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The Breath Debate: Mouth vs. Nose

Growing up, I had no idea how my mouth breathing was negatively affecting me. When I began practicing yoga in my twenties and learned to inhale through my nostrils, it gave me a sense of calmness during challenging practices. The breath is an amazing tool to help reduce stress and is a fundamental part of our daily lives. Not all breathing techniques are created equal. The choice between mouth breathing and nose breathing can majorly impact one’s health and longevity. Knowing the difference between the two can help you improve your health and well-being. While both nose and mouth breathing serve essential functions, nose breathing is the optimal choice!

Carolina Total Wellness focuses on promoting nose breathing over mouth breathing. We align with the growing research showing numerous benefits of nose breathing for physical and mental health.

Benefits of Nose Breathing

Nose breathing refers to inhaling and exhaling air through your nostrils. Here are some benefits of nose breathing:

Air Filtration System: The nasal passages are filled with tiny hairs (cilia) which help to filter and trap dust and other particles from entering your respiratory system. This filtration system reduces the risk of respiratory infections and allergies.

Temperature Regulation: Your nasal passages warm or cool the air before it enters your lungs, making sure the air is at a suitable temperature for optimal respiratory function. This is particularly important in extreme weather conditions.

Humidification: When bringing air in through one’s nasal passages, the air gets humidified. This helps prevent dryness in the respiratory tract. This is key for maintaining the health of lung tissues and preventing irritation.

Nitric Oxide Production: Breathing through the nose stimulates the production of nitric oxide, a gas that plays a crucial role in various body processes. Nitric oxide helps improve oxygen absorption in the lungs, enhances blood circulation, and has antimicrobial properties.

Diaphragmatic Breathing: Nose breathing encourages deeper, more efficient breathing patterns and better lung expansion. This promotes better oxygen exchange in the alveoli, the tiny air sacs in the lungs.

Improved Sleep Quality: Individuals who breathe through their noses tend to have better sleep quality. Nose breathing may reduce the likelihood of snoring and obstructive sleep apnea, leading to a more restful night’s sleep.

Calming Effect: Nose breathing is associated with activating the parasympathetic nervous system, which promotes relaxation and reduces stress levels. Nose breathing is encouraged and can be beneficial while meditating and practicing mindfulness.

Oral Health Benefits: Saliva plays a crucial role in preventing dry mouth. Nose breathing can reduce the risk of dental issues such as cavities and gum disease.

Drawbacks of Mouth Breathing

Now that you know the benefits, let’s look at the drawbacks of mouth breathing.

Unfiltered Air: The hairs in your nose act like a filtration system, and mouth breathing will bypass the nasal filtration system. This allows pollutants, allergens, and pathogens to enter the lungs unfiltered, increasing the risk of respiratory issues.

Dryness and Irritation: Mouth breathing leads to dry mouth and throat, resulting in discomfort and increased risk of throat infections and oral health problems.

Reduced Oxygen Efficiency: Mouth breathing may lead to shallow breathing and less effective oxygen delivery to the body. This can cause the feeling of fatigue and reduced physical performance.

Facial Development Issues: In children, mouth breathing can affect facial and dental development. Over time, it may alter facial structure and lead to issues with misalignment of teeth.

Sleep Disruptions: Mouth breathing is commonly associated with sleep apnea and snoring. This leads to issues with daytime drowsiness and fragmented sleep. This may have a significant impact on one’s overall health and cognitive function.

Increased Anxiety: Shallow breathing can trigger a fight, flight, or freeze response, which will exacerbate anxiety levels. Habitual mouth breathing is linked to increased feelings of anxiety and stress.

Your Partner In Health,

Barrie Altman-Timmins

Health Coach Carolina Total Wellness

FAQ

When is it best to be nose breathing?

It is especially beneficial to nose breathe during rest, sleep, and low-intensity activities.

How can I practice nose breathing?

Certain breathing practices promote nose breathing, like box breathing, alternate nostril breathing, and diaphragmatic breathing.

How can nasal breathing reduce stress?

In times of stress, nasal breathing can turn on the parasympathetic nervous system (rest & digest). If your body detects nasal breathing and a slower, deeper, more mindful breathing pattern, it will signal that you are safe and increase the relaxation response.

What Is REM Sleep?

Clarissa A. Kussin, ND, FMCHC, ERYT-500

Did you know that REM (Rapid Eye Movement) sleep is a game-changer for your overall health and well-being? Let’s dive into the incredible benefits of REM sleep and discover some tips to enhance your dreamy slumber!

Benefits of REM Sleep:

  1. Brain Restoration: REM sleep is crucial for cognitive function and memory consolidation. It’s during this phase that your brain processes information, strengthens neural connections, and helps you wake up feeling mentally refreshed.
  2. Emotional Resilience: Ever notice how a good night’s sleep improves your mood? REM sleep plays a vital role in regulating emotions, contributing to better stress management and emotional resilience.
  3. Learning and Creativity: If you’re looking to boost your creativity and enhance learning, prioritize REM sleep. It’s during this stage that your brain synthesizes information and forms connections, leading to improved problem-solving skills and creativity.
  4. Physical Restoration: While deep sleep is essential for physical restoration, REM sleep also plays a role in muscle recovery. It contributes to maintaining a healthy balance between mind and body.

Tips to Maximize REM Sleep:

  1. Consistent Sleep Schedule: Aim for a consistent sleep routine by going to bed and waking up at the same time every day. This helps regulate your body’s internal clock, promoting better REM sleep. Watching the sunrise and sunset daily.
  2. Create a Relaxing Bedtime Ritual: Wind down before bed with calming activities such as reading, gentle stretching, a warm shower, diffuse lavender/spray it on your sheets, or practicing mindfulness. This signals to your body that it’s time to transition into a restful sleep.
  3. Limit Stimulants Before Bed: Minimize caffeine and screen time before bedtime. The stimulating effects can interfere with the quality of your sleep, including REM cycles. Eliminate caffeine after Noon.
  4. Optimize Sleep Environment: Ensure your bedroom is conducive to sleep – comfortable mattress and pillows, cool temperature, and minimal light and noise. I like to add red ight bulbs for evening use and transition.
  5. Stay Active During the Day: Regular physical activity can contribute to better sleep quality, including more time spent in REM sleep. Aim for at least 30 minutes of moderate exercise most days of the week.

Prioritize your sleep, and watch the positive impact on your overall well-being!

If you’re ready to experience the transformative benefits of health coaching, reach out to us today! Our team of experienced health coaches is here to guide you on your journey to optimal health. Call 919.999.0831 to get scheduled.

Remember, investing in your health is an investment in a brighter and more fulfilling future.

To your health and happiness!

Clarissa A. Kussin, ND, FMCHC, ERYT-500

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:

  1. 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.
  2. 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.
  1. 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.
  1. 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.
  1. 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

Tips To Slow Down

Clarissa A. Kussin, ND, RYT-500

It has never been easier to connect with someone on the other side of the world, yet it’s so easy to feel disconnected from the people closest to us.  We have more tools than ever to simplify tasks and accomplish more things quickly, yet our to-do lists have never been longer. Life is short, and time flies, especially in today’s fast-paced world.  

These exercises are meant to help you slow down, enjoy life, and focus on the most important parts of your day.  Take the time to prioritize daily objectives.
 By focusing on the most important tasks to get done, we eliminate the hustle and stress of trying to accomplish everything at once. 
Cut personal Internet use by half.
Technology has become a major element in most of our lives. Social networking, email, and web-surfing can occasionally cause our minds to lose focus and wander through hundreds of topics, thoughts and ideas.
Try to use half your designated Internet time to explore new hobbies, exercise, or meditate.

 Enjoy nature.
When time permits – take a five to ten minute break to step outside and breathe in some fresh air. Disconnect from the rest of the world and concentrate on the beauty of nature.

Eat slower.
A lot of us tend to speed through meals – missing the chance to appreciate different textures and flavors. Start to chew foods slower and distinguish new tastes, aromas, and consistencies. 
 
Connect and make time for yourself.

Acknowledge and consciously thank yourself for taking care of YOU.  When did you last spend valuable time with yourself? Take a night to find a new book, watch a favorite movie, try yoga, meditate, or cook a new recipe.

Give yourself more time.
Some of us like to stick to a tight schedule and plan all our daily events. Next time you’re jotting down new tasks in your planner, try to factor in a few extra minutes when estimating how long things will take. This will help you not rush through daily tasks.

Take the scenic route.
Next time you’re driving a somewhat long distance – try taking the scenic route. Driving through open fields, mountains, or viewing a city skyline can be very relaxing.

Sit for a moment with your eyes closed when you start your computer. Even just a few moments of meditation can set the tone for the rest of your day. Try to empty your mind and take deep breaths before jumping into your day’s tasks.

Remember your goals and aspirations.
Each morning when you wake up, take a few moments to think about your life goals and aspirations. Try to recall the milestones you’ve already made in your life, and your drive to achieve new ones. Try doing this for about five minutes before getting out of bed to start your day.

Take the time and share this with someone you love that may need some support in slowing down…

 
Your Partner in Health!
Clarissa Kussin, ND, RYT 500

Health Benefits of Napping

Susan D. Denny, MD, MPH
“No day is so bad it can’t be fixed with a nap.” — Carrie Snow

With the hectic pace of day-to-day life, many people don’t get the recommended amount of sleep each night. According to the National Sleep Foundation, adults typically need between seven and nine hours of sleep per night in order to function at their best. Getting a few less hours for even a few nights in a row can have the same effect as staying awake for 24 hours straight. And, over time, chronic sleep debt can contribute to fatigue, increased stress levels, reduced attention span, and declined cognitive performance.

One way to combat the effects of sleep deprivation—and repay some sleep debt—is to incorporate daytime napping into your schedule. The length of the nap and type of sleep you get during that nap help determine its potential health benefits. The table below identifies these benefits.

Nap Duration  and  Potential Health Benefits

10-20 minutes:
 Reduces sleepiness; improves cognitive performance; increases alertness, attention, and energy levels; improves mood; improves motor performance; reduces stress levels

20-30 minutes:
Enhances creativity; sharpens memory

30-60 minutes:
Sharpens decision-making skills, including memorization and recall; improves memory preservation

60-90 minutes:
Rapid eye movement (REM) sleep, which is critical for problem solving; helps make new connections in the brain; enhances creativity; reduces negative reactivity; promotes happiness

  The following is a list of tips and tricks to help you make the most of naptime:

Choose a dark, quiet, comfortable place where you can relax. Try to limit the amount of noise and light in the room, and make sure the temperature is comfortable. Choose a time that works for you, and aim to nap at that time each day to establish a routine. You may find that restricting your naps to early afternoon (between 1:00 pm and 3:00 pm, or an hour or two after lunch) is less likely to interfere with your nighttime sleep patterns. Set an alarm on your cell phone, watch, or computer so you don’t sleep for too long. If you’re napping at the office, try closing your door and hanging a sign that says, “will return in 20 minutes.” Alternatives to this are napping in your car or on an outdoor bench.

Wherever you nap, bring along something that you associate with sleep. Some ideas include a sleep mask, neck pillow, relaxing playlist and headphones, cozy blanket, warm socks, and lavender essential oil to dab on your pulse points.

Keep in mind that longer naps may be accompanied by sleep inertia, or a period of grogginess that sometimes follows sleep. Give yourself time to wake fully before returning to any activity that requires a quick or sharp response. 

Your Partner In Health!
Susan D. Denny, MD, MPH

Upper Airway Resistance Syndrome

By: Frances Meredith, M.D.

“Sleep is the best meditation”    – Dalai Lama
We all know sleep is precious. The world is a wonderful place when we awaken after a night of good sleep. Lack of sleep not only leaves us with lack of energy for our day, but also puts us at risk for many health issues from flares of autoimmunity to Alzheimer’s disease.
 
Could you have this “silent” sleep problem unrecognized by many doctors?
All of us are familiar with obstructive sleep apnea. A less known condition often referred to as sleep apnea’s “silent sister”, also can cause the same daytime fatigue and can contribute to many health issues as well. This condition is known as Upper Airway Resistance Syndrome or UARS and can be due to a naturally narrowed airway (often in someone thin or ideal body weight), a tongue falling back into the airway, or loose throat tissue. This causes “micro awakenings” occurring throughout the night, often without snoring or the sufferer even realizing it. This causes fatigue, increased stress responses often with sensitivity to emotional triggers, light, sound, and/or weather changes. It can also cause low testosterone, tension headaches, anxiety and depression.
 
Many doctors have yet to hear about UARS. The first step is to suspect it with daytime fatigue or any of the symptoms listed above, and bring it up with a provider familiar with the condition. Testing can then be ordered, such as a home sleep apnea test and a peek in your mouth and airway as an initial evaluation. An in-lab study is more sensitive, however a home study can often pick it up and is certainly much easier especially during COVID times. Treatment can then be designed including a dental appliance or CPAP which has gotten so much more user friendly in the last several years.
 
If ongoing daytime fatigue is an issue for you call 919-999-0831 to schedule an initial visit or bring it up with your provider at CTW. Optimizing sleep is just one of the many factors that a Functional Medicine provider will investigate that supports optimal energy and brain function, but without it, life just doesn’t look as sweet.
 
Your Partner in Health!
 Frances Meredith, MD

Ten Tips To get A Better Night’s Sleep

By: Sara Yadlowsky, FMHC

Most of us know how important it is to get a good night’s sleep.  Seven to nine hours of quality restorative sleep is ideal.  But this type of sleep sometimes eludes us.  Here are ten tips to help with more and better sleep.

  • Preparing for the next day can alleviate some of the stress that keeps us up at night.  You can get a jumpstart on the next day by packing your lunch, picking out an outfit, bathing at night instead of the morning and jotting down a to-do list.
  • Shut down your devices at least 2 hours before bed.  If you must be on your phone or computer try wearing blue blocker glasses that keep the blue light out of your eyes.  This blue light that is emitted from our electronics suppresses the release of melatonin which is the hormone that makes us sleepy.
  • Try a supplement to help you get to sleep faster and stay asleep longer.  Some examples:  magnesium, melatonin, L-Theanine, passionflower, valerian and CBD oil. Start with the minimum dose and work up as some people are more sensitive to these supplements than others.  Certain calming essential oils such as lavender, chamomile and eucalyptus are also very beneficial to quality sleep.
  • Create a bedtime routine.  Try to do roughly the same thing every night before bed to help signal to your body that it’s time to sleep.  Relaxing ideas are meditation, a hot shower or bath, light stretches, journaling and reading a good book that’s not too thought provoking. 
  • Get some exercise during the day.  Any type of movement helps you sleep better at night.  Exercising outside is particularly helpful due to sunlight exposure. Be careful not to exercise too close to bedtime as this can raise your cortisol levels and make it harder to fall asleep. 
  • Try some 4-7-8 breathing after you get into bed and turn off the light.   Place the tip of your tongue on the back of your front teeth, breathe in through your nose to a count of 4, hold your breath for a count of 7 and exhale slowly through your mouth to a count of 8. Repeat this 4 times.  This breathwork is fantastic for calming your nervous system.
  • As much as possible go to sleep and wake up at the same time each day.  This will help train your biological clock.  Our bodies crave a consistent schedule when it comes to sleep.
  • Finish all eating 3 hours prior to going to sleep.  This allows digestion to occur while you are still awake and prevents insomnia and heartburn. 
  • In the winter try sleeping with a hot water bottle instead of an electric blanket.  It will keep you warm and help you to fall asleep more quickly.
  • Make the last thing you do before falling asleep a list of 5 “wins” for the day.  Five things that happened that felt good or five accomplishments.  When you make this the last thing you focus on you sleep more soundly and wake up in a better frame of mind.

Golden Milk: Ancient Remedy

By: Clarissa A. Kussin, N.D., FMHC

Turmeric may not be the first thing you think about putting in tea, but with the right mixture of spices, it is a delicious soothing remedy. This tuber is a well-known remedy for its benefits including digestion, immune function, the liver and even possible protection from some types of cancer.

What is Golden Milk?

Turmeric Tea or Golden Milk is a great way to get the benefits of Turmeric daily. It’s great to drink this before bed because it aids relaxation and helps boost the immune system while sleeping.

The University of Maryland Medical Center reports that it is safe to cook with Turmeric while pregnant and nursing but that turmeric supplements should not be taken without a doctor’s advice. Since this tea contains Turmeric, consult with a doctor or midwife before consuming this if you are pregnant, nursing or have a medical condition.

Turmeric Tea/ Golden Milk Recipe

Ingredients:

2 cups of milk of choice (almond, pecan, coconut and dairy all work in this recipe)

1 teaspoon Turmeric or Turmeric Spice Mix

1/2 teaspoon Cinnamon

1 teaspoon raw honey or maple syrup or to taste (optional)

Pinch of black pepper (increases absorption)

  • Tiny piece of fresh, peeled ginger root or 1/4 tsp ginger powder
  • Pinch of cayenne pepper (optional)

Instructions:

First, blend all ingredients in a high speed blender until smooth.

Then, Pour into a small sauce pan and heat for 3-5 minutes over medium heat until hot but not boiling.

How to Make a Dry Turmeric Tea Mix:

If you’d rather not mix up the spices each time, you can easily make a mixture of the spices and just add to warmed milk when ready.

Mix up:

1/2 cup turmeric powder

1/4 cup cinnamon powder

1 ½ teaspoons ground black pepper

1-2 Tablespoons ground ginger

1/2 teaspoon of cayenne (optional)

Then, just add 2 teaspoons of this mix to 2 cups of milk of choice for a faster recipe.

 

Or, Make Turmeric Paste

Golden Paste:
1/2 cup organic turmeric powder
1/2 cup clean water (no fluoride)
1 1/2 teaspoon black pepper
5 Tablespoons virgin coconut oil


In a stainless steel pot cook together: Water, turmeric and black pepper until it forms a thick paste, stir and cook for 7 to 10 minutes. Remove from heat and add virgin coconut oil, using a whisk to fully mix in the coconut oil. Finally, transfer to a glass jar with a lid and store in the refrigerator.

Golden Milk:
1 tsp. Golden Paste
2 cups Almond Milk or Coconut Milk
1/8 teaspoon Vanilla (Optional)
Molasses to taste.
Pinch cinnamon (Optional)
In a stainless steel pot-gently heat, but do not boil, milk with 1 teaspoon paste. Use whisk
Add molasses and vanilla and cinnamon to taste.

Notes:

This may stain blenders and counter tops. The color isn’t harmful and will eventually fade. Recipe can be halved or doubled if needed.

Curcumin:

This bright yellow spice contains Curcumin (up to 3% by weight), which has been well studied for its benefits. It is believed to halt an enzyme that may be responsible for turning environmental toxins into carcinogens in the body. Turmeric is a folk remedy for helping protect the body from the affects of smoking or chewing tobacco.

Curcumin may also improve digestion of fats and sugars and help alleviate inflammation in the digestive system. It is an age-old skin remedy and is even used in the mouth to help alleviate gum problems.

Of course, Turmeric can be added to foods and is a great base for many spice blends, but those who want to consume it as a remedy often turn to turmeric tea.

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