By Dr. McKenzie Nisbet, ND

3 Keys to a Successful Detox

3 KEYS TO A SUCCESSFUL DETOX

 

We talked about the importance of timely detoxing in the last post. But how do you actually detox successfully? Here are the 3 keys to a successful detox.

 

[1] LIVER SUPPORT

The liver has many important jobs in the body. The most well-known being detoxification. The liver supports toxin removal by converting harmful substances in the body into less harmful forms and modifying them so the toxins can be more easily expelled by the body. To support the liver there are 3 things you should focus on:

 

REDUCE THE TOXIC LOAD

Household products (make-up, face-wash, shampoo, condition, body wash, moisturizer, hand soap, deodorant, sunscreen, dish soap, laundry detergent, and other cleaners) are often filled with chemicals including EDCs (Endocrine Disrupting Chemicals). EDCs can cause reproductive health problems such as altered reproductive function in women and men, breast cancer, abnormal growth patterns, developmental delays in children, and impaired immune function. The goal here is to reduce the amount of chemicals you are putting in and on your body – because what goes on your body, goes in your body. There are small changes you can make to reduce your toxin exposure and they involve easy product (and produce) swaps. Simply take products made with harmful chemicals and produce with high levels of pesticide residue and swap them for cleaner versions!

PRODUCT SWAP

Switch from plastic to glass – water bottles, kitchen containers and product packaging. Choose cleaner cosmetic and household products. See how your products rank by searching them on the Environmental Working Group’s Skin Deep database or Healthy Living App and the Think Dirty App. These tools will rank each product as: Low Hazard (1-2), Moderate Hazard (3-6), or High Hazard (7-10). Switch your products to those with a “Low Hazard” ranking – even one small change helps!

PRODUCE SWAP

The Environmental Working Group releases two lists each year: The Dirty Dozen (foods with the highest pesticide residues) and The Clean Fifteen (foods with the lowest pesticide residues). If you’re eating foods from the dirty dozen list swap for organic! Or choose foods from the clean fifteen to reduce your toxic exposure.

 

NEUTRALIZE TOXINS & ADD SUPPORT

 You can support the liver’s two detox phases simply by incorporating liver-supporting foods into your diet. These foods include: antioxidants (to neutralize oxidative stress) and sulfur-containing foods (to support removal of toxins). Pick a couple to add to your diet this week!

ANTIOXIDANT RICH FOODS: berries, walnuts, dark chocolate, and herbs and spices.

SULFUR RICH FOODS: Broccoli, cauliflower cabbage, kale, Brussel sprouts, radish, turnip, arugula, bok choy, watercress, kohlrabi, rutabaga, horseradish, maca, rapini, onion and garlic.

 

PROPER REMOVAL

Finally, to support the liver’s ability to detox we need to ensure the substances released for elimination are removed efficiently from the body. We want to avoid the re-circulation of these substances from the intestines back into the blood. This brings us to our second key to a successful detox: Elimination.

 

[2] ELIMINATION

When your body releases toxins you need to ensure that they are leaving your body. This is done by supporting your bowel (and kidney) function. Even if you are relatively regular there are 2 things you can do to maximize the removal of toxins from the body.

 

HYDRATION

I’ve touched on the importance of water for cognitive function and energy in the past, but elimination is another great reason to drink more water. Dehydration is associated with increased constipation and reduced levels of filtration by the kidney. This means poor elimination of toxins from the bowels and by urination. Up your fluid intake to get those toxins out of your body more efficiently! Remember you should aim to never reach a point when you actually feel thirst. Implement some of these tricks to help stay hydrated throughout the day:

1. Carry a water bottle around with you.

2. Drink a glass or two of water each morning when you wake.

3. Add lemon or cucumber to your water for taste.

4. Eat food with a high water content such as cabbage, celery, spinach, cooked squash, apples, or cooked broccoli.

 

FIBRE

Adequate fibre consumption helps ensure regular bowel movements and therefore the regular removal of toxins from your body. How much fibre are you getting daily? Women should aim for a minimum of 25-30g of fibre daily, while men should aim for at least 38g daily. If you aren’t getting enough fibre, work on adding some of these fibre-rich options to your meals to support the elimination of toxins from your body.

My Favourites: Chia seeds (1 tbsp) = 5g of fibre, Flaxseed (1 tbsp) = 3g of fibre, Psyllium husk fibre (1 tsp) = 5g of fibre.

Artichoke (1 medium) 10.3g, Almonds, whole (1/4 cup) 7.8g, Avocado (1/2) 6.7g, Raspberries / Blackberries (fresh or frozen; ½ cup) 4-4.2g, Sweet potato (1) 3.8g, Pumpkin or squash seeds (1/4 cup) 3.7g, Sunflower seeds (no shell; 1.4 cup) 3.6g, Apple (1) 3.5g.

 

[3] THE MIND

When we think of detoxification we typically focus on physical health and forget about the importance of detoxing mentally. Think about supporting your mind the same way we talked about supporting the liver:

 

REDUCE THE TOXIC LOAD

These mental toxins include toxic people and toxic thoughts. Re-evaluate the relationships in your life – are your giving priority to the ones that make you feel good or bad? Listen to what you are routinely telling yourself – is it largely positive or negative self-talk? Use tools such as Headspace and The Five-Minute Journal to reduce your negative self-talk and become more mindful. Mindfulness is a skill that improves with time, so don’t worry if you struggle at first. Next, focus your energy on your surroundings. Removing clutter from your desk, bedroom, and home can create simplicity and bring a sense of calm to your day.

 

NEUTRALIZE STRESSORS

The easiest way to reduce stressors is to remove them altogether. It is okay to say “no”. Listen to your body – is that dinner with friends or favour for your co-worker going to fill your cup or empty it? If you feel burnout or overwhelmed you can say no to a commitment. Spend that time meditating, exercising, sleeping, or just binge-watching your favourite TV show – do whatever it is that refills your cup. Your mental health should be a high priority item.

When saying no is not an option it is helpful to have strategies in place help mitigate that stress – both acute and chronic. Deep breathing exercises are a great tool, especially for acute stressors. These can reduce the subjective feeling of stress as well as objective stress parameters such as heart rate and cortisol levels (the stress hormone released by your adrenal glands). For chronic stress, talk to your ND about incorporating adrenal gland support into your regimen to support your body’s physiological response to stressors and reduce burnout.

 

ADD SUPPORT & PROPER REMOVAL

Social support has huge impacts on both your mental and physical health. Studies have shown that low social support is associated with heightened stress reactivity including elevated heart rate, increased blood pressure, and an exaggeration of cardiovascular and neuroendocrine response to stressors. Use your social network to help propel your mental health forward – talk about your toxins (people and thoughts) to help facilitate their removal from your day. You should rank ‘social support network’ up there with diet and exercise.

 

ASK FOR HELP

Don’t be afraid to ask for help. It can be hard to address these toxic thoughts and relationships on your own. Talk to your health care provider about your mental health. We can chat about your options, give you the tools you need, and put you in-touch with extra support – such as psychotherapists whose entire profession is devoted helping you process your thoughts, emotions and experiences in a positive and supporting manner.

 

There you have it – the 3 keys to a successful detox: the liver, the gut and the mind. To chat more about your optimizing your health and wellness send me an email or book a free 15-minute consult. Don’t forget to check out this article on the importance of when to detox.

 

Resources: 
https://www.ncbi.nlm.nih.gov/pubmed/1749210, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908954/, https://www.dietitians.ca/Your-Health/Nutrition-A-Z/Fibre/Food-Sources-of-Fibre.aspx, https://www.ncbi.nlm.nih.gov/pubmed/23326148, https://www.ncbi.nlm.nih.gov/pubmed/27995346, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921311/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841576/

By Dr. McKenzie Nisbet, ND

4 Drivers of PCOS

THE 4 DRIVERS OF PCOS

 

Polycystic Ovarian Syndrome (PCOS) affects 1 in 10 women of reproductive age. Before reading this article make sure you check out “What is PCOS? (and Why It Needs a New Name)” to learn about what qualifies as PCOS and how to get an appropriate diagnosis.

When it comes to treating PCOS you need to look deeper than the irregular periods, acne and androgen excess. You need to look for the underlying cause. Why is your cycle irregular? Where did the acne come from? Why are your hormones unbalanced in the first place? The answer can typically be boiled down to one (or more) of these four main drivers of PCOS. Once you know your driver(s) you can address the cause of your PCOS– not just the symptoms.

 

INSULIN RESISTANT PCOS

This is the most common driver, affecting up to 70% of women with PCOS. Insulin resistance impairs ovulation (a key feature in PCOS) by affecting androgen levels, LH levels, and proteins that bind to hormones in your blood.

[INSULIN RESISTANCE – Insulin’s job is to help move glucose (fuel from food) from your blood into your cells. Insulin resistance occurs when your cells, for various reasons, become resistant to the signalling power of insulin.]

Insulin resistance occur due to smoking, stress, sleep deprivation, alcohol, trans-fat, unhealthy gut bacteria, magnesium deficiency, and environmental toxins. All of which are very prevalent in North America.

Simple blood tests can be run to determine if you have insulin resistance. We can then target the causes of insulin resistance in your life. Lifestyle and dietary changes coupled with strategic supplementation can help reduce your body’s resistance to insulin and therefore improve your PCOS.

 

POST-PILL PCOS

The second driver of PCOS is the hormonal birth control pill. Studies show a link between the pill and androgen levels, insulin resistance, and (by design) an inhibition of ovulation.

After coming off the hormonal birth control pill your body is adapting to the removal of this hormonal ‘control’. Not everyone will experience unwanted changes when stopping the pill. However, if you’ve had menstrual issues or hormonal imbalances before starting the pill, you will likely experience some when stopping. These may include acne, unwanted hair growth, irregular periods, dysmenorrhea (painful periods), PMS (premenstrual syndrome), and/or a rise in androgens (especially if on an anti-androgen pill – commonly chosen if acne was a concern). Due to these changes you may fit the diagnostic criteria for PCOS. For many, post-pill PCOS is temporary and may resolve on its own with time. Strategically addressing hormonal imbalances and other minor/co- drivers can help resolve your PCOS and regulate your cycle sooner, helping you get back on track.

Talk to your health care provider about what to expect when coming off the pill so you know what is normal and what requires further investigation. Be sure to track your cycle while coming off the pill so you know if your body is adapting appropriately. To help reduce unwanted changes talk to your Naturopathic Doctor about how to prepare your body for this hormonal shift before you stop the pill.

 

INFLAMMATORY PCOS

Inflammation and environmental toxins are the third driver of PCOS.

Studies show endocrine disrupting chemicals (EDCs) such as bisphenol A (BPA) and phthalates may cause reproductive health problems such as infertility, premature ovarian failure, abnormal hormone levels (ie. excess androgens), and reduced ovulation. Studies also show that women with PCOS have higher levels of BPA in their bodies.

How do you combat this driver? You reduce your exposure. Removing many EDCs can be quite easy.

First: identify your exposures to ECDs.

Second: remove or replace these exposures with less harmful alternatives.

There are 3 easy places to start:

  1. Simply switching from plastic to glass – water bottles, kitchen containers, and choosing foods sold in glass containers.
  2. What you put on your body (shampoo, conditioner, body wash, face wash, moisturizer, make-up, hand soap, laundry detergent, etc).
  3. What you use to clean your house (kitchen cleaner, sprays, deodorizers).

For #2 and #3 visit ewg.org/SkinDeep and download the app “Think Dirty” on your phone. Type in the name and brand of the products you use. Each database will rank the products as Low-Hazard/Neutral (0-2), Moderate-Hazard/Half-and-Half (3-6), or High-Hazard/Dirty (7-10). Aim to replace your moderate/high-hazard products with low-hazard products to help reduce your exposure to harmful chemicals. You can do this all right away or over time – even one small change helps!

 

ADRENAL PCOS

If you have PCOS the main driver is likely one of the three mentioned above. In rare cases your adrenal glands may be the sole driver of your PCOS.

Your adrenal glands sit on top of your kidneys. You probably know them as the producers of cortisol (the stress hormone). But cortisol isn’t all these glands produce. DHEA-S (an androgen) also comes from the adrenal glands. Excess DHEA-S is linked to the presentation of PCOS and may be the only elevated androgen in up to 10% of PCOS patients.

To reduce this driver of PCOS first take a look at where your stress comes from. Is it family? Friends? Your relationship? Job-related? Finances? It’s likely a combination of a few, and at least one daily. So, what are you doing daily to reduce this stress?

Pick one of these stress-reduction techniques to try this week!

Mindful meditation. Download the app “Headspace.” This app contains guided mediations to help you master the skill of meditation.

Journaling. Use a regular notebook or one designed for mindfulness, such as “The Five Minute Journal.” Get your emotions and thoughts down on paper to help keep your mind clear.

Talk it out. Perceived social support is a strong protective factor for both depression and anxiety and helps foster coping strategies.

Nature Walks. Studies show spending time in nature can help reduce stress levels. This is also a great option for anyone who has difficulty with stationary meditation.

Working to reduce your stressors and your perception of these stressors can help ease the pressure on your adrenal glands. This can be done on your own or with the help of a professional (such as a psychotherapist). Nutraceuticals and botanical medicine can also be used to support your adrenal glands and modulate your stress levels. By improving adrenal function we can improve adrenal-driven PCOS.

That sums up the four main drivers of PCOS, but it is important to note there are other factors that may also be contributing to your PCOS. These include thyroid dysfunction, nutrient deficiencies, dietary restrictions, and elevated prolactin. Be sure to consult healthcare professional to ensure you are getting the appropriate testing and that all of your drivers of PCOS are being addressed.

To learn more book an appointment or a free 15-minute consultation here, or send me a private message here and get to know your options.

 

Resources:
INSULIN RESIATNCE: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872139/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3018970/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334071/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680959/; Briden, Lara. Period Repair Manual. Lexington: 2015. OCP: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4135453/, https://www.ncbi.nlm.nih.gov/pubmed/22811306/, https://www.webmd.com/sex/birth-control/stopping-pill-10-ways-body-changes#1; ENVIRONMENTAL: https://www.ncbi.nlm.nih.gov/pubmed/27559705, https://www.ncbi.nlm.nih.gov/pubmed/21193545, https://www.ncbi.nlm.nih.gov/pubmed/26063868; INFLAMMATORY: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3245829/; ADRENALS: https://www.ncbi.nlm.nih.gov/pubmed/17932770, https://www.ncbi.nlm.nih.gov/pubmed/18950759. https://www.ncbi.nlm.nih.gov/pubmed/27336356, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3772979/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709294/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921311/, image: http://www.thevitpro.com/uploads/8/4/1/7/8417615/303034.jpg

 

3 Keys to a Successful Detox
4 Drivers of PCOS