Eat Breakfast Like a King

The article Eating breakfast? Skipping a morning meal has higher risk of heart-related death from USA Today explains the importance of eating a healthy breakfast.

Eat breakfast like a king, lunch like a prince, and dinner like a pauper…this is advice of which anthroposophical doctors have long been aware.

Digestive forces are strongest earlier in the day.

Are you considering intermittent fasting? For most people, eating breakfast and lunch, and then fasting the rest of the day is the best overall option.

(If you have an eating disorder, think of the structure of your meals and avoid the concept of intermittent fasting.)

Looking to improve sleep quality? Eat breakfast!

Trying to improve your cardiovascular risk and lower your blood pressure? This is the ticket!

Needing to improve blood sugar control? Eating your heavier proteins and fats earlier in the day will help them stabilize.

Another caveat: avoiding sweet tastes until the afternoon hours improves energy and cognitive powers, and can eliminate that annoying after-lunch grogginess.

 

 

When to Use CBD and When to Be Careful with CBD

CBD or not to CBD?

My long time friend and colleague Monique Kramer and I had a lovely night educating our community on the safe and beneficial uses of CBD oil.

With the war on drugs CBD oil is a better option for chronic pain control. When it works, it really works. It is best to take regularly and you can also start and stop without withdrawal symptoms.

It is an option if you have generalized anxiety, PTSD, social anxiety.

It is an option for chronic illnesses that cannot be relieved other ways.

It is an option for headaches and seizures.

It is an option for a lifestyle of chronic stress.

It is an option for most cancers or auto-immune diseases like lymes, lupus, chronic fatigue syndrome, EBV.

For the aging elder it can be used with or instead of NSAIDs for arthritis.

As with anything from Nature it is a spiritual being that must be recognized and respected. I see it as a spirit helper in a way. If it is used in a exploitive and unconscious way I do not think it can work or can cause harm. A person must be aligned with a strong and compassionate ego when approaching something like CBD. We have seen all too often those who abuse substances.

It is NOT for the person who has a family history or personal history of Bipolar, Schizophrenia, Psychosis. Only then and unless it is closely monitored and it is a Hemp Based (not a marijuana based) can CBD oil be used carefully.

In cases where a person carries the genetics for mental illness they should not try Marijauna as THC or CBD, as it can flip the genetic switch for Bipolar, Schizophrenia, or Psychosis. I have seen this directly in my practice. It is sad and devastating. My friend, Julie A. Fast an expert on Bipolar and I have written on this before.

If you were to go to a dispensary, which you can in Oregon to find a pure, organic, non-gmo product that is reasonably priced and does not contain marijuana/THC it is nearly impossible and is cost-prohibitive.

I have been able to find one source for a purely CBD (with a trace of THC) that is hemp- based, organic, non-gmo and the cost is reasonable at Purium Health Products.

Before you start anything new consult your trusted provider.

Healing can Happen 💮💮💮

If you want more information schedule with Julie Foster FNP

What is the Difference Between Unipolar Depression and Bipolar Depression?

Pohala Client Julie A. Fast writes about the differences between unipolar and bipolar depression for Health Central online. 

 

Depression is Complex

All human brains can experience depression, but there is more than one kind of depression. The most common depression is situational where a person goes through a downswing due to a life experience. This depression can often be treated by therapy that is specific to the event, such as grief counseling. In contrast, unipolar and bipolar depression are considered genetic, medical conditions. They often occur without a life experience trigger and usually need a more medical than therapy-based treatment approach.

Unexpected Symptoms of Unipolar and Bipolar Depression

Depression is often described as weepy, sad, and hopeless, but this is only one type of depression. The other depression, irritated depression, is angry, negative, and complaining. People with irritated depression often go untreated as they are considered bitchy, rude, or negative. Irritated depression can manifest in road rage, punching and kicking tires and walls, yelling and statements, such as “I hate everyone! Leave me alone!” Both unipolar and bipolar depression can either be the typical weepy depression or irritated depression.

What is the Difference between Unipolar and Bipolar Depression?

There are two genetic mood disorders: unipolar depression and bipolar disorder. Bipolar includes the mood swings bipolar depression and bipolar mania. Unipolar depression and bipolar depression share the same symptoms with three main differences: 1) Bipolar depression is more episodic than unipolar, 2) Bipolar depression is always on the edge of mania, and 3) Due to the mania risk, bipolar depression treatment is different than unipolar depression treatment.

Click here to read the rest of the article from Julie A. Fast on Health Central.com.

More bipolar disorder related blogs: Steroids, Allergies and Bipolar Disorder: Q&A with Portland Nurse Practitioner Julie Foster

Help for Menopause in Portland, Oregon by Julie Foster Nurse Practitioner

Three Natural Treatments for Menopause Symptoms

Are you suffering from Menopause? Although menopause is not a disease, it sure can feel like it as you transition into this stage of your life.  Perimenopause are the years (up to 12 years prior) of moving into menopause which are marked by 1 year of no menses or by surgical removal of your uterus (hysterectomy). Common symptoms of menopause are Hot Flashes (do you feel like a volcano), Sleep disturbances (waking up in middle of the night for no reason),  depression/anxiety, and heart palpitations.

After working with women for over 20 years and as I am now approaching menopause at the age of 49, I know very well these symptoms and what works for my patients.

Here are my 3 medications to get started on menopause management.

  1. Magnesium Glycinate – Nightly doses of magnesium will relax you, settle heart palpitations, and offer a deeper sleep.
  2. Avoid Sugar/Alcohol/Processed Foods as best you can.  This helps lessen hot flashes naturally.
  3. Natural Progesterone at bedtime if the body can handle steroids.

Call today for an appointment with a Pohala practitioner. You can find relief from the symptoms of menopause.

 

 

 

Genetic and Neurotransmitter Mental Health Testing in Portland, Oregon by Julie Foster

Should I have Genetic or Neurotransmitter testing for psychiatric or mental health medications?

As a healthcare professional it is always my goal to carefully determine what medications work with specific patients. My clients who have depression, anxiety, bipolar, or schizophrenia all have different medication needs. Genetic testing give me another tool to get the medications right from the beginning.

Whether you have a new mental health diagnosis or a chronic mental health condition, testing for  the genetic predispositions for medications and knowing neurotransmitter levels is incredibly helpful when making a decision about medications.

Pohala offers genetic and neurotransmitter testing for mental health to all patients who request the process.

Many insurances are now covering this testing.

We offer testing from companies such as Admera, Genesight, and ZRT.

Let’s get to the bottom of your healthcare needs!

Julie Foster FNP

 

Teens, Nutrition, and Acne by Vera Vos Nurse Practitioner in Portland, Oregon

 

Pohala Family Nurse Practitioner, Vera Vos talks about the article “What can you eat for clearer skin? The best and worse foods for acne,” from the Food Revolution Network. 

Stuck with Acne? Not Exactly!

The woes of adolescence! Exactly during the time of our lives when we feel the least secure about our appearance is also the time we are most likely to have problems with acne. Is acne a normal and expected rite of passage for teens? In the US 79-95% of adolescents will struggle with an acne outbreak at some point during their teenage years. Many endure the affliction for years and end up with scarring in adulthood.

Unfortunately, we are not necessarily out of the woods once we reach legal drinking age.In the US, almost half of all adult women and about 1/3 of adult men have acne, about 1/2 in each group defined their acne as moderate to severe, while the other half had mild outbreaks. A teenage only thing, it is not!

So, this must be the result of our industrialized food and toxic environment, right? Well, yes and no. Though there are traditional cultures in the world where acne is virtually unknown, many other cultures, with much cleaner food and environments than ours, still have a fair percentage of adolescents that experience acne. The abrupt change in hormones during this time period is a trigger. But, there are fewer teens affected and those that are, almost always have mild outbreaks. And, virtually everyone outgrows acne in adulthood. .

The bottom line is, of course there are things in our modern, industrialized food and personal products world, that makes acne worse and more common not only in teens but also in adults! Read the attached article  to learn what specific things you can do to improve or even cure acne

 

 

Pohala Providers stay up to date with Medications and Prescribing

 

Our Pohala Providers strive to remain up to date and educated for both Allopathic/Western Medicine and Integrative/Functional/Natural Medicine.

Today here is Julie Foster FNP and Donna London FNP at the Nurse Practitioner’s of Oregon’s Pharmacology Update. We learned about safety and use of medications for the aging population. Take home: Be careful as even OTC meds are very dangerous and poly-pharmacy leads to more problems than you may think. Combining some medications maylead to dementia, sudden heart attack, kidney failure, and gastro-intestinal bleeding.

Pain meds in elderly reduce cognitive function, respiratory drive and only should be used if absolutely necessary. Topical is a better option many times.

Have you reviewed all medications ,even supplements with with a conscientious medical provider (like us at Pohala, many PCPs are too busy to keep up)?

Taking a pill rarely provides THE answer to your health. Are you looking for a cure or symptoms relief? We keep learning more and more have integrative therapies, like Acupuncture, Massage Therapy, Mind Body techniques like EFT, meditation, prayer, and walking in nature improve many health concerns without all the dangerous side effects of pharmaceuticals.

We aim to use the least amount or none of allopathic pharmaceuticals in our patients. But if we choose to we are experts in prescribing. Safety and Quality of Life is paramount.

Food is medicine, Healthy Lifestyle can heal, and Positive Relationships can reduce Pain. 🏵🎆🏵

Follow up with your health care provider and review your medications.

Call Pohala to review your medications with one of our amazing providers. We still can schedule you in a short time (1day to 1 week), unlike most PCPs 6-8 weeks out for an appointment

(503) 572-4196

Pain Management and Acupuncture by Paresh Shelat ND, L.Ac

We often ask our health care professionals at Pohala to choose articles they find interesting  Here, Naturopathic physician Dr. Paresh Shelat shares an article from OmniaBodyWorks on how massage can help with chronic pain.

Dr. Shelat notes:  Pain Education is an ever-changing and an increasingly popular topic these days.  This article does a great job at simplifying pain mechanisms.  Not only does this apply to massage therapy, and other types of manual therapy, but also applies to acupuncture and naturopathic manipulative techniques. Each of these therapeutic modalities can be used in tandem with one another to bring about profound healing. 

Click here to read WHAT CAN MASSAGE REALLY DO? to learn more about the role massage has in helping manage pain.

To book a session with Dr. Paresh Shelat, please contact our Pohala Clinic.

 

 

What is Epigenetics Theory?

Pohala Client Julie A. Fast answers the question: What is Epigenetics Theory? in her article for Health Central.com.

Article excerpt:

Genetics is the study of heredity and the variation of inherited characteristics. Epigenetics is the study of how the environment around us and the choices we make can change the expression of inherited genes and whether these changes in gene regulation can then passed to a child. Richard C. Francis, the author of Epigenetics: How Environment Shapes Our Genes notes, “Social interactions are a particularly important source of gene regulation.” Think of the possibilities!

An Example of Epigenetic Theory from Bipolar Disorder

Bipolar is considered a genetic illness. Two children, raised in the same environment have a grandfather with bipolar. One child has naturally expressed bipolar mania at age 17 with no substance use. The other child who lives with depression, but no mania takes an SSRI antidepressant at age 28. She has her fist mania three weeks later and now has a bipolar diagnosis. Her substance-induced mania is considered an epigenetic change causing a latent gene to switch on. Epigenetic theory asks, “Can the switched-on quality of this gene then be passed to a child?”

What is the Epigenome?

Epigenetic changes do not affect our DNA (genome), but instead influence the expression of genes through changes in the epigenome, a set of chemical compounds that tells our genes what to do including switching genes on or off and controlling the production of proteins in particular cells. R. Francis calls this epigenome the director of a play while our genes are the actors. The epigenome represents the nurture side of the nature vs. nurture debate. If we learn to control our epigenome, can we direct the expression of genes for better health?

Click here to read the rest of the What is Epigenetics Theory? article from Julie A. Fast.

 

Seasonal Allergy Care in Portland, Oregon

Malia Susee Acupuncturist shares some tips on how to manage Allergies this Season.

Spring is here! Geshundheit!! If Spring and Summer allergies cloud your otherwise sunny days, here are five ways to fix the face faucet.

  1. Prevention: if you know you’re prone to airborne allergies and your symptoms have not yet started, there’s still time to herb up— Jade Windscreen Formula (a.k.a. Yu Ping Feng San) and its various modifications (formulated specifically for you by your acupuncturist) can help you ward off the sniffles, sneezes, and congestion caused by your airborne foes. Take your herbs early and often, and get acupuncture to keep your immune system balanced. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630930/
  2. If your symptoms have already started, talk to your acupuncturist about herbal formulas to address them. You would be amazed by how many herbs and formulas we have to soothe itchy or irritated eyes, runny nose, nasal congestion, sinus congestion, sneezing, and headaches!
  3. Nasal irrigation or lavage (saline rinse in one nostril and out the other) is an effective method of ridding your mucous membranes of pollens, dust, and other airborne irritants. The less prolonged exposure your nose and throat have to allergens, the less your body will be likely to react. Here’s a handy link for more information and instructions: https://www.webmd.com/allergies/ss/slideshow-nasal-irrigation
  4. Wash your hair and change your pillow case before going to bed. Out in the world, our hair collects airborne pollens and dust, and we rub our faces in each as we sleep. Again, limiting this contact lessens our bodies’ propensity to overreact! (A clean house and clean air filter help in this way, too, but keeping those microscopic irritants out of your face at night is particularly helpful.)
  5. Get acupuncture to clear your head! Acupuncture offers quick, effective alleviation of runny nose, nasal and sinus congestion, itchy eyes, watery eyes, sneezing, and other respiratory complaints, and it can safely be used with any of the above methods to treat allergies, especially with local needling and micro-current application. Results can be immediate!

 

Call Pohala at (503) 572-4196 to make an appointment with Malia Susee, L.Ac or Dr. Paresh Shelat ND, L.Ac for more information, prevention, and allergy relief.