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
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
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