S-adenosylmethionine or SAM-e, a natural antidepressant, has been in the news lately thanks to Dr. Andrew Weil. In Dr. Weil’s new book, Spontaneous Happiness, he recommends SAM-e for prompt relief of low mood states that don’t respond to other dietary and lifestyle modifications. A review in the June 2011 issue of the journal Canadian Family Physician also presents a largely optimistic view of this nutritional supplement. In the summary, the primary criticism of SAM-e is how much it costs. In order to reach a therapeutic dosage, the author of the piece estimates a monthly expense of $80 – an amount that likely won’t be covered by most insurance plans. In reality, savvy online shoppers can find even lower prices in the $60/month neighborhood.

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The “heart health” sections of most health foods stores are flush with supplements containing coenzyme Q10 (CoQ10), a naturally occurring compound found in small quantities in fish and organ meats. There’s good justification for this strategic product placement. In fact, the most current studies using CoQ10 in patients with cardiovascular disease have turned up very positive findings. In particular, improvements in endothelial function, oxidative status and physical performance in those with coronary artery disease and chronic heart failure have been noted. But, there’s much more to the CoQ10 story than just that. Because this coenzyme possesses antioxidant properties and the ability to support cellular energy, it also has applications in other areas ranging from aging skin to migraine headaches.

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Pilates is a gentle, yet demanding, form of body conditioning that promotes flexibility, stamina and strength. Proponents claim that regular practice also supports a more positive mindset. Although it was originally conceived to assist recovery from injury, it has recently become the exercise of choice of many athletes, celebrities and fitness gurus. More importantly, its current popularity has spawned an important collection of scientific data suitable for medical review and scrutiny. For the most part, the new batch of controlled trials demonstrate a broad array of health benefits including: a) an improvement in “functional capacity” in heart failure patients; b) a greater sense of “life satisfaction”, “perception of appreciation by other people”, “perception of physical appearance” and other measures of self esteem in adult women; c) reductions in pain and various physical and psychological symptoms associated with ankylosing spondylitis (joint inflammation in the pelvis and spine) and fibromyalgia; d) recovery of endurance and mental health in patients previously treated for breast cancer and; e) the promotion of “personal autonomy, static balance and quality of life” in elderly women. However, it must be said that Pilates is not a cure-all. A recent meta-analysis in the journal Clinical Rehabilitation reports that Pilates does not offer added benefits over standard care in those living with chronic low back pain. Still and all, the majority of research published during the past few years tends to support many of long held assertions made by Pilates aficionados. In the future, I hope that more investigations using different patient populations, such as men and younger volunteers who practice Pilates as a form of physical fitness, will emerge.

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The July-August edition of the Journal of the American Board of Family Medicine addresses one of the more contentious medical, political and societal issues of our time: medical marijuana. The review provides a balanced perspective about the pros and cons of cannabis use in modern medicine. It not only describes scientific evidence pertaining to legal and illegal cannabis, but also points out issues that require more clarification and future study including: the addictive potential of the “drug”, optimal delivery methods and quality control issues involving natural and synthetic contaminants. My own investigation into the medicinal use of marijuana uncovered some promising and troubling findings. On the positive side, two trials from 2010 and 2011 demonstrated encouraging results in the management of chronic pain related conditions such as fibromyalgia and postsurgical neuropathic pain. However, other recent cannabis studies point to a lack of success in the treatment of diabetic neuropathy and a decline in cognitive performance in multiple sclerosis patients that use “inhaled or ingested street cannabis”. This new data is unlikely to sway stalwart opinions about medical marijuana one way or the other. But, I hope it will add some scientific weight to the discussion.

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I bet we’ve all heard someone say: “My body is so out of shape” or “I really need to get my head in order”. Those words are spoken as if the body and brain live their very own, distinct and separate existence. The irony goes far beyond the fact that the brain perches directly on top of the rest of the body. Deep down we all understand that every function of the body, whether voluntary or involuntary, is dictated by the brain. And yet, many people still have a hard time accepting the concept that certain behaviors and practices that support the body also support the mind and vice-versa. But Tai Chi is an excellent example of a practice that does just that.
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My parents, Giuliana and Gianfranco, have contributed greatly to my understanding of natural medicine. Anyone who knows my folks will tell you that they’re among the most generous and kindhearted people you could ever hope to meet. Being exposed to that type of example has obviously been of tremendous value. But perhaps the most important gift they’ve given me with respect to my profession is allowing me to learn through their experience. They’ve placed their faith and trust in me as a consultant in most of their health care decisions. Part of this long term arrangement involves me designing a tailor-fit diet, exercise routine and supplement program for them both. Along the way, I’ve learned some lessons – chief among them is that it’s absolutely vital for me to fully comprehend and explicitly convey why I recommend what I recommend. Read more »

The last thing anyone wants to do when in pain is exercise. Certain injuries require allowing the body time to recover. However, mental and physical discomfort shouldn’t always be used as an excuse to slow down. In fact, many times, the desire for bed rest may actually be counterproductive. This certainly appears to be the case with some very common, inflammatory conditions that affect both the body and the mind. Read more »

When we think of a serious work out our minds often conjure up images of lifting heavy weights, running long distances or employing advanced technologies such as elliptical trainers. Frequently, swimming and aquatic therapies are not regarded as highly as the previously mentioned exercises. But fortunately, science doesn’t care much about popular perception. In the past few years, a good deal of study has investigated the merits of water based exercises. The results may have far reaching implications for the modern management of a number of health conditions. Read more »

Many people throughout the world suffer from chronic pain. The exact locations of the symptoms and the causes of the discomfort vary widely. Determining the origin of inflammatory processes can often be elusive. Therefore, doctors and patients alike generally turn to powerful medications to alleviate physical suffering. This is, of course, understandable and sometimes necessary. But there is new research that may offer an innovative tool in the fight against many pain related conditions. It turns out that the answer may lie in a simple blood test, some added sunshine and an inexpensive nutrient known as vitamin D. Read more »

Tune In and Get Healthy

“The mind is its own place and in itself, can make a Heaven of Hell, a Hell of Heaven.” John Milton, Paradise Lost

Our mind plays a role in every healing journey or every healing crisis that we face. It all depends on how you look at it. Read more »