by Bianca Garilli, ND Hair loss, or alopecia, is a common complaint by patients, male and female alike. It can affect localized regions (like the temples and crown of the head seen in male-pattern baldness), the entire scalp, and sometimes can even extend to other areas of the body. Typical hair loss is approximately 50-100 hairs per day, but those suffering from more extensive hair loss frequently notice increased hair loss after brushing or styling their locks or even when…

by Lewis Chang, PhD and Annalouise O’Connor, PhD, RD High-density lipoprotein (HDL) is best known for its ability to carry cholesterol from the blood to the liver for elimination. HDL also facilitates other cardioprotective effects in the body through anti-inflammatory, anti-oxidative, and antithrombotic actions.1,2 However, for HDL to have these benefits, it needs to be functional. Loss of HDL function, or worse, gain of HDL dysfunction can negatively impact cardiometabolic health.3 In addition to cholesterol, HDL can accumulate other molecules,…

by Bronwyn Storoschuk, ND Combined hormonal contraceptives are used by over 100 million women worldwide, with the most frequent use in the Western world.1 Of hormonal options, the combined oral contraceptive pill (OCP), also known as "the pill" or birth control pill, is the most common choice, with 4 out of 5 sexually active women reporting current or previous pill use.2,3 Although OCPs are a highly effective form of birth control and have been revolutionary for women, like other medications,…

by Sara Gottfried, MD Exercise is key to overall health, but sometimes the wrong approach can do more harm than good. It’s likely one of the reasons you’ve encountered patients who are struggling to achieve results despite every effort to lose weight and improve their health. Thankfully, there’s more to the story. We sat down with Sara Gottfried, MD to discuss the connection between exercise, hormones, and healthy weight loss. Sometimes exercising too much can make it more difficult for…

by Bianca Garilli, ND Screen time is quickly becoming one of the hottest topics for parents, healthcare practitioners, and educators. How much screen time should children and adolescents be allowed per day? Does screen time include the time spent on laptops to complete homework and reading assignments for classes? At what age should children begin to use screens? When is an appropriate developmental timeframe to buy your child a phone? Does the use of screens increase the risks of behavioral…

by Bianca Garilli, ND, IFMCP, 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…

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 Bianca Garilli, ND, IFMCP, 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…

Host: Deanna Minich, PhD, CNS, FACN, IFMCP Guest: Tricia Paulson, ND In this discussion, Drs. Tricia Paulson and Deanna Minich discuss the nuts and bolts of detoxification or “detox” and explore practical tips for practitioners in structuring a successful group detoxification program for their patients. While negative perceptions and misinformation about the word “detox” exist, Dr. Paulson explains that detox is simply a “physiological process of taking toxins in the environment, of which there are an abundance, and trying to eliminate…

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…