Kids & Coughs

Coughing is something that all children experience when they ‘catch a cold’, and sometimes it can be most distressing for parents. Usually, a child will experience severe coughing fits at night whilst they - and everyone else - are trying to sleep.

Whilst it can be an inconvenience for the busy, modern parents, the best thing for children is to be kept home from school and allow the body’s own natural healing process to take place, but more importantly it also means that a child won’t ‘share’ their illness with all their classmates; the common cold - or upper respiratory tract infection - is probably the most common cause for school absence.

Paediatrics as a specialist medicine was really developed during the Song dynasty period in China, around the 11th Century. The understanding that children required something slightly different to adults led to the development of specific massage (tui-na) and acupuncture techniques, as well as paediatric herbal formulas. Children are understood to be inherently more yang - as this is the period of phenomenal growth and development, which requires an abundance of Qi and yang-energies. This also means that there is a relative deficiency of yin, and so this constitutional factor needs to be taken into account when developing treatments for children. Their immune systems are also considered inherently weaker, as they are still in the process of developing fully, and so tend to get sicker easier and quicker; the upshot to that is that they also get better quicker than adults too! As with adults, and congenital factors also need to be taken into account.

There are some key things to look out for, and let your practitioner know about which assist in determining the correct treatment. What does the cough sound like - is it a strong, loud barking cough; or a weak, quiet one? Is it dry? If there is phlegm, is it coming up easily? What colour is the phlegm? Is the throat sore? Is there a headache? Is there a fever? Is the child sore? Is there any nasal mucus, and if so what colour is it? How long has the cough been going for?

Chinese herbal medicine is particular good for this kind of ailment, but it is also useful to be combined with a session of acupuncture and/or massage. Most children may not be keen on having acupuncture needles stuck in them, which is why massage that stimulates the same points and channels can be better in these situations. The other benefit of taking your child into seeing a Chinese Medicine practitioner is so they can assess the nature of the condition and guide you to what needs to be done.

With getting your child to take medicine, I find that using a syringe (around 10ml) is useful, as it also turns the taking of the medicine into a kind of game - they get to squeeze the syringe themselves, thus also teaching them (in a subtle manner) about taking responsibility for their own health. It also means the medicine will get through and bypassing most of the taste buds! When coughing is the main complaint, I will often combine the medicine with a herbal cough syrup - usually containing honey - which will sweeten the flavour somewhat. There are quite a few good herbal cough syrups that are available from most Asian grocery stores as well as Chinese Medicine dispensaries.
 
And there is plenty that a parent can do at home to speed up recovery. Dietary therapy is of particular importance for all kinds of paediatric illnesses, due to the undeveloped nature of the child’s digestive system. Teas are very useful for treating the common cold, and particularly so for a cough and a sore throat. The types of teas are again dependant on which pattern of illness your child presents with. ‘Heat’ patterns need to be treated with ‘cool’ teas, foods, and herbs, while ‘cold’ patterns need the opposite. If the Lungs are dry (distinguished by a dry cough), they need moistening; whilst the presence of phlegm suggests the use of substances that will ‘dry up’ the mucus.

Another useful method is massaging the child’s chest with some Tiger Balm when they go to bed. Tiger Balm is said to help promote the movement of Qi and disperse the Qi-stagnation in the Lungs. The smell of the camphor can also help clear the nasal passages, allowing the child to breathe easier through their nose, thus reducing the need to breathe through their mouth, where pathogens lodge in the throat (the first signs of a cold are usually the distinctive sore throat and blocked nose). Baby-boomers may remember having camphor pinned to their undergarments to prevent getting sick; dabbing a spot of Tiger Balm behind the ears and on the throat is used for the same reason.

Here is our family recipe for Chicken Soup - it’s what we were always given when we were sick growing up. It provides nourishment (Qi) to help keep the body strong and fight infection. And it tastes wonderful, and kids love it! Enjoy....

“Avgolemono” - Chicken soup with egg & lemon

Ingredients
1x whole chicken - free-range or organic
1x carrot
1x stick celery
1x onion
pepper & salt

1x cup rice
2-3x free-range/organic eggs
3-4x lemons

20-30g sliced Huang Qi (Astragalus radix) - available from all good Asian grocers. This is optional.

Method
In a large pot of water, bring to the boil the chicken, carrot, celery, onion, and salt/pepper. Boil for 1 hour. If using the Astragalus root, stuff it into the cavity of the chicken.
After this time, remove the vegies & the chicken (carefully) and place in an oven tray. The chicken can be roasted, to provide a second meal, thus getting value for money!

Add the rice to the broth, and boil until rice is ready.
Whilst the rice is cooking, beat the eggs and the juice of the lemon together in a large bowl. When the rice is cooked, turn off heat, and begin to slowly ladle the liquid (not the rice) into your egg/lemon mixture, and continue to beat to create a fluffy mixture. The purpose of this is to slowly bring the egg/lemon mixture to the same temperature as the soup, so the egg will not curdle. Keep ladling soup into the bowl until it feels the same temperature as the soup pot. Then transfer this back into the soup pot. Add salt/lemon juice to taste (if necessary). Serve with some ground pepper.

Anxiety

We can all feel a little anxious from time to time - before an exam, or a job interview, an important meeting, before a first date, and so on. For some people however, these anxious feelings can continue over extended periods of time, and sometimes with no real or valid reason. When the feeling of anxiety is affecting your ‘normal daily routine’, then this is an indication that there is something wrong which needs to be addressed.

According to Western models of mental health, there are a number of anxiety disorders:

• generalised anxiety disorder (GAD)
• panic disorder
• obsessive-compulsive disorder (OCD)
• post-traumatic stress disorder (PTSD)
• social anxiety disorder
• specific phobias

Whilst all of these have their own idiosyncratic nature, at the heart of it is some irrational and excessive sense of fear, worry, and dread.

According to Beyond Blue, these disorders are the most common, with an estimated one in seven Australians experiencing an anxiety disorder in any given year, with one in six women being affected, and one in ten men.

Chronic feelings of anxiety - termed generalised anxiety disorder (GAD) - is said to affect 5% of Australians. It can also occur alongside other mental health disorders, such as depression, addiction, or other anxiety disorders. As well as the uncontrollable worry about everyday concerns, sufferers of GAD can also find themselves with a number of physiological signs and symptoms, such as muscle tension, abnormal sweating, nausea, cold/clammy hands, difficulty in swallowing, edginess/jumpiness, gastrointestinal discomfort (such as diarrhoea), irritability, tiredness and insomnia.

Panic disorders on the other hand a little more dramatic, with the tell-tale ‘panic attacks’ - sudden and acute onset of intense fear or discomfort which lasts for up to ten minutes, accompanied by symptoms such as the feeling of imminent danger or doom, the strong desire to flee, heart palpitations, sweating, trembling, hot flushes, a possible shortness of breath or a feeling of being smothered, a choking sensation, possible chest pain, a feeling of nausea or abdominal discomfort, dizziness, depersonalisation, a fear of losing control, or a fear of dying. Diagnosis of this disorder is based on the frequency and intensity of the attacks, and also monitoring for subsequent and continued sense of anxiety about further attacks, or fear of the triggers of such attacks. It is thought that about 3% of Australians suffer from this disorder.    

Post-traumatic stress disorder (PTSD) are attacks of anxiety that are directly linked to traumatic events, such as assaults, major accidents, natural disasters, neglect, experiencing unpleasant medical procedures, and so on. As well as the usual signs of anxiety, sufferers from this disorder will also experience flashbacks, nightmares, a loss of interest in what was once enjoyable, and memories of the event that continue to intrude on normal, everyday thoughts.
There is no exact equivalent in Chinese Medicine for anxiety, however there were some disease states which closely resemble this, known as “fear and palpitations”, “panic throbbing”, and “agitation”. Involving a state of fear, worry, and anxiety, these disease states share many of the same physical and emotional symptoms described above.

The aetiology of anxiety from a Chinese Medicine perspective is usually some form of stress, which can involves any of the emotions. Emotional stress can lead to the stagnation of Qi , which can also generate internal heat which will deplete the yin-natured aspects of our body, which agitates the Mind. Sometimes, there is also what is referred to as ‘constitutional’ factors, which include the development of patterns of behaviour and coping skills within families. Diet also plays its part, with irregular eating and the excessive consumption of Damp-producing foods - such as processed foods, preservatives, and additives being the worst - causing sluggish flows of Qi in the channels, leading to obstruction the Mind. Haemorrhages and other heavy losses of blood can also lead to the patterns of deficiency which affect the Heart, the organ-system which plays a vital role in our emotional health. Finally, extreme taxation and fatigue caused by working long hours without adequate rest and recuperation can deplete our vital energies, which also throws the internal organ-systems out of balance, leading to the patterns of disharmony which are found in cases of anxiety.

In Chinese Medicine, the Heart organ-system is said to be the “seat of all emotions”, and so any psychological/emotional disorder is linked with pathologies involving this organ. In anxiety disorders - especially in panic disorders - this connection is obvious given the associated symptoms of palpitations, chest fullness, and so on. However, all the organ-systems and channels of the the body are involved in the treatments of this disorder.

Being primarily an energetic medicine, Acupuncture is particularly beneficial in treating individuals with these disorders, as emotions - like Qi - is fundamentally an energic quality. By palpating points along the channels, assessing the pulse, and asking about any other symptoms, Acupuncturists are able to harmonise the channel system, the network which interconnects all parts of the body. Systematic reviews of the research into Acupuncture treatment for some anxiety disorders showed some positive results

Herbal medicine and nutritional health also plays its part, as we are able to bring our internal landscape into balance, harmonising the organ-systems which lead to patterns such as Qi-stagnation, or depleted energies of the individual organs.

Meditation and mindful exercises such as Yoga or Taichi are also very useful to help to learn to relax the body as well as the mind, and providing the time and the space to unwind and alleviate stress.
Something that helps with all types of anxiety is the ability to talk with someone you trust and share how you feel about issues. Speaking with a trusted practitioner - a Chinese Medicine practitioner, your GP, a counsellor, or a psychologist - can also be of great benefit. Practitioners can help in ways beyond the mere physiological, and can also help refer you onto services - such as Beyond Blue, Lifeline, and Men's Helpline - that exist to help you further.

Anxiety isn’t something to be afraid of, nor ashamed of. But it is something that will affect our daily lives if we let it, and can lead to further complications.

It takes two: baby!

The infertility rate here in Australia is estimated to be one in six couples.However, the focus on fertility treatments always seems to be skewed towards treating the female. Marketing of fertility treatments seems to be directed at women, reminding them that the clock is ticking. Even in IVF, a lot of stress is placed on the woman to follow strict schedules. Somewhere along the line, it is forgotten that men too play an equally important role in conception.

Holistic fertility treatments focus on both man and woman, never assuming that the inability to conceive is merely due to a woman’s age or egg production alone. Studies are showing the increasing effect of the male on all conception, embryonic/foetal/infant health and pregnancy issues.

It takes between 80-116 days for a single sperm to be created. Going through five cycles of six stages, it is this 3-4 month period before ejaculation where the sperm is susceptible to many threats, before it even takes the journey towards (possible) conception in the uterus of the woman. Because they are smaller and more exposed to environmental factors, sperm are indeed more vulnerable than eggs.

Of the known causes of male infertility, the most common (affecting some 66% of cases) is issues with production. The usual causes are factors such as heat, pressure, infections, genetic problems, exposure to drugs, chemicals, or radiation, age, testicular torsion, undescended testes, or previous vasectomy. 15% of cases are due to blockage of tubes (ejaculatory problems), and the third most common aetiology is anti-sperm antibodies which attack the sperm whilst in the uterus. Less than 1% of infertility cases are due to sexual problems, which are usually secondary to illnesses such as diabetes, pelvic/prostate surgery, nerve damage from spinal cord injury, anti-depressants and anti-hypertension medication, infrequent intercourse, or age.

Pre-conception health-care for males is therefore essential, especially during the 3-4 months where sperm is being created. The factors leading to male infertility need to be identified, and then appropriate diet/lifestyle changes and treatment need to continue throughout this period. Potential dads need to re-consider how they lead their lives and how they treat themselves and their bodies, as their health can impact the health of their offspring. Leukemia, asthma, respiratory disease, mental development/disease have all been linked to the health of the father and his sperm.

Healthy sperm should ideally have a concentration of at least 100 million/ml. Motility should be at least 75%, and normal morphology rates of no less than 30% are considered acceptable for natural conception. In the past few years, the details of what is considered acceptable sperm for making the next generation have been significantly revised downwards. Many laboratories now consider 5 million sperm, 45% motility and 97% abnormally formed sperm to be acceptable.

In Chinese Medicine, there are several physiological factors that must come together to enable a man to be fertile. There must be adequate life-essence, this is reflected in a general robustness and vitality, good quality hair that isn't greying, strong nails, no sweating at night or sticking feet outside of the doona, no reflux meds or asthma medication. The "gate of vitality" in the lower abdomen must be warm enough to power spermatogenesis, this will show in a strong lower back that doesn't ache, good circulation, hands and feet that don't get cold, and a good strong libido. Liver energy must be free-flowing and Kidney energy must be abundant enough to promote healthy sperm production and maintain normal ejaculation. When the Liver and Kidney are functioning well there will be a moderate temperament without anger, good vitality, clear eyes without dark circles or puffiness underneath. A man must also have adequate vitality and general nutrition, to promote the quality and liveliness of his sperm which contain a blueprint that gives his offspring the best foundation to life possible.

If prostate issues are suspected, or there is a blockage interfering with normal ejaculation, Chinese Medicine looks for "phlegm" or "blood stasis", which tend to obstruct the seminal pathways and allow normal ejaculation. Issues that damage or interfere with the normal shape of the sperm (morphology) are often classified as "damp-heat" or "heat-toxins". These can be present in the body due to exposure to toxins, chemicals, radiation, infections and STD’s. Checking the semen for Human Papilloma virus (HPV), cytomegalovirus (CMV), herpes simplex virus (HSV), human herpes virus type-6 (HHV-6), Epstein-Barr virus, hepatitis-B, and Chlamydia trachomatis can be useful; at the sub-clinical level, there may be no visible signs or symtpoms, but the DNA of these viruses will show up in the semen.

Of course, there are other factors which we would also look at addressing, such as the physiological factors involved when men are over-weight or suffering from obesity. When there are prostate issues, these presenting patterns usually combine also to create infertility, as would any of the patterns involved with more psycho-emotional conditions involving low libido, erectile dysfunction, or other issues related to performance. Psychological and emotional wellbeing is also important, as how we as men feel will also affect our partners’ moods, thus affecting the deep connection which also is important in the act of conception.

In treating male infertility, both acupuncture/moxibustion and Chinese herbal medicine can be of great benefit. However it also vital to look at one’s diet, and make the appropriate modifications, depending in the individual. Antioxidants such as zinc, folate, vitamins E & C, and beta-carotene have been found to be useful to improve fertility; these are best taken in supplement form, the therapeutic levels required to achieve positive changes in sperm often exceed what is possible in a normal diet.

Lifestyle issues also need to be taken into account with appropriate modifications, such as reducing the exposure of the scrotum to heat due to tight and synthetic-fibre underwear, hot baths, and so on. The ancient Chinese also knew that maintaining regular - but not excessive - sexual activity is important, as it ensures the free-flow of "Qi" (energy), "Blood", and "Essence", thus maintaining fertility. Psychological and emotional wellbeing is also important, as how we as men feel will also affect our partners’ moods, thus affecting the deep connection which also is important in the act of conception.

Overall, a holistic approach is best and involves utilising modern testing methods with ancient Chinese treatments and augmentation practices such as diet, lifestyle, and Qigong.

What is normal digestion?

Ideal Digestion

It is a question that is asked to every patient that walks into a Chinese Medicine consultation. What is happening with your digestion? Bloating, reflux, rumbling stomach, pain, belching, gas, loose bowels, sluggish bowels, constipation. These are problems that are very common, and are often playing a central role in what is keeping someone from getting better on their own.

Even if the problem is a sore neck, headaches, insomnia or infertility. 

It's not the thing that comes to mind when you're coming in to have something else treated, however if you can't absorb nutrients from your food, if there is inflammation that is causing you to chew through nutrients faster than you can get them in, if there are unwelcomed guests living in your digestion that are generating toxic by-products that are distracting your liver from detoxifying the other chemicals that you're exposed to in your life - well then you're gonna have to fix that in order to get well and STAY well.

So what does an ideal digestive system do? It goes a little something like this:

- you don't eat because it helps to stave off an acidic feeling 

- you don't crave sugary foods, chocolate or bread
- you have adequate saliva in your mouth to help you chew your food
- after swallowing your food you don't feel uneasy in your stomach
- there is no feeling of being bloated, or that you need to let your belt out a notch
- you don't feel tired or zoned out after eating a meal
- your concentration doesn't deteriorate after a meal
- you may have a very mild or subtle feeling that your digestion is processing your food
- there are no loud rumbling sounds emanating from your stomach
- between 30-60 minutes after eating you should feel the need to pass a bowel movement. There is no pain or discomfort before or after, there is no strong odour, the stool is fully formed, and your bowel feels completely empty


Doesn't sound like you? If you are missing out on even one factor in the above list it could be a sign that the way your digestive system operates could be playing a larger role in your current health concern than you realise.

Fix Your Digestion

 

A Chinese Medicine practitioner can assist by performing acupuncture, prescribing herbal medicines, advising on vitamins and supplements that could be useful or ones that are HARMFUL and should be avoided. 

 

Lifestyle and dietary advice is essential to prolonged and sustained improvement in your condition, and your practitioner can assist you to become aware of and make the changes that are going to be the best for YOU. There are no one-size-fits-all approaches to sustaining optimum health, and Chinese Medicine makes suggestions according to your specific diagnosis.

Amazing Digestion

Sorting out what is going on with your digestion can make such a difference to energy levels, stamina, mood and overall wellbeing, as well as sometimes helping to improve other seemingly unrelated problems. Patients often report that they didn't even realise how good they could feel. We really encourage you to explore what's possible for your body.

Depression - An Integrated Medical Approach

Depression can be caused by many different reasons. There is no one treatment miracle cure that will work for everyone.

We find that by combining the approaches of modern science with the principles of Traditional Chinese Medicine give patients a fast recovery and returning to a normal mood that is less likely to regress.

According to modern medicine depression can be caused by genomic expressions, severe chronic illness, metabolic disorders like hypothyroidism and diabetes, toxicity of copper and other heavy metals, nutritional deficiencies such as iron, zinc, B12, B9, B3, Vitamin D, Vitamin C, chromium and magnesium, low amino acids tyrosine not converting to serotonin, liver issues causing methylation problems (discussed in more detail) and more.

According to Chinese Medicine depression can stem from blood deficiency, this is where most post natal depression stems from and is closely linked with iron and B vitamin deficiencies, liver qi stagnation, and issues with the lung, heart and kidney organs.

This information can seem overwhelming. How do you know the best place to start to treat your depression?

The most typical Chinese Medicine pattern of disharmony of depression seen in our clinic stems from either the Liver energy or the Kidney energy not working the way it should. In Chinese Medicine we talk about the Liver and Kidneys in a broader sense than the medical world, sometimes it can correspond to a detectable problem with your Liver or Kidney organs, but mostly it is occuring on a subtler functional or energetic level.

If you are suffering more anger than ambivalence then your practitioner is more likely to suspect that the Liver energy needs to be treated. Subtle signs and symptoms will bring a qualified Chinese Medical practitioner to diagnose their patient’s organ pathology however, and one must seek diagnosis and treatment from a qualified professional.

When you’re being treated from a modern medical perspective you must be tested. Blood tests can determine genetic polymorphisms (which can be treated), vitamin deficiencies, and thyroid conditions. Functional pathology labs can test for how your liver clears toxins away and which amino acids you're lacking, which make ‘depression relevant’ compounds.

Together both systems compliment each other, and patients who receive treatment from both modalities tend to recover faster.

The LIVER

Is the storage site for many essential vitamins and minerals, such as iron, copper, B 12, and vitamins A, D, E and K. The liver is known as the detoxification organ, not only of external chemicals and pollutants, but also hormones that are made in the body, which constantly need to be broken down and turned into excretable substances. When hormones are not cleared properly from the body they aromatize into other hormones which creates hormonal imbalance, disrupting mood dramatically.

The role of these various enzyme activities in the liver is to convert fat soluble toxins into water soluble substances that can be excreted via the kidneys in the urine or via the gall bladder in the bile. Therefore to detoxify properly one needs their kidneys and gallbladder to be functioning properly. A gall bladder flush is a great place for people to start when detoxing or having difficulty digesting fats, speak to a complementary therapist to be assisted through this process.

A process known as methylation also occurs in the liver. This process is critical to the metabolism of dopamine, norepinephrine and epinephrine which are thought to be directly related to symptoms of depression, anxiety and other mood disorders. Methylation  synthesizes ‘depression-relevant' compounds such as melatonin, serotonin, dopamine, adenosine, glutathione, GABA, sulfate, cortisol, carnitine, CoQ10 and more. Methylation is also required to inactivate histamine, the inflammatory compound involved in immune reaction such as hayever and allergies. 

Basic nutrients necessary for normal function of this cycle include B12, glycine, serine, activated B6, selenium, cysteine, methionine and folic acid, hence B vitamins and amino acid deficiencies influence the expression of depression.

Several studies have shown the utility of folic acid in the treatment of depression. Some people carry genes that cause then to be deficient in folic acid. This is common in people who has depression that runs in the families.  Carrying the MTHFR gene means that folate (B9) is poorly activated, which means that they can not recycle their homocystine back into methionine. High levels of homocystine not only impact in the development of depression but also heart disease, colon cancer, and gives rise to a higher incidence of neural defects in babies and autism.

If depression stems from poor liver function then alongside vitamin and amino acids there are an array of herbs useful for liver detox and function. 


Lifestyle Choices

Eat less processed foods, and more freshly cooked meals. When eating out, choose meals that are prepared with less oil, sugar and salt. The best cooking methods are stir frying, poaching and steaming. Schedule main, heavier meals for the earlier part of the day where possible. Simplify your meals, don’t have too many food groups in one meal.

Increase folate rich foods: vegetables, especially green leafy vegetables and red vegetables. Aim for 3 cups of vegetables each day, and minimum of 2 pieces of fruit each day. 6-8 glasses of water each day as a target, more in summer.

To increase vitamin absorption and reduce inflammation try gluten and casein (dairy protein) free foods.

A high protein diet will contribute to “qi stagnation”; it is best to focus on the quality of protein consumed rather than the quantity, look for fish that is fished out of Australian or New Zealand waters. Your diet should be high in leafy green vegetables, moreso than focused on protein.

Check packaging for additives, sugar and salt. Try to choose brands without preservatives, and with sugar and salt lower on the list. Remember that ingredients are listed from highest to lowest content. Avoid MSG (and related additives) wherever possible. Look for numbers 620-640 (flavour enhancers). Number 621 is MSG. Artificial sweeteners should also be avoided where possible.

Reduce caffeine, carbonated drinks, alcohol, cigarettes, recreational drugs, fatty foods, sugar and salt. Replace with herbal tea or coffee substitute, water or diluted fresh juice, freshly cooked meals.

Avoid eating too late in the evening, try to have your final meal by 7pm. Your body needs to rest at night, not spending all night digesting your dinner. Your energy levels can be quite low in the morning if you’ve had a large meal before going to bed.

Be guided through a detox with an experienced healthcare provider, physically and emotionally.

Turbulent or volatile emotions at meal times are especially detrimental; meals should be eaten in a calm and relaxed environment. Relax whilst you’re eating and enjoy your food, and avoid eating whilst working, reading or watching TV. Ensure to leave adequate time each day to relax, whether meditating, listening to music, gardening etc. or some other form of activity that doesn’t involve reading or watching TV.

Move Qi (energy), don’t exhaust it. This means look at how you exercise, long distance running, crossing training for hours at a time and exercising in elevated temperatures typically exhaust qi. This can sometimes be detrimental to your progress, back off on the exercise if you suspect that your mood is adversely affected. Low intensity exercise such as light jogging, power walking, cycling and swimming is preferable. Yoga, pilates and tai chi are also excellent ways to get stuck energy moving.

Reducing your workload and the amount of time you spend at work, spending time at least once each week doing something you enjoy. Where possible, get to bed before 11pm, try to avoid burning the candle at both ends. Remain conscious of where your true energy levels are and avoid “running on empty”.

Start exercising lightly, qi gong, tai chi, hatha yoga, swimming, walking, gardening.

Depression From Exhaustion

According to Chinese Medicine your practitioner could identify that you have Qi and Blood deficiency. This is usually associated with a weak digestive system. It's vital to check your pancreatic enzymes are ok, so that you are producing the right enzymes to effectively digest your food. Practitioners at our clinic can arrange these tests for you, alternatively you can see your GP.

Low iron is sometimes linked with Qi and Blood deficiency, this can be from an inherited tendency, it could be from a parasitic infection, low dietary intake, or poor absorption. All causes of low iron can be treated, and can make a big difference in your mood. Ensuring that your iron stores (ferritin) are adequate to support great health is essential, we like our clients to bring their blood test results along so that we can see how closely your levels align with the metrics of great health, rather than using a metric that indicates the absence of disease. It is with a fresh perspective that often times clients can unravel problems that have plagued them for years.

If your practitioner diagnoses Blood deficiency and you are a woman, it's especially important to resolve the problem quickly if you suffer from menorrhagia, heavy bleeding during your menstrual cycle.

General Principles for Eating to improve absorption of vitamins and minerals from food, and to tonify a weak digestive system:
    Absolutely avoid all raw food including salads.
    All foods to be cooked and eaten warmed, long slow cooking, soups, broth & stews,
    Thorough chewing,
    Simple combinations of a few ingredients,
    Smaller meals more often,
    Regular meal times
    No excess fluid with meals, overeating, missing meals or eating while working.
    Avoid food that is more than one day old. 
    Don’t eat when you are upset or angry.

Increase protein intake, the best source of protein is animal protein, especially organic chicken (soups and stock), and green leafy vegetables are high in Iron content.  In vegetarian diets folic acid and Vit B12 can be taken as supplements.

Adrenals

Adrenal exhaustion can be a major contributor to depression, to test your adrenal output you can do a saliva cortisol test through the day to see how your cortisol varies from day to night.

For those with high or low cortisol should stay away from stimulants! Eating small and regular meals that contain good sources of proteins and fats can also help nourish the adrenals. Learn how to relive stress and REST!

An adaptogenic tonic can balance your adrenal hormones which can help your energy out put feel even throughout the day. This sis a great way to help you come off the abuse of stimulants, which just keep draining your adrenals, and creating energy fluxes throughout the day.

The Chinese believe that as heat is a source of energy, you should not allow heat to escape from the Kidney adrenal region. This can happen either around the lower back and abdomen or through the Kidney meridian at the sole of the foot. Keep the back and feet warm, and prevent Qi loss.

A day in the life: Clare's Food for a Day

A day in the life

As health practitioners, we are always talking to patients about ways of cleaning up their life to make healing easier. Making dietary changes is one of the big topics that comes up in most consultations. The main things we're talking to patients about is cutting down or cutting out booze, coffee, sugar, processed foods. Sometimes when patients are showing signs they may be a candidate for metabolic syndrome and type II diabetes we suggest a month of resensitising themselves to insulin - by cutting out grains, fruit and sugar for a month. For people who have muesli or cereal for breakfast, sandwich for lunch, pasta for dinner - a diet without grains would seem impossible.

Well for me, it's the daily standard. I have gluten intolerance, and a slightly unhappy thyroid gland, which makes me a prime candidate for a very low grain diet. I eat plenty of vegetables and get my carbohydrates from veggies and small amount of fruit. If you want some ideas about what you can do if you're not eating a wheat based product - check out what my typical day of food looks like.

As much as it may be tough to have someone tell you to cut out on x,y,z from your diet, make sure it's something they have done themselves so they know what they're talking about. Some may hate me for it, but yes in my case I do walk the walk as well as talk the talk!! It is indeed possible to live a happy and full life without caffeine, alcohol, sugar or bread.

So what did I actually eat last Tuesday?

Tuesdays are a busy day for me, and one of the worst nutritional days of the week for me for this reason. It's my one day at clinic that I finish late, so I like to give myself a bit of a sleep in. I wake up around 8am, do my morning yoga, make breakfast and get ready for work. I always have a cooked breakfast, I find it sustains me really well throughout the morning and into the early afternoon. On this particular day, I ate an egg, some bacon, mushrooms, sundried tomatoes, a roasted artichoke and some cucumber - all cooked in extra virgin coconut oil NOT olive oil. A pot of liquorice tea helps to support my adrenal function, and you can see my other powdered supplements there that I take each day - a magnesium drink and a zinc+vit c combo.

Women's multi, CoQ10, Vitamin D, a general probiotic (nothing out of the ordinary so far), Adrenal Gland extract, chinese herbal formula Rehmannia Six (Liu wei di huang wan), and a thyroid support supplement. Phew, what a list!!

Then I head into work for the day, starting around 11am. On this particular day however I left my lunch behind, so emergency lunch it was. I popped over to the local supermarket and picked up some salad, some smoked salmon and a yummy mustard/balsamic dressing. Out of the 10s of brands on the shelf, it was the only one that was sugar free - it's such an eye opener to read your labels before purchasing food items. If you're not already a label reader, you should start, so that you can become a conscious consumer.

I found 30 minutes between patients to eat my lunch, to sit down and just quietly chew. Then back to work, with patients through until 7:30pm. I find a get a bit peckish throughout the afternoon - so there's always something on hand to tide us through. Today it was a little pile of macadamias, some dates and some blueberries.

Berries are just so magnificent at this time of year, so I make the most of it and happily snack on them whilst they're in season.

Finally I finish work at 7:45pm and head home. I'm home by 8:10pm, a quick whip up in the pan of some kebabs, and a plate of salad and I'm sitting down to dinner by 8:20pm. Organic chicken kebabs cooked in coconut oil, salad with olive oil and balsamic dressing. I overcatered, and couldn't finish my kebabs so tomorrow's breakfast here we come! An hour or so of winding down on the couch, then I head off to bed.

Total food preparation time for the day: 15 mins

Added sugar = None

Could have done better? - Normally I eat more veggies, it's hard to get enough when eating salad because there's so much air and not a lot of bulk, but all in all it's not a bad nutritional day.

High Testosterone in women - it's more common than you think.

High testosterone levels in women are one of the leading causes of a range of conditions - the most prevalent and commonly diagnosed is PCOS. We have a large number of women attend our clinic with a diagnosis of PCOS, majority of them have never been told about the possibilities of what might cause their condition, that their condition is not necessarily permanent, and that there are things they can do on a daily basis that can change the course of their disease and improve their symptoms.

A range of underlying abnormalities lead to PCOS, infertility, abnormal menstrual cycles, hormonal acne, including:

• insulin resistance, often secondary to obesity
• elevated hormonal androgens, primarily testosterone
• lowered progesterone levels causing erratic ovulation.   

Signs of high tesosterone in women:

• darker hair growth on the body
• hair growth on face and bellow the belly button
• acne that appears on the face the same time every month

High testosterone is commonly found in the average city-dwelling under-the-pump working woman.

Treatment for the symptoms of high testosterone can vary according to the problem you report to your doctor. Treatments can range from:

• oral contraceptive medications to control hormonal acne
• clomiphene tablets to aid in ovulation for fertility issues/PCOS

Clomiphene tablets maybe combined with steroid tablets to suppress androgen production - most often in women who are wanting to conceive. However this does not address the underlying issue, and is unfortunately associated with an increased rate of miscarriage if conception does occur. Forcing ovulation with clomiphene is not useful for all women, and can cause damage to your fertility if it is not suitable for you.
To check your testosterone levels (and other hormones) you must see the free amount of hormone circulating in your body, this is done via saliva testing. The causes of elevated testosterone are:

• A high sugar and carbohydrate diet
• Ovarian and adrenal dysfunction
• Your body converts too much hormone precursors into testosterone (excess aromatisation)
• Impaired liver detoxification function
• Supplementation with testosterone
• Low sex hormone binding globulin (SHBG)
• Increased stress
• Insulin resistance
• Low thyroid function (TSH should be between 0.5 – 2)

Obesity and PCOS
Women who are obese may be predisposed to PCOS and elevated testosterone.  Fatty tissue produces oestrogen and stores oestrogen, leading to hormonal imbalances that affect the development and ripening of immature follicles within the ovary. Fatty tissue also secretes excess androgens leading to many of the masculine signs and symptoms of PCOS (eg facial hair).  Thus weight loss and control for those with weight issues is a must, especially if weight is carried around the abdomen.

Researchers describe ‘belly fat’ an active "organ", one that churns out hormones and inflammatory substances. ‘Abdominal fat is thought to break down easily into fatty acids, which flow directly into the liver and into muscle’ according to Lewis Kuller MD DPH, professor and past chair of epidemiology at the University of Pittsburgh School of Public Health.
The increase in hormone production and inflammatory substances produced in the abdominal fat lead to overworking the liver and reducing the effectiveness of hormonal clearance. In a cascade of endocrine effects, insulin becomes less effective in controlling blood sugar, insulin resistance can sets in, and here we have yet another cause of PCOS (see earlier post on PCOS).

Blood Sugar Levels and Testosterone

Type II diabetes OR high sugar intake in diet causes insulin resistance and is a major cause of PCOS. Type II diabetes is controlled with drugs like Metformin, or as studies have shown, a low carbohydrate combined with exercise is as effective but without the side effects of medication. A low GI sugar free diet is a must for anyone with PCOS symptoms. The close relationship between insulin resistance and diet control is a number one priority for anyone wanting to cure themselves of high testosterone or PCOS.  Insulin up-regulates the production of testosterone, and high blood sugar levels present in "carbohydrate specialists" who are eating muesli for breakfast, sandwiches for lunch, fruit for snacks and pasta for dinner, are a big part of the problem for most women with hormonal imbalance.

Other factors that impact on insulin are low levels of magnesium, high carbohydrate and sugar intake, coffee and smoking.

The role of the liver
Dysfunctional liver detoxification pathways also contribute to hormonal imbalances in women, leading to acne, anovulation and PCOS. The liver is responsible for clearing built up hormones in the body, especially via the sulphation and glucoronidation pathways. When the liver is overloaded with the use of alcohol, caffeine, pharmaceutical or non-pharmaceutical drugs, the clearance of elevated stress hormone, environmental toxins, cleaning agents, aerosolized paints, thinners, or under attack by viral hepatitis, then the liver is unable to clear hormones from the blood stream. Estrogen and testosterone levels then build up. 

The treatment for a stressed liver is stress reduction, gut detox and liver detox. Look over the blog on stress (http://bit.ly/lxCh9o) to see that stress is not just physiological, and all stressors must be removed or reduced. Speak to a healthcare practitioner to guide you through a gut and liver detox (which may also aid in weight loss). Bacterial, yeast build up or parasites in the bowel prevent toxin and hormonal clearance from the body. The gut should always be checked for the presence of any of these problems and be addressed before commencing a liver detox, otherwise toxins and hormones are unable to be effectively cleared from the body and re-enter circulation.

Other Causes of PCOS
An Adrenal gland dysfunction, Chronic high stress levels or an adrenal tumor – Imbalanced levels of the stress hormone cortisol and sex hormone DHEA, both secreted from the adrenal glands create stress in the body which impacts on ovarian function, which causes PCOS.  Your diurnal variation of cortisol throughout the day can be tested at our clinic via a saliva test. Contact us for a referral for a saliva hormone testing kit.

Stress and PCOS
Stress, perhaps you may need to think about that one again…..Stress can not only cause ovarian dysfunction but cortisol can suck up our levels of progesterone, as progesterone is a precursor to make cortisol.  PCOS and the resulting lack of ovulation can be due to a lack of progesterone.

Low levels of Progesterone
The lack of progesterone is detected by the hypothalamus, which continues to try to stimulate the ovary by increasing its production of GnRH, which increases the pituitary production of FSH and LH. This stimulates the ovary to make more estrogen and androgens, which stimulates more follicles toward maturation. If these additional follicles are also unable to produce a matured ovum or make progesterone, the menstrual cycle is dominated by increased estrogen and androgen production without progesterone. This is the fundamental abnormality that creates PCOS. (Ref 5)

Progesterone can be supplemented with herbs and natural progesterone cream which we can write you a referral to get. Reduction of stress is paramount.


Low Sex Hormone Binding globulin
SHBG Sex hormone-binding globulin (SHBG) or sex steroid-binding globulin (SSBG) binds to sex hormones, mostly to testosterone and estradiol. These hormones circulate in the bloodstream, bound mostly to SHBG and only a small fraction is unbound, or "free," and thus biologically active.  Thus,  SHBG inhibits the function of these hormones. (Ref 6 )

Causes of Low SHBG are: Use of the Oral Contraceptive Pill – OCP, Excess protein, alcohol, thyroid disease and excess soy consumption. (Ref 7)

Androstenediol can be taken to increase testosterone, as it converts directly into testosterone, and is used mostly by weight lifters to build strength and increase immunity.

Low thyroid Function
A poorly functioning thyroid gland affects adrenal gland function, and the liver's ability to detoxify testosterone via the sulphation and glucoronidation pathways. This leads to higher testosterone levels and lower SHBG, see above.

Pituitary dysfunction
This will lead to an abnormal secretion of other menstrual related hormones, causing anovulation, and a build up of follicles within the ovaries. This is the last call, and should be checked if all else fails.

Low levels of Magnesium
Recently, there are  reports about correlations between insulin resistance and deficiency of magnesium.  Some of mechanisms is when there is magnesium deficiency, magnesium fails to activate tyrosine kinase of insulin receptor and hyperinsulinemia stimulates magnesium excretion. It is expected that the exact mechanisms between insulin resistance, metabolic syndrome and magnesium metabolism. (Ref 8)


Elevated Boron levels in the blood
Unknown to the vegetable of fruit consumer, toxic Boron levels are in soils derived from marine evaporites and marine argillaceous sediment, which can carry thourgh into the food we eat, unless eating organically.  The most important source is irrigation water, but others include wastes from surface mining, fly ash, and industrial chemicals (ref 9). Hair levels of iron, boron, calcium, and zinc are often concomitantly elevated with lead burden. Lead exposure includes welding, old leaded paint (chips/dust), drinking water, some fertilizers, industrial pollution, lead-glazed pottery, and newsprint. (Ref 10)
Boron's link with high testosterone is via its effects on decreasing serum magnesium serum which can impact on insulin resistance (Ref 7).

Elevated Copper 
Copper reduces adrenal and thyroid function, see above.
Medical conditions that may be associated with excess copper include: biliary obstruction (reduced ability to excrete Cu), liver disease (hepatitis or cirrhosis), and renal dysfunction. Symptoms associated with excess Cu accumulation are muscle and joint pain, depression, irritability, tremor, hemolytic anemia, learning disabilities, and behavioral disorders. See Dr Kaslow webpage on copper-zinc imbalances.
However, it is important first to rule out contamination from hair products and dyes, bleaches, swimming pool/hot tub water, and washing hair in acidic water carried through copper pipes. In the case of contamination from hair preparations, other elements (aluminum, silver, nickel, titanium) are usually also elevated.

Sources of excessive copper include contaminated food or drinking water, excessive Cu supplementation, and occupational or environmental exposures. Insufficient intake of competitively absorbed elements such as zinc or molybdenum can lead to, or worsen Cu excess.  (Ref 11)

Copper and Boron may be tested via hair mineral analysis, with a referral from our clinic.

Aromatises Inhibitors
Aromatise inhibitors (AIs) are a class of drugs used in the treatment of breast cancer, ovarian cancer and in post menopausal women

Anti-estrogen aromatase inhibitors offer their anti estrogenic effect by blocking the enzyme responsible for synthesizing or converting testosterone into estrogen via a process called aromatization. Thus their effect is to decrease estrogen and increase free testosterone and insulin growth factor levels in the body. 

I think I might have a problem with my testosterone levels
Although there are many causes for elevated testosterone, we can usually determine which cause is related to your symptoms quite quickly and effectively. At the Discover clinic we use clinically proven herbal and nutritional supplements to directly bring down testosterone levels, regulate insulin levels, treat thyroid imbalances, increase liver detoxification pathways and help clear heavy metal build up.  With the correct treatment, and sound advice on diet PCOS can be very well treated. PCOS is definitely not a life sentence.


References

4. 2007, ‘Risks of Belly Fat’, WebMD, viewed 7/7/11 - www.webmd.com/diet/risks-weight-around-waist-7/belly-risks?page=2
5. PCOS and Infertility viewed on the 27/10/11 at http://www.ovarian-cysts-pcos.com/progesterone.html
6. Wikipedia, viewed on the 27/10/11 at http://en.wikipedia.org/wiki/Sex_hormone-binding_globulin
7.   ARL pathology, Healthscope Manual, pg 96
8. 2005,  Higashiura K, ‘Magnesium and insulin resistance’,  Clin Calcium. PUBMED, 2005 Feb;15(2):251-4. [Article in Japanese] Second Department of Internal Medicine, Sapporo Medical University School of Medicine. PMID:15692165, [PubMed - indexed for MEDLINE]
9.  Ross O, 1997,    Boron toxicity,      Plant and Soil, Chapter 12,  193: 181–198, CSIRO Land and Water, P.M.B., P.O. Aitkenvale, QLD 4814, Australia_, 2Water Management Research, Kluwer Academic Publishers. Printed in the Netherlands.
10. Jeremy E. Kaslow, MD, FACP, FACAAI Physician and Surgeon,  Lead, Found on  the 24/10/11 on the  Dr.Kaslow.com site  - http://www.drkaslow.com/html/hair_analysis.html
11. Viewed on the 27/10 11 at -http://www.drkaslow.com/html/hair_analysis.html