Ozempic; also called semaglutide, Wegovy, Rybelsus; is used to help patients lose weight when other options fail or take too much time. You may also have heard of another semaglutide for weight loss called Mounjaro (tirzepatide), which is gaining popularity. It’s a newer medication type called GLP-1/GIP agonists, which has a similar action to semaglutide.

Semaglutide for Weight Loss: A Hot Topic

Semaglutide for weight loss and GLP-1 (glucagon-like peptide 1) agonist medications have been discussed on a typical day over the last year, especially as they are easier to get. Most patients using or thinking about using this medication may not be grasping the need for counsel and guidance to keep them medically safe. 

These are conversations that we often have in our practice. They need to be supported before, during, and after using a drug like this to monitor negative effects. There is often a mental-emotional piece that needs to be addressed as well. For example, there may be years of trying to lose weight and trying to get their metabolism to function. Patients often need validation and help with their mindset to transition from desperation and frustration to education and instilling hope, confidence, and a sense of well-being. 

How Do GLP-1 Agonists Work?

Let’s talk about how semaglutide for weight loss works in the body and the risks associated with these long-acting medications. GLP-1 agonist medications mimic our body’s natural GLP, but it stays in the body for a longer time (up to five weeks). GLP-1 is found in our body naturally as a peptide hormone, specifically made in the small intestine to support the normal response of insulin and blood sugar control. It breaks down within one to five minutes.

What Effects Does Semaglutide for Weight Loss Have? 

Its effects include:

Improves insulin secretion: It simulates the pancreas to produce insulin, which lowers blood sugar and suppresses the release of glucagon (which raises blood sugar). This forces the body to generate more glucose by breaking down fat and protein.

Reduces appetite and cravings: It goes into the brain and regulates the appetite, decreases cravings, but not just for food.

Slows digestion: It also slows gastric emptying, how long food stays in the digestive system, so you feel full longer. Diabetics have deficiencies of GLP, and we think it is related to the health of the lining of the small intestine.

Most GLP-1 agonists for weight loss we are using are injectables. However, some people are using pills or under-the-tongue versions of these medications. Historically, these drugs are used to treat diabetes and have some cardiovascular benefits as well. GLP-1 receptors are found in the brain, arteries, heart ventricles, and the atrium, as well as the kidneys, lungs, nervous system, and lymphatic system, helping to heal these tissues. We don’t have clarity on whether cardiometabolic markers are improving because of the drug itself or because of weight loss. We will know more as more patients discontinue the drug.

Side Effects of GLP-1 Agonists

The most common side effects of Ozempic reported by patients are digestive issues and feeling uncomfortable. 

Things like:

• Nausea, vomiting, diarrhea, and constipation are the most common. These side effects are usually mild to moderate and can last for several days.
• More serious but less common side effects include pancreatitis, bowel obstruction, gallstone attack, bile duct block, and kidney failure.
• We are also seeing gastroparesis, where the stomach stops digesting food, and food does not leave the stomach. It is unclear if this is reversible after stopping the medications.
• Another problem is muscle wasting because the body has to burn fat and protein to make glucose, people can lose muscle mass, and their metabolism decreases.
•  If you have a history of Irritable Bowel Syndrome caused by SIBO (small intestine bacteria overgrowth), acid reflux, or constipation, it could make these conditions worse, but moreresearch is needed.

The Challenges of Weight Loss with GLP-1 Agonists

Patients looking to Ozempic for help are overweight and often undernourished since their metabolic processes are already not working properly. Since Ozempic reduces appetite, it can worsen the undernourishment of minerals, vitamins, fiber, and plant antioxidants. With these medications being so strong on forcing the body to lose both fat and muscle, it can result in someone who is both underweight and undernourished. 

After the forced slowdown of the metabolism, the muscle won’t come back after it is lost, but the fat will often come back quickly. So now we have a disproportion of muscle to fat loss. This is why the recommendation is to get on the medication and stay on them for a lifetime. The reality is that patients get tired of taking it. If you don’t make lifestyle changes along with the medication, it is not sustainable, really, and the side effects are greater.

There is a real problem with stopping the drug suddenly or too fast, but there are some possibilities to get off it. Some research is showing that lower doses over months can prevent some of the weight returning, but most people do gain weight if they stop the drug suddenly. Some doctors have decided to get compounded medications and try these drugs at lower doses to match the microdoses of the body instead of the commercial dosage amount taken weekly. These smaller doses increase the chance of successfully getting off the commercial dosing. But this is done while working on lifestyle changes and increasing your own natural production of GLP-1 in the body.

Lifestyle Challenges for Weight Loss

Particularly, a balanced diet of nutrient-dense, whole foods is key:

• Whole grains: Oats, barley, and whole wheat are high in soluble fiber, which slows digestion
• Fruits and vegetables: Water-rich fruits and vegetables can increase GLP-1
• Lean proteins: Poultry, meat, fish, beans, legumes, nuts, and tofu are all good sources of
• protein
• Avocados, nuts, and seeds: Contain fiber and monounsaturated fats
• Olive oil: Contains unsaturated fats
• Muscle building, like resistance or strength training, is another important strategy. Muscle mass and strength are very efficient at using up fuel, such as fat, and keeping your metabolism up.
• Things that interrupt normal sleep, such as sleep apnea, insomnia, and stress, are linked to being overweight. Sleeping appropriately helps to restore and repair cells.
• Supplementing the diet with some plant-based interventions can be used, too.
• Some small studies show that supplements like berberine, curcumin, and ginseng can boost GLP-1 levels. Consuming resveratrol, a natural compound found in grapes, red wine, and certain berries. Research suggests it may increase GLP-1 secretion.
• Taking probiotics or foods supporting Akkermansia mucinphila, Lactobacillus rhamnosus GG, and Clostridium butyricum may help promote the production of GLP-1.

Taking a naturopathic medical approach is key if you are considering taking these weight-loss medications or want to lose weight. Lab markers, monitoring muscle loss, addressing metabolism, elimination pathways, hormones, and lifestyle and dietary change are all critically important for weight loss and to keep it off. Working with a naturopathic doctor becomes even more important if you start these medications.

Co-Authors:

Dr Shannyn Fowl, ND runs Journey of Health Medical Clinic in Southern California and Arizona where she enjoys helping patients find answers to their health challenges so they can be empowered to thrive in their own world. As adjunct faculty, she spent a decade teaching ‘Introduction to Naturopathic Medicine’ to the general public and as continuing education to nurses. She has been a principal investigator for research projects during her career and recently co-authored a peer-reviewed article on the effects of drumming. Drawn to travel, she is looking forward to more exploring and experiencing the diversity of culture as time allows during her husband’s retirement. There is no end to the tools that can be used for healing in a naturopathic practice.

Learn more about her here.

Dr. Laurence Freitas ND LAc is a licensed naturopathic doctor and acupuncturist who owns Realm Naturopathic & Integrative Medicine clinic in Coronado, CA. With over seven years of experience practicing naturopathic medicine and acupuncture, Dr. Freitas brings a wealth of knowledge to his patients. Prior to opening his clinic, he spent 12 years working in public health and health policy, giving him a unique perspective on integrative healthcare. 

At Realm, Dr. Laurence takes a holistic approach, blending traditional natural therapies with modern scientific advancements to develop personalized treatment plans for each patient. His goal is to address the underlying causes of illness and promote overall wellness rather than just treating symptoms. With his extensive training and patient-focused care, Dr. Freitas is dedicated to helping his patients achieve optimal health and vitality through naturopathic and integrative medicine.

Learn more about him here:

https://drlaurencefreitas.com/about-1

Stress has become a constant companion for many, affecting not just our mental health but also our physical and emotional well-being. While traditional stress relief methods often focus on symptom management, holistic approaches to anxiety aim to address the root causes by considering the interconnectedness of the mind, body, and spirit. From mindfulness practices and breathing exercises to dietary changes and aromatherapy, these strategies empower individuals to take control of their stress in a sustainable and personalized way. This blog explores a variety of holistic tools and techniques for anxiety that can help you build resilience, restore balance, and lead a more harmonious life.

Anxiety Isn’t Just in Your Head

Anxiety and depression are the most cited mental health issues in the US and are reported by one-third of the population. You are not alone in feeling the rise of anxiety around you. There are acute reactions of anxiety, such as panic and chronic stress. A cascade of chemicals comes with the stress response, but it should fade away after the stressor is managed. Ongoing stress means more chemical cascades that trickle down to many organ systems, including the brain.  It is not just in your head.  

Herbal Remedies for Anxiety

Botanicals for anxiety like ashwagandha, kava, and saffron can be very helpful. Lavender, valerian root, lemon balm, chamomile, or passiflora are helpful for some. Some are easy to integrate, such as picking up passiflora tea at your local coffee shop or smelling your pot of lavender while brushing your hair. Herbal remedies for anxiety are unique to the person, so reach out to the naturopathic doctor near you for a more individual treatment plan.

How the Gut Microbiome Plays a Role in Anxiety

Microbial influence over mood is a big area of research, and we are finding the connections of missing microbial families or dysbiosis and disease tendency anxiety, depression, obesity, OCD, PTSD, and gastrointestinal problems like Irritable Bowel Syndrome (IBS). The gut bacteria matters. Both diversity and balance matter. Each small family of gut microbes relies on small amounts of a certain fiber to do their job. We don’t need much; a tablespoonful of fiber is enough to thrive! My favorite diet to help our gut microbiota is a variety of heirloom beans.  

H4: What Causes Anxiety?

While we can’t remove some causes of stress and anxiety, we can reduce some stressors, and we can prepare for stressors. Some aspects of life that bring anxiety are things we have no control over, such as disasters, injustices, inflation, conflict, or even trauma recovery. They will always be in the background. Other aspects are our own way of perceiving or understanding ourselves and what is happening around us, as well as our daily habits. They can be concerned about natural sunscreen or vitamins for thinning hair. Those are very much parts of our lives. We can use those to build self-improvement, discovery, and tools for managing stress and anxiety.  

MTHFR Gene Mutation

The nervous system is primarily made up of two complementary paths of the sympathetic and parasympathetic systems. The sympathetic is known for massive action, lifesaving, or fight and flight. Meanwhile, the parasympathetic system counterbalances the sympathetic with rest, digestion, and repair actions.  Some patients have an increased challenge in balancing out these two parts of the nervous system, especially if they have the MTHFR gene mutation. The sympathetic system, once trained, is ready to be activated again quickly. It takes regular activation or regular stimulation to keep the parasympathetic effects in place. Vagal nerve stimulation tools can be helpful in regulating these systems, as can the benefits of volunteering.

Alzheimer’s and Anxiety

An Alzheimer’s study in Brain in May 2023 showed that stress, which increases corticotropin-releasing factor, will in turn contribute to the amyloid beta protein increase found in Alzheimer’s dementia.  The protein amyloid beta rose significantly in the female mouse within 2 hours and stayed elevated, while the protein in male mice did not change overall.  In other words, stress management is an important preventative step to protect women who are at an increased risk of Alzheimer’s disease. Stress management is prevention medicine, as well as aging gracefully.

Holistic Tools for Anxiety 

Anxiety can be life-altering. It can stop life in its tracks. Likewise, long-term anxiety management tools can be life-altering and lifesaving and help find the balance most people desire in their day-to-day lives. We know stress is coming, but being more prepared can help lessen the impact it has on our nervous system. Understanding what is going on for you as an individual and learning your tools can make all the difference in empowering you to find your answers. As mentioned above, regular parasympathetic stimulation is your key to success.  

Relaxation Through Movement and Mindfulness

Breathing exercises come in many different styles. Simply breathing in for a count of four and out for a count of eight can help convert to a calmer or parasympathetic response. High-intensity exercise is a great choice for some, or yoga! Peaceful Piggy Yoga is one of my favorite books for kids, and I used this a lot to help with focus as a lego team leader. Tai Chi, meditation, and mindfulness are all well supported for parasympathetic action in the literature. Hobbies like sewing and cooking create that sense of well-being. What are your hobbies? Take time for them! 

Supplements and Anxiety

Supplements for anxiety such as magnesium, amino acids, theanine, and sometimes probiotics can be supportive. Each person is an individual. They have a unique life story and unique genetics.  Some genetics stay stressed for 30 minutes, whereas others for four hours over the same scenario. Biochemical components contribute to how a person responds to stressors and to treatments. Many nutrient deficiencies can be very difficult to diagnose but there are many research relationships made between magnesium deficiency and OCD (Obsessive Compulsive Disorder), PTSD (Post Traumatic Stress Disorder), as well as depression and anxiety. Iron or vitamin B deficiency can contribute to imbalance for some, while balancing neurotransmitters such as serotonin can help others. 

Find a Naturopathic Doctor Near You

We have scratched the surface of parasympathetic tools here, but there are many more. What are yours? Do you need to explore some new ones? We specialize in this sort of thing, so it is not a new idea. At Journey of Health Medical Clinic, we are dedicated to finding the right integrative solutions for each patient. Look no further for a naturopathic doctor near you.

Irritable Bowel Syndrome, which includes chronic diarrhea and/or constipation, greatly impacts a person’s quality of life and can go undiagnosed for years. At our clinic, we have helped many people resolve their bowel issues with a thorough workup and advanced diagnostics. We have diagnosed conditions like Congenital Sucrose Isomaltase Deficiency (CSID), small intestinal bacterial overgrowth (SIBO), and fructose intolerance, as well as bacterial imbalances that cause inflammation and specific food intolerances. Most of our patients come to us after trying medications that barely contain their symptoms. By addressing the causes of symptoms, we are often able to help people feel better than they have in years.  

Irritable Bowel Syndrome Diagnosis

Many patients are diagnosed with Irritable Bowel Disease, also known as IBS, when they have an onset of symptoms affecting the gastrointestinal tract. It can be either diarrhea, constipation, or a combination.  Not being able to make it to the bathroom or not being able to go both impact your lifestyle, hobbies, and peace of mind. It can come on suddenly or be something that gets worse over time.  

Natural Treatments for IBS

There are a number of options that help patients manage their IBS symptoms, as well as create a long-term plan to resolve it and live without it. Tools such as diet modifications, stress management, gut soothing supplements, as well as assessing digestion, food triggers, and microbiome, all play a role in the treatment of IBS. Movement encourages the bowels to do their job, allowing easier stool and release of gas as well as calming the intestines. Addressing hormones can also help IBS symptoms. 

A Holistic Plan for Healing IBS

Naturopathic doctors assess for IBS using diagnostic tools such as physical exam, lab tests, breath tests, stool and urine tests, food allergy or intolerance testing, dietary assessment, and assessment of lifestyle factors, including stress level, fatigue, sleep, etc. The goal is to identify sources of inflammation that have set the stage for developing IBS. Once identified, the doctor and patient, and sometimes a nutritionist, will develop a plan to minimize/ eliminate exposure to triggers, reduce inflammation, and promote healing.

The “healing plan” for IBS will be different for every person because so many factors interact to produce inflammation and symptoms. This plan can include following a low-FODMAP diet (useful for a variety of GI conditions), nutritional and herbal supplementation, stress management, avoiding smoking and caffeine, moderating alcohol intake, adjusting sleeping habits, homeopathy, and exercise.

If you suspect that you are affected by IBS, contact a Naturopathic Doctor about an evaluation and put yourself on the road to wellness. It is possible to enjoy food again and heal from Irritable Bowel Syndrome.

IBS Symptoms

Irritable Bowel Syndrome can cause symptoms of feeling full after eating a small amount or nausea. Bloating is frequently uncomfortable, with swelling or pressure that can extend up into the lungs or down into the pelvic area, often making it difficult to believe that just the gastrointestinal system is involved. Abdominal pain can progress or only occur at night, too.  There can be mucus in the stool, rectal bleeding, or a sense of incomplete stool, and some of these symptoms can indicate conditions like Crohn’s Disease or Ulcerative Colitis. We can help you get a complete diagnosis and feel better. It is not uncommon to improve and be without symptoms for a while.

The Gut-Brain Connection

Post-traumatic stress disorder (PTSD) is often associated with IBS, so trauma counseling is often indicated. The nervous system innervates the intestines to facilitate movement of the bowels, absorption of nutrients, and can affect your microbiome. The signaling goes both ways, and the microbiome contributes to your neurotransmitters, influencing how you feel – angry, happy, sad, etc. When you are relaxed, your digestion is able to work well. If you are consistently under stress, your digestion is likely to suffer. If it persists, you are likely to have some dysfunction in your gut, which is understood as IBS.

IBS Risk Factors

There are a few things that can increase the risk factors for Irritable Bowel Syndrome:

• Being female
• Age 40 or under
• Someone in your Family has IBS
• Depression, Anxiety, or PTSD
• Bacterial infections in the gut

Diet Tips for IBS Patients

• Eat smaller meals.
• Gradually increase high fiber foods such as grains, beans, fruits, and veggies (especially with constipation).
• Drink enough fluids to make your urine pale yellow.
• Lean toward a FODMAP diet if that is helpful for you.
• Consider a food journal to understand what foods may trigger you.
• Limit alcohol.

IBS Testing or Tools

Labs and so forth can be helpful in getting direction on where your body may need support to find its balance again.  Here are some tests that can give information for making decisions about your health. This is not at all a complete list.

• Food intolerance testing
• Bacterial testing by stool and breath tests
• Calprotectin in the stool
• Ova and parasite screening
• Lysozyme and chymotrypsin in the stool
• Salivary Immunoglobulin A
• Microbiome testing
• Zonulin is experimental, but some patients find it helpful
• Hormone metabolite testing
• Macro and micronutrient testing

Complications of IBS

Patients may have the understanding that they have a diagnosis of IBS, and their condition may not be investigated further. They could actually have a different diagnosis of IBD, or Inflammatory Bowel Disease, or Crohn’s Disease, or even PTSD. They may not be receiving adequate treatment for their condition, which means not much seems to help them feel better.  They also will not be able to analyze their prognosis or what their disease process will look like in the future if baseline markers are not run. As it progresses, a proper diagnosis will help plan for the disease and prevent its rapid progression of the disease.

Patients with Inflammatory Bowel Disease, such as Crohn’s Disease, can also experience IBS when trying to recover from a flare, which can make it confusing.

Finding Help For Irritable Bowel Syndrome: Our San Diego Naturopathic Medical Clinic

We help patients find answers to their health challenges. It’s our specialty! This kind of thing is not a new idea for us. In fact, gastrointestinal symptoms are the number one reason why the public seeks out naturopathic doctors! We have heard many personal stories and have been blessed to see natural treatments for IBS lead to many successes. Getting the right care tailored to you or your child’s specific body and situation is key to success in your health! Please reach out and see if we can work together to get you feeling better.

BIOs:

Dr. Shannyn Fowl, ND, has been involved in patient care for over 30 years, and half of that as a Naturopathic Doctor. She has a great compassion for patients with stubborn and confusing gastrointestinal symptoms. Many patients describe her as the detective guide as they get to the bottom of their health problems. Most patients just need help exploring the right tools, labs, or path to find their journey to great health. Dr. Shannyn has also been adjunct faculty for her local community college for a decade, adjunct faculty at Bastyr Medical School for pediatrics, and a principal investigator in research.
Dr. Gwenn Rosenberg is the founder and medical director of New London Natural Health Center. She earned her medical degree from the National College of Natural Medicine and completed her residency with Bastyr University. She attained additional training in Holistic Pelvic Care with Tami Kent, MSPT, and training in manual therapy for relief of incontinence and pelvic pain with the Herman & Wallace Pelvic Rehabilitation Institute. Dr. Rosenberg has worked in multiple capacities in the healthcare field since 2000 and as a naturopathic physician since 2012.

True story.  Many patients who come to me for joint pain and rheumatoid arthritis tell me this story.

The pain in their joints prevents them from doing the things they dream of, such as gardening with grandchildren, exploring new hobbies, traveling, or just being active. Treatments offered are often limited in how long they will work or if the disease will progress. They want more hope. They don’t want their pain to dictate what they can and can’t do. 

Googling may give them a glimpse into some natural herbs that may help lessen the discomfort. However, they are not sure how much to believe or how much effort and hope to invest in their trial of these ideas. Since this is not their expertise and they know few who have tried this route, it is so confusing, and sometimes even embarrassing to discuss these ideas with friends and family.  

In the quest for better options, they find a qualified professional who has done this before and can trial and error botanical options for their specific pain needs. Naturopathic doctors have the added benefit of know-how for what drug and herb interactions are important to point out, as well as discussing lab options for possible causes and long-term treatment. Many patients are able to get back to gardening with grandchildren, traveling, aging gracefully, and doing the things they want without pain.

Holistic Strategies and Natural Remedies for Rheumatoid Arthritis Relief

Drugs are often not enough for the pain that comes with rheumatoid arthritis. They also come with unpleasant side effects that make patients feel they are not worth the risk of using.  Natural herbs have fewer side effects, fewer complications, and the demand to use them as natural painkillers has been growing (Yousofvand). However, education around the use of herbs in standard medical care is very limited, and the interactions are even less known by most doctors.

Rheumatoid Arthritis (RA) patients frequently seek additional sources for relief.  They often ask their doctor about diet. They are willing to make changes, however they lack direction. Fortunately, naturopathic doctors are well trained in botanicals, the immune activity of rheumatoid arthritis, and the interactions between drugs, food, and botanicals, as well as the mechanisms of action. All this is included in their board exams. Read on and find some hope with herbal remedies for rheumatoid arthritis.

Herbal Remedies for Rheumatoid Arthritis and Chronic Pain

Most all these herbs that we will discuss here are anti-inflammatory, often modulating the immune system for good things as well as helping with pain.  By addressing inflammation, we are often addressing nutrient deficiencies and root causes of the disease process as well!  

Boswellia can greatly improve stiffness. It’s great for a workout or chronic pain and helps with belly discomfort as well. 

Cinnamon encourages a healthy microbiome, which impacts inflammation. A decrease in swelling and pain seems connected to the increase in supplemental cinnamon.

Curcuma longa or turmeric helps with pain, but not through the typical COX-2 inflammatory pathway. It may or may not always work, particularly when other treatments are being used alongside, specifically those that work on mu-opiod receptors or 5-HT receptors.  When combined with other pain relievers, they eliminated the analgesic effect or the pain-relieving effect of the turmeric or active ingredient curcumin (Yousofvand).  In other words, curcumin is not likely to be helpful if you are using pharmaceuticals. In my holistic practice in San Diego, I find curcumin to be most helpful for knee pain and for a huge antioxidant support, including cancer prevention, sometimes even for hot flashes, but best used without other treatments for pain.

Echinacea augustifolia had the same efficacy as ibuprofen for osteoporosis, with the added benefit of no side effects! Also helpful for rheumatoid, it has the added benefit of modulating the immune system to be ready for exposures. Who knew echinacea could be such a natural pain hack!

Garlic has always been touted for benefiting rheumatism. With an anti-microbial effect as well as analgesic and anti-inflammatory, it may need slow dosing in the beginning, or it will cause some belly discomfort. Well-tolerated in food, capsules, or slow-release tablets can be an option as well.

Ginger helps with gut bacteria balance and is anti-inflammatory. Those who tend to feel chilled can have that added benefit with ginger.

Ginkgo biloba is protective for the nerves and dementia. It seems the benefit comes purely from its antioxidant and anti-inflammatory properties. It also has the potential to reverse diabetic neuropathy (Forouzanfar).

Nigella sativa showed improvement in pain, particularly neuropathic pain.

Rosemary decreases the damage done to a joint. It helps with the rheumatic pain in the joints as well as pain in the spine by diminishing glial and apoptosis activity.  

Saffron, often used as a spice in cooking, is pretty effective when it comes to lumbar pain and sciatic pain. Saffron is also used for bronchospasm, insomnia, asthma, menstruation problems, pain relief, and cardiovascular disorders. Our newest application for it is in mental health, helping with mood, depression, and motivation. It is the richest antioxidant in our spice rack.  

Sage officinalis, or common sage, has an effect on the opioid receptor, helping with pains of all sorts. It is dose-dependent, but can have a significant analgesic effect like morphine!

Herbal Remedies in the Kitchen

Many aromatic herbs in the kitchen have anti-inflammatory effects on pain. Even the simple act of growing herbs can be beneficial and is absorbed through the skin. Botanicals can be fun to work into our daily lives and are what helps with rheumatoid arthritis pain.

There is always the rare risk of an individual reacting to an herb, so use with caution and seek professional help to find the right combination for you as an individual, with what you may be taking.  Naturopathic Doctors are really good at this. It does take time for botanicals or herbs to do their work, so don’t be afraid to keep taking them for four months before a conclusion.

The Microbiome Matters

Herbs or botanicals are full of polyphenols, which are highly anti-inflammatory and encourage healthy microbiota. The fresher, the more potent. Let’s understand where our microbiome is first.

Microbiome breakdown:

• Airways 14%
• Mouth 26%
• Skin 21%
• GI 30%
• Urogential 9%

Botanicals can help activate a healthy microbiome that contributes to anti-inflammatory effects by smelling, crushing, tasting, and ingesting botanicals. Growing botanicals has an added benefit.

Holistic Diet Tips for Rheumatoid Arthritis Pain Relief

Rheumatoid arthritis pain relief can happen by focusing on changing to an anti-inflammatory diet, which will encourage microbiome diversity in their gut (Zeevi). Plant-based diets encourage a diverse gut microbiome that can be one of the best painkillers for rheumatoid arthritis and to protect from pain.

Two really important aspects of diet when it comes to pain are high glucose, which means high blood sugar, and secondly, high fat. High glucose will increase reactive oxygen species, damaging your nerves and causing a cascade of pain. It IS possible to control your blood sugar. Don’t settle for high A1C ranges.  Let’s get them well into range and stop the pain. A high-fat diet can also cause neuropathic pain. They have been well established to increase oxidative stress on lipid pathways and to cause pro-inflammatory changes in the peripheral system, complicating nerve damage (Forouzanfar). Addressing your sugars and fats can be the best rheumatoid arthritis pain reliever.

The Immune Response

How is the immune system involved in arthritis pain and inflammation?

Stimulation from an injury triggers an inflammatory response, and cells called macrophages head to the area. They create hyper-excitability. Picture a party out of control. This leads to cytokine and chemokine molecules increasing the inflammation. It is the body’s way of encouraging repair in the area. However, in neuropathic pain conditions, this becomes a chronic inflammatory stew. There are many detailed pathways that get activated in pain, but fortunately, there are many antinociceptive compounds in medicinal plants. Anti-inflammatory processes, inhibition of the synthesis, and the release of arachidonic acid, prostaglandins, phospholipase, nitric oxide, and cyclooxygenase-2 have all been reported as analgesic mechanisms of some herbs (Yousofvand)! Talk about some real home remedies for rheumatoid pain!

Moving is important in pain, but can be challenging. The right amount of movement seems to be the same thing day after day, a consistent type and amount every day. More or less than the day before triggers what the body perceives as an injury and can aggravate rheumatism pain. New research shows that a change sets off an inflammatory pathway. More consistent movement daily with less variance in type and less than 2-3 minutes in change helps decrease pain cycles remarkably. Inflammatory response has been measured in clinical studies and shows that taking a couple of days off and sitting around or walking every other day can actually increase the inflammation and pain.

Looking for Natural Remedies for Rheumatoid Arthritis? Find Your Answers

Natural tools with fewer side effects. We specialize in this. Using botanicals, food, and lifestyle to help with rheumatoid arthritis pain is not a new idea in our office. Getting the right tools for you is key to your health. At Journey of Health, we are dedicated to finding the right integrative treatments for each patient and how they experience pain, whether chronic pain or rheumatic pain. Based in San Diego, our naturopathic doctors proudly serve patients in California and Arizona. If you wish to further your own health journey with naturopathic treatments and alternative medicine, give us a call at (619) 772-1164. Why guess when using herbs for rheumatoid arthritis when you can find out more about your holistic options today.

Traumatic brain injuries (TBIs) are often sudden, life-altering events that can have lasting impacts on physical, cognitive, and emotional health. Whether caused by a fall, car accident, sports injury, or other trauma, understanding the different types of brain injuries can help guide healing and emphasize the importance of holistic, long-term care.

A Holistic Approach to Traumatic Brain Injury: Supporting Recovery and Long-Term Health

At Journey of Health, we believe in addressing not just the injury itself but the whole person, supporting the body’s natural healing processes while considering the emotional and neurological aftermath. Our naturopathic doctor and team integrate homeopathy, nutrition, and anti-inflammatory therapies to help patients recover. Let’s take a closer look at the types of traumatic brain injuries and how they can affect long-term health.

1. Concussion (Mild TBI)

A concussion is the most common type of TBI and often results from a blow to the head or a violent shaking. Symptoms can include headache, dizziness, fatigue, nausea, memory difficulties, and mood changes. While labeled “mild,” concussions can lead to post-concussion syndrome, a condition where symptoms last for weeks or even months. Repeated concussions can lead to chronic neurological issues. Anti-inflammatory nutrition, omega-3 supplementation, and gentle craniosacral therapy can aid brain recovery. Mindful and cognitive rest is also essential.

2. Contusion (Brain Bruise)

A contusion is a bruise on the brain itself, usually resulting from direct impact. It may cause swelling, blood clots, loss of consciousness, and difficulty with coordination. Depending on severity, contusions can require surgical intervention. Long-term effects may include difficulty with focus, movement, or memory. Natural therapies such as turmeric, homeopathy (like Arnica for trauma), and acupuncture may support inflammation reduction and pain management post-recovery. Our naturopathic doctor can guide you in these natural healing strategies, incorporating nutrition and homeopathy to support a balanced recovery.

3. Coup-Contrecoup Injury

This injury occurs when the brain strikes both sides of the skull, first at the impact point (coup), then on the opposite side (contrecoup). It can result in widespread brain dysfunction. Symptoms often resemble those of more severe concussions or contusions, but can be more intense due to the dual injury site. In addition to physical therapies, consider neurofeedback and functional neurology support to rebuild healthy brain patterns. Emotional therapy, adaptogenic herbs, and anti-inflammatory nutritional interventions, including omega-3s, may also help regulate stress responses and reduce inflammation.

4. Diffuse Axonal Injury (DAI)

DAI involves tearing of the brain’s long connecting fibers (axons) due to severe rotation or shaking. This injury is common in high-speed accidents and can lead to unconsciousness or coma, severe cognitive impairment, and long-term disability. Because damage is widespread, DAI is considered one of the more severe forms of traumatic brain injury. DAI requires extensive medical care, but a naturopathic approach can complement recovery with targeted nutrition, mitochondrial support (such as CoQ10), homeopathic care, and integrative neuro-rehabilitation guided by a naturopathic doctor.

5. Penetrating Brain Injury

When an object fractures the skull and enters brain tissue, it’s classified as a penetrating injury. These are typically surgical emergencies and may result in permanent brain damage, paralysis, seizures, or personality changes. Recovery is complex and ongoing. Emotional wellness, trauma-informed care, and long-term support for both patient and family are critical. Supportive therapies, including homeopathy and nutrition tailored to anti-inflammatory needs, can help address underlying inflammation and promote healing.

Journey Toward Healing Traumatic Brain Injuries

No matter the type, TBIs can disrupt brain function and lead to chronic issues like anxiety, depression, hormonal imbalances, and cognitive decline. At Journey of Health, we address these through individualized treatment and naturopathic care. Our naturopathic doctor utilizes integrative healing to support neuroplasticity, reduce inflammation, and empower patients with tools for recovery.If you or a loved one is navigating the aftermath of a brain injury, we invite you to connect with our compassionate team at Journey of Health. Together, we’ll develop a path forward that honors your unique healing process. Contact us today to get started.

While conventional treatments focus on managing symptoms, many women are turning to natural treatments for PCOS to address the root causes and support their overall health. In this blog, we explore holistic approaches—including lifestyle changes, supplements, and herbal remedies—that can help balance hormones and improve quality of life for those living with PCOS.

Natural Treatments for PCOS

Polycystic Ovarian Syndrome, one of the most common endocrine (hormone) disorders, affects approximately 10 million women of all races and ethnic groups worldwide. It’s the leading cause of infertility in women and can present at any life stage – from puberty through post-menopause. Most women with PCOS will have cysts on the ovaries, but as many as 30% of women will not have cysts. 

Women with PCOS experience an array of symptoms, including:

• irregular menstrual cycles
• obesity
• infertility
• pelvic pain with or without periods
• mood swings, depression, or anxiety
• thinning hair on the head
• excessive body hair (hirsutism)
• fatigue and sleep problems
• low energy

Because of the wide range of PCOS symptoms, fewer than 50% of women are properly diagnosed. Too often, women simply accept the discomfort and don’t inform their doctors until symptoms are at their worst. Even then, they are often misdiagnosed because so many of the symptoms can be attributed to other causes. 

Another reason for missed diagnosis is that PCOS has long been believed to be present only in obese women; we now know that it can affect women of any body weight, including those who are normal or even underweight. Additionally, PCOS can present differently based on life stage, genetics, ethnicity, age, and environmental and lifestyle factors such as self-care, exercise, and eating habits.

Causes of PCOS

Obesity and insulin resistance are health issues that are linked to PCOS, and both affect hormonal function in the body. Insulin resistance relates to problems with regulating insulin, a hormone that allows the body to properly use glucose (blood sugar) for energy. When the body isn’t as responsive to insulin as it needs to be, too much of it circulates in the blood and can cause a hormone imbalance.

Natural Solutions

Dr. Samuel Thatcher, an early pioneer in PCOS research and treatment, was among the first clinicians to advocate for natural treatments for PCOS. With the goal of enhancing a woman’s quality of life, holistic health practitioners perform a thorough lifestyle assessment, blood tests, and dietary analysis. They then educate and guide women in using natural treatments for PCOS, such as:

• Lifestyle Improvements: A whole foods diet, exercise, stress management, and proper rest are essential parts of natural treatments for PCOS. These approaches can create a positive shift in blood sugar level, mood, and body weight. Approaches will differ based on a woman’s stage of life and the complexity of symptoms.
• Supplement Support: Some of the herbs and nutrition supplements that may be used for PCOS aim to balance blood sugar levels as well as hormones. These can include Nettle Root, Green Tea, Flax Seeds, Saw Palmetto, Licorice Root, Chaste Tree Extract, Trace Minerals, Vitamin D3, and Chromium.

If you think you have PCOS, speak with a naturopathic practitioner about natural treatments for PCOS that are best suited to your symptoms and needs and start feeling better today!

When patients have congestive heart failure (CHF), the goal of most medical systems is to decrease hospital returns and keep them stable. We have to keep in mind that congestive heart failure is a symptom of something else gone wrong, such as a weaker heart muscle and lack of oxygen.

Holistic Approaches to Congestive Heart Failure: Addressing the Root Cause

Simply put, the heart gets behind in pumping and is trying to make up for it. Congestive heart patients do need immediate help, but they also need to find and treat the real cause of why it is happening, or it will continue to be a problem with repeat visits to the hospital. The heart cannot tolerate too many episodes of CHF. In simple terms, we need to build a strong heart, and holistic approaches to congestive heart failure can help!

Preventing Congestive Heart Failure

Some of the factors that contribute to developing CHF include arterial disease, lung disorders or

damage, high blood pressure, valve disease, anemia, infection or drugs. It is worth mentioning that the health of both the kidneys and the blood vessels contributes to high blood pressure. Not everyone who has CHF has the same cause or problems. Each person is unique and deserves treatment options that fit their history and tendencies for effective results.

Early detection of risk factors and regular doctor visits for an experienced ear to identify any murmurs and cardiac exam can help prevent a debilitating episode of CHF. Treating hypertension is part of a holistic approach to congestive heart failure and an important part of preventing CHF from getting worse.

Lifestyle Treatments for Congestive Heart Failure

Treatment options and natural remedies for congestive heart failure really are vast. The simplest way to start is by addressing lifestyle options.

Sodium restriction of 2000 mg or less is important when regulating blood flow for congestive heart failure. Fluid restriction may be an important part of your treatment plan as well. The type of fluid is important too. Water, teas and high quality juices like berry, pomegranate are helpful for repairing vessels. This is usually around two quarts.

Exercise or movement is key to blood flow and getting stronger. Yoga and tai chi have some of the best outcomes for patients with CHF, making them a solid addition to holistically treating congestive heart failure. Weight management will have an impact on overall health and the amount of work the heart has to do. Smoking or exposure to smoking will prevent recovery so it must be kept to a minimum. Clean air and sunshine are an important part of a holistic approach to congestive heart failure. Consider an air filter.

Alcohol is just hard on all the organs, including the heart, and should be avoided. Stress management is so important! Heart health can be linked to how loved you feel, so those positive relationships and hobbies are an important part of your health strategy. Sleep in high quality, so our body has time to recover and heal. Some patients find using a tracker helpful for understanding how to improve their sleep. Your heart relies on proper sleep.

Supplements for Congestive Heart Failure

Omega-3s are sourced from fish and have the strongest research among complementary and alternative medicine tools for patients with congestive heart disease. CoQ10 helps to give the heart muscle energy, which is often depleted by medications such as statin drugs. Magnesium can help the muscle of the heart relax and loosen the muscle fibers so it can contract more easily. Magnesium has many uses in heart health, including treatment for high blood pressure, stress and most heart patients are deficient in magnesium. L-carnitine has plenty of research behind it showing symptom relief. Assessing for any nutrient deficiencies can be helpful too to target an individual’s needs.

Natural Remedies for Congestive Heart Failure

There are many options for natural remedies for congestive heart failure. Botanicals are very powerful and effective tools prescribed for individuals with specific goals and are monitored very closely. Some of the safer herbs we use are Cratagus also known as Hawthorne, garlic, and herbs aimed at the nervous system. One of the best tools in my toolbox for stroke victims or any clotting issue is homeopathy. I have seen remarkable changes in my heart patients with homeopathic treatment. It is significant when cognitive function returns, mini strokes stop and do not return, and patients have no more episodes of strokes or CHF.

Homeopathy for Congestive Heart Failure

Homeopathy changes the lives of many of my patients. Hormonal balance or toxicity can be a factor, so we thoroughly investigate the possibilities here. Heavy metals can be stored in the heart, brain, and endocrine glands, decreasing the function of the affected organ. We want to encourage the body to eliminate these dangerous elements with drainage techniques. Water therapy is another tool that can help with circulation and swelling.

Choosing Your Health Care Professionals

Some patients have expressed concern about how their cardiologist will feel if they are looking for complementary and alternative healthcare options that will help such a devastating disease as CHF. In my experience, cardiologists are very happy to see their patients get better. I receive regular referrals from MDs for their patients who are looking for natural options that will work for them. 

Naturopathic doctors are highly trained in the interactions of drugs, medicines, botanicals, supplements, and food, and how they interact with each other. Cardiologists are more aware of the benefits of naturopathic treatments for congestive heart failure than most specialties.

I take treatment for this CHF to heart, so don’t hesitate to schedule an appointment by phone.

Pneumonia is a serious respiratory condition that can develop from something as simple as a cold. 

Recovery with Natural Treatment for Pneumonia 

Understanding how it happens and exploring natural treatment for pneumonia can help you recover while supporting your body’s overall health.

How Pneumonia Happens and Recognizing the Symptoms

Pneumonia occurs when an infection inflames the air sacs in one or both lungs, often filling them with fluid. It can start as a cold or flu that worsens over time. Symptoms include a persistent cough (producing green, yellow, or bloody mucus), fever, chills, shortness of breath, fatigue, and chest pain.

If left untreated, pneumonia will not go away on its own and can recur, especially if the immune system remains compromised. Diagnosis often involves a physical exam, chest X-ray, and blood tests to confirm the infection. If you suspect pneumonia, seek medical attention promptly.

Bacterial vs. Viral Pneumonia: What You Need to Know

Pneumonia can be caused by bacteria or viruses. Bacterial pneumonia is often more severe and typically treated with antibiotics, while viral pneumonia tends to resolve more quickly but may still require supportive care.

Antibiotics are effective only for bacterial infections and must be taken as prescribed. However, they can disrupt the gut microbiome. To protect your gut during antibiotic treatment, consider taking Saccharomyces boulardii, a beneficial yeast that supports digestive health. Always complete the full course of antibiotics to prevent resistance.

Nourishing Your Body During Recovery

Nutrition plays a vital role in recovery from pneumonia. Focus on soft-cooked foods like soups made with ginger, yellow squash, green beans, and zucchini. These are easy to digest and packed with nutrients that support healing. Avoid dairy and sugar, which can increase mucus production and inflammation.

Incorporate high Vitamin A foods like sweet potatoes and carrots to strengthen your respiratory system. Stay hydrated with plenty of fluids to thin mucus and promote lung function. Fresh air is also essential—open windows or spend time outdoors when possible.

Revitalizing Lung Health with Alternate Hot and Cold Hydrotherapy

Hydrotherapy is a simple yet effective natural treatment for pneumonia. Alternating hot and cold compresses on the chest improves circulation and boosts immune response. 

Alternate hot and cold hydrotherapy has been a trusted healing practice since the 17th century, with variations widely used during the tuberculosis era. Its ability to stimulate circulation and support lung cleansing makes it a valuable natural treatment for respiratory conditions like pneumonia.

Three Key Rules for Hot and Cold Hydrotherapy:

1. Always end with cold
2. Use hot for three times as long as cold
3. Complete three cycles

Here’s a step-by-step guide to using this therapy effectively:

Prepare the Towels: Soak one small hand towel in a bowl of ice water and wring it out. Prepare a second towel by soaking it in hot water (use heavy-duty dish gloves to handle the heat). Wring out the hot towel thoroughly to avoid dripping.

Apply the Hot Towel: Have the person with pneumonia lie on their stomach in a warm, draft-free room. Place the hot towel on their back, covering it with a wool blanket (or a heavy cotton blanket if wool isn’t available). Leave the towel on for six minutes. The warmth will encourage blood flow to the surface, which may cause redness but should not burn the skin.

Switch to the Cold Towel: Replace the hot towel with the ice-cold one, placing it directly on their back. This will likely cause a sharp inhale or even a yelp, which is normal as the body reacts to the cold. Cover them again with the blanket and leave the cold towel on for 3 minutes. The cold triggers blood flow to warm the skin, creating an invigorating circulatory response.

Repeat for Three Cycles: Alternate between hot and cold towels for three complete cycles, always ending with the cold towel. After the final cold application, dry their back thoroughly and allow them to rest or sleep if desired. This method enhances circulation, supports immune response, and helps clear congestion in the lungs—all critical components of recovery from pneumonia or other respiratory infections.

Emotional Support and Restorative Practices

Recovery from pneumonia requires rest and warmth. Keep your body warm with cozy clothing or blankets to support immune function. Gentle breathing exercises can help improve lung capacity over time.

Exploring Natural Treatment Options

In addition to hydrotherapy, herbal teas like thyme or white willow bark may help alleviate symptoms such as coughs and inflammation. However, consult a healthcare provider before trying new remedies to ensure safety.

Pneumonia Recovery in Arizona

If you’re seeking personalized care for natural treatment for pneumonia in Arizona or San Diego, Dr. Shannyn at Journey of Health is here to help. With her expertise in holistic medicine, she offers tailored solutions to support your recovery journey. Contact Journey of Health today to schedule your consultation and take the first step toward healing naturally. 

Pneumonia is challenging but manageable with the right approach. By combining medical care with natural treatments, you can recover fully while strengthening your body for the future.

The phases of menopause mark a significant transition in a woman’s life, bringing about numerous changes both physically and emotionally. 

The Phases of Menopause: A Comprehensive Guide

Let’s explore this journey through the various stages, from perimenopause to postmenopause, and discuss ways to navigate this natural life transition. 

The Hormonal Transition of Menopause

The phases of menopause typically begin with perimenopause, which can start as early as the mid-30s to mid-40s, with the average age being around 51. During this time, women may notice changes in their menstrual cycles and experience early symptoms of menopause.

Fluctuating levels of estrogen and progesterone characterize the hormonal shifts during perimenopause. These changes can cause irregular periods, hot flashes, and mood swings. One of the first hormonal changes is a decrease in inhibin, which leads to an increase in follicle-stimulating hormone (FSH). As FSH levels rise, estrogen production becomes erratic, contributing to many of the symptoms associated with the phases of menopause.

Organ Changes and Overlooked Symptoms

As women progress through the phases of menopause, various organs in the body are affected by the hormonal changes. The decline in estrogen can impact bone density, heart health, and cognitive functions. Many women may overlook symptoms such as changes in skin elasticity, increased urinary tract infections, or joint pain, not realizing these are related to menopause.

The duration of menopause can vary, with the transition from perimenopause to postmenopause typically lasting 7-14 years. Unfortunately, many women feel their symptoms are overlooked or dismissed by healthcare providers. The hormonal fluctuations during this time can significantly affect mood, sleep patterns, energy levels, and weight management.

Mental and Emotional Changes

The phases of menopause bring about significant mental and emotional changes. The hormonal shifts affect neurotransmitters like serotonin, which can lead to mood swings, anxiety, and depression. Women may experience a range of emotional shifts, including irritability, sadness, and loss of confidence.

These changes can impact women socially and in their caregiving roles. Many times, menopause can strain relationships and affect work performance. It’s crucial to recognize these changes as a normal part of the menopausal transition and seek support when needed.

Living Better Through the Phases of Menopause

To improve quality of life during the phases of menopause, women can adopt several strategies:

1. Regular exercise to boost mood and energy levels
2. Maintaining a balanced diet rich in nutrients
3. Practicing stress-reduction techniques like meditation or yoga
4. Ensuring adequate sleep hygiene
5. Staying socially connected and engaging in enjoyable activities

These lifestyle changes can help manage symptoms and promote overall well-being during this transition.

Hormone Replacement Therapy: Benefits and Considerations

Hormone Replacement Therapy (HRT) can be an effective treatment for managing symptoms during the phases of menopause. HRT can alleviate hot flashes, improve sleep quality, and help maintain bone density. Contrary to some misconceptions, estrogen therapy does not cause cancer when used appropriately.

The benefits of hormone replacement therapy include reduced risk of osteoporosis, improved cardiovascular health in younger postmenopausal women, and better management of menopausal symptoms. It’s important to note that natural botanicals can also provide relief for some women, offering alternative options for symptom management.

Take Action for Your Menopausal Health

If you’re experiencing symptoms related to the phases of menopause and are considering hormone replacement therapy, it’s time to take control of your health. Dr. Shannyn at Journey of Health specializes in helping women navigate this transition. 

Schedule a consultation to discuss your symptoms and explore personalized treatment 

options that can help you thrive during this new chapter of your life.

Remember, the phases of menopause are a natural part of aging, but that doesn’t mean you have to suffer through the symptoms. With the right support and treatment, you can maintain your quality of life and embrace this new stage with confidence and vitality. 

No matter where you are on your journey, we’re here to help.