awry with the immune system. One way to think about this is that instead of being “weak”, and not mounting enough of a response to pathogens, your immune system is “too strong” and fires to all the wrong triggers.  Techniques for getting the immune system in better balance work for all 3 issues.

  1. If you have a cold for more than 7 days, it’s a sinus infection.

FALSE

Colds usually resolve in seven to 10 days, but some can last for up to three weeks. The average duration of cough is 18 days¹, and in some cases, people develop a post-viral cough which can linger after the infection is gone.

  1. Three sinus infections in a year, which last 1 month each means you have chronic sinusitis.

FALSE

Chronic sinusitis is defined as chronic sinus infections that last 8 weeks or longer, and/or occur 4 or more times a year.² The Center for Disease Control actually advises patients to see their practitioner for symptoms that continue to worsen or do not improve within 10 days.

  1. Green or brown nasal secretions means it’s time for antibiotics.

FALSE

Hmmmmm….not necessarily!  But the following signs are common with sinusitis vs the common cold:

  • Headache
  • Stuffy or runny nose
  • Loss of the sense of smell
  • Facial pain or pressure, especially only on one side
  • Postnasal drip (mucus drips down the throat from the nose)
  • Sore throat
  • Fever
  • Coughing
  • Fatigue (being tired)
  • Bad breath

Remember, even if it is sinusitis, you might not require antibiotics.  In my office I often perform a nasal endoscopy and a nasal culture to help differentiate a simple cold from allergies or a sinus infection.  

  1.  True immune deficiencies are rare.

FALSE

Immune deficiencies are more common than previously thought – almost 1% of people have them.  If you are suspected of having an immune deficiency, and referred to a specialist for a work up, your chances of having one are more than 64%. ³ But for many doctors, it’s much easier to give you yet another prescription for antibiotics for your sinus infection than to take a hard, long look at what might be causing the issue in the first place.

  1. Saline spray in a can or squeeze bottle is inferior to a Neti pot

FALSE

Patients should use whichever method of delivery they prefer.  There’s lots of data to show that nasal washing is important to shorten the course of a cold or sinus infection.

  1. Food allergies can give you nasal symptoms.

TRUE

Food allergies and sensitivities can sometimes cause nasal congestion and post nasal drip. But more commonly those symptoms come from environmental allergies.  Furthermore, less than 10% of the general population have food allergies, but up to 40% of the general population have environmental allergies – dust being the most common.  So, start first with allergy testing for things in the environment – then discuss with your doctor if foods might be causing the issue.

  1. Taking Vitamin D on a regular basis can help prevent recurrent colds.

TRUE

Even if your Vitamin D levels are in the low normal range, they might not be high enough to help ward off infections.  For anyone who is experiencing recurrent infections, I recommend supplementation with Vitamin D in the winter months. Taking Vitamin K2 along with this can help with the absorption of the Vitamin D.

  1.  Viruses cause most recurrent colds or sinus infections.

TRUE

Nine out of 10 cases of sinusitis and upper respiratory infection in adults and 5/7 cases in children are caused by viruses.² So antibiotics won’t work.  What does work are techniques such as good hand washing, staying home when sick and keeping your immune system at its best with proper diet and supplements.

      10.Your gut is responsible for recurrent colds.  

TRUE

The vast majority of the immune system lies in the gut. So, directly or  indirectly it plays a key role in all immune issues. Nearly everyone who struggles with recurrent colds has a gut microbiome that is out of balance. A leaky gut, also called increased intestinal permeability, is associated with chronic illness,, and research has made it clear that to repair the immune system and reduce inflammation, you must heal the leaky gut. We repair the gut through food, proven, scientifically-supported antimicrobial supplements and building resilience to life’s stressors.

How We Can Help You Improve Your Immune System

“Do It With Us” with Dr. Blum! Yes, that’s right! Dr. Blum’s new LIVE course, The Immune Recovery Challenge is open! The Immune Recovery Challenge is the step-by-step companion to Dr. Blum’s bestselling book, The Immune System Recovery Plan. During the course, you will follow the 4-Step Immune System Recovery Plan together with Dr. Blum, using video and live coaching. It’s devoted to your HEALTH TRANSFORMATION! Get the Info

If you want personal one-to-one treatment, come to Blum Center for Health. People travel from around the world to meet with our practitioners. You’ll meet with your practitioner for an hour and a half, meet with our Functional Medicine Nutritionist, and receive your first treatment plan. Get More Info

 

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 allergies, chronic sinusitis, sleep apnea and headaches. She is one of the few physicians in the New York City metro area certified to prescribe sublingual immunotherapy drops (SLIT) instead of allergy shots.

 

Resources:
  1. Ebell, M. H.; Lundgren, J.; Youngpairoj, S. (Jan–Feb 2013). “How long does a cough last? Comparing patients’ expectations with data from a systematic review of the literature”. Annals of Family Medicine. 11 (1): 5–13.
  2. https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/sinus-infection.html
  3. https://www.amjmed.com/article/S0002-9343(12)00274-4/pdf