The Importance of Consulting Your Naturopathic Doctor for Supplement Advice

Unshaven Middle aged man reading a prescription label in front oAs most of you may know, I have been studying in order to obtain my license to practice as a Naturopathic Doctor in Ontario. As a result, I have had the opportunity to become more familiar with the side effects of many of the conventional and natural therapies. Yes, I did say side effects of natural therapies. It may come as a surprise to many, but natural therapies that are available may have some side effects that need to be known. Many individuals treat supplementing with nutraceuticals as if there are no potential ill effects from doing so. Unbeknownst to them, this is much like hearing a clunk in your car, and looking online for the solution, then fixing it yourself. Many steps are missed when this type of approach is made. For example: what is the quality of the part you are putting into the car, what if you put the part in wrong, are there extra parts that need to be changed or altered in order for the new part to function at its best, is the source a credible one for you to receive your information, and the list goes on. That being said, one should not simply look up their symptoms on – line, and supplement accordingly. Much like you would consult a mechanic for repairs to your vehicle, you should do the same in regards to “repairs to your body”. Whether it is a naturopathic doctor or another health care provider, their advice should be sought when it comes to taking supplements or changing doses in general. In addition, when discussing medications or supplements, it is important to be transparent and honest with your various health care providers about all forms of treatment that you are receiving. This mindset when dealing with health care providers ensure medications and supplements do not interact and cause you harm, and also ensures that you receive the most appropriate guidance in regards to your health.

In order to bring some context to the discussion, we will take a look at Aloe Vera Gel. The internet has been useful in discussing the beneficial effect of aloe vera gel on the digestive system and how it can aid in the digestive process, gastritis, irritable bowel disease, etc. However, individuals may not realize that this impact on digestion could also cause other medications to have decreased absorption if taken around the same time. As a result, it is best to seek the advice of health care providers such as a Naturopathic Doctor in order to guarantee that supplements are taken correctly. In addition, many do not realize that aloe vera gel can have an additive effect with medications for diabetes or increased blood sugars. So, if someone was taking diabetic medication and aloe vera gel, they could become quite dizzy or worse, unconsciousness, and lead to a medical emergency. As one can see, it is important to discuss all supplements with your Naturopathic Doctor or health care provider. A Naturopathic Doctor has had at least 8 years of training, which can provide a great deal of information, much beyond that of a google search.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, contact Elisha Cook via the contact portion of this website.

 

 

Training of Naturopathic Doctors

Alternative Medicine Symbol - The Green AsklepianThroughout my training and practice of Naturopathic Medicine, I have encountered many people who were surprised to find that Naturopathic Doctors (NDs) not only used a Stethoscope, but were also trained to diagnose different conditions. As a result, I wanted to clear the air on how Naturopathic doctors are trained, and how they might compare to other health care providers.

Requirements to be a Naturopathic Doctor

In order to enter Post graduate training to become a naturopathic doctor, one needs to have graduated from a three to four year university program. Typically, it is required to have had pre – medical sciences in that training, with specific courses in biology, chemistry, organic chemistry, psychology, and biochemistry. With these requirements being met, and an application being received and reviewed, an individual may receive an interview from the college. This interview involves questioning about ethical dilemmas and reasons for wanting to enter the program.

As long as the individual is accepted into the program, they will then begin their four year training. Once the training is complete, which includes 4,500 hours of classroom training and 1,500 hours of clinical experience, the individual is then required to pass NPLEX board exams.

Once license is obtained, the individual will be able to retain this licence with appropriate continuing medical education training on a regular basis.

Below is a chart distributed through the AANMC, which compares the hours of training between various health care professions. As one can see, MDs and NDs have very similar amounts of training as health care providers.

NDMD_TotalHours

Source: http://aanmc.org/schools/comparing_nd_md_curricula/

 

Training of Naturopathic Doctors

In the naturopathic specific education, individuals are trained in basic sciences, clinical disciplines (including diagnostics, radiology, laboratory diagnosis, and naturopathic assessment), naturopathic disciplines (including clinical nutrition, botanical medicine, traditional Chinese medicine and acupuncture, homeopathic medicine, hydrotherapy, naturopathic manipulation, and lifestyle counselling), and clinical experience (including treating patients under the supervision of a registered naturopathic doctor).

What all of this means is that Naturopathic Doctors are trained to diagnose different medical conditions, similar to what your medical doctor might diagnose. NDs are also able to read and interpret lab work, similar to your medical doctor. That being said, you could say that NDs are highly skilled and trained health care providers. Below I have provided a chart that was distributed by the AANMC, which compares the training of Naturopathic Doctors versus Medical Doctors and how they may differ.

ND MD Comparison

Source: http://aanmc.org/schools/comparing_nd_md_curricula/

 

Another difference in training between MDs and NDs is in regards to residency. Both professions have 4 years of training, but in regards to the residency, It is mandatory for MDs but not for NDs due to the lack of available residencies available for NDs. In addition, NDs and MDs are trained to treat and look at patient cases differently. That being said, this blog is not meant to prove that NDs are equal or superior to MDs, but to provide more information as to what your ND is qualified to do. With the training that a naturopathic doctor is given, they are able to help you with all of your primary care needs, and are able to distinguish when referral to your MD or other health care providers may be necessary (for example when you might need antibiotics). The primary health care needs may include treatment of such conditions and symptoms as fatigue, high blood pressure, depression, diabetes, asthma, allergies, anxiety, pain, constipation, inflammatory bowel disease, bloating, indigestion, menstrual problems, acne, psoriasis, arthritis, and the list goes on. If you have any more questions about what your Naturopathic Doctor can do for you please do not hesitate to contact me (Elisha Cook) through the contact portion of this website.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please contact Elisha Cook for more information.

Source: http://aanmc.org/schools/comparing_nd_md_curricula/

 

Naturopathic Approaches for Depression

Depression - Narrative photoDepression can be a very crippling condition to experience despite it being classified as a mental health condition. However, there are treatments that can help, that can be provided through your naturopathic doctor. A Naturopathic doctor can use the following therapies to achieve therapeutic benefits in depression:

  • Traditional Chinese Medicine and Acupuncture
  • Botanical Medicine
  • Nutrition, Diet and Lifestyle
  • Hydrotherapy
  • Homeopathy
  • Physical Medicine

Ultimately, the goal of treatment will be to treat the root cause of disease. This will be different for each individual based on the cause of depression for that specific individual, eg nutrient deficiency vs. grief. As a result, the following list offers examples as to what goals might be developed for a treatment plan for an individual:

  • Correct for deficiencies
  • Reduce stress or Improve stress management
  • Improve coping mechanisms
  • Improve mood
  • Alter lifestyle and diet to increase mood and reduce stress
  • Improve gut microbiology and digestion

How can Traditional Chinese Medicine (TCM) help?

TCM views the body differently than western medicine. TCM theory suggests that when there is an imbalance in the body system, disease manifests. Each “organ” is associated with an emotion: Heart with joy and is the center of one’s personality, liver with anger, spleen with worry, lungs with grief, and kidneys with fear. As one can see, all of these organs could play a part in depression, and so, individual cases are taken, and the root cause is determined. Once a specific diagnosis is made, a treatment plan is created, and may involve using acupuncture, herbal formulas, diet, or lifestyle, all with the purpose of bringing the body back into a state of balance.

Specifically regarding acupuncture, acupuncture has been shown in some studies to be beneficial for depression and decreasing symptoms associated with depression. The following link offers one such study where benefits were received from acupuncture. http://www.i-healthbenelux.nl/pages/comp.concept/Clin_Psychiatry_2006.pdf

How can Botanical Medicine help?

Botanical formulas have similar effects to medications, often without the side effects, however this is not true for all herbs and plants. Specific herbs or plants will be selected based on their properties and combined based on the specific individual’s presentation of depression. For example, one person may need help with sleep, where as one may need help with stress, both in combination with needing help with mood. Some beneficial properties that some useful herbs may have include: nervine, anti – depressant effect, sedative and adaptogenic.

There are several plants that have more research behind them in regards to their use in depression, but other plants exist that are effective as well. Research has shown that such plants are beneficial for various degrees of depression. The following link offers one such study where the benefits of various plants were outlined: http://www.europeanneuropsychopharmacology.com/article/S0924-977X(11)00071-X/abstract

How can Nutrition and Diet help?

Depression can be aggravated or caused by various nutritional deficiencies. Therefore, it may be necessary to correct for these deficiencies in order to treat the root cause of the depression. In addition, various changes to one’s diet can help to improve mood and decrease inflammation (and thereby decrease inflammation in the body, which may contribute to the depression). Based on your specific case, several classes of action may be recommended for you, and thus foods or supplements recommended. These actions might include: anti-oxidant, mood – boosting, or anti – inflammatory.

Research has shown that not only are nutritional deficiencies associated with depressive symptoms, but specific dietary patterns can be associated with depression. For example, diets that were higher in fruits and vegetables were associated with less depressive symptoms, where as diets that were deemed lower in fruits and vegetables were more likely to be associated with depression (http://www.biomedcentral.com/content/pdf/1475-2891-8-31.pdf).

How can Hydrotherapy help?

Hydrotherapy involves alternating hot and cold water applications to achieve the following goals: promote detoxification and relaxation, increase circulation, improve immune system functioning, promote digestion, and decrease pain. Based on all of the following actions, hydrotherapy could be beneficial for depression based on different root causes. For example, if an individual is depressed because they are stressed, hydrotherapy may be beneficial by helping the individual to relax.

Hydrotherapy can be performed via a number of methods: constitutional hydrotherapy, sauna, peat bath, Epsom salt baths, or alternating hot and cold showers. These therapies may not be available at every naturopathic doctor’s clinic, but if you are interested in these therapies, they can be performed by myself, Elisha Cook, at the Robert Schad Naturopathic Clinic (416-498-9763).

Very little evidence has surfaced for the efficacy of hydrotherapy to treat depression, however, the research that has surfaced has been quite promising. The article link provided below shows a study where depressed patients were given hydrotherapy treatments ending in cold (most hydrotherapy ends in cold for approximately 30 seconds), that caused anti – depressive effects soon following treatment (http://www.sciencedirect.com/science/article/pii/S030698770700566X).

How can Homeopathy help?

Homeopathy is an energy medicine that involves finite doses of a substance that are diluted in water, which amount to a higher therapeutic dose overall. In this form of medicine, individualized remedies are chosen based on the individual’s specific symptoms and presentation. Each person requires a different remedy based on their unique presentation. Homeopathy does not interact with any medications, making it quite useful especially if you are taking other medications.

In recent studies, homeopathy has been shown to be just as effective as anti – depressant medication in the relief of depressive symptoms. In addition, other studies have shown homeopathy to be 58% effective (http://www.readcube.com/articles/10.1111%2Fj.20427166.2012.01163_5.x?r3_referer=wol&show_checkout=1).

How can Physical Medicine help?

Physical medicine involves a number of different potential therapies. These therapies might include massage, naturopathic manipulation, ultrasound, laser therapy, electroacupuncture, or Gua Sha. The general effect of these therapies includes relaxation, increased circulation, decreased pain, and decreased inflammation. Similar to what was mentioned above, depression may be decreased or alleviated based on these potential effects.

Research has shown that patients with depression may benefit from massage therapy (http://journals.lww.com/jnrtwna/Abstract/2004/03000/The_Effect_of_Acupressure_With_Massage_on_Fatigue.7.aspx).

How can Lifestyle changes help?

Various lifestyle factors can play a role in depression. By improving sleep, exercise, scheduling, and stress management, it is possible that some individuals may have reduced depressive episodes. In addition, the way that an individual thinks can influence mood. By addressing negative thought patterns, poor sleep patterns, lack of exercise, or stress management concerns, one may experience decreased depressive episodes. Naturopathic doctors are trained to help individuals through lifestyle counselling, and can use methods use as motivational interviewing or cognitive behavioural therapy to do so.

Research is quite extensive regarding exercise and its benefit on depression. Even as little as two times per week has been shown to benefit depression (http://condor.depaul.edu/hstein/NEMSSAH.pdf).

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.

 

Naturopathic Approaches for Frostbite

WinterWith the frigid cold temperatures that have been descending upon us, it is important to understand the signs and symptoms of frostbite and how to treat it. In addition to the first aid advice you might be given, I will also throw a “naturopathic spin” on it.

Signs and Symptoms

In frost bite, there are three stages, with the condition increasing in severity with the increase in stages.

Stage 1: Frostnip – in this stage, one may experience pins and needs that progress to numbness. The individual will also have red skin that feels cold.

Stage 2: Superficial frostbite – the skin will now be hard, pale, blue and cold, which turns to red sore skin after it thaws. The skin may also start to blister. In addition to this, the individual may have a burning sensation and swelling as the skin warms.

Stage 3: Deep frostbite – at this point, deeper damage is done in the form of joint and muscle stiffness, large blisters forming, and gangrene forming. In addition, tissues, nerves, and bones may even be damaged. In addition to these physical effects, the individual may also begin having effects to their cognition such as difficulty speaking, difficulty concentrating, some hysteria, etc.

Prevention

In order to prevent frostbite, certain measures should be taken:

  • Limit your encounters in the cold when possible
  • Bundle up, making sure that all skin is covered
  • Wrap in layers to make sure you keep warm
  • Wear only dry clothing
  • Make sure you have adequate foot wear that is well insulated and keeps your feet dry
  • Drink plenty of fluids
  • Avoid alcohol and smoking

First Aid Approach

When you first notice signs of frostbite, go into a warm space immediately. Start by warming up the individual gently, such as giving them a warm blanket. Do not immediately go to putting their hands in very warm water as this can actually make the frostbite worse. Once they have been gently warmed then you can proceed to provide a warm (not hot) shower or rinse. If the individual has superficial frostbite, it may be necessary to take them to the hospital. However, in the case of deep frostbite, the individual needs to be taken to the hospital immediately.

Naturopathic Approach

Please note that the naturopathic approaches are not meant to be done instead of the first aid approaches, but are rather meant to compliment them and support them. These therapies are meant to be added to the first aid approaches that you should be taking. There are several different approaches that can be taken from a naturopathic perspective to help an individual who is suffering from frostbite.

Nutrients: Vitamin B3 (niacin) helps with vasodilation, which means it helps to increase circulation and get warm blood to the extremities or affected part of the body. Vitamin C is also a great nutrient to help improve circulation in general.

Homeopathy: The homeopathic remedy Agaricus is a general remedy for frostbite that can be given to an individual that has frostbite. Based on the principle of like cures like, this remedy has the following symptoms, making it well suited for frost bite: Burning and itching on both hands as if frozen; body parts are hot, swollen and red; pain and inflammation in frostbitten toes; shooting pains in fingers and toes; burning, red, itching ears as if frozen; frostbitten nose itches; chronic inflammation of the nose after exposures.

Botanicals: Use warming herbs and plants AFTER exposures have resolved in order to make sure circulation has not been compromised to the affected areas. Such herbs include garlic, onion, cayenne, ginger, mustard, and cinnamon. During the exposure, the individual may consume small amounts of these items in order to gently warm from the inside out. In addition, these herbs can be applied externally to the affected part in order to improve circulation, however this should be done cautiously as some of these herbs can burn the skin. Testing the skin before use for sensitivity should be done. In addition, applying aloe vera gel topically to the affected parts can help with the burning sensation that the individual experiences. Coconut oil can be applied externally as well due to its soothing effect, as well as warming effect. You can also have the affected individual drink a warming substance such as black tea, and add in some honey as this can be warming. Please note that you should avoid alcohol as this can make the condition worse.

Hydrotherapy: As mentioned above, a poultice with warming herbs can be applied to the affected areas, with the cautions taken into consideration. Following the frostbite incident, undergoing contrast showers can help to improve circulation and can also have a warming effect by the end of the treatment.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.