The GLP-1 Revolution: A Game-Changer in Modern Medicine
Retraining your Circadian Rhythm: A Comprehensive Guide
Yoga, a Formidable Defender of Bone Strength
Estrogen Dominance: Causes & Symptoms
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Aging Gracefully
Sara Yadlowsky, FMHC
Aging is inevitable. Irrespective of our efforts to appear youthful or feel younger, aging will catch up with us eventually. However, vitality is the key to aging gracefully.
Vitality embodies an energy of involvement, appreciation, and liveliness. It represents a harmonious blend of pleasure, purpose, and significance. When we are full of these feelings, we experience a vibrant, open responsiveness.
An excellent question to ask yourself is: How vibrant am I? Vitality manifests as an ability to openly express profound emotions. It’s evident in hearty laughter, streams of tears, and a willingness to engage fully without concerning oneself with outcomes, approval, or social media “likes.”
The most vibrant individuals:
- Seek opportunities to make a positive impact and follow through with action
- Dedicate themselves to continuous learning from others
- Exemplify remarkable generosity and openness
- Embrace both laughter and tears with equal intensity
- Share a deep connection with the spiritual realm
- Are willing to be authentic even if it means being unpopular
This level of aliveness represents soulful fitness, which is not tied to appearing younger than our years. Soulful fitness results from a stead fast commitment to and consistent practice of the vitality-enhancing measures mentioned above.
An excellent idea is to meditate daily with the thought that this could be your last day alive, and let this awareness guide you to fully embrace and cherish each day.
Aging can be viewed as a profound opportunity to establish deeper roots and witness more abundant blossoms. We can perceive the beautiful trajectory from innocence (youth) to ambition (productive years) to wisdom (later years)as a magnificent symphony, with each phase a complete and essential component of a breathtaking unity.
Aging is not an error or shortcoming, but an invitation to embrace life more fully.
To schedule a new patient or health coaching appointment, please call our office at 919-999-0831.
Your Partner in Health!
Sara Yadlowsky, FMHC
Foods for Menopause and Perimenopause
The hormonal shifts that accompany perimenopause and menopause lack a clear instruction manual, often leaving many women in a continuous cycle of trial and error when it comes to managing their symptoms. Fortunately, one of the most potent tools available for regaining control of your hormones is the food you consume. Certain foods contribute to hormone balance and can help alleviate perimenopause and menopause symptoms, while others can disrupt your body’s hormonal equilibrium.
When essential nutritional elements are lacking, hormonal imbalances can arise, leading to mood swings, weight gain, hot flashes, and reduced libido. The primary hormones affected during perimenopause and menopause are estrogen, progesterone, insulin, and testosterone, and your dietary choices can significantly impact these hormones. For instance, excessive sugar consumption can elevate insulin levels, trigger inflammation, and exacerbate nearly every perimenopausal symptom. On the other hand, incorporating vegetables, fruits, nuts, and seeds into your diet can provide phytonutrients and healthy fats that aid in managing even the most challenging menopause symptoms.
While there’s no one-size-fits-all diet, several foods have proven beneficial for most people seeking to balance their hormones:
1. Brassica (aka cruciferous) Vegetables: These include broccoli, cauliflower, kale, and cabbage, which contain indole-3-carbinol—a compound that helps metabolize estrogen in the gut and liver. This can be particularly helpful in addressing estrogen dominance.
2. Healthy Fats: Avocados, nuts, seeds, and fish are rich inomega-3 fatty acids and other fats crucial for reducing inflammation and supporting hormone production, especially progesterone.
3. Fiber-Rich Foods: Fiber is essential for gut health, which plays a critical role in hormone balance. Low-starch fruits and veggies, nuts, seeds, and whole grains can boost your fiber intake, aiding in estrogen metabolism and blood sugar regulation.
However, there are also foods and drinks that should be limited or avoided:
1. Caffeine: Excess caffeine can lead to increased stress hormone production and elevated cortisol levels, potentially exacerbating fatigue and estrogen levels.
2. Processed Carbs and Sugar: As tolerance to sugar decreases with age, limiting simple carbohydrates and sugars (like table sugar, baked goods, and packaged foods) becomes crucial for managing blood sugar and insulin levels.
3. Alcohol: Even moderate alcohol consumption can disrupt hormones, affect brain aging, and lead to elevated insulin levels and estrogen dominance.
4. Gluten: Gluten sensitivity can contribute to gut issues, thyroid problems, and autoimmune conditions, making it advisable to assess its impact on your health
Balancing your diet can ease the transition into perimenopause and menopause, regardless of whether you’re just beginning to experience symptoms or are already in the midst of them. By making thoughtful dietary choices, you can navigate this phase of life with greater vitality and well-being.
Your Partner In Health,
Sara Yadlowsky, FMHC
Sleep and CBD
Full-spectrum CBD (cannabidiol) is derived from the cannabis plant and contains various compounds, including cannabinoids, terpenes, and trace amounts of tetrahydrocannabinol (THC). While research on the specific effects of CBD on sleep is ongoing, some studies and anecdotal evidence suggest potential benefits for sleep, and full-spectrum CBD may offer additional advantages due to the entourage effect, where different cannabis compounds work together synergistically. Here are some potential benefits of full-spectrum CBD for sleep:
- Regulation of Sleep-Wake Cycles: CBD may interact with the endocannabinoid system, which plays a role in regulating sleep-wake cycles. It could potentially help individuals with sleep disorders like insomnia by promoting a more regular sleep pattern.
- Reference: Babson, K. A., Sottile, J., & Morabito, D. (2017). Cannabis, Cannabinoids, and Sleep: a Review of the Literature. Current Psychiatry Reports, 19(4), 23.
- Anxiety and Stress Reduction: Anxiety and stress are common culprits of sleep disturbances. Full-spectrum CBD may have anxiolytic (anxiety-reducing) effects, which could indirectly improve sleep by calming the mind.
- Reference: Shannon, S., Lewis, N., Lee, H., & Hughes, S. (2019). Cannabidiol in Anxiety and Sleep: A Large Case Series. The Permanente Journal, 23, 18-041.
- Pain Relief: Full-spectrum CBD has anti-inflammatory properties that may alleviate chronic pain conditions. Improved pain management can lead to better sleep quality for individuals who suffer from pain-related sleep disturbances.
- Reference: Russo, E. B. (2008). Cannabinoids in the Management of Difficult to Treat Pain. Therapeutics and Clinical Risk Management, 4(1), 245–259.
- Relaxation and Sedation: Some terpenes found in full-spectrum CBD, such as myrcene, have sedative properties. These compounds, in combination with CBD, may promote relaxation and sedation, making it easier to fall asleep.
- Reference: Russo, E. B. (2011). Taming THC: potential cannabis synergy and phytocannabinoid-terpenoid entourage effects. British Journal of Pharmacology, 163(7), 1344–1364.
- Reduced Nightmares: For individuals suffering from nightmares or post-traumatic stress disorder (PTSD), full-spectrum CBD may help reduce the occurrence of distressing dreams.
- Reference: Blessing, E. M., Steenkamp, M. M., Manzanares, J., & Marmar, C. R. (2015). Cannabidiol as a Potential Treatment for Anxiety Disorders. Neurotherapeutics, 12(4), 825–836.
Remember – just because a company advertises ‘full-spectrum CBD’ does not mean that it’s what we are discussing here. It’s similar to the caution you need when buying eggs, and you see ‘cage-free’ or ‘free-range.’ Thanks to clever and deceptive marketing strategies, those phrases do not indicate that the chicken was allowed to roam on open pastures eating grass and bugs – that’s exclusive to ‘pasture-raised.’
The CBD market is far more unregulated than an established product like eggs, so it’s essentially the Wild Wild West, and it’s up to you to be informed and do your homework.
What authentic full-spectrum CBD indicates is a product that includes the full range of beneficial cannabinoids, terpenes, and other unique phytonutrients found in hemp. The best way to verify this claim is by looking at the company’s COA, and check to make sure a variety of cannabinoids and terpenes are present.
It’s important to note that while there’s promising research and anecdotal evidence, individual responses to CBD can vary.
It’s advisable to consult with a healthcare professional before starting any new supplement, including CBD, especially if you have underlying medical conditions or are taking other medications.
Always check for recent research and consult with a healthcare provider for personalized guidance.
Your Partner In Health,
Clarissa A. Kussin, ND, FMCHC, ERYT-500
Metformin Beyond Diabetes: Exploring Longevity Benefits
Susan D. Denny, MD, MPH
Welcome to this month’s Functional Medicine newsletter, where we delve into the fascinating topic of Metformin, a medication commonly used for diabetes management, and its potential benefits for longevity. While Metformin has long been recognized as an effective treatment for diabetes, recent research suggests that it may have broader implications for promoting overall health and extending lifespan. Join us as we explore the scientific evidence and discuss the exciting possibilities surrounding Metformin’s role in longevity.
Metformin and Diabetes Management
Metformin is a medication primarily used to manage type 2 diabetes. It works by reducing glucose production in the liver and increasing insulin sensitivity, leading to improved blood sugar control. However, emerging studies indicate that Metformin’s benefits extend far beyond diabetes management alone.
Metformin and Longevity Research
- Metformin and Aging Markers: Numerous studies have explored the effects of Metformin on various markers of aging, including cellular senescence, inflammation, and oxidative stress. Research suggests that Metformin may have anti-aging properties by modulating these processes and promoting healthier cellular function.
- Metformin and Lifespan Extension: Animal studies have demonstrated promising results regarding Metformin’s potential to extend lifespan. Researchers have observed increased lifespan in various organisms, including worms, flies, and mice, when treated with Metformin. While human studies are still ongoing, these findings offer intriguing insights into the possibility of Metformin as an anti-aging intervention.
- Metformin and Age-Related Diseases: Metformin’s potential to mitigate age-related diseases, such as cardiovascular disease, cancer, and neurodegenerative disorders, has been a subject of interest. Research suggests that Metformin may exert protective effects on these conditions by influencing key pathways involved in aging and disease development.
- References and Further Reading:
- Barzilai, N., et al. (2016). Metformin as a Tool to Target Aging. Cell Metabolism, 23(6), 1060-1065.
- Martens, C. R., et al. (2018). Metformin as a Tool to Target Aging. Cell Metabolism, 27(4), 758-775.
- Hsu, C. C., et al. (2018). Metformin Use and Risk of Cancer in Patients with Type 2 Diabetes: A Nationwide Cohort Study. The Oncologist, 23(7), 859-865.
- Foretz, M., et al. (2014). Metformin: From Mechanisms of Action to Therapies. Cell Metabolism, 20(6), 953-966.
We encourage you to explore these references to gain a deeper understanding of the research surrounding Metformin’s potential benefits for longevity and age-related diseases.
Consulting a Healthcare Professional
It is important to note that while Metformin shows promise in longevity research, its use beyond diabetes management is still being investigated. Before considering Metformin or any other interventions for longevity purposes, it is crucial to consult with a healthcare professional who can assess your individual circumstances and provide guidance based on the latest scientific evidence.
Remember, longevity is a multifaceted topic, and adopting a comprehensive approach to healthy living, including balanced nutrition, regular physical activity, stress management, and maintaining a supportive social network, is key to promoting overall well-being and healthy aging.
Wishing you a vibrant and resilient journey towards optimal health and longevity!
Yours In Health,
Susan D. Denny, MD, MPH
Get Ready For Fall Allergies
Allergies don’t only crop up in the spring. The persistent sniffles, clogged nose, itchy eyes and sneezing also happen in the fall — and, experts say, they are getting more common, and more intense.
Don’t Wait For Fall Allergy Symptoms!
“What a lot of people don’t realize is that the allergy seasons have almost doubled in length and gotten more intense because of climate change,” said Kenneth Mendez, the president and chief executive of the Asthma and Allergy Foundation of America. Higher carbon dioxide emissions spur plants to release larger amounts of pollen, he said. “That’s why allergies are feeling a lot worse.”
Common Fall Allergens
The most common culprit for fall allergies is ragweed, a plant that grows wild almost everywhere, but especially on the East Coast and in the Midwest. Ragweed blooms and releases pollen from August to November. In many areas of the country, ragweed pollen levels are highest in early to mid-September.
Other plants that trigger fall allergies include:
· Burning bush
· Cocklebur
· Lamb’s-quarters
· Pigweed
· Sagebrush and mug wort · Tumbleweed and Russian thistle
Allergy Drops at Carolina Total Wellness
Carolina Total Wellness offers effective allergy treatment for both indoor and outdoor allergies through sublingual immunotherapy drops formulated just for you to safely and conveniently treat the cause of your allergies.
How Allergy Drops Work
Sublingual immunotherapy, also called allergy drops, works similar to allergy shots by gradually helping your body build tolerance to the substance(s) causing your allergies. The difference is that the antigen is placed under your tongue in a liquid drop form instead of an injection.
What kind of allergies can be treated with allergy drops?
One of the benefits of sublingual immunotherapy is that it can treat a broad range of allergies, including those caused by:
· Dust mites
· Mold
· Animals
· Foods
· Seasonal pollens such as grass, trees, ragweed, and mountain cedar, etc.
Who should take Allergy Drops?
Anyone interested in treating the cause of their allergic disease, instead of just temporarily managing symptoms, can consider allergy drops.
· Infants and children*
· Asthmatics
· People with highly sensitive conditions including EoE
· Those who don’t like needles
· Those with chronic conditions including sinusitis and eczema
· Those with food and mold allergies
· Those with multiple allergies including dust mites, pollen, foods, and animals
* Allergy drops have proven especially helpful for children with eczema and recurrent ear infections, which often have underlying allergic causes. Research shows that many children with untreated eczema and allergies often develop asthma and other chronic conditions later in life, so treating them early can have life-long benefits and may prevent development of other allergies and asthma.
What are the advantages to Allergy Drops?
In addition to being a viable option for people of all ages and conditions, there are more advantages:
Lower cost, fewer clinic visits. Compared to shots and many medications, allergy drops typically cost less over time. Most patients receiving allergy drops need only a few clinic visits the first year, and then once every 6-12 months thereafter until visits are no longer needed. That can also mean a lot less time away from work or school.
More convenient. You can take allergy drops at home or wherever you are, making it much easier to stay with your treatment.
Less medication. Our patients report, and research confirms, that they typically need less medication to control symptoms after beginning allergy drops.
Enjoy healthier days. The end benefit of taking drops consistently? Feeling better, more productive and better able to enjoy life and activities that allergies once made it hard to enjoy.
INITIAL ADULT AND PEDIATRIC PATIENT ALLERGY DROPS VISIT: $300
Please allow 45 minutes for your initial visit which will include consultation with your physician or physician assistant, physical exam and discussion of allergy testing. Skin prick testing will be performed at this visit and results and interpretation will be discussed. Prescription will be provided for allergy drops and we will review how to administer these at home.
FOLLOW UP ALLERGY DROPS VISIT: $85
Please allow 15 minutes for your follow up allergy visits. This will include review of your allergy symptoms and immunotherapy plan of treatment as well as new 3-month prescription for allergy drops. Follow up visits are recommended every 3 months for the first year and then every 6 to 12 months for the subsequent 2 to 4 years, depending on your response to treatment.
FOLLOW UP ALLERGY SKIN PRICK TESTING: $125
We recommend follow up skin prick testing for environmental allergies every 12 months to assess progress of immunotherapy and adjust your prescription allergy drops as needed.
To schedule, please call us at 919-999-0831
Homemade Paleo Ice Cream Delights – Strawberry, Peach, And Honey Lavender Flavors
Dear Ice Cream Lovers,
Get ready to indulge in the delightful world of homemade Paleo ice cream! With summer in full swing, what better way to beat the heat than with these three tantalizing flavors: Strawberry, Peach, and Honey Lavender. Whether you follow a Paleo lifestyle or simply enjoy natural, wholesome treats, these recipes are sure to satisfy your sweet cravings. Let’s dive in and discover how to make these delicious frozen delights right in the comfort of your own kitchen!
1. Strawberry Paleo Ice Cream:
Ingredients:
- 2 cups frozen strawberries
- 1 can (13.5 oz) full-fat coconut milk
- 1/4 cup honey or maple syrup (adjust to taste)
- 1 teaspoon pure vanilla extract
Instructions:
- In a blender or food processor, combine the frozen strawberries, coconut milk, honey or maple syrup, and vanilla extract.
- Blend until smooth and creamy, ensuring all ingredients are well combined.
- Pour the mixture into an ice cream maker and churn according to the manufacturer’s instructions.
- Transfer the churned ice cream into an airtight container and freeze for at least 2 hours or until firm.
- Serve the strawberry Paleo ice cream in bowls or cones and enjoy the fruity goodness!
2. Peach Paleo Ice Cream:
Ingredients:
- 2 cups frozen peaches
- 1 can (13.5 oz) full-fat coconut milk
- 1/4 cup honey or maple syrup (adjust to taste)
- 1 tablespoon fresh lemon juice
Instructions:
- In a blender or food processor, combine the frozen peaches, coconut milk, honey or maple syrup, and fresh lemon juice.
- Blend until smooth and creamy, ensuring all ingredients are well combined.
- Pour the mixture into an ice cream maker and churn according to the manufacturer’s instructions.
- Transfer the churned ice cream into an airtight container and freeze for at least 2 hours or until firm.
- Scoop the peach Paleo ice cream into bowls or cones and savor the natural sweetness of summer’s favorite fruit!
3. Honey Lavender Paleo Ice Cream:
Ingredients:
- 1 can (13.5 oz) full-fat coconut milk
- 1/4 cup honey or maple syrup (adjust to taste)
- 1 tablespoon dried lavender buds (culinary grade)
- 1 teaspoon pure vanilla extract
Instructions:
- In a saucepan, combine the coconut milk, honey or maple syrup, and dried lavender buds.
- Heat the mixture over low heat, stirring occasionally, for about 5 minutes to infuse the flavors.
- Remove from heat and let it cool to room temperature.
- Strain the mixture to remove the lavender buds and transfer the infused coconut milk into a bowl.
- Stir in the vanilla extract, ensuring it is well incorporated.
- Pour the mixture into an ice cream maker and churn according to the manufacturer’s instructions.
- Transfer the churned ice cream into an airtight container and freeze for at least 2 hours or until firm.
- Serve the honey lavender Paleo ice cream in elegant bowls or cones, savoring the delicate floral notes and subtle sweetness.
Enjoy Your Homemade Paleo Ice Cream Creations!
These refreshing and guilt-free ice creams are perfect for hot summer days or any time you crave a chilly treat. Experiment with different toppings or get creative by combining flavors. The possibilities are endless!
Remember to store any leftovers in the freezer, and if the ice cream becomes too firm, let it sit at room temperature for a few moments.
Your Partner In Health,
Clarissa A. Kussin, ND, FMCHC, ERYT-500
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