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Comparing Saliva, Urine, and Serum Hormone Testing: Choosing the Best Test for Each Patient

FxMed Podcast, FxMed Sponsored PodcastBy Kara Fitzgerald, ND July 12, 2021 Leave a comment

Have you ever looked at serum hormone levels and scratched your head, wondering why there was such a difference between your patient’s clinical signs and the numbers on the report? Felt unsure whether to look at bioavailable hormone markers or their metabolites? Not surprisingly, when it comes to endocrinological health, there are just as many questions as hormones (and there are over 50!). My guest in this podcast, Dr. Lylen Ferris, gives us very clear and user-friendly guidance on appropriate hormone testing, interpreting results from different specimens and, most excitingly, using novel biomarkers, such as allopregnanolone. Having completed her naturopathic residency with Dr. Kimberly Windstar, and after years of teaching and mentoring medical students on gynecology and women’s health, Dr. Ferris has plenty of brilliant clinical pearls to share with us! Please share, comment, and leave us a starred review if you wouldn’t mind! Thank you!

The Cell Danger Response: Restoring Cellular Health with Phospholipids and Bioactive Lipids

FxMed Podcast, FxMed Sponsored PodcastBy Kara Fitzgerald, ND June 1, 2021 4 Comments

I am always eager to learn from other clinicians about how they approach complex patients and layer various healing modalities into the therapeutic encounter. My guest today, Dr. Bruce Hoffman MD, has combined his passion in integrative medicine with psychiatry to explore cellular health to best guide his patient’s health journey. Dr. Hoffman is based in Calgary, Canada at the Hoffman Centre for Integrative Medicine and the Brain Center of Alberta. He’s an IFM-certified functional medicine practitioner, board-certified in anti-aging and regenerative medicine (Shoemaker’s mold protocol), a certified Ayurvedic practitioner (Bredesen’s ReCODE treatment), certified as a family constellation therapy specialist, (ILADS for Lyme and co-infections), and trained in Chinese medicine, to name just a few of his substantial specialties. He knows his stuff. Tune in for this thought-provoking conversation as we explore the role the psyche plays in disease and healing, including clinical pearls, interventions, and effective supplementation. Listen, share, and leave a starred rating, if you wouldn’t mind! Thanks for listening.

The Journey to “Evidence-Based” for Functional Labs

Functional Medicine for ProfessionalsBy Kara Fitzgerald, ND May 25, 2021 Leave a comment

In the Functional Medicine space, we all desire to be described under the banner of “Evidence-Based.” What does that mean, and how do we get there? In this article I will attempt to address the laboratory component of this question from the perspective of a company in the middle of this ongoing journey. The value of self-critique and continual self-examination: There is a pattern I have witnessed in the Functional Medicine Lab industry that needs to be challenged from within. We develop tests, leverage them as much as we can, and then wait for competitors or critics to raise objections or questions. If those objections never come, we may be tempted to push forward without continuing to pursue both analytical and clinical validation. Continuous self-critique is critical!

What is Biological Aging and What Does it Have to do with Methylation?

Functional Medicine for ConsumersBy Kara Fitzgerald, ND April 13, 2021 1 Comment

Biological age is the gradual accumulation of damage and loss of function of our cells, tissues, and organs. This damage is what turns into disease.

Iodine Deficiency, Breast Health, and Hormone Balance

Functional Medicine for ProfessionalsBy Kara Fitzgerald, ND March 1, 2021 2 Comments

Iodine was discovered in 1811 by French chemist Bernard Courtois while processing ingredients for gunpowder. In extracting sodium salts from seaweed by treating it with sulfuric acid, he observed a purple vapor rising from the seaweed. This substance was eventually named iodine, from the Greek word for the color violet, ioeides. Iodine is an essential trace element necessary for the production of all hormones in the body and proper function in the immune system.[2] It plays a vital role in several aspects of health, including:

Functional Interventions for Men’s Health in Aging and Prostate Cancer with Dr. Geo Espinosa

FxMed PodcastBy Kara Fitzgerald, ND March 1, 2021 3 Comments

We’ve been eager to put together a podcast on men’s health – prostate cancer, low testosterone, foundational vitamin and botanical supplements, nutritional interventions – and folks, it’s finally here! There’s a wealth of GREAT pearls to bring into your own practice from this month’s interview with our guest Dr. Geo Espinosa, ND. Dr. Geo is a long-time friend, a fellow naturopathic functional medicine physician, and a (if not “the”) definitive voice in neurology and men’s health. His passion about men’s health helped him bridge the gap between conventional and naturopathic medicine. Together we discuss how to engage men in self-care, specific nutritional interventions to support men’s health, laboratory panels and optimal ranges, and some of his favorite vitamins and botanicals for his male patients.

Uterine Fibroids: Mechanisms, Treatment Challenges and the Power of Embracing a Functional Approach

Functional Medicine for ProfessionalsBy Kara Fitzgerald, ND January 12, 2021 9 Comments

Uterine fibroids are a huge, underappreciated issue. They are the most common gynecological disorder, affecting nearly half of women younger than 40 years old, and far more (~80%) for those older. Frankly, I don’t think we are doing enough to help these patients. Fibroids are the leading indication for hysterectomy in the US, accounting for 39% of all hysterectomies each year, and while some are asymptomatic, symptoms include heavy and prolonged periods, difficulty with intercourse, bowel dysfunction, non-cyclic pelvic pain, low back pain, urinary frequency and urgency, and constipation. Because not all fibroids cause heavy bleeding, their impact can be missed, think: refractory constipation or incontinence. Conventional treatments include pharmacotherapy, surgical interventions, and uterine artery embolization, however, these treatments leave much to be desired. Oral contraceptives are used to manage bleeding, and even after myomectomy, fibroids often recur and 10% of women will undergo hysterectomy within 5 – 10 years.

Dr. Mark Pimentel Presents New Perspectives on SIBO and IBS

FxMed PodcastBy Kara Fitzgerald, ND October 1, 2020 8 Comments

Dr. Mark Pimentel. We all know him as the clinician/scientist who understands the varied pathogenic underpinnings of IBS/SIBO/IMO. In my recent conversation with him, we cover the definition of terms, causes, when to use a stool test. We discuss the Pimentel low fermentation diet, intervention (including botanicals), and diagnosing hydrogen sulfide (a test is coming soon, but wasn’t available at time of recording). Probiotics: any utility? Elemental diet, and so much more. Grateful to have Dr. Pimentel on the podcast, and know you will benefit from this insightful convo. Thanks for listening, please leave a review if you can! ~DrKF

The Nuances of Leaky Gut as a Contributor to Chronic Illness

Functional Medicine for ConsumersBy Romilly Hodges, MS CNS September 16, 2020 1 Comment

Reviewed by Romilly Hodges (October 2020) Leaky gut is often written and talked about as a black and white concept: Either you have it or you don’t. And if you have it, you’ll want to ‘heal’ it. While this is true to some extent – after all, health begins in the gut, and we know…

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