Categories
covid-19

A Disturbing Number of People Think Coronavirus Is Related to Corona Beer

Last Tuesday, the GoogleTrends Twitter account noted that worldwide search interest for “coronavirus symptoms” had increased by 1,050% compared to the week before. It also listed the top five related searches during the previous 24 hours, which included things like “how to prevent coronavirus” and “how does coronavirus spread.”

But despite a seemingly global attempt to get Dr. Google’s opinion on what we should and should not be doing in order to avoid the virus, another popular Google search illustrates that we’re also surrounded by very, very confused people.

BoingBoing discovered that in the past few days, there has also been a spike in searches for “corona beer virus,” because apparently people are under the impression that coronavirus, also known as nCoV, has something to do with Corona brand beer, also known as the reason college-aged you screamed “ONLY GOD CAN JUDGE ME” after throwing during an otherwise chill game of beach volleyball.

The searches have been prevalent in North America (but not in Mexico, where the beer is produced) and western Europe (we see you, Finland), as well as in Australia, India, Indonesia, Japan, and New Zealand.

It’s disappointing that this needs to be written, but the only thing that Corona beer and nCoV have in common is the origin of their names. In Latin, corōna meant ‘crown,’ and modern languages continue to reflect that; ‘corona’ still translates to crown in modern Catalan, Spanish, and Italian, among others.

Coronaviruses were named because of the crown-like spikes on its surface, and anyone who has ever peeled the label off a bottle of Corona Light has noticed the crown that sits on top of its “La Cerveza Mas Fina” slogan. The drinkable Corona does predate the virus, though: Corona was first brewed in 1925, while human coronaviruses were not identified until 1965.

Perhaps unsurprisingly, conflating a respiratory virus with a brand of beer isn’t the dumbest piece of misinformation that has appeared on the internet. The Daily Beast reports that the conspiracy purveyors at QAnon are suggesting that the best way to protect yourself from coronavirus is by drinking bleach. In both tweets and videos, QAnon associates have suggested that their followers should purchase and consume a product called Miracle Mineral Solution, Miracle Mineral Supplement, or simply MMS.

“I’m going to have to get home, and MMS the whole state,” the outlet quoted QAnon promoter Jordan Sather as saying during a recent video. “MMS the whole shit out of everything.” There are a number of problems with that, including the fact that MMS is made with an industrial bleaching agent.

Last summer, the FDA issued a warning against drinking MMS and other products that contain sodium chlorite and chlorine dioxide. “The FDA has received reports of consumers who have suffered from severe vomiting, severe diarrhea, life-threatening low blood pressure caused by dehydration, and acute liver failure after drinking these products,” the agency wrote at the time.

As a society, we really need help. Google that.

This content was originally published here.

Categories
functional medicine

Dr. Rick Henrickson on Concierge Functional Medicine for Families

My guest Dr. Rick Henriksen is a concierge medicine doctor with SteadyMD, my favorite online source of health care for our family. Dr. Rick is also Whole 30 founder Melissa Urban’s personal physician, which means he has an in-depth understanding of how diet affects health and a functional medicine approach to solving health problems.

Before coming to SteadyMD, Dr. Rick served on the faculty of the University of Utah’s School of Medicine. He also holds a master’s degree in Public Policy in the area of health. We’re going to dive deep into the state of health care today and why concierge medicine was the right way for him to move forward.

Episode Highlights With Dr. Rick Henriksen

What questions do you have for Dr. Rick? Please let us know by dropping a comment below or leave us a review on iTunes to let us know. We value knowing what you think and this helps other moms find the podcast as well.

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Katie: Hello and welcome to the Wellness Mama Podcast. I’m Katie from wellnessmama.com and I’m here today with Dr. Rick Henrikson, who is a Board Certified Family Physician at SteadyMD and he treats, educates and counsels patients online using an integrative approach to health and wellness called concierges medicine. It’s what my family uses and we talk a little about that today. But we also talk about how he uses the principals of ancestral health, functional medicine and other modalities to improve long term health and whole body wellness in his patients and their families. He’s a Whole 30 certified Coach and the personal doctor to Whole 30 CEO, Melissa Hartwig-urban. Dr. Henrikson is currently accepting limited number of patients through SteadyMD and the link to find out more about that is in this podcast. But I think you will enjoy this pretty wide ranging podcast where we cover functional medicine for families, how to reduce stress in a practical and tangible way (and not just take a deep breath) and many other different topics that may be very relevant and tangible to your health. Dr. Rick, welcome and thanks for being here.

Dr. Rick: My pleasure. Thanks for having me.

Katie: I am excited to chat with you. As I mentioned in the intro, you are a concierge medicine doctor with SteadyMD and you are also Melissa Urban’s personal physician, which means that you have an understanding of Whole30 and functional medicine and are a great resource for families. I would love to start off by hearing your story. How did you get to this point? Because I feel like while I am a huge fan and use concierge medicine, it’s not a super common thing right now so I’m always love to hear the journey that got someone there.

Dr. Rick: Yeah, that’s a great question to start with. And it almost comes into two different things because there’s one like, “How did I get into functional medicine “and then “How did I decide to go into more of a membership base or concierge type medicine.” So they dovetail a little bit and they go together, but at the same time they’re a little bit separate. So I’ll start with the, “How did I get into concierge medicine or this membership-based practice?” So that actually starts in my previous job, I was on faculty at the University of Utah in their School of Medicine. I taught medical students and residents. And I actually have a background in Health Policy. I have a master’s degree in Public Policy. And so part of my main focus of my teaching was teaching Health Policy.

And I was teaching students, I was teaching residents on all about these new ways to pay for healthcare, different payment models. And it was always this theoretical process of, in the future maybe we could change and we can have these different ways of doing which are much better. And then finally I just got fed up and I was tired of doing a model and being in a model that wasn’t making me happy, that wasn’t making my patients happy, that wasn’t helping out anybody. I was like, “We’ve got to change.” So that’s when I decided to like take the leap, leave my very nice, very comfortable life and decided to open up my own practice and joined SteadyMD and to get into more of this concierge, very patient-centered focus that also is great for physicians. So that’s really kind of a nutshell. That’s how I went from a very traditional academic practice that I never wanted to leave to being unhappy, super stressed to then joining this new wave of physicians.

Katie: Yeah. And from the patient side I’ll say it’s been amazing for me as well. For anyone who’s not familiar with the concept, basically, you could probably explain it better than I could, but a doctor’s allowed to have many, a lot fewer patients and to give them a lot more one-on-one attention and it’s basically through concierge medicine, because you have doctors that you’re paired with that you can reach out to when you need them, you don’t have to go into an office visit. For me, it’s actually been financially really beneficial as well. I end up paying less, especially with the family. But can you speak to that from the doctor’s side of just how that reduces your patient load and let you give more attention to each of your patients?

Dr. Rick: Yeah, absolutely. So in the traditional insurance or fee-for-service model, a patient when they go see the doctor, they pay a certain flat fee or the insurance pays it for them. And so the doctors then… They don’t get paid outside of that. They don’t get paid generally for doing emails or for phone calls. And it’s only when a patient comes into your office that you get paid. And so the incentive for the doctor’s like, “Oh, I got to get patients to come in.” So the more patients you get in, the shorter your visits are, the more the doctor can then make a living. And so, really does not serve the patient well at all because then you have 5, 10-minute visits. You don’t still have time to go on any root cause analysis. And so on the opposite side of that is this memberships, almost like thinking of a gym membership for your doctor. You paid this multi membership fee, you go in or you have access to your doctor as needed, right?

And so it changes the nature of that relationship instead of having… When I was in a full practice or family doctors that are in the traditional model, we’ll have anywhere from 1,600 patients to 2,400 patients, so large number. When you reduce that down to doing a more of a membership base or concierge-based practice, you can have 400 to 600 patients. So you have fewer numbers of patients that you’re helping them on a deeper level because they have access to you outside of the visit. Oftentimes, you know, my patients, like you said, they can text me through the app. Take care of things that aren’t necessarily actually in the visit because when I get paid it’s based on that monthly amount number of patients I have. And so my goal is to make and help my patients to be healthy and happy long term so they stay my patients, so that I can get a set amount and a salary’s month. But also, I don’t necessarily just have to have a visit in order to get paid. So changes the way that I deliver care. I reach out, I do things that a doctor in a different system wouldn’t necessarily do and we can be more proactive and I can send messages, I can call my patients on their birthdays, things that like that I can do that would normally not get paid for. But because I am getting paid on a monthly salary more so it allows me to really dig in and to help families and patients out more on individual level.

Katie: Yeah, absolutely. It makes so much sense and it’s been amazing for us with eight of us in my family, whenever there’s something with the kids, I can text or video chat and it’s just so much quicker process and the doctor already knows our medical history. So there it just saves so much time. It saves the office visit and it saves money and, like you said, you check in with your patients. I think that’s the other beauty of it is because there’s no time constraints, you’re able to just have a lot more time and more focus with your patients. And I know that you also take more of a holistic functional medicine type approach with your patients. So I love, especially for families to hear a little bit about your approach. When you on board a new patient or a new family, what are some of the things that you look at specifically if they’re wanting just to improve health in general? Maybe they don’t have a specific health concern. What are some of the markers that you consider important to look at?

Dr. Rick: Yeah, sure. So when we’re looking at families, first off, I look at my own family and see what’s real life. And so I think that’s where my friends and families or friends in my family are doing the same things that my patients are. And so I have that frame to be able to say, “Okay, what is going on there?” And then also know as a physician, I know my patients really well and their families really well. So in that first visit, I really make sure I get to know their backgrounds. “So what is it that is making them or their life? How are they ticking? What’s going on?” And so in my first visit I spend so much time on sleep, stress management, nutrition, exercise, other fitness components. My patients always want to jump in. They’re like, “I have this problem,” they make a list. And they have like a thousand problems. I’m like, “Wait, wait, wait, hold on. Let’s go into the foundation first and make sure that I understand where you’re coming from. Because when you have Hashimoto’s or when you have a gluten intolerance or something’s going on, if I don’t have that other foundational piece, if I don’t understand that, then we’re missing out.” And so I always start there because I think for a lot of folks that are looking for solutions, sometimes easiest solutions are the ones that we all know, right? And so my patients know they need to be sleeping more, they know a lot of these things. Sometimes they’re just not implemented very well. And so making sure we’re staying focused on those before we jump into the more intricate detailed root cause of why they have Hashimoto’s or what is it about their chronic fatigue.

And so, that’s a step one that I would say. And then step two is then giving my patients the license for self-compassion. I think a lot of my patients and families come in and moms and dads are super stressed, and their kids are sick, or they’re sick, and they have so much stress and anxiety and they feel like failures. So number two, always self-compassion for making sure that my patients know, “This isn’t your fault. It’s not because you’re a bad person that you’re unhealthy. It’s not because of these issues, but this is just the way that life took you. And whether that’s an internal cosmos or whatever it is, or genetics or… This is where you are now. And having compassion for what you’ve been through, I think is also, for me, is step number two in that process.”

Katie: Yeah, absolutely. That’s such an important step.

Dr. Rick: Yeah, so then after that, step three then is really looking, “Okay, so then what do we do?” And then it’s looking at, “Do we need to get some more advanced testing?” Obviously, I look at what’s happened in the past. What’s testing has been done. And a lot of my patients that come in, they have 10 or 15 different pages of labs that they’ve done in the last few years. And so a lot of times they don’t actually need any more testing, but some patients do need to start there and we need to look at that. But sometimes they just need another set of eyes. If somebody’s looking at the data, maybe they’ve had that ordered on their own, which happens a lot. Or they ordered it with a provider that wasn’t necessarily super keen on understanding how those results work.

And so taking time to be able to look into some of those results and then really coming up with a plan, then for that patient to then undertake. So whether that’s changing lifestyle issues like nutrition, sleep, etc. Or doing some herbal treatments or doing some other type of medical treatment and then waiting for the patient to do it. I think that the next step four is being patient. And that’s what’s really hard I think for patients and families is that, we have a plan in place, we’ve got to give it a shot and changes in our body don’t happen overnight. So we’re talking four, six weeks at least to give something an option. And then after that time, we regroup. And this is where I love the model of concierge through SteadyMD, is that I love having that ability to then regroup.

So, and whether that’s through a text message or short time, but we can regroup easily, we can have that model. I already know what’s going on and we see like, “Is this working? Is our treatment happening? Do we need to be more patient? Or do we need to make changes?” And that’s the flow that you would see in a general structure with our patients at SteadyMD is assessing, coming up with a plan, having patients reassessing. And that side going through those cycles over the course of a year or so can really make some long-term changes.

Katie: For sure. And I think that’s an important thing to keep in mind as well is that. Like you said, these are long-term changes. I know that’s been my experience having Hashimoto’s and working through that over the last about eight years is, change is absolutely possible, but it’s not possible overnight. And I think that’s true with almost any health conditions. Certainly, someone has celiac disease and they remove gluten, they might notice a difference very quickly, but you’re not going to resolve any health condition overnight. So I’m curious with your patients and now being able to have this deeper relationship with them. What are some of the more common things, the more common issues that you’re seeing in the families and patients you work with?

Dr. Rick: Yeah. So number one would be gut issues for me. So I have a large number of patients that come in specifically for it. They have gut issues or it’s something that’s underlying that they didn’t necessarily think about, so easily that’s the number one thing that people are doing with us. The things that I think are a lot of people think are common are having loose stools and constipation that are super common. So a lot of times my patients will come in and they think that that’s normal. And then I’m like, “No, that’s not normal to have. It’s not normal to have diarrhea a few times a day. We’ve got see what’s going on under the hood and see if we can fix that.” So that’s number one is looking at gut health and making sure that’s tuned up.

And then other latent autoimmune diseases I think is something that’s also come up quite a bit for me in the patients that I work with, whether that’s Hashimoto’s, or Eczema or even Asthma, those things that express more often and are becoming bigger issues. Fatigue, not sleeping enough, insomnia, and migraine headaches. Those are all other ones that are hot topics that I deal with a lot and they’re all really revolving around very similar problems. And so when I’m looking at a patient, it’s really trying to look at all of their issues, boiling down to what are the things, maybe go into the background of all of those and then taking some steps to direct target each treatment. But oftentimes, it’s one treatment can hit in multiple different outcomes as well.

Katie: Gotcha. So when you onboard a new patient or a new family, are there any general guidelines that you start with that seem to be applicable to everyone or is it very individualized? In other words, are there dietary approaches that in general work for most people that you start with, or lifestyle factors or is it just you go completely case by case?

Dr. Rick: Yes, I think this is an interesting, I think… Yeah, there are definitely some general principles. It’s interesting because the patients that are coming to me oftentimes are already doing those general principles and so folks limiting our processed carbohydrates is obviously one of the best things we can do. Cutting out sugar out of our lives, sleeping more. Those are fundamentals that a lot of the patients that I see are already doing and a lot of your listeners I’m sure are already working on. So making sure those are intact and in place, those fundamentals, are the key. But you’re right, the nutritional changes, making sure that I don’t eat sugar, having a healthier relationship with food. So that’s also a big component too as this very much yoyo or a lot of anxiety, stress and low self-esteem relating to food.

That’s another one that at the beginning of conversations is very apparent. So yeah, making sure we work on those. But then specifics, most of my patients have low vitamin D, so I’m always starting vitamin D or testing vitamin D on almost all of my patients. It’s something universal. Very rarely do I see someone that has an optimal vitamin D level. I think often most of my patients are also very low on magnesium. So if I was going to give a blanket, this is something I always do with every patient is making sure they’re getting enough magnesium and making sure that their vitamin D is in check. Because I think those are also trying to create a foundation to make in other changes ubiquitously.

Katie: I absolutely agree. Those were definitely huge keys for me. I found out I had very low vitamin D toward the early part of my journey. Now it’s something I make a point to get moderate sun exposure and also have to eat vitamin D containing foods and to watch my levels pretty carefully. Let’s talk about magnesium because I’ve written about it a few times. I know from my own experience how big of a difference it makes, but I feel like a lot of people still maybe are not as familiar with it. So can you explain why magnesium is so important to the body?

Dr. Rick: Yeah. So I mean there’s a lot of it we don’t know, but a lot of it we do and magnesium is important in the regulation and how we use also and how we use calcium and vitamin D and they’re all intertwined. It’s this really great electrolyte, it’s this mineral that we get in our foods. Unfortunately, most of the foods we’re eating these days are low in magnesium. And so what’s happening is that these processes are starting just to break down and we don’t have the right ions and the levels that we need. And without going into too many specifics, magnesium is going to help you sleep better. It’s going to make sure that your bowels are regulated, that your gut is healing.

So all of these different processes rely on a stable amount of magnesium. And unfortunately, what happens is we’ll have providers or even my patient says, “Oh, can we check my magnesium level?” And we check their serum magnesium or even a red blood cell magnesium and you say, “Oh, looks like it’s good.” And unfortunately, those tests are really not super accurate for what’s going on in the whole body. Most of your magnesium is in the cells. And while red blood cell magnesium is a little bit better test than that it’s still not great. Your body tightly regulates how much magnesium is in the plasma serum of your blood. And so if you have a normal level there, what it means is like your body is regulating it and it’s pulling it out of the cells. And so it’s not able to do what needs to do inside of the cells either. And there’s all kinds of other processes and pathways that use magnesium also within the cell. So I think that’s one of the things that is helpful is that, I start some magnesium on folks and they tend to start sleeping better, their mental health improves, and a few other things that I can find usually help out with that.

Katie: Yeah, I noticed the sleep improvement for sure. And I know I’ve had friends who noticed improvements with anxiety and depression, mental health stuff. They saw a big change from magnesium. Is there a particular form that you prefer in supplements? And also, can you give us a primer of just some foods to watch out for that have magnesium in them that are good to consume?

Dr. Rick: Yeah. So as far as there’s several different types of magnesium, is another thing, is they’re always coming up with different formulations of it. And it really depends honestly on what’s going on for the patients. So if I have patients that have a lot of constipation, then honestly giving one of the like more Chloroforms of magnesium that are cheaper older forms like Magnesium Citrate, for example, can actually do better to help loosen the stool. So it really is somewhat dependent. But if you’re someone that has more diarrhea or you have loose stools and you want to start magnesium, then you definitely need to use something like magnesium glycinate, like a chelated magnesium. And the reason for that is that it’s going to reduce the amount of loose stools from that magnesium. It’s just more absorbable as the magnesium. If it doesn’t get absorbed through your gut lining, then it goes into your large intestine and it actually pulls water and causes osmotic loosening of stools and can cause diarrhea. I mean, it’s one of the things that we use when people are getting clean outs for colonoscopies, for example. So it kind of depends on that a little bit. Now as far as foods, honestly, while we like to say, “I think this is where you’re eating your greens and your vegetables and making sure you’re getting an adequate amount of those, is going to be really, really important because most magnesium we’re getting from there.” And so that’s why when I have patients that aren’t doing low carb or Keto or something, that they’re just not getting as many of those nutrients.

But honestly, even with folks that are eating a well-balanced diet, they can still be low in magnesium because of poor food quality. Right? The food or the way it’s grown, we just aren’t getting as much magnesium into our diets as we have previously. So unless you can carefully control the type of garden you have and you’re eating all your food from there and you’re tightly managing that is probably pretty hard to get to optimal levels without some type of supplementation, to be honest.

Katie: Yeah, that is my personal experience as well. And from what I read, you flush out any extra magnesium you don’t need in most cases unless you’re just taking massive, massive doses. So it’s one of those things that I always viewed as a little bit an insurance policy, especially when you read the things that can deplete magnesium levels in the body, at least in my research where things like caffeine consumption, and stress, and not sleeping enough. Like so many things that just go with modern life. It seems like a great… Just an insurance policy to have. And…

Dr. Rick: I was going to say the insurance policy, totally. And I think this is where I don’t want my patients to feel guilty, right? If they’re like, “I’m eating organic and I’m doing my best and I’m still having these problems, so I’m a failure.” And I’m like, “No, you’re not a failure. The environment has set you up to fail. It’s not your fault.” And this is one of those areas where I’m like, “Have some compassion for yourself. You didn’t fail because your magnesium is not enough and you have to take a supplement. It’s not because you didn’t do good enough buying the organic vegetables.” So I just wanted to say that up front.

Katie: That’s a good point. And I think a really good perspective and something I have to keep in mind as well because I often hear people say things like, “Why do we have to do all this supplementation and all these lifestyle interventions and be so careful with diet? Our grandparents just ate whatever they wanted and they were fine.” And I will come back to that. It’s like we’re dealing with a lot more, our bodies face a lot more in the modern world and even just a couple of generations ago. So we do have to be a little bit more proactive, but that also means we have to give ourselves some grace because we’re facing more than previous generations have faced and that’s especially true. I know a topic that you’ve talked about some before is stress, and I’d love to go a little deep on this because I’ve talked to so many people who they’ve got their diet dialed in and maybe they haven’t done a Whole30, they’re cognizant of what they’re eating. They’ve got lifestyle factors dialed in and stress is still the nemesis and I know it’s something so many of us face in the modern world. It goes hand in hand with the modern lifestyle. I’d love to hear your approach to stress because I’ve also…I’ve heard it and I felt in my own life, you can have everything else dialed in and if you’re not dealing with the mental and emotional aspects of stress, you’re still potentially going to run into some roadblocks.

Dr. Rick: Yeah, I mean, I think stress is one that’s so hard because everyone’s dealing with it. None of us really has the best answer for it. And I think fundamentally, it comes down to a few things. Number one, if you’re not living to your values or what you value in life, you’re going to be very stressed. So if you are in a job or workplace or relationship or something that or you’re acting in a way that you know is contrary to your personal values, it’s going to cause a lot of stress. And so I see this with a lot with folks that are in jobs that they just don’t like or jobs that are causing… They’re in a field that maybe they don’t value, that’s going to cause a lot of internal stress that you don’t really recognize.

So making those life decisions. And this is where I think for me, I was working in a system that was promoting these short visits, patients in and out. And I don’t know, it was hard for me to have a very clear, mindful understanding of what was happening. But each day I was getting frustrated. And I would get mad at my patients or I get mad at my medical assistants like, “Why aren’t they doing what I say?” And then I’ll get mad at myself and then I get stressed out that I’m like, “Oh terrible doctor.” Because I’m not helping people. And it really fundamentally came down to I wasn’t living in a system, I wasn’t living my values that I held most dear. And so that was fundamentally causing me to have this internal strife which then presented in anger and presented in blame for other people.

And so I think while I’m still stressful now and I have stressful things going on, right now, at least in my job, for example, I’m living the values, I am taking care of patients in the way that I like to take care of patients. I’m working on fundamentals. I have enough time to take care of my lifestyle. While I have stress and other things because related to that, running my own business and paying bills, right, is a little more difficult now. At least in this one area, I feel my values are aligned now with my behavior, my behavior is aligned with my values. And so that’s one thing to look at. If you are feeling a lot of stress, try and take a big look.

And that’s scary and this is very hard and this is where a life coach or a really good friend or a therapist is going to be very helpful for you is looking at what is going on in your core identity and making sure you’re living that. And then giving yourself a break. So if you are in a job that it’s not aligned with core values, but you have to be in there. And I think maybe even just understanding that, being cognizant and mindful of like, “I’m living in this job or I have to do this job to pay my bills now.” How can you work that into your system? How can you still appreciate that job that you have?” So this is where that mindful or that psychology component comes in and saying, “I know I’m here. I have to love and appreciate that I’m here and I’ll be a different place later, but I have to be happy where I am now.”

A lot of stress comes from families that have babies that are not sleeping through the night, right? That is a very stressful time and moms are stressed, dads are stressed, and the baby’s not sleeping and they’re feeling bad and they’re feeling like it’s my fault that the baby’s not sleeping and then they have to wake up, but then I have to get to work, right? This is a terrible time in your life, but at the same time, learning to appreciate this time and being mindful. This is a time where my baby, this thing that I brought into the world, needs me and I get to be there for them and loving and supporting that time that you have because that will pass.

And then trying to just change that mental attitude of this is something that I can use for a positive way, even though I’m not sleeping and I know I should be. But you can, you can kind of reframe a little bit of that life circumstance to help you out in that stressful situation. So those are two grand and very big topics that take years of practice and years of mindfulness training and meditation and work. But I think those are fundamentally going to be your best ways of dealing with long-term stress.

Now the more acute short-term things are like get more sleep. So I just used a bad example of the parents that couldn’t sleep, but if you’re not in that example, get more sleep. I have patients always ask me, “I’m sleeping X amount of time, how much should I be sleeping? ” And almost invariably, it’s X plus one. So whatever you’re doing, sleep an extra hour unless there’s obviously chronic fatigue and you’re sleeping 10 hours and that’s a different story. But so fundamentally getting a little bit extra sleep is going to be really, really important for that stress management. So anyway, I would probably start there. There’s a lot of other things that go into it, but reframing the experience, making sure your values are aligned. So making sure your behaviors are aligned with your values and then getting enough sleep. Doing those core fundamentals are really going to make a great impact on stress and happiness.

Katie: Yeah, I think sleep, you’re right, cannot be underestimated. And I’m curious if you have any specific tips to help with that. Because I know a lot of people struggle with sleep. It’s not something that I personally struggle with. Just making sure I have enough time for it. But my husband for instance, doesn’t get very much deep sleep. So he has trouble getting enough deep sleep every night, even if he sleeps enough hours. I know other people will have trouble falling asleep or some people will wake up every morning at 3 or 4 in the morning. Are there any things that you found that are helpful for people who are struggling with sleep?

Dr. Rick: Yeah. So I think that obviously is individualized too because there are a lot of different disturbed sleeping patterns. So if someone’s waking up really early in the morning, we have to look at that and say, “What’s happening in the evening or the days before or by habits?” And so right, it’s going to be individualized. And that’s why working with a doctor who is familiar with the different sleep patterns and working with a functional doctor or someone that can get to know you really well is really important. Is that you can go through that process now, go into your regular family doctor like, “I can’t sleep.” And they give you a pill, clearly that’s not the right answer. So first off, step number one is, find somebody really good to help you.

Number two is probably assessment and figuring out really what is happening. So keeping track on paper, buying one of those expensive devices can help not, they don’t always help. Sometimes they make things worse because there’re other things that are going on with your brain when you’re wearing a device. So taking an assessment of, “When are you going to sleep? And if you went to sleep at midnight, what is it that made you go to sleep at midnight instead of 11:30?” So reassessing your behavior before bed and maybe it wasn’t what happened at 11, maybe it was happened at dinner and why didn’t you start dinner at 7 because this happened. So re-evaluating what are the step by step process that really made you want to stay up later than you wanted to?

So in your case, it sounds like you can fall asleep easily. You just don’t necessarily make the time for it. So you’re a very different customer than someone that is in bed at 9 but can’t fall asleep until midnight. Right? So approaching those differently is going to be really important as well. So some quick things that can help out with sleep. So number one, I actually find doing some type of meditative practice to fall asleep can be really helpful. Before you fall asleep or after you fall asleep, some type of mindfulness or meditative practice to help your brain relax and ease that anxiety. Your brain is doing its job. It wants you to not forget things. So whenever you have things pop up into your mind before you go into bed, that anxiety thought. It’s your brain, it’s doing its job.

It’s trying to help you not forget things to do in the morning because you know that you feel guilt or you feel bad when you don’t do the thing you’re supposed to do. And so your brain is trying to remind you, remember that it’s just doing it at the wrong and inappropriate time. So giving your brain and your mind and your soul a time to reflect and remember those things it has to do tomorrow. Give it a set amount of time, say, 10, 15 minutes before you go to bed, review your day, review the next day. Give your time, give your mind time to say, “This is what I’m going to do.” And then at that point, hopefully with training and you can then relax and go to bed and you don’t continue to think about those issues.

So that’s one thing to do that can potentially help. There’s another really great thing and that’s… A lot of folks have found or they built habits of watching TV before bed or listening to the radio till they fall asleep. And this can be something that I think is a stop gap is, it’s not necessarily that you want to be having that device on or you don’t want to be watching TV, but what’s happening is your brain, you’re distracting your brain from the things that it’s thinking about. And so then you’re able to relax and you’re thinking about something mindless and that helps you fall asleep. So reading a book, right? Or reading like a scientific paper that’s really difficult are other things that people have suggested.

There’s also this really great app that I’ve been recommending to my patients. It’s called Sleep With Me. And it’s a great app. It actually is this guy that does a podcast. And he just basically talks about weird, unimportant things in a weird voice for an hour. And most of the time my patients fall asleep in 15 minutes because what’s happening is it’s giving your brain something to halfway focus on and help you drift to sleep, to give your brain some relaxing time. So now it’s not always the best thing to have devices around your bed when you’re sleeping and your phone, but sometimes this can be a band-aid until you’re able to figure out how to be more mindful before sleep. So a mindfulness practice before sleep is going to be critical.

And then also, there are other things like magnesium we’ve talked about can be helpful. Figuring out if you have some type of melatonin, cortisol disruption, if you’re not getting the surges in the appropriate places. Some melatonin could be helpful again for a stop gap. Valerian root is also something that I have found to help sleep quality in some folks that can also help out with some anxiety. So there are a lot of different supplements and herbs and things that we can try to help out with sleep. And I think this is one of those things too where we have to continue to reevaluate. Oftentimes we’re too quick to change something. I tried melatonin for two nights, it didn’t help and then you write it off forever. But I think giving things a little bit more time to see if they help out can be helpful as well.

Katie: Yeah, you’re right. I think it is like anything in health, it’s trying and finding the things that work for us individually. For instance, I found when I was doing a lot of intermittent fasting, when I pushed my window way too far in the afternoon and didn’t eat till 2 in the afternoon, it was like my body wasn’t getting the food signals that I needed for circadian rhythm and I was having trouble falling asleep. And so as soon as I adjusted that window earlier, I was fine. I think that’s something that may be different for a lot of people and it’s finding those things, like you said, in figuring out what’s going to work for you.

Today’s podcast is sponsored by one of my favorite companies… Four Sigmatic. I love all of their delicious coffees, teas and elixirs and they are such a part of my daily routine that I can’t even remember the last time a day went by when I didn’t consume at least one of their products. With both caffeine free and naturally caffeinated options like coffee and matcha combined with superfood mushrooms like chaga, cordyceps and reishi. Their drinks are functional and delicious and I notice a difference when I don’t drink them. My normal routine is to drink coffee with Lions Mane in the morning, I’ll sip on cordyceps or chaga while I work during the day and reishi to wind down at night. My kids also love the reishi cocoa and it helps them sleep better. Check out all of their products and save 15% on any order with the code wellnessmama at foursigmatic.com/wellnessmama

This podcast is brought to you by Radiant Life Catalog. Radiant Life is a woman-owned, family-run online health and wellness company specializing in food-based supplements, nutrient dense foods, eco-friendly housewares, water filtration and purification. After spending over 20 years in the health industry, Radiant Life realized that one of the overlooked components of wellbeing is access to clean, healthy and hydrating water. Now, they have a range of water filters that fix this for every type of house and budget from counter-top units to under counter and even whole house like the one we have. Their systems are crafted with a health and wellness focus. They improve the taste and smell of water but, more importantly, they remove a wide range of potentially harmful contaminants. They also have and in-house water expert is available all the time to guide you through the system selection process and answer all of your questions via phone or email. Their systems are also designed and built in the USA and really high quality. Go to radiantlife.com/wellnessmama and get $200 off a Whole House or 14-Stage Water System with the code WMPODCAST.

Katie: Another thing I’m getting a lot of questions right now from listeners and readers about, and I’d love your take on is different versions of the Keto Diet. And I’d love to hear how you feel this fits in, in general to a healthy eating approach to a functional medicine approach. On a personal level for me, I found that I’m not able to eat that high fat, especially saturated fat just with a couple of genes that I have. I really don’t do well with that much saturated fat. But I have heard from people who anecdotally seem to do great on it. I’m curious what your take is.

Dr. Rick: Yeah, so I think like anything it’s a tool and I think we use a tool for the appropriate job. I think what happens is that we have folks that have found that this tool works for them, right? The hammer is hitting the nail in, they get faced with a screw or the other person is a screw and they’re trying to hammer and the Keto’s isn’t working. And so we keep trying it right? Or our lives change. And so oftentimes Keto is going to be very effective for a lot of people. So what happens, we come into Keto from a variety of areas, but a lot of people have been super high carb. They have terribly high insulin resistance. Their body is not adjusting well to then trying to sleep or trying to, putting on a lot of weight.

Your body, your hormones are out of whack because all these issues and so you start someone on a Keto Diet and in your… This you’re using it as a tool to then train their body to decrease the amount of insulin that is required. So then insulin resistance can come down to changing the way that you’re digesting and using the carbohydrates, you are increasing your enzymes that are going to be helping you break down that fat and then training your body to use that fat as a fuel. So Keto Diet has been extremely helpful in those folks, they come in and lowering the carbohydrate level. Now whether they need to go full Keto or not, I think this is something that can be hotly debated and some folks will be at the center of the fence.

But for me at least personally, I use it as a tool and I think it’s appropriate for some people and not appropriate for others. And it can be changed. I think sometimes also we get stuck in a pattern where I’ve been doing Keto for three years and I was doing great and now things are starting to fall apart. And that’s where we think we need to reevaluate and say, “Is there a seasonal change to the way we eat. Are there times when it’s okay to eat more carbohydrates but then cycle back into a lower carbohydrate diet.” And this is where I think it’s hard to do this alone and this is where it’s helpful to have a physician or somebody else to kind of walk you through that process because we do get stuck in this kind of narrow minded view on our own of what we should do and this has worked for me in the past.

So if I just do it more, it’s going to continue to working for me. So if 80 grams of carbs a day was good for me, I’m going to push it to 60, and then I’m going to push it to 40, I’m going to push it to 20 and you get into these deficits where sometimes then you have problems with your thyroid gland and all kinds of other issues. But reevaluating instead of just pushing harder and stronger, stepping back and saying, “Is this an appropriate tool for me to use right now or do I just need to change my psychological involvement with food and change the way I’m feeling about food and that’s going to have a better outcome on my happiness versus going stronger, harder into Keto.

Katie: Yeah, that’s an excellent point. I think you hit the nail on the head with that idea that with any of these, whether it be Keto, whether it be even people who go vegan, whatever it is, when you’re switching from just a high refined food diet to that, you’re going to see probably some benefits just because of that change and just because of hopefully getting more whole nutritious foods into your diet versus what you’re necessarily cutting out. And another example of that that I hear from people more and more about is the carnivore diet. And I personally, I have some concerns just because, that one, depending on how it’s done can be extremely restrictive. And I worry about the gut and not getting enough of different types of varieties of fiber to encourage gut bacteria. But I’m curious what your take on the carnivore diet is.

Dr. Rick: Oh gosh. To be honest, I haven’t worked with many patients that have wanted or tried Carno or I’ve never done it myself. So to be honest, I don’t know much about how that is going to affect. I think obviously it’s going to be a super low carbohydrate diet. Like you said, it’s going to help people at times, but I think also that restrictiveness can be psychologically difficult for a lot of folks. So I think folks that have eating disorders or going into this process and this is another way for them to exert control over their lives. I think people are using it sometimes that way. And so I would say this is something to obviously evaluate but other people they do have significant issues with plants.

Georgie is a good friend of mine. She doesn’t eat many plants, any time she eats plants she has severe issues. And this is something that for her has found to be a tool that helps her be happier. And so there are patients that I know that we just can’t fundamentally figure out what’s going on and the root cause of what’s causing them whenever they eat plants, they have problems. We can’t figure it out. And I think for those folks who say, “Well, maybe this is the best course for you then because at least with the tools that we have now, we can’t figure out why plants are causing so many problems.” So going to a more carnivore diet could be the right solution for that patient.

Katie: Cool. That makes sense. Okay, so I’m curious for I want to talk about the onboarding process a little bit. I know we started with talking about concierge medicine, but I want to talk about it, especially for families because the majority of people listening are moms. And I know, like I said, this has been really beneficial and time saving and money saving in my own life. And I know that it can be for a lot of others as well, but I also know that it’s not the norm and it’s an unusual thing for people who aren’t familiar with it. And so there’s a lot of questions. let’s talk about for a family who maybe is used to the traditional insurance model and the traditional doctor model making a switch into something like concierge medicine. I’ll share from my personal experience as well, but let’s just talk through like what that process looks like for the you and patient relationship.

Dr. Rick: Yeah. So that’s great. So someone goes to SteadyMD, they’re going to see that there’s a family plan available and having you decide, is this going to be the right fit for your family, I think this is a really good question. So the way it works is number one, first getting to know the parents, so the mom or the dad or both, preferably, getting to know both of them or mom-mom or dad-dad, however it is, whatever your family is. That’s cool. So getting to know whoever the parents are, the leads of the house and talking to the parents. So getting to know fundamentally your history, your health, and maybe even working together for a little while and then bringing the kids on.

Then we would have individual visits with the kids. And individual visits are important. And I do want to see, we have to see your kid on the camera. I want to make sure that I get to that relationship with them as well and get started with them. So going into their history, their background, at least getting that fundamental. So there’s several different levels when you do go through SteadyMD, there’s a couple of different levels where you can have a full plan for your child or you can have a backup plan and the family plan of adding a kid on where we can help out with smaller issues, things that come up, advice, but aren’t necessarily doing full functional medicine for your child. Right. So if you do have a very sick kid that has a lot of issues, then we’re probably looking at, talking to support at SteadyMD, and figuring out how… “Is this appropriate for us to help out with that child?”

Because there are things that are very specific for kids that we want to make sure that we’re not missing them just by doing a more cursory. So kind of making that decision and maybe even talking with your doctor to figure out if that’s the most appropriate course for you. Let’s just say that you have a family, two parents, two kids. The kids are relatively healthy. So in that case having a visit with them and then going through that process. But that onboarding always starts with the parents, bringing on the kids, making sure it’s appropriate that there isn’t any underlying issues that need to be addressed before that would happen. And then after that, it really is in some ways and coming on both the doctor and the parents to make sure that the kids are doing well. So I will reach out and make sure your family is doing great, but I also want to hear from the parents. I want to hear from the moms that, “What’s going on? How are the kids doing?” And being proactive kind of in both directions I think is helpful.

Katie: Yeah, that makes sense. And I’ll say from my end, none of our kids have any intensive health issues at all. And so for me it’s been like having a doctor in my pocket when there’s any small issue that comes up, whether it be a kid gets pink eye or an ear infection or after our neighborhood had an outbreak of Impetigo, which is a staph infection on the skin. It was a nightmare because there was 38 kids in our neighborhood and it kept just transferring back and forth. We were able to fight it without internal antibiotics because those are definitely a last resort for me and working with a SteadyMD doctor we were able to use topical stuff and natural remedies and really focused immune approaches and finally got past that. But I couldn’t have imagined having to go to urgent care to a doctor every time for every kid or every time there was, it got passed back and forth. And so it’s also such peace of mind. And I give it as we order everything else to our houses these days like Amazon or food delivery, everything just shows up at our house and yet we still have to drive to the doctor most of the time. Whereas now you guys can come to our living room too via video chat, which has been really amazing. Even just technology. There’s digital otoscopes that connect to my phone. So like my SteadyMD doc has seen my kid’s ear drums remotely. It’s amazing.

Dr. Rick: Yeah, I mean that’s a really, really great point. It’s like the doc in your pocket, you know, small things are going on or big things that you need advice on, that’s where I want to hear about what’s happening. I would rather hear from my patients and say, “Do I do X or Y?” And I can help work through that, rather than in two weeks from now I’m like, “Oh, we went to urgent care.” And I’m like, “Oh, I totally could help you out with that.” I think that’s where you’re right now. If it becomes more involved and there’s more things going on and that’s a different story because kids are special, we want them to grow really well. And so sometimes it does take a more involved process and so you’d have to talk to the SteadyMD doctor about that, but if it’s relatively healthy doc in your pocket those kind of things, that’s ideal for our for current set up.

Katie: Yeah, exactly, yeah, I think that’s a perfect way to put it for parents. And I should have mentioned at the beginning, and make sure it’s in the intro, but I’ll put the link to SteadyMD and especially to the quiz that helps you figure which doctor you match best with. I’ll make sure that is in the show notes at wellnessmama.fm. But Dr Rick, you are currently accepting new patients as well. Am I remembering that correctly?

Dr. Rick: Yeah, yep, I am. So that is one of the things about… You brought up that quiz, that’s actually one of the best things about SteadyMD that we haven’t even touched on is this alignment process. And your listeners, if you go onto the on the website now, the first thing you’ll do is take this quiz and that quiz helps provide alignment. Making sure that you are finding a doctor who is into the same things as you are, who addresses health the same thing where you are, and that person might not be me, right? So I’m here talking to your folks, but there’s probably another doctor most likely who fits better than me. I might be that person, but if I’m not, there’s going to be a doctor we’re going to help build that alignment.

I think that’s really critical in that healing process is finding somebody that you work well with that’s going to be your doctor friend. And so building that alignment, making sure you’re in the same wavelength is crucial. That quiz works that way. So I would love it if that’s me for you. So if your listeners, if you get on and you see me, see my face, click on me and I’d love to be your doctor. I am taking patients right now. I actually am quite a few weeks booked out. But we’re always opening up slots and there’s a new doctors coming on. So the service has been really great so far. So SteadyMD has been growing and we just hired a few, about 10 actually, we just offered 10 new doctors positions to open up because things are growing and people are really responding well to our service.

And so if there is not a doctor that’s fits for you in your state right now, hold on for a few months and there probably will be. So we just brought on, actually I caught another functional doctor and hired another integrative doctor that are coming hopefully on the service. I’m very soon getting them licensed up and so there are going to be new folks. Now the other thing too is thus far in our service, we’ve been doing more personal care with a functional medicine slant but focused mainly on the personal care. We found that doing full functional medicine, the full lab testing, like everything that goes into that. We were actually… It was taking a lot of time, too much, I mean, which was great, but a lot of folks that were very sick and a lot needed more help than we were able to support.

So we’re actually starting a new, and actually maybe by the time that this launches, we’ll have a new functional medicine service. So this will be a separate product kind of like our lifestyle product. And this service will then be specifically for functional medicine. Your doctor will have a background in functional medicine and in that way you’ll be able to spend more time. And so 60-minute first visits, will be 90-minute first visits. And so we’re very excited about this program. So right now we’re doing the trial version of it. Hopefully by the time this launches, it’ll be live. But we’re also making tweaks and changes to it to make sure it’s working for our folks. So keep a lookout on that too. And that’s pretty exciting that we’re ready to offer that. We’ve kind of dabbled in it a little bit to see how things work. And so I think we have it now tuned up to be a successful service line for your listeners and our patients.

Katie: I love that. And something else to clarify is because a lot of these doctors, they’re virtual, they’re not in your state necessarily. So you’re not going to see them in person. You’re going to see them via phone or video chat, but they are licensed in your state. So if you’re working with a doctor, they have the medical license in your state. And that’s something SteadyMD works with you guys to do. Is that right, to get licensed in the states that your patients need you in essentially?

Dr. Rick: Yeah, exactly. So because I don’t know if you knew this, but medicine is different in Nevada than Utah. So you have to go through it. It’s the same, but we have laws and whatever. It’s really frustrating. But that’s actually one of the biggest barriers of hiring new doctors, is licensing. So I started in licensing in Utah and then we were able to get me a license across the country now, but it takes a long time. It’s taken months to do that. So that’s actually one of the larger barriers in our model, unfortunately. But we’ve learned how to get past that. And so that’s one of the things that I think we’ve worked on where the others haven’t, is we’re licensed in the state, we have a doctor for each state and we’re getting doctors trained in functional medicine for each state as well.

And that’s coming, we’re almost there. So that’s another exciting thing, is that we can offer fully legal licensed, NDDOs in your state that can see you virtually. And if you happen to be in Utah and you want to sign up, then I’ll see you in person too. And that’s fun too, or people traveling through, I have patients that are sometimes in town and they’ll come and see me. And so yeah, that’s a big point and it has been a barrier, but it’s becoming less of a barrier because they are hiring new doctors and it’s going great.

Katie: Awesome. Well, I know just how busy you are as a practicing doctor and concierge medicine doctor with SteadyMD. And I know that you helped many people. I’m really grateful that you took an hour to share with us today and to answer all my questions. Like I said, I’ll make sure that the links we talked about are in the show notes at wellnessmama.fm. So you guys can see if perhaps Dr. Rick will be your doctor with SteadyMD or actually I haven’t met any of the doctors at SteadyMD that I don’t love. So all of the options are awesome, but I just really appreciate your time and wisdom in being here today.

Dr. Rick: My pleasure.

Katie: And thanks as always to all of you for listening and sharing your most valuable asset, your time with us today. We’re so grateful that you did. And I hope that you will join me again on the next episode of the “Wellness Mama Podcast.”

If you’re enjoying these interviews, would you please take two minutes to leave a rating or review on iTunes for me? Doing this helps more people to find the podcast, which means even more moms and families could benefit from the information. I really appreciate your time, and thanks as always for listening.

Thanks to Our Sponsors

Today’s podcast is sponsored by one of my favorite companies – Four Sigmatic. I love all of their delicious coffees, teas and elixirs and they are such a part of my daily routine that I can’t even remember the last time a day went by when I didn’t consume at least one of their products. With both caffeine free and naturally caffeinated options like coffee and matcha combined with superfood mushrooms like chaga, cordyceps and reishi. Their drinks are functional and delicious and I notice a difference when I don’t drink them. My normal routine is to drink coffee with Lions Mane in the morning, cordyceps or chaga while I work during the day and reishi to wind down at night. My kids also love the reishi cocoa and it helps them sleep better. Check out all of their products and save 15% on any order with the code wellnessmama at foursigmatic.com/wellnessmama

This podcast is brought to you by Radiant Life Catalog. Radiant Life is a woman-owned, family-run online health and wellness company specializing in food-based supplements, nutrient dense foods, eco-friendly housewares and water filtration and purification. After spending over 20 years in the health industry, Radiant Life realized that one of the overlooked components of wellbeing is access to clean, healthy and hydrating water. Now , they have a range of filters that fix this for every type of house and budget from counter top to under counter and even whole house like the one we have. Their systems are crafted with a health and wellness focus. They improve the taste and smell of water but, more importantly, they remove a wide range of potentially harmful contaminants. They also have and in-house water expert is available all the time to guide you through the system selection process and answer all of your questions via phone or email. Their systems are also designed and built in the USA and really high quality. Go to radiantlife.com/wellnessmama and get $200 off a Whole House or 14-Stage Water System with the code WMPODCAST.

This content was originally published here.

Categories
weightloss

What to Eat For Snack to Lose Weight

It’s not just for preschoolers! Snack time is important for adults, too, because it can satiate hunger between meals to prevent overeating and help you lose weight. Snacks can also be a way to get valuable nutrients you’re missing from meals alone. But not all snacks are good ones. We’ve enlisted the expertise of two nutritionists — Stephanie Clarke, RD, and Willow Jarosh, RD, of C&J Nutrition— to share the perfect equation for how to choose a delicious and filling snack that will help you reach your weight-loss goals. Follow their advice below to start seeing results.

Calories

Aim for two 150-calorie snacks each day. Think of them as ways to fill nutrition holes in your diet, such as getting your fill of fiber or a boost of calcium.

Carbs

Anywhere from 40 to 50 percent of your calories at snack time should come from carbs, which works out to 14 to 20 grams. Choose high-fiber carbs such as fruit, whole grains, and starchy veggies like peas, corn, sweet potato, pumpkin, and Winter squash. Carbohydrates that are naturally high in fiber tend to be less refined and processed and also typically yield a larger portion size for fewer calories, making them more satisfying.

Protein

Go for six to 10 grams of protein, which is 15 to 20 percent of your total snack calories. Protein is essential in order to make what you nosh on feel more satisfying. Protein also helps to even out the rate that carbohydrates enter your bloodstream, so if you eat a snack that’s low in protein, a spike in your blood sugar levels could result in stronger cravings and the need to munch on more.

Related
77 Snacks to Satisfy Hunger, All Under 150 Calories

Fats

Far should constitute 30 to 40 percent of your snack’s calories, which works out to between six and 10 grams. Including healthy fats also adds to the “I feel satisfied” feeling. The one thing to watch out for is portion size, since fats like nuts, seeds, and avocado tend to be high in calories.

Fiber

Getting enough fiber in your snack — at least three grams — is a must to not only help you feel satiated for longer, but to also help you reach your daily goal of 25 grams. Getting your fill of fiber will ensure you stay regular, which can help you avoid that bloated feeling, making you feel more energetic. It can also help maintain stable blood sugar levels, which keeps cravings at bay.

Sugars

Aim for no more than 10 grams of total sugar and no more than four grams of added sugar (one teaspoon of honey, sugar, or maple syrup).

Timing

Most people like to include their two 150-calorie snacks between their three main meals, so one in the late morning and one in the late afternoon. A good rule of thumb is to eat every couple of hours, so find the schedule that works for you. Maybe you eat a later lunch and an earlier dinner so an afternoon snack isn’t necessary but a bedtime snack is. Remember that experiencing a little hunger is OK, but snacking can prevent that famished feeling that makes people overeat. And eating late at night won’t cause weight gain, but overdoing it on your daily calorie intake will. If you know you like to eat a little something before bed, make sure you save 150 calories in order to stick to your daily limit.

Eating and Working Out

If you’re grabbing a pre-workout snack, aim for a 3:1 ratio of carbs to protein. After a workout, go for a 2:1 ratio of carbs to protein. A banana with some nut butter or a small smoothie is a great option. For workouts that are an hour or shorter, don’t stress too much about getting the exact amount. As long as your snack includes a combo of carbs, protein, and healthy fats, and is under 150 calories, you’re good! Generally it’s good to enjoy a pre-workout snack 30 to 90 minutes before a workout, but eating beforehand isn’t a necessity. Some people prefer working out on an empty stomach, so do what’s right for you. Then refuel with a post-workout snack within 30 to 60 minutes.

Related
Easy 150-Calorie Snacks — They’re All Completely Vegan!

A Few Examples of Snacks

The above info would make an ideal snack, but if you can’t meet all the requirements, it’s OK to fall short of one of these — fats, carbs, fiber, or protein — just make sure your snack meets the other three.

  • Avocado Toast: Take half a slice of whole wheat bread, smear with one tablespoon avocado, and top with sliced or mashed hard-boiled egg, two slices of tomato, and an eighth-teaspoon sprinkling of chia seeds.
    Calories: 156
    Total fat: 8.2 g
    Saturated fat: 2.2 g
    Carbs: 13.6 g
    Fiber: 4.3 g
    Sugars: 2.7 g
    Protein: 9.3 g

  • Greek Yogurt With Apple and Walnuts: Enjoy a quarter-cup plain nonfat Greek yogurt with half an apple, four teaspoons chopped walnuts, half a teaspoon raisins, and a dash of cinnamon.
    Calories: 149
    Total fat: 6.2 g
    Saturated fat: 0.4 g
    Carbs: 17.3 g
    Fiber: 3.1 g
    Sugars: 12.7 g
    Protein: 8.3 g
  • Source: POPSUGAR Photography / Jenny Sugar

  • High-Protein Banana and Peanut Butter: Mix half a tablespoon of peanut butter with half an ounce of protein powder and half an ounce of water. Cut half a banana in half lengthwise. Smear the peanut butter mixture on half and then top with the other half of the banana.
    Calories: 158
    Total fat: 4 g
    Saturated fat: 0.8 g
    Carbs: 17.4 g
    Fiber: 4.1 g
    Sugars: 7.8 g
    Protein: 13.6

  • Roasted Edamame: Toss two cups frozen edamame with two teaspoons olive oil, one teaspoon sea salt, and one tablespoon black sesame seeds. Bake for 12 to 15 minutes at 450° F. Enjoy a quarter of the batch, and save the rest for later.
    Calories: 153
    Total fat: 8.3 g
    Saturated fat: 1.1 g
    Carbs: 10.5 g
    Fiber: 4 g
    Sugars: 8.3 g
    Protein: 4 g

Snack Mistakes to Avoid

  • Not enough variety: While a cheese stick seems like a healthy snack, it’s only offering you protein, so you’ll soon feel hungry afterward. To feel satiated, make sure your snack has at least two of these — carbohydrate, protein, and fat — or, better yet, aim for all three.
  • Skipping: If you head into lunch and dinner completely starving, you know all too well how easy it is to eat way more calories than normal. Snacking between meals controls hunger, which controls cravings and can help you consume fewer daily calories.
  • Not counting calories: A snack is just that — a snack. It’s not a minimeal, so stick to that 150-calorie amount. Be mindful that prepackaged snacks like granola bars, protein bars, smoothies, or bags of crackers can offer almost 200 calories or more. On the same token, mindlessly reaching into a bag can result in devouring more than one portion without you even realizing it. So measure out your portion and put the bag away!

Looking to drop pounds during other times of the day? Here’s what to eat for breakfast and lunch, and dinner to lose weight.

Image Sources: POPSUGAR Photography / Jenny Sugar, POPSUGAR Photography / Sheila Gim and POPSUGAR Photography / Lizzie Fuhr

This content was originally published here.

Categories
diabetes

Diabetes: 40 million people will be left without insulin by 2030

Insulin is needed to treat all people with type 1 diabetes and some people with type 2 diabetes. The latter form of the disease is strongly linked to lifestyle factors such as obesity, poor diet and physical inactivity.
Basu’s team set out to explore how rates of diabetes will change over the next 12 years, namely by how much numbers will rise, in order to predict the amount of insulin that will be needed and whether everyone who needs it will have access.
Using data from the International Diabetes Federation and 14 studies to get a picture of type 2 diabetes numbers across 221 countries, the team modeled the burden of type 2 diabetes from 2018 to 2030.
They predicted that, worldwide, the number of adults with type 2 diabetes will rise from 406 million in 2018 to 511 million in 2030. The United States will have the third highest numbers globally, with 32 million people predicted to be living with the condition in 2030.
“The number of adults with type 2 diabetes is expected to rise over the next 12 years due to aging, urbanization and associated changes in diet and physical activity,” said Basu.
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However, not all people with diabetes require insulin. Of that global total of 511 million, 79 million were predicted to be in need of insulin to manage their diabetes — a 20% rise in the demand for insulin — and only 38 million are likely to have access to it based on current resources.
Insulin treatment is expensive and the market is currently dominated by three manufacturers, according to the study.
“Unless governments begin initiatives to make insulin available and affordable, then its use is always going to be far from optimal,” said Basu.

This content was originally published here.

Categories
covid-19

New York hospitals treating coronavirus patients with vitamin C

Seriously sick coronavirus patients in New York state’s largest hospital system are being given massive doses of vitamin C — based on promising reports that it’s helped people in hard-hit China, The Post has learned.

Dr. Andrew Weber, a pulmonologist and critical-care specialist affiliated with two Northwell Health facilities on Long Island, said his intensive-care patients with the coronavirus immediately receive 1,500 milligrams of intravenous vitamin C.

Identical amounts of the powerful antioxidant are then re-administered three or four times a day, he said.

Each dose is more than 16 times the National Institutes of Health’s daily recommended dietary allowance of vitamin C, which is just 90 milligrams for adult men and 75 milligrams for adult women.

The regimen is based on experimental treatments administered to people with the coronavirus in Shanghai, China, Weber said.

“The patients who received vitamin C did significantly better than those who did not get vitamin C,” he said.

“It helps a tremendous amount, but it is not highlighted because it’s not a sexy drug.”

A spokesman for Northwell — which operates 23 hospitals, including Lenox Hill Hospital on Manhattan’s Upper East Side — said that vitamin C was being “widely used” as a coronavirus treatment throughout the system, but noted that medication protocols varied from patient to patient.

“As the clinician decides,” spokesman Jason Molinet said.

He’s a third-year medical resident — and already dealing with…

About 700 patients are being treated for coronavirus across the hospital network, Molinet said, but it’s unclear how many are getting the vitamin C treatment.

The vitamin C is administered in addition to such medicines as the anti-malaria drug hydroxychloroquine, the antibiotic azithromycin, various biologics and blood thinners, Weber said.

As of Tuesday, New York hospitals have federal permission to give patients a cocktail of hydroxychloroquine and azithromycin to desperately ill patients on a “compassionate care” basis.

President Trump has tweeted that the unproven, combination therapy has “a real chance to be one of the biggest game changers in the history of medicine.”

Weber said vitamin C levels in coronavirus patients drop dramatically when they suffer sepsis, an inflammatory response that occurs when their bodies overreact to the infection.

“It makes all the sense in the world to try and maintain this level of vitamin C,” he said.

A clinical trial into the effectiveness of intravenous vitamin C on coronavirus patients began Feb. 14 at Zhongnan Hospital in Wuhan, China, the epicenter of the pandemic.

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Here’s an exclusive look inside a pop-up coronavirus testing center

Here’s an exclusive look inside a pop-up coronavirus testing center

The randomized, triple-blind study will involve an estimated 140 participants and is expected to be complete by Sept. 30, according to information posted on the US National Library of Medicine’s website.

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Categories
functional medicine

Series on COVID Therapy Studies – Considering Zinc | Sanctuary Functional Medicine

Series on COVID Therapy Studies – Considering  Zinc

With the onslaught by COVID and its coinciding onslaught of self-proclaimed excerpts with every opinion under the sun, I choose to respond with a series of research study reports so you can choose for yourself.  Each edition will offer a number of studies describing possible therapies for COVID (or other coronaviruses) under investigation or reported in past research.  As my recent Facebook Live video noted, we do not know enough about this virus to be definite at this time.  I am not claiming any of these are the preventive or curative answers for you or your family’s safety.  I just want you to be aware of these studies and have knowledge so that you can grow in wisdom rather than stumble about in panic.

Zinc offers a long history of scientific research as an antiviral therapy.  This history varies from promising to disappointing not only for more common viruses but also for COVID.  Multiple immune and viral mechanisms are known to be influenced by zinc (A).  Its potential was sufficient that the Cochrane Review looked at it but due to possible plagiarism (B), their review was removed from their site.  The prior publication which is reportedly plagiarized did report that higher doses of zinc were beneficial in regards to the common cold (C).

As a supplement information resource, Consumer Labs (subscription required) listed Zinc at the top of their possibly effective natural therapies list for coronavirus.  They based this on a study in PLoS Pathogens (D).  This study demonstrated inhibition of Coronavirus RNA polymerase in vitro (the enzyme allowing the virus to multiply) and a blocking of viral replication in cell culture.  More study is needed before saying that zinc therapy or exactly how much zinc would help COVID.

Prior studies like one in Advances in Nutrition (E) from 2019 note that zinc deficiency appears to increase the risk of viral illnesses. They also point out the increased occurrence of zinc deficiency in many countries.  From their list of references, several studies supporting zinc use in the common cold are provided further below (F). One study did not show any benefit (G).  Another analysis in Clinical Infectious Disease from 2007 (H) did not believe the evidence supported its use.

If you are interested in other overviews with further rabbit trails to consider, the Journal of Evidence-based Complementary & Alternative Medicine and the Alternative Medicine Review provide reviews of various therapies including zinc.

In summary, we can go as far as saying the following:  zinc plays an important role in immunity, zinc deficiency increases susceptibility to infection, zinc may help with the common cold, and zinc at the right doses may protect against COVID.  As with just about all aspects of COVID, we cannot be more definite than this.  Use discernment in determining if you use zinc for prevention or as therapy.  Like nearly all therapies, natural and synthetic, you can get too much of a good thing.  There have been reports of zinc interfering with the sense of smell.  Any vitamin or mineral has the potential for overdose just like pharmaceuticals.  Use discernment and don’t overdo it.

References:

(A)

Prasad A. S. (2008). Zinc in human health: effect of zinc on immune cells. Molecular medicine (Cambridge, Mass.), 14(5-6), 353–357. https://doi.org/10.2119/2008-00033.Prasad

Cochrane (B)

Hemilä H. (2011). Zinc lozenges may shorten the duration of colds: a systematic review. The open respiratory medicine journal, 5, 51–58. https://doi.org/10.2174/1874306401105010051

(D) te Velthuis, A. J., van den Worm, S. H., Sims, A. C., Baric, R. S., Snijder, E. J., & van Hemert, M. J. (2010). Zn(2+) inhibits coronavirus and arterivirus RNA polymerase activity in vitro and zinc ionophores block the replication of these viruses in cell culture. PLoS pathogens, 6(11), e1001176. https://doi.org/10.1371/journal.ppat.1001176

(F)

Eby, G. A., Davis, D. R., & Halcomb, W. W. (1984). Reduction in duration of common colds by zinc gluconate lozenges in a double-blind study. Antimicrobial agents and chemotherapy, 25(1), 20–24. https://doi.org/10.1128/aac.25.1.20

Zinc Gluconate and the Common Cold: A Controlled Clinical Study. J C Godfrey, B Conant Sloane, D S Smith, …First Published June 1, 1992 Research Article Find in PubMed https://doi.org/10.1177/030006059202000305

Mossad SB, Macknin ML, Mendendorp SV, et al. Zinc Gluconate Lozenges for Treating the Common Cold: A Randomized, Double-Blind, Placebo-Controlled Study. Ann Intern Med. 1996;125:81–88. doi: https://doi.org/10.7326/0003-4819-125-2-199607150-00001

Randomized, double-masked, placebo-controlled clinical study of the effectiveness of zinc acetate lozenges on common cold symptoms in allergy-tested subjects. Author links open overlay panelEdward J.Petrus, Kenneth .Lawson, Luke R.Bucc,i Kenneth Blum,  https://doi.org/10.1016/S0011-393X(98)85058-3

Ann Intern Med. 2000 Aug 15;133(4):245-52.  Duration of symptoms and plasma cytokine levels in patients with the common cold  treated with zinc acetate. A randomized, double-blind, placebo-controlled trial.  Prasad AS(1), Fitzgerald JT, Bao B, Beck FW, Chandrasekar PH.

(G)

Turner, R. B. and W. E. Cetnarowski (2000). “Effect of treatment with zinc gluconate or zinc acetate on experimental and natural colds.” Clin Infect Dis 31(5): 1202-1208.

(H)

Clin Infect Dis. 2007 Sep 1;45(5):569-74. Epub 2007 Jul 20.  Treatment of naturally acquired common colds with zinc: a structured review.  Caruso TJ(1), Prober CG, Gwaltney JM Jr.

(I)

Mousa H. A. (2017). Prevention and Treatment of Influenza, Influenza-Like Illness, and Common Cold by Herbal, Complementary, and Natural Therapies. Journal of evidence-based complementary & alternative medicine, 22(1), 166–174. https://doi.org/10.1177/2156587216641831

(J)

Altern Med Rev. 2007 Mar;12(1):25-48. Colds and influenza: a review of diagnosis and conventional, botanical, and nutritional considerations. Roxas M(1), Jurenka J.

Sanctuary Functional Medicine, under the direction of Dr Eric Potter, IFMCP MD, provides functional medicine services to Nashville, Middle Tennessee and beyond. We frequently treat patients from Kentucky, Alabama, Mississippi, Georgia, Ohio, Indiana, and more… offering the hope of healthier more abundant lives to those with chronic illness.

This content was originally published here.

Categories
diabetes

VAT-free starting 2019: Medicines for diabetes, high cholesterol, hypertension

The tax exemption is part of the tax reform law signed in December 2017

This content was originally published here.

Categories
covid-19

The U.S. Now Leads the World in Confirmed Coronavirus Cases – The New York Times

The public health system, limping along on local tax receipts, kills mosquitoes and traces the contacts of people with sexually transmitted diseases. It has been outmatched by the pandemic.

There was no Pentagon ready to fight the war on this pandemic, no wartime draft law. There was eventually a White House Coronavirus Task Force, but it has been led by politicians, not medical experts.

The Centers for Disease Control and Prevention is one of the great disease-detective agencies in the world, and its doctors have contributed mightily in skirmishes against Ebola, Zika and any number of other health threats.

But the agency retreated into silence, its director, Dr. Robert Redfield, almost invisible — humbled by a fiasco in the failure to produce basic diagnostic testing.

Now at least 160 million Americans have been ordered to stay home in states from California to New York. Schools are closed, often along with bars, restaurants and many other businesses. Hospitals are coping with soaring numbers of patients in New York City, even as supplies of essential protective gear and equipment dwindle.

Other hospitals, other communities fear what may be coming.

“We are the new global epicenter of the disease,” said Dr. Sara Keller, an infectious disease specialist at Johns Hopkins Medicine.

“Now, all we can do is to slow the transmission as much as possible by hunkering down in our houses while, as a country, we ramp up production of personal protective equipment, materials needed for testing, and ventilators.”

This content was originally published here.

Categories
functional medicine

Neuro-oncology, Functional Medicine, and Medical Cannabis in Brazil | Project CBD

(This transcript has been slightly edited for linguistic clarity)

Project CBD: I’m Martin Lee with Project CBD, and today we’re having another edition of Cannabis Conversations. Our guest is Dr. Paula Dall’Stella. She is a physician in Sao Paulo, Brazil. We’re going to talk about her practice, which involves something called ‘functional medicine.’ So maybe you can explain to us, Dr. Dall’Stella, what is functional medicine and how does cannabis, or cannabis therapeutics, relate to that?

Dall’Stella: First of all, it’s a pleasure to be here, Martin, your work in the Project CBD is amazing. Congratulations.

Project CBD: Thank you.

Dall’Stella: Yes, I work with functional medicine. It’s an area of medicine that we, as doctors, are searching for what is wrong in the lifestyle of the patient. Science is showing us that 80 percent of disease is very related to our lifestyle and less related to our genes. So this is very important. It’s very powerful, actually – knowledge. When you know that your lifestyle is causing or promoting disease, you have the power of changing it, right. So, functional medicine is looking for what’s wrong, what are you doing wrong. It includes exercise, diet of course, which is the basis of our health, vitamins and supplements, how is your hormone balance, how is the power of your detoxification. All combinations of those things create and promote disease.

Functional medicine searches for what is wrong in the lifestyle of the patient … When you know that your lifestyle is causing or promoting disease, you have the power to change it.

In terms of years, it’s very interesting to observe that when patients get a chronic disease, they don’t look in the past and they don’t identify – they say, ‘yeah, but I’m eating this bread or this thing or this food for years, and I never felt anything!’ Yes, but now you’ve got a disease. We don’t pay attention to what we are doing every day, how we are creating the seed of what we’re going to have in the future. So through functional medicine you can change your future. Instead of having a chronic disease and have to use medications to treat your symptoms you can have the power of changing your lifestyle right now, your life, and then changing your future.

And how is this related to cannabis? I am one of the first doctors in Brazil to prescribe cannabis. I’m doing that since five, six years ago. What I realize is that it’s about two things: One it’s our endocannabinoid system – and it’s related to our lifestyle. So what means creating disease? Creating disease means, for example, if you are a negative person and every day you wake up and you have negative thoughts – you are expressing types of genes. If you are a positive person, you are expressing different types of genes. So, if you have good relationships, you are expressing types of genes. If you have bad relationships – this goes for every part of your life. But we never relate that to our disease.

And the correlation, going further, means our endocannabinoid system is co-related to our all systems in our body, right. So, when we are creating stress – and creating stress means not just creating stress about thinking, it’s also about food, for example, too much bad food creates high stress in our body. This stress causes inflammation. And when we have inflammation, or we have a disturbance in our endogenous [cannabinoid] system, we are more open to have disease. So, what I do in my practice, it’s focused very much on lifestyle, and using cannabis as a tool to treat in a more gentle way the symptoms that those patients still have. And, of course, you cannot just drop the medications from one day to another. We have to do it through time – and cannabis is a tool to help those patients to pass through this modification.

Project CBDSo, you found that cannabis can help patients wean off of pharmaceuticals, or lessen their use of pharmaceuticals? And in what particular areas, or conditions, are you finding in your practice that cannabis seems to be particularly helpful for, or most helpful?

Dall’Stella: I have a lot of experience with patients that arrive in my office using 5 or 10 medications – polypharma we call them. Because, of course, with 10 medications nothing is working properly, right. We don’t even know what is working or not. It’s very hard actually to treat those types of patients, and I’m seeing much more it’s very common. They are changing doctors, and doctors don’t change their prescription of the doctor before, and they are accumulating a lot of medications. So, yes, cannabis is a very great tool to help those patients to take off many of them. Sometimes, the patients keep one or two instead of 10. But, then again, it’s about lifestyle modification and cannabis. Because probably the 10 medications they’re using are very related to their lifestyle. For sure. As for what I see that is very common in my office – well I did my post-graduation in neuro-oncology, and because of it, I receive a lot of patients related to oncology. So functional medicine is a very wide field for patients. Oncology is one of the types of patients that I see very great results.

Project CBD: Cancer patients. And you said “neuro-oncology.”

Dall’Stella: Yes.

Project CBD: So that’s a specialty among cancer patients, implying cancer of the nervous system, of the brain. Maybe you can talk a little bit about that. What have you found with patients when they begin to use cannabis, or particular cannabinoids like CBD or THC, and they’re dealing with the cancer in a neuro-oncological perspective, maybe a brain cancer. What have been the results? Because this is very serious disease.

Dall’Stella: It’s a very serious disease. I just recently published in Frontiers in Oncology the results of two case reports where we introduced CBD in a certain type of a moment in the treatment of those patients. So, both of them, they had GBM (glioblastoma), the most aggressive form of brain cancer. Also, they had a very similar profile in age and they both were men. And it was very interesting to observe the response of both of them. They both went to surgery, they were biopsied again, and it was confirmed it was GBM. After they were going through chemo and radiation, and then after chemotherapy alone, a type of very aggressive chemotherapy actually, then we introduced CBD in that moment. And we let them, actually, tell us how much they could stand. We didn’t tell them how much they should use. One of the patients used 450mg [of CBD] and the other one used 200mg. It was interesting to observe that the one that used 200mg actually had a better response.

Project CBD: Is that the idea that maybe less sometimes has more of a response? Is that something you’ve seen in other applications with patients – this kind of “less is more” approach” for cannabis therapy?

Dall’Stella: Yes, actually I try to put my patients in the lowest dose with the best benefits, therapeutic benefits. Yes, I really believe that with chronic use we don’t need too much. In some types of disease, of course, you have to be specific as with certain children using CBD for convulsions, for example. If they use a little bit more they get a seizure or if they use less they get a seizure. So, it must be precise.

For cancer patients we don’t have answers in terms of how much. I do see a difference in response. And I think it’s related to the endocannabinoid system of the patients, too, the genetics of the patient – how the patient metabolizes [the cannabis oil] – and the interaction of the cancer with his system. It’s a very complex thing. Here’s what we observed in those [GBM] patients. After the first month of the radiation and chemo together, they had a very strong inflammatory response. What was impressive for us was how very quickly they had this response. It was a very robust response. When we saw this after a month, we thought oh my God, they are having a progression [of the cancer]. But instead of having a progression, they were having a pseudo progression – it means it’s not a real progression. It’s a very intense response to the treatment. It’s very good actually. They were clinically performing very well, actually. They were doing exercise, they were bicycling. I was really impressed to watch it.

And after, they follow up with chemotherapy. And the chemotherapy they were doing, as I said before, was a really aggressive one, with three types of different drugs, a very toxic type of chemo. Some patients can’t go until the end because of the toxicity to the brain, the liver, the blood cells, so it’s very intense. Both of the GBM [in our case study] vaporized THC flowers during that moment, and they keep using CBD. And what we noticed that was really impressive was that the clinical performance of them improved. Of course, they had fatigue, they had nausea, they were laying down in the bed, but compared to other patients they had moderate side effects. Sometimes one of those patients could work and have a social activity.

That’s impressive, from my point of view. I think that with cannabis, for oncology specifically, what I see is that patients have more energy. They perform better. They are more resistant to the stress of the treatment – even psychologically speaking, not just physically. They sleep better, they are in a better mood. Cannabis promotes the quality of life. The whole thing is creating an ecosystem that is better for them.

Project CBDSo, you were seeing not just positive results in terms of the cannabis helping the difficult symptoms that arise because of chemotherapy – the nausea and so forth – were you also seeing impact on the tumors, the brain tumors themselves, that were showing positive signs?

There is a positive interaction between chemotherapy and the treatment with cannabinoids … there’s actually a synergic effect on tumors when you combine those.

Dall’Stella: Scientific research has proven that what happens in a culture of breast cancer cells happens in our brain, too (for glioblastoma I’m speaking). We don’t know the answer about those patients, in terms of survival. We need more patients to observe. It was a very small population. But GW Pharmaceuticals just released their phase 3 (if I’m not wrong, 2 or 3?) study of the combination of Sativex [a CBD/THC tincture] with the treatment of GBM. And what they say is there is around 83 percent (if I’m not wrong) improvement in the survival time. It’s really nice actually to have these results because then, yes, we are seeing that it can really have an anti-tumoral effect in combination with the [chemo] treatment. The last time when I spoke with the team of the researchers, they said to me something really important and we are seeing it in the results of research: There is a positive interaction between the chemotherapy and the treatment with cannabinoids. For some doctors, they are afraid because of the antioxidant properties of cannabinoids, it could damage the [chemo] treatment and could not be a good combination. But no, instead there’s actually a synergic effect on tumors when you combine those.

Project CBDYou mentioned GW Pharmaceuticals and their product Sativex, which is a 1:1 combination of CBD and THC as a tincture, a sublingual – is this generally available to medical patients in Brazil? Are there other cannabinoid remedies available to patients? What is the situation if one just wanted to get a cannabis-based medicine and use it on their own, as you can in California and other U.S. states. Do the laws permit it? What’s the situation in Brazil?

Dall’Stella: In Brazil, it’s California 20 years ago, let’s say. It’s becoming popular. The doctors are getting their education slowly. But the patients are coming – they want to use it. What I’m seeing right now, in terms of what’s going on legally – you asked me about Sativex. Sativex in Brazil it’s called Mevatyl. It’s a different name. And we should have this in the pharmacy. But it’s not easy to find. I just had a problem with a patient two weeks ago. He’s an MS (multiple sclerosis) patient. And we were trying to find medication for him, and we couldn’t find it in any pharmacy. And I called to the pharmacy and asked why you don’t have it? And they said, yeah because it was here for two years and nobody prescribed it. So we delivered it back. So, yes, we have Sativex. We don’t Epidiolex of course. I don’t think it’s even available in the U.S. Is it already available?

Project CBD: That’s basically pure CBD for children with very severe epilepsy. I do think it is available as a prescription.

Dall’Stella: So, it’s already in the pharmacy.

Project CBD:  But only with a doctor’s prescription.

Dall’Stella: In Brazil, we don’t have Epidiolex yet, but what we have in Brazil are a lot of companies from abroad bringing CBD made by hand to Brazil. So, we have a combination of THC and CBD in the pharmacy – very expensive – very expensive for the Brazilian economy. And then we have products made by hand, CBD made by hand, into the country with these international companies. So for a doctor, we have a very limited prescriptions in terms of cannabinoids and compositions, everything that it could do, it’s very limited, unfortunately. Brazil now is getting a public consultation – our FDA, our ANVISA (the name of the organ that regulates medications in Brazil) has opened a public consultation to understand what we think about having our own [cannabis] cultivation as a country, to produce our own medication. Because what we are receiving – it’s not a medication. We’re even not sure what it’s saying on the label.

Project CBD: With the CBD products?

Dall’Stella: Exactly. What’s already inside the products. We are in a moment right now that we need to force some quality control, education, manufacturing, and the whole process to be able to produce a quality controlled human consumption product. We still are not there yet in Brazil. We need to improve it as a country. We don’t have [product] regulations yet. So for a doctor – I prescribe what we have. We have the CBD products from abroad.

And you ask about the illegal market. The illegal market probably is [much] bigger than the regulated. What is regulated? For a patient now to receive medical cannabis in Brazil he must go through the bureaucratic process: it means going to a doctor who knows how to prescribe cannabis and make all the documents for this patient to get and apply for authorization. After 52 days the authorization arrives and then he can buy and use those company’s products. So, can you imagine for a person with a very bad condition, – he cannot wait for 52 days, plus 10 days to receive his medication. It doesn’t make any sense. So, normally what everybody does, they go to the black market because in 24 hours you resolve your problem.

Project CBDI think what you describe about Brazil is not uncommon, even still in the United States. The black market exists along with the not-so-black market. It’s kind of all helter skelter and happening. But fortunately, there’s an increasing number of options that patients have and hopefully, that will happen soon in Brazil. We thank you Dr. Dall’Stella and good luck in your work.

Dall’Stella: Thank you so much.

This content was originally published here.

Categories
weightloss

Pistachios Help You Lose Weight and Benefit Your Nerves, Digestion, and Heart

Pistachios Help You Lose Weight and Benefit Your Nerves, Digestion, and Heart

You like to snack between meals, but that doesn’t really help you towards your weight loss goals. So, what can you do? We have just the thing! Pistachios not only help you lose weight but also benefit your nerves and heart. Because of their nutritional value, you could even call them a “superfood.”

Pistachios support your diet

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Many people enjoy pistachios as a snack between meals, but, due to their high caloric value, they also have a reputation for making you fat. However, scientists have found that pistachios are a true superfood. On one hand, they are very healthy, but on the other hand, 100 grams of pistachios contains 600 calories.

American scientists have found that pistachios do not make you fat but instead help support a diet since our bodies do not use a large portion of the fatty acids found in pistachios. However, pistachios contain a lot of protein and fiber, which makes them reduce your appetite for unhealthy snacks. You have to eat pistachios slowly since you have to peel them, which makes you more aware of how full you are getting, so you are less likely to overeat. If you are overweight, you don’t have to give up pistachios, because they can support your diet, but you just shouldn’t eat too many.

Positive effects of the micronutrients

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Pistachios do not just contain fat, they are also rich in potassium, iron, various vitamins, folic acid, and fiber. Because of their nutritional value, they are great for your body, and the vitamin B found in them is great for strengthening your nerve endings. They have a preventative effect on your cardio-vascular system and can prevent cancer. Additionally, the fiber aids in digestion.

Pistachios are highly recommended for pregnant women because of the folic acid.

Interesting facts about pistachios

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Pistachios are not nuts. Are you as surprised as we were? They are actually stone fruits! They can only be harvested by hand, which is reflected in their high prices.

To be considered when purchasing pistachios

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The high concentrations of protein and fat in pistachios makes them susceptible to mold. Pay attention to the following things when buying pistachios:

  • The pistachios should be a healthy green.

  • Buy pistachios that haven’t yet been peeled. This ensures that they are well protected and not damaged and that you will eat them slower.

  • Pay attention to the smell and look of the fruit. They should not smell or show any signs of mold.

  • Once you’ve opened a package, consume it quickly and store it in a cool place.

How to best enjoy them

istockphoto.com/DonatellaTandelli

Pistachios can be eaten in many ways besides just as a peeled fruit. You can find pistachios in pesto, cheese, sausage, and oil, and they will always make the dish better.

However, the positive effects pistachios have on your diet are lost when you eat them with oil or sugar.

If you know someone who really likes to eat pistachios, tell them about this article so they can be reassured that pistachios are a healthy snack. They may want to lose weight but not give up their beloved pistachios. You need to share the good news that they don’t need to give up the fruit since they have so many health benefits.

This content was originally published here.