Timing Matters when Intermittent Fasting

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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. 

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COVID-19 Brings Attention to Cardiometabolic Health

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.

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Seasonal eating; shift your diet to reflect the bounty of nature’s harvest

As we enter the autumn season, it’s a great time to start thinking about shifting our diets to reflect the bounty of nature’s harvest available in the fall. By focusing on seasonal eating, we can become more in tune with nature, with our body’s’ needs, and on doing what’s best for the environment. 

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Optimal Ferritin Levels May Surprise You

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Often patients express worry that their ferritin levels are too low, when, in fact, I am concerned about the opposite.

Ferritin is a large protein molecule, and while its role is complex and still unclear, ferritin is generally considered a surrogate marker for total iron storage in the body and often acts as a biomarker of health. Optimal ferritin levels and reference ranges are not currently well defined, but what are considered “normal levels” may actually be too high, and some researchers are advocating for a change in what is considered normal. While we still don’t know the “optimal” numbers, aiming for below the 50 percentile is most likely healthier (20-40 for women, 50-70 for men). Ferritin specialist William R. Ware, PhD, suggests that we should aim even lower for some patient populations (those with cardiometabolic disease, non-alcoholic fatty liver, etc.).

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Preventive Integrative Medicine, the Ideal Approach to Care

How could this have been prevented? This is a question I have been asked hundreds of times throughout my training and over the course of my career. As a resident learning about surgical procedure as pertains to obstetrics and gynecology, I clearly recall thinking beyond the surgery to how the need for the surgery may have been prevented. It was during this time that I decided to switch my concentration to family medicine, which would allow me to further focus on prevention.

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