Back Clinic Nutrition Team. Food provides people with the necessary energy and nutrients to be healthy. By eating various foods, including good quality vegetables, fruits, whole-grain products, and lean meats, the body can replenish itself with the essential proteins, carbohydrates, fats, vitamins, and minerals to function effectively. Nutrients include proteins, carbohydrates, fats, vitamins, minerals, and water. Healthy eating does not have to be hard.
The key is to eat various foods, including vegetables, fruits, and whole grains. In addition, eat lean meats, poultry, fish, beans, and low-fat dairy products and drink lots of water. Limit salt, sugar, alcohol, saturated fat, and trans fat. Saturated fats usually come from animals. Look for trans fat on the labels of processed foods, margarine, and shortenings.
Dr. Alex Jimenez offers nutritional examples and describes the importance of balanced nutrition, emphasizing how a proper diet combined with physical activity can help individuals reach and maintain a healthy weight, reduce their risk of developing chronic diseases, and promote overall health and wellness.
Do you feel irritable, nervous, shaky, or light-headed between meals? Do you have difficulty eating large meals in the morning? Do you feel fatigued after meals? Do you have sugar and sweet cravings after meals? Do you have an increased appetite?�If so, you may be experiencing early SIBO symptoms. �
SIBO, or small intestinal bacterial overgrowth, is a severe health issue that ultimately affects the small intestine in the digestive system. This gastrointestinal (GI) tract condition happens when the bacteria that generally grows in several different regions of the gut begin to grow in the small intestine. SIBO can commonly cause pain, discomfort, and diarrhea, among other symptoms. It can also cause malnutrition as bacteria utilize the human body�s nutrients.�
What are the Symptoms of SIBO?
Small intestinal bacterial overgrowth, or SIBO, is a serious condition that includes symptoms which can commonly affect the gut. These can include: �
pain or discomfort in the stomach
gas
bloating
constipation
diarrhea
cramps
indigestion
a general feeling of fullness
weight loss
What are the Causes of SIBO?
Small intestinal bacterial overgrowth (SIBO) is a severe health issue that is unfortunately not yet fully understood by researchers and healthcare professionals. According to research studies and clinical trials, however, this gastrointestinal, or GI, tract condition can ultimately happen when the small intestine is anatomically abnormal, due to pH changes in the small intestine, when the human body’s immune system isn’t functioning accordingly, or due to malfunctions in the muscular activity of the small intestine which can commonly cause food and bacteria to remain and not be removed from the organ. �
SIBO, or small intestinal bacterial overgrowth, is also commonly associated with a variety of health issues. These can involve the following, including: �
a stomach bug, known as viral gastroenteritis
celiac disease
Crohn�s disease
low stomach acid levels, known as hypochlorhydria
IBS or irritable bowel syndrome
gastroparesis
portal hypertension
nerve damage
cirrhosis
several gastric bypass procedures
surgical interventions which cause strictures or adhesions
What are the Risk Factors of SIBO?
Moreover, researchers and healthcare professionals have determined that an underlying chronic health issue and a previous surgery or surgical intervention that affects the gastrointestinal (GI) tract can be several risk factors of SIBO. Other wellness problems which can ultimately cause SIBO include: �
diabetes
scleroderma
hypothyroidism
Parkinson’s disease
HIV
narcotics or drugs/medications which slow down the digestive system
What is the Diagnosis for SIBO?
If you’ve experienced any of the SIBO symptoms mentioned above, see your doctor immediately. The doctor will ask the patient about their symptoms and medical history. The doctor will also perform a physical examination which may include palpating or gently feeling the patient’s abdomen. A qualified and experienced healthcare professional may also order additional blood, fecal, and/or any other tests to diagnose small intestinal bacterial overgrowth. �
A breath test is another common test utilized for the diagnosis of SIBO. Excess bacteria in the small intestine can cause the release of hydrogen and methane, two common gases which can be identified through a breath test. This test is non-invasive and can be performed in a doctor�s office. Before a breath test, the patient will need to fast overnight. During a breath test, the patient will first breathe into a tube. Then, the patient will take a specialized sweet drink provided by the doctor and they will breathe into several other tubes at regular intervals for 2 to 3 hours after taking the specialized sweet drink. �
If common tests for SIBO are inconclusive, the doctor may need to sample the fluid from the patient’s small intestine to see what bacteria is growing there. �
What is the Treatment for SIBO?
Common treatment approaches for SIBO, or small intestinal bacterial growth, can ultimately include a combination of antibiotics and diet modifications. �
Antibiotics
Treatment for SIBO first involves getting the bacteria in the digestive system under control. This is generally achieved by utilizing antibiotics, such as ciprofloxacin (Cipro), metronidazole (Flagyl), or rifaximin (Xifaxan). Further treatment for SIBO may also require intravenous (IV) therapy for nutrition and fluids if the serious gastrointestinal (GI) tract condition has ultimately caused malnutrition or dehydration, among a variety of other symptoms. �
Although antibiotics may help reduce the amount of bacteria in the small intestine, however, these will not always help address the underlying chronic health issues that caused the wellness problem in the first place. If the qualified and experienced healthcare professional determines that the patient’s SIBO is due to an underlying chronic health issue, the patient will also need to begin treatment for that wellness problem. Diet modifications may also help treat SIBO. �
Diet Modifications
Further research studies and clinical trials are still required to demonstrate if diet can cause small intestinal bacterial overgrowth (SIBO) but, many people with SIBO have reported feeling relief from their symptoms after diet modifications. Talk to your doctor before making any modifications to your diet. �
Furthermore, people with SIBO or other chronic health issues may only need to make small diet modifications to treat their symptoms. These can include: �
Eating a balanced and nutritious diet
Consuming minimal meals more often to prevent having too much food sit in the stomach
Avoid eating gluten products, if you have celiac disease or any other similar chronic health issues
The doctor may also recommend the patient to try an elemental diet to help treat SIBO. An elemental diet replaces food and drinks with several liquid formulas throughout an extended period of time. In one small-scale research study and clinical trial, approximately 80 percent of participants with SIBO had a normal breath test result following an elemental diet for 15 days. The researchers ultimately determined that an elemental diet may be a highly effective treatment approach for SIBO. However, further evidence is still needed. Talk to your doctor before starting an elemental diet and follow their instructions. �
Taking probiotics may also help restore the gut bacteria. A 2010 research study and clinical trial demonstrated that probiotic treatment can be more safe and effective for SIBO than taking antibiotics. However, a 2016 review determined that further evidence for the efficiency of probiotics in SIBO treatment was ultimately inconclusive. The best treatment approach for a patient with SIBO is to follow a qualified and experienced healthcare professional’s advice. �
SIBO, or small intestinal bacterial overgrowth, is a well-known and often severe health issue that generally occurs because of an underlying chronic condition or disease. Common symptoms may ultimately determine the presence of SIBO. In addition, if the patient has a chronic health issue, such as celiac disease or Crohn’s disease, they should talk to a doctor to develop a long-term treatment plan. SIBO, or small intestinal bacterial overgrowth is treatable. If left untreated, this gastrointestinal (GI) tract problem can also cause dehydration and malnutrition. Patients should contact a doctor immediately if they suspect they have SIBO so that they can begin treatment right away. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Neurotransmitter Assessment Form
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The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
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:
Madormo, Carrie. �Everything You Should Know About Small Intestinal Bacterial Overgrowth (SIBO).� Edited by Suzanne Falck, Healthline, Healthline, 14 June 2017, www.healthline.com/health/sibo#symptoms.
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. �
If you are experiencing any of these situations, then you might have experienced some trouble losing weight.
Trying to lose weight is harder than it looks. While the secret of losing weight is more accessible said than done, people are always trying to live healthier lives by exercising and eating right. Some people can maintain a healthy weight throughout their lives effortlessly; however, for others, it is a struggle that starts from when they were a kid, and it gets harder when they start growing up. There have been books on how to lose weight, and people gaining weight when they are middle-aged, it is shown around their mid-section of their bodies. Although when a person is trying to lose weight due to health reasons or wanting to get better, it can be a long, arduous journey.
There are many reasons why individuals are having trouble losing weight. It might be due to being older and that the body changes along with getting older as well. Here are some of the reasons why it is difficult to lose weight, the older a person gets.
Losing Muscle Mass
When a person age, their metabolism changes with them. When they are younger, their metabolism can make a person exercise with high intensity. As they get older, their metabolism changes, and they will slow down a bit when they are exercising. Not only that, but a person can lose their muscle mass when they reach the age of 30.
Studies have shown that the amount of lean muscle mass can naturally decline 3 to 8 percent per decade when a person hits 30, and it will be much harder when they are at the age of 60. This is due to sarcopenia. Sarcopenia is a condition that is characterized by losing skeletal muscle mass and functioning. This condition is progressive, and some of the risk factors include age, gender, and the level of physical activity a person is doing. Since the strength and muscle mass decline in older adults mostly, it can lead to acute and chronic diseases that can harm the body.
There is a way to combat muscle loss for anyone that wants to have lean muscles and to lose weight, is to add weight training to their exercise regime. Research shows that lifting weights is perfect for anyone to make sure that the body stays toned and muscular while also preventing a metabolic slowdown. Since male and females bodies are different, doing weight lifting will help the muscles look lean and toned for females, while for males, their muscles look more prominent and bulker, depending on the weights they are using and how many reps they are doing.
Getting Overly Stressed
As we get older, the more stress we can get. Stress is made up of the hormone cortisol, which is released into the body. It can also be in two categories, which are short term and long term. With short term stress, it is effortless to manage since a person can be worried about a project for school, getting a job interview, or worrying about the little things, the cortisol hormone is short term and can be easily managed.
When it is long-term stress, it can lead to chronic illnesses if it is in a person for far too long. The pressures of work, having too many obligations, or stressing out due to deadlines for projects are bad for a person to have since the cortisol levels are building up in the body. Even having a sedentary job can cause the body to develop stress and weight gain.
There are ways to reduce stress in the body like finding hobbies to enjoy, exercising, always help the body release the tension that is pent up, even having a self-care day can do many wonders to a person and their body. Trying to de-stress the body is excellent and beneficial to anyone because being stress-free is essential for losing weight.
Major Lifestyle Changes
When it comes to significant lifestyle changes, it can be any one of these changes that can cause a person to gain weight. It does not always happen from the inside, but it can happen to people when they enter their thirties. Some changes can include starting a family, trying to find time out of a hectic schedule, distractions, or homework. Whatever the reasons are, these lifestyle changes require much attention. When that happens, then the pounds start to creep in, causing weight gain.
Medical Condition
Sometimes when a person gains weight, it is due to a medical condition they might have, and it makes it harder for them to lose weight as well. These medical conditions include PCOS (polycystic ovarian syndrome), sleep apnea, and hypothyroidism. When these conditions affect the targeted body systems, it can cause many health problems to the body by causing it to dysfunction.
“There are many reasons why losing weight is hard for anyone. There is a wide variety of reasons like eating junk foods, not getting enough sleep, staying hydrated, or a hectic lifestyle. If we take the time to change one thing to maintain a healthy lifestyle, then the weight will slowly but surely go away.” -Dr. Alex Jimenez D.C., C.C.S.T. Insight
Conclusion
Losing weight is hard for anyone, and it can be easy for some while difficult for others. Since everyone has a different body structure, trying to lose weight is one of the more laborious tasks if an individual has problems trying to shed off the weight. By changing some of the habits that are causing the weight gain, it may be beneficial to not only the person but to their body. Some products can help the body’s metabolism and support the function of sugars and amino acids that help support even the gastrointestinal lining, the endocrine system, and help maintain the blood sugar levels.
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:
Dray, Tammy. �Why Is It Harder to Lose Weight as You Get Older?� LIVESTRONG.COM, Leaf Group, 2019, www.livestrong.com/article/417064-why-is-it-harder-to-lose-weight-as-you-get-older/.
Gunnars, Kris. �20 Common Reasons Why You’re Not Losing Weight.� Healthline, 20 Aug. 2018, www.healthline.com/nutrition/20-reasons-you-are-not-losing-weight.
Lawler, Moira. �5 Reasons It’s Harder to Lose Weight With Age.� EverydayHealth.com, 27 June, 2019, www.everydayhealth.com/weight/weight-gain-and-aging.aspx.
Santilli, Valter, et al. �Clinical Definition of Sarcopenia.� Clinical Cases in Mineral and Bone Metabolism: the Official Journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases, CIC Edizioni Internazionali, Sept. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4269139/.
Walston, Jeremy D. �Sarcopenia in Older Adults.� Current Opinion in Rheumatology, U.S. National Library of Medicine, Nov. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC4066461/.
Health coaches are becoming more and more crucial as modern and naturopathic medicine continues to improve. More than ever, the healthcare field is progressing at high speeds and professionals do not always have the time available that some patients desire. Here is where health coaches get involved. Basically, the position of a health coach was produced to fulfill the emptiness in several doctor offices. Many physicians contribute but don’t have the time or tools to help each individual and assist in constructing healthy habits on a day to day basis. But, health coaches are available to be a supportive mentor who guides and assists patients in making healthy lifestyle changes. Many patients who seek assistance to change their lifestyle are those afflicted by some kind of chronic pain, headaches, or joint swelling.
In the previous weeks, we have defined and explained what a health coach is and what they really do, as well as the first four steps a health coach might take with a patient. Throughout this article, the fifth and sixth 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
Health coaching in El Paso: Part 3 can be found by clicking�here
Step 5: Visualizing Your Best Self
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This step is extremely crucial. The reason being, without a vision of where an individual wants to be, they can easily get lost on their way to achieving a goal. A vision statement is not intended to be a specific sentence, but rather a loose description of what / who the patient is trying to become.
In order to create this statement, a health coach will work with the patient to clearly identify their skills, interests, and strengths. These are oftentimes similar to the items listed on the values sheet the patient filled out while the health coach was working with them back in�step 1. Other times, the health coach will assist the patient with their vision statement by asking things like:
What are you naturally good at?
What have you always wanted to see, do, or create?
What would help you feel more fulfilled?
In addition to these questions,� the health coach might encourage the individual by steering the conversation in a way that is related to their best self. With the help from a health coach, the patient can reflect and describe their best self as well as the emotions connected to their best self (thinking, feeling, and doing). A coach will also provide critical thinking questions related to a patient’s best self such as:
How do you know you’re there?
How do you know you’re not there?
How can you remember to be your best self and not slip back into the old ways of being?
Step 6: Creating A Plan For Resiliency
It is simply human nature that all people react to stressful situations differently.� However, one thing that is guaranteed is people will need a plan to get back on track. Undergoing life changes is not a simple task, but having a plan is.�An approach for building resilience must be tailored to the specific individual. A health coach will ensure the individuals that falling off track is natural, but how you get back on track is what counts. It starts with reflecting, seeking support, and making a plan to move forward.
When a patient is placed in a stressful situation, it is key they take a moment to recognize the situation and think about how they are feeling. During the moment, it may be difficult but with practice, reflection, and help from a health coach, the process becomes easier.
The best tips when it comes to addressing resiliency are to develop connections, set daily intentions, reflect on experiences, practice self-care, and be proactive.
A health coach may encourage a journal to help patients celebrate small victories and take responsibility for their own happiness. In addition to this, there are other resources available the patients may utilize such as books, self-help support groups, and asking themselves, “What do I typically find helpful in a stressful situation?”.
By utilizing a health coach and implementing these 6 steps into one’s life, the benefits are unbelievable. Identifying values, determining goals, building a plan for action, tracking progress and results, visualizing the best self, and creating a plan for resiliency will help individuals reach their health goals better than before.
By working with a health coach and remembering these exercises, individuals are extremely likely to be successful. Not only do they have someone for accountability, but they are learning ways to become more independent and thoughtful when it comes to their health. A positive community offers support that many individuals need to thrive. Naturopathic medicine and functional approaches are becoming more recognized for their ability to work on a variety of individuals. Take advantage of all the resources around that are there to help you.�– 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.
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.
If you are experiencing any of these situations, then you might have a magnesium deficiency.
Good health is one of the things to be thankful for. Unfortunately, 84 million adults in the U.S. are living with prediabetes, while another 27 to 28 million adults are affected with type 2 diabetes, so good health is not a given for everyone. According to the National Osteoporosis Foundation, 10 million Americans have osteoporosis, and another 44 million have low bone density, putting them at an increased risk. From the body to the brain, psychological and mood issues like depression and anxiety plague people. There is something that may be beneficial for all of these issues and is a workhorse nutrient that does not get its share of the spotlight. It has been regulated to the shadows behind the flashier and more buzzworthy compounds that get recognition than this nutrient. Magnesium is the critically essential, time-tested, go-to reliable nutrient that everybody needs.
The human body contains about 25 grams of magnesium, which is needed for over 300 enzymes to react. The data from the NHANES (National Health and Nutrition Examination Survey) indicated that the majority of Americans from all ages consume less that than their respective EARs (estimated average requirements) on magnesium. It is a massive problem because magnesium deficiency plays a role in hypertension, cardiovascular diseases, type 2 diabetes, osteoporosis, and migraine headaches.
Magnesium and Glucose Levels
Magnesium is required for several enzymes in glycolysis, which is the first process in glucose metabolism in the body, and it may explain why it is such an essential factor for blood sugar regulation in the body. Epidemiological evidence indicates that magnesium intake is inversely correlated with the risk of type 2 diabetes. Studies have shown that higher magnesium intakes may help reduce the risk of type 2 diabetes as much as 17%, and 48% of people with type 2 diabetes may have hypomagnesemia.
The inverse correlations have been observed between circulating magnesium levels, fasting blood glucose, and insulin level. There is even a response to an OGTT (oral glucose tolerance test) for those with type 2 diabetes. Research shows that higher magnesium intakes are also associated with reducing the risk for cardiovascular mortality, particularly in women as it is estimated that 100 mg/day increase in dietary magnesium may confer as much as 25% reduction in the risk of cardiovascular mortality. Researchers have called subclinical magnesium deficiency “principal dicer of cardiovascular disease and a public health crisis,” so naturopathic practitioners suggesting adding magnesium-rich foods to a person’s diet is beneficial to prevent magnesium deficiency from happening.
Magnesium and Mental Health
In regards to mental health, evidence has suggested that magnesium deficiency may play a role in the etiology of depression and that high-dose supplementation of magnesium may improve this condition. Studies found that other issues that have responded favorably to magnesium supplementation include irritability, insomnia, postpartum depression, and substance abuse in the body. There is some suggestive but inconclusive evidence that indicates that magnesium supplementation may be beneficial for individuals with mild anxiety and possibly owing to its role as a natural relaxing agent.
Magnesium and Osteoporosis
For osteoporosis, calcium gets all the attention when it comes to bone mineral density; however, magnesium is an essential component for the physical structure of bone density as well. There is about 60% of the body’s magnesium stored in the bones, and considering the high prevalence of suboptimal magnesium intake in North America, the concurrent high prevalence of osteoporosis is unsurprising. Concerning bone health, low magnesium status may interfere with the efficacy of vitamin D supplementation. In the Journal of the American Osteopathic Association, a review was covered in which researchers affirmed that vitamin D could not be metabolized without the sufficient levels of magnesium.
Adding Magnesium-rich Food To Your Feast
With Thanksgiving coming around the corner, there is a way to bring magnesium to the holiday table. The good news is that this crucial mineral fits perfectly into Thanksgiving entertainment. People can serve mixed nuts as part of appetizers or hors d’oeuvres while their guests are socializing. Mixed nuts can provide a substantial amount of magnesium. They can be an excellent addition to turkey stuffing/dressing or a whole grain salad, which can provide even more magnesium that the body needs. Serving leafy greens like chard and spinach are reliable sources of magnesium, as well as certain beans like black beans and kidney beans are filled with magnesium.
Since nuts, seeds, and beans are high in phytic acid, which is a compound that binds to the minerals. So in order to increase the bioavailability of magnesium in these foods, soaking nuts, seeds, and beans is a traditional preparation method to neutralize some of this problematic molecule.
For dessert, adding chocolate is an excellent way to get magnesium in the body. Since the cocoa powder is a rich source of magnesium, research has been speculating that the chocolate cravings might be the body’s way of crying for magnesium. Not to mention, when foods are much higher in magnesium, they are not the usual subjects for intense cravings like chocolate.
“So for Thanksgiving, adding magnesium-rich foods can help cut back the sodium and carb intake of the holiday feast can be beneficial to your body to function correctly and good for your health.”-Dr. Alex Jimenez D.C., C.C.S.T. Insight
Conclusion
Magnesium is an excellent and beneficial nutrient for anyone to add to their Thanksgiving dinner. The nutrient plays many roles in the body like regulating blood sugar, improving mental health as a natural relaxing agent, and preventing osteoporosis from occurring. Adding this nutrient and some products can help the body metabolize and stable the blood sugar levels to their normal range for beneficial results.
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:
Boyle, Neil Bernard, et al. �The Effects of Magnesium Supplementation on Subjective Anxiety and Stress-A Systematic Review.� Nutrients, MDPI, 26 Apr. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5452159/.
Bruinsma, K, and DL Taren. “Chocolate: Food or Drug?” Journal of the American Dietetic Association, U.S. National Library of Medicine, Oct. 1999, www.ncbi.nlm.nih.gov/pubmed/10524390.
Castiglioni, Sara, et al. �Magnesium and Osteoporosis: Current State of Knowledge and Future Research Directions.� Nutrients, MDPI, 31 July 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3775240/.
DiNicolantonio, James J, et al. �Subclinical Magnesium Deficiency: a Principal Driver of Cardiovascular Disease and a Public Health Crisis.� Open Heart, BMJ Publishing Group, 13 Jan. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5786912/.
Eby, George A, and Karen L Eby. �Rapid Recovery from Major Depression Using Magnesium Treatment.� Medical Hypotheses, U.S. National Library of Medicine, 2006, www.ncbi.nlm.nih.gov/pubmed/16542786.
Fang, Xin, et al. �Dose-Response Relationship between Dietary Magnesium Intake and Cardiovascular Mortality: A Systematic Review and Dose-Based Meta-Regression Analysis of Prospective Studies.� Journal of Trace Elements in Medicine and Biology: Organ of the Society for Minerals and Trace Elements (GMS), U.S. National Library of Medicine, Dec. 2016, www.ncbi.nlm.nih.gov/pubmed/27053099.
Fang, Xin, et al. �Dose-Response Relationship between Dietary Magnesium Intake and Risk of Type 2 Diabetes Mellitus: A Systematic Review and Meta-Regression Analysis of Prospective Cohort Studies.� Nutrients, MDPI, 19 Nov. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5133122/.
Higdon, Jane. �Magnesium.� Linus Pauling Institute, 14 Oct. 2019, lpi.oregonstate.edu/mic/minerals/magnesium#structural-roles.
Serefko, Anna, et al. �Magnesium and Depression.� Magnesium Research, U.S. National Library of Medicine, 1 Mar. 2016, www.ncbi.nlm.nih.gov/pubmed/27910808.
Spiga, Rosangela, et al. �Are Circulating Mg2+ Levels Associated with Glucose Tolerance Profiles and Incident Type 2 Diabetes?� Nutrients, U.S. National Library of Medicine, 14 Oct. 2019, www.ncbi.nlm.nih.gov/pubmed/31615167.
Team, DFH. �Preparing Beans and Legumes � What to Know.� Designs for Health, 9 Oct. 2018, blog.designsforhealth.com/preparing-beans-and-legumes.
Team, DFH. �Put Magnesium on the Menu at Thanksgiving.� Designs for Health, 19 Nov. 2019, blog.designsforhealth.com/node/1151.
Team, NOF. �Https://Cdn.nof.org/Wp-Content/Uploads/2015/12/Osteoporosis-Fast-Facts.pdf.� National Osteoporosis Foundation, 2015.
Unknown, Unknown. �Diabetes Statistics.� National Institute of Diabetes and Digestive and Kidney Diseases, U.S. Department of Health and Human Services, 1 Sept. 2017, www.niddk.nih.gov/health-information/health-statistics/diabetes-statistics.
Unknown, Unknown. �Office of Dietary Supplements – Magnesium.� NIH Office of Dietary Supplements, U.S. Department of Health and Human Services, 11 Oct. 2019, ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/#h4.
Unknown, Unknown. �Office of Dietary Supplements – Magnesium.� NIH Office of Dietary Supplements, U.S. Department of Health and Human Services, 11 Oct. 2019, ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/#h7.
Uwitonze, Anne Marie, and Mohammed S. Razzaque. �Role of Magnesium in Vitamin D Activation and Function.� The Journal of the American Osteopathic Association, American Osteopathic Association, 1 Mar. 2018, jaoa.org/article.aspx?articleid=2673882.
Waanders, Femke, et al. �Hypomagnesaemia and Its Determinants in a Contemporary Primary Care Cohort of Persons with Type 2 Diabetes.� Endocrine, U.S. National Library of Medicine, 24 Oct. 2019, www.ncbi.nlm.nih.gov/pubmed/31650393.
Yanovski, Susan. �Sugar and Fat: Cravings and Aversions.� OUP Academic, Oxford University Press, 1 Mar. 2003, academic.oup.com/jn/article/133/3/835S/4688015.
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.
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/.
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.�
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.
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.
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