Tuesday, July 25, 2017

Botanical of the Month – Red Clover (Trifolium Pratense)

Botanical of the Month - Red Clover | Annex-Naturopathic-Clinic-Toronto-Naturopathic-Doctor

As a Toronto naturopath, I like to educate my patients on how to incorporate local herbs and foods into their lifestyles for long term health.

Each month I’ll be highlighting a local, seasonal, Ontario herb in order to help you understand and familiarize yourself with useful medical herbs and food that grow right outside your door.

You will be able to recognize these otherwise known “weeds” as powerful medicine that grow in harmony with your everyday surroundings.

We’re seeing Red Clover (Trifolium pratenseeverywhere!

My friend and I spotted these flowers earlier this July on one of our hikes and since then I’ve been seeing them on neighbour’s lawns, parks, along the west Toronto railpath, even in one coming up through a sidewalk crack.

This is one of my favourite herbs to use in practice.

Red Clover is a perennial plant originating from Europe, Africa and West Asia, but has been naturalized all over the world.

It’s characterized by its dark pink-purple flowering head, and trifoliate leaves, and grows to be about 20-80cm tall.

This plant is actually considered a legume/bean plant, being part of the Fabaceae/Papilionaceae family, which is home to many commonly known legumes such as peas, chickpeas, lentils and many beans.

Parts Used: Flowers heads

Uses for Red Clover

Edibility

Trifolium pratense flowers can be pulled off and eaten.  The flower parts stimulate the salivary glands, making it great for chewing on when you’re thirsty, or parched and don’t have immediate access to water.

It can also be enjoyed as a sweet tea.

Medicine

Red clover exerts its actions best in females and children.

Detoxification and lymphatic drainage

Traditionally, red clover has been considered a “blood purifier” or “alterative” meaning that it cleans out and regulates the body.

This action refers to the specific ability of red clover to remove unwanted toxins (dead tissue, inflammatory molecules) from the blood through lymphatic stimulation, and breaks up thick blood through anti-coagulant actions.

Basically, it helps fluids to move efficiently throughout the body.  This action makes Red Clover particularly useful in the treatment of chronic skin conditions, such as eczema, psoriasis and acne, particularly in children.

Red clover is also known to be used in coughs and bronchitis, particularly helpful in suppressing uncontrollable coughs, and in aiding the lungs to expectorate stubborn and accumulated mucus (Another pediatric application - is useful in children who catch the dreadfully persistent whooping cough).

It action on the glands of the neck and sinuses also help clear post-nasal drip (stubborn mucus dripping down the throat from the sinuses).

As mentioned above, red clover gently stimulates the salivary glands, making a great remedy for side effects of radiation or any condition where saliva production is compromised.

It’s also great for single swollen lymph nodes

Women’s health

Red clover is useful in the treatment in women’s health conditions with either estrogen deficiency and estrogen excess.

Red clover contains chemical called “phytoestrogens” (isoflavinoids) that actually binds and activates the estrogen receptor.  This make Trifolium pratense useful in mitigating menopausal symptoms, a life-stage for females characterized by declining estrogen.

Symptoms such as hot flashes, sleeplessness, weight gain, vaginal dryness and anxiety, can be directly linked to estrogen deficiency.  However, the small amount of research studies on the effect of Red Clover on menopausal symptoms show mixed results in efficacy.

Maybe it’s because the shape of phytoestrogens in red clover do not exactly fit the receptors in the vasomotor system (system responsible for many symptoms in menopause).  What if it fit perfectly in the other systems of the body with all different types of estrogen receptors? There is almost zero research on this effect of red Clover, but it's a possibility.

Estrogen plays a protective role in many aspects of female health, so when females go through menopause, they are at higher risk for cardiovascular disease, and osteoporosis.

Not only can the phytoestrogenic effect potentially prevent these conditions, but the added antioxidant (flavinoids), and blood-thinning properties (coumarins and salicylates) also help.

Here’s the controversy - if red clover contains phytoestrogens, wouldn’t that increase your risk for estrogen-dependent cancers?

This is the question asked all the time when it comes to plants with phytoestrogen compounds, such as red clover and soy.  The answer isn’t simple, but if you want a simple answer, it’s probably not.

Phytoestrogens do bind to estrogen-receptors, but they’re actually considered protective against estrogen-dependent cancer, such as breast and uterine.  This effective has been found in soy, another phytoestrogenic plant.

This is because phytoestrogens can competitively bind to estrogen receptor, blocking cancer-causing Xenoestrogens (found in plastics, pollution, chemical cleaners, hormone-laden meats) from binding and overstimulating the receptor.

When phytoestrogens bind to the estrogen receptors, the signal is less intense, more regulating (just like our own endogenous estrogens), and some phytoestrogens can actually block the signal, exerting an antagonistic estrogen effect.

There hasn’t been enough research to confirm this clinically, however preliminary research studies has found taking red clover for a year does not seem to increase endometrial growth (leading to uterine cancer).

However, due to the lack of strong evidence, it’s suggested that women with a history of estrogen-positive breast cancer, or uterine cancer, should avoid the use of Red Clover.

Field of Red Clover | Annex-Naturopathic-Clinic-Toronto-Naturopathic-Doctor

Forms

You can get red clover as a standardized capsule in powder form, basically taking it as a pharmaceutical drug.

There are many products on the market that will sell Red Clover in this form for the use of mitigating menopausal symptoms.

Because of the lack of consistent in the evidence of whether red clover helps menopause, the abundance of other herbs that treat these symptoms really well, and the lack evidence on the safety of this herb in estrogen-positive cancers, I don’t generally tend to rely on Red clover to treat these conditions, especially at these higher doses.

I like using Red Clover as a tea or as a low-dose tincture.  With the alterative “regulating” nature of the herb, and the consistent traditional use of Red Clover as a lymphatic stimulator, blood thinner and affinity to the neck and head glands , I generally tend to use Red Clover for these conditions.

In children, teas and low dose tincture have a strong effect but tend to be gentle enough to prevent any unwanted effects.

I do recommend red clover tea to menopausal women as a daily drink/food item, and although there is no strong evidence to support the strong phytoestrogenic, immediate effect on menopausal symptoms, the phytoestrogenic compounds in the herb may still be beneficial as a nutritional food to keep the system healthy and strong post-menopause and prevent long term health problems associated with estrogen-deficiency.

Caution

Do not use Red clover if you have history of estrogen-positive breast cancer or uterine cancer, if you’re on blood thinners, or have a clotting disorder.

If you’re curious to learn more about this subject or would like to consult with one of our NDs feel free to book a visit or contact us.

Yours in Health,

Dr. Tanya Lee, N.D
Annex Naturopathic Clinic
572 Bloor St W #201, Toronto, ON M6G 1K1
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Tuesday, July 18, 2017

Does Gluten Deserve its Bad Reputation?

Is Gluten Bad? | Annex-Naturopathic-Clinic-Toronto-Naturopathic-Doctor-in-the-Annex-July03-01

At our naturopathic clinic in Toronto, in recent years especially, our naturopathic doctors are being asked about gluten more regularly.

"Is it good for me?"

"Is it bad for me?"

The infamous protein explained.

Gluten-free is definitely fashionable- but is it functional? Many people are opting to eliminate gluten from their diets- often with no diagnosis of celiac disease or gluten sensitivity.

Unfortunately, “gluten-free” is not synonymous with “healthy”.

Many gluten-free products are high in sugar, preservatives and unlike wheat flour, they are not fortified with vitamins and minerals.

Nonetheless, many people feel better when they take gluten out of their diet.

What is gluten?

Gluten is substance found in the endosperm of wheat, rye and barley grains. It is comprised of the proteins “Gliadin” and “Glutenin”.

Grains, and how we consume them, differs from that of our ancestral history.

Today grains make up a major part of our diet- remember the food group pyramid you learned in school- where the foundation was grains?

Well, that food pyramid is not something we share in common with our early human ancestors who ate almost no grains at all. The domestication of wheat happened about 10,000 years ago.

In more recent history, composition of wheat has changed due to hybridization of strains which has increased wheat’s gluten content dramatically.

Gluten Sensitivity | Annex-Naturopathic-Clinic-Toronto-Naturopathic-Doctor-in-the-Annex-July03-01

What is it about gluten containing grains that irritates our gut?

Gluten can increase “zonulin”, a protein in the gastrointestinal tract that can cause leaky gut. Leaky gut, or intestinal permeability, occurs when the tight junctions (the connection) between intestinal cells open up, allowing larger molecules that shouldn’t cross the intestinal barrier, to go into the blood stream causing inflammation.

It may not be the gluten alone, but the herbicides used in conventional farming are likely contributing to intestinal imbalances.

Glyphosate is a commonly used herbicide used in grain farming. If a substance can kills weeds and bugs- think about what it could do to the microflora in our gut (our healthy bacteria).

Glyphosate is known to kill beneficial bacteria and decrease the absorption of certain vitamins and minerals.

We do not definitively know the reason for the rising prevalence of gluten sensitivity.

It may be that a combination of increased wheat consumption, increased gluten content of wheat, and rising glyphosate residues in conventional grain products are contributing to dysbiosis, intestinal inflammation, and ultimately gluten intolerance.

What should you do?

Recommendations, in terms of complete gluten elimination, need to be made on an individual basis via comprehensive assessment by a qualified healthcare provider.

However, here are some recommendations that will benefit most individuals:

  • Reduce consumption of grains so that your diet favours protein and vegetables.
  • Eat organic and ancient varieties of wheat (einkorn or emmer) which would reduce pesticide residues and gluten content.

See a naturopathic doctor to assess if you have celiac disease or a gluten sensitivity in order to have a comprehensive plan that allows for optimal nutrition and overall health.

If you’re curious to learn more about this subject or would like to consult with one of our NDs feel free to book a visit or contact us.

Yours in Health,

Dr. Marnie Luck, N.D
Annex Naturopathic Clinic
572 Bloor St W #201, Toronto, ON M6G 1K1
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Tuesday, July 11, 2017

Could You Be Gluten Sensitive Without Celiac Disease?

To eat, or not to eat wheat? That is the question.

The avoidance of gluten continues to be a hot topic in the media.

More and more people are opting for a gluten-free diet. For some people, eliminating gluten from their diet may be essential to not only maintaining the integrity of their gastrointestinal tract, but optimizing their overall health.

Digestion is the cornerstone of good health. If a person’s digestive capacity is impaired, many other areas of a person’s health can be adversely affected.

Not everyone who has a bad reaction to gluten has celiac disease. Non-celiac gluten sensitivity (NCGS) also negatively affects on the body, but does not produce the same disease process or complications that celiac disease does.

The naturopathic doctors at Annex Naturopathic Clinic are able to assess, diagnose and treat celiac disease and NCGS.

Dr. Luck and Dr. Lee can help determine whether or not you can include gluten in your diet and what treatment needs to be in place to heal the gut.

What is gluten?

Gluten is a protein found in wheat and some other grains including rye and barley.

What is celiac disease?

Celiac disease is an autoimmune condition.

Gluten causes the immune system to destroy intestinal cells. When intestinal cells are destroyed they lose their capacity to absorb nutrients causing chronic diarrhea, nutrient deficiencies and weight loss.

Celiac disease is associated with a much more serious risk profile than NCGS including neurologic dysfunction, osteoporosis, infertility, and other autoimmune diseases such as rheumatoid arthritis and Hashimoto’s thyroiditis.

Why does celiac disease happen?

Genetics plays a strong role in whether or not someone will have celiac disease.

How is celiac disease diagnosed?

Serology (blood) testing for the antibodies against the intestinal tissues (endomysial antibodies (IgA EMA) and tissue transglutaminase antibodies (IgA tTG)).

If the antibodies are more than twice the normal limit, the patient likely has celiac disease.

Duodenal biopsy, tissue samples taken from the small intestine (which can only be ordered by a gastroenterologist), can confirm the serology testing.

These tests will only be accurate if the patient has ingested gluten consistently over the past 6 weeks.

What is non-celiac gluten sensitivity (NCGS)?

NCGS is a reaction to gluten that does not involve the immune system and does not cause intestinal cell destruction. Gastrointestinal symptoms include abdominal pain, bloating, constipation and diarrhea. NCGS can also contribute to joint and muscle pain, skin rash, anemia and depression.

Why does NCGS happen?

The working theory as to the increased prevalence of NCGS is a combination of increased wheat consumption and the hybridized gluten content of wheat- today’s wheat contains far more gluten than it’s ancient ancestor.

How is NCGS diagnosed?

NCGS is a diagnosis of exclusion.

When celiac disease has been ruled out, there are no signs of malabsorption and the individual has improves on a gluten-free diet, a diagnosis of NCGS can be assumed.

If you are experiencing adverse reactions to gluten it is important to have a thorough work-up.

If you’re curious to learn more about this subject or would like to consult with one of our NDs feel free to book a visit or contact us.

Yours in Health,
Dr. Marnie Luck, N.D
Annex Naturopathic Clinic
572 Bloor St W #201, Toronto, ON M6G 1K1
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Tuesday, July 4, 2017

Top 5 Tips To Stay Healthy In The Summer Heat

top 5 tips to stay health in the summer | Annex Naturopathic Clinic | Naturopathic Doctor in Toronto

July and August are much anticipated months in Toronto. The summer season is short- optimizing your health can help you make the most our our short but ever so sweet summer.

Here are the top 5 tips from naturopathic doctors in Toronto to help you stay on your A-game.

1. Continue to supplement with vitamin D

You are probably thinking that because the sun is out longer, you are getting more vitamin D.

However, how much vitamin D your body synthesizes from the sun depends on a few factors: how much time is spent out side and at what time of day, the amount of skin exposed to the sun and the colour of your skin.

In order to get a good dose of vitamin D from the sun you need to be outside, in minimal clothing (bathing suit), when the sun is high in the sky.

You are synthesizing vitamin D in your skin if your shadow cast by the sun is shorter than your height.

If you have darker skin, you require more time in the sun to get the same amount of vitamin D as someone with lighter skin.

2. Get lot’s of vitamin “N”

You’ve never heard of vitamin N? It’s vitamin “nature”! Summer is a great time to get outside.

Time spent in natural settings:

  • Improves mental health.
  • Provides an opportunity for cognitive rejuvenation.
  • Reduces blood pressure.
  • Reduces cortisol our “stress” hormone.
  • Increases our parasympathetic tone- the “rest and restore” part of our nervous system.

3. Hydrate with water

We inherently need more water in the summer. Our bodies lose more water in the warmer months- we sweat more, and for some, consumption increases of diuretics like iced coffee and alcohol (patio season!).

Aim to drink 2-3 litres of water daily with these tips:

  • Start each morning with a big glass of water (option to add lemon).
  • For every cup of coffee or alcoholic drink have one big glass of water.

 top 5 tips to stay health in the summer | Annex Naturopathic Clinic | Naturopathic Doctor in Toronto

4. Take advantage of the local harvest

Local produce is in abundance during the summer months. Local food tastes better and it’s better for you and the environment.

Bite into summer by purchasing local food at:

  • Farmer’s markets.
  • Basket programs.
  • Grocery stores.
  • Farm stands outside the city.

5. Take it easy

With all of the additional daylight hours summer brings, schedules can fill up as we make the most of our short summer.

It’s important to open up some time to relax and reset.

After a busy weekend or travel make time to take it easy by:

  • Working from home (if possible).
  • Plan an additional day off as a home reset day.
  • Saying “no” when necessary.

If you’re curious to learn more about this subject or would like to consult with one of our NDs feel free to book a visit or contact us.

Yours in Health,

Dr. Marnie Luck, N.D
Annex Naturopathic Clinic
572 Bloor St W #201, Toronto, ON M6G 1K1
-https://goo.gl/maps/uVRBvcyoUa62


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