Night Sweats

Night sweats or night time “hot flashes” can be a very frustrating problem for women in menopause or peri-menopause.

Typically a hot flash is an experience of intense heat with sweating and increased heartbeat. The hot flash can last for a few minutes or up to 30 minutes.

Usually the sensation of heat begins on the face or chest, or back of the neck and then spreads throughout the entire body. The skin will feel hot to the touch.

Recently I received this reader question:

Q: “I’m a 44 year old female, and several nights a month I get “night sweats.” About 10 years ago, my doctor suggested using Evening Primrose Oil, which helped for a while, but doesn’t any longer. Any suggestions? What else can I try for night sweats?” Read more

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My Basic Vitamin Program

“What Vitamins Should I Take?”

Is the most common question I get as a Naturopathic Physician.

I typically believe the average person that doesn’t eat “perfectly” ie:

  • Eats the “Basic American Diet” (BAD) of white refined, processed foods
  • Doesn’t consume 5-9 servings of fruits and veggies daily
  • Eats Fast Food several times a week Read more
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How’s Your Digestion?

vegan.jpgBy Dr. Jody Stanislaw Food is one of the greatest pleasures in life. But how often do you actually think about the fact that the nutrients contained in the food you eat are what become your skin, your lungs, even your heart, and every other part of your body?! (You’ll think again the next time you reach for some chemical ridden processed food, won’t you?) And how can you make sure you’re absorbing the valuable nutrients contained in your food? By having great digestion! This means you have an easy and complete bowel movement first thing in the morning (and ideally after lunch and dinner as well…but if you at least have one every morning, you’re doing well), your belly feels comfortable after you eat without any bloating or pressure, and gas is a rare occurrence. So how do you rate? Digestive complaints (also referred to as GI complaints, which stands for gastrointestinal) are among the most common reasons Americans go to the doctor. Read more

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Superfoods! Superfoods? And Superfood Supplements?

By Dr. Jody Stanislaw, Naturopathic Physician

shutterstock_11241226Superfoods! I’m sure you’ve heard the buzz. But what exactly is the buzz all about anyway? What are superfoods? Do you really need to eat superfoods? What are the benefits? How do you choose which superfoods are best for you? Well, wonder no longer. Lets get right to the answers…

No surprise to anyone is the fact that humans today are busier and have more on their plate, so to speak, than ever before. We eat on the run, often literally standing up. We grab ready made meals as we rush to our next appointment. We finish meals in minutes, gulping down food that not only have we not been fully present for as we chew but have barely even chewed fully before swallowing. Read more

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Dr. Jody Stanislaw, Naturopathic Physician

Meet Dr. Jody Stanislaw a new author at the Kitchen Table!jody You may follow her column by clicking here.

Dr. Jody Stanislaw is a Naturopathic Physician, receiving her doctorate degree from Bastyr University. Located in Seattle, Bastyr is the most acclaimed of the four accredited natural health medical schools in America, where physicians are trained to heal disease via natural and complementary treatments.

As the diabetes columnist for KitchenTableMedicine.com, her expertise in diabetes not only comes from her professional training but from her own personal experience as well. Having been diagnosed with Type 1 Diabetes at the age of seven, her passion towards improving the health and well-being of others stems from successfully overcoming her own challenges of living with this chronic disease.

Focusing on the best food choices for optimal health throughout her lifetime has given her expertise in good nutrition and in knowing the ideal foods for achieving balanced blood sugar levels. Yet spending so much time thinking about food led her to have unhealthy eating patterns during her childhood. As a result, she also has a passion for helping others heal from disordered eating patterns, which is common amongst both type 1 and type 2 diabetics.

One of her core beliefs in life is everything that happens in life is a teacher, always full of rich opportunities for personal growth. This empowering perspective is a key element present in all of her work and teachings.

She also enjoys helping others strengthen what she calls the Four Pillars of Health: nutritious food, adequate rest, regular movement, and a healthy spiritual and emotional life. Just as important as the sturdiness of each leg of a four legged table is for creating balance, if even one of these areas of life is weak or lacking, optimal health cannot exist. Each of these key areas is equally important for allowing a strong foundation for good health in one’s life.

And lastly, a bit about her background…Having grown up in the Northwest, she is an avid outdoor enthusiast. Hiking in the Cascades, snow skiing in the Rockies, water skiing, biking, and practicing yoga are the activities she enjoys the most for keeping her body fit. She also delights in continually expanding her mind regarding the myriad of ways humans can and do chose to live their lives, via visiting foreign cultures. She traveled throughout Europe while living in Italy in 1993, backpacked through Australia in 1997, and left her hometown of Seattle to work with patients from all over the world at a health resort in Thailand during 2008.

This latter experience led her to realize that when people are out of touch with what they love about life and are lacking experiencing joy on a regular basis, no herbs or supplements or food plan will succeed in achieving the optimal health they are truly looking for. This revelation inspired her to write a book to address this issue. It is a story that will act as a catalyst for helping readers become clear on what is holding them back from truly loving their life.

After writing for six months in Bali, Indonesia in 2009, she is now back in Seattle, finishing her book. Stay tuned to KitchenTableMedicine.com for the announcement of the publication of this wonderfully adventurous and inspiring story!


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We would Love your Feedback! Thank You!

calendula2Hello! KitchenTableMedicine.com is expanding and we would love your input!

I am Dr. Jody, the new Director of Advertising for Kitchen Table.

In order for Dr. Nicole and other exciting new, contributing authors like myself to continue to provide you with all of the latest and greatest in natural health news and lifestyle tips, we need to expand our list of sponsors.

But before doing so, we would love your input about what type of products you would like for us to review and who your favorite companies are!

Thus, we would be full of gratitude for you to take just a minute to answer our quick and easy, 10 question reader feedback survey.

Click Here to take survey

Thank you!


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Cheapest Health Foods

shutterstock_5570047By Dr. Nicole Sundene

Eating healthy on the cheap can be tough, but if you stock your kitchen with the healthy cheap essentials it should save a great deal in the long run.

I buy certain staples like organic cheese and organic butter when they are on sale and keep them in the freezer.

Consider buying your organic meats, eggs, and fish in bulk and store in a larger freezer out in the garage.

Remember we have to pay for our health one way or another. Prevention is key. The food that graces your kitchen table is the best disease prevention money can buy. President Obama thinks that we will never fix the National Deficit until we fix the Health Care Crisis, I think we will never fix the Health Care Crisis until we fix the crisis at our kitchen tables.

Here are my favorite cheap health foods:

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Favorite Massager: Medirub Massager

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By Dr. Nicole Sundene

If you are looking for a great massager - look no further!  The Medi-rub Massager® has been my favorite massage therapy device for over ten years.

My Dad is an Ironman Triathalete and purchased one ten years ago; it’s still going strong. I found myself always dropping by or driving  out specifically to use it, and one day it dawned on me to just purchase my own.

If you are in chronic pain, have fibromyalgia, diabetes, or are a “Weekend Warrior” like me, thinking you can ride some gnarly single track on your mountain bike, you will definitely fall in love with the Medirub Massager too.

The massager is SO powerful you can feel your skin itching within minutes….a great sign that you have increased circulation as red blood cells are forced towards the surface of the skin.

I do a lot of hands on body work with my patients and I find that by recommending the very powerful Medi-rub® massager between appointments addressing chronic back pain, fibromyalgia, and so forth, it drastically reduces the need for office visits. If you have a Medical Assistant you can always have them rub your patients down while they are waiting to see you.

Now of course I want to recommend my way out of a job with this massager and head straight to the Bahamas!

Another benefit that I was excited to find when I talked with Becky at Medirub was that a top Beverly Hills massage therapist uses this massager for treating cellulite! Do you hear that ladies? If you can’t do the Diet and Exercise like fitness trainer Bonnie Pfiester recommends, you can at least rub your full body down with this thing. Increasing circulation to areas with cellulite is one of the best ways to reduce cellulite.

That is really why most massage creams for cellulite work so well. It is likely the daily massaging of the area, and not the actual crème which, we will discuss in a future article. I will be writing a longer article on the cellulite protocol she uses along with the massager for her high end clients so that you can repeat it in your own home!

Uses for the Medi-rub® Massager:

  • Diabetic Peripheral Neuropathy
  • Upper Neck Pain
  • Back Pain
  • Low Back Pain
  • Fibromyalgia

So stop by Medi-Rub® to check out my new (well - not so new, but VERY loved for the past ten years…) favorite thing this week!

Thanks for stopping by my kitchen table!

~Dr. Nicole

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Super Foods!

By Dr. Nicole Sundene

Introducing favorite superfoods and their recipes is an occasional feature here at the Kitchen Table. By gradually “making friends” with the most healthy foods from nature and learning how to incorporate them in to your diet you should notice a remarkable improvement in your health.

Most superfoods are simply high in anti-oxidants and thus slow down the natural destructive process of the tissues in our bodies. Eating a diet rich in antioxidants will help to prevent aging as well as a myriad of other chronic complaints and inflammation.

Other superfoods are super because they are rich in certain vitamins, minerals or other nutrients that benefit the body in a significant way.

Read more

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Are Plastics Causing Brain Damage?

By Dr. Nicole Sundene

Recently, researchers at Yale University found an alarming result to their preliminary study on how plastics affect the functioning of our Central Nervous System.

Wow! Imagine the possibilities? Wouldn’t it be nice to blame all your forgetfulness on that Tupperware lunch you just microwaved? Maybe you had brain fog this morning because you drank your organic coffee from a plastic traveler’s mug?

Maybe it is plastics, not aluminum, causing Alzheimer’s; maybe it’s all the plastics in our environment breaking down and causing the rates of ADHD, depression, autism, and other diseases of relatively unknown etiology to suddenly rise.

Doesn’t that sound crazy? But—it very well could be reality. All new chemicals are guilty until proven innocent. Why? Because that is the SAFEST option for consumers. However, the FDA does not promote safety, they promote big business in America. Anyone can see that in their inability to properly examine new substances for consumers to ingest.

Did you know that all new food additives can be FDA approved simply by laboratory testing on animals alone? Doesn’t that make you want to think twice before drinking that sucralose sports drink? If you don’t believe me then just think about why tobacco, a known killer has not been banned by the FDA?

You are drinking a man made substance that has NEVER been tested on human beings and approved for safety.

Plastics are no different. Researchers are JUST NOW growing concerned about the degradation of plastics in our environment and starting to really do some preliminary research on the health consequences of plastics.

What would we all do without plastics? We have grown so dependent on plastics.

You might be reading this right now and freaking out! OH MY GOSH! Everything in my house is plastic. My house is made of modified plastics…I drive in plastics…I eat out of plastics…I drink out of plastics! My child is teething on a big piece of plastic.

As a doctor and researcher with a passion for biochemistry, I really think that plastics - just like lead pipes, BPA, Azo yellow dye, asbestos, and all the medications the FDA is constantly approving and then yanking off the shelves - boils down to the same final dilemma that no one in the world is ever willing to accept:

You just can’t cheat the system.

I support people looking for a better way, an easier way. I am always after the same. However, the better way does not involve “cheating the system,” it involves supporting it. When we look for cheap quick fixes for today’s problems without thinking forward to the future generations, we will ALWAYS have a problem with our environment.

Think forward to fifty years from now—think about how much more plastic will be in our environment if we don’t stop now.

So, on one hand we have a very preliminary study done on plastics…and some evidence that plastics may be the problem in certain reproductive cancers…is there enough evidence yet…?

The problem is that the FDA approves something and then that thing is this “golden child” that then must be proven guilty (via expensive research).

Is “innocent until proven guilty” the best solution for potentially toxic products? There are plastics manufacturers everywhere burying the very research we need because they don’t want consumers to stop buying their products.

As a doctor with ten years of post secondary education, I vote for “why bother waiting around to find out”. The damage done by plastics is already more than enough evidence. We know they are bad. We know they break down in to “xenoestrogens,” or molecules that structurally mimic estrogen and are thus able to stimulate estrogen receptors.

We know that we should not even be drinking out of plastic water bottles. We know that smaller organisms in our environment are slowly transforming to a predominantly female gender as a result of the presence of these xenoestrogens in our environment.

This study by Yale University showing that plastics interfere with brain functions is simply the tip of the plastics iceberg. Unfortunately this may just be too big of an iceberg for us to navigate around.

What can you do as a consumer? Stop buying plastics, of course. There are typically superior products available made of stainless steel, glass, wood, and cast iron options that have circulated through generations and proven safe by the best test of all. The test of time is better than any double blind randomized control trial.

Every new thing in science gets a critical eye from me, and the plastics story is no exception. There is enough significant evidence at this point in time to warrant pulling most plastics from the shelves, and yet the FDA is not doing so because the bottom line is always the same thing—money.

Yes, at times these things may cost a little bit more, but just think of it as YOU having the voice to VOTE for what you want our environment to be composed of by choosing NOT to purchase items made of plastic.

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Harvard Docs Score an “F” For Taking Big Bucks From Big Pharma

By Dr. Nicole Sundene

I always love reading Dr. Mercola’s opinions on various new stories because he is fearless, and is quick to point out the pink elephant in the room. He must get a lot of hate mail…poor guy.  But for those of us sitting back going, “AMEN!!!” I would just like to take a moment to say thanks.  Especially when I read up on a topic that has had me concerned for nearly a decade….how drugs are marketed.

Here is Dr. Mercola’s take on this topic: “Harvard Med Students Rebel Against Big Pharma”And here is the original article if you would like more info.

So I don’t really find it big news at all that Harvard Med School recently scored an “F” (yes - the worse score possible) for taking too many kick backs from big pharma….

Not to mention one of the largest drug manufacturers put up shop just right across the street…
Hmmm….coinkydink?

I think NOT!!!

As much as I would love for some drug rep to whisk me away from my life of overworking hell and take me to the Bahamas where I just have to listen to some seminar to make an extra $20,000 grand this year in “grants” or whatever….it just is not going to happen.

The Chief of Staff at the hospital I worked wouldn’t even use a single pen made by a drug rep, and heaven forbid some newbie actually made it past me and into his office!

At the time, I would sit at my desk and organize my free pads of paper, water my free Viagra cactus, eat my free glucophage doughnuts, and drink my free coffee from the Angiotensin II Receptor Blocking Rep (blood pressure med) without being educated enough to understand how deep the bitter ugly irony of my drug rep riddled world was…especially when the phone would ring and I would talk to little old ladies about how they couldn’t afford food because medicare didn’t cover this drug that they desperately needed.

Back before I actually became a doctor, I would observe the doctors I worked for so that I could be as “doctor like” as possible. I watched every move they made. Memorized anything they said.  I watched how most drug reps would manage to schmooze their way in.

I watched how certain doctors refused to read their literature. I watched one doctor hold up a sign she had made with a black sharpie pen that said, “NO THICK GLOSSY LANDFILL” as she signed for that week’s free samples….she was a pharmacologist and an MD, and she knew better than to take advice on how to be a doctor from some “barbie doll with a briefcase.”  Her words, not mine.

Now that 100 people have just unsubscribed from my blog, be sure to drop me some fan mail if you like my occasional angry rants because it sure does help me fight this cause.

Nonetheless….good will prevail over evil….and this article on what should be the BEST of American medical schools demonstrates the fraudulent duplicity in our health care system that results in us being the most unhealthy country second to Finland, while we manage to spend the MOST on health care.

Can I give the entire American health care system an “F” while we are at it? I guess I can’t really fault the students when the teachers….the doctors (from the Latin “docere” meaning “to teach”) are replete with corruption.

You know where the best med school is though?

Bastyr University….my alma mater. The best school for naturopathic physicians in the world. Go there….trust me, there isn’t a drug rep to be found.

If Obama wants to make a difference in health care while in the oval office, he needs to cap how drug companies are allowed to market their product. And for all you capitalists out there…

I know this is America, but we have to draw the ethical line somewhere, and it looks like we need to start on the street dividing Harvard from Big Pharma.

Related Reading:

Drug Company Had Hit List for Doctors Who Criticized Them

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10 Healthiest Hospitality Drinks

June 19, 2009 by Kitchen Table Medicine  
Filed under Diet Tips, Kitchen Sink, Recipes

By Dr. Nicole Sundene

My Uncle Ron is a great guy, and at our last get-together he said, “You always are sharing all this wisdom from your Dad and even your brother-in-law on your blog…..don’t you have something wonderful to say about your Uncle Ron?”

Of course I have a ton of wonderful things to say about my Uncle Ron! First and foremost, anytime you go over to visit Uncle Ron he is quick to make you feel welcome by offering you a drink. He always has a great variety on hand.

In honor of Father’s Day I would like to recognize all the great father figures in my life, along with my own fabulous dad. Thank you all for being such amazing role models, and for always just being there. My Uncle Ron wins the hospitality award!

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Dr. Nicole Interviews Dr. Joseph Mercola

June 19, 2009 by Kitchen Table Medicine  
Filed under Guest Posts, Kitchen Sink

By Dr. Nicole Sundene

I have had a frustrating time with Kitchen Table Medicine lately, and have decided to interview Dr. Joseph Mercola, someone who is a terrific mentor to me and the author of the #1 Natural Medicine News source on the internet.

I am always inspired by his writings, and impressed when he lashes out against mainstream medicine with opinions similar to mine. Opinions that always tend to generate a great deal of hate mail.

If you enjoy what you read here at the Kitchen Table, feel free to stop by and subscribe to Mercola.com as we both are fighting the same cause: disease prevention through a whole food diet and lifestyle. It is one of my greatest honors to bring to the Kitchen Table Osteopathic Physician, Dr. Joseph Mercola:

What is an Osteopathic Physician?

A D.O., or an osteopathic physician, is in many ways similar to an M.D.  A D.O. completes four years of medical school after college, and completes three to eight year residency programs in the specialty they choose. D.O.’s are fully trained and qualified physicians who are licensed to prescribe medication and perform surgery in every state in the U.S.

Philosophically, D.O.’s differ from M.D.’s in that they have more of an emphasis on holistic approaches, and recognize the importance of musculoskeletal alignment and balance to health. In addition to identical two years of basic medical science, they also learn skeletal adjustments, similar to chiropractors.

On a practical level, the drug companies have effectively penetrated the profession, just as they have the M.D.’s, so in reality there are not many differences between the two.

The only practical difference I have observed is that there is typically a difference in the selection process of students that are accepted into the school, as they tend to focus on qualities other than academic credentials that would result in caring and compassionate physicians.

So while the treatment recommendation from D.O.’s and M.D.’s will be very similar, it has been my experience that a higher percentage of people will enjoy their interaction with an osteopathic physician.

How do Osteopaths address and treat symptoms?

Since I really don’t perceive a practical difference on the therapies that are recommended by an M.D. or D.O., I typically advise patients seeking a natural medicine physician to go several health food stores in their area, and ask for the best medical doctor they know, as the people that work in the stores typically have a fairly good sense of who the best local physicians are.

There are too many variables to give a broad recommendation. In my experience most of the important ones are related to personality characteristics rather than actually knowledge.

In your opinion How do Osteopaths differ from Naturopaths?

Firstly, there are two types of naturopaths:

  1. Those that receive training in an accredited four year medical college and, like D.O.’s, have full license to practice medicine in a few states (unfortunately there are not many states that provide them these practicing privileges.)
  2. Those who attend a correspondence school.

Unfortunately they are both given the same degree, even though there is typically a vast difference in the level of expertise between the two.

ND’s from either training can be outstanding, but if you were looking at it from a probability perspective there is a far higher percentage that an ND trained at a four year college would be superior.

However, even with the four year trained NDs, they are very weak on post graduate training and most of them tend to begin practice immediately after their four years of training. There are very few that complete residency training programs.

Most D.O.’s have an additional 3 to 8 years of post graduate residency training. This does not necessarily make them better physicians, but D.O.’s do have more formal clinical training.

What are your favorite tips for disease prevention?

1. Optimize your vitamin D levels, ideally from appropriate sun exposure.

2. Address your emotional traumas.

3. Eat the right fats.

4. Eat plenty of raw food.

5. Control your insulin and leptin levels.

For more information about Dr. Mercola or to set up an appointment, visit www.Mercola.com

Thanks for stopping by my kitchen table, and many thanks to Dr. Mercola for taking the time to continue to inspire me.

Dr. Nicole Sundene

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Dr. Nicole’s Pediatric Advice to New Parents

June 12, 2009 by Dr. Nicole Sundene  
Filed under Kitchen Sink, Pediatrics

by Dr. Nicole Sundene

The other day I joked on Twitter, “Oh my gosh I got so busy Twittering I forgot a baby on the scale! BRB (be right back)” and my doctor and nurse friends all thought that was pretty funny, because some days in a family practice or pediatrics setting we get so busy we literally feel like this.

Don’t worry… I am on a break from seeing patients while I prepare to move  down to Arizona.

A decade ago, I spent my first week medical assisting in pediatrics for the hospital, I weighed and measured so many babies that I would have nightmares that one would roll off the counter and fall on the floor. I would wake up in a panicked cold sweat from the new responsibility of parents entrusting the care of their precious child in my hands.

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Stress Management

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By Dr. KC Kelly – Ph.D. and Licensed Psychotherapist

headshot_for_nicoles_site1.jpgRichard Lazarus and Susan Folkman suggested in 1984 that stress can be thought of as resulting from an imbalance between demands and resources, or as occurring when pressure exceeds ones perceived ability to cope.

Stress management was developed and premised on the idea that stress is not a direct response to a stressor, but rather one’s resources and ability to cope and makes changes in his or her life, thus allowing stress to be controllable.

Stress can be good (called eustress) when it helps us perform better, or it can be bad (distress) when it causes upset or makes us sick.

The stress reaction results from an outpouring of adrenaline, a stimulant hormone, into the blood stream when a person is feeling distress. This, with other stress hormones, produces a number of changes in the body which are intended to be protective.

Professionals in the field of psychology have called this outpouring of hormones, the fight-or-flight response because when faced with a stressful situation, a person will either fight or run away from danger.

When encountering stress, a person may experience: an increase in heart rate, an increase in blood pressure (to get more blood to the muscles, brain and heart), faster breathing (to take in more oxygen), tensing of muscles (preparation for action), increased mental alertness and sensitivity of sense organs (to assess the situation and act quickly), increased blood flow to the brain, heart and muscles (the organs that are most important in dealing with danger) and less blood to the skin, digestive tract, kidneys and liver (where it is least needed in times of crisis), an increase in blood sugar, fats and cholesterol (for extra energy), and a rise in platelets and blood clotting factors (to prevent hemorrhage in case of injury).

What are the Common Symptoms of Stress?

Physical: fatigue, headache, insomnia, muscle aches/stiffness (especially neck, shoulders and low back), heart palpitations, chest pains, abdominal cramps, nausea, trembling, cold extremities, flushing or sweating and frequent colds, decrease in concentration and memory, indecisiveness, mind racing or going blank, confusion, loss of sense of humor, anxiety, nervousness, depression, anger, frustration, worry, fear, irritability, impatience, short temper, pacing, fidgeting, nervous habits (nail-biting, foot-tapping), increased eating, smoking, drinking, crying, yelling, swearing, blaming and even throwing things or hitting.

What Are the Causes of Stress?

Dr. Selye called the causes of stress stressors or triggers. There are two kinds of stressors: external and internal.

External stressors include:
Physical environment: noise, bright lights, heat, confined spaces.

Social interaction: rudeness, bossiness or aggressiveness on the part of someone

Organizational: rules, regulations, “red tape,” deadlines.

Major life events: death of a relative, lost job, promotion, new baby.

Daily hassles: commuting, misplacing keys, mechanical breakdowns.

Internal stressors include:

Lifestyle choices: caffeine, not enough sleep, overloaded schedule.

Negative self-talk: pessimistic thinking, self-criticism, over-analyzing.

Mind traps: unrealistic expectations, taking things personally, all-or-nothing thinking, exaggerating, rigid thinking.

Stressful personality traits: Type A, perfectionist, workaholic, pleaser.

It is important to note that most of the stress that many of us have is actually self-generated. This is a paradox because so many people think of external stressors when they are upset (it is the weather, the boss, the children, the spouse, the stock market). Recognizing that we create most of our own upsets, however, is an important first step to dealing with them.

Read an article on Basic Breathing Exercises to reduce stress

Read all our articles on stress

**Much of this information was prepared by Dr. David B. Posen Lifestyle Counselor and Psychotherapist, and Author of “Always Change a Losing Game”

Oakville, Ontario. Permission has been given for this information to be copied and distributed to patients.

Other information was obtained from:

Lazarus, R.S., and Folkman, S. (1984). Stress, Appraisal and Coping.

For personalized advice for coping with stress you can visit Dr. KC at www.docinthebiz.com

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Weight Loss

There is no cheating the system. In order to lose weight, one must follow the basic laws of physiology that you must consume fewer calories than you burn each day.

Or alternatively, you must burn more calories from exercise than you consume. Addressing the underlying causes behind poor eating and lifestyle habits is the ONLY way to ensure a healthy and long-term approach to weight loss.

The best approach to weight loss emphasizes lifestyle changes that incorporate whole foods and activity. It is our belief that sustainable changes in dietary and activity patterns can lead to maintainable, long-term weight loss success.

Physical activity guidelines are recommended to complement the nutrition counseling and make this process easier and more productive.

While each person has different needs and will require a custom tailored dietary program, there are some basic concepts that are helpful for most people. A health promoting, weight control diet will be:

• HIGH in fiber-dense carbohydrates found in whole grains, beans, fresh fruits, and vegetables. Also, it is important to drink plenty of water (approximately 2 quarts per day).

MODERATE in fish and chemical-free lean meats (chicken, and turkey).

LOW in red meat, animal fats, hydrogenated oils, full-fat dairy products, pre-packaged, processed, and refined foods, sugar, alcohol, and caffeine.

General Tips
• Set a realistic weight loss goal, usually 1 to 2 pounds per week is recommended.
• Balance food intake with activity. The most successful weight loss programs combine increased activity with decreased caloric intake.

Tips to Increase the Amount of Physical Activity in a Day:
• Try some group activity classes at the local gym, fitness center, or swimming pool.
• Work out with family, friends, or neighbors. Motivation is increased with partners.
• Take a walk at lunchtime.
• Use a bike to run local errands and go for pleasure rides.
• Use the stairs instead of the elevator.
• Walk to the bus stop or work
• Park the car a few blocks away and walk.
• Dance to some favorite music at home or sign-up for a series of classes.

Tips to Reduce the Quantity of Food Eaten:
• Plan and prepare meals ahead of time.
• Identify foods that are often over consumed and set limits, or avoid.
• Identify and limit problem foods.
• Eat small, frequent meals and healthful snacks.
• Eat slowly and savor each mouthful. Allow 20-30 minutes for each meal, rest, set the fork down, and/or converse between bites. Chew the food well.
• Wait 10-15 minutes before taking a second helping.
• Serve food on a smaller plate.
• Drink two glasses of water or a cup of hot tea 30 minutes before meals to reduce appetite.
• Postpone a desired snack for at least 10 minutes. It may be helpful to take a walk, get some fresh air, drink a cup of water or tea, or take a short nap during this time.
• At restaurants eat half of the portion and take the rest home. Prepackage the food to go before starting the meal.
• Nurture with nonfood related activities, such as a hot bubble bath or a massage, developing a hobby, relaxing with a good book, or listening to some music.

Tips to Eliminate Eating Cues that Promote Overeating:
• Designate a specific place in the home to eat, preferably the kitchen or dining room. Eat snacks and meals only when sitting down at this place.
• Avoid watching TV, talking on the phone, reading, or driving while eating. This will help increase the awareness of fullness.
• Do the grocery shopping on a full stomach to decrease impulse buys.
• Create a schedule for eating. Plan meals and snacks at regular intervals, including the types of food to be eaten.
• Carry food to work or when going out, to eliminate long periods without eating.
• To prevent visual food distractions, keep all food stored in the kitchen cupboards or refrigerator, rather than out on the counter.
• Read or listen to motivational books, join a support group, or consider seeing a therapist to help with any emotional issues involving food, eating, and/or weight loss.

Diet, activity, and emotional work can provide feelings of health and wellness, which establish new patterns that support and nurture the body.

Think well! Eat well! Be well!

Related reading:

Why You Should Invest in Fitness

Are You on the Sumo Wrestler Diet?

Rock it – Pilgrim Style

How to Eat Healthy While Traveling

6 Steps to Calorie Counting in Your Kitchen

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Does this Snuggie Make me Look Fat?

June 12, 2009 by Dr. Nicole Sundene  
Filed under Exercise, Kitchen Sink, Weight Loss

by Dr. Nicole Sundene

With 1/3 of Americans obese, every month is now “Weight Loss Month” at the kitchen table!

It may be acceptable for me to hide in a Snuggie like I did on Mother’s Day, but I am moving down south to Arizona and need to tone up FAST! Here are some of my favorite weight loss tips and tricks:

  • Best Alternative Medicine Plan for Weight Loss
  • Know your fat burning zone so your exercise counts.
  • Ride the Wave or find a new fun toy to help you burn a few extra calories and stretch out those hips from sitting around the office all day.
  • Sleep: Studies show if you don’t get enough sleep that is a cause for weight gain, and during these “Tough Economic Times” we need to use all the freebies we can snatch up!
  • Calcium: Are you getting enough calcium? Research supports calcium supplementation for weight loss. Woo hoo!! This is a simple and cheap thing we should be taking anyway. I am not a fan of calcium carbonate as commonly used in many antacids, because we actually need acid to absorb our minerals, therefore I prefer calcium citrate. Non-menopausal adult women should get about 1200mg in daily divided doses to prevent osteoporosis and help control weight.
  • Fiber: Best source for fiber is fruits and veggies. I also use these chewable fiber tablets by Enzymatic Therapy, add ground flaxseeds to smoothies, and typically don’t recommend psyllium fiber as it can make some people really gassy….especially if I have to be around them!
  • Chomium Picolinate: To help balance cravings try 200mcg of chromium twice daily.
  • Multivitamin: If you are restricting your diet be sure to make sure all your bases are covered by taking a high quality multivitamin.
  • Make a Zero Zone: Your fridge feng shui is Uber important. Zero calories and guilt free snacks like fruits and veggies should be readily available and accessable. Hide the non-whole food treats for the “out of site out of mind” benefit.
  • Make it a Gym Date: Whether catching up with a girlfriend over the stairmaster, or strutting your stuff on an actual date at the gym, suggest healthy alternatives to the typical dates that consist of sitting around and overeating, overdrinking, and over-overing in the Standard American Diet (SAD) fashion.
  • Reading: Join our book club just by staying tuned, or subscribed. Bobbie Laing will be writing about many different genres between self help books, engaging novels, and so forth. When we have a quiet night reading, we are nurturing that within us that is stressed and needs to be calm while avoiding television ad brainwashing.

Read More: Weight Loss category

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Water Safe Test Kit


By Dr. Nicole Sundene

Is your home drinking water safe?

I was a little shocked to find out that mine had toxic LEAD in it, after using eVitamins Water Safe Drinking Water Test. I knew the chlorine would be in there because I can taste the difference, but the lead was a bit of an unpleasant surprise.

Although we have done away with lead pipes and lead paint since the 1980’s, many fixtures are still partially made of lead, and this toxic metal that causes anemia, decreased neurological functioning, and immune dysfunction should be filtered out!

I realized that my Aquasana filter was indeed doing me a great deal of good, and that I needed to also start giving my parade of pets safe filtered water too. It is worth the extra few minutes a day it takes to fill up their water bowls. Pets are especially susceptible to environmental toxins.

Sometimes I worry as a Naturopathic Physician that I am over-paranoid about toxins in our environment, so the  Biochemist in me grabbed this test kit over at eVitamins to see if maybe I didn’t need to be so paranoid after all.

Now I know why most patients I’ve tested for heavy metals in Seattle consistently show high lead and mercury levels.  We are drinking poison! I wish mercury was included in this test kit, but most high quality filters also filter mercury out of our water as well as other toxic substances such as pesticides, bacteria, chlorine and so forth.

I like the simple Aquasauna filters that can be added to your kitchen sink. Don’t forget the shower filter too, or you can filter the water straight at it’s source with a whole home water filter (somewhat expensive but highly recommended for those with chronic disease or small children constantly bathing in it.)

Since the ONLY thing we should be drinking is WATER (read my “Obesity Tax on Soda” tirade for more info) you CAN afford a water filter when you give up soda and  juice.  Filtering the toxins out at the kitchen sink is the most economic way to go. Save  your favorite glass  jars and fill them in lieu of plastic bottles. Be cool….be a “jar drinker” like me! You can also use stainless steel containers for small children that should not be trusted with glass, such as my fav brand I can guarantee is aluminum free: Klean Kanteen.

You should especially purchase this Water Safe Test Kit if you have developing children in your home, suffer from chronic disease, or if your water has a funky odor. Water should never have an odor!

Dr. Nicole

Related reading:

Detoxify Your Home

Mold: Getting Rid of it in Your Home

Decreasing Home Pollutants

Chlorine Shower Filter: Anti-Aging

Liver Support Protocol

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Cholesterol Diet

PhotobucketThe good news is there are many lifestyle changes that will lower cholesterol and reduce the risk of heart disease and stroke.

The combination of a low-saturated-fat, total-fat, and low-cholesterol diet, physical activity, and weight control can have many positive effects on overall health.

In addition to lowering the “bad” LDL cholesterol, they can raise the “good” HDL cholesterol.

The body naturally makes cholesterol. Dietary cholesterol is found in foods that contain animal products (butter, milk, cheese, chicken, beef, eggs, etc.). Plant products do NOT contain cholesterol. There are many good things cholesterol does in the body, including:

Read more

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Autism: Eight Questions Dr. Nicole has for Parents

June 4, 2009 by Dr. Nicole Sundene  
Filed under Autism, Kitchen Sink, Pediatrics

thankyousignBy Dr. Nicole Sundene

I won’t even pretend to be an expert on autism, but since this great group of autism blogging moms found me here at the kitchen table, I have a few questions of my own….

Below is a brief interview I did with one parent of a child diagnosed with autism, and if you would like to copy and paste the questions in to the comments section and share your own answers either anonymously or publicly it would greatly help me while I research the latest biochemistry on autism, vaccines, diets, vitamins, low homocysteine, and so forth.  Also other doctors and health care professional subscribed to my website will benefit.

Please share any other info you think would be helpful beyond my very basic questions, please by all means do so…I sincerely believe that the parents are the experts on this topic and even though April is “Autism Awareness Month,” author Tara McClintick and I decided that autism continues 365 days a year….so we are going to keep talking about this important and ever growing “epidemic” at the kitchen table.

#1 Did you have a difficult time getting pregnant?

Yes. We were childless for 9 years and I had two or three unsuccessful cervical bypass procedures. I also had one ectopic pregnancy prior to the birth of my daughter. I did manage to get pregnant on my own without drugs or other procedures. I was 29 when she was born.

#2 Was the pregnancy complicated or simple?

Very simple. Very little morning sickness, nothing major.

#3 Any problemss at birth?

Not at all. However, I was induced and was in labor for almost 17 hours.

#4 Normal APGARS?

Yes.

#5 Did your child exhibit any signs or symptoms before diagnosis physical or otherwise?

Yes. She was unable to nurse (could not latch on). She had poor eye contact, few words by age 2, echolalia when she did speak, repetitive behavior (such as stacking books), wandering, not pointing, not always responding to her name, sensory sensitivity, tantruming

#6 Was the onset around the time of the MMR vaccine?

I don’t recall when this vaccine was administered, but we definitely knew there was something wrong by about 18 months.

#7 Was your child vaccinated on a full schedule or partial schedule?

Full, at least I think so. She was vaccinnated as the schedule required in 1997-98.

#8 Any other factors going on with the family before or at the time of onset?

No.

Thanks for stopping by my kitchen table to share your story.

Related reading:

Autism Awareness Month

Autism: 10 Strategies for Implementing Diet Changes

The Autism Diet Connection

Autism: 10 Tips for Everyone

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