Carbohydrate consumption and estrogen

It's been a while since we did a more keto/research filled post. So, let's hop on it!

First:
Estrogen dominance is an umbrella term for a culmination of health issues affecting not only fertility, but the whole body [1]. It is important to note that estrogen dominance doesn't necessarily mean an excess of estrogen, but potentially a lack of progesterone. This is significant because in some instances, decreasing estrogen may not be the issue. Over all, we know that elevated estrogen contributes to a gambit of health disorders, but progesterone is what holds estrogen in balance.

Next:
Previously I've shared some articles about long term benefits of a reduced carbohydrate diet. I'll openly admit that the fad aspect of the ketogenic diet makes me want to roll my eyes so hard... BUT, things gain momentum and popularity often because they yield some semblance of the desired result, so for the sake of my experiences with low carb/ketogenic eating, I'm going to stick to it as my reference point. Please feel free to look back at those articles for more generalized information.

Here's what we know:
Xenoestrogens are becoming more prevalent in our lives [2]. This often leads to the body being unable to accommodate with natural progesterone production. Think of it like a line graph.

Sometimes in the cycle, estrogen is meant to be higher. For you Marquette/NFP/FAM people, this is the proliferative phase of your cycle. After the period, estrogen is the hormone responsible for building up a nice pillow soft landing for that fertilized egg. After ovulation, estrogen is starts to wane and progesterone takes over. Again, for your Marquette/NFP/FAM people, this PHASE III!!!! 💗💗💗💗 (for non-Marquette/NFP/FAM people, this is the least likely time to conceive, so, many couples use this phase exclusively for intimate contact). NOW, the important thing to note here is that progesterone is the dominant post-luteal (post ovulatory) hormone. So, for all you postpartum mamas and daddies out there thinking "Oh my gosh! We DTD on day 234234234 (mild exaggeration of course) and peaked the next day!!!" Guess what? Our bodies are so smart that in the postpartum phase, progesterone is trying to come back on line after all that lochia and prolactin and oxytocin that usually that post-luteal phase is so short that the body doesn't have time to make that super comfy pillow before the period starts. This is also a serious concern for all estrogen dominance disorders. This is only true for breast feeding mamas. Formula or non-ecological feeding mamas tend to have an earlier return of their period, and thus, ovulation [3].

So, let's say someone, somewhere, with some authority, has told you that you are estrogen dominant, or you've been diagnosed with dysmenorrhea [4], endometriosis*, uterine fibroids [5]. The information below belongs to you.

From research presented in this post, we can gather that there is a correlation between estrogen related health disorders and thyroid health. We can also gather that there is a relationship between estrogen and liver function. The liver metabolizes fat, filters the blood, and sends cholesterol packin' for the exit.

There are two main reasons that carbohydrates can be a contributing factor to estrogen dominance.

1. Fructose, the sugar from fruit, bypasses normal sugar breakdown and is immediately taken to the liver for storage (fat). Eating WHOLE fruit, not just juice, slows this down, but it happens nonetheless [6]. Also, fast available energy is going to unavoidably increase blood sugar (that's kind of the point), thus kicking the liver into "work mode". This should be a normal and common occurrence, however, in the proportions of the standard american diet, the liver simply can't keep up, at least not on any long term basis. This taxation forces the liver to "prioritize", and depending on the body's state, different things will result, but in any case the result is not the optimization of liver function [7]. Think of it like Lucy and Ethel eating chocolates off the candy line. Recent research shows that adipose tissue (fat) can actually produce estrogen, thus further contributing to the estrogen dominance [8].

2. The other way that carbohydrate consumption influences estrogen, and to me this is the biggest shocker, is mold. MOLD. This one blew my mind. Below, under "extra fun reading" you'll find one legit article, and then several weak, or wiki articles. These are purely supporting pages that let you know the sources of the mold mentioned in the first article. These molds that are directly known as estrogen metabolites are covering most grains, beans, and corn. It's not their fault that these molds love them so much, but anything that is mass ground (wheat, barley, corn) is going to contain at minimum trace amounts of these contaminants. And we aren't saying, "oh this may be a contributing factor." Science is saying "this may be THE THING". Mold.

By consuming a sub 25g net of carbohydrates a day, you are most likely not fitting wheat, corn, or beans into your diet. Thus, potentially removing 60-80% of the contributing factors of estrogen dominance.

*Frankly, non-reputable sources highly correlate endometriosis to decreased sensitivity to estrogen receptors...but I can't find anything that is accessible to the public (there are about 17 sources on pubmed, if you have access), but I wont cite crappy research.



1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113168/
2. https://ehjournal.biomedcentral.com/articles/10.1186/1476-069X-11-S1-S8
3. http://journals.sagepub.com/doi/abs/10.1177/000992288802700804 ** if you have access to this article it is GREAT. I can't find it for free to share with you :(
4. https://link.springer.com/article/10.1007%2FBF02134006?LI=true
5.http://www.nejm.org/doi/full/10.1056/NEJMra1209993
6. http://www.health.harvard.edu/heart-health/abundance-of-fructose-not-good-for-the-liver-heart
7.http://www.sciencedirect.com/science/article/pii/0022473187902007
8.https://www.ncbi.nlm.nih.gov/pubmed/11511861

Some extra fun reading about contributing factors of estrogen dominance:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC164220/
    a) https://en.wikipedia.org/wiki/Zearalenone
    b)https://en.wikipedia.org/wiki/Gibberella_zeae
    c)https://en.wikipedia.org/wiki/Fusarium_culmorum

Ferocious Love

Today is not really about chiropractic, keto, or fertility. I guess my last post wasn't either. But today is sort of about my culmination of topics that is fed by my, "Why". Why does all this matter? Do these things even belong in the same sentence? Well, first, a story.

In 2009 I started working for a family in Santa Maria. I hadn't changed a diaper in over 10 years. I'd never worked with a kid with cerebral palsy. But here I was, killing it (sarcasm). I worked for a family with three children. A set of twins and one younger child. The twins' birth had been complicated and as a product, one of the kiddos had a fairly advanced Cerebral Palsy (CP) diagnosis. I was coming in about 6 months after his feeding tube had been removed; I think he was around 7 years old. When I met him, he was vibrant, intelligent, and really in to Batman. While he couldn't walk unassisted, his original prognosis was that he would never talk or eat. One time the mother told me that a doctor consulted her soon after the twins' birth and suggested that the twin with CP go to a home for children "like him." Her response is officially the topic of the day: "Not my boy."

This woman worked a full time 3rd shift job so that she could accompany her son to school when the school provided aid would unavoidably fail to show up. She worked full time in a separate business built for him to get the therapies needed to make him mobile. She lost friends, received criticism from family, and sacrificed promotions at work to make sure that her son was advancing. Her drive and passion throughout the past 14 years is, "He has to be able to survive without me."

So this week, as we barrel towards the Mother's Day weekend, I'd like to celebrate a certain mother demographic, the "Ferocious" Mother.

The ferocious mother is the mother that once she leaves the room, everyone's eyes widen and they exhale for the first time since she walked in. The ferocious mother smiles and rocks on her heels, laying in wait, as she anticipates the fallout. And once the first brick falls, she springs to action like a lioness towards her babies, keeping them safe and slaying people blocking the path towards her children's success. The ferocious mother succeeds when her children accomplish what doctors, family, experts, and sometimes even the children themselves, think can't be done. The ferocious mother is silent and pleasant, until the first glance of a furrowed brow from a baby. Then the ferocious mother becomes a wolf on the hunt.

As most of you know I am not a mother. I hope to become one, sooner rather than later, but as it stands, I don't know what it feels like to love something as fiercely as a mother loves a child. And it is also worth noting that ferociousness is not inherent. The mother that I am talking about is made through desperation. Some mothers are not this type of mothers, and guess what? That's ok!!!!!!  I don't suspect I'll be this type of mother; maybe that's why I have so much respect for these women that fight so hard for their babies.

I love ferocious mothers because a ferocious mother raised me. I was a little girl with a loving father and an absent mother. My grandmother saw that I needed ferocious love and she took me and protected me until her dying day. She pushed me, often to the detriment of our own relationship, towards success and away from the habits and traits that broke my own family apart. I'll never forget her wagging finger as she told my step-father that no stranger would be taking her granddaughter away in a car. I'll never forget the subtle dinner conversations that said, "When you go to college..." And even though she passed away before I started Chiropractic school, she knew I was going. She, in her 60's was waiting for me at midnight after marching band competitions. She threatened me, not with failure, but with mediocrity because to fail meant that I'd tried.

I met a woman recently, with two boys. She thinks that she hurt my feelings. She thinks she was mean. But I must say, with absolute adolation, that she simply let me know that she loves her children ferociously, and she wont let anyone stand in the way of her children's success. So to you, sweet, fiery woman, Happy Mother's day.

Resistance is futile...

Resistance. So, I've been reading The War of Art, and yes, I wrote it correctly. The main point of the book is that there is a force acting against our best intentions that keeps us from achieving our greatness. These barriers to success are usually some variation of rationalization and can best be visualized with the stereotypical frayed hair and twitchy fingers of "writer's block". These are what keep us in bed instead of going for a run. These are the reasons we don't firmly stick out a hand to our heroes and introduce ourselves. And frankly, these are the reasons that Chiropractors never have a community that understands what they do. 

I am a big fan of  knowing your enemy. Resistance is my enemy. It, for me, is the "Don't go to that event, you're so tired." or "Life is hard right now, go watch netflix."We combat resistance by doing what we are afraid to do or what would make us less comfortable. Why are you not getting out of bed to go on that run? What about 30 minutes of sleep (let's be real, facebook), is better than running around the block? 

I'm going to touch a very sensitive subject; one that I have rolled my eyes over for literally decades now. Have you ever known someone with an ok job, or a crappy job and one day that person tells you they are going on a crazy trip to Indonesia? Or that same person comes up to tell you they are going to Europe for a month? And immediately, you think something like, "Where did they get the money to do that?" We must delegate what we value; time and money are easily the most valuable things to most people. Ironically, those two things seem pretty inversely proportional but at the end of the day those two things are what make the world go 'round. So, many situations leave us exchanging money for time, or time for money. And that is the balance right? That's simply how it works. If you know how to get me more of both of these things, PLEASE do not hesitate to contact me :). However, what we need to squash right now is that you don't have time and you don't have money. Neither of those is true. If my super young, super optimistic, go get 'em friend can work a part time job waiting tables for 10 months and then take a month long trip to India, we all need to think about our "resistance" or our "values". 

I implore you to stop saying that! On the other hand, saying "I don't value it" is one of the most powerful things you could ever say. This says to people "I value my time and my money more than I value what you are offering me." And THAT is a game changer because it is a) the truth b) not propagating negative thoughts into the universe c) giving the presenter the opportunity to hear, "hey, what you just said, doesn't make me care any more about what you are doing. So... change it up. Come back later. Make me want it more," How useful is that? My entrepreneurial spirit is swooning at that type of constructive criticism. 

Now, let's tie it all together. I made the photos above, but I certainly didn't write them. Some of you may know that, some of you may have never heard of them before. This weekend I turned 30 years old, and on Saturday morning I attended a women's conference. Fact: moms don't do women's conferences. It's like they're busy or something? :) This conference rubbed me the wrong way. It was offensive, and kinda sorta in conflict with some major teachings of the organization, all that to be said, this was the blessing at the beginning of the meeting. I didn't want to go to this conference, and after I went I wasn't any more pleased but I defied resistance by attending. These commandments, another version of which hung at Mother Theresa's clinic in Calcutta, are my favorite thing. I think they are God, or the Universe's way of saying "Keep going." 

Despite my love of Star Trek, especially Jean Luc Picard (swoon again), resistance isn't futile. Maybe my fist-to-cuffs opposition of resistance is saying through gritted teeth, "Resistance! You are futile"... but really it serves a purpose. It is there to let us know that when we feel most resistant that is when we are meant to push back harder. 

So don't tell people you don't have time. Don't tell them that you don't have the money. You do. If you wanted to, you could. There are a million ways to scrape time and cash together. Tell them flat out that you don't value what they have. Be mindful to the resistance; do you not value it? Or are you afraid that it might actually make you a better person? 

The moving target of an ideal birth.

Millennials (yep, I'm going there), are culturally perceived to be lazy, but more and more research is showing that people in this age group are working harder, spinning their wheels earlier and longer, than other generations (see facebook meme a-aaaaaa, as example).

We as a whole are out to improve the world. As the Harvard Business Review article below states, millennials do not value vacation time, often choosing the statement, "No one can do my work as well as I do" as a comment on why vacations are on the decline. Is this a deep seeded remnant of arrogance? Or, have we simply come to believe what we've been told: "Become the best, so that you can't be replaced."

Maybe I see this more than others because I am in a profession that is solidly planted in entrepreneurship. Burn out is for REAL in my world; it is an actual threat to the survive/thrive plan. So, what does this ideology have to do with birth?

We, you, they, whatever you want to read, are over-achievers. My people, my crowd, my soul sisters and brothers are the Hermione Grangers of the world. I fancy myself more of a Ron, but at the end of the day I'm intellectually one of the laziest of my friends....and I am a HARD worker. This lends itself to smart people with a lot of promise, burning out way too soon. They burn out because their soul kissing dreams are intangible. Words like "success" and "financial freedom" float around, just outside of grasp because they are indefinite. Here's where birth comes in.

Different organizations surrounding birth have created guidelines of what is acceptable in the progression of normal pregnancy, and this amplifies in birth. In pregnancy you should measure a certain way, blood pressure should stay within a certain range, blood and urine analysis should show markers of health, weight gain has its own parameters, and fetal heart rate has a window of acceptable findings. Any variance from these numbers will inevitably involve some element of intervention. Sometimes this intervention is mild, like bed rest. Other times, the end result is a shell shocked new mom with a 24 week gestation baby, or worse. This is in no way to insinuate that medical intervention is unnecessary. I am quite literally the product of medical technology; if not for NICU services, I most likely wouldn't be alive.

In birth, there are Bishop Scores, APGAR scores, statistical rates of advancement, and other markers that indicate necessary intervention. Here is the problem: time is changing these parameters. As overachievers we want to be perfect. Ne'er you mind the mom who smoked throughout her pregnancy in the 60's, moms now avoid flying due to radiation exposure and avoid deli meats all in an attempt to give their baby the best start possible. These moms and dads are changing their whole lives from the day of conception (or possible conception) out of love  to the be the best for their children as possible. This is parenting. This is love and sacrifice from day one. Healthcare professionals tend to want to focus on objective parameters, and that is great! Generally, though, we aim to impose the statistical norms and that takes the control out of mama and daddy's hands, and places them in an algorithm. I am a huge fan of Improvingbirth.org. I want the birth world to be over flowing with research! But at the end of the day, if a mom is comfortable birthing at home, she should, unless absolutely unavoidable circumstances arise, be at home. If a mom is comfortable in a hospital, with every monitor and doo-hicky attached to her, she should be there.

 We can not turn birth in to a race. We can't turn it into a talent show where someone loses. When we do that, competition and self-depreciation become the name of the game and no one, especially that new family unit, will benefit. No matter where a woman labors and delivers, when she meets the eyes of her little one, there should be no room for anything but absolute adulation. The target should be that look. The target is that smile, or sob, or throwing heads back, or hugs, or whatever, but it should be ideal in the eyes of mom and dad. Ideal doesn't mean without a hitch, it doesn't mean a baby born in the caul in a tranquil water birth, it doesn't mean sans stretch mark, it doesn't mean measuring exactly 35 cm at 35 weeks. It means, at the end of the day, Mom and dad (insert any birth partner and their relationship to mom), know that they have done what was best from their own knowledge base.




Harvard business Review article about the work-a-holic-millennials

The Guiding Principle

The guiding principle for all that I do is this: Your body is a self healing organism. Our existence depends on our ability to break down and create new cells, organs, and tissues (with the exception of a few) on a regular basis.

 This principle is dependent on a good communication between the central command, your brain, and the end organ. When everything is clearly heard and understood, the body is functioning at its peak, and this is what we would call health. Anything less than this ideal performance is not ok.

If the communication is compromised by a vertebral subluxation*, or misalignment, then those normal cycles of break down and creation are negatively impacted. When this happens your body is not able to do what it was designed to do, and chaos ensues.

Chiropractic restores order in that chaos, and supports your body's ability to regulate cell, tissue, and organ function on it's own.

When you come in to our office, unless we are old pals, we are looking at your life purely in the information provided from exams, tests, and story that you provide us; this means that as we move through your health and history we are painting a picture of what today looks like for your body. Often this painting gives us a glance at what we can expect from your health ten, or twenty years from now. It is my goal in practice to empower families to be as active and present with each other as possible, to build strong units that adapt to whatever life may throw at them. To me, this means making sure that mom and dad are set up to play, provide, and connect, and that baby is eating, pooping, sleeping, and growing to the best of their ability. Being a parent is basically like being an athlete,..except there's no off season...or sweet endorsement deals. Most notably; it is not easy all the time. Some phases are easier than others, some situations are easier than others. If we have that clear line of communication between the brain and the body and we have a little more of that organization in the chaos, then we have good foundation for that family to grow and develop like it was meant to.

I look forward to getting to know all of you a lot better as I not only re-integrate into the Central Coast culture, but also as I join the Beacon Clinic.


*More on this later :)

NFP vs. Fertility Awareness: Change your language to change the world.

I recently had the honor of speaking with a group of women that all brought different experiences and input on fertility and womanhood. Coming from a higher learning perspective on health and fertility, I was amazed at what I learned. Below are some of the high light take away points:

1. Just because you have said the same thing a million times does not mean that it should not be said a million and one times. My goals in practice are not to have women exclusively home birthing, breast feeding for 5 years, and having baby only touch fair trade organic grown and washed diapers. That's a nice dream, but that isn't reality. A woman delivers her baby, a woman (and partner) makes the decisions concerning the birth and parenting of her child. A woman needs to know what she wants and surround herself with people who will support those wants and desires. Sometimes that means a C-section. Sometimes that means 'sposies. It is not my goal to tell them how wrong they are; it is my goal to empower them to know that what they want is what they are capable of. 

2 . If you want to change the world, change your language. I didn't learn this at this event, but I said it. I wasnt the first person to say this, but it is my mantra concerning Chiropractic and up until this point it never occurred to me that NFP needs a language change. Let's break it down: Natural Family Planning. So, fertility is purely for families? And purely for families looking to manage the number of children they have? OH! No, no no. Fertility, as I have said before is the 7th vital sign! Women, and men for that matter, are fertile outside of marriage. For women, the menstrual cycle is an amazing insight to health. NFP (henceforth known as fertility awareness on this page) is something to be aware of years before sex is even an option. So, despite my beautiful business cards that tout my certification as an NFP instructor, I am a fertility awareness teacher, focusing on Marquette Method. 

3. Pea Salad is WAY tastier than it sounds :) 

I implore you to consider the ramifications of your words. The words we use today will impact how our children and future generations speak on these topics. Speak to your children about their bodies, and use the terms that you want them to use as adults. Teach them early that menstruation is more than just the sloughing of endometrial lining of their uterus. Don't let your children learn about fertility the same way you did. Fertility does not imply sexuality. Sexuality is a different conversation, possibly for a different time. 

What is the purpose of the Adjustment?

The vertebral subluxation is the result of emotional, chemical or physical trauma on the body. Our body has the amazing ability to heal. When you fall and scrape a knee, you do not bleed out and die. When you burn your tongue on dinner, the burn does not scar the same way the scrape on your knee may scar. In the womb, we start as a "morula", which looks much like a blackberry. From those cells we derive a stomach, a brain, and a toe nail. Those tissues differentiate by signals. Similarly our brains send signals throughout our bodies to achieve necessary tasks; like enzyme release for digestion, the feeling that you need to use the bathroom, all the way to conception of your children. The vertebral subluxation is when that signal from the brain to the body, or the body to the brain is altered. Most often, we have a little interference and that leads to the brain sending too much of a signal. This leads to problems like anxiety, difficulty digesting food, or even headaches. So, we know what the brain needs to do, we know what the body needs to do, and we know that the body and the brain need to communicate. If a vertebral subluxation alters the communication, we should find out what the cause of vertebral subluxation is, how it happens, and how chiropractic affects brain-body communication.

Vertebral subluxations are caused by trauma to the body. This can present in emotional, chemical or physical trauma. Emotional subluxations are often times repetitive in nature. For instance, lets say a child is told they are stupid at a very early age and over time poor grades are a reflection of the child's "stupidity". At a certain point rationality begs the question, is the child actually delayed? Or is the child propagating what was placed on them years before. These are subluxations in that they prevent the child from reaching their highest level of function. Chemical subluxations don't necessarily mean chemicals under the kitchen sink. Keep in mind that water is considered the most corrosive chemical on the planet. Chemical subluxations can be from subclinical allergies as well. Finally, physical trauma is the easiest connection to make to vertebral subluxation. There are two types of physical trauma; macro and micro. Macro trauma is the traditional means that brought a patient to the chiropractic waiting room; the car accident, the fall on the pavement, the major accident that led to immediate pain and discomfort. Micro trauma is the general wear and tear of every day life; the poor posture of someone who works in a chair all day, the long term effects of a runner who ran on sidewalks with driveways super imposed upon them. 

Regardless as to the initial cause, there is one key factor of all subluxation and that is inflammation. Inflammation is very popular right now in the context of nutrition. People as a whole are becoming more and more aware of inflammatory foods in their diet and now science is catching up, and letting us know what the long term effects of inflammatory foods. For centuries opera singers have been told to avoid milk before singing, and to sip lemon juice to clear the vocal cords before a performance. We now know that milk is a mucus stimulating food. On top of that, many people have milk allergies that not only increases mucus in the oral pharynx area of the body but also the mucosal cells of the lower digestive tract. When the body perceives a foreign body the body will attempt to one of 3 things; the body will attempt to flush it out (diarrhea, mucus, vomitting), the body will attempt to isolate the object (the body will round up the substance, and attack it with immune cells), or the body accepts it (this is rare without immune compromising medications: this is why people have to take immune suppressing drugs when they have an organ transplant.) 

The final note is that previously I've said, "when the body perceives...". This is significant because, while inflammation in digestion and in trauma is a fairly easy topic to understand, emotional trauma/stress is more difficult to grasp. The dominant hormone of emotional trauma is cortisol. This is our body's hormone that "keeps things rolling", as in, when your brain is trying to run away from a lion, cortisol is what gives you that boost of energy (adrenaline) to run away (feelings of fear, stress, anxiety increase the production of cortisol). Cortisol makes our body more sensitive to inflammation in the long term. Thus, the every day wear and tear on our bodies receives a similar inflammation response as a major accident. This "over response" leads to chronic inflammation which leads to dysfunction and ailment. The adjustment helps reduce inflammation, and stimulate hormone production that combats cortisol secretion.