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Now that you’ve cut out sugar and starches, you’ve started to eat breakfast and stopped skipping meals, and you’ve embarked on an elimination diet – let’s continue with the necessary steps to lose weight and detox. If you’re not following me right now, please read parts 1, 2, and 3 of this series by clicking on the numbers above. In this part, I’ll continue on the benefits of eating healthy and normalizing blood sugar.

If you’ve just completed the elimination diet and immediately realize that you lost 5-10lbs already, inflammation is one of your biggest problems. Inflammation is probably the most destructive process that occurs in the body, and is essentially everyone’s problem regarding any health challenge. And even though inflammation serves a very important purpose, when it’s constant, it can (and will) wreak havoc on every system in the body. When there’s inflammation in the digestive tract from constant consumption of food sensitivities, it will usually cause systemic inflammation. So what’s the problem with inflammation you ask? Continue Reading »

In this part, I’ll be discussing one approach to an elimination diet, which can be a very useful start to both losing weight and detoxing. Click here to read part 1, and click here to read part 2 of my series “Weight Loss and Detox”.

One concept to keep in mind about any detox or diet is that time is definitely a factor. You can’t expect to detox years of indiscretions or shed years of excess pounds in one week. I mention the concept of time because the same goes for an elimination diet. To achieve the full benefits of this type of program, you’ll need to invest at least two weeks of your time and effort. Now remember, that’s only for the elimination diet. You’ll certainly need to invest more time after the initial two weeks if you’re looking to lose weight (and keep it off) and you’d be wise to continue eating well if detox is your goal also. I discussed the importance of eliminating foods you are sensitive to in part 2 of this series. Here, I’ll discuss one way to go about incorporating an elimination diet to get you started on your path. Continue Reading »

In part 1 of my series titled “Weight Loss and Detox” I spoke about choosing healthier foods in order to attain your New Year’s goals. I focused mainly on the importance of eating a diet low in sugar and starch. Here in part 2, I want to explain the importance of eliminating foods that you may be sensitive to which will also affect your ability to lose weight and certainly impede detoxification. Continue Reading »

Before I continue writing more posts about weight loss and detox, I wanted to share a comment from a reader, posted on my article titled “Unwanted side effects of (bioidentical) hormone replacement therapy“. 

“Hi Dr. Rob,
Thank you so much for your reply – almost a year ago now. It prompted me to seek a different doctor and I feel like I’m on a much better path now. So I wanted to follow up and let you know how it’s going.
You were absolutely correct in saying (concerning estrogen dominance) that it’s not the body making too much estrogen, but a lack of clearing that estrogen from the system that was my problem.
My new doctor has recognized this and I took a supplement (Meta I-3-C) for several months to clear the estrogen, along with supplements for thyroid, adrenal, and digestive support, and most recently, he’s added black cohosh.
He’s also done other testing including a blood test that confirmed that I’m truly (recently) in menopause now and also meridian testing that confirmed problems in the areas he’s already aware of, plus an Epstein-Barr virus that he is treating with a homeopathic therapy. He also had me do a great 28-day detox and I was able to lose15 pounds.
I do not have the energy or strength that I hope to recover yet, and my weight is still an issue, but overall, I’m in a much better place than I was last year at this time.
Thank you so much for your very generous help and suggestions. It meant a lot to me, and changed my course to something that’s working a lot better.”

Here is Debra’s original comment:
“Hi,
I just started on bio-identical progesterone replacement last week. I am pretty horrified, and looking for a better answer.

I’m almost 50 and hadn’t had a period in 10 months. Maybe a co-incidence, but last week I became terribly bloated, and started bleeding 4 days into the treatment. This is definately NOT the direction that I want to go!

To back up a little….I first saw my doctor starting about 4 months ago. He ordered blood tests and from those results put me on 2000 IU of D-3 and an iron supplement. He also started me on Cortrex and some adrenal support drops. At that time, I had only been about 6 months without a cycle, so he wanted to give it a few more months to make sure that I was truly in menopause.

I may need to back up a little more…I’ve been on about every anti-depressant that there is over the past 5 or 6 years, most recently Pristiq, with a Wellbutrin ‘kicker’. They keep me from being ‘over the top’, but mostly I have felt that they make me just not care as much – not a state that I want to spend the rest of my life in! Almost 2 years ago, I finished a 2-year time period on Depo-Provera as well. Two weeks ago – and a week before starting the progesterone cream – I decided enough was enough with the anti-depressants. (Got to be much too expensive, buying the Pristiq, plus the new Dr., and all the new supplements…) The doctor had wanted to take me off slowly…a better idea that what I did, I’m sure.
In the meantime, he gave me a saliva test kit, and the results from that showed that I was estrogen dominant and had low cortisol levels, and that brings me back to the beginning of this email…starting on the progesterone cream (30mg. – 1/2ml. two x per day) and increasing the adrenal support drops.
So I feel TERRIBLE (!!!) and went looking for an answer on the internet, and found you.
After reading your article, I know that I don’t want to go from being dependent on an anti-depressant, to being dependent on a hormone replacement, especially now, knowing that I will stop producing my own and stop getting results from the replacements!
What a nightmare – what can I do? Lifestyle changes? I give a lot of thought to my diet, I take good vitamins, get good excercise – nothing formal at a gym, but I take care of a farm-full of animals every day. I have gained a LOT of weight the past 2 years…from 135 to 170#, and I was hoping the HRT would help with that. Of course I’ve tried dieting…..it’s not something that I’ve been able to take care of that way.
Please help in any way that you can…nothing is working for me, and you can see that I’m not afraid to keep trying…
Thank you,
Deb”

I hope Debra’s journey shows everyone that better health and happiness is possible!

Dr. Rob D’Aquila – NYC Chiropractor – Diplomate of the International Board of Applied Kinesiology

Now that the holidays are over, I’m sure a lot of you are thinking about losing some extra pounds and maybe even going on a detox. Weight loss and detox don’t always go hand-in-hand, but often they do. If you’re looking to lose weight, a detox is a great start, and often necessary. Although, if you’re looking to detox you may not need or want to lose weight. Regardless of your goal, it all starts with what you put in your mouth. This article is designed to get you started on the right foot for your New Year’s health goals.

As mentioned, the most important factor in attaining your health goal of weight loss or detox is what you are eating. [I don’t mean to mitigate the emotional component of weight loss (if in fact there is one for you).]

When it comes to eating, it’s more important to eliminate the “bad” foods rather than simply include “good” foods. On the list of foods that need to be eliminated, sugar is by far number one. This doesn’t simply mean table sugar that is added to food or drinks, it means all sugar-containing foods such as: pies, cakes, cookies, candy, soda, doughnuts, ice cream, brownies, etc.. Additionally, the so-called healthy alternatives of these foods that don’t use refined white sugar as a sweetener are also on the list of foods to avoid. I’m referring to ice cream flavored with agave nectar, or cookies sweetened with white grape juice concentrate, and anything in between. About the only thing you may be able to “get away with” that’s concentrated and sweet is a small amount of raw, unfiltered honey in tea, or a smoothie. It’s best to avoid sweeteners like brown rice syrup, agave nectar, maple syrup, date sugar, and all other alternatives to white sugar. Stevia is sometimes acceptable, but not for everyone, as I’ve found it can negatively affect pancreatic function. However, if you must, it seems the best alternative.

Second on the list of foods to avoid for weight loss and detoxification is all forms of starch. This includes bread (even whole- and multi-grain), pasta (even whole-grain), rice (even brown rice), and potatoes. In fact, if you really want to lose weight, you should consider avoiding all grains. This would include foods like oatmeal, quinoa, corn (a grain, not a vegetable), etc.. It may seem way too restrictive and low-carb for many people, but it’s what I see work. I’ll write more articles in the future on the mechanism(s) of why restricting sugar, starch and high carbohydrate foods can help with weight loss, and why detox can help weight loss, but for now I just want to get the basics out regarding diet.

An exception to the “extreme” restriction in starch (not sugar, as sugar should be avoided by everyone) is an individual who wants to detox, but is not looking to, or can’t “afford” to lose weight. Generally, grains like brown rice and starchy vegetables can be OK in a situation like this.

After sugar and starch, if you’re attempting to lose weight you’ll need to cut out all alcohol. Alcohol is one of the simplest forms of sugar and can certainly thwart any efforts on shedding pounds, even if you’ve already cut out sugar and starch. A glass of wine a night may seem harmless, and even healthy, but in reality it will affect metabolism in a way that may keep you from your weight loss goals. And alcohol is obviously a “no-no” for anyone on a detox.

Lastly, it’s best to limit or completely eliminate fruit from the diet. Even though fruit is natural, the sugar in it can negatively affect blood sugar levels and lead to hormonal shifts that can prevent weight loss. Typically, fruit only needs to be avoided during the first one to three months of a weight loss regimen, and the ability to tolerate it can be assessed thereafter.

One key reason people seeking to lose weight and detox need to avoid sugar and starch is because of its effect on blood sugar levels/fluctuations and the resultant hormonal shifts that take place. Again, this is a topic for another article. But I need to make another point regarding blood sugar fluctuations and eating. It’s not simply what you eat that will affect your blood sugar, but “how” you eat.

There are basically two issues when it comes to blood sugar imbalances. A person is generally more hypoglycemic (tending toward low blood sugar) or hyperglycemic (tending toward high blood sugar). Very often however a person simply shifts between the two extremes of high and low blood sugar. Regardless of where on the spectrum you lie, your eating schedule should basically be the same. Also, because people often shift from high to low blood sugar throughout the day, it can’t always be picked up on a blood test.

As far as “how” to eat, it is imperative to eat (protein-containing foods) within one hour of waking in the morning. And it’s imperative to eat something every few hours to avoid a significant drop in blood sugar. This usually means that people need to snack on something every 2-3 hours. Several signs that your blood sugar is too low and that you need to eat (or really that you should have eaten already to avoid these symptoms) are: feeling irritable or light-headed between meals; eating relieves fatigue; craving sweets; dependence on stimulants like caffeine to function “well”; and/or get shaky, jittery, or nervous between meals. Several signs that your blood sugar is generally too high and that you tend toward insulin resistance are: craving sweets throughout the day; craving sweets after eating; eating sweets doesn’t satisfy your “sweet tooth”; feeling tired after eating; increased thirst and appetite; fat deposits around the mid-section or “belly fat”; and difficulty losing weight.

Sometimes it’s OK if you choose to exercise within an hour of waking up, instead of eating first. If that seems to work and you don’t have any of the above-mentioned symptoms, you should be fine. However, you should eat (protein-containing foods) within at least 15-20 minutes after your morning workout.

Keep in mind that there are many reasons that a person may have trouble losing weight and diet alone might not give you the results you are looking for. Other areas of consideration include thyroid, adrenal, digestive, brain, pancreatic health, etc.. Specific measures for correcting imbalances in any impaired organs/glands/systems is usually also necessary to achieve weight loss and detox goals. But you must start with what you are eating (and not eating) and how and when you eat, or your efforts will most likely be fruitless.

Start with the dietary recommendations mentioned above and you should be well on your way to achieving your goal of weight loss and/or detox.

Also, please see my article my article titled “Daily protein requirements” for more specific information on the importance of eating protein.

Check back for more on weight loss and detox!

Happy New Year!

Dr. Rob D’Aquila – NYC Chiropractor – Applied Kinesiology

The diaphragm is arguably the most important muscle in the body. I say this because, as you know, it’s the muscle that reduces pressure in the chest cavity (along with the muscles between the ribs) causing air to be forced into the lungs. Hence, it allows for breathing. The diaphragm is situated in the lower portion of the ribcage and attaches to the lower six ribs, the xiphoid process (a projection off the bottom of the sternum), and the first three lumbar vertebrae (L1, L2, and L3). Additionally, there is a connection between the diaphragm and two very important muscles involved in low back (lumbar) and pelvic stability; namely the psoas (the main hip flexor) and the quadratus lumborum (QL) (a ribcage and pelvic stabilizer). The connection with these two muscles and the lumbar vertebrae can make uncovering and resolving dysfunction of the diaphragm the key to alleviating low back pain.

It’s fairly simple for a doctor to evaluate for diaphragm dysfunction. The simplest method is for the doctor to place his/her hands on the back of the lower ribcage with the thumbs in the center, next to the spine. The other four fingers should lay on either side of the ribcage. Now, the patient is asked to take a deep breath while the doctor notes for symmetry in the movement of his/her hands. When there is significant dysfunction of the diaphragm, one hand will move away from the spine more than the other. Again, this is the simplest method.

Other clues that may point to diaphragm imbalances are when the patient walks with one foot flared out more than the other during gait or on static postural analysis (indicating possible psoas muscle dysfunction); and/or when the patient walks or stands with the upper body leaning more toward one side (indicating possible QL muscle imbalance). Additionally, the patient may sigh frequently, have difficulty breathing and/or shortness of breath.

OK, now that we know the signs and symptoms, I’ll discuss the possible areas that may need treating.

In order to be truly holistic (at least in a structural sense), the doctor needs to evaluate the entire body. He/she should begin with a basic gait and postural analysis. The imbalances above should be noted in addition to overpronation of either foot. When the foot overpronates (“flattens” too much) it can cause dysfunction in the psoas muscle which can have repercussions on the diaphragm due to its attachments. For more information on overpronation of the feet, click here. Additionally, the psoas and QL should be tested for inherent dysfunction and corrected accordingly.

As mentioned above, the diaphragm attaches to the ribcage, so any dysfunction of rib movement needs to be addressed, usually through chiropractic adjusting. The nerve that supplies the diaphragm (named the phrenic) arises from the third, fourth and fifth cervical (neck) nerves, so any dysfunction of those vertebrae should be corrected – again, usually through chiropractic adjusting. It would also be wise to look at the function of the first three lumbar vertebrae as the diaphragm attaches to those as well. Also from a spinal perspective, the junction of the thoracic and lumbar spine should also be evaluated. The bottom thoracic (12th) and top lumbar (1st) vertebrae need to be assessed, because that’s often the area where movement becomes restricted affecting diaphragm. This area is especially critical in low back pain, because if there is a lack of movement at those segments, the low back will have to compensate and move excessively which can lead to degeneration, instability and lumbar disc herniation. Lastly, the pelvis should always be evaluated because it acts as the base or foundation of the spine. And if the foundation is “cracked”, it’s very difficult for the “floors” above to be stable.

One more thing – sometimes the diaphragm needs to be addressed directly. Recall, it is a skeletal muscle just like any other and can be manipulated through various methods, manually or with the use of a massage-like instrument.

If you’ve been suffering from low back pain without an apparent cause and without relief after trying different methods, consider the diaphragm as the possible culprit – and if it is, AK may be able to help.

Dr. Rob D’Aquila – NYC Chiropractor – Diplomate of the International Board of Applied Kinesiology

I’m back from Bordeaux where I attended the Annual International College of Applied Kinesiology (AK) meeting. At the meeting I passed the test to attain Diplomate-status in AK. I’m very excited to have that status under my belt. In fact, I consider it my “belt”, as I refer to it as a “black belt” in AK; because it’s the highest achievable credential in the study of AK.

It’s been a while since I’ve posted articles and I plan on posting much more frequently. Check back regularly!

Dr. Rob D’Aquila – NYC Chiropractor – Diplomate of the International Board of Applied Kinesiology

I’ll be studying to take a test for my Diplomate in Applied Kinesiology. As a result, I will not be writing articles very frequently, if at all for the next two to three months. Please enjoy the articles already posted and check back in a few months!

Estrogen dominance is the condition that “causes” most female hormonal imbalances and resultant symptoms. I use quotation marks around the word “causes” because there is obviously a cause to the estrogen dominance. Estrogen dominance has many causes and a whole book can be written about it.

The symptoms related to estrogen dominance are vast and can vary among individuals. Some symptoms include (but are not limited to): breast tenderness, low libido, depression, mood swings, anxiety, weight gain, fibrocystic breasts, headaches, infertility, irregular menstrual cycles, insomnia, hot flashes, uterine pain (possibly fibroids), digestive disturbances, bloating and water retention, cancer, etc.. Because there can be so many systems affected (e.g.: adrenal, thyroid, digestive, etc.) there can be even more symptoms.

In this article I’m going to explain two ways intestinal dysbiosis (or gastrointestinal microbial imbalances) can contribute to estrogen dominance.

Estrogen is ultimately detoxified in the liver through the phase II detox pathway called glucuronidation. During this process, estrogen molecules are bound to glucuronic acid. This process enables the estrogen to be inactivated and thus not cause an impact on physiology. After this process occurs in the liver, the newly formed complex is transported to the GI tract via bile (the route for many toxins to be disposed of). In an ideal world/body, the complex gets flushed down the toilet per se. However, when intestinal microbial imbalances exist (e.g.: an overgrowth or infestation of harmful bacteria, viruses, protozoa, and/or fungus), an increase in the activity of the enzyme beta-glucuronidase can occur. This enzyme is known to uncouple, or disconnect estrogen from glucuronic acid. The result is that estrogen can now be reabsorbed back into circulation and increase the total estrogen load of the body; and contribute to (or cause) estrogen dominance.

Another reason intestinal imbalances can contribute to estrogen dominance is in the way estrogen gets metabolized. The first phase of estrogen detoxification by the liver is known as hydroxylation. During this process, an “-OH” group is added to one of the carbon atoms on estrogen. When it’s added to the “2-carbon”, the end-product is known as 2-OH (or 2-hydroxy) estrogen. If the -OH group is added to the “4-carbon”, 4-OH estrogen is yielded, and when added to the “16-carbon”, 16-OH estrogen follows.

2-OH estrogen has a weak estrogenic effect. Meaning, 2-OH estrogen won’t contribute much to the harmful, proliferative [or harmful tissue-growing (as in cancer growth) effects] of estrogen. On the other hand, 4-OH and 16-OH estrogen will in fact contribute to the deleterious effects of estrogen. Intestinal microbial imbalances favor the production of (mostly) 16-OH estrogen and 4-OH estrogen, and away from the benign 2-OH estrogen. As a result, the classic symptoms and diseases of excess estrogens can occur.

Take home message: a healthy GI tract is much more important than simply avoiding GI symptoms. Additionally, simply treating symptoms of estrogen dominance and hormone imbalances with bio-identical hormones may not be the way to go!

Dr. Robert D’Aquila – NYC Chiropractor – Applied Kinesiology

This article is the third in a series entitled: “How to Interpret Your Blood Tests”. Here I’ll discuss the lipid (including cholesterol) profile of a blood test.

This set of blood markers is often the most scrutinized because of all the hype around cholesterol and fats these days. Most Americans appear to be pressured and confronted with having to be concerned with matters of heart disease and whether or not to take medication to lower cholesterol. This is obviously a concern, however cholesterol levels alone don’t show a big enough picture to determine a person’s cardiovascular (or general) health and/or risks. Regardless, here are the markers:

Total Cholesterol
This is self-explanatory and includes LDL, HDL, and vLDL.

HDL Cholesterol
Also known as “good” cholesterol because of its function in transporting cholesterol away from the tissues (especially arteries) to the liver

Non-HDL Cholesterol
Again, self-explanatory – made up of the sum of LDL and vLDL cholesterol

LDL Calculated
Also known as “bad” cholesterol because of its ability to help deposit cholesterol in arteries and other tissues

Triglycerides
These are fats in the blood that can come from diet or triglyceride production by the liver. And if more calories are consumed than can be used by the cells immediately – the body will convert the excess into triglycerides to be stored. Typically triglycerides are in excess because of too much sugar, caffeine, or alcohol; essentially with blood sugar imbalances.

For more in-depth information of cholesterol, see my article titled: “Understanding Cholesterol“.

Over the years, the ability to assess cardiovascular disease (CVD) has been improved. One good type of testing includes testing the particle size of both LDL and HDL cholesterol. Essentially, it’s better to have LDL cholesterol particles that are large (or “Pattern A”). When the particles are large, it implies less surface area for that cholesterol to be oxidized (which is when cholesterol really becomes problematic and contributes to CVD). When the particles of LDL are small (or “Pattern B”), there is more surface area that can be oxidized, thus compounding the problem.

The exact opposite is true of HDL. HDL is best when the particle size is small.

In conclusion, it should be noted that most of the time when I see cholesterol and triglycerides elevated, it is due to insulin resistance or other issues with blood sugar management. This is basically the result of imbalances in other systems typically due to diet and stress hormone levels. Another possibility is low thyroid function. This will decrease metabolism in every cell of the body, and slow the metabolism of cholesterol leading to a higher level. Lastly, microbial imbalances in the intestinal tract can contribute to high cholesterol due to bile salt analogue production (a topic for another article).

High cholesterol is not usually the most pertinent issue I see in my practice. That just has to do with the patients that walk through the door. And when I do see (functional) high cholesterol on a patient, I don’t simply give natural cholesterol “blockers” like red rice yeast. I see high cholesterol as a symptom, not a primary disease process. Keep in mind that some people do truly have genetically-based high cholesterol, but I don’t find that to be the norm. If genetically-high cholesterol is something that is suspected (because of extremely high levels or levels that are non-responsive to care), a lipid electrophoresis can be run to determine if in fact a genetic lipid disorder exists known as hyperlipoproteinemia.

There are even more cholesterol markers that can be run nowadays, for example oxidized cholesterol and apolipoprotein studies. Again, I don’t often see this, but will deal with it when necessary. I often see more issues with low cholesterol in my practice. Yes, a person can have too little an amount of cholesterol. Cholesterol is a necessary ingredient in every cell in the body.

Dr. Robert D’Aquila – NYC Chiropractor – Applied Kinesiology

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