Not long after you blew the candles out for your 40^th birthday cake, you likely started to notice some subtle shifts in how you were feeling. Maybe you started feeling a bit more irritable, anxious, or sluggish. Perhaps your menstrual cycle started to alter. Or maybe your libido took a hit. While menopause occurs around 50 years of age for most women, it’s possible to start experiencing the hormonal shifts of perimenopause –  the period of time that leads up to the time your menstrual cycle stops for good – in their early 40s.

Here are some of the most common questions that people have around perimenopause, and what can be done to help support their hormones naturally.

What are the symptoms of perimenopause?

Perimenopause is a time of hormonal fluctuations, and with this many symptoms can occur. Some of the most common symptoms that women experience sleep disturbances, mood swings, reduced stress tolerance, lowered libido, hot flushes, menstrual irregularity, changes in menstrual flow (may be lighter or heavier than usual, sometimes with significant increases), bloating, brain fog, joint or muscle aches, hayfever, itchy ears, fatigue, vaginal dryness, increased tendency to thrush or BV, and headaches/migraines.

Why do women get perimenopausal symptoms?

Unlike after menopause, when hormones are at a lower state and symptoms can occur because of these low levels, in perimenopause symptoms can be caused by the fluctuations of oestrogen and the gradual decline of progesterone. These hormonal shifts can cause the adrenal response to stress to be affected, which also means that stress can be harder to deal with.

Why do hormones change in your 40s?

Hormonal balance is largely a result of regular, healthy ovulation. The follicular phase, the time between the start of menstruation and ovulation is a time of abundant oestrogen, and then in the luteal phase, oestrogen declines (with a few spikes) while progesterone levels come to the show. It is all dependant on ovulation.

For this to all work in harmony, many factors need to be working seamlessly, such as stress hormones, inflammation, mitochondrial health and nutritional health. The previous cycle will affect subsequent cycles, as low progesterone often triggers higher levels of FSH.

As oocyte (egg) numbers decline and mitochondrial health depletes, the signals of the HPO axis in perimenopause are altered and ovulation doesn’t occur every cycle. This results in a gradual decline in progesterone, and fluctuating levels of oestrogen as the brain tries to adjust to the fluctuation of irregular ovulation.

Photo by Jonathan Borba on Unsplash

What is the difference between menopause and perimenopause?

Perimenopause is the time leading up to the definitive marker of menopause, the time when there has been 12 months since the last menstrual bleed. You are perimenopause in the time leading up to this moment, and post menopausal afterwards. Menopause is the umbrella term that incorporates all of these. It is worth noting that it is still possible to experience a random bleed in the post menopausal period, and if this occurs you should discuss with your health care practitioner as while it can be a renegade menstruation, it can also be a sign of something more concerning.

Should I take supplements to support my hormones?

Not everyone needs to take supplements, and many nutrients can be obtained through your diet. But there are a lot of people who aren’t eating enough of the vitamins and minerals that are essential for healthy hormones and nervous system health, or have genetic polymorphisms which increase their demand for certain nutrients.

These are some of my favourite supplements to support the perimenopausal period:

• Magnesium glycinate – this is important for nervous system health, blood sugar level regularity and is important for hormone creation and detoxification.
• Taurine – I often prescribe this alongside magnesium, as it can help with improving mood and energy (it interacts with GABA receptors, producing a calming effect). It is also important for bile acid formation and mitochondrial health.
• Ubiquinol – The activated form of Coq10 is more effectively used in those who are over 30 years of age. CoQ10 and its activated form ubiquinol are important for mitochondria health, which has many wide-reaching benefits including cardiovascular health, energy, immune function, skin health and other anti-aging properties and more.
• Collagen – As oestrogen lowers, the body’s ability to make and repair collagen reduces, so supplementation can help to offset some of this loss. Collagen can be helpful for improving skin, bone and joint health, and often is useful for digestive health concerns.
• Phyto-oestrogens – In particular, soy which is abundant in isoflavones have a regulating effect on hormones. Isoflavones have been studied abundantly and found to be helpful for managing menopausal symptoms, as well as being protective against several of the long-term risks of menopause such as osteoporosis and cardiovascular disease. It is protective against many forms of hormone-dependant cancers. I advise avoiding the overly refined forms of soy products, and opting for those made with the whole bean such as traditional soy foods, or milks made from the whole bean rather than the isolate.

There are many more nutritional supplements that can be beneficial, as well as herbal medicines that can support you through this period. I discuss these in more detail in my ecourse Natural Menopause Support. Alternatively, get in touch with your health care practitioner to help work out what your individual requirements are, as well as what doses you may need.

How do I know if I’m going through perimenopause?

This is a very common question, and unfortunately it doesn’t have a simple answer. Hormone testing can provide some insight into whether you are getting closer to perimenopause, but it can be difficult to interpret because of the fluctuations that occur in perimenopause.

The best way to know if you are going through perimenopause is taking several factors into consideration such as your age, your maternal family’s menopausal experience, your symptoms – notably your cycle regularity and whether this has changed.

Blood tests may show a gradual increase in FSH (follicle stimulating hormone) and a decline in progesterone. Oestrogen levels can fluctuate in perimenopause, so they may be high or low. After menopause when you have not ovulated for at least 12 months, oestrogen and progesterone will be considerably lower, and FSH will usually be much higher.

How to lose weight in your 40s

It may seem like losing weight as you get older becomes more of a struggle, and that’s because your hormonal shifts cause your metabolic health to change. Insulin resistance is a by product of reduced oestrogen, which makes losing weight, especially around the abdomen more difficult than it was when you were younger. If there are other hormonal imbalances at play such as PCOS, oestrogen excess, thyroid dysfunction or chronic stress/HPA dysfunction this can also contribute towards difficulty losing weight with standard methods.

Assessing your hormonal situation is the first step to identify barriers to weight loss, and then you can make diet and exercises choices that will work best for you.

In the majority of cases the staples of weight loss still need to come into play, such as ensuring you are eating the correct amount of calories, exercising and maintaining muscle mass, and getting adequate sleep.

GLP-1 and GIP medications are becoming more popular, and while they can be very helpful in the weight loss journey they do have side effects and risks that need to be managed. As with any other weight loss approach, they are not a long term solution but can be helpful whilst other factors such as diet and lifestyle habits are improved, and hormonal imbalance is supported.

When should I consider HRT?

This is an individual decision and needs to be done in collaboration with your health care practitioner. Menopausal Hormonal Therapy (MHT), previously known as Hormonal Replacement Therapy (HRT) has had many advances in safety and can be used to help navigate the symptoms with low oestrogen, progesterone and/or DHEA. In perimenopause, progesterone therapy is more commonly used cyclically, with oestrogen being more beneficial only in the times when low oestrogen occurs. As oestrogen fluctuates in perimenopause, it is often not used until after ovulation has ceased.

Some people experience negative effects from taking MHT, but this doesn’t mean that MHT is not for you, but rather that you need to have your individual needs taken into consideration. If you feel worse from MHT, this may be due to poor detoxification of oestrogens or because your hormones are still fluctuating too wildly, as taking additional oestrogen when it is already high can cause issues such as heavy bleeding, headaches or mood changes.

You may be able to find out if you are not detoxing your hormones properly with a test that assesses the ratio of your hormone metabolites, such as the DUTCH test or EndoMap.

Should I see a naturopath for perimenopause?

Perimenopause and menopause are one of the most common reasons that people seek help from a naturopath, and for good reason. There is so much that can be done to support people going through this transition naturally, including supporting symptoms and hormonal fluctuations with herbal medicine, nutritional supplements to reduce symptoms and improve wellbeing, and education and guidance around diet and lifestyle adjustments that can help to both reduce the symptoms of this time and reduce the risks associated with after menopause such as osteoporosis, genito-urinary changes and cardiovascular and metabolic health.

Because this is such a common thing that people seek help with, I have created an ecourse – Natural Menopause Support – which provides an abundance of education about what is going on in menopause and perimenopause, as well as guidance on navigating the remedies that may be helpful.

As you move through your 40s, understanding and supporting your hormones can make a world of difference to how you feel each day. Perimenopause doesn’t have to be a confusing or uncomfortable time — with the right nutrition, lifestyle support, and individualised care, you can navigate this stage feeling strong, informed, and in tune with your body.

If you’d like to dive deeper into natural ways to manage symptoms and restore hormonal balance, you’ll find plenty of guidance in my Natural Menopause Support eCourse, where I share practical tools and naturopathic insights to help you thrive through perimenopause and beyond.

The post How to Support Your Hormones Naturally in Your 40s appeared first on Alison Mitchell Naturopath.

Migraines affect over 1 in 10 Australians, and are considered to be among the top ten disabling medical conditions in the world (1). For a lot of people who experience migraines they often come on very quickly with little warning, and the pain they have lasts hours or even days.

They can take a person out of action for a long time, and this sucks for everyone involved.

There’s plenty of different treatment options available for migraines, and there are excellent formulas combining some of these ingredients together, but I want to highlight the benefits of one of my favourite minerals, magnesium.

When there isn’t enough magnesium in the body, lots of things go out of whack, and for migraines in particular there are several ways this can bring them of and make them worse:

• Increased glutamate release, a neurotransmitter that is ‘excitatory’
• Reduced nitric oxide synthesis and release, resulting in reduced blood flow to the brain
• Increased platelet clumping and blood vessel constriction
• Inflammation of the neurons is increased because of impaired breakdown of certain pain chemicals that magnesium is involved in (Substance P) (2)

Magnesium supplementation has been shown to be helpful in the reduction of migraines, improving the duration, severity and also the frequency of them.

• Magnesium citrate was given at a dose of 600mg over a period of 3 months to people who experiences migraines without aura, and the frequency and severity of the migraines were significantly lower than those in the placebo group. (3)
• Other similar studies have found that the effect works best around week 9-12, and the reduction rate was 41.6% compared to 15.8% in the placebo group. (4)

Works Cited

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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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Salt (sodium chloride) is a staple of every household, having been used by many cultures to flavor food for thousands of years. We have always valued salt highly, so much so it was a form of wage for Roman soldiers, known as salarium, from the Latin word for salt, sal(and hence our term for salary).

Sea salt is the result of evaporated sea water.  Salt can also be mined from the earth, from salt lakes and dried ocean beds.  The quality of salt varies greatly depending on where the salt is mined from (e.g. Himalayan salt is of high quality due to the pristine environment from which it is mined), and the level of refining that occurs (the less refined the salt, the better for you).

Unrefined sea salt is usually quite grey in colour and is derived directly from an ocean or sea. It is harvested through channeling ocean water into large clay trays and allowing the sun and wind to evaporate it naturally. Manufacturers of sea salt generally do not refine it much, so the salt still contains traces of other minerals.  All salt, regardless of its type is generally 98% sodium chloride, with the remainder being a variety of other beneficial minerals (the less refined varieties containing up to 84 types).  The more salt is processed and refined the less of these beneficial minerals remain in the salt.

When salt is taken from dry salt beds the mineral levels are reduced, most likely due to the leeching of minerals from the salt beds over time due to rain over thousands of years.  When salt is taken directly from sea water this has a mineral profile similar to that of our blood, making it a better choice for our health compared to table salt [1].

Sodium is an essential electrolyte mineral, it is important for conveying energy and enabling nerve impulses and muscle contractions.   In the past, salt tablets were recommended in the summer for people to replace sodium lost by exercise or heavy sweating.  This is rarely recommended nowadays as we now know that it is more important to replace a combination of electrolytes, in particular potassium which is important as it helps to keep the correct balance of sodium in the body.

In our body salt has an affinity for water, so when we consume salt this causes a large percentage of sodium to settle in our vascular fluids.  The sodium then attracts more and more fluid, causing an increase in pressure in the vascular system, which is one of the reasons excess salt can contribute to high blood pressure.

To prevent many of the conditions caused by excess salt consumption it is important to have adequate levels of potassium.  Potassium is a mineral that resides on the inside of cells, whereas sodium dwells in the fluid outside and between our cells.  When the potassium/sodium ratio is out of balance our body’s water and acid/alkaline balance become unstable and our nerves and muscles aren’t able to function properly.  The majority of people in our society have a potassium to sodium ratio of less than 1:2.  However the recommendation is to have a ratio greater than 5:1, which is ten times higher than average intake.  A natural diet rich in fruits and vegetables can easily produce a much greater ratio, because most fruits and vegetables have a ratio of at least 50:1.  Some examples include: Apples 90:1, Bananas 440: 1, Carrots 75: 1, Oranges 260:1, Potatoes 110:1. [2]

Main food sources of sodium include: Anchovies, bacon, processed meats, celery, cheeses, pickled olives, peas, pickles, table salt, tuna, salted butter, sardines, sauerkraut, pasteurized cheeses, potato chips, softened water and clams. [3]

Salt is widely known to have an effect on blood pressure.  There are some people who are very sensitive to sodium, and consuming even a small amount can cause their blood pressure to increase dramatically or to develop excess fluid retention.  These people need to not only increase their potassium intake but abstain from all major sources of salt.

Unprocessed salt such as Himalayan salt will have less of an effect on your blood pressure because of its different mineral makeup which allows your body to metabolize it more effectively. [4]

Between 40-60% of people with high blood pressure are sensitive to salt.  People with diabetes and chronic kidney disease and greater age also tend to be more sensitive to the blood pressure raising effects of salt. Being overweight also appears to increase susceptibility to being sensitive to sodium, and increases risk of stroke and heart attack.  If people who are overweight have a diet that is high in potassium then that risk is greatly reduced. [5]

There are some other conditions which will increase your sensitivity to salt, such as Menierre’s disease.  People with these types of conditions also need to be careful about their salt intake.

Some traditional health practices state that energetically, salt has grounding (descending) properties and is ‘vata’ reducing.  If this is taken too far, this excessive grounding energy can cause feelings of hostility, greediness, fear and paranoia.    From a traditional Chinese medicine perspective salt is beneficial for the kidneys due to its yin nature, which allows it to stimulate the kidneys, promoting fluid metabolism and promoting a moistening effect.  An excess of this damages the kidneys, leading to emaciation, weakened bones and blood and deficiencies of the heart energy [1].  When looking at the traditional knowledge of salt and it’s warnings of overuse we can appreciate that it has always been known to avoid excessive salt consumption, and we now understand this is because excess salt can be damaging because it can interfere with calcium utilization and nutrient absorption, as well as contributing to fluid retention and high blood pressure.

A meta-analysis looking at the effects of long term sodium reduction of blood pressure found that on average, people with elevated blood pressure who reduced their salt intake by 4.6g/day had an average reduction of systolic blood pressure by -4.97 mmHg, and an average reduction of diastolic blood pressure by -2.74 mmHg.  For people with normal blood pressure an average reduction of salt intake by 4.4g/day reduced systolic by -2.03 mmHg and diastolic by -0.99 mmHg. [6]  So while we need to respect the effect that excess salt intake can have on our blood pressure we also need to realize that just reducing salt in our diet in isolation will not have a large effect. 

To support healthy blood pressure, focus on both increasing potassium intake through fruit and vegetables and avoiding excessive sodium intake from added salt or processed foods (and also working on all the other necessities for a healthy cardiovascular system) rather than just reducing or avoiding salt altogether.  People with salt sensitivity and cardiovascular risk factors should reduce their salt intake to less than 2g/day and only choose unprocessed salt.

Food Standards Australia-New Zealand (FSANZ) estimates that:

“Australians aged two years and older eat an average of 2,150 mg of sodium per day from an average of 5,500 mg of salt (5.5 g). About 80 per cent of this would be from processed foods and 20 per cent from salt used at the table or in home cooking. This estimate does not include the smaller amounts of sodium coming from naturally occurring sodium or sodium-containing food additives… Foods that contribute the most to Australians’ salt consumption are bread and bread rolls, meat, poultry and game products, including processed meat, and cereal products and cereal-based dishes such as biscuits and pizza.” [7]

There are many types of salt available, varying in color and texture and subtle variances in flavor.  These differences are influenced by the environment from which the salt was harvested.

In an interview for ABC Radio National, salt connoisseur Alice Bell explained the differences in salt flavors:

“When it comes to getting to know your salts and learning how to match salts with foods, there are many elements to consider. A denser, drier and more compact crystal such as Kosher salt will dissolve more slowly than a lighter, moister salt such as the Murray River Flake Salt, which will have an impact of both the initial burst of saltiness and length of saltiness on the palate. When used as a finishing salt applied at the table, the colours of salt and shape of the crystals can become important, as they are able to provide excellent contrast and light. As salt acts as a natural barrier against bitterness in foods, its application can change the whole profile of a taste—oranges taste sweeter, chocolate more intense. The ability of salt to remove moisture from foods such as eggplants will in turn permit textural changes in the cooking process that result in a softer fruit. Ultimately the best way to experience, to learn, and to love salts is through trial and imagination.” [8]

Here are some tips to avoid excessive salt intake:

• Take the salt shaker off the table
• Gradually reduce added salt to foods so that you can learn to enjoy the flavours of unsalted foods.
• Try flavouring foods with herbs, spices, and lemon juice.
• Choose low-salt products when available.
• Read food labels carefully to determine the amounts of sodium and learn to recognize ingredients that contain sodium a food with salt, soy sauce, salt brine, or any ingredient with sodium, such as monosodium glutamate, or baking soda (sodium bicarbonate) as part of its name contains sodium.
• In reading labels and menus, look for words that signal a high sodium content, such as barbecued, broth, marinated, Parmesan, pickled, smoke and tomato base.
• Prepared sauces and condiments are often high in sodium; these include barbecue sauce, cocktail sauce, mustard sauce, soy sauce, teriyaki sauce as well as many salad dressings.
• Don’t eat canned foods as these are often high in sodium.
• Serve lemon wedges at the table instead of salt which can be a good flavor enhancer because of its acidity.
• Use a salt free dukkah to sprinkle onto veggies or coat meats with.  This imparts good flavor and crunch.

Summary Points:

• Salt has always been a staple of our diets, whether taken from the sea or mined from the earth, from salt lakes or dried ocean beds.
• Traditional Chinese and Ayurvedic medicine have always advised against excessive salt consumption, and this is backed up with modern scientific evidence.  In moderate and balanced amounts salt is beneficial for our health.
• Salt is essential for our health so shouldn’t be avoided altogether, moderation is key.  However some people are very sensitive to salt, and they need to avoid it as much as possible.
• For people who aren’t salt sensitive, problems arise if their sodium: potassium ratio is out of balance, therefore ensuring you have plenty of potassium is beneficial.
• Avoid processed foods as they contain too much salt.  This is the main source of salt in the standard diet.
• Choose salt which has minimal processing, such as Celtic sea salt or Himalayan salt.

Works Cited

[1] P. Pitchford, Healing with Whole Foods, 3rd Edition ed., Berkeley, California: North Atlantic Books, 2002.

[2] M. Murray, J. Pizzorno and L. Pizzorno, The Encylopedia of Healing Foods, New York: Atria Books, 2005.

[3] H. Osiecki, The Nutrient Bible, 7th ed., Eagle Farm: Bio Concepts Publishing.

[4] J. M. Mercola, “Mercola.com,” 25 August 2010. [Online]. Available: http://articles.mercola.com/sites/articles/archive/2010/08/25/why-has-this-lifesustaining-essential-nutrient-been-vilified-by-doctors.aspx. [Accessed 2013].

[5] J. He, L. G. Ogden, S. Vupputuri, L. A. Bazzano, C. Loria and P. K. Whelton, “Dietary sodium intake and subsequent risk of cardiovascular disease in overweight adults.,” The Journal of the American Medical Association, vol. 282, no. 21, pp. 2027-34, 1999.

[6] F. J. He and G. A. MacGregor, “Effect of longer-term modest salt reduction on blood pressure,” The Cochrane Database of Systemic Reviews, vol. 3, no. CD004937, 2004.

[7] FSANZ, “Sodium and salt,” August 2011. [Online]. Available: http://www.foodstandards.gov.au/scienceandeducation/factsheets/factsheets/sodiumandsalt.cfm. [Accessed 12 February 2013].

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Most people today are living extremely stressful, busy lives, so it is normal to feel tired sometimes. This tiredness generally resolves itself after some rest and relaxation. Increasingly though, persistent tiredness is becoming a major problem for many people. Fatigue is a common presenting complaint in the majority of Australians and New Zealanders, but it is also often misunderstood, and at times even dismissed, particularly if there is no easily identifiable cause.

What Causes Fatigue?

Factors that may contribute to fatigue include:

• Low iron levels
• Inflammation
• Infection
• Hormonal imbalances
• Excess body fat
• Unstable blood sugars
• Stress (physical and emotional)
• Toxicity
• Mitochondrial dysfunction
• Poor sleep
• Diet
• Inactive lifestyle
• Small Intestinal Bacterial
• Digestion, liver issues and Overgrowth (SIBO) malabsorption

As you can see, there are multiple reasons why you may feel fatigued.  If you’re been feeling fatigued for too long, make an appointment and we can identify if the reason you’ve been so tired is one of these reasons.

Essentially, when your body systems are not working at their optimum levels, this can affect you both physically and mentally, ultimately having can effect on all facets of your life. However, Natural Medicines can help.

Marvellous Magnesium – An Essential Mineral for Fatigue

Magnesium, an essential mineral, is used in over 300 chemical processes in your body! Magnesium also plays a key role in the production of energy. Many Australians and New Zealanders are low in magnesium due to dietary insufficiencies. Fortunately, I can help if you are magnesium deficient – I can prescribe a pleasant-tasting magnesium powder that may help with your energy production

Nutrients for Giving Fatigue the Nudge

Other nutrients that can help support cellular energy production and give your energy levels a boost are malic acid, carnitine, coenzyme Q10, lipoic acid, essential fatty acids and B vitamins.

Malic Acid – This nutrient can help boost energy production as it is a key component in our cellular energy production pathways. Malic acid can help facilitate the production of energy and may increase stamina.

Carnitine – Carnitine is an important nutrient that plays an important role in fat metabolism and energy production. It transports dietary fats directly into the mitochondria to be broken down and burnt as fuel for energy production. Carnitine may be beneficial if you want to lose weight and get an energy boost at the same time.

Coenzyme Q10 – Coenzyme Q10 (CoQ10) is a vitamin-like compound that is essential for energy production. CoQ10 is beneficial in the management of fatigue as it enhances cellular energy production and is also a powerful antioxidant.

Lipoic Acid – Another useful nutrient for anyone who is tired is lipoic acid. Lipoic acid is important for the transport and conversion of carbohydrates into energy. It is also a powerful antioxidant.

Omega-3 Essential Fatty Acids – Omega-3 essential fatty acids from fish oils or krill oil are vital for the integrity and stability of every cell in our body. Omega-3 oils stimulate energy production and help lower stress levels.

B Vitamins – B Vitamins are essential, especially when under stress. All the B vitamins are vital for the Krebs cycle to produce energy. A combination that includes magnesium with B vitamins is likely to help you feel energized and able to enjoy life.

You Are What You Eat

If you are tired, make sure you eat a healthy, well-balanced diet and drink plenty of water throughout the day. The quality and balance of the food you are consuming will have a considerable impact on your energy and vitality. Where possible, avoid overly processed foods and eat organic, natural foods, if available.

Use It or Lose It

Engaging in regular physical activity is also important. Being active can help address some of the underlying problems causing your fatigue.

Recharge Your Batteries!

Holidays give us all the chance to have a well deserved break for rest and recovery, so take the time to enjoy being with loved ones and recharge your batteries. If you want to return from your holidays with more bounce  in your step, then ask today about tailored dietary, lifestyle and exercise advice to help you leave fatigue behind.

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Calcium and Magnesium

Minerals rarely work in the body in isolation.  They are all in a convoluted relationship with one another, where if one mineral is low in the body it can cause another to become too high, or vice versa.  To be healthy (keep the body in a state of homeostasis)  we need to have these minerals in a certain ratio to one another.  Some examples of important mineral ratios include sodium:potassium, zinc:copper and calcium:magnesium.  If a person had good levels of zinc, but even higher levels of copper, that would typically present with a zinc deficiency.  One of the most well known minerals is sodium (salt), which is famous for elevating blood pressure.  There are some people that are very sensitive to a disruption in their sodium:potassium ratio, and having the slightest amount of sodium can send their blood pressure through the roof.

Calcium and magnesium ratio is most commonly recommended at a 2:1, however there is some evidence that suggests that supplementing with doses of 1500mg calcium per day does not disrupt magnesium concentrations.   However it is always important to take into consideration individual requirements, as there are many factors that affect the utilization and absorption of minerals such as digestive health, diet, stress and genetic makeup.  The type of mineral is important as well.  A well known form of calcium supplement, in the form of calcium carbonate is advertised as being the highest dose of calcium available.  This does not take into consideration our ability to absorb it or utilise it properly in the body.  Magnesium oxide is another commonly sold form, usually because it is the cheapest however this can cause digestive irritation (not something most people would want).  It is better to seek advice on the type of mineral that is best for you.

Calcium and Magnesium are important minerals for the body, and we have an increased need for these during pregnancy (particularly from the second trimester on).  Most pregnancy multivitamins don’t contain adequate levels of these minerals which are needed in fairly high doses (the multi would need to be the size of a golf ball) so additional supplementation may be necessary.

Calcium is an extremely important nutrient leading up to and during pregnancy. It is necessary for the development of bones and teeth in the foetus.  Approximately 30 to 40 g of calcium are transferred to the foetus throughout the pregnancy, the majority in the third trimester. It is important for the mother to have good stores of calcium before becoming pregnant so that the health of her own teeth, bones, nervous system and muscular function is not at risk.  Adequate maternal calcium levels can also help to maintain normal blood pressure during pregnancy.

Along with calcium and vitamin D, magnesium is essential for the development of healthy bones, teeth and nervous system, and for maintaining the health of these tissues in the mother.

Adequate magnesium will help prevent muscle cramps and keep blood pressure normal.  It also plays an important role in regulating normal blood sugar and insulin levels and nourishing the nervous system.

If you are pregnant or are looking at becoming pregnant, give us a call or send me an email and we can book you in for a consultation to discuss your nutritional needs.

The effects of Calcium supplementation during pregnancy

Pre-eclampsia and gestational hypertensive disorders are significant causes of maternal and foetal morbidity and mortality worldwide.  Many studies demonstrate a link between calcium intake and these hypertensive conditions during pregnancy. This review of 15 randomised controlled trials investigated the influence of calcium supplementation during pregnancy and the incidence, risk and severity of these hypertensive disorders and neonatal outcomes.

Results  showed:

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Relief for Pregnancy-induced leg cramps

Leg cramps are a common complaint for pregnant women, however there is no current standard treatment.  Naturopaths and nutritionists often recommend a magnesium supplement for leg cramps, as magnesium is helpful for relaxing muscles and nerves.

A recent study proved the effectiveness of magnesium supplementation for leg cramps.

The 4 week study looked at 86 pregnant women between 14-34 weeks gestation  and analysed the use of oral magnesium supplementation on leg cramps.  80 women completed the study.

41 women were assigned to magnesium bisglycinate chelate (300 mg per day) and 39 women to placebo.

Details of leg cramps were recorded before beginning the treatment and the fourth week of study. Outcome measure was the reduction of cramp frequency after treatment and cramp intensity measured by 100-mm visual analogue scale.

50% reduction of cramp frequency was significantly higher in the magnesium group than the placebo group. Results included:

• The 50% reduction of cramp intensity was also significantly higher in the treatment group than in the placebo group.
• There were no significant differences between the two groups in terms of side effects such as nausea and diarrhoea.

These results demonstrated that oral magnesium supplement can improve the frequency and intensity of pregnancy-induced leg cramps. Therefore, oral magnesium may be a treatment option for women suffering from pregnancy-induced leg cramps.

Supakatisant C, Phupong V. Oral magnesium for relief in pregnancy-induced leg cramps: a randomised controlled trial. Matern Child Nutr. 2012 Aug 22. doi: 10.1111/j.1740-8709.2012.00440.x. [Epub ahead of print]

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If you are healthy, your heart and blood vessels work together in a balanced manner to deliver blood to every tissue and organ in your body – keeping you alive and well.

Did you know?

• Your body has its very own pump system that involves around 100,000 kilometers of blood vessels.
• Your heart can beat over 100,000 times every day!
• Adults have an average of 4.7 to 5.0 litres of blood in their body.
• Normal, healthy blood pressure is around 120/80.
• The World Health Organisation has estimated that one in every eight deaths world-wide is linked to unhealthy blood pressure.

Blood pressure

Blood pressure is the force blood exerts on the inside walls of blood vessels as it travels through the body. Blood pressure is largely controlled by the size of the blood vessels: the wider the blood vessels, the lower the pressure. As blood vessel size reduces, the pressure increases. Imagine a garden hose; if the hose is a wide one, the pressure inside as the water rushes through will be less than if it was a much thinner hose. Unlike a garden hose, however, our blood vessels can change size to a certain extent. For example, if your blood vessels contract and become narrower then this will increase your blood pressure. Likewise, if there is a build up of cholesterol plaque or fatty deposits in your blood vessels, this will narrow the diameter of your blood vessels and increase your blood pressure. Continuous high blood pressure can damage your heart, kidney, eyes and blood vessels in the brain, so it is important to ensure that your blood pressure is maintained within healthy limits.

What can you do to avoid an unhealthy rise in blood pressure?

There are a number of things you can do to influence your blood pressure and keep it within normal, healthy limits. At this clinic we have many treatments that can address the underlying factors of unhealthy blood pressure. Here are some examples of what we have to offer that may help to keep your heart and circulatory system in top shape:

• Improving dietary choices. We can help you plan meals to assist your cardiovascular system.
• Stress – we have highly effective stress reduction programs.
• Fat loss programs such as Shake It
• Healthy blood glucose management.
• Cholesterol maintenance programs.

Can’t take the pressure?

To specifically help with blood pressure, you may benefit from a few key nutrients that are well researched for their effects on improving cardiovascular health:

Magnesium: Magnesium is necessary for the health of your muscles and nervous system. Did you know that your blood vessels are actually made up of tiny muscle cells? Magnesium helps these muscle cells relax – the more relaxed they are, the lower your blood pressure will be! The type of magnesium supplement you choose is very important, as some forms of magnesium may upset your digestive system. In this clinic we only use a high quality form of magnesium called magnesium diglycinate and magnesium orotate.  Magnesium diglycinate is form of magnesium that is very well absorbed, tolerated and gentle on the stomach.  Magnesium orotate is a form of magnesium that is well absorbed and is able to target the heart cells.

Taurine: Taurine is another nutrient that may be able to help you maintain healthy blood pressure. It works together with magnesium to support the health of the heart and cardiovascular system. It also seems to have a positive effect on the nervous system, and may be able to assist if your blood pressure goes up when you are stressed.

Fish oil: Essential fatty acids from fish oil can help to improve circulation and may assist in maintaining healthy cholesterol levels.  You can get the therapeutic benefits of fish oils by taking a medical strength fish oil supplement that contains high levels (around 50%) of Eicosapentaenoic acid (EPA) and Docosahexaenoic acid (DHA). It is also important to ensure your fish oil supplement is free from heavy metals and other contaminants so that you get all the benefits without the worry.

Folate, B12, B6: The combination of these nutrients help to prevent your body producing high levels of a substance called homocysteine. A build up of homocysteine has been linked to an increased risk of cardiovascular disease.

Coenzyme Q10: (CoQ10) is required for cellular energy production in cardiac muscle and provides nutritional support for healthy heart muscle function.   CoQ10 may assist in reducing LDL cholesterol oxidation.

Alpha lipoic acid:  Alpha lipoic acid demonstrates unique lipophilic and hydrophilic antioxidant activity and extends the functional capacities of other antioxidants including vitamins C and E, glutathione and CoQ10.  Alpha lipoic acid is involved in the metabolism of nitric oxide in vascular endothelial cells and is required for cellular energy production.

Before you boil over….

Our clinic provides a range of personalised options and lifestyle programs designed to keep your cardiovascular system as healthy as possible. If you are concerned with the health of your cardiovascular system, then come in and see us to discuss the range of options available to help you take the pressure off.

Call now to make an appointment

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Looking for a way to increase your magnesium levels? This recipe is my answer – they are designed to be a rich source of magnesium, as well as the co-factors for magnesium (zinc, b vitamins and calcium). Fun and easy to make, they help to satisfy chocolate cravings, they balance blood sugar levels (good source of protein, good fats and complex carbohydrates and fibre), so why not give them a go? Make a big batch and freeze some, or a small batch and keep them in the fridge. If you can resist eating them all within the first few days, they will last about 4-5 days in the fridge.

Makes approximately 12

Ingredients

• 1 cup raw/fermented nuts and seeds (I used about 3/4 cup of a mixed nuts pack and added a few handfuls of seeds such as pepitas, sunflower seeds, sesame seeds and pumpkin seeds.)
• 2-3 tbsp wheat bran (you can alternatively use oat bran)
• 5 dates
• 2 tbsp unhulled tahini
• 2 tbsp blackstrap molasses
• 2 tbsp raw cocoa powder
• Optional – freshly ground flax seeds, chia seeds or wheat germ

Method

In a food processor blend the nuts and seeds until the become a coarse powder.  Finely chop the dates or blend as well (if they’re too dried you’ll have trouble blending them).

Mix the nuts, dates, tahini and blackstrap molasses and stir well.

Roll them into balls with your hands,  then roll in the cocoa powder.  Lightly tap to get rid of the excess powder.  From here you can mould them into different shapes (I made a heart because I love magnesium, haha).  You can refridgerate them or freeze them (let them defrost for about half an hour before eating).

Tips

These are very rich in magnesium and calcium so are great for people who need some extra of these minerals. They also contain a nice amount of zinc, protein and good fats. Have 1-2 a day.

While the molasses is high in sugar, it is a great source of vitamins and minerals. Having it combined with the nuts and seeds helps to reduce the GI.

Each ball would roughly contain about 100mg magnesium, 37mg of calcium and 1mg of zinc (I know it doesn’t sound like much zinc but remember that minerals are needed in different amounts.)

Click here for more information about magnesium.

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Serves 6

Ingredients

• 1/2 medium pumpkin
• 1/4 cup quinoa, washed
• 1 handful of pepitas
• 2 handfuls of sunflower seeds
• 1-2 tbsp sesame seeds
• 5 kalamata olives, chopped
• 1/2 large radish
• 1 1/2 cucumber
• 1-2 slices marinated capsicum
• 1/2 spanish onion
• 1 packet of rocket, washed and dried

Dressing:

• 1/4 cup extra virgin olive oil
• 1 tbsp caramlised balsamic vinegar
• 1 tsp dijon mustard
• 1 tsp lemon juice
• 1/2 tsp apple cider vinegar
• 1/2 tsp sumac
• salt and pepper, to taste

Method

Preheat oven to 200C.

Peel and deseed the pumpkin and cut into small chunks.  Place onto a roasting pan and drizzle with a little olive oil and sprinkle with salt and pepper.  Roast until golden brown, stirring through a few times to cook evenly.  Allow to cool.

Cook quinoa using absorption method until tender and germ ring is visible.  Allow to cool, or rinse under cold water if you’re short on time.

Put rocket into bowl with seeds and olives.

Using a mandolin thinly slice cucumber, onion, radish and radish and add to salad.

Cut capsicum into strips and add to salad along with quinoa and pumpkin.

To make the dressing, shake everything up in a jar and adjust according to your tastes.  it should be a little bit too vinegary before you put it onto the salad.

Mix salad and dress just before serving.

Tips

This is high in protein, fibre and zinc.  With the combination of seeds and quinoa this is a complete protein meal. 

Quinoa is rich in manganese, tryptophan and magnesium.  Pumpkin is rich in vitamin A and vitamin C, manganese and vitamin B6.

Gluten free, dairy free, vegetarian, vegan.

 
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