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Wellness

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.


The Role of Acupuncture in Managing Ulcerative Colitis Symptoms

The Role of Acupuncture in Managing Ulcerative Colitis Symptoms

For individuals dealing with ulcerative colitis, can acupuncture treatment benefit those with UC and other GI-related issues?

The Role of Acupuncture in Managing Ulcerative Colitis Symptoms

Acupuncture For Ulcerative Colitis

Acupuncture has been used to treat symptoms related to pain and inflammation. Studies suggest it may help reduce inflammation and symptoms like diarrhea and abdominal pain, which could benefit individuals with inflammatory bowel disease. Individuals with ulcerative colitis, an inflammatory bowel disease/IBD affecting the large intestine, may find acupuncture beneficial in managing symptoms, including pain and gastrointestinal symptoms. (Crohn’s and Colitis Foundation, 2019)

  • There are 2,000 acupoints in the body connected by pathways known as meridians. (Wilkinson J, Faleiro R. 2007)
  • The pathways connecting the acupoints generate energy, which contributes to overall health.
  • A disruption to the energy flow can cause injury, illness, or disease.
  • When acupuncture needles are inserted, energy flow and health are improved.

Benefits

Acupuncture can be used for the relief of various conditions. Studies have shown that acupuncture can reduce inflammation and disease activity in individuals with an IBD, like UC and Crohn’s disease. It can help with: (Gengqing Song et al., 2019)

  • Pain symptoms
  • Gut microbiome imbalances
  • Gut motor dysfunction
  • Intestinal barrier function
  • Anxiety
  • Depression

Studies suggest the use of acupuncture with heat, known as moxibustion, can improve several GI symptoms including (Crohn’s and Colitis Foundation, 2019)

  • Bloating
  • Abdominal pain
  • Constipation
  • Gas
  • Diarrhea
  • Nausea

It is effective in the treatment of digestive issues that include: (Johns Hopkins Medicine. 2024)

  • Gastritis
  • Irritable bowel syndrome/IBS
  • Hemorrhoids
  • Hepatitis

Reduces Pain and Inflammation

  • Acupuncture treatment works by releasing endorphins, which help reduce pain. (Harvard Medical School. 2016)
  • Applying pressure to acupoints triggers the central nervous system.
  • This is believed to cause the release of chemicals that stimulate the body’s healing mechanisms. (Johns Hopkins Medicine. 2024)
  • Studies have also found acupuncture can trigger the production of cortisol.
  • This hormone helps control inflammation. (Arthritis Foundation. N.D.)
  • Studies found the use of acupuncture along with moxibustion reduced inflammation in individuals with Crohn’s disease and ulcerative colitis. (Crohn’s and Colitis Foundation, 2019)

Stress and Mood

Chronic conditions like ulcerative colitis can cause feelings of depression and/or anxiety. Acupuncture may be used to address symptoms related to stress and mood and can benefit emotional health issues that include: (Johns Hopkins Medicine. 2024)

  • Insomnia
  • Anxiety
  • Nervousness
  • Depression
  • Neurosis – mental health condition characterized by chronic distress and anxiety.

Side Effects

Acupuncture is considered a safe practice. The most common side effects are: (GI Society. 2024)

  • Bruising
  • Minor bleeding
  • Increased pain
  • Fainting can occur due to needle shock.
  • Needle shock can cause dizziness, feeling faint, and nausea. (Harvard Medical School. 2023)
  • Needle shock is rare but more common in individuals:
  • Who are regularly nervous.
  • Who are nervous around needles.
  • Who are new to acupuncture.
  • Who have a history of fainting.
  • Who are extremely fatigued.
  • Who have low blood sugar.

For some, GI symptoms may worsen before they improve. It is recommended to try at least five sessions as this is part of the healing process. (Cleveland Clinic. 2023)  However, individuals should contact their doctor if symptoms become severe or last more than two days. (GI Society. 2024) Individuals considering acupuncture to help manage symptoms of ulcerative colitis should speak with their healthcare provider to help determine the appropriate treatment and where to start.


Gastro-Intestinal Dysfunction Treatment


References

Crohn’s and Colitis Foundation. (2019). Acupuncture in Inflammatory Bowel Disease. IBDVisible Blog. www.crohnscolitisfoundation.org/blog/acupuncture-inflammatory-bowel-disease

Wilkinson J, Faleiro R. (2007). Acupuncture in pain management. Continuing Education in Anaesthesia, Critical Care and Pain. 7(4), 135-138. doi.org/10.1093/bjaceaccp/mkm021

Johns Hopkins Medicine. (2024). Acupuncture (Health, Issue. www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture

Song, G., Fiocchi, C., & Achkar, J. P. (2019). Acupuncture in Inflammatory Bowel Disease. Inflammatory bowel diseases, 25(7), 1129–1139. doi.org/10.1093/ibd/izy371

Harvard Medical School. (2016). Relieving pain with acupuncture. Harvard Health Blog. www.health.harvard.edu/healthbeat/relieving-pain-with-acupuncture

Arthritis Foundation. (N.D.). Acupuncture for Arthritis. Health Wellness. www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/acupuncture-for-arthritis

Harvard Medical School. (2023). Acupuncture: what is it? Harvard Health Publishing Harvard Medical School Blog. www.health.harvard.edu/a_to_z/acupuncture-a-to-z#:~:text=The%20most%20common%20side%20effects,injury%20to%20an%20internal%20organ.

Cleveland Clinic. (2023). Acupuncture. Health Library. my.clevelandclinic.org/health/treatments/4767-acupuncture

GI Society. (2024). Acupuncture and Digestion. badgut.org. badgut.org/information-centre/a-z-digestive-topics/acupuncture-and-digestion/

The Benefits of Moderate Exercise for Body and Mind

The Benefits of Moderate Exercise for Body and Mind

“Can understanding moderate exercise and how to measure the amount of exercise help expedite individuals’ health goals and well-being?”

The Benefits of Moderate Exercise for Body and Mind

Moderate Exercise

Various physical activity guidelines recommend regular, moderate exercise for achieving and maintaining health and wellness. Getting the minimum, moderate weekly physical activity can help prevent disease, increase mental well-being, support weight loss and maintenance, and improve quality of life.

What Is It?

  • Anything that gets the heart pumping and beating faster is considered moderate exercise. (U.S. Department of Health and Human Services, 2018)
  • Moderate-intensity cardiovascular exercise includes – brisk walking, yard work, mopping, vacuuming, and playing various sports that require consistent movement.
  • When engaged in moderate exercise, individuals should breathe harder but still be able to carry a conversation. (American Heart Association, 2024)
  • The talk test is a way to monitor whether the exercise is at moderate intensity.

Benefits

Regular moderate exercise can help (American Heart Association, 2024)

  • Decrease the risk of developing conditions like heart disease, type 2 diabetes, and dementia.
  • Improve sleep and help with sleep disorders.
  • Improve brain functions like memory, focus, and processing.
  • With weight loss and/or maintenance.
  • Improve bone health.
  • Reduce depression, anxiety, and other mental health symptoms.

How Much Exercise?

The prescription for moderate exercise includes:

  • 30 minutes a day for five days a week, or two hours and 30 minutes per week. (U.S. Department of Health and Human Services, 2018)
  • Physical activity needs to continue for at least 10 minutes to be considered an exercise session.
  • Individuals can break up their 30 daily minutes into two to three shorter sessions, each 10 minutes long.
  • As the ability to exercise increases, aim to increase moderate activities.
  • Individuals will reap even more health benefits if they increase moderate aerobic exercise time to 300 minutes or five hours weekly. (U.S. Department of Health and Human Services, 2018)

Measuring Exercise

  • A moderate level of activity noticeably increases heart and breathing rate.
  • Individuals sweat but can still carry on a conversation.
  • Individuals can talk but can’t sing.
  • Individuals will feel the exercise but are not huffing and puffing.
  • Individuals can use different scales to measure exercise intensity.

Heart Rate

  • A moderate-intensity heart rate is 50% to 70% of an individual’s maximum heart rate. (Centers for Disease Control and Prevention, 2022)
  • An individual’s maximum heart rate varies by age.
  • A heart rate chart or calculator can determine an individual’s maximum heart rate.
  • To measure heart rate mid-exercise, individuals can take their pulse or use a heart rate monitor, app, fitness tracker, or smartwatch to ensure they stay at a moderate intensity.

MET

  • M.E.T. stands for Metabolic Equivalent for Task and refers to the amount of oxygen the body uses during physical activity.
  • Assigning METs to an activity allows individuals to compare the amount of exertion an activity takes.
  • This works for individuals with different weights.
  • During moderate physical activity, breathing and heart rate increase, and the body burns around 3.5 to 7 calories a minute.
  • The actual number burned depends on your weight and fitness level.
  • The body uses 1 MET for basic functions like breathing.
  • Grades of activity:
  • 1 MET – Body at rest
  • 2 METs – Light activity
  • 3-6 METs – Moderate activity
  • 7 or more METs – Vigorous activity

Perceived Exertion Scale

Individuals can also check their activity level using the Borg Rating of Perceived Exertion scale/RPE. (Centers for Disease Control and Prevention, 2022) Using this scale involves monitoring how an individual feels about how hard their body is working during physical activity. The scale starts at 6 and ends at 20. A perceived exertion between 11 and 14 is considered moderate physical activity.

  • 6 – No exertion – sitting still or sleeping
  • 7-8 – Extremely light exertion
  • 9-10 – Very light exertion
  • 11-12 – Light exertion
  • 13-14 – Somewhat hard exertion
  • 15-16 – Heavy exertion
  • 17-18 – Very heavy exertion
  • 20 – Maximum exertion

Examples

Many activities are counted as moderate-intensity exercise. Choose some appealing and learn to add them to a weekly routine.

  • Ballroom dancing
  • Line dancing
  • Gardening
  • House chores that get the heart pumping.
  • Softball
  • Baseball
  • Volleyball
  • Doubles tennis
  • Brisk walking
  • Light jogging
  • Walking or jogging on a treadmill
  • Using an elliptical trainer
  • Bicycling under 10 miles an hour on ground level
  • Leisurely swim
  • Water aerobics

Mobility Challenges

  • Individuals with mobility issues can achieve moderate intensity using a manual wheelchair or a handcycle and swimming or water aerobics.
  • Individuals who can use their legs but can’t tolerate walking or jogging can try bicycling or swimming.

Getting More Exercise

There are different ways to incorporate and increase moderate physical activities. These include:

10-minute Activity Bursts

  • Walk briskly for at least 10 minutes at a time.
  • Walk at an easy pace for a couple of minutes.
  • Pick up the pace for 10 minutes.
  • Try to walk during work breaks or lunch and/or before or after work.

Walking Workouts

  • Individuals can walk indoors, outdoors, or on a treadmill.
  • Proper posture and walking techniques make it easier to achieve a brisk pace.
  • Once comfortable walking briskly for 10 minutes, begin to extend walking time.
  • Try different walking workouts that offer fast walks, jogging intervals, and/or adding hills or treadmill inclines.

New Activities

  • Individuals are recommended to experiment with various exercises to find what works for them.
  • Consider roller skating, blading, or skateboarding to increase heart rate.

Moderate physical activity will get and keep the body in shape. Individuals should not become distressed if they can only do a little at first. Allow time to build endurance and gradually make time each day for enjoyable physical activities.


Transform Your Body


References

U.S. Department of Health & Human Services. (2018). Physical Activity Guidelines for Americans, 2nd edition. Retrieved from health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf

American Heart Association. (2024). American Heart Association recommendations for physical activity in adults and kids. (Healthy Living, Issue. www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults

Centers for Disease Control and Prevention. (2022). Target heart rate and estimated maximum heart rate. Retrieved from www.cdc.gov/physicalactivity/basics/measuring/heartrate.htm

Centers for Disease Control and Prevention. (2022). Perceived exertion (Borg Rating of Perceived Exertion Scale). Retrieved from www.cdc.gov/physicalactivity/basics/measuring/exertion.htm

The Effectiveness of Acupuncture for Insomnia Relief

The Effectiveness of Acupuncture for Insomnia Relief

Can acupuncture treatment help individuals dealing with or experiencing insomnia and sleep issues and/or disorders?

The Effectiveness of Acupuncture for Insomnia Relief

Acupuncture For Insomnia

Acupuncture is a type of holistic medicine that involves inserting sterile, disposable, thin needles at specific points known as acupoints on the body. Each needle is inserted into a different area to stimulate symptom relief of various conditions, like chronic pain and nausea. (Johns Hopkins Medicine. 2024) Recent research has looked into acupuncture for insomnia and found that it may be an effective alternative. (Mingming Zhang et al., 2019)

Insomnia

Insomnia causes individuals to have trouble falling or staying asleep. Individuals who have insomnia tend to wake up earlier than they intend to and find it difficult to impossible to get back to sleep once they are awake. The sleep disorder is quite common, with around 10% of individuals experiencing it at some point. (Andrew D. Krystal et al., 2019)

There are three categories, all characterized by the duration of the disorder. They include: (Andrew D. Krystal et al., 2019)

Acute/Short-Term

  • Lasting less than three months.

Episodic

  • Happens once in a while for less than three months.

Chronic

  • Lasting more than three months.

Health Issues

  • Insomnia can cause various health issues, and individuals can develop mood changes, irritability, fatigue, and problems with memory, impulse control, and concentration. (Andrew D. Krystal et al., 2019)
  • Insomnia has also been shown to increase the risk of heart failure, heart attack, and other chronic health conditions. (Mingming Zhang et al., 2019)

Benefits

Studies on the use of acupuncture for insomnia have found that it may improve sleep because of its influence on certain neurotransmitters. One review noted that specific neurotransmitters involved in the sleep-wake cycle are positively affected by acupuncture. (Kaicun Zhao 2013) The neurotransmitters include:

Norepinephrine

  • Helps with waking up and staying alert.

Melatonin

  • A hormone that helps the body calm down and prepare for sleep.

Gamma-aminobutyric acid – GABA

  • Helps the body fall asleep and stay asleep.

However, more research is needed to confirm the benefits of acupuncture for insomnia further.

Conditions

Certain conditions can contribute to insomnia, including:

  • Mood disorders
  • Chronic pain
  • Other sleep disorders

Acupuncture can help lower the effects of these disorders.

Pain

Because of the way acupuncture affects certain chemicals, it is a proven complementary treatment for pain.

  • The needles enhance chemicals like endorphins, dynorphins, and encephalins.
  • Acupuncture also releases corticosteroids, which are stress hormones.
  • Each of these chemicals has a role in pain symptoms.
  • Adjusting their levels helps reduce pain. (Shilpadevi Patil et al., 2016)

Anxiety

  • Studies have found that individuals with anxiety can also benefit from acupuncture to help reduce symptoms. (Meixuan Li et al., 2019)

Sleep Apnea

  • Sleep apnea is a sleep-breathing disorder that causes an individual to stop breathing during the night temporarily.
  • The muscles in the nasal cavity, nose, mouth, or throat become overly relaxed.
  • Acupuncture can help stimulate the muscles and prevent over-relaxation, preventing apneas.
  • Data suggests that acupuncture may affect the apnea-hypopnea index, the number of times an individual stops and starts breathing during sleep. (Liaoyao Wang et al., 2020)

Session

  • Individuals should not feel pain and just a small amount of pressure in the needles’ insertion area.
  • If pain is present, it could be because the needles are not inserted in the right spot.
  • It’s essential to tell the acupuncturist so they can reset and re-insert them correctly. (Malcolm W. C. Chan et al., 2017)

Side Effects

Side effects are rare but can occur. These include: (G. Ernst, H. Strzyz, H. Hagmeister 2003)

  • Dizziness
  • Bleeding or bruising where the needle was inserted.
  • Nausea
  • Fainting
  • Pins and needles sensation
  • Feeling more pain  treatment

Prior to getting acupuncture, individuals are recommended to speak to their healthcare provider. They can advise on how it can help and any side effects that may occur due to the individual’s health, underlying conditions, and medical history. Once cleared, they can recommend a licensed acupuncturist.


Tension Headaches


References

Johns Hopkins Medicine. (2024). Acupuncture (Health, Issue. www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture

Zhang, M., Zhao, J., Li, X., Chen, X., Xie, J., Meng, L., & Gao, X. (2019). Effectiveness and safety of acupuncture for insomnia: Protocol for a systematic review. Medicine, 98(45), e17842. doi.org/10.1097/MD.0000000000017842

Krystal, A. D., Prather, A. A., & Ashbrook, L. H. (2019). The assessment and management of insomnia: an update. World psychiatry: official journal of the World Psychiatric Association (WPA), 18(3), 337–352. doi.org/10.1002/wps.20674

Zhao K. (2013). Acupuncture for the treatment of insomnia. International review of neurobiology, 111, 217–234. doi.org/10.1016/B978-0-12-411545-3.00011-0

Patil, S., Sen, S., Bral, M., Reddy, S., Bradley, K. K., Cornett, E. M., Fox, C. J., & Kaye, A. D. (2016). The Role of Acupuncture in Pain Management. Current pain and headache reports, 20(4), 22. doi.org/10.1007/s11916-016-0552-1

Li, M., Xing, X., Yao, L., Li, X., He, W., Wang, M., Li, H., Wang, X., Xun, Y., Yan, P., Lu, Z., Zhou, B., Yang, X., & Yang, K. (2019). Acupuncture for treatment of anxiety, an overview of systematic reviews. Complementary therapies in medicine, 43, 247–252. doi.org/10.1016/j.ctim.2019.02.013

Wang, L., Xu, J., Zhan, Y., & Pei, J. (2020). Acupuncture for Obstructive Sleep Apnea (OSA) in Adults: A Systematic Review and Meta-Analysis. BioMed research international, 2020, 6972327. doi.org/10.1155/2020/6972327

Chan, M. W. C., Wu, X. Y., Wu, J. C. Y., Wong, S. Y. S., & Chung, V. C. H. (2017). Safety of Acupuncture: Overview of Systematic Reviews. Scientific reports, 7(1), 3369. doi.org/10.1038/s41598-017-03272-0

Ernst, G., Strzyz, H., & Hagmeister, H. (2003). Incidence of adverse effects during acupuncture therapy-a multicentre survey. Complementary therapies in medicine, 11(2), 93–97. doi.org/10.1016/s0965-2299(03)00004-9

Exploring the Benefits of Green Powder Supplements

Exploring the Benefits of Green Powder Supplements

“For individuals that have difficulty getting plenty of fruits and vegetables, can incorporating green powder supplements increase nutritional levels for a balanced diet?”

Exploring the Benefits of Green Powder Supplements

Green Powder Supplements

Meeting daily nutrient needs through whole, unprocessed foods can’t always be met when access is limited or for other reasons. A green powder supplement is a great way to fill in the gaps. Green powder supplements are a daily supplement that helps increase vitamin, mineral, and fiber intake and enhances overall health. Green powders are easy to mix in water with a favorite beverage or smoothie or bake into a recipe. They can help:

  • Increase energy
  • Nourish the immune system
  • Improve digestion
  • Promote mental clarity
  • Contribute to healthy blood sugar levels
  • Reduce the risk of chronic disease
  • Promote optimal liver and kidney function

What Are They?

  • Green powder supplements are forms of vitamins, minerals, fiber, antioxidants, phytochemicals, and other bioactive compounds.
  • They are derived from fruits, vegetables, herbs, and algae to combine ingredients into a convenient supplement. (Giulia Lorenzoni et al., 2019)

Nutrients

Because most green powders comprise a combination of ingredients, the nutrient density is high. Green powder supplements can be considered a vitamin and mineral product. They typically contain:

  • Vitamins A, C, and K
  • Iron
  • Magnesium
  • Calcium
  • Antioxidants

The recommended daily intake of vitamins and minerals can be helpful for individuals with limited access to produce or who want to supplement their diet with additional nutrients.

Energy

The phytochemicals found in fruits and vegetables have been shown to improve energy levels. Studies on their effects on physical performance and endurance have resulted in positive outcomes. Researchers found that phytonutrients like those in green powders helped to increase energy, improve agility, reduce fatigue perception, improve memory, and decrease recovery time. (Nicolas Monjotin et al., 2022)

Digestive Health

Green powders are rich in soluble and insoluble fiber, which contribute to feeling full and satisfied after a meal and are important for healthy digestion and regular bowel movements. Eating fiber-rich foods is associated with optimal blood sugar control and improved gut microbiota diversity. These factors are important for maintaining a healthy body weight and decreasing the risk of chronic disease, for example, type 2 diabetes. (Thomas M. Barber et al., 2020) Phytochemicals, including flavonoids, have been shown to have therapeutic effects on gas, bloating, constipation, and diarrhea associated with IBS. Other phytonutrients have been shown to reduce certain symptoms of ulcerative colitis. (Nicolas Monjotin et al., 2022)

Immune System Function

Supplemental green powder supplements have shown the ability to maintain a healthy immune system and reduce inflammation by their antioxidant content. Green powders containing seaweed or algae are rich in phytochemical and poly-unsaturated fatty acids that have antioxidant properties to reduce inflammation and prevent oxidative damage to cells. (Agnieszka Jaworowska, Aliza Murtaza 2022) A randomized trial found that a fruit, berry, and vegetable powder concentrate blend decreased oxidation and reduced inflammation, attributed to the phytochemicals found in fruits and vegetables.(Manfred Lamprecht et al., 2013)

Detoxification

The liver and kidneys are the main organs of natural detoxification. The liver helps the body absorb nutrients from consumed foods and removes waste and toxins through the kidneys. (National Library of Medicine. 2016) Plants are packed with antioxidants and phytochemicals that protect the liver and kidneys from free radical damage and oxidative stress. (Yong-Song Guan et al., 2015) The green powder supplements are made from these plants. When drinking green powders, fluid intake naturally increases as a standard serving of green powder is mixed with 8 to 12 ounces of water.

Whether mixed, blended, or made into a shake, powdered greens are a convenient and efficient way to get the daily dose of antioxidants, vitamins, minerals, and other nutrients.


The Healing Diet: Combat Inflammation, Embrace Wellness


References

Lorenzoni, G., Minto, C., Vecchio, M. G., Zec, S., Paolin, I., Lamprecht, M., Mestroni, L., & Gregori, D. (2019). Fruit and Vegetable Concentrate Supplementation and Cardiovascular Health: A Systematic Review from a Public Health Perspective. Journal of clinical medicine, 8(11), 1914. doi.org/10.3390/jcm8111914

Monjotin, N., Amiot, M. J., Fleurentin, J., Morel, J. M., & Raynal, S. (2022). Clinical Evidence of the Benefits of Phytonutrients in Human Healthcare. Nutrients, 14(9), 1712. doi.org/10.3390/nu14091712

Barber, T. M., Kabisch, S., Pfeiffer, A. F. H., & Weickert, M. O. (2020). The Health Benefits of Dietary Fibre. Nutrients, 12(10), 3209. doi.org/10.3390/nu12103209

Jaworowska, A., & Murtaza, A. (2022). Seaweed Derived Lipids Are a Potential Anti-Inflammatory Agent: A Review. International journal of environmental research and public health, 20(1), 730. doi.org/10.3390/ijerph20010730

Lamprecht, M., Obermayer, G., Steinbauer, K., Cvirn, G., Hofmann, L., Ledinski, G., Greilberger, J. F., & Hallstroem, S. (2013). Supplementation with a juice powder concentrate and exercise decrease oxidation and inflammation, and improve the microcirculation in obese women: randomised controlled trial data. The British journal of nutrition, 110(9), 1685–1695. doi.org/10.1017/S0007114513001001

InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. How does the liver work? 2009 Sep 17 [Updated 2016 Aug 22]. Available from: www.ncbi.nlm.nih.gov/books/NBK279393/

Guan, Y. S., He, Q., & Ahmad Al-Shatouri, M. (2015). Complementary and Alternative Therapies for Liver Diseases 2014. Evidence-based complementary and alternative medicine : eCAM, 2015, 476431. doi.org/10.1155/2015/476431

Discover the Health Benefits of Pita Bread

Discover the Health Benefits of Pita Bread

Could pita bread be a possible option for individuals trying to eat healthier?

Discover the Health Benefits of Pita Bread

Pita Bread

Pita bread is a yeast-leavened, round flatbread made with wheat flour. When baked, the dough turns into two layers. These layers create a pocket that can be filled with vegetables, meats, or vegetarian proteins. Pita bread offers health benefits because of its low carbohydrate count, the amount of nutrients in one serving, and the use of wheat flour.

Nutrition

Nutrition information for one serving of pita bread is 39 grams. (U.S. Department of Agriculture 2021)

  • Carbohydrates – 17 grams
  • Fat – 0.998 grams
  • Protein – 4.02 grams
  • Fiber – 1.99 grams
  • Sodium – 120 milligrams
  • Sugars – 0 grams
  • Calories – 90.1

Carbohydrates

  • The carbohydrate count for pita bread is 17 grams per serving or a little more than one carb count – 15 grams, used in meal planning for individuals with diabetes.
  • Non-keto bread is around 20 grams of carbohydrates per serving or slice.
  • Pita bread has a lower carbohydrate count than most breads.

Fats

  • Pita breads are relatively low in fat content.
  • The total lipid fat is under 2 grams, only 2% of the recommended daily amount or RDA.
  • The bread contains no fatty acids or trans or saturated fat.

Protein

  • Four grams of protein are in one serving of pita bread.
  • The protein content is found in the wheat flour.

Vitamins and Minerals

Other minerals in pita bread include:

  • Calcium, with 60.1 milligrams per serving.
  • Iron with 1.08 milligrams per serving – helps the body create hemoglobin, a protein in red blood cells that carries oxygen from the lungs. (National Institute of Health, 2023)
  • Sodium with 120 milligrams.
  • According to the Federal Drug Administration, this is a low amount of sodium. However, individuals should stay aware of sodium intake and limit it to no more than 2,300 milligrams per day.
  • The average adult consumes about 3,400 milligrams of sodium a day. (Food and Drug Administration, 2022)

Calories

  • One serving of pita bread contains 90 calories.
  • Pita bread for a sandwich contains fewer calories than two slices of regular bread.

Benefits

Potential health benefits include the following:

Glucose Levels Lowered

  • Whole wheat can be beneficial to glucose levels.
  • The American Diabetes Association suggests that choosing bread with whole wheat grains, like pita bread, instead of white bread, can work to keep blood sugar levels from spiking. (American Diabetes Association 2024)

Digestion Support

  • Whole-grain pita bread fiber content can benefit the digestive system by regulating bowel movements.
  • Complex carbohydrates are digested slower than simple carbohydrates, keeping the body fuller for longer and assisting in weight management. (Harvard Health 2022)

Protein Source

  • Pita bread provides a healthy amount of protein.
  • A serving contains around 8% of protein.
  • Consuming the proper amount of protein helps in muscle repair. (Harvard Health 2024)

Allergies

Major allergies or intolerances can cause individuals to pass on the bread. What individuals need to know.

Celiac Disease

  • Celiac disease is a heredity autoimmune disease that occurs in genetically predisposed individuals.
  • Individuals with the disease cannot ingest gluten – a protein found in wheat – which can lead to small intestinal damage.
  • Individuals who experience gastrointestinal distress when eating wheat should consult a healthcare professional to get tested. (Celiac Disease Foundation 2023)

Wheat Allergy

  • A wheat allergy may mimic celiac disease symptoms, but they are different allergies.
  • The allergy occurs when the body produces antibodies to wheat proteins.
  • Symptoms include anaphylaxis, swelling and itching of the mouth, nasal congestion, headache, cramps, nausea, vomiting, and breathing difficulties. (American College of Allergy, Asthma, and Immunology 2024)
  • Individuals who suspect a wheat allergy should consult a healthcare provider about an allergy test.

Gluten Intolerance

  • Gluten intolerance can cause similar symptoms to celiac disease when eating products containing gluten.
  • Symptoms include bloating, abdominal pain, constipation, joint pain, fatigue, brain fog, and depression. (Celiac Disease Foundation 2023)

Preparation

Pita bread preparation options.

  • Dunk the bread in sauces or dips.
  • Use the bread for pita-pocket sandwiches and fill it with meats and/or vegetables.
  • Cut the bread and bake for pita chips.
  • Cut the bread into small cubes and toast as an alternative to croutons for salads and soups.
  • Grill the pita bread.

Diabetes and Back Pain


References

USDA. Pita Bread. (2021). Pita Bread. Retrieved from fdc.nal.usda.gov/fdc-app.html#/food-details/2134834/nutrients

National Institute of Health, Office of Dietary Supplements. (2023). Iron. Retrieved from ods.od.nih.gov/factsheets/Iron-HealthProfessional/

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Understanding Electroacupuncture and How It Relieves Gut Inflammation

Understanding Electroacupuncture and How It Relieves Gut Inflammation

Can individuals dealing with gut inflammation be relieved with electroacupuncture to reduce low back pain symptoms & improve gut function?

Introduction

When it comes to the body, the gut system has a very interesting relationship to the various body groups. The gut system works with the central nervous, immune, and musculoskeletal systems as it helps protect the body from harmful bacteria while regulating inflammation. However, when environmental factors start to affect the body and cause the gut system to go haywire, it can cause numerous issues of pain and discomfort to the body. One of the issues that the gut can affect is the musculoskeletal system, causing back pain issues associated with gut inflammation. However, numerous treatments can help reduce the effects of gut inflammation that is causing back pain. Today’s article looks at the gut-back pain connection, how electroacupuncture can be integrated as a treatment, and how it can reduce inflammation. We talk with certified medical providers who consolidate our patients’ information to assess how gut inflammation impacts their bodies, causing back pain. We also inform and guide patients on how electroacupuncture therapy can help reduce the inflammatory effects causing gut and back issues and restore gut function. We encourage our patients to ask their associated medical providers intricate and important questions about incorporating various non-surgical treatments to reduce gut inflammation correlated with back pain. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

 

The Gut-Back Pain Connection

Do you feel muscle aches or pains in your gut or lower back? What about radiating heat in various areas of your body? Or have you experienced any low-energy moments throughout your day? While the gut is known as the second brain since it works with the immune system, one of its crucial roles is regulating the body’s immune system. This is because the gut microbiome houses trillions of bacteria to digest food and protect the body from bad bacteria. When environmental factors start to affect the gut’s delicate ecosystem, it can lead the immune system to be hyperactive, causing the inflammatory cytokines to mass produce, and this effect can ripple throughout the body, thus manifesting into various pain-like symptoms and conditions, including back pain. Since inflammation is the body’s defense response to injuries or infections, it removes the harmful issue in the affected area and helps heal. So when the inflammatory cytokines start to mass produce due to gut inflammation, it can compromise the gut system, allowing toxins and bacteria to enter the bloodstream and travel to different body areas, causing pain. Now, this is due to various environmental factors that lead to back pain development. When the harmful bacteria from inflammation start to cause back pain, they can attach themselves and affect the intervertebral disc homeostasis, causing the immune system to attack the intervertebral disc and cause back pain. (Yao et al., 2023) This is due to the connection of the gut and back through complex nerve pathways that send information from the gut to the back and up to the brain.

 

 

So, when inflammation starts to cause issues in the body, it can lead to musculoskeletal problems like back pain. Gut inflammation can cause an imbalance between the composition of the symbiont and pathobiont to decrease the integrity and function of the intestinal gut barriers, induce pain, and increase the inflammatory molecules. (Ratna et al., 2023) The inflammatory molecules can exacerbate pain receptors and muscle tension, leading to discomfort and pain in the lower back. Coincidentally, environmental factors like poor posture, physical inactivity, and poor dietary habits can cause the gut system to induce inflammation of the back muscles. When there is dysbiosis in the gut microbiota, the inflammatory effects can be indirectly associated with visceral pain and central nervous systemic functioning to alter the body and cause it to be in a persistent state of chronic systemic inflammation to induce back pain. (Dekker Nitert et al., 2020). However, there are numerous non-surgical treatments and holistic approaches to reduce gut inflammation and relieve back pain.

 

Integrating Electroacupuncture As Treatment

When people are experiencing back pain associated with gut inflammation, they will go to their primary healthcare doctor and explain the situation. Given the connection between gut inflammation and back pain, by addressing the environmental factors that cause these overlapping risk profiles, many doctors can work with pain specialists to reduce both gut inflammation and back pain. Pain specialists like chiropractors, acupuncturists, and massage therapists can help strengthen the affected muscles that are causing back pain and provide holistic approaches like anti-inflammatory vitamins and supplements to reduce gut inflammation. One of the oldest non-surgical treatments that can do both is electroacupuncture. Electroacupuncture combines traditional Chinese therapy and modern technology that uses electric stimulation and thin solid needles to be inserted into the body’s acupoint to obtain qi or energy. What this does is that it provides electric stimulation and anti-inflammatory effects to induce cholinergic reflexes in the gut and HPA axis. (Yang et al., 2024) Electroacupuncture can also be combined with other therapies to reduce the inflammatory effects associated with back pain.

 

How Does Electroacupuncture Reduce Gut Inflammation

Since electroacupuncture can reduce gut inflammation causing back pain, it can help regulate the intestinal flora by promoting intestinal motility and blocking the pain signals from affecting the back muscles. (An et al., 2022) This is because electroacupuncture can help relax the tense muscles causing back pain. Additionally, when people approach this treatment, it is under the guidance of highly trained acupuncturists who can insert the needles correctly while tailoring electroacupuncture therapy to the person’s specific needs and pain. Since electroacupuncture can be combined with other therapies, it can effectively reduce body weight and restore digestion and absorption to shape the gut microbiota. (Xia et al., 2022) This allows individuals to make small changes to their routine and prevent gut inflammation from affecting the body and causing back pain. They can improve their quality of life by incorporating electroacupuncture as part of their health and wellness treatment. 

 


Unlocking The Secrets Of Inflammation-Video


References

An, J., Wang, L., Song, S., Tian, L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). Electroacupuncture reduces blood glucose by regulating intestinal flora in type 2 diabetic mice. J Diabetes, 14(10), 695-710. doi.org/10.1111/1753-0407.13323

Dekker Nitert, M., Mousa, A., Barrett, H. L., Naderpoor, N., & de Courten, B. (2020). Altered Gut Microbiota Composition Is Associated With Back Pain in Overweight and Obese Individuals. Front Endocrinol (Lausanne), 11, 605. doi.org/10.3389/fendo.2020.00605

Ratna, H. V. K., Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Is Dysbiotic Gut the Cause of Low Back Pain? Cureus, 15(7), e42496. doi.org/10.7759/cureus.42496

Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). Electroacupuncture promoted intestinal defensins and rescued the dysbiotic cecal microbiota of high-fat diet-induced obese mice. Life Sci, 309, 120961. doi.org/10.1016/j.lfs.2022.120961

Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). Electroacupuncture Reduces Inflammatory Bowel Disease in Obese Mice by Activating the Nrf2/HO-1 Signaling Pathways and Repairing the Intestinal Barrier. Diabetes Metab Syndr Obes, 17, 435-452. doi.org/10.2147/DMSO.S449112

Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). The Effect of Gut Microbiota on the Progression of Intervertebral Disc Degeneration. Orthopaedic Surgery, 15(3), 858-867. doi.org/10.1111/os.13626

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Acupuncture May Help Lower Gut Inflammation Pain

Acupuncture May Help Lower Gut Inflammation Pain

Can individuals dealing with gut inflammation find relief from acupuncture therapy to reduce associated pain symptoms like back pain?

Introduction

When many start thinking about their health and well-being, they will notice the various factors negatively affecting their daily routine. Environmental factors or traumatic injuries can cause an impact on the person’s body, which then causes musculoskeletal issues as well as organ issues. One of the pain-like issues that many people seem to deal with is gut inflammation, and it can cause a cascading effect on the body and lead to referred pain in the upper and lower body portions. This can affect a person’s daily routine and cause overlapping risk profiles, leading to musculoskeletal conditions like back pain. At the same time, gut inflammation can be in acute or chronic stages and become an issue for people with pre-existing conditions. Luckily, numerous treatments reduce gut inflammation associated with back pain and provide a positive impact on individuals. Today’s article looks at the effect of gut inflammation on the body, how gut inflammation correlates with back pain, and how acupuncture therapy can help reduce gut inflammation. We talk with certified medical providers who consolidate our patients’ information to assess how gut inflammation is impacting their bodies and how it correlates with back pain. We also inform and guide patients on how acupuncture therapy can help reduce the inflammatory effects that are causing gut and back issues. We encourage our patients to ask their associated medical providers intricate and important questions about how their pain is causing issues to their bodies. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.

 

The Effects Of Gut Inflammation On The Body

Do you feel extremely tired in the morning, even after a full night? Have you experienced any soreness or tenderness in your gut or different back portions? Or do you experience any muscle aches or joint stiffness throughout your lower back? When people are experiencing these inflammatory issues, it could be due to their gut system feeling these pain-like issues. The gut system is in a relationship with the central nervous system as it is part of the gut-brain axis and helps the autonomic system actively influence the immune system. This allows the musculoskeletal system to promote normal body function. When environmental factors or traumatic injuries start to negatively affect the gut-brain axis and cause the immune system to mass produce inflammatory cytokines and cortisol to cause musculoskeletal and gut issues. The inflammatory effects of the gut system cause impairments within the intestinal barrier function and the translocation of the gut microbes and even promote the hyper-activation of the mucosal immune system to produce pro-inflammatory cytokines that fuel gut inflammation. (Amoroso et al., 2020) When that happens, it can have a major impact on the immune system, and where the gut microbiota can be triggered by environmental factors like metabolic syndrome, obesity, and type-2 diabetes, which has detrimental consequences for the human body. (Scheithauer et al., 2020) What this does to the body is that gut inflammation can affect the immune system, vital organs, and the musculoskeletal system. 

 

Gut Inflammation Correlates With Back Pain

 

So, back pain usually follows when many individuals have gut issues associated with environmental factors. When the intestinal permeability in the gut starts to deal with inflammation, all the bacteria and the cytokines from the immune system will rapidly produce and travel their way to the various muscles, tissues, and ligaments that start to be affected. Since back pain is a common musculoskeletal condition many people endure, gut inflammation can also be present. Since the bacterial microbes and inflammatory cytokines are reaching the spine’s back muscles and skeletal structures, they can start causing degenerative issues, leading to back pain. The skeletal structure of the spine has facet joints, spinal discs, and bones that protect the spinal cord and can also be affected by gut inflammation. The blood-disc barrier within the spine protects the spinal disc from inflammatory effects that may invoke musculoskeletal issues. However, when the bacterial microbes from the gut start to attach and break down the blood-disc barrier, they can rapidly multiply since the immune system surveillance is unavailable, causing low oxygen levels to degenerate the spinal discs and causing back pain issues. (Ratna et al., 2023) At the same time, environmental factors also play an issue in the development of back pain associated with gut inflammation. Luckily, numerous treatments can help not only reduce gut inflammation but also provide pain relief to back pain.


Fighting Inflammation Naturally- Video

Have you been dealing with various mood changes affecting your daily routine? Do you feel constantly sluggish or tired throughout the day? Or do you feel aches and pains in your mid-section and lower back? Many people experiencing these pain-like issues in their bodies are dealing with gut inflammation that is affecting their backs. When environmental factors start to cause an overproduction of bacterial microbes in the intestinal permeability, the inflammatory cytokines begin to induce inflammation in the musculoskeletal system. This can lead to the development of back pain and cause issues to the body when it is not treated right away. This is where various treatments help reduce the inflammatory effects of the gut system and help reduce numerous issues it has caused. Many treatments are non-surgical and customizable to individuals dealing with gut inflammation associated with back pain. The video above shows how non-surgical treatments can help reduce inflammation naturally and benefit many people dealing with gut inflammation.


Acupuncture Reducing Gut Inflammation

 

Various non-surgical treatments can range from traction therapy to chiropractic care, depending on the pain severity and environmental factors causing the issue. For gut inflammation, many individuals might try acupuncture, one of the oldest forms of non-surgical treatment that can help reduce inflammatory cytokines. Acupuncture originates from China and is used by highly trained medical professionals who use fine, solid, thin needles to be placed on various body acupoints to restore body energy. Acupuncture can also serve as a multifaceted regulatory therapy that involves multiple therapeutic mechanisms to regulate the HPA axis and reduce pro-inflammatory cytokines levels. (Landgraaf et al., 2023) At the same time, acupuncture can help recover gastrointestinal dysfunction from various gut disorders by blocking the brain’s neuron signals that are causing inflammatory responses to the gut and musculoskeletal system. (Jang et al., 2020). Acupuncture can also be combined with other non-surgical therapies to help improve body functionality, as acupuncturists find the acupoints within the body to regulate the intestinal microbiota and inflammation, thus regulating the central nervous system function to enhance a person’s quality of life. (Bao et al., 2022) By incorporating acupuncture as part of a person’s health and well-being, many people can make small changes in their daily routine to reduce gut inflammation from overproducing and prevent their associated comorbidities from returning.

 


References

Amoroso, C., Perillo, F., Strati, F., Fantini, M. C., Caprioli, F., & Facciotti, F. (2020). The Role of Gut Microbiota Biomodulators on Mucosal Immunity and Intestinal Inflammation. Cells, 9(5). doi.org/10.3390/cells9051234

Bao, C., Wu, L., Wang, D., Chen, L., Jin, X., Shi, Y., Li, G., Zhang, J., Zeng, X., Chen, J., Liu, H., & Wu, H. (2022). Acupuncture improves the symptoms, intestinal microbiota, and inflammation of patients with mild to moderate Crohn’s disease: A randomized controlled trial. EClinicalMedicine, 45, 101300. doi.org/10.1016/j.eclinm.2022.101300

Jang, J. H., Yeom, M. J., Ahn, S., Oh, J. Y., Ji, S., Kim, T. H., & Park, H. J. (2020). Acupuncture inhibits neuroinflammation and gut microbial dysbiosis in a mouse model of Parkinson’s disease. Brain Behav Immun, 89, 641-655. doi.org/10.1016/j.bbi.2020.08.015

Landgraaf, R. G., Bloem, M. N., Fumagalli, M., Benninga, M. A., de Lorijn, F., & Nieuwdorp, M. (2023). Acupuncture as multi-targeted therapy for the multifactorial disease obesity: a complex neuro-endocrine-immune interplay. Front Endocrinol (Lausanne), 14, 1236370. doi.org/10.3389/fendo.2023.1236370

Ratna, H. V. K., Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Is Dysbiotic Gut the Cause of Low Back Pain? Cureus, 15(7), e42496. doi.org/10.7759/cureus.42496

Scheithauer, T. P. M., Rampanelli, E., Nieuwdorp, M., Vallance, B. A., Verchere, C. B., van Raalte, D. H., & Herrema, H. (2020). Gut Microbiota as a Trigger for Metabolic Inflammation in Obesity and Type 2 Diabetes. Front Immunol, 11, 571731. doi.org/10.3389/fimmu.2020.571731

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