Memory: Solutions for “Senior’s Moments”

It’s important that as people age they find ways to keep both their bodies and minds sharp. In my years of medical practice, I have witnessed patients who experience the anxiety that comes when they recognize that their memory is failing. Whether they are forgetting where they put their keys more often, are having trouble finding words or they are in the early stages of age-related dementia, there are holistic strategies that can help lift brain fog naturally.

When working with a patient, my first task is to determine whether their lifestyle is conducive to good brain function or if it is a likely cause of their “senior’s moments.” The brain is an organ that needs to be taken care of in order to function optimally. Like the rest of the body, it needs quality nutrition, proper rest, exercise and stress management in order to perform well. Nutritional deficiencies, such as lack of vitamin B12, can occur with age, especially if prescription medications like metformin (diabetes) or nexium and other stomach acid blockers are taken. An iron deficiency reduces the oxygen supply to the brain. This form of anemia can be caused by taking aspirin, or by colon issues that cause bleeding.

Exercise has proven to be one of the key factors for preserving mental function. Studies show a significant reduction in rates of dementia in people who exercise three to five times a week. Research also supports the idea that cardiovascular health in general improves oxygen and blood flow to all organs, including the brain. Another study from the Journal of Neurology found that exercise helped minimize arterial plaque buildup, and that this was linked to improved performances on memory and mental acuity tests.

The old adage, “use it or lose it” applies to memory. Mental stimulation is to the brain, what exercise is to the muscles. Engaging in social interactions, intellectual pursuits, and mental games can protect the memory. It’s never too late to learn a new instrument, figure out how to use a computer, or challenge yourself to learn some conversational Spanish.

I also assess my patients for anxiety and chronic pain, both of which have been linked to memory loss. One natural medicine derived from Green Tea called Theanine has been shown to improve mental clarity and reduce anxiety. If chronic pain is present, laser therapy is an effective treatment for arthritis, back and muscle pain.

In my clinic, I also do a thorough medical evaluation to see if there are physical reasons for the memory loss. A full thyroid panel can sometimes illuminate low thyroid function, which can also make patients feel tired, chilly and gain weight easily. Fascinating research links imbalances in the bacterial lining or microbiome of the intestine to brain function. Taking antibiotics or acid blocking medications can disturb the crucial balance in the intestinal microbiome and result in learning and mood issues. Correcting this imbalance with the help of a naturopathic physician can improve health on many levels, including the mood and mind function. For some people, food allergies can cause a brain fog due to an opiate like effect on the brain.

Finally, the factors that put people at risk for cardiovascular disease also put them at risk for dementia. Diabetes is now considered to be a major player in the development of age related dementia. Naturopathic physicians have expertise in helping diabetics achieve stable blood sugars with less mediation. High blood pressure must be addressed with lifestyle changes – not just medications – in order to significantly reduce its side effects. High homocysteine (over 7.0) levels have been found to double the risk of Alzheimer’s disease, according to scientists at Boston University. This inheritable risk factor is easily tested for and treated with natural medicines, yet is rarely done by conventional physicians.

I am often asked if there is a natural medicine to protect the brain from aging and memory loss. Gingko hasn’t been shown to have a preventive effect, however, studies have shown it to slow the progression of Alzheimer’s. Fish oil has anti-inflammatory effects that are positive for brain function. You may have read that chocolate has flavinoids that are good for the brain. Well, only its raw form actually contains the medicinal properties, so sadly you’ll have to try raw cacao nibs to get the protective effect.
Phosphatidyl serine is the newest superstar in the natural memory aid arena. The Journal of the American Academy of Neurology published a study in which it was stated that phosphatidyl serine was a promising candidate for treating memory loss later in life.

A combination of living a healthy lifestyle, having a thorough medical evaluation by your naturopathic or conventional doctor, and utilizing natural medicines will surely help keep those “senior’s moments” at bay.

Memory: Solutions for "Senior's Moments"

It’s important that as people age they find ways to keep both their bodies and minds sharp. In my years of medical practice, I have witnessed patients who experience the anxiety that comes when they recognize that their memory is failing. Whether they are forgetting where they put their keys more often, are having trouble finding words or they are in the early stages of age-related dementia, there are holistic strategies that can help lift brain fog naturally.



When working with a patient, my first task is to determine whether their lifestyle is conducive to good brain function or if it is a likely cause of their “senior’s moments.” The brain is an organ that needs to be taken care of in order to function optimally. Like the rest of the body, it needs quality nutrition, proper rest, exercise and stress management in order to perform well. Nutritional deficiencies, such as lack of vitamin B12, can occur with age, especially if prescription medications like metformin (diabetes) or nexium and other stomach acid blockers are taken. An iron deficiency reduces the oxygen supply to the brain. This form of anemia can be caused by taking aspirin, or by colon issues that cause bleeding.



Exercise has proven to be one of the key factors for preserving mental function. Studies show a significant reduction in rates of dementia in people who exercise three to five times a week. Research also supports the idea that cardiovascular health in general improves oxygen and blood flow to all organs, including the brain. Another study from the Journal of Neurology found that exercise helped minimize arterial plaque buildup, and that this was linked to improved performances on memory and mental acuity tests.
The old adage, “use it or lose it” applies to memory. Mental stimulation is to the brain, what exercise is to the muscles. Engaging in social interactions, intellectual pursuits, and mental games can protect the memory. It’s never too late to learn a new instrument, figure out how to use a computer, or challenge yourself to learn some conversational Spanish.



I also assess my patients for anxiety and chronic pain, both of which have been linked to memory loss. One natural medicine derived from Green Tea called Theanine has been shown to improve mental clarity and reduce anxiety. If chronic pain is present, laser therapy is an effective treatment for arthritis, back and muscle pain.



In my clinic, I also do a thorough medical evaluation to see if there are physical reasons for the memory loss. A full thyroid panel can sometimes illuminate low thyroid function, which can also make patients feel tired, chilly and gain weight easily. Fascinating research links imbalances in the bacterial lining or microbiome of the intestine to brain function. Taking antibiotics or acid blocking medications can disturb the crucial balance in the intestinal microbiome and result in learning and mood issues. Correcting this imbalance with the help of a naturopathic physician can improve health on many levels, including the mood and mind function. For some people, food allergies can cause a brain fog due to an opiate like effect on the brain.



Finally, the factors that put people at risk for cardiovascular disease also put them at risk for dementia. Diabetes is now considered to be a major player in the development of age related dementia. Naturopathic physicians have expertise in helping diabetics achieve stable blood sugars with less mediation. High blood pressure must be addressed with lifestyle changes – not just medications – in order to significantly reduce its side effects. High homocysteine (over 7.0) levels have been found to double the risk of Alzheimer’s disease, according to scientists at Boston University. This inheritable risk factor is easily tested for and treated with natural medicines, yet is rarely done by conventional physicians.



I am often asked if there is a natural medicine to protect the brain from aging and memory loss. Gingko hasn’t been shown to have a preventive effect, however, studies have shown it to slow the progression of Alzheimer’s. Fish oil has anti-inflammatory effects that are positive for brain function. You may have read that chocolate has flavinoids that are good for the brain. Well, only its raw form actually contains the medicinal properties, so sadly you’ll have to try raw cacao nibs to get the protective effect.



Phosphatidyl serine is the newest superstar in the natural memory aid arena. The Journal of the American Academy of Neurology published a study in which it was stated that phosphatidyl serine was a promising candidate for treating memory loss later in life.
A combination of living a healthy lifestyle, having a thorough medical evaluation by your naturopathic or conventional doctor, and utilizing natural medicines will surely help keep those “senior’s moments” at bay.

Menopause & Natural Medicine

Cool Hot Flashes Naturally


Thrive through Menopause

Our population is clearly shifting. By the year 2015, 50% of women will be post menopausal. In fact, with the prolongation of life expectancy, today’s average woman can expect to live at least one-third of her life in the post-menopausal phase. It is essential that women make informed decisions about the “treatment” of menopause. More women are investigating the options available to help them make this transition with ease and to help ensure their long term health. There are many safe, natural medicines available to assist them before, during and after menopause. Menopause is a natural transformation, not a disease requiring pharmacological treatment in all cases.

Menopause refers to the cessation of menses which occurs on average at the age of 50. While it is a normal, natural process, it is often associated with physical and mental symptoms that range from being uncomfortable to debilitating. Symptoms sometimes associated with menopause and peri-menopause (pre-menopause) are hot flashes, night sweats, insomnia, irritability, anxiety, depression, vaginal dryness, urinary problems, skin dryness, palpitations, nausea, back pain, leg pain, and irregular menstrual bleeding. After menopause, women are also at higher risk for developing osteoporosis and heart disease.

 

An individualized treatment plan needs to be designed based on the severity of the menopausal symptoms, other medical issues, lifestyle and family medical history. The foundation of a thorough plan for thriving through menopause starts with the basics. Good nutrition, avoiding caffeine, stress management, exercise and counselling to redefine one’s values at this new stage of life. Next, many women benefit tremendously from the use of herbal medicine to reduce hot flashes, night sweats; improve sleep, energy and libido. There has been extensive scientific research on this topic showing what works and what doesn’t. Many of my patients can successfully reduce their symptoms with no direct hormonal intervention. However, there are times when hormone therapy may be necessary or desirable for long term health. I also recommend that women become educated that there are forms of estrogen and progesterone that are structurally more similar to the body’s hormones than synthetic hormones are. When these hormones are used in amounts similar to what the body produces, they are called bio-identical hormones. I do think there is a place in medicine for bio-identical hormones, and I offer my patients a  rational, science-based discussion of the risks and benefits of taking hormones.  It is important that each woman be thoroughly evaluated and given all her options before making a decision as to how to approach menopause.

Menopause is also a time to reflect on one’s long term health goals and consider ways to prevent osteoporosis, breast cancer and cardiovascular disease. It is a good time to have a physical exam and thorough blood work (including CRP, homocysteine, ferritin, full thyroid panel, vitamin D level) which are both available through a wholistic MD or a naturopathic physician

The menopausal years can be a time of transformation and empowerment for women. With the right plan for exercise, diet and natural or bioidentical medicines, most women can make the second half of their life the better half. Remember, they’re not just hot flashes, they are power surges! 

Dr. Deidre Macdonald is a Naturopathic Physician who has been practicing in downtown Courtenay for 12 years and can be reached at (250) 897-0235 or www.getwellhere.com.

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My doctor says my thyroid is normal but…

Every week people arrive at the clinic wondering if their thyroid is okay.  They’ve often had their conventional doctor check their thyroid, and are told that everything is fine.  However, they aren’t convinced.  They feel tired, cold, achy, gain weight easily, have headaches, depression and more symptoms that seem to reflect low thyroid function.

As a naturopathic physician, I offer these patients a full thyroid panel.  When we test further, we often find that the thyroid really isn’t working optimally.  Why the different in approaches?

Our MSP system only allow conventional doctors to run one test to screen for thyroid problems.  Naturopathic physicians prefer a full panel to test for TSH, T4 (inactive thyroid hormone), T3 (active thyroid hormone) and a thyroid antibody called TPO.  Often we are able to unveil issues in the complex dance of the thyroid hormones, which can then be treated in a variety of ways, both holistic and pharmaceutical.

Our philosophy is to try to determine if your thyroid is working optimally, not just wait until it is diseased.


Curious about your thyroid? You can book an appointment by emailing back or calling Terry at (250) 897-0235.

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Think Straight, Feel Great: The Gut Brain Connection

Have you ever had a ”gut wrenching experience?” Have you felt butterflies in your stomach, or had a “gut feeling?” We all have experienced the influence that our thoughts and feelings can have on our stomach, but research is now showing that our guts can influence our mood, behaviour and thinking more that we had previously realized.

The stomach and intestines are so rich in nerves that the gut’s nervous system, the enteric nervous system, has been called the “second brain.” Surprisingly, there are about 100 million nerve cells in the gut, as many as there are in the head of a cat. Nervous stress can affect digestion from a number of angles including reducing blood flow to the digestive organs, altering secretion of digestive juices, changing gut motility, increasing the leakiness of the intestine and, most importantly, altering the intestinal bacterial lining called the microbiome.
The enteric nervous system also informs our state of mind. “A big part of our emotions are probably influenced by the nerves in our gut,” says Dr. Emeran Mayer, a professor from U.C.L.A. It turns out that the main cranial (brain) nerve for controlling the digestion, the vagus nerve, uses 90% of its fibers to send information from the intestines to the brain. Electrical stimulation of the vagus nerve, a useful treatment for depression, may mimic these signals. The enteric nervous system, like the brain, uses neurotransmitters like serotonin and dopamine. In fact, 95% of the body’s serotonin is found in the bowels. So is there a link between impaired digestive function and mental or emotional disorders? The link is clear in autism and research suggests a link in depression, schizophrenia and more conditions of the mind.

Exciting research has emerged on the role of the bacteria in our guts and how it affects the brain. I recently attended the annual national conference of the Canadian Association of Gastroenterologists. Exciting research was presented on what is considered the most important work being done in the field of biology today. The Human Microbiome Project is an international collaboration to map the DNA of the trillions of bacteria that live in the human body. These bacteria are a critical determinant of digestion function, immune function, prevention of autoimmune disease and, as it turns out, mood. Changes in the intestinal microbiome can have profound consequences on our physical and mental health.

For instance, people with Irritable Bowel Syndrome have different wiring in their gut-brain connection. It has long been established that people with IBS have an amplified perception of pain from the intestines. Research now shows that it is their altered intestinal microbiome that is responsible for messing with the nerve signals from the gut.

In animal models, alterations in microorganisms of the intestines have been show to influence brain function including memory and anxiety. Studies on mice show that changes to gut bacteria can actually affect behaviour. If you take the gut bacteria from bold mice and put it into shy mice, the shy mice become bold and vice versa. Mice treated with good bacteria (probiotics) exhibit less anxiety and show changes in the hippocampus of the brain. They have more brain growth factors necessary for learning and higher thinking.



Researchers have found that people with major depression have alterations in their small intestine microbiome. Namely, they show signs of Small Intestine Bacterial Overgrowth (SIBO). My patients with SIBO often have been told they have Irritable Bowel Syndrome and suffer from bloating, constipation or diarrhea, fatigue, fibromyalgia and more. A simple breath test can help diagnose SIBO; with a long term complex treatment regime, relief of both physical and mental symptoms can be achieved.

Antibiotics significantly alter the delicate and complex intestinal microbiome. Not only does this disturbance have an impact on digestion and the immune system, but it has also been shown to affect behaviour. Mice that are given antibiotics are more daring, having lost their natural instinct to hide from predators. Studies have shown that post antibiotic mice have impaired learning. Also, changes in the critical areas of the brain, the amygdale and hippocampus, have been demonstrated with antibiotic use. Since 30% of human newborns are exposed to antibiotics before they even go home from the hospital, and with many more children are given antibiotics in childhood, the implications for brain development and learning are disturbing.

Stress can also alter the microbiome, leaving us more vulnerable to bowel issues, inflammatory conditions and mental effects of these changes. When mice are separated from their mothers at a young age, their microbiome changes and they are more likely to develop inflammatory bowel issues later in life.

There are other digestive factors that have a ripple effect on the brain. Food allergies can activate immune cells called mast cells. These mast cells can release inflammatory chemicals that can have an impact on the brain causing mood, energy, and learning issues. For some people with celiac disease, the autoimmune response to gluten in common bread and pasta products can cause calcifications of brain tissue that can be devastating.

If you are suffering from both digestive issues and mood issues, there may be more of a link that you had previously thought. Treating the digestive issues by correcting the underlying cause may open up doors to improved mood and mental clarity. Naturopathic physicians have a long history of working with patients to enhance the digestive system, through optimal diet, avoidance of food allergies, enhancement of the intestinal microbiome and much more. Don’t let your guts get you down. Take charge of your mental and physical health.

Autoimmune Disease and Naturopathic Medicine

Autoimmune Disease is a major health problem in our society. One in twelve people in general, and one in nine women, will be diagnosed with an autoimmune disease. There are over one hundred different autoimmune disorders, including multiple sclerosis, Lupus, Rheumatoid arthritis, Inflammatory Bowel diseases and Celiac disease. Together these conditions affect more people than cancer or heart disease and can rob patients of their quality of life, mobility and even take their lives.



Scientists worldwide are puzzled over the alarming rise in the rates of autoimmune disease, particularly in the Western world. The rates have more than doubled in the last three decades. Genetics can no longer be blamed as the only cause of autoimmune disease since our genetics can’t change that quickly.



As a naturopathic physician, I have treated many patients with a variety of autoimmune diseases in my years of practice. The familiar story is one of misdiagnosis, dismissal and frustration with limited treatment options. In half of all cases, women with autoimmune disease are told there is nothing wrong with them for an average of five years before receiving diagnosis and treatment. Once a diagnosis is made, treatment is focused on reducing symptoms but not treating the underlying factors that may have caused the disease. Commonly used immunosuppressant treatments can be lifesaving, but can also lead to significant long-term side effects.
The path to a long lasting recovery from autoimmune conditions focuses on correcting the underlying stress factors that may have caused the immune dysregulation that drives the disease.



Exciting research was recently presented at a gastroenterology convention I attended in Victoria. The immune system has well developed mechanisms to attack foreign invaders. In autoimmune disease, the immune system loses its ability to differentiate our own normal tissues from foreign invaders. That ability to temper the immune system’s inflammatory reactions to invaders is something our bodies must learn. And strangely enough, in fact, the teacher lives in our guts. The bacterial lining of the intestines (the intestinal microbiome) is responsible for educating our immune systems, letting them know when to attack and when to cease fire.



The delicate intestinal bacterial lining is made up of over 1000 species of bacteria and weighs about three pounds in an adult. We are created in a sterile womb, devoid of bacteria and acquire our first dose of beneficial bacteria in the birth canal. In the western world, there is an ever increasing trend towards delivering babies by C-section. Without that first dose of beneficial bacteria from the birth canal, the baby’s microbiome is different than a baby born via vaginal birth. Abundant research has shown that there are increased rates of asthma and autoimmune disease in those delivered by C-section. Researchers concluded that a C-section (or Caesarean section) raises the risk of type 1 diabetes by 20%. They also crunched the data from 23 studies and showed the same increased risk for asthma—20%—in children delivered by C-section.



Antibiotics are the other western phenomenon that disturbs the intestinal microbiome. We know not what we do when we take an antibiotic for an infection without consideration of the trillions of beneficial bacteria that form an integral part of our digestive and immune systems. Mice given antibiotics were more likely to develop inflammatory bowel diseases like Crohn’s and Ulcerative Colitis.
Naturopathic physicians have long emphasized the importance of correcting deficiencies in the intestinal microbiome. Programs to repair the intestinal mucosal lining, replenish probiotics and kill off harmful elements of the microbiome have long been a mainstay of the treatment of autoimmune disease.



Vitamin D deficiency in northern countries have also been linked with increased rates of autoimmune disease. As we spend more time indoors and lessen our exposure to sunlight, thus using sunscreen more often (as those with paler skin tend to do) when we are outdoors, we play an active role in depleting our Vitamin D stores. Vitamin D has also been shown to play a role in the regulation of inflammatory fires of the immune system. Vitamin D helps tell the immune system to tolerate our own cells. Some studies show that Vitamin C inhibits induction of disease in autoimmune encephalomyelitis, thyroiditis, type-1 diabetes, inflammatory bowel disease (IBD), lupus, rheumatoid and Lyme arthritis.



For my patients with joint pain associated with autoimmune disease, laser therapy is an excellent way to manage pain, reduce joint destruction and improve joint function. A recent Canadian expert panel determined that this painless laser therapy is an effective treatment for rheumatoid arthritis. I have been using a high tech laser light treatment for my patients for years. It is very effective for most patients with osteoarthritis and is part of an overall treatment for inflammatory arthritis too.



Natural anti-inflammatory medicines may reduce the dependence on harsh prescription drugs. A turmeric extract called Meriva has been shown to be a safe and defective pain reliever in arthritis. Fish oil is considered an essential part of auto-immune treatment in that it helps alleviate the inflammation that drives most symptoms. Most auto-immune disease involves high levels of oxidative stress, so sufferers who incorporate anti-oxidant foods and supplements into their daily regime are making a wise choice. Kale and blueberries are my favorite high anti-oxidant foods; grape seed extract and resveratrol are my favorite supplements.



Fatigue is often a crippling element of auto-immune disease. I also work with patients to support their adrenal gland through teaching them meditation and relaxation techniques using herbs like rhodiola.



Science is beginning to shed light on the complexities of the immune system and ways that we can influence the health of it. Take care of your immune system, and if you have an autoimmune disease, learn ways to tame your inflammation – naturally.

Premenstrual Syndrome

Premenstrual Syndrome; A Natural Approach

Karen is a 39-year-old woman who came to see me because she felt that PMS was running her life for 10 days of the month. Two young children and a part time job were more than she could handle at those times. She experienced breast tenderness, bloating, and emotions that she didn’t understand. A normally loving mother, she found herself impatient and easily angered. She would become overwhelmed with a workload that she normally could handle. Her husband had learned the hard way to stay out of her way during the week or so before her period. What really made her want to seek help was that she was not sleeping and becoming more anxious.



I was delighted that she chose naturopathic treatment because I know that this approach to PMS works very well. I reassured her that if everything went according to plan, she would likely be feeling much better within three months. She would likely have to make some changes but the investment in herself would benefit not only her but her family too.



Many women suffer from premenstrual syndrome not knowing that there are many safe, natural and effective approaches that can help them overcome this problem. PMS affects many women but in varying degrees. Eighty percent of women experience premenstrual emotional or physical changes, whereas only about 20-40% of these women have difficulties as a result. A much smaller number, about 2.5-5%, feel it has a significantly negative impact on their lives, to the point where work, relationships or home life are jeopardized.



The first step in Karen’s naturopathic medical program was to do a thorough evaluation of her health history. She had some early signs of a hormonal imbalance. Not only did she have PMS, but her menstrual cycle had become more irregular. This change indicated that she was likely not producing enough progesterone to balance what may have been an elevated level of estrogen. This situation is quite common and is called estrogen dominance. I immediately put her on a herb called Vitex agnus castus. Vitex or chaste berry is the single most important plant for the treatment of PMS. It causes a net increase in progesterone. It functions by stimulating the pituitary gland to produce more luteinizing hormone (LH), which tells the ovaries to ovulate and produce more progesterone. It works with the body to restore balance. (For this reason, I prefer to use Vitex over progesterone supplementation, but I do sometimes recommend a bioidentical progesterone supplement in certain cases). In one long-term study, 92% of women reported a favorable response to Vitex. A new study used Vitex in a clinical trial of 170 women with PMS. This has been the most well designed trial yet studying the efficacy of Vitex in women’s health. Women were assigned to take either a Vitex or a placebo tablet once daily for three months. Subjective reporting of irritability, mood changes, anger, headache, breast tenderness and bloating were recorded. At the end of the three months, women taking the chaste tree reported an average 52% reduction in PMS symptoms.



The second most effective method of reducing PMS is to cleanse the liver and colon. Estrogen is eliminated via the liver and colon, so any congestion in these essential organs will result in increased levels of estrogen and exacerbate any hormonal imbalance. For instance, pre-menstrual migraine headaches can usually be eliminated quickly by cleansing the liver and using a supplement called indole-3-carbinol to assist the liver in the metabolism of estrogen.



There are other well studied natural approaches to PMS that are often part of a customized program for PMS:

  • Balancing seratonin with natural medicine because seratonin (a brain neurotransmitter) can fall after ovulation.
  • Enhancing prostaglandin E1 by supplementing with essential fatty acids, vitamins B6, B3, C and Zinc.
  • Dietary coaching to reduce sugar, salt and animal fats, which are all linked with PMS.
  • Caffeine elimination has been proven to lessen breast tenderness and PMS in many cases. Vitamin E also helps breast tenderness, but not PMS overall.
  • Regular physical exercise has been studied and shown to cause PMS to be less intense and reduce the number of symptoms. Regular aerobic exercise worked better in the studies than strength training.
  • Vitamin B6 has been shown in 11 scientific studies to reduce PMS. It seems to work by enhancing seratonin and dopamine production in the brain.
  • Evening primrose oil has been shown in four double-blind studies to have a significant ability to reduce PMS at levels of three and four grams per day
  • Calcium was also studied in 497 women in a double-blind study and was shown to reduce all PMS symptoms by 48% within three months. Magnesium also helps PMS, so a calcium/magnesium/vitamin D capsule is recommended.

Conventional medicine has not been able to offer women a satisfactory solution for PMS. The naturopathic medical approach to PMS is not only highly effective but women also experience many side benefits instead of side effects. I am happy to report that Karen’s PMS symptoms were indeed markedly improved well within the 3 month time frame I had suggested. Her husband even stopped by the clinic to thank me!

Dr. Deidre Macdonald is a naturopathic physician with a natural family medical practice. She has practiced in downtown Courtenay for 10 years. For more information or to book an appointment, call (025) 897-0235 or contact her via this website.

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FAQ about Laser Therapy

Estrogen Balance – Key to Women’s Health

Estrogen Dominance Syndrome



Estrogen replacement therapy has gotten a pretty bad rap in the world of medical science lately. Not only is taking estrogen pills potentially harmful, a woman’s body can naturally make too much estrogen and create a wide array of health problems. It is actually quite common for women to experience relatively high estrogen levels at any time during the premenopausal years. Estrogen dominance syndrome, as it is now called, is a phenomenon in which there is a relatively high amount of estrogen coupled with a deficiency of progesterone. This imbalance can be the cause of many women’s health concerns.

Symptoms of Estrogen Dominance

  • Weight gain
  • Prementrual syndrome (PMS)
  • Breast tenderness
  • Migraine headaches
  • Menstrual disturbances; irregular or heavy bleeding
  • Endometriosis
  • Fibroids
  • Ovarian cysts
  • Water retention
  • Sleeplessness
  • Anxiety
  • Gallbladder problems

Causes of Estrogen Dominance Syndrome

Common times to experience estrogen dominance are in the teens and again in the 40s. However, other health factors can cause or exacerbate this problem at any time. For instance, we know that estrogen is primarily produced in the ovaries then is eliminated via the liver and colon. The liver is a filter of toxins and chemicals, even naturally occurring ones like excess estrogen. If the liver is impaired by toxins, it can’t prepare estrogen for elimination as effectively. If the colon has problems, such as candida yeast overgrowth (from antibiotics and oral hormone use) or constipation, the old estrogen will be reabsorbed and lead to increased estrogen levels. Environmental toxins can mimic estrogen when ingested. Pesticides are some of the worst offenders and have been implicated in reproductive disorders for men, women and animals.

Finding Balance

If you recognize yourself in the description of estrogen dominance syndrome, you may wish to consult a physician experienced in this area. Naturopathic physicians are uniquely suited to help women get to the root cause of their hormonal problems and to educate them on how to create lasting changes that enhance the overall health. A hormone balancing program will likely start with a thorough evaluation of your health (careful health history, physical exam, lab testing). Then an individualized plan for cleansing your liver and colon and optimizing your diet would be suggested. Finally, herbs and other natural medicines would be utilized to work with the body to balance the hormones. I have had countless patients report that within three months, their PMS and menstrual difficulties have been alleviated. Not only that, by learning how to better take care of their bodies, women often report having increased energy and mental clarity. That’s what I like to hear; side benefits instead of side effects!

Estrogen Dominance Syndrome




Dr. Deidre Macdonald is a naturopathic physician with a natural family medical practice in downtown Courtenay. Her office can be reached at (25) 897-0235 or via this website. 

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FAQ about Laser Therapy

Weight Loss and Naturopathic Medicine

Lose Weight, Feel Great

Five Part Series on Weight Loss

1) Introduction and Physical causes to weight gain – Low thyroid function 

2) Physical causes of weight gain– blood sugar regulation

3) Emotional Eating

4) Nutritional Strategies for Weight Loss Success – How to Eat

5) Nutritional Strategies for Weight Loss Success – What to Eat

Introduction to weight loss series – Part 1: Low thyroid function

Lose Weight, Feel Great!

If you have decided that it is time to get healthy, fit and lose weight you will need a plan of action to turn your resolutions into reality. Too often, weight loss goals turn into a familiar roller-coaster of short term success and eventual rebound. Now is the time to get clear on your strategy for long-term success. In my experience of helping hundreds of people to lose weight, I have found that there are three main areas that must be addressed in order to achieve lasting weight loss. First, there are physical reasons why some people are prone to weight gain. Until these issues are addressed, weight loss can seem frustrating, even impossible. Second, most people sabotage their dieting efforts with emotional eating. Coming to peace with our relationship with food is often the key to creating change. Third, education about nutrition and effective eating strategies help us make good choices and ultimately take pounds off. This article is the first of a five part series designed to explore these issues.

Why is it that some people seem to be able to eat everything they want and not gain weight, and others seem to pack on the pounds if they look at food? Genetics certainly play a role, but there are other physical issues that you have more control over that should also be looked at. Low thyroid function is sometimes the culprit. The thyroid gland is situated in the front of the neck and produces thyroid hormones that regulate our metabolism. If the thyroid is sluggish, so too is the rest of the body. When the metabolism is low, we don’t burn as many calories, so more are stored as fat (unless the diet is adjusted). Low thyroid function can affect anyone, but is common in menopausal or peri-menopausal women. Symptoms to look for are as follows:

Symptoms of Low Thyroid Function

  • Low basal body temperature
  • Cold hands and feet
  • Lack of energy
  • Easy weight gain
  • or difficult weight loss
  • Depression or anxiety
  • Constipation
  • Dry skin – esp. shins
  • Dry hair or hair loss
  • PMS and/or menstrual problems
  • Fluid retention or leg cramps
  • Poor concentration / memory
  • Headaches
  • Low sex drive
  • Carpal Tunnel Syndrome
  • Digestive problems –
  • Esp. burping
  • Allergies

The challenge in dealing with low thyroid function is that our current standard laboratory test, called the TSH test, can sometimes miss cases of mild low thyroid function and many people who don’t show a problem on standard lab tests may still need help to improve thyroid function. The Journal of the American Medical Association published an article on this phenomenon. Naturopathic physicians however assess thyroid function through both laboratory and clinical evaluation.

An often overlooked but related condition is Wilson’s Syndrome. It is a condition where the liver is unable to convert the inactive thyroid hormone, T4, to the more active hormone, T3. T3 is the form of thyroid hormone that actually acts on the cells, so it’s function is crucial to how the body operates. Wilson’s syndrome itself does not alter the thyroid hormone test (TSH and T4) so often goes undiagnosed. It may exist in association with true hypothyroidism but drugs prescribed to treat that condition may not entirely solve the problem. Why does Wilson’s syndrome occur? One reason is that prolonged stress can cause excess adrenal hormones (cortisol) to inhibit the conversion of T4 to T3. As a result, the chemical reactions of life slow down, our bodies are colder and we gain weight more easily. The first step in an effective weight loss program is to do a thorough evaluation of the thyroid hormones to determine if they are the root of the problem. Naturopathic physicians then routinely recommend nutritional supplements to restore normal thyroid function. As a last resort, pharmaceutical drugs are sometimes necessary and are often used in conjunction with natural medicines to prevent atrophy of the thyroid gland. When the thyroid is working well, not only do people begin to lose weight, they also feel great.

Physical causes – blood sugar regulation

Blood Sugar and the Battle of the Bulge

The battle of the bulge is a war many people fight daily. With so many dieting philosophies out there, how does one decide which strategy is right? As a naturopathic doctor, I have had many patients come to see me, frustrated by their failed diet plans. In fact, some diets can set people up for cravings and bingeing. In order to lose weight and not feel too deprived at the same time, it is crucial to learn how to regulate your blood sugar.

Blood sugar problems can easily set people up for weight gain, especially fat around the abdomen. We often refer to hypoglycemia or low blood sugar, but the lows are usually the result of blood sugar fluctuations caused by the typical Western diet. The body tries to keep blood sugar within a tight range. If we eat high carbohydrate foods like sweets, breads, juices and pasta, the pancreas puts out a lot of insulin to quickly transport the glucose out of the blood into the cells. Because the human body is not intended to have such highly refined carbohydrate meals, it is confused by the onslaught of carbohydrates caused by these highly refined foods. Too much insulin is put out and the blood sugar plummets. That is when we feel the symptoms of low blood sugar such as confusion, lightheadedness and spaciness.

The brain then sends red alert signals to the adrenal glands telling them to produce adrenaline. This adrenaline rush accounts for the other hypoglycemic symptoms of shakiness, sweating, irritability, anger, heart palpitations, anxiety, insomnia and more.
Unless a person is just not eating and is running out of fuel, the most common cause of hypoglycemic symptoms is “reactive hypoglycemia”, or the crash after eating a high carbohydrate meal. Years of this pattern cause the body to have to put out excess insulin; often several times a day. The cells eventually tire of dealing with so much insulin, and insulin resistant diabetes, otherwise known as adult onset diabetes can result. The other health consequence of blood sugar imbalances is weight gain. Insulin is the hormone that tells the body to store fuel in several ways, including storing fuel as fat. The more insulin in a person’s body, the more likely one is to pack on the pounds. So keeping blood sugar down and in a healthy range will help to avoid that weight problem. Dietary control is the key to blood sugar management, and there are vitamins, minerals, herbs and healthy oils that can help too.

Key Steps for Balancing Blood Sugar:

  • Avoid refined carbohydrates. That means eliminating sugars, sweets, candy, desserts and minimizing fruit juices, breads, crackers and pasta. Increase grains like brown rice, millet and barley.
  • Eat regularly. Enjoy 3 regular meals a day and 2 snacks
  • Eat modest amounts of quality, low fat protein regularly (2-4 times a day). Protein provides nutrients and fuel without raising blood sugar. Examples of protein are nuts, seeds, beans, tofu, eggs, fish, chicken, red meat, and wild game.
  • Include healthy oils like olive oil, flax oil and fish oil daily

Chromium is a trace mineral that has been proven to assist the body to regulate blood sugar and is often deficient in the typical Western diet, but can be taken as a supplement.

Your naturopathic doctor may also recommend supplements to support your adrenal glands.

Recurring blood sugar ups and downs put stress on the adrenal glands and can lead to fatigue and burn out if measures are not taken to control the damage.

Using a strategy of eating whole, healthy foods in a balance of proteins and un-refined carbohydrates, many people lose weight effortlessly and feel more energized. Cravings for sweets and starches quickly fade away, leaving you better able to make healthy choices.

Emotional Eating and Weight Loss

If you know you need to lose weight but have difficulty staying on track to achieve your goals, it may be time to take a deeper look at your relationship with food and with your body. I have had hundreds of patients come to my clinic wanting help to lose weight. Many of them have tried and failed in the past, or lost weight on short term diets that left them feeling deprived, so their weight inevitably rebounded. With each failed “diet” their self-esteem faltered and they had more difficulty trusting themselves and their resolve. When patients tell me they find themselves unable to control their food intake, I know it is time to look at what is really driving the problem. In my personal experience, and with the knowledge gained from helping others to lose weight, I know that a person’s emotional relationship with food and their bodies is the number one factor that can make or break weight loss goals.
Eating well can be an enjoyable part of life, but nutrition needs to be the primary factor in ones food choices in order to achieve good health. When food is primarily a tool to make you feel better emotionally, you will never be able to get enough, and you will be riding the weight roller coaster.



Do any of the following behaviors sound familiar?

  • You say you want to lose weight, but find yourself raiding the fridge before bed.
  • You feel guilty after eating, then eat to make yourself feel better.
  • You sometimes go semi-unconscious and find yourself half way through a chocolate cake.
  • A stressful day at the office or conflict around the house sends you running to the cupboard for something to make you feel better.
  • You find yourself obsessing about what you are going to eat and when.
  • You eat not just for hunger, but for a quick energy boost.
  • You eat when you are tired, bored, angry, sad, hurt, embarrassed etc.
  • If you lose weight, you feel uncomfortable with receiving attention, and find yourself eating more.
  • You’ve read all the books on nutrition, but are unable to give up the “treats” that make you feel good.

If any or several of the above are “you” then you may be experiencing the turmoil of emotional eating and may need a new approach.
When emotional eating becomes a habit, you have entered the realm of addictive eating. I define addiction as the dependent use of a substance or activity to change the way you feel. Discomfort with feelings is the root of all addiction. Learning strategies for dealing constructively with feelings frees you to eat for the right reasons; not for comfort, punishment, social inclusion, safety etc. Here are some key areas to consider in looking more deeply at this issue.

1) Excess weight as a survival strategy:

We are wiser than we think. Sometimes being overweight is a conscious or unconscious strategy to stay safe or avoid pain in some way. Theresa (name changed) was a patient who said she wanted to lose weight, but feared that she would be ridiculed by her sisters and mother, all of whom were overweight. “We are cookin’ and eatin’ women!” was the message from her family. She didn’t want to stand out and make anyone uncomfortable if she lost weight. She had to confront her family patterns and challenge her beliefs about the need to hold herself back to avoid making others feel envious. Until these issues were resolved, any weight loss plan Theresa undertook would surely be sabotaged.

2) Excess weight can also become a survival strategy for women who are uncomfortable with sexual attention. For some women who have been sexually abused, deep down they feel that their extra weight keeps them unattractive to men and therefore safe from unwanted advances. Learning assertiveness skills and even self-defense can be very empowering. Once a woman learns that she has control over her body, she can feel comfortable at a healthy weight. These are not changes that happen overnight. Honor the process as you uncover how weight is serving you.

3) Family of origin patterns:

What were meal times like in your family? Did someone teach you to eat for comfort? Was food a treat for being a good girl/boy? What foods? Was food controlled or overindulged?

Answers to the above questions will shed light on the unconscious patterns and beliefs that may drive your behavior now. Once you are aware of these patterns, you can choose not to let them determine the rest of your life. Achieving and maintaining weight loss requires becoming ever more aware of yourself and your relationship with food. Awareness means that you can be the witness who watches what you are feeling and doing, instead of just blindly consuming and wondering what happened or why lasting change eludes you. Once you are aware and conscious, you can begin to make new choices and employ new strategies that serve your current needs and goals. This is called conscious eating.

Conscious Eating:

The key to conscious eating is to slow down. Before you eat, take three deep breaths. Take that time to check into your body and assess your feelings. Are you drawn to eat for hunger or for emotional reasons? If you are having an emotionally based craving, be resourceful and find another way to deal with your feelings. I spend a lot of time in my practice counselling people on healthy ways to reduce stress and transform their emotional state. If on the other hand you are hungry, take 3 more deep breaths and consciously choose foods that serve your body as a whole, not just your tastebuds. Eat only when you are sitting down and relaxed, not distracted by TV or reading. Enjoy your food and be grateful for the nourishing goodness of whole, natural foods. Conscious eating takes practice and mindfulness, and it can lead you not only to weight loss but also to greater health, vitality and self-awareness.

Top 10 Strategies for Healthy Weight Loss –Part 1 – How to eat

Remember New Year’s Eve? Was this year supposed to be the year of the slimmer and healthier you? If you are still struggling to lose those extra pounds, I want to share with you the safe, common sense principles that have helped many of my patients lose weight. In this article series on weight loss, the first and second installments looked at the physical causes of weight problems such as thyroid and blood sugar disorders. The third article was dedicated to emotional eating. How many people know what to eat, but are unable to stick to the plan? Since emotional eating sabotages most people’s long term weight loss success, the first of my top 10 strategies for healthy weight loss will focus on ways to ensure you will stay on track and achieve your goals. Once we have tackled how to eat, next week we will look at what to eat.



Key Strategies for Weight Loss

  • #1 Eyes on the Prize: Write down why you want to be at a healthy weight. Do you want to have less joint pain so you can play with your grandchildren? Is it so you will feel better about yourself and have less negative self-talk? Is it to have more energy? You will need compelling reasons why you want to lose weight in order to get through the summer barbecues, Halloween candy, Christmas parties and sometimes just the supermarket checkout!
  • #2 Conscious Eating: Before you eat anything, take 3 deep breaths. Check in with your self and your body. Listen for what is motivating your desire to eat. Is it hunger or an emotion? If it is an emotion, a craving, or a body sensation other than hunger, keep breathing and find another outlet for your feelings. If it is hunger, then consciously choose nourishing food.
  • #3 Know your triggers for overeating: Chances are by now you know where the rough spots are. Does boredom send you to the fridge, or do pot-luck dinners result in some serious grazing? Make a plan for dealing with your known trigger situations. Since most diets fall apart when we are under stress, have a list on your fridge of 10 ways to reduce emotional stress without eating. Some good examples are: going for a walk, writing in a journal, reading a spiritual book, talking to a supportive friend, deep breathing, yoga… make your own list.
  • #4 Menu Plan: Many diet books recommend writing down what you have eaten. This strategy can be a helpful part of conscious eating. However, writing down what you are going to eat is also very important. Knowing there is a plan in place means less impulsive eating. Planning means shopping and cooking are more efficient and you will be more likely to stay on track.
  • #5 – Eat to 80% full: Many people who have dieted extensively have a “scarcity consciousness” when it comes to food and they feel they have to eat everything now because there may not be food later. Trust that it is okay to eat just enough to feel comfortably satisfied without feeling stuffed. If you do get hungry, don’t panic. If you find yourself saying, “I’m starving”, reframe that survival mode thinking with “I’m hungry, and when the time is right, there will be plenty of healthy food to eat”.
  • #6 Eat 3 meals a day plus planned snacks: Skipping meals makes conscious eating very difficult. It is hard enough to make good food choices without dealing with the brain fog of low blood sugar. Eat three balanced meals a day, and plan on healthy snacks for mid morning and afternoon. Doing so will keep your blood sugar and energy stable to avoid the temptation to eat sugar for “quick energy”. Nuts like raw almonds make a very good mid afternoon snack.
  • #7 Eliminate late night eating: In many cultures, the evening meal is quite small, thus not loading up the body with calories it can’t burn in the quiet of the evening. I advocate eating a modest meal in the early evening, brushing your teeth, and forgoing eating for the rest of the evening. This strategy eliminates some of the most disastrous eating patterns – eating in front of the TV and grazing all evening on quick, junk food.

Remember, our food becomes who you are. Let your food serve your health first and your taste buds second. Taking charge of your eating habits is an essential step to taking charge of your health.

Top 10 Strategies for Healthy Weight Loss –Part 1 – How to eat

Over the years we have all seen many diet fads come and go. Whether it’s the grapefruit diet, high carbohydrate diet, the Atkins (low carbohydrate) diet, the blood type diet, the Susan Summers diet, they all promise weight loss results. In my experience, any diet that you go on, you can also go off eventually. Most diets result in short term weight loss at best. How do you get off the roller-coaster of quick fix diets? My first goal is to educate people to understand how understand what the obstacles to long term weight loss are for them. (The previous installments in this article series addressed physical and emotional blocks to weight loss). Only then can they implement the long term eating strategies necessary to maintain a healthy weight. Good food also takes time to prepare. That time is an investment in your health and that of your family. No one is exempt from the laws of nature that say that humans need real food on a regular basis in order to think and feel well. Healthy food can be pleasurable not only in terms of taste, but also in knowing that you are fueling your body well. When you eat healthy food, you are creating a body that will allow you to get the most out of life. Eating well does not have to be complicated. In fact, it is very simple. The following are not only common sense practices, they are all scientifically validated strategies for optimal health.
  • #1 Eat a nutritious breakfast: – Eating a healthy breakfast jump-starts metabolism to help you burn calories all day. It also helps you avoid the midmorning crash that can send you running to the coffee and donut cart. To provide stable energy for the morning I recommend having some protein for breakfast (eggs, chicken, fish, beans, tofu, nuts, nut butters, protein powder drinks).
  • #2 Avoid caffeine: Caffeine in the morning not only increases emotional stress, it causes excess acid secretions from the stomach that simulate hunger and can cause overeating. A few hours after the energy spike of caffeine, your energy will plummet and potentially set you up for eating sugar for “quick energy”.
  • #3 Eat whole, simple, unrefined foods: Whole foods consist of fruits, vegetables, whole grains (rice), beans and meats, nuts and seeds, and healthy oil like olive and flax oil. Whole foods are full of nutrients and are the foods that nature intended us to eat. Whatever great intelligence created the human body, provided us with exactly the foods and medicines we need right here on the earth. When we refine and package our foods, we destroy needed nutrients and add chemicals, often making the foods more addictive. Refined foods like flour products, store-bought juices, pre-packaged meals, and of course junk food, have less food value per calorie. Learn to enjoy the simple, delicious flavors of natural, unadulterated foods.
  • #4 Find physical causes of cravings:
    • a) Food allergies: Many of my patients have lost weight effortlessly by eliminating foods that they as individuals are allergic to. We tend to crave the foods we are allergic to thus setting up over eating. With proper coaching, my patients learn to make healthy substitutes for the foods they are allergic to and they feel much better without them.
    • B) Candida: A common cause of carbohydrate craving is a Candida yeast overgrowth in the intestine. This imbalance in the intestinal lining is caused by antibiotic use, oral contraceptive and hormone replacement therapy, or excess sugar consumption. Once yeast has taken over the intestine, it has a way of creating carbohydrate cravings to ensure its fuel supply. Yeast overgrowth also can cause digestive dysfunction, fatigue, skin, hormonal and other problems. In my practice I routinely evaluate my patients for intestinal yeast overgrowth and advise them on how to correct this problem. Once balance is restored, cravings quickly dissipate and weight loss is much easier to achieve and maintain. Avoiding sugars and reducing carbohydrates will help prevent and reduce yeast problems, so that is a great place to start. You will quickly be rewarded with fewer cravings and more energy.
  • #5 – Drink Water We all know that drinking water is good for us, but did you know it could help you lose weight? Firstly, the body’s signal for thirst can be mistaken for hunger and you may think you need to eat when all you need it water. Secondly, drinking water increases your energy and mental clarity. If you drink lots of water, you’ll be less likely to grab a snack for quick energy. Thirdly, water can be used to fill your stomach until you have time to make a healthy meal, thus avoiding grazing while you cook.
You are now armed with powerful tools to help you lose weight. I look forward to hearing from any readers who wish to share their experiences following reading these articles. In addition, if you wish individual coaching or medical advice, please contact my office.