How to Talk to Your Doctor About Dietary Supplements

How to Talk to Your Doctor About Dietary Supplements

As I mentioned in a previous blog post, My Doctor Doesn’t Recommend Plexus Slim (or supplements in general)  , statistics show that the average medical doctor received only 23.9 hours of education in nutrition during their entire medical school career.1  Typically that education centered around  fat, protein, and carbohydrate metabolism, and identifying overt signs and symptoms of nutrient deficiency or toxicity  because National Boards love to ask questions about things you will virtually never see like beriberi (thiamine deficiency) or pellagra (niacin deficiency).  So, in all actuality, most physicians never learn much at all about individual nutritional substances outside of common vitamins and minerals unless they have taken a personal interest in it and searched out more information on their own time.

 

So when you show up to your doctor’s appointment wanting them to approve you taking a supplement, chances are very high that they will be completely unfamiliar with the ingredients and their knee-jerk reaction will be to tell you not to take it.

So, how do you get your doctor’s consent to take a supplement when they don’t know anything about it?

The single most important thing you can do to aid your doctor in their decision is to provide them with appropriate information.  Your doctor doesn’t have the time or the resources to look up 15 separate ingredients while you are at your appointment, so you need to do this for them.  If you present to the doctors office prepared with the following, you have dramatically increased your odds of getting appropriate medical advice as to whether that supplement is worth you trying.

 

  1. Print off the SUPPLEMENT FACTS box/sheet on the product you wish to take.  This is the ‘snapshot’ of the label that lists all ingredients, in order of quantity, and lists product dosing, and any warnings or contraindications.  You can get print these off from any supplement company’s website as they are required to make these available to you.
  2. If your prospective supplement has a study published on their website, print off a copy of that too.  Remember though, that many supplement companies do not publish studies on their supplements so they do not run into hot water with the FDA by making a product claim.
  3. Look up the main ingredients in the product and print off an information sheet about each one.  Use reputable websites that your doctor would be inclined to positively receive information from such as MedlinePlus,  WebMD Supplement Center, or the Physicians Desk Reference – Herbal Medicines. Please don’t use Wikipedia or other questionable sources!  If at all possible, keep the print out on each ingredient to a single page – that way your doctor can quickly skim the information.
  4. Use Pubmed to print off Abstracts (not the full studies) of any of the ingredients in relation to health conditions you may have.  Here is an example I searched for – chlorogenic acid, weight loss and this study  pops up.  ***Be careful here, because few nutritional journals are indexed at Pubmed, and the nutritional studies posted in medical journals are often AGAINST supplementation, or use rat or other lab animal models and are not based on human trials.
  5. Lastly, have these all together in a file or envelope that you can present to our doctor and NEVER ask them “I want your approval to take ________”.  This type of question opens them up to legal liability .  It is far better to word your question the following way, “Is there anything in this supplement that would be contraindicated with my medications or health history?”  That way you are not asking for their personal opinion, nor their approval, but you are doing your due diligence that the supplement should be safe for you.  Remember, the doctor works for you, and you hire them for their expertise.  If they shoot down all supplementation, then they are not working in your best interest.  For this reason, I recommend you also print out my blog post My Doctor Doesn’t Recommend Plexus Slim (or Supplements in General)  because it covers the exact statistics of risk for dietary supplements and counters any arguments an uninformed doctor may give you.

 

For more information, please visit and LIKE my page on Facebook at https://www.facebook.com/DrJsHealthCare

 

1.  Adams, KM, Lindell, KC, et al.  Status of nutritional education in medical schools. 1,2,3,4.  Am J Clin Nutrition, April 2006, vol 83. No 4, 941S-944S.

 

 Image courtesy of stockimages at FreeDigitalPhotos.net
What to Do When Your Doctor Doesn’t Recommend Dietary Supplements

What to Do When Your Doctor Doesn’t Recommend Dietary Supplements

I’m going to let you in on a little secret: Doctors don’t know everything.

 

Shocking right?

 

The word doctor itself originated as an agentive noun of the Latin verb docēre, meaning ‘to teach’.  That  ‘teaching’ part is something that a lot of modern doctors have forgotten.  In our haste to get patients in and out of the office in as little time as possible, many of us have bypassed the teaching part all together in order to go directly to that little white prescription pad.

The big losers in all of this is that the lovely little town doctors of yesteryear are a dying breed and insurance companies and actuaries are dictating how doctors treat their patients. This is compounded by the fact that the advent of the internet has turned our patients into armchair researchers who present to our offices with pages of print-outs on what they have self-diagnosed themselves with, or on treatments that they would like to explore with or without our help.  And so, in our haste to process patients quickly, we find that it is easier to NOT recommend something that we are unfamiliar with than to look into it further for our patients.

I’m not saying that there are not great doctors out there, because that couldn’t be farther from the truth, but the unfortunate statistic stands that the average doctor  received only 23.9 hours of education in nutrition during their entire medical school career.1  Nutrition is a broad term — and typically involves learning about the wonders of fat, protein, and carbohydrate metabolism and recognizing overt signs of individual nutrient deficiency.  Very, very few doctors can claim that they learned much, if anything, about specific dietary supplements or herbs.

So when you go to your doctor and consult with them about the safety of a dietary supplement, be prepared that your doctor’s knee-jerk reaction to your question may be to deny, deny, deny.  Here is my rundown on the most common arguments you may hear from your doctor on why you shouldn’t take a dietary supplement:

  • Argument 1:     Dietary supplements are not regulated by the FDA, therefore they are unsafe.  This is the same FDA that brought you Raxar, Tequin, Duract, Vioxx, Bextra, sibutramine, dexfenfluramine, Rezulin, Avandia — all drugs they deemed      ‘safe’ but had to pull off the market because of overwhelming adverse reactions, including death.  The same FDA that approved all of those artificial joints, repair mesh, and surgical hardware that you see mentioned in attorney commercials (and now subject to mass recall and class-action lawsuits) every time you turn on your TV.  The same FDA that routinely extorts nutritional supplement companies.2 The same FDA that routinely hires all of its upper level and leadership positions directly from drug companies (or drug companies hire directly out of the ranks of the FDA in a well known, ‘I’ll scratch your back if you will scratch mine’ system).  I think I made my point.  The fact that the FDA declares something to be safe is more indicative of a multimillion dollar payout than bonafied, objective science.   But I digress, the FDA does not regulate dietary supplements  per se  but they do heavily regulate the manufacturing facilities that dietary supplements are made in  and strictly regulate what companies say about dietary supplements.  That is why it is illegal for a cherry farmer to post on his website that cherry juice is known to reduce the uric acid crystals associated with gout, but Pfizer can spend millions of dollars a year advertising how Viagra can give you enough wood to build an ark.
  • Argument 2:     I’ve treated dozens of patients that have _______ [insert health horror story: liver failure, kidney damage, brain cancer, tennis elbow, died, etc.] from taking ‘natural’ supplements.  I will be the first to agree that not all supplements are safe. Furthermore, just because something is natural, does not mean that it is without risk, but I will also be the first to point out that 20,500 people died in a given year from FDA approved medicines and zero people died from ‘unapproved by the FDA’ supplements.3 If you look at Adverse Drug Reactions (ADRs) in general, the FDA reports that there are over 2 million ADRs yearly resulting in ~100,000 deaths, making it the 4th leading cause of death ahead of pulmonary disease, diabetes, AIDS, pneumonia, accidents, and automobile deaths.Yet according to the Governments own Government Accountability Office (GAO) , between 2008 and 2011, the FDA received 6,307 Adverse Event Reports (AERs) for dietary supplements, this averages just over 1500 per year yet, according to the GAO’s own report, over half of the US population takes dietary supplements. This means that nearly 200 million people are taking dietary supplements in a given year, yet only 1500 people report an adverse reaction. Of those 6307 AERs, only one death was reported and it was “vaguely and probably irrelevantly concurrent with an “unknown dietary supplement or homeopathic agent”—with no deaths reported before 2009. By way of contrast, the same report shows that FDA-approved drugs caused 80% of Poison Control fatalities. More than 100,000 calls to Poison Control Centers, 56,000 emergency room visits, 2,600 hospitalizations, and nearly 500 deaths each year are attributed to Acetaminophen (Tylenol) alone.”5  So, forgive me if I call ‘BS’ on your doctor personally treating dozens of people that had organ damage from the supplements they bought at the health food store.  It is statistically impossible.
  • Argument 3 :    Supplements don’t do anything but give you expensive urine and the manufacturers just want you to spend more and more money with them. Cough, cough, pot calling the kettle black! Hmmm, and big pharma has your best interests at heart? What about those hospitals that bill you $20 for that single aspirin or ibuprofen tablet? No matter how you break it down, supplements do not compete on any level with the drug companies. The top 50 pharmaceutical companies are responsible for $610 billion of annual revenue.6 Compare that to the nutritional industry which had revenues that topped $32 billion for dietary supplements during the same year.7 The simple fact is that most supplements cost a mere fraction of their drug counterparts, and no one makes a lot from individual dietary supplements because they are natural substances and therefore cannot be patented. That is the exact reason why you don’t find dozens of double-blind, placebo-controlled trials on supplements – there is no money in it. A company isn’t going to hire  a team of researchers and spend tens of thousands (if not more) to do a trial proving the efficacy of green tea extract, when a) they legally can’t promote any results that prove the supplement did something, b) the margins or mark-up on supplements and raw materials is comparatively very low, and c) all of the other manufacturers that sell green tea extract could use the same data to sell their product (why help your competition?). There is no practical advantage for them to pay for studies. Furthermore, most supplement manufacturers would be required to identify or disclose the exact ratios of ingredients in their proprietary formulas in published data otherwise it would not be reproducible by third parties. Given the low margins and lack of patents, you can see why supplement manufacturers would be reluctant to disclose the only information that protects their trade secrets. Personally, I am more suspect of the doctor writing prescriptions for that expensive new statin drug that just so happens to sponsor their annual continuing education Caribbean cruise.
  • Argument 4:   Supplement companies pay big money to Google to cover up negative stories about adverse reactions. Please!!! Let.me.repeat: 610 Billion vs. 32 Billion, and 50 big players (companies) vs. tens of thousands. The doctors that would make this asinine statement are the same ones that deny that vaccine manufacturers aren’t in it for the money. The same doctors that figure you must have been born with a metformin deficiency but taking chromium to regulate your insulin levels is ‘crazy’. There isn’t a supplement manufacturer out there that has enough disposable funds to pay off Google or any other search engine. Remember, the mainstream media covers up pharmaceutical negligence all of the time, after all, who is their #1 advertising group? The next time you watch television, grab a pen and a piece of paper and keep a running tally of every supplement commercial for every drug commercial. That alone ought to tell you who controls the media.
  • Argument 5:  Supplements don’t ‘cure’ you. They are right on that. It is against the law for a supplement manufacturer to ever report or claim that their supplements ‘did’ anything. That is why every supplement advertisement or piece of literature that you will ever see contains the disclaimer :This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.  It is also why supplements rely on anecdotal testimonials of patients to promote them.    But I would also hazard to say that the vast majority of drugs don’t cure anything either.  They simply address one set of symptoms, often resulting in another set of symptoms, which results in the need to take ever-increasing amounts of medications. This is the real reason why the average American takes 10 prescriptions per year.  You are given one medication for one symptom, which results in a drug-induced nutrient depletion, which causes your blood pressure to rise, so you are given a medication for that, which affects your kidneys, so you are given a new medication for that, which constipates you and gives you headaches, so you are given two more medications for that, and before you know it you are taking 10 drugs per day and no one has ever checked for any drug interactions, you end up with liver damage from your 10 medications, but your doctor is more concerned about that weight loss supplement that might help you lose 50 lbs and therefore not need any of those aforementioned medications.  

In my 10 years of having a nutritional based practice, I have run into all sorts of doctors.  Some are ecstatic that their patients are being proactive and making changes to improve their health.  Some deflect nutritional questions under the guise that it isn’t their specialty, so they would rather not comment on it.  Others get their ego all tied up in a knot when their patients seek advice from other practitioners.  Some are so indoctrinated at the Church of The Mighty Pharmaceutical that they simply cannot rationalize anyone questioning their sacred doctrine.  Regardless of what type of doctor you have, you have the right and the obligation to take ownership of your own health.  If that means that your doctor isn’t familiar with the ingredients in a supplement that you would like to take, find someone else to help you.  That may be another doctor, it may be your pharmacist.  You may simply  need to reword how you ask your question.  Instead of saying, “Hey Doc, Do you approve of this supplement?”, you should ask, “Is there anything in this supplement that would be contraindicated with my medications or health history?”  You may not think that there is a big difference between these two questions, but there is a world of difference legally.  The first requires their medical opinion and approval, the second only is indicative that there is no overt contraindications and does not require the physicians approval.  I have seen some doctors spouting off anti-supplement rhetoric on their blogs and Facebook pages lately, and it saddens me greatly.  Reading their posts, they are the ones fear-mongering and creating hysteria instead of offering genuine support or information to the public.  The Hippocratic oath centers on the tenet of First, do no harm.  In addition, the modern Hippocratic oath contains the statements, “I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person’s family and economic stability.  My responsibility includes these related problems, if I am to care adequately for the sick.  I will prevent disease whenever I can, for prevention is preferable to cure.”8  As a doctor, I find it abhorrent that another physician would be so callous to say that diet and exercise are the ONLY answer to weight loss.  There isn’t a doctor out there that has been in practice for more than a day that hasn’t seen patients that were fit and active but over weight.  If it were only as easy as diet and exercise no one would be fat.  Now, lifestyle modification is crucial to overall health, but some people simply need that added boost that supplements can give them.  Completely ignoring drug induced nutrient depletion, or the grossly inadequate nutrient content of modern food, it is virtually impossible to get everything you need from diet alone.

So if your doctor isn’t familiar with supplements, or tells you not to take something, you need to ask them  specifically ‘WHY?”  If it is one of the cop out arguments mentioned above, you now know how to react.  If they simply do not know, feel free to search out a second or even a third opinion.  If there is a genuine reason why you shouldn’t take a supplement, such as pregnancy, or a history of kidney or  heart disease, then you did your due diligence and got appropriate advice.   And always remember, doctors don’t know everything and the really good ones are never afraid to admit that.

 

For more information, please visit and LIKE my page on Facebook at https://www.facebook.com/weightlossresources

1.  Adams, KM, Lindell, KC, et al.  Status of nutritional education in medical schools. 1,2,3,4.  Am J Clin Nutrition, April 2006, vol 83. No 4, 941S-944S.

2. Adams, Mike.  FDA Running Extortion Racket: : Natural Supplement Companies Threatened with Arrest if They Don’t Pay Up.  Retrieved 12/27/2013: /http://www.naturalnews.com/024567_FDA_health_the.html

3. United States Centers for Disease Control (CDC). 2008

4. Why Learn About Adverse Drug Reactions.  Retrieved 12/27/2013 from http://www.fda.gov/Drugs/DevelopmentApprovalProcess/DevelopmentResources/DrugInteractionsLabeling/ucm114848.htm

6.  2012 Pharmaceutical Revenue.   http://www.currentpartnering.com/insight/top-50-pharma/

7.  Nutritional Supplements Flexing their Muscles as Growth Industry.  Retrieved 12/27/2013 from  http://www.forbes.com/sites/davidlariviere/2013/04/18/nutritional-supplements-flexing-their-muscles-as-growth-industry/

8.   Modern version of Hippocratic Oath most commonly used in medical schools today. Louis Lasagna, Academic Dean of the School of Medicine at Tufts University1964.  Retrieved 12/27/2013 http://www.pbs.org/wgbh/nova/body/hippocratic-oath-today.html

 

 

Copyright (c) 2013 Miranda Jorgenson. All rights reserved. This material may not be published, broadcast, rewritten or redistributed in whole or part with out the express written permission of the author. You are welcome to share this link or print this page and use in its entirely.

 

I’ve lost all of this weight, so what do I do about my bingo wings?

One of the few negative things about weight loss is that some people are left with focal areas of saggy skin.  Not only is this skin unsightly, but it can create hygiene issues and physical discomfort.  Even minor weight loss can result in lumpy, less resilient skin that is prone to cellulite.  Larger amounts of weight loss can leave some people with excessive amounts of hanging, sagging skin; which can be prone to skin irritation and even infection or chronic inflammation.  Some people find their abdominal skin is so loose that it appears more like an alien landscape than the body they have come to know.  It just doesn’t feel like “you”.

 

It used to be that you had two options on dealing with it – you could live with it or you could get it surgically removed.  Well, I am here to tell you that there is a lot that can be done, and if you are still in process with your weight loss journey, there is even more we can do to minimize those dreaded bingo wings and abdominal aprons (pannus).

 

I remember looking at my own abdomen shortly after my second child was born, and thinking “when did I become a shar pei?”  You can be ecstatic about accomplishing your weight loss goals but feel demoralized every time you look in the mirror.  It is not fun, and has to be the least sexy feeling in the world!  So this is what I did, and this is what I recommend to my patients and clients:

 

Wrinkles and skin folds are cute on babies and dogs.  On us, not so much!2

 

First, never under estimate the power of DRY BRUSHING.  Dry Brushing is a technique involving a dry brush (shocking, I know!) where you make long sweeping passes lightly over your skin.  Always moving towards your lymph nodes and heart.

Arrows indicate the direction of your passes with the dry brush1

 

I recommend that you start with your feet and work up towards your waist, then move to your hands and brush towards your heart, finishing with your neck and torso – also directing all brush strokes towards the heart.  Remember, always use a dry brush, and do this before your shower so you wash off any toxins that you release.  Some people chose to purchase two brushes for this task, one a small brush that straps to the palm of your hand, and the other, a similar brush attached to a stick to make reaching inaccessible areas easier.

 

So how does this work, well, first we need to remember that your skin is your largest organ, and is occasionally referred to as your third kidney because it eliminates approximately a pound of toxins per day, mostly through your sweat glands.  In addition, over 33% of your blood supply is directed to your skin but it is one of the last areas to receive nutrients, so it is subject to showing signs of deficiency.  The skin closely interacts with the lymphatic system, another powerful system of detoxification.

 

ü  Dry brushing stimulates lymphatic drainage and the elimination of toxins

 

ü  It encourages circulation and revascularization of hypoxic tissues

 

ü  By increasing blood flow, it encourages nerve conduction and wound healing

 

ü  It stimulates your immune system

 

ü  It stimulates the production of collagen and elastin, thus tightening skin that has lost some of its elasticity

 

ü  It removes layers of dead skin and encourages the growth of new skin cells

 

ü  It improves skin texture and reduces signs of cellulite

 

ü  It stimulates hormone production and oil gland secretion

 

ü  It helps with more even distribution of fat deposits

 

ü  It improves nervous system functioning by stimulating nerve ending firing and receptors in the skin

 

ü  It is invigorating

 

ü  It is quick and inexpensive

 

Tips – use a light touch on thinner areas of skin, and a stronger touch on thicker areas of skin (like the abdomen, legs, and feet).  It should not hurt, but it should feel invigorating.  Do 8 to 10 strokes on each area before moving on.  When you first get started with dry brushing, you may only be able to tolerate a few minutes of it.  Once established though, it should take 10-15 minutes to cover your entire body.  Do not brush moist skin as you can cause micro tears in the outer layer of skin.  If you can dry brush during your weight loss journey, then you may avoid loose skin all together.  If you have stubborn areas, like under the arms, love handles, or a pannus, – you can spend extra time brushing them to stimulate the skin.  If you have areas that are especially sensitive to the dry brushing, you can avoid them for the time being, the same can be said for damaged or wounded skin.  Never dry brush skin wounds or infections.  Always shower after dry brushing, and if you can end your shower with 15 seconds or so of cold water, that will further stimulate the skin.  I recommend dry brushing 6 days per week, and using a salt or mineral scrub on the 7th day.  This gives your body a break to further detoxify and regenerate.  After your shower, massage a high grade plant oil (olive, coconut, almond, flax, sesame, avocado, castor oil with essential oils, etc.)

 

Other things you can do now to avoid your outer shar pei and encourage skin tightening:

 

1.       Limit sun exposure.  Avoid sunburns and tanning beds.

 

2.       Get a massage.  Massage therapy stimulates circulation, and can release pockets of inflammation.

 

3.       Keep hydrated!  Another reason for you to be drinking that water.

 

4.       Increase your consumption of raw foods.  Raw foods contain enzymes that promote immune function and digestion, and decrease inflammation.

 

5.       Consume high quality protein.  Your body needs high quality protein to replace and repair its own supply.  Collagen and elastin both require protein building blocks.

 

6.       Make sure to wash chlorine from skin after swimming.  Avoid putting chemicals or artificial creams or moisturizers on your skin.

 

7.       Use alcohol in moderation.  Alcohol can severely impact collagen synthesis.

 

8.       Use seaweed or other ‘wraps’ to help tone the skin

 

9.       Take at least 1 Epsom salt bath per week to pull toxins and to increase your serum levels of magnesium (at least 2 cups of Epsom salts in a bath for at least 20 minutes)

 

10.   Use an abdominal or sports wrap on areas you tend to be losing too quickly from so that the skin remains compressed.

 

11.    Avoid cigarette smoke at all cost!

 

 

 

Supplementation

 

Healthy skin requires normal levels of collagen and elastin.  Dry brushing will encourage the production of these, but supplementation is likely necessary. 

 

Vitamin C is the backbone of collagen formation.  500-3000 mg per day is the average daily requirement range.  If you are losing weight quickly or already have lose skin, you will require doses towards the higher end of the spectrum.

 

Magnesium is required for hyaluronic acid production (the gel-like substance that is found in skin, joints, and soft tissue).  It is also required for over 200 different biochemical processes in the body.

 

Omega 3 fatty acids support the fatty membrane structure of all cells and improve skin repair and turn over.

 

Lysine, argenine, glycine, and proline – amino acids necessary for collagen and elastin production.  Glycine also plays a role in blood glucose regulation, muscle repair, digestion, and glutathione production.  You can supplement with these individually or use a broad spectrum amino acid containing supplement like whey protein to get in all of the amino acids.

 

Bone Broth – One of the traditional foods that is rarely found in the modern diet, it has been suggested that a lack of bone broth (and its associated minerals, gelatin, and collagen) is one of the major reasons why arthritis is so prevalent now.  Minerals found in bone broth are highly absorbable, far more than from most dietary supplements.  If you make your own bone broth (which I highly recommend) roast your bones first, then gently boil them with your cut vegetables and 2 tbsp of apple cider vinegar to help make the minerals more absorbable.  You know you’ve made a great bone broth when you refrigerate it and find a thick layer of gel on it.  When you cook meat, try cooking it on the bone for additional collagen and proteoaminoglycans.

 

Green tea – a potent source of catechins, which help with collagen and elastin production.  Enjoy a few cups of green tea each week to reap its benefits.

 

Taking these steps will make a marked improvement in your skin.  Now some people will always be candidates for surgery, but I always recommend using natural methods first, because once you cut, there is no going back.  If you can do these while you are undergoing your weight loss, your skin will tighten at nearly the same rate as your fat loss – thus likely preventing sagginess to begin with.  What do you have to lose other than those bingo wings?!

 

Edited to add:  I’ve had several requests for me to show what a dry brush looks like:  http://www.amazon.com/Tampico-Approx-Inches-Yerba-Prima/dp/B008MONZFI/ref=sr_1_4?s=beauty&ie=UTF8&qid=1386109118&sr=1-4&keywords=skin+brush

 

 

 

 

 

Copyright (c) 2013 Miranda Jorgenson. All rights reserved. This material may not be published, broadcast, rewritten or redistributed in whole or part with out the express written permission of the author. You are welcome to share this link or print this page and use in its entirely.

 

Photo Sources:

 

 

1.  Drybrush picture. Retrieved 12/3/2013 from http://mayamoonhealingarts.com/dry-skin-brushing/

 

2.  Shar pei. Source: imgfave.com via DoanPhuong on Pinterest,   Retrieved 12/3/2012 from http://www.gracielushihtzu.com/baby-shair-pei

 

3. Pannus. Retrieved 12/3/2013 from: http://www.eplasty.com/index.php?option=com_content&view=article&id=627&catid=173:volume-12-eplasty-2012&Itemid=121

Are these 4 hormones making you fat?

There is so much information and misinformation about weight loss on the internet that it is hard to wade through it all.  Everyone has a different theory – it is fats, it is carbs, it is meat, it is dairy, it is preservatives, it is too many calories, it is not enough exercise, it is an inevitable part of aging, it is estrogens, it is not enough testosterone, it is mercury in retrograde…  blah, blah, blah…  Surely someone must have some answers!

 

Well, ten years of nutritional practice has taught me that no one has all of the answers.  If you find someone who claims otherwise – RUN the other way!  Weight loss science is constantly changing and it is as mercurial as the people who espouse individual diet plans.  Quite simply, there is no quick fix and there is no single plan that will work for 100% of everyone.  Period.

 

What I can tell you is that there are certain hormones that play key roles in many people’s weight gain or inability to lose weight.

 

1. Your body is not producing enough adiponectin.   Adiponectin is a protein specific to fat cells and it is believed to play a role in the development of insulin resistance and atherosclerosis.  Typically, the more body fat you carry, the lower your adiponectin levels, with increased levels of visceral fat (that fat hidden in your abdomen, packed around your internal organs) being especially correlated to decreased levels of adiponectin.  Almost every symptom associated with metabolic syndrome or insulin resistance can be directly tied to adiponectin, so – how do you make more of this hormone and head off these problems?  First, you need to increase your magnesium intake with supplements (like BioCleanse, or magnesium glycinate) and magnesium rich foods (raw spinach, pumpkin seeds, nuts, seeds, beans, lentils, fish, brown rice, bananas, figs, avocados, dark chocolate, etc.).  Second, you should look into fish oil (omega 3 fatty acid) supplementation and exercise to increase your adiponectin levels.

 

2. Insulin imbalance.  Think of insulin as a key that unlocks your cells so your body can take the glucose (sugars) in your blood stream and store it away in the cell for later.  If you don’t have enough insulin, your circulating blood sugars remain too high, and these negatively affect your vasculature system, your fat storage, your blood pressure, your ability to heal, and even your brain.  Much of the medical community thinks that insulin resistance stems from the body not having enough insulin, but other researchers, like Dr. Mark Hyman, MD, believe that too much insulin is the problem.  He postulates that elevated levels of circulating insulin are even more problematic, and that many of the drugs and methods used to treat elevated blood sugar levels , actually cause the body’s tissues to be flooded with too much insulin, which slowly cause your body’s cells to become resistant to it, which means that greater and greater levels of insulin are needed to see any effect, which leads to vicious blood sugar and insulin swings, making these hormones rollercoaster throughout the day. The ingredients in Plexus Slim support the  normalization of your insulin resistance.  In addition, some studies have shown that consuming 2 tbsp. of apple cider vinegar before a high fat meal may work as well as drugs at decreasing blood sugar levels.  If you consume artificial sweeteners, do yourself a giant favor and STOP!

 

3.  Too much ghrelin.  Ghrelin is your hunger hormone and it is found in the cells that line your stomach.  It stimulates the hunger center of the brain and makes you desire sweet or rich foods. In fact, it is so efficient at stimulating your hunger centers, that elevated levels of ghrelin will make you feel the same way as if your were in full starvation mode – desperately craving the richest, highest calorie foods you can imagine.  Furthermore, it makes you feel unsatisfied with the amount and quality of food you have eaten, whether you are truly full or not.  It’s why you can slip in that piece of pecan pie or chocolate cake for dessert when you are already uncomfortably full from eating that big turkey dinner.  A classic sign that you have too much ghrelin is that you feel you have room for dessert, or you find you are a bit hungry an hour or so after you eat. You fridge-cruisers know who you are!  Ghrelin cycles in 4 hour increments, so typically you would be hungriest 4 hours after your last meal.   So how do you address ghrelin?  There are a few different things you can do.  First, make sure you are getting enough sleep.  8 hours of sleep per night is the ideal.  If you are getting less, or have poor quality sleep, please know that sleep deprivation causes your ghrelin levels to increase.  Protein intake also staves off the release of elevated ghrelin levels, so make sure that each meal starts off with high quality protein sources (this is particularly important for breakfast). Consuming a small bowl of broth or soup before a meal is an excellent way to prevent ghrelin levels from rising too much.

 

4. Cortisol overload.  We are designed for fight or flight.  Cortisol is produced as a response to stress (and who isn’t stressed nowadays?).  It increases your cravings for sweets and carbohydrates, it increases  muscle breakdown for energy production, it increases the percentage of fat that is stored in your abdominal area, and it increases your levels of depression and anxiety – which make you eat more, which further increases your cortisol levels, creating a vicious cycle,  resulting in you feeling tired and burnt out all of the time.  Supplements such as fish oil, Rhodiola, lactium, magnesium, DHEA, and b-vitamins can all help reduce cortisol levels.  Other things that have a positive effect include slow exercise like yoga or walking, meditating, praying, or just getting into a ‘zone’ where you let your creativity reign.  Limiting coffee, and making sure you get enough sleep are other ways to keep cortisol levels normal.

So before you give up he fight, have a good look at these factors and see which ones may pertain to you and take the action steps needed to achieve your ideal weight.  I have found Plexus Slim to be an excellent tool for my patients and clients in achieving their ideal weight in a safe and efficient manner.  It truly is the non-diet, because it never involves meal replacements, shakes, calorie counting, points, or anything else.  It simply helps to normalize insulin resistance and inflammation levels so your body can release the weight it’s been hanging on to.  In addition, it makes it easy to make healthier food choices.  You didn’t gain those 40 extra pounds in a month, and it will take you time to lose it, but the key is you.  You have to draw that line in the sand and start something.  4 months from now, you can be the same weight you are now (or even heavier!), and still have those aches and pains, fatigue, gastrointestinal issues, etc., or 4 months from now you can feel like a million bucks.  No one can ever force you to change because the choice truly is yours, but, if you want help and are sincere about making change, I will help you every step of the way!

 

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