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Articles, Cardiometabolic, Digestive, Foundational, Functional Medicine, Integrative, Naturopathic, Nutritionists

by Bianca Garilli, ND and Ashley Jordan Ferira, PhD, RDN Type 2 diabetes (T2D) is no longer a Western world phenomena, but rather a global epidemic, with research revealing an association between higher T2D rates and a country’s wealth or economic growth.1 As a clear example, in a publication titled “Prevalence of type 2 diabetes in the Arab world: impact of GDP and energy consumption”, it was observed that the higher a country’s gross domestic product (GDP), the higher the…

by Bianca Garilli, ND and Ashley Jordan Ferira, PhD, RDN Type 2 diabetes (T2D) is no longer a Western world phenomena, but rather a global epidemic, with research revealing an association between higher…

Articles, Cardiometabolic, Foundational, Functional Medicine, Integrative, Musculoskeletal, Naturopathic, Nutritionists

by Sara Gottfried, MD and Lewis Chang, PhD Media headlines have claimed that aspirin has no benefit for older adults. What’s the truth? Should we, as one major news website suggests, toss our aspirin? Aspirin is derived from the bark of several species of willow trees. It has been used for centuries for pain and inflammation. As a low-dose therapy, aspirin has been prescribed to reduce the risk of heart disease, cancer, and stroke based on the results of multiple…

by Sara Gottfried, MD and Lewis Chang, PhD Media headlines have claimed that aspirin has no benefit for older adults. What’s the truth? Should we, as one major news website suggests, toss our…

Articles, Foundational, Functional Medicine, Integrative, Naturopathic, Nutritionists, Obesity

by Ashley Jordan Ferira, PhD, RDN Color your plate, so the slogan goes. A 2018 study took this advice literally, incorporating pictures of fruits and vegetables (F&V) into school lunch plates with the goal of improving F&V consumption in preschoolers.1 F&Vs are a low-calorie, nutrient-dense (macro-, micro-, and phytonutrients) food group, but the US is getting a “failing grade” when it comes to F&V intake because typical Western diets are lacking in plant-based nutrition. Health behaviors, including dietary consumption patterns,…

by Ashley Jordan Ferira, PhD, RDN Color your plate, so the slogan goes. A 2018 study took this advice literally, incorporating pictures of fruits and vegetables (F&V) into school lunch plates with the…

Articles, Foundational, Functional Medicine, Integrative, Naturopathic, Nutritionists, Obesity

by Bianca Garilli, ND Non-alcoholic fatty liver disease (NAFLD), the most common liver disorder in Western industrialized countries, can be categorized into two major groups – non-alcoholic fatty liver (NAFL), which is not associated with significant inflammation, and non-alcoholic steatohepatitis (NASH), which is associated with hepatic inflammation.1 Both of these conditions involve hepatic steatosis. The US prevalence of NAFLD is 10-46%.1,2 Worldwide, the prevalence is estimated to be between 6-35%, with some researchers noting up to 50% incidence in the…

by Bianca Garilli, ND Non-alcoholic fatty liver disease (NAFLD), the most common liver disorder in Western industrialized countries, can be categorized into two major groups – non-alcoholic fatty liver (NAFL), which is not…

Articles, Cardiometabolic, Cognitive, Functional Medicine, Integrative, Nutritionists

by Lewis Chang, PhD A ketogenic diet is a dietary approach that promotes nutritional ketosis by restricting carbohydrates and increasing the intake of fat with adequate consumption of protein. According to systematic reviews and meta-analyses, ketogenic diets may prevent an increase in appetite on reduced calorie diets1 and help achieve long-term body weight reduction.2 Emerging studies have suggested that ketogenic diets may be beneficial in diabetes management and exercise performance.3,4 Compliance with ketogenic diets can be difficult because the amount…

by Lewis Chang, PhD A ketogenic diet is a dietary approach that promotes nutritional ketosis by restricting carbohydrates and increasing the intake of fat with adequate consumption of protein. According to systematic reviews…

Articles, Cardiometabolic, Chiropractic, Functional Medicine, Integrative, Musculoskeletal, Naturopathic, Nutritionists

by Bianca Garilli, ND Ketogenic protocols have become an important therapeutic option for a variety of health issues including weight management, cardiometabolic dysfunction, and epilepsy.1 The potential of the ketogenic diet (KD) to help optimize body mass has important implications for the reduction of metabolic syndrome and its related chronic disease aspects such as heart disease, fatty liver, and type 2 diabetes (T2D). Additionally, the ketogenic dietary approach has gained widespread attention within the professional sports performance and wellness communities…

by Bianca Garilli, ND Ketogenic protocols have become an important therapeutic option for a variety of health issues including weight management, cardiometabolic dysfunction, and epilepsy.1 The potential of the ketogenic diet (KD) to…

Articles, Cognitive, Foundational, Functional Medicine, Integrative, Naturopathic, Nutritionists

by Ashley Jordan Ferira, PhD, RDN Autism spectrum disorder (ASD) is an urgent public health concern affecting approximately 1 in 59 US children.1-2 This complex neurodevelopmental syndrome is 4x more common in boys than girls and impacts all racial, ethnic, and socioeconomic backgrounds, although ASD is more common in white > black > Hispanic children.1 Other developmental, psychiatric, neurologic, chromosomal, and genetic diagnoses are known to co-occur with ASD,3-4 however, the genetic and epigenetic factors that impact autism pathogenesis are…

by Ashley Jordan Ferira, PhD, RDN Autism spectrum disorder (ASD) is an urgent public health concern affecting approximately 1 in 59 US children.1-2 This complex neurodevelopmental syndrome is 4x more common in boys…

Articles, Chiropractic, Cognitive, Functional Medicine, Integrative, Musculoskeletal

by Lewis Chang, PhD Multiple sclerosis (MS) is an immune-mediated disease of the central nervous system (CNS) in which the immune system attacks and damages the myelin sheaths of nerve fibers in the brain and spinal cord.1 Common symptoms include cognitive difficulties, vision problems, fatigue, pain, motor problems, bladder dysfunction, and sexual problems. However, symptoms and their severity vary greatly from patient to patient depending on the location of affected nerve fibers. What triggers MS is still unknown, but a…

by Lewis Chang, PhD Multiple sclerosis (MS) is an immune-mediated disease of the central nervous system (CNS) in which the immune system attacks and damages the myelin sheaths of nerve fibers in the…

Articles, Cardiometabolic, Foundational, Integrative, Musculoskeletal, Naturopathic, Nutritionists, Obesity

by Bianca Garilli, ND Physical inactivity prevalence among adolescents aged 11-17 years was estimated to be 81% globally in 2010, where insufficient physical activity (PA) was measured as < 60 minutes of moderate-to-vigorous-intensity PA daily per WHO guidelines.1 As part of the 60 minute/day exercise recommendation, the US Department of Health and Human Services recommends that aerobic activity should be incorporated at least 3 days/week, muscle-strengthening at least 3 days/week, and bone-strengthening activities at least 3 days/week.2 It is well…

by Bianca Garilli, ND Physical inactivity prevalence among adolescents aged 11-17 years was estimated to be 81% globally in 2010, where insufficient physical activity (PA) was measured as < 60 minutes of moderate-to-vigorous-intensity…

Articles, Chiropractic, Cognitive, Functional Medicine, Integrative, Naturopathic, Nutritionists

by Ashley Jordan Ferira, PhD, RDN Mild traumatic brain injury (TBI), AKA “concussion,” results from an impact to the head (e.g. bump, blow, jolt) that disrupts normal brain function or consciousness.1 Concussions in youth are more common than you may think. In 2016, 19.5% of US adolescents reported at least 1 diagnosed concussion during their lifetime, with 5.5% reporting >1 concussion.2 In addition to competitive sports participation (particularly contact sports), other characteristics associated with a higher concussion rates include being…

by Ashley Jordan Ferira, PhD, RDN Mild traumatic brain injury (TBI), AKA “concussion,” results from an impact to the head (e.g. bump, blow, jolt) that disrupts normal brain function or consciousness.1 Concussions in…

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