Guts and Girl Bits Podcast #42 with Renae Bartlett

If you’ve just had a baby, chances are you’re feeling tired and worn out. But what is that feeling is not just normal Mum fatigue, but instead a sign that something else is a bit out of balance.

The thyroid is a delicate, butterfly shaped gland that sits on your neck. It is responsible for your metabolism, and when it goes out of whack you can feel tired, cold, depressed and you can experience things like hair loss and dry skin. Sometimes the thyroid can become too overactive, which can make you feel irritable and cranky and cause unwanted weight loss.

During pregnancy and early motherhood your thyroid glands are sensitive to changes in your immune system and nutritional status, and so this is a time where your thyroid is susceptible to having issues.

In this episode I chat with nutritionist Renae Bartlett about her journey with postpartum thyroiditis, what women need to look out for, how to get screened if you suspect an issue, and we discuss some of the ways you can support your thyroid health as a new mother through your diet.

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Renae Bartlett is a Clinical Nutritionist who until 12 months ago, was based in Adelaide South Australia. She is currently residing in Canada for the next two years with her husband, one year old daughter and their dog Diego. Renae assists people by focussing heavily on the fundamental basics of using ‘food first’ for healing, health and wellbeing. Renae was diagnosed with Hashimoto’s in 2016 and Post-Partum Thyroiditis following the birth of their daughter in 2018. This has led Renae down a path focussed on helping women who may have been diagnosed with post-partum thyroiditis, or who are at risk of developing this condition.

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Podcast Transcript

Alison Mitchell 0:05
Hi everyone, you’re listening to Guts and Girl Bits. I’m Alison Mitchell a practicing Naturopath. I hope to share with you all sorts of information about women’s health and digestive health to educate and empower you to make informed choices about your own health. Please remember that only information is general and does not replace consulting with a practitioner.

You’re listening to Gut’s and Girl Bits. Today I’m joined with Renae Bartlett, who is a clinical nutritionist who until 12 months ago was based in Adelaide, South Australia. She’s currently residing in Canada for the next two years with her husband, one year old daughter and their dog Diego, and she assists people by focusing heavily on the fundamental basics of using food first for healing, health and well being. Renee was diagnosed with Hashimotos in 2016, and postpartum thyroiditis, following the birth of her Daughter in 2018. This has led Renae down a path focused on helping women who hope may have been diagnosed with postpartum thyroiditis, or who are at risk of developing this condition. So thank you so much for joining me today.

Renae Bartlett 1:14
Thanks, Alison. I’m really glad to be able to speak with you today and your podcast.

Alison Mitchell 1:19
Yay. So let’s start with some basics. So what’s the thyroid gland responsible for in the body.

Renae Bartlett 1:27
So it’s a very important organ that’s part of the body. So it’s part of the endocrine system and its role is centered around producing the hormones that control the metabolism of all of ourselves. So to put that in simple terms, so some of the body functions that it’s involved in is breathing, regulating our heart rate, regulating body weight and body temperature, menstrual cycles, brain function, mood, just to name a few Very, very important organ that’s part of our body.

Alison Mitchell 2:04
Yes, so important so much.

Renae Bartlett 2:06
Yes, a lot.

Alison Mitchell 2:09
All right, and then let’s talk about what is postpartum thyroiditis.

Renae Bartlett 2:15
So postpartum thyroiditis, if we look at the two terms separately, so thyroid-itis means inflammation of the thyroid and postpartum being post pregnancy. So essentially it is a inflammation of the thyroid as a result of having a baby and it causes both hyperthyroidism, so overactive and hypo thyroidism. So an underactive thyroid with hyperthyroid or even happening at first in that instance. So, the main the main difference between postpartum thyroiditis and say other inflammation conditions of the thyroid is that it’s that pregnancy that really triggers it.

Alison Mitchell 3:06
Okay. And how common is it?

Renae Bartlett 3:09
So it’s believed that it’s between five to 10% of all pregnant women will be diagnosed with this condition. But a point tonight is it’s often misdiagnosed. And the reason for this is the symptoms can be very similar to those that are women may experience just by virtue of having a baby. So, for example, you know, the the things such as being fatigued, losing hair, insomnia, weight fluctuations, can easily be attributed to just having a baby when in fact, it may actually be postpartum thyroiditis.

Alison Mitchell 3:49
Yeah. So many of those things people would just get dismissed about like it’s just because you’re a mom, or something along those lines, but it could be so much more.

Renae Bartlett 3:58
Absolutely. And postnatal depression is also something that can be closely linked to postpartum thyroiditis. So it may in fact be the thyroid that’s causing the depression state rather than depression as an as an isolated incident. So, even though it’s five to 10%, it may actually be be more than that.

Alison Mitchell 4:21
For sure, yeah. And how do you go about getting it tested.

Renae Bartlett 4:27
So it’s simply a blood test after having a baby. Important to note that symptoms generally won’t start until about six weeks after having a baby. So it’s probably important to speak to clinician about the independent factors that may require the blood test at certain times. But generally recommendation would be around about that. Two month period postpartum and then monitoring after that.

Alison Mitchell 4:57
So if say a woman has been feeling Okay for the early stages of the postpartum period, and then she starts to feel a bit more downhill is that way you’d be thinking maybe it’s the thyroid connection,

Renae Bartlett 5:09
it could very well way and it’s just simply a blood test that it there’s nothing terribly invasive about really saying whether someone may have a thyroid condition after having a baby. And it can simply confirm whether that is something that needs to be further looked at and treated, or it can, it can then be be lumped into another condition and go down that path. So I would certainly recommend for women who have had a baby to have their thyroid tested, regardless after they’ve had had their baby, but certainly those that are in the risk group of developing the condition.

Alison Mitchell 5:50
And does your thyroid function actually changed during pregnancy as well like is this process starting earlier than postpartum?

Renae Bartlett 5:59
So Things happen a lot with pregnancy and the thyroid, think of it like a stress test for your thyroid when you fall pregnant. And the reason for this is that the first trimester, the baby is 100% dependent on the woman’s thyroid. So if there’s already an underlying issue there or even a known issue of of thyroid dysfunction, the that can have have severe implications for the woman’s first trimester of pregnancy. And unfortunately, in some cases, this is where complications such as miscarriage can occur. Between because the thyroid and the body in general cannot sustain the mother let alone the baby as well. If the pregnancy does manage to continue, the baby will then start in that second trimester to use its own thyroid to function and then from about 18 to 20 weeks. The baby will then start producing time for thyroid hormones. So when you look at that, for for someone that may have dysfunction, you’ve got the first potentially 20 weeks where that that woman needs to produce enough thyroid hormones for herself and for her baby as well.

Alison Mitchell 7:19
Yeah, okay. So it’s under a lot more pressure during that period of time. Yeah. And I guess because you know, your thyroid is dependent on certain nutrients as well. So if there’s going to be a funneling of nutrients into the baby, then that’s going to be leaving the mother a bit more deficient, possibly. And then, like you said, there’s an immune involvement too. So I guess that would have an impact.

Renae Bartlett 7:47
Yeah, absolutely. So, an important thing to differentiate is the the immune system is suppressed during pregnancy to account for the fact that the body is essentially creating something that’s foreign. So some people may actually notice if they have a autoimmune condition that their symptoms tend to be a lot better when they’re pregnant in some cases, because that immune suppression, that rebound effect after pregnancy, typically from about the six weeks and certainly in postpartum thyroiditis is is what really drives this, this thyroid inflammation and it’s that rebound of the immune system kicking back in and then going into overdrive. So there really is that the two parts playing in developing this condition, certainly.

Alison Mitchell 8:39
For sure. Okay, so, we’ve talked about, you know, how some of the symptoms that are very similar to that postpartum period generally for women like insomnia and fatigue and possibly depression, are there any other symptoms that women should look out for that might suggest that they have a thyroid issue, possibly during and post pregnancy.

Renae Bartlett 9:02
Yes. So during can be incredibly difficult when you’re just looking at symptoms. And that is because the symptoms are very similar to those that you would experience as a result of being pregnant. So for example, there can be weight changes, typically, weight gain, there can be lack of sleep, there can be irritability, anxiety, there can be mood changes, there can be skin and nail changes. So dry skin, brittle nails, all of those are quite common symptoms in particularly hypothyroid saints, but also their common symptoms that you get when you’re pregnant. Right. So, diagnosing during pregnancy is most often by blood tests, but that usually is monitoring the thyroid to see how it is coping with pregnant. Certainly after pregnancy, if a woman is in that hyperthyroid state, she’s going to experience things like increased heart rate. That could be tremors, heart palpitations, overheating, heat intolerance, insomnia, irritability, anxiety. And then when the condition swings to hyperthyroid, if that does occur, then it goes the other way. So things like fatigue, hair loss, poor memory, constipation, cold intolerance and depression are some of the main things that you would say. Okay.

Alison Mitchell 10:43
So the blood test that we’d be looking at is that typically your TSH and if that’s out of balance, then your T3, T4 and your thyroid antibodies is fairly similar to your standard thorough tests.

Renae Bartlett 10:56
Yeah, that’s correct. Yeah. Okay.

Alison Mitchell 11:00
Are there any predisposing factors for developing past postpartum thyroiditis?

Renae Bartlett 11:05
Yeah, there is. So there’s certainly a strong link between having thyroid autoimmunity before pregnancy. So typically the the TPO antibodies. Also there’s a history of thyroid dysfunction previously, and that can even be transients or may not even be be permanent. If there’s been a family history of any thyroid disorders, or a previous history of postpartum thyroiditis in another pregnancy, and also other autoimmune disorders, particularly type one diabetes, they’re at high ris k of developing this condition.

Alison Mitchell 11:51
Okay. And so it is something that does tend to recur so like if you’ve had it one pregnancy, you’re likely to get it another time.

Renae Bartlett 12:00
Not necessarily at the moment, it’s estimated that about 20% of recurring. So that is some good news that it doesn’t mean that for every pregnancy a woman is necessarily going to continue to have postpartum thyroiditis. It may be one time timeline in which is good news as for that, that 20% it tends to be women that have very high anti thyroid antibodies, where their TSH levels are not in the normal range when they fell pregnant, so certainly about about five I believe or even above 10 and that that is the most likely risk factor for perhaps having it recur.

Alison Mitchell 12:51
Okay. Now, I know that you’ve had a bit of a journey yourself with this, is it something that you would be able to share Your journey with postpartum thyroiditis?

Renae Bartlett 13:02
Yes, certainly. So, I was aware that I had a pre existing thyroid condition before I fell pregnant. And I did have some some difficulties falling pregnant. And I do believe it was it was probably due to my thyroid condition. So once I was successful in falling pregnant, I made sure that I monitored my thyroid levels throughout pregnancy. And I wasn’t on any thyroid medication either. So it was more to just make sure that my body was handling it appropriately. Thankfully, it was everything went along really, really well. I had a really wonderful pregnancy, wonderful birth. And then after having my baby at about three months postpartum, I felt generally quite well but I thought I really need to go and just make sure that my thyroid is functioning as it should. And knowing that I had a previous history I thought that would be a good idea. As it turned out, I was very hypothyroid. Much to the surprise to myself and my, my doctor, because I wasn’t really presenting with very strong symptoms, which I came to find is relatively common. It’s more of a hypothyroid state. If it does swing to that word becomes quite known that there may be an issue. And so I monitored my bloods every four weeks, and I believe after about two months, I then transitioned into hypothyroid. And I did then certainly start to notice symptoms. For me, I had extreme fatigue. I would say quite Moody, you know, crying without really understanding what I was crying about. I can remember one day I was out walking my dog and it was a beautiful day and I started crying and I’m like, Why on earth? am I crying? This is not know. I don’t really understand what’s going on. So luckily for me, I knew that it wasn’t just as a result of having a baby and I knew that wasn’t me going crazy and thinking, you know what? What’s going on? I knew that it was my thyroid driving this and I think that really helped me in dealing with it appropriately and just letting my body try and regulate itself, rather than trying to figure out what was wrong with me, in an essence, so I thought, quite lucky that I managed to do that. And then I ended up deciding to take thyroxine because I felt as though I was lucky that my symptoms were okay but I didn’t know how bad I could get and given my history of having a thyroid condition, I thought it best to go that action. And my doctor said, You know what, let’s, let’s give it a go. And if it’s at a time we feel it appropriate, we can see if we can when you offer and take it off and see how your body handles. So I really liked that approach that, you know, we can just try and manage it how we can and then and then see how my body adapts to it at some point, so. So yeah, that’s kind of been my, my journey with it so far.

Alison Mitchell 16:30
Well, thank you for sharing that. Yeah. And I love how much you were trusting your own body to go through those processes as well.

Renae Bartlett 16:37
Yes, sometimes you’ve just got to take your hand off the wheel, I think and just let it do its thing.

Alison Mitchell 16:42
Yeah. So did you find that it affects breastfeeding?

Renae Bartlett 16:49
I was very fortunate that it didn’t affect my milk supply. I was able to breastfeed and I still am now. My baby will be one in two weeks. So thankfully, I am have been able to do that. But it certainly can affect milk production and is a common symptom in women that have thyroid issues. So it’s certainly can can impair that. Hmm,

Alison Mitchell 17:14
well, hooray for extended breastfeeding. I’m a big fan of that.

Renae Bartlett 17:17
Yeah. Yeah. I felt a sigh of relief when I knew that. That was something that I didn’t have to worry about. Yeah,

Alison Mitchell 17:25
yeah. But it’s so interesting, the way that it expresses differently and everyone and how this the different interplay. So it’s not just a straightforward thyroid effects product and no, it’s there’s other things involved.

Renae Bartlett 17:39
Yeah, yeah. Yeah. And you’re so right. And this is where really getting to know yourself, I could have easily spent my entire postpartum period, not even knowing that I had postpartum thyroiditis. Honestly, I really could have because you could have just easily put the things I experienced down to having a baby It’s just it just really presents so differently to any to everyone really? Yeah, symptoms really do vary.

Alison Mitchell 18:08
Yeah, and I do observe quite a lot of the time that it is uncommon to get this thorough testing done even as a general screening. And sometimes, you know, you can be having done it too early, or you might because the thyroid changes so much as well. Like sometimes you do need to repeat a TSH and go up and down and by itself, it’s not always that great an indicator, so you might need to get that complete picture of the testing with antibodies.

Renae Bartlett 18:37
Yeah, absolutely.

Alison Mitchell 18:40
Alright, so knowing what you know now, like say, theoretically if you were to have another bubby. would you do anything to look after your thyroid, preconception or during pregnancy to try and prevent this from happening or, or how would you advise other women to look after their thyroid to prevent it.

Renae Bartlett 19:01
Yeah, so that’s a really good question. Because I have looked back and gone ‘What What could I have done?’ I was really good at at having having a really great, very varied diet you know, a good amount of vegetables, fruits, quality protein fats, I started taking a really good quality prenatal vitamin, three months before pregnancy, fish oil, all of that. The one thing that I didn’t do that I would be really interested to see how that would go and that is taking a supplement of selenium. And the reason why I say Selenium is there has been some clinical studies done that shows some promise in that Selenium supplementation during pregnancy. Even with women that has positive antibodies does significantly reduce the risk of postpartum thyroiditis so I caution that we saying further studies need to be done and certainly it’s not the be all and end all that you know, you take Selenium and you’ll be fine but it is quite promising to show that that nutrient did show some improvements in a study that was done I believe in 2011 so that’s one thing that I didn’t do and I think that’s something that I would I would probably look at and I doing with my next pregnancy

Alison Mitchell 20:35
Yeah, it’s interesting and you know, there’s a lot of multivitamins out there that are pregnancy targeted that have virtually like, you know, very little Selenium in them. Yeah, taking a better quality multivitamin is advisable and or taking some additional selenium anymore. At the very least, I guess eating more Selenium rich foods. but that’s so hard to do, isn’t it? Because

Renae Bartlett 21:01
Yeah,

Alison Mitchell 21:03
A bit hit and miss in foods.

Renae Bartlett 21:05
It is and it varies so MUCH. And then of course, you know, you want to you don’t want to just be taking taking pills all the time, you know, and trying to remember to do that, especially if you’ve already got got children I’m a big advocate for trying to use food as much as you can rather than relying on supplements but with pregnancy there is that increased demand and you know, if it means that it could, could possibly help you after pregnancy then it’s it’s a it’s something worth looking at, if you if you can.

Alison Mitchell 21:42
For sure. And what sort of dosages he generally looking to work within the range of because I know that many people are a bit hesitant to do higher doses of selenium.

Renae Bartlett 21:55
Yeah, so, the study that I that I spoke about that showed some Promise the supplementation was at 200 micrograms a day. The upper limit for Selenium is often recommended for 150 micrograms per day. I feel quite comfortable that if someone wanted to try, try that under the useful direction of a qualified nutritionist or naturopath, that 200 micrograms would be suitable and ensuring that there isn’t Selenium coming from other sources that might push that too much further over the edge. I think I think that that is a safe, a safe way and actually shining in studies that it might be useful.

Alison Mitchell 22:43
Yeah. And you know, a nutritionist or a naturopath could guide you with that, I guess. Yeah, absolutely. even look at monitoring your levels through your Bloods and making sure that they’re not going in a pattern that’s a bit uncomfortable for you.

Renae Bartlett 22:57
Yeah, yeah, that’s right. Yeah. Cool.

Alison Mitchell 23:01
So are there some other areas that you often look at supporting women with postpartum thyroiditis?

Renae Bartlett 23:08
Yeah, look, stress is a huge, huge, huge factor. And I know that gets thrown around a lot. I know, you know, nearly every condition you can think of, you know, you get told look out for stress, but honestly, it is so big in driving this condition, it’s not funny and it can be so difficult. You’ve just had a baby, and then you’ve got someone telling you to Oh, you know, just don’t stress so much. And you know, look at that, yeah, that’s really great. But if there are things that you can try and do, whatever it is, whether it be five minutes of meditation just before you go to sleep, or maybe it might be just going out for a walk with your baby or maybe just catching up with some girlfriends, for coffee once a week, whatever it is, just try and do that. That whatever it is that kind of makes you feel that you can just let it out, you know, be writing things in a journal or exercising and he can, you know, all of these things really will play a part in, in trying to reduce that that cortisol and that stress that can really be making this condition a lot worse than what it should be.

Yeah, for sure.

Alison Mitchell 24:22
Yeah.

So stress is a really big one.

Renae Bartlett 24:25
Yeah, yeah. It’s huge. Yeah.

Alison Mitchell 24:30
Great. Are there any other areas that you often look at?

Renae Bartlett 24:34
So nutritionally, we’ve spoken about Selenium. There is also, I guess, when we look back at the pregnancy status is having sufficient iodine to support the thyroid function during pregnancy, and then continuing that for breastfeeding as well. That’s really important. And I think it’s often a nutrient that does get overlooked when you look at prenatal support. So that’s something that really is important. So iodine and selenium for that nutritional and then for postpartum when I look at nutrition, I like to try and simplify it and go you know you’re already trying to reduce your stress let’s not stress it out anymore by you know, throwing these hardcore diet things in there. Let’s make it really simple. You know, think of food first try and think of of getting things as fresh as possible. By you know, going and getting vegetables and fruit just starting with that getting some protein sources. Even if you need to buy frozen vegetables and and cook that up on a meal that’s perfectly fine. You know if that’s going to save you a trip to the supermarket, when you’ve got other things going on. Do that you know, if you need to keep eggs in the fridge so that you can just do some scrambled eggs for dinner. Do that, you know, try and simplify your nutritional routine. Don’t overthink it. Don’t. Don’t try to be this fantastic mom who can just do it all just simplify it, you know, as long as you’re able to eat well. With basics, you’ll be fine. You really will.

Alison Mitchell 26:27
Brilliant. Yeah, yeah. It’s so important for mothers to just eat.

Renae Bartlett 26:32
Yeah.

Alison Mitchell 26:33
Yeah. So easy to just like, you know, let that part of your life to stop because you know, you’re worried about the baby and of course, but you gotta eat.

Renae Bartlett 26:44
You do, you do have to eat and you know what, get when people come to visit you don’t get them to bring gifts of you know, more baby clothes and things like that. Tell them to bring food. Say: “Bring food! What I need, you know, that’s the best gift you can give a new Mama.” Yeah. Yeah, certainly in the month after Don’t forget, you know, they’re still trying to to raise a little human being there. So. Mm hmm. For sure.

Alison Mitchell 27:15
Yeah, for sure. And I always think about iron when it comes to thyroid health as well. Is that something that you look at?

Renae Bartlett 27:23
Yeah, absolutely. And particularly after giving birth, because women will often lose blood as a result of childbirth. So making sure that iron levels are adequate is is really important for that for the thyroid to function. Now, so yeah, that’s that is a very important nutrient. Absolutely. Yeah, for sure.

Alison Mitchell 27:46
Okay, and any, any other areas?

Renae Bartlett 27:50
So we, I guess we’ve touched a bit on nutritional and then the emotional or sorry, well, the lifestyle side of trying to reduce stress, but I think that emotional support is Well, because postpartum thyroiditis is really not known by many people, I think it’s really important to be open and honest with those in your family, your support networks, let them know that, you know, you don’t just have the baby blues that you you know, you are going through something and it can be transients at times between your symptoms, and to just get that added support. So that’s probably my my main take home is look at your emotional support. Lifestyle, you know, try and reduce your stress and nutritionally try and keep it simple by eating the best that you can when you can and don’t overcomplicate it. Yeah, for sure.

Alison Mitchell 28:44
Yeah. Okay. So, can you give some women that have having postpartum thyroiditis or worried about it, three actionable actionable steps that they can do?

Renae Bartlett 28:57
Yeah, so, I guess Further on to what I just I just mentioned then, first of all, figure out who your support network is. Talk to someone about your your condition and how you’re feeling and and really get them to help you in whatever that is for you. It may be getting someone to bring you food, it may be someone helping out with the baby might be someone to just catch up with the coffee, whatever that is. Number two, really try and figure out a way that you can reduce stress in your life. As much as that may be a difficult task for you, even if it’s just five minutes to try and have some time where you just sit there and and write in a journal, read a book, meditate, whatever it is go for a walk. It’s really important. And then third of all, really try and figure out with your nutrition, what you can do with minimal stress on yourself. So whether that Is meal planning so planning out your meals for the week and doing one shop if that works for you brilliant do it if that’s going to enable you to eat the best way you can then do it. If it’s cooking a lot of food and freezing it do that. If it’s having frozen vegetables, boiled eggs, nuts in the fridge, things that you are ready to go because maybe you’re not someone that doesn’t batch cook you’re not someone that doesn’t meal plan you just ate as you go has those things ready there for you. So try to simplify it but stick to foods that are going to give you the most nutrient dense so you know any of you vegetables, fruit quality protein sources, so eggs, meat, tofu. Lovely whole grains think of quinoa, think of making some lovely muffins with spelt, buckwheat, all of those kind of things are really going to be helpful for you. In that postpartum phase, make sure you’re ea ting.

Brilliant. All right and last question for you. What is your favorite food for thyroid health?

Okay, so this is difficult because there’s so many great ones but I’m going to have to go with the very simple egg. The reason being is it’s full of so many wonderful nutrients that are going to support your thyroid so it does have iodine, it has a lovely amount have a really lovely fats which is going to do wonders for your your skin, can do wonders for your hair, protein as well that’s going to support your immune system. And it’s such a versatile food, boil it up, have it as a snack. scramble it have it for breakfast, mixing something vegetables, all that kind of thing. So I think I’m going to go with the humble egg.

Alison Mitchell 32:04
I think that’s a great answer. Great. So thank you so much Now Renae, do you have any offerings on at the moment?

Renae Bartlett 32:14
So at the moment, I’m currently working on a couple of things within my business. So at the moment, I’m looking at putting together a series of helpful, simplified food tips. So that’ll be a compilation of videos, how to shop guides, how to cook guides, but simply for your family. I’m hoping to have that finalized within the next six to 12 months. And also some ebooks on how to look after your thyroid after having a baby.

Alison Mitchell 32:50
Beautiful. Yeah. Oh, well, that’d be so good. Yeah. Okay. Thank you. And if people want to know more, how can they get in touch with you?

Renae Bartlett 32:59
So They can get in touch with me My business is Reborn Health. So the most effective way is just send me a message on facebook Rerbon Health Nutrition. And I’m also on Instagram as well, which is also Reborn Health and Nutrition.

Alison Mitchell 33:15
Great. And I’ll put the links for those in the show notes as well.

Renae Bartlett 33:18
Great.

Alison Mitchell 33:19
So thank you so much for sharing all this wonderful information today. It’s been an absolute pleasure talking with you.

Renae Bartlett 33:26
It’s been great, thanks so much for having me.

Alison Mitchell 33:29
Yay. So thanks, everyone for listening. Please hop on and leave us a five star review. And if you have anything you want to learn about in the future, don’t hesitate to ask. So thank you, everyone.

Renae Bartlett 33:42
Bye bye.

Transcribed by https://otter.ai

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Guts and Girl Bits Podcast #41 with Jenn Malecha

In this episode I’m joined with Jenn Malecha – also know as the (W)holistic Health Boss. I had a great time chatting with Jenn about her own health journey but she shared a lot of knowledge about functioning testing and considerations for chronic health conditions.

We talk about how if you have a chronic illness, you need to look at getting your hormones and gut health under control to achieve long lasting results, and we also chat about black mould.

We discuss:

• Jenn’s journey with her health overcoming autoimmune disease by battling hormone imbalance, mould and gut issues.
• The benefit of functional testing to put together the puzzle of your health, especially talking about the DUTCH test to look at your hormones and stress hormones indepth, and microbiome (stool) test options.
• How for some people, black mould can dramatically affect your health, and what to do to get on top of it.
• What major hormonal issues Jenn sees affecting women’s health.
• How to work out the causes of why you are chronically ill and putting that information together.
• Adrenal fatigue and nervous exhaustion.
• What are the nutrients and supplements Jenn thinks most people would benefit from.
• Her top lifestyle recommendations to improve health and wellbeing.

The Podcast

Have a listen here on on the embedded player below.

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You can find out more about Jenn here:

the W(holisitic) Health Boss

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The post Healing Autoimmune Disease by sorting out gut health, hormonal health and mould appeared first on Alison Mitchell Naturopath.

Health & Wellbeing Podcast #34

Imagine this scenario:

You’re a woman who has made the massive decision to get her breasts enhanced. Perhaps you have just had a few kids and after the ups and downs of breastfeeding, your once perky breasts are now somewhat deflated. Perhaps you have always had small breasts, and with the current obsession of western culture with big breasts, this really affected your self esteem. Perhaps you, like a surprisingly large amount of women, have assymettric breasts, and choose to get implants to even them out. Or perhaps you have had a mastectomy and you chose to get implants to feel like yourself again.

But then it’s a few years later, and all of a sudden you start to experience all of these symptoms that you just don’t understand. Your tests come back normal and doctors can’t explain it. You’re losing your hair, you feel tired, anxious, you’re getting weird rashes, you get weird aches and pains, and a whole host of other symptoms that just don’t make sense.

This experience is happening to a lot of women and sadly it has been going on for a fair while, but sadly there’s very little awareness about it.

It’s called breast implant illness, a chronic and diverse type of sickness that comes about as a result of having breast implants.

These are some of the symptoms that have been linked to breast implant illness:

• extreme or chronic fatigue
• dry mouth
• rashes
• hypothyroid
• hyperthyroid
• cognitive dysfunction
• weight gain
• concentration issues
• anaemia
• constipation or other IBS symptoms
• sinus, post nasal drip
• heart palpitations
• SOB
• tightness in chest
• hair loss
• acne
• dry skin
• brittle nails
• exercise intolerance
• painful joints
• fibromyalgia type pain
• metallic taste in mouth
• multiple chemical sensitivity
• pins and needles and or numbness in extremities

It’s not fair. Why is something like this put on the market and touted as being safe when it’s really not. How much safety research went into this? Not enough! And why are so many women getting dismissed when they do talk about their concerns to their doctors about it?

One, we shouldn’t have so much pressure on us as women, our boobs shouldn’t define us.

And two, there should have been so much more done to ensure this is safe. I think the amount of different types of implants that we have gone through is a clue that the experimenting is happening on us continuously. We are guinea pigs. And breast implant illness is the result. And this is something that’s been going on for a long time, but we’re only just starting to talk about it.

I’ve brought on the podcast today a naturopath who has gone through the journey of breast implant illness herself, and is passionate about bringing this knowledge to people, educating women about what BII is, as well as what can be done about it.

The Podcast

Click here to listen on Soundcloud, or via the embedded player below.

iPhone   Stitcher   Youtube   Soundcloud

Podcast Breakdown

0:00 Intro

3:45 About Alysha

4:40 What is Breast implant illness (BII)?

5:30 Symptoms that women may experience

8:25 How we are being told implants are safe, and the lack of information of BII.

9:30 What safety studies are done on breast implants and what are the issues with these studies?

13:50 Commonalities between women who experience BII including genotypes, especially those that impair detoxification, such as HLA, COMT and MTHFR.

14:40 Toxins and heavy metals found within breast implants

16:10 Viral infections linked with breast implants – Epstein Barr Virus, EBV. And why some women remain sick after explanting.

17:33 How many women are getting breast implants in Australia?

18:40 History of BII and legal cases, major suppliers and the different types of implants

22:10 The key in BII is immune dys-regulation, plus what are breast implant capsules.

22:50 Capsular contracture and Breast implant associated-Anaplastic Large Cell Lymphoma (BIA-ALCL)

25:10 What is being found in explanted implants, and what are biofilms.

27:18 Removing implants en bloc needs to be done otherwise you can still remain sick (when explanting, the scar capsule needs to be removed in tact as well). And why a capsulectomy is not the best method. How to choose a good surgeon.

31:46 Alysha’s personal story with breast implant illness.

39:00 Coping mentally after the breast implants are removed.

41:56 The ways that Alysha found most important coping mentally after surgery

44:00 Supporting yourself physically with herbal medcine and nutrients during the process of explantation, and how to support yourself if you choose not to explant. The nutrients you need more if you have BII, and the chemicals within the implants that can disrupt hormone balance.

48:20 Gut health implications with BII and multiple food sensitivities.

49:50 The progression of symptoms.

53:00 How do you know if you have BII? Are there any testing that can be done?

58:50 We need to spread the word about BII, there needs to be more research.

1:01 Alysha’s take home message.

1:03 How to get in contact

About Alysha

Alysha Habgood is a Sydney and Online based Naturopath and Yoga teacher. Her interest lies in autoimmune disease, namely gut, thyroid and rheumatoid arthritis but her specific focus is on helping women overcome Breast Implant illness. Alysha’s treatment encompasses not just the unique physical aspects of the disease but the underlying emotional and psychological impacts of Breast Implant Illness. Alysha is passionate about raising global awareness of this growing issue to both women and practitioners.

Get in touch:

https://www.alyshahabgoodnaturopath.com/

PHONE: 0422 743 713

EMAIL: info@alyshahabgoodnaturopath.com

Resources

Healing Breast Implant Illness Naturally (Facebook)

Australia & New Zealand Breast Implant Illness Support Group (Facebook)

Breast Implant Illness and Healing Support Group (Facebook)

The post Breast Implant Illness appeared first on Alison Mitchell Naturopath.

Bone and Joint Health

Do you experience swollen and painful joints? Do your knees, hips and knuckles feel like they are on fire? Are you finding it harder to be active and agile? These complaints are common symptoms of arthritis.

The word arthritis, when translated from the Greek words, arthron and itis, simply means “joint inflammation”. There are many different types of arthritis, the most common being osteoarthritis. Osteoarthritis is a debilitating condition that is commonly seen in middle aged and older people; the constant pain and reduced mobility can make simple, everyday tasks more challenging and greatly impair quality of life.

The Impact of Arthritis

Osteoarthritis is a slowly progressing disease that involves degradation of the soft cushioning around the joints. It can lead to significant pain and inflammation in the joint, as well as loss of movement. The condition commonly targets the hips and knees, however many smaller joints such as the fingers and spine can also be affected. Unfortunately, the damage may already be done by the time you notice the discomfort.

With the aid of quality nutrients and dietary advice the symptoms of arthritis can be reduced and managed more effectively, enabling you to do things that may have been previously limited.

Nutrients for Knees and Hips

The following nutrients are a fantastic way to provide therapeutic benefits to help alleviate pain, swelling and inflammation in your joints:

Glucosamine: Is a key building block for your joints.  It may stimulate the production of substances which lubricate and act as shock-absorbers for the joints. Glucosamine encourages the rebuilding of cartilage that has been damaged and can be used as long-term support to protect against joint degeneration.

Gelatin: Supports healthy joint structure and connective tissue repair. Gelatin may help reduce the pain of osteoarthritis and reduce requirements for pain relief medication.  Patients with osteoarthritis noticed an increase in mobility and strength in affected knees after gelatine supplementation.

Methylsulfonylmethane (MSM): Is a naturally-occurring nutrient found in small amounts in fruits and vegetables.  As well as having antioxidant and anti-inflammatory properties, MSM is an essential building block especially for joints and cartilage. Combining glucosamine and MSM has been shown to be superior compared to using either nutrient alone, resulting in greater reductions in the pain and swelling of osteoarthritis.

EPA/DHA: The omega-3 essential fatty acids (EPA/DHA) from fish or krill oil can help to reduce the intensity of pain, inflammation and morning stiffness associated with arthritis.

The effect of Exercise on your Joints

Does the thought of squats or a jog make your knees ache?  Do you avoid exercise because you’re worried about damaging your joints?  You’re not alone in that thought – many people avoid exercise in the fear that it will damage their joints.  Recent research has shown that this is not the case(1), as exercise is actually quite beneficial(2), having been shown to improve joint health and reduce pain in several ways.

According to Dr Mercola:

“There are some factors to consider, particularly if your pain worsens with movement, as you do not want to strain a significantly unstable joint. Pain during movement is one of the most common and debilitating symptoms of osteoarthritis, and typically this is the result of your bones starting to come into contact with each other as cartilage and synovial fluid is reduced.

If you find that you’re in pain for longer than one hour after your exercise session, you should slow down or choose another form of exercise. Assistive devices are also helpful to decrease the pressure on affected joints during your workout. You may also want to work with a physical therapist or qualified personal trainer who can develop a safe range of activities for you. Your program should include a range of activities, just as I recommend for any exerciser. Weight training, high-intensity cardio, stretching and core work can all be integrated into your routine.”(3)

Muscle strengthening vs. Surgery for knee pain

Did you know that exercises which strengthen your quadriceps and the muscle supporting the knee is AS EFFECTIVE as arthroscopy for several knee problems such as osteoarthritis?

Several studies have been conducted on people with conditions such as osteo-arthritis, torn meniscus or chronic pain in the front part of their knee (known as chronic patellofemoral syndrome, which is also frequently treated with arthroscopic surgery).  These studies compared arthroscopy and a program of physical therapy sessions along with at home exercises.  In the longest study (6 months) thirty percent of the people who were in the exercise group chose to have surgery instead, but had no greater improvements than those who persevered with the exercise and physical therapy program.  The similarity of symptom relief between the two groups was consistent among all the studies examined.(3)(4)

Looking After Your Joints

Adopting the following simple dietary and lifestyle tips, can help keep your joints healthy and happy for years to come:

–          Stay active. Exercising is essential to keep those joints mobile so try activities such as swimming, walking, running, cycling, yoga and daily stretching as these are great ways to keep your joints moving.

–          Maintaining a healthy weight is essential for supporting joint health.  Carrying extra weight can put pressure on your joints, especially hips and knees.

–          Enjoy at least eight glasses or two litres of pure water each day. Reduce caffeinated beverages to one to two per day and minimise alcohol intake.

–          Ensure you get plenty of sunlight.  Vitamin D deficiency is associated with cartilage loss in the knees.  This can be tested for and supplemented accordingly.  Other nutrients to ensure you get enough of are Vitamin K and Vitamin C.

–          Eating a diet that is full of anti-inflammatory foods can optimise your long-term health and vitality, as well as support your joints from top to toe.  Aim for a diet plentiful in fruits and vegetables, unrefined grains and protein-rich foods such as fish, poultry, nuts and seeds.  Also remember to limit red meats and sweets.

What NOT to do.

–          Drink too much caffeine -1 coffee can cause the body to leach about 40 mg of Calcium from bones in order to balance our plasma pH

–          Drink soft drinks – These alter our calcium and phosphorus balance.  The extra phosphorus binds with calcium making calcium less available to the body, so calcium is drawn from bones to balance this.

–          Eat too much sugar – Eating excessive amounts of sugar reduces our ability to absorb calcium and magnesium.

–          Eat too much salt – This increases calcium excretion. For each 6 g of salt, 24-40 mg of calcium is excreted into the urine.

–          Drink too much alcohol – Excessive about of alcohol is toxic to osteoblasts (a type of bone cell) and interferes with our ability to absorb calcium.

–          Eat too much or too little protein – Inadequate protein intake is associated with poor recovery from osteoporotic fractures, and too much protein increases calcium loss.  To work out how much protein you need contact your healthcare practitioner, or for a rough guide use this calculator.

Inflammation

Inflammation is a major influence on reduced bone density and joint problems.  If we’re too inflamed our bone metabolism is affected, which increased fracture risk.  Inflammation also contributes to joint degeneration and pain.

Several inflammatory diseases such as rheumatoid arthritis, lupus, inflammatory bowel disease, celiac disease, cystic fibrosis etc., have been associated with poor joint and bone health.

There are several factors which can cause inflammation to be worse than it should be, such as diet imbalances, hormone problems, genetics, stress and more.  If you think inflammation is a problem for you, contact your health care practitioner for testing and treatment options.  There are several herbal and nutritional remedies which are safe and effective anti-inflammatories and don’t have the negative side effects of conventional anti-inflammatory medicines, such as gastro-intestinal damage.

Use It or Lose It

There is a great deal of truth in the old adage “use it or lose it”. Stay active and take positive dietary and lifestyle steps to keep you and your joints healthy and happy. Looking after the nutritional needs of your joints can help minimise their degeneration, as well as improve the pain, inflammation and impaired mobility of arthritis. If your joints have worn a little thin over the years, contact me today for an appointment.  You can optimise your joint health, reclaim your freedom and live the life you deserve to lead.

Works Cited

1. Long distance running and knee osteoarthritis. A prospective study. Chakravarty, E F, et al. 2, 2008, American Journal of Preventative Medicine, Vol. 35, pp. 133-8.

2. Harvard Medical School. The secret to joint pain relief — exercise. [Online] September 21, 2013. [Cited: September 25, 2013.] http://www.health.harvard.edu/healthbeat/the-secret-to-joint-pain-relief-exercise?e=mkester%40nci.com&j=28081960&l=16278673_HTML&mid=148797&u=323662523&jb=0.

3. Mercola, Joseph. Peak Fitness. [Online] Mercola.com, April 5, 2013. [Cited: June 3, 2013.] http://fitness.mercola.com/sites/fitness/archive/2013/04/05/unnecessary-knee-surgery.aspx#.

4. Surgery versus physical therapy for a meniscal tear and osteoarthritis. Katz, J N, et al. 18, 2013, The New England Journal of Medicine, Vol. 368, pp. 1675-84.

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This article follows on from the previous article, which discussed the thyroid gland and the differences between and over and underactive thyroid. In this article I am talking about how an issue with the thyroid can cause imbalances in the rest of the endocrine system, in particular the endocrine system.

Thyroid Health

 The endocrine system

Endocrine is the term used for the complex system of glands and their secretions (hormones).  The endocrine system includes the glands (pituitary, thyroid, para-thyroid, adrenal and pineal) as well as organs and tissues which are able to produce hormones (fat tissue, the hypothalamus, ovaries, testes, pancreas, thymus, kidneys, stomach, liver, small intestine, skin, heart and placenta).  There is a cross-over between different systems such as in the digestive system which includes organs also classed as endocrine.

 In the previous newsletter I gave you an overview of the thyroid and the differences between hyperthyroidism and hypothyroidism.  In this newsletter I want to give you some information about the ways in which the thyroid can affect the endocrine system over all.

 The endocrine system is all connected and an imbalance in one particular organ or gland can disrupt everything else.  One of the biggest ways that we can see this is looking at the impact of stress.  Have you noticed that when you’re stressed you’re more likely to catch a cold (remember the thymus is an endocrine organ and has a big role in our immunity), break out (the skin is responsive to hormones, pumping out more oil to feed the bacteria that causes acne) and your digestive system can get upset too(the stomach, pancreas and liver are all endocrine organs)!

Thyroid health and the reproductive system.

The thyroid gland is another big player in keeping our endocrine system balanced.  One of the most common things that an unhappy thyroid will affect is the reproductive system.

In both men and women hypothyroidism can affect libido. In men, they may experience infertility and mpotence.  In women they may experienced an irregular menstrual cycle or irregular bleed.  Fertility is also greatly affected by the thyroid gland especially in women with autoimmune thyroid disease.  It may result in not being able to conceive altogether or an increase in miscarriages.  In women of fertile age, autoimmune thyroid disease is the most common cause of hypothyroidism.

How?

• A reduction in thyroid function will leave to elevated TSH, and depressed secretion of dopamine, leading to elevated prolactin levels.
• Elevated prolactin levels, also known as hyperprolactinaemia is implicated in 1-3% of women with problems ovulating.
• Hypothyroidism interferes with an important hormone for the development of the egg and ovulation – gonadotrophin-releasing hormone (GnRH).
• Hypothyroidism can lead to a delay in luteinising hormone (LH) which causes ovulation and stimulates the secretion of progesterone.  Because of this is can cause a reduction in progesterone synthesis.
• Thyroid antibodies which can be present in both hyperthyroidism and hypothyroidism can affect fertility due to it’s impact on implantation and increasing the risk of miscarriage.  In some people antibodies
  can be present without having any signs of thyroid dysfunction.  Thyroid antibodies can be managed with herbs that modulate the immune system.

Thyroid dysfunction affects the hormones needed for healthy egg development and ovulation, which affects fertility and creates an imbalance in other reproductive hormones.

If you are having difficulty conceiving it is important to assess thyroid function and screen for the presence of antibodies to rule out any complicating involvement from this gland.

If you believe that you have a thyroid problem, don’t despair.  We can assess for and manage a thyroid imbalance using safe, effective natural remedies.

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