How often do you get irritable, shaky, or have light-headedness between meals? How often do you have difficulty concentrating before eating? How often do you feel agitated, easily upset, and nervous between meals? Many researchers and healthcare professionals believe that your brain and gut are connected. Moreover, recent research studies have demonstrated that the brain can affect gut health and the gut can affect brain health. The communication system between your brain and gut is known as the gut-brain axis. In the following article, we will discuss the gut-brain axis. �
Contents
Understanding the Gut-Brain Axis
The gut-brain axis is the communication network that connects your gut and brain. These two fundamental organs are both physically and biochemically connected in a variety of different ways. The neurons and the vagus nerve are essential for the brain and central nervous system (CNS). There are approximately 100 billion neurons in the human brain. The gut itself also contains about 500 million neurons, all of which are connected to the brain through nerves found in the nervous system. The vagus nerve is one of the largest nerves connecting the gut and brain. It sends signals in both directions. �
By way of instance, in several animal research studies, stress can ultimately affect the signals sent through the vagus nerve and it can also cause gastrointestinal health issues. Another research study conducted on humans found that people with irritable bowel syndrome (IBS) or Crohn�s disease had decreased vagal tone which suggests the decreased function of the vagus nerve. One research study in mice found that feeding them a probiotic reduced the amount of stress hormone in their blood. According to the research study, however, when the vagus nerve was cut, the probiotic had no effect. �
The brain and gut are also ultimately connected through chemicals known as neurotransmitters. Neurotransmitters created in the brain help regulate mood, including feelings and emotions. Furthermore, the neurotransmitter known as serotonin can help manage happiness and it also helps control the circadian rhythm or the human body’s internal clock. Surprisingly, many of these neurotransmitters are also created by the cells and the trillions of microbes living in the gut. A large amount of serotonin is developed in the gut. Gut microbes also produce a neurotransmitter known as gamma-aminobutyric acid (GABA) which helps regulate feelings of fear and anxiety. Research studies in mice found that probiotics increase GABA and decrease anxiety and depression. �
Brain, Gut Microbes, and Other Chemicals
The trillions of microbes that live in your gut can also make a variety of other different chemicals that may ultimately affect your brain function. Gut microbes create many short-chain fatty acids (SCFA), including butyrate, propionate, and acetate. Furthermore, these can ultimately make SCFA by digesting fiber. SCFA can also affect overall brain function in a variety of different ways, such as by reducing appetite. One research study found that consuming propionate can help reduce food intake and reduce activity in the brain associated with the reward of high-energy food. Butyrate, another SCFA, and the microbes that develop it are also fundamental for producing the protective shield between the brain and the blood, known as the blood-brain barrier. �
Gut microbes can also help metabolize bile acids and amino acids to create a variety of other different chemicals that affect brain function. Bile acids are chemicals produced by the liver which is generally associated with the absorption of dietary fats. However, these may also ultimately affect the brain. Two research studies in mice found that stress and several health issues decreased the production of bile acids by gut bacteria and these can also change the genes involved in their production. According to researchers and healthcare professionals, the gut-brain axis may also be affected by chronic inflammation. �
Gut-Brain Axis and Inflammation
According to several research studies, the gut-brain axis is also connected to the immune system. Evidence found in clinical trials demonstrated that the gut and gut microbes play an essential role in the immune system and inflammation by regulating and managing what passes through the human body as well as what is excreted from the human body. If the immune system continues to stay activated for an extended period of time, it can lead to inflammation, which is associated with a variety of different brain health issues, including depression and Alzheimer�s disease. Lipopolysaccharide (LPS) is an inflammatory toxin created by several types of bacteria. It can ultimately cause inflammation if too much of it passes from the gut into the blood. This can happen when the gut becomes leaky, which allows bacteria and LPS to enter into the blood. Inflammation and high LPS have been associated with brain health issues, such as severe depression, dementia, and schizophrenia. Leaky gut can affect the blood-brain barrier and change the gut-brain axis. �
Gut bacteria can ultimately affect overall brain health and wellness, therefore, changing your gut bacteria may improve brain well-being. Probiotics are live bacteria that provide many health benefits. However, not all probiotics are the same. Probiotics that affect the brain are generally known as �psychobiotics�. Several probiotics have been demonstrated to help improve symptoms of stress, anxiety, and depression. One small research study conducted on people with irritable bowel syndrome (IBS) and mild-to-moderate anxiety or depression found that taking a probiotic called Bifidobacterium longum NCC3001 for six weeks considerably helped improve their symptoms. Prebiotics, or fibers fermented by gut bacteria, may also affect brain health. One research study found that taking a prebiotic called galactooligosaccharides for three weeks considerably reduced stress hormones in the human body, known as cortisol. �
Brain health issues and neurological diseases can happen due to a variety of factors. However, recent research studies have shown that leaky gut can ultimately affect overall brain health and wellness. The gut-brain axis is the physical and chemical connection between the gut and brain. Millions of neurons are found throughout the brain and gut where the neurotransmitters and other chemicals created in the gut can also affect the brain. However, by altering the types of bacteria in the gut, it may be possible to improve overall brain health and wellness. A naturopathic doctor or chiropractor can help assess the source of a patient’s symptoms and determine the best course of treatment for the health issue or medical condition. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Neurotransmitter Assessment Form
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. 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. �
How often do you get irritable, shaky, or have light-headedness between meals? How often do you have difficulty concentrating before eating? How often do you feel agitated, easily upset, and nervous between meals? Many researchers and healthcare professionals believe that your brain and gut are connected. Moreover, recent research studies have demonstrated that the brain can affect gut health and the gut can affect brain health. The communication system between your brain and gut is known as the gut-brain axis. In the article above, we discussed the gut-brain axis. �
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:
Robertson, Ruairi. �The Gut-Brain Connection: How It Works and the Role of Nutrition.� Healthline, 27 June 2018, www.healthline.com/nutrition/gut-brain-connection.
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
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
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. 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. �
Formulas for Methylation Support
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.
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For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
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If you are experiencing any of these situations, why not try a HIIT workout to relieve these symptoms.
Everyone can agree that they do not have enough time to exercise. When asked why people will not work out, one of the reasons is that due to their hectic lifestyle, the lack of time comes out on top of it all. The U.S. Department of Health and Human Services recommends that adults should get between 150 and 300 minutes per of moderate-intensity. There is a way to cut that time commitment in half by opting for high-intensity workouts instead. With high-intensity interval training or HIIT, it is one of the proven ways to reap all the benefits of exercise in less time. Research shows that spending less time doing HIIT may even be better than spending more time doing less intense exercises for individuals.
What is HIIT?
High-intensity interval training or HIIT alternates explosive bursts of full-throttle efforts with periods of recovery. It can either be rest or a lower-intensity exercise. In many fitness centers and gyms, HIIT workouts often include both cardio and resistance training; however, HIIT workouts can be done as a strictly cardio routine.
During intense burst in a HIIT workout, a person is working out at around 80 percent of their max heart rate for 15 seconds to a few minutes. Between each of those periods, a person is either slowing down or resting completely to let their heart rate come back down to around 50 percent.
A person can calculate different target heart rates by using an online calculator. During a workout, a person can wear a heart rate monitor to keep track on much they are exerting themselves. For a lower-tech option, Denver-based certified personal trainer Lindsay Kelly recommends the “talk test.” The way the “talk test” is when a person is doing their target intensity heart rate like sprinting; for example, it should be hard to speak more than two words without taking a breath. Then when they are in the recovery period, the reverse factor is real.
Why HIIT Works
HIIT is so effective because it allows a person to exercise at a higher intensity for such a short period. The exertion gets the heart working and the blood pumping better than any moderate-intensity exercise can bring with their prolonged periods of rest.
The Importance of Rest
While a person might not realize it, the rest periods are built into the HIIT workout and are a critical part of the routine. They force the body to adjust to a very different state of activity, which is excellent for cardiovascular conditioning.
Feel The Afterburn
Another benefit of a HIIT workout is that even after a person is finished with their HIIT workout, it keeps on working for them. Research shows that when individuals keep on burning calories after their HIIT workout at a higher than they would after a continuous exertion workout. It is commonly known as the “afterburn effect,” and it helps people extend the benefits of their efforts.
The Benefits of HIIT
Researchers have been studying HIIT extensively, and the results are precise: HIIT workouts are better than continuous exercise when it comes to improving health in a variety of ways. One of the health benefits of a HIIT workout is that it improves cardiorespiratory fitness, which is the health of the heart and breathing. This matters to a person who is trying to get in as much exercise as possible with little time because cardiorespiratory fitness is a primary factor in the risk of diseases and death. Studies have shown that HIIT workouts can increase cardiorespiratory fitness at twice the rate of continuous exercises.
The health benefits of HIIT does not stop there, as other research studies have shown that HIIT can help with the following areas of the body.
Endurance
By improving cardiorespiratory fitness, HIIT can improve a person’s stamina. What it does is that it enhances the body’s ability to consume and use oxygen. One study has compared a regular endurance training to HIIT by looking at how they affect maximal oxygen consumption known as VO2max. The research found out that HIIT was superior to endurance training by improving VO2max in healthy young to middle-aged adults. Once a person starts to build their endurance, they can increase the length or the intensity of the HIIT working periods and enjoy the significant health benefits it provides.
Heart Health
One of the significant contributors to cardiovascular disease and death is high blood pressure, and one of the best ways to keep it in check is through regular exercise. The traditional recommendation for blood pressure modulating has been to exercise at moderate intensity for at least 30 minutes on most or all day so that way high blood pressure will not transform into hypertension. Several studies have suggested that HIIT may be an even better option, and one study shows that while both continuous exercise and HIIT helps with blood pressure control, HIIT is the only workout to help reduce arterial stiffness. Arterial stiffness is a predictor of cardiovascular disease in people with high blood pressure.
Brain Function
When a person feels that that mental clarity after a good workout, it is not their imagination. The brain and mental health benefits of exercise are well documented. Research shows that HIIT helps explicitly improve the cognitive function, including short-term memory, verbal memory, attention, and processing speed in the brain. HIIT also increases the amount of oxygen that the brain gets from the blood.
Diabetes Management
Since exercise is an essential part of diabetes management, research shows that HIIT may be a wise exercise choice for anyone who has type 2 diabetes. Studies have shown that HIIT workouts can improve endothelial function, insulin sensitivity, glucose control, and other health effects of diabetes that are better than continuous exercise.
Conclusion
HIIT workouts are perfect for anyone who does not have enough time out of their busy schedule. With the alternating burst of exercises and periods of recovery, HIIT workouts are beneficial to anyone with a short amount of time to complete them. HIIT includes both cardio and resistance training and works with the entire body. Some products are excellent in countering the metabolic effects of temporary stress and supporting the body�s system.
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:
Chobanian, Aram V., et al. �Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.� AHA Journals, 1 Dec. 2003, www.ahajournals.org/doi/full/10.1161/01.hyp.0000107251.49515.c2.
Council on Sports, HHS Office. �Physical Activity Guidelines for Americans.� HHS.gov, US Department of Health and Human Services, 1 Feb. 2019, www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.html.
Dupuy, Oliver, et al. �Effect of Interval Training on Cognitive Functioning and Cerebral Oxygenation in Obese Patients: A Pilot Study.� Latest TOC RSS, Medical Journals Limited, 1 Nov. 2014, www.ingentaconnect.com/content/mjl/sreh/2014/00000046/00000010/art00016.
Francois, Monique E, and Jonathan P Little. �Effectiveness and Safety of High-Intensity Interval Training in Patients with Type 2 Diabetes.� Diabetes Spectrum: a Publication of the American Diabetes Association, American Diabetes Association, Jan. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4334091/.
Gillen, Jenna B., and Martin J. Gibala. �Is High-Intensity Interval Training a Time-Efficient Exercise Strategy to Improve Health and Fitness?� Applied Physiology, Nutrition, and Metabolism, 27 Sept. 2013, www.nrcresearchpress.com/doi/10.1139/apnm-2013-0187#.XdQT5y2ZP1J.
Guimar�es, Guilherme Veiga, et al. �Effects of Continuous vs. Interval Exercise Training on Blood Pressure and Arterial Stiffness in Treated Hypertension.� Hypertension Research: Official Journal of the Japanese Society of Hypertension, U.S. National Library of Medicine, June 2010, www.ncbi.nlm.nih.gov/pubmed/20379194.
Milanovi?, Zoran, et al. �Effectiveness of High-Intensity Interval Training (HIT) and Continuous Endurance Training for VO2max Improvements: A Systematic Review and Meta-Analysis of Controlled Trials.� SpringerLink, Springer International Publishing, 5 Aug. 2015, link.springer.com/article/10.1007/s40279-015-0365-0.
Pescatello, Linda S, et al. �American College of Sports Medicine Position Stand. Exercise and Hypertension.� Medicine and Science in Sports and Exercise, U.S. National Library of Medicine, Mar. 2004, www.ncbi.nlm.nih.gov/pubmed/15076798.
Unknown, Unknown. “Is High-Intensity Interval Training Right for You?” Fullscript, 12 Nov. 2019, fullscript.com/blog/high-intensity-interval-training.
Weston, Kassia S, et al. �High-Intensity Interval Training in Patients with Lifestyle-Induced Cardiometabolic Disease: a Systematic Review and Meta-Analysis.� British Journal of Sports Medicine, BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine, 1 Aug. 2014, bjsm.bmj.com/content/48/16/1227.short.
Do you have lower back pain or pain literally in the rear that runs down into one thigh or below the knee into the leg and even the foot? A doctor may diagnose these symptoms as sciatica, which describes compression of the sciatic nerve.
Sensations include:
Numbness
Tingling
Pins and needles
Electric like shock running through the leg
Depending on the nerve that is affected pain could radiate only into the buttock or all the way down to the foot. A common cause is a lumbar disc herniation or bone spur that presses down on the spinal nerve. Sciatic pain radiates along the nerve, usually from the low back, down the buttocks, into the thigh and leg, below the knee and sometimes into the foot and big toe.
Sciatica usually affects one side of the body.
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Radicular Pain
A doctor may use the terms radicular pain or radiculopathy when talking about sciatica. Radiculopathy is pain/adverse sensation that travels along a nerve. When a spinal nerve root is compressed, pinched or injured, it becomes inflamed. Low back conditions that can contribute to this type of problem are spinal stenosis, foraminal stenosis or herniated disc.
Proper Diagnosis & Proper Treatment
The doctor will ask about your symptoms:
When did the pain begin?
Where is the pain most intense?
What activities worsen the pain?
What activities reduce pain?
Does the pain go all the way down the leg or stops at the knee?
Do you feel weakness or tingling in your legs or feet?
A doctor might perform a straight-leg test to see if there is an inflamed nerve. This is a simple exam where you lie on your back and the doctor lifts each leg. If this causes or produces pain and sensations, it can indicate there is a bulging/slipped or ruptured disc.
The compression of the nerve can also cause muscle weakness in the foot. Another exam may be to walk like you normally do, then on your heels and finally on your toes. This checks your balance and lower-body strength.
A doctor will:
Check your posture
Range of motion
Movements that cause pain
Check the curvature and alignment of your spine
Check for muscle spasms
Note your sensations
Test your reflexes and muscle strength
A doctor may order x-rays, CT scan or MRI.
The CT scan or MRI provides doctors with various images of your spine which can help in diagnosing whatever is causing your symptoms. These tests are then compared to what the doctor took note of during your medical history interview and the physical and neurological examinations. An accurate diagnosis is the first step in figuring out the best treatment plan.
Could something else be causing the nerve pain?
Only a doctor can tell if your symptoms are sciatica. There are other structures in the spine that can cause similar types of pain.
The sacroiliac joint between the pelvis and sacrum is the lowest part of the spine can cause sciatic pain.
The facet joint which connects the joints in the back of the spine gets sprained, it can also cause sciatica-like pain.
A tear in a spinal disc can cause pain down into the leg.
The hip joint can also cause pain in the thigh, that can radiate outward.
Sciatica Nerve Treatment
Sciatica can be treated non-surgically with:
Chiropractic care
Physical therapy
24 to 48 hours of bed rest
Over the counter pain relievers like ibuprofen or acetaminophen
Patients with sciatica feel better with time, usually a few weeks. If pain continues, other treatment modalities can be discussed. Muscle spasms can accompany sciatica symptoms and can be treated with heat or ice therapy. A doctor may advise light exercise like short walks and once recovery is established they may give you exercises to strengthen your back and core.
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. In fact, they got the same level of relief as those who went through surgery � without any of the serious side effects that so often come with surgical procedures.
Chiropractic is effective for treating sciatica because it gets to the source of the problem � relieving pressure on the sciatic nerve.
Low back pain is one of the most common ailments for people visiting a doctor or an urgent care clinic. When the back pain becomes intense, it can get you thinking something is seriously wrong with your back. The doctor might offer an x-ray or MRI scan to put your concerns at ease.
Fortunately, most cases of low back pain, even acute pain, improve within days or a few weeks. Most cases are remedied with chiropractic, physical therapy, heat/ice therapy, and rest. And a lot of these cases do not require any form of spinal imaging. However, those are why X-ray, MRI, and CT scans are necessary to figure out what’s happening.
Strained muscle
Sprained ligament
Poor posture
These typical causes of low back pain can be painful and limit activities.
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Back Pain Lasting Longer Than 2/3 Weeks
Subacute pain lasts between 4 and 12 weeks, while chronic back pain lasts three months or longer. These are not indications of a severe lower back spinal condition.
Less than 1% of people with low back pain are diagnosed with the condition that may require spine surgery:
Doctors may recommend an x-ray or MRI if the low back pain is from a traumatic injury, like a:
Slip
Fall
Automobile accident
Other potential causes of low back pain may warrant medical imaging immediately or later.
The diagnostic process starts with the evaluation of the low back symptoms and how they relate to what was found during the:
Physical exam
Neurological exam
Medical history
A doctor utilizes these results to determine whether spinal imaging is necessary, along with the type of imaging test, x-ray, or MRI and the timing to confirm a diagnosis.
A Low Back X-Ray/MRI
X-ray spinal imaging best detects bony structural problems but is not so great with soft tissue injuries. X-ray series may be performed to diagnose vertebral compression fractures.
Anterior
Posterior
Lateral views
MRI is a radiation-free test. MRIs create 3-D anatomical views of the spinal bones and soft tissues. A contrast dye like gadolinium is used to enhance and improve the quality of the images. The contrast is injected through an intravenous line in your hand or arm before or during the test. An MRI can evaluate neurological symptoms, like radiating pain or pain that develops after a cancer diagnosis.
Symptoms, Co-existing Medical Diagnoses, and Conditions that may Require Spine Imaging
Neurological symptoms
Low back pain that radiates, fans out, or downward into the buttocks, legs, and feet
Abnormal reflexes in the lower body can indicate nerve disruption
Radiation to your entire body is measured through the millisievert (mSv), also known as the effective dose. The radiation dose is the same amount every time you experience an x-ray. When undergoing an x-ray, the radiation not absorbed by the body creates the image.
The effective dose helps a doctor measure the risk for possible side effects of radiographic imaging:
CT scans use radiation as well
Specific body tissues and organs in the lower back are sensitive to radiation exposure, like the reproductive organs.
MRI Radiation-Free Why Not Just Use This Test All The Time
MRI cannot be used on all patients because of its powerful magnet technology. Pregnant women or individuals with metal inside their body, like a spinal cord stimulator, heart pacemaker, etc., cannot be scanned with an MRI.
MRI testing is also expensive; doctors do not want to prescribe unnecessary tests that increase costs. Or because of the fine detail that MRIs provide, sometimes a spinal issue can look severe but is not.
Example: An MRI of the lower back reveals a herniated disc in a patient with no back/leg pain or other symptoms.
This is why doctors bring all their findings like the symptoms, physical exam, and medical history to confirm a diagnosis and create a custom treatment plan.
Imaging Test Takeaways
If low back pain takes its toll, listen to what the doctor recommends. They might not order a lumbar x-ray or MRI immediately but remember the issues mentioned above, like neurological symptoms and co-existing medical conditions. But these tests help discover the cause or causes of the pain. Remember this is to help get patients to their optimal health and pain-free.
How to eliminate Back Pain naturally | (2020) Foot Levelers |El Paso, Tx
NCBI Resources
Imaging diagnostics is an essential element in the evaluation of spine trauma. The rapid evolution of imaging technology has tremendously changed the assessment and treatment of spine injuries. Imaging diagnostics utilizing CT and MRI, among others, are helpful in acute and chronic settings. Spinal cord and soft-tissue injuries are best evaluated by magnetic resonance imaging, or MRI, whereas computed tomography scanning or CT scans best evaluate spinal trauma or spine fracture.
How often do you feel more susceptible to pain? Autoimmune brain diseases, such as autoimmune encephalitis and central nervous system (CNS) vasculitis, can tremendously affect an individual’s overall physical and mental health. And, because many of the symptoms can vary from person to person, it can frequently be challenging to diagnose an autoimmune brain disease. Early diagnosis is fundamental for early treatment, as many of the symptoms may ultimately be reversible. �
Contents
What is Autoimmune Brain Disease?
Autoimmune brain disease happens when the human body�s own immune system attacks healthy cells and tissues in the brain and/or spinal cord, ultimately causing chronic pain and inflammation. Chronic pain and inflammation may then affect brain structure and function, resulting in a variety of symptoms commonly associated with autoimmune brain disease. �
Symptoms of Autoimmune Brain Disease
Individuals affected by autoimmune brain diseases can develop a variety of symptoms, including a decline in the participation and engagement of everyday regular tasks, seizures, loss of vision, abnormal movements, weakness in the arms or legs, loss of language, and sleeping problems. Other symptoms may include severe depression and hallucinations, as well as paranoid, obsessive, or erratic behavior.Moreover, there are several common types of autoimmune brain diseases, including: �
Multiple sclerosis (MS) is an autoimmune brain disease in which a persons’ own immune system attacks their brain and/or spinal cord, causing chronic pain and inflammation. MS commonly manifests in the form of relapses and remissions, however, several types of the autoimmune brain disease are progressive. It can cause a variety of neurological symptoms and it generally affects young adults. Early diagnosis and treatment can prevent relapses and slow down or prevent disability. �
Autoimmune or Paraneoplastic Encephalitis
Autoimmune encephalitis (AIE) is an autoimmune brain disease in which certain antibodies or pathogenic immune cells attack the brain, causing confusion, seizures, movement problems, and other common symptoms. In several patients, AIE can ultimately be associated with existing or developing cancer. Diagnosis is important for the treatment of this health issue. �
Transverse Myelitis
Transverse myelitis is an autoimmune brain disease that causes inflammation in the brain and spinal cord, which can occur as a single, isolated event or as part of MS, neuromyelitis optica, or other autoimmune brain diseases. Isolated myelitis generally resolves or improves partially in two-thirds of the cases, however, it can also increase the risk of developing MS over time. Furthermore, healthcare professionals also recommend regular neurological monitoring for transverse myelitis. �
Neuromyelitis Optica
Neuromyelitis optica (NMO), or Devic�s disease, is a severe autoimmune brain disease that frequently involves the brain, optic nerves, and spinal cord, causing extensive inflammation and tissue damage. It is caused by certain antibodies in the water channels of the central nervous system (CNS) and it can often lead to considerable disability if not diagnosed and treated in time. NMO is more common in African-American and Asian populations and it is not as uncommonly misdiagnosed as MS, which can lead to improper and potentially harmful treatment. Early diagnosis and treatment are important. �
Optic Neuritis
Optic neuritis is an autoimmune brain disease in which inflammation of the optic nerve can lead to the temporary, painful and partial loss of vision. Isolated optic neuritis increases the risk of MS and recommends regular neurological monitoring. �
Acute Disseminated Encephalomyelitis
Acute disseminated encephalomyelitis (ADEM) is generally a single instance of severe inflammation in the brain and/or the spinal cord, following a viral infection or vaccination. Unlike MS, ADEM can cause acute mental confusion along with other well-known neurological symptoms, such as seizures, difficulty speaking, and weakness, among other symptoms. �
Rare Neuroimmunological Conditions
Other rare neuroimmunological conditions include neurosarcoidosis, stiff person syndrome, Susac�s syndrome, Behcet’s disease, CLIPPERS, IgG4 associated neurological disease, hypertrophic pachymeningitis, steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT) or Hashimoto�s encephalopathy, among other autoimmune brain diseases. �
Spasticity
Spasticity is an abnormal increase in muscle tone secondary to any pathology affecting the motor tracts in the brain or spinal cord. It can ultimately lead to body stiffness and spasms, causing problems with motor function, comfort, ease of care, and personal hygiene. Common causes of spasticity include MS, myelitis, stroke, traumatic brain or spinal cord injury, cerebral palsy, and several hereditary conditions. Spasticity can also cause pain and some discomfort for several individuals. �
Autoimmune Brain Disease Diagnosis and Treatment
Research studies on the diagnosis and treatment of autoimmune brain diseases are still considerably new. Unfortunately, this may ultimately lead to misdiagnosis because several symptoms can frequently mimic those of many other health issues. Additionally, the range of symptoms can vary greatly from person to person, both in the types of symptoms and in the severity of symptoms. A comprehensive evaluation and ongoing therapy can help improve brain structure and function. �
A healthcare professional, such as a naturopathic doctor or a chiropractor, will perform a full evaluation that includes a thorough review of the patient’s medical history, a complete physical examination, blood tests, and imaging tests. This information allows healthcare professionals to assess the presence of a variety of underlying health issues and problems. �
Treatment for autoimmune brain diseases can vary depending on the health issue as well as the type and the severity of the symptoms. To maximize an individual’s ability to recover and decrease symptoms, it is fundamental to treat both the underlying symptoms as well as the underlying source of the health issue. Treatment may include drugs and/or medications that suppress the immune response to decrease pain and inflammation as well as treatment to reduce seizures, psychiatric symptoms, and sleeping problems. A combination of therapies can help achieve the best possible outcomes. �
Autoimmune brain disease (AIBD) is a central nervous system (CNS) health issue which happens when the human body’s own immune system or antibodies attack the brain and the spinal cord. Neuroinflammation, also known as brain inflammation, plays a critical role in the development of a variety of neurological disorders, especially autoimmune brain diseases. Early diagnosis and treatment of AIBD is fundamental for overall health and wellness. A naturopathic medical doctor or doctor of chiropractic can help with the assessment of musculoskeletal and nervous system health issues. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Neurotransmitter Assessment Form
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. 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. �
How often do you feel more susceptible to pain? Autoimmune brain diseases, such as autoimmune encephalitis and central nervous system (CNS) vasculitis, can tremendously affect an individual’s overall physical and mental health. And, because many of the symptoms can vary from person to person, it can frequently be challenging to diagnose an autoimmune brain disease. Early diagnosis is fundamental for early treatment, as many of the symptoms may ultimately be reversible. �
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:
�Autoimmune Brain Diseases.� Duke Health, www.dukehealth.org/pediatric-treatments/autoimmune-brain-disorders.
�Autoimmune Neurological Disorders.� University Hospitals. The Science of Health. The Art of Compassion., www.uhhospitals.org/services/neurology-and-neurosurgery-services/multiple-sclerosis-and-neuroimmunology/conditions-we-treat.
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
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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
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Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. 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. �
Formulas for Methylation Support
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.
�
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.
Stomach pain, burning, or aching 1-4 hours after eating?
Agitated, easily upset, nervous?
Lightheaded if meals are missed?
Digestive problems subside with rest and relaxation?
If you are experiencing any of these situations, then you might be experiencing a histamine attack on your immune system.
During an allergic response, the body’s immune system starts to react by releasing various immune compounds to protect itself from foreign substances that identify as harmful. One of these immune compounds, known as histamine, is commonly present in a variety of foods. When histamine is elevated in the body, it is due to a high dietary intake or an inability to break it down, so individuals may experience allergic symptoms from a histamine reaction.
What is Histamine?
Histamine is a compound that is formed through the metabolism of specific amino acids in the immune system. There are a variety of levels of histamine that is found naturally in the foods that people consume. It is also produced by the body where it is in specific immune cells, including mast cells and basophils. During an allergic and other immune response, histamine is released from these cells, and consuming large quantities of histamine that is over 100 mg may result in a mild adverse reaction. Studies have shown that if histamine is consumed in a higher amount that is over 1000 mg, it can lead to histamine intoxication or histamine poisoning.
What is Histamine Intolerance?
Under normal conditions, histamine is released in the body or ingested through food, and it is broken down by two enzymes: HNMT (histamine-N-methyltransferase) and DAO (diamine oxidase). High levels of histamine can occur in individuals that have reduced activity of these enzymes. When histamine levels are increased, or the ability to break down histamine is impaired, individuals may experience histamine intolerance, which will generally present itself as an allergic reaction to the immune system.
What Causes Histamine Intolerance?
Specific individuals may have an increased sensitivity to biogenic amines like histamine. Some factors have been associated with an increased risk of histamine intolerance, including:
Certain health conditions (coronary heart disease, hypertension, respiratory diseases)
Vitamin B12 deficiency
Certain medications that inhibit the activity of histamine-degrading enzymes (acetylcysteine, metamizole, metoclopramide, metronidazole, verapamil)
Mast cell conditions can increase the secretion of histamine. Since mast cells are found throughout the body, they are involved with the innate immune response as well as being the primary source of histamine in the intestines. Studies show that when specific immune receptors detect a foreign substance in the body, the mast cells secrete inflammatory compounds like histamine as a protective response. Mast cell activation is characterized by increasing plasma and urine histamine levels as well as an increased histamine metabolite in the urine. Several conditions are associated with mast cell activation, including:
Allergies that are mediated by IgE (immunoglobulin-E) and other hypersensitivities
Symptoms of rhinoconjunctivitis (nasal congestion, post-nasal drip, sneezing)
Pruritus (itchy skin)
Urticaria (hives)
Histamine-free Diet
With dietary support for histamine intolerance, it may involve a histamine-free diet. Studies have been examining the effects of four-week histamine-free diet intervention on 22 individuals that have CU (chronic urticaria). Chronic urticaria is a common skin condition that is characterized by episodes of red marks and swelling that last longer than six weeks on the body.
A study found that when it is being compared to baseline, plasma histamine levels were significantly reduced when following the diet. Additionally, USS (urticaria severity score) and (UAS), both decreased following the intervention. It means that a histamine-free diet may help improve symptoms that are associated with dietary histamine intake or histamine intolerance like chronic urticaria in the body.
Research also shows that when individuals follow a histamine-reduced diet, it may increase the levels of the DAO enzyme. Research also demonstrated that when individuals followed the histamine-reduced diet for an average of 13 months, the increased levels of DAO were correlated with the degree of compliance to the diet. When high-histamine and histamine-liberated foods are eliminated, the individual�s tolerance levels can be determined by slowly reintroducing foods to test for potential reactions.
Certain foods may increase histamine levels by providing a dietary source or by liberating histamine in the body. Studies have found that it is essential to note that inconsistent levels of histamine are found in various foods and that the levels may fluctuate based on the maturity, storage, and processing of the food.
Here are the high-histamine foods to avoid on a histamine-free diet. They are:
Aged cheese (cheddar, gouda, parmesan)
Alcohol (beer, champagne, wine)
Certain produce (avocado, eggplant, spinach, tomato)
Cured meats (fermented sausage, salami)
Fermented vegetables (sauerkraut)
Fish products (dried anchovies, fish sauce)
Here are the histamine-liberating foods to avoid on a histamine-free diet as well. They are:
Certain fruits (citrus, pineapple, banana, strawberries, papaya)
With methods surrounding food preparations that should be considered, researchers have suggested that people should consume food that is fresh as possible and boiled rather than frying or grilling food may help reduce the intake of biogenic amines like histamine. Studies have shown that spoiled foods have been found to have high levels of histamine, so it is essential to be mindful when consuming leftovers, especially leftover fish. There are some individuals with histamine intolerance that may benefit from taking antihistamine medication or a DAO supplement. There are also certain nutrients, including copper, vitamin B6, and vitamin C that can help support histamine degradation.
Conclusion
When the body is suffering from an allergic response, its’ immune system starts to react by sending out various immune compounds that attack harmful foreign substances. Histamine is one of the immune compounds that is produced and broken down to HNMT and DAO. Histamine can also trigger an asthma attack on individuals, while certain foods can contain high-histamine and histamine-liberating properties that can be harmful in the body. Some products use an advanced formula that helps support the immune system, targets amino acids, and supports antioxidant processes to make sure that the body is functioning correctly.
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:
Martin, San Mauro, et al. �Histamine Intolerance and Dietary Management: A Complete Review.� Adrianaduelo, 31 Aug. 2016, www.adrianaduelo.com/wp-content/uploads/2016/09/2016_Histamine-intolerance-and-dietary-management.pdf.
Chung, Bo Young, et al. �Effect of Different Cooking Methods on Histamine Levels in Selected Foods.� Annals of Dermatology, The Korean Dermatological Association; The Korean Society for Investigative Dermatology, Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5705351/.
Dougherty, Joseph M. �Allergy.� StatPearls [Internet]., U.S. National Library of Medicine, 28 July 2019, www.ncbi.nlm.nih.gov/books/NBK545237/.
Fong, Michael. �Histology, Mast Cells.� StatPearls [Internet]., U.S. National Library of Medicine, 20 Sept. 2019, www.ncbi.nlm.nih.gov/books/NBK499904/.
Lackner, Sonja, et al. �Histamine-Reduced Diet and Increase of Serum Diamine Oxidase Correlating to Diet Compliance in Histamine Intolerance.� European Journal of Clinical Nutrition, U.S. National Library of Medicine, Jan. 2019, www.ncbi.nlm.nih.gov/pubmed/30022117.
Maintz, Laura, and Natalija Novak. �Histamine and Histamine Intolerance.� OUP Academic, Oxford University Press, 1 May 2007, academic.oup.com/ajcn/article/85/5/1185/4633007.
Reese, Imke, et al. �German Guideline for the Management of Adverse Reactions to Ingested Histamine: Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the German Society for Pediatric Allergology and Environmental Medicine (GPA), the German Association of Allergologists (AeDA), and the Swiss Society for Allergology and Immunology (SGAI).� Allergo Journal International, Springer Medizin, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5346110/.
Son, Jee Hee, et al. �A Histamine-Free Diet Is Helpful for Treatment of Adult Patients with Chronic Spontaneous Urticaria.� Annals of Dermatology, The Korean Dermatological Association; The Korean Society for Investigative Dermatology, Apr. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5839887/.
S�nchez-P�rez, S�nia, et al. �Biogenic Amines in Plant-Origin Foods: Are They Frequently Underestimated in Low-Histamine Diets?� Foods (Basel, Switzerland), MDPI, 14 Dec. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6306728/.
Unknown, Unknown. �Histamine Intolerance & Diet: What You Should Know.� Fullscript, 11 Nov. 2019, fullscript.com/blog/histamine-intolerance.
Understanding your spine, the way it works and moves is critical to finding the right back pain treatment when back pain or injury creeps in.
People don’t really think about their spines until back pain rears its ugly head. The spine is not one continuous structure that extends from the neck to the tailbone. It is an intricate, complex group of several structures.
Some understanding of the spine can help individuals make informed decisions before getting involved in activities that can cause a spinal injury.
Contents
Anatomy
The spine is made up of 24 vertebrae, these are the bones stacked on top of each other and forms the spinal column.
The spinal cord passes through the vertebrae that acts as a protective frame.
The spinal column surrounds the spinal cord like an electrical cord. It protects the nerves that run from the brain, through the spinal column and out to the rest of the body.
The spinal cord is the highway of nerves that carry the brain’s signals to the rest of the body, allowing the ability to move the arms and legs, etc.
The soft, spongy shock absorbers in between the vertebrae are the intervertebral discs.
They keep the vertebrae separated so smooth function and movement is possible.
Because the spine is such a complicated network of bones, discs, muscles, nerves, and ligaments, getting to the bottom of exactly what�s wrong when back pain sets in can be a complicated process. This is where having some knowledge of your spine can help a doctor or chiropractor figure out what’s going on and then developing the best treatment plan possible.
Time
Dealing with time can be a tricky issue when suffering from back pain.
When only soreness, stiffness and muscle stress occur every so often then time can be the best medicine, as rest is all that is needed for the swelling to go down.
But when the pain does not go away with rest and is getting worse, waiting for evaluation is not an option.
Imagine all of those complex structures in the spine as dominos in a row.
If one domino/disc falls or slips pressure is placed on all the other dominos/discs to work harder to support the failing structure. But they can only do this for so long until the other discs or other areas of the body begin to fail.
Left untreated will eventually cause the failure of other structures of the body.
Strong Spine
It was designed to support the entire body combined with the additional weight that we carry.
It deserves care and respect.
Unfortunately, it is not made of titanium and is susceptible to injury.
Spinal Nerve Compression
When a spinal nerve gets compressed, entrapped, or pinched it becomes inflamed and pain sets in. In the illustration of a neck spine segment, many different disorders are causing the�nerve�compression in this instance:
Herniated disc
Thickened ligament
Bone spurs called osteophytes
Making sure to pay close attention to your spine will safeguard it. So spend some time to understand how your spine operates.� Looking at some basic yoga for back poses can be a great start to understand how your spine functions.
What is Yoga?
In its purest form,�it is an ascetic and spiritual discipline that comes from Hindu culture. It involves simple meditation, breath control, and performing body postures.
While an ancient practice long used for spiritual and emotional healing as well as physical wellness, yoga has been adopted in western culture and widely accepted as a form of fitness as well as a therapeutic practice used for relaxation and overall good health. It focuses on inward healing with outward results.
Proven Reduced Back Pain with *FOOT ORTHOTICS* | El Paso, Tx
Kent S. Greenawalt, President, and CEO of Foot Levelers discuss how custom foot orthotics can help reduce back pain, low back pain, and sciatica. In a recent research study published by the American Congress of Rehabilitation Medicine (ACRM), researchers demonstrated that Foot Levelers custom foot orthotics help considerably reduce back pain and several of its associated health issues.
The research study also demonstrated that Foot Levelers custom foot orthotics and chiropractic care help tremendously reduce low back pain and sciatica. Foot Levelers custom foot orthotics and chiropractic care helped improve the patient’s overall health and wellness. Dr. Jimenez is a chiropractor in El Paso, TX who can help provide these benefits through the utilization of chiropractic care and Foot Levelers custom foot orthotics, among other treatments.
NCBI Resources
The spine is a complex structure. Understand that the spine is also surrounded by fibrous and muscular supporting structures, intervertebral discs, the spinal cord and nerve roots, and blood vessels. An injury such as a back sprain or strain caused by improperly lifting and twisting simultaneously can often be a cause for back pain. Chiropractic care is a well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments.
Do digestive problems subside with rest and relaxation?
Diarrhea?
Unpredictable abdominal swelling?
Frequent bloating and distention after eating?
If you are experiencing any of these situations, then you might be experiencing problems with your digestive tract. Here are some ways to improve your digestion problems naturally.
Different factors can impact a person’s digestion and overall gut health. There are things that people have control like how much sleep they are getting while the other things that are not in a person’s control like genetics and family history. If a person is experiencing stomach problems, then it might be the poor lifestyle choices that may be hurting their gut. Having a well-balanced diet and regularly exercising is good, but those are just two of the many ways to regulate digestive health.
Here are some of the lifestyles that may negatively impact the body�s gut health:
What a person is eating
Mindful of mindless eating
Exercise routine
Daily hydration
Sleep schedule
Stress and anxiety levels
Prescription and over the counter medications a person takes
Bad habits like late-night eating or excessive alcohol or tobacco use
These factors can do bodily harm and can cause the development of chronic illnesses.
11 Ways To Improve Digestive Health
Even though these factors can negatively affect a person�s digestion tract and overall gut health, there are 11 ways to help improve the digestive tract naturally and be beneficial to not only the gut but to the body.
Eating More Colorful, Plant-based and Fiber-Rich Foods
Even though digestive issues can be challenging, avoiding certain foods and eating more plant-based and fiber-rich foods can help ease those uncomfortable symptoms. Quality nut and seeds, vegetables, whole grains, and legumes can protect against a lot of digestive disorders and promote a regular bowel movement. To avoid discomfort on the digestive tract, try avoiding certain foods that are tough on the stomach like fried, artificially processed, or acidic foods.
If a person is suffering from an upset stomach or been diagnosed with IBS (irritable bowel syndrome), they might want to consider adopting an anti-inflammatory rich diet to prevent inflammation in the gut.
Consider Meal Frequency and Sizing
When a person continually snacking or tend to have three big meals a day is known as a grazer. Grazing food may not be suitable for people due to being prone to constipation. These habits can impact the person’s digestive health, and recent clinical studies have been shown that intermittent fasting can be beneficial to gut health and the whole body.
Practicing Mindful Eating
Sometimes overeating and eating too quickly can often lead to unpleasant indigestion symptoms such as gas and bloating. Thankfully there is an inclusive practice known as mindful eating, and it has been studied to a practical approach to reducing indigestion in the gut. Research has shown that mindful eating can reduce symptoms of IBS and ulcerative colitis.
To practice eating mindfully, keep in mind the following:
Turning off the tv and putting away the phones at mealtimes.
Taking a moment and inhale after sitting down with the plate in front of the individual. Take notice of how it smells.
You are taking in on how the food looks on the plate.
Select each bite of consciously.
Chew the bites of food slowly.
Eat slowly.
Take breaks, sip water, or have a quick chat in between each bite.
Take in the taste, texture, and temperature of every bite.
Take time to relax after finishing a meal.
Following these tricks and taking the time to relax and paying attention to the body before a meal may improve digestive symptoms such as indigestion and bloating.
Exercise Regularly
Exercise can help digestion. When people move their bodies on a day to day basis can affect their digestion. Since it is mostly due to its anti-inflammatory effects, exercise can have a very positive impact on the digestive system. Studies have shown that living a sedentary lifestyle can be damaging to the gut. Working out can help a person relieve their stress, enable them to maintain a healthy weight, strengthen abdominal muscles, and stimulate food to move through the large intestines.
According to research, aerobic exercises, like dancing or high interval workout classes, are particularly great by increasing the blood flow to the GI tract. Keep in mind that it is best to avoid this type of high impact exercise right after eating. If an individual has a sensitive stomach, resting for 30 minutes in between workouts and meals is the best option.
Staying Hydrated
Not drinking enough water is a common cause of constipation among adults and children, since lots of people often replace water with sugary alternatives. Studies have shown that people should aim to drink at least 1.5 to 2 liters of non-caffeinated beverages daily to prevent constipation, and if they exercise, they should be drinking more water.
They can also increase their water intake by eating fruits that have high water content, drinking herbal teas, and non-caffeinated beverages like flavored seltzer waters.
Trying to Get A Good Night Sleep
Not getting enough hours to sleep and poor quality sleep has been associated with several gastrointestinal diseases. Studies show that people who are sleep deprived are most likely to suffer from stomach pains, diarrhea, upset stomach, or even suffer from inflammatory bowel disease. So people need to get quality sleep as the main priority.
Practice Ways to Manage Stress
Stress can affect a person�s digestion and the gastrointestinal tract big time. When an individual is chronically stressed out, their body is continuously in a flight or fight mode. Being chronically stressed out can lead to several unpleasant digestive symptoms such as constipation, diarrhea, bloating, IBS, and stomach ulcers.
There are ways to relieve stress through stress management techniques like yoga, acupuncture, cognitive behavioral therapy, and meditation. Research shows that these techniques have been shown to improve symptoms in people with IBS drastically. Even taking the time to sit quietly and practicing breathing exercises for five minutes can help alleviate stress levels.
Cutting Back on Drinking Alcohol
Many individuals experience diarrhea and several other unpleasant symptoms after consuming alcohol. This is because alcohol can trigger some severe changes in the digestive system. Studies have mentioned that when the gastrointestinal tract comes in contact with alcohol, it becomes inflamed. This is because the intestines do not absorb water as efficiently, causing the overall digestion to speed up, and the good/harmful bacteria balance is thrown off.
Stop Smoking
Smoking can impact the entire body, including the gut. Studies have shown that smoking, chewing, and vaping tobacco has been linked to several common disorders in the digestive system, such as heartburn, peptic ulcers, and GERD (gastroesophageal reflux disease). Smoking can also worsen gastrointestinal symptoms in other conditions like Crohn’s disease. When a person quits smoking, it can quickly reverse some of the effects of smoking on the digestive system and can keep the symptom of some gastrointestinal diseases from becoming worse.
Consider Taking Supplements
Taking dietary supplements is a great way to make sure that the body is getting the nutrients it needs for proper digestion.
Probiotics are excellent digestive supplements to alleviate and improve symptoms of gas, to bloat, and stomach pains for people with IBS.
Glutamine is an amino acid that supports gut health. Studies show that glutamine can reduce leaky gut in people who are sick.
Zinc is a mineral that is essential for a healthy gut. When a person has a deficiency in zinc, it can lead to a variety of unpleasant digestive disorders. So taking zinc supplements can be beneficial to reducing digestive problems.
Be Aware of Medication Interactions and Their Side Effects
The medication that a person is taking can cause stomach discomfort and make them prone to diarrhea or constipation. Conventional medication such as aspirin and other pain medicine have been studied to upset the lining of the stomach, causing damage to the intestinal permeability.
Conclusion
Practicing these 11 ways can be beneficial and provide improvement to a person’s digestive tract. When disruptive factors disrupt the digestive tract, it can lead the body to have inflammation, leaky gut, and digestive problems. Some products are specialized to support the gastrointestinal tract and provide support to the body’s metabolism to make sure the body is functioning correctly.
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:
Ali, Tauseef, et al. �Sleep, Immunity and Inflammation in Gastrointestinal Disorders.� World Journal of Gastroenterology, Baishideng Publishing Group Co., Limited, 28 Dec. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3882397/.
Bilski, Jan, et al. �Can Exercise Affect the Course of Inflammatory Bowel Disease? Experimental and Clinical Evidence.� Pharmacological Reports: PR, US National Library of Medicine, Aug. 2016, www.ncbi.nlm.nih.gov/pubmed/27255494.
Bischoff, Stephan C. �’Gut Health’: a New Objective in Medicine?� BMC Medicine, BioMed Central, 14 Mar. 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3065426/.
Catterson, James H, et al. �Short-Term, Intermittent Fasting Induces Long-Lasting Gut Health and TOR-Independent Lifespan Extension.� Current Biology: CB, Cell Press, 4 June, 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5988561/.
Chiba, Mitsuro, et al. �Recommendation of Plant-Based Diets for Inflammatory Bowel Disease.� Translational Pediatrics, AME Publishing Company, Jan. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6382506/.
Didari, Tina, et al. �Effectiveness of Probiotics in Irritable Bowel Syndrome: Updated Systematic Review with Meta-Analysis.� World Journal of Gastroenterology, Baishideng Publishing Group Inc, 14 Mar. 2015, www.ncbi.nlm.nih.gov/pubmed/25780308.
Konturek, Peter C, et al. “Stress and the Gut: Pathophysiology, Clinical Consequences, Diagnostic Approach, and Treatment Options.” Journal of Physiology and Pharmacology: an Official Journal of the Polish Physiological Society, US National Library of Medicine, Dec. 2011, www.ncbi.nlm.nih.gov/pubmed/22314561.
Kristeller, Jean L, and Kevin D Jordan. �Mindful Eating: Connecting With the Wise Self, the Spiritual Self.� Frontiers in Psychology, Frontiers Media SA, 14 Aug. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6102380/.
Lakatos, Peter Laszlo. �Environmental Factors Affecting Inflammatory Bowel Disease: Have We Made Progress?� Digestive Diseases (Basel, Switzerland), US National Library of Medicine, 2009, www.ncbi.nlm.nih.gov/pubmed/19786744.
Miller, Carla K, et al. �Comparative Effectiveness of a Mindful Eating Intervention to a Diabetes Self-Management Intervention among Adults with Type 2 Diabetes: a Pilot Study.� Journal of the Academy of Nutrition and Dietetics, US National Library of Medicine, Nov. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3485681/.
Mottaghi, Azadeh, et al. �Efficacy of Glutamine-Enriched Enteral Feeding Formulae in Critically Ill Patients: a Systematic Review and Meta-Analysis of Randomized Controlled Trials.� Asia Pacific Journal of Clinical Nutrition, US National Library of Medicine, 2016, www.ncbi.nlm.nih.gov/pubmed/27440684.
Oettl�, G J. �Effect of Moderate Exercise on Bowel Habit.� Gut, US National Library of Medicine, Aug. 1991, www.ncbi.nlm.nih.gov/pubmed/1885077.
Popkin, Barry M, et al. �Water, Hydration, and Health.� Nutrition Reviews, US National Library of Medicine, Aug. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2908954/.
Qin, Hong-Yan, et al. �Impact of Psychological Stress on Irritable Bowel Syndrome.� World Journal of Gastroenterology, Baishideng Publishing Group Inc, 21 Oct. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4202343/.
Skrovanek, Sonja, et al. �Zinc and Gastrointestinal Disease.� World Journal of Gastrointestinal Pathophysiology, Baishideng Publishing Group Inc, 15 Nov. 2014, www.ncbi.nlm.nih.gov/pubmed/25400994.
Unknown, Unknown. �Smoking and the Digestive System.� National Institute of Diabetes and Digestive and Kidney Diseases, US Department of Health and Human Services, 1 Sept. 2013, www.niddk.nih.gov/health-information/digestive-diseases/smoking-digestive-system.
Wong, Ming-Wun, et al. �Impact of Vegan Diets on Gut Microbiota: An Update on the Clinical Implications.� Ci Ji Yi Xue Za Zhi = Tzu-Chi Medical Journal, Medknow Publications & Media Pvt Ltd, 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6172896/.
Do you often feel low brain endurance for focus and concentration? Do you often crave sugar and sweets in the afternoon? Or do you feel energized after meals? Glucose, or sugar, is the main source of energy in the human body. And, because the human brain has so many nerve cells or neurons, it is one of the most energy-demanding organs, which utilizes about one-half of all the energy from glucose in the human body. Sugar is important but too much of it can also have its downsides. �
Brain functions, such as memory, thinking, and learning, are relatively associated with glucose levels and how efficiently the brain utilizes this essential energy fuel source. If there isn�t enough glucose, or sugar, in the brain, by way of instance, neurotransmitters, or the human brain�s chemical messengers, don’t develop properly and the communications between neurons can ultimately break down. Additionally, dysglycemia, a common health issue caused by abnormal blood glucose levels, can cause loss of energy for brain function and has also been associated with poor attention and cognitive function. �
�The human brain is dependent on sugar or glucose as its main energy fuel source,� stated Vera Novak, MD, Ph.D., an HMS associate professor of medicine at Beth Israel Deaconess Medical Center. �It just simply cannot be without it.� �
Contents
What is Dysglycemia?
As previously mentioned, brain structure and function, such as cognition, can be affected by dysglycemia, or blood glucose abnormalities, in older adults. Researchers conducted a cross-sectional and longitudinal cohort research study, analyzing the association of dysglycemia with brain health. The researchers found that dysglycemia is associated with an increased number of brain infarcts, white matter hyperintensities volume, and decreased total white matter, gray matter, and hippocampus volume cross-sectionally. According to the research study, there was also a decrease in gray matter volume longitudinally. Dysglycemia was ultimately associated with reduced language performance, speed, and visuospatial function. �
�Our results suggest that dysglycemia affects brain health in elderly survivors, evidenced by higher cerebrovascular disease, lower white, and gray matter volume as well as language, visuospatial function, and cognitive speed,� stated the authors. �
Dysglycemia can cause changes in blood glucose levels which may cause a variety of health issues. Dysglycemia is also not necessarily defined by specific blood sugar levels. Instead, having an abnormally low, high, or unstable blood glucose levels suggests an underlying health issue that requires further investigation. Moreover, while type 1 and type 2 diabetes are the most common causes of dysglycemia, other examples of blood sugar level abnormalities can include gestational diabetes and pre-diabetic conditions as well as drug-related and genetically related abnormalities of the blood sugar levels. �
Furthermore, dysglycemia can be a result of hereditary or environmental factors, or it can even be a combination of both. Genes can predispose a person to ultimately develop dysglycemia over time, just as much as several lifestyle habits can, too. A poor diet high in unhealthy fats, sugars, and processed foods can commonly cause a person to develop dysglycemia. Lacking certain vitamins and minerals that enhance the human body�s sensitivity to insulin can also cause dysglycemia. �
Dysglycemia and Brain Health
Although the brain needs glucose or sugar, too much of this energy fuel source can also have several side-effects. A 2012 research study on animals conducted by researchers at the University of California at Los Angeles demonstrated a positive relationship between the consumption of fructose, another form of sugar, and the aging of cells. A 2009 research study, also utilizing animal models and conducted by a team of scientists at the University of Montreal and Boston College, connected excess glucose consumption to memory and cognitive deficiencies. Further research studies are still required. �
The effects of glucose and other forms of sugar on the human brain may be the most profound in diabetes, a group of health issues in which high blood glucose levels persist over a prolonged period of time. Type 1 diabetes is a health issue in which the immune system destroys the cells in the pancreas that produce insulin, a hormone utilized by the human body to maintain and regulate blood glucose levels. Type 2 diabetes, caused by dietary and other environmental factors, is a health issue in which cells become overwhelmed by insulin and fail to properly respond and they ultimately become insulin resistant. �
Long-term diabetes, either type 1 or type 2, can have many consequences for the brain cells, or neurons, as well as the brain. High blood glucose levels can affect the brain�s functional connectivity which connects brain regions that share functional properties and brain matter. It can also cause the brain to atrophy or shrink and it can lead to small-vessel disease, which restricts blood flow in the brain, causing cognitive difficulties and it can cause the development of vascular dementia. �
In her laboratory, Novak evaluated several ways to prevent these effects in people with type 2 diabetes. One of these ways involves a nasal spray known as intranasal insulin (INI). When used, INI enters the brain and binds to receptors in its memory networks, including the hippocampus, hypothalamus, and insular cortex. As signaling within these memory networks become more efficient, cognitive functions in these areas, such as learning and visual perceptions of spatial relationships, improve. �
�Type 2 diabetes accelerates brain aging,� says Novak, �which, in turn, accelerates the progression of functional decline. With intranasal insulin, we�re hoping to find a new avenue for treatment to slow down these effects or prevent them altogether.� �
In a pilot research study, Novak and her colleagues found that a single dose of INI had a positive effect on memory, verbal learning, and spatial orientation. She is now planning the first clinical trial of INI in older adults with type 2 diabetes. The results of the clinical trial are especially relevant because of the high prevalence of dementia and significant cognitive decline among older adults with diabetes. Sugar, or glucose, is fundamental, however, it must be controlled for overall brain health. �
Glucose, or sugar, is an important source of energy fuel for every cell in the human body, especially the brain. However, excess amounts of blood glucose, or sugar, levels can be more harmful than beneficial and it can ultimately cause a variety of brain health issues, including neurological diseases like dementia and Alzheimer’s disease. Dysglycemia, or abnormal blood glucose, or sugar, levels, is a common condition in diabetes. Managing and regulating glucose, or sugar, in patients with diabetes is essential to promote overall brain health and wellness, according to research studies. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Neurotransmitter Assessment Form
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. 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. �
Do you often feel low brain endurance for focus and concentration? Do you often crave sugar and sweets in the afternoon? Or do you feel energized after meals? Glucose, or sugar, is the main source of energy in the human body. And, because the human brain has so many nerve cells or neurons, it is one of the most energy-demanding organs, which utilizes about one-half of all the energy from glucose in the human body. Sugar is important but too much of it can also have its downsides. �
Brain functions, such as memory, thinking, and learning, are relatively associated with glucose levels and how efficiently the brain utilizes this essential energy fuel source. If there isn�t enough glucose, or sugar, in the brain, by way of instance, neurotransmitters, or the human brain�s chemical messengers, don’t develop properly and the communications between neurons can ultimately break down. Additionally, dysglycemia, a common health issue caused by abnormal blood glucose levels, can cause loss of energy for brain function and has also been associated with poor attention and cognitive function. �
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:
Marchione, Victor. �Cognition and Brain Structure Affected by Dysglycemia in Older Adults: Study.� Bel Marra Health – Breaking Health News and Health Information, Bel Marra Health, 10 Jan. 2017, www.belmarrahealth.com/cognition-brain-structure-affected-dysglycemia-older-adults-study/.
Edwards, Scott. �Sugar and the Brain.� Sugar and the Brain | Department of Neurobiology, neuro.hms.harvard.edu/harvard-mahoney-neuroscience-institute/brain-newsletter/and-brain-series/sugar-and-brain.
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
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
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. 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. �
Formulas for Methylation Support
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.
�
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.
Health coaches are becoming more and more crucial as modern medicine continues to improve. Now more than ever, the health care field is progressing at high speeds and professionals do not always have the available time some patients desire. Here is where health coaches become involved. Basically, the position of a health coach was produced to fill the emptiness in several doctor offices. Many physicians contribute but do not have the time or resources to assist each individual and aid in constructing healthy habits on a day to day basis. However, health coaches are available to be a supportive mentor that assists and guides patients in making healthy lifestyle changes. Many patients who seek help to change their lifestyle are those suffering from some kind of chronic pain, headaches, or joint inflammation.
In the previous weeks, we have defined and explained what a health coach is and what they really do, as well as the first two steps a health coach might take with a patient. Throughout this article, the third and fourth steps will be broken down and analyzed.
Need a refresher? No problem! Health Coaching in El Paso: Part 1 can be found by clicking here.�Health Coaching in El Paso: Part 2 can be found by clicking here.�
Contents
Step 3: Building A Plan For Action
Once the health coach understands the values and goals of the patient, a plan for change can get mapped out. One thing that is unique about building a plan, is that the health coach encourages the patient to have a say in it and contribute to building the plan. The ways of medicine have changed, and this aspect is one of them. Before, many patients would sit silently as doctors instructed them on their new protocol. However, it has been shown that patients who build a plan of action with the practitioner, are more likely to comply and complete a program.
In addition to this, the perspective of the patient can help maintain expectations and keep the plan of action at a realistic timeline. The health coach will offer their suggestions during this process as well as their perspective. Often times, this will help the patient break down their overall goal, into smaller more specific goals or tasks.
As soon as the overall goals are broken down into specific tasks, the health coach will then map out the process to complete these tasks. It can be simple to overlook small steps when thinking of a bigger picture, so the health coach will provide tools to better help the patient understand.
An example of this would be for a patient who wants to lose weight. Mapping out these tasks will have an end result that looks similar to these:
� I will try a new fruit and vegetable every day this week and identify what I enjoy
� I will think of different, creative ways to work movement into my day, such as finding a walking trail in my neighborhood
� I will always keep a water bottle with me and refill it every two hours
� I will cook dinner two nights this week
� I will go for a walk after dinner every day this week
By providing the patients with these smaller tangible tasks, the patient now has “homework” in a sense to complete these throughout the week. The health coach will set a deadline with these tasks and check-in with the patient regularly to ensure they are on track.
Step 4: Tracking Progress And Results
Before progress can be tracked, the health coach will take into consideration the patient’s goal and determine how often the patient will need to come in for follow-ups. For many patients, a combination of follow up techniques are used. Health coaches understand that in-person is not always the most convenient and does not always fit into the patient’s schedule. If this is the scenario, health coaches work around that to create follow-ups by using some in-person visits, some phone conversations, or other virtual check-in meetings that are HIPAA compliant.
Often times, during a lifestyle change patients may become confused or discouraged. It is important to remember that this is normal and progress is not always a straight line up, but rather includes bumps along the way. In order to better help the patient, the health coach will provide them with a helpful “where to turn” guide.
As humans, at different times we require different types of support. The where to turn guide will be a supporting reminder of things to do to counteract these feelings when they arise. Items included in this guide will be ideas such as:
� Pursuing a hobby, like dancing or playing an instrument
� Getting out in nature
� Starting a mindfulness practice
� Making art, like drawing or writing
� Joining a community, religious, or spiritual group
In addition to these activities, the health coach will determine with the patient what kind of support (internal or external) is appropriate depending on the situation.
Lastly,� progress does not always look like a dip in the number on the scale. Progress can come in many different forms. In order to help the patient appreciate and realize all the progress they are making, a health coach will ask questions like:
1. How can you appreciate your progress?
2. How would you describe the benefits of your experience?
3. What�s been good about this experience?
4. How have you grown?
As mentioned earlier, a health coach is important to have as they help one realize all the steps it truly takes to be successful and reach their health goals. There are many critical steps that are easily overlooked when the big picture is on their minds. The final two steps that a health coach will work on with a patient is to help them visualize their best self and to create a plan for resiliency. These two topics will be discussed in the next article.
�Using a health coach to complete a lifestyle change is similar to the work of going to therapy. One must be willing to accept the tools and resources they are givien, and actually do the work provided or it will not produce results. If a patient is truly serious about completing a lifestyle change, using a health coach is an extremly beneifical resource! As one can see, they work with the patients to hammer down tasks and ideas that a patient might not have orignally thought of. By utilizing a health coach, the patient has a higher chance of reaching their goals. – Kenna Vaughn, Senior Health Coach
All information and resources for this post came from an Integrative Practioner article titled, “A Six-Step Approach To Health And Wellness Coaching: A Toolkit for Practice Implementation” and can be found by clicking here; as well as listed below in the proper bibliography.
*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.
Bibliography:
American Psychological Association (2019). The Road to Resilience. Retrieved from: https://www.apa.org/helpcenter/road-resilience
Jonas, W. (2019). Empowering patients with chronic diseases to live healthier through health coaching: Integrative primary care case study. Samueli Integrative Health Programs.�Retrieved from: https://www.health.harvard.edu/staying-healthy/give-yourself-a-health-self-assessment
Miller, W. and Rose, G. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior. Guilford Publications.
Pecoraro, Wendy. �A Six-Step Approach to Health and Wellness Coaching: A Toolkit for Practice Implementation.� Official Media Integrative Practitioner, 17 Oct. 2019, www.integrativepractitioner.com/resources/e-books/a-six-step-approach-to-health-and-wellness-coaching-a-toolkit-for-practice-implementation.
Trzeciak, S. and Mazzarelli, A. (2019). Compassionomics. Studer Group. Virginia Polytechnic Institute and State University. The Stages of Change.Retrieved from: http://www.cpe.vt.edu/gttc/presentations/8eStagesofChange.pdf
Your Coach (2009). SMART goals.Retrieved from: https://www.yourcoach.be/en/coaching-tools/
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
During intense burst in a HIIT workout, a person is working out at around 80 percent of their max heart rate for 15 seconds to a few minutes. Between each of those periods, a person is either slowing down or resting completely to let their heart rate come back down to around 50 percent.
A person can calculate different target heart rates by using an online calculator. During a workout, a person can wear a heart rate monitor to keep track on much they are exerting themselves. For a lower-tech option, 
HIIT is so effective because it allows a person to exercise at a higher intensity for such a short period. The exertion gets the heart working and the blood pumping better than any moderate-intensity exercise can bring with their prolonged periods of rest.
By improving cardiorespiratory fitness, HIIT can improve a person’s stamina. What it does is that it enhances the body’s ability to consume and use oxygen. 
Mast cell conditions can increase the secretion of histamine. Since mast cells are found throughout the body, they are involved with the innate immune response as well as being the primary source of histamine in the intestines. 
Before progress can be tracked, the health coach will take into consideration the patient’s goal and determine how often the patient will need to come in for follow-ups. For many patients, a combination of follow up techniques are used. Health coaches understand that in-person is not always the most convenient and does not always fit into the patient’s schedule. If this is the scenario, health coaches work around that to create follow-ups by using some in-person visits, some phone conversations, or other virtual check-in meetings that are HIPAA compliant.
Often times, during a lifestyle change patients may become confused or discouraged. It is important to remember that this is normal and progress is not always a straight line up, but rather includes bumps along the way. In order to better help the patient, the health coach will provide them with a helpful “where to turn” guide.
As humans, at different times we require different types of support. The where to turn guide will be a supporting reminder of things to do to counteract these feelings when they arise. Items included in this guide will be ideas such as:
