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Functional Endocrinology: Perimenopause

Functional Endocrinology: Perimenopause

Do you feel:

  • Hot flashes?
  • Mental fogginess?
  • Disinterest in sex?
  • Mood swings?
  • Increased vaginal pain, dryness, or itching?

If you are experiencing any of these situations, then you might be going through perimenopause.

When the body hits a certain age, the hormone levels will naturally increase then decrease, causing the person to experience symptoms that they never have. For women, they go through an aging progression known as menopause, which is a normal part of aging, and when the female stops producing eggs. Menopause occurs when a female is in her late forties to her early fifties, depending on which country they are from. Before a woman goes through the menopausal process, perimenopausal begins before the actual menopausal progression occurs. Not only that but when a woman goes through perimenopause, their endocrine system is being affected with hormonal changes as the hormones begin to fluctuate during the menopausal shift.

Perimenopausal

Perimenopausal can be defined in various ways; however, researchers can agree that perimenopausal begins when a woman starts to have irregular menstrual cycles. This is due to a natural decline in their ovarian function, and it will be their last menstrual period. Research shows that perimenopausal leads up to menopause and follows after post-menopause. Surprisingly though, during perimenopausal years, the hormone levels will begin to fluctuate, and the estrogen levels begin to become a bit higher than average. Afterward, though once menopause goes through the postmenopausal stage, the hormone levels will begin to decrease gradually naturally.

Perimenopausal Symptoms

estrogen

When it comes to the endocrine system, it plays a role when a female is going through perimenopause. Since the endocrine system produces hormones and is responsible for reproduction hormones, it makes sure that the female body has the two hormones estrogen and progesterone. When there is a lack of hormones in the female body, it is due to the effects of hot flashes that are caused by perimenopause. Now research shows that most women do not expect that to have hot flashes until they have menopause. It is one of the symptoms that all females get. Other symptoms can cause women to have them when they are going through. They are:

  • Hot flashes and night sweats: There is about an estimated 35%-50% of women who have perimenopausal, will suffer a sudden wave of body heat that is consist of sweating ant flushing that can last about five to ten minutes. Surprisingly it can happen at night as well when the body starts to sweat.
  • Vaginal dryness: When estrogen levels began to decline during late perimenopause naturally, it can cause the vaginal tissue to become a bit thinner and drier. When this happens, it can cause irritation, itching, and can be a source of pain during intercourse.
  • Uterine bleeding: When the progesterone levels start to decline, it can cause the growth of the endometrium, which is the uterine lining to become a bit thinker than usual before it sheds, thus resulting in a very heavy period. Not only that, but if a female has fibroids or endometriosis, then those two conditions may become a bit more troublesome.
  • Sleep problems: Studies found out that about forty percent of perimenopausal women have trouble sleeping. Between the night sweats and the disrupted sleep patterns, the problem can be a little complex to be blamed on the hormone oscillation, and the sleep cycles change as a person ages. Plus, insomnia is a common complaint for both sexes.
  • Mood swings: There is about ten to twenty percent of women who have experienced mood swings during perimenopause that has been linked to low estrogen levels. When women have experienced mood swings, it usually happens around midlife, like stress, poor overall health, and a history of depression.
  • Short term memory: Surprisingly, many women have complained about having short term memory problems as well as having a difficult time concentrating during the menopausal transition. Even though estrogen and progesterone help maintain brain function, there is too little information to separate the effects of aging and the psychosocial factors that can be related to hormone changes.

Studies have even found out that during the menopausal transition, the regular patterns of a female’s menstrual cycle will become disrupted, and the normal ovulatory cycle will decline naturally. At the same time, the gonadotropin levels will start to rise as well as the follicle-stimulating hormones will increase on a woman’s feature.

Conclusion

Menopause is a natural stage in a woman’s life. The hormone levels will begin to fluctuate, and it all starts when a woman’s menstrual cycle begins to stop. With perimenopause, it is the beginning of the menopausal transition as the female body starts to change. From hot flashes to irregular sleep patterns, perimenopause is a natural way to let the body know that change is coming. Some products are designed to help support the estrogen metabolism in both the female and male bodies as well as products to help support the hormonal balance and the normal menstruation for females in the reproductive age.

The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.


References:

Publishing, Harvard Health. �Perimenopause: Rocky Road to Menopause.� Harvard Health, June 2009, www.health.harvard.edu/womens-health/perimenopause-rocky-road-to-menopause.

Buckler, Helen. �The Menopause Transition: Endocrine Changes and Clinical Symptoms.� The Journal of the British Menopause Society, U.S. National Library of Medicine, June 2005, www.ncbi.nlm.nih.gov/pubmed/15970017.

Cherney, Kristeen. � Effects of Menopause on the Body.� Healthline, 5 Feb. 2019, www.healthline.com/health/menopause/hrt-effects-on-body.

Edwards, Beatrice J, and Jin Li. �Endocrinology of Menopause.� Periodontology 2000, U.S. National Library of Medicine, Feb. 2013, www.ncbi.nlm.nih.gov/pubmed/23240949.

Wexler, Tamara L. �Perimenopause and Menopause Overview.� EndocrineWeb, 25 Mar. 2016, www.endocrineweb.com/conditions/menopause/perimenopause-menopause-overview.


Modern Integrative Wellness- Esse Quam Videri

The University offers a wide variety of medical professions for functional and integrative medicine. Their goal is to inform individuals who want to make a difference in the functional medical fields with knowledgeable information that they can provide.

Functional Neurology: How Obesity Can Affect Brain Health

Functional Neurology: How Obesity Can Affect Brain Health

Research studies demonstrated that brain health may ultimately be associated with obesity. Scientists also reported that obesity affects the overall size and function of the brain, as well as specifically altering certain neuronal circuits. By way of instance, a recent research study found a connection between smaller brain size and lower gray matter volume associated with obesity around the stomach region. Another research study also found that the prefrontal cortex, an essential area in the brain that plays a fundamental role in thinking, planning, and self-control, is less active in people with obesity.   Several other research studies have also found further evidence showing the connection between brain health and obesity. Dr. Ilona A. Dekkers, from the Leiden University Medical Center in the Netherlands, utilized MRI scans in several recent research studies to understand how obesity can affect the size and function of the brain. Dr. Dekkers reported lower gray matter volume in people with obesity. According to the research studies, people with obesity also had white matter volume changes in a variety of brain regions. In the following article, we will ultimately discuss how obesity can affect brain health.  

Obesity Can Change How You Look and Feel

Recent research studies demonstrated that obesity can affect brain health. Ranjana Mehta, an assistant professor of environmental and occupational health at the Texas A&M Health Science Center School of Public Health in College Station, Texas discussed how obesity doesn’t simply affect how you look and feel, it can affect your mental and physical health as well as cause a variety of brain health issues. Ranjana Mehta, who received funding from the National Institute on Aging to evaluate how obesity can affect brain health in older adults determined that obesity can affect brain structure and cause atrophy.  

Obesity Can Alter the Way You Move

People with obesity have to carry extra weight that can add stress and pressure on the joints, ultimately altering movement. Scientists utilized imaging methods and techniques to demonstrate how people with obesity often have to utilize more mental resources when walking, although they were still able to walk as well as healthy people. Moreover, research studies found that stress and pressure from carrying extra weight affected brain activity in people with obesity compared to healthy people. The additional mental burden associated with obesity may also cause individuals to become tired more quickly.  

Obesity Can Influence Your Memory

Obesity is associated with poor memory, often making it difficult to remember past events in young adults between 18 to 35 years of age, according to a research study published in the Quarterly Journal of Experimental Psychology. Further evidence also suggests that people with obesity experience memories in slightly less detail and/or less vividly compared to healthy people. Lucy Cheke, lead researcher and a lecturer in the department of psychology at the University of Cambridge in England discussed that memory can play a fundamental role in regulating what we eat and how we lose weight.  

Obesity Can Lead to Dementia and Alzheimer’s Disease

Other research studies demonstrated that obesity in people during their 40s, 50s, and even early 60s is associated with an increased risk of developing dementia and Alzheimer’s disease. According to Heather Snyder, senior director of medical and scientific operations at the Alzheimer’s Association, mid-life obesity is connected with an increased risk of developing dementia and Alzheimer’s disease over time with age. Scientists still don’t understand how obesity can cause dementia and Alzheimer’s disease, however, obesity can ultimately affect heart health which can play a fundamental role in brain health.  

Obesity Can Cause Depression

As previously mentioned, obesity can ultimately affect mental and physical health. Dr. Susan McElroy, chief research officer at the Lindner Center of HOPE, a private psychiatric facility in Mason, Ohio, who has also evaluated the connection between obesity and mental health issues described that obesity can cause depression. Scientists believe that just like obesity can cause major depression, it may also cause bipolar disorder. Furthermore, scientists believe that depression itself may, in turn, also cause obesity. McElroy suggests that obesity and depression both need to be addressed to make progress.  

Obesity Can Rewire the Pleasure-and-Reward Center

In a research study published in the Journal of Neuroscience, a region of the brain, known as the striatum, was demonstrated to be less active in people with obesity. The striatum plays a fundamental role in controlling the pleasure-and-reward center in the brain associated with the release of the neurotransmitter or chemical messenger known as dopamine. The release of dopamine we get from eating certain foods, such as foods that are high in sugars and fats, can have a dulling effect in people with obesity which scientists believe can cause a person to overeat to regain that fleeting sense of pleasure.   Dr. Alex Jimenez Insights Image
Research studies demonstrated that obesity may ultimately affect the brain. By way of instance, a recent research study found a connection between smaller brain size and lower gray matter volume associated with obesity. According to the research studies, people with obesity also had white matter volume changes in various brain regions. Several other research studies have also found further evidence showing the connection between obesity and brain health. In the following article, we will ultimately discuss how obesity can affect brain health, from changing how you look and feel to causing depression. Dr. Alex Jimenez D.C., C.C.S.T. Insight
 

The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�

  Curated by Dr. Alex Jimenez   References:
  • Sandoiu, Ana. �How Might Obesity Affect the Brain?� Medical News Today, MediLexicon International, 27 Apr. 2019, www.medicalnewstoday.com/articles/325054.php#1.
  • Wlassoff, Viatcheslav. �How Obesity Affects the Human Brain.� World of Psychology, World of Psychology Media, 8 July 2018, psychcentral.com/blog/how-obesity-affects-the-human-brain/.
  • Schroeder, Michael O. �6 Ways Obesity Can Weigh on the Brain.� U.S. News & World Report, U.S. News & World Report, 12 May 2016, health.usnews.com/wellness/slideshows/6-ways-obesity-can-weigh-on-the-brain.
 
 

Neurotransmitter Assessment Form

[wp-embedder-pack width=”100%” height=”1050px” download=”all” download-text=”” attachment_id=”52657″ /]   The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue.  
 

Additional Topic Discussion: Chronic Pain

Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.    
 

Neural Zoomer Plus for Neurological Disease

Neural Zoomer Plus | El Paso, TX Chiropractor   Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention.  

Food Sensitivity for the IgG & IgA Immune Response

Food Sensitivity Zoomer | El Paso, TX Chiropractor   Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with a variety of food sensitivities and intolerances. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs.  

Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)

Gut Zoomer | El Paso, TX Chiropractor   Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders.  
Dunwoody Labs: Comprehensive Stool with Parasitology | El Paso, TX Chiropractor
GI-MAP: GI Microbial Assay Plus | El Paso, TX Chiropractor
 

Formulas for Methylation Support

Xymogen Formulas - El Paso, TX

  XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.

 

Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.

 

Please call our office in order for us to assign a doctor consultation for immediate access.

 

If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900. xymogen el paso, tx For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download   * All of the above XYMOGEN policies remain strictly in force.  
   
 

Modern Integrated Medicine

The National University of Health Sciences is an institution that offers a variety of rewarding professions to attendees. Students can practice their passion for helping other people achieve overall health and wellness through the institution’s mission. The National University of Health Sciences prepares students to become leaders in the forefront of modern integrated medicine, including chiropractic care. Students have an opportunity to gain unparalleled experience at the National University of Health Sciences to help restore the natural integrity of the patient and define the future of modern integrated medicine.    
Preventing Falls Around the House

Preventing Falls Around the House

As parents and grandparents, we first need to think about the activities that we will be doing throughout the day and consider how to protect ourselves and loved ones from falls and falling injury/s.  

11860 Vista Del Sol, Ste. 126 Preventing Falls Around the House El Paso, Texas

Around the House

Most accidents indeed happen at the house. Add that to the increasing number of people, both young and elder, that work from home. Consider the following tips.  

11860 Vista Del Sol, Ste. 126 Preventing Falls Around the House El Paso, Texas

Home

If possible, hire a professional to clean the gutters or get one of those gutter washers that you can use from the ground. Falls from the roof results in multiple injuries, and some are very serious. Would you please not stand on a chair to change lights or clean those out-of-reach areas? Always use a reliable heavy-duty step ladder with anti-slip steps and handrails. Doctors from emergency rooms report that falls from chairs are a common case they treat.

Proper Lighting

Having the right lighting throughout the house is the best defense against tripping and falling. The stairways, hallways, and entrances are primary areas that should be adequately lit to see everything around you. The light switches should be easy to find and activate. Inexpensive nightlights should be placed anywhere you go at night, like the kitchen or bathroom. A small flashlight should also be kept nearby, possibly a keychain or next to the bed in case of an emergency or if the power goes out.   osteopenia and osteoporosis injury medical chiropractic clinic el paso tx.

Kitchen

Falling on wood or tile kitchen floors can have a serious impact on the body. A wet slippery floor can be another cause for a fall, so clean up spills or fix a dripping refrigerator immediately. Using a no-slip floor wax rather than conventional floor wax will reduce accident probability. Keep a secondary heavy-duty step ladder with wide anti-slip steps and handrails for the kitchen.   11860 Vista Del Sol, Ste. 126 Preventing Falls Around the House El Paso, Texas

Bathroom

The bathroom has the potential to be one of the most dangerous rooms. The slick hard floor floors from bath/shower water, along with the limited room to move around comfortably and metal towel rods, can make for a dangerous space to fall in. However, bathrooms can be made safe by the following:
  • Handrails/grabs can be placed along the walls and shower/bath, near the toilet and sink. Make sure that the proper height is measured.
  • Anti-slip bath/shower mats and anti-slip floormats can go a long way to help prevent falls. They provide traction and stability while standing and moving around.
  • There are some top assisted bath devices in various drug stores and home centers. They include shower seats and walk-in baths.
  • Raised toilet seats can be easily installed and shorten the distance needed to sit and, more importantly, get up comfortably from the toilet.
Elderly and physically challenged individuals could still need help. Make sure assistance is readily available. Elderly and physically challenged individuals could benefit by carrying an alarm or emergency contact system in case they fall or need help.   11860 Vista Del Sol, Ste. 128 Chiropractic A Drug-Free Approach to Pain Relief El Paso, TX.

Stairways

The stairway is an area that can be another danger zone. One stairway danger is the use of canes, walkers, and walkers with wheels. These can easily get snagged on a step, or the wheels can slip and quickly travel down the stairs. Safety railing and step mats with traction nibs can help prevent slips and falls. Outdoor stairs should have non-slip tape to prevent falling.   11860 Vista Del Sol, Ste. 126 Preventing Falls Around the House El Paso, Texas  

Carpeting/Rugs

Carpeting and rugs are great for warmth, foot care, and decoration, but they can also pose a danger. Here are a few tips:
  • Throw rugs that are not properly anchored to the floor should be anchored or used in an area that will not pose a potential injury. These rugs can be bought with a rubber backing to prevent slippage. Stores carry non-slip backing that can be cut and used between the floor and the rug.
  • Carpeting needs to be smooth and not wrinkled, which can snag and cause tripping.
  • Bent corners should be removed and fixed to prevent unraveling or tacked down with non-slip tape.
  • Loose fibers need to be cut off.

Furniture

Individuals that don’t use an assisted device like a cane or walker could find navigating through the house difficult. Furniture should be arranged and organized for easy maneuverability. Electrical cords should be safely placed out of the walking path. These cords can be tacked to the floorboard, placed behind/under furniture, or stored in special cord tubes/runners. Small tables, floor lamps, and plants should not be in the walking path as well as this can cause an easy bump to fall scenario.�

Footwear

Footwear should be nice but also practical. Flat-soled shoes, high heels, not properly structured, or ill-fitting shoes can lead to slips and falls. Unsupported feet will not provide a solid foundation to help prevent a fall. If there are foot issues, custom foot orthotics can really help stabilize balance, help the spine stay aligned, and bring relief from pain. Orthotics are designed to fit inside shoes to relieve pain from various foot conditions/issues. Non-slip and anti-slip soled shoes can also help prevent a slip and fall. With these types of shoes, care needs to be taken to avoid sticking to floor surfaces. This can contribute to stumbling and tripping. Don’t wear socks or hosiery on smooth tiled/wood floors; because there is no floor-foot traction, the potential for slipping increases. When walking outside, if the sidewalk is slippery, walk on the grass or dirt area. Try walking in an area that does not show iciness or wetness. Cat litter or rock/sidewalk salt can provide foot traction.  

Assistive Devices for Balance and Stability

If you feel unstable while walking, ask your doctor about an assisted device that includes canes and walkers. If using a cane, make sure the rubber grip tip is not worn down.  

sciatica

Conclusion

Here are a few tips that may help you to take a proactive approach to fall prevention. Depending on specific conditions and needs, you may want to talk to your doctor, chiropractor, physical therapist, or other health care professional. They will create a customized individual plan to help prevent falls and enjoy life. Our clinical focus and personal goals are to help your body heal naturally, quickly, and effectively. At times, it may seem like a long path; nevertheless, with our commitment to you, it’s sure to be an exciting journey. The commitment to you in health is never to lose our deep connection to each one of our patients on this journey.

Plantar Fasciitis, Reduce Foot Pain with Custom Orthotics


 

NCBI Resources

Aging is hard on the body. As you move into your senior years, you may expect some discomfort and loss of mobility. But it is important to understand that there are things you can do to feel better. Regular exercise, a healthy diet, and chiropractic care can all make your senior years active and thriving.
Functional Neurology: Brain Health and Obesity

Functional Neurology: Brain Health and Obesity

Research studies demonstrated that brain health may ultimately be associated with obesity. Scientists also reported that obesity affects the overall size and function of the brain, as well as specifically altering certain neuronal circuits. By way of instance, a recent research study found a connection between smaller brain size and lower gray matter volume associated with obesity around the stomach region. Another research study also found that the prefrontal cortex, an essential area in the brain that plays a fundamental role in thinking, planning, and self-control, is less active in people with obesity. �

 

Scientists also demonstrated that a variety of specific brain cells or neuron can alter overeating habits in people with obesity. Several other research studies have also found further evidence showing the connection between brain health and obesity.�Dr. Ilona A. Dekkers, from the Leiden University Medical Center in the Netherlands, utilized MRI scans to understand how obesity can affect the size and function of the brain. Dr. Dekkers reported lower gray matter volume in people with obesity. Dr. Ilona A. Dekkers also found evidence between the structure of the brain and obesity, known as morphology. �

 

How Obesity Can Affect Brain Health

Dr. Dekkers and her group of colleagues demonstrated in a series of research studies how obesity can affect the size and function of the brain because previous research studies found an increased risk of cognitive problems and dementia in people with obesity. Scientists evaluated brain scans from more than 12,000 people who participated in the United Kingdom Biobank Imaging research study. The brain imaging methods and techniques that Dr. Dekkers and her group of colleagues utilized in the research study demonstrated additional insights into the participants’ gray and white matter volume. �

 

In another recent research study, Dr. Ilona A. Dekkers and her group of colleagues found that obesity is associated with smaller volumes of essential structures in the brain, including gray matter structures that are found in the center of the brain. Scientists also demonstrated that gender can affect the connection between fat percentage and specific brain structures. According to the research studies, men with obesity had lower gray matter volume in brain regions associated with movement while women with obesity had lower gray matter volume in the globus pallidus, a brain region associated with voluntary movement. According to the research studies, both men and women with obesity had white matter volume changes in a variety of brain regions. �

 

Obesity and Inflammation

Dr. Dekkers stated that information from MRI scans may ultimately help improve insights into which brain structures are affected by obesity. Scientists believe that lower gray matter volumes can reduce the number of brain cells or neurons and white matter volume changes could affect the signals between the remaining brain cells or neurons. Other research studies suggest that gray matter volume changes may also affect the “food-reward circuitry” in the brain, which could make it difficult for people with obesity to control their eating behaviors. However, further research studies are still required. �

 

Dr. Dekkers also demonstrated that, according to previous research studies, inflammation caused by obesity can affect brain health. Further evidence on how inflammation caused by obesity could affect brain health may explain the recent research study’s findings. “For future research studies, it would be of great interest to understand if differences in body fat distribution are associated with differences in brain morphological structure, as visceral fat is a known risk factor for metabolic disease and is connected to systemic low-grade inflammation,” stated Hildo Lamb, Ph.D., the research study’s senior author. �

 

Obesity and Neurodegeneration

The brain changes as a normal part of the aging process, often losing white matter and shrinking. However, the aging process is different for every person. A variety of factors may cause slower or faster brain changes as a normal part of the aging process. One research study concluded that people with obesity have lower white matter volume compared to people with “healthy” weights. The research study also evaluated the brain structure of 473 participants. The information ultimately showed that the brain of people with obesity appears to be up to ten years older compared to people with healthy weights. �

 

Another research study on 733 middle-aged participants demonstrated that obesity is also connected with the loss of brain mass. Scientists evaluated body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR) of participants and utilized MRI scans to find symptoms of neurodegeneration or brain degeneration. The results demonstrated that neurodegeneration or brain degeneration occurs faster in people with higher BMI, WC, and WHR compared to people with healthy weights. Scientists believe that loss of brain mass may cause dementia but further research studies are still required. �

 

Obesity and Mental Health Issues

Obesity can also affect the way our brain functions. Dopamine is a neurotransmitter associated with the pleasure-and-reward center in the brain. One research study found that dopamine released in the brain is associated with BMI. People with higher BMI have lower dopamine levels that may cause a lack of pleasure after eating normal-sized portions as well as the urge to eat more to feel satisfied. Moreover, another research study ultimately demonstrated that people with obesity feel less satisfaction when eating compared to people with healthy weights due to lower dopamine levels in the brain. �

 

Dr. Alex Jimenez Insights Image

In conclusion, scientists found that obesity affects the overall size and function of the brain. Recent research studies demonstrated a connection between smaller brain size and lower gray matter volume associated with obesity. Dr. Ilona A. Dekkers, from the Leiden University Medical Center in the Netherlands, utilized MRI scans in a variety of recent research studies to understand how obesity can affect the size and function of the brain. According to these same recent research studies, obesity can ultimately affect brain health by causing inflammation, neurodegeneration, and various mental health issues. Dr. Alex Jimenez D.C., C.C.S.T. Insight

 

The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�

 

Curated by Dr. Alex Jimenez �

 

References:

  • Sandoiu, Ana. �How Might Obesity Affect the Brain?� Medical News Today, MediLexicon International, 27 Apr. 2019, www.medicalnewstoday.com/articles/325054.php#1.
  • Wlassoff, Viatcheslav. �How Obesity Affects the Human Brain.� World of Psychology, World of Psychology Media, 8 July 2018, psychcentral.com/blog/how-obesity-affects-the-human-brain/.

 


 

Neurotransmitter Assessment Form

 

The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �

 


 

Additional Topic Discussion: Chronic Pain

Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance. �

 

 


 

Neural Zoomer Plus for Neurological Disease

Neural Zoomer Plus | El Paso, TX Chiropractor

 

Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �

 

Food Sensitivity for the IgG & IgA Immune Response

Food Sensitivity Zoomer | El Paso, TX Chiropractor

 

Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with a variety of food sensitivities and intolerances. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �

 

Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)

Gut Zoomer | El Paso, TX Chiropractor

 

Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �

 


Dunwoody Labs: Comprehensive Stool with Parasitology | El Paso, TX Chiropractor


GI-MAP: GI Microbial Assay Plus | El Paso, TX Chiropractor


 

Formulas for Methylation Support

Xymogen Formulas - El Paso, TX

XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.

Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.

Please call our office in order for us to assign a doctor consultation for immediate access.

If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.

xymogen el paso, tx

For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download

 

* All of the above XYMOGEN policies remain strictly in force.

 


 

 


 

Modern Integrated Medicine

The National University of Health Sciences is an institution that offers a variety of rewarding professions to attendees. Students can practice their passion for helping other people achieve overall health and wellness through the institution’s mission. The National University of Health Sciences prepares students to become leaders in the forefront of modern integrated medicine, including chiropractic care. Students have an opportunity to gain unparalleled experience at the National University of Health Sciences to help restore the natural integrity of the patient and define the future of modern integrated medicine. �

 

 

Back/Spine Care and Standing Work  El Paso, Texas

Back/Spine Care and Standing Work El Paso, Texas

Back/spine injuries now rank either second or third overall for workplace injury/s. According to the Bureau of Labor Statistics, every year there are over 900,000 cases of back injuries that account for 1 in 4 non-fatal job-related injuries that involve work days missed.�   11860 Vista Del Sol, Ste. 126 Back/Spine Care and Standing Work  El Paso, Texas

Backcare & Standing Work

Back injuries can be painful, debilitating, and life-changing. 8 out of 10 people will experience a back/spine injury that can lead to chronic pain and health conditions. We all need to know, especially those of us that work standing up is firsthand knowledge of how important it is learning how to improve spine health and take steps to prevent back injury. In order to prevent low back disorders means that there needs to be an understandingof the spine when working along with knowledge of back injury risk factors.  

Back/Spine Basics

The spine is a flexible structure that consists of 24 bones that move, shift, and contort, called vertebrae. There are:
  • 7 in the neck
  • 12 in the chest
  • 5 in the low back
  11860 Vista Del Sol, Ste. 126 Back/Spine Care and Standing Work  El Paso, Texas   These are connected by ligaments and separated by pads of cartilage, called intervertebral discs. These are the shock absorbers that allow the flexible movement of the spine, specifically at the neck and the low back. When we stand, the spine naturally curves inwards and outwards. The inward curve is called lordosis, and curves towards the front of the body at the lower back and neck area. The outward curve is called kyphosis, and curves towards the back of the body around the chest area. When we bend over the vertebrae of the lower back change position and shift from being in lordosis to kyphosis when completely bent over and then back again when upright. With this information, it is easy to see how much we move around, bend, stretch and reach during a regular day. The lower back gets used the most, which is why low back pain and injury/s and disorders are the most common.   yoga standing forward bend pose

Causes of Low Back/Spine Pain:

  • Muscles or ligaments get strained
  • Added pressure on the intervertebral discs
  • Nerve/s get compressed or entrapped
  • Vertebra gets damaged from trauma�
The National Institute of Occupational Safety and Health concluded: �muscle strain is the most common type of work or nonwork back pain� (Bernard, 1997). This is good news for chiropractors and ergonomists because it means that we can find ways to reduce/change the way we work and the effort involved to minimize injury risks.   11860 Vista Del Sol, Ste. 126 Back/Spine Care and Standing Work  El Paso, Texas   Keeping the intervertebral discs healthy plays an extremely significant role in preventing back/spine injuries. If these discs get damaged and start to degenerate,�flexibility begins to fade away, stiffness and soreness sets in and the ability to absorb the daily pressure/forces that comes with standing, moving and working. There is not a normal blood supply to the intervertebral discs. Instead, as the discs change shape when we move around, the nutrients that they need are absorbed into the discs as the waste products are pumped out. This is why moving the body and staying active is very important. Because as you move you are literally feeding your spine and expelling the bad stuff. Intermittently changing postures and positions helps change the force and weight on the discs so that not all one area is taking the brunt of the force. Remember to move around and keep your spine as healthy as possible.  

Risk factors

Major risk factors for back injuries include:
  • Awkward postures
  • Bending
  • Twisting�
  • Heavy physical tasks
  • Lifting
  • Forceful movements
  • Whole-body vibration aka W.B.V.
  • Static or unmoving work postures
These risks can happen separately or could be a combination of them all, and if these risks are taking place at any one time the higher probability of an injury/s.

Standing Work

When we stand, the pressure on the�lower back discs is relatively low. Not that there is pressure but it is much lower than when seated with an unsupported backrest like bleachers for example. Standing up uses 20% more energy than sitting does. When we need to bend down to pick up objects or reach to get overhead objects there is an increase in the forces and pressure on the lower back, and this is when an injury is likely to happen.  

Tips to Minimize Injury

Here are some tips to help minimize your risks of back/spine injury when you are doing standing work:
  1. Moving around is important to keep the spine healthy. Moving will help improve circulation and reduce muscle fatigue.
  2. Taking consistent short breaks will help reduce fatigue, discomfort and work other muscles.
  3. Gentle stretching during some of these breaks helps to ease muscle tension and gets circulation pumping.
  4. Pay attention to your posture and the way you stand as you work.
  5. Lean on a solid support to help reduce fatigue when you are standing with a support that you can put your back up against, lean against sideways, lean forwards against and to hold on to will increase safety.
  6. Keep your back strong and try to do exercises that will strengthen the back muscles. Activities, like Yoga, Crossfit, HITT or workouts focused on the spine for flexibility are the way to go.
  • Maintain a stable posture with your feet on a firm surface.
  • Avoid twisting the lower back around to reach for things.
  • Move your feet so that your whole body changes position.
  • Minimize bending, but when you have to, bend for objects in front of you and bend at the knees instead of the back. When bending for objects that are to the side of you change your stance so you are facing the object, and then bend down at the knees.
  • Don’t overreach but if you have to reach up to a high area to get something use a step-ladder.
  • Don’t reach over objects and move the obstruction or change your position before reaching for whatever it is.

 

Low Back Pain? Fix it with *FOOT ORTHOTICS* | El Paso, Tx

 
 

NCBI Resources

The one size fits all method just doesn�t cut it. A more focused approach for every individual leads to better results. Patients find that placing their bodies in certain positions and certain physical activities can:
  • Activate
  • Aggravate
  • Deactivate�their back pain.
Patients also find the pain being either better or worse. Understanding why sitting, standing, and walking can change the severity of low back pain can be helpful in diagnosis. These are important cues that help to diagnose and treat low back pain. People sit, stand, and walk all day. This is why so much research has been conducted on how these specific positions and activities contribute to low back pain.  
Functional Endocrinology: Blood-Brain Barrier and The Endocrine System

Functional Endocrinology: Blood-Brain Barrier and The Endocrine System

Do you feel:

  • Hormone imbalances?
  • Craving sweets during the day?
  • Weight gain?
  • Overall sense of bloating?
  • Shaky, jittery, or have tremors throughout your body?

If you are experiencing any of these situations, then it might be your blood-brain barrier and your endocrine system that may be imbalanced.

The brain in the human body is the primary control system that makes sure that each of the body’s system is working correctly. This includes the gastrointestinal system, the hepatic system, the neurological system, and, most importantly, the endocrine system. In the brain, however, there is a tissue known as the blood-brain barrier, it is connected to the endocrine system. It is essential to make sure that the blood-brain barrier and the endocrine system are healthy in the human body.

The Blood-Brain Barrier

The blood-brain barrier in the body separates the central nervous system from peripheral tissue. Even though the blood-brain barrier separates the nervous system, it does not prevent hormones from entering the brain. Research shows that the brain can bind and secretes any circulating substances and can be qualified as an endocrine organ. When this happens, it can be one of the largest and most metabolically active of the endocrine organs by acting as both the target and secretor of hormones.

20191001-cancer

With the blood-brain barrier, it conveys the blood vessels by transporting the blood from the heart to every tissue and organs throughout the body. It then delivers oxygen and the nutrients to all the tissues and removing the carbon dioxide and metabolic waste from the tissues. The blood vessels also convey hormonal signals to the tissues and is a mediator for interacting with the peripheral immune system with each tissue. Research shows that since the blood-brain barrier is an endocrine tissue, the substances that are being carried in the blood can emerge in a hormone-like fashion. The research stated that the blood-brain barrier could exhibit the endocrine system properties as well as being a target for hormones that can affect many of the blood-brain functions in the body.

The Endocrine System

The endocrine system is a collection of glands that secretes out and produces hormones that can regulate not only the body but makes sure that it regulates the body’s metabolism and many other functions that the body needs to function correctly. When the body’s hormone levels fluctuate, it can be very good or horrible, depending on the situation. If the body produces an abundance of hormones, it can cause a person to have hyperthyroidism, and when the body produces a low abundance of hormones, the body can have complications and cause the body to develop chronic illnesses. Stress, infections, and diabetes can influence the body’s hormone levels by making hormones either too much or too little. By making sure that the body’s hormones are at a balanced level is essential because eating right and doing daily exercises can make the body function properly and feel good as well.

Since the body can produce hormones naturally, the job of the primary hormone is to make sure that it is traveling in the bloodstream and making it to the various organs and tissues that need the hormone levels. The hormone levels can tell every organ and tissues what to do and how to function. When the hormone levels get crazy by being produced too much or too little, it causes those organs and tissues to malfunction.

For the blood-brain barrier, since it is an endocrine tissue, it can divide the hormone receptors. The research found out that the blood-brain barrier can respond to circulate the hormone substances and secrete those hormone substances into the blood circulation and the central nervous system. It can also make sure that when the hormone receptors are being divided that it goes to the central nervous tissues and the peripheral tissues. The research also found out that insulin levels can also affect the brain’s endothelial cell function through several parameters and modulating amino acids, leptin, and p-glycoprotein transporters in the body.

Surprisingly there is a unique feature that the blood-brain barrier possesses. The blood-brain relies on its cell membrane surfaces facing into the bloodstream and the interstitial fluid of the central nervous system so that way it can receive signals for the body. The research found out that the blood-brain barrier’s properties are primarily manifested within the brain’s endothelial cells. They can be induced and maintained through critical interactions with the cells that are interacting in the neurovascular unit in the brain. With these endocrine-like mechanisms that the blood-brain barrier has, it can help dampen the effects of endocrine diseases like neurodegenerative conditions and Alzheimer’s disease.

Conclusion

The blood-brain barrier is an essential tissue in the brain as it functions as an endocrine tissue and does play a role by interacting with the hormone levels that the endocrine system secreted out to the body. When the hormone levels start to malfunction by either producing an abundance or too little amount of hormones, it can cause the body to have chronic illnesses and the blood-brain barrier to dysfunction in the brain, causing degenerative neurological disorders in the brain as well. Some products can help the endocrine system by making sure the hormone levels are balanced as well as products for a healthy brain function for a healthy body.

The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.


References:

Banks, William A. �Brain Meets Body: the Blood-Brain Barrier as an Endocrine Interface.� Endocrinology, Endocrine Society, Sept. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3423627/.

Banks, William A. �The Blood-Brain Barrier as an Endocrine Tissue.� Nature Reviews. Endocrinology, U.S. National Library of Medicine, Aug. 2019, www.ncbi.nlm.nih.gov/pubmed/31127254.

Daneman, Richard, and Alexandre Prat. �The Blood-Brain Barrier.� Cold Spring Harbor Perspectives in Biology, Cold Spring Harbor Laboratory Press, 5 Jan. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4292164/.

Zimmermann, Kim Ann. �Endocrine System: Facts, Functions and Diseases.� LiveScience, Purch, 18 Feb. 2018, www.livescience.com/26496-endocrine-system.html.


Modern Integrative Wellness- Esse Quam Videri

The University offers a wide variety of medical professions for functional and integrative medicine. Their goal is to inform individuals who want to make a difference in the functional medical fields with knowledgeable information that they can provide.

 

 

 

Unusual Causes of Sciatica El Paso, Texas

Unusual Causes of Sciatica El Paso, Texas

Sciatica is not only caused by a spinal injury, although this is the primary cause, sciatica can also surprisingly be caused by your clothes and shoes. Sciatica is defined as symptoms that include back, leg, and foot pain caused by the compression of the sciatic nerve. Other symptoms can include shooting electrical rays of pain, weakness, and numbness from your low back all the way down your legs into your feet.

Because of the intensity, many assume it has to be something serious like a work/car accident, sports injury or severe trauma. All of this can lead to sciatica, but there are also everyday things that we do daily that can also cause it. Here are some lesser-known ways of developing sciatica.

 

11860 Vista Del Sol, Ste. 126 Unusual Causes of Sciatica El Paso, Texas

 

Items in Your Back Pocket

Many of us put our phones or wallets into our back pockets. When we carry these items in our pocket and then sit down on them, this can become a gradual trigger to sciatica. When we sit with these items begin to irritate the piriformis muscle. The sciatic nerve is right underneath this muscle and can get compressed. This cause has not been defined by the medical community, but a few names floating around include (back-pocket sciatica and cell-phone sciatica).

 

11860 Vista Del Sol, Ste. 126 Unusual Causes of Sciatica El Paso, Texas

 

Wearing High Heels

High heels push your weight forward and so your body wanting to remain upright responds by flexing the hips to keep you straight. The risk of sciatica happens when this flexing at the hips stretches the hamstrings that can irritate the sciatic nerve running alongside the hamstrings. And besides sciatica high heels can cause a bevy of other spinal problems.

 

 

Wearing Tight Jeans and Underwear

Overly tight-fitting pants and underwear might look and feel great, however, they can also contribute to sciatic nerve pain. Wearing tight clothing is not bad but realize that wearing this type of clothing every day will start to compress the muscles, ligaments, and nerves. Mix it up with clothing that allows you to move freely. If your clothing cuts off circulation absolutely do not wear it. And when it comes to tight pants, change postures and don’t stay in the same position for too long, especially sitting.

11860 Vista Del Sol, Ste. 128 Subluxation El Paso, Texas

Excess Weight

Research has found an association between being overweight and having sciatica.�Excess body weight puts stress on your spine. This added pressure combined with sedentarism can cause spinal disorders that include sciatica. Being able to maintain a healthy weight will greatly reduce your risk of developing sciatica symptoms.

 

11860 Vista Del Sol, Ste. 126 Unusual Causes of Sciatica El Paso, Texas

 

The Impact of Sciatica

Even if just gradual weakness develops down your leg or a sudden burst of pain comes and goes, do not ignore it and make an appointment with your doctor or chiropractor to understand the issue and underlying cause/s and set up a preventative treatment plan before it gets out of hand. There are many sciatica treatments/therapies to reduce or eliminate low back and leg pain. Your doctor/chiropractor will work with you to develop a custom sciatic preventive exercise treatment plan.


 

Severe *Sciatica”* Pain Relief | El Paso, Tx (2020)

 


NCBI Resources

A study cited by the health magazine�Prevention found that sixty percent of sciatica sufferers who failed to get relief from other treatments found their symptoms improved after chiropractic care. Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again.

 

Functional Neurology: How to Improve Adrenal Fatigue with Diet

Functional Neurology: How to Improve Adrenal Fatigue with Diet

The adrenal glands are small glands located on top of the kidneys, and they are essential for our everyday wellness because they create a variety of hormones, such as cortisol and sex hormones. In addition, the adrenal glands create hormones that control sugar and blood pressure, react to stress, and burn protein and fat. If these small glands don’t create enough of the essential hormones for our everyday wellness, it can ultimately cause various health issues. Adrenal fatigue is a health issue recognized by many healthcare professionals. However, there is no evidence to prove that the condition exists.   Adrenal fatigue is characterized as a collection of non-specific symptoms. James Wilson, Ph.D., naturopath, and alternative healthcare professional, coined the term in 1998 when he first identified the condition as a collection of associated symptoms when the adrenal glands aren’t functioning accordingly. He also described that the condition is typically associated with severe stress and fatigue that doesn’t get better with sleep, followed by other health issues, such as bronchitis, flu, or pneumonia. In the following article, we will discuss how to improve adrenal fatigue with diet ultimately.  

What is Adrenal Fatigue?

According to healthcare professionals, adrenal fatigue can commonly develop in people that have experienced mental, physical, or emotional stress for an extended period of time. However, as previously mentioned, there is currently no evidence to prove that the condition exists. Many doctors are also concerned that if a patient is told that they have this condition, it may ultimately cause them to miss another underlying source of their symptoms that probably also won’t be diagnosed and treated accordingly. However, there are a variety of other health issues that may affect the adrenal glands.   Adrenal fatigue develops when the adrenal glands are overworked due to chronic stress. Many healthcare professionals believe that excessive, long-term stress causes these small glands to become fatigued and unable to keep up with the demands to produce enough hormones. All of the symptoms below are relatively generic; however, they could signal an underlying health issue. Many of the symptoms could also be due to a busy life and a lack of sleep and caffeine addiction, poor nutrition, or increased amounts of stress. The common symptoms associated with adrenal fatigue can include:  

  • tiredness
  • craving sugar and salt
  • abnormal weight loss
  • trouble getting to sleep and waking up
  • dependence on stimulants like caffeine
  • nonspecific digestive problems

 

What is Adrenal Insufficiency?

Adrenal insufficiency, commonly referred to as Addison’s disease, develops when the adrenal glands aren’t producing enough hormones we need for overall health. Adrenal fatigue is believed to be a mild type of adrenal insufficiency caused by severe stress over a long period of time. Adrenal insufficiency develops when the adrenal glands are damaged, causing them not to produce enough hormones, including cortisol and aldosterone. Cortisol regulates our stress response, while aldosterone regulates sodium and potassium. Symptoms associated with adrenal insufficiency can include:  

  • fatigue
  • muscle weakness
  • lightheadedness
  • headaches or head pain
  • loss of appetite
  • unexplained weight loss
  • salt cravings
  • excessive sweating
  • loss of body hair
  • irregular menstruation in women
  • irritability and/or depression
  • hypoglycemia
  • low blood pressure
  • abdominal pain, nausea, and diarrhea

  In more severe cases, when the adrenal glands aren’t producing enough of the necessary hormones due to adrenal insufficiency, you may experience:  

  • nausea
  • vomiting
  • diarrhea
  • low blood pressure
  • hyperpigmentation
  • depression

 

Understanding the Adrenal Fatigue Diet

  As previously mentioned, adrenal fatigue is a health issue that occurs when the adrenal glands aren’t creating enough of the essential hormones we need for our everyday wellness. Fortunately, many healthcare professionals recommend following the adrenal fatigue diet to help improve symptoms ultimately. The adrenal fatigue diet is a nutritional treatment approach that helps improve adrenal fatigue. The adrenal fatigue diet can increase energy levels and control various bodily functions because it promotes healthier eating habits and lifestyle modifications. Following the adrenal fatigue diet can help promote:  

  • proper adrenal gland function
  • increased nutrients in the body
  • balanced blood pressure
  • reduced stress levels

  Moreover, the adrenal fatigue diet is similar to the most balanced diets recommended by healthcare professionals, including eating plenty of vegetables, high-protein foods, and whole grains. This nutritional treatment approach aims to naturally increase your energy levels for the body, not burn too many essential nutrients. The adrenal fatigue diet is still being tested. Healthcare professionals are still performing research studies on adrenal fatigue. However, it has been demonstrated that eating a proper diet, and lifestyle modifications can ultimately make you feel overall wellness.  

Foods to Eat with Adrenal Fatigue

  Following a balanced diet is the best way to regulate the essential functions of the human body and maintain overall wellness. Healthcare professionals recommend eating complex carbohydrates, proteins, and healthy fats. Also, eat plenty of vegetables to get the necessary amount of vitamins and minerals and eat foods that are high in vitamin C, B vitamins, and magnesium to support the adrenal glands. It’s also essential to stay hydrated. Dehydration can affect your stress levels and make the adrenal glands produce cortisol. Foods to eat on the adrenal fatigue diet can include:  

  • low-sugar fruits
  • leafy greens and colorful vegetables
  • nuts
  • legumes
  • whole grains
  • dairy
  • fish
  • lean meats
  • eggs
  • healthy fats such as olive oil and coconut oil
  • sea salt (in moderation)

 

Foods to Avoid with Adrenal Fatigue

  Although the adrenal fatigue diet also doesn’t require any major dietary restrictions that could harm your health, you should still talk with your healthcare professional before changing your eating habits. If you begin to experience any adverse symptoms or if the adrenal fatigue diet makes your condition worse, visit your healthcare professional immediately. Furthermore, if you decide to try following the adrenal fatigue diet, many healthcare professionals recommend limiting foods and drinks high in refined and processed sugars and fats. Several foods to avoid eating with adrenal fatigue can include:  

  • refined white sugar
  • refined white flour
  • fried food
  • processed food
  • fast food
  • artificial sweeteners
  • soda
  • caffeine
  • alcohol

  Dr. Alex Jimenez Insights Image

The adrenal glands are small glands found on top of each kidney. The outer region of the adrenal gland, known as the adrenal cortex, creates a variety of hormones, including cortisol and aldosterone. The inner region of the adrenal gland, known as the adrenal medulla, creates other hormones, such as adrenaline or epinephrine and norepinephrine. These essential hormones are necessary for a variety of functions in the human body, including: regulating sugar, salt, water, metabolism, and blood pressure, as well as regulating stress and inflammation, among other essential bodily functions. Adrenal fatigue can commonly develop in people that have experienced severe mental, physical, or emotional stress for an extended period of time. However, as previously mentioned above, there is currently not enough evidence to ultimately prove that the condition exists. Dr. Alex Jimenez D.C., C.C.S.T. Insight

  The adrenal glands are small glands located on top of the kidneys, and they are essential for our everyday wellness because they create a variety of hormones, such as cortisol and sex hormones. In addition, the adrenal glands create hormones that control sugar and blood pressure, react to stress, and burn protein and fat. If these small glands don’t create enough of the essential hormones for our everyday wellness, it can ultimately cause various health issues. Adrenal fatigue is a health issue recognized by many healthcare professionals; however, there is no evidence to prove that the condition exists. Instead, adrenal fatigue is characterized as a collection of non-specific symptoms. James Wilson, Ph.D., naturopath, and alternative healthcare professional, coined the term in 1998 when he first identified the condition as a collection of associated symptoms when the adrenal glands aren’t functioning accordingly. He also described that the condition is typically associated with severe stress and fatigue that doesn’t get better with sleep, followed by other health issues, such as bronchitis, flu, or pneumonia. In the article above, we will discuss how to improve adrenal fatigue with diet ultimately.  

The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

  Curated by Dr. Alex Jimenez   References:

  1. Newman, Tim. Adrenal Fatigue: Myths, Symptoms, Disorders, and Treatment. Medical News Today, MediLexicon International, 27 June 2018, www.medicalnewstoday.com/articles/245810.php#treatment.
  2. Frothingham, Scott. Adrenal Fatigue Treatment. Healthline, Healthline Media, 22 Aug. 2018, www.healthline.com/health/adrenal-fatigue-treatment.
  3. Felson, Sabrina. Adrenal Fatigue: Is It Real? Symptoms, Causes, Treatments. WebMD, WebMD, 8 Feb. 2019, www.webmd.com/a-to-z-guides/adrenal-fatigue-is-it-real#1.
  4. Anthony, Kiara. The Adrenal Fatigue (AF) Diet. Healthline, Healthline Media, 28 Feb. 2019, www.healthline.com/health/adrenal-fatigue-diet.

 


 

Neurotransmitter Assessment Form

[wp-embedder-pack width=”100%” height=”1050px” download=”all” download-text=”” attachment_id=”52657″ /]   The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized to diagnose any type of disease, condition, or other type of health issue.  


 

Additional Topic Discussion: Chronic Pain

Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals. However, chronic pain is different than the average type of pain. The human body will continue sending pain signals to the brain with chronic pain, regardless of the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility, reducing flexibility, strength, and endurance.  

 


 

Neural Zoomer Plus for Neurological Disease

Neural Zoomer Plus | El Paso, TX Chiropractor Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual’s reactivity to 48 neurological antigens with connections to various neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention.  

Food Sensitivity for the IgG & IgA Immune Response

Food Sensitivity Zoomer | El Paso, TX Chiropractor Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with various food sensitivities and intolerances. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers particular antibody-to-antigen recognition. This panel measures an individual’s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Finally, utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient’s specific needs.  

Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)

Gut Zoomer | El Paso, TX Chiropractor Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). In addition, the Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine. It has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). Therefore, it is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders.  


Dunwoody Labs: Comprehensive Stool with Parasitology | El Paso, TX Chiropractor


GI-MAP: GI Microbial Assay Plus | El Paso, TX Chiropractor


 

Formulas for Methylation Support

Xymogen Formulas - El Paso, TX

Modern Integrated Medicine

The National University of Health Sciences is an institution that offers a variety of rewarding professions to attendees. Students can practice their passion for helping other people achieve overall health and wellness through the institution’s mission. The National University of Health Sciences prepares students to become leaders at the forefront of modern integrated medicine, including chiropractic care. Students have an opportunity to gain unparalleled experience at the National University of Health Sciences to help restore the natural integrity of the patient and define the future of modern integrated medicine.  

 

Functional Neurology: What is Adrenal Fatigue?

Functional Neurology: What is Adrenal Fatigue?

The adrenal glands are small glands found on top of each kidney and they are necessary for our everyday health because they produce a variety of hormones, including cortisol and sex hormones. The adrenal glands produce the hormones that regulate sugar and blood pressure, respond to stress, as well as burn protein and fat. If these small glands don’t produce enough of the necessary hormones, it can ultimately cause a variety of health issues. Adrenal fatigue is a health issue recognized by many healthcare professionals, however, there is no evidence to prove that the condition exists.   Adrenal fatigue is characterized as a collection of non-specific symptoms. James Wilson, Ph.D., naturopath and alternative healthcare professional, coined the term in 1998 when he first described the condition as a group of associated symptoms that developed when the adrenal glands aren’t functioning accordingly. He also stated that the condition is generally associated with severe stress and fatigue that doesn’t get better with sleep which follows with other health issues, such as bronchitis, flu, or pneumonia. In the following article, we will discuss adrenal fatigue as well as its diagnosis and treatment.  

Understanding Adrenal Fatigue

According to healthcare professionals, adrenal fatigue can commonly develop in people that have experienced mental, physical, or emotional stress for an extended period of time. However, as previously mentioned, there is currently no evidence to prove that the condition exists. Many doctors are also concerned that if a patient is told that they have this condition, it may ultimately cause them to miss another underlying source of their symptoms that probably also won’t be diagnosed and treated accordingly. However, there are a variety of other health issues that may affect the adrenal glands.  

Adrenal Fatigue Symptoms

Adrenal fatigue develops when the adrenal glands are overworked due to chronic stress. Many healthcare professionals believe that excessive, long-term stress causes these small glands to become fatigued and unable to keep up with the demands to produce enough hormones. All of the symptoms below are relatively generic, however, they could signal an underlying health issue. Many of the symptoms could also be due to a busy life and a lack of sleep, as well as due to caffeine addiction, poor nutrition, or increased amounts of stress. The common symptoms associated with adrenal fatigue can include:  
  • tiredness
  • craving sugar and salt
  • abnormal weight loss
  • trouble getting to sleep and waking up
  • dependence on stimulants like caffeine
  • nonspecific digestive problems
 

Adrenal Fatigue Diagnosis

Many healthcare professionals may take blood samples or utilize salivary cortisol tests to determine if a patient has adrenal fatigue as well as any other underlying health issue. However, because there is no evidence to prove that adrenal fatigue exists, there are currently no definitive ways to properly diagnose the condition. People who do believe in adrenal fatigue argue that modern diagnosis methods and/or techniques are not sensitive enough to determine the decreased function of the adrenal glands, however, they do describe that their bodies still feel the symptoms of adrenal fatigue.  

Adrenal Fatigue Treatment

Many healthcare professionals start adrenal fatigue treatment by recommending patients to quit caffeine, alcohol, drugs, and cigarettes. They will also recommend patients to start eating healthy, exercise more, and sleep better. Following these diet and lifestyle modifications can make anyone feel better. Despite the lack of evidence, there is a wide variety of products, often in the form of vitamins and supplements, available to relieve symptoms associated with adrenal fatigue. Because the Food and Drug Administration (FDA) does not regulate these treatments, they may have not been tested for safety.   If you are experiencing any symptoms associated with adrenal fatigue, it’s essential to visit a healthcare professional immediately in order to receive a proper diagnosis and follow-up with treatment. Moreover, if you take vitamins or supplements for adrenal fatigue without an underlying health issue, the adrenal glands can start to rely on or be suppressed by the treatment, ultimately causing another health issue known as adrenal insufficiency. A healthcare professional physician will be willing to help a patient determine the source of their symptoms and start the proper treatment for their health issues.  

Adrenal Insufficiency or Adrenal Fatigue?

Adrenal insufficiency, commonly referred to as Addison�s disease, is a health issue that develops when the adrenal glands aren�t producing enough of the hormones we need for overall health. Adrenal fatigue is believed to be a mild type of adrenal insufficiency caused by severe stress over a long period of time. Adrenal insufficiency develops when the adrenal glands are damaged, causing them to not produce enough hormones, including cortisol and aldosterone. Cortisol regulates our stress response while aldosterone regulates sodium and potassium. Symptoms associated with adrenal insufficiency can include:  
  • fatigue
  • muscle weakness
  • lightheadedness
  • headaches or head pain
  • loss of appetite
  • unexplained weight loss
  • salt cravings
  • excessive sweating
  • loss of body hair
  • irregular menstruation in women
  • irritability and/or depression
  • hypoglycemia
  • low blood pressure
  • abdominal pain, nausea, and diarrhea
Dr. Alex Jimenez Insights Image
There are two adrenal glands, one on top of each kidney in the human body. The outer region of the adrenal gland, known as the adrenal cortex, produces hormones, such as cortisol and aldosterone. The inner region, known as the adrenal medulla, produces adrenaline or epinephrine and norepinephrine. These necessary hormones are important for a variety of functions including: regulating sugar, salt, water, metabolism, and blood pressure, as well as regulating stress and inflammation, among other functions. Adrenal fatigue can commonly develop in people that have experienced severe mental, physical, or emotional stress for an extended period of time. However, as previously mentioned above, there is currently no evidence to prove that the condition exists. Dr. Alex Jimenez D.C., C.C.S.T. Insight
  The adrenal glands are small glands found on top of each kidney and they are necessary for our everyday health because they produce a variety of hormones, including cortisol and sex hormones. The adrenal glands produce the hormones that regulate sugar and blood pressure, respond to stress, as well as burn protein and fat. If these small glands don’t produce enough of the necessary hormones, it can ultimately cause a variety of health issues. Adrenal fatigue is a health issue recognized by many healthcare professions, however, there is no evidence to prove that the condition exists.   Adrenal fatigue is characterized as a collection of non-specific symptoms. James Wilson, Ph.D., naturopath and alternative healthcare professional, coined the term in 1998 when he first described the condition as a group of associated symptoms that developed when the adrenal glands aren’t functioning accordingly. He also stated that the condition is generally associated with severe stress and fatigue that doesn’t get better with sleep which follows with other health issues, such as bronchitis, flu, or pneumonia. In the article above, we discussed adrenal fatigue as well as its diagnosis and treatment.  

The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�

  Curated by Dr. Alex Jimenez   References:
  1. Newman, Tim. �Adrenal Fatigue: Myths, Symptoms, Disorders, and Treatment.� Medical News Today, MediLexicon International, 27 June 2018, www.medicalnewstoday.com/articles/245810.php#treatment.
  2. Frothingham, Scott. �Adrenal Fatigue Treatment.� Healthline, Healthline Media, 22 Aug. 2018, www.healthline.com/health/adrenal-fatigue-treatment.
  3. Felson, Sabrina. �Adrenal Fatigue: Is It Real? Symptoms, Causes, Treatments.� WebMD, WebMD, 8 Feb. 2019, www.webmd.com/a-to-z-guides/adrenal-fatigue-is-it-real#1.
 
 

Neurotransmitter Assessment Form

[wp-embedder-pack width=”100%” height=”1050px” download=”all” download-text=”” attachment_id=”52657″ /]   The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue.  
 

Additional Topic Discussion: Chronic Pain

Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.    
 

Neural Zoomer Plus for Neurological Disease

Neural Zoomer Plus | El Paso, TX Chiropractor Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention.  

Food Sensitivity for the IgG & IgA Immune Response

Food Sensitivity Zoomer | El Paso, TX Chiropractor Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with a variety of food sensitivities and intolerances. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs.  

Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)

Gut Zoomer | El Paso, TX Chiropractor Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders.  
Dunwoody Labs: Comprehensive Stool with Parasitology | El Paso, TX Chiropractor
GI-MAP: GI Microbial Assay Plus | El Paso, TX Chiropractor
 

Formulas for Methylation Support

Xymogen Formulas - El Paso, TX

  XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.

 

Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.

 

Please call our office in order for us to assign a doctor consultation for immediate access.

 

If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900. xymogen el paso, tx   For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download   * All of the above XYMOGEN policies remain strictly in force.  
   
 

Modern Integrated Medicine

The National University of Health Sciences is an institution that offers a variety of rewarding professions to attendees. Students can practice their passion for helping other people achieve overall health and wellness through the institution’s mission. The National University of Health Sciences prepares students to become leaders in the forefront of modern integrated medicine, including chiropractic care. Students have an opportunity to gain unparalleled experience at the National University of Health Sciences to help restore the natural integrity of the patient and define the future of modern integrated medicine.    
Macronutrients and Health

Macronutrients and Health

As 2020 is off to a bustling start, New Year resolutions are in full swing! Most individuals want to make healthier choices throughout their year in 2020, whether that be exercising more, eating better, or just feeling energized. After the holidays hit, most people are left feeling fatigued,� suffering headaches, and overall discomfort. A great way to stay on track with your goals is to keep track of them! The human body requires micronutrients and macronutrients to function. Micronutrients consist of essential vitamins and minerals. Macronutrients refer to protein, fat, and carbohydrates. Macronutrients all provide the body with energy. This energy is essential to properly repair cells as well as maintain metabolism, immunity, and growth. Carbohydrates are the main energy system in the human body. These carbohydrates provide over 50% of the daily diet. However, not all carbohydrates are created equal. There are simple and complex carbohydrates. Simple carbohydrates are those found in glucose and fructose (examples: fruit, sugar, and milk). Complex carbohydrates are those that require the body to work a little harder to break down and contain glycogen. Glycogen is important to eat as it is a valuable source of fiber. Untitled presentation The main function of protein is to maintain and grow the body tissue. Proteins are made up of amino acids.� Amino acids are the stepping stones used for neurotransmitters, cell membranes, nucleic acids, and hormones. Protein is widely stored in the human body due to the large amount of muscle tissue the body is comprised of. Overall, there are amino acids that must be obtained through the diet to maintain optimal health. Some of these amino acids include lysine, threonine, and tryptophan. Untitled presentation Out of all the macronutrients, dietary fats require the least amount of grams per day. Similar to carbohydrates, there are two types of fat. Saturated and unsaturated. Saturated fats can be found in butter, where unsaturated fats mainly consist of nuts and avocados. A great supplement to take for healthy fats is Omega-3 and Omega-6, also known as fish oils. Fish oils also help improve cardiovascular health and help the Body generate specialized lipid mediators. Untitled presentation Although each individual requires protein, fat, and carbohydrates, the optimal amount of each depends on each person as well as their body composition. Tracking macronutrients has been shown to improve weight loss and reduce inflammation.
�Tracking macros or macronutrients coupled with exercise is a great way to see results. The macronutrients each person needs depends on their body type, their goals, and their lifestyle. Health coaches such as myself can help determine what an individual’s macronutrient intake should be for weight loss results. Personally, I use the Dr. J Today app, wrist band, and scale. This app allows patients to track their food, steps, water intake, and exercise as well as provides an informative digital library. The scale directly syncs to the app, allowing me to get instant access to the weight and body composition of the patient. This scale not only measures individuals but it also measures their lean body mass, water mass, BMI, and body fat. These resources allow us to gain optimal insight and make corrections that will actually make a difference. – Kenna Vaughn, Senior Health Coach

The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�

References:
PCRM Nutrition Guide for Clinicians. �Macronutrients in Health and Disease: Nutrition Guide for Clinicians.� Macronutrients in Health and Disease | Nutrition Guide for Clinicians, 2020, nutritionguide.pcrm.org/nutritionguide/view/Nutrition_Guide_for_Clinicians/1342092/all/Macronutrients_in_Health_and_Disease.