If you are working to manage your Hashimoto’s hypothyroidism or other chronic or autoimmune disorder, you may have heard a positive attitude is good for your health. And it’s true — positive thinking, gratitude, and healthy socialization have all been linked to better health outcomes. However, chasing a positive attitude can have a dark side.
It’s common to hear “just think positive,” “focus on the good,” “don’t dwell on the negative,” and so forth. But the truth is, sometimes life circumstances are awful and sometimes people do horrible things to others.
The demand for a positive attitude when it’s not appropriate is known as toxic positivity. Avoiding or denying negative emotions only makes them bigger and more persistent — and hence more inflammatory for your system if you have an autoimmune condition such as Hashimoto’s hypothyroidism.
Also, negativity exists as a survival trait. It alerts you to danger, or if something isn’t right.
In fact, telling someone who is suffering that they just need to be positive is referred to as spiritual bypassing or gaslighting. Spiritual bypassing is an attempt to use false positivity to bypass a difficult issue, and gaslighting occurs when someone tries to make you feel like you’re crazy when you express uncomfortable thoughts or feelings.
Many autoimmune patients have felt gaslighted by doctors who insinuated they were making up their symptoms or just seeking attention.
Practice mindfulness, not just positivity
It’s normal to want to avoid negative and unpleasant emotions because they are uncomfortable and distressing. As such, we think of them as “bad.” But they are not there to be banished us but rather to guide us through life and help us make decisions that protect and support us.
Instead of denying them through forced positivity or drowning them out through whatever addiction or bad habit is our go-to, psychologists say we should listen to what they reflect about a current situation.
For instance, if you’re frustrated and angry about your health, it means you care about yourself and being able to participate in life. Allowing and accepting our negative thoughts and feelings can help us understand who we are and make good choices.
Resilience and self-care are the bedrocks of positivity
In self-help circles some tout the theory that bad things happen if you think negative thoughts, but the truth is bad things happen to everyone on a regular basis. Positivity isn’t about feeling good all the time, but rather about practicing resilience and positive self-talk in the face of adversity.
Do you practice these negative self-talk habits?
- You filter out the good parts of an experience and dwell on the bad.
- You think you are to blame for when things go wrong, or that it’s only happening to you and other people are luckier.
- You catastrophize and make problems out to be much bigger than they really are.
- You polarize things into very good or very bad and fail to see that most things in life have a grey area.
Practicing positivity through bad things means avoiding the temptation of despair and hopelessness and instead becoming your own cheerleader and coach.
Positivity is a practice, not a destination
Perhaps the most important thing to understand is that positivity is something that takes ongoing practice and application. It is like playing an instrument or a sport — you have to keep up with it to be proficient.
This is the concept of neuroplasticity in how the brain works. By applying yourself regularly to the practice of positivity, you hardwire new neural pathways into your brain, which makes you more efficient at positivity over time. And if you have a chronic autoimmune condition such as Hashimoto’s hypothyroidism, every time you practice positivity you also release anti-inflammatory chemicals in your body that help tame inflammation and modulate immunity.
Try these tricks at learning how to be a more resilient, positive thinker who can also handle the negative aspects of life:
- If an area of your life is constant major stressor, whether it’s a job or relationship, start strategizing on how to change it.
- Check yourself throughout the day to see if your thoughts are negative or positive.
- Seek out humor. Laughing at life reduces its weight and lowers stress.
- Follow a healthy diet to lower inflammation. Many studies now prove what we eat affects how we feel. Eat food that feeds a good mood.
- Exercise at least 30 minutes a day. Generating feel-good endorphins through exercise beats any addictive substance or habit. It makes it easier to practice positivity and weather the storms.
- Surround yourself with positive people. Although we all have down days and need to vent, incessantly negative people can make it hard to stay positive. Seek out and cultivate friendships with other people who also practice positivity.
- Pay attention to how you frame things. We all say things that can be reframed more positively. For instance, if you make a mistake, instead of saying, “I’m such an idiot,” reframe it to something like, “Whoops, I’ll see if I can get it right next time.”
- Talk to yourself the way you would talk to someone you care about. Chances are you would never talk to someone you love the way you talk to yourself. Make self-respect and self-care a priority in your self-talk.
Some people were taught healthy positive self-talk in childhood by their parents and teachers. Others have to learn it later in life. Either way, it’s a skill that simply takes awareness and practice in order to develop the resilience to see you through the tough times of dealing with an autoimmune or chronic health disorder such as Hashimoto’s hypothyroidism.
Eating a vegetable-based diets has loads of proven health benefits, including enriching your gut bacteria diversity, loading you up with plant vitamins and minerals, and ensuring you get plenty of fiber. However, if your plant-based diet is strictly vegan or strict vegetarian you may be missing out on this essential dementia-fighting nutrient: Choline.
Choline is only found predominantly in animal fats and is a vital brain nutrient that helps prevent dementia and Alzheimer’s.
In addition to supporting the brain — which is made of primarily fat, by the way — choline also supports healthy liver function. Good liver function is necessary to not only keep the body detoxified, but also to keep chronic inflammation in check. A choline deficiency raises the incidence of fatty liver.
Choline is also an essential part of cell membranes in the body and brain; cell membranes act as the cellular command center in directing cell function and communication.
Choline is found primarily in meats, fish, dairy, and eggs. Significantly smaller amounts are found in nuts, legumes, and cruciferous vegetables. The liver is able to manufacture a small amount, though not enough to meet the body’s needs.
Experts say that in order to meet the brain’s needs for sufficient choline, it needs to come from dietary sources rich in choline.
If you would like help understanding Dementia, you can schedule a FREE 15-MINUTE CONSULTATION with Dr. Celaya.
Most people are choline deficient
The bad news is most people aren’t getting enough choline, and some people are genetically predisposed to a deficiency. Research shows the rising popularity of vegan and vegetarian diets is raising rates of deficiency.
The recommended daily intake of choline is about 425 mg a day for women and 550 mg a day for men.
The two richest sources of choline are beef liver and egg yolk. Research has shown that people who eat eggs regularly have higher levels of choline (we can assume most people aren’t eating liver these days).
In fact, pregnant women who consume at least one egg a day are eight times more likely to meet choline intake recommendations compared to those who don’t.
Beef liver capsules can be a good source of choline if you don’t prefer to eat straight liver. Most products recommend 6 capsules a day. Look for a grass-fed source that has been tested for purity.
Choline is vital for the fetal and infant brain
The choline recommendation for pregnant and breastfeeding women is about 930 mg — choline is vital for the developing child’s brain.
Choline is vital for the adult brain
Choline is also recognized as a vital brain nutrient for the adult brain. In a study of mice bred to have Alzheimer’s like symptoms, a choline-rich diet resulted in improvements in memory and brain function in the mice and their offspring.
Choline protects the brain in several ways. First, it reduces homocysteine, an inflammatory and neurotoxic amino acid if levels are too high. High homocysteine levels are found to double the risk of Alzheimer’s disease. Choline prevents this by converting homocysteine to the helpful compound methionine.
Choline also reduces the activation of microglia, the brain’s immune cells that cause inflammation and damage to brain tissue when triggered.
Choline is an essential component of acetylcholine, a brain chemical known as the memory neurotransmitter. Sufficient acetylcholine is vital for memory and healthy brain function.
Choline also helps regulate gene expression.
Choline is just one of the many essential nutrients necessary for healthy brain function. Ask my office how we can help you support your brain health.
Want to know more? Schedule a FREE 15-MINUTE CONSULTATION with Dr. Celaya.
Children who recently had a strep infection and then go on to suddenly develop symptoms of obsessive-compulsive disorder (OCD), Tourette’s, tics, odd behaviors, emotional instability, and other psychiatric and neurological disorders are believed to have PANDAS.
PANDAS stands for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.
In some children, a strep infection appears to trigger an autoimmune attack against the brain, causing a sudden onset of neuropsychiatric symptoms.
PANS, or Pediatric Acute-Onset Neuropsychiatric Syndrome, is similar, except environmental factors or other infections trigger symptoms.
PANDAS/PANS isn’t believed to be fully credible by many experts or doctors, in part because it must be diagnosed by symptoms and because the supporting research hasn’t been very strong. Instead, they diagnose affected children with conditions such as OCD.
However, recent research sheds new light on the disorder and why it affects some children and not others.
PANDAS/PANS causes inflammation in an area of the brain called the basal ganglia, which helps govern emotions and motor control. When the immune system creates antibodies to the strep infection, these antibodies mistakenly attack tissue in the basal ganglia as well.
In 2018, researchers isolated cells in the basal ganglia, called cholinergic interneurons, which are affected by the immune attack. Previous research has shown these cells are depleted in Tourette’s syndrome.
These cholinergic interneurons fire less when strep antibodies attach to them, which is believed to cause the symptoms associated with PANDAS/PANS.
Normally, antibodies would not be able to cross the blood-brain barrier to cause immune attacks in the brain. However, research shows the spike in inflammatory immune cells called TH-17 from a strep infection can cause the blood-brain barrier to open up. This is commonly called leaky blood-brain barrier and can allow strep antibodies and other pathogens to enter into the brain.
It has been found that most of these TH-17 cells pool in the olfactory bulb, an area of the brain that receives signals from the nasal passages.
This creates a path through which antibodies can enter, especially with repeat strep infections.
Genetic susceptibility has also been found to be a link in PANDAS/PANS.
PANDAS diagnosis criteria
- Significant obsessions, compulsions, tics
- Abrupt onset of these symptoms or relapsing and remitting symptom severity
- Onset prior to puberty
- Association with strep infection
- Association with neuropsychiatric symptoms, including PANS symptoms
PANS diagnosis criteria:
Abrupt, dramatic onset of OCD or severely limited food intake and the addition of at least two of the following:
- Emotional swings and/or depression
- Irritability, anger, oppositional behavior
- School performance deteriorates
- Sensory or motor abnormalities
- Sleep disturbances, urinary frequency, bed wetting
Functional medicine for PANDAS/PANS
Functional medicine strategies can help reduce inflammation and autoimmune attacks in PANDAS/PANS and support immune and brain health.
Functional medicine strategies may include removing inflammatory triggers from the diet and the environment; nutritional therapies to lower inflammation and support brain health; addressing blood sugar, gut health, and toxicity; supporting neurotransmitters; and repairing mitochondrial function and the blood-brain barrier.
Quick action can improve outcome. For more information, contact my office.
Anyone who has learned how to manage Hashimoto’s hypothyroidism or another autoimmune condition will tell you they had to learn it on their own. The vast majority of doctors either do not test for or do not adequately treat Hashimoto’s, an autoimmune disease that attacks and damages the thyroid gland, causing weight gain, hair loss, fatigue, depression, and other symptoms. Now, the ability to find health advice backed by peer-reviewed, scientific literature is seriously compromised due to censorship, or blacklisting, by Google. Google is increasingly censoring legitimate information and instead sends people to conventional medical, pharmaceutical-oriented sources of information such as WebMd.
Most doctors do not adequately test for or treat autoimmune disease such as Hashimoto’s hypothyroidism because there is no drug for autoimmunity. True, people are prescribed thyroid hormone replacement medication, which is frequently necessary. However, it does not address the ongoing and progressively worsening immune attack on the thyroid gland. That is why many people do not feel better when they begin taking thyroid hormone.
If you would like help understanding Autoimmunity, you can schedule a FREE 15-MINUTE CONSULTATION with Dr. Celaya.
The lack of adequate autoimmune care in conventional medicine means millions of people go misdiagnosed or undiagnosed. In most cases, autoimmune destruction has to be advanced and severe before an autoimmune disease can be diagnosed and treated with steroids, surgery, or other methods that are invasive and riddled with side effects and problems. For instance, nerve damage has to be significantly advanced before conditions such as multiple sclerosis or type 1 diabetes are caught, while patients suffer for years.
Add to this studies that show the inherent sexism in conventional medicine. Women account for more than three-quarters of autoimmune patients. Yet when women go their doctors with complaints of autoimmune symptoms, most are not adequately tested. Instead, they are told they have depression or anxiety, that they need to lose weight and exercise, that they are making it up, or that it’s just aging.
Until now, millions of people have been able to successfully learn how to manage their Hashimoto’s hypothyroidism and other autoimmune conditions through online sources based on peer-reviewed science. They have also been able to find healthcare practitioners who are knowledgeable in how to apply this science to help manage chronic conditions.
Please note that just because something is in the published scientific literature, that does not mean your local medical doctor is either aware of it or supports it. There is a huge gulf between the scientific literature and the doctor’s office, with pharmaceutical companies wielding significant influence over doctors’ practices and education.
Now, Google is limiting our access to legitimate information and redirecting searches toward conventional sources, which are extremely limited when it comes to chronic illness.
True, opportunists and snake oil salesmen abound on the internet and consumers must do their due diligence in rooting out valid sources of information and good communities to help them on their health journey.
Vitriolic corporate-driven public controversies lend a hand in the Google censorship. Rather than looking at the peer-reviewed literature on the links between environmental toxins and brain inflammation in the developing child’s brain for instance, complex neuroimmune topics have been reduced to crude black-and-white arguments that have no basis in relevant neurophysiological mechanisms.
While Google is penalizing many science-backed integrative health sites so they no longer show up on the first page, other search engines such as Bing, Yahoo, DuckDuckGo, and Ecosia (a search engine that plants trees based on searches) still rank sites legitimately.
About one billion health questions a day come through Google. Now, they are routing those searches away from such well-known sites as Mercola, PaleoHacks, Bulletproof, GreenMedInfo, Self-Hacked, Kelly Brogan, and many more.
Instead, seekers are routed to sites such as WebMD, Healthline, Mayo Clinic, and other institutional sites. While these sites offer worthwhile information, they are not yet caught up to the science surrounding the many chronic illnesses that have become so common today. They even provide false information in some instances, especially in regards to nutritional compounds.
Google is unfairly throwing its weight around in other industries as well, and the EU levied its third antitrust fine against Google earlier this year.
Don’t let Google bully you into Big Pharma’s pipelines. If you are looking for sources of legitimate health information that have been blacklisted by Google, try alternative sites such as Bing, Yahoo, DuckDuckGo, and Ecosia.
In the meantime, we attend educational conferences to stay up to date on the latest research and clinical protocols to help manage autoimmune and chronic conditions such as Hashimoto’s hypothyroidism. As the field is ever evolving, it’s important to stay abreast of developments. Contact my office if you need help managing your chronic health condition.
Want to know more? Schedule a FREE 15-MINUTE CONSULTATION with Dr. Celaya.
Although they are more than a couple of decades behind functional medicine, the American Diabetes Association (ADA) is finally recommending lower carbohydrate diets for people with diabetes.
In functional medicine, we have long seen the deleterious effects of carbohydrate-laden diets on not only blood sugar, but also on chronic inflammatory disorders, weight, hormonal balance, and brain function.
High blood sugar disorders such as type 2 diabetes and insulin resistance, or pre-diabetes, not only make you feel worse, they also significantly raise your risk of numerous chronic health disorders, including heart disease, stroke, autoimmune disease, and Alzheimer’s. In fact, some researchers call Alzheimer’s type 3 diabetes because high blood sugar is so damaging to the brain.
While it’s heartening that such a large and official organization is finally making dietary recommendations to stabilize blood sugar, their list of recommended foods remains problematic. Some foods on the ADA list have been shown to trigger autoimmune attacks on the pancreas, worsening type 1 diabetes and increasing the risk of developing autoimmune diabetes in people with type 2 diabetes, a lifestyle-induced disease.
If you would like help understanding about food recommendations for low carb diet, you can schedule a FREE 15-MINUTE CONSULTATION with Dr. Celaya.
The ADA’s new recommendations for carbohydrate consumption
Previously, the ADA warned against diets under 130 grams a day of carbohydrates because people would be deprived of essential nutrients. They also stated the brain needs more than 130 grams a day to meet its energy needs.
However, given the success of lower carb diets in not only reducing the need for insulin but also in lowering heart-disease risk, the ADA has adjusted its recommendations to support a lower carb diet.
In what may eventually prove to be a sea change in government recommendations, the ADA bases the new recommendation on findings that a low-carb diet better manages health than a low-fat diet.
It also states that dietary recommendations should depend on the patient and that a “one-size-fits-all” diet should not be given to every patient.
They do not recommend a low-carb diet for women who are pregnant or breastfeeding, people who have eating disorders or at risk of developing eating disorders, people with kidney disease, and for those taking SGLT2 inhibitor medication.
ADA guidelines on low-glycemic foods fail to consider foods that trigger autoimmune attacks
It’s a step in the right direction that the ADA is finally recognizing the vast amounts of research and the countless case studies linking lower carb diets with better health.
However, they have yet to recognize the science showing that some ADA recommended low-glycemic foods trigger autoimmune attacks on cells that cause type 1 diabetes.
The most prevalent triggers are gluten and dairy, although other foods also cross-react with cells involved in type 1 diabetes. This does not mean that these foods trigger an autoimmune attack in all people, but research shows certain foods raise the risk of exacerbating autoimmune diabetes.
For the person with type 1 diabetes it’s especially important to be aware of which foods may trigger autoimmune attacks that worsen their condition. You can screen for these foods with testing from Cyrex Labs.
However, research also shows that about 10–20 percent of people with type 2 diabetes, which is lifestyle induced, also have undiagnosed type 1 diabetes. This is referred to as type 1.5 diabetes.
Should you go on a low-carb diet?
The average American eats more processed carbohydrates than the human body was designed to handle. The incidences of inflammatory disorders related to high blood sugar are crushing the healthcare system — diabetes, obesity, heart disease, chronic pain, depression, dementia, and neurodegenerative diseases are just a few.
However, this doesn’t mean every person should be on the same diet. For some, a very low-carb ketogenic diet is highly therapeutic. For others, such as those with compromised brain function that has caused dysregulated metabolic and neurological function, a ketogenic diet can be disastrous.
Although finding your optimal carbohydrate consumption may take some trial and error, it’s safe to assume you do not need sugar, high fructose corn syrup, processed carbohydrates, and industrial oils. Instead, the bulk of your diet should come from a diverse array of ever changing vegetables and fruits (be careful not to go overboard on fruits), and healthy fats and proteins.
It’s also safe to assume the human body was designed for daily physical activity, time outdoors, and healthy social interaction.
Ask my office for help on customizing and diet and lifestyle plan designed just for you.
Want to know more? Schedule a FREE 15-MINUTE CONSULTATION with Dr. Celaya.