Clinic Wellness Team. A key factor to spine or back pain conditions is staying healthy. Overall wellness involves a balanced diet, appropriate exercise, physical activity, restful sleep, and a healthy lifestyle. The term has been applied in many ways. But overall, the definition is as follows.
It is a conscious, self-directed, and evolving process of achieving full potential. It is multidimensional, bringing together lifestyles both mental/spiritual and the environment in which one lives. It is positive and affirms that what we do is, in fact, correct.
It is an active process where people become aware and make choices towards a more successful lifestyle. This includes how a person contributes to their environment/community. They aim to build healthier living spaces and social networks. It helps in creating a person’s belief systems, values, and a positive world perspective.
Along with this comes the benefits of regular exercise, a healthy diet, personal self-care, and knowing when to seek medical attention. Dr. Jimenez’s message is to work towards being fit, being healthy, and staying aware of our collection of articles, blogs, and videos.
Body composition analysis is becoming a standard tool that is being used by fitness experts, coaches, and healthcare professionals.
In 2019 we can�discard reliance on body mass index (BMI)�as a means to measure health.
Other than our appearance, there is a list of diseases associated with obesity. This is what’s at the top of our minds. The list is long and includes heart disease, hypertension, cancer, joint problems, dementia, and diabetes.
Body composition analysis is defined as the clinical assessment of tissue and fluid in the human body.
Fat Mass
Fat-Free Mass
Body Cell Mass
Extracellular Mass
Total Body H2O
Intracellular H2O
Extracellular H2O
Normal distribution of tissue and fluid is associated with immunity, high function, and longevity.
However, not being able to have detailed insight�into your personal body composition can�lead to critical errors�in understanding what’s going on, along with recommendations. This can hinder the�ability to reach a specific fitness goal.
Body composition analysis is utilized in preventative, therapeutic, and research applications.
Nutrition
Anti-Aging
Physical Performance Assessment
Weight Management
Geriatrics
Lifestyles Assessment
Athletic Performance
To perform body composition analysis, mass and fluid are modeled, measurements taken, and results analyzed.
Bioimpedance (BIA) body composition analyzers measure body composition electronically. However, they do not, diagnose disease, or calculate treatment options. Only qualified health care professionals can diagnose and recommend treatment options.
There are concerns that affect everyone, which is why knowledge of body composition is important for your health in 2019 onward.
Model Body
Look at the images below of six males, all of whom are 5′ 9″ and 170 pounds. There could be some envy from their 25.4 BMI, as the results are come up on the computer screen. However, looking at the actual patient or their scans using today’s technology, the results are pretty revealing.
Notice the difference in the midsection, where there is an abnormal accumulation of visceral fat.
This occurs in metabolic syndrome and what is known as Adiposity disease.
Fat Mass (FM): Total amount of stored lipids in the body and consists of the following types:
Subcutaneous Fat is located right under the skin. Subcutaneous fat functions as an energy reserve and as insulation from the cold.
Visceral Fat is located deeper in the body. This fat serves as an energy reserve and as a cushion between the organs.
Fat-Free Mass (FFM), aka Lean Body Mass (LBM): Total amount of nonfat (lean) parts of the body.
Consists of approximately 73% water, 20% protein, 6% mineral, and 1% ash.
Fat-free mass divides further into body cell mass and extracellular mass:
Body Cell Mass (BCM): All the metabolically active tissues (cells) of the body, which include muscle, organ, blood, and immune cells.
BCM includes the “living” portion of fat cells, but not fat lipids.
BCM also includes H2O inside living cells. This water is called Intracellular Water (ICW). The main electrolyte is potassium.
Extracellular Mass (ECM): All the metabolically inactive (non-living) parts of the body, such as bone minerals and blood plasma. ECM includes water contained outside living cells. This water is called Extracellular Water (ECW). The main electrolyte is sodium.
Composition & Body Health
Body composition correlates directly to maintained proper health, that range from mortality/morbidity to immunity, longevity, high function, and athletic performance.
Body composition analysis’ purpose is to monitor and improve function.
Healthy patients analysis of fat-free mass and body cell mass helped maintain function, productivity, immunity, physical performance, and longevity.
Every case is different but through body composition analysis, people can have a better understanding of their body, what options are available to them, and most importantly do not have to be on medication/s for the rest of their lives.
References:
Kyle UG, et al. Physical activity and fat-free and fat mass by bioelectrical impedance in 3853 adults. Medicine and Science in Sports and Exercise, 2001;33:576-584.
Mattar JA, et al. Application of total body bioimpedance to the critically ill patient. New Horizons, 1995, Vol 4., No. 4; 493-503.
Ott M, et al. Bioelectrical impedance analysis as a predictor of survival in patients with human immunodeficiency virus infection. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 1995; 9:20-25.
When it comes to body composition analysis and body composition testing, most tend to think about muscle mass and body fat percentages. However, today’s medical BIA (bioelectrical impedance analysis) equipment does a lot more than that.
Body fat percentages are only a small part of a body composition analysis. For body composition equipment utilizing Direct Segmental Multi Frequency-BIA technology (DSM-BIA), means that you are able to measure and monitor other valuable indicators of your health such as visceral fat, body water, segmental readings, and phase angle values.
What�s Phase Angle?
Phase Angle or PhA allows us to see how the body is responding to changes in health – good or bad.
For example, people with cancer or who are malnourished have low PhA’s.
PhA decreases with age. This is due to the body’s slowed down capacity to repair cells quickly.
When ill, the Phase Angle goes down
When healthy the Phase Angle goes up.
When you boost your Phase Angle, aging slows down.
Solving The Riddle of Phase Angle
PhA is a�direct measurement of cell integrity and the distribution of water inside and outside the cell membrane.
How Do You Measure Phase Angle?
In healthy humans, the cell membrane is made of a layer of non-conductive (insulator) lipid material that’s between two layers of conductive fluids (the body’s water).
Two conducting materials that surround an insulator are often referred to as a capacitor.
The cell membrane is a fortress with capacitor capabilities that prevent currents from entering the cells and other unwanted materials, e.g., toxins and waste.
This means healthy cells/tough capacitors better prevent unwanted substances from entering.
Lean Body Mass (LBM) is the total weight of the body’s organs, skin, bones, body H2O, and muscles.
Describes the entire body weight minus body fat.
Also referred to Fat-free mass.
Resistance/Reactance/Impedance
Resistance is when a conductor transfers the energy of an electric current.
Greater the conductor, lower the resistance.
Low resistance/associated with large LBM.
High resistance/associated with low LBM.
A person that has large lean body mass, has a lot of body water, which means greater conductivity of the current and less overall resistance.
Reactance�measures the cells� ability to store energy.
The body has high reactance if the cells can store energy easily and has low reactance if it stores energy poorly.
Healthy cells with healthy cellular membranes hold the electrical energy charge longer.
Impedance�is the sum of resistance and reactance.
Measuring PhA and cell health can be done with a Bioelectrical impedance device, which assesses cell membrane health.
To measure impedance a small alternating current is run into the body, which then measures the effects on the current caused by the body.
50 KHz is considered ideal to maximize reactance and determine the point where the strongest cells resist the current.
As current travels through your body, the body’s water will naturally resist the flow of the current and this is referred to as resistance.
When current encounters a cell, the cell wall causes a delay, as the voltage builds up, in order to pass through the cell wall while the current continues instantly.
This brief time delay, which is caused by the cells is compared to the amount of water, which provides us with a PhA.
Impedance is a combination of these two values.
Phase Angle and Overall Health
Tracking your PhA, allows you to gain a more precise picture of your health, as it examines cell health/integrity and the amount of water inside.
Higher PhA values mean greater cellular integrity and reflect better cell health.
Low PhA, is predictive of decreased muscle strength, compromised quality of life, and increased mortality in older adults with cancer.
Low phase angles are consistent in individuals with malnutrition, HIV/AIDS, cancer, and chronic alcoholism.
How To Know If My PhA Is Normal?
Certain factors can influence PhA such as (Age, Gender, BMI) but there are differences in PhA’s across different populations. Which means that PhA values tend to differ based on the BIA equipment being used.
Example of a Phase Angle Reading Utilizing The InBody 770:
What everyone needs to know is that phase angle depends on the individual makeup of everyone.
The Connection Between My Body’s Composition & Phase Angle
Inflammation reduction along with body fat reduction
Phase�Angle�Decrease�May�Result�From:
Muscle tissue loss
Increased inflammation
Phase Angle In A Clinical Practice
A study, monitoring PhA values in a hospital setting found that it helped identify nutritionally at-risk patients quickly, thus saving the staff time, as the patients did not have to answer the in-depth nutritional questions. Instead, they took a quick BIA.
Phase Angle Takeaway
PhA values can be highly informative of what is going on in one’s body.
PhA can help in identifying health risks/issues
Track lifestyle change progress
Medical Clinics can use PhA to help create custom treatment and health care plans
Each chemical reaction which occurs in the human body requires enzymes and each one of these processes needs a coenzyme. But what are coenzymes? They are vitamins and minerals. Approximately 37 billion, billion chemical reactions occur in the human body every second.
That is why proper nutrition and a balanced diet rich in whole foods with vitamins and minerals is fundamental towards overall health and wellness. The majority of people in the United States are vitamin and/or mineral deficient. But, how do you know if you�re a part of the 90 percent of individuals with enough deficiencies to develop disease? We will discuss the tests you can utilize to find out if you�re vitamin and/or mineral deficient and what you can do about it.
What�is�Nutrition?
Hello, welcome to part three of �Taking Control of your Healthcare�. Today, we will discuss one of the fun topics of functional medicine: nutrition. Unfortunately, nutrition is one of the most essential conversations that many doctors aren�t willing to have with their patients. The average medical doctor learns about disease and malnutrition rather than learning how to use nutrition as treatment or even how to use nutritional therapies to achieve optimal health and wellness.
I personally believe that food can be utilized as a form of medicine. That it should be the foundation of medical practice, not an afterthought in medicine. There is no better treatment than proper nutrition. Approximately 90 percent of individuals in the United States aren�t getting the essential nutrients they require for healthy bodily functions. And more than that probably aren�t getting enough nutrients to prevent diseases associated with nutritional deficiencies. However, what is ultimately needed to achieve optimal well-being? More than 98 percent of Americans are deficient in omega-3, 80 percent in vitamin D, 50 percent in magnesium, and 10 percent in vitamin C. Nutrient deficiencies can also continue to cause health issues for years.
Acute diseases, such as rickets, scurvy, beriberi, or iron deficiency anemia, are often the most talked about health issues associated with nutrient deficiency, however, there�s also something known as long latency deficiency diseases. So, how much vitamin D do we need to not get rickets? Not a lot, only 30 units really. And how much do we need to not get osteoporosis? Perhaps about 3,000 to 4,000 units per day. Now, how much folate do we need to not get anemia? Also not very much. But, how much do we need to prevent heart disease, cancer, and dementia? You definitely need a lot more units per day.
Each chemical reaction which occurs in the human body requires enzymes and each one of these processes needs a coenzyme. But what are coenzymes? They are vitamins and minerals. Approximately 37 billion, billion chemical reactions occur in the human body every second.
That is why proper nutrition and a balanced diet rich in whole foods with vitamins and minerals is fundamental towards overall health and wellness. The majority of people in the United States are vitamin and/or mineral deficient. But, how do you know if you�re a part of the 90 percent of individuals with enough deficiencies to develop disease? There are only several nutrients which we are generally tested for. And for a majority of these, doctors aren�t aware of what the optimal values should be which can make correcting the nutrient deficiency so much difficult to do.
Taking Control of Your Nutrition
One of the most fundamental nutrients you need to measure is vitamin D. Although it�s referred to as a vitamin, it�s actually more like a hormone and it�s produced from cholesterol. This is yet another reason why cholesterol is essential. Approximately 80 percent of the population is deficient in vitamin D. Unless you�re in the sun 20 minutes every day between 10:00am and 2:00pm, you might need to take vitamin D supplements. In order to supplement properly, however, we need to know from what level you are starting at first. By way of instance, optimal vitamin D levels should be anywhere between 50 and 80 nanograms per milliliter of blood. The recommended amount of vitamin D we can supplement is about 2,000 to 4,000 units.
If you have lower vitamin D levels or if you have genetic problems, you may actually need to supplement with up to 10,000 units of vitamin D. That�s why it�s fundamental to work with a doctor or functional medicine practitioner who can measure and test your nutrient levels as well as help you optimize them. Most supplements contain about 400 units which is 10 times less than the amount most of us need. The optimal levels are generally just over 20. This is way too low. In one research study, women with vitamin D levels between 45 and 60 experienced reduced preterm labors by up to 60 percent. Vitamin D is also essential to help build strong bones and muscles, to improve immune system function, to prevent cancer, and ultimately, to help you live longer. It�s incredible.
Another measurement or test that�s performed by most doctors but is not always interpreted correctly is referred to as the MCV or mean corpuscular volume. The MCV measurement evaluates the size of your red blood cells in a test called CBC, or complete blood count, which is one of the most common blood panels ordered by healthcare professionals. So, if you are deficient in nutrients, your cells can either become smaller or larger. By way of instance, if your cells are too big, it could be a signs of a folate or vitamin B12 deficiency.
B vitamins are essential in numerous chemical reactions within the human body. They help us produce energy as well as help us regulate gene expression in order to create proteins that will ensure our overall health and wellness. If our B vitamins are too low, we could eventually develop an iron deficiency, anemia, or it could even cause a genetic disorder.
Optimal levels of B vitamins should be between 80 to 90. B complex vitamin supplements can help easily optimize levels of B vitamins. But, why would anyone be deficient in B vitamins? Is their diet not providing them with enough nutrients? Are they vegan? Are they taking any drugs and/or medications that prevent vitamin B12 absorption? Moreover, B vitamins are depleted during times of high stress which, as a practicing chiropractor, I can say it happens frequently to a majority of the population in the United States alone.
MCV is not the only measurement or test which evaluates a patient�s levels of B vitamins. Homocysteine is an alternative marker we will discuss in future articles which demonstrates B6, folate, and B12 levels. However, both the MCV and the homocysteine measurement or test only demonstrates that one or more of these nutrients may be deficient. It doesn�t necessarily tell us which one. Therefore, some additional, follow up evaluations may be required.
The MMA, or methylmalonic acid, measurement or test also shows vitamin B12 levels. Ultimately, vitamin B12 is essential for many processes in the human body, including energy production, gene expression, methylation, nerve function, and mood, among many other processes. Vegans have a higher chance of developing a B12 deficiency because it�s only found in animal products. Folate is another fundamental B vitamin. It can be determined directly in the blood, but, homocysteine is a more precise marker for folate levels.
In this section, we�re also going to discuss genetics because there is a measurement or test which can demonstrate a lot more regarding the status of your B vitamins and your ability to utilize them. Our genes are capable of making proteins. We have approximately 20,000 genes which are designed to create proteins. And one third of all the proteins they make are for our enzymes. Enzymes convert molecules into other molecules. These enzymes are also largely dependent on specific nutrients. One of the most fundamental genes which can be affected is known as MTHFR, or methylenetetrahydrofolate reductase. But you can just call it MTHFR.
MTHFR is essential because it helps regulate methylation, homocysteine, and folate, which are vital towards our overall health and wellness. When you have elevated levels of homocysteine, you should check your methylation status by looking for the MTHFR gene through a simple blood test.
Methylation is a key biochemical process which is fundamental towards the proper function of most of the human body�s systems. It triggers billions of times each second. And it ultimately helps control homocysteine, a substance which can damage blood vessels and has been associated with dementia, heart disease, and cancer, among other health issues. Methylation also helps repair your DNA on a regular basis as it helps recycle molecules necessary for detoxification, or getting rid of toxins. It also helps control your mood and it helps manage inflammation. Methylation is critical.
But, to make sure that methylation is active, the human body needs optimal levels of B vitamins. Without enough B vitamins, the methylation process can break down and the effects can be destructive. This is where we start seeing an increase in birth defects, such as spina bifida, down syndrome, and more miscarriages.
MTHFR is frequently abnormal in approximately 35 percent of the population. Methylation breakdown can also increase the risk of developing health issues like osteoporosis and diabetes, cervical dysplasia or cancer, including colon cancer and lung cancer, and even depression, pediatric cognitive dysfunction as well as mood and behavioral disorders, dementia, and stroke. Methylation is truly a key biochemical process.
When we discuss genetics, we have to understand that our environment can alter our genes. So, what if you have an MTHFR variation in your genes? First of all, not all mutations cause health issues. One mutation, by way of instance, known as C677T, is one version of the gene which is more significant than another version of the gene, known as A1298C. Now there�s no need to worry about these gene variations. They serve as examples to demonstrate you the quality of these mutations and how they function. People with these variations of the gene, by way of instance, might only need more folate or they might need a particular type of folate known as methylfolate. This is where a functional medicine practitioner can help their patients.
A genetic test can let you known if you have one of these gene variations. But, don�t get stressed. There�s a lot you can do to optimize your overall health and wellness. Many patients have visited my office after they find out they have these variations in their genes. And they quickly learn that they do have the option to take control of their well-being. However, what you do control is not your genes, you control your gene expression.
If you alter your healthy eating habits, you alter your nutrients. If you alter your environment, you alter which genes become active and which genes become inactive. And with these mutations, you can do just about the same thing by simply following the proper nutrition. When you find a doctor or functional medicine practitioner that�s willing to work with you, they�re going to tell you what lifestyle modifications you should follow to prevent health issues.
So, we�ve only just discussed the B vitamins. Next, we will discuss another fundamental nutrient in the human body: magnesium. Magnesium is a super essential mineral. Approximately 48 percent of people in the United States consume less than the required amount of magnesium from food. Magnesium is necessary in over 300 chemical reactions in the human body. It is also fundamental in the production of ATP, or the energy the human body utilizes as fuel.
A magnesium level blood measurement or test can help determine if you have a deficiency. Magnesium can also help reduce anxiety, calm the nervous system, and improve sleep. It is also an essential nutrient in the management of blood sugar levels. If you�ve been told by a healthcare professional that you have an average blood sugar level of over five and a half in something known as A1c, then magnesium can help.
Also, it�s very easy to know if you have a magnesium deficiency by looking at your current diet and symptoms. Do you eat enough magnesium rich foods like dark, leafy greens, beans, nuts and seeds? Or do you eat a lot of processed foods? Perhaps you also have symptoms such as anxiety, insomnia, constipation, muscle twitching, muscle cramps, PMS, and/or palpitations. If you have one or more of the symptoms I just mentioned, you may have a magnesium deficiency.
Next, we will talk about zinc, the immune-boosting and testosterone-boosting mineral in the human body. This important nutrient is in charge of maintaining your hair volume as well as repairing your gut lining. It�s also responsible for making sure your thyroid is functioning properly. Zinc can be easily measured or tested in the blood and unfortunately, it�s another nutrient we are highly deficient in, in the United States. Additionally, you can also look at your alkaline phosphatase levels, which can be calculated through a liver function evaluation on a regular blood panel. High levels of alkaline phosphatase may indicate the presence of cancer or bone problems, among other health issues, however, low levels of alkaline phosphatase may indicate a zinc deficiency, because it�s a zinc-dependent enzyme.
Finally, the last fundamental nutrient we are going to discuss is iron. Iron is frequently deficient in vegans and vegetarians, or in women in general due to menstruation. Iron is necessary for transporting oxygen throughout the human body and it�s ultimately essential for brain health and wellness. Iron is also important for hair and nails, sleep, and so many other things.
Ferritin is a stored type of iron and it�s this nutrient which helps you see your iron levels. Optimal ferritin levels should be between 50 to 150 in women and 100 to 300 in men. And many times I�ve seen women visit my office who have ferritin levels of less than 50, or worse, in the single digits. This is because pre-menopausal women lose blood every month due to their menstrual cycles and it becomes so much harder for them to maintain proper ferritin levels. Many women also eat way less than what they�re supposed to be eating every day. High levels of ferritin, on the other hand, could be a sign of inflammation, generally caused by insulin resistance to sugar, or it could be a sign of hemochromatosis or iron storage disease, a very dangerous genetic disorder.
Having decreased levels of ferritin can also make you feel tired, and it can cause hair loss, it can cause insomnia. So, even if your blood count is normal, if your ferritin levels are low or your iron levels are low, it can also cause these symptoms. That�s why if you experience symptoms of fatigue, it�s essential to measure or test your ferritin levels. And it can be easily supplemented.
Aside from ferritin, a low MCV can also determine if you have an iron deficiency. Iron deficiencies can cause red blood cells to become very small and that can be demonstrated in low MCV levels, which evaluate the size of your red blood cells. Additionally, transference saturation, serum iron, TIBC, or total iron binding capacity, and hemoglobin, can provide us with a more in depth look at your iron status to distinguish different causes of anemia. These are included on a regular iron blood panel in a lab test.
We�ve discussed several nutrients which can be ordered by a majority of healthcare professinals with access to conventional lab testing. Furthermore, there�s another test which can tell us more about which type of nutrients we need based on our genes. It�s called the DNA health test and it�s provided by a company called DNAlife. This test evaluates a variety of genetic markers associated with detoxification, lipid metabolism, and inflammation, including the MTHFR gene and other B vitamin markers. Now, DNA Health demonstrates the different genes we evaluate. And most of these are common genes, they�re those we can do something about. We analyze the genes we can change based on your nutrition and other lifestyle factors.
It shows us the MTHFR gene, other B vitamin markers, genes that control B6, folate, and B12 as well as demonstrating how they function and whether you have nutrient deficiencies. Then it tells us which nutrients you will need to supplement and how much we will need to give to you. It�s tremendously helpful.
There was an individual who had two variables of the MTHFR gene. This woman had miscarriage after miscarriage after miscarriage. She visited her doctor for an evaluation and it turns out that she had a folate-regulating mutation. So her doctor then started giving her the proper amount of folate she needed and she started having healthy babies. Sometimes, nutrition can be that powerful towards improving a patient�s overall health and wellness.
The DNA health test can help personalize your approach when optimizing your well-being based on your genetics. What we measure utilizing the DNA health test provide well-established insights about your genes as well as what you can do about them.
A micronutrient test known as the individualized optimized nutrition profile or the ION panel, are alternative test options which can also provide information about your current nutritional status. This test is by Genova. This is a robust test which measures all the essential vitamins and minerals, fatty acids, organic acids, and antioxidants you currently have. Ultimately, this test looks for imbalances, insufficiencies, or deficiencies, rather than looking for a specific disease. It looks for things that a majority of doctors never look at.
Functional medicine practitioners or doctors look at patient�s amino acid levels, mineral levels, and even toxin levels from heavy metals like mercury, lead, arsenic, and many more. We also look at your antioxidant levels, vitamin A and vitamin E levels, as well as your CoQ10 antioxidant and beta carotene status. We can determine if a person eats vegetables or not if, by way of instance, they have low levels of beta carotene. We also look at vitamin D levels, essential fatty acids, including your omega-3 fats and your omega-6 fats. We can tell if a person eats junk food. We can tell if a person is eating fish. And We can tell if a person is eating too much olive oil or saturated fats. It�s all demonstrated in these measurements and tests.
An OAT test, or organic acids test, also looks at what is known as organic acids. This test demonstrates a wide array of parameters associated with your mitochondria, which we will discuss in the next article, your B vitamins, your neurotransmitters, your gut flora, and your detoxification. It�s ultimately a comprehensive test which shows me if a patient is well or sick. It shows me where the imbalances are and where I need to recommend lifestyle modifications. It also helps provide clues about other health issues.
By way of instance, if your mitochondria aren�t functioning correctly because you have decreased levels of essential amino acids or you have increased oxidative stress or if you simply have low levels of selenium and zinc, there�s a possibility that you might have some form of toxic overload due to heavy metals. And that�s precisely what I would go looking for. Signs like these provide a lot of information about what we can do to treat a patient. And an experienced functional medicine practitioner or doctor can determine what�s really going on with a patient or they can help patients discover how to optimize their overall health and wellness.
Nutrition is the study of nutrients in food and how the human body utilizes nutrients as well as the relationship between diet, disease and overall health and wellness. Nutrients are a source of nourishment, including carbohydrates, proteins, fats, vitamins, minerals, fiber and water. Functional medicine focuses on the use of food as a form of medicine. A balanced nutrition can help prevent as well as treat a variety of health issues. Similarly, nutrition in functional medicine involves how certain diseases and conditions may be associated with dietary factors, such as poor diet or malnutrition, food allergies and food intolerances. Dr. Alex Jimenez D.C., C.C.S.T.
Understanding Your Nutrition
As good functional medicine doctors we�re often left asking ourselves, why is it that so many people in the United States are overfed but undernourished? Or, why is it that Americans eat too many calories and too few nutrients? The leading causes for the widespread nutritional deficiencies are the following: First, humans evolved from eating wild foods which contained tremendously higher levels of nutrients. Second, the soil we currently utilize to grow our crops in has become greatly depleted of nutrients. Hybridization techniques from industrial farming are yielding animals and vegetables to have decreased levels of nutrients. Third, processed foods have absolutely no nutrients, which is why they frequently have to be fortified. And last but not least, exposure to environmental toxins, lack of sunlight, chronic stress, and poor diet, including increased alcohol, caffeine, and sugar consumption, can increase our nutritional needs, much of which we�re already not getting enough from our current nutrition.
Well you might not need any vitamins, however, if you can meet certain conditions. Perhaps if you only hunted and gathered wild food and if you weren�t exposed to environmental toxins. Or maybe if you went to sleep with the sun and woke up with the sun, sleeping nine hours a night. And if you experienced absolutely no amount of chronic stress. Ultimately if you only drank pure, clean water and breathed pure, clean air. Then, you probably wouldn�t need any vitamins. But the rest of us that don�t follow these conditions, we do need them.
And with that thought, we wrap up this article. In the next article, we will talk about hormones. Hormones can affect almost every aspect of our well-being, and many healthcare professionals don�t understand what our optimal hormone levels should be or even when to test them and what to do about it once they do. Measuring and testing hormone levels should be standard practice, and many patients have never had a blood panel to look at their hormones. It�s fundamental to know as well as understand what�s going on inside your own body. And that�s why this next article is so important. You won�t want to miss our next update. See you soon.
The scope of our information is limited to chiropractic and spinal health issues as well as functional medicine topics and discussions. To further discuss the subject matter, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900�.
Curated by Dr. Alex Jimenez
Additional Topic Discussion:�Acute Back Pain
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief. �
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The InBody770 represents the apex of BIA technology. The InBody770 reports on body composition and also reports a complete breakdown of body water. There are 6 frequencies, which create a total of 30 impedance values. There is no other machine on the planet that can match the accuracy and dependability of the InBody770.
The InBody 770
Quick Tests
Measure fat mass, muscle mass, and body water levels in under a minute. No dunking, pinching, or discomfort. Stand on the device and hold the hand electrodes.
No Predicting
Just impedance is used to determine your body composition; No estimations like age and gender are needed or required to predict your composition.
Cloud Software
Automatically save all of the information from InBody to Lookin’Body Web, InBody’s cloud database management system. Easily view and manage customer’s results and see progress anytime.
Check Out The InBody 770 Result Sheet
To find out how to use this data in practice? Download the free guide here.
Today we will begin to discuss how the spectrum which medicine currently considers �normal� may not actually be optimal towards your overall health and wellness. These reference ranges can change based on age, gender, physical activity, and more. As a matter of fact, if we were to evaluate an individual�s weight in the United States, it would be considered �normal� to be overweight, simply because 70 percent of the population is overweight. Reference ranges for lab tests today are based on a sick population when we should aspire for optimal well-being.
Then, I will demonstrate how this knowledge can apply to the most basic medical measurements: your vital signs. Everyone knows that when you first visit a doctor, they take your vital signs, including your weight, your blood pressure, your heart rate, and your temperature. However, does your doctor tell you what your results mean? How can you tell if you�re healthy?
What�are�Vital�Signs?
Hello everyone, it�s Dr. Alex Jimenez. Welcome to part 2 of �Taking Control of Your Healthcare�. Today, we will discuss laboratory reference ranges associated with your vital signs. It may not sound like an interesting topic, but it�s really important for your well-being.
Most doctors generally define a patient�s test results as either �normal� or �abnormal�. But what exactly does �normal� and �abnormal� mean? Normal is when 95 percent of the population falls within a common range while abnormal is when the remaining percent of the population falls outside that common range. Whether you�re healthy or sick, young or old, although there can be some variations for children, normal and abnormal are simply statistical numbers which fall within two standard deviations.
However, these standard deviations don�t necessarily mean it�s optimal or not. It�s only a statistical number, after all. As a matter of fact, disease can occur along healthy and unhealthy individuals. These lab reference ranges should be defined according to what is best for a human being.
By way of instance, vitamin D levels are classified as normal if they�re over 20, however, the ideal levels are over 50. So why is 20 considered �normal�? This is because approximately 80 percent of the population is deficient in vitamin D, therefore, they fall under what is considered to be the �normal� range. However, this doesn�t mean that these levels are best for your overall health and wellness. Furthermore, �normal� blood sugar levels have been classified to be under 100, although we know �optimal� blood sugar levels have been classified to be between 70 to 80. Blood sugar levels over 80 can have an increased risk of disease. And unfortunately, our �normal� laboratory reference ranges are not optimal because we�ve become a sick population. In the United States it can be considered �normal� to be overweight because 70 percent of our population is overweight. But, although being overweight or obese is considered normal in the United States, that�s not something we would want to aspire to. We want to aspire to achieve overall health and wellness.
Now let�s continue to discuss the meaning of normal. Many patients often visit the doctor only to be told that their lab tests have returned normal, however, they may still be feeling sick. What does that mean? Does it mean you�re sick? Does it mean you�re healthy? As I�ve mentioned previously, either your doctor is missing something or you�re crazy, and I�m pretty sure your doctor is missing something. This is one of the main differences between conventional medicine and functional medicine. Through functional medicine, many doctors focus on health care rather than sick care. We�re looking for more subtle deviations from optimal.
Until your liver function is considered abnormal according to the current standard, your liver cells may already be dying. A functional medicine doctor may review your lab tests differently than a conventional doctor. This is primarily because the reference ranges that we�re focusing on aim towards optimal health, not disease. Many conventional doctors evaluate lab tests differently than functional medicine doctors, and then they either follow a �watch-and-wait approach�, or they label you as �not sick� after the most minimal amount of lab tests. As a matter of fact, one patient who visited me had blood sugar levels of 120, where a blood sugar of 126 is already considered type 2 diabetes. And I said, �Did you see your doctor regarding this?� And he said, �Yeah.� I asked him what the doctor said. And he finally said, �Well, he said to wait until I actually had diabetes and then to come back for medication.� And that is the last thing we want to be doing as healthcare professionals.
Reference ranges give us an average number of values which have been recorded among the general population. But let�s not forget, �normal� reference ranges are relative. They change based on age, gender, physical activity, and more. If you were to evaluate an individual�s weight in the United States today, it would be normal to be overweight, as I mentioned, only because 70 percent of people are overweight. And unfortunately, we keep changing our reference ranges based on our sick population. This is not what we should aspire to do as doctors. This is why functional medicine treats the individual, not only the numbers.
Additionally, reference ranges which were once considered normal can also change over time. One instance of how reference ranges change was demonstrated by a known global laboratory company called LabCorp, where they recently changed their reference ranges for male testosterone levels. Previously, LabCorp considered normal testosterone levels for an adult male to be between 348 to 1,197. This value was based on a population of lean adult males. However, in 2017, they lowered normal testosterone levels for an adult male to be between 264 to 916. Moreover, overweight men, excluding obese men, were probably included in the cohort study, ultimately changing reference ranges for male testosterone levels. Research studies have found that excess abdominal fat can cause lower testosterone levels. By changing reference ranges, however, this demonstrates that conventional medicine is considering overweight individuals to be a part of the norm. But this isn�t what we want. We want to strive for overall well-being.
This is why you need to start taking control of your own healthcare. As one in two people have some type of chronic disease, we have to evaluate how we interpret lab tests as well as how �normal� may not necessarily mean health and wellness but simply an average for a growing sick population in the United States.
Taking Control of Your Vital Signs
The primary goal of this series of videos is to encourage you to become the leader of your own well-being by understanding what your lab tests mean, understanding what optimal looks like, and understanding which lab tests are designed to help you achieve overall health and wellness rather than focusing on the disease. I would also like to educate you in order for you to make an informed decision on who you choose to be your doctor, or partner, in your journey to well-being. Now let�s look into the most common medical measurements: your vital signs.
Your vital signs are initially taken by the nurse when you visit the doctor. These vital signs generally include blood pressure, weight, heart rate, temperature, and even oxygen saturation. However, are you aware of what these numbers mean? Has your doctor discussed these numbers with you? Why would they take your vital signs if they�re just going to record them and never discuss them with you? Do the numbers actually demonstrate your health and wellness? If you have high blood pressure or a heart rhythm problem, your healthcare professional is most likely going to tell you, but otherwise, you may not find out what the value of your vital signs is.
Your heart rate is probably one of the most important vital signs taken during a doctor visit. The pulse is a measure of how fast your heart is beating. The human heart beats more than 115,000 times per day. So, if your heart rate is above 100, then we define that as having a high heart rate. But, if you have a heart rate higher than 80, that can increase your risk of developing heart disease. What causes this increase? Although many factors can lead to cardiovascular disease, stress is one of the most common causes because it raises your adrenaline and causes increased heart rate and blood pressure. Drinking too much coffee, stimulating medicines like Adderall, or an overactive thyroid, heart or lung health issue can also increase the risk of heart disease.
The fight-or-flight response, a physiological reaction which becomes activated during times of stress, can also cause an increase in heart rate. When an individual�s heart rate is frequently above 80, it might be time to begin incorporating some stress management techniques into their life, by way of instance, mindfulness meditation and other forms of meditation. Stress is not the only cause of an increased heart rate. Anxiety, magnesium deficiencies, being out of shape and dehydration can also cause an increased heart rate. Ideally, we want to achieve a lower heart rate, optimally under 70.
On the other side of the spectrum, a decreased heart rate below 60 might also demonstrate the presence of thyroid gland dysfunction or low thyroid function. Athletes and distance runners actually have low heart rates because they�re so well-conditioned. Their heart rates can be as low as 50 or even 45. But, if you have a low heart rate and you�re not an athlete or a distance runner, it may be time for you to go talk to your doctor.
While heart rate is one of the most important vital signs taken during a doctor visit, there�s another vital sign which can be just as important, your heart rate variability. This reflects the health of your automatic or autonomic nervous system, which is in charge of controlling all of the unconscious elements of your nervous system, such as digestion and breathing. Heart rate variability has frequently been associated with longevity and even death. The less variable the heart rate is, the higher the mortality rate. Many doctors don�t measure a patient�s heart rate variability, but fortunately, you can manage it yourself. Hot-and-cold therapies, saunas, exercise, yoga and meditation, can all help improve a patient�s heart rate variability.
Now let�s move on to the next most important of the vital signs taken during a doctor visit, blood pressure. If you were to line up all the blood vessels in your body, they would extend approximately 59,000 miles. That�s almost seven times around the earth. These same blood vessels carry over 7,500 liters of blood throughout your entire body on a regular basis. With each heartbeat, blood is pushed against the artery walls, which causes an increase in pressure.
Medical measurements for blood pressure have two numbers. The top number is known as systolic, or the pressure when the heart is contracting, and the bottom number is known as diastolic, or the pressure when the heart is relaxing or at rest. Normal reference ranges for blood pressure continue to change because we keep finding out that the reference ranges we used to think of as normal, which were first 140/90, then 130/80, were still associated with an increased risk of stroke and heart attack. Many doctors today may mention a problem with your blood pressure only if it�s over 130/80.
The reason why blood pressure is so important is because when it�s elevated, it can place additional pressure on the heart and arteries, potentially leading to heart disease, or stroke, heart failure, or even kidney failure. And it�s not only the heart and arteries which are affected by blood pressure: the brain, kidneys and even the eyes can all be tremendously affected, leading to strokes, dementia, kidney failure, and blindness, among other health issues. Maintaining your blood pressure at an optimal level is fundamental towards your overall health and wellness. As a matter of fact, normal blood pressure is currently believed to be under 120/80, however, it may turn out to be even lower.
While high blood pressure is bad, low blood pressure can also be just as bad. A good functional medicine doctor will discuss with you the risks of both high blood pressure and low blood pressure. Blood pressure below 100/60 may cause problems but not necessarily. Blood vessels in the human body function just like pistons in a car. If not enough pressure is built up, it can become really difficult for the blood to flow against gravity. And because the human brain is positioned higher than the heart, we depend on our blood pressure to supply our brain with the necessary amount of oxygen and nutrients required to function accordingly.
If you have low blood pressure, you might experience other symptoms, such as fatigue. Other symptoms associated with low blood pressure include dizziness when standing, weakness and even brain fog. Also, both chronic high blood pressure and chronic low blood pressure may contribute to an increased risk of dementia.
Now we�ve discussed the importance of heart rate and blood pressure. But, how about we discuss another important vital sign: your body temperature? A fever or an elevated body temperature can often be a sign of infection. Temperature can also provide an insight into the function of our metabolism. The lower an individual�s metabolism, the less heat they produce, which may manifest as a slightly lower-than-normal body temperature. The thyroid gland plays a big role in metabolism and regulating your temperature. So, if you frequently feel cold, you might want to discuss ordering the right thyroid panel with your doctor. But, what tests should you ask your doctor to determine this? Don�t worry, we will discuss which thyroid tests you should take in the video on hormones. The optimal body temperature should be approximately 98.6 degrees Fahrenheit. If it�s lower than 97.7 degrees Fahrenheit, however, it may indicate that you have a thyroid problem.
The final medical measurements we�re going to discuss are your height and your weight. Doctors utilize your height and weight to calculate your body mass index, or BMI. At our clinic, by way of instance, we utilize the InBody 770, a body composition and body water analyzer, to help easily determine your body mass index and more. However, body mass index doesn�t always factor in body composition, or the percentage of fat versus muscle in the human body. By way of instance, a pro football player who is 6�6� and 265 pounds has a body mass index of over 30, which puts them in the obese category.
But if you were to take a look at this individual�s body, they would never be categorized as obese. This demonstrates that BMI isn�t an accurate measurement, especially for athletes. Also, a 65-year-old woman may have more fat than muscle in their body while their BMI measurements may appear �optimal�. Instead, many functional medicine doctors use waist-to-hip medical measurements. This is a simple measurement you can do at home to determine body fat distribution, which can also help demonstrate the risk of metabolic dysfunction. Obesity, type 2 diabetes, and heart disease are caused by excess belly fat or fat accumulated around the organs. Excess fat around the midsection can ultimately increase the risk for heart disease and metabolic issues, such as diabetes, dementia, cancer and many other health problems.
But first, let�s discuss how you can calculate your waist-to-hip ratio. To measure your waist, you simply take the measurements of the widest area around your waist, which is generally the biggest part around your belly button. To measure your hip, you then take the measurements of the widest area around your hip, which is generally where your hip bones are on your sides. So, you take these measurements and then you divide the measurements of your waist by the measurements of your hip. And this is the most fundamental number you have to look at.
In men, a waist-to-hip ratio of less than 0.9 is considered optimal. If the ratio is greater than one, meaning that your belly is bigger than your hip, it can put men at higher risk of developing metabolic syndrome, heart disease, diabetes, stroke, cancer, and dementia. In women, a waist-to-hip ratio of less than 0.8 is considered optimal. If the ratio is greater than 0.85, it can put women at higher risk of developing metabolic syndrome as well as the other health issues mentioned above.
Medical measurements, including heart rate, temperature, respiration rate, and blood pressure, are several vital signs which help indicate doctors the state of a patient’s fundamental body functions. Reference ranges today are utilized to determine “normal” health and wellness spectrums, however, research studies have demonstrated that these reference ranges may actually not be optimal spectrums. Understanding the most basic medical measurements, or vital signs, is important towards a patient’s well-being, as it can help people recognize whether they are feeling healthy or sick, regardless of the standards.
Understanding Your Vital Signs
And those were your vital signs, your most basic medical measurements. These numbers are very essential as they are fundamental towards your overall health and wellness. Understanding how your body functions as a whole is important to optimize your well-being. Therefore, next time you visit your doctor, ask about your vital signs and discuss these reference ranges with them. I truly believe that a combination of your own research and having a good relationship with a qualified healthcare professional can lead you on the right path to overall health and wellness.
Finding a doctor that will work with you is essential towards achieving the results you deserve. If your doctor is not willing to have a conversation with you about your well-being or the lab tests that are needed to track your results, then you might want to consider finding another doctor.
If you learned about the simplest medical measurements then you will definitely enjoy the next video, where we will discuss the blood tests utilized to determine nutritional deficiencies. Over 90 percent of individuals in the United States are deficient in nutrients at the RDA level. That�s the minimum amount necessary to prevent diseases caused by nutritional deficiencies, such as scurvy and rickets.
We�re going to discuss how a doctor who specializes in functional medicine evaluates results and what other tests your doctor might be unaware of that can tell us a lot about your nutritional status. Thanks again for joining me so far and I�ll see you later. The scope of our information is limited to chiropractic and spinal health issues as well as functional medicine topics and discussions. To further discuss the subject matter, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900�.
Curated by Dr. Alex Jimenez
Additional Topic Discussion:�Acute Back Pain
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. The spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.
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Fish oil is used as a natural health supplement that treats a variety of issues. It provides beneficial omega-3 fatty acids that promote good health throughout the body and helps to cure or prevent certain health conditions. However, some people are not convinced. They view fish oil as nothing more than snake oil with no real health benefits. Nothing could be further from the truth. Researchers at Harvard University ranked omega-3 fatty acid deficiency as the sixth highest cause of death in the United States.
What is Fish Oil and what are Omega-3 Fatty Acids?
Fish oil is precisely what it sounds like, oil from the tissues of oily fish. While you can get it by eating certain fatty, cold water fish like wild caught salmon, white fish, anchovies, herring, and sardines, many people opt for the fish oil supplements available at health food stores and even supermarket shelves.
Omega-3 fatty acids are highly concentrated fish oil. They are polyunsaturated fatty acids and must be introduced into the body either via the food eaten or supplements. It is not like many other fatty acids that the body can produce. Fish oil has two vital types of omega-3, eicosatetraenoic acid (EPA) and docosahexaenoic acid (DHA).
How is Fish Oil Used?
Fish oil supplements are intended to be taken just like a daily vitamin. Because of its many health benefits like preventing diseases and reducing the symptoms of certain conditions, it has become a standard in most people�s health routines and is even included in some multi-vitamins. It is taken in the form of a capsule. It can be purchased over the counter, but the FDA has approved a prescription version fish oil that lowers high triglyceride levels.
Fish oil omega three gel capsule
What are the Benefits of Fish Oil?
Fish oil provides a number of health benefits ranging from heart health to treating diabetic complications that affect the kidneys. It also helps:
Lowering blood pressure
Lowering cholesterol levels
Preventing heart disease and stroke
Preventing clogged arteries
Relieving certain heart conditions such as irregular heartbeat, heart failure, chest pain, and preventing blood clots
It is used after bypass surgery to aid in healing as well as with heart transplants
Kidney disease
Kidney failure
Cirrhosis
Arthritis
Cancer
Anxiety
Berger�s disease
Brain health including relieving depressing, PTSD, migraines, ADHD, and other mental health issues
There are many other fish oil benefits. It indeed is a wonder health supplement.
How to Take Fish Oil
Fish oil typically comes in a gel-filled capsule. It is essential that it not be punctured before taking. Patients should follow the direction exactly as they are on the label or as the doctor prescribed. It is a good idea for them to talk to their doctor before they start taking fish oil to make sure that it does not interact with any other medications that they are taking.
Potential Side Effects of Fish Oil
Typically, fish oil will not have any side effects. Some mild ones include an upset stomach, back pain, mild rash on the skin, belching, and an unusual or unpleasant taste in the mouth. More severe side effects that should warrant a call to the doctor include flu symptoms: fever, body aches, chills; irregular or uneven heartbeats; and chest pain.
An allergic reaction to fish oil is serious and the patient should seek immediate medical attention if they experience any of these symptoms:
Hives
Breathing difficulties
Swelling: throat, tongue, or face
How to Choose Good Fish Oil
Anyone considering taking fish oil should first talk to their doctor who can recommend a therapeutic dose. Read the label to determine how much omega-3 is in each capsule as well as the recommended dosage. Doctor recommended brands are best, but in the absence of a doctor recommendation, a reputable brand by an established, trusted, trustworthy company is best.
Fish oil is excellent for all-around health and chiropractic patients taking the supplement can enjoy better health and better results from their chiropractic care.
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