Integrative Medicine : Lubiprostone for SIBO and Chronic Constipation.

A recent 2016 study for 29 female patients with chronic constipation and Small Intestinal Bacteria Growth (SIBO) used 24 mcg twice per day of Lubiprostone (a prescriptive intestinal secretagogue). 41% of those people who tested positive for SIBO were SIBO negative after 2 weeks. This well designed (but albeit small) study also measured gastric emptying time, small bowel transit time, colon transit time (CTT), combined small and large bowel transit time (SLBTT) and whole gut transit time were measured using wireless motility capsule and showed improvement in those parameters. Stooling increased from 2x per week to 4x per week. As someone who treats a lot of SIBO and Chronic Constipation this is a promising new integrative treatment that may even have better results combined with natural therapies and even other conventional therapies. I am investigating more about the reported low side effects of Lubiprostone. The most exciting thing is that it helps us understand more of the mechanism of chronic constipation and the importance of intestinal fluid interchange in regulating motility. More on Small Intestinal Bacterial Overgrowth Here.

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HPA Management: How to decrease anxiety?

This post is about Hypothalamic Pituitary Adrenal gland Axis (HPA) management. Specifically how to decrease anxiety. How do we decrease anxiety? Ask people to be clear of what is expected of us. And upon hearing what's expected be honest with ourselves and others about what is possible. If we you have expectations from others and for ourselves that have no boundaries; then we are likely going to experience an arousal state in the brain. This trickles down to anxiety related symptoms. Vice versa by not setting expectations we can reak havoc on our inner self relationships and outer self relationships. Of course I could write all day about lifestyle changes and herbal interventions that might help but the inner game of anxiety is so much more.

Plateauing

Plateauing in the process of change. I have experienced and you have experienced it. Things are going well and then we hit a flat point of progress. The typical response to the plateau that I have seen is to "do more" ,"add more", and "be more". It makes sense,right? Or does it? You're climbing a mountain after learning, growing, acquiring skills, and carrying more responsibility, motivation, and discipline. It seems worth it because you're seeing your health improve, relationships improve, mental health improve, and spiritual health improve. Then you suddenly you're at a flat point. Things are not quite where they need to be and you have acquired new things, skills, tools that require maintenance and nurturing. If you don't continue them you would... well....fall back down the mountain. Or would you? So we add more stuff, more noise, more ideas, more skills, and suddenly we look like a pack mule climbing to our asc...

The Economy of Inflammation

The economy of Inflammation I spend much of my day talking about inflammation. Why? Simply because I feel inflammation is the marker of the economy of the body. If we are overly inflamed the economy begins to deteriorate and we start to first see belly fat, stiffness, fatigue, skin changes, mood changes, and this progresses to high cholesterol, insulin resistance, and/or hypertension. If the economy takes a hit for too prolonged period we see the body express imbalance in a degree where we see conditions such as Diabetes, Gout, Chronic Kidney Disease, Fatty Liver Disease, Osteoarthritis, Depression, Fibromyalgia, and yes, sometimes Cancer. This is so much of what I see happening in my practice that I have thought about changing my practice to the Sound Inflammation Clinic. The remedy to inflammation are plants in our diet, omega-3’s and other healthy fats, mild exercise, stress release, sound sleep, and a whole array of herbal and nutritional supplement...

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