 Are you experiencing hormonal chaos? The kind most women are living with without even knowing that it is not normal!Do you have PMS that wrecks your week?
Do you have breast tenderness that won’t go away? Do you have irritability that turns to rage? Do you have migraines, spotting, or heavy periods? That frustrating layer of belly fat that will not budge? These are all probable symptoms of estrogen dominance. And it’s not because your estrogen is “too high.” It’s most likely because your progesterone is too low. Estrogen and progesterone are meant to ride a seesaw; when one rises, the other balances. But when progesterone drops (as it naturally does in under stress, or when ovulation slows down during the perimenopausal period), estrogen takes over like a hormonal dictator. Most women will likely be prescribed a hormonal patch or pill, or even an antidepressant, while what they probably need most is progesterone. Not only would it be important to increase the progesterone available in the body, but also to facilitate detoxification of excess estrogen in the body, causing symptoms of oestrogen dominance.
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Pregnancy and Scoliosis: What Every Expecting Mom Should Know
By Dr. Marlo Swanepoel Pregnancy is a beautiful and transformative journey—but it can come with unique challenges, especially if you’re living with scoliosis. As your body changes, so does the way your spine responds to those changes. The good news? With the right support and care, you can enjoy a healthy, comfortable pregnancy. Let’s take a closer look at how scoliosis may affect your pregnancy and the best ways to manage it. Understanding Scoliosis in Pregnancy Scoliosis is a condition where the spine undergoes a 3-Dimentional change in curvature, which can affect posture, balance, and spinal function. During pregnancy, your body’s centre of gravity shifts forward as your baby grows. This can sometimes make the spinal curve more pronounced, leading to:
Safe & Supportive Ways to Manage Scoliosis While Pregnant 1. Prenatal Chiropractic Care Gentle, pregnancy-safe chiropractic adjustments and mobilisations can help ease back pain, support spinal alignment, and promote overall comfort. In my practice, I provide customized care for pregnant moms with scoliosis to help them move and feel better throughout each trimester. 2. Exercise Specific exercises strengthen your core and back muscles, offering better support for your spine. Tailored exercise programs for pregnant women with scoliosis can also improve flexibility and reduce discomfort. 3. Support Belts for Extra Relief Maternity support belts help redistribute your baby bump’s weight more evenly, easing the pressure on your lower back. These can be especially helpful if your scoliosis affects your pelvic alignment or causes sciatica. 4. Alternative Pain Relief Options Other safe, non-invasive options include:
Is It Safe to Be Pregnant with Scoliosis? Yes! Most women with scoliosis can have completely normal pregnancies and deliveries. However, if your spinal curve is severe, it’s essential to have a customized birth plan and a care team that knows how to adapt around your condition. With the right strategies in place, scoliosis doesn’t need to stand in the way of a safe and joyful pregnancy. Final Thoughts Pregnancy with scoliosis requires a little extra attention—but it’s absolutely manageable. At My Chiro Doc, I focus on holistic, personalized care to support expecting moms through every stage of their journey.  by Dr. Marike de Klerk April is Autism spectrum disorder ( ASD) month. We have all heard of Autism, but do we understand what this disorder really is? Please read the article below for more information on ASD.What is autism? A child with Autism's brain works differently in their interaction and processing of the world around them. We don't know exactly why some people are autistic and others aren't, but we do know:
Is ASD becoming more prevalent? This is a hard question to answer. Some people might say that it is indeed on the increase considering the toxic, imbalanced world we live in. The other side might argue that the incidence is increasing with more accurate diagnosis and awareness of this syndrome. What are the signs and symptoms of autism?Autism symptoms/characteristics are specific behaviors that healthcare providers look for when diagnosing autism. There are many autistic characteristics and different individuals will display different behavioural traits and combinations thereof. Providers organize these characteristics into two main categories:
Toddlers:
 Your child’s gut microbiome lays the foundation for healthier brains, bodies, and immune systems - and even their hormones. Your microbiome plays a critical role in how your hormones - like estrogen, cortisol, and thyroid hormones - are produced, regulated, and cleared from your body.
Here’s the problem: most of us, including our kids, have some level of gut microbiome disruption. From processed foods to chronic stress, our microbiomes are inflamed, imbalanced, and overburdened. And when your gut is out of whack, your brain, immune system and hormones don’t stand a chance. With early puberty, late puberty, Hashimoto’s thyroiditis, PCOS, endometriosis, period problems, and adrenal dysfunction all on the rise in our kids and teens, we need to understand what to do now to protect our kids’ hormones, and their microbiomes. Here’s what you need to know:
 1. Fluoride
Fluoride used to be added to our water in South Africa but currently, Rand water does not add any. This is a big relief as fluoride can cause several health issues, including skeletal fluorosis, dental fluorosis, arthritis, osteoporosis, muscle damage, fatigue, joint problems, endocrine damage, and more. A recent report from 2024 found that fluoride exposure is associated with lower IQ in children. Because fluoride competes with iodine in the body, this can lead to hypothyroidism and impaired thyroid hormone production. Thyroid cells absorb iodine and combine it with the amino acid tyrosine. This is then converted into the thyroid hormone thyroxine (T4) and triiodothyronine (T3). If fluoride displaces iodine, the thyroid gland absorbs fluoride instead, thereby disrupting the production of thyroid hormones. Aside from our drinking water, other common sources of fluoride include the following:
2. BPA and Plastics Many of the plastic containers we use to store our food contain BPA, an endocrine disruptor. BPA is a xenoestrogen that may increase TSH and can trigger the autoimmune attack on the thyroid. Microplastics are found not only in obvious sources like plastic containers and packaging but also in the lining of canned foods and drinks, receipts, toys, electronics, and household items. There are even microplastics in our tap water! 3. Non-Stick Cookware Most common non-stick pots and pans contain phthalates and BPA, which are known endocrine disruptors. As mentioned above, these chemicals may increase TSH and perpetuate the autoimmune attack on the thyroid. Aluminum is also found in many cooking pans, and scratched non-stick pans are a common source of aluminum toxicity. Non-stick pans may also contain PFAs (a.k.a forever chemicals). Recent research has shown that even a single scratch on a non-stick pan can release anywhere from thousands to millions of microplastic and PFA particles. 4. Air Fresheners, Candles, and Perfume Artificial fragrances are in many of our personal care and household products, and they are another thyroid-disrupting toxin. These artificial fragrances contain harmful synthetic chemicals, including phthalates, parabens, and other endocrine-disrupting compounds, which have been linked to potential thyroid disruption, and some studies even suggest that these compounds may contribute to autoimmune activation. Synthetic fragrances found in some candles, incense, personal care products (body sprays, etc.), cleaning products, and even “odor removal” and air freshener products, may contain harmful toxins. One study examined 25 “fragranced” products and each product tested emitted one to eight hazardous or toxic chemicals, and 44 percent of products generated at least one carcinogenic air pollutant (acetaldehyde or formaldehyde). 5. Flame Retardants Flame retardants have been used since the 1970s in a variety of daily-use items, and can be found everywhere, including:
6. Pesticides Our agriculture system uses hundreds of herbicides and pesticides, many of which have known detrimental effects on our health. Glyphosate is one of the most widely used pesticides, and there is concern about its impact on our health. Specifically, there is a growing body of research showing that glyphosate exposure can negatively affect our gut microbiome. A 2023 study found that low-dose glyphosate exposure altered the gut microbiota in such a way that increased pro-inflammatory cells and markers of intestinal inflammation. These alterations can lead to leaky gut, which we know is one of the three factors that must be present in order for autoimmune disease to develop. 7. Mold Molds are all around us and their exposure in large quantities can sometimes lead to serious health problems. Indoors, the most common types of mold typically found are Cladosporium, Penicillium, Alternaria, and Aspergillus. Common health complications related to indoor mold exposure include asthma attacks, headaches, dizziness, sinus infections, and skin rashes. Some molds produce toxic secondary metabolites called mycotoxins. We call these “toxic molds,” as their mycotoxins can cause serious health problems for both humans and animals. An adverse reaction to mold can be a trigger for Hashimoto’s, asthma, and other autoimmune conditions. The mold Aspergillus, commonly found indoors, has been shown in studies to be a cause of thyroiditis in immuno-suppressed people. In one study, as much as 20 percent of people affected by disseminated disease were shown to have thyroids that were infiltrated by the Aspergillus mold. Mold exposure can also cause sinus problems. These infections can then drain into the gut and cause intestinal permeability. This “leaky gut” caused by mold exposure can become a major trigger for an autoimmune condition such as Hashimoto’s. A potential clue of mold being a root cause is when a person’s health deteriorates after moving into a new home. 8. Heavy metals Mercury, lead, and arsenic are some of the biggest hidden toxins found in conventional lipstick and other beauty products. They aren’t listed on ingredient labels, but independent lab testing has found these metals in many popular brands. Lead has long been linked to neurological issues and hormone disruption, while mercury can interfere with thyroid and adrenal function. Arsenic, another common contaminant, can cause hair loss, joint pain, fatigue, and even increase thyroid antibodies, triggering and driving autoimmune thyroid disease. Mercury can be found in high levels in some seafood, and in amalgam tooth fillings. High levels can accumulate in the thyroid gland, disrupting thyroid function and increasing the risk of thyroid cancer. Lead can be found in old paint, pipes, and some cosmetics, and chronic lead exposure has been linked to hypothyroidism. Lead can impact thyroid function by blocking iodine uptake and affecting thyroid hormone production. Aluminum is found in many cooking pans and antiperspirants. High levels of aluminum in the body have been linked to the development of autoimmune disease, as well as breast cancer and cognitive impairment.  Popping antacids like sweets? Or have been told "it's just acid reflux" Please read this.....
by Dr. Marike de Klerk Here's something that you might not know. Even though most people think acid reflux is caused by too much stomach acid, it's often linked to a stealthy bacterial infection called Helicobacter pylori. These tiny bacteria actually reduce your stomach acid. This may be the cause of that uncomfortable burning sensation you're experiencing. This bacterium has made itself at home in about half the world's population! And it's not just causing acid reflux - so many people struggle with mysterious symptoms that just won't go away, only to discover H. pylori was the root cause. This bacterium might cause symptoms like the following: · Stubborn bloating and abdominal pain · Constant burping (especially after meals) · Unexplained loss of appetite · Weight changes that don't make sense · Difficulty swallowing · Various skin diseases · And in some cases, more serious complications A big concern is that the World Health Organization has classified H. pylori as a class 1 carcinogen - that's in the same category as cigarette smoke! And it's not just about digestion - research is now linking H. pylori to everything from skin conditions to autoimmune issues and even diabetes. Although this is scary and H pylori is an infection hugely underdiagnosed, it can be treated. Conventional treatment, antibiotics and acid-reducing medications are the standard approach. However, these medications come with their own set of problems, from disrupting your microbiome to contributing to antibiotic resistance. And in the long run, they often make things a whole lot worse! Natural treatments might be hugely useful and the first place to start is with diet. While diet alone cannot eliminate this bacterium, the right foods create a powerful shield against H. pylori’s effects. Key nutrients like Vitamin C and zinc carnosine strengthen your body's natural defences. Sulforaphane from broccoli and targeted polyphenols that combat inflammation can also make a huge difference. Not only that, but Mother Nature has also gifted us with an incredible arsenal of powerful herbal remedies that can help fight H. pylori naturally and effectively. Contact your primary caregiver to test if you have H pylori. This can be done with a stool sample at any diagnostic laboratory.  Food allergies are such a big struggle for our babies and toddlers lately. So many babies are allergic to formula milk and even sensitive to breast milk. And then when the child has to start a solid diet, it becomes even more complex.
Dealing with food allergies or sensitivities can be incredibly challenging. While allergic reactions are often immediate and can be severe, symptoms of food sensitivities tend to be delayed, making it difficult to pinpoint the problematic food. Imbalances in the gut bacteria can weaken the gut barrier, making it more "leaky" to harmful substances. This disruption can cause the immune system to react aggressively to certain foods, leading to inflammation and allergy symptoms. It has been shown that children with food allergies like egg, peanut, soy, wheat, and milk often have gut microbiome imbalances. So many factors are at play, but the gut plays a crucial role in the immune system's overreaction and the development of food allergies. Here are a few factors to consider when an unbalanced gut causes or contributes to the development of allergies. First factor to consider:1. Bifidobacterium are beneficial bacteria that produce short-chain fatty acids, modulating the immune system, and preventing disruptive microbes from growing unchecked. These bacteria are crucial for a baby's gut during the initial months, particularly those Bifidobacterium species that break down breastmilk sugars. A lack of these essential bacteria can allow harmful microbes to thrive, compromise the gut barrier, or trigger inflammation. 2. Secondly opportunistic pathogens need to be considered as a potential cause. When present at high levels, opportunistic pathogens may cause trouble by promoting inflammation and disrupting the gut barrier. A weakened gut barrier is more permeable, something that has been detected in those with food allergies. Also, one study found that 3-month-old babies with higher levels of Enterobacteriaceae were at increased risk of developing food sensitivities at 12 months of age. 3. An overabundance of a single species is not ideal for gut health. High levels of unfriendly or variable species can cause problems. Even an excess of one beneficial species isn’t optimal, as it can occupy too much space and contribute to allergy symptoms. In conclusion, addressing the gut as part of the treatment for food allergies and any other atopic disease is very important. Your healthcare practitioner will be able to identify and assist with treatment according to your child's history and symptoms.  Postural Orthostatic Tachycardia Syndrome (POTS) is a condition that affects the autonomic nervous system and is marked by an abnormal increase in heart rate when moving from lying to a standing position. Research shows that 80-85% of people with POTS are women between the ages of 13-50 years. Have you experienced racing of your heart, spinning head and overwhelming fatigue when you get up from a chair or your bed? You might be suffering from POTS.
POTS is a disorder of the autonomic nervous system that impacts how the body regulates blood flow and heart rate. The biggest symptom of POTS is a significant increase in heart rate, usually by 30 beats per minute (BPM) or more within 10 minutes of standing. This rise in heart rate can occur without a substantial drop in blood pressure, as one would usually expect in patients with uncomplicated low blood pressure. The diagnosis for POTS can be very challenging as it can cause a wide range of symptoms, and the severity and combination of symptoms can vary from person to person. POTS is mostly associated with changes in heartbeat, but you can experience it in so many other ways such as leaving you feeling weak and winded. POTS symptoms can include:
POTS can develop after some of these conditions, but mostly the cause is unknown:
There is a incorrect understanding that the PCOS you have suffered from, perhaps for the last few decades, will just disappear as soon as your hormones change and peri menopause or menopause ensues. This is not true in many cases. During your peri/menopausal period your cycle will become more erratic and eventually your menses will disappear. You might still experience symptoms of PCOS though. PCOS unfortunately doesn't just go away during peri/menopause. The symptoms associated with high androgen levels as well as insulin resistance may even increase.  Lets explore the symptoms of PCOS and the differences between this and peri/menopausal periods. PCOS is marked by an imbalance in hormones, respectively oestrogen, progesterone and androgens/male hormones, as well as insulin resistance. This will lead to irregular periods, symptoms of high androgens like hirsutism and in some cases ovarian cysts. Periods are irregular due to absent ovulation and may lead to infertility. Ovulation only happens when you have a cycle and will result in stimulation of progesterone. When your cycle becomes irregular during peri/menopause, ovulation will be less frequent leading to a lower level of progesterone in comparison to oestrogen and oestrogen dominance symptoms will appear, causing a more tumultuous "change of life". This hormonal state of increased oestrogen compared to progesterone can also be seen in PCOS. What exactly causes PCOS is still very much unknown, but there seems to be a genetic link. Symptoms of PCOS include:
Menopause on the other hand, is not a disorder and a natural phase that all women go through. Menopause typically occurs around the age of 51. This is when menstrual periods cease due to declining ovarian function. Perimenopause, lasting up to 10 years causes symptoms like:
 If you are unsure whether your symptoms are caused by PCOS or peri menopause/menopause, it might be helpfull to have some blood tests done. You can contact your health practitioner to assist with this.
Dr. Marike de Klerk  When you are trying to achieve an optimal weight, it becomes even more important to eat the correct foods. Most people have a definite awareness of foods that may contribute to weight gain. Although carbohydrates have been vilified, it is important to judge carbohydrates according to their nutritional value. In general whole grains and vegetable carbohydrates are part of a healthy balanced diet. Whole Grains include foods like brown and wild rice, quinoa, buckwheat, teff, oats, rye, organic corn, spelt and millet. All vegetables are part of a healthy diet, except for potatoes that are high on the glycemic index and not good for blood sugar balance. Most of our carbohydrates should be obtained from veggies.
Every balanced meal should also include proteins and healthy fats. Examples of good proteins are chicken, fish, low fat dairy, eggs, beef and seafood, preferably from an organic source. Examples of good fats are avocados, healthy oils like avocado, olive or nut oils, nuts and seeds, fish and coconut oil/milk. As said before every meal should include a protein, fat, protein and complex carbohydrates. A carbohydrate should never be eaten alone, always in combination with a protein. Doing this will ensure that blood sugar levels remain stable. Weight loss can only be achieved if blood sugar levels are stable. Another common obstacle to weight loss is a "too long" feeding period. The body needs a break to process the glucose in the system and body cells. You might have heard of intermittent fasting and the advantages of it in weight loss. A 16 to 18 hours break in eating after dinner has been proven in studies to be beneficial for weight loss. This means that if you eat dinner at 7, that your fast should only be broken at 11am or 12am respectively. Over a period of time implementing intermittent fasting, the body will become more sensitized to insulin and achieving a healthy blood sugar balance becomes the norm. This will then be very favourable for weight loss. All of this might seem daunting and you are thinking that you are going to be starving to death with all these changes. On the contrary, the amount of food that you eat per serving is not the biggest concern, the type of foods as well as when you eat still remains of more importance. Like any new habit, the change to healthy foods will begin gradually and in no time you will feel equipped in stocking your fridge and cupboards with different foods as well as preparing different foods for meals. Eating a healthy diet is an important factor when you want to achieve an optimal and healthy body weight. Please contact the Naturopathic health care centre for more guidance with weight loss. Dr Marike de Klerk Homeopath Different types of tapes were covered: Dynamic tape, Kinesiology tape, McConnell tape, and Athletic tape. Dynamic tape A biomechanical tape that helps with function, manages load, and can modify movement patterns. Kinesiology tape Kinesiology tape promotes lymphatic and blood circulation and reduces pain sensitivity. McConnell tape Affects biomechanics and is mainly used for rehabilitation. Athletic tape Athletic tape is used for injury prevention, and is usually worn for a short amount of time.    Endometriosis can be debilitating, especially during a flare up. The severe pain can disrupt your daily life and limit your activities. This affects your quality of life and can be emotionally very challenging.
What causes these flare ups? It could be one of these; hormonal fluctuations, stress, increased inflammation, or fatigue. Tracking these triggers and an awareness can help you to avoid and manage them with a game plan. An aggravation episode can be explained as a time in your cycle where symptoms are more pronounced. Endometriosis is a disease where some endometrial lining outside the uterus responds to your monthly hormonal fluctuations. This process of thickening and elimination of the lining can cause the inflammation and pain experienced. The following are symptoms of endometriosis:
The intensity of these flare ups are dependant upon many factors and what is happening in your body. These are some of the triggers:
Stress increases cortisol levels. This will increase inflammation in the body, potentially aggravating endometriosis symptoms. Chronic stress can also affect hormones in other ways, such as by decreasing estrogen or progesterone, and therefore causing endometriosis or aggravating this condition. Foods that can contribute to gut dysfunction and inflammation are processed foods, red meat, dairy products, and foods high in trans fats or refined sugars. Poor diet can aggravate endometriosis. It is essential to have a nutrient dense rich diet dominated by anti inflammatory antioxidant rich foods. Just as bad as inactivity, too much exercise or lots of physical activities that put pressure on the pelvic region, such as high-impact workouts or intercourse, can sometimes trigger a flare-up of your endometriosis. A balance between good and bad bacteria in your digestive tract is essential for immune response and regulating inflammation. The bacteria in your intestines are also very important regulators of all hormones. Dysbiosis is thought to worsen endometriosis and to cause flare ups. A poor diet, stress and infections treated with antibiotics or cortisone can worsen gut function. Medications containing estrogen can stimulate the growth of the endometrial tissue in areas outside of the uterus. These drugs could be oral contraceptive pills, hormone replacement therapy, and fertility drugs. The following supplements may be beneficial in the management of endometriosis
Living with endometriosis often means facing very uncomfortable flare-ups that can impact your daily life, such as intense pain, bloating, and fatigue. By identifying personal triggers and implementing effective relief strategies, you can achieve better symptom control and overall well-being. To better manage endo flare-ups, consider keeping a diary to track the effects of your diet, exercise routine, stress levels, and use of medications. Remember, you don't have to suffer in silence—seek support from knowledgeable healthcare professionals who can offer valuable guidance and resources tailored to your unique needs.  by Dr. Marike de Klerk
As many as 50 % of women have hair loss in their menopausal years. The type of hair loss in menopause is defined as female pattern hairloss. This occurs when the size of hair follicles decreases, causing hair thinning and fewer hairs on the head. Female pattern hairloss mostly affects the central scalp and can be noticed along the part line, the front hair line, and the sides of the hair. It may also come out in clumps while showering or brushing your hair. In addition to the hair shaft reducing in thickness, the growth phase may be affected and more hair breakage may occur. Female hair loss in menopause has many causes and can include the hormonal influence on hair follicles, genetics, stress, and nutrient deficiencies. Studies suggest that hormone imbalances that occur in menopause, primarily a change in estrogen and progesterone can be to blame. Estrogen and progesterone declines in late perimenopause and into the postmenopausal years and hair growth is slowed. These two hormones are very important for healthy hair growth and without them, the hair can become thin, dry, and break easily. Estrogen is an essential hormone for overall healthy skin. Estrogen helps keep the skin firm, plump, and hydrated. When estrogen levels decline with menopause, it accelerates skin aging and also affects the hair follicles and can contribute to hair loss and thinning. When the body is actively converting estrogen to testosterone during menopause, this reduces the follicle's exposure to androgens. In some cases, the production of androgens or male hormones, including testosterone, can lead to shrinking of the hair follicle and hair loss. When high androgen is the issue, women experience hair loss on the head and can also see hair growth on the chin or upper lip. Progesterone is produced by the ovaries after ovulation, but as ovulation stops, the levels of progesterone decline. Progesterone also blocks the production of excess testosterone and prevent it from being converted into its stronger form, dihydrotestosterone or DHT. DHT is largely responsible for changes to the hair follicle that result in hair loss and thinning. Hypothyroidism and hyperthyroidism can both result in hair loss.The decline in estrogen and progesterone with menopause slows metabolism. It’s common for women to gain some weight in menopause, and an increased weight correlates with female hair loss . Insulin and blood sugar can also play a role in hair loss. It is important to try and identify the reason for this hairloss and adressing it in a effective way. Sister Alida Idema
It is found in the root of the nose. Think aeroplane cabin…. Back in the 1930’s the first aircraft was equipped with a pressurised cabin, enabling passengers and crew to breath more comfortably in the thinner air when reaching high altitudes. Since then, cabin pressurisation has become a technology that most passengers take for granted. Cabins are pressurised by pumping fresh air into them after which the air is cooled and humidified and then circulated throughout the cabin. Apart from creating a more comfortable environment, it is an important safety feature. Your cells need oxygen to produce energy and help your organs and tissues to do their jobs. Iron, that is contained in the haemoglobin of the blood, carries oxygen to every cell in the body. So, once the cabin achieves an ideal pressure level that is safe for the passengers, the aircraft maintains it at that level. However, sometimes things go wrong for whatever reason, As the aircraft cabin loses its pressure, oxygen masks will automatically drop down in front of passengers. Normally our bodies can maintain optimal oxygen levels enabling all our systems to work properly, but sometimes we need to supplement with the oxygen carrier, Ferrum phos. Ferrum phos is known as the first aid remedy and is the most important tissue salt to take at the first sign of infection and inflammation. It brings oxygen to the cells that assists healing. It is able to strengthen the blood vessels and their ability to distribute oxygen rich blood to the cells and carry the carbon dioxide back to the lungs. The presence of Ferrum phos activates all sort of processes within the body especially the process of releasing energy from the food we eat. Chronic conditions that ask for supplementing with Ferrum phos are fatigue and exhaustion, poor concentration, low immune resistance, migraines and headaches, rheumatoid pains. In acute cases Ferrum phos is given during the first stages of a common cold, earache, sore throat, feverish conditions (with pulsating pain, flushed cheeks and ears), joint pains, red and burning eyes, menstrual pain and gastrointestinal conditions. Foods that are rich in ferrum phos are garlic, celery, parsley, spinach, radishes and lettuce. Our hard-working bodies and busy minds can benefit by eating lots of these, fresh or cooked. And finally, take Ferrum phos - tissue salt no. 4 every day. Perimenopause and your thyroid.
Perimenopause is the phase before menopause. It can begin as early as in your thirties, but usually start between ages 40 and 45. You might start noticing that your period is changing- it might be longer or shorter, more frequent or skipping cycles, more or less flow, as well as symptoms that comes with hormonal changes. Perimenopause can last a few months upto a few years. Once you have had no period for 12 months, the perimenopausal phase is complete and menopause has started. Some women struggle more than others during perimenopause. Troublesome symptoms may include hot flashes, irregular periods, breast tenderness, fibrocystic or lumpy breasts and decreased libido. These symptoms are often like the ones you suffered from when you had PMS. Less obvious symptoms that seem unrelated to the female system can also be related to hormonal imbalances such as weight gain/increased fat storage (especially in the thighs, hips, and breasts), water retention, fatigue, brain fog, sleep difficulties, mood swings, insomnia, headaches, hair loss, and joint pain. Women are very likely to develop a thyroid condition during perimenopause, or experience a worsening of thyroid symptoms, because of the hormonal changes that are happening during this time. Oestrogen dominance is the main culprit in causing perimenopausal and thyroid symptoms. Although oestrogen and progesterone both decline during perimenopause, progesterone declines at a much faster rate, therefore causing progesterone to be lower in comparison to oestrogen, called relative oestrogen dominance. In a nutshell, this means that sometimes a woman may have normal progesterone, but may have symptoms of progesterone deficiency due to a hormonal imbalance caused by estrogen levels that are too high. Other times, women are symptomatic due to unopposed estrogen relative to progesterone, meaning that they have normal estrogen and low progesterone. If you have estrogen dominance, your conversion from T4 to T3 will not be optimal, leading to thyroid symptoms. Everyday events that can contribute to the increased levels of oetrogen are oral contraception pills, decreased detoxification, estrogen-mimicking toxins (also called xenoestrogens), gut issues, stress, and thyroid conditions. Low Progesterone SymptomsProgesterone is called "the happy hormone" and plays an important role in our mood, sleep, and bone health. It is also important for fertility. It is helpfull in reducing hot flushes and night sweats. Low progesterone leads to low thyroid levels. Here are some common symptoms of low progesterone:
The following supplements and advice can be used to boost progesterone naturally:
Progesterone is an important hormone during our fertile and childbearing years, but don't neglect your progesterone at any time during your lifeline as it will always play an important role in many bodily functions, not just for thyroid health. Dr Marike de Klerk Constipation can cause a decline in your brain function. We all know by now how important our gut function is for overall health, but the link between gut function and brain function decline is not that well known yet. Studies done recently are revealing that there is a very probable link between poor gut health, especially chronic constipation and early dementia. Chronic constipation may not only be a red flag for poor gut health, but a potential warning sign of cognitive decline. Researchers found that among more than 110,000 middle-aged and older adults, the ones who were chronically constipated, having fewer than three bowel movements a week, showed early signs of poor brain health. The findings presented at a meeting of the Alzheimer's Association in Amsterdam showed that people with chronic constipation typically performed worse on tests of memory and thinking. In addition, 73% of these same people reported that they were concerned about a decline in their cognitive function. The theory behind this research is that constipation and cognition are linked via the gut microbiome. The science is exploding with research linking abnormal gut microbiome and various diseases, including degenerative brain diseases like Alzheimer's. Constipated patients with cognitive decline tended to have relatively few gut bacteria that produced butyrate, an important fatty acid that helps control inflammation. If your brain capacity has become a concern to you, or perhaps your parents are showing signs of accelerated decline in brain function, please consider addressing their gut function. If they are constipated, this becomes a priority to be sorted out. Always remember there are much more to be rectified in the gastrointestinal tract than just replacing good bacteria. The gut functions as an "orchestra" and every musical instrument need to play "in tune" for the melody to be beautifull. Dr. M de Klerk   Chiropractic treatment is a non-invasive form of healthcare that aims to improve musculoskeletal function and alleviate pain. This approach is based on the belief that the body has the ability to heal itself, and that by removing any interference in the nervous system and improving mobility the body can function optimally.
Chiropractors use a variety of techniques to treat pain and improve the function of the musculoskeletal system, including joint manipulation, soft tissue therapies, and exercise recommendations. In this article, we will explore how chiropractic treatment improves pain and affects pain pathology. What is pain? Pain is a complex phenomenon that is influenced by both physical and psychological factors. It is a protective mechanism that signals the presence of tissue damage or injury and is essential for survival. However, chronic pain can be debilitating and have a significant impact on a person’s quality of life. It is estimated that chronic pain affects approximately 1 in 5 people in South Africa alone. Chiropractic treatment is one of the many approaches used to manage chronic pain, and it has been shown to be effective in reducing pain and improving function in many patients. How do Chiropractors treat pain? Chiropractors use a variety of techniques to treat pain, including joint manipulation, soft tissue therapies, and exercise recommendations. Joint manipulation involves the application of a controlled force to a joint to restore proper function, and yes chiropractors can treat any joint not just the spine. This technique is based on the belief that misalignments in the spine (subluxations) can interfere with the nervous system and lead to pain and dysfunction. By correcting these subluxations, chiropractors aim to improve nerve function, mobility and reduce pain. Soft tissue therapies are another important component of chiropractic treatment. These therapies include massage, myofascial release, and trigger point therapy. Soft tissue therapies aim to relieve muscle tension and improve circulation, which can help to reduce pain and improve function. In addition to joint manipulations and soft tissue therapies, chiropractors also provide exercise recommendations to help patients improve their strength and flexibility. These exercises are tailored to the individual patient’s needs and are designed to support the body’s natural healing process. How effective is chiropractic treatment in managing pain? The effectiveness of chiropractic treatment in managing pain has been studied extensively, and the results are promising. A systematic review of 26 randomized controlled trials found that chiropractic care is effective in reducing pain in patients with low back pain, neck pain, and shoulder pain. Another systematic review of 32 randomized controlled trials found that chiropractic care is effective in improving function in patients with low back pain, neck pain, and headaches. In conclusion Chiropractic treatment has shown to affect the nervous system, including the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis. These systems play a role in the body’s response to stress and pain, and by modulating their activity, chiropractic treatment may help to reduce pain and promote healing. In short chiropractic treatment improves pain by reducing inflammation, improving circulation, and restoring proper joint function. Exercise recommendations may also help to improve muscle strength and flexibility, which can reduce the risk of future injuries and pain.  Chronic pain is a debilitating condition that affects millions of people worldwide. It is characterized by persistent pain that lasts for more than three months and often does not respond to conventional pain management techniques.
Chronic pain can have a significant impact on a person’s quality of life and can lead to depression, anxiety, and other mental health problems. Understanding the complex mechanisms involved in chronic pain is crucial in developing effective treatments for this condition. In this article, we will explore the process of chronic pain, including the neurotransmitters and cytokines involved. The Process of Chronic Pain Chronic pain is a complex process that involves the nervous system, the immune system, and the brain. It is caused by a variety of factors, including injury, inflammation, and nerve damage. In the case of chronic pain, the pain signals persist even after the initial cause of the pain has been resolved. When an injury occurs, pain signals are sent to the brain through the nervous system. These signals are transmitted by neurotransmitters, which are chemicals that allow nerve cells to communicate with each other. Some of the neurotransmitters involved in chronic pain include substance P, glutamate, and GABA. Substance P is a neuropeptide that is involved in transmitting pain signals to the brain. It is released by sensory neurons in response to injury or inflammation. Glutamate is an excitatory neurotransmitter that is involved in the transmission of pain signals in the spinal cord. GABA is an inhibitory neurotransmitter that helps to regulate pain signals in the nervous system. In addition to neurotransmitters, cytokines also play a role in chronic pain. Cytokines are proteins that are produced by immune cells in response to injury or inflammation. They help to regulate the immune response and are involved in the development of chronic pain. Some of the cytokines involved in chronic pain include TNF-alpha, IL-1 beta, and IL-6. TNF-alpha is a pro-inflammatory cytokine that is involved in the development of neuropathic pain. IL-1 beta is a cytokine that is released by immune cells in response to injury or infection. It is involved in the development of chronic pain by sensitizing pain receptors in the nervous system. IL-6 is a cytokine that is involved in the development of chronic pain by increasing the production of substance P and other pain-related neurotransmitters. The Role of the Brain in Chronic Pain The brain also plays a crucial role in chronic pain. When pain signals are transmitted to the brain, they are processed in the somatosensory cortex, which is responsible for processing sensory information. The brain also has areas that are involved in emotional and cognitive processing, which can influence the experience of pain. The limbic system, which is involved in emotional processing, can amplify or diminish the experience of pain. The prefrontal cortex, which is involved in cognitive processing, can also influence the experience of pain by modulating attention and expectation. Conclusion Chronic pain is a complex process that involves the nervous system, the immune system, and the brain. It is caused by a variety of factors, including injury, inflammation, and nerve damage. Chiropractors use a variety of techniques to treat and improve the function of the musculoskeletal system, including spinal adjustment, soft tissue therapies and exercise recommendations. Dr. Marlo also makes use of various homeopathic, herbal and supplemental remedies to alter pain pathways in order to improve and manage pain. Last week, 3 years ago, our president declared a disaster state and locked us down for 21 days. Many people contracted COVID, some of them tragically passed away. Some patients recovered completely from the infection with no lasting symptoms.
Unfortunately, others suffered and are still suffering from what we call long COVID syndrome. At least 17 million people in the WHO European region experienced long COVID in the first two years of the pandemic; millions may have to live it for years to come. Many of the “long haulers” experiences heart symptoms like palpitations, dizziness, chest pain, shortness of breath, tightness of chest, tachycardia, and blood pressure regulation problems. Why did these patients’ hearts get affected and damaged? Temporary or lasting damage to heart tissue was due to several factors: Lack of oxygen. As the virus caused inflammation and fluid to fill up the air sacs in the lungs, less oxygen reached the bloodstream. The heart had to work harder to pump blood through the body, which was especially dangerous in people with pre-existing heart disease. Some hearts failed from overwork, or insufficient oxygen that caused cell death and tissue damage in the heart and other organs. Myocarditis: inflammation of the heart. The coronavirus infected and damaged the heart’s muscle tissue directly, as is possible with other viral infections, including some strains of the flu. The heart also became damaged and inflamed indirectly by the body’s own immune system response, called the cytokine storm. Coronavirus infection also affected the inner surfaces of veins and arteries, which caused blood vessel inflammation, damaged small vessels and blood clots, all of which compromised blood flow to the heart or other parts of the body. Stress cardiomyopathy. COVID infection also caused cardiomyopathy, a heart muscle disorder that affected the heart’s ability to pump blood effectively. When the virus attacked, the body underwent stress and released a surge of chemicals called catecholamines, which stunned the heart. Most serious of all, was the immune system that launched an attack on the invading virus that was so severe that it destroyed healthy tissues. When responding to infection with the coronavirus, the body released a flood of proteins called cytokines that helped cells communicate with one another and fight the invaders. In some people, perhaps due to a genetic difference, this normal defensive event was exaggerated, leaving them vulnerable to a cytokine storm. In this cytokine storm, the immune system response causes inflammation that overwhelmed the body, destroying healthy tissue and damaging organs such as the kidneys, liver and heart. The cytokine storm and its resulting heart damage also affected the heart’s rhythm. Serious ventricular arrhythmias due to a cytokine storm was for some patients catastrophic. The cytokine storm was difficult to survive. The damage for this immune reaction is a complicated problem and is probably the cause of residual inflammation in the cardiovascular system that cause long- haul COVID cardiac symptoms. There are currently treatments that can improve and hopefully in the long-term cure this conditions. As time goes on, I am sure more therapies will come to light. For now, it is a relief to know that we need not be despondent about this conditions, since alternative and functional remedies and medicines can assist favourably. Often the body just needs assistance to heal and bring the body back into homeostasis. For more information on how we can assist you, please contact the practice on 012 460 9216. Heart Rate and COVID-19 After you have had COVID-19, if you are experiencing a rapid heartbeat or palpitations, you should contact your doctor. A temporary increase in heart rate can be caused by a lot of different things, including dehydration. Make sure you are drinking enough fluids, especially if you have a fever. Symptoms of a rapid or irregular heart rhythm may include:
How can I tell if I have developed a heart problem after COVID-19? In some people, heart rates can vary from fast to slow, unrelated to exertion, for no apparent reason. But, Post says, shortness of breath, chest pain or palpitations after having COVID-19 is a common complaint. “Any of these problems could be related to the heart, but they could also be due to other factors, including the aftermath of being very ill, prolonged inactivity and spending weeks convalescing in bed.” Shortness of Breath “You want to consult a doctor if any of your symptoms are severe, especially shortness of breath,” Post says. She recommends using a commercially available O2 (oxygen) saturation monitor. “Shortness of breath by itself is not always a sign of a serious problem, but if you have that symptom along with low O2 (below 92%), that is a reason to be concerned.” Sometimes people are short of breath with exertion after COVID-19 because they have been less active for a long time and need to gradually build their fitness level back up. A diagnosis of heart failure after COVID-19 is rare. But if you have shortness of breath or leg swelling after COVID-19, you should contact your doctor, who may recommend evaluation by a cardiologist if tests indicate you are at risk. COVID-19 Chest Pain What about lingering chest pain, another common post-COVID complaint? “Chest pain may be nothing serious, but if you are having severe chest pain, get help, especially if it is persistent or if you are also having nausea, shortness of breath or lightheadedness: These could be symptoms of a heart attack.” “If you have chest pain when you inhale, you might have lung inflammation. Sudden, severe chest pain could be a blood clot in the lung (pulmonary embolism),” Post says. People recovering from the coronavirus sometimes show symptoms of a condition known as POTS (postural orthostatic tachycardia syndrome). Researchers are exploring whether or not there is a link. POTS isn’t directly a cardiac problem, but a neurologic one that affects the part of the nervous system that regulates heart rate and blood flow. The syndrome can cause rapid heartbeats when you stand up, which can lead to brain fog, fatigue, palpitations, lightheadedness and other symptoms. Can COVID-19 symptoms mimic a heart attack? Yes. People with COVID-19 can have symptoms similar to those of a heart attack, including chest pain, shortness of breath and changes on their echocardiogram (ultrasound of the heart) or EKG. But often when these patients are given an angiogram, there is no evidence of a major blockage in the heart’s blood vessels, which would indicate a heart attack in progress. Symptoms of myocarditis can also mimic those of a heart attack. Also, viral infections such as COVID-19 can cause very small blood clots to form, which can block tiny blood vessels and cause pain. People with signs and symptoms of a heart attack should seek urgent medical attention and not manage these symptoms at home.  It is found in the bones.
Think Kreepy Krauly… That magic pool cleaner that works day and night, clearing away all the decaying matter from the floor, climbing up the steps and suctioning off the accumulating dirt and debris from the sides. It removes all the waste by washing it through a filter system and circulating the purified water back to your pool. Without a proper cleaning system this material may otherwise lay dormant and decay slowly, causing damage to the surroundings and an irregular pH for the water. In the end, not only the water, but the marbelite and all other structures will be in a total mess, and nobody will want to use the pool anymore. Wouldn’t it be nice if we had such a thing in our bodies? The digestive system is forever working to chew, mash, digest, and reject what comes in through the mouth. So does the liver, gall, kidneys, and the urinary system. The same happens in the respiratory system. Whatever we breath in needs to be made useful or rejected. Another example is our vascular and lymphatic system. Our skin, the largest organ in the body is constantly getting rid of fluids filled with toxins, salts, and puss. Like the vacuum pool cleaner, these systems all work together to maintain a perfect balance in our bodies, preventing it to become such a mess, that we do not want to use it anymore. The Calc Sulph found in our bones assist in destroying old cells, abnormal discharges of puss, mucous and catarrh. However, sometimes things go wrong, and our systems fail. You might pick up a bad bug, anything from an ordinary cold to a stomach bug or a septic wound. You might battle with acne and pimples, boils, or slow healing ulcers. Suppurating insect bites, conjunctivitis (pink eyes) or another type of yellow discharge from the eyes. Other symptoms may be built up earwax, bleeding gums and mouth ulcers, tonsillitis, nasal discharge, and productive coughing. Furthermore, insomnia, general irritation and headaches could all be as a result of toxins in the blood from becoming liverish. That is when you need to supplement with Calc Sulph. Foods that are rich in calc sulph are onions, garlic, leeks, cauliflower, figs, prunes, celery, and parsley. These suffering bodies can benefit by eating lots of these, fresh or cooked. And finally, take Calc Sulph - tissue salt no. 3 every day. Article by Sister A Idema Dr. M de Klerk
Recurring cystitis can be a frustrating, debilitating condition that can interfere with daily life and sometimes even relationships. Cystitis is the term used for the inflammation of the bladder, and this inflammation is most commonly caused by a bladder infection. Some people are naturally just more prone to developing cystitis without any real cause. However, there are also a number of more specific causes that you should look out for, as knowing the cause makes it easier to prevent. 1. Not fully recovering from a previous infection As soon as the burning sensation and constant need to pee disappears we relax on the cranberry juice, or our water intake drops right down and we think we can get back to our usual routines. However, this can be a bit hasty, as at this point there may still be some bacteria left in the bladder that can quickly begin to multiply again if you aren’t carefull. Many natural products including homeopathic medicines as well as herbals can be used to make sure that the infection is cleared entirely. Please contact Naturopathic health care centre for advice on treatments. 2. Disruption to intimate or gut floraOur bodies are naturally home to a whole host of bacteria, and usually our friendly bacteria have the important responsibility of helping to keep our bad bacteria in check. However, things like antibiotics, poor diet or an over-use of antibacterial soap can easily alter this balance, and leave bad bacteria free to multiply. Specific strains of bacteria as well as certain foods can promote a diversity of good bacteria in your genitourinary tract and protect you from invaders that can cause disease. 3. Poor immune functionsIf your cystitis or UTIs follow the pattern of repeat infections, then it might be that your immune system isn’t working to its maximum potential. You rely heavily on your immune system to detect and eradicate any infection, be it located within your urinary tract or elsewhere. Herbals as well as homeopathic medicines can be used to enhance our inherent immune system. Contact Naturopathic health care centre for advice. - Dr. Marlo Swanepoel
A muscle cramp is a sudden and involuntary contraction of one or more of your muscles. Though generally harmless, muscle cramps can make it temporarily impossible to use the affected muscle. They are extremely common, particularly in the legs, feet and hands and at times the abdomen and ribcage. Generally, a cramp can last from a few seconds to minutes. Long periods of exercise or physical activity, particularly in hot weather, can lead to muscle cramps. They may affect any age and may also occur at rest. Causes of muscle cramps may be classified as: o Physiologic - Dehydration causing electrolyte imbalance - Overuse - Nocturnal (night cramps) - Pregnancy o Metabolic - Malnutrition – Deficiencies in B vitamins., magnesium, calcium and vitamin D - Underactive thyroid gland - Liver disease - Kidney disease o Medicine induced - Diuretics - Statins o Pathologic - Various neurological conditions and myopathic including stroke, Parkinson’s etc Why cramps occur is not always clear and the cause is not always clearly understood. Some theories of muscle cramps include: o Electrolyte disturbances affecting the contraction and relaxation of muscles, caused by exercise, overuse or some medication o Neural fatigue caused by overuse o Neurological disorders causing hyperexcitability of the nerves innervating the muscles. o Inadequate circulation causing a lack of oxygen and nutrients and a build-up of metabolic waste products. o Nerve root compression Treatment strategies o Ensure adequate fluid and electrolyte intake o Ensure adequate mineral intake o Ensure proper acid-alkaline balance o Stimulate peripheral circulation Diet strategies to improve and prevent cramps o Unrefined sea salt o Potassium: found in fruit and vegetables, especially bananas, sweet potatoes, avocadoes, green leafy vegetables, nuts and seeds etc o Calcium: dairy foods, nuts and seeds, green leafy vegetables o Magnesium: green leafy vegetables, whole grains, nuts and seeds, legumes, raw cacao Supplements that support Muscle Cramps o Magnesium – ensure that calcium to magnesium ratio does not exceed 2:1 esp if takin calcium supplements o Potassium o CoQ10 – especially if using statin medication o L-Arginine – vasodilator, be cautious is on blood pressure medication or if you suffer from low blood pressure Herbal support o Spasmolytic – ginger, crampbark, valerian o Circulatory stimulant, peripheral vasodilator – 78ginkgo, ginseng Physical measures o At first sign of cramp, stop and stretch muscle o Apply heat to cramping muscles o Ensure adequate fluid and electrolyte replacement when exercising If your muscle cramps are chronic or excessive related to the level of activity or do not resolve with the common treatment methods then further investigation by a health care professional is required. -By Dr. Marlo Swanepoel
Diabetes mellitus (aka sugar diabetes as called by many south Africans) is a metabolic disorder in which the body becomes resistant to the effect of insulin or where the body does not produce enough of insulin. Therefore, there is a build-up of glucose (sugar), in the body. This excess glucose can lead to serious health complications. During 2016 and 2017, Diabetes was the second leading underlying cause of death in South Africa and the number one cause of death in females. It was estimated that 4.58 million people between the ages 20 and 79 years old suffered with diabetes in South Africa in 2019. There was a rapid increase in the prevalence of diabetes, from 4.5% in 2010 to 12.7% in 2019. This caused South Africa to be named the unhealthiest county in the world in 2019. This in turn lead to the sugar tax being implemented and increased by the South African Government in order to fight the global Diabetes pandemic. Types of Diabetes Mellitus There are two main types of Diabetes Mellitus:
Testing for Diabetes Doctors will do a blood test to measure HbA1C levels. This stands for glycated haemoglobin. This test measures how well the body controls glucose over a period of 120 days, which is the lifespan of a red blood cell. Red blood cells contain haemoglobin. This protein is responsible for carrying oxygen. Once haemoglobin binds to glucose it becomes glycated. The higher the blood glucose levels the higher the number of glycated red blood cells would be thus the higher the HbA1C level. Normal HbA1C levels should be less than 5.7%. People are diagnosed with Diabetes if their HbA1C levels are higher than 6.5%. Complications of Diabetes
Prevention of Type 2 Diabetes Mellites Progressing from prediabetes to diabetes isn’t certain. Some risk factors like age, sex and genetics may not be altered but this does not mean it will cause or lead to diabetes. As mentioned before Type 2 Diabetes is mainly caused by lifestyle. How to reduce the risk
If you missed it, herewith a recording of my talk with Dr. Hema Kalan about acute childhood illnesses. Dr. Marike de Klerk Pomegranate is called the jewel of the fruits, not only because the seeds look like small gems, but also because of all the incredible health benefits.
- Antioxidant- it is rich in polyphenols that reduces the free radicals that can damage the body. - Nutrient boost- it contains an abundance of Vit E, Vit C, Vit K and magnesium. -Cancer prevention- polyphenols prevents the growth of cancer cells especially in the prostate, liver, lungs and skin. -Alzheimers- prevents the formation of amyloid plaques in the hippocampus. - Digestion- it reduces inflammation in IBD. - Inflammatory conditions- it reduces inflammation . - Arthritis- acts as an anti inflammatory and antioxidant. - Heart- it reduces systolic blood pressure and protects heart and arteries. -Antimicrobial - anti viral and anti bacterial activity - Memory- it improves learning and memory - Endurance and sport performance- it increases performance and post recovery rate. - Sexual performance and fertility- helps with spermatic dysfunction and increases mobility of the sperm - Wound healing- external application |
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