What to look for in a good multiple vitamin?

Dr. Wiancek's Optimal Health Multiple Vitamin increases one's energy, supports the immune system and prevents cancer and heart disease.  To order call 970-926-7606 or e-mail Dr Wiancek at wiancek@healthref.com or order on Amazon under Dr. Wiancek's multiple vitamin.

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MULTIVITAMINS AND YOUR HEALTH: WHY QUALITY MATTERS

As a naturopathic doctor, I've found that the majority of my patients think they're getting all their nutrients from their diet when, in reality, this is often not the case.

Years of agricultural practices consisting of toxic chemical usage have created poor mineral quality in our soils and nutrient-poor staple foods. Furthermore, the traditional American diet consists of significantly more processed foods than previous generations. As there is no one-size-fits-all and many low-quality vitamins contain fillers, sugars, dyes, heavy metals, and preservatives. So, finding a quality multivitamin that can supplement your deficiencies can be hard. However, it’s not impossible.

The Multivitamin Debate

The million-dollar question for most concerned patients regarding multivitamins is, “Should I take them?” While there have been a number of studies on the benefits of multivitamins, most have not been rigorous enough. Many only ask if the participant is taking a multivitamin and don’t account for quality, dose, or what combination of vitamins are in the multi. In other words, the “multivitamin debate” is primarily due to the numerous incomplete or inconclusive studies based on poorly planned research controls.

Some research studies have pointed to the potential for negative impact when taking multivitamins. This idea is most likely because cheap multivitamins often include binders, fillers, and additives such as dyes like yellow #5, hydrogenated oils, and metals such as titanium dioxide, talc, magnesium silicate, and other potentially harmful heavy metals. While these metals and chemical compounds may help bind the pills together or add color and flavor, they are actually creating more toxins for the body to fight off than good they’re doing.¹

Learn more about quality ingredients in nutritional supplements

Who Should Take A Multivitamin —and Why?

With the vast selection of food lining American supermarket aisles, it’s hard to believe that 9 out of 10 Americans have nutritional deficiencies.² While the right multivitamin can be beneficial to our health, it is necessary to remember that multivitamins are meant to supplement a well-balanced diet, not replace it. 

In addition to consuming less nutrient-rich foods than our grandparents, a rise in gastrointestinal issues and prescription drug use in the U.S. has led to difficulties in nutrient absorption and vitamin depletion. Anyone with intestinal challenges will have problems with nutrient absorption of fat-soluble vitamins A, C, D, E, and vitamin K, ^3,4

Multivitamins for Men vs. Women

There isn't much of a difference in the type of multivitamin that would be prescribed to men vs. women since both groups can have complications with bone health and immune system deficiencies as they age. Pregnant women, women trying to conceive, or those who are breastfeeding should be on a high-quality prenatal multivitamin. A good prenatal contains iron and methylated folate, which is the most absorbable version of folate. Unless your doctor has diagnosed you with an iron deficiency, either due to a plant-based diet or health-related condition, you should avoid multivitamins with iron, as too much can cause cardiac issues.

Multivitamins for a Compromised Immune System

Consistent stress in an individual's life can wreak havoc on the immune system. For patients who have stressful lifestyles or low energy, methylated B vitamins can help support optimal health by donating 5-MTHF to the methylation pathway. For patients with compromised immunity, I recommend free-radical fighters such as vitamins A, C, E, and D to aid in the proper functioning of their immune system.

What Should You Look for in a Multivitamin? 

A high-quality multivitamin should cover basic nutritional needs. The following is a list of the minerals and vitamins that the average adult should look for when shopping for a multivitamin:

• Calcium citrate: The most absorbable version of calcium
• Vitamin D3: At least 100 IUs for bone health 
• Antioxidants: Vitamin A, C, D, E, and selenium help protect the immune system 
• Methylated B vitamins: The most absorbable version of B vitamins
• Minerals: Vitamin K2, biotin, magnesium, potassium, boron, choline, and chromium
  

How to Determine Quality of Multivitamins

For a high-quality multivitamin, you want to look at absorbable ingredients. Here are some questions you can ask your physician or local pharmacist when picking out a multivitamin:

• Does it have the efficient, absorbable ingredients in it?  
• Does it have calcium citrate?  
• Is the multivitamin brand using vitamin D3 instead of vitamin D, since vitamin D3 is more absorbable?
• Does it include the methylated B vitamins instead of regular B vitamins? 
• Is there iron in it?
• Does it have vitamin K2 instead of vitamin K1?  

A high-quality multivitamin should also have at least 50mg of each mentioned mineral and vitamin. Anything less than 50mg is not enough to have an effect. A high-quality vitamin should also be void of any artificial colorings, as well as sugars, dyes, preservatives, heavy metals, and fillers.   

Related Topic: Benefits of Adding A & D to K

Consult Your Health Care Practitioner

 

It's best to consult your healthcare practitioner regarding multivitamins if you're thinking about taking them. In fact, most doctors take multivitamins themselves. In my practice as a naturopathic doctor, I generally conduct a one-and-a-half-hour interview with all my new patients. Only after completing a thorough history of their health issues, diet, lifestyle, and prescription drug use can I determine which vitamins would be beneficial in their specific situation.

A High-Quality Multivitamin Can Supplement a Nutrient-Deficient Diet

With over 90% of the American population being nutrient deficient due to poor dietary habits, incorporating a high-quality vitamin into your diet can help fill in the gaps. Choosing the right multivitamin means being conscious of the ingredients and opting for the best ingredients that meet the recommended dosage. If you are concerned about what type of formulation will work best for you, consult your physician, who can provide the right combination of vitamins and minerals to support you on the path towards optimal health.

Sources:

1  "Multivitamin/Mineral Supplements: Rationale and Safety… - NCBI.” 2017. https://www.ncbi.nlm.nih.gov/pubmed/27553772. Accessed October 1, 2019.

2  “CDC’s Second Nutrition Report… - CDC.” 2012. https://www.cdc.gov/nutritionreport/. Accessed October 1, 2019.

3 “Trends in Prescription Drug Use Among Adults… - NCBI.” 2016. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4752169/. Accessed October 1, 2019.

4 “Burden and Cost of Gastrointestinal, Liver… - NCBI.” 2019. https://www.ncbi.nlm.nih.gov/pubmed/30315778. Accessed October 1, 2019.

Dr. Deborah Wiancek, naturopathic doctor from the Riverwalk Natural Health Clinic in Edwards is a featured doctor in The Idiot's Guide to Natural Remedies. The book was published January 09' and is now available at your local book stores and Amazon.com. In the book Dr. Wiancek goes over natural remedies used for asthma, bladder infections, ear infections, endometrosis and first aid. She also talks about food allergies.

Vitamin D and Dementia: A Very Close Tie

Older patients with very low levels of vitamin D have about a 122% increased risk for dementia compared with those with higher levels, according to a large, prospective, population-based study.
The study provides "robust evidence" of the link between vitamin D and cognition and adds important new informationto the association, said study author David J. Llewellyn, PhD, senior research fellow in clinical epidemiology, University of Exeter, United Kingdom.

 Although earlier research had also uncovered this link, "we were able with much greater accuracy to sort of chart the level of vitamin D that seems to be relevant to a dementia risk," said Dr. Llewellyn. " It gives us valuable clues as to the kind of trials we should be doing next, and who we should be treating and with how much vitamin D." Low vitamin D levels "should ring alarm bells" that patients are at high risk for dementia, said Dr. Llewellyn.

The study was published online August 6 in Neurology. The analysis included 1658 ambulatory and relatively healthy participants from the Cardiovascular Health Study in 4 US communities (Forsyth County, North Carolina; Sacramento County, California; Washington County, Maryland;
and Pittsburgh, Pennsylvania). Researchers obtained blood samples in 1992–1993 and in 2008; they measured serum 25-hydroxyvitamin D (25[OH]D) concentrations. They classified these samples as follows: less than 25 nmol/L (severely deficient), 25 nmol/L or greater to less than 50 nmol/L (deficient),and 50 nmol/L or greater (sufficient).

Investigators assessed cognition through repeat MRI examinations, medical records,
questionnaires, and annual cognitive assessments over about 6 years.
During 9317.5 person-years of follow-up, 171 participants developed any type of dementia
and 102 developed Alzheimer's disease (AD). The risk of developing both was significantly
higher in persons who were 25(OH)D deficient or severely deficient.
In a model adjusting for age and season of sampling, participants who were vitamin D
deficient had a 51% increased risk for all-cause dementia (hazard ratio [HR], 1.51; 95% confidence interval [CI], 1.06 - 2.16; P = .002) compared with those with sufficient vitamin D. Those who were severely deficient had about a 122% increased risk (HR, 2.22; 95% CI, 1.23 - 4.02).
After also adjustment for education, sex, body mass index (BMI), smoking, alcohol consumption, and depressive symptoms, the HRs for all-cause dementia were 1.53 in those who were vitamin D deficient and 2.25 for those who were severely deficient.

This finding was "surprising" as it was "much stronger" than the 60% increased risk his research group found earlier (Arch Intern Med. 2010;170:1135-1141), although that study looked at "new cognitive problems" such as memory decline, which is a "cruder" way of assessing cognition, said Dr. Llewellyn.

In this new research, the strength of the association was sustained for participants with incident AD.
The association withstood many additional tests. A secondary analysis in which serum 25(OH)D concentrations were analyzed as a continuous variable provided a similar pattern of results, as did other analyses that adjusted for diabetes, hypertension, and ethnicity (for ethnicity, the results were somewhat altered, but the overall pattern didn't change).

When participants who developed any dementia within a year of baseline were excluded, researchers also found an association between low vitamin D levels and dementia. This, said Dr. Llewellyn, indicates that the findings aren't due to participants being in the early stages of dementia.
If that were the case, he said, "the association should start to get weaker when we do those analyses, but if anything, it's probably the reverse; it was probably a little bit clearer, or at least the association certainly remained robust."

The relationship was also not due to older people staying indoors or having a poor diet, which would lower their vitamin D levels. "Our study was restricted to people who were pretty healthy at baseline," said Dr. Llewellyn. "None had a stroke or cardiovascular disease; they were certainly not severely impaired or immobile.

Controversial Issue
"Low vitamin D levels likely affect cognition through both neurodegenerative and vascular mechanisms,” said the authors. They noted that vitamin D receptors are expressed in areas of the brain involved in memory, such as the hippocampus and dentate gyrus; that the active form of vitamin D regulates neurotrophin expression, such as nerve growth factor; and that vitamin D reduces amyloid-induced cytotoxicity and apoptosis in primary cortical neurons. The findings suggest that the optimal vitamin D level to prevent dementia is 50 nmol/L. Others in the field argue that a
higher level — 75 nmol/L — is better, "but our data don't support that," said Dr. Llewellyn.
He stressed that lower levels might protect against other health outcomes; for example, about 25 nmol/L may help promote bone health or prevent rickets.

Should doctors recommend that older adults have their vitamin D checked? This, said Dr. Llewellyn, is a "controversial issue" because it involves "one of most expensive tests available to primary care physicians." Some people can't synthesize enough vitamin D from sun exposure in winter months. Does this put them at risk for dementia? That's unclear, although Dr. Llewellyn knows of research at the University of Edinburgh that found a trend connecting higher latitude and increased dementia risk in residents of the northern hemisphere, including Scotland and Scandinavian countries.

Compelling Link
The Alzheimer's Association agrees that some sort of clinical trial — whether it's with vitamin D supplements, increased sunlight exposure, or a vitamin D–enriched diet — is needed to test the effect on dementia, said Keith N. Fargo, PhD, director of scientific programs and outreach, Alzheimer's Association, which helped fund the study.

By Pauline Anderson

Drugs that have been linked to Dementia

Think twice before taking any drugs because of their side effects.  Drugs will never get to the cause of your health issue.  As a naturopathic doctor I can help you get off your medication and help you identify the cause of your health issue.  Many drugs deplete our bodies of very important nutrients that we need for optimal health.  Below you will find a list of the many drugs that are linked to dementia.

The drugs below deplete COQ10 which causes more free radical damage to your brain resulting in less energy to the brain and a great susceptibility to neurological diseases.  Thus if you are taking any of the drugs below you should be taking COQ10 in a ubiquinol form 200 mg/day.

Antidepressants: Amitriptyline, desipramine, Doxepin, Imipramine, Nortriptyline, Protriptyline

Antipsychotic drugs Haldol

Cholesterol lowering Drugs Lipitor, Lescol, Mevacor, Pravachol, Zocor

Antidiabetic Drugs: Glucotrol, Diabeta, Glynase, Micronase, Tolinase

Drugs that deplete B vitamins thus elevating homocysteine levels can increase our risk for mood disorders, poor mental performance and Alzheimer’s disease.  Anyone with dementia should get their methylations (MTHFR) levels checked.  Not all B vitamins are absorbable.  I recommend only the methylated forms.

Pain Relievers such as NSAIDS: aspirin, Percodan and Empirin

Antibiotics: Bactrim, Septra, Trimethoprim

Antacids and Stomach Suppressors: Tagamet, Peocid, Zantac, Prevacid, Axid, Prilosec

Antidiabetic drugs: Metformin

Asthma Drugs: Flovent, Aerobid, Vanceril, Pulmacort, Rhinocort, Nasalide, Aerobid, Nasonex, Azmacort

Aerolate

Blood pressure lowering drugs: Bumex, Hydroclorothiazide, Dyrenium, Lasix, Apresoline, Demadex

Anticonvulsant Drugs: Tegretol, Zarontin, Cerebyx, Mebaral, Phenobarital, Dilantin, Mysoline, Depakote, Depakene

Cholesterol lowering drugs: Colestid

Estrogens of any kind

Drugs for osteoporosis Evista

Anti-Parkinson’s Drugs Levodopa

NSAIDS: Celebrex, Advil, Bayer, Select, Motrin, Midol, Indocin, Aleve

Corticosteroids Drugs: Prednisolone, Prednisone

Drugs that lower Glutathione which is essential for removing free radicals and decreasing inflammation in the brain.

NSAIDS: Tylenol, Panadol, Advil, Aleve

Eliminated all aluminum from cookware, foil, antacids and underarm deodorants.

I do not recommend getting off any drugs without a doctor's guidance. If you feel that you or a loved one is having any memory issues it is best to get to the cause early.  Schedule an appointment with Dr. Wiancek at 970-926-7606. 

Who should be taking a multiple vitamin?

Individuals who are not eating a balanced diet on a daily basis.

If you are lactose intolerant you may be deficient in calcium and Vitamin D.

You’re pregnant, of child bearing age or may become pregnant or are breast feeding.

To prevent osteoporosis all women should be taking calcium, Vitamin D, magnesium, Vitamin C, boron, Vitamin K, zinc and copper starting at 20 years of age or younger.

You have elevated homeocysteine, a protein that may be related to an increased risk of coronary heart disease. Vitamin B6, Vitamin B12 and folic acid has been shown to prevent heart disease and lower homeocysteine levels.

You have had an intestinal condition such as inflammatory bowel disease, irritable bowel syndrome or chronic pancreatitis. All these conditions can interfere with nutrient absorption.

You’re on a weight reduction diet.

You’re a cancer patient - you should be taking antioxidants.

You’re a strict vegetarian - You are probably lacking in Vitamin B12.

To reduce your risk of getting cancer. Harvard’s famous evaluation of 90,000 nurses for more than 15 years showed that multiple vitamins appeared to reduce the risk of colon and breast cancers.

People who have a nutritional deficiency. 9/10 Americans are low in 1 or more of the following vitamins and minerals: magnesium, Vit. D, Vit. C, Vit. E, calcium and zinc.

We all live in a toxic world, antioxidants in a quality multiple vitamin help clean toxins from the body and keep the liver functioning better.

If your energy could use a boost.

To promote mood, a multiple vitamin with B-vitamins, Vit. C and magnesium promotes calmness and supports a healthy mood.

A good multiple vitamin with Vit. A, C and E helps support healthy, radiant skin.

Your stressed out, stress depletes our B-Vitamins.

A multiple vitamin with Vit. D, calcium and magnesium can help maintain muscle strength and mobility.

A good multiple vitamin supports healthy aging.

One can purchase Dr. Wiancek's Optimal Health Multiple Vitamin by e mailing her at wiancek@healthref.com or on Amazon under Dr. Wiancek's Multiple vitamin.

Dr. Wiancek has formulated her own multiple vitamin

Why has Dr. Wiancek decided to formulate her own multiple vitamin?

Now adding methlyfolate to the vitamin, because many people do not absorb regular folic acid. Also, with more vitamin K2 to prevent osteoporosis, bruising and overall bone health. Because many of my patients are taking 5 or 6 bottles of different vitamins and minerals a day and it is costing them a fortune. So I decided to make it easy and cost effective for people. All they would need is provided in my multiple vitamins at a cost of $47.00 a month  This can be purchased by e mailing Dr. Wiancek at wiancek@healthref.com or on Amazon. 

What does your multiple vitamin include?

It includes the following:

1,000 mg of calcium citrate the most absorbable calcium available to help prevent osteoporosis.

2000 IU of Vitamin D3 to prevent osteoporosis.

400 IU of Vitamin E which is a natural blood thinner, protects us from heart disease and all kinds of cancers.

1,000 mg of Vitamin C which protects us from getting the common cold because of it’s anti-viral effects.

15,000 IU of Vitamin A which protects us from all kinds of cancer and helps keep our skin healthy.

100 mcg Selenium which is also an antioxidant which protects us from all kinds of cancers including prostate cancer.

30 mg of Zinc which also protects us from colds and all kinds of cancers including prostate cancer.

50 mg of all the B Vitamins. These are water soluble vitamins which need to be replenished on a daily basis. We need them during times of stress that is why they are called our stress vitamins.

Other minerals that are needed to prevent osteoporosis which are included in the multiple vitamin are:

Other minerals included in the multiple include:

Vitamin K2 150 mcg

Vitamin B12 100 mcg

Biotin 300 mcg

Pantothenic acid 70 mg

Magnesium citrate 500 mg

Copper 1 mg

Manganese 15 mg

Chromium 100 mcg

Potassium 50 mg

Boron 2 mg

Molybdenum 50 mcg

Vanadium 20 mcg

Choline 70 mg

Inositol 70 mg

Methylfolate 800 mcg

Why is there no iron in this multiple vitamin?

Why a little may be good more is definitely not better when it comes to your heart. A study comparing coronary heart disease patients with healthy, age matched controls, found women older than 60 had a 3.5 fold increase in CHD risk for every 50 mg of iron consumed per month over 250 mg.

One a day for Women has 27 mg of iron in each tablet. That amounts to an 810 mg of iron load every month, raising a consumer’s risk for CHD 40 fold. Several studies have conversely confirmed the cardiovascular benefits of iron depletion through blood donation, reducing the risk of an acute heart attack as much as 88 percent in middle aged male donors.

Also, some researchers suggest the loss of iron rich blood during menstruation is partly responsible for the lower rates of heart disease in younger women.

The lesson here is to take iron supplements only when you need them. The only way to tell if you are low in iron is through a blood test.

12 WAYS TO DODGE DEMENTIA

Did you know that your brain starts to deteriorate 30 to 50 years before
you have any symptoms? Losing your memory or developing brain fog
in your 40s, 50s, 60s, 70s, or even 80s is not normal—it’s a sign of
trouble. By adopting these brain healthy strategies, you can outsmart
your genes, put the brakes on aging, and even reverse the aging process
so that you look and feel younger in a short period of time!

1. Drink water. Your brain is 80% water, so anything that dehydrates
it (such as too much caffeine or alcohol) should be avoided. How much
water should you drink? ½ your body weight in ounces is best.
Example: if you weigh 150 pounds, drink 75 ounces of water each day.

2. Get enough sleep – at least 7-8 hours per night.

3. Move your body! Studies show that exercise will help
prevent Alzheimer’s and boost your energy, mood, metabolism, and
the ability to create new brain cells. Exercise truly is the closest thing
to a happiness pill that you will ever find!

4. Protect yourself from brain injuries… period. Wear a helmet when biking & skiing.

5. Embrace your sense of meaning and purpose, and keep a gratitude journal.

6. Eat breakfast and keep your blood sugar balanced so that you can make great decisions about how to care for your brain and body. Protein with each meal and 5-12 veggies a day.

7. Maintain a healthy weight. Studies show that as your weight goes up, the size and function of your brain goes down. Don’t know your BMI?

8. Free yourself from toxins:
 Limited alcohol: no more than 2-4 glasses a week.
 If you smoke, quit!
 Eat lots of antioxidants such as Vit A, C, D, E & Selenium and super-nutrient Organic foods to gain protection from brain-damaging free radicals. All these antioxidants are in Dr. Wiancek Optimal Health multivitamin.

9. Become a lifelong learner. In a way, your brain is like a muscle—the more you use it, the stronger it gets!

10. Practice effective stress/anxiety management techniques, such as meditation, ANT therapy and online brain games that are designed to boost emotional control and stress resilience.

11. Know your important health numbers Blood pressure, Cholesterol, C Reactive Protein, Homecyteine and:

 Take a good multiple vitamin/mineral supplement Dr. Wiancek's  Optimal Health Multiple contains all the antioxidants, B vitamins and vitamin D.  You can pick this up at the Riverwalk Natural Health Clinic Pharmacy or you can order by e-mail wiancek@healthref.com.
 Take an Lead & Mercury Free Omega-3 supplement
 Optimize your Vitamin D level
     Many people are deficient in methylated B vitamins which are in Dr. Wiancek's Optimal Multiple.

12. Learn about the health of your brain and continuously strive to improve it by making an appointment today with Dr Wiancek at the Riverwalk Natural Health Clinic. 

The Inequality in Treatment of Women with Heart Disease

One in four women will get heart disease in the US.  Heart disease is increasing in women ages 35 to 55 years old.  Before menopause one in seven women will have a heart attack.  After menopause one in three women will have a heart attack. Only twenty four percent of the heart disease studies are focused on women. According to prominent cardiologists Reynolds and Walsh, cardiology assessment in women shows an inequality in research, an inequality in diagnosis and an inequality in treatment.

Signs and symptoms of heart disease are very different for women.  This is why so many women get misdiagnosed when it comes to heart disease. In fact, many women do not have chest pain with a heart disease.  The most common symptoms of heart disease in women are fatigue, depression and insomnia.  These same symptoms can also be related to menopause, anemia, thyroid issues, other hormonal issues etc.  Therefore, when treating women and heart disease one should look at the broader picture.

Symptoms related to heart disease include fatigue, restlessness, insomnia, anxiety, mood issues, weakness, fainting, persistent barking cough, an abrupt change in how they feel, atypical pain, discomfort, pressure, heaviness, burning, tightness, fullness in the chest, discomfort in left or right arm, upper back, shoulder, neck, throat, jaw or stomach or bluish color or numbness of the lips.  Forty percent of the women have no chest pain at all.

One month before a heart attack symptoms one can have include unusual fatigue, sleep disturbance, shortness of breath, indigestion, anxiety, heart racing and arms feeling weak and heavy.  As women we need to take control of our health by not ignoring our symptoms. If your doctor states that it is all in your head, go to another doctor.  As a naturopathic doctor I look at the boarder picture related to one’s symptoms since these symptoms can be related to so many diseases.  Heart disease is preventable through diet, lifestyle changes and stress reduction.  Catching and treating your symptoms early can prevent a major heart attack.

Is cholesterol directly related to heart disease? No, according to systematic research review by Ravnskov, Diamond, and Hama, cholesterol is not directly related to heart disease.  Many people with high cholesterol have no other signs of heart disease.  Statins are commonly used to lower cholesterol.  In fact, lowering cholesterol with statins can increase a women’s risk for cancer, hormone deficiency and dementia.  The British Medical Journal stated that women taking statins for more than 10 years had a 83% increase risk of invasive ductal breast carcinoma and a 97% increase in invasive lobular breast carcinoma. Statins have also been linked to depression, muscle pain and dementia in women. We need cholesterol to make our hormones.  As cholesterol decreases our body is also unable to make hormones such as progesterone, estrogen and testosterone.  Statins also can be a reason many people are on hormone replacement because lowering cholesterol with statins depletes hormones. Statins are the number one selling drugs.  Lowering cholesterol does not reduce a women’s risk for heart disease, and for this reason statins show no benefit for women and heart disease.  If your cholesterol is high you need to go to a doctor who can assess your diet, lifestyle and stress levels.  It is about us taking responsibility for our own health.

Also, aspirin is no longer recommend as a preventive therapy to prevent heart attacks. I have not recommended aspirin for the past twenty years because of the risk of bleeding issues and tinnitus related to aspirin.  I do not recommend taking any aspirin or NSAIDS such as Aleve, Ipuphron, Tylenol.  Taking NSAIDS for two weeks can increase your risk for a stroke and a heart attack by fifty percent.  Just because a medication is over the counter does not mean that it is safe. All medications have side effects.

Bio-identical hormones do not prevent heart disease.  Heart disease rates are still increasing in women even though they are taking bio-identical hormones. Depression and fatigue are directly related to low serotonin levels which is related to heart disease in women. So do not ignore your symptoms.  If you do not feel well, you need to go to your doctor.

Again, the symptoms of heart disease in women are insomnia, fatigue and depression.  If you have any of these symptoms see a doctor for an evaluation to get to the cause of your health issue.  Lowering cholesterol increases one’s risk of breast cancer and increases one’s risk for dementia.  We need cholesterol to make our hormones.  As cholesterol decreases your body is also unable to make hormones has as estradiol, progesterone and testosterone.  Heart disease is preventable through diet, lifestyle changes and stress reduction. As women we need to take charge of our health.

Dr Deborah Wiancek is a naturopathic doctor at the Riverwalk Natural Health Clinic & Pharmacy for the past twenty-two years.  She has a family practice focusing on the cause of one’s health issue rather than just treating the symptoms. For any questions or an appointment at 970-926-7606 or wiancek@healthref.com.

Mediterranean Quinoa

Inspired by a recipe from a Bastyr student named David St. Martin, this whole grain salad has it all. Amino acid-rich quinoa combines with pine nuts and feta to provide protein. The raw herbs add the digestive elements to the dish. This makes a stupendous meal combined with Mediterranean, Middle Eastern Falafel or Caribbean Lime Halibut. Cooked millet, rice or other grain can be substituted for quinoa. 

1 cup quinoa

1 ¾ cups water

½ tsp sea salt

¼ cup toasted pine nuts

¼ cup olive oil

¼ cup lemon juice

3 tablespoons chopped fresh mint

3 tablespoons chopped fresh Italian parsley

2 scallions 

Ingredients

1 cup

quinoa

1 3⁄4 cup

water

1⁄2 tbsp

salt

1⁄4 cup

Toasted Pine Nuts

1⁄4 cup

olive oil

1⁄4 cup

lemon juice

3 tbsp

Fresh Mint

3 tbsp

Chopped Fresh Italian Parsley

2  

scallions

1⁄4 cup

currants

1⁄3 cup

crumbled feta cheese

Instructions

Wash, rinse and drain quinoa. Place in a 2-quart pot, add water and salt, bring to a boil, lower heat, and simmer with lid on until all water is absorbed (15 to 20 minutes). Don’t stir the grain while it’s cooking. Test for doneness by tilting the pan to one side, making sure all of the water has been absorbed. Remove lid and let rest for 5 to 10 minutes.

Dry-toast pine nuts in skillet or 300-degree F oven until they begin to chance color and give off aroma, about 10 minutes.

Combine olive oil, lemon juice, mint and parsley in a large bowl. Add scallions, currants, feta cheese, and toasted pine nuts and toss. Add cooked warm quinoa a little at a time. Toss well. Serve at room temperature. 

Beet Carpaccio with Dark Greens Salad

Beet Carpaccio with Dark Greens Salad Recipe by Fernanda Larson, MS, CN Bastyr

Ingredients

1 bunch

Red beets (with greens)

1 tsp

extra virgin olive oil

4 tbsp

extra virgin olive oil (for dressing)

2 tbsp

red wine vinegar

2 tsp

chopped fresh tarragon

1 tsp

honey

1 tsp

salt

1⁄4 tsp

black pepper

1⁄4 cup

chopped walnuts

Instructions

Separate beets from greens. Scrub beets well and slice thinly on a mandolin. Arrange on a platter, single layer. Wash the greens, spin dry and chop into bite size pieces.

In a shallow pan, heat the olive oil and sauté the greens until wilted. Arrange on top of the beet slices.

In a small bowl, whisk together olive oil, vinegar, honey, tarragon, salt, and freshly cracked black pepper.

In a small frying pan, dry toast the chopped walnuts until fragrant. Gently spoon the dressing over the beets and greens, sprinkle the toasted walnuts over and serve.

Mediterranean Red Lentil Soup with Herbs

A Mediterranean-inspired soup dish full of whole foods!

Ingredients

2 tbsp

extra virgin olive oil

1  

onion

2  

medium carrots

2  

ribs celery with leaves, chopped

3  

minced garlic cloves

2  

fresh bay leaves

1 cup

dried red lentils, rinsed

4 cup

water

1  

14 oz. bottle crushed tomatoes

1  

14 oz. bottle tomato sauce

3⁄4 tsp

sea salt

1⁄2 tsp

black pepper, freshly ground

1⁄2 cup

fresh flat leaf Italian parsley, chopped

1⁄2 cup

fresh basil, chopped

1  

bunch spinach, chopped 

Instructions

In a 4-quart soup pot, heat olive oil over medium-high heat.  Add onions, carrots and celery and sauté until onion is soft and translucent, about 5-7 minutes.  Add garlic and sauté for 1 minute.  Add bay leaves, red lentils, water, tomatoes, tomato sauce, salt and pepper and bring to a boil. Turn down to a simmer over medium heat and cook until lentils are tender, about 20-25 minutes. Add more water if needed. Remove bay leaves. Add spinach and simmer another few minutes until just wilted. Add parsley and basil, and stir through. Taste and adjust salt and pepper. Drizzle a bit of extra virgin olive oil on top when served, if desired.

Heart Healthy Hibiscus Soothes a Bitter Heart

Hibiscus tea has gained popularity as a delightfully refreshing beverage with a tart, berry-like flavor, but it might surprise you to find out that it doesn’t come from a berry or fruit at all.  Nor does it even come from the showy flower of the hibiscus plant.

The dark red tea actually comes from the calyx of the Hibiscus sabdariffa plant (the little cup of modified leaves that hold the flower). I understand if the thought of drinking calyx tea doesn’t ignite passion in your heart, but maybe it should because hibiscus tea may be just what your heart needs.

Hibiscus tea is very rich in a class of compounds known as anthocyanins (responsible for its dark red color) that are commonly found in dark blue and red fruits/berries.  On top of being very antioxidant, the anthocyanins in hibiscus have also demonstrated ACE inhibiting activity – just like many drugs people take for hypertension.  In fact, in a 2010 study, patients who took an extract which contained 250 mg of hibiscus anthocyanins per day saw a greater decrease in blood pressure than patients who took 10 mg of lisinopril (an ACE inhibitor) and with fewer side-effects.(1)

This study also showed that the hibiscus extract had a mild diuretic effect, but that it maintained potassium levels which is very important for individuals being treated with hypertension. Patients being treated for hypertension often take a diuretic and ACE inhibitor combined, but here we have a plant medicine that offers both in a safe package.

Hibiscus is also rich in various polyphenols, in addition to the anthocyanins, and all of these compounds combined may play a role in protecting our blood vessels from damage caused by excessive blood sugar or blood lipids – often features in diabetes and metabolic syndrome that can lead to cardiovascular disease.(2)  Regular consumption of hibiscus tea could help to prevent complications associated with these conditions such as poor peripheral circulation, retinopathy, atherosclerosis, and hypertension.

Taking an extract standardized to anythocyanins can be an easy way to take hibiscus, but why pass up a chance to enjoy the delicious tea?  Another study showed that drinking an 8 oz cup of hibiscus tea (one tea bag steeped for six minutes) three times a day, was also effective at lowering blood pressure in patients with pre- or mild hypertension.(3)

Of course, you should always discuss using herbs and dietary supplements with your doctor to make sure they are right for you.

-Article written by Kaleb Lund, PhD, Core Faculty Member in the School of Naturopathic Medicine and Department of Botanical Medicine and Assistant Research Scientist for the Bastyr University Research Institute.

(1) Herrera-Arellano, A., Miranda-Sanchez, J., et al. (2007) “Clinical effects produced by a standardized herbal medicinal product of Hibiscus sabdariffa on patients with hypertension. A randomized, double-blind, Linisopril-controlled clinical trial.” Planta Medica. 73:6-12

(2) McKay, D.L., Chen, C-Y., et al. (2010) “Hibiscus sabdariffa L. tea (tisane) lowers blood pressure in prehypertensive and mildly hypertensive adults.” The Journal of Nutrition. 140(2):298-303

(3) Joven, J., March, I., et al. (2014) “Hibiscus sabdariffa extract lowers blood pressure and improves endothelial dysfunction.” Molecular Nutrition & Food Research. 58(6):1374-1378

HAPPY TICK-FREE SUMMER

Memorial Day Weekend has come and gone, and that means one thing – it’s officially summer! And while the warmer weather comes with exciting outdoor adventures and great vitamin-D access, it also awakens many creatures – including the biting ones.

In the catalog of annoying bugs, ticks hold a special place, as they transmit a wide range of diseases – including bacterial, viral and parasitic ones. Ticks are parasitic mites of the family Ixodidae and, while there are over 800 known species, only 15 transmit diseases. Of all tick-transmitted diseases, Lyme (Lyme borreliosis) is the most dreaded. Currently the most frequently occurring vector-borne disease in the US, it is transmitted by the blacklegged deer tick (Ixodes scapularis and I. pacificus).

In the US, around 300,000 people come down with Lyme disease each year – a far cry from the 30,000–mark reported by the Centers for Disease Control and Prevention (CDC) before 2015. 96 percent of these cases are reported from 14 states dispersed around the Upper Midwest, Mid-Atlantic and the Northeast, although infection reports have been country-wide.

Early in their life cycle, blacklegged deer ticks don’t carry any pathogens. However, they contract the Lyme bacterium (Borrelia burgdorferi) when feeding on the blood of an infected host. These infected ticks, which serve as a reproduction site for the bacteria, then transmit B. burgdorferi via saliva to humans during a blood meal. Blacklegged deer ticks can transmit Lyme disease either as nymphs or adults, although the nymphal transmissions are more prominent.

It was previously believed that for a successful transmission to occur, ticks needed to be attached to the skin for 36-48 hours, but according to a recent study published in the International Journal of General Medicine, Lyme disease can be transmitted in as little as 16 hours, with the average transmission time of 24 hours.

Lyme disease is multi-systemic in nature, capable of affecting the skeletal, cardiovascular and central nervous systems. Known as the great mimicker, it can present with rheumatoid arthritis, fibromyalgia, depression, attention deficit hyperactivity disorder, multiple sclerosis, chronic fatigue syndrome, cardiac manifestations, encephalitis, and mental illness, to name some of the many associations. Common ocular symptoms and signs include conjunctivitis, keratitis, uveitis, and retinitis. The most diagnostic symptom, however, is erythema migrans a.k.a., the bulls-eye rash.

Lyme disease has no “cure”, per se, although some medications, botanicals and/or nutrients may prove ameliorative. Early detection and treatment is also critical to prevent multi-system complications that can arise later in life. This is why prevention is key when it comes to ticks and Lyme disease.

Repel ticks with essential oils

The CDC recommends Permethrin, DEET and picaridin as inorganic solutions to the tick problem, suggesting the treatment of clothes, socks and boots prior to enjoying outdoor activities. However, research has shown that certain essential oils (alone or as a mixture) can be just as efficacious in tick prevention and control.

Essential oils including rosemary, lemongrass, cedar wood, peppermint, geraniol, citronella and clove have all been found to possess strong acaricidal properties that make them an effective organic option in tick control.

In a 2013 study published in the Journal of Medical Entomology, Eco-Exempt IC2 (an organic insecticide with rosemary oil (10%) and peppermint oil (2%) as its active ingredients) was used to control various stages of I. scapularis in southern Maine. The black-legged deer ticks were endemic in the test area prior to the acaricide application, during both nymphal and adult season peaks. In both cases, the population of I. scapularis in the treated area was reduced to zero and the effect lasted for 6 months post-application. In another study examining the efficacy of rosemary essential oil, a larval mortality of >85% was reported at 10-20% concentrations.

Cedar wood oil has also been widely reported as a potent acaricide. In a study published in the Journal of Economic Entomology, Incense cedar heartwood (Calocedrus decurrens) oil was found to be highly toxic to nymphal I. scapularis and controlled its population significantly in the target area. Another study published in Environmental Entomology reported that  red cedar oil resulted in 100% mortality rate in nymphal I. scapularis at a dosage of 6.3 mg/ml.

Clove bud and Citronella oils are also quite effective. One 2017 study reported an 83% repelling strength for clove bud when used against Dermacentor reticulatus ticks at 3% concentration. Citronella was reported to have an even higher repellency of 91% at a concentration of 1.5 percent. Application of the oils may be topical or sprayed in the environment.

Other helpful tips:

• Avoid natural tick habitats e.g., leaf litter and thick vegetation.
• Stick to the middle of trails when you go hiking.
• Take a quick shower and perform a full body check after spending time in the wood.
• When discovered, remove ticks quickly with forceps.
• Treat dogs and other pets with tick-repelling products.
• Kill ticks by drying clothes in a high-heat dryer for 10-15 minutes after potential exposure.

Happy Summer!