“Is there a short-list of supplements that everyone should take?”. This may seem like a simple enough question, but it might surprise you to know that if I had to answer strictly ‘yes’ or ‘no’, my reply would be ‘no’. There are simply too many individual considerations and requirements that make blanket recommendations inappropriate and unreliable. Having said that, there is a select group of supplements that tend to fill important nutrient gaps in many diets. These very same nutritional aids also safely promote greater well being.

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There are a great many diseases and disorders that come mind when pondering the topic of inflammation. Typically, depression isn’t included in that rather lengthy list. A new review compiled by researchers from the Emory University School of Medicine postulates that there’s reasonable cause to do so. The authors of the paper note that “individuals with major depressive disorder (MDD) demonstrate increased levels of a variety of peripheral inflammatory biomarkers”. If this emerging theory is justified, how can patients and physicians use this information to help alleviate poor mood states? One of the most promising, natural candidates is fish oil. The omega-3 fatty acids in fish, namely DHA and EPA, are known to decrease pro-inflammatory cytokines present in a variety of diseases, including arthritis. What’s more, reducing inflammation via fish oil supplementation has recently been shown to blunt stress-induced anxiety. But, supplementing with just any fish oil may not be the optimal approach. A recent meta-analysis in the Journal of Clinical Psychiatry recommends looking for omega-3 supplements that contain a minimum of 60% EPA (eicosapentaenoic acid). A daily dosage of up to 2,200 mg of EPA daily is also singled out as important. A separate review from August 2011 revealed similar findings with respect to fish oil therapy in those with bipolar disorder or manic depression. This is not to say that DHA or docosahexaenoic acid is not significant or valuable in it’s own right. For instance, a current study appearing in the British Journal of Nutrition cites that while EPA-rich fish oil was more effective at reducing depressive symptoms, DHA-rich fish oil alone improved cognitive performance (verbal fluency) and “self-reported physical health” in a group of seniors. Even with all of this encouraging scientific data, it still may be too soon for many conventional psychiatrists to recommend EPA to depressed patients. However, because of fish oil’s other health benefits and relative safety, I would argue that it’s worth considering prior to any future mainstream consensus.

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There is a grass roots way of improving the current health care system that very few patients, physicians and pundits acknowledge. It doesn’t involve increasing co-pays or taxes, dismantling Medicare or reforming health insurance. You don’t even need to organize with vast numbers of fellow citizens to make a difference. All that’s required is that you accept a basic precept and act upon it. Every single person reading this column is a unique individual with highly specialized information at their disposal. We’re exposed to different sources of anecdotal evidence, news and research. At any given point, some of this information may be of value to someone you know, be it a colleague, family member or neighbor. But how often do you make it a point to share something that you’ve heard or read when you’re not specifically asked? Taking the extra step to speak up can make a big difference in the way doctors practice medicine and those around us benefit from otherwise unknown information. Read more »

One of the reasons I chose the Internet as my primary mode of communication is that it allows me to continually and publicly update my points of views without much lag time. If a new study is published that contradicts or modifies my opinion about a health topic, I can spread the word about the breaking data almost immediately. The same is not true of books, magazine articles or print newsletters. This reality often leaves me wondering what some of the finest minds in integrative medicine think about current headlines that don’t make it into their finished work. Fortunately, on occasion, I’m able to follow up with some of the health experts I respect the most and ask some of the questions that have been left unaddressed.
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Bipolar disorder has been in the news lately because of the incessant coverage of a well known celebrity who appears to be in the midst of a mental breakdown. News outlets of every stripe just can’t get enough of this story. It doesn’t much matter whether the root cause of this current spectacle is drug use, a psychiatric condition or some combination thereof. The bottom line is that the antics involved are simply too sensational to ignore. But that’s not the reason why bipolar disorder is on my radar. Please don’t get me wrong – the psychological unraveling of any person is profoundly sad and troubling. However, when over 2% of the world’s population is affected by one form or another of bipolar spectrum disorder (BPS), that fact should occupy a much more prominent spot in the news than the struggle of any one individual.
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Body fat. Can’t live with it, can’t live without it. Too much body fat is a well established risk factor for the majority of leading causes of disease, disability and mortality in the modern world. But you do need a certain amount of adipose tissue to buffer the effects of toxins, protect your internal organs from physical damage, provide a stored energy source and stay warm when the weather turns cold. The key is to maintain a reasonable percentage of body fat. A recent publication in the journal Obesity offers up a new way to estimate your body fat percentage that may be more accurate than calculating your body mass index or BMI.
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Most people have endured one or more serious traumas in their lives. However, the extent of suffering and the exact definition placed on the word “trauma” vary greatly. What’s more, for reasons that aren’t entirely clear, certain individuals are more susceptible to the serious, long term consequences of trauma than others. Some survivors of abuse, assault, natural disasters and war develop a form of anxiety known as PTSD or post traumatic stress disorder. Symptoms of PTSD include emotional detachment, flashback episodes, memory loss, physical pain, recurrent nightmares, sleep disturbance and social withdrawal. Fortunately, some scientists are examining and finding success by utilizing select natural therapies in those living with traumatic memories.
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A prerequisite for using natural medicine to its greatest advantage is to maintain a healthy reservoir of common sense. This is sometimes difficult to do when you or someone you love is diagnosed with a life threatening illness. In these vulnerable times, one has the tendency to trust otherwise unbelievable claims out of a desperate need for finding a cure. Regrettably, too many opportunistic authors and questionable healers in the alternative health community use this circumstance to sell books, devices and services. As you can imagine, the end result, can be disastrous and heartbreaking.
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The way you perceive things can dramatically influence the results you find. I think many people accept this concept as true to some extent. But how many of us actually keep this philosophy in mind when applying it in practical terms? For example – when psychiatrists throughout the world prescribe a medication for ADHD (Attention Deficit Hyperactivity Disorder) or clinical depression, most patients are inclined to believe that it will relieve their symptoms. However, would the same mindset hold true if a physician “prescribed” eating more fish or supplementing with fish oil for the same conditions? Setting aside the relative efficacy of the respective treatments, it’s important to understand that the way you think about any given therapy is likely to affect the outcome – for better or for worse.
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I’m a firm believer in the concept that holistic medicine can benefit virtually every aspect of one’s life. This may sound like a rather grandiose claim. However I know that it’s not. Today’s column highlights a recent illustration of how changing your diet and lifestyle can have “far reaching consequences” in the best sense of the phrase. What’s more, the benefits often extend far beyond those achieved by the individuals making the changes in the first place.
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Whenever I begin working with new clients, I always ask them to fill out a few forms and questionnaires. Some people do so without any issue. But every once in a while I’m asked why it’s necessary to provide answers to medical questions that appear to be unrelated to the health concerns at hand. Without fail, I explain that dietary choices, environment, lifestyle factors and psychological matters quite often contribute to physical complaints. This is a foundational principle of holistic medicine and one that cannot be under emphasized.
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The yogurt section in health food stores and super markets isn’t what it used to be. Today there are more varieties of cultured dairy products than ever, without even touching on the multiplicity of flavors available. These days, you can buy yogurts made of cow’s milk, goat’s milk, rice or soy. There is also a wide array of additives or functional ingredients to consider. The options range from soy-based phytosterols which help lower LDL (“bad”) cholesterol to probiotics which support a healthy immune system. However, with greater access to alternatives comes the responsibility of the consumer to discern which products are legitimate and which are just gimmicks.
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A client just asked me about a column she read in the New York Times. It dealt with the advisability of using coffee to manage asthma symptoms. Home remedies such as coffee and tea contain naturally occurring chemicals known as methylxanthines which act as bronchodilators. According to a recent summary article in the Cochrane Database of Systemic Reviews, caffeine can also reduce “respiratory muscle fatigue”. However, the noted benefits for asthmatics tend to be rather short lived with improvements of airway function lasting four hours at best. In my opinion, there are better ways of dealing with the chronic issues that affect patients with asthma. (1,2)
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Many health experts ranging from Dr. Loren Cordain (The Paleo Diet) to Dr. Barry Sears (The Zone Diet) recommend choosing foods that help balance ratio of omega-3 to omega-6 fatty acids. The primary motivation for doing so is a documented anti-inflammatory shift that takes place when n-3 fats including ALA, DHA and EPA account for a larger proportion of your total calories. The most direct way to achieve this end is to consume more fish and/or supplement with algae, fish or krill oil. But modern science has recently revealed a lesser known means of supporting a healthier omega-3 status – the use of antioxidant pigments such as those found in berries and red wine.
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Today I’m proud to present the conclusion of my interview with Dr. Barry Sears. After I posted the initial segment of the Q&A, I received some comments and emails inquiring about my opinion of the data and theories that Dr. Sears presented. I’m always happy to offer my perspective even when it differs from the views of my guests. I firmly believe that agreement is less important than an open and respectful exchange of ideas. That’s precisely the type of environment I hope to foster here. The one constant that I can promise you is that I’ll only present information from experts that I think have something valuable to share. By all accounts, Dr. Sears has contributed a great deal of insight and research to what’s currently known about the role that hormones and inflammation play in diabetes, obesity and beyond. You and I may not decide to adopt every recommendation he makes. But I for one will seriously consider what he has to say and incorporate his suggestions when they seem applicable to my goals.
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When selecting nutritional supplements we all strive to use the most effective products available. But what should we base that determination on? One option is to ask others about their personal experiences. This is commonly referred to as anecdotal evidence. Another source of data can be found in the scientific literature. Here we’re trusting that researchers are performing well designed and impartial research in a more controlled manner. Since these types of studies typically involve larger groups of people, the results may apply to broad segments of the population. But there’s another prevalent manner of learning about dietary supplements and that is information provided by the manufacturers themselves. My contention is that we ought to examine all three sources of input. Ask questions of your colleagues, family and friends. Read the product literature provided by nutraceutical companies and pose any inquires that you might have. Finally, investigate whether modern science has produced any evidence to back up the other two sources. I’ll apply this model to examine an area of debate that’s currently active in the natural health community: Is krill oil superior to fish oil?
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