Category Archives: Wellness

Why is Melanoma so deadly?

(This post is a little off this blog’s usually topic, but important for your health nonetheless. It was written by an outside contributor. I hope you find this post informative)

Melanoma is a type of skin cancer that affects melanocytes—the cells of the skin that provide pigment. Usually triggered by ultraviolet light exposure, the genetic structure of the cells change and leading to cancer. Melanomas make up just 1% of all new cancers, but lead to the highest number of deaths. According to the American Cancer Society, there are more than 76,000 new cases of melanoma skin cancer every year and more than 10,000 people will die from the disease. It’s most common in older adults—the average age for diagnosis is 63—but it is not uncommon to see it in men and women age 30 and younger, which makes it one of the most common cancers for young adults.

Melanoma’s inborn traveling system

As with most cancers, the effectiveness of treatment depends on how early it is diagnosed. The longer a cancer has to grow and spread, the more difficult it is to treat depending on what other organs and tissues are involved. The spread of a cancer is called metastasis and for most cancer cells the process of invading surrounding cells and tissues takes time and great effort and time to spread throughout the body. However melanocytes—when they shift to a cancerous state—awaken a dormant process that allows them to travel much more efficiently than other cells and invade other areas of the body some types of cancer take years to reach.

Patients may be late to seek a diagnosis

It can be easy to overlook changes in your skin. Particularly in the places melanoma can form—like on the scalp, on the soles of the feet, between the toes, and yes, even under your fingernails. Men tend to delay medical care for skin changes more often than women do, but both groups may be likely to miss identifying early changes in their skin which raises the risk for advancement and metastasis before a diagnosis is made.

Know your risk and take measures for prevention

Everyone should understand their personal risk for the development of melanoma and take measures to prevent its development. Risk factors according to the American Cancer Society include:

  • Exposure to indoor or outdoor UV light
  • Moles
  • Fair skin, freckles, and light hair
  • Personal or Family history of melanoma
  • Weakened immune system
  • Age
  • Being Male
  • Xeroderma Pigmentosum

Researchers also say that in addition to these risk factors, some patients may also carry a genetic predisposition to the development of melanoma which can be identified with genetic testing. For those who may be at high risk for cancer, getting a liquid biopsy may help you learn more so that you and your healthcare team can better address health concerns on a more personalized level. Working with your healthcare team to make a plan that will help you monitor and prevent melanoma from developing is a very important step to treatment should it be required. Melanoma doesn’t have to sneak up on your body. Staying vigilant will help you be healthy for years to come. Talk to your doctor to learn more about your risks of Melanoma.

 

You won’t believe what this mineral can do

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Magnesium is one of the most powerful minerals, responsible for over 300 enzyme reactions in the body. Magnesium is a vital electrolyte, and among the biochemical reactions it regulates are protein synthesis, blood-glucose control, and blood pressure, insulin regulation, vitamin D metabolism, bone health, and detoxing. Magnesium also greatly affects heart function, digestion, and sleep.

But that’s all boring, right? What about the fact that Magnesium is a treatment for anxiety? insomnia? constipation? fatigue?

Just a few of the effects of Magnesium:

  • Calm:
    • Magnesium slows nerve signals leading to a calming and relaxing feeling in the body and brain. This makes magnesium a wonderful natural treatment for those with anxiety, insomnia, and ADHD.
  • Energy:
    • Magnesium is needed to make ATP. ATP is the energy molecule in the body (that we produce from calories, with the help of Magnesium).
  • Bowel Motility
    • Magnesium relaxes the muscles of the GI tract making it easier to go to the bathroom
    • Magnesium also draws water into the intestine, making it the most natural treatment for constipation
  • Detoxing
    • Your body needs magnesium to run the many detoxification pathways that your body uses to get rid of metals and free radicals (from normal metabolic processes, as well as pollutants in our environment)
    • Heavy metals compete with magnesium for entry into the brain cells and for absorption in the gut. If we have enough magnesium and vitamins/minerals, healthy metals such as aluminum won’t be absorbed as readily.
  • Sleep
    • Studies show that Magnesium combats insomnia. People take it to promote getting to sleep and staying asleep.
  • Reflux and/or that full indigestion feeling
    • Magnesium relaxes the sphincter at the bottom of the stomach. This promotes stomach emptying, so food won’t sit like a rock in your stomach (which can lead to reflux).

Deficiency Symptoms:

If you are experiencing any of the following symptoms, you might be deficient in magnesium:

  • Muscles cramps or twitching
  • Insomnia
  • Irritability
  • Sensitive to loud noises
  • Anxiety
  • Palpitations
  • Angina
  • Constipation
  • Headaches, Migraines
  • Asthma
  • Kidney Stones
  • Reflux
  • Trouble Swallowing

Additionally, research shows magnesium deficiency is common in those with these conditions:

  • Diabetes
  • Obesity
  • IBS
  • Autism
  • ADHD
  • Depression/Anxiety

In the United States, magnesium deficiency is a serious concern. The reason is simple: many of us eat a diet that contains very little magnesium. The Western-American diet is filled with highly processed, refined foods, white flour, meat, and processed dairy. None of these foods contain magnesium. In addition magnesium is decreased with the intake of alcohol, salt, coffee, profuse sweating, chronic stress, chronic diarrhea, diuretics, antibiotics, and other drugs. It is no wonder everyone needs more magnesium!

Foods high in magnesium include: Wheat bran, wheat germ, brown rice, almonds, cashews, buckwheat, brazil nuts, pecans, walnuts, rye, soy beans, figs, dates, collard greens, shrimp, avocado, parsley, beans, dark leafy greens, and garlic.

But it is often a good idea to supplement. Magnesium glycinate is the best form of magnesium to get past your gut and into your brain and muscles. But if constipation is your challenge, than magnesium citrate or oxide is best.

 

 

Brain Health

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Is your memory not as sharp as it used to be?
Do you suffer from anxiety and/or depression? Brain fog? 
Do you want to know how to resolve these issues and optimize your brain, on your own?

You might think that a nutritionist isn’t the person to talk to about your anxiety or depression. We have been taught to run to the doctor and grab a prescription. Often doctors will prescribe to treat a symptom, without exploring WHY someone is having that symptom. But anxiety is NOT a deficiency in Xanax and depression is NOT a deficiency in Prozac. I am not anti-medication. I am PRO-HEALTH.  Doesn’t it make more sense to treat the underlying cause of your symptoms and actually resolve them at the source? No amount of Band-Aids (read: meds) will make up for a vitamin deficiency or a toxin traveling up your gut-brain axis.

I will be leading a one-hour educational discussion on the keys to brain health. You will walk away with tons of useful ways to help your own brain.

Topics Include:

  • The many possible causes of depression and anxiety (these will surprise you!)
  • Foods, botanicals and nutrients to prevent or resolve memory issues, anxiety, and depression and to sharpen focus
  • How to minimize age-related decline of brain cells & reduce your risk of developing Alzheimer’s disease
  • The gut-brain connection.

Do not miss cutting edge information about how to resolve and optimize brain functioning. You can get started the next day!

Sunday June 12th, 2016

10am-11am

Roots and Wings

317 N Main St, Natick, MA 01760;  Wings Room

$15

Please register with Dianne by emailing dianne.rishikof@gmail.com

There is hope for PMS

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Premenstrual syndrome…the butt of many jokes. But it doesn’t feel like a joke to those who suffer from it. There are 150 possible physical and behavioral symptoms that fall under the umbrella of PMS. Seven to fourteen days before the menstrual cycle, PMS can strike. It can last those whole 2 weeks or some part of it. Some symptoms are minor. Others are severe and can interfere with a woman’s life. Approximately 40% of women suffer from some form of PMS and it is mystery why some suffer and some don’t.

But nutrition CAN offer some remedies:

Vitamins and Minerals to be sure to get enough of (or a little extra):

  • B6 (make sure it is the activated P-5-P)
  • Magnesium (mg glycinate is one of the best absorbed forms and doesn’t stay in GI track and cause loose stools)
  • Calcium

Diet:

  • Reducing sugar intake (prevent sugar ups and downs and hypoglycemia by reducing the sugar in your diet and eating plenty of protein and healthy fats to maintain blood sugar throughout the day)
  • Reduce Caffeine
  • High fiber diet (After being used, estrogen gets dumped into the gut and excreted with the rest of the waste. But if you don’t have enough fiber to bind it, that estrogen may get reabsorbed leading to higher than necessary levels of estrogen in your blood. This can lead to symptoms.)

Herbs (These herbs have been known to normalize hormone levels and alleviate symptoms):

  • evening primrose oil
  • gingko biloba
  • black cohosh

If you have severe PMS with at least 5 major symptoms that interfere with life, you might have PMDD (premenstrual dysphoric disorder) and should seek advice from a medical professional.

Image courtesy of imagerymajestic at FreeDigitalPhotos.net

 

What You Need to Know About Functional Nutrition

Human body with internal organs, composite by stomach, Great to be used in medicine works and health.

Conventional medicine is very effective if you have an acute problem, which needs immediate treatment. Despite all the advances in science and medicines, chronic diseases are on the rise. Most people suffer from some form of chronic problem (such as IBS, high cholesterol, Diabetes, insomnia, chronic fatigue, anxiety, ADHD, etc). Conventional medicine doesn’t seem to be able to treat these problems successfully. At best, conventional medicine doles out prescriptions to dampen the symptoms. That isn’t ‘treatment,’ and it certainly isn’t prevention. The problem? Neither the individual nor the root cause of the illness is treated.

Functional Medicine and Nutrition is an entirely different approach.

Functional Medicine Nutrition Therapy is a personalized method for getting to the root of your symptoms and restoring balance to your system. It is about promoting health, not just treating illness.

Personalized:

Everybody’s different. We each have different genes, different microbiomes (which influence everything), and different lifestyles. In Functional Nutrition, all information is taken into account: sleep, diet, stress level, activity level, energy level, mood, sunlight exposure, time in nature, and other data. Additionally, using tests that actually reveal what’s going on inside your body down to the cellular level and tests for genetic influences, diet and supplementation can be very targeted.

As the Institute of Functional Medicine explains: “The current healthcare system fails to take into account the unique genetic makeup of each individual and the ability of food, toxins and other environmental factors to influence gene expression.”

Treating the problem, not just the symptom:

If you throw drugs at a symptom, without addressing the root cause of the symptom, you are clearing the smoke but not putting out the fire. Left resolved, the cause will continue to persist, and therefore so with the symptoms. The drug will continue to be needed indefinitely (and possibly at greater and greater doses) to treat this symptom.

Chris Kresser articulates this: “In conventional medicine…they mostly focus on symptoms and diseases. If you go to a doctor and you have high cholesterol, you get a drug to lower your cholesterol…and there’s often little investigation into why your cholesterol is high in the first place. The intent is to just bring it down, and that’s generally the end of the story. In functional medicine… Symptoms are important in as much as they can give us clues as to what the underlying mechanisms might be that are contributing to the problem, but they’re not as important because when you focus on the underlying mechanisms and causes and you address those, the symptoms tend to resolve on their own, so you don’t have to worry about going after each and every symptom individually. You just address the root causes and the symptoms resolve.”

Dr. Mark Hyman, one of the leaders in Functional Medicine, articulates this point very well in the foreword he wrote for The Disease Delusion (a book written by Dr. Jeffery Bland, the father of Functional Medicine):     “Depression is not the cause of misery, it is merely the name we give to a constellation of symptoms. The actual cause of depression may vary greatly from patient to patient…knowing the name of a disease tells us nothing about its true cause; nor does it lead us to the right treatment”

Final thoughts:

Conventional medicine has its place. It has saved my life more than once. However, in other instances, it also left me disappointed. I know my clients have felt the same way before coming to see me.

Dr. Fitzgerald, another leader in the field, sums it up: “Simply, functional medicine is an individualized, systems-based, patient-centered approach to care. We look at the whole person, their environment, diet & lifestyle and genetics/epigenetics. An individual’s history is carefully mapped to a timeline, which we use to gather clues to the cause(s) and promoter(s) of disease/imbalance. Sensitive laboratory assessments help us “look under the metabolic hood” for contributing biochemical/genetic/microbial/nutrient/inflammatory/toxicity issues.”

For all these reasons, I am very excited about Functional Medical Nutrition Therapy. I am a Certified Integrative and Functional Nutrition Practitioner and have been practicing it with my clients (and on my own health) for several years.

Because patients are unique. Symptoms are not.

 

The Powers of Turmeric

gorgeous setting with cooking spices and herbs (bay leaves, cumin, coriander, chili powder, cloves, cardamom pods, cinnamon sticks, paprika, piri piri, salt, turmeric) on a wooden mat (shallow DOF)

Turmeric (that bright orange spice that turns your cutting boards and dishes yellow) is amazing.

Curcumin is one of the phytochemicals (natural healthful plant chemicals) that is in turmeric, and curcumin is thought to be the reason for turmeric’s healthful benefits (see below). But don’t get too bogged down in this; the benefits of turmeric, which contains 300 phytochemicals, come from all the phytochemicals working together synergistically. Not only that but curcumin is not very bioavailable and turmeric is. Another example of that a whole food is greater than the sum of it’s parts.

You can buy turmeric in its whole form (it looks a little like a ginger root and can be found in that same section of the store) and then cut it or grate it. Or you can save your fingers, cutting boards, graters and plates, and buy it as a spice in a container in the spice section. You can also get it as a supplement, in pill form. This last option is particularly good if you want to use turmeric for health reasons and need a higher amount than just a few sprinkles on your chicken.

Why is turmeric so great?

  • Research has showed that turmeric is beneficial in the prevention and management of over 600 health conditions.
    • And turmeric has no adverse side effects (at normal doses), like most drugs that treat conditions.
  •  Anti-inflammatory
    • Chronic inflammation is the reason for almost all disease states including heart disease, Diabetes, Crohn’s and Colitis, Lupus and Rheumatoid Arthritis. Inflammation is also what causes or contributes to those un-well diagnoses of IBS and Fibromyalgia.
  • Anti-oxidant
    • Seeking out cell-damaging free-radicals and neutralizing them, helps prevent or treat cell damage, fatigue, aging, Alzheimer’s Disease and Cancer.
  • Anti-viral, anti-bacterial and anti-fungal

Not convinced? Give me a call and I’ll tell you more 🙂

Or check out this great article on the benefits of turmeric supplements.

 

The Answer is within Your Cells

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Do you suffer from any of these symptoms: fatigue, brain fog, pain, anxiety, insomnia, and don’t know why?

Inside every cell in your body, a complicated seven-cycle chemical reaction takes place billions of times per second. You need 20 enzymes for each step of this reaction to occur. You need the right genes in order to make those 20 enzymes. You also need co-factors, namely: vitamins and minerals, in order to enable those enzymes.

There are genetic variants, routinely called SNPs (snips) that influence our genes. One variant is MTHFR (methylenetetrahydrofolate reducatase). About 50% of the population has this genetic variant or chromosomal mutation. This enzyme is needed for methylation. Like all 20 other enzymes, MTHFR is needed or those 7-cycles get clogged up.

Why is methylation important? It is an essential process for optimal functioning of your body and your mind. Some processes it is involved in:

  • cell regulation
  • detoxification
  • neurotransmitter formation
  • metabolizing hormones
  • DNA repair and synthesis
  • keeping inflammation in check
  • energy
  • nerve myelination

Some symptoms of impaired methylation include:

  • fatigue
  • brain fog
  • pain and inflammation
  • anxiety
  • depression
  • insomnia
  • infertility and miscarriage
  • intolerance to exercise

Unfortunately, the list of symptoms associated with poor methylation is somewhat nonspecific, in that the same list of symptoms could be explained by several other causes. In fact, most of those symptoms could be tied to one’s gut health!

But methylation and whether you have the MTHFR variant is a very important piece of the puzzle; one that is worth knowing, for there is no way to deal with this problem other than with proper specific supplementation. It is important to supplement yourself with proper guidance, because it is possible to overmethylate, which can lead to other problems.

And don’t forget about those co-factors, the vitamins and minerals. Different ones are needed for different cycles, and there is also a test to see if you are deficient in any vitamins and minerals.

There is a simple blood test, that I offer through Spectracell to find out if you have the MTHFR SNP. And there is a saliva mail-in test through 23andme to find out all your other SNPs.

For more information on MTHFR visit here, and here.

It is important to note that this is new science and while it is widely accepted in the functional medicine world, conventional medicine doctors are either unaware of MTHFR or skeptical of its importance. This area does indeed need more research. Hopefully that research will happen in time.

Tired of being tired?

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Feeling tired but doc says nothing is wrong? Might be adrenal fatigue. Adrenal fatigue is a diagnosis used in functional medicine.  Most conventional doctors only deal with adrenal problems if your adrenals are down to zero. But what if they are not at zero but are very depleted and you are not bouncing back? That’s a problem that deserves attention too.

Adrenal fatigue is caused by stress. Stress can be physical (infection, surgery), emotional (divorce, death), or environmental (poor diet, toxins). The adrenal glands respond to every kind of stress the same way.

Adrenal fatigue can be sudden, as in a terrible car accident or gradual, with smaller stresses that accumulate or come so close to one another that your body has no time to recover. I’m sure we can all imagine a time where a root canal, major job stress, family member major illness, and a month of binging on holiday candy and egg nog, all can happen at the same time.

Basically adrenal fatigue occurs when the amount of stress is more than the body’s adrenals can cope with.

A short (not complete) list of symptoms:
-Continuing fatigue not relieved by sleep
-Increased effort to do everyday tasks
-Craving for salty foods
-Increased time to recover from illness, injury or trauma
-Skipping a meal causes tons of problems such as worse fatigue and irritability

Conditions associated with adrenal fatigue:
-Chronic diseases
-Use of corticosteroids
-Chronic fatigue syndrome
-Fibromyalgia
-Hypoglycemia
-Respiratory infections

Eating habits are very important in treating adrenal fatigue. Some tips:
-Eat at frequent intervals. The adrenal hormone cortisol is responsible for keeping our blood sugar at normal levels. You need to eat to keep your blood sugar up because your body can’t do it on its own.
-Avoid caffeine, it depletes the adrenals too, making matters worse not better
-Eat breakfast.
-Snack between lunch and dinner and snack before bed.
-Eat good quality whole food.
-Go ahead and eat salt. You need it.

Food sensitivities also play a key role as the offending food causes histamine and other inflammatory substances to be released. It takes cortisol to reduce that inflammation.  That’s taxing on the already drained adrenals.

If you suspect you have adrenal fatigue you should get assessed by a functional doctor or nutritionist and get a personalized plan. You should also check out my eBook!

Micronutrient Testing

ID-100315316Are you struggling with IBS and pulling your hair out because no matter how careful you are about what you eat, you still have diarrhea? You might be deficient in vitamin B12. Did you know that zinc helps you concentrate and studies show that zinc deficiency is very common in people with ADHD? Did you know that being tired might not be a sign of needing a nap, but rather magnesium deficiency?

Do you

  • feel tired?
  • feel anxious?
  • have muscle cramps?
  • have skin conditions?
  • have digestive problems?
  • have low libido?

These are all signs of micronutrient deficiencies. And they all have a simple easy solution-supplementation of the nutrient you are deficient in. But you don’t want to just wildly take supplements. Perhaps you do just need a nap. Additionally, too much of a good thing is dangerous. You want to discover what your unique deficiencies are and how much of specific nutrients you would need to reestablish a healthy level.

How? How to figure out what’s going on in your body without all the guess work? Through a simple micronutrient blood test. Keep reading for more details.

Vitamin and mineral deficiencies are extremely common in people who have chronic health problems. Do you suffer from:

  • ADHD
  • Autism
  • Celiac
  • Crohn’s or Colitis
  • Diabetes
  • Cancer
  • Auto-immune diseases

Micronutrient deficiencies are also very common in people who are on medications such as:

  • Antacids
  • Antibiotics
  • Cholesterol lowering drugs
  • Anti-depressants
  • Anticonvulsants
  • Anti-inflammatories
  • Diuretics

I am pleased to offer micronutrient testing to my clients through Spectracell. Their exclusive and comprehensive micronutrient test measures 35 essential nutrients INSIDE your cells (not just in your blood serum). This will give a much more accurate and long term picture of your health (compared to conventional blood testing you can get at your doctor’s office). Vitamins and minerals are so crucial to your health and the symptoms of deficiency (some are listed above) can be easily overlooked or worse, mistaken for other health problems. Imagine getting a slew of tests and medical treatments (to no avail) when the solution is supplementing a specific nutrient you are missing.

So many of us go along with our lives, taking a multivitamin and assuming that everything is fine. But wouldn’t it better to be aware of what’s going on in your body?

Please contact Dianne with any questions or for more information. Check out my tests page for this and other tests I offer.

Image courtesy of KEKO64 at FreeDigitalPhotos.net

Eat, Drink and Be Calm

ID-100306682Most of us are rushing around all day. Squeezing in eating and checking it off the schedule. If you have kids, meals can be even more rushed. The kids are hungry and want the food now, and then you all have to zoom off to school or an activity afterward.

Here’s the problem: when we are in stressed-out-rushing mode our digestive systems are too. This means we digest and absorb less of our food and our body doesn’t receive all that it needs to function well. (And the kids don’t get all they need to grow!)

The cortisol that is released when you are stressed (any time you are not relaxed, you are stressed) causes all kinds of damage to your body.

But what it does to your digestion? It basically switches it off. Less stomach acid and digestive enzymes (necessary for digestion), and less absorption of vital nutrients.

So, here’s what I suggest. Before each meal: REST, For 20 seconds. What you do in that 20 seconds is up to you. Breathe and meditate. Say Grace. Doesn’t matter, as long as you are STILL. Set your body into relaxed-mode and you will get tons more nutrition out of your meal.

Image courtesy of khongkitwiriyachan at FreeDigitalPhotos.net

As always, share this with your friends!