Blog | Lesley James MD

August 6, 2021August 10, 2021

Somewhere In Between: Adrenal Fatigue

As an MD and fellowship-trained Integrative Physician, I am often asked about “health conditions” that are not recognized by the medical community and do not qualify as medical diagnoses for a number of reasons: (a) there may be an evolving theory that has not been thoroughly researched, and/or (b) there may be an oversimplified physiologic process or finding that, while having some science, lacks consistent connections to the disease process or outcomes. Some theories, when fully investigated, may in time come to be recognized while others will not – the scientific method is a lengthy process. When approached with these “conditions,” I often find myself “somewhere in between” and I continually pour over new research outcomes in an effort to treat patients who are feeling unwell. While I am sympathetic to those who are frustrated with the pace of medicine and the lack of answers pertaining to their health, we must remember that little truths that are strung together produce interesting headlines, but do not make for sound medical practices. This is the second in a three-part series.

April 20, 2021April 21, 2021

Somewhere In Between: Leaky Gut

As an MD and fellowship-trained Integrative Physician, I am often asked about “health conditions” that are not recognized by the medical community and do not qualify as medical diagnoses for a number of reasons: (a) there may be an evolving theory that has not been thoroughly researched, and/or (b) there may be an oversimplified physiologic process or finding that, while having some science, lacks consistent connections to the disease process or outcomes. Some theories, when fully investigated, may in time come to be recognized while others will not–the scientific method is a lengthy process. When approached with these “conditions,” I often find myself “somewhere in between” and I continually pour over new research outcomes in an effort to treat patients who are feeling unwell. While I am sympathetic to those who are frustrated with the pace of medicine and the lack of answers pertaining to their health, we must remember that little truths that are strung together produce interesting headlines, but do not make for sound medical practices. This is the first in a three-part series.

February 25, 2021February 25, 2021

Timing Matters when Intermittent Fasting

In the 15th century, the word breakfast became used to describe “breaking the fast.” However, when many people start intermittent fasting they tend to skip breakfast and begin eating at lunchtime. Unfortunately they are undermining their weight loss goals, as studies show that the benefits of fasting tend to be diminished when calories are shifted to the latter part of the day.

February 8, 2021February 15, 2021

What is a Healthy Glucose Level?

Recently I wrote about continuous glucose monitors, advanced technology for measuring glucose levels. Now that we know how glucose is measured and the available data, it’s important to explore what constitutes a “normal” glucose level.

February 1, 2021February 7, 2021

New Continuous Glucose Monitors in the Office

Last year a statistic was published stating that only 12% of the population is considered metabolically healthy. Although alarming, this figure didn’t surprise me, as very often I see patients with metabolic issues such as elevated blood sugar, cholesterol and BMI. As a preventive integrative physician, it is not my initial reaction to send patients to the pharmacy, but rather to offer information on practical lifestyle changes that may bring the numbers down into a normal range.

January 26, 2021January 26, 2021

Gut-Wrenching Facts about Processed Foods

Most nutrition experts agree on a fundamental belief made famous by author Michael Pollan: “Eat food. Not too much. Mainly plants.” Pollan’s writings reflect that “food” refers to real, unprocessed food, and that what Americans buy in supermarkets and consume is, for the most part, far from real.

December 10, 2020December 10, 2020

Wearable Technology Changing Medicine

Are you considering purchasing wearable technology this holiday season, like the Oura Ring, the FitBit, or an Apple Watch? These technological innovations are being developed at a dizzying pace and are not only utilized for personal reasons, but are showing up in medical education, at conferences, and in research, as well.

November 23, 2020December 8, 2020

Cardiometabolic Health and The Thyroid

Cardiometabolic health is often an overlooked aspect in the management of hormonal health and, specifically, thyroid health. The two are intricately connected, displaying a complex, weblike relationship that is both interdependent and bidirectional.

November 13, 2020November 9, 2020

Every Patient Has a Story to Tell: Narrative Medicine

Narrative Medicine uses a patient’s background and language to assist in clinical practice and research and is an effective and often cathartic approach to individualized healing. When physicians are able to address the personal “stories” that may work in conjunction with physical illness, we can validate the experience of the patient and promote a stronger relationship between patient and physician.

October 29, 2020November 9, 2020

COVID-19 Brings Attention to Cardiometabolic Health

Every day I see patients with varying health challenges, many of whom are additionally metabolically unhealthy. With the risk of COVID-19, poor cardiometabolic health has gained more attention, and some experts are even referring to it as a pandemic within the pandemic. As a preventive integrative physician, I see this as an opportunity for many to focus on metabolic health and, hopefully, make lemonade from lemons.