We live in a sea of toxins and we all carry significant amounts of heavy metals and environmental toxins in our bodies. Even if you eat all organic foods, drink filtered water, and use non-toxic home and body products, you will still come in contact with numerous toxins as a part of daily modern life.
Thankfully, we can support our health and buffer the impact of these toxins on our bodies. Strategies include a diet that helps your body detoxify regularly and that minimizes toxic exposure, anti-inflammatory protocols to buffer the inflammatory effects of toxins on your body, supporting the pathways of elimination, and including binders in your regular protocol to “sponge up” toxins in your system.
Toxins are inflammatory to the body. One of the best things you can do is reduce your inflammatory load with an anti-inflammatory diet. Although even organic foods are shown to contain toxins these days due to air, water, and soil contamination, choosing foods that have not been produced with pesticides, hormones, or antibiotics will reduce your overall burden.
You also want to keep your blood sugar stable by avoiding sugars and foods that are high in processed carbohydrates. This means not letting yourself crash from low blood sugar and not overeating yourself into a food coma.
Especially important is to avoid the foods that trigger an inflammatory response in you. If you have a food sensitivity or intolerance, eating a food that flares your immune system will keep it in a state of constant red alert, stoking inflammation throughout your body. The most common immune reactive foods are gluten, dairy, soy, egg, and corn.
In addition to minimizing your dietary sources of inflammation, certain supplements can also tame and reduce inflammation.
Studies show taking larger doses of the antioxidants resveratrol and curcumin can help protect the body from the damage of toxins, especially if you take them together in a liposomal form.
Glutathione that is liposomal or in another absorbable form is another way to lower inflammation and protect your body. In fact, insufficient glutathione increases your risk of developing chemical sensitivities. In addition to taking an absorbable glutathione you can also raise glutathione levels inside your cells with n-acetyl-cysteine, cordyceps, Gotu Kola, milk thistle, L-glutamine, and alpha lipoic acid.
Binding toxins in your body
Taking nutritional compounds on a regular basis that bind with toxins for easy removal is another way to buffer your body. Binders can help remove heavy metals, environmental toxins, mycotoxins from molds, infectious bacteria, and fungal infections from your body.
Here are some examples of effective binders:
Modified citrus pectin: This is derived from citrus peel and processed in a way that it allows it to enter the bloodstream and bind with toxins for safe elimination from the body. Modified citrus pectin also serves as a great “prebiotic,” or a nutrition source for your good gut bacteria. A healthy gut microbiome is critical to helping protect you from toxins. Look for a source that is free of fillers.
Activated charcoal: Activated charcoal is a popular and affordable binder for toxins. It can also help soothe common digestive complaints.
Bentonite clay: Bentonite, montmorillonite, and illite (French clay) are used to bind toxins. When mixed with water, these clays develop a sponge like quality and take on an electrical charge to attract harmful compounds. Look for a quality product that does not have lead contamination.
Zeolite: Zeolite is formed from volcanic rock and ash and is a well-known binder for heavy metals and other toxins.
Chlorella: Chlorella is a blue-green algae that has an affinity for mercury and lead. It is also rich in B vitamins, minerals, and antioxidants. You may need to avoid chlorella if you take blood thinners.
Silica: Most people think of silica to improve their hair, skin, and nails, but it’s also good at binding metals such as thallium that are harder to detox.
You must support your pathways of elimination when you detoxify
Binders work great at latching onto toxins, but if your body’s pathways of elimination are faulty, you could make yourself more toxic. You also want to ensure you are sufficiently mineralized — heavy metals can bind to cellular receptors in the absence of necessary minerals.
Ways to support the elimination of toxins include supporting healthy liver and gallbladder function, supporting healthy bowel elimination, and making sure you stay hydrated and take care of your kidneys and bladder. Eating 25–38 grams of fiber a day, staying well hydrated, eating foods that are good for the liver (like bitters and greens), exercising regularly to stimulate the lymphatic system, and sweating regularly are some examples of how to keep toxins flowing out of your body.
Avoiding chemical sensitivities
Although we want to minimize our overall toxic burden, we especially want to avoid developing chemical sensitivities. In the end, your overall toxic burden may not matter as much as whether you have an immune reaction to these toxins. You can react to a toxin the same you can react to gluten or dairy. This is problematic as it’s much harder to eliminate a toxin from your environment than a food from your diet, especially if that toxin is prevalent in the air, such as benzene, or in plastics, such as BPA.
This is why it’s so important to live an anti-inflammatory lifestyle. If you already have chemical sensitivities, ask my office about methods to lower your sensitivity so you can better tolerate everyday life.
Although few doctors know how to successfully manage autoimmune disease — a condition in which the immune system attacks the body — researchers say it has become a modern epidemic, affecting more people than heart disease and cancer combined. Conventional medicine also argues autoimmune disease has mysterious origins and is primarily genetic, but again research paints a different picture — autoimmune disease has largely been traced to the tens of thousands of toxic chemicals in our environment.
It takes the average person five years and visiting at least five different doctors before they receive a diagnosis for autoimmunity. Despite many published and peer-reviewed scientific studies about autoimmunity, rare are medical doctors who know how to identify symptoms of autoimmunity, properly screen for it, or appropriately treat it.
Most autoimmune patients are prescribed antidepressants or anti-anxiety medications, told they need to exercise more or lose weight, or told they are making up their symptoms. More than 75 percent of patients with autoimmunity are women, which suggests the sexism shown to exist in medicine stands in the way of better treatments.
If medical doctors do diagnose autoimmune disease, it is typically only after the disease has almost completely destroyed the targeted tissue, whether it’s parts of the brain, the thyroid gland, or the sheaths that coat the nerves. At this point they can offer invasive treatments such as steroids, chemotherapy drugs, or surgery.
Examples of popular autoimmune diseases include Hashimoto’s hypothyroidism, lupus, multiple sclerosis, psoriasis, type 1 diabetes, rheumatoid arthritis, Crohn’s disease, celiac disease, and vitiligo. Although about 100 autoimmune diseases have been identified so far, the truth is the immune system can attack any cell in the body and researchers believe there are probably more than 100.
Autoimmunity rates are skyrocketing. Consider the following:
Type 1 diabetes rose 23 percent between 2001 and 2009 in the US
Crohn’s disease rose 300 percent in 20 years in the UK
Inflammatory bowel disease has risen more than 7 percent every year in Canada
An Israeli study showed autoimmune rates are rising worldwide
Studies show autoimmune rates rise the most in developed nations and in countries that are developing while they are lowest in the least developed countries.
“Developed” has become synonymous with “toxic.”About 80,000 chemicals that haven’t been tested on humans are in our environment in the US and about 5,000 new ones are added every year. Random blood sampling studies show that we all have dozens, if not hundreds (depends on how many they test), of these chemicals in our bloodstream. One study of fetal cord blood found almost 300 different chemicals in newborns around the country.
Other studies link different chemicals to different autoimmune diseases. For instance, mercury has been shown to trigger lupus and pesticides are linked to rheumatoid arthritis.
Rising autoimmune rates are also traced to poor diets high in processed foods and low in plant fiber. This compromises the gut microbiome, or gut bacteria diversity, which has been linked to poor immune function.
Low vitamin D levels, high chronic stress levels, hormonal imbalances, high sugar consumption, and sedentary lifestyles are some of other common reasons for the autoimmune epidemic.
A functional medicine approach to autoimmune disease
When it comes to autoimmunity, functional medicine shines.
For one thing, we listen to you. We know you are not crazy, making up your symptoms, or attention seeking. Autoimmunity is frustrating and confounding in its wide variety of symptoms and mysterious nature. We understand how demoralizing this can be.
Although symptoms vary depending on the tissue being attacked, common symptoms among all autoimmune sufferers include fatigue, malaise, pain, brain fog, depression, and periods where you “crash,” or have such low energy you can’t function.
In functional medicine we use lab tests that screen for multiple autoimmune conditions at once. This allows us to identify an autoimmune reaction taking place that may not be advanced enough yet to cause extreme symptoms. This allows us to halt or slow its progression.
We also can test for the triggers in your environment, such as certain foods you may not be aware are sending your immune system into a tailspin, such as gluten, or specific chemicals, such as benzene. Avoiding these triggers can help you feel better.
Successfully managing autoimmunity is not necessarily about managing the part of your body that is being attacked. Instead, it’s about addressing your hyper zealous and misguided immune system. The immune system is very complex and always in flux, but thankfully new research is continually helping us learn new strategies to balance immunity, dampen inflammation, tame autoimmune flares, and prevent autoimmunity from progressing and devastating the body.
In fact, some autoimmune patients say their autoimmune disease has taught them how to live more balanced and healthy lives than they would have otherwise.
Ask my office for more information about how to manage your autoimmune condition.
After assurance from breast implant makers that concerns about silicone leaks were a thing of the past, more than 10 million women worldwide have received silicone breast implants in the past decade. However, a growing body of research — supported by increased symptom reporting by women —links silicone breast implants to autoimmune disorders and a rare form of immune cancer.
Silicone breast implants linked to autoimmune disease
Doctors commonly advise potential breast implant candidates that the risks are minimal, yet multiple recent studies indicate otherwise.
A recent study at the University of Alberta comparing nearly 25,000 women with breast implants to nearly 100,000 without them confirmed that nearly one in four implant recipients is at risk of developing an autoimmune disorder.
The risk for women with breast implants developing an autoimmune disease is 45 percent higher than for those without implants.
While former studies on the topic have been criticized because they were based on self-reporting by subjects, this study used doctor-based diagnoses to confirm results.
Previous research has also found surgical mesh implants used for gynecological or hernia repair may be linked to autoimmune disorders such as rheumatoid arthritis and lupus. Additionally, patients with allergies prior to the procedure were significantly worse afterward.
In the Alberta study, the strongest links were shown between silicone implants and these autoimmune conditions:
Sjögren’s syndrome, an autoimmune disorder of the salivary and tear glands.
Sarcoidosis, an autoimmune disorder of the lung, skin and lymph nodes.
Systemic sclerosis, an autoimmune disorder of the connective tissue affecting the skin, arteries, and visceral organs such as lungs and kidneys.
The theory behind these findings is that foreign material of the mesh and silicone implants causes an activation of the immune system. The body continues to fight the “invader” and over time autoimmunity develops.
Emerging form of breast implant-related cancer on the rise
Individuals with breast implants are also at risk of developing breast implant large cell lymphoma, or BIA-ALCL. BIA-ALCL is not breast cancer but a form of non-Hodgkin’s lymphoma, a cancer of the immune system.
In most cases BIA-ALCL is found in fluid and scar tissue near the implant, however there are cases where it spreads throughout the body.
The FDA states, “At this time, most data suggest that BIA-ALCL occurs more frequently following implantation of breast implants with textured surfaces rather than those with smooth surfaces.”
Plastic surgeons have identified 615 cases of BIA-ALCL worldwide with the disease occurring at higher rates among women with textured implants. French authorities have recommended against the use of textured implants due to the cancer risk.
At present, however, the risks are difficult to determine due to significant limitations in world-wide reporting and lack of data.
Lax reporting rules at fault for lack of patient awareness
Prior to 2017 the FDA allowed breast implant companies to report breast implant injuries as routine events that did not require public disclosure. This effectively kept the information from the public and may have skewed opinions on the safety of using them.
In 2017 reporting rules were changed and reports of injuries soared. At the current rate, they are slated to increase more than 20-fold in the last two years from the previous two-year period.
According to an ICIJ analysis of FDA data, after the rule change the number of suspected breast implant injuries skyrocketed from 200 a year to more than 4,500 in 2017 alone.
In just the first half of 2018, that number almost doubled to more than 8,000 filed reports.
The increase in reports doesn’t mean implants are suddenly going bad but that they may never have been as safe as patients were told in the first place.
The FDA has acknowledged a “transparency issue” regarding the undisclosed injury reports and that the increase in numbers reflected the change in reporting rules.
Changing the system to better protect breast implant recipients
The FDA warns that as many as one in five women who receive breast implants will get them removed within a decade due to complications such as rupture, deflation, and painful contraction of scar tissue around the implant, but currently there is no warning about autoimmunity.
The good news is that in response to the new information, the FDA and agencies around the world acknowledge that more research needs to be done to determine the autoimmune and cancer risks of implants.
While current studies do not prove breast implants cause these diseases, they do show that women with the implants suffer them at significantly higher rates than women without implants.
It’s proposed that bacterial infection of a biofilm that surrounds the implants is the likely cause of implant-related illness, including BIA-ALCL.
Patient advocates propose rules requiring breast implants to be sold with “black box” label warnings, which are reserved for life-threatening and other serious risks.
Undoubtedly, it will take much larger and longer studies to root out the details and bring about protective actions, and in the meantime, doctors and patients need to have deeper conversations about the benefits and risks of silicone breast implants.
Emerging research reveals that higher-altitude living contributes to a higher risk for depression and suicide. While studies continue to look into the mechanisms behind this trend, it’s clear a variety of factors come into play. From the unique effects that altitude has on the brain to social and psychological aspects of life in the high country, many of these factors are influenced by your lifestyle and dietary choices.
In the United States, the highest suicide rates are in the intermountain area — in particular, Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, and Wyoming. Wyoming comes in first with two times the national suicide average, and the other states on this list consistently score in the top ten nationwide.
Resort town life: A recipe for desperation and impulsiveness?
While some studies reveal physiological factors behind the altitude-linked descent into suicidal depression, the experts say social, economic and cultural factors can also play a role.
Mountain community is transient by nature. The mountain resort-town life revolves around two seasons: winter and summer. Ski season and summer tourist season are the main busy times separated by two off-seasons that locals like to call “mud season.”
During mud season, while everything is either buried in spring snowmelt or autumn rain, the tourists disappear, locals have little to no income, and one’s sense of displacement, isolation, depression, and uncertainty can increase dramatically. Having to make it through this tough time twice a year, every year can cause high levels of stress and depression. Schedule a FREE 15-Minute Consultationwith Dr. Celaya.
Social isolation. These remote communities are spread far apart, breaking up the interconnectedness that people have in more populated areas. In addition, many residents come and go during “mud season,” making it hard to develop strong social bonds. This undermines the creation of the well-established intergenerational relationships, deep social connections, and the resulting support systems known for supporting mental health and stability.
Financial struggle and uncertainty. When we think of resort towns, we think of enjoyment and freedom surrounded by natural beauty. However, the reality for many residents is a life of working two to four jobs during tourist season, the twice-yearly mud-season of unemployment, unaffordable housing that changes frequently, and constant financial worries. This puts enormous stress on individuals, families, and relationships.
Party culture and substance abuse. Resort towns are notorious party towns, and the use of alcohol and other drugs is more prevalent. According to Mental Health America, substance abuse is likely a factor in half of all suicides, and the lifetime rate of suicide among those with alcohol problems is three to four times the national average.
Altitude’s effect on the brain may increase suicide risk
A recent Harvard study analyzed previous studies linking life at higher altitudes to increased risk of depression and suicide.
While more than 80 percent of US suicides occur in low-altitude areas, that’s because most of the population lives near sea level. Adjusted for population distribution, suicide rates are almost four times higher at high altitude versus low altitude.
A possible physiological explanation for this trend has been considered: Chronic hypobaric hypoxia, or low blood oxygen, might alter serotonin and dopamine metabolism in the brain as well as negatively influence how energy is transferred in cells and tissues.
Lowered serotonin production. Studies also show high altitude reduces serotonin levels, which is associated with mood and anxiety disorders. And the higher you go, the greater your risk for suicide.
In fact, Salt Lake City residents have a 30 to 40 percent higher risk of suicide just based on their altitude compared to those at sea level. Nearby Alta and Snowbird — both ski resort towns — have a suicide rate two times that of the national average.
Raised dopamine production. On the other hand, altitude increases the production of dopamine, the brain neurotransmitter associated with pleasure-seeking and risk-taking.
This is complicated by the fact high altitude living attracts outdoorsy risk-takers who may already have increased dopamine levels that make them prone to the impulsivity associated with suicide.
Support your mental health with dietary and lifestyle measures
While we need more research into the altitude-suicide connection, it’s clear that high-mountain living presents many challenges to mental health. If you live in a high-altitude location, be aware of the factors below to see if your risk for depression and suicide may be higher.
Symptoms of impaired serotonin activity:
Loss of pleasure in hobbies and interests
Feelings of inner rage and anger
Feelings of depression
Difficulty finding joy from life pleasures
Depression when it is cloudy or when there is lack of sunlight
Loss of enthusiasm for favorite activities
Not enjoying favorite foods
Not enjoying friendships and relationships
Unable to fall into deep restful sleep
Symptoms of high dopamine activity:
Heightened cognitive acuity
Lack of self-control
Anti-inflammatory diet to support brain health. Ongoing research reveals a strong link between brain inflammation and various depressive disorders. Support your body’s ability to quell inflammation with a diet free of common allergens and reactive foods.
Symptoms of blood sugar dysregulation. Imbalances in blood sugar can be at the root of many mood issues.
Signs and symptoms of low blood sugar include:
Increased energy after meals
Craving for sweets between meals
Irritability if meals are missed
Dependency on coffee and sugar for energy
Becoming lightheaded if meals are missed
Eating to relieve fatigue
Feeling shaky, jittery, or tremulous
Feeling agitated and nervous
Poor memory, forgetfulness
Signs and symptoms of high blood sugar include:
Fatigue and drowsiness after meals
Intense cravings for sweets after meals
Waist girth equal to or larger than hip girth
Craving for sweets not relieved by eating them
Increased appetite and thirst
Difficulty losing weight
Trouble falling asleep
Support your stress response with adrenal adaptogens and phosphatidylserine.
Holy basil leaf extract
Pantethine (B5) and B vitamins
Phosphatidylserine liposomal cream that delivers 2000mg per day
Moderate your caffeine intake. Caffeine can stress your adrenals, making it harder to cope with high stress.
Support serotonin levels with 5HTP (a serotonin precursor) or L-tryptophan.
Support brain bioenergetics with creatine.
Use moderate exercise to manage stress levels and support brain health.
Stress management practices such as meditation, chi gong, and yoga help to moderate stress and relieve depression.
Actively build community and social connections by joining a volunteer group, drama club, book club, or other organization.
Know the signs of increased social isolation in yourself and loved ones.
If you have substance abuse issues, please contact my office for a referral for assistance.
Check for deficiencies in vitamin D, B2, and iron, all of which can affect mood.
High altitude life has many joys and benefits, and it doesn’t have to be a recipe for depression disaster. To learn more about how you can support your well-being while living at altitude, please contact my office.
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