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Our children are in a state of mental health emergency.
Dr. M de Klerk Even before the pandemic, by the time kids are 18, almost 1 in 2 are diagnosed with any mental health disorder. Even before the pandemic, suicide was the 2nd leading cause of death in our youth ages 10-24 years, only second to unintentional injury, and far above influenza-related deaths. Children 10-14 years old are 13X more likely to die by suicide than influenza & for teens 15-19 that number climbs to 27X. Even during the pandemic, injury & suicide remained the top 2 causes of death among children & teens, and yes - even higher the pediatric deaths from COVID-19. In the winter of 2020, ER visits for suicide attempts by children ages 12-17 jumped almost 40% compared with the pre-pandemic winter of 2019. As we grapple with how this pandemic will end, let’s not forget that the epidemic of childhood anxiety & depression has been raging unchecked. We might think that only adults are burdened by this pandemic, financially and emotionally, but please do not disregard the effect on our children. Just because they can not vocalize their fears and worries like we do, we should not simply glance over their distress. Talk to them, make sure they know that you support them. And love them..... If they need extra support, natural functional medicine offers wonderfull effective treatments to support them on various levels.
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 How to Manage your Anxiety Now
- Green Tea Instead of Coffee L-theanine is an amino acid that promotes a sense of calm and happens to be high in green tea. If you feel more anxious with coffee or between meals, rather stop the coffee and opt for some green tea instead. L-theanine is typically taken at 200 mg twice daily in supplement form. - Taurine Taurine is a precursor to GABA, an inhibitory neurotransmitter that most people with anxiety are low in. The general starting dose is about 500 mg daily. - Passiflora Passiflora encourages healthy levels of GABA and can help ease anxiety. It is very useful to carry with you, and when you feel the anxiety bubbling up, take a recommended dosage. - Practice your deep breathing Whenever you feel overwhelmed, take 5 deep breaths. This will reset your active stressed nervous system into a more peaceful state. Try and do this several times a day to prevent you from getting to a full on panicked state Healing anxiety and depression through functional medicine removes the need for pharmaceutical management of your mood. Finding and treating the root cause can take time, but hopefully your practitioner can investigate and find the cause and put you on the path to healing. If you need any help with your anxiety or depression, please do not hesitate to contact us. Dr. M de Klerk Nutritional deficiencies might contribute or even be the cause of your depression and anxiety.11/25/2021 Nutritional deficiencies might contribute or even be the cause of your depression and anxiety. Dr. M de Klerk Nutrient deficiencies are a lot more common than you might think. If you have a digestive tract that does not work properly, your ability to absorb nutrients will be less and you will become deficient quicker. Being on a restrictive diet of any kind for too long, for example veganism, vegetarianism, keto, or autoimmune protocol, can put you at risk for deficiencies. Having a varied diet from all the food groups is essential. If you’re taking a nutrient depleting medication like the birth control pill, places you at an increased risk for nutrient deficiencies. Medication that block acid, like PPIs and Tums, as well as those used in diabetics can create nutrient deficiencies that can manifest as anxiety and depression as well. Nutrients like omega-3 fatty acids, EPA and DHA, B6, Inositol, folate, B12, copper, zinc, magnesium, and vitamin D have a direct impact on mood and are common deficiencies in people. Additionally, if you have any issues with protein absorption you will be deficient in the amino acids your body needs to make neurotransmitters. How to Heal Nutrient Deficiencies Have Appropriate Lab Testing The following blood tests will give you indication of what you are deficient in: • CBC • Ferritin • Vitamin D • Magnesium • B12 • Folate • Homocysteine • And others as needed Adopt a Whole Foods Diet On top of optimizing gut health and absorption, you’ll also need to focus on a nutrient dense diet. Eat colorful, fresh foods in abundance. In my next article I will discuss ways that you can improve your depression and anxiety in the interim while your practitioner works on identifying the root cause.   Nutrient Deficiencies
Dr. M de Klerk Nutrient deficiencies are a lot more common than you might think. If you have a digestive tract that does not work properly, your ability to absorb nutrients will be less and you will become deficient quicker. Being on a restrictive diet of any kind for too long, for example veganism, vegetarianism, keto, or autoimmune protocol, can put you at risk for deficiencies. Having a varied diet from all the food groups is essential. If you’re taking a nutrient depleting medication like the birth control pill, places you at an increased risk for nutrient deficiencies. Medication that block acid, like PPIs and Tums, as well as those used in diabetics can create nutrient deficiencies that can manifest as anxiety and depression as well. Nutrients like omega-3 fatty acids, EPA and DHA, B6, Inositol, folate, B12, copper, zinc, magnesium, and vitamin D have a direct impact on mood and are common deficiencies in people. Additionally, if you have any issues with protein absorption you will be deficient in the amino acids your body needs to make neurotransmitters. How to Heal Nutrient Deficiencies Have Appropriate Lab Testing The following blood tests will give you indication of what you are deficient in: • CBC • Ferritin • Vitamin D • Magnesium • B12 • Folate • Homocysteine • And others as needed Adopt a Whole Foods Diet On top of optimizing gut health and absorption, you’ll also need to focus on a nutrient dense diet. Eat colorful, fresh foods in abundance. Gut Health & ANXIETY by M de Klerk “Fire in the gut means fire in the brain.” Or in other words, if your gut is inflamed then your brain will be definitely too. Infections like SIBO, bacterial dysbiosis, parasites, yeast overgrowth, and H. pylori can be one cause of inflammation. Leaky gut and food sensitivities can also be a source of inflammation. As you can imagine, having brain inflammation makes us irritable, angry and anti-social. All your calm and happy inducing neurotransmitters are also decreased, leaving you to feel anxious and depressed. Your Gut Makes Serotonin About 400 times more serotonin is found in your gut than your brain to be exact. WOW! So it would appear that your gut may be the main centre of neurotransmitter synthesis and not your brain. Which makes sense why when you heal someone’s gut their mood gets better. How to Heal Your Gut? 1. Have Lab Testing Completed Having some labs done for your Gut could be beneficial. Your health care practitioner will be able to guide you here. 2. Removing Stressors Identify and remove any stressors that could be contributing to poor gut health. Here are two big areas to start with. 3. Unnecessary Medications. Remove NSAIDs, proton pump inhibitors (PPIs), unnecessary antibiotics, and birth control. Talk with your doctor before discontinuing meds. 4. Life Stressors. Like we mentioned above, chronic stress can actually change the makeup of your microbiome. It also disrupts the HPA-axis (hypothalamic-pituitary-adrenal), which affects pretty much all the hormones in your body. 5. Food stressors Remove foods from your diet that is know to cause irritation and inflammation in your intestines. Most people are sensitive to wheat, dairy, sugar and soya. Add Fermented Vegetables and fibre to your diet. This is a great way to begin getting some beneficial bacteria going in your gut! Raw, cultured, organic vegetables like pickles, sauerkraut, and other fermented vegetables like beets and carrots can promote the growth of good bacteria in the gut. In the case of SIBO or yeast overgrowth, we avoid these foods until infection is resolved. Your doctor will be able to guide you here. Bacteria need food to grow and thrive. Vegetables contain lots of fibre and will promote healthy growth. Image Source: motherhoodcommunity.com /the-gut-brain-connection  OCTOBER is MENTAL HEALTH AWARENESS MONTH
by Dr. M de Klerk Anxiety is so common that I am sure that you know someone who has had or currently has anxiety. Perhaps you are suffering from anxiety and you are trying to understand why this has happened to you. You are probably also exploring different options to make your anxiety better. The conventional perspective on anxiety is perhaps too simplified —myou have a neurotransmitter imbalance and you need a medication to re-establish that balance. This treatment may work, but not always. This assumes that you are broken and the only fix is a pharmaceutical drug that you might have to take for many years. And if you’ve chosen a medication to manage your symptoms—you have done nothing wrong. In my next article I would like to offer you some tools to help you manage your symptoms…and maybe even kick the anxiety for good. Dr. M de Klerk
In functional medicine we would rather try to identify the root cause of anxiety and then treating this body system/s. It’s like having a thorn in your foot—do you remove the thorn or just take the painkillers to shut the body up? Healing anxiety with functional medicine means figuring out why you have the symptoms in the first place, while also offering you some relief and tools to manage the anxiety in the day to day. 3 Common causes of anxiety- 1. HPA dysfunction and adrenal weakness 2. Compromised GUT health 3. Nutrient deficiencies 1. HPA Dysfunction & Adrenal weakness The hypothalamic-pituitary-adrenal axis (HPA) is what controls our response to stress and is why we fight, take flight or freeze when threatened with danger. This is a very good system and will save your life when threatened, but in our daily lives where our lives seems to be threatened constantly, our ancestral brain cannot understand this and it freaks out.... causing anxiety. What happens when there is chronic stimulation of the stress system? We see a change in the production of cortisol, DHEA, pregnenolone and even progesterone. This in turn alters our neurotransmitters, brain hormones. When unbalanced, some of these hormones causes panic, and the ones that are supposed to keep us calm is deficient. But it isn’t just mental or emotional stress that can unbalance the HPA axis… Inflammation stemming from chronic disease, hormone imbalances, infections etc can cause a disruption in the HPA axis. And as the system becomes more and more imbalanced, inflammation increases, creating a vicious cycle that can keep you in a state of panic. Common Hidden Causes of Inflammation: • Autoimmune disease • Gut infections • Chronic viral infections • Blood sugar imbalances • Oestrogen dominance • Insomnia and sleep disruption How to Heal the HPA Axis 1.Work with an Expert If you’ve got serious HPA dysfunction then you’re going to need to partner with an expert to treat the root and rebalance the system. 2.Reduce Stress -Meditate. You do not need to practice yoga or even have a mat. Just close your eyes for 5-10 minutes daily and focus on your breath. Feel yourself inhaling and exhaling completely. Relax in your chair and let yourself spend a few minutes away from whatever is bringing you stress. Be Present. Take a moment to look around you and without judgement, take it all in. This is the practice of mindfulness. Being present in moment can help decrease anxiety, stress and depression. Try to spend at least 5 minutes a day just observing the life that surrounds you. Move Your Body. Even if it is a walk around the office. Movement will allow you to release tension from the body, increase oxygen to your brain and counter what that nasty stress hormone, cortisol, is doing to your body. Reinforce Circadian Rhythm This is the natural sleep/ wake cycle that your adrenals and mood love. Do this every day! 1. Expose yourself to natural light upon waking. 2. Wear amber glasses 2 hours before bed. This will drop cortisol and raise melatonin…what your body should be doing at this time. 3. Sleep in a completely dark room. No light. No exceptions cellphones or charger lights. In my next article we will talk about Gut health and how it impacts on your mood. Image Source: <a href='https://www.freepik.com/vectors/design'>Design vector created by freepik - www.freepik.com</a> Following on from my previous article (http://www.naturopathichealthcarecentre.co.za/.../how-to...) where we discussed the workings of the parasympathetic nervous system, here are a few strategies to help restore the balance.
Here are 11 strategies that you can use to stimulate your Vagus nerve and to promote a more restful parasympathetic state: 1) Breathwork- diaphragmatic breathing Place one hand on your stomach and the other hand on your chest. As you breathe in, feel your stomach expand, and when you exhale, your stomach should go back down. This is also known as “belly breathing.” This lowers your heart rate and blood pressure. 2) Connection Community and belonging help you to feel safe and secure. When you are connected, you are calmer and more positive. 3) Diving Reflex To stimulate the diving reflex, you need cold exposure. You can splash cold water on your face or put ice cubes in a ziploc bag against it. According to Dr. Arielle Schwartz, “The diving reflex slows your heart rate, increases blood flow to your brain, reduces anger and relaxes your body.” 4) Humming, Singing or Gargling Don’t you always feel better when you start to hum or sing? Your worries are swept away by a song. Well, that’s because it’s activating your vagus nerve! Simply sing to feel better or gargle if you prefer. 5) Probiotics It is clear to researchers that gut bacteria improve brain function by activating the vagus nerve.” 6) Omega 3 Fatty Acids You can get these from fish oil, or if you’re a vegan, you can find them in chia seeds, flaxseed, hemp seed oil and walnuts. 7) Mindfulness and Meditation According to a study, Loving-Kindness-Meditation created a healthy vagal tone in participants. Check out this guide for how to do this mediation here, and know that mindfulness in general is a way to activate your vagus nerve as well. Being present centers you. Yoga Yoga is a parasympathetic activation exercise that helps with digestion, blood flow and more. 9) ASMR (Autonomous Sensory Meridian Response) ASMR sends “tingles” from your scalp down your spine and helps calm your nervous system with the use of triggers or tools. This entails whispering, scratching, tapping and other noises that pull you into a trance. There are many on Youtube. 10) ‘OM’ Chanting If you want to activate your vagus nerve, a great way to do it is by chanting “OM” over and over again. This is often used in yoga, mantras and different faiths such as Hinduism and Buddhism. Whether you perceive it as a spiritual practice or just a meditation practice, it helps to calm you and create inner peace. Studies have shown that this creates greater relaxation. 11) Positive Self-Talk Christopher Bergland says he uses Cora Harris’s mantra to stimulate his vagus nerve, “The bravest thing you can do when you are not brave is to profess courage and act accordingly.” This produces positive self-talk even when you are feeling afraid. Dr Marike de Klerk Dr. M de Klerk
Your parasympathetic nervous system is the system that puts your body in a restful state. In opposition to this is the sympathetic nervous system that triggers the secretion of adrenaline and puts you in a more stressed state. Your nervous system regulates your immune system and keeps inflammation in check. This means that the more you stimulate the parasympathetic branch of your autonomic nervous system, the more you can support your immune health, control stress levels and reduce inflammation. The Vagus nerve is the biggest and most important nerve in your parasympathetic nervous system. Stimulating your Vagus nerve helps to activate your parasympathetic nervous system, which helps and supports healthy immune function. Just as your car has a gas pedal and brakes, your nervous system has two speeds. The sympathetic fight-or-flight branch automatically helps you accelerate and avoid danger or provides a burst of energy to combat perceived dangers – like stress, injury or infection. In response to danger, your sympathetic state activates the fight-or-flight response and triggers your body’s immune system to react instantaneously, releasing stress hormones like cortisol and adrenaline through your body. Your heart rate and blood pressure increase, and digestion slows or stops altogether, as blood is routed away from your internal organs toward your limbs in preparation to fight or flee. Your respiratory rate increases to transport nutrients and oxygen to the cells faster. Your muscles tense and blood vessels in the extremities constrict, sweating increases and if there is an injury or infection, the area becomes inflamed. Inflammation kicks your immune system into high gear to protect you from more damage so it can heal. During the inflammation process, blood vessels in the area of the damage or infection widen and release more immune system cells into the surrounding tissue. Inflammation is supposed to be short term. Once the stress, injury or infection has been adequately addressed, your body is designed to shift back into the parasympathetic state of the nervous system, so your body can relax and your immune system shifts back into balance. Your parasympathetic nervous system counterbalances your sympathetic nervous system by calming and relaxing the body. It slows your heart rate, reduces inflammation and prevents the immune system from overreacting and over responding. Your parasympathetic nervous system TURNS ON your immune processes, allowing your body to fight pathogens, bacteria, fungus, parasites, viruses and infections. In contrast, your sympathetic “fight or flight” nervous system triggers the release of stress hormones that decreases your immune system function to prioritize immediate survival. This reduces your ability to fight off pathogens, making you more susceptible to pathogens and chronic infections. This can create a viscous cycle as chronic infections put you into an inflamed state which further triggers the sympathetic nervous system. We know how detrimental a overstimulated sympathetic nervous system can be to the body, damaging and depressing immune system. In the next article we will explore what can bedone to balance your nervous system. Dr. M de Klerk
If you have too little pancreatic enzymes, you will not be digesting and absorbing fats. You may have digestive upsets as well as other symptoms such as low energy and increased cravings for starches. This will be because fats, that are a more sustained source of energy in your body, will be undigested and not absorbed for energy usage. Symptoms of fat malabsorption syndrome:
Symptoms of deficiency of fat-soluble vitamins, A, D, E and K Vitamin A deficiency
Vitamin D deficiency
Vitamin E deficiency
Vitamin K deficiency:
In the next article we will discuss what you can do to improve your fat digestion, without taking a supplement.  1. Vitamin D There is an indisputable relation between vitamin D and the immune system. Vitamin D stimulates the innate as well as adaptive immune system, enabling your immune system to activate for quick fighting, as well as a slower immune response that is more specialized. One finds some vitamin D in food sources, but minimally. Our bodies do manufacture Vitamin D on exposure to sunshine, but this also seems to be insufficient. This results in an average of around 50% of a population deficient in this especially important hormone. It becomes essential to supplement with this vitamin, especially during winter months when more infections are prevalent. Please make sure that your supplement is Vit D3 or cholecalciferol and that it is clean and of good quality. 2. Vitamin C This vitamin contributes to strengthening the immune defense. It protects the mucous membranes against invasion from bacteria and viruses and activates the killer cells to eradicate pathogens. We cannot make our own vitamin C and we need to obtain it from our diets, mainly from fruits and vegetables. The standard diet does not contain enough of this vitamin and supplementation becomes essential especially during winter months when there are more viral diseases. 3. Zinc This mineral supports the active and passive immune system. Zinc needs to be taken daily as the body has no specialized zinc storage system. 4. Selenium Deficiencies of this mineral may contribute to a decreased immune function, especially to viral infections. Selenium stimulates the immune system and may activate the killer cells to eradicate organisms. By Dr. M de Klerk
Many patients with Hashimoto’s have digestive issues. It does not often occur to them that it might be linked to their thyroid disease. Some just accept these gut challenges as the norm. Recurring diarrhea, stomach pain, gas and bloating are not normal. These symptoms can be resolved quickly with the use of the correct digestive enzyme, and most patients will report back with positive outcomes. Food consists of different substances, protein, fat and starch, and digestion of any of these could be your challenge. Protein seems to be the most challenging of them all, according to studies. Deficiency in pancreatic elastase, is often the root of fat malabsorption. Many nutrients and vitamins need to be emulsified in fat to be absorbed. Pancreatic enzymes, together with bile from the gallbladder, mixes in the small intestines to break fats down into tiny droplets that can now be absorbed into the gut. Without adequate bile and pancreatic enzymes, many essential nutrients can be lost and excreted with other wastes in the stool, leading to deficiencies such as fatty acid deficiency. Also, food will not be digested and can result in the development of food sensitivities and small intestinal bacterial overgrowth due to putrefaction Pancreatic elastase deficiency can be tested accurately in the stool. Having a low level of pancreatic elastase can be associated with:
The link between Hashimoto’s and low pancreatic enzymes are as follows: Thyroid hormone level affect metabolism of all hormones in our bodies as well as all other endocrine glands. Motility of the stomach will be impaired in hypothyroid patients leading to slowing down of the movement of partially digested food and digestive juices. This can cause gas, bloating and other digestive symptoms including overgrowth of bad bacteria in the gut. Decrease in T4 also slows liver cholesterol metabolism, changing the thickness of the bile, resulting in a decreased fat digestion. This scenario will lead to a situation of multiple deficiencies in nutrients, vitamins, and minerals. In a follow up article to this one, we will discuss the telltale symptoms of a variety of nutritional deficiencies. by Dr. C Groenewald
It is that time of the year again, colds and flu season. Both colds and flu are caused by viral infections and can make you feel pretty sick. It is commonly accepted that you can't do much for a mild viral infection except fluids and rest, but that is not true. Your homeopath, naturopath or functional medicine doctor has an entire arsenal of vitamin therapy, herbals and homeopathic medicines that has been proven to decrease the severity and duration of colds and flu. There are also so many things that you can do at home to boost and strengthen your immune system to protect you from recurrent or severe colds and flu. Here are 5 tips to boosting your immune system this winter. 1. Eat 7 servings of vegetables per day. A colorful spectrum of vegetables contain the compounds your immune system needs to function optimally. 2. Avoid conventionally reared animal products and produce. Treated with routine antibiotics and growth promoters, this will harm the good bacteria in your gut (where 70% of your immune system resides). 3. Get 7-8 hours of restful sleep every night. Sleep deprivation causes unbalanced cortisol levels which can fuel chronic inflammation and cause chronic illnesses. 4. Avoid sugar. Sugar is the single most harmful food substance that will destroy your healthy gut bacteria and promote leaky gut and chronic low grade inflammation which will leave you with a weakened immune system. 5. Get enough vit D. Vit D has in recent years emerged as a powerful immune modulator. Before taking a vitamin D supplement it is essential that your have your vit D levels tested first as vit D is a fat soluble vitamin and you can therefor cause a vit D toxicity. #immunesystem #immunity #immuneboost #coldsandflus #influenza #commoncold #boostingyourimmunesystem #healthyguthealthyyou #vitd3 #eatyourveggiespeople #homeopathyforall #naturalmedicines #healingnaturally #herbalmedicine #homeopathicdoctor #homeopathicmedicines #drchantellgroenewald Dr. C Groenewald Food contains the information our body needs to heal and follow healthy physiological pathways. Food can also harm and promote disease. For this reason one should always look at your plate of food and ask yourself, is this food that will heal or food that will harm? The food that we eat can either act as medicine, or it can promote illness, for this reason, there are specific foods, known to cause disease that I eliminate from my diet. Here are my top 5 foods to avoid:
Dr. M de Klerk
In our fast paced, time-blurred life we do not prioritize sleep. There is so much to do on a daily basis and trying to fit it all in necessitates our children to compromise on sleep. Children need between 8-12 hours sleep per night. A baby or toddler needing the most and our teenagers may require less as they move more to adulthood. We all know that sleep is good for our children, but do realize how detrimental it is? Lack of sleep will affect our children physically and psychologically, greatly affecting their quality of life. It will affect their hormones, immune system, detoxification, healing and repair of the body, as well as mental status. We all know what an over tired child behaves like. In an age where children seem to have increasingly more emotional as well as learning challenges, it is vital that we address lack of sleep as a primary contributor to decline in cognitive function as well as mental wellbeing. There is a frightening increase in the rate of diagnoses of chronic diseases in children, even auto immune diseases in children are becoming more prevalent. There are a few essential factors that needs to be addressed for your child to ensure deep and peaceful sleep:
Dr. M de Klerk
Hashimoto’s thyroiditis affects one in every 6 women. This condition can only be effectively addressed by treating the patient as a whole. There are many “triggers” that can activate this auto immune disease and finding those triggers can be the solution to resolving it too. It is not always easy or totally clear what the triggers are, and, in that case, the whole body’s health needs to be taken in consideration. The 4 supportive steps that needs to be followed, as the starting point for all Hashimoto’s patients to begin the healing journey, is as follows: Step #1- Removal of trigger foods- some foods will contribute to activating your immune response on a daily basis, eventually ending up in an overwrought state of auto immunity. Removal of these foods are essential. Step #2- Adding healing foods- these foods will help heal your body, i.e., “food acting as medicine.” Step #3- Reducing toxin exposure- Living a cleaner life sounds like a huge endeavor but is much easier than you think. “Giving your body a break” will tip the scales towards healing. Step #4- Supporting your detoxification pathways- Removing the accumulated toxic burden as well as toxins from daily living is vital for a functioning body. Hashimoto’s thyroiditis is a journey, but invariably, can be improved. by Dr. M de Klerk
Making small, step by step nutritional changes will add up to big shifts in your child. Remove these 7 things from your child's diet:
By taking care of the gut, we take care of the brain. Better gut and brain health ultimately leads to fewer symptoms and improved daily life. "Cortisol is an indirect fat-making hormone; when it releases excess glucose into the blood, this causes abnormally high insulin levels to convert the sugar into fat around the abdominal organs." Dr. Eric Berg.
Chronic low grade cortisol secretion = weight gain. Simple as that and yet so complicated. I have so many women struggling to lose weight in spite of healthy balanced diets and exercise. These cases are rarely uncomplicated but managing stress and reversing the effects of too much cortisol is the first step and this makes a big difference in your attempts to lose weight. Here are 5 tips to manage chronic stress and nourish your adrenal glands. 1. Moderate exercise. High intensity exercise can overburden already tired adrenal glands, while mild to moderate exercise allows for endorphin release which can help turn off the HPA (hypothalamic pituitary adrenal axis). 2. Breathing exercises are a wonderful way to trick your body into calming down during a stressful time. When we are stressed out we tend to hyperventilate with shallow breathing. Slow, methodical, rhythmic breaths sends a message to your brain that it can stop secreting loads of cortisol because you cannot be running away from a threat if you are breathing normally. 3. Heal the gut. Chronic low grade inflammation emitted from an unhealthy leaky gut will cause constant low grade cortisol (the anti-inflammation hormone) from your adrenals. 4. Meditation is a wonderful way to nourish over taxed adrenal glands and balance cortisol levels. Studies have shown that 20 minutes meditation per day can help reverse the negative health effects of too much cortisol 5. Rest and recover. This is so important. To switch off, rest and recover. This is also so difficult. Our modern lives allows for emails on our phone, intrusion of social media, easy access to everyone via many routes. Try to really switch off when you get home. Put your phone away and switch off your emails. Avoid social media, checking your phone before bed or first thing in the morning. Be where you are, in the moment, be present. Do not divide your attention between home, work, errands, school and everything else. Be where you are, focus on what you are doing and do not let the different spheres that need your attention overlap. Warm Regards Dr. Chantell Groenewald M. Tech Hom UJ 0748251814 By Dr. Chantell Groenewald
M. Tech Hom UJ Anxiety is a serious disorder affecting so many women today. Before diagnosing anxiety, you have to ensure you have eliminated other physical causes, medications or underlying diseases that may present as anxiety. Some common underlying medical conditions, medications, substances and vitamin deficiencies that can cause anxiety include: - Thyroid disfunction (hyper or hypo-thyroidism) - Glucose and Insulin abnormalities - Vitamin B12 deficiency/overload - Oestrogen dominance - Menopause - Environmental toxins - Electrolyte imbalances - OTC or prescription drugs - Autoimmune diseases such as SLE - Certain connective tissue disorders - Stimulants such as caffeine and alcohol - Food additives such as MSG - Food allergies Individuals who suffer with anxiety should visit their primary health care physician so that he/she can take a thorough case study and medical history as well as order the necessary tests to eliminate all possible underlying causes of anxiety and treat accordingly. For more information or any queries, please do not hesitate to contact us on 0124609216 or email cgroenewald@hotmail.co.za
By. Dr. Chantell Groenewald M. Tech Hom UJ
The human microbiome houses some trillions of microorganisms which mostly consists of bacteria. The total genetic make-up of our microbiome far outweigh our own genetic make-up. Humans are 99.9% the same from a genetic point of view, it is our microbiome that separates us, the composition of each individual's microbiome can differ up to 80-90% from one person to another. Our gut microbiome (some 3 trillion genes vs our own 22 000 genes) plays such an important role in our normal physiological processes, including metabolism, breaking down nutrients for absorption, hormone production and immunity. Several diseases have been linked to an imbalance in the gut microbiome and for this reason it is crucial to maintain a healthy gut microbiome. Research now even suggests that what attracts us to other people is their microbiome which may house microbes that our body needs to heal. As you can see, a healthy balance of our gut microbiome is essential for a healthy host. For this reason, we should strive to eat food that feed the healthy gut microbiome and avoid foods that feed the bad bacteria. Here are 5 tips to a healthy gut microbiome.
Hippocrates was the father of modern medicine; he was a man way ahead of his time and understood the importance of gut health and overall health. For this reason, he said, "disease begins in the gut". Stool analysis is a test aimed at identifying various species in the microbiome, good and bad, as well as identifying markers for gut permeability and inflammation. This unique test can identify overgrowth of various species or missing species that negatively affect our health. This test offers valuable insight into gut health and diseases associated with dysbiosis of gut flora. For more information on stool analysis, contact 0124609216 or email office@nahcc.co.za. Doctor, where and when did my Hashimotos start? Why did nobody diagnose it before?
These are frequently asked questions. Perhaps looking at the different stages of Hashimoto’s will help you answer this question. Stage 1 Your genes make you more prone to developing Hashimoto’s. Thyroid function is normal and no attack on thyroid gland, antibodies are not present on bloods Stage 2 Your TSH is normal but antibodies are now detectable in your bloods. An ultrasound might show Hashimoto’s changes. Stage 3 The thyroid gland loses some of its ability to produce thyroid hormones and TSH might be slightly elevated. T3 and T4 is still normal. More symptoms of hypothyroidism will be noted now Stage 4 The thyroid has now lost is capability to produce thyroid hormones and TSH, T4 and T3 will now be abnormal. This is often the stage where hypothyroidism and Hashimoto’s is diagnosed. Stage 5 There is a progression of the autoimmune response and other autoimmune diseases might now also be diagnosed. So, if you track your progression into Hashimoto’s, you might realise that this has been a development over many decades or years. For assistance with your Hashimoto’s please contact Dr Marike de Klerk on 071 610 2852 at Naturopathic health care centre.
By: Dr. Chantell Groenewald (M. Tech Hom UJ)
Insulin resistance. Insulin is a hormone secreted by the pancreas in response to eating. Insulin's function is to store the energy from our food either as glycogen (stored in the liver and the muscles cells) or fat in adipose tissue stores. Our cells require glucose (from the food that we eat) for energy. Insulin receptors on the cell surface act as a key-and-lock, binding with insulin in the blood to 'unlock' channels for glucose absorption into the cell. When cells become insulin resistant, our pancreas secretes more insulin in an attempt to absorb glucose into cells. Increased visceral adipose tissue (central obesity) raises cortisol levels due to the high levels of inflammation caused by excessive inflammation markers secreted in adipose tissue. Cortisol is secreted to combat raised inflammatory markers. Cortisol (also known as the fight and flight hormone) directly inhibits the effects of insulin to ensure adequate levels of glucose during the fight and flight response. So chronically elevated cortisol causes cells to become insulin resistant, causing the pancreas to to increase insulin secretion . Now as I mentioned earlier, insulin serves to increase stored energy, so elevated levels of insulin favors fat deposition. Fat cells = increased cortisol = insulin resistance = higher levels of insulin = increased fat deposition. So, fat makes you fat. Here are five tips to combat insulin resistance: 1. Intermittent fasting (IF). Speak to your doctor to find out if this is an option for you. IF has been proven to reduce insulin resistance to increase your cells sensitivity to insulin. 2. Eliminate all forms of sugar from your diet, this includes honey, sweetners and sugar substitutes (non-nutritive sweetners such as aspartame). 3. Eliminate refined and fast releasing carbohydrates from your diet. 4. Avoid food that contain additives that can cause an insulin spike, this includes foods such as maltodexrin, corn syrup, high fructose syrup and maize/corn starch. 5. Eat a balanced diet with at least 7 servings of vegetables each day. Remeber to include healthy fats such as coconut and olive oil and only use grass fed, organic, hormone free meat and animal products. For more information, or to book an appointment for a weight loss assessment, please phone the NHCC on 0124609216.
By: Dr. Marlo Swanepoel
An LBA is a screening test use to give us as practitioners a broad overview of your health situation. An LBA is not a definitive diagnostic tool but, it is a tool that assists us to identify possible disease-causing problems. As your blood come into contact with your entire body, the blood and changes within may generate a picture of your health status. It may be compared to a blood smear. This is a laboratory test to evaluate your red blood cells (RBCs), white blood cells (WBCs), and platelets. It is used to distinguish between the different types of WBCs, and to determine their relative percentages in the blood, which assist us to detect, diagnose, and monitor a range of deficiencies, diseases, and disorders involving blood cell production, function, and lifespan. An LBA however does not make use of stains of chemicals preventing blood clotting. LBA is composed of bright and dark fields. With standard bright field microscopy, you see the object you want to view, lit by bright light. 
Darkfield microscopy blocks the light from the surrounding area so that you see the magnified images against a dark background. This allows better contrast and a better view of unstained specimens.
As mentioned previously we mainly look at is your red and white blood cells. It is quite easy to identify the types of white blood cells, which allows us to instantly see and identify any changes, which may indicate certain disease states.
Certain shapes and sizes of your red blood cells might also indicate a possible conditions and nutrient deficiency, for example possible Vitamin B12 deficiencies, as Vitamin B12 plays a major role in the synthesis of red blood cells. The plasma of the blood (the watery substance in which the blood cells float) also indicate some disease conditions. This is mainly where some intracellular parasites may be seen. How does the process work? Your finger will be pierced with a lancet. A small drop of blood will be taken and placed on a glass plate, which is then covered with another thin glass film. This is then placed under a microscope. Generally, the practitioner will be able to project the microscopy field (what the Dr. can see) onto a larger screen allowing the patient to visualise their own blood. What do we at the NAHCC use LBA for? An LBA gives you a visual representation of what your blood looks like, which impacts your health. It empowers both the doctor and the patient with valuable health information. Generally, when patients can visualize potential problems, and see how things work, they tend to better adhere to treatment plans. We at the NAHCC use LBA as an additional screening tool to assist in the treatment and management of our patients. By no means does the LBA replace required laboratory tests, it is merely used as a screening tool, similarly to what a finger prick test is used to screen for diabetes and high cholesterol.
By: Dr. Chantell Groenewald (M. Tech Hom UJ)
Aromatase is an enzyme responsible for the biosynthesis of oestrogen through aromatizing androgens. Aromatase is secreted by the ovaries, testes, adrenal glands, placenta and adipose tissue (fat). Increased adipose tissue = increased aromatase = increased conversion of androgens to oestrogens = oestrogen dominance = difficulty losing weight. In women of child bearing age, up to 50% of circulating oestrogen can be produced by adipose tissue. In post menopausal women, 100% of oestrogen is produced by fat cells. When oestrogen / progesterone raitio is healthy, then oestrogen plays a very important role in maintaining health. When oestrogen levels surge, causing oestrogen dominance (such in overweight patients secreting high amounts of oestrogen from increased aromatase activity in the fat cells), then oestrogen contributes to weight gain and difficulty losing weight. Oestrogen plays an important role in insulin sensitivity, with oestrogen dominance contributing towards insulin resistance and increased fat accumulation. Increased fat accumulation = increased aromatase activity = increased oestrogen = increased insulin resistance = increased fat accumulation. Fat propagates fat, making weight loss a lot more difficult than a simple equation of eat less exercise more. In order to reverse the effects of weight gain due to oestrogen dominance, it is essential to facilitate healthy oestrogen metabolism. Here are 5 diet and lifestyle tips to help manage oestrogen dominance. 1. Support optimal liver detoxification. The liver is a major site for oestrogen metabolism. Increased oestrogen load causes an increased load on the liver. Facilitating optimal phase 1 and phase 2 detoxification assists in healthy oestrogen metabolism and a healthy oestrogen vs progesterone balance. 2. Eat plenty of cruciferous vegetables. Cruciferous vegetables contain sulphorophane which is very import in phase 2 detoxification of the liver, optimizing oestrogen metabolism. 3. Avoid environmental and lifestyle factors that can contribute towards oestrogen dominance. Plastic containers, beauty and body products, pesticides and other chemicals contain xenoestrogens that contribute towards oestrogen dominance. Always opt for organic body and beauty products, soak fresh produce in anti-pesticide spray before consumption. Avoid plastic food and beverage containers. This is only a few examples, for more info visit my previous article on oestrogen dominance. 4. Avoid conventionally reared meat and animal products (milk, cheese, butter, ghee, yogurt). Laden with hormomes, this is a potent source of exogenous oestrogen. Opt for organic, grass fed meat and animal products instead. 5. Exercise. Mild to moderate exercise helps to upregulate protective genes, mobilize fat stores, regulate cortisol and improve insulin sensitivity. Start with walking at least 10 000 steps every day. This is a great start in general fitness. For more information on obstacles to weight loss, follow @the_female_health_homeopath or www.naturopathichealthcarecentre.co.za for my next article on this topic. Dr Marike de Klerk M.Tech Hom (UJ)
Globus pharyngeus is the painless sensation of a lump in the throat and may be described as a foreign body sensation, a tightening or choking feeling. Low level of GABA, the neurotransmitter that calms your brain, can lead to anxiety and panic attacks. Sometimes this anxiety can manifest as something physical, with muscle tension or muscle spasms, and when in the throat, be described as a golf ball sensation. It does not seem uncommon, as 45% of the population has experienced it at some or other time. Supplementing with GABA may help not only decreasing your anxiety, but also get rid of the lump. Using GABA under the tongue, may ease the spasm within 15 seconds to 2 minutes. Once your GABA level is sufficient, it is less likely to happen unless you are under a great deal of stress. If GABA does not do the trick, there might be another underlying cause that needs to be investigated, like: Tonsil issues Hiatus hernia Reflux Sinusitis Postnasal drip Goiter An actual foreign body Cancer of the throat Contact your homeopath to help you find the cause of this distressing symptom, to treat theunderlying cause or help you find a good quality GABA supplement. |
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