Somewhere In Between: Estrogen Dominance

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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 final entry in a three-part series.

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Salt: How Much is Too Much?

Recently I was surprised when a patient who was newly diagnosed with hypertension (high blood pressure) mentioned that she had not been advised to cut back on salt, even after consulting with a nutritionist. This is concerning, as, according to the CDC, it is estimated that 90 percent of Americans ages 2 years and above consume too much salt (sodium), and that 2.5 million deaths around the world could be prevented if our salt consumption was reduced to meet the levels recommended by the World Health Organization (WHO).

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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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