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Brain Fog and What To Do About It, Part 1

You can’t remember the name of the Netflix movie you saw just last night, literally hours ago. And that actor–what was his name? He was in, you know, that other movie. You think it was a thriller, but maybe a war movie. Then you get a notice from Verizon that they’re turning off your phone […]

Functional Telemedicine, Wherever You Are

All things considered, we’ve rather enjoyed our telemedicine interactions with patients. Doctoring this way also recently provided me with an Aha! moment. What I realized was that much of what we do as Functional Medicine specialists, both diagnosis and treatment, can be done online with you never leaving your home. Such a consultation would include […]

Healing Adrenal Fatigue

In last week’s Health Tip I described the exhausted state of Patricia, dragging herself through the day and crashing completely in the afternoon. At first, Patricia was oddly supercharged in the evening, unable to relax or sleep. Later, this energy burst vanished and she simply couldn’t sleep. She was tired all the time. Before her visit with […]

Functional Medicine: Your Wacky Hormones and Adrenal Glands

“Exhaustion is my reality. At four o’clock, I’m wiped, totally wiped. So tired I could sleep at my desk.” Patricia is 33, happily married as far as marriages go, one kid, steadily employed in the usual American less­than­satisfying corporate job, good eating habits, and, until recently, a health club goer a couple/three times a week. […]

When Your Thyroid Medication Isn’t Working

Let’s start with two thyroid facts:  The diagnosis of hypothyroidism (low levels of thyroid hormone) is missed by most physicians. Patients arrive with obvious symptoms of hypothyroidism every doctor learned in medical school, among them sensitivity to cold, weight gain, dry skin, fatigue, and constipation. The doctor listens, sometimes attentively, and then orders a TSH […]

Tired All The Time? Useful Info and Two Supplements

As you might expect, fatigue is a fairly common reason people visit doctors. Feeling tired is vague symptom and can be linked to dozens of possible diagnoses, plus there’s a need to differentiate between physical fatigue and mental fatigue (brain fog) or consider both. When your doctor or nurse practitioner starts to ask questions, she’s […]

Healing Adrenal Fatigue

In last week’s Health Tip I described the exhausted state of Patricia, dragging herself through the day and crashing completely in the afternoon. At first, Patricia was oddly supercharged in the evening, unable to relax or sleep. Later, this energy burst vanished and she simply couldn’t sleep. She was tired all the time. Before her […]

“Every Afternoon At About Four I’m So Tired I Could Sleep At My Desk”

“Exhaustion is my reality. At four o’clock, I’m wiped, totally wiped.” Patricia is 33, happily married as far as marriages go, one kid, steadily employed in the usual American less-­than-­satisfying corporate job, good eating habits, and, until recently, a health club goer a couple/three times a week. Now she’s too tired for that. Just looking […]

The Chemistry of Stress

Understanding the chemistry of stress begins with an appreciation of molecules in our bodies called neurotransmitters.  Dubbed “molecules of emotion” by the scientist who first discovered their existence, Dr. Candace Pert, these are produced throughout our bodies, most notably in the brain and along the gastrointestinal tract.  One of the neurotransmitters, serotonin, seems to have […]

Health Consequences of Harassment

I’ve been tracking the health consequences of the recession among my patients. The first group of victims is obvious: those suffering the anxiety and depression that follows job loss, protracted unemployment, living on savings, cutting expenses, downsizing where they live, and, of course, losing health insurance. At the very moment these folks could benefit from […]