Most clinicians know that patients who present with complaints and symptoms indicative of gastroesophageal reflux diseases (GERD) can be amongst the most challenging to diagnose since they mimic so many other conditions and, are often the most difficult to effectively treat. Symptoms indicating reflux diseases are also increasingly more commonly being diagnosed  in the clinician’s office and often directly attributed to the weakness of the gastroesophageal juncture (EGJ) which begins at the terminal end of the esophagus and beginning of…

A large population-based study of patients with type 2 diabetes (T2D) indicates that achieving a greater number of “ABC” targets (A: HbA1c; B: blood pressure; C: LDL-cholesterol) incrementally reduced the risk of cardiovascular disease (CVD). However, not all ABC risk factors were of equal importance in CVD risk reduction.1 For adults with T2D, the American Diabetes Association (ADA) recommends maintaining optimal levels of all three ABC risk factors: HbA1c < 7%, blood pressure < 130/80 mm Hg, and LDL-C < 100 mg/dL.2 This…

Results from a recent small randomized clinical trial found that a combined probiotic and peanut oral immunotherapy (PPOIT) may potentially be an effective option to manage children with peanut allergy and the treatment effect may last for at least 4 years.1Previously, researchers at the Murdoch Children’s Research Institute (Melbourne, Australia) conducted a randomized, double-blind, placebo-controlled trial to investigate the effect of PPOIT in 62 children with peanut allergy. For 18 months, children received either placebo or PPOIT (2 x 1010 CFU of Lactobacillus…

The American Heart Association (AHA) and the American Stroke Association (ASA) recently compiled their joint guidance that outlines 7 factors to be implemented in maintaining optimal brain health in adults. The joint advisory board notes that a healthy lifestyle benefits the brain as much as the body. Both the brain and the heart need adequate blood flow but atherosclerosis – narrowing and blocking of the arteries—can occur with aging and is the root of heart attacks and strokes. The 7…

Consumption of non-caloric artificial sweeteners (NAS) commonly found in diet sodas had a deleterious impact on postprandial glycemic response in healthy subjects, a  double-blind randomized trial found.1 Artificially sweetened beverages (ASBs) are thought to be healthier than sugar sweetened beverages because they contain little or no sugar. However, an increasing number of large-scale epidemiological studies have reported an unfavorable association between the consumption of ASBs and increased risks of type 2 diabetes, metabolic syndrome, obesity, cardiovascular disease, and even neurocognitive disorders (click…

Artificially sweetened beverages (ASBs) are non-caloric soft drinks sweetened by non-nutritive sweeteners instead of sugars. For consumers interested in losing weight, improving glycemic control, or simply reducing sugar consumption, ASBs are thought to be healthier alternatives to sugar-sweetened beverages. However, epidemiological evidence has begun to show that ASBs are by no means harmless. For example, the Nurses’ Health Study and Health Professionals Follow-Up Study—two large-scale cohort studies conducted by the School of Public Health at Harvard University—found that consumption of ASBs…

Polycystic Ovarian Syndrome (PCOS) is one of the most common endocrine disorders for reproductive aged women in the US with a prevalence of 4-12%; in the EU, the prevalence ranges from 6-8%. This syndrome is characterized by irregular menses, hyperandrogenism, and polycystic ovaries. On clinical examination, PCOS is usually noted by complaints of oligomenorrhea or amenorrhea, hirsutism, and frequently infertility. Risk factors include diabetes (type 1 and type 2) as well as gestational diabetes. In over 60% of patients with…

Growing epidemiological evidence has shown that plant-based dietary patterns (e.g., Mediterranean diet, DASH diet, etc.) are associated with improvements in cardiovascular health. What is less clear is the contribution of individual micronutrients or phytonutrients within these dietary patterns on cardiovascular risk reduction. One such phytonutrient is the phytochemical family—catechins, a group of flavonoids commonly found in cocoa, tea, legumes, grapes, apples, pears, and other plant-based foods. Dr. Daniel Mangels from the Hospital of the University of Pennsylvania (HUP) and Dr. Emile Mohler III…

by Bianca Garilli, ND Recent research continues to support the idea that both a genetic and environmental component may be potentially associated with the development of autism spectrum disorder (ASD). Heritability is high in ASD as can be seen from family and twin studies. It is most certainly polygenic (multiple genes may contribute to ASD risk rather than there being just “one ASD gene”), and may be associated with both conserved mutations (inherited from parents) but also de novo mutations.1 The genetic risks related to ASD are highly complex…