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Blogs

Cardiometabolic, Foundational, Obesity

by Whitney Crouch, RDN, CLT Sugar is a hot topic. It’s one of the recently recognized, major culprits for increasing rates of overweight and obesity, type 2 diabetes, and heart disease and contributes to a multitude of other health conditions related to inflammation in the body.1 Sugar intake in America 42% of Americans ≥ 2 years meet the 2015-2020 Dietary Guidelines for Americans recommendation for limiting added sugars intake to <10% of daily calories.1-2 That leaves 58% of Americans consuming…

by Whitney Crouch, RDN, CLT Sugar is a hot topic. It’s one of the recently recognized, major culprits for increasing rates of overweight and obesity, type 2 diabetes, and heart disease and contributes…

Foundational

by Sara Gottfried, MD and Kirti Salunkhe, MD Perimenopause refers to the years of hormonal upheaval before the final menstrual period. It can begin in a woman’s mid-30s or 40s. However, perimenopause is a state of body and mind, not a chronological destination. It begins with dropping progesterone levels and ends with dropping estrogen levels. For some women, it is a time when perimenopausal symptoms begin in earnest. Mood becomes unpredictable, weight climbs, and energy wanes—and most commonly, women experience a…

by Sara Gottfried, MD and Kirti Salunkhe, MD Perimenopause refers to the years of hormonal upheaval before the final menstrual period. It can begin in a woman’s mid-30s or 40s. However, perimenopause is a…

Cognitive, Foundational

by Bianca Garilli, ND, USMC Veteran Sleep disorders in military veterans are common, yet their role in chronic illness is frequently overlooked. A study published in Sleep brings attention to this important subject: “The National Veteran Sleep Disorder Study: Descriptive Epidemiology and Secular Trends, 2000–2010” was a serial, cross-sectional study that reviewed sleep disorder trends in veterans who were treated in the Veterans Health Administration (VHA) over a period of 11 years.1 In total, 9,786,778 patient visits were included in…

by Bianca Garilli, ND, USMC Veteran Sleep disorders in military veterans are common, yet their role in chronic illness is frequently overlooked. A study published in Sleep brings attention to this important subject:…

Cognitive, Foundational, Obesity

by Sara Gottfried, MD and Lewis Chang, PhD Introduction When I finished my medical training in 1998 at the University of California at San Francisco, I thought I knew everything about vitamin D, particularly vitamin D deficiency and insufficiency. I understood vitamin D was important for the efficient trafficking of calcium in the body, and that helps to keep bones strong, which was important for women’s health over the age of thirty when bone density begins to decline. What I…

by Sara Gottfried, MD and Lewis Chang, PhD Introduction When I finished my medical training in 1998 at the University of California at San Francisco, I thought I knew everything about vitamin D,…

Cardiometabolic, Foundational, Musculoskeletal, Obesity

Ashley Jordan Ferira, PhD, RDN If you can have a favorite nutrient, mine would be vitamin D. Unlike other nutrients, this fat-soluble vitamin is obtainable via several unique routes: the skin with adequate UVB exposure, a handful of natural food sources, a few fortified foods, dietary supplements, and even prescription drugs. Whether consuming vitamin D2 or D3 (FYI, the latter more potently impacts vitamin D status),1 vitamin D ultimately circulates in the 25-hydroxyvitamin D [25(OH)D] form (the clinical biomarker used…

Ashley Jordan Ferira, PhD, RDN If you can have a favorite nutrient, mine would be vitamin D. Unlike other nutrients, this fat-soluble vitamin is obtainable via several unique routes: the skin with adequate…

Cognitive, Foundational

by Bianca Garilli, ND, USMC Veteran Apolipoprotein E (ApoE) is a lipoprotein encoded by the apolipoprotein E (APOE) gene located on chromosome 19; this protein is primarily responsible for transporting and metabolizing cholesterol and other lipids.1 Although expressed in various tissues throughout the body, the highest ApoE concentrations are found in the liver, kidney, spleen, adrenal, adipose tissue, and the brain or central nervous system (CNS), where it is predominately involved in neuronal maintenance, growth, and repair.1,2 There are six…

by Bianca Garilli, ND, USMC Veteran Apolipoprotein E (ApoE) is a lipoprotein encoded by the apolipoprotein E (APOE) gene located on chromosome 19; this protein is primarily responsible for transporting and metabolizing cholesterol…

Cognitive, Digestive

by Sara Gottfried, MD and Noelle Patno, PhD  Exercise. We all know we need it to reduce the risk of cardiovascular disease, improve mood, maintain a healthy weight, and support neurogenesis, among many other health benefits. We all know to counsel our patients about it. However, what many practitioners don’t realize is that exercise triggers a stress response in the body, impacting the gastrointestinal system as well as the overall body’s physiology, and may result in disruption of the delicate…

by Sara Gottfried, MD and Noelle Patno, PhD  Exercise. We all know we need it to reduce the risk of cardiovascular disease, improve mood, maintain a healthy weight, and support neurogenesis, among many…

Cardiometabolic, Foundational, Obesity

by Bianca Garilli, ND, USMC Veteran The estimated cost of diabetes in the US was $327 billion in 2017, which reflects both direct medical costs ($237 billion) and indirect costs ($90 billion).1 After adjusting for inflation, this amounted to a 26% increase in diabetes costs from 2012 to 2017 and accounted for 1 in 4 healthcare dollars spent in the US.1 In 2015 it was estimated that 30.3 million people of all ages, roughly 9.4% of the US population, had…

by Bianca Garilli, ND, USMC Veteran The estimated cost of diabetes in the US was $327 billion in 2017, which reflects both direct medical costs ($237 billion) and indirect costs ($90 billion).1 After…

Foundational

Bianca Garilli, ND A fiery debate is occurring in homes, schools, research institutes, corporate board rooms, and healthcare organizations across the globe: Are e-cigarettes (e-cigs) harmful? Are e-cigs a healthier alternative than conventional cigarettes? Are e-cigs effective smoking cessation tools? Do e-cigs act as a gateway to more harmful smoking and lifestyle behaviors? In order to answer these questions and more, it’s important to understand the history of e-cigs and how we’ve arrived to this point. History of e-cigs Prototypes…

Bianca Garilli, ND A fiery debate is occurring in homes, schools, research institutes, corporate board rooms, and healthcare organizations across the globe: Are e-cigarettes (e-cigs) harmful? Are e-cigs a healthier alternative than conventional…

Cardiometabolic, Cognitive, Foundational

by Sara Gottfried, MD My granny blinked behind her glasses as she drove us to her home after school, trying to conceal her panic. It was 1975. I was 7 years old, and she was 50. Granny wasn’t sure where to turn her Oldsmobile Cutlass Supreme next. The distance between the school bus stop and her home was only 5 miles, but we were lost. When my grandmother’s memory and then her personality drained out of her due to Alzheimer’s…

by Sara Gottfried, MD My granny blinked behind her glasses as she drove us to her home after school, trying to conceal her panic. It was 1975. I was 7 years old, and…

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