Welcome to the Doctor's Corner

Our practical thoughts on health and other things that will make your life better.

Please note: Caring Sunshine is unique in that we provide expert health help to our customers. If you have specific questions about your situation, we invite you to book a free consultation with Dr. Shannyn Fowl.

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Why can’t I lose weight?

Make no mistake about it: diet and movement are the backbone of a weight management plan! There are many weight loss strategies, but they will likely have very little impact if we are not adjusting our diet and moving.

If you want to lose weight, changes in mindset and routine are required. Before embarking on the process, know that you have to overcome obstacles that come up and understand that the progress is not fast. It is a journey. Fortunately, you will find many others on the journey who can provide camaraderie and support.

Now that I have gotten the obvious out of the way, let’s talk about less-considered factors that can help on your journey.

  • Research shows that a Mediterranean diet filled with vegetables, good protein, healthy fats and low carbohydrates seems to be the most effective diet for weight loss.
  • Our gut microbiome is greatly affected by our diet, and if there is more of one family of gut bacteria than another, it can be much harder to lose extra weight.
    Focusing on digestion will help you lose weight faster. Chew your food well before swallowing, eat while calm, and drink adequate water throughout the day for better digestion.
  • Some studies have shown that intermittent fasting can be beneficial, but be careful: this can cause some adrenal issues in women.
  • Keep in mind that alcohol has more calories than any other food.
  • Exercise at the right time. A new study found that participants showed more success in a lower waist circumference and body mass index (BMI) when exercising between 7-9 am rather than in the afternoon or evening. (https://onlinelibrary.wiley.com/doi/10.1002/oby.23851)
  • Numerous studies have shown that weight lifting and high-intensity interval training can add muscle mass and increase metabolism (which helps the body burn far more calories).
  • Sleep is a big factor in boosting our “feel-good chemicals,” which help us relax and drop weight.
  • Be wary of contributing factors to weight gain. These include hormone imbalances, endocrine problems (primarily thyroid), life stressors (family, relationship, and financial problems), and trauma. These can all shift our metabolism, neurotransmitter safety settings, and hormones to tell our bodies to hold onto extra weight.
  • Other potential factors that may hurt weight management include air pollution, depleted minerals in our soil, chemicals in our beauty products, preservatives, and pesticides.

Here are some nutrients that are important as you focus on weight management:

  • Vitamin D (overweight people tend to have depleted Vitamin D levels).
  • Magnesium is a natural relaxer that is depleted by alcohol, caffeine, and stress.
  • Fish oil reduces metabolic markers associated with excess weight.
  • Lactobacillus (a probiotic) can help shift the microbiome imbalance associated with extra weight.
  • Eleuthero and Rhodiola can help with adrenal and stress-related issues.
    Remember:

Everyone is an individual. Do the foundational work of good routines, food, and movement, but consider getting individualized care to find out what your personal obstacles are.

Photo by Edgar Castrejon on Unsplash

Pneumonia – Natural Remedies

Flu scene
Natural Remedies for Pneumonia
Pneumonia can sneak up on you when you have a simple cold and the air sacs in one or both lungs get inflamed by an infection caused by bacteria or virus and sometimes fungi or other germs.
Symptoms can be mild like a cold or severe such as not being able to breath, fever, chest pain and severe fatigue. Some people can get very confused and that may be the first sign. Fever is not always a sure sign since a low temperature may occur with pneumonia as well. Once you have pneumonia and those lungs are inflamed, you can be more likely to get pneumonia again. This can happen with adults or children and you may have heard someone say everything goes to their chest.
If you think you or a loved one may be developing, has the signs or could have pneumonia, there is not a substitute to a good stethoscope listen to the chest by a trained ear and an x-ray.
Pneumonia will not just go away.  It will get worse and the patient needs to be watched, cared for and given appropriate treatment.  Now the most common treatment is antibiotics and is appropriate for bacterial infections.  A well trained physician can often tell the difference between viral and bacterial pneumonia by symptoms, however an x-ray, blood work and even a culture of the discharge can help with accuracy too. While antibiotics can help, they are often not enough alone and sometimes they just plain fail or don’t do enough.  They also do a number on our gut microbiome so we are always seeking to protect our gut lining if we absolutely must take antibiotics.  Saccromyces boulardii is the best way to do this.  Again, antibiotics have their place and can be effective, however the appropriate dose must be given, then you must take your full script even if you feel better to prevent mutations or superbugs and we must do our part for the immune system to adequately respond.
Antibiotic Guidelines:
  • Antibiotics are appropriate for bacteria infections but rarely viral
  • We must protect our gut microbiome during antibiotic treatment
  • Finish the script of antibiotics even if you are feeling better
  • Antibiotics are not enough alone to heal from pneumonia
There are many things we can do to help support our immune system if we suspect our lungs are challenged or if we have pneumonia.
Food
Being especially nice to the digestive system with soft cooked foods that are easy to digest such as a soup with ginger, yellow squash, green beans and zucchini. This will help with nutrients and getting fluids in to help with transport of immune cells to where they need to be and toxins getting out. High vitamin A foods are really helpful and that would include your orange and yellow vegetables. Cooked food is going to be easier than raw and certainly avoid sugar and dairy which will cause more mucus and inflammation. You can also supplement with Vitamin A as directed by your physician.
Enviornment
Fresh air is key, both outdoor air and a good air filter allowing the viral or bacterial particles to be diluted and not re-inhaled.  No stuffy rooms.
Keep the body warm so it can focus on immune function and detox instead of temperature regulation.
Hydrotherapy
I have used some hydrotherapy with all pneumonia patients to help increase the flow of blood into the lungs and then to eliminate by larger organs. The key is not to get chilled. If a family member can help facilitate this for a pneumonia patient, we see them improve greatly since we are able to get medicine and nutrients into the lungs and the trash out!
Alternate hot and cold hydrotherapy has been used since the 17th century and many versions were used during the tubercular era so we know how pertinent it can be to help cleanse the lungs.
Three rules of contract hot and cold therapy:
  1. Always end with cold.
  2. Use hot 3x as long as cold.
  3. Three cycles.
Here is an example of how it can be used:
Use a small hand towel and soak it in a bowl of ice water. Rinse a second hand towel in hot water.  You may need heavy duty dish gloves to withstand the hot water and to get it hot enough. Wring out the towel well.  Have the family member with pneumonia lie on his stomach. Lay the hot towel on the person’s back. It will likely feel good.  This is encouraging blood flow to the surface and the skin may get red but avoid burning the person.
Cover with a wool blanket preferred but a heavy cotton blanket can work as well. Let it stay on for 6 minutes. Prep the ice cold towel by wringing it out. Pull the hot towel (now warm) off the person’s back and replace it with the cold towel. This will cause a big inhale and perhaps a yelp. Some treatment protocols have you slap the ice cold towel on. Do cover them and ensure the room is not drafty. Leave on for 3 minutes.
This allows the body to respond by sending blood to warm the skin and creates more blood flow in the area then normal.  After 3 minutes, repeat with the hot towel again and so forth for 3 cycles.  After the last ice cold towel, dry the person’s back and allow them to sleep if desire
There are many tools to deal with pneumonia or respiratory infections and natural tools are really gold when treating them.  We discussed some simple basic treatments today and we barely scratched the surface of what you can do at home.  The focus should be on gentle nutrition for the digestive system, supporting the immune system pertinent to the person’s immune stamina, high Vitamin A foods, antimicrobial or anti-viral treatment dependent on the form of pneumonia and stimulating good air and elimination pathways for the extra toxicity created by the infection.
Please note pneumonia is a serious condition and you must be under the direct care of your physician including a follow up chest x-ray to make sure your pneumonia has resolved without consequences.

Photo by Kelly Sikkema on Unsplash

Sitting at a desk can kill you

Note: Dr. Shannyn is on hiatus this week.
If you work at a desk all day, your health is at risk, but there are easy ways to mitigate that risk:
  • Consider a standing desk. Trust me: You will get used to standing in no time and you don’t have to do it all day long. (A standing desk like this is inexpensive and easily converts to a sitting desk by pressing a button.)
  • Don’t eat at your desk. Take a stroll instead. A 30-minute walk every day will eliminate the increased risk you face from sitting.
  • Take regular breaks every hour or two and walk for 5-10 minutes.
  • Go see colleagues in person (rather than texting or calling them).
  • Consider desk exercises such as these.
The good news is that you don’t have to do anything drastic to mitigate this risk. You do not have to work out for hours a day. Just make a few minor corrections in your routine and your health will be much better.
Photo by Amauri Mejía on Unsplash

All about Vitamin C

Vitamin C is most often used for immune support, but it serves many other purposes as well. Let’s talk through a few of those today.

 

Connective tissue repair

First, it plays an especially important role in repairing connective tissues of the body. Vitamin C is a key building block of collagen, which the body uses to repair wounds. When Vitamin C is lacking, that repair is stunted. In fact, easy bruising, rough skin, hair problems, and nail abnormalities are all possible consequences of low Vitamin C.

 

Strong bones

Vitamin C also facilitates calcium absorption in the bones. Those who worry about osteoporosis or osteopenia will want to ensure they are getting adequate Vitamin C.

 

Brain function

Neurotransmitters, the brain’s communication molecules, also need Vitamin C in their production.

 

Immune support

Of course, Vitamin C is well known as an antioxidant and, thus, a supporter of immune function. The elaborate dance it does with the immune pathways is complex and multifactorial, but in a nutshell, as an antioxidant, it provides extra electrons to repair damaged DNA and other cells.

 

Vitamin C is one of many antioxidants that serve the body like a handyman roaming the house, continually updating, repairing, and replacing missing parts in your body. This is the definition of anti-oxidation (repairing oxidation damage).

 

Several well-known research projects have shown that Vitamin C plays a role in controlling allergies and autoimmune diseases. Adequate Vitamin C also helps keep inflammation under control and prevents chronic illness.

 

Daily intake recommendations

Because our bodies do not make Vitamin C, we need to get it from our diets (especially from fruits and vegetables). Vitamin C intake needs to be routine because our body will not store it; it is a water-soluble vitamin and our bodies excrete it along with water on an ongoing basis.

 

Recommended intake hovers around 90-200 mg daily, and newer research suggests that you should take even more when ill.

 

If you supplement your diet to get more Vitamin C, it is always best to consult your doctor for help determining the right dose. Your health and exposure to health risks may affect your recommended dosage.

 

We recommend that you don’t overdo it. Vitamin C may cause diarrhea and too much can cause kidney stones in some patients.

 

Tip: Vitamin C can be stimulatory, so it is best taken during the day.

  • Vitamin C-rich foods:
  • Acerola cherries
  • Cantaloupe
  • Black currant
  • Lychee
  • Kiwi
  • Papaya
  • Pineapple
  • Strawberries
  • Broccoli
  • Brussels sprouts
  • Cauliflower
  • Red and yellow peppers

 

Dr. Shannyn’s Vitamin C Challenge:

  • Tell someone about what you learned about Vitamin C. Teaching someone else helps you retain what you learned.
  • Try a new food with high Vitamin C.
  • Take Vitamin C before exercising and see how you feel.
  • Share a Vitamin C food with a friend and see if they notice it is healthy.
  • Plant a high Vitamin C food and assess what the soil needs to produce the most Vitamin C content.

 

Photo by engin akyurt on Unsplash

All about Vitamin C

 

Vitamin C is most often used for immune support, but it serves many other purposes as well. Let’s talk through a few of those today.

Connective tissue repair
First, it plays an especially important role in repairing connective tissues of the body. Vitamin C is a key building block of collagen, which the body uses to repair wounds. When Vitamin C is lacking, that repair is stunted. In fact, easy bruising, rough skin, hair problems, and nail abnormalities are all possible consequences of low Vitamin C.

Strong bones
Vitamin C also facilitates calcium absorption in the bones. Those who worry about osteoporosis or osteopenia will want to ensure they are getting adequate Vitamin C.

Brain function

Neurotransmitters, the brain’s communication molecules, also need Vitamin C in their production.

Immune support
Of course, Vitamin C is well known as an antioxidant and, thus, a supporter of immune function.  The elaborate dance it does with the immune pathways is complex and multifactorial, but in a nutshell, as an antioxidant, it provides extra electrons to repair damaged DNA and other cells.

Vitamin C is one of many antioxidants that serve the body like a handyman roaming the house, continually updating, repairing, and replacing missing parts in your body.  This is the definition of anti-oxidation (repairing oxidation damage).

Several well-known research projects have shown that Vitamin C plays a role in controlling allergies and autoimmune diseases.  Adequate Vitamin C also helps keep inflammation under control and prevents chronic illness.

Daily intake recommendations
Because our bodies do not make Vitamin C, we need to get it from our diets (especially from fruits and vegetables). Vitamin C intake needs to be routine because our body will not store it; it is a water-soluble vitamin and our bodies excrete it along with water on an ongoing basis.

Recommended intake hovers around 90-200 mg daily, and newer research suggests that you should take even more when ill.

If you supplement your diet to get more Vitamin C, it is always best to consult your doctor for help determining the right dose. Your health and exposure to health risks may affect your recommended dosage.

We recommend that you don’t overdo it. Vitamin C may cause diarrhea and too much can cause kidney stones in some patients.

Tip: Vitamin C can be stimulatory, so it is best taken during the day.

Vitamin C-rich foods:
Acerola cherries
Cantaloupe
Black currant
Lychee
Kiwi
Papaya
Pineapple
Strawberries
Broccoli
Brussels sprouts
Cauliflower
Red and yellow peppers

Dr. Shannyn’s Vitamin C Challenge:

  • Tell someone about what you learned about Vitamin C.  Teaching someone else helps you retain what you learned.
  • Try a new food with high Vitamin C.
  • Take Vitamin C before exercising and see how you feel.
  • Share a Vitamin C food with a friend and see if they notice it is healthy.
  • Plant a high Vitamin C food and assess what the soil needs to produce the most Vitamin C content.

Beans, beans, beans: Love for your gut

When we think of caring for our gut, expensive probiotics or intestinal support formulas may come to mind. These can be helpful in restoring digestive capability and reinoculating an intestinal lining that has been damaged. However, I often talk to my patients about a simple yet effective way to help the probiotics you already have dwelling in your gut: beans.

Yes, I recommend a variety of beans. Interestingly enough, you don’t need many. A tablespoon is enough to help a family of microbiota healthy. Variety is important because each bean has a different fiber type that helps different microbiota thrive. This creates the balancing act we are trying to achieve in the gut.

Achieving a healthy gut is hugely important. Studies show that people who live a long time tend to have a huge variety in the microbiome world in their bodies. And, in fact, those studies show that centenarians tend to eat beans!

As a side note, another common trait among long-living people is their tendency to have regular doctor screenings, which can detect and correct intestinal imbalances that lead to bigger issues. Many studies are starting to show that the lack of diversity in the intestinal world can contribute to opportunistic infections and even diseases like rheumatoid arthritis. Prevention is everything.

Now, how can beans help? One particular study investigated the effect of 1 cup of navy beans daily on a population with a previous history of colorectal cancer.  The study did baseline testing and considered the typical diet of the individual.  Stool and blood were assessed every four weeks.  Within eight weeks, the microbial diversity had expanded in those eating beans by 20% compared to the control sample of participants.

The study also found increased fibroblast activity (connective tissue repair in the muscles, tendons, and other soft tissues), and many markers showed immune-balancing effects.

If you need more reasons to eat beans, try these: Beans are a fabulous form of fiber, protein, and some hidden gems such as lysine, which has anti-viral properties.

Take home message: Small amounts of beans added to your diet can greatly impact your future health! I like yellow-eyed beans, but I also love morado beans.

Don’t lose weight if you are already skinny!

Speaking of clinical health studies, one came out this week that I thought I would mention. If you are already lean, don’t lose weight. Don’t diet just to pursue some Instagram ideal with your body.

Why? There are three reasons. First, as we have discussed here many times, dieting reduces muscle mass, and muscle mass burns calories. If you are losing muscle, you are losing your ability to burn calories down the road. In other words, the weight will come back even faster if you stop dieting.

Second, it is important to understand that your body adjusts to a lower calorie count when you are dieting. Specifically, it tends to slow down the metabolism. While not necessarily permanent, that slower metabolism may not speed up down the road when you stop dieting, leading to fewer calories being burned, and thus, faster weight gain.

And last, the study found a slight increase in diabetes risk for those that diet while already lean.

There was another interesting but predictable takeaway from the study. Those that diet with exercise and healthy eating have a better chance of keeping weight off than those that use other methods such as diet pills and fad diets. That is why you do not hear us talking much about diet products that we sell. Those products can be helpful but should be only one piece of the solution. Exercise and diet are far more important.

Dieting should not be extreme. Don’t take shortcuts. Just make healthy eating and exercise part of your life and you should be just fine. We really did not need another study to tell us that 🙂

How to read clinical studies about health

If you get confused by the deluge of clinical trials and studies that hit your Google or Facebook feed, you are not alone. Those studies seem to contradict each other constantly. One says that eggs are good for you while another says they aren’t. Some take aim at supplements and classify them as useless while others show clear benefits.

So how should you view clinical studies? Here are a few tips:

1) Understand that the actual takeaways will be very limited.

Clinical trials are designed to answer one specific question in a fairly limited way. For example, they are generally not going to answer questions like “Are eggs good for you?” Rather, they will answer questions like “What is the impact on blood sugar levels when men between 20 and 30 years old eat two eggs a day?”

In other words, from 10,000 feet, contradictions seem obvious, but when you really dig in, contradictions may not exist at all. That leads us to the second point.

2) Pretty much ignore the headlines/stories in popular online sources. Read credible summaries or the study results themselves.

Imagine the headline on a popular news site if a study did find that men between 20-30 saw a slight increase in blood sugar levels when eating eggs. There would be little nuance, and you would see something like this: “Study shows that men should not eat eggs.”

If you want to actually know the results of a study, you have to get into the weeds and read the study, or at least, a solid, unbiased summary of the study results.

3) Look at the funding.

This is obvious. Companies fund studies to support their products. Often, these studies are fairly credible but still slanted. Furthermore, it is reasonable to believe that unfavorable studies will be quashed while favorable studies will be elevated in the media.

4) Watch your bias.

If you love coffee, it might be easy to discount studies that show negative results about coffee while eagerly posting studies that tout coffee benefits on your Facebook profile. We humans are wired that way.

Be careful about letting your bias control what you will accept as truth. Be willing to change your mind.

5) Trust legitimate studies, but accept that they may be wrong.

Unless you are a medical professional that specializes in the area that a study is focused on, you probably do not have the capacity to prove that study results are wrong. Armchair quarterbacks are not real quarterbacks.

That is not to say you cannot head to the internet and find people that agree with you that the study is wrong; of course you can! But why should you accept those opinions any more than the study results themselves? “Trust but verify” is a very flawed concept in general in 2022 because the sources you use to verify have to be verified too. It is a very tangled web indeed.

Our modernist society puts trust in science for a reason; when done correctly, science follows a rigorous process for deriving truth. Therefore, if a legitimate study is done by a legitimate group, it is reasonable to trust the results.

On the flip side, those legitimate results may be wrong and often will be. That is just the way it works; truth is hard to ascertain sometimes.

However, just because clinical studies are sometimes wrong does not mean that they are not the best way we know of in 2022 to try to answer questions about health. Clinical studies are a great tool that we have all benefited from.

So, feel free to accept the results of studies while understanding that you may have to change your mind down the road. Hold that knowledge loosely, but pay attention to it. Our life expectancy has almost doubled over the past few centuries, largely because of the scientific process.

Air Fryers: Do they live up the hype?

Air fryers are the rage right now, and in our opinion, justifiably so. We bought one in early 2021 when several of us were on a diet. We were eating a lot of raw vegetables and getting tired of it. So, bought an air fryer mostly for the purpose of quickly cooking great-tasting vegetables.

Today, we are still fans.

If you live in the south (as we do), you know that the south loves fried foods in spite of the health risks. While the idea of making foods with a “fried” taste without frying them in cooking oil seems almost too good to be true, an air fryer pulls off this feat. How? I am not exactly sure, but try it if you don’t believe me.

If you think about it, it is very rare to find situations where you can make a particular food healthier without giving up taste. That is where the air fryer shines; the most obvious example is french fries, which taste just as good when made in an air fryer and contain a fraction of the calories and fat.

If you are looking for a brand/model recommendation, this is ours. (Your family size or other variables may lead you in a different direction; check out legitimate review sites for more help.)

Financial Health: Protect yourself

Please pay attention to what I am going to say here: very smart people are conspiring to take steal from you. Furthermore, you are not immune, regardless of your age or level of technical/financial sophistication. These crooks are very smart.

In recent months, I have heard numerous stories from friends and acquaintances that have been hacked. Amazingly, many of these stories are coming from peer e-commerce business owners. These are people who understand security issues and take them seriously. And yet, they are still getting fooled and in some cases, losing a lot of money.

Here are some important tips you need to know:

1) If a bank calls you and asks you for a security code that has been texted/emailed to you, you should not assume it is actually your bank. Scammers often use a victim’s identity to do a password reset on the victim’s bank website, which in term generates a code being texted to the victim’s cell phone. They then call the victim pretending to be their bank and asking for the code.

Always be suspicious if someone calls and claims to be your bank and never give them information, even if they pressure you or scare you. Simply hang up and call your bank directly.

2) Take passwords seriously and use two-factor authorization for any banking accounts. Apps like LastPass make it very easy to use complicated passwords without having to remember them or write them down. I strongly recommend you use LastPass or something similar so that you can use unique, strong passwords on all of the important websites you use.

Two-factor authorization (getting a text/code sent to your phone when you log in) is critical these days for important accounts, and that is especially true for your email account. Remember: if a crook gets access to your email, he can reset passwords very easily on all your accounts, essentially locking you out of them.

3) Be careful of search engine results. Crooks often buy ads at the top of search engines offering deals to try to get access to your other accounts. For example, you might see an advertisement for a bank offering a great savings account rate. It is conceivable that you could end up setting up a fake bank account at a fake bank and transferring money that you will never see again. (Read this article for more information.)

4) Consider extreme steps to protect yourself. As uncool as it may sound, disabling online access to your accounts entirely and going back to phone/mail access may not be a bad idea. At a minimum, look for banking solutions that offer protection. For example, I often recommend Fidelity as a place to hold money because it has a money lockdown feature that keeps any money from leaving your account without your express permission.

5) When you shop online, use credit/debit cards rather than EFT, money orders, or checks. Shopping online is actually quite safe with credit/debit cards because your bank gives you 100% protection if something goes wrong and will quickly shut down the compromised card and give you a new one.

Over time, more and more solutions will become available to alleviate the current risk. However, at this particular point and time, you have to be extra careful with your finances if you are managing them online.