[ppt]powerpoint presentationc.ymcdn.com/sites/ · web viewgoals and aspirations. discuss current...

PowerPoint Presentation

Healthy, Vibrant Women

Mary Warren, DC, ACN

Goals and Aspirations

Discuss Current National Trends in Health Today for Women

Explore a Straightforward Approach to ImprovingWellness for Women in Your Practice

Deepen Your Knowledge of Nutrition and Herbs for Women

Expand Your Comfort in Using Supplementation in Practice

Focus on Improving Energy, Gut Health and Digestion, Better Sleep and Endocrine Balance with Adrenal Support

Mary Warren, DC, ACN 2017

Current Social Landscape

American women lead fast, full lifestyles

Adults, teenagers and kids have unending activities and choices that can negatively impact healthy patterns


Womens Issues

Fatigue

Brain fog

Stress

Anxious feelings

Difficulty sleeping

Low mood

Post partum issues

Blood sugar metabolism

Weight loss

Inability to achieve ideal body weight

Perimenopause/menopause discomfort

Dysmenorrhea

Low sex drive


4

Cognitive Function

Fatigue

Brain fog


5

Mental/Emotional States

Stress

Anxious feelings

Difficulty sleeping

Low mood


6

Body Shape & Weight

Weight loss

Inability to achieve ideal body weight

Redesign exercise regime

Incorporate new stretches and exercises into lifestyle


Staying at Ideal Body Weight

Why is Weight Maintenance So Hard?

Our eating habits

Too many grains & simple carbs!

Over eating - little portion control

Inflammatory response causing foods & beverages

Living in a rewards-based society

Eating quickly and not chewing properly

Eating in loud environments/being rushed


8

Staying at Ideal Body Weight

Why is Weight Maintenance So Hard?

Our movement habits

Too little exercise

Overdoing it once or twice a week

Repetitive exercising, causing physical stress

Repetitive exercising, causing inflammatory response

Living in a rewards-based society - overeating after exercise


9

Lifestyle Components Affecting Female Health

Diet

Hydration

Sleep

Exercise & movement

Workplace ergonomics

Social

Family

Relationships


Nutritional/Lifestyle Balance

Being conscious of what we eat and what we expose ourselves to, is not about doing everything perfectly.

However the harder our body has to work, the more "compensations" it needs to make.


11


Is it About Economics That We Dont Eat Better?

Is it about availability?

Convenience and our lack of time?

Is it about habits and even addictions to certain foods?


12


These are all factors and they are all valid.

Could the biggest factor be that we, as a society,

just dont know whats good and whats bad?


13


Many want to change but don't know how to. There is so much information and misinformation available.

Then, theres the marketing of products


14


Consuming 4000 calories a day and starving

Yes, starving because of the lack of nutrients that are within that 4000 cal.

When we are in a nutritional deficit, the body is going to ask for the needed nutrients. This stress can push us further into nutritional bankruptcy.


15


More than 1/3 of U.S. adults (35.7%) and approximately 17% (or 12.5 million) of children and adolescents aged 2-19 years are obese. [2009-2010 ]

An adult who has a BMI of 30 or higher is considered obese.

Center for Disease Control and Prevention reports on the weight status of U.S. adults and children 2013 (CDC.gov)


16

31.5 Teaspoons a Day!

The average American consumes 31.5 tsp. of sugar a day, mainly through high amounts of processed foods many Americans eat.

-Source Euromonitor


17


Here is a nice, fast look at digestion, with everything going as designed and planned. As we know, things dont always go so well, but in the overall scheme of things digestion is:

Ingestion

Peristalsis (movement through the GI tract)

Digestion

Absorption

Elimination of waste materials

Absorption of nutrients and elimination of wastes should be occurring in an efficient manner, maximizing the uptake of vital nutrients and eliminating toxins by way of at least one healthy bowel movement a day.


How Does Food Support Digestion?

The quality of our food, the nutritional content, and cleanliness of our food, all of these are contributors to our health

The energy of good food provides us with daily functionality and repair and restoration


19

Choices That Support Digestion

Improve food/nutritional intake or diet

Learning to make better choices

Educating families to cook and eat healthier


YOU can help YOUR patients!


21

Yeah, But it Seems So Complicated

Its Not Complicated, Its Simple!

Eat fresh, unprocessed foods

Shop grocery store perimeter

Balance fats, proteins, carbs at each meal and snack

Organize your kitchen and pantry


22

Simple

The foods we eat

contain the building

blocks for our body


23

What should we be eating?


24

Nutritional Balance

Many institutions1 and Dr. Barry Sears popularized the 40:30:30 Diet (Zone Diet)2

40% (Complex) Carbs

30% Protein

30% (Good) Fat


http://www.joslin.org/docs/Nutrition_Guidelines_101916. Accessed March 12, 2017

Sears B. The zone diet: 150 fast and simple healthy recipes from the bestselling author of "The Zone" and "Mastering the zone". London: Thorsons; 1999.

25

Consider a Common Sense Approach

It is meant to re-establish the basics and create an easy means of following the basics and supporting our health through good food choices.

Most importantly it is about creating something that is sustainable


26

A Good Balanced Diet

Will keep us fueled up and lead us to an appropriate weight. Many of the macro and micro nutrients that we need to feel satisfied are missing in the Standard American Diet.

There are links to suboptimal dietary intake in 3 of the leading causes of death.

Micha R, Pealvo JL, Cudhea F, Imamura F, Rehm CD, Mozaffarian D. Association Between Dietary Factors and Mortality From Heart Disease, Stroke, and Type 2 Diabetes in the United States. JAMA. 2017;317(9):912-924. doi:10.1001/jama.2017.0947


27

Fundamental & Beneficial Changes

Make eating a way of life thats based on fresh vegetables, fruit, grass-fed and/or wild animal protein and good fats, while minimizing or eliminating fast food, processed or preserved food.

Cook as many meals as possible at home. Almost anything your patients prepare at home is better than take-out!


Fats

Good Fats and Bad Fats:

Fats have gotten a bad rap over the years. So many people are into low fat diets... but it is that thinking that has actually contributed to Americans health predicament?


Li Y, Hruby A, Bernstein AM, et al. Saturated Fats Compared With Unsaturated Fats and Sources of Carbohydrates in Relation to Risk of Coronary Heart Disease: A Prospective Cohort Study. J Am Coll Cardiol. 2015;66(14):1538-48.

. .

29

Fats

Our choice of fats and oils is one of extreme importance. Infants and growing children especially, benefit from more fat in the diet rather than less. Avoid all processed foods containing hydrogenated fats and polyunsaturated oils. Instead, use traditional vegetable oils like extra virgin olive oil and coconut oil.

Berdanier, Carolyn D., Johanna T. Dwyer, and David Heber (Eds.).Handbook of Nutrition and Food, Third Edition. Boca Raton, FL: CRC Press, 2013.


30

Fats

Eat egg yolks and other animal fats with the proteins to which they are attached. And, finally, use as much good quality butter as you like, with the happy assurance that it is a wholesomeindeed, an essentialfood for you and your entire family.


31

My Favorite Quality Fats

BACON:

Butter

Avocados

Coconut Oil

Olive Oil

Nuts

Preferably organic for all of these


32

Proteins

Every cell in the human body contains protein. It is a major part of the skin, muscles, organs, and glands. Protein is also found in all body fluids, except bile and urine.

You need protein in your diet to help your body repair cells and make new ones. Protein is also important for growth and development during pregnancy, childhood, and adolescence.


33

Proteins

Protein-containing foods are grouped as either complete or incomplete proteins.

Complete proteins contain all nine essential amino acids. They are:

ArginineHistidineIsoleucineLysine

MethioninePhenylalanineThreonine

TryptophanValine


34

Proteins

Incomplete proteins lack one or more of the essential amino acids. They are:

AlanineAspartateAsparagineCysteine

GlutamateGlutamineGlycineProline

SerineTyrosine


35

Proteins

Small quantities:

Protein size of the palm of your hand

Use body weight 2.2 x .8 = grams per day

Chicken & beef: 2 oz. = 15 grams

Fish: 3 oz. = 15 grams

Eggs:1 = 7 grams

Almond Butter: 2 tablespoon = 7 grams


36

Carbohydrates Metabolism

https://image.slidesharecdn.com/digestionandabsorptionofcarbohydrate-150814055751-lva1-app6891/95/digestion-and-absorption-of-carbohydrate-2-638.jpg?cb=1439531925

37

Good Carbohydrates

Complex Carbohydrates are found in whole grains, vegetables and fruits.

Fibers are indigestible carbohydrates found in grains, vegetable and fruits.

Soluble fiber: good for glycemic balance as it supports healthy blood sugar levels. Also supports good colon health.

Insoluble fiber: fruit and veggie skins, seeds and nuts, dark green leafy veggies. Helps move waste through the colon and support pH balance.

Prebiotics: The food that supports the microbiota in your gut, promoting your own healthy intestinal tract.


38

Bad Carbohydrates

Refined and processed foods

Much of fiber has been removed leaving carbohydrates that rapidly convert to glucose, resulting in drops in blood sugar levels, energy and mentation.

Examples:

White rice, pasta and bread, High Fructose Corn Syrup (HFCS) often hidden in foods and beverages


39

Fruits and Vegetables

Expand your health with a variety of colors!

Phytonutrients: Naturally occurring chemicals that plants provide based on their unique characteristics.

Examples are Carotenoids, Lycopene Lutein and Zeaxanthin.

Vitamins/Minerals

Vitamin C, Vitamin A, Chromium, Magnesium and Calcium


http://anrcatalog.ucanr.edu/pdf/8313.pdf

40

I Like to Add Things First

More water

Vegetables

High quality fats

Making salad dressings from scratch


41

Most common food allergens:

Wheat, dairy, corn and soy

Chemical and unhealthy components in food:

Sugar, pesticides, preservatives, food coloring, trans-fats and rancid fats

Then Identify & Eliminate


42

Simple Works!


43

Making Better Choices

Establish an 80% - 20% rule

80% of the time eat clean, healthy food

20% of the time be less rigid

Eat a plant based diet mainly vegetables, some fruit

Avoid pasta, bread and white potatoes


44

Eating Out Better Choices

Decline bread when dining out

Ask about MSG added to foods and sauces

Avoid drinking sodas

Pass on gravies; put sauces on the side

Use oil & vinegar or fresh lemon (avoid Ranch)

Order small portions or split meals

Have water with lemon (hot/cold)

Try not to drink much liquid with meals

Resist ordering dessert, or split with others


45

High Quality Ingredients

Seasonal Fruit & Veggies

Fresh Fish, Poultry & Beef

Olive Oil, Walnut Oil, Coconut Oil

No Sweeteners

Fresh Herbs


46

Remember, Food First!


47

Its all in the: Shop/Cook/Eat

Guidance and direction

Resources and tools

Benefits of good health:

Short term positive effects

Long term positive effects



Short-term effects

Increase your energy level

Decrease your fatigue

Improve your mental clarity

Improve your sleep

Decrease stomach upsets from food

Keep your blood sugar levels normalized

Boost your immune system

Improve your musculoskeletal health


49


Long-term effects

Lose weight and feel better

Improve your good health

Improve your sleep quality and quantity

Minimize your aging process

Reduce your expected signs of aging

Advance your overall well-being

Minimize any nervous-system agitation

Build reserves so when illness occurs you re-bound easily


50

Bone Health and Digestion

Dietary & Lifestyle Choices

Fresh fruits and vegetables

Lots of filtered water everyday!

Eliminate and/or minimize preservatives & additives

Purchase and cook as much wild, free range and organic animal protein as possible

Cook in your own kitchen! Nothing is better than something you make at home


51

Lifestyle Balance & Endocrine Support

Perimenopause discomfort

Dysmenorrhea

Low sex drive

Post partum issues

Blood sugar metabolism

Stress related issues


52


Common Clinical Findings

Young Women:

Birth Control pills as teenagers

Other prescribed pharmaceuticals

Poor diet (SAD)

Over or under exercise

Appear in our office in crumbles


53


Common Clinical Findings

Middle-Age Women:

Prescribed pharmaceuticals

Poor diet (SAD)

Under exercise

Appear in our office in crumbles

Want to lose weight


54


The Endocrine System:

The main components of this system include the following glands: the pituitary, thyroid, parathyroid, adrenals and pineal. This complex system works on a negative feedback loop, meaning that the response is opposite to the stimulus. When blood levels of a hormone are low, the endocrine glands involved signal the release of that hormone or its precursor hormones and levels are raised.



The Endocrine System:

The circulating blood delivers hormones to virtually all tissues and cells in the body, providing the vehicle for the glands to monitor levels of the various hormones produced and secreted. Reporting back to endocrine glands through the blood, hormone levels are kept balanced. What could go wrong here? Seems like the system is self-running and regulating, right?



Creating Strong Hypothalamus, Pituitary & Adrenals Helps Your Female Patients:

Maintain ideal body weight

Sleep & rest better

Improves memory & brain function

Experience easier menstruation, childbirth & menopause


57

Lifestyle Components Affecting Female Health

Diet

Hydration

Sleep

Exercise & movement

Workplace ergonomics

Social

Family

Relationships


Healthy Lymphatic Systems for Women

Particularly important for women, healthy lymph nodes and lymphatic fluid flow impacts good breast health.

Though fluid moves through the lymphatic system, it does not have its own pumping mechanism.

Contrary to blood which is pumped by the heart, the lymph is dependent on physical exercise, breathing deeply, drinking water and perspiring to pump the lymphatic system.

This makes a great case for exercise!

http://www.nationalbreastcancer.org/breast-anatomy_The Lymph System Accessed 3/15/2017


59

Perspiration, Breathing Deeply, Drinking Water and Movement


60

Clinical Management and Steps for Difficult Issues

Taking a good nutritional intake/history

Lifestyle components that affect health

Evaluation of lab work, Systems Survey results, Meridian Stress Assessments, muscle testing results

Form a clinical plan for nutritional support using whole food supplements and herbs with your patients

Re-visit and re-assess your patients progress and continuing needs

Working your way through the maze



Assess Your Forms and Tools

Forms:Patient History FormSubstance Survey FormNutritional Exam FormToxicity Questionnaire


62

Assess Your Forms

Keep it simple! Do they give you a wide

view of a patients health and health history?

If not, adjust your questions and/or format.

Here are three I like to use:

History form

Substance Survey form

Nutritional questionnaire form


A Nutritionally Oriented History

Your opportunity to gather valuable information that will direct you in making sound decisions and recommendations to your patients. A good history will also help you look forward as you develop your clinical strategy.


Your History Form

This should really work for you. Ideally it will be straightforward for your patient, comprising 1-4 pages of information. Be sure to ask family health history and past/current questions of your patients.


Substance Survey Form

I love this form because its so simple and direct and gives us a quick, yet comprehensive view of what kinds of prescription drugs, supplements, artificial sweeteners and laxatives your patient might be taking. Often these components may be driving the bus for referred pain patterns and other unseen problems.


Dr. Mary Warren, D.C.

SUBSTANCE SURVEY FORM

Name___________________________Date__________________________

Please list any prescription medications you are currently taking or have taken in the last year.

MedicationsStart Date Diagnosis

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Please list any over-the-counter medications you are currently taking or have taken in the last year.

ProductSymptom Quantity & Frequency

____________________________________________ ______________________

____________________________________________ ______________________

____________________________________________ ______________________

Please list any vitamins, supplements, herbs, or homeopathic remedies you are currently taking or have taken in the last year:

(Use other side if needed).

ProductSymptom Quantity & Frequency

____________________________________________ ______________________

____________________________________________ ______________________

____________________________________________ ______________________

Check the following items which apply to you and indicate the amount used:

Check the following items which apply to you and indicate the amount used:

Coffee__________ Artificial Sweetener __________ Ice Cream __________

Tea__________ Antacids __________ Alcohol __________

Soft Drinks __________ Laxatives __________ Cigarettes __________

Diet Drinks _________ Candy __________ Other Tobacco _______

How many desserts do you have in any average week? _________


Nutritional Questionnaire

Having the patient fill this out in advance of your meeting will streamline the Q&A process by filling in the blank portions of this form. It gives you a very solid look at how they are eating and opens the door to discuss and change food/beverage consumption. Addressing hydration and sleep are huge components of a patients health and this form asks them to note their daily water intake and amount/quality of sleep.


Nutritional Survey

Patient name:Date:

Physical Findings: (to be completed by Dr. Mary Warren)

Weight:____________% Body Fat:____________

Tissue Calcium: R/L leg: ______

Please complete this for our first visit:

Typical Meals & Snacks

Breakfast:

Snack:

Lunch:

Snack:

Dinner:

Daily Water Intake:

Daily Exercise/Movement:

Nightly Hours of Sleep:

Sleep quality:

Medications Taken/Side Effects:



Assess Your Forms and Tools

Tools:Lab Tests/ResultsSystems SurveyRaglands TestPupillary Dilatation TestCalcium Cuff TestPhysical ExamMeridian Stress TestingHeart Sound RecorderMuscle Testing


Clinical Tools for Case Management

Lab tests and evaluation

Blood work is a universal tool for evaluating tissue changes and tracking trends

Develop/use a form that tracts results

Strive to have results in the middle portion of the lab reference ranges



Systems Survey results

A useful instrument used by many clinicians to ask and assess patients subjective symptoms and complaints, then recommend supplementation to support areas of weakness



Raglands Test

This test is performed by taking the blood pressure while the patient is lying down, and repeating immediately after the patient stands up.

A systolic increase of 5 to 10 mm upon standing is a normal response to this sudden change in gravity.

A systolic blood pressure that fails to rise (or falls) when standing, indicates insufficient adrenal gland function, and an general inability to adapt to physical stress.



Pupillary Dilatation Test

In a darkened room, a light is briefly pointed at one of the patients eyes while holding a perpendicular hand up to shield the other eye from the lighted area. Both pupils should bilaterally and equally constrict simultaneously. Asymmetry or failure to constrict indicates adrenal fatigue.



Calcium Cuff Test

Have patient seated at a height so that feet are not touching the floor. Using a blood pressure cuff, place the cuff on right or left calf muscle with the air hose positioned at the top of the cuff. Inflate the cuff to 240 mmHg Patient should be able to withstand a minimum of 220 mmHg without cramping. Muscle cramping prior to 220 mmHg may indicate the need for increased tissue calcium usage or calcium supplementation.



Physical Exam

This can be as simple as visual observations and notes related to what you see, or as intricate as the physical examination (or selected portions) you learned in Physical Diagnosis class.



Meridian Stress Assessment

A computerized tool that non-invasively measures Acupuncture meridian points on the fingers and toes

From the measured results, the clinician can recommend supplementation to support weakened areas



Heart Sound Recorder

A highly sensitive recording device that detects the sounds of the heart.

Recommendations are made based upon nutritional and herbal supplementation that support healthy heart muscle.


78


Muscle testing

Various versions of this kinesthetic testing are used to determine areas of the body that are weakened. Recommendations are made for the patient based on selections of supplements that strengthen the effected muscles.



Taking a good nutritional intake/history

Lifestyle components that affect health

Evaluation of lab work, Systems Survey results, Meridian Stress Assessments, muscle testing results

Form a clinical plan for nutritional support using whole food supplements and herbs with your patients

Re-visit and re-assess your patients progress and continuing needs

Working your way through the maze


Form a Clinical Approach

Provide nutritional support using whole food based supplements and herbs to address your patients needs:

Treat what you find (George Goodheart, DC)

Re-evaluate your patient in 2-4 weeks

Address the next area of focus, based on your prior clinical exam results and current methods of assessment


81

Form a Clinical Plan

Now the fun begins! From the information you have gathered, set up your patient with their first step.

An example:

Gut support give them information about the system/s you are supporting and lifestyle steps to take in addition to supplementation.


Gut support

Information first:

Digestive System: (Maintenance system)

Digestion involves the ingestion, breakdown and absorption of the nutrients we consume followed by the elimination of wastes. The three macronutrients: carbohydrates, proteins and fats are further broken down and diffused into the body through the small intestine. All nourishment (or lack of it) comes from the Digestive System.


Gut support

Lifestyle considerations next

Digestive System:

Clean up the diet by reducing allergenic and inflammatory foods. Be sure to include plenty of healthy fiber containing foods in the diet.

Add lemon to drinking water at meals to support good acid balance in the stomach.

Drink half body weight per day in ounces of filtered water this supports the elimination portion of digestion


84

Gut support

Whole food nutrient support considerations:


Discuss Protocols with your Patients

Present a patient schedule in an easy to read format, making sure to have a copy for your office file.


Patient Schedule Example:


Following Up with Your Patients

Talk with your patients in the first 3-4 days of starting their new regime to check in and answer any questions or concerns.

See her/him 2-4 weeks after the initial visit for a follow up visit to determine next steps.

Refill, order or change any supplements or herbs before the next visit if needed.


88

Re-visit and Re-assess Your Patients Progress

Set-up the next appointment with your patient before they leave your office, 2-4 weeks out, depending on the case and your preferences

Re-assess their lab work, etc. to determine their progress and prepare for office visit

Set-up next-step protocol and schedule their following appointment


Choices and Resources for Support

Westin A Price Foundation

De Cava Newsletter

Townsend Letter

Alternative Medicine



Purification Programs

Short-term Diet Modification Programs

Melvin Paige (DDS) Diet

Low Carb Mediterranean Diet

Paleo Diet


91


Exercise and Movement:

Yoga

Walking

Jazzercise

Dancing

Weight Training



Allied Health Care Providers:

Other Chiropractors

Acupunctures

Massage Therapists

Yoga Teachers

Therapists


Q & A


Ahhh..zzzzzzz

Tuck In For A Good Nights Sleep

Everyone knows how important it is to get a good nights sleep, but how many of us routinely get 7-8 hours of quality sleep at night?


Sleep Support for Your Female Patients

Some of the highest levels of human growth hormone are produced and secreted at night during the first hours of sleep.

This vital hormone replenishes and causes growth of almost all cells*, like skin and gut cells, while sleeping.

*Guyton and Hall. 1996. Textbook of Medical Physiology. W.B. Saunders Company, 9th Edition. p. 926


97

Sufficient sleep is not a luxuryit is a necessityand should be thought of as a vital sign of good health.

Wayne H. Giles, MD, MS, Director, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion. (http://www.cdc.gov/features/sleep/)



To set the stage for good sleep, I suggest:

Make lights out and wake-up routine

Create transition or wind-down time especially for women!

Keep the bedroom free of electronics

Dont listen to music, or watch TV in bed

Make sure the bedroom is dark and quiet

Sleep positioning for most of us, back and sides are best, stomach sleeping is the worst!



Check list for good Sleep:

How old is your mattress? Think about replacing it if its not comfortable, saggy, +7-8 years old and youre over 40

Is it comfortable? Not too firm, not too soft

Placement in bedroom? Clear pathways



Check list for good Sleep:

Pillows? Supportive, non-reactive, need replacing

Dark? No direct light from television, street lights, windows, halls, etc

Safety? Night lights or easily reached lights

Quiet? Sounds from other rooms, halls, outdoors



Food First

Diet, caffeine, and sugar intake should be evaluated for the possibility of elevating cortisol during the night.

If your patients are waking up and are unable to return to sleep, cortisol is likely elevated.

After eliminating stimulants, consider a small bite of protein at bedtime or if awakened and unable to return to sleep.



Check Out What You Eat

Foods that Ive found that adversely affect sleep:

Chocolate

Sweets

Simple carbs

BBQ/smoked foods

Rich foods

Heavy meals

Wheat, corn, soy, dairy and sugar if these are personal allergens



Check Out What You Drink

Beverages that Ive found that adversely affect sleep:

Sodas

Coffee

Tea

Alcohol

Those containing allergens like dairy and soy or those containing sugar, high corn fructose syrup or artificial sweeteners


Areas to Support For More Zzzzs:

Healthy Blood Sugar Metabolism & Adrenal Stress

Liver/Gallbladder Health

Healthy Mineral Intake

http://www.medscape.org/viewarticle/502825 Accessed 3/15/2017


105

Blood Sugar Metabolism & Stress

A key to healthy blood sugar metabolism is supporting the HPA axis, pancreas, liver and the nervous system. By supporting better, deeper sleep, we can regenerate and function more fully

Take steps to modify and eliminate dietary items that may cause blood sugar spikes and avoid allergens

http://www.medscape.org/viewarticle/502825 Accessed 3/15/2017


106

Blood Sugar Metabolism & Stress

I like to suggest having a protein rich snack before bedtime or if awakened during the night. My favorites:

2-3 slices of roasted turkey

A boiled egg

Almond butter on a rice cake or 10 almonds


107


My explanation to patients:

Your liver function around the clock, doing hundreds of jobs, including the production and secretion of bile for storage in the gallbladder. These two organs are dance partners, keeping your gut in top form


108


Healthy foods that support the liver/ gallbladder:

Kale

Brussels Sprouts

Broccoli

Cauliflower

Radishes

Cabbage

Beets


109

Healthy Mineral Intake

Minerals are vitality important for catalyzing many biochemical functions and pathways. It is well understood that our soil has become minerally depleted, leaving many American crops without the nourishing properties that once existed. Supplementation with minerals can provide foundational support.

http://saveoursoils.com/userfiles/downloads/1351255687-Changes Accessed 3/15/2017

110

Mineral Rich Veggies & Fruit

Apricots

Blackberries

Blueberries

Carrots

Celery

Chard

Collards

Figs

Garlic

Green Onions/Onions

Herbs (fresh)

Leeks

Lettuce

Melons

Mushrooms

Mustard greens

Okra

Parsley

Peaches

Pears

Peas

Peppers

Plums

Radishes

Spinach

Squash (hard & summer)

Sweet potatoes

Tomatoes

111

Lymphatic Congestion and Discomfort

Women in their 40s and beyond:

I find many women experience discomfort while and after several hours of sleep from lymphatic congestion in the chest wall and axillary areas. As we know, regular exercise and water consumption can help move the lymphatic fluid.


112

Lymphatic Congestion and Discomfort

Women in their 40s and beyond:

This is a great time (and age) to clear and clean lymphatic channels and nodes, minimizing discomfort in the shoulder and neck regions. I recommend a 2-step supplement protocol twice a year for 1 month each step, for a total of 2 months during Fall and Spring.


113

Adrenal Support and Stress Reduction

Women internalize stress differently than men. It is paramount for good health to stay active and physically fit. Not only does exercise and movement support bone health and proper lymphatic flow, women sleep better and experience less stress. Hmmm


114

Sources of Stress

EnvironmentWeather, noise, traffic, pollution, radiation

Family & RelationshipsRaising children and family mental health

Social StressorsPerformance, finance, Loss

PhysiologicalAging, deficiency

PsychologicalCatastrophic thinking, worrying, agonizing

Mary Warren, DC, ACN

115

General Adaptation Syndrome

Selye formulated the General Adaptation Syndrome (GAS) as a non-specific response to stress

The GAS enables you to increase your power of resistance to stressors and to adapt to environmental change

https://www.ncbi.nlm.nih.gov/pubmed/26962615


Selyes Stress Model

General adaptation syndrome

normalresistancestate

alarm phase

Phase 1

resistance phase

Phase 2

exhaustion phase

Phase 3

anabolic phase

catabolic phase


117

Adrenal Support & Stress Reduction

Stress Reduction:

Quiet time

Quality time

Adequate sleep each night

Reduce running/doing/performance


118

Adrenal Support & Stress Reduction

Exercise:

Weight Bearing

Yoga

Walking

Core Strengthening

Stretching

Cardio-Vascular


119

In Office Test for Adrenal Function

Raglands Test

This test is performed by taking the blood pressure while the patient is lying down, and repeating immediately after the patient stands up.

A systolic increase of 5 to 10 mm upon standing is a normal response to this sudden change in gravity.

A systolic blood pressure that fails to rise (or falls) when standing, indicates insufficient adrenal gland function, and an general inability to adapt to physical stress.


Evaluations for Adrenal Function

Sergeants White Line Test

Pupillary Reflex Test

Adrenal Stress Index (Salivary)

Diagnos-Techs Lab

NeuroScience


Adrenal Support and Stress Reduction

Prolonged Cortisol elevation can lead to:

Food cravings

Muscle deterioration

Bone demineralization

Lowered libido

Fatigue

Poor quality sleep

Hormone imbalances

Weight gain and inability to lose

Memory loss


Andrews RC, Herlihy O, Livingstone DEW, Andrew R, Walker BR. Abnormal cortisol metabolism and tissue sensitivity to cortisol in patients with glucose intolerance. J Clin Endocrinol Metab. 2002;87(12):5587-5593.

Epel ES, McEwen B, Seeman T, et al. Stress and body shape: Stress-induced cortisol secretion is consistently greater among women with central fat. Psychosom Med. 2000;62(5):623-632.

Epel E, Lapidus R, McEwen B, Brownell K. Stress may add bite to appetite in women: A laboratory study of stress-induced cortisol and eating behavior. Psychoneuroendocrinology. 2001;26(1):37-49.

Jones DS, Quinn S (eds). Textbook of Functional Medicine. Gig Harbor, Wash.: Institute for Functional Medicine; 2006.

122

Supporting Blood Sugar Metabolism

Eat small quantities of food, often:

Protein size of the palm of your hand

Use body weight 2.2 x .8 = grams per day

Chicken & beef: 2 oz. = 15 grams

Fish: 3 oz. = 15 grams

Eggs:1 = 7 grams

Almond Butter: 2 tablespoon = 7 grams

Small serving sizes

Snack between meals

Reduce or eliminate simple carbs and/or sugars


123

Supporting Blood Sugar Metabolism

Mediterranean Diet

Eliminate Xeno-hormone exposure as much as possible

Evaluate Adrenal needs and support as needed

Support Liver function

Assess Zinc status and support as indicated

Support healthy Progesterone production

Support Bowel eliminationIncrease fiber (Soluble/insoluble) cruciferous vegetables, etc. Improve bowel health and balance with pre- and pro-biotic


124

Bone Density and Health


Exercise:

Weight Bearing

Yoga

Walking

Core Strengthening

Stretching

Cardio-Vascular


125



Stress Reduction:

Quiet time

Quality time

Adequate sleep each night

Reduce running/doing/performance


126


Women in their 20s and 30s:

Focus on whole food based diet and minimizing fast food, preservatives

Regular exercise (3-5 x week)

Carefully consider with your physician all pharmaceutical drugs, including oral contraception


127


Women in their 40s:

Focus on whole food based diet and eliminating fast food, preservatives

Regular exercise (5-7 x week), increase weight bearing exercise

Carefully consider with your physician all pharmaceutical drugs


128

Health is Like a Checking Account

Stress

Toxin exposures

Lack of Sleep

Inadequate Nutrition

Subluxations

Withdrawals

Deposits

Peace

Purification

Sleep/Rest

Nutrients

Nerve Flow


You end up in the red!

What Happens When You Make More Withdrawals Than Deposits?

130

Supplementation for Your Practice

Why Supplement?

I have found that building healthy relationships with my patients includes providing them with high quality supportive care, and products that promote their internal health and healing.


Professional Lines & Quality Assurance

Use high quality, professional lines that are held to rigorous integrity standards

Manufacturing

Cleanliness

Testing

Chemistry

Microbiology

Tableting and Encapsulation Processes


Whole Foods vs. Isolates

Whole Food - law of synergy. This feeds and nourishes. A whole food approach is balanced vs. compromising or depleting

Synthetic Vitamins, only where necessary to support whole foods in delivering nutrients to support good health.


133

Apples contain a number of compounds with antioxidant, anti-inflammatory, anti allergic, anti thrombosis and antimicrobial activities and studies show that they are associated with lower mortality when looking at coronary diseases.

http://www.scielo.cl/scielo.php?pid=S0717- Accessed 3/15/2017


134

Whole Food Based Supplements

Your body recognizes, absorbs and uses food

Whole food based supplements are balanced with important cofactors that occur naturally

We rebuild organs and glands with food

We support our bodies by using whole food based supplements


135

Absorption & Utilization

Our nutrients are only as good as the amounts of those nutrients we actually absorb.

Choose your supplements wisely, investigate the companies resources and practices.


136

Supplementation for Your Practice

High quality nutrients can help your patients maintain healthy neuro-musculoskeletal tissue, support the bodys natural gut and adrenal tissue repair function, support brain, heart, liver and kidney health. Wow! How could you not use supplementation with your patients?!


137

Herbal Supplementation

Botanicals are health supporting plant compounds that complement vitamins, minerals, enzymes and oils found in our foods and nutrients. Parts of plants used can be: roots, rhizomes, fruit, whole herbs, gum, bark, bulbs, flowering tops, essential oils

Use herbs supported only by authoritative technical and clinical information to assure the highest quality - High-Performance Thin-Layer Chromatography (HPTLC) is the gold standard for raw and final materials assay testing.


Herbal Supplementation

Adaptogens

Tonics

Immune Support


Herbal Adaptogens

Ashwaganda/Withania

Schisandra

Rhodiola

Astragalus


Herbal Tonics

Licorice

Rehmannia

St. Johns Wort

Ginkgo


Herbal Immune Support

Echinacea

Goldenseal

Andrographis

Fewerfew

Goldenrod


Trophorestorative Herbs

Nervous system: St. Johns Wort

Mucosal membranes: Goldenseal

Immune system/tissue: Echinacea

Adrenals: Licorice

Microcirculation/Eyes: Bilberry

Connective tissue: Gotu Kola

Liver: Milk Thistle


143

Nutritional Supplementation

What is the quality of the supplements we are getting from a bottle?

Is it just about the milligrams of a vitamin or mineral or is it more important to have the right balance?

How compact are the tablets?

What form are the individual components in and are they bio-available to nourish or body?

Are they in the right balance to work effectively, synergistically?


Nutritional Supplementation Vitamins

This is the broadest category of nutritional supplementation and can be a wise choice to include for patient care and support.

Nutritional supplementation can be helpful in supporting the bodys natural healing function.


145

Nutritional SupplementationB Vitamins

Cofactors for many important enzyme functions

Vitamins B1, B2 and B3

Energy production, Cardiovascular, Immune, Integumentary and Nervous systems

Vitamins B6 and B12

Blood, Digestive, Hepatic, Immune and Neuro-musculoskeletal systems and Energy production


146

Nutritional Supplementation D Vitamins

Vitamin D has multiple actions in Immune function, Skeletal and Integumentary systems, Endocrine and Cardiovascular health.

Absorption and availability is key in supplementing with Vitamin D. A healthy digestive tract is instrumental in Vitamin D absorption and utilization.


147

Nutritional Supplementation K Vitamins

Vitamin K has become well known in recent years for its role in healthy blood clotting. We know that Vitamin K1 supports healthy blood and Vitamin K2 supports the skeletal system.

K1 is readily available from dark green, leafy vegetables, while K2 come from beef, eggs and some dairy sources.


148

Mineral Supplementation

Macrominerals such as calcium and magnesium support healthy soft tissue, (muscles, ligaments, cartilage and bone structure). Trace minerals support additional systems such as the central nervous system, immune function and endocrine balance. They activate important enzymes that provide foundational support.

Devlin, Thomas, M. (2006). Textbook of BIOCHEMISRTY With Clinical Correlations, Hoboken, N.J.; John Wiley & Sons, Inc.


149

Supplementing With Omega 3,6 & 9 Oils

Assists in healthy blood coagulationand circulation

Supports glandular activity and prostaglandin synthesis

Involved in the natural inflammatory-response function to joint exercise


150

Supplementing With Enzymes

Digestive enzymes help break down and absorb undigested proteins, fat and carbohydrates. This maximizes nutrient absorption and supports foundational health, particularly when initially devising supplementation protocols for new patients.

http://www.ingentaconnect.com/content/ben/cdm/2016/00000017/00000002/art00011 Accessed 3/16/2017


151

Action Steps for You and Your Patients

Decide to make healthy food choices 75% of the time

Decide to drink more water and less coffee and soda

Green tea mid-morning & afternoon instead of coffee

Select 1-2 area for support and take the suggestions and supplements


Q & A


Special Thanks To:

Curt Hamilton, CCN

Ken Hansen, DC, DACBR

Kerry Bone, Dip. Phyt.


154

Build Your Best Health. Live Well!


155

[ppt]powerpoint presentationc.ymcdn.com/sites/ · web viewgoals and aspirations. discuss current...

Documents