Blog Post

The Hormone Symphony...

  • By Dr. Shannon Evans, DO, IFMCP
  • 15 Feb, 2020

Is Hormonal Imbalance a Cause of Your Symptoms?

Did you know that your adrenal health affects your thyroid health and sex hormones?


First of all, hormones are the body’s chemical messengers that travel through the blood stream to tissues and organs.  Hormones affect may different processes in the body:  metabolism, sexual function, mood, reproduction, growth & development.

Hormones are produced by the endocrine glands.  Adrenals, thyroid, testes and ovaries are some of the endocrine glands.

Only a small amount of hormones are needed to cause a big change in your cells and your entire body!  This is why it is so important to have all your hormones in balance.  Too little or too much of a hormone can be very troublesome!


Let’s talk about the Adrenals…

These small triangle shaped glands are located on top of both kidneys.  They are composed of two parts:  cortex & medulla.  The adrenals produce certain hormones that are important to help with regulation in the body’s metabolism, sleep/wake cycle, stress response and so much more!

Cortisol is one important hormone produced by the adrenals.  Cortisol helps control the sleep/wake cycle and the body’s use of carbs, fats & protein.  It also regulates blood pressure, increases blood sugar and can decrease bone formation.  In individuals with healthy adrenals, cortisol is highest when the body wakes up and lowest at bedtime.  Cortisol is also released during times of stress to help increase energy and handle emergency situations.  For instance, if you are hiking in the woods and come across an angry bear, your cortisol should increase causing you to have more energy to get the heck out of dodge!

In this stressful world, most people are in constant stress mode causing the adrenals to work overtime.  When individuals are constantly stressed, it wears down their adrenals and can cause adrenal dysfunction.  It is important to let our bodies relax, rest and take a break!

DHEA is another important hormone produced by the adrenals.  The ovaries and testes also produce a small amount.  DHEA is the highest circulating steroid present in the body.  On its own, DHEA is not biologically active.  It can be converted into active hormones such as testosterone and estradiol.  DHEA is an important source of estrogen for postmenopausal females.  Production of DHEA increases from age 10, peaks during the 20s and slows down as the body ages.  Studies show that low DHEA in males causes a decreased life span.  Studies in  females with low DHEA shows a low sex drive and osteoporosis.


How Do You Support Adrenal Health?   


  • Self care! Eating a healthy, clean diet! Relaxing, resting and taking time for movement.
  • Eating foods with supportive nutrients:
      • B vitamins (co-factors for hormone production):  B5, B6, Biotin & Folate:  Proteins (fish, poultry, eggs, dairy products), leafy green veggies (spinach), beans & peas
      • Vitamin C:  Broccoli, brussel sprouts, cauliflower, leafy greens, sweet potatoes, citrus fruits, berries
      • Magnesium:  Almonds, spinach, cashews, peanuts, soy, black beans, avocados
      • Omega 3 fatty acids:  Cold water fish (salmon, mackerel, tuna, herring, sardines), flaxseed, chia seed, walnuts
      • Zinc:  Oysters, beef, crab & pork


What are some symptoms of Adrenal Dysfunction or Imbalance?  Depending on whether the cortisol is too high or too low, individuals will experience different symptoms:


  • Low or high blood pressure
  • Difficultly falling asleep, staying asleep, or waking up
  • Trouble controlling blood sugar, either too low or too high
  • Fatigue
  • Feeling wired
  • Irritable



Let’s move onto the Thyroid…

The thyroid is a small butterfly-shaped gland located at the base of the neck.  It maybe small, but it is vital to the body’s overall health and plays a huge role in how the body functions! The thyroid influences the function of the sex hormones, heart, brain, liver, kidneys, skin and gut to name a few…

How does the thyroid influence an individual’s cells, organs & body?  It makes thyroid hormones.    In order to make thyroid hormones, the thyroid needs nutrients.  The thyroid mostly produces a hormone called T4 (thyroxine) and a small amount of T3 (triiodothyronine) that is made up of iodine and tyrosine (amino acid).  T4 contains four iodine atoms and T3 contains three iodine atoms.  The body mostly recognizes T3.  So T4 needs to be converted to T3—which this conversion happens outside of the thyroid.

Some factors that can inhibit hormone production: stress, infection, trauma, radiation, medications, fluoride (antagonist to iodine), toxins (pesticides, mercury, cadmium & lead), and autoimmune disease.


How Does Adrenal Health Affect Thyroid Health?


  • Cortisol slows thyroid hormone production—too much stress, can cause too much cortisol release, leading to less thyroid hormones.
  • Prolonged elevation in cortisol can cause excessive estrogen, which can make the thyroid hormones the body has inactive (the thyroid hormones stay bound to thyroid-binding globulin, so the thyroid hormones are not free to bind to the cells in the body to activate the body’s cells)
  • Chronic stress causes inflammation, which can make the body’s immune system overactive & trigger autoimmune responses.  An example of this is when the body’s immune system over reacts and starts making antibodies towards the thyroid gland.


How to Support Thyroid Health…


  • Support Adrenal Health!
  • Decrease exposures to toxins
  • Have a daily detox routine
  • Get rid of inflammation!  
  • Make Gut Health a priority
  • Regular, enjoyable movement (this is also important for adrenal health)


Supportive Nutrients for Thyroid Health:  


  • Iron:  Oysters, white beans, dark chocolate, beef liver, spinach
  • Iodine:  Seaweed, fish (cod or tuna), seafood
          • Iodine is very controversial to recommend, especially in hypothyroid patients.  Here is my opinion on iodine:  Iodine is essential to synthesize thyroid hormones.  If you remember above, there are four iodine atoms in T4 and 3 iodine atoms in T3.  Your body needs iodine in order to make thyroid hormones.  Now everything needs to be in balance.  So too much iodine or too little is a problem.  I recommend, if you are going to supplement with iodine, check your iodine level first to see where you are at.  The recommended standard for checking an iodine level is a 24 hour urine test—this can be a little difficult to accomplish for some individuals.  If not able to obtain a 24 hour urine iodine level, check a one time urine test or perform a blood test.
  • Tyrosine:  Eggs, fish, meats & beans
  • Zinc:  Oysters, beef, crab
  • Selenium:  Brazil nuts, fish (halibut, sardines, tuna), beef, turkey, chicken, rice, eggs
  • Vitamin A:  Liver, fish oils, sweet potato with skins, spinach, carrots, broccoli
  • Vitamin D: The best source of Vitamin D is the sun!  Foods containing vitamin D:  cod liver oil, swordfish, salmon
          • Recommend every individual check their vitamin D level yearly.  If vitamin D levels are too low or too high, an individual may need to check vitamin D levels more often.  Most individuals need to supplement with vitamin D.  If you live in a place that is colder during the winter and you are not spending much time outside or are covered up—individuals may need more vitamin D supplementation during the winter months.  The only way to know is to check lab work!
  • Vitamin C:  As mentioned above—broccoli, brussel sprouts, cauliflower, leafy greens, sweet potatoes, citrus fruits, berries
  • Vitamin E:  Wheat germ oil, sunflower seeds, almonds, peanuts, beet greens, spinach, pumpkin, mango, avocado
  • Vitamin B2 (Riboflavin):  Clams, salmon, chicken breast, beef liver
  • Vitamin B3 (Niacin):  Beef liver, chicken breast, salmon
  • Vitamin B6:  Chickpeas, beef liver, chicken breast, salmon


Supportive Nutrients for Hypothyroid (low thyroid) individuals:


  • Selenium 200-400 mcg daily
  • Zinc 15-30 mg daily
  • Vitamin D 2000 IU daily (Maybe more depending on the individual’s blood work)
  • Vitamin A 2000 IU daily
  • Iodine 150 mcg daily (Always important to evaluate baseline iodine level)
  • Iron 15-20 mg daily for menstruating females (Important to evaluate iron level with blood work)
  • It is important to talk with your doctor to see what supplements are right for you!


Symptoms of Thyroid Imbalance…There are so many symptoms that are tied to thyroid imbalance since thyroid health plays so many important roles for our overall wellbeing!  Here are a few of the most common symptoms:


  • Fatigue
  • Constipation
  • Joint pain
  • Depression
  • Anxiety
  • Changes in skin
  • Brain fog



What about Sex Hormones?

Sex hormone production is controlled by the Hypothalamus-Pituitary-Gonadal (HPG) axis.  The hypothalamus signals the pituitary and then the pituitary signals the testes and ovaries to produce sex hormones.


Let’s focus on Testosterone, Estrogens & Progesterone:

Testosterone: Can be produced by testes, adrenals & ovaries.  Important for expression & maintenance of male sexual characteristics; sex drive in both males & females; metabolism & muscle mass.  Testosterone can be sent down a different pathway to form estrogens.

Estrogen:  Produced in the ovaries.  Conversion of androgens (such as testosterone) to estrogen can occur in fat cells, bone & testes.  Estrogen is important for development & maintenance of female sexual characteristics; energy balance, metabolism and prevents bone loss.

Progesterone:  Produced in ovaries & adrenals.  Has several important roles in the female reproductive cycle.



Thyroid & Sex Hormones…

The thyroid and sex hormones are always in communication.  Both the thyroid and sex hormones are influenced by each other.  So, if one system is dysfunctional, it will cause the other system to be dysfunctional.


  • Estradiol (estrogen): lowers the effectiveness of the thyroid hormone in the body (keeps the thyroid hormones in an inactive state)
  • Testosterone increases the effectiveness of thyroid hormone in the body to keep it readily available for use—this is one reason why testosterone is important for metabolism.


Adrenals & Sex Hormones…

Cortisol (which is produced by the adrenals) blocks the production of estrogen & testosterone.  Cortisol also blocks the estrogen and testosterone that is already in circulation from binding to an individual’s cells.  So, if an individual is constantly stressed and producing lots of cortisol, then the individual’s body is not able to make sex hormones or use the sex hormones it previously made!  


Symptoms of Imbalanced Hormones…

Estrogen Dominant Symptoms:  breast tenderness, fibrocystic changes, heavy periods, fat distribution in hips or thighs, anxiety, fibroids, endometriosis or symptoms suggestive of endometriosis and painful periods.

Lack of progesterone or imbalance between estrogen & progesterone:  oral contraceptive use, anxiety, PCOs (polycystic ovarian syndrome), anxiety, hormone replacement of estrogen only, spotting before & after periods.

Testosterone Imbalance:  acne, anger or aggressiveness, change in sex drive, hair growth or hair loss, and loss of muscle mass.


Helpful Foods for Hormone Balance:


  • Protein
  • Healthy fats
  • Vegetables & fruit.  Rainbow of colors daily with goal of 10-13 (1/2 is one serving) servings per day.  Heavy on the vegetables!
  • Organic, non-processed foods (certain herbicides & pesticides studied have shown to be endocrine disruptors & also cause inflammation)
  • Filtered water (especially if you have thyroid issues obtain filter that also filters out fluoride in drinking, cooking and bathing water)
  • Stay away from foods that cause you inflammation!


Foods that are NOT helpful for Hormone Balance:


  • Pesticide/herbicide ridden food
  • Inflammatory foods with lots of chemicals, additives & dyes
  • Soda
  • Caffeine
  • Alcohol



The Hormone Symphony:  It becomes a master piece when all the different players (hormones, endocrine system, body) work together and have the right balance—not too much or not too little of anything!

If anything is out of balance, it can negatively affect the rest of the body, since the body works together as a whole, not separately!

In summary, to have a hormone symphony, instead of a hormone disaster, it is essential to have the proper nutrients, a healthy gut, a liver that is happy & at full speed on detoxing.  It is also important to have a happy and balanced immune system with well functioning adrenals, thyroid and sex hormones that are working together.



Do you have symptoms of hormone imbalance and feel like your body needs help getting to optimal health?  At New Beginnings Functional Medicine Clinic, Dr. Shannon Evans, DO, IFMCP is passionate about empowering, educating and partnering with patients to get to their optimal health!  Call 970-305-0101 or email Staff@NewBeginningsFMC.com to schedule a complimentary 15 minute consult with Sara to see how Functional Medicine can get you to your optimal health!





References:

https://www.hsph.harvard.edu/nutritionsource/vitamin-e/

https://medlineplus.gov/hormones.html

https:ods.od.nih.gov/factsheet/Iron-HealthProfessional/

https://www.webmd.com/vitamins/ai/ingredientmono-1037/tyrosine

https://www.pathophys.org/sexhormones/

https://ods.nih.gov/factsheets/VitaminA-HealthProfessional/

https://ods.od.nih.gov/factsheets/Riboflavin-HealthProfessional/

https://www.hopkinsmedicine.org/health/conditions-and-diseases/adrenal-glands

https://www.hormone.org/your-health-and-hormones/glands-and-hormones-a-to-z/hormones/dehydroepiandrosterone-dhea

https://medlineplus.gov/bvitamins.html

https://medlineplus.gov/ency/article/002404.htm

ifm.org

https://ods.nih.gov/factsheets/Magnesium-HealthProfessional/

https://ods.od.nih.gov/factsheets/Omega3FattyAcids-Consumer/

https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120618/

Https://www.endocrinologyadvisor.com/home/decision-support-in-medicine/endocrinology-metabolism/effe...


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What is the Function & Importance of Your Gut?


First, let’s talk about some specifics of your digestive tract:


  • The mouth is the beginning of your digestive tract, where the breakdown of food begins.


  • Esophagus starts in your throat and receives food from your mouth when you swallow.  It delivers food to your stomach due to a series of muscle contractions known as peristalsis.


  • Stomach is a hollow organ that receives & holds the food that is brought from the esophagus.  Stomach produces or makes stomach acid to help break down food, and kills pathogens (bacteria, fungus & parasites) that can cause harm to your body.


  • Small intestines then receive the stomach contents.  Food continues to break down from enzymes released by the pancreas and liver.  A series of muscle contractions otherwise known as peristalsis occurs to move food through and mix the food with the digestive enzymes.


  • Pancreas secretes digestive enzymes into the first part of the small intestine called the duodenum.  It also secretes insulin to metabolize sugar.


  • Liver has lots of important functions!  It helps with digestion from nutrients absorbed from the small intestine.  The liver also makes bile which breaks down fats that are ingested.  It also helps to detoxify potentially harmful chemicals (converts toxic substances into harmless substances).


  • The gallbladder stores the bile that is made by the liver.  It releases bile into the small intestine when you eat fat to help absorb and digest fats.


  • Colon or large intestine processes waste.  Most of your microbiome is located here!  



Next, let’s dive a little deeper into the microbiome , to discuss it’s function and importance…


What is a microbiome?  It is genetic material of all the microbes (bacteria, fungi, protozoa & viruses) that live on and inside the human body.

  • You are mostly made up of microbes—over 100 trillion.  Microbes outnumber your human cells 10 to 1.
  • The majority of microbes live in your large intestine.
  • Microbiomes can weigh up to as much as 5 pounds!
  • What happens with the microbiome?   Short chain fatty acids are produced when fiber is fermented in the colon, and these short chain fatty acids are a source of energy for your cells lining the colon.  They also metabolize or breakdown foreign substances, certain drugs or chemicals the body does not recognize.


    What is the link between your gut & immune system?

    Did you know that the majority of your immune system is located in your GUT?

    Gut-associated lymphoid tissue or GALT for short makes up 70% of your entire immune system!

    This is why your gut plays a central role in your immune health and having a balanced immune system!  The GUT is your GATEWAY to Health!


    Understanding Inflammation:

    Acute or short term inflammation is a part of your body’s appropriate immune system response to an acute injury or illness that is helpful for healing.

    Acute inflammation is also an important defense against pathogens (harmful bacteria, parasites or viruses).

    Your immune system’s ability to mount an adequate and appropriate inflammatory response is critical for survival!  As an example, if you were to cut open your hand, causing a large open wound; you don’t want to have excessive bleeding or get an infection.  When acute inflammation takes place due to this trauma—it helps you to clot—stopping the bleeding or decreasing the bleeding.  It also takes care of pathogens that there is no longer a barrier against—so you don’t get an infection and then helps to heal your open wound.  All which is appropriate and necessary!  A balanced immune system is self-limited, beneficial and necessary!

    Just to summarize, a balanced immune can identify potentially harmful pathogens or substances, recognize self, assess potential level of threat posed by infectious, toxic or non-self antigens and repair any damage that happens when the immune system takes care of threats.



    What about Chronic Inflammation or an Unbalanced Immune System ?

    Chronic inflammation happens when there is loss of balance of the immune system causing constant inflammation and destruction to your body.

    Long term or chronic inflammation can lead to long term problems such as obesity, thyroid issues, autoimmune conditions, diabetes, heart disease and so much more!

    Your immune system is no longer regulated and is out of control! 


    What are some ways gut issues lead to chronic inflammation?

    1. Issues with digestion .  One of the most common digestive problems is not making enough stomach acid.  Are you taking any medications that decrease stomach acid such as proton pump inhibitors (omeprazole, esomeprazole, lansoprazole) or H2 blockers (ranitidine, famotidine, cimetidine)?


        • Remember that stomach acid is important for helping with the breakdown of food and killing pathogens such as bacteria, fungus & parasites. 
        • If you are not making enough stomach acid to help with the break down of food and also let bad bacteria, fungus or parasites survive to hang out in your intestines, which wreaks havoc & causes inflammation!


          2 .   Leaky Gut also known as intestinal hyperpermeability.  This is when the intestinal lumen no longer has tight junctions between your cells.  This means that the physical barrier between the digestive tract and blood stream is broken down; making it easy for intestinal contents to enter the blood stream. 

     

        • Your immune system will see things that it is not suppose to, such as big food particles, which causes your immune system to react.  This can then lead to food sensitivities for example.
        • Your immune system will also be exposed to more pathogens. 


    How Does Leaky Gut Happen?


    • NSAIDs such as ibuprofen, steroids, and naproxen.  Research shows that NSAIDs cause small intestinal inflammation causing leaky gut and can also be toxic to the cells of your gut.
    • Viral, bacterial or protozoan infections
    • Gluten 
    • Inflammation 
    • Stress
    • Cytotoxic drugs
    • Xenobiotics such as glyphosate which alters the gut microbiome
    • Heavy metals such as mercury
    • Antibiotics which alter the microbiome
    • Standard American Diet



    Chronic Health Issues associated with gut health :   If your gut is ticked off, your immune system is gonna be ticked off, causing chronic inflammation that affects your whole body!


    Everyone has different genetics and environmental factors, which can lead to a different path of chronic issues you are faced with!


    Obesity .  Defined as “accumulation of abnormal or excessive fat that may interfere with the maintenance of an optimal state of health.”  In the U.S. the population with obesity is 42.2%.  There is not any up to date costs for obesity, but in 2008 the estimated annual cost was $147 billion dollars.  This was 12 years ago, and now the percentage of obesity has increased from 2008.  Can you imagine what the annual cost is now?  


    Chronic inflammation causes an increase in certain inflammatory mediators (such as TNF-alpha, IL-6) which can lead to inflammation in fat cells (adipose tissue).


    Did you know that fat cells (white adipose tissue) is an active participant in regulating your immune system and play a role in inflammation?


    Fat cells (adipose tissue) that are exposed to chronic inflammation initially from the gut can then go on to produce more inflammation, which ends up becoming a vicious cycle.


    When fat cells become enlarged, the blood supply to these cells may be decreased leading to a limited blood supply to this tissue.  When this happens, fat cells or tissue begin to die, which leads to more production of inflammatory mediators!  This then leads to overall inflammation in the body that is linked to:  


              • Abdominal obesity
              • Metabolic abnormalities that lead to altered cholesterol and sugar metabolism
              • Atherosclerosis than can lead to heart attacks and stroke
              • Insulin resistance
              • Diabetes
              • High blood pressure



    Thyroid issues.   To really understand why thyroid problems are a big deal, first we must understand the importance of a well functioning thyroid.  The thyroid is a small, butterfly-shaped gland located at the base of the neck.  It may be small, but it is powerful and plays a vital role in how your body functions!  The thyroid can influence all the parts of your body such as your gut, heart, brain, liver, kidneys and much, much more!


    Your thyroid needs proper fuel or nutrients to produce thyroid hormone to be able to influence the rest of your body.  


    The thyroid gland mostly produces T4 (thyroxine) and some T3 (triiodothyronine) that is made up of iodine and tyrosine.  T4 contains four iodine atoms and T3 contains three iodine atoms.  Conversion of T4 to T3 takes place mostly outside of the thyroid gland.  Most of the body responds & recognizes T3.


    If the gut is in poor condition, such as a leaky gut, it is going to be difficult to get nutrient absorption to take place from the gut into the rest of the body.  The thyroid suffers and does not get all the vital nutrients such as iodine and selenium for proper functioning.


    Why else is having a healthy gut important for your thyroid health?


              • 20% of the conversion of T4 to T3 happens in the gut!  


              • Healthy gut microbes can convert T4 to T3.


              • Bile acids when secreted into the small intestine following fat consumption increase activity of the enzyme that converts T4 to T3.


    Hashimoto’s is an autoimmune disease that affects more women than men.  Hashimoto’s is a chronic inflammatory state in which the immune system makes antibodies that attack the thyroid gland.  This then damages the thyroid, and if left untreated, can lead to the thyroid not making enough thyroid hormones.  If found and treated early, most individuals with Hashimoto’s will not need to be on thyroid replacement medication.



    Autoimmune Conditions can occur other places in the body, not just the thyroid.  Autoimmune conditions are a result of the immune system attacking the body’s own organs, tissues and cells.  


    • Affects 23.5 million U.S. citizens
    • Leading cause of death & disability
    • More than 80 diseases are associated with autoimmune conditions
    • Most common:  Hashimoto’s, Lupus, Inflammatory Bowel Disease, Rheumatoid Arthritis, Multiple Sclerosis, Type 1 Diabetes, Grave’s Disease, Celiac disease
    • Inflammatory bowel disease is chronic inflammation of the GI tract.  Prolonged inflammation results in damage to the GI tract.  Two types of IBD:  Crohn’s disease and ulcerative colitis.  Crohn’s disease can affect all parts of the GI tract—mouth to anus.  Inflammation may include multiple layers of the walls of the GI tract.  Ulcerative colitis affects the large intestine and rectum.  Damage is usually patchy.  Inflammation is usually present in the innermost layer of the lining of the colon.



    Chronic inflammation from leaky gut can also cause seasonal allergy symptoms to be out of control!




    Six STEPS to a Healthy Gut & Balanced Immune System:


    1. Eat a clean, well-balanced diet


      • Eat earth made foods.  Earth made foods don’t need labels!  Try to eat a rainbow of colors in regards to produce to get all your nutrients—each color has different minerals, vitamins etc.
      • Stay away from processed foods such as soda and box foods that can cause inflammation.  If you are reading ingredients labels and see a big, long word that you have no idea how to pronounce or what it is, your body likely has no idea what it is either, so your immune system mounts a response causing inflammation!
      • Buy organic foods.  If the budget does not allow for all organic foods, buy all the produce that are listed under the Dirty Dozen organic.  The Environmental Working Group has a list of produce with the highest pesticide/herbicide contents:  www.EWG.org (strawberries, spinach, kale, nectarines, apples, grapes, peaches, cherries, pears, tomatoes, celery, potatoes, and hot peppers).



    2.    Stay well-hydrated with water


      • Most of your body is made up of water and needs water to work effectively and also flush out toxins.
      • In general, drinking 1/2 your weight in ounces per day is enough.  For example, a 150 lb person needs ~75 oz of water daily.  You may need more water if you are out in the sun or exercising vigorously!
      • Also something to consider is how your water rate?  What is your water source?  How clean is your water?  Have you considered filtered water?


    3.    Rest


      • Are you getting quality sleep at night? 
      • How many hours of sleep do you get at night?
      • Do you wake up well rested?
      • Sticking to a schedule can be very helpful:  going to bed and getting up at the same time everyday.


    4.    Self care


      • Are you taking time daily for yourself?
      • Are you taking time to rest and let your body reset?
      • Are you taking time for movement or exercise?
      • Self care looks different for everyone.  Self care is a way for you to relax and do something you enjoy!


    5.    De-Stress


      • This is a part of self care.  You need to find ways to stay calm and relaxed.
      • Chronic stress all by itself causes inflammation!
      • If you have trouble taking time for yourself here are some tips:  put self care on your daily schedule—even if it is for 2-5 minutes to start out.  Have an accountability partner to make sure you are not ignoring your scheduled self care!


    6.   Supplements


      • Multivitamin:  basic minerals and vitamins that your entire body needs to function daily.
      • Omega 3’s:  anti-inflammatory for your gut and whole body.  Your body needs omega 3’s to make cell membranes, make hormones and fuel your brain.
      • Probiotics:  improve gut health—digestion, absorption and microbiome.  Also helps to improve immune health.




    Having gut issues or an out of whack immune system?  Need a partner in your health journey?  Schedule a FREE 15 minute strategy call with New Beginnings.  Email Staff@NewBeginningsFMC.com or call 970-305-0101 to schedule.




    References:















































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    What is the Function & Importance of Your Gut?


    First, let’s talk about some specifics of your digestive tract:


    • The mouth is the beginning of your digestive tract, where the breakdown of food begins.


    • Esophagus starts in your throat and receives food from your mouth when you swallow.  It delivers food to your stomach due to a series of muscle contractions known as peristalsis.


    • Stomach is a hollow organ that receives & holds the food that is brought from the esophagus.  Stomach produces or makes stomach acid to help break down food, and kills pathogens (bacteria, fungus & parasites) that can cause harm to your body.


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    • Pancreas secretes digestive enzymes into the first part of the small intestine called the duodenum.  It also secretes insulin to metabolize sugar.


    • Liver has lots of important functions!  It helps with digestion from nutrients absorbed from the small intestine.  The liver also makes bile which breaks down fats that are ingested.  It also helps to detoxify potentially harmful chemicals (converts toxic substances into harmless substances).


    • The gallbladder stores the bile that is made by the liver.  It releases bile into the small intestine when you eat fat to help absorb and digest fats.


    • Colon or large intestine processes waste.  Most of your microbiome is located here!  



    Next, let’s dive a little deeper into the microbiome , to discuss it’s function and importance…


    What is a microbiome?  It is genetic material of all the microbes (bacteria, fungi, protozoa & viruses) that live on and inside the human body.

    • You are mostly made up of microbes—over 100 trillion.  Microbes outnumber your human cells 10 to 1.
    • The majority of microbes live in your large intestine.
    • Microbiomes can weigh up to as much as 5 pounds!
    • What happens with the microbiome?   Short chain fatty acids are produced when fiber is fermented in the colon, and these short chain fatty acids are a source of energy for your cells lining the colon.  They also metabolize or breakdown foreign substances, certain drugs or chemicals the body does not recognize.


      What is the link between your gut & immune system?

      Did you know that the majority of your immune system is located in your GUT?

      Gut-associated lymphoid tissue or GALT for short makes up 70% of your entire immune system!

      This is why your gut plays a central role in your immune health and having a balanced immune system!  The GUT is your GATEWAY to Health!


      Understanding Inflammation:

      Acute or short term inflammation is a part of your body’s appropriate immune system response to an acute injury or illness that is helpful for healing.

      Acute inflammation is also an important defense against pathogens (harmful bacteria, parasites or viruses).

      Your immune system’s ability to mount an adequate and appropriate inflammatory response is critical for survival!  As an example, if you were to cut open your hand, causing a large open wound; you don’t want to have excessive bleeding or get an infection.  When acute inflammation takes place due to this trauma—it helps you to clot—stopping the bleeding or decreasing the bleeding.  It also takes care of pathogens that there is no longer a barrier against—so you don’t get an infection and then helps to heal your open wound.  All which is appropriate and necessary!  A balanced immune system is self-limited, beneficial and necessary!

      Just to summarize, a balanced immune can identify potentially harmful pathogens or substances, recognize self, assess potential level of threat posed by infectious, toxic or non-self antigens and repair any damage that happens when the immune system takes care of threats.



      What about Chronic Inflammation or an Unbalanced Immune System ?

      Chronic inflammation happens when there is loss of balance of the immune system causing constant inflammation and destruction to your body.

      Long term or chronic inflammation can lead to long term problems such as obesity, thyroid issues, autoimmune conditions, diabetes, heart disease and so much more!

      Your immune system is no longer regulated and is out of control! 


      What are some ways gut issues lead to chronic inflammation?

      1. Issues with digestion .  One of the most common digestive problems is not making enough stomach acid.  Are you taking any medications that decrease stomach acid such as proton pump inhibitors (omeprazole, esomeprazole, lansoprazole) or H2 blockers (ranitidine, famotidine, cimetidine)?


          • Remember that stomach acid is important for helping with the breakdown of food and killing pathogens such as bacteria, fungus & parasites. 
          • If you are not making enough stomach acid to help with the break down of food and also let bad bacteria, fungus or parasites survive to hang out in your intestines, which wreaks havoc & causes inflammation!


            2 .   Leaky Gut also known as intestinal hyperpermeability.  This is when the intestinal lumen no longer has tight junctions between your cells.  This means that the physical barrier between the digestive tract and blood stream is broken down; making it easy for intestinal contents to enter the blood stream. 

       

          • Your immune system will see things that it is not suppose to, such as big food particles, which causes your immune system to react.  This can then lead to food sensitivities for example.
          • Your immune system will also be exposed to more pathogens. 


      How Does Leaky Gut Happen?


      • NSAIDs such as ibuprofen, steroids, and naproxen.  Research shows that NSAIDs cause small intestinal inflammation causing leaky gut and can also be toxic to the cells of your gut.
      • Viral, bacterial or protozoan infections
      • Gluten 
      • Inflammation 
      • Stress
      • Cytotoxic drugs
      • Xenobiotics such as glyphosate which alters the gut microbiome
      • Heavy metals such as mercury
      • Antibiotics which alter the microbiome
      • Standard American Diet



      Chronic Health Issues associated with gut health :   If your gut is ticked off, your immune system is gonna be ticked off, causing chronic inflammation that affects your whole body!


      Everyone has different genetics and environmental factors, which can lead to a different path of chronic issues you are faced with!


      Obesity .  Defined as “accumulation of abnormal or excessive fat that may interfere with the maintenance of an optimal state of health.”  In the U.S. the population with obesity is 42.2%.  There is not any up to date costs for obesity, but in 2008 the estimated annual cost was $147 billion dollars.  This was 12 years ago, and now the percentage of obesity has increased from 2008.  Can you imagine what the annual cost is now?  


      Chronic inflammation causes an increase in certain inflammatory mediators (such as TNF-alpha, IL-6) which can lead to inflammation in fat cells (adipose tissue).


      Did you know that fat cells (white adipose tissue) is an active participant in regulating your immune system and play a role in inflammation?


      Fat cells (adipose tissue) that are exposed to chronic inflammation initially from the gut can then go on to produce more inflammation, which ends up becoming a vicious cycle.


      When fat cells become enlarged, the blood supply to these cells may be decreased leading to a limited blood supply to this tissue.  When this happens, fat cells or tissue begin to die, which leads to more production of inflammatory mediators!  This then leads to overall inflammation in the body that is linked to:  


                • Abdominal obesity
                • Metabolic abnormalities that lead to altered cholesterol and sugar metabolism
                • Atherosclerosis than can lead to heart attacks and stroke
                • Insulin resistance
                • Diabetes
                • High blood pressure



      Thyroid issues.   To really understand why thyroid problems are a big deal, first we must understand the importance of a well functioning thyroid.  The thyroid is a small, butterfly-shaped gland located at the base of the neck.  It may be small, but it is powerful and plays a vital role in how your body functions!  The thyroid can influence all the parts of your body such as your gut, heart, brain, liver, kidneys and much, much more!


      Your thyroid needs proper fuel or nutrients to produce thyroid hormone to be able to influence the rest of your body.  


      The thyroid gland mostly produces T4 (thyroxine) and some T3 (triiodothyronine) that is made up of iodine and tyrosine.  T4 contains four iodine atoms and T3 contains three iodine atoms.  Conversion of T4 to T3 takes place mostly outside of the thyroid gland.  Most of the body responds & recognizes T3.


      If the gut is in poor condition, such as a leaky gut, it is going to be difficult to get nutrient absorption to take place from the gut into the rest of the body.  The thyroid suffers and does not get all the vital nutrients such as iodine and selenium for proper functioning.


      Why else is having a healthy gut important for your thyroid health?


                • 20% of the conversion of T4 to T3 happens in the gut!  


                • Healthy gut microbes can convert T4 to T3.


                • Bile acids when secreted into the small intestine following fat consumption increase activity of the enzyme that converts T4 to T3.


      Hashimoto’s is an autoimmune disease that affects more women than men.  Hashimoto’s is a chronic inflammatory state in which the immune system makes antibodies that attack the thyroid gland.  This then damages the thyroid, and if left untreated, can lead to the thyroid not making enough thyroid hormones.  If found and treated early, most individuals with Hashimoto’s will not need to be on thyroid replacement medication.



      Autoimmune Conditions can occur other places in the body, not just the thyroid.  Autoimmune conditions are a result of the immune system attacking the body’s own organs, tissues and cells.  


      • Affects 23.5 million U.S. citizens
      • Leading cause of death & disability
      • More than 80 diseases are associated with autoimmune conditions
      • Most common:  Hashimoto’s, Lupus, Inflammatory Bowel Disease, Rheumatoid Arthritis, Multiple Sclerosis, Type 1 Diabetes, Grave’s Disease, Celiac disease
      • Inflammatory bowel disease is chronic inflammation of the GI tract.  Prolonged inflammation results in damage to the GI tract.  Two types of IBD:  Crohn’s disease and ulcerative colitis.  Crohn’s disease can affect all parts of the GI tract—mouth to anus.  Inflammation may include multiple layers of the walls of the GI tract.  Ulcerative colitis affects the large intestine and rectum.  Damage is usually patchy.  Inflammation is usually present in the innermost layer of the lining of the colon.



      Chronic inflammation from leaky gut can also cause seasonal allergy symptoms to be out of control!




      Six STEPS to a Healthy Gut & Balanced Immune System:


      1. Eat a clean, well-balanced diet


        • Eat earth made foods.  Earth made foods don’t need labels!  Try to eat a rainbow of colors in regards to produce to get all your nutrients—each color has different minerals, vitamins etc.
        • Stay away from processed foods such as soda and box foods that can cause inflammation.  If you are reading ingredients labels and see a big, long word that you have no idea how to pronounce or what it is, your body likely has no idea what it is either, so your immune system mounts a response causing inflammation!
        • Buy organic foods.  If the budget does not allow for all organic foods, buy all the produce that are listed under the Dirty Dozen organic.  The Environmental Working Group has a list of produce with the highest pesticide/herbicide contents:  www.EWG.org (strawberries, spinach, kale, nectarines, apples, grapes, peaches, cherries, pears, tomatoes, celery, potatoes, and hot peppers).



      2.    Stay well-hydrated with water


        • Most of your body is made up of water and needs water to work effectively and also flush out toxins.
        • In general, drinking 1/2 your weight in ounces per day is enough.  For example, a 150 lb person needs ~75 oz of water daily.  You may need more water if you are out in the sun or exercising vigorously!
        • Also something to consider is how your water rate?  What is your water source?  How clean is your water?  Have you considered filtered water?


      3.    Rest


        • Are you getting quality sleep at night? 
        • How many hours of sleep do you get at night?
        • Do you wake up well rested?
        • Sticking to a schedule can be very helpful:  going to bed and getting up at the same time everyday.


      4.    Self care


        • Are you taking time daily for yourself?
        • Are you taking time to rest and let your body reset?
        • Are you taking time for movement or exercise?
        • Self care looks different for everyone.  Self care is a way for you to relax and do something you enjoy!


      5.    De-Stress


        • This is a part of self care.  You need to find ways to stay calm and relaxed.
        • Chronic stress all by itself causes inflammation!
        • If you have trouble taking time for yourself here are some tips:  put self care on your daily schedule—even if it is for 2-5 minutes to start out.  Have an accountability partner to make sure you are not ignoring your scheduled self care!


      6.   Supplements


        • Multivitamin:  basic minerals and vitamins that your entire body needs to function daily.
        • Omega 3’s:  anti-inflammatory for your gut and whole body.  Your body needs omega 3’s to make cell membranes, make hormones and fuel your brain.
        • Probiotics:  improve gut health—digestion, absorption and microbiome.  Also helps to improve immune health.




      Having gut issues or an out of whack immune system?  Need a partner in your health journey?  Schedule a FREE 15 minute strategy call with New Beginnings.  Email Staff@NewBeginningsFMC.com or call 970-305-0101 to schedule.




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