My practice
An ounce of prevention...
13/Nov/12 01:45 PM
by Kate Whimster, BCom, MIFHI, ND
In my monthly library talks and when speaking with patients, I find myself frequently emphasizing the incredible importance of prevention. Naturopathic medicine is all about prevention! So I thought I would share some key points here to help drive home just how valuable prevention is (and why it can be hard to practice it!).
How valuable is prevention?
We all theoretically agree it is better to prevent disease (or any other negative outcome). Treating existing health issues prevents future, chronic health issues. For example, addressing high blood pressure can prevent heart disease, treating inflammation today can make your body a less hospitable place for cancer to grow, and resolving immune imbalance can treat and prevent eczema, asthma, and allergies. Clearly you can save time, energy, and money later by making an investment in your health today.
Think for a moment of any nagging health issue you might have now… Pain, fatigue, medications you have to take, discomfort, etc. What would it be worth to you to not have it? To just be cured of it right now? As if it never happened? A lot, right? That would mean you don’t have to work so hard and you would feel better every day. And, how good would that feel? How gratifying would that be? Pretty amazing, right?
So, what would it be worth to you to have prevented that nagging issue before it happened? Take into account the financial cost, but also the value of your time and energy. Consider how that issue may have affected your job performance, earning potential, quality of life, relationships, and all the other ways it has changed your life. With these things in mind, prevention is incredibly valuable! Unfortunately, putting prevention into practice is still a challenge for so many of us.
Why is prevention hard to practice?
1. Prevention seems expensive:
In Canada we are accustomed to “free” healthcare. It isn’t really “free” but because we don’t pay directly out of pocket, it seems that way. Nor is it necessarily what we want in terms of long-term health outcomes – the conventional medical system doesn’t do prevention very well. In comparison, investing your disposable income in health NOW versus spending nothing NOW (but spending a lot more later) can seem expensive. However, making that up-front investment actually provides a higher return in quality of life, savings on medications, increased energy and productivity, and just plain enjoyment of life than any other way you can invest your money.
2. Prevention is delayed gratification:
Having pain and taking pain medication and getting quick relief is very tangible and immediate. Much of medicine works this way (medications for asthma, sleep, depression, anxiety, rashes, etc). It’s pretty great to have a problem, take a pill, and feel better!
More delayed gratification might be if you have an issue (eg: migraines, asthma, depression, or some other discomfort) and go see a naturopathic doctor who works with you on diet, lifestyle, and other ways to eventually eliminate your discomfort. Usually you can see some improvement in the short-term with naturopathic treatment and continue building on that to alleviate your symptoms. This is also tangible and measurable because you had a problem and then you don’t. Definitely takes more time, up-front cost, and commitment, but most people would agree the result has more value that suppressing the same symptoms with medication.
Prevention is the ultimate in delayed gratification since if you are successful, you will never know what might have been and you can’t measure something that doesn’t exist! So, prevention doesn’t have the same short-term pay-off that motivates people. And, prevention is very, very difficult to prove in the currently popular “double-blind randomized controlled trial” research paradigm.
Naturopathic medicine = prevention superstar
Most patients begin naturopathic treatment looking for solutions to problems they have now, such as high cholesterol, fatigue, pain, digestive issues, hormone issues, infertility, etc. This is wonderful because treating those issues naturopathically can not only resolve symptoms but because naturopathic medicine targets the root cause and focuses on establishing healthy habits, long-term more serious diseases can also be reduced or prevented over time. More bang for your buck!
In addition, most naturopathic treatments are CUMULATIVE. Most naturopathic treatments continue to yield big results the longer they are in place, because when you work improving the function and health of the body now, over time that improvement continues to grow and help create a physiological environment less conducive to disease and more conducive to healing.
Make your health a priority
A colleague of mine recently lamented that unfortunately the “poverty mentality” continues to affect those of us working for prevention. He pointed out that while many people freely spend on new tech gadgets, eating out, beauty products, purses/clothing/shoes, vacations, etc these same individuals will often complain about the price of naturopathic treatment and natural health products and only spend on their health within whatever benefits coverage they have (despite what may be necessary to achieve their goals).
I definitely observe this too and try to frame it in a slightly different way for myself and my patients, which is:
In my monthly library talks and when speaking with patients, I find myself frequently emphasizing the incredible importance of prevention. Naturopathic medicine is all about prevention! So I thought I would share some key points here to help drive home just how valuable prevention is (and why it can be hard to practice it!).
How valuable is prevention?
We all theoretically agree it is better to prevent disease (or any other negative outcome). Treating existing health issues prevents future, chronic health issues. For example, addressing high blood pressure can prevent heart disease, treating inflammation today can make your body a less hospitable place for cancer to grow, and resolving immune imbalance can treat and prevent eczema, asthma, and allergies. Clearly you can save time, energy, and money later by making an investment in your health today.
Think for a moment of any nagging health issue you might have now… Pain, fatigue, medications you have to take, discomfort, etc. What would it be worth to you to not have it? To just be cured of it right now? As if it never happened? A lot, right? That would mean you don’t have to work so hard and you would feel better every day. And, how good would that feel? How gratifying would that be? Pretty amazing, right?
So, what would it be worth to you to have prevented that nagging issue before it happened? Take into account the financial cost, but also the value of your time and energy. Consider how that issue may have affected your job performance, earning potential, quality of life, relationships, and all the other ways it has changed your life. With these things in mind, prevention is incredibly valuable! Unfortunately, putting prevention into practice is still a challenge for so many of us.
Why is prevention hard to practice?
1. Prevention seems expensive:
In Canada we are accustomed to “free” healthcare. It isn’t really “free” but because we don’t pay directly out of pocket, it seems that way. Nor is it necessarily what we want in terms of long-term health outcomes – the conventional medical system doesn’t do prevention very well. In comparison, investing your disposable income in health NOW versus spending nothing NOW (but spending a lot more later) can seem expensive. However, making that up-front investment actually provides a higher return in quality of life, savings on medications, increased energy and productivity, and just plain enjoyment of life than any other way you can invest your money.
2. Prevention is delayed gratification:
Having pain and taking pain medication and getting quick relief is very tangible and immediate. Much of medicine works this way (medications for asthma, sleep, depression, anxiety, rashes, etc). It’s pretty great to have a problem, take a pill, and feel better!
More delayed gratification might be if you have an issue (eg: migraines, asthma, depression, or some other discomfort) and go see a naturopathic doctor who works with you on diet, lifestyle, and other ways to eventually eliminate your discomfort. Usually you can see some improvement in the short-term with naturopathic treatment and continue building on that to alleviate your symptoms. This is also tangible and measurable because you had a problem and then you don’t. Definitely takes more time, up-front cost, and commitment, but most people would agree the result has more value that suppressing the same symptoms with medication.
Prevention is the ultimate in delayed gratification since if you are successful, you will never know what might have been and you can’t measure something that doesn’t exist! So, prevention doesn’t have the same short-term pay-off that motivates people. And, prevention is very, very difficult to prove in the currently popular “double-blind randomized controlled trial” research paradigm.
Naturopathic medicine = prevention superstar
Most patients begin naturopathic treatment looking for solutions to problems they have now, such as high cholesterol, fatigue, pain, digestive issues, hormone issues, infertility, etc. This is wonderful because treating those issues naturopathically can not only resolve symptoms but because naturopathic medicine targets the root cause and focuses on establishing healthy habits, long-term more serious diseases can also be reduced or prevented over time. More bang for your buck!
In addition, most naturopathic treatments are CUMULATIVE. Most naturopathic treatments continue to yield big results the longer they are in place, because when you work improving the function and health of the body now, over time that improvement continues to grow and help create a physiological environment less conducive to disease and more conducive to healing.
Make your health a priority
A colleague of mine recently lamented that unfortunately the “poverty mentality” continues to affect those of us working for prevention. He pointed out that while many people freely spend on new tech gadgets, eating out, beauty products, purses/clothing/shoes, vacations, etc these same individuals will often complain about the price of naturopathic treatment and natural health products and only spend on their health within whatever benefits coverage they have (despite what may be necessary to achieve their goals).
I definitely observe this too and try to frame it in a slightly different way for myself and my patients, which is:
- How high a priority is your health?
- Where does health fit into the context of your lifestyle and other priorities?
Comments
Your DNTO on CBC Radio One November 6th
25/Oct/12 02:59 PM
by Kate Whimster, BCom, MIFHI, ND
Changes of plans! This is a correction to my previous post on the subject - the date is in fact Tuesday, November 6th!
I will be part of a segment called “What do you carry in your blood?” on the program Your DNTO (aka Definitely Not The Opera) airing on CBC Radio One on Tuesday, November 6th between 2:00 to 3:00pm.
In my interview, I discuss how the Blood Type Diet not only changed how I eat and how I feel, but also my career.
A recording will be available online after the show airs on the Your DNTO website (click on Listen to the Latest Show at the top left) and via podcast here.
Changes of plans! This is a correction to my previous post on the subject - the date is in fact Tuesday, November 6th!
I will be part of a segment called “What do you carry in your blood?” on the program Your DNTO (aka Definitely Not The Opera) airing on CBC Radio One on Tuesday, November 6th between 2:00 to 3:00pm.
In my interview, I discuss how the Blood Type Diet not only changed how I eat and how I feel, but also my career.
A recording will be available online after the show airs on the Your DNTO website (click on Listen to the Latest Show at the top left) and via podcast here.
Gluten sensitivity part 4: why?
28/Aug/12 09:39 AM
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?
If you missed my previous blogs on this topics, check out Gluten sensitivity part 1: definitions, prevalence, presentation, Gluten sensitivity part 2: diagnosis, and Gluten sensitivity part 3: living gluten-free.
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?
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”:
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:
This blog is all about “why.” As in, why (and how) do we become gluten sensitive and why does it matter?
If you missed my previous blogs on this topics, check out Gluten sensitivity part 1: definitions, prevalence, presentation, Gluten sensitivity part 2: diagnosis, and Gluten sensitivity part 3: living gluten-free.
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.
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
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
Gluten sensitivity part 2: diagnosis
14/Jul/12 04:37 PM
by Kate Whimster, BCom, MIFHI, ND
It’s now been over a year since my first blog about gluten sensitivity, so it’s about time to follow that up with more information! If you’d like a refresher, check out Gluten sensitivity part 1: definitions, prevalence, presentation.
Definitions:
Common:
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
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
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. 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.
2. 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.
3. 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).
References:
It’s now been over a year since my first blog about gluten sensitivity, so it’s about time to follow that up with more information! If you’d like a refresher, check out Gluten sensitivity part 1: definitions, prevalence, presentation.
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
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
- Osteopenia/osteoporosis (especially premature)
- Abnormal liver function
- Nausea, vomiting
- Iron-deficiency anemia
- Neurological dysfunction
- Constipation
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
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
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. 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.
2. 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.
3. 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).
References:
Confused about food sensitivity testing?
27/Mar/12 06:08 PM
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:
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:
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.
- Here is an article from the Globe and Mail: Tests for food allergies, sensitivities a ‘waste of money,’ doctor says
- And here is a video with a bit of a more balanced perspective from the CBC: Food sensitivity tests
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:
- This article summarizes some research on IgG allergy testing
- Food-specific serum IgG4 and IgE titers to common food antigens in irritable bowel syndrome
- Diet restriction in migraine, based on IgG against foods: a clinical double-blind, randomised, cross-over trial
- Serum IgG responses to food antigens in the italian population evaluated by highly sensitive and specific ELISA test
- Specific humoral response to cows' milk proteins and ovalbumin in children with atopic dermatitis
- Treating irritable bowel syndrome with a food elimination diet followed by food challenge and probiotics
- A critical review of IgG immunoglobulins and food allergy implications in systemic health
- I’m sure there is even more to be found - check out PubMed if you are interested.
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.
Achieve your goals with a vision board
26/Dec/11 09:57 AM
by Kate Whimster, BCom, MIFHI, ND
If you’ve read/watched The Secret or maybe other books about the power of attraction or intention, you’ve probably heard of a vision board. A vision board is simply a visual representation of your goals. It’s a tool to imagine what it is like to have what you seek and it can be a lot of fun to make! This time of year is when most people make New Year’s resolutions... How about this year, instead of making resolutions that you likely won’t keep, you instead set goals and make a vision board to help you manifest those goals? Here are 5 easy steps to making your vision board:
Step 1: Set goals
This is the most important step! If you don’t know what your goals are, how will you ever achieve them? You should probably spend the most time on this step because it shapes all the following steps. Your goals can relate to anything: career, relationships, health, finances, travel, investments, whatever. You might consider a different vision board for each if that suits you better.
Have you ever heard of that Harvard study on goal setting? Interviewers asked Harvard MBA students whether they had clear, written goals for their future and made plans to accomplish them. 84% had no goals, 13% had goals but they were not written, and 3% had clear, written goals and plans to accomplish them. 10 years later, the 13% with goals were earning, on average, twice as much as the 84% without goals. However, the 3% with clear, written goals were earning, on average, 10 times as much as the other 97%! This information is prolific in the business community as evidence of the power of committing your goals to paper. Unfortunately, this story has been debunked by Fast Company and several others!
However, that doesn’t mean that setting clear, written goals isn’t effective! There is actual research in this area, most notably this study by Gail Matthews. She found that those with written goals accomplished significantly more, those who shared their commitments publicly accomplished significantly more, and those who held themselves accountable accomplished significantly more.
This is all to say: goals are important, but so is DOING SOMETHING with those goals. A vision board is a key part of making your goals into something productive.
Step 2: Visualize and feel
This step is the most fun! All you need to do here is use your imagination! Remember that thing you used to use a lot as a kid when you played dress-up or make-believe? Time to pull it out of the dusty corner and get it working for you again.
Take some time AWAY from the computer, phone, office, kids, spouse, desk, etc to sit quietly and think about what it would be like to achieve your goals. What would your life look like if you got everything you wanted? How would you feel?
Write down some simple notes or even draw if that works better. You want to have some guiding ideas of what you need to put on your vision board that will show you what your goals look like and that will inspire you to feel the feeling of accomplishing your goals.
Step 3: Collect images and words
Now that you know what accomplishing your goals looks like and feels like, you need to find visuals that match. This step is also lots of fun because you get to be creative! When was the last time you did something creative? This step is like window-shopping for all the things you want in life.
Look in magazines for photos you like or even search online. Google Images is a great resource - simply type in what you want, like “cute puppy” and look through the images you get back for one that resonates with you. You can also use the web in other ways. Do you want a great car? Go to the manufacturer’s site and often you can design the car you want with all the features you want and print out the photo! Want a fantastic house? Go on MLS and search for the right house for you and print the listing! This also works for less material things, like a happy marriage and fulfilling family life. Look for photos of happy couples and smiling children. You can also use your own photos of yourself and others as long as they represent how you want to feel and what you want.
If you like to paint or draw, why not create your own images exactly the way you want? Why not use other things you love, like colours, textures, symbols, patterns, ribbons, paper, and great quotes or phrases?
I’ll give you a couple of examples of what I put on my vision board:
Your vision board can be made out of anything you want. First, you need something to put all your images and words on and this will determine what other supplies you need. Here are a few ideas:
Step 5: Create! And place.
Now that you have all you need, create your vision board! Arrange your images and words any way you like. Again, this is your chance to be creative in way you may not have been since primary school!
Place you vision board in a prominent place where you can look at it often, such as your office or bedroom. Use your vision board as a reminder of how your goals look and feel. Whenever you see it, take a moment to experience the feeling of realizing your goals. You can also use your vision board as a reminder to meditate on your goals.
If you’ve read/watched The Secret or maybe other books about the power of attraction or intention, you’ve probably heard of a vision board. A vision board is simply a visual representation of your goals. It’s a tool to imagine what it is like to have what you seek and it can be a lot of fun to make! This time of year is when most people make New Year’s resolutions... How about this year, instead of making resolutions that you likely won’t keep, you instead set goals and make a vision board to help you manifest those goals? Here are 5 easy steps to making your vision board:
- Set goals
- Visualize and feel
- Collect images/words
- Collect supplies
- Create and place
Step 1: Set goals
This is the most important step! If you don’t know what your goals are, how will you ever achieve them? You should probably spend the most time on this step because it shapes all the following steps. Your goals can relate to anything: career, relationships, health, finances, travel, investments, whatever. You might consider a different vision board for each if that suits you better.
Have you ever heard of that Harvard study on goal setting? Interviewers asked Harvard MBA students whether they had clear, written goals for their future and made plans to accomplish them. 84% had no goals, 13% had goals but they were not written, and 3% had clear, written goals and plans to accomplish them. 10 years later, the 13% with goals were earning, on average, twice as much as the 84% without goals. However, the 3% with clear, written goals were earning, on average, 10 times as much as the other 97%! This information is prolific in the business community as evidence of the power of committing your goals to paper. Unfortunately, this story has been debunked by Fast Company and several others!
However, that doesn’t mean that setting clear, written goals isn’t effective! There is actual research in this area, most notably this study by Gail Matthews. She found that those with written goals accomplished significantly more, those who shared their commitments publicly accomplished significantly more, and those who held themselves accountable accomplished significantly more.
This is all to say: goals are important, but so is DOING SOMETHING with those goals. A vision board is a key part of making your goals into something productive.
Step 2: Visualize and feel
This step is the most fun! All you need to do here is use your imagination! Remember that thing you used to use a lot as a kid when you played dress-up or make-believe? Time to pull it out of the dusty corner and get it working for you again.
Take some time AWAY from the computer, phone, office, kids, spouse, desk, etc to sit quietly and think about what it would be like to achieve your goals. What would your life look like if you got everything you wanted? How would you feel?
Write down some simple notes or even draw if that works better. You want to have some guiding ideas of what you need to put on your vision board that will show you what your goals look like and that will inspire you to feel the feeling of accomplishing your goals.
Step 3: Collect images and words
Now that you know what accomplishing your goals looks like and feels like, you need to find visuals that match. This step is also lots of fun because you get to be creative! When was the last time you did something creative? This step is like window-shopping for all the things you want in life.
Look in magazines for photos you like or even search online. Google Images is a great resource - simply type in what you want, like “cute puppy” and look through the images you get back for one that resonates with you. You can also use the web in other ways. Do you want a great car? Go to the manufacturer’s site and often you can design the car you want with all the features you want and print out the photo! Want a fantastic house? Go on MLS and search for the right house for you and print the listing! This also works for less material things, like a happy marriage and fulfilling family life. Look for photos of happy couples and smiling children. You can also use your own photos of yourself and others as long as they represent how you want to feel and what you want.
If you like to paint or draw, why not create your own images exactly the way you want? Why not use other things you love, like colours, textures, symbols, patterns, ribbons, paper, and great quotes or phrases?
I’ll give you a couple of examples of what I put on my vision board:
- I want to build my naturopathic practice and see more patients, so I made up an ideal weekly schedule in my calendar in which I put in how many new patient visits I want in a week and how many follow-up visits I want. I also put in there time to exercise, time for social events, and time off. Then I printed my schedule and put it on my vision board. When I made my vision board I was not that busy. The next month was my slowest month in practice ever, but then over the next 3 months I got busier and busier and now my weekly schedule looks like what is on my vision board!
- I went on MLS and searched for houses that fit certain criteria I want (number of bedrooms, neighbourhood, etc), but price was not a factor. I found a house I really liked and printed the listing and put it on my vision board. This house happens to be quite close to where I currently live, so it would be even better for me to go over there and take a look in person!
Your vision board can be made out of anything you want. First, you need something to put all your images and words on and this will determine what other supplies you need. Here are a few ideas:
- Corkboard and pins
- Posterboard and glue/tape
- Wall in your home and some way to stick things up (like sticky tack)
- Magnet board and magnets (this is what I used)
- Large picture frame, piece of cardboard to go in it, and glue/tape
- Fridge and magnets (this is great for kids to play with!)
Step 5: Create! And place.
Now that you have all you need, create your vision board! Arrange your images and words any way you like. Again, this is your chance to be creative in way you may not have been since primary school!
Place you vision board in a prominent place where you can look at it often, such as your office or bedroom. Use your vision board as a reminder of how your goals look and feel. Whenever you see it, take a moment to experience the feeling of realizing your goals. You can also use your vision board as a reminder to meditate on your goals.
Change your genetic destiny with SWAMI GenoType
26/Oct/11 12:21 PM
by Kate Whimster, BCom, MIFHI, ND
“Let food be thy medicine and medicine be thy food.” - Hippocrates
This is an often-used quote in naturopathic medicine and a phrase that I probably think about daily as I work with patients. Despite the growing “obesity epidemic” and the pervasiveness of chronic diseases such as diabetes, heart disease, autoimmune disease, and cancer, we have an incredibly powerful to at our disposal to improve our health and our lives.
Do you think you are cursed with “bad genes” that have caused you to develop health issues? Think again. Yes, your genes are your genes and you cannot change the sequence of nucleotides encoded in every cell of your body. But these genes are only the starting point for your life journey... Starting before you were born and continuing every second of your life, you are influencing which of these genes are “heard” and which are “silent” through your diet and lifestyle, and therefore what health challenges you are most susceptible to. I feel like most people are aware of this influence, but still fail to grasp the full significance of it and do not know how to harness it.
This is the life work of Peter D’Adamo ND, bestselling author of The GenoType Diet, which identifies 6 GenoTypes and explains how to use diet and lifestyle to change your genetic destiny. Dr. D’Adamo has also created a software program called SWAMI GenoType, which I use with patients in my practice to create a personalized diet report including individualized recipes. This software uses blood type, medical history, family history, biometrics, fingerprints, and many other variables (including lab results and prescribed medications) to custom-design a diet protocol to address your unique health needs.
Most patients who come to see me for SWAMI GenoType want to lose weight, but it can also be used as part of treatment for many physical and mental/emotional concerns. If it seems like SWAMI GenoType is a magic bullet for all that ails you, keep in mind that indeed, food is truly healing; personalized nutrition can be used to treat such a variety of conditions because what you eat is the most important influence on your health, via your digestive tract, immune system, and hormone levels. However, nutrition is almost never the only intervention that I work with and the onus is ultimately on the patient to take responsibility for his or her health by making habit changes that will support healing. You are a key part of the equation.
For even more information, such as what information is used, what the output looks like, and some frequently asked questions, check out my page all about SWAMI GenoType.
“Let food be thy medicine and medicine be thy food.” - Hippocrates
This is an often-used quote in naturopathic medicine and a phrase that I probably think about daily as I work with patients. Despite the growing “obesity epidemic” and the pervasiveness of chronic diseases such as diabetes, heart disease, autoimmune disease, and cancer, we have an incredibly powerful to at our disposal to improve our health and our lives.
Do you think you are cursed with “bad genes” that have caused you to develop health issues? Think again. Yes, your genes are your genes and you cannot change the sequence of nucleotides encoded in every cell of your body. But these genes are only the starting point for your life journey... Starting before you were born and continuing every second of your life, you are influencing which of these genes are “heard” and which are “silent” through your diet and lifestyle, and therefore what health challenges you are most susceptible to. I feel like most people are aware of this influence, but still fail to grasp the full significance of it and do not know how to harness it.
This is the life work of Peter D’Adamo ND, bestselling author of The GenoType Diet, which identifies 6 GenoTypes and explains how to use diet and lifestyle to change your genetic destiny. Dr. D’Adamo has also created a software program called SWAMI GenoType, which I use with patients in my practice to create a personalized diet report including individualized recipes. This software uses blood type, medical history, family history, biometrics, fingerprints, and many other variables (including lab results and prescribed medications) to custom-design a diet protocol to address your unique health needs.
Most patients who come to see me for SWAMI GenoType want to lose weight, but it can also be used as part of treatment for many physical and mental/emotional concerns. If it seems like SWAMI GenoType is a magic bullet for all that ails you, keep in mind that indeed, food is truly healing; personalized nutrition can be used to treat such a variety of conditions because what you eat is the most important influence on your health, via your digestive tract, immune system, and hormone levels. However, nutrition is almost never the only intervention that I work with and the onus is ultimately on the patient to take responsibility for his or her health by making habit changes that will support healing. You are a key part of the equation.
For even more information, such as what information is used, what the output looks like, and some frequently asked questions, check out my page all about SWAMI GenoType.
Happy weight, naturally
14/Apr/11 10:31 PM
by Kate Whimster, BCom, MIFHI, ND
In my practice I meet a lot of patients who want to lose weight, whether it be 5 pounds or 100 pounds! Most people have an unrealistic expectation of how much weight they can lose and how quickly this can be achieved. I recently read an article called “Ideal Weight or Happy Weight” about the impact even a small weight loss can have on your health and the theory of a weight “set point.”
“If you're overweight, losing just 10% of your body weight is associated with a myriad of health benefits, including lowering blood pressure, blood cholesterol, and blood sugar, and reducing your risk for heart disease.” These are amazing benefits that not only pay off in the short-run when you feel so much better, but in the long-run by significantly improving your quality of life! A 10% weight loss is a great goal to start with and helps patients adopt the habits that will build the foundation for great health for the rest of their lives.
“Your body weight is naturally regulated to stay within a range of 10%-20%.” Once you maintain a certain weight for a few years or even decades, it can be difficult to shift significantly outside of this “set point.” However, it is not impossible, it just requires more time, commitment, and consistency than most patients realize. You CAN lower your “set point” through healthy eating habits, exercise, and lifestyle strategies.
What else can I do to support healthy weight loss?
Naturopathic medicine is a great support for weight loss via a personalized nutrition plan, addressing underlying health issues obstructing weight loss, improving digestion, making the mind-body connection, and perhaps more importantly, supporting behavioural change at a deeper level using energy medicine. We’ve all heard that it is so important to address the REASONS behind habits to change them. In my practice I find homeopathy and acupuncture to be great stimulants for self-healing as well as useful tools to address food cravings, mood, stress, sleep, and motivation, all of which contribute to your ability to reach and maintain a healthy weight.
What can I do today?
You can start implementing some healthy weight loss strategies into your life right now:
• Eat a healthy, nutrient-dense breakfast every day
• Ensure you get adequate, quality sleep each night
• Eat a minimum of 5 servings of fruits and vegetables daily
• Get outside and walk for at least 20 minutes per day
• Stick with it! As they say, “practice makes perfect!”
In my practice I meet a lot of patients who want to lose weight, whether it be 5 pounds or 100 pounds! Most people have an unrealistic expectation of how much weight they can lose and how quickly this can be achieved. I recently read an article called “Ideal Weight or Happy Weight” about the impact even a small weight loss can have on your health and the theory of a weight “set point.”
“If you're overweight, losing just 10% of your body weight is associated with a myriad of health benefits, including lowering blood pressure, blood cholesterol, and blood sugar, and reducing your risk for heart disease.” These are amazing benefits that not only pay off in the short-run when you feel so much better, but in the long-run by significantly improving your quality of life! A 10% weight loss is a great goal to start with and helps patients adopt the habits that will build the foundation for great health for the rest of their lives.
“Your body weight is naturally regulated to stay within a range of 10%-20%.” Once you maintain a certain weight for a few years or even decades, it can be difficult to shift significantly outside of this “set point.” However, it is not impossible, it just requires more time, commitment, and consistency than most patients realize. You CAN lower your “set point” through healthy eating habits, exercise, and lifestyle strategies.
What else can I do to support healthy weight loss?
Naturopathic medicine is a great support for weight loss via a personalized nutrition plan, addressing underlying health issues obstructing weight loss, improving digestion, making the mind-body connection, and perhaps more importantly, supporting behavioural change at a deeper level using energy medicine. We’ve all heard that it is so important to address the REASONS behind habits to change them. In my practice I find homeopathy and acupuncture to be great stimulants for self-healing as well as useful tools to address food cravings, mood, stress, sleep, and motivation, all of which contribute to your ability to reach and maintain a healthy weight.
What can I do today?
You can start implementing some healthy weight loss strategies into your life right now:
• Eat a healthy, nutrient-dense breakfast every day
• Ensure you get adequate, quality sleep each night
• Eat a minimum of 5 servings of fruits and vegetables daily
• Get outside and walk for at least 20 minutes per day
• Stick with it! As they say, “practice makes perfect!”
Homeopathic flu prevention
20/Oct/10 09:45 PM
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!
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!