Veggnog!

Eggnog Made Healthy

Want to know how to convert the classic yet rich and sugary eggnog into a healthy holiday treat?  Check out Veggnog (Vegan Eggnog) brought to you by the Healthy Hotties, a group of Toronto-based holistic nutritionists. Brilliant!

Sharks: Why They're Not Health Products

Alternatives to Shark Oil

Shark liver oil has been used for centuries by fishermen as a general tonic and folk remedy. Shark oils do contain many of the beneficial compounds that are also found in cold water fish, such as omega-3 fatty acids, vitamins A and D, which are important for optimal immune function. However, I do not consider shark oils to be appropriate substances for use in a health context.  As a naturopathic doctor I have never, and never will, recommend the intake of shark products to any of my patients. The risks are simply too great.

Why take such a stand on the shark-as-medicine issue? The naturopathic doctor's oath includes to "First, do no harm" and to "preserve the health of our planet for ourselves and future generations".  This means that the medicines I prescribe must be ecologically friendly.  Many of the world's sharks have come under survival pressures due to human activities - from intense demand for their fins for shark fin soup, or their cartilage for the mythological anti-cancer effects, to tragic bycatch losses whereby sharks are unintentionally caught in nets set for other species like tuna (a whole other issue), to spills and disasters, shark populations are particularly vulnerable to human follies because their slow rates of growth and reproduction and predator status makes them fewer in numbers relative to the "prey" species. Sharks are needed as predators to keep prey species healthy. Incidentally, dozens of "prey" species are also eaten by humans, so in helping sharks we would be helping ourselves maintain access to sustainable, healthy fish stocks (J. Sabau, Wake Shark & Ocean Educator 2009). A World Fishing & Aquaculture article published today noted that one third of Europe's shark species are currently considered threatened and the European Parliament has called for stronger policies against shark fin-removal on board ships.

Medicinal Properties of Shark Products Available From Alternative, Less Toxic Sources

Green Energy Drink

It's Kale Season!

So you know this wonderful green leafy veggie is good for you. What to do with it?  Here is a quick, delicious green drink that even the kids might enjoy!  (I admit, my inspiration from this one comes directly from a veggie drink by Dr. Oz....but this is a much simpler and I believe, tastier version). Enjoy with breakfast or as an antioxidant-rich afternoon pick-me-up.

Ingredients:

2-3 fresh kale leaves, washed, chopped, stalks/stems removed

1/2 apple*, washed, skin on, chopped (*honeycrisp variety works well due to its lovely sweetness)
Juice of 1/2 a lemon

1 cup water

Directions:

Blend all ingredients on high until smooth. Enjoy immediately - drink in the green energy!
Total Prep Time:
5 minutes

Looking for a few more kale recipes? Check out these suggestions from Brookfield farm: http://www.brookfieldfarm.org/kale.htm

Probiotic Dosing

How Much Probiotic Should I Take?

The number of colony-forming-units (CFU), species/strains, and frequency of taking your probiotics should be based on the individual needs and health history of each person. As a general preventive dose, 2 to 10 billion CFU of a mixed strain probiotic is likely a good place to start for children over 1 year of age. There are special probiotics for infants up to 1 year. For adults, 8 to 20 billion CFU is a good daily preventive dose.  

Treatment doses and strains, e.g. for post-antibiotic complications, parasitic infections, immune system dysfunction, urinary tract infections and yeast infections (candidiasis), should be determined in consultation with your health care practitioner. Based on an ever-growing body of medical research, your practitioner can also guide you in the use of specific probiotic strains for particular health effects.

Special Uses for Probiotics

What Should I Take Probiotics For?

There are many different uses of probiotics, a.k.a. "friendly bacteria". They can be taken preventively all year round to ward off food poisoning-type infections, coughs and colds, to improve digestion and assimilation of nutrients, and to aid the detoxification of excess hormones and other toxins from the body. A 2009 randomized, controlled study showed that children who took probiotics twice daily had significantly decreased fevers, coughs and runny noses. 

Probiotics are also important for helping to prevent complications in pregnancy; this may be in part due to prevention of group B strep and urinary tract infections, which can bring about pre-term labor. 

Probiotics with Antibiotics

Probiotics should definitely be taken during and after antibiotics to prevent antibiotic-induced diarrhea and opportunistic yeast and Clostridium difficile infections. Probiotics do not interfere with the efficacy of antibiotics in killing the infective germs, but should be taken as far apart in time from antibiotics to preserve their survival. This is because antibiotics are non-specific: they kill the infective or "bad" bacteria as well as the good guys.

Probiotics for Travel

When traveling or camping in a new area, you may have low natural resistance to the microbial life in that environment and in the food and water you consume. When probiotics are in good supply in your gut with supplemental extras on the go, you'll be in better shape to have a trip uncomplicated by traveler's diarrhea.

Probiotic Prevention

Should I be Taking Probiotics?


Great question! and one I field often in my practice.  Probiotics are beneficial bacteria that normally colonize the human gastrointestinal system - in particular the colon or large intestine. In the gut, probiotics, such as Lactobacillus acidophilus and Bifidobacterium lactis, help to prevent and treat a variety of conditions through several mechanisms:

Rolaids Recall

December 10, 2010

Health Canada has issued an urgent recall advisory for certain Rolaids products due to contamination with metal and wood particles. See the full article here.

LizCherevatyND on Twitter

Follow me on Twitter and keep health-savvy!

Thanks for following!

-Dr. Liz

Complementary Cancer Care Advances to 5th Place!

Update on Aviva Community Fund Competition

"Whole-Person Cancer Care Regardless of Income" has advanced to 5th place today in the Semi-Finalist round! This is a fantastic opportunity to win $100K in funding to support a sustainable, cost-free centre for integrative cancer care - including evidence-based natural medicine and therapies that enhance the efficacy and improve tolerance of conventional cancer care.  

Keep this incredible community momentum going!

If you haven't already registered, click here to register and log in to vote. Voting is fun and takes just a few moments to make a difference.

Voting daily with you through Dec. 15th,

-Dr. Liz 

CBC Interview on Complementary Cancer Care

Cost-Free Complementary Cancer Care Centre Stands to Receive $100,000 in Aviva Community Fund Competition

The idea of "Whole-Person Cancer Care Regardless of Income" stands in 6th place today in the Aviva Community Fund competition. Dr. Dugald Seely MSc ND, director of research at the Canadian College of Naturopathic Medicine, was interviewed on CBC (check out minute 4:30 of the interview podcast) sharing more about what the $100K in funding would do for Canadians dealing with cancer: http://www.cbc.ca/allinaday/2010/12/03/4-ottawa-groups-vie-for-aviva-community-fund/

About three quarters of people dealing with cancer use complementary therapies such as acupuncture, nutritional medicine, mind-body therapies and massage therapy to enhance the efficacy and decrease side effects of conventional therapy, decrease pain and improve quality of life. With public support through online voting until December 12th, this project stands to be awarded $100K to enable these vital, evidence-based health services to be accessible to people who need them - cost-free.  

In addition, the prize would be matched by an additional $200K from the Canadian College of Naturopathic Medicine and the Ottawa Regional Cancer Foundation to establish the infrastructure and ongoing research capacity to make sure this type of high-quality, accessible cancer care is sustainable.

If this project resonates with you, make your vote count by registering (with an email address) and voting DAILY to help make this dream a reality!

Check out the funding proposal here, and keep on voting!!


-Dr. Liz


http://www.avivacommunityfund.org/ideas/acf6149

Natural Cancer Care - Vote in the Aviva Community Fund!

Want to see cost-free, integrative cancer care become accessible in Canada?  Vote DAILY for the next 10 days in the Aviva Community Fund Competition for idea #6149, "Whole-Person Cancer Care Regardless of Income"! 

Make your vote count in the bid to win $100K in support of a new, cost-free integrative cancer care centre in Ottawa (our nation's capital will be just the beginning!)  The first of its kind, this centre would make whole-person, complementary cancer care accessible to cancer patients and cancer survivors in Canada who otherwise could not afford these valuable and life-changing health services. What's more, the $100K prize would be MATCHED by the Ottawa Regional Cancer Foundation AND the Canadian College of Naturopathic Medicine (http://www.ccnm.edu) for a total of $300K in funding for a sustainable project that will help people from across Canada. 

For more information about whole-person cancer care regardless of income, click here.

Let's get voting!

-Dr. Liz

HOW TO VOTE:

Step 1 (If you've already registered before, you don't need to do this again) CLICK HERE TO REGISTER(you will be asked to confirm the registration by email)

Step 2 CLICK HERE FOR "Whole Person Cancer Care Regardless of Income" idea #6149 you can also use the advanced search option and type in "6149" to get to our idea)

Step 3 Bookmark the page and repeat step two every day until you have used up your 10 votes!

Step 4 SHARE THE MESSAGE!

What's My BMI?

Body Mass Index as a Health Risk Indicator

The Body Mass Index (BMI) is a numerical value calculated based on your height and weight. It  represents your risk for developing overweight-associated health conditions. 

The higher your BMI, the higher the risk for developing diseases such as type 2 diabetes, certain cancers (including colon, breast, endometrial and gall bladder cancers), heart disease, gall stones, osteoarthritis, high blood pressure, and sleep apnea (NIH 2010).

BMI Categories:

• Underweight = <18.5
• Normal weight = 18.5–24.9
• Overweight = 25–29.9
• Obesity = BMI of 30 or greater

What's Your BMI?

To calculate your BMI, input your height in inches and weight in pounds to use this handy online BMI calculator from the National Institutes of Health (NIH).  

If your BMI is greater than 25, view this table to determine what a healthy weight would be for someone of your height. If you're not certain how to lose weight safely, sustainably and permanently, contact your health care practitioner to determine the nutritional, exercise and lifestyle modifications that can help you achieve your goals. Modest, sustainable weight loss can help you enjoy better overall health, energy, stamina, and decrease your risk of serious disease.

Permanent Weight Loss Is Achievable

For more information on how naturopathic medicine can help you achieve your weight loss goals, please   contact me for a free, 15-minute complimentary consultation at my office in Guelph, (519) 822-7075. You CAN feel better!

-Dr. Liz

Can a naturopathic doctor help me?

Complimentary "Meet the Doctor" Visits with Elizabeth Cherevaty ND


Find out if naturopathic medicine is right for you. 

Do you live or work in the Guelph area? Wondering how working with a naturopathic doctor can help you with your health concerns? You're invited to come by for a free, 15-minute "meet and greet" consultation with me at the Meridian Wellness Centre. I'll answer any questions you may have, and you'll get a sense of whether you'd like to work with me as part of your health care team. It's completely free, and if for any reason I feel I can't help you, I'll be pleased to refer you to someone in our area who can. 

Call (519) 822-7075 to book your free, 15-minute introductory naturopathic visit at the Meridian Wellness Centre.

Looking forward to meeting you in the near future!

-Dr. Liz

Naturopathic Doctor
Guelph ON

For more info please visit http://guelphnaturopathic.weebly.com

Diabetes Drug Increases Cardiovascular Risk

A Health Canada public advisory has been issued this week warning people with type 2 diabetes who are taking the drug, rosiglitazone, marketed as AVANDIA^®, AVANDAMET^® (contains both rosiglitazone and metformin), and AVANDARYL^® (contains both rosiglitazone and glimepiride) about the increased risk of adverse cardiovascular (heart-related) events associated with the use of this medication.  Rosiglitazone is a prescription drug  that is added to the treatment regime of people with type 2 diabetes whose blood sugar has not been controlled by a combination of dietary changes, exercise, and the oral hypoglycemic agent metformin.

Rosiglitazone can cause fluid retention in the body, which can aggravate some cardiac conditions and lead to swelling, weight gain, and worst of all, heart failure. The use of rosiglitazone may be associated with an increased risk of cardiac ischemia (poor blood supply to the heart).  AVANDIA^®/AVANDAMET^®/AVANDARYL^® are not recommended in patients with a history of ischemic heart disease. 

If you are currently taking rosiglitazone, contact your physician immediately to discuss your individual risk/benefit profile as well as other treatment options. Do not discontinue rosiglitazone therapy without  your physician's supervision. 

A PREVENTABLE EPIDEMIC

Type 2 diabetes is a chronic disease caused by obesity, sedentary lifestyles, and poor dietary choices. This is a lifestyle-induced epidemic, with 60,000 new cases diagnosed annually in this country (Health Canada 2005). Complications of chronic, poorly-controlled blood sugar include damage to small and large blood vessels leading to blindness, kidney failure, erectile dysfunction, ulcers and limb amputations, atherosclerosis, heart attacks and strokes. People with type 2 diabetes are also at increased risk of various types of infections. 

THE GOOD NEWS

From a health promotion perspective, Type 2 diabetes is both PREVENTABLE and MANAGEABLE with dietary and lifestyle change if these interventions occur early enough in the disease development process. Botanical medicine and specific nutrient therapy are also helpful in managing type 2 diabetes and preventing complications. 

For your individualized type 2 diabetes prevention or treatment plan, contact your naturopathic doctor. 

Naturopathic consultations are available at the Meridian Wellness Centre by calling 519-822-7075.

-Dr. Liz 

Make Your Own Almond Milk

Is the cost of almond milk, or the thought of trucking litres upon litres of mostly water from California to your doorstep, or perhaps its thin blandness dragging your enjoyment of a dairy-reduced diet into the mud? Here's an easy and cost-effective way to make your own fresh almond milk and can be adjusted to suit just how you like it. I've developed this quick recipe based on a single serving, so multiply as needed based on number of servings desired.

RECIPE

What you'll need:

1/2 cup raw almonds
1 cup water (nice and local); or to taste
1/4 tsp. natural vanilla extract (optional)
1/4 tsp. honey or maple syrup (optional)

Soak almonds in water overnight to activate the nuts' natural enzymes. Blend on high. Strain by pouring through a wire strainer* into container or glass of choice. Pour over cereal, into tea or coffee or drink on its own.  Homemade almond milk is a yummy, digestible, cleanse-friendly way to get your calcium boost!

*Tip: use leftover nut bits as a base for pesto, mix into oatmeal, a protein shake or something you're baking....those proteins and fibres are highly nutritious and versatile!

VARIATIONS

Substitute raw cashews or great Canadian hemp hearts (hulled hemp seeds) in the same proportions in this recipe for an even creamier texture.  Play with the proportions of nut/seed to water to make your homemade "milk" thinner or creamier and to vary the flavors.  Nuts and seeds are good sources of protein, beneficial oils, and minerals. Enjoy!

Update on Integrative Cancer Care funding competition

INTEGRATIVE CANCER CARE IN CANADA?

Great news: the idea of a Canada's first cost-free complementary cancer care centre has moved on to the semi-final round of voting in the Aviva Community Fund competition. Voting in the semi-finalist round begins December 2, 2010. Each person has 10 days to vote 10 times. The countdown begins!

SEMI-FINAL ROUND VOTING BEGINS DECEMBER 2!

Search for idea #6149, "Whole-Person Cancer Care Regardless of Income" or follow this link to learn more about this project and register to vote beginning on December 2!  It takes just a moment. Your vote will help all Canadians by helping to establish a sustainable, cost-free integrative cancer care centre with the Aviva prize of $100,000 to be matched by both the Canadian College of Naturopathic Medicine (CCNM) and the Ottawa Regional Cancer Foundation (ORCF) for a total of $300K in funding.

Vote YES to Cost-Free Integrative Cancer Care in Canada!

Canadians are one step closer to making cost-free, whole-person cancer care a reality through tremendous public support in the Aviva Community Fund competition! The proposal has reached Round 2 of the competition and is sitting in 3rd place!!

"Every three minutes, a Canadian is diagnosed with cancer. Wanting to implement every measure to overcome this disease, the majority (~ 80%) of people turn to complementary and integrative therapies to regain some measure of control over their lives.

Not everyone can afford this care.

With this initiative we are asking for $100,000 from the Aviva Community Fund. This amount will be TRIPLED to a total of $300,000 by equal contributions from the Canadian College of Naturopathic Medicine (CCNM) and the Ottawa Regional Cancer Foundation (ORCF). All funds will go to providing no cost whole-person care to hundreds of cancer patients in the Ottawa Region.

Success of this initiative will allow the creation of a lasting program delivered to those who would not otherwise have the option. If you are interested in learning more and/or becoming involved, please contact syoung@ccnm.edu.

Cast your vote - every day for the next 9 days - and help make sustainable, accessible integrative cancer care a reality in Canada! Click here to register, then get VOTING!

Every person has 9 days to vote 9 times.

Thank you on behalf of the people with cancer and their loved ones who will benefit immensely from making this project a success!!

THREE INGREDIENTS TO AVOID IN CHILD SKIN CARE - AND SOME HEALTHIER OPTIONS

We're trying to get petroleum out of our cars...So why are we still putting it on our kids' skin?

As an ND who works with pediatric patients, I am frequently asked about various skin conditions in kids. Lately I've been scanning product labels on pharmacy and grocery store shelves evaluating whether I'd feel comfortable recommending ANY of these familiar brand-name skin care products to my patients. Based on the ingredients listed, in most cases the answer is an overwhelming "no thanks". From fragrances to heavy metals to artificial preservatives and colours, most of the skin care products available for kids contain ingredients that at best give their livers extra things to detoxify and at worst can be irritating, allergenic, endocrine-disrupting or even carcinogenic.

In addition to fragrances and colors, here are three ingredients that should be avoided in your child's skin care routine (you'll find some healthier suggestions below):

MINERAL OIL

First, let's look at "mineral oil", inaptly named as it actually contains  no minerals, this substance is also known as "paraffin oil" and "liquid petrolatum". As a toxicologist, I found the MSDS (Material Safety Data Sheet) on mineral oil to be interesting, as this material is indicated to be a skin irritant that can cause dermatitis. "Less refined" versions of mineral oil are carcinogenic. Meanwhile, a quick check of the Environmental Working Group's (EWG's) "Skin Deep" cosmetics database highlights concerns of carcinogenicity, organ system toxicity and yet more skin-irritating qualities.

PETROLATUM

Similarly, petrolatum (yes, I have a petroleum-should-not-be-on-our-skin theme here) makes the grade as "expected to be toxic or harmful" and "a high human health priority" by Health Canada's Existing Substances List. Note that it has also been concealed in cosmetic products under the everything-goes, unregulated term, "fragrance".

PETROLEUM JELLY

Then there's the brand-name Vaseline or petroleum jelly. The historical account of the "discovery" of this industrial byproduct as a skin care aid is described on Unilever-Vaseline's web site. But petroleum jelly (yes, jelly made of petroleum) is a waterproof substance leftover from the refining of crude oil - it prevents water from escaping from the skin (hence famed as an emollient/moisturizer) and conversely prevents waterborne microorganisms from infecting the skin from the outside, indirectly allowing the body to go about healing itself (and we LOVE that the body does). These waterproofing properties , though, can be obtained through more nutritive and natural substances than an inexpensive byproduct of the oil refinery industry backed by cuddly marketing.

Petroleum-derived ingredients are known as "occlusive" - that they block the pores. Not ideal. Pores don't like being blocked. What's more, these materials can come pre-contaminated with PAHs (polycyclic aromatic hydrocarbons), which introduces to baby's skin care regime additional risk of carcinogenicity, allergenicity, and endocrine disruption. 

So what's the "bottom line" for baby's bottom?

First, healthy skin needs to be cleaned with water and a soft cloth, dried gently, and that's it. There is no medical requirement to apply an occlusive, waterproofing, drying, or other substance to baby's bottom between diaperings. Skin can just be skin. If desired though, there are many healthier alternatives to petroleum byproducts. Skip the tar sands and try a sprinkling of corn starch; organic olive oil; beeswax-, olive oil- or coconut oil-based balms with herbs like plantain, comfrey, or calendula; homeopathic combination cremes, etc.

If your child has a skin condition, such as eczema, diaper rash or candida, book a visit with your ND to determine the appropriate treatment. It's best not to suppress skin eruptions with corticosteroids. Rather, look for healing from the inside out. Skin concerns in babies often reflect an imbalance in the baby's diet (or mom's diet during breastfeeding), intestinal microflora (probiotics) and immune system.

Most of the time, some simple changes with the guidance of your ND are all it takes to do great things for your little one's health, skin included. Happy pampering!

-Dr. Liz

References:
http://www.cosmeticsdatabase.com/ingredient/703977/MINERAL_OIL/
http://www.cosmeticsdatabase.com/ingredient/704786/PETROLATUM/
http://www.cosmeticsdatabase.com/ingredient.php?ingred06=726345

Upcoming Health Seminars in Guelph

Join us Saturday, October 30, 2010, 10:30AM-12noon at the Meridian Wellness Centre at 329 Woolwich St., Guelph, for two FREE public health seminars!

"Naturopathic First Aid" - Dr. Sarah Wyer BScH, ND, presents tips for naturopathic management of common first aid situations, like bites and stings, minor wounds, sunburn, frostbite etc. Learn how to put together your own first aid kit using naturopathic remedies for home, work or vacation.

"Naturopathic Flu Care at Home" - Dr. Elizabeth Cherevaty BScH, ND, (yes, that's me!) teaches principles of flu prevention, how to differentiate between a cold and a flu, how to respond to the early signs and symptoms of flu, and what naturopathic and homeopathic remedies to have on hand to minimize the incidence, severity and duration of flus this season.

To pre-register please contact our Office Manager, Royce Brown, at (519)822-7075.
Please bring your questions! Children are welcome.

Support for Integrative Cancer Care

Here is an opportunity to help bring the Canadian Centre for Integrative and Environmental Oncology one step closer to becoming a reality! Cast your vote (up to 10 times on 10 different days!) in the Aviva Community Fund competition for "Holistic Cancer Care for People Who Can't Afford It". We all know people who have been or are currently affected by cancer. Many integrative and natural therapies are emerging and well-backed by research, but are not currently funded by the conventional health care system in Canada. This project, submitted to the funding competition by Dr Dugald Seely ND, aims to raise $100,000 to create a sustainable facility that provides hundreds of people dealing with cancer with the integrative treatments they need, at no financial cost to patients and their families.

View the idea and background details at http://www.avivacommunityfund.org/ideas/acf6149

Happy voting!

Ideals of a True Physician

As physicians, we are constantly learning - it's one of the things I love most about being a naturopathic doctor! The practice of naturopathic medicine allows us to utilize the best of scientific medicine and diagnostics, while delivering health care according to fundamental principles and philosophies of care that help us guide our patients to true health and healing. We research and seek instruction and inspiration from other physicians who have established precedents of excellence in the practice of effective, ethical, principle-bound medicine - the kind of health care that empowers patients and changes lives with true healing. Renowned naturopathic physician and homeopath Dr. André Saine, ND, FCAH, is one of these great leaders. Through his practice and teaching work at the Canadian Academy of Homeopathy in Montréal and internationally, Dr. Saine has inspired generations of naturopathic and allopathic physicians to become better doctors and facilitators of healing. Recently, a colleague and fellow homeopathy-phile (thanks, Mel!) pointed out André's article, "If it's worth doing, it's worth doing well: keys for becoming a successful physician", which captured my attention this morning. Presented as a lecture to the graduating class at National College of Naturopathic Medicine, Portland, 2009, the article explores the fundamental characteristics of a successful physician - knowing the self, human nature, and Nature, and embodying the philosophy and principles that should abide by each doctor in daily practice. This is captivating and inspirational reading!!! for doctors and patients alike, and leaves me to critically appraise how I can foster my own life and naturopathic practice to daily reflect these immutable ideals of care.

Here is a brief excerpt:

"What are the more important predispositions necessary for the practice of medicine? I would suggest the following qualities and dispositions and encourage their cultivation:

Benevolence
Intelligence
Sound health
Balanced personality
Curiosity
Humility
Patience
Alertness
Objectivity
Resourcefulness
Being a good communicator
Equanimity
Resilience
Optimism
Intuition
Sound judgment
Courage
Self-confidence
Honesty
Wisdom

"Benevolence is the disposition to be kind and good to others. In Buddhism, it is called maitri, which is one of the four elements of true love and is translated as loving-kindness.

"Benevolence is one of two basic ingredients for becoming a true physician, knowledge being the other. Benevolence or love is the inspiration and knowledge is the guide. With the love to help your fellow human beings you will be eager to learn and acquire the necessary knowledge to become a true physician. However, benevolence, without that knowledge or ability to do good, may actually make others suffer. To a 24 year-old enquiring medical student, Hahnemann wrote, 'I pray you to continue to be a right, genuine, good man, as it is impossible without virtue to be a true physician, a godlike helper of his fellow creatures in their distress.' It seemed that Hahnemann's prayer was greatly fulfilled, as the young student was Constantine Hering....

"...Assuming that you fulfill the necessary profile, the next requirement is to learn about human nature....

- Dr. André Saine, ND, FCAH, The Naturopathic Gathering, NCNM, 2009; available at: http://www.homeopathy.ca/articles_det22.shtml

View the complete article and others on The Canadian Academy of Homeopathy web site, www.homeopathy.ca

Happy learning!!

Weight-loss drug Sibutramine (Meridia) Withdrawn from Canadian Market

Citing serious cardiovascular risks that outweigh expected benefits, pharmaceutical manufacturer Abbott Laboratories voluntarily withdrew the prescription weight loss drug, sibutramine (known by brand names Meridia, Reductil, Reduxada and Ectiva) from the Canadian market this week.

Known History of Adverse Effects and Deaths with Sibutramine

That sibutramine is associated with serious cardiovascular adverse events and deaths is not news. Sibutramine was pulled from the market in Italy in 2002 (yes, that's eight years ago) after more than 50 adverse events, including 2 deaths and many other reports including tachycardia, hypertension and arrhythmias occurred in individuals taking the drug. In fact, hundreds of adverse reactions including 31 deaths associated with sibutramine had already been reported by 2002 from just within the UK, France, the U.S. and Canada (Wooltorton, CMAJ May 14, 2002;16(10)).

Sibutramine: Risks and Benefits

Used in conventional medicine to support weight loss in individuals with a body mass index (BMI) of 30 or higher, sibutramine is a sympathomimetic drug that increases heart rate and blood pressure via inhibition of reuptake of norepinephrine and serotonin in the central nervous system. Studies had demonstrated the drug to support 5%-8% weight loss with 6 months of use compared to 1%-4% with placebo (interesting results from the placebo - we can only speculate how the comparative effect of the drug would have measured up to an actual weight loss program of diet and lifestyle change..hmmm....). Providing 5%-8% weight loss, and only while individuals continued to take the drug, sibutramine offered an unfavourable risk-benefit profile. It was recognized to be a dangerous medication and was indicated as an adjunct to an overall weight loss program, i.e. an addition to a consistent program of diet, exercise and lifestyle modification (Wooltorton 2002).

Adjunctive or Primary Therapy?

Was sibutramine truly used as an adjunct to the counselling- and time-intensive practice of helping patients learn how to lose weight? Or did physicians and patients rely upon it as the ever-sought-after "magic pill" for weight loss while ignoring the role of unhealthy diet and lifestyle choices, hormonal imbalances, and mental-emotional factors contributing to obesity? After a decade of approved use in Canada, Health Canada never got around to protecting Canadians from the risks of taking sibutramine, so we have the manufacturer to thank for relieving doctors and patients of the opportunity to exchange a temporary and relatively small benefit for serious harm or death. Will we continue to risk our lives for the next "magic pill" and believe that we really don't need to take care of ourselves through healthy diets, exercise habits and attending to our mental-emotional needs?

No "Magic Pill" for Weight Loss; the power is within YOU

Achieving a healthy body mass is important to optimizing health and decreasing risks for many forms of disease and premature death. However, naturopathic physicians recognize that there is no "magic pill" for weight loss. Pharmaceutical and natural substances may be available (even Health Canada-approved!) to support weight loss, but should never considered to substitute for long-term healthy lifestyle practices. As a naturopathic physician bound by the oath of "First, do no harm", my view is that any substance, whether natural or pharmaceutical, that is used adjunctively to support weight loss (or any other health goal, in fact) must first and foremost be safe. Naturopathic doctors are experts in teaching the principles of healthy living and using evidence-based natural therapeutics to optimize health. This includes thorough assessment and coaching through safe, permanent weight loss, and education that empowers patients to optimize their health and self-care habits.

You CAN Start Improving Your Health Today

As a naturopathic doctor my goal is to provide comprehensive, minimally-invasive primary health care that is individualized to the unique needs of each person, equips them with the education to make healthful choices, and supports their innate capacity for self-healing. If safe and permanent weight loss is your goal, consult your naturopathic doctor or other primary health care practitioner to discuss your options and start improving your health today.

To find a naturopathic doctor near you, please visit www.oand.org and use the "Find an ND" function.

Cast your vote on the Liberation Treatment for MS

Here's a chance to voice your opinion on whether the controversial Liberation Treatment for multiple sclerosis should be offered in Canada - See the Globe and Mail and take the poll!
http://www.theglobeandmail.com/news/opinions/globe-opinion-poll/article1733602/

Naturopathic Flu Prevention Tips

It's flu season and the big question these days is:

Q. How can I avoid coming down with the flu this year?

Answer: A healthy immune system is your best defense against the flu. Influenza and viruses that cause flu-like illness are most active from fall through spring. During these months, exposure to potentially infective viruses is inevitable, so it is especially important to ensure your immune system is healthy and equipped with the necessary resources to prevent infections from developing. Here are some basic preventive measures to practice throughout the “flu season”.

Top 10 Tips for Preventing Flu and Flu-Like Illness:

1. Wash your hands – frequently with regular soap and warm water for at least 30 seconds. Be sure to scrub the webs between fingers and under the fingernails. Dry your hands thoroughly with a clean towel. Key handwashing times are before leaving work or school and first thing when you arrive home; before eating; before touching your mouth, eyes, nose or face; after using the washroom; after sneezing, touching your face, coughing, shaking hands, handling doorknobs or computer keyboards, etc.

2. Nourishment is fundamental – during months when viruses abound in the environment, a healthy diet with plenty of fruits and vegetables, adequate proteins, essential fatty acids and fibre is the absolute foundation for health. Cooking warm soups and stews makes the nutrients most digestible. Remember that your entire body, including the cells, antibodies and biochemical messengers of your immune system, are literally made of the molecules you provide your body through the food you eat! Avoid processed foods, refined sugars, and any foods that your body may be sensitive to. Ask your N.D. about how to implement specific foods and herbs for their antimicrobial and anti-inflammatory properties throughout the flu season.

3. Avoid exposure – as much as possible avoid contact with people who are ill or symptomatic, e.g. coughing, sneezing, congested, feverish, etc., especially crowded public places with dry, stale air. Also, get out of the habit of touching your face, mouth, eyes and nose, as this gives potentially infective microorganisms the chance to move from your hands to those warm, moist mucus membranes where they love to take up residence. If you must touch anywhere on your face, wash your hands first (see #1).

4. Nasal and sinus lavage – using a neti pot containing a pinch of sea salt and baking soda, a saline spray or a steam inhalation, gently rinse bacteria, viruses and fungi from the mucous membranes to prevent them from setting up infective colonies. Sinus lavage also removes irritants and allergens from the mucous membranes.

5. Keep hydrated – to function correctly, our cells (including our immune cells) need to be plump like grapes, not wrinkled like raisins. Sip, sip, sip throughout the day on water (warm or room temperature) and try dilute herbal teas like ginger or licorice, homemade chicken broth, or Change-of-Season Soup. A good gauge of being well-hydrated: by mid-day your urine is pale to colorless and there’s no dry or thirsty sensation in your mouth or throat. Sipping on fluids flushes potentially infective microorganisms into a pool of anti-microbial hydrochloric acid found in the stomach.

6. Keep warm and moist! - the infection-resisting work of our mucus membranes depends on their being moist. Increase the humidity of indoor heated-air environments with a warm or cool humidifier at work and home, especially throughout sleep. Avoid getting chilled, which increases vulnerability to infection, by dressing for the weather with breathable layers; keep your feet warm and dry; and avoid exposure to cold drafts.

7. Take your probiotics – beneficial bacteria that promote the protective capacity of the mucus membranes and immune system are killed off when exposed to antibiotics (including some natural antimicrobials like oil of oregano), daily stress and dietary influences. If you’re not sure which probiotics to take, contact your ND.

8. Sleep and rest well – the immune system depends on adequate sleep and rest to function properly and to promote healing. If you feel you are fighting an infection, set activities aside for now, and try to get to bed early.

9. Move the lymph – regular, moderate exercise has been proven to improve immunity. Muscle contraction and good circulation move the lymph fluid through the lymphatic vessels, allowing the immune system to function. Also try daily dry skin brushing from the extremities toward the core; daily abdominal massage with castor oil; and alternating hot and cold showers, (always finishing with cold) to improve lymphatic drainage over time.

10. Reduce stress – the physiological effects of stress decrease the body’s capacity to resist infections. Take the time for recreation, for getting into nature, for laughter, hugs and other pleasurable activities.

Emphasize Individualed Care

In addition to these important daily basics, Naturopathic Medicine offers an outstanding range of effective prevention and treatment strategies for decreasing the risk, severity and duration of flu and flu-like illnesses – including botanical medicine, hydrotherapy, homeopathy, acupuncture and clinical nutrition - all individualized to your unique needs and state of health. For your individualized flu prevention and care program, or in the event that you do become ill, contact your Naturopathic Doctor (N.D.) or other primary health care provider.

Helpful links:

Ontario Association of Naturopathic Doctors: Cold and Flu (2010)

College of Family Physicians of Canada: Flu and Colds -Tips on prevention and feeling better

Canadian Association of Naturopathic Doctors (CAND): Position Paper on Flu Vaccines (2004).

Elizabeth J. Cherevaty BScH, ND
Meridian Wellness Centre
329 Woolwich Street, Guelph ON N1H 3W4
Tel: (519)822-7075

Dr. Cherevaty ND provides primary, integrative health care for children and families at the Meridian Wellness Centre, downtown Guelph.

Liberation Treatment for Multiple Sclerosis

Hope Grows for MS Patients

A hot issue in the MS community since last year, the Liberation Treatment was developed by Dr. Paolo Zamboni M.D., an Italian vascular specialist whose hypothesis that for some individuals with MS, symptoms may be caused by narrowing and torsion of veins that drain blood from the brain - chronic cerebrospinal venous insufficiency or "CCSVI" - is gaining further clinical support worldwide on a daily basis. The treatment involves surgery to restore appropriate circulation and is being provided at many clinical sites worldwide - but not yet in Canada.

Two streams of thought have developed on the etiology of MS - the conventional being the "neurological", and the emerging school being the "vascular". Physiologically, the neurological system and vascular system are intimately linked, however, research and treatment infrastructure in the MS community has been entrenched in the neurological and autoimmune aspects of the disease, and an emphasis on the vascular aspects is considered by many specialists to be an emerging theory.

Until recently, the screening test to determine whether an individual diagnosed with MS was a a candidate for the Liberation Treatment was covered by OHIP. This past week, the Ontario government's decision to recind OHIP funding for the screening test has had many MS patients and their families concerned. The surgery itself has been conducted by a Barrie physician, however, the physician was required to cease and dessist from providing the treatment on threat of a loss of license to practice medicine. Currently, in the absence of an OHIP-funded screening regime, patients may place themselves on waiting lists to undergo the screening test, which involves an ultrasound of the vasculature of the neck and upper chest, at a number of private clinics offering the test in Ontario; they no longer need to wait for a physician's referral. The direct cost to patients for the screening test is about $250. Individuals who are considered to be candidates for the Liberation Treatment must then select a treatment location outside of Canada, such as in the United States, South America, Europe, etc. and come up with funding for the surgery, post-surgical care, travel, accommodations and personal assistance on their own. Health Canada and the Ontario Ministry of Health appear to be awaiting results from Canadians undergoing these privately paid, internationally-conducted surgeries to determine any future actions on the issue. As part of their upcoming election campaign in New Brunswick, the Conservatives have committed to establishing a $500,000 fund to support those of its 1300 to 1800 inhabitants diagnosed with MS who would undergo the Liberation Treatment (see article here). Ontario's current government has opted out of funding clinical trials for the procedure (see article here). Meanwhile, the government of Saskatchewan is providing funding for clinical trials of the Liberation Treatment for MS patients, and we look forward to reviewing their results.

For more information on Chronic Cerebrospinal Venous Insufficiency in MS and to participate in an active, supportive international online community (nearly 4000 members at the time of writing this post), refer to the CCSVI Locator page at http://ccsvi-ms.ning.com/

Healthy Hot Chocolate

Treats can be Tasty AND Healthy

As a naturopathic doctor, I enjoy finding ways to make favorite indulgences healthier. Here's a quick recipe I've developed for making a healthy hot chocolate that you can enjoy as a 100% guilt-free treat that also satisfies hunger.

26 grams (1 "scoop") vanilla rice protein powder* (altenative: soy would also work well)
1 tbsp organic cocoa powder**
1/4 tsp natural vanilla extract
1/4 cup unsweetened almond milk
1-4 drops stevia extract (or to taste)
Boiling water

In your favorite mug, combine protein and cocao powders and mix well to eliminate any clumps. Add just enough hot water to mix the powders into a paste. Add the almond milk, vanilla extract and stevia extract and mix well. Top up your mug with hot water and stir again.

Each 1-cup serving provides:
Protein: 9.75 g, Carbohydrate: 15.25 g, Fiber: 4.75 g, Fat: 3.75 g, Calories: 115, plus an array of vitamins and minerals from the enriched protein powder.

*I like Metagenics UltraMeal (Rice) Protein powder
**Try Cocoa Camino Fair Trade, Organic 100% Cacao powder (Canadian company!) or pulverize raw cocao nibs into a powder.

Change of Seasons, Anyone?

Tips for Keeping Healthy and Avoiding Illness at the Change of Seasons

Have you ever noticed that you or your kids are more likely to get sick whenever the weather changes? Southern Ontarians are experiencing a dramatic weather change today - a sudden shift from the unrelenting sun, heat and humidity we've had all summer to brisk winds and cold rain (shivers!!). Will we enjoy a final burst of warm, summery weather from now until Thanksgiving? Time will tell, but in the mean time, this sudden change in weather is a big challenge for our immune systems and overall energy levels. This posting provides you with pointers for staying healthy today and through the seasons.

Weathering the Storm - Lessons from Traditional Chinese Medicine

From a Traditional Chinese Medicine (TCM) perspective, the energy that protects us from infections, termed the "Wei Qi" or "Protective Chi", which in Western medicine can be viewed as a part of our immune system, is highly challenged by exposure to weather changes. If you've ever come in from a cold, windy day with a runny nose, achiness and stiffness in your neck and shoulders, you've experienced a compromise of your Protective Chi termed an "invasion" of external wind or cold. These early symptoms are a sign that your body needs prompt immune system support in order to prevent these "invasions" from going from bad to worse - such as a sore throat, fever, cough, headache, or sinus and lung infections.

Supporting Your Immune System - Home Care Basics

With any exposure to change in weather, especially cold, rain or wind, consider taking some of these preventive measures that you can easily do at home:

Cover up - It's scarf time! Wear comfortable layers of breathable clothing and in particular keep your neck and throat, chest, abdomen and lower back warm and covered. In TCM, these areas are considered to be most vulnerable to the attack of cold weather. Also, keep your feet warm and dry with cotton or wool socks, or slippers on bare floors.

Warm up - brew some warming drinks like ginger root and cinnamon bark teas for an anti-microbial and warming boost, or a homemade chicken broth to sip throughout the day. We all know the "plenty of fluids" rule when we feel like we're getting sick, plus, the washing-downward effect of drinking plenty of warm fluids also helps to get viruses and bacteria out of your mouth and throat where they can cause infection, and into your stomach where they can be nicely taken care of by your very own stores of hydrochloric acid.

Change it Up - Change-of-Season-Soup is a time-honored, traditional combination of Chinese herbs used to strengthen the body against potentially infections pathogens. It comes in packets of loose, dried roots and berries that when simmered for a couple of hours brews into a slightly sweet broth that can be enjoyed as a tea or used as a base for making soups and stews. Find it at your local Asian market, TCM practitioner's or Naturopathic Doctors' office. I like to make mine with organic free-range chicken, onions, garlic and other veggies thrown in, or add ginger and cinnamon if I'm going to drink it as a tea. We always keep a fresh supply of Change-of-Season-Soup in our dispensary at the Meridian Wellness Centre.

More Naturopathic Immune Support

Hot and Cold - Believe it or not, cold water can be healing to the body when used appropriately. Try alternating hot and cold showers, always ending with cold. The hot and cold alternation helps to improve the circulation and lymphatic flow, and enhances immunity over time. Ending with cold helps pump blood into your core, to keep you warm from the inside out. Tip: keep hot/warm phases 3-4 times longer than the cold ones in order to avoid getting chilled.

Let the Lymph Flow - In addition to hot and cold showers, a gentle, superficial massage over any areas of lymph node tenderness can help drain that fluid, where our immune cells are active. Try applying castor bean oil, or a bit of Tiger Balm in a carrier oil like olive or almond as a soothing boost for the massage. Also, don't be put off from your regular exercise routine. You might choose to go more gently, keeping in mind that research demonstrates that moderate physical activity (such as brisk walking) supports healthy immunity.

Rest Well - when you're feeling like you're coming down with something, it's important to take the extra time you need to rest, rejuvenate, and take care of yourself. Reschedule activities for when you're feeling back to normal. Have a relaxing epsom salts bath. Turn off the screens, keep the lights low and listen to soothing music. It's a good idea to ask your health care practitioner what extra nutrients or other treatments may be helpful at this earliest stage of illness. Remember that an ounce of prevention is worth a pound of cure (sorry for the use of this old cliche - but it's TRUE!).

These are just a few of the many strategies available to you as you strive to keep healthy when the weather goes downhill. Speak with your Naturopathic Doctor or other health care provider for your own individualized plan.

Vaccination and Ontario Public Schools

Back-to-School Tip:

For a variety of reasons, you may have chosen not to have your child vaccinated with one or more vaccines.

If so, please know that a child can NOT legally be refused admission to an Ontario public school on the basis of lack of vaccination. The child's parent or guardian must simply complete the affidavit form available on the Ontario government's web site: http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/GetAttachDocs/014-7470-64E~1/$File/7470-64E.doc

Private schools and daycares, however, may legally refuse to register an unvaccinated child for classes.

Seaworthy Veggies

Getting Our Marine Greens

Those of us living away from the seaside can find many different types of seaweeds available in natural food stores and Asian markets. For their high nutrient value they are relatively lightweight and can be transported and stored in dried form. Great ones to try include arame, spirulina, dulse and wakame. Each seaweed will have its own unique flavor, color, texture, nutrient profile and saltiness. These varied characteristics make sea veggies a fun "food group" to add to soups, stews, rice, legume and vegetable dishes. The sodium in sea vegetables is balanced by a host of other trace minerals, including iron, potassium, magnesium, calcium and selenium, that we require for optimal health. Seaweeds also supply a good proportion of B-vitamins and folic acid, beta-carotene, vitamin A and vitamin K. Sea veggies are made up of about 25% carbohydrate and 25%-50% protein, with a trace amount of fats. Sea algae provide a non-fish source of the essential fatty acid, DHA (docosahexanoic acid).

Wondering how to incorporate sea vegetables into your diet? Here are a few fun ways to get your marine greens:

• Soak dried seaweeds, such as stringy arame, in water for a few minutes until they soften and plump up. Then add to cooked dishes or sweet-vinagery salads.
• Pulverize dried seaweeds in your blender by simply tearing them into smaller chunks and blending (dry) on medium to high setting. About 4-5 sheets of the typical 8"x10"-ish size sold for rolling sushi will fill a spice jar when pulverized into shakeable flakes. Shake these onto foods as a tasty garnish and a salt alternative.
  
• Mix a few teaspoons of dried sea veggies like chlorella or spirulina into your breakfast smoothie or post-workout protein shake. They give a "green" boost and go great with fresh or frozen fruit blends.
• Use sheet seaweeds as wraps for noodles, veggies, rice, beans or meats, and turn dinner leftovers into nifty next-day lunches.
  

For more sea veggie recipe ideas and info, check out my favorite healthy cookbook, "Whole Life Nutrition Cookbook" by Alissa Segersten and Tom Malterre (featured in my Book Club).

Bowel Basics 1.1: Getting Unstuck from Constipation

Constipation isn't fun.

The straining, the cramping, the frustration. For those who experience constipation, defined as the inability to comfortably pass a complete stool at least once daily, the associated feeling of general malaise, i.e. "yucky all over" will be all too familiar, and signifies the buildup of toxins in the body that aren't being eliminated normally through the stools. When the movement of waste products in the intestines slows to a halt, these toxins are then reabsorbed through the intestinal walls back into the bloodstream. That's why we can feel so ill if we get constipated: we are going through re-toxification! Headaches, nausea, irritability and fatigue are all sufferings that can result from even a few days of constipation.

Constipation + Hormonal Imbalance = Worse Hormonal Imbalance

Hormonal conditions in particular are sensitive to constipation, because excess hormones and hormone-like chemicals that our bodies are trying to excrete are readily reabsorbed from the gut into the circulatory system, which allows them to access and re-stimulate hormone receptors on various types of cells.

Constipation and Hemorrhoids

Constipation is a common cause of hemorrhoids because of straining to pass stool. Hemorrhoids are dilated, sore venous blood vessels in the rectum that may protrude outside the body or may rupture and bleed.

Start with Some Basics

To help get your bowels moving regularly again, here are some simple suggestions for daily use:

• Drink 2-3 litres of water daily (sometimes this is all it takes, really!!)
  
• Consume 35-40 g of fibre daily, especially soluble fibre like from apples and oats
• Work your abdominal muscles and get cardiovascular exercise daily
  
• Relax and give yourself a time-out; the digestive system functions in a "rest and digest" state, but shuts down when "fight or flight" dominates.
  
• Avoid foods you may be sensitive to - as a starting point, try replacing cheese and meat with fibre-rich plant protein sources like lentils, beans, nuts and seeds.
• Massage castor bean oil into the abdomen in a counter-clockwise circular direction (up on the right, down on the left) once or twice daily or go to bed with your tummy coated with it.
• Get your daily dose of probiotics through yogurt, fermented foods or a supplement. If you're unsure which one suits you best, ask your ND.
  
• Try a gentle, super-affordable and easy laxative that also provides you with some omega-3 fatty acids and protein: mix 1-2 tbsp. ground raw flax seed in a glass of water; or blend into your breakfast shake or morning cereal, and always drink an extra glass of water or two to allow the gel-like laxative flax fibre to form and do its good work.

When It's Time to Seek Some Help

If you are doing all of the above on a daily basis and are still not having a normal daily bowel movements, then it's a good idea to see a naturopathic doctor or other health care professional to help determine the root cause. We may introduce acupuncture, herbal medicines, homeopathics, specific dietary recommendations and exercises into your individualized program.

Note that cathartic laxatives like senna should only be used on an occasional basis because they irritate the lining of the intestines and can also train the bowels to become dependent on the laxative - which is exactly what people with constipation don't want to happen. Stool softening-suppositories can also be effective, but again, are treating only the symptom rather than clearing away the root cause. Similarly, enemas can be used on occasion to clear out the colon, but are more labor-intensive than you'd like for daily use, and need to be followed up with appropriate probiotics to replenish what they wash out.

Helping patients get on track with healthier digestion is one of my clinical priorities as an ND. Feel free to contact me with any additional questions you may have about how naturopathic medicine can help you develop a healthier digestive system.