Saturday, December 14, 2013

15 Simple Ways To Reduce Toxins In Your Life

Every day, we're exposed to toxins, from our food, water and air! Our body therefore, has a built in, efficient detoxification system which works 24/7, through our liver, gut, skin, kidneys and lungs.
The liver, our main filtration system, has two detoxification phases, and each is very important. The Phase 1 pathway leads to the production of toxic intermediates (free radicals), which then must be rapidly acted upon by the Phase 2 pathway so as to render these harmless. If Phase 1 is overactive and Phase 2 is sluggish for any reason, we run a risk of build-up of the toxic intermediate products from the Phase 1 pathway. These intermediary chemicals are more detrimental than the original toxin itself!
Some simple strategies to reduce your toxic exposure:

1. Stop eating canned food (even if it's organic)! 
Cans are lined with BPA (Bisphenol A), a Persistent Organic Pollutant (POP). POPs can linger in the human body for up to 100 years! POPs preferentially induce Phase 1 enzymes (Cytochrome P450 enzymes) of your liver detoxification pathways, causing production of free radicals, which in turn deplete the antioxidant reserves of your body.
2. Avoid plastic water bottles.
Drink water all day long, but don’t drink it out of plastic bottles! These also contain BPA.
3. Read your make-up ingredients carefully!
Most makeup products (even the brand name ones) contain phthalates and Triclosan, which are endocrine disruptors and hormone mimickers. Your makeup should contain only natural ingredients. Remember, if you can’t eat it, don’t apply it on your skin or body!
4. Use only natural household cleaners!
Synthetic cleaning chemicals produce a byproduct called dioxin, an endocrine disruptor, immune modulator, and carcinogen which induces Cyp1B1, an enzyme of the Phase 1 liver detoxification pathway. This leads to increased production of 4 Hydroxy Estrogen, a “bad” estrogen, associated with breast cancer development.  
5. Find a biological dentist and get any silver-mercury fillings, removed safely!
Mercury accumulation in the body can cause autoimmune and neurological problems. It binds to sulfhydryl groups in Glutathione (GSH), the master anti-oxidant of the body, rendering it ineffective in its job as a free radical quencher. Mercury depletes GSH and selenium, a crucial mineral for thyroid health and proper production of thyroid hormones.
6. Stop eating toxic, denatured, pesticide-laden, genetically modified and processed “dead” foods!
Consume grapefruit, onions, garlic, cruciferous veggies, cilantro, parsley, all of which help the liver in its detoxification role. Eat organic whenever you can. Consume a good quality protein at each meal as both the detoxification phases need amino acids to function optimally. Avoid charbroiled meats, which selectively induce phase 1 enzyme, Cyt1A1. If you have concerns about your diet not being optimal in nutrients for any reason, at least consider consuming a good quality multi-vitamin multi-mineral supplement. I'm partial to this brand. (Full disclosure, it's my line of supplements!) 
7. Stop any form of substance abuse.
This includes tobacco, alcohol, drugs, even stimulants like caffeine!
8. Know that pharmaceutical drugs can be the biggest burden for your body to attempt to detoxify.
Always discuss with your physician in detail regarding the need your prescription medications. Review safer options, and understand their side effect profile well.
9. Drastically reduce your stress levels.
Stress is a toxin, especially when chronic! Our body cannot differentiate between emotional and physical stress, and reacts similarly to both, by producing generous amounts of the stress hormone cortisol. When elevated for long periods of time, cortisol can lead to undesirable chronic diseases and symptoms like high blood pressure, weight gain, metabolic syndrome, diabetes, IBS, sleep issues, and it even increases your risk for heart attacks and strokes.
10. Investigate any food allergies. 
 Food allergies and poor gut health are inflammatory! Excess inflammatory markers chronically circulating in the blood behave like toxins and slow down the efficacy of the liver detoxification mechanisms. A Comprehensive Stool Analysis and a food sensitivity test can help you identify your trigger foods.
11. Lose excess fat.
Fat stores toxins! Lose excess body fat, especially the inflammatory Visceral Adipose Tissue (VAT). Our body’s intelligence believes that the solution to pollution is dilution, and since most toxins are fat soluble, it tries to dilute the blood content of these by pushing them into the fat cells!
It's crucial to remember that fat reduction should always be done under supervision of a trained health care practitioner. If liver detoxification pathways are not supported before initiating a fat or weight loss program, one can become very sick when fat loss causes release of large amounts of stored toxins into the blood stream. You may have heard of people getting quite ill after losing weight rapidly. So, please exercise caution!
12. Shake it up!
Movement mobilizes toxins! Exercise regularly to gently release toxins through skin via sweat. Yoga is great to enhance lymphatic drainage. Slow deep breathing releases toxins through lungs.
13. Get those bowels moving.
Our gut has been called the “Phase 3” Detoxification pathway! Avoid constipation, so that once the liver has done its job of converting the fat soluble toxins into water soluble compounds, they are easily and rapidly eliminated in the stool. Constipation leads to recirculation of toxins in the body, increasing toxic exposure, thus increasing risk for cancers and other chronic diseases.
14. Prevent emotional toxins from building up!
Practice journaling, meditation, forgiveness, mindfulness, and emotional release techniques on a regular basis. Don’t hesitate to seek professional help if needed.
15. Last, but probably one of the most important is sleep!
It's the best way to rejuvenate the body’s detoxification capacity both on a mental and physical level. Assess whether you wake up refreshed every morning. If not, please get evaluated for why that is so! It could be the most important thing you did for yourself!
Hopefully some of these simple reminders will help you. For additional individualized help and functional testing of your gastro-intestinal tract health, food sensitivities, toxin testing; adrenal health evaluation, or testing for micro-nutrient, vitamin, mineral and antioxidant deficiencies (which impact your liver’s ability to eliminate toxins), find a Functional Medicine Physician in your area.

This article was first published in MindBodyGreen 

Calming the Vata winds of the holiday season!

The festive season of fall and winter is a time of reflection on the year gone by and a time to be thankful for one’s blessings. It is also a time of overindulgence in seasonal treats, which compromises the body. To counteract these effects, traditional cultures of the world have devised some simple lifestyle techniques that I use in my Integrative Medicine practice.

Integrative Medicine is the coalescence of modern Allopathic medicine with an upcoming field of medicine called Functional Medicine and traditional and complementary healing methods like Ayurveda. Traditional Chinese Medicine, Acupuncture, Mind-Body healing techniques like yoga, meditation, and healing touch, to name a few.  These tools in the tool-box of any Integrative Medicine practitioner are pulled out at the appropriate time. Integrative Medicine is truly “whole”ness in medicine. It is as individualized as it gets! While my main area of focus is Functional Medicine (finding out the root cause of illness, i.e. the ‘how’ and ‘why’ of any disease process), I do integrate it with other ancient healing arts, my favorite being Ayurvedic Medicine, which was an integral part of my upbringing in India.

Ayurveda, a 5000-year-old consciousness based healing tradition from India, is made up of two Sanskrit root words, Ayus (life), and Veda (knowledge) — Ayurveda means the knowledge or wisdom of life. Ayurveda’s premise is that we are an inseparable part of the universe, so are most certainly impacted by even the subtlest of changes in our environment.

According to Ayurveda, at the time of conception each one of us is infused with a different proportion of the five great elements (known as “The Panch Mahabhutas”) — Space (Akasha), Air (Vayu), Fire (Tejas), Water (Jal) , and Earth (Prithvi) which contributes to three major mind-body constitutions or body types of Ayurveda (Doshas) namely, Vata (preponderance of space and air), Pitta (preponderance of fire and water), and Kapha (preponderance of water and earth). While detailed discussions of these three Ayurvedic mind-body types and their subtypes is beyond the scope of this article, it is pertinent to state that the objective of any integrative physician should be to understand and evaluate their patient’s unique Dosha and to try and restore it back into balance.
Environmental changes are very closely mirrored by our body systems. During such transition periods it is of utmost importance to give our body as much nourishment as we can, so with minimal effort it continues to maintain harmony of all organ systems. At these times, I would prescribe an individualized regimen of lifestyle, diet, sleep, exercise, and mind-body techniques to match, balance and support my patient’s individual constitution.

Fall and winter is Vata season (November through February). Vata Dosha controls all movement in mind and body, i.e. blood flow, breathing, waste elimination, movement of thoughts, to name a few. It even governs the movement of Pitta and Kapha Doshas, hence Vata is rightly considered the leader of the three. It is imperative to keep Vata in a balanced state at all times since when out of balance, it pushes the other two Doshas out of balance very easily. The qualities of Vata Dosha are: cold, dry, rough, light, windy and irregular, so an increase in these qualities during the Vata season can cause dry, cracking, dull and rough skin; exacerbate worry, anxiety, irritability, spaciness and sleeplessness (insomnia) in some; cause slowing or irregularity of the bowel transit time leading to constipation, gas, bloating and IBS-like symptoms; cause spells of forgetfulness; painful joints and even easy fatigability.

If one is predominantly of Vata constitution, that is, eating mainly a Vata-aggravating diet (cold, raw foods and liquids), living a Vata-aggravating (irregular schedules) lifestyle, or is in the Vata time of life (from 60 years of age on up), the effect of Vata imbalance on skin, mind and all body organs is even stronger. To counter these, Ayurveda suggests some simple but very effective techniques that reduce the chances of forming toxic residues (Ama) and enhance the flow of vital life force energy (Praana) and build the sweet essence of health and vitality (Ojas) within us:
Abhyanga: Daily full-body self-massage using warming and heavy Dosha specific Ayurvedic essential oils
•Stay warm, keeping the skin, head and ears covered to prevent further drying and loss of moisture;
•Preferentially using natural silk or wool clothing rather than synthetics;
•Using sweet and floral essential oils in your warm bath regularly;
•Diet:  Ayurveda recommends cooking with Dosha specific herbs and spices; drinking warm fluids throughout the day; eating fresh, warm and well-cooked foods and avoiding raw and cold foods like salads. Most certainly avoid processed, stale foods including left-overs as they have no life force or Praana left in them.
•Eat largest meal around noon when the digestive fire (Agni) is at its strongest. To pacify Vata, sweet, sour and salty tastes are best eaten at this time. Eat your meals in a peaceful environment.
•If you are expecting some dietary indiscretions in the day, sip ginger tea or eat some sliced ginger a few minutes before your meal.
•Avoid all stimulants: caffeine, nicotine;
•Practice breathing exercises (Pranayama) daily, especially when stressed and anxious;
•Meditate; practice Yoga daily;
•Maintain regular sleep-wake schedule in spite of irregular and demanding holiday schedules. Routine is the key!
•Ensure regular daily bowel elimination to prevent build up of toxins.
•Keep some “me” time in the midst of the chaos.

My aim is to help explore these expansive wonderful fields of Integrative Medicine and Functional Medicine with the intention to empower one with the basic knowledge of how ‘real’ food and a nourishing lifestyle not only prevents illness but creates a positive impact towards leading “whole-istic” lives.

Cheers to a blessed, healthy and safe ‘Vata’ season in this New Year!

This article by Dr. Manisha Ghei was first published in HUM Magazine.