Yeast Overgrowth Syndrome

“I never got better until they treated the yeast.”  I have heard this statement many times from patients suffering from various maladies such as headaches, brain fog, depression, irritable bowel, chronic sinusitis, weight gain, and fatigue. Due to the modern day world that we live in I am seeing more and more people suffering with yeast overgrowth.  Old fashioned doctors used to say that “good health starts in the gut.”  I think that they were right.

Poor gut health can manifest itself in many ways.  Ideally we have a perfect balance in our guts with good bacteria, bad bacteria, and yeast.  It is a symbiotic relationship. We can not live without our friends the “good bacteria.” Yet the modern American lifestyle tends to promote poor gut health. The standard American diet (or SAD diet) is full of sugar, simple carbs, and processed food, which is not good for the body, but which is ideal for the overgrowth of yeast.  Yeast loves to feed off of sugar.  When you combine this with the overuse of antibiotics in our society, it makes for a toxic environment in our guts, and that is often the beginning of a slippery slope to worsening health.

Chronic sinusitis is a classic example. We go to the doctor with a stuffy nose, and the standard response is to start antibiotics.  However, according to the Mayo Clinic “fungus (yeast) is the likely cause of nearly all of these problems.”  So in the long run, if we don’t treat the yeast, the antibiotics kill the bacteria, promote more yeast overgrowth and they can actually make the problem worse.

At McMinn Clinic we have Yeast Overgrowth Syndrome on our radar screen, and when appropriate we treat yeast overgrowth with a comprehensive and robust anti-fungal protocol. We have been blessed with many testimonials from our patients with stories of recovery, often after suffering with symptoms of yeast overgrowth for many years.

Call McMinn Clinic at 868-1313 and set up your appointment for a thorough evaluation for yeast overgrowth syndrome.

Feeling Fat, Fatigued, and Depressed; Think Low Thyroid

Many experts now agree that millions of  Americans are falling through the cracks when it comes to the diagnosis and management of low-thyroid conditions (hypothyroidism). Unfortunately, the lack of proper attention to this issue often results in the patient living a life of fatigue, low mood, struggles with obesity, and many other problems.

Although the thyroid gland is small, it has powerful effects on the body.  Thyroid hormone regulates the metabolic rate of every single cell. If thyroid function is underactive (hypothyroid) a person can have a multitude of symptoms, sometimes subtle and sometimes profound. These symptoms may include, but are not limited to: fatigue, weight gain, cold extremities, low libido, dry skin, aches and pains, fibromyalgia, constipation, hair loss, brittle nails, poor memory, low stamina, headaches, puffy face, and low body temperature.  Perhaps the most common and important of the symptom being varying degrees of fatigue.

Diagnosis of low thyroid conditions, like most medical conditions, starts with listening to and examining the patient. Symptoms, as mentioned above, family history, and physical signs often point to the diagnosis of hypothyroidism.  If thyroid disease is suspected, a thorough lab evaluation should also be performed to assist in the diagnosis. However, the goal is to treat the whole patient, and not just to treat the labs.

If hypothyroid disease is confirmed, then proper treatment may include thyroid medications. There are several medications on the market, which may be quite helpful in relieving low thyroid symptoms. These include Synthroid, Armour thyroid, Cytomel, compounded thyroid, and others. One patient may respond well to a particular medicine, while another patient may find that a different medication works best to alleviate his or her thyroid related symptoms. Although Synthroid is often the drug of choice for many physicians, I have found Armour thyroid to be particularly effective in many of my low-thyroid patients. For others, Cytomel may be the key to alleviating their symptoms.

In summary, thyroid dysfunction is a condition that may have a profoundly negative impact on many patients. Yet according to various experts, millions of Americans suffer from inadequate diagnosis and treatment of hypothyroidism. Proper evaluation and treatment of these patients may help tremendously in improving their symptoms, and their quality of life.

To Menopause or not to Menopause? That is the Question

Imagine that you are traveling through the journey of life and you come to a fork in the road. As you stand at the fork, looking left, then right, you can clearly see down each path. Obviously, others have traveled this path before because the terrain is well-worn. You discover that your decision as to which path to travel has been aided by a road sign.

The sign pointing to the left reads as follows: “Travel here for hot flashes, night sweats, brain fog, insomnia, weight gain, low libido, mood swings, anxiety, irritability, rapid heart beat, dry thin skin, headaches, vaginal dryness, painful intercourse, urinary incontinence, hair loss, and osteoporosis.”

The sign pointing to the right reads: “Vibrant living ahead.”

Which path will you choose? To menopause or not to menopause? That is the question.

For most of our history as humans on this earth, women did not have such a choice. For most of our existance, the life expectancy of a woman did not allow most women to reach the age of menopause. They died before they got there. For those rare and lucky women who reached the ripe old age which lead to menopause, they suffered in silence as the sweat of the hot flashes poured off their chins, and they soaked their own beds night after night. Then along came hormone replacement therapy (HRT). Suddenly everything changed. Finally, women had the right to “opt-in” and go through menopause, or “opt-out” and say “no thank you” to the misery.

For many years the only “opt-out” options were synthetic drugs such as Premarin, Provera, and PremPro. Now at this point, I have a confession to make. When I was a young doctor (many years ago), just about every woman who came through our clinic was placed on PremPro. This is an artificial patented drug, that is not a true human hormone, but has hormone like activity. The mantra we all learned was that the women who received PremPro were going to live longer and better. This notion had been drilled into our heads since we were medical students. We bought it hook, line, and sinker. Everything was hunky-dory until the drug companies made the mistake of doing a major study attempting to show what a great drug they had, and how smart we all were for prescribing it. Unfortunately for us all, the studies didn’t show what they thought they would. In fact, they had to halt the studies half way through because so many women were being affected by heart attacks, strokes, breast cancer, and blood clots. Many women were taken off these drugs without being offered any alternative. Others were left on the drugs only to take their chances with the consequences.

Meanwhile in Europe, for the last fifty years women have been offered another option called bioidentical hormones. These are compounds which are made to be 100% exactly the same as the natural human hormones they are intended to supplement. The body cannot tell the difference between its own hormones and bioidential hormones, because there is no difference.

For example, if your body is low on potassium, do you eat a banana, or do you take some patented drug that your body has never seen before which has been synthesized to have potassium like activity, but lots of negative side effects. It seems clear to me that most people would wisely choose to eat the banana. Likewise, it seems only reasonable to chose the bioidentical hormones which are just exactly like the body’s own natural hormones.

At this point as one is standing at the fork in the road, it seems to boil down to risk and benefit. In the big picture the evidence seems to support that bioidentical hormone therapy, if used properly, can help a woman live longer and better. Here are a few examples:

*A study publishes in the journal “Obstetrics and Gynecology” showed that women who took estrogen lived longer than women who did not take estrogen.

*A study in the medical journal Lancet showed that women who took transdermal estrogen had less blood clots than women who took Placebo.

*A huge study in the International Journal of Cancer showed that women who took a combination of bio-identical estrogen and progesterone had less breast cancer than women who took placebo.

*A study in JAMA showed that the incidence of Alzheimer’s disease was significantly reduced in women on hormone replacement therapy.

*Numerous quality studies have shown heart protective benefits of women who start hormone replacement early in menopause.

*Another study in JAMA showed a significant improvement in cognitive function (memory and thinking skills) in women who took hormone replacement therapy.

*Studies have shown that hormone replacement therapy can help to reduce hip fractures in osteoporotic women.

*Major studies have also shown that hormone replacement therapy (HRT) can reduce the incidence of colon cancer.

*A study in the International Journal of Dermatology showed that hormones can significantly reduce skin wrinkle depth, and improves thickness and elasticity of skin.

*Numerous studies have proven that HRT can help to boost a sagging libido.

*Studies have clearly shown that HRT is effective in treating vaginal dryness, vaginal atrophy, and pain with intercourse.

*HRT can be a miracle cure for those awful hot flashes, night sweats, as well as the associated insomnia.

HRT is not for everybody. However as you approach the crossroads of menopause, it’s important to know that you have a choice. Carefully consider your options. The right choice for one woman may not work for another. For many women, the right choice is a carefully designed, evidence based, closely monitored, customized plan of bioidentical hormone replacement therapy, which will help her live a longer and more vibrant life.

Low Thyroid

As much as I try to teach patients about their health concerns, in the end, I always learn more from them, than they learn from me. Case in point: many years ago while flying home from a medical conference I happened to sit next to a particularly talkative woman. This always seems to happen when I need some serious shuteye. Once she found out that I was a doctor the flood gates opened and she divulged to me her entire medical history. I remember vividly how she suffered with severe fatigue, weight gain, and brain fog for many years. After seeing many doctors she was finally diagnosed with low thyroid (hypothyroid). She was put on medicine in the form of Synthroid (levothyroxine), and she did feel somewhat better. However, it wasn’t until she went to a different doctor who changed her over to Armour thyroid that she finally felt like her old energetic self again. Her energy returned, her brain fog cleared, and she began to lose weight.

As I listened to her story, I shook my head in the affirmative, as if I knew what she was talking about. After all, I was the doctor, not her. In actuality, I had never even heard of Armour thyroid. All through medical school, residency, and after many years of medical practice, Armour thyroid had never before come across my radar screen. However, here was a teaching moment, and once again, I was the student. Somehow she tweaked my interest enough so that I looked up Armour thyroid when I got home. I learned that it is a natural product containing a balanced blend of the thyroid hormones T3 and T4. This is in contrast to the form of thyroid prescribed by most doctors called Synthroid (generic= levothyroxine), which is a synthetic product containing only T4. I also learned that contrary to popular belief in traditional medical circles, women often feel better on a combination T3/T4 product such as Armour thyroid than on Synthroid. In fact, there was a well done study published in a prestigious medical journal called The Annals of Internal Medicine in which the authors compared the combination T3/T4 regimen (similar to Armour thyroid) with the standard T4 (Synthroid) regimen used by most doctors. They measured many parameters, including quality of life and patient preference. They found that 64% of women preferred the combination T3/T4 treatment, while only 7% preferred the solo T4 (Synthroid) treatment. These results mirror the trend I have seen in my own practice, in that many patients feel better on and prefer the Armour thyroid as compared to the Synthroid.

The problem of under-active thyroid is huge, affecting approximately 10 million women in America. According to the Thyroid Foundation of America, more than half of the patients with low thyroid in America are undiagnosed. Of those who are diagnosed, many are not receiving optimal treatment.

Thyroid affects just about every part of the body. The most common symptoms of low thyroid that I see in my office are fatigue (low energy) and the inability to lose weight. Other common symptoms include constipation, depression, brain fog, anxiety, dry skin, hair loss, low body temperature, low stamina, cold intolerance, cold hands and feet, low libido, generalized aches and pains, swelling, edema, puffiness, and brittle nails. Actual diseases that may be associated with low thyroid include hardening of the arteries, generalized inflammation, cardiovascular disease, abnormal lipid levels, abnormal menstrual periods, infertility, poor pregnancy outcomes, low mood, depression, fibromyalgia, chronic fatigue syndrome, and obesity.

The standard screening test most doctors use is called a Thyroid Stimulating Hormone or TSH test. I think that it is perfectly fine to use TSH alone to screen asymptomatic patients. However, if a patient presents with a clinical picture consistent with low thyroid, such as fatigue, I feel that a more thorough evaluation is warranted. If you dig a bit deeper by getting a complete thyroid panel including a Free T3 and Reverse T3, you often find that the root cause of the symptoms is an underactive thyroid gland, even with a normal TSH. I frequently find that in such cases when the thyroid function is optimized, the patient’s symptoms improve and they feel much better. In many patients, being “low normal” is not good enough. They often get excellent relief of their symptoms, when the labs are brought up to the mid or upper range of normal. This concept is called “thyroid optimization”.

Another underutilized screening and monitoring tool is the basal body temperature. The body’s temperature often correlates with the basic metabolic rate. This is the rate at which we burn calories while at rest. One of the most important regulators of basal body temperature is thyroid function. When a person’s temperature runs low, this may be a signal that the metabolism is slow, and that the thyroid function is suboptimal.

In summary, low thyroid is an important and sometimes insidious medical problem affecting millions of Americans, especially women. The symptoms may be many and varied. Low thyroid may be associated with many disease processes, and can have a profound effect on general health and quality of life. It often goes undiagnosed and under treated. If low thyroid is suspected, a careful symptom analysis and a thorough battery of tests are needed. If indicated, the thyroid function should then be optimized. A combination medication with T3 and T4 similar Armour thyroid should be considered as a viable treatment option.

The Amazing Power of Nutrition

Imagine if you had a top of the line, jet fuel racing car. Fastest car in the world! Unfortunately, the mechanic was having a bad day and he inadvertently filled the fuel tank not with jet fuel, but instead with diesel fuel. OOPS! What do you think will happen to this magnificent machine? Would you win the race? Unlikely. Instead, you’d be lucky to get it out of the garage and make it to the starting line. The substitution of the inferior fuel will surely cause this incredibly powerful machine to sputter, spurt, and die out.

Similarly, just as this car was engineered from the ground up to run on jet fuel, your body has genetically evolved over millions of years to be fueled by a natural diet. Current estimate is that the human race dates back about one to two million years ago. Over 99.9% of that time human bodies evolved as hunter gatherers. They foraged the plains and forests for vegetables, nuts, beans, berries, roots, fruits, and they killed an occasional critter for protein. This was their human “jet fuel.” It’s what their bodies were engineered for, and what made them thrive. Now flash forward to the modern American grocery store. The food on the shelf looks nothing like the food our ancestors ate for millions of years. While our bodies have not had time to change genetically, in the blink of an eye, as far as historic time, we have radically altered our diet. We have gone from jet fuel (whole food, live food plant food diet) to diesel fuel (processed food and junk food). Just like the race car, the processed food, junk food, genetically engineered food, pesticides, sugar, high fructose food, chemicals, and hormone ladened food are causing our bodies to sputter, spurt, and die out.

Example: the other day I saw some kids preparing hot dogs, wrapped in plastic, in a styrofoam tray, heated in the microwave. It was all I could do to keep my mouth shut. What’s wrong with this picture? Let’s see, where do I start? First of all, the animals the hot dogs came from were most likely raised, not as free range animals, but in factory farms, where they are treated inhumanely, and viewed as a merely a life support system for protein. Thereto, that’s a subject for another article about mindfulness, and the ethical treatment of animals. The animals are usually fed genetically modified corn, which is also not the food that their bodies were engineered to eat, and are they are loaded with hormones, pesticides, and antibiotics. 93% of hot dogs are contaminated with DDT. The hot dogs also contain MSG and nitrates, which have been shown to be carcinogenic, and excitotoxic to the brain. Hot dogs are also fat ladened, which contributes to the obesity epidemic among the children of our country. Then, by heating the hot dogs in plastic and styrofoam, and these agents get onto the food. The styrene from the styrofoam causes GI and central nervous system effects, and the xenohormones alter the consumer’s own fragile hormone balance. Lastly, there is emerging evidence that microwaving causes changes in the molecular and genetic structure of the food you eat. which in turn has an effect on human cells. Finally, we wrap this toxic waste dump of a hot dog in a processed white bread bun, and slather it with mustard and ketchup, which is loaded with high fructose corn syrup, further contributing to obesity and other maladies.

Unfortunately the above scenario is all to common. The National Hot Dog & Sausage Council estimates that Americans eat 20 billion hot dogs per year. However, I don’t mean to pick on hot dogs in particular. The above scenario is just a real life illustration of the way we are poisoning our own and our children’s bodies. One could just as easily point the finger to sugar. The average American eats twenty four teaspoons or refined sugar every day. On the contrary, only about 20 % of college freshman get ANY fruits and vegetables on the average day, and that’s if your count ketchup and french fries. We wonder why there is so much illness in America. Autism rates are skyrocketing. Cancer is all around us. Depression , ADD, obesity, and diabetes are becoming epidemic. Let’s stop ignoring the elephant in the room. When you get right down to fundamentals, most diseases are caused by deficiencies of the good things our bodies need (such as phytonutrients from vegetables), or toxicities of the bad things (like pesticides and heavy metals). A life of wellness v. a life ladended with disease often boils down to what we put into our bodies and how we live our lives. In the current culture of cramming our bodies full of junk food and toxins, it’s amazing that we’re able to survive at all.

Food is not just calories, it’s information for our bodies. T. Colin Campbell in his wonderful book about nutrition called “The China Study” described an experiment in which we could literally turn the genes for liver cancer on and off with diet modification. The “information” we get from our food affects us right down to our cells and even at the genetic level. Two identical twin sisters may have the same gene for breast cancer, but one may get it and her sister may not. What determines if those genes get activated or silenced is how she lives her life; what she eats, toxins, stress, sleep, etc. She may not be able to control which genes she gets, but she has a lot to say about whether or not those genes get activated.

The four basic building blocks of your foundation of health are Nutrition, hydration, sleep, and exercise. When it comes to food, eat whole food, not processed food; live food, not dead food; more plant food such as fruits and veggies and less animal based foods.
In summary, it may be a worn out saying, but it’s true- “you are what you eat.” If you eat junk you will become junk. If you eat a well balanced healthy diet, you will infinitely improve your odds of living a well balanced healthy life.

Going Organic

Organic produce is grown with greatly restricted use of conventional non-organic pesticides, insecticides, and herbicides. However, a 100% organic diet may not be possible or economically feasible. Below is a list of the 12 most contaminated produce foods that should be the highest priority to buy organic and the 12 least contaminated produce foods that do not need to be organic.

12 Most Contaminated Produce Items (The “Dirty Dozen”)
*Peaches
*Apples
*Sweet Bell Peppers
*Celery
*Nectarines
*Strawberries
*Cherries
*Pears
*Grapes (imported)
*Spinach
*Lettuce
*Potatoes

12 Least Contaminated Produce (The “Clean Dozen”)
*Onions
*Avocado
*Sweet Corn
*Pineapples
*Mango
*Asparagus
*Sweet Peas (frozen)
*Kiwi
*Bananas
*Cabbage
*Broccoli
*Papaya

Dairy products, eggs, and meats are also available as organic or as having been raised with restricted diets: Bovine growth hormone free, antibiotic free, vegetarian fed, etc.  If these items are within your budget and available, they are recommended as well.

Low Thyroid

Low thyroid (hypothyroid) is a common and potentially devastating problem in America. It affects approximately 10 million women in America, and according to the Thyroid Foundation of America, more than half of the patients with low thyroid in are undiagnosed. Of those who are diagnosed, many are not receiving optimal treatment.

Thyroid hormone affects every single cell in the body, and it is the master controller for overall metabolism. The most common symptoms of low thyroid that I see in my office are fatigue (low energy) and the inability to lose weight. Other common symptoms include constipation, fibromyalgia, depression, brain fog, anxiety, dry skin, hair loss, low body temperature, low stamina, cold intolerance, cold hands and feet, low libido, generalized aches and pains, swelling, edema, puffiness, and brittle nails. Actual diseases that may be associated with low thyroid include hardening of the arteries, generalized inflammation, cardiovascular disease, abnormal lipid (cholesterol) levels, abnormal menstrual periods, infertility, poor pregnancy outcomes, low mood, depression, fibromyalgia, chronic fatigue syndrome, and obesity.

The standard screening test most doctors use is called a Thyroid Stimulating Hormone test (TSH). TSH may certainly be helpful in diagnosing a low thyroid condition. However, if a patient presents with symptoms consistent with low thyroid, such as fatigue, I feel that a more thorough evaluation is often warranted. Often upon further evaluation, and especially with clinical correlation, the patient may be found to be hypothyroid even with a normal TSH. I frequently find that in such cases when the thyroid function is optimized, the patient’s symptoms improve dramatically.

The most common treatment for low thyroid is Synthroid. However, I have found that many patients respond better to a more natural and well rounded thyroid preparation such as Armour thyroid.

If you’re feeling fatigued, gaining weight, or having other low thyroid symptoms, call McMinn Clinic at 205-868-1313 for a thorough thyroid work evaluation.