Pain Relief with Laser Therapy – Scientific Update

Living with chronic pain is one of the most common challenges people face as they age. Whether from arthritis, old injuries, or degenerative conditions, persistent pain can limit mobility, sap energy, and affect every part of life. Many people find themselves cycling through medications, injections, or even considering surgery, all in search of relief. In recent years, a number of gentler therapies have gained attention, offering ways to support healing without relying solely on drugs or invasive procedures. One such approach is cold laser therapy, also known as low-level laser therapy (LLLT).

Cold laser therapy is a gentle, non-invasive treatment option that has been used successfully to manage chronic pain conditions including arthritis, soft tissue injuries, and joint disorders. As a naturopathic physician who has offered this therapy for the past 18 years, I have seen firsthand the significant benefits it can offer, particularly to individuals over 50 who are looking for safe, complementary options.

Cold laser therapy works by using low-intensity light to stimulate healing processes within the body. Unlike surgical lasers, cold lasers do not cut or burn tissue. Instead, they emit light at specific wavelengths that penetrate the skin and underlying tissues, promoting cellular repair, reducing inflammation, and enhancing circulation. There is no pain or even sensation with the type of laser I use, which lends itself to placebo controlled human trials.

There is a growing body of solid scientific research supporting the use of cold laser therapy for chronic pain management.

  1. A 2019 meta-analysis published in the British Medical Journal, which reviewed 22 randomized placebo-controlled trials, found that low-level laser therapy significantly reduced pain and disability in patients with knee osteoarthritis.
  2. Another high-quality study, a Cochrane Review on rheumatoid arthritis, concluded that LLLT provided a measurable reduction in pain and morning stiffness compared to placebo.
  3. Additional research published in Physical Therapy Reviews on chronic joint disorders also found that cold laser therapy reduced pain and improved overall health status.

In clinical practice, we use a Health Canada/FDA-cleared laser device to ensure treatments are both safe and effective. Every treatment plan is customized to the individual’s condition and response. While some patients experience noticeable relief after just a few treatments, others, especially those with more complex or chronic issues, may require a longer series of sessions to achieve sustained improvement.

Although the primary benefit of cold laser therapy is pain reduction through tissue healing, as a naturopathic physician I often use other therapies to accelerate the healing process. We might combine laser treatments with natural medicines for pain and inflammation, lifestyle modifications. physical therapy exercises, and other supportive approaches to help patients achieve the best possible outcomes. Working with a physical therapist, chiropractor, massage therapist etc. along with laser therapy can be a useful adjunct.

For people living with the daily challenges of arthritis, back pain, or other chronic conditions, cold laser therapy offers a research-backed, gentle option that can be part of a broader, thoughtful plan to improve comfort and quality of life.

Break Free from Nicotine

If you are wanting to improve your health, quitting smoking or vaping remains one of the most impactful changes you can make. Whether you’re a teen hooked on vaping or a senior who’s smoked cigarettes for decades, breaking free from nicotine can dramatically improve your quality of life. Yet, quitting isn’t easy, and many who try are derailed by intense cravings, mood swings, and the physical grip of addiction. That’s why finding the right support is key. As a naturopathic physician, my role is to help people to take charge of their health. So over that last 14 years, I’ve studied the art and science of quitting nicotine and developed a multi-faceted approach that works.

Let’s start with vaping, which has become a major concern for young people. While it’s often marketed as a safer alternative to smoking, vaping is far from harmless. E-cigarettes deliver high doses of nicotine, often more than traditional cigarettes, in a form that’s easy to overuse. This makes them highly addictive, especially for young brains that are still developing. Beyond nicotine, e-cigarettes contain chemicals that can irritate the lungs and have been linked to serious health issues, including the “vaping-related lung injuries” seen in recent years. Teens who vape are also more likely to transition to traditional cigarettes, perpetuating a dangerous cycle of nicotine addiction.

For adults who’ve smoked for decades, the stakes are just as high. Smoking remains the leading cause of preventable death worldwide, contributing to heart disease, cancer, respiratory illnesses, and countless other health problems. While the damage caused by years of smoking can’t be entirely undone, quitting now will immediately reduce your risk of further harm. You’ll breathe easier, feel more energetic, and enjoy the long-term benefits of a smoke-free life.

Why is it so hard to quit? Methods like quitting cold turkey often fail due to intense withdrawal symptoms and the psychological pull of nicotine. Nicotine gums and patches may ease withdrawal, but they keep your body dependent on nicotine and can be costly over time. They also don’t address the behavioral patterns and triggers that often lead to relapse.

Our program includes:

  1. Painless laser “acupuncture” to powerfully change the brain’s response to nicotine withdrawal for a more easy transition
  2. Natural medicines to reduce cravings, begin detoxing the body and calm the nerves
  3. Psychological strategies to address both the physical and mental sides of nicotine addiction.

This integrated approach aims to reduce cravings, ease withdrawal, and provide tools for long-term success. Laser therapy, a cornerstone of our program, uses gentle laser beams to stimulate specific points on the body. It works much like acupuncture to reduce cravings, calm the nervous system, and support withdrawal. When paired with natural medicines that aid detoxification and mood balance, the physical hurdles of quitting become far less daunting.

Equally important are the psychological strategies for staying smoke-free. Identifying triggers, managing stress, practicing mindfulness and building a solid support system are key components of long-term success. By addressing these aspects, we aim to give people the tools they need to quit for good.

Breaking free from nicotine is a journey, but it’s one worth taking. Whether you’re worried about your teen’s vaping habit or ready to quit cigarettes after years of smoking, there are ways to make the process smoother and more effective. With the right support, you can reclaim your health and enjoy the benefits of a smoke-free life.

Dr. Deidre Macdonald is a naturopathic physician practicing in downtown Courtenay. www.getwellhere.com/quit-smoke-now/ or 250 897-0235

Protein Power: Your Ally in Aging Gracefully and Staying Strong

When it comes to healthy aging, protein is like the unsung hero of nutrition—always there, quietly working behind the scenes to keep your muscles strong, your brain sharp, and your body resilient. But how much protein do you really need, and is it possible to have too much of a good thing? As a naturopathic physician with a focus on nutrition and healthy aging, these are questions I commonly get from my patients. So, let’s dive into the science and myths of protein and how it can help you stay fit and vibrant at any age.

First, let’s get the numbers straight. The science says that most adults benefit from consuming 1.2 to 1.6 grams of protein per kilogram of body weight daily. Calculate your protein requirements using your estimated lean body weight. For a person whose lean weight is 150 pounds or 68 kg, that’s an average of 26-36 grams of protein three times a day. Considering that one chicken breast has about 50g of protein, those numbers aren’t out of reach for most people. 

Dietary protein supports maintaining and building muscle, which plays a vital role in balance, strength, blood sugar regulation, metabolic health, and more. After 50, we typically lose 1% of our muscle mass per year; after 70, that number goes up to 4%. However,  exercise and protein intake can reverse that trend. And if you’re trying to build or maintain muscle, a post-workout protein shake isn’t just trendy—it’s genuinely effective. While there’s no need to obsess over a narrow “anabolic window” after exercise, having protein before or after a workout gives your muscles the building blocks they need. 

Not all proteins are created equal, though. Animal proteins like chicken, eggs, and dairy tend to pack the biggest punch when it comes to essential amino acids, especially leucine—the star amino acid that triggers muscle growth. But if you’re vegetarian or vegan, don’t fret. By consuming a variety of plant-based proteins, like beans, soy, quinoa, and lentils, and perhaps adding a plant-based protein powder, you can absolutely meet your needs. 

What about concerns that high-protein diets might harm your kidneys or speed up aging? For most healthy people, these fears are more myth than fact. Research shows that regular exercise changes how the body processes protein, directing its benefits to where they’re needed most—your muscles and brain. Staying active essentially turns protein into a tool for health, not harm.

Now, let’s tackle a common concern: IGF-1, a hormone that spikes with higher protein intake. Some studies suggest this could increase cancer risk, but here’s the nuance: exercise flips the script. Physical activity directs IGF-1 to muscle repair and brain health while limiting its availability to potential problem areas. Simply put, a balanced diet paired with regular movement lets protein do its job without unintended consequences.

Ultimately, the magic of protein lies not just in what you eat, but in how you live. Pairing a thoughtful protein intake with resistance training or even a daily brisk walk can help keep your body strong and your mind sharp. After all, isn’t that the goal of healthy aging—staying active, independent, and ready for life’s adventures?

So, whether you’re whipping up a protein-packed smoothie, enjoying a hearty lentil soup, or indulging in a grilled salmon dinner, remember every bite is an investment in your future. Protein isn’t just for athletes or bodybuilders; it’s for anyone who wants to age gracefully, stay fit, and feel amazing in their skin. Cheers to that.

ND’s Top 7 Favorite Pharmaceuticals

As a naturopathic doctor, my primary focus is helping people achieve better health through lifestyle changes and natural medicine. Diet, exercise, and holistic treatments form the foundation of my practice. However, there are times when I prescribe pharmaceutical medicines to support the healing process. The key is using them thoughtfully, as part of a broader, holistic plan. When combined with natural remedies, these medications can offer valuable support in promoting overall health and well-being.

Topical Diclofenac

Topical Diclofenac is an anti-inflammatory cream that can be applied directly to sore joints, tendons, or muscles. This option can reduce the need for systemic pain drugs like ibuprofen or acetaminophen, both of which can have side effects when used long-term. Diclofenac can be compounded to include medications for nerve pain, making it a versatile tool for managing discomfort while working on healing the underlying tissue.

Metformin

Metformin is a common blood sugar lowering medication that works by improving the body’s response to insulin. While diet and exercise are critical to managing blood sugar levels, Metformin can provide a significant boost for some patients. Beyond its role in diabetes management, emerging research suggests that Metformin may have broader health benefits, including potential roles in cancer prevention and cognitive health.

Vaginal Estrogen

For postmenopausal women, vaginal dryness is a common and often uncomfortable issue. While special moisturizers can offer some relief, topical or vaginal estrogen is the most effective way to treat this condition. Used in moderation vaginal estrogen is considered very safe.

Bioidentical Hormone Replacement Therapy (BHRT)

In the right context, Bioidentical Hormone Replacement Therapy (BHRT) can be a safe and effective option for women experiencing menopausal symptoms. The understanding of hormone replacement has evolved significantly over the years. Current research suggests that BHRT, in the right person, in the right form, not only alleviates symptoms like hot flashes but may also offer benefits for long-term cognitive and bone health.

Enteric Coated Digestive Enzymes (Cotazym 20)

Prescription digestive enzymes, like Cotazym 20, can be very helpful for some individuals struggling with bloating, irritable bowel syndrome (IBS), or other digestive issues. These enzymes augment the enzymes the pancreas produces which break down food. What makes Cotazym 20 particularly useful is its enteric coating, which protects the enzymes from being destroyed by stomach acid, allowing them to work more effectively in the intestines where they’re needed. This targeted support can make a significant difference in digestive health for people who need it.

Rifaximin

As a naturopathic doctor, I generally avoid antibiotics unless necessary because of their impact on the intestinal microbiome, a key factor in overall health. However, Rifaximin is an exception. This antibiotic is used to treat certain cases of Irritable Bowel Syndrome, particularly those involving diarrhea caused by Small Intestine Bacterial Overgrowth (SIBO). Uniquely, Rifaximin primarily works only in the small intestine, preserving the microbiome in the large intestine. Plus, 97% is eliminated through the colon, meaning it poses minimal risk to the liver and kidneys, and doesn’t cause yeast infections or other common antibiotic side effects. As part of a comprehensive program it can be a very helpful for people with IBS.

Low Dose Naltrexone

This medication is a very exciting addition to my toolkit when helping people with complex, chronic diseases like Long Covid, Chronic Fatigue Syndrome, autoimmune disease, cancer, neurodegenerative diseases and more. It gently tricks the body into activating its own immune balancing mechanisms, and helps reduce neuro-inflammation. Studies show demonstrable benefits for Inflammatory bowel disease, rheumatoid arthritis and more. It’s relatively safe and expensive. 

 

While pharmaceuticals like these are never my only treatment option, they can serve as valuable tools in a comprehensive health plan. When used wisely and alongside lifestyle changes and natural therapies, they can give patients the extra support they need to achieve their health goals. The beauty of a naturopathic approach is in finding the balance between all available options—natural and pharmaceutical—working together for the best possible outcome.

 

Dr. Deidre Macdonald is a naturopathic physician practicing in downtown Courtenay since 1997. www.getwellhere.com 250 897-0235a

Top 4 Hormone Replacement Myths

Hormone Replacement Therapy (HRT) has long been a topic of debate and confusion, especially for menopausal women exploring their treatment options. Despite its potential to offer significant relief from menopausal symptoms and more, several myths persist, often deterring women from seeking the benefits it can provide. With 27 years of experience as a naturopathic doctor who prescribes HRT, I’ve witnessed substantial advancements in our understanding of this important treatment. Let’s clarify these common misconceptions.

Myth 1: HRT Causes Cancer

One of the most pervasive myths about HRT is its association with cancer, particularly breast cancer. This concern primarily stems from findings of the Women’s Health Initiative (WHI) study in 2002, which reported a slight increased risk of breast cancer in women using combined estrogen-progestin therapy. However, subsequent analyses and studies have shown that the risk is more nuanced. The study used outdated forms of HRT, such as horse estrogen and synthetic progesterone. Now we use bioidentical hormones, which have been shown to be much safer. Also, the study participants had an average age of 65 when they started HRT. Now, we know that the safest window for starting HRT is withing 10 years of a woman’s menopause or before age 60. A family history of breast cancer is not a contraindication.

Myth 2: HRT is Only for Severe Symptoms

Another common misconception is that HRT is only necessary for women with severe menopausal symptoms. While it is true that HRT can provide substantial relief for those experiencing significant symptoms like hot flashes, night sweats, vaginal dryness and mood swings and insomnia, it can also benefit women with mild to moderate symptoms. Additionally, HRT has been shown to offer long-term health benefits, such as reducing the risk of osteoporosis and age related cognitive decline, if started early.

Myth 3: HRT Will Make You Gain Weight

A widespread concern among menopausal women is that HRT will lead to significant weight gain. However, research does not support this claim. While menopause itself is associated with changes in body composition and fat distribution, HRT has not been definitively linked to weight gain. In fact, some studies suggest that HRT may help mitigate the abdominal fat accumulation often seen during menopause.

Myth 4: HRT is Risky for Women with a History of Blood Clots

Many women with a history of blood clots or a family history of clotting disorders believe they cannot safely use estrogen therapy. While it is true that traditional oral estrogen HRT can increase the risk of blood clots, there are alternative delivery methods that pose less risk. Transdermal estrogen, which is delivered through the skin via patches, gels, or creams, has been shown to have a lower risk of blood clots compared to oral formulations. As always, it is crucial for women to discuss their medical history and individual risk factors with their healthcare provider to determine the safest and most effective form of HRT for their needs.

While myths and misconceptions about HRT persist, it is important for women to seek accurate information and consult with their healthcare providers. HRT can be a valuable tool in managing menopausal symptoms and improving quality of life in the long term. By dispelling these myths, we can empower women to make informed decisions about their health during menopause.

 

Dr. Deidre Macdonald is a naturopathic physician practicing in downtown Courtenay. www.getwellhere.com  250 897-0235

 

Hormone Health For Women – Naturally

Hormones are an integral part of a woman’s health and vitality, influencing everything from mood and energy levels to reproductive function and overall well-being. As a naturopathic doctor with a focus on women’s health, I emphasize the importance of maintaining healthy hormones throughout a woman’s lifespan. In this article, we’ll explore practical tips to support hormone balance.

During early life, hormones promote growth and maturation. Proper nutrition, care, and a nurturing environment are crucial to foster healthy hormonal development in these formative years. During adolescence, hormones play a key role in puberty, influencing emotional well-being, skin health, and of course, menstruation. Many young women are told that it is just normal to experience PMS, painful periods and excessive flow. But these can be signs of hormone imbalances that can be corrected with natural methods. My favorite herb for teens with period problems is Chaste Tree, or Vitex Agnus Castus. This remarkable herb aids the pituitary gland in balancing hormones and has been proven to safely help some menstrual cycle problems.

In adulthood, hormones like estrogen and progesterone regulate the menstrual cycle, fertility, and libido. Hormone balance is essential for reproductive health during these years. In an age where more women are choosing to delay pregnancy, fertility challenges have become increasingly common. I guide my patients in understanding their body’s rhythms and how to optimize their fertility if that is their goal.

Of course, balanced hormones are critical for a healthy pregnancy, and particularly in the postpartum period. Nutritional support and stress management are vital, and naturopathic physicians can provide guidance to women on the safe use of natural medicines during and after pregnancy.

As women approach middle age, menstrual issues and PMS can become more pronounced as the hormone glands struggle to regulate the cycle during perimenopause. This is when active intervention with naturopathic approaches can be pivotal. For instance, natural anti-inflammatory herbs like ginger have been shown to significantly reduce blood flow in menstruating women. Menopause can be a relief or a challenge as rapid hormone changes can give rise to a range of symptoms, including hot flashes, mood swings, and insomnia. There is so much conflicting information out there about hormone replacement therapy, but the most recent scientific findings indicates that it can be used safely long term, and it can help prevent some diseases of aging like cognitive decline and osteoporosis. If it is done right. (See my detailed blog post for more information.)

As women age, we need to keep in mind other hormones that can affect our health and wellbeing. Cortisol, the primary stress hormone, when imbalance, can contribute to lowered immunity, abdominal weight gain, blood sugar imbalance and more. Maintaining blood sugar with the hormone insulin can be more challenging but is critical for disease prevention. Hypothyroidism affects up to one in six women in their lifetime, and the risk increases with age. So just because you were “fine” five years ago, doesn’t mean that your fatigue, depression and weight gain aren’t attributable to low thyroid hormone now.

The body’s hormones are all interconnected and are influenced by our immune system, our digestion (think microbiome) and our lifestyle. Key lifestyle factors that can improve your hormone health include moderating caffeine and alcohol intake, embracing whole food nutrition, regular exercise, ensuring adequate sleep, effective stress management, and maintaining a healthy weight. As a naturopathic physician I often recommend natural medicines and bioidentical hormone prescriptions to help women optimize their hormones.

Empower yourself with knowledge. Stay well-informed about hormonal health and its impact throughout the lifespan. A naturopathic physician with a focus on women’s health can serve as an invaluable resource for guidance and education.

 

Chilling Adventures: Cold Water Immersion for Health

In recent years, cold water immersion has gained popularity as a health practice that offers a myriad of benefits when done correctly. In the Comox Valley, you can regularly see brave souls venturing into the bracing waters of our rivers, lakes and ocean throughout the year. As someone who has always considered themselves to be “thermally challenged”, I was reluctant to try cold water swimming, but the health benefits, plus the rave reviews of people who do it regularly, convinced me to try it. I was amazed by the increase in my vitality after cold water swimming and decided to do a little more research on cold water immersion.  As a naturopathic physician I am interested in practices that help my patients tap into their health potential and improve longevity. Cold water immersion, when practiced safely, is a way to utilize the healing power of nature. We’ll explore the health benefits, risks, and how to safely practice cold water immersion, whether in the ocean, lakes, rivers, or at home.

Wim Hof, a Dutchman, brought the ancient practice of cold-water immersion back into the limelight through his extraordinary feats of endurance in extreme cold environments. He introduced his Wim Hof Method, a combination of breathing exercises, meditation, and cold exposure, to the world. His method has garnered followers worldwide, who have experienced improved physical and mental well-being by embracing cold water therapy.

Cold water immersion is not a new concept; it has roots in naturopathic hydrotherapy, a practice that has been used for centuries to promote health and healing. Naturopathic physicians have long believed in the body’s innate ability to heal itself and the role of natural elements like water to promote this process.

Modern science supports these ancient beliefs. Cold water immersion is now backed by scientific studies that show a range of health benefits. It can boost the immune system, improve circulation, reduce inflammation, improve blood sugars and even alleviate symptoms of anxiety and depression. People who do it report increased energy and alertness. The practice has also been associated with enhanced recovery from exercise and injury, and improved sleep quality.

To practice cold water immersion outdoors, find a safe body of water with cold temperatures. Ensure there are no strong currents or dangerous wildlife. Make sure you go with an experienced buddy to two. Start with short, controlled dips, gradually increasing your time in the water as you become acclimated. It’s essential to focus on controlled breathing to manage the shock of cold water. You can also practice at home in the shower or bath. Start with a warm shower to relax your muscles and gradually decrease the temperature. You can also try alternating between hot and cold water for a ‘contrast hydrotherapy’ effect. Always end with cold water to stimulate your body’s response to the change in temperature.

Not sure if you’re the right person for this health practice? It’s vital to acknowledge potential risks which include hypothermia and excessive cold shock if it is not done correctly. It may have increased risk for individuals with certain medical conditions like heart problems, Raynaud’s disease, or cold urticaria (hives). I vet my patients carefully before recommending cold water immersion practices.

Whether in the wild or within the comfort of your own home, cold water immersions practices can be a refreshing addition to your holistic approach to health and wellness. Check out the Facebook group “Point Holmes Wild Swimmers” for more local information and discuss your suitability for the practice with your naturopathic physician.

Meal Planning: The Key to Healthy Eating

It’s never to late too embark on new healthy habits, especially regarding nutrition and menu planning – a concept I wholeheartedly support in my practice as a naturopathic physician.

Menu planning might sound like a chore, but its benefits are far-reaching.  It’s a powerful tool to enhance your nutrition, save time and money, and foster family involvement in the kitchen. I find it’s one of the best ways to improve your nutrition or stick to a new dietary regime. When you plan your meals, you take control of what goes into your body. Menu planning allows you to make conscious choices about ingredients, ensuring a balanced and nutritious diet. You can incorporate more fruits, vegetables, lean proteins, and whole grains into your meals, leading to improved health. It saves you time and money. How often have you found yourself wandering the supermarket aisles, aimlessly grabbing whatever looks good? Menu planning eliminates this wasteful habit. Creating a shopping list based on your weekly menu not only saves you money but also precious time. No more midweek grocery store rushes. You’re also less likely to cave in and eat out, pick up fast food or order food in, which will save both your money and your waistline. Menu planning also helps engage family members and models and is an important life skill to children. I recommend involving your family or roommates in the process. It’s a wonderful way to bond and instill healthy eating habits in children. Plus, it takes the pressure off the primary cook. Get the kids to help choose recipes and assist with food prep. 

Whether you’re feeding a family or flying solo, these practical tips can help you get started with menu planning. For families, I recommend gathering your family for a weekly meal planning session. Discuss everyone’s preferences and dietary needs. Try theme nights when you dedicate specific nights to themes like Taco Tuesdays or Meatless Mondays. It adds variety and simplifies planning. Then you can meal prep together; kids can wash veggies, while adults handle the cooking. For singles, I encourage preparing larger quantities of meals and freezing individual portions for future use. It reduces cooking time during the week. For ideas, explore meal planning apps like Eatthismuch.com that offer single-serving recipes and shopping lists tailored to your needs. Plan to repurpose leftovers into new meals to reduce waste and save time. For instance, baked chicken breasts can be made into a chicken salad or stir-fry the next night. Roasted vegetables are delicious in a salad the next day. 

I underscore the importance of menu planning in my naturopathic practice. Menu planning is a cornerstone strategy when I coach my patients on nutrition. It empowers them to make lasting changes to their eating habits and supports their overall well-being. So, if September feels like your chance to embrace a fresh start, then try scheduling a time each week to practice menu planning. You’ll reap the rewards of improved nutrition, time and money savings, and enhanced family involvement in the kitchen. Happy menu planning and bon appétit!

The Power of Mindset: How Your Mind Influences Your Health Choices

Let’s face it, what we know we should do for our health and what we actually do are often quite different. When it comes to making healthy choices, we often focus on external factors like finding the right diet plans, exercise routines, or medical advice. While these factors are undoubtedly important, one key determinant of success that often goes overlooked is the power of our mindset. The way we think and perceive ourselves and the world around us can have a profound impact on our health choices. As a naturopathic physician, I see the fascinating connection between mindset and health. I’ve learned that it is imperative that the doctor-patient relationship include good coaching on how to cultivate a positive, empowered mindset towards our choices, our bodies and our health.

The choices we make regarding our health are deeply rooted in our mindset. Our beliefs, attitudes, and perceptions about ourselves and our bodies shape our daily habits. For example, if we have a negative mindset and believe that we are incapable of making lasting changes, we are more likely to give in to unhealthy temptations, procrastinate, or give up on our goals. However, with effective coaching towards a more positive mindset, we can develop a proactive approach to our health, set achievable goals, and cultivate healthy habits that support our well-being.

One fundamental step towards creating a more intentional lifestyle is mindfulness. Learning to be more aware of your inner self and practicing being fully present in the moment can positively impact health choices. For instance, when we cultivate mindfulness, we become more attuned to our body’s signals of hunger, fullness, and overall well-being. This awareness enables us to make informed choices about what, when, and how much we eat, resulting in a healthier relationship with food and a better understanding of our body’s needs.

The mind and body are deeply interconnected, and research increasingly shows that our thoughts and emotions can influence our physical health. Negative emotions like stress, anxiety, and pessimism can weaken the immune system, increase the risk of chronic diseases, and slow down the body’s healing process. On the other hand, a positive mindset, characterized by optimism, self-belief, and resilience, can enhance our overall well-being and even influence recovery from illnesses.

Naturopathic medicine is all about empowering people to become informed about their health and coaching them on how to live a lifestyle conducive to good health, including using natural medicines when needed or for health optimization. The old medical model was to wait until you got sick, then expect the doctor to provide a magic pill. My patients come when they are sick and when they are well. They are eager to have an in depth health investigation and create a program to move towards greater health. Fundamental to success, is adopting a positive mindset conducive to making informed decisions, overcoming challenges, and cultivating sustainable life habits.

Developing self-awareness, practicing mindfulness, and fostering self-compassion are essential steps in harnessing the power of mindset to achieve optimal well-being. As a naturopathic doctor, I am just as likely to coach a patient on these important practices as I am to prescribe an herb, vitamin or prescription drug. Remember, your mindset can be a catalyst for positive change, leading you on a path towards a healthier and happier life. 

PCOS – Androgen Excess

I’m a naturopathic physician, but I’m also a woman who had a hormonal imbalance called Polycystic Ovarian Syndrome, and who comes from a family of women with PCOS. I’ve spent decades learning about this hormonal imbalance and treating women who have it. If women want to really turn PCOS around there are strategies that can improve symptoms, improve fertility, and set them up for better mental and physical health long term. There have been three major breakthroughs in our understanding of PCOS that have come about since I was diagnosed 30 years ago. Naturopathic physicians are leading the way to find real solutions to this issue, which is the number one cause of infertility in North America. 

Firstly, I have to say that the name Polycystic Ovarian Syndrome is a lousy name.  Women with PCOS don’t even have to have cysts on their ovaries to get a diagnosis! A better name being proposed by experts in the field is Anovulatory Androgen Excess, meaning that these women have too many of the “male” hormones, or androgens, which can hijack the menstrual cycle so that it slows or stops, and ovulation is less likely. There are also receptors for androgens in the skin, which can result in acne and excess hair growth on the face and body. Lesser-known symptoms of PCOS are anxiety, depression, brain fog and increased risk for cardiovascular disease and certain cancers.

Secondly, there are several different types of women that can have these symptoms which we call PCOS, depending on what’s driving the issues. In women who may be slim and have inherited the issue the root of the problem is in the pituitary gland.  These women tend to have normal blood sugar metabolism. In contrast, for some women, PCOS is very closely related to adult-onset or type 2 diabetes in that they have high insulin levels which drive up testosterone.  The good news for these women is that normalizing body weight, eating a low-carb diet, and having regular exercise can make a real difference in their hormones. 

The third breakthrough is that we’ve expanded the ideas around treating PCOS. It used to be that the only treatment was oral contraceptives.  Yes, “the pill” can help control some symptoms.  But it does nothing to restore fertility, reverse dark hair growth or teach women how to balance their hormones in a real and lasting way.  My goal in working with women with PCOS is to engage them in a program that can do all those things and set them up for good long-term health.   Firstly, I run blood tests to dig deeply into their hormones and blood sugar to see which type of PCOS they may have. Then we create an individualized program with diet, exercise, and stress management at its core.  There are also herbs and natural medicines shown in clinical studies to balance hormones, reduce symptoms and help fertility.  There are times when pharmaceuticals can help, especially when excess dark hair growth is the issue. When women with PCOS go off “the pill”, their symptoms come back. But with these other medications, the positive effects can remain after the pills have been stopped. I am so grateful that a naturopathic physician helped me get a handle on my PCOS 30 years ago and I have learned so much in helping my own daughter and many other women manage their PCOS with the help of our modern understanding of this complex condition.