health coach

The trouble with grains...

By: Mackenzie Nix, health coach

People have been eating grains for thousands of years, so why are we now hearing they are bad for our bodies? I mean, of all things, the food pyramid we learned in grade school was built with grains as the foundation. Grains are an easy way to ingest calories, and are easily converted to glucose. Grains have been the basis of many population’s diets since the advent of civilization. Because they are easy to harvest and easy to store, they quickly became a staple in our modern way of life. But is this the best for us?

 When looking at grains, we have choices such as “refined” and “whole-grain.” Many people think that whole grain would be beneficial, but that is not always the case. Whole grains contain more anti-nutrients, making them potentially worse for people who have sensitivities. Legumes, on the flip side, have more nutrients and less anti-nutrients compared to whole grains. The downside to legumes is their high carbohydrate load and digestive irritation.

(photo credit: The Alternative Daily 1)

(photo credit: The Alternative Daily 1)

“Grains” includes wheat, corn, rice, and cooking grains (barley, millet, rye, oats, etc.). Then we count all derivatives, such as bread, pasta, crackers, cereals, snack foods, cookies, cakes, candies, and assorted other types of processed, packaged, frozen, and fresh-baked goods. Legumes include beans, lentils, peanuts, peas, and soy products. The four main anti-nutrients discussed in conjunction with grains are lectins, gluten, phytates, and saponins.

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Lectins are natural phytochemical toxins that plants manufacture to defend against UV radiation, insect predators, and disease-producing microorganisms. As humans, we have been consuming lectins since the advent of modern civilization, but certain forms of lectins can still have a toxic effects when ingested. That may include suppressing immune function, interfering with normal protective gut barriers, and promoting systemic inflammation.

Lectins can bind to insulin receptors, bind to our intestinal lining, attach our stomach lining, and cause resistance to leptin – a hormone produced to suppress appetite.

Gluten is a form of lectin, found mainly in wheat, but also in rye and barley. It is the part of the dough that makes it stretchy and gives it elasticity. Many people have a gluten sensitivity but don’t realize it. Symptoms of gluten sensitivity include GI irritation (IBS, IBD, leaky gut, etc), constipation, gas, bloating after meals, and colitis. Other common symptoms associated are allergies, inflammation of the skin, achy joints, and brain fog.

Phytates are an indigestible antioxidant found in whole grains, legumes, nuts and seeds. Before you start thinking “wait…I thought nuts were healthy!” (like I did myself), consider this:

According to Chris Kresser, author of Your Personal Paleo Code, humans can tolerate a moderate amount of phytic acid with no ill effects—around 100 mg to 400 mg per day. However, phytates in large amouts have been shown to make minerals unavailable to be processed in our bodies. Phytates combined with grains can lead to Vitamin D deficiency and Calcium deficiency.  It’s not all bad though…phytates in moderation have shown to have an antioxidant effect on our body.

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Saponins are mainly found in legumes and grains, such as quinoa. Most plants contain saponins but they are usually concentrated to the seed. The problem with saponins is they are a mix of water and fat soluble components. Because of this feature, they can create holes in the cell membrane that line our gut, creating holes for other gut substances to enter the cell (this is the mechanism of “Leaky Gut”). When the cell wall is damaged, the cells cannot transport needed nutrients to the blood stream. This permeability in our gut lining can become irreversible if enough damage is done.

There is so much information at our fingertips regarding grains. I think the most important thing to remember is what works for your neighbor might not work for you. In general, our bodies don’t agree with grains because of our innate inability to process them fully. Changing components of your diet can seem overwhelming and sometimes impossible. Here are a few tips to hopefully make a change seem more manageable:

  • Wheat/gluten is a common additive, so check food labels

  • If you are concerned you might have a grain sensitivity, try avoiding all grains for 21 days and track your symptoms. Things to take note of are mood, energy levels, brain function/concentration, GI function, and body composition during those 21 days.

  • You can have a lab test done to assess sensitivities to gluten, other grains, nuts, beans, and many more foods and additives spanning all major food groups (see our labs page here).

  • If you need help with meal ideas, grocery shopping, and/or staying accountable, contact our office for a free consultation with me, the resident Health Coach at Prairie Sage.

    Not everyone needs to eliminate all grains from their diets, but this may be a missing link if you have not yet explored it. There are so many ways to manage limiting grains, it doesn’t have to be hard! And you DON’T have to do it alone!

1 https://cdn.thealternativedaily.com/wp-content/uploads/2013/02/foodpyramidwrong1.png

Why I hate the "D" word

By: Mackenzie Nix, Health Coach

 
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That dreaded word…so many think they “need” to do it, but just cannot bring themselves to… diet.

You hear it all the time from your friends and family. Whether it is a wedding coming up that they need to look good for, or a special reunion and opportunity to impress family or friends. In today’s world, you see diet (almost makes me vomit just typing it out) on newsstands, Facebook ads, those darn infomercials…everywhere. Before I get any further, lets look at the definition (thanks to Merriam-Webster):

Diet:

1a: food and drink regularly provided or consumed (a diet of fruits and vegetables,a vegetarian diet)

b: habitual nourishment links between diet and disease

c: the kind and amount of food prescribed for a person or animal for a special reason (…was put on a low-sodium diet)

d: a regimen of eating and drinking sparingly so as to reduce one's weight (going on a diet)

2: something provided or experienced repeatedly(Their imaginations feverish from a diet of detective novels -- The New Yorker heard a steady diet of excuses)

 
 

Commonly, people who go on “diets” deprive themselves of needed nutrients to lose weight. Point 1b. of theMerriam-Webster definition marks diet as habitual nourishment. In today’s climate of disparaged health, I don’t believe this definition is in line with how “diet” is used most frequently. So many people use diets as a temporary fix to a long-term problem, and not as a source of nourishment. Fad diets so rarely provide our bodies with what we need. In 1d., diet is defined as a regimen of eating and drinking sparingly so as to reduce one's weight. Unless you have a medical condition or have been told by a healthcare provider, I do not feel anyone should be limiting their consumption of good food and liquids. We need good food (more on good vs bad later!) for our bodies to function properly. We need good liquids to help our kidneys, liver, skin (& more!!). So why does society tell us to diet? I honestly do not know, and probably will never have a good answer. But what I do know is this… We need to change our minds and lifestyles in order to change our bodies. 

Losing weight is no easy thing to do. Trust me when I say I know what it is like to struggle with weight. It has been a struggle my entire life. Three-day crash diets, 10-day shreds, salads for three meals a day…I have tried them all. But it was not until I started to truly change my lifestyle that I finally started seeing results. For me, those results are not always weight loss. It is the way my body feels in the morning, or how I am no longer bloated at the end of the day. There is no healthy quick-fix, and unless you are a super-dedicated person, a fad diet will probably not work long term either. But what can work is identifying what your body needs, how it operates, and lifestyle factors that can help you – and ones that are standing in your way.  Are you getting enough sleep? How are your stress levels? These are two very small questions that can make a huge impact on your life, and a great place to start.

Are you ready to ditch the “1d” diets and change your life? Good for you! If you are unsure of where to start, contact our office for a free consultation to see if our health coaching program is a good fit for you. Together, we can help you ditch the “d” word and help you make a lifestyle change that can positively impact your future years.  

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Mackenzie is our resident Health Coach at Prairie Sage. You can click the button below for contact information to schedule your free consult, or to get started working with her today!

Inflammatory Bowel Disease

By: Dr. George Stanton

 
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In 2015, an estimated 3 million U.S. adults had inflammatory bowel disease (IBD).1 Two common conditions include:

•         Crohn's disease

•         Ulcerative colitis

Continue on to learn more about IBD; or you can skip to the bottom of this article to learn what you can do to address IBD conditions.

Crohn’s disease is an inflammatory bowel disease characterized by chronic inflammation of the gastrointestinal tract. Symptoms are a later step to a disease process, so once you are experiencing discomfort or pain, it is safe to say this has been going on for a while in the body, and is not just one instance of GI disturbance.  

The GI tract is from the mouth to the anus, and includes the esophagus, stomach, small intestine, large intestine. These organs are crucial to help to break down food into usable nutrients, energy, aide in nutrient absorption, immune system function, and helping to rid the body of metabolic waste. When it is chronically inflamed, the intestines/organs are damaged and can lead to “leaky gut” (which can spiral into a myriad of issues).

Crohn’s most often affects the ileum (the last part of the small intestine) and the beginning parts of the colon (large intestine), but has the potential to affect anywhere in the GI tract (remember – mouth to anus). It can traverse through the layers of the intestine, where as other IBD’s usually only affect one layer. It has “skip” lesions, meaning it can affect one part of the GI tract, then skip to a different area, rather than be continuous.4 Ulcerative Colitis is also a long-term inflammatory bowel disease, but unlike Crohn’s, it is only in the colon. Crohn’s is more prevalent in the age groups of 16-25, whereas Ulcerative colitis is more prevalent in the age groups of 30-40.3

Possible Complications from IBD (taken from Mayo Clinic’s website)5:

Bowel obstruction. Crohn's disease affects the thickness of the intestinal wall. Over time, parts of the bowel can scar and narrow, which may block the flow of digestive contents. You may require surgery to remove the diseased portion of your bowel.

Ulcers. Chronic inflammation can lead to open sores (ulcers) anywhere in your digestive tract, including your mouth and anus, and in the genital area (perineum).

Fistulas. Sometimes ulcers can extend completely through the intestinal wall, creating a fistula — an abnormal connection between different body parts. Fistulas can develop between your intestine and skin, or between your intestine and another organ. Fistulas near or around the anal area (perianal) are the most common kind.  When fistulas develop in the abdomen, food may bypass areas of the bowel that are necessary for absorption. Fistulas may occur between loops of bowel, into the bladder or vagina, or out through the skin, causing continuous drainage of bowel contents to your skin. In some cases, a fistula may become infected and form an abscess, which can be life-threatening if not treated.

Anal fissure. This is a small tear in the tissue that lines the anus or in the skin around the anus where infections can occur. It's often associated with painful bowel movements and may lead to a perianal fistula.

Malnutrition. Diarrhea, abdominal pain and cramping may make it difficult for you to eat or for your intestine to absorb enough nutrients to keep you nourished. It's also common to develop anemia due to low iron or vitamin B-12 caused by the disease.

Colon cancer. Having Crohn's disease that affects your colon increases your risk of colon cancer. General colon cancer screening guidelines for people without Crohn's disease call for a colonoscopy every 10 years beginning at age 50. Ask your doctor whether you need to have this test done sooner and more frequently.

Other health problems. Crohn's disease can cause problems in other parts of the body. Among these problems are anemia, skin disorders, osteoporosis, arthritis (Joint pain), and gallbladder or liver disease. [The bold ones are some common symptoms we see in our office.]

Medication risks. Certain Crohn's disease drugs that act by blocking functions of the immune system are associated with a small risk of developing cancers such as lymphoma and skin cancers. They also increase risk of infection. Corticosteroids can be associated with a risk of osteoporosis, bone fractures, cataracts, glaucoma, diabetes and high blood pressure, among others. Work with your doctor to determine risks and benefits of medications.

Diagnosis:

Diagnosis of IBD is a little tricky and involves mostly ruling everything else out first. There are, however, a few blood markers to evaluate:

  • IgA and IgG antibodies for Saccharomyces Cervevisiae – nearly 80% of Crohn’s disease patients are positive for either the IgA or IgG markers of these

  • Atypical ANCA – this is positive in a significant percentage of UC patients

  • P-ANCA antibodies – found in 50-70% of UC, but only 20% of Crohn’s patients.

Other testing includes colonoscopy with biopsy, X-rays of the abdomen, Barium enema, and upper endoscopy. At this time, there is not one test that is conclusive for the diagnosis of Crohn’s or UC, but the combination of present symptoms and testing is the best course to follow for a diagnosis.

According to the CDC, “IBD is the result of a defective immune system”2. This is due to autoimmunity, which means your body is mounting an immune attack against your colon. It basically thinks the colon is a bacterial infection and is fighting it. Refer to the chart below from a study reviewing causative factors of IBD.3

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What can be done about IBD?

Traditional treatment includes:

  • Aminosalicylates – an aspirin-like compound

  • Corticosteroids (such as prednisone)

  • Immunomodulators (which will cause an inability to maintain an inflammatory response)

If the condition becomes severe enough, a possible course of treatment is bowel resection. Realize that there are many long-term complications to corticosteroids (such as osteoporosis and more, which will be left for another blog post), so this option isn’t ideal.  Generally, traditional treatments are often trading one problem for another, and not addressing the causes of the disease process.  We must look deeper into these issues to find relief.

At Prairie Sage, we believe in identifying and addressing the root cause of an issue. We need to ask:

  • What is causing this immune system confusion?

  • How can we bring the body back into balance?

  • How can we modulate the inflammation without compromising other organs and systems?

With any autoimmune condition, there are 3 things we need to address:

1.  Genetics – There is a gene that is switched on that was normally off. When the right environment presented itself, the gene expressed itself (this is called epigenetics).

2.  “Leaky gut” (intestinal permeability) – This is a precursor to autoimmune conditions. Basically, it is the intestine letting molecules through the lining which are normally not able to do so. This process is causing inflammation.

3.  Triggers – This is where it gets more individual. Triggers can be anything from stress, infections, food intolerances, blood sugar imbalances, heavy metals, environment (chemicals, plastics, mold, etc), and more. Identifying triggers is a process and usually it takes time to get to the bottom of these. In most autoimmune conditions, multiple triggers are involved. We educate our patients and walk them through protocols to help rid the body of toxins and infections. We also educate and provide proper lifestyle recommendations to help bring balance to the body and keep the immune system in check.

It is important to assess every case individually and proceed according to each patient’s specific needs. Assessments in our office includes tests like:

  • Stool testing for microbes, inflammation, and occult blood. Organisms like Klebsiella and Mycobacterium may be contributing to gut disruption and leading to autoimmunity.6,7

  • Urine Organic Acids testing (OATs) for yeast/fungal overgrowth, bacterial, and mitochondrial function

  • Blood tests to evaluate underlying inflammation, anemias, electrolytes, infections, and other patterns of dysfunction

  • Hair mineral analysis to assess the heavy metal burden

  • IgG/IgA food sensitivity testing to identify the inflammatory burden on the intestine

We also utilize symptom questionnaires, as there is currently no reliable testing for parasites, and they can contribute to intestinal and systemic dysfunction as well.

While waiting on test results, we can begin addressing the drainage pathways (check out our post on drainage here). We also work on reducing inflammation and developing a more specific protocol together once we have more information. Remember that UC and Crohn’s are multifactorial3, which means that there are multiple issues that are contributing to the autoimmune condition – So don’t give up on your health journey!

If you or someone you know is struggling with Crohn’s, Ulcerative Colitis, Colitis, IBS, or any other digestive issues, share this article with them and give our office a call. We can set up a consultation to discuss whether Prairie Sage can help improve the health of your family, your friends, and you!

1. https://www.cdc.gov/mmwr/volumes/67/wr/mm6706a4.htm?s_cid=mm6706a4_w

2. https://www.cdc.gov/ibd/what-is-IBD.htm

3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734944/

4. https://www.crohnscolitisfoundation.org/what-is-crohns-disease

5. https://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/symptoms-causes/syc-20353315

6. https://www.ncbi.nlm.nih.gov/pubmed/26474349

7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3678459/