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Nutrition and mental health
1. Nutrition and Mental Health RicSaguil, MD Bikram Yoga Naperville May 2011 We didnât invent the practice of medicineâŠ. weâre just changing the way itâs provided.
5. Gives Me OptionsWe didnât invent the practice of medicineâŠ. weâre just changing the way itâs provided.
6. The First Health Approach We didnât invent the practice of medicineâŠ. weâre just changing the way itâs provided.
7. Your Community of Care Ric Saguil, MD Jason Gruss, MD Tom Jordan, RD Katrina Christie, LCPC Jennifer Green, ND Joe Musolino, DC Amy Iaquinta, DC Nick Nowicki, DC Emery Paredes, PT Courtney Day, EP Yu Zhu, MD China Mike Blumberg, LCPC You
14. Top 5 classes of drugs purchased â08 Cardiovscular Central Nervous System Metabolic Agent Hormones/Hormone Modifiers Psychotherapeutic Agents 206,294,564 purchases, 27,953,909 buyers Medical Expenditure Panel Survey US Dept Health and Human Svs
15. Top 5 Psych Drugs 2009 Xanax 44,029,000 A Lexapro 27,698,000 A/D Ativan 25,868,000 A Zoloft 19,500,000 D Prozac 19,499,000 D/A Desyrel 18,873,000 D/A Cymbalta 16,626,000 D/A Seroquel 15,814,000 D/A
18. Integrative The Saguil Approach History (more than 7 minutes) Search for other causes Thyroid Adrenal Nutritional Deficiency Metal Toxicity Food Allergy Abuse(teen) Rheumatologic (autoimmune) FMS (CRPS) Coexisting Mental Disorder LD/ADD PMS Drug Side Effects Behavioral Therapy Positive Psychology , CBT, EMDR(Imvmtdesensreprossg) Herbal/Homeopathic Medical Acupuncture Nutritional Medicine
19. Wellness Team Ric Saguil, MD Jason Gruss, MD Tom Jordan, RD Katrina Christie, LCPC Jennifer Green, ND Joe Musolino, DC Amy Iaquinta, DC Nick Nowicki, DC Emery Paredes, PT Courtney Day, EP Yu Zhu, MD China Mike Blumberg, LCPC You
20. Food and mood Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study 1,118 30-64 y/o Baltimore MD 24hr diet recall= diet quality significantly associated with symptoms of depression Dietary pattern and depressive symptoms in middle age 3486 participants participants in thehighest tertile of the whole food pattern had lower odds ofCESâD depression /high consumptionof processed food was associated with an increased odds of CESâDdepression
21. Whole Foods Healing (from Healing with Whole Foods) Oyster shell (ca++) Grain (whole wheat, brown rice, oats) Mushrooms (chinese as an immune tonic) Silicon foods (barley gruel, cucumber, celery, lettuce, celery/lettuce juice all to improve calcium metab) Fruit (lemons, schisandra berries-wuweizi) Seeds (jujube seeds-suanzoaren, chia) Spices (dill, basil) Herbs (chamomile, catnip, scullcap, valerian) Animal Products (quality cow and goat milk, clarified butter-ghee)
28. Fast spikes in blood glucose = Fast drop in blood glucose
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30. The First Health Performance Diet High Powered Oat Breakfast (Oatmeal, Flaxseed, Walnuts, Apples, Cinnamon) Greek Yogurt (140 cal, 14g protein) PVC Lunch: Turkey Sandwich, Vegetable Soup Afternoon Go-To: Cottage Cheese + Fruit Almonds + Cheese Stick Paleoshake (protein, almond milk, frozen fruit) PVC Dinner: 4oz Salmon, 1c Broccoli, Sweet Potatoes, 2 cups Spinach salad w/ Balsamic Tom Jordan, RD
31. Whole Foods Non Processed Foods Healthy fats (O3) Fruits and Vegetables (7-10?) Legumes Grain (fiber) Tea(green) Fish/chicken (for beef/pork)
32. Omega 3 Fish Consumption and Depressive Symptoms in the General Population in Finland 3204 sampled results showed a relatively powerful and independent associationbetween fish consumption anddecreaseddepressive symptoms in this populationsample of 3,402 Finnish adults Omega-3 Treatment of Childhood Depression: A Controlled, Double-Blind Pilot Study Omega 3 fatty acids may have therapeutic benefits in childhood depression
33. Fatty Facts: ALA short chain fatty acids EPA DHA long chain fatty acids Conversion from ALA to E and D depends on how much omega 6 is in diet Proper ration omega 6/omega 3 = 1:1 1:4 US diet 10:1 20:1 3 gm EPA/DHA daily safe Alcohol, US diet, Stress (amphetamine/dopamine depleation)
36. Piggy back products in/on your food Bacteria Pesticides Mercury Antibiotics Hormones Genetic contaminants (GMO) It may not be your allergic, could be your toxic
37. Go broke with Organics? Pay up now or pay up later US soil not as good as before The Metabolic Tune-Up: Metabolic Harmony and Disease Prevention 25% menstruating women â inadequate iron 10% us- inadequate zinc inadequate intake=metabolic disruption, dna damage in vivo Vitamin and mineral supplements improve the intelligence scores and concentration of six-year-old children There was a significant relationship between the amount of sugar diet and consumed in the improvement in intelligence scores when taking the vitamin/mineral supplement
41. âHerbalsâand Depression St John's wortfor major depressionKlaus Linde1, Michael M Berner2, LeventeKriston2 Editorial group: Cochrane Depression, Anxiety and Neurosis Group.Publication status and date: Edited (no change to conclusions), published in Issue 4, 2009.29 trials 5489 px, hypericum extracts tested in the included trials a) are superior to placebo in patients with major depression; b) are similarly effective as standard antidepressants; c) and have fewer side effects than standard antidepressants Role ofS-adenosyl-L-methionine in the treatment of depression: a review of the evidence SAMeis superior to placebo and is as effective as tricyclic antidepressants in alleviating depression, although some individuals may require higher doses
42. âHerbalsâand Anxiety Kava extract for treating anxiety Compared with placebo, kava extract as effective of the symptomatic treatment for anxiety although, at present, the size effect seems small, The data available from the reviewed studies suggest that kava is relatively safe for short-term treatment (1 to 24 weeks) Inositol treatment for panic disorder Pilot study using inositol for panic showed better than placebo response
43. Saguil Approach go-toâs for âmild symptomsâ St Johns Wort SAMe Kava Kava Inositol/Rhodiola Valerian Melatonin http://www.naturopathic.org/
50. Rating Systems ONQI (unhealthy/healthy=number) Grandpa (overall nutritional quality index) NuValMeijer, Mariannoâs Arlington Heights (www.nuval.com) ANDI/MANDI Whole Foods Market (www.eatrightamerica.com) Glycemic Index / Load Canada (http://www.glycemicindex.com) Color code Supervalu/Jewel Osco (know your chakraâs?)
51. First Tier Blood Testing at FHA Metabolic panel CBC Lipid Thyroid panel (tsh, free t4, t3, thyroid antibody-iodine) Iron panel B12, Folate, Vitamin D (25OH), Magnesium IgG food sensitivity testing
52. QUESTIONS? Nutrition and Mental HealthRicSaguil, MD Next lecture: Whole Foods Schaumburg June 18th, 200pm COMMENTS? CONCERNS? 2010 South Arlington Heights Road Arlington Heights, IL Phone: 847-593-3330www.FirstHealthAssociates.com
Based on a survey of our patients, we found a consistent theme of what frustrates them about conventional medicine practices and why they felt First Health was different. Since identifying these 4 key areas, we have made a consistent effort to offer our absolute best to:Listen attentively to Patients concernsMake the patient the driving force as the center of careMinimize wait timesExplain all the options for treatment, and give the patient choices (medications, alternative medicine, nutritional medicine/supplementation, psychological medicine)
Design notes: list of providersWe want this to look much more invitingâthese chairs are way too cold.Had thoughts about putting the actual providers in the chairs. Could be an actual live picture with a sample patient in the red chair or could be a group of providers sitting around the table.
Design notes: list of providersWe want this to look much more invitingâthese chairs are way too cold.Had thoughts about putting the actual providers in the chairs. Could be an actual live picture with a sample patient in the red chair or could be a group of providers sitting around the table.