Decoding thyroid testing

by Kate Whimster, BCom, MIFHI, ND

Do you feel like thyroid lab testing might as well be a foreign language? You’re not alone!

One of the most confusing aspects of thyroid dysfunction is understanding thyroid testing. What tests have been done and what do they mean? What other testing can be helpful to gain a deeper understanding of thyroid function? This blog will teach you the basics of thyroid function and explain the meaning and purpose behind both common and less common testing available.

Background:
The thyroid is a butterfly-shaped gland found at the base of the throat that plays a major role in regulating temperature, basal metabolic rate, and nearly every other tissue and system in the body! It can affect digestion, the nervous system, heart health, musculoskeletal system, reproduction and fertility, and skin.

You’ve probably heard the terms “hypothyroidism” and hyperthyroidism before, right? Since they sound nearly EXACTLY the same, sometimes people get confused, so here is a comparison:

HYPO-thyroidism:
Hypo means under, or less than normal, so hypothyroidism is less than normal functioning of the thyroid gland. Symptoms of hypothyroidism are the result of this slowed down or sluggish function and include: fatigue, cold intolerance, cold extremities, low libido, infertility, thinning eyebrows, dry skin, hair loss, brittle nails, poor memory, constipation, heavy periods, irregular periods, menstrual cramps, weight gain (but can see weight loss), puffy eyes, elevated cholesterol.

HYPER-thyroidism:
Hyper means the opposite of hypo: above or higher than normal, so hyperthyroidism is excessive or higher than normal functioning of the thyroid gland. Symptoms of hyperthyroidism are therefore the results of this speeded up function and include: fatigue, sweating, heat intolerance, flushing, nervousness, anxiety, heart palpitations, increased heart rate and blood pressure, oily skin, insomnia, tremor, irregular periods, weight loss (despite normal or high appetite), goiter, protruding eyes.

The hormone cascade:
Your brain (specifically the hypothalamus) make a hormone called thyrotropin releasing hormone (TRH) that stimulates another part of your brain (this time the pituitary gland and specifically the anterior part of it) to make thyroid stimulating hormone (TSH). TSH causes your thyroid gland to make thyroid hormones which have action in your body tissues.

Thyroid hormones are called thyroxine (T4) and triiodothyronine (T3). T4 (which is a prehormone) is released in greater quantities by the thyroid because it is converted into T3 by tissues. T3 is much more active than T4 and most of it is produced through this peripheral conversion of T4. These thyroid hormone levels also provide a feedback signal to both your hypothalamus and pituitary gland as to whether they need to increase or decrease their production of their hormones respectively.

Basic testing:
Thyroid stimulating hormone (TSH):
The most basic screening test for thyroid function is TSH, which is measuring production by the pituitary gland as it aims to stimulate the thyroid gland. Therefore, a HIGH TSH level indicates an UNDER-functioning thyroid (hypothyroidism); the high TSH level means that the pituitary gland is over-producing TSH trying to stimulate a thyroid gland that may not be responding adequately. The reverse is true for hyperthyroidism: TSH will be LOW, indicating an OVER-functioning thyroid gland. Just remember that a high number means you’re low and vice versa!

Free thyroxine (free T4):
This is the next most common test you will likely see as this is the thyroid hormone produced in larger quantities by the thyroid gland. T4 is converted to the more active triiodothyronine (T3) in your body tissues. “Free” means this test measures the metabolically active hormone; a total T4 test measures both free hormone and hormone bound to a carrier protein (thyroid binding globulin).

Free triiodothyronine (free T3):
This test less common, but is useful for measuring the second hormone produced by the thyroid gland and actual action of thyroid hormones in your body. “Free” means this test measures the metabolically active hormone; a total T3 test measures both free hormone and hormone bound to a carrier protein (thyroid binding globulin).

Antibodies:
You’ve probably heard of autoimmune disease, right? Just to refresh, autoimmune disease occurs when your body makes antibodies (part of your body’s immune response) to tissues or substances that are part of you. This means your body is attacking itself and causing damage.

Thyroid dysfunction can be caused by an autoimmune process, so it is important to test antibody levels to determine whether this is the case because it helps us understand more about why a patient has thyroid dysfunction and guides treatment decisions. Autoimmune hypothyroidism (called Hashimoto’s) is the most common form of hypothyroidism. Graves disease is the name for autoimmune hyperthyroidism.

There are many types of antibody tests, but below I have given you the basics on the two most common

Antimicrosomal/Antithyroid peroxidase:
These antibodies are found in most patients with autoimmune thyroid dysfunction, usually Hashimoto’s hypothyroidism.

Antithyroid peroxidase antibodies (anti-TPO) is the most sensitive test for antimicrosomal antibodies. Anti-TPO is present in nearly all Hashimoto’s patients and is also present in a high percentage of Graves patients. It can also be present in patients with other autoimmune diseases. This test provides a measure of the degree of inflammation/attack occurring in the thyroid.

Antithyroglobulin antibody:
This is another common thyroid antibody test that is found less often in autoimmune thyroid conditions. However, it is a good idea to test both antithyroid peroxidase (anti-TPO) and antithyroglobulin in conjunction to maximize sensitivity and specificity and correctly and accurately diagnose thyroid dysfunction.

Other useful tests:
Ultrasound:
Taking an ultrasound of the thyroid gland helps visualize abnormalities of the thyroid, such as nodules or cancer as well as measure the extent of any thyroid enlargement/inflammation.

Reverse T3 (rT3):
Reverse T3 is a virtually inactive form of T3 that binds to T3 receptors and therefore blocks the action of normal T3. If this type of T3 is too high, other thyroid testing does not give a true picture of thyroid function. This is much less commonly used test but can be very useful when you want to delve deeper to understand thyroid function and to the best treatment for you.

Thyroid binding globulin:
This tests the amount of the protein that carries thyroid hormones to tissues and helps to understand whether an abnormally high amount of thyroid hormone is bound up and therefore unavailable. When this happens, TSH will increase to produce more T4 and T3 to increase the amount of hormone that is free, or metabolically active.

Gluten sensitivity testing:
As discussed in my blogs on gluten sensitivity, thyroid dysfunction (autoimmune and otherwise) is correlated with gluten sensitivity and in some cases, identifying this sensitivity can aid in regulating thyroid function. For more on this subject, see my blog on gluten sensitivity testing and why gluten sensitivity matters.

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Winter Cold and Flu talk January 23rd

by Kate Whimster, BCom, MIFHI, ND

I will be giving a free talk as part of my 4 Seasons of Wellness program called Winter: Cold and Flu on Wednesday, January 23rd, 7pm at the Deer Park Library (40 St. Clair Avenue East, Toronto).

How to handle cold and flu naturally and effectively! Learn how to address and prevent key winter health issues to keep you and your family healthy all year long.

See my Events page for more upcoming dates and topics!

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Winter Cold and Flu talk January 16th

by Kate Whimster, BCom, MIFHI, ND

I will be giving a free talk as part of my 4 Seasons of Wellness program called Winter: Cold and Flu on Wednesday, January 16th, 7pm at the Main Street Library (137 Main Street, Toronto). Call the library at 416-393-7700 to RSVP!

How to handle cold and flu naturally and effectively! Learn how to address and prevent key winter health issues to keep you and your family healthy all year long.

See my Events page for more upcoming dates and topics!

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ABC's of keeping our kids well

Christine Matheson
Guest post by Christine Matheson, ND

In the fall and winter months, children's bodies are adjusting to a change in routine, change of seasons, being exposed to a host of colds/flus and each child needs support to transition through their unique emotional milestones. Naturopathic medicine can provide safe and natural solutions for parents and children, here are a few “easy as A-B-C” tips to consider:

A: To enhance a child’s energy level and encourage mental focus:

  • Aim for a consistent sleep routine (even on the weekends) and encourage naps or “quiet time” on days when your child seems a little more tired
  • Ensure there is variety of whole grains, proteins, and plenty of fruits and vegetables in your child’s diet including in snacks sent to school
  • With the support of an ND, consider giving your child an age appropriate multivitamin and pure fish oil supplement to give their brain and body a boost
B: To bolster a child’s immune system with the aim of decreasing the frequency and intensity of colds/flus or infections:
  • Hydrate, hydrate, hydrate. Monitor how much water your child is drinking to make sure it is optimal. Minimize or avoid too many juices (always dilute).
  • Again, healthy sleep routines are essential for immune support.
  • With the support of an ND, ensure your child is getting enough variety of protein sources as this is essential for immune function, consider giving your child an age appropriate dose of Vitamin D, Vitamin C and probiotic (“friendly bacteria”) supplements to support the function of their growing immune system. Also discuss the benefits of castor oil packs.
  • If your child is ill, give them sufficient time at home to heal before returning to school
C: To strengthen a child’s nervous system in order to minimize stress:
  • Children experience stress too and cultivating relaxation strategies early on in their life is truly a gift you can give them. Teaching your child deep breathing techniques, visualization skills and encouraging regular exercise all aid in releasing mental and physical stress.
  • Remember as the parent, you can set the tone and you are the role model so if you are stressed it can be a perfect teaching moment for them to see you find a positive solution.
  • Learn some basic massage therapy techniques so that you can give your child a relaxing rub from time to time.
  • With the support of an ND, consider giving your child herbal teas such as chamomile and/or lemon balm and an appropriate flower essence which can bring emotional balance. An interactive project for parent and child could be to make small herbal pillows (for instance filled with lavender) to create a positive and calming association with sleep.
Finally make sure to emphasize FUN and include LAUGHTER in whatever you do to support your child’s health as it will make it more pleasant for all of you!

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Stay well this winter

by Kate Whimster, BCom, MIFHI, ND

Do you dread cold and flu season? Do you suffer from infections such as sinusitis, bronchitis, pneumonia more frequently that others? Do you end up taking antibiotics every year?

This year, be proactive about preventing illness three ways!
  1. My Immune Boost program
  2. The Homeopathic Flu Prevention Program
  3. Acute naturopathic treatment as needed
1. Immune Boost program:
Get your immune system in tip top shape this year with this program which addresses prevention, symptom relief, self-care techniques, and reducing susceptibility to illness.

If you are an existing patient, book a 30 to 45-minute follow-up visit to get your personalized cold and flu prevention recommendations based on your specific needs. If you are a new patient, book an initial visit in which we will create a cold and flu prevention plan and get you started treating any other health concerns. We work together to come up with a plan that fits your needs.

2. Homeopathic flu prevention program
Once again, Kew Beach Naturopathic Clinic is running our homeopathic flu prevention program! You can participate in the program at either of my clinic locations.

Participants historically have very few flu incidents over the winter, even though family members and co-workers may become ill. Flu symptoms may be much milder and of shorter duration than non-homeopathically protected people. Many participants no longer experience the flu at all!

How does it work?
The Homeopathic Flu Prevention Program is an ongoing research study conducted by Helena Ovens, ND. Your participation is voluntary and appreciated.

1. To participate you must currently be in good health and you must not have had a flu shot since April 15, 2013.
2. Fill out an intake form and call Kew Beach Naturopathic Clinic to arrange at time to drop it off and pick up your remedy. You will be given a 6-month supply of homeopathic pellets, an instruction sheet, and a form to record any “flu-like” symptoms. There is a $5.00 administrative fee per adult (children are free) to cover the costs of materials and remedies.
3. Follow the instructions on how to use the remedy and if you have any “flu-like” symptoms, record them on the form.
4. Return your form by the end of April 2013 by fax, email, in-person, or by mail. It is very important that you return your form (whether you experienced “flu-like” symptoms or not) so that we can track the success of the program.

3. Acute naturopathic treatment
Remember, I offer short-notice acute visits as needed, so don’t hesitate to call the office - I can usually fit you in the same day or within a day or two for immediate treatment and to give you take-home recommendations to help you get better quicker. This is a great way to get the jump on illness, avoid the need for suppressive medications and antibiotics, and get better faster.

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Introducing naturopathic programs!

by Kate Whimster, BCom, MIFHI, ND

I’m excited to announce I’ve added a new section to this website called “Programs” which highlights some of the conditions I treat often and my approach.
While each program has a structure, treatment is customized depending on your unique health concerns and goals.

So far I’ve developed programs for:
I hope to add a few more to this list over the next year or so. Check them out!

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Fall Allergies talk September 26th

by Kate Whimster, BCom, MIFHI, ND

I will be giving a free talk as part of my 4 Seasons of Wellness program called Fall: Allergies on Wednesday, September 26th, 7pm at the Main Street Library (137 Main Street, Toronto). Call the library at 416-393-7700 to RSVP!

Got allergies?  Understand this immune reaction and how natural medicine can help you alleviate and prevent symptoms naturally.

See my Events page for more upcoming dates and topics!
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Fall Allergies talk September 19th

by Kate Whimster, BCom, MIFHI, ND

I will be giving a free talk as part of my 4 Seasons of Wellness program called Fall: Allergies on Wednesday, September 19th, 7pm at the Deer Park Library (40 St. Clair Avenue East, Toronto). Call the library at 416-393-7657 to RSVP!

Got allergies?  Understand this immune reaction and how natural medicine can help you alleviate and prevent symptoms naturally.

See my Events page for more upcoming dates and topics!
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The why of gluten sensitivity

by Kate Whimster, BCom, MIFHI, ND

This blog is all about “why.” As in, why (and how) do we become gluten sensitive and why does it matter?

This is part 4 of a 4-part series of blogs on this topic, so check out
What is gluten sensitivity?, Gluten sensitivity diagnosis, and How to live gluten-free for more information.

Why are so many people gluten sensitive?
I am often asked: why so many people are gluten sensitive? It seems like just a few years ago this was a relatively rare diagnosis. Also, why might someone who has tolerated gluten his or her entire life suddenly become gluten sensitive? The short answer is that right now we cannot be sure of the exact causes. Really, gluten sensitivity, like most modern health issues, is due to many causes that come together to cause illness. Here are a few of my own thoughts on why more and more people are gluten sensitive:

Improved diagnostics:
The most obvious answer is that we are getting better and better at recognizing and diagnosing gluten sensitivity. Awareness has skyrocketed, so more people are getting tested and the tests are getting better. For more on diagnosis, see my blog
Gluten sensitivity part 2: diagnosis

Higher gluten content in foods:?
I’ve heard some talk that foods we eat today contain higher gluten content than those same foods would have 10, 20, 30 years ago. Also, I’ve heard that the gluten content of grains in Europe is much lower (possibly due to greater restrictions on genetic modification) than in North America. I’ve not been able to find any real evidence to support this.

Immune system imbalance:
In people with gluten sensitivity, the immune system is no longer tolerating gluten (which is a non-harmful substance) and makes an response that causes damage to tissues. But why? This is really part of a larger problem of immune system dysfunction that may lie at the root of many chronic diseases (allergies, asthma, cancer, autoimmune disease, etc). Our immune systems simple do not develop the same way that they used to. Possible causes?
  • Suppression of normal immune responses like fevers prevents the normal learning and development of the immune system. For more on this subject, see my blog Give me fever.
  • Changes in management of minor illnesses (including the overuse of antibiotics) also impacts the normal development of the immune system. For more on this subject, see my blog Sick kids.
  • Vaccinations at a young age supercede or alter the natural immune response to many common illnesses that we used to get during childhood. The subject of vaccines is large and is beyond the scope of this blog. However, I think is it clear that vaccines do not replicate the experience of actually having the same illness. Research in this area is constantly evolving, so there is still much debate about the long-term effects of vaccines.
  • Finally, we simply do not get sick with the same things anymore! Our food and environment are highly sanitary, so we are exposed to many fewer pathogens and in North America, we are also far less likely than in the past to have parasitic infections. Again, this will effect the education of our immune systems.
Poor digestion:
Digestive problems can be caused by poor diet, stress, toxins in the environment, poor elimination function, medications/drugs, chronic inflammation, food sensitivities, and many more factors. Specifically, intestinal permeability (also known as “leaky gut”) could explain why we begin reacting to gluten and also the reaction to gluten can cause leaky gut, so this is a vicious cycle.

A simplified explanation of “leaky gut”:
  • Junctions between cells lining the small intestine become permeable (due to factors listed above)
  • This allows undigested food particles to enter bloodstream
  • The immune system views these as “foreign” and creates immune response, causing inflammation and further damage
Why does gluten sensitivity matter?
My simple answer to this question is that in the search for the root cause behind digestive issues, gluten sensitivity can be a valuable piece of the puzzle to help patients heal. In the long-term and with a view to disease prevention, gluten sensitivity can help understand other chronic illnesses. Research is still developing in this area, but thus far there is already lots of evidence to link gluten sensitivity with many other serious illnesses.

Diseases associated with gluten sensitivity:
  • Autoimmune disorders (rheumatoid arthritis, lupus, Sjogren’s syndrome, thyroid autoimmunity, and likely many more)
  • Bone disease (Osteoporosis, osteopenia, kyphoscoliosis, fractures)
  • Anemia
  • Infertility or repeated miscarriages
  • Addison’s disease
  • Down syndrome
  • Intestinal cancer or lymphoma
  • Lactose intolerance
  • Thyroid disease
  • Diabetes type I
  • Low blood sugar (hypoglycemia)
  • Liver disease

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Gluten sensitivity talk July 25th

by Kate Whimster, BCom, MIFHI, ND

I will be giving a free talk on Gluten Sensitivity on Wednesday, July 25th, 7pm at the Main Street Library (137 Main Street, Toronto). Call the library at 416-393-7700 to RSVP!

What is gluten? What is gluten sensitivity and celiac disease? Unlock the mystery of this common food sensitivity and how it can make a major impact on your health.

Topics will include:
  • Celiac disease vs. gluten sensitivity
  • Prevalence, signs, and symptoms
  • Diagnosis

See my Events page for more upcoming dates and topics!

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Gluten sensitivity diagnosis

by Kate Whimster, BCom, MIFHI, ND

Wondering if you are sensitive to gluten?

This blog is all about how to most accurately diagnose gluten sensitivity. This is part 2 of a 4-part series of blogs on this topic, so check out
What is gluten sensitivity?, How to live gluten-free, and The why of gluten sensitivity for more information.

Definitions:
  • Celiac disease is a condition in which eating gluten causes damage to the small intestine which impacts the ability to absorb nutrients from food
  • Gluten sensitivity is less specific - it includes medical conditions which are caused by and made worse by exposure to gluten and covers patients who feel better while gluten-free but may not fit the definition of celiac disease
Signs and symptoms:
Common:
  • Diarrhea
  • Fatigue
  • Borborygmus (fun word for rumbling or gurgling in the abdomen)
  • Abdominal pain
  • Weight loss
  • Abdominal distention/bloating
  • Flatulence
  • Irritability, mood swings (especially children)
  • Short stature
Less common:
  • Osteopenia/osteoporosis (especially premature)
  • Abnormal liver function
  • Nausea, vomiting
  • Iron-deficiency anemia
  • Neurological dysfunction
  • Constipation
Diagnosis:
Diagnosis seems to be constantly changing and evolving, so I’ll share what my current knowledge is on the subject from my own experience being tested and what I use with my patients.

Diagnosis of Celiac Disease:
To unequivocally diagnose celiac disease, a patient must complete 3 steps:

1. Blood tests: must be eating gluten regularly (I recommend at least 1 serving daily for at least 3-4 weeks) before testing
  • Serum immunoglobulin A (IgA) must be normal (rule-out IgA deficiency)
  • Endomysial antibodies (IgA)
  • Tissue transglutaminase (tTG) IgA antibodies
2. Small intestine biopsy to identify atrophy of the villi (numerous small projections that make up the absorptive surface of your small intestines

3. Positive results from a gluten-free diet

Diagnosis of Gluten Sensitivity:
Gluten sensitivity is often a diagnosis of exclusion, meaning that you have to rule-out celiac disease while still demonstrating a reaction to gluten and improvement in symptoms when the patient avoids gluten.

1. Blood tests: must be eating gluten regularly (I recommend at least 1 serving daily for at least 3-4 weeks) before testing
  • Serum immunoglobulin A (IgA) must be normal (rule-out IgA deficiency)
  • Deamidated gliadin peptide (DGP) IgA and IgG are considered more sensitive and specific than gliadin antibodies (1) especially if other tests are normal
  • Endomysial antibodies (IgA) and/or tissue transglutaminase (tTG) IgA antibodies may be negative
2. Positive results from a gluten-free diet: sometimes this is the only proof a patient needs! I’ve seen patients improve significantly on a gluten-free diet and if that is the case, further testing may cause more harm than good.

What do I use in my practice?
I’ve used 3 different tests in my practice so far, but I haven’t settled on just one because they each have advantages and disadvantages.

1.
Gamma Dynacare Celiac Profile Panel
This is how I tested myself because it includes the combination of 4 tests that is currently considered to be the most comprehensive: total IgA, transglutaminase IgA, deamidated gliadin IgA, deamidated gliadin IgG.

The advantage is that it is most complete and highly accurate as long as the patient is eating gluten daily for 3-4 weeks before testing. None of these tests cover endomysial antibodies, but this test can be added onto the Gamma Dynacare testing at additional cost. The disadvantage is that this test is more expensive, involves a blood draw rather than finger-prick, and I have to send patients to a Gamma Dynacare lab location for the blood draw, which also involves a collection fee.

This is currently my test of choice because it minimizes the need for future testing, although the test below is also a great option.

2.
Rocky Mountain Analytical Celiac Profile
I’ve recently ordered some of these test kits for in-office finger-prick blood collection that then needs to be sent away for results. This kit tests tissue transglutaminase, gliadin IgA, and gliadin IgG.

The advantage is an easier in-office finger-prick collection that covers 3 key tests at a lower price than the Gamma Dynacare testing. For most people this testing is sufficient and at a lower price without having to do a full blood draw at a lab. The disadvantage is that testing gliadin rather than deamidated gliadin is less sensitive and specific and this test does not include total IgA (which is helpful to rule-out IgA deficiency).

3.
CELIACSURE
This is an in-office test for tissue transglutaminase (tTG) only and can be completed with quick results in-office at a reasonable price.

The advantage is quick diagnosis using only a finger-prick while the patient is still eating gluten. The disadvantage is that tissue transglutaminase (tTG) antibodies may be negative while other antibodies (such as deamidated gliadin peptide (DGP)) are positive, so even with a negative result, further testing is indicated to really rule-out gluten sensitivity or celiac disease.

References:
  1. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1808891/
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Gluten sensitivity talk July 18th

by Kate Whimster, BCom, MIFHI, ND

I will be giving a free talk on Gluten Sensitivity on Wednesday, July 18th, 7pm at the Deer Park Library (40 St. Clair Avenue East, Toronto). Call the library at 416-393-7657 to RSVP!

What is gluten? What is gluten sensitivity and celiac disease? Unlock the mystery of this common food sensitivity and how it can make a major impact on your health.

Topics will include:
  • Celiac disease vs. gluten sensitivity
  • Prevalence, signs, and symptoms
  • Diagnosis

See my Events page for more upcoming dates and topics!

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All about mucus

Pasted Graphic
Guest post originally published by Erica Cowan, ND

Ever wake up congested? You are not alone! It may be common but it is not ideal. For those of you with chronic mucus build up, you don’t have to live this way forever and there are ways to rid yourself of this sticky buildup in your body.

What is mucus and what are the symptoms of excess mucus?
Most membranes of the body produce mucus of some form or another. Mucus is a general term for a mucilaginous, slimy, slightly sticky substances produced by the membranes in your body. You are probably most familiar with mucus in the form that drips from your nasal passages when you become sick with an upper respiratory infection. Our mucus membranes are found in most places where the outside world meets the inside world of the body including the eyes, nose, sinuses, lungs and colon to name a few. Mucus has an important protective function and prevents the absorption of potentially pathogenic things such as dust, chemicals, bacteria or other various toxins that we inspire or ingest from the outside world. Mucus serves an important function when we are sick as well; we sometimes produce more mucus in the branches of the lungs in times of sickness so that we can better expectorate and cough up the remnants of dead white blood cells and excess materials produced during our sickness. Sometimes, when we eat foods that we are sensitive to, or ingest substances that irritate the lining of the gut such as stimulating laxatives, we produce mucus to protect the lining of the gut from these irritating and potentially harmful substances. When the body produces mucus, there is a reason and purpose for its existence.

If mucus performs an important functions, then what’s the problem?
The problem with mucus, however, is that while it prevents the absorption of toxins, too much mucus can also prevents the absorption of non toxic nutrients, proteins, minerals, fats and vitamins. It prevents the absorption of vital elements such as oxygen. Try breathing through your nose with a case of chronic sinusitis, and you quickly realize the difficulty. For those who have asthma, the irritated and constricted bronchioles in the lungs produce mucus in response to the stimulus (smoke, cats, dust, bee sting protein…) and quickly it becomes difficult to breathe. For those individuals with food sensitivities, or celiac disease, often the lining of the gut is so full of mucus that if left untreated, leads to severe nutrient deficiencies. The truth is, mucus is important and functional in acute conditions, but in chronic conditions, and in excess, mucus becomes a chronic barrier standing between you and the vital substances you need from the outside world. Chronic mucus, waking up with nasal congestion, coughing up balls of mucus, or constantly seeing mucus in your stools for over a period of a couple weeks is an indication that something is wrong, and changes need to be made.

Traditional Chinese Medicine perspective on mucus
In traditional Chinese medicine (TCM) theory, mucus can also be considered in terms of “phlegm” and “dampness.” In TCM theory, there are pathologies such as “phlegm misting the mind,” or “phlegm disturbing the heart.” This is an interesting interpretation of mucus’s affect on the body, because taken a step further than your physiology text book, it implies that chronic phlegm and mucus accumulations can affect the functions of the mind as well. The absorption of information from the outside world and assimilation of mental stimuli are impeded in the brain the same way that mucus might interfere with the absorption and assimilation of foods in the gut. This is one example of how TCM theory brilliantly broadens our understanding of mind body health.

What to do?
If you feel you have chronic mucus, phlegm or dampness accumulating in the body, try thinking about what might be causing this accumulation. Perhaps the culprits are obvious such as smoking or cat allergies. You could consider eliminating the cause! You may want assistance with this process, or you may not need it. Awareness of the problem is often enough to remedy it. Sometimes the problems are a little more hidden. Celiac disease, food sensitivities and heavy metal toxicity, for example, often produce an array of symptoms that can be challenging to work through without the help of a naturopath or similar form of practitioner. There are many herbs, teas, tinctures, foods, homeopathic and lifestyle factors that can help eliminate this sticky substance from your life when you find it’s no longer helping you.

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Is there value in food sensitivity testing?

by Kate Whimster, BCom, MIFHI, ND

This subject is covered in a past post
What's the difference between food sensitivity, allergy, or intolerance?, but given the recent media attention on food sensitivity testing I wanted to provide a pro/con (in this case beginning with the “con” side) summary for anyone who might have questions. Then I’ll explain how I look at food sensitivities in my practice.

Question: Is there value to food sensitivity testing?

Con:
There has been a lot of media coverage in response to an article (unfortunately you need to be CMAJ member for full access) by Dr. Elana Lavine in the Canadian Medical Association Journal criticizing food sensitivity testing.

Pro:
There are several counter-arguments to be made to Dr. Lavine’s assertions:
  • IgE testing (for food allergy) and IgG testing (for food sensitivities) are different things. For a great comparison, here is a presentation from Rocky Mountain Analytical, one provider of food sensitivity testing. For a good summary, check out the chart on slide 11.
  • A skin-prick test, while considered the gold standard “allergy” test, is not a method that tests your response to food in the way you are actually exposed to food. You don’t eat through your skin, you interact with food via your digestive tract. And the response that your body makes to food can be an IgE response (quick, itchy, clear cause and effect) or an IgG response (delayed, vague symptoms, difficult to identify cause).
  • Only a medical professional (naturopathic doctor ideally or a medical doctor well-versed in nutrition) can understand how to best administer the test to get the most useful results and use this information for effective treatment.

Contrary to what Dr. Lavine asserts, there is research evidence for the use of food sensitivity testing:

Here is a good, succinct
rebuttal from Dr. Elaine Chin and here is a press release from the Ontario Association of Naturopathic Doctors.

My thoughts:
In my practice, food sensitivity testing is not my first choice for treatment, but I have used it in certain circumstances. Here are some key points I consider:
  • The test measures only one point in time. Human beings, however, are constantly adapting and changing. At the time of testing, results indicate a particular response to foods. But how might these responses change as your immune system is balanced such that it does not react to substances that are not harmful? I see changes in immune response all the time, most commonly when I treat seasonal allergies. I’ve treated patients who have progressed from constant anti-histamine usage (that was still not controlling symptoms) one year to nearly no symptoms and no need for medication the next.
  • Nutrition is a major part of my treatment with most patients. My approach to nutrition is that there are no “bad” foods, just foods that work well for you (the patient) and others that don’t fuel your body in the best way to achieve optimal wellness. I look to personalized nutrition to identify what the best nutritional approach will be for each individual.
  • There are several health concerns that warrant investigation into food sensitivities, such as: most digestive concerns (IBS, constipation, diarrhea, acid reflux), asthma, migraines, chronic fatigue, fibromyalgia, allergy symptoms, skin issues (eczema, psoriasis, acne), arthritis), failure to thrive, and more. The question is, what is the best way to determine foods that may contribute to these conditions?
  • Before testing, I encourage patients to do an elimination diet, which is considered the gold standard for identifying foods that may be contributing to symptoms. This approach is both diagnosis and treatment at once: patients usually experience a significant reduction in symptoms while in the elimination phase (confirming that eliminated foods contribute), they immediately begin to alter habits (perhaps the most challenging aspects of naturopathic treatment), and they gain firsthand experience of how foods affect them during the reintroduction phase.
  • However, some patients prefer more objective information via a lab test and find this more motivating for changing habits. Also, some patients may find the elimination diet very challenging and would prefer a more focused elimination diet based on lab results. In either of these cases, it is important to use the test results as a guide and symptoms as feedback to determine if the treatment approach is effective.
  • In the case of gluten sensitivity, I also find lab results more motivating for patients, since 100% avoidance of gluten can be challenging and having “hard data” as well as other lab results to monitor (one example would be anti-thyroid antibodies) can help ensure higher compliance and therefore improved outcomes.
I hope this helps clarify some of the key issues! The bottom line is that you will receive the best outcomes via individual treatment with a naturopathic doctor who can determine what approach is best for you and then navigate that path with you to ensure treatment addresses your needs.

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Winter: cold and flu talk December 14th

by Kate Whimster, BCom, MIFHI, ND

I will be giving a free talk as part of my 4 Seasons of Wellness program called Winter: Cold and Flu on Wednesday, December 14th, 7pm at the Main Street Library (137 Main Street, Toronto). Call the library at 416-393-7700 to RSVP!

How to handle colds and flus. Learn how to address and prevent key winter health issues to keep you and your family healthy all year long.

Topics will include:
  • Key nutrition and lifestyle steps
  • Preventing cold and flu
  • Acute treatment
  • Self-care techniques

See my
Appearances and Events page for more upcoming dates and topics!
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Winter: cold and flu talk December 7th

by Kate Whimster, BCom, MIFHI, ND

I will be giving a free talk as part of my 4 Seasons of Wellness program called Winter: Cold and Flu on Wednesday, December 7th, 7pm at the Deer Park Library (40 St. Clair Avenue East, Toronto). Call the library at 416-393-7657 to RSVP!

How to handle colds and flus. Learn how to address and prevent key winter health issues to keep you and your family healthy all year long.

Topics will include:
  • Key nutrition and lifestyle steps
  • Preventing cold and flu
  • Acute treatment
  • Self-care techniques

See my
Appearances and Events page for more upcoming dates and topics!
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Wylde on Health November 4th

by Kate Whimster, BCom, MIFHI, ND

I will be on Wylde on Health with host
Bryce Wylde this Friday, November 4th at 7pm on CP24!

The topic for Friday’s show is Breathing Easily Naturally. Topics will include:
  • Asthma
  • Allergies
  • Infections such as sinusitis, bronchitis, pneumonia
  • Lung diseases such as emphysema
  • Smoking cessation
  • Natural treatments for respiratory health (including nutrition, self-care, acupuncture)

Check it out on channel 24 or online
here.

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What is the Blood Type Diet, part 2

by Kate Whimster, BCom, MIFHI, ND

This is the second part of a two-part blog about blood type and the Blood Type Diet. In
part one, I covered the basics of blood type and what it has to do with food. Now that you’ve got the foundation, let’s learn a bit about each blood type and how you can use this valuable information to improve your health!

Blood type profiles
A full description of each type is beyond the scope of this blog, but here is a quick summary of each type. For more info, dig into the vast resources listed below, read about
Blood Groups and the History of Peoples, and check out Wikipedia for an interesting breakdown of ABO and Rh blood type distribution by nation.

Type O:
Type O is the oldest blood type. This type dominated during the time of hunters, when meat (protein) was the primary food source for humans. Type O at its best is strong, active, with a feisty immune system and hardy digestive tract. However, Type O does not adapt well to change and when out of balance, suffers from an overactive immune system, inflammatory conditions, and thyroid disorders.

Type O thrives on a paleolithic-type diet of green vegetables and animal protein, while wheat, corn, potatoes, and dairy impair the Type O metabolism and encourage weight gain.


Type A:
Type A emerged as humans developed agriculture and the lifestyle that came with it. Cultivated grains became a primary food source and humans settled into larger communities, necessitating adaptations in digestion and immunity. Type A enjoys an adaptable and efficient physiology that thrives on routine. However, Type A can be at risk for heart disease, due to chronic stress and difficulty digesting animal protein, and cancer, due to a vulnerable immune system.

Type A thrives on an agrarian-type diet of vegetables, vegetarian proteins, and whole grains. Red meat and dairy products impair digestion and lead to long-term illness.

Type B:
Type B developed where humans lived a more nomadic existence and is more concentrated in Asia. Type B benefits from a strong immune system, balanced nervous system, and superior adaptability. However, Type B is susceptible to losing this important balance as it is highly sensitive, resulting in autoimmune disease and chronic fatigue.

Type B thrives on a balanced diet integrating some animal proteins, such as eggs, red meat, and dairy, along with lots of green vegetables. Lectins in certain foods, such as chicken, corn, wheat, and tomatoes are problematic to sensitive Type B.

Type AB:
Type AB is the most modern and rarest type, developing from intermingling of Type A and Type B. The strength of Type AB is a tolerant immune system designed for modern conditions. Type AB can draw on strengths from both the systematic Type A side and more creative and balanced Type B side. However, due to the rare combination of both A and B antigens, Type AB faces greater susceptibility to microbial infections and some cancers as well as the challenge of being a physiological anomaly in a Type O and Type A dominated world.

Type AB thrives on a diverse diet including seafood and sea vegetables as well as some dairy and vegetable proteins. Animal proteins, such as red meat and chicken, as well as wheat and corn are red flag foods for the Type AB metabolism.

What is secretor status?
Most people (about 85%) secrete their blood type antigens (markers) into bodily secretions such as saliva and are therefore dubbed “secretors.” The minority of those who do not are called “nonsecretors.” Secretor status is also a genetic marker, also determined by two alleles. Secretor is dominant, nonsecretor is recessive. Live Right For Your Type is the book to find out more about secretor status and its relevance to diet.

Why does secretor status matter?
The short explanation is that secretors have a lot more free blood type antigens because they secrete them in places like the intestinal tract, respiratory tract, and even the uterine cervix. These antigens interact with the environment to influence
digestion, immunity, and metabolism. Knowing your secretor status gives you an additional tool to help you understand your unique needs and therefore treat and prevent disease.

Resources
There are so many great resources to learn more about the Blood Type Diet! I would suggest you start by exploring the official
website, which includes tutorials, message boards, research writing, and a lot more.

Dr. D’Adamo has written many books about blood type and its influence on health. The best place to start is with the classic
Eat Right For Your Type and then the more in-depth Live Right For Your Type (my personal favourite). Also check out Eat Right For Your Baby, Cook Right For Your Type, and the Complete Blood Type Encyclopedia. Dr. D’Adamo has also written a series of books on specific conditions, covering Aging, Allergies, Arthritis, Cancer, Cardiovascular Disease, Diabetes, Fatigue, Menopause.

His most recent book,
The GenoType Diet, builds on his work with blood types by looking at how our genes and environment interact to influence health.

Finally, for the medical professionals out there, another great resource is the
Textbook of Natural Medicine by Joseph Pizzorno and Michael Murray. Chapter 43 is titled “Nontransfusion Significance of ABO and ABO-associated Polymorphisms” and was written by Dr. Peter J. D’Adamo.

Practitioners
There are people around the world who have become experts on Dr. D’Adamo’s work and been certified by the
Institute for Human Individuality. You can search for practitioners in your area here. To my knowledge, I am the only IfHI-certified naturopathic doctor in Ontario and one of only a few in Canada. I use the Blood Type Diet, GenoType Diet, and SWAMI GenoType software in my practice. You can find out more about my practice locations and how to make an appointment here.

Supplements and testing
Dr. D’Adamo has formulated a line of products that started out in his own naturopathic clinic and are now available for purchase by the public. He also sells home testing kits for blood type and secretor status. In Canada, you can find them at
Right For Your Type Canada.

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What is the Blood Type Diet, part 1

by Kate Whimster, BCom, MIFHI, ND

“One man’s food is another man’s poison.”
This saying has never been more true! This is the first part of a two-part blog all about blood type and the Blood Type Diet - stay tuned for part two coming soon!

The Blood Type Diet was the major catalyst for me to become a naturopathic doctor, so I can say that it literally changed my life, both health-wise, but also career-wise. I first became aware of naturopathic medicine after reading
Eat Right For Your Type, the best-known book by best-selling author Peter J. D’Adamo, ND. This was a major turning point for my health as the information in this book transformed me from a tired and cranky university student well on my way to being overweight (with chronic disease down the road) to an energetic and vibrant naturopathic doctor.

How it all began...
Have you ever wondered why the Atkins diet works for some people, while vegetarianism works for others? Dr. James D’Adamo noticed that some patients did well on vegetarian and low-fat diets while others did poorly. He began blood-typing his patients and a pattern began to emerge. Then, his son Dr. Peter D’Adamo researched his father’s theory while still a study at naturopathic college. He soon discovered a scientific basis for his father’s observations.

What is blood type?
There are four basic blood types: A, B, AB, and O. Each individual carries two alleles (one from each parent) that together determine blood type. Types A and B are dominant, while type O is recessive. Therefore, type O people carry two identical O alleles, while type A and B people can either carry two identical alleles (either both A or both B) or one dominant allele (A or B) and one recessive allele (O). Type AB people carry two dominant alleles (one of each of A and B), creating the fourth blood type.

There is also another commonly used blood typing system based on Rhesus factor. In this system an individual is either Rhesus positive or negative. Rhesus positive is dominant and Rhesus negative is recessive.

These blood types determine
antigens (substances that serve as identifiers and stimulate production of antibodies) on your cells. Blood typing is used in transfusion medicine to determine which blood is safe to give each individual. Blood type O negative, being recessive, is the “universal donor,” meaning this type can be given to anyone without causing an immune reaction (antibody production). Blood type AB positive, being dominant, is the “universal receiver,” meaning this type can be given any type of blood without experiencing an immune reaction.

What does blood type have to do with food?
Blood type goes far beyond your blood to impact disease and nutrition. Your blood type antigens are not just in your blood, they are everywhere in your body, particularly the surfaces that interact with your environment. These include your digestive tract all the way from your mouth to your large intestine as well as your nasal passages and lungs. Because these blood type antigens are everywhere, they influence on how your body interacts with the food you eat via several mechanisms:

Blood type also influences other processes in your body and how you get sick:

Why should I eat right for my type?
“Your blood type is the key that unlocks the door to the mysteries of health, disease, longevity, physical vitality, and emotional strength. Your blood type determines your susceptibility to illness, which foods you should eat, and how you should exercise. It is a factor in your energy levels, in the efficiency with which you ‘burn’ calories, in your emotional response to stress, and perhaps even your personality.” (from the introduction to
Eat Right For Your Type)

You literally “are what you eat” since all your cells, proteins, hormones, and neurotransmitters are constructed from what you put into your body. Therefore, what you eat is also your most powerful tool for preventing and healing illness. Eating right for your blood type is designed to optimize your digestive and immune health now to alleviate health issues as well as prevent future disease by protecting you against your unique susceptibilities. When you know your blood type, you are empowered to create an environment that is optimal for your type, including diet, exercise, and lifestyle.

A few of the major benefits to the Blood Type Diet:
  • Improve immune function, avoiding common infections
  • Lose weight by improving metabolism, increasing nutrient intake, and reducing toxic burden on your body
  • Prevent chronic disease, such as cancer, heart disease, autoimmune disease, diabetes, etc
  • Slow down the aging process by improving overall health

The majority of people come to the Blood Type Diet hoping to lose weight. While this is indeed a major focus of this system, the greater goal is improved physiological function when an individual eats the foods that are the best fuel for his or her system. The natural result of this improved function is weight loss, but also improvement in other health concerns (such as digestive disturbance, allergies, hormonal imbalance, pain and inflammation, mood regulation) and prevention of chronic illness (such as heart disease, cancer, diabetes).

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Cold and flu prevention 2011/2012

by Kate Whimster, BCom, MIFHI, ND

An ounce of prevention is worth a pound of cure... Save time and money this winter by preventing cold and flu! Although there is lots of hype each year about cold and flu season, there’s no need to worry if you’re prepared. Wouldn’t you rather prevent colds, flu, sinus infections, sore throats, and bronchitis this year?

Cold and flu prevention plan
If you are an existing patient,
book yourself for a 30-minute follow-up visit to get your personalized cold and flu prevention recommendations based on your specific needs. If you are a new patient, book an initial visit in which we will create a cold and flu prevention plan and get you started treating any other health concerns. We will work together to come up with a plan that fits your needs, whether you choose homeopathic flu prevention (see below) or other nutrition and lifestyle choices to keep you healthy all winter.

This is also a great opportunity to connect with natural medicine as a treatment option if you do get sick. Remember, I offer short-notice acute visits, so don’t hesitate to call the office - I can usually fit you in the same day or within a day or two for immediate treatment and to give you take-home recommendations to help you get better quicker.

Homeopathic flu prevention program
Once again, Kew Beach Natural Health Clinic is running our ever-growing homeopathic flu prevention program! You can participate in the program at either of my clinic locations.

Participants historically have very few flu incidents over the winter, even though family members and co-workers may become ill. Flu symptoms may be much milder and of shorter duration than non-homeopathically protected people. Many participants no longer experience the flu at all!

How does it work?
The Homeopathic Flu Prevention Program is an ongoing research study conducted by Helena Ovens, ND. Your participation is voluntary and appreciated.

1. To participate you must currently be in good health and you must not have had a flu shot since April 15, 2011.
2. Fill out an intake form and call Kew Beach Natural Health Clinic or Mahaya Forest Hill Integrative Health to arrange at time to drop it off and pick up your remedy. You will be given a 6-month supply of homeopathic pellets, an instruction sheet, and a form to record any “flu-like” symptoms. There is a $5.00 administrative fee per adult (children are free) to cover the costs of materials and remedies.
3. Take 1 pellet of the remedy once per month on the same day to prevent the flu. If you have any “flu-like” symptoms, record them on the form.
4. Return your form by the end of April 2011 by fax, email, in-person, or by mail. It is very important that you return your form (whether you experienced “flu-like” symptoms or not) so that we can track the success of the program.

We look forward to helping you have a healthy, flu-free season!

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Fall: Allergies and Immunity talk September 21st

by Kate Whimster, BCom, MIFHI, ND

I will be giving at free talk as part of my 4 Seasons of Wellness program called Fall: Allergies and Immunity on Wednesday, September 21st, 7pm at the Deer Park Library (40 St. Clair Avenue East, Toronto). Call the library at 416-393-7657 to RSVP!

Topics will include:
  • Seasonal allergies
  • Preparing for cold and flu season
  • Lung health

Monthly talks have started up again! See my
Appearances and Events page for upcoming dates and topics!

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What's the difference between food sensitivity, allergy, or intolerance?

by Kate Whimster, BCom, MIFHI, ND co-authored with Mélanie DesChâtelets, ND.

Do you ever feel confused about the difference between
food sensitivity, food allergy and food intolerance? The differences are actually pretty simple to understand and will help you understand how food affects you. First, some basic definitions:

Antibody: A large Y-shaped protein produced by the immune system.  Its job is to recognize foreign proteins and neutralize them.  It’s what happens when you get a cold, the bacteria or virus is recognized and then neutralized by antibodies.

Enzyme: In simple terms enzymes help breakdown things.  Enzymes are very specific for what they break down. Therefore, your body has thousands of different enzymes to break down very specific compounds.  Without enzymes the process may not occur at all or at a very reduced rate. In the digestive system, enzymes help break down food into smaller units for absorption.

Both
food allergy and food sensitivity are antibody-mediated reactions to food.  The antibody recognizes a food protein as harmful and tries to neutralize it.  If this is similar then what is different? We have different types of antibodies in our body.  Different types of antibodies react differently and cause different symptoms.

Food allergy
Food allergy is mediated by an antibody called IgE.  When this type of antibody reacts with a foreign protein it immediately elicits typical reactions ranging from uncomfortable to life threatening.  Skin irritation, redness, and swelling are common.  Difficulty breathing is more disturbing as it represents tightening of the airway.  Other symptoms such as hoarseness of voice, stuffy and runny nose, itchy and red eyes as well as nausea and vomiting can are also seen with food allergies.

foodallergy.001-300x225
Here’s a diagram to demonstrate - imagine the pink line represents the symptom threshold; when you cross this line you have symptoms.  The star represents the ingestion of the allergic food item.

With food allergy, as soon as the offending food is ingested, IgE levels rise and react quickly.  The allergic symptom threshold is always reached. Avoidance of this offending food is necessary as it can be life threatening.  The levels of IgE will also drop relatively quickly and within 5-7 days you typically no longer have symptoms.

Food sensitivity

Food sensitivity is mediated by an antibody called
IgG.  IgG antibodies react very differently from IgE.  When IgG antibodies react with foreign proteins, they elicit a milder, slower, and non-typical reaction.  Symptoms can vary from migraines, to increased behavioural difficulties in children with ADHD, to chronic digestive concerns (constipation, diarrhea, IBS, IBD), decreases in energy, skin issues (acne, eczema), and other vague symptoms.  Here’s the problem - unlike food allergies, food sensitivities are very hard to diagnose.  This is because their impacts can be seen 24 to 48 hours after the ingestion of the offending food.  There are two ways that can help identify food sensitivities: the first is a strategic elimination/hypoallergenic diet, which works as both a diagnostic tool (to identify offending foods) and treatment (avoidance of offending foods as a first step towards long-term healing). The other is an IgG food sensitivity blood test - I offer this testing via either Immunolabs or Rocky Mountain Analytical. This tests how reactive your IgG antibodies are against various foods.  The higher the reactivity the higher likelihood a food sensitivity might be present.  This test can be a good starting point in assessing potential food sensitivity.

food-sensitivity.001-300x225
Here’s a diagram to demonstrate how IgG works.

With food sensitivity, the offending food is ingested and the IgG antibody levels rise slowly and linger for up to 3 weeks.  This is what makes a food sensitivity so hard to diagnose.  You first ingest the offending food sensitivity and you are symptom-free.  This is because you are still far from your symptomatic threshold.  In a few days you ingest this same food item and again no symptoms.  What you don’t know is that your IgG antibody levels have accumulated with those of your last exposure.  Third time is a charm, you ingest the food and this time you get symptoms, such as migraine, constipation, weight gain, water retention, skin breakouts, fatigue, etc.  Please note in this example I used 3 days but this is for illustrative purposes and is not literal. It can be confusing! Symptoms don’t appear immediately, so it is hard to link exposure to symptoms and you are left guessing at which foods is causing symptoms.  Unlike an IgE food allergy were every single exposure is followed by symptoms, IgG food sensitivities depends on frequency and dose of the exposure.

Food intolerance
food-intolerance.0011-300x225
Food intolerance represents an enzyme deficiency, meaning your body can’t break down a component of food and this causes digestive upset. The most obvious example is lactose intolerance or lactase enzyme deficiency.  This enzyme is important in breaking down lactose found in dairy products.  The lack of this enzymes results in gas, diarrhea, and discomfort.

I work with many patients to address food sensitivities. The goal is not to eliminate a food for the rest of your life although avoidance for a period of time is sometimes necessary while we improve the integrity of the gut lining so that you can once again tolerate the offending food.  When you figure out which foods you are sensitive to and understand the symptoms, you are empowered to take charge of your health!

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Pemphigus vulgaris, Steve's story

by Kate Whimster, BCom, MIFHI, ND

Pemphigus vulgaris is an autoimmune condition that causes severe blistering and sores of the skin and mucus membranes. It is chronic and there is no known cure. The treatments (usually long-term corticosteroid treatment or other immune-suppressing therapies) are not always effective and can cause even more chronic illness. Without treatment, pemphigus vulgaris is considered life-threatening due to infection.

I first read Steve’s story many years ago when I started following the Blood Type Diet, but it is definitely worth a second read! The Blood Type Diet was a major contributor to Steve’s healing - read more about his journey in this blog called Pemphigus: the BEST THING that EVER happened to me!

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Why is Snuffaluffagus so healthy?

Christine Matheson
Guest post by Christine Matheson, ND

This is an actual question that a senior patient of mine asked me several years ago. We all know Snuffaluffagus as a character on the famous children’s television show Sesame Street. It took me a second to grasp what my patient meant but as I reviewed her file I quickly realized she was referring to the probiotic supplement I had prescribed for her containing the “friendly” bacteria called Acidophilus and Bifidus! We both had a good laugh but I have never forgotten it because upon deeper thought it became a useful way to teach my patients (especially pediatric) about the benefits of these “friendly” bacteria.

Like Snuffaluffagus, who used to be a secret but special friend of Big Bird’s (although in modern Sesame Street series is no longer a secret), the “friendly” bacteria in our bodies could be considered an invisible superfriend that plays an extremely valuable role in keeping us well. Our bodies naturally produce strains of bacteria that are “friendly” because they help us absorb nutrients, inhibit allergies and inflammation and protect us from infections. This “friendly” bacteria coats the internal lining of the mucous membranes of our bodies, particularly the digestive system, and are critical for our digestive and immune systems to function optimally.

Infants form a type of “friendly” bacteria that is different than adults. As a child grows and their digestive system develops this “friendly” bacteria eventually consists of the adult type of “friendly” bacteria. Since a child’s immune and digestive systems take years to develop fully, children’s digestive systems are more fragile and can therefore benefit greatly from natural strategies to improve their levels of “friendly” bacteria. In addition, “friendly” bacteria levels are adversely affected by antibiotics and many other medications as well as poor dietary habits.

Though it is usually unnecessary to consider prescribing many natural supplements for young children, the one exception that many naturopathic doctors advise parents to consider is a probiotic supplement because it is a source of “friendly” bacteria. Since our bodies produce a variety of strains of “friendly” bacteria each in specific areas of the mucosal lining, higher quality probiotic supplements usually provide a variety of strains for greater benefit. For instance, acidophilus largely populates the upper digestive system while Bifidus populates the lower digestive tract.

A naturopathic doctor can advise you on age-specific formulas and accurate dosage based on your child’s needs, in addition to helping you navigate the range of brands available. For example, some probiotics contain dairy but dairy-free sources are also widely available. It is particularly important to consider rebalancing “friendly” bacteria levels with a probiotic supplement post antibiotic use. The good news for parents is most probiotic supplements taste pretty yummy therefore most kids are happy to take it and powder forms are easy to mix into foods.

While kids can certainly benefit from taking probiotic supplements, there is no doubt that most adults can benefit too. Every parent of young children certainly needs that extra layer of protection to give their immune systems support while they are exposed to the many coughs, colds and stomach flus their children come home with from school. It is also important to note that a range of medications beyond antibiotics, including for instance oral contraceptives, can disrupt the fine balance of “friendly” bacteria.

So the secret may now be out that Snuffaluffagus is Big Bird’s friend but there is certainly no secret that befriending probiotics in combination with a healthy diet could be an essential strategy to keep your family well!

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Decongestant warming socks

by Kate Whimster, BCom, MIFHI, ND

This is one of the home remedies I discussed during my appearance on
Wylde on Health June 17, 2011. Video is up online here (look for June 17th, segment 3).

This is a great treatment when you are sick with cold, particularly if you have a lot of congestion. Although it may not sound pleasant, your body heat quickly warms the socks and gets your feet toasty warm! Increasing circulation to your feet helps reduce sinus and chest congestion and helps warm your body up, facilitating healing via body heat (see my blog
Give me fever for more about this!) and stimulating your immune system.

Warming socks

Directions:
1 Fill a bowl with cold water and ice cubes.
2 Soak a pair of cotton socks in the ice water.
3 Wring out socks and put on feet.
4 Once the cotton socks are on, make sure you are close to the bed and have a dry pair of wool socks handy.
5 Put on the dry wool socks over the wet cotton socks. After putting on the wool socks, avoid walking in the socks as this will cause the wool socks to get damp!
6 Lie down in bed and go to sleep.

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What is gluten sensitivity?

by Kate Whimster, BCom, MIFHI, ND

What do osteoporosis, anemia, hypothyroidism, irritability, diarrhea, and constipation have in common? They are all signs and symptoms of gluten sensitivity. A recent article in the Wall Street Journal called “Clues to Gluten Sensitivity” has helped me get in gear to cover this enormous topic.

This is part 1 of a 4-part series of blogs on this topic, so check out Gluten sensitivity diagnosis, How to live gluten-free, and The why of gluten sensitivity for more information.

What is gluten sensitivity?
As mentioned in the article linked above, it is important to understand the difference between celiac disease and gluten sensitivity. “Celiac disease is a condition that damages the lining of the small intestine and prevents it from absorbing parts of food that are important for staying healthy. The damage is due to a reaction to eating gluten, which is found in wheat, barley, rye, and possibly oats.(1)” “Gluten sensitivity (GS) encompasses a collection of medical conditions in which
gluten has an adverse effect.(2)” These medical conditions can be related to damage to the small intestine or may present in other ways.

Which foods contain gluten?
Gluten-containing foods:
  • Wheat (all forms, including durum, semolina, spelt, kamut, couscous, bulgar, etc)
  • Rye
  • Barley
A quick way to remember gluten-containing foods is the acronym BROWSK, which stands for Barley, Rye, Oats (more on that in a second), Wheat, Spelt, Kamut.

Oats should technically be safe to eat on a gluten-free diet but most commercial oats are contaminated with gluten as they are farmed, transported, and packaged. You can buy gluten-free oats, such as
Bob’s Red Mill Gluten-Free Oats. A small number of gluten sensitive people may also be sensitive to oats, so it is important to assess this for each patient individually.

Prevalence
This information is specific to celiac disease (see definition above), but still gives a good idea of the prevalence and importance of diagnosis.

Prevalence of celiac disease (3):
  • In average healthy people: 1 in 133
  • In people with related symptoms: 1 in 56
  • In people with first-degree relatives (parent, child, sibling) who are celiac: 1 in 22
  • In people with second-degree relatives (aunt, uncle, cousin) who are celiac: 1 in 39
  • 60% of children and 41% of adults diagnosed during the study were asymptomatic (without any symptoms).
The average length of time it takes for a symptomatic person to be diagnosed with celiac disease in the US is four years; this type of delay dramatically increases an individual’s risk of developing autoimmune disorders, neurological problems, osteoporosis and even cancer.(4)

Those diagnosed with celiac disease between 2-4 years of age had a 10.5% chance of developing an autoimmune disorder. Additional findings show that the later one is diagnosed, the more likely her or she is to develop and autoimmune condition (5):

Age at diagnosis and chance of developing an autoimmune condition:
4-12 yrs: 16.7%
12-20 yrs: 27%
Over 20 yrs: 34%

As is now becoming clear, patients may have “silent” or atypical form that presents with no gastrointestinal symptoms. (6)
Celiac iceberg model(7)

Signs and symptoms
Signs and symptoms of celiac disease (1):
  • Abdominal pain, bloating, gas, or indigestion
  • Constipation
  • Decreased appetite (may also be increased or unchanged)
  • Diarrhea, either constant or off and on
  • Lactose intolerance (common when the person is diagnosed, usually goes away after treatment)
  • Nausea and vomiting
  • Stools that float, are foul smelling, bloody, or “fatty”
  • Unexplained weight loss (although people can be overweight or of normal weight)

Signs and symptoms of “silent” celiac disease (8):
Children:
  • Short stature
  • Anemia
  • Neurologic symptoms
Adults:
  • Dermatitis herpetiformis
  • Anemia
  • Reduced bone density (osteopenia/osteoporosis)
  • Apthous stomatitis, dental enamel defects
  • Infertility, recurrent miscarriage
  • Irritable bowel syndrome (IBS)
  • Dyspepsia
  • Esophageal reflux
  • Neurologic symptoms
  • Autoimmune diseases

References:
  1. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001280/
  2. http://en.wikipedia.org/wiki/Gluten_sensitivity
  3. Fasano A, Berti I, Gerarduzzi T, Not T, Colletti RB, Drago S, Elitsur Y, Green PH, Guandalini S, Hill ID, Pietzak M, Ventura A, Thorpe M, Kryszak D, Fornaroli F, Wasserman SS, Murray JA, Horvath K. Prevalence of celiac disease in at-risk and not-at-risk groups in the United States: a large multicenter study. Arch Intern Med. 2003 Feb 10;163(3):286-92.
  4. Green PHR, Stavropoulos SN, Panagi SG, Goldstein SL, Mcmahon DJ, Absan H, Neugut AI. Characteristics of adult celiac disease in the USA: results of a national survey. Am J Gastroenterol. 2001 Jan;96(1):126-31.
  5. Ventura A, Magazzù G, Greco L. Duration of exposure to gluten and risk for autoimmune disorders in patients with celiac disease. SIGEP Study Group for Autoimmune Disorders in Celiac Disease. Gastroenterology. 1999 Aug;117(2):297-303.
  6. Sanders DS, Hurlstone DP, McAlindon ME, Hadjivassiliou M, Cross SS, Wild G, Atkins CJ. Antibody negative coeliac disease presenting in elderly people--an easily missed diagnosis. BMJ. 2005 Apr 2;330(7494):775-6.
  7. Feighery C. Fortnightly review: coeliac disease. BMJ. 1999 Jul 24;319(7204):236-9.
  8. Green PH, Alaedini A, Sander HW, Brannagan TH 3rd, Latov N, Chin RL. Mechanisms underlying celiac disease and its neurologic manifestations. Cell Mol Life Sci. 2005 Apr;62(7-8):791-9.

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The truth about fevers

by Kate Whimster, BCom, MIFHI, ND

I just read this article called “
Lifting a veil of fear to see the benefits of fever” and I had to share it. This is a hot topic (excuse the pun!) among parents and healthcare providers that, despite logic, evidence, and experience, is still widely misunderstood.

Key messages:
  • Fever is a signal that the immune system is working. Fever is actually a useful tool of the immune system that helps your body fight infection.
  • There is a widely held misconception that fevers are dangerous. “In fact, fever does not harm the brain or the body, though it does increase the need for fluids. Even untreated, fevers rarely rise higher than 104 or 105 degrees.”
  • Despite ongoing efforts to educate parents, fever remains a major concern and causes a lot of panic.

The article cites the following research:
Fever phobia: misconceptions of parents about fevers
Fever phobia revisited: have parental misconceptions about fever changed in 20 years?

I also found a study called “
Pediatric emergency department nurses' perspectives on fever in children” which concluded that “fever phobia and inconsistent treatment approaches occur among experienced pediatric emergency registered nurses. These phobias and inconsistencies subsequently could be conveyed to parents.” So it’s not just parents who are confused! Healthcare providers are perpetuating this misconception through ignorance: “‘Doctors are part of the problem,’ Schmitt said. Some of the phobia comes from doctors and nurses, he said, ‘doctors and nurses who weren’t taught about fever and all the wondrous things fever does in the animal kingdom.’”

I think another major reason that parents fear fever so much is that they are far too influenced by the sheer number and force of advertisements for medication to suppress fevers in children. I think I see at least one ad daily for children’s Tylenol or Advil these days - all sending a clear message that fever is not OK and you must medicate!

So what is a worried parent to do?
  • Remember that the body is designed to heal itself. Symptoms (including fever) are part of this process, so be careful to support the body rather than suppress.
  • Equip yourself to understand and manage illness at home where appropriate. This also means knowing when to seek professional help! A naturopathic doctor is a vital part of learning about your health and can equip you to take responsibility.
  • Don’t seek medical advice from advertisements! Go to those who are educated and trained to address your issue, and always think critically about advice you receive.

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Kids need to get sick

by Kate Whimster, BCom, MIFHI, ND

Wow, there are so many topics to choose from when writing about kids and health! I have a lot of issues I want to explore, but I’m going to start with a couple of articles about kids and getting sick.

First up, a
study called Short- and Long-term Risk of Infections as a Function of Group Child Care Attendance published in the Archives of Pediatrics & Adolescent Medicine found that, as we all know, children start getting more infections when they start spending lots of time around other kids! And, when children start group child care before age 2 and a half, they get more infections at that time, but less infections during elementary school years. Again this makes total sense! Kids are programmed to expose themselves to all kinds of pathogens from a very early age and this is an important part of their “immune education” which is done during those crucial childhood years before puberty and must last a lifetime. So getting sick is not a bad thing at all, as long as parents know how to manage it in a health-promoting way being careful to avoid suppression. A naturopathic doctor is a great resource to learn how to manage common childhood infections.

The second
study I want to share is called Antibiotic Exposure by 6 Months and Asthma and Allergy at 6 Years: Findings in a Cohort of 1,401 US Children published in the American Journal of Epidemiology and adds further information to the association between antibiotic use in infancy and the development of childhood asthma. This article called Early Antibiotic Use Can Lead to Increased Risk of Childhood Asthma does a great job of summarizing the findings and explaining the mechanism behind this effect, which may be that antibiotics have a major impact on the beneficial bacteria in the digestive tract, which are an important factor in immune response. When these bacteria are disrupted, the type of immune response mounted is altered, resulting in pathologies such as asthma. Something the article does not mention that is a great tool in preventing, mitigating, and treating this type of issue longer term is the use of probiotics. There is already loads of evidence that probiotics are effective in both the prevention and treatment of asthma and many other childhood illnesses. Perhaps I will explore the topic in more detail in a future blog...

The importance of building a healthy immune system and ensuring appropriate and effective immune response cannot be emphasized enough. Personally, based on the evidence that exists and continues to emerge, we are only just beginning to understand how our choices and medical treatments impact our immune systems in both the long and short term. This idea has implications far beyond asthma; it also ties into allergic, autoimmune diseases, vaccines, and many other issues.

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Healthy household cleaning

by Kate Whimster, BCom, MIFHI, ND

I am a true believer in living as non-toxic as possible and therefore I seek to make the best choices I can for those things that are within my control (which is a lot!). This includes the substances I put on my body, in my body, and what I bring into my home. Today I’ll share with you my household cleaning choices.

First, I think good cleaning tools can go a long way and reduce your need to buy products, which saves money, conserves water, and minimizes adding wastes to our environment. I use E-Cloths a lot and really love them. I have the
Glass and Polishing cloth for windows and mirror which works with just water and I use the General Purpose cloth for everything else. For tougher jobs I use a regular cleaning brush that I’ve had for many years.

My #1 most useful and favourite cleaning product is
Dr. Bronner’s Magic Soap! This stuff is really magic and they claim there are 18 uses. I’m not sure what all 18 are, but you can use it for all-purpose cleaning, laundry, dish soap, body wash, shampoo, and even toothpaste to name a few. I use it all over the house to clean surfaces, scrub the tub and toilet, or mop. It comes in lots of great scents and is organic, fair-trade, biodegradable, vegetable based. Apparently this is the top selling brand of soaps in North America! Who knew?

Something I’ve recently come to love is
Nature Clean Oxy Stain Remover powder. I use it in the laundry for whitening, brightening, and stain removal, but I have also recently started using it to clean, as it works really well in the shower/tub and the toilet. I mix it with the Dr. Bronner’s soap and scrub the surface, then let it sit for a while before rinsing. This gets things very shiny clean!

Most of the time, these two products are enough for everything, but sometimes I like to use a spray cleaner, especially in the kitchen and bathroom if I’ve been procrastinating and haven’t cleaned in a while... Right now I’m using
Parsley Plus spray, which literally has 3 ingredients! I kind of like the odd, parsley-like scent to this product and it works really great!

You may notice I don’t use any sanitizing or specific germ-killing products... For day-to-day life, I think these things are overkill and in fact prevent natural and useful immune “education.” Our bodies are incredibly well-designed to protect us from everyday exposure to pathogens like bacteria, viruses, etc. In fact, regular exposure to these things is incredibly important for our immune systems to develop and function properly. This is especially true for children, who are programmed to get themselves as dirty and grimy as they can! Basic good hygiene (like hand-washing), reducing the unnecessary spread of germs (like sneezing/coughing into your sleeve instead of all over the person next to you), and supporting the immune system (by eating healthy, getting enough rest, and dealing appropriately with illness) works with our body’s natural balance to keep us healthy. Exposure to man-made toxins and pollutants is far more disruptive to health than exposure to normal environmental pathogens!

There are some people who get sick easily/frequently and for those individuals it is important to investigate the causes behind that increased susceptibility (whether it be dietary intolerances, immune imbalance, overwork, energetic imbalance, unusual exposure, etc) and address that in order to solve the problem. This is what naturopathic medicine is all about!

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Tasty flu shot

by Kate Whimster, BCom, MIFHI, ND

One of my favourite immune supporting tips is using berries to prevent colds and flu! Not only do they taste great, but they are also effective in strengthening immunity during the winter season.

Blueberries and other dark-coloured berries contain anthocyanidins, which can enter the cell wall of bacteria and slow growth and reproduction. They are also a good source of vitamin C and and are high in antioxidants, which support the immune system against both bacteria and viruses. Add berries to your smoothie (see my favourite recipe here) or into oatmeal as part of your breakfast.

Elderberry is particularly effective against influenza and other viral infections, such as the common cold. A quick search on PubMed reveals that
elderberry extract offers an efficient, safe and cost-effective treatment for influenza and elderberry extract has been found to inhibit H1N1 infection in vitro.

There are a lot of liquid elderberry extracts on the market these days (including Sambucol and Sambu Guard) but make sure to read the ingredients because some contain added sugar, which actually impairs white blood cells and reduces your immune response! This is kind of counter-productive, don’t you think? Plus, elderberry and other berries taste great on their own, there is no reason to add extra sugar. Make sure you read labels! My personal favourite is Proberry liquid, which is a mixture of elderberry, blueberry, cherry, raspberry, and pear juice concentrates. Many of the elderberry concentrates come in capsule form too, which helps avoid the additives and can be more convenient to carry with you, so check these out too.

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Breast cancer prevention

by Kate Whimster, BCom, MIFHI, ND

In October (breast cancer month) JD Kato and I did a presentation at a local library about breast health and cancer prevention. Here is a summary of some of the more interesting information we shared. Naturopathic medicine has an important role to play in cancer prevention and treatment. One of the most often used naturopathic treatments is dietary change because diet is the most powerful factor in health. You literally are what you eat! So here is an overview of WHY diet is so important to cancer and some examples of dietary choices that will help treat and prevent cancer.

Immune system:
Your immune system is your best defence against cancer. Every day, all day, your body is making potentially cancerous cells and it is your immune system that stands between this potential and uncontrollable cancer growth. A healthy diet provides nutrients that support immune function, while poor dietary choices impair immune function.

Antioxidant-rich foods support the immune system in killing abnormal cells, preventing and treating cancer. Sugar, on the other hand, impairs the activity of your white blood cells, which target and kill cancer cells and coordinate the functioning of your overall immune response.

Inflammation:
As discussed in part 1, chronic inflammation in the body leads to increased cell division, which increases the likelihood of the creation of cancer cells and accelerates cancer growth. Chronic inflammation also increases the body’s production of cortisol, which is an immune suppressing hormone.

What type of fat you consume is often more important than the amount because the fats in your diet directly impact many bodily functions. The compounds EPA and DHA derived from or found in omega 3 fatty acids, particularly fish oil, are powerful anti-inflammatory agents in the body. But saturated fats increase inflammation and trans fats alter cell membranes to encourage inflammation.

Hormonal balance:
The endocrine system, which produces and controls hormones throughout the body has a huge impact on physiological function. Hormones can encourage cancer growth as well as influence immune function and regulate inflammation. With regard to breast cancer, we know that some types of breast cancer are estrogen dependent, but many other hormones throughout the body also relate to breast cancer, such as thyroid hormones, insulin, and cortisol.

Green leafy vegetables contain nutrients that support endocrine organs. A minimum of 5-6 servings per day is recommended. Cruciferous vegetables in particular contain compounds called calcium-D-glucarate and indole-3-carbinol which aid in metabolism and detoxification of hormones. Pesticides used on non-organic produce can contain compounds that mimic estrogen in the body and can increase the risk of many types of cancer as well as overwhelm your detoxification system.

You can download the Environmental Working Group’s Shopper’s Guide to Pesticides, which specifies which produce is best to buy organic, at this web address: www.foodnews.org

Insulin resistance:
Insulin is a hormone that allows sugar to enter cells. Over time, high sugar intake leads to excess insulin production and eventually cells become insensitive to insulin. Cancer cells use sugar as fuel and have more insulin receptors than normal cells, so while other cells are insulin resistant, cancer cells can gain more access to sugar.

Complex carbs include vegetables and whole grains and can help balance blood sugar levels and control weight, both of which prevent and reduce insulin resistance. Complex carbs are high in fibre, which binds to and eliminates toxins and hormones from your body. Try to eat foods as close to their natural state as possible rather than processed foods, which contain more simple carbs, which are easily reduced to sugar and therefore promote insulin resistance.

Digestion and elimination:
Digestion influences all other bodily functions as it is key to absorbing essential nutrients and eliminating waste products and toxins from the body.

Alcohol is an example of a substance that places an additional load on the liver, which can lead to increased toxic load in the body. Over time, this can damage cells and encourage cancer formation. Adequate water intake is necessary for optimal digestion and elimination as your body uses water to carry out many processes essential for life. A simple guideline for water intake is at least 1/2 ounce of water per pound of body weight. So a 128-pound woman should drink about 64 ounces of water daily, which is about 2 litres. Caffeine and alcohol do not count toward this intake and in fact dehydrate the body!

Beyond diet:
So far we’ve covered a lot with regard to diet, but there is so much more! As a naturopathic doctor, I work with patients to address their unique nutritional needs with a plan tailored to them. Beyond diet, I also work to create a personalized plan that may include supplements, herbs, lifestyle counselling, stress reduction, and mental/emotional work to address each patient’s unique needs and the root causes behind their health specific concerns.

With regards to cancer, naturopathic medicine is a powerful tool to both prevent and treat cancer, either alone or in conjunction with conventional cancer treatment.

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Homeopathic flu prevention

by Kate Whimster, BCom, MIFHI, ND

Once again, Kew Beach Natural Health Clinic is running our hugely popular homeopathic flu prevention program!

People who participate in this program have very few flu incidents over the winter, even though family members and co-workers may become very ill. Flu symptoms may be much milder and last for a shorter duration than other non-homeopathically protected people. Many participants no longer experience the flu at all. Each year the program grows in popularity due to overwhelmingly positive word of mouth!

How does it work?
The Homeopathic Flu Prevention Program is an ongoing research study conducted by Helena Ovens, ND. Your participation is voluntary and appreciated. Here’s how to participate:

1. To participate you must currently be in good health and you must not have had a flu shot since April 15, 2010.
2. Call Kew Beach Natural Health Clinic at 416-690-6168 to arrange at time to come by to fill out an intake form. You will be given a 6-month supply of homeopathic pellets, an instruction sheet, and a form to record any “flu-like” symptoms. There is a $5.00 administrative fee per adult (children are free) to cover the costs of materials and remedies.
3. Take 1 pellet of the remedy once per month on the same day to prevent the flu. If you have any “flu-like” symptoms, record them on the form.
4. Return your form by the end of April 2011 by fax, email, in-person, or by mail. It is very important that you return your form (whether you experienced “flu-like” symptoms or not) so that we can track the success of the program.

We look forward to helping you have a healthy, flu-free season!

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