Centre for Natural Medicine

1218 Lorette Avenue, Winnipeg, Manitoba

Phone: 204-488-6528 www.naturalmedicine.mb.ca

Dr. Gordon Sims, ND, LAc

Dr. Suzanne Danner, B.H.Ec., ND

Dr. Dean Schrader, ND

Dr. Amy Kroeker, ND

Dr. Sara Korsunsky, ND

Presented by

Naturopathic Medicine is the art and science of diagnosis, treatment and prevention of disease using natural therapies with a focus on optimizing health and well-being through individualized patient care.

Approximately 3-4 years of university education to complete pre-requisites in basic sciences.

4 year intensive naturopathic medical education at an accredited institution recognized by the Council for Naturopathic Medical Education www.cnme.org

Licensing exams set by the North American Board of Naturopathic Examiners www.nabne.org

Membership in a provincial association.

Membership in the national association (CAND).

Initial Consultation Investigation of Chief Concerns

Past Medical History/Family History

Lifestyle Habits/Diet

Review of Supplements and Medications

Review of Systems

Review Bloodwork, Imaging, other pertinent info

Determine Treatment Plan and Prognosis

Clinical Nutrition

Botanical Medicine

Chinese Medicine and Acupuncture

Homeopathy

Hydrotherapy

Lifestyle Counseling

Most private insurance plans cover naturopathic treatments. Insured patients are encouraged to contact their employer or individual insurance agents to determine if they are covered and to request that their policy he extended to include naturopathic services if it does not already do so.

Canadian Association of Naturopathic Doctors www.cand.ca

British Columbia Naturopathic Association www.bcna.ca

Alberta Association of Naturopathic Physicians

www.naturopathic-alberta.com

Saskatchewan Association of Naturopathic Practitioners www.sanp.ca

Manitoba Naturopathic Association www.mbnd.ca

Ontario Association of Naturopathic Doctors www.oand.org

Quebec Association of Naturopathic Medicine www.qanm.org

New Brunswick Association of Naturopathic Doctors www.nband.ca

Nova Scotia Association of Naturopathic Doctors www.nsand.ca

Prince Edward Island Association of Naturopathic Doctors www.peiand.com

Newfoundland and Labrador, call Kathleen Mercer, ND 709.687.1137

Dr. Suzanne Danner

Naturopathic Doctor

Centre for Natural Medicine

http://content.time.com/time/magazine/0,9263,7601040223,00.html

Acute vs Chronic

Figure 1. A representation of the

difference between classical

inflammation (illustrated as raging fire),

initiated by a microbial antigen or injury,

and metaflammation (illustrated as

smoldering fire), caused by inorganic

“anthropogens.” Adapted from Egger and

Dixon (10). Abbreviation: LDL, low-

density lipoprotein. The scale of

difference of immune reaction between

the 2 forms (ie, approximately 100-fold) is

not shown. [A text description of this

figure is also available.]

Alzheimer’s disease

Atherosclerosis

Arthritis

Asthma and allergies

Cancer

Type 2 Diabetes

Heart disease and stroke

Inflammatory bowel disease

Obesity

«Inflammation is the evil twin of oxidation » Dr. James Joseph, Neuorscientist, Tufts University

Chronic inflammation falls below the

threshold of perceived pain.

Common denominator of chronic disease: inflammation. (unifying understanding)

1993 – researchers discovered a type of inflammation – prolonged, dysregulated and maladaptive response (smoldering)

We may feel healthy but if we have this type of inflammation, then we are in trouble!

Can lead to destruction of our organs and our ability to function optimally…rapid aging.

Dr. Barry Marshall and Dr. Robin Warren turned medical dogma on its head by proving that bacteria – not stress – caused ulcers. The pair proved the bacterium Helicobacter pylori causes inflammation, then ulcers.

Some 20 years after their discovery, and having endured a storm of criticism from the medical establishment, the pair was awarded the Nobel Prize for Medicine.

Their work has stimulated research into microbes as possible reasons for other chronic inflammatory conditions, such as Crohn’s disease, ulcerative colitis, rheumatoid arthritis and atherosclerosis, the Nobel assembly said in its citation

C-reactive protein (CRP)

High sensitivity C-reactive protein (hs-CRP)

The pro- or anti-inflammatory effects of various inducers and their approximate (not to scale) introduction into the human environment. The bullets associated with each inducer in the time frame indicated suggest the approximate time of introduction to the human environment. “Anthropogens”

are defined here as man-made environments and the by-products, behaviors, and/or lifestyles encouraged by those environments, some of which have biological effects which may be detrimental to

human health. Abbreviations: MUFA, monounsaturated fatty acid; EI, energy intake; EE, energy expenditure; N6, omega-6 fatty acid; N3, omega-3 fatty acid; BP, before present; EDCs, endocrine-

disrupting chemicals; SAFA, saturated fatty acid.

As a doctor, my job is to find the main inflammatory factors unique to each person.

1. Poor diet – mostly sugar, refined flours,processed foods, and inflammatory fats such as trans and saturated fats.

2. Lack of exercise

3. Stress

4. Smoking

5. Chronic infections with viruses, bacteria, yeasts, or parasites.

6. Environmental toxins such as heavy metals, pesticides, molds and pollution.

7. Hidden allergens from food or the environment.

8. Being obese or overweight.

1. Whole Foods -- Eat a whole foods, high-fiber, plant-based diet, which is inherently anti-inflammatory. That means choosing unprocessed, unrefined, whole, fresh, real foods, not those full of sugar and trans fats and low in powerful anti-inflammatory plant chemicals called phytonutrients.

2. Healthy Fats -- Give yourself an oil change by eating healthy monounsaturated fats in olive oil, nuts and avocadoes, and getting more omega-3 fats from small fish like sardines, herring, steelhead trout, and wild salmon.

3. Regular Exercise -- Mounting evidence tells us that regular exercise reduces inflammation. It also improves immune function, strengthens your cardiovascular systems, corrects and prevents insulin resistance, and is key for improving your mood and erasing the effects of stress. In fact, regular exercise is one among a small handful of lifestyle changes that correlates with improved health in virtually ALL of the scientific literature. So get moving already!

4. Relax -- Learn how to engage your vagus nerve by actively relaxing. This powerful nerve relaxes your whole body and lowers inflammation when you practice yoga or meditation, breathe deeply, or even take a hot bath.

5. Avoid Allergens -- If you have food allergies, find out what you're allergic to and get stop eating those foods--gluten and dairy are two common culprits.

6. Heal Your Gut -- Take probiotics to help your digestion and improve the balance of healthy bacteria in your gut, which reduces inflammation.

7. Supplement -- Take a multivitamin/multimineral supplement, fish oil, and vitamin D, all of which help reduce inflammation.

Taking this comprehensive

approach to inflammation and

balancing your immune

system addresses one of the

most important core systems

of the body.

Dr. Gordon Sims

Naturopathic Doctor

Acupuncturist

Centre for Natural Medicine

50 %

1. Damage the lining of the artery 2. LDL migrates through the damaged

lining of the artery 3. The immune/inflammatory process is

activated. Macrophages eat the LDL to become foam cells which turn into plaque

1. Blood pressure

2. Homocysteine

3. Hs CRP

4. Insulin

5. Triglycerides

Reference Value

Green is Normal

Yellow is Borderline

Red is High

The Magnitude of

the Result is Easy

to Judge with

Respect to the

Reference Value

Color Highlighted

Numerical Results

Test Report Page 1

Reducing endothelial damage: • Homocysteine: B12, B6, folic acid

• Elevated insulin: diet, alpha lipoic acid

• Hs CRP: omega 3 oils

• BP management

Influencing LDL particle size • Niacin (B3) therapy, diet, exercise

Plaque formation: • Lowering Lp(a): niacin

Understand your cardiovascular risk profile more completely

Take the steps necessary to enjoy your best health

Dr. Dean Schrader

Naturopathic Doctor

Centre for Natural Medicine

Inflammation in the intestines can be caused by several factors; ie. Food allergies, chemicals/toxins, pharmaceutical medications, gluten, and the microbial environment (G.I. flora)

All the above can lead to what is called “leaky gut”

Leaky gut allows various substances to enter into the blood stream and cause inflammation

Inflammation can occur in the G.I. tract and/or systemically

There are over 500 different species of microbes that inhabit the human G.I. tract

The G.I. tract contains 10-100 trillion micro-organisms

These organisms can be divided into either good/friendly (Probiotic (“for life”)) or bad/unfriendly (harmful/disease causing).

Decrease inflammation

Improve digestion, absorption and elimination

Improve immunity

Improve detoxification

Improve hormone balance

Produce vitamins K, B5, B12, biotin

Crowd out unfriendly organisms

Lowering pH of intestines whereby making the environment inhospitable to certain bacteria/yeast

Normal (friendly) bacteria (lactobacillus acidophilus) of the small intestine

C. Difficile is an example of an unfriendly bacteria

C. Difficile can cause extreme diarrhea, colitis, and death.

C. Difficile often flourishes post antibiotic use

It spreads quickly in hospital settings.

Other examples of unfriendly bacteria include some species of E. coli, strep, H. pylori, and salmonella

Parasites: Can cause damage/inflammation to the intestinal wall

Symptoms include: gas, bloating, diarrhea, mucus, blood, abdominal pain, lethargy, appetite abnormalities, CFS, IBS, IBD, itchy anus, nausea, etc.

Causes leaky gut

Can often lead to food and environmental allergies post infection

Candida albicans is a normal inhabitant of the intestines

Can cause no symptoms to severe symptoms depending on the quantity present

Candida colonization can delay healing of inflammatory lesions and the inflammation can promote colonization.

Low level inflammation promotes fungal colonization and fungal colonization promotes further inflammation.

Over 100 chemicals are produced from the die off of candida. The symptoms from yeast overgrowth in the intestines are typically due to these chemicals.

• gas • bloating • diarrhea • constipation • Fatigue • cold extremities • hormonal changes • immune dysfunction • IBD • increased food

allergies/intolerances

• thrush • heartburn • allergies • recurrent infections • yeast infections • nasal/sinus congestion • musculoskeletal pain • sensitivity to odors • arrhythmia, etc.

Candida overgrowth signs and symptoms:

Candida Albicans (electron microscope)

Candida die off chemicals include: • Zymosan: causes inflammation (associated with psoriasis)

• Arabinitol: adversely affects immune and nervous system/brain

• Acetaldehyde: causes cold extremities, brain fog and drunk-like feeling.

These compounds, and in particular acetaldehyde, can cause several of the brain and neurological effects, such as anxiety and depression. Alcohol gets broken down into acetaldehyde and therefore people with candida overgrowth may not tolerate alcohol.

Eliminate/decrease cause: excessive sugar/carbs, stress, hormone change, antibiotic use (and various other pharmaceuticals)

Specific diet

Organism specific antimicrobial prescribed

Probiotics

Fermented foods

Heal gut

Dr. Amy Kroeker Naturopathic Doctor

Acupuncturist

Centre for Natural Medicine

Neurological Scientific Advances to Help Understand Underlying Causes

and Contributing Factors of Brain Disorders and Support Prevention and Treatment from a Natural Perspective

Central Nervous System

Control Centre:

• Functions of body

• Activity of organs

• Receives sensory feedback

• Processes signals from body organs and external stimuli

• Thinking

• Emotion

• Learning

Depression

Anxiety

Concussion

Dementia

Alzheimer’s

Stroke

Multiple Sclerosis

Parkinson’s

Microglial cells (part of the brains immune defense and repair systems) become chronically stuck in the “on” position

This activation leads to a cascade of pro-inflammatory markers • Eg. Autopsy of athletes brains show Alzheimer’s-like

changes and “tangles”

• Post concussion syndrome – due to prolonged activation of microglial cells

• Eg. Alzheimer’s, Parkinson’s, ALS – all have widespread, intense microglial activation

Neurodegeneration results from this chronic response

NSAIDs

• Have been shown to reduce risk of Alzheimer’s

• Number of activated microglial cells decreased 66% in patients taking NSAIDs

• Lots of side effects with chronic use and not a practical preventative measure or treatment option

Dyspepsia in 50% of users – even with short-term use

Gastric hemorrhage – with long-term use (almost 100%)

8-20% stomach ulcer formation

Most common cause of drug-related morbidity and mortality reported

Similar action to NSAIDs

BUT…

Less side effects

Can cause stomach upset and in extreme doses cause stomach ulcers

Poor absorption in gut unless specifically formulated by nano-sizing or lipophilic forms

Dr. Sara Korsunsky Naturopathic Doctor

Acupuncturist

Centre for Natural Medicine

Physical deterioration

Inflammatory diet

Toxins

Stress

Exercise is both pro-inflammatory and anti-inflammatory

Sound confusing?

Simply put, exercising acutely causes acute (short term) inflammation, which is healthy and necessary for muscle growth

You MUST allow time for your body to repair!

Without repair time, inflammation becomes chronic

Long term appropriate MOVEMENT reduces inflammation on the whole and helps maintain function

These foods have been linked to obesity, increased risks of numerous diseases and even death in some cases. 1. Sugar 2. Common Cooking Oils: Safflower, soy, sunflower, corn, and

cottonseed 3. Trans Fats 4. Dairy 5. Feedlot-Raised Meat: Animals who are fed with grains like soy

and corn contain high inflammation. These animals also gain excess fat and are injected with hormones and antibiotics.

6. Red and Processed Meat 7. Alcohol 8. Refined Grains 9. Artificial Food Additives 10. YOUR food triggers and intolerances

Reduce coffee & non-herbal teas

Reduce use of salt and sugars

Reduce red meat and carbohydrate intake

Bulk up on plant & protein rich foods

Diets rich in bioflavonoids benefit inflammation, immunity, blood vessels

Virtually all fruits, vegetables, herbs and spices contain antioxidants

Non-toxic, best absorbed with food

Avoid overcooking foods

Examples: quercetin, carotenoids, isoflavones

1. Wild Alaskan Salmon 2. Kelp: Kombu, wakame and arame are good

sources. 3. Extra Virgin Olive Oil 4. Cruciferous Vegetables 5. Blueberries 6. Turmeric 7. Ginger 8. Garlic 9. Green Tea 10. Sweet Potato

To have true healing, we must change and improve the physiology of the body

It is vital to help elimination in the body using medically supervised detoxification programs

This is the difference between band-aid medicine and treating the cause

Detox is not a myth, it is a daily event that supports health

If your car filter is plugged, how efficient is your vehicle? Clean or change the filte (liver, kidneys)

It is now evident that not all levels and types of inflammation are harmful but that some are necessary to adapt to stress, restore homeostasis or to retain the optimal functioning of an organ.[2]

Medzhitov R (2008) Origin and physiological roles of inflammation. Nature;454:428-435.

A POOR STRESS RESPONSE STRESSORS

Anger, sadness, grief, anxiety

Insomnia

Overwork, over-committment

Surgery

Trauma, injury, chronic illnesses

Poor diet, lack of exercise

Is inflammatory

Is implicated in disease

Is caused by weak adrenal glands- they deal with stress daily

The side effects of Non Steroidal Anti-Inflammatory Drugs include: Anemia Gastritis, gastric ulceration & bleeding Acute renal failure Liver toxicity Fluid retention Disorders of the Central Nervous System 0.04% fatality annually 2.74% GI events annually 2,600 to 3,200 deaths annually 20,000 hospitalizations “NSAIDS cause acetabular bone destruction, arthropathy and avascular necrosis (death of bone tissue), and are toxic to articular cartilage and can accelerate the course of OA”. (Towhead TE, Anastassiades TP. Glucosamine therapy for OA. J rheumatol 1999;26 (11): 2294-2297.

Steroidal antiinflammatory drugs (including cortisone shots) cause osteoporosis, increase fat deposits & weight gain, cause sleep, mood and CNS disorders, rashes, thinning of the skin, easy bruising

Herbs • analgesic and anti-inflammatory, treat the cause

Clinical Nutrition • improve nutrients to aid healing

Homeopathy • symptom specific, no interactions with medications

Acupuncture • blocks pain sensors, reduces tension, improves overall health

and wellness Lifestyle Coaching

• stress reduction, balance, enhance sleep, wellness Prevention

• thorough screening and education AND proactive medicine • ie. HS CRP, Stool and Saliva testing, Genetic testing

Inflammation is at the root of most chronic diseases

It is ESSENTIAL to keep silent inflammation as low as possible for PREVENTION

Chronic inflammation is influenced and managed through lifestyle choices

Your best care includes an ND who can help screen for inflammation and guide you on your path to recovery naturally