by Erin Stokes, ND, Medical Director at FoodState®
Imagine life in the past, say about 500 years ago, and you will see a time when people naturally lived in accordance with daily and seasonal patterns. Even 100 years ago, people were much more in tune with the rhythms of day and night and the changing of the seasons. Today, we tend to look back and romanticize this way of living in harmony with nature. However, it was a practical adaptation to light and temperature fluctuations, as well as food availability. This was a lifestyle that was based out of necessity and creating advantages for survival. Life was not, and could not, be climate controlled.
Today, we are still governed by internal biological rhythms, despite all of the modern technological advancements. Rhythms of the day and seasons hold great physiological significance. For example, the suprachiasmatic nucleus (SCN) in the hypothalamus is involved with the regulation of circadian rhythms. The SCN controls many cyclic biological events of importance such as the release of melatonin and cortisol. When we study this intricate interplay between daily patterns, the seasons and our biology, we can learn how to alter seasonal therapeutic protocols in order to optimize health promotion. As Dr. Tieraona Low Dog says, “Understanding the rhythm of hormones, neurotransmitters and bodily functions allows us to tailor our therapies to maximize benefit while reducing the risk of adverse effects.” Click on date to register
When it comes to providing patients with the best foundational support, whether it be through improving dietary intake or by incorporating whole food supplements, optimizing the gut FIRST is essential. Not only does the gut have direct connections to many of the symptoms that your patients may be walking in with, but it dictates the absorption of the nutrients your patients are aiming to assimilate from food and supplements. In terms of symptoms, such as muscle pain for instance, the gut has been found to play a pivotal role. Pimentel, et al. assessed fibromyalgia patients and it was determined that 78% were found to have small intestinal bacterial overgrowth (SIBO). 87% of those patients met the Rome I criteria for Irritable Bowel Syndrome.1 The numbers are staggering. What that says to me from a clinical perspective, is that if someone comes into my office having been diagnosed with Fibromyalgia (FMS), there is a high likelihood that GI support may not only present, but a significant piece of the puzzle. Supporting the integrity of the gut lining with glutamine, balancing the gut bacteria with oregano, caprylic acid and probiotics would provide key support for patients needing GI support in addition to any manual therapies that may be indicated*. In addition to addressing the symptoms, though, is the need to optimize the body’s ability to absorb the nutrients that have the ability to support antioxidant levels, vascular and nerve health, all of which may have a hand in providing relief to various issues patients present with. When I recommend a multi-mineral/vitamin, fish oil etc. I want to know that the nutrients are being absorbed and utilized appropriately, otherwise, they're wasting their time, money and effort, and not getting the clinical results they're seeking.This absorption depends entirely on the integrity of the gut. So from a strategic nutrition standpoint, supporting gut health either prior to or concurrently with recommending a multi, fish oil, probiotic etc. will set the stage for the best possible outcomes. 1. Ann Rheum Dis 2004;63:450-452 * These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
by Erin Stokes, ND, Medical Director at FoodState®
“Doctor as Teacher” is one of the six core principles of naturopathic medicine that can apply across many modalities. These principles guide the way that a ND practices. “Doctor as Teacher” is a primary tenet that drew me to this field because of the potential it has to change people’s everyday lives by encouraging self-responsibility for health. (The word doctor originally comes from the Latin verb - Docere - meaning “to teach”). In this model, there is an emphasis on educating patients so that they can be empowered with the knowledge they need to take charge of their own health. What does this mean in practice? An example of this principle in action can be seen with the therapeutic modality of clinical nutrition. In the naturopathic model, a patient will leave the office with both specific nutritional suggestions and a deeper understanding of the reasoning behind each one. It has been my experience, that when a person understands the “why?” underlying the treatment, whether it is nutrition, botanical medicine, a homeopathic remedy or a supplement, they are much more consistent and successful at implementing it in their life. I believe that this is due in large part to the fact that they feel empowered with the knowledge they need to take charge of their own health and well being. Whether someone is a naturopathic doctor, an acupuncturist, a chiropractor, a medical doctor or any other type of practitioner, when they truly listen and understand the person sitting in front of them, a highly individualized treatment plan emerges. Ideally this plan is much more than a slip of paper that lists instructions. “Doctor as Teacher” fully expressed means that there is a dialogue between practitioner and patient. This is a collaborative dialogue where the practitioner understands that one of the most powerful things they can do is share their knowledge in a way that serves the patient on their journey towards optimal health. INNATE Response™ is committed to fostering community, dialogue and education to support all practitioners who endeavor to embody the principle of “Doctor as Teacher”. We invite you to visit innateresponse.com to learn more about our upcoming Seasonal Therapeutics Webinar with Dr. Tieraona Low Dog, and more educational opportunities.
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