28 August 2014

Top 5 Scientific Benefits of Beets

I've been picking up fresh heirloom beets at the Farmer's Market from Red Wagon Organic Farm every week anticipating the delicious complex flavor they add to my smoothies (recipe coming soon!) and the boost in energy from the nitric oxide they can produce when consumed. So I thought I'd share with you some of the great benefits of this yummy root veggie.

Scientific Benefits of Beets

  1. Improve athletic performance. Pre-exercise consumption of nitrate rich beetroot juice (200gm) improved and enhanced running performance in this study.  In another study, six days of 140ml of concentrated beetroot juice (loaded with nitrates) reduced pulmonary oxygen usage (VO₂) during cycling and improved performance in professional cyclists.  And yet another study showed enhancement of muscle contraction after consumption of  beetroot juice.
  2. Decrease oxidative stress.  Beets contain a new class of antioxidants called Betalains, which decrease oxidative stress and aid in detoxification.  Regular consumption of 300ML daily of red beet in this study showed decrease in oxidative stress markers and may prevent chronic degenerative diseases.  Red Betalain pigment are not very heat stable so best if eaten raw or juiced.   If you choose to cook your beets, steam them for less than 15minutes or roast them for less than 45minutes.
  3. Increase nitric oxide. Beets contain nitrates which are a precursor of nitric oxide.  Nitric oxide helps our blood vessels dilate appropriately, improving vascular function in conditions such as heart disease, high blood pressure, and erectile dysfunction.  In this study, overweight men who drank beet juice had increases in nitric oxide levels after consumption.
  4. Prevent Cancer.  Betalains, the antioxidant in beets, has been shown to have anti-cancer effects!  This study showed the antioxidant from beets caused death of leukemia cells.  And another study suggested beet juice consumption may prevent lung and skin cancers.
  5. Improve detoxification. Regular consumption of beets which contain betaine and polyphenols in this study enhanced the liver's ability to product glutathione and superoxide dismutase, both key factors in daily detoxification.  Because of their powerful ability to enhance detoxification this study showed a protective benefit against toxic chemicals, like carcinogens.

Don't forget the greens!

The leafy greens attached to the beet roots are delicious and can be prepared like spinach. They are incredibly rich in vitamins and minerals as well as  beta-carotene and lutein/zeaxanthin.

Tips for storing and preparing

To clean, rinse gently under cool water and avoid tearing the skin  which helps keep the health-promoting pigments inside.
Cut beets into quarters leaving 1-2 inches of root and a small bit of stem.
I like to throw them raw into green juices or smoothies for most nutritional benefit.  However, if you cook them, I recommend lightly steaming or baking on low heat to maximize nutritional benefit.  Steam for no more than 10-15min or until you can easily insert tip of fork into beet.
  • Grate raw beets into salads or as garnish on main dish
  • Marinate steamed beets with olive oil or ghee, sea salt and fresh basil and thyme
  • Sauté beet greens like you would spinach or swiss chard or mix them all together for a fresh take on salad

DETOX BORSCHT

2 cups finely shredded cabbage                                    2 cups boiling water
½ cup chopped onion                                                       2 Tbsp olive oil
2 tsp caraway seed                                                              1 tsp honey, if desired
3 Tbsp lemon juice                                                              Salt and pepper to taste
1 pound cooked small beets, peeled, chopped (save the cooking water)                   
1 quart chicken or vegetable stock (gluten-free)
Cook the cabbage for ten minutes in boiling, salted water. Cook the onion in the oil for a few minutes, without browning. Drain the beets, saving the cooking liquid, and finely chop. Add the chicken or vegetable stock to the onions. Upon boiling, add the cabbage and its cooking liquid back in. Add the beets, one cup of beet cooking liquid, caraway seeds, honey, and salt and pepper. Simmer for ten minutes, skimming carefully. Remove the soup from the heat. Add lemon juice and heat just to the boiling point. Serve with dill weed garnish. Eat soup hot or cold.

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21 August 2014

Why I'm a fan of Bulletproof Coffee...

Smell that coffee... mmmm!

I wake up around 4:50 am to the sound of my automatic Cuisinart coffee maker grinding fresh Upgraded coffee beans into the filter for a delicious fresh brew.   There is nothing better than rubbing your eyes, rolling out of bed, and padding across the cool hardwood to the kitchen as the amazing aroma of fresh brewed coffee fills the air.  Those pre-dawn hours are my absolute most productive and favorite time of day!
I thought I'd share a few of the things I've learned along the way for how to maximize the health benefits of your coffee.  I'm proud to say that I enjoy Upgraded beans because I can literally feel the difference in my mental clarity when I drink it instead of non-organic, pesticide laden, mycotoxin filled alternatives like Starbucks (oh, yes you heard me, right!).  While many of you may not be environmentally sensitive to chemicals like I am, you should really give it a try as the brain power you get from a cup of the really pure stuff will blow your mind!

Shop UpgradedSelf.com

Travel Tips?

And when I travel I take along Upgraded coffee cartridges, empty one into a 16oz cup, and pour boiling hot water over it for an instant "french press" brew.  After letting it steep for 2-3 minutes, I pour the brewed coffee out into a new cup careful to leave the grinds in the old one and viola!... delicious amazing, mycotoxin-free coffee anytime, anywhere.  Last time I was in an airport asking for a large glass of hot water, the man on the barstool next to me asked if I was performing a science experiment!?  Haha!  I just smiled and said, "yes".   It didn't help that I dug in my purse and pulled out my travel vial of SweetLeaf English toffee stevia drops and a few shakes from a purse-size organic cinnamon powder which I also carry with me at all times.  I've become accustomed to the funny looks I get and I really don't even care ;-)

Upgraded Brain Octane Oil

My not-so-dirty little secret for amazing brain power at 5am!

Let me share with you my secret for 5am productivity like you've never experienced before.  After brewing a pot of this delicious black velvet, I add in a few little "brain helpers".  I was having coffee with a friend today and telling her about it so I thought I would write a blog and share with you, too.   You can get the Dave Asprey's original Bulletproof Coffee Recipe here but here is my version:



Dr. Jill's 5am Brain-Power Brew

  • Pour 1/4 to 1/2 cup full-fat organic unsweetened coconut milk into your favorite mug
  • Add fresh-brewed, hot Bulletproof coffee leaving 1/4 inch from top of mug
  • Add 5 drops of Sweet Leaf English Toffee or Vanilla stevia (if you like a carmel or vanilla "latte" flavor)
  • Add 1 teaspoon of Upgraded Brain Octane Oil 
  • Generously sprinkle organic cinnamon powder into your coffee
  • Add 1 scoop of Upgraded Collagen Powder and stir!  (you won't believe what the collagen will do for you joints and skin... truly amazing!)
  • If you like it frothy, you can whip it all up in a blender with heat-safe blades,  but I just drink mine as is.
  • If I'm feeling a little more adventurous, I'll might add a tablespoon of toasted organic shredded coconut in, too
Upgraded Collagen

A few cool facts about coffee

  1. Chronic coffee consumption may alter your gut microbes and is associated with lower body weight and lower percent body fat.
  2. This article discusses benefits of polyphenols, especially from coffee and cocoa, on your gut microbiome.
  3. The bioactive components in coffee may have synergistic effects on brain cognition.
  4. In this study, coffee decreased boredom and fatigue associated with repetitive tasks.
  5. Caffeine intake associated with improved working memory in middle aged males.
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18 August 2014

Everything You Need To Know About Vitamin B12 Deficiency

Photo courtesy of www.freedigitalphotos.net

Do you suffer from any of the following symptoms?
  • Weakness, tiredness, or light-headedness
  • Rapid heartbeat or difficulty breathing
  • Poor memory or difficulty concentrating
  • Depression, anxiety, mania
  • Numbness and tingling of hands or feet
  • Difficulty with balance, poor coordination
  • Pale skin
  • Sore tongue
  • Easy bruising or bleeding gums
  • Upset stomach or weight loss
  • Diarrhea or constipation
  • Depression, irritability, paranoia, mania, hallucinations
If you answered “yes” to any of the above, it may be time to get tested for B12 deficiency.
Vitamin B12 (cobalamin) is a water-soluble vitamin that is crucial to normal neurologic function, red blood cell production, and DNA synthesis. Vitamin B12 is essential for three enzymatic processes: the conversion of homocysteine to methionine; the conversion of methylmalonic acid to succinyl coenzyme A; and the conversion of 5-methyltetrahydrofolate to tetrahydrofolate, a process necessary for DNA synthesis and red blood cell production. It cannot be manufactured by humans and must be regularly obtained from the ingestion of animal proteins or fortified food products. Gastric acid liberates vitamin B12 from animal proteins, after which it combines with intrinsic factor produced by gastric parietal cells and is absorbed in the terminal ileum.
How common is vitamin B12 deficiency?
B12 deficiency is common and reported to affect up to 25% of the U.S. population. Up to 20% of people over the age of 60 years old show marginal B12 status.  The CDC reports, one out of every 31 Americans over 50 are B12 deficient.  Sadly the current lab values of serum B12 grossly underestimate the incidence by using a cut-off range far too low. The current ranges for a common commercial laboratory, which I use are 211-946pg/ml. Many researchers propose that we raise the lower limit of normal to 550pg/ml, which is what I use for optimal levels. In my clinical practice, I have seen many patients who have significant symptoms of low intracellular B12 and they still show “within normal range” on serum lab values. Serum homocysteine and methylmalonic acid are much more sensitive markers as they may show a deficiency earlier than serum B12.
So what causes B12 deficiency?
The main causes of B12 deficiency include inadequate dietary intake and malabsorption issues. Vitamin B12 deficiency may occur if you have certain conditions, such as:
  • Pernicious anemia, which makes it hard for your body to absorb vitamin B12 (characterized by a lack of intrinsic factor - individuals cannot properly absorb vitamin B12 in the gastrointestinal tract)
  • Atrophic gastritis or inadequate production of stomach acid (occurs in 10-30% of older adults!)
  • Helicobacter pylori infection in the stomach
  • Surgery that removed part of your stomach or small intestine including bariatric surgery (Surgical procedures in the gastrointestinal tract, such as weight loss surgery often result in a loss of cells that secrete hydrochloric acid and intrinsic facto
  • Alcoholism
  • Autoimmune conditions, such as Grave’s disease or Lupus
  • Malnutrition or eating disorders
  • Long term use of medications
    • Proton Pump inhibitors
    • H2 blockers
    • Metformin
    • Certain antibiotics
  • Conditions that affect the small bowel, such as:
    • Crohn’s disease
    • Celiac disease (up to 41% of patients with celiac disease will have B12 deficiency)
    • Small intestinal bacterial overgrowth (SIBO)
    • Parasite infections, such as giardia, tapeworm
    • Chronic pancreatitis
Who should be tested for B12 deficiency?
  • Anyone over age 60 years old
  • Anemia with elevated MCV (mean corpuscular volume)
  • Neurological symptoms, such as numbness, tingling, difficulty with walking or balance issues
  • Changes in mental status, confusion, or disorientation
  • Early dementia or Alzheimer’s disease
  • Bipolar, mania, or schizophrenia
  • Gastrointestinal disorders with malabsorption, like pancreatic insufficieny
  • Patients who have had gastrointestinal surgeries or gastric bypass
  • Restricted diets: vegans, vegetarians, macrobiotic diets
  • Autoimmune disorders
  • Children with autism spectrum disorders or developmental delay
  • Breast fed infants of mothers at risk
  • Eating disorders
  • Family history of pernicious anemia
  • Chronic use of PPI medications (Nexium, Prilosec, prevacid, etc) or Metformin
  • Occlusive vascular disorders (heart attack, stroke, blood clots)
Children may present differently from adults and should be tested if any of the following symptoms occur:
  • Developmental delay or regression
  • Apathy or irritability
  • Weakness
  • Tremor
  • Seizures
  • Lack of coordination
  • Lack of appetite or failure to thrive
  • Poor socialization or poor motor skills
  • Speech problems or language delay
  • Anemia
You can request following blood tests from your doctor to determine if you are deficient:
  1. Serum B12
  2. Methylmalonic acid
  3. Homocysteine
  4. Complete blood counts – anemia with elevated MCV may be due to B12 deficiency
So what if I do have a B12 deficiency?
B12 is nontoxic and water soluble so if you are deficient the good news is it is easy to replace! Traditionally B12 has been given in the form of intramuscular injections to ensure absorption but studies have shown that sublingual forms may be equally effective. B12 may come in the form of cyanocobalamin, methylcobalamin, hydroxycobalamin, and adenoxylcobalamin. You can discuss with your doctor which form is best for you. I typically start patients with sublingual methylcobalamin in lozengers or drops at 1000-5000mcg daily. Some patients require subcutaneous or intramuscular injections, which can be taught in the office and given by the patient at home. Depending on how severe the deficiency, I will typically prescribe 5000mcg anywhere from once per month to 2-3X per week initially. Liver stores of B12 are usually repleted with a half a dozen or so doses but full repletion may take up to 20 doses. Once a patient’s symptoms are improving, maintenance of B12 may occur with as little as one injection every 2-4 weeks. There are now forms of B12 available orally, sublingually, intranasally, transdermally and through injection.
Dietary Sources of B12
Vitamin B12 can be found in large quantities in animal products, including meat, poultry, fish, seafood, eggs, and dairy products; and the consumption of these products is the most longstanding method by which human beings have taken vitamin B12 into their systems.

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Reference:
  1. http://ajcn.nutrition.org/content/89/2/693S.full
  2. http://www.ncbi.nlm.nih.gov/pubmed/8856015
  3. http://www.aafp.org/afp/2011/0615/p1425.html



16 May 2014

6 Signs that SIBO might be the root cause of your IBS

Photo courtesy of www.freedigitalphotos.net

Studies show that over 50% of patients diagnosed with IBS actually have an underlying imbalance called SIBO, or small intestinal bacterial overgrowth. The majority of our gut bacteria should be in the colon. When the bacteria migrate backwards into the small bowel or when there is low stomach acid or poor pancreatic enzyme production, bacteria in the small bowel can overgrow and cause symptoms, such as diarrhea, gas, or bloating.

Six signs you might have SIBO

  1. You notice that fiber worsens your constipation
  2. You notice an improvement in IBS symptoms when taking antibiotics
  3. You feel more gas and bloating when you take probiotics that contain prebiotics
  4. You are celiac or gluten intolerant and do not have 100% resolution of symptoms on a gluten-free diet
  5. You develop chronic symptoms of gas, bloating, constipation or diarrhea after taking pain medications, like opiates.
  6. Your blood work shows chronically low iron or ferratin with no known cause

Top 6 Symptoms of SIBO

  1. Abdominal bloating and distention
  2. Constipation 
  3. Diarrhea
  4. Abdominal pain or discomfort
  5.  Acid reflux or heartburn
  6. Excessive gas or belching

How do I know this isn’t just leaky gut?


While SIBO usually manifests with local GI symptoms, a leaky gut will manifest with systemic complaints that affect the immune system. Keep in mind that is is not uncommon to have both SIBO and leaky gut simultaneously. And very often if you have SIBO for a long period of time, you will develop a leaky gut.

Here are some systemic signs of a leaky gut:

  • Multiple food sensitivities
  • Skin rashes, acne or rosacea
  • Respiratory symptoms, like asthma
  • Allergic symptoms or increase in seasonal allergies
  • Fatigue
  • Brain fog or poor concentration, especially after meals
  • Any autoimmune disease
  • Joint pain or arthritis
  • Headaches or migraines
Remember SIBO can cause leaky gut syndrome but not everyone with SIBO has leaky gut. About half of the patients diagnosed with SIBO will also have leaky gut. Most of the time if SIBO is treated, leaky gut will heal itself!

10 conditions that may predispose you to have SIBO

  1. Hypochlorhydria (low stomach acid)
  2. Pancreatic insufficiency
  3. Decreased motility in small intestine
  4. Bowel obstruction
  5. Diverticula 
  6. Surgical bowel resection or bariatric surgery 
  7. Food poisoning (Post infectious IBS)
  8. Nerve damage that affects the GI tract
  9. Drugs, like opiates 
  10. Any disease that slows motility (diabetes, hypothyroid)

Other disorders that may be associated with SIBO


  • Rheumatoid arthritis
  • Ankylosing spondylitis
  • Scleroderma
  • Hashimoto’s thyroiditis
  • Rosacea
  • Restless leg syndrome
  • Pancreatic insufficiency
  • Liver disease
  • Diabetes
  • Crohn’s disease
  • Celiac disease
  • Fibromyalgia
  • Kidney failure
  • Liver disease
  • Diverticulosis


How to Diagnose SIBO


Ask your doctor to order the Lactulose Breath Test (preferred over glucose as it will test the entire small bowel vs. just duodenum). You may also need to check a comprehensive stool analysis and urinary organic acids, which may point in the direction of other dysbiosis but are not directly assessing small bowel bacterial overgrowth

How do we treat SIBO?

1. Diet options
2. Antibiotics
  • Xifaxan
3. Dr. Jill’s favorite antimicrobial herbs

Treating SIBO successfully is not always easy and may involve major dietary changes and medication or herbal treatment for an extended period of time. However, getting the balance of your gut microbes healthy will likely prove to be the most important step in regaining your health and vitality! I know it was in my case… if you haven't read My Story, read more here.

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07 May 2014

The Thyroid Summit



Your thyroid plays a part in nearly every metabolic process and when the thyroid isn’t working you won’t feel well! If you already suffer from thyroid disfunction or suspect that this little gland may play a role in your health, you will want to hear this great info!

Don't miss out!

FREE ONLINE THYROID EDUCATION EVENT!


Dr. Jill will be interviewed among 30+ World Leading Experts during 

The Thyroid Summit - June 2-9, 2014
This is truly an amazing opportunity to access to great experts and free advice!


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21 April 2014

New website and blog! Check it out!


Hello everyone!
Thank you all for following the Functional Wisdom Blog.  I work very hard on bringing you the most interesting and up to date topics in functional medicine.  I want to introduce you to my brand new website and my new blog, which has archives of all your favorite articles.

I'll continue posting both here for the short term but I encourage you to go to the new site and stay connected by signing up for my monthly newsletter so you don't miss any great content!
Wishing you many blessings for health and healing!

Sincerely,
Dr Jill


04 April 2014

Functional Medicine: Empowering You to take control of your health...

Did you miss the Vail Living Well Experience?  Here's a few clips from Dr. Jill...

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