The Power of Integrative Medicine

Photo by Chinh Le Duc on Unsplash

Photo by Chinh Le Duc on Unsplash

By Emily Holler

‘The whole is greater than the sum of its parts’ Aristotle

Despite all the advances of modern medicine, it’s clear that disease continues to increase exponentially. Chronic diseases are becoming increasingly common according to the Australian Institute of Health and Welfare. More than 11 million Australians (50%) reported having at least 1 of 8 chronic diseases in 2014–2015 while 87% of people aged 65 and over had at least one chronic disease. So despite the fact that our life expectancy has increased, we are becoming more unwell, which sadly makes it much harder to enjoy our extended lives. Why is this so?

Modern pharmaceutical medicine and practice can be very effective at controlling or suppressing symptoms and can certainly prolong our lives in doing so, however a very simple concept that is often missed by the Western approach is asking one simple question ‘why is this person sick?’. Until the root cause of a problem is understood and addressed then the health seeker can never achieve true wellness. At times pharmaceutical drugs are simply forcing the disease and the body into submission, which can be taxing on us and will ultimately backfire if the true cause is not addressed. 

The human body has an incredible innate healing capacity and if given the right environment, will heal itself. However there are increasingly complex health conditions being seen here at The Health Lodge, and cracking the unique code of each individual case can be a complex riddle that requires time and patience to unravel, even for the most highly skilled practitioners. We believe that having multiple modalities working together will one day be considered the norm rather than the exception.

At The Health Lodge we are proudly pioneering the advancing field of Integrative Medicine, and the results speak for themselves. But what exactly does the term ‘Integrative Medicine’ mean? The National Institute of Integrative Medicine sums it up as ‘conventional medicine combined with evidence-based complementary medicine, therapies and lifestyle interventions for the treatment and prevention of disease.’ A platform where ‘the patient-practitioner relationship is collaborative and supportive, empowering patients to take control of their health and wellbeing.’ This in itself is a novel approach, as anyone who has experienced the disempowering feeling that can sometimes accompany the traditional patient/practitioner relationship can attest to.

Our clinical psychologist Simon DuBois has found the integrative approach highly valuable within his modality. Despite his work being primarily focused on mental health, he has found that an understanding of the gut/brain connection and utilising naturopathic care has greatly improved the recovery rate of his patients. Sometimes medication has its place in a recovery program, but symptoms can be managed using diet and supplementary support provided by a naturopath or holistic GP.  ‘The integrative model is so powerful because it challenges practitioners to allow what they’re doing to be complemented by other modalities, thereby preventing tunnel vision in individual practitioners’ he says.

‘Sometimes viewing a patient through one lens of understanding is insufficient to get the desired results’ says Phil Baxter, one of our highly skilled Acupuncturists. ‘By mixing and matching different forms of understanding, it helps achieve the clinical results we’re seeking. Human beings are made up of psychological, spiritual and physical components, we need to be getting someone well on all levels simultaneously. Using the integrative model we leave no stone unturned.’

‘It’s a holistic model’ says our wonderful Naturopath Emma McLaughin, ‘it ensures the individual receives the most efficient and effective treatment available and that specialist care is received for all aspects of health.’ To gain a better understanding of this work in action, Emma shared a recent case study with us.

Jacinta’s Story* 

*name changed for privacy reasons

Photo by Luiza Sayfullina on Unsplash

Photo by Luiza Sayfullina on Unsplash

Jacinta came to The Health Lodge suffering from a gastrointestinal complaint called SIBO (Small Intestine Bacterial Overgrowth). She had chronic bloating and inflammation in her gut. She was tired, stressed, working really hard and having difficulty finding food that did not aggravate her tummy symptoms. Emma took a thorough case history and referred her to one of our GPs to get investigative blood work done. The results revealed nutritional deficiencies and Emma was able to recommend dietary changes and supplements. Emma identified that stress from her work and relationship were contributing to her ill-health so she referred her to some psychology sessions, which gave her the tools to cope better. Finally, Emma recommended some body work with one of our acupuncturists to physically tone her digestive system. Emma acted as the primary facilitator in Jacinta’s care and was able to communicate her needs to other practitioners and receive valuable feedback from them. As a result, within just 6 months Jacinta reported that her stress levels had dramatically reduced, her symptoms had resolved and as a bonus her sleep and skin had also improved. Jacinta reported feeling very supported throughout her journey and loved that the practitioners had been able to guide her through a recovery plan where she had previously felt overwhelmed and unsure where to begin.

‘The integrative model is a relatively new approach to healthcare and as such does not yet enjoy the financial rebates offered to the more traditional framework. But in seeing how incredibly effective it is for people, I really hope that this changes’ says Emma. At The Health Lodge we are continually seeking new ways to ensure that financial constraints are not a barrier to quality care. The introduction of our new group sessions offer a more DIY approach for those who wish to access education and tools but may find a one-on-one practitioner cost prohibitive at this stage. ‘I find the group work can be really powerful as people are feeling supported by the practitioners as well as their peers’ she concludes.

The rapid global growth of this integrative model of care is a testament to its effectiveness, with the principles and practices becoming more widely commonplace as people experience excellent results for themselves and witness it in others also. At The Health Lodge we are so excited to be part of such an innovative worldwide movement and will continue to work together to grow awareness of the power of integrative medicine in action.

 1. https://www.aihw.gov.au/reports-statistics/health-conditions-disability-deaths/chronic-disease/overview

 2. https://www.niim.com.au

Raising Healthy Kids

Photo by Jelleke Vanooteghem on Unsplash

Photo by Jelleke Vanooteghem on Unsplash

With Dr Camilla White MBBS, Holistic Health Coach IIN

By Emily Holler, Mother and Wellness Blogger

‘Cherish your children for they are the footprints you will leave behind’ Taylor Evan Fulks

As health conscious parents, we are passionate about gifting our children with optimal health. We tirelessly strive to make the best choices for them nutritionally, socially and environmentally. Sometimes it can feel as though we’re fighting an uphill battle when faced with supermarket aisles full of processed sugary junk, overflowing birthday piñata’s, the dubious influence of social media and ever increasing academic demands. But as primary caregivers there is no denying the profound influence we have in shaping our kids futures, so the choices we make in their early years are paramount.

‘Diets that emphasise fresh, seasonal and local whole foods are ideal for kids’, says Dr Camilla White, one of our holistic doctors who specialises in women’s and children’s health, ‘we should eat like our grandparents ate’. Adequate nutrition is an essential feature of any wellness agenda but it’s tricky to implement when we have a fussy little eater on our hands. Despite the best intentions, if our child flat out refuses to eat a variety of fresh fruit and vegetables, then they are unlikely to be getting the nutrients they need to thrive. Dr Camilla suggests the following to assist parents facing this challenge:

5 Tips for Parents of Fussy Eaters

  1. Hide the healthy stuff in a smoothie. Most kids love smoothies, it’s just like a treat. You can make green or berry smoothies with spinach, vital greens, acai, protein powder, frozen banana, mango or even some oats. Yum!
  2. Grow your own veggies and pick them together. Kids love to be involved in picking, peeling and cooking veggies that they have helped grow. It makes it way more fun.
  3. Eat together as a family. If possible eat the same meal as your kids. Leading by example is important and when kids see their parents eat healthy foods they will gradually get used to the idea. Plus it’s a great time for family connection.
  4. Keep offering the foods. Kids sometimes take time to get used to foods and may refuse it 15 times before changing their mind. Offer the food but don’t be attached to the outcome as it can create stress and intensify the issue.
  5. If all else fails, hide it in their meal. Veggies in a Spaghetti Bolognese for example.

‘A healthy microbiome is essential for immunity, digestion and absorption of nutrients’ says Dr Camilla, ‘it’s also important for managing mood disorders, depression, anxiety, ADHD and autism’. In case you’re wondering, the microbiome refers to the variety of microorganisms that dwell in our bellies. Our gut can be likened to a garden, which needs to be tended carefully to ensure that the weeds (or pathogenic bacteria) don’t overgrow and crowd out the good guys. The microbiome has been receiving a lot of attention in recent years, as practitioners have increasingly observed its undeniable role in good health. So we know that preserving or restoring gut health in our kids is a key factor in keeping them well. But how do we do that? Dr Camilla has some suggestions:

Tips for Restoring Kid’s Gut Health

  1. Avoid processed, sugary snacks where possible
  2. Grow and consume your own veggies
  3. Let kids play in the dirt. Bacteria from soil is beneficial!
  4. Enjoy home cooked meals most of the time
  5. Make sure kids drink plenty of water and consume more dietary fibre
  6. Encourage physical activity
  7. Give probiotics
  8. Feed prebiotic foods such as bone broth, kefir or kimchi. Fermented foods improve microbiome function and composition, stimulate immune function and improve production of short chain fatty acids
  9. Make gelatin gummies to heal their gut lining. You will find a bonus recipe at the end of this blog.

The Northern Rivers region poses additional challenges with its high rate of intestinal parasites such as blastocystis hominis and dientamoeba fragilis. So high in fact, that Dr Camilla estimates around 50% of kids aged 5–10 are infected with one or both of these bugs. Antibiotics wouldn’t form part of her treatment plan however, as there isn’t enough evidence to suggest that this is the best approach. Rather, she recommends investing in a good quality water filter, crowding out the bugs with a probiotic supplement and giving gut healing supplements such as vitamin C or cod liver oil. Each patient responds differently however so the treatment plan is tailored to the individual. 

So we know that nutrition and the microbiome play a huge role in the health of our kids, however there are a multitude of other factors also at play if we are to view this holistically. Being a mum to two beautiful kids herself (Evie, 4 and Banjo, 18 months), Dr Camilla is passionate about ensuring that all aspects of our children’s wellbeing are considered when striving to achieve optimum health. Here are her top five recommendations for raising healthy kids:

Top 5 Tips for Raising Healthy Kids

  1. Ensure they get enough sleep. Getting plenty of sleep is essential for their brain development, growth and a strong immune system
  2. More green time, less screen time. Limiting screen time and monitoring what they’re watching is essential as is spending time in nature, having free play in parks and paddocks the way nature intended
  3. Limit sugar and processed food. Cooking healthy treats at home and limiting refined sugar to special occasions is ideal, but be mindful of keeping a balance as over restriction can be counter productive
  4. Be kind and show compassion. Kids thrive on love and respect, learn to manage your own emotions and lead by example
  5. Slow down and be present. Allow kids plenty of free play time and don’t over-schedule with extracurricular actives and homework

Dr Camilla White grew up in Armidale, NSW and has lived all over Australia practicing emergency medicine before training as a GP in Brisbane. She has always been interested in a more natural approach to medicine and after becoming a mum she was inspired to become a holistic doctor and subsequently study integrative nutrition. Camilla’s own journey with Postnatal Depletion led her to Dr Oscar Serrallach and The Health Lodge. ‘Women’s and children’s health is my area of interest—especially since becoming a mother myself. I believe prevention is better than cure and if we can give our kids the best start in life then they are less likely to struggle with chronic disease later on’ she says, ‘I take a holistic approach to treating kids in my practice. Each child is different so it has to be a tailored approach. No-one knows a child better than their parents so I work as a team with parents to achieve optimal health outcomes.’

Click here for a booking with Dr Camilla White.

Recipe for Gelatin Gummies

(From Simplicious by Sarah Wilson)

3.5 tablespoons of gelatin powder (I like Great Lakes)

1.5 cups of chopped fruit / liquid such as 2 oranges freshly juiced or 1 cup of strawberries

1/2 tablespoon rice malt syrup or 2 drops liquid stevia (optional)

1. ’Bloom' the gelatine by stirring it into 1/3 cup of cold water until dissolved. Let it sit for 5 minutes, it will expand and become 'rubbery'

2. Heat the fruit or liquid and sweetener in a small saucepan until it's almost boiling and the fruit has softened. Turn off the heat and add the bloomed gelatine (break the large blob into little blobby bits) and stir until dissolved, then use a stick blender to purée.

3. Pour into moulds, cool a little then place in fridge to set for 1 hour.

4. Store in the fridge in an airtight container for up to 1 week.

Postnatal Depletion and the Path to Recovery

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Featuring An Interview with Dr Oscar Serrallach MBChB, FRACGP

By Emily Holler, Mother and Wellness Blogger

Having a baby is widely celebrated as one of the most magical times in a woman’s life. And indeed it can be. But as many of us know all too well, new motherhood is often far from idyllic. 

Pregnancy and the postpartum period can invoke a whole range of mental and physiological challenges, not least the exhaustion of keeping up with the demands of a newborn. Nutritionally devoid foods, a host of environmental pollutants and the hectic pace of our modern lifestyle often finds women in a less-than-optimal state before even falling pregnant, and by the time our babies are born we find ourselves wondering if it’s normal to feel so utterly exhausted all the time.

And the answer is no, it’s not normal. But sadly it appears to be affecting a growing number of women in our community.

Many new mothers will lack energy, be less interested in sex, experience an intensification of existing medical conditions, find it difficult to cope or just generally feel kind of ‘meh’. These are some of the classic warning signs that you could be in a state of postnatal depletion.

Although giddy with happiness after the birth of my baby boy, my own postnatal experience was fraught with numerous unwelcome challenges. A whole range of unusual symptoms from migraines with aura (hello fuzzy patterns in the sky) to Carpal Tunnel Syndrome, and a pesky bulging disc in my lower back, seemed to steal away a little of the precious joy that accompanied my new role. If only I had known then what I know now…

So here’s the silver lining… the condition can be reversed with the appropriate treatment, and armed with the right information it’s likely we can avoid it altogether. Our very own esteemed (and frankly a little bit famous) Dr Oscar Serrallach has devoted much of his professional life to researching postnatal depletion, and will release his first book on the topic—Mothermorphosis: Your Revolutionary Guide to Postnatal Transformation—in June 2018. He has supported countless women on their path to recovery, so I probed his brilliant mind for some deeper insights…

What led you to become such a pioneer in this field? Is postnatal depletion a phrase you conceived? 

As a doctor who was a bit disillusioned with the medical system, I become interested in functional medicine, which is looking at nutrition, lifestyle and environmental factors. After having my own family I realised what a huge impact these things have on the postnatal period. I found a pattern with postnatal mothers who were really fatigued and struggling to regain their centre. The term postnatal depletion is a phrase I have become known for after I misheard a client saying depression during a consultation. It just made perfect sense and it got me thinking. I’ve devoted my practice and my life to learning about this.

How do I know if I’m suffering from postnatal depletion? What symptoms should I look out for?

I have developed a screening questionnaire as a starting point, which basically looks at things like fatigue, problems with concentration, loss of libido, worsening of pre-existing medical conditions, anxiety, poor memory, feelings of wear and tear, finding it hard to lose weight, and accelerated ageing such as loss of hair and skin becoming more wrinkled. We examine all aspects of the mothers wellbeing, but these are the key aspects that we look at.

Why does this condition occur? Is postnatal depletion purely a physiological condition or are their emotional, or even spiritual components as well?

In traditional society there are very complex postpartum practices where a mother is encouraged to rest for 30-42 days. This is a restorative period, when the mothers body repairs from a hormonal point of view. Our culture doesn’t have these postpartum practices and the average age for childbirth is now 30.9 which is quite different from a generation ago. Sleep deprivation is also a big factor—the average mother loses 700 hours of sleep in the first year.

Another factor is the change of direction and purpose instigating confusion around the women’s role, and an expectation to be the perfect mother who does everything. This is the perfect recipe for depletion. Postnatal depletion occurs on an emotional and psychological level, and on a social and a spiritual level. It’s not as simple as lacking a single nutrient, or having a hormonal imbalance, it’s a multi-factorial condition.

What kind of treatment plan would you recommend if I am diagnosed with postnatal depletion?

I will always do testing to confirm the suspicion that the condition is present. I start assessing micro-nutrients, which are things that mothers need in small amounts but can be very key to how the body functions. These are typically vitamins, minerals and metals. Key to the postnatal period are iron, zinc and managing copper which is often too high while zinc is too low. Vitamin D, B12 and some of the trace elements such as selenium, manganese, magnesium can also be important. Then I look at macronutrients such as protein, fats and carbohydrates. One of these which is almost universally deficient in mothers is an Omega 3 fatty acid called DHA. We look at organ function—typically brain, gut, and liver and sometimes the immune system. The fourth aspect in a womens physiology is hormones. We’ll do blood tests, saliva tests or urine tests to investigate. Hormones are often driving symptoms such as lethargy, brain fog, difficulty concentrating, poor libido and hyper-vigilance but it’s hard to balance the hormones if the former aspects haven’t been addressed. We may give hormones or herbs and suggest restorative practices such as acupuncture, tai chi or yoga.

Is there an element of relearning self-care also?

That’s a big part of it. Often mothers are trying to do everything correctly and will drop all their own needs to look after their children even to the point where they don’t prepare meals for themselves, get enough sleep or wash. This self sacrifice sometimes needs reframing. We look at the woman's relationship with her partner. Often they don’t have an active relationship as it has broken up in the storm of having kids, which is an unfortunate pattern that we see. Women are striving for a healthy home and a healthy family but they often don’t have the mental concentration to achieve it. Mothers have very high expectations of themselves and can really beat themselves up sometimes. The default setting is usually that children come first. No mother becomes a martyr willingly but it’s the end product of not having good role models and trying to adhere to unrealistic norms portrayed on social media.

How long does it generally take to recover from this condition? Do our bodies naturally rebalance over time or is this something we need to actively address to reclaim our health?

The body is very smart and to a degree has self-healing mechanisms. There is a reasonable chance that the body may return to health at some stage but that can take years and sometimes doesn’t happen. I had an 80 year old patient in my clinic last year whose issues had all started after the birth of her second child when she was 33. A great example of a body that wasn’t able to self correct. Some people have internal resilience others don’t; some have great support and others have nobody. For a lot of people the dice is really loaded. In terms of recovery we talk about 100 days. We have the 3 trimesters of pregnancy then there’s a ‘4th trimester’, the postpartum period. After that many are on their way to being well but some mothers will take longer depending on the level of depletion.

How many women do you estimate are suffering from this condition? Is it a global phenomenon or more prevalent in the Western culture?

It is a global phenomenon however it’s more prevalent in the Western cultures because mothers are having babies later. There are very few studies on postnatal health or wellbeing. I’m very keen to do more research as I can’t give an exact number of how many women might be affected, I can only offer my observations from talking to professionals and treating mothers. Many women don’t have the time or resources to seek help.

How can we prevent postnatal depletion? Are there any consistent markers you see in women who are most vulnerable to this condition?

The older a woman is and the more issues she has before pregnancy such as medical conditions, chronic pain or joint issues, the more likely she is to struggle postnatally. Having less support is a big factor. And it exists around a sense of control as well. Mothers who have a strong need to have a sense of control over things are more likely to suffer because their hyper-vigilance and anxiety. A question I like to ask is ‘How much control do you feel you need to have about what’s going on?’ Needing to have control is a risk factor. Whatever a woman can do to recover in that first month after giving birth is so crucial. 

Could postnatal depletion make us vulnerable to other more serious health concerns?

It’s possible but it hasn’t been properly researched. My experience is that mothers who are postnatally depleted seem to have a higher rate of autoimmune disease, more issues with inflammatory disorders such as cancer and heart disease and more metabolic issues like diabetes.

Are postnatal depletion and postnatal depression linked? Do they frequently co-exist with the depletion underpinning the depression?

Yes, it can definitely happen but one does not beget the other. There is certainly a lot of overlap. It’s often about the sense of overwhelm, anxiety, of not being supported; the sleep disturbance, low energy, low mood, low self esteem. There are a couple of key differences and I don’t want the two to be used interchangeably because depression is a quite serious and very separate issue. I can help mothers who have pre-depression and may be starting to slide down that slippery slope using the depletion protocol. I can do a lot to prevent depression from manifesting, but once they are depressed they may need pharmaceuticals and a different level of intervention.

Have women throughout history always suffered from this or is it a relatively new condition that we’ve only just become aware of?

I have spent time lots of time researching this and I conclude that it is a relatively new phenomenon. If you look at the ancient medicine of India—Ayurveda and the ancient medicine of China—Traditional Chinese Medicine, both are very aware that this can happen to mothers. There are beautiful descriptions of what happens to a mother if she’s not cared for, and they have practices set up to prevent it from happening. The potential for it to happen has always been there as it’s part of our physiology but it would have been less common. Now we have older mums, a more toxic world, a less supported world, nutritionally devoid foods, pesticides, chemically based personal care products and chlorinated water. These things on their own may not pose a major threat but together it’s a big load for a mothers body to deal with.

Postnatal Depletion can be potentially devastating for relationships and for families. It impacts the entire community if our mothers aren’t well and therefore not fully engaged in their purpose. Everyone loses in that circumstance.

When is your book due for release and how can we obtain a copy of it?

My book, Mothermorphosis: Your Revolutionary Guide to Post-Natal Transformation (Grand Central Publishing) will be available in June 2018 and can be obtained via my website oscarserrallach.com or from The Health Lodge website.

If you're interested in learning more about postnatal depletion and how to recover from it, please join us for our free wellness event 'Overcome Postnatal Depletion' on Wednesday 4th October 2017. Register here for tickets.

Weight Loss - When Diet and Exercise Just Aren't Cutting It

Weight Loss - When Diet and Exercise Just Aren't Cutting It

By Quilla Watt, Integrative Naturopath

 

The secret to a healthy body weight is as simple as making “calories in” equal to “calories out”, right?

And for weight loss, just eat less, exercise more, and you’ll see those kilos drop away. Right? Well… No. Not always. What about those people who constantly eat healthy, follow a rigorous exercise regime, and struggle to see any results?

We like to view weight loss through a much wider lens than the old “eat less, exercise more” view. While diet and exercise are essential, we also look at key players like thyroid function, stress levels, gut microbiome, and a little hormone called leptin.

But first, let’s start with a little disclaimer. When we talk about healthy body weight, we’re not talking about the zero-body-fat-with-a-six-pack fitspo idea of “healthy”. We’re talking about falling in the healthy BMI range of 18.5 to 24.9, and having a healthy waist circumference (less than 94cm in men, and less than 80cm in women). Orthorexia, which is obsessive behaviour around “clean” or “healthy” eating, is an emerging form of disordered eating, and one we need to be mindful of. When it comes to diet and weight loss, we need to practice moderation, not restriction.

Ok, now onto those key players we mentioned earlier…

 

Thyroid

Your thyroid is a little like the accelerator on your car. It helps determine how fast your metabolism runs. When it comes to difficulty losing weight, we check for hypothyroidism. With an underactive thyroid, you take your foot off the accelerator, your metabolism slows, and you don’t burn through fuel the way you should. Autoimmune hypothyroidism, called Hashimoto Thyroiditis, is the most common cause of hypothyroidism in Australia. To make thyroid hormone, you also need adequate iron, iodine, selenium, zinc, and protein intake. We can check for hypothyroidism, and work to optimise thyroid function by making sure your body has the building blocks it needs to make thyroid hormone.

 

Stress, cortisol, and insulin

We all know when we’re stressed, when life is just flat out, we sacrifice our self-care. Less exercise, less mindful eating, relying on takeaway, and grabbing sugary snacks on the run. It’s not hard to see how stress can lead to weight gain, and difficulty with weight loss.

But the story is a little bigger than that, and we take a deeper approach by also looking at the hormonal effects of stress. When we are stressed, our hypothalamic-pituitary-adrenal axis (HPA axis) gets activated. We release cortisol from our adrenal glands. And cortisol is a fantastic hormone. Without it, we would have zero ability to deal with stress. The down side is that when we are under chronic stress, our HPA axis goes haywire, and we pump out way too much cortisol. Chronically high cortisol can be accompanied by increased insulin. Together, cortisol and insulin tell our body to store more fat, and burn less. Not a great combo for weight loss.

 

Leptin resistance

Leptin is your “satiety hormone”. It is released by your fat cells. Leptin tells the brain that you have plenty of fat stores, you are full, and you don’t need to eat any more. Leptin sounds great, right?

The problem is, your body can become leptin resistant. Leptin resistance is a key player in weight gain and difficulty losing weight. In fact, leptin resistance is now believed to be THE main issue in obesity.

So what’s happening in leptin resistance? Your fat cells produce more and more leptin, but your brain does not listen. Your brain doesn’t register the high leptin levels, and mistakenly thinks your body is starving. So your brain goes into survival mode, and tells the body to eat more, and hold on to fat stores.

How you do you know if you have leptin resistance? If you are always hungry, and carry fat around your middle, it’s likely you have some degree of leptin resistance, and we can do a blood test to confirm it. To reverse leptin resistance, we need to look at diet, exercise, inflammation, sleep hygiene, and stress (there’s that high cortisol again!).


 

Microbiome

There has been an explosion of interest in the microbiome (those bugs in your gut) in the past decade. With all this research, we’re beginning to understand the impact these bugs have on our immune function, our mood, and our weight.

Our gut bacteria can alter how much energy we gain from our food, the way we store fat, and how much insulin we release in response to glucose.

Where the gut microbiome is concerned, diversity is key. Lean people tend to have a huge diversity of species in their microbiome, while obese people tend to have far fewer. Diet, including prebiotic and probiotic foods, is key to developing and maintaining that diversity.

 

Weight loss is so much more than diet, exercise, and white-knuckle willpower. If you’re struggling with it, you’re not alone. And if you want to address some of those key players we’ve mentioned, please get in touch.