Category: Articles and Recipes

Could It Be Your Gallbladder?

Joan Haynes, NMD

Do you suffer from bloating, gas, belching, or abdominal pain with meals? If so, maybe your gallbladder is causing the symptoms.

The gallbladder is a digestive organ located in the upper right portion of the abdomen directly underneath the liver. The liver makes bile which is stored and concentrated in the gallbladder. As food leaves the stomach and enters the small intestine (duodenum), bile is secreted. The main function of bile is the digestion and absorption of fats. Bile also helps us absorb fat soluble nutrients and eliminate drugs and other compounds such as hormones.

Gallbladder

Symptoms of Gallbladder Dysfunction

Symptoms of Chronic Gallstones

  • Can have no symptoms
  • Abdominal pain following meals high in fat
  • Right sided abdominal pain but can be anywhere in abdomen
  • Radiating pain to the right shoulder
  • Bloating, gas, belching

Symptoms of Acute Cholecystitis (gallbladder attack that may require immediate surgery)

  • Abdominal pain with fever, nausea, vomiting

Tests Used to Diagnose Gallbladder Problems

Adapted from www.webmd.com

There are many choices of tests your doctor may order for you depending on your symptoms. Some are more commonly used than others.

  • Liver function tests (LFTs), which are blood tests that can show evidence of gallbladder disease.
  • A check of the blood’s amylase or lipase levels to look for inflammation of the pancreas. Amylase and lipase are enzymes produced in the pancreas.
  • A complete blood count (CBC), which looks at levels of different types of blood cells such as white blood cells. A high white blood cell count may indicate infection.
  • The use of ultrasound testing which uses sound waves to image the intra-abdominal organs including the gallbladder.
  • An abdominal X-ray, which may show evidence of gallbladder disease, such as gallstones. (not commonly used, may be an incidental finding)
  • A computed tomography (CT) scan that constructs X-ray images of the abdominal organs. This test may follow ultrasound if there are more questions.
  • A HIDA scan. In this test, a radioactive material called hydroxy iminodiacetic acid (HIDA) is injected into the patient. The radioactive material is taken up by the gallbladder to measure gallbladder function. This test also is referred to as
    cholescintigraphy.

Food Allergies and Sensitivities can be a root cause of gallbladder attacks

Since the 1940’s, James Breneman, MD reported that food allergies can initiate gallbladder  attacks and gallbladder disease. One study found that 100 percent of a group of patients were symptom free after following an elimination diet. Dr. Breneman believes that food allergies cause inflammation and swelling of the bile duct, which restricts bile flow from the gallbladder.

At Boise Natural Health Clinic, we offer ways to help identify food sensitivities with lab testing and formal elimination-rechallenge diets.

Treatment for Acute Attacks

  1. Fever, nausea and vomiting may require immediate medical attention and surgery.
  2. If immediate medical attention is not needed, your Boise Natural Health physician can make other recommendations such as the herb wild yam room (among others) that is antispasmodic, to provide relief of gallbladder spasms and pain.
  3. Specific homeopathic remedies may also be recommended chosen based on your specific symptoms may also provide symptom relief.

Treatment for Chronic Symptoms

Many times a gallbladder ends up being surgically removed. However, it may be possible to preserve your gallbladder and improve long term digestive health with proper care. You may want to consider:

  1. Correct dehydration to increase water content in bile
  2. Identify and remove or desensitize food allergies
  3. Decrease fat in diet and increase dietary fiber
  4. Repair nutritional deficiencies found in gallstone patients – vitamins E and C and omega 3 fish oils for example
  5. Increase solubility of the bile by using nutritional lipotropic (liver supporting) compounds and herbal cholagogues (stimulates bile flow). Your Boise Natural Health physician can customize a formula for you.
  6. Chemical dissolution of gallstones using plant terpenes, bile acids and lecithin

If you’ve had your gallbladder removed, consider the following:

  1. Replace the function of the gallbladder with bile salts. 1 to 2 tablets of professional quality bovine bile salts with each meal improves digestion and the absorption of fats.
  2. Evaluate what dietary and lifestyle factors contributed to the dysfunction of your gallbladder.

Oliver Oil Gall Bladder Flush

At Boise Natural Health, we do not recommend olive oil flushes to treat gallbladder problems. We have been taught that this procedure is dangerous because the large amounts of oil causes contraction of the gallbladder which in turn can cause existing stones in the gallbladder to become lodged in the bile duct causing an emergency situation. Some people see “stones” in the
toilet after doing an olive oil flush. A 2005 study in the Lancet (a much respected medical journal) analyzed the chemical makeup of the “stones”. These are not gallstones, but are soap solids created in the emulsification process of the olive oil.

In Summary

Gallbladder symptoms diagnosed early and will lead to earlier treatment and may function may be restored. If the gallbladder cannot be saved, there is still work to do by identifying the cause of the malady in the first place and supporting digestion for optimal absorption.

Could it be my Thyroid?

by Joan Haynes, NMD

The thyroid gland makes hormones that control the basic activity (metabolism) of every cell in the body.

Hypothyroid (too little thyroid) symptoms:
Fatigue, weight gain, depression, coarse and dry hair; hair loss, dry and scaly skin, constipation, frequent infections, hoarse voice, inability to lose weight with diet/exercise, loss of outer edge of eyebrows, low or absent sex drive, sleep apnea, sluggishness, cold intolerance, heat intolerance, irregular menses, infertility, and more.

What are some symptoms of too much thyroid hormone (hyperthyroid)?
Anxiety, heart palpitations, weight loss, insomnia. This is a much more rare condition.

Can hypothyroidism be treated naturally?
Sometimes, but not always.  At Boise Natural Health Clinic, we look at the big picture.  We treat hypothyroid by thorough testing, improving diet and lifestyle, assessing and supporting other hormones such as adrenals and sex hormones.  We also encourage appropriate supplementation, and if needed, thyroid hormone replacement options.  If you have not already had your thyroid tested, we can order lab work for you as well.

What are some possible causes of hypothyroid?
Age, certain medications, environmental exposure, fluoride, genetic, neck trauma, over consumption of uncooked goitrogenic foods (brassicas, soy), over or under consumption of iodine, pregnancy, perimenopause, menopause, radiation treatment, radioactive iodine treatment, smoking, surgical treatment for goiters, nodules, or thyroid cancer.  Biotin can affect the lab results on thyroid tests.

How is hypothyroidism diagnosed?
With appropriate clinical assessment and blood testing.  Even if you’ve been told your thyroid is normal, ask for a copy of the test and let us help you interpret it.  Inform yourself about what the different tests mean and the new thinking about normal ranges for these tests.  www.thyroid.about.com is a good website to get some basic information.  At Boise Natural Health Clinic, we like to run a TSH, Free T3, Reverse T3, Free T4, Anti TPO Ab and Anti TG Ab tests for a full evaluation

Chocolate Bark with Ginger and Pistachios

Chocolate Bark with Ginger and Pistachios

Ingredients

  • 3 oz. bittersweet dark chocolate (70% to 72% cacao), chopped (1/2 cup)
  • 2 Tbs. chopped salted pistachios
  • 1 Tbs. chopped crystallized ginger

Instructions

  1. Line a 9×13 inch baking pan with parchment paper.
  2. Prepare the pistachios and ginger.
  3. In a double boiler (a metal bowl set over a saucepan of barely simmering water) melt the chocolate. (Do not let the pan touch the water!) Continue to stir until the chocolate is melted and just warm to the touch.
  4. Spread the melted dark chocolate into an approximately square ~5×5-inch.
  5. Sprinkle with the chopped pistachios and ginger and press gently to set them into the chocolate.
  6. Chill in the refrigerator for 10 minutes.
  7. Break into pieces and serve. Store any leftovers in the refrigerator.

Pumpkin Pie – Vegan/Gluten Free

Ingredients

  •    1 can (16 ounces) pureed pumpkinpumpkin pie
  •    3/4 cup sugar or sucanat (or I use 1/2 cup maple syrup)
  •    1/2 teaspoon salt
  •    1 teaspoon ground cinnamon
  •    1/2 teaspoon ground ginger
  •    1/4 teaspoon ground cloves
  •    1 teaspoon ground allspice, optional
  •    1/2 teaspoon ground nutmeg, optional
  •    2-3 tablespoons cornstarch or arrow root to firm up the      pie filling
  •    1 package (10-12 ounces) silken/soft tofu
  •    1 9-in unbaked vegan and/or gluten free pie shell
  • Top with non-dairy topping

Directions:
Preheat oven to 425 F

Blend the pumpkin and sugar.
Add salt, spices, cornstarch and tofu, mix thoroughly.
Pour mixture into pie shell and bake for 15 minutes.
Lower heat to 350 F and bake for another 60 minutes.
Chill and serve.

Don’t use the low fat tofu, then the pie tastes like it was made with tofu.

This pie is so yummy, it will fool almost anyone.

Serves: 8
Preparation time: about 1 hour + chilling time

What is Adrenal Fatigue?

Joan Haynes, NMD

The most common complaint I see in my practice is fatigue.  Fatigue can have many, many causes including a low thyroid, nutritional deficiencies, depression, poor sleep, etc.  However, generally unrecognized in conventional medicine, adrenal fatigue is something I see quite commonly.  The adrenal glands are your stress-defense team.  Extreme or prolonged stress (from any cause) will overtax them.

Common Symptoms of Adrenal Exhaustion

From Julia Ross, M.A. The Diet Cure

  • Sensitivity to exhaust fumes, smoke, smog, petrochemicals
  • Inability to tolerate much exercise, or you feel worse after exercising
  • Depression or rapid mood swings
  • Dark circles under the eyes
  • Dizziness upon standing
  • Lack of mental alertness
  • Tendency to catch colds easily when weather changes
  • Headaches, particularly migraines, along with insomnia
  • Breathing difficulties
  • Edema (water retention)
  • Salt cravings
  • Trouble falling asleep or staying asleep
  • Feeling of not being rested upon awakening
  • Feeling of tiredness all the time
  • Feeling of being mentally and emotionally overstressed
  • Low blood sugar symptoms
  • Need for caffeine to get you going in the morning
  • Low tolerance of loud noises and/or strong odors
  • Tendency to startle easily, panic
  • Food or respiratory allergies
  • Recurrent, chronic infections, such as yeast infections
  • Lightheadedness
  • Low tolerance for alcohol, caffeine, and other drugs
  • Fainting
  • Tendency to get upset or frustrated easily, quick to cry
  • Tendency to get a second wind (high energy) late at night
  • Low blood pressure
  • Haven’t felt your best in a long time
  • Eyes sensitive to bright light
  • Feeling of being weak and shaky
  • Constant fatigue and muscular weakness
  • Sweating or wetness of hands and feet caused by nervousness or mood swings
  • Relieve anxiety and depression by eating
  • Frequent heart palpitations
  • Chronic heartburn
  • Vague indigestion or abdominal pain
  • Alternating constipation and diarrhea
  • Infrequent urination
  • Cravings for sweets or alcohol
  • Lack of thirst
  • Clenching and/or grinding of teeth, especially at night
  • Chronic pain in the lower neck and upper back
  • Inability to concentrate and/or confusion, usually along with clumsiness, ADD, ADHD
  • An unusually small jawbone or chin; lower teeth crowded, unequal in length or misaligned
  • A chronic breathing disorder, particularly asthma
  • An excessively low cholesterol level (below 150mg/dl)
  • Bouts of severe infection

 

Testing for Adrenal Dysfunction

Sometimes the diagnosis can just be made based on symptoms and history.  Other times, we’ll test salivary cortisol levels four times during the day and measure DHEA too.  Often the adrenal tests are included as part of a larger hormone and general workup.

Treatment to Help the Adrenal System

Finding out the root cause(s) of the dysfunction is key.  Balancing blood sugar and ensuring proper sleep is essential.  Some people need to learn strategies to better cope with stress.  Most need to use herbs and other supplements to boost adrenal function.  Often treating other hormonal imbalances is important, especially in women with low progesterone and people with a low thyroid.

Recovery is possible.  It’s wonderful to hear people tell me how much better they feel with proper treatment.

Spiced Butternut Squash Muffins – Vegan/Gluten Free Optional

INGREDIENTS

Butternut squash muffins

Butternut squash muffins

  • ½ pound peeled, seeded and cubed butternut squash (I used 2 ½ cups cooked squash or pumpkin or a mixture of the two)
  • 1 1/2 cups rice flour
  • ¼ cup rice protein powder (optional)
  • 2 teaspoons baking powder
  • 1 Tablespoon cornstarch or arrowroot powder
  • 1/4 teaspoon salt
  • 2 teaspoons pumpkin pie spice = (3/4 t ginger, 1/8 t clove, 1/8 t nutmeg, 1 t cinnamon)
  • 1 teaspoon vanilla
  • 2-4 Tablespoons of maple syrup or agava nectar
  • 3/4 cup milk or milk substitute like rice milk or hemp milk
  • 2 egg, beaten (egg substitute – 1 tablespoon of flaxseed mixed with 3 tablespoons of water per egg)
  • 1-2 tablespoon butter, melted or melted coconut oil or earth balance
  • adding nuts and seeds is a tasty variation

DIRECTIONS

  1. Preheat oven to 400 degrees F (200 degrees C). Lightly grease a 12 cup muffin pan.
  2. In a medium saucepan with enough water to cover, boil squash 20 minutes, or until tender. Remove from heat, drain, and puree in a food processor.  I bake the squash the night before and just mash them instead of using a food processor it adds more texture.
  3. In a large bowl, whisk together flour, protein powder, baking powder, cornstarch, salt and pumpkin pie spices.
  4. In a medium bowl, thoroughly mix together milk, vanilla, eggs, sweetener, and butter. Stir in squash. Fold the squash mixture into the flour mixture just until moistened.
  5. Spoon the batter into the prepared muffin pan, filling cups about 1/2 full.
  6. Bake 40 minutes in the preheated oven, or until a toothpick inserted in the center of a muffin comes out clean. (I often have to cook longer).
  7. Remove from muffin pan and cool on a wire rack.

Original recipe yield: 12 muffins modified from allrecipes.com

Massaged Kale

By Joan Haynes, NMD

High in nutrients and low in calories, kale is an ideal food to eat regularly. There are over 60 nutrients found in kale. It is a rich source of the antioxidants lutein, zeaxanthin, beta-carotene, and vitamin C. Kale also contains manganese, copper, omega-3 fatty acids, fiber, folic acid, vitamin B6, vitamin E and potassium, calcium, magnesium, phosphorous, iron, vitamin B1, vitamin B2, niacin and protein.

Kale also provides a large amount of sulfur compounds. Sulfur compounds increase the liver’s ability to produce enzymes that neutralize potentially toxic substances and may help in the prevention of cancer.

This is an easy way to incorporate kale into your daily diet.

Massaged Kale

Ingredients

  • 1 bunch kale (Curly Kale works best for this)
  • 1 tsp sea salt or Celtic salt

Instructions

De-stem the kale leaves and save for soups or stir fry. Slice the leaves into ribbons (1/4 – 1/2 inch wide), sprinkle salt and start massaging the salt into the leaves. After a few minutes you’ll be able to feel the kale soften, making it much easier to chew and digest. You can store this kale for days in an air tight container and sprinkle it on your morning eggs, lunch time salads or add
to dinner in stir fry or soup.

Massaged Kale Salad

I’ve adapted this recipe from The Wellspring School for Healing Arts in Boise. It is a sure-fire  hit at pot lucks for your foodie friends.

Mix Together

  • 1 bunch kale & 1 tsp salt – chopped, salted and massaged
  • 1 bunch fresh spinach – washed and chopped
  • 1/4 cup diced red onion
  • 1/3 cup currants
  • 3/4 cup diced apple
  • 1/3 cup sunflower seeds, toasted
  • 1/4 cup olive oil
  • 2 TBSP apple cider vinegar or seasoned rice vinegar
  • Optional – 1/3 cup Roquefort cheese, crumbled, sheep cheese is a good option

Chilly?

Joan Haynes, NMD

Feeling more chilly than those around you?  Some causes could be a low thyroid, anemia, diabetes or Raynaud’s Syndrome. Here’s how to find out.

Lab Tests

Our office or your doctor can run some of the following tests.  Tests are selected depending on any other symptoms or health concerns you may have.

  • CBC, Ferritin – will find anemia
  • TSH, Free T4, Free T3 – will pick up a low thyroid
  • ANA, Rheumatoid Factor, Sed rate – will look for autoimmune disease
  • Fasting blood sugar and HgbA1C – will catch diabetes

Raynaud’s Phenomenon

Usually people with Raynaud’s have blue or white skin discoloration with the cold. Here’s a great article from Medicine Net describing Raynaud’s Phenomenon.

Supplement and practices that may help keep your Raynaud’s under control:

  1. Flavinoids.  Found in food and also in supplements, flavinoids dilate blood vessels.  2000 mg 1 – 3 times per day.
  2. Cayenne capsules.  1 or 2 capsules twice a day (with food), or sprinkle on your food regularly.  Great warming effect.
  3. L-arginine.  Increases nitric oxide in the blood and will dilate blood vessels.  Dose is 2 grams – 6 grams per day.  (L-arginine is also well known to help erectile dysfunction.)
  4. Magnesium decreases vasoconstriction and helps the blood vessels relax.  Approx 200 mg three times a day is a good dose.  If your dose is too high, you’ll get lose stool so back down.  Look for Magnesium Citrate.
  5. Ginkgo helps with blood flow to microvasculature.  40 mg three times a day.  Look for a standardized extract.
  6. Caffeine constricts blood flow – so limit or eliminate it.
  7. Relaxation and visualization can work.  Studies show that you can warm your fingers and toes by using your mind to increase blood flow and temperature.  Practice by holding an old fashioned thermometer between your thumb and fingers and watch it climb.
  8. Acupuncture – in one study it reduced attacks by 63%

Gluten-Free Italian crepes

by Joan Haynes, NMD

Here’s a great recipe for Gluten-Free Tortillas (Italian Crepes).  These can be used as pancakes, crepes, wraps, or even sandwich bread.  These are great to make in big bunches and store in the freezer.

This recipe makes 6

Ingredients:

  • 6 eggs (one egg per tortilla)
  • make your own Gulten Free flour:
    ¾ brown rice flour
    3 tablespoon arrow root powder
    ¼ cup tapioca
  • 1 and 1/4 cup dairy free milk
  • 1/4 cup olive oil (in the batter or melted coconut oil if you like that flavor)
  • 1 teaspoon vanilla

Instructions:

Oil the pan well. No more than medium heat. Pour the batter in the middle of the pan and then work your way out towards the edges.  Most of the cooking is done on the first side then completed more quickly on the second.