by Sara Gottfried, MD and Melissa Blake, BSc, ND Hormones drive the many functions of our body and mind. For example, hormones and their receptors influence metabolic function, heart rate, appetite, tissue growth, and development. Ultimately, the body relies on the hormonal signals of a strikingly choreographed endocrine system. Most of the endocrine system is regulated by the hypothalamic-pituitary-adrenal-thyroid-gonadal (HPATG) axis, which is instrumental in regulating mood, reproductive health, and general homeostasis.1 Unfortunately, the HPATG axis is remarkably sensitive to…

by Sara Gottfried, MD; Annalouise O’Connor, PhD, RD; Lewis Chang, PhD If we go back a few decades, scientists and clinicians considered the leading public health killers—such as heart disease, cancer, Alzheimer’s disease, diabetes—to be separate diseases. Now we know they have a common root cause: inflammation, the process by which the body’s white blood cells are recruited and activated for a specific purpose. Acute inflammation is triggered to help fight an infection or illness, or to heal an injury,…

Host: Deanna Minich, PhD Guest: Kara Fitzgerald, ND In this discussion, Kara Fitzgerald, ND and Deanna Minich, PhD explore the active process of inflammation resolution and how to provide clinical support to quench inflammation chronicity in your patients. Dr. Fitzgerald thinks of inflammation broadly, as a complex immune response to a variety of inputs. The offensive input could be a pathogenic insult like a bacterial or viral infection, and the inflammatory response is acute and protective to the patient. But when…

by Robert Silverman, DC, MS, CNS, CCN Endurance athletes are a unique breed of athlete. Their specific energy system used during exercise requires them to eat differently than their peers. They also need to maintain adequate levels of electrolytes—before, during, and after exercise—and thus, need the support of targeted supplementation. As a sports nutritionist and Functional Medicine practitioner, I work with both competitive and amateur endurance athletes. Let’s take a closer look at what endurance athletes need to know about…

by Bianca Garilli, ND, IFMCP Too much inflammation can be a bad thing When the topic of chronic disease comes up, the term inflammation is sure to be close behind. In fact, inflammation has received a fairly bad rap in the past years as research has underscored its prominent role in the promotion and perpetuation of many aspects of physiological dysfunction. Although not the root cause per se, inflammation has been shown to “add fuel to the fire” of a…

by Bianca Garilli, ND Understanding Lyme disease What do The Platters and Lyme disease have in common? Both, although for totally different reasons, are associated with “The Great Pretender.” The Platters landed their “Great Pretender” connection through the 1955 recording of the song by the same name, which would go on to reach the #1 position on the R&B and pop charts just a year later.1 Lyme disease, on the other hand, is unfortunately connected to the term “The Great Pretender”…

Vitamin D deficiency is a global pandemic, and the clinical impact is far-reaching for pediatric and adult patients. In this video, Dr. Sara Gottfried discusses the US Endocrine Society guidelines for vitamin D sufficiency and explains the differential impact of vitamin D2 vs. D3 supplementation on serum 25-hydroxyvitamin D levels – 25(OH)D. Next, she provides insights on the synergistic role of vitamins D and K in bone and cardiovascular health. Since both of these essential, fat-soluble micronutrients are major nutrient…

Ashley Jordan Ferira, PhD, RDN If you can have a favorite nutrient, mine would be vitamin D. Historically famous for its essential, classical role in calcium and phosphorus homeostasis and bone physiology (think rickets prevention), the past few decades of research have unveiled diverse, extraskeletal health roles for vitamin D, including but not limited to the immune system, cardiometabolic pathophysiology, cancer, pregnancy, etc. Whether consuming vitamin D2 or D3 (FYI, the latter more potently impacts vitamin D status),1 vitamin D…

by Sara Gottfried, MD Behind closed doors, women bear all. Overwhelming fear, feelings of worry, irritability, and tension may plague them, yet the conversation around their anxiety has remained mostly unchanged for the past thirty years in mainstream medicine. Although anxiety is our nation’s most common mental disorder, there are lingering feelings of shame surrounding the condition. Women, who often feel pressured to live up to unrealistic expectations, may suffer silently and refrain from seeking the help they deserve. Anxiety…

by Bianca Garilli, ND Magnesium is the 4th most abundant mineral in the human body following calcium, sodium, and potassium. Intracellularly, magnesium is the 2nd most abundant cation behind only potassium.1 The number of essential roles magnesium plays in the body is extraordinary, with over 300 enzymes requiring magnesium as a co-factor for proper functioning.1 This essential element is involved in numerous critical physiological processes such as energy production (ATP metabolism, oxidative phosphorylation, and glycolysis), protein synthesis, muscle contraction, nerve…