# Center For Fully Functional Health > The Center for Fully Functional Health in Carmel brings hope and healing with award-winning integrative and Functional Medicine, MedSpa Treatments, and physical therapy. This document contains the full content of all pages on this website. --- ## Hope & Healing **Link:** [Hope & Healing](https://fullyfunctional.com/) ([md](https://fullyfunctional.com/index.html.md)) **Description:** The Center for Fully Functional Health in Carmel brings hope and healing with award-winning integrative and Functional Medicine, MedSpa Treatments, and physical therapy. The Center for Fully Functional Health in Carmel, IN ### Content #### Better Care Begins Here *Your Fully Functional Future* [.intro.blue-accent]Becoming Fully Functional means feeling your most healthy, productive, and joyful. It is a journey of empowering self-care that will skyrocket your energy and self-confidence.[] [.button][Schedule Appointment](/contact/)[] [.lead]At CFFH, we provide state-of-the-art Functional Medicine and aesthetic services to help you become Fully Functional from the inside out.[] That means nurturing your whole body with proven, science-based therapies to improve your energy, appearance, and vitality. Every aspect of our practice is designed to bring you comfort, with the knowledge and support you need to truly transform your life. The Center for Fully Functional Health is led by a team of award-winning, internationally recognized physicians committed to providing personalized, life-changing care at their Carmel Functional Medicine Center and MedSpa. [Schedule Appointment](/contact/) #### Functional Medicine & Wellness Treatments in Carmel, IN #### Expert Precision From a Whole-Patient Perspective #### The Fully Functional Difference *Your Body In Harmony* Our physicians are proven experts who understand the power of [.highlight-color]**Integrative & Functional Medicine[]**: A whole-human approach to healing that recognizes your body is a series of connections woven together and designed to be interdependent. No one system in your body exists in a vacuum, whether it is biochemical, structural, mental, or spiritual. Traditional allopathic medicine is fantastic at treating clear, easily diagnosed problems like a broken bone or appendicitis. But the Band-Aid solutions offered for chronic health issues often see you shuttled from one specialist to the next, rather than discovering the root causes and treating your body as a whole. We do things differently! If you are interested in finding out more about [.highlight-color]**Functional Medicine**[], Carmel patients are encouraged to contact us at [.strong.highlight-color]**[(317) 989-8463](tel:(317) 989-8463)[]** to schedule a consultation. [Schedule Appointment](/contact/) #### Personalized treatment plans from award-winning Carmel, IN, integrative health experts. *The Five Pillars Of Fully Functional Health* #### About Our Founders *We Treat You Like Family* The Antoines are board-certified Emergency Medicine physicians and widely respected Integrative & Functional Medicine practitioners, each with over 27 years of experience. This energetic husband-wife duo has a passion for helping patients discover the root cause of their medical issues and optimize their health. [.intro.blue-accent]When other medical professionals need answers, they call our team.[] [.button][Learn More](/about-us/)[] That’s because Dr. Ellen and Dr. Scott bring the perspective and insight that can only come from decades of exceptional medical practice, plus personal experience with challenges including autoimmune disease, mold illness, and PANS/PANDAS. They have not only mastered the science behind often misunderstood symptoms and diseases, but they also possess the dedication and compassion required to transform your health and your life. [Learn More](/about-us/) #### Specialized Care for PANS/PANDAS *Genuine Care & Dedication* At The Center for Fully Functional Health, few conditions reflect our unique expertise more clearly than [.highlight-color]**PANS and PANDAS[]**. These complex, often misunderstood disorders require an advanced level of insight and compassion that Dr. Ellen and Dr. Scott Antoine have spent years developing. With both professional and personal experience, they’ve become trusted authorities for families across Indiana and beyond. Our team takes the time to listen, investigate underlying triggers, and create customized treatment plans designed to restore balance and improve quality of life. Dr. Scott Antoine has authored the only textbook for physicians on PANS and PANDAS and is an internationally recognized expert and a highly sought-after speaker. A true advocate for patient access to care, Dr. Scott Antoine has also worked at the state level to secure insurance coverage for children affected by PANS/PANDAS. Whether you’ve just received a diagnosis or have been searching for answers for years, know that you don’t have to walk this journey alone. At CFFH, you’ll find expertise, empathy, and a path toward healing. [Discover More](/about-us/) #### Center for Fully Functional Health Featured Procedures *Integrative Care That Improves Lives* [.blue-accent]At The Center for Fully Functional Health, every treatment we offer is carefully chosen for its proven results and ability to support whole-body wellness.[] From exclusive technologies available nowhere else in Indiana to physician-led therapies that restore balance at the cellular level, our MedSpa and wellness services are designed to help you feel and look your absolute best. Whether you’re seeking renewed energy, glowing skin, or advanced support for long-term health, our featured treatments represent the very best of science, medicine, and compassionate care, so you can move closer to becoming Fully Functional, inside and out. #### our state-of-the-art MedSpa *A Space Designed for Healing and Renewal* At The Center for Fully Functional Health, our facility reflects the care and innovation behind every treatment we provide. The upstairs is dedicated entirely to our [.highlight-color]**state-of-the-art MedSpa[]**, featuring a beautiful [.highlight-color]**IV lounge**[], skilled infusion nurses, and advanced therapies like [.highlight-color]**ozone, infrared sauna**[], and [.highlight-color]**red light therapy[]**, all designed to support detoxification, cellular repair, and lasting vitality. Downstairs, our [.highlight-color]**Functional Medicine center[]** and specialized [.highlight-color]**physical therapy[]** spaces create a seamless connection between restorative wellness and advanced medical care. With unique offerings like [.highlight-color]**NLP for weight loss**[] (a passion of Dr. Scott Antoine), NLP and hypnosis for PTSD, anxiety, among many other options, you’ll find that every detail of our space and services has been created to help you feel at home, inspired, and empowered on your Fully Functional journey. #### Treating chronic conditions with Integrative Medicine in Carmel *Your Fully Functional Life* [.intro.blue-accent]You don’t have to combat chronic illness or optimize your health on your own![] [.lead]At The Center for Fully Functional Health, we know symptoms are more than just inconveniences — they’re signals that your body needs care, clarity, and support.[] [.button.mb0][Explore Symptoms[]](/conditions/) [.button][Explore Conditions](/symptoms/)[] We have the resources, knowledge, and heart to help. From advanced diagnostics and evidence-based protocols to state-of-the-art wellness services in our Carmel MedSpa, our facility and team were designed with you in mind. Without your health, nothing else matters. We know firsthand how discouraging and draining it is to combat chronic illness on your own, searching for answers while you or your loved ones suffer from debilitating symptoms. The future can feel frightening and hopeless. We promise to devote our laser-like focus and decades of experience to empower you with the clarity, support, and tools you need to become Fully Functional for life. [Explore Symptoms](/symptoms/) #### The Center for Fully Functional Health Testimonials [View all testimonials](/testimonials/) #### MedSpa Treatments For Confidence From Every Angle #### Function Beautifully Explore more of the advanced services we offer and tailor your experience with providers who prioritize the whole you. #### Join the Fully Functional Movement --- ## 404 **Link:** [404](https://fullyfunctional.com/404/) ([md](https://fullyfunctional.com/404/index.html.md)) **Description:** 404 | Page Not Found Page Not Found ### Content [Back To Home Page](/) --- ## Our Accessibility Statement **Link:** [Our Accessibility Statement](https://fullyfunctional.com/accessibility/) ([md](https://fullyfunctional.com/accessibility/index.html.md)) **Description:** We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities. View our Accessibility Statement here. ### Content **General** We strive to ensure that its services are accessible to people with disabilities. We have invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that website accessibility efforts assist all users and that every person has the right to live with dignity, equality, comfort and independence. **Accessibility on Our Site** We make available the [UserWay's Web Accessibility Widget](https://userway.org/) is powered by a dedicated accessibility server. The software allows us to improve its compliance with the Web Content Accessibility Guidelines (WCAG 2.1). **Enabling the Accessibility Menu** Our accessibility menu can be enabled by clicking the accessibility menu icon that appears on the corner of the page. After triggering the accessibility menu, please wait a moment for the accessibility menu to load in its entirety. **Disclaimer** We continue our efforts to constantly improve the accessibility of its site and services in the belief that it is our collective moral obligation to allow seamless, accessible and unhindered use also for those of us with disabilities. In an ongoing effort to continually improve and remediate accessibility issues, we also regularly scan our site with UserWay's [Accessibility Scanner](https://userway.org/scanner) to identify and fix every possible accessibility barrier on our site. Despite our efforts to make all pages and content on our site fully accessible, some content may not have yet been fully adapted to the strictest accessibility standards. This may be a result of not having found or identified the most appropriate technological solution. **Here For You** If you are experiencing difficulty with any content on our site or require assistance with any part of our site, please contact us during normal business hours as detailed below and we will be happy to assist. **Contact Us** If you wish to report an accessibility issue, have any questions or need assistance, please reach us through our contact form. --- ## Blog **Link:** [Blog](https://fullyfunctional.com/blog/) ([md](https://fullyfunctional.com/blog/index.html.md)) **Description:** Read helpful blog articles from The Center for Fully Functional Health for recipes and accurate information from award-winning Functional Medicine doctors. Center for Fully Functional Health ### Content --- ## 10 Steps to Safe Mold Remediation for Your Home **Link:** [10 Steps to Safe Mold Remediation for Your Home](https://fullyfunctional.com/blog/10-steps-to-safe-mold-remediation-for-your-home/) ([md](https://fullyfunctional.com/blog/10-steps-to-safe-mold-remediation-for-your-home/index.html.md)) **Description:** What do you do when your house has mold? Learn the steps to safe and complete home mold remediation, written by a mold illness physician and treatment expert. ### Content [*In our previous blog*](/blog/how-to-test-your-home-for-mold/), we explained how **mold exposure** happens and how to test your home for mold and mycotoxins. In this article, we cover *the 10 steps for safe and complete mold remediatio*n. These include identifying, containing, and removing any current microbial growth, as well as preventing future mold and mycotoxins. ### When Is Mold Remediation Required? If you suspect **mold in your home**, the first step is thorough testing by a licensed, certified professional. If this testing reveals the presence of mold, it is vital that you complete safe, complete mold remediation as soon as possible. **Mold remediation** is the process of identifying, containing, and removing any current mold or *mycotoxins*, as well as taking steps to prevent future mold growth. There is no such thing as “tolerable” mold exposure – the time to pursue mold remediation is the moment you learn that testing is positive. It’s also crucial that you engage a licensed, insured Indoor Environmental Professional (IEP) with the equipment and knowledge to perform remediation safely. We recommend looking for a professional certified by the [American Council for Accredited Certification](https://www.acac.org/professionals) who holds either a CMRS or a CMR certification. A CMRS certification signifies that the Individual Environmental Professional (IEP) is recognized as a Council-Certified Microbial Remediation Supervisor with a minimum of 8 years of practical expertise, and a CMR certification indicates their status as a Council-Certified Microbial Remediator with no less than 2 years of hands-on experience. ### Is Mold Remediation Dangerous? Mold remediation is only dangerous when performed incompletely or without the correct knowledge and equipment to prevent further contamination of your home and belongings. While any remediation occurs, especially fogging, *the family should not be in the house and should stay away for several hours after the work is completed*. Cutting corners during mold remediation *can actually worsen the problem* and increase the spread of harmful spores. We have had patients become much sicker by using inexperienced general contractors or working with family members in order to save money. The long-term health risks of continued mold/mycotoxin exposure for the whole family are never worth the money saved in the short term. Failure to properly and completely address mold in your home or your body can result in continued flares of illness for years to come. *Proper mold remediation is an investment*, but it’s well worth the alternative! ### How Long Does Mold Remediation Take? Mold remediation can span from **a few days to several weeks**, depending on the extent of mold growth and the areas or surfaces involved. The list of steps outlined below assumes widespread mold contamination caused by a water leak. Your home’s mold remediation may require fewer steps – again, a certified IEP will be able to direct and inform you about the mold remediation process that is right for your home. **Important Note: Bleach should never be poured on suspected areas of mold, since it will result in the sudden release of mycotoxins.** ### *A Mold Remediation Timeline* We have divided remediation efforts into two categories. The first is designed to address *any sources of water or humidity*. The second is to *remove mold on surfaces and belongings*. Some of these efforts may happen concurrently, depending on your home and remediation needs. ### *Mold Remediation Process: Addressing Leaks & Humidity* Remember that leaks and sources of humidity must be identified and addressed so that other mold remediation efforts inside your home are not wasted. Water intrusion is the most **common cause of mold and mycotoxin growth**, and eliminating the sources is vital. Drain Water Outside the Home It is important that water drains *away from your home*. All downspouts should remove water at least 6 feet from the outer walls of the home. Remember to clean downspouts regularly, removing leaves and debris to prevent blockages and downspout failure. The slope of the ground around your home should also be graded or sloped away from living structures. If low spots are noted near the foundation, foundation drains may need to be installed with sump pumps in the basement or crawlspace to carry water away from these areas. The best sump pumps have a battery backup in case of power failure, and many now come with notification systems such as audible alarms in case of pump failure or high water levels. Some pumps also contain transmitters that provide text or email alerts in the case of power failure. (This is important because power outages are the most common cause of sump pump failure and **basement flooding**.) Prevent Water Intrusion As long as water continues to enter the home, *microbial growth and mycotoxin production will continue*. Your IEP should thoroughly examine walls, windows, fireplaces, and the roof/chimney for signs of leaks. If roof repair is required, opt for high-quality composite shingles rather than wood shingles. It is also very important to deal with dead valleys where water gathers rather than draining away. If necessary in your climate, now is also the time to apply ice- and water-shield. Address High Humidity Mold and mycotoxin growth can occur when your home has **high humidity levels**, regardless of any external leak. Dehumidifiers should be installed to keep the humidity below 50% inside year-round. Whole-home dehumidifiers tend to be expensive, but portable dehumidifiers are widely available and quite affordable. Some models have a pump feature and hose coupling to allow drainage to a sump pit or outside the home. Models with a bucket are not as convenient since they typically need to be emptied every 3-4 hours in a humid home. **Important Note: Whole-home humidifiers and even small vaporizers can lead to issues with microbial growth and should not be used.** Drain Bathroom Fans All bathroom fans should drain to the outside of the home. Unfortunately, these fans are often vented to the attic, and humidity from the fans can lead to microbial growth over time. Clean or Repair Portable Air Conditioner Drain lines and filters in portable window-mounted air conditioners can harbor microbial growth. During mold remediation, *ensure these units are cleaned or repaired as needed*. ### *Mold Remediation Process: Cleaning Contaminated Surfaces & Items* Like all living creatures, mold requires two things to grow: food and water. Moisture from humidity or a leak plus common building materials such as drywall, wood, or paper equal ideal nourishment for **toxic mold**. The following steps of mold remediation *eliminate those food sources*. Contaminated Building Materials If there is an acute water intrusion event, like a bathtub leak or a sump failure, immediate removal of wet building materials and aggressive drying with industrial fans within 24 hours **may prevent microbial growth**. If drywall is wet, it should be removed and replaced, but wood or composite can remain if completely dried by the fans. Your IEP can take serial measurements of building materials with a two-pronged professional hygrometer to define the extent of wet drywall or provide a benchmark for when it is safe to stop drying and rebuild the living space. Any building materials that have suspected or confirmed **microbial growth** will need to be removed under encapsulated conditions. This means your IEP will tape and cordon off each area so that contaminated materials can be wrapped and removed without spreading mold/mycotoxin contamination to the rest of your home. As mentioned previously, please do not pour bleach on suspected areas of mold, *as it causes the sudden release of dangerous mycotoxins*. Duct Cleaning Any home with detectable mold, mycotoxins, actinomyces, or water intrusion should have a **professional duct cleaning**. Fogging the system with safe anti-mold/mycotoxin cleaning products after duct cleaning is also recommended. After duct cleaning, replace air filters with the highest MERV rating that your HVAC system can handle. (Your HVAC specialist can tell you more if you’re unsure about your system’s specifications.) The MERV rating indicates how well your air filter can capture different sizes of particles, ranging from large to small; the higher the rating, the more effective the filter. *Aim for a filter with a MERV rating of 13-16* if possible. Fogging Some companies use commercial foggers to rid the air of mold and mycotoxins. Following this fogging, surfaces are wiped down and often vacuumed. **Duct cleaning and fogging are always important** – even if mold was only found on one level of a home, the air register intakes can return contaminated air to the furnace, where it can still spread through the rest of the home. Air Filtration and Scrubbing Your IEP should also have access to **commercial-grade air scrubbers** for use during drying or remediation. After remediation is complete, we recommend using a high-quality portable air filtration device in your home. We recommend [IQAir](https://www.iqair.com/us/), [Air Doctor](https://airdoctorpro.com/), and [Austin Air](https://austinair.com/) to our patients. Belongings This is one of the most common questions we get and also one of the most difficult to answer. Non-porous surfaces such as plastic, metal items, and most finished furniture can be wiped with **non-toxic cleaners** made specifically for mold remediation or may be wiped down after fogging by your IEP. As for the rest, discarding everything is never the answer. However, dealing with personal belongings exposed to mold or mycotoxins is a complex triage situation with several variables. Your qualified IEP can offer the most accurate recommendations about what can be cleaned, what may need to be discarded, and what may be stored in a sealed plastic bin to deal with at a later date. ### Testing After Mold Remediation How your family feels in your home is often the best way to determine mold remediation success. However, *we highly recommend post-remediation testing* for mycotoxins, actinomyces, and mold spores, as well as periodic physical inspections in the future. While mold remediation will care for your home, your health may need care as well after mold exposure. It’s important to have [an integrative physician](/) who is well-versed in treating **mold illness** and identifying common complications, such as [PANS/PANDAS](/blog/why-you-must-look-for-and-treat-mold-exposure-in-patients-with-pans-or-pandas/). If you or someone you care about is dealing with mold-related health issues and can make the journey to The Center for Fully Functional Health located in Carmel, Indiana, we invite you to reach out to our office. You can get in touch by completing the form located at the bottom of this page or by calling us at [(317) 989-8463](tel:(317) 989-8463). Our office hours are from 8 AM to 5 PM Eastern, Monday through Thursday. Our team of experienced physicians has amassed *decades of expertise in effectively treating mold-related illnesses and associated conditions*, and we would be privileged to assist you on your path to recovery. --- ## 5 Healthy Gift Ideas **Link:** [5 Healthy Gift Ideas](https://fullyfunctional.com/blog/5-healthy-gift-ideas/) ([md](https://fullyfunctional.com/blog/5-healthy-gift-ideas/index.html.md)) **Description:** Here are some healthy gift ideas for the person that seems to have everything, or those who are chronically ill, or for those that are super health-conscious. ### Content What do you get for the person that seems to have everything? Or the person who is chronically ill? Or for those that are super health-conscious? *These are our absolute favorite healthy gift ideas*! ## ***5 Healthy Gift Ideas *** ### **#1 Homemade Bath Salt Gift Jars: Magnesium With Lavender** **Magnesium** may be one of the most important minerals in the body. It participates in *over 300 enzymatic reactions* – more than any other mineral. These reactions are critical to regulating things such as nerve impulses, muscular relaxation, and bone mineralization…to name a few. Magnesium can be taken orally but transdermally – *through the skin* – is a fantastic delivery mechanism for absorption directly to the cells. Lavender is very soothing and relaxing. It is an **adaptogen** – meaning it can assist the body in adapting to stress and imbalances. Lavender oil added to a warm bath is a wonderful way to unwind and prepare for a good night’s sleep. ** Supplies ** - 1 Pint Mason Jars - Lavender – Use therapeutic grade and very high quality – *I use Young Living Essential Oils* - Magnesium Chloride Bath Flakes – *I use Ancient Minerals* - Ribbon and Gift Tags **Optional – add a sprig (or two) of fresh or dried lavender if you have a plant or dried plant on hand.* ** Instructions** - Fill the Mason jar with Magnesium Chloride Bath Flakes - Put 15 drops of Lavender oil in - Cover and shake to mix in the oil - Wrap it with a nice bow - Write out a gift tag with instructions on it – I recommend that people use ¼-1/2 cup of the mix per bath and soak for 20 minutes Give it as a gift to those super special people in your life and be sure to make extra for yourself. Stop by The Center for Fully Functional Health for the magnesium salts and lavender or call 317-989-8463 *and we can ship these to you*. ### ** #2 Infrared Sauna Therapy ** [Infrared sauna therapy](/functional-medicine/infared-sauna-therapy/) can help you *detox, reduce inflammation, and reach your ideal weight*. In fact, *you can burn up to 600 calories in just one session*! Infrared waves are able to penetrate your body deeply and raise your core temperature. However, they are about 50°F cooler than traditional saunas, making it a much more comfortable experience. **Infrared therapy** is incredibly pleasant, and our patients often leave feeling revitalized and refreshed. We even have one in our home! **Benefits include:** - Enhanced detoxification - Reduction in body fat - Better circulation - Boosted immune system health - Improved joint stiffness - Stress reduction **Infrared Sauna Therapy can help with the following health concerns:** - Cardiovascular disease - Rheumatoid arthritis - Weight loss - Chronic fatigue - Diabetes - High blood pressure ### ** #3 Biomat Therapy ** [CFFH Biomat Therapy](/skin-treatments/facials-with-biomat/) naturally promotes *deep muscle relaxation and increased circulation*, essential steps to becoming Fully Functional®. WE ABSOLUTELY LOVE OUR **BIOMAT**!!! Use it every day, and sleep on it every night, and cannot imagine getting restful sleep without it. For us, it doesn’t replace infrared sauna sessions; *It compliments them*. Dr. Ellen first tried out the Biomat at a Functional Medicine conference. A vendor was there selling them to Clinicians and they had them set up on massage tables to test out. She spent every break getting her “Biomat fix.” It is incredibly relaxing and refreshing at the same time. The temperatures can be adjusted for different conditions as can the length of time of use. Biomat therapy offers **cutting-edge NASA technology** to improve your health using infrared wavelengths and negative ions. Biomats are filled with amethyst stone and emit far-infrared deep heating therapy and negative ions. Amethyst is highly conductive and allows the two therapeutic elements to be more effective, *penetrating deep into your tissues*. Our Richway Amethyst BioMat has been approved by the FDA for relaxing muscles and increasing circulation. In our office, we have seen it be effective for reducing inflammation, stress reduction, and more effective detoxification in those with chronic illness. Some patients continue therapy because it makes them feel fantastic. Dr. Ellen sleeps on hers every night! This is definitely at the top of our list for **healthy gift ideas**. - Enhanced detoxification - Reduction in body fat - Better circulation - Boosted immune system health - Improved joint stiffness - Stress reduction Biomat sessions are 15 or 30 minutes, depending on what is recommended by your physician. The cost is $15 or $30, respectively. Purchase Biomat sessions by themselves or as part of our **lymphatic drainage massage**. Our massage is done on a biomat for maximum benefits! #### **Biomat F.A.Qs ** **What are far infrared rays?** **Far infrared rays** are part of the electromagnetic light spectrum and are close to the light frequency of natural sunlight. However, far infrared does not contain any of sunlight’s harmful UV/UVB radiation. The beneficial properties of far infrared light have received particular attention from the scientific community in recent years, although the first research conducted on this part of the light spectrum was undertaken by NASA decades ago. Today, health practitioners from a wide range of disciplines agree on the beneficial properties of far infrared technology. **What are negative ions?** An **ion** is a particle containing an electrical charge. An ion with a negative electrical charge is called a **negative ion**, and this type of ion is now considered to be *integral to healthy cellular function*. **How does the Biomat deliver far infrared rays and negative ions to the human body?** The BioMat stimulates ion channels by producing negative ions that deliver energy to the cells of the body. The topmost layer of the BioMat is constructed of superconducting channels of pure amethyst, which allow the far infrared rays and negative ions to penetrate the body as far as seven inches. [View an illustration of BioMat layer technology](https://www.biomat.com/wp-content/uploads/2014/07/bio-tech.jpg). **How does amethyst quartz enhance ionic and far-infrared ray therapy?** Amethyst’s healing properties have been acknowledged and celebrated for centuries by ancient scientists, healers, and others. Now, modern science has confirmed the highly conductive properties of this remarkable mineral. Amethyst crystals offer the most consistent and powerful delivery of far infrared light waves and ionic effects to the human body. **How often may I use Biomat therapy?** BioMat therapy may be used *every day*. **Is Biomat therapy safe for children?** Your whole family can use your Biomat, including young children, the elderly, and even family pets! The Biomat offers the same health benefits to people of all ages and has therapeutic value for pets as well. Please check the [Biomat Safety Precautions Page](https://www.biomat.com/faq/safety-precautions/) for further information. Anyone with a medical diagnosis should check with their doctor. **When will I start to see results from my Biomat?** Every person’s experience with Biomat is different. Many people achieve *immediate relief from certain pain and discomfort*, right away. For others, it will take a few weeks before the deep-penetrating treatment begins to bring relief. ### ** #4 Therapeutic & Lymphatic Drainage Massage ** [Therapeutic and lymphatic drainage massage](/functional-medicine/therapeutic-lymphatic-drainage-massage/) provides extraordinary support for *detoxification and pain relief*. Therapeutic massages are treatments completed by certified professionals using techniques that work to improve your health. In our practice, we focus mostly on deep tissue or lymphatic drainage. Some of the benefits include: - Relieving pain - Boosting energy - Reducing the duration of an infection - Promoting good immune system health - Improving the appearance of skin - Restoring metabolism, which supports weight loss - Reducing water retention Our massages are combined with Amethyst BioMat Therapy, which further promotes detoxification. We recommend Lymphatic Drainage Massages to all of our patients with chronic conditions that require better detoxification, including: - Autoimmune disease - Mast cell activation syndrome - Chronic inflammatory response syndrome - Mold illness - Reactivated Epstein-Barr virus - Lyme disease - Thyroid conditions - Fibromyalgia A single session is $197, or buy 3 get 1 free (save $197), or buy 6 and get 3 free (save $591)! ### ** #5 Red Light Therapy ** And wrapping up our 5 healthy gift ideas is [red light therapy](/functional-medicine/full-body-red-light-therapy-pemf/). This treatment can promote healing in skin and muscle tissue, making it ideal for injuries, chronic pain, wrinkles, and scarring​. **Red light therapy** exposes you to safe wavelengths of light that penetrate your skin, allowing your mitochondria to soak it up. **Mitochondria** are the powerhouses inside all of your cells and produce adenosine triphosphate (ATP), which serves as energy-rich cellular fuel. When cells are more energized, they can perform their functions better, faster, and more efficiently. This in turn allows all of your bodily systems to function more optimally, *as you experience healing from within*. Red light therapy emits no heat and has little-to-no side effects. It is non-invasive, painless, and relaxing, making it perfect for a wide variety of health and wellness needs. Red light provides therapeutic benefits without the harmful effects of ultraviolet (UVA/UVB) rays. **It’s safe and painless**, making it an excellent option for anyone experiencing: - Seasonal Affect Disorder (SAD) - Need for muscle growth and exercise recovery - Depression - Chronic or acute pain - Back pain - Skin health, tone and texture - Inflammation - Scars and stretch marks - Immune dysfunction - Impaired brain cognition How is this different from our infrared sauna? Red light therapy does not involve any heat. You can pay by the session for $37, and we also offer a package of 5 sessions for $120, which brings the per-session cost down to $24, saving you $65 over the course of 5 visits. P.S. We loved this article from well-being secrets, [read it **here**](https://www.well-beingsecrets.com/health-benefits-of-far-infrared-rays/)**.**[.block][] You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Beating Adrenal Dysfunction for Calmer, Easier Days **Link:** [Beating Adrenal Dysfunction for Calmer, Easier Days](https://fullyfunctional.com/blog/adrenal-dysfunction/) ([md](https://fullyfunctional.com/blog/adrenal-dysfunction/index.html.md)) **Description:** The adrenal glands are responsible for making a wide variety of hormones. We're sharing what adrenal dysfunction is, common causes, and treatment options. ### Content Your **adrenal glands** do much more than produce adrenaline. They are responsible for fine-tuning many of your body’s processes, fueling the fight or flight response, and regulating your sex hormones. If they fail to work correctly, *there is a direct effect on your well-being*. ## ***The Function of Adrenal Glands *** Your adrenal glands are **endocrine glands** that sit at the top of each kidney. They are responsible for making a wide variety of hormones, including: - **Cortisol** – usually released as a response to stress or low blood sugar. Cortisol helps the body process carbohydrates, fats, and protein – it also suppresses the immune system. Cortisol is produced all day, every day but increases in release occur when required - **Aldosterone** – regulates blood pressure. It also conserves sodium in salivary glands, sweat glands, kidneys, and your colon. - **Androgens** – are turned into testosterone in both men and women, and estrogen in women. - **Adrenaline** – otherwise known as epinephrine – responsible for the rush and ability to take action in the event of an emergency. - **Norepinephrine** – works in tandem with adrenaline. The hormone creates an immediate increase in alertness and focused attention. Norepinephrine makes your heartbeat and gives you nervous energy in times of stress – it triggers the release of glucose stores into your blood. ## ***What is Adrenal Dysfunction? *** **Problems with your adrenal glands can make you ill in many ways.** **Addison’s Disease** occurs when your adrenal glands stop making enough cortisol. It is most commonly caused by an autoimmune process where the body attacks the adrenal glands and impedes the production of this critical hormone. This results in symptoms of *fatigue, weight loss, loss of appetite, weakness, nausea, vomiting, darkened skin, low blood pressure (leading to fainting), craving for salty foods, and even mental health issues* like depression and anxiety.¹ If you suspect you may be struggling with Addison’s Disease, see your doctor to get tested. This is an emergency. **Congenital Adrenal Hyperplasia (CAH)** is a group of genetic diseases. CAH occurs when you have a deficiency in the enzymes needed to produce one or more of the hormones listed above. Often this results in an overproduction of another hormone to compensate. About 90% of CAH cases involve the patient being unable to synthesize cortisol.² They typically have an overproduction of androgens. This inhibits the body’s ability to grow and develop and is usually spotted and treated in childhood. Patients with CAH lead normal lives but have to take medication for life. **Cushing’s Syndrome**, also known as “hypercortisolism”, occurs when the adrenal glands make too much cortisol. Cushing’s can develop when you take high doses of steroid medications for an extended period of time. Unfortunately, It can also indicate the existence of a tumor in the adrenal or pituitary gland. Symptoms include sleep issues, weight gain in the upper body, a rounded rosy face, a fat pad (or “buffalo hump”) in the upper back or lower neck, fatigue, thin arms and legs, weak shoulder and hip muscles, high blood pressure, kidney stones, osteoporosis, extra hair growth on the face, and a low sex drive. If you suspect you have Cushing’s, *you must see a doctor to get tested*. **Hyperaldosteronism** occurs when the adrenal glands overproduce aldosterone. **Aldosterone** causes the levels of potassium in your blood to drop, and your body fluids and tissues to become more alkaline. This leads to fatigue, muscle spasms, weakness, muscle wasting, cramps, nausea, and dizziness. It is important that you seek medical advice if you suspect you have Hyperaldosteronism. The four conditions above occur when the output of your adrenal glands changes significantly. It is important to see a physician immediately if you suspect any of the above. Urgent blood testing, imaging, and hospitalization may be needed. Since both of our physicians completed a residency in **Emergency Medicine** and have worked many years in the Emergency Department, they have extensive experience with manifestations of these potential emergencies both in and out of the hospital including those in the Intensive Care Unit. Through their training and certification in **Functional Medicine**, they have also been trained to diagnose and treat more subtle changes in your adrenal function. This unique perspective and training ensures you will receive the evaluation and treatment you need. A less emergent adrenal issue called “adrenal dysfunction” (sometimes known as “adrenal fatigue”) can have a huge influence on the quality of your life. **Adrenal dysfunction** will lead to many other health concerns *and hormone imbalances*. ## ***What Causes Adrenal Dysfunction? *** Adrenal dysfunction is a complex diagnosis and is often provoked by a cascade of events. You may be experiencing work and/or relationship stress, or a recurrent illness or injury.³ You may be recovering from a recent infection or surgery, or going through pain rehabilitation.⁴ You are likely to increase your production of cortisol in all these scenarios, and the more cortisol you produce, *the more your body acclimatizes to it*. Abnormal cortisol production is also heavily influenced by diet – a diet high in carbohydrates, sugar, and protein is going to trigger your adrenal glands into producing more cortisol to help process your food. Toxic chemicals also have some bearing on cortisol production. The chemicals used in cancer treatments can increase cortisol production. Smoking also triggers cortisol production – in fact, this chemical reaction is the reason smokers feel the need to have a cigarette when they’re stressed. One thing to know is that your body doesn’t differentiate between the different types of stress. Whether you are stressed from work, relationship issues, have an infection, have a traumatic injury, are exposed to a toxin, have a serious medical condition, etc. – the response in the body is always the same – *the adrenals make more cortisol*. ## ***Adrenal Dysfunction Symptoms *** Adrenal dysfunction can emerge more subtly than the other disorders. You may choose to explain away the signs as ‘just stress.’ However, *your body is telling you something is very wrong*. **Do you:** - Always feel tired (but especially in the mornings and late afternoons)? - Have ‘brain fog’ or you can’t think clearly? - Feel lightheaded when you stand up? - Have to eat every three hours or so to avoid low blood sugar? - Always crave salty foods? - Have a low sex drive? - Feel ‘wired’ and unable to relax? - Wake up in the middle of the night for no reason? - Have a thyroid issue not responding to a standard treatment? - Have dry skin? - Struggle with unexplained hair loss? - (As a woman) experience irregular periods? - Have low blood pressure? - Feel depressed or anxious, despite taking medication for it? If so, you may be experiencing adrenal dysfunction. ## ***Testing *** To find out if you are dealing with adrenal dysfunction, *we carry out extensive testing*. We have different means of assessing cortisol levels, including saliva, blood, and urine testing. This allows us to evaluate the level of cortisol in your system. We may also carry out additional blood testing to check your levels of aldosterone, androgens, norepinephrine, and adrenaline as well as evaluating other hormones. Hormones are in a ‘dance’ with one another and rarely do hormone abnormalities happen in isolation. Nutrient deficiencies are frequently found as contributors to **hormone abnormalities**. Testing is done to help us decide how best to treat the condition in an approach that’s tailored to you. ## ***How Do You Fix Adrenal Dysfunction? *** Adrenal Dysfunction has to be tackled **holistically**, meaning that we focus on you as a whole, and we work with you to heal you from the inside out. We use the following approaches: - **Improving your diet & hydration** – We work with you so you can adopt a low-carb, anti-inflammatory diet that heals you from the inside. - **Stress management** – We work with you to find a way to remove the source of your stress. If that is not possible we recommend different things. One of which is Cognitive Behavioral Therapy where we can have counselors teach you some coping mechanisms for dealing with stress more effectively. - **Improving your sleep** – We find ways to improve your sleep hygiene and sleep cycles, leaving you better rested and able to handle new challenges. - **Implementing a gentle exercise regime** – We encourage you to take up a form of gentle exercise like yoga which helps reduce the stress you feel on a daily basis. We also offer a 3-month exercise/lifestyle program. - **Nutritional therapy** – We tailor nutritional treatments to suit your body’s individual needs, to help repair your body. These nutrients are also available intravenously, a quicker, more effective way to nourish your body. Adrenal dysfunction is a complicated condition caused, most of the time, *by chronic stress or illness*. It can result in discomfort and worry, especially if you’re the sort of person who prefers to ignore your body’s warning signs. If you seek out a certified [Functional Medicine Physician](/) before your symptoms become too serious, you can begin the process of listening to and healing your body. **For more information on the best treatments to fix adrenal dysfunction with Functional Medicine, in the Carmel or Indianapolis area** you can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[ *https://www.ncbi.nlm.nih.gov/pubmed/17135373*[.block][] ](https://www.ncbi.nlm.nih.gov/pubmed/17135373)*2 *[ *https://www.ncbi.nlm.nih.gov/pubmed/23044877* [.block][] ](https://www.ncbi.nlm.nih.gov/pubmed/23044877)*3 *[ *https://www.ncbi.nlm.nih.gov/pubmed/23992539*[.block][] ](https://www.ncbi.nlm.nih.gov/pubmed/23992539)*4 *[ *https://www.ncbi.nlm.nih.gov/pubmed/25035267* ](https://www.ncbi.nlm.nih.gov/pubmed/25035267) --- ## Advice & Guidance for PANS/PANDAS Dads **Link:** [Advice & Guidance for PANS/PANDAS Dads](https://fullyfunctional.com/blog/advice-guidance-for-pans-pandas-dads/) ([md](https://fullyfunctional.com/blog/advice-guidance-for-pans-pandas-dads/index.html.md)) **Description:** Being the parent of a child with PANS or PANDAS is hard, but there is hope. As doctors and parents with firsthand experience, here’s our best advice ### Content ###### ****How to avoid the mistakes I made as the father of a child with PANDAS…**** Sudden extreme changes in your child’s behavior can very quickly bring up some unpleasant feelings for parents. Children affected by [PANS or PANDAS ](/blog/what-to-do-if-your-child-pans-or-pandas/) often demonstrate **dramatic changes in behavior**. They often develop severe anxiety, depression, OCD behaviors, and, worse yet, they can become VERY defiant. This is my story. I have a daughter. Her name is Emma. When Emma was just 12 years old she developed **pediatric acute-onset neuropsychiatric syndrome** (PANS). Seemingly overnight she developed extreme obsessions about cleanliness. She was soon washing her hands 20-30 times a day. She would scrub her hands until they bled. She had religious obsessions and dark thoughts. She became convinced that God did not like her. She stopped eating what we cooked for dinner because she was concerned that the food we cooked was raw or contaminated and thought that it would make her sick. She also developed severe insomnia. **What I was not prepared for was the *defiance.*** Emma has 4 brothers and she was always the most compliant and obedient of our children growing up. She looked out for her brothers and often did their chores for them because that is the kind of person she is. Suddenly, Emma was *refusing to go to sleep*. She was repeating questions over and over. She wanted reassurance that food was clean or she was clean. She would confess things she had done or thoughts she had. No matter how many times we answered her questions, it was never enough. There was always “just one more question.” When her mom and I had enough, we would tell her to go to bed. I can remember one night that Emma stomped her foot and said (at the highest volume she could muster), “I’m not going to my room and you can’t make me!” She *demanded* that we answer her questions or she would not comply. She started stealing soap from her brothers after we restricted the amount she could use to wash her hands or shower with. She started using profanity. (We were baffled at where she had learned those words!) The screaming and banging on our door at night kept her brothers from sleeping. She actually kicked our bedroom door off of its frame – twice. When we had to leave the house, she refused to get in the car. Every time this happened I could feel myself clenching my teeth. My breathing changed. I felt stiff and tense. And that’s when the thoughts would flood my mind. I thought… *Children are supposed to OBEY their parents without question… * *Other people’s children obey their parents… * *Maybe I need to punish her to FORCE her to obey…. * *I’m not going to raise some entitled brat… * *She doesn’t act like this when she goes out, maybe she is just a big fake… * These thoughts hit me deep in my soul. At the identity level. You see, what sprang off of the thoughts above were thoughts which were far more painful, like… *Maybe if I were a better father she would listen… * *Maybe something I did or didn’t do caused this… * *Real men fix things… * *My parents divorced when I was 3 and I never knew my father. Maybe I’ll NEVER know how to do this… * To avoid failing at this task, I ended up doing things that ultimately caused the situation to worsen. First, I would drop the hammer and take away every pleasurable experience she could have. No computer. No TV. No drawing. I removed things from her room. I am ashamed to say I even destroyed some of her toys because I was convinced this would *teach* her to obey. This does not work because children with **PANS and PANDAS** act the way they do *because they are TERRIFIED*. I almost object to defiance as being listed as one of the PANS diagnostic criteria because the defiant behavior stems almost exclusively from times when these kids are plagued with intrusive thoughts or severe bouts of anxiety. I always tell parents to imagine they are sitting in a chair, and I walked up and threw a poisonous snake on them while telling them they are not allowed to move from the chair or speak. As you can imagine, if YOU were sitting in the chair, I’m sure you would disobey the instructions and get up from the chair screaming. I also imagine you would have some choice words for me as you were leaving. ## ***Yes, children with PANS or PANDAS disobey, but not typically for the sake of disobedience. They need us to help calm them in their terror.*** It is best to think of **PANS/PANDAS** as a physical illness (because it is). I tell parents to think of it like you would an amputation. If your child lost a leg, you would not yell at them when they could not climb the steps. *You would help them*. This is what our children should expect from us dads, especially when they are sick. Parenting a child with PANS/PANDAS can look like “permissive parenting” to other parents who are fortunate enough not to have a child with these disorders. When your child melts down, be calm. If you are in a public place, you may need to leave, even before your shopping is done. Of course there have to be rules, and physical violence toward themselves and others should never be tolerated. The secret pearl here is that you have to do what is best to heal your family and your child *without worrying what anyone else thinks*. This took me a long time to learn. I eventually apologized to Emma after she recovered from the harsh authoritarian nonsense I thought would force her to comply. She needed grace and understanding. She needed a father who was controlled and resourceful. So, my first tip for effective parenting in PANS/PANDAS is: ## ***Be kind, extend grace, and look for ways to be curious and resourceful.*** I got much better at this as Emma started to recover. I remember once sitting in my front yard with Emma at our house. I had a pile of dog poop in my hand. It was part of her CBT therapy for her OCD. I had to be *resourceful* to show her that touching dirt (or poop in this case) would not kill me. **What else did I try?** The second failed strategy I employed was that I just *disappeared. Maybe because the first approach was failing. Maybe because I thought going to the music store to look at and buy new instruments would give me some sense of self worth. It did at least give me the chance to not have to deal with something I could not fix…* The problem with this approach is two fold. First, **my daughter needed me**. If nothing else, she needed to see me continue to show up when things got hard. The second problem with this approach is that it left my wife alone to weather the storm. In my experience, both parents of children with PANS and PANDAS have the same thoughts. They struggle with feelings of guilt. (Read about that [here](/blog/pans-pandas-symptoms-guilt-its-not-your-fault/)). They feel that something they did or did not do caused this. Leaving your partner alone at this time can reinforce those feelings of guilt. In addition, [being a parent of a child with PANS/PANDAS](/blog/parent-of-a-child-with-pandas-or-pans/) is very, very lonely. I always tell parents when addressing this that family and friends often become scarce. I’m not sure if they think PANS/PANDAS are contagious or if they just don’t know what to say. I guess they are disappearing too. I remember once when Emma was sick, a family from church brought us a meal. They dropped it off in the driveway and never even came to the door. So my second tip for **effective parenting in PANS/PANDAS** is: ## ***Be present – your family needs you. They need to know that if a grizzly bear shows up at the door, you will go outside to fight it.*** My third and final tip for effective parenting in PANS/PANDAS is: ## ***Learn everything you can about PANS/PANDAS. Don’t leave the research to your partner. Two heads are better than one.*** A united front is how the hardest wars are won. And PANS/PANDAS is a battle for sure. A great place to start to learn is the blog archive on our website. If you start [here](/blog/), you can type PANS or PANDAS in the search bar and find many more helpful tips. I hope you’ve found this blog informative and hopefully it can help you to avoid some of the mistakes I made when my daughter was sick – so you will have less to apologize for when they get better! If you would like your child to be seen at The Center for Fully Functional Health, call [(317) 989-8463](tel:(317) 989-8463) or read more about how to [become a patient](/patient-resources/become-a-patient/). **There is ALWAYS hope.** Sincerely, Dr. Scott **If you’re unable to see our team in person or need additional PANS/PANDAS support, please visit [our sister site](https://www.thepandasdocs.com/) for information about resources authored by Dr. Scott Antoine. These include *The Comprehensive Physicians’ Guide to the Management of PANS/PANDAS*, the first and only medical textbook dedicated entirely to the diagnosis, testing, and effective treatment of PANS/PANDAS, and *Defeating PANS & PANDAS*, an online course designed to empower families facing PANS and PANDAS with knowledge, tools, and strategies for healing.** --- ## All About Blood Sugar + Natural Remedies for High Blood Sugar **Link:** [All About Blood Sugar + Natural Remedies for High Blood Sugar](https://fullyfunctional.com/blog/all-about-blood-sugar-natural-remedies-for-high-blood-sugar/) ([md](https://fullyfunctional.com/blog/all-about-blood-sugar-natural-remedies-for-high-blood-sugar/index.html.md)) **Description:** We're sharing pro facts all about blood sugar. What to do if you've been diagnosed with high blood sugar and our Fully Functional® approach on treatment. ### Content A normal healthy **fasting blood sugar** is around [87 mg/dL](https://www.ncbi.nlm.nih.gov/books/NBK555976/). For every milligram over 87, *your chance of diabetes increases greatly*. Once your fasting blood sugar reaches 100 mg/dL, you are said to be “pre-diabetic” and once it reaches 126 mg/dL, *you are diagnosed with diabetes*. BUT, once fasting blood sugar begins to rise above 90 or so, excess glucose in the bloodstream binds to proteins and starts to damage small blood vessels in the kidneys and other organs. The rise in glucose indicates that you have “**insulin resistance**”. In fact, fasting insulin levels begin to rise before your blood sugar does. “Adiponectin” (also measurable in the blood) begins to drop even before any insulin changes are seen! Once **adiponectin** begins to drop and insulin rises, action must be taken in the form of dietary modification and sometimes vital nutrient supplementation to halt this process. ## ***What Can Be Done for High Blood Sugar *** Too many patients are told that nothing can be done when their **glucose** is over 100 but has not reached 126. In the meantime, the clock ticks and the damage is being done. Research indicates that *type II diabetes CAN be reversed by diet and lifestyle* if the pancreatic function has not been completely exhausted. At The Center for Fully Functional® Health, we measure adiponectin, insulin, and fasting blood sugar in all of our patients. Come to see us and we will order a complete panel and help you take charge of your health **before any damage is done**. For additional support, please read our article on [How To Cut Sugar Out of Your Diet: 10 Easy Steps](/blog/how-to-cut-sugar-out-of-your-diet/), which has some great tips! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Why You Should Treat a Strep Throat With Antibiotics **Link:** [Why You Should Treat a Strep Throat With Antibiotics](https://fullyfunctional.com/blog/antibiotics-for-strep-throat/) ([md](https://fullyfunctional.com/blog/antibiotics-for-strep-throat/index.html.md)) **Description:** Do you need antibiotics for strep throat? Most of the time, antibiotics should be administered to treat strep throat. Here is everything you should know. ### Content ## ***Do You Need an Antibiotic for Strep Throat? *** Half a billion people get **strep throat** every year. Even more, believe they have strep throat, so they self-treat with an antibiotic. Here’s the thing. Antibiotics are a miracle in the medical community, but *you have to be sure you have a bacterial infection before using antibiotics*. **If you only have a sore throat, antibiotics may not be right for you.** However, if a doctor diagnoses strep throat, it is very wise to treat the strep infection with antibiotics. The Centers for Disease Control (CDC) [estimate several million](https://www.cdc.gov) Americans suffer from strep throat every year. They also estimate up to 1,900 Americans die every year due to complications stemming from an untreated strep infection. So, **it is important to treat your strep throat**. Most of the time, antibiotics should be administered to treat strep throat. Here is everything you should know before deciding. ## ***Strep Throat vs. Sore Throat *** Strep throat, also known as *streptococcal pharyngitis*, is a highly **infectious disease**. A sore throat is a pain or irritation in your throat caused by any number of risk factors: - [Allergies](/blog/sublingual-immunotherapy-convenient-root-cause-treatment-allergies/) to pets, pollen, etc. - Smoking, chewing tobacco - Air conditioning¹ - Toxin exposure, pollution - Parapharyngeal abscess (rare)² - Lemierre’s syndrome (rare) - Suppurative thyroiditis (rare)³ Viral infections (most common cause of sore throat): - Cold - [Flu](/blog/beat-flu-season-natural-immune-boosters/) - Tonsillitis - Chickenpox⁴ - Croup - [Mononucleosis](/blog/reactivated-epstein-barr-virus-need-know/) Treating a viral infection with antibiotics is unnecessary. The overuse of these drugs has led to **antibiotic resistance** — a real concern of the CDC and modern medicine.⁵ But if it *is* strep throat (or another bacterial infection), antibiotics could be your best bet. **What are the first signs of strep throat?** These are the most common symptoms of strep throat:⁶ - Sudden onset throat pain - Painful swallow - Sneezing, coughing - Fever, chills - Headache - Aching throughout your body - Nausea, vomiting (mainly in children with strep) - Tender, swollen lymph nodes - Red spots at the back of the roof of the mouth (called petechiae) - Red, swollen tonsils (occasionally with white patches)⁷ To **diagnose strep throat** and make sure it is not just a sore throat, your healthcare clinician may administer a **rapid strep test** from a throat swab from the back of the throat (which may cause gagging). A rapid strep test should detect strep bacteria antigens in a few minutes. If that quick test comes back negative, your doctor may still want to do a strep throat culture. A throat swab will be cultured in a lab. It may take as much as two days to detect the strep bacteria in a throat culture. It is more sensitive than a rapid strep test. **What symptoms necessitate a doctor’s visit?** Swollen lymph nodes, fever, problems breathing or swallowing, or any symptom lasting longer than 48 hours should compel you to call a doctor right away. If you are being treated with antibiotics, *and your symptoms haven’t subsided after 48 hours*, call a doctor. If you experience symptoms of strep throat, see a doctor immediately. Treatment is most effective when started within 48 hours of the onset. ## ***Causes of Strep Throat*** Strep throat is caused by ***group A Streptococcus bacteria***. *These bacteria are highly contagious*. Strep bacteria can be spread via: - Coughs - Sneezes - Handshake - Shared food or drink - Doorknobs and other commonly touched surfaces⁸ **Are there risk factors that increase your chance of strep throat?** You are more likely to contract a strep throat infection when: - You are older than 2, but haven’t hit puberty - It is winter or early spring - You are in close contact with others ## ***When You Should Take Antibiotics*** Antibiotic treatment is by far the most common and effective method of **eliminating a bacterial infection**, such as group A strep. We definitely recommend antibiotic treatment if… - Your child has ever had PANDAS - Your doctor is able to confirm your child has a bacterial strep infection - Your child has an otherwise healthy immune system In our practice, antibiotics aren’t always a go-to treatment. They do carry risks, including antibiotic resistance and minor side effects.⁹ However, with our experience treating children facing PANDAS, we find that *it’s better to cure strep quickly* to reduce the risk of children developing a much more serious condition. **What cures strep throat fast?** Antibiotics target and neutralize bacteria, usually getting rid of strep bacteria within two days. Penicillin is probably the most common antibiotic. For those who are allergic to the ‘cillins (including amoxicillin) **azithromycin** is an alternative your doctor may prescribe. **Are there any side effects of taking antibiotics?** The most common side effect that a normal regimen of antibiotics may cause is an imbalance in good bacteria that may lead to diarrhea. You can eat foods high in probiotics (fermented foods) or take a probiotic supplement to restore your microbiome.¹⁰ Individual antibiotics may carry other side effects, such as nausea, vomiting, or other symptoms. Talk to your healthcare clinician if you or your child experience unexpected symptoms after starting an antibiotic, especially if you notice a rash, which may be a sign of an allergic reaction. *Avoid taking antibiotics longer than you need to*, or before an actual **strep throat** diagnosis is reached. **One of the most serious medical conditions facing the world today is antibiotic resistance.¹¹** This happens when we use antibiotics so much that they are no longer effective against harmful bacteria. It’s rare for scientists to discover a new, effective antibiotic, so when common infectious bacteria are no longer useful, this presents a host of problems. But antibiotics are the best solution to diagnosed strep throat. If left untreated, others may contract strep, and there are some serious complications that can arise. ## ***When You Shouldn’t Take Antibiotics*** If you have a **sore throat** that is not caused by a strep infection, *antibiotics are not right for you*. Antibiotics should be reserved for a diagnosed bacterial infection, such as strep throat. **Can strep throat run its course without antibiotics?** Reportedly, strep throat can go away without antibiotics, but that does not mean it is not dangerous. Not only can you infect others, but complications may arise from untreated strep. In order to relieve strep throat symptoms while you treat the underlying cause, you can ease throat pain linked to strep with: - Ibuprofen (Advil, Motrin) - Lozenges and nasal sprays - Gargling salt water (dissolve ¼ teaspoon of salt in eight ounces of warm water, gargle, then spit it out) - Switching out the family’s toothbrushes for new clean ones - Plenty of rest and hydration ## ***Consequences of Untreated Strep Throat*** Strep throat is self-limiting and can resolve itself within a week if left untreated by antibiotics. But this can result in serious complications. And *you could spread the strep infection to others* — children are especially vulnerable. **What can happen if strep throat is left untreated?** There are some serious complications of untreated strep infection. These complications are uncommon but are important for you to know when weighing the risks. Complications include: - Rheumatic fever¹² - Abscess formation - Streptococcal toxic shock syndrome¹³ - PANDAS **PANDAS** (“Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus”) may develop in children with untreated strep throat. [PANDAS](/blog/what-to-do-if-your-child-pans-or-pandas/) results in sudden-onset OCD, aggressive behaviors, ADHD-like symptoms, Tourette-like symptoms, and possibly more. Untreated PANDAS may follow children into adulthood. If you suspect that your child might have PANDAS, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. **We are experts in the diagnosis and treatment of children with PANS and PANDAS** — even helping our own daughter to overcome PANDAS a few years ago. Our office provides [the best care in Indiana for PANS and PANDAS](/). We also see patients from across the country. The first visit must be in the office but often follow-ups may be done remotely. If you are unable to travel, you may be able to find a physician near you at the [PANDAS Physician Network](https://www.pandasppn.org/practitioners/). ## ***Home Remedies for Sore Throat*** Whether you have strep or just a sore throat, *unwanted symptoms can bring a world of hurt*. Here are some natural remedies for a painful sore throat: - Over-the-counter pain medication — such as NSAIDs¹⁴ - Warm drinks, like hot tea - Gargling salt water (without swallowing) - A full night’s sleep - Avoid spicy or acidic foods - Avoid areas where people are smoking ## ***Prevent Strep with a Fully Functional® Immune System*** We often hear from patients who are overwhelmed with medical conditions, confused by doctors’ conflicting information, tired of endless prescription pharmaceuticals, and *interested in optimizing and maintaining their whole-body health*. To address this, we developed the [**Fully Functional process**](/blog/fully-functional/). We help patients stop future diseases and disorders through focused and active prevention. Mitigating the effects of time and toxins, both of which we all have to deal with, can bring physical, mental, and spiritual healing. We divided our Fully Functional® process into five steps: - **Identify** the underlying causes and stressors causing your medical condition. - **Reduce** those underlying causes and stressors, as well as any potential toxins. - **Optimize** how your body deals with everyday life, toxin exposure, and natural biological processes, such as detoxification. - **Support** your [**natural detoxification process**](/blog/liver-detox-optimize-detoxification/), immune system, and mental health. - **Personalize** a Fully Functional® plan specifically for you. Each patient is unique. Follow [**these tips**](/blog/tips-becoming-fully-functional-2/) to become Fully Functional®. For a detailed and personalized plan, you can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 [ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489867/ ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489867/)[.block][]2[ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3645627/ ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3645627/)[.block][]3 [ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965193/ ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965193/)[.block][]4* [* https://www.ncbi.nlm.nih.gov/pubmed/9455050 *](https://www.ncbi.nlm.nih.gov/pubmed/9455050)[.block][]*5* [ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4378521/* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4378521/)* *[.block][]*6* [* https://www.scielo.br/j/rsbmt/a/kgn8tfwQk3QJh83LTTBWVwL/?lang=en *](https://www.scielo.br/j/rsbmt/a/kgn8tfwQk3QJh83LTTBWVwL/?lang=en)[.block][]*7* [* https://en.wikipedia.org/wiki/Tonsil *](https://en.wikipedia.org/wiki/Tonsil)[.block][]*8* [* https://www.ncbi.nlm.nih.gov/books/NBK209710/ *](https://www.ncbi.nlm.nih.gov/books/NBK209710/)[.block][]*9* [* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188119/ *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188119/)[.block][]*10* [* https://www.hsph.harvard.edu/nutritionsource/microbiome/ *](https://www.hsph.harvard.edu/nutritionsource/microbiome/)[.block][]*11* [* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188119/ *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188119/)[.block][]*12* [* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637506/ *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637506/)[.block][]*13* [* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2626872/pdf/8903167.pdf *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2626872/pdf/8903167.pdf)[.block][]*14* [* https://www.medicalnewstoday.com/articles/179211 *](https://www.medicalnewstoday.com/articles/179211)[.block][]*15* [* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4240113/ *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4240113/)[.block][]*16* [* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637506/ *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637506/)[.block][]*17* [* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613642/ *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4613642/) --- ## Applesauce Pancakes (Gluten-Free Vegan Pancake Recipe) **Link:** [Applesauce Pancakes (Gluten-Free Vegan Pancake Recipe)](https://fullyfunctional.com/blog/applesauce-pancakes/) ([md](https://fullyfunctional.com/blog/applesauce-pancakes/index.html.md)) **Description:** Enjoy these gluten-free applesauce pancakes for breakfast! Moist, flavorful, comforting, highlighting ingredients from the anti-inflammatory diet food list. ### Content Enjoy these **gluten-free applesauce pancakes** for breakfast! They’re moist, flavorful, comforting (with all the smells and anti-inflammatory spices floating in the air), and tick all the boxes on the [anti-inflammatory diet](https://pubmed.ncbi.nlm.nih.gov/28350517/) food list. *Healthy does not mean tasteless*. Healthy, whole foods energize our taste buds and provide essential nutrients so we can head into our day fully charged. You can find more great breakfast recipes [here](/blog/). ### Ingredients - 3/4 cup almond or garfava flour - 1/4 cup tapioca starch - 1/2 tsp Baking soda - 1 tsp apple pie spice to taste - 2 tbsp applesauce (generous tablespoons!) - 1 tbsp maple syrup or Stevia - 2 tbsp apple cider vinegar - 1 tbsp oil you are able to consume - 1 1/2 tsp vanilla - 1/2-3/4 cup dairy free milk alternative - 1/2 tsp xanthan gum optional ### Instructions - Mix flours and dry ingredients together. - Combine oil, dairy free milk and vanilla, then add to dry ingredients, followed by applesauce. Then add apple cider vinegar and mix well. - Spoon batter onto hot griddle or pan and turn when bottoms are brown, and finish. - Garnish with fruit. Keywords: anti inflammatory diet food list, anti-Inflammatory recipes, anti-inflammatory spices, applesauce pancakes, gluten free vegan pancake recipe, gluten-free pancakes recipe, pancakes --- ## Apple Slaw With Paleo Mayo **Link:** [Apple Slaw With Paleo Mayo](https://fullyfunctional.com/blog/apples-slaw-with-paleo-mayo/) ([md](https://fullyfunctional.com/blog/apples-slaw-with-paleo-mayo/index.html.md)) **Description:** Eating healthy, anti-inflammatory recipes doesn’t have to be boring! This delicious apple slaw features the sweetness (and crunch!) of apples and Paleo Mayo! ### Content Eating healthy, **anti-inflammatory diet recipes** doesn’t have to be boring! This delicious take on slaw includes the sweetness (and crunch!) of a variety of apples alongside a helping of **Paleo Mayo**! Your taste buds will be begging for more Apple Slaw! [Apples](https://en.wikipedia.org/wiki/Apple) are a rich source of various phytochemicals including flavonoids (e.g., catechins, flavonols, and quercetin) and other phenolic compounds (e.g., epicatechin and procyanidins) found in the skin, core, and pulp of the apple. [Cabbage](https://en.wikipedia.org/wiki/Cabbage) is an excellent source of vitamin C and vitamin K, *containing more than 20% of the Daily Value (DV) for each of these nutrients per serving*. Cabbage is also a good source (10–19% DV) of vitamin B6 and folate, with no other nutrients having significant content per 100-gram serving. Basic research on cabbage phytochemicals is ongoing to discern if certain cabbage compounds may affect health or have anti-disease effects. Such compounds include sulforaphane and other glucosinolates which may stimulate the production of detoxifying enzymes during metabolism. Studies suggest that cruciferous vegetables, including cabbage, may have protective effects against colon cancer. [.block][]For another variation of Paleo Mayo check out [this recipe](/blog/fully-functional-paleo-mayo/)! ### Ingredients #### Apples and Slaw - 2 cups green cabbage organic, shredded - 1 whole yellow beet organic, peeled and shredded - 1 whole red apple organic, cored and chopped - 1/2 whole granny smith apple organic, cored and chopped - 2 whole green onions finely chopped - 1/2 cup red bell pepper organic, finely diced (or orange bell pepper) - 1/4 cup egg-free mayonnaise* homemade or Hampton Creek Just Mayo – not ideal, but ok in a pinch! - 3 tbsp olive oil organic - 1 tbsp apple cider vinegar organic, bragg - 1/2 cup lemon organic, juiced - 1/2 tsp Sea Salt - 1 pinch black pepper to taste #### Paleo Egg-Free Avocado Mayonnaise - 2 whole avocados ripe, fresh - 1/4 cup olive oil high quality (or avocado oil) - 1 tsp lemon juice lime juice or apple cider vinegar - 2 whole garlic cloves freshly diced - 1 tsp Salt - 1 1/2 tbsp mustard (Eden Farms brown mustard is delicious) - 1/2 tsp black pepper ground ### Instructions #### **Apple Slaw** - Prepare homemade mayonnaise if making your own* (you will need ½ of recipe.) - Chop apples and place in medium sized bowl. Squeeze lemon juice on top and stir to prevent browning. - In a large bowl, combine green cabbage, yellow beet, green onion, and pepper. Add apple. - Whisk together mayonnaise, olive oil, vinegar, lemon juice, salt and pepper. - Pour the dressing over the cabbage mixture and stir until well combined. - Refrigerate for at least one hour and serve cold. #### **Paleo Egg-Free Avocado Mayonnaise** - Put all ingredients in a blender or food processor and blend at medium speed until mixed and emulsified. - Store in an air-tight container for up to 2 days though it tastes best if used immediately. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, apple slaw, apple slaw recipe, paleo mayo, slaw --- ## Autoimmune Disease Treatment: Address It Early and Take Back Your Life **Link:** [Autoimmune Disease Treatment: Address It Early and Take Back Your Life](https://fullyfunctional.com/blog/autoimmune-disease-treatment/) ([md](https://fullyfunctional.com/blog/autoimmune-disease-treatment/index.html.md)) **Description:** Read our Fully Functional® approach to reviewing symptoms, causes, diagnosis process, and autoimmune disease treatment. Plus examples of autoimmune disease. ### Content **Autoimmune diseases** are rising exponentially in the United States. While there are many theories as to why autoimmune diseases are increasing, *it’s likely that there are many factors at play*. This article is about autoimmune disease treatment. Autoimmune disease occurs when the immune system attacks its own body’s healthy tissue. The type of tissue that is attacked determines what kind of autoimmune disease develops. For instance, when the pancreas is attacked **Type I diabetes** is the end result, and when the thyroid is involved either **Hashimoto’s thyroiditis** or **Graves disease** ensues. *There are many different kinds of autoimmune diseases*, some without specific names. What causes the immune system to run rampant and attack your healthy tissues is different from person to person, though there are commonalities. Because of the complex nature of autoimmune disease and how the underlying causes are specific and unique to each person, it requires an individualized diagnostic approach and a personalized treatment plan. Read more about autoimmunity and ‘molecular mimicry’ [here](https://www.vinehealthcare.com/2016/11/22/molecular-mimicry-case-friendly-fire/). There is no magic pill for **treating autoimmune disease**. Therefore, it’s in your best interest to find a [certified Functional Medicine Physician](/) who specializes in autoimmune disease to start your journey to becoming Fully Functional® right away. You may hear that autoimmune disease is permanent and to be prepared to treat your condition for the long haul. While it is not always possible, the abnormal immune response that leads to autoimmune disease can absolutely be halted, *and many times the effects of the disease are reversed*. ## ***Examples of Autoimmune Diseases*** While there are many different autoimmune diseases, here are some of the most common – alongside their corresponding tissues and most often seen symptoms: - **Hashimoto’s thyroiditis** – Hashimoto’s thyroiditis is *when the immune system attacks the thyroid gland* causing hypothyroidism. It’s estimated that as many as 90% of people with hypothyroidism actually have Hashimoto’s. Hashimoto’s is typically just treated with thyroid hormone replacement and often doctors don’t look for autoimmune disease. Symptoms of Hashimoto’s are those of hypothyroidism and include unexplained weight gain, fatigue, increased sensitivity to cold, depression, inability to exercise, lateral eyebrow hair loss, and some skin conditions. - **Rheumatoid arthritis (RA)** – People often confuse *rheumatoid arthritis* with *osteoarthritis*. The autoimmune condition (RA) is when your immune system is attacking healthy joints. Therefore, symptoms of rheumatoid arthritis are joint related and include pain of the joints, stiffness (usually worse in the morning), deformities of the fingers (typically) and fatigue. - **Lupus** – Lupus is when your immune system attacks many tissues throughout the body which can include your heart, lungs, kidneys, skin, joints, blood vessels, and brain. Symptoms of lupus are often multisystem and confusing. They include joint pain, muscle, fever, hair loss, chest pain, rashes, swelling around the eyes, mouth ulcers, and extreme fatigue. - **Type 1 diabetes** – Many people don’t realize that *type 1 diabetes is an autoimmune disease*. Type 1 diabetes occurs when the immune system attacks the pancreas, which causes it to slow or stop insulin production. Symptoms of type 1 diabetes include excessive thirst, frequent urination, hunger, blurred vision, and fatigue. Diabetes can cause damage to many bodily systems. - **Inflammatory bowel disease (“IBD”)** – This includes *Crohn’s disease* and *ulcerative colitis*. Both conditions can result in severe diarrhea, bloody stool, extreme fatigue, abdominal pain, and weight loss. - **Celiac disease** – This is an autoimmune condition in which consumption of gluten (a protein complex found in wheat and many other grains) causes the body to attack the small intestines leading to inflammation and sloughing of the lining of the GI tract. Symptoms may be isolated to the GI tract (bloating, pain, weight loss, bloody stools) but neurologic system findings including headaches and difficulty walking as well as a rash known as “dermatitis herpetiformis” may be seen. It is also possible to have symptoms in several systems at once. - **Sjogren’s** – Also called “*keratoconjunctivitis sicca*”. This condition is caused by an autoimmune attack on the salivary glands and eye lubricating (lacrimal) glands. Symptoms include dry eyes and a very dry mouth. - **Graves disease** – This is an autoimmune condition which causes *overactivity of the thyroid gland* (“hyperthyroidism”) and often protrusion of the eyes, called “proptosis”. Symptoms include weight loss, rapid heartbeat, fever, tremors, and visual changes. When sudden and severe, patients can have a “thyroid storm” which is a true medical emergency. ## ***Autoimmune Disease Symptoms *** **Autoimmune disease symptoms** differ depending on the specific type of condition, as above. If you’ve been told you have a problem with an organ within your body such as your thyroid, it is possible that you have an autoimmune disease where your immune system is attacking that particular organ tissue. *Consider having a simple blood test for autoantibodies*. ## ***Autoimmune Disease Causes *** It’s more accurate to think of the causes of autoimmune diseases as **contributors** because there is usually more than one factor at play that causes dysfunction of the immune system response. The contributors of autoimmune disease differ from person to person, though there are a few common factors. Autoimmune disease contributors include: - **Gut microbiome imbalance** – Your microbiome (the bacteria in the intestines) must contain the proper species of bacteria in the proper numbers and in proper ratios. If sufficient healthy bacteria are not present or unhealthy pathogenic bacteria are present, the microbiome is said to be “unbalanced”. - **Leaky gut syndrome** – also known as “*increased intestinal permeability*”. Your intestine functions as a barrier and, when healthy, only allows certain food proteins to cross. If there is an impairment in the ability to regulate which food proteins cross the barrier undigested, leaky gut ensues. This is a common cause of food allergies and sensitivities. - **Overuse of antibiotics** – which cause both leaky gut and an imbalanced microbiome by killing the “good” bacteria. - **Extremely poor diet** – adequate nutrients such as zinc and vitamin D are required to maintain the healthy gut barrier. *Inflammatory foods also impair the gut wall*. Additives and preservatives or chemicals in processed foods are also an additional load on the immune system which may contribute to overactivity. - **Underlying infections** – Some chronic infections are associated with autoimmune diseases. - **Toxin exposure** – any chemical your body encounters must be evaluated and dealt with in some way by the immune system. If this response gets “stuck on”, autoimmunity can occur. - **Certain medications** – are associated with increased risk for autoimmune disease. ## ***Autoimmune Disease Treatment Options*** When it comes to treating your autoimmune disease, treatments will depend on what tissues in the body are affected. However, immune system dysregulation and widespread inflammation are underlying factors in all autoimmune diseases. So, while we are running diagnostics and identifying personal triggers, we will get you started on some therapies to reduce these factors and support a healthy immune response, which helps you find relief faster. And that’s what we are all about! Some of our favorite ways to reduce inflammation and **restore immune system function** include: ### **1. Healing the gut** The first thing we do is make sure your gut is in tip-top shape. When your gut isn’t functioning well, it can be causing inflammation throughout the body and preventing you from getting the nutrients you need. Conditions like intestinal permeability not only contribute to your autoimmune disease, it can also cause nutrient deficiencies. ### **2. Correcting lifestyle habits for better health** Usually, there are lifestyle changes we can make right off the bat that help your immune system strengthen and respond appropriately, so you can find immediate relief. These recommendations are unique to you. ### **3. Checking and treating for underlying infections** It’s fairly common with autoimmune disease that there is an underlying infection that triggered your condition.¹ Pathogens like [reactivated Epstein-Barr virus](/blog/reactivated-epstein-barr-virus-need-know/) and [Lyme disease](/blog/lyme-disease-8-things-you-need-to-know/) can cause autoimmune disease reactions. ### **4. Infrared sauna** [Infrared saunas](/functional-medicine/infared-sauna-therapy/) are great for people with autoimmune disease because *they help reduce inflammation and promote detoxification*. Infrared saunas are also great for people who are having a hard time exercising due to their illness. ### **5. Lymphatic drainage massage** [Lymphatic drainage massages](/functional-medicine/therapeutic-lymphatic-drainage-massage/) are a type of **therapeutic massage** that promotes lymphatic system flow. This helps your body detoxify and can release blockages. All of our lymphatic drainage massages are done on our **BioMat**, which has additional advantages. ### **6. BioMat therapy** Our [BioMat](https://www.vinehealthcare.com/services/biomat-therapy/) floods your body with negative ions, which fights free radicals and inflammation in the body. When you’re treated for an autoimmune disease at our [functional medicine center](/), you receive a personalized treatment plan and support every step of the way so that you can get your condition under control. We’ve developed our Fully Functional® process so that you can live a rich and fulfilling life, even in the face of your autoimmune condition. Many of our patients are surprised at just how well they can manage and often reverse any evidence of their autoimmune disease with this proprietary process. ## ***Finding an Autoimmune Disease Specialist *** When it comes to finding an **autoimmune disease specialist**, we recommend finding a certified Functional Medicine Physician with extensive experience treating autoimmune conditions. Stay current on all the latest Fully Functional® news by signing up for our newsletter. If you are in Carmel, Indiana or the Indianapolis area and are looking for a certified Functional Medicine Physician, Drs. Ellen and Scott Antoine have many years of experience in autoimmune disease treatment, *and successfully managing chronic autoimmune conditions*. They are also board certified in Emergency Medicine and have extensive experience in treating the very sickest patients both in and out of the hospital. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2665673/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2665673/) --- ## Avocado Cilantro Lime Dressing (Gluten-free, Dairy-free w/ Vegan Option) **Link:** [Avocado Cilantro Lime Dressing (Gluten-free, Dairy-free w/ Vegan Option)](https://fullyfunctional.com/blog/avocado-cilantro-lime-dressing/) ([md](https://fullyfunctional.com/blog/avocado-cilantro-lime-dressing/index.html.md)) **Description:** This Avocado Cilantro Lime Dressing is the best alternative to store-bought, sugar-filled processed dressings. It's quick, simple, and lasts for up to 5 days. ### Content This creamy **Avocado Cilantro Lime Dressing** is the best possible alternative to store-bought, sugar-filled processed dressings. It’s quick and simple and lasts for up to 5 days. It’s small steps like these that lead you towards optimal health, so why not? Enjoy with salad, veggies, tacos, and anything else that sounds good to you. And did we mention the health benefits of cilantro? Check out this article on “[Coriander (Coriandrum sativum): A promising functional food toward the well-being](https://pubmed.ncbi.nlm.nih.gov/29433220/).” – Cilantro is the Spanish word for coriander. For the perfect dish, pair this Avocado Cilantro Lime Dressing with our [Stuffed Sweet Potatoes – Healthy Chicken Taco Recipe](/blog/stuffed-sweet-potatoes-healthy-chicken-taco/). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! ### Ingredients - 1 whole avocado ripe, 1 large or 2 small - 1/4 cup olive oil - 1 handful cilantro - 1 whole jalapeño stem and seeds removed - 2-3 cloves garlic - 1 whole lime juiced - 1 tbsp honey maple for vegan option - 2 tbsp apple cider vinegar - 1/4 cup water (more if you want it thinner) ### Instructions - Add all ingredients to a food processor, blender, or immersion blender and blend until desired consistency. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory salad dressing, avocado cilantro lime dressing, avocado dressing, cilantro avocado salad dressing, cilantro dressing, ginger lime dressing, healthy avocado dressing, salad dressing --- ## Beat Flu Season With These Natural Immune Boosters & Natural Remedies **Link:** [Beat Flu Season With These Natural Immune Boosters & Natural Remedies](https://fullyfunctional.com/blog/beat-flu-season-natural-immune-boosters/) ([md](https://fullyfunctional.com/blog/beat-flu-season-natural-immune-boosters/index.html.md)) **Description:** When cold and flu season arrives, consider incorporating a few of our natural flu remedies and natural immune boosters. Don't miss out on these great tips! ### Content Cold and flu season is here, and protecting ourselves with **natural immune boosters** is a great way to plan ahead. No matter where you are on your health journey, the “common cold” can knock you down. We all know the symptoms; the chills, fever, sore throat, and congestion feel anything but common. But before you reach for the hand sanitizer in terror, take a breath. There are plenty of natural immune boosters that won’t harm your microbiome (in fact, some of them will even strengthen it!) *to work with your immune system*. Consider incorporating a few of these tips into your routine for a kinder, gentler, Fully Functional® cold season. ## ***Vitamin C *** Let’s start with the familiar. There’s definitely some validity to the classic advice that drinking a glass of orange juice will ward off the common cold. Research suggests that **vitamin C is a key nutrient involved in our immune function**, including the function of phagocytes and T-cells. Low levels of this nutrient may make us more susceptible to sickness.¹ However, chugging orange juice probably won’t reduce your risk of getting sick — perhaps just decrease the severity of your illness when you do fall ill. What’s more, the unregulated sugar hit you get from 8 oz of orange juice may further disrupt your system. Not exactly what we’d like to have happen. Instead, I recommend regularly working vitamin C-rich vegetables into your diet as a means of preventatively shoring up your vitamin C stores. Vitamin C-rich foods include brussels sprouts, broccoli, kale, cauliflower, bell peppers, and parsley. *Many of these foods actually contain more vitamin C than oranges* and also offer the gut-boosting benefits of fiber. When it comes to immune health, feeding beneficial gut flora might be one of our best tools! ## ***Probiotics (and Prebiotics!) *** I’m often pleased to see that even mainstream health and wellness seems to be catching on to the idea that gut health strongly impacts our overall health. Our immune response begins in our gut, where the cells responsible for attacking external pathogens are created.² Achieving **immune homeostasis**, or *a state where our immune system can fend off foreign invaders* (like that icky strain of flu going around) but doesn’t attack our own cells (as is the case in autoimmunity) requires a difficult balance. One of the easiest ways to foster this balance is through **probiotic and prebiotic supplementation**. Probiotic strains pass through our large intestine, what we refer to as our gut, and promote a balance of good bacterial strains. Our Fully Functional® Probiotics 100 blend is an excellent all-purpose probiotic. If you think your gut health may be disrupted by a pathogen or another imbalance, it’s crucial to begin treating that imbalance as quickly as possible. In these cases I always recommend [working with a practitioner](/patient-resources/become-a-patient/) to run a gut microbiota test, which may be followed by targeted probiotic therapy. Your practitioner may also recommend a prebiotic therapy to help “feed” the good bacteria you’re introducing with a probiotic supplement. Prebiotic fibers provide the raw material these bacteria need to thrive. They’re found in prebiotic supplements, but also in cooked and cooled white potatoes, onions, garlic, green bananas, cassava root, and beans (if tolerated). Balancing gut flora is **essential to immune health**, and should be a priority if you hope to stay Fully Functional® through the winter! ## ***Vitamin D *** We refer to this nutrient as a vitamin, *but it behaves more like a hormone*, with a receptor on immune cells that modulates our immune response. Low levels of vitamin D are associated with autoimmune disease and increased susceptibility to disease.³ Since [vitamin D](/blog/health-benefits-of-vitamin-d/) is synthesized on the skin with exposure to sunlight, I find that patients tend to be critically low in this nutrient during the fall, winter, and even spring months (although most patients, especially ones with autoimmune disease, are critically low year-round). We recommend **vitamin D supplementation** as the only reliable way to raise levels in preparation for cold and flu systems. This nutrient is so crucial to immune function that it tends to be on even our shortest lists of recommendations. Consider discussing supplementation with your practitioner. ## ***Glutathione *** We addressed the incredible benefits of **glutathione** in a recent article, [Glutathione: Our Most Potent Detoxifier](/blog/benefits-of-glutathione-our-most-potent-detoxifier/). Maintaining a high level of glutathione is *crucial to immune balance*. It regulates our immune systems, and we almost always see depleted glutathione levels in our patients with chronic disease. Glutathione works by regulating metabolic pathways to help cells control their reaction to oxidative stress, thereby controlling inflammation.⁴ This means glutathione can both stimulate the immune system to fight off disease and down-regulate the immune system in the case of an autoimmune attack. Clinical trials indicate glutathione may be beneficial in treating a range of diseases *from acute infections to diabetes*. ## ***Elderberry *** **Elderberry** is a natural, herbal remedy for the common cold with an interesting body of scientific research behind it. Researchers believe elderberries have *antibacterial and antimicrobial properties*, and perhaps more importantly can help modulate our immune response.⁵ In one randomized, controlled study, patients with flu-like symptoms who received a dose of elderberry syrup four times a day reduced their symptom duration by four days and needed less rescue medication than those who received a placebo syrup.⁶ In another double-blind study, air travelers had significantly lower cold durations when given elderberry syrup than those given a placebo.⁷ Elderberry is a fairly inexpensive alternative to over-the-counter cold and flu treatments (an excellent recipe for homemade elderberry syrup is [here](https://realfoodrn.com/homemade-elderberry-syrup/)), and we recommend it as a first line of defense. ## ***Natural Immune Boosters for a Fully Functional® Winter *** When kids are in school and cold and flu season looms, it can be tempting to turn to every germ-busting, antibacterial remedy we can think of. But while a clean home can be beneficial, there are more powerful ways to protect our families from a frustrating bout of sickness. Focusing on these **natural immune boosters** can help us shore up our body’s defenses without destroying our beneficial gut flora. Try incorporating vitamins C and D, probiotics, glutathione, and/or elderberry into your routine for a smoother cold and flu season. Make sure to make an appointment at our [functional medicine office](/) so we can talk through even more ways to [*optimize immune function*](/blog/fully-functional-minute-1/) and leave you feeling Fully Functional® for life! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. To keep up to date with health tips and advice, subscribe to our newsletter by clicking [here](/patient-resources/become-a-patient/). *Sources:[.block][]1 *[*https://pubmed.ncbi.nlm.nih.gov/19263912/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/19263912/)*2 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337124/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3337124/)*3 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166406/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166406/)*4 *[*https://pubmed.ncbi.nlm.nih.gov/25327310/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/25327310/)*5 *[*https://pubmed.ncbi.nlm.nih.gov/15080016/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/15080016/)*6 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848651/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848651/) --- ## Beating the Winter Blues With a Mindset Shift **Link:** [Beating the Winter Blues With a Mindset Shift](https://fullyfunctional.com/blog/beating-the-winter-blues/) ([md](https://fullyfunctional.com/blog/beating-the-winter-blues/index.html.md)) **Description:** Here are a few of our favorite ways for beating the winter blues. Implementing a mindset shift, and embracing winter as an opportunity for personal growth. ### Content As we head into February, many of us find ourselves battling that negative voice reminding us that we haven’t yet accomplished all of our New Year’s goals. We may begin the year with a burst of energy and lots of dreams. We’re anxious to accomplish everything and put all the new habits in place all at once, but often it doesn’t happen as quickly as planned. So we’re sharing our pro tips for **beating the winter blues**. We feel guilty when our natural energy doesn’t seem up to all the tasks and may end up giving up on our goals instead of taking small, meaningful steps toward them, in alignment with the season and our energy level. In addition to the weather, this can be a chief contributor to the “winter blues”! There is a tension between the start of a new year and the burst of energy it brings, with goals set and lists to be accomplished and the natural rhythms of winter when our bodies naturally want to slow the pace. Our bodies naturally need more sleep and restoration, our minds need more self-reflection, planning, dreaming, journaling, and our hearts need more connection. In our modern world, there is little regard for the natural order and flow of the earth’s cycles. Throughout the history of time, schedules, routines, and duties have shifted according to how the light and seasons shifted. Today, we push through all seasons with the same schedules, routines, and responsibilities, because the modern world requires us to. *We no longer live based on seasonal rhythms*, and we don’t have much of a choice about it. Still, the natural order of things does not stay the same and our bodies know it. So, we pay the price, physically, in the winter, with **broken-down immune systems** and mentally with symptoms of [seasonal affective disorder](https://www.nimh.nih.gov/health/publications/seasonal-affective-disorder/), and increased negativity, anxiety, and depression. Winter can be a vital season of personal growth, when we honor the changes it requires and establish routines that flow with the season and stop battling against nature. Winter is not meant to be a season of hustle and full speed ahead, so let’s embrace that and come out on the other side, restored and ready for Spring renewal, growth, and energy! ## ***A Few of Our Favorite Ways To Beat the Winter Blues *** Implement **a mindset shift**, and embrace winter as an *opportunity* for renewal, and personal growth. - Embrace needing more sleep. Go to bed earlier and sleep a little later than normal. *And don’t feel guilty about it*! Check out our tips on [sleep hygiene](/blog/tips-for-improving-sleep-combat-insomnia-good-sleep-hygiene/). - Feed your body nourishing comfort foods that are warming and supportive of the season, like nutrient dense soups, or roasted root vegetables with lots of warming spices like cinnamon or cayenne. - Bundle up appropriately and *get outside for long walks* with someone you love, or your dog! - Drink lots of teas and other nourishing warm drinks. - Treat yourself to an [infrared sauna](/functional-medicine/infared-sauna-therapy/) or some hot yoga classes and break a good sweat. - Dress cozy, warm and comfortable. - Relax by the fire. - Organize and refresh your interior environment. - Read great books. Learn something new! - Exercise to boost positive energy and outlook. - [Make a vision board](/blog/how-to-make-a-vision-board/) full of the things you’re looking forward to and dreaming about. - Prioritize close connection with others - Make time for inner reflection. Plan and dream and learn and grow mentally and spiritually. And when the sun is out, turn your face towards it and know that warmer, more energetic days are ahead. The winter will end, but in the meantime, *let’s make it work for us*, not against us! Beating the **winter blues** doesn’t have to be a battle. It’s an opportunity for much-needed growth. Let us know your favorite tips for surviving winter in the comments! You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Being Your Own Health Advocate: It’s Up to You! **Link:** [Being Your Own Health Advocate: It’s Up to You!](https://fullyfunctional.com/blog/being-your-own-health-advocate/) ([md](https://fullyfunctional.com/blog/being-your-own-health-advocate/index.html.md)) **Description:** There is no one that is going to take better care of you - than you! Here are our top 10 tips for being your own health advocate, and receiving excellent care. ### Content There is no one that is going to take better care of you – than you! Here are our **top 10 tips for being your own health advocate** and ensuring you are prepared and receive excellent care: ## ***Top 10 Tips for Being Your Own Health Advocate *** ### **1. Know what you are looking for in your doctor-patient relationship.** Is your current relationship everything you want it to be? If not, *ask for it*. Do you want to be part of the decision-making process in your medical care or do you prefer for your physician to direct and make all of the medical decisions? How much time do you expect your practitioner to spend with you during appointments? Do you want to be educated about your health/plan of care or does that overwhelm you? Is your doctor going to call you at home to give you the results of a test you are waiting on (such as an MRI of your brain because of new headaches or a CT scan to look at a lump you noticed) or is he/she going to make you wait until your next scheduled appointment? ### **2. Ask questions and find a practitioner willing to answer them.** *Ask anything and everything you want to know*. Be willing to be patient while waiting on answers. Your doctor doesn’t always have the time during your appointment to answer them so be patient but be persistent. ### **3. Communicate your concerns and needs/desires.** *Be clear with your expectations*. Not all patients are the same. Your physician can’t predict what your needs and expectations are without hearing them from you. ### **4. Don’t give up.** If you don’t find what you are looking for with the first practitioner you visit, *find another*. ### **5. Educate yourself.** In order for you to be your best advocate, you have to know what questions to ask. You need to know what labs or ancillary tests are available and what the results mean. You need to read up on your health concerns/conditions and be prepared for your appointment. If you are interested in any **alternative therapies** you should research them so that you can ask about them. ### **6. Be organized.** Keep all your medical records together. Whether it is an electronic file or paper file, organize all of your labs and instructions in one place. Often a binder with folders can help keep lab results, bills, and physician instructions organized. ### ** 7.Always have a ‘must be answered’ list.** Create a list of *the most important questions you have* and make sure they are answered before you leave the appointment. ### **8. Have an advocate.** Bring someone with you to take notes, to be an extra pair of eyes and ears, perhaps to ask questions, etc. If you know someone with a medical background, bring him/her with you. ### **9. Consider getting a second opinion.** If your health condition is serious and your practitioner is recommending an aggressive treatment **you might consider getting a second opinion**. Seeking the care of a specialist in this particular field of medicine might be warranted. ### **10. Carry your important information with you.** Keep a wallet-sized file of your medical conditions, a current list of your supplements, herbs, and/or medications, your allergies, and your doctor’s contact information handy. You never know when an emergency will occur and this file may prove crucial at some point in the future. ## ***More Helpful Resources for Being Your Own Health Advocate*** - National Institutes of Health: [Patient Education vs. Patient Experiences of Self-advocacy](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598253/) - [Fully Functional® Health Coaching](/functional-medicine/health-coaching/) [.block][]You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## The Benefits of a Health Coach **Link:** [The Benefits of a Health Coach](https://fullyfunctional.com/blog/benefits-of-a-health-coach/) ([md](https://fullyfunctional.com/blog/benefits-of-a-health-coach/index.html.md)) **Description:** A health coach can help you sort out truth from fiction, provide you with information that’s tailored to your individual challenges or goals, and most importantly give you the time and space to ask questions, be yourself, and speak openly in a supportive environment. ### Content This blog was contributed by Heather Hartung and Shelli Andrews. Are you confused by the abundance of conflicting nutrition advice out there? Do you feel you need more support for your health issues, but don’t know where to begin? Do you wonder what his getting in the way of being and feeling healthy? Navigating your health can feel overwhelming! **Health coaches** can help you sort through it all, while providing one-on-one support, guidance, and accountability. The reality is there is no “one-size-fits-all” diet or approach that’s going to work for every single person, and figuring out the most nourishing diet and lifestyle for YOU isn’t always easy! Whether you’re struggling with cravings, finding the motivation to keep up with your fitness routine, have difficulty managing stress, or desire more creativity in the kitchen, a health coach can help you establish the structure you need to make progress toward your goals. A health coach will help you identify the easiest changes to make *today* that will make the biggest impact on your health for a lifetime. A health coach can help you sort out truth from fiction, provide you with information that’s tailored to your individual challenges or goals, and most importantly give you the time and space to ask questions, be yourself, and speak openly in a supportive environment. ### Here are just a few reasons you might benefit from health coaching! **Something seems “off” in your body but you can’t figure out what it is or how to fix it.** Fatigue, low energy, brain fog, weight gain and digestive issues are all common symptoms, but the root of the problems differ from person to person! Sometimes seemingly minor or common issues can have major effects on health! Don’t let things get out of hand. [Health Coaching](/functional-medicine/health-coaching/) can help you process through what you’re experiencing, identify triggers, get to the root of your imbalance, *and find new ways to help you feel your very best*. A health coach can teach you how to tune in to your body’s signals and guide you in making sustainable lifestyle adjustments. **You’re not sure where to begin.**[.block][] You know you need to make a diet and lifestyle change, but feel confused and overwhelmed. There is a lot of conflicting **nutrition advice** out there and everyone is touting a different diet plan. Paleo, vegan, ketogenic, Mediterranean…which diet plan is best? *A health coach can help you sort through the noise* and guide you toward an eating plan that works best for you! A health coach can help you create your personal wellness vision: what would your life look like if you were at your optimal level of health and wellness? You’ll explore what matters to you to help you find the motivation to make sustainable, long lasting changes. **You’re looking for a more personal approach with plenty of accountability.**[.block][] A health coach can help you shine a light on patterns that aren’t serving you and guide you to create healthier habits. A health coach will empower you to take responsibility for your own health, while listening deeply to you and guiding you in making **sustainable diet and lifestyle choices** that will support your goals. **You’re struggling to accomplish your goals.** You’re more likely to succeed when you have guidance and accountability. Regular check-ins with a health coach make you accountable for your choices in a way that is *motivating and encouraging*. A health coach will help you both set and reconnect with your primary goals and what’s preventing you from achieving them. **You know it’s about more than the food.**[.block][] There are many factors that go into finding your unique balance! Stressors and toxins in our lives, adequate sleep, and feeling that we are living a life of purpose are just some of the factors that influence our health. Connecting the dots, putting it all together in a way that makes sense and allows you to thrive requires personal attention from someone knowledgeable and supportive. *A health coach takes a holistic approach to health and wellness*, which means looking at how all areas of your life are connected. If you are fearful of change, a health coach can help you identify and conquer the fear, so you feel supported, accountable and **empowered**! **You want to be a positive role model for your family.**[.block][] One of the amazing things that begins to happen when we truly begin to care for ourselves, is the positive ripple effect it has on others. **A health coach can help you improve your own health** and through that process, allow you to become an inspiration for others, whether family, friends or colleagues! Don’t go it alone! Get the support you need from one of our **Certified Health Coaches**, [Heather](/about-us/) or [Shelli](/about-us/). They would love to support you on your journey to vibrant, Fully Functional™ health! ## Now Offering --- ## Benefits of Dry Skin Brushing **Link:** [Benefits of Dry Skin Brushing](https://fullyfunctional.com/blog/benefits-of-dry-skin-brushing/) ([md](https://fullyfunctional.com/blog/benefits-of-dry-skin-brushing/index.html.md)) **Description:** Dry brushing is an efficient way to assist the body with detoxing. We're sharing all the how-tos and benefits of dry skin brushing. Brush your skin like a pro! ### Content Several years ago **dry brushing** was touted as a simple and very successful way of *reducing cellulite*. While we’re all for getting rid of those unsightly lumps or bumps, we’re more concerned with overall wellness and optimizing detoxification. There are many benefits of dry skin brushing. Its an incredible way to assist the body’s natural ability to eliminate toxins. We recommend that all of our patients adopt this easy and effective body care practice. **Every person has several major routes of eliminating toxins from the body:** - Colon - Liver - Kidneys - Lungs - Lymphatic system - **Skin** - our largest organ of elimination[.block][] **Proper dry skin brushing** stimulates the lymphatic system, exfoliates, and invigorates the dermal layer of the skin, and assists the body to eliminate toxins both through the skin and by stimulating the deeper layers. *Up to one-third of all the impurities of the body are excreted through the skin*. This equals more than one pound of waste disposal through the skin, if it is healthy and cared for, every day. ## ***Benefits of Dry Skin Brushing *** - Exfoliates the entire dermal layer of the skin - Increases circulation - Accelerates toxin elimination - Stimulates the lymphatic system - Increases cell renewal - Improves digestion - Improves kidney function - Reduces cellulite/relieves stress - Strengthens the immune system - Helps prevent premature aging - Stimulates both the sweat and sebaceous glands - the hormone and oil producing glands. This contributes to healthy, moist, and supple skin. While dry skin brushing helps to remove the dead skin cells that sit on top of the skin it also serves to gently **stimulate the lymphatic system** to encourage the discharge of metabolic waste. The lymphatic system, which is made up of lymph nodes, the spleen, the thymus gland, and the tonsils, can be stimulated with proper dry skin brushing. If toxins are not eliminated through the skin layer, the liver and kidneys must work harder to remove toxins, pesticides, chemicals, and environmental influences we have exposure to. Because of our daily environmental exposures, these organs can quickly become over-taxed and sluggish, causing toxin buildup and contributing to toxin overload in the body. In addition to stimulating the lymphatic system directly, **dry skin brushing** stimulates the circulatory system to carry waste to the surface of the skin to be released through the pores and sweat glands. This stimulation has the dual function of removing dead skin cells thereby making the skin, our largest eliminatory organ, more supple, healthy, and moist. It also moves the deeper layers of the lymphatic and circulatory system by increasing blood flow to the surface skin layers where the blood can oxygenate and nourish the skin surface. This is how dry skin brushing reduces cellulite and reduces the overall stress load of the body *to help prevent premature aging and wrinkled skin*. Not only will dry brushing smooth out your skin and reduce cellulite but it will also provide all of these other amazing health benefits. Add this simple, less than five-minute, personal care regimen into your daily practice. *Your body will thank you*. ## ***How To Dry Brush Your Skin *** Sweep up your limbs from feet up legs, and from hands up arms. Employ a circular motion on the abdomen, and chest. In the groin area, you will sweep inward. The buttocks you will sweep outward. A complete skin brushing will take no longer than **5 minutes**. For best results, *skin brush every day*. ### **1. Use a ** **[natural bristle brush](https://www.amazon.com/MainBasics-Oval-Brushing-Body-Brush/dp/B08F5KXYBV/ref=asc_df_B08F5KXYBV/?tag=hyprod-20&linkCode=df0&hvadid=475772186833&hvpos=&hvnetw=g&hvrand=3129326517772056353&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=1022584&hvtargid=pla-1058371862063&psc=1)** that is designated only for this function. ### **2. Do not get your brush wet** except to wash it with warm soapy water periodically. ### **3. Begin at the feet** and including the feet work your way up the body toward the heart. The lymphatic system is made up of a continual series of one-way valves that promote flow of lymph upward. For this reason, *always stroke upward when you dry skin brush*. ### **4. Use long flowing movements** Brush the feet, brush up each leg all the way around from the ankles to the knees and then from the knees to the hips. Stroke one leg from the foot to the hip and then do the other leg, *always working upward toward the heart*. Brush the front, sides, and back of both legs. ### **5. The lymphatic system responds to gentle pressure** so press firmly, not hard, and use long flowing movements. The abdomen is stroked in a clockwise direction: begin at above the pubic bone and move the brush to the right hip, stroke upward to the right rib cage and then across the upper abdomen in the respiratory diaphragm area to the left rib cage; from the left rib cage stroke down to the left hip and then make the turn to end back at the midline just above the pubic bone. Stroke the abdomen in this clockwise manner for several rotations. ### **6. Use long strokes beginning at the hand** and continuing up to the shoulder, and then lightly from the shoulder up the neck. Do one arm completely, then do the other arm. Brush all sides of each arm. Stroke from the top of the thighs upward across the buttocks; be sure to include all the surface area of the buttocks. Brush up the back from the waist to the shoulders and brush the back of the neck. ### **7. Round strokes on the breasts** similar to the circular motion you used on the abdomen are best for the chest area. Brush up from the breasts to the front of the neck and throat. *Do not brush your face with the body brush*. If you wish to brush the face, a softer brush and specific motions are required. ### **8. Shower or bathe immediately after your brushing is completed.** Shower or bathe with warm water and finish with a cool rinse. This warm/cool method also *stimulates the lymphatic and circulatory systems* and causes the skin pores to open and close providing a massaging/stimulating effect. ### **9. After showering, dry off vigorously** and massage your skin with pure plant oil such as sesame, coconut or almond oil (If you have no tree nut allergies). **Note:** If your skin turns red when you brush, you are brushing too hard. Back off a little. The skin should turn a pink color with proper dry skin brushing. Do not skin brush over inflamed, swollen, or broken skin or where you are experiencing cuts, rashes, infections, or any poisonous rash, such as poison ivy or poison oak. *Disclaimer: Results may vary. Information and statements made by Dr. Ellen Antoine, Dr. Scott Antoine or any representative of The Center for Fully Functional® Health are for education purposes and are not intended to replace the advice of your doctor.* You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Benefits of Glutathione - Our Most Potent Detoxifier **Link:** [Benefits of Glutathione - Our Most Potent Detoxifier](https://fullyfunctional.com/blog/benefits-of-glutathione-our-most-potent-detoxifier/) ([md](https://fullyfunctional.com/blog/benefits-of-glutathione-our-most-potent-detoxifier/index.html.md)) **Description:** A key component of optimizing detoxification and supporting our bodies on the road to becoming Fully Functional®. Here are the many benefits of glutathione. ### Content ## ***If You’re Unfamiliar With Glutathione, It's Worth a Spot on Your Wellness Radar*** Found in every cell, this powerful antioxidant is perhaps *our body's best immune regulator*, and boosting its production can help calm the effects of autoimmunity.¹,² In this post, we’ll dig into **the many benefits of glutathione** and some of the forms it takes in our practice. For my patients with **immune dysfunction**, glutathione is an almost automatic recommendation. But the benefits go far beyond the immune system. This potent detoxifier is one of the strongest tools in our graceful aging toolkit. Often, it's a key component of optimizing detoxification and supporting our bodies on the road to becoming Fully Functional®. ## ***Benefits of Glutathione: "Detox," Beyond the Buzzword *** Doing a **liver detox** might be en vogue these days, but properly supporting our detoxification pathways goes far beyond a few days of juicing. This **antioxidant** plays an important role in the true process of detoxification that helps us feel our absolute best, or what we refer to as being "Fully Functional®." **Through three major functions, this detoxifier helps us *process waste, eliminate toxins, and optimize the immune system*.** Let's start with a little background. It's a tripeptide molecule, meaning it's made up of three amino acids — **cysteine, glycine, and glutamic acid**.³ First, glutathione is largely responsible for *detoxification in the liver*.⁴ When levels are high enough, the liver uses the antioxidant to transport waste out of cells. But conditions of oxidative stress (read: modern life) tend to deplete our stores and keep this powerful antioxidant from completing its job. Keeping our levels high through supplementation can help optimize our liver function much better than any juice cleanse. Second, healthy levels protect us from **free radical damage**. Glutathione binds to free radicals and renders them inactive in the body, *making it a powerful defense against aging*. We often think of **"anti-aging" treatments** for our skin or hair as a way of masking our true age, but at The Center for Fully Functional® Health, we focus on helping you age gracefully so you can become Fully Functional® for life. This means *stopping the progression of chronic disease and memory loss*, which glutathione can help us do, but it also means negating the effects of chemical toxicity, oxidative stress, and free radical damage that accumulates as we age. Many researchers believe that aging is actually caused by free radical damage and that depleted glutathione levels might be responsible for oxidative damage to our DNA.⁵ Levels tend to drop after age 45, a correlation that might explain the cellular damage we can blame for making us “feel” older. Finally, *this antioxidant regulates our immune systems*, making it a beneficial treatment for autoimmune diseases and cancer. This is an area where I see the highest level of need among my patients. I almost always see depleted levels in my patients with chronic diseases. Glutathione works by regulating metabolic pathways to help cells control their reaction to oxidative stress, thereby **controlling inflammation**.⁶ This means glutathione can both stimulate the immune system to fight off disease and down-regulate the immune system. The implications of this are huge; clinical trials indicate glutathione is associated with cancer cell death and improves outcomes for ovarian cancer patients, and may be beneficial in treating a range of diseases from acute infections to diabetes.⁷, ⁸ ## ***Getting Glutathione: Supplements, Whole Foods and Other Sources *** Here’s everything you need to know about **how to take glutathione effectively**. At our [integrative medicine practice](/), we generally recommend patients work the antioxidant into their regular routine, especially if lab work reveals they’re low in this key player in the body. A liposomal glutathione or intravenous administration might become a key component of our efforts to **Optimize** and **Support** patients as they heal. We make our own blend of Glutathione that we offer in our office, and online shop. We also offer intravenous glutathione administration in our office, where it is generally combined with a Modified [Myer’s Cocktail](/blog/benefits-of-myers-cocktail/), a form of intravenous micronutrient therapy. For my critically ill patients, this drip might happen once or twice a week, and often makes an immediate difference in their energy levels and sleep quality. Other patients might choose to take **liposomal glutathione** at home – I recommend getting yours from Researched Nutritionals. It’s very readily absorbed in the body, shelf-stable for easy transport (unlike some other glutathione products which require refrigeration), and has a pleasant fruity taste. If lab results indicate that your levels are in range, we might choose to continue to optimize these levels by eating [glutathione-rich foods](https://drhyman.com/blog/2010/05/12/what-is-glutathione-and-how-do-i-get-more-of-it/), like cruciferous vegetables, grass-fed beef, poultry, organ meats, and (for the non-dairy sensitive/allergic person only) organic whey protein. N-acetyl cysteine (NAC) supplementation can also help the body *synthesize its own glutathione*, and can be less expensive than direct glutathione. While I don’t recommend this for my chronically ill patients, it can be a helpful alternative for those who are in less critical need of the antioxidant. Optimizing glutathione can help us see a noticeable improvement in our symptoms of autoimmunity and fatigue, and is one of the most powerful **anti-aging compounds** in our Fully Functional® toolkit. If you’re interested in understanding your glutathione status, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3048347/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3048347/)*2 *[*https://pubmed.ncbi.nlm.nih.gov/19393193/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/19393193/)*3 *[*https://pubchem.ncbi.nlm.nih.gov/compound/124886?from=summary#section=Top[.block][]*](https://pubchem.ncbi.nlm.nih.gov/compound/124886?from=summary#section=Top)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596047/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596047/)*5 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3749699/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3749699/)*6 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3756414/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3756414/)*7 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851575/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851575/) --- ## Benefits of Health Coaching **Link:** [Benefits of Health Coaching](https://fullyfunctional.com/blog/benefits-of-health-coaching/) ([md](https://fullyfunctional.com/blog/benefits-of-health-coaching/index.html.md)) **Description:** Are you confused by the abundance of conflicting nutrition advice out there? This article aims to clear that up, and explains the benefits of health coaching. ### Content Are you confused by the abundance of conflicting nutrition advice out there? Do you feel you need more support for your health issues but don’t know where to begin? Do you wonder what is getting in the way of being and feeling healthy? This is where the benefits of [health coaching](/functional-medicine/health-coaching/) come into play. Navigating your health can feel overwhelming! **Holistic health coaches** can help you sort through it all while providing one-on-one support, guidance, and accountability.[.block][] The reality is there is no “one-size-fits-all” diet or approach that’s going to work for every single person, and figuring out the most nourishing diet and lifestyle for YOU isn’t always easy! Whether you’re struggling with cravings, finding the motivation to keep up with your fitness routine, have difficulty managing stress, or desire more creativity in the kitchen, a health coach can help you establish the structure you need to make progress toward your goals. A **health coach** will help you identify the easiest changes to make *today* that will make the biggest impact on your health for a lifetime. A **Functional Medicine health coach** can help you sort out truth from fiction, provide you with information that’s tailored to your individual challenges or goals, and most importantly give you the time and space to ask questions, be yourself, and speak openly in a supportive environment. ## ***Benefits of Health Coaching *** **Something seems “off” in your body but you can’t figure out what it is or how to fix it.** Fatigue, low energy, brain fog, weight gain, and digestive issues are all common symptoms, but the root of the problems differ from person to person! Sometimes seemingly minor or common issues can have major effects on health! *Don’t let things get out of hand*. Working with a Health Coach can help you process through what you’re experiencing, identify triggers, get to the root of your imbalance, and find new ways to help you feel your very best. A health coach can teach you how to tune in to your body’s signals *and guide you in making sustainable lifestyle adjustments*. ## ***Not Sure Where To Begin?*** You know you need to make a diet and lifestyle change, but feel confused and overwhelmed. There is a lot of conflicting nutrition advice out there and everyone is touting a different diet plan. Paleo, vegan, ketogenic, Mediterranean… Which diet plan is best? *A health coach can help you sort through the noise* and guide you toward an eating plan that works best for you! A health coach can help you create your personal wellness vision: what would your life look like if you were at your optimal level of health and wellness? You’ll explore what matters to you to help you find the motivation to make **sustainable, long-lasting changes**. ## ***You’re Looking for a More Personal Approach With Plenty of Accountability *** A health coach can help you shine a light on patterns that aren’t serving you and guide you to **create healthier habits**. A health coach will empower you to take responsibility for your own health while listening deeply to you and guiding you in making sustainable diet and lifestyle choices that will support your goals. ## ***You’re Struggling To Accomplish Your Goals *** You’re more likely to succeed when you have guidance and accountability. Regular check-ins with a health coach make you accountable for your choices *in a way that is motivating and encouraging*. A health coach will help you both set and reconnect with your primary goals and what’s preventing you from achieving them. ## **Benefits of Health Coaching: You Know It’s About More Than the Food** There are many factors that go into finding your unique balance! Stressors and toxins in our lives, adequate sleep, and feeling that we are living a life of purpose are just some of the factors that influence our health. Connecting the dots, putting it all together in a way that makes sense and allows you to thrive requires personal attention from someone knowledgeable and supportive. A health coach takes **a holistic approach to health and wellness**, which means looking at how all areas of your life are connected. **If you are fearful of change, a health coach can help you identify and conquer the fear, so you feel supported, accountable, and empowered!** ## ***You Want To Be a Positive Role Model for Your Family *** One of the amazing things that begin to happen when we truly begin to care for ourselves, is the positive ripple effect it has on others. A health coach can help you improve your own health and through that process, allow you to become an inspiration to others, whether family, friends, or colleagues! *Don’t go it alone*! Get the support you need from one of our **Certified Health Coaches**. They would love to support you on your journey to vibrant, Fully Functional® health! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## 7 Unexpected Benefits of Meal Planning **Link:** [7 Unexpected Benefits of Meal Planning](https://fullyfunctional.com/blog/benefits-of-meal-planning/) ([md](https://fullyfunctional.com/blog/benefits-of-meal-planning/index.html.md)) **Description:** You already know the obvious benefits of meal planning, such as saving time and money and keeping you organized, but what about the less obvious benefits? ### Content ## Benefits If you struggle to balance your busy day-to-day with planning and creating healthy meals for yourself or your family, *you’re not alone*! One of the greatest challenges our clients face, especially when making dietary changes, is feeling overwhelmed by the time it takes to plan weekly menus and meals. We’re sharing the many **benefits of meal planning**, and what to expect. And let’s be real. **Meal planning** is not really that much fun for most people. For so many, it’s *just not happening*. This can lead to too many times through the drive-through, grabbing unhealthy take-out, skipping meals altogether, and generally just not nourishing yourself well. And yet this tool is incredibly powerful and transformational, for your health and for your life. It’s very difficult to eat healthfully without a plan! You already know the obvious benefits of meal planning, such as saving time and money, keeping you organized and on track, but what about some of the less obvious [benefits](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5288891/)? ## ***Here Are 7 Unexpected Benefits of Meal Planning:*** ### **1. You stop obsessing over food.** If you ever find yourself in a constant state of decision-making about food, it’s easy to start obsessing. When planning weekly meals, you can take an hour out of your week to make your decisions around food *and be done with it*! ### **2. Stress reduction.** When you’re spending a lot of time and energy worrying about your food choices, chances are you don’t have a plan. This creates a lot of stress! Stress is already toxic, but if you’re stressing about food, not knowing what to make, and falling into bad choices out of convenience, you’re just heaping bad on top of bad for your health. ### **3. Get a grip on emotional eating.** Stress is a big contributor to **emotional eating**. *Reduce stress, reduce emotional eating*! If you feel out of control, overeat or binge eat, this is much more likely to happen without a plan. Planning helps you take back control. ### **4. You can more easily pursue your passions.** You have more time and energy for the things that light you up because you’ve gained time throughout the week by planning and shopping only once. ### **5. Reduces your dependence on “willpower”.** A plan creates a structure with built-in options that *SUPPORT YOUR GOALS*. You don’t have to spend time and energy making decisions around what to eat, or what you should or shouldn’t eat. You’ve already thoughtfully made these decisions. ### **6. Helps develop healthy habits.** Planning healthy meals gets you into a routine of eating healthy food, three meals a day. ### **7. You enjoy your food more and digest it better.** Food tastes better the less stressed you are when preparing it. When you have a plan and the ingredients on hand, you can relax while preparing your meal and are happier when you sit down to eat it. *This is key for optimal digestion and absorption of all your nutrients*! At our [functional medicine practice](/), we believe in cooking as a lifestyle practice *to maintain vibrant health*. Cooking provides nourishment on so many levels. Unfortunately, it’s no longer a priority for many people. Due, in large part, to the time it takes to search for healthy recipes and make a plan. People simply get overwhelmed. We want to be part of the solution. We want to give people the tools they need to change their health for the better. It is relatively easy to follow through with the cooking part when you have a plan. **When your meals are planned properly, eating healthy and feeling nourished becomes simple and fun.** You start to achieve the health goals you’ve wanted. We encourage all of our patients to take the time to **plan out meals**. If you’re struggling, we want to help! This is why we’re offering a custom [Nutrition Planning service](/functional-medicine/weight-loss-program/) to help you make it happen. Our [health coaches](/functional-medicine/health-coaching/) will work with you one-on-one to define your goals, learn about your food preferences and dietary restrictions, then create a meal plan you’re excited about! It will be a plan that’s easy to stick to because it’s delicious and designed specifically to your tastes and lifestyle. Our meal plans support the pillars in our Fully Functional® process for getting you feeling your very best. All plans reduce triggers for inflammation and dysfunction by removing gluten, dairy, and other inflammatory ingredients. *These delicious recipes help detoxify the body* and support the immune system with clean, whole-food ingredients. Start feeling the benefits of meal planning, and book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463) on Monday-Thursday, from 8AM – 5PM Eastern time to speak with one of our amazing health coaches. --- ## Benefits of Myer’s Cocktail - May Be Just What You Need! **Link:** [Benefits of Myer’s Cocktail - May Be Just What You Need!](https://fullyfunctional.com/blog/benefits-of-myers-cocktail/) ([md](https://fullyfunctional.com/blog/benefits-of-myers-cocktail/index.html.md)) **Description:** Fatigued, depressed, or frequently ill? IV therapy might be just what you need. Find out if you're a good candidate and discover the benefits of Myer's Cocktail ### Content **Are you fatigued? Frequently ill? Feeling depressed?** Intravenous micronutrient (vitamin/mineral) therapy might be just what you need! We’re sharing the many **benefits of Myer’s Cocktail** and [IV therapies](/functional-medicine/iv-lounge/). John Myers, MD, a physician from Baltimore, MD pioneered the use of **intravenous micronutrients** as part of treatment protocols for varying medical conditions. After he died in 1984, Dr. Alan Gaby, MD continued his work of administering IV therapy to his patients. Dr. Gaby documented the protocols used and the benefits seen in thousands of individuals. ## ***Why IV and Not Oral? *** IV administration of micronutrients can achieve serum concentrations that cannot be obtained via oral intake; *as high as 10 times that which is possible with oral intake*. For example, high-dose oral vitamin C and magnesium are often associated with loose stools and cannot be tolerated. Furthermore, injecting vitamins and minerals intravenously bypasses digestion, allowing patients with compromised gastrointestinal health with poor absorption adequate bloodstream levels of these nutrients. Cells utilize these nutrients to make energy efficiently. Some of these nutrients exert pharmacological effects. For instance, vitamin C produces an anti-histamine effect, which benefits those with various allergic conditions. Magnesium promotes relaxation of muscles - thus, useful in the treatment of vasospasm-related headaches, asthma, depression/anxiety, hormonal imbalances, and muscle aches and pains. ## ***What Is in a Myer’s Cocktail?*** - Vitamin C - Magnesium - Selenium - B vitamins - Calcium The dosing of each can be varied to meet the individual’s needs and is referred to as a **‘Modified Myer’s Cocktail.’** ## ***Benefits of Myer’s Cocktail, IV Therapy, and Who’s a Good Candidate?*** *Almost anyone can benefit from this type of therapy*; even those with decent health but feel like they may need a boost in their energy levels or mood. It is especially helpful in those with acute or chronic stress, such as athletes, students, professionals, etc. **Immune boosting** is an important benefit of this therapy. Vitamin C has been shown to have an antiviral effect, but only at higher concentrations, making it especially valuable in treating and preventing acute viral illnesses. The benefits also result in *better overall function and energy capacity in your cells*. This means you recover more quickly from health insults, especially if you are chronically ill. Improvements have been noted in those with: - Asthma - Fatigue/Chronic fatigue - Migraines/Tension-type headaches - Fibromyalgia - Acute muscle spasm - Those with frequent infections - Upper respiratory infections - Sinusitis - Allergic conditions - Mood disorders – depressed, anxious - Under chronic stress ## ***How Often May You Receive Treatments?*** The frequency of treatments really depends on your current health. If you are getting ready for a marathon or a wedding (which might feel like training for a marathon), your immediate need might be higher but treatment would be anticipated to end rather quickly, usually sometime after the event. For those with more chronic conditions or needs, **weekly or biweekly infusions** for some period of time might be more appropriate. Health concerns like chronic fatigue and fibromyalgia frequently require a longer course of treatment but are ultimately dependent on the patient’s response. ## ***Potential Side Effects of IV Therapy*** **IV nutrient therapy** is *a very safe treatment*. Some describe a sensation of heat with administration. This is typically associated with higher doses of magnesium that act to dilate blood vessels and increase blood flow. Transient decreases in blood pressure are sometimes seen as a result of this vasodilation. This is rare and can be addressed by slowing down the rate of administration. Most patients experience a wonderful boost of energy a few hours to a few days after therapy. ## ***What Are You Waiting For?*** The therapeutic use of IV micronutrients is well documented. If you are interested in this type of treatment, the benefits of **Myer’s Cocktail**, or have questions, you may read more about our IV Therapies [here](/functional-medicine/iv-lounge/), or book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *An initial evaluation by one of our physicians is required before therapy can be initiated. --- ## Benefits of PEMF: Jump-Start Your Body! **Link:** [Benefits of PEMF: Jump-Start Your Body!](https://fullyfunctional.com/blog/benefits-of-pemf/) ([md](https://fullyfunctional.com/blog/benefits-of-pemf/index.html.md)) **Description:** Have you tried everything, but still aren’t making the health progress you'd like? The benefits of PEMF are effective, non-invasive, and side-effect-free. ### Content Have you tried just about everything, but still aren’t making the health progress you’d like? **PEMF**, or *pulsed electromagnetic fields*, is one of the many therapies we recommend to patients that have exhausted their options but are still not experiencing the full health that they would like. We’re sharing the benefits of PEMF, and pro tips on all you need to know. ## ***What Are Magnetic Fields, and What Do They Have To Do With My Health?*** A **magnetic field** is a force field created by a permanent magnet - either naturally or ‘artificially’ - by an electrified coil. Think of a bar magnet with a magnetic South pole and North pole. When two identical poles are moved toward one another there is a repulsive force that can be felt. This magnetic force field may be static or it may be pulsating, in other words, cycling at a certain frequency. A magnetic field has the property of being capable of penetrating through matter without losing its effectiveness. Therapeutically, the ability to penetrate through matter without losing effectiveness is important because **magnetic field therapy** can penetrate clothing whereas other physical therapeutic devices (TENS units, for instance) cannot. The earth has a magnetic field and its influences on nature have been observed and studied for thousands of years. Researchers early on and since have all agreed that life would not be able to exist on our planet without the magnetic field. It is a protective, multilayered shield from harmful radiation in outer space, *especially particle radiation*. Many animals find their direction by using the earth’s magnetic field, including migratory birds, ants, termites, bees, and many marine animals. Humans are also influenced by the earth’s magnetic field and cosmonauts have seen significant influence not only on bone growth but also on emotional well-being. Even very small magnetic fields on the human body can impact health as is demonstrated by the phenomenon of *weather sensitivity*. Proof of this was provided by research findings by scientists at the University of Giessen in 1998. ## ***Is the Use of Magnetic Fields New to the Healthcare Field?*** The use of magnetic fields for health isn’t new. **According to the first written reports, magnetic fields were used for treating all sorts of health conditions more than 3500 years ago.** The Chinese used the earth’s magnetic field for directional orientation when they developed their first needle compass. The Greeks and Romans used magnetic fields for treating a wide variety of diseases. In 1965, Linus Pauling, a two-time Nobel prize winner, described the biomagnetic property of blood. ## ***What Is PEMF, and How Does It Work?*** Every cell contains tiny organelles, called **mitochondria**; the powerhouse generator of the cell. These delicate and essential structures help our cells with the many functions they maintain every single second. One of the vital processes that mitochondria execute is *producing energy*. PEMF helps by stimulating and re-charging these powerhouse generators thus helping the cells’ production of *Adenosine triphosphate (ATP)* and energy production is enhanced. By using **pulsed electromagnetic fields therapy**, more energy can be delivered to specific locations in the body. The result is more effective cellular repair and better tissue repair. ## ***What Are the Benefits of PEMF?*** [PEMF](/functional-medicine/pulsed-electromagnetic-frequency/) is an effective, non-invasive, and side-effect-free **antidote to pain**. It directly affects nerve cells that are communicating to our brain that our body is experiencing pain. It has anti-inflammatory implications, *helping to minimize pain*. This also affects flexibility – especially when treating stiff and inflamed muscles. PEMF treatment increases the range of motion that can be achieved and results are often immediate. For bone fractures, PEMF is especially useful in healing non-union fractures. This is because electromagnetic waves are the earth’s tool to cause biochemical changes that ultimately result in an increased speed in bone formation. [PEMF therapy](/functional-medicine/pulsed-electromagnetic-frequency/) has also been found to relieve depression and other mental health conditions. It’s also been used in the treatment of everything from [arthritis](https://pubmed.ncbi.nlm.nih.gov/32251502/), cancer, heart disease, Alzheimer’s disease, Parkinson’s disease, to multiple sclerosis, autism, diabetes, and many other chronic health conditions. In addition to impacting inflammation and bone healing, here’s just a sampling of the many other **benefits of PEMF**: - Regulates certain functions through its impact on the autonomic nervous system - Activates bone-cartilage cell stimulation - Regenerates nerves through stimulating nerve cells to grow - Activates part of the immune system – white blood cells called macrophages - Reduces stress with direct impact on norepinephrine and epinephrine - [Relieves pain](https://pubmed.ncbi.nlm.nih.gov/32251502/) - Heals wounds - Improves metabolic health - Improves circulation; thus oxygenation to tissues - Regulates of digestive activity - Improves melatonin production - Strengthens immune system - Many more benefits ## ***How Can I Experience PEMF?*** We offer three modalities of PEMF at our [functional medicine center](/): a mat with optional ‘glasses’ that provides light and sound therapy, a moveable coil ‘pillow’ for smaller areas, and a probe for more discrete, targeted application. Dr. Ellen or Dr. Scott will specify which specific modality will be best suited for clients’ cases, or clients wishing to use PEMF only can choose which modality when booking their appointment. Remote clients can purchase their own PEMF machine at a discounted rate through **The Center for Fully Functional® Health** (CFFH) by calling [(317) 989-8463](tel:(317) 989-8463) or emailing [office@fullyfunctional.com](mailto:office@fullyfunctional.com). ## ***What Should I Expect for My Session?*** A PEMF session typically lasts **20-45 minutes**, depending on the modalities needed. You’ll lay down on a massage table fully clothed, the device will be put on and a timer will be set. If you require the probe (targeted application), one of our staff will stay with you and direct the probe over the affected area. We’ll let you relax and that’s it! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Benefits of Self-Care: Show Yourself a Little Love! **Link:** [Benefits of Self-Care: Show Yourself a Little Love!](https://fullyfunctional.com/blog/benefits-of-self-care-show-yourself-a-little-love/) ([md](https://fullyfunctional.com/blog/benefits-of-self-care-show-yourself-a-little-love/index.html.md)) **Description:** We’re diving into the benefits of self-care, and the importance of showing yourself love. Essential practices to becoming Fully Functional® for life. Read-on! ### Content ## Benefits of Self-Care= With Valentine’s Day coming up many of us are focused on romantic love or lavishing love and goodies on our kids. This is important, *but what about showering a little love on yourself*? Making time to nourish yourself and creating the space to attend to your own needs makes you more centered, stronger, and better able to support others. We’re diving into **the benefits of self-care**, and the importance of showing yourself love. Essential practices to becoming Fully Functional® for life. With the frantic pace of life, it’s way too easy to put ourselves last, over-commit, and mismanage our time. Whether we’re in a full-time position of caring for others or working to meet the demands of bosses and co-workers or even friends, it remains true. Since when did even small luxuries of time, like time to sit and read a book, grab lunch with a friend, or engage your creativity in some way, begin to feel extravagant, like guilty pleasures?! With the added “stress” of technology which allows us to multitask at all hours of the day and get endlessly distracted, *you have a recipe for burnout and more*. If not managed well, these demands and distractions can come at a very high cost. We begin to give up the simple acts of kindness to ourselves, those that lift us up and keep us functioning optimally. If we’re not careful, we can begin to lose balance, cut ourselves off from inspiration and joy, and be less present in our day-to-day. Not dedicating enough time and attention to **self-care** can also come with some serious health consequences, such as insomnia, weight gain, stress, overwhelm, exhaustion, anxiety, depression, digestive issues, reduced immune function, and brain fog, just to name a few. Making time to **nourish yourself** and creating the space to attend to your own needs makes you more centered, stronger, and better able to support others. It also makes you less vulnerable to self-sabotage. And while going for a run, taking a bath, or going for that massage may be important aspects of self-care, you can also think beyond that, to truly soul-nurturing self-care, whatever that looks like for you. The type of self-care that allows you to reconnect with yourself *and re-discover the very things that light you up*. We all have obligations but commit to aligning at least part of your daily routine with your life’s goals and to pursue your own dreams. ## ***Benefits of Self-Care: What Feeds Your Soul?*** What makes you feel stronger, more energized, more relaxed? Set aside daily or weekly time to dedicate entirely to yourself, to do whatever nourishes you spiritually and emotionally. Often, we spend our days busy, without a clear sense of purpose, just responding to what life throws our way. When we take control of our days and do what we both need and want to do, we replenish our physical, mental, and emotional well-being. We must choose to make time for exercise, preparing and eating healthy meals, resting, reflecting, and creating growth and joy, but if you make self-care a priority, you have more to give. *You also set a good example for those you care about*! We believe our highest purpose always reveals itself in some form of service to others. So, live into this service, but not at the expense of your own self-care. Give yourself permission! Sometimes you need to just stop and ask yourself, “what do I need right now?” Discover what those things are and find time for them when you’re feeling out of balance. Don’t sabotage your efforts at health and vitality by denying yourself permission to exercise, relax, have fun, because you are “too busy” and the time spent in self-care makes you feel guilty. It is non-negotiable if you want to live a healthy, happy, and fulfilled life and it is the very **caring of self** that will allow you to serve others in meaningful ways, full of energy and purpose! You will have more to give to others, not less. Cherish your time and use it wisely. Create habits and routines that support your highest good as well as the good of others. *Treat yourself and others with love and kindness* and you will be rewarded with both health and joy! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Benefits of the Keto Diet: Why We Recommend This Low-Carb Approach **Link:** [Benefits of the Keto Diet: Why We Recommend This Low-Carb Approach](https://fullyfunctional.com/blog/benefits-of-the-keto-diet/) ([md](https://fullyfunctional.com/blog/benefits-of-the-keto-diet/index.html.md)) **Description:** The benefits of a keto diet have proven helpful for patients struggling with a range of conditions from neurological, to cancer to hormonal imbalances. ### Content We recommend a **low-carb ketogenic diet** both as a short-term intervention for weight loss and long-term treatment for patients struggling with a range of conditions from neurological conditions and cancer to hormonal imbalances. In this post, we’re sharing our pro tips on *the benefits of the keto diet*. While we’ve seen great success in our patients who follow this approach, we also know that **limiting carbohydrates** can seem a little intimidating. Most of us LOVE our carbs! We’re exploring the benefits of a ketogenic diet and showing you how a balanced day of ketogenic eating might look. ## ***What Is a Ketogenic Diet?*** The ketogenic diet’s recent popularity can probably be attributed to its powerful benefits for **weight loss and insulin management**. But the **ketogenic diet** isn’t new. Known clinically as a very low-carb ketogenic diet (VLCKD), it’s been used therapeutically to treat childhood epilepsy since the 1920s.¹ Since then, researchers have explored the benefits of very low carb diets for cancer², obesity³, Type 2 Diabetes⁴, Polycystic Ovarian Syndrome (PCOS)⁵ and neurological diseases⁶ like multiple sclerosis and traumatic brain injury (TBI). This type of dietary intervention shows promising results for all these conditions, *and we’ve certainly seen its broad therapeutic benefits within our practice*. When patients are following a ketogenic (‘keto’) diet, foods high in carbohydrates are generally restricted in an effort to keep overall carbs to *less than 30-50 grams per day*. Normally, our bodies burn glucose (which comes from carbohydrates) for fuel whenever it’s available, but when we keep dietary carbohydrates low, our bodies turn to fat for energy. The byproducts of this process are called *ketone bodies*. When a person is effectively burning this alternate energy source and producing excess ketone bodies, we say they are in **ketosis**. Given the ketogenic diet’s healing potential for a wide range of conditions, we think it’s certainly worth exploring. To learn more about ketosis, watch this simple yet informative [video](https://drellen.experienceketo.com/). ## ***Benefits of the Keto Diet*** Research indicates a ketogenic diet helps induce [weight loss](/functional-medicine/weight-loss-program/) in obese patients and does so at a faster rate than other dietary interventions.⁷ Researchers have also linked ketogenic diets with lower levels of fasting glucose and the reversal of insulin resistance.⁸ We’ve certainly seen this in our practice! It’s one of the reasons we recommend a short ketogenic intervention to clients with any sort of metabolic dysfunction, blood sugar regulation problems, or weight loss resistance. **Therapeutic ketogenic diets** have been used to treat neurological conditions for nearly a century, though researchers still don’t understand how these positive results are achieved. Some scientists believe ketosis improves mitochondrial function and regulates the synapses in our brains, resulting in positive improvements for cases of Alzheimer’s disease, Parkinson’s disease, traumatic brain injury (TBI), and more.⁹ Since ketogenic diets are both well-researched and significantly less invasive than the pharmaceutical interventions often prescribed for these diseases, they’re one of our first lines of defense for patients struggling with neurological conditions and hoping to become Fully Functional®. Cancer patients may also benefit from a ketogenic diet. A collection of studies in mice demonstrated positive results ranging from longer life and slowed tumor growth to an actual reduction in tumor size.¹⁰ The metabolic theory of cancer holds that cancer is not just the result of genetic factors, but of an inability to process glucose (are you seeing a pattern here?).¹¹ While the body can burn fat for fuel, cancer cells can’t. A keto approach can greatly improve the quality of life for cancer patients when combined with other conventional or non-conventional therapies. Finally, a collection of additional research indicates a ketogenic approach is often a helpful intervention for those struggling with acne, PCOS, and other conditions of hormonal dysregulation since glucose metabolism is intricately tied to our hormonal balance.¹² *We always recommend you consider reducing your carbohydrate intake if you’re struggling with one of these conditions*. ## ***Keto Diet Plan: What’s the Approach, and What’s on the Menu?*** Limiting our intake of carbohydrates to **less than 50 g per day** might sound simple, but when we consider that the Standard American Diet might soar to more than 300 g per day, we can see that it represents a pretty significant departure from our previous “normal.” A well-built ketogenic diet plan is usually described as *high in fat, low in carbs, and moderate in protein*. It does NOT have to mean eating only bacon, high-fat cheeses, and butter. In fact, we still recommend that you focus on the principles of a Paleo or grain-free Mediterranean diet, i.e., eliminating dairy and focusing on high-quality meats, fats, and vegetables. A few other key recommendations: - **Track your daily food intake** with an app like [MyFitnessPal](https://www.myfitnesspal.com/). A few days of tracking should help you comfortably estimate portion sizes and macronutrient goals. You won’t have to track every bite forever! - **Focus on adding calories in the form of high-quality fats**: olive, avocado or coconut oils, butter or ghee, if tolerated, and fat from grass-fed or pastured animals. - **Consume carbohydrates from lower-carb vegetables** (for example: leafy greens, peppers, cucumbers, summer squash) to make sure you are still including fiber and micronutrients in your diet. Often referred to as a vegetable but technically a fruit, avocado is a great source of micronutrients and healthy fats while being a lower carbohydrate choice. - **Keep protein at a moderate level**. Excess amino acids (from protein) must be converted into other storage products or oxidized as fuel and therefore excess protein may be converted into glucose by a process called *gluconeogenesis*, sabotaging your efforts to lower glucose in your bloodstream. - **MCT (medium chain triglyceride) oil can be helpful for neurological function** and weight loss and promotes ketosis. - **Getting into a state of ketosis can take several days** and is often the most discouraging for people. Once in ketosis, people don’t typically experience hunger and cravings but until this is achieved, it is not uncommon to feel fatigued, have headaches, and be hungry. We recommend a product with [therapeutic ketones](https://drellen.shopketo.com/) to be used during this transition as well as ongoing on a ketogenic diet. **A typical day of meals on a ketogenic diet might look like this:** - **Breakfast:** 3 pastured eggs cooked in olive oil or ghee and served over sautéed greens OR our Fully Functional® [Toasted Coconut “GranoLESS” Cereal](/blog/toasted-coconut-cereal/) - **Lunch:** a salad with leafy greens, avocado, herbs, chopped nuts and grass-fed steak or salmon with an avocado oil-based dressing like our [Sun-Dried Tomato Vinaigrette](/blog/sun-dried-tomato-vinaigrette/) - **Snack:** cucumber slices with our [Cashew-Avocado Spread](/blog/cashew-spread-with-avocado/) - **Dinner: **[Baked Turkey Meatballs](/blog/oven-baked-turkey-meatballs/), a small serving of homemade marinara sauce and olive oil-dressed “[zoodles](/blog/zucchini-noodles-with-chicken-and-broccoli/)” made from zucchini. ## ***Benefits of the Keto Diet: Wrapping Up*** We often recommend a ketogenic approach to our clients because **it’s minimally invasive and powerful**, whether they’re struggling with weight management, blood sugar imbalance, Type 2 Diabetes, neurological disorders, hormonal imbalance, or a cancer diagnosis. We’ve seen impressive results even when this approach is only used as a brief intervention. With our supervision, *the ketogenic diet can be powerfully healing*. We offer an easy, five-week ketogenic diet plan that involves everything you need to be successful and to get started. It includes weekly [Health Coaching](/functional-medicine/health-coaching/) appointments, weigh-ins and measurements, body composition analysis (BIA) before and after completion of the program, and a personalized supplement regimen. While we know it represents a departure from your Standard American Diet, our healthier-happier, [functional medicine patients who’ve discovered relief with this way of eating would say it’s well worth it!](/) You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[*https://www.nature.com/articles/ejcn2013116#bib5[.block][]*](https://www.nature.com/articles/ejcn2013116#bib5)*2 *[*https://pubmed.ncbi.nlm.nih.gov/21673053/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/21673053/)*3 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2716748/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2716748/)*4 *[*https://pubmed.ncbi.nlm.nih.gov/8604657/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/8604657/)*5 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1334192/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1334192/)*6 *[*https://pubmed.ncbi.nlm.nih.gov/18845187/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/18845187/)*7 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587/)*8 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826507/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826507/)*9 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1867088/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1867088/)*10 *[*https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/1743-7075-8-75[.block][]*](https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/1743-7075-8-75)*11 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493566/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4493566/)*12 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1334192/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1334192/) --- ## BioMat Benefits: Becoming Fully Functional® **Link:** [BioMat Benefits: Becoming Fully Functional®](https://fullyfunctional.com/blog/biomat-benefits-becoming-fully-functional/) ([md](https://fullyfunctional.com/blog/biomat-benefits-becoming-fully-functional/index.html.md)) **Description:** What is a BioMat? What are some of the BioMat benefits? This article covers all of that, and why we believe this is a useful tool to become Fully Functional®. ### Content In this article, we’re explaining the many **BioMat** benefits, and how this tool plays a big role in becoming Fully Functional® for life! We’re always looking for ways to help our patients become more **Fully Functional**, so as we go to conferences and continuing education sessions, we walk the vendor floor in search of products that might help our patients. That’s how we first saw the BioMat. Dr. Ellen tried it out, then couldn’t resist coming back to lay on the BioMat during every subsequent break in the conference schedule. That’s how we knew we needed to bring this far-infrared and negative ion-producing mat to our patients. “*I absolutely love my BioMat!* I use it every day, sitting on it at the office and sleeping on it every night. I cannot imagine getting restful sleep without it. For me, it doesn’t replace my infrared sauna sessions; It compliments them. I first tried out the BioMat at a Functional Medicine conference. A vendor was there selling them to Clinicians and they had them set up on massage tables for us to use. I spent every break getting my “BioMat fix.” It is incredibly relaxing and refreshing at the same time. “ – Dr. Ellen Antoine ## ***BioMat Benefits *** **According to BioMat, these are the US FDA’s medical device indications for use:** - Relaxation of muscles - Increase of local circulation where applied - Temporary relief of minor muscle pain, minor joint pain and stiffness, joint pain associated with arthritis, muscle spasms, minor sprains or strains, minor muscular back pain **In addition to the indications above, when you try the BioMat yourself, you may find that it:** - Reduces stress and fatigue - Soothes and relaxes - Supports the immune system - Improves sleep (if associated with pain relief) - Reduces inflammation (where applied) - Increases tissue oxygen (due to increased circulation where applied) - Provides such muscle relaxation that you may sleep better if you experience occasional difficulty sleeping. ## ***What Is a BioMat? How Does It Work? *** The BioMat produces soothing **infrared rays and negative ions**, *delivering a wealth of health benefits*. The temperatures can be adjusted for different conditions as can the length of time of use. The BioMat stimulates ion channels by producing negative ions that deliver energy to the cells of the body. The topmost layer of the BioMat is constructed of superconducting channels of pure amethyst, which allow the far infrared rays and negative ions to penetrate the body *as far as seven inches*. [View an illustration of BioMat layer technology](https://www.biomat.com/wp-content/uploads/2014/07/bio-tech.jpg). ## ***If You’d Like To Try a BioMat Therapy in Our Office *** [BioMat Therapy](/skin-treatments/facials-with-biomat/) sessions are **15 or 30 minutes**, depending on what is recommended by your physician. The cost is $15 or $30, respectively. All of our massages are done on the BioMat, so consider booking a massage and experience both! ## ***If You’d Like To Purchase Your Own *** When you purchase a BioMat, you are investing in an FDA Registered, ISO Certified, a **state-of-the-art medical device** that includes an advanced Texas Instruments computer control panel, pure, superconducting amethyst crystals. The massage table-sized BioMat is normally $1695 + $60 shipping but as a professional Clinician, I can extend a $100 discount, making the price $1595 + $60 shipping. Use this form to order: [BioMat Order Form](https://www.vinehealthcare.com/wp-content/uploads/2015/12/Biomat_order_form.pdf). Fax back to our office at 877-257-4003. Or fax directly to the distributor at 866-448-9374. ## ***BioMat FAQs *** ### *** What are far infrared rays? *** Far **infrared rays** are part of the electromagnetic light spectrum and are close to the light frequency of natural sunlight. However, far infrared does not contain any of sunlight’s harmful UV/UVB radiation. The beneficial properties of far infrared light have received particular attention from the scientific community in recent years, although the first research conducted on this part of the light spectrum was undertaken by NASA decades ago. Today, health practitioners from a wide range of disciplines agree on the beneficial properties of far infrared technology. ### *** What are negative ions? *** An **ion** is a particle containing an electrical charge. An ion with a negative electrical charge is called a **negative ion**, and *this type of ion is now considered to be integral to healthy cellular function*. ### *** How does amethyst quartz enhance ionic and far-infrared ray therapy? *** Amethyst’s healing properties have been acknowledged and celebrated for centuries by ancient scientists, healers, and others. Now, modern science has confirmed the highly conductive properties of this remarkable mineral. Amethyst crystals offer *the most consistent and powerful delivery of far infrared light waves and ionic effects to the human body*. ### *** How often should I use my BioMat? *** Your BioMat can be used every day. ### *** Is BioMat safe for children? *** Your whole family can use your BioMat, *including young children*, the elderly, and even family pets! The BioMat offers the same health benefits to people of all ages and has therapeutic value for pets as well. Please check the [contraindications page](https://www.biomat.com/faq/the-basics/) for further information. Anyone with a medical diagnosis should check with their doctor. ### *** Can I sleep on my BioMat? *** You can sleep **for any length of time** on your BioMat, from a 20-minute nap to a full night’s rest. Use of the BioMat will help create a warm, soothing environment. ### *** When will I start to see results from my BioMat? *** Every person’s experience with the BioMat is different. Many people achieve immediate relief from certain pain and discomfort, right away. For others, it will take a few weeks before the deep-penetrating treatment begins to bring relief. ### *** Does the BioMat come with a warranty? *** Yes. All BioMat medical devices are constructed to the highest standards and protected by a [3 Year Limited Warranty](https://www.biomat.com/faq/biomat-warranty-information/) / Lifetime Trade-In Option. The product has been subjected to rigorous quality testing and is both a FDA-Approved Class II Medical Device and ISO certified. **You can book an appointment by clicking **[**here**](/patient-resources/become-a-patient/)**. We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** --- ## Blueberry Sausage **Link:** [Blueberry Sausage](https://fullyfunctional.com/blog/blueberry-sausage/) ([md](https://fullyfunctional.com/blog/blueberry-sausage/index.html.md)) **Description:** This savory Blueberry Sausage recipe is made with ground turkey, ginger, and maple syrup. It's breakfast heaven. Give these a try. They don’t disappoint. ### Content Enjoy this savory **Blueberry Sausage recipe**, made with [ground turkey](https://www.growandbehold.com/ground-turkey-breast-organic-fed/), ginger, and maple syrup. These sweet breakfast sausages are full of blueberry goodness and so easy to make! We’re calling them breakfast sausages, but *they’d be amazing any time of day*! For the perfect dish, pair with our [Plantain Paleo Pancakes](/blog/paleo-pancakes-with-plantains/). Making **anti-inflammatory meals** is rewarding on so many levels. Give these a try. They don’t disappoint. ### Ingredients - 1 lb organic ground turkey - 1 clove garlic minced - 1/2 teaspoon ground ginger - 2 teaspoons Italian seasoning - 1/2 teaspoon allspice - 3/4 teaspoon sea salt - 1 tablespoon maple syrup (optional) - 1/2 cup blueberries - 1 tablespoon coconut oil ### Instructions - In a large bowl, mix together ground turkey, garlic, ginger, Italian seasoning, allspice, sea salt and maple syrup until well combined. Gently fold in blueberries. - Form mixture into 8 patties. - Heat coconut oil in a large saute pan over medium heat. Add patties to pan and cook about **5 minutes per side**, until cooked all the way through. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory meals, blueberry sausage, turkey breakfast sausage --- ## Breaking Free from OCD: Understanding Accommodations and How to End Them **Link:** [Breaking Free from OCD: Understanding Accommodations and How to End Them](https://fullyfunctional.com/blog/breaking-free-from-ocd/) ([md](https://fullyfunctional.com/blog/breaking-free-from-ocd/index.html.md)) **Description:** When a child has OCD, family accommodations can feel like the compassionate choice. Learn why accommodations strengthen OCD and practical strategies to help your child break free. ### Content *It can be tempting to accommodate your child’s obsessive-compulsive requests in an attempt to ease their anxiety and suffering. In this article, we’ll explain how OCD hijacks the brain's safety system, why well-meaning accommodations make the disorder stronger, and practical strategies you can use to help your child break free.* **Few things are harder than watching your child in distress.** When OCD takes hold, the urge to do anything to ease their anxiety is overwhelming. If answering the same question five times or washing their sheets again brings them a moment of peace, it feels like the compassionate choice. It feels like love. **But here's the painful truth that many families discover only after months or years of escalating rituals: accommodation doesn't ease OCD, it feeds it.** At The Center for Fully Functional Health, we've worked with countless families navigating obsessive-compulsive disorder. We've seen the exhaustion, the frustration, and the heartbreak that comes when a child's world keeps shrinking despite everyone's best efforts to help. We've also seen families reclaim their lives once they understand why accommodation backfires and learn how to respond differently. ## ***What Does OCD Accommodation Look Like?*** OCD accommodation happens when family members participate in a child's rituals or change their own behavior to reduce the child's anxiety. It's rarely a conscious choice – most parents don't realize they're doing it until the pattern is well established. **Common accommodations include:** **1) Answering repetitive questions** Your child may ask "Are my hands clean?", "Is this food safe?", or "Did I lock the door?" over and over, with each answer providing only seconds of relief before the doubt returns. **2) Using "magic words" or phrases** Your child may insist you say specific things in a specific way, sometimes multiple times, before they can move on. **3) Changing household routines** This may look like rearranging seating, avoiding certain rooms, taking different routes, or altering mealtimes to prevent triggering your child's distress. **4) Participating in cleaning rituals** You may be washing clothes or bedding repeatedly, using specific cleaning products, or following elaborate contamination-prevention rules. **5) Providing constant reassurance** OCD accommodation may also look like repeatedly confirming that bad things won't happen, that they didn't do anything wrong, that everything is okay. **If any of these sound familiar, you're not alone.** Research suggests that the vast majority of families living with childhood OCD engage in some form of accommodation. It's a natural response to a child's suffering, but it's also one of the biggest obstacles to recovery. ## ***Why OCD Accommodation Isn't Actually Helpful*** When you answer your child's anxious question or participate in their ritual, their distress visibly decreases. Their shoulders relax. They can move on with their day, at least for a little while. How could something that brings immediate relief be harmful? The answer lies in how OCD operates. Accommodation strengthens the disorder in two critical ways: **Accommodations validate the fear.** Children with OCD often know their thoughts don't make logical sense. A part of them recognizes that touching a doorknob won't actually make them sick, or that forgetting to say a certain phrase won't cause something terrible to happen. But they also look to their parents as a reference point for what's "normal." When a parent participates in a ritual – answering the question, saying the magic words, washing the sheets again – it sends an unintentional message: Maybe this fear IS reasonable. Even Mom/Dad is responding to it. The accommodation confirms that the threat is real enough to warrant action. **Accommodations allow OCD to grow stronger.** Think of OCD like a fire, and accommodations like kindling. Each time a ritual is performed, the neural pathway strengthens. The temporary relief your child feels actually reinforces the cycle, teaching their brain that the only way to feel safe is to complete the compulsion. Over time, OCD tends to demand more. The ritual that used to require three repetitions now requires ten. The reassurance that used to help for an hour now lasts only minutes. As accommodations increase, your child's world shrinks, and so does your family's freedom. This isn't anyone's fault. Parents accommodate because they love their children and want to protect them from pain. But understanding this dynamic is the first step toward changing it. ### *How the Brain Creates OCD* **To help your child, it helps to understand what's happening in their brain and why it's not a matter of willpower or "just stopping."** Roughly 80 to 90 percent of our behaviors are governed by the subconscious mind. The subconscious has two primary jobs: protecting us from harm and seeking comfort. It constantly filters our experiences, comparing what we see, hear, and feel against past experiences to determine whether we're safe. For most people, this system works smoothly. We assess minor risks, such as crossing the street or checking whether food has spoiled, and move on without much conscious thought. But when this threat-detection system becomes dysregulated, the brain begins misinterpreting the world as dangerous. Ordinary situations start feeling life-threatening. OCD develops as the brain's attempt to regain control. When the subconscious can't accurately filter threats, intrusive thoughts become exaggerated. Suddenly, unwashed hands aren't just dirty: they're catastrophically contaminated. A fleeting "what if" thought becomes an emergency that demands action. Compulsions develop as a way to neutralize the anxiety. Washing hands, checking locks, or seeking reassurance are rituals that temporarily reduce distress, which teaches the brain to rely on them. But the relief never lasts, and the cycle continues. ### *The PANS/PANDAS and OCD Connection* At The Center for Fully Functional Health, we frequently see OCD in children with PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) or PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). In these conditions, the immune system mistakenly attacks part of the brain, disrupting the very circuits responsible for threat assessment and impulse control. A child who was previously easygoing may suddenly develop severe OCD symptoms, sometimes almost overnight. For children with PANS or PANDAS, the brain's risk-assessment system isn't just slightly off – it's in chaos. Their subconscious genuinely perceives the world as unsafe, creating an overwhelming sense of impending doom that drives OCD behaviors. This is why addressing underlying immune and neurological dysfunction is so important for these children. Behavioral strategies alone may not be enough when the brain itself is under attack. However, ending accommodations remains a critical piece of the puzzle, even as medical treatment addresses the root cause. If your child's OCD appeared suddenly or came with other symptoms like tics, anxiety, mood swings, food restriction, regression, or changes in handwriting or coordination, PANS/PANDAS may be worth investigating. You can learn more about our approach to these complex conditions [here](/blog/pans-pandas-what-you-need-to-know/). ## **How to Gently but Firmly End OCD Accommodations** The good news? Breaking free from OCD is absolutely possible. It requires patience, consistency, and a compassionate but firm approach. It's also one of the most powerful things you can do to help your child reclaim their life. The following strategies come from Dr. Scott Antoine's clinical experience helping families navigate OCD. These approaches work best when the whole family is on board and when your child understands that you're not abandoning them, you're fighting for them against a disorder that wants to keep them trapped. ***Strategy 1: Dealing with Repetitive Questions*** Instead of answering the same question over and over, try using what's called a *hypnotic pattern interrupt* to break the cycle. A pattern interrupt is exactly what it sounds like: something unexpected that disrupts the automatic loop your child is stuck in. When the brain expects a certain response and gets something different, it has to pause and recalibrate. Here are some examples: - **Redirect with a compliment:** "You know, I really admire you. Many kids your age don't think about their health at all, but you do." - **Turn the question back:** "That's an interesting question. How would YOU know if your hands were clean?" - **Change the subject abruptly:** Suddenly get up and say, "Oh! I think I left my keys in the car!" and walk out of the room. The goal isn't to be dismissive or unkind – it's to interrupt the OCD loop and help your child's brain shift to a different track. Over time, this teaches their brain that the ritual isn't necessary for safety. ***Strategy 2: Reducing the Use of "Magic Language"*** Many children with OCD develop rigid rules around language. They may need you to say certain phrases in a certain way, or they may insist on baby talk or specific "safe" words. These verbal rituals can be addressed gradually: - **Stop using baby talk:** Speaking to your child normally reinforces that they are strong and capable. Baby talk, while comforting, can subtly communicate that they're fragile and need protection. - **Set limits on "magic words":** If your child currently insists on hearing a certain phrase ten times, reduce it to five, then three, then one. Let them know what's coming: "Starting Monday, I'll say it three times instead of five." - **Establish a clear end date: **Tell your child in advance, "After Friday, we won't be using magic words anymore. I know that feels scary, but I believe in you, and I'll be right here with you." Gradual reduction is usually easier than going cold turkey, though some families find that a clean break works better for their child. You know your child best. ***Strategy 3: Addressing Cleaning and Laundry Rituals*** Contamination fears often lead to demands for excessive washing of clothes, bedding, or household items. These accommodations can consume hours of family time and reinforce the belief that "contamination" is a real and present danger. Helpful techniques to end cleaning accommodations: - **Empower your child to take ownership:** If they insist on frequent clothing or bedding changes, have them do the laundry themselves. This adds natural friction to the ritual and helps them recognize the burden OCD is creating. - **Use gloves as a transitional tool:** If your child resists handling items they perceive as contaminated, offering gloves can help ease the transition while still requiring them to participate. - **Maintain your normal routines:** Parents and siblings should sit where they normally would, use shared spaces without special precautions, and go about daily life without making adjustments to avoid triggering OCD fears. Your normal behavior models that the world is actually safe. ***Strategy 4: Managing Rituals Surrounding Eating*** Food-related OCD can be particularly tricky because nutrition matters, and mealtime battles can escalate quickly. Approach eating rituals with patience: - **Take it slow:** Eating-related rituals often take longer to overcome than other compulsions. Progress may happen in small increments, and that's okay. - **Introduce changes gradually: **If your child currently requires food to be prepared or arranged in a specific way, make one small change at a time rather than overhauling everything at once. - **Prioritize nutrition while reducing rituals: **The goal is to maintain adequate nutrition while gently pushing back on OCD demands. Work with your child to identify which accommodations can be reduced first without jeopardizing their willingness to eat. ## **What to Expect When You Stop Accommodating OCD** **Let's be honest: ending accommodations is hard.** Your child's anxiety will likely increase before it decreases. They may cry, bargain, or try to guilt you into going back to the old patterns. This is OCD fighting to survive. Stay the course. Remember that temporary distress is not the same as harm. By refusing to participate in rituals, you're helping your child's brain learn that anxiety passes on its own, that they don't need the compulsion to feel safe. It can also help to talk openly with your child about what you're doing and why. Many kids, especially older children and teens, can understand that OCD is the enemy, not them. Frame your new approach as something you're doing together to fight back against the disorder. ### *The Path to True Freedom from OCD* Ending accommodations isn't about being harsh or withholding love. It's about recognizing that true compassion sometimes means tolerating short-term distress for long-term freedom. Your child deserves a life that isn't controlled by intrusive thoughts and endless rituals, and your family deserves peace. And with the right support and strategies, healing is absolutely possible. Beyond ending accommodations, OCD treatment might also include: - **Exposure and Response Prevention (ERP): **The gold-standard behavioral therapy for OCD, which gradually exposes children to feared situations while helping them resist compulsions. - **NLP and Clinical Hypnosis:** At The Center for Fully Functional Health, we use a combination of neuro-linguistic programming and hypnosis to help children reframe fears and build new neural pathways. - **Specialized Programs:** We also refer families to outside therapists and online programs such as Primal Trust, depending on the child's specific needs. - **Medical Treatment for Underlying Causes:** When OCD is driven by immune dysfunction such as PANS/PANDAS, addressing the underlying causes is essential for lasting improvement. At The Center for Fully Functional Health, our goal is to restore freedom, to help children and families break free from OCD's grip so they can live fully and joyfully. It takes courage and consistency, but the transformation is worth every difficult moment along the way. You can do this, and we're here to help. ## **Functional Medicine for OCD and PANS/PANDAS in Carmel, IN** If you suspect your child's OCD may be related to PANS, PANDAS, or other underlying health issues, The Center for Fully Functional Health is here to help. Please contact our office at [(317) 989-8463](tel:(317) 989-8463) or reach out using the form below to learn more about scheduling your child's first appointment. Hope and healing are within reach. --- ## Broccoli Rabe Salad With Romaine and Creamy Garlic Paleo Dressing **Link:** [Broccoli Rabe Salad With Romaine and Creamy Garlic Paleo Dressing](https://fullyfunctional.com/blog/broccoli-rabe-salad-with-romaine-and-creamy-paleo-dressing/) ([md](https://fullyfunctional.com/blog/broccoli-rabe-salad-with-romaine-and-creamy-paleo-dressing/index.html.md)) **Description:** One of our top anti-inflammatory diet recipes. Broccoli Rabe salad topped with a creamy garlic paleo dressing. A finishing touch that tastes so indulgent. ### Content We love this **broccoli rabe salad**. Broccoli rabe is one of those [veggies ](https://www.imperfectfoods.com/) you can enjoy raw or cooked! It is so good in this salad. The **creamy garlic paleo dressing** is rich and nutritious, adding a finishing touch that tastes so indulgent (you may want to double the dressing recipe, just sayin’). This salad goes great with our [Rosemary Lemon Chicken Skillet](/blog/rosemary-lemon-chicken-skillet/). If you make this Fully Functional® dish, and love it, save it with your favorite **anti-inflammatory diet recipes**! ### Ingredients #### For the dressing - 2 heads garlic unpeeled - 1 tbsp lemon juice fresh - 1 1/4 tsp sea salt - 1/4 tsp black pepper freshly ground - 1 tbsp olive oil - 1 cup mayo paleo see recipe - 1/2 cup coconut milk top milk from can - 1/5 tsp chives minced fresh or green onion #### For the salad - 1 18 oz package romaine lettuce torn, organic hearts of - 1 pint organic grape tomatoes - 1-2 bunches broccoli rabe stems chopped - 1 whole english cucumber organic, chopped (peeled if desired) - 8 oz button mushrooms thinly sliced (can sub cremini) ### Instructions #### For the dressing - Heat oven to 325 degrees. - Slice top off each head of garlic; place each, cut side up, on a double layered large square of foil. - Sprinkle with salt & pepper’ drizzle with oil, then enclose foil packets. - Roast packets directly on oven rack until tender (~1 hr. 10 minutes). Open packet, cool. - When cool, squeeze garlic into a blender or food processor. Add remaining ingredients and process to desired dressing consistency. Can be made 1 day ahead, cover and chill. #### For the salad - Combine vegetables in a large bowl. Add dressing to taste and toss. Season with more sea salt and pepper if desired. - Enjoy! ### Notes This dish goes great with cauliflower rice! Keywords: anti-inflammatory diet recipes, broccoli rabe salad, paleo dressing, salad --- ## Brussels Sprouts With Pine Nuts **Link:** [Brussels Sprouts With Pine Nuts](https://fullyfunctional.com/blog/brussels-sprouts-with-pine-nuts/) ([md](https://fullyfunctional.com/blog/brussels-sprouts-with-pine-nuts/index.html.md)) **Description:** Enjoy these healthy Brussels Sprouts with Pine Nuts any night of the week. My husband and I love Brussels sprouts, a vegetable that is just so versatile. ### Content Enjoy these [healthy](https://www.hsph.harvard.edu/nutritionsource/food-features/brussels-sprouts/) **Brussels Sprouts with Pine Nuts** any night of the week. My husband and I love brussels sprouts, a vegetable that is just so versatile. Pair this Brussels Sprouts With Pine Nuts recipe with our [Greek Style Zucchini-Lamb Burgers](/blog/greek-style-zucchini-lamb-burgers/), or our [Oven-Baked Turkey Meatballs](/blog/oven-baked-turkey-meatballs/). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! ### Ingredients - 2 lbs brussels sprouts cut in half lengthwise - 1/4 cup grapeseed oil - 1/4 cup pine nuts - 2 cloves finely chopped garlic - 1 pinch himalayan sea salt, to taste - 1/4 to 1/2 cup Water ### Instructions - Clean your Brussels sprouts, and cut in half lengthwise. - Head a pan on medium heat, add in grapeseed oil, and finely chopped garlic. Sauté for a minute or two, then add in your brussels sprouts, and sea salt. Turning the heat up or down depending on how much you want to caramelize the sprouts. - Once your sprouts have some good color, add in the pine nuts, and sauté for another 5 mins. You may also throw these in the oven on broil for 5-10 mins if you want to get them more crispy. Just make sure you’re using an oven-safe pan, or transfer to an oven-safe dish or pan. - Let cool some, and enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory veggies, brussels sprouts, brussels sprouts with pine nuts, veggie dish --- ## Building Resilience **Link:** [Building Resilience](https://fullyfunctional.com/blog/building-resilience/) ([md](https://fullyfunctional.com/blog/building-resilience/index.html.md)) **Description:** All of our efforts to cultivate an ideal quality of life require us to actively support resilience. Here are some tools to help strengthen this core ability. ### Content We live in a world which, while full of beauty, miracles, and hope, is also ever-changing and challenging with many toxic influences. We’re exposed daily to stressors that affect our ability to live in vibrant physical, mental and emotional health. Our bodies and minds are constantly forced to adapt, *to be resilient*. So we’re sharing our **top tips for building resilience**. Life has always been full of risk and challenges, but we are certainly in a time of heightened risk, stress, emotions, and fear. We face toxins and threats not only in our physical world, with a deadly virus and toxic pollutants in the very air we breathe, as well as toxic attitudes such as racism and hate. ## *****What Is Resilience? Why Is it Important? ***** **Resilience** is our mental and physiological ability to bounce back from life’s disruptions, challenges, stressors, and setbacks. We often think of resilience as being strong in spirit, but resilience applies to the body as well. In our rapidly changing world, this quality is more important than ever, however, epidemic rates of chronic disease and mental health issues reveal a serious decline in resilience. All of our efforts to cultivate an ideal quality of life require us to *actively support resilience*. So how do we strengthen our own resilience to support our health, wellbeing, and ability to pursue our purpose in the world? ## ***Strategies for Strengthening, and Building Resilience*** [Resilience](https://www.nia.nih.gov/research/blog/2020/05/research-resilience-stressful-times) is built through many different factors, including everyday health habits (such as eating, sleeping), physical wellbeing, mental wellbeing, diet and nutrition, relationships, community, and having a sense of purpose. **One way to look at resilience is like a healthy “bank account”.** A good bank account includes a savings account with money put aside for unexpected expenses to avoid taking on debt. Focusing on habits to build resilience is like building a savings account. These reserves help you face and overcome challenges when they arise with much less consequence (debt). It doesn’t mean you will never face a health challenge or life stressor. What it means is *you will bounce back more quickly*. When it comes to physical health, unfortunately too many of us face a health crisis when our health “bank account” is already depleted. This hampers our ability to recover from these health challenges and bounce back without serious consequences. It goes without saying that *when you’re already sick is not the time to start building your resilience*! ## ***Optimize Habits: Body, Mind, Spirit*** Building resilience requires the optimization of habits in many different areas of life. Habits are so important because we do them automatically. **Consistency is key and health is a daily practice.** We must do the work, and build the foundation our bodies and minds need every single day. **These foundations for the body include:** - proper nutrition and hydration - supporting digestion and gut health - building immunity - reducing inflammation - optimizing detoxification - hormonal balance - prioritizing sleep - choosing exercise that is appropriate for our fitness level **Foundations for the mind and spirit include:** - reducing/managing stressors - time in nature - time in reflection/meditation/prayer - having a sense of purpose - living in community - living in alignment with your values - having a positive and growth mindset ## ***Thoughts Create: Manage Your Mindset*** **The role of mindset can not be overstated when it comes to building resilience!** We must understand and believe that *we have the power to affect our health destiny* and that our bodies have the innate ability to repair and regenerate when supported to do so. Ultimately it is about trusting in your body’s miraculous capabilities rather than fearing your body and accepting a scary diagnosis with resignation. **We can actually change our body’s biochemistry with our thoughts!** So while action is needed to change our habits, do not underestimate the power of your thoughts to work either for you or against you. Signs you may be suffering from a lack of resilience when it comes to your health are: - feeling overly fatigued at the end of the day (or at the beginning!) - feeling anxious or overly stressed - reacting to many different foods - getting sick easily - excessive fatigue after a strenuous workout - suffering from unexplained symptoms of any kind These are all signs you would benefit from cultivating a healthier baseline. In order to maintain sustainable outcomes while recovering from a health challenge or just building a healthy baseline, look closely at your day-to-day health habits. At the Center for Fully Functional® Health, we use our [5 Step Fully Functional® process](/about-us/) to help you regain your health and *develop resilience*! We provide expertise, a “roadmap” and support so you can: - **Identify** the root causes or contributing factors to the lack of resilience - **Reduce** the negative influences on physical health and mindset - **Optimize** detoxification and function - **Support** the body with supplements, movement, self care and healthy relationships - **Personalize** your health journey. You take an active role in your own healing. Times of crisis, such as the pandemic we are experiencing now, demonstrate our need for resilience and bring opportunities for reinvention and growth. How are you supporting your resilience during this time? Leave a comment to share your strategies and how you’re doing![.block][] [.block][]You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## What Foods Can You Eat On the Candida Diet? **Link:** [What Foods Can You Eat On the Candida Diet?](https://fullyfunctional.com/blog/candida-diet-food-list-and-recipes/) ([md](https://fullyfunctional.com/blog/candida-diet-food-list-and-recipes/index.html.md)) **Description:** Candida overgrowth is a common issue we see with our patients. We're sharing our candida diet food list, plus eight super tasty recipes to get you started! ### Content **Candida overgrowth** is a common issue we see with our patients. Recurrent vaginal yeast infections, ongoing fatigue, poor digestion, mood concerns, and skin problems can all be caused by an overgrowth of Candida. And a diet that aims to starve off the Candida and feed the good bacteria in your microbiome may be part of the solution you’ve been looking for. **So what can you eat on the Candida diet and what should you avoid?** Start by eliminating sugar, grains, alcohol, fermented foods, and dairy. Instead, fill your plate with lean protein, a wide variety of vegetables, and healthy fats. *A healthy gut is a healthy you*! So let’s dive into our starter guide on yeast overgrowth and the Candida Diet, including eight tempting recipes safe to enjoy while you restore the balance of Candida in your system. ## ***What Is Candida Yeast Overgrowth?*** **When we look at risk factors for Candida overgrowth, *there are two primary questions at play*:** **1) What feeds the Candida naturally residing in my body?** **2) What diminishes the helpful bacteria in my gut, allowing the harmful bacteria to multiply unchecked?** It’s interesting to note that the answers to these questions are two sides of the same coin. What feeds harmful bacteria and contributes to yeast overgrowth also starves the good bacteria in your system. However, the reverse is also true: a diet that encourages beneficial bacteria to flourish will help eliminate harmful gut flora and **restore a healthy balance of Candida**. **There are a number of potential factors in overgrowth of Candida causing recurrent yeast infections.** These include: - taking antibiotics - uncontrolled diabetes - chronic or frequent steroid use - being immunocompromised - increased estrogen levels (such as during pregnancy or on some forms of birth control)2 **With Candida overgrowth in the gut, antibiotic use is the main risk factor.** Now, we aren’t saying all antibiotic use is bad – *sometimes, it’s very much needed*. However, it’s important to recognize that antibiotics kill off the good bacteria in the gut, which can let bad bacteria and yeast flourish. **Other common causes of Candida overgrowth include diet and lifestyle.** That may mean: - chronic stress - excessive alcohol consumption - a diet high in sugar or refined carbohydrates One of the pillars of being Fully Functional® is *reducing toxic influences in your life*. While most people think about detox in terms of chemicals or pathogens, getting healthy also means reducing your exposure to chronically stressful work conditions and negative or unhealthy relationships. Both chronic stress and excessive alcohol consumption weaken your immune system, which can cause an imbalance in the gut microbiome. Refined carbohydrates and high-sugar foods also both feed Candida, which can cause an unhealthy imbalance. ## ***How Do You Know If You Have Yeast Overgrowth?*** **Candida overgrowth can cause a range of difficult symptoms.** Some common signs include: **1) Recurrent vaginal yeast infections, even after treatment** – If your yeast infection just won’t go away, a stubborn systemic **overgrowth of Candida** may be to blame. **2) Ongoing tiredness and fatigue** – If your gut isn’t performing optimally, over time this can lead to fatigue caused by improper nutrient absorption from your diet. **3) Brain fog** – Candida produces a variety of chemicals, one of which is a neurotoxin called “acetaldehyde.” Normally, the small amounts produced by Candida are easily processed by the liver. However, if you have a Candida overgrowth, acetaldehyde and other toxins can build up *and affect your memory, focus, and other brain function*.3 **4) Digestive issues such as constipation, diarrhea, nausea, gas, cramps, and bloating** – If you experience any of these symptoms more than occasionally, *then you likely have an imbalance in your gut microbiome*, and Candida could be the culprit. **5) Recurrent sinus infections** – Acute and short-term sinus infections are mostly caused by bacteria, but many longer term, chronic sinus infections are **fungal infections**. In fact, one study found fungal infections in a shocking 96% of the 210 chronic sinusitis patients who were tested!4 To further complicate things, most sinus infections are treated with antibiotics, which can kill off the beneficial bacteria in the gut and contribute to overgrowth of Candida. **6) Joint pain** – Uric acid is another compound produced by Candida, and it can lead to joint pain in various parts of the body. A build-up of uric acid can lead to gout, which is associated with pain, stiffness, and swelling in your joints.5 **7) Skin issues like acne, eczema, or psoriasis** – Many of our patients have leaky gut, meaning the lining of their digestive tract is more permeable than it should be. This allows cells, yeast, and toxins to pass from the intestine into the bloodstream. Once in your bloodstream, yeast like Candida can grow in other areas of the body, including your skin. This explains why researchers have found Candida in skin cultures of eczema patients.6 Anecdotally, some of our patients will say they developed eczema while pregnant when they have never had it before, and after pregnancy, they will have a flare-up when they are stressed. Risk factors of developing a Candida overgrowth include an increase in estrogen levels, a compromised immune system, and chronic stress – *all of which are hallmarks of pregnancy*. So it’s not super surprising it first presents while they are expecting, then recurs when they are stressed! **8) Low mood** – Candida overgrowth negatively impacts the helpful gut bacteria that produce hundreds of neurochemicals your brain uses to regulate mental processes such as learning, memory, and mood. For example, *gut bacteria manufacture about 95 percent of the body’s supply of serotonin*, which influences mood.7, 8[.block][]**The link between an imbalance of Candida in the gut microbiome and the impact it has on your entire body is fascinating proof that our physical systems, emotions, and habits are all closely linked and play important roles in our overall health.** ## ***What Is the Candida Diet and How Does It Help?*** **The intent of the Candida Diet is to starve off the Candida and nourish the good bacteria in your microbiome instead.** **We recommend omitting sugar, grains, dairy, fermented foods, and alcohol from your diet completely, as well as avoiding all fruit for the first 2-4 weeks.** After that period, *please treat fruit as a dessert*, as it does contain quite a bit of potentially inflammatory sugar. The ideal **anti-inflammatory Candid Diet** plate consists of: - ¼ of the plate filled with lean protein - ¼ of the plate filled with healthy fats, including nuts and seeds - ½ of the plate filled with vegetables – limit starchy veggies to 1-2 half-cup servings per day, and remember to eat the rainbow with a wide variety of vegetables. ## ***What to Omit, Limit, and Enjoy on the Candida Diet*** As a rule of thumb, aim to consume about 10-15 grams carbohydrates at a meal and about 5-8 grams of carbohydrates at a snack. (We recommend the MyFitnessPal app for easy carbohydrate tracking!) Since you will be omitting all grains and fruit, your carbohydrate intake will come from vegetables. **More specifically, on the Candida Diet, OMIT:** - damaged, soft, or bruised vegetables - mushrooms - all fermented foods, including yogurt, kimchi, sauerkraut, and pickles - cashews, peanuts, and pistachios - processed meats, such as deli or luncheon meats, salami, ham, etc. - all dairy, including milk, yogurt, and cheese - all grains, including wheat, rice, oats, corn, and barley - all added and simple sugars, including glucose, sucrose, corn syrup, cane sugar or juice, honey, agave, maple syrup) - jams and jellies - fruit juice and juice-based drinks - soft drinks - hot cocoa - all alcohol - rice milk - kombucha - all vinegars except for organic apple cider vinegar **Please LIMIT the following foods on the Candida Diet:** - eliminate fruit entirely for the first 2-4 weeks, then limit to 1-2 half-cup servings of fruit daily – berries are a good choice - limit to 1-2 half-cup servings of starchy vegetables daily, such as carrots, parsnips, beets, and winter squash - limit to 1 half-cup serving of beans or lentils daily - limit organic apple cider vinegar to 1 tablespoon daily **Feel free to ENJOY the following foods on the Candida Diet:** - fresh or frozen veggies - lemons and limes - avocados - olives in water - 1-2 tablespoons daily of nuts and nut butters (except cashews, peanuts and pistachios) - 1-2 tablespoons daily of seeds and seed butter, such as sunflower seed butter - plain or smoked meats and fish - fresh herbs and spices - coconut aminos - cold pressed oils - unsweetened nut or seed milks - herbal tea and plenty of water ## ***8 Delicious Candida Diet Recipes*** So you might be thinking, “What on earth am I going to make on this diet?” Fortunately, there are plenty of tasty, healthy options. Take a look at the recipes below to get started! **For breakfast, try delicious** [**Toasted Coconut “Granoless” Cereal**](/blog/toasted-coconut-cereal/). This versatile combination of coconut, cinnamon, and cacao is made creamy with cashew, almond, or macadamia nut milk is ready in a flash! **At lunch, a** [**Healthy Chopped Veggie Salad**](/blog/chopped-veggie-salad/) is made flavorful with the fresh herbs in [Dr. Scott’s Mediterranean Salad Dressing](/blog/mediterranean-salad-dressing/). **For sides at your Candida Diet meals, try flavor-rich** [**Detox Tabbouleh**](/blog/detox-tabbouleh-salad/), the perfect accompaniment for your favorite protein. And we’re betting [Easy Garlic Broccoli](/blog/easy-garlic-broccoli/) is bound to become a staple side dish in your house, just as it is in ours! **There are several scrumptious Candida Diet dinner recipe ideas, including **[**Dijon Salmon With Herbs**](/blog/dijon-salmon-recipe-with-herbs/) – it couldn’t be easier or more delicious and comes together in no time! We also love [Healthy Chicken Tikka Masala](/blog/healthy-chicken-tikka-masala/), a creamy, rich chicken recipe that will rival your favorite Indian restaurant.[.block][]And you can’t go wrong with vegan [Spaghetti Squash Noodles with Vegetable Marinara and Basil](/blog/spaghetti-squash-noodles-with-vegetable-marinara-and-basil/), a sneaky way to get lots of veggies and satisfy your spaghetti cravings, while staying gluten-free, grain-free, and low carb. ## ***Should You Try the Candida Diet?*** If you think you may have a yeast overgrowth, then absolutely! The wonderful thing about the Candida Diet is that it is also **anti-inflammatory and detoxifying**, so you’ll be doing great things for your body regardless.[.block][]In addition to dietary changes, we also recommend supplementing with a probiotic to boost the beneficial bacteria in your microbiome. (Just like the Candida Diet, probiotics are a great addition to your routine for your overall health.) If you still have questions about candida overgrowth, please feel free to contact our office to make an appointment with a [health coach](/functional-medicine/health-coaching/) or one of our physicians. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/)**. We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** *Sources:[.block][]1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790068/*[.block][]](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790068/)*2 *[*https://www.mayoclinic.org/diseases-conditions/yeast-infection/symptoms-causes/syc-20378999*](https://www.mayoclinic.org/diseases-conditions/yeast-infection/symptoms-causes/syc-20378999)[.block][]3 [*https://pubmed.ncbi.nlm.nih.gov/23445445/*](https://pubmed.ncbi.nlm.nih.gov/23445445/)[.block][]4 [*https://www.sciencedaily.com/releases/1999/09/990910080344.htm*](https://www.sciencedaily.com/releases/1999/09/990910080344.htm)[.block][]*5 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4742637/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4742637/)[.block][]6 [*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC126862/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC126862/)[.block][]7 [*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3272651/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3272651/)[.block][]8 [*https://www.apa.org/monitor/2012/09/gut-feeling*](https://www.apa.org/monitor/2012/09/gut-feeling) --- ## Cashew Spread With Avocado **Link:** [Cashew Spread With Avocado](https://fullyfunctional.com/blog/cashew-spread-with-avocado/) ([md](https://fullyfunctional.com/blog/cashew-spread-with-avocado/index.html.md)) **Description:** This savory Cashew Spread with Avocado is the perfect accompaniment to crackers, veggies, burgers! Extremely versatile with fantastic flavor. Give it a try! ### Content This savory **Cashew Spread with Avocado** will quickly become a hit at social gatherings! It’s extremely versatile and provides a fantastic flavor component to just about everything! In a 100-gram serving, raw [cashews](https://en.wikipedia.org/wiki/Cashew) provide 36% DV of protein, 13% DV of dietary fiber, and 11% DV of carbohydrates. Cashews are rich sources (> 19% DV) of dietary minerals, including particularly copper, manganese, phosphorus, and magnesium (79-110% DV), and of thiamin, vitamin B6, and vitamin K (32-37% DV). Iron, potassium, zinc, and selenium are present in significant content (14-61% DV) (table). Cashews (100 grams, raw) contain 113 mg of beta-sitosterol. A typical serving of [avocado](https://en.wikipedia.org/wiki/Avocado) (100 g) is moderate to rich in several B vitamins and vitamin K, with good content of vitamin C, vitamin E, and potassium. Avocados also contain phytosterols and carotenoids, such as lutein and zeaxanthin. High avocado intake was shown in one preliminary study to lower blood cholesterol levels. This Cashew Spread With Avocado is one of many tasty **anti-inflammatory diet recipes**, as it incorporates anti-inflammatory fruits (avocado), anti-inflammatory vegetables (garlic), and anti-inflammatory herbs. Don’t forget to check out the rest of our [recipes](/blog/)! ### Ingredients - 1/2 cup cashews organic, raw, cooked - 1/2 whole Avocado ripe - 3 leaves basil fresh, can also use dried - 1/8 tsp oregano dried - 1 pinch salt hickory smoked is delicious - 2 cloves garlic crushed - 1/2 whole lemon juiced - 1/2 whole lime juiced ### Instructions - At least 8-12 hours before preparing spread, soak cashews in 1 1⁄2 cups of water. - When cashews are soft, strain and allow to dry on paper towel for 15-30 minutes. - Place soaked cashews in food prep blender. Peel avocado and place in blender with cashews. - Add basil, oregano, sea salt, garlic, lemon and lime juice. Blend until all ingredients are well combined and cashews are a smooth consistency. - Enjoy with vegetables, crackers, burgers, etc. Keywords: anti-inflammatory diet recipes, anti-inflammatory fruits, anti-inflammatory vegetables, avocado spread, cashew spread, Cashew Spread With Avocado --- ## Cauliflower With Turmeric Coconut Cream **Link:** [Cauliflower With Turmeric Coconut Cream](https://fullyfunctional.com/blog/cauliflower-with-turmeric-coconut-cream/) ([md](https://fullyfunctional.com/blog/cauliflower-with-turmeric-coconut-cream/index.html.md)) **Description:** Try this Cauliflower With Turmeric recipe for an easy, comforting, healthy side dish. Featuring anti-inflammatory spices, simmered in creamy coconut milk. ### Content This **Cauliflower With Turmeric** is a delicious and flavorful recipe featuring the anti-inflammatory spice turmeric and creamy coconut milk for a quick and healthy side dish. You may want to double this recipe, it’s flavors deepen overnight, and make for a super tasty lunch the next day. We’ve all heard about the [therapeutic benefits of turmeric](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7812094/), or curcumin for pain and inflammation, but you may not know that *turmeric is fantastic to cook with*! It adds a depth of flavor, and color, that creates a feast for the eyes and belly. Cauliflower With Turmeric Coconut Cream pairs well with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/)! ### Ingredients - 1 can coconut milk - 1 teaspoon turmeric - 1 teaspoon sea salt - 1 teaspoon fresh ground pepper - 1 head cauliflower chopped into florets - 1/4 cup cilantro chopped ### Instructions - Heat a skillet over medium heat and add the coconut milk, turmeric, salt and black pepper. - Whisk together and let simmer on low. - Once bubbles start to appear in the sauce, add the cauliflower florets and cook covered with a lid for 15 to 20 minutes, or until your desired consistency is reached. - Top with cilantro to serve. Keyword: anti-Inflammatory recipes, anti-inflammatory spices, healthy sides --- ## Chestnut Soup With Cauliflower **Link:** [Chestnut Soup With Cauliflower](https://fullyfunctional.com/blog/chestnut-soup-with-cauliflower/) ([md](https://fullyfunctional.com/blog/chestnut-soup-with-cauliflower/index.html.md)) **Description:** Our Chestnut Soup With Cauliflower is a staple at our dinner table during the winter months. Enjoy this luscious, creamy, anti-inflammatory soup with any meal. ### Content Our **Chestnut Soup With Cauliflower** is a staple at our dinner table during the winter months. Chestnuts aren’t just for roasting over an open fire. Enjoy this luscious, creamy, nutrient-dense, **anti-inflammatory soup** as an accompaniment to any meal. Chestnuts are relatively low in calories but [rich in](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5470552/#:~:text=It%20is%20rich%20in%20vitamin,and%20vitamin%20C%20%5B3%5D.) fiber, vitamin C, folates in addition to other B vitamins, and minerals such as iron, calcium, magnesium, manganese, phosphorus, as well as zinc. Pairing recommendation: [Winter Salad With Lemon and Mint](/blog/winter-salad-recipe-with-lemon-and-mint/). If you make this Fully Functional® recipe and love it, save it with your favorite *anti-inflammatory diet recipes*! ## Chestnut Soup With Cauliflower Our Chestnut Soup With Cauliflower is a staple at our dinner table during the winter months. Chestnuts aren’t just for roasting over an open fire. Enjoy this luscious, creamy, nutrient-dense, anti-inflammatory soup as an accompaniment to any meal. ### Ingredients - 1 chestnuts organic - 1 large cauliflower head of organic cauliflower – coarsely chopped - 1 large green onions yellow, organic onion, thinly sliced - 2 large garlic cloves organic, minced - 32 oz chicken broth organic - 1 tbsp thyme fresh organic, chopped - 1/4 tsp fennel seed organic, dried - 1 pinch sea salt himalayan or celtic, to taste - 2 tbsp olive oil organic ### Instructions - Preheat oven to bake at 325 degrees Fahrenheit. - Carefully, using a sharp knife, make an incision about 1/8-inch deep through each chestnut shell, just into the flesh of the nut, and work your way almost around its circumference. - Place chestnuts on a baking pan and place them in the oven for 30 minutes or until soft. - While the chestnuts are in the oven, sauté the onions in olive oil in a stock pot until clear. - Add in minced garlic and sauté for 30 secs. - Then add in 1 cup of chicken broth and chopped cauliflower the to the onions. - Cover and let simmer for 10 minutes. - Once chestnuts are roasted, remove them from the oven and while hot, carefully remove the outer shell and papery skin. - Add the rest of the ingredients, including the freshly roasted chestnuts to the stock pot. Salt and pepper to taste. - Simmer, covered for 30 – 45 minutes. - Use an immersion blender to puree the soup to a thick, creamy consistency. (If you don’t own an immersion blender, you can pour the soup into a blender and puree until creamy.) Keywords: anti-inflammatory diet recipes, anti-inflammatory soup, chicken and lentil soup, healthy lentil soup, lentil soup, soup --- ## Chicken and Lentil Soup **Link:** [Chicken and Lentil Soup](https://fullyfunctional.com/blog/chicken-and-lentil-soup/) ([md](https://fullyfunctional.com/blog/chicken-and-lentil-soup/index.html.md)) **Description:** Our Chicken and Lentil Soup is the ideal meal for warming up on those winter days and nights. It's very healthy and contains turmeric to reduce inflammation. ### Content Dr. Scott’s **Chicken and Lentil Soup** is the ideal meal for warming up on those winter days and nights. This recipe is perfect for a chilly Midwestern afternoon or evening. It is very healthy and contains turmeric *to reduce inflammation*. Remember to use organic stock, chicken, and vegetables for this recipe. Enjoy! Pair this Chicken and Lentil Soup with our [Gluten-Free Flatbread](/blog/gluten-free-flatbread-garlic-chive/). And check out the many health benefits of lemons [here ](https://pubmed.ncbi.nlm.nih.gov/29125587/#:~:text=Polyphenol%2Drich%20lentils%20have%20a,%2C%20anti%2Dinflammatory%20and%20anticancer.). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! arm Me Up” Soup. This recipe is perfect for a chilly Midwestern afternoon or evening. It is very healthy and contains turmeric to reduce inflammation. Remember to use organic stock, chicken, and vegetables for this recipe. Enjoy! ### Ingredients - 4 tbsp olive oil - 2 cups onion finely chopped - 1 cup carrot chopped - 1 cup celery chopped - 3 whole chicken breasts OR 2 lbs chicken thighs (skinless, boneless) - 2 tsp sea salt - 2 tsp black pepper - 2 tsp turmeric - 2 tsp dill fresh - 4 tbsp Italian seasoning organic - 1 lb red lentils or green, rinsed - 1 cup tomatoes chopped - 1 quart chicken broth - 1 quart veggie broth ### Instructions - Heat the olive oil in the bottom of a large soup pot over medium heat. Add the onion, celery, and carrots. Season with salt and pepper. Cook, stirring occasionally, until the vegetables have softened, about 10 minutes. Add the turmeric, Italian seasoning and dill. Cook one minute more. - Add all of the broth, lentils and tomatoes and bring to a boil. Reduce the heat to maintain a gentle simmer and add the chicken. Cover and continue cooking for **30 minutes-1 hour**, keeping the soup at a gentle simmer, until the lentils are soft and the chicken is cooked through. Transfer the chicken to a plate to cool slightly. - Using two forks, shred the chicken and return to the soup. Season with additional salt and pepper to taste. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory soup, chicken and lentil soup, healthy lentil soup, lentil soup, soup --- ## Chicken Fricassee With Fennel and Artichoke **Link:** [Chicken Fricassee With Fennel and Artichoke](https://fullyfunctional.com/blog/chicken-fricassee-with-fennel-and-artichoke/) ([md](https://fullyfunctional.com/blog/chicken-fricassee-with-fennel-and-artichoke/index.html.md)) **Description:** This Chicken Fricassee With Fennel and Artichoke will show you how to “do Italian” without nightshades! One of our favorite anti-inflammatory diet recipes. ### Content This [Chicken](https://primalpastures.com/) Fricassee With Fennel and Artichoke will show you how to “do Italian” without nightshades! One of the challenges we face as we go through the initial “elimination” phase of the Fully Functional® Wellness Plan, is living without the Nightshade family for 4-6 weeks. This plant family includes eggplants, sweet bell and chili peppers, potatoes, and tomatoes. Although we typically associate many Mediterranean and/or Italian dishes with one or more of the Nightshade family, the following recipe shows that other foods and dishes consistent with Italian and Mediterranean cuisines can be made without them. Artichokes, Chickpeas, and Fennel can take starring roles in creating delicious and satisfying meals without tomatoes (or eggplant, or potatoes). This dish is beyond delicious. Full of bold, warm aromatic flavors, and **anti-inflammatory spices**, it’s always a hit in our house. If you make it and love it, save it with your favorite anti-inflammatory diet recipes! [.block][]For a match made in heaven, pair with our refreshing and zesty [French Salad](/blog/french-salad-recipe/). ### Ingredients - 1 whole chicken cut into pieces - 1 pinch sea salt coarse - 1 pinch ground pepper fresh - 1 tbsp extra-virgin olive oil - 1 bulb fennel trimmed and sliced - 15 oz artichoke hearts frozen, thawed - 6 cloves garlic peeled and smashed - 1 cup chicken stock - 3/4 cup green olives pitted ‘natural’ or sicilian olives - 3 tbsp flat leaf parsley coarsely chopped ### Instructions - Season chicken with salt and pepper. - Heat oil in a large sauté pan or Dutch oven over high heat until fragrant. - Add chicken and brown on all sides, 3-4 minutes/side, then transfer chicken to a plate, pouring off excess fat. - Add fennel, artichokes and garlic to pan and sauté until lightly browned, stirring occasionally, 2-3 minutes. - Add chicken back to skillet, then add stock. Reduce heat to maintain a simmer, and braise until chicken is cooked through, **~20 minutes**. - Remove chicken and vegetables to a serving dish and cover. - Reduce braising liquid by increasing heat, until liquid is 1/3 to 1/2 cup, then add olives. Pour over chicken and garnish with parsley. - Enjoy! Keywords: anti-inflammatory diet recipes, chicken, chicken fricassee, chicken fricassee recipe --- ## Chicken Kale Salad **Link:** [Chicken Kale Salad](https://fullyfunctional.com/blog/chicken-kale-salad/) ([md](https://fullyfunctional.com/blog/chicken-kale-salad/index.html.md)) **Description:** The best chicken kale salad recipe! Great for lunch or a quick easy dinner. This salad is bursting with flavor, packed with nutrients, and mayonnaise-free! ### Content Perfect for picnics, lunch, or a quick easy dinner! This [chicken](https://www.crowdcow.com/ranch/pasturebird#product-listing) kale salad recipe gets *a major nutrient boost* thanks to the green goodness of kale, and celery. Plus, it’s mayonnaise-free! Delicious as a salad or try in a lettuce (or kale!) wrap. Kale is loaded with [antioxidants and vitamin c](https://pubmed.ncbi.nlm.nih.gov/22744944/), it really is **a superfood**! Pairs well with our [Sweet Potato Toast 2-Ways](/blog/sweet-potato-toast/), and/or [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/). ### Ingredients - 1 lb chicken breast baked or poached - 4 stalks celery divided - 1 cup grapes* - 8 cups kale leaves finely sliced into ribbons - 2/3 cup slivered almonds - 1/4 cup dijon mustard - 1/4 cup extra virgin olive oil - 1 lemon juiced - sea salt & black pepper to taste ### Instructions - Shred the cooked chicken breasts using two forks and place in a bowl. - Add celery, grapes, slivered almonds and kale. - In a separate small bowl, combine mustard, lemon juice and olive oil. Stir well. - Add dressing to the bowl and toss well to coat. Season with salt and pepper. - Enjoy! ### Notes *1 cup chopped apple would be a good substitution, if needed Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, best kale salad recipe, chicken kale salad --- ## Chocolate Avocado Pudding **Link:** [Chocolate Avocado Pudding](https://fullyfunctional.com/blog/chocolate-avocado-pudding/) ([md](https://fullyfunctional.com/blog/chocolate-avocado-pudding/index.html.md)) **Description:** Chocolate avocado pudding. You cannot go wrong here! Try it as a dessert or as a snack. Always dairy-free and gluten-free, and a great way to finish a meal. ### Content **Chocolate Avocado Pudding**. You cannot go wrong here! Try it as a dessert or as a snack. Always dairy-free and gluten-free, this recipe is a great addition to your recipe arsenal. *We definitely recommend doubling this recipe*. This Chocolate Avocado Pudding goes great with [coconut whipped cream ](https://minimalistbaker.com/how-to-make-coconut-whipped-cream/#wprm-recipe-container-35775), just make sure to swap out the powdered sugar with an [allulose powdered sugar](https://www.wholesomeyumfoods.com/shop/sweeteners/allulose/allulose-powdered/) substitute. Use Fully Functional Health® Comprehensive Protein Powder instead of cocoa powder for Vanilla Avocado Pudding during an Elimination Diet. Pair with our [Creamy Detox Latte](/blog/creamy-detox-latte-dairy-free-coffee-substitute/) for a great finish to your entire meal. If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! ### Ingredients - 1 whole avocado ripe, peeled and quartered - 1/4 cup cocoa powder use Fully Functional Health® Comprehensive Protein Powder (vanilla) instead of cocoa powder for Vanilla Avocado Pudding during an Elimination Diet - 2 tsp coconut oil organic, melted - 1/4 cup honey organic, raw, may adjust quantity to desired thickness - 1 tsp vanilla extract ### Instructions - Put all ingredients in the blender or food processor and blend until smooth. Refrigerate for 1/2hr or so before eating for optimal consistency. - If desired, top with walnuts, almond slices, fresh raspberries, mint leaves, or your favorite topping. - Enjoy! Keywords: anti-inflammatory desserts, anti-inflammatory diet recipes, chocolate, chocolate avocado pudding, healthy chocolate pudding, healthy dessert, pudding --- ## Chopped Veggie Salad **Link:** [Chopped Veggie Salad](https://fullyfunctional.com/blog/chopped-veggie-salad/) ([md](https://fullyfunctional.com/blog/chopped-veggie-salad/index.html.md)) **Description:** We love a good chopped veggie salad in our house, and this recipe really hits home since it’s loaded with anti-inflammatory vegetables. Get creative with it! ### Content We love a good **chopped veggie salad** in our house, and this recipe really hits home since it’s loaded with anti-inflammatory [vegetables](https://www.imperfectfoods.com/). It’s a win-win (for your body and your taste buds). Truthfully, we think some folks turn away from salads because they don’t feel compelled to get creative with them. Go crazy! *Get creative!* This Chopped Veggie Salad is a feast for your eyes and your belly. Fresh flavorful herbs are a MUST and making your own tasty dressing is also a great perk (check out our amazing dressings!). Make a big bowl of this salad for dinner and add your favorite protein. If you make this Fully Functional® dish and love it, save it with your favorite **anti-inflammatory diet recipes**! ### Ingredients - 1 lb cucumber organic, diced (peeled if desired) - 1 lb tomatoes organic, seeded and diced - 1/3 cup red onion minced - 1 whole avocado diced - 1 cup red cabbage chopped - 1/4 cup flat leaf parsley minced - 1/4 cup dill chopped - 1/4 cup cilantro chopped - 1 whole lemon zested - 4 tbsp lemon juice - 4 tbsp olive oil organic - 1 pinch celtic sea salt or himalayan ### Instructions - Combine lemon zest and juice, then whisk in organic olive oil. - Add sea salt to taste. - Place all the veg and herbs in a large bowl. - Whisk dressing one more time, then pour over veg and herbs, mixing to coat all (suggest using exam gloves to mix by hand). - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory salad, anti-inflammatory vegetables, chopped veggie salad, salad --- ## Chronic Fatigue Syndrome: Behind The Science **Link:** [Chronic Fatigue Syndrome: Behind The Science](https://fullyfunctional.com/blog/chronic-fatigue-syndrome-behind-the-science/) ([md](https://fullyfunctional.com/blog/chronic-fatigue-syndrome-behind-the-science/index.html.md)) **Description:** What is Chronic Fatigue Syndrome? Much of the research on CFS has only been released in the past year or two, but they all indicate one thing, CFS is very real. ### Content **Chronic fatigue syndrome (CFS)** impacts between one to two million people in the United States and yet, it’s still a commonly misunderstood condition.¹ It wasn’t that long ago that people struggling with this perplexing condition were dismissed by their doctors regularly. Due to its complex nature and generic symptoms, *patients were often erroneously told their symptoms were psychosomatic*. In fact, this unfortunate situation is still happening at an alarming rate and patients often come to us being told their symptoms are ‘all in their head.’ Chronic fatigue syndrome has been incorrectly classed as a psychological disorder or sometimes a condition of poor discipline. The recommended treatment was often to exercise more because it was thought that laziness and not exercising enough was compounding the issue. We now know that not only is this counterproductive, but it’s also downright devastating for anyone affected by chronic fatigue syndrome. Movement is crucial in the healing process, but recommending that someone begin a strenuous exercise regimen when they can’t brush their teeth without it bringing them to their knees, makes little sense – *but that is precisely what doctors were doing*. Fortunately, huge strides have been made in understanding this condition. Much of the research on **CFS** have only been released in the past year or two, but they all indicate one thing – Chronic fatigue syndrome is very real. It’s time we shine a light on this debilitating illness. ## ***What Is Chronic Fatigue Syndrome? *** We now know that **chronic fatigue syndrome** is simply a label for the symptoms of a much more complex condition. It is characterized by extreme fatigue, sleep dysfunction, brain fog, and muscle pain. The underlying cause of chronic fatigue can vary and includes infections (such as [Epstein-Barr virus](/blog/reactivated-epstein-barr-virus-need-know/), better known as Mononucleosis), mold-related illness, and autoimmunity. The running theme with chronic fatigue is that *there is a dysfunctional immune system response* alongside brain and spinal cord inflammation. Another name for chronic fatigue syndrome is myalgic encephalomyelitis (ME), which directly refers to this distinctive inflammation. Research papers now often refer to the condition as ME/CFS.² This is important because it reveals the shift that is occurring within the medical world in treating this condition with the seriousness it deserves. ## ***Common Chronic Fatigue Syndrome Symptoms *** If you struggle with **debilitating fatigue** that is completely unresponsive to any form of intervention, it could be chronic fatigue syndrome. The most common symptoms include: - Extreme fatigue - Not feeling rested after sleep - Dysregulated sleep patterns – both insomnia and excessive sleeping - Brain fog - Memory loss - Becoming lightheaded or dizzy after standing - Weakness - Muscle pain - Joint pain - Digestive issues - Tender lymph nodes in throat or armpit - Headaches - Sore throat - Chills - Night sweats - Allergies Furthermore, lab work will indicate high cytokine (cell signaling molecules that aid in communication between cells) levels and an abnormal T-cell (a type of white blood cell) function. A recent study identified 17 cytokines that can be considered biological markers for ME/CFS.³ Interestingly, this same study found that *13 of these cytokines are proinflammatory*, which adds weight to the idea that chronic inflammation plays a major role in chronic fatigue syndrome. ## ***9 Chronic Fatigue Syndrome Causes*** While we are still discovering the causes of chronic fatigue syndrome, a common factor links them all – **immune system dysregulation**. There are a number of things that can cause immune dysfunction, which then results in chronic fatigue.⁴ Currently, it’s thought that in many cases an infection triggers an immune system response that causes symptoms, even after the infection is gone. **Causes of chronic fatigue syndrome include, but are not limited to:** - **Epstein-Barr virus (Mononucleosis)** - **Ross River virus** (An infection spread by mosquitoes that is characterized by joint pain and typically found in Australia, Papua New Guinea and other islands in the South Pacific) - **Coxiella burnetii bacteria** (otherwise known as Q Fever – found in farm animals as well as humans – likely more common in individuals exposed to these animals) - **Cytomegalovirus** - **Mycoplasma sp.** - **Human herpes virus** - **Parvovirus B19** (Otherwise known as fifth disease, an illness that typically involves a rash, fever, and joint pain) - **Borrelia Burgdorferi** (The spirochete involved in Lyme disease) - **Biotoxin exposure** Of those with ME/CFS, one in 10 experienced this condition following an infection of the first three infections listed above.⁵ *Genetics also seem to play a role* in whether or not an infection will cause a strong response in the immune system. One study found that those with ME/CFS were more likely to have a single nucleotide polymorphism (SNP) in a certain cell receptor – transient receptor potential melastatin 3 (TRPM3).⁶ These receptors are important in transferring calcium, which helps regulate protein production and genetic expression. More research needs to be done on this, but it certainly explains part of the mystery behind why some people develop chronic fatigue after an infection and others do not. ## ***Diagnosing & Treating CFS*** *Chronic fatigue syndrome is notoriously tricky to diagnose*. It’s not uncommon for someone with chronic fatigue to go years, even decades without a proper diagnosis and treatment. This is because it requires careful investigation and thorough examination of a patient’s history, cognitive analysis, laboratory work, MRIs, and elimination of other potential conditions. Other reasons for extreme fatigue can be thyroid issues or nutrient deficiencies and these must be ruled out. There isn’t one test for this condition and therefore requires deliberate diagnostics with an experienced doctor. Chronic fatigue syndrome is a condition we see in our practice regularly because we specialize in complex medical conditions and medical mysteries. In fact, we designed our proprietary process called **Fully Functional®** specifically to help patients through the complicated process of getting their life back when affected by conditions such as chronic fatigue syndrome. **Here’s how the Five Pillars of Fully Functional® would work in someone with chronic fatigue:** ***IDENTIFY*** – First, we run diagnostics to ensure that there aren’t other imbalances causing fatigue. We also check for any underlying infections and ensure they are treated. ***REDUCE*** – Reducing triggers, toxicity, infections, and inflammatory processes are key to reducing the impact of chronic fatigue syndrome. ***OPTIMIZE*** – Through optimizing detoxification pathways and biological processes, we can make your body run more efficiently which will help you feel better. ***SUPPORT*** – When you have CFS, your body, immune system, and spirit require support. Part of this process is ensuring you know what the next step is so you never feel lost and can continue to improve. ***PERSONALIZE*** – Everyone is different and requires a treatment plan unique to them. So often, doctors don’t have the time to create personalized treatments, but you won’t find that in our practice because we know it is essential for building a Fully Functional® life. Our goal is to empower you with information about your body and give you the tools to help navigate and manage much of your health moving forward. ## ***Finding a Functional Medicine Doctor for Your CFS*** With a complex condition like chronic fatigue syndrome, you absolutely should see someone who specializes in it, like a [functional medicine practitioner](/). It’s a condition that’s still widely misunderstood. *We have helped over 1700 patients through the Fully Functional® process* so they can have their life back. A chronic diagnosis can feel daunting but you don’t have to do it alone. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[*https://prevention.nih.gov/sites/default/files/documents/programs/mecfs/ODP-P2P-MECFS-FinalReport.pdf[.block][]*](https://prevention.nih.gov/sites/default/files/documents/programs/mecfs/ODP-P2P-MECFS-FinalReport.pdf)*2 *[*https://www.cdc.gov/me-cfs/index.html[.block][]*](https://www.cdc.gov/me-cfs/index.html)*3 *[*https://pubmed.ncbi.nlm.nih.gov/28760971/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/28760971/)*4 *[*https://pubmed.ncbi.nlm.nih.gov/7856214/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/7856214/)*5 *[*https://www.sciencedirect.com/science/article/pii/S0306987715003825[.block][]*](https://www.sciencedirect.com/science/article/pii/S0306987715003825)*6 *[*https://pubmed.ncbi.nlm.nih.gov/27834303/*](https://pubmed.ncbi.nlm.nih.gov/27834303/) --- ## Chronic Infections & Reactivated Epstein-Barr Virus **Link:** [Chronic Infections & Reactivated Epstein-Barr Virus](https://fullyfunctional.com/blog/chronic-infections-reactivated-epstein-barr-virus/) ([md](https://fullyfunctional.com/blog/chronic-infections-reactivated-epstein-barr-virus/index.html.md)) **Description:** Covering chronic infections and Reactivated Epstein-Barr Virus. Acute vs chronic infection symptoms, treatment options, and the Fully Functional® approach. ### Content **Chronic infections** may be the root cause of many different conditions. Infections are caused by any type of pathogen (bacteria, virus, fungus, or other organisms) that invades the body, negatively impacts organs, *and ultimately causes harm to the body*. Of the different types of pathogens that exist, bacterial infections typically attract the most attention because they can cause severe infections that may require hospitalization. Breakouts like the bubonic plague and the antibiotic-resistant superbug MRSA are two of the more famous bacterial infections. Infections can be caused by pathogens other than bacteria, including fungi, viruses, and parasites. Some of these infections can be acute, causing a strong immune system response and requiring immediate attention, while others may become chronic. A healthy immune system should be able to fight off most infections. However, from time to time when your body is unable to do so, you become sick. When chronic infections are not removed from your body by the immune system, they can cause health problems that last for months or even years. There are also some infections that you may never fully get rid of, such as **the Epstein-Barr virus (EBV)**. Epstein-Barr virus is passed easily from person to person through saliva, and nearly everyone has been exposed at some point. Referred to as “kissing disease” or mononucleosis (“mono”), the Epstein-Barr virus can remain dormant in the body for years after your initial exposure. Only when something triggers it does the Epstein-Barr virus suddenly re-emerge, causing serious health problems. ## ***Types of Chronic Infections*** *There are many different kinds of chronic infections*, but some of the most common ones we see include chronic infections caused by: - Epstein-barr virus (EBV) - Mycoplasma pneumoniae - Chlamydia pneumoniae - Human Herpesvirus 6 (HHV-6) - Cytomegalovirus (CMV) - Varicella Zoster Virus (VZV) ## ***Differences in Symptoms Between Acute and Chronic Infections*** **Acute Infection Symptoms**[.block][]Sudden rashes on your skin[.block][]Nausea and/or vomiting[.block][]Congestion[.block][]Sudden muscle or joint pain[.block][]Diarrhea[.block][]Swollen lymph nodes[.block][]Sore throat[.block][]High fever **Chronic Infection Symptoms**[.block][]Chronic fatigue[.block][]Persistent low-grade fever[.block][]Persistent rashes or skin conditions that wax and wane[.block][]Frequent urinary tract infections[.block][]Mood swings, anxiety, depression[.block][]Chronic respiratory issues[.block][]Chronic muscle or joint pain[.block][]Diarrhea, constipation, gas, bloating Because symptoms differ depending on the type of infection, look below to see if any of your symptoms line up with one of these chronic infections. [**Epstein-Barr virus (EBV)**](/blog/reactivated-epstein-barr-virus-need-know/) – An estimated 95% of the population has been exposed to Epstein-Barr virus, but it doesn’t usually cause them ongoing problems. Only when it becomes reactivated do symptoms re-emerge. ## ***Symptoms of Reactivated Epstein-Barr Virus May Include*** - Chronic and debilitating fatigue - Muscle and joint aches - Headache - Sore throat - Swollen lymph nodes - Rashes - Swollen spleen - Swollen liver - Liver dysfunction - Depression¹ ### **Mycoplasma Pneumoniae** This is an atypical bacteria that causes infections of the respiratory system. **Mycoplasma pneumoniae** causes respiratory symptoms which may turn into pneumonia, a more serious lung infection. **Symptoms of Mycoplasma pneumoniae include:** - Sore throat - Chest tightness - Fatigue - Headache - Fever - A worsening cough, which can last for weeks ### **Chlamydia Pneumoniae** This is another bacteria that causes respiratory infections. **Chlamydia pneumoniae** can also develop into pneumonia, but doesn’t always. **Symptoms of Chlamydia pneumoniae include:** - Fatigue - Headache - Low grade fever - Runny nose - Hoarseness - Sore throat - Cough that can last for weeks ### **Human Herpesvirus 6 (HHV-6)** **Human herpesvirus 6** is a virus that nearly everyone has in their body. You come in contact with this virus when you’re very young and initially, they result in a fever, diarrhea, and sometimes a rash. This virus remains dormant but can become reactivated later in life. Human herpesvirus 6 is often misdiagnosed as chronic fatigue syndrome. **Symptoms of Human herpesvirus 6 includes:** - Extreme fatigue - Cognitive dysfunction (“brain fog”) - A weakened immune system - Sleep disorders ### **Cytomegalovirus (CMV)** This is an incredibly common infection estimated to exist in about half of the population. Once you have **cytomegalovirus**, you have it for life. Usually, it doesn’t cause any issues but if it becomes triggered or reactivated it can cause chronic symptoms. **Symptoms of infection with cytomegalovirus include:** - Fatigue - Fever - Swollen glands - Sore throat ### **Varicella-Zoster Virus (VZV)** Also known as **shingles**, herpes zoster is a viral disease that is best known for the painful rash it causes. *It is a reactivation of chickenpox*. Herpes zoster rashes form painful blisters, which can cause long-term pain (known as post-herpetic neuralgia) and vision loss if the condition affects the eyes. **Symptoms of herpes zoster include:** - Fever - Blistery rash - Nerve pain - Headache - Fatigue ## ***Treating Chronic Infections *** Chronic infections are conditions we see frequently in our office. This is because they often produce perplexing, multisystem symptoms. Chronic infections often cause the worsening of other illnesses and conditions as well. Sometimes these infections are triggered by some other condition, and sometimes they are the trigger themselves. Interestingly, **treating chronic infections** like the Epstein-Barr virus is sometimes not about wiping out the microorganism altogether. Instead, when it comes to chronic infections, treatment is often about management and rebalancing other microbes while supporting a healthy immune system response so that we can get the harmful pathogen under control. ## ***Finding a Functional Medicine Doctor Who Specializes in Chronic Infections *** We regularly see patients who have reactivated or chronic infections in our office. In fact, we suspect many people who have recurring low-level symptoms are suffering because they have undiagnosed chronic, reactivated infections. One of the first things we test for when you come into our [functional medicine practice](/) is *chronic underlying infections*. We will also assess the function of your immune system to see if an abnormality here is making you susceptible to chronic infections. As Board-Certified Emergency Medicine physicians, Drs. Ellen and Scott Antoine, have many years of experience in treating both acute and chronic infections. They developed their proprietary Fully Functional® process to help manage perplexing conditions like chronic infections. With The Center for Fully Functional® Health, *you’ll be able to become your most healthy, productive, joy-filled self*. If you’re looking for a **Certified Functional Medicine doctor** who specializes in chronic infections in the Carmel or Indianapolis area, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[* https://www.nature.com/articles/srep04530#f3 *](https://www.nature.com/articles/srep04530#f3) --- ## The Link Between Chronic Stress & Breast Cancer **Link:** [The Link Between Chronic Stress & Breast Cancer](https://fullyfunctional.com/blog/chronic-stress-and-breast-cancer/) ([md](https://fullyfunctional.com/blog/chronic-stress-and-breast-cancer/index.html.md)) **Description:** We're sharing our breakdown of well-researched information that explains the link between chronic stress and breast cancer. Is stress dangerous? Read-on! ### Content One of the most shocking medical developments we have seen in recent years is the number of women being diagnosed with **breast cancer**. And it’s not just the sheer volume that’s worrying, but also the increasingly younger age of diagnosis. *There is a link between chronic stress and breast cancer*, and we’re sharing what we’ve found. **The National Breast Cancer Foundation, Inc. estimates that over a quarter of a million women will be diagnosed with breast cancer this year, and one in eight women will develop it in their lifetime.¹** Sadly, approximately 3% of them will die as a result. *It is the most common cancer diagnosed in women*. **The medical community is increasingly recognizing that managing chronic stress plays a crucial role in both preventing and recovering from cancer.** ## ***When Is Stress Dangerous?*** **People typically think of stress as a negative emotion caused by individual events, but did you know that we all actually produce stress hormones 24 hours a day?** *Epinephrine* (a.k.a. adrenaline) is a potent stress hormone produced in your adrenal glands. It makes your heart beat faster and leads to the production of glucose so that your body has sugar to run on when under stress. As ER docs, Dr. Scott and I used to administer “epi” to patients who were critically ill and dying in hopes that we would jump-start their bodies into functioning properly again or to thwart a life-threatening allergic reaction. **The issue is that we are only meant to make epinephrine under acute stress.** Our bodies aren’t made to experience chronic, ongoing exposure to stress hormones. But the sustained stress of difficult relationships, a tense work environment, or even living during a global pandemic all contribute to *the repeated release of epinephrine*. **And while people often think of stress as an emotional or mental event, your body responds exactly the same way when you have a serious illness, infection, or toxic exposure.** Ongoing experiences with pain, chronic health issues, and exposure to mold or household chemicals also create that same dangerous stress response. ## ***How Stress Affects Cancer*** **Chronic stress activates part of your nervous system called your “*sympathetic nervous system,*” and it has been shown to contribute to malignancy.²** Here’s why: In addition to epinephrine, **cortisol** is another one of our stress hormones. It is also produced in our adrenal glands, with the highest levels seen in the morning, giving us energy for the day. Cortisol levels drop at bedtime in order to allow us to fall asleep and recoup. This is called a “normal diurnal pattern.” Chronic stress contributes to adrenal dysfunction and causes abnormalities in this **diurnal pattern**. Rather than experiencing natural peaks and valleys in your stress hormone levels, chronic stress means *your cortisol remains elevated throughout the day and night*. Over time, chronic stress will lead to loss of the normal highs and lows of cortisol levels. Beyond the obvious issues with sleep and appetite, there are some serious consequences. **Patients with a flatter cortisol pattern have been found to have fewer Natural Killer (NK) immune system cells.³** These **NK cells** spontaneously kill abnormal cells in their vicinity, including tumor cells and infected cells. ## ***What Research & Studies Show*** Studies show that a major stressor causes a temporary elevation in NK cells, abruptly followed by a sharp decline in levels. This can have an enormous impact on immune function and risk for disease. In fact, researchers have found that breast cancer patients were more likely to survive longer if they had higher numbers of NK cells in the blood.⁴ So while a recent landmark study found no significant association between psychological stress and developing breast cancer,⁵ psychosocial factors do have a negative impact on survival once diagnosed.⁶ Quite frankly, the stress of hearing the “C” word and being told you may need chemotherapy, surgery, and/or radiation is itself *a major, prolonged stressor*. That means a cancer diagnosis alone can have a huge negative impact on a cancer prognosis. ## ***How to Address Your Stress*** **None of us are immune to stress, but some would say Dr. Scott and I have had more than the norm.** In fact, it isn’t uncommon for our family and friends to say, “There’s never a dull moment in the Antoine household.” It’s true! The number of challenges and stressors we’ve experienced as a family is overwhelming to think about – and quite frankly, to have experienced. We’ve gone from infertility to having five children in 5 years; a diagnosis of cancer with a poor prognosis; developmental delays and behavioral concerns in our kiddos; a diagnosis of autoimmune disease for me; seizure activity as a result of epilepsy in Scott; and if this wasn’t enough, the devastating and life-changing diagnosis of [PANS](/blog/pans-pandas-what-you-need-to-know/) in our daughter. **These life events have all had a huge impact on our health, and we are convinced we would still be sick (or worse…) if we weren’t intentional about following our pillars to becoming** [**Fully Functional**®](/blog/fully-functional/). One of our favorite books is on the topic of how patients can participate in their own recovery. This is where you PERSONALIZE your care, *the 5th pillar of becoming Fully Functional*®. The [book](https://www.amazon.com/Love-Medicine-Miracles-Self-Healing-Exceptional/dp/0060919833) is called Love, Medicine, and Miracles: Lessons Learned about Self-Healing from a Surgeon’s Experience with Exceptional Patients, by Dr. Bernie Seigal. ## ***Natural Ways To Increase Nk Cells*** **In addition to taking steps to create a positive mindset and relationships, here are some other *natural ways to increase NK cells* and support a healthy immune response:** - Studies show **massage** causes an increase in levels of Natural Killer (NK) cells.⁷ - Eating **blueberries** regularly has been shown to increase levels.⁸ - **Aged garlic** supplements have been shown to dramatically increase the number of and activity of NK cells.⁹ - **Probiotics** enhance NK cell activity and functionality.¹⁰ - **Sleep** is an important modulator of immune function. *Getting 8 hours of sleep per night is crucial for a healthy immune system*.¹¹ - **Vitamin C** has been shown to have cancer fighting properties, particularly in chronically stressed breast cancer patients.¹² - **Meditation** improves NK cell production.¹³ ## ***Breast Cancer Awareness & Prevention*** **October is Breast Cancer Awareness Month, but we strongly urge you to take your breast health seriously all year round.** You will be the first person to identify a change in breast anatomy, so *you need to know your breasts*. We recommend that you do regular [self-breast examinations](https://www.maurerfoundation.org/wp-content/uploads/maurer_bse_flier_v6.pdf) every time you shower or bathe. And please don’t miss your yearly testing and examination with your doctor. **If you have been diagnosed with breast cancer, we would love to partner with you on your journey to becoming your most healthy, productive, and joyful.** We will work alongside you and your other physicians. Providing adjuncts to care or some alternatives, if that is what you are interested in. **Our extensive training and work experience in the traditional medicine realm, combined with our [Functional Medicine practice](/), plus our personal experience with cancer and other serious health issues has given us a unique ability to bring hope and healing to our patients.** You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *[.block][]**Sources:**[.block][]**1** *[* https://www.nationalbreastcancer.org/wp-content/uploads/2020-Breast-Cancer-Stats.pdf *](https://www.nationalbreastcancer.org/wp-content/uploads/2020-Breast-Cancer-Stats.pdf)[.block][]***2** *[* https://www.jci.org/articles/view/121685 *](https://www.jci.org/articles/view/121685)[.block][]***3** *[* https://www.sciencedirect.com/science/article/pii/001457939180736M *](https://www.sciencedirect.com/science/article/pii/001457939180736M)[.block][]***4** [ https://ascopubs.org/doi/abs/10.1200/jco.1987.5.3.348 ](https://ascopubs.org/doi/abs/10.1200/jco.1987.5.3.348)[.block][]5 [ https://pubmed.ncbi.nlm.nih.gov/18493231/ ](https://pubmed.ncbi.nlm.nih.gov/18493231/)[.block][]6 *[* https://www.tandfonline.com/doi/abs/10.1080/00207450590523080 *](https://www.tandfonline.com/doi/abs/10.1080/00207450590523080)[.block][]***7** *[* https://pubmed.ncbi.nlm.nih.gov/22111516/ *](https://pubmed.ncbi.nlm.nih.gov/22111516/)[.block][]***8** *[* https://pubmed.ncbi.nlm.nih.gov/16484572/ *](https://pubmed.ncbi.nlm.nih.gov/16484572/)*[.block][]**9** *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467532/ *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5467532/)*[.block][] 10 *[* https://www.sciencedirect.com/science/article/pii/S1984006316300815 *](https://www.sciencedirect.com/science/article/pii/S1984006316300815)*[.block][]11 *[* https://medicalxpress.com/news/2019-02-mouse-reveals-chronic-stress-breast.html *](https://medicalxpress.com/news/2019-02-mouse-reveals-chronic-stress-breast.html)*[.block][]12 *[ *https://li01.tci-thaijo.org/index.php/anres/article/view/243430* ](https://li01.tci-thaijo.org/index.php/anres/article/view/243430)* * --- ## 10 Common Causes of Constipation & 18 Solutions **Link:** [10 Common Causes of Constipation & 18 Solutions](https://fullyfunctional.com/blog/common-causes-of-constipation-and-solutions/) ([md](https://fullyfunctional.com/blog/common-causes-of-constipation-and-solutions/index.html.md)) **Description:** Having a healthy digestive system is crucial for achieving optimal health. We're sharing the 10 most common causes of constipation, and 18 solutions to help! ### Content Yuck! Who likes to think about, let alone talk about, poop? In our office, I talk about bowel habits and regularity with each of my patients. Why? Because *it is a great indicator of what is happening inside the body* and poor GI health is often at the root of chronic health conditions. In other words, having a healthy digestive system is crucial for achieving optimal health. We’re sharing **the top 10 common causes of constipation**, and 18 solutions to help! So, what really is normal? Do you ‘go’ every day? Once a week? Several times a day? Conventional medicine doctors have been trained that constipation is defined as moving your bowels less than three times per week and/or hard painful stools. A better indication of a healthy gut is actually going **one to three times per day**. ## ***What’s The Norm?*** Many patients accept their lack of regularity as ‘normal for them.’ It is important for you to understand that our bodies were designed to ‘detox.’ Having regular, daily bowel movements is a means of *eliminating toxins and waste*. **Constipation** (best defined as not going at least once daily) contributes to toxins and waste sitting idle in our bowels, leading to their reabsorption into the bloodstream and disruption of the normal bacterial balance. Inflammation ensues and chronic diseases of all types are associated with poor bowel health. Talking about poop is not the most glamorous topic, however, it is a very important one. Constipation is the most common digestive complaint in the United States, outnumbering all other chronic digestive disorders. Physicians write over one million prescriptions for constipation each year and over $700,000 dollars are spent annually on laxatives. As unpopular as this topic may be to discuss, *it is clearly a tremendous health concern*. ## ***Mini Anatomy & Physiology Lesson *** Let’s talk a little **anatomy and physiology**. Your GI tract involves everything from your mouth to your anus. Food is chewed and digestion begins in your mouth with chewing and salivary enzymes. As foods travel to the stomach and small intestines, they undergo further digestion. Most nutrients (vitamins, minerals, sugars, amino acids, fatty acids, etc.) are absorbed in the small intestines. Once food moves through and into the large intestines (bowels), water is absorbed from the digested food to form your stool. Muscle contractions, known as *peristalsis*, push the poop towards the rectum where it collects and is ready for elimination. At this point, much of the water has been absorbed and the stool is in solid form. ## ***Common Causes of Constipation*** **What causes constipation? Here are the 10 most common causes:** ### **1. Dehydration** Our bodies require adequate water intake in order to help flush the system. ### **2. Poor Diet (lack of fiber, junk food)** Fiber adds bulk and holds onto water to help move stool through the colon. Fiber also binds toxins and keeps them from absorbing into the bloodstream. Foods high in sugar and lacking nutrients negatively impact our bowel health. ### **3. Thyroid Disease** Hypothyroidism (under-functioning thyroid) is a very common cause of constipation. More information on hypothyroidism can be found [here](/blog/thyroid-health-21-crucial-questions-pertaining-to-your-thyroid/). ### **4. Nutritional Deficiencies (particularly magnesium)** *Healthy nutritional status is critical for optimal health*. Enzymes, energy metabolism, and therefore motility are tightly regulated by certain nutrients. Not eating well or having poor bowel health with inadequate absorption of nutrients can significantly impact your ability to have regularity. ### **5. Sedentary Lifestyle** If you sit, you don’t poop! Plain and simple! *You’ve got to move*! ### **6. Use of Medications That Interfere With Bowel Motility** Many pharmaceutical agents (opiates, antidepressants, antacids, iron, and others) can cause poor motility and dehydration and lead to constipation. ### **7. Food sensitivities** **Food sensitivities** are a very common problem. As your body struggles to digest these foods that are causing inflammation, constipation is a common side effect. Gluten and dairy are the most common culprits, but food sensitivities can be caused by any number of foods. The best way to evaluate these sensitivities is to do an **elimination diet**. Obtaining the direction of a [Functional Medicine practitioner](/) can provide the guidance you need to determine these health concerns. Specialized blood testing for food sensitivities is available at our practice. ### **8. Dysbiosis (abnormal GI bacteria)** Disruption of the normal gut flora can lead to yeast overgrowth, intestinal permeability (known as ‘leaky gut’), and inflammation. There are actually over 100,000,000 organisms in the GI tract (10X more than the number of cells in our body.) Yikes! We are actually more ‘bug’ than human and the balance of these organisms is critical! Constipation is a common side effect of unhealthy ‘bugs.’ ### **9. Chronic Neurologic Conditions** Multiple Sclerosis, Parkinson’s, spinal cord injury, and other health conditions that impact neurologic function can lead to poor motility and constipation. ### **10. Bowel Obstruction/Partial Bowel Obstruction** While these are not the most common causes of constipation, a partial (or complete) bowel obstruction caused by a mass (such as a colon/rectal cancer or large polyp), narrowing of the colon/rectum from surgery or chronic inflammation, or twisting of the bowels must be considered. If any of these conditions are concerns, *immediate medical attention should be sought*. ## ***18 Solutions for Constipation – DON’T BE “FOS” (Full of Stool) *** ### **1. Drink Plenty of Water!** Make sure to drink at least ½ your body weight in filtered ounces of filtered water per day. Drink more on hot, sweaty days, and on those days you are exercising. ### **2. Stop Eating Junk and Add More Veggies and Fiber to Your Daily Regimen!** This should be pretty obvious and is important to overall good health, not just to your bowels. There are different types of fiber to add into your diet. Soluble fiber and insoluble fiber as well as resistant starch. - **Soluble fiber**, found in apples, carrots, nuts, lentils, beans, etc., are just that….They are soluble. When they come in contact with liquid they dissolve. Soluble fibers swell in liquid, make you feel full, slow the absorption of sugar, and encourage healthy bacteria in your GI tract to multiply by feeding these friendly ‘bugs.’ Healthy flora leads to normal bowel motility. - **Insoluble fibers**, found in many vegetables and the skins of fruits and veggies, support intestinal health another way – by absorbing water, making the stool more bulky. They help keep you regular. - **Resistant starch** is type of starch that acts like a fiber. It is ‘resistant to digestion’ and much like insoluble fiber, it traps water, adds bulk, and helps with regularity. Resistant starch is similar to soluble fiber as well. It helps feed and promote growth of healthy bacteria that live in your lower intestines. - Most foods contain a mixture of these different types of fiber. ### **3. Avoid Pro-Inflammatory Foods!** Stay away from those foods that we know are **inflammatory** – gluten, corn, soy, dairy, sugar, and processed/junk foods. Dairy is inherently constipating, especially if you have lactose intolerance. Consider an elimination diet to identify what other foods might be inflammatory for you (known as food sensitivities or even food allergies that you are unaware you have). We place every patient we have on some form of an ‘elimination diet’ on their journey to optimal health. ### **4. Start Taking Probiotics and Eat Lacto-Fermented Veggies** If the flora in your colon is imbalanced, it is critical to **restore the bacteria** to a healthy balance. Bifidobacteria and Lactobacillus species are found in probiotics and fermented foods and they help to ensure adequate bacterial counts. Foods like kimchi and sauerkraut not only help to provide probiotics, but also provide beneficial enzymes. When taking a **probiotic**, look for a product that has at least 25 billion CFU (colony forming units) of Lactobacillus and Bifidobacterium strains. Our Fully Functional® Probiotics 100 supplement contains *100 billion CFU per serving* (1 capsule). ### **5. Make Sure You Eat Healthy Fats Daily!** Avocado, avocado oil, olives, olive oil, coconut and coconut oil, nuts, seeds, fatty fish, flax oil, and fish oil are all excellent options. Healthy fats help to lubricate the GI tract. ### **6. Evaluate Your Medications!** Are they all necessary? Research the side effects. Does the benefit outweigh the side effects? Always speak with your physician/practitioner before you decide to stop a medication. Find out if there are other options for you if the drug is necessary for your health. ### **7. Get Your Thyroid Checked!** thyroid disease is a concern, discuss this with your medical Clinician and make sure to get a comprehensive thyroid evaluation performed. **Thyroid dysfunction** can negatively impact bowel health. ### **8. Sleep!** Sleeping is our ‘healthy reset’ button. *You need to get at least 8 hours of sleep per night* for optimal hormonal and physiologic functioning. ### **9. Regular Exercise!** A mixture of weight training, aerobic activity, and plyometrics help bowel motility by revving up metabolism and stimulating the intestines. ### **10. Go When You Gotta Go!** *Don’t hold it in*! Ignoring the urge to go can give the bowels the signal to ‘hold’ and slow down peristalsis. ### **11. Increase Digestion! Chew your food!** Chewing initiates the production of saliva which then begins the digestion process. Also, consider adding in a digestive enzyme supplement that contains amylase, lipase, and proteases, at a minimum. Adding organic apple cider vinegar before meals can help aid digestion as well. ### **12. Create a ‘Bathroom Routine’** You need to set aside time every day, preferably in the morning, for 10-20 minutes to sit quietly on the toilet to retrain your gut and nervous system to relax. Deep breathing exercises would be helpful. ### **13. Squat!** No, I don’t mean exercise squats…although these are quite helpful and you should probably be doing these anyway. The ideal position to be in when you evacuate your bowels is *in a squatting position*. This doesn’t exactly sound pleasant, as most of us can’t see ourselves ‘squatting’ over the toilet. This is why we carry a type of stool (pun unintended), called a **Squatty Potty**, in our office. It helps to keep your feet elevated and almost in a squatting position while sitting on the toilet. ### **14. Don’t Rely On Laxatives or Colonics!** You don’t want to do anything that your body becomes dependent on. An occasional colonic may provide some benefit (although healthy flora can be wiped out), but if you require one to ‘clear out,’ there is a problem! ### **15. Get Scoped!** If you have a family history of colon cancer or are concerned about a partial bowel obstruction or anatomic problem, a colonoscopy is an important (albeit, not the most pleasant) evaluation. Discuss this with your doctor. ### **16. Get a Massage!** Better yet, massage can be performed on yourself at home. Lie down on your back and place your palms on your abdomen. Make small clockwise motions around your belly button, applying light pressure with your fingertips. Make larger and larger circles and move from the lower right part of your belly up to your right rib cage – over to your left rib cage and down to the lower left quadrant of the abdomen. Do this for at least 5 minutes. A different technique involves the help of another person. If you lie on your back, have someone else take their palms and slip them under your low back until they reach your spine. Then they gently lift up and pull their hands out with gentle upward pressure. Repeating on the opposite side of the low back is necessary. ### **17. Take Magnesium!** We always want to address underlying root problems and not just treat symptoms. *Almost 80% of the US population is magnesium deficient*. **Magnesium** helps the bowels and their musculature relax as well as aids in muscle contraction. This improves bowel regularity. Start with 100 mg of magnesium per day and increase to desired result, not to exceed 1000 mg per day. You want at least 1-2 bowel movements per day. Back off if diarrhea develops. Do not use magnesium if you have kidney disease, without the direction of your medical Clinician. I prefer the form, **magnesium citrate**, taken at bedtime along with some fluid. ### **18. Replace Nutrient Deficiencies!** Other than magnesium, there are many **nutrient deficiencies** that can contribute to poor bowel health. Specialized nutrient blood testing can be done to determine which specific ones you are deficient in. *Vitamin C is also a common nutrient deficiency*. It is a powerful antioxidant but it also has laxative effects. It can be used to soften stool. We typically recommend a buffered vitamin C powder titrated to bowel tolerance (before diarrhea develops). Remember, addressing root issues is our goal…*not just treating the symptoms*! ## ***There’s No Reason To Suffer With Constipation *** Don’t accept your ‘twice a week’ bowel habits as normal! You might actually find you feel a bit lighter, actually *like* eating, and can enjoy life a bit more. If you’d like help uncovering and addressing root, underlying issues, we’d love to partner with you to achieve **optimal health**. While our office is in Indiana, we help patients from all over the country and outside the U.S. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Conquering Fear: Looking at Fear as a Toxin **Link:** [Conquering Fear: Looking at Fear as a Toxin](https://fullyfunctional.com/blog/conquering-fear-visualization-techniques/) ([md](https://fullyfunctional.com/blog/conquering-fear-visualization-techniques/index.html.md)) **Description:** There are so many things in life that are out of our control, but our thoughts? We can learn to control. Here are some helpful tips for conquering fear. ### Content I’m always amazed at the power of the mind. It’s one of the most meaningful things in our lives that we can conquer. It is the very reason that the “placebo effect” exists. There are so many things in life that are out of our control, but our thoughts? *We can actually learn to control them*. Our minds are often invaded with negative thoughts and emotions. This negativity is actually an innate survival skill. We remember negative thoughts as a protective feature. This goes back to the days of hunter-gatherers. Imagine if we were gathering berries and we became really sick after eating a specific berry. If we forget that experience or the look of the berry, we risk becoming sick again. Our brains are wired to remember these negative experiences for our very survival. So it is no wonder that we struggle to **overcome our negative thoughts**. ## ***Conquering Fear – Overcoming Negative Thoughts*** I recently had an experience that demonstrated just how powerful our minds (and therefore we) can be. I know a woman who has stage 3 brain cancer. Her tumor is inoperable. When I saw her after chemotherapy and radiation treatments around 4 years ago, she wasn’t in the best shape due to the side effects from the treatments. She decided to forgo further treatment since she had no quality of life and the risks were outweighing the benefits. The reality she faced was that the treatments would claim her life before cancer would. I have been joyfully amazed to see her every year since and notice that she is still living symptom-free. She shared with me the tools she has used to help her cope with facing a terminal illness every day while raising 2 young daughters with her husband. As a foreword, she did go through experiencing the emotions of her diagnosis. She let all of that emotion out over the course of days and weeks until she was finally able to process it. *This is an important step in learning to overcome our thoughts*. To express the emotion sets it free. Emotions travel faster than thoughts do. Therefore, emotion naturally comes first. Facing the emotion and expressing it allows us to think clearly again. The woman came to the realization that the diagnosis and the tumor itself are beyond her control. She decided that she must learn to let go. If she focused on her symptoms, her fears, or her internet-fed knowledge about what lies ahead, she would be frozen in fear. She decided she had to do something and felt she had no other choice. She decided to use **visualization techniques** since that is what came quite naturally for her as an artist. She decided to imagine herself as something fierce. For her, she imagined herself as a ninja. She imagined herself as a ninja fighting off the negative thoughts that would enter her mind. “Brain cancer has a life expectancy of 1-5 years?”: in comes the ninja and kicks that thought away. “What will happen to my family without me?”: the ninja steps in and fights that thought away. *It worked*. She was able to pull herself up, take care of her children and carry on day after day after day. She was able to live in the moment of now and today. She also used another tool. She imagined a lion pacing back and forth in front of her bedroom door guarding her from her own thoughts while she tried to fade into sleep. The thoughts couldn’t even enter the room in which she slept. ## ***The Power of Visualization *** ***– Conquering Fear*** When undergoing difficult tests such as an MRI, she imagined holding the hand of Jesus or a dear friend every time. This visualization provided peace and clarity that normally would have been reserved for fearful thoughts. It is important to note that in this case, she was not visualizing cancer going away. She visualized the negative thoughts going away. She decided to have control over the only thing that she felt she could control: **her own thoughts**. The result? Not only is she enjoying living her life, but she is LIVING nearly 5 years later without treatments. This is remarkable for the diagnosis. How is that possible? It is possible that the lack of fear is actually helping her live. Whether we have a REAL threat or a PERCEIVED threat, our bodies will react the same way. For instance, when we are under threat, our stress hormones reduce blood flow to certain systems of our bodies including the blood flow to our immune system. The blood flow would be better served circulating to our heart and brain in order to escape whatever threat we are trying to escape (whether real or perceived) rather than fighting off a virus at that moment in time. Our body’s stress response is identical to that which occurred when we were under constant threat from saber tooth tigers and has not evolved to cope with today’s fears or threats. Since our immune system is our defender, *it can control and even destroy wayward cells such as cancer cells*. It is possible that the techniques this woman is using are actually contributing to the control and lack of growth of her cancerous tumor by supporting her immune system. **Overcoming our mind** is one of the most powerful things we can do for not only our health but our happiness. Imagine if we could stop living in constant fear of things that we cannot control. Imagine if we can overcome the thoughts and fears that keep us from truly living our life? Must we have to deal with a life-threatening illness to realize just how important LIVING is? If you are finding yourself stuck and not getting better despite dietary changes, supplements, exercising, etc, could it be that fear is getting in the way of healing? I often have clients who are fearful to eat the wrong food or be exposed to toxins that are completely out of their control. When exposed to either the food or toxin, *they immediately feel a reaction*. The problem is: is it the actual toxin or the FEAR of the toxin that made the difference? Unless there is a REAL threat such as a grizzly bear chasing you on a hike, **it is time to start thinking of fear AS a toxin** just as much as mold or DDT are toxins. If you are fearful, how can you help with that? Sometimes, just accepting that we don’t have control of certain things simply forces us to let them go. Are there things that you worry about that are completely out of your control? ## ***Here Are Some Tips To Help When You Feel You Are Struggling *** - Visualization such as the ones described above - Simply ask yourself “Is this in my control?” when you think something that is causing you anxiety or worry. If it isn’t in your control, consider how to let it go. - [Emotional Freedom Technique](https://www.youtube.com/watch?v=heQvpti4uvo&t=146s) also known as “tapping.” - Meditation. There are many apps available for meditations. - Prayer. - Practice TRUSTING the path that life provides for you. You cannot always control the barriers in the path, but you can find your way around them. You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## COVID Questions: Virtual Doctors Night Out with Dr. Kellyann **Link:** [COVID Questions: Virtual Doctors Night Out with Dr. Kellyann](https://fullyfunctional.com/blog/covid-questions-virtual-doctors-night-out-with-dr-kellyann/) ([md](https://fullyfunctional.com/blog/covid-questions-virtual-doctors-night-out-with-dr-kellyann/index.html.md)) **Description:** COVID-19 from the Front Lines. How to re-emerge, with Dr. Kellyanne Petrucci. We're answering COVID questions, discussing prevention methods, and more! ### Content [COVID-19](/blog/ivermectin-and-covid-19-information-and-clinical-studies/) From the Front Lines and how to re-emerge. As states open up, we are all wondering *how we are going to get back to our new normal*. We’re answering the following **COVID questions**, and more![.block][][.block][]– Are we opening too soon? – How long will we need to use a mask? – What else can I do to protect myself? We go over these questions and more with a line-up of other medical professionals. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Cranberry Mousse With Apricots **Link:** [Cranberry Mousse With Apricots](https://fullyfunctional.com/blog/cranberry-mousse-with-apricots/) ([md](https://fullyfunctional.com/blog/cranberry-mousse-with-apricots/index.html.md)) **Description:** Enjoy this delicious, grain-free, dairy-free, Cranberry Mousse with friends and family. This creamy dish can be served as a side dish or enjoyed as a dessert. ### Content Enjoy this delicious, grain-free, dairy-free, **Cranberry Mousse** with friends and family. This creamy dish can be served as a side dish or enjoyed as a dessert. *It’s the perfect complement to your holiday spread*. Looking for more delicious anti-inflammatory desserts? Check out our [Healthy Chocolate Truffles](/blog/healthy-chocolate-truffles-no-bake-energy-bites/)! If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! ### Ingredients - 1 can coconut milk full fat - 12 oz cranberries - 16 whole apricots dried, non-sulphured - 1 lb grapes seedless, organic, halved - 1/2 cup pecan halves - 1.5 tsp pure vanilla extract or vanilla paste ### Instructions #### Begin the night before - Place the coconut milk in the fridge (for at least 8hrs). - Grind the cranberries and apricots in a food processor, use spatula to transfer to non-metal bowl. - Add organic grape halves to gently combine well and put in fridge. - Place medium-large metal bowl and mixer beaters in fridge. #### The next day - Move the can of coconut milk to freezer for ~15 minutes. - Take the top “cream” from the can of coconut milk and place in chilled bowl. - Beat ~7 minutes, adding vanilla as soft peaks form. - Fold cranberry mixture into coconut cream. - Garnish with pecan halves. - Enjoy! Keywords: anti-inflammatory dessert, apricots, cranberries, cranberry apricot mousse, cranberry mousse, dessert --- ## Creamy Detox Latte (Dairy-Free Coffee Substitute) **Link:** [Creamy Detox Latte (Dairy-Free Coffee Substitute)](https://fullyfunctional.com/blog/creamy-detox-latte-dairy-free-coffee-substitute/) ([md](https://fullyfunctional.com/blog/creamy-detox-latte-dairy-free-coffee-substitute/index.html.md)) **Description:** Try this delicious, nourishing, and detoxifying latte. This latte contains an herbal coffee substitute that nourishes your liver and kidneys. Read more! ### Content Kicking the caffeine habit can be a challenge, but you don’t need to feel deprived! Replace your coffee habit with this **delicious, nourishing, and detoxifying latte**. Rather than taxing your system, this latte contains an **herbal coffee substitute** that actually nourishes your liver and kidneys with health-promoting [dandelion root](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553762/#:~:text=It%20has%20several%20beneficial%20properties,%2Dinduced%20diabetes%20%5B127%5D.)! We like to add gut-supportive collagen for an added protein boost, but it won’t change the taste if you don’t have it! Don’t forget to check out our article on ‘[Simple Tips for Daily Detox](/blog/daily-detox-tips/)’. **Replace Recipie Feat** ### Ingredients - 3/4 cup hot water - 3/4 cup warm almond or coconut milk or non-dairy milk of choice - 1 tablespoon herbal coffee substitute such as Dandy Blend - 1-2 teaspoon coconut oil - 1 scoop collagen powder optional - 1/2 tsp cinnamon optional - 1 cup maple syrup optional ### Instructions - Add all ingredients to a blender and blend until smooth and creamy. Serve in your favorite mug and enjoy! ### Notes Alternatively, you could also use a **Roasted Dandelion Blend tea** to make this nourishing latte! Just steep tea with the hot water and add with other ingredients to blender. Keyword: anti-Inflammatory recipes, anti-inflammatory spices, coffee substitute ### Ingredients - 3/4 cup hot water - 3/4 cup warm almond or coconut milk or non-dairy milk of choice - 1 tablespoon herbal coffee substitute such as Dandy Blend - 1-2 teaspoon coconut oil - 1 scoop collagen powder optional - 1/2 tsp cinnamon optional - 1 cup maple syrup optional ### Instructions - Add all ingredients to a blender and blend until smooth and creamy. Serve in your favorite mug and enjoy! ### Notes Alternatively, you could also use a **Roasted Dandelion Blend tea** to make this nourishing latte! Just steep tea with the hot water and add with other ingredients to blender. Keyword: anti-Inflammatory recipes, anti-inflammatory spices, coffee substitute --- ## Crispy Chickpea Snack **Link:** [Crispy Chickpea Snack](https://fullyfunctional.com/blog/crispy-chickpea-snack/) ([md](https://fullyfunctional.com/blog/crispy-chickpea-snack/index.html.md)) **Description:** This Chickpea Snack Recipe is the perfect cure for a salty, spicy snack craving! Great to munch on its own or to add crunch, protein, and flavor to salads. ### Content This Crispy [Chickpea](https://store.edenfoods.com/garbanzo-beans-chick-peas-organic-15-oz/) Snack recipe is the perfect cure for your salty, crunchy snack craving! This is a great, **gluten-free snack** to munch on its own or to add crunch, protein, and flavor to salads, poke bowls, soups, and more. Try them on our [Kale Caesar Salad](/blog/kale-caesar-salad-with-crispy-chickpeas/)! **Replace Recipie Feat** ### Ingredients - 2 15 oz organic garbanzo beans, rinsed and drained - 2 tablespoons extra virgin olive oil - 1 teaspoon garlic powder - 1 teaspoon smoked paprika - 1/2 teaspoon sea salt - 1/2 teaspoon black pepper ### Instructions - Preheat the oven to 350 degrees. - Place your rinsed chickpeas on a clean absorbent kitchen towel. Rub them to dry. While drying them, try to remove as many of the skins as possible (you don’t need to get all of them!) This will help them to crisp better. Also, the drier they are, the crispier they will be. - Toss the chickpeas with the olive oil and spices. - Spread the chickpeas in a single layer on a baking sheet lined with parchment paper. - Bake for about 25 minutes, then toss them and bake another 20-25 minutes or until dry and crispy. Baking time is highly dependent on your oven, so check them regularly toward the end of the recommended cooking time. Keyword: anti-Inflammatory recipes, chickpea snack, gluten free snack recipes --- ## Cultivating Gratitude **Link:** [Cultivating Gratitude](https://fullyfunctional.com/blog/cultivatating-gratitude/) ([md](https://fullyfunctional.com/blog/cultivatating-gratitude/index.html.md)) **Description:** How do we have an attitude of gratitude in the midst of turmoil? We're sharing how gratitude and health work together, and our tips for cultivating gratitude. ### Content When everything seems to be falling apart – health, finances, family – whatever it might be. How do we have an "attitude of gratitude" in the midst of the maelstrom that has gripped our life? Is it possible to be grateful under such dire (or what feels like dire) circumstances? Yes! We’re sharing our pro tips for **cultivating gratitude**. It is precisely under crisis conditions when we have the most to gain from a grateful perspective on life. When we are sick, an "attitude of gratitude" has the power to heal. When we are demoralized, an "attitude of gratitude" has the power to invigorate and encourage. When we are in despair, an "attitude of gratitude" has the power to bring hope. To put it in other words, changing perspective and taking our ‘glass half empty’ to a ‘glass half full’ will help us cope. We are in no way suggesting that changing our mindset is at all easy…particularly for those of us that are suffering greatly. It’s easy to have an "attitude of gratitude" for the good things in life, but much more difficult to have an "attitude of gratitude" when something devastating hits. We have to make the distinction between ‘feeling’ grateful and ‘being’ grateful. Feelings come from our viewpoint; *how we see the world*. No one ‘feels’ grateful when their health takes a turn for the worse, when they’ve lost their job, or when tragedy strikes. Being grateful is definitely a choice; an attitude that endures and is relatively unwavering through the ups and downs of life. Rather than being overwhelmed by temporary circumstances, we need to have hope and a perspective that views life in its entirety. ## ***Gratitude and Health *** [Research](https://newsinhealth.nih.gov/2019/03/practicing-gratitude) has demonstrated that having an "attitude of gratitude" greatly impacts health, in some cases having a more significant impact on health than other medical interventions. **Grateful people experience fewer aches and pains, exercise more, and require fewer medical evaluations**. Having an "attitude of gratitude" improves psychological health by effectively increasing happiness and reducing depression as well as experiencing increased self-esteem. Studies also reveal that those with grateful attitudes demonstrate *more sensitivity and empathy towards others*. Gratefulness leads to optimism, a characteristic that researchers say **boosts the immune system**. How do we manage to have an "attitude of gratitude" in the face of challenging life circumstances rather than sink into despair? We know from experience, this isn’t easy to do sometimes. ## ***Helpful Tips To Cultivate Gratitude *** Here are some ways we practice and encourage our patients to cultivate an "attitude of gratitude": - **Keep a gratitude journal** – write down two to five things per day that you are thankful for or that bring you joy - **Thank someone** – either write a letter (even if you end up not sending it, just the act of thinking about it, writing it, and expressing your thankfulness is powerful) and if possible hand deliver it to the receiving person - **Pray** - **Meditate** on Scripture, or however you are most comfortable, and consider your many blessings We all have the ability and opportunity to cultivate an "attitude of gratitude." Take a few moments today to focus on all you have been given and **BE THANKFUL**! If you’re still stuck, our amazing [Health Coaches](/functional-medicine/health-coaching/) may help you tap into that internal source of gratitude you’re looking to nurture. You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Daily Detox Tips **Link:** [Daily Detox Tips](https://fullyfunctional.com/blog/daily-detox-tips/) ([md](https://fullyfunctional.com/blog/daily-detox-tips/index.html.md)) **Description:** Toxicity in our bodies is one of the main culprits for low energy, fatigue, and disease. How does detox work? Read our Fully Functional® daily detox tips. ### Content Did you jump out of bed this morning, positively bursting with energy? Do you ever? Energy levels sometimes ebb and flow, but if this is a consistent struggle for you, there are some simple practices you can put into place that can really help! We’re sharing our **top daily detox tips**. Toxicity in our bodies is one of the main culprits for *low energy, fatigue, and disease*. When our systems are running clean and efficiently, our bodies have more energy to burn elsewhere. ## ***How Does Detox Work?*** While there are some **environmental toxins** we can’t avoid, much of our toxicity is diet and lifestyle-related. We believe in the benefits of a deeper reboot each season to reset your body, give your digestive system a break and make the shift to more seasonal foods. However, if that seems too much for you, implement these simple steps to get your body closer to where you want it to be! Cleansing your body does not have to be this big scary thing and it doesn’t have to be an event. It’s happening in your body every day on some level. **But if you feel tired or low-energy, your body is talking to you! So, listen up!** There are some shifts in your daily habits you can make *to boost your energy and help your body function more optimally*. Depending on your current lifestyle it may be as simple as adding a couple of quick and easy rituals to your day. ## ***Here Are 9 Easy Daily Detox Tips*** To Optimize **Detox Every Day**! ### **1. Eat Real Food in Its Natural State** *Processed foods are filled with toxic ingredients* that are not only harmful to your health but actively deplete the nutrient stores you already have. They also wreak havoc on your digestive system. And when your digestive system works so hard, your energy suffers! ### **2. Eat More Greens** Greens are *high alkaline foods* that help neutralize acidic conditions in your body. Greens help filter toxins and purify the blood, strengthen your immune system, improve the function of your detox organs, increase circulation and reduce inflammation in the body. While you’re eating your greens, add the rest of the colors of the rainbow as well to get a full range of **phytonutrients**! ### **3. Drink Lemon Water** Water flushes toxins from the system and transports nutrients where they need to go. The kidneys rely on water to remove toxins from the blood and every other organ relies on water as well! *Lemon helps alkalize the body to optimize detoxification*. Try to drink at least half your body weight in ounces daily (for example, if you weigh 130 pounds, you need 65 ounces daily). ### **4. Move Your Body** **Sweat releases toxins from the body**, so sweat often! Exercise also helps to reduce stress, one of the biggest sources of toxicity in our life. ### **5. Dry Skin Brushing** This simple practice *stimulates the lymphatic system*, which is responsible for the elimination of wastes and toxins. It also improves circulation and helps soften the fat deposits below the skin’s surface which can help reduce the appearance of cellulite. Be sure to use a natural bristle brush designed for this purpose. Learn more about the benefits of dry brushing, with complete “how-to” instructions [here](/blog/benefits-of-dry-skin-brushing/). ### **6. Tongue Scraping** The simple act of scraping the tongue of mucus and bacteria is an easy **detox tool**! A tongue scraper is usually a u-shaped object of stainless steel (try Dr. Tung’s brand or a good old-fashioned spoon!) In addition to enhancing detox, it gives you better oral hygiene, better breath, and re-sensitizes your taste buds. ### **7. Detox Bath** One of the most relaxing ways to **cleanse your body**! *Detox baths* help naturally pull toxins from your body and boost your immune system. To a hot bath, add 1 cup Epsom salts or [Magnesium Bath Flakes](/blog/magnesium-bath-salts-with-lavender-recipe/), ½ cup baking soda, and a few drops of your favorite essential oils (optional). ### **8. Use All-Natural Cleaning & Body Care Products** *Replace toxic cleaning products* with products using essential oils or citrus or vinegar instead of toxic chemicals and body care with natural ingredients such as coconut oil moisturizer. ### **9. Master Your Mindset** Your mind is a powerful tool, for better or for worse! Ditch toxic attitudes and emotions. Journaling, [a gratitude practice](/blog/cultivatating-gratitude/), or even exercise can help! Spending just a few minutes each day to “check in” with yourself can boost your energy in surprising ways! How many of these daily detox tips are currently part of your daily or weekly routine? Let us know in the comments, then challenge yourself to try all nine this week! You can book an appointment at our [functional medicine office](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Fully Functional® Dairy-Free Mashed Potatoes Recipe **Link:** [Fully Functional® Dairy-Free Mashed Potatoes Recipe](https://fullyfunctional.com/blog/dairy-free-mashed-potatoes-recipe/) ([md](https://fullyfunctional.com/blog/dairy-free-mashed-potatoes-recipe/index.html.md)) **Description:** Craving creamy mashed potatoes? Our Dairy-Free Mashed Potatoes recipe has you covered! Plus, we've added nutrient-dense and super flavorful garlic to the mix. ### Content Craving creamy mashed potatoes? Not sure how to achieve that without dairy? Our **anti-inflammatory diet recipes** have you covered! Try our **Dairy-free Mashed Potatoes** recipe! To boot, we have added nutrient-rich and super flavorful garlic to the mix. [Garlic](https://simple.wikipedia.org/wiki/Garlic) is a close relative to the onion, shallot, leek, chive, and rakkyo. Per 100 gram serving, garlic is a good source (10–19% DV) of certain B vitamins including thiamine (Vitamin B1), and pantothenic acid (Vitamin B5), as well as certain dietary minerals including calcium, iron, and zinc. Garlic preparations may also effectively lower total cholesterol by 11–23 mg/dL and LDL cholesterol by 3–15 mg/dL in adults with high cholesterol if taken for longer than two months. Do you need any more convincing to try our Dairy-Free Mashed potatoes recipe? Pair these potatoes with Dr. Scott’s [Lemon Garlic Chicken](/blog/healthy-lemon-garlic-chicken-white-wine-reduction/) for an out-of-this-world culinary experience. **Replace Recipie Feat** ### Ingredients - 4 quarts Water - 2-2.5 lbs yukon organic, or red-skinned potatoes - 5 whole cloves of garlic large, peeled - 4-5 tbsp olive oil - 1 tsp sea salt himalayan or celtic to taste - 1/4 tsp black pepper ground, to taste - 1 pinch chicken stock add as needed or vegetable stock ### Instructions - Bring 4 quarts water to a boil and add salt - While water is heating peel and cut potatoes into uniform pieces - Once boiling, add potatoes and garlic to pot - Cook until potatoes are tender, 15-20 minutes (check with fork at 12 minutes to estimate further cooking needed) - Set up ricer or food mill over pot used to cook, or metal or glass bowl. Press potatoes and garlic through ricer or food mill (alternately, use a hand mixer, but be careful not to overbeat), adding olive oil and chicken stock/vegetable broth as needed to produce creamy soft consistency - Season to taste - Enjoy! ### Notes *NOTE: Potatoes can be held for 2-3 hours if waxed paper or oiled parchment is pressed down on potatoes in the bowl or pot, then placed OVER a similar-sized pot of simmering water. Gently whisk periodically. Keywords: dairy-free mashed potatoes, dairy-free mashed potatoes recipe, dairy-free mashed potatoes recipe (170), nutrient rich (170), anti-inflammatory diet recipes --- ## Dairy-Free Ranch: Creamy Hemp Seed Dressing **Link:** [Dairy-Free Ranch: Creamy Hemp Seed Dressing](https://fullyfunctional.com/blog/dairy-free-ranch-creamy-hemp-seed-dressing/) ([md](https://fullyfunctional.com/blog/dairy-free-ranch-creamy-hemp-seed-dressing/index.html.md)) **Description:** Hemp seeds turn nice and creamy when blended and make the perfect base for this dairy-free ranch dressing. An anti-inflammatory diet staple in our home. ### Content This **dairy-free ranch dressing** is a staple in our home. It’s one of those condiments that you can pretty much use on anything. Use as a salad dressing, dip (try with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/), amazing!), drizzle on our [Spicy Sweet Potato Power Bowl](/blog/spicy-sweet-potato-power-bowl/), or our [Sweet Potato Skillet With Turkey and Kale](/blog/sweet-potato-skillet-with-turkey-and-kale/).[.block][][.block][][Hemp seeds](https://www.nutiva.com/products/organic-shelled-hempseed?variant=8723932348476) are nutritional powerhouses, an amazing source of protein, vitamins, and minerals such as iron and magnesium, plus the perfect combo of Omega 3s and 6 fats. But did you know you can turn them into a creamy, dairy-free, protein-packed ranch dressing?[.block][][.block][]Hemp seeds turn nice and creamy when blended and make the perfect base for this dairy-free twist on ranch dressing. This dressing is a delicious protein boost for your salad or as a dip for your favorite chopped veggies! And as always, this recipe meets all of our **anti-inflammatory diet** guidelines.[.block][] **Replace Recipie Feat** ### Ingredients - 1/2 cup hulled hemp seeds - 1 lemon juiced - 1/4 cup filtered water - 1 tablespoon olive oil - 1 teaspoon Dijon mustard - 1 clove garlic - 2 tablespoons fresh parsley or herbs of choice (optional) - sea salt - freshly ground pepper ### Instructions - In a blender, combine the hemp seeds, lemon juice, water, olive oil, Dijon, garlic, parsley, salt, and pepper. - Blend the mixture on high until you have a smooth and creamy texture. Scrape the dressing into a small bowl or jar. Keywords: anti-inflammatory diet plan, anti-Inflammatory salad dressing, Creamy Hemp Seed Dressing, dairy-free ranch, Hemp seed recipes, Omega 3s --- ## Dealing with Yeast Overgrowth Effectively **Link:** [Dealing with Yeast Overgrowth Effectively](https://fullyfunctional.com/blog/dealing-with-yeast-overgrowth-effectively/) ([md](https://fullyfunctional.com/blog/dealing-with-yeast-overgrowth-effectively/index.html.md)) **Description:** This article covers how to deal with yeast overgrowth, Candida albicans explanation, symptoms, signs of Candida overgrowth, and how to treat candida. ### Content ## ***Yeast Overgrowth*** Your body is truly amazing. *It is home to trillions of microbes that live in and on your body*, including a wide variety of bacteria – some good, some bad, and some plain ugly. Your body is also home to **yeast**, and we’re not talking about the stuff used to make bread. Although everyone has yeast in their body, occasionally the yeast can increase in numbers (called a “**yeast overgrowth**”). We’re sharing our pro tips for dealing with yeast overgrowth, and how to treat **candida**. Yeast overgrowth doesn’t sound good, does it? One of the most common species of yeast is *Candida albicans*. Most of the time Candida is found in small amounts, but when it grows out of control or out-competes other microbes, your body lets you know something is wrong via all sorts of strange symptoms. If you’ve been experiencing sugar cravings, brain fog, or have a white film on your tongue (thrush) – there’s a chance you may have yeast overgrowth. Other symptoms of yeast overgrowth include fatigue, joint pain, recurrent yeast infections, sinus infections, food allergies/sensitivities, and gastrointestinal symptoms such as constipation. ## ***What Is Candida? *** **Candida is a type of fungus** that naturally occurs in your mouth, on your skin, and in your gut. A healthy immune system is able to keep the yeast in check – but a compromised immune system can allow a hostile takeover to occur. You may be aware that *candida is a very common vaginal infection* – in fact, the second most common in North America. But what you may not know is how it can wreak havoc on the rest of the body — for both women and men. ## ***How Do You Get Candida Overgrowth? *** Candida in your gut is normal. When an overgrowth of candida occurs, it becomes a problem. One or more of the following factors can cause yeast overgrowth. **You may be at risk for Candida overgrowth if you:** - Have a compromised immune system - Take oral contraceptives - Eat refined sugar - Drink alcohol - Take antibiotics - Are under stress - Have diabetes The Candida organism feeds on **glucose**, so a diet high in sugar and carbohydrates can result in yeast overgrowth. Most drinks containing alcohol contain high amounts of carbohydrates – another way to feed Candida. Alcohol is also inflammatory and not good for the gut. If you’re diabetic and don’t have the condition under control, your blood sugar spikes can promote yeast overgrowth. ### **Antibiotics** Another major risk factor for Candida overgrowth is taking **antibiotics**. Antibiotics are prescribed to kill the bacteria that are making you sick, but unfortunately, they also kill off the beneficial bacteria in your gut — *which usually crowd out Candida*. There are over one thousand different species of bacteria and over 100 trillion organisms in the gastrointestinal tract. ### **Off-Balance** The balance of these bacteria along with yeast/fungi, viruses, and protozoa has an enormous impact on health. When good bacteria in the GI tract are killed by antibiotics, the normal healthy ‘neighborhood’ of microorganisms becomes more like a scary Alfred Hitchcock movie, and all of a sudden things like Candida overgrows and ‘takes over.’ The impact on health can be significantly detrimental. ### **Stress** Stress can also be a risk factor for yeast overgrowth. When you’re stressed, your body raises your cortisol levels. **Cortisol** is a hormone that when overproduced weakens your immune system and also raises blood sugar levels. Cortisol is made continuously throughout the day and surges of cortisol release happen during a sudden fight-or-flight situation. **Chronic stress**, whether it is emotional, infectious, inflammatory, traumatic, etc. stress, causes your body to respond the same way by producing more cortisol. *Elevated blood sugar contributes to yeast overgrowth*. ## ***Signs You Have Yeast Overgrowth*** Candida has a surprising effect on the body when it overgrows. As it originates in the gut, you’d expect it to cause mostly digestive issues. In actuality, patients we see with yeast overgrowth have a wide variety of symptoms. **Do you struggle with:** - Chronic Fatigue Syndrome - Recurrent athlete’s foot or toenail fungus - Tiredness, poor concentration or “brain fog” - Recurrent headaches - Frequent sinus infections - Recurrent diarrhea or constipation - Oral thrush - Dizzy spells - Acne breakouts - Abdominal bloating - Indigestion - Joint pain - Arthritis - An extreme craving for sweet food - Food allergies - Increased sweating - Depression - Autoimmune disease - Mold related illness - Heavy metal exposures/toxicity If you suffer from one or more of the conditions listed above, *your body may be struggling with Candida overgrowth*. ## ***How To Treat Candida Overgrowth Permanently*** Our goal is to help you become **Fully Functional**® – your most healthy, productive, joy-filled self. First, we’ll IDENTIFY whether Candida is the issue for your symptoms. At The Center for Fully Functional® Health, we ensure we get a full, detailed medical history and a comprehensive physical examination before we start any treatments — because we examine and treat the body as a whole. We will likely do some stool testing to look for yeast overgrowth and may do some blood tests. We will also look for other contributing factors such as blood sugar issues or problems with cortisol. Once we have identified yeast overgrowth, we will customize a treatment plan to help you get your life back. Some of the treatments we offer to help combat Candida include: ### **1. Health Education/Coaching** Our [Health Coaching](/functional-medicine/health-coaching/), and/or [Nutrition Planning](/functional-medicine/weight-loss-program/) may help you tackle any eating habits that are possibly contributing to yeast overgrowth. This includes helping you reduce your consumption of sugar and simple carbohydrates. We also encourage eating foods that allow helpful bacteria to thrive. This is the most important step in leading to *a good balance of microbes in your GI tract*. We know it can be overwhelming to make such a big change to your diet. So we give you the choice of receiving your health education in group sessions or in one-to-one coaching sessions. We want to help you make real, viable changes that ultimately make you healthier. ### **2. Abdominal/Pelvic Floor Physical Therapy** Your **pelvic floor** is a hammock that your digestive system, rectum, internal sexual organs, and bladder sit in. Any slight upset in your digestion or gut flora can have a big impact on your abdominal and pelvic health. Candida overgrowth is often associated with constipation. **Abdominal/Pelvic floor physical therapy** is a great way to help you heal from the inside out. This therapy will help ease uncomfortable symptoms while teaching you the exercises necessary for long-term abdominal and pelvic floor health. ### **3. Intravenous Therapies** Using state-of-the-art testing, we often check for deficiencies in nutrients and minerals before beginning [IV Therapy](/functional-medicine/iv-lounge/). Yeast overgrowth is associated with or directly contributes to nutrient deficiencies as a result of intestinal permeability. If you have yeast overgrowth, it’s likely you have numerous **nutrient deficiencies**, including a vitamin B6 or magnesium deficiency. Everything we do is specific to you. We are able to create specific intravenous therapies with a mixture of nutrients, antioxidants, vitamins, amino acids, and others, tailor-made to you. By delivering them intravenously instead of orally, we bypass an often unhealthy GI tract and therefore ensure you get the most benefit from the treatment going directly into the bloodstream. ### **4. Sublingual Immunotherapy** Some people are allergic to yeasts, including Candida species. [Sublingual immunotherapy](/functional-medicine/sublingual-immunotherapy/) is a desensitization process *used to treat an allergy to yeast*. Treatment involves taking custom formulated drops to help your body reduce the symptomatic reaction to the yeast. In combination with health coaching and intravenous therapy, this can reduce your most distressing symptoms significantly. ### **5. Pulsed Electromagnetic Frequency** [Pulsed electromagnetic frequency therapy](/functional-medicine/pulsed-electromagnetic-frequency/) is non-invasive and helps your electrically charged cells to communicate better. Used in conjunction with the therapies listed above, it improves your body’s ability to heal and fight the yeast overgrowth naturally. For more information on **the best treatment to beat Candida**, personalized to your health concerns in the Carmel or Indianapolis area, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Detox Dairy-Free Pesto Recipe **Link:** [Detox Dairy-Free Pesto Recipe](https://fullyfunctional.com/blog/detox-dairy-free-pesto-recipe/) ([md](https://fullyfunctional.com/blog/detox-dairy-free-pesto-recipe/index.html.md)) **Description:** Our Detox Dairy-Free Pesto recipe adds a burst of antioxidants and flavor to your food while supporting liver function and detoxification pathways. Try it! ### Content Add a burst of flavor to your food, while supporting your liver function and detoxification pathways with this delicious **dairy-free pesto recipe**! Both cilantro and parsley are rich in nutrients, are great sources of antioxidants, and have powerful health benefits. Cilantro is especially beneficial for transporting heavy metals and other toxins from the body, while parsley is supportive of good digestion. Use this **Dairy-Free Pesto recipe** to top meats or fish, combine with vegetables such as [zucchini](/blog/zucchini-noodle-salad-vietnamese/) or [squash noodles](/blog/spaghetti-squash-noodles-with-vegetable-marinara-and-basil/), [roasted veggies](/blog/roasted-winter-veggies/), add it to salad dressings, or drizzle anywhere you want a big burst of flavor! This dairy-free pesto lives up to any classic (with dairy) pesto we’ve ever had. *It’s a beautiful flavor combination*. **Replace Recipie Feat** ### Ingredients - 1 cup cilantro chopped - 1 cup parsley chopped - 1/4 cup fresh lime juice - 1/2 cup olive oil - 3 cloves garlic chopped - 1 cup fresh jalapeño seeded and chopped - 1 tsp ground cumin - 1/2 tsp sea salt or to taste ### Instructions - Add garlic, jalapeño, parsley and cilantro to the food processor or high speed blender. Pulse. - Add lime juice, olive oil, cumin, and salt. Pulse or blend again until well combined and you have reached your desired consistency. Keyword: best anti inflammatory foods, dairy-free pesto, easy pesto recipe --- ## Detox Smoothie **Link:** [Detox Smoothie](https://fullyfunctional.com/blog/detox-smoothie/) ([md](https://fullyfunctional.com/blog/detox-smoothie/index.html.md)) **Description:** Start out your day with our delicious Detox Smoothie! Remember, we always recommend organic ingredients! A tasty and healthy way to kickstart your day! ### Content Start out your day with our delicious and nutritious **Detox Smoothie**! A tasty and healthy way to kickstart your day! Remember, *we always recommend organic ingredients*! Check out our [Detox Smoothie Guide](/blog/detox-smoothie-guide-whats-in-your-smoothie/) to learn what your ingredients are doing for you, and how to optimize your daily smoothie recipes. You may also add our *Fully Functional® Vanilla Comprehensive Protein Powder* which contains macro and micronutrients, as well as a host of ingredients that support fatty acid metabolism, gastrointestinal health, and healthy metabolism. Activated vitamin/mineral cofactors support mitochondrial energy production needed for detoxification. This formula’s ingredients help moderate phase I detoxification, upregulate and support phase II pathways, and provide antioxidant support as well.* If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! (The above statements have not been evaluated by the Food and Drug Administration. *This particular product is not intended to diagnose, treat, cure, or prevent any disease.) **Replace Recipie Feat** ### Ingredients - 1 cup spinach (I recommend organic!) or kale leaves - 1/2 whole avocado - 1/2 whole cucumber - 1 whole celery stalk - 1 whole lemon squeezed for juice - 1/2 whole banana - 1/4-1/2 cup flat leaf parsley - 1/4 cup cilantro - 1 cup water or unsweetened nut milk or coconut water - 1 cup ice cubes (optional) ### Instructions - Blend in a high-powered blender (I use my VitaMix) - Enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory smoothie recipe, detox smoothie, detox smoothie recipe, healthy pumpkin smoothie, smoothie recipe --- ## Detox Smoothie Guide: What’s in Your Smoothie? **Link:** [Detox Smoothie Guide: What’s in Your Smoothie?](https://fullyfunctional.com/blog/detox-smoothie-guide-whats-in-your-smoothie/) ([md](https://fullyfunctional.com/blog/detox-smoothie-guide-whats-in-your-smoothie/index.html.md)) **Description:** Check out our Fully Functional® Detox Smoothie Guide. We're sharing nutritional info on key ingredients, and a great recipe to optimize that morning smoothie! ### Content We’re sharing our **pro smoothie guide** to help you optimize that morning smoothie. Purge your system of the daily bombardment from environmental, lifestyle, and internal toxins that are slowing you down, making you fat, causing pain, and leading to disease. Start out your day with a delicious and nutritious [detox smoothie](/blog/detox-smoothie/)! *I always recommend ALL organic ingredients*! OPTIONAL ITEMS: (can add all or just some) - 1 scoop Fully Functional® Vanilla Comprehensive Protein Powder (or a protein powder of your choice) - ¼ tsp turmeric - potent antioxidant with anti-cancer benefits - Dash of cayenne pepper - anti-cold/flu benefits, aids in digestion, anti-fungal, aids in joint-pain relief - 1/8 tsp ginger - eases nausea, strengthens immune system function, improves nutrient absorption - Cinnamon to taste - helps lower blood sugar and reduce inflammation ## ***Smoothie Guide 101: What Are Your Ingredients Doing for You? *** Check this out… ### **Spinach and kale** These **green leafy veggies** are great sources of antioxidants, calcium, vitamin A (beta-carotene), vitamin K, iron, manganese, zinc, folate, and selenium. *The fiber helps to cleanse the colon and bind to toxins*. ### **Avocado** The most abundant nutrients include vitamin K, folate, vitamin C, potassium, and vitamins B5, B6. They contain more potassium than bananas, are loaded with fiber, and are high in antioxidants, including lutein and zeaxanthin. They are also a great source of healthy fats. ### **Cucumber** Amazing source of fluid to **hydrate the skin**. It also contains silica, a trace mineral that helps strengthen our connective tissues. The flesh is rich in vitamins A and C as well as folic acid. The skin contains fiber and many minerals including magnesium, molybdenum, and potassium. ### **Celery** Very alkaline and full of calcium, magnesium, and potassium. It is also a good source of vitamins B1, B2, B6, and C. *Celery is a powerful detoxifier and colon cleanser*. ### **Lemon** Extremely alkaline and a fantastic source of vitamin C. They also help absorb the iron found in other foods, like kale or spinach! Lemons also help to detoxify by supporting liver function, destroy free radicals and toxins, and flush out bacteria. ### **Banana** Bananas not only add a great creamy texture, but they are also rich in vitamins C and B6, potassium, dietary fiber, and manganese. ### **Parsley** A great source of vitamin K, potassium, and many B vitamins. Parsley is high in iron and **antioxidants**. It is thought to be helpful in detoxifying the blood of heavy metals, like mercury. ### **Cilantro** A powerful, natural cleansing agent, thought to be very effective in detoxification of toxic metals from the body. It is rich in many healing phytonutrients as well as many vitamins. *It contains high amounts of calcium and potassium*. ### **Fully Functional® Comprehensive Protein Powder** **Fully Functional® Vanilla Comprehensive Protein Powder** contains macro and micronutrients, as well as a host of ingredients that support fatty acid metabolism, gastrointestinal health, and healthy metabolism. Activated vitamin/mineral cofactors support mitochondrial energy production needed for detoxification. This formula’s ingredients help moderate phase I detoxification, upregulate and support phase II pathways, and provide antioxidant support as well.* GO KICK START YOUR DETOX WITH THIS POWERFUL, REVITALIZING BOOST! (The above statements have not been evaluated by the Food and Drug Administration. *This particular product is not intended to diagnose, treat, cure, or prevent any disease.) Save our smoothie guide, or print it, and put it up on your fridge![.block][] You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Detox Tabbouleh Salad **Link:** [Detox Tabbouleh Salad](https://fullyfunctional.com/blog/detox-tabbouleh-salad/) ([md](https://fullyfunctional.com/blog/detox-tabbouleh-salad/index.html.md)) **Description:** This anti-inflammatory diet Detox Tabbouleh Salad recipe is a delicious take on traditional tabbouleh that is raw, grain-free, full of nutrients, and flavor! ### Content This **anti-inflammatory diet Detox Tabbouleh Salad recipe** is a delicious take on traditional tabbouleh that is raw, grain-free, and full of nutrients! Bursting with fresh flavors, these superfood ingredients also support detoxification in the body. If you haven’t yet tried [cauliflower rice](https://minimalistbaker.com/how-to-make-cauliflower-rice/), *this versatile vegetable is a staple of the grain-free diet*! If you don’t have a food processor, you can also use a box grater to “grate” the cauliflower into rice. Many stores also sell “riced” cauliflower so you can skip a step, using a [prepared option](https://www.cascadianfarm.com/product/frozen-riced-cauliflower/). This **tabbouleh salad recipe** is a hit in our house, with friends and family, and we hope you enjoy it as well. We recommend pairing this dish with our [Greek Style Zucchini-Lamb Burgers](/blog/greek-style-zucchini-lamb-burgers/). **Replace Recipie Feat** ### Ingredients - 1 medium head cauliflower cored and chopped into florets - 1 daikon radish chopped (optional) - 3 cups parsley finely chopped - 2 cups tomatoes flesh and seeds removed, finely chopped - 1 English cucumber seeded and finely chopped - 1 bunch scallions thinly sliced - 2 cloves garlic minced - 1/4 cup extra-virgin olive oil - 1/4 cup fresh lemon juice about 2 lemons - 2 teaspoons sea salt - 1 teaspoon fresh ground black pepper ### Instructions - In a food processor, add cauliflower florets and chopped daikon radish. Pulse until you have a rice-like texture. (You may need to do this in batches to avoid overcrowding your food processor.) - Add the riced cauliflower and daikon radish to a large bowl. Add all other remaining ingredients and mix well. - Add more lemon or seasoning to taste. Keywords: grain-free recipes, salad, tabbouleh salad, tabbouleh salad recipe --- ## Dijon Salmon With Herbs **Link:** [Dijon Salmon With Herbs](https://fullyfunctional.com/blog/dijon-salmon-recipe-with-herbs/) ([md](https://fullyfunctional.com/blog/dijon-salmon-recipe-with-herbs/index.html.md)) **Description:** This super delicious Dijon salmon recipe couldn’t be easier to make! Salmon is an amazing source of protein and omega 3s. Great for your brain, and heart! ### Content This **baked Dijon salmon recipe** couldn’t be easier to make or more delicious! The herbed dijon topping adds incredible flavor to this simple dish and keeps the salmon incredibly tender. Salmon is an amazing source of both protein and healthy omega 3s fats. *It’s great for your brain, heart, and immune health*! Just make sure to [buy wild-caught fish](https://www.thewildsalmonco.com/). Farmed salmon contains many harmful toxins and you don’t want a portion of those with your dinner! This recipe goes great with our [Fully Functional® Dairy-Free Mashed Potatoes](/blog/dairy-free-mashed-potatoes-recipe/). **Replace Recipie Feat** ### Ingredients - 4 4-6 oz. wild caught salmon filets - 1/4 cup dijon mustard - 2 tablespoons fresh lemon juice - 1 tablespoon extra virgin olive oil - 3 cloves garlic minced - 1 tablespoon fresh tarragon chopped - 2 tablespoons fresh parsley chopped - Sea salt to taste - Fresh ground pepper to taste ### Instructions - Preheat your oven to 350°F. - In a small bowl combine dijon mustard, lemon juice, olive oil, garlic, tarragon, parsley, sea salt and pepper. Mix well to combine and set aside. - Rinse your salmon filets and pat dry with a paper towel. Place filets on a baking sheet lined with parchment paper. - Top each filet with ¼ of the mustard mixture and spread evenly to cover the filet. - Bake for 15-20 minutes, depending on the thickness of your filet. Serve immediately. Keywords: anti-Inflammatory recipes, dijon salmon recipe, herb salmon, herb salmon recipe --- ## Doctor Q&A: How Does Personalized TMS Help with Brain Health and PTSD? **Link:** [Doctor Q&A: How Does Personalized TMS Help with Brain Health and PTSD?](https://fullyfunctional.com/blog/doctor-q-a-how-does-personalized-tms-help-with-brain-health-and-ptsd/) ([md](https://fullyfunctional.com/blog/doctor-q-a-how-does-personalized-tms-help-with-brain-health-and-ptsd/index.html.md)) **Description:** Discover how MeRT Personalized TMS improves PTSD, mood, and focus, then schedule a consultation to see if this drug-free therapy fits your goals. ### Content If you or a loved one have experienced symptoms as a result of brain trauma, infection, toxic exposure, lack of sleep, stress, or addiction, there is promising new help available—no prescriptions or invasive procedures required! Read on to find out how **MeRT Personalized TMS** is changing the game for PTSD and brain health, and get Dr. Ellen Antoine’s answers to the most common questions. ## Personalized TMS Benefits One of the most promising new therapies for brain health doesn’t involve a prescription. It’s called [Personalized TMS (Transcranial Magnetic Stimulation)](/functional-medicine/personalized-tms/), and it’s shown remarkable results for patients with a variety of cognitive and emotional needs related to brain health, including: - PTSD - [Depression or anxiety](https://fullyfunctional.com/symptoms/depression-anxiety/) - Chronic pain - Traumatic brain injury or Concussion - OCD - Insomnia or nightmares - [Brain fog](https://fullyfunctional.com/symptoms/brain-fog/) or trouble with focus/memory - Movement Disorders/Spasms (such as those seen with Parkinson’s) - Stroke - Brain dysfunction associated with chronic infections - Autism Spectrum Disorders (ASD) Addiction and cravings Hear from our physicians firsthand with the answers to common patient questions about Personalized TMS to see if it’s right for you. ## Personalized TMS FAQs ### Q: What is TMS? **Transcranial Magnetic Stimulation (TMS)** is a *non-invasive therapy* that uses gentle magnetic pulses to alter brainwaves. Repeated exposure to these magnetic waves over a period of weeks can reorganize cellular function in the brain with *life-changing results*. We like to describe TMS as a sort of pacemaker for your brain. Patients with an abnormal heartbeat often receive a pacemaker that administers small electrical impulses to help stabilize and correct their heart rhythm. In the same way, TMS uses localized electrical impulses to alter the way messages travel from one part of the brain to another, correcting disruptions that cause a variety of challenging mental health conditions and neurological disorders. Repetitive TMS was first used over 40 years ago and received FDA clearance in 2008 as a treatment option for serious depression that did not respond to medication. Since then, TMS has been further FDA cleared for patients with migraines with aura, OCD, or who need help to stop smoking. ### Q: What is Personalized TMS, and how is it different from standard TMS? **Standard Repetitive TMS** showed promising success, but the results were limited by a one-size-fits-all approach. For instance, every patient who receives Repetitive TMS therapy for depression receives the same TMS treatment protocol, regardless of their specific brain function, medical history, or needs. Imagine a patient has a cough – there are hundreds of reasons why that might happen. If we give every patient with a cough the exact same medication without any additional questions or scans, we’re going to miss some things, and that prescription might not help at all. In the same way, standard Repetitive TMS gives every patient with the same symptoms or diagnosis the same TMS therapy, without diving deeper into the root causes or their specific brain function. Just like any medical therapy or medication, when one single treatment is used for every patient, there will always be patients who experience negative side effects or outcomes. For some people, Repetitive TMS is helpful; for others, it causes unwanted changes to moods or personality traits. That’s why we recommend Personalized TMS instead. **Personalized TMS** is completely customized to each patient’s specific brain patterns and neuron function. Instead of using the same magnetic pulses for everyone who has the same symptoms or diagnosis, your Personalized TMS protocol is specific to your own brain waves. ### Q: How does Personalized TMS work? **Personalized TMS therapy** starts with a painless scan called an EEG with ECG – that’s an electroencephalogram with electrocardiogram, and it’s used to map brain waves. Small sensors are placed across the patient’s scalp for 30-60 minutes to record their brain waves and heart rhythm. The information this EEG with ECG provides is then analyzed by a specially trained neurologist. Based on the results, we create a customized TMS protocol designed specifically to address the disruptions shown in that EEG. Your practitioner will discuss the suggested TMS protocol with you and show you exactly which areas of the EEG report it’s designed to address. Unlike traditional Repetitive TMS, MeRT Personalized TMS also fine-tunes each session. This results in higher precision, improved outcomes, and often a faster response to treatment. Many of our patients experience noticeable improvements within a few weeks. ### Q: What is MeRT? At The Center for Fully Functional Health, we use the **MeRT system for Personalized TMS**. MeRT, or Magnetic e-Resonance Therapy, is unique because of its precision and the process used to analyze EEG results. Each patient’s brainwave recording is processed by a neurologist against a database of 60,000+ other EEGs, offering deep insight about areas of the brain that are not functioning properly. By looking at the personal results of so many patients, the MeRT system can get incredibly detailed about which TMS might offer the most benefits for your specific brain waves or dysfunction. That helps us generate a specific care protocol and track each patient’s progress over time. Think back to the analogy we used earlier: Imagine a patient comes in with a cough. What if we asked very detailed questions and did a state-of-the-art scan of their body to try to determine why they were coughing? Our treatment would be a lot more effective than when we gave everyone with a cough the same prescription. Even better, what if we compared that coughing patient’s answers and scan results to more than 60,000 other patients who said they had a cough, and we noticed what worked best for others who had similar answers and scan results? Now we can offer a therapy that is not only targeted to that specific patient’s needs, but we also benefit from what we’ve learned from 60,000 other folks who got treated in a careful, customized way for their cough. MeRT Personalized TMS offers those same advantages, and not surprisingly, the results of MeRT Personalized TMS protocols are the best in the industry. ### Q: What conditions can MeRT help treat? **MeRT Personalized TMS** has shown outstanding results in treating PTSD, depression, anxiety, traumatic brain injury (TBI), OCD, and other neurological conditions. In recognition of its potential, the U.S. Food and Drug Administration granted MeRT a *Breakthrough Device Designation* for PTSD treatment. This designation aims to speed the development and review of therapies that offer significant advantages over existing options, underscoring MeRT’s promise as a transformative treatment for PTSD. It’s an especially promising option for individuals struggling with *post-traumatic stress* who have not found relief with traditional therapies. Clinical trials with veterans were incredibly successful, and we are hopeful that Personalized TMS will become more widely offered and accepted as a primary treatment for PTSD. ### Q: How does MeRT work for PTSD treatment? First, it’s important to understand what defines posttraumatic stress and how it affects your brain. PTSD is essentially a maladaptive response where the brain stays stuck in survival mode. Because the fear circuits remain overactivated, the body and mind continue reacting to trauma as if it’s still happening, even after the individual is safe. Research has shown several areas of the brian are involved, including the amygdala, where your body triggers the fight-or-flight response, and the prefrontal cortex, which helps regulate your emotions and limit fear responses that are no longer needed. In PTSD, experiences or memories get stuck in an overstimulated amygdala, and the prefrontal cortex is underactive. As a result, people suffering from PTSD experience anxiety and hypervigilance. Their prefrontal cortex struggles to shut down excessive fear responses, leading to persistent distress and difficulty distinguishing between real danger and perceived threats. Another part of the brain called the hippocampus suffers as a result. The hippocampus is where we store memories, and it’s how we can tell when an event was in the past and doesn’t need to make us feel scared or worried anymore. The hippocampus actually physically shrinks in people with PTSD, because their traumatic experiences feel like they're always happening. That’s why a lot of patients with PTSD report flashbacks or intrusive memories that take them right back to the moments of their trauma. **MeRT Personalized TMS** identifies abnormal brainwave patterns associated with PTSD and delivers personalized magnetic pulses to help restore normal neural function. Now the areas of the brain can communicate with each other again, instead of the amygdala doing all the heavy lifting. Patients often report improvements in their sleep quality, emotional regulation, and overall well-being after treatment. ### Q: Is Personalized TMS safe? **MeRT Personalized TMS** is a *non-invasive, drug-free treatment* with a strong safety profile. Side effects are minimal, with the most common being mild headaches or temporary fatigue after sessions. Our team closely monitors each patient’s progress to ensure a safe and effective experience. It’s important to note that Personalized TMS won’t be right for everyone. Patients with implanted metallic devices (like pacemakers) or a history of seizures may not be candidates for this therapy. A thorough evaluation is conducted before any treatment to ensure that MeRT is safe and appropriate for each patient. ### Q: What does a MeRT Personalized TMS session feel like? **MeRT Personalized TMS sessions** are painless and comfortable. During a session, patients sit in a relaxed position while Personalized TMS is administered via a special device placed near the forehead. Each session lasts about 30 minutes, and there is typically no discomfort beyond a mild tapping or flicking sensation on the scalp. There is no downtime, so patients can return to their normal activities immediately afterward. Personalized TMS sessions are scheduled every weekday, Monday through Friday, for 4 to 8 weeks, depending on the goals and level of intervention required. Every 2 weeks of the TMS protocol, we will repeat the EEG with ECG to evaluate progress and make changes as needed. ### Q: How long does it take to see results with Personalized TMS? Many patients begin noticing changes with **Personalized TMS care** within the first few weeks of treatment. Improvements in sleep, mood, focus, and cognitive function often occur early in the process. However, the duration of treatment varies based on individual needs, and we typically recommend an initial course of 4-8 weeks for optimal results. ### Q: Can MeRT be used alongside other functional medicine treatments? **Personalized TMS** fits seamlessly into a *holistic* [functional medicine approach](/functional-medicine/). We often combine MeRT with nutritional support, lifestyle modifications, supplementation, and other integrative therapies to enhance overall brain health and well-being. We first encountered MeRT through a Wave Neuro demonstration at a national functional medicine conference in 2024, where each of our physicians had our EEGs done and consulted with their doctor. We already knew that optimal brain function has a significant impact on overall health, but seeing our own EEGs and receiving personalized recommendations was eye-opening. At The Center for Fully Functional Health, everything we do is personalized, with a focus on addressing underlying root issues. In our many years of experience, we have found that some patients continue to experience symptoms despite improving their diet, changing their lifestyle, optimizing detoxification, and incorporating supplements and ancillary services. We believe that disorganized brain wave function is often the missing piece, and we’re excited to offer MeRT Personalized TMS as a noninvasive, effective treatment to help these individuals live Fully Functional for life. If you haven’t worked with a Functional Medicine physician yet or are struggling to get started due to mental or physical health concerns, MeRT can be a great place to start. Optimizing your brain activity with Personalized TMS can provide the boost you need to see quick improvements and set you on the path to better health. ### Q: How do I know if MeRT Personalized TMS is right for me? If you or a loved one is struggling with PTSD, depression, anxiety, or other neurological challenges and haven’t found relief with traditional treatments, **MeRT Personalized TMS** may be an excellent option. Personalized TMS has also shown impressive results for patients suffering from brain fog or cognitive decline as a result of injury, infections, autoimmune issues, or strokes, as well as helping with unwanted symptoms of Autism Spectrum Disorders. The first step is to schedule an EEG with ECG brain scan to determine if you are a good candidate for this therapy. During this visit, we’ll conduct an initial assessment, review your medical history, and discuss your symptoms and goals. If MeRT is a good fit for you, we’ll create a personalized treatment plan to help you achieve the best possible results. One of our patients, whom we’ll call Sarah, came to us struggling with severe anxiety and brain fog after a traumatic brain injury. Despite trying various therapies, Sarah’s symptoms persisted, making it difficult for her to function in daily life. She was discouraged and beginning to lose hope that she would find a new normal. After undergoing MeRT therapy at our practice, Sarah noticed a significant reduction in her anxiety levels and a marked improvement in her cognitive clarity. She now enjoys a better quality of life and can focus on her work and family with renewed energy and confidence. Stories like Sarah’s are why we are so passionate about offering MeRT Personalized TMS to our patients. It’s not just about symptom management – it’s about restoring lives. Are you ready to experience the benefits of MeRT for yourself? Contact our [Carmel plastic surgeon](/) team today by filling out the form below or calling [(317) 989-8463](tel:(317) 989-8463) to learn more about how this innovative treatment can support your brain health and overall well-being. --- ## Doctor Q&A: Why Am I Always So Cold? **Link:** [Doctor Q&A: Why Am I Always So Cold?](https://fullyfunctional.com/blog/doctor-qa-why-am-i-always-so-cold/) ([md](https://fullyfunctional.com/blog/doctor-qa-why-am-i-always-so-cold/index.html.md)) **Description:** When is feeling cold a cause for concern? Read on for signs of common underlying health issues, including nutrient deficiencies, thyroid dysfunction, and hormonal imbalances. ### Content ***If you find yourself bundling up when everyone else is comfortable, it’s important to do more than grab an extra blanket! Feeling cold all the time can indicate underlying health issues, including nutrient deficiencies, hormone imbalances, or thyroid dysfunction. Read on to find other symptoms of these common concerns and steps you can take to stay warm.*** ## Why Am I Always Cold? Everyone feels chilly when the temperature drops. But do you find yourself reaching for a sweater when everyone else seems fine? Do you wear extra layers, even in the sunshine? **Feeling cold constantly** can be more than a frustrating inconvenience - *it can be a sign of health issues that need to be addressed*. In this Q&A blog, our [functional medicine doctors](/) review the most common culprits for all those shivers and explore potential testing and solutions to help you stay warm and cozy. ## Common Causes of Feeling Cold 1) Hypothyroidism Low levels of **thyroid hormones** can lead to a sluggish metabolism, making you feel cold regardless of the weather. Other common symptoms of poor thyroid function include: - Fatigue that isn’t helped by sleep - Hair loss or thinning - Thinning eyebrows - Dry skin - Poor appetite - Weight gain or difficulty losing weight - Constipation If those symptoms sound familiar, you can expect your physician to order some common lab tests, including: - Complete thyroid panel with free T3, free T4, and reverse T3 - Complete blood count (CBC) - Comprehensive metabolic panel (CMP) Based on your results, they may prescribe synthetic thyroid or supplements that offer thyroid support, including iodine, zinc, selenium, magnesium, B vitamins, or iron. We also recommend our patients with **hypothyroidism** make diet and lifestyle changes to help encourage healthy thyroid function and address any inflammation. No matter what the cause of your symptoms, you’ll see benefits from **an anti-inflammatory diet** free of grains, dairy, and sugar, with plenty of leafy greens. It’s also important to maintain adequate protein intake (at least 1/2 to 1 gram of protein daily per pound of body weight) and practice good sleep hygiene. 2) Adrenal Dysfunction Like your thyroid, your adrenal glands secrete hormones that are important to your metabolism and ability to regulate your temperature. Prolonged periods of stress and certain medications can wreak havoc with your **adrenal function**. In addition to feeling cold, you may experience: - Brain fog - Extreme fatigue, especially in the afternoon - Weight gain, particularly around your middle - Muscle weakness - Trouble with sleep - Dizziness or heart palpitations - Salt cravings - Digestive problems If you suspect adrenal issues, your physician may run lab tests, including: - Saliva or urine cortisol testing - Complete blood count (CBC) - Comprehensive metabolic panel (CMP) Adding B vitamins, magnesium, and adaptogens can offer relief, as can changes to your diet and lifestyle. Once again, *an anti-inflammatory diet and positive sleep habits are a must*. It’s also key to reduce stress as much as possible and use techniques like deep breathing, meditation, yoga, and vagus nerve therapy such as gammaCore. 3) Anemia & Nutrient Deficiencies There are a number of common **nutrient deficiencies** that cause anemia. **Anemia** is a condition in which there are not enough red blood cells or a decreased ability of red blood cells to carry oxygen throughout the body. That can lead to symptoms including coldness, as well as: - Fatigue - Weakness - Shortness of breath - Low blood pressure - Restless legs - Dizziness The most common deficiencies are iron, vitamin B12, and folate. If you or your healthcare practitioner suspect your coldness is due to a nutrient deficiency, you can expect lab work including: - Complete blood count (CBC) - Comprehensive metabolic panel (CMP) - Specific nutrient testing, including vitamin D, B12, folate, and/or iron *Supplementing with the nutrients you need is the priority*, as is an anti-inflammatory diet and plenty of rest. It’s also important to examine any lifestyle factors or health conditions that may have contributed to your anemia. 4) Autonomic Dysfunction **Autonomic dysfunction**, also known as autonomic nervous system (ANS) dysfunction or dysautonomia, is a broad term that refers to a group of medical conditions in which the ANS poorly regulates involuntary bodily functions. The **autonomic nervous system** plays a crucial role in maintaining the body's internal balance by controlling functions such as heart rate, blood pressure, digestion, breathing, and temperature regulation. As a result of autonomic dysfunction, you may feel extremely cold or hot, as well as: - Brain fog or trouble focusing - Gastrointestinal symptoms - Rapid or irregular heartbeat - Low or fluctuating blood pressure - Sweating abnormalities - Sleep problems - Urinary frequency, urgency, or difficulty controlling bladder function - Fatigue and a general sense of unwellness - Dizziness, lightheadedness, or fainting upon standing up (Postural Orthostatic Tachycardia Syndrome, or POTS, is the most well-known version of this.) In addition to comprehensive lab work, your doctor may order tilt table testing or Holter monitoring for suspected POTS. At The Center for Fully Functional Health, we also recommend patients with any of the above conditions schedule regular Red Light Therapy with PEMF ([Pulsed Electromagnetic Frequency](/functional-medicine/pulsed-electromagnetic-frequency/)) and [IV Therapy](/functional-medicine/iv-lounge/). Both **Integrative Medicine** modalities have shown significant success in reducing inflammation, boosting immunity, and improving healing. **If you’re local to Carmel, IN, and tired of feeling so cold, please fill out the contact form below or call us at [(317) 989-8463](tel:(317) 989-8463) to schedule an appointment. Our friendly Patient Support team can help you decide which appointment or service package might be right for your symptoms.** --- ## Don’t Tax Your System During Tax Season **Link:** [Don’t Tax Your System During Tax Season](https://fullyfunctional.com/blog/dont-tax-your-system-during-tax-season/) ([md](https://fullyfunctional.com/blog/dont-tax-your-system-during-tax-season/index.html.md)) **Description:** Tax time can be incredibly stressful for many of us! We're sharing our top tips on how to stay healthy during tax season, stress relief tactics, and diet info. ### Content **Tax time** can be incredibly stressful for many of us! How can you ensure that you don’t tax your system as you prepare your financials? ## Top Tips for Staying Healthy During Tax Season **Get plenty of rest** - Make sure you sleep at least *7-8 hours per night*. **Drink plenty of filtered water** - at least *1/2 your body weight in fluid ounces* per day. **Get moving!** - Don't sit all day. *Get up and move*. Exercise and get the heart pumping at least 30 minutes, 4-5 times per week. **Practice relaxation techniques** - Deep breathing exercises, Epsom salt baths, stretching/Yoga, meditation. **Enjoy some friend and family time** - Make an effort to connect with others. **Consider** [**Infrared Sauna Therapy**](/functional-medicine/infared-sauna-therapy/) - Benefits include stress reduction, improved detoxification, weight loss, cardiovascular health, and more. **Eat whole, nutritious, phytonutrient dense food** – Also make sure you get your healthy fats and enough protein (1/2 body weight in gms/day) **Optimize your health with several supplements** that aid adrenal function and minimize the effects of our stress hormone, cortisol. [.block][]You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Dr. Ellen’s Story **Link:** [Dr. Ellen’s Story](https://fullyfunctional.com/blog/dr-ellens-story-functional-medicine/) ([md](https://fullyfunctional.com/blog/dr-ellens-story-functional-medicine/index.html.md)) **Description:** Dr. Ellen Antoine shares her personal journey and how she was led to start practicing integrative, and Functional Medicine. A brain tumor, lupus, and more. ### Content ## ***Where It All Began*** For as long as I can remember, I wanted to be a doctor. I wanted to help people feel better, get better, and live a life without illness and pain. As a young child, I could often be found “treating” an injured animal and nursing it back to health or cleaning out and bandaging my friend’s/family’s wounds. I suppose that is why I thoroughly enjoyed **Emergency Medicine**. It was in the Emergency Department where the sickest of the sick would come seeking help and I would jump in, eager to figure out what was wrong with them and offer them some sort of immediate, *often life-saving treatment*. I practiced for 12 years and I absolutely loved it! This is where, I believe, Traditional Medicine works best…in the Emergency Department. We are there to save lives and treat symptoms, not address **underlying root causes of disease**. ## ***The Wake-Up Call That Changed Everything*** Superbowl Sunday, 2004, my life-long plans of practicing Emergency Medicine were permanently changed. I was pregnant with my 5th child and I was getting ready for a shift in the Emergency Department. My husband, Scott, had just gotten home from his shift in the ER and he had a seizure. Not much else rocks your world more than your husband having a seizure and finding out the cause is a malignant brain tumor! The type of brain tumor (Grade III Astrocytoma) Scott had carried a 2-5 year prognosis (meaning he was going to be dead within 2-5 years…despite treatment!). To say I was devastated was an understatement. Really, there are no words to describe how one feels under these circumstances. Scott was scheduled to have brain surgery, radiation, and chemotherapy. Miraculously, prior to beginning Traditional Medicine treatments (we didn’t know about **Functional/Integrative Medicine** at this time), G-d began to heal Scott! Over the next year, his tumor shrunk, *completely*! It is an incredible story…and one I plan to tell someday. In any event, our lives, our faith, our dreams were changed forever…and I praise the LORD for it every day! ## ***A Whole Family With Challenging Medical Conditions*** My career in Emergency Medicine ended that Superbowl Sunday. Since we didn’t know how long Scott had to live, I quit work and spent as much time as I could with him and the kids. It was a crazy, busy, stressful time. I now had five children, ages 5 and under; four of which are boys. Crazy is probably not an adequate description. During a two-year hiatus from practicing medicine, I was found to have all the markers for Lupus (joint pain and double-stranded DNA antibodies) and began seeing a Rheumatologist for several years. Each year my lab findings progressively worsened and I was threatened with life-long steroid treatment. I also struggled with chronic yeast infections and self-treatment with antifungals wasn’t effective. Of my five children, I had one diagnosed with Asperger’s Syndrome (on the Autism Spectrum), two with learning difficulties requiring specialized services and tutoring, and one with severe Attention Deficit Hyperactivity Disorder (ADHD). Scott was diagnosed with epilepsy and had gained 30 lbs. To say we were a disaster is an understatement. ## ***The Path to Integrative and Functional Medicine*** It was in my frustration and concern for my family that I began to investigate alternative options. I wasn’t interested in life-long prescriptions for everyone. I didn’t understand why this was happening to us. We were ‘healthy;’ at least that’s what the world told us. We ate whole grains, fresh fruit along with veggies, exercised, didn’t party, drink soda, or live a wild lifestyle. In my search for different options, I came across Dr. Mark Hyman’s book, “The UltraMind Solution” and it made sense to me. That was it for me! I was invested and excited about learning more. I took every course, listened to every webinar, and read every book I could get my hands on. I began implementing the things I was learning about **addressing root causes of disease and illness** into my family’s diet and lifestyle. Initially, we removed gluten and dairy and added in a few basic supplements/vitamins. While I once thought we couldn’t afford to feed a family of seven organic foods, I suddenly realized we couldn’t afford not to eat ‘clean.’ Over time we added many new foods including more colorful vegetables into our regimen and removed a few others – specifically grains for me. I’m not going to claim it was easy or even quick, but definitely worth it as amazing things happened in our family! Not only did I look and feel better, but I no longer had evidence of ever having an autoimmune disease (Lupus – which is a life-long diagnosis and not one that typically goes away) and didn’t have issues with yeast overgrowth. This was unheard of! The behavior and social awareness issues my son diagnosed with Asperger’s was having were gone. No one would ever say I have a child on the Autism Spectrum. My two children with learning struggles are (almost) straight-A students without any tutoring help and my son with severe ADHD is still an ‘active’ learner but doesn’t require medication to be successful in school. A trampoline at home works great to get out the extra energy. Scott lost 30 lbs. and continues to feel great! Furthermore, he hasn’t had a seizure in almost 11 years. My goal was never to open a [Functional Medicine practice](/). *It was to take care of my family*. After hundreds of hours of studying and attending courses, it just seemed logical to become board-certified in **Integrative/Holistic Medicine** by the American Board of Integrative Holistic Medicine. I was also part of the first class of practitioners to be certified by the [Institute for Functional Medicine](https://www.ifm.org/). ## ***Opening Our Practice *** When friends and family began to witness the incredible changes going on in our family, they began to ask for advice and guidance. I couldn’t help but share the knowledge and experience I had obtained. It had changed my family’s life and I wanted nothing more than for those I love to experience the same. Once their friends began hearing about the changes in their lives, *the calls and emails started coming in*. For two years I saw friends, family, and friends of friends out of our home. In 2011, The Center for Fully Functional® Health (formerly Vine Healthcare, LLC) was officially created and I moved out of the house into a small office. As the practice has grown, we found the perfect office location in downtown Carmel. In 2014, my husband, Dr. Scott, joined me in practice at The Center for Fully Functional® Health. ## ***My Passion and Dream *** My passion has always been to be a doctor – one who would help people feel better, get better, and live a life without illness and pain. Through the tenets of **Functional Medicine** – understanding and addressing biochemical individuality, treating the person, not the disease, and creating whole-body wellness in regards to mind, body, and spirit – my dream to be able to provide the care I always imagined has become a reality. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Dr. Scott’s Story **Link:** [Dr. Scott’s Story](https://fullyfunctional.com/blog/dr-scotts-story-functional-medicine/) ([md](https://fullyfunctional.com/blog/dr-scotts-story-functional-medicine/index.html.md)) **Description:** Dr. Scott Antoine shares his personal journey and how he was led to start practicing integrative, and Functional Medicine. The brain tumor was a wake-up call. ### Content ## ***History & Background*** I was trained in a very traditional medical school in Philadelphia, Pennsylvania, a city steeped in medical tradition with long white coats, stacks of books, and 36-hour shifts with seemingly endless patients. But I learned. I learned to speak to patients about their symptoms, examine them and then come to a diagnosis. The “diagnosis” was the prize we were all working for. The best physicians, we were told, were master diagnosticians. The beauty of the diagnosis was that you could then “name” the ailment and give the patient the right potion or procedure to help them feel better. Through many hours of instruction and “on the job training” (residency), we were taught there was a “pill for every ill” and a drug for every bug. Don’t get me wrong, I have been involved in thousands of cases in my career as an **Emergency Physician** where medications I gave in the acute phase of an illness saved lives. I opened clogged coronary arteries with clot-busting medications and treated potentially deadly heart rhythms and infections with drugs that I know saved lives acutely. It is very satisfying to be a part of the miracle when God saves a husband, or father, or child from a seemingly certain death. ## ***The Gradual Shift of Perspective*** But…*there were the others*… There were other cases I saw every day and still see every day that I work in the Emergency Department. These are the patients on 10 daily medications or more who seem to get sicker from day to day. These patients start a slow decline from the age of 40. They acquire a new “diagnosis” and with it a new prescription drug every 3 to 4 years. They have been conditioned to think that as you get older, you are supposed to have daily pain and things are gradually supposed to wear out. Sometimes, new medications are needed to manage side effects from their other medicines. Sadly, **chronic disease is a worldwide epidemic** and has passed infectious disease and trauma as the number one cause of death in the world. ## ***The Wake-Up Call: Diagnosed With a Brain Tumor*** In 2004, I was diagnosed with a brain tumor and experienced what can only be called a miraculous healing. Although I had no further symptoms and my MRI was essentially normal, years later I was still on medication to prevent seizures and took something for stomach acid reflux, several allergy medications, and inhalers, and frequently took Ibuprofen when I ran or did any physical activity. I woke each day exhausted and had back pain when I got up out of bed. I could not ride in a car or sit on the couch at night without falling asleep. I was in my early 40’s and beginning to accumulate my own list of chronic diseases. ## ***Finding Purpose and Hope in Functional Medicine*** While on vacation in Mexico with my family several years ago, my wife suggested I read a book on “**Functional Medicine**” by Dr. Mark Hyman. I was very resistant. To me, it seemed like a group of people who were placing too much importance on “lifestyle modification,” “stress management,” and “vitamins and supplements”. This did not fit with my “traditional” medical training that held that “vitamins only make expensive urine”. Reluctantly, I read the book. What I read absolutely stunned me. (So much so that I literally jumped up out of my beach chair in shock) I read study after study about the proven benefits of this **new approach to medicine**. The simple fact that I had to admit to myself was that the things we were doing with medications to manage symptoms (and the lifestyle factors we were told to ignore) were making patients sicker. We had lost the ability to consider the “root cause” of a problem. I was suddenly excited about medicine again. Following in the footsteps of my wife, I began my training in [Functional Medicine](/) a year later with the [Institute of Functional Medicine](https://www.ifm.org/) and subsequently with [The Metabolic Medical Institute](https://www.a4m.com/about-a4m-mmi.html). These were dedicated physicians who were willing to go back to the molecular biochemistry and genetics of each person as an individual and look for the inciting events and interventions to halt or possibly reverse chronic illness. I learned of people like Terry Wahls — an Internal Medicine physician who was confined to a wheelchair with multiple sclerosis. A year after instituting dietary changes and adding some simple supplements she was walking and bicycling. Terry’s progress, I learned, was not an unexplainable fluke. There was suddenly hope for the chronically ill patients I saw. Eventually, I joined my wife in practice at The Center for Fully Functional® Health (formerly, Vine Healthcare) and now get to participate in this revolution called **Functional Medicine**. There will always be a role for traditional medications and treatments for patients. But, there are some patients we must rescue from treatments that are doing more harm than good. It is a joy to participate in this journey with our patients. ## ***You Never Realize How Bad You Felt Until You Feel Better*** What about me?… Once I gave up gluten, dairy, sugar-filled drinks, processed, and non-organic foods and added supplements and healthy organic foods, I lost 30 pounds, was able to come off all medications (except my seizure medication) and I am no longer troubled by insomnia, daytime fatigue, back pain, stomach acid reflux, or allergies. *I was perhaps my wife’s first Functional Medicine patient* - and one of her biggest success stories. From my own case I know that this is true–You never really realize how bad you felt until you feel better. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Easy Garlic Broccoli **Link:** [Easy Garlic Broccoli](https://fullyfunctional.com/blog/easy-garlic-broccoli/) ([md](https://fullyfunctional.com/blog/easy-garlic-broccoli/index.html.md)) **Description:** This garlic broccoli recipe is quick and easy to prepare. The comforting combination of broccoli and garlic is anti-inflammatory, flavorful food at its finest. ### Content Look no further for your new go-to **garlic broccoli recipe**. This is bound to become a staple side dish in your house, as it is in ours! This simple recipe is quick, easy to prepare, and always a hit, even with kids. It’s delicious enough for a fancy dinner, but simple enough for your weeknight meals. The combo of crisp and tender broccoli, smothered in garlic and olive oil and seasoned with salt and pepper, is a perfect balance of flavors. *Every bite is savory satisfaction*. Easy Garlic Broccoli recipe Pairs well with our [Honey Ginger Glazed Salmon](/blog/honey-ginger-glazed-salmon/), which uses [ coconut aminos](https://www.iherb.com/pr/coconut-secret-the-original-coconut-aminos-soy-free-alternative-to-soy-sauce-8-fl-oz-237-ml/24098?gclid=Cj0KCQjwg7KJBhDyARIsAHrAXaGckIZuZNYE0wiKLV5CN4Adm89gnNDQParkgNXbU6VGaRQACTF06McaAjPMEALw_wcB&gclsrc=aw.ds) in place of soy sauce. We love our coconut aminos around here! If you make this recipe and love it, be sure to save it with your other favorite **anti-inflammatory diet recipes**. **Replace Recipie Feat** ### Ingredients - 4-6 cups broccoli chopped - 6-8 cloves garlic minced - 3 tablespoons extra virgin olive oil - sea salt & black pepper to taste ### Instructions - In a large skillet, heat the olive oil over medium heat. Saute the broccoli and garlic until the broccoli is crisp tender and the garlic is golden. Add lots of fresh ground pepper. Finish by adding about 2 tablespoons of water to steam the broccoli through. Add sea salt to taste and serve. Keywords: anti-inflammatory diet recipes, garlic broccoli, garlic broccoli recipe, healthy sides --- ## Easy Home-Cooked Meals: Fully Functional® Tips and Recipes **Link:** [Easy Home-Cooked Meals: Fully Functional® Tips and Recipes](https://fullyfunctional.com/blog/easy-home-cooked-meals-tips-and-recipes/) ([md](https://fullyfunctional.com/blog/easy-home-cooked-meals-tips-and-recipes/index.html.md)) **Description:** Home-cooked food is the healthiest food! Ramp up your skills in the kitchen. Here are some tips to help you create tasty, nourishing easy home-cooked meals. ### Content As we are all sheltering in place and doing more cooking we are faced with a challenge, yes, but also an opportunity! **Embracing cooking** may be a mindset shift and behavioral leap if you have long relied on eating out or ordering in, but the truth is, home-cooked food is the [healthiest food](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561571/)! So we’re sharing some of our **easy home-cooked meals** that you can start whipping up today! Cooking at home offers us an opportunity to eat more healthfully and to learn important skills that will serve us going forward into the rest of our lives. This is an opportunity to learn how to cook simple, **nourishing meals from scratch** or to ramp up the skills we already have and get more creative in the kitchen! *We believe in the power of food as medicine* and that how we nourish ourselves matters, now more than ever! However, we face the challenge with you, that the food supply is sometimes spotty and feeding our families seems to be happening round the clock and the mouths to feed seem hungrier than ever! Here are a few tips (and some new recipes) that we’re using right now to make life a little bit easier during this challenging time! ## *****Keep It Simple***** **Eating healthy** doesn’t have to be complicated. With some ingredients hard to come by, and with all of us staying home and shopping less often, it’s time to embrace **simple meals with simple ingredients** that don’t require a lot of time and preparation. Slow cooker, Instant Pot or skillet meals are great examples! We’ve just updated our blog with a few new **easy skillet meals**. These are delicious, simple meals that cover the nutritional bases and don’t use a lot of ingredients. They don’t require fancy techniques, *just simple cooking skills that anyone can learn*. They are inexpensive and you can double the recipe to have leftovers to feed hungry kids and spouses working from home. Here are a few of our favorites: [Garlicky Beef and Greens](/blog/ground-beef-and-kale-skillet/) [Spicy Sweet Potato, Kale & Turkey Skillet](/blog/turkey-skillet-with-italian-veggies/) [Italian Turkey-Vegetable Skillet](/blog/turkey-skillet-with-italian-veggies/) [Rosemary Lemon Chicken & Sweet Potatoes](/blog/rosemary-lemon-chicken-skillet/) ## ***Cook Without a Recipe, Use What You Have on Hand*** Use the above skillet recipes as templates if you like. Combine ingredients you have on hand in similar, or unique ways! Or combine any protein and vegetables with some herbs and spices in a slow cooker or Instant Pot for a recipe-free meal. Another option is to see what ingredients you already have and google recipes that include those ingredients. For example, google chicken + zucchini and see what pops up! ## ***Cook Once, Eat 2–3 Times*** It can be a challenge to get 3 meals on the table for an entire family while you are trying to work from home, plus homeschool the kids or keep them entertained. Doubling recipes keep healthy meals in the fridge for hungry mouths. **Learn to love your leftovers**! ## ***Embrace Creativity and Flexibility*** Don’t have the exact spice listed in a recipe? No problem! Swap it out for something you do have on hand. The same goes for veggie ingredients or protein. Swap any dark leafy green for another, or use the veggies you have on hand. Swap one protein for another. *Stay flexible*! ## ***Put the Kids To Work and Teach Them Valuable Skills!*** As our kids and teens work on honing their life skills with some of their extra time, this skill should be at the top of the list! This is an unprecedented opportunity to teach our kids and teenagers how to cook basic nourishing meals, a skill that will reap benefits for the rest of their lives. **Teaching kids how to cook** builds their confidence and sets them up with healthier eating habits for life. An added benefit is it takes some of the load off of you! Check out our blog for the 4 easy, nourishing skillet meal recipes listed above and many more! If you find a new favorite, let us know! And of course, share it with others! Stay healthy and happy cooking! Interested in [Nutrition Planning](/functional-medicine/weight-loss-program/) with our amazing health coaches? You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Eating Healthy on a Budget: Tips and Tricks **Link:** [Eating Healthy on a Budget: Tips and Tricks](https://fullyfunctional.com/blog/eating-healthy-on-a-budget-tips-and-tricks/) ([md](https://fullyfunctional.com/blog/eating-healthy-on-a-budget-tips-and-tricks/index.html.md)) **Description:** Eating healthy on a budget can become second nature with a few small changes to your routine. Check out our tips and tricks (and recipes!) to get you started. ### Content **Improving our diet** is undeniably one of the most powerful ways to improve our health. It’s one of the ways The Center for Fully Functional® Health (CFFH) tends to clients’ needs from root to branches. But patients often ask me how their family can afford to eat fresh, whole foods on a regular basis. It’s true that organic vegetables and pasture-raised meats come at a premium. And since many of the unhealthy foods in our food system benefit from government subsidies, the unfortunate truth is that a Twinkie can sometimes be cheaper than a bag of carrots. As a mother of 5 (and several teenage boys!), I understand! The good news is that **eating healthy on a budget** can become second nature with a few small changes to your routine. ## ***Healthy Shopping on a Budget*** **Saving money on healthy food** starts with making a shopping list each week. Planning meals ahead allows you to reuse leftovers, prioritize what’s already in your pantry and avoid food waste. Translation: *it saves you money*! After making a list, we can divide it up into fresh veggies, fruit, and legumes (if you eat them), lean proteins and healthy fats, the foods that make up the bulk of our healthy diets. When shopping for produce, buying organic is ideal — but it can also break the bank. Instead, use the Environmental Working Group’s [Dirty Dozen](https://www.ewg.org/foodnews/) and [Clean 15](https://www.ewg.org/foodnews/) lists to prioritize which produce you’ll buy organic. In most cases, fruits and vegetables that are peeled — citrus and avocados, for example — don’t have much pesticide contamination. Fruits with thin skins like apples and peaches, as well as leafy greens, are very susceptible to spraying and should always be purchased from organic sources. The EWG keeps tabs on which produce is most heavily sprayed, and their lists are updated yearly, making it a great resource. Freeing up some of our grocery budget by buying non-organic vegetables may also allow us to prioritize appropriately raised protein sources. Since animals store much of their toxic load in fat, it’s important to buy organic and pasture-raised cuts of fatty meats or drain the fat when cooking. Pasture-raised chicken can be particularly hard to find in stores, so going directly to a farmer you trust is a great choice. Purchasing these meats through a CSA (community supported agriculture) share, farm store or at your local farmer’s market usually saves money as well. Beyond the farmer’s market, *nearly every grocery store now has healthier options*. It’s not necessary to shop exclusively at Whole Foods — Trader Joe’s, Kroger, Costco, and even Aldi offer options at a much lower price point. If you’re buying organic, look for store brands. Just like traditional store brand products, they’re usually very similar but offer a lower price point. Kroger’s Simple Truth Organic line is a great example. Finally, avoiding convenience foods like snack bars and baked goods can help your family save money. *Make these foods at home instead*! If you do find yourself relying on these foods, discounts can be found through online retailers like [Thrive Market](https://thrivemarket.com/). [Amazon’s Subscribe and Save](https://www.amazon.com/gp/help/customer/display.html?nodeId=200902190) program also offers steep discounts, especially on products you regularly buy. ## ***Strategies for Saving at Home*** Once you’ve stocked up on groceries, you can stretch your dollar even further with a few at-home strategies. We’ve also included **eating healthy on a budget recipes**! First, just the simple act of cooking at home can save loads of money. Eating at restaurants isn’t cheap, and finding healthy options can be difficult. Instead, cooking family breakfasts, packing lunches, and eating dinner at home can often keep meals to around $5 or less per serving. For breakfast, try baking a big batch of something filling and healthy that your family can quickly reheat each morning. Not only will this help you avoid the ease of sugary cereals and snack bars, *but you’ll save money as well*! As long as you’re not allergic to eggs, our [Turkey Bacon Breakfast Casserole](/blog/turkey-bacon-breakfast-casserole/) is a great option. To avoid the temptation of eating out during a busy weekday, we like to pack healthy lunches ahead of time so we can grab and go during the week. One amazing option is our [Fully Functional® Salad in a Jar](/blog/fully-functional-salad-in-a-jar/). It’s completely customizable, so you can add whatever produce is in season and cheapest and whatever protein is most convenient for your family. This makes a fun meal for kids and adults alike. Just pack a container of our [Sun-Dried Tomato Vinaigrette](/blog/sun-dried-tomato-vinaigrette/) or [Ginger-Lime Vinaigrette](/blog/ginger-lime-vinaigrette/) dressing to round out your salad, and you’ll be set! If packing salads ahead of time is too time-consuming, try having ingredients on hand to whip up a quick smoothie, like our [Fully Functional® Lunchtime Smoothie](/blog/fully-functional-lunchtime-smoothie/). One of our favorite dinner strategies is to use our Crock-Pot to break down tougher, cheaper cuts of meat into juicy and tender meals. Bonus — this is a time-saving strategy too! Instead of slaving over the stove or oven, you can set a Crock-Pot in the morning and return home to a complete meal. Soups are also a fabulous way to pack lots of nutrition into a meal and stretch ingredients. We love to make our [Tasty Lentil Soup](/blog/healthy-lentil-soup/), which is surprisingly high in protein and SO affordable per serving. ## ***Healthy Eating: An Investment in Your Future*** If you still find yourself resistant to the money it might take to clean up your family’s diet, think of it this way: *every dollar you spend on healthy food is an investment in your health and longevity*. Missing days of work due to illness or paying for monthly prescription medications is a whole lot more expensive than making healthy choices now. Food has the power to make us healthier (or not), and by investing a little more in healthy foods now, you’ll likely save your family money in the future. Try taking just a few steps at a time, whether that’s switching to organic veggies or heading to your farmer’s market to shop. If you have questions about healthy eating or improving your lifestyle, you can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. We’d love to help you make a healthy lifestyle attainable. --- ## Eating Healthy on The Road & Less Stress: Fully Functional® Travel Tips **Link:** [Eating Healthy on The Road & Less Stress: Fully Functional® Travel Tips](https://fullyfunctional.com/blog/eating-healthy-on-the-road-fully-functional-travel/) ([md](https://fullyfunctional.com/blog/eating-healthy-on-the-road-fully-functional-travel/index.html.md)) **Description:** Stay on top of your Fully Functional® health goals with these simple tips. We're sharing our pro tips for eating healthy on the road and while traveling. ### Content In our family, summer travel is a time-honored tradition. Whether we’re heading to the lake, relaxing on the beach, or exploring new trails, travel itself offers incredible potential for **stress reduction** as we catch up and connect more deeply with our loved ones. But travel also tosses our well-honed routines out the window. We’re sharing our pro tips for **eating healthy on the road**. To get the most out of our vacation, we need to make sure our healthy lifestyle habits can come along for the ride. If you’re wondering how to eat healthy and stress less while traveling, these simple tips will help you stay on track while on the road. ## ***Pack a Cooler*** Packing a cooler can be a lifesaver for road trips, but prepared foods also come in handy for camping trips, beach days, and hiking excursions. In fact, depending on the extent of your dietary restrictions, a cooler might be the safest bet for most travel, simply because *it allows you to control your food choices* and bring options you know work for you. If you’re severely intolerant to certain foods, being exposed to these ingredients in a restaurant might derail your entire trip. Having a cooler full of healthy, safe food can provide a measure of comfort that helps us relax during our journeys without worrying about contamination. Packed food is also a great option for long airplane journeys, where meals provided onboard are far from ideal. To keep your cooler security checkpoint-ready, empty it of ice and liquids before the security checkpoint and refill it with ice from a restaurant in the terminal. Out of ideas for filling your cooler? Our recipes for [Cashew Avocado Spread](/blog/cashew-spread-with-avocado/), [No-Bean Hummus](/blog/pumpkin-hummus-no-beans/), or [Healthy Ranch Dressing](/blog/dairy-free-ranch-creamy-hemp-seed-dressing/) along with cut veggies or fruit make great snacks. Or, consider building our super-portable [Salad in a Jar](/blog/fully-functional-salad-in-a-jar/). ## ***Choose Vegetables*** Restaurant dining doesn’t have to mean overindulging. By **focusing on veggies**, we can make sure we’re packing our vacation diets full of nutrients instead of empty calories. This might look like selecting a veggie omelet for breakfast, choosing a salad with protein for lunch every day (tip: bring your own mix of olive oil-based dressing, like our [Ginger-Lime Vinaigrette](/blog/ginger-lime-vinaigrette/)), or asking for an extra side of steamed vegetables at dinner. Seeking out cut vegetables, which are available at most grocery and even convenience stores, as a snack can help us squeeze in a few extra servings as well. Single-serve nut butter packets (we like the [Once Again](https://www.onceagainnutbutter.com/pages/about-us) brand) make a great complement to carrot sticks and apple slices. Choosing vegetables doesn’t have to mean skipping a meal you’ve been dreaming about at a special restaurant. It simply means balancing indulgent choices with the healthy fiber, vitamins, minerals, and phytonutrients found in vegetables. ## ***Snag Your Own Kitchen*** When it comes to choosing vacation lodging, we recommend prioritizing one amenity: **a kitchen**. Having a kitchen on-site gives us back some of the flexibility and control we lose when traveling. Instead of eating every meal at a restaurant, we can cook one or two healthy meals at home each day while still enjoying new experiences at a restaurant. We like [Airbnb](https://www.airbnb.com/), extended-stay hotels, and vacation rentals for family-friendly housing with the option of a kitchen. Plus, *it’s often more cost-effective* to make a simple breakfast or lunch in our rental than to grab a high-priced item on the go. Consider stocking up on essentials like organic, nitrite-free deli meat, veggies, and grain-free crackers after you arrive at your destination. A little meal planning can go a long way toward balancing our old routines with exciting new adventures! ## ***Avoid Inflammatory Oils (or Bring Your Own)*** Even for those of us without food intolerances, restaurant cooking can harbor some nasty surprises in the form of inflammatory oils. Most restaurants cook with soy, canola, or corn oil because of its low cost. That means salad dressings and sauces as well as anything sautéed will likely include a dose of these inflammatory oils. If you’re fighting inflammation (who isn’t?), it’s a good idea to steer clear of oils with an unhealthy ratio of Omega-6 to Omega-3 fatty acids. Look for grilled meats and steamed vegetables on a menu, or bring your own salad dressing made with healthier oil, like Dr. Ellen’s recipe for [Sun-Dried Tomato Vinaigrette](/blog/sun-dried-tomato-vinaigrette/). The immersion blender used to make this dressing can easily be packed in our bags, and taking it to a restaurant is as simple as re-using an old olive oil bottle. If we do decide to indulge at a restaurant, we can get back on track by making sure to take **anti-inflammatory supplements** including fish oil and curcumin, and choosing wild-caught seafood as our protein source whenever possible. These steps will help balance our fatty acid ratios and/or **combat inflammation**. ## ***Move as Much as Possible*** Gentle, *regular movement can help offset the effects of travel indulgences*. Exercise is often a fabulous way to get to know our destination even better! Consider looking up and scheduling a bike tour, yoga class, surf lesson, snorkeling tour, or other active excursions for your trip. Even relaxation-focused resorts offer these fun options to help guests stay healthy while traveling. If excursions and classes aren’t in the cards, simply walking as much as possible can often be enough to keep us feeling great. A fitness tracker like a [Fitbit](https://www.fitbit.com/home) or the free applications on most phones can give us a great general idea of our movement during the day and even offer prompts to help us avoid sitting for too long. ## ***Bring Along Supplements*** **Supplements** are an important way to fill in the gaps that we can’t cover with diet alone. This is particularly true when we’re traveling, as it’s hard to focus on food-based nutrient sources at the same time we’re balancing a new schedule and location. Vitamins D and B12, Fish Oil, Curcumin, probiotics, and digestive enzymes are all travel essentials we recommend you pack in your carry-on. You can purchase them in our online store. If you aren’t keen on stuffing your suitcase full of pill bottles, a simple day-by-day pill case [like this one](https://www.amazon.com/gp/product/B00WRI6P7U/ref=s9_acsd_top_hd_bw_bFnFj_c_x_1_w?pf_rd_m=ATVPDKIKX0DER&pf_rd_s=merchandised-search-3&pf_rd_r=A2A263K G0KQ2ZZBV5&pf_rd_t=101&pf_rd_p=589dc507-31ac-56cb-9fc1-d8680a26a329&pf_rd_i=3764251) (yep, the kind Grandma used to store her prescriptions!) can help you stay on top of your daily allotment of supplements. Summer travel doesn’t need to be a source of stress. With a little forethought and careful packing, you can absolutely enjoy the benefits of your vacation *and stay healthy enough for the trip home*! You can book an appointment at our [integrative medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Egg Roll in a Bowl With Zucchini Noodles **Link:** [Egg Roll in a Bowl With Zucchini Noodles](https://fullyfunctional.com/blog/egg-roll-in-a-bowl-with-zucchini-noodles/) ([md](https://fullyfunctional.com/blog/egg-roll-in-a-bowl-with-zucchini-noodles/index.html.md)) **Description:** This Egg Roll in a Bowl recipe features spiralized zucchini noodles and flavorful egg roll ingredients. Filled with anti-inflammatory spices and veggies. ### Content This **Egg Roll in a Bowl recipe** will be a hit at the dinner table! Egg roll ingredients mingle with spiralized zucchini noodles, for a match made in heaven. You won’t miss the wrap, we promise! Filled with some of our favorite **anti-inflammatory spices and ingredients**, this dish provides essential nutrients to help fight [inflammation](https://pubmed.ncbi.nlm.nih.gov/26400429/), and help keep your engine full without weighing you down. A healthy easy dinner (or lunch!), full of complex, comforting flavors, and a crowd-pleaser for sure. In the mood for more Asian-inspired dishes? Try our [Vietnamese Zucchini Noodle Salad](/blog/zucchini-noodle-salad-vietnamese/). **Replace Recipie Feat** ### Ingredients - 2 tablespoons Coconut oil - 8 oz chopped mushrooms optional - 1 pound ground turkey or chicken - 1 tablespoon freshly grated ginger - 2 teaspoons Chinese 5 spice powder - 2 teaspoons sesame oil - 4 cups shredded cabbage or slaw mix - 2 cups shredded carrots - 1/3 cup coconut aminos can sub gluten free tamari, but use less - 4 cups spiralized zucchini noodles - 1 lime juiced - Sea salt and freshly ground pepper to taste - 2 green onions thinly sliced (garnish) - Sesame seeds (garnish) ### Instructions - In a large skillet, heat 2 tablespoons coconut oil over medium-high heat. - Add the mushrooms and cook until soft, about 5 minutes. - Add the ground turkey or chicken and cook until browned, about 5 minutes, stirring occasionally. - Add the ginger, Chinese 5 spice and sesame oil. Combine and cook until fragrant, about 1 minute. - Reduce the heat slightly and add the ginger, cabbage or slaw mix, carrots, and coconut aminos, stirring to combine. Cook, stirring frequently, until the cabbage begins to wilt, about 3-5 minutes. - Add the zucchini noodles, stirring until warmed through. - Add the lime juice, and season with sea salt and freshly ground pepper to taste. - Top with green onion and sesame seeds, and serve. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory spices, egg roll ingredients, healthy easy dinner, spiralized zucchini noodles --- ## 24 Essential Nutrients and Their Food Sources **Link:** [24 Essential Nutrients and Their Food Sources](https://fullyfunctional.com/blog/essential-nutrients-and-their-food-sources/) ([md](https://fullyfunctional.com/blog/essential-nutrients-and-their-food-sources/index.html.md)) **Description:** We have compiled a list of 24 foods that provide essential nutrients that we always recommend to our patients. Print this out and hang it on your fridge! ### Content Ideally, we want to get all of our essential nutrients through diet rather than vitamins and supplements. This is extremely difficult with our current food supply and nutrient-poor soil and oftentimes, vitamins and supplements are necessary. But eating ‘clean,’ healthy foods does in fact give us the best chance at meeting our nutritional needs. We have compiled a list of some of **the most nutrient-rich foods** that we enjoy at home and always recommend to our patients. Print this out, pop it on the fridge and take a glance here and there. It’s with these initiatives that we bring ourselves and our family towards more optimized health. Do you enjoy any of these **nutrient-dense foods** currently? ## ***Essential Nutrients and Their Food Sources*** ### **Vitamin A** - Sweet potatoes, cooked – 1 whole = 28,058 IU (international units) - Kale, cooked – 1 cup = 11470 IU - Carrots, raw – ½ cup = 9114 IU - Squash, Winter – 1 whole = 5726 IU - Cod liver oil – 1 TBSP = 4051 IU - Egg yolk – 1 large = 260 IU ### **Vitamin D** - Cod liver oil – 1 TBSP = 1360 IU - Salmon (sockeye), baked – 3 oz = 447 IU - Sardines, canned – 3 oz = 231 IU - Eggs – 1 whole, large = 41 IU ### **Vitamin E** - Sunflower seeds – 1 oz = 7.4 mg - Almonds, dry, roasted – 1 oz = 6.8 mg - Olives – 1 cup = 4 mg - Spinach, boiled – ½ cup = 1.9 mg ### **Vitamin K** - Natto – 3 oz = 850 mcg - Kale, cooked – 1 cup = 113 mcg - Spinach, cooked – 1 cup = 145 mcg - Brussels sprouts, cooked – 1 cup = 115 mcg - Asparagus – 1 cup = 92 mcg ### **Thiamin, B1** - Sunflower seeds – ¼ cup = 0.8 mg - Split peas – 1 cup = 0.4 mg - Sesame seeds – ¼ cup = 0.3 mg - Lentils – 1 cup = 0.3 mg ### **Riboflavin, B2** - Beef liver, pan fried – 3 oz = 2.9 mg - Cremini mushrooms, raw – 5 oz = 0.7 mg - Venison – 4 oz = 0.68 mg - Spinach – 1 cup = 0.4 mg - Beef tenderloin, cooked – 4 oz = 0.4 mg ### **Niacin, B3** - Chicken breast – 4 oz = 14 mg - Salmon, baked – 4 oz = 11 mg - Lamb loin, roasted – 4 oz = 8 mg - Green peas, boiled – 1 cup = 3 mg ### **Folate** - Lentils, cooked – 1 cup = 358 mcg - Pinto beans, cooked – 1 cup = 294 mcg - Chickpeas/Garbanzo beans, cooked – 1 cup = 282 mcg - Asparagus – 1 cup = 263 mcg - Beets – 1 cup = 136 mcg ### **Pyridoxine, B6** - Chickpeas, canned – 1 cup = 1.1 mg - Banana – 1 whole, large = 0.68 mg - Chicken – 3 oz = 0.54 mg - Salmon, Sockeye– 3 oz = 0.52 mg - Potato, with skin – 1 cup = 0.42 mg ### **Cobalamin, B12** - Liver, beef – 3 oz = 70.7 mcg - Trout, baked – 3 oz = 5.4 mcg - Salmon, Sockeye – 3 oz = 4.8 mcg - Beef tenderloin – 4 oz = 3 mcg - Egg – 1 whole = 0.6 mcg ### **Pantothenic Acid** - Shitake mushrooms – 100 gm = 3.6 mg - Sunflower seeds – ¼ cup = 2 mg - Avocado – 1 whole = 2 mg - Broccoli, steamed – 1 cup = 0.8 mg ### **Biotin** - Egg, cooked – 1 large = 25 mcg - Swiss chard – 1 cup = 10.5 mcg - Avocado – 1 whole = 6 mcg - Cauliflower, raw – 1 cup = 4 mcg ### **Ascorbic Acid (Vitamin C)** - Papaya – 1 whole = 188 mg - Peppers, red, raw – 1 cup = 175 mg - Broccoli, cooked – 1 cup = 123 mg - Brussels sprouts – 1 cup = 97 mg - Strawberries – 1 cup = 82 mg ### **Calcium (Non Dairy)** - Sardines – 3 oz = 325 mg - Salmon, pink, canned – 3 oz = 181 mg - Kale, raw – 1 cup = 100 mg - Turnip greens – 1 cup = 99 mg - Broccoli, raw – ½ cup = 21 mg ### **Chromium** - Onions – 1 cup = 25 mcg - Romaine lettuce – 2 s = 16 mcg - Broccoli – ½ cup = 11 mcg - Tomato – 1 cup = 9 mcg - Turkey breast – 3 oz = 2 mcg ### **Copper** - Sunflower seeds – ¼ cup = 1 mg - Sesame seeds – ¼ cup = 1 mg - Cremini mushrooms – 5 oz = 1 mg - Avocado – 1 cup = 0.4 mg ### **Iodine** - Seaweed – whole sheet = up to 2984 mcg - Kelp – ¼ cup = 415 mcg - Cranberries – 2 oz = 200 mcg - Cod – 3 oz = 99 mcg - Turkey breast, baked – 3 oz = 34 mcg ### **Iron** - White beans, canned – 1 cup = 8 mg - Lentils – 1 cup = 7 mg - Spinach, boiled – 1 cup = 6 mg - Garbanzo beans, cooked – 1 cup = 5 mg - Swiss chard – 1 cup = 4 mg ### **Magnesium** - Almonds, dry roasted – 1 oz = 80 mg - Pumpkin seeds, raw – 1 oz = 80 mg - Spinach, boiled – ½ cup = 74 mg - Swiss chard – ½ cup = 73 mg - Black beans, cooked – ½ cup = 60 mg ### **Manganese** - Pineapple – 1 cup = 2.6 mg - Spinach, boiled – 1 cup = 1.7 mg - Chickpeas – 1 cup = 1.7 mg - Raspberries – 1 cup = 1.2 mg ### **Phosphorus** - Swiss chard, boiled – 1 cup = 961 mg - Winter squash, baked – 1 cup = 896 mg - Broccoli, steamed – 1 cup = 505 mg - Cantaloupe – 1 cup = 494 mg ### **Potassium** - Swiss chard, boiled – 1 cup = 961 mg - Lima beans – 1 cup = 955 mg - Avocado – 1 cup = 875 mg - Lentils – 1 cup = 730 mg ### **Selenium** - Brazil nuts – 6 whole = 544 mcg - Sardines – 3 oz = 47 mg - Salmon, boiled – 3 oz = 47 mg - Turkey – 3 oz = 33 mg ### **Zinc** - Mushrooms – 4 oz = 11 mg - Beef tenderloin – 3 oz = 7 mg - Lamb loin, cooked – 4 oz = 5 mg - Sesame seeds – ¼ cup = 3 mg This list is not all-inclusive. *Eat a diet rich in color and variety*. Eat organic veggies and protein sources that come from wild/grass-fed/[pasture-raised animals](https://sevensons.net/). Interested in a tailored diet and lifestyle plan? Meet with one of our amazing health coaches! Read more [here](/functional-medicine/health-coaching/). [.block][]You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Essential Oils for Health, Home, and Happiness **Link:** [Essential Oils for Health, Home, and Happiness](https://fullyfunctional.com/blog/essential-oils-health-home-happiness/) ([md](https://fullyfunctional.com/blog/essential-oils-health-home-happiness/index.html.md)) **Description:** Check out our facts and tips on essential oils for health, home, happiness, and more. These powerful plant compounds have profound benefits for our health. ### Content ## Essential Oils for Health, Home, and Happiness **Essential oils** aren’t just for your hippie aunt. These powerful plant compounds have profound benefits for our health, home, and mood. We’re sharing our pro tips on using essential oils for health, home, and happiness. New research shows *some essential oils may be more effective than antibiotics at treating infections*, but we’ve known for ages they can stabilize moods and purify our homes. At The Center for Fully Functional Health, we use essential oils to Optimize and Support our patients on the path to Fully Functional® health. There’s no doubt that **essential oils are powerful**, but we can get the most bang for our buck by focusing on the following areas of proven potency. ## ***For Your Health*** For thousands of years, cultures around the world have used plant extracts as a basis for **medicinal treatments**. Perhaps the most familiar example of this is in the herbal teas of Eastern Medicine. We can think of modern essential oils as the next iteration of this tradition. They are pure, powerful distillations of a plant’s strongest medicinal properties. Essential oils are volatile compounds derived from aromatic plants, many of which have been used in healing since ancient times.¹ When used correctly, *essential oils can be life-changing* and have far fewer side effects than pharmaceutical drugs. This makes them a perfect addition to any Fully Functional® healing plan! In one recent review, researchers suggested that essential oils can be a powerful complement to traditional antibacterial treatments, and may even be more effective than pharmaceuticals at combating drug-resistant strains of bacteria.² Some researchers theorize that since essential oils are comprised of several different components, bacteria have a difficult time developing resistance to them. So, which oils are the most potent **antimicrobial and antibacterial** agents? In one study of root canal patients, essential oils of peppermint, tea tree and eugenol (clove) *significantly inhibited bacterial growth*.³ We also find that oil of oregano and garlic are particularly potent as an antimicrobial treatment for gut pathogens. Essential oils can also be powerfully therapeutic for cancer patients.⁴ While some oils like lavender, eucalyptus, lemon, and thyme can combat the crippling symptoms of chemotherapy, others, like sweet orange oil, have been shown to actually *inhibit tumor growth*. It’s important to work with a healthcare professional before taking any oils internally. At The Center for Fully Functional Health, we can help you find the highest-quality essential oils and administer them in safe, effective doses to help you get the most out of your essential oil treatment. ## ***In The Home*** Our new patients often find enormous benefit in swapping out their old cleaning supplies for **safer, non-toxic alternatives**. This simple step is one of the biggest ways we can reduce exposure to environmental toxins as we work toward making your living space Fully Functional®. The [Environmental Working Group](https://www.ewg.org/guides/cleaners/) maintains an exhaustive database of information on the safety of household cleaners — and much of what you find there might surprise you. Household cleaners are full of endocrine-disrupting chemicals, and if you’ve ever gotten lightheaded after cleaning a small bathroom, you know just how powerful they can be, and affect your health. But even though we know these compounds shouldn’t have a place in our homes, it’s hard to get past the idea that we “need” them to make the “dirty” surfaces in our kitchens and bathrooms “clean.” The truth is that cleaning with these products often creates an environment that’s too sterile, and might even contribute to the growth of *antibiotic-resistant bacteria*. *Using essential oils for cleaning provides a happy medium*. We already know they’re powerfully antimicrobial and antibacterial compounds with a proven track record of inhibiting bacterial growth. Some of the best essential oils for cleaning are lavender, lemon, and orange (or a combination oil like Young Living’s Purification or Thieves blends). When combined with products like vinegar or castile soap to make a simple spray can replace your traditional household cleaner but skip the harmful fumes. In fact, they’ll smell amazing! Try [this recipe](https://wellnessmama.com/756/homemade-all-purpose-cleaner/) for an all-purpose cleaner from Wellness Mama to get started. Or, if you want to skip the process of making your own cleaner, Young Living’s line of Thieves cleaners makes an excellent alternative. We use Thieves products in the Vine Healthcare Office, and we love the way it smells! You can purchase Young Living oils, cleaning products, and other items at our location or we can ship them to you. ## ***Oils and Emotional Healing*** Essential oils smell amazing, and at first blush, you might mistake some essential oil blends for an amazing perfume! In fact, the olfactory properties of these oils can help us **manage emotions**. Lavender oil has even been studied in the treatment of mood and neurological disorders!⁵ Using essential oils for aromatherapy is one of the easiest ways to begin incorporating essential oils into your Fully Functional® plan. The easiest way to enjoy the aromatic qualities of essential oils is with a **diffuser**. These vary in cost and efficacy, but the basic idea is to spread the scent of oils using heat, vapor, or another delivery method. You might choose to invest in a diffuser that delivers oil-infused water vapor into your home or select a smaller wearable diffuser. We love Young Living’s high-quality essential oils, and their [oil blends](https://www.youngliving.com/us/en/category/blends-roll-ons?sort=%7B%22sort%22%3A%5B%7B%22field%22%3A%22sort_string_name%22%2C%22direction%22%3A%22ASC%22%7D%5D%7D) (we sell in our office as well) make at-home aromatherapy easier to navigate. Some examples include Peace and Calming (one of their most popular scents!), Valor, Acceptance, Grounding, and Joy. Of course, you can also make your own blends for calming, uplifting, energizing, or focus. Try diffusing lavender essential oil before bed or rub a drop on your temples to wind down and encourage sleep. For a mental boost, diffuse equal parts peppermint and lemon essential oils. *The combinations are endless*! ## ***Essential Oils for a Fully Functional® Life*** We’ve personally experienced the amazing benefits of essential oils, and widely recommend them (especially the Young Living brand) to our clients. Whether you’re hoping to heal, clean up your home environment, or improve your mood, these powerful plant compounds will help. If you want to incorporate essential oils into your life, **aromatherapy** is a great place to begin. You might also start swapping your household cleaners for essential oil-based homemade products or choose a pre-made, oil-based cleaner like Thieves. For more therapeutic uses or if you’re uncertain where to start, be sure to consult a healthcare practitioner! At The Center for Fully Functional® Health, we love helping you incorporate essential oils into your routine on your road to becoming Fully Functional® for life! You can book an appointment at our [functional medicine office](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. ##### *Sources:[.block][]1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC88925/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC88925/)*2 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3950955/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3950955/)*3 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4054083/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4054083/)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070586/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070586/)*5 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612440/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612440/)Save --- ## Fall Harvest Salad **Link:** [Fall Harvest Salad](https://fullyfunctional.com/blog/fall-harvest-salad/) ([md](https://fullyfunctional.com/blog/fall-harvest-salad/index.html.md)) **Description:** This Fall Harvest Salad with mixed greens and a maple-apple cider vinaigrette is pure autumn comfort. It's a versatile recipe, so feel free to mix it up! ### Content Our **Fall Harvest Salad** features mixed greens, [ cinnamon](https://www.spicely.com/collections/spices) roasted squash, sweet pears, dried cranberries, crunchy walnuts, creamy cashew (or goat) cheese, and a maple-apple cider vinaigrette. *Pure autumn comfort and high-level nutrition*. It’s also pretty (and delicious) enough for the holidays. So keep this one in mind as a potential salad for your Thanksgiving table or holiday entertaining! Like any salad recipe, this is totally versatile. Use massaged [kale](https://www.iloveorganicgirl.com/products/baby-kale/) instead of mixed greens, butternut squash instead of acorn, apple instead of pear, pecans instead of walnuts. Use what you have on hand! Just don’t skip the cinnamon. The cinnamon really takes this Fall Harvest salad to the next level! The squash roasting is the only time-consuming part of this recipe. If you do that ahead of time, this salad can be thrown together quickly and easily. The dressing is simple and the other ingredients take very little prep. Pair with our [Tasty Lentil Soup](/blog/healthy-lentil-soup/)! **Replace Recipie Feat** ### Ingredients #### Roasted Squash - 1 medium acorn squash can sub small butternut squash or other winter squash - 2 tablespoons olive oil - 1/2 teaspoon cinnamon or more to taste - 1/2 teaspoon sea salt - 1 pear sliced - 1/2 cup dried cranberries - 1/2 cup walnuts - 6 cups mixed greens - 4 oz cashew cheese or goat cheese if you consume dairy #### Maple-Apple Cider Vinaigrette - 1/3 cup extra virgin olive oil - 1/4 cup raw apple cider vinegar - 1 tablespoon maple syrup - pinch of sea salt ### Instructions #### To Roast the Squash - Preheat the oven to 400°F. Line a rimmed baking sheet with parchment paper. Wash and dry squash. - Cut in half and scrape out the seeds. (There is no need to peel the squash if you don’t want to. The skin is edible. But if the squash skin doesn’t sound appetizing to you, slice it off with a sharp knife.) - Slice the squash into ¼ inch thick slices, or cube it. Toss the squash slices or cubes with olive oil and place on the baking sheet. - Sprinkle the squash with sea salt and cinnamon. Roast 30-40 minutes until tender and sweet. - Allow to cool 5-10 minutes. #### Make the Dressing - Whisk the olive oil, apple cider vinegar, maple syrup and sea salt in a small bowl until well combined. #### Assemble the Salad - In a large salad bowl, add the mixed greens, roasted squash, sliced pear, cranberries, and walnuts. Add dressing to taste, and toss well. Garnish with crumbled cashew or goat cheese. - Enjoy! Keywords: anti-Inflammatory recipes, cider vinaigrette, fall harvest salad, fall salad recipe --- ## Are Food Sensitivities Behind Your “Mystery” Symptoms? **Link:** [Are Food Sensitivities Behind Your “Mystery” Symptoms?](https://fullyfunctional.com/blog/food-sensitivities-behind-your-mystery-symptoms/) ([md](https://fullyfunctional.com/blog/food-sensitivities-behind-your-mystery-symptoms/index.html.md)) **Description:** Sharing our Fully Functional® approach to determining whether a patient has food sensitivities, symptoms, available testing, and food intolerance treatment. ### Content Your skin is whacky, you’re fatigued all the time, and let’s not even start on your stomach! At The Center for Fully Functional® Health, *we work to discover the root cause of your symptoms*, and this search often starts with determining whether you have **food sensitivities**. While the symptoms above could have myriad causes, they’re also a few prevalent examples of the downstream effect of a delayed IgG reaction — what is commonly referred to as a ‘food sensitivity.’ When we test for these reactions with a food sensitivity panel, we’re really testing for an immune response to certain foods. That means a food sensitivity panel can help us not only Identify and Reduce our trigger foods but [Optimize and Support](/blog/fully-functional/) our gut and immune health as well, making it one of the most important tools in our [Fully Functional](/blog/fully-functional-minute-1/) toolkit. ## ***Food Sensitivities Versus Food Allergies*** If you have a young child in school, you’re probably familiar with the prevalence of **food allergies**. Many children, in particular, suffer from food allergies that prompt an anaphylactic response, such as an itchy or swollen throat, when they eat an allergenic food. This anaphylactic response is called an **IgE reaction**, named for Immunoglobulin E, the antibody that immediately reacts to a foreign substance in the body and causes this type of reaction. We refer to it as a “food allergy.” A “food sensitivity” differs from a “food allergy” by the type of antibodies produced in this reaction. When a person with a particular food sensitivity eats that type of food, their body may produce IgG (Immunoglobulin G) antibodies in response.¹ Unlike IgE-mediated responses which are truly allergic in nature, IgG-mediated responses are *delayed hypersensitivity reactions* and can cause tricky symptoms many days after the exposure. For this reason, food sensitivities are difficult to identify and reduce. Many of our patients are unaware that they are reacting to certain foods and their symptoms can range from stomach discomfort to migraines to eczema and more, for years without an explanation.² ## ***Why Our Bodies Produce IgG Reactions*** When we eat food to which we’re sensitive, we might notice symptoms for days or even weeks afterward. But *what’s really behind this reaction*? The answer (as usual!) begins in the gut. Under normal conditions, our intestinal lining forms a barrier between the food that passes through our digestive tract and our immune system. This thin barrier is designed to keep food where it should be while absorbing nutrients that help us stay *Fully Functional®*. But when we are living with **gut permeability**, or what’s commonly known as “leaky gut,” larger-than-normal particles of this food make a pass through our gut barriers. When this happens, [our bodies recognize “foreign invaders”](/blog/molecular-mimicry-case-friendly-fire/) and move to attack them the same way they would attack bacteria or viruses, producing **an IgG reaction**. This is why the symptoms of having a ‘leaky gut’ and related food sensitivities extend far beyond digestive distress. From fatigue and joint pain to dry skin and breakouts, our immune system is so important that it can produce symptoms we may never associate with an “irritating” food. Working with a [Functional Medicine practitioner](/) is key to identifying these sensitivities, but also to untangling the web of root causes that may be contributing to your nagging symptoms. ## ***Treating the Root Cause of Food Sensitivities*** A **food sensitivity test** will identify immune reactions to hundreds of foods, giving you an idea of your body’s response to many common and even uncommon ingredients.³ Nearly all of our patients have at least *a few food sensitivities*, and they aren’t always to something surprising or uncommon. In fact, one of the unfortunate effects of a leaky gut is that the foods we eat most often are the ones our bodies will most likely have an immune response to. In order to deal with food sensitivities, it’s important to reduce their presence in our diets while we work to heal our gut and **regulate our immune system**. Since IgG reactions begin in the gut, healing them is a matter of optimizing gut health. That means eating **an anti-inflammatory diet** that’s devoid of IgG triggers (and other inflammatory foods) and full of healthy fats and fiber, remembering to “eat the rainbow” when it comes to vegetables. If a gut microbiome test and *small intestine bacterial overgrowth* (SIBO) test were not part of our initial panel, I often recommend them as a further step toward Identifying the underlying causes of gut permeability. If a parasite, bacterial or fungal overgrowth, or other underlying condition is contributing to leaky gut, treating that condition will be key to **reducing food sensitivities**. In almost every case a regular routine of probiotics and the fiber necessary to feed good bacteria is an important step in restoring gut balance. Finally, an overactive immune system may contribute to food sensitivities, making them of particular concern to my patients with autoimmunity. *Reducing inflammation and restoring immune function*, often with the help of a personalized supplement routine, is a key piece of the food sensitivity puzzle, and one your **Functional Medicine practitioner** can help you navigate. ## ***Fully Functional® and Sensitivity Free*** Food sensitivities can be tricky and frustrating, but a positive IgG antibody test doesn’t necessarily mean you’ll be sensitive to a particular food forever. In many cases, healing can lead to a Fully Functional® life *without food sensitivities*. The key is to work closely with a practitioner who understands the root cause of your symptoms and can address them individually. Eliminating foods to which you’re sensitive, focusing on gut health, and calming an overactive immune system are all key to reducing and even eliminating food sensitivities altogether. When you’re ready to uncover the root cause of your most annoying symptoms, you can book an appointment by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314037/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314037/)*2 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899772/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899772/)*3 *[*https://pubmed.ncbi.nlm.nih.gov/15253678/*](https://pubmed.ncbi.nlm.nih.gov/15253678/) --- ## French Lentil Salad **Link:** [French Lentil Salad](https://fullyfunctional.com/blog/french-lentil-salad/) ([md](https://fullyfunctional.com/blog/french-lentil-salad/index.html.md)) **Description:** Our delicious French Lentil Salad recipe takes vegetarian cuisine to the next level! French green lentils mingle with kalamata olives and zesty lemon dressing. ### Content We are excited to share this delicious **French Lentil Salad recipe** with you all. Spending 5 years as a vegetarian in our “youth”, we became rather picky as to “veg” options. What a long way **vegetarian cuisine** has come in the last 40 years! This adaptation from [Vegetarian Times](https://www.vegetariantimes.com/) is crunchy (from shredded carrots, diced celery, and toasted hazelnuts) and zesty with a lemony vinaigrette. Adding savory Kalamata olives and herbal notes from flat leaf parsley balances out the texture and flavor of mellow French green lentils. Nutrition boost from just the Lentils comes from fiber, folate, magnesium, and 18 grams of protein per cup. Add in the benefits of the other ingredients and you have a power lunch on your hands, a great idea with spring gardening upon us. We recommend paring this French Lentil Salad with our [Fully Functional® Healthy Falafel](/blog/fully-functional-healthy-falafel/). If you make this Fully Functional® recipe and love it, save it with your favorite anti-inflammatory diet recipes! **Replace Recipie Feat** ### Ingredients - 2 cups green lentils dried French - 2 large carrots shredded - 2 whole celery ribs diced fine - 3/4 cups Kalamata olives pitted and chopped - 1/3 cup flat leaf parsley chopped - 6 whole green onions or scallions, sliced - 4 tbsp lemon juice - 1/3 cup toasted hazelnuts or other nuts of choice - 1 tbsp olive oil to taste - 1 whole baby lettuce or other greens of choice ### Instructions - In a large pot, add extra virgin olive oil. When the oil is hot, add cumin and cook until fragrant (about 1 minute). - Then add your minced onion, celery, garlic, ginger, carrot, and bay leaf. Sauté until soft (about 2 to 3 minutes). Add brown lentils and broth (or water) along with sea salt and pepper. - Cover and cook on medium-low heat for 30 to 45 minutes, stirring every 15 minutes. The soup is done when the lentils are tender but still holding their shape. - Add greens like spinach or kale at the end and heat until wilted. - Enjoy! Keywords: anti-inflammatory diet recipes, french lentil salad, french lentil salad recipe, salad, vegetarian --- ## French Salad **Link:** [French Salad](https://fullyfunctional.com/blog/french-salad-recipe/) ([md](https://fullyfunctional.com/blog/french-salad-recipe/index.html.md)) **Description:** This anti-inflammatory French Salad recipe is fresh, crunchy, light, and delicious. Most importantly EASY to make. Pairs well with a hearty, bold main dish. ### Content This **French Salad recipe** is an **anti-inflammatory diet** delight. It’s fresh, crunchy, light, and delicious. And most importantly, EASY to make! Crisp, refreshing, zesty ingredients make this a complimentary side to bold main dishes. Perfect palate pleaser. Plus, did we mention *the anti-inflammatory veggies*? This light salad goes great with our [Tasty Lentil Soup](/blog/healthy-lentil-soup/). Enjoy! **Replace Recipie Feat** ### Ingredients - 6 carrots - 4 radishes (optional) - 1 fennel bulb - 1 tsp toasted fennel seeds or cumin seeds - 1 tsp grainy mustard - 3 tbsp organic lemon juice - 1/4 cup olive oil - fresh parsley to top (optional) ### Instructions - To toast the seeds: simply place them in a skillet and heat to medium-high. Constantly stir them around the pan until they are lightly browned. - Place the carrots, radishes (if using), and fennel bulb into a food processor or grate by hand. Place into large bowl and combine. - Combine the grainy mustard, lemon juice, olive oil and honey in a small container or bowl and mix thoroughly. Mix in seeds. - Top with fresh parsley if desired. - Enjoy! Keywords:anti-inflammatory meals, french Salad, french salad recipe, health tips --- ## Fresh Arugula Salad **Link:** [Fresh Arugula Salad](https://fullyfunctional.com/blog/fresh-arugula-salad/) ([md](https://fullyfunctional.com/blog/fresh-arugula-salad/index.html.md)) **Description:** Keep your taste buds happy with our Fresh Arugula Salad anti-inflammatory recipe, toss-in seasonal ingredients like fennel and mint. Energizing and filling! ### Content With Spring arriving and it’s longer days and (hopefully) warmer and sunnier days as well. It’s time to clean, reset and recharge. Although many of us make resolutions in the New Year, others obtain energy in Spring, similar to a bear coming out of hibernation: we are more alert, awake and motivated. We may feel like eating lighter meals and become more active. This **Fresh Arugula Salad** is absolutely full of flavor ad so tasty. This delicious (and beautiful) Fresh Arugula Salad features pecans, pomegranate, *and a fresh lemon-mint dressing*. Lighter meals often include salads, but it’s easy to get into a salad rut. Keep your taste buds happy with our Fresh Arugula Salad **anti-inflammatory recipe**, incorporating seasonal ingredients like fennel and mint. We love arugula (also called “rocket”) for its spicy, peppery flavor and its many benefits! Like other cruciferous greens such as kale and broccoli, *it’s a nutritional powerhouse* to infuse your body with health and vitality, help protect you from disease, and aid in detoxification. Arugula (from [Wikipedia](https://en.wikipedia.org/wiki/Eruca_vesicaria)) Arugula /əˈruːɡulə/ or rocket is an edible annual plant in the Brassicaceae family used as a leaf vegetable for its fresh peppery flavor. Other common names include garden rocket, or simply rocket (British, Australian, South African, Irish and New Zealand English), and eruca. Some additional names are “rocket salad”, “rucola”, “rucoli”, “rugula”, “colewort”, and “roquette”. *Eruca sativa*, which is widely popular as a salad vegetable, is a species of Eruca native to the Mediterranean region, from Morocco and Portugal in the west to Syria, Lebanon, and Turkey in the east. Eruca sativa grows 20–100 centimeters (8–39 in) in height. The pinnate leaves have four to ten small, deep, lateral lobes and a large terminal lobe. The flowers are 2–4 cm (0.8–1.6 in) in diameter, arranged in a corymb in typical Brassicaceae fashion, with creamy white petals veined in purple, and having yellow stamens; the sepals are shed soon after the flower opens. The fruit is a siliqua (pod) 12–35 millimeters (0.5–1.4 in) long with an apical beak, and containing several seeds (which are edible). The species has a chromosome number of 2n = 22. **Replace Recipie Feat** ### Ingredients - 4 cups Arugula* or one 5 oz container - 1 Fennel bulb chopped or sliced finely - 1 bunch mint coarsely chopped or torn - 3/4 cup pecans toasted - 1 pomegranate or ½ cup pomegranate seeds (or more to taste) - salt to taste - pepper to taste #### Dressing - 1/4 cup Lemon juice - 1 tsp grated lemon zest or dried is fine, too - 1/4 tbsp olive oil - 1 tbsp pomegranate juice - 1/4 tsp sea salt - 1 tbsp fresh mint leaves ### Instructions - Add all ingredients in order to a salad bowl and toss. Top with salt and pepper as desired. - For dressing: Blend together the dressing in a blender or food processor until creamy. ### Notes: *or other peppery green such as watercress --- ## What Does it Mean to be Fully Functional®? **Link:** [What Does it Mean to be Fully Functional®?](https://fullyfunctional.com/blog/fully-functional/) ([md](https://fullyfunctional.com/blog/fully-functional/index.html.md)) **Description:** Learn about optimizing health, and mitigating the effects of time and toxicity. Read-on for our proprietary process called Fully Functional®. What does it mean? ### Content We often hear from people who are hopeless and overwhelmed by their medical issues or declining health. Typically they have seen numerous doctors, received endless medications as well as conflicting information, *and just can’t seem to get better*. We were once in this desperate place. So, what does it mean to be **Fully Functional**? We also hear from people who are interested in *optimizing and maintaining their health* for the long run but who are confused by the plethora of opinions in the Information Age. To address these concerns we created a proprietary process called Fully Functional®. Through this process, we bring hope and healing as well as provide laser-like focus so that our patients can manage risk, mitigate the effects of time and toxicity, and be Fully Functional® for life. What does it mean to be **Fully Functional®**? - Fully Functional® is a state of being - You are your most healthy, productive, satisfied, joy-filled self - It is complete healing – physically, mentally, spiritually - It is transformative Is this realistic? Can you really experience this? I can tell you from personal experience as well as from the perspective of a physician who has treated thousands of patients over the years – that it is! It requires effort and is not only a state of being but also a state of mind. You must desire and believe that you can experience this. Many of us self-sabotage. We are our own biggest enemy and keep ourselves from experiencing the best life that we can. We need to acknowledge our fears and doubts *and refuse to allow them to impact our health journey*. What about those with a **chronic or terminal illness** – can they be Fully Functional®? Absolutely! There are millions living with chronic diseases and certainly, *our goal would be to reverse disease* but that isn’t possible for every disease or every person. Our desire is for people to learn how to thrive despite their ‘diagnosis.’ As a family, we certainly needed to learn how to become Fully Functional® and thrive as we were completely overwhelmed by our numerous diagnoses (Lupus, ADHD, Autism Spectrum Disorder, immune dysfunction, other behavioral concerns, epilepsy status post malignant brain tumor, and others). Through our own experience, we created the **5 Fully Functional® pillars** and we were able to reverse disease and more than thrive. Through our process, *we have also successfully helped nearly 1500 patients achieve optimal health*. ## ***The 5 Pillars to Becoming Fully Functional®*** ### **IDENTIFY** **Identify** underlying root issues, contributing factors, stressors, inflammatory processes, etc. ### **REDUCE** **Reduce** any underlying root issues, contributing factors, stressors, inflammatory processes, etc. ### **OPTIMIZE** **Optimize** the way your body manages the things it comes in contact with on a daily/regular basis. - **Optimize** detoxification pathways and all biologic processes. ### **SUPPORT** **Support** your body through the healing and detoxification process. - **Support** your immune system - **Support** you emotionally and mentally ### **PERSONALIZE** **Personalize** a plan specific to you to life Fully Functional® for life Along with helping our patients become Fully Functional®, one of our goals is to empower our patients to understand their bodies and to be their own best health advocate. [Here](/blog/tips-becoming-fully-functional-2/) are some tips you can use to become Fully Functional®. You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Fully Functional® Egg-Free Breakfast Ideas **Link:** [Fully Functional® Egg-Free Breakfast Ideas](https://fullyfunctional.com/blog/fully-functional-egg-free-breakfast-ideas/) ([md](https://fullyfunctional.com/blog/fully-functional-egg-free-breakfast-ideas/index.html.md)) **Description:** Here are some egg-free breakfast ideas for what you CAN eat on an anti-inflammatory diet. Plus! Several tasty gluten and dairy-free recipes for children. ### Content One of the most common questions we hear from patients is: “what can I eat if I cannot eat eggs or toast, cereal, or dairy?” During the initial phase of the plan, the doctors prescribe a nutrient-dense, detoxifying protein powder to help with this. We’re sharing several **egg-free breakfast ideas** that will satisfy all your breakfast cravings. Some people may still feel they need more than the protein powder to power through the morning. Others may find out that they need to keep eggs out of their diet (in addition to gluten and grains) for a longer period of time *due to allergies or sensitivities*. Here are some egg-free breakfast ideas for what you CAN eat. All of our recipes are **anti-inflammatory recipes**, following the anti-inflammatory diet. Options for children are included separately below. ## ***Breakfast Ideas for Initial Fully Functional® Diet Plan (Gluten, Grain, & Dairy-Free)*** - **Applegate Farms** (or similar brand) organic chicken sausages. Look for *nitrate, filler, sugar, and preservative free sausages* with ingredients that you recognize. Consider using roasted tomatoes on the side. Slice a tomato and drizzle olive oil, herbs such as thyme or Italian seasoning and sea salt. Place on a baking sheet in the oven and cook sliced side up for 10 minutes at 375 degrees or until cooked to your liking. - [Homemade turkey sausage](/blog/blueberry-sausage/) (without the maple syrup when doing the initial phase of the plan or if you have known candida/yeast overgrowth.) - [Creamy Pumpkin Smoothie](/blog/gluten-free-pumpkin-recipes/) - [Sweet Potato “toast”](/blog/sweet-potato-toast/) - [Plantain Pancakes](/blog/paleo-pancakes-with-plantains/) These are sweet enough as is. - **Hannah’s Healthy pancake mix** (sold at CFFH), or Simple Mills pancakes substituting the eggs for ¼ cup applesauce per egg. Adding blueberries could eliminate the desire for maple syrup. Top with coconut oil and cinnamon, nut or seed butter, or nothing at all 🙂 - [Breakfast sauté](/blog/garlicky-greens-and-sausage-breakfast-saute/) - **Smoked salmon (lox)** or canned or jarred fish such as sardines or mackerel (also nice on sweet potato "toast"). Avocado drizzled with lime juice and sprinkled with chili powder and sea salt on the side. - **Sweet potato or regular potato hash browns**. You could make these homemade, but you can find some at Whole Foods or similar stores already made in the frozen section. - **Coconut or almond milk yogurt with added fruit** and/or cinnamon or vanilla to sweeten. - [Grain free Cereal](/blog/grain-free-cereal/) - [Toasted Coconut “Granoless” Cereal](/blog/toasted-coconut-cereal/) - Try to eliminate the idea that “breakfast” has to be what the standard American diet has created as breakfast. Leftovers from the night before, salads, “power bowls” and veggies can all be a part of a **healthy breakfast**. ## ***Gluten & Dairy-Free Options for Children*** Any of the above choices are **CFFH approved for children**, along with: - **Homemade plain GLUTEN-FREE oatmeal with berries** and/or cinnamon. You could also add [SunButter](https://sunbutter.com/organic-sunbutter/) for some protein. There are several recipes online for “overnight oats.” - **Coconut or almond milk yogurt with added fruit** to sweeten. You could also add this to the oats for a “yogurt” bowl with fruit to sweeten - **Quinoa, buckwheat or millet bowl.** Make quinoa, buckwheat groats or millet according to instructions. Simply add fruit, unsweetened non-dairy, non-soy milk or yogurt with cinnamon, berries and/or apples. If you’re interested in [Nutrition Planning](/functional-medicine/weight-loss-program/) and speaking with one of our health coaches, you can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Fully Functional® Healthy Falafel **Link:** [Fully Functional® Healthy Falafel](https://fullyfunctional.com/blog/fully-functional-healthy-falafel/) ([md](https://fullyfunctional.com/blog/fully-functional-healthy-falafel/index.html.md)) **Description:** This recipe for healthy falafel is made by using baking as the cooking method rather than deep-frying, and is also loaded with anti-inflammatory spices. ### Content Our **Fully Functional® Healthy Falafel recipe** rivals any deep-fried falafel we’ve ever had. Plus, you won’t feel weighed down by the grease and heaviness that accompanies a deep-fried dish. By trying our baked version you may help mitigate any [negative health impacts](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342269/) of the standard greasy version. *Fried foods are highly inflammatory*, and a big no-no as far as following an **anti-inflammatory meal plan** goes.[.block][][.block][]Falafel is chickpea (garbanzo bean) patties that are typically made with a deep frying process. Our recipe is made more healthful by using baking as the cooking method rather than deep-frying. It’s also loaded with **anti-inflammatory spices**. These patties are a great snack on-the-go, or as a protein source for your healthy snack, lunch, or dinner. [.block][][.block][]Our Fully Functional® Healthy Falafel can be accompanied by a fresh vegetable salad or drizzled with Avocado Dill Dressing. A natural salsa or other homemade savory dressing, or a mushroom or vegetable sauce also goes great with this dish. As a snack, they may be accompanied with stuffed celery, carrot sticks, pickles, or a lettuce wrap.[.block][][.block][]Pairs well with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/). **Replace Recipie Feat** ### Ingredients - 1 cup dried mixed fava beans, chickpea, lima beans* or 2 whole cups of any of these legumes - 4 tbsp chopped fresh parsley - 4 tbsp chopped fresh cilantro - 1 small Onion or ½ cup chopped fennel bulb - 2 cloves garlic peeled and diced - 1 tsp dried oregano or 2 tsp fresh oregano - 1 tsp ground cumin - 1/2 tsp ground turmeric or 1 tsp chopped fresh turmeric - 1/2-1 tsp sea salt - 1 pinch several grinds fresh black pepper - 1/2 tsp baking soda - 1/2 cup a small amount of chickpea (garbanzo bean) flour optional ### Instructions - Place all ingredients into a blender or food processor except the black pepper and baking soda and process until a firm paste is achieved. - Use a spatula to scrape all the contents of the blender or food processor into a bowl and add the black pepper and baking soda. Mix or knead by hand to thoroughly combine all the ingredients and then cover the bowl and and let the mixture rest for one hour. - After one hour, heat an oven to 325 degrees. Uncover the bowl and with clean hands, form the “dough” into rounded golf-ball sized balls. If the mixture is sticky and difficult to work with, add 1-2 Tbsp. chickpea flour to make more workable. Flatten each ball slightly to form rounded discs. Place the discs on a parchment-lined baking sheet and bake uncovered for 20-25 minutes. Open the oven door and turn each disc for uniform baking and cook for an additional 10 minutes or until thoroughly cooked. - Serve hot or cold. They are great as a travelable snack. They are also great as breakfast or as part of the protein content of a balanced plate Falafel are wonderful served with Avocado Dill Dressing or with a healthy (no tomato) Green Guacamole (see recipe below). *Experiment with these ingredients to find the consistency and flavor that works for you*. Falafel are also wonderful served over a fresh salad with one of the above sides. ### Notes *Remember to soak fava beans, chickpea, and lima beans in fresh spring water at least overnight and ideally for 48 hours, then rinse well OPTIONAL: Use ANY bean to substitute for the chickpeas, fava beans, and lima beans. GREEN GUACAMOLE: Mash together one avocado, ½ cup fresh cilantro washed and chopped, 1 minced clove of garlic, and fresh lemon or lime juice, salt and fresh pepper to taste. TAHINI DRESSING: Mix together until smooth: 2 Tbsp. sesame tahini, 1 Tbsp. fresh spring water, a pinch of sea salt (or to taste), 1 minced clove of garlic, and 1 tsp. fresh lemon or lime juice. Keywords: anti-Inflammatory recipes, anti-inflammatory spices, Fully Functional, healthy chickpea recipes, healthy falafel, healthy falafel recipe --- ## Fully Functional® Living: More Joy and Better Health **Link:** [Fully Functional® Living: More Joy and Better Health](https://fullyfunctional.com/blog/fully-functional-living-space/) ([md](https://fullyfunctional.com/blog/fully-functional-living-space/index.html.md)) **Description:** A Fully Functional® living space is about more than just healthy food. We hope these simple tips will help you live more joyfully and fully in your home. ### Content A **Fully Functional® living space** is about more than just healthy food. We hope these simple tips will help you live more joyfully and fully in your own space. ## ***1. Filter Your Water*** From drinking and cooking to brushing and washing (not to mention laundry and dishes!), unfiltered water can allow potentially harmful chemicals into our homes in a dozen different ways. These toxins might include heavy metals, endocrine disruptors, and other chemicals that remain unregulated in our water supply. **Filtering water** is one of the simplest techniques we can use to keep our living spaces healthy and clean. Bottled water is an easy option when we’re away from home, but *filtering is often safer and more cost-effective*. That makes it our favorite trick for Fully Functional®, clean water! Consider investing in a cheap, efficient carbon filter for drinking water and explore installing faucet filters for sinks and showerheads. To carry water out of the home, we recommend reaching for **BPA-free stainless steel water bottles**. Many of these now come with attached filters, allowing you to save money on bottled water while protecting your health! ## ***2. Clean Up Your Cleaning Supplies*** Although we often think that “killing” germs are a necessary part of home cleaning, the truth is that **natural products** are just as effective at clearing away dirt and debris while leaving surfaces sparkling. And by cleaning without strong chemicals like bleach and ammonia, *we’re eliminating the potential hazards* of breathing fumes and exposing our skin to irritants. [The EPA’s Safer Choice Database](https://www.epa.gov/saferchoice) contains a list of alternative cleaners that makes an easy starting point. A simple Fully Functional™ alternative is to reach for cleaners derived from natural sources We love and personally use Thieves cleaning blends from Young Living Essential Oils, but making your own cleaning supplies is **simple and cost-effective**. A few common, natural cleaning options include Dr. Bronner’s Castile soap, baking soda, distilled white vinegar, Borax, and baking soda. Essential oils, especially citrus and peppermint blends, make a lovely, safe alternative to scented cleaners. ## ***3. Keep Fresh Within Reach*** A Fully Functional® kitchen provides plenty of healthy, **veggie-focused meals**. Rather than regularly turning to quick snacks like crackers, cookies or chips, try replacing these empty calories with nutrient-dense vegetables combined with some protein and healthy fats. This might mean spending one day a week cutting up vegetables such as celery, carrots, and cucumbers during the weekend so they’re ready for the week ahead. Place pre-cut veggies on a refrigerator shelf in easy reach. To spice them up, try [Dr. Ellen’s Cashew Avocado Spread](/blog/cashew-spread-with-avocado/) as a dip! It’s savory and packed with healthy fats to keep you satisfied between meals. ## ***4. Switch to Safer Skincare*** Unfortunately, many of our most commonly used **personal care products** (and yes, even our makeup!) are packed with endocrine disruptors, heavy metals, and chemicals that may delay or reverse any healing we’ve made. As a first step, the Environmental Working Group’s Skin Deep database is a credible source of safety ratings for many common personal care products. If we find that your current routine contains products with ratings of 3 or higher, it may be beneficial to begin swapping them out for safer options. Deodorants and other long-wearing options like lotion and sunblock are a good place to start. Many aluminum-free deodorants are available in our office as well as commercially in many stores, and zinc-oxide-based sunblocks are a great alternative to the more toxic options during warmer months. A *Fully Functional®* **personal care routine** is one simple way to create a healthier home environment. ## ***5. Make Space for Play*** **Reducing stressors** is a key pillar of the Fully Functional® healthcare model. Play is a fabulous and natural way to **reduce stress**, encourage the development of positive feelings and even regulate our neurotransmitters! By encouraging play in your home, *you’ll actually be contributing to your healing*. But for many adults, play is easier said than done. We have a few thoughts to get you started. - Place a box with balls, frisbees, jump ropes or other outside toys near the door - Stack board games in the family room or near the TV as a reminder of alternative entertainment - Intersperse furniture with open space for stretching and movement - Replace furniture with standing desks, exercise balls or even floor pillows to encourage movement A Fully Functional® living space is about more than just healthy food. We hope these simple tips will help you live more joyfully and fully in your own space starting today! You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. ### *** Helpful Resources: *** [EWG’s Water Filter Buying Guide](https://www.ewg.org/tapwater/) [EWG’s Skin Deep Database](https://www.ewg.org/skindeep/) [EPA’s Safer Choice Database](https://www.epa.gov/saferchoice) --- ## Fully Functional® Lunchtime Smoothie **Link:** [Fully Functional® Lunchtime Smoothie](https://fullyfunctional.com/blog/fully-functional-lunchtime-smoothie/) ([md](https://fullyfunctional.com/blog/fully-functional-lunchtime-smoothie/index.html.md)) **Description:** Gluten, dairy, and sugar-free. This Lunchtime Smoothie is a favorite among friends, family, and staff when it comes to our anti-inflammatory diet recipes. ### Content This **Lunchtime Smoothie** is our absolute favorite smoothie that we make for our staff at The Center for Fully Functional® Health. This *vitamin-rich smoothie* is full of flavor including our delicious Fully Functional® Comprehensive Protein Powder alongside an energy-rich assortment of Bulletproof brand Brain Octane, Vanilla bean powder, cacao butter, and Fully Functional® Collagen Powder. Did you know that the nutritional value of [maca](https://en.wikipedia.org/wiki/Lepidium_meyenii) powder is similar to cereal grains such as rice and wheat? The average composition is 60-75% carbohydrates, 10-14% protein, 8.5% dietary fiber, and 2.2% fats. Maca is rich in the dietary minerals calcium and potassium (with low content of sodium) and contains the essential trace elements iron, iodine, copper, manganese, and zinc, as well as fatty acids including linolenic acid, palmitic acid, and oleic acids, and 19 amino acids. The addition of maca powder along with our assortment of Fully Functional® and Bulletproof products makes this Lunchtime Smoothie an energizing and delicious addition to your diet. It is also **gluten, dairy, sugar-free**, and a favorite among friends, family, and staff when it comes to our **anti-inflammatory diet recipes**. Check out more of our Fully Functional® smoothie recipes [here](/?s=smoothie). **Replace Recipie Feat** ### Ingredients - 4 cups almond milk (organic, unsweetened) or unsweetened cashew, or coconut milk - 3 scoops Fully Functional® Comprehensive Protein Powder - 2 tbsp Brain Octane Bulletproof brand - 1/4 cup cacao powder organic, unsweetened - 1 whole acvocado - 1 tsp vanilla bean powder Bulletproof brand - 1 tsp maca powder - 1 tsp Organic Acai powder - 4 cups Organic Power Greens or Spinach (other greens may be substituted) - 1 scoop Bulletproof brand Collagen Powder - 1.5 cups organic frozen blueberries - 1/4 cup Cacao Butter Bulletproof brand - 3 tbsp chia seeds/hemp hearts (optional) ### Instructions - Mix everything together in your Vitamix (this is my preferred blender) and whip up this delicious treat for 4-6. - Consider adding in 3 tbsp of organic hemp hearts and/or chia seeds. Keywords: anti-inflammatory diet recipes, Fully Functional, lunchtime smoothie, nutrient-rich --- ## Fully Functional® Minute – What does it mean to be Fully Functional®? **Link:** [Fully Functional® Minute – What does it mean to be Fully Functional®?](https://fullyfunctional.com/blog/fully-functional-minute-1/) ([md](https://fullyfunctional.com/blog/fully-functional-minute-1/index.html.md)) **Description:** Welcome to the first Fully Functional® Minute! In this video, we're sharing what it means to be Fully Functional®, and the five pillars to get you there. ### Content Welcome to the first **Fully Functional® Minute**! Learn what it means to be [Fully Functional®](/blog/tips-becoming-fully-functional-2/) and the five pillars to becoming Fully Functional® in this exciting new series. [](https://vinehealthcare.wistia.com/medias/f99mwrqd1o?embedType=async&%5BvideoFoam%5D=true&%5BvideoWidth%5D=640&wvideo=f99mwrqd1o) [Fully Functional Final Sep 15th, 12:45:50 PM - vinehealthcare](https://vinehealthcare.wistia.com/medias/f99mwrqd1o?embedType=async&%5BvideoFoam%5D=true&%5BvideoWidth%5D=640&wvideo=f99mwrqd1o) [.block][]As mentioned in the video above, *dry brushing is extremely beneficial to your health*. Learn more about the benefits [here](/blog/benefits-of-dry-skin-brushing/). --- ## Fully Functional® Paleo Mayo **Link:** [Fully Functional® Paleo Mayo](https://fullyfunctional.com/blog/fully-functional-paleo-mayo/) ([md](https://fullyfunctional.com/blog/fully-functional-paleo-mayo/index.html.md)) **Description:** Our Paleo Mayo recipe is free of dairy and gluten. Great for salads, dressings (like our Paleo Ranch Dressing), with sliced meats, and more. Give it a try! ### Content Our **Paleo Mayo recipe** is *free of dairy and gluten*. Great for salads, dressings (like our [Paleo Ranch Dressing](/blog/paleo-ranch-dressing/)), with sliced deli meats, and more. We also have an egg-free option listed below. If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 1 whole egg pasteurized or free range OR egg substitute (see below) - 2 tbsp lemon juice freshly squeezed - 1/2 tsp sea salt - 1/2 tsp mustard dry - 1 cup olive oil organic or grapeseed oil ### Instructions - Place egg or egg substitute and lemon juice in a small bowl (metal works great). - Place this bowl in another bowl of hot water and allow to warm up to room temp. - Transfer egg/lemon to a blender, then add salt and mustard. - Begin blender, then pour olive oil very slowly through the top while blender is running. - Blend to desired consistency. - *Egg substitutes* -1 Tbsp. ground flax seeds mixed with 1 Tbsp. warm water; let sit =>1 minute -1 Tbsp. chia seeds mixed with 3 Tbsp. warm water; let sit 10-15 minutes -Purchase Ener-G Egg Replacer and follow directions - Enjoy! Keywords: anti-inflammatory diet recipes, paleo dressing, paleo mayo, paleo mayo recipe --- ## Fully Functional® Salad in a Jar **Link:** [Fully Functional® Salad in a Jar](https://fullyfunctional.com/blog/fully-functional-salad-in-a-jar/) ([md](https://fullyfunctional.com/blog/fully-functional-salad-in-a-jar/index.html.md)) **Description:** If you have dietary restrictions this salad in a jar recipe allows you to control your anti-inflammatory food choices and bring options you know work for you. ### Content Packing a cooler can be a lifesaver for [road trips](/blog/eating-healthy-on-the-road-fully-functional-travel/), but prepared foods also come in handy for camping trips, beach days, and hiking excursions. Our **Fully Functional® Salad in a Jar** is not only versatile and delicious, it also gives you the fuel you need when you’re on the road burning lots of energy. In fact, depending on the extent of your dietary restrictions, a cooler might be the safest bet for nearly any travel, simply because *it allows you to control your food choices* and bring options you know work for you. If you’re severely intolerant to certain foods, being exposed to these ingredients in a restaurant might derail your entire trip. Having a cooler full of healthy, safe food can provide a measure of comfort that helps us relax during our journeys without worrying about contamination. This method also ensures that we’re eating ingredients that are on our **anti-inflammatory diet food list**. Packed food is also a great option for long airplane journeys, where meals provided onboard are far from ideal. To keep your cooler security checkpoint-ready, empty it of ice and liquids before the security checkpoint and refill it with ice from a restaurant in the terminal. Out of ideas for filling your cooler? Try out our super-portable **Salad in a Jar**! **How long will jars of salad keep in the fridge?** With the lid sealed tightly, these salads can last for several days in the fridge — up to five days or so. If you’re making salads with soft ingredients or perishable proteins, like avocados, tomatoes, hard-boiled eggs, or cooked chicken breast, wait to add those ingredients until the day you plan to eat the salad. Also, if you have a vacuum-sealer attachment for your canning jars, vacuum-sealing the salads right after assembling them will keep your greens and veggies *even crisper and fresher*. **Please Note:** this recipe will require wide-mouth canning jars with tight-fitting lids such as: *Pint jars for side salads, Quart jars for individual meal-sized salads, 2-Quart jars (or larger) for multiple servings* And, of course, an appropriately sized bowl to serve! **Replace Recipie Feat** ### Ingredients - 1-4 tablespoons salad dressing Use lemon Juice liberally in your dressings, or a SMALL amount of Organic Apple Cider Vinegar - Mix of raw/cooked vegetables - if avoiding nightshades, keep these in mind to AVOID as you plan or pack your salads - Mix of nuts and other salad favorites - Salad greens ### Instructions #### Salad Dressing - Pour 1 to 4 tablespoons of your favorite salad dressing in the bottom of the jar. Adjust the amount of dressing depending on the size of the salad you are making and your personal preference. #### Hard Vegetables - Next, add any hard chopped vegetables you're including in your salad, like carrots, cucumbers, red and green peppers, cooked beets, and fennel. #### Beans - Next, add any beans, like chickpeas, black beans, etc. (EXCEPT Soy or Edamame, which are not included in the Wellness Nutrition Plans). #### **Proteins (optional)** - If you'll be eating the salad within the day, add a layer of proteins like tuna fish, sardines (or keep tinned sardines at the ready for when you put the final salad together) chicken or other allowed meat or fish. If you're making salads ahead to eat throughout the week, *wait to add these ingredients until the day you're planning to eat the salad* and add them on top of the jar. #### **Softer Vegetables and Fruits (optional)** - Next, add any soft vegetables or fruits, like avocados, tomatoes, diced strawberries, or dried apricots. If you're making salads ahead to eat throughout the week, wait to add these ingredients until the day you're planning to eat the salad and add them to the top of the jar (Avocado will do best if treated with lemon juice before packing, and packing the day to be used is recommended). #### **Nuts and Seeds** - Next, add any nuts or seeds, like almonds, walnuts, and sunflower seeds. #### **Salad Greens** - Last but not least, fill the rest of the jar with salad greens. Use your hands to tear them into bite-sized pieces. It's fine to pack them into the jar fairly compactly. #### **Storing the Salad** - Screw the lid on the jar and refrigerate for **up to 5 days**. If you're including any proteins, or soft vegetables, add these to the top of the jar the morning you plan to eat your salad. #### **Tossing and Eating the Salad** - When ready to eat, unscrew the lid and shake the salad into the bowl. The action of shaking the salad into the bowl is usually enough to mix the salad with the dressing. If not, toss gently with a fork until coated. Keywords: anti inflammatory diet food list, anti-inflammatory food recipes, anti-Inflammatory recipes, anti-Inflammatory salad, dietary restrictions, salad, salad in a jar, salad in a jar recipes --- ## Functional Medicine News: Top Blogs of the Year 2019! **Link:** [Functional Medicine News: Top Blogs of the Year 2019!](https://fullyfunctional.com/blog/functional-medicine-news-top-blogs-2019/) ([md](https://fullyfunctional.com/blog/functional-medicine-news-top-blogs-2019/index.html.md)) **Description:** Here is a list of Functional Medicine News of our top reads for 2019! Topics covered are EBV, MARCoNS, POTS, Mold Illness and CIRS, and PANS and PANDAS. ### Content We’ve compiled a list of helpful **Functional Medicine News**, with our top blogs for the year 2019. Topics covered are Reactivated Epstein Barr Virus, MARCoNS, POTS, Mold Illness and CIRS, and PANS and PANDAS. For more resources and information on the above, and for the latest in Functional Medicine News. Please visit the [National Institutes of Health](https://www.nihlibrary.nih.gov/agency/nih), as well as [The Institute for Functional Medicine®](https://www.ifm.org/news-insights/). ## [*** Reactivated Epstein Barr Virus – What You Need to Know***](/blog/reactivated-epstein-barr-virus-need-know/) Like so many other chronic illnesses that are on the rise in America, we are seeing an increased incidence of reactivated or chronic **Epstein-Barr virus** in our practice. What’s causing what’s normally an incredibly rare and benign condition to suddenly become such an issue for many? *Let’s take a closer look*. ## ***[MARCoNS](/blog/marcons/)*** **MARCoNS** is a type of bacteria that can play a role in cases of Chronic Fatigue, Fibromyalgia, Lyme Disease, Lupus, MS, and other autoimmune conditions. ## ***[POTS – Postural Orthostatic Tachycardia Syndrome](/blog/postural-orthostatic-tachycardia-syndrome-pots/)*** **POTS** symptoms are usually just the tip of the iceberg, pointing to the root cause of an issue. Once addressed, *patients are able to live Fully Functional*. ## ***[Mold Illness and Chronic Inflammatory Response Syndrome (CIRS)](/blog/mold-illness-cirs/)*** How you react to **mold exposure** is completely unique to you, depending on your body chemistry and the function of your immune system. ## [***PANS and PANDAS – What You Need to Know***](/blog/pans-pandas-what-you-need-to-know/) **PANS & PANDAS** are pediatric illnesses characterized by abrupt onset neuropsychiatric symptoms. Here’s a little science and history about these diseases. --- ## Garlic and Ginger Soup Recipe **Link:** [Garlic and Ginger Soup Recipe](https://fullyfunctional.com/blog/garlic-and-ginger-soup-recipe/) ([md](https://fullyfunctional.com/blog/garlic-and-ginger-soup-recipe/index.html.md)) **Description:** This Garlic and Ginger Soup recipe is quick-to-prep, delicious, and loaded with anti-inflammatory veggies; carrots, ginger, and spinach. Give it a try! ### Content This **Garlic and Ginger Soup recipe** is quick-to-prep and absolutely delicious. In a rush? Use the stovetop. Savoring your time in the kitchen? Use the crockpot. A slow simmer of whole peeled garlic and sliced ginger gives **deep flavor** with a gradual addition of cooked chicken, zucchini, carrots, finished by covering a handful of baby spinach in the soup bowl with the hot soup. Garnish with finely chopped fresh herbs of choice, and you have a light lunch made with little hassle. This recipe is loaded with **anti-inflammatory** [veggies](https://www.farmfreshtoyou.com/); carrots, ginger, and spinach provide significant anti-inflammatory properties from carotenoids and gingerols, and the zucchini contributes Vitamins B6, vitamin C, Folic Acid as well as manganese, all boosters for detoxification processes. This recipe works for the *Four Week Nutrition Wellness Plan* and is Paleo-Friendly. This Garlic and Ginger Soup recipe pairs well with our [Gluten-Free Flatbread: Garlic and Chive](/blog/gluten-free-flatbread-garlic-chive/). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 8 cups Chicken stock organic, homemade or packaged - 6 whole cloves garlic - 3″ piece fresh ginger peeled and sliced ~1/4″ thick - 1.5 whole chicken breasts organic, cooked; can use shredded meat from whole chicken - 3 whole zucchini organic, trimmed, cut lengthwise, and diced - 1 pound package baby spinach - 3/4 cup carrots organic, shredded - 1/2 cup mixed herbs finely minced, dill, flat leaf parsley, scallion or chives, cilantro ### Instructions - Place chicken stock or broth, peeled garlic and sliced ginger in a stockpot on medium low heat or in a Crock-Pot. Bring to a simmer. - For stove-top method, allow stock to simmer 30 minutes. For Crock-pot, cook on high for 1 1/2 hours. For either method, simmer until broth is fragrant. - Add cooked chicken, heat, then add shredded carrots and zucchini. Continue to cook until vegetables are fork-tender but still have some resistance when pierced, 5-8 minutes on the stove, 20+ minutes in Crock-Pot. - Set up soup: Place a handful of baby spinach in each soup bowl; ladle hot soup to cover over baby spinach. - Garnish with 1+ Tbsp. of chopped fresh herbs - Enjoy! ### Notes: This garlic and ginger soup is a quick-to prep, leisurely soup that can be accomplished in stages. I tried it here at Vine one wintry day for our communal lunch. Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, anti-inflammatory veggies, chicken soup, garlic and ginger soup, garlic and ginger soup recipe, soup --- ## Garlicky Greens & Sausage Breakfast Sauté with Avocado **Link:** [Garlicky Greens & Sausage Breakfast Sauté with Avocado](https://fullyfunctional.com/blog/garlicky-greens-and-sausage-breakfast-saute/) ([md](https://fullyfunctional.com/blog/garlicky-greens-and-sausage-breakfast-saute/index.html.md)) **Description:** Garlicky Greens, one of our favorite anti-inflammatory breakfast recipes. Set yourself up for a successful day with this easy and delicious breakfast sauté. ### Content Some of our patients feel challenged to come up with breakfast ideas when following an [anti-inflammatory diet](https://pubmed.ncbi.nlm.nih.gov/28350517/) plan without eggs or grains. There are still plenty of Fully Functional® options when you are looking for something besides a smoothie. This **Garlicky Greens Sauté** is so good and takes just minutes to prepare. Set yourself up for a successful day! Break your fast with this delicious and *blood sugar-stabilizing* combination of protein, fat, and fiber. It will keep you satisfied until lunch, reduce cravings all day long and boost your nutrition! Looking for more great breakfast ideas, and recipe? Click [here](/?s=breakfast). Hint: *It makes a great lunch or dinner option too*! Enjoy! **Replace Recipie Feat** ### Ingredients - 1 tablespoon avocado oil - 2 cloves garlic minced - 1 gluten-free, nitrate-free chicken sausage sliced - 4 cups kale chopped - Sea salt and fresh ground pepper to taste - ¼-½ Avocado peeled, pitted and chopped ### Instructions - Add avocado oil to sauté pan over medium-high heat. - Add sausage and sauté 2-3 minutes. Add garlic and kale and sauté 3 more minutes until garlic is golden and kale is wilted. - Add sea salt and pepper to taste. Serve topped with chopped avocado. Keywords: anti-inflammatory breakfast recipes, anti-inflammatory diet plan, Breakfast Sauté, garlicky Greens --- ## Ginger Lentil Soup with Greens **Link:** [Ginger Lentil Soup with Greens](https://fullyfunctional.com/blog/ginger-lentil-soup-with-greens/) ([md](https://fullyfunctional.com/blog/ginger-lentil-soup-with-greens/index.html.md)) **Description:** Our Ginger Lentil Soup is full of veggies and anti-inflammatory spices like ginger and garlic. This hearty bowl of comfort makes an easy weeknight dinner! ### Content Our **Ginger Lentil Soup** is full of veggies and spiced up with ginger, this hearty bowl of comfort makes an easy weeknight dinner! You might want to double the recipe because this soup gets better after it sits for a while, and makes an even tastier lunch the next day! [Lentils](https://en.wikipedia.org/wiki/Lentil) The lentil (Lens culinaris or Lens esculenta) is an edible pulse. It is a bushy annual plant of the legume family, known for its lens-shaped seeds. It is about 40 cm (16 in) tall, and the seeds grow in pods, usually with two seeds in each. In South Asian cuisine, split lentils (often with their hulls removed) are known as dal. Usually eaten with rice or rotis, lentils are a dietary staple throughout regions of India, Sri Lanka, Pakistan, Bangladesh, and Nepal. As a food crop, the majority of world production comes from Canada, India, and Australia. *Lentils are the oldest pulse crop known*, and among the earliest crops domesticated in the Old World, having been found as carbonized remains alongside human habitations dating to 11,000 BCE in Greece. The origins of lentils are in the Near East and Central Asia. Pair with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/). **Replace Recipie Feat** ### Ingredients - 1 tablespoon extra-virgin olive oil - 1 teaspoon ground cumin - 1 small onion chopped - 1 large celery rib chopped - 4 large garlic cloves minced - 1 inch piece of ginger grated - 1 large carrot chopped - 1 whole bay leaf - 1 cup brown lentils soaked (see instructions below) - 3 cups your choice of broth or water - 1/2 teaspoon sea salt - 1/2 teaspoon black pepper - 2 cups your choice of greens ### Instructions - In a large pot, add extra virgin olive oil. When the oil is hot, add cumin and cook until fragrant (about 1 minute). - Then add your minced onion, celery, garlic, ginger, carrot, and bay leaf. Sauté until soft (about 2 to 3 minutes). Add brown lentils and broth (or water) along with sea salt and pepper. - Cover and cook on medium-low heat for 30 to 45 minutes, stirring every 15 minutes. The soup is done when the lentils are tender but still holding their shape. - Add greens like spinach or kale at the end and heat until wilted. Note: This soup is best made ahead, for the best flavor! *It gets better with time*! Keywords: anti-Inflammatory recipes, anti-inflammatory spices, easy weeknight dinner, ginger lentil soup, ginger soup recipe --- ## Ginger-Lime Vinaigrette **Link:** [Ginger-Lime Vinaigrette](https://fullyfunctional.com/blog/ginger-lime-vinaigrette/) ([md](https://fullyfunctional.com/blog/ginger-lime-vinaigrette/index.html.md)) **Description:** This Ginger-Lime Vinaigrette is sweet and salty. A beautiful, flavorful combination of anti-inflammatory veggies and herbs. Perfect dressing, and marinade. ### Content Our **Ginger-Lime Vinaigrette** is sweet, tangy, and salty. Great on salads, roasted veggies, and makes an amazing marinade for protein (salmon, chicken, turkey). It’s a beautiful, flavorful combination of [anti-inflammatory](https://pubmed.ncbi.nlm.nih.gov/26400429/) veggies (and herbs if you decide to add cilantro, which we highly recommend!). Try our Ginger-Lime Vinaigrette on tacos, it’s so good! Can you tell we enjoy creating versatile **anti-inflammatory diet recipes**? We love it! Notes on two affordable Kitchen Helpers: Two of the less expensive but extremely useful items in my pantry are the **Microplane** and the **Immersion Blender Stick**. An Immersion blender is a hand-held device, essentially a stick with simple controls and a blade end. This beauty can puree that pot of curried squash or pumpkin bisque into velvety goodness, as well as make lovely salad dressings and even mayonnaise. Microplane is the brand name for some amazing graters, slicers, and zesters. I highly recommend the hand-held grater that looks somewhat like a rasp. It makes short work of citrus zest, ginger, and garlic, to mention a few. In the following recipes, the **Microplane is used for grating garlic and ginger in this recipe.** [.block][]Looking for more delicious vinaigrettes? Check out our [Sun-Dried Tomato Vinaigrette](/blog/sun-dried-tomato-vinaigrette/). **Replace Recipie Feat** ### Ingredients - 1/4 cup lime juice freshly squeeze - 2 tbsp maple syrup raw honey or equivalent to stevia to taste - 2 Inches ginger fresh, peeled and grated using a micro-plane - 2 cloves garlic grated using a micro-plane - 2 tbsp coconut aminos or to taste - 3/4 cup extra-virgin olive oil or other neutral oil - 1 pinch sea salt ### Instructions - Place lime juice in a glass quart jar with screw cap. - Add sweetener and swirl, shake or whisk to combine. - Add ginger, coconut aminos and olive oil to jar, whiz using immersion blender. - Season to taste, add minced cilantro if desired. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory salad dressing, anti-inflammatory veggies, ginger lime dressing, ginger-lime vinaigrette --- ## Gluten-Free Challah **Link:** [Gluten-Free Challah](https://fullyfunctional.com/blog/gluten-free-challah/) ([md](https://fullyfunctional.com/blog/gluten-free-challah/index.html.md)) **Description:** Welcome this new twist that brings the rich heritage into the modern, inclusive age. Gluten-Free Challah allows more people to enjoy this culinary tradition. Check out the recipe here. ### Content ## A New Twist On A Favorite Tradition **Challah**, a timeless emblem of unity in **Jewish heritage**, weaves a rich tapestry of history and flavor. For decades, this braided masterpiece has graced our family's table, its golden allure captivating hearts and taste buds alike. Picture it - fresh from the oven, adorned with honey or apple butter, *a culinary symphony of tradition*. Yet, evolution knocks at the door of culinary legacy. Why sacrifice time-honored recipes for the sake of well-being? Introducing the **Gluten-Free Challah**, a modern twist on a cherished classic. Here, the essence of the original intertwines with the necessity of a diet *free from the shackles of gluten and dairy*. Step into the kitchen, whether you're a novice starting on a floury adventure or continuing cherished traditions. This recipe promises more than loaves but a connection to the past *and a healthier future*. Feel the warmth of heartwarming flavors, the cultural resonance echoing through each gluten-free strand. As these loaves emerge from your oven, they carry not just sustenance but a narrative - *a tale of heritage, adaptation, and the joy of breaking bread together*. Whether it's your first challah or a continuation of a cherished legacy, let this gluten-free rendition become a staple in your kitchen. Bake, savor, and share. We can't wait to hear your chapter of this delicious story. ## Makes Two Loaves Ingredients For bread dough: 3 1/2 cups (490 gm) Better Batter Artisan Flour Blend 1 Tbsp + 1 tsp (10 gm) Fleischmann's Instant Yeast (not Active Yeast) 1 1/4 cups (150 gm) tapioca starch (and some extra for rolling the dough) 4 tsp (12 gm) coarse kosher salt 1/2 cup minus 1 Tbsp (185 gm) organic cane sugar or coconut sugar 1 1/2 cups lukewarm filtered water 8 Tbsp organic extra virgin olive oil 6 organic, free-range egg yolks (sit out until room temperature) 4 Tbsp local honey For egg wash: 2 organic free-range eggs, beaten 2 Tbsp filtered water Optional: Sesame seeds or poppy seeds to top Instructions In a stand mixer, blend all dry ingredients together. Add in wet ingredients and mix using the dough hook attachment for four to five minutes until a smooth ball is formed and everything is evenly mixed. The dough will be sticky but not wet to the touch. (If the dough is too wet, add a bit more flour until the desired consistency is achieved.) Place the dough ball in an oiled bowl or container with a tight lid. *Refrigerate for at least an hour*, but do not exceed 24 hours in the fridge. Take the dough out of the refrigerator and cut it into six even pieces. Sprinkle some tapioca starch on a clean surface, and roll each of the six pieces into a strand 18 inches long and 1 ½ to 2 inches thick in diameter. Use tapioca starch to smooth the outer surface of the dough where needed, but don't overdo it – just enough so that it doesn't stick to your fingers. Place three strands side by side and press the ends together on one end, then fold that end under itself so it remains secure. Braid the three strands like you're braiding hair, as close together and tightly wrapped as you can. When you get to the end, press the three ends of the strands together and fold under itself again, as you did at the beginning. For the second loaf, repeat the braiding process with the remaining three strands. Carefully slide the braided loaves onto parchment paper-lined baking sheets. To allow the dough to rise, set your oven to "Proof" or find a warm place for the dough to sit at around 75-85 degrees Fahrenheit. If using the Proof setting on your oven, place a small oven-safe cup of water on the bottom of the oven to keep the dough moist while rising, and place baking sheets in the oven. If you aren't using a proofing oven to let the dough rise, then cover the dough with a clean towel and place it in a warm spot. Let dough rise until it is close to double in size – this can take a few hours, depending on the temperature where it is rising. Once the dough is completely proofed and ready to bake, preheat the oven to **350 degrees Fahrenheit**. Beat together the eggs and water to create the egg wash, then use a brush to coat the outside of both loaves. Do not allow the egg mixture to pool in the crevices of the braids. Top with a sprinkle of sesame or poppy seeds if desired. Place the baking sheets on the middle rack of the oven and bake for 30 minutes. Turn the baking sheets 180 degrees, then decrease the oven temperature to 325 degrees Fahrenheit and bake for an additional 10 to 15 minutes until browned on top. (Watch closely so that the bread doesn't burn.) When baked, the loaves should feel spongy when touched and reach an internal temperature of **190 degrees Fahrenheit**. Remove baked loaves from the oven and place on a wire rack to cool. Serve with organic butter, honey, apple butter, or other fruit spread of your choice. (Makes incredible French Toast!) --- ## Gluten-Free Flatbread: Garlic and Chive **Link:** [Gluten-Free Flatbread: Garlic and Chive](https://fullyfunctional.com/blog/gluten-free-flatbread-garlic-chive/) ([md](https://fullyfunctional.com/blog/gluten-free-flatbread-garlic-chive/index.html.md)) **Description:** This recipe for Gluten-Free Flatbread: Garlic and Chive hits all the right notes. With comforting anti-inflammatory spices. Warm, satisfying, and so good! ### Content Every once in a while we get a craving for bread but finding a decent gluten-free recipe can be rather difficult. That said, this **Gluten-Free Flatbread: Garlic and Chive recipe** hits all the right notes. With comforting [anti-inflammatory spices](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532192/#:~:text=The%20spices%20that%20are%20most,pepper%20%5B4%2C%2023%5D.), *it’s a symphony of flavors and textures* that leave you feeling warm, and satisfied (and not missing gluten!). [.block][]We recommend pairing with our [Healthy Lentil Soup](/blog/healthy-lentil-soup/). Happy eating! **Replace Recipie Feat** ### Ingredients - ½ cup tapioca flour organic - ½ cup arrowroot powder organic - ½ cup coconut flour organic, may substitute allowed nut flour - ½ tsp sea salt - ½ cup coconut cream organic, I use Trader Joe’s - ¼ cup ghee can substitute organic coconut or grapeseed oil - 3 tbsp garbanzo bean liquid* organic, (from canned beans) *You may substitute garbanzo bean “egg” with other Vine approved substitute - 2 tbsp chives fresh, chopped (or 2 tsp. dried) - 1 pinch garlic powder to taste ### Instructions - Preheat oven to 450 degrees. Place a pizza stone into oven to heat up. - In saucepan, slowly heat coconut milk and ghee until warm and blendable. - In small bowl, mix tapioca flour, arrowroot powder, coconut flour and salt. - In glass bowl, whisk/whip garbanzo bean liquid until frothy, about 3-5 minutes. - Gently mix frothed garbanzo bean mixture into cooled coconut cream/ghee mixture, then fold in with flour mixture. Add chives to blend. - Place mixture onto a piece of parchment paper. Press out with hands to ¼" thickness. - Sprinkle garlic powder on top, then place onto hot pizza stone. - Bake for 9-12 minutes, until lightly browned around the edges. Keywords: anti-inflammatory spices, gluten-free bread, gluten-free flatbread, gluten-free flatbread recipe --- ## Delicious Gluten-Free Pumpkin Recipes **Link:** [Delicious Gluten-Free Pumpkin Recipes](https://fullyfunctional.com/blog/gluten-free-pumpkin-recipes/) ([md](https://fullyfunctional.com/blog/gluten-free-pumpkin-recipes/index.html.md)) **Description:** We're sharing our favorite Gluten-Free Pumpkin Recipes! Pumpkins are loaded with vitamin A, which supports vision, immune health, bone health, and more! ### Content ‘Tis the season for everything pumpkin! That’s why we’re sharing our favorite **Gluten-Free Pumpkin Recipes**! The reason we love pumpkins? They’re loaded with vitamin A, which supports vision, immune health, bone health, and more! This fruit is at the top of our **anti-inflammatory foods list** and is such a versatile ingredient. For these recipes, you’ll want to use [organic pumpkin puree](https://farmersmarketfoods.com/product/organic-pumpkin/), *not pumpkin pie filling*. Here are a couple of our favorite, delicious, **anti-inflammatory recipes**! And if you’re craving more pumpkin recipes, check out our [Pumpkin Chili](/blog/pumpkin-chili/),[Pumpkin Spice Protein Balls](/blog/pumpkin-spice-protein-balls-no-bake-recipe/), and our [Pumpkin Spice Chia Pudding](/blog/pumpkin-spice-pudding-with-chia-seeds/). These Gluten-Free Pumpkin Recipes do not disappoint. Get more recipes like this from Tricia Nelson at [Heal Your Hunger](https://healyourhunger.com/). **Replace Recipie Feat** ### Ingredients - 4 eggs - 2/3 can organic pumpkin puree (not pumpkin pie filling) - 1/2 tsp baking powder - 1/4 tsp salt - 2 tbsp coconut flour - 2 tbsp coconut oil - Dash of cinnamon - 1 tsp vanilla-flavored Sweetleaf brand Monk Fruit - Crushed walnuts (optional) ### Instructions - Mix everything together, reserving 1 tbsp coconut oil for the pan. - Use the other tablespoon of coconut oil to grease the pan. - Heat pan to medium-low, scoop ½ cup of batter into the pan, and cook for 4-5 mins on each side until golden brown. - Eat with or without maple syrup (moist enough to eat without). - Enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory food recipes, gluten free pumpkin pancakes, gluten-free pumpkin recipes **Replace Recipie Feat** ### Ingredients - 8 oz cashew, almond, and coconut milk - 1/2 cup unsweetened organic pumpkin puree (not pumpkin pie filling) - 1 scoop Fully Functional® Comprehensive Protein Powder (can also use Fully Functional® Paleo Protein Powder) - Dash of cinnamon - Dash powdered or liquid stevia, or monk fruit to-taste - 1/2 apple Sliced (optional - for additional sweetness and fiber) - Few ice cubes ### Instructions - Blend all ingredients in a blender. - Enjoy! Keywords: anti-inflammatory food recipes, gluten-free pumpkin recipes, healthy pumpkin smoothie, immune health --- ## Grain-Free Blueberry Muffins **Link:** [Grain-Free Blueberry Muffins](https://fullyfunctional.com/blog/grain-free-blueberry-muffins/) ([md](https://fullyfunctional.com/blog/grain-free-blueberry-muffins/index.html.md)) **Description:** These Grain-Free Blueberry Muffins are a sweet treat that’s as healthy as it is delicious. You can also sub cherries for blueberries, equally delicious! ### Content These **Grain-Free Blueberry Muffins** are a sweet treat that’s as healthy as it is delicious. Eat these with sunflower seed butter, other nut butter, or a small amount of ghee or honey. You can also sub [cherries](https://pubmed.ncbi.nlm.nih.gov/29562604/) for [blueberries](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7442370/), equally delicious! Pair with a cool, and creamy beverage like our [Nut Milk](/blog/how-to-make-nut-milk/), or if you’re in the mood for a warm beverage, try with our [Creamy Detox Latte](/blog/creamy-detox-latte-dairy-free-coffee-substitute/)! If you make this Fully Functional® recipe and love it, save it with your favorite anti-inflammatory diet recipes! **Replace Recipie Feat** ### Ingredients - 3 cups almond flour (*you can make your own almond flour by putting it into the blender or food processor. A coffee grinder works well too. You can also use store bought almond flour. It’s more expensive than making your own. Other nut flours are acceptable to use. Coconut will require more liquid - egg or replacer). - 1/2 baking soda - 1/4 tsp salt - 1 tsp ground cinnamon - 1 1/2 cups blueberries or cherries, frozen or fresh (soak in water for at least 20 minutes) - 1/2 tsp pure vanilla extract - 1/4 tsp honey - 3 whole eggs or as an egg substitute use ENERG brand egg replacer or as a sub completely use 1/3 cup of applesauce or pumpkin puree. Another option is soak 1 tbsp chia seeds in 1/3 cup of water and let it sit until it thickens. Use approximately equal 1/3 cup. ### Instructions - Preheat oven to 350˚F. Line muffin pan with baking cups or you may use a silicone muffin pan. - Combine dry ingredients in a bowl and whisk together. - In a separate bowl, combine wet ingredients, and whisk together. - Mix wet ingredients and dry ingredients together using a spatula. Careful not to overmix. - Fold the blueberries into the batter – gently, and spoon batter into the prepared pan filling each cup 3/4s of the way full. - Bake for 20-25 minutes, or once you insert a toothpick into the center of a muffin, and it comes out clean. - Let cool, and enjoy! Keywords: anti-inflammatory dessert, anti-inflammatory diet recipes, dessert, grain-free blueberry muffins, grain-free cherry muffins, grain-free muffins --- ## Grain Free Cereal **Link:** [Grain Free Cereal](https://fullyfunctional.com/blog/grain-free-cereal/) ([md](https://fullyfunctional.com/blog/grain-free-cereal/index.html.md)) **Description:** Our Fully Functional® Grain Free Cereal recipe is packed with protein, nutrient rich nuts, seeds and naturally sweetened with coconut, vanilla and cinnamon. ### Content Cereal is a staple breakfast food for most Americans. Store-bought cereal is highly processed, made with refined flours and loads of extra sugar. If you’ve given it up in your efforts to eat a cleaner diet, but still find yourself craving that crunchy bowl, try this **grain free recipe**. It’s packed with protein, nutrient-rich nuts, seeds and naturally sweetened with coconut, vanilla, and cinnamon! If you make it and love it (we know you will), save this [anti-inflammatory](https://pubmed.ncbi.nlm.nih.gov/26400429/) diet recipe for future cereal cravings. Check out more **Fully Functional® breakfast recipes** [here](/blog/). **Replace Recipie Feat** ### Ingredients - 1/2 cup non-dairy milk - 2 tablespoons sunflower seeds - 2 tablespoons pumpkin seeds - 2 tablespoons sliced raw almonds - 1 tablespoon ground flax - 2 tablespoons shredded coconut, unsweetened - 1/2 teaspoon vanilla - 1/2 teaspoon cinnamon - 1/2 cup berries (optional) ### Instructions - In a cereal bowl, add the sunflower seeds, pumpkin seeds, sliced almonds, ground flax seeds, coconut, cinnamon, and vanilla. Mix well. - Pour non-dairy milk over top, and top with fresh berries (optional). Keywords: anti-inflammatory diet recipes, Fully Functional, grain free cereal, grain-free recipes, granola --- ## Grain-Free Stuffing **Link:** [Grain-Free Stuffing](https://fullyfunctional.com/blog/grain-free-stuffing-recipe/) ([md](https://fullyfunctional.com/blog/grain-free-stuffing-recipe/index.html.md)) **Description:** What’s Thanksgiving or Christmas without stuffing? This Grain-Free Stuffing will not disappoint. It is hearty, savory, and delicious. Grab the recipe! ### Content The holidays are here, and we can’t imagine celebrating without **stuffing**! When you are [grain-free](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2787021/) and dairy-free it’s sometimes difficult to find a substitute for your favorite parts of the meal. This **Grain-Free Stuffing** will not disappoint. It is hearty, savory, and delicious. Pair with our [Paleo Turkey Recipe and Best Turkey Brine Recipe](/blog/paleo-turkey-recipe-and-best-turkey-brine-recipe/), and [Healthy Sweet Potato Casserole With Pecans and Coconut](/blog/healthy-sweet-potato-casserole-with-pecans-and-coconut/)! If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! Note: Prep chia seeds before starting the recipe. *Double or triple the recipe as needed*. **Replace Recipie Feat** ### Ingredients - 3.5 cups onion diced - 2.5 cups celery diced - 1/4 cup cranberries or cherries, dried, chopped - 2 cups almond flour - 1 tbsp sage chopped - 1 tbsp thyme chopped - 2 tsp marjoram chopped - 2 tbsp flat leaf parsley chopped - 1/4 tsp pepper - 1/2 tsp salt - 2 tbsp ghee or coconut oil - 3 tbsp chia seeds soaked in 9 tbsp warm water for 15-20 minutes ### Instructions - Preheat oven to 350˚F. - Saute onion, celery, cranberries (or cherries) sage, thyme, marjoram, parsley, salt and pepper, in 1 tablespoon of ghee or coconut oil until celery and onions are soft. About 6-7 mins. - In a bowl, add almond flour, soaked chia seeds, and remaining tablespoon of ghee or coconut oil, then add in your sauteed ingredients, and stir. - Bake 45 mins – 1 hour. - Let cool, and enjoy! Keywords: christmas dinner, grain-free stuffing, healthy christmas, healthy christmas recipes, healthy holiday recipes, healthy thanksgiving, healthy thanksgiving recipes, stuffing, thanksgiving dinner --- ## Greek Style Zucchini-Lamb Burgers **Link:** [Greek Style Zucchini-Lamb Burgers](https://fullyfunctional.com/blog/greek-style-zucchini-lamb-burgers/) ([md](https://fullyfunctional.com/blog/greek-style-zucchini-lamb-burgers/index.html.md)) **Description:** Our Fully Functional® lamb burgers are bursting with Greek flavors, and anti-inflammatory spices, like garlic, oregano, parsley. A quick, healthy recipe. ### Content Our Fully Functional® **Greek Style Zucchini Lamb Burgers** are bursting with Greek flavors, and [anti-inflammatory spices](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532192/#:~:text=The%20spices%20that%20are%20most,pepper%20%5B4%2C%2023%5D.), like garlic, oregano, parsley, and fresh lemon, but also contain a full cup of shredded zucchini “hidden” in the mix. *Skip the fries and ramp up your veggie intake*! These burgers go better with a simple Greek salad combo of lettuce, cucumbers, tomatoes, red onions, and Kalamata olives! Perfect for a simple, quick healthy meal. We also recommend pairing this dish with our [Mediterranean Zucchini Salad](/blog/mediterranean-zucchini-salad/). **Replace Recipie Feat** ### Ingredients - 1 lb grass-fed ground lamb - 1 small zucchini grated - 1 large clove garlic minced - 2 teaspoons lemon zest - 1/2 teaspoon dried oregano - 1/4 cup fresh parsley chopped - 1/2 teaspoon sea salts - 1/2 teaspoon black pepper ### Instructions - Grate the zucchini, then squeeze all liquid out with a paper towel. Add to a large bowl. Add ground lamb, garlic, lemon zest, oregano, parsley, sea salt and pepper. - Using your hands, mix all ingredients together until thoroughly combined. Form into 4 equal patties. - Cook patties on stove-top grill pan or outdoor grill over medium heat. Cook until done in the center, about 5 minutes per side. - Enjoy! Keywords: anti-Inflammatory recipes, anti-inflammatory spices, Fully Functional, greek recipes, lamb Burgers, quick healthy meal --- ## Green Cleaning: Natural Cleaning Recipes & Tips **Link:** [Green Cleaning: Natural Cleaning Recipes & Tips](https://fullyfunctional.com/blog/green-cleaning-natural-cleaning-recipes/) ([md](https://fullyfunctional.com/blog/green-cleaning-natural-cleaning-recipes/index.html.md)) **Description:** Your home is your sanctuary and it’s worth every effort to make your home space as healthy as possible. That’s why we’re sharing our natural cleaning recipes. ### Content It’s an unpleasant fact, but every single day *our bodies are exposed to thousands of chemicals and toxins*. Toxic chemicals in our air, water, and food are linked to serious health issues and we see the repercussions in our office every day. We don’t have control over many of these environmental toxins, but we do have the ability to reduce the toxic exposure in our own homes. That’s why we’re sharing our natural cleaning recipes. Your home is your sanctuary and it’s worth every effort to make your home space as healthy as possible. To live our best, [Fully Functional®](/blog/fully-functional/) life one of the priorities must be to *reduce the toxic burdens on our bodies*. Making smart choices about the products you use regularly or daily is paramount since their combined impact can make a huge difference. We use household products like cleaning sprays daily and they should make our environments more pleasant, not more dangerous! When we use **chemical cleaners**, which are loaded with toxins, we can contribute to chronic health issues, such as autoimmunity, asthma, allergies, sensitivities, cancer, hormone disruption, reproductive disorders, and more. Toxic cleaners impact your health as you breathe them in both while cleaning and afterward as they remain in the air. The Environmental Protection Agency estimates that the average person spends 90% of their time indoors. Due to this fact, they rank indoor air pollution as one of the top 5 environmental risk factors to public health. In addition, you also absorb these toxic chemicals through your skin while you’re scrubbing away. ## ***It’s Time To Go Green! *** To make your home as clean and healthy as possible, consider “going green” with your cleaning products and have a home that’s sparkling **clean and toxin-free**! Check out our [5 Steps to a Fully Functional® Living Space](/blog/fully-functional-living-space/). We’ve been taught to associate cleanliness with harsh disinfectants and “chemical clean” smells. Look at some of the chemical cleaners under your sink. Do you recognize the ingredients, or is it a list of unpronounceable chemicals? The truth is you don’t need these harsh chemicals to get your home sparkling clean or to kill harmful bacteria. **Green cleaning** uses ingredients derived from nature to accomplish the same thing! You can make your own cleaning products, or shop for safer products at your local stores or online. When you avoid using toxic chemicals in your home, you reduce the indoor air pollution in your home and *reduce your body’s toxic load*. If you or a family member suffer from asthma or allergies, you will likely see a big improvement in symptoms. In some cases, switching to non-toxic cleaners may clear up these conditions completely! **Getting started with green cleaning** You’ve probably got everything you need to get started with green cleaning right in your cabinets! You honestly don’t need much more than vinegar, baking soda, castile soap, and some essential oils (optional) to clean almost everything in your home, safely and effectively. It takes a bit more elbow grease and scrubbing, but it’s well worth it! Cleaners that work to clean without scrubbing are only effective due to the toxic ingredients which “do the work for you”. They also contain perfumes and synthetic ingredients to mask odors and create that artificial “clean” smell. Using **plant-derived and natural cleaners**, you’ll kill bacteria, while leaving behind the natural aromas of essential oils, which support your health rather than harm it. ## ***Here Are a Few Simple Natural Cleaning Recipes for Healthy Home Cleaning!*** ### **All-Purpose Citrus Cleaning Spray** - 1 cup water - 1 cup white vinegar - 25 drops citrus essential oil (try lemon or orange or a combo of both!) Combine all ingredients in a glass spray bottle. ### **Pine or Lemon Floor Cleaner** - 1 gallon warm water - 2 tablespoons liquid castile soap - 25 drops pine or lemon essential oil Combine all ingredients in a bucket or sink. ### **Lemon Dusting Spray** - 1 cup water - ½ cup white vinegar - 2 tablespoons olive oil - 25 drops lemon essential oil Combine all ingredients in a glass spray bottle. ### **DIY Bathroom Scrub** - ½ cup baking soda - ¼ cup salt - ½ cup liquid castile soap - 25 drops tea tree oil Mix baking soda and salt in a bowl. Slowly add liquid soap and stir until combined into a paste. Add essential oils and mix until well combined. Put some paste on your sponge or scrub brush, add a little water and scrub away! (For deeper cleaning for a shower, spray with **All-Purpose Citrus Spray** first and let sit for 5 minutes before using the scrub) Making your own natural cleaners is easy, but if you’re not inclined to make your own, [The Environmental Working Group (EWG)](https://www.ewg.org/guides/cleaners/#.W05BY9JKg2w) is a great resource for researching toxicity levels of all kinds of products, including cleaning supplies. Each product gets a ranking, A-F. Head to their site and see how your products rate and make changes if necessary. Happy Cleaning! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Grilled Bruschetta Chicken **Link:** [Grilled Bruschetta Chicken](https://fullyfunctional.com/blog/grilled-bruschetta-chicken/) ([md](https://fullyfunctional.com/blog/grilled-bruschetta-chicken/index.html.md)) **Description:** One of our favorite light and easy anti-inflammatory meals, Grilled Bruschetta Chicken! A delicious way to showcase tomatoes and basil from the garden. ### Content One of our favorite light and easy *anti-inflammatory meals*, **Grilled Bruschetta Chicken**! Made with simple, [fresh organic veggies](https://www.farmfreshtoyou.com/) and [pasture-raised chicken](https://www.crowdcow.com/chicken). A delicious way to showcase tomatoes and basil from the garden. If you’re short on time, you can skip the marinade. It will still be bursting with flavor! This dish can stand alone, but also goes great with a side of sweet potato fries, or our [Sweet Potato “Toast” 2 Ways](/blog/sweet-potato-toast/). **Replace Recipie Feat** ### Ingredients #### Chicken - 4 boneless, skinless chicken breasts #### Marinade - 1/4 cup olive oil - 1/4 cup lemon juice - 1 teaspoon sea salt - 1 teaspoon Italian seasoning mix #### Bruschetta Topping - 3 ripe tomatoes chopped - 1/2 cup red onion chopped - 2 cloves garlic minced - 1/2 cup fresh basil chopped - 1 tablespoon extra virgin olive oil - 1 tablespoon balsamic vinegar (optional) - sea salt and ground pepper to taste ### Instructions - In a large bowl, mix together marinade ingredients. Add chicken breasts to bowl and let marinate for at least 30 minutes, up to overnight. - Preheat grill or grill pan to medium heat. - While grill is pre-heating, add chopped tomatoes, red onion, garlic, basil, olive oil and balsamic vinegar, sea salt and pepper to a bowl and set aside to let flavors combine. - Grill chicken breasts for about 5-10 minutes per side or until cooked through. (Cooking time will depend on size of chicken breast) - Top grilled chicken with Bruschetta mix and serve. - Enjoy! Keywords: anti-inflammatory food recipes, anti-inflammatory meals, basil and tomatoes, bruschetta chicken, grilled bruschetta chicken --- ## Ground Beef and Kale Skillet **Link:** [Ground Beef and Kale Skillet](https://fullyfunctional.com/blog/ground-beef-and-kale-skillet/) ([md](https://fullyfunctional.com/blog/ground-beef-and-kale-skillet/index.html.md)) **Description:** Boost your veggie intake by serving this tasty, anti-inflammatory garlic, ground beef and kale skillet with cauliflower rice. Nutritious and delicious! ### Content You won’t believe how quick and easy this **ground beef and kale skillet** dish is! This simple recipe is a nutritious one-pot meal bursting with flavor, and sure to become a family favorite. One of our tastiest **anti-inflammatory diet recipes**. Want more greens? Try adding bok choy, snap peas, Brussels sprouts, and/or chard. Want more veggies on top of your veggies? We recommend serving this with cauliflower rice.[.block][]Prefer [ground turkey or chicken to beef](https://thousandhillslifetimegrazed.com/blogs/news/thousand-hills-lifetime-grazed-acquires-organic-prairie-mighty-organic-brands)? Feel free to substitute! Looking for dessert ideas to accompany this dish? Our [Healthy Chocolate “Truffles”](/blog/healthy-chocolate-truffles-no-bake-energy-bites/) are just the thing! **Replace Recipie Feat** ### Ingredients - 1/4 cup coconut aminos - 4 cloves garlic minced - 1 tablespoon fresh ginger peeled and grated/minced - 2 green onions chopped - 1 pound ground beef - 6 cups kale chopped - Cauliflower rice or rice for serving ### Instructions - In a small mixing bowl combine the coconut aminos, garlic, ginger and green onion. Set aside. - Heat a large skillet over medium-high heat. - Add the beef to the pan, breaking it up with a wooden spoon as it cooks. - Once it is cooked through and no longer pink, transfer the cooked beef to a bowl and set aside. Drain any excess drippings from the pan. - To the same pan add the kale leaves and cook until wilted and tender. - Add the cooked beef back to the pan with the kale and season with the salt. Add the coconut aminos sauce and stir to combine. - Let the sauce bubble and thicken for 1 to 2 minutes. Remove the pan from heat and divide between plates. - Serve with rice or cauliflower rice if desired. Enjoy! Keywords: anti-inflammatory diet recipes, beef and kale recipe, ground beef and kale, healthy main dish, healthy skillet recipes --- ## Gut Health and Skin: The Surprising Reason Your Skin Creams Don’t Work **Link:** [Gut Health and Skin: The Surprising Reason Your Skin Creams Don’t Work](https://fullyfunctional.com/blog/gut-health-and-skin-surprising-reason-skin-creams-dont-work/) ([md](https://fullyfunctional.com/blog/gut-health-and-skin-surprising-reason-skin-creams-dont-work/index.html.md)) **Description:** Gut health and skin go hand-in-hand. We're sharing specific gut and skin associations, potential remedies, and how you may repair your gut for better skin. ### Content ## Gut Health and Skin: The Surprising Reason Your Skin Creams Don’t Work If you’ve struggled with any unrelenting **skin conditions** such as acne, eczema, rosacea, or psoriasis, you’ve probably realized that *skin creams and lotions don’t really help*. This is because nearly every skin condition isn’t originating in the skin itself, but instead in the gut. **Gut health and skin go hand-in-hand**. Almost daily, new research is uncovering how *the gut microbiome impacts nearly every aspect of our health*. The gut microbiome has been linked to a number of conditions including heart disease, Alzheimer’s, and autoimmune disease.¹ Similarly, the gut also impacts the health of your skin in a very integral way. The gut microbiome affects your skin to such a degree, that sometimes my patients who come in for gut issues such as inflammatory bowel disease (IBD) or small intestine bacterial overgrowth (SIBO) are shocked that their apparent lifelong skin conditions clear up after we heal their gut. Gut and skin health have a strong connection through what’s called *the gut-skin axis*.² These two systems impact one another and have several similarities, including: - They both act as barriers, protecting you from the outside world. - They both have microbiomes. - They are both part of the neuroendocrine system. Meaning, they communicate with the brain about your body, which has led some people to refer to this as the gut-brain-skin axis. In addition to these similarities, your gut and skin interact through the metabolic capacity of the **gut microbiome**, which is largely dependent on your diet. Also, the metabolites your microbiome produces are accessible by the skin. Though we are still learning about how these metabolites are sensed by the skin, we have identified clear associations between certain gut and skin conditions. ## ***Specific Gut & Skin Associations*** There are several skin issues that have been linked to conditions of the gut, though I suspect there are still many more to uncover. Here are a few gut conditions alongside skin issues that have been observed, documented, and studied. ### **1. Dysbiosis + Acne** **Dysbiosis** is when the harmful bacteria overtake the beneficial bacteria in the gut and create an imbalance. Studies have found that *people with acne usually have some sort of gut imbalance*. One 2017 study found that taking action to correct dysbiosis of the gut microbiome through eating more plant-based foods and taking appropriate supplements should be the first line in defense against persistent acne.³ ### **2. Hypochlorhydria + Acne** Studies have found that **hypochlorhydria** or low stomach acid can cause skin problems, such as acne.⁴ Furthermore, hypochlorhydria puts you at a much higher risk of developing SIBO, which has been associated with other skin conditions. ### **3. SIBO + Rosacea** **Small intestinal bacterial overgrowth** or SIBO occurs when harmful, methane-producing bacteria migrate down into the small intestine where they shouldn’t be. Studies have found that *SIBO is common in patients with rosacea*. One study found that patients, where SIBO was eradicated, had a near-complete reversal of their rosacea symptoms.⁵ ### **4. Inflammatory Bowel Disease + Psoriasis, Eczema, Rosacea, and More** **IBD**, which includes both Crohn’s disease and ulcerative colitis, is characterized by the inflammation of the gastrointestinal lining. IBD has been linked to a number of skin conditions including lesions and rashes. One 2012 study found that skin conditions were such a reliable indicator in people with IBD, it called on dermatologists to recommend patients have their gut checked when they came in with skin symptoms indicating underlying IBD.⁶ ### **6. Celiac Disease + Acne, Dermatitis Herpetiformis, Oral Mucosal Lesions, Alopecia, Vitiligo, and Eczema** As you can see, **celiac disease** has been associated with many skin conditions.⁷ Because of this, I always recommend patients remove gluten from their diet immediately when they have an issue with their skin. ### **7. Leaky Gut + Acne, Psoriasis, and Eczema** **Leaky gut** is a condition where the tight junctions connecting the cells in the lining of your intestines become ‘loose’ and allow toxins to pass through unchecked into the bloodstream – *this triggers your immune system* and can lead to a number of skin conditions. There are a number of factors that can lead to leaky gut including poor diet, alcohol, infections, inflammation, certain medications, nutrient deficiencies, and more. Emotional/mental stress can be a major cause of leaky gut, so you’ll need to examine and deal with areas of high stress in your life if you want to clear up your skin. ### ** 8. Candida + Psoriasis, Eczema, and Rashes ** **Candida** is a yeast, a type of fungus, that can become a problem when it overgrows within your gut. While some Candida is normal within the GI tract, if you’re eating a diet high in sugar or refined carbs or take antibiotics frequently – Candida can run amok. This is by no means a definitive list because *we are regularly uncovering new gut-skin connections*. However, this is a good starting point for finding the root cause if you do struggle with a skin condition. ## ***Repairing the Gut for Better Skin *** To **repair your skin**, you should start by healing your gut, here are some tips on how to improve the gut microbiome. When a patient comes to see us for skin problems, we start to *IDENTIFY* underlying root issues and contributing factors, which is one of the *Five Pillars* in our Fully Functional® process. While we are pinning down the root cause of your skin condition, we often recommend we get started on the other pillars, especially *REDUCE* and *OPTIMIZE*. To start reducing the harm caused to your gut, you should: - Eliminate sugar - Remove processed foods - Eliminate gluten - Decrease inflammation - Reduce stress Also, you will likely begin taking probiotics and possibly digestive enzymes to help your gut heal. These are steps you can take right away to start your journey towards becoming Fully Functional®. Skin conditions can be frustrating, even embarrassing. Gone are the days where we ignore the microbiomes of the gut and skin and simply prescribe a cream. It is my hope that you find the root cause of your issue so you can take the necessary steps towards repairing your skin so you can look and feel your best! Want more information? You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. ##### *Sources:*[.block][]*1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4290017/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4290017/)*2 *[*https://pubmed.ncbi.nlm.nih.gov/27554239/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/27554239/)*3 *[*https://pubmed.ncbi.nlm.nih.gov/28513546/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/28513546/)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038963/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038963/)*5 *[*https://pubmed.ncbi.nlm.nih.gov/18456568/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/18456568/)*6 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3273725/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3273725/)*7 *[*https://pubmed.ncbi.nlm.nih.gov/23782144/*](https://pubmed.ncbi.nlm.nih.gov/23782144/) --- ## Health Benefits of Vitamin D: Cancer Fighter, Immune Booster, and Bone Builder **Link:** [Health Benefits of Vitamin D: Cancer Fighter, Immune Booster, and Bone Builder](https://fullyfunctional.com/blog/health-benefits-of-vitamin-d/) ([md](https://fullyfunctional.com/blog/health-benefits-of-vitamin-d/index.html.md)) **Description:** Vitamin D may be one of the most beneficial but overlooked substances in the human body. We're sharing the health benefits of vitamin D, and why it matters. ### Content **Vitamin D** may be *one of the most beneficial but overlooked substances in the human body*. It is also one of the most common deficiencies we see in our patients in our [Functional Medicine practice](/) at The Center for Fully Functional® Health. In this article, we’re covering the many health benefits of vitamin D. ## ***Why Vitamin D matters*** ### **1. Vitamin D is responsible for building bone.** It regulates the balance of calcium and phosphorus in the blood, *which helps with the healthy remodeling of bone*. Calcium supplementation alone without adequate vitamin D levels will have little effect on osteoporosis. “Rickets” is a bone disease characterized by bending and weakening of bones. The recommended daily allowance (“RDA”) of Vitamin D is the amount required to prevent this deficiency disease in most people. However, (optimal) levels of Vitamin D may be required to **prevent or treat osteoporosis**. An article in the Journal of the American Medical Association in 2005 estimated that increasing the serum Vitamin D level to 44 (double the level required to prevent rickets) would reduce fractures in women by 50%. ### **2. Vitamin D is an immune booster.** Vitamin D induces the production of a chemical called “cathelicidin” which is *a potent antimicrobial*. The evidence seems to indicate that Vitamin D may speed recovery from or **prevent viral illnesses** like the flu. It increases the ability of macrophages (immune cells) to “kill” foreign invaders in the body. ### **3. Vitamin D is active against cancer.** In 2008, the American Association for Cancer Research reported that increasing the Vitamin D level in the blood to 50 could prevent *as much as 83% of breast cancer*. There is no commercially available drug with this level of risk reduction. Adequate Vitamin D levels have also been shown to prevent ovarian, colon, and several other cancers. ### **4. Vitamin D is active in many other diseases.** **Adequate Vitamin D levels** have been shown to be beneficial in preventing heart attacks in men, multiple sclerosis, and type I diabetes. Interestingly, adolescent girls with higher Vitamin D levels were found to have increased jump height and velocity in sports. Lower blood levels are also seen in patients with Alzheimer’s dementia, depression, and cardiovascular disease. ## ***Natural Sources of Vitamin D: Where do we get it?*** Natural Vitamin D is obtained from **exposure to sunlight** or (in small amounts) from the food we eat. Once in the body, it must be activated in the kidneys to the usable form, Calcitriol. At our office in Carmel, Indiana, we see virtually 100% of patients tested who are deficient due to our northern latitude, lack of winter sunlight, and concerns for skin cancer, which lead to sunscreen use and covering the body, *which prevents sun exposure*. Because Vitamin D is active at several locations in the body and is chemically similar to steroids, *it is technically a hormone rather than a vitamin*. Like all hormones, it should be measured in the blood and replaced with a specific goal level in mind. At The Center for Fully Functional® Health, we would love to partner with you in your health, measure your Vitamin D level, and provide the best, most well-absorbed, and purest Vitamin D3 supplements to optimize your health. Check out our article on [24 Essential Nutrients and Their Food Sources](/blog/essential-nutrients-and-their-food-sources/), to find out which foods are a good source of Vitamin D. You can book an appointment by clicking [** here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Health Benefits of Zinc – Just What The Doctor Ordered! **Link:** [Health Benefits of Zinc – Just What The Doctor Ordered!](https://fullyfunctional.com/blog/health-benefits-of-zinc-essential-minerals/) ([md](https://fullyfunctional.com/blog/health-benefits-of-zinc-essential-minerals/index.html.md)) **Description:** We're sharing some helpful info on the health benefits of zinc. Zinc is an important mineral, especially during cold and flu season. Check out the facts! ### Content We’re sharing some important info on **the health benefits of zinc**. **Zinc** is an important mineral – especially at this time of year – and especially after this incredibly LONG winter! Zinc is a great supplement for cold and flu season and unfortunately, *about 80% of the population is deficient*. Numerous studies cited by the NIH Office of Dietary Supplements, the Linus Pauling Institute at Oregon State University, and others note that [zinc can reduce the severity and duration of cold symptoms](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3273967/#:~:text=A%20meta%2Danalysis%20published%20in,were%20present%20after%207%20days.&text=A%20meta%2Danalysis%20published%20in%20June%202011%20concluded%20that%20zinc,at%20daily%20doses%20%3E75%20mg.). ## ***Health Benefits of Zinc: Clinical Trails*** In clinical trials, **zinc lozenges** significantly reduced the duration of cold symptoms: a cough, nasal discharge, and muscle aches. Eighteen therapeutic trials found that, when taken within 24 hours of the onset of cold symptoms, zinc supplementation in the form of lozenges or syrup *reduced the severity and duration of these symptoms*. It was also found that using zinc preventatively helped prevent colds; prophylactic zinc supplementation for at least five months reduced incidence, school absences, and prescription of antibiotics for children with the common cold. Evidence from the opposite perspective is also readily available. Mild zinc deficiency, which is found to be more common among several categories of people including the elderly and those eating vegetarian or vegan diets, *can lead to frequent colds and flu*, chronic fatigue, and poor general health. When **zinc deficiency** is chronic it can affect eyesight, taste, smell, and memory. As with other minerals and vitamins, while zinc is naturally found in some foods, the amounts are often negligible due to the over-processing of so many foods today. Because the body does not store it, daily intake of zinc is required to maintain a steady-state. ## ***Zinc Supplements & Food Sources*** A number of **zinc supplements** are commercially available, including zinc acetate, zinc gluconate, zinc picolinate, and zinc sulfate. In my opinion zinc picolinate is a better form because it is a little bit more bioavailable. Zinc picolinate is the kind I use personally and sell in our store. *It’s never too late to optimize your immune function*! Check out our Zinc supplement, and Immune Defense Bundle. Check out our article on [24 Essential Nutrients and Their Food Sources](/blog/essential-nutrients-and-their-food-sources/) where we share which healthy (anti-inflammatory) foods are the best sources of zinc. Please Note: Above statements are not written by Health Realizations nor the opinion of Health Realizations. You can book an appointment at our [functional medicine office](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Easy Healthy Borscht **Link:** [Easy Healthy Borscht](https://fullyfunctional.com/blog/healthy-borscht/) ([md](https://fullyfunctional.com/blog/healthy-borscht/index.html.md)) **Description:** Our Healthy Borscht is great to have when you are feeling under the weather as it helps to reduce inflammation and detoxes the body. Delicious hot or cold. ### Content Our Fully Functional® **Healthy Borscht recipe** is great to make when you are feeling under the weather. Red cabbage is packed with vitamin C *and can help reduce inflammation*. Beets are high in fiber, are high in antioxidants, help with detoxification and also help [reduce inflammation](https://pubmed.ncbi.nlm.nih.gov/25875121/#:~:text=Beetroot%20is%20also%20being%20considered,in%20vitro%20and%20in%20vivo.). Raw, unfiltered apple cider vinegar can be used as a natural cold remedy since apple cider vinegar contains beneficial bacteria *that can help give your immune system a quick boost*. This soup is traditional to Eastern Europe such as Ukraine and Poland. It is usually served cold with sour cream. Instead, we suggest topping with coconut yogurt and some fresh mint or eat it as is. It is delicious either way and tastes great whether served hot or cold. Want more great soup recipes? Click [here](/?s=soup). **Replace Recipie Feat** ### Ingredients - 1 can organic tomatoes or 2 large, fresh organic tomatoes chopped (omit if avoiding nightshades) - 1 large head of red cabbage chopped or shredded - 7 medium beets peeled and chopped - 4 cups vegetable or chicken broth - 1/4 cup raw, unfiltered apple cider vinegar - ½-1 tbsp honey optional ### Instructions - Place tomatoes into a large soup pot and heat until starting to boil, mashing with a spoon until somewhat smooth. - Pour the chicken broth into the pot and add the beets. Bring to a boil and cook for 5-10 minutes. - Add the cabbage and cook until both the beets and cabbage are soft. Add the apple cider vinegar and honey (if using.) - Optional step: Blend in a blender such as Vitamix for a smooth borscht. - Top with mint or coconut yogurt if desired and serve hot or cold. Keywords: anti-Inflammatory recipes, detox soup, easy borscht recipe, Healthy Borscht, natural cold remedy --- ## Chicken Tikka Masala **Link:** [Chicken Tikka Masala](https://fullyfunctional.com/blog/healthy-chicken-tikka-masala/) ([md](https://fullyfunctional.com/blog/healthy-chicken-tikka-masala/index.html.md)) **Description:** This rich and creamy, healthy chicken tikka masala recipe is bursting with flavor, packed with healing anti-inflammatory spices, and is so easy to make! ### Content Who needs take-out? This creamy, rich, **healthy chicken tikka masala recipe** will rival your favorite Indian restaurant version, and is so easy to make at home! Flavorful chicken thighs are simmered with healing *anti-inflammatory spices*, juicy tomatoes, and [creamy coconut milk](https://www.vitacost.com/native-forest-organic-unsweetened-coconut-milk-simple). You can learn about some amazing health benefits of coconut milk [here](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7422486/). We’ve made this healthy chicken tikka masala even healthier by adding spinach so you can get your greens and give it a boost with cilantro to finish! This is bursting with flavor and is delicious served over [cauliflower rice](https://www.freshdirect.com/pdp.jsp?catId=fro_veget_broc&productId=fro_pid_3503080)! Highly recommend pairing this with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/). **Replace Recipie Feat** ### Ingredients - 1 1/2 lbs skinless, boneless organic chicken thighs cut into bite size pieces - 2 tablespoons coconut oil divided - 1 medium onion chopped - 1 inch fresh ginger grated or minced - 6 cloves garlic minced - 2 tablespoons tomato paste - 28 oz can diced tomatoes including juices - 1 tablespoon garam masala - 1 1/2 teaspoons paprika - 1 teaspoon curry powder - 1 teaspoon sea salt - 1/2 teaspoon crushed red pepper - 1 cup flat coconut milk - 4 cups spinach chopped - chopped fresh cilantro for garnish - cauliflower rice for serving ### Instructions - Heat 1 tablespoon coconut oil in large sauté pan over medium heat. Add chopped chicken thighs and sauté until browned (about 5 minutes, don’t need to be cooked all the way through.) Remove from pan and set aside. - Add another tablespoon of coconut oil to the pan. When oil is hot, add onions, garlic and ginger to pan and sauté until onions are soft and browned (about 6-7 minutes). - Add tomato paste, diced tomatoes and all spices to pan and mix together well. Return chicken to pan. Heat until the sauce begins to boil then reduce heat and simmer until the chicken is very tender and cooked all the way through, about 20 minutes. - At the end, add the coconut milk and spinach, mix well to combine. Bring it back to a simmer, and heat until the spinach has wilted. - Serve over cauliflower rice and top with lots of fresh cilantro. Keywords: anti-Inflammatory recipes, anti-inflammatory spices, healthy chicken tikka masala, healthy chicken tikka masala recipe --- ## Healthy Chocolate Truffles – No Bake Energy Bites **Link:** [Healthy Chocolate Truffles – No Bake Energy Bites](https://fullyfunctional.com/blog/healthy-chocolate-truffles-no-bake-energy-bites/) ([md](https://fullyfunctional.com/blog/healthy-chocolate-truffles-no-bake-energy-bites/index.html.md)) **Description:** Try these healthy chocolate truffles! This no bake energy bites recipe is a guilt-free, anti-inflammatory recipe. An easy healthy treat everyone will love! ### Content If you’re looking for healthy Valentine’s treats to make for those you love, or just trying to cure that sweet tooth, try our **healthy chocolate truffles**! This *no bake energy bites recipe* combines raw cacao, with your favorite nut butter, some coconut oil, ground flax, a clean protein powder, and just a touch of honey. A guilt-free, [anti-inflammatory](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6997513/) recipe, and healthy treat that everyone will love! Looking for another great energy bites recipe? Check out our [Pumpkin Spice Protein Balls](/blog/pumpkin-spice-protein-balls-no-bake-recipe/). **Replace Recipie Feat** ### Ingredients - 6 tablespoons sunflower seed butter or nut/seed butter of choice - 4 tablespoons raw cacao - 2 tablespoons coconut oil - 1 tablespoon ground flax seed, chia or hemp seeds - 3 tablespoons hemp or pea protein powder - 1 tablespoon honey - 1 pinch sea salt - 1 cup water as needed - 1 cup shredded coconut ### Instructions - Combine all the ingredients in a large bowl. Stir and slowly add water until you get the desired consistency of your protein ball (only add water if needed). - Mold the dough into little balls. Roll them in shredded coconut (or raw cacao) to coat and place them on a plate, cookie sheet or wax paper. - Place in fridge for 30 minutes or freezer for 15 minutes to firm. Store in refrigerator. Keywords: anti-Inflammatory recipes, chocolate truffle recipe, healthy chocolate truffles, no bake energy bites, no bake energy bites recipe --- ## Healthy Lemon Bread (Gluten-Free, Grain-Free, Dairy-Free, Paleo) **Link:** [Healthy Lemon Bread (Gluten-Free, Grain-Free, Dairy-Free, Paleo)](https://fullyfunctional.com/blog/healthy-lemon-bread/) ([md](https://fullyfunctional.com/blog/healthy-lemon-bread/index.html.md)) **Description:** This tasty Healthy Lemon Bread made with almond flour is gluten, grain, and dairy-free. Paleo lovers rejoice! This recipe is loved by all, paleo or not. ### Content This delicious **Healthy Lemon Bread** is made with almond flour and is similar in texture to banana or zucchini bread. It’s gluten, and grain-free, and *much lower in sugar than a traditional quick bread*. It’s also an amazing lower carb, higher protein alternative to grain-based bread. Even if you’re not grain-free, or watching your carb intake, you will love it! Want to learn about the amazing benefits of the Paleo diet, check out [this article](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877627/). Pairs well with a nice cool glass of our [nut/seed milk](/blog/how-to-make-nut-milk/), or our [Creamy Detox Latte](/blog/creamy-detox-latte-dairy-free-coffee-substitute/)! **Replace Recipie Feat** ### Ingredients - 2 1/2 cups blanched almond flour - 1/4 cup ground flaxseed - 1/2 teaspoon baking soda - 1/2 teaspoon salt - 5 large eggs (or 4 extra large) - zest from one lemon - 1/4 cup juice from lemon - 1/4 cup raw honey - 1/2 teaspoon vanilla - 2 tablespoons olive oil - 1 tablespoon raw apple cider vinegar ### Instructions - Preheat oven to 350°F. - In a food processor, or large bowl, combine dry ingredients and pulse or mix until combined. - In the food processor add the wet ingredients and process until well combined. If hand mixing, combine your wet ingredients in a separate bowl and mix well before adding them to the dry, then mix until well combined. The batter will be like a thick cake batter. - Pour the batter into a greased (I also like to coat with almond flour) 9 x 5-inch loaf pan. Alternatively, you could line the pan with parchment paper. - Bake for 40 to 45 minutes or until cooked through (ovens vary widely!). Test with a toothpick in the center of the bread. If it comes out clean, it’s done. If the top begins to get too brown, but the bread is not cooked through, cover the top with foil. - Let the bread “set” in the pan and cool a bit before serving. (This also allows it to “cook” a little bit more in the middle, if you find your bread getting too brown and your toothpick test keeps failing.) - Enjoy! Keywords: almond flour bread, almond flour bread recipes, gluten-free lemon bread, grain-free bread recipe, healthy lemon bread, lemon loaf recipe --- ## Healthy Lemon Garlic Chicken – Dr. Scott’s Famous Recipe With White Wine Reduction **Link:** [Healthy Lemon Garlic Chicken – Dr. Scott’s Famous Recipe With White Wine Reduction](https://fullyfunctional.com/blog/healthy-lemon-garlic-chicken-white-wine-reduction/) ([md](https://fullyfunctional.com/blog/healthy-lemon-garlic-chicken-white-wine-reduction/index.html.md)) **Description:** A favorite dish at home, this healthy lemon garlic chicken always pleases. Dr. Scott's famous recipe is at the top of our anti-inflammatory diet list. Try it! ### Content A favorite dish at home, this **Healthy Lemon Garlic Chicken** always pleases. Our SECRET (or not-so-secret ingredient) is [Streit’s Gluten-free Matzo Ball Mix](https://streitsmatzos.com). It is made from potato starch and sticks together as breading. If you try it and love it, save it with your favorite Fully Functional® [anti-inflammatory diet](https://pubmed.ncbi.nlm.nih.gov/26400429/) recipes. This healthy Lemon Garlic Chicken dish is *gluten, and dairy-free*. Pair with our [Easy Garlic Broccoli](/blog/easy-garlic-broccoli/), or [Kale Caesar Salad with Crispy Chickpeas](/blog/kale-caesar-salad-with-crispy-chickpeas/). Enjoy! **Replace Recipie Feat** ### Ingredients - 6 whole chicken breasts organic - 1 Small jar of roasted garlic minced - 6 whole lemons juiced - 1 pinch salt and pepper - 1 cup capers - 4 whole eggs - 1 cup white wine sulfite-free organic - 1 cup matzo ball mix This is our secret! Streit’s Gluten-Free Matzo Ball Mix ### Instructions - Heat grape seed oil in an electric griddle or over medium heat. - Dip chicken in beaten eggs and coat liberally. - Dredge breast in Matzo ball mix until well coated. - Place coated breast in oil and cook until golden brown (about 2 minutes). Salt and pepper each breast as you prefer. Repeat with other breasts. - Flip breasts and brown on the other side for another 2 minutes. - Now add capers and pour 2-3 tablespoon s of lemon juice over and around each breast. Turn and continue to brown for another 2 minutes. - Add 2 tablespoon s over and around each breast as they cook for another minute (be sure to flip). - When breasts are 160 degrees inside (use a meat thermometer), they can be pulled off the heat. We usually place them in a roasting dish and pour the remaining pan drippings over the breasts. The pan can then be cleaned for the next batch if needed. - Enjoy! Keywords: anti-inflammatory diet recipes, chicken, healthy lemon garlic chicken, lemon garlic chicken --- ## Healthy Lentil Soup **Link:** [Healthy Lentil Soup](https://fullyfunctional.com/blog/healthy-lentil-soup/) ([md](https://fullyfunctional.com/blog/healthy-lentil-soup/index.html.md)) **Description:** Our Healthy Lentil Soup is one of our favorite anti-inflammatory recipes! Lentils have the second-highest ratio of protein of any legume. Give this a try! ### Content Are you a fan of soups? So are we! We are currently enamored with lentils and wanted to share this delicious **Healthy Lentil Soup recipe** with you all. We have so much fun coming up with flavorful **anti-inflammatory diet recipes**, and always share authentic, Fully Functional® cuisine. Raw [lentils](https://en.wikipedia.org/wiki/Lentil) are 8% water, 63% carbohydrates including 11% dietary fiber, 25% protein, and 1% fat. Lentils are a rich source (20% or more of the Daily Value, DV) of numerous essential nutrients, including folate (120% DV), thiamin (76% DV), pantothenic acid (43% DV), vitamin B6 (42% DV), phosphorus (40% DV), iron (50% DV) and zinc (35%), among others. When lentils are cooked by boiling, protein content declines to 9% of the total composition, and B vitamins and minerals decrease due to the overall water content increasing (protein itself isn’t lost). Lentils have *the second-highest ratio of protein per calorie* of any legume, after soybeans. The low levels of readily digestible starch, and high levels of slowly digested starch, make lentils of potential value to people with diabetes. The remaining 65% of the starch is resistant starch classified as RS1. A minimum of 10% in starch from lentils escapes digestion and absorption in the small intestine (therefore called “resistant starch”). Pairs well with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/). If you make it and love it, save this healthy lentil soup recipe! **Replace Recipie Feat** ### Ingredients - 2 cups celery organic, chopped - 1 cup leek organic, thinly sliced - 5 cloves garlic organic, minced - 1 tbsp olive oil - 10 cups vegetable broth or chicken broth - 3 cups butternut squash organic, peeled and cubed - 3 cups sweet potatoes organic, peeled and cubed - 2 cups yellow beets organic, or turnips, peeled and cubed - 2 cups green lentils, soaked - 1 tsp salt - 1 cup combination of herbs (I use 2 parts thyme, 2 parts oregano, 2 parts parsley and 1 part rosemary) ### Instructions - Soak lentils overnight. - In Dutch oven saute celery, leek and garlic in olive oil, just until lightly browned. - Add vegetable or chicken broth and heat to a slow boil. In the meantime, cut up squash, potatoes and beets (or turnip). Add cubed vegetables to broth blend, then add soaked lentils. Once heated to a boil, reduce heat to low and add salt and herbs. Allow to cook for several hours allowing lentils to soften. - *You may add all ingredients to a crockpot and cook on low all day. Just skip browning the celery, leek and garlic. Keywords: anti-Inflammatory recipes, detox soup, healthy lentil soup, lentil soup --- ## Healthy Lifestyle Tips: When Your “Healthy” Diet Isn’t Working **Link:** [Healthy Lifestyle Tips: When Your “Healthy” Diet Isn’t Working](https://fullyfunctional.com/blog/healthy-lifestyle-tips-nutrition-plans/) ([md](https://fullyfunctional.com/blog/healthy-lifestyle-tips-nutrition-plans/index.html.md)) **Description:** Struggling with weight loss, brain fog, staying focused? Your healthy habits aren’t worthless, something else is going on. Read our healthy lifestyle tips. ### Content Do you ever feel like your healthy lifestyle efforts aren’t paying off in the ways you had imagined? Maybe you drink green smoothies, shop at the farmer’s market, avoid GMOs, sugar, and processed food. You’ve even given up gluten or dairy. But you’re *still* struggling. **You’re not losing weight, your energy is low, you struggle with brain fog and just can’t seem to focus.** In this article, we’re sharing our Fully Functional® **healthy lifestyle tips** that may help you get back on track. It’s not for lack of effort and your healthy habits aren’t worthless! It’s just that, ***there is something else going on.*** It’s possible that no amount of healthy eating, hours logged at the gym, or sun salutations at the yoga studio will do what they’re supposed to until it gets figured out. You may be eating ALL the right foods, (Kale! Chia! Turmeric in everything!) but even these healthy foods may not be working with your body in the way you need them to right now, due to *underlying conditions*. Your body may be reacting to unrealized [food sensitivities](/blog/food-sensitivities-behind-your-mystery-symptoms/). You may have a hyperreactive immune system. Your [hormones may be out of whack](/blog/adrenal-dysfunction/). You may be suffering from [blood sugar imbalances](/blog/all-about-blood-sugar-natural-remedies-for-high-blood-sugar/), wreaking havoc with your insulin and shutting down your metabolism. There may be a breakdown in your [digestive system](/blog/how-to-heal-your-gut-naturally/), and you may not be absorbing the nutrients from your healthy food, leaving you malnourished despite eating the “right foods”. ## ***A Hidden Health Crisis*** There’s a hidden health crisis going on that we see every day in our office (in addition to the OBVIOUS health crisis!). “Healthy” people, doing all of the “right” things, but still struggling with agonizing symptoms due to inflammation, [autoimmune issues](/blog/autoimmune-disease-treatment/), hormone imbalances, candida (yeast overgrowth), toxicity, and more. And this is not being addressed by conventional medicine, because a prescription to remedy symptoms does not *heal* and doesn’t get to the root of what is going on inside. **If you’re struggling to feel your best, despite what you may feel are monumental efforts, there is something deeper going on.** Something that is going to take some detective work. There are many reasons why it’s gotten so complicated and people are struggling so much. We can start with the *Standard American Diet*, high in refined carbs and processed foods, a toxic food supply, poor soil and water quality, environmental toxins such as mold, the constant demands (and EMF’s) of technology, high-stress levels, and on and on. ## ***The Modern World Is Tough on Our Health*** We see so many patients who are trying very hard to live **healthy lifestyles** and still suffering. They are well educated about diet and lifestyle, have already given up toxic and processed food, and eat their greens daily. *And it has helped*, to a point. They can manage but are not thriving the way they know they should, and are still suffering from a lack of vitality, chronic joint pain, fatigue, depression, anxiety, weight loss resistance, skin problems, and more. Sometimes a “healthy” diet isn’t enough. We can have the healthiest diet in the world, but if our body is struggling to process this food because of a lack of enzymes, food allergies, food sensitivities, or other genetic/biological, or environmental reasons, our body will struggle to heal. We also can’t ignore the impact of stress, toxic relationships, poor sleep, and our general state of mind on our body’s health and vitality either. *These are huge pieces of the puzzle*! **It is so important that we all find our own individual plan for nutrition and healing which we can thrive on!** That’s where **Functional Medicine** and nutrition come in. It is personalized. It looks at the foundational way that food affects *your* body at the cellular level. **This approach to healing also allows *you* to shift into your own power, be proactive, to take ownership over your own health through understanding and self-knowledge.** Ready to take action and ownership of your health? There is much you can do *on your own* to begin to seek out your own root causes of troublesome symptoms. Start experimenting! ## **Here Are a Few Healthy Lifestyle Tips, [Proactive Strategies](/blog/tips-becoming-fully-functional-2/) To Help You Get Started:** ### **1. Reduce Your Intake of Inflammatory Foods** Avoid common food sensitivities (such as gluten, dairy, and sugar) by following an **anti-inflammatory diet**. Need guidance? Our [Nutrition Planning](/functional-medicine/weight-loss-program/) is guided by our outstanding health coaches and supervised by our physicians. With every nutrition plan we consider the following: - Personal health goals - Current medical conditions or symptoms - Ways to reduce inflammation - Ways to support natural detox pathways - Breaking sugar addiction - Food sensitivities and allergies - Reaching and maintaining your ideal weight (if needed) - Increasing insulin sensitivity ### **2. Optimize Your Gut Health** All disease (and the chronic symptoms that go with it) begins in the gut! Reducing inflammatory foods, toxins, stress and adding plenty of nutrient-dense foods and supplements such as a quality probiotic all go a long way to supporting the health of your gut and keeping you **vibrant and healthy**. ### **3. Reduce Your Toxic Load & [Optimize Detoxification](/blog/liver-detox-optimize-detoxification/) in the Body** Choose [organic fruits and veggies](https://www.farmfreshtoyou.com/) and [pasture-raised organic proteins](https://porterroad.com/). Swap toxic body care and cleaning products for natural solutions. Drink filtered water. Try an [infrared sauna](/functional-medicine/infared-sauna-therapy/). Put the phone down and turn the computer off. Every small change helps! ### **4. Evaluate Your Stressors** Stress is one of the biggest toxins we face in our day-to-day lives. While we can’t eliminate stress from our lives, *we can manage it*. By making an action plan for stressors you can control while participating in healthy activities you enjoy: prayer, meditation, deep breathing, mind-body exercises such as yoga or pilates are all proven strategies for reducing stress. ### **5. Make Sure You’re Getting [Adequate Sleep](/blog/tips-for-improving-sleep-combat-insomnia-good-sleep-hygiene/)** Sleep is when our bodies detoxify, restore and heal. It is vital to optimal function and we tend to underestimate its value in our busy lives! ### **6. Cultivate Gratitude, a Positive Mindset & a Sense of Purpose** We all have much to be thankful for, even in the midst of chronic symptoms. Keep a gratitude journal and take small steps each day toward your goals and live into your purpose. Living with gratitude and purpose helps us be more resilient in the midst of health challenges. ### **7. Consider Meeting With a [Health Coach](/blog/benefits-of-health-coaching/)** Navigating your health can feel overwhelming. Our **health coaches** can help you sort through it all while providing one-on-one support, guidance, and accountability. A health coach educates and empowers you to take action in your health and in your life. ## ***We don’t have to accept poor health, a lack of vitality or struggle with nagging issues as we get older. *** If you can’t figure out the answers to why you don’t feel as good as you know you should, we’re here to lend a hand. To help you discover those root issues, the deeper issues that are behind the nagging symptoms. There is hope for everyone and our mission is to help people find it! We can all thrive, *becoming Fully Functional® for life*! Living with energy, vitality, and purpose. You can book an appointment at our [functional medicine practice](/) by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Healthy Sweet Potato Casserole With Pecans and Coconut **Link:** [Healthy Sweet Potato Casserole With Pecans and Coconut](https://fullyfunctional.com/blog/healthy-sweet-potato-casserole-with-pecans-and-coconut/) ([md](https://fullyfunctional.com/blog/healthy-sweet-potato-casserole-with-pecans-and-coconut/index.html.md)) **Description:** Our Healthy Sweet Potato Casserole recipe uses fresh ingredients and sweetens things up with coconut milk and pecans. You can now indulge without the guilt! ### Content Our **Healthy Sweet Potato Casserole** is so indulgent, and brings all the tastes of the traditional holiday staple, *without all the inflammatory ingredients*. In fact, our ingredients help fight inflammation! [Sweet potatoes](https://pubmed.ncbi.nlm.nih.gov/28460992/#:~:text=The%20unique%20composition%20of%20sweet,antimicrobial%2C%20antiobesity%2C%20antiaging%20effects.) are certainly a staple at any holiday table. Unfortunately, the norm for sweet potato dishes is to sweeten them up with marshmallows and lots of sugar. This recipe uses fresh ingredients and sweetens things up with coconut milk and pecans. You can now indulge without the guilt! This recipe is **free of gluten, dairy and soy**. We recommend pairing this Healthy Sweet Potato Casserole with our [Paleo Turkey recipe](/blog/paleo-turkey-recipe-and-best-turkey-brine-recipe/), and our [Grain-Free Stuffing](/blog/grain-free-stuffing-recipe/)! If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 4-5 large sweet potatoes organic, or yams - 1/2 can coconut milk full-fat organic - 1-1.5 tbsp pumpkin pie spice - 1.5 cups pecans halves or pieces - 3/4 cups coconut flaked - 3-4 tbsp coconut oil or ghee - 1 pinch sea salt ### Instructions - Preheat oven to 375°F - Wash and slice sweet potatoes (about 1/2 inch thick), and place in 9x13in baking dish. - In a bowl combine coconut milk with pumpkin pie spice, coconut oil (or ghee), and sea salt, stir together. Pour over sliced sweet potatoes. - Sprinkle with pecans and coconut flakes. - Bake for 1 hour, or until soft and golden brown. - Let cool, and enjoy! Keywords: anti-inflammatory diet recipes, healthy christmas, healthy christmas recipes, healthy holiday recipes, healthy stuffed sweet potatoes, healthy sweet potato casserole, healthy thanksgiving, healthy thanksgiving recipes --- ## Healthy Valentine’s Day Tips: What To Eat, the Health Benefits of Kissing, and a Great Gift Idea! **Link:** [Healthy Valentine’s Day Tips: What To Eat, the Health Benefits of Kissing, and a Great Gift Idea!](https://fullyfunctional.com/blog/healthy-valentines-day/) ([md](https://fullyfunctional.com/blog/healthy-valentines-day/index.html.md)) **Description:** We're sharing our Fully Functional® Healthy Valentine's Day tips! Tasty decadent meal ideas, the health benefits of kissing, and a great homemade gift idea. ### Content ## Healthy Valentine’s Day Tips ## ***What To Eat, the Health Benefits of Kissing, and a Great Gift Idea!*** **Valentine’s Day** is coming up and we thought we’d share with you a few heart-healthy menu ingredients for the big night, some interesting facts about kissing, and a super easy, thoughtful, and wellness-promoting gift idea. ## ***What To Eat at Your Valentine’s Day Meal*** • **[Wild-caught](https://health.clevelandclinic.org/fish-faceoff-wild-salmon-vs-farmed-salmon/), fatty fish that are high in omega-3 fats** – Salmon is a good choice. Omega-3 fats are called ‘essential fatty acids’ not only because they are ‘essential’ – that word actually means that the body doesn’t make them. *We have to get them from diet*. The American Heart Association recommends eating fish and preferably fatty fish at least twice a week. **• Blueberries/Strawberries** – In a study published in the journal, Circulation, the authors note that the women who ate the most blueberries/strawberries were *32 percent less likely to have a heart attack*, compared to women who ate berries once a month or less. These berries contain high levels of anthocyanins (antioxidants) which help fight chronic disease and may help lower blood pressure and widen arteries, which counteracts plaque buildup. • **Dark chocolate** – Several studies have shown that consumption of dark chocolate (at least 60-70% cocoa) may benefit your heart. Dark chocolate contains flavonoids called polyphenols, *which may help lower blood pressure*, prevent clotting, and decrease inflammation. • **Dark green, leafy veggies like spinach and kale** – These are high in carotenoids, which act as **antioxidants** and free your body of harmful toxins. They are rich in fiber and contain a ton of vitamins and minerals. • **Olive oil/olives** – They are a great source of **monounsaturated fats**, which can help reduce both cholesterol as well as blood sugar levels. Olives, both green and black, provide a good source of flavor as well as a healthy fat to any salad. • **Green tea** – A study published in 2006 in the Journal of the American Medical Association found that *green tea consumption is associated with reduced mortality* due to all causes, including heart disease. Recent literature suggests that green tea may decrease the development of age-related memory issues. ## ***The Health Benefits of Kissing – WHO KNEW?*** First off, did you even know there were researchers called Philematologists or “Kiss Scientists?” – WHO KNEW? • **Kissing exposes us to each other’s infections, like herpes viruses.** While this sounds yucky, *this exposure may actually boost the immune system* and keep women from passing on unwanted infections onto their unborn fetuses. WHO KNEW? • **Kissing makes us feel good.** Well, this seems somewhat obvious, but did you know it actually increases the release of ‘feel-good’ chemicals such as serotonin, dopamine, and oxytocin? Oxytocin, in particular, *helps lower blood pressure*, reduces pain, and prevents/relieves cramping. WHO KNEW? • **Kissing helps tone the muscles of the face.** Perhaps a facelift won’t be in your future if you give a few more smooches throughout your day. Kissing requires the work of several facial muscles. WHO KNEW? • **Kissing fights cavities.** OK, don’t stop brushing your teeth or no one will want to kiss you, but the extra production of saliva has been shown to wash away plaque-causing bacteria from the surface of your teeth. Also, the minerals in saliva can help build up the tooth enamel. WHO KNEW? • **Kissing lowers our cortisol levels.** Cortisol is known as our ‘stress hormone.’ Studies demonstrate that those who kiss more frequently *have lower stress levels*. WHO KNEW? • **Kissing is a great workout!** Well…not exactly! It certainly won’t replace a good workout at the gym or a long ride on your bicycle, but you do burn 2 calories per minute of kissing. WHO KNEW? ## ***Great Homemade Gift Idea*** [This bath salt recipe](/blog/magnesium-bath-salts-with-lavender-recipe/) is the perfect homemade gift! Now go enjoy a great meal and a great kiss with your loved one. Happy Valentine’s Day! You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Herb “Cheese” Spread With Almonds or Cashews **Link:** [Herb “Cheese” Spread With Almonds or Cashews](https://fullyfunctional.com/blog/herb-cheese-spread-dairy-free-cheese-recipe/) ([md](https://fullyfunctional.com/blog/herb-cheese-spread-dairy-free-cheese-recipe/index.html.md)) **Description:** Enjoy this Herb “Cheese” Spread with veggies or other healthy snacks. It’s satisfying and guilt-free. Good with crackers, gluten-free bread, or veggies sticks. ### Content Enjoy this **Herb “Cheese” Spread** with veggies or other healthy snacks. *It’s satisfying and guilt-free*. The herbs make it a great spread for crackers, veggie sticks, and just about anything, it’s so dang good! You could also add rosemary and/or basil in addition to the chives if you’re looking for a more herbaceous bite. If you omit the herbs, it’s great with some fruit, like a crisp apple. This Herb Almond “Cheese” Spread also goes great with our [Healthy Falafel recipe](/blog/fully-functional-healthy-falafel/)! We also love this spread with Minimalist Baker’s [1-Bowl Vegan Gluten-Free Crackers](https://minimalistbaker.com/1-bowl-vegan-gluten-free-crackers/#wprm-recipe-container-34874). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 1 cup raw almonds or cashews - 2 1/4 cup water divided - 5 tbsp extra-virgin olive oil - 1/4 cup fresh lemon juice - 1 clove garlic minced or grated - 2 tbsp chives minced, fresh - 1 pinch sea salt and black pepper ### Instructions - Place raw almonds (or cashews) in glass bowl or pitcher, cover with water. Cover container with lid or wrap, and refrigerate for 24 hours. - After 24 hours have passed, drain and rinse the almonds (or cashews). Place almonds, 1 cup of water, 3 tablespoons of olive oil, lemon juice, garlic, 1 tablespoon of chives, and a pinch of salt and black pepper in a high-speed blender. - Start blending, and slowly add in the remaining 1 and ¼ cups of water, and 2 tablespoons of olive oil. Blend until smooth. - Taste and season to preference. - Scoop out into serving dish (and one that you can cover and pop in the fridge), and sprinkle with remaining tablespoon of chives. - Enjoy! Keywords: almond cheese, anti-inflammatory diet recipes, cashew cheese, dairy-free cheese spread, herb “cheese” spread, vegan cheese, vegan cheese recipe --- ## Holiday Depression: Not So Happy Holidays **Link:** [Holiday Depression: Not So Happy Holidays](https://fullyfunctional.com/blog/holiday-depression-not-so-happy-holidays/) ([md](https://fullyfunctional.com/blog/holiday-depression-not-so-happy-holidays/index.html.md)) **Description:** Seeing others together with family and friends can exacerbate our feelings of loneliness, and holiday depression. Here are some of our top tips to help. ### Content While ‘tis the season to be jolly, let’s face it, “happy holidays” doesn’t ring true for everyone. Some of us may find ourselves alone or grieving during the holiday season. Loneliness and grief can be magnified during this season as past memories surface. We’re sharing our Fully Functional® **top tips for managing holiday depression**. Seeing others together with family and friends can exacerbate our feelings of loneliness, and depression during holidays. As difficult as this can be, *you can get through them*. Here are some tips to help. ## ***For Those Who Will Be Alone*** ### **1. Consider volunteering** Senior centers may need volunteers to spend time with seniors who are alone. Volunteer at a food kitchen. Contact local animal shelters if that is more up your alley. Stop by a fire station, police department or hospital ward with homemade treats. *Brighten your day by brightening others*. You can even do this on Christmas day instead of staying home alone. ### **2. See a movie!** Movie theatres are always open. Many new movies make their debut. ### **3. Relish in the fact that there is NOTHING you HAVE to do** Stay in your PJ’s all day. Maybe consider getting a brand new pair for yourself. Read a book or watch your favorite movies all day. Eat your favorite foods. You can even plan to order a prepared meal the day before so that you don’t have to cook. So many of us spend time DOING every single day: working, answering texts and emails, feeling the need to clean up the house, etc. *Allow yourself this day to take a real break*. ### **4. Go for a walk on Christmas day** Take in the world on a day when it is quiet after all of the hustle and bustle busyness of the holiday season. Peer into the windows of your favorite shops which are decorated but quiet. ### **5. Host a meal for others who are alone** Do you have any friends, neighbors, coworkers who might be alone? What about contacting the local senior center, refugee center, or university? Ask everyone to bring a dish and get to know new people. ### **6. Consider what you have rather than what you don’t** A day to yourself to do whatever you want without anyone else’s expectations. ## ***Dealing With Grief During the Holidays*** The holidays can be a time of dread and fear for those who are dealing with the loss of a loved one or loved ones. “*You can and will get through the holidays*. Rather than avoiding the feelings of **grief**, lean into them. It is not the grief you want to avoid, it is the pain. Grief is the way out of the pain.” -excerpt from grief.com ### **1. If you attend a church, reach out to grief ministers for support during this time** You may be able to meet with others in a similar situation. It always feels better to be around or talk with others who really “get it.” You may also find a **grief support group**. It may be possible to get together with some of the group to create a new tradition and new memories of the holidays. ### **2. Ask those who are celebrating the day with you to share a memory of your loved one** Have each person share the memory. ### **3. Light a candle for your loved one** ### **4. Develop a new holiday tradition** For instance, if you are the one who hosted, ask that someone else do that this year. If you normally watched movies after the main meal, choose to play games instead. ### **5. Have a backup plan** If you simply don’t feel that you can participate in the day and would rather look through old photo albums, *allow yourself that permission*. Have the backup plan and use it if necessary. ### **6. Cancel the holiday plans** Yes, *you can cancel*. Understand that having no expectations put upon you by yourself or others may be the thing that you need most. If you are feeling as if you are just going through the motions, allow yourself that chance to skip it this year. Avoid doing things that don’t feed your soul. With time, you may learn to enjoy the holidays again. It doesn’t have to be this year. Stay current on all the latest Fully Functional® news by [signing up for our newsletter](/). You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Home Fried Radishes **Link:** [Home Fried Radishes](https://fullyfunctional.com/blog/home-fried-radishes/) ([md](https://fullyfunctional.com/blog/home-fried-radishes/index.html.md)) **Description:** Enjoy these Fully Functional® Home Fried Radishes. A tasty, low-carb tater-replacement! Also one of our favorite, flavorful, anti-inflammatory diet recipes! ### Content Do you miss potatoes because you’re refraining from nightshade veggies for some reason or on a low carbohydrate, ketogenic diet? Well, *miss them no more*! Enjoy these **Home Fried Radishes** – a tasty, low-carb tater replacement! And also one of our favorite **anti-inflammatory diet recipes**! [.block][][.block][]We recommend a low-carb [ketogenic diet](/blog/benefits-of-the-keto-diet/) both as a short-term intervention for weight loss and a long-term treatment for patients struggling with a range of conditions from neurological conditions and cancer to hormonal imbalances. [.block][][.block][]While we’ve seen great success in our patients who follow this approach, we also know that **limiting carbohydrates** can seem a little intimidating. [.block][][.block][]When patients are following a [ketogenic](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6835497/) (‘keto’) diet, foods high in carbohydrates are generally restricted in an effort to keep overall carbs to less than 30-50 grams per day. Normally, our bodies burn glucose (which comes from carbohydrates) for fuel whenever it’s available, but when we keep dietary carbohydrates low, *our bodies turn to fat for energy*. The byproducts of this process are called **ketone bodies**. When a person is effectively burning this alternate energy source and producing excess ketone bodies, we say they are in ketosis. [.block][][.block][]Given the ketogenic diet’s healing potential for a wide range of conditions, we think it’s certainly worth exploring. **Replace Recipie Feat** ### Ingredients - 2 bunches organic radishes (approx 2 lbs) sliced thin using mandolin or knife - 1 large organic yellow onion diced - 1 teaspoon sea salt (or to taste) - 1 teaspoon organic dried garlic/parsley seasoning (or to taste) - 2 tablespoons organic olive oil ### Instructions - Heat skillet on medium heat. - Preheat oven to 325 degrees Fahrenheit. - Add oil to skillet and heat for 15 sec. - Add onion and cook until translucent. - Add radish and salt/seasonings. - Cook 15 min until all radishes are translucent. - Place in baking pan (or use skillet if oven safe) and bake until top is golden brown (approximately 15 minutes). Keywords: anti-inflammatory diet recipes, fried radishes, ketogenic diet foods, radishes --- ## Honey Ginger Glazed Salmon **Link:** [Honey Ginger Glazed Salmon](https://fullyfunctional.com/blog/honey-ginger-glazed-salmon/) ([md](https://fullyfunctional.com/blog/honey-ginger-glazed-salmon/index.html.md)) **Description:** This recipe is sweet and savory Honey Ginger Glazed Salmon! Loaded with protein, omega-3 fatty acids, and vitamin D. Being healthy never tasted so good. ### Content Treat yourself to this sweet and savory **Honey Ginger Glazed Salmon**! Eating healthy doesn’t have to be boring! [Salmon](https://en.wikipedia.org/wiki/Salmon#As_food) is considered to be healthy due to the fish’s high protein, high omega-3 fatty acids, and high vitamin D content. [Omega-3 Fatty Acids](https://en.wikipedia.org/wiki/Omega-3_fatty_acid) are important for normal metabolism. Plus, this is an **anti-inflammatory diet recipe** ([all of our recipes](/blog/) are), so you can feel extra good about serving this up to yourself, and your loved ones. **Replace Recipie Feat** ### Ingredients #### Salmon - 4 salmon filets - 1/4 cup extra-virgin olive oil - 2 tablespoons coconut aminos - 3 tablespoons toasted sesame oil - 2 cloves garlic, minced - 1 tablespoon fresh ginger, grated - 4 green onions, thinly sliced #### Honey-Ginger Glaze - 1 tablespoon raw honey - 2 tablespoons coconut aminos - 1 tablespoon sesame oil - 1 tablespoon fresh ginger, grated ### Instructions - To make the glaze, whisk together honey, coconut aminos, sesame oil, and ginger in a small bowl; set aside. - In a medium bowl, whisk together olive oil, coconut aminos, sesame oil, garlic, ginger, and green onions. - In a gallon size Ziploc bag or glass baking dish, combine ginger marinade and salmon filets; marinate for at least 30 minutes to overnight. - Preheat oven to 400 degrees F. - Place salmon filets along with the marinade onto glass baking dish and bake until the fish flakes easily with a fork, about 20 minutes. - Brush salmon with honey ginger glaze and serve immediately. Keywords: anti-inflammatory diet recipes, honey ginger glazed salmon, salmon --- ## How We Can Help You Reverse Autoimmune Disease **Link:** [How We Can Help You Reverse Autoimmune Disease](https://fullyfunctional.com/blog/how-autoimmune-disease-develops/) ([md](https://fullyfunctional.com/blog/how-autoimmune-disease-develops/index.html.md)) **Description:** This article covers how we can help reverse autoimmune disease. Their causes, how mold exposure may play a part, and our Fully Functional® treatment options. ### Content When we see patients in our office with medical mysteries, we frequently find that they have one or more **autoimmune diseases**. Autoimmune disease occurs when the body attacks itself, which is often the result of something called [molecular mimicry](/blog/molecular-mimicry-case-friendly-fire/). We’ll explain more about that *and how we can help you reverse autoimmune disease*. Common autoimmune diseases which you may be familiar with are *lupus, rheumatoid arthritis, fibromyalgia, autoimmune thyroid disease (Hashimoto’s disease), and multiple sclerosis*. One of the blood tests which may be abnormal (elevated) in patients with autoimmune disease is an “ANA” test (antinuclear antibody test). An elevated ANA, along with other antibodies and symptoms of joint pain, rash, and fatigue are used to establish the diagnosis of lupus. Often patients with lupus are placed on medications to manage symptoms or on medications to stop the overactive immune response. Usually pain medications, steroids, and other immune-suppressing medications. ## ***Autoimmune Disease Development*** In order for an **autoimmune disease** to develop, three different things need to be present: *a genetic predisposition, intestinal permeability (“leaky gut”), and a “trigger.”* In the case of celiac disease, an autoimmune condition where the body attacks itself – the lining of the small intestines after consuming gluten – the trigger is gluten. Other common triggers we see in our practice are occult infections like [Lyme disease](/blog/lyme-disease-natural-treatment-and-coinfections/) or [reactivated Epstein Barr virus](/blog/reactivated-epstein-barr-virus-need-know/), toxins, certain food proteins, among others. Also, patients with mold (mycotoxin) exposure, commonly develop unhealthy immune systems and sometimes develop autoimmune disease or **immune deficiency**. In fact, one mycotoxin found in some water-damaged homes (and in patients living in these homes) is mycophenolic acid. This compound (mycophenolic acid) is actually used to manufacture a drug called “CellCept.” “CellCept” is given to patients as a powerful **immunosuppressant**, especially in those folks who have had organ transplants. It helps to prevent the immune system from rejecting the transplanted organ. Recently, I saw two patients in follow-up whom I had been treating for a few months. Both had presented with digestive issues, anxiety, joint pain, and severe insomnia. Laboratory testing revealed that each patient had Hashimoto’s – an autoimmune disease of the thyroid and had an elevated ANA test, suggesting some other autoimmune process in the body. *Autoimmunity begets autoimmunity* and it is not uncommon for people with one autoimmune disease to actually have others. The first patient we saw had a very abrupt onset of symptoms after hiking in the woods and was diagnosed with Lyme disease, a tick-borne illness. The second patient examined developed symptoms after living in a water-damaged, moldy environment. Both of the patients were found to have leaky guts. Both had a family history of autoimmune disease. We began the process of addressing each patient’s gut health using our personalized **6 R Gut Healing Process**. ## ***6 R Gut Healing Process:*** ### **1. REMOVING** inflammatory foods, infections, toxins, stressors, etc. ### **2. REPLACING** nutrient deficiencies and digestive enzymes ### **3. REPAIRING** the lining of the gut ### **4. REINOCULATING** with probiotics ### **5. REBALANCING** with stress reduction and hormone rebalancing ### ** 6. ROTATING** foods so we’re not eating the same things every day We’re happy to report that we recently saw these patients back in the office (both on the same day, in fact) and *both had complete resolution of their symptoms*. We were successfully able to help **reverse autoimmune disease** in both cases. Repeat blood testing revealed normal ANA tests. In conventional medicine, autoimmunity is not known to be reversible. Fortunately, we have helped thousands of patients return to optimal health through our proprietary [Fully Functional®](/about-us/) process. In order to become Fully Functional® – your most healthy, productive, and joy-filled-self – *there are five essential steps*: ## ***The Five Steps to Becoming Fully Functional® for Life!*** ### **1. IDENTIFY** Identify the root causes and in these cases, it included Lyme disease and mold-related illness as well as poor gut health. ### **2. REDUCE** Reduce things that are negatively impacting your health. In these cases, we eliminated inflammatory foods, further mold exposure and mycotoxins from the body, tick-borne infections, and stress. ### **3. OPTIMIZE** Optimize our natural detox processes – urinating, bowel movements, liver biotransformation, lymphatic drainage, breathing, sweating, sleeping, and dreaming. We did this by using: - [Infra-red sauna](/functional-medicine/infared-sauna-therapy/) treatments - [Intravenous nutrient therapies](/functional-medicine/iv-lounge/) - [Lymphatic drainage massage](/functional-medicine/therapeutic-lymphatic-drainage-massage/) - Improving sleep quality with an FDA approved device called [Alpha-Stim](https://www.alpha-stim.com/) and specific supplements (sleep and dreaming are a ‘mental detox’) - Adequate hydration, and moving bowels on a daily basis ### **4. SUPPORT** Supporting the immune system through certain supplements and intravenous treatments as well as through encouraging a healthy diet rich in phytonutrients. Since our body’s structural support is critically impacted (not just muscles and bones but cell membranes and mucous membranes of the gastrointestinal tract)one of the most crucial aspects of support is what we refer to as ‘personal support.’ By providing the necessary hand-holding through this process of changing lifestyle and diet, *we help ensure that our patients can be successful*. ### **5. PERSONALIZE** We personalize the process. It is essential that we create personalized plans for our patients because no two individuals are the same. It is equally important for you to personalize or internalize this for yourself. You must learn from this process so that you can navigate your health journey differently in the future. At The Center for Fully Functional® Health, *we are nationally recognized experts in chronic illness and complicated medical conditions*, including environmentally acquired illness. We are passionate about bringing hope and healing to those who are hopeless and overwhelmed…especially when conventional medicine has been unable to find a cause or cure for their illnesses. We partner with people who are “falling apart” so they can be Fully Functional® for life. You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## How Does Lymphatic Drainage Work? **Link:** [How Does Lymphatic Drainage Work?](https://fullyfunctional.com/blog/how-does-lymphatic-drainage-work/) ([md](https://fullyfunctional.com/blog/how-does-lymphatic-drainage-work/index.html.md)) **Description:** Learn how lymphatic drainage works with the Ballancer Pro and the significant health benefits for immune support, body sculpting, and better energy and focus. ### Content ###### ***How Does Lymphatic Drainage Work?*** *Sometimes it’s hard to figure out why we don’t feel our best*. People tend to think of common areas like diet, exercise, and unhealthy habits as the source of health issues. **In reality, there’s an entire system running in the “background” that regulates some of your body’s most important functions, including removing waste and toxins.** This crucial network running throughout your body is called **the lymphatic system**. An improperly functioning lymphatic system can create all kinds of problems, from general lethargy to severe swelling, bloating, and immune dysfunction. **Lymphatic drainage** is a commonly recommended practice that can help detoxify, ease pain, boost immune health, and reduce water retention, among many other benefits. If it’s so important, then why don’t we hear more about the lymphatic system? Also, how can lymphatic drainage help support whole body wellness? **We’re here to help you understand more about the lymphatic system, what lymphatic drainage is, how it supports a healthy body, and why we use the relaxing, non-invasive *Ballancer Pro* to help patients achieve the best results from their treatments.** ## ***What Is the Lymphatic System?*** **Though you may not have learned much about the lymphatic system in biology class, it plays a vitally important role in your body’s regulation and overall health.** *The lymphatic system is part of your immune system*. All kinds of vessels, glands, and organs create a network of pathways for distributing what your body needs and disposing of what it doesn’t. To transport waste, your body produces a clear, viscous liquid called “lymph” to help collect, process, and eliminate toxins. The lymphatic system extends throughout your entire body and includes organs like the spleen and appendix. **Think about the lymphatic network as part of your body’s waste management system, taking care of internal and external contaminants – just like a trash service.** You may not realize it, but *everything that comes into contact with your skin gets absorbed and processed by your lymphatic system*. All of the sunscreen, lotion, makeup products, and soaps that you use every day are part of what your lymphatic system will process. Lymphatic pathways can sometimes become overloaded and “clogged.” Without anywhere to transport toxins and waste in excess lymph fluid, it begins to build up. Picture a swimming pool that hasn’t been cleaned all summer. Now, imagine that pool is inside your body! This sluggish disposal is described as poor lymphatic drainage, and the side effects can take a serious toll on your physical and mental wellbeing. ## ***Symptoms of Poor Lymphatic Drainage*** **How do you know if your lymphatic system isn’t working properly?** Even if you’ve visited the doctor recently, you may not have received a formal diagnosis about your **lymphatic system health**. Unfortunately, lymphatic health often doesn’t get the attention it deserves in the traditional medical system. However, a **holistic health specialist** or [integrative and Functional Medicine physician](/) can help you identify health problems caused by lymphatic issues. Some of the most common signs of poor lymphatic drainage include: - Persistent fatigue, no matter how much you sleep and rest - Inability to concentrate or focus (sometimes called “brain fog”) - Chronic swelling of areas with high concentrations of lymph nodes (called lymphedema), usually in the groin, neck, or armpits - Significant bloating, water retention, or swelling of your extremities - Skin discoloration or stiffness **Lymphatic drainage** benefits everyone, not just those with existing health issues. In fact, optimal lymphatic drainage is key to becoming Fully Functional and can help significantly with broader health, wellness, and fitness goals! **Don’t wait for signs of poor lymphatic drainage to discover the life-changing benefits of regular lymphatic drainage and proactively take steps to feel your best.** ## ***How Lymphatic Drainage Works*** **While the system that circulates your blood has your heart to act as a pump, your lymphatic system relies on your physical movement to optimize detoxification and keep your lymph moving.** If you’re often stationary at work, chances are high that your lymphatic system needs some extra assistance to drain correctly. The same applies if fatigue, joint pain, or other health issues mean you’re less active. **Despite how it might sound, lymphatic drainage is an easy, non-invasive process! In fact, most patients find it quite relaxing and enjoyable.** Lymphatic drainage is usually administered in two ways, either through manual massage techniques or by using targeted pressure from specially designed medical devices. The massage-like effect from either treatment can break up fibrotic areas and gently encourage lymph, water, and blood to circulate through the affected areas. Whether it’s applied manually or with medical devices, lymphatic drainage is accomplished by applying more pressure distally (away from your core) and less pressure proximally (closer to your core). For example, during treatment, the highest area of pressure would be applied at the bottom of your legs or at the farthest length of your arm near the wrist. Then, the pressure is slowly reduced as it approaches your core. The entire process helps drain excess fluid, detoxify, *and restore your natural body shape*. ## ***Lymphatic Drainage with Ballancer Pro*** **New developments in lymphatic drainage technology like the Ballancer Pro make it even easier to live Fully Functional.** Unlike manual lymphatic drainage massage, which is done by hand, the **Ballancer Pro** applies targeted, consistent pressure at just the right points across your body to achieve optimal results and therapeutic effects. The Ballancer Pro has two attachments: a long sleeved jacket or a pair of pants that also cover your feet. This ingenious machine *stimulates lymphatic drainage* by inflating individual air chambers in the jacket or pants in a wave-like rhythm along the length of your legs, arms, and torso. **The effect is calming, relaxing, and provides instant relief or those with swelling or fluid retention.** Many of our patients notice an instant change in their belly and hips! At the Center for Fully Functional Health, we use the Ballancer Pro for all of our patients who need **improved lymphatic drainage**. While the Ballancer Pro has a host of celebrity endorsements and boasts impressive clinical studies, what matters most is the results we’ve seen in our patients and ourselves. (Yes, our doctors and staff are devoted Ballancer Pro users too!) . ## ***Lymphatic Drainage Massage Benefits*** **Regular lymphatic drainage offers huge benefits.** Below, we’ve broken down some of the key benefits that all types of patients can experience when undergoing lymphatic drainage, regardless of their medical history: - Increased immune support - Renewed energy - Less bloating and water retention - Body sculpting effects - Reduced anxiety - Healthier skin - Better focus and attention Those who are suffering from acute or chronic lymphedema due to genetic issues, surgery, or damage from an accident may also need regular lymphatic drainage as part of their ongoing care routine. That can provide: - Significantly reduced swelling - Relief from intense pressure - Pain reduction - Fewer challenges with mobility due to fluid drainage - Boost in energy and mood ## ***Carmel, Indiana Lymphatic Drainage*** Our experienced team provides lymphatic drainage treatments with the Ballancer Pro in Carmel, IN. By assessing your situation, symptoms, and goals, we can help provide the direction and clarity you need to feel better and return to a Fully Functional life. **Contact the Fully Functional MedSpa today by calling 317-343-6692 to learn more about the process or schedule your initial appointment.** --- ## How to Achieve Goals, Keep Pushing! **Link:** [How to Achieve Goals, Keep Pushing!](https://fullyfunctional.com/blog/how-to-achieve-goals/) ([md](https://fullyfunctional.com/blog/how-to-achieve-goals/index.html.md)) **Description:** Setbacks are not failures. They are only setbacks. Focus on the process, and enjoy the results when they come. Check out our tips on how to achieve goals. ### Content ## ***New Year, Clean Slate*** The clean slate of a New Year gives us permission to go wild setting new goals and chasing big dreams! We get excited and start off with the best of intentions, but often back off the plan ***when we don’t see the results quick enough***. The truth is many of us won’t see our “resolutions” through again this year. We will have setbacks. We will get frustrated. We will quit. **Setbacks are not failures. They are only setbacks.** Don’t let them derail you and keep you from your vision! As you attack your [goals](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796229/) this year, focus on *the process and the vision*, and enjoy the results when they come. ## ***Why Do We Give Up on Our Goals?*** One of the reasons we give up so quickly on goals we are so excited about *at first* is because we focus on the *results over the process and the vision*. Yes, results are important, but they often don’t come as easily as we expect. Results take time. When they don’t happen on our exact timetable we may give up and give in. Then we beat ourselves up, feeling like a failure when *we haven’t failed at all*. We just haven’t given it enough time. We give up while we’re still in the process part. And the process is the place where we **learn and grow** while we keep our vision before us. **If the choices you make, no matter how small, lead you toward your vision, rather than away from it, that is progress!** Vision is reached by habits practiced every day. Process. **Your goals are worth fighting for, no matter how long they take.** ## ***Shift to an Outlook That Pushes You Forward*** Instead of giving up too quickly, **shift to an outlook that pushes you forward**, by focusing on the good outcomes of your efforts, even if you haven’t yet achieved the desired results. For example, if you’re struggling with weight loss and are disappointed with the number on the scale despite your efforts to change your eating habits, notice the positives that have come from your efforts. Do you have more energy? Are you feeling more vibrant? Exercising more? All good things, despite the number on the scale. *Keep up the process* and follow your vision and you will get there. **Vision includes so many things: your hopes, dreams, and desires for your life. Keep the [vision](/blog/how-to-make-a-vision-board/) as your guide**. Use it to push you forward regardless of how you are feeling on a particular day. Let it inspire you. Keep working toward it, and get support if you need it! You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## How to Avoid Jet Lag: Dr. Ellen’s Pro Tips! **Link:** [How to Avoid Jet Lag: Dr. Ellen’s Pro Tips!](https://fullyfunctional.com/blog/how-to-avoid-jet-lag-dr-ellens-pro-tips/) ([md](https://fullyfunctional.com/blog/how-to-avoid-jet-lag-dr-ellens-pro-tips/index.html.md)) **Description:** Dr. Ellen Antoine is sharing her pro tips on how to avoid jet lag, and help prevent dreaded daytime fatigue, disturbed sleep, and difficulty concentrating. ### Content Here are my favorite tips on **how to avoid jet lag**, and help prevent dreaded daytime fatigue, disturbed sleep, and difficulty concentrating. ## ***How To Avoid Jet Lag: A Few Days Before your Trip*** ### **Prepare** - Make sure your bags are packed and you have passport, visa, supplements/medications, destination places settled, and snacks. Don’t scramble at the last minute! - Before departing, make sure you have all your affairs, business and personal, in order. Ensure you are not stressed-out with excitement or worry, and exhausted from a party the night before. *Get a good night’s sleep just prior to departure*. - Pack a pillow and headphones for the flight. ### **Purge** **Detox** to lighten your body and clean out your system. - **Wean off caffeine** - Caffeine may prevent adequate and restful sleep. Caffeine also has a diuretic effect and can lead to dehydration. Replace your morning coffee with warm water with lemon and a pinch of cayenne pepper instead. - **Dump the junk** - Cut out any sugars, grains, processed foods that may have crept in. - **Exercise** - Get plenty of exercise the week before your leave. - **Make sure to hydrate** - Drink at least 1/2 your body weight in fluid oz of filtered water per day. ### **Plan** - Figure out what the time change will be and if you are behind or ahead of where you are headed. *Begin staying up 1 hour later each night or going to bed one hour earlier each night* and getting up one hour earlier in the morning to get ready for your time change. - Begin the **ANTI-JET LAG DIET** at least 2 – 4 days ahead of your flight. See below… ## How To Avoid Jet Lag: Travel Day ### Hydrate - The dry, pressurized air in the aircraft causes dehydration. Drinking plenty of non-alcoholic, non-caffeinated fluids counters this. Water is best. Alcohol not only contributes to dehydration, but has a markedly greater intoxicating effect when drunk in flight due to the barometric pressure changes that lower oxygen levels in the blood. Add 1/2 scoop of buffered vitamin C powder and put it in a glass of warm lemon water at least every 8 hours while in flight. ### Move - Get as much exercise as you can. Walking up and down the aisle, standing at times, and doing small twisting and stretching exercises in your seat all help to reduce discomfort, especially swelling of legs and feet. Flex and point your feet to ‘pump’ your calves, as this helps to reduce the possibility of blood clots. ### Sleep - Blindfolds, ear plugs, neck rests and blow-up pillows are all useful in helping you get quality sleep while flying. Kick your shoes off to ease pressure on the feet (some airlines provide soft sock-like slippers, and many experienced travelers carry their own). - There is some evidence that flying westwards causes less jet lag than flying eastwards. - [Melatonin](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4006102/#:~:text=Melatonin%20reduces%20subjective%20ratings%20of,use%20it%20without%20medical%20supervision.) ### **Traveling East** - Day of your flight, take one dose of **melatonin** (usually 1-3 mg), as directed on the bottle, between 6 and 7 p.m. your time. On the day of arrival and for the next four days take a dose of melatonin at bedtime (between 9 and 10 PM) local time of where you now are. - If you will not be staying in this time zone for four days and will instead be traveling further east, - Take one dose of melatonin on the day before flying onward, again between 6 and 7 p.m. local time (but not at bedtime). On the day of arrival at your second destination, take one dose of melatonin at bedtime (between 9 and 10 PM) local time and for the next four days. ### **Traveling West** - Things are a little bit different. For one, melatonin will not help much if you travel less than five time zones to the west. No big deal – you’ll sleep on the beach anyway, right? For you long distance westward travelers: - Day of Arrival: Take a dose of melatonin at local time bedtime (between 9 and 10 PM) and continue to do so for the next four days. If you wake up before 4 AM, go ahead and take a little more melatonin (one-half dose) so you can get a complete night’s sleep. - If you’re traveling further west in less than four days’ time, take melatonin at bedtime the night before leaving. Then repeat the whole schedule again at your new sunny spot on the planet. ## ***Pre-Travel Anti-Jet Lag Diet (Start 2-4 days before you leave)*** ### **Alternate Feasting With Fasting** **Day 1: Feast** - Breakfast: Eat a high-protein meal - Lunch & Dinner: Eat a higher carbohydrate dinner (Sweet potato, root veggies, and fruits) **Day 2: Fast** - Light meals of small salads and soups/broths and fresh made juices (preferably green veggie types) - Keep calories and carbs to a minimum - Continue eating this way until flight day or a day before if needed to end on a FAST day. - Stop the diet on a FAST day at the time of the day when breakfast would be served at your destination You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## How To Cut Sugar Out of Your Diet: 10 Easy Steps **Link:** [How To Cut Sugar Out of Your Diet: 10 Easy Steps](https://fullyfunctional.com/blog/how-to-cut-sugar-out-of-your-diet/) ([md](https://fullyfunctional.com/blog/how-to-cut-sugar-out-of-your-diet/index.html.md)) **Description:** We've been educating our patients on the negative impacts of sugar for years. Check out the alarming research, and tips on how to cut sugar out of your diet! ### Content For years we have been telling our patients about **the negative impact sugar has on their health**. Countless individuals have completely changed the trajectory of their health by removing sugar from their diets. In 2016, The Center for Fully Functional® Health started focusing on VITALITY – ‘the state of being strong and active; with energy.’ We recognize the detrimental role sugar plays in achieving this goal, and why it’s so important for us to share *how to cut sugar out of your diet*. **Sugar is inflammatory** and negatively impacts hormonal health leading to abnormalities in cortisol (stress hormone) levels that ultimately lead to unhealthy sex hormone levels. Sugar consumption is associated with the development of fatty liver disease, insulin resistance, pre-diabetes, and ultimately type II diabetes. Other diseases and chronic health conditions can be found to be associated with the regular consumption of sugar. In 2008, Professor Bart Hoebel and his team in the Department of Psychology at the Princeton Neuroscience Institute presented evidence that **sugar is addictive**.¹ In his report, Hoebel demonstrated that rats eating large amounts of sugar when hungry, a phenomenon he describes as sugar-binging, undergo neurochemical changes in the brain. These changes appear to mimic those produced by substances of abuse, including cocaine, morphine, and nicotine. He stated: ***“In certain models, sugar-bingeing causes long-lasting effects in the brain and increases the inclination to take other drugs of abuse, such as alcohol.”*** Professor Bart Hoebel, Princeton Neuroscience Institute Many years ago the only sugar Americans consumed was in the form of wild honey. Sugar is now found in almost all processed (anything in a box, bag, or can) food and we are addicted. This is certainly fortunate for the processing ‘food’ plants in the US as we continue to purchase these items from grocery store shelves at alarming rates but certainly NOT fortunate for those of us doing our best to achieve and maintain optimal health. The Federal Government has finally acknowledged the negative impact sugar has on our health and has updated its dietary guidelines to reflect and address these concerns. These guidelines are updated every five years and their newest recommendations can be found [**here**](https://health.gov/). In an article published by the Harvard School of Public Health, the authors note:² *• Downing just one 12-ounce can of a typical sweetened beverage daily can add 15 pounds in a year.* *• In children, one sweetened beverage a day fuels a 60 percent increase in the risk of obesity — and American teenage boys drink almost three times that much.* *• This April, an HSPH study linked sugary drinks to increased risk of heart disease in adults. Scientists have long known that sugar reduces the “good” HDL cholesterol in the blood. Consistent with this effect, the April study showed that it wasn’t just weight gain that raised heart disease risk, but sugar itself — eating an otherwise healthy diet or being at a healthy weight only slightly diminished the risk.* *• In 2004, the Nurses’ Health Study found that women who had one or more servings a day of a sugar-sweetened soft drink or fruit punch were nearly twice as likely to develop type 2 diabetes as those who rarely imbibed these beverages.* ## ***How To Cut Sugar Out of Your Diet:****** 10 Easy Steps To Remove This Addictive ‘Drug’ From Your Life*** Our ultimate goal at The Center for Fully Functional® Health is to *educate and empower our patients to live the healthiest lives they can*. Learning how to cut sugar out of your diet is one of the important steps in this journey. ### **1. Read Labels** If sugar is listed as one of the top 5 ingredients it’s a **NO**! Don’t eat it! (Ideally it won’t be on the label at all.) ### **2. Stop Drinking Sugary Drinks** Not just soda but including lemonade, tea, sugar with coffee creamer, etc. Drink more water and use a slice of lemon or lime for a bit of flavor. An occasional Le Croix (sparkling water with an essence of fruit) is acceptable. ### **3. Limit Fruit Intake** One serving per day of a non-tropical type of fruit. ### **4. When You Do Eat Fruit, Don’t Eat Dried Fruit** Choose the fresh, low glycemic type, such as a ½ cup of berries. ### **5. Shop the Perimeter of the Grocery Store** Stop looking at eye level (‘addictive – advertising’) shelves. ### **6. Drink More Water** Drink at least ½ your body weight in fluid ounces of filtered water per day. Being thirsty might make you feel hungry. ### **7. Eat Whole, Fresh Foods** Half your daily food intake should consist of vegetables. Adequate protein and fat intake keep you satiated. Eat protein with fat at every meal and snack. If you’re not hungry you’ll be less likely to cheat with carbs and sugar-containing foods. ### **8. Replace Nutrient Deficiencies** When you are nutrient deficient, cravings are worse. Take a multivitamin that has been third-party tested for safety and efficacy. These are the only type of supplements we offer at Vine. ### **9. Avoid ‘Sugar in Disguise’** Don’t be misled and think you are eating ‘healthy’ just because you are eating complex carbohydrates. Bread, grains, and starchy veggies convert to sugar in your body. Don’t believe the lie that you are eating a ‘low sugar diet’ just because you don’t add sugar to your food. Have awareness! Remember your protein and fats. ### **10. Practice Mindfulness Exercises** Breathing exercises and relaxation techniques, as well as meditation, can help you withstand the cravings. Indulge in those things that will bring you **health and vigor**! Sugar is not one of them! Kick sugar to the curb…YOUR LIFE DEPENDS ON IT! If you need help weaning from your sugar addiction, **you can book an appointment by clicking**[**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. Schedule a time to meet with one of our nutrition counselors for a comprehensive evaluation and the support you require to succeed. We do recognize the importance of having support. Our approach is to partner and support you along the way – it is a ‘partnership in health from the roots to the branches!’ --- ## How To Heal Your Gut Naturally: “All Disease Begins in the Gut” **Link:** [How To Heal Your Gut Naturally: “All Disease Begins in the Gut”](https://fullyfunctional.com/blog/how-to-heal-your-gut-naturally/) ([md](https://fullyfunctional.com/blog/how-to-heal-your-gut-naturally/index.html.md)) **Description:** If you suffer from Leaky Gut or GI conditions check out these tips for how to heal your gut naturally. Covering conditions, symptoms, and best treatments. ### Content Your **gastrointestinal tract** (the soft tissues from your mouth to your anus) is a part of the body we often take for granted until it’s causing problems. Your gut is a finely tuned ecosystem and *it significantly affects your immune system* and even your mood. The gut is often referred to as the ‘second brain.’ In this article, we’re covering **how to heal your gut naturally**. Often an unhealthy gut goes unnoticed because the symptoms seem completely unrelated such as a skin condition, neurologic symptoms, immune dysfunction, etc., however, *sometimes the symptoms are undeniably due to an issue within the GI tract*. These symptoms can be quite unpleasant and downright embarrassing. If you have to scope out where the nearest bathroom is when you are outside of your home or you are regularly up at night with indigestion or acid reflux – that is not normal. ## ***What Are the Symptoms of an Unhealthy Gut?*** Each gastrointestinal tract (GI) is as individual as the owner. But there are a variety of symptoms that may indicate that all is not well in your digestive system. **Do you struggle with:** - Food allergies and sensitivities? - Bloating? - Diarrhea? - Constipation? - Mucus containing or bloody stool? - Stomach cramps? - Abdominal pain? - Excess flatulence? - Anxiety or depression? - Ulcers? - Dry skin? - Regular indigestion or acid reflux? - A pre-existing autoimmune disease? - Frequent cravings for sugary food? - White film on your tongue? - Brain fog? If some or all of these symptoms seem familiar, **you may have an unhealthy GI tract**. Some of the possibilities include: Intestinal permeability (‘leaky gut’), yeast overgrowth, SIBO (small intestinal bacterial overgrowth), or gut inflammation. These are fairly common conditions we see in our office, which can be largely blamed on the Western way of life and the Standard American Diet (SAD). ## ***What Is Intestinal Permeability (‘Leaky Gut’)?*** **Intestinal permeability** is often referred to as *‘leaky gut’*. When your digestive tract works correctly, it functions similarly to your skin – it is a place or protection so that everything that comes in contact with it can’t have direct access to our body but at the same time we absorb what we need and excrete what we don’t need. In the case of skin, this would be sweat. In the GI, we digest and break down food and nutrients which are then absorbed through small areas in your intestinal wall known as ‘tight junctions’. Once these things are absorbed they have direct access into the bloodstream. At the same time, the intestinal lining prevents the passage of harmful substances in the lumen of the GI tract, including toxins, food particles, viruses, parasites, and bacteria. Think of the wall of your digestive tract as a series of tightly guarded entrances – where the ‘army’ (your immune system) is carefully identifying each visitor and determining whether they are friend or foe. Not only can the tight junctions (doors) open when they shouldn’t but the walls (cells) themselves lose integrity. Similar to a skin condition like leprosy, your GI tract can develop several ‘open’ areas that lead to the inability to perform its functions. We don’t absorb what we want or need and we ‘leak’ out things that should remain in. When the intestinal wall ceases to do what it is meant to do – protect and filter the contents of your digestive tract correctly – *you have a leaky gut*. When bacteria and other microorganisms, food debris, and toxins enter the system, your ‘army’ recognizes these as ‘foreign invaders’ and an immune system is triggered. Your body goes into ‘battle’ every time you eat. Chicken or the egg? Intestinal permeability can be the result of certain diseases, infections, pathogenic bacteria in the GI tract, stress, and medications to name a few but intestinal permeability is also **a contributor to inflammatory conditions and autoimmune disease**.¹ ## ***Solutions for Leaky Gut*** We advise you to consult a [certified Functional Medicine Doctor](/) in order to determine if you have a ‘leaky gut’ and we recommend our Fully Functional® process in order to heal. Intestinal permeability is associated with so many chronic health conditions, including autoimmunity, that it is imperative to address your condition and get on track towards optimal health. **We recommend the following actions for everyone:** ### **1. Avoid gluten** Realistically *you need to avoid eating wheat and gluten-containing foods*, period. Not only does gluten contribute to intestinal permeability, but other foods including wheat, cereal, beans, legumes, and more contain lectins, which can contribute to a leaky gut.² Focus on eating leafy vegetables, wild fatty fish, and drinking bone broth. ### **2. Don’t take NSAIDs** NSAID medications, such as ibuprofen and aspirin, can be tough on the tummy.³ They suppress your body’s inflammatory response, but part of that response in your gut, prostaglandin, helps protect your intestinal walls from injury. The evidence is clear that NSAIDs contribute to the breakdown of the lining of the GI tract, even ulcers, and associated intestinal permeability. ### **3. Avoid excessive exercise** We advocate exercise as a great way to get endorphins pumping and for greater mental clarity. Excessive exercise (on a hot day or for more than two hours) can lead to damage of the cells in your gut – and greater intestinal permeability. It is not uncommon for distance runners (running for more than ten hours per week) to experience unpleasant gastrointestinal symptoms.⁴ ### **4. Stress reduction** We know that stress leads to the breakdown of the lining of the GI tract. Every patient that gets admitted to the Intensive Care Unit (ICU) of the hospital gets placed on a medication to prevent what are known as ‘stress ulcers.’ As part of our Fully Functional® process, we recommend that our patients begin stress reduction techniques, including breathing exercises, yoga, meditation, prayer, and journaling. ### **5. Take probiotics** Good ‘bugs’ in the GI tract are critically important when it comes to immune function and intestinal permeability.⁵ A good multistrain probiotic can benefit everyone. ## ***What Is Inflammation and Dysbiosis?*** **Gastrointestinal inflammation** is where the mucosal lining of your gut is inflamed – that is, your immune system has detected a threat and is attacking indiscriminately. **Gut dysbiosis**, which is an imbalance of microbes in the gut, can be a major contributor. Sometimes your body is at war with itself, and gut inflammation is often where many chronic [autoimmune diseases](/blog/molecular-mimicry-case-friendly-fire/) begin.⁶ If not healed swiftly it may develop into any number of autoimmune diseases including Crohn’s disease or ulcerative colitis. *Inflammation can have a marked impact on the rest of your body*. Inflammation in the GI tract is not limited to the gut and is associated with inflammatory processes throughout the body and ultimately disease. At the root of almost all disease is inflammation. ## ***Solutions for Gut Inflammation*** You should seek the services of a **certified Functional Medical Doctor** to advise you on how to heal your gut naturally. There are several tactics you can use while waiting to see one of our doctors, they are: ### **1. Keeping a food diary** Think of your body’s inflammatory response as a mystery you and your doctor have to solve. Your doctor needs data. Keep a **food diary** logging what you ate and any symptoms you might be feeling – even if you feel ill many hours after you’ve eaten something, this could still be a symptom of inflammation. ### **2. Eating carefully** If you’re keeping a food diary, we would advise you not to change your diet too drastically before recording your symptoms. However, *it is time to stop eating fried food*. The oils used in frying food are incredibly inflammatory – and there is little nutritional value. So be kinder to your gut. ## ***What Is Yeast Overgrowth?*** Your gut is home to a trillion microbes and to a form of **yeast** called *Candida albicans*. In a healthy gut, the presence of **Candida** is unremarkable but when it starts to overgrow, you experience discomfort including but not limited to tiredness, headaches, constipation or diarrhea, trapped wind, joint pain, and an increased craving for sweet food. ## ***Solutions for Yeast Overgrowth*** Before undergoing any drastic changes in your lifestyle, *you need to get tested*. Consulting a certified Functional Medicine Doctor ensures your body heals holistically as a whole, you’re not seen as just a list of symptoms. Once Candida overgrowth is detected, we recommend the following lifestyle changes: ### **1. Change your diet** Candida feeds on sugar and carbohydrates, so it makes sense that the average American diet fosters yeast overgrowth. You need to cut out refined sugar, bread, pasta, rice, and some dairy. Focus on eating good fats (coconut oil, olive oil, avocados) and plenty of non-starchy vegetables like broccoli, asparagus, and zucchini. ### **2. Stop drinking alcohol** The thought of a cool, crisp beer or glass of wine in the evening may be the only way you get through the day. Unfortunately, most alcoholic beverages also contain carbohydrates – and alcohol itself is inflammatory (see above). ### **3. Reduce stress** You may feel that you do your best work when you’re stressed, but working or living in a stressful environment affects not only your mental health. Your adrenal glands release cortisol in response to stressful situations, and the more stressed you are, the more cortisol is added to your bloodstream. While cortisol in itself is not a bad thing for your body to produce, it does lower your immune system and increases your chances of yeast overgrowth. ## ***What Is SIBO?*** **SIBO** stands for *small intestine bacterial overgrowth*, it occurs when there is an overgrowth of bacteria in the small intestine. Your digestive tract is made up of your small intestine and the much larger colon. Your small intestine usually contains the least amount of bacteria in your digestive system – bacteria is generally found in your colon. As the small intestine is primarily concerned with digesting and absorbing nutrients from food the pH is quite low (acidic) to help achieve this. A low pH is not typically compatible with bacterial growth. Also, the small intestines are tubular in shape, it uses a muscular action to propel the food into the larger colon. This action also usually removes any excess bacteria. When the normal activity of the small intestine is interrupted or the pH is raised, *it leads to a growth of bacteria* – and quite often the one-way system between the small intestine and the colon breaks down, and colon bacteria travels up into the small intestine. The bacteria also convert the food they eat into gas and toxins. The gas causes you to experience extreme bloating and wind while the toxins create an inflammatory response, making your symptoms worse. This bacteria also begins eating the food and nutrients before they can be absorbed into your bloodstream. Your lack of nutrients can often leave you feeling weak, tired, and unable to concentrate. You may lose more weight than is healthy. ## ***Solutions for SIBO*** There are a number of ways that we can test for SIBO. Once diagnosed, there are several methods for healing your small intestine: ### **1. Eat an anti-inflammatory diet** Much of the advice above applies to SIBO. Avoid gluten, dairy, processed sugar, and carbohydrates. Following a low FODMAP diet may be quite helpful. FODMAP is an acronym for the unwieldy term *“Fermentable, Oligosaccharides, Disaccharides, Monosaccharides, And Polyols.”* FODMAPs are sugars and carbohydrates that are poorly absorbed by the digestive system, leaving them to serve as food for intestinal bacteria. Avoid alcohol and caffeine. ### **2. Take probiotics** We advise our patients initially to take a course of antibiotics to kill off the bad bacteria. **Probiotics** are the proactive choice of supplement to take alongside antibiotics if you want to encourage the good, normal bacteria in your gut to flourish. ### **3. Find the cause** It’s easy to overlook your digestive concerns – but you must remember that these symptoms are your body’s way of telling you that something is wrong. You must identify the underlying, root cause. If left untreated, leaky gut, inflammation, yeast overgrowth, and SIBO can have serious consequences, *often involving an autoimmune disease*. When you heal your gut, you’re healing your entire body. **If you are suffering from unresolved gut issues and need a certified Functional Medicine Physician with extensive experience in helping patients overcome their gut issues and live a Fully Functional® life in the Carmel or Indianapolis area, you can book an appointment by clicking [here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources: [.block][]1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440529/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440529/)*2 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3705319/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3705319/)*3 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266989/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266989/)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1021858/pdf/westjmed00182-0051.pdf[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1021858/pdf/westjmed00182-0051.pdf)*5 *[*https://actascientific.com/ASMI/pdf/ASMI-01-0007.pdf[.block][]*](https://actascientific.com/ASMI/pdf/ASMI-01-0007.pdf)*6 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856434**/***](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856434/) --- ## Get Inspired with a Vision Board **Link:** [Get Inspired with a Vision Board](https://fullyfunctional.com/blog/how-to-make-a-vision-board/) ([md](https://fullyfunctional.com/blog/how-to-make-a-vision-board/index.html.md)) **Description:** A vision board is a creative process to set clear intentions and goals for what you want in your life, so you can grow and transform. Get started on yours! ### Content As we continue to socially distance and spend more time at home during this current health crisis, many of us are looking for new creative outlets or activities that will help not just fend off boredom, but lift our spirits *and even inspire us*! We’re also looking for ways to continue moving toward our goals (health or otherwise) despite the setbacks of our current situation. Here is a fun, creative, personal, or family activity that is not only fun to put together but also empowering! It’s called **a vision board**. A vision board is a creative process to set clear intentions and goals for what you want in your life, so you can grow and transform. It’s a collection of inspirational images that resonate with you and embody the essence of your dreams, how you’d like to feel and what your ideal life could look like. Putting one together is a fun and simple way for you to *visually represent the dreams you have for yourself*, decide which ones truly matter to you, and provides motivation for turning them into a reality. The process of choosing what to put on your board is simple but meaningful. **By gathering and displaying these images together, you create a personal reminder that the decisions you make on a daily basis can lead you toward or away from your goals.** This daily reminder can be a powerful tool to help transform your dreams into action. The best way to accomplish your goals is to keep them top of mind and this project is the perfect tool to help you do that! ## ***Here’s How To Create Your Own Vision Board*** **What you will need:** - **Scissors**.[.block][] - **Glue and/or tape or push pins.**[.block][] - **Large poster board, corkboard, or foam board**, or a bit of wall space. Some people like to have a “moving” map with pushpins; others find the gluing of images symbolically “commits” them to achieving their goals. Do whichever feels better to you.[.block][] **A stack of magazines and/or printed images from the internet** and photographs from your own life that inspires you to be the best version of yourself. Rich sources of images include magazines focused on health, yoga, or travel, but you can find inspiring visuals anywhere. ## ***Preparing Your Creative Space*** - **Gather your materials** (board, scissors, glue, magazines and/or images).[.block][] - **Set aside ample time** for the selection, cutting down and gluing of the images.[.block][] - **Take a few breaths** to settle in and clear your mind. You want to be open to what truly inspires you.[.block][] **Take some time to think** about your values, career goals, wellness goals, family, relationships, hobbies, travel, finances, fitness, etc. What is important to you right now and what are your hopes for the future? You could focus on many aspects of your life, or just one. For example, if transforming your health right now is your primary focus, you may choose images of colorful, beautiful healthy foods, yoga, running, biking, or other exercise photos, a picture of you when you were at your healthiest and most energetic, self-care photos of massage, journaling, deep breathing, images of nature and other reminders of the restorative practices you want to put into place. ## ***Creating Your Vision Board*** - **Prepare your working area** (floor, desk, kitchen table, etc.) with your materials. Flip through your stack of magazines and rip out images that stir you. Don’t think too hard about this and try not to get caught up in the shopping list aspect of what it is you want to bring into your life (like searching for a picture of a specific car for example). - **Focus on how the images make you feel** and make sure the images mirror your desires. **When you look at your images, you should feel a strong connection to those desires.** You won’t use all the images you rip out, so just take what you’re drawn to instinctively. You’ll be surprised with what you come up with! - **Include a photograph of yourself**, as you’d like to feel and/or your name somewhere on the map to “own” it. - **Edit.** Once you have a pile of potential images you’re happy with, go through and cut them down to size. Arrange them in a way that you like on your board. Before gluing them down, *step back and make sure the board makes your heart leap*! - **Avoid using any images that make you feel bad about yourself.** Rearrange the images until the board feels right. Once you’re satisfied with the layout, glue, tape or pin your images to the board. It’s that easy! Make sure to put your board somewhere you can see it every day and *spend a little time each day looking at it for motivation* to achieve your hopes and dreams! You can book an appointment at our [functional medicine practice](/) by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## How to Make Nut Milk **Link:** [How to Make Nut Milk](https://fullyfunctional.com/blog/how-to-make-nut-milk/) ([md](https://fullyfunctional.com/blog/how-to-make-nut-milk/index.html.md)) **Description:** Store-bought brands often have preservatives and fillers, so we're sharing how to make nut milk (seed milk too), and how easy it is to make them from home! ### Content Whatever your favorite **dairy-free milk**, it is so easy (and much tastier!) to make them from home! Store-bought brands are great for convenience, but they often have preservatives, fillers, and other undesirable ingredients. This **homemade nut milk** is smooth, creamy, and delicious! Once you learn how to make this recipe, *you’ll say goodbye to store-bought brands*. Once you get into the swing of things and start making your own nut/seed milk, you can enjoy infusing flavor and sweetening if desired (vanilla, cinnamon, monk fruit etc)! You can adapt this recipe to make cashew milk or any other nut milk as well, just replace the almonds with your nut of choice. If you are sensitive to nuts, you can also make milk using seeds such as pumpkin, hemp, or sunflower! Here’s a great resource for [ organic nuts and seeds ](https://www.sunorganicfarm.com/category/organic-nuts.html?gclid=CjwKCAjwjJmIBhA4EiwAQdCbxitYKvvTHGfa5JPxx_YbMro4683fPuNr-dezGrl4OU9-E5-VPFFpLRoCLwkQAvD_BwE). This recipe pairs well with our [Gran-Free Cereal](/blog/grain-free-cereal/), so good! **Replace Recipie Feat** ### Ingredients - 1 cup raw almonds soaked for 8 hours (discard water) - 4 cups filtered water - 1 tsp vanilla extract (optional) - liquid sweetener (stevia, honey or maple syrup) to taste ### Instructions - Soak your almonds overnight or for at least 8 hours. - Discard the water and add your soaked almonds (and optional add-ins) to a high-speed blender. - Add 4 cups of filtered water. Blend for 1 to 2 minutes until the almonds are ground down. - Pour your almond milk into a nut milk bag over a large bowl. Squeeze the bag so that the milk flows through the bag and into the bowl. The almond pulp should be left inside the bag. - Sweeten and flavor your milk if desired. Pour your milk into a glass container with a tight lid and store in the refrigerator for up to 4 days. Keywords: anti-inflammatory diet recipes, functional foods, how to make nut milk, nut milk, nut milk recipe --- ## How to PANDAS-Proof Your Marriage: Nurturing Your Relationship When You Have a Sick Child **Link:** [How to PANDAS-Proof Your Marriage: Nurturing Your Relationship When You Have a Sick Child](https://fullyfunctional.com/blog/how-to-pandas-proof-your-marriage/) ([md](https://fullyfunctional.com/blog/how-to-pandas-proof-your-marriage/index.html.md)) **Description:** Being the parent of a child with PANS or PANDAS is hard, but there is hope. As doctors and parents with firsthand experience, here's our best advice ### Content **A note from Dr. Scott and Dr. Ellen:** *Although this was originally written to married couples, it is also for those of you who are not married and have a partner or even a very close friend who is your person.* It's hard to explain the impact of childhood illness on the family to someone who has not had a sick child. This is especially true for parents of children with **PANS/PANDAS**. Although it is never easy to have a child who is sick, there are particular challenges when a child has [PANS or PANDAS](/blog/pans-pandas-what-you-need-to-know/). When a child is diagnosed with cancer or has a traumatic injury, family and friends come out of the woodwork to help. Meals are delivered and social media support groups are made. Prayer meetings are held and well wishers consistently check up on you and your child. That is rarely the case with PANS/PANDAS. When your child is sick with PANS/PANDAS, *people tend to scatter*. It's hard to know why this occurs. It may be because people don't know how to deal with mental illness on the same level as other illnesses. It could also be due to the fact that PANS/PANDAS are [controversial and poorly understood](/blog/pandas-diagnosis-why-some-doctors-believe-pandas-isnt-real/) by conventional physicians, if they believe in it at all. When our daughter developed PANS, our close family members called, listened, and tried to help, but most friends (even those from church) suddenly stopped calling. One family from church did deliver a meal once - and left it in the driveway. Worse than the isolation, though, is the judgment you may feel from some family members, friends, and physicians. Parents of more than one of our patients have been told by their family or their doctor that their child's behavior was due to their permissive parenting or marital problems. The isolation and judgment combined may make this the loneliest time in your life. It is very common for moms to feel extremely guilty as if somehow, in some way, [this is their fault](/blog/pans-pandas-symptoms-guilt-its-not-your-fault/) - which of course it isn't. Dads have [their own struggles](/blog/advice-guidance-for-pans-pandas-dads/), often centering around how to discipline a very defiant child and how to deal with the fact that **there is no quick fix to these complex problems**. The sheer uncertainty of what any day will bring can wreak havoc on family life. If there are other children in the house, the stress of having a sibling with PANS or PANDAS can affect them for years to come. Anxiety, depression, and even PTSD can be seen in siblings. ## ***How to Keep Relationships Healthy When Your Child Has PANS or PANDAS*** **The best way to protect your other children (and each other) is to come together and face every challenge as a team.** We were designed to draw strength and comfort from other human beings. However, failure to be intentional about your closest earthly relationship can further isolate you and will not leave you in the best position to care for your child. Based upon our experience and what we have seen work in many families, we have compiled a list of **10 things you can do to PANDAS-proof your marriage**: **1. Find good friends or family who will stay with your child**. Even if it's for 5 minutes while you walk around the block together and talk or, better yet, go on a date. It's important to take this time for each other and avoid any talk about your child or the stress of illness. *Clearing your mind with time alone can be life-changing*. **2. Always assume the best of each other**. It's easy in marriage or any close relationship to hold a grudge if you feel wronged or assume someone's motives are selfish. If you follow the simple rule of committing to always think the best of each other's motives and desires, it really will help avoid unnecessary arguments. **3. Find time to take your other children out separately from your child with PANS/PANDAS**. *It's important that they get some individual attention*, since so much of the family's energy goes toward healing your sick child. **4. Give each other a break**. Arrange times to stay with your child so that your spouse or partner can perform [self-care](/blog/self-care-for-caregivers/). *Self-care lowers stress hormones* and can improve your own immune response. **5. Pray or meditate with your spouse or partner**. The intimacy of prayer or meditation together can multiply the peace and connection that you feel. Making a regular time to get together for this activity can be particularly helpful. **6. Go to your child's doctor's appointments and school meetings with your spouse or partner whenever possible**. Often one parent (usually Mom) bears the brunt of keeping track of and attending these appointments. Make sure both of you know the medical information, what meds and supplements your child takes, and the general course of your child's treatment and support. This will avoid one of you alone having to bear the stress of recordkeeping, medication administration, medical decisions, and school interventions. **7. Keep up physical touch and intimacy with your spouse or partner**. This is good advice for anyone in a long term relationship. Stressful times can tend to cause us to withdraw from one another, but *physical touch has important emotional and hormonal benefits*. The couples that weather the PANS/PANDAS storm best continue to prioritize physical touch. Do remember, though, to read the situation and communicate, since stress can lower sex hormones and result in lowered libido. Keep the emphasis on hugging, cuddling, or massage, with sexual contact only if both partners are up for it. **8. Don't let your child with PANS/PANDAS triangulate you and your spouse or partner**. Your child should understand that the two of you are a united front. If you have any disagreement, it should always be discussed in private. You should also do your best to make sure that your child is not asking you for something that the other parent has already said no to. Children with PANS/PANDAS can be quite manipulative and selfish. **9. Use family medical leave if you are able**. The presence of two parents at home with increased frequency can really make a difference for the primary caretaker. It is a great way to [lessen the loneliness](/blog/parent-of-a-child-with-pandas-or-pans/), which is common in these disorders. **10. Remember that, as hard as PANS and PANDAS are, you are being given the opportunity to show your children how to respond to adversity and how to stick together when times get tough**. It can also be helpful to reframe the situation and ask yourself in what way this is happening for you rather than to you. ## ***Functional Medicine for PANS/PANDAS in Carmel, IN*** The Center for Fully Functional Health is proud and privileged to be the nation's foremost experts in the treatment of PANS and PANDAS. If you suspect or have a diagnosis of PANS/PANDAS, please contact our office at [(317) 989-8463](tel:(317) 989-8463) or [online](/contact/) to schedule your child's New Patient Appointment Package with Dr. Scott Antoine at our [functional medicine practice](/). Hope and healing are in reach. **If you’re unable to see our team in person or need additional PANS/PANDAS support, please visit [our sister site](https://www.thepandasdocs.com/) for information about resources authored by Dr. Scott Antoine. These include *The Comprehensive Physicians’ Guide to the Management of PANS/PANDAS*, the first and only medical textbook dedicated entirely to the diagnosis, testing, and effective treatment of PANS/PANDAS, and *Defeating PANS & PANDAS*, an online course designed to empower families facing PANS and PANDAS with knowledge, tools, and strategies for healing.** --- ## How To Restore Gut Health After Antibiotics **Link:** [How To Restore Gut Health After Antibiotics](https://fullyfunctional.com/blog/how-to-restore-gut-health-after-antibiotics/) ([md](https://fullyfunctional.com/blog/how-to-restore-gut-health-after-antibiotics/index.html.md)) **Description:** Our Fully Functional® approach on how to restore gut health after antibiotic use. Protecting and healing your GI tract from a Functional Medicine perspective. ### Content ## ***The Fully Functional® Approach on How To Restore Gut Health*** Many of you know that I had a recent appendectomy that was a bit complicated. I thought I had a typical GI bug because my kids were home, sick, so I discounted the possibility of something more serious. Unfortunately, I waited so long and until I had evidence of needing surgery that by the time I presented to the emergency department I had already perforated (‘ruptured’) my appendix. I was told it was necrotic (dead) and that the area around there was inflamed. In this article, I am covering a very comprehensive approach on **how to restore gut health**. The issue with the perforation of a part of your intestines is that you now have spillage of fecal material and bacteria into the abdominal cavity. YUCK! This is a true emergency *and can be life-threatening*. It requires immediate surgery and placement of a drain to remove any remaining infection/bacteria and antibiotics. If it isn’t treated aggressively you can become septic and die. A friend of mine had the same thing happen and ended up spending a month in the hospital and losing 40 pounds. ## ***Traditional vs. Functional Medicine*** I was certainly upset that I had a perforated appendix and even more upset with myself for waiting so long to take care of it. One of the benefits of being a board-certified Emergency Medicine is that I understand and am so thankful for what that type of care offers. Many folks consider **Traditional Medicine** bad and **Functional Medicine** good and I would tell you that I completely disagree. Having a respect and understanding of both is best and I believe that a doctor with a healthy understanding and appreciation of both provides the most comprehensive care to their patients. There is an absolute time and place for traditional medicine therapies, and in my case, emergency surgery and antibiotics were required. *Thank goodness I had access to them*. I like to describe things in word pictures and sometimes I think traditional medicine therapies are like a fire hose to a house on fire – we need it to put the life-threatening ‘fire’ out. [Functional Medicine](/) is like dealing with the smoldering coals underneath. It doesn’t put fires out but rather helps address what might lead to a fire or prevent ‘clean up.’ This is where **antibiotics** come into play. If you have a serious infection, such as what happens in a perforated appendix, or something like meningitis or cellulitis (skin infection) antibiotics (and sometimes surgery) become the fire hose and are required to prevent death. No one wants antibiotics, especially not me, but I appreciate their value. I have spent years healing my gut and working on having good gut flora as well as fighting off yeast overgrowth. Did you know that one course of antibiotics has been shown to disrupt the flora in the GI tract even years later?¹ First off, why do we want ‘bugs’ (flora) in our GI tract? That just sounds disgusting! The number of bacteria in the gut to the number of cells in the entire body is under debate but what we do know is that *there are at least as many bacteria in the body as there as cells in the whole body*.² The balance of bacteria is known as the microbiome. Imbalances in the microbiome (dysbiosis) have been associated with numerous diseases, including inflammatory bowel disease, diabetes (types 1 and 2), allergies, asthma, autoimmune diseases, autism, obesity, and cancer.³,⁴ Antibiotic use leads to **dysbiosis** and thus the risk for serious disease.⁵ So as you can imagine, while I was very fortunate and thankful to have access to antibiotics, I was also very motivated to heal my gut and improve the balance of the flora as quickly as I could. Antibiotics not only have a negative impact on gut health by disrupting the microbiome but have also been linked to intestinal permeability⁶ (leaky gut), immune dysfunction⁷, and decreased numbers of short-chain fatty acids⁸(the fuel that helps heal the gut).⁹ ## ***How I Restored My Gut Health Post-Antibiotic Use*** My goal for myself and my family as well as for my patients has always been to be one’s most healthy, productive, and joy-filled self. So here’s my **Fully Functional®** approach to get there and what I specifically did to protect and repair my GI system after antibiotic use: - **IDENTIFY** – underlying root issues and contributing factors – In this case, identifying the underlying root issue as to why I got appendicitis in the first place was relatively easy. Appendicitis is either caused by a fecalith (piece of stool stuck here) or inflammation of the lymphoid tissue leading to obstruction of blood flow and mucus clearing. Since I had several children home with the ‘stomach flu’ and it began as gastroenteritis for me, the suspected cause was infection leading to inflammation. If I’m being honest, I would also have to say that I was running myself ragged and not protecting myself against infection by doing those things I know to be important – sleeping adequately, hydrating enough, practicing stress reduction techniques, etc. It is important to **IDENTIFY** what led to the health issue to begin with otherwise the likelihood of it presenting itself with some other health concern/disease is high. - **REDUCE** – the negative impact having to take antibiotics has had on my health. I will get into this more below. - **OPTIMIZE** – detoxification. We are detoxifiers by design. We urinate, have bowel movements, sweat, exhale, process toxins through our liver, etc. Optimizing these processes is *critically important to achieving optimal health*. - **SUPPORT** – your immune system, structural support to bones, muscles, mucus membranes and cell membranes. - **PERSONALIZE** – become empowered by understanding your body better so that you can navigate your health journey differently in the future. ## ***The Fully Functional® 6 R Gut Healing Process (A.K.A. How To Restore Gut Health)*** ### **REMOVE:** Unhealthy diet – such as sugar, processed items, food additives - Foods that contribute to intestinal permeability – gluten¹⁰, common ones that cause adverse reactions¹¹ (soy, wheat, dairy, egg, peanut, shellfish, and tree nuts)¹² Yeast overgrowth as a result of antibiotic use - Herbal antifungals - Prescription antifungals - Yeast-free/sugar-free dietary plan Dysbiosis as a result of antibiotic use - Herbal antimicrobials Stressors - Work on stress reduction techniques Impact of antibiotics - Charcoal has been shown to be an effective binder¹³ ### **REPLACE:** Nutrients – magnesium, B vitamins, vitamin C, zinc and fat soluble vitamins (A, E, D, K)¹⁴ - Many of these nutrients are essential for the production of energy in the mitochondria (Kreb’s Cycle) – this energy is necessary for other biochemical processes in the body – including healing and detoxification Digestive support - Digestive enzymes if needed - Bile acids¹⁵ Short Chain Fatty Acids (SCFAs)¹⁶,¹⁷ - Through diet – fiber intake - Supplementation – Cal-Mag Butyrate ### **REPAIR:** Certain nutrients have been shown to be important in the health of the GI tract - Vitamin D¹⁸,¹⁹ - Essential fatty acids²⁰ - Glutamine – an amino acid²¹ - Zinc carnosine²² - Aloe²³ - Cannabinoids²⁴ ### **REINOCULATE:** Improve microbiome - Probiotics²⁵ - Beneficial yeast – Saccharomyces boulardii²⁶ ### **REBALANCE:** Hormone rebalancing Stress hormones²⁷ - Stress reduction techniques Thyroid hormones²⁸ - Replace when necessary/appropriate Sex hormones²⁹ - Optimizing hormonal health Neurotransmitters³⁰ - Regulating serotonin and others with 5-HTP³¹ - Rebalance priorities/stressors in your life ### **ROTATE:** *Don’t eat the same thing every day* – rotate foods and try to repeat foods no more frequently than once every 4 days Gut healing can take several months. An unhealthy gut and/or the side effects of antibiotics may not present with any GI symptoms, so you can’t rely on them. It is important to stick with the plan even after you are feeling well. For more information on gut health, please read our article on ‘[How to Heal Your Gut Naturally](/blog/how-to-heal-your-gut-naturally/)’. Some of these gut-healing remedies can be found at The Fully Functional® Shop. Reach out to our Inventory Manager, Sandy, for any questions you may have. She can be reached at [ office@fullyfunctional.com](mailto:office@fullyfunctional.com) You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[ *https://mic.microbiologyresearch.org/content/journal/micro/10.1099/mic.0.040618-0?crawler=true[.block][]* ](https://mic.microbiologyresearch.org/content/journal/micro/10.1099/mic.0.040618-0?crawler=true)*2 *[ *https://www.sciencedirect.com/science/article/pii/S0092867416000532[.block][]* ](https://www.sciencedirect.com/science/article/pii/S0092867416000532)*3 *[ *https://onlinelibrary.wiley.com/doi/full/10.1111/cmi.12308[.block][]* ](https://onlinelibrary.wiley.com/doi/full/10.1111/cmi.12308)*4 *[ *https://www.cell.com/cell-host-microbe/fulltext/S1931-3128(12)00358-7?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1931312812003587%3Fshowall%3Dtrue[.block][]* ](https://www.cell.com/cell-host-microbe/fulltext/S1931-3128(12)00358-7?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1931312812003587%3Fshowall%3Dtrue)*5 *[ *https://www.frontiersin.org/articles/10.3389/fmicb.2015.01543/full[.block][]* ](https://www.frontiersin.org/articles/10.3389/fmicb.2015.01543/full)*6 *[ *https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0144854[.block][]* ](https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0144854)*7 *[ *https://www.surgjournal.com/article/S0039-6060(07)00097-9/abstract* *[.block][]*](https://www.surgjournal.com/article/S0039-6060(07)00097-9/abstract)*8 *[ *https://www.tandfonline.com/doi/abs/10.3109/00365528609003109[.block][]* ](https://www.tandfonline.com/doi/abs/10.3109/00365528609003109)*9 *[ *https://www.ncbi.nlm.nih.gov/pubmed/24388214[.block][]* ](https://www.ncbi.nlm.nih.gov/pubmed/24388214)*10 *[ *https://www.sciencedirect.com/science/article/pii/S0016508513001352[.block][]* ](https://www.sciencedirect.com/science/article/pii/S0016508513001352)*11 *[ *https://www.sciencedirect.com/science/article/pii/S1590865806002593[.block][]* ](https://www.sciencedirect.com/science/article/pii/S1590865806002593)*12 *[ *https://www.jacionline.org/article/S0091-6749(04)02079-2/pdf[.block][]* ](https://www.jacionline.org/article/S0091-6749(04)02079-2/pdf)*13 *[ *https://academic.oup.com/jid/article/217/4/628/4653556[.block][]* ](https://academic.oup.com/jid/article/217/4/628/4653556)*14 *[ *https://lpi.oregonstate.edu/mic/micronutrient-inadequacies/overview[.block][]* ](https://lpi.oregonstate.edu/mic/micronutrient-inadequacies/overview)*15 *[ *https://www.ingentaconnect.com/content/[.block][]* ](https://www.ingentaconnect.com/content/)*16 *[ *https://www.ingentaconnect.com/content/[.block][]* ](https://www.ingentaconnect.com/content/)*17 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070119/* *[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070119/)*18 *[ *https://link.springer.com/article/10.1007/s00394-015-0966-2[.block][]* ](https://link.springer.com/article/10.1007/s00394-015-0966-2)*19 *[ *https://www.physiology.org/doi/full/10.1152/ajpgi.00398.2007[.block][]* ](https://www.physiology.org/doi/full/10.1152/ajpgi.00398.2007)*20 *[ *https://www.mdpi.com/1422-0067/18/12/2645/htm[.block][]* ](https://www.mdpi.com/1422-0067/18/12/2645/htm)*21 *[ *https://link.springer.com/article/10.1007/s00726-014-1773-4[.block][]* ](https://link.springer.com/article/10.1007/s00726-014-1773-4)*22 *[ *https://gut.bmj.com/content/56/2/168.short[.block][]* ](https://gut.bmj.com/content/56/2/168.short)*23 *[ *https://www.tandfonline.com/doi/full/10.1080/13880200701215307?scroll=top&needAccess=true[.block][]* ](https://www.tandfonline.com/doi/full/10.1080/13880200701215307?scroll=top&needAccess=true)*24 *[ *https://bmcgastroenterol.biomedcentral.com/articles/10.1186/s12876-014-0189-7[.block][]* ](https://bmcgastroenterol.biomedcentral.com/articles/10.1186/s12876-014-0189-7)*25 *[ *https://www.tandfonline.com/doi/full/10.4161/gmic.1.3.11712?scroll=top&needAccess=true[.block][]* ](https://www.tandfonline.com/doi/full/10.4161/gmic.1.3.11712?scroll=top&needAccess=true)*26 *[ *https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2036.2009.04102.x[.block][]* ](https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2036.2009.04102.x)*27 *[ *https://www.sciencedirect.com/science/article/pii/S0016508508004721[.block][]* ](https://www.sciencedirect.com/science/article/pii/S0016508508004721)*28 *[ *https://joe.bioscientifica.com/view/journals/joe/187/1/1870001.xml[.block][]* ](https://joe.bioscientifica.com/view/journals/joe/187/1/1870001.xml)*29 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3949254/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3949254/)*30 *[ *https://onlinelibrary.wiley.com/doi/abs/10.1002/jcp.25518[.block][]* ](https://onlinelibrary.wiley.com/doi/abs/10.1002/jcp.25518)*31 *[ *https://link.springer.com/article/10.1023/B:MCBI.0000049363.97713.74* ](https://link.springer.com/article/10.1023/B:MCBI.0000049363.97713.74) --- ## How to Test for PANS or PANDAS **Link:** [How to Test for PANS or PANDAS](https://fullyfunctional.com/blog/how-to-test-for-pans-or-pandas/) ([md](https://fullyfunctional.com/blog/how-to-test-for-pans-or-pandas/index.html.md)) **Description:** PANS/PANDAS experts Drs. Ellen and Scott Antoine of The Center for Fully Functional Health explain how to test and treat your child’s PANS or PANDAS. ### Content **As a parent, one of the scariest experiences of my life was seeing my child wake up with OCD symptoms virtually overnight.** Separating food, acting aggressively, losing the ability to get to sleep, facial tics – these are just a few **symptoms of PANS/PANDAS**. We have walked through these with our own child, and it led us to become experts in **PANS and PANDAS**, two closely related issues that share the same symptoms and treatment options. **In this article, we will provide a short overview of these two often-overlooked autoimmune disorders, followed by our research regarding testing options to help facilitate a diagnosis**. We know firsthand that having a child with PANS or PANDAS is frightening and isolating. We look forward to sharing the hope we have found with patients who are facing the same experience. ## ***What are PANS and PANDAS?*** **PANS stands for “Pediatric Acute-Onset Neuropsychiatric Syndrome.”** **PANDAS stands for “Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.”** PANDAS is technically a subset of PANS, even though PANDAS was identified first. PANDAS happens when a Group A strep infection (such as scarlet fever, strep throat, or rheumatic fever) seems to trick a child’s immune system *into attacking their own brain*, specifically the basal ganglia. This leads to sudden onset OCD and other mental health symptoms. PANS is basically the same **autoimmune disorder**, but the sudden onset of symptoms occurs in the absence of a strep infection. There is less known about what can trigger PANS, but some suspected PANS triggers include: - Chickenpox - Mycoplasma - Lyme disease - Epstein-Barr virus - H1N1 flu virus - Bartonella henselae bacterial infection - Toxin exposures - Stress PANS/PANDAS typically affects children between 3 years old and puberty. *Boys are twice as likely as girls to develop PANDAS*. **Until recently, very little was known about PANS/PANDAS.** Doctors often mistook the symptoms for mental illness, or even attributed the multitude of behavioral symptoms to “bad parenting” or poor discipline at home. This is not the case! We know now that PANS/PANDAS is far more prevalent than first thought. In fact, some adults with OCD and anxiety represent “missed cases” of PANS/PANDAS during childhood. **Signs of PANS/PANDAS include the *sudden onset* of food restrictions, extreme anxiety, aggression, behavioral or learning regression, sensory abnormalities, and somatic symptoms such as night terrors or bedwetting.** If you suspect your child may have PANS or PANDAS, our article about [the symptoms and signs](/blog/pans-pandas-symptoms/) is a good place to start. If you are ready to progress to a formal diagnosis and need advice about how to proceed, please read on. ## ***How Do You Test for PANS or PANDAS?*** **One of the reasons the medical community struggled to acknowledge and treat PANS and PANDAS for so long is because it cannot be diagnosed with a single blood test or scan.** It requires expert clinical knowledge to make a formal diagnosis, and that knowledge was missing in the broader medical population for many years. Even now, you may encounter ignorance from your own pediatrician or family medical clinician. If you need help, we have shared [the medical research](/blog/pandas-diagnosis-why-some-doctors-believe-pandas-isnt-real/) supporting PANS and PANDAS as a clinical reality. Now that we’ve gotten the word out about the signs and symptoms of PANS and PANDAS, we’ve decided to address one of the most common questions that we get about diagnosing these disorders: **What tests should be performed to confirm a diagnosis of PANS or PANDAS?** It’s a question we receive not only from parents of PANS/PANDAS patients, but also from other physicians who have just begun seeing these children. ## ***Making a PANS/PANDAS Diagnosis*** The simplest (and most correct) answer to the question of what lab or imaging abnormalities are required to make the diagnoses of PANS or PANDAS is “none.” **A correct diagnosis of PANS or PANDAS can be made based *solely* upon behavioral changes and neurologic signs identified during a careful, thorough history and physical exam by a PANS/PANDAS specialist.** You may have been told by a physician new at treating PANS and PANDAS that a negative or normal test (like a strep culture, ASO test, or Cunningham panel, for example) rules out PANS and PANDAS – *nothing could be further from the truth*! Testing may support the diagnosis of PANS or PANDAS, but it is not absolutely required. ***We want to emphasize that taking a very careful history in these cases is the key to diagnosis.*** Secondly, every patient requires a hands-on physical examination by a physician well-versed in PANS and PANDAS to ensure the symptoms are not the result of other serious medical conditions, including rheumatic fever or acute brain infections. However, we also understand that labs and imaging are of value and can help offer additional information for PANS/PANDAS patients. We want to do everything we can to help remove the confusion and frustration felt by parents of children with PANS and PANDAS. **Below is a comprehensive list of the tests we most often recommend.** Please keep in mind that your child is extremely unlikely to need all of these, and again, *technically none of them are required for the initial diagnosis*. **If you need more information about any of these tests, including why they might be required, how they are administered, and what results we typically look for, please download our free guide, *What You Need to Know about Testing in PANS and PANDAS***. It offers an expanded version of this article *with 16 pages of detailed help*, and you can download it now by entering your name and email address below. (We will never sell or share your information, and we will only contact you with helpful medical insights and research.) ## ***Common PANS/PANDAS Testing*** **Testing for Strep infection** - Rapid Strep Antigen Testing - Strep culture - Nucleic acid amplification tests (NAATs) - ASO and anti-DNase B titers **Testing for Other Infections** - Mycoplasma - Influenza - Lyme Disease with CLIA certified labs sensitive enough to detect multiple Borrelia species - Antibody testing (IgG and IgM) for Bartonella, Babesia, and Ehrlichia - Antibody testing (IgG and IgM) for Epstein Barr Virus (EBV) - PCR testing for EBV - Antibody testing (IgG and IgM) for Coxsackie virus - Human herpesvirus 6 - HSV1 and 2 antibodies - Antibody testing (IgG, IgA, and IgM) for Candida - Stool study to look for high levels of Candida **Testing the Immune Response** - IgG, IgM, IgA levels with IgG and IgA subclasses to look for common variable immune deficiency (CVID) - IgG antibody responses to immunizations; if a child has been immunized and has not made antibodies, they may have what is called a “specific antibody deficiency,” commonly seen in children with PANS and PANDAS. - Antinuclear antibody (ANA) testing - Glutamic Acid Decarboxylase (GAD-65) antibodies - Cunningham Panel **Other Laboratory Testing** - Complete blood count (CBC) - Blood chemistry - C-reactive protein - Celiac testing - Copper levels - Heavy metal testing - Urine mycotoxin tests to look for a history of exposure to mold - Lumbar puncture - Allergy testing **EEG Testing and Brain Imaging** - EEG - MRI of the brain - PET scanning and SPECT scanning We hope you have found this information helpful. Once again, please remember that **PANS and PANDAS are diagnosed clinically**. *Testing should be used to support the clinical diagnosis*, make sure nothing else is causing these symptoms, and identify specific causes to help focus your child’s treatment. **We have both the academic knowledge and clinical experience to solve this medical mystery and help you find your child again. If you would like your child to be seen in our Carmel, Indiana, practice by Dr. Scott Antoine or want to find out more about our comprehensive online program, *Defeating PANS and PANDAS*, please call our office at [(317) 989-8463](tel:(317) 989-8463) or see [Becoming a Patient.](/patient-resources/become-a-patient/)** [*Sources*[.block][]*Strep:*[.block][] ](/patient-resources/become-a-patient/)[*https://www.cochrane.org/CD010502/ARI_what-performance-rapid-tests-diagnosis-strep-throat-children*](https://www.cochrane.org/CD010502/ARI_what-performance-rapid-tests-diagnosis-strep-throat-children)[.block][] [*https://jcm.asm.org/content/44/7/2593*](https://jcm.asm.org/content/44/7/2593)[.block][] [*https://www.aafp.org/afp/2005/0315/p1064.html#afp20050315p1064-b1 *](https://www.aafp.org/afp/2005/0315/p1064.html#afp20050315p1064-b1)[.block][] [*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5035405/pdf/zjm2413.pdf *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5035405/pdf/zjm2413.pdf)[.block][] [*https://www.ncbi.nlm.nih.gov/books/NBK532707/ *](https://www.ncbi.nlm.nih.gov/books/NBK532707/)[.block][] [*https://www.ncbi.nlm.nih.gov/books/NBK374206/*](https://www.ncbi.nlm.nih.gov/books/NBK374206/)[.block][] [*https://academic.oup.com/jpids/article/3/4/336/909914 *](https://academic.oup.com/jpids/article/3/4/336/909914)[.block][] [*https://academic.oup.com/jid/article/188/6/809/943043 *](https://academic.oup.com/jid/article/188/6/809/943043)[.block][] *Mycoplasma:*[.block][][*https://www.cdc.gov/*](https://www.cdc.gov/)[.block][] [*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442568/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442568/)[.block][] [*https://journals.sagepub.com/doi/abs/10.1177/0883073807308714*](https://journals.sagepub.com/doi/abs/10.1177/0883073807308714)[.block][] [*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997415/pdf/jocmr-10-535.pdf*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997415/pdf/jocmr-10-535.pdf)[.block][] [*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193707/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193707/)[.block][] *Lyme and other tick-borne infections:*[.block][][*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3292400/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3292400/)[.block][] [*https://ajp.psychiatryonline.org/doi/abs/10.1176/ajp.151.11.1571?journalCode=ajp*](https://ajp.psychiatryonline.org/doi/abs/10.1176/ajp.151.11.1571?journalCode=ajp)[.block][] [*https://www.rheumatologyadvisor.com/home/topics/lyme-disease/diagnosing-lyme-disease-in-children-with-neuropsychiatric-illness/*](https://www.rheumatologyadvisor.com/home/topics/lyme-disease/diagnosing-lyme-disease-in-children-with-neuropsychiatric-illness/)[.block][] *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423671/pdf/10.1177_1179573519832014.pdf*[.block][] [*https://www.sciencedirect.com/science/article/abs/pii/S0193953X05700320 *](https://www.sciencedirect.com/science/article/abs/pii/S0193953X05700320)[.block][] *Epstein Barr Virus:*[.block][] [*/*](/)[.block][] [*https://www.cdc.gov/*](https://www.cdc.gov/)[.block][] [*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4747270/pdf/PNB-29-88.pdf *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4747270/pdf/PNB-29-88.pdf)[.block][] [*https://academic.oup.com/jid/article/179/4/1012/887564 *](https://academic.oup.com/jid/article/179/4/1012/887564)[.block][] [*https://journals.sagepub.com/doi/abs/10.1177/088307380001501204 *](https://journals.sagepub.com/doi/abs/10.1177/088307380001501204)[.block][] [*https://cmr.asm.org/content/24/1/193 *](https://cmr.asm.org/content/24/1/193)[.block][]*Candida:*[.block][] [*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5373951/pdf/nihms834479.pdf *](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5373951/pdf/nihms834479.pdf)[.block][] [*https://www.nature.com/articles/npjschz201618*](https://www.nature.com/articles/npjschz201618)* *[.block][]*Mycotoxins:*[.block][] [*https://mouldgone.com/wp-content/uploads/2018/10/Mold-and-Mycotoxins-Effects-on-the-Neurological-and-Immune-Systems-in-Humans.pdf*](https://mouldgone.com/wp-content/uploads/2018/10/Mold-and-Mycotoxins-Effects-on-the-Neurological-and-Immune-Systems-in-Humans.pdf)[.block][] [*https://www.clinicaltherapeutics.com/article/S0149-2918(18)30229-7/fulltex*](https://www.clinicaltherapeutics.com/) --- ## How to Test Your Home for Mold **Link:** [How to Test Your Home for Mold](https://fullyfunctional.com/blog/how-to-test-your-home-for-mold/) ([md](https://fullyfunctional.com/blog/how-to-test-your-home-for-mold/index.html.md)) **Description:** How do you tell if your home has mold? Learn how to get your house tested for mold and mycotoxins and the steps in a science-based mold inspection. ### Content ***Testing your home for mold involves a science-based inspection using environmental and surface testing for mold and mycotoxins. In this article, we’ll explain how mold exposure happens and how to test your home if you suspect issues. This is part one of a two-part series about safe, science-based mold testing and remediation. Please read [our article about mold remediation](/blog/10-steps-to-safe-mold-remediation-for-your-home/) to learn how to safely remove mold from your home.*** ## How Does Mold Grow? We're all familiar with the sort of mold that grows when leftovers sit in the refrigerator too long. We also benefit from helpful mold when we make aged or fermented foods like bleu cheese. But **toxic mold** is a different story altogether, and exposure to these harmful fungi can cause serious, life-threatening illness. Much like humans, mold requires two things to grow: *food and water*. Combine moisture from humidity or a leak with common building materials such as drywall, wood, or paper, and you've got all the nourishment needed for toxic mold. The real surprise comes with how often your environment has the components needed for mold to thrive! ## Where Does Mold Exposure Happen? Research by the U.S. Environmental Protection Agency found that 85% of commercial buildings had evidence of water intrusion, and 43% had current water intrusion at the time of the study. [1] That's right: As you read this, almost all office buildings, medical facilities, schools, stores, and places of worship have the right environment for **mold growth**. The issue crops up closer to home as well. Based on 2009 government census data, about 10% of homes had water leakage from an external source, and about 1% had leakage from an internal source. [2] Based on weighted population averages from multiple studies, it is estimated that about *50% of homes have some degree of dampness*. Remember that, unless homeschooled, your child also spends a significant period of time in a separate school building every year. Schools, like all government buildings, are often made by the company with the cheapest construction bid. As such, leaks are common. In fact, the U.S. Government Accounting Office found that about 30% of U.S. schools tested had plumbing problems, and 27% had roof problems. [3] Other studies have suggested that mold may be as common in schools as it is in U.S. homes. [4] It is very difficult (if not impossible) to get schools to test for mold or **mycotoxins**, which means you must resort to watching for symptoms of mold toxicity instead. Document changes in your child when they stay in different places for an extended period of time. Clues might be changes you see during and after holiday or summer breaks - if your child deteriorates after starting school again, mold may be present in the school. Often the onset of [**PANS/PANDAS**](/blog/how-to-test-for-pans-or-pandas/) occurs following a trip for Spring Break because many coastal locations have very high humidity at baseline, and mold growth is extremely common in vacation homes. If you think your home or office may be one of those buildings that has a current or past water exposure, then it's vital that you perform proper testing to ensure the safety of everyone who enters. ## How Do I Test My Home for Mold? The first step in evaluating your home for possible mold is assessing the risk. It is important to remember that mold is not only present in older homes. Building materials like drywall and lumber are often exposed to humidity both before and during the building process. This can increase the chance of mold growth in a newly built home. A known water leak (from a leaky pipe, broken sump pump, overflowing bathtub, or roof leak) always *increases the risk of mold and mycotoxins*, unless the affected area was immediately exposed and aggressively dried within 24 hours of the leak. In addition to a known water leak, your nose can also sniff out a mold problem. Mycotoxins are odorless but volatile organic compounds (VOCs) produced by mold are not. Mycotoxins are responsible for creating the musty odor often associated with mold, so a musty odor is a definite cause for concern! However, it's important to note that *the lack of an odor does not necessarily rule out mold*. Any home that has had a significant leak (especially if not found for more than 24 hours) should be checked for mold and mycotoxins. Humidity in the air and on surfaces can also indicate an increased risk for mold. The humidity level in your home is quickly and easily tested with an inexpensive hygrometer. Hygrometers are also available, which have prongs that can be inserted into drywall or wooden surfaces to indicate humidity. If you think there is a risk of mold in your home, or if you are ill or you have mycotoxins in your system, *a professional mold inspection is recommended*. ## How Do I Find a Mold Inspector? In many states, no specific certification or qualification is required for an expert to test or remediate mold in your home. That's why it's important to use a source you can trust when choosing a **professional mold inspector**, also called an *Indoor Environmental Professional* (IEP). We cannot overstate the importance of choosing a qualified IEP for your mold testing and remediation. We have had patients get sicker after they tried to remediate on their own or hire someone who promises to do the whole job for a much lower price than the experts. In order to help facilitate your search, The Center for Fully Functional Health is a founding member of the International Society for Environmentally Acquired Illness (ISEAI). This worldwide professional organization is dedicated to the treatment of chronic infections, mycotoxins, and other environmental toxicants and their effects. The ISEAI website is always our first recommendation when looking for [**an IEP in your area**](https://iseai.org/find-a-professional/#iep). We are also happy to provide guidance for our local Carmel, Indiana, patients about which local IEPs are the best choice and which should be avoided. If the ISEAI website does not feature a professional who works in your geographical region, we recommend looking for a professional certified by [**the American Council for Accredited Certification**](https://www.acac.org/professionals) with both CIEC and CMC certifications. This means your IEP is a Council-Certified Indoor Environmental Consultant and a Council-Certified Microbial Consultant with at least eight years of experience. If you need to progress to mold remediation, look for ACAC candidates with CMRS or CMR certifications. A CMRS certification means the IEP is a Council-Certified Microbial Remediation Supervisor with at least eight years of experience, while a CMR indicates a Council-Certified Microbial Remediator with at least two years of experience. ## What Should a Mold Inspection Look Like? Based upon years of experience and many encounters with patients who have become ill after mold exposure, we recommend an **in-person inspection** as the very first step. ### *Visual Inspection* The inspector should look first at the landscape outside the home and make sure it is not graded toward the home, which can result in water in the basement or crawlspace. The IEP should also inspect the roof and attic, as well as the basement and any crawlspaces present. This portion of the inspection should be hands-on, and the IEP should physically enter all of those spaces. They will be looking for any signs of water intrusion (staining on the ceiling, for example) and for mold itself. Humidity should be checked with a high-quality hygrometer, and good inspectors also use a temperature gun to check for thermal cold spots on the walls of the home. Cold spots may indicate cracks or water behind the wall. ### *Spore Trap & Tape Testing* Next, the inspector may suggest **spore trap testing** for molds. This should be done both inside and outside the home. Spore counts inside the home should be at least 50% lower than outside the home. One issue with spore traps is that not all molds are airborne, and molds such as Stachybotrys are more problematic than other molds. Some molds are more “sticky” and tend to be settled and therefore underreported on spore traps. **Tape testing** is also often performed by IEPs to determine whether residue in building materials is mold, and if so, what type. This can be helpful in some cases. A word about doing your own mold testing: There are some direct-to-consumer mold testing plates that may be set up in the home, but these are not standardized in terms of results. In our own practice, we have unfortunately seen these consumer tests read normal in homes with significant mold issues. We've also had patients get an abnormal number indicating a high mold count, only to have extensive IEP evaluations fail to find mold. These consumer tests can be a starting point, but they do not replace professional mold testing. ### *Environmental Mycotoxin Tests* As noted above, the major issue with mold exposures comes from the mycotoxins they produce. [**Realtime Labs**](https://realtimelab.com/) offers an **environmental mycotoxin test** that measures four major families of mycotoxins. Samples are taken from the air handler filter in your home or via swab from inside the furnace ducts, then tested for these mycotoxins. If a home has no evidence of visible mold, a positive environmental mycotoxin test may indicate hidden mold, past mold which was remediated, or mycotoxins which have been transferred on belongings from another location. Since the samples are taken from the air handler filter, a positive result means that these mycotoxins can be blown into any room in the house via the vents. This test can also be matched up with tests from you or your child. If similar mycotoxins are noted, the home may be the source. ### *Don't Forget Actinomyces* It is not just mold and its associated mycotoxins or VOCs that make people sick in water-damaged buildings. We are now aware of specific bacteria common in the same settings. One specific bacteria that can make people sick is called “actinomyces,” or sometimes “actinomycetes.” These bacteria can cause human infections of the lungs, sinuses, and other areas. [5] [6] **Actinomyces** was once thought to be a fungus, and it behaves in some ways as a fungus. This bacteria may produce biotoxins which adversely affect human health, similar to mycotoxins. One report discusses the possible role of actinomyces as a trigger for rheumatoid arthritis. [7] *Actinomyces also stimulate inflammation and oxidative stress*. [8] Testing for actinomyces DNA is available from a company called [**EnviroBiomics**](https://www.envirobiomics.com/?v=7516fd43adaa). Some IEPs and medical practitioners even believe that testing for actinomyces is actually more important than mold in buildings with leaks or significant humidity. If you suspect illness because of exposure to a water-damaged structure, remember actinomyces testing as well. ## What to Do If You Find Mold If your IEP finds evidence of mold or mycotoxins in your home, then [**professional remediation**](/blog/10-steps-to-safe-mold-remediation-for-your-home/) is a must. This process involves repairing and replacing any structural materials affected by mold, as well as cleaning or disposing of household belongings that have been affected. It is important that you do NOT attempt mold remediation without the advice and oversight of a qualified IEP, as *improper remediation can actually worsen mold growth* and related health issues. If you suspect that you or your loved ones are suffering from **mold toxicity**, and you are able to travel to The Center for Fully Functional Health in Carmel, Indiana, please contact our [functional medicine office](/) immediately by filling out the form at the bottom of this page or calling [(317) 989-8463](tel:(317) 989-8463), Monday - Thursday 8AM to 5PM Eastern. Our physicians have **decades of experience** successfully treating mold toxicity and related disorders, and we would be honored to guide your recovery. ## *Sources:* - * Burton LE, Baker B, Hanson D, Baseline Information on 100 Randomly Selected Office Buildings in the United States (BASE): Gross Building Characteristics. Proceedings of Healthy Buildings. 2000;1:151-156* - [***https://iaqscience.lbl.gov/prevalence-building-dampness***](https://iaqscience.lbl.gov/prevalence-building-dampness)*, accessed 4/11/2022* - [***https://www.gao.gov/assets/hehs-95-61.pdf***](https://www.gao.gov/assets/hehs-95-61.pdf)*, accessed 4/11/2022* - * Mudarri D, and Fisk WJ. Public health and economic impact of dampness and mold. Indoor Air. 2007;17:226-235* - * Park JH, Cox-Ganser JM, White SK, et al. Bacteria in a water-damaged building: associations of actinomycetes and non-tuberculous mycobacteria with respiratory health in occupants. Indoor Air. 2017;27(1):24-33* - * Gajdács M, Urbán E. The Pathogenic Role of Actinomyces spp. and Related Organisms in Genitourinary Infections: Discoveries in the New, Modern Diagnostic Era. Antibiotics (Basel). 2020;9(8):1-19* - * Lorenz W, Trautmann C, Kroppenstedt RM, et al. Actinomycetes in Moist Houses, The Causative Agent of Rheumatoid Symptoms? Proceedings: Indoor Air; 2002:58-63* - * Hirvonen MR, Ruotsolainen M, Savolainen K, Nevalainen A. Effect of viability of actinomycete spores on their ability to stimulate production of nitric oxide and reactive oxygen species in RAW 264.7 macrophages. Toxicology. 1997;124:105–114* --- ## How to Use CBIT: A Parent's Guide to Cognitive Behavioral Interventions for Tics **Link:** [How to Use CBIT: A Parent's Guide to Cognitive Behavioral Interventions for Tics](https://fullyfunctional.com/blog/how-to-use-cbit-a-parents-guide-to-cognitive-behavioral-interventions-for-tics/) ([md](https://fullyfunctional.com/blog/how-to-use-cbit-a-parents-guide-to-cognitive-behavioral-interventions-for-tics/index.html.md)) **Description:** Learn how CBIT teaches kids to recognize tics, use competing responses, and stay calm, then schedule a consult to personalize therapy for your family. ### Content In this article, we’ll explain Cognitive Behavioral Interventions for Tics (CBIT). CBIT is an evidence-based treatment that helps children reduce the frequency and intensity of their tics through awareness and alternative strategies. Read to learn more about how this therapy works, plus exercises you can use at home to support your child. ## What causes tics in children? **Tics are sudden, repetitive movements or sounds that a child makes, often uncontrollably.** Examples include blinking, throat clearing, or jerking movements. Tics can increase with stress, excitement, or fatigue, and they can cause both the child and their caregivers discomfort. In severe cases, they can inhibit the child’s ability to communicate or interact socially. There are many reasons why a child might develop tics. **In our practice, we frequently see tics as a part of PANS (Pediatric Autoimmune Neuropsychiatric Disorders) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections).** PANS and PANDAS cause autoimmune inflammation of certain parts of the brain in response to bacterial infections, toxic mold exposure, or other environmental factors. [This article](/blog/pans-pandas-symptoms/) explains more about the signs and symptoms of PANS/PANDAS, and [this guide](/blog/what-to-do-if-your-child-pans-or-pandas/) shares what to do if your child is struggling. Other conditions and issues that may cause tics include: **Tourette Syndrome (TS)** – The most well-known condition associated with tics, Tourette Syndrome is a neurological disorder characterized by both motor and vocal tics that persist for at least a year. **Chronic Tic Disorders** – These include Chronic Motor Tic Disorder and Chronic Vocal Tic Disorder, where a child experiences either motor or vocal tics (but not both) for over a year. **Transient Tic Disorder** – Many children experience unexplained tics temporarily, often between the ages of 5 and 7, with symptoms resolving within a year. **ADHD (Attention-Deficit/Hyperactivity Disorder)** – There is a proven relationship between ADHD and tic disorders, with some children developing tics as a co-occurring condition. Some stimulant medications commonly prescribed for ADHD can also trigger or exacerbate tics in children. **OCD (Obsessive-Compulsive Disorder)** – Some children with OCD experience tics, particularly if their OCD symptoms include compulsive movements that resemble tics. [Anxiety and Stress](/symptoms/depression-anxiety/) – Tics can be exacerbated or triggered by stress, anxiety, or significant life changes, such as starting a new school, family conflicts, or academic pressure. **Autism Spectrum Disorder (ASD)** – While tics are not a core feature of autism, some children on the spectrum exhibit tic-like behaviors, often related to self-stimulatory actions or repetitive movements. **Sensory Processing Issues** – Some children with sensory processing challenges develop tics or tic-like behaviors in response to overwhelming stimuli. Tic disorders tend to run in families, and children with a parent or sibling who has tics, Tourette Syndrome, OCD, or ADHD are at a higher risk. [Sleep deprivation](/blog/tips-for-improving-sleep-combat-insomnia-good-sleep-hygiene/) and fatigue also play a role, as a lack of sleep can make tics worse, and fatigue can lower a child’s ability to suppress or manage them. For children with tics, we also look at diet and any signs of potential [food sensitivities](/blog/food-sensitivities-behind-your-mystery-symptoms/) or nutritional deficiencies. While not a direct cause, some children may experience worsened tic symptoms due to sensitivities to food dyes, preservatives, or deficiencies in magnesium, zinc, or omega-3 fatty acids. No matter the cause, tics can be disruptive for the child, their loved ones, teachers, and friends. **CBIT** offers a natural strategy to help reduce and manage tics, so kids feel more in control again. ## What is CBIT? **CBIT (Cognitive Behavioral Intervention for Tics)** is a non-medication therapy that helps children manage their tics by becoming more aware of them and learning ways to reduce or change them. It’s based on the idea that while tics are involuntary, kids can train their brains to respond to the urge to tic in a different way. ## How does CBIT work? Tics are like habits the brain has learned over time, and **CBIT** helps retrain the brain by replacing the tic with a more controlled response. Many kids see big improvements with CBIT, and studies show that it works as well as (or even better than) medication for some children. Unlike medicine, it doesn’t have side effects and gives kids skills they can use for life. **CBIT** has three main parts: **1. Awareness Training** Your child learns to recognize the feeling or urge that happens right before a tic. This *premonitory urge* often feels like a pressure or tension in the body that is temporarily relieved by the tic. By noticing these urges, they gain more control over their reactions. **2. Competing Response Training** Once a child recognizes the urge to tic, they learn to do a different movement instead – something that makes it hard to do the tic. This *competing response* is usually a subtle movement that doesn’t stand out, like gently pressing their hands together or lightly tensing a muscle. Over time, this helps weaken the tic response. **3. Functional Interventions** An important part of CBIT is you and your child working together to identify situations that worsen tics and make modifications to reduce their impact. CBIT also teaches kids how to reduce stress, improve sleep, and manage emotions, since tics can get worse when kids are anxious, tired, or overwhelmed. Parents and teachers can help by making small changes to daily routines to support CBIT progress. If you feel your child would benefit from **CBIT**, it’s important to connect with a licensed therapist who has experience with Cognitive Behavioral Therapy or CBIT specifically. Additional Exercises to Help Stop Tics In addition to standard awareness and competing response training, the following exercises can provide your child with tools to manage tics more effectively. All of these exercises use the same principles as CBIT and can help your child manage and reduce their tics. **1. The Stop Sign Exercise** **Goal:** Help your child use *visual cues* to interrupt the tic before it happens. **How:** When your child feels the urge to tic, they imagine a big red stop sign in their mind. This visual signal reminds them to pause and focus on stopping the tic. You can also place small stop sign images in areas of the home where tics frequently occur to reinforce the habit. **Example:** If your child feels the urge to blink excessively, they imagine the stop sign and instead hold their eyes closed for a few seconds, relaxing the muscles around their eyes. **2. Deep Breathing Exercise** **Goal:** Relax your child’s body and mind to reduce tic urges. **How:** Teach your child to take slow, *deep breaths* when they feel the urge to tic. Deep breathing can calm the nervous system and reduce stress, which often triggers tics. Practice this regularly during moments of rest. **Example:** If your child feels a throat-clearing tic coming, they can take a slow breath in through the nose and exhale slowly through the mouth, focusing on the breath instead of the tic. **3. Progressive Muscle Relaxation (PMR)** **Goal:** Reduce overall muscle tension that can lead to tics. **How:** Your child tenses and then relaxes different muscle groups in their body, helping them identify where tension builds up before a tic. This can be done once or twice a day to relieve general tension and make them more aware of physical sensations. **Example:** Ask your child to tighten the muscles in their hands and hold for five seconds, then relax completely. Repeat with other muscle groups, such as the arms, legs, and shoulders. **4. Tension Release Exercise** **Goal:** Provide an immediate outlet for pre-tic tension. **How:** When your child feels the urge to tic, they consciously tighten the muscles involved in the tic for a few seconds and then release them slowly. This release helps alleviate the sensation without letting the tic happen. **Example:** If your child experiences a neck-jerking tic, they can gently tense their neck muscles for 3-5 seconds and then slowly relax them. **5. Counting Exercise** **Goal:** Distract the brain and focus on mental tasks instead of tics. **How:** When your child feels the urge to tic, encourage them to count to 10 in their head slowly or to do some simple mental math (e.g., counting by twos). This cognitive distraction can help interrupt the cycle of tics. **Example:** If your child feels the need to sniff repeatedly, they can start counting in their head, focusing on the numbers instead of the urge to sniff. **6. Mindful Distraction Exercise** **Goal:** Help your child focus on something enjoyable to reduce the frequency of tics. **How:** Teach your child to shift their attention to a favorite object, activity, or sound when they feel a tic urge. Mindful distraction engages the brain in a pleasant task, which can reduce stress and tic frequency. **Example:** If your child loves music, they can focus on a song playing in the background and listen intently to the instruments or lyrics to divert attention from the tic. **7. Finger Tapping Exercise** **Goal:** Provide a competing response that involves the hands. **How:** When your child feels an urge for a hand- or arm-related tic, they can practice tapping their fingers together or tapping their fingers on their lap in a rhythmic pattern. This replaces the tic with a controlled movement. **Example:** If your child has a hand-flapping tic, they can tap their thumb to each finger on one hand, focusing on the pattern instead of the urge to tic. **Supporting Your Child Through CBIT** **CBIT** takes time and patience, but the benefits can be life-changing. To best support your child, remember to offer: **Consistent Practice** CBIT works best when your child practices these exercises daily. Encourage them to use the exercises even when they are not feeling stressed or tired, so it’s easier to do in times when they’re struggling. However, it’s important to support your child without making them feel pressured. Gently remind them to use the exercises, but avoid being overly focused on their tics, as this can create anxiety. **Positive Reinforcement** Praise your child for using their competing responses and trying out these exercises. It’s about the process, not whether they always succeed in stopping or lessening their tics. This positive encouragement will motivate them to keep practicing. Remember, frustration during CBIT is normal for your child, especially at first. Encourage your child to take breaks and remind them that progress takes time. Celebrate small successes along the way. **Stress Management** Since tics can increase with stress, help your child find relaxing activities like drawing, listening to music, or spending time outdoors. If there are conflicts or relationships causing your child stress, work to find adult solutions to reduce the impact on their life. For additional CBIT resources, we recommend two books: What to Do When Your Brain Gets Stuck by Dawn Huebner and Tics and Tourette Syndrome: A Handbook for Parents and Professionals by Uttom Chowdhury. **CBIT** offers a range of tools and exercises to help your child gain control over their tics. By practicing these strategies regularly and receiving positive reinforcement from you, your child can reduce the frequency and intensity of their tics over time. If you suspect your child has PANS/PANDAS or would like the support of our award-winning [Integrative Medicine team](/functional-medicine/) in Carmel, Indiana, please contact our [plastic surgeon in Carmel](/) team at [(317) 989-8463](tel:(317) 989-8463), Monday – Thursday 8AM to 5PM Eastern, or fill out the contact form below. If you’re unable to see our team in person or need additional PANS/PANDAS support, please visit [our sister site](https://www.thepandasdocs.com/) for information about resources authored by Dr. Scott Antoine. These include *The Comprehensive Physicians’ Guide to the Management of PANS/PANDAS*, the first and only medical textbook dedicated entirely to the diagnosis, testing, and effective treatment of PANS/PANDAS, and *Defeating PANS & PANDAS*, an online course designed to empower families facing PANS and PANDAS with knowledge, tools, and strategies for healing. --- ## Hypnosis and Christian Beliefs: A Faithful Alignment **Link:** [Hypnosis and Christian Beliefs: A Faithful Alignment](https://fullyfunctional.com/blog/hypnosis-and-christian-beliefs-a-faithful-alignment/) ([md](https://fullyfunctional.com/blog/hypnosis-and-christian-beliefs-a-faithful-alignment/index.html.md)) **Description:** See how hypnosis supports Christian beliefs, eases trauma, and complements prayer, then schedule a consultation to add this healing tool to your care. ### Content Many Christian patients in our practice question whether hypnosis aligns with their beliefs, in large part because of misunderstandings fostered by pop culture. In this article, we’ll explain what hypnosis is and, even more importantly, what it isn’t. We’ll also discuss the clinical benefits of hypnosis and how to practice hypnosis in a responsible, ethical manner. If you or someone you love has wondered whether hypnosis is *compatible with your faith*, this blog is a must-read. We’ve all seen movies or TV shows where a victim is unknowingly “hypnotized” by the villain and forced to do terrible things against their will, with no memory of the events afterward. It’s a theme that shows up again and again, since the earliest days of silent motion pictures. Though created entirely for cinematic drama, those plot lines have cultivated a lot of fear and mistrust about hypnosis. The notion of hypnosis as mind control and its sinister associations in the media have also led many people within Christian communities to question whether hypnosis can possibly align with their beliefs. As a result, they may resist the notion of hypnosis as part of their medical care because they are frightened that they will be hurt, or that being hypnotized will open their minds to evil acts or influences. In [our practice](/about-us/), we have found the opposite is true. When practiced by a trained professional in a safe, clinically informed atmosphere, hypnosis offers a rapid, painless way to help people work through decades of trauma, phobias, or harmful beliefs about themselves. We have seen patients who were victims of terrible abuse or who suffer from crippling PTSD and anxiety find true healing with the help of hypnosis. **Let’s start by examining what hypnosis is – and what it is not.** ## What Is Hypnosis? **Hypnosis is a natural state of focused attention and heightened suggestibility, akin to *deep meditation or prayer*.** You have likely already experienced the same deep focus as hypnosis many times throughout your life when you were absorbed in a task, lost in thought or prayer, or daydreaming. There is no mind control involved in hypnosis, and patients remain awake and aware throughout hypnosis sessions. Instead, hypnosis allows individuals to access their subconscious mind, where deeply ingrained habits, beliefs, and emotions reside. Through this state, positive changes can be made that enhance a patient’s life in a variety of ways. Clinical hypnosis is a respected therapeutic tool used to help people work through deep-seated issues including: - Trauma and [PTSD](https://fullyfunctional.com/symptoms/depression-anxiety/) - Phobias and anxiety - Chronic pain and stress - Harmful habits like smoking or overeating - Mental or emotional blocks that inhibit work or athletic performance **Think of hypnosis as a spotlight.** In everyday life, our minds are like floodlights, aware of everything and often overwhelmed as a result. This is especially true of people who have experienced trauma, abuse, or significant illness, all of which can train our minds to be hypervigilant. Our brain’s floodlight attempts to shine everywhere, as we try to monitor and control both our own actions and others’ behaviors. Maintaining that mental floodlight is exhausting, and many people have serious physical symptoms as a result of the stress, including hormonal and immune system imbalances, chronic pain, and trouble with sleep or focus. Hypnosis helps by narrowing that light down to a strong, single beam, helping us focus inward. In this state, we can access the inner *scripts* that run in the background of our thoughts and behaviors, some of which may be rooted in old pain or false beliefs. With the help of a trained, ethical practitioner, hypnosis focuses attention on the areas that need it most and allows a sense of safety and openness that might not exist in our daily lives. ## Biblical Examples of Hypnotic States The Bible contains several examples of experiences that resemble hypnotic states. In these passages, Biblical figures experience an altered awareness that allows them to be more open to messages from God. These events are very different from their normal waking lives, but it is clear they serve an important purpose. **1. God’s Communication with Prophets** These altered states of consciousness, such as visions and dreams, are similar to hypnosis, where individuals are more receptive to guidance. *“Then the LORD came down in a pillar of cloud; he stood at the entrance to the tent and summoned Aaron and Miriam. When both of them stepped forward, he said, ‘Listen to my words: When there is a prophet among you, I, the LORD, reveal myself to them in visions, I speak to them in dreams.’” (Numbers 12:5-6)* **2. Abraham’s Deep Sleep** God put Abraham into a deep sleep, where He made a covenant with him. This deep sleep can be seen as a state similar to hypnosis, where God’s message was deeply instilled in Abraham. *“As the sun was setting, Abram fell into a deep sleep, and a thick and dreadful darkness came over him.” (Genesis 15:12)* **3. Peter’s Vision** Peter fell into a trance and received a vision from God. This trance state is akin to hypnosis, where the conscious mind is bypassed to receive divine messages. *“He became hungry and wanted something to eat, and while the meal was being prepared, he fell into a trance. He saw heaven opened and something like a large sheet being let down to earth by its four corners.” (Acts 10:10-11)* To be clear, hypnosis in a modern clinical setting is not intended to reveal divine messages. However, these verses are evidence that the processes involved in hypnosis are natural, God-given abilities that can be harnessed to enhance spiritual growth, heal emotional wounds, and strengthen faith. **Common Misconceptions About Hypnosis** To further explore how hypnosis can be beneficial, it’s crucial to dispel the two most well-known myths about hypnosis. In doing so, we‘ll also explore how a hypnosis session works and the Biblical foundations for ethical hypnosis. ## Hypnosis is Not Mind Control **Hypnosis is not mind control,** even though dramatic depictions often suggest that the hypnotist takes over the patient’s thoughts. This belief is often fueled by movies or sensationalized accounts in popular culture. However, this is not how hypnosis works. During *clinically informed hypnosis*, the patient ALWAYS: **1. Retains Consciousness** During hypnosis, the individual remains fully conscious and aware of their surroundings. They do not lose control of their thoughts or actions. In fact, a person cannot be made to do anything against their will or moral beliefs while in a hypnotic state. *“For God has not given us a spirit of fear, but of power and of love and of a sound mind.” (2 Timothy 1:7)* **2. Participates Voluntarily ** Hypnosis is a cooperative process. The person being hypnotized must be willing to follow the suggestions of the hypnotist. If they choose not to, they can simply ignore the suggestions or bring themselves out of the hypnotic state at any time. *“I call heaven and earth to witness against you today, that I have set before you life and death, the blessing and the curse. So choose life in order that you may live, you and your descendants.” (Deuteronomy 30:19)* **3. Strengthens Self-Control** Far from undermining self-control, hypnosis often strengthens it by helping individuals focus on positive changes and reinforcing their ability to make choices aligned with their values. It’s a tool that can be used to enhance personal responsibility and self-discipline, qualities that are highly valued in Christian teachings. *“Do not conform to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God’s will is—his good, pleasing and perfect will.” (Romans 12:2)* ## Hypnosis Does Not Involve Dark Spirits or Occult Practices **Hypnosis does not invite dark spirits,** yet another significant concern among Christians is the fear that it may involve occult practices or demonic influences. This concern is understandable, but it is based on a misunderstanding of what hypnosis is and how it works. During ethical hypnosis by a licensed professional, you can ALWAYS expect: **1. A Natural State of Mind** Hypnosis is a *natural, God-given state* of mind that we all experience at different times, such as when we are deeply absorbed in a task, lost in thought, or daydreaming. It does not involve invoking any external spirits or forces. It’s simply a way of focusing the mind to achieve a desired outcome. *“For in him we live and move and have our being.” (Acts 17:28)* **2. No Spiritual Entities Involved** Hypnosis does not require or involve communication with any spirits – either good or bad. It is a purely psychological process that operates within the natural laws created by God. The focus is on the power of suggestion and the mind’s ability to accept and act on those suggestions. *“For we wrestle not against flesh and blood, but against principalities, against powers, against the rulers of the darkness of this world, against spiritual wickedness in high places.” (Ephesians 6:12)* **3. Alignment with Christian Values** When conducted appropriately and with the right intentions, hypnosis can be fully aligned with Christian values. It can be used to reinforce positive behavior, promote healing, and deepen one’s faith in God. Christians can use hypnosis to focus on Scripture, prayer, and spiritual growth, making it a tool for reinforcing their relationship with God rather than detracting from it. *“Finally, brothers and sisters, whatever is true, whatever is noble, whatever is right, whatever is pure, whatever is lovely, whatever is admirable—if anything is excellent or praiseworthy—think about such things.” (Philippians 4:8)* **Hypnosis as a Tool for Healing** **Hypnosis can be a healing tool for Christians,** and the faith teaches the importance of restoring both body and spirit. Hypnosis can be a valuable tool in this process by assisting with several types of recovery: **1. Healing Emotional Wounds** Hypnosis can help individuals access and heal deep-seated *emotional wounds*, leading to a more peaceful and Christ-centered life. *“He heals the brokenhearted and binds up their wounds.” (Psalm 147:3)* **2. Breaking Free from Sinful Habits** Hypnosis can aid in breaking free from destructive habits and addictions, aligning with the Christian goal of living a life free from sin. *“No temptation has overtaken you except what is common to mankind. And God is faithful; he will not let you be tempted beyond what you can bear. But when you are tempted, he will also provide a way out so that you can endure it.” (1 Corinthians 10:13)* **3. Enhancing Spiritual Growth** By using hypnosis to focus on positive affirmations and scripture, individuals can strengthen their relationship with God and deepen their faith. *“But grow in the grace and knowledge of our Lord and Savior Jesus Christ. To him be glory both now and forever! Amen.” (2 Peter 3:18)* **Hypnosis and Free Will: Using Hypnosis as a Christian** **Hypnosis respects your God-given free will.** It empowers individuals to make better choices in alignment with their Christian values. It is a tool that can be used to strengthen willpower and the commitment to living a Christ-centered life. When used responsibly, hypnosis can be a powerful tool for Christians, including: **1. Prayer and Meditation** Combining hypnosis with prayer and meditation can deepen your spiritual experience, helping you to connect more profoundly with God. *“But when you pray, go into your room, close the door and pray to your Father, who is unseen. Then your Father, who sees what is done in secret, will reward you.” (Matthew 6:6)* **2. Scripture-Focused Hypnosis** Listening to or repeating Biblical affirmations while in a hypnotic state can reinforce your faith and help you internalize God’s word. *“Your word is a lamp for my feet, a light on my path.” (Psalm 119:105)* **3. Hypnosis for Forgiveness** Use hypnosis to help release feelings of guilt, anger, or resentment, which aligns with Christian teachings on forgiveness and love. *“Bear with each other and forgive one another if any of you has a grievance against someone. Forgive as the Lord forgave you.” (Colossians 3:13)* **What to Expect from a Hypnosis Session** We’ve explained the reality of hypnosis and how it can be used as a moral, helpful therapy in an integrative medicine care plan. However, it might also be helpful to understand exactly what to expect from a hypnosis session. While every hypnosis practitioner will vary slightly, sessions typically follow this flow: **1. Initial Conversation** The session begins with a normal conversation. The practitioner will ask about your goals, symptoms, or challenges, such as anxiety, trauma, self-doubt, or a recurring negative belief or fear. They’ll also answer any questions you have about hypnosis and make sure you feel safe and comfortable before beginning. **2. Guided Relaxation** When you’re ready, the therapist will guide you through a [relaxation or focusing exercise](/functional-medicine/health-coaching/). This might involve deep breathing, visualization (such as imagining a calm place), or gently focusing your attention inward. This process helps shift your brain into a more receptive, meditative state, similar to how you might feel during prayer, deep meditation, or just before falling asleep. You are not unconscious – just very calm, focused, and open to exploring deeper layers of thought. **3. Therapeutic Work** While you’re in this relaxed state, the therapist may use various techniques to help you: This part of the session is deeply personal and tailored to your needs; for Christians, it may include Bible verses or other prayers if desired. The therapist might speak in metaphors, use imagery, or ask reflective questions, but nothing is forced or manipulated. **4. Return to Wakeful Awareness** After the inner work, the therapist gently guides you back to normal awareness. You may feel rested, clear, and calm — like waking from a peaceful nap or deep prayer. There’s time to reflect on anything that came up and discuss next steps. **5. Integration** Good practitioners often give you something to take with you, such as a recorded self-hypnosis exercise, a calming phrase, or a visualization to practice at home. This helps reinforce what you worked on and supports continued healing outside of the session. As we’ve mentioned before, hypnosis is always collaborative. You can’t be made to say or do anything against your will during hypnosis. You are always in control, and you can open your eyes or speak at any time. The goal is empowerment, not dependence. **When used ethically and respectfully, hypnosis is simply a resource that allows you to gently explore and shift the deeper patterns that influence your thoughts, emotions, and behavior. ** Hypnosis can also align with Christian beliefs and serve as a tool for healing, spiritual growth, and personal development. As with any tool, it should be used with discernment, prayer, and a focus on God’s will. By embracing hypnosis within a Christian framework, believers can find new ways to grow in their relationship with God and live a more fulfilling, Christ-centered life. Dr. Scott prays over his patients and his sessions regularly, seeking God’s guidance and protection to ensure that the work aligns with His divine purpose. If you are interested in hypnosis and would like the support of Dr. Scott Antoine and our award-winning [Integrative Medicine team](/functional-medicine/) in Carmel, Indiana, please contact our [Carmel plastic surgery clinic](/) at [(317) 989-8463](tel:(317) 989-8463), Monday – Thursday 8AM to 5PM Eastern, or fill out the contact form below. --- ## Immune Boosting Chicken Soup **Link:** [Immune Boosting Chicken Soup](https://fullyfunctional.com/blog/immune-boosting-chicken-soup/) ([md](https://fullyfunctional.com/blog/immune-boosting-chicken-soup/index.html.md)) **Description:** This healing, immune-boosting chicken soup recipe is packed with anti-inflammatory spices; turmeric, lemon, onion, garlic, and bone broth! So easy to make! ### Content There’s no better time than flu season to make this healing, **immune-boosting chicken zoodle soup**! Packed with nutrient-dense veggies and plenty of **immune-boosting ingredients** such as turmeric, lemon, onion, garlic, and bone broth, to help you fight, or fight off, winter colds and flu naturally! Traditional noodles are replaced with “zoodles” to keep this recipe grain-free while adding nutrition, but it’s just as warm, comforting, and delicious! Want to learn more about how the foods we eat affect our immune system? Check out this article on [Diet and Immune Function](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723551/). Get our fantastic zoodle recipe [here](/blog/egg-roll-in-a-bowl-with-zucchini-noodles/). **Replace Recipie Feat** ### Ingredients - 1 pound chicken breast cooked, shredded - 2 tablespoons avocado or olive oil - 1 onion diced - 6 carrots sliced - 4 stalks celery sliced - 4 cloves garlic - 2 bay leaves - 2 teaspoons thyme - 1 teaspoon turmeric - 8 cups chicken bone broth - 2 medium zucchini spiralized - zest and juice of one lemon - 1/2 cup fresh parsley chopped - sea salt - pepper ### Instructions - To cook chicken: Bring a small pot of water to boil. Add chicken breasts. Poach until chicken is cooked through. Let cool, then shred chicken. While chicken is poaching, make the soup. - To make the soup: In a large soup pot, heat avocado or olive oil over medium heat. Add onion and saute for about 5 minutes until softened. - Add carrots and celery and sauté for another 5 minutes. - Add garlic and sauté 1 minute - Add bay leaves, thyme, and turmeric and sauté 30 seconds before adding chicken broth. - When the soup begins to simmer, add the zucchini noodles and shredded chicken and cook until zucchini is heated through, about 2-3 minutes. - Turn off heat and remove bay leaves. Add lemon zest, juice and parsley. Season with sea salt and pepper. Keywords: anti-Inflammatory recipes, anti-inflammatory spices, healthy chicken soup, healthy chicken soup recipe, immune boosting chicken soup --- ## Important Pharmacy Information from Dr. Scott and Dr. Ellen **Link:** [Important Pharmacy Information from Dr. Scott and Dr. Ellen](https://fullyfunctional.com/blog/important-pharmacy-information/) ([md](https://fullyfunctional.com/blog/important-pharmacy-information/index.html.md)) **Description:** Learn how prescription refills really work, why pharmacies may send misleading messages, and how our office ensures timely medication requests for patients. Read on! ### Content We are writing this letter to our office patients to share some unfortunate changes which are taking place across the country at large chain pharmacies. These changes may have resulted in frustration for you and have definitely raised concerns for our staff at *The Center for Fully Functional Health*. ## ***Issues with Medication Refills*** The first pharmacy change we would like to let you know about involves **medication refills**. Despite what may have been represented, commercial pharmacies do not call or fax us about refills. They never have. Refill requests from pharmacies are always submitted electronically through Charm and are typically answered within 1-2 business days. Recently, we have learned that many patients are being sent messages or letters by their pharmacy that state, “We have reached out multiple times to your doctor about your refill with no response,” or, “We have faxed refill requests to your doctor multiple times with no response.” *These attempted contacts never occurred*. In 100% of these instances, the pharmacies in question have never submitted refill requests to CFFH, electronically or otherwise. And this pattern is not limited to our own practice. Strangely, this phenomenon is happening to physicians all over the country, so much so that it is frequently discussed in large physician forums and at national meetings. We are not sure why this started happening over the past 2 years, but we are hoping that the American Medical Association intervenes to stop this deceptive messaging to patients. We would encourage you to express your concerns to your pharmacist if you get this type of letter. **CFFH always responds to refill requests promptly**, so if your pharmacy states a refill request has been submitted and you see no action on our part, please follow up. We never want you to do without your medication, but we are often completely unaware that refills have been requested. The other troublesome development we have seen occur is that pharmacies are sending automated electronic refill requests to our office every month for some medications, even when we have placed several refills on the original prescription. This causes multiple issues in Charm and may unnecessarily delay your refill and inconvenience you. If you receive an automated message from your pharmacy asking if they should request a refill each month, we would encourage you to decline and remind them that you have refills available. They should not contact our office for additional refills before you have used those on the original prescription. ## ***Pharmacies Attempting to Practice Medicine*** Another worrying example of **flawed pharmacy messaging** is in the form of suggestions for therapy. Disturbingly, we have learned that pharmacies are sending messages or letters to patients (often without ever sending us a copy) that directly counter our advice as physicians. For instance, patients may receive letters stating that medications like Armour Thyroid are “not effective or evidence based.” This has no scientific basis in truth and is in direct opposition to both the research and our own experience over 25+ years of practicing Emergency and **Functional Medicine**. Pharmacies are also sending patient letters which contain messaging to the effect of, “Your doctor prescribed Metformin, and evidence-based guidelines indicate they should also prescribe a statin to reduce cardiovascular risk.” The letters go on to state, once again, that they have “reached out several times to your doctor to discuss this and received no response.” Of course these calls never occur, and we believe these letters may be automated for some legal reason. It is never possible to make a blanket recommendation regarding medications without knowing the individual patient. In this case, there are very specific indications for statins and reasons why they should be avoided in some people. For instance, Metformin is often used to treat polycystic ovarian syndrome in patients with normal cholesterol. In these cases, statins would not be indicated according to the medical literature. This pharmacy overreach is particularly troubling to us, as it amounts *to large corporations practicing medicine without a license*. Only a licensed medical clinician such as a Physician, Nurse Practitioner, or Physician Assistant can diagnose disease and recommend treatments and medications. If you receive one of these letters, please **disregard the content and consider expressing your concern to your pharmacy**. ## ***The Best Way to Request Refills*** If you need a refill from a conventional pharmacy and have none left on your prescription, our best advice is to **give us at least one week's notice through Charm**. If you do not know how to submit refill requests through Charm, please give us a call, and our staff will be happy to walk you through it the first time. For peptides or compounded medications, we recommend requesting your refill at least a week in advance as well. Please keep in mind that these medications must be compounded and shipped, so it may take longer for you to receive them. These requests can also be sent through Charm. We understand that emergencies occur, and sometimes people run out of medications unexpectedly. If you find yourself in this predicament, do two things: **1. Call the office and speak with someone about it**. We cannot promise that we can get the prescription the same day, since we are seeing patients all day and don’t always have time to stop what we are doing to reorder or call. But in emergency cases, we will do our best. **2. Call your pharmacy if it is a conventional prescription**. Often they can give you a few days supply if you are running out while they wait for a refill to be approved. It’s unfortunate that we have to write this letter. We are not sure why large chain pharmacies are operating this way and hope that it will stop. Rest assured, we spend our days making sure that we always pay attention to your needs and give you our best service. To your good health,[.block][]Dr. Ellen & Dr. Scott --- ## How to Improve Digestion Naturally: 10 Easy Tips! **Link:** [How to Improve Digestion Naturally: 10 Easy Tips!](https://fullyfunctional.com/blog/improve-digestion-naturally-10-easy-tips/) ([md](https://fullyfunctional.com/blog/improve-digestion-naturally-10-easy-tips/index.html.md)) **Description:** A breakdown in digestive function is at the root of many health issues. Here are some tips to help you learn how to improve digestion naturally at home. ### Content **Digestive issues** are a common complaint, but just because so many people suffer from these issues doesn’t make them *normal*. In fact, a breakdown in digestive function is at the root of many health issues. We’re sharing our pro tips on **how to improve digestion naturally at home**. You owe it to yourself to make sure your digestion works for you and not against you! It’s the place to start when it comes to your health, and *its functionality affects everything else*. You’re really [only as healthy as your gut](/blog/how-to-heal-your-gut-naturally/), after all. If there is a breakdown anywhere in the digestive tract, from the mouth (time spent chewing) to the small intestine (breakdown and absorption of nutrients), digestion can be compromised, leading to potential health issues down the road. On the flip side, if you can **improve your digestion** you can drastically improve your health. The relationship between what you eat, how you process what you eat, what your body absorbs, and ultimately how you feel is important! 70% of Americans do or will suffer from digestive dysfunction in their lifetime. Even if you don’t have typical symptoms of poor digestion, such as gas, bloating, or constipation, if you have dysfunction or disease of any kind, *you’ve likely got a breakdown somewhere in the digestive system* that triggered a downward spiral. ## ***Fatigue, Brain Fog, Skin Issues, Cravings*** These can also signal a breakdown in the digestive system (even if you don’t have the typical digestive symptoms). **Digestion** is at the root of all other functions in the body. *Your gut is your body’s second brain* and when you begin to understand just how interconnected our body systems actually are and how every single symptom that ails you can be triggered by poor gut health, you’ll want to make sure you’re doing the best you can to keep it in good shape! So, what can you start doing today to keep this all-important system in shape? ## ***Here Are Some Tips on How To Improve Digestion Naturally at Home!*** ## **1. Chew Your Food** Chewing *well* is a critical and yet widely overlooked practice! Chew *thoroughly* to help food digest (food should be liquid before you swallow) Saliva contains enzymes you need to begin breaking down the food for digestion and you don’t want to rush through this process. *Our stomach doesn’t have teeth*. To properly digest our food, we need to do a lot of work in the mouth. When we eat on the run or gulp down our food, digestion gets compromised. Slow down, savor your food and **chew it well**. ## **2. Boost Stomach Acid** This is an area of misconception for most people. Many people who have heartburn, gas, and bloating likely have *too little* stomach acid, not too much. The typical treatment is to take antacids, which reduces stomach acid even further, exacerbating the problem. *Proper stomach acid levels are critical for the breakdown of proteins in the stomach*. **Stomach acid also destroys pathogenic bacteria** that can lead to illness. Boost stomach acid naturally by adding freshly-squeezed lemon to your water or by drinking one tablespoon of raw apple cider vinegar in water each morning. I add both to warm water with a dash of cayenne every morning and honestly, I never feel the same without it. ## **3. Drink More Water (but not too much with your meal!)** Water is an important element for health in general and digestion in particular. However, *try to drink most of your water in between meals*, rather than during the meal as it can dilute stomach acid and interfere with all the fluids of digestion, making it harder to break down your food. ## **4. Add in Probiotics** Our gut is teeming with bacteria and that’s good! But if the balance in our bacteria gets tipped in the wrong direction, *it can lead to digestive issues*. **We need good bacteria to strengthen the immune system, reduce chronic inflammation, help with healing leaky gut, and more.** You can get more of the “good bugs” by taking a probiotic supplement or with raw fermented foods like sauerkraut, kefir, or kimchi. ## **5. Reduce or Eliminate Processed Foods** Processed “foods” are hugely challenging for the digestive system. A good thing to keep in mind: If you don’t recognize an ingredient on the label, your body won’t either! **Processed foods** are full of “anti-nutrients”, which means the body must deplete its own nutrient stores for these foods to metabolize, essentially *robbing the body of nutrients rather than nourishing*. This also causes your body to expend more energy than it should. **More processed foods = less energy for you.** Stick to [whole foods](/blog/eating-healthy-on-a-budget-tips-and-tricks/) as much as possible. ## **6. Exercise** Yes, exercise is good for just about everything, *including digestion*. It takes healthy muscle tone all around the abdomen to help move food through our digestive tract. Increasing exercise can improve digestion, even if you don’t change what you eat! ## **7. Don’t Eat Too Much** Overeating any food is taxing on the digestive system. It requires the body to expend a lot of energy, adds stress to the system, and forces the body to try to use too many nutrients at once. Slow down, and **only eat until you are three-quarters full**. ## **8. Practice Gratitude** Digestion actually begins in the brain. When you take a few moments before you eat to pause and reflect, either with blessings, gratitude, or a few deep breaths, you are activating the brain signals for saliva to release and get the digestive system prepped and ready. Practicing gratitude may also calm the parasympathetic nervous system, **allowing you to relieve stress**, which is another problem area for the digestive system! *Being in a relaxed state creates better digestion*. ## **9. Eat More Fiber** Fiber helps keep your colon healthy by speeding up the transit time through the body. A faster transit time means any toxins you’ve taken in spend less time in the body. Fiber also helps remove the bad bacteria and toxins from the colon. Make sure you get both soluble fiber (think beans, lentils, peas, fruits, and veggies), which absorbs toxins and unneeded cholesterol, and insoluble fiber (nuts, seeds, whole grains, fruit skins, green veggies), which speeds up elimination. ## **10. Add in Digestive Enzymes** Our body produces these naturally but aging and a compromised system can lead to less production. In addition to **probiotics**, this might be another supplement you want to consider if you feel your digestion is compromised. In our shop, we offer a proprietary blend of **Digestive Enzymes**, in chewable or capsule forms. Natural sources of digestive enzymes come in the form of raw and fermented foods as well. Fruits like pineapple, papaya, and avocado are great sources, as are kefir, sauerkraut, and miso. *Try putting these general tips into practice today for improved digestion*. If you suffer from chronic digestive issues or feel they could be symptoms of a deeper issue, don’t hesitate to [reach out to our office](/contact/) and learn how to become Fully Functional® for life! You can book an appointment by clicking [ here ](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## IVIG for PANDAS: Costs, What to Expect, Side Effects & More **Link:** [IVIG for PANDAS: Costs, What to Expect, Side Effects & More](https://fullyfunctional.com/blog/intravenous-immunoglobulin-treatment-for-pandas/) ([md](https://fullyfunctional.com/blog/intravenous-immunoglobulin-treatment-for-pandas/index.html.md)) **Description:** IVIG for PANDAS and PANS patients is one of the most effective treatment options. Here's everything you need to know: cost, process, side effects, and more. ### Content It can be scary when your child’s behavior changes drastically overnight. **PANDAS** is a frightening and pervasive disorder, but **Intravenous immunoglobulin** (IVIG) may be a real solution. I’m a doctor (and so is my wife), so we were somewhat familiar with this treatment and disease even before seeing it firsthand. **However, nothing drove it home quite like watching our daughter suffer from this debilitating condition — and, subsequently, treated with IVIG.** Intravenous immunoglobulin (**IVIG**) is one of the most effective, but also most expensive, treatment options for a child with PANDAS. [PANDAS](/blog/pans-pandas-symptoms/) stands for *“Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.”* This occurs when a group A strep infection uses molecular mimicry to trick your immune system into attacking your own brain.¹ PANDAS is a form of sudden-onset pediatric [**obsessive-compulsive disorder**](/blog/ocd-obsessions-a-bully-in-your-brain/) (OCD) and related symptom exacerbations, such as emotional lability or bedwetting (AKA nocturnal enuresis).² On a side note, **PANS** refers to *“Pediatric Acute-Onset Neuropsychiatric Syndrome,”* which exhibits the same OCD symptoms as PANDAS, but does not originate from a group A strep infection.³ **IVIG can effectively treat both PANDAS and PANS.** Children aged 3 to 13 are the groups mainly affected by PANDAS, the most vulnerable age being eight years old. Boys are also twice as likely as girls to develop PANDAS. The PANDAS Network estimates 1 in 200 children may have PANDAS.⁴ For many families, IVIG is the right choice. Especially useful in more severe cases of PANDAS, *IVIG can give children and parents the peace of mind they finally deserve*. ## ***What Is IVIG?*** Intravenous immunoglobulin, also known as IVIG, refers to the administration of immunoglobulins directly into a vein — typically immunoglobulin G (IgG). IVIG’s specific mechanism of action is unknown, but it has been able to “reset” the immune system in many studies concerning autoimmune disorders. The IVIG is made from thousands of human donors. There are some risks involved with using immunoglobulin from many human donors: - Hidden infections - One batch could contain stronger immunoglobulins than another batch - 10 to 15% failure rate is expected In short, it’s an **immunomodulatory therapy** useful in the [treatment of PANDAS](/blog/pandas-and-pans-treatments-natural-remedies/) and other immune system disorders. ## ***How IVIG Treats PANDAS*** It is believed that the immunoglobulins (antibodies) in IVIG interact with your immune cells to “reset” your immune system. This seems to be an effective [**treatment against autoimmunity**](/blog/how-autoimmune-disease-develops/). **How does IVIG work?** How IVIG treats PANDAS is not fully known. Still, the FDA has approved IVIG treatment for many immune system disorders. Symptom relief is typically step-by-step. A PANDAS patient could see a reduction of symptoms in a few hours to days. At times, *a single treatment may resolve the condition permanently*. Very rarely, a child will go into remission as quickly as the original sudden onset of PANDAS came on. However, it is usually a gradual recovery over the course of several weeks. At times, children may need repeat IVIG infusions. ## ***The Research Behind IVIG For PANDAS *** PANDAS was first identified in the 1990s by Dr. Susan Swedo and colleagues at the National Institute of Mental Health. Soon after PANDAS was identified, IVIG was studied as a potential treatment option.⁵ Since then, *IVIG has been rated one of the most successful treatments by PANDAS patients*.⁶ **Recent case reports indicate IVIG may be more effective than antibiotics and steroids at treating PANDAS.⁷** However, a portion of PANDAS patients did have to undergo a second dose of IVIG. Several case series into IVIG have confirmed IVIG’s efficacy one year following treatment. **A 2018 longitudinal study had a follow-up time of up to 4.8 years, and 88% did not experience “clinically significant obsessive-compulsive symptoms” within the follow-up time.⁸** ## ***Can PANDAS Disease Be Cured?*** [**PANDAS can be treated**](/blog/pans-pandas-what-you-need-to-know/) with several treatments, such as plasmapheresis (therapeutic plasma exchange). IVIG is just one of the most effective methods of curing PANDAS. For many patients, one course of IVIG is enough to reduce symptoms and even reverse PANDAS. ## ***IVIG Treatment: What to Expect*** Intravenous immunoglobulin therapy can be a little scary. But here’s what any parent and child can expect: **The Step-By-Step IVIG Process** - Lab tests evaluate immunoglobulin levels. - A topical anesthetic will minimize discomfort where the intravenous catheter is inserted. - The child will be premedicated with acetaminophen (to reduce headache and/or swelling) and diphenhydramine (to prevent allergic reactions).⁹ The dosage depends on his/her weight. Intravenous steroids are also used. A nurse will record vital signs, verify emergency readiness, and inform the physician of **monitoring guidelines**. For this reason, the FIRST course of IVIG is given in the physician’s office. If any of these symptoms occur, the infusion dosage needs to be decreased right away: - Nausea, vomiting - Dizziness - Headache - Palpitations - Flushing - Itching, rash, hives - Joint, back, muscle pain - Diaphoresis - Temperature change of more than one degree celsius In addition, some of the guidelines call for an immediate halt of procedure for more severe symptoms: - Dramatic fall in blood pressure - Shortness of breath, respiratory distress - Edema of eyelids, tongue, lips - Chest tightness, 25% heart rate increase - Then, the actual IVIG infusion occurs. Under ideal circumstances, the infusion administrator will start with a small dose, *gradually increasing it every 15 or 30 minutes*. - The nurse will continue to monitor vitals and look for symptoms throughout the infusion. - If all goes well, the nurse will wrap the IV catheter until the second half of the infusion, the next day. The child may need to rest for a few minutes before he or she can walk out comfortably. - Long-term antibiotic prophylaxis may be recommended to accompany IVIG therapy. ## ***What Does IVIG Do to Your Body?*** Introducing new IVIG into your system achieves several benefits: - Neutralizes abnormal antibodies - Stops your immune system from attacking your own nervous system¹⁰ The second benefit is **why IVIG is the treatment of PANDAS**. Even though we are not completely sure how IVIG operates, it is well researched and scientists have confirmed its efficacy over time. Since a group A strep infection (in the case of PANDAS) tricked the child’s own immune system into creating autoantibodies to mess with their brain, IVIG’s ability to “reset” the immune system includes these autoantibodies. ## ***How Much Time Does IVIG Take?*** The most common is **two days of IVIG treatment**. Each of the two days, the child is given between 750 milligrams per kilogram of the child’s body weight in IVIG. (Total dose 1.5g/kg) A child’s symptoms may start to improve *as soon as a day after the IVIG treatment*. **A three-week turnaround is the average recovery period.** Rarely, children may have a delayed response where their symptoms abate up to two months after the IVIG therapy. ## ***Potential Side Effects of IVIG for Pandas*** There are potential side effects whenever undergoing an intravenous immunoglobulin infusion. First, here are common symptoms of IVIG that are unwanted, but do *not* warrant stopping the IVIG infusion:¹¹ - Mild to severe headaches - Nausea, vomiting, diarrhea - Fever - Dizziness, palpitations - Fatigue Then, there are some side effects that demand the immediate cessation of the IVIG: - Chest pains - Trouble breathing - Sudden decrease in blood pressure - Sudden increase in heart rate ## ***IVIG Risks*** **Intravenous immunoglobulin therapy** is well tolerated, though somewhat invasive. Even though it is an effective treatment of PANDAS, *IVIG comes with some risks*: - Severe allergic reactions may occur, which is why diphenhydramine, an antihistamine, and steroids are administered beforehand. - Very rarely, follow up appointments have revealed that IVIG may trigger hemolysis, which leads to anemia.¹² - In rare cases, IVIG might cause Stevens-Johnson syndrome.¹³ - The IVIG is made from thousands of human donors. Although small, there is a slight risk of getting a hidden infection from the IVIG (including unknown stealth pathogens). This very slight risk exists any time multiple human donors are involved. ## ***When Are Children Not a Good Fit for IVIG?*** Any children with minor cases of PANDAS may benefit from less expensive, less aggressive treatment. *IVIG works best with moderate to severe symptoms of PANDAS (or PANS)*. **Disorders similar to PANDAS** need to be ruled out before IVIG is administered, according to the diagnostic criteria for PANDAS:¹⁴ - Sydenham’s chorea, and other tic disorders - Tourette syndrome - Rheumatic fever¹⁵ - ADHD **Children with ongoing infections are not good candidates for IVIG.** Researchers have reported IVIG treatments have failed more often when a child suffers from a current infection during treatment. Therefore, children should be treated for any infection (such as the strep throat that could have initiated PANDAS) before seeking IVIG therapy. **To avoid exposure:** - Children and parents must commit to good hygiene practices. - School nurses may monitor classmates for symptoms of strep infection. - Families might want to avoid crowded situations, like malls and parks. - Infected siblings should be quarantined from the child undergoing IVIG treatment. ## ***Cost & Insurance Considerations*** **Does insurance cover IVIG?** Insurance will probably *not* cover many [** treatments for PANDAS**](/blog/solutions-for-pandas-and-pans-find-your-child-again/), including IVIG. Insurance companies either consider PANDAS to be a controversial disease or IVIG to be an experimental treatment. (In INDIANA, Dr. Scott was instrumental in testifying to the state legislature. As a result, the legislature passed a law requiring insurance companies to cover some treatments for PANDAS — including IVIG) Good news – The global health community is moving toward universally recognizing PANDAS by January 2022.¹⁶ **What is the cost of IVIG?** IVIG can cost between $5,000 and $25,000. Although some insurance plans cover IVIG for other disorders, most insurance companies do not cover IVIG for PANDAS unless in Indiana or Illinois or a few other states. **We are located in Carmel, Indiana. Our own daughter responded best to IVIG when she developed PANS several years ago. We have extensive experience with PANS/PANDAS patients and utilize the unique Fully Functional® model of living.** If your child might have PANS/PANDAS, you can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[* https://www.cdc.gov [.block][]*](https://www.cdc.gov)*2 *[* https://www.ncbi.nlm.nih.gov/books/NBK333433/ [.block][]*](https://www.ncbi.nlm.nih.gov/books/NBK333433/)*3 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340632/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340632/)*4 *[* https://www.semanticscholar.org/paper/From-Research-Subgroup-to-Clinical-Syndrome%3A-the-to-Swedo-Leckman/fddbf448ed32d6117e390fe788e40562e8710c54?p2df [.block][]*](https://www.semanticscholar.org/paper/From-Research-Subgroup-to-Clinical-Syndrome%3A-the-to-Swedo-Leckman/fddbf448ed32d6117e390fe788e40562e8710c54?p2df)*5 *[* https://pandasweb.nl/cfsystem/userData/literatuur/1317330723__document__therapeutic-pf-and-ivig-for-ocd-and-tic-disorders-perlmutter-1999.pdf [.block][]*](https://pandasweb.nl/cfsystem/userData/literatuur/1317330723__document__therapeutic-pf-and-ivig-for-ocd-and-tic-disorders-perlmutter-1999.pdf)*6 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786336/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786336/)*7 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340809/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340809/)*8 *[* https://pubmed.ncbi.nlm.nih.gov/29119300/ [.block][]*](https://pubmed.ncbi.nlm.nih.gov/29119300/)*9 *[* https://www.drugs.com/diphenhydramine.html [.block][]*](https://www.drugs.com/diphenhydramine.html)*10 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314401/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314401/)*11 *[* https://pubmed.ncbi.nlm.nih.gov/16391392/ [.block][]*](https://pubmed.ncbi.nlm.nih.gov/16391392/)*12 *[* https://www.britannica.com/science/hemolysis [.block][]*](https://www.britannica.com/science/hemolysis)*13 *[* https://rarediseases.info.nih.gov/ [.block][]*](https://rarediseases.info.nih.gov/)*14 *[* https://www.longdom.org/open-access/from-research-subgroup-to-clinical-syndrome-modifying-the-pandas-criteria-to-describe-pans-pediatric-acute-onset-neuropsychiatr.pdf [.block][]*](https://www.longdom.org/open-access/from-research-subgroup-to-clinical-syndrome-modifying-the-pandas-criteria-to-describe-pans-pediatric-acute-onset-neuropsychiatr.pdf)*15 *[* https://www.cdc.gov/ [.block][]*](https://www.cdc.gov/)*16 *[* https://www.nprillinois.org/post/families-children-pandas-disorder-still-struggling-get-insurance-coverage *](https://www.nprillinois.org/post/families-children-pandas-disorder-still-struggling-get-insurance-coverage) --- ## Italian Spaghetti Squash Hodgepodge **Link:** [Italian Spaghetti Squash Hodgepodge](https://fullyfunctional.com/blog/italian-spaghetti-squash/) ([md](https://fullyfunctional.com/blog/italian-spaghetti-squash/index.html.md)) **Description:** This Italian Spaghetti Squash can be made in stages or with leftovers for an easy and delicious meal. Anti-inflammatory recipes are kind of our thing. ### Content This Italian Inspired **Spaghetti Squash Hodgepodge** can be made in stages or with leftovers for *an easy but delicious quick stir fry meal*. Healthy, [anti-inflammatory](https://pubmed.ncbi.nlm.nih.gov/26400429/) recipes are kind of our thing. Give it a try! Pairs well with our [Oven Baked Turkey Meatballs](/blog/oven-baked-turkey-meatballs/). **Replace Recipie Feat** ### Ingredients - 1 organic spaghetti squash, cooked - 1/2-1 tsp Sea Salt to taste - 1/2 tsp pepper - 2 tbsp Italian seasoning - 2 cloves garlic - 1/2 cup organic sun-dried tomatoes, mushrooms, artichoke hearts, olives, hearts of palm, zucchini use all or only a selection. You can increase the amount if you like one item and leave others out. It’s up to you! - 1/4 cup pine nuts - 2 cooked boneless, skinless chicken breasts OR 2 cooked servings of chopped nitrate free, pork free sausage of your choice - 1/4 cup olive oil ### Instructions - To cook the spaghetti squash: Preheat oven to 400. Make stabs into the spaghetti squash and cook for 3 minutes on high in your microwave to soften it for cutting. - Once it is cooled enough, cut the spaghetti squash in half lengthwise using a large knife. Scoop out the seeds like you would a pumpkin. - Drizzle the halves with olive oil, place cut side down on a baking sheet until you can poke it easily with a fork. Remove from oven and let it cool. - Once it is cool enough to be handled, you can scrape the insides with a fork to shred the squash into “spaghetti.” This can be done a day ahead. You may also find crock pot or microwave recipes for cooking spaghetti squash online. - Heat a wok or a fry pan to low-medium heat. Add the pine nuts, stirring constantly until toasted lightly. - Remove the pine nuts and place them to the side. - Add the olive oil to the pan. If using zucchini or mushrooms, cook them to your liking. Then add the other vegetable ingredients. Add sea salt, pepper, Italian seasonings and garlic and cook just for a few minutes (be careful not to burn the garlic.) - Add the chicken or sausage next. Finally, add the spaghetti squash and stir completely to incorporate all ingredients. - Add more spices, salt, pepper, or olive oil as desired. Top with pine nuts. Keywords: anti-Inflammatory recipes, italian spaghetti squash, quick meal, spaghetti squash --- ## Ask the Experts: What About Ivermectin and COVID-19? **Link:** [Ask the Experts: What About Ivermectin and COVID-19?](https://fullyfunctional.com/blog/ivermectin-and-covid-19-information-and-clinical-studies/) ([md](https://fullyfunctional.com/blog/ivermectin-and-covid-19-information-and-clinical-studies/index.html.md)) **Description:** Fully Functional® Health providing the latest news on the COVID-19, on one of the oldest prescription medications, ivermectin, and what research is saying. ### Content Much has been written about various treatments to help patients with **COVID-19** since the beginning of the pandemic. Currently, our colleagues at several major hospitals around the nation have been involved in trials involving antiviral drugs like Remdesivir, steroids, and convalescent plasma infusion (a treatment where patients who have recovered from COVID donate plasma which is then given to patients who are sick with the disease). **We’re sharing the latest research on a treatment that hasn’t been talked about so much**. Our Passion: Hope, and Healing Through Education We feel strongly about providing people with *the best and newest information on the pandemic*. Many of you may remember that we were among the first to do extensive research in April 2020 on the use of natural compounds with potential benefits in COVID like vitamin D, quercetin, zinc, glutathione, vitamin C (including high dose IV administration), and melatonin. Our original work may be found [here](https://www.a4m.com/assets/pdf/covid-19-resources/COVID_19_Week_7_Antoine.pdf). Subsequent peer-reviewed research internationally has confirmed much of what we had written about these compounds – *especially the vital role of zinc and vitamin D in the treatment of COVID*. In fact, one [study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456194/) from Spain demonstrated administering vitamin D to hospitalized patients resulted in lower ICU admissions and lower death rates. Recently, one of the oldest prescription medications, **ivermectin**, has shown promise in some trials. **As always, never start any new medication* or supplement without checking with your doctor first.** *Ivermectin is an FDA-approved medication but has not been approved specifically for COVID treatment or prevention. ## ***What Is Ivermectin?*** Ivermectin is an oral medication that has been used for many years to treat parasitic infections like worms (gross!) in both people and animals. It is inexpensive, widely available, and has no significant medication interactions (unlike azithromycin and hydroxychloroquine). As with any medication, adverse reactions may occur, but with ivermectin, they are rare. What Does Ivermectin Do in Viral Infections? Antiparasitic medication for a viral infection — seems strange, right? Well, read on to discover the potential benefits of this medication. It is thought that ivermectin acts at different viral protein binding sites, reducing viral replication (the process by which viruses multiply — although they are not really alive). It has been shown in an in vitro (in the lab but not in people) study that ivermectin stops the transport of some proteins required for viral entry into the nucleus (the “brain center”) of the cell. This entry is vital to viral function and reproduction. This particular study showed that **ivermectin reduced the reproduction of the HIV virus and dengue fever virus**. Similar results were found with West Nile virus and other RNA viruses. Ivermectin has also been shown in a mouse study to reduce interleukin 6 (IL-6) and TNF-α (two inflammatory chemicals which are elevated in patients with COVID and “cytokine storm”). Cytokine storm is a condition of extreme inflammation which occurs in some patients with COVID-19 and is associated with poor outcomes. What About SARS-CoV-2 (the Virus That Causes COVID-19)? In June 2020, a well-done in vitro study showed that **ivermectin reduced viral copies 5000 times** (virtually eliminating all viral RNA) by 48 hours. What About Clinical Studies of Ivermectin in People With COVID-19? Several studies have shown the potential benefits of ivermectin in patients with COVID-19. In a study done by physicians in Egypt, a group of patients receiving standard care (including hydroxychloroquine) was compared to a group that received standard care plus ivermectin. The ivermectin group had better survival rates and their labs showed decreased inflammation. *There were no safety issues*. Another double-blind, placebo-controlled study (the most scientifically validated level of evidence) compared ivermectin plus standard care to placebo plus standard care. The elimination of the virus (known as “clearance”) from the bloodstream was significantly reduced in the ivermectin group. C-reactive protein levels (a lab test we use which measures inflammation) was also lower in the ivermectin group (indicating less inflammation). No adverse effects were seen in the ivermectin group in this study either. Another study of 248 patients compared ivermectin plus standard care versus standard care alone. Significantly fewer patients in the ivermectin group required oxygen, developed respiratory distress, or required ICU care. The time it took for the patients to test negative was shortened in the ivermectin group (confirming what was seen in other studies) and fewer patients in the ivermectin group died. Time to hospital discharge was less in the ivermectin group as well. *No problems related to the use of the drug were seen in the treatment group*. A randomized study from Iraq also showed lower time to recovery, progression to severe disease, and lower mortality. In October 2020, a study of 288 hospitalized patients from Florida showed significantly lower mortality in the group treated with ivermectin. This was a retrospective study (chart review after patients were treated) and the authors pointed out that further randomized studies were required. There are currently 38 ongoing clinical trials in the US (and others worldwide) looking at the use of ivermectin in COVID-19. What Should We Do With This Information? As with our last paper on potential new treatments that we referenced above, we hope this information will educate patients and give them something to discuss with their doctors. Be on the lookout for more research results in the future. We will be sure to remain on the cutting edge of the latest research and update you as more information becomes available. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. [.block][]**Sources:**[.block][]**1** https://www.sciencedirect.com/science/article/pii/S030028962030288X?via%3Dihub [.block][]**2** https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3327999/pdf/bj4430851.pdf [.block][]**3** https://www.nature.com/articles/s41429-020-0336-z [.block][]**4** https://www.sciencedirect.com/science/article/pii/S0166354220302011?via%3Dihub [.block][] 5 https://link.springer.com/article/10.1007/s00011-008-8007-8 [.block][] 6 [ https://www.researchsquare.com/article/rs-100956/v1 ](https://www.researchsquare.com/article/rs-100956/v1)[.block][] 7 https://www.sciencedirect.com/science/article/pii/S1201971220325066 [.block][] 8 https://www.medrxiv.org/content/10.1101/2020.10.26.20219345v1 [.block][] 9 https://www.clinicaltrialsregister.eu/ctr-search/search?query=ivermectin+AND+covid-19 --- ## Kale Caesar Salad With Crispy Chickpeas **Link:** [Kale Caesar Salad With Crispy Chickpeas](https://fullyfunctional.com/blog/kale-caesar-salad-with-crispy-chickpeas/) ([md](https://fullyfunctional.com/blog/kale-caesar-salad-with-crispy-chickpeas/index.html.md)) **Description:** Our Kale Caesar Salad is creamy, crunchy, and zesty. Packed with energizing nutrients, this is one of our favorite anti-inflammatory diet recipes. So good! ### Content Our **Kale Caesar Salad** is creamy, crunchy, and zesty. *Packed with energizing nutrients*, this is one of our favorite **anti-inflammatory diet recipes**. So good! Caesar salad is always a favorite due to its creamy, garlicky, Parmesan cheesy, bread-crumbly, calorie-dense goodness. So tasty, but not exactly the healthiest choice as far as salads go, and forget it if you’re ditching the gluten, dairy, or have an egg allergy! Unlike a traditional Caesar, which can quickly weigh you down and trigger [inflammation](https://pubmed.ncbi.nlm.nih.gov/28350517/), this Caesar salad is perfect for cleansing the body, boosting vitality, and also happens to be delicious! We highly recommend pairing this Kale Caesar Salad with [Dr. Scott’s Lemon Garlic Chicken (with White Wine Reduction)](/blog/healthy-lemon-garlic-chicken-white-wine-reduction/). **Replace Recipie Feat** ### Ingredients #### Dressing - 1 large bunch kale washed and stemmed - 2 large garlic cloves crushed or minced - 1/4 cup tahini - 3 tablespoons filtered water - 2 tablespoons fresh lemon juice - 1 tablespoon anchovy paste #### Crispy Garlic Chickpeas - 1 15 oz can organic garbanzo beans drained and rinsed - 1 tablespoon olive oil - 1/2 teaspoon garlic powder - 1/2 teaspoon sea salt - Fresh ground pepper to taste ### Instructions - **To make the dressing:** - Add all dressing ingredients to a small bowl. Whisk until well combined. Add more water, if needed, to create desired consistency. - **For Crispy Garlic Chickpeas:** - Preheat oven to 375 degrees. - Place rinsed chickpeas on a tea towel and rub them to dry (some of the skins will come off, that’s ok). - In a small bowl, combine chickpeas, olive oil, garlic powder and sea salt. Mix well. - Pour chickpeas onto a cookie sheet in a single layer and bake for about 45 minutes until crispy, stirring every 10 minutes or so. - Use as a topping on salad, or for a crunchy snack! - **Prepare the salad:** - Chop or tear kale into bite size pieces. With clean hands, massage kale until it begins to soften (just a couple of minutes). - Add about ½ of the dressing to the kale and mix well with hands until the kale is coated. Add more dressing to taste. (Store any leftover dressing in the refrigerator for another day.) - Add crispy garlic chickpeas (recipe below), as desired, and toss well. Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, kale caesar salad --- ## Kohlrabi Slaw With Southwestern Flavors **Link:** [Kohlrabi Slaw With Southwestern Flavors](https://fullyfunctional.com/blog/kohlrabi-slaw-southwestern-flavors/) ([md](https://fullyfunctional.com/blog/kohlrabi-slaw-southwestern-flavors/index.html.md)) **Description:** This Kohlrabi Slaw has a kick and a crunch that does not disappoint, and the nutritional hit comes from phytochemicals known to have anti-inflammatory effects. ### Content Excited to share this **Kohlrabi Slaw** with you! A member of the Brassica plant family; Kohlrabi plants are also known as Cruciferous plants because the flowers of this family make a 4-petal “cross”. Cruciferous vegetables include 39 vegetables or plants used across the world’s cultures for food and/ or oil. This recipe incorporates cilantro, cumin, orange zest, lime, and agave. The southwestern flavors are perfectly balanced, and the tang and crunch make it hard to put that fork down! Kohlrabi’s nutritional punch comes from *phytochemicals* known to have [anti-inflammatory](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287320/) effects, as well as several minerals, Vitamins A, B-Complex, C, and K. This translates to health benefits leading to improved digestion, assistance with weight loss, maintenance of nerve and muscle function, regulation of blood pressure, improved iron stores, bone preservation, and vision protection. Kohlrabi’s flavor profile falls into the earthy/pungent category, and it works well in both cooked and raw dishes. The following slaw borrows from the Southwest U.S. and Mexico to add punch and spice. So, it’s easy to see why this dish makes it to the top of our **anti-inflammatory diet recipes** list, plus the flavor is out of this world! Pair your Kohlrabi Slaw with our [Honey Ginger Glazed Salmon](/blog/honey-ginger-glazed-salmon/), for a power-duo! **Replace Recipie Feat** ### Ingredients - 2 bulbs kohlrabi - 1 bulb fennel - 1/2 cup chives snipped, or scallions - 1/2 cup cilantro chopped - 1/2 tsp ground cumin - 1 zest orange - 3/4 tsp chile powder dried ancho - 1/4 cup extra-virgin olive oil - 1/4 cup orange juice fresh - 1 whole lime large, juiced - 2 tbsp agave organic or raw honey - 1/2 tsp sea salt or to taste - 1 tbsp lemon juice fresh ### Instructions - Shred kohlrabi and fennel bulbs, preferably using a food processor with shredding disk. - Combine shredded vegetables with cilantro and chives in a large bowl. - Whisk remaining ingredients in a medium bowl to make vinaigrette. - Toss vegetables with vinaigrette and refrigerate until serving time; slaw holds well through the next day. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, anti-Inflammatory salad, kohlrabi slaw, slaw --- ## Love Your Liver Detox: 10 Ways To Optimize Detoxification **Link:** [Love Your Liver Detox: 10 Ways To Optimize Detoxification](https://fullyfunctional.com/blog/liver-detox-optimize-detoxification/) ([md](https://fullyfunctional.com/blog/liver-detox-optimize-detoxification/index.html.md)) **Description:** Show your liver some love with a liver detox! To optimize detoxification, we have to optimize liver function! Here are 10 tips for optimizing your liver. ### Content It’s always a good time to focus on *detox and renewal*! One of the best ways to do that? Show your liver some love with a **liver detox**! The 3rd pillar in our Fully Functional® process at The Center for Fully Functional® Health is OPTIMIZE. In order to optimize detox, we have to optimize liver function! The liver is the mighty organ of detox and works hard to sort and eliminate the many toxins that come its way from the food you eat, the air you breathe, the products you put on your skin, and even some made on your own body, such as excess hormones. The liver is one of the body’s major multitaskers, and in our overly toxic modern world, *it can be hard for it to keep up*! In addition to filtering the blood and **disposing of toxins**, the liver is also involved in hormone regulation, carbohydrate metabolism, the production and secretion of bile to aid in the digestion of fats, and many other critical functions. This is one busy organ, working overtime for you, every single day! I’d say a little TLC is in order! Check out our liver-loving tips for a few ways you can show it some love, give it a break and optimize its function so it can help keep you Fully Functional for life! ## ***Tips for Optimizing Your Liver*** ### **1. Ditch the bad fats.** Hydrogenated trans fats found in processed foods and refined vegetable/seed oils are highly toxic to the body and increase the load on the liver. While we encourage healthy fat in the diet, it’s important to *choose your fats wisely*! Our bodies thrive on the good fats found in foods such as avocado, olive, coconut, and salmon. ### **2. Rest and digest.** The liver does its best work while you sleep and detoxification kicks into high gear… Give it a break from digestion for 10-12 hours to support detox in the body, and *get to bed before 10 or 11 pm*! ### **3. Reduce your toxic load.** Fewer toxins in means **less work for the liver**! Buy organic, switch out toxic skincare and cleaning products, use a water filter and store your food in glass containers over plastic. ### **4. Increase your fiber intake.** Foods rich in soluble fiber [help support the liver](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5105045/) by binding with toxins and moving them out. Include lots of fruits, vegetables, chia seeds, flax, and beans to keep toxins moving out of the body. ### **4.[Dry Brushing](/blog/benefits-of-dry-skin-brushing/).** *Your skin is your largest detox organ*. When it is not detoxing properly, neither is your liver. Keep your skin healthy and stimulate your lymph to keep circulating and removing toxins by brushing your skin. ### **6. Just add lemon!** Lemon juice and lemon zest are alkalizing to the body and have phytonutrients that help support **liver detoxification**. Add freshly squeezed lemon to water and lemon zest to smoothies and recipes. Great flavor, great detox! ### **7. Eat more broccoli (and other cruciferous veggies!).** Cruciferous vegetables such as broccoli, cauliflower, cabbage, and brussels sprouts support the pathways which are especially important in removing excess hormones from the body. ### **8. Go green!** *Green is your liver’s favorite color*. Herbs such as cilantro and parsley, bitter greens such as dandelion or mustard are great options, in addition to the usual spinach, kale, or romaine! Leafy greens are also a great source of chlorophyll which is instrumental in clearing toxins from the body. ### **9. Consider a B vitamin supplement.** **B vitamins** are crucial for the detoxification of unwanted toxins such as heavy metals, histamines, and bacterial toxins that could be at the root of immune or neurological challenges. ### **10. Choose moderate amounts of high-quality proteins.** We all need protein, but too much, or the wrong kinds, puts a strain on our liver. Consider high-quality proteins such as organic chicken, grass-fed beef, or wild-caught salmon as a side of your meal, *and keep plenty of colorful vegetables as the main event*. Try these 10 tips to keep your liver in tip-top shape! If your liver could use some extra support, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Loving Relationships: Essential Nourishment **Link:** [Loving Relationships: Essential Nourishment](https://fullyfunctional.com/blog/loving-relationships-essential-nourishment/) ([md](https://fullyfunctional.com/blog/loving-relationships-essential-nourishment/index.html.md)) **Description:** The nourishment that comes from our loving relationships is essential to a healthy and balanced life. Let’s look at love languages and their effect on health. ### Content ## Loving Relationships: Essential Nourishment Do you know your “love language”? The nourishment that comes from our **loving relationships** is essential to a healthy and balanced life, so in honor of Valentine’s week let’s focus on this important aspect of wellbeing with a look at **love languages**! So, *what’s a love language*? The concept was developed by counselor/author Gary Chapman in the book *The 5 Love Languages*. The premise is that people express and interpret love in different ways, which he calls “love languages”. Your love language is the way that you feel most loved and cared for. Since that differs for everyone, it’s important to not just express love in your own love language but in the language of the person receiving it. Small actions we take every day can either be expressing love to another or be viewed as indifferent, depending on their love language. The **5 love languages** the author identifies are: - **Words of Affirmation** - Actions don’t always speak louder than words to you. Love needs to be expressed through words, whether with a simple “I love you”, compliments, praise or other affirmations. - **Acts of Service** - When someone eases your burden of responsibilities you feel loved. When someone else does the dishes or takes the kids out to give you some down time, you receive these actions as love. - **Receiving Gifts** - A thoughtful gift or gesture means the world to you and shows that you are cared for and loved. - **Quality Time** - Time and attention from another person is what you most crave and what makes you feel loved. - **Physical Touch** - Affection is expressed through any type of re-affirming physical contact. You need a hug! Though we tend to favor one or two love languages, *it doesn’t mean we don’t still enjoy the others*, it’s just how we relate best. For example, my primary love language is quality time. Rather than receiving a gift from you, I’d rather share an experience with you. If you give me a gift too, then *BONUS!* By relating to another person using their particular love language **you can transform your relationship**, whether it’s with a spouse, family member, friend, or even child. (There is another quiz/book where you can discover your child’s love language.) Learning to speak one another’s love language can lead to more loving relationships through a greater sense of connection, better communication, understanding, and of course, health! Curious to find out your love language? Head to [5lovelanguages.com](https://www.5lovelanguages.com/) to take the free quiz! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Is Low Dose Naltrexone Your Missing Link? **Link:** [Is Low Dose Naltrexone Your Missing Link?](https://fullyfunctional.com/blog/low-dose-naltrexone-missing-link/) ([md](https://fullyfunctional.com/blog/low-dose-naltrexone-missing-link/index.html.md)) **Description:** Clinical studies show Low Dose Naltrexone (LDN) yields amazing outcomes in immune regulation, pain reduction and symptom management. Read our pro research. ### Content For nearly 30 years, doctors have been prescribing **Naltrexone** at a low dose — just one tenth of the original strength meant to treat drug addiction — as an effective treatment for autoimmune disease. We’re sharing our pro tips on *low dose Naltrexone*. Clinical studies show Low Dose Naltrexone (LDN) yields amazing outcomes in immune regulation, pain reduction and symptom management. It’s been studied as a novel treatment for Crohn’s disease, multiple sclerosis and fibromyalgia, and I’ve personally prescribed it as a way to Optimize and Support my autoimmune patients during the Fully Functional® process. Yet many of my patients are completely unfamiliar with this treatment, and what’s worse, they often report their primary care practitioners have never heard of **LDN**. In this post, we’ll explore why LDN may be the “missing link” in your *symptom management plan*. Save ## History of Low Dose Naltrexone Naltrexone was originally developed in the 1960s, and approved by the FDA in the 1980s as a treatment for opioid addiction.¹ As an opioid receptor antagonist, Naltrexone prevents opioids from affecting neural receptors in the brain and means that opioids (like heroin) have little to no effect when taken along with Naltrexone. Doctors quickly discovered that *Naltrexone wasn’t an ideal treatment for opioid addiction* thanks to a range of unpleasant side effects. But researchers also found that a lower dose of the drug could have effects opposite of its intended treatment. Whereas a 50-100 mg dose of Naltrexone blocked opioid receptors, a lower dose, typically between 1.5 and 4.5 mg, actually increased the body’s own opioid production. Users of this lower dose of Naltrexone reported pain management and a **reduction in inflammation**. Researchers believe LDN reduces inflammation by affecting the activity of glial cells in our central nervous system, which in turn reduces inflammation and pain. It may also regulate T-regulatory cells, which affect our immune response.² Though it’s only been about a decade since the first LDN trial in humans was published, this treatment has gained a lot of traction in the natural health community, and it’s *one of our most common treatment recommendations*. ## ***What Can LDN Treat?*** LDN has incredible potential for the treatment of many different chronic illnesses, *especially those that are autoimmune in nature*. Unfortunately, clinical research has been slow to examine this promising treatment. One of the most heavily researched applications of LDN is in the treatment of fibromyalgia. In one study, a single-blind trial, LDN reduced fibromyalgia symptoms by **30% over a placebo**, improved patient’s’ tolerance to heat and touch, and had very few adverse side effects.³ In another double-blind and randomized trial (the most rigorous type of clinical trial), LDN improved patients’ pain, mood, and quality of life significantly better than a placebo.⁴ For fibromyalgia patients living with chronic pain, this treatment is safe and often effective. LDN’s efficacy in reducing multiple sclerosis (MS) symptoms is still being determined. In a pilot study conducted in 2010, LDN substantially improved quality of life in multiple sclerosis patients, and in another small clinical trial, it reduced participants’ fatigue and depression with only mild side effects like sleep disturbances, agitation, and urinary tract infections.⁵,⁶ Some research has also focused on LDN as a potential treatment for Crohn’s disease. One of these trials focused on children aged 8-17, which seemed to reduce disease activity and even prompt remission.⁷ After 16 weeks, *25% had achieved remission and 67% showed improvement*. Since no large-scale studies have focused on LDN as a treatment for Crohn’s, the larger medical community is reluctant to accept this treatment. But given that it’s relatively inexpensive and has few side effects, we believe it will eventually come to be seen as one of the most promising treatments for this and other chronic diseases. ## ***Incorporating LDN Into Your Treatment Plan*** **Low-dose Naltrexone** is an ideal addition to many of our patients’ Fully Functional® healing plans. *It’s safe and effective*, and often, the most annoying symptom our patient’s report with its use is vivid dreaming or sleep disturbance. **So, where might it fit into your treatment plan?** When we take on a new patient, our goal is always to work together to help them live a Fully Functional® life. Our first step is to Identify underlying root issues like an autoimmune process, food sensitivities or lifestyle factors that are contributing to a disease state. By Reducing these root issues, we can often decrease inflammation *and vastly improve health*. Compounded prescription medications like LDN come in later, once we’ve done the investigative work that’s key to [Functional Medicine](/). During these phases, we work to Optimize and Support your body’s healing — this is where we find LDN most helpful. Along with appropriate supplementation and lifestyle modifications, we find it makes a big difference in our patients’ quality of life. We typically recommend that patients begin at a low dose of 1.5 mg (sometimes less) and work up to a dose that does not negatively affect their sleep, typically up to 4.5 mg. We carefully monitor lab work during this period to observe changes in antibody production or other measures of inflammation, like high sensitivity C-reactive Protein (hs-CRP). It’s important to work with a doctor who understands **Functional Medicine** to make sure you’re getting the most out of your LDN treatment. A 3-month course of LDN typically runs *less than $90*, and I often find it’s a worthwhile investment for my clients. Some of our most successful stories of healing come from patients with immune dysregulation such as Hashimoto’s thyroiditis, Crohn’s disease, fibromyalgia, [PANS/PANDAS](/blog/pans-pandas-what-you-need-to-know/) as well as other inflammatory processes who have incorporated LDN into their routine. If you’re interested in achieving **a better quality of life** while living with chronic disease, schedule your appointment today! Together we’ll determine whether complementary treatments like LDN are right for you and get you on the path to becoming Fully Functional®. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3962576/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3962576/)*2 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4935426/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4935426/)*3 *[*https://pubmed.ncbi.nlm.nih.gov/19453963/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/19453963/)*4 *[*https://pubmed.ncbi.nlm.nih.gov/23359310/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/23359310/)*5 *[*https://onlinelibrary.wiley.com/doi/abs/10.1002/ana.22006[.block][]*](https://onlinelibrary.wiley.com/doi/abs/10.1002/ana.22006)*6 *[*https://www.nationalmssociety.org/Treating-MS/Complementary-Alternative-Medicines/Low-Dose-Naltrexone[.block][]*](https://www.nationalmssociety.org/Treating-MS/Complementary-Alternative-Medicines/Low-Dose-Naltrexone)*7 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3586944/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3586944/) --- ## 8 Things You Need to Know About Lyme Disease **Link:** [8 Things You Need to Know About Lyme Disease](https://fullyfunctional.com/blog/lyme-disease-8-things-you-need-to-know/) ([md](https://fullyfunctional.com/blog/lyme-disease-8-things-you-need-to-know/index.html.md)) **Description:** We're sharing 8 things you need to know about lyme disease, data on testing for lyme disease, and five important things to do if you find a tick on your body. ### Content I grew up in New York and it wasn’t uncommon for a friend or family member to be diagnosed with **Lyme disease. Their complaints typically consisted of rash with or without joint pain. They were typically given antibiotics for some period of time and told they were healed. But all through medical school, residency, and working as an Emergency Medicine attending, I can’t remember ever being taught to consider Lyme disease, seeing a patient present with it, or personally diagnosing a case of Lyme.** If you weren’t living in NY or Connecticut, it wasn’t even considered. When I started seeing patients with chronic health conditions presenting with chronic fatigue and pain that wasn’t explained or improved with traditional and integrative therapies, *I began to wonder what I was missing*. It wasn’t long before it became clear that Lyme disease was certainly one of the things I should be considering in these ‘difficult to diagnose and treat’ cases. Many of these patients have seen numerous doctors, been to specialty facilities, been told that ‘it was all in their head’ by not only the medical community but also often by their own family and friends. ## ***The Cause*** Lyme disease is caused by the *spirochete* (a ‘twisted’ bacterium) Borrelia burgdorferi and is transmitted to humans through the bite of an infected tick.* “Classic” symptoms of acute illness typically include fever, fatigue, and what is known as an Erythema Migrans (bulls-eye looking) rash. Long-term sequelae include neurologic, cardiovascular, and musculoskeletal complications. ****There are reported cases of sexual as well as in-utero transmission of Lyme disease.*** The Centers for Disease Control (CDC) have stated on their website that the surveillance criteria were never intended to be used as diagnostic criteria, nor were they meant to encompass the entire scope of Lyme disease. The number of cases of Lyme disease is significantly underreported at approximately **30,000 new cases per year**. The CDC states “studies suggest that the number of people diagnosed with Lyme disease each year in the United States is around 300,000.” Also noted is that *Lyme disease is the fastest-growing vector-borne, infectious disease in the United States*. Contrary to popular belief, Lyme disease is not just a medical condition found in those living on the East Coast but cases have been reported in every state in the US and numerous other countries in the world. I have been surprised when I have had patients with a clear case of Lyme disease (CDC positive blood testing, history, rash, symptoms, etc.) who have been told by another practitioner that ‘it can’t be Lyme. We don’t have Lyme here.’ *That’s just not an accurate statement*! ## ***What You Need To Know About Lyme Disease*** ### **1. Lyme disease is a complex disease and can be difficult to diagnose.** - Only 50%-60% recall a tick bite. - At most, 60% of infected people develop the typical ‘bulls-eye’ rash. - Joint pain is present 20-30% of the time. ### **2. Lyme disease is often referred to as the ‘Great Imitator’ because symptoms mimic other health conditions.** - Fibromyalgia, Multiple Sclerosis, Anxiety, and Chronic Fatigue are among the most frequent diagnoses patients are given. - Rheumatologic and neurologic diseases are other commonly diagnosed conditions in Lyme infected individuals. ### **3. Lyme disease can present with a myriad of symptoms as many react differently to the infection. Here are some of the more common presentations we see:** - Fatigue - Headaches - Irritability - Joint pain - Pain (Radiculopathy) - Anxiety/Depression/Mood Changes - Numbness/Tingling - Chest pain - Palpitations - Poor memory/Focus/Concentration (Cognitive issues) - Sleep disturbances - Facial paralysis (known as a Bell’s Palsy) - Hormone abnormalities** *** This list is not comprehensive of all possible presentations, just the more common ones we see in the office.* ### **4. Testing for Lyme disease is unreliable.** - **Elisa testing** is the first step in a two-step screening process recommended by the CDC and is only 35% accurate in culture positive Lyme disease. - **Western Blot**, the second step in the screening process, can miss 20-30% of culture positive Lyme disease. - **Culturing Borrelia** is very difficult and is only performed in specialty labs and some university settings. ### **5. Lyme disease is a clinical diagnosis.** - The CDC notes that the diagnosis of Lyme disease is based on physical signs and symptoms as well as a history of possible exposure to affected ticks. - Lab testing alone cannot make the diagnosis. ### **6. Chronic health concerns are common in Lyme disease patients.** - 40% of patients diagnosed with Lyme disease report chronic health issues. ### **7. Ticks can harbor many infectious agents that can be transmitted through the tick bite.** - Co-infections are increasingly being reported - Babesia - Ehrlichia - Bartonella - Anaplasma - Rocky Mountain Spotted Fever - Colorado Tick Fever - Powassan Fever - Q Fever - Others ### **8. Lack of adequate treatment can result in persistent Lyme disease (also known as Chronic Lyme disease).** - Short courses of antibiotics have resulted in upwards of 40% of recurrent/persistent disease. ## ***If You Find a Tick on Your Body*** ### **1. Stay calm. Don’t panic.** - **Remove the tick**. Proper tick removal technique is necessary to prevent transmission of disease.* ### **2. If you find a tick embedded on you, seek medical care and treatment. Don’t wait!** - Up to 50% of ticks found in Lyme endemic areas carry the disease – it’s better to treat rather than be sorry and develop disease. - Don’t wait for symptoms to appear before treatment is initiated. - If you develop a rash, take pictures of it – Don’t wait to see your doctor as an Erythema Migrans rash can resolve as quickly as it presents. ### **3. Enjoy the outdoors but be wise and prepared!** - Wear long-sleeves and pants that you tuck into your shoes/socks when hiking, gardening, playing outdoors, etc. - Spray your clothing and belongings with repellent before engaging in outdoor activities. The Environmental Working Group (EWG) [recommends](https://www.ewg.org/news-insights/news/protect-yourself-bug-bites-effective-repellent) the following repellent ingredients as their ‘top picks’: - Picaridin - DEET - IR3535 - Oil of Lemon Eucalyptus and its synthetic derivative PMD - Check your body, hair, clothing after coming in from the outdoors. - Don’t forget to check your animals too. Ticks can infect pets but can also ‘hop’ from their hair onto you. ### **4. Seek medical care if you believe you might be suffering with Lyme disease or have been bitten by a tick.** - See your physician and explain your concerns. - Don’t be afraid to get a second opinion if you feel uneasy or are dissatisfied with your care. - Make sure you see a medical doctor who is familiar with Lyme disease and treatment options. ### **5. Be educated!** - You are your best advocate! - Don’t accept when someone says ‘Lyme disease doesn’t exist here’ but also don’t assume that every rash or chronic pain/symptom is caused by Lyme. - Ask questions and seek answers! **Lyme disease is more prevalent than we think**. If you suffer from a chronic illness without a clear reason, seek a medical evaluation from a practitioner educated in diagnosing and treating Lyme and co-infections. You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. **Information in this article is not intended to diagnose, treat, or take the place of medical care or an evaluation. Please have a thorough workup with your Clinician or *[*schedule an appointment*](/patient-resources/become-a-patient/)* to be seen at The Center for Fully Functional® Health.* --- ## Lyme Disease Natural Treatment: The Truth About Lyme Disease & Co-Infections **Link:** [Lyme Disease Natural Treatment: The Truth About Lyme Disease & Co-Infections](https://fullyfunctional.com/blog/lyme-disease-natural-treatment-and-coinfections/) ([md](https://fullyfunctional.com/blog/lyme-disease-natural-treatment-and-coinfections/index.html.md)) **Description:** When it comes to Lyme Disease natural treatment options, it’s important you find a doctor with experience in treating this condition, and that you can trust. ### Content **Lyme disease**, a relatively new discovery only identified about 50 years ago, is a condition caused by a spiral-shaped bacterium called *Borrelia burgdorferi*. Lyme is known to be transmitted to humans by infected deer ticks. Common symptoms include chronic fatigue, joint pain, weakness, brain fog, and rash. The difficulty with diagnosing this disease is that the symptoms aren’t usually overt or initially problematic, *so it can go relatively unnoticed for years*. After some time the condition snowballs into something more serious requiring medical care. By the time a patient with [Lyme disease](/blog/lyme-disease-8-things-you-need-to-know/) is looking for answers, they usually have confusing and multi-system symptoms that can throw off even the most competent physicians.[.block][][.block][]Additionally, every patient’s Lyme progression looks a little different, which can add to the confusion. They can skip phases, have remission periods, and even remain fairly asymptomatic for a long time. Furthermore, **lab tests for Lyme disease are notoriously poor** and far from conclusive. It is not uncommon for a patient with the illness to have a false-negative test result. Once diagnosed, the traditional **treatment for Lyme disease** is a short course of antibiotics followed by testing for the eradication of the disease. Unfortunately, if the patient’s lab work comes back clean, they are declared “cured.” Often these patients feel far from healed and continue to have persistent symptoms despite negative lab results. It is not uncommon for some of these patients to be told their symptoms are *psychosomatic* – or in their head. As you can imagine, this is quite discouraging and most likely contributes to the alarmingly high rate of suicide in Lyme disease patients. On top of this, nearly half of all the disease patients also have other **tick-borne coinfections**, and some estimates are as high as 80 percent.¹ This is part of the reason treatment of Lyme disease is a more complicated situation than meets the eye. When it comes to Lyme disease the truth of the matter is: - There’s a good chance that if you have this disease, you also have a coinfection.² - If you have a coinfection, treating just the disease isn’t sufficient. - Lyme disease prevalence is on the rise and spreading. - Lab work isn’t conclusive and should be reviewed with a doctor familiar with the inherent complexity of Lyme disease. - The two major authorities on Lyme disease protocols have conflicting diagnostics and treatment advice, which adds to the confusion – the International Lyme and Associated Diseases Society (ILADS) and Infectious Diseases Society of America (IDSA). - There is still a lot to learn about Lyme disease and its coinfections – *both in diagnosis and treatment*. As you can see, there are numerous areas along the path to **Lyme disease recovery** where successful diagnosis and treatment can run off the rails. ## ***Lyme Disease is On The Rise – Know the Symptoms*** While approximately only 30,000 cases of Lyme disease are reported to the Centers for Disease Control (CDC) each year, the number is believed to be seriously underreported and **likely exceeds 300,000 annually**.³,⁴ Also, according to the CDC, *Lyme disease is the most common vector-borne illness in the United States* and in 2015 was the sixth on the most commonly reported notifiable infectious diseases and conditions list.⁵ Within a week or two (sometimes up to a month or so) after the bite, initial symptoms of Lyme disease may include: - The hallmark bull’s eye rash (which occurs less than 50% of the time)⁶ - Muscle and joint pain - Flu-like symptoms - Nausea - Fever - Chills - Fatigue - Headache - Swollen lymph nodes If Lyme disease isn’t caught at the time of exposure, the following symptoms can take several months to progress. Second phase symptoms of Lyme disease often include: - Significant arthritis - Weakness - Extreme fatigue - Rashes (can occur anywhere) - Short-term memory loss - Brain fog - Recurrent headaches - Localized numbness - Bell’s palsy (facial paralysis) The latent stage of Lyme disease can cause serious and life-threatening symptoms. Later stages of Lyme disease can take years to develop and include: - Severe arthritis - Heart palpitations (heart rhythm irregularities) - Mood swings - Memory loss - Debilitating fatigue - Loss of muscle control or other neurologic conditions - Joint swelling Generally, the longer Lyme disease and its coinfections go untreated, the worse the symptoms become *and the more difficult they are to treat*. **However, this by no means implies Lyme disease is a life sentence, full recoveries are made regularly. But the successful treatment of Lyme disease starts with an accurate diagnosis.** ## ***Understanding the Difference in Lyme Disease Co-Infections*** If you think you have Lyme disease or have already been diagnosed, you should absolutely also be tested (when possible) for coinfections. Understanding the difference in coinfections can give you a lot of insight into your condition and potentially help your diagnosis and treatment. Common coinfections and their corresponding and distinctive symptoms are as follows:⁷ - **Babesia** – Night sweats, air hunger, fever, hemolytic anemia, and fatigue. - **Bartonella** – Symptoms that wax and wane, red rash (stretch mark-like), fever, neurological symptoms, and bone pain – especially shin and heel pain. - **Ehrlichia** – Rash, fever, headaches, muscle and joint pain. - **Mycoplasma** – Upper respiratory infection symptoms, headaches, and sore throats. - **Rocky Mountain Spotted Fever** – Splotchy, spreading rash that often begins on soles of feet and hands, high fever, severe headaches, brain fog, and possible organ failure. - **Anaplasma** – Fevers, rashes, headaches, and brain fog. - **Colorado Tick Fever** – Recurring fevers. - **Tick-borne Relapsing Fever** – Recurring fevers and rashes, muscle and joint pain. - **Q Fever** – High fever, sweats, and chills. - **Powassan Viral Encephalitis** – Severe neurological symptoms and fever. - **Tick Paralysis** – Facial, tongue, and body paralysis, fatigue, and convulsions. - **Tularemia** – Ulcers and swollen lymph nodes. An excellent resource from the CDC on coinfections can be found [here](https://www.cdc.gov/lyme/resources/tickbornediseases.pdf). It is not uncommon for people with Lyme disease or a coinfection to have **impaired immune system function**. This allows for other infections, such as [Epstein Barr virus (EBV)](/blog/reactivated-epstein-barr-virus-need-know/), to become reactivated and contribute to the patient’s health concerns. ## ***Finding a Doctor Who Specializes in Lyme Disease*** When it comes to the disease it’s not only important that you find a doctor with experience in treating this condition, but that you also find a doctor you trust that offers innovative solutions because finding treatments for the disease and its coinfections can be a challenging and sometimes a long process. The good news is *treatments are getting better every day* and this is especially true when coinfections are properly identified and dealt with. If you’ve been struggling with debilitating fatigue or chronic illness, it’s a good idea to get checked for the disease and its coinfections. Don’t give up on finding answers – Lyme disease could be the cause of your health troubles, in which case a proper diagnosis is a step in the right direction. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976119/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3976119/)*2 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795628/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4795628/)*3 *[*https://www.cdc.gov[.block][]*](https://www.cdc.gov)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4550147/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4550147/)*5 *[*https://www.cdc.gov/mmwr/volumes/64/wr/mm6453a1.htm?s_cid=mm6453a1_w[.block][]*](https://www.cdc.gov/mmwr/volumes/64/wr/mm6453a1.htm?s_cid=mm6453a1_w)*6 *[*https://www.ilads.org/research-literature/lyme-101-series-at-iladef/[.block][]*](https://www.ilads.org/research-literature/lyme-101-series-at-iladef/)*7 *[*https://www.lymedisease.org/co-infections-complicates-diagnosis-treatment-of-lyme-disease/*](https://www.lymedisease.org/co-infections-complicates-diagnosis-treatment-of-lyme-disease/) --- ## Lyme Disease Natural Treatment Options, and Other Tick-Borne Infections **Link:** [Lyme Disease Natural Treatment Options, and Other Tick-Borne Infections](https://fullyfunctional.com/blog/lyme-disease-treatment/) ([md](https://fullyfunctional.com/blog/lyme-disease-treatment/index.html.md)) **Description:** Lyme Disease is a complicated and often misdiagnosed illness. We're sharing Lyme disease natural treatment options and info on other tick-borne infections. ### Content ## ***Lyme Disease and Other Tick-Borne Infections *** **Lyme disease** was first discovered in Lyme, Connecticut in the mid-1970s. It was found to be the cause of a sudden epidemic of arthritis in children. It is caused by a “spirochete” (a “corkscrew-shaped” bacteria). Transmitted by tick bites, *Lyme disease can make you very sick*. It can even be deadly. In this article, we’re covering **Lyme disease natural treatment options**, other tick-borne infections, symptoms, diagnosis, and more. ## ***Three Reasons Why Lyme Disease Is Tough To Deal With*** ### **1. Lyme disease can progress very slowly or remain dormant with little to no symptoms for a long time** *It can often take years for you to fully realize what’s happening*. And the longer Lyme disease goes undiagnosed and untreated, the harder it can be for you to recover fully. ### **2. Lyme disease can be difficult to diagnose** Unlike a simple illness like strep throat where your doctor can obtain a swab and grow out the bacteria on a plate to make the diagnosis, **Lyme disease diagnosis** currently relies on tests of your body’s antibodies to the Lyme organism. See below for additional information about challenges in diagnosing Lyme disease. ### **3. Lyme disease can be tough to treat even if you find it** People are diagnosed with Lyme disease in a conventional setting when antibodies are identified in their lab work or on the basis of a specific skin rash appearance after a tick bite. Most often, these patients are given a 2-week course of an antibiotic like Doxycycline. *This helps some people recover completely*. The problem?– Some people just don’t get better. In fact, sometimes they get worse. Lyme disease patients often struggle to get relief – this is because many doctors don’t fully understand this condition and patients with chronic or unusual symptoms are sometimes told that the symptoms are in their head. This is an unfortunate situation that has happened far too many times. If you have [Lyme disease](/blog/lyme-disease-8-things-you-need-to-know/) or suspect you have Lyme disease – I assure you, your symptoms are not in your head. ## ***What Kind of Symptoms Are Caused by Lyme Disease?*** Lyme disease can be progressive and has three stages of symptoms: ### 1. Early Lyme disease This occurs a week or two after the initial bite and includes the following symptoms: - Bullseye rash (note: only 50% of patients remember a bite) - Flu-like symptoms - Nausea - Fever - Chills - Muscle and joint aches - Swollen lymph nodes - Headaches ### **2. Early Disseminated Lyme disease** If you don’t catch your tick bite right away, the **second stage of Lyme disease** can take months to progress. Second stage Lyme disease symptoms include: - Swollen joints - Arthritis - Extreme fatigue - Muscle - Rash - Short-term memory loss - Brain - A one sided facial paralysis called “Bell’s Palsy” - Tingling and numbness ### **3. Late Disseminated Lyme disease** This is the most serious phase of Lyme disease, which can take years to develop. *It can be life-threatening*. Symptoms in the final stage of Lyme disease include: - Severe arthritis - Violent mood swings - Heart rhythm irregularities like atrial fibrillation - Loss of muscle control - Debilitating fatigue - Memory loss ## ***Lyme Disease Can Be Very Difficult To Diagnose for at Least 3 Reasons*** **1. There is no commercially available culture to grow the bacteria.** We rely on the body’s ability to make antibodies to the Lyme organism. This ability is impaired in some patients. They are more likely to have a negative test, even with active infection. **2. The Lyme spirochete has several different forms.** A cyst form, a cell wall form, an intracellular form, and it can exist in a biofilm. This may help it evade (hide) from our immune system which may decrease the likelihood antibodies are made. **3. The sensitivity of common commercially available Lyme blood tests can be as low as 50%.** This means it will have up to a 50% false-negative rate. ## ***Other Tick-Borne Infections*** Though Lyme disease has gotten most of the attention, there is a long list of **other tick-borne infections** that could also be making you sick. In fact, it’s estimated that up three-quarters of all patients with Lyme disease may also have co-infections – making it very likely that if you have Lyme disease, you also have another infection. At The Center for Fully Functional® Healthcare, *we always check for other tick-borne illnesses*, as well as any conditions that may have been triggered by the Lyme disease itself. Only when you know exactly what you’re dealing with, can you fully and successfully treat Lyme disease. Different tick-borne infections have varying symptoms. Sometimes the differences in the symptoms can help point you in the right direction when searching for answers. Besides Lyme disease, here are other tick-borne infections and their distinctive symptoms: - **Babesia** – Night sweats, hunger, fever, hemolytic anemia, and fatigue. - **Bartonella** – Symptoms that wax and wane, red rash (stretch mark-like), fever, neurological symptoms, and bone pain – especially shin and heel pain. - **Ehrlichia** – Rash, fever, headaches, muscle and joint pain. - **Mycoplasma** – Upper respiratory infection symptoms, headaches, and sore throats. - **Rocky Mountain Spotted Fever** – Splotchy, spreading rash that often begins on soles of feet and hands, high fever, severe headaches, brain fog, and possible organ failure. - **Anaplasma** – Fevers, rashes, headaches, and brain fog. - **Colorado Tick Fever** – Recurring fevers. - **Tick-borne Relapsing Fever** – Recurring fevers and rashes, muscle and joint pain. - **Q Fever** – High fever, sweats, and chills. - **Powassan Viral Encephalitis** – Severe neurological symptoms and fever. - **Tularemia** – Ulcers and swollen lymph nodes. It’s also not uncommon for Lyme disease to trigger other conditions within people. Because **Lyme disease can cause a dysfunctional immune system**, it can cause hibernating pathogens like the Epstein-Barr virus to reemerge. When Lyme disease reactivates other organisms, it can add to the already confusing list of symptoms and cause a complex presentation. ## ***Lyme Disease Natural Treatment Options*** Treating Lyme Disease can also be quite challenging *and must be personalized*. The ability of the organism to evade the immune system sometimes requires a prolonged treatment course. Compounding health issues are common with Lyme disease patients, and so we have a number of treatments that help reduce inflammation, support detoxification, and strengthen the immune system, these include: - [**Infrared sauna**](/functional-medicine/infared-sauna-therapy/) (pictured above) – Think of infrared saunas like a hyper-detox chamber. Infrared saunas are excellent for those with Lyme disease because **they reduce inflammation** and open up detoxification pathways. - [**Lymphatic drainage massage**](/functional-medicine/therapeutic-lymphatic-drainage-massage/) – Our lymphatic drainage massage helps get the lymphatic system flowing, *which promotes better detoxification* – an essential process for anyone with Lyme disease. - [**IV therapy**](/functional-medicine/iv-lounge/) – We have a number of IV therapies available for our Lyme disease patients. IV therapies have proven to be very effective in people with Lyme disease. - [**BioMat therapy**](/skin-treatments/facials-with-biomat/) – BioMat therapy creates negative ions within the body, which helps fight inflammation. We use our BioMat with every massage, which promotes better detoxification. ## ***Is Lyme Disease Curable?*** When it comes to Lyme disease there are a lot of factors at play. The first being, you may have other tick-borne co-infections. **Coinfections** were largely missed by the medical community until recently. We’ve come to find out that when you get a tick bite, you’re not usually just exposed to Lyme disease. Second, other underlying infections not due to the tick bite can also cause problems. And finally, your personal body chemistry and environmental exposures play a large role in how you react and recover from Lyme disease. With the Fully Functional® process, **it is possible to cure Lyme disease**. Although in some people treating Lyme disease means management over a complete remedy. Even if you have to manage your Lyme disease, you can still live a very full and healthy life by implementing the steps of the Fully Functional® process. ## ***Finding a Doctor Who Specializes in Lyme Disease*** Lyme disease is a condition that may get worse with time. So, if you think you’ve been exposed to the Lyme disease pathogen, *you should make an appointment with a specialist immediately*. Remember, this is a complex and misunderstood disease – make sure you make an appointment with a [Functional Medicine doctor](/) who is experienced in Lyme disease and other tick-borne infections. The process of diagnosing Lyme disease and developing an individualized treatment plan can be a long and arduous process. However, if you complete this journey with an experienced, **certified Functional Medicine doctor** who can guide you along the way, it can be not only manageable but empowering. This is why we always recommend you find a physician you trust and respect when treating your Lyme disease and tick-borne infections. You can look for Lyme disease doctors by checking the [International Lyme and Associated Disease Society](https://www.ilads.org/patient-care/provider-search/) website. If you are in Carmel, Indiana or the Indianapolis area and are looking for a certified Functional Medicine Physician, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. Stay current on all the latest Fully Functional® news by keeping up with our blog. --- ## Magnesium Bath Salts With Lavender – Dr. Ellen’s Recipe! **Link:** [Magnesium Bath Salts With Lavender – Dr. Ellen’s Recipe!](https://fullyfunctional.com/blog/magnesium-bath-salts-with-lavender-recipe/) ([md](https://fullyfunctional.com/blog/magnesium-bath-salts-with-lavender-recipe/index.html.md)) **Description:** Magnesium may be one of the most important minerals in the body. Magnesium baths are a great delivery system so we're sharing our magnesium bath salts recipe! ### Content **Magnesium** may be *one of the most important minerals in the body*. It participates in over 300 enzymatic reactions – more than any other mineral. These reactions are critical to regulating things such as nerve impulses, muscular relaxation, and bone mineralization…to name a few. [Magnesium](https://ods.od.nih.gov/factsheets/Magnesium-Consumer/) can be taken orally but transdermally – through the skin – is a fantastic delivery mechanism for absorption directly to the cells. So I’m sharing my favorite **magnesium bath salts with lavender recipe**. **Lavender** is very soothing and relaxing. It is an adaptogen – meaning it can assist the body in adapting to stress and imbalances. Lavender oil added to a warm bath is a wonderful way to unwind and prepare for a good night’s sleep. For more information on magnesium, please read our article on [Signs of Magnesium Deficiency and Supplement Options](/blog/signs-of-magnesium-deficiency-and-supplement-options/). ## ***Lavender Bath Salts Recipe With Magnesium*** ### **Supplies** - 1 Pint Mason Jar - Lavender Oil – Use therapeutic grade and very high quality – I use Young Living Essential Oils - Lavender sprigs (optional) - Magnesium Chloride Bath Flakes – I use [Ancient Minerals](https://www.ancient-minerals.com/product/magnesium-bath-salts/) - Ribbon and Gift Tags ### **Instructions** - Fill the Mason jar with Magnesium Chloride Bath Flakes - Drip 15 drops of Lavender oil in - Cover and shake to mix in the oil - Wrap it with a nice bow - Write out a gift tag with instructions on it – I recommend that people use ¼-1/2 cup of the mix per bath and soak for 20 minutes Give it as a gift to those super special people in your life and be sure to make extra for yourself. [.block][]You can book an appointment by clicking [ **here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Managing Allergies: Summer Vacation Survival Tips **Link:** [Managing Allergies: Summer Vacation Survival Tips](https://fullyfunctional.com/blog/managing-allergies-summer-vacation-survival-tips/) ([md](https://fullyfunctional.com/blog/managing-allergies-summer-vacation-survival-tips/index.html.md)) **Description:** When allergies are present, a summer vacation takes a little more thought and planning. Here are a few tips for managing allergies, and enjoying your summer! ### Content ## Managing Allergies: Summer Vacation Survival Tips Everyone loves a great summer vacation and it’s time to start thinking ahead. When **allergies** are present, a summer vacation takes a little more thought and planning. Here are a few tips that will make it easier for the allergy sufferers in your crowd. In this article, we’re covering **managing allergies** and sharing our pro tips *to reduce suffering from allergies*. ## ***Managing Allergies*** Always have a plan. - **Allergy Safety Plan** – Have one completed with all of your important details. FARE, Food Allergy Research & Education, has an [Emergency Care Plan](https://www.foodallergy.org/living-food-allergies/food-allergy-essentials/food-allergy-anaphylaxis-emergency-care-plan) that is complete and easy to use. - **Medicines** – Pack all medicines and protect from extreme weather. - **Travel Companions** – Make sure your travel companions know where the emergency plan and medicines are packed and how they are used. Only you know your allergy and the care that you need. *Be your own advocate for your health*, and your vacation will be easy and stress-free. - Make sure to continue to read labels, ask questions and understand your surroundings. - If food allergy is an issue, bring your own snacks when flying. - Maintaining good hydration is helpful. - Keep your physician numbers handy and programmed into your cell phone. - Know where healthcare is located on your vacation. - Remember to reduce bringing in allergens to your living area by washing clothes and showering at night. - Book hypoallergenic hotel rooms when possible – check with hotels to see what special accommodations they offer for allergy sufferers. Many provide extra care if they know ahead of time. - Bring your own pillows; this will help protect against dust mites. Fully Functional® Quercetin Plus incorporates bioflavonoids, micronutrients, proteolytic enzymes, and herbs into a comprehensive formula that provides *multifaceted support for individuals with immune imbalances*. Dihydroquercetin (PureDHQ™), a key component in Quercetin Plus inhibits oxidation, is bioactive, and is highly absorbable. **Quercetin Plus** supports individuals with elevated histamine and irritation due to common environmental allergens. Planning and advance preparation for your summer vacation will make it more enjoyable. Enjoy the opportunity of travel and vacation, and most of all, **relax**! Looking for more help with allergies? We offer [Sublingual Immunotherapy (SLIT)](/functional-medicine/sublingual-immunotherapy/), and Food Allergy Testing & [Health Coaching](/functional-medicine/health-coaching/). [.block][]You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Managing Chronic Pain **Link:** [Managing Chronic Pain](https://fullyfunctional.com/blog/managing-chronic-pain/) ([md](https://fullyfunctional.com/blog/managing-chronic-pain/index.html.md)) **Description:** We're sharing information on the problem with narcotic medications, and resources for managing chronic pain through integrative and holistic modalities. ### Content ## Managing Chronic Pain The Institute of Medicine estimates that *100 million Americans suffer from chronic pain*. This is even more alarming when you consider that the population of the United States is currently 318 million. Chronic pain can limit enjoyable activities and, when severe, can result in significant loss of function and feelings of hopelessness if pain is not adequately treated. In this article, we’re covering **managing chronic pain**. ## ***The Problem With Narcotic Medications*** Traditionally, after other medical and surgical options are exhausted, many physicians treat painful conditions with **anti-inflammatory medications** (like Ibuprofen or Naproxen) and progress to narcotic pain medication when pain is more significant or long-lasting. Although narcotic pain medications are invaluable to relieve pain in acute situations, their use in chronic pain is increasingly coming under fire due to the potential of addiction and problems with tolerance which require increased dosages of medications or more frequent dosing. According to the US government (on the website “drugabuse.gov”), in the year 2010, *enough painkillers were prescribed to medicate every adult in the United States continuously every 4 hours for 1 month*! In addition to the risk of addiction, chronic use of these medications can lead to liver injury due to the acetaminophen content. As a result, the acetaminophen content of common narcotic pain medications has recently been restricted in an effort to avoid liver toxicity in patients who are frequent users. There is also some evidence in the medical literature showing that **chronic narcotic use leads to decreased immune function** which could make you susceptible to infections and even some forms of cancer. ## ***Managing Chronic Pain *** If you suffer from chronic pain you may wonder what else can be done to make life manageable in the face of this daily struggle. *The good news is that there is hope*! What is required is a better understanding of what causes pain (especially chronic pain) and a “bigger toolbox” for treating chronic pain. Most pain begins in the periphery (at the skin or bone nerve ending level). To put it simply, think of this as a trough (like the one from which an animal might drink). When this “peripheral pain trough” overflows, the pain impulses may travel to the brain and become “centralized” pain. This is much harder to treat. Narcotic pain medications just treat the central component of pain and often come with undesirable side effects (nausea, constipation, drowsiness, dizziness, addiction). While taking these medications alone the “peripheral pain trough” is still full and continues to send messages to the brain which keeps the vicious cycle going. ## ***Our Approach: Integrative and Holistic Modalities*** At The Center for Fully Functional® Health, we address root causes of disease. When it comes to pain, we offer several **integrative and holistic modalities** to help with chronic pain. First, we ensure that patients have had proper referrals to interventional pain management physicians for regional anesthetic blocks if needed. Next, *we place our patients on an anti-inflammatory diet* and address any issues with stress which is well known to worsen chronic pain. We then use natural anti-inflammatory supplements such as Curcumin, Vitamin D3, and Fish-oil. Some patients (especially those with fibromyalgia, inflammatory bowel disease, and autoimmune disease) may benefit from compounded low-dose naltrexone. This medication stimulates the release of natural endorphins (pain-relieving substances) within our bodies *which can help reduce the need for narcotics*. Another unique option that we offer is the use of individualized compounded pain preparations for topical (skin) use. Our highly specialized topical pain compounds provide local treatment using combinations of medications that address the specific molecular pathways involved in chronic pain. We use compounds containing medications such as amitriptyline, ketamine, gabapentin, clonidine, and ketoprofen (alone or in combination) to provide **significant pain relief** with minimal systemic absorption. This means that the active ingredients stay at nerve endings and do not get into the bloodstream in a significant enough amount to cause side effects which are seen when these medications are taken in pill form. The compounding pharmacy can also make special formulations with better penetration to reach deep tissues like the hip joint or deep nerves within the spine. Local anesthetics can also be formulated into lozenge or lollipop form to treat painful conditions of the mouth or throat. Our office also offers several services that have proven beneficial in the treatment of pain management. [Red Light Therapy](/functional-medicine/full-body-red-light-therapy-pemf/), [Infrared Sauna Therapy](/functional-medicine/infared-sauna-therapy/), and [more](/services/)! Although we cannot always eliminate chronic pain, at **The Center for Fully Functional® Health** we are committed to treating your pain individually at the molecular level and providing you with the best quality of life possible while treating the whole person. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## MARCoNS **Link:** [MARCoNS](https://fullyfunctional.com/blog/marcons/) ([md](https://fullyfunctional.com/blog/marcons/index.html.md)) **Description:** MARCoNS is a type of bacteria that can play a role in cases of Chronic Fatigue, Fibromyalgia, Lyme Disease, Lupus, MS, and other autoimmune conditions. ### Content ## ***What Is MARCoNS? *** *Multiple Antibiotic Resistant Coagulase Negative Staph* (**MARCoNS**) is a relatively newly understood bacteria that can play a role in cases of patients who have previously been diagnosed with Chronic Fatigue, Multiple Chemical Sensitivity, Fibromyalgia, Lyme Disease, Lupus, MS, and other autoimmune conditions.¹ MARCoNS resides in the nasal cavity, surviving in biofilms and creating exotoxins.² These biofilms make it especially difficult to treat, *but not impossible*. Diagnosing and treating MARCoNS is one piece of addressing Chronic Inflammatory Response Syndrome (CIRS). The Shoemaker CIRS treatment protocol lays out several steps before and after MARCoNS diagnosis and treatment, but we’ll focus specifically on MARCoNS diagnosis and treatment here. ## ***The Fully Functional® Approach to Healing MARCoNS*** *Diagnosing and treating MARCoNS follows our proprietary Fully Functional® path, which includes five pillars: **Identify, Reduce, Optimize, Support, Personalize**.* **IDENTIFY:** MARCoNS is closely tied to MSH, where low MSH makes the patient susceptible to MARCoNS and MARCoNS then further lowers MSH.³ This relationship is so strong that it is found in 80% of those with low MSH and less than 2% of those with normal MSH.³ Therefore, MSH is one of the key labs that are examined to determine whether nasal testing should be conducted. At The Center for Fully Functional® Health, we use a nasal swab testing kit through [MicrobiologyDX](https://www.microbiologydx.com/). This kit tests for “MARCoNS as well as other gram positive bacteria and gram negative bacteria. This includes identification and antibiotic susceptibility testing when warranted. The same swab can be cultured for fungi including mold and yeast with identification.”⁴ The patient is sent home with the kit and preliminary results are obtained within two weeks, with a final result within 30 days. **REDUCE:** When a patient tests positive, the first step is to identify locations that they frequent where they may be exposed to mold. This can be their home, workplace, school, sports complex, and more. A good rule of thumb is to consider any place *where thirty minutes or more are spent*. Thirty minutes of exposure can lead to infection. MARCoNS-positive patients should aim to live and work in buildings with HERTSMI-2 score of < 11. For more on HERTSMI-2 testing see [this post](/). **OPTIMIZE:** Once exposure has been eliminated, we begin patients on binders like activated charcoal, Cholestyramine (CSM), or Welchol. These binders remove endotoxins through the digestive tract. Without assistance from binders, these endotoxins build up in the body, causing fever, flu-like symptoms, cough, headache, and respiratory distress.⁵ Starting with binders helps optimize the patient’s ability to address the toxin load that will result from beginning nasal spray treatment. **SUPPORT:** Our patients have typically already begun eating a nutrient-dense diet that avoids their personalized allergies/sensitivities, but eating a [low mold diet](https://www.jillcarnahan.com/) is also helpful. Foods like chocolate, coffee, dried fruit, cheese, and grains have the highest amounts of mycotoxins. Mycotoxin-tested coffee like the [Bulletproof](https://www.bulletproof.com/) brand is ok. Continuing with detox regimens (like sauna, [Biomat](/blog/biomat-benefits-becoming-fully-functional/), magnesium baths, and more) is paramount. **PERSONALIZE:** After being on binders for 10-30 days, our patients begin treatments like BEG spray, Colloidal Silver, and Xlear Nasal Spray. BEG spray is the lead option because of efficacy and is a combination of antibiotics Bactroban and Gentamicin, along with EDTA to break down biofilms.⁶ A personalized combination of nasal spray treatments is chosen to address the patient’s specific case and ability to tolerate the treatment options. After 60 days on BEG spray, patients are re-tested using the MicobiologyDX kit. If they have cleared MARCoNS, we’ll progress to subsequent Shoemaker Protocol steps like raising lowered VIP. Think you might have MARCoNS? Make an appointment to visit us at our office to become *Fully Functional® for Life!* You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. ### **Other Sources To Learn More:** - [https://biotoxinjourney.com/marcons/](https://biotoxinjourney.com/marcons/); From Biotoxin Journey - [Dr. Yoshi Rahm on MARCoNS & Biofilms](https://www.bridgitdanner.com/womens-wellness-blog/120); Women’s Wellness Collective. *Sources:[.block][]1 *[*https://nutripath.com.au/wp-content/uploads/2016/09/NPATH-MOULDS-Practitioner-Manual-v2.5.pdf[.block][]*](https://nutripath.com.au/wp-content/uploads/2016/09/NPATH-MOULDS-Practitioner-Manual-v2.5.pdf)*2 *[*https://www.survivingmold.com/docs/REPORTSHOEMAKER.PDF[.block][]*](https://www.survivingmold.com/docs/REPORTSHOEMAKER.PDF)*3 *[*https://www.survivingmold.com/docs/McMahon_11_Step_Biotoxin_Elimination_Pathway_Essay.pdf[.block][]*](https://www.survivingmold.com/docs/McMahon_11_Step_Biotoxin_Elimination_Pathway_Essay.pdf)*4 *[*https://dlmcharlie.wixsite.com/dlmmicro[.block][]*](https://dlmcharlie.wixsite.com/dlmmicro)*5 *[*https://pubmed.ncbi.nlm.nih.gov/12639832/*](https://pubmed.ncbi.nlm.nih.gov/12639832/)[.block][]6 [https://www.woodlandhillspharmacy.com/compounds/biotoxin/beg-nasal-spray/](https://www.woodlandhillspharmacy.com/compounds/biotoxin/beg-nasal-spray/) [.block][]Save --- ## Marinated Veggie Salad **Link:** [Marinated Veggie Salad](https://fullyfunctional.com/blog/marinated-veggie-salad/) ([md](https://fullyfunctional.com/blog/marinated-veggie-salad/index.html.md)) **Description:** This marinated veggie salad is colorful, fresh, and crunchy. This beautiful salad is versatile, easy, and one of our favorite anti-inflammatory recipes. ### Content Serve up the [veggies](https://www.farmfreshtoyou.com/)! This **marinated veggie salad** is colorful, fresh, and crunchy. The beauty of this salad (in addition to the colorfulness!) is that it’s versatile, easy, and as always, an **anti-inflammatory recipe**. Make a couple of days before serving, and *all the flavors come to life*! Use whatever combination of crunchy veggies you have on hand or prefer, just skip the lettuce! This recipe will feed a crowd or keep for a few days in the fridge to eat during the week. Drizzle with our [Detox Dairy-Free Pesto](/blog/detox-dairy-free-pesto-recipe/) for a taste of heaven! **Replace Recipie Feat** ### Ingredients #### Marinade - 1/2 cup raw apple cider vinegar - 1/4 cup olive oil - 1 teaspoon sea salt - 1/4 teaspoon cayenne pepper - 1 teaspoon Italian seasoning #### Salad - 4 cups broccoli chopped - 1 zucchini chopped - 2 cups carrots shredded - 2 yellow peppers chopped - 1/2 red onion sliced - 2 cups tomatoes chopped (or use cherry or grape tomatoes) ### Instructions - Combine all marinade ingredients in a small bowl or jar and mix well. - Chop all veggies and add to a large bowl. - Add dressing and combine. Let sit marinade for at least ½ hour prior to serving (but up to overnight). - The longer the salad sits the more the veggies absorb the flavor. Keywords: anti-inflammatory food recipes, anti-Inflammatory recipes, marinated veggie salad --- ## Mast Cell Activation Syndrome – When The Immune System Runs Off the Rails **Link:** [Mast Cell Activation Syndrome – When The Immune System Runs Off the Rails](https://fullyfunctional.com/blog/mast-cell-activation-syndrome-when-the-immune-system-runs-off-the-rails/) ([md](https://fullyfunctional.com/blog/mast-cell-activation-syndrome-when-the-immune-system-runs-off-the-rails/index.html.md)) **Description:** When it comes to treating mast cell activation syndrome, we have found that simple lifestyle changes can really add up and reduce your symptoms significantly. ### Content ## ***Mast Cell Activation Syndrome *** ***(MCAS) *** Mast cells are white blood cells in your body that function as part of your immune system. When you have **Mast Cell Activation Syndrome**, you’ll usually experience symptoms that wax and wane throughout your life. MCAS is a troubling chronic condition that’s caused by overactive mast cells. These symptoms often look like allergies. It’s estimated that MCAS takes an average of 10 years to diagnose, and *some people may go their entire lives without knowing they have it*. They have often been to multiple physicians with no diagnosis and no relief of their symptoms. MCAS can range from mildly uncomfortable to serious and debilitating. Sometimes people don’t realize they have this condition until another issue arises. For example, someone may get a tick bite and may develop [Lyme disease](/blog/lyme-disease-8-things-you-need-to-know/) which then throws their MCAS into overdrive, producing a sudden worsening of symptoms. ## ***What Is It?*** [MCAS](https://rarediseases.info.nih.gov/diseases/12981/mast-cell-activation-syndrome) encompasses a group of disorders where the immune system’s mast cells release chemicals (“mediators”) inappropriately. These cells are able to release *over 200 different kinds of chemicals*, which are called **mediators**. These mediators are used to create inflammation, heal wounds, and draw your brain’s attention to an area that needs help. One of the more common mediators is histamine – associated with allergic-type symptoms. While we need our mast cells to keep us alive, they can sometimes become activated and fail to turn off, continuing to release mediators in low levels, which causes the symptoms associated with MCAS. Mast cells are found in higher concentrations in tissues that come in contact with the outside world such as your skin, gastrointestinal tract, and respiratory system. This is why typical symptoms occur most commonly in these areas of the body – such as flushing, breaking out in hives, wheezing, sneezing, airway restriction, nausea, and vomiting. A mast cell mediator response can occur in seconds and cause strong, even deadly reactions as in the case of a true allergy to foods, medications, or bee stings. ## ***Mast Cell Activation Syndrome Symptoms *** MCAS generally looks different from person to person. *There are some unique symptoms*, which are more common than others. Symptoms of MCAS include: - Allergy-like symptoms that wax and wane - Sensitive skin that becomes red and inflamed when scraped or touched - Flushing of the face or chest - Heat intolerance - Food sensitivities or allergies - Hypersensitivity to certain environments or medications - Fatigue - General malaise - Getting sick easily or frequently - Frequent colds or sinus infections Because of the nature of MCAS, **symptoms usually cluster by organ or system**. Meaning, you can have symptoms of the eyes, ears, nose, throat, and skin but you can also find manifestations of MCAS in systems of the body including: - Musculoskeletal - Cardiovascular - Neurological - Circulatory - Respiratory - Gastrointestinal With such widespread and varying symptoms, mast cell activation syndrome can be a difficult diagnosis or a “medical mystery”. In some of our patients, “brain fog” can be the most prominent symptom. ## ***Why the Hype About Histamine?*** Of all the mediators released by mast cells, **histamine** gets the most attention by far. Due to this, mast cell activation syndrome is often mistaken for “histamine intolerance.” Patients with histamine intolerance develop symptoms when they eat foods high in histamine. But **histamine intolerance** is actually a subset of MCAS. Sometimes patients receive a histamine intolerance diagnosis, but that turns out to be an incomplete picture. When you have mast cell activation syndrome, your mast cells are usually releasing other mediators alongside histamine which results in more intense symptoms involving multiple bodily systems than those seen with histamine intolerance alone. The reason antihistamines aren’t a permanent solution for mast cell activation syndrome is that antihistamines only block histamine receptors. By blocking histamine receptors you aren’t reducing histamine in the body. Furthermore, histamine is only one of the many mediators that can be released by mast cells that cause inflammation and symptoms. For many people, histamine is only part of the story. Only when MCAS is diagnosed and treated appropriately, do people find complete relief. ## ***Common Conditions Associated with MCAS*** It’s common to see MCAS appear alongside other conditions. This combination of illnesses often causes symptoms to appear more dramatically, which sends a patient looking for a solution. Sometimes these conditions aren’t outright illnesses, *but dysfunctions*, such as poor methylation caused by a genetic condition called “an MTHFR mutation.” With that in mind, here are some common conditions associated with MCAS: - Poor methylation caused by MTHFR genetic mutations - Low DAO enzyme levels - Leaky gut, which can be made worse by excess histamine - Histamine intolerance - Chronic inflammatory response syndrome from water damaged building/mold exposure - Gut dysbiosis - Irritable bowel syndrome - Celiac disease - Allergies - Asthma - Autism - Autoimmune disease - Candida overgrowth - Fibromyalgia - Depression ## ***Mast Cell Activation Syndrome Treatment*** When it comes to **treating mast cell activation syndrome** a Fully Functional® approach is the best method. Managing a chronic condition can seem overwhelming, but when you have the full support of the Fully Functional® team you’ll find that you can become your most healthy, productive, joy-filled self…*even if you’ve been given a diagnosis of MCAS*. If we find you have mast cell activation syndrome, there are a couple of things we will implement right away to help alleviate some of your symptoms, these include: - Putting you on a low histamine diet - Healing any underlying infections - Identifying personal triggers - Ensuring your gut is healthy and doing its job - Putting you on mast cell stabilizers - Using natural antihistamines Other lifestyle changes we help you implement include: - Keeping a good exercise routine - Maintaining good gut health - Reducing stress - Sleeping well throughout the night - Reducing toxin exposure - Using supportive supplements When you have mast cell activation syndrome, we have found that simple lifestyle changes can really add up and reduce your symptoms significantly. Read more about MCAS [here](/blog/mast-cell-activation-syndrome-when-the-immune-system-runs-off-the-rails/). ## ***Finding a Functional Medicine Doctor Who Specializes MCAS*** As mentioned, many people will go their entire lives with undiagnosed MCAS. It isn’t well understood because of its complex nature and confusing symptoms which don’t fit a specific diagnostic pattern. MCAS is still relatively unknown in the conventional medical world. This is why you should see a [certified Functional Medicine Physician](/) who specializes in MCAS, such as Dr. Scott Antoine or Dr. Ellen Antoine. Fortunately, there’s a lot that can be done to manage MCAS and you can go on to live a very fulfilling life with it. If you believe you may have mast cell activation syndrome and need a **Functional Medicine doctor** in the Carmel, Indiana area you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Mediterranean Salad Dressing **Link:** [Mediterranean Salad Dressing](https://fullyfunctional.com/blog/mediterranean-salad-dressing/) ([md](https://fullyfunctional.com/blog/mediterranean-salad-dressing/index.html.md)) **Description:** This Mediterranean Salad Dressing is the most delicious dressing. It will make you want to lick the bottom of the dish! Can also be used as a marinade! ### Content OK, I am going to brag about my husband because this **Mediterranean Salad Dressing** is seriously *the most AMAZING dressing* and it will make you want to lick the bottom of the dish! It can also be used as a marinade for chicken, turkey, or fish. Pair with our [Fully Functional® Salad in a Jar](/blog/fully-functional-salad-in-a-jar/), or [Chopped Veggie Salad ](/blog/chopped-veggie-salad/). And check out the many health benefits of lemons [here](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403313/#:~:text=Lemons%20are%20rich%20in%20citric,%2Dlowering%20effects2%2C3.). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 2 whole lemons the juice of 2 large organic lemons, strained with seeds removed - 1.5 cups extra-virgin olive oil unfiltered (Bragg’s is the best!) - 1 tbsp Italian seasoning organic - 1 tsp dried dill organic - 1.5 tsp sea salt - 1.5 tsp black pepper - 2 tbsp garlic minced, used the jarred, in water type ### Instructions - Combine ingredients in glass cruet (We use a glass water bottle). Close and shake it up before each use. Best if used within one week. - If it is not used completely for your meal, you may choose to refrigerate it. In this case you will need to leave it out at room temperature for a couple of hours before use to allow the olive oil to liquefy to permit proper mixing. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory salad dressing, lemon salad dressing, mediterranean salad dressing, salad dressing --- ## Mediterranean Zucchini Salad **Link:** [Mediterranean Zucchini Salad](https://fullyfunctional.com/blog/mediterranean-zucchini-salad/) ([md](https://fullyfunctional.com/blog/mediterranean-zucchini-salad/index.html.md)) **Description:** Our Mediterranean Zucchini Salad is a simple side dish celebrating the flavors of the Mediterranean. With olive oil, lemon, kalamata olives, and fresh herbs. ### Content This **Mediterranean Zucchini Salad** is a simple side dish celebrating the flavors of the Mediterranean. With olive oil, lemon, kalamata olives, and fresh herbs. Combined with fresh garden vegetables, *this salad is a taste of summer*! The health benefits of a [Mediterranean diet](https://pubmed.ncbi.nlm.nih.gov/29244059/#:~:text=However%2C%20accumulating%20evidence%20indicates%20that,involved%20in%20the%20pathogenesis%20of) have been well documented, and include protection against oxidative stress, fighting inflammation, helping prevent [ cardiovascular disease](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723598/), and more! For a heavenly flavor combo serve with [Dr. Scott’s Lemon Garlic Chicken (with White Wine Reduction)](/blog/healthy-lemon-garlic-chicken-white-wine-reduction/). **Replace Recipie Feat** ### Ingredients - 2 tablespoons olive oil - 2 tablespoons fresh lemon juice - 1 clove garlic minced - 2 medium zucchini sliced - 1 cup cherry or grape tomatoes halved - 1/4 fresh parsely chopped - 1/4 kalamata olives pitted and chopped - Sea salt - Fresh ground pepper ### Instructions - In your serving bowl, whisk together the olive oil, lemon juice, garlic, sea salt and pepper. - Add the vegetables and herbs to the bowl and toss to coat with the dressing. Keywords: anti-Inflammatory recipes, anti-Inflammatory salad, healthy sides, Mediterranean salad recipe --- ## Meeting Your Health Goals: Our Top 5 “R” Resolutions **Link:** [Meeting Your Health Goals: Our Top 5 “R” Resolutions](https://fullyfunctional.com/blog/meet-your-health-goals-top-5-resolutions/) ([md](https://fullyfunctional.com/blog/meet-your-health-goals-top-5-resolutions/index.html.md)) **Description:** Do you make New Year’s resolutions? Are you successful at making the changes you desire? If not, here are some helpful tips to help you meet your health goals. ### Content ## Meeting Your Health Goals: Our Top 5 “R” Resolutions Every year tens of thousands of people make **New Year’s Resolutions**. They make decisions/promises to themselves and perhaps those around them to get in shape, eat healthier, look better, or become more disciplined in some area of their lives. Gym memberships, exercise equipment, weight-loss/diet programs sales soar in December and January; they are multi-billion dollar industries. In this article, we’re sharing **helpful ways to meet your health goals**. Have you ever been to the gym in January? You can barely get a spot in a class or find a piece of equipment that is not already being used. Sadly, by the end of the month, the excitement dies down and the gym settles back into its ‘pre-New Year’s numbers. Gyms cash in on your ‘commitment.’ They offer you some fantastic New Year’s membership fee waiver or something similar only to get you committed to a monthly fee for the next year knowing full well you’ll likely rarely be there. ## ***Resolution Maker, or Resolution Breaker?*** Do you make New Year’s resolutions? Are you successful at persevering and making the changes you desire? If so, FABULOUS! *You are among the few*. If not, don’t fret; you’re like me and the millions of others out there who are disappointed in themselves in about two weeks. Don’t get me wrong, I think it is absolutely necessary to spend some time reflecting and understanding areas in your life that need to improve or change. What I don’t think is healthy is *coming up with unachievable, unsustainable goals*. All this does is put you back on the never-ending cycle of initial excitement leading to disappointment and ultimately failure. Not helpful for meeting those **health goals**! There are many definitions for the word **RESOLUTION**. Here is the one I prefer: *“Subsiding of a pathologic state…”*¹ A better way of saying this is that RESOLUTION is *the process of restoring health*, from injured and diseased to optimal wellness. Let’s face it…we all have some ‘pathology’ in our lives. It may be physical, hormonal, spiritual, relational, or mental. Who doesn’t want resolution and restoration to ‘health’? Now, how do we achieve it? ## ***Meet Your Health Goals*** **Here are our Top 5 “R” Resolutions to ensure a successful start on your journey from pathology to wellness, and to help you on the road to meeting your health goals.** ### **1. REMOVE** **What do you need to remove from your life?** - **Unhealthy dietary choices.** Sugar? Too much food? Excessive carbs? Artificial foods/sweeteners? Excessive alcohol use? Soda? - **Unhealthy lifestyle activities.** Too much screen-time? Facebook for hours? Video games instead of family activity participation? Too little sleep? - **Unhealthy relationships.** Anyone who leaves you drained, sad, or feeling worthless is unhealthy. - **Unhealthy environment.** Are you exposing yourself daily to toxins? It is reported that women are exposed to over 150 toxic chemicals every day before they even leave the house in the morning. Look into what you are using on your body and in your home – a good source is the [Environmental Working Group](https://www.ewg.org/). A recent article on the most toxic chemicals was recently written and posted by CNN [here](https://www.cnn.com/2016/07/01/health/everyday-chemicals-we-need-to-reduce-exposure-to/). Take the television out of your bedroom along with your cell-phone and other electronic devices. ### **2. REPLACE** **What do you need to replace?** - **Healthy dietary choices.** Reach for a goal of eating half your day veggies and make sure all the colors of the rainbow are included. Even if it’s not everyday, *start with adding one new thing into your dietary regimen*. Drink half your body weight in fluid ounces of filtered water per day. - **Healthy lifestyle activities.** Commit to some exercise – attainable, achievable exercise. Don’t say you are going to go to the gym 5 days a week and workout for an hour if you travel for your job and you are starting from a place of not working out at all. *Be realistic with yourself*. Make time for family if you know you need to. Cut back on your Facebook and screen-time, even if it’s by 5 minutes a day. Start somewhere. Work on sleep hygiene. Set a goal of at least 7-8 hours of uninterrupted sleep every night. - **Healthy relationships.** We were designed to be in a relationship with others. *We all need to love and be loved*. Build and strengthen relationships with those around you by spending more quality time with them, getting into counseling if needed, and truly understanding them. If you don’t have any meaningful relationships, *start by immersing yourself in activities where you will meet others* – book club, prayer group, educational activities, etc. Invest! The relationship we have with ourselves is equally important. Spend time every day keeping a Gratitude Journal – write down two to five things per day that bring you joy and that you are thankful for. - **Healthy Environment.** Change out your makeup and personal care items with healthier varieties. Buy non-toxic cleaning supplies or watch one of the many YouTube videos out there on creating your own. ### **3. RESTORE** **What is broken? Sometimes this takes some deep soul-searching.** - **Literally.** We all have something broken in our lives – something in your home, car, work, personal item. Take an inventory of what needs fixing and commit to doing at least one a month. *Pick the most simple and inexpensive first*. - **Figuratively.** We are broken people and all experience ‘brokenness’ in our lives. Fix what you can fix and extend grace and forgiveness for those things you can’t. If you need to ask for forgiveness from someone else, do so. Evaluate how you might build someone else up and help heal his or her ‘brokenness.’ Pray with someone, encourage someone, mentor someone, etc. ### **4. REBALANCE** **What is unbalanced in your life?** - **Too light vs. too heavy.** Write down your goals/desires/passions, etc. Now evaluate what you are doing to achieve these things. Are you participating in or spending time on the things that will accomplish what you truly desire? If not, why not? Many of us are ‘too light’ in the things that really matter in life and ‘too heavy’ on the fleeting things. Take a deep, long look at what you wrote down. Make adjustments to achieve your goal. ### **5. REEVALUATE** **Are you being realistic? Are those really your goals? Are they still your goals? What has changed?** - **Reflect. Reconsider. Redo.** I don’t know about you, but *I am so thankful that each day is new*. Every day we get the opportunity to reflect on our lives, reconsider our goals/desires, and get a redo if we want. My goals and desires from last year aren’t necessarily the same for this year. In fact, some of them aren’t even the same from last month. Take time at least once a month to contemplate and reevaluate your objectives and your life. You can never grow and improve if you don’t take time on this very important step. Lastly, **ask for help when you need it**. If you’re looking for help meeting your health goals we offer a variety of [services](/services/) that may assist you in getting there. [Health Coaching](/functional-medicine/health-coaching/), Nutrition Planning, [Lymphatic Drainage Massage](/functional-medicine/therapeutic-lymphatic-drainage-massage/), and many more! Happy New Year! May this year be the year of a New You and fulfilled Resolutions! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. ##### *Sources:[.block][]1 *[*https://evolve.elsevier.com/cs/product/9781455726240?role=student*](https://evolve.elsevier.com/cs/product/9781455726240?role=student) --- ## Understanding and Managing Menopause and Andropause **Link:** [Understanding and Managing Menopause and Andropause](https://fullyfunctional.com/blog/menopause-andropause-natural-treatment/) ([md](https://fullyfunctional.com/blog/menopause-andropause-natural-treatment/index.html.md)) **Description:** Menopause and andropause are normal processes of aging. The symptoms are often frustrating, confusing, and depressing. Here are some helpful management tips! ### Content ## ***Menopause and Andropause*** **Menopause** and the male equivalent, **andropause**, are normal processes of aging, however, the symptoms associated with either are often frustrating, confusing, *and often depressing*. In women, the symptoms tend to be more overt and can greatly impact one’s quality of life. When hormones are out of balance, it’s surprising how much it affects everything. ## ***What are Menopause and Andropause?*** **Menopause** is defined as *when a woman stops menstruating for a year* and there is a drop in her estrogen levels.¹ Going through menopause means you are no longer able to bear children. Perimenopause may begin as early as your thirties (early perimenopause) but typically begins in your forties or early fifties. This period of time before true menopause occurs can take many years, **sometimes up to ten**. Periods occur less often and as estrogen levels drop they eventually stop. Once you have stopped menstruating for a year you are in menopause. The time in your life after this is referred to as **post-menopause**. Andropause is the change in the body that occurs *when a man’s testosterone levels drop significantly*, typically this occurs in your fifties. While testosterone levels begin to reduce in your thirties at approximately 1% a year, andropause occurs when the levels drop to a point that it affects your health, mood, and sex drive.² ## ***What Causes Menopause?*** Menopause is caused by **a decline in estrogen and progesterone** – your ovaries begin to make a lot less when you enter your forties. Estrogen is responsible for the regulation of your monthly cycle, including your fertility. Progesterone also regulates your cycle but is also in charge of many of the processes of pregnancy. This decline of sex hormones is normal, and when you stop producing eggs, your periods will stop completely. Premature menopause can occur in women below the age of forty. It begins with primary ovarian insufficiency, which can be caused by autoimmune disorders, but often no reason can be found. ### **Surgical Menopause** *Menopause can also be triggered by surgery* – the full removal of your uterus and ovaries. This is called surgical menopause. The symptoms of surgical menopause are usually quite intense as the absence of your ovaries negates any gentle reduction of sex hormone levels. Sometimes, even when the ovaries are left in after a hysterectomy, a woman might still experience surgical menopause if the blood supply to the ovaries is reduced. ### **Cancer Induced** Cancer treatment can also induce menopause. Both chemotherapy and radiation therapy can cause the change – though often it is only temporary in younger women. Many women with certain types of hormone-responsive breast cancers are placed on ‘chemotherapeutic’ type medications to reduce sex hormone production. These medications induce menopause in women. The reduction in sex hormones is what causes many of your indicators of old age. Your skin becomes much thinner and your bones more brittle. Diminished estrogen raises your risk of heart disease and cholesterol abnormalities are often noted. Your metabolism slows and you’ll find it easier to gain weight. Vaginal dryness and atrophy and an increased risk for urinary tract infections occur. Memory is typically affected too. Interestingly enough, the most common time for a woman to develop breast cancer is *in the post-menopausal time frame*. ## ***What Causes Andropause?*** Andropause may in part be caused by aging but there are often other factors at play. Risks for andropause include the presence of one or more long-term health issues such as heart, lung, kidney, or liver disease. Cancer and stroke can also affect testosterone production. Andropause is also linked to the use of medication and malnutrition. Exposures to toxins can certainly impact the testes’ ability to produce testosterone. The signs of old age are in fact the results of lower testosterone and androgen levels. *Your hormones regulate many processes of your body*, not just your sexual vitality. If your hormone levels are dropping off, you may notice that you are losing muscle mass and strength, some physical functions, and your sense of balance. Your bones become brittle and your skin much thinner. You find it more difficult to keep trim, and your doctor may have warned you you’re at risk of developing type 2 diabetes. ## ***Signs and Symptoms of Menopause*** You may be experiencing hot flashes and night sweats but *there are other more subtle symptoms associated with menopause*. If you are struggling with the following, then you may be experiencing menopause: - Irregular periods - Insomnia³ - Lowered sex drive - Vaginal dryness - Hot flashes - Fatigue - Joint pain - Thinning skin/wrinkles - Increased cellulite - Mood swings - Night sweats - Thinning hair - Memory loss - Frequent urinary tract infections - Difficulty maintaining weight or gaining weight, typically in the midsection ## ***Signs and Symptoms of Andropause*** As your hormone levels have been gradually reducing for years, it may feel like andropause has snuck up on you. It’s hard to accept, especially if you have always been a physical man who prides himself on his vitality. If you are struggling with the following symptoms, then *you may be struggling with andropause*: - Lack of energy⁴ - Lowered sex drive - Erectile dysfunction - Depression - Irritability - Lack of self-confidence - Poor concentration - Sleep disturbance - Weakness or loss of muscle mass - Weight gain, especially around the midsection ## ***Treatment Options for Menopause and Andropause*** **As with everything we do and especially when dealing with symptoms of menopause**, we recommend *a change in the way you eat*. We always advise you to reduce your consumption of sugar and carbohydrates, as this can contribute to an imbalance in your sex and adrenal hormones, and can make inflammation in your body worse. We place emphasis on **a diet rich in nutrients**. ### **Compounded Bioidentical Hormone Replacement Therapy** You may be a candidate for compounded [bioidentical hormone replacement therapy](/functional-medicine/bioidentical-hormone-replacement/) – an effective treatment for menopausal symptoms that is *safer than conventional hormone therapies* and tailored to your individual needs. We work with you to manage and track your symptoms and make adjustments to dosage as needed. Our goal is to help you become Fully Functional® for life and to empower you to understand and be in control of your own health. ### **Treating Andropause** When treating andropause, we also recommend a careful look at your diet. We urge you to give up alcohol as the endorphins you feel as you drink a beer can actually hinder testosterone production. For the perfect andropause diet, it is important that you *reduce carbohydrate consumption* and focus on eating good fats (healthy fats such as grass fed-butter, coconut oil, grass-fed red meat, olive oil, avocado). Also, make sure you are getting your nutrients – zinc, vitamins C and E, and calcium are all vital andropause natural treatments. Exercise can also boost your testosterone levels. A major contributor to andropause is sleep apnea. If you snore and wake up feeling unrefreshed you may be experiencing sleep apnea and a home (or in hospital) sleep study should be performed. You may be a candidate for **compounded bioidentical hormone replacement therapy** – an effective treatment for andropause symptoms that’s **safe and tailored to your individual needs**. **If you are struggling with menopause or andropause, you need to see one of our certified [Functional Medicine Physicians](/). Drs. Scott and Ellen Antoine have extensive training and experience in helping patients with menopause and andropause become Fully Functional® for life.** You can book an appointment by clicking [** here **](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[ *https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397[.block][]* ](https://www.mayoclinic.org/diseases-conditions/menopause/symptoms-causes/syc-20353397)*2 *[ *https://www.ncbi.nlm.nih.gov/pubmed/11818427[.block][]* ](https://www.ncbi.nlm.nih.gov/pubmed/11818427)*3 *[ *https://www.ncbi.nlm.nih.gov/pubmed/26316239[.block][]* ](https://www.ncbi.nlm.nih.gov/pubmed/26316239)*4 *[ *https://www.ncbi.nlm.nih.gov/pubmed/22400185* ](https://www.ncbi.nlm.nih.gov/pubmed/22400185) --- ## Mitochondrial Disorders & Chronic Fatigue – You Don’t Need to be Tired All the Time **Link:** [Mitochondrial Disorders & Chronic Fatigue – You Don’t Need to be Tired All the Time](https://fullyfunctional.com/blog/mitochondrial-disorders-and-chronic-fatigue/) ([md](https://fullyfunctional.com/blog/mitochondrial-disorders-and-chronic-fatigue/index.html.md)) **Description:** To understand chronic fatigue, we must get down to the cellular level and examine how it happens. We're explaining Mitochondrial disorders and diseases. ### Content ## ***Chronic Fatigue & Mitochondrial Disorders*** **Overwhelming chronic fatigue** is one of the biggest complaints our patients have when they come to see us for care. The fatigue we often hear about is not just inconvenient – it can be so debilitating that it interrupts one’s ability to complete even small tasks even to the point of being able to get through the day. In this article, we’re explaining how **chronic fatigue and mitochondrial disorders** are connected. Anyone who’s experienced chronic fatigue understands how frustrating sheer exhaustion can be. Until recently, people with chronic fatigue were often told that the condition was in their heads or that they were lazy. Doctors would frequently prescribe more exercise as a way to boost energy levels – *a recommendation that was often impossible to implement*. Fatigue is caused on a cellular level by dysfunction in energy production, which translates to *low overall body energy levels*. So if you suffer from relentless fatigue, know that it’s not a lack of drive or motivation but possibly poor production of cellular energy. To understand why fatigue is plaguing you in the first place, we must get down on the cellular level and examine how it happens. ## ***Meet Your Mitochondria – Your Key to Unlocking Energy*** Your **mitochondria** are little “organelles” that exist inside all of your cells *and are responsible for creating energy*. The energy molecule on a cellular level is called “adenosine triphosphate (ATP)”. Often referred to as the “powerhouse generator of cells,” your mitochondria are working around the clock to convert sugars, amino acids from protein, and fatty acids into ATP. It’s an understatement to say your mitochondria are responsible for your energy levels – because *you need a constant supply of ATP to live*. In fact, without ATP you would die in seconds. This is how the poison cyanide works. Basically, the drug cyanide suffocates your mitochondria and prevents the energy production cycle from occurring. This brings us to the next part of your energy story – the ever-important “Krebs Cycle”, which is the chemical cascade responsible for creating all of this energy. ## ***Mitochondrial Disorders & Your Krebs Cycle*** The **Krebs Cycle** converts oxygen into ATP and occurs in your mitochondria. The Krebs cycle is directed by enzymes (chemicals that make a chemical reaction speed up). Many different toxins can get in the way or block this cycle from happening efficiently. I often describe the Krebs cycle to my patients like pilots flying a plane. The pilots are enzymes directing the plane – telling it exactly what to do to safely navigate the airspace. Just as pilots need co-pilots, these enzymes require “coenzymes”. These coenzymes are usually nutrients like B vitamins and magnesium as well as the powerful antioxidant *glutathione*. Many different toxins can prevent this plane from getting where it needs to go, just like barricades on a runway or clouds that create turbulence. Common **mitochondrial toxins** can be heavy metals like mercury or lead and some prescription medications as well as the chemicals from plastics and manufacturing. A smooth flight with plenty of “copilots” and “plenty of fuel” and with no obstructions from toxins means *plenty of energy production* – that’s when you feel your best. Whether you’re competing in a triathlon or just getting through the day, an efficient Krebs cycle is what supplies you with sufficient energy. When there’s insufficient fuel or blockages, and your Krebs cycle is producing at lower levels, you can experience fatigue, muscle weakness, depression, and *a dysfunctional immune system*. ## ***What Impacts Your Krebs cycle? *** Think of your Krebs cycle as your source of energy, anything that might get in the way can make you feel fatigued. When patients come to our office frustrated by their chronic fatigue, this is where we look first. We look for things known to impact the Krebs cycle and cause **impaired mitochondrial function**, or mitochondrial disorders. Factors we’ve seen cause the Krebs cycle to become blocked or interrupted, include: - Toxin exposure - Mold mycotoxins - Lyme disease - [Epstein-Barr virus](/blog/reactivated-epstein-barr-virus-need-know/) - [Mast cell activation syndrome](/blog/mast-cell-activation-syndrome-when-the-immune-system-runs-off-the-rails/) - Underlying infections - Thyroid hormone abnormalities - Autoimmune disease - Gastrointestinal disorders - Intestinal permeability (‘leaky gut’) - Multiple chronic conditions - Nutrient deficiencies - Poor diet ## ***Symptoms of Mitochondrial Dysfunction*** When you have impaired mitochondrial function and decreased energy production you can experience a wide range of symptoms, but generally, fatigue is the number one. Here are the signs and symptoms of an interrupted Krebs cycle, poor mitochondrial function, and the associated for [mitochondrial dysfunction](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2680051/): - Extreme fatigue - A weakened immune system - Muscle weakness - Loss of appetite - Digestive issues - Nausea - Muscle pains - Inability to exercise - Problems with vision - Migraines - Neurologic abnormalities ## ***What are “Mitochondrial Diseases”?*** The term **“mitochondrial diseases”** refers to congenital conditions where there are actual *mutations of mitochondrial DNA* (a defect in the “instruction manuals” (DNA) of the mitochondria). Examples include muscular dystrophy. You can think of mitochondrial diseases in the general sense as anything that interrupts the production of ATP. Though the above-mentioned symptoms also occur in **mitochondrial dysfunction**, true congenital mitochondrial diseases develop into more serious problems. The later stages of congenital mitochondrial disease include strokes, seizures, and dementia. Because there are high levels of mitochondria in your brain, heart, lungs, and muscles, often symptoms are noticed there first. ## ***Finding a Doctor Who Specializes in Mitochondrial Disorders and Fatigue*** The mitochondria affect every organ in the body, which results in *confusing multi-system symptoms*. Because of this it takes time working with a [certified Functional Medicine Physician](/) to reach a full and accurate diagnosis. We’ve developed a Fully Functional® process to treat complex medical conditions like chronic fatigue and mitochondrial dysfunction. Drs. Ellen and Scott Antoine have years of experience in mitochondrial dysfunction, chronic fatigue, and alterations of the Krebs cycle. A lot can be done to manage your condition so you can live a Fully Functional® life. If you’re looking for a **holistic doctor** who specializes in mitochondrial dysfunction and chronic fatigue and are in Carmel, Indiana, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Mold Illness & Chronic Inflammatory Response Syndrome (CIRS) – When Your Fatigue Has an Invisible Cause **Link:** [Mold Illness & Chronic Inflammatory Response Syndrome (CIRS) – When Your Fatigue Has an Invisible Cause](https://fullyfunctional.com/blog/mold-illness-cirs/) ([md](https://fullyfunctional.com/blog/mold-illness-cirs/index.html.md)) **Description:** Mold illness is a subcategory of CIRS but this inflammatory process can also be caused by exposure to other biotoxins. Learn about mold illness and CIRS. ### Content ## ***What Is Mold Illness?*** **Mold illness** is a bit of a misnomer. It isn’t just mold that makes these people sick but rather *it is an unhealthy immune response and associated inflammation as a result of being exposed to a water-damaged building*. In these buildings, it isn’t just mold that makes people sick but there are also fungi, bacteria, actinomycetes, mycotoxins, and other inflammatory chemicals such as volatile organic compounds (VOCs) among others. **Mold biotoxins** are specifically called *mycotoxins* and are considered some of the most harmful substances to humans on the planet. Mycotoxins harm the body in many ways. One prominent effect of mycotoxins is that *they adversely affect the mitochondria* (tiny “energy factories” within the cell that are responsible for creating all of your cellular energy). As a result, when your mitochondria aren’t working well, it dramatically affects your overall energy levels. Almost half of the buildings in America are thought to be water damaged to some degree and therefore have conditions perfect for growing harmful mold species and other organisms as well as creating these toxic compounds. Many people do not know they have issues with mold or water leaks in their homes. Past water-damaged building exposures can contribute to health concerns in the genetically susceptible individual. Interestingly enough, it doesn’t have to be an active leak or water issue for one to have symptoms. People with mold illness are often commonly misdiagnosed as having: - Allergies - Asthma - Fibromyalgia - Chronic Fatigue Syndrome - Anxiety or depression - Irritable Bowel Syndrome - Atypical autoimmune conditions - Hypochondriac ## ***Symptoms of Mold Illness*** How you react to **mold exposure** is completely unique to you, depending on your body chemistry and the function of your immune system. However, there are some symptoms we commonly see in patients with mold illness. These symptoms are often grouped together in ‘clusters.’ Some of the more unusual symptoms, such as a metallic taste in the mouth or increased static shocks, are pretty unique to mold exposure and can be a telltale sign. If you know (or suspect) you’ve been exposed to water-damaged buildings, see if you relate to any of the symptoms below: - Post nasal drip and sore throat - Brain fog - Difficulty concentrating - Increased static shocks - Digestive issues - Metallic taste in the mouth - Sugar cravings - Irritability - Angry outbursts/mood swings - Vertigo - Extreme fatigue - Shortness of breath with exertion - Diarrhea - Strong appetite fluctuations - Excess weight which is difficult to lose - Blurred vision - Increased urination - Excessive thirst - Numbness and tingling of the limbs - Chronic pain in joints and muscles If you have several of the symptoms on the list above, *you may be suffering from mold illness or chronic inflammatory response syndrome* and should be seen by a physician who specializes in the diagnosis and treatment of these disorders. ## ***What Is Chronic Inflammatory Response Syndrome?*** **Chronic inflammatory response syndrome** (CIRS) is on the rise and is a term for a collection of symptoms (listed above) **coupled with** specific laboratory abnormalities. CIRS occurs when there is widespread inflammation caused by a biotoxin in the body that leads to immune system (and often hormonal) dysfunction. Mold illness is a subcategory of CIRS but this inflammatory process can also be caused by exposure to other biotoxins including Lyme disease, additional tick-borne organisms, and certain spider bites – such as brown recluse spiders. The complex nature of **CIRS** has caused many patients to go from doctor to doctor wondering what’s wrong with them. People are often sick for years before ever receiving a diagnosis. For a long time there weren’t very many answers for people with CIRS. However, *recent developments have offered thousands of people relief*. ## ***Is Chronic Inflammatory Response Syndrome Real?*** There is a gene that encodes a specific protein giving the body and immune system information about biotoxins. HLA-DR/DQ genetic testing reveals that *an estimated 25% of the population is more likely to get chronic inflammatory response syndrome* because they have inappropriate immune responses and don’t recognize the biotoxins as harmful. Therefore, instead of the body ridding itself of these harmful toxins, the toxins remain and cause **inflammation**. People with these genetic variants are often referred to as the “canaries in the coal mine” because they become ill more quickly than others. Blood tests can determine your “HLA type”. For example, if there is water damage in a house, often only someone with one of these HLA gene types may become sick, while the rest of the family is unaffected. This has led to a lot of confusion. In some cases, the person with CIRS has been accused of making it up or has told the symptoms are in their head. In the work setting, these patients may be accused of malingering. For a long time, CIRS was written off as *a phantom illness*. Experiencing it personally and successfully identifying and treating hundreds of patients with CIRS, we certainly understand the hopelessness and frustration that occurs when the symptoms are dismissed. If you’ve been struggling with complex, unexplained health issues for a while, CIRS should definitely be considered. ## ***CIRS Testing*** To get a proper diagnosis, you’ll need to work closely with **a certified Functional Medicine Physician** who has expertise in identifying and treating CIRS. Both Dr. Ellen Antoine and Dr. Scott Antoine are considered experts in this field. They are Diplomates of the International Society for Environmentally Acquired Illness (ISEAI) and have been trained in *the Shoemaker Protocol*. During the diagnostic process, you can begin reducing inflammation and removing these toxins through our proprietary **Fully Functional® process.** We’ve developed the Fully Functional® process to help patients with CIRS/mold illness. In fact, when you work with us we’ll begin taking certain steps *so you can reduce inflammation in your body* and experience symptom relief even before diagnostics are complete. Our goal is to help you become your most healthy, joy-filled, productive self as quickly as we can. ## ***Doctors Who Specialize in Chronic Inflammatory Response Syndrome in Indianapolis*** The good news when it comes to CIRS is that it is becoming better understood and identified as a health concern. Because these are chronic conditions that impact numerous systems it’s best to see a [certified Functional Medicine Physician](/) with expertise in CIRS and environmental toxins who will look at the body as a whole. Dr. Scott Antoine and Dr. Ellen Antoine are Founding Members and Diplomates in the [International Society for Environmentally Acquired Illness](https://iseai.org/). They are the first and only physicians in Indiana who have been recognized for this level of expertise. A **Functional Medicine** approach to chronic inflammatory response syndrome/”mold illness” is a necessary one because there are often many factors contributing to symptoms. Our Fully Functional® process allows us to IDENTIFY and REDUCE anything that is negatively impacting health, including biotoxins and the associated inflammation. We also OPTIMIZE detoxification and SUPPORT the immune system, the body, and the person through the process and ultimately we PERSONALIZE a long-term plan so that our patients can become Fully Functional® for life. If you think you have chronic inflammatory response syndrome or you’ve been exposed to mold/water-damaged buildings you should look for a certified Functional Medicine Physician with expertise in treating these conditions. Dr. Scott Antoine and Dr. Ellen Antoine are **experts in Chronic Inflammatory Response Syndrome**, difficult diagnoses, and medical mysteries. They’re located in the Carmel / Indianapolis area. If you believe you may have any chronic health conditions, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Mold Illness: Is Toxic Mold in Your Home Making You Sick? **Link:** [Mold Illness: Is Toxic Mold in Your Home Making You Sick?](https://fullyfunctional.com/blog/mold-illness-is-toxic-mold-in-your-home-making-you-sick/) ([md](https://fullyfunctional.com/blog/mold-illness-is-toxic-mold-in-your-home-making-you-sick/index.html.md)) **Description:** What are mycotoxins? In this article we answer that question, as well as what causes toxic mold illness, toxic mold symptoms, and mold illness treatment. ### Content You might be surprised to hear this – but *it’s very common for your home air quality to be more polluted than the air outside*. This is due to poor air circulation, inadequate filtration, and indoor air contaminants. Another major contributor to the impact indoor air pollution has on our health, is the fact that we now spend 90 percent of our time indoors.¹ In this article, we’re covering **mold illness, symptoms, diagnosis, and treatment**. What’s more, researchers concede that there are many indoor air toxins we don’t fully understand and need more information on.² Even the cleanest homes have many ecosystems throughout their home. This is especially so in any home that’s exposed to humidity, moisture, or dampness due to flooding. According to several studies, it is estimated that approximately **50% of all buildings**, including homes, have moisture problems and mold.³ Biocontaminants known to thrive in damp indoor environments include gram-negative and positive bacteria, endotoxins, microbial and non-microbial volatile organic compounds (VOCs), and mold mycotoxins.⁴ Of these different **biocontaminants**, the one I’ve seen causing the most trouble in my own personal practice has by far been **mold mycotoxins**. ## ***What Are Mold Mycotoxins?*** Mold is a very natural part of the circle of life. Molds are needed to decompose organic material. Though there are different species of mold, mainstream media commonly refers to all harmful molds as “black mold” or “toxic black mold.” Stachybotrys chartarum species is “black mold,” however, *not all toxic mold is Stachybotrys*. There are several others that make people and animals sick. Several molds/fungi produce secondary products called *mycotoxins*. Mycotoxins are very tiny molecules that can sneak into your body and cause extensive damage. They are among the most toxic substances found in existence.⁵ They are so damaging that they have been implicated as chemical warfare agents.⁶ Mycotoxins are extremely small and therefore they can pass through cell membranes, which makes it hard for your immune system to identify and attack. Because of this, mold illness usually starts with chronic, low-level symptoms that slowly creep up until they become widespread and debilitating. ## ***What Causes Toxic Mold?*** One of the reasons mold illness is on the rise in our country is because we make our houses out of materials perfect for mold growth. Wood and drywall are basically paper and when they get wet, they don’t dry easily. *This creates an ideal petri dish for mold proliferation*. When I was watching the news this past hurricane season, I couldn’t help but think of all those flooded homes and their potential for mold growth.⁷ But your home doesn’t necessarily need to flood for it to be susceptible to mold growth. Areas under your sinks, crawl spaces, attics, and basements are all susceptible to mold. Mold and its mycotoxin byproducts can be found in homes, offices, and schools – here exposure is usually through inhalation of airborne particles. But **you can also be exposed to mycotoxins through food**. ## ***13 Foods Highest in Mycotoxins*** Foods that are dried and stored for long periods of time are susceptible to mycotoxins. With that in mind, here are the top 13 foods highest in mycotoxins:⁸ - Corn - Peanuts - Wheat - Barley - Sorghum - Rye - Rice - Cheese - Milk - Coffee⁹ - Chocolate - Legumes - Cereals ## ***19 Toxic Mold Symptoms*** The **human leukocyte antigen** system (HLA) is controlled by genes that code certain proteins on the outside of cell membranes.¹⁰ These proteins have an important role in our body’s immune response. Some of us have certain HLA-DR gene combinations that make us genetically susceptible to mold illness or what is commonly referred to as **chronic inflammatory response syndrome** (CIRS). Dr. Scott and I like to describe this genetic susceptibility in terms of a flower pot metaphor. Imagine that your body is a flower pot. Normally, this pot would have holes in the bottom of it so that anything that pours into the pot can drain out the bottom. For those of us with genetic susceptibility to **mold-related illness**, it is as if we have a flower pot without any holes in the bottom of it so that what pours in can’t drain out. The exposures we have over our lifetime then become cumulative and either a significant exposure or some other stressor cause our pot to overflow. Mopping up the floor won’t be enough to help CIRS. We have to turn off the ‘hose’ of toxins pouring in while we theoretically carve out new holes in the bottom of the flowerpot. If a reaction in your body has been triggered due to mold, *you will be permanently more sensitive to future mold exposures*. This may mean you’re more sensitive to mold in food and also to water-damaged buildings. Normally, if you’re a healthy individual and you don’t have these HLA-DR gene combinations, a little bit of mold in your food won’t hurt you (there are exceptions, of course). However, if you are susceptible, which 25 percent of the population are, you will be more sensitive to mold in your foods and your home.¹¹ People with the HLA-DR gene combinations are often called, “canaries in the coal mine” because *they’re the first ones to become sick from moldy buildings*. More often than not, when we have a patient come into our office with mold-related illness, they usually are experiencing extreme fatigue and feel like they’ve been sick forever with no explanation. ### **The 19 most common toxic mold symptoms include:** - Extreme fatigue - Brain fog - Memory problems - Mood swings - Depression - Difficulty concentrating - Weakness - Muscle aches - Light sensitivity - Chronic cough - Sinus issues - Vertigo - Metallic taste in the mouth - Static shocks - Sugar cravings - Inability to regulate temperature - Digestive issues - Excessive thirst and frequent urination - Headaches ## ***Mycotoxins Health Effects*** In addition to chronic inflammatory response syndrome (CIRS), mycotoxin exposure is associated with [chronic fatigue](/blog/mitochondrial-disorders-and-chronic-fatigue/) and [other illnesses](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3920250/) including allergies, asthma, [mast activation cell syndrome](/blog/mast-cell-activation-syndrome-when-the-immune-system-runs-off-the-rails/), mitochondrial disease, pulmonary diseases, and fungal rhinosinusitis. It’s suspected that we don’t fully realize the widespread impact of mycotoxins on our health. Recent research suggests that mycotoxins are capable of causing cancer, cognitive issues, and more. Due to their extremely small size and various mechanisms, mycotoxins can have incredibly damaging effects in the body. Depending on the **type of mycotoxin**, they can cause: - Damage to DNA - Induce cancer¹² - Cause renal failure - Decrease function of neurotransmitters - Induce seizures and tremors¹³ - Increase lipid oxidation - Increase oxidative stress¹⁴ - Impair the mitochondria - Inhibit protein synthesis - Suppress glutathione - Cause neuronal damage The widespread damage mycotoxins can cause in the body makes related illnesses very difficult to diagnose and treat. If you suspect you’ve been exposed to mold, you should make an appointment with a doctor *who has experience in mold-related issues*. ## ***Mold Illness Treatment*** When it comes to treating mold illness there are certain protocols that have been widely publicized. Because of our personal experience with CIRS and our vast experience with patients, we have created our own **Fully Functional® CIRS Treatment Protocol**. It is a comprehensive and personalized approach geared at *IDENTIFYING* and *REDUCING* mold/mycotoxin exposure while *OPTIMIZING* detoxification and *SUPPORTING* the immune system. Here’s are some important steps and suggestions we have for [minimizing mycotoxins in your home](/blog/mycotoxins-home-upgrades-to-help-with-mold-illness/): - Priority number one is removing yourself from the moldy environment. This includes getting rid of porous items that came from the moldy environment. - Next, you need to get on a very clean, mold-free diet and have adequate hydration. The air you breathe needs to be clean. I recommend using a water filter and an air purification system. Make sure the air purification system filters out particles of 0.1 microns or less. - Test for and treat any underlying conditions, especially [MARCoNs](/blog/marcons/). - Use binders to help pull toxins out of the body. When you’re detoxing from mold, it’s important that you avoid becoming constipated. Magnesium citrate can be used to aid in regular bowel movements. Our magnesium can be purchased in our store. - We also highly recommend regular [infrared sauna](/functional-medicine/infared-sauna-therapy/) use to sweat. - [Dry brushing](/blog/benefits-of-dry-skin-brushing/) also helps optimize detoxification. - Eliminate food sensitivities, sugar, alcohol, and foods known for being high in mycotoxins. - Use **glutathione** (and nutrients to help support glutathione production in the body including N-acetylcysteine and glycine), our body’s most potent detoxifier, to help flush these toxins from the system. - Consider innovative treatments including [pulsed electromagnetic frequency treatment](/functional-medicine/pulsed-electromagnetic-frequency/), ozone therapy, and occasionally immunoglobulins when needed. - Work with a [Functional Medicine doctor](/) who is an expert in mold-related illness. ## ***Finding a Functional Medicine Doctor for Mold Illness*** If you suspect you’ve been exposed to mold, you should make an appointment with a **Functional Medicine doctor** familiar with mold-related illnesses. We are considered experts in mold-related illness and it is one of the most common conditions we see in our practice. This diagnosis can feel daunting but you don’t have to do it alone. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. We see patients from all over the country but do require one in-office appointment per year. The rest can be done via phone. If you’d prefer to find someone in your own area, I recommend checking the [Institute for Functional Medicine](https://www.ifm.org/) for a doctor and looking for someone experienced in mold-related illness. *Sources:*[.block][]*1 *[*https://www.epa.gov/report-environment[.block][]*](https://www.epa.gov/report-environment)*2 *[*https://pubmed.ncbi.nlm.nih.gov/19793773/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/19793773/)*3 *[*https://iaqscience.lbl.gov[.block][]*](https://iaqscience.lbl.gov)*4 *[*https://iaqscience.lbl.gov[.block][]*](https://iaqscience.lbl.gov)*5 *[*https://moldpedia.com/mycotoxins[.block][]*](https://moldpedia.com/mycotoxins)*6 *[*https://cmr.asm.org/content/16/3/497.full[.block][]*](https://cmr.asm.org/content/16/3/497.full)*7 *[*https://www.fema.gov/pdf/rebuild/recover/fema_mold_brochure_english.pdf[.block][]*](https://www.fema.gov/pdf/rebuild/recover/fema_mold_brochure_english.pdf)*8 *[*https://www.fsis.usda.gov/[.block][]*](https://www.fsis.usda.gov/)*9 *[*https://daveasprey.com/one-ugly-mug-the-science-behind-just-one-mold-toxin-in-your-coffee/[.block][]*](https://daveasprey.com/one-ugly-mug-the-science-behind-just-one-mold-toxin-in-your-coffee/)*10 *[*https://en.wikipedia.org/wiki/HLA-DR[.block][]*](https://en.wikipedia.org/wiki/HLA-DR)*11 *[*https://www.survivingmold.com/docs/Berndtson_essay_2_CIRS.pdf[.block][]*](https://www.survivingmold.com/docs/Berndtson_essay_2_CIRS.pdf)*12 *[*https://pubmed.ncbi.nlm.nih.gov/8843466/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/8843466/)*13 *[*https://pubmed.ncbi.nlm.nih.gov/3935042/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/3935042/)*14 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3179161/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3179161/) --- ## Molecular Mimicry: A Case of Friendly Fire **Link:** [Molecular Mimicry: A Case of Friendly Fire](https://fullyfunctional.com/blog/molecular-mimicry-case-friendly-fire/) ([md](https://fullyfunctional.com/blog/molecular-mimicry-case-friendly-fire/index.html.md)) **Description:** We're explaining molecular mimicry, and the process of how and why your immune system attacks itself, and what to do if you have an autoimmune disease. ### Content Your immune system is like a very well-organized and effective military force. The task of the Armed Forces and other branches of the military is to defend and protect the people within its country against real or potential threats. The role of the **immune system** is much the same, to defend and protect the person against real or potential threats. These threats are often infectious organisms such as bacteria, viruses, fungi, or parasites, and other intruders. These intruders may include environmental toxins, chemicals, *and even food proteins as well*. Other threats can come from within the body itself, such as in the case of the development of cancer cells where the immune system must identify it as ‘foreign’ and ‘dangerous’ and attack it, ultimately destroying it in a process called *apoptosis*. Just as the military is complex and involves many different branches with different roles, each undergoing specific, intensive training to identify and get rid of the enemy, our immune system is incredibly complex, involving many different parts, all with the ability to identify and destroy the ‘enemy.’ ## ***Friendly Fire*** So what happens when there is ‘friendly fire’ within the military? *Friendly fire* is an attack by a military force on its own soldiers or soldiers of an allied force. How does this happen? Friendly fire arises from the confusion that is inherent in warfare. An attack may be aimed at what is thought to be an enemy force but may accidentally end up hitting one’s own. Sometimes there is a mistaken identity where the troops attack their own believing they are attacking their enemy. These errors are more likely to occur under times of significant stress, including the fear, uncertainty, and chaos that accompany war. In order to avoid friendly fire, modern armies earnestly seek out ways to reduce this tragedy. They improve their training and communication and use more sophisticated electronic devices. Just like the military, our immune system can occasionally ‘get it wrong’ and ‘friendly fire’ occurs. In medicine, this is known as an autoimmune process where the body attacks itself. This is thought to be the result of **molecular mimicry**. ## ***What Is Molecular Mimicry*** Your body’s immune system is designed (‘trained’) to recognize an invader and memorize its structure. It does this by identifying a part of a protein. Proteins are made up of strings of amino acids. Your immune system identifies a particular string of amino acids in a ‘foreign invader’ and triggers **an immune response** so that the body doesn’t get overwhelmed and die as a result of this attack. In molecular mimicry, a string of amino acids found in the invader is very similar in structure to proteins found within the body. Because your immune system scours the body looking for this sequence of amino acids in order to make sure that no ‘enemies’ got through their barrier, it finds the amino acid sequence in tissues within the body and the friendly fire (autoimmune) attack begins. **Since 70% of your entire body’s immune system lines your GI tract**, the ‘army’ is waiting for invaders to penetrate the intestinal wall. This is where proteins from foods we eat may get through our **leaky gut** and trigger the immune response. For example, the amino acid sequences found in gluten are similar to particular tissues in the body, including the thyroid, joints, and pancreas. Molecular mimicry (friendly fire) is the proposed reason for the autoimmune diseases of the thyroid (Grave’s and Hashimoto’s), joints (Rheumatoid arthritis), and pancreas (Type-1 diabetes) seen in those with intestinal permeability who consume gluten. ## ***Food Proteins Are Not the Only ‘Foreign Invaders’ Triggering the Immune System*** **There are 3 main types of proteins that are important in the development of autoimmune disease:** 1. **Self-proteins** are human body proteins. Myelin proteins in myelin sheaths in the nervous system would be such a protein. Multiple Sclerosis is an autoimmune disease where the body attacks these myelin proteins. 2. **Infections** such as viruses, bacteria, fungi. 3. **Food proteins**. There are over 400 different proteins in cow’s milk and most have over 150 amino acids. Molecular mimicry is thought to be *at the root of many autoimmune diseases*. In children, Strep bacteria has been identified as the cause of an autoimmune condition called [**PANDAS**](/blog/pans-pandas-what-you-need-to-know/) (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep infections), **Strep is an ancient organism that survives death by its human host’s immune system by hiding from it as long as possible.** It does this by putting molecules (the sequence of amino acids) on its cell wall that look nearly identical to molecules found on the child’s heart, joints, skin, and brain tissues. This is “molecular mimicry” and allows the Strep to evade detection for a time. Over time the molecules on the strep bacteria are eventually recognized as foreign and the child’s immune system reacts to them by producing antibodies. Because of the molecular mimicry, the antibodies react not only with the strep molecules *but also with the human host molecules that were mimicked*. The cross-reactive antibodies then trigger an immune reaction that “attacks” the mimicked molecules in the child’s own tissues. In the case of PANDAS, an area of the brain known as the *basal ganglia* is involved resulting in the abrupt onset of neurologic and/or psychiatric complaints. **Here is a table** of examples of human autoimmune diseases with possible molecular mimicry as a mechanism. ## ***What To Do if You Have an Autoimmune Disease (Friendly Fire)*** Just as our modern armies seek ways to avoid friendly fire, we need to improve our immune system’s communication techniques and boost our health to avoid and treat autoimmune disease. ## **Here Is a List of Practical Ways To Avoid/Treat This Devastating ‘Injury’** **Reduce stress** – we know that cortisol, our body’s stress hormone, is associated with breakdown of the lining of the GI tract - Pray/Meditate - Perform yoga or other stretching type exercises - Journal – keep a Gratitude Journal - Practice deep breathing exercises **Clean up your diet** - Remove gluten, dairy and ideally grains as the proteins found in these founds can trigger an immune response and lead to molecular mimicry - Identify and remove other inflammatory foods that abnormally trigger the immune system. Immunoglobulins E and G (IgE and IgG) testing to food can help determine these particular foods - Get rid of refined sugar and processed foods - Eat colorful vegetables (“all colors of the rainbow”) to ensure you get the **phytonutrients** you need to bolster the immune system. **Support a healthy immune system** - Heal your gut – since 70% of your immune system lines your GI tract (we must take care of our ‘military’) - Exercise regularly - Don’t smoke or expose yourself knowingly to toxins - Take probiotics or eat naturally fermented foods, like sauerkraut - Recent studies support a significant role of **probiotics** as a barrier of the intestinal lining, lowering the chance of bacteria in the intestines entering into the bloodstream You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Moroccan Chicken With Chickpeas **Link:** [Moroccan Chicken With Chickpeas](https://fullyfunctional.com/blog/moroccan-chicken-chickpeas/) ([md](https://fullyfunctional.com/blog/moroccan-chicken-chickpeas/index.html.md)) **Description:** This Moroccan Chicken With Chickpeas is loaded with anti-inflammatory spices and herbs. The flavor profile is warm, inviting, and absolutely delicious. ### Content This Moroccan [Chicken](https://wildforkfoods.com/collections/chicken-and-poultry) With Chickpeas hits the spot! Loaded with **anti-inflammatory** spices and herbs, the flavor profile is warm, intriguing, and utterly delicious. It’s fun to try recipes from around the world. Keeping our plate colorful, engaging our senses, keeps us curious, and lends itself to creativity that’s never been explored before. Give this dish a try! Pair with our [Summer Green Bean and Tomato Salad](/blog/summer-green-bean-and-tomato-salad/), or our [Easy Garlic Broccoli](/blog/easy-garlic-broccoli/). If you make it and love it, don’t forget to save it with your other fave **anti-inflammatory diet recipes**. **Replace Recipie Feat** ### Ingredients - 1 whole chicken Cut into pieces - 1 pinch sea salt coarse - 1 pinch black pepper freshly ground - 1 tbsp olive oil - 1 whole sweet onion small, diced - 3 whole garlic cloves, peeled and smashed - 1 tsp ground coriander - 1 tsp ground cumin - 1 tsp ground cinnamon - 3 cups green beans sliced or 1lb baby green beans (haricot verts) - 1 cup chickpeas canned, drained or cooked from scratch - 2.5 cups chicken stock - 1 cup cilantro fresh, chopped, for garnish ### Instructions - Season chicken and heat oil in a Dutch oven to medium hot. - Add chicken and cook, skin side down, for 6 minutes. - Turn and cook other side an additional 6 minutes; transfer to a plate. - Reduce heat to medium; add onion, garlic, carrots and spices. - Add chicken and chicken stock and cook for ~20 minutes. - Add chickpeas and green beans; cook until chickpeas are hot and beans are crisp-tender. - Let sit for 5 minutes before serving, garnished with chopped fresh cilantro. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, chicken recipe, moroccan chicken recipe, Moroccan Chicken with Chickpeas --- ## Mycotoxins: Four Home Upgrades To Help With Mold Illness **Link:** [Mycotoxins: Four Home Upgrades To Help With Mold Illness](https://fullyfunctional.com/blog/mycotoxins-home-upgrades-to-help-with-mold-illness/) ([md](https://fullyfunctional.com/blog/mycotoxins-home-upgrades-to-help-with-mold-illness/index.html.md)) **Description:** Mold illness is serious. Where you live matters. Whether you’re renting, building, or buying a house, implement these four upgrades, and minimize mycotoxins. ### Content At The Center for Fully Functional® Health (CFFH), we treat lots of patients suffering from **biotoxin/mycotoxin illness**, otherwise known as ‘mold illness’ or CIRS (chronic inflammatory response syndrome) as a result of exposure to water-damaged buildings. While we have a whole toolkit of treatment options, ultimately, our patients must minimize or eliminate biotoxin/mycotoxin exposure *to make headway in health improvement*. We usually direct our patients to start by creating a safe place at home, because your home is where you spend the most time, and therefore get the most exposure. ## ***Whether You’re Building or Buying, Here Are Our Top Four Home Upgrades to Minimize Mycotoxin Exposure and Help With Mold Illness*** ### **1. No Carpet** **Carpet is a huge reservoir for dust, allergens, and other environmental triggers**. Additionally, it’s usually made of materials that are environmental triggers themselves. *Swap carpet for hardwood flooring or tile*. - If you pick engineered hardwood, watch for low-VOC (Volatile Organic Compounds) options. - Pre-finished is typically healthier than having the finish done in-home because fumes and factory finishes hold up better. - Watch for aluminum oxide UV coatings (industry standard) if you’re trying to steer clear of heavy metals. Companies like [Green Building Supply](https://www.greenbuildingsupply.com/All-Products) have a host of pre-vetted healthier options. ### **2. Ventilation** Today’s homes are built tighter than ever before, which is great for energy efficiency but can be a huge health threat if the air isn’t properly filtered or exchanged with fresh air. According to the EPA, **indoor air is 2x to 5x more toxic than outdoor air**.¹ - **Bring in fresh air through air exchangers** like an [ERV or HRV](https://www.greenbuildingadvisor.com/article/hrv-or-erv). Or, externally-vented over-stove fans, externally-vented bathroom fans can create negative pressure to bring in fresh air through the “leaks” or cracks in your home. - **Filter the existing air in the home with a higher level of filtration**. [MERV](https://www.mechreps.com/PDF/Merv_Rating_Chart.pdf) is the rating system that filters are rated on, which correlates to particle size that can pass through. Increase your filtration capability by upgrading your filtration cabinet to accommodate a higher MERV level filter. MERV 10 is a great balance between filter cost and the level of filtration that it provides. Caution: don’t stick a MERV 10 filter in a system built for a low MERV filter – it could suction the filter into the system because of the increased drag on the system, causing significant damage. - Last, **have an HVAC expert check the air balancing on your current system** to be sure that the filter or ventilated air that you’ve upgraded is being properly circulated throughout the home. - **If you’re unable to address a HVAC overhaul, consider putting an Austin Air filtration unit in your bedroom to minimize mold particles in the air**. Austin Air was specifically developed by a family that faced CIRS issues and has been tested by the US Government for eliminating biological threats.² ### **3. Humidity Control** **Get a hygrometer and monitor the humidity in your home. It should be below 55%**. If it’s not, talk with an HVAC expert and/or get a dehumidifier. If you’re building a home in an area that is higher humidity in the summer, consider a dehumidifier that’s integrated into your overall HVAC plan, like an [Ultra-Aire](https://www.santa-fe-products.com/ultra-aire-is-ultra-series/), which can bring in fresh air, filter it, and take 100+ gallons of water out of the air each day. The key to any of these tools is your use of them – they take monitoring and maintenance. ### **4. No VOC (Volatile Organic Compounds) Furnishings and Finishes** **When you’re choosing paints, couches, picture frames, cabinetry, and other things to put on the inside of your home, pick things that have low chemical content**. “No VOCs” can be a helpful indicator, but doesn’t cover all of the chemicals that you may be sensitive to. If you’ve already invested in items that may have higher than ideal chemical counts, *consider swapping them out for healthier choices over time*. For more ideas on how to make your home healthier, check out [Prescriptions for a Healthy House by Paula Baker-LaPorte](https://www.amazon.com/Prescriptions-Healthy-House-3rd-Architects/dp/0865716048). You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[*https://www.epa.gov/indoor-air-quality-iaq/inside-story-guide-indoor-air-quality[.block][]*](https://www.epa.gov/indoor-air-quality-iaq/inside-story-guide-indoor-air-quality)*2 *[*https://austinair.com/story-1/*](https://austinair.com/story-1/) --- ## Natural Flu Remedies: Prevention and Treatment **Link:** [Natural Flu Remedies: Prevention and Treatment](https://fullyfunctional.com/blog/natural-flu-remedies-prevention-and-treatment/) ([md](https://fullyfunctional.com/blog/natural-flu-remedies-prevention-and-treatment/index.html.md)) **Description:** We put together these natural flu remedies, prevention, and treatment tips from a Functional Medicine perspective. Prevention is the best course of action. ### Content The seasons have shifted, there is a chill in the air and the days are becoming noticeably shorter. As we move deeper into fall, you may be excited for spiced pumpkin treats, cozy sweaters and pulling out that warm comforter for your bed. This is also the beginning of another season and one that is much less fun: **flu season**. We’re sharing **natural flu remedies, prevention, and treatment**. While so many fear it, how many people actually understand what the infamous flu actually is? Influenza, or the flu, is a virus that causes a respiratory infection. It’s spread from person to person through coughing, sneezing or touching a common surface (such as a door knob or tablet) and then ingesting that tiny viral droplet. Symptoms of the flu include: fever, fatigue, achy muscles, sore throat, runny nose, cough, chills, sweating and weakness. *The onset of these symptoms can be quite rapid*. From a **Functional Medicine** perspective, prevention is really the best medicine when it comes to the flu. Of course prevention isn’t always possible and if the flu strikes, working *with* your body and using natural tools can be incredibly helpful for a speedy recovery. Our primary focus at The Center for Fully Functional® Health is to help people become Fully Functional® for life – their most healthy, productive and joy-filled selves. Our proprietary Fully Functional® process includes 5 pillars: **IDENTIFY** underlying root issues and stressors, **REDUCE** anything negatively impacting your health, **OPTIMIZE** your natural detoxification processes, **SUPPORT** your body and immune system and **PERSONALIZE** this and navigate your health journey differently in the future. These are essential steps to reverse disease, create vitality and do things like withstand the flu season. ## ***Our Top 5 Flu Prevention Tips*** [Good health](/blog/beat-flu-season-natural-immune-boosters/) provides a solid foundation for flu prevention since you are more susceptible to the flu if your immune system is weakened from poor food, inflammation, stress, and burning the candle at both ends. *Here are our best tips for getting your body in prevention mode*. ### **1. Use Food as Preventative Medicine** A **Standard American Diet**, characterized by processed, packaged food high in vegetable oils and refined carbohydrates, can not only contribute to chronic disease over time but can leave your immune system susceptible to any virus that comes your way. In fact, *eating refined sugar can suppress immunity for several hours after ingestion*. This is why the first 2 pillars of becoming Fully Functional® are IDENTIFY and REDUCE – identify unhealthy, inflammatory foods that are negatively impacting your health and reduce them. We recommend ditching processed foods as much as possible because they are inflammatory and replacing with real, whole food. This means: - Eat plenty of colorful produce at each meal. The rich colors in vegetables and fruits are associated with plant compounds that act like antioxidants in the body. *Flavonoid* compounds found in berries, tomatoes, kale, apples, cherries, broccoli, green tea and other plant foods have been shown to suppress influenza.¹ - Eat a serving of protein with each meal. *Protein helps you to build immune cells*. Great options are: grass-fed beef, wild fish, pastured eggs, beans and nuts. - **Reduce inflammation** by choosing high quality fats (coconut oil and avocados, for example), eliminating [food sensitivities](/blog/food-sensitivities-behind-your-mystery-symptoms/) and [personalizing your diet](/functional-medicine/weight-loss-program/). ## **2. Optimize Vitamin D** [Vitamin D](/blog/health-benefits-of-vitamin-d/) has many important properties in the body and plays a key role in **immune system function**. Every cell of the body has a vitamin D receptor, including immune cells, where vitamin D acts as an important immune modulator and enhancer. Most of our patients, here in Carmel, Indiana (and throughout the northern US), are vitamin D deficient when we check levels via blood work. I recommend supplementation, especially through the fall and winter months, to maintain blood levels of vitamin D between 60-80 (with a minimum of 40) ng/ml. In fact, some evidence suggests that *supplementation through flu season may work to prevent influenza*.² Shop our Fully Functional® Vitamin D options. Other supplements we recommend to enhance immunity include omega 3 fats, elderberry syrup, zinc, buffered vitamin C, and probiotics. You can find these online at our Fully Functional® Shop. ## **3. Support Your Gut** Your gut is the heart of your immune system and represents your body’s first line of defense against incoming pathogens. A robust and balanced microbiome (the community of bacteria that live in and on your body) can serve as protection from influenza. How do you support your gut microbiome? - Eat whole foods and plenty of fiber-rich and colorful produce - Take a probiotic, and possibly a prebiotic, supplement - Avoid toxic environments such as moldy, water-damaged buildings and toxins such as glyphosate (in Roundup) and chlorine in drinking water that kill bacteria - Avoid [antibiotics](/blog/how-to-restore-gut-health-after-antibiotics/) as much as possible - [Heal any gastrointestinal conditions](/blog/how-to-heal-your-gut-naturally/) ## **4. Sleep Well and Stress Less** Both sleep and stress management are foundational aspects of health and there is no exception when it comes to immunity. *Poor sleep and high stress both impact the immune system in negative ways*. You’ve likely experienced a time in your life when you weren’t sleeping well, stress was high and you ended up sick, possibly even with the flu, as a result. [.block][]When it comes to prevention and supporting your body during flu season, **make sleep a priority**. We call this ‘sleep hygiene.’ This means setting a bedtime and sticking to it as a routine is something your body truly needs. We like to tell our patients to use their beds for sleep and sex only. One of my favorite things to do before I hit the sack is to relax by soaking for 20 minutes or more in a bath with magnesium chloride flakes and lavender oil. Absolutely amazing![.block][][.block][]To avoid [insomnia](/blog/tips-for-improving-sleep-combat-insomnia-good-sleep-hygiene/), try creating a relaxing bedtime routine that includes winding down without screen time along with ensuring your room temperature is around 67 degrees Fahrenheit can help. If your insomnia turns into a big struggle we recommend [Alpha-Stim](https://www.alpha-stim.com/), an FDA-approved device for the treatment of insomnia, anxiety, and depression.[.block][][.block][]If you’re having trouble regulating your room temperature, you might want to try [Chill Technology](https://www.chilitechnology.com/) to help provide the optimal temperature for your body to receive deep, restorative sleep. Another way to regulate your sleep is to focus on **melatonin**. Give yourself some time during the early morning to get natural sunlight in order to trigger the necessary **circadian rhythms** that keep you awake and alert during the day and feel drowsy and tired in the evening. Stress can depress the immune system and also negatively impact the microbiome. I know that we can’t always control what happens in our lives, but there is likely some stress on your plate that you can let go of or shift your mindset around.[.block][][.block][]In addition to cognitive approaches to stress, relaxation approaches are also helpful for bringing your body into the **parasympathetic nervous system**, or relaxation, state. These tools can include deep breathing, meditation, yoga, massage, acupuncture, energy work, reading, journaling or even taking a hot bath. Anything that is relaxing can help your body be more resilient to the stressors in your life. One of my favorite books to help you learn how to deal with uncomfortable feelings is [*90 Seconds to a Life You Love*](https://www.amazon.com/Seconds-Life-You-Love-Authenticity/dp/031641431X/ref=sr_1_1?gclid=CjwKCAiAwZTuBRAYEiwAcr67OY49zfz1K6rmX11txV6L8dsGzLKyQxGyseP8SRQH0w5vBwS2d-N-qhoCSd0QAvD_BwE&hvadid=318520516034&hvdev=c&hvlocphy=9016045&hvnetw=g&hvpos=1t1&hvqmt=e&hvrand=385629532551853510&hvtargid=kwd-596668642710&hydadcr=24625_9648884&keywords=90+seconds+to+a+life+you+love&qid=1573224215&sr=8-1), by our friend, Dr. Joan Rosenberg. ## **5. Wash Your Hands** Finally, but perhaps most importantly, don’t underestimate the importance of good hygiene. Wash your hands frequently during flu season with warm water and soap, especially when around those who are sick or after touching any surfaces in public. I like to keep a bottle of **natural essential oil hand sanitizer** in my purse when I’m out and about in case I don’t have access to a sink. Commercial hand sanitizers can actually impair immunity by killing healthy bacteria on the skin or exposing you to unhealthy chemicals. ## ***Top 5 Flu Support Tips*** As much as we would like to never have the flu, it’s inevitable at one point or another in life. Here are my suggestions for feeling better fast. ## **1. Trust Your Fever** We live in a culture where the predominant medical approach is to suppress the symptoms. Although a fever can be uncomfortable, it serves a very important role. When the body increases its temperature, *it is acting to create a hot environment where the virus can’t survive*. If your fever gets incredibly high or symptoms become unbearable, try a fever reducer or give your physician a call. Otherwise, try to make yourself comfortable and **allow your immune system to do what it knows how to do**. If you’re in good health and have followed the tips above, rest assured that your body has the capability to restore balance. ## **2. Rest** Having the flu is a sure message from your body that you need to rest. Don’t try to push through to meet all of your commitments and be a hero right now. Take a day, or several, off of work. If you don’t rest, you may not recover as quickly and may be at risk of developing a complication such as a **secondary infection**. ## **3. Hydrate** **Hydrate, hydrate, hydrate**. I can’t say it enough! Hydration is so important all of the time, but especially so with the flu. You are losing water and electrolytes through sweating or loose stools. When you pair that with less of a desire to eat or drink, you may end up dehydrated. Dehydration amplifies flu symptoms and puts additional stress on your body. As former emergency room doctors, Dr. Scott and I have seen thousands of patients who could have avoided their visits to the ER. Drinking more fluids at home (even small sips frequently) could have saved them a trip to the ER. My advice is to *push liquids even if you don’t feel like them*. Besides water, choose herbal teas and bone broth. Season broth and soups with garlic (raw is best), ginger, and turmeric for their **antiviral and immune-supportive properties**. The broth will also serve as a good source of electrolytes to help your body retain hydration. You can also up the electrolytes by drinking coconut water or adding a splash of juice and a pinch of Himalayan sea salt to a glass of water. ## **4. Sweat It Out** Sweating can improve circulation to stimulate the immune system and supports the body’s own effort to get rid of the flu virus. Sitting in a hot Epsom salt bath is one way to promote sweating. It can also be very comforting to soothe sore and aching muscles. Since sweating can be dehydrating though, please be sure to grab a cup of tea, electrolyte water, or broth to sip while you soak. We love using our portable infrared sauna at home. Other suggestions include getting in an [infrared sauna](/functional-medicine/infared-sauna-therapy/) or putting on a couple of layers of comfortable clothes along with a winter hat and getting under the covers of your bed. This will feel comforting if you have chills and are experiencing any pain in your body. It will also likely invite a long nap. If, when you wake, your clothes are wet from sweat, be sure to change them and drink some water. ## **5. Try Natural Remedies** We always have **immune-supportive natural remedies** on hand so we can use them at the very first sign of a cold or flu. Here are some of our medicine cabinet favorites: **Oscillococcinum** is a homeopathic remedy that is widely available and can be taken at the first sign of flu symptoms. It may help reduce the duration of the flu and make symptoms more comfortable. **Homeopathic medicine** is very safe to try since its preparation involves very small (homeopathic) doses of natural medicinal ingredients. **Echinacea** is a herbal remedy for the flu and other acute conditions to enhance immune function. Echinacea has a long history and high safety profile in herbal medicine and can even be used during pregnancy. It can be taken as a tea, or as a tincture for a more therapeutic dose. It can be taken at the first sign of flu symptoms by following dosage instructions on the package. **Vitamin C** at levels around **1000 mg per day** can be helpful for preventing the flu. But at the first sign of the flu, you can take up to 4000 mg per day for several days. Vitamin C provides a boost to immunity and can decrease the duration of the flu. **Zinc** is another immune-boosting nutrient that can be taken at higher than normal doses at the onset of the flu. Zinc is a popular ingredient in cough drops and cold and flu supplements. A dose of 50-100 mg can be taken for the first few days of a flu episode. Be careful not to take high doses for too long. Too much zinc can actually have the opposite effect of suppressing immunity. At The Center for Fully Functional® Health, we are committed to helping you feel your best! Getting you on the path to becoming Fully Functional® for life. This includes preparing your body for flu season. If you want help identifying underlying root issues and strategizing to come up with a plan to help you live with vitality and optimal health with a personalized support plan, you can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[ *https://pubmed.ncbi.nlm.nih.gov/22971104/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/22971104/)*2 *[ *https://pubmed.ncbi.nlm.nih.gov/20219962/* ](https://pubmed.ncbi.nlm.nih.gov/20219962/) --- ## Natural Remedies for Health: Makeover Your Medicine Cabinet **Link:** [Natural Remedies for Health: Makeover Your Medicine Cabinet](https://fullyfunctional.com/blog/natural-remedies-for-health-makeover-medicine-cabinet/) ([md](https://fullyfunctional.com/blog/natural-remedies-for-health-makeover-medicine-cabinet/index.html.md)) **Description:** Are you ready to clean out that medicine cabinet, and switch to solutions that provide natural immune support? Here's our list of natural remedies for health. ### Content Cold and flu season is here again! Are you ready to swap out some of those over-the-counter medicines, or outdated prescriptions in your medicine cabinet, and replace them with products that provide **natural immune support**? We’re sharing our Fully Functional® natural remedies for health, and vitality. You’ve replaced refined and processed foods in your kitchen and the toxic cleaners under the sink, *but what about your medicine cabinet*? Is your medicine cabinet full of over-the-counter medications and outdated prescriptions? Would you like to support your body naturally when suffering from a headache, a cough, or a cold or flu? It’s time for **a medicine cabinet makeover**! **Natural remedies** can be just as effective (if not more!) than conventional treatments, ***without the harmful side effects***. In fact, natural remedies will not only relieve symptoms but [boost the immune system](/blog/beat-flu-season-natural-immune-boosters/) to help you fight off illness, *not just treat the symptoms*. Our Fully Functional® shop includes a full line of supplements geared to **support your immune system and treat your symptoms naturally**. Look no further than this list to give your medicine cabinet a healthy makeover! Let’s hear it for utilizing supplements for optimal health. We’re also including some salves, and sprays we love because they’re amazing! ## ***Fully Functional® Medicine Cabinet Must-Haves*** ### **Immune Support Capsules** Your first line of defense against cold and flu season! Our **immune support supplement** contains the powerful combination of Astragalus, echinacea, elderberry, goldenseal, licorice, and olive extract *to both ward off illness as well as treat symptoms*. ### >**Vitamin D3 K2 – Liquid** **Vitamins K and D** act in synergy for a boosted immune system, healthy circulation, bone health, healthy blood sugar levels, and cardiovascular support. ### **Vitamin C** Vitamin C is *a key nutrient involved in our immune function*, helping us ward off colds and other common illnesses. It is also highly supportive of heart health, healthy skin, and vision! ### **Magnesium Citrate** When you’re constipated, skip the laxatives which can be dangerous and addictive. Get relief from constipation from magnesium citrate instead. Magnesium deficiency is common, so while you’re treating your constipation you can also boost your levels of this important mineral! ### **Zinc** Another **immune-boosting option** to take when fighting the common cold. Zinc ultimately supports immune and neurological function, wound healing, growth, taste acuity, nutrient metabolism, and reproductive health. ### **Glutathione** Glutathione is a master detoxifier and the body’s main endogenous antioxidant that fights off cellular damage, toxins, and stress of modern living. ### **Relaxation Powder** Promotes a calm, relaxed, well-balanced emotional and physiological state, with a blend of ingredients that support the body’s hormonal balance and healthy glucose metabolism. ## ***More Magic Must-Haves*** The following products are Fully Functional® approved, they just aren’t manufactured by us. Some of these may be found in our office (currently not offered in our online shop). Please call **[(317) 989-8463](tel:(317) 989-8463)** or [**email**](/contact/) for more information on whether we currently have the product in stock, and/or where you may find them. ### **Argentyn First Aid Gel** Use for topical pain‚ skin inflammation and minor skin infections. For relief of symptoms due to minor wounds and burns‚ bruises‚ ulcerations‚ sunburn‚ razor burn‚ scrapes‚ rashes‚ blisters‚ bug bites‚ and skin eruptions from acne‚ eczema‚ or minor infection: burning‚ stinging‚ itching‚ redness‚ stiffness‚ minor pain‚ minor inflammation. ### **Xlear Nasal Spray** Helps clean, moisturize, and clear nasal and sinus congestion, allergy irritants, and other harmful pollutants. ### **Elyte** Electrolyte replacement with an optimal balance of sodium, potassium, and magnesium. Helps fight muscle cramps, aids neurological function, and boosts energy. ### **Miracle Oil** A soothing blend of natural oils with skin healing properties. Use for cuts, scrapes, rashes, burns, eczema, acne, and more. ### **Ozonated Olive Oil** Oxygen-rich skin salve to soothe minor skin irritation, redness, bug bites, blemishes, and treat toenail fungus, warts, and more. ### **Magnesium Oil** Topical magnesium in a convenient spray. A highly potent way to absorb magnesium, with no effect on the GI tract. Magnesium is known to reduce muscle tension, lessen pain associated with migraine headaches, improve sleep, and address neurological disorders such as anxiety and depression. To stock up during your medicine cabinet makeover, shop all our Fully Functional® supplements and supplies. You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Natural Treatment Options for Ehlers-Danlos Syndrome: My Fully Functional Story **Link:** [Natural Treatment Options for Ehlers-Danlos Syndrome: My Fully Functional Story](https://fullyfunctional.com/blog/natural-treatment-options-for-ehler-danlos-syndrome-my-fully-functional-story/) ([md](https://fullyfunctional.com/blog/natural-treatment-options-for-ehler-danlos-syndrome-my-fully-functional-story/index.html.md)) **Description:** Find out what our Nurse Practitioner has experienced living with Ehlers-Danlos Syndrom and some natural treatment options for it. Read on! ### Content *The following article is by our amazing Nurse Practitioner, Kathleen Sievert (FNP-C). It tells her own story of living with **Ehlers-Danlos Syndrome**, Postural Orthostatic Tachycardia Syndrome, and Mast Cell Activation Syndrome. We hope it inspires and encourages you in your own journey to Fully Functional...* ## ***Treating the Ehlers-Danlos Trifecta*** **While I am thrilled to serve The Center for Fully Functional Health as a Nurse Practitioner, my journey with CFFH started as a patient with Ehlers-Danlos Syndrome (EDS)**. *EDS* is a connective tissue disorder that can affect the skin, joints, and blood vessel walls, *and it has had a drastic impact on my life*. This is my story, and thanks to [Carmel integrative medicine doctor](/), Dr. Ellen Antoine, it has a happy ending! There are three diseases that are well-known in the Ehlers-Danlos Syndrome community, often referred to as the "trifecta" of EDS.1 These include *EDS, Mast Cell Activation Syndrome (MCAS), Postural Orthostatic Tachycardia Syndrome (POTS*). They all appeared at a young age for me. However, nobody was able to connect the dots until I was in my twenties. I passed out for the first time when I was just three years old; this was my first experience with POTS. My legs would also fatigue quickly as a child, and I frequently wanted to be carried - *an important sign of EDS in small children*. I was also physically sensitive in other ways. I could only use one brand of baby products because my skin would react to everything. I had to be careful not to touch grass or be outside too long, or my allergy symptoms would become debilitating. Now I recognize **these were the first signs of MCAS**. By the time I reached elementary school, I was in the throes of *the EDS trifecta*. ## ***Struggling with Ehlers-Danlos*** **Throughout my childhood, my body was in constant "fight" mode because it was working overtime just to function**. My bucket of symptoms and stress was slowly filling up, and that bucket finally overflowed when I was 17 years old. I was entering my senior year of high school when my body reached the breaking point. My genetics were complicated by a toxic mold exposure and a horrible case of food poisoning. This is when I went from being a three-sport athlete to struggling to make it through the day. I lost 20 pounds due to severe gastrointestinal issues and had to sit out the games that I loved because my POTS symptoms and heart murmur made things too unsafe to continue. By the time I was finally cleared by my cardiologist to return to sports, *I had lost an enormous amount of muscle*. My inflamed body couldn't handle the workouts anymore. I sprained my ankle three times, tore my meniscus and MCL in my knee, and broke 2 fingers. I developed tenosynovitis and ganglion cysts in my wrist, shin splints, and patellar tendonitis - all within my senior year of high school. **I couldn't understand why my health was deteriorating so quickly**. I turned to my conventional doctor for answers, starting a long and painful journey. I received various diagnoses, which included hormone imbalances, gastrointestinal issues, autoimmunity, and, of course, multiple unexplained orthopedic problems. Every body system is separated In the traditional world of medicine, so *I wound up seeing 12 different specialists*! I struggled to find a doctor that would look at the full picture, and I was slowly losing hope that I would ever get better... ## ***Finding Hope with Functional Medicine*** Though I was completely discouraged, my parents never gave up the search for answers. My mom turned to the Internet because she felt like there had to be something more out there. **This is when she found Functional Medicine**. A whole-human approach made sense to us, so I started changing my diet and discovering foods that were triggering some of my symptoms. However, due to MCAS and a leaky gut, the more foods that I eliminated from my diet, the longer my list of food sensitivities became. I quickly realized that, while changing my diet was helpful for me, I needed more guidance in finding the root causes of my issues. We turned to the Internet again and found Dr. Ellen at The Center for Fully Functional Health (known as Vine Healthcare at the time). **My life changed from there**, and I had my hope back after just one appointment. Dr. Ellen started uncovering root causes for a lot of my health problems. Before even knowing about my EDS diagnosis, *my health turned around with the help of Functional Medicine* and Fully Functional treatment protocols. Although I would eventually learn that I have a genetic connective tissue disorder that will never go away, with Dr. Ellen's help, I found so many ways to set myself up for success and increase my quality of life. ## ***Thriving with Ehlers-Danlos*** **Dr. Ellen used [the Five Pillars of Becoming Fully Functional](/about-us/) to turn my health around**. During my first appointment, we identified things that were negatively impacting my health. These included contributors such as stressors, toxins (mold), and inflammation that complicated my already-complex genetics. Next, we found ways to reduce these factors in my life - the second pillar of my treatment. It was eye-opening to see how much I could control! The third step was to optimize my detoxification pathways. CFFH had **multiple MedSpa services** to help me with this, including the [full spectrum infrared sauna](/functional-medicine/infared-sauna-therapy/), [red light therapy](/functional-medicine/full-body-red-light-therapy-pemf/), and [lymphatic drainage](/functional-medicine/therapeutic-lymphatic-drainage-massage/). The fourth pillar involved supporting my body structurally, biochemically, and personally. My structural support is weakened by EDS, so finding ways to compensate for this was important. When I looked back to high school, I realized that a lot of my EDS-related joint issues accelerated when my muscle mass declined from decreasing my workouts. CFFH helped me again by supporting me with physical therapy, where I learn to use the appropriate muscles and gain muscle mass to help with my hypermobility. **Biochemical support** was also important because I was initially deficient in a lot of nutrients that were needed for key cellular processes in my body. Without these proper nutrients, my body was not able to detox or make energy appropriately. The fifth Fully Functional pillar is personalization. The entire plan that Dr. Ellen put together for me was personalized based on my genetics, medical history, nutrient needs, and unique body chemistry. Although my case was complex and my symptoms spanned decades, she was able to assemble the puzzle and help me discover what was right for me moving forward. Through this process, *I was able to turn my health around* so that I can now live Fully Functionally WITH a genetic disorder. My pain is better, my fatigue is better, my stomach is better, and my hormones are better balanced. I still have hypermobility, and I will always have a higher risk of injuries because of EDS. But when I do have those bumps in the road, *I can recover so much more easily now*. **Not only did The Center for Fully Functional Health help me turn my health and life around, the care I received inspired me to train as a Functional Medicine Nurse Practitioner**. Now I am privileged and blessed to help patients just like me on their journey to Fully Functional! ***If you are dealing with Ehlers-Danlos Syndrome or another complex set of health issues, please call us at [(317) 989-8463](tel:(317) 989-8463), Monday - Thursday 8AM to 5PM Eastern, or contact us online. We would be honored to help you find hope and healing***. *Article Sources*[.block][]*1 [https://www.ehlers-danlos.com/one-gene-mutation-links-three-mysterious-debilitating-diseases/](https://www.ehlers-danlos.com/one-gene-mutation-links-three-mysterious-debilitating-diseases/)* --- ## OCD is a Bully in Your Brain: Battling OCD Obsessions **Link:** [OCD is a Bully in Your Brain: Battling OCD Obsessions](https://fullyfunctional.com/blog/ocd-obsessions-a-bully-in-your-brain/) ([md](https://fullyfunctional.com/blog/ocd-obsessions-a-bully-in-your-brain/index.html.md)) **Description:** Dealing with OCD Obsessions, these thoughts are nothing but a dissatisfied bully. Here’s how to beat them by being Fully Functional® and stop the compulsions. ### Content My husband and I are physicians with numerous patients with **OCD**. We’re also parents of a child who had severe, acute onset OCD from [PANS](/blog/pans-pandas-symptoms/). Needless to say, we have a lot of experience with the devastating effects OCD obsessions can have in a person’s life, to themselves as well as loved ones and family members. The good news is that we have had *great* success helping people overcome what we like to refer to as the “bully in their brain” with our **5 Step Fully Functional® Process**. Mental illness, like physical illness, does not have to be a life sentence for misery. ## ***OCD Quick Facts*** **What is OCD?** *Obsessive-compulsive disorder* (OCD), is a type of anxiety disorder in which obsessions with a particular thing lead to compulsions (repetitive behaviors).¹ It’s a potentially disabling health condition and people who suffer from OCD symptoms often recognize their actions are unreasonable but are unable to stop even when it impacts daily life. **How common is OCD?** Between 1-3% of people around the world have OCD at any given time. **What are the types of OCD?** The DSM-5 updated its title of OCD in 2013 to be “Obsessive-Compulsive and Related Disorders” (OCRDs). The main diagnosis of OCD can be accompanied by a “symptom subtype” that covers specific obsessions with their accompanying compulsions. In addition, they split out various former “subtypes” into their own disorders. The 4 symptom subtypes of OCD are: - Contamination obsessions with washing/cleaning compulsions - Harm obsessions with checking compulsions - Obsessions without visual compulsions (these are often sexual obsessions or other intrusive thoughts that you can’t always see acted out) - Symmetry obsessions with ordering, arranging, and counting compulsions Other OCRDs that have distinct diagnostic criteria include: - Hoarding - Skin picking disorder (excoriation) - Hair-pulling disorder - Body dysmorphic disorder (including muscle dysmorphia) — this is often where eating disorders related to OCD stem from - Tic-related Obsessive-Compulsive Disorder — a tic disorder is common in around half of OCD patients² - OCD and related disorders induced by a substance/medication or due to another medical condition — *this is where PANS and PANDAS come in for pediatric OCD* **How are pediatric and adult OCD different?** Treatment options for OCD change a lot when you’re talking about kids. “Standard” treatments, like SSRIs (selective serotonin reuptake inhibitors, such as fluoxetine), come with **dangerous side effects** when used by children — *suicide being the most alarming*. In addition, the more recent classifications of PANS/PANDAS show that childhood OCD is often an autoimmune condition.³ OCD during childhood years is also much more likely to go away before/during adulthood. ## ***Common Obsessions & Compulsions in OCD*** The most common compulsions and obsessions are seen in many cases of OCD, regardless of the age of diagnosis.⁴ To be an obsession, a thought must be time-consuming (disrupting daily activities) and cause “significant distress” to the patient. According to the International OCD Foundation, common **OCD obsessions** include: - **Contamination:** Fear of germs, bodily fluids, household/environmental toxins, or dirt - **Unwanted sexual thoughts:** “Forbidden or perverse” images or thoughts that involve sexual acts, orientations, encounters, etc. (sometimes includes a bent towards aggressive sexual behavior) - **Losing control:** A fear of what you may do or not do in the future, including self-harm, violence, unwanted thoughts, offensive speech, or theft, and/or that you may harm a loved one or a stranger in the process - **Harm:** Specifically, a fear of causing harm to people or property by accident - **Religious obsessions (scrupulosity):** Concerned about performing blasphemy, offending a religious figure or deity, or obsession with right and wrong - **Obsessions related to perfectionism**: Often about symmetry, “exactness,” remembering or knowing particular facts, indecisiveness, or losing possessions Compulsions are behaviors or “mental acts” meant to reduce the anxiety caused by obsessing over these thoughts. The most common OCD compulsions are: - Washing and cleaning - Checking/verifying that you haven’t done something wrong - Repeating, often in specific routines - Mental compulsions, like consideration of past events, praying, counting, or “undoing” an action mentally or verbally - Other compulsions, like rearranging things, confession for reassurance, or situational avoidance ## ***How OCD Obsessions Are Like a Schoolyard Bully*** Imagine you’re in middle school, walking down the hallway, and you see the school bully in the hallway. He’s eyeing for you, and you know it. Your heart beats faster and you try to avoid making eye contact with him… but you know he sees you and is coming towards you. As he approaches, he demands your lunch money. Before you can hand it over, he tells you that if you don’t give him the money he will beat you up. At this point, your heart is beating a million miles a minute. So, *how is OCD like a bully in your brain*? You have a thought — perhaps that your hands are dirty and if you don’t wash them that people will get sick. Your heart starts to beat faster at the thought of this and you feel compelled to wash your hands. If you don’t listen to your bully in your brain, you go into panic mode and begin worrying continuously about the “what ifs.” What if you don’t wash your hands and someone gets sick, or worse, someone dies? What if there isn’t a sink nearby and you can’t immediately wash your hands? What if there isn’t soap? What if the soap doesn’t work? From here, it goes on and on. **OCD isn’t rational and it doesn’t just go away**. What happens when you give the bully your lunch money? He leaves you alone, right? Not so much. For the moment, he’ll be satisfied and go away, so your heart pounding subsides. But guess what? The next day, before you even see the bully, your heart is racing and you’re worried about seeing him. Sometimes you even think about pretending you’re sick so you don’t have to go to school and see him. When he sees you, he makes his way over quickly and now not only demands your lunch money but also demands you give him your new jacket. You’re afraid to refuse, so you hand both over and he goes away, and eventually, your heart stops pounding. This is exactly what happens with the **OCD handwashing** scenario. The last time you washed your hands at the demand of the “bully in your brain,” you felt relieved. You don’t want to experience the bully again, so you think about avoiding situations where you might encounter him. In this case, you might consider not leaving your house — but you can’t stay there forever. Now, you’re worried about getting dirty or having access to a sink before you even see the bully. This time when you do see the bully, the demand is bigger and now the handwashing needs to happen for a longer period of time or be repeated several times in a row. Otherwise, *the bully isn’t satisfied*… and you don’t get to calm down until he is. Do you see how OCD is like a bully in your brain? You’re afraid because the bully is stronger than you and threatening. Bad things will happen if you don’t listen to the bully. Or so you think. So, each day you fear contact with the bully and try to avoid him. There is a constant worry that you might see him. When you do see him, your fear level is off the charts. You will do whatever he tells you. He knows that you’re afraid, so he looks for you every day. That’s what bullies do, of course. They prey on the weak. He’s thrilled to have such an easy target. ## ***Defeat OCD Obsessions with Fully Functional® Tips*** Guess what? Bullies are actually *cowards*. They pick on those that appear weak and that they feel they can reign over. If they approach you and you refuse to give them your lunch money and actually stand up to them, they usually back down and go away. They don’t want the hassle or the fight. They just want to control someone weak so that they can feel stronger. Telling a bully ‘no’ is NOT easy. It will certainly make your heartbeat like crazy… but the fear will eventually subside. Even more amazing: *You will have a newfound confidence*. You will be able to say “no” more easily the next time and don’t have to stay intimidated. Here are our [**Fully Functional® tips**](/blog/tips-becoming-fully-functional-2/) for dealing with and overcoming the bully in your brain (OCD): ### **1. IDENTIFY the Bully** You need to understand that the obsessive thoughts are irrational and are coming from a tormentor who wants nothing more than to control you. You can’t overcome unless you **identify** first. **Pay attention to situations in which your heart rate speeds up and what thoughts you are having at the time — these are the thoughts that continue no matter what you do.** When you recognize those situations and the thoughts that occur, remember that those thoughts want nothing but to zap your joy. ### **2. REDUCE the Stress** This *does not* mean to avoid the bully. Don’t stay home to avoid situations where you will see the bully. That just gives him strength! Also, giving in to the bully in your brain by following through with the compulsive behavior actually feeds the confidence that the bully has. If you wash your hands and it reduces your stress in the moment, it actually bolsters the bully’s confidence. This will lead to more and more **compulsive behaviors** and less and less freedom. Reducing the stress actually happens when you confront the bully. This *temporarily* causes more stress but leads to long-term peace. Here’s how this is done. Let’s use the handwashing, for example: - You have a thought that you need to wash your hands… *or else*. This is you seeing the bully or even anticipating seeing the bully of an OCD obsession. - Your heart starts to race and the level of anxiety would increase — let’s say your baseline worry is 2 or 3 out of a scale of 10. The thought of “what if I need to wash my hands” brings that to a 5/10. Once the idea of “I must wash my hands” sets in, your heart would be pounding at the level of anxiety would be an 8 or 9/10. - This is where the work begins — you *must not* wash your hands. Allow your heart to race and the level of anxiety to get to a 10 out of 10. This is incredibly hard to do, but a necessity. It *will* subside. **This is you standing up to the bully**. This is you saying, “No, I will not give you my lunch money. You will not threaten me anymore. I am willing to fight you about this.” Can you imagine saying that to a bully? It would take incredible guts to do it. But you *can* and you *must*! If you do this, and allow yourself to be very uncomfortable — sometimes to the point of feeling like you will die — it will subside. The anxiety level will start to drop and your confidence will increase. You will see that no one gets sick if you don’t wash your hands and no one dies. The irrational thoughts start to dissipate. The more you do this, the easier it will be.⁵ You are a strong, powerful person. *You have what it takes to overcome this*. The next time the bully in your brain tells you to wash your hands, you will find it easier to say “no” and walk away from the mental ritual. At some point, the bully won’t look for you or talk to you because you’re not worth the hassle because you are STRONGER and MORE POWERFUL than them. This kind of response actually has a name: **Exposure and Response Prevention Therapy for OCD (ERP)**. When you see a mental health professional to combat symptoms of OCD, ERP is a very common technique he or she may teach you to utilize. ### **3. Optimize Your Physical and Mental Health** Overcoming OCD obsessions isn’t a one-time experience. However, the more you deny the bully in your brain, the more power you’ll have over him each time. A vital part of this is to **optimize your health**, both physically and mentally. A therapist, for instance, can help walk you through both ERP and CBT (cognitive behavioral therapy) in order to manage the condition.⁶ Behavior therapy is the first-line treatment for OCD by most medical professionals and is known to be a very effective treatment. Herbal and natural remedies can help improve your health, reduce anxiety, and resolve underlying triggers for your condition. **OPTIMIZING** is all about increasing your body’s ability to [**detox**](/blog/liver-detox-optimize-detoxification/) and heal! In general, this means: - **Follow a clean, nutrient-dense diet.** Ditch processed foods, inflammatory fats/oils, grains/gluten, dairy, pork, shellfish, sugar, and anything else that irritates your gut and doesn’t provide clean nutrition. - **Talk to your doctor about supplements that can benefit you.** Some natural dietary supplements show promise in helping with OCD, like inositol⁷, N-acetyl cysteine (NAC)⁸, glycine⁹, milk thistle¹⁰, borage oil¹¹, zinc¹², and iron¹³. *Not all supplements are right for everyone, and they can interact with medications — always talk to a healthcare clinician before starting a new supplement regimen. - **Stay active.** Exercise is good for all of us, but OCD patients in particular see a drastic improvement in symptoms with regular exercise.¹⁴ - **Practice mindfulness.** Very similar to steps 1 & 2 above, mindfulness techniques focus on learning to let go of unhelpful thoughts and behaviors by recognizing them. It can help reduce OCD symptoms, according to a 2008 pilot trial.¹⁵ - **Sleep well.** Every single person needs to get restful sleep for optimal functioning. Turn off blue light devices at least an hour before bed, and talk to your doctor and dentist about mouth breathing or snoring to keep an eye out for sleep apnea.¹⁶ - **De-stress your life.** Do you find peace in spiritual activities like church or prayer, spending time in nature, or time with family? Whatever helps you reduce stress levels, lean into those things. ### **4. Support Your Mind and Body** Even after conquering your OCD obsessions, it’s important to give your body *and* mind the support they need to thrive. First of all, take the time to talk to your healthcare clinician about the best ways to support your immune system with diet and lifestyle. Next, find a loving, supportive community to walk through life with. Your friends and family make a huge difference when combating serious medical or mental health issues! When obsessions come in, *it’s important to have someone you can talk to about them*. These relationships can not only offer help for your condition but also redirect your attention to more important things in life. Finally, we encourage each patient to find their purpose in the SUPPORT phase of becoming Fully Functional®. Passions, dreams, and the reason you exist are one of the most potent remedies to a life that was once chained to anxiety. ### **5. Personalize Your Healthcare** For the best long-term health plan, [find](https://www.ifm.org/find-a-practitioner/) a [certified Functional Medicine physician](/). He or she can not only assist in your OCD treatment, but also in helping you understand how to stay as healthy as possible throughout your life. Are you in the Indiana area? At The Center for Fully Functional® Health, both of our physicians are fully licensed doctors in addition to certified in Functional Medicine. We’d love to meet you — just [**schedule an appointment**](/patient-resources/become-a-patient/). ## ***In Summary*** - OCD obsessions are the anxious and fearful thoughts in **obsessive-compulsive disorder** that lead to compulsions. - These thoughts are a bully in your brain — always trying to scare you, and never satisfied when you give in. - By learning to turn down the bully, you’ll gain control over your thoughts and your joy once again. In our extensive experience, the most effective way to take down the bully in your brain is through our Fully Functional® approach: - **IDENTIFY** the bully. - **REDUCE** the stress. - **OPTIMIZE** your physical and mental health. - **SUPPORT** your mind and body. - **PERSONALIZE** your healthcare. You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3974619/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3974619/)*2 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254546/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254546/)*3 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3227761/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3227761/)*4 *[ *https://iocdf.org/about-ocd/[.block][]* ](https://iocdf.org/about-ocd/)*5 *[ *https://www.researchgate.net/profile/Michael-Himle/publication/238306013_The_More_You_Do_It_the_Easier_It_Gets_Exposure_and_Response_Prevention_for_OCD/links/5a7a497c0f7e9b41dbd61749/The-More-You-Do-It-the-Easier-It-Gets-Exposure-and-Response-Prevention-for-OCD.pdf[.block][]* ](https://www.researchgate.net/profile/Michael-Himle/publication/238306013_The_More_You_Do_It_the_Easier_It_Gets_Exposure_and_Response_Prevention_for_OCD/links/5a7a497c0f7e9b41dbd61749/The-More-You-Do-It-the-Easier-It-Gets-Exposure-and-Response-Prevention-for-OCD.pdf)*6 *[ *https://pubmed.ncbi.nlm.nih.gov/24060194/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/24060194/)*7 *[ *https://pubmed.ncbi.nlm.nih.gov/11386498/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/11386498/)*8 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423164/* *[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423164/)*9 *[ * https://pubmed.ncbi.nlm.nih.gov/19046587/[.block][] * ](https://pubmed.ncbi.nlm.nih.gov/19046587/)*10 *[ * https://pubmed.ncbi.nlm.nih.gov/20035818/ [.block][]* ](https://pubmed.ncbi.nlm.nih.gov/20035818/)*11 *[ * https://pubmed.ncbi.nlm.nih.gov/19737592/ [.block][]* ](https://pubmed.ncbi.nlm.nih.gov/19737592/)*12 *[ * https://pubmed.ncbi.nlm.nih.gov/22465904/ [.block][]* ](https://pubmed.ncbi.nlm.nih.gov/22465904/)*13 *[ * https://pubmed.ncbi.nlm.nih.gov/28470381/ [.block][]* ](https://pubmed.ncbi.nlm.nih.gov/28470381/)*14 *[ * https://pubmed.ncbi.nlm.nih.gov/17568300/ [.block][]* ](https://pubmed.ncbi.nlm.nih.gov/17568300/)*15 *[ * https://pubmed.ncbi.nlm.nih.gov/18852623/ [.block][]* ](https://pubmed.ncbi.nlm.nih.gov/18852623/)*16 *[ * https://askthedentist.com/sleep-apnea-grinding-reason/ * ](https://askthedentist.com/sleep-apnea-grinding-reason/) --- ## Oven Baked Turkey Meatballs **Link:** [Oven Baked Turkey Meatballs](https://fullyfunctional.com/blog/oven-baked-turkey-meatballs/) ([md](https://fullyfunctional.com/blog/oven-baked-turkey-meatballs/index.html.md)) **Description:** Our Oven Baked Turkey Meatballs are at the top of our list of favorite ketogenic diet foods. There’s no need to sacrifice flavor when it comes to your health! ### Content Our Fully Functional® **Oven Baked Turkey Meatballs** recipe is out of this world! The [ketogenic diet](/blog/benefits-of-the-keto-diet/) can be powerfully healing. We often recommend ketogenic diet foods to our clients because it’s minimally invasive and powerful, whether they’re struggling with weight management, blood sugar imbalance, Type 2 Diabetes, neurological disorders, hormonal imbalance, or a cancer diagnosis. Research indicates a ketogenic diet helps induce [weight loss](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587/) in obese patients *and does so at a faster rate than other dietary interventions*. Researchers have also linked ketogenic diets with [lower levels of fasting glucose and the reversal of insulin resistance](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826507/). We’ve certainly seen this in our practice! It’s one of the reasons we recommend a short ketogenic intervention to clients with any sort of metabolic dysfunction, blood sugar regulation problems or weight loss resistance. Limiting our intake of carbohydrates to less than 50 g per day might sound simple, but when we consider that the Standard American Diet might soar to more than 300 g per day, we can see that it represents a pretty significant departure from our previous “normal.” A well-built **ketogenic diet** plan is usually described as high in fat, low in carbs, and moderate in protein. It does NOT have to mean eating only bacon, high-fat cheeses, and butter. In fact, we still recommend that you focus on the principles of a Paleo or grain-free Mediterranean diet, i.e., eliminating dairy and focusing on *high-quality meats, fats, and vegetables*. Our Oven Baked Turkey Meatballs are the perfect addition to your ketogenic diet. There’s no need to sacrifice flavor when it comes to your health! And remember, all of our recipes are **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 2 lbs ground turkey thigh meat (1 pound ground turkey thigh meat and 1 pound ground turkey breasts) - 1 small yellow onion finely diced - 1 small red bell pepper finely diced - 1 clove garlic minced - 1 Tbsp chopped fresh parsley - 1 Tsp finely chopped fresh ginger - Sea salt to taste - Freshly ground black pepper to taste - Coconut oil ### Instructions - Preheat oven to 400 degrees. - In a medium bowl, use hands to combine the meatball ingredients, rolling the mixture into 1 ½ inch balls. - Place the meatballs on a parchment-lined baking sheet, and bake for **20-25 minutes** or until thoroughly cooked. - Meatballs may be frozen before baking for future use. Keywords: anti-inflammatory diet recipes, ketogenic diet foods, oven baked turkey meatballs, turkey, turkey meatball recipe baked --- ## Ozone Therapy Benefits: All You Need To Know **Link:** [Ozone Therapy Benefits: All You Need To Know](https://fullyfunctional.com/blog/ozone-therapy-benefits-all-you-need-to-know/) ([md](https://fullyfunctional.com/blog/ozone-therapy-benefits-all-you-need-to-know/index.html.md)) **Description:** Medical ozone therapy benefits immune function, anti-aging, inflammation, and more! An exceptional treatment option. This is truly a miraculous process. ### Content ## ***What Is Ozone Therapy?*** We’re sharing all of our pro tips on ozone therapy benefits. All you need to know. **Ozone** is oxygen with some added energy. In other words, it is a ‘reactive’ form of oxygen. It consists of three oxygen atoms together, O3 instead of O2. In the stratosphere, we know that the ozone layer is critical for life on earth. Ozone (O3) is produced in the atmosphere when UV light comes in contact with the oxygen (O2) rising from the plants that produce it. Ozone is critical because it absorbs the lethal ultraviolet (UV) radiation from the sun and protects life below. Heat is created through this chemical reaction and we remain warm without dying from the sun’s harmful UV rays. UV light can also combine with pollutants like hydrocarbons and nitrous oxide at ground level (the “troposphere”) and create ozone which is toxic to our eyes and lungs. *This is the irritant found in smog*. **Medical ozone therapy**, however, is made in an ozone generator, which has a power supply that supplies electricity to a tube through which oxygen is passed. A biochemical process occurs where O2 actually breaks down into a single O, called *singlet oxygen*. This singlet O then quickly recombines into O3. O3 carries more oxidative energy than O2, but it doesn’t last long, and when it is introduced into the body in any one of several approved treatment protocols and comes in contact with bodily fluids/tissues, it quickly dissociates and becomes O2 and O and releases its energy into the body. This energy is toxic to any virus or bacteria it comes in contact with, and it ‘oxidizes’ that particle. Healthy cells have enzymes that protect them from this energy and are unharmed; in fact, they are ‘powered up’ by it. The **mitochondria** (the powerhouse generator of the cell) is stimulated to make more ATP, the energy ‘fuel’ of the cells. Medical ozone therapy, the use of pure oxygen to disinfect and treat disease as well as create an immune response, was used regularly for over 150 years, but with the introduction of antibiotics and other pharmaceuticals, it was quickly replaced by these prescriptions for the treatments of choice. It has remained widely used in Europe, particularly in Germany, and has regained some popularity in the U.S. since the 1980s. The best technology for producing ozone gas was designed and built by Nikola Tesla – after whom the famous electric ‘Tesla’ car is named. Ozone’s effectiveness as **a potent antimicrobial agent** and its effectiveness in exterminating bacteria, fungi, and viruses has been well documented. It has been used to disinfect drinking water since before the turn of the last century. More on the history of ozone can be found [here](https://www.envirohealthtech.com/) and [here](https://ozonewithoutborders.ngo/medical-ozone-reviews/). **Ozone therapy** has proven to be *one of the most powerful detoxifiers in existence*. In fact, part of our own immune system has been shown to produce ozone so as to ‘blast’ an attack from an invader and destroy it. This research was conducted by the Scripps Research Institute and funded by the National Institute of Health.¹ *This is truly a miraculous process*. Ozone is also known as an **oxidative therapy**. Oxidative medicine is any treatment that involves oxidants. Most of us think about oxidation as bad, such as ‘oxidative stress,’ however, oxidants used therapeutically can be beneficial in a variety of health conditions. These therapies aim to improve oxygenation to tissues and blood, enhance metabolic processes, support and improve immune function, and fight infection. In addition to ozone therapies, **hyperbaric oxygen chamber treatment**, ultraviolet blood irradiation therapy, intravenous (IV) hydrogen peroxide, and IV high dose vitamin C are also medical oxidative therapies. Oxidative stress and inflammation aren’t good for us and are at the root of almost all diseases, including cancer. Ozone therapy leads to increases in something known as nuclear factor-erythroid 2-related factor 2 (Nrf2). Nrf2 is a powerful protein that when activated in the nucleus of the cell, turns on the production of antioxidant enzymes such as Catalase, [Glutathione](/blog/benefits-of-glutathione-our-most-potent-detoxifier/), and Superoxide Dismutase (SOD). Studies suggest that Nrf2 plays an important role in the apoptosis (cell death) of damaged cells. ## ***Top 13 Ozone Therapy Benefits*** - Improves your immune function - Kills things on contact – bacteria, fungi, viruses, parasites - Increases oxygenation of tissues - Reduces inflammation - Helps prevent and treat cancer - Increases energy production - Is anti-aging - Helps the body detox - Reduces/eliminates pain - Helps antioxidants to rid the body of free radicals - Helps red blood cells travel through clogged arteries - Increases the production of interferon, interleukin-2 and tumor necrosis factor which help fight infection and cancer - Is used in dental procedures ## ***Oxidative Therapies*** **Oxidative Therapies** are important components of any comprehensive treatment program for chronic degenerative diseases, immune disorders, and cancer. As already outlined, these treatments help to increase blood and tissue oxygenation, stimulate metabolic processes *and enhance immune functions*. With very few side effects, ozone therapy is an exceptional treatment modality for aiding in the reversal of chronic disease as well as prevention of disease. **Ozone can be administered through many different routes.² Here are some of the more popular means of administration:** - **Major auto-hemotherapy** – A patient’s own anticoagulated blood is mixed with ozone and is infused into a vessel. - **Rectal/vaginal insufflation** – Ozone is administered by catheter into the rectum or vagina. - **Limb or body bagging** – Body or parts are bathed in humidified ozone. - **Ozonated water** – Dissolves easily in water to be used topically or consumed. - **Intra-articular or subcutaneous administration (Prolozone)** – For wound and joint healing and prolotherapy. - **Ozone sauna** (pictured above) – Steam sauna with ozone administered during the treatment. - **Ozonated olive oil** – Ozone is bubbled through oil until the oil is thickened.³ This will produce ozonides that are not irritating and thus is applied topically even to eyes. - **Gingival and tooth apex injection** – Can eliminate infection. - **Urinary bladder insufflation** – For chronic inflammation. As an anticancer, antiviral, antibacterial, and antifungal agent, *ozone is an exceptional treatment option*, especially since there are almost no negative side effects. Ozone therapy has been utilized and heavily studied for more than a century. As an anticancer, antiviral, antibacterial, and antifungal agent, ozone is unsurpassed. Its effects are proven, consistent, safe, and without significant side effects. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[*https://www.scripps.edu/news-and-events/[.block][]*](https://www.scripps.edu/news-and-events/)*2 *[*https://shop.puro3.com/*[.block][]](https://shop.puro3.com/)*3 *[*https://shop.puro3.com/puro3-ozonated-olive-oil-2-or-4-oz/*[.block][]](https://shop.puro3.com/puro3-ozonated-olive-oil-2-or-4-oz/)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3298518/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3298518/)*5 *[*https://centerforintegratedmed.com/[.block][]*](https://centerforintegratedmed.com/)*6 *[*https://www.scripps.edu/news/press/2003/022703.html[.block][]*](https://www.scripps.edu/news/press/2003/022703.html)*7 *[*https://austinozone.com/[.block][]*](https://austinozone.com/)*8 *[*https://www.austinozone.com/wp-content/uploads/Scientific-and-Medical-Aspects-of-Ozone.pdf[.block][]*](https://www.austinozone.com/wp-content/uploads/Scientific-and-Medical-Aspects-of-Ozone.pdf)*9 *[*https://cdn.intechopen.com/pdfs-wm/46410.pdf[.block][]*](https://cdn.intechopen.com/pdfs-wm/46410.pdf)*10 *[*https://wfoot.org/[.block][]*](https://wfoot.org/)*11 *[*https://www.ncbi.nlm. nih.gov/pmc/articles/PMC3312702/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312702/) --- ## Paleo Pancakes With Plantains Recipe **Link:** [Paleo Pancakes With Plantains Recipe](https://fullyfunctional.com/blog/paleo-pancakes-with-plantains/) ([md](https://fullyfunctional.com/blog/paleo-pancakes-with-plantains/index.html.md)) **Description:** Breakfast in the Antoine household can be crazy trying to feed five hungry children. Here’s a favorite weekend special. Paleo Pancakes With Plantains! ### Content Breakfast in the Antoine household can be crazy trying to feed five hungry children. Here’s a favorite weekend special. [Paleo](https://www.ncbi.nlm.nih.gov/books/NBK482457/) Pancakes With Plantains! Enjoy this simple and delicious, egg-free, grain-free, nut-free, sweetener-free, dairy-free, vegan, ‘paleo-licious’ **pancake recipe**! Serve them stacked up with your favorite berries, filled with nut butter, or drizzle some organic maple syrup on them. We recommend doubling this recipe if you have more than two mouths to feed. *Everyone will want seconds*! For the perfect dish, pair with our [Blueberry Sausage](/blog/blueberry-sausage/). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 4 whole plantains ripe - 1/2 tsp baking soda - 1/4-1/2 whole cinnamon to taste - 2 tbsp coconut oil may need to add more consistency (should be like traditional pancake batter) - Pinch sea salt - 1 tsp apple cider vinegar - 1/4-1/2 tsp vanilla ### Instructions - Mash plantains in a mixing bowl (the same way you would mash bananas for banana bread), add in baking soda, cinnamon, coconut oil, sea salt, cider vinegar, and vanilla. Mix until combined. - Heat pan or griddle on medium to low heat. Once pan/griddle is ready, scoop out ¼ cup of batter and pour onto on pan/griddle, and allow to cook until bubbles start to form (**about 4-5 mins**). Flip, and cook the other side. Repeat until you’ve used all your batter. - Top with fresh berries, nut butter, slivered almonds, or organic maple syrup. - *Enjoy!* Keyword: anti-inflammatory breakfast, anti-inflammatory breakfast recipes, anti-inflammatory diet recipes, paleo pancakes, paleo pancakes recipe, pancakes --- ## Paleo Ranch Dressing **Link:** [Paleo Ranch Dressing](https://fullyfunctional.com/blog/paleo-ranch-dressing/) ([md](https://fullyfunctional.com/blog/paleo-ranch-dressing/index.html.md)) **Description:** This Paleo Ranch Dressing is free of dairy and gluten. Great on salads, as a dip, or with veggie or meat dishes. This recipe incorporates our Paleo Mayo. Yum! ### Content This **Paleo Ranch Dressing recipe** is free of dairy and gluten. Great on salads, as a dip, or with veggie or meat dishes. Before you begin, make sure you’ve made a batch of our [Fully Functional® Paleo Mayo](/blog/fully-functional-paleo-mayo/), as *this is a key ingredient in this recipe*. For the ultimate salad experience, pair with our [Chopped Veggie Salad](/blog/chopped-veggie-salad/). If you make this Fully Functional® dish and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 1/2 cup Paleo Mayo (See link mentioned above for this recipe!) - 1/2 cup coconut milk from a can - 1 pinch garlic minced - 1 tbsp chopped fresh dill - 1 pinch sea salt - 1 pinch ground black pepper or white peppercorns ### Instructions - Whisk all ingredients in a bowl to combine, adding sea salt and pepper to taste. - Store in a screw top jar and keep in the fridge for 5-7 days. - Enjoy! Keywords: paleo dressing, paleo ranch dressing, ranch dressing, salad dressing --- ## Paleo Turkey Recipe and Best Turkey Brine Recipe! **Link:** [Paleo Turkey Recipe and Best Turkey Brine Recipe!](https://fullyfunctional.com/blog/paleo-turkey-recipe-and-best-turkey-brine-recipe/) ([md](https://fullyfunctional.com/blog/paleo-turkey-recipe-and-best-turkey-brine-recipe/index.html.md)) **Description:** Our paleo turkey recipe brings everyone to the table. Yes, turkey is already Paleo, so our focus is on making sure the other ingredients are paleo-friendly. ### Content Our paleo [turkey](https://www.dartagnan.com/organic-turkey/product/FTUOR002-1.html) recipe brings everyone to the table. Yes, turkey is already paleo (grain-free), so our focus is on *making sure the other ingredients are paleo-friendly*. In this case, sage, cinnamon, and maple syrup combined with peppercorns and ginger make for a scrumptious, flavor-filled bird. Pair this delicious turkey with our [Healthy Sweet Potato Casserole With Pecans and Coconut](/blog/healthy-sweet-potato-casserole-with-pecans-and-coconut/), and our [Grain-Free Stuffing](/blog/grain-free-stuffing-recipe/)! Great for Thanksgiving, Christmas, or any special occasion. Note: Prep begins at least one day before roasting **Replace Recipie Feat** ### Ingredients #### For the Brine - 1 gallon water filtered - 1 tbsp ginger peeled and chopped, thumb sized piece - 1 cup salt kosher - 1/2 cup maple syrup - 1 tbsp black peppercorns - 1.5 tbsp berries allspice - 1 gallon filtered water heavily iced #### For the Turkey - 1 14-16 lb turkey free range young - 1/2 whole onion quartered - 1 whole cinnamon stick - 1 cup water - 4 sprigs rosemary - 6 leaves sage - 1 tbsp olive oil ### Instructions - Combine the filtered water, salt, maple sugar, peppercorns, allspice berries, and fresh ginger in a large stockpot over medium-high heat. Stir occasionally to dissolve salt, and bring to a boil. Then remove the brine from the heat, cool to room temperature, and refrigerate. - Early on the day or the night before you'd like to eat: Combine the brine, water and ice in a 5-gallon bucket. Place the turkey (with innards removed) breast side down in brine. If necessary, weigh down the bird to ensure it is fully immersed, cover, and refrigerate or set in cool area for 8 to 16 hours, turning the bird once halfway through brining. - Preheat the oven to 500 degrees F. Remove the bird from brine and rinse inside and out with cold water. Discard the brine. - Place the bird on roasting rack inside a half sheet pan and pat dry with paper towels. - Combine the onion, cinnamon stick, and 1 cup of water in a small saucepan, bring to a boil, then drain and add solids to the turkey's cavity along with the rosemary and sage. Tuck the wings underneath the bird and coat the skin liberally with olive oil. - Roast the turkey on lowest level of the oven at 500 degrees F for 30 minutes. Insert a probe thermometer into thickest part of the breast and reduce the oven temperature to **350 degrees F**. Set the thermometer alarm (if available) to 151 degrees F. A 14 to 16 pound bird should require a total of **2 to 2 1/2 hours** of roasting. Let the turkey rest, loosely covered with foil or a large mixing bowl for 15 minutes before carving. - Enjoy! ### Notes Note: Prep begins at least one day before roasting. Keywords: anti-inflammatory diet recipes, anti-inflammatory herbs, best turkey brine recipe, healthy christmas turkey, healthy holiday foods, healthy thanksgiving, oven baked turkey meatballs, paleo turkey recipe, turkey recipe --- ## 13 PANDAS and PANS Treatments + Natural Remedies and Comparisons **Link:** [13 PANDAS and PANS Treatments + Natural Remedies and Comparisons](https://fullyfunctional.com/blog/pandas-and-pans-treatments-natural-remedies/) ([md](https://fullyfunctional.com/blog/pandas-and-pans-treatments-natural-remedies/index.html.md)) **Description:** There are many PANDAS and PANS treatments that may be moderate to highly effective. We break them down by research, cost, insurance coverage, and more. ### Content When the possibility of **PANDAS and PANS** sneak up, it’s important to remember: You aren’t crazy. Your child isn’t crazy. If they have developed OCD symptoms over a short period of time, *they might have PANDAS*. While this is often a scary time for a parent, there are several options for PANDAS and PANS treatment. Unfortunately, some doctors write PANDAS off as controversial, just because it was only discovered a little over 20 years ago and presents a radically new way to think of mental illness. This can be frustrating when you, as a parent, KNOW that something is up with your child. It is estimated that **1 in 200 children are affected by PANDAS**. PANDAS occurs more often in boys but is rare after puberty.¹ Parenting a child with PANDAS can be tough. So we wanted to make this easy. Read on to learn about **14 Available PANDAS treatment options**. ## ***PANDAS AND PANS: The “Off-Guard” Children’s Illness*** **What is **[**PANDAS**](/blog/pans-pandas-what-you-need-to-know/)**?** PANDAS stands for *“Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus.”* In layman’s terms: PANDAS describes a situation where a [Group A](https://www.cdc.gov) streptococcal infection (strep throat) is able to trick a child’s immune system into attacking part of a child’s own brain called the basal ganglia.² This leads to a child developing abrupt onset OCD (**obsessive-compulsive disorder**) and other symptoms. **What are the symptoms of PANDAS?** The diagnostic criteria for PANDAS are broken up into eight symptom categories: - Sudden onset OCD, which can manifest as an eating disorder - General anxiety and/or separation anxiety - Emotional lability (sudden unexplained mood changes) - Aggression, irritability, and oppositional behaviors - Behavioral regression (baby talk, drawing like they did when they were younger) - Sudden drop in school performance - Sensory/motor abnormalities (decreased handwriting skills or tics) - Somatic signs and symptoms (bedwetting, sleep disturbances) **What is PANS?** *Pediatric Acute-Onset Neuropsychiatric Syndrome*, or PANS, describes the same situation, but instead of a strep infection, the symptoms can be brought on by a number of infections or toxins — a list which is still growing with ongoing research. ## ***Comparing Treatments for PANDAS and PANS*** The National Institute of Mental Health recognizes antibiotics, steroids, IVIG, and plasma exchange as treatments for PANS/PANDAS. These are actually research-backed treatment options. Read below about the following **14 PANDAS treatment options**, complete with our grade on how effective it is, how much research is behind it, the potential for side effects, estimated cost, and if it’s typically covered by insurance. ### **1. Cognitive Behavioral Therapy** **Cognitive-behavioral therapy** helps families grapple with a child’s behavioral changes. Though not always effective by itself, it can greatly improve quality of life while the child has OCD.³ Here, children may learn to name their OCD, argue against their OCD, and confront their fears in a controlled manner. Cognitive-behavioral therapy is shared between the child and parent. Both learn to cope through stress-reducing rituals and avoidance strategies. One clinical trial found children with PANDAS saw *a 49% reduction in symptoms after cognitive behavioral therapy*.⁴ If a child exhibits symptoms of OCD after an infection has gone away, or if a child exhibits residual symptoms after the fact, *cognitive behavioral therapy is definitely worth looking into*. - **Effectiveness:** High - **Level of Research Available:** Moderate - **Potential for Side Effects:** None - **Estimated Cost:** High ($150-$300 per 45 minute sessions) - **Typically Covered by Insurance:** Yes ### **2. Intravenous Immunoglobulin (IVIG)** **Intravenous immunoglobulin** (IVIG) contains antibodies that are used to treat immune system disorders. Since PANS and PANDAS are autoimmune disorders, IVIG helps ameliorate the confused immune response the infection or toxin has caused. IVIG is typically made up of 95% unmodified immunoglobulin G, from upwards of a thousand human blood donors.⁵ Early studies suggested IVIG was an effective PANDAS treatment.⁶ It is still unknown how exactly IVIG can treat PANDAS, but *the FDA has approved it for treating other immune function disorders in minors*. IVIG likely reduces or neutralizes the confused antibodies (that are attacking the brain) in your child’s system, but it doesn’t decrease the number of confused antibodies your child’s body still makes. Side effects of IVIG include headache, fatigue, irregular body temperature, and nausea. It is also a very invasive procedure. - **Effectiveness:** Moderate - **Level of Research Available:** High - **Potential for Side Effects:** Low - **Estimated Cost:** Very High ($10,000-$25,000) **Typically Covered by Insurance:** Sometimes (depending on where you live and what the diagnosis is). We are currently working with legislators in Indiana to pass a law that would prohibit insurance companies from denying coverage for IVIG just because the diagnosis is PANS or PANDAS. ### **3. Plasmapheresis** **Plasmapheresis** (AKA plasma exchange) is a process of cycling a patient’s blood through a machine where the blood cells are separated from the plasma (the liquid part of the blood). The machine replaces the patient’s plasma with new plasma. This treatment is viable because the plasma carries antibodies different than the ones wrongly attacking the child’s brain. One clinical trial showed some level of improvement in every single PANDAS patient who had plasmapheresis therapy.⁷ Upon follow-up, *PANDAS symptoms improved 78% on average*. Plasmapheresis has been described as “essential” in PANDAS treatment. However, it is invasive and may be uncomfortable.⁸ - **Effectiveness:** High - **Level of Research Available:** High - **Potential for Side Effects:** Low - **Estimated Cost:** Very High ($1000-$2000 per procedure) - **Typically Covered by Insurance:** No ### **4. Tonsillectomy** In a few case reports, **tonsillectomy** (removal of tonsils) stopped PANDAS in its tracks. A 2018 literature review found weak support for this procedure.⁹ Likely, a tonsillectomy may treat PANDAS *only because it may treat a strep infection*. Since it helps avoid future strep infections, it may give parents peace of mind. - **Effectiveness:** Uncertain - **Level of Research Available:** Low - **Potential for Side Effects:** Moderate - **Estimated Cost:** Very High ($5400) - **Typically Covered by Insurance:** Yes ## **5. Antibiotics** **Antibiotics** could be the right option for your child, especially in the early stages. It is probably the most widely-used treatment option, but only because antibiotics (like penicillin and azithromycin) have the most robust research. A small-scale study showed that *antibiotics are effective in two-thirds of moderate PANDAS cases*.¹⁰ A recent scientific review revealed that antibiotic therapy is** a well-established PANDAS treatment** when a strep infection is ongoing.¹¹ However, if PANDAS persists after an infection is dealt with, antibiotics may not be the right choice. If your child undergoes antibiotic therapy, it may be wise to **counter-treat with probiotics**, to maintain your child’s immune health. Since [**antibiotics kill both good and bad bacteria**](/blog/how-to-restore-gut-health-after-antibiotics/), probiotics may be required to reintroduce good bacteria into [**your child’s gut microbiome**](/blog/how-to-heal-your-gut-naturally/), which can affect the immune system. Probiotic counter-treatment can also prevent antibiotic-induced diarrhea. - **Effectiveness:** Moderate to High - **Level of Research Available:** Very High - **Potential for Side Effects:** Low to Moderate - **Estimated Cost:** Low to moderate ($20 to $200) - **Typically Covered by Insurance:** Yes ### **6. Corticosteroids** Steroid therapy, such as using **corticosteroids**, has exhibited positive results in some children with PANDAS.¹² Short bursts of steroids may be the safest and most effective method of corticosteroid therapy. With more than a month of steroid therapy, a child’s risk of side effects increases. Unfortunately, *corticosteroids sometimes lead to an increase in aggressive behavior*. - **Effectiveness:** Moderate - **Level of Research Available:** Moderate - **Potential for Side Effects:** Moderate - **Estimated Cost:** Low ($10-$50 per course) - **Typically Covered by Insurance:** Yes ### **7. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)** **NSAIDs** alleviate PANDAS symptoms, but not as effectively as other treatments.¹³ However, the research is pretty consistent: *NSAIDs help with PANDAS*.¹⁴ Since NSAIDs can come with adverse side effects (heartburn, stomach pain, dizziness, itchiness, blurred vision, etc.), we suggest **all-natural anti-inflammatories**, like curcumin and ginger. - **Effectiveness:** Moderate - **Level of Research Available:** Moderate - **Potential for Side Effects:** Moderate - **Estimated Cost:** Low (Less than $30 a bottle) - **Typically Covered by Insurance:** No ### **8. Vitamin D** Recent research reveals PANDAS patients are *significantly more likely to have a vitamin D deficiency than control groups*.¹⁵ Nine out of ten children with PANDAS may need more **vitamin D** — whether from their diet, exposure to sunlight, or dietary supplements. - **Effectiveness:** Moderate - **Level of Research Available:** Low - **Potential for Side Effects:** Low - **Estimated Cost:** Low (less than $30 a bottle) - **Typically Covered by Insurance:** Yes (with documented vitamin D deficiency listed in the chart) ### **9. Anti-Inflammatory Diet & Supplements** Part of “clean living” is eating well. Adopting an **anti-inflammatory diet** can promote whole-person wellness and strengthen your immune system. To curb inflammation that is linked to autoimmune disorders (like PANDAS), **cut these from your child’s diet**:¹⁶ - Dairy - Gluten - Sugar - Preservatives and chemicals Also, consider **natural anti-inflammatories** like omega-3 fatty acids, curcumin, and Boswellia. - **Effectiveness:** Moderate - **Level of Research Available:** Low - **Potential for Side Effects:** None - **Estimated Cost:** Low - **Typically Covered by Insurance:** No ### **10. SSRIs** **Selective serotonin reuptake inhibitors** (SSRIs) are sometimes used to treat OCD symptoms.¹⁷ Our own clinical experience and research studies have found *less than half of PANDAS patients respond well to the treatment*. Now, 40% effective isn’t a bad figure — especially with such a new disorder — but *there are safer, more effective PANDAS treatment options*. **Examples of SSRIs** include: - Fluoxetine - Fluvoxamine - Paroxetine - Sertraline A troubling side effect of SSRIs can be suicidal thoughts in children. For this reason, we suggest close supervision and communication with your doctor. - **Effectiveness:** Low - **Level of Research Available:** High - **Potential for Side Effects:** Moderate to High - **Estimated Cost:** Low (as low as $10 a month) - **Typically Covered by Insurance:** Yes ### **11. Antipsychotics** **Antipsychotics** have been used to treat PANDAS, but *they are not very effective*.¹⁸ Side effects add to the pile of reasons to try other treatment options.¹⁹ - **Effectiveness:** Very Low - **Level of Research Available:** Low - **Potential for Side Effects:** Very High - **Estimated Cost:** Low ($14 a bottle) - **Typically Covered by Insurance:** Yes ### **12. Antihistamines** **Antihistamines** boost the immune system, reduce inflammation, and help many children sleep.²⁰ In these ways, *antihistamines are a low-cost PANDAS treatment option*. Close monitoring is necessary since some children react badly to antihistamines. They may become more agitated instead of sleepy. - **Effectiveness:** Moderate - **Level of Research Available:** Low - **Potential for Side Effects:** Moderate - **Estimated Cost:** Very Low ($1 a dose) - **Typically Covered by Insurance:** Yes ### **13. Treat the Strep, PANDAS Might Go Away** Treating **strep infections** can lead to PANDAS going away. As long as the child is not re-infected with strep, *PANDAS may be in your rearview mirror*. ## ***Treating PANDAS and PANS Naturally — A Fully Functional® Approach*** As with all our treatments, we follow a [**Fully Functional model**](/blog/fully-functional/): - We **IDENTIFY** the problem. - We **REDUCE** the trigger(s). - We **OPTIMIZE** the body’s ability to heal and function. - We **SUPPORT** the healing process by recommending dietary, lifestyle, and even social changes. - We **PERSONALIZE** treatment to each patient, rather than using one-size-fits-all methods. Once you receive a **clinical diagnosis of PANDAS**, you will want to live the healthiest daily life you can live. Combining treatment options with lifestyle adjustments gives your child the best chance at recovering from PANDAS. Learn more about **Fully Functional® **living [**here**](/blog/tips-becoming-fully-functional-2/). **If you suspect that your child might have PANS or PANDAS give us a call at 317-989-8463 or [contact us here](/contact/). The Center for Fully Functional® Health is located in Carmel, Indiana. We are experts in the diagnosis of PANS/PANDAS — even helping our own daughter to recover from PANS a few years ago.** ## ***Long-Term Outlook for PANDAS and PANS Patients*** Since PANDAS was only identified for the first time in 1998, *long-term PANDAS studies are basically non-existent*. But there are some things we know about the long-term outlook of any child dealing with PANDAS. **Can a child outgrow PANDAS?** Yes, *but that is not always the case*. Some PANDAS patients live with OCD symptoms into adulthood. In some cases, untreated PANDAS can go away then come back — like a wave. After a strep infection is treated, we suggest a child’s toothbrush be replaced. Anything to avoid getting re-infected with strep is likely a good call. **What happens if PANDAS is left untreated?** Untreated or unrecognized PANDAS can increase the likelihood a child will have OCD and the associated symptoms longer. - PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcus) describes when Group A strep bacteria tricks the immune system into creating antibodies that attack a part of the brain that leads to sudden onset of symptoms like OCD and tic disorders. *These neuropsychiatric symptoms develop almost overnight*. - **PANDAS occurs in children before puberty**. Boys are more than twice as likely to get it than girls. Eight-year-olds are the most common PANDAS patients. Several **research-backed** [**PANDAS**](https://www.vinehealthcare.com/2018/11/26/solutions-for-pandas-and-pans-find-your-child-again/)[**treatment options**](/blog/solutions-for-pandas-and-pans-find-your-child-again/) are at your disposal. ## ***In Summary*** *Sources:* *1 *[*https://www.semanticscholar.org/paper/From-Research-Subgroup-to-Clinical-Syndrome%3A-the-to-Swedo-Leckman/fddbf448ed32d6117e390fe788e40562e8710c54?p2df[.block][]*](https://www.semanticscholar.org/paper/From-Research-Subgroup-to-Clinical-Syndrome%3A-the-to-Swedo-Leckman/fddbf448ed32d6117e390fe788e40562e8710c54?p2df)*2 *[*https://www.cdc.gov[.block][]*](https://www.cdc.gov)*3 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5610394/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5610394/)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442557/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442557/)*5 *[*https://www.sciencedirect.com/topics/neuroscience/immunoglobulin-g[.block][]*](https://www.sciencedirect.com/topics/neuroscience/immunoglobulin-g)*6 *[*https://pandasweb.nl/cfsystem/userData/literatuur/1317330723__document__therapeutic-pf-and-ivig-for-ocd-and-tic-disorders-perlmutter-1999.pdf[.block][]*](https://pandasweb.nl/cfsystem/userData/literatuur/1317330723__document__therapeutic-pf-and-ivig-for-ocd-and-tic-disorders-perlmutter-1999.pdf)*7 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340509/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340509/)*8 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864542/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864542/)*9 *[*https://www.hindawi.com/journals/ijoto/2018/2681304/[.block][]*](https://www.hindawi.com/journals/ijoto/2018/2681304/)*10 *[*https://pubmed.ncbi.nlm.nih.gov/11929370/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/11929370/)*11 *[*https://pubmed.ncbi.nlm.nih.gov/29722936/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/29722936/)*12 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749576/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749576/)*13 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749580/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5749580/)*14 *[*https://pubmed.ncbi.nlm.nih.gov/28696783/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/28696783/)*15 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353234/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353234/)*16 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421792/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421792/)*17 *[*https://www.drugs.com/drug-class/ssri-antidepressants.html[.block][]*](https://www.drugs.com/drug-class/ssri-antidepressants.html)*18 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826468/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826468/)*19 *[*https://www.rethink.org/advice-and-information/living-with-mental-illness/medications/antipsychotics/[.block][]*](https://www.rethink.org/advice-and-information/living-with-mental-illness/medications/antipsychotics/)*20 *[*https://en.wikipedia.org/wiki/Antihistamine*](https://en.wikipedia.org/wiki/Antihistamine) --- ## Why Some Doctors Believe PANDAS Isn’t a Real Diagnosis **Link:** [Why Some Doctors Believe PANDAS Isn’t a Real Diagnosis](https://fullyfunctional.com/blog/pandas-diagnosis-why-some-doctors-believe-pandas-isnt-real/) ([md](https://fullyfunctional.com/blog/pandas-diagnosis-why-some-doctors-believe-pandas-isnt-real/index.html.md)) **Description:** A PANDAS diagnosis is still controversial. As parents of a former PANDAS patient, we understand what it’s like for someone to tell you you’re wrong. ### Content **PANDAS** affects vulnerable children ages 3 through 13 — with boys twice as likely to be diagnosed.¹ It causes OCD and other frightening neuropsychiatric symptoms to develop overnight. PANDAS [scares the parents](/blog/pandas-and-pans-treatments-natural-remedies/) just as much as the children. This article explains proper PANDAS diagnosis protocols, and *why some doctors object to the diagnosis*. 20 years of research confirms that PANDAS exists. **Yet, many doctors still refuse to diagnose PANDAS.** Countless doctors say that PANDAS syndrome is a hoax. But, *as parents of a former PANDAS patient*, we understand what it’s like for someone to tell you you’re wrong. You’re not crazy. You do know your child. ## ***What Is the Controversial Illness Known As PANDAS or PANS?*** PANDAS stands for *“Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.”* **PANDAS means a Group A strep infection — such as strep throat, scarlet fever, or rheumatic fever — which uses molecular mimicry to fool a child’s own immune system into attacking the child’s forebrain (called the basal ganglia).² This leads to abrupt onset OCD (obsessive-compulsive disorder) and related symptoms.** The broader but more recently identified **PANS** (*“Pediatric Acute-Onset Neuropsychiatric Syndrome”*) describes the same sudden onset of symptoms, *but with no identified strep infection*. PANS can be caused by a number of various infectious diseases. **Is PANDAS a real diagnosis?** Though controversial, PANDAS has been a named disease for more than 20 years.³ Even when study after study shows that PANDAS treatments solve a problem, some doctors still claim it is a hoax and that OCD should only be treated with classical OCD treatments.⁴ PANDAS Network estimates *more than 1 in 200 children are affected by PANDAS*. ## ***Why Some Doctors Object*** Though recognized in much of the current body of medical literature, PANDAS can be a disease with rapidly changing symptoms. Sometimes, it is unaffected by antibiotics. Sometimes, it develops after a **strep infection** goes away. Symptoms can come and go over time. In addition, accepting this diagnosis requires the medical community to look at mental illness in an entirely new way. Though problematic, these inconsistencies simply need more research and clinical trials to work through them. But many take umbrage at the current evidence being touted as fact. Even in recent years, many neurologists and pediatricians still refuse to accept the mountain of published research. Some admit that a strep infection may lead to OCD exacerbations, but insist that the OCD was already present and strep infections cannot trigger OCD symptoms.⁵ Others posit that OCD — even when developed after an infection — should be treated with standard OCD therapies, not antibiotics or other proposed **PANDAS treatments**. A doctor at the National Institute of Mental Health (NIMH), Dr. Paul Grant, said: “Because it’s not seen in every pediatric practice, [many pediatricians] don’t accept that it’s a real thing. But my experience is, when you see it, you say, ‘I don’t see how anybody could doubt that this is a real thing.’” ## ***How Were PANS/PANDAS Discovered?*** Throughout the 1980s and 1990s, researchers (led by Susan Swedo, who worked at the National Institutes of Mental Health) were examining children who had symptoms of **OCD and tic disorders preceded by a strep infection**. 1995, the name PITANDs was given — “Pediatric Infection-Triggered Autoimmune Neuropsychiatric Disorders.” But this didn’t hone in on the main culprit of these OCD symptoms: strep infections.⁶ In 1998, years of research culminated in a landmark paper published in the American Journal of Psychiatry, which discussed the “first 50 cases” of PANDAS.⁷ This was the first paper to name PANDAS, which necessitated a preceding Group A strep infection.⁸ 2010, researchers, including Swedo, developed the working criteria for PANS (pediatric acute-onset neuropsychiatric syndrome), which described the same set of symptoms, but with no preceding strep infection. (Essentially, this term included PITANDs and added toxin exposures.) The list of infections and toxins that are documented to cause PANS **continues to grow**, and includes: - Mycoplasma pneumonia⁹ - [**Influenza**](/blog/natural-flu-remedies-prevention-and-treatment/)(H1N1) - Epstein-Barr virus¹⁰ - [**Lyme disease**](/blog/lyme-disease-treatment/) - Chickenpox - Bartonella henselae bacterial infection¹¹ - Toxin exposure Eventually, experts convened and standardized **how to diagnose PANDAS**:¹² - Did the child develop OCD symptoms **over the course of 1-3 days**? And are the symptoms episodic? - Is the patient **between the age of three and puberty**? - Has a blood test or throat culture **tested positive for strep bacteria**? (Or, has a strep infection been confirmed from the past few weeks?) - Does the child exhibit **other symptoms of PANDAS**, such as: - Vocal/physical tic disorders - Separation anxiety - Behavioral regression - Aggression - Drop in academic performance - Trouble sleeping - Bedwetting Can the PANDAS symptoms **not be better explained by another mental illness**, such as Tourette syndrome, Sydenham chorea, or ADHD?¹³ **If so, it should not be diagnosed as PANDAS.** ## ***What Does Science Say?*** At the bottom of this short article, we have cited more than *a dozen scientific articles supporting PANDAS as a legitimate disorder*, not a hoax. But to summarize the current medical literature, PANDAS took a long time to identify. It is easily confused with several other mental illnesses, such as ADHD or standard childhood OCD. In 1998, it was named. Since then, countless studies have examined the nature of PANDAS *and further confirmed its existence* — and how terribly common it may be. Many doctors are wary of such a recent discovery and cry hoax. However, 20+ years of research show that **PANDAS is a unique and legitimate disorder**.¹⁴ One topic discussed at length in many studies is the science-backed treatments for PANDAS. Here are the most popular, [**science-backed treatment options**](/blog/pandas-and-pans-treatments-natural-remedies/): - Cognitive behavioral therapy¹⁵ - Intravenous immunoglobulin (IVIG)¹⁶ - Plasmapheresis (AKA plasma exchange)¹⁷ - Removal of tonsils¹⁸ - Antibiotic treatment,¹⁹ though long-term antibiotic therapy can have [lasting side effects](/blog/how-to-restore-gut-health-after-antibiotics/) - Vitamin D therapy ## ***Challenges Facing Parents*** We speak from experience. Our daughter was diagnosed with PANDAS a few years ago. We were thankfully able to overcome the challenges facing us as parents and help her recover from this frightening disorder. But we were fortunate in many ways. A lot of parents can’t find experienced physicians willing to diagnose a child with PANDAS. ## ***PANDAS Diagnosis: Finding a PANDAS Doctor*** As we mentioned earlier, there are many doctors who do not believe PANDAS is a legitimate diagnosis. It can be heartbreaking for a parent to be told that this disorder that perfectly describes your child’s condition isn’t real. If you suspect that your child might have PANS or PANDAS, give us a call at 317-989-8463 or contact us [**here**](/contact/). Located in Carmel, Indiana, **we are experts in the diagnosis and treatment of children with PANS and PANDAS**. We also see patients from across the country. **The first visit must be in the office** but often follow-ups may be done remotely. If you are unable to travel, you may be able to find a physician near you at the [PANDAS Physician Network](https://www.pandasppn.org/practitioners/). A good **PANDAS doctor** should use the following testing to diagnose PANS/PANDAS:²⁰ - Physical examination - General labs such as a blood count (CBC) and chemistry - Immune function testing - Comprehensive Medical history - Family history Children with PANDAS are 10 times more likely to have a parent or sibling with OCD or tic disorders.²¹ If you have a family history of these psychiatric disorders, *it seems more likely that your family members will develop PANDAS after a strep infection*. ## ***High Cost & Lack of Insurance Coverage*** Some of the PANDAS treatments cost thousands of dollars. Many parents have crowdfunded their children’s treatments. Others have left it untreated. In Illinois, “Charlie’s Law” went into effect a couple of years back.²² It requires insurance companies to cover expenses for PANDAS treatment — as well as treatments for other [autoimmune disorders](/blog/how-autoimmune-disease-develops/). Dr. Scott has been involved in and testified for a similar law in Indiana. Once this is passed, Insurance companies will not be able to deny coverage for treatments based solely on the diagnosis of PANS or PANDAS. In January 2022, the 11th edition of the International Classification of Diseases **is set to include PANDAS as a cause of sudden onset OCD**.²³ This will make it much easier for insurance companies across the country to cover PANDAS treatments and should push some doctors to accept it for the fact that it is. (The 10th edition was approved in 1990 before PANDAS was identified.) ## ***Can a Child Outgrow PANDAS?*** Does PANDAS disease go away? Sometimes, a child can “outgrow” PANDAS if the strep infection is treated, *but not always*. If the child gets another strep infection, the PANDAS will almost certainly come back if it wasn’t treated the first time. Many situations require some sort of treatment for the behavioral effects — which can far outlast the course of a strep infection. ## ***What Happens if PANDAS Goes Untreated?*** If PANDAS is left untreated, the child can develop a chronic autoimmune disease, and OCD symptoms will follow them into adulthood. ## ***In Summary*** - [PANDAS](/blog/pans-pandas-what-you-need-to-know/) is a disorder wherein a strep infection tricks a child’s immune system into attacking their own brain, leading to **sudden onset OCD symptoms**. - An unfortunately large number of doctors still refuse to accept the mountain of research and evidence supporting the existence of PANDAS. Many still believe it is a hoax. - If you are unable to travel to see us, The [PANDAS Physician Network](https://www.pandasppn.org/practitioners/) is a good resource for finding a PANDAS doctor. **We suggest investigating these options before deciding though, as each physician may have a different practice style.** - Insurance companies have been slow to cover PANDAS treatments. However, not only are state legislatures passing laws requiring insurance companies to cover PANDAS, the International Classification of Diseases plans to include PANDAS in its 2022 edition — paving the way to widespread acceptance in the medical community. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[* https://pdfs.semanticscholar.org/18d2/35883c50806ae7a6 * * 18586571d24a90bfe490.pdf * [.block][] ](https://pdfs.semanticscholar.org/18d2/35883c50806ae7a618586571d24a90bfe490.pdf)*2 *[ *https://www.cdc.gov/* *[.block][]*](https://www.cdc.gov/)*3 *[ *https://pubmed.ncbi.nlm.nih.gov/30724577/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/30724577/)*4 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826468/* *[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826468/)*5 *[ *https://www.semanticscholar.org/paper/Pediatric-autoimmune-neuropsychiatric-disorders-Shulman/01c55f028dd95d728224d3b9ff5c32279498657a?p2df[.block][]* ](https://www.semanticscholar.org/paper/Pediatric-autoimmune-neuropsychiatric-disorders-Shulman/01c55f028dd95d728224d3b9ff5c32279498657a?p2df)*6 *[ *https://pubmed.ncbi.nlm.nih.gov/7896671/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/7896671/)*7 *[ *https://ajp.psychiatryonline.org/doi/full/10.1176/ajp.155.2.264[.block][]* ](https://ajp.psychiatryonline.org/doi/full/10.1176/ajp.155.2.264)*8 *[ *https://nccid.ca/debrief/group-a-streptococcus/[.block][]* ](https://nccid.ca/debrief/group-a-streptococcus/)*9 *[ *https://academic.oup.com/jid/article/198/9/1365/834846[.block][]* ](https://academic.oup.com/jid/article/198/9/1365/834846)*11 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423671/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423671/)*12 *[ *https://www.healio.com/news/pediatrics/20121012/10_3928_1081_597x_20010101_00[.block][]* ](https://www.healio.com/news/pediatrics/20121012/10_3928_1081_597x_20010101_00)*13 *[ *https://www.ninds.nih.gov/Disorders/All-Disorders/Sydenham-Chorea-Information-Page[.block][]* ](https://www.ninds.nih.gov/Disorders/All-Disorders/Sydenham-Chorea-Information-Page)*14 *[ *https://www.sciencedirect.com/science/article/pii/S0149763417305833[.block][]* ](https://www.sciencedirect.com/science/article/pii/S0149763417305833)*15 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442557/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442557/)*16 *[ *https://pandasweb.nl/cfsystem/userData/literatuur/1317330723__document__therapeutic-pf-and-ivig-for-ocd-and-tic-disorders-perlmutter-1999.pdf[.block][]* ](https://pandasweb.nl/cfsystem/userData/literatuur/1317330723__document__therapeutic-pf-and-ivig-for-ocd-and-tic-disorders-perlmutter-1999.pdf)*17 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864542/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864542/)*18 *[ *https://www.hindawi.com/journals/ijoto/2018/2681304/[.block][]* ](https://www.hindawi.com/journals/ijoto/2018/2681304/)*19 *[ *https://pubmed.ncbi.nlm.nih.gov/29722936/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/29722936/)*20 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340805/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340805/)*21 *[ *https://pubmed.ncbi.nlm.nih.gov/10986808/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/10986808/)*22 *[ *https://www.reuters.com/article/us-illinois-insurance/illinois-law-requires-coverage-of-pediatric-autoimmune-disorders-idUSKBN1A32B7[.block][]* ](https://www.reuters.com/article/us-illinois-insurance/illinois-law-requires-coverage-of-pediatric-autoimmune-disorders-idUSKBN1A32B7)*23 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125074/* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125074/) --- ## Podcast: Body Talk Radio – PANS and PANDAS **Link:** [Podcast: Body Talk Radio – PANS and PANDAS](https://fullyfunctional.com/blog/pans-and-pandas-podcast/) ([md](https://fullyfunctional.com/blog/pans-and-pandas-podcast/index.html.md)) **Description:** Dr. Scott Antoine recently sat down on Body Talk Radio to talk about PANS and PANDAS. Learn how he identifies and treats these complex medical conditions. ### Content Dr. Scott recently sat down on [Body Talk Radio](https://podcasts.apple.com/us/podcast/body-talk-radio/id1144631756) to talk about [PANS](/blog/solutions-for-pandas-and-pans-find-your-child-again/) (*pediatric acute-onset neuropsychiatric syndrome*) and [PANDAS](/blog/solutions-for-pandas-and-pans-find-your-child-again/) (*pediatric autoimmune neuropsychiatric disorders associated with strep infection*). Learn how he identifies and treats environmental toxicities, chronic infections, and other complex medical conditions below! Full transcript of podcast below. 0:14 You’re listening to *Body Talk Healthy Living* Sonoma style. I’m Heather Morgan nutrition and healthy living coach. And I invite you to stay tuned for the next hour, get educated, get inspired, and become a healthier you. Alright, everyone, we are back. It is a jam-packed hour today. It’s Friday. And I am so glad you joined me today, we’ve got lots of good stuff going on. Wasn’t Kerry amazing? And if you know of a woman out there that could use some total girlfriend Time, time for herself time to focus on how to grow as a person and how to really just love where she’s at and love where she’s going and plan and strategize that believe events going to be amazing. And I’m going to go ahead and put that link for you on our Facebook page over at Body Talk radio.com. And I’ve I’m a total believer in personal development as humans, we’re here on this planet for a limited time. And when you’re here, I always say like you’re either growing, or you’re not you’re contributing or you’re not right like it’s a give and take. There’s positive and negative everywhere you look with how you think, with your interactions. And so you know, I always try to think, Okay, how am I moving forward in my personal development moving forward in life in the best way possible? Am I really stretching and growing to become my personal best, and everybody’s personal best is different, right? For me, that has looked quite different throughout the different phases of my life. And during the time when I was a student, you know, when I was younger, that was my focus. And that’s how I was growing. But we’re going to switch gears now. And we’ve got Dr. Scott and tone coming on board. So we are going to take our next call. Hello, Dr. Scott, you are on the air. 2:10 Thank you very much. Happy to be here. Hey, thank you so much for joining us. We’ve got a lot of listeners out there with lots of very curious and lots of questions about this whole topic of **PANS and PANDAS**. And it’s kind of new. I don’t think it’s new. But I think the awareness around it is fairly new. And what you’re doing as a pioneer in this whole area is cutting edge and people are coming out of the woodwork to understand this better. So I really appreciate you coming on joining us today and sharing your expertise on PANS and PANDAS. And I want to just sort of start from the very, very basics, okay, because there are many parents that listen to this show that have children that may be expressing some of these signs and symptoms and have no clue that this is what’s going on. So can we start with a definition of *what is PANS and PANDAS*? Sure. So I would have to say sort of as a disclaimer that although we work with this every day, and we’ve seen quite a few patients, we’re really trying to get the message out there. There’s a lot of others that we’ve kind of built on. So PANDAS is a **pediatric autoimmune neuropsychiatric disorder associated with strep infections**. Strep is a bacteria right. In the 80s. Susan, Dr. Susan Swedo, the National Institute of Health started studying this in food and found that children after a strep infection, like strep throat, typically, right or an upper respiratory infection, would develop, some children would develop sudden onset severe, either **OCD**, obsessive-compulsive this, or they would develop restrictive eating. 3:52 And then she also defines that a little bit better than that, in addition to those things, *these kids are typically between the age of three and about puberty*. 4:07 But they also developed some additional things they developed loss of bladder control, at times poor school performance, a lot of these children became very defiant. And they also noticed tics like facial tics or the arms or the legs or net. And so this was sort of what propelled us and a lot of these children also would develop a really sudden sensory integration issue. So they’d kind of wake up out of bed one day and not want to put their socks on and go to school and it looks odd, it looks like a behavioral issue or defiance. And a lot of times its just anxiety. So these children also are known to develop anxiety and depression. Sometimes it can be severe children have been known to become suicidal. Oh, yeah. So it can be really significant. So then a few years later, after defining PANDAS and coming up with some treatment protocols, both to treat the infection and then to treat some of the symptoms and the inflammation in the brain. 5:00 We then started recognizing that in some of these children, you could never find strep *but you found other bacterial infections* like mycoplasma bug that causes common colds or respiratory pneumonia. Yep. And we also found that there’s a link with post influenza. Also, varicella, which is chickenpox. Sometimes children would get it after chickenpox. And indeed, *there’s a proposed link to Lyme*. And that’s something we’ve seen in our practice, as Lyme disease and other tick-borne infections, like Bartonella will sometimes cause this syndrome, there are some toxins as well. So that syndrome when it’s not associated with strep infections, they termed pediatric acute-onset neuropsychiatric syndrome. So that’s sort of the term I use as globally. Thanks. Sure. Because it encompasses **PANDAS**, plus all of these other things we see you like to cast a wide net, just kind of bring it together for the audience. Children are obviously we’ve got epigenetics here, right? And so is this sort of a situation where this infection, whatever it may have been, right? It sort of triggers these symptoms or a sort of reaction, but it’s Nervous System-related and it manifests in these ways that you’re talking about, be it the tics, those OCD that the behavioral, right? Sure, it seems to be. So the mechanism behind it, and they found is that what’s happening is these children get an infection. And what your immune system is supposed to do is make an antibody to protein to fight that infection, right. And what’s happening in these kids is that those proteins, those antibodies are then crossing their blood-brain barrier, getting into their brain nervous system, in there somehow developing this **autoimmune reaction** attacking parts of the brain, which is causing all of the signs and symptoms. So you mentioned epigenetics, we do believe there’s probably a genetic susceptibility, because strep infections are very common, as are some of these other infections. But it’s not a huge number, at least that we know of, that we’re seeing. So and I have seen a few cases where siblings have had this issue, so we believe they’re probably genetically susceptible individuals. And then actually, if you add on top of that some of the toxins, household toxins, and mycotoxins from mold exposure, tend to exactly press the immune system and then make it likely to have this weird abnormal reaction. Absolutely. And these are the things that people don’t think about. So like mold, for example. I mean, my family has lived through all of this, by the way, we’ve lived through it all with our children and ourselves. Mold in our home, had to move out the whole thing, get rid of everything. As a result, Lyme and co-infections and looking back, realize that’s what was going on with my kids. It’s so like, it’s so crystal clear. Now, the whole autoimmune thing, we’re just one family. But there are so many people out there that have children that maybe have these infections, and then, you know, parents that are struggling, because their child is misbehaving and their child is just acting, not typical. Right? And or having these outbursts and things like that, but they don’t think to look at Could it be related to that illness that they had or something in the environment? So what would you say to parents to sort of be on the lookout for this condition? And what are the things that they need to look for, and then we’ll talk about resources. So I would say that the chief thing, piece of advice I always have for parents is you know, your child best. And you need to be really diligent. And if you see a doctor or some other health care clinician, and they’re giving you answers that don’t make sense, then you need to see someone else. And for something like this, *it’s important to see someone who has experience with PANS or PANDAS*. I mean, I can tell you, when my daughter had PANDAS, about six or seven years ago, I didn’t know what it was. And at the time, I was already getting into [functional and Integrative Medicine](/). So for doctors who have not seen this, it can look like a lot of things. And indeed, when it first started out, a lot of it looked like the science to me with my daughter, when in actuality It was probably anxiety, and OCD and not wanting to do the things that I was telling her to do because she thought they would hurt her. So, and that happens in school a lot where children are not wanting to do a certain thing or sit in a certain seat or do something. *And so it gets put through the lens of behavior*. 9:30 You know that? 9:32 Yes, we had the same exact thing in our house and we struggled for years and because we just didn’t realize what was the root of what was really going on. So there are parents out there whose children are going through many of the similar things that we talked about. And if a parent has a child let’s just say that’s been diagnosed with ADD or OCD or behavioral issues, outbursts, right because non-typical outbursts are part of this, right? 10:00 Correct. Yes. So **sudden, aggressive behaviors**, one of the stories that commonly happens and it’s not as if these parents have talked to each other, a lot of times they’re coming in, and they don’t have any idea what the diagnosis is because we tend to see people, both adults and children with mystery diagnosis and, and one of the common behaviors we see in children is they’ll unbuckle your seatbelt, open the door and try and jump out of the car. Fortunately, I haven’t had any of that have been successful. Yes, but it’s just so a typical, and one of the forms of OCD that we see a lot too, is *thoughts of harming*. Sure. In other words, they will say, I was walking through the kitchen and I saw a knife and I thought about stabbing my brother. Now these are children that would one of those things I’m thankful for that we don’t see these completed acts. But these are typically children that are super caring, super empathetic, oh, yeah, and empathic, and they have this thought in their mind over and over again. So but you know, to to look at your child and say, well, they may have a learning deficit, or they may have some ADHD tendencies, or some anxiety. **There’s really no mistaking PANS or PANDAS**, because the onset is super sudden, typically within three or four weeks, it can also come and go over time. So you can have what’s called a flare. And then the children may return to baseline, and then have another flare that happened with my daughter, she initially started doing some lining things up type of things, and praying really long before meals at the table. Yeah. And then that went away. And she was fine for a few months. And then things really reared their heads, and she started washing her hands till they bled and having a lot of the other behaviors. So what’s fascinating, though, about this, especially about **PANS** in the last few years, what we’ve discovered is when you look at a larger number of these children, there are some children that you can’t find the sudden onset, or you can’t find the infection that happened right before they got sick. And you know, everybody’s busy. I mean, I’ve children myself, and so these things, *sometimes in maybe 30 to 40% of the time*, you might not have that immediate, like it was overnight, or it was within a week. So sometimes there’s times and in fact, the folks that write a lot of the PANDAS, literature and PANS literature at the National Institutes of Health helps in something interesting, they said some adults who had struggle with some of these things may have had their onset in childhood, and it just wasn’t recognized. Absolutely. And I think that may even be more common than we think, especially when they were young. And they’re just having, you know, a crying fit, and they really aren’t speaking and communicating as well, at that point. So I think that something you said is really important to circle back on. And that is, this is acute onset. So *this is something that sort of comes out of the blue*, and you look at it, and you say this is not my child, right? So parents will know, like, it’s so if this has happened to anyone out there, or someone you know where the child is, quote, unquote, developing and coming along, quite I hate the word normal, but you know, typically, and then all of a sudden, especially after someone after an illness of some sort, they just have this complete turnaround in behavior. And in, you know, like a meltdown break down to the point where you’re like, this is not my child, and I don’t know what’s going on. And sometimes it’s so severe that people are questioning is this mental onset of mental illness? It’s very hard. When my daughter got sick, she had been at summer camp in Michigan, and where mine is really endemic, and came back and then it was a month or two later, and she started also having some other obsessions and obsessive thoughts. And our first thought was that something happened at camp, right, someone right or two or, you know, violent you in some way. And so it can really the thing about PANS and PANDAS are, it’s rare that you would just get like a single isolated symptom like only **OCD or only restrictive eating**, if you dig a little bit more. It’s this whole constellation. So to make the diagnosis, typically, it would require a child between the ages of three and puberty, 13:59 that child would either have acute onset OCD or restrictive eating, what restrictive eating looks like is not just sort of a finicky eater, but children that are afraid to swallow or suddenly can’t tolerate certain textures, crunchy foods, yeah, things like that. And so they can actually, that’s my least favorite kind to treat. Because they can actually lose weight. Some of these children end up hospitalized with you know, feeding tube, and it’s, it can be quite dramatic until they get definitive treatment. But once you get one of those two things, and then there are some minor criteria. So technically, to meet the book definition, you would need either OCD or restricted eating and then *plus at least two additional these additional symptoms*. So anxiety, depression is one category. Another is decreased school performance. Another is somatic signs and symptoms. Those are things like bedwetting, loss of bladder control. The next would be sensory issues. So children that can’t tolerate certain fabrics will wear pants, things and some of that goes with childhood. 15:00 Yeah, but to an extreme degree. And so these are kind of four of the categories, there are a few more things we look for. And then the other suggestive evidence. Interestingly, about 90% of these kids will have a first-degree family member with either psychiatric diagnosis and/or autoimmune diagnosis. And when we run autoimmune markers, like an anti-nuclear antibody and ANA, right, that’s positive and about 40 to 50% of the children in our practice. 15:26 And, no, I agree in that that whole **autoimmune** piece is also really important, because that’s something that doesn’t always get detected by the health care clinicians. They’re not looking for autoimmune stuff. And kids, usually that’s not where they’re going. So I think that that’s super, super important to understand. And yes, that genetic piece, or someone, you know, in their immediate family that has the mental health issues, I mean, it all sort of this clustering effect. And so, therefore, there are many practitioners out there who aren’t well versed in this, but there are many, many, many children out there that are experiencing this. So what is being done today? I know you’re you have a big effort out there in this regard. But the doctors and the physicians coming on board with this? And are the support mechanisms and the diagnoses in place? Or is this something that’s still really just emerging? So it’s getting better? This became sort of a controversial diagnosis when it first came out because people said, "Look, a lot of kids get strep. Why don’t they all get this?" And it’s sort of a similar story you hear and people talk about mold, you’ll have a public building a library, a school full of mold, and only two or three people are devastatingly sick, the rest of the people seem fine. And so it leads people to say, "Well, those people are just a problem, or they’re faking or so there was a lot of issues initially," but *more and more people around the globe are writing about this*. And professional medical journals, the American Academy of Pediatrics, actually had a booth just at their recent conference from the **PANDAS physician network**, which does a lot of educating people. So yes, it’s coming forward. There’s still some resistance here in there. I know there’s a children’s hospital and in one of the surrounding states to us, and they had sent a child that sort of escaping, the primary care doctor had sent the child to this Children’s Hospital in a big city and said, Does this child have PANDAS, and they sort of derided the physician and wrote some things in the visit notes like, you know, another case of fake PANDAS disproven. So they diagnosed this child with Tourette Syndrome, said there was nothing no medication with this severity of illness that would help, and sent them out. And then they found us drove here from that state. And I treated the child *the child’s symptoms ultimately went away when he got appropriate treatment*. And so we still see that it’s getting better. We have some legislative things, as you know, kind of going forward to try and get help for these families. And you know, a lot of the literature that came out from the National Institutes of Health and from Harvard and Yale and Columbia, especially in Stanford has had a big effort. They have a great PANS clinic at Stanford, but a lot of that focuses on infections, microbiology, neuroinflammation, writing the immune system, and all those things are super important. But one of the things that’s been missing has been support. I mean, it’s almost super hard on siblings, and parents, especially moms. There’s a huge, we had one of my patients wrote a great blog under two years ago. And it was about guilt. Because one of the things I commonly will say to these parents, usually the moms, when they come in, they’ll say, oh, maybe it’s because I missed a prenatal vitamin, or, you know, I know I’m a terrible Mom, I don’t always give them lunch that’s gluten-free or something. And so that guilt piece is huge. And then if you go to see a physician, outside of our practice, and they say, 58% of these parents report to a doctor, somewhere along the line, told them they were crazy or acted like there was nothing wrong. I had a child about six months ago, and they told the parents that all these terrible symptoms were because there was stress in their marriage. So talk about a guilt trip and delaying you know, delaying definitive care, right. And the studies show that **the quicker you treat this, the less long-lasting effects these kids have**. It’s so true, though, Dr. Scott. Okay. So we actually have to go take a break and hear from our sponsor, so if you don’t mind, Dr. Scott, if you could just hang tight. And then when we come back, we’ve got some questions that have come in for you. One of them is about PANS and PANDAS but we’ve only talked about this is that the person is saying you talked about through adolescence, but what about beyond adolescence? So maybe we can touch on that when we get back from break. Fantastic. Okay, great. So everyone hang tight. We will be right back. You’re listening to Body Talk with Heather Morgan. Sponsored by EA is CrossFit More information at 415-314-1399 or at EAS crossfit.com. Myers financial located at 670 West Napa Street in Sonoma Myers financial is a boutique wealth management firm. You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## PANS/PANDAS Symptoms and What to Do About Them **Link:** [PANS/PANDAS Symptoms and What to Do About Them](https://fullyfunctional.com/blog/pans-pandas-symptoms/) ([md](https://fullyfunctional.com/blog/pans-pandas-symptoms/index.html.md)) **Description:** PANS/PANDAS symptoms and treatment options are closely related since they are so similar. Their causes and diagnostic criteria are a little different. ### Content As a parent, one of the scariest experiences of my life was seeing my child wake up with **OCD symptoms** virtually overnight. Separating food, acting aggressively, losing the ability to get to sleep, facial tics — these are just a few **PANS/PANDAS** symptoms. **We have walked through these with our *own* child and now share the hope we found with our patients encountering the same thing.** PANS and PANDAS are closely related disorders, sharing the same symptoms and same treatment options. Their causes and diagnosis criteria, however, are a little different. It’s important for parents to understand PANS/PANDAS *and be able to spot the symptoms right away*. ## ***What Is PANS/PANDAS?*** **PANS** stands for *“Pediatric Acute-Onset Neuropsychiatric Syndrome.”* **PANDAS** stands for *“Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections.”* PANDAS is technically a subset of PANS, even though PANDAS was identified first. PANDAS happens when a Group A strep infection¹ (such as scarlet fever, strep throat, or rheumatic fever) seems to trick a child’s immune system into attacking their own brain, specifically the basal ganglia.² *This leads to sudden onset OCD and other mental health symptoms*. PANS is basically the same [**autoimmune disorder**](/blog/how-autoimmune-disease-develops/), but the sudden onset of symptoms occurs in the absence of a strep infection. There is less known about what can trigger PANS, but here are some suspected PANS triggers:³ - Chickenpox⁴ - Mycoplasma - [**Lyme disease**](/blog/lyme-disease-treatment/) - Mononucleosis / [**Epstein-Barr virus**](/blog/chronic-infections-reactivated-epstein-barr-virus/) - H1N1 [**flu virus**](/blog/beat-flu-season-natural-immune-boosters/) - *Bartonella henselae* bacterial infection⁵ - [**Toxin exposure**](/blog/mold-illness-is-toxic-mold-in-your-home-making-you-sick/) PANS/PANDAS affect children **between 3 years old and puberty**. A person’s susceptibility to PANDAS usually goes away with puberty. Boys are twice as likely as girls to develop PANDAS.⁶ ## ***Diagnosing PANDAS: Symptoms & Guidelines*** A clinical diagnosis of PANDAS includes: - **Determining a child has/had strep throat**, using throat cultures or blood tests - **Identifying sudden onset OCD and two other PANDAS symptoms⁷** - **Ensuring these symptoms are not due to another condition**, like Tourette syndrome or autoimmune encephalitis **PANDAS symptoms have been broken up into eight categories** if you count OCD as the first. These eight categories were decided on by a group of experts in 2010, including PANDAS forerunner Dr. Susan Swedo.⁸ ## **1. Sudden Onset Obsessive-Compulsive Disorder** The primary PANDAS symptom is **abrupt onset OCD**. Other symptoms stem from this obsessive-compulsive behavior, which involves obsessions (recurrent and persistent thoughts) and compulsions (repetitive behaviors or mental acts). OCD symptoms may manifest as an eating disorder, so that’s considered in the diagnostic criteria.⁹ ## **2. Anxiety** PANDAS may trigger several forms of anxiety: - General anxiety - Separation anxiety - Irrational fears and phobias In mild cases of PANDAS, a nearby parent can comfort a child’s anxiety, helping the child go to sleep or rest. ## **3. Emotional Lability and Depression** “Emotional lability” is when a child switches from one emotion to another in an instant. For example, a child might be laughing and suddenly start crying for no reason. **Emotional lability** has been known to lead to sudden depression. In severe cases, suicidal thoughts occur. ## **4. Aggression, Irritability, and Oppositional Behaviors** Children with PANDAS may exhibit **sudden aggression**. In milder cases, your child might simply be more irritable than usual. “Oppositional behavior” refers to conflicts that arise when children stubbornly refuse to follow parental directions or the instruction of teachers. ## **5. Behavioral (Developmental) Regression** When a child reverts to an earlier stage in their development, this is called “behavioral regression.” A seven-year-old might start using baby talk, lose the ability to draw, or play with toys they haven’t touched in years. This can be a tricky neuropsychiatric symptom. It’s important to make sure a child’s behavioral regression is not a symptom of ADHD or autism. ## **6. Sudden Deterioration in School Performance or Learning Abilities** One of the more time-sensitive symptoms of PANDAS is **a sudden drop in academic performance**. If a child suddenly develops symptoms of OCD, aggression, depression, and behavior regression, it’s no surprise that poor school performance follows. ## **7. Sensory and Motor Abnormalities** A child’s immune system attacks the brain, but this affects more than just the child’s mental health. They may develop: - Increased sensitivity to light, sound, smells, tastes, textures - Sensory-seeking behavior (an increased desire to climb or go fast on their bicycle) - Deterioration of handwriting skills, AKA dysgraphia¹⁰ - Clumsiness - Brief hallucinations - Physical or vocal tics ## ** 8.Somatic Symptoms** **Somatic symptoms** usually include changes in a child’s sleep and urinary frequency. They may develop: - Insomnia - Night terrors¹¹ - Trouble sleeping more than a few hours - Bedwetting - Frequent urination - Increased urgency when they have to urinate ## ***How Are PANDAS Symptoms Different From PANS?*** *PANS/PANDAS symptoms are essentially identical*. The main difference between PANS and PANDAS is the cause of the symptoms. Whereas PANDAS is triggered by a strep infection, *PANS is broader*. PANS may be triggered by a number of infections, such as chickenpox, H1N1 flu, or Lyme disease.¹² ## ***Hope for Thriving With PANDAS*** Researchers suggest a **multidisciplinary approach**¹³ to [** treatment options for PANDAS **](/blog/solutions-for-pandas-and-pans-find-your-child-again/). At The Center for Fully Functional® Health, we take this a step further using our **Fully Functional® process**: - **IDENTIFY** anything adversely affecting the child’s health - **REDUCE** these things - **OPTIMIZE** the body’s ability to detoxify - **SUPPORT** the body and the immune system and provide much needed social support for the whole family - **PERSONALIZE** treatment to each patient, rather than using one-size-fits-all methods Although other physicians may treat PANS/PANDAS, our **Fully Functional® process** separates us from the crowd. Our organized approach provides your child and your family the best chance at recovery. Here are the **treatment options **that may be used to treat PANDAS: - **Anti-inflammatory diet and supplements** - **Cognitive behavioral therapy** - **Plasma exchange**, AKA plasmapheresis - **Intravenous immunoglobulin** (IVIG) - **Tonsillectomy** - **Corticosteroids** - **Vitamin D** to avoid a deficiency, since recent research reveals up to half of children with PANDAS have a vitamin D deficiency¹⁴ - **Antibiotics**,¹⁵ though we wouldn’t suggest a reliance on antibiotics, so as [**to maintain your good bacteria**](/blog/how-to-restore-gut-health-after-antibiotics/) (AKA [**your microbiome**](/blog/how-to-heal-your-gut-naturally/)) - **SSRIs** (selective serotonin reuptake inhibitors), though the adverse side effects don’t really justify the lukewarm results in treatment of PANDAS¹⁶ You need to work with us! *We are experts in PANS/PANDAS diagnosis and treatment*. If you think your child may have developed symptoms of PANDAS or PANS you can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. ## ***In Summary*** **What is PANDAS?** - **PANDAS** is “Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections”. This means a strep infection sometimes tricks a child’s immune response into attacking the child’s own brain. This leads to OCD and other related symptoms. **What is PANS?** - **PANS** is “Pediatric Acute-Onset Neuropsychiatric Syndrome”. It’s a broader condition with the same symptoms of PANDAS, but is triggered by something other than strep bacteria. **What are PANS/PANDAS symptoms?** - Obsessive compulsive symptoms, including eating disorders - Anxiety - Emotional lability and depression - Aggressive, oppositional behaviors - Behavioral (developmental) regression - Drop in academic performance - Sensory/motor abnormalities, like tic disorders - Somatic symptoms, like insomnia and urination changes **What are the treatment options for PANDAS?** - Cognitive behavioral therapy - Plasma exchange, plasmapheresis - Intravenous immunoglobulin (IVIG) - Corticosteroids - Vitamin D, if the child has a deficiency - Antibiotics - SSRIs, although side effects and efficacy are not ideal You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[ *https://nccid.ca/debrief/group-a-streptococcus/[.block][]* ](https://nccid.ca/debrief/group-a-streptococcus/)*2 *[ *https://www.neuroscientificallychallenged.com/blog/what-are-basal-ganglia[.block][]* ](https://www.neuroscientificallychallenged.com/blog/what-are-basal-ganglia)*3 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340632/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340632/)*4 *[ *https://www.who.int/[.block][]* ](https://www.who.int/)*5 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423671/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423671/)*6 *[ *https://www.semanticscholar.org/paper/From-Research-Subgroup-to-Clinical-Syndrome%3A-the-to-Swedo-Leckman/fddbf448ed32d6117e390fe788e40562e8710c54?p2df[.block][]* ](https://www.semanticscholar.org/paper/From-Research-Subgroup-to-Clinical-Syndrome%3A-the-to-Swedo-Leckman/fddbf448ed32d6117e390fe788e40562e8710c54?p2df)*7 *[ *https://www.ncbi.nlm.nih.gov/books/NBK333433/[.block][]* ](https://www.ncbi.nlm.nih.gov/books/NBK333433/)*8 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340805/* *[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340805/)*9 *[ *https://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml[.block][]* ](https://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml)*10 *[ *https://www.ldonline.org/ld-topics/writing-spelling/what-dysgraphia[.block][]* ](https://www.ldonline.org/ld-topics/writing-spelling/what-dysgraphia)*11 *[ *https://www.sleepfoundation.org/night-terrors[.block][]* ](https://www.sleepfoundation.org/night-terrors)*12 *[ *https://www.cdc.gov[.block][]* ](https://www.cdc.gov)*13 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340335/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340335/)*14 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353234/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353234/)*15 *[ *https://pubmed.ncbi.nlm.nih.gov/29722936/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/29722936/)*16 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826468/* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826468/) --- ## PANS/PANDAS Symptoms: Guilt, It’s Not Your Fault **Link:** [PANS/PANDAS Symptoms: Guilt, It’s Not Your Fault](https://fullyfunctional.com/blog/pans-pandas-symptoms-guilt-its-not-your-fault/) ([md](https://fullyfunctional.com/blog/pans-pandas-symptoms-guilt-its-not-your-fault/index.html.md)) **Description:** We often see how PANS PANDAS symptoms traumatize an entire family. A central theme that almost always shows up is GUILT. Remember, it's not your fault! ### Content When you have treated as many children as we have with **PANS PANDAS** symptoms; [PANDAS](/blog/pans-pandas-what-you-need-to-know/) (*pediatric autoimmune neuropsychiatric disorder associated with strep infection*) and **PANS** (*pediatric acute-onset neuropsychiatric syndrome*), you start to recognize patterns in these cases. One of the most universal patterns we see is how these diseases traumatize other family members. A central theme that almost always shows up with PANS PANDAS symptoms is **GUILT**. This is particularly so with moms of these children. Recently I was seeing a PANS PANDAS patient in the office and addressed this subject as I always do with the child’s mom. I also told her I was actually planning to write a blog about the guilt many of these moms feel and wanted to call it “Mom, it’s not your fault”. This must have struck a chord and a few days later this article below appeared in my inbox. The patient’s mom wrote it because she wanted me to share it wherever I could to encourage other moms going through this same situation. It was so *profoundly on point and beautiful* that I feel compelled to share it here: ## ***PANS PANDAS Symptoms: Guilt. It is so real.*** “From the minute my daughter became ill, *I felt it*. You see, I’m like the watchman of my family. No one gets sick. Not on my watch. I’m a health coach. We eat organic food. We clean with vinegar. We use non-toxic products. We filter our water. We sanitize our air. We exercise. We meditate. We pray. We try our best to stay on top! Only it happened anyway. August 14th was a day that would turn our world upside down. I got a call from the school nurse. My 12-year-old daughter was sick and needed to come home. It was her first day of school. Her hair was curled, her outfit just right. She practically skipped off to school in the morning with her friend. *But PANS/PANDAS is sneaky like that*. It would soon lead her into a downward spiral so quickly it would make your head spin. I immediately started scanning her life. Was it because I got too sick on the prenatal vitamins so I didn’t take them and did I eat too many rice crispy treats when I was pregnant? Or maybe it was because I was so sick during childbirth and couldn’t even hold her for 5 hours after delivery…gosh she must have felt so abandoned. And how could I let the hospital do a spinal tap on her when she was only 11 weeks old? Did that affect her brain? How many times was she on antibiotics? Did I feed her correctly? Is it because I supported her being a vegetarian? When did she have strep throat, I can’t even remember! How many signs did I miss? Why didn’t I notice this was happening earlier? What if’s flew faster through my brain than the speed of light. It is the epitome of **mom guilt**. It is so real. And it is devastating. ## ***Searching for Answers*** [PANS/PANDAS](/blog/solutions-for-pandas-and-pans-find-your-child-again/) seems impossible to understand and it likes devastation. It thrives on it. And because it is not well understood, especially in the conventional medical community, as a mom, I felt helpless and reached for answers in every direction. I relied on other moms who have been there. I scanned Facebook groups. I researched. I listened to podcasts and took notes. I became a better researcher than an FBI agent. And I tried to drive this massive ship with such limited information and expertise. You see, P/P doesn’t fit into **mental illness**, not exactly, although it’s a component. It’s an **autoimmune response**, but it isn’t treated like an autoimmune disease either. It is unique. And it requires a very experienced doctor to navigate. Although I tried with her integrative pediatrician, we fell short, and I fell to my knees in stress and anguish as my daughter continued to slip away. ## ***Meeting Dr. Scott Antoine & The Center for Fully Functional® Health*** After failed calls to multiple doctors who hardly knew what I was talking about, I was finally led to Vine Healthcare (now, *The Center for Fully Functional® Health*). And what a blessing this has been. From the first call, I knew they just “got it.” Veronica at the front desk was beyond compassionate and knowledgeable. She knew all about PANS/PANDAS and made me feel like I finally had a place to turn. Getting my daughter there was no easy feat as she is homebound with debilitating symptoms. But we rented an RV and through a true act from God, we got her there. Dr. Scott was just a breath of fresh air. *Compassionate. Empathetic. Knowledgeable.* He started the appointment by telling me, “This is not your fault. This is NOT your fault.” And all that scanning and analyzing, all of the missteps I thought I made, they went away. He is right. This isn’t anyone’s fault. It just happens. And if I am at fault for anything, it’s for being an amazing, creative, strong mother who will stop at nothing until my baby is better and back to her life! And for my daughter, *he captured her trust*. He met her where she was at. He is resourceful. He is creative. He rolls with it when we have to find alternative solutions. He is the captain we needed all along. We now have hope again. I have relief. I didn’t like driving that ship. It was scary in those unchartered waters and I felt so alone and isolated. I know it’s still going to be a bumpy ride, but now I’m out of the driver’s seat with a treatment plan, and our family is able to relax into the healing process. And all that guilt…it’s gone. We are on the road to recovery, with a captain at hand, and a mom who will stop at nothing to help her daughter heal… **guilt-free**! If you are facing a similar circumstance, I invite you to leave the guilt at the door and be proud. Because you are doing the best you can. And that is more than enough.” -Sarah S. The PANDAS Network has some amazing resources on its website. Including a [support page](https://pandasnetwork.org/support-groups/). Highly recommend looking into this. You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## PANS PANDAS Treatment: Interview On Fox 59 **Link:** [PANS PANDAS Treatment: Interview On Fox 59](https://fullyfunctional.com/blog/pans-pandas-treatment-interview-on-fox-59/) ([md](https://fullyfunctional.com/blog/pans-pandas-treatment-interview-on-fox-59/index.html.md)) **Description:** There are many PANS and PANDAS treatment protocols that may be moderate to highly effective. Dr. Scott meets with lawmakers to address insurance coverage. ### Content Symptoms of **PANS or PANDAS** come on very fast. Fortunately, *there are many PANS PANDAS treatment protocols* that may be moderately to highly effective. Dr. Scott has taken up the case with Indiana state lawmakers to help get these treatments covered by insurance. Learn more about PANS/PANDAS [here](/blog/pans-pandas-what-you-need-to-know/). You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. **If you’re unable to see our team in person or need additional PANS/PANDAS support, please visit [our sister site](https://www.thepandasdocs.com/) for information about resources authored by Dr. Scott Antoine. These include *The Comprehensive Physicians’ Guide to the Management of PANS/PANDAS*, the first and only medical textbook dedicated entirely to the diagnosis, testing, and effective treatment of PANS/PANDAS, and *Defeating PANS & PANDAS*, an online course designed to empower families facing PANS and PANDAS with knowledge, tools, and strategies for healing.** --- ## PANS/PANDAS: What You Need To Know **Link:** [PANS/PANDAS: What You Need To Know](https://fullyfunctional.com/blog/pans-pandas-what-you-need-to-know/) ([md](https://fullyfunctional.com/blog/pans-pandas-what-you-need-to-know/index.html.md)) **Description:** PANS/PANDAS are pediatric illnesses characterized by abrupt onset neuropsychiatric symptoms. We're sharing some science, helpful tools, and resources. ### Content No, I am not talking about fun stuff like the newest cookware and cute animals. There is nothing ‘fun’ about *pediatric autoimmune neuropsychiatric disorders*. NOTHING! In this article, we’re covering **PANS/PANDAS**, and what you need to know. As a parent, *we do everything we can to protect and provide for our children*. There are so many sacrifices we make – money, time, vacations/activities, cars (oh the dreaded minivan), possibly careers/aspirations, etc. – but we do this without a blink of an eye. There is no greater joy as a parent than to raise our kids and watch them develop and become amazing adults. To this end (but within reason) there isn’t anything we wouldn’t do for them. We spend countless hours reading books, asking for advice, and listening to experts on the best ways to raise our children but then the unimaginable happens… Your child gets sick. And I’m not talking snotty-nosed, flu-like sick, but rather unrecognizable, lost-their-mind, ‘crazy’ sick. That’s an awful way to say it but there really is no other way to describe it when your incredible, sweet, wonderful, smart, loving child goes to bed one night and wakes up a stranger. As if someone came in during the night and stole your child and replaced them with an unrecognizable alien. It feels like they have gone into a DEEP, DARK sleep and it happens in the blink of an eye…**within hours to days**. One day your child is fine and Fully Functional, the next day you are convinced you are living in the Twilight Zone and someone abducted your little one. It could read like a popular science fiction novel. ## ***The Pain of PANS/PANDAS*** There are few things more painful than to watch your precious child become a prisoner to obsessive thinking, to the point of being nonfunctional, *which leads to compulsive behaviors* that make no logical sense. Irrational thoughts and worry consume them. As parents, we often pride ourselves on always being able to take away our children’s ridiculous fears (like the boogie man) or we ‘kiss it and make everything better’ but in this case, they trust their “OCB” (**Obsessive-Compulsive Brain**) as a more protective guardian…they believe it has become their better parent. There are no words, no reasoning, nothing you can say or do that will convince them that “OCB” is harming them. NOTHING! Just to complicate things more, they trust “OCB” more than they trust you but they also have fear of being separated from you, that something will happen to you, and that it will be their fault. None of it makes sense! They become aggressive, angry, impulsive, age-inappropriate, verbally and physically abusive, and can’t sit still or turn themselves ‘off’, often leading to sleep disturbances and insomnia. Your straight-A student now can’t add basic numbers or comprehend (or sit still for) a simple story. They may develop a tic or unusual motor movement that they are unaware of and certainly can’t stop. As if that’s not enough, they lose bladder control and begin urinating frequently and often in their clothing. *It is UNBEARABLE* and as parents, we can’t fix it! Their brain is under attack…and worse, *it is their own body attacking it*. This is an **autoimmune inflammatory process**. I call it ‘Inflame Brain.’ A better way to explain **Inflame Brain** is to imagine an army (your immune system) fighting a war (against all possible foreign invaders like bacteria, viruses, toxins, etc.) but the army soldiers get confused and they start attacking their own base (tissues, including the brain) because it ‘looks’ really similar to the foreign invader. It is utter chaos! This is known as [molecular mimicry](/blog/molecular-mimicry-case-friendly-fire/). In PANS/PANDAS, your body’s traditional protective mechanisms stop protecting but engage in a full-on assault of your brain. Despair, failure, and hopelessness don’t even begin to describe the way you feel as a parent. Worse yet, friends, family, teachers…even your doctor may not understand this ‘new’ behavior and assume some parenting flaw or abuse is the cause. It is a devastating and incredibly lonely place to be. **Parental guilt** is dangerous and your own health may deteriorate as a result of the stress, worry, lack of self-care, and lies you begin to believe. ## ***This Is an Epidemic*** It is estimated that as many as **1 in 200 children are affected by PANS/PANDAS**. *This is an epidemic* and few physicians are informed and able to provide support and the treatment that parents and these children desperately need. Dr. Kiki Chang, the professor of psychiatry and behavioral sciences at Stanford University Medical Center, says, “We can’t say how many kids with psychiatric symptoms have an underlying immune or inflammatory component to their disorder. But given the burgeoning research indicating that **inflammation drives mood disorders and other psychiatric problems**, it’s likely to be a large subset of children and even adults diagnosed with psychiatric illnesses.”¹ ## ***What Is PANS/PANDAS?*** They are **pediatric illnesses** characterized by abrupt onset neuropsychiatric symptoms. Before we go into details we should start with a little science and history. **Group A Strep** (GAS) is an important human pathogen and is associated with numerous infections but most commonly pharyngitis. Acute Rheumatic Fever (ARF) is a well-known complication of GAS-associated throat infections. It is an autoimmune process where the body attacks the heart, joints, and brain. This is thought to be an example of **proposed molecular mimicry**. GAS is the foreign invader. Your immune system recognizes it as foreign and ‘memorizes’ the amino acid sequence and scans the body to make sure no other invaders got past it. During this scan, this amino acid sequence mimics that of the heart, joints, and brain. Your immune system now views these tissues as foreign and begins to attack them. *Sydenham chorea* is recognized as the principal neurologic manifestation of Acute Rheumatic Fever. Involuntary movements, obsessive-compulsive symptoms, and other neuropsychiatric symptoms such as hyperactivity and emotional lability characterize Sydenham chorea. Sound familiar? *It can be found in up to 30% of ARF cases*, is often seen up to six months after the throat infection, and may be the only findings the patient presents with. In the late ’80s, Dr. Susan Swedo was doing research on and writing about **Obsessive-Compulsive Disorder** and Sydenham’s chorea. In 1998, she along with her associates first described PANDAS. It has been described as the ‘half-cousin’ of Sydenham chorea; a neuropsychiatric illness as a result of GAS. PANDAS is a subset of PANS. **PANS** is the acronym for “*Pediatric Acute-Onset Neuropsychiatric Syndrome*” and is characterized by obsessive-compulsive symptoms (OCD) or eating restrictions along with acute behavioral deterioration. **PANDAS** is the acronym for “*Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections*.” It is a subset of PANS and was first reported by a team at the National Institute of Mental Health (part of NIH) in 1998 by Dr. Swedo. **PANDAS has 5 distinct criteria for diagnosis**, including abrupt “overnight” OCD or dramatic, disabling tics; a relapsing-remitting, episodic symptom course; young age at onset (average of 6-7 years); presence of neurologic abnormalities; and temporal association between symptom onset and Group A strep (GAS) infection. **PANS/PANDAS** should be suspected when a **prepubescent child** has **acute onset OCD** or demonstrates **food restriction behavior** or a **new tic** accompanied by **behavioral, emotional, or physical symptoms**. ## ***Diagnostic Summary + PANS/PANDAS Symptoms*** - These diseases affect children, typically prepubescent - Acute onset Symptoms of an attack on the basal ganglia (a collection of nuclei deep within the forebrain responsible for movement and behavior) - Tics **Neuropsychiatric symptoms that typically are seen:** - Obsessive Compulsive Disorder (OCD) - Severe anxiety - Hyperactivity - Irritability - Behavior regression - Food avoidance - Deterioration in school performance - Night-time sleep disturbances - Handwriting difficulties - Autoimmune/Autoinflammatory process as a result of a particular infection/possibly toxin GAS is the known initiator for PANDAS while there is no specific trigger identified for the development of PANS. It is thought to be **an abnormal immune response** to any number of infectious triggers, including Mycoplasma pneumoniae, Influenza, Lyme disease, and others. Toxins are also hypothesized as other triggers. ## ***What To Do When PANS/PANDAS Is Expected*** **Get Help** – not only for your child but for your family. ***You are your child’s advocate*** – Don’t accept the ‘brush off’ from a clinician – Start with finding a physician that not only believes in *but understands PANS/PANDAS* and knows how to treat it. - Find resources to help find a Clinician [**here**](https://pandasnetwork.org/find-help-nearby/) Resources to find support - [PANDAS NETWORK](https://pandasnetwork.org/) - [PANDAS/PANS Advocacy & Support Group](https://pandasnetwork.org/) - [Resource](https://iocdf.org/wp-content/uploads/2014/10/What-You-Need-To-Know-About-OCD.pdf) to help you understand OCD – **Obsessive Compulsive Disorder** – OCD is OCD no matter what the root cause (PANS/PANDAS or otherwise) ***You are your own advocate*** – Get yourself and your family in counseling to manage and deal with the significant stress and ripple effect this illness causes in the family ### **Don’t Forget Self-Care** - Prayer - Meditation - Deep breathing exercises - Journaling - Keeping a gratitude journal - Time with friends and family – this is a very isolating illness otherwise – be intentional about this - Get enough sleep - Exercise - Hydrate and make sure to eat ### **Get A Workup** – Start with an Infectious Disease Workup ***** PANS and PANDAS are clinical diagnoses** Based on whether presenting symptoms meet the diagnostic criteria, as set forth by National Institute of Mental Health (NIMH). - The criteria for PANS can be found [here](https://www.pandasppn.org/ppn-pans-diagnostic-guidelines/) - The criteria for PANDAS can be found [here[.block][]](https://www.pandasppn.org/ppn-pandas-diagnostic-guidelines/) - The **diagnosis of PANDAS** is based on evidence of *recent or current streptococcal infection with onset of acute exacerbations*. Streptococcal pharyngitis is confirmed with a properly performed throat culture or rapid antigen test. However, rapid throat cultures are known to be insensitive and frequently provide a false negative response. There are also other body sites (perianal, nasal, skin, and vaginal areas) where documented Group A Strep (GAS) infection needs to be considered - Children may be asymptomatic with active GAS infection. This can initiate a rise in ASO and AntiDNAse-B titers. Antistrepolysin O (ASO) titer (a titer refers to the amount of something, in this case biological molecules in blood that indicate a previous infection) which rises 3-6 weeks after a strep infection, and Antistreptococcal DNAse B (AntiDNAse-B) titer, which rises 6-8 weeks after a strep infection. - Most PANS cases are suspected to be post-infectious in origin, although no single organism (other than GAS in PANDAS cases) has yet to be consistently associated with the onset of PANS. - Most commonly observed are antecedent respiratory infections (rhinosinusitis, pharyngitis, and bronchitis) - Mycoplasma pneumoniae has been associated with a number of postinfectious neurologic disorders - Influenza is associated with a number of PANS cases, including influenza H1N1 - Epstein Barr virus infection has been reported to precede various neuropsychiatric disorders - Borrelia burgdorferi (Lyme disease) has been associated with a wide range of postinfectious neuropsychiatric disorders, including OCD - Many other infectious agents including herpes simplex virus and varicella, and others particularly those with prolonged colonization, have the potential to lead to PANS. ### **Don’t Miss Something** – Consider other reasons for the symptoms - Neuropsychiatric symptoms can be caused by several other etiologies including autoimmune encephalitis, systemic autoimmune conditions, and other inflammatory diseases. ## ***Don’t Accept a Diagnosis That Doesn’t Make Sense*** All too often children with PANS and PANDAS are **misdiagnosed** as having a psychiatric illness and started on psychotropic medications. Because PANS/PANDAS symptoms can mimic other illnesses, it can be challenging to obtain the correct diagnosis but it is critical as studies have shown that when appropriate anti-infective and/or immunologic treatment is initiated patients may experience *complete resolution of or dramatically reduced symptoms*. ### **What Should the Specific Evaluation/Testing for PANS/PANDAS Include?** - Meets criteria for PANS/PANDAS (as noted above) - Physical exam to look for source of active infection - Culture of tonsils, throat, (perianal, vaginal, nasal areas if suspected source) - ASO titer - Anti-DNAse antibodies - Infectious disease workup to include (Mycoplasma pneumonia antibodies and PCR, Epstein Barr virus antibodies, Influenza, Lyme testing, and, if appropriate, herpes simplex, varicella, and possibly others) - ANA (Antinuclear antibodies) - Immunodeficiency workup (IgG with subclasses, IgA, IgM, IgE and Lymphocyte subsets (T, B, natural killer (NK) cells), CBC with manual differential, and post-vaccine titers if previously vaccinated - Consider a Cunningham Panel – Autoimmune antibodies that bind to these sites potentially block the function of these antigens. This may lead to movement or neuropsychiatric disorders, OCD, and abnormal neurologic behaviors classically seen in PANS/PANDAS [**Molecular Labs**](https://www.moleculeralabs.com/) – to measure circulating autoimmune antibodies against specific neuronal antigens. **It consists of five tests**: - Dopamine D1 receptor (DRD1) - Dopamine D2L receptor (DRD2L) - Lysoganglioside GM1 - Tubulin - CaM Kinase II is a key enzyme involved in the upregulation of several neurotransmitters, including dopamine, and it is known to increase the responsiveness of the neurologic receptors to neurotransmitters. - Possibly MRI to look for evidence of inflammatory changes in the basal ganglia, including volumetric changes - Exclude non-infectious triggers such as toxins – heavy metals and environmental toxins - Remember this is a clinical diagnosis and if the child meets the diagnostic criteria but laboratory values are normal, the diagnosis can still be made ### **Keep Clean** - Remember with PANS/PANDAS *the immune system has gone awry and is in a state of chaos*, so it is critical to avoid toxins that can trigger this abnormal immune response - Make sure you read labels – Visit Environmental Working Group (www.ewg.org) to get information about what is considered safe and nontoxic in regards to products and foods ## ***What To Do Once PANS/PANDAS Is Diagnosed*** ### **Start Treatment** - Antibiotics to treat the specific infection – weeks to months of treatment may be necessary - Anti-inflammatory agents - Start with an **anti-inflammatory diet** – consider removing pro-inflammatory foods like gluten, sugar, processed foods, and dairy - Consider adding in anti-inflammatory supplements - Omega-3 fats - Curcumin - Boswelia - Other anti-inflammatory agents may be recommended - NSAIDS – like Ibuprofen for a week or so - Steroids – Prednisone (5-15 days of Prednisone, if needed) - Immune Modulating Treatment - Consider Low Dose Naltrexone - Intravenous Immunoglobulin therapy (IVIG) – In moderate to severe cases of PANS/PANDAS IVIG has been shown to be helpful with the inflammatory process seen in this autoimmune processes **Mechanism is not completely clear** ◊ Donor antibodies may retrain the abnormal antibody response ◊ Donor antibodies may overwhelm the abnormal antibodies ◊ May have a direct effect on the proliferation of the immune system (T-reg cells) - Plasmapheresis - Therapeutic apheresis (blood cleaning procedure) - Plasma removal – plasma is the liquid portion of the blood which contains proteins including antibodies and other immune components - Treatment for OCD - Treat the underlying, root cause as noted above - [Exposure and Response Prevention](https://iocdf.org/about-ocd/treatment/erp/) – a type of Cognitive Behavior Therapy (CBT) - SSRIs (antianxiety/antidepressant medications such as Prozac) are not typically recommended initially and *often don’t work in cases of PANS/PANDAS*. Once again, behavioral therapy is the key ### **Prophylaxis** - Consider prophylactic antimicrobial agents when exposed to infections - Tonsillectomy for recurrent throat infections should be considered ### **Involve the School** - Communication with the school is critical and will help reduce stress for the parent as well as provide education for the staff - Parents should request to be informed if there are cases of documented Strep within the classroom - Educate the school about the importance of proper hygiene - [A great resource](https://pandasnetwork.org/) to provide the faculty - If necessary, a 504 or IEP (Individualized Education Plan) for the child should be requested ### **Avoid Exposure** - As best as possible, *keep affected children away from people who are currently ill* as this might perpetuate symptoms ## ***Is It Possible To Become Fully Functional® Even After the Diagnosis of PANS/PANDAS Strikes Your Family?*** - **Yes!** - At The Center for Fully Functional Health we have a proprietary process through which we take our patients where we partner with them/their family in order to provide a measure of hope and healing and help them become Fully Functional® for life… *No matter what the diagnosis/health concerns*. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *“When the righteous cry for help, the LORD hears and delivers them out of all their troubles. The LORD is near to the brokenhearted and saves the crushed in spirit.”* *Psalm 34:17-18* *Sources:*[.block][]*1 *[*https://stanmed.stanford.edu/2014fall/brain-attack.html*](https://stanmed.stanford.edu/2014fall/brain-attack.html) --- ## Loneliness as a Parent of a Child With PANDAS or PANS **Link:** [Loneliness as a Parent of a Child With PANDAS or PANS](https://fullyfunctional.com/blog/parent-of-a-child-with-pandas-or-pans/) ([md](https://fullyfunctional.com/blog/parent-of-a-child-with-pandas-or-pans/index.html.md)) **Description:** We're sharing our expertise on techniques to combat loneliness, that may help strengthen the mental health of a parent of a child with PANDAS or PANS. ### Content Sitting in waiting rooms, hospital rooms, and bedrooms after your child falls asleep, the emotions can come to the surface. Beyond the sea of tests and possible treatments, you battle with the fear and frustration of watching your little one suffer. **This is PANDAS or PANS**. No parent would wish for a sick child, and yet the parents of PANDAS patients face additional pain. When our daughter was first ill, I remember longing for a different diagnosis — even something more chronic and serious. **How tragic is it that I actually wished it was cancer? Who wishes for cancer?** In my logical brain, I was aware that it made no sense, and sitting here now, it’s embarrassing to even think about. Yet, I can tell you exactly why I would change her condition: the loneliness that comes [**as a parent**](/blog/pandas-and-pans-treatments-natural-remedies/) of a child with PANDAS. While my wish seems irrational, *so is everything when it comes to PANDAS*. While cancer is a horrible diagnosis, your support system knows what to do with that label: they come over, pray fervently, and bring you gifts. Family and friends band together, creating meal train sign-ups, tackling your laundry, and cleaning your house.¹ People understand what cancer means and what you might need. If your battle is long, they take your kids out so you can have a break, or send you out for the day to get a haircut or a cup of coffee to yourself. They tell you they love you. They hug you. They let you cry on their shoulder. They encourage you and fight loneliness — after all, *they’re your friends and family*. ## ***A Lonely Road*** Devastatingly, parents of children with PANS/PANDAS often *do not receive this level of support*. On a good day, you can almost hear the crickets chirping. Silence is better than the other options. On a particularly bad day, you’re fighting through judgmental comments. “Gosh, control your kid. Do you even have any parenting skills?” “What is wrong with them? Can’t they just behave?” You are also the subject of suspicious gossip, as **PANDAS can present differently in certain situations**. Since your child may not “seem sick” in public, you might be accused of exaggeration or attention-seeking. I’ve personally seen my daughter’s own psychologist call her “manipulative.” Between your medical team and your friends and family, it’s easy to feel like you’re drowning in criticism. If you manage to make it through the judgment and gossip, then there are the dreaded suggestions: “if you would just __________, your child would be fine.” Suddenly, *everyone is an armchair expert*, suggesting things you’ve likely tried before. These tired-out ideas come from a natural place: when things go wrong, it’s human nature to step into a problem-solving role. No one wants to see a child they care about hurting! These attempts may come from a good place. However, when you’re struggling to get through each day, the endless recommendations from your loved ones feel hurtful and insulting. ## ***What We’re Really Thinking*** Parents of children with PANDAS answered two questions for us: - What is the one thing you wish friends and family would do to support you? - What do you wish they would understand? Their answers may surprise you, *and possibly even break your heart*. ## ***About Our Mental Health*** These parents wished you would notice: - “That I look stronger on the outside than I feel on the inside.” - “That I’m not canceling or flaking; I’m burned out and need to retreat.” - “That we aren’t comfortable asking for support. I wish they would offer it to us.” - “How incredibly hard this is and how I worry that she will be 100% independent one day.” - “That anxiety and OCD are mentally and physically exhausting and we need breaks for our own mental health. I wish they would offer us those breaks without us having to ask.” ## ***About Your Judgments*** These parents reflected on how often they felt judged, saying: - “Stop judging decisions for our child. We didn’t make these decisions on a whim. A lot of agonizing goes into making our choices. Please don’t try to make him a ‘normal’ child and stop asking me “what’s wrong with him” when he’s melting down.” - “That I’m doing everything I can. There is no need to ask if I’ve tried ‘XYZ.’ I’m doing my best. And when I vent, minimizing hurts. Saying things like, ‘they will grow out of it, that this is totally normal’ is really hard, because it doesn’t work that way.” - “I wish they would help me and stand up for my child in public if they are melting down instead of being embarrassed and telling me people are staring at us.” - “I’m doing my best. I don’t need judgement. My kids will not grow out of this. Every day is exhausting and I wish you cared to listen to my challenges, because it’s so isolating and lonely.” - “I wish they understood how serious this is and just because a person can function in some areas doesn’t mean they have a full life.” - “My child is gifted. I wish they would acknowledge his struggles even though he doesn’t have a learning disorder.” - “I wish everyone understood my daughter is not rude or lacking manners. But socializing and giving hugs make her very uncomfortable.” - “I wish my family would stop talking to me like I haven’t done enough research about medication.” - “I think people oversimplify and need black and white. We live in a gray area that requires a different way of parenting.” - “Your rules don’t apply to us. This illness is unique and she is suffering enough just living in her own body. Please don’t judge and instead bring me some wine or coffee, because I need both.” - “We cannot punish the anxiety out of our kids. Please understand this illness requires a more compassionate, tolerant approach.” ## ***About Being Understood*** Parents of a child with PANDAS often felt lonely and misunderstood, saying: - “I wish they understood that **PANS/PANDAS and OCD** are very real and very hard. The ‘everyone has OCD and anxiety’ is so hurtful. If people only knew how hard this all is and did not throw those terms around lightly…” - “Just because my daughter holds in her anxiety around you, doesn’t mean she doesn’t have it. She unleashes when she gets home and it is VERY real and heartbreaking.” - “After choosing to not attend a family function because my daughter’s sensory processing was flared, I received this message from my mother: ‘If you love us, don’t shut us out. Don’t segregate yourselves from your family when we celebrated together for years. I don’t understand. Your daughter needs her cousins.’ She just doesn’t get it and doesn’t try to.” - “I wish they would ask for reading material instead of assuming they know it all. Then maybe that would help their understanding and we can meet in the middle.” - “I wish they would trust our choices, research and doctors and instead of trying to fix it for us.” ## ***What We Really Need*** What happens when the problem can’t be fixed by good intentions or a quick internet search? Who shows up for you when you’re still battling PANDAS weeks or months later, and they still don’t understand what you’re up against? I know firsthand how lonely those long days can be. We are constantly hearing some iteration of, “Have you tried this new thing I heard about on a podcast? You should try that. I had a cousin’s friend’s neighbor who had PANDAS and it might have worked for them!” While they may come from a good place, these “helpful” suggestions isolate and hurt. It’s so easy to feel undervalued or misunderstood; don’t they know you’ve dedicated your life to finding solutions for your child? Our mental health and sense of community can suffer under the weight of **parenting PANDAS**. One response was particularly striking: **“I wish they could just love us through it.”** At the heart of every lonely parent dealing with this condition, this rings true. Believe me, we have tried it all, but there is no timeline and *each child is different*. We long for someone to be a friend, not a fixer. We need breaks from desperately trying to heal our children. Our team of [PANDAS experts](/) can give us behavior therapy or **Functional Medicine** recommendations. However, there’s one thing that only you can give us: your unique love and support. As so many parents responded, we want to be asked, “What do you need?” instead of being told what else to try. We want the support you give to families battling conditions you understand. *We want to be heard instead of criticized*. To cope with this diagnosis, we actually need your help. There is hope, not only for a **PANDAS diagnosis** but for parents fighting to help their child’s quality of life improve. Part of the solution is found in each person in our corner. By refusing to judge, seeking to understand instead of fix, and caring for our mental health, you become an ally in our fight against PANDAS — and against feeling so alone. So start up that meal train, believe what we’re saying, and lend us your shoulder — *we need you on our side*. When you make space for us in the midst of our loneliness and when you show up with questions instead of opinions, you are helping our whole family heal. *Sources:* *1 *[*https://www.huffpost.com/entry/conscious-relationships_b_4350876*](https://www.huffpost.com/entry/conscious-relationships_b_4350876) **If you’re unable to see our team in person or need additional PANS/PANDAS support, please visit [our sister site](https://www.thepandasdocs.com/) for information about resources authored by Dr. Scott Antoine. These include *The Comprehensive Physicians’ Guide to the Management of PANS/PANDAS*, the first and only medical textbook dedicated entirely to the diagnosis, testing, and effective treatment of PANS/PANDAS, and *Defeating PANS & PANDAS*, an online course designed to empower families facing PANS and PANDAS with knowledge, tools, and strategies for healing.** --- ## Perianal Strep: Diagnosis, Prevention, Treatment, & PANDAS - Overview of Perianal Strep **Link:** [Perianal Strep: Diagnosis, Prevention, Treatment, & PANDAS - Overview of Perianal Strep](https://fullyfunctional.com/blog/perianal-strep-diagnosis-prevention-treatment-pandas/) ([md](https://fullyfunctional.com/blog/perianal-strep-diagnosis-prevention-treatment-pandas/index.html.md)) **Description:** Understanding the precautions you need to take to prevent the spread of perianal strep is crucial, as well as common perianal strep treatment protocols. ### Content Sometimes, medical conditions are embarrassing, yet, they are all the more necessary to treat. **Perianal strep** is a contagious infection around the anus and rectum, typically only found in children under the age of 10. This article will shed light on everything you need to know about Perianal Strep and **Perianal Strep treatment**. Your physician will likely prescribe antibiotics and encourage frequent handwashing after a perianal strep diagnosis. And if you’re looking for more detailed health information on this topic, *you came to the right place*. If you have any children, it is important to understand the precautions you need to take *to prevent the spread of perianal strep*. ## ***Overview of Perianal Strep *** Perianal (pronounced “pair-ee-AY-nal”) strep is a **bacterial infection of the skin around the anus and rectum** — the “perianal” area. The red rash will surround the infected area and will be more red and moist than a diaper rash. Perianal Strep is also known as *perianal streptococcal dermatitis* or *perianal streptococcal cellulitis*. The infection often affects the anus area, but it can also spread to the vulva or penis. Perianal strep is caused by group A Streptococcus bacteria, which also causes **strep throat**. **Like strep throat, perianal strep is very contagious.** Many cases of perianal strep are from children scratching or wiping the vulnerable area with unwashed hands that harbor group A streptococci from another existing infection. Because of this, perianal strep usually occurs in children with strep throat, streptococcal pharyngitis, or impetigo (a strep infection of the skin). 6% of children with streptococcal pharyngitis have perianal strep as well. However, sometimes, perianal strep can be an isolated finding without any other obvious Strep infection. *Make sure not to touch the infected area if you don’t have to*. If you or your child does touch the area, wash your hands very well. ## ***Symptoms of Perianal Strep *** - Moist red perianal rash - Painful defecation¹ - Itching (called pruritus) - Swelling, inflammation (significant swelling should be seen by your physician right away as it could be cellulitis which may require more aggressive treatment or hospitalization) ## ***Risk Factors for Perianal Strep*** - Boys are more likely to get perianal strep than girls.² - Perianal strep typically affects children aged 6 months to 10 years old. - Having any strep infection increases the risk it will spread to other areas. ## ***Complications of Perianal Strep*** In uncommon cases, complications may arise during or after a perianal strep infection.³ Your pediatrician should work with you on how to prevent these **complications of perianal Strep**: - Kidney disease (post-streptococcal glomerulonephritis) - Anal scarring - Severe infection of skin and/or soft tissue (necrotizing fasciitis) - Other strep infections, such as strep throat [**PANDAS**](/blog/pans-pandas-what-you-need-to-know/) (“Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus”) ## ***How Perianal Strep Is Diagnosed*** Make sure to get your child diagnosed before treatment can begin. Diagnosis might include: - A rapid strep test - A skin swab culture from the infected area - A throat culture (to test for other strep infections that could have led to perianal strep) NOTE: physicians should always do a physical examination on your child for this disorder since it is based mostly on physical exam findings and only confirmed by lab testing. Doctors may also have to rule out other “differential diagnoses,” meaning conditions that share symptoms and shouldn’t be confused for one another. **Perianal strep has several differential diagnoses to look out for**: - Psoriasis - Seborrheic dermatitis - Atopic dermatitis - Candidiasis - Inflammatory bowel disease (IBD) - Pinworms - Sexual abuse *A proper diagnosis is critical* since antibiotics are probably in the future. You don’t want to give your children antibiotics unless it is certain they have a bacterial infection. Otherwise, they can develop antibiotic resistance or an imbalance of good bacteria in their gut. ## ***Prevention of Infection & Perianal Strep Treatment*** Once properly diagnosed with perianal dermatitis, your child will likely be prescribed antibiotics. **But those aren’t the only treatments or preventative measures you can take against perianal strep**: - **Antibiotic treatment** is the most common and most effective treatment option. Although penicillin is the most popular antibiotic prescribed, *amoxicillin might be better tolerated among children*.⁴ Erythromycin is another antibiotic used if penicillin is less than effective. Make sure your child remains on antibiotics for the prescribed time, even if he or she starts to feel better. On the flip side, *don’t use antibiotics unless a strep infection has been officially diagnosed*. Needlessly overusing antibiotics can be harmful.⁵ - **Cream or ointment** should not be the sole treatment prescribed. But it may very well be given alongside antibiotics. Topical creams or ointments, such as mupirocin, can ease pain or help stop the spread of infection. Many prescribed creams or ointments are antifungal or antiseptic. - **Always wash your hands** with soap and water, especially after bowel movements. Make sure hands are washed for at least 20 seconds with high quality soap. - **Do not share towels or washcloths**. Bacteria can spread easily with towel sharing. Follow-up appointments are important to make sure your child is fully better. Your doctor may make sure the full course of antibiotics was taken, or check if the strep infection spread. ## ***At Home Remedies*** If your child has a diagnosed strep infection, *antibiotics are the best measure to take*. However, if you’re waiting for a doctor’s visit or worried about antibiotic resistance, here are some **at-home remedies you can consider**: - **Handwashing** prevents the spread of strep bacteria to others as well as other parts of the body. - **Sitting in shallow warm water** after a bowel movement and cleaning can ease some of your child’s pain from defecating. - **Probiotics** will prevent the imbalance of good bacteria in your child’s gut [**after antibiotic treatment**](/blog/how-to-restore-gut-health-after-antibiotics/). Probiotics can be found in supplement form, or in fermented foods. - **Natural anti-inflammatories** can reduce swelling in perianal strep. This is only treating the symptom, but it might provide a little relief. **All-natural anti-inflammatories** include tomatoes, olive oil, leafy greens, fatty fish, curcumin (found in turmeric), walnuts, and zinc. **Do not begin any medications or supplements without checking with your doctor first.** As an added bonus, here are **six all-natural antibiotics** that you can supplement or add to meals: - Honey⁶ - Garlic⁷ - Ginger - Echinacea⁸ - Clove⁹ - Oregano Again – always consult a doctor before starting any new dietary supplements, especially in children. ## ***Strep & PANDAS*** **PANDAS** is an **autoimmune response** to a group A beta-hemolytic strep infection, such as perianal strep. The strep bacteria tricks your immune system into attacking the brain, *triggering OCD symptoms*.¹⁰ Note: **PANS** is a similar condition. It displays the same symptoms but does not come from a Strep infection. Research confirms that a perianal infection can lead to PANDAS.¹¹ Here are some **common**[ **PANDAS symptoms**](/blog/pans-pandas-symptoms/) you can look out for to determine if your child has PANDAS from his or her perianal strep: - OCD ([**obsessive compulsive disorder**](/blog/ocd-obsessions-a-bully-in-your-brain/)) - Eating disorder - Bedwetting - Insomnia - Aggressive behavior - Sudden mood changes - Deterioration of handwriting or drawing skills If you suspect [**your child might have PANDAS**](/blog/pans-pandas-what-you-need-to-know/) or PANS, you can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. The Center for Fully Functional® Health is located in Carmel, Indiana, but we often see out-of-town patients. As **recognized experts in the diagnosis and treatment of PANS/PANDAS patients** — we have even helped our own daughter to recover from PANS a few years back. **We provide the best treatment in Indiana and beyond when looking for a PANDAS or PANS doctor.** *Sources:*[.block][]*1 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321840/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321840/)*2 *[* https://www.ncbi.nlm.nih.gov/books/NBK547663/ [.block][]*](https://www.ncbi.nlm.nih.gov/books/NBK547663/)*3 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321840/#__sec13title [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321840/#__sec13title)*4 *[* https://www.aafp.org/afp/2000/0115/p391.html [.block][]*](https://www.aafp.org/afp/2000/0115/p391.html)*5 *[* https://www.ncbi.nlm.nih.gov/books/NBK513277/ [.block][]*](https://www.ncbi.nlm.nih.gov/books/NBK513277/)*6 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609166/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609166/)*7 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609356/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3609356/)*8 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205674/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205674/)*9 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486105/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486105/)*10 *[* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3783973/ [.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3783973/)*11 *[* https://neuro.psychiatryonline.org/doi/full/10.1176/appi.neuropsych.12050126 *](https://neuro.psychiatryonline.org/doi/full/10.1176/appi.neuropsych.12050126) --- ## Post-COVID Syndrome Symptoms & Treatment (Oct 2020) **Link:** [Post-COVID Syndrome Symptoms & Treatment (Oct 2020)](https://fullyfunctional.com/blog/post-covid-syndrome-symptoms-and-treatment/) ([md](https://fullyfunctional.com/blog/post-covid-syndrome-symptoms-and-treatment/index.html.md)) **Description:** We are now seeing numerous patients with serious symptoms that last long past their active viral infection, a condition we’re calling “Post-COVID Syndrome.” ### Content It has been months since the first documented case of **COVID-19**, but we are still actively learning how this virus functions *and what the long-term effects may be*. We are now seeing numerous patients with serious symptoms that last long past their *active viral infection*, a condition we’re calling “Post-COVID Syndrome.” **Post-COVID Syndrome** symptoms may include persistent debilitating fatigue, shortness of breath, joint pain, and cognitive impairment (a.k.a. brain fog). Patients with this condition may also experience PTSD, trouble regulating their body temperature, an elevated resting heart rate, lack of taste and smell, and circulatory issues that cause periodic bluish discoloration of their extremities. These people were typically diagnosed with COVID-19 weeks to months ago. While some of them were initially sick enough to require hospitalization and even ICU admission with intubation, many of them managed their symptoms at home. ## ***How Common Is Post-COVID Syndrome?*** Traditionally, patients recovering from a viral illness would be back to their norm within a couple of weeks at the most. Not these folks. In fact, it has been reported that 87.4% of patients who recover from COVID-19 infection have persistent symptoms.¹ These individuals have negative lab test results and are technically no longer considered sick with COVID-19. However, **they remain ill**… Some would say more ill now than when they were considered contagious! Post-COVID Syndrome is awful and was a completely unexpected development. That shouldn’t come as a surprise, given that *nothing else about this virus has been typical or easy*. It certainly didn’t come as a surprise to Dr. Scott or me because this is exactly what we specialize in at The Center for Fully Functional Health®: poorly understood and difficult to diagnose symptoms and diseases. ## ***How to Treat Post-COVID Syndrome*** Here are the facts: In early March 2020, the World Health Organization (WHO) declared COVID-19 **a global pandemic**. The United States has been the worst affected country worldwide with over 7,000,000 confirmed cases and more than 200,000 confirmed deaths at the time of writing. COVID‐19 is caused by the *coronavirus SARS‐CoV‐2* and undoubtedly has changed our lives in ways we can’t fully comprehend at this point. It has also changed the way we practice medicine and is now changing our expectations for recovery from illness. We believe COVID patients with symptoms that persist more than 8 weeks after the onset of the virus should *consult their primary care clinician* for an evaluation. This should include testing in order to rule out active infection or other diagnoses, in order to confirm Post-COVID Syndrome. We have seen great success in the improvement of Post-COVID Syndrome symptoms by taking our patients through our proprietary **five-step Fully Functional® process** (more on that below), in addition to these therapies: - Low dose naltrexone (LDN)² - [Infrared sauna](/functional-medicine/infared-sauna-therapy/) - [Intravenous nutrients](/functional-medicine/iv-lounge/), including vitamin C and Myers’ cocktail - Oxygen therapies - [Lymphatic drainage massage](/functional-medicine/therapeutic-lymphatic-drainage-massage/) - Photobiomodulation³ - [Pulsed electromagnetic frequency (PEMF)](/functional-medicine/pulsed-electromagnetic-frequency/) - Alpha-Stim⁴ - HeartMath emWave2⁵ And here are a few of our favorite supplements in this instance: - Glutathione - NAC - Vitamin C - Curcumin - Omega-3s - Probiotics - Nattokinase - B Complex - Adrenal support - CFFH® Relaxation Powder You can find these and others that we recommend in our store. ## ***How CFFH Can Help with Post-COVID Syndrome*** We believe that it is crucial to help people not only feel as well as they did *pre-COVID*, but to actually improve their health, so they feel their most healthy, productive, and joyful. That is what it means to be Fully Functional®. We’ve created a successful **five-step process** that has helped thousands of people achieve their goals, and we have recently applied this same process to Post-COVID Syndrome patients with tremendous results. ## ***Are You Over it?*** When it comes to being sick, it isn’t uncommon for us to hear someone say they are “OVER IT!” They are sick of being sick. Saying they are “OVER IT” is actually the perfect way to describe what happens to the body when we are sick. It can be described as 3 different “OVER” processes: - OVERLOAD - OVERWHELM - OVERFLOW We use a fire hose, flower pot, and puddle as visual aids to describe these processes. You can watch a quick video explaining that here: The **OVERLOAD** (hose) are all the things external to the body that negatively impact your health. The body (flower and flower pot) gets **OVERWHELMED**, and then it **OVERFLOWS** (puddle) – that overflow results in symptoms or disease. As doctors, we often try to “mop up” the floor. But that approach doesn’t really address how we ended up with the puddle in the first place, meaning there is no opportunity for future prevention. At CFFH, *we do things differently* – we look for **root causes** and address the body as a whole. (It’s why we are often described by our patients as “medical detectives” or the “Swiss Army knives” of doctors.) In the case of COVID-19, it still remains a mystery as to why some people can be exposed and even test positive, yet have minimal to no symptoms, while others become critically ill or even die as a result of overwhelming infection and the associated inflammatory processes we see. Even more of a mystery is why a large number of individuals continue to experience crippling post-viral symptoms as described above. From experience, we believe we need to start looking upstream: - What is OVERLOADING the body? - Why is the body OVERWHELMED? - How do we address the OVERFLOW? ## ***The Fully Functional Approach to Post-COVID Syndrome*** Here’s where our proprietary five-step Fully Functional® process comes into play: **IDENTIFY underlying root issues that negatively impact your health.** Consider these questions… What foods and drinks are you choosing? Are they nourishing and anti-inflammatory, or are they overloading your system? What about stressors? Do you have healthy ways to reduce stress, or is your stress negatively impacting your health? Do you use toxic chemicals in your home or products on your body? Even things like traditional laundry detergents and makeup can be toxic! What is your spiritual health? Are your relationships nurturing you, or do they harm your mind and body? **REDUCE the factors that are hurting your health.** Using our plant metaphor, this means you need to turn down the “hose” and empty out the “flower pot.” We do this by making *healthy dietary and lifestyle changes*, as well as addressing the next step in the process. **OPTIMIZE detoxification.** We were created to be excellent detoxifiers, and it’s crucial to optimize our ability to get rid of toxins, infections, etc. You need to hydrate, sweat, breathe, move your bowels, support lymphatic drainage, and provide nutrients for the liver to perform Phase 1 and Phase 2 detoxification, as well as get enough sleep to dream and recover from the day. **SUPPORT your body and needs.** That support starts structurally, all the way down to the cellular level. We need to support the systems and biochemicals processes occurring in your body, as well as ensure you receive personal support through healthy relationships. **PERSONALIZE your care and choices.** There’s no better way to ensure a healthy future than to understand your body well enough to be able to navigate your own health journey going forward! As a society, we have a lot to learn about COVID-19, as well as the after-effects. No matter what, our goal never changes: to help people become their most healthy, productive, and joy-filled, so they can be Fully Functional® for life. If you or your loved one continues to struggle with symptoms despite “recovering” from COVID, Post-COVID Syndrome may be an issue and we’d love to help. You can book an appointment [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *[.block][]**Sources:**[.block][]**1*** https://jamanetwork.com/journals/jama/article-abstract/2768351 [.block][]***2*** https://ldnresearchtrust.org/what-is-low-dose-naltrexone-ldn [.block][]***3*** https://epublications.marquette.edu/cgi/viewcontent.cgi?referer=http://scholar.google.com [.block][]***4*** https://www.alpha-stim.com/ *[.block][] 5* https://store.heartmath.com/ --- ## Postural Orthostatic Tachycardia Syndrome (POTS) **Link:** [Postural Orthostatic Tachycardia Syndrome (POTS)](https://fullyfunctional.com/blog/postural-orthostatic-tachycardia-syndrome-pots/) ([md](https://fullyfunctional.com/blog/postural-orthostatic-tachycardia-syndrome-pots/index.html.md)) **Description:** Postural Orthostatic Tachycardia Syndrome (POTS) symptoms are the tip of the iceberg. We look for the root causes behind POTS symptoms. Read these tips! ### Content Many of our patients come in with a **postural orthostatic tachycardia syndrome** (POTS) diagnosis. They’ve been told they have **POTS** and are given ways to manage the symptoms, along with some medications that may or may not help, and sent on their way. Postural orthostatic tachycardia syndrome (POTS) describes a set of symptoms related to **autonomic nervous dysfunction**, including nausea, dizziness, increased heart rate, exercise intolerance, and more.¹ Patients with the “partial dysautonomic” (PD) form don’t respond to gravity/postural changes well (moving between laying down and sitting up, standing for long periods of time, etc).² Patients with the hyperadrenergic form discuss experiencing significant tremor, anxiety, and cold sweaty extremities while upright. With an estimated *1,000,000 and 3,000,000 Americans impacted*, and 25% of which are disabled and unable to work, this diagnosis can be devastating for many of our patients.³ There’s more hope than just managing POTS symptoms, though. Most often, *the POTS symptoms are the tip of the iceberg*, pointing to a root cause that can be addressed. We often find the **root causes behind POTS symptoms**, and when treated, most patients are able to become Fully Functional® for life! ## ***Most Common Root Causes Behind Postural Orthostatic Tachycardia Syndrome< - (POTS) Symptoms*** - Mycotoxin Exposure/Chronic Inflammatory Response Syndrome (CIRS) - [Lyme Disease and Co-infections ](/blog/lyme-disease-8-things-you-need-to-know/) - Nutrient deficiencies, specifically Vitamin B12⁴ - Other bacterial infections, including: Mycoplasma pneumoniae⁵ - Viral Infections, including: Epstein Barr virus (mononucleosis) and Hepatitis C4 - Food Allergies/Sensitivities⁴ - Celiac disease and other autoimmune diseases⁶,¹⁰ - Medications, including: Alpha receptor blockers, Beta blockers, Calcium channel blockers, Opiates, Monoamine oxidase inhibitors, Tricyclic antidepressants, Diuretics, Nitrates, and others¹ - Some studies suggest that some genetic variants (polymorphisms) in the NOS3 and ADRB2 genes are associated with an increased risk of developing the condition⁷ - Mast Cell Activation (episodic flushing and abnormal increases in urine methylhistamine, shortness of breath, headache, lightheadedness, and gastrointestinal symptoms)⁸ - Ehlers-Danlos syndrome (EDS) is a connective tissue disorder characterized by joint hypermobility, skin texture abnormalities, and vascular and visceral dysfunctions⁹ ## ***Helpful Tools and Guidelines for Our POTS Patients*** - **Start with hydration**. Most patients require more than the “half your bodyweight in ounces per day” normal recommendation. - **Avoid sitting or standing** for prolonged periods of time. - **Refrain from alcohol.** - **Increasing nutritious salt intake.** Using Himalayan or Celtic salt, both of which have added mineral content, to help support adrenal function. Many patients find some relief by adding roughly a teaspoon to a water bottle. We offer pink Himalayan sea salt in the office. All products can be shipped to you by reaching out to Sandy at [office@fullyfunctional.com](mailto:office@fullyfunctional.com) - [**Quinton marine plasma**](https://www.quicksilverscientific.com/original-quinton/). We prescribe this sea water source of active, ionic ocean minerals for many patients. It has been used by elite athletes to keep electrolyte balance, and was even used during WWI as a plasma replacement. It has been used to remineralize, restore homeostasis, balance pH, support cellular nutrition and detoxification, as well as many other beneficial uses. - [**Pulsed Electro- Magnetic Frequency (PEMF) treatment**](/functional-medicine/full-body-red-light-therapy-pemf/). This treatment is something we offer many of our **POTS patients** (as well as others) because research has proven neurological, physiological, and psychological benefits with the use of PEMF. It is known to improve oxygenation of cells, reduce pain, promote healing, and improve energy. - **Licorice Root**. This herbal supplement is used short-term for adrenal support and can sometimes be used as an alternative to Florinef, a steroid often prescribed in the treatment of adrenal dysfunction and POTS. All supplements can be ordered for shipment by emailing Sandy at [office@fullyfunctional.com](mailto:office@fullyfunctional.com) - CoQ10. This is a fat-soluble vitamin-like substance that is also a powerful antioxidant. It is known to have powerful **cardio-protective benefits**. - **L-carnitine.** This amino acid is critical for energy production in every cell in the body. It carries fat, in the form of fatty acids to the mitochondrial inner membrane where energy is produced through a process called Kreb’s cycle. Without L-carnitine, *the normal burning of fat cannot take place and energy production is impaired*. Biofeedback – EEG neurofeedback is our preferred choice. It is a method of retraining the brain to function more appropriately. - **Wear compression devices.** Pooling of blood in the lower extremities is effectively addressed using 30 mm Hg of pressure with effective stockings. - **Stress reduction.** Stress exacerbates symptoms of POTS so we recommend use of *daily relaxation techniques* such as breathing exercises, prayer, meditation, gratitude journaling, yoga and tai chi. - **Slowly build up exercise tolerance.** While it can be uncomfortable, increasing light activity helps with everything from lymph flow and detox to vascular tone. Qi Fu, MD, PhD, the first study-author and assistant professor of Internal Medicine and Cardiology at the University of Texas Southwestern Medical Center stated, “exercise training is superior to the beta blocker in restoring upright blood circulation, improving kidney function and dramatically improving quality of life.” - **Use care with temperature changes.** While a sauna is a great detox tool, POTS patients sometimes can’t tolerate the heat. Same goes for long, hot showers or baths. - **Defy gravity.** Sometimes standing in public is inevitable but bringing your legs closer to your heart by doing things like squatting can help keep patients from passing out. - [**Bulletproof Coffee**](https://shop.bulletproof.com/collections/coffee). Coffee can construct the blood vessels enough to allow for standing. Because most coffee is mycotoxin-contaminated, we recommend mycotoxin-tested Bulletproof brand. Give your brain a boost while you’re at it by adding a healthy fat to your coffee, like Bulletproof’s Brain Octane. Check out more on [fat-added Bulletproof Coffee here](https://blog.bulletproof.com/how-to-make-your-coffee-bulletproof-and-your-morning-too/). Patients with adrenal fatigue should use coffee sparingly. Caffeine can exacerbate POTS symptoms in some patients. - **Use care with supplements.** Some supplements, herbs and homeopathic remedies *amplify POTS symptoms*. We recommend introducing new supplements every 3 days (not all at once) so it’s obvious which supplement is the culprit. Some patients have seen an exacerbation of symptoms happen with certain supplements, including GABA, hemp CBD oil and melatonin, but this varies by patient. These tools aren’t fixes, they are possible ways to live a better life. We look to find root causes and don’t stop with symptom diagnosis. We persist until we find the best path forward, so that you may become Fully Functional® for life! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[*https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.107.761643[.block][]* ](https://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.107.761643)*2 *[*https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1540-8167.2005.00318.x[.block][]* ](https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1540-8167.2005.00318.x)*3 *[*https://www.dysautonomiainternational.org/page.php?ID=30[.block][]* ](https://www.dysautonomiainternational.org/page.php?ID=30)*4 *[*https://pubmed.ncbi.nlm.nih.gov/24366986/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/24366986/)*5 *[*https://journals.lww.com/infectdis/Abstract/2009/09000/Postural_Orthostatic_Tachycardia_Syndrome.16.aspx[.block][]* ](https://journals.lww.com/infectdis/Abstract/2009/09000/Postural_Orthostatic_Tachycardia_Syndrome.16.aspx)*6 *[*https://www.jpp.krakow.pl/journal/archive/12_14/pdf/833_12_14_article.pdf[.block][]* ](https://www.jpp.krakow.pl/journal/archive/12_14/pdf/833_12_14_article.pdf)*7 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1501099/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1501099/)*8 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4294907/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4294907/)*9 *[*https://www.ahajournals.org/doi/10.1161/JAHA.113.000755* ](https://www.ahajournals.org/doi/10.1161/JAHA.113.000755) --- ## Pumpkin Chili **Link:** [Pumpkin Chili](https://fullyfunctional.com/blog/pumpkin-chili/) ([md](https://fullyfunctional.com/blog/pumpkin-chili/index.html.md)) **Description:** Pumpkin is the ultimate fall flavor and works deliciously in a chili! It’s also a great source of fiber and nutrients and a great source of potassium! ### Content **Chili** is one of those meals that has endless adaptations and still always seems to turn out just right. *Pumpkin is the ultimate fall flavor* and works deliciously in a chili! It adds a creamy richness and just a hint of flavor. It’s also a great source of [fiber and nutrients](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819838/) like vitamins A and C and a great source of potassium! Make this in the slow cooker or on the stovetop (instructions for both below). If you’re looking for a tasty dessert to pair with this dish, try our [Pumpkin Spice Chia Pudding](/blog/pumpkin-spice-pudding-with-chia-seeds/). **Replace Recipie Feat** ### Ingredients - 1 pound ground beef, turkey or bison - 1 onion chopped - 1 yellow bell pepper chopped - 4-6 cloves garlic minced - 1 15 oz can organic pumpkin puree (NOT pumpkin pie filling!) - 2 15 oz can black beans (kidney or pinto beans would also work) - 1 14.5 oz can diced tomatoes - 2 cups chicken, vegetable broth or water - 2 tablespoons honey (optional) - 1 tablespoon cumin - 1 tablespoon chili powder - 1 teaspoon pumpkin pie spice - 1 teaspoon sea salt ### Instructions - Heat a large pot or skillet over medium heat. Add the ground beef, turkey, or bison, along with the onions, pepper and garlic. (If using turkey or bison, you may need to add a little olive oil to the pan as well.) Cook until the meat is browned and the onions are translucent. Drain any excess fat and return to pot or put in the slow cooker. #### STOVE TOP - Add the rest of the ingredients to the pot and stir until everything is well combined. Slow simmer on the stove over medium-low heat for ½ hr – 1 hr. Check about midway through cooking to see if additional liquid is needed. Add more broth or water if needed to reach your desired consistency. #### SLOW COOKER - Add the cooked meat mixture and the rest of the ingredients to the slow cooker and stir until everything is well combined. Cover and cook on LOW 6-8 hours or HIGH 3-4 hours. Add additional liquid if needed. - SERVE with your favorite chili toppings like cilantro or avocado. Keywords: anti-inflammatory diet recipes, great source of fiber, pumpkin chili --- ## Pumpkin Hummus (No Beans/Legumes) **Link:** [Pumpkin Hummus (No Beans/Legumes)](https://fullyfunctional.com/blog/pumpkin-hummus-no-beans/) ([md](https://fullyfunctional.com/blog/pumpkin-hummus-no-beans/index.html.md)) **Description:** If you're following an anti-inflammatory diet plan, and can't have legumes, here is a pumpkin hummus recipe that's a great alternative to chickpea hummus. ### Content **Pumpkin Hummus (No-Beans/Legumes)** is a great alternative for those avoiding beans! We recommend [organic unsweetened pureed pumpkin](https://farmersmarketfoods.com/product/organic-pumpkin/) for this recipe (below). Because many people suffer from [Gut Dysbiosis](/blog/how-to-heal-your-gut-naturally/) when they first come to The Center for Fully Functional® Health, we routinely focus on that aspect of health during the **Initial Wellness Nutrition Plan** phase. We ask you to follow an **anti-inflammatory diet plan** that excludes gluten and grains, as well as several other foods (eggs, beef, pork, dairy) that either have inherent potential health concerns, or potential health concerns from the way they are raised or processed, or because of the high incidence of allergy and/or sensitivity to them. Depending on an individuals’ symptoms, we may also ask that nightshades (tomatoes, potatoes, peppers, eggplant) be avoided. And in some situations, particularly if a patient has previously been following the [AutoImmune-Paleo Protocols by researchers such as Dr. Wahls](https://www.ifm.org/news-insights/terry-wahls-md-new-research-diet-lifestyle-treatments-autoimmunity-beyond/) or Dr. Sarah Ballantyne, we will also recommend avoiding or limiting legumes. Legumes have multiple definitions. The Plant Family Leguminosae consists of 18,000 different species; our focus is on the edible fruit of these plants, which are called legumes. The legumes we are familiar with eating are either in the fresh, pod form or the dried (and then cooked in water or broth) “pea” or “pulse” form. The dried peas/pulses do contain proteins, however, consideration should be given to the following health concerns: - **Legumes are high in Omega-6 polyunsaturated fats**, which are already in high amounts in the Standard American Diet (SAD). - **Legumes can damage the gut** by contributing carbohydrates that support overgrowth of undesirable bacteria and yeasts. - **Legumes contain lectins**, or carbohydrate-binding proteins, some of which are difficult to digest, and which also react negatively with the brush border of the intestine. It should be noted that *these negative impacts are not toxic enough to make one immediately ill*. It may take years for the digestive problems to manifest. We now go back to one of the tenets of [Integrative and Functional Nutrition/Medicine](/), which is that every individual reacts differently and uniquely to food. Avoiding these foods may or may not be helpful for you. However, in our efforts to quiet and calm the body as much as possible during the Initial Wellness Plan phase, we may ask you to avoid them, depending on your unique situation. If we do ask you to avoid legumes, here is a snack idea to make avoiding standard chickpea hummus a little easier. This Pumpkin Hummus rivals any standard chickpea hummus we’ve ever had. It’s creamy, flavorful, and *you can’t stop eating it*!! It’s so dang good! Check out our other amazing **anti-inflammatory diet recipes** [here](/blog/).[.block][] **Replace Recipie Feat** ### Ingredients - 3/4 cup pumpkin puree - 1 cup zucchini peeled and chopped - 1/4 cup tahini - 3 cloves garlic roasted and peeled (can use fresh garlic to save time) - 1 whole lemon juiced - 2 tbsp extra-virgin olive oil - 1 tsp ground cumin - 1/2 tsp smoked salt - 1/2 tsp smoked paprika (omit if avoiding nightshades) - 1/4-1/2 tsp cinnamon or ground coriander (optional) - 1 cup cilantro fresh, chopped ### Instructions - Add all ingredients to a food processor. - Process until everything is combined and the texture is as smooth as desired. - Drizzle with a little extra olive oil for a more unctuous feel before serving. - Try with Taro or other vegetable chips and/or Crudite. - Enjoy! Keywords: anti-inflammatory diet plan, anti-inflammatory diet recipes, no-bean hummus, pumpkin hummus --- ## Pumpkin Spice Protein Balls No-Bake Recipe **Link:** [Pumpkin Spice Protein Balls No-Bake Recipe](https://fullyfunctional.com/blog/pumpkin-spice-protein-balls-no-bake-recipe/) ([md](https://fullyfunctional.com/blog/pumpkin-spice-protein-balls-no-bake-recipe/index.html.md)) **Description:** This fall-inspired pumpkin spice protein balls no-bake recipe are a great protein-packed, nutrient-dense snack, and loaded with anti-inflammatory spices. ### Content We love adapting our favorite snacks with seasonal flavors, like pumpkin spice! This **fall-inspired pumpkin spice protein balls no-bake recipe** is a great protein-packed, nutrient-dense snack. Did we mention they’re loaded with [anti-inflammatory spices](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532192/#:~:text=The%20spices%20that%20are%20most,pepper%20%5B4%2C%2023%5D.) and ingredients? Yep! Our mission is to keep you Fully Functional® for life. All of our culinary creations are **anti-inflammatory diet recipes**. So keep browsing, and enjoy! Looking for more pumpkin recipes, click [here](/blog/). **Replace Recipie Feat** ### Ingredients - 4 tablespoons protein powder - 2 tablespoons coconut oil melted - 2 carrots finely shredded - 2 teaspoons pumpkin spice (can sub 1 teaspoon cinnamon and 1 teaspoon nutmeg) - 1/4 cup sunflower seed butter (can sub almond or cashew butter) - 2 tablespoons raw cacao powder (optional) - 2-4 tablespoons coconut milk or water - 1/4 cup unsweetened shredded coconut ### Instructions - Combine protein powder, coconut oil, shredded carrots, spices, sunflower seed butter and raw cacao (if using) in a bowl. - Add coconut milk or water to reach desired consistency. Form the mixture into little balls. - Roll each ball in the unsweetened shredded coconut. - Place the balls on a plate or tray, then put into the fridge or freezer for 30 minutes to form. Keywords: anti-inflammatory diet recipes, anti-inflammatory spices, nutrient dense snack, protein balls recipe no bake, pumpkin spice --- ## Pumpkin Spice Pudding With Chia Seeds **Link:** [Pumpkin Spice Pudding With Chia Seeds](https://fullyfunctional.com/blog/pumpkin-spice-pudding-with-chia-seeds/) ([md](https://fullyfunctional.com/blog/pumpkin-spice-pudding-with-chia-seeds/index.html.md)) **Description:** This Pumpkin Spice Pudding is loaded with protein, fiber, and antioxidants. A tasty treat, and anti-inflammatory diet recipe that your body will thank you for. ### Content We love the versatility (and health benefits!) of chia pudding. It makes a great breakfast or snack and is super easy to make. This **Pumpkin Spice Pudding** is our fall version, featuring warm coconut milk, pumpkin spice, and crisp apples if you like a little tart crunch! The best part? This tasty treat is an **anti-inflammatory diet recipe** that your body (and your taste buds) will thank you for. Chia seeds are loaded with protein, fiber, and [antioxidants](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926888/#:~:text=Chia%20seed%20is%20a%20potential,ageing%20and%20anti%2Dcarcinogenic%20characteristics.). *This superfood makes it a Fully Functional® super snack*! Want more pumpkin recipes? Click [here](/blog/). **Replace Recipie Feat** ### Ingredients - 1 cup unsweetened non-dairy milk or full fat coconut milk - 1/4 cup pumpkin puree - 1/2 teaspoon vanilla extract - 1 teaspoon pumpkin pie spice (can sub cinnamon and nutmeg) - 1 tablespoon maple syrup or stevia to taste - 1/4 cup chia seeds - 2 tablespoons unsweetened coconut flakes ### Instructions - Add milk and pumpkin puree to a saucepan, and place it over medium/low heat. - Add vanilla extract, pumpkin pie spice, and sweetener. Mix thoroughly for about 3 minutes until warm, but not boiling. - In a separate cereal bowl, add your chia seeds. When the milk and pumpkin mixture is warm, add it to the chia seeds. - Mix for 2 to 3 minutes until the chia seeds have absorbed the excess liquid. Add optional add ins, such as chopped green apple. - Top with coconut flakes. - Enjoy! Keywords: anti-Inflammatory recipes, pumpkin chia pudding, pumpkin spice, pumpkin spice chia pudding, pumpkin spice pudding --- ## Ragweed Season Info + Ragweed Allergy Treatment Options **Link:** [Ragweed Season Info + Ragweed Allergy Treatment Options](https://fullyfunctional.com/blog/ragweed-season-and-ragweed-treatment-options/) ([md](https://fullyfunctional.com/blog/ragweed-season-and-ragweed-treatment-options/index.html.md)) **Description:** We're sharing all things ragweed. Find out when ragweed season is, learn about the latest ragweed allergy treatment options, and how our process may help! ### Content Mid-August typically marks the opening of **ragweed season**, with diminishing daylight and lengthening nighttime that can stimulate plant pollination. The season peaks in late August, and typically ends by mid-September. Ragweed grows most commonly in the Eastern and Midwest US states, and *it lives only one season*. During its short life, **ragweed can wreak havoc among those who are sensitive to it**, with each plant producing up to a billion pollen grains. Its lightweight enables pollen grains to travel in the breeze *up to 400 miles*, creating a wide swath of suffering for the ragweed allergic. Here’s the bad news. Ragweed allergies are on the increase* and climate change may be the culprit, according to the [American Academy of Allergy, Asthma, and Immunology](https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/ragweed). Recent studies suggest that as temperatures and carbon dioxide levels rise, *longer ragweed seasons and more concentrated pollen counts follow*. But there’s good news too…help is available. Over-the-counter antihistamine and decongestant combinations, along with nasal sprays and eye drops, will relieve symptoms temporarily. *The key is taking them early on before symptoms are at their worst*. For ragweed sufferers who want a long-term solution, [sublingual allergy drops](/functional-medicine/sublingual-immunotherapy/) can help “retrain” the immune system to tolerate ragweed, **eventually eliminating symptoms** and the need for long-term meds for many sufferers. *Sources: American Academy of Allergy, Asthma & Immunology, La Crosse Tribune, Allergy Associates of La Crosse. [.block][]You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Reactivated Epstein-Barr Virus & Long Haul COVID **Link:** [Reactivated Epstein-Barr Virus & Long Haul COVID](https://fullyfunctional.com/blog/reactivated-epstein-barr-virus-and-long-haul-covid/) ([md](https://fullyfunctional.com/blog/reactivated-epstein-barr-virus-and-long-haul-covid/index.html.md)) **Description:** Can long-haul COVID cause reactivated Epstein-Barr virus? We help you understand the symptoms, how these viruses are related, and the holistic treatments available. ### Content As our knowledge of **COVID-19** expands, researchers have documented a significant incidence of **Reactivated Epstein-Barr Virus** (EBV) in patients with long haul COVID. Studies show acute COVID can cause *a near-immediate triggering of reactivated EBV*, while other cases show EBV reactivation several months after COVID. EBV is the virus that causes mono, and its symptoms can complicate any already challenging recovery from COVID. Read on to discover the symptoms of Reactivated EBV, why we believe there is a connection with long haul COVID, and what to do if you suspect you're suffering from Reactivated EBV or long COVID. ## ***Reactivated Epstein-Barr Virus & Long Haul COVID*** For many, the effects of COVID are lingering. While social isolation has eased, some are still learning how to handle personal illness, economic impacts, or the sickness and passing of friends and family members. This is especially true for those suffering from what the CDC has labeled **"long COVID."** Sometimes called post-COVID or **long haul COVID**, these persistent COVID symptoms can last for weeks or months after infection, or they can remain latent and surface down the road. Though the effects of COVID are difficult enough, the symptoms associated with long COVID can also cause the recurrence of *chronic health issues*. Recent research has explored a connection between long COVID and reactivated Epstein-Barr Virus (EBV). EBV is one of the most common diseases worldwide, and people often contract the virus when they're young. Though it's possible to reactivate EBV, most people only have a serious bout with the virus once in their lifetime. However, the symptoms of long COVID are increasingly suspected to be a trigger for reactivated EBV. We have now seen this pattern with dozens of patients at The Center for Fully Functional Health. The implications of this connection are serious and far-reaching due to the volume of EBV infections globally. Individually, patients are justified in concerns about how to protect their health. Societally, the connection between long COVID and chronic health conditions is important for estimating healthcare capacity, conducting research, and offering treatment guidance. As public interest in the effects of post-COVID symptoms continues to grow, so do worries about the connection to **long-term health issues**. In this article, we'll review what EBV is, the connections between long COVID and reactivated EBV, and the hope offered to patients through **holistic treatment options** that treat the root causes of viral illness. ## ***What Is Epstein-Barr Virus?*** EBV is a variant of the herpes virus (human herpesvirus 4) and it's a common infection. ([1](https://my.clevelandclinic.org/health/diseases/23469-epstein-barr-virus)) In fact, *it's estimated that 95% of the population has had EBV*. EBV's ubiquity is due mostly to its very easy transmission. It can be contracted through routine personal interactions like sharing a drinking glass, sexual interactions, blood transfusions, or contact with bodily fluids. EBV has the highest incidence rate in younger patients aged 15-24. ([2](https://emedicine.medscape.com/article/963894-overview#:~:text=Approximately%2090%25%20of%20the%20US,the%20incidence%20of%20infectious%20mononucleosis)) **EBV Symptoms** Similar to COVID, *EBV symptoms are often quite general*. Thankfully, the symptoms are often not severe. In most cases, EBV is treated with over-the-counter fever reducers and antiviral or anti-inflammatory supplements. Rest is essential during recovery, and physical activities are usually discouraged to prevent a ruptured spleen (swollen spleens are a core symptom). Other common symptoms include: - Persistent, unexplained fatigue - Weakness after activity - Sore throat - Swollen throat and neck lymph nodes - Inflammation - Aches and chills - Headaches - Lightheadedness ## ***Reactivation of EBV and Its Causes*** Unfortunately, EBV is a bit like a bad houseguest - *it just won't leave*. EBV stays dormant for a lifetime, and it can flare up periodically depending on personal health and habits. Some patients (particularly young ones) can also experience an occurrence of infectious mononucleosis after having EBV. Though EBV typically remains latent with no further severe issues, it can be reactivated again for a few reasons. These reasons include: - High stress levels - Insufficient immune system - [Chronic infections](/blog/chronic-infections-reactivated-epstein-barr-virus/) - Antibiotic treatments - Significant hormonal changes - Inflammatory conditions or toxin/mold exposure **Reactivated EBV Symptoms** [Reactivated EBV](/blog/reactivated-epstein-barr-virus-need-know/) can produce a variety of challenging symptoms that endure for weeks or months if not treated appropriately. **Reactivated EBV** also commonly brings an increased risk of additional co-infections. The Reactivated EBV symptoms our physicians see most often are: - Fatigue, typically chronic and often debilitating - Severe achiness - Headaches - Sore throat - Rash - Swollen lymph nodes - Swollen spleen - Swollen liver and/or liver dysfunction - Abnormally low platelet levels ## ***What Is Long Haul COVID?*** [Long COVID](/blog/post-covid-syndrome-symptoms-and-treatment/), sometimes called "long haul COVID," is simply a description of persistent symptoms and an inability to fully recover from the initial infection. ([3](https://www.cdc.gov/)) Initial research suggests that **variants of the COVID-19 virus** (e.g., Omicron, Delta, etc.) are less likely to cause long-haul cases, with some studies claiming a reduction of about 50%. ([4](https://www.neurologyadvisor.com/topics/general-neurology/delta-vs-omicron-variant-higher-risk-long-covid/)) It's important to keep in mind that there are many factors that determine whether someone gets COVID or long COVID, including vaccination status, immune susceptibility, pre-existing medical conditions, and many others. The research on long COVID is still developing, and it's clear that the myriad symptoms associated with COVID recovery make it hard to offer a definitive diagnosis for some patients. Also, long COVID symptoms mimic those of many other chronic health conditions. Persistent fatigue, shortness of breath, and other general health issues could be symptoms of anything from a poor lifestyle to much more acute problems. According to the CDC, *there isn't currently a test specifically for detecting long COVID* (LC), but the symptoms listed below are the ones most commonly associated with LC. ([5](https://www.cdc.gov/)) **General Long COVID Symptoms** - Exhaustion or fatigue that interferes with daily life - Symptoms that get worse after physical or mental effort (also known as post-exertional malaise) - Fever **Respiratory and Heart Long COVID Symptoms** - Difficulty breathing or shortness of breath - Cough - Chest pain - Fast-beating or pounding heart (also known as heart palpitations) **Neurological Long COVID Symptoms** - Difficulty thinking or concentrating (sometimes referred to as brain fog) - Headache - Sleep problems - Dizziness on standing up (lightheadedness) - Pins-and-needles feelings - Changes in smell or taste - Depression or anxiety **Digestive Long COVID Symptoms** - Diarrhea - Stomach pain **Other Long COVID Symptoms** - Joint or muscle pain - Rash - Changes in menstrual cycles You may notice many of these symptoms are also present with Reactivated EBV, making them exceptionally severe and potentially debilitating. The crossover in symptoms can also complicate diagnosis. ## ***How Are EBV and Long Haul COVID Connected?*** Research studies on the relationship between long COVID (LC) and EBV have shown *a connection between acute COVID symptoms and reactivated EBV* (detected serologically). While some studies indicate that EBV reactivation can occur several months afterward, others have shown the co-presence of both viruses, which suggests a near-immediate triggering of EBV in acute COVID cases. ([6](https://www.medrxiv.org/content/10.1101/2022.06.21.22276660v1), ([7](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233978/)) This research is still developing, and current studies are somewhat limited in scope. However, the research is strong enough that doctors now consider LC a known trigger of reactivated EBV. Clinical guidance must follow a clear understanding of the way(s) in which COVID triggers EBV, which simply hasn't been discerned. There are a few missing links in the most recent research on LC and EBV. First, it's unclear if LC can definitively cause an occurrence of EBV viremia, meaning the presence of EBV in the bloodstream. This is a more severe form of infection. Second, in cases where COVID and EBV are detected concurrently, it's unclear whether reactivated EBV is interpreted as symptoms of long COVID (or vice versa). ([8](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233978/)) The degree to which EBV and LC simply exacerbate and conflate symptoms can be hard to say with certainty since *the viruses operate in similar manners*. Because there is not yet a clear clinical protocol for LC and reactivated EBV, it is vital that you see [an experienced Functional & Integrative Medicine physician](/) who has treated both conditions and can formulate a treatment plan based on your personal symptoms, medical history, and laboratory test results. ## ***When to Seek Treatment for Reactivated EBV*** There isn't much clinical guidance on when patients should seek **treatment for EBV after having COVID**. The generality of symptoms can make this problem even more frustrating. Rather than waiting until things get serious, our guidance is a bit more proactive. Here are some simple, straightforward questions to ask yourself (or to help advise a family member or friend): - **Did you test positive for COVID, and have you had lingering symptoms?** - **Do you know that you've previously tested positive for EBV or been diagnosed with mono?** - **Are your post-COVID symptoms causing significant reductions in your quality of life?** - **Do you wish you could regain your pre-COVID alertness and comfort levels?** - **Are you over 50? Older patients typically have a longer and more difficult recovery from COVID, and your age alone could be a good reason to seek testing and treatment.** Because most people are infected with EBV at some point during their lives (perhaps without knowing it), it's a good idea to seek testing if you suspect that it has been reactivated. *This can help prevent worsening symptoms* and potential complications down the road. **At-Home Treatments for Reactivated EBV You Can Start Today** There are simple and effective ways to fight EBV and LC symptoms at home before seeing a doctor or starting treatment with your medical care provider. The following list of simple **home remedies** can help you start feeling better and mitigate the effects of reactivated EBV or LC: - Take active steps to improve your sleep - Try breathing exercises to promote circulation, lung health, and alertness - Focus on healthier eating by removing common inflammatory foods (sugar, gluten, dairy) and adding in more organic, whole foods - Support your gut and immune system with probiotics - Take natural **immune-boosting supplements** like olive leaf extract, lysine, vitamin c, zinc, etc. These measures are not meant to replace the care of a qualified clinician, but *they can help speed recovery* while you await appointments and testing. ## ***What Testing and Treatment Recommendations Can You Expect for Reactivated EBV?*** Your care provider should perform a deep dive through testing, medical history analysis, and observation to find the root cause(s) of your symptoms. This potentially includes EBV, along with other viruses like CMV or bacterial reactivation of infections like mycoplasma and chlamydia pneumoniae. In addition to viral infections, your practitioner should also look at evidence of tick-borne illnesses, mold-related illness, hormone dysregulation/abnormalities, nutrient deficiencies, and gut health markers. ## ***How Can Reactivated EBV Be Treated?*** LC and EBV can both be combated effectively by promoting immune system vitality and addressing key factors in chronic health issues. EBV and COVID both affect mitochondrial functions, and they attack basic DNA-repairing mechanisms. Finding ways to support and boost those functions is a great first step down the treatment path - especially if they are easy, **all-natural methods**. At CFFH, our approach focuses on building a foundation for long-term health. Though exact treatment methods for conditions like reactivated EBV and LC will vary based on your needs, we often follow the proven 5-step process outlined below: - **Identify** whether EBV is reactivated through testing and look for other reasons symptoms may be occurring. - **Reduce** stressors such as a lack of sleep with supplements and reduce reactivated infection with herbal tinctures. In certain cases, antiviral prescription medications may help, but only minimally. - **Optimize** detoxification with the help of lifestyle changes to improve sleep and stress management, as well as detoxifying MedSpa therapies, including the Full Spectrum Sauna, Red Light Therapy, and [lymphatic drainage](/functional-medicine/therapeutic-lymphatic-drainage-massage/). - **Support** mitochondria, energy production, and hormone balance with supplementation, and provide structural support of muscles/bones/membranes with supplements, food, and movement. - **Personalize** your treatment plan and ongoing care with a **Functional Medicine practitioner**. **If you're currently experiencing the symptoms described in this article, or if you're suffering from a chronic health issue, [schedule your consultation](/contact/) with our team today to start the journey toward *a holistically healthy and functional life*. We'll help you understand the next steps and potential treatment options to recover a quality of life.** The Center for Fully Functional Health is located in Carmel, Indiana, and you can reach us by calling [(317) 989-8463](tel:(317) 989-8463), Monday - Thursday 8AM to 5PM Eastern, or by filling out the contact form at the bottom of this page. Sources: 1 [https://my.clevelandclinic.org/health/diseases/23469-epstein-barr-virus](https://my.clevelandclinic.org/health/diseases/23469-epstein-barr-virus) 2 [https://emedicine.medscape.com/article/963894-overview#:~:text=Approximately%2090%25%20of%20the%20US,the%20instance%20of%20 infectious%20 mononucleosis](https://emedicine.medscape.com/article/963894-overview#:~:text=Approximately%2090%25%20of%20the%20US,the%20instance%20of%20 infectious%20 mononucleosis) 3 [https://www.cdc.gov/](https://www.cdc.gov/) 4 [https://www.neurologyadvisor.com/topics/general-neurology/delta-vs-omicron-variant-higher-risk-long-covid/](https://www.neurologyadvisor.com/topics/general-neurology/delta-vs-omicron-variant-higher-risk-long-covid/) 5 [https://www.cdc.gov/](https://www.cdc.gov/) 6 [https://www.medrxiv.org/content/10.1101/2022.06.21.22276660v1](https://www.medrxiv.org/content/10.1101/2022.06.21.22276660v1) 7 [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233978/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233978/) 8 [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233978/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233978/) --- ## Reactivated Epstein Barr Virus – What You Need to Know **Link:** [Reactivated Epstein Barr Virus – What You Need to Know](https://fullyfunctional.com/blog/reactivated-epstein-barr-virus-need-know/) ([md](https://fullyfunctional.com/blog/reactivated-epstein-barr-virus-need-know/index.html.md)) **Description:** How do you get Epstein-Barr Virus? Normally incredibly rare and benign, this condition has suddenly become an issue for so many. Let’s take a closer look. ### Content Approximately 95 percent of us carry a pathogen called the **Epstein-Barr virus** (EBV). For many, this virus is caught in early childhood and largely goes unnoticed. EBV isn’t like most infections that are ‘conquered’ by our immune system but rather it ‘retreats and hides out’ in part of our immune system, called our B cells – a type of white blood cell. Unless you have something that triggers reactivation of the virus, *you’ll likely go your entire life without ever realizing you have EBV*. Unfortunately, there are many factors at play in our modern toxic environment that are contributing to the reactivation of this virus. Like so many other chronic illnesses that are on the rise in America, we are seeing an increased incidence of **reactivated or chronic Epstein-Barr virus** in our practice. So, what’s happening? What’s causing what’s normally an incredibly rare and benign condition to suddenly become such an issue for many? Let’s take a closer look. Usually, people become infected with EBV as young children or as teenagers. In young children, the virus usually goes fairly unnoticed, however, the initial infection in teenagers is usually characterized by fever and extreme fatigue – better known as *mononucleosis* or “mono.” Sometimes teenagers call this “Kissing Disease” because it’s passed through saliva into the oropharynx and causes swollen glands. The Epstein-Barr virus is also known as human *herpesvirus*.¹ As with other herpes viruses (cold sores, genital herpes, chickenpox returning as shingles, etc.), you can have an infection once and never have another episode or you can experience reactivation of the virus and have recurrent bouts throughout your life. In the case of **EBV**, it can become a chronic infection that wreaks havoc in the system. After the initial infection, Epstein-Barr is normally rapidly controlled and ultimately goes dormant by the body’s robust immune system – specifically by our specialized white blood cells called CD4 + T cells.² These cells are what keeps the virus mostly in check. As long as you remain relatively healthy, *your immune system is able to keep EBV dormant*. If for some reason your immune system becomes significantly weakened, maybe due to stressors, toxins including mold/water damaged building exposure, hormone imbalances such as menopause, other infections, or immunosuppressive drugs, for example, this can cause the virus to come out of ‘hiding.’ At this point, it usually attacks your B lymphocytes – another white blood cell.³ ## ***The 10 Most Common Symptoms of Chronic Active Epstein-Barr Virus*** How do you know if your Epstein-Barr virus has been reactivated? **The 10 most common symptoms of the Epstein-Barr virus include:**⁴ - Fatigue – chronic and often debilitating - Severe achiness - Headaches - Sore throat - Rash - Lymphadenopathy (swollen lymph nodes) - Splenomegaly (swollen spleen) - Hepatomegaly (swollen liver) - Liver dysfunction - Thrombocytopenia (abnormally low levels of platelets) Fever is typically seen in **acute infection** but not typically reactivated illness. When we see Epstein-Barr virus in our office, usually our patient comes in thinking they have [Chronic Fatigue Syndrome](/blog/chronic-fatigue-syndrome-behind-the-science/), which can be caused by EBV.⁵ This is the nature of complex, chronic conditions – they often have similar, bodywide symptoms that can be difficult to nail down. Dr. Scott Antoine and I are both board-certified emergency physicians and [Functional Medicine doctors](/), who have been exposed to thousands of complicated cases such as **EBV reactivation**. It’s why we are known as ‘medical detectives,’ because unraveling mysteries like the EBV virus takes careful sleuthing. We’ve also developed our Fully Functional® process to aid us and our patients in the careful methodology needed to solve puzzles like chronic active or reactivated Epstein-Barr virus. ## ***Testing for Epstein-Barr Virus*** Because nearly everyone has this virus it can be difficult to determine if it has become reactivated. We are able to measure immunoglobulin levels which may help us determine the status of the virus but not always. There are other markers that can be measured but they aren’t specific to the virus and are often not easily accessible. These cytokines (proteins secreted by your immune system) are often elevated in **reactivated/chronic EBV** and include: - Interleukin-1β - Interleukin-10 - Interleukin-13 - Interleukin-15 - Interferon-ɣ - Tumor necrosis factor-α - Transforming growth factor-β - Impaired natural killer cell activity (NK) - Lymphokine activated killer activity (LAK) - EBV-specific cytotoxic T lymphocyte activity While not always possible, we do our best to **IDENTIFY** this virus as the underlying cause of your symptoms. From there we can move on through the next steps of the Fully Functional® process, which is critical for helping you become *your most healthy, productive, joy-filled self*. ## ***Conditions Associated with Epstein-Barr Virus*** In addition to various markers caused by an **active Epstein-Barr virus**, sometimes we find that the virus is an underlying cause in another condition. Often it isn’t until the associated condition gets bad enough that it causes a patient to see their doctor. This is why looking for symptoms and testing for untreated infections is something we always look for in our patients. Conditions associated with Epstein-Barr Virus include:⁵ - Chronic fatigue syndrome - Thyroid disease - Autoimmune conditions Several cancers including: - Hodgkin’s disease - B cell lymphomas - Nasopharyngeal carcinoma - T-cell lymphoproliferative disorder - Burkitt’s lymphoma It’s likely we don’t realize how often the Epstein-Barr virus is associated with diseases like cancer. In 2014, it was estimated that over 200,000 cancers were linked to active Epstein-Barr viruses.⁶ Could that number be more? As we get better at identifying reactivated/chronic EBV virus we may find that *it’s not as benign as we once thought*. ## ***Epstein-Barr Virus Treatment*** Treating the Epstein-Barr virus is a complicated process that involves **SUPPORT**ing the immune system. There is no specific cure so we need to do everything we can to help return this virus to its dormant state. This is where the Fully Functional® process shines. We look at your life in its entirety to ***IDENTIFY*** any factors contributing to a dysfunctional immune system, and then we aim to ***REDUCE*** them as much as humanly possible. Next, we will ***OPTIMIZE**** your body through careful management but also adapting and changing factors until they suit you and improve your health in the best manner possible. Finally, we **SUPPORT*** the immune system, the body, and you through this process. Lastly, we empower you with information and create a more ***PERSONALIZED*** long-term plan for you. Complex conditions require in-depth, individual treatment plans, which is exactly why we’ve developed this Fully Functional® process. Together we will Identify, Reduce, Optimize, Support, and Personalize your **Epstein-Barr virus treatment plan** so you can experience a reversal of symptoms and a return to optimal health. You don’t have to do this alone, you can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[*https://www.cdc.gov/[.block][]*](https://www.cdc.gov/)*2 *[*https://pubmed.ncbi.nlm.nih.gov/15906243/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/15906243/)*3 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4199828/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4199828/)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2776035/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2776035/)*5 *[*https://pubmed.ncbi.nlm.nih.gov/22104426/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/22104426/)*6 *[*https://news.cancerresearchuk.org/2014/03/24/developing-a-vaccine-for-the-epstein-barr-virus-could-prevent-up-to-200000-cancers-globally-say/*](https://news.cancerresearchuk.org/2014/03/24/developing-a-vaccine-for-the-epstein-barr-virus-could-prevent-up-to-200000-cancers-globally-say/) --- ## Roasted Broccoli with Lemon Basil Dressing **Link:** [Roasted Broccoli with Lemon Basil Dressing](https://fullyfunctional.com/blog/roasted-broccoli/) ([md](https://fullyfunctional.com/blog/roasted-broccoli/index.html.md)) **Description:** This anti-inflammatory recipe powerhouse-side boosts your broccoli with lemon and basil! One of the keys to healthy eating is to keep things flavorful. ### Content This is a Fully Functional® [anti-inflammatory](https://pubmed.ncbi.nlm.nih.gov/26400429/) powerhouse side. Boost your **broccoli with basil**! One of the keys to healthy eating is to keep things flavorful. This light and fragrant lemon-basil vinaigrette elevates the broccoli with delicious flavor. *Perfect for summer!* Roasting the broccoli also creates a natural caramelization that accentuates all the fresh flavors. Pair with our [Moroccan Chicken With Chickpeas](/blog/moroccan-chicken-chickpeas/). **Replace Recipie Feat** ### Ingredients #### Broccoli - 2 heads broccoli chopped - 2 tablespoons extra-virgin olive oil - Sea salt to taste - Ground pepper to taste #### Lemon-Basil Dressing - 4 tablespoons fresh basil finely chopped - 4 tablespoons lemon juice - 4 tablespoons extra-virgin olive oil - 2 clove garlic minced - 1 teaspoon sea salts - Ground pepper to taste ### Instructions #### BROCCOLI - Preheat your oven at 350°F. - Add chopped broccoli to a rimmed baking sheet. Lightly massage the broccoli with olive oil. Add sea salt and pepper. - Bake for 10 minutes. Remove from the oven and give it a good stir. Bake for another 8 to 10 minutes. Remove from the oven and drizzle with lemon basil dressing. #### **LEMON BASIL DRESSING** - Add salad dressing ingredients to a glass jar with a lid for easy storage (Mason jars work well). Close the jar and shake vigorously until well mixed. - Enjoy! Keywords: anti-Inflammatory recipes, anti-Inflammatory salad, anti-inflammatory spices, quick healthy meal, roasted broccoli with lemon --- ## Roasted Cauliflower Soup with Truffle Oil Drizzle **Link:** [Roasted Cauliflower Soup with Truffle Oil Drizzle](https://fullyfunctional.com/blog/roasted-cauliflower-soup-with-truffle-oil-drizzle/) ([md](https://fullyfunctional.com/blog/roasted-cauliflower-soup-with-truffle-oil-drizzle/index.html.md)) **Description:** Dazzle your company with this sophisticated Roasted Cauliflower Soup with truffle oil drizzle. Of course, this recipe is free of gluten, dairy, and soy. ### Content Dazzle your company with this sophisticated **Roasted Cauliflower Soup**. Before you serve your main dish, start the meal with a bowl of this light, luscious, and perfectly seasoned soup. Your dinner will feel downright elegant, if only for a moment. Of course, this recipe is *free of gluten, dairy, and soy*. Try pairing with [Dr. Scott’s Lemon Garlic Chicken (with White Wine Reduction)](/blog/healthy-lemon-garlic-chicken-white-wine-reduction/). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 1 head cauliflower separated by hand into florets - 2 whole sweet onions halved and sliced - 6+ cloves garlic peeled - 1 tbsp olive oil - 1 quart Chicken stock or broth - 1/2 bunch flat leaf parsley chopped - 1 tbsp truffle oil ### Instructions - Preheat oven to 400°F. - Arrange florets, sweet onions, and garlic cloves on a baking sheet, drizzle with olive oil and sprinkle with sea salt, and bake for about 25-35 mins until cauliflower and garlic cloves are golden brown. - In a saucepan, heat chicken stock (or broth) until warm, and set to the side. - Once your cauliflower and garlic are finished cooking, add them to an immersion blender, pour in chicken stock, and puree until smooth. - If you need to reheat, add to the saucepan that you warmed your stock in, and heat on low for a couple of mins. - Sprinkle with parsley, and drizzle with truffle oil (can also top with gluten-free croutons). - Enjoy! Keywords: anti-inflammatory diet recipes, cauliflower, roasted cauliflower soup, soup --- ## Roasted Veggie Bowl with Creamy Hemp Seed Dressing **Link:** [Roasted Veggie Bowl with Creamy Hemp Seed Dressing](https://fullyfunctional.com/blog/roasted-veggie-bowl-with-creamy-hemp-seed-dressing/) ([md](https://fullyfunctional.com/blog/roasted-veggie-bowl-with-creamy-hemp-seed-dressing/index.html.md)) **Description:** This nourishing roasted veggie bowl with seasonal vegetables is at the top of our anti-inflammatory diet list, and the healthiest kind of comfort food! ### Content This nourishing roasted veggie bowl with seasonal winter vegetables is *the healthiest kind of comfort food*! It’s the perfect way to use up leftover **roasted vegetables** of any kind. Serve over warmed greens and top with a delicious, creamy hemp seed dressing which adds both protein and healthy fats! And if you want to kick it up a notch, consider swapping the Creamy Hemp Seed Dressing out for our [Detox Pesto](/blog/detox-dairy-free-pesto-recipe/); full of **anti-inflammatory spices**, and a crisp herbaceous finish. Feel free to add beans or protein of choice to your roasted veggie bowl. You may also serve alongside your favorite protein for a complete meal. This recipe is great for using leftovers from our [Winter Roasted Veggies](/blog/roasted-winter-veggies/) recipe. **Replace Recipie Feat** ### Ingredients #### For the Veggies - 2 cups spinach wilted - 2 cups leftover roasted winter veggies #### For the Dressing - 1/2 cup hulled hemp seeds - Juice from one lemon - 1/4 cup filtered water - 1 tablespoon olive oil - 1 teaspoon dijon mustard - 1 clove garlic - Sea salt to taste - Fresh ground pepper to taste ### Instructions #### For Spinach and Winter Veggies - Heat skillet on high, when hot add a tablespoon of olive oil, and spinach. - Sauté for 3-4 mins on both sides until golden brown. - Add your winter veggies, and sauté for another 3-4 mins just until warm. #### For Creamy Hemp Dressing - Add all ingredients to a blender and blend on high for 20-30 seconds. If you don't have a blender, add ingredients to a bowl, and whisk briskly for about 3 mins, until all ingredients are well incorporated, and dressing looks creamy. Keywords: anti-Inflammatory recipes, anti-inflammatory spices, hemp dressing, roasted veggie bowl, roasted veggies, roasted winter veggies --- ## Roasted Winter Veggies **Link:** [Roasted Winter Veggies](https://fullyfunctional.com/blog/roasted-winter-veggies/) ([md](https://fullyfunctional.com/blog/roasted-winter-veggies/index.html.md)) **Description:** Who doesn't like a side of roasted winter veggies for dinner? This vitamin-rich mix of sweet potatoes, parsnips, onions and carrots will hit the spot! ### Content Who doesn’t like a savory side of **roasted winter veggies** for dinner? This vitamin-rich combination of sweet potatoes, parsnips, onions, and carrots is savory and a little sweet, crispy, and tender *with a perfect finish of a lovely roasted flavor*. But don’t stop there! Add in whatever other veggies you’re craving or have on hand (and, are **anti-inflammatory diet approved**, of course). Leftovers can be put to great use when you use them in our [Winter Nourish Bowl](/blog/roasted-veggie-bowl-with-creamy-hemp-seed-dressing/). **Replace Recipie Feat** ### Ingredients - 2 large sweet potatoes chopped - 1 large onion chopped - 2 parsnips peeled and chopped - 2 carrots peeled and chopped - 4 tbsp extra-virgin olive oil - 1 tsp sea salt - 1/2 tsp fresh ground pepper ### Instructions - Preheat your oven to 450°F. - Chop the sweet potatoes, onion, parsnips, and carrot into 1-inch pieces. The pieces should be fairly uniform to ensure even cooking. Place the vegetables onto a roasting pan or rimmed baking sheet. - Once your vegetables are in the roasting pan, coat with olive oil, salt, and pepper. Massage the vegetables to ensure that everything is well coated. Spread the vegetables evenly in the roasting pan so that they will cook thoroughly, then roast for 20 minutes. - Remove the pan from the oven and mix the vegetables well. - Put the vegetables back in the oven to roast for an additional 20 minutes. - When the vegetables are done, taste for seasoning and add more salt and pepper if desired. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, roasted vegetables, roasted winter veggies, vitamin A, winter veggies --- ## Root Vegetable Stew – Crockpot Goodness **Link:** [Root Vegetable Stew – Crockpot Goodness](https://fullyfunctional.com/blog/root-vegetable-stew-crockpot-goodness/) ([md](https://fullyfunctional.com/blog/root-vegetable-stew-crockpot-goodness/index.html.md)) **Description:** We love this Root Vegetable Stew in the fall and winter months. Its flavors and fragrances are so cozy, and comforting. Pair with our Gluten-Free Flatbread! ### Content We love this **Root Vegetable Stew** in the fall and winter months. Its flavors and fragrances are so cozy, and comforting. This recipe calls for a large crockpot or adjustments to the recipe may be needed. Optional – *add-in diced organic rotisserie chicken or cooked chicken breasts during the last hour or two of cooking*. Pair with our [Gluten-Free Flatbread: Garlic and Chive](/blog/gluten-free-flatbread-garlic-chive/). And check out the many health benefits of root vegetables [here](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6943509/). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 1/4 cup olive oil - 1 1/4 tsp ginger ground - 1 1/2 tsp cinnamon ground - 1/2 tsp coriander ground - 1/4 tsp cumin ground - 1/8 tsp cayenne pepper do NOT use if nightshade restricted - 1 pinch saffron - 1 pinch Himalayan sea salt or Celtic sea salt to taste - 1 pinch black pepper fresh ground - 2 cups yellow onions large, diced, option – use fennel bulb or leek instead - 1 cup red lentils soak in water while preparing the other veggies and rinse prior to adding to crock pot - 1 lb carrots (approximately 5) peeled and cut into large pieces - 1 lb parsnips (approximately 4-5) peeled and cut into large pieces - 1 lb turnips (approximately 2 -3) peeled and cut into large pieces - 2 lbs butternut squash (or acorn squash or pumpkin) peeled, seeded, and cut into large pieces - 2 lbs sweet potatoes (approximately 4 medium) peeled and diced in large pieces - 4 cups chicken or vegetable broth - 4 cups spinach leaves or chard organic, cut up - 2 tbsp apple cider vinegar ### Instructions - Heat the oil and cook onions until translucent. - Add the spices, except black pepper, to the onions and cook for an additional minute. - Add to crockpot and mix in all other ingredients except the greens (spinach or chard) and vinegar. Pepper to taste. Cook on high. - Cook covered until all veggies are easily pierced with a fork – anywhere from 1-5 hours – depending on your crockpot and the size of the veggies. - Do NOT over-mix the veggies or they will get too mushy. - Add the greens and vinegar to the crockpot. Salt to taste. Cook until greens are wilted. Add more pepper, vinegar, and/or salt if needed. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, anti-inflammatory soup, root vegetable soup, root vegetable stew, soup --- ## Rosemary Lemon Chicken Skillet **Link:** [Rosemary Lemon Chicken Skillet](https://fullyfunctional.com/blog/rosemary-lemon-chicken-skillet/) ([md](https://fullyfunctional.com/blog/rosemary-lemon-chicken-skillet/index.html.md)) **Description:** You will love this easy Rosemary Lemon Chicken skillet meal of juicy chicken breasts marinated in anti-inflammatory spices and herbs, lemons, and rosemary. ### Content You will love this easy [Rosemary](https://www.baldorfood.com/products/organics/fresh-herbs) Lemon [Chicken](https://thousandhillslifetimegrazed.com/blogs/news/thousand-hills-lifetime-grazed-acquires-organic-prairie-mighty-organic-brands) skillet meal of **juicy chicken breasts marinated in anti-inflammatory spices** and herbs, and lemon, garlic, olive oil, and rosemary. Baked to perfection with sweet potatoes and served over a bed of spinach for a complete meal! The combination of lemon with the sweet potatoes is an unexpected, delicious surprise. The heat from the sweet potatoes and chicken will wilt the spinach on the plate, but if you prefer you can cook the spinach just until wilted before serving. If you don’t have rosemary (one of our fave anti-inflammatory herbs), feel free to substitute with herbs such as oregano, thyme, or herbs de Provence. *A perfect meal for the whole family*. Pair with a beautiful appetizer of our [Cashew Avocado Spread](/blog/cashew-spread-with-avocado/) spread on seeded crackers (grain-free, and gluten-free of course!), or dip fresh veggies into the spread. Yum! **Replace Recipie Feat** ### Ingredients - 1 pound chicken breast breasts sliced in half - 2 tablespoons fresh rosemary chopped - 2 lemons 1 zested and juiced, 1 sliced into rounds - 3 tablespoons extra virgin oil divided - 3 cloves garlic minced - 1 teaspoon sea salt or to taste - 2 sweet potatoes cubed - 8 cups baby spinach ### Instructions - Make the chicken marinade by combining rosemary, lemon juice, lemon zest, half of your olive oil, garlic and salt in a bowl. Mix well. - Add chicken breast halves and marinade to a ziploc bag and seal. Shake and set aside while you prep the rest. - Preheat oven to 425ºF. - Heat remaining olive oil over medium-high heat in a large cast iron skillet. Add sweet potatoes and cook until potatoes soften (about 5 minutes) and remove from heat. - Arrange chicken breast halves and lemon slices over the sweet potatoes in the cast iron skillet. Pour the remaining marinade from the ziplock bag over the sweet potatoes. - Bake uncovered for about **40 minutes**, or until chicken and potatoes are fully cooked. - Remove from oven and plate sweet potato and chicken over a bed of spinach. Enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory spices, easy chicken skillet, rosemary lemon chicken, skillet meal --- ## Satay Recipe With Veggies and Chicken (Peanut-Free) **Link:** [Satay Recipe With Veggies and Chicken (Peanut-Free)](https://fullyfunctional.com/blog/satay-recipe-veggies-chicken-peanut-free/) ([md](https://fullyfunctional.com/blog/satay-recipe-veggies-chicken-peanut-free/index.html.md)) **Description:** This satay recipe is rich, creamy, peanut-free, stands up to the Indonesian classic, and is every bit as delicious! Simple, flavorful, anti-inflammatory recipe. ### Content If you love a rich, creamy satay but are avoiding peanuts, *this simple satay recipe is just the solution*. This **peanut-free satay sauce** stands up to the Indonesian classic and is every bit as delicious! You can make this recipe as written, but the almond satay sauce stands on its own as well, to use as a dipping sauce or marinade. Thank you [ coconut aminos](https://www.iherb.com/pr/coconut-secret-the-original-coconut-aminos-soy-free-alternative-to-soy-sauce-8-fl-oz-237-ml/24098?gclid=Cj0KCQjwg7KJBhDyARIsAHrAXaGckIZuZNYE0wiKLV5CN4Adm89gnNDQParkgNXbU6VGaRQACTF06McaAjPMEALw_wcB&gclsrc=aw.ds)! This recipe is easily adaptable. Feel free to swap out the veggies listed for your favorites, or those you have on hand. This **satay recipe** pairs very well with our [Spiralized Zucchini](/blog/zucchini-noodles-with-chicken-and-broccoli/). **Replace Recipie Feat** ### Ingredients #### Chicken - 1 lb chicken breast sliced into thin strips - 2 tablespoon coconut or avocado oil - 1 small head broccoli chopped - 1 large zucchini chopped - 1 carrot chopped - 1 onion thinly sliced - 1 cup cilantro chopped - 2 scallions chopped #### Sauce - 1/2 cup almond butter* - 1/2 cup water - 2 tablespoons coconut aminos - 2 tablespoons sesame oil - 1/2 lime juiced - 2 tablespoons ginger chopped - 1/4 teaspoon cayenne pepper - 1 tablespoon honey optional ### Instructions #### **Satay Sauce** - Add all satay ingredients to a blender and blend until smooth and creamy. Add more water as needed to reach desired consistency. #### **Chicken** - In a saute pan over medium heat, saute chicken in oil until cooked through. Set aside and cover with foil to keep warm. - Add broccoli, zucchini, carrot and onion to the same pan. Add more oil if needed and saute veggies until crisp tender. Add a little water to steam if needed. - When veggies are cooked, add chicken back to the pan and add the cilantro. Mix all together. Divide into bowls and top with desired amount of satay sauce. Top with scallions to garnish. ### Notes: Can substitute [SunButter ](https://sunbutter.com/organic-sunbutter/) for [almond butter](https://buy.onceagainnutbutter.com/products/once-again-organic-creamy-almond-butter-16-oz?variant=29652816298081¤cy=USD&utm_ =product_sync&utm_source=google&utm_content=sag_organic&utm_campaign=sag_organic&utm_campaign=gs-2020-08-28&utm_source=google&utm_ =smart_campaign&gclid=CjwKCAjwgISIBhBfEiwALE19SRPCqSLgELvNXoopSyl_-nnmlyZj4mlbpgELxKvOQ5keXHdmUJPsJhoCswMQAvD_BwE) if avoiding nuts Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, satay recipes --- ## What to Do About the Winter Blues: Signs & Symptoms of Seasonal Affective Disorder **Link:** [What to Do About the Winter Blues: Signs & Symptoms of Seasonal Affective Disorder](https://fullyfunctional.com/blog/seasonal-affective-disorder-signs-and-symptoms-2/) ([md](https://fullyfunctional.com/blog/seasonal-affective-disorder-signs-and-symptoms-2/index.html.md)) **Description:** The Fully Functional® approach to beat the winter blues, Seasonal Affective Disorder (SAD). Explanation, symptoms, and Seasonal Affective Disorder treatment. ### Content It can be a struggle to stay upbeat and productive as the weather turns gray. If you’ve been feeling more tired and less focused as the days grow colder, *you’re not alone*! In fact, studies estimate that as many as 2.95 million Americans may be affected by Seasonal Affective Disorder each year.¹ What Is Seasonal Affective Disorder? Seasonal Affective Disorder (very appropriately abbreviated as “SAD”) is the clinical name for a recurring depressive disorder. **SAD** typically begins in autumn and continues through the winter months. Symptoms of SAD include low energy, feeling irritable or hopeless, and changes in appetite and sleep. Patients with SAD may gain weight or lose their appetite altogether. Activities that were once exciting and joyful during the sunnier months can suddenly feel exhausting or pointless. Young women are most likely to experience SAD, and the further away from the equator you live, the higher the risk.¹ A family history of depression, bipolar disorder, or SAD also increases your chances of developing Seasonal Affective Disorder. In addition to these triggers, you may also be more likely to develop SAD if you are already chronically sick with autoimmune disease, a tick-borne illness, or [suffering from exposure to mold ](/blog/mold-illness-cirs/)or other environmental toxins. These are conditions we see frequently in our practice, and we have noticed a correlation with SAD, as well as for patients dealing with chronic stress, such as parenting a child with [PANS/PANDAS](/blog/solutions-for-pandas-and-pans-find-your-child-again/). *SAD symptoms are at their worst from December to February*, when the days are the shortest. While it may feel easier to try to ignore a case of the winter blues, if left unchecked, this disorder can result in serious issues, including **chronic insomnia and suicidal thoughts**. What Causes Seasonal Affective Disorder? Seasonal Affective Disorder is caused by two primary issues: difficulty regulating the neurotransmitter serotonin, and potential overproduction of the sleep hormone melatonin.¹ Serotonin is a powerful neurotransmitter that helps regulate your mood. A helpful protein called “SERT” is responsible for transporting serotonin in the brain. However, that process needs to happen gradually so that serotonin has time to do its important work. Too much SERT can mean lower serotonin activity, which in turn can cause depressive disorders like SAD. One study showed that SERT levels are 5% higher during the winter months in people suffering from Seasonal Affective Disorder.² Coupled with serotonin issues, *SAD patients may also produce too much melatonin*. Melatonin is a hormone that causes you to feel sleepy when it’s dark. During gray winter days, your system may produce too much melatonin, causing you to feel lethargic. The one-two punch of low serotonin activity and higher melatonin levels packs a wallop for your circadian rhythms. Circadian rhythms are what help your body follow a 24-hour cycle of sleeping and waking. In people with Seasonal Affective Disorder, the circadian signal of a change in seasons is timed differently. *This may lead to very real and often debilitating symptoms.³* So what can you do if you or a loved one is suffering? Treatment for Seasonal Affective Disorder If you suspect Seasonal Affective Disorder, the first step is a complete workup with a functional health clinician. This is to ensure there are no other conditions causing your symptoms. At the Center for Fully Functional® Health, *we always do a deep dive first to rule out other illnesses* before diagnosing SAD. Once SAD is confirmed, we recommend supplementing with vitamin D3 and a mood support formula such as SAM-e. (High-quality formulations of both can be found in our shop or in our office.) We also treat SAD patients with [Glutathione IV therapy](/functional-medicine/iv-lounge/), [full-spectrum sauna sessions](/functional-medicine/infared-sauna-therapy/), and red light therapy, also known as “photobiomodulation.” Research proves that exposure to the full light spectrum can help reset the neurotransmitter and hormone imbalances that may cause Seasonal Affective Disorder, as well as increase the production of antioxidants that are key to reducing inflammation.⁴ We offer full-length red light therapy in our office. However, we highly recommend SAD patients invest in a 10,000 lux lightbox for use at home. It’s an affordable, convenient way to help prevent the discomfort of Seasonal Affective Disorder symptoms. According to recent studies, transcranial photobiomodulation may also be effective as a natural antidepressant.⁵ If you are interested in trying this form of therapy, you can find reputable, effective devices from [Vielight](https://vielight.com/devices/). (Use coupon code CFFH10 to save 10%.) ## ***Please Reach Out to Us*** If you suspect you have SAD or other symptoms of depression, we would be honored to help. Our physicians and team are here for you year-round. Ensuring you live your healthiest, most productive, and energetic life. That’s what it means to live Fully Functional® and what we want for all of our patients! You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *[.block][]**Sources:**[.block][]**1*** https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011269.pub2/full [.block][]***2*** https://www.sciencedirect.com/science/article/abs/pii/S0924977X14705061?via%3Dihub [.block][]***3*** https://jamanetwork.com/journals/jamapsychiatry/fullarticle/481869 [.block][]***4*** https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011269.pub2/full *[.block][] 5 *[* https://pubmed.ncbi.nlm.nih.gov/30346890/ *](https://pubmed.ncbi.nlm.nih.gov/30346890/) --- ## Self-Care for Caregivers **Link:** [Self-Care for Caregivers](https://fullyfunctional.com/blog/self-care-for-caregivers/) ([md](https://fullyfunctional.com/blog/self-care-for-caregivers/index.html.md)) **Description:** While it may not be your first instinct right now, you simply can’t afford to put yourself last. Here are some ways to practice self-care for caregivers. ### Content Your loved one is sick and your highest purpose right now is to care for, nurture, and support them. *That is understandable*. However, this dedication often leads to some [serious neglect](https://pubmed.ncbi.nlm.nih.gov/28247128/) of your own self-care. So we’re sharing our pro tips on **self-care for caregivers**. It goes without saying that caring for a sick family member is exhausting physically, emotionally, and mentally due to the chronic stress and physical demands. *The effects of caregiving on health and well-being are well documented*. If not managed well, these stressors will come with a very high cost and some serious health consequences. The pressures and chronic stress of a caregiver may lead to irritability, insomnia, weight gain, exhaustion, anxiety, depression, digestive issues, reduced immune function, brain fog, and even social isolation. You may feel burnt out and unable to cope. [You may even suffer from feelings of guilt](/blog/pandas-and-pans-treatments-natural-remedies/). While it may not be your first instinct right now, you simply can’t afford to put yourself last and risk the breakdown of your own physical and mental wellbeing. After all, your loved one is depending on you to be at your best! **It is not selfish to care for your own needs**. **Making time to nourish yourself and creating the space to attend to your own needs makes you more centered, stronger, and better able to support others.** Here are several ways to practice the crucial self-care needed as a caregiver: ## ***Make Eating Well a Priority*** It’s easy to let nutrition fall by the wayside when life is complicated and busy. It’s also tempting to skip meals altogether. But *nourishing your body is more important now than ever*. You have to eat, so eat well! Eat nutrient-dense, **anti-inflammatory**, regularly scheduled meals to fuel the energy you need for caregiving. Chronic stress leads to inflammation, so it’s important to avoid inflammatory foods, such as highly refined and processed and fast foods and foods high in sugar. These foods will also zap your energy and lead to mood swings and blood sugar issues, all of which will work against you, not for you! ## ***Optimize Sleep *** It’s vital to *maintain adequate sleep habits*, especially during times of stress. Sleep affects every aspect of our mental, emotional and physical performance. It’s crucial for your body’s own restoration and gives you the leverage and resilience you need to face and overcome daily challenges. Consider creating a short and simple evening ritual that promotes relaxation such as some deep breathing exercises, a calming bath, meditation, journaling or light stretching and restorative yoga poses. Create a **sleep sanctuary** with an environment that encourages sleep! This is your time off. Make the most of it. ## ***Engage Your “Relaxation Response” With Mind-Body Practices*** Your **relaxation response** is your body’s natural way to combat stress and is regulated through the parasympathetic nervous system. You have the means to activate this response in the body through mind-body practices and deep relaxation techniques such as meditation, prayer, yoga, and deep breathing. Try this simple breathing technique *to reset your parasympathetic nervous system* in times of acute stress or proactively throughout the day. **The 4-7-8 breath** - Breathe in through the nose for a count of 4. - Hold for a count of 7. - Slowly release the breath through the mouth for a count of 8. - Repeat 5 times, or for several minutes until you feel a deeper sense of calm. If these counts are too challenging, you can shorten the counts or simplify the breath even more by just breathing deeply for 4 counts in and 4 counts out, slowly, deeply, and intentionally. ## ***Practice Grace & Self-Compassion*** *Have grace for yourself* (and your other family members!) There is a ripple effect on the whole family when one member is suffering from a **chronic illness**. The stress can cause tensions to run high. You won’t manage this perfectly and neither will your family. Everybody deserves some grace, but especially you if you are the main caregiver. Quiet the harsh inner voice that is critical of self. **Practice self-compassion** by giving yourself credit for the challenging and complex work of caregiving and grace for your mistakes. *This is the foundation for self-care*! ## ***Feed Your Spirit & Nurture Your Soul*** Practice simple acts of kindness for yourself. This includes those practices that lift your spirit and keep you functioning optimally. What feeds your soul? What makes you feel stronger, more energized, more relaxed? Make room for creativity and commit to aligning at least a small part of your day to participate in activities that light you up and fuel your inspiration. ## ***Maintain Social Connection*** Your social connections can be a great support for you during this time of caregiving. Find someone to help with the caregiving from time to time to allow you to get out and reconnect with friends. It can also be tempting to reject help that is offered, not wanting to “inconvenience” your friends, thinking you can do it all on your own. Take the help! *Allow your friends to support you*. ## ***Cultivate Gratitude*** Even in the midst of massive challenges, we can always find things to be grateful for. Tapping into this gratitude forces a mindset shift toward the positive and helps us to be more resilient in the midst of our challenges. Life has thrown you a curveball, but you have the strength to handle it when you make your own **self-care** a priority! When you replenish your physical, mental, and emotional wellbeing, you will have more to give. It also makes you less vulnerable to self-sabotage and sets a good example for those you care about. You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Sesame Bok Choy Sauté **Link:** [Sesame Bok Choy Sauté](https://fullyfunctional.com/blog/sesame-bok-choy-saute/) ([md](https://fullyfunctional.com/blog/sesame-bok-choy-saute/index.html.md)) **Description:** You don’t need to consume dairy to eat a diet rich in calcium. Eating dark leafy greens, like our Sesame Bok Choy Sauté, is a great source of calcium! ### Content You don’t need to consume dairy to eat a diet *rich in calcium*! Dark leafy greens are a great source of [calcium](https://www.hsph.harvard.edu/nutritionsource/calcium/) and bok choy is one of our favorites! Sesame seeds also contain calcium and pair so well with bok choy in this simple 4 ingredient **Sesame Bok Choy Sauté**! Eating a wide variety of vegetables is important for gut health and nutrient diversity. If bok choy is new to you, try this easy Sesame Bok Choy Sauté recipe to get started with this superfood veggie and introduce another vegetable to your weekly mix. This recipe would pair very well with our [Honey Ginger Glazed Salmon](/blog/honey-ginger-glazed-salmon/)! **Replace Recipie Feat** ### Ingredients - 6-8 heads baby bok choy chopped - 2 tablespoons toasted sesame oil - 2 tablespoons coconut aminos or more to taste - 1-2 tablespoons black or white sesame seeds ### Instructions - Heat toasted sesame oil in a skillet over medium heat. - Add the chopped white/light green parts of the bok choy to the skillet and saute until almost tender, about 4-5 minutes. - Add the bok choy greens and coconut aminos and saute until the greens have wilted (1-2 minutes). Top with sesame seeds to serve. Keyword: dark leafy greens, easy bok choy recipe, non dairy calcium rich foods --- ## Shifting Perspective: Game Changer **Link:** [Shifting Perspective: Game Changer](https://fullyfunctional.com/blog/shifting-perspective-game-changer/) ([md](https://fullyfunctional.com/blog/shifting-perspective-game-changer/index.html.md)) **Description:** This is a personal story and one about our daughter that helped us with shifting perspective on something very important. About our daughter, the game-changer. ### Content ## Shifting Perspective: Game Changer As a physician, I have a very important role in the health of my patients and I take this very seriously. I had an experience recently that I want to share with you that changed me. I’m **shifting perspective** on some things and how I believe each of us should view our roles. I hope this story inspires you as it has me! You have your own unique gifts and value to offer the world and my goal is always to help you feel your best so you can be Fully Functional® for life. It has to do with the phrase *game changer*. Let me start with a little backdrop… My daughter, an incredible high school soccer player, has recently been given the nickname *game changer* and it didn’t hit me until recently what a phenomenal title this is. She’s been playing soccer for about 14 years and over the last several years has made the varsity soccer team in a school with incredible talent. In fact, *we just won the state championship title*. That being said it is very competitive and not everyone can be a *starter*. The *starters* are the first eleven girls on the field. It’s the role all the girls typically want. Prior to this high school team, my daughter played almost every minute of every game. It was not uncommon for her to *start* and finish. When she made this high school team we were thrilled for her. She loves soccer and is a great athlete. However, making this team meant she was no longer ‘starting.’ I often see her from across the field pacing the bench and itching to get out on the field. We always laugh because we know which girl is ours…sometimes that can be a challenge amidst the uniforms and blonde ponytails…but she’s the one that never sits, is always ready to go and we laugh and say she is like a caged animal *waiting for the door to open*. One of her coaches even made a sign recently that said: “Unleash Emma”. This year she was the first recipient of the Indiana High School Athletic Association (IHSAA) Face of Sportsmanship Pin. I couldn’t understand why this girl with such drive, speed, talent, and desire to always do her best while also being an amazing teammate wasn’t a ‘starter.’ Being a ‘starter’ is prestigious. Parents and college coaches take note and you are considered ‘one of the best’ when you are on the starting line-up. But I had it all wrong. From a spectator’s point of view, it appeared that the coaches felt that my daughter was ‘second best’ because her name wasn’t being called out at the beginning of the game. Don’t get me wrong, those ‘starters’ deserve to be there. They are amazing! This team as a whole is why we made it to the finals and won. This is not an individual sport. I also understand that not all the girls on the team can be on that front line but if I am being perfectly honest, I was disappointed and confused. Until this… I typically don’t like to ask my daughter questions about this sort of stuff (because in the grand scheme of things it really doesn’t matter) and I’d never want to make her feel bad but one day I asked her why she thought she never ‘started.’ She was so matter-of-fact and completely confident and happy in her answer to me about her role. She told me that her coach said she had a very important job: **She is the ‘game-changer.’** It was like a light switch went on in my mind. First off, how ridiculous and embarrassing is it that I was questioning why she wasn’t a starter? She plays her hardest and she is part of an incredible team! Any position on this team is prestigious. *But it was more than that*. It was in this moment that it all made sense. **She is a GAME CHANGER**! She’s tenacious, scrappy, spunky, tough, and completely changes the energy on the field. It’s not uncommon for her team to score within a few minutes of her cleats hitting the field. I am not bragging, it’s true! I felt bad that I hadn’t appreciated that before. It changes the way I look at every game I attend and it has changed the way I look at my own life. I want to be a *game-changer* too. Whether I ‘start’ or not, I want to change the game! Merriam-Webster’s definition of a game-changer is: *a newly introduced element or factor that changes an existing situation or activity in a significant way*. Here are some of the very many attributes of a *game-changer*: - Passionate and committed - Brings zeal and zest - Driven to get results - Has grit - Doesn’t give up - Delivers positive change - Creates team spirit *I am so proud of my daughter!* Not because she plays soccer on a well-decorated team. Not because the team won the state championship. But because she is a GAME CHANGER! She’s not only a game-changer on the field but she’s a game-changer in life. It doesn’t matter if she ‘starts’ it’s how she ‘plays the game.’ I don’t know about you but I want to be like my daughter. I want to be a *game-changer*! How about you? You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Shift Your Mindset To Become Fully Functional® **Link:** [Shift Your Mindset To Become Fully Functional®](https://fullyfunctional.com/blog/shift-your-mindset-to-become-fully-functional/) ([md](https://fullyfunctional.com/blog/shift-your-mindset-to-become-fully-functional/index.html.md)) **Description:** Shift your mindset! We find that a patient’s mindset can make or break their outcome. We're breaking down the growth mindset, and why it's so important. ### Content In our practice, Dr. Scott and I find that *a patient’s mindset can make or break their outcome*. The patient’s mindset is so important that we include a question about willingness to change in our patient intake form. We can have the most cutting-edge treatment options, but if patients aren’t willing to do the hard work of implementation, they don’t ultimately experience the most fruitful progress. That’s why we’re covering some **helpful tips to shift your mindset**. To be successful on this Fully Functional® journey, patients need to adopt a completely different mindset than what they might have had when operating within the traditional healthcare arena. What is this mindset? We find that our patients who are willing to make progress on their health adopt a **growth mindset**. We’ll break down the *growth mindset* here, to help you make the most of your health and become Fully Functional®. ## ***Fixed Mindset vs Growth Mindset*** The idea of a “growth mindset” comes from author and researcher Carol Dweck, who writes about *two opposing ways of approaching life* in her book, “[Mindset](https://www.amazon.com/Mindset-Psychology-Carol-S-Dweck/dp/0345472322)” – the *fixed mindset* and *growth mindset*. Brainpickings does a great job of summarizing the book [here](https://www.brainpickings.org/2014/01/29/carol-dweck-mindset/), along with a helpful infographic. While the book was originally written for teachers and the classroom, it is tremendously applicable in other arenas, *including the journey towards wellness*. When it comes down to it, the *growth mindset* is about believing that situations (and your health outcome) can change and that it’s not static. For twenty years, my research has shown that the view you adopt for yourself profoundly affects the way you lead your life. It can determine whether you become the person you want to be and whether you accomplish the things you value. – Carol Dweck Let’s break down the *fixed mindset* vs. the *growth mindset *in some practical applications: - While patients with a **fixed mindset** avoid challenges, our patients with a **growth mindset** embrace challenges and are honest with themselves about the reality that they’re facing a health challenge, and are actively looking for solutions. - Our patients with a *fixed mindset* give up easily, but our patients with a *growth mindset* choose to lean in when they hit a roadblock. They see the roadblock as a learning opportunity to rule something out, and choose to believe that they’re further along than when they started because they learned something that *didn’t* work. Ruling something out is still a form of progress! - Most patients who are unwilling to put in effort don’t make it to our practice. It’s worth acknowledging that *any* change requires effort – especially one as crucial as **regaining health**. Our patients with the *growth mindset* embrace effort and are willing to invest time and hard work into trying an alternate path. - Our patients with a *growth mindset* don’t view themselves as victims of their illness but instead, choose to embrace this trial as a deeply character-building challenge and believe that they *can* change the course of their health trajectory. Of all the things on this list, this one can be the hardest – so it’s not something we write lightly. ## ***Shift Your Mindset: Choosing the Growth Mindset*** Choosing to put the *growth mindset* into practice has hit close to home for Dr. Scott and I, and is a key part of why we are practicing [Functional Medicine](/) today. If we had a *fixed mindset* over 14 years ago when our family was experiencing numerous health crises – Dr. Scott had a brain tumor, I was experiencing pain and fatigue and was diagnosed with lupus and several of our children were struggling socially and academically (watch a video I created years ago about our story HERE) – we would have simply accepted those diagnoses at face-value. Instead, we chose a growth mindset and I dug in wholeheartedly into investing in finding answers and solutions. Of course, we hit roadblocks along the way. We were offered prescription medications to address everyone’s symptoms but no explanations as to why we were all sick. I needed to understand the underlying root causes. Because I didn’t find any doctors offering the workup and solutions I wanted, I decided to pursue education and certification in **Functional Medicine** for myself so that I could help my family. Today, our family is in a distinctly different place. This unrelenting investigation and application of the *growth mindset* has been foundational to how we practice. At The Center for Fully Functional® Health, we think outside the box and try new things, all in an effort to help you become Fully Functional®. *We give 100% because we believe that 95% isn’t good enough*. Are you ready? ## ***Related Resources*** - [Cultivate an Attitude of Gratitude](/blog/cultivatating-gratitude/) – our thoughts on how to practice gratitude when in the midst of a health crisis - [Being Your Best Advocate](/blog/being-your-own-health-advocate/) – 10 tips for ensuring you are prepared and receive excellent care You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Signs of Magnesium Deficiency and Supplement Options **Link:** [Signs of Magnesium Deficiency and Supplement Options](https://fullyfunctional.com/blog/signs-of-magnesium-deficiency-and-supplement-options/) ([md](https://fullyfunctional.com/blog/signs-of-magnesium-deficiency-and-supplement-options/index.html.md)) **Description:** Magnesium is super important in the body. We're sharing the signs of magnesium deficiency, and the Fully Functional® benefits of taking magnesium supplements. ### Content ## ***About Magnesium*** Magnesium is required for many processes in the body, including [glutathione production](/blog/benefits-of-glutathione-our-most-potent-detoxifier/), **our most potent detoxifier**. Having a magnesium deficiency can lead to obnoxious, persistent, and painful symptoms. We’re sharing our expert insider info on the signs of magnesium deficiency, and the best supplement options. It’s a “cofactor in more than 300 enzyme systems that regulate diverse biochemical reactions in the body, including protein synthesis, muscle and nerve function, blood glucose control, and blood pressure regulation.”¹ ## ***Signs of Magnesium Deficiency*** When patients are low in magnesium, they often experience headaches or migraines, depression, PMS symptoms, anxiety, fatigue, muscle twitching, high blood pressure, and asthma.² Things like alcohol consumption, antibiotics and other prescription medications, intestinal permeability (‘leaky gut’), diarrhea, and chronic stress can be the root cause behind low magnesium, or *it can simply be attributed to a low absorption rate for even the most magnesium-rich food sources*. At The Center for Fully Functional® Health, we use these forms of magnesium in the **SUPPORT** phase of our [Fully Functional® protocol](/blog/fully-functional/): ## ***Magnesium Citrate*** A common, cost-effective oral form. In addition to providing magnesium support, this form can loosen stools, which is a side-effect that can be flipped to be beneficial, if patients are experiencing constipation. You may find our Fully Functional® formula at our store. ## ***Magnesium Glycinate*** This oral format of **magnesium** is one of the most popular because it is assimilated well into the body without having a laxative effect. You may find our Fully Functional formula® at our shop. ## ***Magnesium Threonate*** This form is great for brain support. Dr. Perlmutter, who specializes in **functional neurology**, appreciates this form because it “has the unique ability to permeate the brain and enhance the receptors” that are involved in synapse formation in the brain.³ This supplement comes in a berry-flavored powder that features Albion’s chelated magnesium for enhanced absorption. *A groundbreaking organic magnesium compound* that was developed by MIT (Massachusetts Institute of Technology) researchers to support brain health and cognitive function. It comes in a powdered form that we often recommend patients taking before bed, you may read more and shop our formula at our store. ## ***Transdermal Magnesium Chloride Oil*** Last but definitely not least, we recommend **topical magnesium** because it can be absorbed through the skin, and bypasses the digestive system, which can be compromised in many of the patients we see. Magnesium Chloride is also highly absorbed into the body compared to many of the forms of magnesium.⁵ Transdermal formats include [spray](https://www.ancient-minerals.com/product/magnesium-oil/) and [bath flakes](https://www.ancient-minerals.com/product/magnesium-bath-salts/) which we carry in our office. We also have a fabulous recipe for [Lavender Infused Magnesium Bath Salts](/blog/magnesium-bath-salts-with-lavender-recipe/). It should be noted that some patients share that this form causes itching (especially if more deficient) that should subside after further application. The abdomen and legs are great application areas. Before taking any new supplements or trying new therapies, *please check with your physician first*. Feel free to print this article and share it with them! We hope that if you are experiencing a **magnesium deficiency**, that you find relief soon. You can book an appointment at our [functional medicine practice](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[*https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/[.block][]*](https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/)*2 *[*https://www.kumc.edu/school-of-medicine[.block][]*](https://www.kumc.edu/school-of-medicine/)*3 *[*https://www.drperlmutter.com/magnesium-threonate-powers-brain/[.block][]*](https://www.drperlmutter.com/magnesium-threonate-powers-brain/)*4 *[*https://magtein.com/[.block][]*](https://magtein.com/)*5 *[*https://www.ancient-minerals.com/magnesium-chloride/*](https://www.ancient-minerals.com/magnesium-chloride/) --- ## Skipping Breakfast? Are You Increasing Your Risk For Heart Disease? **Link:** [Skipping Breakfast? Are You Increasing Your Risk For Heart Disease?](https://fullyfunctional.com/blog/skipping-breakfast-are-you-increasing-your-risk-for-heart-disease/) ([md](https://fullyfunctional.com/blog/skipping-breakfast-are-you-increasing-your-risk-for-heart-disease/index.html.md)) **Description:** Skipping breakfast? You may want to reconsider. Eating breakfast not only helps with weight control but also impacts your risk of heart disease. Learn more! ### Content Skipping breakfast? You may want to reconsider. We all know that *the types of foods we eat have a major impact on our health*. We’ve also been told that **‘breakfast is the most important meal of the day.’** As it turns out, eating breakfast not only helps with weight control but also impacts your risk of heart disease. A study published July 23, 2013, in the journal Circulation revealed that men who skip breakfast are 27 percent more likely to develop heart disease than men who begin each day with a meal.¹ Additionally, the timing of meals is important. This study also demonstrated that men who eat late at night have a 55 percent higher risk for cardiovascular disease than those who go to bed on an empty stomach. Previous trials have shown that adults who skip meals are more likely to exhibit certain cardiovascular risk factors, such as excessive body weight, hypertension, dyslipidemia, insulin resistance or type 2 diabetes. Habitually skipping breakfast, for example, can increase your chances for significant weight gain by 15 percent and heighten your risk for type 2 diabetes **by over 20 percent**. This is the risk study that has linked poor eating patterns to coronary heart disease. Additionally, *it is best to spread your calories out over the day*. Individuals who consume all of their daily caloric needs at one sitting tend to have higher LDL-C, triglyceride, apolipoprotein-B and blood pressure levels. What to do if you wake up not hungry? Have a small meal consisting of healthy protein and complex carbohydrates found in veggies or a small amount of low glycemic fruit (like berries). A protein smoothie is a great way to start your day. Check out our amazing [breakfast recipes](/blog/)! At The Center for Fully Functional® Health store, we carry a wide variety of protein powders including one that’s geared toward supporting detoxification, immune function, healing the GI tract, and glycemic control. Please Note: Above statements are not written by Health Realizations nor the opinion of Health Realizations [.block][]You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 http://circ.ahajournals.org/content/128/4/337.full* --- ## Slow Cooker Ratatouille **Link:** [Slow Cooker Ratatouille](https://fullyfunctional.com/blog/slow-cooker-ratatouille/) ([md](https://fullyfunctional.com/blog/slow-cooker-ratatouille/index.html.md)) **Description:** This easy ratatouille recipe is made simple by cooking the vegetables using your slow cooker, and we’re not sacrificing flavor! Fully Functional® foods FTW! ### Content *A taste of France!* Ratatouille is a traditional vegetable stew from Provence in the south of France. We’re simplifying the traditional recipe by cooking the vegetables in the slow cooker, rather than the traditional way. This **Slow Cooker Ratatouille recipe** ticks all the **anti-inflammatory diet** boxes, and we’re not sacrificing flavor! Full of fresh vegetables like eggplant, zucchini, tomatoes, bell peppers, onions, [garlic, and herbs ](https://www.spicely.com/collections/all), this is a wonderful vegetable side dish to any meal or you can serve over lentil pasta or even in an omelet for a complete meal. Pairs well with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/). **Replace Recipie Feat** ### Ingredients - 1/4 cup olive oil - 6 cloves garlic minced - 3 onions sliced - 8 plum tomatoes chopped - 4 medium zucchini chopped - 1 large eggplant chopped - 2 yellow or orange bell peppers chopped - 1/2 cup vegetable broth - 1/4 cup tomato paste - 1 tablespoon thyme - 1 tablespoon oregano - Sea salt - Fresh ground pepper ### Instructions - Add all ingredients to your slow cooker. Mix well to combine. - Cover and cook 4 hours on high or 7-8 hours on low. Add salt and pepper to taste. - Serve warm. Keywords: anti-inflammatory diet recipes, easy ratatouille recipe, functional foods, traditional vegetable stew, vegetarian slow cooker recipes --- ## Solutions for PANDAS and PANS: Find Your Child Again **Link:** [Solutions for PANDAS and PANS: Find Your Child Again](https://fullyfunctional.com/blog/solutions-for-pandas-and-pans-find-your-child-again/) ([md](https://fullyfunctional.com/blog/solutions-for-pandas-and-pans-find-your-child-again/index.html.md)) **Description:** PANDAS and PANS are autoimmune disorders. If your child has PANDAS/PANS, his or her immune system is attacking their brain. Please read our solutions. ### Content ## ***PANDAS and PANS*** **PANDAS and PANS** are relatively newly discovered conditions that are downright scary for both the child and parent. They are characterized by sudden psychiatric and neurological changes in your child. *They often appear to have happened overnight*. Initially mistaken for psychiatric conditions, a new understanding of PANDAS and PANS has improved the way many doctors examine children experiencing sudden changes in personality or behavior. Yet *there is still a chance your child could be misdiagnosed* and put on medication for mood disorders, OCD or ADHD without understanding the true root cause of their symptoms. Those medications won’t work if your child is suffering from PANS or PANDAS. This is because PANS and PANDAS are **autoimmune disorders**. If your child has PANDAS/PANS, his or her immune system is attacking their brain. This causes drastic changes in behavior and mood. It often leads to your child developing tics or an aversion to food. We call this a “*brain on fire*.” ## ***What Are PANDAS and PANS?*** *Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal infections* (**PANDAS**), is a disorder seen in children after they experience a group A strep infection.¹ Please bear in mind that sometimes months can go by after an infection before your child displays symptoms of PANDAS. In PANDAS, while fighting a strep infection, *your child’s immune system begins to attack his or her brain*, confusing the brain tissues for foreign bacteria. It’s an example of friendly fire — an invisible war is being waged in your child’s body. The immune system is unable to differentiate between certain tissues of the body and the infection it is trying to beat, an autoimmune response known as ‘[molecular mimicry](/blog/molecular-mimicry-case-friendly-fire/).’ **This is what causes PANDAS**. **PANS** stands for *Pediatric Acute-onset Neuropsychiatric Syndrome*. PANS shares many of the same symptoms and markers as PANDAS — the key difference is that *PANS doesn’t come from a prior strep infection*. In fact, it is often difficult to narrow down the infection or event that triggered the autoimmune response which results in PANS. PANS is more of an umbrella term for a similar syndrome caused by another (sometimes unidentified) organism or toxin. Whether it is PANDAS or PANS, you may be feeling frightened and overwhelmed. Your child is no longer the sweet, good-natured, hard-working kid you raised. In their place stands a difficult, often angry, impulsive creature with poor motor skills. We understand how frightening this can be. ## ***Does PANDAS Really Exist?*** Unfortunately, we hear far too often that parents suspect that their child may have PANDAS/PANS based upon a **sudden behavioral change**, sudden OCD, or food restriction following an infection only to be told that PANDAS “does not exist” or is “controversial” by their physician. The National Institute of Health (NIH) currently has an active inpatient unit where children are treated with severe PANS/PANDAS. Much of the literature about these disorders has come from patients treated in this unit. The NIH PANDAS physician group is currently scheduled to speak at several pediatric conferences in this coming year to educate physicians on the front lines of pediatric care about this devastating disorder. Remember: *You are your child’s best advocate* and although it is tough, you need to keep fighting to get your child the best treatment. ## ***A PANDAS/PANS Symptom Checklist*** Has your child: - Suddenly developed obsessive or compulsive thoughts or actions? - Suddenly developed one or more nervous tics?³ - Developed an aversion to food or difficulty swallowing? - Become anxious? - Been depressed? - Become irritable or quick to temper? - Shown aggressive behavior or become very defiant? - Suddenly found schoolwork more difficult? - Shown a marked deterioration in their handwriting? - Started behaving as though he or she has regressed to an earlier age (often exhibiting “baby talk” at a much older age)? - Felt distress at parting from you even for a short while? (called “separation anxiety”) - Started to urinate more frequently, or lose control of their bladder when previously potty trained (often at night)? - Lost their fine motor skills? - Stopped sleeping? These disorders are particularly suspected when your (typically) prepubescent child has acute onset OCD or begins to restrict their food intake. Your child may also develop a new tic (of the face or body) and display difficult or defiant behavior. If your child is exhibiting some of these symptoms and you feel like they have come out of nowhere – **we advise you to consult a physician who specializes in treating PANDAS and PANS.** Your child may need to undergo different tests such as a throat culture or rapid antigen test, a physical exam, testing for infectious diseases, and immunodeficiency testing. To exclude other concerning diagnoses, an MRI scan of the brain may be needed. Testing for autoimmune conditions may also need to be completed. ## ***PANDAS and PANS Treatments*** If you suspect PANDAS/PANS you **need** to find a physician with experience in these disorders. Once your child has been tested and the physician has confirmed the diagnosis of PANDAS or PANS, *treatment can be discussed*. ### **1. Antibiotics** A course of antibiotics can be the first defense. We may need to prescribe a course lasting weeks or months to target the underlying infection. Other antimicrobial agents can be effective too. ### **2. Anti-inflammatory diet** By anti-inflammatory, we prescribe *a diet free of sugar, gluten, and dairy*. We recommend you work with a [health coach](/functional-medicine/health-coaching/) one-on-one, learning to prepare healthy, non-processed food to help your child heal from the inside. ### **3. Anti-inflammatory supplements and medications** We often combine an **anti-inflammatory diet** with nutritional supplements. Omega-3 fats, curcumin, and Boswellia are all anti-inflammatory. A short course of NSAIDs (like ibuprofen) or steroids may also be required for recovery. ### **4. Intravenous Immunoglobulin therapy** Intravenous immunoglobulin therapy has shown to be especially effective on children struggling with a moderate to severe case of PANDAS/PANS. *It reduces inflammation*, and although we don’t understand the exact science yet, the donor antibodies either overwhelm the abnormal antibodies or retrain them. ### **5. Plasmapheresis** This **blood-cleansing procedure** processes your child’s plasma. Plasma is the part of their blood that carries the antibodies and other immune system components. By flushing his or her blood we can reduce the inflammatory response. This is performed at some specialty centers for cases that have failed other therapies. ### **6. Cognitive Behavioral Therapy** Cognitive Behavioral Therapy (CBT) is an excellent tool. It helps your child realize coping strategies and ways to challenge compulsive actions, anxiety, and sudden mood changes. CBT assists your child in regaining their confidence and independence. It is a great coping strategy for the severe OCD symptoms common in PANS/PANDAS. ### **7. Tonsillectomy** Tonsillectomy may be *a preventative measure to reduce the recurrence of strep throat*. Some parents say it gives them peace of mind used as a precaution against strep. ### **8. Avoid exposure and take antibiotics as preventatives** Avoiding exposure to infection involves close liaison with your child’s school and the understanding of the wider community. When you or your child feel that there has been exposure to strep, it may be necessary to start him or her on a course of antimicrobials as a preventative. ## ***Keep Fighting and Find the Right Certified Functional Medicine Physician*** When your child has PANDAS/PANS, it is one of the greatest challenges you face as a parent. To see your child suddenly transform into a volatile monster is an awful experience. Read more in our blog post [here](/blog/pans-pandas-what-you-need-to-know/). At The Center for Fully Functional Health, Drs. Scott and Ellen Antoine have extensive training and experience diagnosing and treating children with PANDAS/PANS. They are the only PANS PANDAS doctors in the State of Indiana recognized on the [**PANDAS Physician Network website**](https://www.pandasppn.org/practitioners/). **If you believe your child may have PANDAS/PANS you can book an appointment at our [functional medicine practice](/) by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** *Sources:[.block][]1 *[*https://www.ncbi.nlm.nih.gov/pubmed/26866234[.block][]*](https://www.ncbi.nlm.nih.gov/pubmed/26866234)*2 *[*https://www.ncbi.nlm.nih.gov/pubmed/25301689[.block][]*](https://www.ncbi.nlm.nih.gov/pubmed/25301689)*3 *[*https://www.ncbi.nlm.nih.gov/pubmed/27370066[.block][]*](https://www.ncbi.nlm.nih.gov/pubmed/27370066)*4 *[*https://www.ncbi.nlm.nih.gov/pubmed/29309797*](https://www.ncbi.nlm.nih.gov/pubmed/29309797) --- ## Spaghetti Squash Noodles with Vegetable Marinara and Basil **Link:** [Spaghetti Squash Noodles with Vegetable Marinara and Basil](https://fullyfunctional.com/blog/spaghetti-squash-noodles-with-vegetable-marinara-and-basil/) ([md](https://fullyfunctional.com/blog/spaghetti-squash-noodles-with-vegetable-marinara-and-basil/index.html.md)) **Description:** Enjoy our gluten-free spaghetti squash noodles with marinara sauce! This dish is also grain-free, and one of our favorite easy anti-inflammatory recipes. ### Content *Comfort food doesn’t have to be unhealthy*. Isn’t it more comforting to know you’re eating something nutritious? That you’re fueling your body in a healthy way that won’t lead to a crash, or aches and pains later? We think so! **Spaghetti Squash Noodles with Vegetable Marinara and Basil** is cozy on a plate. You satisfy your spaghetti craving while nurturing your body. What’s better than that! This recipe is also approved for the [Candida diet](/blog/candida-diet-food-list-and-recipes/). Enjoy our gluten-free, grain-free, low-carb, and delicious **alternative to spaghetti with marinara sauce**! This dish is loaded with [anti-inflammatory](https://pubmed.ncbi.nlm.nih.gov/26400429/) veggies, some of which are “hidden” in the sauce, which makes it a great sauce for picky kids (or adults)! Our Spaghetti Squash Noodles with Vegetable Marinara and Basil can be served as a light vegetarian meal or add sauteed ground turkey or beef for protein. Serve with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/) to complete this dish. **Replace Recipie Feat** ### Ingredients - 2 medium spaghetti squash - 1 tablespoon of olive oil - 2 cloves garlic chopped - 1 onion chopped - 1 cup carrots chopped - 1 cup zucchini chopped - 1 28 oz BPA free organic crushed tomatoes - 2 teaspoons Italian seasoning - 1/2 teaspoon crushed red pepper - 1/2 cup fresh basil leaves - Sea salt and black pepper to taste - 1 lb ground turkey or beef (optional) ### Instructions - Preheat oven to 350 degrees. - Cut spaghetti squash in half lengthwise. Scrape out seeds and discard. - Fill a roasting pan with one inch of water and place squash flesh-side down. - Roast 45 minutes-1 hour or until very soft. Remove from oven and let cool until you can handle it. Using a fork, scrape out the spaghetti squash and put into a large bowl. - While spaghetti squash is cooking, make your marinara sauce. Heat olive oil in a large saute pan. Add onion and garlic and saute a few minutes until onions are soft. - Add carrots and zucchini and saute about another 5 minutes until soft. - Add sautéed vegetables and crushed tomatoes to a high speed blender and blend until desired texture is reached. Add the sauce back to the pan. - Add Italian seasoning, sea salt and pepper and simmer on low heat until spaghetti squash is done. - Serve over spaghetti squash noodles and top with fresh basil leaves. - Enjoy! ### Notes: Add sauteed ground turkey or beef to the sauce for protein, if desired. Keywords: anti-Inflammatory recipes, anti-inflammatory veggies, candida diet, candida diet recipes, gluten-free spaghetti, spaghetti squash noodles, vegetable marinara --- ## Spicy Sweet Potato Power Bowl **Link:** [Spicy Sweet Potato Power Bowl](https://fullyfunctional.com/blog/spicy-sweet-potato-power-bowl/) ([md](https://fullyfunctional.com/blog/spicy-sweet-potato-power-bowl/index.html.md)) **Description:** We love this simple, versatile, and flavorful sweet potato power bowl recipe. Plus! This recipe is packed with anti-inflammatory spices and ingredients. ### Content We love this simple **sweet potato power bowl recipe**. Making a batch of root vegetables to put into salads or “power bowls” once every couple of weeks is a great way to keep your dishes versatile, and flavorful. This recipe has just enough spice to liven up a meal. And let’s not forget the [anti-inflammatory health benefits](https://pubmed.ncbi.nlm.nih.gov/30651162/) of some of these amazing spices and herbs. We like to combine the sweet potatoes with our [Fresh Arugula Salad](/blog/fresh-arugula-salad/), fresh or roasted veggies, and an added protein such as salmon or even poached eggs. Drizzle with [Creamy Hemp Seed Ranch Dressing](/blog/dairy-free-ranch-creamy-hemp-seed-dressing/), and you get a seriously delicious, *nutrient-dense meal*. Yum! You can double the [ spices ](https://www.spicely.com/collections/spices) if you like a little extra kick! We give this sweet potato power bowl recipe five stars! If you make this recipe and love it, save it with your other favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 4 large sweet potatoes peeled and chopped - 1/4 cup avocado oil - 1 tsp salt - 1/4 tsp garlic powder - 1/4 tsp onion powder - 1 tsp garam masala - 1 tsp chili powder - 1 tsp curry powder ### Instructions - Preheat oven to 400 degrees. Place the sweet potatoes onto a baking sheet. You can use parchment paper for easier cleanup. - Pour the avocado oil over the potatoes. - Mix the spices and salt together in a bowl. Once mixed, sprinkle them over the sweet potatoes and mix everything together. - Cook at 400 degrees for 20-30 minutes or until they are cooked to your liking. Eat as a side dish or add to salad or "bowl." Keywords: anti-inflammatory diet recipes, anti-inflammatory spices, power bowl recipe, sweet potato bowl recipe --- ## Spring Cleaning: 12 Tips to Spring Clean Your Body and Life **Link:** [Spring Cleaning: 12 Tips to Spring Clean Your Body and Life](https://fullyfunctional.com/blog/spring-cleaning-12-tips-to-spring-clean-your-body-and-life/) ([md](https://fullyfunctional.com/blog/spring-cleaning-12-tips-to-spring-clean-your-body-and-life/index.html.md)) **Description:** Spring has sprung! Let’s honor this amazing season by getting aligned with all it stands for. It’s time for a little Fully Functional® spring cleaning! ### Content *Spring has sprung!* Let’s honor this amazing season by getting aligned with all it stands for. **Renewal, fresh starts, growth, flourishing.** It also means it’s time for a little **spring cleaning**! You know that stagnant energy leftover from too many heavy winter foods and too much lying around indoors? Time to let that go, reset, and rejuvenate! Here’s a bit of inspiration (12 tips!) to help you spring clean both your body and your life *and recharge your energy*! ## ***1. Challenge Yourself To Make a New Start*** Even if you tried that at the New Year and it didn’t go as you intended. Spring is a *new beginning* and a time of renewal and growth, so whether you’re getting a late start or a restart on your “resolutions”, it’s really the perfect time. ## ***2. Declutter *** Clutter, yes, the stuff that has been accumulating all winter (and possibly for years). The stuff that keeps us stuck, with blocked energy and stagnant creativity. *It keeps us from moving forward*. It creates stress and overwhelms. **Getting rid of clutter** will give you a huge boost of energy! Tackle the piles, donate the no longer loved, purge and organize. Don’t underestimate the power of this! It will create major shifts in your life. ## ***3. Upgrade Your Pantry Contents*** Spring is the perfect time for **a full kitchen and pantry clean-out**. Throw out expired pantry staples, like spices (they only hold their potency for about a year). Inspect ingredient labels and purge anything with GMO’s, MSG, HFCS (high fructose corn syrup), trans fats, artificial sweeteners, etc. *Upgrade current contents to healthy pantry contents*. Ditch any cans or plastic storage containers that aren’t labeled BPA-free. Toss any toxic and partially hydrogenated cooking oils and ditch the processed foods. After you’ve cleaned out, reward yourself by re-stocking with fresh ingredient upgrades and clean, healthy food! ## ***4. Switch Things Up in Your Environment*** To create new energy, *switch things up in your environment*. Look at things from a new perspective. Freshen up your surroundings and see how your energy changes. ## ***5. Re-Energize Your Workout*** Many people become more sedentary during the winter, *which can lead to stagnant energy*. It’s time to get up and move now! Do anything you enjoy, especially if you can do it outside. Even if it’s not warm yet, the days are longer, the sun is strong, and it will re-invigorate your whole routine to move it outside. Whatever you do, choose an activity you enjoy. Your whole mental, emotional and spiritual outlook changes when you **boost your physical activity**. ## ***6. Eat Weeds*** As in [dandelion greens](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151742/)! Yes, *the same ones you might find in your backyard*. Spring is the season of detoxification. Your two major organs of detox are the liver and gallbladder. Both **dandelion roots and greens** are really great for cleansing and strengthening these two major organs. The greens of the dandelion are very nourishing, high in Vitamin A, and make a great addition to a salad. The root is often roasted and used in tea. In addition to your “weeds”, eat plenty of other bitter greens such as arugula, watercress, mustard greens, and kale to cleanse your body and support your health this spring! ## ***7. Create a Morning Routine*** Use the renewed energy of Spring to get up earlier to create space for reflection, meditation, and personal growth. This will add a sense of peace to your day and inspire you to move forward with your day with passion and purpose. Design your ideal hour, decide what time to get up to make it happen, *and just do it*! ## ***8. Consider a Digital Detox*** One thing most of us could easily re-evaluate this spring is our dependence on technology. Studies show that *too much reliance on technology can be harmful to health*, both physical and mental. By focusing as much as possible on experiences away from devices, we can greatly enrich all our lives. We can start by being mindful of how we’re spending our tech time. If you’re not ready for a full-blown [digital detox](/blog/spring-clean-with-a-digital-detox/), start small by turning your phone off at least an hour before bed and challenge yourself to **increase the time spent offline from there**. ## ***9. Get Outside*** Use the time you’re not on your phone to **get outside**! Being stuck inside, in artificial light + the blue light from our devices, doesn’t do much for outlook, mood, or creativity, but getting outside, even for brief periods of time is rejuvenating! ## ***10. Move More*** Our bodies were created to move, and movement is crucial for vitality. *Do anything and everything to just move more during the day*. If you work at a desk, take more frequent breaks and stand up more. Walk or bike instead of driving, when possible. Take the stairs. Stretch. Find creative ways to **get more movement** into your days. ## ***11. Sign Up for a Race (Even if You’re Not a Runner)*** This one might seem random, but it’s one of my favorite tips! Fun runs or charity races are a great activity for the whole family. Some of my favorite memories are running races with my kids, starting when they were young. Even if you don’t love to run, you can walk the course and reap all the same benefits. Check for a list of 5k fun runs in your area and sign up. It’s a great way to explore different areas of your city or town, *get outside and interact with others*. ## ***12. Reboot Your Body With Whole Foods*** You don’t need to starve yourself or drink green juice all day to detox your body. Spring is the perfect time to reset your body after the heavy foods of the winter by incorporating seasonal spring foods into your diet. Take advantage of farmer’s market season and *purchase local, organic produce*. In addition to the detoxing dandelion “weeds” listed above, incorporate lots of greens, asparagus, radishes, fresh herbs, spring peas, etc. into your diet and infuse your meals with life and vitality, eating foods that nourish and support your **natural detoxification process**. Check out our amazing Fully Functional® recipes [here](/blog/). So thankful Spring is here with all its positive energy and hope. Do you have any positive spring rituals that work to supercharge your life? Do you plan on trying any of these? Please share in the comments! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Spring Clean With a Digital Detox **Link:** [Spring Clean With a Digital Detox](https://fullyfunctional.com/blog/spring-clean-with-a-digital-detox/) ([md](https://fullyfunctional.com/blog/spring-clean-with-a-digital-detox/index.html.md)) **Description:** Spring is a time to purge and clean! Studies have reported an association between various tech and depression, and anxiety. Check out our digital detox tips! ### Content Spring is a time to purge and clean! For many, Lent also falls in the Spring and is a time of sacrifice and self-reflection. Do you feel that you don’t have enough time in the day? What would you do if you had another 2-3 hours per day? Would you read more, take up a hobby, meditate or pray, spend time with friends, exercise more, or complete more tasks on your never-ending ‘to do’ list? Spring is just the time to try **a digital detox**. For those of us who are old enough to remember life before cell phones: we used to only get phone calls if we were home to get them. If we were out with friends enjoying our lives, *we simply were able to live in that moment*. We saw our friends, may have shared stories to catch up on friends and families afar, but we did so in person, not on social media. We may have compared ourselves to the nicely dressed person down the street, but we didn’t compare ourselves or our lives to the 200-300 “friends” on social media. Digital devices have slowly been introduced to our lives, *but the risks may be greater than we realize*. Surveys and studies have reported an association between various tech and depression, [anxiety](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034350/), decreased attention and awareness, and decreased marital satisfaction. Check out our tips below for **a light digital detox**. ## ***Here Are Some Tips for a Light Digital Detox*** ### **1. Turn Off “Push Notifications”** These are the notifications from Facebook and other social media sites, news sources, and other apps (such as gaming apps.) ### **2. Set Limits on Social Media** Set a timer when you are on social media or even news sites. Many people underestimate the amount of time spent online. This helps you become aware of how much time you are actually spending. ### **3. Consider Downloading the App “Moment”** Track how much time you spend on your device and compare that with what you thought you were spending. **Moment** can help you cut down on time spent online if you need it. ### **4. Create a Schedule** Schedule times to check and reply to emails rather than check at various times throughout the day. ### **5. Put the Phone Away at Mealtimes** Talk to other family members about setting “no screen times” such as before 9:30 am, from dinner through bedtime, and/or after 9:30 pm. ### **6. No Phone in the Bedroom** Use an alarm clock and keep your phone out of your bedroom. ### **7. Take Up a Non-Screen Based Hobby** Write down things that you would do if you had more time. Buy books or magazines that interest you. Plan to read or complete these hobbies with the new free time that you have. You can book an appointment with our [holistic doctors](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Staying Healthy During the Holidays and Winter Months **Link:** [Staying Healthy During the Holidays and Winter Months](https://fullyfunctional.com/blog/staying-healthy-during-the-holidays/) ([md](https://fullyfunctional.com/blog/staying-healthy-during-the-holidays/index.html.md)) **Description:** Our Fully Functional® tips on staying healthy during the holidays explores eating seasonally, focusing on boosting immunity, and becoming more balanced. ### Content *Happy Winter!* It’s hard to believe, considering the holiday frenzy, but we have officially transitioned from fall to winter! Have you noticed a shift in your body/mood/energy levels lately? We don’t tend to pay much attention to the winter solstice when it’s already been snowy and cold and our focus is on the holidays, the celebrations, the shopping, the eating, the family… but it arrives, noticed or not. Here are **our top Fully Functional® tips for staying healthy during the holidays**, and winter months. ## ***Winter Is a Time for Us To Shift Our Focus Inward and Rest Up*** What does this mean for your body? Each new season requires a slightly different approach to health because *each season brings different needs both mentally and physically*. Winter is a time for us to shift our focus inward and rest up before intense energy is needed for spring renewal and growth. We’re biologically programmed to rest and conserve energy this time of year. These days when we’re more apt to curl up on the couch, craving rest and restoration are, of course, all totally normal! But learning how to use this to your advantage is a key part of **maintaining health and vibrancy during the long, cold, winter months**. We all know the symptoms of winter’s toll on our bodies. Cold, dry temperatures often mean dehydration, dry skin, eczema, and chapped lips. Viruses bring on a red nose. The excess of the holiday celebrations and cravings for comfort foods often means a few extra pounds gained, followed immediately by desperate resolutions to undo the damage. ## ***Nurture Your Body This Winter and Focus Your Attention on these Key Areas*** Preparing your body for each season is essential for **optimal health and vitality** and it’s important to flow with the season and all it offers, a slower pace, peace, and rest. By both eating seasonally and focusing on a few key factors in seasonal health we intuitively bring our bodies back into balance *and boost our immunity*. **As you nurture your body this winter, try focusing your attention on the following key areas:** ### **Circulation** Break a sweat regularly and **get the blood flowing**. Exercise increases blood flow and oxygen to the skin, boosts immunity, lowers stress, detoxes your body, improves sleep, and lifts your mood! Another tip to get the circulation flowing, especially to the skin, is a self-care tool called [dry brushing](/blog/benefits-of-dry-skin-brushing/). Dry brushing consists of brushing the skin with a dry brush (made for this purpose) or a washcloth. Skin brushing supports the lymphatic system, increasing circulation and encouraging **detoxification**. Also, try sipping on warm water (add lemon if you like) throughout the day. Not only does it support your lymph, circulation, and detox, but it will help keep you warm! ### **Immunity** Naturally support your [immune system](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723551/) to stay healthy all winter *by eating lots of fruits and veggies*. Boost your vitamin C intake with veggies like Brussels sprouts and citrus fruits. Ditch the refined sugar which both represses your **immune system** and hinders nutrient assimilation. Stick with naturally sweet whole foods and natural sweeteners like raw honey or maple syrup. ### **Sleep (the long winter’s nap!)** ‘Tis the season to nurture your body with deep rest. [Sleep is essential](/blog/tips-for-improving-sleep-combat-insomnia-good-sleep-hygiene/) for weight control, adrenal health, immunity, and overall well-being all year long, *but especially in the winter*! It is one of the most overlooked aspects of well-being in our busy culture and is absolutely essential. If you’re not getting enough it’s taking its toll one way or another. ### **Warming foods** Our bodies crave cooked foods over raw in the winter, which is why the salads you eat all spring/summer/fall may not have the same appeal. The energy in your body is different and has a more difficult time digesting as many raw foods in the winter season. Switch to warm salads, such as greens topped with roasted or sauteed veggies. Ideal foods are soups, stews, warm veggie dishes, wild salmon, and healthy fats. Use warming spices in your cooked foods such as cinnamon, cayenne, and ginger to heat up your body and aid in digestion. ### **Focus on fats** *Fats are your friend*, if they’re the good kind! You know the **healthy fats** by now, avocado, nuts and seeds, wild salmon, coconut oil! Skimping on good fats in the winter can make you feel colder, hungrier and sap your energy. They also help to hydrate your winter skin from within, support balanced hormones, balance your blood sugar and increase absorption of essential vitamins and minerals. ## ***Avoid Burnout*** So many of us suffer from **burnout** this time of year as a result of stress, dietary choices, and lack of good sleep. This all leads to fatigue, sugar cravings, anxiety, poor sleep *and ultimately takes a huge toll on our health*. It’s important not to miss the restorative moments of winter, supporting our bodies with deeply nourishing foods and rest. If you’d like a little guidance with your winter restoration, please consider looking into our [Health Coaching](/functional-medicine/health-coaching/), [Nutrition Planning](/functional-medicine/weight-loss-program/), and [IV Therapies](/functional-medicine/iv-lounge/). These services may help improve the detoxification process. Detox is a way to get your body functioning at the highest level, which means natural weight loss, improved digestion, a strengthened immune system, reduced inflammation, and a big energy boost! It can help you ditch nagging cravings and establish a completely new relationship with food. Let’s make this winter the best yet for ultimate health and well-being! You can book an appointment with one of our [holistic doctors](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Stevia and Lyme Disease: Sweet Defeat The Reason So Many Patients Go Undiagnosed **Link:** [Stevia and Lyme Disease: Sweet Defeat The Reason So Many Patients Go Undiagnosed](https://fullyfunctional.com/blog/stevia-and-lyme-disease-sweet-defeat/) ([md](https://fullyfunctional.com/blog/stevia-and-lyme-disease-sweet-defeat/index.html.md)) **Description:** Why Lyme disease is one of the most commonly missed, inadequately treated diseases we see. Plus! Fascinating research on stevia and Lyme disease. Read more! ### Content ## Stevia and Lyme Disease: Sweet Defeat As [Functional Medicine specialists](/) at The Center for Fully Functional® Health, we diagnose and treat very complex metabolic conditions, environmental toxicities, and chronic infectious diseases. **One of the most commonly missed, misdiagnosed, or inadequately treated infectious diseases we see is Lyme disease.** This is especially so when it is chronic or has persisted after treatment (“post-treatment Lyme disease” or “PTLD”). ## ***The Reason So Many Patients Go Undiagnosed*** First, many people with [**Lyme disease**](/blog/lyme-disease-8-things-you-need-to-know/) have a defect in their immune system which alters the way that the body finds invaders and completes an immune response. This makes traditional antibody testing less sensitive in these patients. Secondly, the Lyme organism itself (Borrelia burgdorferi) exists in several forms and “morphs” between them to avoid the host immune response, and we end up with a disease that is difficult to detect and challenging to treat. Borrelia forms that last after antibiotic treatment are known clinically as “persisters”. Leading us to persist in our studies and research, and looking at **Lyme disease natural treatment options**, as is the Fully Functional® approach. ## ***Our Qualifications, and Background With Lyme Disease*** Because Dr. Ellen and I have diagnosed and treated many patients with Lyme and other **tick-borne illnesses**, we are intimately familiar with the toll these conditions can take on our patients and their families. For this reason, we are dedicated to bringing our patients *the most effective cutting-edge treatments* based on solid research so that they can experience hope and healing and become Fully Functional® for life! ## ***Research Study on Stevia and Lyme Disease*** One fascinating study was published in 2015. In this study¹ performed by researchers from the University of New Haven in Connecticut, 4 commercially available **stevia extracts** were compared to various antibiotics (doxycycline, cefoperazone, daptomycin, and their combinations) against the Borrelia organism in culture. Of note, this was an “in vitro” study (against the culture or the organism) rather than an “in vivo” study in actual patients. The results however are very interesting. The stevia extract (best known as a natural sweetener) was found to have a “significant effect” *in eliminating Borrelia spirochetes and persisters*. In fact, the group of cells treated with stevia contained no living cells after about a week compared with cell groups treated with antibiotics that had 10% of the cells that remained viable. Stevia extract was also found to be effective at treating biofilms (sticky clusters of film which protect the organism from destruction by antibiotics) associated with the Lyme spirochete. Since this was an in vitro study and not a study using actual patients, I cannot say with 100% certainty that the results would be the same. Although there is no indication at this point that stevia should be used alone in place of antibiotics for **Lyme treatment**, this article does suggest that it could have an important role alongside these antibiotics *to prevent persistent infection*. Since there is little risk to stevia and few known side effects, it is likely that this therapy will continue to gain popularity. If you have been diagnosed with Lyme disease or suspect you may have it, we would love to see you and help you navigate this complex and misunderstood disease and to discuss whether stevia extract (or other treatment options) might be useful in your specific case. You can book an appointment with one of our [holistic doctors](/) by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. ***P.S. – Read our blog, ***[***8 Things You Need to Know About Lyme Disease and 5 Things You Should Do***](/blog/lyme-disease-8-things-you-need-to-know/) ##### *Sources:[.block][]1 *[*https://pubmed.ncbi.nlm.nih.gov/26716015/*](https://pubmed.ncbi.nlm.nih.gov/26716015/) --- ## Stuffed Sweet Potatoes: Healthy Chicken Taco Style **Link:** [Stuffed Sweet Potatoes: Healthy Chicken Taco Style](https://fullyfunctional.com/blog/stuffed-sweet-potatoes-healthy-chicken-taco/) ([md](https://fullyfunctional.com/blog/stuffed-sweet-potatoes-healthy-chicken-taco/index.html.md)) **Description:** Stuffed sweet potatoes take taco night to the next level! Fill these healthy stuffed sweet potatoes with shredded chicken and your favorite taco toppings! ### Content *Take taco night to a new and healthier level!* Fill these healthy **stuffed sweet potatoes with shredded chicken** and your favorite taco toppings for a quick and easy dinner! Some of our favorite toppings include: Black beans, cilantro cauliflower rice, organic fresh produce like cilantro, radishes, jalapenos, guacamole, or avocado slices, salsa fresca, roasted poblano peppers, freshly squeezed lime juice, shredded romaine lettuce, grilled (or roasted) veggies, fresh diced tomatoes, and the list goes on and on. Stuffed sweet potatoes are basically **a complete meal**. You can go all-in and pile the toppings to the moon if that’s your thing! If you want to get really crazy, try putting a dollop of our [Cashew Avocado Spread](/blog/cashew-spread-with-avocado/) on top. Amazing flavor! To cut through the heat from any of those tasty toppings (namely peppers), we highly recommended pairing with a cool beverage: To a glass, add a couple of ice cubes, a little [sparkling mineral water](https://www.gerolsteiner.de/en/), freshly squeezed lemon juice, and a dash of pomegranate juice (make sure it’s pure, 100% pomegranate juice). So good! So refreshing! **Replace Recipie Feat** ### Ingredients - 4 medium sweet potatoes pierced with a fork - 1 lb boneless, skinless chicken breasts - 2 tsps chili powder - 1 tsp cumin ground - 1 tsp smoked paprika - 2 cups organic chicken broth - 1/2 cup organic salsa - 1 avocado mashed - 1/4 cup cilantro (optional), chopped - 2 jalapeño pepper (optional), sliced ### Instructions - Preheat oven to 400 degrees. Place sweet potatoes on baking sheet and bake for **40-45 minutes**, or until cooked through. - Add chicken broth, chili powder, cumin, and smoked paprika to a pot on the stove. Bring to a boil. Add chicken breast. Reduce heat and poach chicken until cooked through, **about 20 minutes**. - Remove the chicken and shred it with two forks. - When the sweet potatoes are finished cooking, slice them down the middle and top with the shredded chicken, salsa, mashed avocado, cilantro and sliced jalapeño. - Enjoy! Keywords: anti-inflammatory diet recipes, healthy chicken taco, healthy chicken taco recipe, healthy stuffed sweet potatoes, stuffed sweet potatoes --- ## Sublingual Immunotherapy: Convenient Root-Cause Treatment of Allergies **Link:** [Sublingual Immunotherapy: Convenient Root-Cause Treatment of Allergies](https://fullyfunctional.com/blog/sublingual-immunotherapy-convenient-root-cause-treatment-allergies/) ([md](https://fullyfunctional.com/blog/sublingual-immunotherapy-convenient-root-cause-treatment-allergies/index.html.md)) **Description:** Treating your allergies doesn't have to be so complicated. Sublingual immunotherapy (SLIT) is convenient, affordable, effective, and safe. SLIT for allergies! ### Content In this post, we are covering **sublingual immunotherapy** and our convenient root-cause treatment of allergies. Some of the patients we see have completed courses of allergy shots, or “subcutaneous immunotherapy” (SCIT). They know the time involved: driving to the place where the shots are administered, receiving the injection, then waiting to ensure that there isn’t an adverse/allergic reaction. Adherence is naturally a big struggle not only because of the difficulty of this process but also because travel becomes difficult when expected to be at the doctor’s office weekly and because it is painful. *Treating allergies doesn’t have to be this complicated*. On the flip side, some of the patients we see are regularly taking prescription or over-the-counter allergy medications that may temporarily resolve the symptoms, *but don’t address the underlying root cause*. Over time, these medications are expensive and may have undesired side effects. **Sublingual immunotherapy** (SLIT) offers the best of both of these two scenarios – the convenience of something that can be taken orally while addressing the root cause – *immune dysfunction*. **SLIT** uses drops that are made with antigen [allergen] extracts in a liquid base, typically with glycerin. SLIT allergy drops are shipped directly to your home in a three-month supply containing vials. Every three months the dose is increased in order to continue the immune-modulating desensitization process. Every vial is compounded specifically to address your personal allergens, in one solution that is administered three times daily for up to two to five years. Not only does SLIT offer you a convenient way to address your allergies but it is also *affordable, effective, and safe*. Age does not appear to be a limitation to treatment. SLIT is growing in popularity in the US and is already popular in Europe (with some countries reporting up to 50% use). Clinical use in the US dates back more than 100 years, so this treatment modality isn’t new. Until now, though, thorough research hasn’t existed to demonstrate SLIT’s efficacy. Hundreds of studies have been compiled over the past 20 years establishing its safety and effectiveness. Over 340 articles are referenced in the World Allergy Organization Journal and cited in their 2013 Position Paper on SLIT.¹ ## ***SLIT for Allergies: The Process*** After we complete food and inhalant allergy/sensitivity testing, results are sent to our compounding pharmacy partner, and **a customized oral formulation** is created, addressing each of your identified food and inhalant allergies. SLIT drops are administered under the tongue and held there for 30 seconds, typically *two to three times daily*. Your case is re-evaluated every 90 days, and dosages are increased as tolerated with every new 90-day supply of formulation. Just like allergy shots, the SLIT treatment protocol is a long-term solution and doesn’t take full impact until months or years from the start of the protocol. That’s because allergen doses are slowly increased over time to gradually develop your tolerance.² **Replace Table** ## ***Are You a Good Candidate for Allergy Drops?*** When our patients want to gain foods back that they are allergic to, or when allergy season is expensive and impacts overall lifestyle, they often choose SLIT. Check out this list of candidates that SLIT is impactful for.⁴ According to the World Allergy Organization 2013 Position Paper on SLIT, to be eligible for this treatment, one should have a history of symptoms related to allergen exposure documented positive allergen-specific IgE test.⁵ Additionally, appropriate candidates for SLIT would meet one or many of these selection criteria: - The allergen used for immunotherapy must be clinically relevant to the clinical history. - Use of SLIT for latex allergy, atopic dermatitis, food allergy, and Hymenoptera venom is under investigation; more evidence is needed to support its clinical use for these indications. - SLIT may be considered as initial treatment. Failure of pharmacological treatment is not an essential prerequisite for the use of SLIT. - SLIT may be proposed as an early treatment in the therapeutic strategy for respiratory allergy. SLIT may be particularly indicated in the following patients: - Patients whose allergy is uncontrolled with optimal pharmacotherapy (that is, those with severe chronic upper airway disease). - Patients in whom pharmacotherapy induces undesirable side effects. - Patients who refuse injections. - Patients who do not want to be on constant or long-term pharmacotherapy. Have other questions about SLIT? Check out FAQs [here](https://www.allergychoices.com), or **you can book an appointment at our [functional medicine clinic](/) by clicking [here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. ## ***Additional Resources *** - [Sublingual Immunotherapy Research Bibliography](https://www.allergychoices.com/research/bibliography/). Allergy Choices. - Morris, M., Lowery, A., Theodoropoulos, D., Duquette, R.D., Morris, D. Quality of life improvements with sublingual immunotherapy: a prospective study of efficacy. *Journal of Allergy* (2012). doi: [https://www.hindawi.com/journals/ja/2012/253879/](https://www.hindawi.com/journals/ja/2012/253879/) - Nelson, H*. *[Allergen immunotherapy: Where is it now?](https://www.ncbi.nlm.nih.gov/pubmed/17337297)* The Journal of Allergy and Clinical Immunology, *2007: 769-777. - [Seasonal Allergy Tips](/blog/how-to-treat-allergies-food-and-environmental-allergies/) - [Sublingual Immunotherapy](/functional-medicine/sublingual-immunotherapy/) – Fully Functional® Services - [Weed Allergies](/blog/ragweed-season-and-ragweed-treatment-options/) *Sources:[.block][]1 *[*https://waojournal.biomedcentral.com/articles?searchType=journalSearch&sort=PubDate&page=1[.block][]*](https://waojournal.biomedcentral.com/articles?searchType=journalSearch&sort=PubDate&page=1)*2 *[*https://www.allergychoices.com/for-patients/[.block][]*](https://www.allergychoices.com/for-patients/)*3 *[*https://www.allergychoices.com/for-patients/steps-to-allergy-drop-treatment/[.block][]*](https://www.allergychoices.com/for-patients/steps-to-allergy-drop-treatment/)*4 *[*https://www.allergychoices.com/for-patients/who-benefits-from-allergy-drops/[.block][]*](https://www.allergychoices.com/for-patients/who-benefits-from-allergy-drops/)*5 *[*https://waojournal.biomedcentral.com/articles/10.1186/1939-4551-7-6*](https://waojournal.biomedcentral.com/articles/10.1186/1939-4551-7-6) --- ## Summary of the Latest Article From the National Institutes of Health on Gut Health & the Immune System **Link:** [Summary of the Latest Article From the National Institutes of Health on Gut Health & the Immune System](https://fullyfunctional.com/blog/summary-of-nih-article-on-gut-health-and-immune-system/) ([md](https://fullyfunctional.com/blog/summary-of-nih-article-on-gut-health-and-immune-system/index.html.md)) **Description:** Our summary of the latest article from the NIH on gut health, the immune system, and the link between immune system dysregulation and children with PANS and PANDAS. ### Content [This article](https://www.nih.gov/news-events/news-releases/gut-trains-immune-system-protect-brain#:~:text=Gut-trained%20immune%20cells%20at,protective%20barrier%20called%20the%20meninges) JUST came out from the National Institutes of Health on gut health and the immune system. It explains that the gut trains the immune system to protect the brain. The professional reference is in the article as well. ## ***Our Summary*** This article from the National Institutes of Health helps explain in detail *why gut health is imperative*. In this study, it was shown that the gut or “GI tract” helps train the immune system to protect the brain. In [PANS and PANDAS](/blog/pans-pandas-symptoms/), the immune system, instead of protecting the brain, actually attacks it. Many of the children we see also have digestive issues like constipation, diarrhea, abdominal pain and bloating, food intolerances, or allergies. We focus on healing the gut to help heal the immune system **and stop the autoimmune attack**. Many of the brain chemicals that help us think, feel, or have emotions, are produced in the intestinal wall. Supporting the gut membrane is an important part of our Fully Functional® “Support” pillar. ## ***Addressing the Immune System Dysregulation*** This article reaffirms what we have been telling our patients and their parents all along, rather than just giving antibiotics and IVIG. Although we use antibiotics and IVIG when appropriate, addressing the immune system dysregulation by healing the gut is a vital step to help heal these children for good and bring them back to their parents. If the immune system is not brought back to an appropriate state, the children may remain sick and get frequent flares of symptoms. It is nice to see mainstream science begin to discover some of the concepts we have been emphasizing with our PANS/PANDAS patients for years. If you are concerned that your child may have PANS or PANDAS or if you are tired of the PANS/PANDAS merry go round and are seeing no progress in your child, we’d love to see your child as a patient at our [functional medicine practice in Carmel](/). --- ## Summer Green Bean and Tomato Salad **Link:** [Summer Green Bean and Tomato Salad](https://fullyfunctional.com/blog/summer-green-bean-and-tomato-salad/) ([md](https://fullyfunctional.com/blog/summer-green-bean-and-tomato-salad/index.html.md)) **Description:** Anti-inflammatory diet recipes are a must in our world. Bursting flavors are essential, so we've created this Summer Green Bean and Tomato Salad. Try it! ### Content [Anti-inflammatory diet recipes](/blog/) are a must in our world, so when summer’s bounty gives you green beans and ripe garden tomatoes, combine them to make this **delicious summer salad**, full of nutrients your body can use! *Full of flavor, tart, crisp*. This Fully Functional® recipe is a summertime staple, and crowd pleaser. Pair this crisp salad with a tasty protein option such as our [Turkey Skillet With Italian Veggies](/blog/turkey-skillet-with-italian-veggies/), or [Dr. Scott’s Lemon Garlic Chicken (with White Wine Reduction)](/blog/healthy-lemon-garlic-chicken-white-wine-reduction/). **Replace Recipie Feat** ### Ingredients - 2 lbs fresh green beans trimmed - 2 large tomatoes chopped - 1 red onion, thinly sliced thinly sliced - 1 large shallot finely chopped - 2 tsp grated lemon zest - juice from 3 lemons (about 6 tablespoons) - 2 tsp sea salt - 1 tsp freshly ground pepper - 1/3 cup extra-virgin olive oil ### Instructions - Bring a large pot of salted water to boil. Add green beans and cook only until crisp-tender, about 5 minutes. Drain the beans, then chill them in an ice water bath. Drain again and set aside. Dry with paper towels. - Prepare the dressing by combining shallot, lemon zest, salt, pepper and lemon juice. Add the oil, while whisking ingredients together until combined. - Add green beans, tomatoes, red onion and dressing to a large serving bowl and toss well, coating the beans thoroughly. Keywords: anti-inflammatory diet recipes, green bean and tomato salad, salad --- ## Sun-Dried Tomato Vinaigrette **Link:** [Sun-Dried Tomato Vinaigrette](https://fullyfunctional.com/blog/sun-dried-tomato-vinaigrette/) ([md](https://fullyfunctional.com/blog/sun-dried-tomato-vinaigrette/index.html.md)) **Description:** Sun-dried tomatoes always elevate a dish. This Sun-Dried Tomato Vinaigrette is definitely one to save with your other fave anti-inflammatory diet recipes. ### Content This **Sun-Dried Tomato Vinaigrette** is definitely one to save with your other fave **anti-inflammatory diet recipes**, and it’s one of our absolute favorite [anti-inflammatory](https://pubmed.ncbi.nlm.nih.gov/26400429/) salad dressing recipes. Sun-dried tomatoes always elevate a dish and add *a rich, hearty, complex depth of flavor* that makes you feel like you’re eating something naughty. Notes on two affordable Kitchen Helpers: Two of the less expensive but extremely useful items in my pantry are the Microplane and the Immersion Blender Stick. An Immersion blender is a hand-held device, essentially a stick with simple controls and a blade end. This beauty can puree that pot of curried squash or pumpkin bisque into velvety goodness, as well as make lovely salad dressings and even mayonnaise. Use a quart jar to mix up the Sun-dried tomato vinaigrette in short order. Microplane is the brand name for some amazing graters, slicers, and zesters.[.block][] Looking for more amazing vinaigrette recipes? Check out our [Ginger-Lime Vinaigrette.](/blog/ginger-lime-vinaigrette/) **Replace Recipie Feat** ### Ingredients - 1/4 cup lemon juice freshly squeezed - 2 tbsp sun-dried tomatoes in oil heaping - 1 pinch basil fresh, chopped, to taste - 2 cloves garlic grated using a micro-plane - 3/4 cup extra-virgin olive oil organic ### Instructions - Place all ingredients in a glass quart canning jar and whiz using the immersion blender. - Enjoy! Keywords:anti-inflammatory diet recipes, anti-Inflammatory salad dressing, Sun-Dried Tomato Vinaigrette, Vinaigrette --- ## Sushi Salad **Link:** [Sushi Salad](https://fullyfunctional.com/blog/sushi-salad/) ([md](https://fullyfunctional.com/blog/sushi-salad/index.html.md)) **Description:** This detoxing sushi salad incorporates traditional sushi ingredients like sea vegetables, ginger, sesame, and more. Don't miss out on this flavorful dish. ### Content Our **Sushi Salad** is packed with flavorful ingredients that satiate that sushi craving *and leave you full and energized*. [.block][][Sea veggies](https://seaveg.com/shop) aren’t just for sushi anymore! Adding mineral-rich seaweed to your diet is another way to help prevent aging, disease, and detox the body. Add sea vegetables to soups and salads for a healthy boost. This detoxing salad incorporates traditional sushi ingredients like nori, ginger, cucumber, sesame, and avocado. Chopsticks are recommended (because they’re fun!) but not required. [.block][][.block][]Pair this dish with our divine [Honey Ginger Glazed Salmon](/blog/honey-ginger-glazed-salmon/). So good!![.block][][.block][]Don’t forget to bookmark this **anti-inflammatory recipe**! Save, and share with your friends. **Replace Recipie Feat** ### Ingredients - 4 cups romaine chopped - 1/2 cup purple cabbage shredded - 1/2 cup carrots - 1/2 cucumber seeded and chopped - 1 avocado chopped - 2 nori sheets torn into small pieces - 1/2 cup cilantro chopped - 2 tablespoons sesame seeds, toasted optional garnish #### Ginger Dressing - 2 tablespoons unfiltered extra virgin olive Oil - 1 inch fresh ginger peeled - 2 tablespoons coconut aminos - 2 tablespoons water - wasabi powder to taste (optional) ### Instructions - Add sesame seeds to a small pan over medium-low heat. Toast until golden. Set aside to use as garnish. - In a small jar, combine olive oil, grated ginger, coconut aminos, water and wasabi powder (if using). Shake well. - Combine veggies, nori sheets and cilantro in a bowl. Add dressing to taste and mix well. Keywords: anti-Inflammatory recipes, anti-Inflammatory salad, salad, sea vegetables, sushi salad --- ## Sweet Potato Shepherd’s Pie **Link:** [Sweet Potato Shepherd’s Pie](https://fullyfunctional.com/blog/sweet-potato-shepherds-pie/) ([md](https://fullyfunctional.com/blog/sweet-potato-shepherds-pie/index.html.md)) **Description:** Shepherd’s Pie is the ultimate warming comfort food! Our version is made with nutrient-dense sweet potatoes for a tasty dish the whole family will love. ### Content **Replace Recipie Feat** ### Ingredients #### Filling - 1 pound of ground lamb, bison, beef or turkey ground - 1 onion chopped - 2 medium carrots diced - 4 garlic cloves minced - 1 cup frozen peas - 1/4 cup tomato paste - 1/2 tsp chili powder - 1/2 tsp paprika - 1 tsp thyme - sea salt and black pepper to taste - 1/4 cup chicken broth #### Sweet Potato Topping - 2 medium/large sweet potatoes cut into 1 inch cubes (no need to peel them) - 1 tbsp olive or avocado oil - 1/2 tsp chili powder - 1/2 tsp paprika - sea salt to taste ### Instructions In a medium skillet (cast iron skillet is recommended if you have one) over medium-high heat, saute the ground lamb (or beef, bison, turkey), onion, chopped carrots, and garlic. Continue cooking until the meat is cooked through and carrots are soft, **about 12-15 minutes**. (Begin making the sweet potato topping while the filling cooks) Once the carrots are soft, add the peas, stir in tomato paste, chili powder, paprika, thyme, salt, black pepper, and chicken broth. To make the mashed sweet potatoes: Place the cubed sweet potatoes in a large saucepan and add enough water to cover by about 1". Add 1/2 teaspoon of salt and bring the mixture to a simmer over medium-high heat. Reduce the heat and simmer, uncovered, until the potatoes are tender, **about 9 to 12 minutes**. Drain well, then return the potatoes to the pot. Add the olive or avocado oil, chili powder, paprika and sea salt. Mash the sweet potatoes to your desired consistency. Alternatively, you can add all ingredients to a mixing bowl and use a mixer to mash them. Top the meat filling with the sweet potato mash. If you’re not using an oven safe cast-iron skillet, transfer the meat filling to a casserole dish or baking dish and top the meat filling with the sweet potato mash. Sprinkle the top with additional paprika and thyme. **Bake for 15 minutes**. Remove from the oven and serve. - Enjoy! Keyword: casserole, fall recipes, healthy dinner, healthy easy dinner, shepherds pie, sweet potato shepherds pie, sweet potatoes --- ## Sweet Potato Skillet With Turkey and Kale **Link:** [Sweet Potato Skillet With Turkey and Kale](https://fullyfunctional.com/blog/sweet-potato-skillet-with-turkey-and-kale/) ([md](https://fullyfunctional.com/blog/sweet-potato-skillet-with-turkey-and-kale/index.html.md)) **Description:** Get dinner on the table in less than 25 minutes. This simple and delicious sweet potato skillet with turkey and kale is a recipe the whole family will love. ### Content Get dinner on the table *in less than 25 minutes*, with this simple and delicious Sweet Potato Skillet dinner! The whole family will love this nutrient-dense meal! It is perfect for leftovers, so you might want to double it! Our **Sweet Potato Skillet dinner** is packed with anti-inflammatory spices, vitamins, minerals, and fiber! This quick recipe will leave you feeling energized, and satisfied. We feel good about what we’re eating when we’re eating good food! Check out the [health benefits](https://pubmed.ncbi.nlm.nih.gov/28460992/) sweet potatoes bring to the table, and the [superfood facts](https://pubmed.ncbi.nlm.nih.gov/28460992/) behind kale! Want to serve this with the perfect dessert? Our [Chocolate Avocado Pudding](/blog/chocolate-avocado-pudding/) is out of this world! **Replace Recipie Feat** ### Ingredients - 2 medium sweet potatoes - 1 tablespoon extra virgin oil - 1 tablespoon chili powder - 1/2 teaspoon cayenne powder (optional) - 1 tablespoon coconut oil - 1 onion diced - 1 pound extra lean ground turkey - 1/2 teaspoon sea salt (or to taste) - 1/2 teaspoon black pepper - 8 cups kale leaves chopped ### Instructions - Preheat oven to 425ºF. Line a large baking sheet with parchment paper. - Wash and dice your sweet potato into half inch cubes. Toss in olive oil, chili powder and cayenne pepper. - Spread across the baking sheet and bake in the oven for **20 minutes**. - Meanwhile, heat a large skillet over medium heat. Add the coconut oil. - Add the onion, ground turkey, sea salt and black pepper. Use a spatula to stir and break up the turkey as it cooks. Once the turkey is cooked, add the kale. - Stir and saute just until wilted. Mix in the cooked sweet potatoes and serve. Enjoy! Keywords: anti-inflammatory spices, functional food, nutrient dense meal, skillet dinner, sweet potato skillet --- ## Sweet Potato Toast 2-Ways **Link:** [Sweet Potato Toast 2-Ways](https://fullyfunctional.com/blog/sweet-potato-toast/) ([md](https://fullyfunctional.com/blog/sweet-potato-toast/index.html.md)) **Description:** This grain-free, sweet potato toast breakfast recipe uses roasted sweet potato slices in place of commercially-made bread. So many nutritious toppings to try! ### Content Living **grain-free** can be a challenge when it’s new! Instead of having commercially made bread for breakfast, *consider using sweet potatoes*. Besides the fact that they’re delicious, they have numerous [health benefits](https://pubmed.ncbi.nlm.nih.gov/28460992/#:~:text=The%20unique%20composition%20of%20sweet,antimicrobial%2C%20antiobesity%2C%20antiaging%20effects.), including anti-inflammatory properties. Sweet Potato “Toast” 2 Ways pairs well with [Blueberry Turkey Breakfast Sausages](/blog/blueberry-sausage/). If you make this recipe and love it, be sure to save it with your other favorite **anti-inflammatory diet recipes**. **Replace Recipie Feat** ### Ingredients - 1-2 sweet potatoes cut into thin ¼ inch slices. You can use a mandolin slicer if you have one. - Drizzle of olive oil - Sprinkle of sea salt ### Instructions - Preheat the oven to 400 degrees. - Once the sweet potatoes are sliced, place the slices on a parchment paper lined baking sheet. - Drizzle with olive oil on both sides and sprinkle on the sea salt. - Cook for 20 minutes, then turn over and cook for another 15-20 minutes. - Once cooked through, turn the oven to “broil” and cook for 1-2 minutes until “toasty.” #### **Nut butter “toast”** - Top with nut or seed butter of choice. - Add sprinkle of cinnamon. - Add sliced apples or berries of choice. - You could also add seeds such as pumpkin or sunflower seeds for a bit of crunch. #### **“Healthy fat” savory toast** - Top with sliced avocado. - Sprinkle with sea salt, chili powder, and fresh lime juice. - Add smoked salmon (optional). ### Notes You may need to remove the parchment paper or transfer the “toasts” to a new baking sheet since the paper could burn or catch fire under the broiler. Any leftover “toast” can be kept in the fridge and heated up in the oven or in your toaster (be sure to unplug the toaster when removing sweet potato toast from the toaster.) Keyword: anti-inflammatory diet recipes, anti-Inflammatory recipes, grain free breakfast, healthy sides, sweet potato toast --- ## Taco Chili **Link:** [Taco Chili](https://fullyfunctional.com/blog/taco-chili/) ([md](https://fullyfunctional.com/blog/taco-chili/index.html.md)) **Description:** This recipe is a mashup of classic taco and chili flavors. Featuring anti-inflammatory spices, hearty protein, and tasty veggies. Your taco/chili craving cure. ### Content This recipe is a mashup of classic taco and chili flavors. Featuring [anti-inflammatory spices](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532192/#:~:text=The%20spices%20that%20are%20most,pepper%20%5B4%2C%2023%5D.), hearty protein, and loads of veggies. If you’re craving tacos, and chili, *this is your craving cure*. Pair with our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/). **Replace Recipie Feat** ### Ingredients #### Seasoning - 2 tablespoons chili powder - 1/2 teaspoon garlic powder - 1/2 teaspoon onion powder - 1/2 teaspoon dried oregano - 1 teaspoon paprika - 3 teaspoons ground cumin - 2 teaspoons sea salt - 2 teaspoons pepper - 1/2 teaspoon cayenne pepper powder - 1 teaspoon turmeric #### Chili - 2 lbs ground turkey, bison or venison - 1/2 cup chopped organic onion - 2 14.5 oz canned organic tomatoes - 1.5 cups chicken/bone or veggie broth - 1/2 cup choice of veggies* (see recipe notes) ### Notes ***Choose one (or all) of the following. The quantity is not listed below since it can vary depending on how many different options you choose. You can start with ½ cup of whichever veggies you choose, but the more you add, the better:** - Zucchini or yellow squash - Canned or fresh pumpkin or sweet potato - Artichoke hearts - Spinach, kale, or other greens - Carrots - Cauliflower Keywords: anti-inflammatory diet recipes, anti-inflammatory spices, chili, taco, taco chili --- ## Ten Amazing Medical Breakthroughs **Link:** [Ten Amazing Medical Breakthroughs](https://fullyfunctional.com/blog/ten-amazing-medical-breakthroughs/) ([md](https://fullyfunctional.com/blog/ten-amazing-medical-breakthroughs/index.html.md)) **Description:** Medical breakthroughs change the shape of modern medicine every year, often starting out in the form of what’s considered to be an “alternative” treatment. ### Content **Medical breakthroughs** change the shape of modern medicine every year, often starting out in the form of what’s considered to be an “alternative” treatment. “All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident.” – Arthur Schopenhauer, 19th-century German philosopher It’s disheartening to hear things like “that’s crazy” or “that’s not evidence-based” from fellow medical practitioners. But it happens on a regular basis to [Functional Medicine physicians](/) all around the world. Sadly, many of the naysayers have never seen and successfully treated (or personally experienced) someone with a condition like **PANS/PANDAS** or [mold-related illness](/blog/mold-illness-is-toxic-mold-in-your-home-making-you-sick/). **This isn’t new, though. History reveals that some of the scientists dismissed as quacks and “crazy” people turned out to be correct in the end. In fact, many have been vindicated many years later by awards and even Nobel prizes, sometimes posthumously.** As a patient, getting a new treatment can be intimidating, especially when it involves enrolling in a clinical trial or following doctor’s orders for a treatment not approved by the FDA. However, many treatments for major diseases that we now see as “normal” started out this way. Let’s just take a look at these now well-accepted medical breakthroughs, diagnoses, and treatments *that were once considered alternative or even “quackery”*. In each of these circumstances, the individuals who discovered these things were accused of being heretics and/or were ostracized, outcast, or penalized for their ideas. **Perhaps by recognizing the errors of our past, we can work together as healthcare clinicians to give our patients a brighter future.** ## ***1. William Harvey & Blood*** At one time, it was a laughable idea that blood actually travels through the heart to be circulated throughout the body. (If you’re thinking, “What?!” I’m right there with you.) Dr. William Harvey, a 17th-century English physician, was the first to describe accurate blood flow through the heart, vessels, brain, and throughout the body.¹ His observations of many types of mammalian and non-mammalian species suggested to him that **the liver wasn’t producing blood but rather that blood was continually cycled throughout the body, thanks to the heart.** Mainstream medicine refused to believe him and continued to support the erroneous work of 2nd-century physician and philosopher, Galen.² Galen insisted that blood was produced continually by the liver, then sent throughout the body by the lungs, where it was then used by the tissues (not recirculated). Harvey was so intensely ridiculed and ostracized by his colleagues, he became a recluse and lived the rest of his life in private. He attempted suicide unsuccessfully before dying of a stroke at the age of 79.³ ## ***2. Louis Pasteur & Germ Theory*** It’s obvious to us now that *germs cause disease*, but it wasn’t always. Louis Pasteur, a French scientist in the 1800s, was not the first to propose that germs cause disease, but *he was the first to prove it through convincing experiments*. The millennia-old theory of spontaneous generation — the idea that organisms arise from non-living material, such as fleas arising from dust — was the reigning “truth” of Pasteur’s day. Aristotle taught that “life force” or “vital heat” was what caused growth and decay processes, and that when living things came from non-living things, it was because some vital heat existed in those inanimate objects. **Through work with fermentation, Pasteur found that spontaneous generation theory wasn’t correct at all, but that organisms commonly thought of as chemicals were actually living, changing, growing, and impacting that with which they came into contact.⁴** Later, investigating diseases that were killing silkworms in droves, Pasteur proposed the idea that bacteria (germs) were behind all infections. Joseph Lister, a surgeon from Scotland, first confirmed these theories in 1867. Despite Pasteur’s work, denial of **germ theory** continued throughout much of the 19th century. ## ***3. Ignaz Semmelweis & Handwashing*** Can you imagine your doctor/surgeon *not washing their hands*? No! Of course not! You have Dr. Semmelweis to thank for that. Ignaz Semmelweis was a Hungarian physician working in the maternity ward in Vienna in the mid-19th century. After a short period of time observing death rates in mothers after delivery by doctors and medical students vs. midwives or their trainees, he noticed a striking trend. Post-delivery mortality (at the time, referred to as puerperal fever) occurred in up to 18% of deliveries by doctors, but only 2% when the child was delivered via midwife. Semmelweis believed this trend was due to the fact that medical students and doctors handled corpses during autopsies before delivering children. He noted that **handwashing** would decrease the risk of transmission of this disease and the death of new mothers in the maternity ward. **After introducing hand washing policies, mortality rates from the at-risk group went down by 90%, dropping to the same rate as midwife deliveries. Adding an antibacterial wash of medical instruments dropped mortality further to just 1% in the doctor-delivered group.** Still, he was ridiculed even after his experiment worked.⁵ Professor Klein, his superior, insisted that the rates improved because the hospital had new ventilation. The reigning theory of disease at the time, called “miasma,” purported that illness often happened because of “bad air.” Millions of lives have been saved as a result of Semmelweis and his common-sense practices. But sadly, Semmelweis’ achievements were not well-recorded at the time and the medical community rejected them. The anxiety from this experience landed him in an insane asylum, where he died at just 47 years old. Ironically, he died from an infected wound in his hand that grew after a surgery he underwent before being institutionalized.⁶ ## ***4. Gregor Mendel & Heredity*** Can you believe there was a time when medicine rejected the idea of **heritability**? Gregor Mendel, an Austrian monk, established the laws of inheritance through predominantly plant experiments he performed in his own garden along with some work he did with mice and bees.⁷ His theories were rejected by the medical community who insisted on an idea called “blending inheritance” — where traits from each parent were averaged together. Because he was considered a simple monk, the educated scientists dismissed him and his theories weren’t accepted until after his death, at least 35 years after he initially presented them. His ideas have formed what we now know as **modern genetics**. ## ***5. Peyton Rous & Viral Cancer Transmission*** If you’re female, you’ve probably had a PAP smear and HPV (Human Papillomavirus) test done. Why? Because it is widely accepted that viruses can lead to cancer…and, in this case, cervical cancer. Peyton Rous, a researcher, was ostracized and severely criticized for his work identifying viral transmission of cancer in 1911.⁸ His critics said that the virus he was studying didn’t cause a true neoplasm (new cancer growth, in this case), but was rather a “reaction” to the virus. **We know now that there are at least seven viruses⁹ associated with cancer development in humans and that up to 20% of all cancers have an infectious etiology.¹⁰** Rous wasn’t awarded the Nobel Prize until 55 years after his discovery because he stopped studying cancer as a result of the pressure he received from the medical community.¹¹ That’s a long time of research being put on hold! Think of the number of lives saved as a result of his work and how many more would have been saved if his work had been received differently upfront. Fortunately, the virus he discovered that was subsequently named after him (Rous sarcoma virus, or RSV) has been used in cancer research for decades. It was even pivotal in the discovery of the RSV gene, which influences whether or not a virus can transform into malignant cells. ## ***6. Andreas Roland Grüntzig & Angioplasty*** I bet you know someone who has had a **percutaneous transluminal coronary angioplasty** (PTCA). It is one of the most common procedures performed in US hospitals, accounting for “3.6% of all operating room procedures”.¹² Andreas Roland Grüntzig, a German cardiologist, was told his idea of balloon angioplasty would “never work” after his poster presentation at the annual American Heart Association meeting in 1976.¹³ One year later, he presented his first four cases of angioplasties in humans. A subsequent test case that resulted in a patient’s death did nothing to help his case, although Grüntzig pointed out that new procedures should probably not be tested only in end-stage, disease-ridden patients to prove whether or not they work. One outspoken critic, cardiologist Paul Lichtlen, MD, expressed concern about announcing this discovery to the public “with only 10 treated cases and unknown long-term results.”¹⁴ **Almost fifty years after his discovery, Grüntzig’s angioplasty is the go-to initial treatment for many coronary artery blockages.** He and his predecessor in this research, Charles T. Dotter, were nominated for the Nobel Prize in 1978. Thank goodness he refused to cave to the mainstream medicine idea that it wasn’t a feasible treatment option! ## ***7. Stanley Prusiner & Prions*** Remember hearing about “Mad Cow Disease?” **Dr. Stanley Prusiner, a neurologist, insisted that mad cow disease and Creutzfeldt-Jakob disease are not caused by microorganisms like viruses, bacteria, and fungi, but rather by infectious proteins that he referred to as “prions”.¹⁵** His work laid the foundation for many developments in the area of neurodegenerative diseases. He endured significant opposition and personal attacks in the media and referred to it as a “firestorm” in his life.¹⁶ He didn’t receive the Nobel Prize for his work until well over a decade after he initially described prions. ## ***8. Barry Marshall & H. pylori *** **Helicobacter pylori** are now the most common thing we look for in people with gastric ulcers and gastroesophageal reflux symptoms. Dr. Barry Marshall, a gastroenterologist from Western Australia, was completely shunned and persecuted in the mid-1980s. Why? It was for his discovery that gastric ulcers were likely caused by bacteria and not a result of spicy foods, overproduction of stomach acid, and stress.¹⁷ The latter was the conventional medical wisdom at the time. Marshall received the Nobel Prize in 2005 for his discovery and a patent for his diagnostic test for this condition expires in early 2020.¹⁸ - Pylori-infected individuals are at increased risk for gastric cancers — a 2010 review names it “the strongest singular risk factor for cancers of the stomach”.¹⁹ What if Dr. Marshall caved to peer pressure from his mainstream medicine colleagues? How far behind would our understanding of gastric cancer be? ## ***9. James Allison & Immunotherapy*** **Immunotherapy** is now considered a revolutionary treatment for cancer. James Allison,²⁰ an immunologist, was discouraged by his mentors and even biotech companies when he studied and developed an antibody capable of treating cancer by removing the signal to the T-cell.²¹ One reason this breakthrough is so significant is that activating the immune response in this kind of treatment works long after the initial cancer cells are gone. *It’s a way to immunize the body against a cancer it has already experienced*. Wow! Where would cancer treatment be without the work of Allison? Drugs based on his work are currently some of the most clinically successful cancer treatment options on the market. He was awarded the Nobel Prize for his efforts in 2018. ## ***10. Bennet Omalu & Traumatic Brain Injuries*** Sports-related **traumatic brain injuries** — talk about a “touchy” subject! We love our sports and no one wants to hear about the possibility of long-term brain injury as a result. Bennet Omalu, a forensic pathologist, experienced significant attacks on his reputation and career after publishing a 2005 paper he published on the first diagnosis of *chronic traumatic encephalopathy* (“CTE”) as a result of injuries sustained during the game of football.²² Not only did the NFL discount his work, but mainstream medicine hesitated to authenticate his work. The NFL and other sports organizations, as well as the medical community, eventually were forced to acknowledge and recognize Dr. Omalu’s work on the impact of repeated brain injuries in sports.²³ Working on ways to decrease these injuries has become a major focus for many sports equipment companies and has significantly impacted the rules in football and other sports. He is quoted as saying about the experience: “I was naive. There are times I wish I never looked at Mike Webster’s brain. It has dragged me into worldly affairs, I do not want to be associated with. Human meanness, wickedness, and selfishness. People trying to cover up, to control how information is released. I started this not knowing I was walking into a minefield. That is my only regret.” ## ***Functional Medicine: An Uphill Battle*** Many of us in [Integrative and Functional Medicine](/) practices are at the forefront of seeing patients who have otherwise been shunned by their “regular” doctors for symptoms that don’t make sense or cures that weren’t easily found. Sadly, many patients have been described as hypochondriacs or depressed and at times were told they were experiencing panic attacks rather than real symptoms. We are often the ones these patients turn to when they are hopeless and overwhelmed. A big research study isn’t necessary to be able to say it isn’t safe to jump out of an airplane without a parachute — *it’s just obvious*. The medical discoveries above are now considered some of the most ‘obvious’ things yet were once considered crazy. Dr. William Harvey, the physician that accurately identified the vascular system and was so significantly criticized has reportedly said, “Much better is it oftentimes to grow wise at home and in private than by publishing what you have amassed with infinite labor, to stir up tempests that may rob you of peace and quiet for the rest of your days.” I pray for boldness for my **Integrative-Functional Medicine** colleagues who are censored and targeted for the amazing work they are doing and new discoveries they are making, and that they never choose to “grow wise at home and in private.” You can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources*:[.block][]*1 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2776239/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2776239/)*2 *[ *https://pubmed.ncbi.nlm.nih.gov/21781247/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/21781247/)*3 *[ *https://www.britannica.com/biography/William-Harvey[.block][]* ](https://www.britannica.com/biography/William-Harvey)*4 *[ *https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(14)61355-0/fulltext[.block][]* ](https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(14)61355-0/fulltext)*5 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1743827/pdf/v013p00233.pdf* *[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1743827/pdf/v013p00233.pdf)*6 *[ *https://www.britannica.com/biography/Ignaz-Semmelweis[.block][]* ](https://www.britannica.com/biography/Ignaz-Semmelweis)*7 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1205000/pdf/ge1312245.pdf* *[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1205000/pdf/ge1312245.pdf)*8 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2124874/pdf/397.pdf[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2124874/pdf/397.pdf)*9 *[ *https://www.mdanderson.org/publications/focused-on-health/7-viruses-that-cause-cancer.h17-1592202.html[.block][]* ](https://www.mdanderson.org/publications/focused-on-health/7-viruses-that-cause-cancer.h17-1592202.html)*10 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4718340/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4718340/)*11 *[ *https://europepmc.org/article/PMC/2213042[.block][]* ](https://europepmc.org/article/PMC/2213042)*12 *[ *https://www.ncbi.nlm.nih.gov/books/NBK535417/* *[.block][]*](https://www.ncbi.nlm.nih.gov/books/NBK535417/)*13 *[ *https://pubmed.ncbi.nlm.nih.gov/106683/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/106683/)*14 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671350/* *[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671350/)*15 *[ *https://pubmed.ncbi.nlm.nih.gov/1675487/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/1675487/)*16 *[ *https://www.nobelprize.org/prizes/medicine/1997/prusiner/biographical/[.block][]* ](https://www.nobelprize.org/prizes/medicine/1997/prusiner/biographical/)*17 *[ *https://einstein.pure.elsevier.com/en/publications/should-we-now-routinely-be-examining-gastric-biopsies-for-campylo[.block][]* ](https://einstein.pure.elsevier.com/en/publications/should-we-now-routinely-be-examining-gastric-biopsies-for-campylo)*18 *[ *https://patents.google.com/patent/US4830010A/en* *[.block][]*](https://patents.google.com/patent/US4830010A/en)*19 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957472/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957472/)*20 *[ *https://www.mdanderson.org/publications/conquest/immunotherapy-innovator-jim-allisons-nobel-purpose.h36-1592202.html[.block][]* ](https://www.mdanderson.org/publications/conquest/immunotherapy-innovator-jim-allisons-nobel-purpose.h36-1592202.html)*21 *[ *https://pubmed.ncbi.nlm.nih.gov/8596936/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/8596936/)*22 *[ *https://www.protectthebrain.org/documents/CTE-Part-I-Neurosurgery.pdf[.block][]* ](https://www.protectthebrain.org/documents/CTE-Part-I-Neurosurgery.pdf)*23 *[ *https://www.gq.com/story/nfl-players-brain-dementia-study-memory-concussions* ](https://www.gq.com/story/nfl-players-brain-dementia-study-memory-concussions) --- ## Thai Cucumber Salad **Link:** [Thai Cucumber Salad](https://fullyfunctional.com/blog/thai-cucumber-salad/) ([md](https://fullyfunctional.com/blog/thai-cucumber-salad/index.html.md)) **Description:** Enjoy this light, refreshing, tangy Thai Cucumber Salad as a side to your favorite Asian dish, or on its own! This is a Fully Functional® summer favorite. ### Content This **Thai Cucumber Salad** is a summer favorite, but that doesn’t make it any less tasty the rest of the year! Enjoy this light, refreshing and tangy cucumber salad as a side to your favorite Asian-inspired dish, or on its own! This dish incorporates a favorite herb of ours, cilantro. The [health benefits](https://pubmed.ncbi.nlm.nih.gov/29433220/) of this powerful antioxidant are well-documented, and *we can’t get enough of the fresh taste* (especially when combined with lime!). It’s also very easy to grow, so add this one to your herb garden. Pair this Thai Cucumber Salad with our [Greek Style Zucchini-Lamb Burgers](/blog/greek-style-zucchini-lamb-burgers/) for a complete dish. One of our favorite anti-inflammatory diet recipes, and Fully Functional® approved![.block][] **Replace Recipie Feat** ### Ingredients - 2 English cucumbers peeled, seeded and sliced - 1/2 cup fresh cilantro chopped - 1 hot chili pepper, seeded and chopped (or ½ tsp + dried chili flakes) - 4 scallions finely sliced - 2 tablespoons fresh lime juice - 2 tablespoons coconut aminos - 1/4 cup salted cashews ### Instructions #### For Salad - Peel cucumbers, slicing in half lengthwise. Remove the seeds using a spoon. Slice halves crosswise into thin slices. Add the sliced cucumbers to a salad bowl. Add fresh cilantro and mix to combine. #### For Dressing - Trim fresh chili pepper, if using. Slice it lengthwise, remove the membrane and seeds, then mince. Combine pepper (or flakes), scallions, coconut aminos, and lime juice. Stir to combine. Add to the cucumbers and cilantro and toss well. Garnish with chopped cashews. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, thai cucumber salad --- ## A Functional Medicine Approach to Thyroid Disease **Link:** [A Functional Medicine Approach to Thyroid Disease](https://fullyfunctional.com/blog/thyroid-disease-treatment/) ([md](https://fullyfunctional.com/blog/thyroid-disease-treatment/index.html.md)) **Description:** If you have a thyroid condition, it's important that you are your best advocate. It takes time to figure out exactly what you need to be manage your hormone levels so you can get your life back. ### Content ### Thyroid Disease Your **thyroid** is a small butterfly-shaped gland that resides in the front of your neck. Though the thyroid is small, *it is mighty*. In charge of producing several thyroid hormones, your thyroid is very important to your metabolism and protein production. Your **thyroid hormones** are used throughout the body, in nearly every tissue. **Thyroid diseases** are fairly common and impact hundreds of millions of people worldwide. Thyroid diseases lie on a spectrum – ranging from conditions where the thyroid makes too much hormone, to those where the thyroid doesn’t make enough. Symptoms can be very mild and about half of all people with thyroid conditions don’t realize they have a problem. Furthermore, thyroid conditions may be difficult to diagnose when they produce only mild or non-specific symptoms. *Hypothyroidism* and *hyperthyroidism* are on opposite ends of the spectrum. When your thyroid isn’t making enough hormones, it’s called hypothyroidism. When your thyroid is making too many hormones, it’s called hyperthyroidism. Interestingly, *an overactive immune system can be at the root of both types of thyroid conditions*. When the immune system begins attacking the thyroid, it can cause either hyperthyroidism or hypothyroidism. Autoimmune diseases of the thyroid include Hashimoto’s thyroiditis (hypothyroidism) and Graves’ disease (hyperthyroidism). Common thyroid conditions include: - Hypothyroidism - Hashimoto’s thyroiditis - Hyperthyroidism - Graves disease - Goiter - Thyroid nodules Your symptoms and treatment plan will differ depending on whether or not your thyroid is making too much or too little hormone. It will also differ depending on whether or not you have an autoimmune disease. ### Biochemistry Before we start talking about specific thyroid diseases and conditions it is important to understand how the body uses hormones to ‘talk’ to itself. We are going to dive into a little **biochemistry** – how we, as living beings, ‘chemically communicate’ with ourselves. ‘Chemical conversations’ can get pretty complicated so let’s stick to the big picture of what happens in our bodies. You have an area in your brain called the *hypothalamus* that talks to the anterior portion of pituitary gland (also in your brain) and tells it to release thyroid stimulating hormone (TSH). TSH is like a bull horn. It is used to instruct your thyroid whether to make more or less thyroid hormones. The louder (higher the number) it gets, the more underactive the thyroid is and more thyroid hormone is needed. The quieter (lower number) it is, the more overactive your thyroid gland is and it needs to decrease production. TSH then travels from your pituitary gland to the thyroid and tells the thyroid gland to produce thyroid hormones. Thyroxine (T4) and triiodothyronine (T3) are the primary hormones produced by the thyroid gland, with T4 being produced four times more often than T3. T3 however, is the more active form of thyroid hormone and is responsible for our metabolism – the way our body uses energy. Breathing, heart rate, weight, muscle mass, menstrual cycles, fertility, nervous system activity, body temperature, cholesterol levels and much more are impacted by our thyroid hormones. In fact, *every cell in your body has thyroid hormone receptors* (binding sites) indicating that thyroid hormone activity is critically important when it comes to living a [Fully Functional® life](/blog/fully-functional/). Both T4 and T3 travel outside of the thyroid gland where T4 is converted into more T3 and impacts bodily functions as mentioned above. T3 is like the ‘gas pedal’ for our metabolism but we also have something called *Reverse T3* produced in the body. More tends to be produced when the body is under considerable stress because it is similar to a ‘brake pedal’ and it signals the body to slow down. Unfortunately, many doctors don’t measure Reverse T3 levels and don’t get a full picture as to the ‘thyroid conversation’ in the body. The levels of T4 and T3 in the system then provide a feedback mechanism to the brain to tell it to make more or less TSH…*and thus the cycle continues*. Now let’s take a closer look at the different thyroid conditions. ### Hypothyroidism **Hypothyroidism** is the most common form of thyroid disease. It occurs when your thyroid gland isn’t producing enough hormone. Usually, but not always hypothyroidism is caused by autoimmunity, in which case it’s called Hashimoto’s thyroiditis. Hypothyroidism can also be caused by nutrient deficiencies, toxic exposures, chronic stress, damage to the thyroid gland, surgery or removal, and radiation treatment. Many people who have hypothyroidism don’t necessarily realize they have a problem because the symptoms can be very mild and their lab work may be in the ‘normal’ range. Common symptoms of hypothyroidism include: - Fatigue - Cold intolerance - Unexplained weight gain - Depression - Constipation (often severe) - Thinning eyebrows (especially the outermost area) - Dry skin and weak nails - Hair loss - Brain fog - Weakness - Slow heart rate When you’re tested for hypothyroidism, your doctor should check several of your hormone levels, including thyroid stimulating hormone (TSH). It’s also important to be tested for autoantibodies, which would indicate you have Hashimoto’s thyroiditis – an autoimmune condition. Not every doctor does this because they believe the treatments are the same and therefore the underlying cause doesn’t matter. At Vine Healthcare we know that failure to address the underlying causes of autoimmunity can result in the progression to other autoimmune diseases. One of the things we tell patients based upon years of experience treating autoimmune conditions is that “autoimmunity begets autoimmunity.” If you have a thyroid condition, it’s important that you are your best advocate. It takes time to figure out exactly what you need to be manage your hormone levels so you can get your life back. Take the time to do so carefully with an [certified Functional Medicine doctor](/) you trust. ### Hashimoto’s Thyroiditis As noted above, it’s estimated that 90% of all people with hypothyroidism actually have **Hashimoto’s thyroiditis**. Hashimoto’s thyroiditis is one of the most common forms of autoimmune disease, where the immune system attacks the thyroid gland. Though men and women can get this condition at any age, it’s most common in women between the ages of 20 and 40. If you are diagnosed with Hashimoto’s thyroiditis, you’ve probably had it for up to 10 years before the symptoms caused you enough trouble to send you to the doctor. In fact, Hashimoto’s can be stable for years. Only after it’s triggered by another condition or stress to the immune system, do the symptoms typically worsen. Symptoms of Hashimoto’s thyroiditis are the same as those of any cause of hypothyroidism which include: - Fatigue - Constipation - Depression - Thinning hair - Irregular menstrual cycle - Weight gain - Cold sensitivity - Skin conditions - An enlarged thyroid or goiter ### Hyperthyroidism Hyperthyroidism is when the thyroid gland is overactive and producing too much thyroid hormone. Similar to hypothyroidism, this condition is more common in women. Hyperthyroidism can be caused by Graves’ disease, nodules on the thyroid, and goiter. Symptoms of hyperthyroidism include: - Anxiety - Nervousness - Restlessness - Mood swings - Racing heart - Excessive sweating - Trembling - Insomnia - Thin skin - Weight loss - Muscle weakness - Brittle nails and hair - In Graves’ disease, bulging eyes ### Graves’ Disease **Graves’ disease** is an autoimmune disease that causes hyperthyroidism. *It’s the most common form of hyperthyroidism in the United States* and usually affects women between the ages of 20 and 30. If you have Graves’ disease, you’ll have some or all of the hyperthyroidism symptoms listed above. Graves’ disease patients often experience distinctive bulging eyes (called “proptosis”) with associated vision problems and often have issues with an irregular or rapid heartbeat. Graves’ disease is often treated with thyroid destroying treatments. This should be done with extreme caution because once your thyroid damaged, it won’t produce hormones well, which will result in hypothyroidism. ### Goiter **Goiter** is when the thyroid gland becomes enlarged. Usually this is caused by iodine deficiency, which is more common outside of the United States. Goiter can also occur as a symptom of hyperthyroidism even in patients who get sufficient iodine. Similar to other thyroid diseases, goiters are more common in women. Factors that increase the risk of developing goiter include certain medications, pregnancy, radiation exposure, and genetics. Only when goiter becomes severe enough, do you notice the following symptoms: - Difficulty swallowing - Tightness in your throat - A hoarse voice - Coughing - Wheezing *Usually goiter is easily managed*, though it shouldn’t go untreated. If you think you have goiter, be sure to make an appointment with **a certified Functional Medicine Physician** who’s experienced in treating thyroid diseases. A thyroid ultrasound may be needed to exclude cancer. ### Thyroid Nodules Thyroid nodules are usually non-cancerous growths that form on the thyroid gland. Usually thyroid nodules are too small to feel. Thyroid nodules can be caused by iodine deficiency and Hashimoto’s. The thyroid nodules are normally benign, though they can be cancerous. Most thyroid nodules are asymptomatic. Sometimes thyroid nodules can cause excess thyroid hormone production and other times they can cause low levels of hormones – in which case your symptoms might look similar to hyperthyroidism or hypothyroidism, respectively. An ultrasound may be required to establish the diagnosis of thyroid nodules. ### The Underlying Cause of Your Thyroid Condition Matters It is essential to identify the source of your thyroid condition so that it can be quickly addressed and on occasion diminish or completely eliminate the need for hormone replacement. *This isn’t to say that you won’t need thyroid hormones or treatment* but when steps are taken to address the underlying root cause, the amount of thyroid hormone replacement or duration of/type of treatment is quite often greatly reduced. ### Our Fully Functional® Process and Thyroid Disease Treatments We take all of our patients through our Fully Functional® Process, including those with thyroid disease. Treatments are geared at helping patients become their most healthy, productive, joy-filled selves: - **Identify** – Identify underlying root issues, contributing factors, infections, nutrient deficiencies, intestinal permeability, whether the thyroid disease is autoimmune or not, toxic exposures, structural abnormalities, etc. - **Reduce** – Reduce inflammation, toxic exposures, any infections identified, immune dysfunction, etc. - **Optimize** – Optimize detoxification – improve hydration with adequate urination, encourage daily (at least) bowel movements, lymphatic drainage, biotransformation in the liver, and ensure adequate sleep with dreaming as a ‘mental detox.’ - **Support** – Support healthy immune function – address an under-functioning or over-functioning immune system. Support the structural/musculoskeletal system. Mental/emotional support to be successful on this journey. - **Personalize** – Create a personalized plan so that you are empowered with information and understanding so that you can navigate your own health journey in a new and different way. - **Hormone replacement** (if needed) – We’ll check your hormone levels and and work to restore balance. Our treatments are geared at helping patients become their most healthy, productive, joy-filled selves: - **Hormone replacement** – adequate thyroid hormone levels are essential for optimal health. Thyroid disease will often require thyroid hormone replacement, at one point or another. [Replacing hormones](/functional-medicine/bioidentical-hormone-replacement/), when needed, can absolutely be the difference between life and death. - **Healing the gut** – It’s important to make sure your gut is functioning well, so you’re absorbing necessary nutrients to heal. Also, your gut is the home of your immune system and so healing any underlying conditions can help modulate the immune system. We have identified that a common denominator in different types of autoimmune diseases is intestinal permeability (‘leaky gut’). - **Infrared sauna** – [Infrared saunas](/functional-medicine/infared-sauna-therapy/) are great for people with thyroid conditions, especially those caused by autoimmunity. This is because it helps reduce inflammation and promotes detoxification. - **Lymphatic drainage massage** – Our [lymphatic drainage massage](/functional-medicine/therapeutic-lymphatic-drainage-massage/) stimulates a major detoxification pathway by getting the lymphatic system flowing. - **BioMat therapy** – Our **BioMat** helps with free radicals and inflammation in the body by flooding it with negative ions, which can help those with thyroid disease. Additionally, infrared technology is used to optimize detoxification. ### Finding a Thyroid Disease Specialist If you are in Carmel, Indiana or the Indianapolis area and are looking for a certified Functional Medicine Physician with extensive experience in thyroid diseases, Drs. Ellen and Scott Antoine have years of experience in treating and successfully managing thyroid (and many other) chronic conditions. **You can request an appointment [here](/contact/) or call our office at 317-989-8463.** --- ## Thyroid Health: 21 Crucial Questions Pertaining to Your Thyroid **Link:** [Thyroid Health: 21 Crucial Questions Pertaining to Your Thyroid](https://fullyfunctional.com/blog/thyroid-health-21-crucial-questions-pertaining-to-your-thyroid/) ([md](https://fullyfunctional.com/blog/thyroid-health-21-crucial-questions-pertaining-to-your-thyroid/index.html.md)) **Description:** The number of patients with thyroid conditions that come to our office is overwhelming! Thyroid disease is epidemic! Check out our thyroid health tips. ### Content The number of patients with **thyroid conditions** that come to our office (and are unaware of their condition) is overwhelming! Thyroid disease is epidemic! We’re covering thyroid health, and *21 crucial questions pertaining to your thyroid*. According to the [American Thyroid Association](https://www.thyroid.org/), an estimated **20 million Americans** have some form of thyroid disease. Up to 60 percent of these individuals are aware of their health condition. This is critical information because thyroid disease puts patients at risk for certain serious conditions such as cardiovascular disease, osteoporosis, and infertility. Pregnant women with undiagnosed or inadequately treated hypothyroidism have an increased risk of miscarriage, preterm delivery, and severe developmental problems in their children. Women are at significantly higher risk than men for developing thyroid problems and one in eight women will develop a thyroid disorder in her lifetime. Autoimmune (the body attacks itself) thyroid disease is **the number one autoimmune condition in the United States**. ## ***About Your Thyroid & Thyroid Health*** The **thyroid gland** is a small, butterfly-shaped gland located in the base of the neck just below the Adam’s apple. While the gland is relatively small, *its impact on our health is huge*! Every cell in the body has a receptor for thyroid hormone therefore it has great influence on the function of many of the body’s most important organs, including the heart, liver, kidneys, brain, and skin. Your thyroid is like the ‘powerhouse generator’ of your body and is responsible for regulating your metabolism. There are different forms of thyroid hormone and T3 is the one used the most by the organs and tissues. Your brain (hypothalamus and your pituitary) tells your thyroid (through thyroid-stimulating hormone, TSH) to make thyroid hormone (T4). Thyroid hormone production requires several nutrients, including iodine, selenium, magnesium, B vitamins, zinc, and others. T4 travels out to the tissues and is converted into the more ‘active’ form (T3). This also requires numerous nutrients. [Nutrient deficiencies](/functional-medicine/iv-lounge/) can lead to poor thyroid function. When things go awry and the communication between the brain and thyroid is disrupted (HPT axis), *the body is unable to run smoothly*. If hormone levels fall, all your body functions slow down and this is known as hypothyroidism. Your thyroid gland sometimes produces too much hormone and this is known as hyperthyroidism or an overactive thyroid. Additionally, sometimes patients develop structural abnormalities of the gland known as a goiter. Sometimes nodules form and are often benign, but on occasion, cancerous nodules are identified. ## ***21 Crucial Questions Pertaining To Your Thyroid*** **Do You Have Thyroid Disease?** If any of the following statements are true for you, you should consider getting a thorough evaluation, including workup for thyroid disease: - I am gaining weight for no clear reason or am unable to lose weight with a diet and exercise program. - My “normal” body temperature is low (below 98.2° when I take it). - My hands and feet are cold to the touch and I frequently feel cold when others do not. - I feel fatigued or exhausted more than normal. - I have a slow pulse, and/or low blood pressure. - I have been told I have high cholesterol. - My hair is rough, coarse dry, breaking, brittle, or falling out. - My skin is rough, coarse, dry, scaly, itchy, and thick. - My nails have been dry and brittle, and break more easily. - My eyebrows appear to be thinning, particularly the outer portion. - My voice has become hoarse and/or ‘gravel-ly’. - I have pains, aches, stiffness, or tingling in joints, muscles, hands and/or feet. - I have carpal tunnel syndrome, tendonitis, or plantar fasciitis. - I am constipated (less than 1 bowel movement daily). - I feel depressed, restless, moody, sad. - I have difficulty concentrating or remembering things. - I have a low sex drive. - My eyes feel gritty, dry, light-sensitive. - My neck or throat feels full, with pressure, or larger than usual, and/or I have difficulty swallowing. - I have puffiness and swelling around the eyes, eyelids, face, feet, hands and feet. - Women: I am having irregular menstrual cycles (longer, or heavier, or more frequent). I am having difficulty getting pregnant or maintaining a pregnancy. *Thyroid disease is not the only reason for the above symptoms. A thorough evaluation, including a physical exam and laboratory testing, is essential for an appropriate diagnosis. [.block][]**You can book an appointment by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** --- ## Tips to Becoming Fully Functional® **Link:** [Tips to Becoming Fully Functional®](https://fullyfunctional.com/blog/tips-becoming-fully-functional-2/) ([md](https://fullyfunctional.com/blog/tips-becoming-fully-functional-2/index.html.md)) **Description:** Our single overarching goal for all of our patients is to be Fully Functional® for Life. Check out our health tips to help you along the road to optimal health. ### Content At The Center for Fully Functional® Health, and as [integrative and Functional Medicine practitioners](/), our single overarching goal for all of our patients (and ourselves) is to be **Fully Functional for Life**. Check out these helpful tips to help you along the road to optimal health: ## ***IDENTIFY*** Underlying root issues, triggers, stressors, contributing factors, etc. Below is a list of some of the specific areas we evaluate as we consider possibilities: - **Food and water** – what are you eating and drinking? What you put into your body impacts your health – *either positively or negatively*. Did you know that food allergies can stimulate your immune system and lead to asthma, eczema, and autoimmune disease? Proper testing is key. We use the most sensitive testing available. We also have extensive experience using state of the art sublingual immunotherapy ([SLIT](/blog/sublingual-immunotherapy-convenient-root-cause-treatment-allergies/)) for food and environmental allergies. This painless, convenient alternative to allergy shots can, over time, lead to less allergic response and may allow reintroduction of some foods without adverse effects. - **Sleep** – are you getting enough sleep? Here are some of our tips for better [sleep hygiene](/blog/tips-for-improving-sleep-combat-insomnia-good-sleep-hygiene/). Read the research paper on sleep published in *Sleep Health* [here](https://www.sleephealthjournal.org/article/S2352-7218%2815%2900015-7/fulltext). - **Lifestyle** – are you living a life that supports health? - **Toxins** – do you know what you are putting in and on your body and its health impact? What about your work or home environment? Are you exposed to mold or other toxins produced in a water damaged building? What are you cleaning with? - **Infections** – do you wear protective gear when outdoors or are you potentially exposing yourself to tick borne infections such as [Lyme disease](/blog/lyme-disease-8-things-you-need-to-know/). Many other infections can become reactivated in the system, such as Epstein Barr virus (commonly known as mononucleosis). - **Spiritual** – do you have a healthy spiritual life? There is substantial literature that demonstrates **a link between spiritual life and health**. - **Relationships** – do you have toxic relationships, unhealthy boundaries, or loneliness in your life? - **Exercise** – do you have an exercise routine? Movement is known to be essential for optimal health. Read about the benefits of exercise in [this article](https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/exercise/art-20048389). - **Electromagnetic fields** – do you constantly have your cell phone at your ear or your laptop in your lap? Are you flying regularly and for long distances? Learn more about the deleterious effects of electromagnetic radiation from [EM Watch.](https://emwatch.com/what-emf-does-to-your-body/) In **Functional Medicine**, we are always looking for underlying root causes. These are additional things to consider: - Communication/Transport - Immune system - GI system - Neurologic system - Mediators – cytokines, etc - Blood/Cardiovascular - Hormones - Neurotransmitters - Mitochondrial function and energy production ## ***REDUCE*** The things that were *identified* to be stressors, triggers, root issues, etc. - **Remove processed foods from your diet:** This tip is first because it may be the most important. Preservatives, artificial colors, and other chemicals provide no nutritional value and can incite inflammation in your body. - **Cut the sugar:** Sugars (especially white or refined sugar) are very inflammatory as well. The amount of sugar in the American diet has increased astronomically over the last 100 years and along with it, the incidence of diabetes, heart disease, stroke, and cancer. Try this for a period of time (a month) and see the surprising change in your energy and vitality. We can encourage and help you with this process and provide you with recipes and guidance to embrace and enjoy your new lifestyle. **Decrease your stress:** We all have some amount of stress in our life these days. *Stress is a factor in most diseases*. While it is not often possible to eliminate all sources of stress, you can learn to manage it. Prayer, meditation, yoga, and relaxation breathing techniques (such as those we teach our patients) can all lower stress. Stress – no matter the cause…the result is the same – the feeling of being chased by a tiger: - Inflammatory - Infectious - Traumatic - Oxidative - Mental/emotional - **Decrease inflammation** – lifestyle and supplement/dietary choices to do so - **Eliminate gluten:** Gluten is a protein found in flour and wheat-containing foods. In our office we test patients for celiac disease, which is an autoimmune condition that causes significant damage to the body when even minute amounts of gluten are ingested. We also test for true allergies to wheat. Even if neither of these conditions are found, *you will feel better by eliminating this inflammatory food from your diet*. This phenomenon (so called “non-celiac gluten sensitivity”) has been confirmed in scientific studies. - **Reduce exposure to EMFs.** – use a set of headphones/microphone when using your cell phone. Take all electronics out of your bedroom at night. Avoid wifi as much as possible. ## ***OPTIMIZE*** Detoxification, biochemical processes, and the way the body manages the things it comes in contact with on a daily basis **Optimize Detoxification** - **Sweat** – *Get moving!* Exercise aids in detoxification (toxins are excreted in sweat). Moderate exercise is also **anti-inflammatory** and helps in chronic painful conditions like fibromyalgia. In general, “anything is better than nothing”. Try to exercise at your level of fitness for at least 20 minutes (if cleared to do so by your doctor). For busy people, we suggest simple things like parking further away from work or the grocery store to facilitate walking or taking extra trips up and down the steps at home daily. If you are unable to exercise or to augment your exercise regimen we suggest regular [infrared sauna treatments](/functional-medicine/infared-sauna-therapy/). - **Hydrate and urinate** – drink ½ your body weight in fluid ounces of filtered water per day. - **Encourage adequate bowel movements.** Many people don’t know [what is considered healthy and normal](/blog/common-causes-of-constipation-and-solutions/). - **Liver biotransformation** – there are certain [nutrients necessary](https://www.hindawi.com/journals/jnme/2015/760689/) for Phase I and Phase II liver detoxification enzymes - **Lymphatic drainage** – [dry brushing](/blog/benefits-of-dry-skin-brushing/)/hot-cold shower/[lymphatic drainage massage](/functional-medicine/therapeutic-lymphatic-drainage-massage/). - **Get to bed sleepy head!** – Sleeping and dreaming lead to what we refer to as a ‘mental detox.’ It is important that you attempt to sleep for *at least 7-8 hours per night*. The bedroom should be cool, quiet, and dark. Viewing electronics such as cell phones impair melatonin release which can worsen insomnia. We are very successful in helping patients with sleep disorders get to sleep using natural non-addictive supplements and by teaching them good sleep hygiene. Prescription sleep aids can impair stage 4 REM sleep and can be addictive. We are also quite successful in helping our patients safely get off these medications while finding and fixing the cause of their sleep disturbance. - **Optimize your [vitamin D](/blog/health-benefits-of-vitamin-d/) level** – Called the “sunshine vitamin”, **vitamin D** is essential for many biochemical reactions in the body, is an immune booster, and helps in autoimmune disease and cancer. Not all vitamin D supplements are the same, however. *Vitamin D3 is the most absorbed form*. It is now recognized that the recommended daily allowance (RDA) of vitamin D set by the US government (400IU) is likely about 10% of what most people need. It is important to monitor levels by drawing blood levels and keeping these levels at optimal levels. This is important because some have different genetic vitamin D receptors and need far more than standard doses to maintain levels in optimal range. ## ***SUPPORT*** The immune system, the body, emotionally, etc. - **Support your immune system** – talk about nutrients/lifestyle choices to do this. - **Spend time with friends and family:** Breast cancer studies have shown human interaction and support increases survival in patients undergoing treatment. Time with others can be a de-stressor itself. - **Care for your microbiome:** Did you know that your entire body is composed of about 10 trillion cells but you have 100 trillion bacteria in your intestines? You are basically 10% human and 90% bacteria! This inner intestinal realm (the “microbiome”) is responsible for helping your body make certain chemicals and hormones that cannot be made in their absence. The frequent or long-term use of antibiotics or acid-blocking drugs can alter this bacteria or kill off “friendly” bacteria, making you susceptible to serious infections from pathogenic (disease causing) bacteria such as Clostridium difficile (“C. Diff”). Alterations in your microbiome have been implicated in cases of depression and ADHD in recent studies. Good food choices, avoidance of disrupting medications, and healthy probiotics (such as our CFFH Probiotics 100) can help fix your **microbiome**. Before we start you on probiotics we will do a comprehensive stool analysis to look for abnormal intestinal bacteria, yeast overgrowth, and inflammation. - **Find your purpose:** You are valuable and were put here on earth for a reason. Finding that reason (your passion) can be immensely helpful in the healing process. We are happy to talk with you about this and any other issues that affect your health. Rather than the usual medical model of “name the symptom, find a diagnosis, and prescribe medication”, *we look at our role as one to help you thrive in all aspects of your life*. Next, get a hobby. In addition to finding your purpose on earth, finding a hobby can help you de-stress and enjoy your new-found health even more. ## ***PERSONALIZE*** Our goal is to create a long-term health plan and empower you to understand your body and what is best for you. - **Spiritual health** – The science is clear that *spiritual health is an important part of health*. If you have questions we recommend you seek answers from local congregations or reach out to us for support and prayer. - **Have an [ attitude of gratitude/thankfulness](/blog/cultivatating-gratitude/)** – Journaling/verbalizing things you are thankful for or that bring you joy is a quick and easy way to not become distracted from the things in life that aren’t always ideal. - **Find a certified Functional Medicine physician.** There are many places to find people these days with opinions on **Functional and Integrative Medicine**. You need to make sure you find someone who has the experience and training to provide you with care which is both evidence-based and individualized. *Both of our physicians have 2 certifications in Functional Medicine*. We are the only practice in our area with that level of training and expertise. We partner with you to provide the knowledge and focus to help you become Fully Functional®. Find a certified Functional Medicine physician [here](https://ifm.org/find-a-practitioner/?location=indiana&country=US&rad=25&pos=). Through our process, we are successfully providing hope and healing to many who haven’t experienced either before while we also serve to be their ‘medical detective’ to uncover underlying root issues and know how to deal with them. Our ultimate goal is to help our patients manage risk, mitigate the effects of time and toxicity, and be *Fully Functional®* for life. **You can book an appointment by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** --- ## Top Tips for Healthy Holidays: Self-Care GoalsTake a Minute To Step Aside From the Holiday Swirl of Life Right Now **Link:** [Top Tips for Healthy Holidays: Self-Care GoalsTake a Minute To Step Aside From the Holiday Swirl of Life Right Now](https://fullyfunctional.com/blog/tips-for-healthy-holidays/) ([md](https://fullyfunctional.com/blog/tips-for-healthy-holidays/index.html.md)) **Description:** Keep the holidays magical by prioritizing your wellness. Here are some tips and reminders to ensure you have healthy holidays and prioritize self-care goals. ### Content ## ***Take a Minute To Step Aside From the Holiday Swirl of Life Right Now*** Read this blog post as a reminder to slow down and carve out some time and space to truly nourish yourself this holiday season. At this time of year more than ever, we tend to abandon our own [self-care and goals](/blog/self-care-for-caregivers/), in the name of getting it all done, perfectionism, and even holiday cheer. We’re sharing our Fully Functional® pro tips for **practicing healthy holidays and keeping up with self-care goals**. It’s easy to find ourselves losing touch, running out of steam, and not supporting ourselves nutritionally or spiritually. There is a certain kind of balance that needs to happen this time of year. We need to care for ourselves in the midst of all the food and the frenzy. To support our health so we can look and feel our best, focus our energies on the people and projects that matter, then enjoy and celebrate! The holidays can lead to spiraling out of control and falling out of healthy habits, but they don’t have to! You can enjoy yourself, *live it up and still stay on track*, it just takes some effort and a little planning. You’re worth it. Keep the holidays magical by **prioritizing your wellness**. After all, who wants to head into a new year feeling sick and exhausted? You can actually feel *better* by the end of the holiday season with a little focus, intention, and self-care. Here are some tips and reminders! ## ***Plan for the New Year Now*** How do you want to feel heading into the new year? I doubt exhausted, bloated, and depleted are on the list. Don’t sabotage your health by using this season as an excuse to treat your body poorly. Think of how you want to feel come January and **begin working on it now**! *Write the reasons down!* Keeping this front of mind throughout the holidays will help keep you on track. ## ***Support Your Body Nutritionally*** While some holiday indulgence is expected, *keep it under control*! The holidays are not an excuse to throw away your healthy habits. Keep the nourishing foods front and center, then indulge! Food is fuel. **Maximize nutrient-dense foods** such as veggies, fruits, high-quality proteins, and healthy fats (nuts/seeds/avocado/coconut) for high energy. Not only do whole foods provide the energy-boosting nutrition you need to get you through hectic shopping sprees or extreme holiday decorating, but by eating whole foods, you will naturally “crowd out” energy-draining, nutritionally deficient junk foods and sweets. *Choose the good foods, first*! **Another tip for fueling up:** Keep your blood sugar stable!! Blood sugar spikes lead to blood sugar dips, which means low energy, cravings, mood swings, and worse. Always make sure you include protein, fat, and fiber at each meal and snack! For example an apple with nut butter, a salad with lots of veggies, avocado, and shredded chicken or hard-boiled egg. ## ***Plan To Party*** Don’t rely on willpower! Eat something with protein and fat before you go and take a healthy dish with you. Don’t try to “save up” your calories for a party during the day, because it will backfire. Hunger and deprivation followed by overeating wreaks havoc with your blood sugar, your digestive and hormonal systems, and can lead to exhaustion, moodiness, bloating, headaches, constipation, and weight gain. You will get too hungry and set yourself up for some major overindulgence come party time. If you nourish your body in a healthy way the day of the party and eat some protein right before you go, you will still get to enjoy, but will eat less and feel better! If you’re drinking alcohol, choose wisely. Stay clear of the sugary mixed drinks and *drink one glass of water for every glass of alcohol*. ## ***Don’t Eat To Please*** Just because everyone else is overeating holiday treats *doesn’t mean you have to*. Peer (whether family, friends or coworkers) pressure around food is a very real thing and a lack of support or understanding can be a real challenge for people trying to make dietary changes. If you’ve changed your diet and lifestyle (or are trying to), but others around you haven’t, it can be very difficult. **But if you don’t want it, don’t eat it**. Don’t sabotage your goals trying to please people by eating their homemade treats or favorite foods, if you truly don’t want them. Politely say no or “maybe later”. You don’t have to justify yourself. You are in control of your own choices. ## ***Build a Healthier Holiday Plate*** The holidays are for celebrating and food brings us together in a special way. Enjoy your special holiday meals, appreciating every ingredient, truly tasting every flavor, and eating the foods that bring you joy, but there are ways to be healthier about it. One trick is to *fill your plate with the healthiest foods first* so that your most essential nutritional needs are met and you’re satiated. You’re then apt to make better choices. Once you retrain your mind to gravitate toward healthier options, you’ll be surprised by how satisfying the healthiest foods can be, even at a party. And dessert? Sometimes just a couple of bites of a rich dessert will do the trick. Lingering over a couple indulgent bites allows you to still enjoy the flavor and texture without overdoing it with sugar and empty calories. Did you know that the gratification you get out of eating a special treat drops significantly after just 1 or 2 bites? It’s a scientific fact! Check out our healthy **anti-inflammatory recipes** [here](/blog/). ## ***Get Back on Track With Some Daily Detox Tips*** If you do over-indulge, bounce back by putting some of our favorite [daily detox tips](/blog/daily-detox-tips/) into action. - **Drink lemon water.** Water flushes toxins from the system and transports nutrients where they need to go. The kidneys rely on water to remove toxins from the blood and every other organ relies on water as well. Lemon helps keep the body in an alkalized state. - **Eat lots of greens.** Greens help filter toxins and purify the blood, strengthen your immune system, improve the function of your detox organs, increase circulation and reduce inflammation in the body. - **Move your body.** Toxins get released through sweat! - **Detox bath.** The most relaxing way to detox your body! [Detox baths](/blog/magnesium-bath-salts-with-lavender-recipe/) help naturally pull out toxins from the body and boost your immune system. ## ***Drink More H2O!*** **Hydration** is the most basic and important form of nourishment, *but often the most neglected*, especially when it’s cold. Did you know that the gnawing hunger you sometimes feel throughout the day is not actually hunger, but dehydration? Those headaches and lethargy too? [Dehydration](https://www.ncbi.nlm.nih.gov/books/NBK555956/). Most of us go through our days in a constant state of **dehydration** without realizing it. Your goal should be to drink half of your body weight in ounces of water. Hydration should also be your first step each morning. Drink at least 16 oz. of water before you do anything else in the morning to rehydrate after sleeping and to rev up your digestion. Drink water at room temp or even warm to avoid getting cold. You can also drink herbal teas (caffeinated beverages of any kind do not count- they are dehydrating!) ## ***Keep Up Your Workouts*** Schedule them if you have to! It is so easy for the day to slip away, but moving your body during this season is more important than ever, so make it a priority, especially if you’re going to be indulging at a party or holiday dinner. You’ll feel better, more confident, and more able to enjoy things if you keep up your workouts. Not only will it help you burn the extra calories you consume over the holidays, but *it is critical for keeping stress levels down and keeping your immune system strong*. ## ***Log Off *** C’mon, you know you need to. Endless hours of internet shopping is taking its toll. *Take a break*. And not just from the shopping, but from the scrolling. Your FB friends will still be on there tomorrow. Take a day off to enjoy **undistracted holiday time**. Sundays or special holidays are great for this! Turn off the notifications too, because every ding, or knock or chirp, comes with a distraction. Be fully present with the ones you love, **device-free, distraction-free**. You’re not missing anything by logging off, but you are missing A LOT in the distraction. It’s so important for us to have periods of time when we’re not[interacting with technology](/blog/spring-clean-with-a-digital-detox/) when our minds are free to wander and explore when we’re able to simply be present with ourselves and our surroundings. The after-hours work, tweets, or Instagram updates will always be there but these precious holiday moments with loved ones won’t. Be present. Renew your connection to yourself and others. ## ***Make Time for Self Care*** Ask yourself what you need. An [infrared sauna](/functional-medicine/infared-sauna-therapy/)? [Time for play](/blog/why-play-is-important-boost-vitality-reduce-stress/)? A restorative yoga class? Coffee with a friend? *Carve out some time for it*! ## ***Daily Gratitude Check *** “It’s not the happy people who are thankful, it’s thankful people who are happy.” There is so much research out there on the benefits of a simple **gratitude practice**. Shifting away from stress and toward [gratitude](/blog/cultivatating-gratitude/) has a powerful effect. It can infuse positivity into even the worst of days. What and who are you most thankful for? Just taking even a couple of minutes to shift your focus with a daily gratitude check will increase your sense of well-being immediately! You can journal your thoughts or just make a quick list somewhere! ## ***Remember the “Reason for the Season”*** Commonly this time of year, we get so caught up in the shopping, obligations, and rush of the holidays that we become overstressed and exhausted and lose focus on what’s important. Stress is a joy-stealer. Keep the reasons we celebrate front of mind. Focus on family, friends, and faith rather than the stuff and the to-do lists. Keep it all in perspective. Be mindful and meditative. Choose joy! **You can book an appointment by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** --- ## Tips for Improving Sleep: Combat Insomnia with Good Sleep Hygiene **Link:** [Tips for Improving Sleep: Combat Insomnia with Good Sleep Hygiene](https://fullyfunctional.com/blog/tips-for-improving-sleep-combat-insomnia-good-sleep-hygiene/) ([md](https://fullyfunctional.com/blog/tips-for-improving-sleep-combat-insomnia-good-sleep-hygiene/index.html.md)) **Description:** In this post, we're sharing our pro tips for improving sleep, and how you can attain better sleep hygiene. Combat insomnia with these lifestyle upgrades. ### Content When patients come to us with **insomnia**, we can recommend a range of interventions from detoxification to supplement protocols. But often, changing a few behaviors can make a big impact on our sleep quality. In this post, I’ll explore the lifestyle factors that contribute to proper sleep hygiene and give you some **simple tips for improving sleep**. We refer to sleep-promoting behaviors as sleep hygiene — just as a clean environment promotes health, a set of “clean” behaviors before bed and throughout the day might just unlock the restful night you’re seeking. In fact, we consider sleeping and dreaming a ‘mental detox’ and *critically important for Fully Functional® health*. ## ***Tips for Improving Sleep: Eating for Sleep*** We often think of the hours before bed as the most important for sleep, but *our daytime behaviors are important too*. Not surprisingly, what we eat can greatly impact our **sleep hygiene**. Let’s start with the obvious: any indigestion, including heartburn or bloating, can make falling and staying asleep difficult. Working to optimize digestion with a digestive enzyme like our Fully Functional Health® Digestive Enzymes or a blend of Betaine HCL and Pepsin (I like the addition of pancreatic enzymes in BioGest from Thorne Research) can help immensely. **Adrenal insufficiency** can also contribute to disrupted sleep, and we find it’s one of the most common causes of an inability to stay asleep during the night. What you might think of as waking up in the night to use the bathroom may actually be the result of a blood sugar spike and crash. While sorting out your body’s stress response and restoring adrenal sufficiency is the best way to improve this aspect of sleep in the long term, a short-term solution is to eat a small meal of protein and fat before bed. Contrary to popular belief, *eating before bed may actually help us stabilize blood sugar*, avoid a spike-and-crash cycle and maintain deep sleep.¹ It’s also important to take careful stock of your caffeine consumption. **Caffeine** is a stimulant that causes cortisol spikes even in people who consume it regularly. It also suppresses the chemical adenosine, which builds up during the day to signal when we’re ready for sleep. While it’s always a good idea to cut off caffeine consumption in the afternoon, it may be equally important to cut it out entirely if you are struggling with adrenal dysfunction. Likewise, alcohol consumption may interfere with sleep quality, even though in the short term you may feel sleepier after a few drinks. [Harvard Medical School’s Healthy Sleep](https://sleep.hms.harvard.edu/education-training/public-education/sleep-and-health-education-program/sleep-health-education-68) recommends limiting alcohol and cutting it off completely for several hours before bed. ## ***Regulating Circadian Rhythm*** Our sleep and wake cycles are dictated by our **circadian rhythms**.² This internal clock dictates when we feel sleepy and when we’re more alert, and can be affected by our interactions with natural and artificial light. If we rise with the sun, spend time outside, and avoid artificial light after sunset, we’ll be sleepy at night and alert in the morning. Unfortunately, many of us don’t rise with the sun, eat dinner by candlelight or even go to bed at a reasonable hour. We combine these behaviors with caffeine and alcohol, which further disrupt our adrenal function, and then wonder why we feel tired in the morning and wired at night. Yikes! Sleeping and waking at the same time each day, preferably close to sunrise and sunset, *is the best way to reset our natural rhythms*. Spending time outside during the day sends the correct signals to photoreceptors in our eyes. A short walk outside after breakfast or on our lunch break might be enough. At night, we can promote melatonin production by keeping our eyes off screens (yes, that includes our cell phones) after sunset. The blue light frequencies emitted by these screens mimic the sun’s natural light and send the wrong signals to our brains. If eliminating screen time isn’t possible, we can find some relief by wearing [blue-blocking glasses](https://www.swanwicksleep.com/) or installing an application like [f.lux](https://justgetflux.com/) on our desktop computers. Keeping lights low, or installing red light bulbs, can also be a helpful solution. These tips are especially important if you’re having trouble falling asleep. **Circadian rhythm training** can also be helpful for those with alternative schedules.³ Shift workers who need to stay awake during the night should be careful to avoid sunlight exposure during the day and wear blue light blocking glasses if they do go outside during the day. ## ***Tips for Improving Sleep: The Bedroom Environment*** We tell our patients that *the bedroom should be for sex and sleep only*. Make sure to get rid of the TV and remove cell phones, laptops, and other electronic devices. In fact, we don’t even suggest reading in bed; find a couch or chair instead. **Creating a bedtime routine is important**. When we’re ready to hit the hay, our first instinct is likely to climb into bed, turn out the light and seek sleep as quickly as possible. But employing a few simple tweaks to our physical environment first can yield big results in sleep quantity and quality. First, lowering the thermostat regulates our body temperature and promotes deeper sleep. Most experts believe a temperature around 65° is ideal. And before you object to the increase in your electric bill, know you can’t fake this with a lighter blanket. In fact, studies show a heavy blanket — therapeutic weighted blankets typically weigh 5-10% of a person’s body weight — can combat insomnia. Next, *make sure your bedroom environment is truly dark*. Outside street lamps, blinking electronic lights, or even the light from an alarm clock or charging device can send “wake” signals to our brains. Install light-blocking curtains and cover electronic lights in the bedroom. Better yet, charge your devices outside your bedroom to avoid temptation (and EMFs!). Finally, turn to your bedding. Mattresses, furniture, sheets, and comforters are all sources of chemical buildup and endocrine disruptors, and can off-gas considerably, especially when they’re new. Safer options include organic cotton bedding, natural wood furniture, and mattresses like the non-toxic [Purple Mattresses](https://purple.com/). We sometimes sleep on our [BioMats](/blog/biomat-benefits-becoming-fully-functional/) to promote healing during sleep! ## ***Wrapping Up*** Before you turn to sleep aids for relief from your **insomnia**, consider your bedroom environment. Make some of the above changes and notice how quickly they will have a positive impact. Soaking in a bath with [magnesium salts and a little lavender essential oil](/blog/magnesium-bath-salts-with-lavender-recipe/) is very relaxing and often enough to help you unwind and prepare for a fantastic night’s sleep. There are likely tweaks, from meal timing to temperature, that will make a considerable difference in your ability to fall asleep and stay that way. If you’re still struggling, **you can book an appointment by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** *Sources:[.block][]1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425165/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425165/)*2 *[*https://www.sleepfoundation.org/circadian-rhythm[.block][]*](https://www.sleepfoundation.org/circadian-rhythm)*3 *[*https://pubmed.ncbi.nlm.nih.gov/28539147/*](https://pubmed.ncbi.nlm.nih.gov/28539147/) --- ## Tips for Mindful Eating and Celebrating **Link:** [Tips for Mindful Eating and Celebrating](https://fullyfunctional.com/blog/tips-for-mindful-eating-and-celebrating/) ([md](https://fullyfunctional.com/blog/tips-for-mindful-eating-and-celebrating/index.html.md)) **Description:** Here are a few Fully Functional® tips to help you enjoy the holidays without sabotaging your health, energy and holiday radiance! Cheers to mindful eating. ### Content The holidays are here! Are you ready to count your blessings and enjoy the feast? Are you ready for the ultimate celebration at the table? We’re sharing our **top tips for mindful eating and celebrating**. This **holiday season** we’ll enjoy family and friends, make some new memories, practice traditions, and then get down to some *serious* eating. Food can bring us a lot of joy, but when we overdo it, it can really take a toll! The key is to *celebrate mindfully and practice mindful eating habits*. Here are a few Fully Functional® tips to help you enjoy the holidays without sabotaging your health, energy, and radiance! ## ***#1 Give Yourself Permission To Enjoy the Celebration*** The guilt we often feel after over-indulging can be more toxic than any food we eat. It causes stress, which can raise cortisol levels and create a toxic environment in the body. You know you’re going to eat. Acknowledge it, enjoy the meal and move on! Thanksgiving Day is no time to be counting calories or feeling deprived due to guilt or fear of weight gain. That said, you don’t have to eat *everything*! See #2! (Or prepare foods from our [Fully Functional® Recipe collection](/patient-resources/become-a-patient/), recipes that are holiday delicious, but won’t sabotage your health goals!) ## ***#2 Don’t Indulge in Foods You Don’t Love or Want, Just Because They’re on the Table*** Before you put something on your plate, mindfully consider whether or not you *truly enjoy eating that food*. If not, politely pass on it. Will the food cause unwanted symptoms that will plague you for days afterward? Consider the answer then make your choice. The Thanksgiving table offers many (possibly healthier) options to choose from! ## ***#3 Search out the Healthiest Foods First *** Take larger portions of the healthiest foods, then fill around that with the “less healthy”. When you focus on eating the healthiest foods first, you will naturally eat less of the rest. Psychologically, you get the most gratification out of eating food in just the first couple of bites. Keep that in mind and know that if you’re filling up on the good stuff, it’s entirely possible just enjoying a few bites of something rich and decadent will satisfy you just fine. ## ***#4 Don’t “Save Up” Your Calories for Later *** Skipping meals is never a good idea, even on a day like Thanksgiving. Skipping meals wreaks havoc with your blood sugar, leading to overeating and poor food choices. Instead, nourish your body in a healthy way the day of the big meal, including having a healthy breakfast and a couple of good snacks throughout the day. You will be much less likely to overdo it later in the day and will feel much better! ## ***#5 Slow Down and Chew Your Food *** Digestion begins in the mouth and your digestive system is going to need all the help it can get on a feast day such as **Thanksgiving**. It’s going to have a lot of work to do! Slow down and savor your food, taking the time to thoroughly *chew it*. This allows it to begin to break down and digest before swallowing. Slowing down also allows you to relax and enjoy your food more. ## ***#6 Move On Quickly From the Leftovers*** A couple of days of indulgence won’t derail your health goals, **but a whole week will**. Get back on track *as soon as possible* by eating healthfully as soon as the big meal is over and ramping up the exercise throughout the holidays. ## ***#7 Choose Joy Over Stress*** Commonly this time of year, we get so caught up in the shopping, obligations, and rush of the holidays that we become over-stressed and exhausted and lose focus on what’s important. *Stress is a joy-stealer*. Keep the reasons we celebrate front of mind. Focus on family, friends, and faith rather than the stuff and the to-do lists. Keep it all in perspective. Wishing you many joy-filled moments around the table this holiday season! And don’t forget to check out our super tasty Fully Functional® Holiday [Recipes](/blog/)! **You can book an appointment by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** --- ## Top Tips for Nausea Related to Chronic Illness **Link:** [Top Tips for Nausea Related to Chronic Illness](https://fullyfunctional.com/blog/tips-for-nausea-related-to-chronic-illness/) ([md](https://fullyfunctional.com/blog/tips-for-nausea-related-to-chronic-illness/index.html.md)) **Description:** Chronic illness-related nausea can be an unrelenting challenge for some of our patients. Read our top tips for nausea, including which foods help with nausea. ### Content **Chronic illness-related nausea** can be an unrelenting challenge for some of our patients. Some resources exist for women who experience nausea during pregnancy, and even for chemo-related nausea, but the nausea some of our chronic illness patients experience can last long past 9 months. We’re sharing our top **tips for nausea**. ## ***Our Top Three Tips for Nausea Include*** - **Peppermint** – check out [this video](https://www.facebook.com/MikeMutzelMS/videos/1481794675239044/) on applying peppermint essential oil to the vagal nerve stimulation - **Ginger** – Asian dishes with lots of ginger or a chunk of ginger with hot water for ginger tea - **Zofran/ondansetron** – we sometimes prescribe this for patients who are losing weight and experience nausea that is disruptive to their lifestyle ## ***Dietitians Share These Tips With Pregnant Women, That Also Apply to Chronic Illness Nausea*** - Don’t try to drink plain water – add lemon, a little organic juice or drink other beverages besides straight water - Try drinking beverages cold instead of room temperature – sometimes cold beverages are more tolerated than room temperature - Add a protein supplement – if you’re struggling to eat meat, be sure to add a good protein powder in to make sure you’re getting enough protein. We offer several protein powder options in our office and at our online shop. Hide flavor-neutral collagen peptides and [fat](https://www.bulletproof.com/brain-octane-oil-16-oz) in your smoothie, coffee or tea, if that’s palatable. - Eat lots of small snacks – if a big meal sounds unappealing, become an appetizer and snack grazer. - If food cooking smells increase nausea, be sure to use ventilation. Diffuse essential oils like peppermint or ginger to help disguise the smell. ## ***Some of Our Patient-Favorite Food and Beverage Options for When Nausea Strikes On-the-Go*** - Refrigerated organic apple - Frozen mango chunks - [Ultima](https://www.ultimareplenisher.com/) - [Spindrift Sparkling Water](https://spindriftfresh.com/), especially the grapefruit flavor - [Simple Mills Crackers](https://www.simplemills.com/products/fine-ground-sea-salt-almond-flour-crackers) - [Gluten Free Matzo-Style Squares](https://simplemills.com/Shop/Product/Fine-Ground-Sea-Salt-Almond-Flour-Crackers.aspx) - [Peppermint Spry Mints](https://thrivemarket.com/spry-peppermint-xylitol-mints) - [Organic Rice Cakes](https://thrivemarket.com/lundberg-farms-organic-wild-rice-cakes) You’ll notice that some of these snacks are not as nutrient-dense as we’d like for daily consumption, but sometimes eating less-than-ideal food that is higher carb or higher sugar is better than eating nothing at all. At The Center for Fully Functional® Health, our [health coaches](/functional-medicine/health-coaching/) specialize in supporting our patients on their journey to becoming Fully Functional® for life. In patients with **chronic nausea**, they offer personalized support by developing plans with and for our patients facing this specific challenge. All of these tips and tricks are for managing nausea but don’t address the root cause. If you’re experiencing chronic illness-related nausea, *make an appointment to become Fully Functional*®. **You can book an appointment by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** --- ## Tips for Success: Struggling To Make a Breakthrough? It Might Be Resistance **Link:** [Tips for Success: Struggling To Make a Breakthrough? It Might Be Resistance](https://fullyfunctional.com/blog/tips-for-success-struggling-to-make-a-breakthrough/) ([md](https://fullyfunctional.com/blog/tips-for-success-struggling-to-make-a-breakthrough/index.html.md)) **Description:** Why do some of our most important goals or aspirations not get met? We’re sharing our top tips for success by conquering resistance and accomplishing goals. ### Content We love the image of the flower breaking through the dry, cracked earth, above. We can bloom right where we are, despite all of the forces trying to keep us down, both real and imagined. What keeps so many of us from doing what we want to do? Why do we get so stuck *and struggle to make a breakthrough*? Why, despite our best intentions for the day, do our most important goals or aspirations not get met? We’re sharing our **top tips for success when it comes to your health and wellbeing, and how to accomplish your goals**. We’re sharing our top tips for success by *conquering resistance and accomplishing goals*. There is a word for it. **Resistance**. And intention is no match for it, only focused attention. In his book about resistance called The War of Art, Steven Pressfield says, “Resistance can not be seen or touched, heard or smelled. But it can be felt. We experience it as an energy field. It’s a repelling force. It’s negative. *Its aim is to shove us away, distract us, prevent us from doing our work.”* ## ***Resistance Steals Our Joy, Progress, and Sabotages Our Goals*** Whether our goals are health-related or the progress we are trying to make is toward something else, like following a calling, **resistance prevents us from doing what we are meant to do and being who we are meant to be**. In Pressfield’s words, *“Resistance prevents us from achieving the life God intended when He endowed each of us with our own unique genius.”* Many of us struggle with this every day without realizing it. We don’t know why we are struggling so much. *Why can’t we seem to make the big breakthrough*? Which activities most commonly elicit resistance? Pressfield describes them as **any activities which reject immediate gratification in favor of long-term growth, health or integrity**. He goes on to list specifics, such as the pursuit of any creative calling, the launching of any entrepreneurial venture, any program of spiritual advancement, and of course any diet or health regimen! *“The more important a call or action is to our soul’s evolution, the more resistance we will feel toward pursuing it.”* **The amount of resistance you feel is proportional to the importance of your goal and how much it means to you**. If it meant nothing to you, there would be no resistance. So, on a positive note, the more gratification you will receive when you accomplish it! The most common manifestation of resistance is, as you might expect, resistance’s very best friend, procrastination. “I think I’ll just start tomorrow…” This is a trap, and resistance’s greatest weapon, because procrastination becomes a *habit*, and tomorrow sometimes never comes. Maybe we are procrastinating doing good things, worthy things, or just things that need to be done (like laundry and the dishes) but if they keep us from following that call deep within us, they are resistant. The laundry and dishes will still be there after the important work of the day is done. (Plus, if you put them off, maybe someone else will do them! Maybe?) There is no mystery to fighting resistance. It’s an act of will. *We make up our minds and we proceed*. Every day. Every day we must be prepared to confront our own self-sabotage. This is true in the pursuit of our callings and it is true in the pursuit of **good daily lifestyle habits**. ## ***Tips for Success: Conquering Resistance*** Everyone will find their own path to conquering resistance, but **here are some general tips that might help you on your journey:** - Set a time every day during which you work toward accomplishing your goal. Prioritize it and make sure you take at least one focused step, *every single day* toward it. - Focus on the work and its demands to the exclusion of all else, while you are doing it. No multitasking. - Don’t be over ambitious. Take manageable steps. You’re in it for the long haul and you don’t want to burn out. - Share your goals/work/dream with someone who will help inspire you and keep you accountable. - Be organized. Eliminate chaos from your world and mind as best you can. - Make no excuses. - Ask for help and get support when needed. Are there specific areas where you struggle with resistance? Now that you have a name for your struggle, try tackling this resistance head-on with some of the tips above to reach your goals *and make significant breakthroughs in your life*! You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. --- ## Toasted Coconut Cereal **Link:** [Toasted Coconut Cereal](https://fullyfunctional.com/blog/toasted-coconut-cereal/) ([md](https://fullyfunctional.com/blog/toasted-coconut-cereal/index.html.md)) **Description:** The beauty of this Toasted Coconut Cereal? It's five ingredients! Cinnamon, coconut, chia, hemp hearts, and cacao. Give this recipe a try, it's so good! ### Content The beauty of this healthy cereal recipe? It’s only cinnamon and coconut with added chia and hemp hearts (if you desire). One of our easiest, tastiest anti-inflammatory diet recipes. Give this **Toasted Coconut Cereal** a try, *you will not regret it*! [Coconut](https://en.wikipedia.org/wiki/Coconut) flour has been developed for use in baking, to combat malnutrition. Per 100-gram serving with 354 calories, raw coconut meat supplies a high amount of total fat (33 grams), especially saturated fat (89% of total fat) and carbohydrates (24 g). Micronutrients in significant content include the dietary minerals manganese, iron, phosphorus, and zinc. Who knew something so flavorful could be so good for you? This delectable snack is extremely versatile and *appropriate for any occasion*. Our healthy Toasted Coconut Cereal recipe is beyond DELISH and ready in no time! Looking for more **breakfast ideas**? Find them here. **Replace Recipie Feat** ### Ingredients - 10 cups coconut shredded, organic unsweetened, I prefer out of the bulk bin at our local health food store - 4 tbsp cinnamon - 1 cup nut milk unsweetened, pick your favorite kind! - 1/2-1 tbsp chia seeds organic, optional - 1/2-1 tbsp hemp hearts organic, optional - 1/4 tsp cacao powder organic, optional ### Instructions - Preheat oven to 400 degrees Fahrenheit. - Mix coconut and cinnamon together and spread evenly on a cookie sheet. - Toast in oven until lightly brown (approximately 7-10 minutes). - Let cool completely before storing and store in a glass container. - Take ¼ toasted coconut mixture and put into a bowl. Add ½ -1 Tbsp of organic chia seeds and organic hemp hearts. Mix together and add in your favorite, unsweetened nut milk (I prefer cashew). - To make it even more scrumptious, add a ¼ cup of organic cacao powder to your bowl. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, healthy cereal recipe, toasted coconut cereal --- ## Turkey Bacon Breakfast Casserole **Link:** [Turkey Bacon Breakfast Casserole](https://fullyfunctional.com/blog/turkey-bacon-breakfast-casserole/) ([md](https://fullyfunctional.com/blog/turkey-bacon-breakfast-casserole/index.html.md)) **Description:** As anti-inflammatory meals go, this healthy Turkey Bacon Breakfast Casserole presents an alternative to the typical breakfast casserole with dairy and pork. ### Content Our **Turkey Bacon Breakfast Casserole** is the perfect way to start your day. Patients frequently ask what they can make for breakfast. Although *we recommend avoiding eggs during the Initial Wellness Plan phase*, if a person is not allergic or sensitive to eggs, we add them back into their eating plan. As **anti-inflammatory diet recipes** go, this healthy breakfast casserole recipe presents an alternative to the typical breakfast casserole that includes cheese and or milk, and pork products. As we recommend continuing to avoid dairy and pork ongoing, due to pro-inflammatory and other health concerns, this casserole has a meaty, hearty quality that works for breakfast or a light lunch. We tried it here at the office on top of greens tossed with a tangy mixed greens salad dressed with a tart Dijon sauce. Nutritionally, the combination of [sweet potatoes](https://pubmed.ncbi.nlm.nih.gov/28460992/#:~:text=The%20unique%20composition%20of%20sweet,antimicrobial%2C%20antiobesity%2C%20antiaging%20effects.), onion, thyme, and turkey bacon provides Beta-carotene, fiber, vitamins B-6, C, folate, the minerals phosphorus, manganese, and potassium as well as phenolic antioxidants zeaxanthin and lutein. Looking for more breakfast ideas to accompany our Turkey Bacon Breakfast Casserole? Check ’em out [here](/blog/). **Replace Recipie Feat** ### Ingredients - 12 oz turkey bacon chopped - 1 large onion chopped - 2 medium sweet potatoes shredded (~4 cups shredded) - 3 tbsp thyme leaves fresh Or 1.5 tsp dried - 1/4 tsp chipotle pepper ground - 1.5 tsp sea salt - 1 pinch black pepper to taste - 12 whole eggs free range - 1 tbsp olive oil - 1 tbsp butter clarified or ghee ### Instructions - Preheat oven to 375 degrees. - In a large sauté pan or Dutch oven, sauté the onion in 1 Tbsp. each olive oil and clarified butter until translucent. - Add the thyme, ground chipotle, and sweet potatoes and stir until well combined. Add the chopped turkey bacon. - Wipe a 9×13 inch rectangular baking dish with olive oil. - Crack eggs into medium large bowl and whisk until frothy and well beaten. Transfer the sweet potato and turkey bacon mixture to the baking dish and spread evenly. - Pour the beaten eggs over and use a spatula to distribute. - Bake for approximately 30 minutes, until lightly browned and set, or until an instant read thermometer comes to 160-165 degrees. - Let stand for 15 minutes before cutting, cool to room temp, or chill in fridge for later use. Can be frozen and used within a week for best quality. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-Inflammatory recipes, healthy breakfast casserole, turkey bacon breakfast --- ## Turkey Skillet With Italian Veggies **Link:** [Turkey Skillet With Italian Veggies](https://fullyfunctional.com/blog/turkey-skillet-with-italian-veggies/) ([md](https://fullyfunctional.com/blog/turkey-skillet-with-italian-veggies/index.html.md)) **Description:** Who doesn’t love a one-pot dinner? This Turkey Skillet is perfect for quick, easy, weeknight dinners. All ingredients are anti-inflammatory diet approved. ### Content This **Turkey Skillet With Italian Veggies** ticks all the boxes of a comforting Italian dish. Who doesn’t love a **one-pot dinner**? Perfect for quick, easy, weeknight dinners, skillet meals can be made *in about 15 minutes*. The best part? The quick and easy extends to the clean-up. Just one pan! You can follow this recipe as written, or use whatever veggies, in whatever quantities, you have on hand. Get creative with this one! Whatever combinations you choose, this low carb, healthy and tasty turkey skillet dish is well balanced with protein, lots of [anti-inflammatory](https://pubmed.ncbi.nlm.nih.gov/26400429/) veggies, and flavored with Italian seasoning for *a healthy, flavorful and satisfying meal*! Pair this dish with our [Kale Caesar Salad with Crispy Chickpeas](/blog/kale-caesar-salad-with-crispy-chickpeas/), and/or our [Garlic and Chive Flatbread](/blog/gluten-free-flatbread-garlic-chive/). **Replace Recipie Feat** ### Ingredients - 1 tablespoon olive oil - 1 pound ground turkey - 1 whole onion chopped - 3 cloves garlic minced - 1 whole small zucchini chopped - 1 whole small summer squash chopped - 1 cup red bell pepper chopped - 1 cup tomato chopped - 1 teaspoon dried oregano - 1 teaspoon dry basil - 1 teaspoon salt - 1/2 teaspoon red pepper flake (optional/to taste) ### Instructions - Heat olive oil over medium heat in large sauté pan. Add onion and sauté until it begins to soften. - Add ground turkey and sauté until cooked through. Add remaining vegetables, garlic and spices. - Sauté until all vegetables are cooked to your liking. Add more seasoning to taste and serve! Keywords: anti-Inflammatory recipes, anti-inflammatory veggies, easy weeknight dinner, one pot dinner, turkey skillet --- ## Turkey Taco Skillet **Link:** [Turkey Taco Skillet](https://fullyfunctional.com/blog/turkey-taco-skillet/) ([md](https://fullyfunctional.com/blog/turkey-taco-skillet/index.html.md)) **Description:** Try this sensational Turkey Taco Skillet! Featuring ground turkey, crushed tomatoes, green beans, and taco seasoning. This one is for the whole family. ### Content Try this sensational **Turkey Taco Skillet**! Featuring [ground turkey](/), crushed tomatoes, green beans, and taco seasoning. *This one is for the whole family*. Pair with our [Gluten-Free Flatbread](/blog/gluten-free-flatbread-garlic-chive/) If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 2 lbs ground turkey thigh organic - 1 packet taco seasoning organic - 1.5 cups crushed tomatoes organic - 2 tsp Italian seasoning - 2 tsp garlic powder organic - 1 pinch salt and pepper - 2 tbsp olive oil - 3 cans green beans organic, drained ### Instructions - Brown turkey meat in olive oil (on low-medium heat) with taco seasoning mixed in. - Add in other seasonings and crushed tomatoes. - Once cooked, add in the 3 cans of green beans – Heat, Mix, and Serve. - Enjoy! Keywords: anti-inflammatory meals, anti-Inflammatory recipes, healthy chicken taco, skillet, skillet meal, turkey, turkey taco skillet --- ## The Vagus Nerve: Exercises for Calmness and Connection **Link:** [The Vagus Nerve: Exercises for Calmness and Connection](https://fullyfunctional.com/blog/vagus-nerve/) ([md](https://fullyfunctional.com/blog/vagus-nerve/index.html.md)) **Description:** Find out what your vagus nerve does, how it affects your daily life, and 10 easy exercises that can help restore calm and balance to your nervous system. ### Content *If you feel permanently caught in fight or flight mode, stressed, and unable to focus, then you need to know more about the vagus nerve! Learn the role of this crucial part of your nervous system and ten easy ways you can make it work for you.* ## What Is the Vagus Nerve? The **vagus nerve** is part of something called the **autonomic nervous system** (ANS). Your vagus nerve is responsible for a variety of functions, including digestion, relaxation, making social connections, and the changes in your body when you are scared or traumatized. The ANS should really be called the *automatic nervous system* because it runs multiple systems in your body, which occur without you having to think about them. The autonomic nervous system is split into two main parts, and the first part is the *sympathetic nervous system*. It's made up of nerves that come from the spinal cord in the chest (thoracic) and low back (lumbar) region. The **sympathetic nervous system** is responsible for the fight-or-flight response. When activated, it increases your heart rate and blood pressure, increases your rate of breathing, dilates your pupils (to let in more light and improve vision when hunting or fighting), and increases the blood flow to your muscles so you can run or fight. The second main part of the ANS is the **parasympathetic system**, which is primarily responsible for digestion, rest, and social connection. These are sort of the opposite of the sympathetic nervous system responsibilities. Most of the parasympathetic nervous system is in the vagus nerve – *about 75%, in fact*. The vagus nerve runs from the bottom of the brain all the way to the abdomen. ## How Does the Vagus Nerve Help with Stress? To understand the important role that your vagus nerve plays in regulating stress, we need just a few more details about the anatomy of the nerve itself. The vagus nerve actually has two parts. [1] The first is the **ventral branch**, which is responsible for digestive functions, social connection, and things like lowering the heart rate. The ventral vagus nerve is fully activated while you are relaxing on the beach with someone you love, having a deep, intimate conversation. The second part of the vagus nerve is the **dorsal branch**. The dorsal branch of the vagus nerve has some role in digestion and relaxation, but it’s mainly responsible for a primitive response to extreme stress. The dorsal vagus nerve is a sort of shutdown switch that disconnects you from others and makes you feel frozen in response to overwhelming fear as a form of self-preservation. Have you ever seen an animal play dead in response to a predator? That’s the dorsal vagus nerve kicking in! You might also see this response at times when people are in the midst of trauma and freeze or don't respond. Bystanders report that some people struck by trains will stop when they see the oncoming train rather than jump from the tracks. *That is an example of an extreme dorsal vagal shutdown response*. A strong activation of the dorsal vagus nerve often results in feelings of hopelessness or helplessness. This is why some victims of assault report feeling that they were outside of their body and could not fight their attackers. A sudden strong activation of the dorsal vagal response may also quickly drop your blood pressure and cause you to faint. ## What Happens When the Vagus Nerve Is In Overdrive? Ideally, *there should be a balance between your autonomic nervous system's sympathetic and parasympathetic portions*. Your ventral vagus nerve should be in charge most of the time, fostering a strong sense of well-being, calmness, and security in your life. The dorsal vagus nerve should seldom be triggered, only responding in extreme cases of danger or trauma. However, the reality of modern life is that most people stay in a permanent, low-level case of dorsal vagus nerve stimulation. Work stress, family needs, social and political conflict, and the hectic nature of life on the go can convince your parasympathetic nervous system that you are in constant danger. This same set of circumstances can also cause a continuous activation of your sympathetic nervous system so that **you constantly feel the physical symptoms of fear or stress**. When both the sympathetic and dorsal vagal responses get stuck in activation, it can leave you feeling continually anxious (sympathetic activation) and hopeless or paralyzed (dorsal vagal reaction). Symptoms associated with this combination of responses include: - Nervousness - Irritability or anger - Mood swings - Trust issues - Difficulty concentrating - Memory problems - Feelings of hopelessness or depression - High-risk behaviors - Difficulty sleeping - Chest pain - High blood pressure - Loss of appetite An imbalance of the autonomic nervous system as a whole can also worsen menstrual pain and asthma. [2] ## How to Restore Your Resilience & Sense of Peace Traditionally, the symptoms mentioned above are treated as distinct disorders. The problem with that approach is that treating any one symptom in isolation very rarely leaves the patient feeling balanced or truly well. For example, anti-anxiety drugs, antidepressants, or sleep aids may cause improvement in the symptom being treated, but an imbalance of the autonomic nervous system impairs multiple bodily processes that a single diagnosis or prescription just can't address. The good news is that there are simple and effective exercises you can do (or help someone else do) at home to **restore autonomic balance**! Mainly, these are focused on reducing the exaggerated sympathetic and/or dorsal vagal responses and increasing the ventral vagal performance. [3] ## Ten Ways to Restore Healthy Autonomic Balance The following are all free, *easy ways to restore a healthy balance to your nervous system*. We recommend choosing a few favorites and keeping them handy for times when stress threatens to derail your day: 1. Deep Breathing Exercises We typically discuss **breathing exercises** with all of our patients precisely because so many people suffer from autonomic imbalances and can benefit from deep breathing. (4) It is especially helpful if *slow breathing from the abdomen* is performed. One simple way to do this is 4-7-8 breathing. To do this exercise, find a quiet spot where you will not be disturbed. Then: - Breathe in for a count of four. - Hold your breath for a count of seven. - Exhale for a count of eight. - Repeat for at least three minutes. If you have never done this before, you may need to slowly work your way up to holding your breath for 7 seconds to keep yourself comfortable and avoid inadvertently raising stress levels. If 7 seconds seems too long, try **box breathing** instead. Legend has it that box breathing is used by Navy Seals prior to missions to help them remain calm. To do this exercise, breathe in for a count of four, hold for a count of four, breathe out for a count of four, hold for a count of four, and repeat for at least 3 minutes. If you begin to feel dizzy, return to normal breathing until you feel better and try again another day. 2. Singing, Humming, or Gargling You likely learned to hum before you learned to talk. Small children often hum when they eat or play to self-soothe. This works because the vagus nerve is connected to the larynx, or voice box. The vibration produced by singing or humming stimulates the ventral portion of the vagus nerve. Since both of these activities are associated with prolonged exhalation, *they also provide the benefits of deep breathing*, but in a more social and fun manner. Even if you can’t sing, humming or using a kazoo can give you the same benefits. Repetitive chanting with meditation or gargling can also help stimulate the ventral vagus. 3. Exercise Although **exercise** initially stimulates the sympathetic nervous system and increases your heart rate and respiratory rate, the net effect after exercise is *to stimulate a ventral vagal response*. This is one of the reasons most people feel good after they finish exercising. Extra points if you do this with a partner, as this establishes human connection. Studies have even shown that exercise training modifies the autonomic nervous system response in patients with heart problems. [5] 4. Dancing This is one of our favorite activities! *It’s a combination of exercise and increased breathing*. And if you also sing or hum while **dancing**, you have achieved the trifecta of vagus nerve stimulation! Like exercise, doing it with others also adds connectedness to the mix. 5. Playing a Musical Instrument **Playing a musical instrument** (or even just listening to music) stimulates the ventral vagus nerve. In musicians, a state of connectedness with the crowd and extreme peace or confidence while playing music masterfully is called “the flow state.” Several studies have examined the flow state and have found that this state affects heart rate variability. [6] [7] 6. Cold Water Exposure Placing cold water or ice on your face or, if you are brave enough, *a cold shower or ice bath* can increase parasympathetic responses and lower your sympathetic tone. This has been demonstrated as an effective help with stress in several studies.[8] [9] [10] 7. The Vagal Push (AKA The Valsalva Maneuver) To perform this exercise, lay on your back, tense your abdominal muscles, and bear down (as if having a bowel movement). Hold your breath while doing this and continue for 15-20 seconds. This can be repeated 3-4 times, with 2-minute breaks in between. If you begin to feel dizzy or out of breath, stop this exercise and breathe normally. This exercise should not be done while sitting up or standing since it may cause fainting. The **Vagal Push** is so effective that a similar maneuver is sometimes used in the Emergency Department when people come in with an abnormally fast heart rhythm. [11] [12] [13] 8. Prayer, Meditation, or Yoga **Prayer, meditation, and yoga** are known as contemplative practices. There is evidence that these behaviors stimulate the vagus nerve. [14] Group prayer, meditation, or yoga are also activities that can increase connectedness, so bonus points if you can do these activities with others! 9. Positive Emotions and Gratitude Multiple studies show that people who **cultivate positive emotions** – gratitude, joy, forgiveness of others – *have improved health and increased vagal tone*. [15] There are various apps and programs available to help you develop these strategies for yourself. Support groups and hobbies can also be helpful. 10. Journaling One thing we encourage all of our patients (and parents of our young patients) to do is to **journal often**. It does not have to be organized or fancy – just a cheap notebook and a pen will do. We encourage people to write often about what they are thankful for or what good things they have. When you or your child are ill, thankfulness can be hard to muster at times in the thick of the fight. But we almost always have something good that we can name: air conditioning on a hot day, heat when it's cold outside, food to eat, and clothes to wear. Also, know that you have us on your side. We regularly pray for our patients, their families, and anyone who reads our work in print or online. Research shows that **expressive narrative writing** in particular can have enormous benefits, including a lower heart rate, increased heart rate variability, and a strengthened immune system. [16] [17] To try it for yourself, journal about a challenging event or condition, listing your deepest thoughts and feelings. They also try to weave these emotions into a narrative story that tells your reader something about the meaning of the events. Even if you never share what you've written, you can still see the health benefits. ## Get Help Restoring Vagus Nerve Balance **In addition to your lifestyle, a number of health issues can affect the performance of your autonomic nervous system, including nutrition and your gut microbiome. If you need help finding balance and *eliminating physical symptoms of stress*, please [schedule your consultation](/contact/) with our team today.** Our [functional medicine practice](/), The Center for Fully Functional Health, is located in Carmel, Indiana, and you can reach us by calling [(317) 989-8463](tel:(317) 989-8463), Monday – Thursday 8AM to 5PM Eastern, or by filling out the contact form at the bottom of this page. *Sources:* 1 Porges SW. Orienting in a Defensive World: Mammalian Modifications of our Evolutionary Heritage–A Polyvagal Theory. Psychophysiology. 1995;32:301-318[.block][] 2 Rosenberg S. Accessing the Healing Power of the Vagus Nerve: Self-Help Exercises for Anxiety, Depression, Trauma, and Autism. North Atlantic Books. 2017[.block][] 3 Porges SW, Doussard-Roosevelt JA, Maiti AK. Vagal tone and the physiological regulation of emotion. Monogr Soc Res Child Dev. 1994;59(2-3):167-186[.block][] 4 Wang SZ, Li S, Xu XY, et al. Effect of slow abdominal breathing combined with biofeedback on blood pressure and heart rate variability in prehypertension. J Altern Complement Med. 2010;16(10):1039-1045[.block][] 5 Besnier F, Labrunée M, Pathak A, et al. Exercise training-induced modification in autonomic nervous system: An update for cardiac patients. Ann Phys Rehabil Med. 2017;60(1):27-35[.block][] 6 de Manzano O, Theorell T, Harmat L, et al. The psychophysiology of flow during piano playing. Emotion. 2010;10(3):301-311[.block][] 7 Hamilton AK, Pernía DM, Puyol Wilson C, et al. What makes metalheads happy? A phenomenological analysis of flow experiences in metal musicians. Qualitative Research in Psychology. 2019;16(4):537–565[.block][] 8 Kinoshita T, Nagata S, Baba R, et al. Cold-water face immersion per se elicits cardiac parasympathetic activity. Circ J. 2006;70(6):773-776[.block][] 9 Hayashi N, Ishihara M, Tanaka A, et al. Face immersion increases vagal activity as assessed by heart rate variability. Eur J Appl Physiol Occup Physiol. 1997;76(5):394-399[.block][] 10 Paulev PE, Pokorski M, Honda Y, et al. Facial cold receptors and the survival reflex "diving bradycardia" in man. Jpn J Physiol. 1990;40(5):701-712[.block][] 11 Smith G. Management of supraventricular tachycardia using the Valsalva manoeuvre: A historical review and summary of published evidence. European Journal of Emergency Medicine. 2012;19(6), 346-352[.block][] 12 Smith GD, Fry MM, Taylor D, Morgans A, Cantwell K. Effectiveness of the Valsalva Manoeuvre for reversion of supraventricular tachycardia. Cochrane Database of Systematic Reviews. 2015;2:1-22[.block][] 13 https://resources.acls.com/free-resources/knowledge-base/tachycardia/vagal-maneuvers[.block][] 14 Gerritsen RJS, Band GPH. Breath of Life: The Respiratory Vagal Stimulation Model of Contemplative Activity. Front Hum Neurosci. 2018;12:397[.block][] 15 Kok BE, Coffey KA, Cohn MA, et al. How Positive Emotions Build Physical Health: Perceived Positive Social Connections Account for the Upward Spiral Between Positive Emotions and Vagal Tone. Psychological Science. 2013;24(7):1123-1132[.block][] 16 ​​Bourassa KJ, Allen JJB, Mehl MR, Sbarra DA. Impact of Narrative Expressive Writing on Heart Rate, Heart Rate Variability, and Blood Pressure After Marital Separation. Psychosom Med. 2017;79(6):697-705[.block][] 17 Pennebaker JW, Kiecolt-Glaser JK, Glaser R. Disclosure of traumas and immune function: health implications for psychotherapy. J Consult Clin Psychol. 1988;56(2):239-245[.block][] --- ## Vegan Pesto Sauce Recipe **Link:** [Vegan Pesto Sauce Recipe](https://fullyfunctional.com/blog/vegan-pesto-sauce-recipe/) ([md](https://fullyfunctional.com/blog/vegan-pesto-sauce-recipe/index.html.md)) **Description:** Add a little punch to your dinnertime meal with this easy, very tasty, Vegan Pesto Sauce recipe. Add it to spiralized zucchini, a veggie dish, or use as a dip! ### Content Tired of the same old flavors? Add a little punch to your dinnertime meal with this easy, very tasty, **Vegan Pesto Sauce** recipe. Add it to spiralized zucchini, spaghetti squash, any veggie dish, or use as a dip for crudité. A family favorite dinner is to make spiralized zucchini mixed with this flavorful pesto and served with a baked fish or chicken. Pair Vegan Pesto Sauce with our [Mediterranean Zucchini Salad](/blog/mediterranean-zucchini-salad/), and [Gluten-Free Flatbread](/blog/gluten-free-flatbread-garlic-chive/)! If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 4 cups basil - 2 cups spinach - 2/3 cups olive oil (we love Bragg’s organic) - 1/3 cup pine nuts - 1 clove garlic - 1 sprinkle sea salt - 1 squeeze lemon juice ### Instructions - In a food processor, process pine nuts. Then add all of the rest of the ingredients. - Enjoy! Keywords: applesauce pancakes, dairy-free pesto, easy pesto recipe, pesto, plant-based pesto, vegan pesto, vegan pesto sauce recipe --- ## What is Direct Primary Care? Learn Exactly How It Works **Link:** [What is Direct Primary Care? Learn Exactly How It Works](https://fullyfunctional.com/blog/what-is-direct-primary-care/) ([md](https://fullyfunctional.com/blog/what-is-direct-primary-care/index.html.md)) **Description:** Learn how a Direct Primary Care membership offers an innovative alternative, with lower cost, on-demand Functional & Integrative Medicine Primary Care services. ### Content *If you’ve grown frustrated with the short appointments, high cost, and impersonal, Band-aid approach of traditional medical care, **Direct Primary Care** may be the answer! Learn more about this modern, affordable alternative to institutional Primary Care.* ## ***What is Direct Primary Care?*** **Direct Primary Care (DPC) is a healthcare delivery model that allows Primary Care Providers to offer medical services to an individual or a family for a flat monthly fee.** Rather than charge patients per visit or per service, DPC relies on a membership plan and direct patient contracts to offer members *unlimited access to routine medical services and care*. **As a result, Primary Care Providers (PCPs) can devote unlimited time to each DPC patient’s needs, and patients can expect more personalized, attentive treatment.** For instance, The Center for Fully Functional Health’s [DPC program](/patient-resources/direct-primary-care/) includes **unlimited clinician appointments**, plus a suite of testing and preventative care services. **Because DPC programs are owned and staffed by licensed medical professionals, DPC providers can work with the same hospitals, laboratories, outpatient surgery centers, and other medical service providers as a standard Primary Care doctor.** That means we can perform labs, order x-rays or other testing from outside facilities, or refer you to specialists as needed. However, DPC medical practices are entirely separate from the traditional healthcare network that includes health insurance companies, hospitals, third-party billing contractors, and more. *We have the freedom to treat you exactly as needed*, without prior approvals or the bureaucracy of pharmaceutical and insurance companies. ## ***What Makes DPC Different from Institutional Medical Care?*** **Millions of people in the U.S. have a PCP that works within a hospital system.** Most Primary Care doctors are in-network with their patient’s health insurance provider. In fact, in-network availability is a prevailing reason why patients choose any specific provider at all. **Instead of choosing a doctor that aligns with their values, needs, or location, patients are forced to choose from a list of providers picked by their insurance company.** This system is built on pre-negotiated contracts with large hospital systems, and it has almost nothing to do with the needs of an individual patient. In contrast, most DPC practices are **independently owned and operated**. This ownership model gives independent doctors the ability to prioritize their patients’ actual needs, not just maximize the billable services provided. **Our own DPC uses a Functional & Integrative Medicine treatment model that rejects the institutional cycle of speedy appointments, invasive testing, and long-term prescription use.** Instead, our DPC providers focus on proactive, compassionate care that prevents future illness *and addresses the root cause of any existing health issues*. ## ***How Does Direct Primary Care Work?*** **Becoming a DPC member is much easier than navigating the traditional healthcare system!** Rather than long hold times for the billing department and uncomfortable waiting room visits, DPC providers aim to create a more personal, frictionless process of receiving and paying for services. **Here’s what to expect if you’re considering a DPC membership:** - The DPC practice you’re considering membership with can provide a list of their care plans, services, additional benefits, and costs. - Most DPC providers offer a simple billing structure and month-to-month payment options that can be added, expanded, or removed as needed. - Some DPC practices operate from a central office location, but others can offer in-home care or telemedicine. - Your DPC provider will be able to help with examinations and prescriptions for an illness, routine physicals, baseline labs, virus testing, general wellness, mental health caregiving, and much more. Most members call their DPC provider first when they have a question or urgent need, or if they require a referral to a specialist. Instead of incurring an expensive co-pay bill or ER visit, members can speak to a clinician who knows them personally and can help navigate the best course of action. ## ***What Are the Benefits of Direct Primary Care?*** We’ve already covered how DPC is different from traditional **Primary Care** doctors. But it’s important to understand how these differences produce critical benefits for both the doctors offering DPC and the patients they serve. From lower costs to better standards of care, DPC members stand to gain a lot from this innovative service model. ***1) Lower Healthcare Costs*** DPC providers aren’t burdened with the same massive overhead and liability costs as hospitals, so *DPC services are more affordable and predictable*. Instead of paying for a system that’s bloated with administrators, billing specialists, consultants, and big buildings, DPC members know that each payment goes directly to the services they need each month. Because their DPC clinician can provide most of their routine medical care (or help them source medical services at a discounted rate), many DPC members end up spending less on overall healthcare costs each year. **In general, DPC members save money in any of the following ways:** - No out-of-pocket costs for unplanned PCP visits - Receiving medical services at discounted rates - Avoiding unnecessary treatments This direct-pay model is already used in **Functional & Integrative Medicine** practices across the nation with great success. ***2) Regular, Predictable Access to Care*** **In the traditional healthcare system, patients are trained to hold off for as long as possible before visiting the doctor.** Instead of waiting for something to go wrong or for a medical issue to become persistent or debilitating, patients can easily seek input from their DPC provider at any time, with no added cost. The ability to truly practice preventative care allows DPC clinicians to produce some incredible impacts, including: - Improving overall well-being and quality of life for their patients - Reducing their own burden of care due to the effectiveness of preventative practices - Decreasing systemic strain on the medical system by helping patients before they require more significant interventions ***3) A Relationship with Your Care Provider*** **The average patient might see their doctor once or twice a year. But DPC members have access to their provider as often as needed, and for any reason.** This access allows you to build a trusting relationship with your DPC clinician. As many DPC patients know, *the provider relationship becomes increasingly valuable over time*. This is especially true if you have chronic health issues that require detailed knowledge of your personal medical history and prior treatment. With the right knowledge at hand, your DPC doctor can truly advocate for the best result and treatment process. The DPC model also creates a better in-office or in-home visit. Here are a few stats ([1](https://revcycleintelligence.com/news/direct-primary-care-increases-patient-centered-care-access#:~:text=On%20average%2C%20DPC%20patients%20have,visits%20with%20their%20PCP%20annually)) that might surprise you: - **Research shows that DPC members see their doctors 2 to 4 times more often than the average patient.** - **DPC patient visits last 2 times longer than PCP visits at a hospital, with an average DPC appointment time of 35 minutes.** In addition to providing your medical services, your DPC provider can also help you understand the healthcare system and make an educated choice if more specialized treatments are required. This is a huge benefit for patients that would otherwise be left alone to determine the best approach for their healthcare. Lastly, many DPC clinicians have much more **open lines of communication** with their patients, including personal texts, emails, etc. Ungated access to their provider means that patients can easily and directly communicate on their own terms. ## ***How Much Does a Direct Primary Care Membership Cost?*** The **cost of a Direct Primary Care membership** will vary by geography, specialty, and the number of members on your plan. **You can expect to invest approximately $115-$150 monthly, plus a one-time enrollment fee that covers initial comprehensive onboarding and testing.** The main factors affecting DPC membership cost are: - Age - Number of members on the plan **Patients with a qualified high-deductible health plan have the added advantage of using their HSA to pay for DPC memberships.** ([2](https://hsaforamerica.com/blog/direct-primary-care-complete-guide/#:~:text=All%20Direct%20Primary%20Care%20patients,qualified%20high%20deductible%20insurance%20Plan.)) This approach helps patients receive the pre-tax benefits of an HSA and alleviate the membership costs for a DPC provider. DPC also works well for members that fall outside of the institutional health insurance system, including people that use a religious or non-religious medical cost-sharing program. ## ***Start Your DPC Membership with The Center For Fully Functional Health in Carmel, Indiana*** **Direct Primary Care** is a great option for individuals, couples, and families. At CFFH, our Free Climb Direct Primary Care membership is designed specifically for members who want unlimited care and a proactive, personalized approach to their medical needs and wellness goals. In addition to regular DPC services, our members receive substantial perks for other [holistic wellness services](/), from nutrition consultations and supplements to discounted aesthetic treatments and MedSpa therapies. **Your Free Climb Annual Membership includes:** - Unlimited appointments with your Fully Functional PCP - Annual comprehensive physical exam - Baseline labs (CBC, CMP, HgA1C, Lipid Panel, Thyroid, Vitamin D) - Flu, strep, mono & urine testing (up to 3 times annually) - In-office EKG - Quarterly body composition analysis - Annual skin cancer screening - Discounted rates on additional labs or procedures **As a Free Climber, you’ll also enjoy these Fully Functional MedSpa benefits:** - Free annual aesthetic skin assessment - 15% off all MedSpa Wellness & Aesthetic Services - 10% off all Skincare & Fully Functional Supplements - 10% off all Fillers - Neuromodulators at $10/unit - VIP access to Fully Functional MedSpa events Free Climb memberships range from **$115-$135/monthly**, plus a one-time enrollment fee of $250. (The savings begin immediately, since your onboarding package includes a Comprehensive Initial Consult with EKG, Fully Functional Foundational Supplement Bundle, and Free Climb Welcome Kit valued at $871.) Getting started is easy! You’ll have a month-to-month contract option that offers flexibility and affordable, world-class care. **Our staff is available to answer questions, walk through the available services, and discuss your options for joining the fast-growing DPC membership movement. Please call us at [(317) 989-8463](tel:(317) 989-8463), Monday – Thursday 8AM to 5PM Eastern, or fill out the contact form below.** --- ## What Is MTHFR? All You Need to Know About Methylation and MTHFR **Link:** [What Is MTHFR? All You Need to Know About Methylation and MTHFR](https://fullyfunctional.com/blog/what-is-mthfr-all-you-need-to-know-about-methylation-and-mthfr/) ([md](https://fullyfunctional.com/blog/what-is-mthfr-all-you-need-to-know-about-methylation-and-mthfr/index.html.md)) **Description:** What Is Methylation? It is a critical biochemical pathway that occurs in our bodies. We're sharing an in-depth look at methylation, MTHFR, and gene mutations. Learn more here. ### Content ## ***What Is Methylation? *** Ever hear of it? Heard of it but have no idea what it is? Well, *it is a critical biochemical pathway that occurs in our bodies*…in fact, it occurs billions of times every second within our cells. Without **methylation**, we would die. Methylation plays a crucial role in many bodily functions, including detoxification, immune function, energy production, mood balancing, maintaining DNA, and managing inflammation. In this article, we're answering the question: **What is MTHFR**, and sharing all you need to know about methylation, and MTHFR. ## ***What Is MTHFR? *** MTHFR is a gene that creates an enzyme called **methylenetetrahydrofolate reductase** (MTHFR). This gene/enzyme function is responsible for creating a vital multi-step chemical breakdown/cycling process called methylation. In every single cell in the body as well as in the fluid supplying the brain, this highly intricate process of methylation is occurring. *Methylation makes us who we are!* It is responsible for our physical, emotional, and mental health. Without it, we could not survive. Remember the toy the Spirograph? I think of methylation like this toy. There is one wheel that you put your pen in and you start moving the wheel that is attached to several other wheels. As you move the wheel with your pen, all the other wheels start to spin. If the pen isn't moving, nothing else is moving. If the process of methylation isn’t occurring, then the other processes that are dependent on the production of methyl groups aren't occurring properly. ## ***Methylation Process *** Here's another word picture to help explain this process: This process of methylation is like a factory line where '**methyl groups**' are being created. These methyl groups consist of a carbon with three hydrogen (CH3) atoms. As these groups are created 'in the factory' of methylation, it is passed onto another 'worker' so that that worker can do its work. Although we are completely unaware of this methylation process going on in the body, *it is critical for making, maintaining, and repairing DNA* (your genetic code). This system also shuts down viruses, supports immunity, assists detoxification, and turns off and on certain genes so that the system runs successfully. This is known as **gene expression**. Think of it this way…methylation is like a factory line where tires for cars are being made. The car (without the tires) is waiting on the lot to receive its tires so it can drive off the lot to go do its job. If tires (methyl groups) aren't being made in the factory, the car can't do what it was created to do. ## ***Specific Jobs of Methylation *** **More specific jobs of methylation** include: - Processing and filtering heavy metals and environmental toxins out of the body - Homocysteine management in order to prevent the harmful effects of high homocysteine (inflammation in the blood vessels, brain, heart tissue, and increased risk of developing Alzheimer's) - Converting nutrients like folic acid to methyltetrahydrofolate so that it can do innumerable actions throughout the body - Nervous system function and insulation around nerves - Creating the building blocks, RNA and DNA - Efficient removal of fat and cholesterol or used properly to create hormones - Regulate gene expression - Immune functionRemoval of free radicals - Manages the amount of fluid inside and outside of each cell - Neurotransmitter and chemical messenger communication and processing - Manages sulfur metabolism which is crucial for the detoxification process - The production and repair of proteins in the body - Histamine regulation and allergic responses - Waste and toxin cleanup through BH4 production ## ***Biochemistry*** Here's a bit of **biochemistry** for your enjoyment. There are four major molecules involved in the methylation cycle: - Homocysteine - Methionine - S-adenosylmethionine (SAMe) - S-adenosylhomocysteine. Each one of these molecules is like a step in the factory line and you get from one molecule to the next by means of enzymes. Each enzyme has an important co-enzyme or cofactor that it relies on to function properly and continue on to the next step. These cofactors are critical to the enzymes functioning properly and they include B vitamins such as folic acid, vitamin B12, and vitamin B6. There is **a biochemical glitch** that happens in this cycle. In order for this 'factory line' of methylation to work these B vitamins have to be in their active form. Vitamin B12 needs to be in the form methylcobalamin, folic acid needs to be form folinic acid, and pyridoxyl-5-phosphate. The process of methylation produces the most active form of folate in your body known as **methylfolate**. Methionine is extremely important and is used by the body to help detoxify against harmful agents such as lead and other heavy metals, it supplies sulfur and other compounds required by the body for normal metabolism and growth, it reduces the levels of histamine, and it has been found to act like an antioxidant to remove free radicals from the body, and it promotes excretion of estrogen. ## ***MTHFR Gene Mutation Explained *** What happens when your MTHFR gene is defective/mutated? This is called an SNP ('snip') which stands for **single nucleotide polymorphism**. - Neurologic abnormalities - such as weakness, numbness, fatigue, seizures, memory loss, and likely increased risk of Autism Spectrum Disorders - Immune dysfunction - Poor protein repair and production - Neuropsychiatric imbalances leading to depression, anxiety, panic attacks, irritability, mood swings, OCD, ADD/ADHD, Parkinson's, schizophrenia, bipolar disorder, and poor concentration - Lack of hormone regulation - Poor cell turnover, repair, and maintenance - Increased risk of cancer through a couple of different mechanisms - Inappropriate genetic coding leading to additional genetic mutations - Cholesterol accumulation leading to fat deposits around organs and within blood vessels - Significantly decreased glutathione production. Glutathione is the body's most potent detoxifier and without it toxins accumulate - Increased risk for stroke, heart disease, clotting disorders, infertility, spina bifida, and many chronic diseases - Heavy metal toxicity and toxic substance accumulation in the body - Electrolyte imbalances and cellular irregularities leading to Alzheimer's, Autism, Multiple Sclerosis, and Crohn's Disease - Abnormal DNA and RNA function - Increased risk of autoimmune disease - Hormone abnormalities leading to diabetes as well as pituitary, thyroid, and adrenal dysfunction - Widespread cellular damage leading to headaches, fatigue, intestinal permeability (leaky gut), and many other inflammatory conditions ## ***Medications/Supplements That Make MTHFR Genetic Mutation Worse*** - Acid blockers/Antacids (Zantac, Prilosec, etc) - Niacin - Estrogen from birth control pills or menopause medications - Sulfa- containing antibiotics or medications - Methotrexate - Metformin - Nitrous oxide ('laughing gas' at the dentist) - Cholesterol binding drugs such as Cholestyramine ## ***How Do You Know if You Have an Issue Methylating? *** **Genetic testing** is what needs to be done. A blood or saliva test can be done to assess your [MTHFR gene for a mutation](https://rarediseases.info.nih.gov/). Two different genes (C677T and A1298C) are measured when this test is ordered. Each gene has two copies. If both copies of a gene are involved in the mutation it is called a homozygous mutation; one copy is considered a **heterozygous mutation**. A **homocysteine level** can be measured in the blood and when elevated can suggest an SNP in the MTHFR gene; however, the gold standard would be to test for the SNP directly. *Remember this is a genetic mutation*; it is passed on between family members. That being said, we have the ability to 'bypass' these genetic mutations and support the methylation 'factory line' with diet and supplements. We are not just our genes. Food and nutrients have the ability to impact how our genes are expressed. Check out our article on [Mast Cell Activation Syndrome](/blog/mast-cell-activation-syndrome-when-the-immune-system-runs-off-the-rails/) (MCAS) for more information on poor methylation. At The Center for Fully Functional® Health, we perform comprehensive laboratory evaluations to understand the root causes of our patient's concerns. Our personalized patient care plans almost always involve **genetic testing for MTHFR**. [.block][]**You can book an appointment by clicking **[**here**](/patient-resources/become-a-patient/)**. We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM - 5PM Eastern time.** --- ## What Is Pelvic Floor Therapy? **Link:** [What Is Pelvic Floor Therapy?](https://fullyfunctional.com/blog/what-is-pelvic-floor-therapy/) ([md](https://fullyfunctional.com/blog/what-is-pelvic-floor-therapy/index.html.md)) **Description:** What is pelvic floor therapy? What are pelvic floor dysfunction symptoms? Check out this informative interview with our amazing Pelvic Floor Physical Therapist. ### Content Interested in learning more about **Pelvic Therapy** and how it can benefit your health? Check out this informative interview with our new Abdominal/Pelvic Floor Physical Therapist, Natalie Dereka, PT. ## ***What Is Normal and What Is Not When It Comes to Your Pelvic Floor?*** Many women think it’s normal to leak only while laughing, jumping, or sneezing. Others believe their urgency and frequency are contributed to a small bladder or drinking too many fluids. What about the rumor that holding your bladder is unhealthy and you should go right away to avoid infection? I hope to give you more clarity on what is in fact normal, what is not, and information on *how to get rid of these issues for good and prevent them from worsening with time*. ## ***What Is Pelvic Floor Therapy?*** **Pelvic floor therapy** is a type of physical therapy that works on muscles, just like any other muscles in the body, except these muscles, are less talked about, unseen, and many times are forgotten. However, like any other muscle, our **pelvic floor muscles** are just as important to stretch and strengthen and can lead to injury or other problems if they are not properly functioning.¹ Depending on the patient’s needs, Pelvic Physical Therapy may provide exercises to improve pelvic floor muscle strength, endurance, coordination, and stretching.² Manual therapy may be utilized to improve pain, digestion, and proper function of the pelvic floor. Patients will be taught good body mechanics that will help keep their pelvic floor in a healthy resting state when appropriate as well as an active state when necessary. We may also find and address ‘triggers’ that could be contributing to the problem including diet, posture, breathing, or poor bowel/bladder habits. ## ***What Are Some Pelvic Floor Dysfunctions and How Do They Occur?*** Our pelvic floor muscles aid in bowel, bladder, and sexual function as well as help support and hold up our organs. When these muscles are too tight, too weak, injured, or have undergone trauma of any kind (including surgery and/or childbirth), *underlying problems can occur*. Being stressed, tense, or having a hectic schedule can also lead to **Pelvic Floor Dysfunction**. Some of these pelvic floor dysfunctions and pelvic floor dysfunction symptoms include: - Urinary urgency and frequency - Urinary incontinence (including stress incontinence and urge incontinence)³,⁴ - Nocturia⁵ - Constipation, diarrhea, or both⁶ - Inability to hold in gas, belching, or rumination - Pelvic pain - Pain with intercourse - Prolapse - Diastasis recti - Painful scarring - Coccyx pain - Pudendal Neuralgia ## ***So What Is Normal?*** While **accidental leaking** is common, it is *not* normal and should not happen. Not even while doing CrossFit or sneezing ten times in a row. Leaking a little is a precursor that your pelvic floor muscles may need attention to avoid further problems down the road. Leaking does not necessarily mean your muscles are weak and that you need to do **Kegels**.⁷ In fact, a lot of times it means that your muscles are too guarded and Kegels alone can worsen the issue. In pelvic therapy, we discover what your baseline is and treat what is specifically needed for your body. In addition, if you know you should not order a beverage because you will be getting up during the movie, your bladder isn’t necessarily small. Instead, you may have developed a bad habit of *training your bladder to go more than necessary*. Over time this can make for an unhealthy bladder. We will teach you what is normal along the lines of holding your bladder. We will also figure out what is causing you to go more than normal and address the problem. This may be done by **retraining your bladder and pelvic floor muscles** in specific ways to be able to hold it longer. Manual therapy techniques may also be performed to relax overly tight muscles that may be causing your urge. Going to the bathroom too often can disrupt daily plans, quality of life, and can cause greater problems down the road if left untreated. ## ***What To Expect at Your Visit*** On your initial evaluation, we will go over your history and complaints that you are experiencing. Depending on what you are coming in for, there may be an external and internal assessment of your muscle strength, coordination, and resting tone. Your **pelvic floor therapy treatments** may include mobilization of your abdominal cavity to help aid in proper function. It may also include hands-on manual therapy, myofascial release, colonic massage, abdominal manual lymph drainage, visceral mobilization, pelvic floor neuromuscular facilitation & reeducation, fascial decompression, and an individualized *Home Exercise Programs*.⁸ Depending on your need, you may be introduced to: - Bowel & bladder health regimen - Toileting and breathing techniques - Self-techniques to help aid in detoxification - Strategies to improve bowel movements and avoid straining and hemorrhoids - Individualized exercise plan to properly stretch and strengthen your pelvic floor muscles as well as surrounding muscles - Abdominal (core) muscle strengthening - Bowel/bladder diet - Awareness of body mechanics and postural correction to improve your pelvic floor muscle resting and active state as well as organ health. Our pelvic floor issues can worsen and lead to more issues down the road if not addressed. Our mission is to have you walk away with lifelong tools to keep your pelvic floor in tip-top shape and improve your quality of life. **You can book an appointment at our [functional medicine practice](/) by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** *Sources:*[.block][]*1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2617789/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2617789/)*2 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024111/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024111/)*3 *[*https://www.mayoclinic.org/diseases-conditions/stress-incontinence/symptoms-causes/syc-20355727[.block][]*](https://www.mayoclinic.org/diseases-conditions/stress-incontinence/symptoms-causes/syc-20355727)*4 *[*https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/symptoms-causes/syc-20352808[.block][]*](https://www.mayoclinic.org/diseases-conditions/urinary-incontinence/symptoms-causes/syc-20352808)*5 *[*https://www.mayoclinic.org/symptoms/frequent-urination/basics/definition/sym-20050712[.block][]*](https://www.mayoclinic.org/symptoms/frequent-urination/basics/definition/sym-20050712)*6 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775771/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775771/)*7 *[*https://www.merriam-webster.com/dictionary/Kegel%20exercises[.block][]*](https://www.merriam-webster.com/dictionary/Kegel%20exercises)*8 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3492521/*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3492521/) --- ## What is Peptide Therapy? We Answer Every Question **Link:** [What is Peptide Therapy? We Answer Every Question](https://fullyfunctional.com/blog/what-is-peptide-therapy/) ([md](https://fullyfunctional.com/blog/what-is-peptide-therapy/index.html.md)) **Description:** Find out what peptides are, the most common types of peptide therapy, and get the answers to common questions about this innovative therapy approach. ### Content ###### ***Everything You Need to Know About Peptide Therapy*** Even if you don’t follow Jennifer Aniston on social media, you may have still heard about the many health benefits of **peptides**. (She loves her collagen!) More and more people have started to use peptides *as part of their self-care routine*, and peptides are increasingly showing up in over-the-counter supplements and skincare products. **So what is peptide therapy? Is it worth the hype? Or is it simply another passing fad?** Despite often being associated with trendy health topics, there’s nothing “fringe” about peptide research or the health benefits. The positive effects of **peptide therapy** are very well documented, and the science is now supported by extensive research. [Holistic health service clinicians](/) like The Center for Fully Functional Health (CFFH) offer unique, targeted peptide therapies that provide a huge range of health benefits. In this article, we’ll help you gain a better understanding of exactly what peptides are and how peptide therapy can help fight everything from the effects of aging to chronic health conditions. ## ***What Are Peptides?*** **Scientifically speaking, peptides are chains of amino acids (linked by peptide bonds) that are used for creating essential proteins.** Though your body naturally creates peptides, *it’s common for production levels to slow down as you age*. Also, some people can have persistent deficiencies that cause or exacerbate long-term health complications (e.g., diabetes, multiple sclerosis). **Why are peptides important?** Peptides function as the building blocks for systems that help regulate and support some of your body’s most important functions. For example, peptides can assist with all of the following: - Promoting normal blood pressure - Weight loss - Muscle gain - Hair growth - Overall skin health - Insulin production - Immune system support - Cognitive focus and clarity As we age, our body can begin to reduce peptide production. As the presence and potency of peptides begin to fade over time, you might notice the chronic health issues we typically consider **signs of aging**. Those include: - Hair thinning or loss - Skin damage, wrinkles, or loss of elasticity - Lower energy or ongoing fatigue - Chronic inflammation, such as joint pain or arthritis - Sexual dysfunction - Brain fog or trouble with your memory - Weight gain and slower metabolism - Changes in blood pressure or blood glucose Adding peptides can help stop these symptoms in their tracks and keep you Fully Functional. ## ***What Do Peptides Do?*** Understanding what specific peptides do isn’t always easy, as *there are thousands of unique peptide variations*. Plus, some peptides are created synthetically to mimic those produced by the body. **These are some of the most well-known and commonly used peptides…** **Collagen and Elastin** are both peptides that *encourage the growth of new skin cells*, which can significantly reduce the visible effects of aging. Collagen is essential in maintaining healthy joints, as well as youthful skin, hair, and nails. Elastic supports skin recovery and rejuvenates skin that would otherwise become stretched or lose elasticity. **Glutathione** is a peptide normally produced by the liver, and this powerful antioxidant plays several key roles. In addition to being a fantastic detoxifier, glutathione helps *regulate your immune system* and the metabolic pathways that help control inflammation and your metabolism. Optimal glutathione levels are associated with better sleep, more energy, and improved recovery time after exercise. **Selank** is a regulatory peptide that is crucial to the nervous system’s development and function. This helpful peptide has *anti-anxiety properties* and can function as a non-habit forming antidepressant without any negative side effects. It has also been shown to help with focus, memory, and improved sleep. **Semax** is a synthetic peptide that can *help provide optimal brain function*, as well as assist with healthy circulation. That means it has a variety of uses with cognitive disorders, ADHD, and decreasing the effects of stress. Semax is also known for counteracting the neurotoxic effects of heavy metals. **BPC 157** is a peptide known for *speeding the healing of skin burns and wounds* to the nervous system, tendons, muscles, and ligaments. This impressive multitasker also supports joint and gut health, helping combat issues like leaky gut, IBS, and stomach ulcers. **GLP-1** is a naturally occurring peptide that *regulates your blood glucose and insulin secretion*. It’s also been proven to decrease the appetite by keeping you fuller longer. When paired with diet and lifestyle changes, GLP-1s can be a beneficial aid to weight loss and Type 2 diabetes. **Thymosin Beta-4** is a multifaceted peptide that has shown widespread clinical success *for tissue healing and regeneration throughout the body*, including the skin, brain, organs, spinal cord, bones, heart, and hair. Thymosin Beta-4 also supports immune regulation and inflammation at the cellular level, making it helpful for inflammatory and autoimmune conditions. **P-141** is used for *the treatment of sexual dysfunction*. P-141 is a hormone peptide that regulates arousal and the production of dopamine. P-141 therapy can help with erectile dysfunction in men, as well as boost sexual arousal in women. **AOD 9604** is one of the few FDA-approved peptides and has shown incredible success for *weight loss*. AOD 9604 stimulates the pituitary gland and speeds up metabolism and fat burning capabilities. This peptide also has other regenerative properties that may support those with age-related conditions, including osteoarthritis, osteoporosis, high cholesterol, worn cartilage, depression, diabetes, and bone damage. **Oxytocin** is a peptide hormone that acts as *a neurotransmitter* and plays a vital role in social behaviors and reproduction. Oxytocin has been shown to improve mood, lower blood pressure, and reduce fear and anxiety. This peptide also increases bonding between mother and child during pregnancy and breastfeeding. New research suggests that oxytocin may also boost cognitive performance, reduce cardiovascular risk, and offset the effects of diabetes. These are just a few examples of the kinds of peptides our bodies produce. So how do you know which peptides are best for you? **While a handful of peptides are available over the counter, the vast majority require a prescription.** FDA regulatory changes in July 2025 mean only a few peptides are available as compounded prescriptions; the majority must be prescribed as commercial formulations through traditional pharmacies. In some cases, your health insurance may help cover the cost of your peptide prescription, while other peptides are self-pay. At CFFH, we use many different peptides and are experts at helping patients choose the right peptides *for their specific health and wellness goals.*. ## ***Common Types of Peptide Therapy*** Peptides can be used to treat a wide range of conditions and specific needs, from hair loss and anxiety to more complex health issues that stem from a known peptide deficiency. These are some of the most common types of peptide therapy: - **Peptide therapy for inflammation:** Inflammation can be treated with specific peptide formulations that target inflammatory compounds in the body. - **Anti-aging peptide therapy:** Aging effects like loose skin, weight gain, mood imbalances, fatigue, hair loss, and more can be slowed or even reversed by using particular growth hormone peptides as part of a holistic health plan. - **Peptide therapy for weight loss:** Certain peptides can help suppress appetite and cravings while balancing and improving metabolism, among other benefits. - **Immune-boosting peptide therapy:** Immune functions can be bolstered and regulated with precise treatments. A qualified and experienced [peptide therapy specialist](/) will be able to tailor a peptide treatment regimen to meet your exact needs and health goals. The treatment process requires an assessment of your current health, then a unique peptide formulation will be prescribed for use at home, alongside health coaching and ongoing support by your care team. ## ***What Are the Main Peptide Therapy Benefits?*** Aside from looking and feeling their best, patients report significant, transformative benefits, including: - Improved hormone regulation - Better recovery from workouts - Increased sex drive - Rejuvenated vitality and sense of well-being - Sharper cognitive function - Improved blood pressure and blood glucose levels One of the top benefits of seeking peptide therapy is that a certified medical professional (like those at our Center) will have access to peptides that aren’t available in OTC options. Although peptides that are available in popular dietary supplements or self-care products can have marginal health benefits, they aren’t as potent and targeted as the **peptide treatments** administered by a real therapist. ## ***Peptide Therapy FAQs*** ### Is peptide therapy safe? Peptides are produced by your body, and even synthetic peptides are highly similar to those that occur naturally. Thus, peptide therapy is generally considered to have **very little risk**.[.block][] ### What are the side effects of peptide therapy? Patients sometimes report minor side effects that include (at first) water retention, minor skin reactions to topical treatments, dry mouth, or increased hunger (depending on the specific peptides). Your peptide therapy specialist can help you understand any potential side effects to expect from your sessions.[.block][] ### How is peptide therapy administered? Peptides are typically administered orally as lozenges or capsules, topically on the skin, or through subcutaneous injections.[.block][] ### How long does it take for peptide therapy to work? You will likely feel some effects right away, but most patients experience the most significant results **within 8-12 weeks**. ### How do I get started with peptides? At The Center for Fully Functional Health in Carmel, Indiana, we have created the *Peptides Focus Appointment package*. This easy option includes appointments with our Health Clinicians, any laboratory testing you may need, as well as peptide prescriptions and followup. It’s the simplest, most affordable way to start peptide therapy under the guidance of a trained **Functional Medicine professional**. **Learn more about how peptide therapy can help you handle chronic health issues and create a Fully Functional life full of energy, joy, and wellbeing. Contact our compassionate, experienced team today by calling [(317) 989-8463](tel:(317) 989-8463) or [filling out our online form](/patient-resources/become-a-patient/) to schedule your appointment.** --- ## What To Do If Your Child Has PANS or PANDAS **Link:** [What To Do If Your Child Has PANS or PANDAS](https://fullyfunctional.com/blog/what-to-do-if-your-child-pans-or-pandas/) ([md](https://fullyfunctional.com/blog/what-to-do-if-your-child-pans-or-pandas/index.html.md)) **Description:** Learn what to do if your child has PANS or PANDAS. Discover symptoms, diagnosis, and treatment options. We have been where you are with our own daughter. Learn more here! ### Content Children grow and mature and change every day. *But sometimes, they seem to regress*. Perhaps a child starts using baby talk or starts wetting the bed. Or maybe a child loses the ability to focus and starts performing poorly at school. This article is focused on what to do if your child has **PANS or PANDAS**. **PANS and PANDAS are autoimmune conditions in which a child suddenly develops neurological and behavioral abnormalities — almost overnight.** Aggression, insomnia, and anxiety are all ways to recognize your child has [PANS or PANDAS](/blog/pans-pandas-symptoms/). We talk extensively about the symptoms below, as well as potential [treatments and considerations](/blog/pandas-and-pans-treatments-natural-remedies/). PANS/PANDAS can be scary. It's rare, but parents should understand the signs and symptoms of such a 'catch-you-off-guard disorder'. We're here to equip you with the information you need to help your child survive and heal from this condition. Read on to learn more about **PANS/PANDAS**, symptoms, diagnostic criteria, and treatment options. ## ***Explanation of PANS/PANDAS *** PANS and PANDAS are **autoimmune disorders** that affect mainly children ages 3-13. *A child's immune system attacks its own brain*, specifically the basal ganglia.¹ This leads to sudden onset OCD (obsessive-compulsive disorder) and other brain dysfunction. - **PANDAS** stands for "pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections". - **PANS** is not limited to just streptococcal infections and stands for "pediatric acute-onset neuropsychiatric syndrome".² PANDAS occurs after a child is exposed to *streptococcal infection*.³ PANS refers to similar symptoms but has* a more vague causality not associated with strep*. Other pathogens such as mycoplasma, influenza, and even Lyme disease have been associated with PANS. Many inflammatory events, like fungal infections or exposure to certain toxins, can also play a part. Symptoms usually develop and intensify within a day or two, so parents often run their child to the Pediatrician or Emergency Department. Not much hurts the way it does to see your vibrant child become a prisoner to their own obsessive thinking that leads to irrational compulsions. As a parent, *this process can be alarming and lead to a heavy feeling of powerlessness*. We should know — we walked our daughter through this overwhelming process when she developed PANS a few years ago. *This growing epidemic is alarming*, to say the least. Let's take a look at the background of this condition, which was only discovered in the last couple of decades. ## ***A Little History *** About a quarter-century ago, researchers discovered a set of behavioral and neurological symptoms that children sometimes developed **after testing positive for Group A strep infection** (this bacteria causes strep throat, scarlet fever, and rheumatic fever).⁴ This pattern of autoimmune symptoms was dubbed *PANDAS*. A few years later, though, the same set of symptoms was observed in children *who had no strep infections beforehand*. This gave rise to the broader term **PANS**. Strep infections have been known to trigger PANDAS symptoms as long as six months after the child has a strep infection. ## ***PANS or PANDAS Risk Factors & Causes*** PANDAS is caused by a strep infection, but *PANDAS does not develop after every case of streptococcal infection*. It is still unclear why strep triggers PANDAS — and why this only occurs some of the time. - PANS/PANDAS is **pretty rare**. - It occurs in children ages **three through 13**. - Children seem to be at their **highest risk** around the **age of eight**. - It is more than twice as likely to affect **boys** than girls.⁵ - According to the *PANDAS Network*, family history of autoimmune illness and strep-related severity illness is present 70% of the time.⁶ - Psychiatric illness in first degree family members is also noted about 70% of the time. ## ***Why Do Some Children Get PANDAS After Infection While Some Do Not? *** Research has not been able to answer this question just yet, but here are some potential ideas: - **Only certain strains** of Group A strep might lead to PANDAS. *There are over 150 strains*, so perhaps a dozen of those trigger PANDAS. - **The site of a child's strep infection** may determine his or her vulnerability to PANDAS. The tonsils, oropharynx, and anus are the most common sites of strep infection. - **Various genetic markers** could leave a child susceptible to PANDAS. Researchers or healthcare professionals have suggested specific genetic defects, differences in neurocircuitry, abnormal neurosignaling during infection, or cytokine receptors.⁷ We work with parents who struggle with guilt over their child's condition. Did we treat the strep infection early enough? Did we expose our child to something else that triggered these horrible symptoms? Remember, **a PANS or PANDAS diagnosis doesnt happen because you did something wrong.** Like so many other conditions, there are simply triggers outside of your control — *but we're here to help*. ## ***Mild to Severe Symptoms of PANS or PANDAS*** It's important for parents to understand the **neuropsychiatric symptoms** of PANDAS/PANS.⁸ If these symptoms arise, a parent's knowledge can make all the difference. Symptoms are typically split into the following **eight categories**: ### **1. Sudden Onset Obsessive-Compulsive Disorder** The main symptom of PANS/PANDAS is **abrupt onset OCD**. A lot of other symptoms stem from this obsessive-compulsive behavior. OCD involves obsessions (recurrent and persistent thoughts) and compulsions (repetitive behaviors or mental acts). This can take the form of an eating disorder as well.⁹ Also called a "restrictive food intake disorder", eating disorders can involve restricting or avoiding certain foods. OCD, whether or not manifested as an eating disorder, *is the initial diagnostic marker when diagnosing PANS/PANDAS*. ### ** 2. Anxiety ** There are several forms of **anxiety** that PANS/PANDAS can bring on: - Generalized anxiety - Separation anxiety - Irrational fears and phobias In milder cases of PANS/PANDAS, you may be able to calm your child just by staying close by. A nearby parent can act as a guardian blanket in some situations — such as if a child has trouble sleeping. ### **3. Behavioral (Developmental) Regression** One of the more obvious symptoms of PANS/PANDAS is **behavioral regression**. This is when a child reverts back to an earlier development stage, such as an eight-year-old acting like they did when they were four. Two huge tells are if the child loses the ability to draw, or if they begin to use "baby talk." A parent may notice other behavioral regressions, like a child playing with toys from a younger age. **This is a tricky symptom. It is important to make sure these behaviors are not a symptom of ADHD, autism, or a learning disability.** ### **4. Emotional Lability and Depression** "Emotional lability" is when a child goes **suddenly from one emotion to another**. For example, a child might be laughing and suddenly act angry or cry for no apparent reason. Because this unexpected, uncontrolled reaction is alarming to kids, it can lead to **a sudden bout of depression**. In severe cases, this can lead to suicidal thoughts. ### **5. Aggression, Irritability, and Oppositional Behaviors** Children with PANS/PANDAS may exhibit **suddenly aggressive or oppositional behavior**. In less severe cases, your child might just seem more irritable than usual. If your child typically has a sweet demeanor, *this neuropsychiatric symptom can be especially obvious*. ### **6. Sensory and Motor Abnormalities** The brain is what a child's immune system attacks in these conditions, but this can take the form of **motor abnormalities** as well. A child with PANS/PANDAS may be more sensitive to: - Light - Sound - Smells - Tastes - Textures Parents or teachers might see a deterioration of handwriting skills can sometimes deteriorate, called **dysgraphia**.¹⁰ Children get clumsier. They may even develop physical or vocal tics. This could include tics similar to those seen in Tourette's syndrome or Sydenham chorea.¹¹ Chorea is when a child's muscles move involuntarily — often up and down the arms and legs — and is quite frightening for many parents to see.¹² He or she may also experience brief hallucinations. Perhaps connected to behavioral regression, children with PANS/PANDAS may feel the need to interact with various objects. We call this **sensory-seeking behavior**. It is similar to an expected developmental stage around the age of two or three, where children want to put items in their mouths. ### **7. Somatic Symptoms** **Somatic symptoms** include abnormalities in a child's sleep and urinary frequency. Quite commonly, *a child's sleep schedule will go wonky*. He or she could experience night terrors, insomnia, or trouble with sleeping more than a few hours at once.¹³ Another obvious sign of PANS/PANDAS is a **change in bathroom habits**, like bedwetting, going to the bathroom much more often, or a heightened urgency to make it to the toilet. ### **8. Sudden Deterioration in School Performance or Learning Abilities** An indirect symptom of PANS/PANDAS is **dramatically worse school performance**. It is "indirect" because it is a culmination of all the other symptoms. If a child suddenly develops OCD, sleeps worse, acts younger than their age, and/or behaves aggressively and irritably, this is a recipe for poor school performance. PANS/PANDAS can also trigger a **short attention span**, where their attention is distracted by just about anything (even their own physical or vocal tics). ## ***How to Diagnose PANS or PANDAS*** According to the *PANDAS Physician Network*, the clinical diagnosis begins with either sudden onset of symptoms like OCD or a "restrictive food intake disorder". If a child's OCD or eating disorder is abrupt and dramatic, a physician would determine if the child also exhibits two of these symptom categories: - Anxiety - Behavioral regression - Emotional lability, depression - Irritability, aggression - Sensory or motor abnormalities - Sleep disturbances, urinary changes - Sudden drop in academic performance Before making an actual diagnosis, *we rule out other conditions that can look similar, like autism*, ADHD, or other types of autoimmune encephalitis. Then, we look for **current or recent streptococcal infections**. Sometimes it is necessary to start the child on beta-lactam antibiotics (like penicillin or amoxicillin) for a few weeks. If there is no remission, the physician may switch antibiotics or send other blood tests, looking for infectious triggers or toxin exposure. There are additional treatment options, like **IV immunoglobulin or cognitive behavioral therapy**, as noted below. ## ***12 Ways To Treat PANS or PANDAS*** Diagnosis and treatment of PANS/PANDAS should always involve a licensed healthcare professional since labs, prescription medications, and radiology studies may need to be ordered and interpreted. There are **12 common ways to treat PANS/PANDAS** — and they are not created equally. Our approach involves some (not all) of the below treatments, based on our patient's unique needs. As with all our treatments, we follow a **Fully Functional model**: - IDENTIFY the problem. - REDUCE the trigger(s). - OPTIMIZE the body's ability to heal and function. - SUPPORT the healing process by recommending dietary, lifestyle, and even social changes. - PERSONALIZE treatment to each patient, rather than using one-size-fits-all methods. ### **1. Mild Symptom Management** Sometimes, children only exhibit **mild symptoms** of PANS/PANDAS. For instance, a child might have trouble falling asleep unless a parent sits by the bedside. Or a child could act somewhat irritable, but not aggressive. In this case, mild symptoms can be treated by antibiotics, corticosteroids, anti-inflammatories, or simply time. **A small-scale 2002 study revealed antibiotics seem to treat moderate PANDAS in two-thirds of children.¹⁴** Corticosteroids may also improve symptoms. After a short course, anti-inflammatories like ibuprofen might benefit the child. We are always careful to only use these medications *when the benefit outweighs the risks*. ### **2. IVIG (Intravenous Immunoglobulin)** **Intravenous immunoglobulin**, or IVIG, is when a child is administered immunoglobulins — mainly **immunoglobulin G** — via an intravenous infusion.¹⁵ Immunoglobulin supports your immune system. It seems to normalize imbalances of cytokines and chemokines (inflammatory chemicals), which are potential agents for immune abnormalities. **In early studies, IVIG was shown to lessen symptom severity of OCD and tic disorders.¹⁶** Although IVIG is a common treatment for PANS/PANDAS, the exact mechanism of action is unknown. However, the FDA has approved IVIG as a **safe and effective method** of treating other immune-related disorders in children. If you discuss pursuing this treatment with your doctor, keep in mind that it can be quite expensive, and not all insurance plans cover it. Not all children will require IVIG to improve. ### **3. Corticosteroids** **Corticosteroid therapy** has shown positive results in some children with PANS/PANDAS. However, corticosteroids can trigger exacerbations of aggression and mania. If a child exhibits these symptoms, corticosteroids are probably not the right option. Children may benefit from short bursts of steroids, but some require prolonged tapering steroid therapy over 30-45 days. ### **4. Antibiotics** Antibiotics may be a good initial choice for PANS/PANDAS treatment. Penicillin, amoxicillin, and cephalosporins are examples of **beta-lactams**, the most effective antibiotics to fight Group A strep infections. A 2018 scientific review shows that *antibiotic therapy is a well-established treatment of PANDAS with an ongoing infection*.¹⁷ For PANS/PANDAS in which the infection has already passed, antibiotics may not be the best option. If a child undergoes antibiotic treatment, probiotic counter-treatment should be considered, to maintain the child's gut microbiome.¹⁸ Antibiotics kill bad bacteria as well as beneficial bacteria. Probiotics introduce new good bacteria to the child's gut to support immune health. They may also help prevent antibiotic-induced diarrhea and infections caused by C. diff. Bacteria. ### **5. Cognitive Behavioral Therapy** **Cognitive-behavioral therapy** focuses on behavioral rehabilitation and mental health. This can teach children (and parents) stress-reducing rituals and avoidance strategies. One unfortunate long-term symptom of PANS/PANDAS is **negative learned behaviors**. Even after the child's immune system stops attacking the brain and symptoms recede, the child may still exhibit some residual symptoms — *like involuntary habits*. Cognitive-behavioral therapy works to reverse learned behaviors, reinforcing positive behavior and *retraining the mind and body to avoid negative behavior*. **Examples of cognitive-behavioral strategies** include: - Teaching the child to name their OCD - Teaching the child to argue against their OCD - Allowing the child to confront the object of their fear in a controlled way Cognitive-behavioral therapy should be administered as part of *a balanced treatment plan*. Seldom will this therapy be beneficial without other treatment options to correct the underlying problem. However, some would argue other treatment options would not be as effective without cognitive behavioral therapy. We have seen this to be true in our practice. ### **6. Plasmapheresis** **Plasmapheresis**, also known as *therapeutic apheresis* or *plasma exchange*, is a sort of **blood cleaning process**. In plasmapheresis, a child's plasma is separated from the rest of his or her blood. The plasma is replaced with albumin, which is a protein that keeps your blood from "leaking".¹⁹ Plasmapheresis is quite invasive, carries significant yet manageable risks, and cannot be accomplished in one sitting. However, up to three-quarters of patients with PANS/PANDAS see an improvement in symptoms after plasmapheresis.²⁰ ### **7. SSRIs** Selective Serotonin Reuptake Inhibitors (SSRIs) are often used to treat OCD and anxiety symptoms associated with PANS/PANDAS. Unfortunately, larger studies and our own clinical experience have shown that *these medications are effective in a little more than 40% of cases* in which they are used.²¹ Examples of SSRIs include: - Fluoxetine - Sertraline - Fluvoxamine - Paroxetine ### **8. Tonsillectomy** Preliminary, unpublished research suggests a **tonsillectomy** could benefit children with PANS/PANDAS. There was a literature review in 2018 which showed that the benefits were not clear.²² The authors suggested reserving tonsillectomy for children with **antibiotic-resistant PANDAS**. A tonsillectomy's effectiveness may be because the tonsils can house harmful infectious agents and elevated levels of TH17 cells, which seem to have a role in PANS/PANDAS.²³ ### **9. Anti-Inflammatories** **Anti-inflammatory drugs** like naproxen or ibuprofen can help children with inflammation-related symptoms or inflammatory side effects of other PANS/PANDAS treatments. How these drugs help is unclear, and there can be unwanted side effects. They're not great for a long-term approach. Some natural anti-inflammatories, like curcumin (the active ingredient in turmeric), seem to help as well as ibuprofen in our experience. ### **10. Antifungals** Seldom will physicians check for [**yeast infection**](/blog/dealing-with-yeast-overgrowth-effectively/) in children exhibiting symptoms of PANS/PANDAS. However, a small but significant portion of reported PANS/PANDAS cases are accompanied by yeast infections or yeast overgrowth. If yeast (Candida albicans) infection is involved, antifungals can prove effective. ### **11. Antihistamines** Closely supervised administration of **antihistamines** can help PANS/PANDAS patients in three ways: - Reducing inflammation - Boost the immune system - May help induce sleep Some children may react poorly to antihistamines, becoming agitated instead of sleepy, so close monitoring is in order. ### **12. Vitamin D** According to more recent research, **vitamin D deficiency** appears significantly more in PANDAS patients than in control groups.²⁴ A 2016 study "supports the hypothesis that an association between vitamin D metabolism and PANDAS-related OCD exists". If supplemental vitamin D is needed it is important to have a blood level to follow since everyone requires different amounts to maintain a desirable blood level. There are also genetic differences in how people absorb vitamin D. **If you suspect that your child might have PANS or PANDAS you can book an appointment by clicking [here](/patient-resources/become-a-patient/), or please call us at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM - 5PM Eastern time.** **We are located in Carmel, Indiana. We have extensive experience with PANS/PANDAS patients and helped our own daughter recover when she developed PANS several years ago.** ## ***In Summary*** **PANS/PANDAS is a rare but serious autoimmune disorder that occurs in children ages three to 13 where the child’s immune response attacks part of the brain.** - PANDAS stands for "pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections". This is only when Group A strep bacteria precedes symptoms. - PANS stands for "pediatric autoimmune neuropsychiatric disorders" or "pediatric acute-onset neuropsychiatric syndrome". PANS is broader and more vague in scope. **Boys are twice as likely to develop PANS/PANDAS than girls.** **Some common symptoms of PANS/PANDAS include:** - Sudden onset OCD (or eating disorder) - Anxiety - Behavioral regression - Aggressive/irritable behavior - Deteriorated motor skills - Sensitivity to light, sound, smell, and taste - Insomnia, night terrors - Bedwetting - Poor performance in school **There are various treatment options:** - IV immunoglobulin ("IVIG") - Plasmapheresis (also called plasma exchange or therapeutic apheresis) - Corticosteroids - Antibiotics - Cognitive behavioral therapy - SSRIs - Tonsillectomy - Anti-inflammatories, antihistamines, antifungals - Vitamin D (if there is a deficiency) **You can book an appointment by clicking **[** here **](/patient-resources/become-a-patient/)**. We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM - 5PM Eastern time**. *Sources:[.block][]1 *[ *https://www.neuroscientificallychallenged.com/blog/what-are-basal-ganglia[.block][]* ](https://www.neuroscientificallychallenged.com/blog/what-are-basal-ganglia)*2 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340632/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340632/)*3 *[ *https://www.yourgenome.org/facts/what-are-streptococcal-infections[.block][]* ](https://www.yourgenome.org/facts/what-are-streptococcal-infections)*4 *[ *https://www.cdc.gov/[.block][]* ](https://www.cdc.gov/)*5 *[ *https://www.semanticscholar.org/paper/From-Research-Subgroup-to-Clinical-Syndrome%3A-the-to-Swedo-Leckman/fddbf448ed32d6117e390fe788e40562e8710c54?p2df[.block][]* ](https://www.semanticscholar.org/paper/From-Research-Subgroup-to-Clinical-Syndrome%3A-the-to-Swedo-Leckman/fddbf448ed32d6117e390fe788e40562e8710c54?p2df)*6 *[ *https://pandasnetwork.org/get-involved/statistics/[.block][]* ](https://pandasnetwork.org/get-involved/statistics/)*7 *[ *https://www.sciencedirect.com/[.block][]* ](https://www.sciencedirect.com/)*8 *[ *https://www.ncbi.nlm.nih.gov/books/NBK333433/[.block][]* ](https://www.ncbi.nlm.nih.gov/books/NBK333433/)*9 *[ *https://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml[.block][]* ](https://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml)*10 *[ *https://www.ldonline.org/ld-topics/writing-spelling/what-dysgraphia[.block][]* ](https://www.ldonline.org/ld-topics/writing-spelling/what-dysgraphia)*11 *[ *https://tourette.org/about-tourette/overview/what-is-tourette/[.block][]* ](https://tourette.org/about-tourette/overview/what-is-tourette/)*12 *[ *https://www.ninds.nih.gov/Disorders/All-Disorders/Sydenham-Chorea-Information-Page[.block][]* ](https://www.ninds.nih.gov/Disorders/All-Disorders/Sydenham-Chorea-Information-Page)*13 *[ *https://www.sleepfoundation.org/night-terrors[.block][]* ](https://www.sleepfoundation.org/night-terrors)*14 *[ *https://pubmed.ncbi.nlm.nih.gov/11929370/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/11929370/)*15 *[ *https://www.thermofisher.com/us/en/home/life-science/antibodies/antibodies-learning-center/antibodies-resource-library/antibody-methods/introduction-immunoglobulins.html[.block][]* ](https://www.thermofisher.com/us/en/home/life-science/antibodies/antibodies-learning-center/antibodies-resource-library/antibody-methods/introduction-immunoglobulins.html)*16 *[ *https://pandasweb.nl/cfsystem/userData/literatuur/1317330723__document__therapeutic-pf-and-ivig-for-ocd-and-tic-disorders-perlmutter-1999.pdf[.block][]* ](https://pandasweb.nl/cfsystem/userData/literatuur/1317330723__document__therapeutic-pf-and-ivig-for-ocd-and-tic-disorders-perlmutter-1999.pdf)*17 *[ *https://pubmed.ncbi.nlm.nih.gov/29722936/[.block][]* ](https://pubmed.ncbi.nlm.nih.gov/29722936/)*18 *[ *https://www.nccih.nih.gov/health/probiotics-what-you-need-to-know[.block][]* ](https://www.nccih.nih.gov/health/probiotics-what-you-need-to-know)*19 *[ */[.block][]* ](/)*20 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340509/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4340509/)*21 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826468/[.block][]* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826468/)*22 *[ *https://www.hindawi.com/journals/ijoto/2018/2681304/#B43[.block][]* ](https://www.hindawi.com/journals/ijoto/2018/2681304/#B43)*23 *[ *https://www.thermofisher.com/us/en/home/life-science/cell-analysis/cell-analysis-learning-center/immunology-at-work/t-helper-17-cell-overview.html[.block][]* ](https://www.thermofisher.com/us/en/home/life-science/cell-analysis/cell-analysis-learning-center/immunology-at-work/t-helper-17-cell-overview.html)*24 *[ *https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353234/* ](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353234/) --- ## White Bean Salad With Carrots and Basil **Link:** [White Bean Salad With Carrots and Basil](https://fullyfunctional.com/blog/white-bean-salad-with-carrots-and-basil/) ([md](https://fullyfunctional.com/blog/white-bean-salad-with-carrots-and-basil/index.html.md)) **Description:** This white bean salad recipe is great for lunch or dinner. Warm carrots sautéed with leeks, and white beans in a vinaigrette scented with fresh shredded basil. ### Content This **white bean salad recipe** is great for lunch or dinner. Warm carrots sautéed with leeks, and white beans in a vinaigrette scented with fresh shredded [basil](/). Comfort food comes in many packages, and this is one of them. Feeling fancy? Topping this with some toasted sliced almonds elevates this dish to dinner-party-serving-status, and brings that nutritional value up a few points. Fun fact: Basil was used by Ancient Romans for its carminative effect (relieves gas), and has been purported to be helpful for several conditions across cultures from the Caribbean to the Mediterranean to the Far East. Nutrition from this salad is similar to the *French Lentil Salad*, with just slightly less protein (~15 grams vs. 18 grams), still packing a meal-time punch. We recommend pairing this White Bean Salad with our [Dijon Salmon With Herbs](/blog/dijon-salmon-recipe-with-herbs/). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 1/4 cup extra-virgin olive oil - 3 tbsp lemon juice - 1/4 tsp sea salt - 1 pinch black pepper freshly ground - 1 tbsp olive oil - 2 cups carrots sliced 1/4 inch thick - 1 whole leek (White and pale green parts only) clean and chopped - 3 cups white beans cooked - 1/4 cup basil fresh, shredded - 1/3 cup almonds sliced, toasted ### Instructions - Combine the olive oil, lemon juice, sea salt and black pepper. Whisk and set aside. - In a skillet over medium heat, toss carrots with olive oil or a combination of olive oil and ghee. Cook, tossing gently as needed, until carrots are nicely browned, **~12 minutes**. - Add beans and basil to skillet and cook for another **five minutes**, or until the beans are well heated through, and browned a bit, if desired. - Place contents of skillet in a large mixing bowl, pour ¾ of lemon/olive oil mixture over. Toss gently and allow to sit for ~10 minutes. Toss again, taste, adjust seasoning (sea salt or lemon juice, pepper) as needed to balance flavors. - Enjoy! Keywords: anti-inflammatory diet recipes, bean salad, salad, vegetarian, white bean salad, white bean salad recipe --- ## Why Play Is Important: Boost Vitality & Reduce Stress **Link:** [Why Play Is Important: Boost Vitality & Reduce Stress](https://fullyfunctional.com/blog/why-play-is-important-boost-vitality-reduce-stress/) ([md](https://fullyfunctional.com/blog/why-play-is-important-boost-vitality-reduce-stress/index.html.md)) **Description:** Play should be regarded as an essential nutrient in the diet of life. We're sharing tips for boosting vitality, reducing stress, and why play is important. ### Content ***“We don’t stop playing because we grow old, we grow old because we stop playing.” George Bernard Shaw*** Summer is the perfect time to harness the more relaxed and carefree vibes of the season to give yourself a boost! We’re sharing our expert insights on *why play is important, and how it may help boost vitality and reduces stress*. There’s no doubt that **stress reduction** is one of the most important areas you can focus on when trying to improve your health. Chronic stress can lead us to a place where we feel drained, low energy, uninspired, and stuck in a rut, no matter how well we’re eating or sleeping. If you find yourself struggling with stress, take some time off, even if it’s a 20 minute break. **It’s time to play**! Everyone knows play is both fun and beneficial, but have you ever stopped to consider how truly powerful it is *and how crucial for wellness*? ## ***Play: An Essential Nutrient in the Diet of Life*** I’d like to see what kind of shift could happen if doctors started writing more prescriptions for **play**! I think it would come with some dramatic results. Compulsively doing what we think we *should* be doing (even if it’s something we enjoy doing!) can come at a cost. It can make us feel limited and trapped, and uninspired. When it comes to play, it’s not about doing what you *should* do. It’s about switching it up **to give yourself an energy boost**. I love this definition of play by Dr. Stuart Brown, who heads up the *National Institute of Play*. “Play is something done for its own sake. It’s voluntary, it’s pleasurable, it offers a sense of engagement, it takes you out of time. And the act itself is more important than the outcome.” Play shouldn’t be reserved for kids. Here are just a few ways play benefits your health, body, and mind! - **Helps us to get back in touch with our true selves**, the selves we were before we had so many obligations and responsibilities. - **Releases stagnant energy**, physical and mental. - **Is powerful** enough to rewire the brain for more energy. - **Liberates and activates.** It’s a gateway to vitality, generates optimism and boosts the [immune system](https://newsinhealth.nih.gov/2014/12/feeling-stressed). - **Develops resiliency,** the ability to bounce back from stressors, both metabolic and emotional. - **Allows us to let go of ego**, embrace intuition, express ourselves and is fundamentally rewarding. It amplifies our own inner light and lifts others up in the process. - **Reconnects us with joy.** It allows us to feel inherently alive, and radiant. - **Reconnects the body and mind to the present moment** and disconnects from worry and fear. - **Allows the body to release tension** and reduces stress. - **Moves you from headspace to heart space.** - **Is an embrace of life.** Life is full enough of demands and obligations that can start to suck the life out of us. We need more **carefree moments**! What defines play may be different for everyone, but at its most basic level, *it’s just FUN*. It’s fun, but it’s not entertainment. ***Play comes from within you, while entertainment happens to you. Entertainment springs from someone else’s creativity, while play arises out of your own.*** So, while it might be “fun” to go to the movies or a concert, those things aren’t really categorized as play. Maybe play is just taking a more playful approach to everyday tasks or doing something that you love, lights you up, and energizes you. Either way, it allows you to reconnect to your vitality each day. ***When you are playful, you rewire your brain into a more passionate, more energetic, and more alive way of being in the world.*** Need some inspiration? Take some inspiration from childhood, when play was all you knew! Try playing tag or having a race with your kids, throw the frisbee, have a water balloon fight. Get outside and play with your dog. Pretend you’re on vacation. Keep one weekend a month free from chores and obligations so you can relax like you’re on vacation. Go out for breakfast. Explore different areas of your city. Take a day trip. *Be more spontaneous*. Do more fun things on a whim. Spontaneity is way more playful than planning! Those are just a few ideas I came up with that aren’t tied to any accomplishments or goals. It’s just play for its own sake, and like Dr. Brown, I think there’s something to that. Ask yourself what activities make you feel playful and alive, then do more of them! Take time to engage in **playful activities** that will make you feel alive and improve your connections with others as well as yourself. These activities are every bit as important as your obligations when it comes to energy and vitality. *Don’t ignore this essential nutrient*! What are your favorite ways to play? Share your great ideas with others, in the comments! **You can book an appointment by clicking [here](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time.** --- ## Why You Must Look For and Treat Mold Exposure in Patients with PANS or PANDAS **Link:** [Why You Must Look For and Treat Mold Exposure in Patients with PANS or PANDAS](https://fullyfunctional.com/blog/why-you-must-look-for-and-treat-mold-exposure-in-patients-with-pans-or-pandas/) ([md](https://fullyfunctional.com/blog/why-you-must-look-for-and-treat-mold-exposure-in-patients-with-pans-or-pandas/index.html.md)) **Description:** New evidence shows a definitive link between mold exposure and PANS and PANDAS. Find out the role of mycotoxins in this childhood illness and how to treat it. ### Content ###### ***Mold Is Not a New Problem*** *“…The owner of the house must go and tell the priest, ‘I have seen something that looks like a defiling mold in my house.’ The priest is to order the house to be emptied before he goes in to examine the mold, so that nothing in the house will be pronounced unclean.”* Leviticus 14:35-36 (NIV) **People have been living in and around various types of molds for thousands of years, and not all mold exposures are bad.** In fact, **mold** is used to produce foods like bleu cheese and Gorgonzola, as well as prescription medications like penicillin, lovastatin, mycophenolate mofetil, and cyclosporin. Molds are technically types of fungi, and other useful types of fungi include yeast and mushrooms. **However, some types of mold exposures can be harmful to people in several different ways.** The Center for Fully Functional Health, we have been the first physicians *to directly connect mold exposure to PANS and PANDAS*. We discovered this link based upon our experience with our own daughter’s illness and what we have consistently seen in our patients. This blog will outline the role that **mold exposures** play in the development of [PANS and PANDAS](/blog/what-to-do-if-your-child-pans-or-pandas/). We will discuss mold testing for your child (and their environment), as well as effective treatments if they have been exposed. ## ***How Often Do We Encounter Mold In Our Environment?*** Excluding the cheeses and medications listed above, we also encounter molds which can be harmful to our health as environmental contaminants in foods. Grains such as corn, oats, wheat, and rice can all become contaminated with mold. This can happen while it is still in the field or when grain is stored. The main issue with mold contamination of foods is that **some of these molds produce poisons** called *mycotoxins*, which can have negative effects on humans. **While it had previously been estimated that up to 25% of the grain supply is contaminated with mold, recent studies using different, more sensitive measurements have found that virtually 100% of grains are contaminated to some degree with mycotoxins.1-3** *Coffee beans and peanuts can also become contaminated*. One study showed that only 11% of coffee beans analyzed were mycotoxin free.4 And, of course we have all seen visible mold on foods which have been left for long periods of time, such as bread, cheese, and fruit. Any damp or humid area can harbor microbial growth. This can include molds and other fungi like moss outdoors, while other molds can grow in our homes. We often think of mold as occurring after a large water leak from faulty plumbing or a damaged roof. But mold may grow in any area where humidity is over 50%, even in the absence of a leak. (We do not recommend whole-house humidification for that reason.) If you’re concerned about moisture in your home, you can easily check humidity levels using a hygrometer, found online for around $20. ## ***How Mold Affects the Body*** You may know someone who has allergies to mold. People with **mold allergies** can develop a stuffy nose, a cough, or itchy eyes when they are exposed to indoor molds. Mold is also a trigger for many people with asthma.5 But the capacity of mold exposure to cause human illness extends far beyond allergies. **Molds primarily harm both animals and humans through the release of mycotoxins, very small organic poisons.** These compounds are directly toxic to the nervous system and have been linked to neuropsychiatric disorders and abnormalities on neurological testing.6,7 Numerous articles have also shown *mycotoxins impair the immune response*.8-13 This “immune deficiency” can lead to longer or more severe bacterial and fungal infections. In addition to causing the immune system to be underactive, mycotoxins have also been shown to cause elevations of antinuclear antibodies (measured by the blood test known as ANA) and anti-smooth muscle antibodies.8 These results often indicate **autoimmunity**, a condition where the immune system attacks our own body. This suggests that mycotoxins trigger autoimmunity as well. Normally, the immune system should be able to increase the immune response, but not so much that autoimmunity occurs. **However, mycotoxins change that, causing immune dysregulation where the immune system can be both underactive *and* overactive.** ## ***The Previously Unrecognized and Vital Link Between Mold Exposure and PANS/PANDAS*** Years ago, when we first started treating children with [PANS and PANDAS ](/blog/what-to-do-if-your-child-pans-or-pandas/), we based treatment on information from researchers at the National Institute of Mental Health, which showed that these disorders started when the immune system attacked not only an infecting organism like Strep bacteria, but also an area of the brain.14 This would then be a case of *an autoimmune disorder caused by an infection*. The autoimmune attack on the brain in **PANS** has been confirmed in several studies and it has also been shown that approximately 40% of children with PANS and PANDAS will have an elevated ANA level when tested.15 **But after reviewing both the published medical studies as well as the patient data in our own practice, we discovered that a significant number of patients with PANS and PANDAS also have some type of immune deficiency.16** As many as 48% of these children have low levels of immune globulins – proteins that help you fight infections. In our practice, we have found that a significant number of these children have issues making antibodies when they are vaccinated against common childhood diseases. This is called “specific antibody deficiency.” Most parents of children with PANS and PANDAS will confirm that their children get sick more often than their siblings and get sicker than others in the family when they do catch something. ## ***Constant PANS/PANDAS Flares Do Not Have to Be a Fact Of Life*** Patients often present to our office after having seen many other physicians. Even if they have seen a physician who [believes in PANS/PANDA](/blog/pandas-diagnosis-why-some-doctors-believe-pandas-isnt-real/) and have been treated, the child may still have additional flares (episodes of worsened behavior, anxiety, or tics) when they get any minor illness. Parents are often told that their child will get flares for years to come and that this is unavoidable. **This is *not* the case. A diagnosis of PANS or PANDAS does not have to worsen or persist for years.** Traditional treatments for PANS and PANDAS focus first on treating the infection, most often directed at Strep bacteria. Secondly, most conventional PANDAS physicians will use steroids and/or [IVIG ](/blog/intravenous-immunoglobulin-treatment-for-pandas/) to regulate the immune system. Finally, these physicians may add psychiatric medications like antidepressants and antipsychotic medications to attempt to control symptoms. (We have found these medications are not very effective and may have unwanted side effects.17) The problem with this approach is that it fails to recognize the role of toxins – most commonly mycotoxins – in causing the dysregulation of the immune system which starts the entire process. *It also offers very limited therapeutic choices*. ## ***A Better Approach to Treating PANS and PANDAS*** **The reason that we have had success in cases where conventional PANDAS physicians have not is for two reasons.** First, we have discovered that to truly stop **PANS/PANDAS** in its tracks, you have to do these four things without fail: **1. Identify and treat infections**, including tick borne infections, viral infections like [Epstein Barr Virus](/blog/reactivated-epstein-barr-virus-need-know/), [Strep](/blog/antibiotics-for-strep-throat/), Mycoplasma, and Toxoplasmosis. Details about proper testing to help guide therapy can be found [here](/blog/how-to-test-for-pans-or-pandas/). **2. Remove toxins** such as mycotoxins and toxicants, including chemicals like glyphosate, artificial cleaners, inflammatory and processed foods, and other household chemicals. **3. Re-regulate the immune system**. This does not always require IVIG. Low-dose naltrexone is a great way to re-regulate the immune system in PANS/PANDAS patients. Read about it [here](/blog/low-dose-naltrexone-missing-link/). **4. Break neural loops.** These are safety mechanisms which take the form of intrusive thoughts and rituals (OCD) that the unconscious brain makes. They can cause severe anxiety and depression. To accomplish this, we use our highly effective, proprietary [Fully Functional process](/blog/fully-functional/). This process consists of 5 steps: **1. IDENTIFY:** We first identify the factors adversely affecting health. This is done by spending a significant amount of time talking to our patients and their parents. We also perform laboratory testing to measure inflammation, evaluate the immune system, and identify current or past infections. Advanced testing for tick borne illness and measurement of urinary mycotoxins is a must for PANS/PANDAS patients. The urine mycotoxin test will identify mold exposures in your child, while some other blood testing like C4a and TGFB-1 can also support that diagnosis. **2. REDUCE:** We come up with a plan to reduce the things that negatively impact health. We do this by providing families with a detailed plan *to remove inflammatory foods*. The recipes we provide are doctor-designed and child-approved. We *never* make dietary changes in children with restricted eating. Our protocol also helps our patients and their families reduce stress and remove environmental toxins, even mold. We typically use glutathione and oral binders to help remove mycotoxins from patients’ bodies, then rely on expertly trained **Indoor Environmental Professionals** like those found [here](https://iseai.org/find-a-professional/) to test and remove mold and mycotoxins from the home. **3. OPTIMIZE:** Humans are natural detoxifiers. We urinate, have bowel movements, sweat, exhale, process toxins through our liver, move toxins through our lymphatic system, and dream – a means of mentally detoxing. Optimizing these processes is crucial. We ensure that patients hydrate, move their bowels and heal their GI tracts, sweat, get adequate sleep, do breathing exercises, take nutrients necessary for their liver to work effectively, and work on lymphatic drainage. **4. SUPPORT:** We provide personal, structural, and biochemical support, including specialized support for the immune system. Providing [support to the family](/blog/pans-pandas-symptoms-guilt-its-not-your-fault/) during this challenging time is essential. **5. PERSONALIZE:** Although we have a very successful protocol to help start the recovery process, personalization is essential once laboratory values have come back. No two patients are the same. **By applying the Fully Functional framework outlined above, long-term recovery from PANS and PANDAS truly is possible. For information or to make an appointment, please call The Center for Fully Functional Health at [(317) 989-8463](tel:(317) 989-8463) or read more about how to [become a patient](/patient-resources/become-a-patient/).** References: 1 Bryden WL. Mycotoxins in the food chain: human health implications. Asia Pac J Clin Nutr . 2007;16 Suppl 1:95-101[.block][] 2 Thielecke F, Nugent AP. Contaminants in Grain-A Major Risk for Whole Grain Safety?. Nutrients . 2018;10(9):1-23 [.block][] 3 De Saeger S, Audenaert K, Croubels S. Report from the 5th International Symposium on Mycotoxins and Toxigenic Moulds. Toxins . 2016;8(146):1-37[.block][] 4 García-Moraleja, Font G, Mañes J, et al. Analysis of mycotoxins in coffee and risk assessment in Spanish adolescents and adults. Food Chem Toxicol . 2015;86:225-33.[.block][] 5 [https://www.cdc.gov/ ](https://www.cdc.gov/). [.block][] 6 Bennett JW, Klich M: Mycotoxins. Clin Microbiol Rev. 16(3):497-516, 2003[.block][] 7Ratnaseelan AM, Tsilioni I, Theoharides TC: Effects of Mycotoxins on Neuropsychiatric Symptoms and Immune Processes. Clin Ther. Jun;40(6):903-917, 2018[.block][] 8 Gray MR, Thrasher JD, Crago R, Madison RA, Arnold L, Campbell AW, Vojdani A. Mixed mold mycotoxicosis: immunological changes in humans following exposure in water-damaged buildings. Arch Environ Health 58(7):410-20, 2003[.block][] 9 Shigesaka M, Ito T, Inaba M, et al: Mycophenolic acid, the active form of mycophenolate mofetil, interferes with IRF7 nuclear translocation and type I IFN production by plasmacytoid dendritic cells. Arthritis Res Ther 22:264, 2020[.block][] 10 Al-anati L, and Petzinger E: Immunotoxic activity of ochratoxin A. Journal of Veterinary Pharmacology and Therapeutics, 29: 79-90, 2006[.block][] 11 Assaf H, Azouri H, Pallardy. Ochratoxin A Induces Apoptosis in Human Lymphocytes through Down Regulation of Bcl-x L , Toxicological Sciences 79:2, 335–344, 2004[.block][] 12 Bulgaru CV, Marin DE, Pistol GC, Taranu I: Zearalenone and the Immune Response. Toxins (Basel). 13(4):248, 2021[.block][] 13 Wu Q, Wu W, Franca TCC, Jacevic V, Wang X, Kuca K: Immune Evasion, a Potential Mechanism of Trichothecenes: New Insights into Negative Immune Regulations. International Journal of Molecular Sciences 19(11):3307, 2018[.block][] 14 Chang K, et al: Clinical evaluation of youth with pediatric acute-onset neuropsychiatric syndrome (PANS): recommendations from the 2013 PANS Consensus Conference. Journal of Child and Adolescent Psychopharmacology 25.1:3-13, 2015[.block][] 15 Swedo, Susan E., Henrietta L. Leonard, and Louise S. Kiessling:”Speculations on antineuronal antibody-mediated neuropsychiatric disorders of childhood.” Pediatrics 93.2, 323-326, 1994[.block][] 16 Frankovich J, et al: Multidisciplinary clinic dedicated to treating youth with pediatric acute-onset neuropsychiatric syndrome: Presenting characteristics of the first 47 consecutive patients.” Journal of child and adolescent psychopharmacology 25.1: 38-47, 2015[.block][] 17 Calaprice D, Tona J: Treatment of pediatric acute-onset neuropsychiatric disorder in a large survey population. J. Child Adolesc. Psychopharmacol, 28(2): 92-103, 2017 Remember to check with your child’s physician before starting any new diet, supplement, or medication regimen. The information in this blog is not intended to be medical advice, and supplements mentioned are not intended to diagnose, treat, heal, or cure any disease. **If you’re unable to see our team in person or need additional PANS/PANDAS support, please visit [our sister site](https://www.thepandasdocs.com/) for information about resources authored by Dr. Scott Antoine. These include *The Comprehensive Physicians’ Guide to the Management of PANS/PANDAS*, the first and only medical textbook dedicated entirely to the diagnosis, testing, and effective treatment of PANS/PANDAS, and *Defeating PANS & PANDAS*, an online course designed to empower families facing PANS and PANDAS with knowledge, tools, and strategies for healing.** --- ## Winter Salad With Lemon and Mint **Link:** [Winter Salad With Lemon and Mint](https://fullyfunctional.com/blog/winter-salad-recipe-with-lemon-and-mint/) ([md](https://fullyfunctional.com/blog/winter-salad-recipe-with-lemon-and-mint/index.html.md)) **Description:** This Winter Salad is loaded with anti-inflammatory veggies. Carrots, cilantro, and citrus are potent antioxidants, while cilantro and mint ease digestion. ### Content This **Winter Salad recipe** is one you’ll want to save and share with loved ones. *Vitality* - as defined by www.dictionary.com - is “exuberant physical strength or mental vigor…capacity for survival…power to live or grow…vital force”. After a holiday season full of indulgences, I’d like to consider **cultivating Vitality** as my nutrition goal rather than one or more extreme Resolutions which typically fail by the first of February. [Amanda Archibald](https://www.genomickitchen.com/), my Culinary mentor, defines Vitality as “Deeply nourishing, Health-Supportive, Life-Giving Foods”. In her *Field to Plate and Hearth to Health* programs, she encourages using a variety of “Vitality Chopped Salads” as replacements for Iceberg Style Salads. Here is a favorite in our winter repertoire, using vegetables that are good “keepers” in the winter, with a tangy, citrusy dressing. This Winter Salad recipe is one we adapted from a recipe used on Sara Moulton’s television show “Cooking Live (1997-2002). We originally used it as the salad course one year for the annual New Year’s Eve Prix Fixe dinner at our Inn in Northern Vermont. It was well-received, easy to prep, seasonal, and had all the fresh taste provided by multiple fresh herbs that I was looking for. What could be better for **a multi-course, festive meal**? As for nutrition, Cruciferous (Cabbage Family) vegetables are great for decreasing [Inflammation](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195422/), while Carrots, Cilantro, Citrus, and Dill, are very helpful as Antioxidants. Both Cilantro and mint act as carminatives *to ease digestion*. This salad can be used during the Fully Functional® 4 Week Wellness Nutrition Plan, as well as [Candida diet](/blog/candida-diet-food-list-and-recipes/) and the FODMAPS if portion size is controlled to 1/2 cup serving. This recipe is **Gluten-Free, Dairy-Free, and Paleo as well**! If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients #### Dressing - 2 tbsp mint finely chopped - 2 whole garlic cloves minced - 1/2 cup extra-virgin olive oil - 1/3-1/2 cup lemon juice to taste - 1 pinch salt and pepper to taste, freshly ground - 1/2 tbsp maple syrup organic cane sugar or stevia (optional) #### Salad - 2 whole fennel bulbs, cored and halved - 4 whole carrots peeled - 1 tbsp cilantro chopped - 1 tbsp dill chopped - 1/2 whole cabbage core ### Instructions #### For dressing - Whisk garlic, lemon juice, salt and pepper, then slowly add olive oil until well blended. - Stir in mint, taste and adjust seasoning if needed (OR-whiz it all up in a mini-food processor or a blender). #### For salad - Using a food processor set up with the shredder disc or the large holed side of a box grater, shred cabbage, fennel, and carrots. - Turn out into large bowl; toss with chopped herbs, and drizzle dressing over the salad, tossing to evenly coat. - Garnish with whole cilantro, mint & dill sprigs. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory veggies, lemon and mint, salad, winter salad, winter salad recipe --- ## Vietnamese Zucchini Noodle Salad **Link:** [Vietnamese Zucchini Noodle Salad](https://fullyfunctional.com/blog/zucchini-noodle-salad-vietnamese/) ([md](https://fullyfunctional.com/blog/zucchini-noodle-salad-vietnamese/index.html.md)) **Description:** This zucchini noodle salad goes all veggie. With crunchy greens, vibrant herbs, anti-inflammatory spices, and Southeast Asian flavors. Healthy and delicious! ### Content This **Vietnamese Zucchini Noodle Salad recipe** is out of this world. We love the flavor combinations, and the nutrient value this dish offers. A combination of a noodle and green salad, this zucchini noodle salad goes all veggie, creating noodles out of zucchini, adding crunchy greens, vibrant herbs, [anti-inflammatory spices](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532192/#:~:text=The%20spices%20that%20are%20most,pepper%20%5B4%2C%2023%5D.), and Southeast Asian flavors for *a unique, healthy and flavorful salad*. The dressing does double duty as a marinade or sauce for your choice of protein to serve on the side! Try pairing this dish with our [Honey Ginger Glazed Salmon](/blog/honey-ginger-glazed-salmon/), or our [Moroccan Chicken with Chickpeas](/blog/moroccan-chicken-chickpeas/). **Replace Recipie Feat** ### Ingredients - 2 large zucchini spiralized - 4 cups mixed greens or chopped romaine lettuce - 1/4 cup fresh mint finely chopped - 1/4 cup fresh cilantro chopped - 1/4 cup red onion thinly sliced - 3 cloves garlic minced - juice and zest from one lime - 1 1/2 teaspoons fish sauce - 1 teaspoon chili garlic sauce - 1/4 cup coconut aminos - 1 teaspoons fresh ginger grated - 1/4 cup olive oil - 2 tablespoons seasoned rice vinegar ### Notes **This dressing makes a great marinade for shrimp or chicken to serve with your salad! This should give you enough dressing for both a marinade (1/4 cup) and dressing (1/2 cup) for your salad. --- ## Zucchini Noodles With Chicken and Broccoli **Link:** [Zucchini Noodles With Chicken and Broccoli](https://fullyfunctional.com/blog/zucchini-noodles-with-chicken-and-broccoli/) ([md](https://fullyfunctional.com/blog/zucchini-noodles-with-chicken-and-broccoli/index.html.md)) **Description:** Delicious and easy to make. This Zucchini Noodles With Chicken and Broccoli dish is perfect for storing in the fridge for lunch, snacks, or as a main course. ### Content Delicious and easy to make. Enjoy this week! This **Zucchini Noodles With Chicken and Broccoli** dish is perfect for storing in the fridge for snacks or as a main course for the whole family. We also recommend trying zucchini noodles with our [Detox Pesto](/blog/detox-dairy-free-pesto-recipe/), or [Vegan Pesto](/blog/vegan-pesto-sauce-recipe/) recipes. The zucchini pairs really well with basil. And check out the many health benefits of zucchini [here](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5537869/). If you make this Fully Functional® recipe and love it, save it with your favorite **anti-inflammatory diet recipes**! **Replace Recipie Feat** ### Ingredients - 1 1/2 lbs chicken breasts organic, cut into small cubes - 2 heads broccoli cleaned and chopped into small pieces - 1 tbsp minced garlic in water organic - 1/2-1 cup chicken broth organic, from a carton or homemade - 2 large zucchini organic - 1 tbsp olive oil or avocado oil - Himalayan sea salt to taste - 1 tsp Italian seasoning organic - Black pepper to taste - 1/4 cup pine nuts (optional) - crushed red pepper (optional) ### Instructions - Using a spiralizer, make zucchini noodles. Alternatively, you can create zucchini noodles using a vegetable peeler. Run the peeler lengthwise down the zucchini to create “ribbons”. Stack the ribbons on top of each other and slice into long skinny “noodles” with a knife. Set aside. - Heat olive oil in large skillet over medium heat. Add chicken, sea salt, pepper and saute for 3-4 minutes. Add broccoli, Italian seasoning and garlic. Saute for 5 minutes. Add chicken broth and let simmer until the chicken is cooked through and the broccoli is tender. Add zucchini noodles at the end of the cooking time, just until heated through. Top with pine nuts or crushed red pepper if desired. - Enjoy! Keywords: anti-inflammatory diet recipes, anti-inflammatory dinner, quick healthy meal, spiralized zucchini noodles, zucchini, zucchini noodles, zucchini noodles with chicken --- ## Contact Us **Link:** [Contact Us](https://fullyfunctional.com/contact/) ([md](https://fullyfunctional.com/contact/index.html.md)) **Description:** Contact the Center for Fully Functional Health - Call (317) 989-8463 40 North Rangeline Rd.Carmel, IN 46032 Center for Fully Functional Health ### Content #### Get in touch --- ## Conditions in Carmel, IN **Link:** [Conditions in Carmel, IN](https://fullyfunctional.com/diagnoses/) ([md](https://fullyfunctional.com/diagnoses/index.html.md)) **Description:** The Center for Fully Functional Health in Carmel, IN., offers expert Diagnosis from our integrative medicine physicians for identifying and treating the underlying causes of difficult-to-diagnose medical conditions. --- ## Disclaimer **Link:** [Disclaimer](https://fullyfunctional.com/disclaimer/) ([md](https://fullyfunctional.com/disclaimer/index.html.md)) **Description:** It is the intent of The Center for Fully Functional Health to operate products through this Website consistent with the work of CHANGE. However, Sponsor Center for Fully Functional Health ### Content [.lead]It is the intent of The Center for Fully Functional Health to operate products through this Website consistent with the work of CHANGE. However, Sponsor is not a healthcare practitioner or Clinician.[] To the extent that any information is provided through this Website, it is for general informational purposes only and is not intended to constitute or substitute for (i) medical advice or counseling, (ii) the practice of medicine including but not limited to psychiatry, psychology, psychotherapy or the provision of health care diagnosis or treatment, (iii) the creation of a physician-patient or clinical relationship, or (iv) an endorsement, a recommendation or a sponsorship of any third party, product or service by the Sponsor or any of the Sponsor’s related companies, agents, employees, consultants or service Clinicians. If you have or suspect that you have a medical problem, contact your health care Clinician promptly. Information and statements regarding dietary supplements available on this Website have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. --- ## Injectables & Fillers in Carmel, IN **Link:** [Injectables & Fillers in Carmel, IN](https://fullyfunctional.com/injectables-fillers/) ([md](https://fullyfunctional.com/injectables-fillers/index.html.md)) **Description:** Schedule a consultation at The Center for Fully Functional Health in Carmel to learn how Injectables & Fillers like Botox & Dermal Fillers may help you look younger & reduce the signs of aging. ### Content --- ## Laser Skin Treatments in Carmel, IN **Link:** [Laser Skin Treatments in Carmel, IN](https://fullyfunctional.com/laser-treatments/) ([md](https://fullyfunctional.com/laser-treatments/index.html.md)) **Description:** The Center for Fully Functional Health in Carmel offers Laser Skin Treatments from Lumenis such as Lift & Glo, Beautiful Eyes, IPL Photofacial, Skin Resurfacing, Microneedling & Laser Hair Removal. ### Content --- ## Media **Link:** [Media](https://fullyfunctional.com/media/) ([md](https://fullyfunctional.com/media/index.html.md)) **Description:** Check out The Center for Fully Functional Health's Doctor's media appearances here. Center for Fully Functional Health ### Content *Drs. Ellen & Scott Antoine* Using their proprietary 5-step Fully Functional® method to identify and treat chronic illness, so patients can reclaim their energy and well-being. *Bringing Hope & Healing* The Center for Fully Functional Health (CFFH) was founded in 2011 by dynamic husband-wife physicians Dr. Ellen and Dr. Scott Antoine. Together, they offer chronically ill patients the support, resources, and specialized care needed to not only recover, but transform their lives. After decades of hands-on experience in nationally recognized Emergency Departments and their own brick-and-mortar practice, the Antoines possess a broad professional skillset and extensive expertise with many hard-to-diagnose conditions. Dr. Ellen and Dr. Scott are also parents of five and lean strongly on their faith, tested and honed during their family’s own significant medical challenges. The result is a compassionate, knowledgeable duo who have a passion for bringing hope and healing to their patients. #### Dr. Ellen Antoine (DO, FACEP, ABOIM, IFMCP) *Short Bio:* Dr. Ellen Antoine is a physician and mother of five with over 26 years experience in Emergency Medicine and Integrative Holistic Medicine. She uses her unique skillset and firsthand knowledge of difficult diagnoses to bring peace and health to her patients and their loved ones. #### Dr. Scott Antoine (DO, FACEP, ABOIM, IFMCP) *Short Bio:* Dr. Scott Antoine is a physician and father of five with over 26 years experience in Emergency Medicine, Integrative Holistic Medicine, and Functional Medicine. He uses his broad professional expertise and personal experience with difficult diagnoses to customize compassionate, patient-centered treatment plans. *Dr. Ellen and Dr. Scott Antoine are available for live events, podcasts, and written content.* For professional appearances, please call [(317) 989-8463](tel:(317) 989-8463) OR [EMAIL THE DOCTORS HERE](https://fullyfunctional.com/contact/) --- ## MedSpa **Link:** [MedSpa](https://fullyfunctional.com/medspa/) ([md](https://fullyfunctional.com/medspa/index.html.md)) **Description:** At our Carmel MedSpa, The Center for Fully Function health, we offer an array of minimally invasive and non-surgical wellness and aesthetic treatments, from microneedling to dermal fillers, and more. Call today! in Carmel, IN ### Content *THE FULLY FUNCTIONAL MedSpa* Founded by Drs. Ellen and Scott Antoine as part of The Center for Fully Functional Health, the Fully Functional MedSpa is *among the top medical spas in Indiana*. Our therapies and services are always science-based and physician-curated, a reflection of the personalized, holistic approach that attracts patients from all over the world. Our world-class Clinical and Aesthetics teams combine the most advanced spa technology and Functional Medicine research to create unparalleled results. The Antoines each boast *over 30 years experience as physicians*, and they are recognized internationally for their Functional Medicine expertise. Our **Carmel MedSpa** patients enjoy the benefits of this extensive clinical background, combined with our passion for offering nurturing, empowering care that will transform your body from the inside out. We guarantee your friends and family will notice a difference. And when they ask for your secret, there’s only one answer: “You have to try the Fully Functional MedSpa in Carmel, Indiana!” #### THE FULLY FUNCTIONAL DIFFERENCE The award-winning Center for Fully Functional Health has been recognized as **the best in the region** four years in a row, and that’s due in no small part to the groundbreaking MedSpa therapies we provide. Unlike other spas, we use the same rigorous research and *holistic standards of care* when choosing our aesthetic and wellness treatments as we do when we’re creating protocols for sick patients. That means the same therapies that smooth wrinkles or reduce cellulite have the happy “side effects” of fighting systemic inflammation, boosting your immunity, and speeding recovery. *OUR SERVICES* At our MedSpa **Carmel aesthetic experts** offer a wide range of *safe and effective non-surgical options* to address common signs of aging, including wrinkle smoothing, lip enhancement, and body sculpting. Our skincare, [injectables](https://fullyfunctional.com/injectables-fillers/), and IV therapy are all selected with a holistic approach to protect and improve your overall health. *Fully Functional MedSpa services include:* - Chemical Peels & Dermaplaning - Hyperpigmentation Treatment - Scar & Stretch Mark Reduction - Red Light Therapy with PEMF - RF Microneedling & Tripollar - Full Spectrum - IV Lounge - Dry Eye Therapy - BioMat - Ballancer Pro Lymphatic Drainage & Body Sculpting --- ## Notice To Patients Open Payments Database **Link:** [Notice To Patients Open Payments Database](https://fullyfunctional.com/open-payment-database-notice/) ([md](https://fullyfunctional.com/open-payment-database-notice/index.html.md)) **Description:** Learn about the Open Payments Database and how financial relationships between healthcare providers and industry manufacturers are publicly disclosed. ### Content For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public. You may search this federal database for payments made to physicians and teaching hospitals by visiting this website: [https://openpaymentsdata.cms.gov/](https://openpaymentsdata.cms.gov/) --- ## Patient Resources **Link:** [Patient Resources](https://fullyfunctional.com/patient-resources/) ([md](https://fullyfunctional.com/patient-resources/index.html.md)) **Description:** Check out our Center for Fully Functional Health patient resources here. For both current and new patients. Center for Fully Functional Health ### Content #### Stay Informed The Center for Fully Functional Health in Carmel, Indiana is committed to providing the highest quality skincare, wellness treatments and rejuvenation therapies to assist you in achieving your aesthetic and physical goals. Our office welcomes patients of all ages, genders, and nationalities. Fill out the form below to get discounts and invites to our special events and promotions when you sign up on our email list. --- ## Current Patients **Link:** [Current Patients](https://fullyfunctional.com/patient-resources/current-patients/) ([md](https://fullyfunctional.com/patient-resources/current-patients/index.html.md)) **Description:** Patients at The Center for Fully Functional Health can request appointments online with award-winning Functional Medicine doctors and health coaches. Center for Fully Functional Health ### Content If you are already registered and currently a patient, you may fill out the form below to request an appointment. To schedule your first appointment, please visit the [Become A Patient](https://fullyfunctional.com/patient-resources/become-a-patient/) page. Having access to the highest quality supplements is of utmost importance when working toward becoming Fully Functional. We carry a full line of top-of-the-line nutraceuticals in our office. For those items that we don't carry directly, we recommend that our patients purchase from a trusted dispensary, such as FullScripts or Wellevate. --- ## Privacy Policy **Link:** [Privacy Policy](https://fullyfunctional.com/privacy-policy/) ([md](https://fullyfunctional.com/privacy-policy/index.html.md)) **Description:** This privacy policy has been compiled to better serve those who are concerned with how their ‘Personally Identifiable Information’ (PII) is being used online. View Center for Fully Functional Health's Privacy Policy here. Center for Fully Functional Health ### Content [.title-xs]Who we are[] We are The Center for Fully Functional Health. A Health Center based in Carmel, Indiana. Our website address is: [www.fullfunctional.com](https://www.google.com/search?q=https://www.fullfunctional.com) [.title-xs]What personal data we collect and why we collect it[] From time to time, and at the customers’ interaction we collect some personal information. This may include personal data, such as name, email address, personal account preferences; transactional data, such as purchase information; and technical data, such as information about cookies. We collect this data to connect with you, a client or potential customer. Personal data is not just created by a user’s interactions with your site. Personal data is also generated from technical processes such as contact forms, comments, cookies, analytics, and third-party embeds. By default, we do not collect any personal data about visitors, and only collects the data shown on the User Profile screen from registered users. [.title-xs]Use of personal information[] We use the information you provide to register for an account, attend our events, receive newsletters, use certain other services, or participate in our website in any other way. We will not sell or lease your personal information to third parties unless we have your permission or are required by law to do so. We would like to send you email marketing communication which may be of interest to you from time to time. If you have consented to marketing, you may opt out later. You have a right at any time to stop us from contacting you for marketing purposes. If you no longer wish to be contacted for marketing purposes, please click on the unsubscribe link at the bottom of the email. [.title-xs]Comments[] When visitors leave comments on the site we collect the data shown in the comments form, and also the visitor’s IP address and browser user agent string to help spam detection. An anonymized string created from your email address (also called a hash) may be provided to the Gravatar service to see if you are using it. The Gravatar service privacy policy is available here: [https://automattic.com/privacy/](https://automattic.com/privacy/). After approval of your comment, your profile picture is visible to the public in the context of your comment. [.title-xs]Media[] If you upload images to the website, you should avoid uploading images with embedded location data (EXIF GPS) included. Visitors to the website can download and extract any location data from images on the website. [.title-xs]Contact forms[] All contact submissions to our site are stored for our internal use to interact with the person submitting the form and for customer service. [.title-xs]Cookies[] Additionally, information about how you use our website is collected automatically using “cookies”. Cookies are text files placed on your computer to collect standard internet log information and visitor behaviour information. This information is used to track visitor use of the website and to compile statistical reports on website activity. [.title-xs]Third Party Links[] Our website may contain links to other websites provided by third parties not under our control. When following a link and providing information to a 3rd-party website, please be aware that we are not responsible for the data provided to that third party. This privacy policy only applies to the websites listed at the beginning of this document, so when you visit other websites, even when you click on a link posted on our site, you should read their own privacy policies. [.title-xs]Legal grounds for processing personal information[] We rely on one or more of the following processing conditions: - our legitimate interests in the effective delivery of information and services to you; - explicit consent that you have given; - legal obligations. [.title-xs]Retention of personal information[] We will retain your personal information on our systems only for as long as we need to. We keep contact information (such as mailing list information) until a user unsubscribes or requests that we delete that information from our live systems. If you choose to unsubscribe from a mailing list, we may keep certain limited information about you so that we may honor your request. We will not delete personal data from logs or records necessary to the operation, development, or archives of the website. When deletion is requested or otherwise required, we will anonymize the data of data subjects and/or remove their information from publicly accessible sites if the deletion of data would break essential systems or damage the logs or records necessary to the operation, development, or archival records of the website. [.title-xs]Rights in relation to your information[] You may have certain rights under data protection law in relation to the personal information we hold about you. In particular, you may have a right to: - request a copy of the personal information we hold about you; - ask that we update the personal information we hold about you, or independently correct such personal information that you think is incorrect or incomplete; - ask that we delete personal information that we hold about you from live systems, or restrict the way in which we use such personal information (for information on deletion from archives, see the “Retention of personal information” section); - object to our processing of your personal information; and/or - withdraw your consent to our processing of your personal information (to the extent such processing is based on consent and consent is the only permissible basis for processing). If you would like to exercise these rights or understand if these rights apply to you, please follow the instructions at the end of this Privacy Statement. [.title-xs]Embedded content from other websites[] Articles on this site may include embedded content (e.g. videos, images, articles, etc.). Embedded content from other websites behaves in the exact same way as if the visitor has visited the other website. These websites may collect data about you, use cookies, embed additional third-party tracking, and monitor your interaction with that embedded content, including tracking your interaction with the embedded content if you have an account and are logged in to that website. [.title-xs]Analytics[] We use Google Analytics and Google Webmaster Tools to analyze our website and visitor behavior. The information may include IP Addresses and page tracking. We may collect statistics about the behavior of visitors to its websites. We do not disclose personally-identifying information other than as described in this policy. [.title-xs]Who we share your data with[] We does not share any personal data with anyone. [.title-xs]How long we retain your data[] If you leave a comment, the comment and its metadata are retained indefinitely. This is so we can recognize and approve any follow-up comments automatically instead of holding them in a moderation queue. For users that register on our website (if any), we also store the personal information they provide in their user profile. All users can see, edit, or delete their personal information at any time (except they cannot change their username). Website administrators can also see and edit that information. [.title-xs]What rights you have over your data[] If you have an account on this site or have left comments, you can request to receive an exported file of the personal data we hold about you, including any data you have provided to us. You can also request that we erase any personal data we hold about you. This does not include any data we are obliged to keep for administrative, legal, or security purposes. [.title-xs]Where we send your data[] Visitor comments may be checked through an automated spam detection service. Your Contact Information You can contact us at The Center for Fully Functional Health or by completing this form. [.title-xs]Privacy Policy Changes[] Although most changes are likely to be minor, we may change its Privacy Policy from time to time, and at our sole discretion. We encourage visitors to frequently check this page for any changes to its Privacy Policy. Your continued use of this site after any change in this Privacy Policy will constitute your acceptance of such change. [.title-xs]Contact[] Please contact us if you have any questions about our privacy policy or information we hold about you on our contact page. --- ## Site Map **Link:** [Site Map](https://fullyfunctional.com/sitemap/) ([md](https://fullyfunctional.com/sitemap/index.html.md)) **Description:** HTML sitemap for Center for Fully Functional Health website. Center for Fully Functional Health --- ## Skin Treatments in Carmel, IN **Link:** [Skin Treatments in Carmel, IN](https://fullyfunctional.com/skin-treatments/) ([md](https://fullyfunctional.com/skin-treatments/index.html.md)) **Description:** The Center for Fully Functional Health in Carmel offers Skin Treatments such as HydraFacials, Facials with Biomat, Chemical Peels & AnteAge Stem Cell Skincare in our beautiful MedSpa. ### Content --- ## Specials **Link:** [Specials](https://fullyfunctional.com/specials/) ([md](https://fullyfunctional.com/specials/index.html.md)) **Description:** Center for Fully Functional Health's Specials. The Center for Fully Functional Health ### Content --- ## Brain Fog or Trouble Focusing in Carmel, IN **Link:** [Brain Fog or Trouble Focusing in Carmel, IN](https://fullyfunctional.com/symptoms/brain-fog/) ([md](https://fullyfunctional.com/symptoms/brain-fog/index.html.md)) **Description:** Discover the Root Causes of Mental Brain Fog & Fatigue and Cognitive Issues with Functional Medicine in Carmel, Indiana. Contact us today! ### Content [.intro.highlight-color]We've all been there: An important deadline is looming or your to-do list is a mile long, but you just can't seem to concentrate.[] Even routine tasks can feel challenging when you're foggy and struggling to focus, and it's tempting to reach for caffeine or sugar. Patients often dismiss brain fog or feel ashamed that they can't just shake it off. At The Center for Fully Functional Health, we understand that struggles with mental clarity and memory are legitimate symptoms associated with a range of *real, treatable medical conditions*. Instead of relying on coffee or energy drinks to get by, it's crucial to dive deeper and address the **root causes of your brain fog**, so you can feel productive and clear once again. *What is brain fog?* **Brain fog isn't a medical diagnosis, but it's a very real experience.** It can feel as if your thoughts are wrapped in cotton, indistinct or unclear. For many people, brain fog shows up as poor memory, difficulty finding words, or a sense that they're not as sharp as usual. Think of your brain as a high-performance computer that's running many programs at once. Those programs are what help you eat, breathe, talk, walk… the list goes on. With brain fog, *everything slows down, simple tasks take longer, and sometimes the system seems to freeze entirely*. You might find yourself re-reading the same paragraph multiple times, forgetting important appointments, or struggling to follow conversations. That fogginess can make your days feel frustrating and overwhelming. *When to Get Help for Brain Fog* Because it's not always obvious what's causing it, brain fog is often mistaken for normal aging, burnout, or even early signs of anxiety or depression. And while stress and sleep definitely play a role, brain fog is often your body's way of saying something deeper is off. That might be inflammation, hormone imbalances, gut health issues, chronic infections, or even exposure to environmental toxins. If your brain fog is persistent, affecting your daily life or relationships, or comes along with other symptoms like fatigue, mood changes, or digestive issues, it's time to seek professional support. [Holistic medicine](/) with The Center for Fully Functional Health in Carmel, IN, can help identify and treat the root causes of brain fog, so you can feel like yourself again. [Schedule Your Brain Fog Consultation](/contact/) *What causes brain fog?* - **Hormonal imbalances:** Thyroid dysfunction, adrenal fatigue, or fluctuating sex hormones - **Gut health issues:** Imbalanced microbiome, leaky gut, or digestive disorders - **Underlying infections:** Viral, bacterial, or fungal infections, including Lyme, SIBO, and SIFO - **Chronic inflammation:** Caused by infections, autoimmune conditions, or environmental factors - **Environmental toxins:** Heavy metals, mold, chemicals, or other environmental exposures - **Food sensitivities and inflammatory foods:** Intolerances to gluten, dairy, sugar, or other trigger foods unique to you - **Nutritional deficiencies:** Low levels of B vitamins, vitamin D, omega-3 fatty acids, or minerals like magnesium - **Sleep disorders:** Poor sleep quality, sleep apnea, or disrupted circadian rhythms - **Chronic stress:** Prolonged stress affects your body's stress response system and cognitive function - **Inadequate hydration:** Even mild dehydration can significantly impact cognitive function **So what exactly triggers brain fog?** The causes of this frustrating symptom can vary widely and commonly include: *Why Does Brain Fog Have So Many Different Causes?* Your brain is incredibly sensitive to changes in your body's internal environment and needs steady fuel, proper hydration, balanced hormones, and a well-functioning support system to work optimally. When any of these systems get disrupted, your brain often signals distress through symptoms like **brain fog**. That's why conventional medicine sometimes struggles with brain fog. It's not typically caused by one isolated problem, but rather by interconnected imbalances throughout your body. While traditional approaches might focus on managing symptoms or ruling out serious neurological conditions, an integrative approach looks at the whole picture: How is your gut health affecting your brain? Are nutrient deficiencies impacting your cognitive function? Could chronic inflammation be the common thread connecting your brain fog to other symptoms you're experiencing? *How to Treat Brain Fog Holistically* Unlike conventional medicine, which often focuses on managing symptoms, a **holistic approach to brain fog** starts with one fundamental question: *What's actually causing this symptom* in your body? Rather than simply prescribing medications to help you cope with foggy thinking, functional medicine digs deeper to identify and address the potential root causes. *Why Choose The Center for Fully Functional Health for Brain Fog* The Center for Fully Functional Health in Carmel, Indiana, was started by **internationally recognized doctors**, Ellen and Scott Antoine. After decades leading emergency departments, they shifted their focus to **functional and integrative medicine**. They bring their extensive knowledge to every patient, plus a commitment to compassionate, comprehensive care. The Antoines are the doctors that other physicians call when they hit a dead end. Dr. Ellen and Dr. Scott's training and experience inform every aspect of patient care in our practice. Just as importantly, they bring a firsthand understanding of what it's like to be sick and see loved ones struggle. They believe that good medicine includes listening to patients with sensitivity and hope. **Don't let brain fog hold you back from living a Fully Functional life, full of energy and clarity. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Chronic Diarrhea or Constipation in Carmel, IN **Link:** [Chronic Diarrhea or Constipation in Carmel, IN](https://fullyfunctional.com/symptoms/chronic-diarrhea-or-constipation/) ([md](https://fullyfunctional.com/symptoms/chronic-diarrhea-or-constipation/index.html.md)) **Description:** Root-cause treatment for chronic diarrhea and constipation in Carmel, IN. Comprehensive GI testing, SIBO protocols, personalized care. Drs. Antoine at CFFH. ### Content [.intro.highlight-color]Digestive issues like **chronic diarrhea** or **constipation** are incredibly common, yet they're often suffered in silence. Many people feel embarrassed discussing their bowel habits, even with healthcare providers, and it's easy to dismiss these symptoms as "how my body works" or something you simply have to live with.[] But if you find yourself factoring in proximity to a bathroom when you make plans or canceling last minute because your stomach won't cooperate, it's time to take action. At The Center for Fully Functional Health, we understand that *diarrhea and constipation can significantly impact your quality of life,* affecting everything from your energy levels to your social life. The truth is, chronic digestive issues aren't normal, and you don't have to accept them as your personal baseline. These symptoms are often your body's way of signaling that something deeper needs attention. *What are Chronic Diarrhea and Constipation?* **Chronic diarrhea** is characterized by loose, watery stools that occur frequently - typically three or more times per day for at least four weeks. It's not just an occasional upset stomach; *it's a persistent pattern that can leave you feeling drained, dehydrated, and constantly worried about being near a bathroom*. **Chronic constipation** involves having fewer than three bowel movements per week, along with difficulty passing stools. Many people also experience hard, dry stools or the sensation that they can't fully empty their bowels. At best, it's uncomfortable; at worst, chronic constipation can interfere with your ability to detoxify or absorb the nutrients you need, leading to a host of other complications. *When to Seek Immediate Help* While **chronic digestive issues** always deserve professional attention, certain symptoms require prompt medical care. Please contact a healthcare provider right away if you experience blood or mucus in your stool, persistent abdominal or rectal pain, or diarrhea or constipation so severe that it interferes with your sleep or daily activities. If your chronic digestive issues are affecting your quality of life, causing fatigue, or come with other symptoms like bloating, cramping, or changes in appetite, it's time to seek our comprehensive Carmel **chronic diarrhea or constipation treatment** that addresses the underlying causes rather than just managing symptoms. [Schedule Your Digestive Health Consultation](/contact/) *What Causes Chronic Diarrhea and Constipation?* The root causes of chronic digestive issues are often complex and interconnected, and it's seldom enough to eliminate a trigger food or drink more water. Here's what commonly triggers each condition: **Chronic Constipation Causes:** - Slow gut motility: Often related to nervous system dysfunction or medication effects - Hormonal imbalances: Particularly low thyroid function or imbalanced sex hormones - Nutritional deficiencies: Low magnesium, inadequate fiber, or insufficient healthy fats - Chronic stress: Affecting the gut-brain connection and digestive function - Gut microbiome imbalances: Lack of beneficial bacteria needed for healthy elimination *Is it IBS?* You've probably heard of **Irritable Bowel Syndrome (IBS)**, a diagnosis that describes chronic diarrhea, constipation, or alternating between both, along with abdominal pain and bloating. While IBS gives a name to your symptoms, *it doesn't tell you why you're experiencing them*. Traditional medicine often treats IBS as a lifelong condition to manage, but **functional medicine** asks *what's actually causing these symptoms?* Many of the root causes we already discussed - SIBO, food sensitivities, gut microbiome imbalances, chronic stress, hormonal issues - are the same underlying factors that contribute to symptoms labeled as "IBS." Rather than accepting IBS as permanent, the team at The Center for Fully Functional Health digs deeper to identify and address these specific, **treatable causes**. This means patients who've been told they'll need to manage IBS forever can actually experience significant improvement when the underlying issues are properly addressed. *Why Gut Health Affects Your Whole Body* When discussing any **chronic gut issue**, it's important to understand that *your digestive system isn't just about processing food*. It's like a sophisticated communication center, constantly sending messages throughout your body. Your gut actually contains more nerve cells than your spinal cord, creating what scientists call the "enteric nervous system," or your "second brain." This network of neurons produces many of the same neurotransmitters as your brain, including about 90% of your body's serotonin - the feel-good chemical that regulates mood and sleep. Your gut is also home to trillions of beneficial bacteria that act like a sophisticated immune training ground. In fact, about 70% of your immune system actually lives in your digestive tract. If this bacterial community becomes imbalanced, *it affects your body's ability to fight off infections and can trigger autoimmune reactions*. On top of that direct impact on your brain and immune function, digestive issues also impact **nutrient absorption**, often leaving you deficient in essential vitamins and minerals even if you're eating well. This can create a cascade effect that can worsen fatigue, compromise healing, and contribute to other health issues throughout your body. *How to Treat Chronic Digestive Issues Holistically* Unlike conventional approaches that often rely on **symptom management through medications** like laxatives or anti-diarrheal drugs, *functional medicine focuses on identifying and addressing what's actually causing your digestive distress*. Patients at The Center for Fully Functional Health in Carmel, IN, also benefit from advanced therapies like [IV Therapy](/functional-medicine/iv-lounge/) for rapid nutrient replenishment, soothing supplements to support gut healing, and other cutting-edge treatments that address the root causes of digestive dysfunction. Many patients begin experiencing more regular, comfortable bowel movements within weeks of starting their personalized treatment plan. *Why Choose The Center for Fully Functional Health for Digestive Issues* Internationally recognized physicians Dr. Ellen and Dr. Scott Antoine established The Center for Fully Functional Health in Carmel, Indiana, after spending decades leading emergency departments. Their transition to **functional and integrative medicine** allowed them to combine their deep medical expertise with a focus on compassionate, comprehensive patient care. The clinical knowledge and experience that Dr. Ellen and Dr. Scott have gained throughout their careers shapes every element of care at our award-winning practice. Equally important is their personal insight into what it means to face health challenges and watch family members struggle with illness. They believe that exceptional patient care combines faith, hope, *and a commitment to finding science-based solutions for even the most complex health struggles*. Don't let **chronic digestive issues** control your life or keep you from feeling comfortable and confident. Call our supportive team at [(317) 989-8463](tel:(317) 989-8463) Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult. --- ## Chronic Fatigue or Low Energy **Link:** [Chronic Fatigue or Low Energy](https://fullyfunctional.com/symptoms/chronic-fatigue/) ([md](https://fullyfunctional.com/symptoms/chronic-fatigue/index.html.md)) **Description:** Discover root causes of chronic fatigue & low energy with functional medicine in Carmel, IN. Comprehensive testing, personalized treatment & mitochondrial support. Schedule today! in Carmel, IN ### Content [.intro.highlight-color]Do you have to drag yourself out of bed when the alarm goes off? Find yourself needing a caffeine or sugar fix just to function? Or maybe you start your day with decent energy, only to crash completely by mid-afternoon. If you feel exhausted after activities that used to energize you, or you're constantly telling people "I'm just so tired" without really understanding why, you're not alone.[] At The Center for Fully Functional Health, we understand that **chronic fatigue and low energy** can steal the joy from your daily life, impacting your relationships, work performance, and overall sense of well-being. It's important to recognize that persistent fatigue isn't something you should just accept as part of getting older or being busy. True energy starts at the cellular level, in tiny powerhouses called "mitochondria" that exist in every cell of your body. Think of **mitochondria** as your body's personal power plants: They take the food you eat and the oxygen you breathe and convert them into usable energy that fuels everything from your heartbeat to your ability to think clearly. When these cellular engines aren't working optimally due to nutrient deficiencies, toxin exposure, chronic stress, or other factors, you feel it as persistent fatigue, no matter how much you rest. *Types Of Chronic Fatigue* Not all **fatigue** feels the same, and understanding your specific pattern can provide important clues about what's happening in your body. Learn more about the **types of fatigue and low energy** we see most often and their potential causes: *When to Seek Help for Chronic Fatigue* While everyone experiences *occasional tiredness*, chronic fatigue deserves medical attention when it persists for more than a few weeks and significantly impacts your quality of life. If you're consistently feeling exhausted despite adequate rest, finding it difficult to concentrate or complete daily tasks, or if your fatigue comes with other symptoms like [brain fog](/symptoms/brain-fog/), mood changes, [digestive issues](/symptoms/chronic-diarrhea-or-constipation/), or frequent infections, *it's time to seek comprehensive care*. Please don't dismiss your fatigue as "just stress" or a normal part of life and growing older. Even when stress is a contributing factor, there are underlying **physical and biochemical imbalances** that can be identified and addressed to help restore your energy and vitality. [Schedule Your Chronic Fatigue Treatment Consultation](/contact/) *What causes chronic fatigue and low energy?* - **Hormonal imbalances:** Thyroid dysfunction (especially Hashimoto's thyroiditis), adrenal fatigue, insulin resistance, or imbalanced sex hormones - **Nutritional deficiencies:** Low levels of B vitamins (especially B12 and folate), iron, vitamin D, magnesium, or CoQ10 - **Chronic infections:** Reactivated Epstein-Barr virus (EBV), Lyme disease, cytomegalovirus (CMV), or other stealth infections - **Environmental toxin exposure:** Mold toxicity, heavy metals, chemicals, or other toxins disrupting cellular function - **Autoimmune conditions: **Hashimoto's thyroiditis, rheumatoid arthritis, or other immune system dysfunction - **Gut health issues:** SIBO/SIFO, leaky gut, or microbiome imbalances affecting nutrient absorption and inflammation - **Mitochondrial dysfunction:** Impaired cellular energy production from various stressors or genetic factors - **Chronic inflammation:** From infections, food sensitivities, toxins, or autoimmune reactions - **Sleep disorders:** Sleep apnea, restless leg syndrome, or other conditions preventing restorative sleep - **Chronic stress:** Prolonged activation of stress hormones depleting your body's energy reserves Although many of us have been trained to believe low energy means we need more sleep or a vacation, **persistent fatigue** rarely responds to rest alone. Instead, chronic low energy typically results from *multiple interconnected imbalances* in your body's complex systems that require a holistic approach to diagnose and correct. Those may include: *Is it Chronic Fatigue Syndrome?* **Chronic Fatigue Syndrome (CFS)**, also known as Myalgic Encephalomyelitis (ME), is a complex disorder characterized by extreme fatigue that doesn't improve with rest and often worsens with physical or mental activity. People with CFS/ME may also experience cognitive difficulties ("brain fog"), sleep problems, muscle and joint pain, and post-exertional malaise - feeling significantly worse after even minor activities. While CFS/ME is a recognized medical condition, *many people with persistent fatigue don't meet the strict diagnostic criteria*, but still struggle with debilitating exhaustion. The important thing to understand is that whether your fatigue gets labeled as CFS/ME or not, there are often underlying, treatable causes that functional and integrative medicine can identify and address. *Long COVID and Post-Viral Fatigue* [.intro.highlight-color]Since 2020, any smart discussion of **chronic fatigue treatment** must include COVID-19. Since the pandemic, we've seen increasing numbers of patients struggling with persistent fatigue following viral infections - not only COVID-19, but also influenza, Epstein-Barr virus, and other common viruses.[] This **post-viral fatigue** can last for months or even years after the initial infection has cleared. Post-viral fatigue, including **long COVID**, often involves immune system dysfunction, chronic inflammation, mitochondrial damage, and reactivation of dormant infections like EBV. The virus may trigger autoimmune reactions or disrupt the delicate balance of your body's systems, leading to persistent exhaustion, brain fog, exercise intolerance, and other debilitating symptoms. The encouraging news is that we've seen impressive outcomes with functional medicine treatment for long COVID. Addressing immune support, reducing inflammation, restoring mitochondrial function, and rebalancing your body's systems can be highly effective for post-viral fatigue recovery. *Why Chronic Fatigue Affects Your Whole Body* Fatigue isn't just about feeling sleepy - it's a complex symptom that reflects how well your entire body is functioning at the cellular level. **When your mitochondria can't produce energy efficiently, every system in your body suffers.** Your brain needs constant energy to think clearly, your muscles need it to move and recover, your immune system needs it to fight off infections, and your digestive system needs it to properly break down and absorb nutrients. This is why chronic fatigue often comes with other symptoms like brain fog, digestive issues, frequent infections, mood changes, and exercise intolerance. It's also why **chronic fatigue treatment in Carmel, Indiana**, often leads to improvements in many other areas of health. When you restore optimal cellular energy production, your whole body begins to function better. *How to Treat Chronic Fatigue Holistically* Unlike conventional approaches that might prescribe stimulants or simply recommend "more rest," *functional medicine focuses on identifying and correcting the underlying causes of your fatigue at the cellular level*. *Why Choose The Center for Fully Functional Health for Chronic Fatigue* The Center for Fully Functional Health in Carmel, Indiana, was founded by internationally recognized physicians Dr. Ellen and Dr. Scott Antoine. After decades of experience in emergency medicine, they transitioned to **functional and integrative medicine**, bringing their extensive clinical knowledge to every patient along with a commitment to compassionate, comprehensive care. **Dr. Ellen and Dr. Scott are the physicians that other doctors consult when facing complex cases.** Their medical expertise and experience inform every aspect of patient care at our practice. Just as importantly, they understand personally what it means to struggle with health challenges and see loved ones suffer. Their approach combines evidence-based medicine with genuine empathy and hope. **Don't let chronic fatigue rob you of living a vibrant, Fully Functional life filled with energy and joy. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Chronic Infections in Carmel, IN **Link:** [Chronic Infections in Carmel, IN](https://fullyfunctional.com/symptoms/chronic-infections/) ([md](https://fullyfunctional.com/symptoms/chronic-infections/index.html.md)) **Description:** Root-cause treatment for chronic infections in Carmel, IN. Specialized testing, biofilm protocols, personalized care. Drs. Antoine at CFFH. ### Content [.intro.highlight-color]No one wants to be told they're sick. But ironically, *one of the most disappointing experiences a patient can have is to hear their blood work is "normal" when they feel terrible*.[] [.intro.highlight-color]It's especially frustrating when you catch every bug that goes around, or find yourself dealing with one health issue after another &- first allergies, then digestive problems, then joint pain, then recurring sinus infections. [] Or maybe you've been diagnosed with fibromyalgia, chronic fatigue syndrome, IBS, or autoimmune conditions, but treatments aren't helping the way they should. If this sounds familiar, you might be dealing with **chronic infections** that are flying under the radar of conventional testing. At The Center for Fully Functional Health, we understand how defeating it can be to feel sick while being told you're "fine." Many of our patients have spent years seeking answers, visiting multiple specialists and collecting diagnoses that address symptoms, *but miss the underlying infectious causes*. **Chronic infections are more common than most people realize**, and they can be the hidden root cause behind a surprising number of health issues. These infections often simmer quietly in your system for months or years, gradually undermining your health and immune function. *When to Seek Help for Chronic Infections* Most people have had strep throat, an ear infection, or a bladder infection in their lifetime. These are all examples of **acute infections** that develop rapidly and last a relatively short period of time, with a clear starting point, standard symptoms, and a straightforward resolution. In contrast, **chronic infections** often develop and worsen gradually over an extended period of time, bringing on a wide range of health concerns. Chronic infections can be stealthy, learning to hide from your immune system or form protective cellular barriers that prevent traditional detection and treatment. It's important to consider the possibility of chronic infections if you experience recurring illness, feel like your immune system isn't working properly, or have been diagnosed with conditions that aren't responding well to conventional treatment. *Red flags that may indicate chronic infection include:* - **Persistent fatigue that doesn't improve with rest** - **Frequent infections or slow healing** - **Unexplained joint or muscle pain** - **Cognitive issues like brain fog** - **Digestive problems** - **A pattern of developing multiple health issues over time** If you've been told your symptoms are "just stress" or that your labs are normal even though you feel unwell, it's worth investigating whether chronic infection treatment may be right for you. [Schedule Your Chronic Infection Consultation](/contact/) *What chronic infections do we see most commonly?* - **Lyme disease and co-infections:** Lyme disease (Borrelia), plus common co-infections like Babesia, Bartonella, Ehrlichia, and Anaplasma that are often transmitted together but require different treatment approaches - **Reactivated viral infections:** Epstein-Barr virus (EBV), cytomegalovirus (CMV), human herpesvirus-6 (HHV-6), and other viruses that can reactivate during stress or immune suppression - **Mycoplasma and chlamydia pneumoniae:** Intracellular bacterial infections that can cause fatigue, joint pain, and respiratory symptoms - **Gut-related infections:** Small intestinal bacterial overgrowth (SIBO), Candida overgrowth or other small intestinal fungal overgrowth (SIFO), and various parasites - **Mold-related infections:** Secondary infections that develop due to mold toxicity and immune suppression - **Chronic streptococcal infections:** Including pioneering treatment for PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) in children and adults The award-winning doctors at The Center for Fully Functional Health are known for their ability to identify and treat complex conditions, and *chronic infections are a root cause contributing to illness for many of our patients.* The chronic infections we identify and treat most frequently include: *Why Conventional Medicine Often Misses Chronic Infections* Little is more discouraging than receiving dozens of "normal" lab results when you're exhausted and in pain, but *it's an incredibly common experience for patients with chronic infections*. That's not because your doctor doesn't care or isn't trying, though. There are several scientific reasons why standard medical testing frequently fails to detect chronic infections. Understanding these limitations is crucial for getting the proper diagnosis and treatment. *Why Chronic Infections Cause Such Diverse Symptoms* A chronic infection is like having a small fire burning in the attic of your house every day for months. Even though it's not enough to burn the house down, the constant smoke affects air quality throughout the entire home, making everything function less efficiently. Similarly, **chronic infections mean your immune system is constantly working overtime**. All that effort creates **widespread inflammation** that can affect every system in your body: your brain (causing [brain fog](/symptoms/brain-fog/) and mood changes), your joints (causing pain and stiffness), your digestive system (causing gut and skin issues), and your energy production (causing [chronic fatigue](/symptoms/chronic-fatigue/)). *Why are chronic infections harder to treat?* **Chronic infection treatment** requires a sophisticated, personalized approach that's quite different from taking antibiotics for a simple acute infection. Chronic infection treatment also often involves an initial period where you may feel worse before you feel better, and there's solid science behind why. Remember the last time you cleaned out a cluttered garage or closet? The process of removing all that accumulated junk always makes things look worse before the space is clean and functional again. Similarly, when chronic infections are killed off during treatment, they release toxins as they die. This can temporarily increase inflammation and symptoms - a phenomenon called a *Herxheimer reaction* or "herx" for short. Because treating infections increases your body's toxic load, **comprehensive holistic treatment** must include robust detoxification support to help your body process and eliminate these toxins safely and efficiently. Chronic infections also often dysregulate your immune system, so *treatment needs to restore proper immune function*, while supporting your body's natural healing processes. And any infections protected by biofilms need to be systematically disrupted before antimicrobial treatments can be effective. All of this requires a fully customized approach that considers all the systems of your body and how they affect each other. Patients with chronic infections also need compassionate care for the very real emotional and mental impact of dealing with hidden health issues for months or years. *How to Treat Chronic Infections Holistically* Our approach to **treating chronic infections** at The Center for Fully Functional Health is comprehensive and highly personalized, taking into account your specific infections, overall health status, immune function, and ability to tolerate treatment. *Why Choose The Center for Fully Functional Health for Chronic Infections* Dr. Ellen and Dr. Scott Antoine bring decades of emergency medicine experience to their functional medicine practice, giving them a unique perspective on complex infectious diseases. **Dr. Ellen was among the first 100 functional medicine doctors certified in the United States**, and together they have helped bring hope and healing to thousands of patients. The Antoines' extensive medical training allows them to recognize when pharmaceutical interventions are necessary, while also utilizing the most effective natural antimicrobial and immune-supporting treatments available. *They understand that treating chronic infections requires both medical expertise and compassionate support throughout the healing journey*. The Center for Fully Functional Health in Carmel, Indiana, combines cutting-edge diagnostic capabilities with advanced treatment options and ongoing patient support, making it uniquely qualified to help you overcome chronic infections and reclaim your health. **Please don't let chronic infections continue to undermine your quality of life. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Depression and Anxiety in Carmel, IN **Link:** [Depression and Anxiety in Carmel, IN](https://fullyfunctional.com/symptoms/depression-anxiety/) ([md](https://fullyfunctional.com/symptoms/depression-anxiety/index.html.md)) **Description:** Root-cause depression and anxiety treatment in Carmel, IN. MeRT TMS, vagus nerve stimulation, R3 therapy. Drs. Antoine specialize in integrative mental health. Call today! ### Content [.intro.highlight-color]Everyone has bad days, and occasionally feeling blue is part of the normal human experience. *But true mental health struggles don't respond to positive thinking or gratitude journaling*. You can't muscle your way out of persistent sadness, overwhelming worry, panic attacks, or a general sense that you're not yourself anymore. These feelings of **depression and anxiety** are valid and deserve comprehensive care that addresses your health as a whole human, not just your symptoms.[] The science of depression and anxiety has advanced tremendously in recent years, *revealing important connections between mental health and factors like gut health, hormonal balance, chronic infections, and nutritional status*. Unfortunately, many people never learn about these groundbreaking insights because they don't fit neatly into "traditional medical models" focused primarily on prescription medications. At The Center for Fully Functional Health, we deeply respect the crucial role that **mental health** plays in your overall well-being. We understand that depression and anxiety can rob you of energy, joy, and hope, affecting every aspect of your life. Our approach isn't about "fixing" you or suggesting that your mental health challenges aren't real - it's about ensuring you have access to every possible avenue for healing and supporting your body's natural ability to feel balanced and resilient. *Understanding Depression and Anxiety* While depression and anxiety are distinct conditions, they're often grouped together because they frequently occur simultaneously and share many underlying causes. Understanding both can help you recognize patterns in your own experience: **Depression** typically involves *persistent feelings of sadness, hopelessness, or emptiness*, along with loss of interest in activities you used to enjoy. You might experience fatigue, changes in appetite or sleep, difficulty concentrating, feelings of worthlessness, or thoughts of death or suicide. Depression can range from mild episodes that come and go to severe, persistent symptoms that significantly impact your ability to function day-to-day. Chronic depression may persist for years, while seasonal affective disorder (SAD) is typically related to changes in light and weather, and postpartum depression follows childbirth. **Anxiety** involves *excessive worry, fear, or nervousness that interferes with your daily life*. Physical symptoms might include rapid heartbeat, sweating, trembling, shortness of breath, or feeling restless or on edge. Anxiety can manifest as **generalized anxiety disorder, panic attacks, social anxiety, or specific phobias**. Anxiety disorders may develop after trauma or during periods of significant stress. *When to Seek Help for Depression or Anxiety* Your mental health symptoms deserve professional attention when they persist for more than a few weeks, significantly impact your daily routine, or cause you distress. Please seek immediate help at your local emergency room or call 911 if you're having thoughts of suicide, self-harm, or harming others, or if you're experiencing severe panic attacks, psychotic symptoms, or complete inability to function. Remember, *you don't have to wait until your symptoms become debilitating*. If you're experiencing ongoing mood changes, persistent worry, sleep disturbances, changes in appetite, loss of interest in activities, or feeling like you're not yourself, it's important to seek support. Many people also notice that their depression or anxiety comes with **physical symptoms** like digestive issues, chronic fatigue, frequent infections, or unexplained aches and pains, all of which can provide important clues about underlying causes. [Schedule Your Functional Mental Health Consultation](/contact/) *What causes depression and anxiety?* - **Hormonal imbalances:** Thyroid dysfunction, adrenal fatigue, sex hormone imbalances, or insulin resistance affecting mood regulation - **Nutritional deficiencies:** Low levels of B vitamins, vitamin D, omega-3 fatty acids, magnesium, or amino acids needed for neurotransmitter production - **Gut health dysfunction:** Imbalanced microbiome, leaky gut, or SIBO/SIFO affecting the gut-brain connection and neurotransmitter production - **Chronic inflammation:** From infections, food sensitivities, autoimmune conditions, or environmental toxins affecting brain function - **Chronic infections:** Lyme disease, Epstein-Barr virus, or other stealth infections that can directly impact mood and cognition - **Environmental toxin exposure:** Heavy metals, mold, chemicals, or other toxins affecting brain chemistry and nervous system function - **Sleep disorders:** Poor sleep quality disrupting mood regulation and stress hormone balance - **Chronic stress or trauma:** Dysregulating the nervous system and affecting neurotransmitter production - **Blood sugar imbalances:** Causing mood swings, anxiety, and energy crashes - **Medication side effects:** Certain prescriptions that can contribute to depression or anxiety While conventional medicine often focuses primarily on neurotransmitter imbalances, **research shows that depression and anxiety typically result from complex interactions between multiple factors**. Think of it as a car that won't start: You might assume it's the battery, but it could also be the alternator, fuel system, spark plugs, or even something as simple as an empty gas tank. Similarly, **functional medicine for depression or anxiety** often requires looking at multiple body systems: The potential causes of depression and anxiety are extensive, and there is rarely just one culprit. That's why it's so important to work with [a top-tier integrative medicine team](/about-us/), who has the expertise and experience needed to perform a thorough investigation and offer timely, compassionate solutions. *The Gut-Brain Connection in Mental Health* One of the most exciting developments in mental health research is the discovery of **how intimately connected your gut and brain actually are**. Your digestive system produces about 90% of your body's serotonin - the "feel-good" neurotransmitter that regulates mood, sleep, and anxiety. Your gut also produces significant amounts of GABA, dopamine, and other brain chemicals that directly affect how you feel. Your digestive system has its own nervous system (the "enteric" nervous system) that is in constant communication with your brain through the vagus nerve. When your gut microbiome is imbalanced, inflamed, or damaged, it can literally change the chemical messages being sent to your brain, contributing to depression, anxiety, and mood swings. *Why Conventional Mental Health Treatment Sometimes Falls Short* Your mental and emotional state is intricately connected to your physical health through your nervous system. Chronic stress, trauma, or persistent worry keeps your nervous system stuck in **"fight or flight" mode**, flooding your body with stress hormones that can eventually lead to depression, anxiety, and physical health problems. Traditional mental health treatment typically focuses on *managing symptoms through medications* that alter brain chemistry, often without investigating why those chemical imbalances occurred in the first place. While psychiatric medications can be life-saving and absolutely necessary for many people, stopping there is like turning up the radio when your car is making strange noises - it might mask the sound, but it doesn't fix the underlying mechanical problem. This isn't to diminish the importance of psychiatric medications or traditional therapy, which can be crucial components of mental health care. Instead, it's about recognizing that there's often so much more that can be done to support your healing and potentially reduce your need for long-term medication dependence. Many people find that when underlying physical causes are addressed by correcting nutrient deficiencies, treating chronic infections, balancing hormones, or healing gut dysfunction, their response to traditional mental health treatments improves dramatically, or they're able to maintain better mental health with lower medication doses. *How to Treat Depression and Anxiety Holistically* With award-winning integrative mental health services at The Center for Fully Functional Health in Carmel, Indiana, our approach to depression and anxiety combines respect for traditional psychiatric care with comprehensive investigation and treatment of the physical factors that influence mood and overall mental well-being. *Why Choose The Center for Fully Functional Health for Mental Health Support* Dr. Ellen and Dr. Scott Antoine bring a unique perspective to **mental health care**, combining decades of emergency medicine experience with advanced training in functional medicine and *specialized certifications in mental health interventions*. Dr. Scott holds advanced certifications in Neuro-Linguistic Programming (NLP) and hypnotherapy, allowing him to offer the innovative R3 sessions that help patients address trauma, anxiety, and limiting beliefs. The Antoines' emergency medicine background gives them a deep understanding of crisis mental health situations and the appropriate use of psychiatric medications, while their functional medicine expertise allows them to identify and treat the complex physical factors that influence mental health. The Center for Fully Functional Health in Carmel, Indiana, offers a comprehensive toolkit of **both traditional and cutting-edge mental health treatments**. This integrated approach allows our providers to support mental health from multiple angles simultaneously. Most importantly, *we never dismiss or minimize your mental health struggles*, and we understand that healing always requires addressing both the mind and body together. We're committed to working alongside your existing mental health team to ensure you have access to every possible avenue for healing and thriving. **You deserve to feel hopeful, energetic, and emotionally balanced. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Flushing and Hot Flashes in Carmel, IN **Link:** [Flushing and Hot Flashes in Carmel, IN](https://fullyfunctional.com/symptoms/flushing-hot-flashes/) ([md](https://fullyfunctional.com/symptoms/flushing-hot-flashes/index.html.md)) **Description:** Chronic flushing and hot flashes are often signs of hormonal imbalances, MCAS, or gut dysfunction. The Center for Fully Functional Health in Carmel finds the root cause and treats it. Call today. ### Content [.intro.highlight-color]We’ve all seen the stereotypical woman with **hot flashes** in a TV sitcom or movie, rushing to the kitchen to fan herself with the freezer door or drink something cold. And while it’s easy to laugh at it on the screen, it can actually feel terribly embarrassing to suddenly turn bright red or sweaty in the midst of an important meeting, or while you’re enjoying a meal with family and friends. In reality, **chronic flushing and hot flashes** can affect men and women of all ages, and these episodes often bring unwelcome attention and questions.[] You might find yourself avoiding certain foods, social situations, or activities that seem to trigger episodes because you feel self-conscious. Maybe you've noticed that your flushing and hot flash episodes are becoming more frequent, lasting longer, or are accompanied by other uncomfortable symptoms like dizziness, heart palpitations, rashes, or digestive trouble. What started as harmless blushing can soon become a source of *real anxiety* and a legitimate reason for concern. At The Center for Fully Functional Health, we understand that chronic flushing and hot flashes are more than just cosmetic concerns or inevitable parts of aging – *they're often literal red flags that your body needs attention*. While occasional **flushing** from heat, exercise, or embarrassment is completely normal, and some **hot flashes** may be expected during hormonal transitions, persistent or severe episodes typically indicate underlying issues that require medical attention. *What’s the difference between blushing and flushing?* To understand problematic flushing or hot flashes, *it helps to know what's happening in your body when your skin turns red or you feel hot*. Normal **blushing** occurs when blood vessels near the skin's surface dilate in response to emotions, heat, or physical exertion. As vessels open wider, it allows more blood to flow near your skin’s surface, resulting in visible redness. Hot flashes involve a similar mechanism in your body, but typically include a sudden sensation of intense heat, often accompanied by sweating and sometimes followed by chills as the body rapidly cools again. **Blushing or feeling warm** all over can happen normally for a variety of reasons: You might feel your cheeks and ears redden after an unexpected compliment, notice your chest is blotchy during an argument, or get hot and flushed after taking a long walk in the sun. People with fairer skin typically blush more easily, and while it might be frustrating to have your emotions broadcast so obviously, it’s certainly not a cause for medical concern. *What causes chronic flushing and hot flashes?* Flushing and hot flashes can be caused by a variety of *systemic imbalances or inflammation* that merit closer attention. **Histamine-related flushing** happens when your immune system releases histamine in response to triggers, causing widespread blood vessel dilation and a sensation of heat. Histamine is the chemical your body releases when it senses an allergen or other hostile invader, and these flushing episodes are most often associated with eating trigger foods. Histamine-related flushing might also happen with exercise, exposure to heat or stress. This type of flushing is often part of mast cell activation syndrome (MCAS) or histamine intolerance and may affect specific areas like the neck and chest, or your entire body. With histamine-related flushing and hot flashes, you might also experience heart palpitations, joint pain, rashes, anxiety, and intense fatigue. **Hormonal flushing and hot flashes** happen when fluctuating hormones such as estrogen, progesterone, and thyroid hormone affect blood vessel regulation and temperature control. We all know that flushing and hot flashes are common during perimenopause and menopause – it’s a well-used stereotype in pop culture and often the first symptom of shifts in reproductive hormones. However, thyroid dysfunction or cortisol imbalances can also involve intense heat sensations and sweating. No matter the cause, it’s important to identify and correct these hormonal imbalances. **Food sensitivity reactions** can cause flushing as a result of your body's response to specific foods, additives, or preservatives. Much like histamine-related flushing or hot flashes, these episodes are the result of inflammatory or immune responses and are typically associated with meals. However, this type of flushing may also occur after exposure to additives in medication or even skincare products. Flushing or hot flashes associated with food sensitivities almost always indicate underlying gut health dysfunction, which may include SIBO, SIFO/Candida overgrowth, leaky gut, or microbiome imbalances affecting immune function. **Rosacea-related flushing** involves chronic inflammation of facial blood vessels, leading to persistent redness, visible blood vessels, and episodes of more intense flushing and heat. While typically limited the areas around the cheeks, nose, forehead, and chin, the underlying causes are often related to inflammation in other systems of the body. While rosacea is often treated as a purely dermatological issue, with patients told to avoid common triggers such as alcohol, sun exposure, or stress, functional medicine looks for the root causes to help eliminate your symptoms altogether. **Flushing **may also happen as a result of nutrient imbalances or deficiencies, chronic infections, or exposure to environmental toxins such as mold or chemicals. It’s crucial to consider your complete health history and lifestyle when creating the right care plan for your symptoms. Conventional medicine’s answer to chronic flushing or hot flashes is often to ignore the issue or place permanent limits on your life. Advice to avoid certain foods or activities is often given without any thought for the lasting impact those limits might have on your emotional well-being. At **The Center for Fully Functional Health**, our physicians take a completely different approach, offering compassionate, thorough care to identify the causes of your symptoms and create **a highly personalized treatment plan** to address them. *When to Seek Help for Chronic Flushing or Hot Flashes* - **Experiencing flushing or hot flash episodes multiple times a week** - **Feel that episodes are becoming more frequent or severe** - **Find that certain foods or situations predictably trigger symptoms** - **Notice your hot flashes or flushing are accompanied by other symptoms like digestive issues, skin problems, or mood changes** **Please seek immediate medical attention if flushing or hot flashes are accompanied by difficulty breathing, hives, severe swelling, chest pain, or signs of anaphylaxis.** Also seek prompt care if you experience these symptoms along with severe diarrhea, heart palpitations, wheezing, or other symptoms that could indicate carcinoid syndrome or other serious conditions. However, *your symptoms don’t need to be a medical emergency to deserve professional evaluation*. It’s time to get help if you are: Many people dismiss flushing and hot flashes as something they'll just have to live with, especially women who are told it's simply "part of menopause." However, persistent episodes are often your body's way of signaling that underlying systems need support and rebalancing. It’s important to listen to your body and dig deeper into what’s causing these changes. **Functional medicine** offers multiple effective solutions that can not only stop flushing or hot flashes, but also improve your overall well-being. [Schedule Your Flushing Or Hot Flash Consultation](/contact/) *The Flushing and Hot Flashes Immune System Connection* **Many people with chronic flushing or hot flashes notice that episodes are triggered by situations that weren’t always a problem.** You may find that some of your favorite foods cause symptoms now, when you ate them without any issue dozens of times before. Or perhaps you’ve noticed you feel flushed and unwell after working in or visiting places that were a safe part of your routine before. It’s not all in your head! Over time, your immune system can become hypersensitive or overactive, causing your body to react to normally harmless substances. When it feels stressed, your immune system responds by releasing inflammatory compounds that cause blood vessels to dilate and can create flushing episodes, along with other uncomfortable indicators that something is wrong. **Mast cell activation syndrome (MCAS) is a particularly important factor in many flushing cases.** Mast cells are special immune cells that release histamine and other inflammatory mediators when triggered. In MCAS, these cells become overly reactive, releasing excessive amounts of histamine and other compounds that cause flushing, along with other symptoms like digestive issues, skin breakouts, or respiratory symptoms. Similarly, histamine intolerance occurs when your body can't properly break down histamine from foods or your own immune system, leading to histamine buildup that triggers flushing and other symptoms. The gut-immune connection also plays a crucial role, as digestive dysfunction can lead to increased food sensitivities and immune overactivity that manifest as flushing episodes. *How to Treat Chronic Flushing and Hot Flashes Holistically* Our approach to flushing and hot flashes focuses on identifying specific triggers while simultaneously addressing the underlying immune, hormonal, and gut health imbalances that make you susceptible to these episodes in the first place. Many patients begin noticing some improvement in flushing or hot flash frequency and intensity *within weeks of starting treatment*, though achieving optimal results typically requires several months of **comprehensive care** to address all underlying factors. Throughout this time, your dedicated team will continue to assess your progress and modify your treatment plan as needed to find the right fit for your own unique body chemistry and priorities. *Why Choose The Center for Fully Functional Health for Flushing and Hot Flashess* **Dr. Ellen and Dr. Scott Antoine are award-winning physicians with decades of experience identifying and treating the complex underlying causes of chronic flushing and hot flashes.** Both doctors spent years managing large emergency departments before pursuing extensive **functional and integrative medicine training**. As a result, they offer a comprehensive approach that has earned international respect for the The Center for Fully Functional Health in Carmel, Indiana. This husband-and-wife duo also knows firsthand what it’s like for a loved one to be diagnosed with a serious illness. Their own family’s healing journey brings them an awareness and empathy that are often missing from standard medical care. We understand that chronic flushing and hot flashes can be humiliating, affecting not just your physical comfort but also your confidence in social and professional situations. Our goal is to help you understand what's causing your episodes and provide you with *effective solutions* that address the root causes rather than just managing symptoms. Most importantly, we recognize that flushing and hot flashes are often signs that your body needs support, and we're committed to helping you achieve the immune balance, hormonal stability, and overall health that will allow you to feel good in your own skin. **Don't let chronic flushing and hot flashes cause you anxiety or limit your life. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Heartburn or Upset Stomach in Carmel, IN **Link:** [Heartburn or Upset Stomach in Carmel, IN](https://fullyfunctional.com/symptoms/heartburn/) ([md](https://fullyfunctional.com/symptoms/heartburn/index.html.md)) **Description:** Natural heartburn & upset stomach treatment in Carmel, IN. Root cause testing for GERD, SIBO, food sensitivities. Holistic digestive care. Safe PPI alternatives. Call today! ### Content [.intro.highlight-color]It's so easy to dismiss **heartburn, bloating, or stomach upset** as "something I ate," or a natural part of aging and a busy life. You might find yourself reaching for antacids after meals, avoiding certain foods, or accepting that burning sensation in your chest as normal. Perhaps you've been told you have acid reflux and need to take proton pump inhibitors (PPIs) long-term, or that stress is causing your stomach issues and you just need to relax.[] While occasional digestive discomfort happens to everyone, *persistent heartburn, frequent upset stomach, and chronic bloating aren't something you need to accept*. If you're sleeping propped up every night, wake to find yourself coughing or choking, or can't get comfortable because of your digestive symptoms, your body is telling you that something needs attention. At The Center for Fully Functional Health, we understand how disruptive **digestive issues** can be to your daily life. Simply suppressing acid production or masking symptoms with medications doesn't address the underlying causes. These symptoms deserve comprehensive investigation and treatment that goes beyond symptom management. *Understanding Heartburn and Upset Stomach* **Heartburn** is that familiar burning sensation in your chest or throat that typically occurs after eating. Despite its name, *it has nothing to do with your heart* - it's caused by stomach acid escaping into your esophagus, where it doesn't belong. While occasional heartburn is normal, frequent episodes (more than twice a week) may indicate gastroesophageal reflux disease (GERD). **Upset stomach** encompasses a range of digestive discomforts, *including nausea, bloating, stomach pain, indigestion, or that general feeling that your stomach isn't working properly*. You might experience fullness after eating small amounts, burning or gnawing stomach pain, or discomfort that seems to move around your abdomen. *Functional dyspepsia* is the term doctors use when you have chronic stomach discomfort without an obvious structural cause - essentially, your digestive system isn't functioning optimally even though tests might appear "normal." All of these symptoms often overlap and can occur together, creating a pattern of digestive distress that significantly impacts your quality of life, energy levels, and relationship with food. *When to Seek Help for Heartburn, Bloating, or Other Digestive Issues* Please seek immediate medical attention if you experience severe abdominal pain, difficulty swallowing, persistent vomiting, signs of bleeding (black stools or vomiting blood), or chest pain that could indicate a heart problem rather than heartburn. However, *we don't want you to wait until your symptoms merit a trip to the ER*! If you're experiencing heartburn more than twice a week, persistent stomach discomfort, bloating that interferes with your daily activities, or find yourself regularly relying on antacids or avoiding foods you used to enjoy, it's time to investigate the underlying causes. Many people also notice that their digestive issues come with other symptoms like fatigue, [brain fog](/symptoms/brain-fog/), skin problems, or mood changes, all of which can provide important clues about what's really happening in your body. [Schedule Your Digestive Health Consultation](/contact/) *What causes chronic heartburn and upset stomach?* - **Chronic gut infections:** Small intestinal bacterial overgrowth (SIBO), small intestinal fungal overgrowth (SIFO), H. pylori, or other bacterial imbalances affecting digestion - **Food sensitivities and intolerances:** Reactions to gluten, dairy, FODMAPs, histamine-rich foods, or other trigger foods unique to you - **Low stomach acid (hypochlorhydria):** Contrary to popular belief, many digestive issues stem from too *little* stomach acid rather than too much - **Bile acid and liver dysfunction:** Poor bile production or flow affecting fat digestion and causing reflux-like symptoms, especially after gallbladder removal - **Histamine intolerance or mast cell activation:** Causing inflammation and digestive symptoms in response to certain foods or environmental triggers - **Hormonal imbalances:** Thyroid dysfunction, sex hormone imbalances, or stress hormones affecting digestive function - **Nutritional deficiencies:** Low levels of zinc, B vitamins, or digestive enzymes needed for proper stomach function - **Nervous system dysfunction:** Chronic stress affecting the gut-brain connection and digestive motility - **Structural issues:** Hiatal hernias, gastroparesis, or other physical factors affecting normal digestive function - **Medication side effects:** NSAIDs, antibiotics, or other medications disrupting gut function and protective mechanisms Rather than simply accepting that you have "too much stomach acid" or that stress is the only culprit, [functional medicine in Carmel, IN](/), recognizes that digestive issues typically result from multiple interconnected factors that need to be identified and addressed: *The Gut-Brain Connection in Digestive Health* Your digestive system contains its own complex nervous system - often called your "second brain" - that's in constant communication with your actual brain. That's why you might get butterflies in your stomach when you're nervous or feel nauseous during stressful situations. When you're chronically stressed, anxious, or dealing with past trauma, it directly affects how well your digestive system functions. Chronic stress can reduce stomach acid production, slow digestive motility, increase inflammation in the gut lining, and alter the balance of beneficial bacteria in your microbiome. This creates a cycle where digestive issues increase stress, which worsens digestive function, leading to more symptoms and more stress. Additionally, **an imbalanced gut microbiome** can actually affect your mood and stress levels by influencing neurotransmitter production. Since your gut produces about 90% of your body's serotonin, digestive dysfunction can contribute to anxiety, depression, and mood swings, which then further impact digestion. Understanding this connection is crucial because effective integrative medicine treatment often needs to address both the physical causes of digestive dysfunction and the nervous system factors that perpetuate the cycle. Understanding this connection is crucial because effective integrative medicine treatment often needs to address both the physical causes of digestive dysfunction and the nervous system factors that perpetuate the cycle. *Why Conventional Heartburn Treatments Often Provide Incomplete Relief* Traditional medicine typically treats heartburn and upset stomach by reducing or blocking stomach acid production through antacids, H2 blockers, or proton pump inhibitors (PPIs). While these medications can provide temporary symptom relief, *they don't address why the symptoms are occurring in the first place*. More concerning is that **long-term acid suppression can actually worsen digestive function over time**. Stomach acid is essential for breaking down proteins, absorbing nutrients like B12, iron, and calcium, and maintaining healthy gut bacteria balance. When acid production is chronically suppressed, it can lead to nutrient deficiencies, increased risk of infections, and paradoxically, more digestive problems. Many people find themselves in a cycle where they need increasing doses of acid-blocking medications to control symptoms, yet their underlying digestive health continues to deteriorate. They may develop new symptoms like bloating, gas, or food sensitivities as their ability to properly digest food becomes more compromised. Additionally, conventional approaches often don't investigate the complex factors that contribute to digestive dysfunction, from gut infections and food sensitivities to stress and hormonal imbalances, *leaving the root causes untreated*. *How to Treat Heartburn and Upset Stomach Holistically* At The Center for Fully Functional Health in Carmel, Indiana, our **functional medicine approach to digestive issues** focuses on identifying and treating the underlying causes, while also supporting your body's natural digestive processes and healing mechanisms. *Why Choose The Center for Fully Functional Health for Digestive Issues* Dr. Ellen and Dr. Scott Antoine are a married duo of award-winning physicians who bring decades of medical experience to digestive health, understanding both when conventional treatments are necessary and how to identify and treat the complex root causes that are often missed in traditional settings. Their emergency medicine background gives them expertise in recognizing serious digestive conditions that require immediate attention, while their extensive **functional medicine training** allows them to address the subtle imbalances that create chronic digestive dysfunction. The Center for Fully Functional Health in Carmel, Indiana, offers comprehensive digestive testing, personalized treatment protocols, and ongoing support to help you achieve lasting digestive health rather than just symptom management. We understand that digestive issues affect every aspect of your life, from your energy and mood to your social activities and overall well-being. Most importantly, we don't believe you should have to accept digestive discomfort as "normal" or rely on medications that mask symptoms without addressing causes. We're committed to helping you understand what's really happening in your digestive system and providing you with the tools and support you need to achieve optimal digestive health. **Don't let heartburn or upset stomach continue to disrupt your life and limit your food choices. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Menstrual Cycle Issues in Carmel, IN **Link:** [Menstrual Cycle Issues in Carmel, IN](https://fullyfunctional.com/symptoms/menstrual-cycle-issues/) ([md](https://fullyfunctional.com/symptoms/menstrual-cycle-issues/index.html.md)) **Description:** Understand menstrual cycle issues like irregular periods, PMS, and hormonal imbalances, including symptoms, root causes, and natural treatment options. ### Content [.intro.highlight-color]You probably have an app on your phone that tracks your period. Maybe you diligently log symptoms, note when your cycle starts and stops, and even get predictions about when your next period will arrive. But despite all this tracking, you might still feel confused about what's actually normal, frustrated by unpredictable symptoms, or concerned that something isn't right with your cycle.[] **If you've been told that painful, irregular, or heavy periods are "just part of being a woman" or that birth control is your only option for managing cycle issues, you're not alone.** Many women spend years accepting period problems as inevitable, not realizing that menstrual cycle issues are often signals that other systems in your body need support and attention. At The Center for Fully Functional Health, we understand that your **menstrual cycle** is like a monthly report card on your overall health. When cycles are irregular, painful, or problematic, it usually indicates *underlying imbalances in hormones, nutrition, stress levels, or other body systems*. Rather than simply masking symptoms, we focus on identifying and addressing the root causes so you can experience comfortable, predictable cycles that support your overall well-being. *Understanding Your Reproductive Hormones* Before diving into specific cycle issues, i*t helps to understand the key players in your monthly hormonal symphony*. While you've probably heard terms like estrogen and progesterone, many women don't fully understand what these hormones actually do or how they work together. **Estrogen** is often called the "building" hormone. It rises during the first half of your cycle, helping to thicken the uterine lining, boost your energy and mood, and prepare your body for potential pregnancy. When estrogen is balanced, you typically feel motivated, confident, and mentally sharp. Your skin may look clearer, and you recover faster from exercise. **Progesterone** is the "calming" hormone that takes center stage after ovulation. Think of it as your body's **natural anti-anxiety medication** – it helps you sleep deeply, feel emotionally balanced, and creates a cozy environment in your uterus. When progesterone levels are adequate, the second half of your cycle feels manageable rather than overwhelming. **Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH)** are produced by your brain and act like conductors of this hormonal orchestra. It’s their job to signal your ovaries when to prepare and release eggs. #### Common Period Symptoms *Common Menstrual Cycle Issues* A woman’s **menstrual cycle** is incredibly complex, as are the factors, symptoms, and diagnoses that may be involved in menstrual issues. The following provides a brief overview of the problems we see most often with **functional medicine for reproductive health** in Carmel, IN. *Common Reproductive Health Diagnoses* *What causes menstrual cycle issues?* - **Hormonal imbalances:** Thyroid dysfunction, insulin resistance, elevated stress hormones, or imbalances between estrogen and progesterone - **Chronic stress:** Physical, emotional, or psychological stress that dysregulates your entire hormone system - **Nutritional deficiencies:** Low levels of iron, B vitamins, magnesium, omega-3 fatty acids, or other nutrients essential for hormone production - **Insulin resistance and blood sugar imbalances:** Affecting hormone production and contributing to conditions like PCOS - **Chronic inflammation:** From food sensitivities, autoimmune conditions, gut dysfunction, or environmental toxin exposure - **Gut health issues:** SIBO, SIFO/Candida overgrowth, leaky gut, or microbiome imbalances that affect hormone metabolism and neurotransmitter production - **Environmental toxin exposure:** Endocrine disruptors from plastics, personal care products, or chemicals that interfere with natural hormone function - **Over-exercising or under-eating:** Extreme lifestyle factors that signal stress to your reproductive system - **Birth control effects:** Hormonal contraceptives can mask underlying issues and affect natural hormone production even after discontinuation - **Chronic infections:** Conditions like Lyme disease or reactivated viral infections that create ongoing immune stress **Menstrual cycle issues** rarely have a single cause. Instead, they typically result from *multiple interconnected factors* that disrupt your body's delicate hormonal balance: Women often feel unsupported in the traditional medical system, handed prescriptions that interrupt their natural hormonal balance or put a band-aid on painful symptoms, without any attempt to understand *why* their period are painful or irregular. If a diagnosis is made, the options are often drastic and just as uncomfortable as the original cause. At the Center for Fully Functional Health in Carmel, IN, *we don’t believe any woman should have to self-diagnose or manage period problems on their own*. We will work hand-in-hand with your OB-GYN to find the root cause of your cycle issues, including complex and increasingly common diagnoses like **endometriosis and PCOS**. Your reproductive system works in concert with every other system in your body, and addressing menstrual cycle issues means caring for the whole human. [Schedule Your Menstrual Health Consultation](/contact/) *The Connection Between Stress and Period Problems* One of the most important aspects of **menstrual health** that conventional medicine often overlooks is the relationship between stress and your cycle. Your reproductive system is extremely sensitive to stress because, from an evolutionary perspective, *chronic stress signals that it's not a safe time to get pregnant*. When you're stressed – whether from work, relationships, financial pressures, or health concerns – your body produces more **cortisol**. Chronically elevated cortisol can suppress ovulation, disrupt the delicate balance between estrogen and progesterone, and lead to irregular or painful periods. This creates a frustrating cycle: **menstrual problems cause stress and anxiety about your health, which increases cortisol production, which worsens menstrual problems.** Breaking this cycle requires addressing both the physical causes of menstrual dysfunction and the stress factors that perpetuate hormonal imbalances. *How to Treat Menstrual Cycle Issues Holistically* Our approach to menstrual cycle issues focuses on **supporting your body's natural hormone production and cycles** while addressing the underlying factors that created the imbalances in the first place. Many women begin experiencing more regular, comfortable cycles within a few months of starting comprehensive treatment, with continued improvements as underlying causes are addressed. *Why Choose The Center for Fully Functional Health for Menstrual Health* **Dr. Ellen and Dr. Scott Antoine bring decades of medical experience to women's health, understanding both the complexity of reproductive hormone systems and the interconnected factors that influence menstrual cycles.** Their comprehensive approach addresses not just your reproductive system, but how stress, nutrition, gut health, and other body systems all contribute to reproductive wellness At The Center for Fully Functional Health in Carmel, Indiana, we understand that *your menstrual cycle affects every aspect of your life*, and we're committed to helping you achieve comfortable, predictable cycles that support your overall health and vitality. **Your life is about so much more than counting days between periods or managing hormone-related symptoms. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Night Sweats in Carmel, IN **Link:** [Night Sweats in Carmel, IN](https://fullyfunctional.com/symptoms/night-sweats/) ([md](https://fullyfunctional.com/symptoms/night-sweats/index.html.md)) **Description:** Waking up drenched in sweat? Learn the causes of night sweats—from menopause and medications to infections and hormone imbalances—and how to find relief. ### Content [.intro.highlight-color]You wake up drenched in sweat, your sheets soaked, and your pajamas clinging uncomfortably to your skin. Maybe you've blamed it on your partner turning up the thermostat, heavy blankets, or that extra layer of clothing you wore to bed. But when you adjust the room temperature, switch to lighter bedding, and still wake up multiple times a night needing to change clothes, *it becomes clear that something else is going on*.[] **Night sweats** are more than just feeling warm while you sleep – they're episodes of **intense sweating** that soak through your clothes and bedding, often waking you from sleep and leaving you feeling exhausted the next day. While occasional warm nights happen to everyone, persistent night sweats that disrupt your sleep and daily life are typically your body's way of signaling that *something needs medical attention*. At The Center for Fully Functional Health, we understand that **night sweats can rob you of restorative sleep** and leave you feeling anxious about bedtime. Rather than dismissing these episodes as "just menopause" or something you have to live with, we focus on identifying the underlying causes, whether they stem from chronic infections your immune system is fighting or hormonal imbalances that affect your body's temperature regulation. *What’s the difference between night sweats and normal sweating?* True **night sweats** are distinct from simply feeling warm in bed or sweating lightly due to room temperature. Night sweats typically involve: - Profuse sweating that soaks through pajamas and bedding - Sleep disruption from the intensity of sweating episodes - Need to change clothes or sheets during the night - Feeling chilled after the sweating episode passes - Regular occurrence, rather than isolated incidents This type of sweating happens *regardless of room temperature* and often occurs even when you're sleeping in cool conditions. The sweating is usually most intense during the deeper stages of sleep, which is why it's so disruptive to your rest. *When to Seek Immediate Medical Attention for Night Sweats* - High fever accompanying night sweats (especially over 101°F) - Recent travel to tropical areas or known exposure to vector-borne diseases - Known tick bites or time spent in areas with Lyme disease risk - Sudden onset of severe night sweats with other concerning symptoms - Weight loss, persistent fatigue, or swollen lymph nodes - Difficulty breathing or chest pain during episodes While most night sweats are caused by treatable underlying conditions, *certain symptoms require urgent medical evaluation*: These combinations of symptoms could indicate serious infections or other conditions requiring immediate treatment. However, for most people, **night sweats indicate chronic infections or hormonal imbalances** that are best addressed with a **comprehensive functional medicine consultation**. [Schedule Your Night Sweats Consultation](/contact/) *The Two Main Causes of Chronic Night Sweats* At The Center for Fully Functional Health in Carmel, IN, we find that **persistent night sweats** typically fall into two main categories, each requiring different diagnostic approaches and treatments: *What causes chronic night sweats?* - **Immune system dysfunction:** Chronic stress, poor nutrition, or toxin exposure weakening your body's ability to clear infections - **Chronic stress:** Elevating cortisol levels and disrupting natural temperature regulation patterns - **Nutritional deficiencies:** Low levels of magnesium, B vitamins, or other nutrients needed for proper immune and hormone function - **Environmental toxin exposure:** Heavy metals, mold, or chemicals affecting both immune function and hormonal balance - **Gut health dysfunction:** SIBO, leaky gut, or microbiome imbalances that create systemic inflammation and affect detoxification - **Sleep disorders:** Disrupted sleep patterns that interfere with natural temperature regulation cycles - **Medication side effects:** Certain prescriptions that can trigger sweating episodes as side effects Beyond the two main categories, several other underlying factors can contribute to both **infection-related and hormone-related night sweats**: *How to Treat Night Sweats Holistically* Our approach to night sweats focuses on identifying whether the underlying cause is infectious, hormonal, or a combination of both, then *addressing those root causes comprehensively*. Many patients begin experiencing **fewer and less intense night sweats** within weeks of starting targeted treatment, with continued improvement as underlying causes are addressed. *Why Choose The Center for Fully Functional Health for Night Sweats* **Dr. Ellen and Dr. Scott Antoine have a unique background, with decades as ER doctors before transitioning their focus and expertise to functional and integrative medicine.** Their professional journey has offered extensive experience *identifying and treating the complex underlying causes of night sweats*, from chronic infections that conventional medicine often misses to hormonal imbalances that affect temperature regulation. Our care team’s comprehensive approach ensures that we don't just treat the symptom, but address the root causes affecting your sleep and overall health. We’re committed to helping you understand what's causing your night sweats and providing effective solutions so you can enjoy restful, uninterrupted sleep. **Don't let night sweats continue to disrupt your sleep and deplete your energy. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Rashes in Carmel, IN **Link:** [Rashes in Carmel, IN](https://fullyfunctional.com/symptoms/rashes/) ([md](https://fullyfunctional.com/symptoms/rashes/index.html.md)) **Description:** Learn what causes skin rashes, including allergies, infections, and autoimmune conditions, plus symptoms and how to find the right treatment. ### Content [.intro.highlight-color]**While health issues are always stressful, skin problems can feel particularly frustrating because they're so visible.** Maybe it's an itchy **rash** on your arms that appeared out of nowhere and won't go away. It could be persistent acne that started long after puberty, or mysterious hives that come and go without any obvious trigger. You've tried over-the-counter creams, changed your laundry detergent, and eliminated potential irritants, but the rash won’t budge or keeps coming back.[] A **rash** can instantly affect your confidence, making you self-conscious about wearing certain clothes, uncomfortable in social situations, or anxious about people noticing the changes in your skin. Beyond the aesthetic concerns, **many rashes also cause significant physical discomfort**: burning, itching, pain, or sensitivity that affects your daily activities and sleep. At The Center for Fully Functional Health, we understand that your skin often reflects what's happening inside your body. **Chronic or recurring rashes** are rarely just skin problems – they're typically signals that your immune system, gut health, hormones, or other body systems need support. Rather than just treating the rash on the surface, *we focus on identifying and addressing the underlying causes* so you feel Fully Functional from the inside out. *Types of Rashes and What They Might Indicate* Rather than immediately resorting to prescription medications, it’s important to identify **the cause of your rash** and treat more than just your skin. Understanding the different types of rashes can provide important clues about potential underlying issues: *When to Seek Medical Help For a Rash* Most rashes can be evaluated and treated comprehensively through functional medicine, *but certain symptoms require urgent care*: - Rash with high fever (especially over 101°F) - Rapidly spreading rash that covers large areas of your body within hours - Difficulty breathing or swelling of face, lips, or throat accompanying a rash - Rash after tick bite especially if accompanied by fever, joint pain, or flu-like symptoms - New rash with severe illness or after travel to areas with tropical diseases - Signs of serious infection like red streaking, pus, or severe pain - Sudden onset of widespread hives with breathing difficulties If you're experiencing any of these combinations, *please seek emergency medical assistance immediately*. If your **rash** doesn’t fit those guidelines but is still causing you discomfort or affecting your quality of life, the team at The Center for Fully Functional Health in Carmel, Indiana, would be honored to help. Our goals are to bring you immediate relief whenever possible, while also taking the time to investigate the root causes and take steps to support your long-term healing. [Schedule Your Skin Health Consultation](/contact/) *What causes chronic rashes?* - **Food sensitivities and allergies:** Reactions to gluten, dairy, eggs, nuts, or other foods triggering inflammatory skin responses - **Gut health dysfunction:** Leaky gut, SIBO, SIFO/Candida overgrowth, or microbiome imbalances affecting immune function and detoxification - **Chronic infections:** Lyme disease, viral infections, or fungal overgrowth creating systemic inflammation that manifests on the skin - **Hormonal imbalances:** Fluctuating estrogen, progesterone, testosterone, or thyroid hormones affecting skin health and inflammation - **Environmental toxin exposure:** Heavy metals, mold, chemicals, or other toxins overwhelming your body's detoxification capacity - **Chronic stress:** Elevating cortisol levels and triggering inflammatory responses that appear as skin problems - **Autoimmune conditions:** Immune system dysfunction causing your body to attack its own tissues, including skin - **Nutritional deficiencies:** Low levels of zinc, omega-3 fatty acids, vitamin D, or other nutrients essential for skin health - **Histamine intolerance or mast cell activation:** Overactive immune responses causing hives, flushing, and inflammatory skin reactions - **Product sensitivities:** Reactions to skincare ingredients, fragrances, or household chemicals that compromise skin barrier function We are vocal advocates for clean beauty and hygiene products and a self-care routine that keeps your skin happy and healthy. (That’s why we have an Aesthetician on staff and offer a selection of [medical-grade skincare products](/skin-treatments/anteage-stem-cell-skincare/), [facials](/skin-treatments/custom-facials/), and [laser therapy](/laser-treatments/)!) But it’s all too easy to dismiss a rash or acne breakout as a skin problem – in reality, your skin is often the most sensitive and obvious way for your body to tell you something deeper is wrong. **Chronic or recurring rashes** typically result from complex interactions between multiple body systems that require additional treatment beyond caring for your skin. The root causes we most commonly see include: #### The Gut Health Connection: *Why Rashes Are About More Than Your Skin* **One of the most important aspects of skin health that conventional dermatology often overlooks is the intimate connection between your digestive system and your skin.** Your gut and skin are both barrier organs that interact closely with your environment and immune system. When your gut lining becomes compromised (a condition called leaky gut), partially digested food particles, toxins, and bacteria can enter your bloodstream and trigger inflammatory responses throughout your body. Your skin, *being one of your body's largest detoxification organs*, often becomes a pathway for eliminating these inflammatory compounds, resulting in rashes, acne, or other skin problems. Additionally, an imbalanced gut microbiome can affect your body's production of vitamins, regulation of inflammation, and overall immune function, all of which directly impact skin health. **This explains why many people with chronic skin issues also struggle with digestive problems, food sensitivities, or frequent infections.** *Hormonal Factors in Skin Health* **Hormones also play a crucial role in skin health.** It’s why many women notice their skin problems fluctuate with their menstrual cycles, during pregnancy, or around menopause. Estrogen helps maintain skin thickness and moisture, while progesterone can affect oil production. When these hormones are imbalanced, it often shows up as acne, dry skin, or increased sensitivity. It’s not just reproductive hormones that play a role, though. Thyroid hormones also directly affect skin cell turnover and repair, so people with thyroid dysfunction often experience dry, flaky, or slow-healing skin. Insulin resistance and blood sugar imbalances can also trigger inflammatory skin conditions and worsen acne by increasing oil production and creating an environment that promotes bacterial overgrowth. Your daily lifestyle also has an impact in multiple ways. Most folks are quick to recognize that their diet, skincare products, or exposure to environmental toxins might impact their skin health. But the rush of modern life also takes a real toll. Elevated stress hormones like cortisol can increase inflammation, suppress immune function, and worsen existing skin conditions. *How to Treat Rashes Holistically* With **functional medicine for rashes** in Carmel, IN, our approach to skin problems focuses on identifying and treating the root causes, while also supporting your skin's natural healing processes. *Many patients begin seeing improvements in their skin within weeks of starting comprehensive treatment*, with continued healing as we address underlying root causes. *Why Choose The Center for Fully Functional Health for Skin Problems* Our award-winning physicians, Dr. Ellen and Dr. Scott Antoine, understand that skin problems are rarely just cosmetic issues – *they're often complex manifestations of underlying health imbalances*. Their comprehensive approach goes far beyond topical treatments to **identify and address the root causes affecting your skin health** from the inside out. With decades of experience as both ER doctors and **functional medicine experts**, they are adept at recognizing when skin issues are urgent, surface-level, or require a more in-depth approach. We understand that dealing with visible skin problems affects not just your physical comfort, but also your confidence and emotional well-being. Our goal is to help you achieve **clear, healthy skin** that reflects your overall vitality and allows you to feel comfortable and confident in your own skin. **Don't let chronic skin problems continue to affect your confidence and quality of life. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Sexual Dysfunction or Low Libido in Carmel, IN **Link:** [Sexual Dysfunction or Low Libido in Carmel, IN](https://fullyfunctional.com/symptoms/sexual-dysfunction-low-libido/) ([md](https://fullyfunctional.com/symptoms/sexual-dysfunction-low-libido/index.html.md)) **Description:** Learn the causes of sexual dysfunction and low libido, including hormonal imbalances, stress, and underlying health issues, plus treatment options. ### Content [.intro.highlight-color]**Low libido** often happens gradually. Over time, intimacy becomes more of a chore than a pleasure. You might find yourself making excuses to avoid moments of closeness or feel disconnected from your partner in ways that extend far beyond the bedroom. The spark is gone, and it’s hard to remember when or why.[] **Changes in intimate function** and desire don't just affect your romantic relationships – they can impact your confidence, self-image, and how you approach challenges in other areas of life. When you don't feel vibrant and connected to your own body, it can cast a shadow over your work, social interactions, and overall sense of well-being. **At The Center for Fully Functional Health, we understand that intimate health is an essential component of your overall vitality.** Declining desire or function is incredibly common for both men and women, and these shifts often signal underlying imbalances in hormones, circulation, stress levels, or other health systems. Rather than relying on medication to mask your symptoms, *our goal is to find the root causes and address them*, so you feel energetic and fully engaged in every aspect of your life. *How to Recognize Sexual Health Challenges* Just as your definition of health or happiness is personal to you, **sexual dysfunction and low libido** can manifest in various ways. These issues can affect people of all ages, though the underlying causes often differ between men and women. If you feel like something isn’t quite right, one or more of these might apply: **The impact of relational intimacy extends beyond physical symptoms to affect emotional connection, communication, and overall relationship satisfaction.** Many couples report feeling distant or frustrated when intimate health becomes a persistent concern. The stress and isolation this causes can open the door to additional health challenges and negatively affect your overall well-being, creating a challenging cycle for everyone involved. *CommonMyths About Sexual Health* Because it can be a tricky subject to discuss, *there are many common misconceptions about sexual dysfunction and its treatment*. Understanding the **facts about your sexual health and libido** makes it easier to have a straightforward, honest discussion with both your partner and your healthcare provider. Here are some **common myths about sexual dysfunction, erectile dysfunction, and low libido**, and the truth behind them: Sexual health is complex, and oversimplifying your symptoms and needs can actually keep you from getting the help you deserve. *When to Seek Help for Sexual Health Issues* **Any changes in intimate desire or function that cause you distress or affect your relationships deserve professional attention.** You don't need to wait until the problem becomes severe or relationship-threatening. While there are stereotypes about men encountering sexual dysfunction as a part of aging, sexual health is actually a much more complex system than people acknowledge, and troublesome changes can happen at any age for both men and women. **Please consider seeking comprehensive evaluation for sexual dysfunction treatment if you're experiencing: ** - **Ongoing lack of interest in intimate activity** - **Physical discomfort or dysfunction during intimacy** - **Significant changes from your previous patterns of desire or function** - **Relationship strain related to intimate health concerns** [Schedule Your Sexual Health Consultation](/contact/) #### The Connection Between Hormones and Sexual Health *What causes sexual dysfunction and low libido?* **When identifying the causes of sexual lower libido or sexual dysfunction, hormonal balance is always our starting point.** Hormones are the primary drivers of sexual desire and function, but their roles are more complex than many people realize. Understanding how these chemical messengers affect intimate health helps explain why hormone optimization can be so transformative. **Functional medicine for sexual health in Carmel, IN**, involves listening carefully to your health history and current needs, as well as performing a thorough analysis of your hormonal health and other potential physical factors. By combining state-of-the-art testing and compassionate care, we can find **the root causes of your sexual challenges** and offer effective, science-based support. This may include testosterone replacement therapy for low testosterone, or other hormone replacement designed around the connection between menopause and low libido. *Bioidentical Hormone Replacement Therapy (BHRT) for Sexual Health* Unlike synthetic hormones, **bioidentical hormones** have the same molecular structure as the hormones your body naturally produces. This means they're recognized and utilized more effectively, with *fewer side effects and more natural-feeling results*. **BHRT options available:** - **Creams and gels applied topically for steady hormone delivery** - **Hormone pellets inserted under the skin for consistent, long-lasting hormone levels** - **Sublingual tablets that dissolve under the tongue for direct absorption** - **Injectable hormones for precise dosing and monitoring** When hormone imbalances are identified as contributing factors to intimate health issues, [bioidentical hormone replacement therapy](/functional-medicine/bioidentical-hormone-replacement/) can be remarkably effective for restoring function and desire. Treatment is always personalized, based on comprehensive hormone testing and individual symptoms. Regular monitoring ensures hormone levels remain optimal while minimizing any potential side effects. Many patients report **significant improvements in energy, desire, and intimate function** within weeks of starting properly balanced BHRT, with continued benefits as hormone levels stabilize. #### Libido and Sexual Function: *Understanding the Full Picture* - **Hormonal imbalances:** Low testosterone (in both men and women), estrogen deficiency, progesterone imbalances, or thyroid dysfunction affecting libido and physical response - **Chronic stress:** Elevated cortisol levels suppressing sex hormone production and interfering with natural desire and arousal responses - **Cardiovascular issues:** Poor circulation affecting blood flow necessary for normal intimate function in both men and women - **Nutritional deficiencies:** Low levels of zinc, vitamin D, B vitamins, or other nutrients essential for hormone production and energy - **Chronic fatigue:** Persistent exhaustion from various causes leaving little energy for intimate connection - **Gut health dysfunction:** Microbiome imbalances affecting hormone metabolism and overall energy levels - **Medication side effects:** Antidepressants, blood pressure medications, or other prescriptions that can suppress libido or function - **Sleep disorders:** Poor sleep quality affecting hormone production and overall vitality - **Chronic infections:** Conditions like Lyme disease or viral reactivation that drain energy and affect hormone balance - **Body image concerns:** Physical changes or health issues affecting confidence and comfort with intimate connection **While hormonal balance is always important to consider, sexual health involves complex interactions between hormones, circulation, nervous system function, and psychological well-being.** When any of these systems become imbalanced, *it can significantly impact intimate function and desire*. At The Center for Fully Functional Health, we recognize the culprit can be a combination of: This is why our approach addresses multiple factors that contribute to **intimate wellness**. *How to Treat Sexual Dysfunction Holistically* One of the benefits that sets **functional medicine** apart is that we consider the whole human, no matter what symptoms bring you through our doors. This is never more important than with libido or sexual performance challenges. It’s vital that your personalized care plan considers your complete physical wellness, as well as your lifestyle and emotional needs. *Why Choose The Center for Fully Functional Health for Sexual Health* As **award-winning physicians with decades of emergency and integrative medicine experience**, Dr. Ellen and Dr. Scott Antoine provide personalized treatment protocols that address the complex interplay of factors affecting intimate health. Their comprehensive approach goes beyond quick fixes to identify and treat the underlying factors affecting sexual function and desire. As a married couple, Dr. Ellen and Dr. Scott also understand that *intimate health is a crucial component of overall well-being and quality of life*. Their approach is always respectful, professional, and focused on helping you achieve optimal vitality in all areas of life. **Vibrant intimate health is possible at any age**. Rather than accepting decline as inevitable, our care team is committed to helping you reclaim the energy and confidence that contribute to satisfying intimate relationships and overall life enjoyment. **You deserve to feel fully alive and connected in all aspects of your life. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Trouble Sleeping in Carmel, IN **Link:** [Trouble Sleeping in Carmel, IN](https://fullyfunctional.com/symptoms/trouble-sleeping/) ([md](https://fullyfunctional.com/symptoms/trouble-sleeping/index.html.md)) **Description:** Learn what causes trouble sleeping, including stress, hormone imbalances, and lifestyle factors, plus symptoms and ways to improve sleep quality. ### Content [.intro.highlight-color]**If you're reading this at 2 AM on your phone, you're not alone.** Millions of people struggle with falling asleep, staying asleep, or waking up feeling exhausted despite spending eight hours in bed. What makes sleep problems particularly frustrating is how they ripple through every aspect of your life – affecting your energy, mood, focus, relationships, and even your physical health.[] Maybe you've tried everything: blackout curtains, white noise machines, meditation apps, melatonin supplements, or even prescription sleep medications. You might have been told your sleep problems are "just stress" or "part of getting older," leaving you feeling defeated and wondering if you'll ever sleep well again. At The Center for Fully Functional Health, we understand that **persistent sleep problems** are rarely just about sleep hygiene or stress management. When your body consistently struggles to achieve restful sleep, it's often signaling that something deeper is out of balance. Rather than simply helping you cope with poor sleep, we work to identify and address the root causes so you can naturally drift off to sleep and wake up feeling genuinely refreshed. *What’s the difference between night sweats and normal sweating?* **Not all sleep issues are the same.** Understanding the different patterns of sleep disruption can provide important clues about what's happening in your body and guide more effective sleep disorder treatment approaches. **A comprehensive evaluation for sleep troubles should take into account your own chronic insomnia patterns, as well as your full medical history, lifestyle, and needs.** Conventional medicine almost always takes a band-aid approach to sleep issues, and prescriptions are often the first (and only) remedy offered. In contrast, **functional medicine for insomnia** in Carmel, IN, can help you identify the root causes of your sleep problems, offering both *immediate holistic relief and the long-term solutions* you need to relax and get restorative rest every night. [Schedule Your Sleep Consultation](/contact/) *What causes sleep problems?* **It seems simple: lay down, fall asleep, wake up. In reality, sleep is incredibly complex, involving intricate coordination between your nervous system, hormones, brain chemistry, and dozens of other body systems.** Think of quality sleep like a finely tuned orchestra – when all the players are in harmony, you get beautiful music. But when even one section is out of sync, the entire performance suffers. Those players might include: Think of quality sleep like a finely tuned orchestra – when all the players are in harmony, you get beautiful music. But when even one section is out of sync, the entire performance suffers. Those players might include: **As you can see, sleep involves virtually every system in your body working in coordination.** Your brain needs to shift from daytime alertness to nighttime restoration, your hormones need to follow their natural rhythms, your nervous system needs to transition from fight-or-flight to rest-and-digest, and your body needs to feel safe enough to enter the vulnerable state of unconsciousness. When conventional medicine struggles with sleep problems, it's often because sleep medications only address the symptoms without investigating why your body's natural sleep systems aren't functioning properly. **While sleep aids might help you fall asleep temporarily, they don't restore the underlying balance your body needs for naturally restorative sleep.** *How to Treat Insomnia Holistically* Our approach to sleep problems focuses on *identifying and correcting the root causes that prevent your body from sleeping*, rather than simply masking symptoms with sleep medications. We also offer personalized care to optimize your nutrition, help you better manage stress, and improve the emotional support framework that supports your physical healing. *Why Choose The Center for Fully Functional Health for Sleep Problems* Their emergency medicine background gives them a deep understanding of how **sleep deprivation** affects every aspect of health and when sleep problems require immediate attention, while their functional medicine expertise allows them to identify and treat the complex root causes that conventional sleep medicine often misses. *Dr. Ellen was among the first 100 functional medicine doctors certified in the United States*, and together this award-winning pair of physicians and their team have helped thousands of patients restore natural, restorative sleep by addressing underlying causes rather than just managing symptoms. They understand personally what it means to live with chronic health challenges, and they approach each patient with genuine empathy and hope. The Center for Fully Functional Health in Carmel, Indiana, offers a comprehensive toolkit of both traditional and cutting-edge treatments, from advanced laboratory testing and nutritional protocols to Red Light Therapy, MeRT TMS, and IV Therapy. This integrated approach allows us to address sleep problems from multiple angles simultaneously. Most importantly, we understand that *poor sleep affects every aspect of your life* – your energy, mood, relationships, work performance, and long-term health. We're committed to helping you achieve the kind of deep, restorative sleep that allows you to wake up feeling refreshed and ready to live every day, Fully Functional. Dr. Ellen and Dr. Scott Antoine bring a unique perspective to **sleep medicine**, combining decades of emergency medicine experience with advanced training in **functional and integrative medicine**. **Don't let sleep problems continue to rob you of energy, health, and quality of life. Call our supportive team at **[(317) 989-8463](tel:(317) 989-8463)** Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Terms and Conditions **Link:** [Terms and Conditions](https://fullyfunctional.com/terms-conditions/) ([md](https://fullyfunctional.com/terms-conditions/index.html.md)) **Description:** 1. IntroductionThese Website Standard Terms And Conditions (these “Terms” or these “Website Standard Terms And Conditions”) contained herein on this Center for Fully Functional Health ### Content [.title-xs]1. Introduction[] These Website Standard Terms And Conditions (these “Terms” or these “Website Standard Terms And Conditions”) contained herein on this webpage, shall govern your use of this website, including all pages within this website (collectively referred to herein below as this “Website”). These Terms apply in full force and effect to your use of this Website and by using this Website, you expressly accept all terms and conditions contained herein in full. You must not use this Website, if you have any objection to any of these Website Standard Terms And Conditions. This Website is not for use by any minors (defined as those who are not at least 18 years of age), and you must not use this Website if you a minor. [.title-xs]2. 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Governing Law & Jurisdiction[] These Terms will be governed by and construed in accordance with the laws of the State of Indiana, and you submit to the non-exclusive jurisdiction of the state and federal courts located in Indiana for the resolution of any disputes. --- ## Testimonials **Link:** [Testimonials](https://fullyfunctional.com/testimonials/) ([md](https://fullyfunctional.com/testimonials/index.html.md)) **Description:** Using their proprietary 5-step Fully Functional method to identify and treat chronic illness, so patients can reclaim their energy and well. Check out our patient testimonials here! Center for Fully Functional Health ### Content --- ## Mast Cell Activation Syndrome: When Mast Cells Attack **Link:** [Mast Cell Activation Syndrome: When Mast Cells Attack](https://fullyfunctional.com/blog/what-is-mast-cell-activation-syndrome/) ([md](https://fullyfunctional.com/blog/what-is-mast-cell-activation-syndrome/index.html.md)) **Description:** What is Mast Cell Activation Syndrome? A condition we’ve seen on the rise in our practice. It’s time to shed light on this perplexing condition. Read more! ### Content Chronic illnesses with widespread, confusing symptoms are on the rise in America. Advances in medicine have decoded many *acute* infections and conditions – however, many of the resulting solutions, such as antibiotics, have only contributed to the rise of *chronic conditions*. In this article, we’re covering **Mast Cell Activiation Syndrome**, symptoms, treatment, and related conditions. Today, our bodies are constantly bombarded with toxins, medications, stressors, and triggers – many of which simply didn’t exist a mere 10, 20, or 30 years ago. This collective assault on the body can result in sweeping inflammation *and an unbridled immune system*. **Overactive immune systems** attempting to deal with this influx of toxins/triggers are contributing to conditions such as Mast Cell Activation Syndrome (MCAS).¹ MCAS is a condition we’ve seen on the rise in our practice and across the country. It’s time to shed light on this perplexing condition and spread awareness so that those suffering can find relief and hope. ## ***What Is Mast Cell Activation Syndrome?*** Mast cells are a special type of white blood cell that release chemicals called mast cell mediators to communicate as part of the immune system.² Mast cells secrete many mast cell mediators, which include: - Histamine - Leukotrienes - Prostaglandins - Tryptase - Heparin - Interleukins - Tumor necrosis factor – alpha (TNF-ɑ) A common mediator is *histamine* – known for its powerful ability to cause inflammation, capillary expansion and permeability, itching, rashes, and hives.³ Histamine is released in response to an allergic trigger otherwise known as an allergen as a means to ‘flush’ it from the system. Histamine can even close the airway, collapse the heart or cause death – within minutes after exposure. Mediators are powerful, effective, and efficient components of our immune system. These mediators respond to invaders (or perceived invaders) as **an inflammatory response**. While we need some inflammation to get white blood cells to problematic sites, such as a cut or a scrape, it becomes a problem when mast cells are permanently switched ‘on.’ This is essentially what is happening in a person with MCAS – *their mast cells continue to release mediators*, which results in multisystem inflammation and symptoms. Often the symptoms of MCAS can look like allergic reactions, though not always. Also, symptoms may come and go in a series of flare-ups, which can present in different parts of the body. As you can imagine, this is part of the reason so many physicians miss a MCAS diagnosis. ## ***Symptoms of MCAS*** Symptoms of MCAS present in episodic events throughout the body including in the skin, gastrointestinal tract, musculoskeletal, circulatory, cardiovascular, respiratory, and neurological systems.⁴ Though MCAS presents differently in everyone, some of the more common symptoms of MCAS include:⁵ - Flushing - Hives - Rashes - Itching - Runny nose - Shortness of breath - Wheezing - Unexplained bruising - Diarrhea - Nausea - Abdominal pain - Diarrhea - Cognitive dysfunction In our practice, most patients who come in with MCAS have been diagnosed with and treated for asthma and allergies on and off their entire life. However, by the time they end up in our office, they are hopeless and overwhelmed by the multitude of other symptoms and/or diagnoses they have received. More often than not they have also been prescribed a laundry list of medications to address every symptom or ‘diagnosis.’ Unfortunately asthma and allergies, which should have been clues to a much bigger issue, are written off as separate events *and the opportunity to identify MCAS is missed*. Dr. Scott Antoine and I are both **board-certified emergency physicians** and [certified Functional Medicine doctors](/). This unique combination of expertise means we have been solving medical mysteries for decades. Through careful ‘detective work,’ we have worked with thousands of patients to solve their personal medical puzzles. Complex diagnoses don’t overwhelm or baffle us. In fact, we developed our Fully Functional® process to systematically dissect and address conditions such as MCAS. ## ***Conditions Associated With MCAS*** Due to the systemic nature of MCAS, *it often presents alongside other conditions*. Some of these conditions include: - Family predisposition⁶ - Chronic inflammatory response syndrome - Allergies - Asthma - Fibromyalgia - Autoimmune disease - Infections - Candida overgrowth - Depression - Gut dysbiosis - Food sensitivity - Eczema - Psoriasis - Histamine intolerance This is by no means an exhaustive list, but these are some of the most common conditions we see alongside MCAS. ## ***Diagnosing MCAS*** To make a proper diagnosis of MCAS, you are going to need a doctor who is an expert in working up complex medical conditions and what we like to call ‘medical detective’ work. A comprehensive medical history and physical exam are paramount to accurately making this diagnosis. Symptoms such as childhood allergies and asthma may seem relatively benign and unrelated but with MCAS, **they are often the first indicator**. We have created a proprietary process that we take all of our patients through called Fully Functional®. *IDENTIFY* is the first of our five pillars in this process and it is a crucial step in making the diagnosis and *ultimately leading to appropriate treatment of MCAS*. We partner with our patients to identify underlying root issues, contributing factors, triggers, and inflammatory processes. With our comprehensive medical history and assessment, we can accurately diagnose and thus begin identifying your personal MCAS root cause(s) and triggers. Only then can we begin the process of building a plan to reduce its impact on your life. Some of the laboratory work we might recommend includes simple blood and urine tests for the following: - Histamine - N-Methylhistamine - Prostaglandin D2 - Chromogranin A ## ***MCAS Treatment*** The cornerstone of treating MCAS happens to be the second of the five pillars, *REDUCE*. We will work to reduce the triggers of MCAS in your life, which may vary over time because your tolerance for each can wax and wane. We will also work on reducing any symptoms associated with MCAS as we continue to address underlying root causes. Triggers of MCAS include:⁷ - Alcohol - Stress - Exercise - Fatigue - Medications - Chemicals - Animal venoms - Extreme temperatures - Infections - Sunlight - Mechanical irritation - High histamine foods If you have MCAS, avoiding high histamine foods is a relatively easy way to reduce the impact of this trigger. Your reactivity to foods when you have MCAS can be somewhat complex since your body’s response can adapt and change.⁸ It’s best to **carefully monitor your intake and reactions**, and keep in mind eliminating some items could affect how you react to others. With that in mind, some high histamine foods include: - Fermented milk - Sauerkraut - Yeast-risen breads - Artificial coloring - Many processed foods - Potato - Avocado - Eggplant - Pumpkin - Tomatoes - Sweet potato - Pickled vegetables - Berries - Citrus - Shellfish - Processed and cured meats - Walnuts - Pecans - Green beans - Soybeans - Spices: Anise, Cinnamon, Cloves, Cayenne, and Nutmeg This is not a comprehensive list but rather a starting point. You may find your symptoms flare up after eating some of these or that you are able to reduce your reactions by avoiding these. Sometimes people are able to tolerate certain high histamine foods without noticeable symptoms. In some cases, there may not be exact triggers, in which case we will take an alternative approach. This may include **mast cell membrane-stabilizing**, treating existing infections, reducing toxin exposure, antihistamines, and histamine avoidance. *All of these are potential tools for treating anyone with MCAS*. Additionally, we will add supportive herbs and nutrients, establish a solid routine, implement stress reduction, and heal and support the gut to give your body the best chance at reversing any evidence of this disease. While our goal is always to prevent or reverse disease, we recognize that it is not always possible. However, it is certainly possible to live a Fully Functional® life with a chronic condition such as MCAS – and although it may take some work, including dietary and lifestyle changes, *you do not have to do it alone*. Another one of our pillars is *SUPPORT*. Not only do we ensure that we are adequately supporting your body physically as well as **supporting your immune system**, we are passionate about making sure you have the support to be successful on your journey to optimal health! ## ***Finding a Functional Medicine Doctor That Specializes in MCAS*** Chronic, complicated illnesses, such as Mast Cell Activation Syndrome, often send people from doctor to doctor searching for solutions for months, sometimes even years. It can be a discouraging and seemingly hopeless situation. Too often widespread, confusing symptoms are dismissed by medical professionals because they don’t seem to fit any of the criteria associated with the acute infections and chronic illnesses they are used to treating. We live in an age where **chronic illnesses run rampant**. Their complicated nature can leave a lot of practitioners at a loss for what’s going on. Sometimes patients are even turned away – or worse, told that their symptoms are in their head. This is why we developed the Five Pillars of Fully Functional® – to tackle these complicated, chronic conditions and equip patients with a plan that actually heals and restores their life. We have helped almost 1700 patients through our Fully Functional® process to create fulfilling, healthy lives. **Together we will Identify, Reduce, Optimize, Support, and Personalize your MCAS treatment plan so you can get your health and your life back**. You can book an appointment by clicking [**here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:[.block][]1 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753019/#SD1[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753019/#SD1)*2 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231949/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231949/)*3 *[*https://pubmed.ncbi.nlm.nih.gov/17490952/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/17490952/)*4 *[*https://pubmed.ncbi.nlm.nih.gov/23179866/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/23179866/)*5 *[*https://tmsforacure.org/symptoms/symptoms-and-triggers-of-mast-cell-activation/[.block][]*](https://tmsforacure.org/symptoms/symptoms-and-triggers-of-mast-cell-activation/)*6 *[*https://pubmed.ncbi.nlm.nih.gov/24098785/[.block][]*](https://pubmed.ncbi.nlm.nih.gov/24098785/)*7 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3069946/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3069946/)*8 *[*https://healinghistamine.com/what-is-histamine/histamine-in-food-lists/*](https://healinghistamine.com/what-is-histamine/histamine-in-food-lists/) --- ## Appointments and Consultation Packages **Link:** [Appointments and Consultation Packages](https://fullyfunctional.com/consultation/) ([md](https://fullyfunctional.com/consultation/index.html.md)) **Description:** At the Center for Fully Functional Health we offer a range of functional medicine and MedSpa services. Call us or contact us online to schedule a consultation! Center for Fully Functional Health ### Content *Thank you for your interest!* At The Center for Fully Functional Health, we are dedicated to delivering the highest quality of patient care, customized to your personal needs and health goals. We offer expert Functional and Integrative Medical Clinicians, innovative MedSpa services, and proven products in one state-of-the-art facility. As a result, we can promise exceptional care and comfort for your entire wellness journey. *Fully Functional from the Inside Out* If you have a question about our medical services or are interested in becoming a patient, please visit our [Become A Patient page](/patient-resources/become-a-patient/). #### Truly Personalized Wellness *Functional Medicine Appointments for Holistic Health* The Center for Fully Functional Health in Carmel, IN, was designed to be your wellness partner for life, with a wide range of appointment packages and consultations available. We look forward to hearing from you about how we can partner in your journey to become Fully Functional. #### Straightforward Solutions for Busy Schedules *Focus Appointments* Focus Appointments are ideal when you have a specific need that does not require a full Physician consultation or long-term treatment plan. We recommend Focus Appointments as the starting point for patients interested in hormone replacement, allergy testing, weight loss, or sexual wellness. If you are concerned about physical or mental changes associated with aging, this package is also an excellent place to begin. Our Focus Appointment packages include the appropriate baseline labs and two visits with our Nurse Practitioner or Physician Assistant. We have Focus Appointments available for the following needs: - Allergy Relief - Peptide Therapy - Hormone Balance - Weight Management *Is a Focus Appointment Package right for me?* Patients who benefit most from Focus Appointment packages typically have at least one of the following symptoms or issues: - Acne - Allergies (Seasonal, Environmental, or Food) - Eczema or Rashes - Rosacea - Trouble Sleeping - Weight Issues - Hot Flashes or Night Sweats - Menstrual Cycle Issues - Perimenopause or Menopause - PMS or PMDD - Sexual Dysfunction or Low Libido If you experience similar symptoms, simply contact our Main Office at [(317) 989-8463](tel:(317) 989-8463) or visit our [Become A Patient page](/patient-resources/become-a-patient/) to book your Focus Appointments package. #### Comprehensive New Patient Appointments *Expert Care for Complex Needs* The Center for Fully Functional Health was founded by Drs. Ellen and Scott Antoine because they found a gap in the traditional medical system for patients with complex illnesses. Many times, these patients bounce from specialist to specialist without anything to show for it but inconclusive test results, multiple prescriptions, and an increasing sense of hopelessness. Their symptoms can drag on for years, increasing in number and severity, without any answers. The CFFH Comprehensive New Patient Appointment Package was designed specifically with these patients in mind. We have extensive experience and are recognized internationally for our ability to diagnose and care for patients with a complicated medical history or mysterious symptoms. Other physicians across the country regularly consult our clinical team because of their expertise and decades of experience. We offer patients a comprehensive set of three appointments with an incredibly thorough history and diagnostic process with this package. You will spend hours with our Physicians, not just minutes. Together, we will work to identify the root cause of your illness and create a fully customized treatment plan that addresses your physical symptoms and every aspect of your health and lifestyle. #### Every patient’s needs and goals are different. *Is a Comprehensive New Patient Appointment Package right for me?* - Abdominal Pain - Autoimmune Disorders (Lupus, Rheumatoid Arthritis, Crohn’s, Scleroderma, Psoriasis/Psoriatic Arthritis, Multiple Sclerosis, Inflammatory Bowel Disease, Celiac, Ankylosing Spondylitis, Sjogren’s Syndrome, Ulcerative Colitis) - Chronic Fatigue or Infections - Chronic Fatigue accompanied by additional symptoms - Chronic Infections - Chronic Debilitating Pain - Chronic Pain - Diabetes (Type 1 or Type 2) - Ehlers-Danlos Syndrome - Ehler-Danlos Syndrome or another connective tissue disorder - Fertility Issues - Fibromyalgia - Headaches/Migraines - Hormone Abnormalities (Adrenal Imbalances, Andropause/Testicular Dysfunction, Sexual Dysfunction) - Lyme Disease & Co-Infections - Mast Cell Activation - Mold Illness, CIRS & MARCONS - MTHFR Deficiency - Osteoarthritis - PANS/PANDAS - POTS - PTSD & Anxiety Disorder - Reactivated Epstein-Barr Virus - Restless Leg Syndrome - Severe Allergic Reactions or Anaphylaxis - SIFO/SIBO - Thyroid Disorders (Hypo/Hyperthyroid, Hashimoto’s, Grave’s Disease) - Vitamin Deficiencies - Weight Concerns If you prefer to see a physician rather than a Nurse Practitioner, Comprehensive New Patient Appointments are the right package for you. This package is also a good fit if you or your child have been diagnosed with or suspect any of the following conditions:. If our New Patient Support consultation package sounds like the right fit for you, please contact our Main Office at [(317) 989-8463](tel:(317) 989-8463) or visit our [Become A Patient page](/patient-resources/become-a-patient/) to book your Comprehensive New Patient Appointments package. #### Truly Personalized Wellness *Schedule your Carmel Clinician consultation today at CFFH.* The Center for Fully Functional Health in Carmel, IN, was designed to be your wellness partner for life, with a wide range of appointment packages and consultations available. We look forward to hearing from you about how we can partner in your journey to become Fully Functional. --- ## How To Treat Allergies: Environmental and Food Allergies **Link:** [How To Treat Allergies: Environmental and Food Allergies](https://fullyfunctional.com/blog/how-to-treat-allergies-food-and-environmental-allergies/) ([md](https://fullyfunctional.com/blog/how-to-treat-allergies-food-and-environmental-allergies/index.html.md)) **Description:** Allergies and the management of symptoms can be irritating at best, and dangerous at worst. We're covering causes, symptoms, and how to treat allergies. ### Content ## *****Allergies – Environmental and Food***** **Allergies** and the management of their symptoms can be irritating at best – *and downright dangerous at worst*. You’re concerned about your new allergy symptoms, or worried about a family member who always seems to be sneezing – you’re not alone. Allergies (both environmental and food) are on the rise and affecting more people than ever. In this article, we’re covering a comprehensive approach on causes, symptoms, and how to treat allergies. ## ***What Causes Food and Environmental Allergies?*** Normally, your body uses **antibodies** (proteins made by white blood cells) to attack bacterial and viral infections. But when your body detects an irritant or “allergen”, it reacts in a slightly different way. The allergen often penetrates the soft tissues of your skin, nose, mouth, throat, lungs, digestive tract or the conjunctiva of your eyes but can also be injected directly into the bloodstream (like a bee sting or medication injection). Your body contains a type of white blood cell called *mast cells* and they are concentrated in these areas as the first line of attack against allergens. When an allergen is first detected, your immune system creates a specific antibody to target it, known as **immunoglobulin** E (IgE). IgE circulates through your blood and attaches to these mast cells. This interaction causes the mast cells to release **histamine** (a chemical that causes blood vessels to leak which causes swelling), heparin (a blood thinner), and other chemicals known as leukotrienes and cytokines leading to what we know as **an allergic reaction**. These symptoms can be localized or systemic and range *from mild to life-threatening*. However, a benign exposure to food can unexpectedly cause an allergic reaction to occur with a food you’ve enjoyed before with no ill effects. An allergic reaction is more likely to happen if you are already dealing with an [autoimmune disease](/blog/how-autoimmune-disease-develops/) or “leaky gut”. Allergic reactions happen when IgE attaches to your mast cells. When IgE encounters allergens, it stimulates the mast cells to “degranulate” or break down, spilling their contents, which are called “mast cell mediators”. Mediators include histamines, leukotrienes, and cytokines. Mediators are responsible for an inflammatory response in a milder form, but also what provokes a **serious anaphylactic response.** Histamine causes an inflammatory response to reject the allergens. Your body thinks it’s protecting you when you experience stereotypical allergy symptoms, such as when your skin itches or your nose and eyes run. An allergy to food you’ve eaten may result in more extreme symptoms as your body attempts to remove the allergen from within – through stomach pain, nausea, vomiting, or diarrhea. The more times you encounter an allergen, the harder your body works to eject it and the stronger your inflammatory response becomes. If you experience inflammation often, you run the risk of developing an **autoimmune or inflammatory disorder**. ## ***Types of Food Allergies*** The following are the most common triggers of food allergies: **Cow’s Milk** – This is the most common food allergy under the age of three. Children usually outgrow it, but if you suspect you have an intolerance, it may be beneficial to cut out dairy completely.¹ Some children experience recurrent upper respiratory infections or ear infections from cow’s milk, yogurt, or cheese. Although not an allergic-type reaction, this can be a serious cause of suffering and repeated illness. **Soy** – Soy is the most popular dairy alternative, but it can also cause an allergic reaction in children. *We do not recommend consuming soy products* as they most commonly come from a genetically modified crop in the US. **Fish & Shellfish** – This allergy is on the rise.² While fish allergy is often grown out of a shellfish allergy, it can begin at any time but it typically begins in the teen years onward. Fish allergies are usually very serious and can cause anaphylactic shock which can be fatal. **Eggs** – Often another childhood allergy. The child may grow out of it if they can tolerate well-cooked eggs, but must carry an epinephrine auto-injector at all times.³ **Peanuts & Tree Nuts** – This is the allergic response we all hear about. Too many children die as a result of inadvertent exposure. Peanuts are not tree nuts, they are legumes. Both peanuts and tree nut allergies are typically serious and potentially deadly.⁴ Tree nuts include almonds, pine nuts, walnuts, cashews, hazelnuts, Brazil nuts, and pistachios. If you have an allergy to peanuts or tree nuts, you must keep an epinephrine auto-injector with you at all times. Wheat & Gluten – Wheat allergies trigger an inflammatory response in the gut, causing bloating, fatigue, and stomach pain. **Systemic symptoms** can also be seen. In celiac disease, which is on the rise, your immune system is confused and attacks the tissues of your intestinal wall when gluten-containing food is consumed.⁵ **Celiac disease** is NOT an allergic reaction. *It is an autoimmune response*. Both wheat allergies and celiac disease lead to intestinal permeability (leaky gut) and serious digestive issues resulting in nutrient deficiencies. Wheat also contains proteins known as amylase-trypsin-inhibitors (ATIs), which can also cause inflammation and worsen the symptoms of asthma, arthritis and IBS. ## ***Food Allergy Symptoms*** Food allergy symptoms can range *from mild to severe*. The symptoms can come on suddenly or several hours later, depending on the intensity of the contamination. You or your child may experience: - Cold-like symptoms – a stuffy or runny nose, sneezing - Itchy, watery eyes - Rash - Swelling - Diarrhea - Stomach cramps - Headache - Joint pain **You need to seek immediate medical help if you or your child experience signs of anaphylaxis, including:** - Fainting or dizziness - Difficulty breathing - Swollen lips, tongue, throat - A rash - Nausea - Vomiting ## ***Types of Environmental Allergies*** **Pollen** – Hay fever is *the most well-known environmental allergy*, and it shows no sign of going away. Climate change and the prevalence of ragweed across the US often mean seasonal allergies can last until Fall. **Dust mites** – While it may appear dust makes you sneeze, it’s actually these tiny organisms that are responsible for your inflammatory response. Dust mites love humid conditions and their particles can be found in bedding, carpets, and upholstered furniture. They can cause asthma in children, but bear in mind over-cleaning and dusting can make symptoms worse by spreading the mites instead of removing them. **Cockroaches** – Cockroaches produce allergens in their saliva, feces, and shed body parts. You can undergo a blood test to identify the allergy, but the eradication of the pest from your home is necessary in order for symptoms to improve. **Mold & mildew** – Toxic mold is a major concern for our [certified Functional Medicine Physicians](/). However, mold-related illness and mold allergy are not the same. Many people are allergic to mold without having a mold-related illness. *Environmental mold is found in every home and environment*. Mold isn’t always visible and if you’re allergic to spores and particles you may need to keep a symptom diary to identify where you feel the worst. **Pet allergies** – Domestic cats and dogs can produce allergens on their skin, fur, saliva, and urine. Pet allergies are characterized by sneezing and facial pain, and often a rash if the animal licks your skin. There are no true hypoallergenic breeds and people with a severe allergy may react to allergens trapped in pet owner’s clothes without direct contact with an animal. **Toxins around the home** – Toxins such as cigarette smoke, strong household chemicals, perfumes, pesticides, and water pollutants can all trigger an allergy-like response. This can be made worse by a lack of ventilation. ## ***Environmental Allergy Symptoms*** Symptoms of environmental allergies often resemble the milder form of food allergy symptoms. You should keep a **trigger diary** to figure out what is to blame. You may experience: - Coughing and chest tightness - Cold-like symptoms – a stuffy or runny nose, sneezing - Itchy, watery eyes - Skin rash - Recurrent sinus infection - Recurrent ear infection ## ***Allergy and Intolerance – Related Disorders*** The **inflammation caused by allergies** can contribute to existing conditions. These include, but are not limited to: - Asthma - Migraine - Lupus - Fibromyalgia - Rheumatoid arthritis - Chronic fatigue syndrome - Crohn’s disease - Multiple sclerosis ## ***How To Treat Allergies: Environmental and Food*** We advise you to adopt **an anti-inflammatory diet** to heal your body from within. You should avoid processed food, wheat, and use a process of elimination to identify food related symptoms. Tackling environmental allergies is harder. It may involve a change of furnishing, cleaning products or pest control. It often takes weeks to pin down the cause without guidance. We can carry out allergen testing, which can pinpoint the causes of your allergic/inflammatory reactions and advise you on what steps to take. One way to tackle both food and environmental allergies is with a course of **sublingual immunotherapy** (SLIT). SLIT is an alternative therapy to allergy shots and is **needle-free**. Your Functional Medicine Physician gives you small doses of an allergen under the tongue to build up your body’s resistance. This is a desensitization process just like allergy shots are. Desensitizing our immune system to an allergen is the well-established and most effective way to address allergies. **If you are suffering from unresolved allergies and/or an unexplained inflammatory response, you should seek care from experts in identifying and treating these types of health concerns. Dr. Scott Antoine or Dr. Ellen Antoine are *certified Functional Medicine Physicians* with extensive experience treating patients with food or environmental allergies in the Carmel or Indianapolis area and you can book an appointment by clicking [here**](/patient-resources/become-a-patient/). We are also happy to speak with you at [(317) 989-8463](tel:(317) 989-8463), Monday-Thursday, from 8AM – 5PM Eastern time. *Sources:*[.block][]*1 *[*https://www.ncbi.nlm.nih.gov/pubmed/20836734[.block][]*](https://www.ncbi.nlm.nih.gov/pubmed/20836734)*2 *[*https://www.ncbi.nlm.nih.gov/pubmed/26022875[.block][]*](https://www.ncbi.nlm.nih.gov/pubmed/26022875)*3 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3069662/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3069662/)*4 *[*https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3005304/[.block][]*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3005304/)*5 *[*https://www.ncbi.nlm.nih.gov/pubmed/20868314*](https://www.ncbi.nlm.nih.gov/pubmed/20868314) --- ## Headaches and Migraines in Carmel, IN **Link:** [Headaches and Migraines in Carmel, IN](https://fullyfunctional.com/symptoms/headaches-migraines/) ([md](https://fullyfunctional.com/symptoms/headaches-migraines/index.html.md)) **Description:** Discover Advanced Headache Treatment Options with Functional Medicine in Carmel, Indiana ### Content [.intro.highlight-color]For many people suffering from **chronic headaches and migraines**, the condition becomes a shadow that follows them everywhere**.** It’s not just managing the days when pain strikes, but also the anxiety of wondering when the next episode will hit. [] You might find yourself avoiding triggers and stashing medication in your desk drawers and car, or missing important work meetings and social plans. It can feel as if your life revolves around managing your headache pain, rather than truly living. At The Center for Fully Functional Health, we understand that chronic headaches and migraines can leave you feeling isolated and misunderstood by others who think you can just take some aspirin and power through. We also understand that you've likely been told there's no cure, that you'll need to manage this condition for life, or that stress is the only cause. *Our approach is different*. We focus on i**dentifying and eliminating the root causes of your headaches**, while offering advanced holistic treatments that can provide lasting relief, including FDA-cleared [MeRT Personalized TMS therapy](/functional-medicine/personalized-tms/). *Understanding Different Types of Headaches* Not all headaches are created equal, and understanding the type you're experiencing can provide important clues about underlying causes and most effective treatments: **Tension Headaches** are the most common type, typically feeling like *a tight band around your head or pressure at your temples and forehead*. They're often triggered by stress, poor posture, eye strain, or muscle tension in the neck and shoulders. While usually mild to moderate, chronic tension headaches can significantly impact daily functioning. **Migraines** are neurological events that go far beyond simple head pain.** **They typically involve throbbing pain on one side of the head, often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Many people experience an "aura" before migraine onset – visual disturbances, tingling, or other neurological symptoms that signal an approaching episode. *Migraines can last anywhere from 4 to 72 hours* and can be completely debilitating. **Hormonal Headaches** are closely tied to fluctuations in estrogen and progesterone, often occurring around menstruation, ovulation, or during perimenopause. These can range from *mild tension-type headaches to full migraines* and often follow predictable patterns related to hormonal cycles. As you age, these headaches can come on suddenly or more frequently, even if you’ve never had headaches regularly before. **Medication Overuse Headaches (Rebound Headaches)** develop when pain medications are used too frequently, creating a cycle where the medication meant to relieve headaches actually starts causing them. This frustrating condition can happen with both over-the-counter and prescription pain medications, and often requires careful medical supervision to provide relief. **Cluster Headaches** are less common but extremely painful, often described as feeling like a hot poker behind one eye. They occur in "clusters" or cycles, with *multiple headaches happening over weeks or months*, followed by remission periods. The pain is typically severe and burning, often accompanied by red, watery eyes and nasal congestion on the affected side. *When To Seek Help For Chronic Headaches* Most headaches are not medical emergencies. However, *please seek immediate medical attention if you experience a sudden, severe headache unlike any you've had before*; headache with fever and neck stiffness; headache after a head or neck injury; or sudden headache with confusion, vision changes, or difficulty speaking. For most people with **regular headaches or migraines**, the pain has been part of their lives for years. They learn to adjust their activities and when to anticipate attacks, without recognizing or acknowledging the toll this added strain takes on both their emotional and physical health. Instead of focusing on avoiding triggers, **it's time to investigate underlying causes** if you are:** ** - **Experiencing headaches more than twice a week** - **Find yourself regularly using pain medications** - **Notice that headaches are becoming more frequent or severe** - **Feel your headaches significantly impact your work, relationships, or quality of life** Holistic help is available that goes beyond just managing symptoms. **Functional medicine treatment** for headaches and migraines in Carmel, IN, goes beyond naming your symptoms to diagnosing the underlying causes and addressing them systematically and compassionately. [Schedule Your Headache Or Migraine Consultation](/contact/) *What causes chronic headaches and migraines?* - **Hormonal imbalances:** Fluctuating estrogen, progesterone, thyroid dysfunction, or adrenal imbalances - **Food sensitivities and intolerances:** Reactions to gluten, dairy, preservatives, artificial sweeteners, histamine-rich foods, or other individual trigger foods - **Nutritional deficiencies:** Low levels of magnesium, riboflavin (B2), CoQ10, or other nutrients essential for neurological function - **Chronic infections:** Lyme disease, Epstein-Barr virus, or other infections that can trigger neurological symptoms - **Environmental toxin exposure:** Mold, heavy metals, chemicals, or other toxins affecting neurological function and pain receptors - **Gut health dysfunction**: SIBO, SIFO/Candida overgrowth, leaky gut, or microbiome imbalances affecting the gut-brain connection - **Blood sugar imbalances:** Hypoglycemia or insulin resistance causing vascular changes that trigger headaches - **Structural issues:** Cervical spine misalignment, TMJ disorders, or tension in neck and shoulder muscles - **Sleep disorders:** Poor sleep quality, sleep apnea, or disrupted circadian rhythms - **Chronic stress and nervous system dysfunction:** Prolonged stress affecting brain chemistry and vascular function - **Histamine intolerance:** Causing inflammation and vascular changes that trigger headaches - **Dehydration and electrolyte imbalances: **Even mild dehydration can trigger headaches in susceptible individuals Rather than accepting headaches as something you'll always have to manage, the physicians at The Center for Fully Functional Health understand that *chronic headaches and migraines typically result from identifiable triggers and underlying imbalances* that can be addressed. Those we see frequently with integrative medicine treatment for headaches include: As you can see, there is a long list of potential causes, and it requires a dedicated, experienced provider to help navigate the options and create the right protocol for your pain. Most patients with chronic headaches and migraines also have multiple root causes to identify, reduce, and optimize. That’s why every patient’s care at the **award-winning Center for Fully Functional Health in Carmel, IN**, includes thorough appointments, comprehensive testing, and personalized care designed to treat your unique body chemistry and needs. We also offer a full suite of cutting-edge therapies that streamline your care and provide modern, holistic options. *MeRT Personalized TMS: FDA-Cleared Treatment for Headaches and Migraines* Chronic headaches and migraines involve **complex changes in brain chemistry, blood flow, and nervous system function**. This neurological dysfunction often includes imbalances in neurotransmitters like serotonin and dopamine, changes in blood vessel function, and inflammation in the nervous system. Over time, the brain can become "sensitized" to triggers, meaning that stimuli that wouldn't normally cause problems begin triggering headache episodes. Understanding the neurological component of headaches is crucial because it explains why pain medications often provide only temporary relief – they mask the pain, but don't address the underlying brain chemistry imbalances and nervous system dysfunction that create the headache cycle in the first place. One of the most exciting advances in headache and migraine treatment is **MeRT Personalized Transcranial Magnetic Stimulation (TMS)**, an FDA-cleared, *non-invasive treatment* that addresses the neurological dysfunction underlying chronic headaches and migraines. *How to Treat Headaches and Migraines Holistically* At The Center for Fully Functional Health in Carmel, Indiana, our approach to headaches and migraines focuses on *identifying and treating the underlying causes*, while also supporting your body's natural healing mechanisms. Most importantly, our physicians spend hours reviewing your medical history, listening to your concerns, and providing the caring, detailed support that is often missing from **conventional headache and migraine treatment**. You may begin experiencing fewer, less severe headaches within weeks of starting comprehensive treatment, with continued improvement as underlying causes are addressed and neurological function is restored. *Why Choose The Center for Fully Functional Health for Headache Treatments* **Dr. Ellen and Dr. Scott Antoine bring a unique combination of emergency medicine experience and advanced functional medicine training to headache treatment.** Their emergency background gives them expertise in recognizing serious neurological conditions that require immediate attention, while their functional medicine training allows them to identify and treat the complex underlying causes of chronic headaches. The Center for Fully Functional Health in Carmel, Indiana, is one of the only practices in the region offering MeRT Personalized TMS therapy for headaches and migraines, combined with **comprehensive functional medicine investigation of root causes**. This integrated approach allows us to address both the neurological dysfunction and the underlying triggers that perpetuate the headache cycle. **We understand that chronic headaches and migraines can rob you of joy, productivity, and the ability to fully participate in life.** Our goal isn't just to reduce your pain – it's to help you reclaim your life from the shadow of chronic headaches. **Don't let headaches and migraines continue to control your life. Call our supportive team at Monday to Thursday, 8AM to 5PM Eastern, or fill out the simple form below to find out more and schedule your Initial Consult.** --- ## Conditions **Link:** [Conditions](https://fullyfunctional.com/conditions/) ([md](https://fullyfunctional.com/conditions/index.html.md)) **Description:** The Center for Fully Functional Health in Carmel, IN., offers Diagnosis from expert physicians for identifying and treating the underlying causes of difficult-to-diagnose medical conditions. in Carmel, IN ### Content #### Unraveling the Mystery of Chronic Disease *The road to Fully Functional health begins at CFFH* The Center for Fully Functional Health offers an expert clinical team for identifying and treating the underlying causes of **complicated and difficult-to-diagnose medical conditions**. It is for this reason that Drs. Ellen and Scott Antoine are often referred to as the "medical detectives" by their peers and patients. *They have over five decades of combined expertise in diagnosing the causes of inflammation, autoimmunity, and chronic disease* and developing innovative, personalized treatment strategies that *reduce symptoms while restoring whole-body function*. Learn more about the Five Pillars of Becoming Fully Functional. Get your Carmel **Diagnosis** today! #### Optimize Your Health *Without your health, nothing else matters.* We understand the frustration and exhaustion that come with *battling chronic disease* on your own, looking for solutions while you or your loved ones suffer from miserable symptoms. Hope and healing can feel out of reach. In exchange for your trust, we vow to commit our laser-like concentration and decades of expertise to provide you with the clarity, support, and skills you need to become *Fully Functional* for the rest of your life. The first step is to **get a correct diagnosis for the following conditions we treat**: [Become a Patient](/patient-resources/become-a-patient/) #### About our Doctors Leading the Center for Fully Functional Health are award-winning, globally known doctors devoted to delivering individualized, life-changing treatment through proper **Diagnosis in Carmel**. The Antoines are board-certified *Emergency Medicine doctors* and well-regarded Integrative & Functional Medicine practitioners, each with more than 27 years of expertise in their respective fields. This dynamic husband-and-wife team is driven by a desire to assist people in *identifying the underlying causes of their medical problems and optimizing their health*. With the proper **Diagnosis** Carmel patients can get back to leading their Fully-Functional lives! #### It is time for life to begin, again! *Schedule your Carmel Diagnosis consultation at The Center for Fully Functional Health* You don't have to do it alone in the fight against chronic disease. *The Center of Fully Functional Health in Carmel, Indiana*, is here to provide the support and expertise you need. Our state-of-the-art MedSpa, modern diagnostics, and evidence-based treatments were all built with you in mind. We look forward to embarking on a new adventure with you toward a Fully Functional life, where you feel happy, healthy, and productive. Schedule your **Diagnosis** consultation in Carmel today. --- ## We are devoted to your care **Link:** [We are devoted to your care](https://fullyfunctional.com/about-us/) ([md](https://fullyfunctional.com/about-us/index.html.md)) **Description:** The Center for Fully Functional Health is run by Doctors Ellen and Scott Antoine, award-winning certified functional and Integrative Medicine physicians. Center for Fully Functional Health ### Content *We are listening, and we will not give up.* “Almost” is never good enough when it comes to your health. Our team is committed to partnering with you on your journey to optimal wellness. The Center for Fully Functional Health (CFFH) was founded in 2011 by husband-wife physicians Dr. Ellen and Dr. Scott Antoine. Their mission is to identify and treat the causes of chronic illness so that patients can reclaim their energy and wellbeing. The CFFH team believes that healthcare should always be personalized according to your own individual history, lifestyle, and needs. Your symptoms are real, your concerns are valid, and there is always hope. [Become a patient](/patient-resources/become-a-patient/) *We specialize in finding answers when no one else can.* Taking charge of your own health journey requires courage, faith, and teamwork. The Center for Fully Functional Health team offers the support and resources you need to optimize your health and change your life. If the symptoms below apply to you, we can help: - Brain Fog or Trouble Focusing - Chronic Diarrhea or Constipation - Chronic Fatigue or Low Energy - Chronic Infections - Chronic Debilitating Pain - Heartburn or Upset Stomach - Hot Flashes - Joint Pain or Stiffness - Menstrual Cycle Issues - Night Sweats - Rashes - Sexual Dysfunction/Low Libido - Trouble Sleeping - Weight Issues *I am extremely grateful for CFFH.* “I am extremely grateful for CFFH. We have seen at least 13 doctors for my 9 year old daughter with Autism. Finally we have answers to her most confusing issues and a doctor who knows how to treat them. She has always had trouble taking the vitamins and medications prescribed before. She is improving steady without all the side effects we are used to. The most thorough workup we have had and finally got answers. I am beyond grateful. Has truly been a gift!” ~ Jamie Kosten, CFFH parent of a patient *The Center offers a proprietary, state-of-the-art treatment protocol based on five key pillars of wellness:* --- ## Direct Primary Care in Carmel, IN **Link:** [Direct Primary Care in Carmel, IN](https://fullyfunctional.com/patient-resources/direct-primary-care/) ([md](https://fullyfunctional.com/patient-resources/direct-primary-care/index.html.md)) **Description:** Direct Primary Care memberships in Carmel, IN, offer comprehensive, cost-effective access to healthcare and preventative medicine. ### Content *Personalized and Comprehensive Care* At The Center for Fully Functional Health in Carmel, IN, we offer **Direct Primary Care** (DPC) memberships tailored to meet your individual healthcare needs. Our Functional Medicine DPC model eliminates the need for insurance and provides high-quality, affordable primary care services – providing you with thorough, personalized treatment that focuses on preventative medicine. With a low monthly fee, *you’ll benefit from easier access to care*, a dedicated clinician by your side, and the peace of mind that comes with knowing you’re getting quality healthcare services at an affordable cost. *Free Climb Direct Primary Care at The Center for Fully Functional Health* Experience comprehensive, holistic Direct Primary Care (DPC) services to help you get the personalized healthcare you need – minus the costly insurance premiums and co-pays – with our **Free Climb membership**. Led by Drs. Ellen and Scott Antoine, the team at The Center for Fully Functional Health offers a wide range of preventative and wellness services designed to keep you in optimal health. Our Carmel Direct Primary Care services are tailored to meet your individual needs, *allowing you to access quality care without breaking the bank*. *What is Direct Primary Care?* At The Center for Fully Functional Health, our Direct Primary Care program is about more than just providing quality medical care. We believe in creating an environment *where our patients can fully invest in their own health and wellness*, knowing they have built trust with a **Primary Care Provider** who combines patience and compassion with outstanding clinical knowledge. ur program not only offers unrestricted clinician visits, but also allows patients to access a wide array of testing and preventative care services. As an added bonus, *we provide our patients with telemedicine*, allowing them to easily connect with their Primary Care Provider. Our goal is to provide you with the highest quality of care, while ensuring our services are accessible and affordable. We strive to create a comfortable and supportive space for our patients where we can work together to find solutions that meet their individual needs. With Direct Primary Care at The Center for Fully Functional Health, you can be confident that you are getting **the best possible care**. *How does Direct Primary Care differ from institutional medical care?* Direct Primary Care is *a patient-centered approach to healthcare* that puts the provider and patient relationship at the center. Unlike institutional medical care, which is based on a fee-for-service model dictated by insurance carriers, Direct Primary Care focuses on providing quality healthcare in an affordable, accessible way. With DPC, *you pay a monthly membership fee* that covers all of your primary care services, from regular appointments to preventative tests and screenings. No more crowded waiting rooms or rushed, impersonal appointments. You will have a Primary Care Provider who knows you, your health history, and your goals, and uses a proven **Functional & Integrative Medicine** approach to help you create a healthy, fulfilling life. *How does Direct Primary Care work?* When you become a member of the **Free Climb Direct Primary Care program** at CFFH, your monthly fee covers all of your primary care services, *including unlimited appointments*, diagnostic labs and functional medicine testing, and access to our world-class Med Spa. You will have ongoing access to your clinician, who is available to answer questions and provide personalized care. Our program also includes **telemedicine visits** so you can connect with your provider anytime, anywhere. *What Your Free Climb Membership Includes* As a Free Climb member, you will have unrestricted access to your PCP and receive an impressive suite of diagnostic tests and preventative care services. Your membership also covers: - Discounted aesthetic treatments - MedSpa therapies - Nutrition consultations - Supplements - And more Not included in the program are lab tests that require additional payments or insurance claims (e.g., imaging studies or specialist referrals). However, we strive to provide affordable direct access to these services whenever possible. And don’t forget, as a Free Climb Member, *you get unlimited access to your clinician*! So if you have questions about what treatments are right for you or need information or support following an aesthetic treatment, your PCP is always just a phone call away. *The Benefits of Direct Primary Care* At the Center for Fully Functional Health, we offer DPC memberships tailored to your individual health needs, giving you access to personalized, comprehensive care *that focuses on preventative medicine and individualized treatment plans*. *How much does Direct Primary Care cost?* The cost of the Free Climb Direct Primary Care program ranges **from $115 to $135 per month**, depending on your age. *Learn More About Direct Primary Care at The Center for Fully Functional Health Today* If you’re interested in learning more about Direct Primary Care **Carmel functional medicine providers** at The Center for Fully Functional Health can go over it in detail at your consultation, and cover how it can help you access quality, affordable care *with a Functional & Integrative Medicine approach*. Our knowledgeable team is here to answer any questions you may have and help you get started. Contact us today to take the first step toward feeling Fully Functional, vibrant, and healthy! --- ## Symptoms **Link:** [Symptoms](https://fullyfunctional.com/symptoms/) ([md](https://fullyfunctional.com/symptoms/index.html.md)) **Description:** The Center for Fully Functional Health in Carmel helps patients recover their vitality and wellness via tailored integrative health & functional treatments. Discover what is causing your Symptoms. in Carmel, IN ### Content #### Symptoms with Solutions *Carmel, IndianaSymptoms* There is nothing more frustrating than someone not listening or understanding as you explain the chronic **Symptoms** you are experiencing. Drs. Ellen and Scott Antoine know first-hand what it means to feel unheard, after they and their children received a series of complex diagnoses for which traditional medicine had few effective answers. Turning to integrative health solutions, Dr. Ellen was able to conquer her lupus, better understand the challenges her children were facing, and change the health path for her family. As a result, The Center for Fully Functional Health was founded in 2011 by this dynamic, compassionate husband and wife team, Drs. Ellen and Scott Antoine. Get the treatment you need for your **Symptoms in Carmel**! #### Devoted to your care *Stop Suffering* It’s time to *take the first step in healing* and living a Fully Functional life. At The Center for Fully Functional Health in Carmel, Indiana, you are a member of our family. We take a unique, whole-body approach to your overall health that includes every facet of your wellness and lifestyle. Our doctors are experts at finding solutions when no one else is able to help. At CFFH, we support patients with a wide range of conditions. After successfully treating over 100,000 patients in over 25 years of Emergency, Integrative, and Functional Medicine, Dr. Ellen and Scott have encountered virtually every symptom and illness. We see the following **Symptoms** most regularly in our patients. If these or other apply to you, we would love to help: #### Your Symptoms are Real *The benefits and solutions offered at CFFH* Integrative Medicine is a medical discipline that views the patient as a whole, taking into consideration every system of the body, as well as your diet, lifestyle, and daily habits. Our clinical team treats the whole person and identifies the root cause of your **Symptoms in Carmel**, rather than simply offering band-aid solutions that mask *symptoms*. We take into account your mind, body, and spirit when creating your customized treatment plan. Taking control of your health means commitment, faith, and collaboration. Our dedicated staff at The Center for Fully Functional Health will provide you with the guidance and tools to *improve your health and transform your life* to become Fully Functional. #### Rethink Your Current Approach To Health *Meet the Dynamic Duo of CFFH* #### Schedule your Carmel, IN, consultation at CFFH today to discuss your Symptoms. Our mission at The Center for Fully Functional Health is to help our patients reclaim their energy and wellbeing through personalized integrative health and **functional therapies**, so they can take control of their health journey. Schedule your consultation today to learn more about the new *therapies* and *advanced treatments* available at CFFH to treat the root cause of your **Symptoms in Carmel, IN**. --- ## Functional Medicine in Carmel, IN **Link:** [Functional Medicine in Carmel, IN](https://fullyfunctional.com/functional-medicine/) ([md](https://fullyfunctional.com/functional-medicine/index.html.md)) **Description:** Functional medicine in Carmel, IN with Drs. Antoine. Root-cause care for chronic fatigue, autoimmune, mold illness, and more. Advanced testing, MeRT, PANS/PANDAS expertise. ### Content #### Real Answers for Complex Health Issues *Personalized root-cause care in Carmel, Indiana* You sit in another exam room, trying to explain the fatigue, the bloating, the brain fog that hits out of nowhere. You leave with a handout, maybe a prescription or a referral, but no clarity. Nothing adds up, and you're starting to wonder if anyone's looking at the whole picture. **Functional medicine** is built for that exact moment. It asks questions that go deeper. It studies the connections between your symptoms instead of breaking them into separate boxes. At The Center for Fully Functional Health in Carmel, Drs. Ellen and Scott Antoine lead a team that listens like it matters (because it does). They take their time, explain what they're seeing, and build their care around real people and proven **holistic protocols**. #### Your Symptoms, in Context *What Is Functional Medicine?* Functional medicine is a whole-human approach to healthcare that looks at how different systems of the body interact. Rather than focus on a single part of the body, our Carmel **Functional Medicine practitioners** consider all of your symptoms together, as well as your entire health history and your lifestyle. Functional medicine focuses on the big-picture patterns: *how things like nutrition, hormones, inflammation, chronic infections, toxins, stress, and genetics shape the way you feel*. Say you're dealing with fatigue, brain fog, and stubborn weight gain. In conventional care, those symptoms might land you in three different offices. Here, they're looked at together. That could mean running a full thyroid panel (not just TSH), checking cortisol rhythms, evaluating insulin resistance, and digging into gut health and inflammation. *The goal is to figure out what's out of sync and what your body needs to get back on track*. This process uses advanced testing when it's helpful: nutrient panels, GI mapping, mycotoxin screening, hormone metabolites, organic acids, and sometimes genetics like MTHFR. These labs bring your symptoms into focus and help shape a plan that's built for you. [Frequently Treated Conditions](/conditions/) #### This Isn't a Checklist *What Makes Functional Medicine Different?* Functional medicine shifts the focus from symptom management to system balance. Rather than organizing care around isolated specialties, such as hormones, digestion, and skin, *it works across systems* to understand what's disrupting your body's ability to self-regulate. It doesn't rely on the "wait until it breaks" model. It asks what's happening upstream of the symptoms, and how to correct it before the disease progresses. You'll also notice the pace is different. Appointments are longer. The intake process is deeper. We look at how your environment, lifestyle, immune function, toxic burden, infections, and even past trauma are influencing your physiology today. Testing might include a full GI panel, a DUTCH hormone assessment, mold and mycotoxin screening, or cardiovascular inflammation markers, tools that tell us *what* is wrong and *why* it's happening. The other difference? You're part of the process. At **CFFH**, we take time to walk you through your lab results, connect the dots, and build a strategy that makes sense to you. That clarity can be powerful, especially for patients who've spent years in the dark. #### When Things Start Working Again *Benefits of Functional Medicine* This kind of **holistic health care** takes time — but for many people, that's what finally moves the needle. Instead of reacting to symptoms, we look at how your body's systems are working together and where things have gone off track. Patients often arrive feeling depleted, stuck, or brushed off. With the right support, things begin to shift. Energy evens out. Focus sharpens. Symptoms that once felt constant start to fade into the background. Some benefits are subtle at first. Others are dramatic. All of them stem from treating the root cause, not just the resulting symptoms. Patients often experience: - Fewer digestive issues (bloating, constipation, food reactivity) - More balanced energy levels throughout the day - Improved focus and cognitive clarity - Relief from chronic pain or inflammation - Better sleep patterns and circadian rhythm support - Hormonal stability, including menstrual, thyroid, and adrenal function - Healthy, sustainable weight regulation - Strengthened immune function and fewer infections - Reduced need for medications over time (when appropriate) - A clearer understanding of how to support their health long-term Functional medicine helps you feel better, yes, but more than that, **it helps you stay better**. [Find out more about types of Functional Medicine Appointments](/consultation/) #### What We Use And Why *Functional Medicine Services at CFFH* **Functional medicine** works best when the right tools are used at the right time and for the right reasons. At The Center for Fully Functional Health, every recommendation is backed by testing, guided by experience, and tailored to your physiology. Below are some of the most common therapies we incorporate into patient care. #### Care That Actually Sees You *Why Choose The Center for Fully Functional Health?* Most people don't start here. They've already done the bloodwork. Seen the specialists. Tried the meds, the diets, the guesswork. They've been told everything looks normal, even when it clearly isn't. We take that seriously. Drs. Ellen and Scott Antoine bring **decades of experience** in emergency medicine, functional medicine, and complex cases that don't fit cleanly into a diagnosis. They've helped thousands of patients who were told, directly or indirectly, that there was nothing left to try. *Credentials matter*. But so does the way care is delivered. You'll get time to explain your full story. You'll sit with people who listen without rushing. And you'll leave with a plan that feels like it came from a real understanding — not a checkbox. Chronic fatigue. Mold illness. Autoimmune issues. Hormonal shifts. Strange clusters of symptoms no one's been able to name. We've seen them, and we know how to work through them. Your body has been trying to get your attention. We're here to listen and help it get back to where it wants to be. #### Functional Medicine Frequently Asked Questions --- ## Become A Patient **Link:** [Become A Patient](https://fullyfunctional.com/patient-resources/become-a-patient/) ([md](https://fullyfunctional.com/patient-resources/become-a-patient/index.html.md)) **Description:** Here’s how to become a patient at The Center for Fully Functional Health for the best integrative and Functional Medicine and our advanced wellness spa. Center for Fully Functional Health ### Content #### We would be honored to join you in your wellness journey! *Become a Patient* [Main Office: ](tel:317-989-8463) [(317) 989-8463](tel:(317) 989-8463) [MedSpa: (317) 343-6692](tel:317-343-6692) The first step to becoming a new patient of The Center for Fully Functional Health or the Fully Functional MedSpa is reviewing our website to ensure our mission and methods are in line with your needs. You may also check out answers to New Patient FAQs below. To schedule your first appointment for Functional Medicine or MedSpa services, please complete the contact form at the bottom of this page or call our office Monday to Thursday, 8AM-5PM Eastern. Please note, most MedSpa wellness and aesthetic services are available without a Physician consult. Patients in need of more complex care or Physician appointments will need to complete an onboarding call with our New Patient Support team, where we will answer any questions you may have, ensure our practice is the right fit, and schedule appointments as needed. As a reminder: Dr. Ellen and Dr. Scott Antoine are Functional Medicine Physicians who work in conjunction with your current healthcare team to address chronic health issues. Their care is not a replacement for your Primary Care Physician. As such, we require all new Functional Medicine patients to have a Primary Care Physician to cover emergencies and routine care and screening. If you do not currently have a PCP, please ask our team about joining our Free Climb Direct Care Membership program. #### New Patient Frequently Asked Questions --- ## Aesthetics **Link:** [Aesthetics](https://fullyfunctional.com/aesthetics/) ([md](https://fullyfunctional.com/aesthetics/index.html.md)) **Description:** The Center for Fully Functional Health offers Aesthetics procedures such as Facials, Hydrafacials, Chemical Peels, Injecatables & Fillers as well as Laser Skin Resurfacing & more! in Carmel, IN ### Content #### Skin Treatments #### Laser Treatments #### Injectables & Fillers --- ## Andropause Treatment **Link:** [Andropause Treatment](https://fullyfunctional.com/functional-medicine/andropause-treatment/) ([md](https://fullyfunctional.com/functional-medicine/andropause-treatment/index.html.md)) **Type:** Service **Description:** Struggling with low energy, low libido, or mood changes? The Center for Fully Functional Health in Carmel offers personalized andropause treatment and hormone therapy. Contact us today! ### Content *Andropause Treatment in Carmel, IN* You can feel the shift. Workouts take more out of you. Sleep doesn’t refill the tank the way it used to. Focus slips when you need it most. Your usual drive isn’t what it was. You’re not "sick," but you’re definitely not yourself either. That pattern has a name: **andropause** — sometimes called **male menopause** — and *it's far more common than most men realize*. If you're in your 40s, 50s, or beyond and experiencing these changes, you're not alone, and you're not imagining things. At The Center for Fully Functional Health in Carmel, we don't just treat numbers on a lab report; we treat the whole person behind those numbers. We test with purpose, explain what's happening in plain language, and build treatment plans that actually fit into real life. You'll work with **board-certified physicians** who take time to listen, connect the dots between your symptoms, and guide you toward *feeling like yourself again* — without pressure or one-size-fits-all protocols. #### Your Signals, in Plain English *What is Andropause?* **Andropause** describes the *age-related hormonal changes* that many men experience, particularly the gradual decline in testosterone that occurs with aging. Unlike menopause in women, which happens relatively suddenly, andropause is a slow, progressive shift that can unfold over years or even decades. But **testosterone** doesn't decline in isolation. Changes in other key hormones and body systems happen alongside it: DHEA levels drop, growth hormone production slows, thyroid function may shift, insulin sensitivity can decrease, vitamin D levels may fall, and your stress response often becomes more pronounced. When these signals drift together, the cumulative effect shows up in everyday life. #### Why It Feels So Different *What's Going On Biochemically* Understanding what's happening inside your body helps explain why you're feeling the way you do. Think of your hormones and body systems as an interconnected network rather than separate specialties: #### The Real-World Red Flags *Andropause Symptoms Men Actually Notice* Understanding the why's of andropause is important. But when you leave behind the clinical analysis, here's how **"manopause"** affects your everyday life: - **Sexual symptoms:** Less interest in sex, fewer spontaneous morning erections, changes in erectile function, longer recovery time between sexual activity - **Energy changes:** Afternoon crashes, slower starts in the morning, less resilience throughout the day - **Body composition shifts:** Decreased muscle mass, softer muscle tone, stubborn abdominal weight gain that doesn't respond to diet and exercise - **Cognitive changes:** Brain fog, slower recall, difficulty concentrating, shorter attention span - **Mood fluctuations:** Irritability, lower confidence, decreased motivation, sometimes feelings of depression - **Sleep disturbances:** Lighter sleep, waking earlier than you'd like, increased snoring (which may indicate sleep apnea) - **Bone health:** Gradual, often unnoticed decreases in bone density over time **Not every symptom automatically points to testosterone deficiency.** But when several of these issues line up together—especially the sexual symptoms paired with fatigue and mood changes—it's time for comprehensive testing to understand what's really happening. #### Test First, Then Decide. *How We Evaluate: Labs With Context* Your initial consultation sets the direction for everything that follows. During your consultation for andropause treatment **Carmel functional medicine specialists** at The Center for Fully Functional Health listen to your story to understand your specific symptoms, then they will test what actually matters: We follow evidence-based diagnostic guidelines emphasizing that **testosterone deficiency** should be diagnosed based on both symptoms and consistently low testosterone levels—not one or the other alone. This thoughtful approach ensures we're treating real hormone deficiency rather than normal aging variations. #### Andropause Treatment at CFFH *Fix What's Driving It* Foundations matter tremendously. Before considering [hormone replacement](/functional-medicine/bioidentical-hormone-replacement/), we address the lifestyle factors that genuinely move the needle on the outcomes that matter most to you: energy, strength, mood, and sexual function. #### What Real Progress Looks Like *Results, Timeline, and Follow-Up* Everyone’s body and experience are different, and andropause may be affected by other health factors. However, when those are addressed, bioidentical hormone replacement typically involves a timeline such as: **Weeks 2-6:** Many men notice steadier mornings, better sleep quality, fewer mood swings, and rising sexual desire and function. **Weeks 8-12:** Clearer thinking, improved cognitive function, and visible changes in muscle mass and body fat distribution become apparent. **Months 3-6:** Stronger recovery from workouts, more durable energy throughout the day, continued improvements in sexual function, and real momentum in your training and daily activities. **Longer term:** Enhanced bone health, healthier metabolic markers, and the kind of confidence that comes from genuinely feeling like yourself again. Follow-up visits are key to monitor your progress, fine-tune dosing based on how you’re feeling and what your labs show, and keep an eye on both symptoms and safety markers. #### Care That Meets You Where You Are *Why Choose Fully Functional Health?* You'll work with physicians who genuinely listen, explain things clearly, and act with purpose. Dr. Ellen Antoine and Dr. Scott Antoine bring *decades of medical experience* to every consultation - drawing on years of emergency medicine practice, complex case management, and deep clinical problem-solving skills similar to those used in endocrinology. The Antoines have built a reputation for taking on cases that didn't progress in conventional settings. Other physicians trust them with their most challenging patients, and their approach combines **evidence-based medicine** with genuine compassion and hope. We keep our patient panel intentionally manageable so visits remain unhurried and decisions are made collaboratively. This is how men achieve lasting improvements in their health and vitality - through thoughtful, personalized care *that addresses root causes* rather than just managing symptoms. #### Ready When You Are *Schedule Your Andropause Consultation in Carmel* If you're seeing the signs — *low testosterone symptoms, slower recovery, cognitive fog, changes in sexual function* — we're here to help. We'll check your hormone levels, discuss your options for testosterone replacement therapy and comprehensive treatment, and map out a path that genuinely fits your life. Call [(317) 989-8463](tel:(317) 989-8463) or reach out online using the form at the bottom of this page. #### Andropause Treatment Frequently Asked Questions --- ## AnteAGE Stem Cell Skincare **Link:** [AnteAGE Stem Cell Skincare](https://fullyfunctional.com/skin-treatments/anteage-stem-cell-skincare/) ([md](https://fullyfunctional.com/skin-treatments/anteage-stem-cell-skincare/index.html.md)) **Type:** Service **Description:** The Center for Fully Functional Health in Carmel offers AnteAGE Skincare, which uses growth factors from human bone marrow as the most natural & potent technique to renew skin for healthier, younger-looking skin. ### Content #### AnteAGE MD Stem Cell Skincare in Carmel, IN *Unlock Your Skin's Healing Potential* [.intro.highlight-color]Every day, your skin works hard to keep you safe. Our naturally existing stem cells are resilient and responsive, maintaining smooth, elastic, and luminous skin in your youth.[] However, fewer of these cells are available to heal damaged skin as you age. As a result, the damage accumulates over time, causing your skin's health to degrade. At The Center for Fully Functional Health, we use **AnteAGE Skincare in Carmel**, a clinical-grade Stem Cell Skincare with powerful stem cells to treat and address your skin concerns. Schedule a complimentary aesthetician consultation today to learn more about this revolutionary treatment. #### What is AnteAGE MD Skincare? *Harness the Healing Power of the Human Body* *AnteAGE* pioneered the science of reactivating the skin's inherent regenerative qualities through stem cell and growth factor cytokines generated from human bone marrow, *the most natural and potent choice for restoring young skin*. As a result, AnteAGE scientists unlocked the regenerative potential of stem cells to restore your skin's ability to act youthfully and effectively repair itself. At CFFH, we feature **AnteAGE Skincare** products, a physician-grade line with twice the powerful stem cell cytokines for rapid, impressive results. [Schedule Appointment](/contact/) #### What are the benefits of AnteAGE MD Skincare? *Your Youthful Skin Revealed* The importance of stem cells in tissue healing, notably in the skin, has been discovered via extensive research. For example, research studies have found that *growth factors are the most effective level of optimization in anti-aging skincare*. Your skin's stem cells include hundreds of different growth factors and cytokines employed to control the healing process or nearly perfect regeneration. These are your body's most intelligent anti-inflammatory warriors in your body, and **AnteAGE Skincare** restores their ability to preserve your skin’s healthy, youthful appearance. #### AnteAGE MD Skincare Products *Your Skin Will Thank You* #### AnteAGE MD Skincare Results *Boost the Natural Healing System of Your Skin* Some people report seeing benefits as soon as four days after starting the program. After a [Fully Functional Facial](/skin-treatments/custom-facials/) with **AnteAGE Skincare,** Carmel patients will certainly notice an immediate difference! Typically, most individuals report the biggest difference within 30 days of starting the full ***AnteAGE Skincare*** program. Most significantly, when you utilize the ***AnteAGE*** system, you avoid the appearance of new visible signs of aging daily. #### Schedule your Carmel AnteAge Skincare consultation at CFFH today. *Stem Cell Skin Repair in Carmel, Indiana* Part of the Fully Functional *Med Spa* difference is our commitment to customization. During a complimentary one-on-one consultation with one of our Aestheticians, we will create a skincare treatment and product routine designed to reach your personal skin and health objectives. Learn how **AnteAGE MD Stem Cell Skincare** may assist you in addressing your skin concerns by scheduling your consultation now. We serve Carmel, Indianapolis, and the surrounding areas. [Schedule Appointment](/contact/) #### AnteAGE MD Skincare Frequently Asked Questions --- ## Balance IV Therapy **Link:** [Balance IV Therapy](https://fullyfunctional.com/functional-medicine/balance-iv-therapy/) ([md](https://fullyfunctional.com/functional-medicine/balance-iv-therapy/index.html.md)) **Type:** Service **Description:** Balance and Balance Plus IV Therapy at The Center for Fully Functional Health in Carmel, IN, deliver essential vitamins and minerals to support hormone balance, energy levels, and overall well-being. ### Content #### Balance and Balance Plus IV Therapy *at The Center for Fully Functional Health* Stress, sleep shifts, and hormonal changes can drain energy and mood. Balance IV Therapy gives your system a steady push toward center with nutrients that support hormone regulation, nervous system health, and day-to-day stamina. At The Center for Fully Functional Health in Carmel, Drs. Ellen and Scott Antoine oversee Balance and Balance Plus IV Therapy in a calm, unrushed setting with care that matches your goals. *What is Balance IV Therapy?* Balance IV Therapy delivers a blend of Vitamin B Complex, Vitamin B12, Magnesium, Calcium, and Taurine through an IV line. This mix supports energy production, nerve health, and hormone balance, and it includes hydrating fluids for circulation and comfort. *What is Balance Plus IV Therapy?* Balance Plus includes the same core formula and adds Glutathione, a master antioxidant that supports detox pathways and collagen synthesis and helps quiet inflammation. It’s a smart pick when you want hormone support with added cell protection and skin benefits. [.intro]Add-Ons and Injectables[] Make your drip your own. Popular upgrades include Glutathione IV push, Vitamin C, Taurine, Magnesium, Amino Acids, and extra saline for hydration; IM injections like B12, Vitamin D, or lipotropics are available as well. Package discounts and BioMat heat therapy upgrades are offered on multi-visit plans. *Balance IV Therapy Benefits* Patients choose Balance when they want steadier days and fewer swings. (We tailor ingredients to your history and labs when needed.) *Balance IV Therapy Candidates* Good candidates include people who feel dragged down by stress, sleep changes, PMS or perimenopause symptoms, or who want dependable energy during heavy work or training cycles. Before treatment, we review your medical history, current medications, blood pressure, and any kidney or electrolyte concerns and adjust the formula when appropriate. *How Balance IV Therapy Is Given* A small IV is placed in the arm and connected to the primary tubing and fluids. The drip runs by pump or gravity, and a nurse checks the IV site, circulation, and vitals throughout. Most people feel only a quick pinch at the start. (Any numbing cream is optional.) *Schedule Your Carmel Balance IV Therapy Visit* Ready to steady energy, lift focus, and feel more like yourself? Call [(317) 989-8463](tel:(317) 989-8463) or [book online](/contact/). #### Balance IV Therapy Frequently Asked Questions --- ## Bioidentical Hormone Replacement **Link:** [Bioidentical Hormone Replacement](https://fullyfunctional.com/functional-medicine/bioidentical-hormone-replacement/) ([md](https://fullyfunctional.com/functional-medicine/bioidentical-hormone-replacement/index.html.md)) **Type:** Service **Description:** At CFFH in Carmel, Bioidentical Hormone Therapy Replacement Therapy (BHRT) can re-balance hormones to restore your vitality, an important aspect of living. Enjoy the quality of your life! ### Content *Restoring HormoneBalance* [.intro.highlight-color]Hormone balance is essential to healing, longevity, and your quality of life. Sex, stress, and thyroid hormones help regulate hundreds of essential processes in your body, and hormonal shifts as a result of aging or illness can affect every aspect of your well-being.[] *Hormone imbalances* can cause distracting, uncomfortable symptoms, including mood swings, sleep issues, sexual dysfunction, and changes in your weight, appetite, and skin. At The Center for Fully Functional Health in Carmel **Bioidentical Hormone Replacement Therapy** can help in correcting hormonal imbalances, so you live happy, healthy, and Fully Functional! By carefully analyzing hormone levels and the factors that impact them, we can offer a customized *Hormone Therapy* plan that uses the most natural options and modern treatment modalities, including the placement of *hormone pellets*. #### What is Bioidentical Hormone Replacement Therapy? *Safe, Natural Hormone Therapy* *Optimizing your hormone levels* means examining several potential areas of imbalance, including your thyroid hormones, vitamin D levels (Yes, vitamin D is actually a hormone!), cortisol, and sex hormones like estrogen, progesterone, and testosterone. Our clinical team is extremely experienced at recognizing the subtle signs of hormone issues and creating a natural plan personalized to your needs. Many patients benefit from supplementing sex hormones through **Bioidentical Hormone Replacement Therapy in Carmel**. CFFH Bioidentical Hormone Replacement Therapy (*BHRT*) can re-balance hormones to restore your vitality, an important aspect of living Fully Functional. **BHRT** uses hormones molecularly identical to those found in your body, which can tremendously improve your health and wellbeing. #### What are the benefits of Bioidentical Hormone Replacement Therapy? *Care Tailored To Your Unique Hormone Composition* - Digestion - Appetite - Libido - Mood - Motivation - Aggression - Menstruation - Stress levels - Muscle mass Everyone’s hormone composition has their own “fingerprint,” meaning it’s unique to you! When you adjust levels of one hormone, you must carefully watch important ratios throughout the body. Hormones that could be off balance include estrogen, progesterone, testosterone, DHEA, human growth hormone, thyroid, cortisol, epinephrine, and norepinephrine. Living a Fully Functional life means optimizing your hormone health​. Your hormones operate on circadian rhythms throughout your body to keep things running smoothly, including waking in the morning and getting sleepy at night. Some of the other functions your hormones influence include: At our office in Carmel **Bioidentical Hormone Replacement Therapy** can offer improvement in all of these areas, and your Health Clinician will work with you to determine your goals and the appropriate therapeutic protocol. Your daily wellbeing is so intertwined with your hormone function, it’s no surprise that when your hormones are off-balance, your whole life can feel off balance. The Center for Fully Functional Health is here to help! #### Am I a good candidate for Bioidentical Hormone Replacement Therapy? Who is BHRT for? *Achieve optimal hormone balance naturally* - Chronic fatigue - Irritability - Brain fog - Sudden skin changes - Anxiety - Depression - Insomnia - Thinning hair - Decreased sex drive - Unexplained weight gain - Accelerated signs of aging - Hot flashes - Night sweat - Irregular periods - Vaginal dryness - Difficulty regulating body temperature For many of our patients, *BHRT* offers newfound exuberance and vibrancy. We don’t immediately recommend **Bioidentical Hormone Replacement Therapy** therapy for everyone. Instead, we work through the important process of identifying lifestyle changes that can help your body naturally re-balance its own hormones. That being said, *if you have been experiencing any of the symptoms below, it’s a good idea to schedule an appointment*: If you can relate to any of the symptoms mentioned above, we hope you consider scheduling an appointment. Let us help you feel better, faster. #### What to Expect from Bioidentical Hormone Replacement Therapy *Restore Youthful Energy On Your Way to Fully Functional* There are a number of factors that cause your body’s hormones to be thrown out of their natural, healthy rhythms, including your age, medication use, diet, sleep, and stress. *Hormones exist in a delicate balance, so if you’re going to manipulate the levels of one, you need to watch the ratios of others*. **BHRT** is designed to do just that, and its many benefits may include: - Improving mood - Aiding with insomnia - Alleviating brain fog - Boosting libido - Preventing declining bone strength - Increasing energy levels - Reducing hot flashes, night sweats, and vaginal dryness #### A Whole-Human Approach to Hormonal Health *How do I get started with Bioidentical Hormone Replacement Therapy?* [.intro.highlight-color]If you suspect hormone issues, the first step is to schedule a Hormone Balance Focus Appointment. This all-inclusive appointment package includes the consultations and baseline labs needed to detect any hormone imbalances and create a treatment plan.[] Based on your medical history and test results, your Clinician will tell you whether **Bioidentical Hormone Replacement Therapy** or other treatment solutions are best for you and your needs. It’s important to remember that hormone health is multifaceted, and there is no one-size-fits all approach. That’s why it’s key to work with a team like CFFH, who understands the dozens of hormones and hundreds of symptoms that can be involved, as well as the safest, most modern approaches to hormone replacement. #### Schedule your Carmel Bioidentical Hormone Replacement Therapy consultation with CFFH today *We are proud to offer a range of Hormone Therapy, including BHRT* and a variety of cutting-edge *MedSpa* treatments that can calm your symptoms and restore optimal hormone balance. In addition to **Hormone Replacement**, your practitioner may advise the use of hormone-balancing supplements, *Balance IV Therapy*, or other wellness services. Schedule your Hormone Balance Focus Appointment to get started, and our compassionate team will listen carefully, perform the right testing, then offer the treatment plan that is right for you. #### Bioidentical Hormone Replacement Therapy Frequently Asked Questions --- ## Botox **Link:** [Botox](https://fullyfunctional.com/injectables-fillers/botox/) ([md](https://fullyfunctional.com/injectables-fillers/botox/index.html.md)) **Type:** Service **Description:** Reduce the signs of aging and look more youthful with our Carmel Botox treatment - one of the most popular wrinkle treatments in the country. Call us today! ### Content *Age Your Way with Injectable Treatments* With the increasing popularity of **Botox**, it's crucial to understand the facts and make informed choices about your aesthetic goals. At the Center for Fully Functional Health, we're here to provide you with the information you need and help you achieve the results you desire. When it comes to *reducing fine lines and wrinkles*, for patients in Carmel **Botox treatment** is a popular and effective cosmetic treatment. Our experienced physicians offer alternatives to Botox, *including Xeomin and Jeuveau*, which countless patients have trusted for their safety and efficacy. These industry-leading **injectables** provide excellent results without compromising your well-being. We believe in delivering the best treatment options to our patients. Our skilled providers will guide you toward the injectable that suits your needs, helping you diminish fine lines or prevent the formation of wrinkles. Take the first step towards **a more youthful appearance**. Schedule a consultation today and discover your best injectable options at the Center for Fully Functional Health. *What is Botox?* **Botox** is a purified natural bacterium that operates by temporarily paralyzing your facial muscles. These repetitive muscle movements are often responsible for forming wrinkles and fine lines. When *Botox is used to freeze these muscles*, they relax, and the tension on the skin is reduced. *Botox is used to treat Crow's feet, horizontal lines on the forehead, and vertical lines between the brows*. It is a temporary wrinkle treatment. However, you may need to continue treatments to maintain optimal results. Botox treatments usually last **three to four months**. *Why Not Botox* Our dedicated physicians prioritize your overall health and well-being when selecting the perfect products for your unique needs. When it comes to **injectables**, *we exclusively work with Xeomin and Jeuveau*, two renowned brands that have set the gold standard for safety and effectiveness in the industry. We’re committed to ensuring your safety and minimizing the risk of adverse reactions or unwanted interactions with other products you may be using on your health journey. At our [Carmel MedSpa](/), we firmly believe in reducing inflammation and detoxifying your body effectively. That’s why we hold ourselves to the highest standards and refuse to compromise, even when it comes to popular options like Botox. *Your whole-body health matters to us*, and we’re here to provide you with **a holistic approach to beauty and wellness**. *What is Jeuveau?* **Jeuveau** stands out as an appealing option among cosmetic injectables. While both Jeuveau and Botox are derived from the same substance, Jeuveau offers a distinct advantage. It is specifically designed to target frown lines between the eyebrows, making it a specialized solution for this common concern. Jeuveau's formulation and effectiveness in addressing glabellar lines have garnered attention, establishing it as a preferred choice for individuals seeking a reliable and precise treatment for this particular area. By choosing Jeuveau, you can trust its tailored approach to achieving *a smoother and more youthful appearance*. *What is Xeomin?* When comparing Botox and Xeomin, both are popular injectables *used to reduce wrinkles and fine lines on the face*. However, **Xeomin** offers distinct advantages that make it an appealing choice. Unlike Botox, Xeomin is a "naked" formulation, meaning *it doesn't contain any unnecessary proteins*, reducing the risk of potential allergic reactions. Xeomin’s highly purified formulation leads to a lower chance of antibody resistance over time. With its proven efficacy and safety, Xeomin stands out as an excellent alternative, providing individuals with a reliable option for achieving a more youthful and rejuvenated appearance. *Am I a good candidate for Injectables?* Ideal candidates for **Xeomin and Jeuveau injectables** are individuals who desire non-invasive procedures *with minimal downtime*. Whether you want to enhance your overall appearance or target specific areas, our experienced team can assess your unique needs and provide personalized recommendations. As temporary solutions, Xeomin and Jeuveau injectables offer the advantage of flexibility. If you need more education before committing to permanent changes or prefer to adjust your treatment over time, these alternatives can be an excellent fit for you. If you'd like more information on these alternatives to Botox **Carmel injectables experts** at The Center for Fully Functional Health can answer any questions you have during your consultation. *What can I expect in my consultation?* At the CFFH, we understand that every individual has unique objectives when it comes to their anti-aging journey. That's why our injectable consultation is designed to provide you with a customized strategy tailored to your specific needs. However, our commitment to your well-being goes beyond injectables. *We offer a multimodal approach to anti-aging*, incorporating cutting-edge treatments like laser therapies, topical solutions, and hormone replacement therapies. When you choose the Center for Fully Functional Health, you gain access to the latest and **most effective anti-aging therapy regimens** available in Indianapolis. Our experienced physicians and dedicated staff are committed to treating the "whole person," addressing not only your physical appearance but also your overall wellness, confidence, self-esteem, and performance. True **anti-aging** is achieved by considering all aspects of your health and creating a comprehensive plan that enhances your well-being from the inside out. *Schedule your Carmel Botox consultation at CFFH today!* To find out if you're a suitable candidate for **Xeomin and Jeuveau injectables** in Carmel, Indianapolis, contact us today. Our experts will guide you through the process and help you achieve your aesthetic goals effectively and safely. Don't hesitate to schedule your appointment and take the first step towards a more youthful and rejuvenated appearance. #### Botox Frequently Asked Questions --- ## Calm IV Therapy **Link:** [Calm IV Therapy](https://fullyfunctional.com/functional-medicine/calm-iv-therapy/) ([md](https://fullyfunctional.com/functional-medicine/calm-iv-therapy/index.html.md)) **Type:** Service **Description:** Experience Calm and Calm Plus IV Therapy at The Center for Fully Functional Health in Carmel, IN. This soothing IV drip delivers essential vitamins and minerals. Book your IV therapy session today. ### Content *Calm & Calm Plus at The Center for Fully Functional Health* When stress runs the show, sleep, focus, and pain tolerance take the hit. Calm and Calm Plus support the nervous system and muscle relaxation while you rest in the IV Lounge. - Calm: magnesium, glycine, taurine. Stress relief & pain relief. $275. - Calm Plus: magnesium, glycine, taurine + glutathione. $350. *What is Calm IV Therapy?* Calm combines magnesium (muscle and nerve support), glycine (inhibitory neurotransmitter), and taurine (calming amino acid) in hydrating fluids. The blend supports tense muscles, overactive stress responses, and post-headache soreness. [.hero-md]Candidates & Safety[] Good fit for most healthy adults who carry muscle tension, stress, or sleep disruption. We review history and meds first. If you have kidney concerns, active infection, or complex allergies, we’ll adjust the formula and rate. [.hero-md]Consultation & Prep[] We’ll map symptoms and goals, then pick Calm or Calm Plus with add-ons that make sense. Eat a light meal, hydrate, and bring a book or headphones. *What the Visit Feels Like* A nurse places a small IV; you settle into a recliner. Calm or Calm Plus typically runs 60–90 minutes, depending on add-ons. We set the rate for comfort and check in throughout. Most patients feel settled before the bag is done. *Results & Follow-Up* Many notice easier sleep the first night, calmer mood the next day, and less muscle tightness. Some schedule during high-stress stretches; others come monthly for maintenance. IV packages offer savings and free BioMat upgrades when available. [.intro]Why The Center for Fully Functional Health[] IV therapy here is run by a functional medicine team with deep clinical experience. Dr. Ellen Antoine and Dr. Scott Antoine oversee protocols, and every drip is mixed and monitored by a skilled clinical staff. Clear reasoning. Clean ingredients. A plan that fits your life. *Schedule Your Calm IV Therapy in Carmel* [.intro]Ready for a quieter nervous system—and a better night’s sleep? Call [(317) 989-8463](tel:(317) 989-8463) or [book online](/contact/).[] #### Calm IV Therapy Frequently Asked Questions --- ## Cellulite Reduction **Link:** [Cellulite Reduction](https://fullyfunctional.com/skin-treatments/cellulite-reduction/) ([md](https://fullyfunctional.com/skin-treatments/cellulite-reduction/index.html.md)) **Type:** Service **Description:** Achieve more youthful looking skin with our non-surgical cellulite reduction treatments in Carmel, IN at the Center for Fully Functional Health. Call for your consultation today! ### Content *Natural Cellulite Reduction* Our Carmel **cellulite reduction** helps smooth away cellulite while also improving the tone and texture of your skin. The Fully Functional Med Spa at The Center of Fully Functional Health uses a unique combination of radiofrequency treatments and Functional Medicine wellness therapies to achieve stunning transformations. The results are not only visually impressive, but they also have a positive impact on your immunity, energy, and ability to heal. By combining our unparalleled integrative care with state-of-the-art aesthetic treatment, *we achieve cellulite reduction without any downtime or discomfort*. Schedule a consultation today to discover what our groundbreaking cellulite reduction package can do for your shape and your confidence. #### Smooth & Firm Naturally *What is Cellulite Reduction?* Cellulite reduction at the Fully Functional Med Spa combines two advanced wellness and aesthetic treatments: - Ballancer Pro Lymphatic Drainage - RF Tripollar Therapy This powerful duo of technologies is backed by extensive clinical research and has proven to **tighten, firm, and tone skin**. By rejuvenating your skin cells and encouraging natural collagen production, Fully Functional Med Spa cellulite reduction produces lasting results. #### Holistic Cellulite Reduction *What are the benefits of cellulite reduction?* Our cellulite treatment at The Center of Fully Functional Health reflects our commitment to **holistic wellness for every patient**, even if your goals are primarily cosmetic or aesthetic. We are dedicated to helping you become Fully Functional from the inside out, and our physicians select cellulite reduction therapies with your whole-body health in mind. With our cellulite reduction package, you can expect to: - Smooth cellulite - Tone and tighten skin - Reduce fine lines and wrinkles - Optimize cellular metabolism to trim inches - Enhance natural healing and athletic recovery - Promote detoxification and boost immunity Because we use *research-backed Functional Medicine therapies* as part of our treatment for cellulite reduction, you will improve your energy and decrease stress while **minimizing cellulite**. As a result, you'll not only look better but also feel better! #### Cellulite Reduction Without Liposuction *Your Cellulite Reduction Procedure* While cellulite may impact your confidence, it doesn't harm your health. That’s why we are committed to treating your cellulite without any potentially harmful side effects. Unlike liposuction or other invasive procedures, your Fully Functional Med Spa experience will be **calming and pain-free**. Sessions in the Ballancer Pro are relaxing – listen to music or a meditation while you experience gentle pressure similar to a massage. Tripollar treatment is also comfortable, thanks to the Legend Pro RF platform’s smart design. Minor swelling and redness is normal, but *you can expect a speedy recovery with no downtime*. #### Smooth Cellulite Without Stress *Cellulite Reduction Recovery & Results* The pair of treatments in our cellulite reduction package will tighten and tone without any challenging side effects. In fact, you’ll only experience the additional benefits of boosted immunity and better energy! We do recommend that you hydrate well before and after treatment to get the best results. Most patients choose to repeat their cellulite reduction package 2-3 times for optimal results, but a single package will still make a visible difference. If you are interested in weight loss or a more comprehensive program, consider upgrading to our Holistic Body Sculpting package or scheduling an all-inclusive Weight Management Focus Appointment package. While you smooth away cellulite and trim inches, we will also treat the root causes of any unwanted weight gain. Contact us to find out more. If you'd like to **find out more about our cellulite reduction** Carmel aesthetic and functional medicine experts at The Center for Fully Functional Health can answer any questions you may have during a consultation. Give us a call! #### Cellulite Reduction Frequently Asked Questions We would love to meet with you one-on-one to help you choose the aesthetic and wellness treatments that are the best fit for your goals. Schedule a consultation today to discover more about our modern Med Spa and Functional Medicine services, including **cellulite treatment**. Together, we can create a customized journey to Fully Functional that helps you live your most confident, energized, and joyful life. --- ## Custom Facials **Link:** [Custom Facials](https://fullyfunctional.com/skin-treatments/custom-facials/) ([md](https://fullyfunctional.com/skin-treatments/custom-facials/index.html.md)) **Type:** Service **Description:** Come to the Center for Fully Functional Health & get your Custom Facial in Carmel from our aesthetic specialists. These luxurious revitalizing treatments cleanse, enrich & revitalize your skin. ### Content #### True self-care is never one-size-fits-all. *Facials in Carmel, IN* That’s why every **facial** we provide includes a complimentary consultation with a world-class Aesthetician, where we will determine the best plan for your needs and recommend products customized to your skin, lifestyle, and health. We also believe in going the extra mile! Every Fully Functional facial also includes the optional of a complimentary [BioMat](/skin-treatments/facials-with-biomat/) add-on, for *noninvasive detoxification and pain relief* as you enjoy your **Carmel Facial treatment**. *Our Customized Facials* Choose from any one of our six **Custom Facials** formulated by our master aestheticians to promote healthy, glowing skin. Enjoy a better value when you plan ahead for your self-care! With our **custom facials** Carmel patients can save 5% on a package of three or 10% on a package of six. *Custom Facial Add-ons* Enhance your **Custom Facial** with any of our add-ons. *Schedule your consultation for a Fully Functional Custom Facial in Carmel* Our expert aestheticians will take the time to understand not only your skin concerns, but the environmental factors that may be playing a part in your skin’s overall health. Schedule your **Custom Facial** consultation today *to kickstart your journey to radiant, healthy skin at Fully Functional*. --- ## Defend IV Therapy **Link:** [Defend IV Therapy](https://fullyfunctional.com/functional-medicine/defend-iv-therapy/) ([md](https://fullyfunctional.com/functional-medicine/defend-iv-therapy/index.html.md)) **Type:** Service **Description:** Defend and Defend Plus IV Therapy at The Center for Fully Functional Health in Carmel delivers Vitamin C, B complex vitamins, zinc, and Glutathione to strengthen immune health. ### Content *Defend & Defend Plus at The Center for Fully Functional Health* Big week ahead? Allergy season hitting hard? Defend and Defend Plus give your immune system more to work with while you rest in the IV Lounge. These physician-formulated drips deliver key nutrients straight into the bloodstream for dependable uptake—no guesswork with digestion. - Defend: vitamin C, vitamin B complex, zinc. Immunity & allergy relief. $220. - Defend Plus: vitamin C, vitamin B complex, zinc + glutathione. $295. *What is Defend IV Therapy?* Defend is a targeted blend of vitamin C, B-complex, and zinc in hydrating fluids. It’s a smart pick for high-exposure weeks, seasonal flares, or the “I can’t get sick right now” window when you need energy and immune support to hold steady. *What is Defend Plus?* Defend Plus adds glutathione, the body’s workhorse antioxidant, for extra support during heavy stress or recovery. Good when you want immune backing and redox balance in the same visit. *Candidates & Safety* A good fit for most healthy adults looking for immune and allergy support. We review your health history first and adjust if you’ve had kidney concerns, complex allergies, or active infection. Minor vein irritation or bruising can happen; we set the rate for comfort. *Consultation& Prep* We’ll match Defend or Defend Plus to your goals, then choose add-ons that make sense. Eat a light meal, hydrate, and bring something to read. *What the Visit Feels Like* A nurse places a small IV; you settle into a recliner. Sessions typically run 60–90 minutes, depending on add-ons. You can nap, answer email, or just breathe while we monitor the infusion. *Results & Follow-Up* Many people feel clearer and more resilient within a day or two. Some schedule monthly during peak allergy or travel seasons; others book as needed. Package options include savings and free BioMat upgrades when available. *Why CFFH* You’re treated by a functional medicine team with deep clinical experience. Dr. Ellen Antoine and Dr. Scott Antoine oversee protocols, and every drip is mixed and monitored by a skilled clinical staff. Clear reasoning. Clean ingredients. A plan that fits your life. *Schedule Your Defend IV in Carmel* Ready to shore up your defenses and keep moving? Call [(317) 989-8463](tel:(317) 989-8463) or [book online](/contact/). #### Defend IV Therapy Frequently Asked Questions --- ## Dermal Fillers **Link:** [Dermal Fillers](https://fullyfunctional.com/injectables-fillers/dermal-fillers/) ([md](https://fullyfunctional.com/injectables-fillers/dermal-fillers/index.html.md)) **Type:** Service **Description:** Experience our expert dermal filler treatments in Carmel, IN at CFFH. Reduce wrinkles, restore volume & enhance natural beauty with FDA-approved fillers. Book today! ### Content *Age Your Way with Injectable Treatments* Advertisements about **injectables** are everywhere, but if you are interested in *reversing the effects of your aging skin*, it is essential to understand the similarities and distinctions between them. To ensure you know the facts surrounding **dermal fillers**, we want you to be as informed as possible so that we can help you make the best treatment choices possible. Drs. Ellen and Scott Antoine have served the Indianapolis region for over two decades, helping patients achieve their aesthetic goals. Wrinkles and fine lines may be reduced or prevented using injectables (also known as **facial or dermal fillers**) a popular cosmetic treatments. These solutions are non-surgical and delivered by a series of injections into the specific locations you have identified as areas of concern. Additionally, our Carmel **dermal fillers** are commonly administered in-office. *What are Dermal Fillers?* Dermal fillers can help create a smoother and more voluminous appearance to your face by **reducing the appearance of wrinkles and fine lines** and enhancing the natural contours of the face. Additionally, dermal fillers can often improve the appearance of acne scars and address the loss of facial fat associated with aging. Many **injectable fillers** also help boost the natural production collagen in the body, which reduces as you get older. Bright, smooth, and young skin is built on the foundation of healthy collagen production. Our dermal fillers are FDA-approved and are considered effective and safe. *Most injectable dermal fillers are only temporary* and require follow-up therapy to maintain results. *How Do Dermal Fillers Work?* Your skin naturally makes something called **hyaluronic acid**, a substance that keeps things hydrated, smooth, and plump. But as time goes on, your body makes less of it, which is why things can start to feel a little less firm or full. Dermal fillers are gentle injections that use a soft gel version of hyaluronic acid to *restore volume, soften lines, and refresh the natural shape of your face*. The filler holds moisture and gives your skin a little support from underneath, which is what helps create that healthy, lifted look. And over time? It even encourages your body to start making more **collagen**. Everything we use is FDA-approved and carefully chosen to match your goals. *Botox Vs Dermal Fillers* [Botox](/injectables-fillers/botox/) and fillers are both **injectable treatments**, but they work in very different ways, and they treat different things. A lot of people choose to combine both treatments for a more complete refresh. *Benefits of Dermal Fillers* This is one of those treatments where you can walk out looking like you, just a little more rested, a little more lifted, and a lot more confident. Whether you're getting ready for a big event or just wanting to feel better in your own skin, **fillers** can help you look as refreshed on the outside as you feel on the inside. Why people love dermal fillers… - Smooths fine lines and deeper creases - Adds fullness to cheeks, lips, or under-eyes - Gently lifts areas that feel saggy or tired - Helps soften acne scars and uneven skin texture - Minimal downtime with results you can enjoy right away - Boosts natural collagen production over time - Non-surgical alternative to more invasive procedures - Long-lasting results (6-18 months depending on treatment) - Customizable and reversible with hyaluronic acid fillers *What Aesthetic Issues Do Dermal Fillers Address?* Dermal fillers are a great option if you're noticing areas that look a little tired, flat, or uneven. They're especially helpful for softening smile lines, lifting sagging cheeks, or brightening up hollow under-eyes. We often use them to gently plump the lips, smooth out surface texture from acne scars, or even correct mild asymmetry in the face. Because fillers come in different consistencies, *we can choose exactly what works best*, whether you're looking for structure, softness, or something in between. *What can I expect in my consultation?* When you come in for your consultation for dermal fillers **Carmel aestheticians** at our MedSpa will provide you with a customized strategy depending on your objectives. However, we have a multimodal *anti-aging approach* that includes treatments such as [laser treatments](/laser-treatments/) and topical or [hormone replacement therapies](/functional-medicine/bioidentical-hormone-replacement/). The Center for Fully Functional Health offers the latest effective *anti-aging therapy*. Furthermore, the physicians and staff at CFFH are dedicated to treating the "whole person" in order to improve your wellness, confidence, self-esteem, and performance. *The Dermal Fillers Procedure* Before we begin anything, *we want to make sure you're comfortable*. Most treatments start with a topical numbing cream, and for more delicate areas (like the lips or under the eyes), we may use a local anesthetic to help take the edge off. Once you're ready, we'll place the filler with precision, using either a fine needle or a smooth-tipped cannula, depending on the area and your unique anatomy. The actual injections usually take **20 to 45 minutes**. You can sit back, relax, and know you're in expert hands. Once we're finished, there's no major downtime; most people head right back into their day. *Dermal Fillers Results* You'll see changes right away: **cheeks look fuller, lips more defined, lines softened**. But it's totally normal for there to be some mild swelling or tenderness at first. Give it about a week or two for everything to fully settle and soften into place. How long your results last depends on the type of filler used and the area treated, but most of our patients enjoy their results for **6 to 18 months**. When you're ready for a refresh, we'll be here to keep everything looking natural and balanced. *Why Choose The Center for Fully Functional Health?* At CFFH, *aesthetics are more than skin deep*. Your beauty and your health go hand-in-hand, which is why every filler treatment here is grounded in whole-body care. Our MedSpa in Carmel is designed to feel warm, welcoming, and private. Dr. Ellen and Dr. Scott Antoine are **nationally recognized leaders in functional and aesthetic medicine**, with *more than 50 years of combined experience* and features in outlets like IndyStar, ABC, and Fox 59. We've been voted Best Integrative Medicine Practice in Carmel three years in a row, not just for our results, but for how we treat people. Whether you're coming in for a quick touch-up or a full facial refresh, you'll leave feeling seen, supported, and beautifully cared for. *Schedule your Carmel Dermal Filler consultation at CFFH today!* Aging is a normal and unavoidable part of life, but therapeutic and behavioral therapy options are needed to slow it down. CFFH welcomes you to schedule an appointment to learn how injectables like Dermal Fillers may help you **decrease the symptoms of aging** and enhance your quality of life. If you are interested in *reducing wrinkles and fine lines*, please call our office now to arrange a consultation appointment. At CFFH, your clinician will assess your skin concerns, discuss your intended goal, and tailor a treatment plan that offers the best options for you! #### Dermal Fillers Frequently Asked Questions --- ## Detox IV Therapy **Link:** [Detox IV Therapy](https://fullyfunctional.com/functional-medicine/detox-iv-therapy/) ([md](https://fullyfunctional.com/functional-medicine/detox-iv-therapy/index.html.md)) **Type:** Service **Description:** Detox and Detox Plus IV Therapy at The Center for Fully Functional Health in Carmel, IN, support hydration, immune health, and natural detox processes. Schedule your IV therapy session today. ### Content *Detox & Detox Plus at The Center for Fully Functional Health* Long week, heavy exposures, or just feeling off? Detox and Detox Plus give your system extra support while you rest in the IV Lounge. - Detox: Myers Cocktail with glutathione. $250. - Detox Plus: Myers with glutathione & phosphatidylcholine. $500. *What is Detox IV Therapy?* Detox pairs the classic Myers Cocktail—vitamin C, B vitamins, and key minerals—with glutathione, the body’s workhorse antioxidant. The blend supports cellular repair, redox balance, and hydration. *What is Detox Plus?* Detox Plus adds phosphatidylcholine (PC) to Myers + glutathione. PC supports healthy cell membranes and lipid transport—helpful during recovery phases or when exposures stack up. *Candidates & Safety* A solid fit for most healthy adults seeking detox support, hydration, and a reset after stress or travel. We review history and meds first. If you’re pregnant, have complex allergies, or active infection, we’ll adjust the plan or choose another route. *Consultation& Prep* We’ll map symptoms and goals, then choose Detox or Detox Plus with the right add-ons. Eat a light meal, hydrate, and bring something to read. *What the Visit Feels Like* A nurse places a small IV; you settle into a recliner. Sessions run 60–90 minutes, depending on add-ons. We set the rate for comfort and monitor throughout. *Results & Follow-Up* Many people feel clearer within 24–48 hours—better focus, fewer “toxic” aches, and steadier energy. Some book monthly; others time sessions around travel, heavy work stretches, or recovery windows. Package options include savings and free BioMat upgrades when available. *Why CFFH* IV therapy here is run by a functional medicine team with deep clinical experience. Dr. Ellen Antoine and Dr. Scott Antoine oversee protocols, and every drip is mixed and monitored by a skilled clinical staff. Clear reasoning. Clean ingredients. A plan that fits your life. *Schedule Your Detox IV in Carmel* Ready to feel lighter and more clear-headed? Call [(317) 989-8463](tel:(317) 989-8463) or [book online](/contact/). #### Detox IV Therapy Frequently Asked Questions --- ## Dry Needling **Link:** [Dry Needling](https://fullyfunctional.com/functional-medicine/dry-needling/) ([md](https://fullyfunctional.com/functional-medicine/dry-needling/index.html.md)) **Type:** Service **Description:** At the Center for Fully Functional Health in Carmel, Dry Needling involves inserting needles into muscles at trigger points to reduce your pain. Relieve your pain today! ### Content #### Triggering Great Health *Dry Needling in Carmel at The Center for Fully Functional Health* [.intro.highlight-color.italic]Dry Needling[] [.intro.highlight-color]is an outpatient treatment similar to acupuncture in which fine, short stainless steel needles (25-gauge or thinner) are inserted into your skin and muscle at trigger points to [][.intro.highlight-color.italic]relieve your pain and inflammation.[] Your muscles contract in reaction to treatment, which helps alleviate the symptoms of your condition. At The Center For Fully Functional Health in Carmel **Dry Needling** can help you achieve your goal of being Fully Functional, which means you’re feeling your healthiest, most productive, and most joy-filled self. Enter a zone where your everyday activities are no longer dictated by pain, weariness, or tension. #### What is Dry Needling? *Take Control of Your Health* *Dry Needling aims to relieve discomfort*, inactivate trigger points, and restore function to muscle tissue. **Dry Needling may help with shoulder, neck, heel, hip, and back pain**, among other musculoskeletal conditions. It is seldom performed as a stand-alone therapy. Instead, it is often used as part of a broader physical therapy program that includes other traditional physical therapy modalities. [Sports Medicine Physical Therapy](/functional-medicine/sports-medicine-physical-therapy/) at The Center for Fully Functional Health offers a comprehensive and optimally tailored treatment plan to support your best physical performance and comfort. #### Transform your daily life *What are the benefits of Dry Needling?* With **Dry Needling** Carmel patients may effectively alleviate certain types of muscle pain and stiffness. Additionally, reducing the tension at your trigger points may help to enhance your flexibility and range of motion. As a result, *dry needling is often utilized to treat sports injuries, muscular pain, and even pain associated with fibromyalgia or other autoimmune conditions*. #### Find Relief *What's the difference between dry needling and acupuncture?* Stainless steel needles are used in both *acupuncture and Dry Needling*, and both methods promise to alleviate pain. However, acupuncture focuses on opening channels of energy in various areas of the body, *while Dry Needling offers much more direct stimulation of specific pain points designed to trigger immediate muscle release and pain relief*. Make an informed decision about your treatment options by understanding the differences. Then, schedule your Carmel **Dry Needling** consultation at The Center for Fully Functional Health and trigger pain relief. #### Your Dry Needling Procedure *Pain Relief Without Surgery* **Dry Needling**, or *intramuscular stimulation*, employs fine needles in your muscle or tissue at your “trigger sites.” Because the needles used do not deliver any medication to your body, the process is called “Dry” Needling. *The needles help release knots of inflammation or muscle spasms to alleviate any muscular soreness or twitches that may be present*. For a brief time, the needles rest in your skin, and your doctor determines the duration. #### Dry Needling Recovery & Results *Celebrate Optimal Health* Many patients report that a noticeable portion of their pain is alleviated after one **Dry Needling** session. However, depending on your treatment plan, additional treatments may be needed. Better mobility is seen immediately in many situations, and *pain reduction may be felt within 24 hours*. In most cases, a few therapy sessions (once a week for two to three weeks) provide long-lasting, optimal results. #### Schedule your Carmel Dry Needling session today at The Center for Fully Functional Health. *Meet Leading Experts in Integrative Healthcare* Drs. Ellen and Scott Antoine, co-founders of The Center for Fully Functional Health, are sometimes referred to as “medical detectives” or “Swiss Army knives” of the medical profession. They have decades of expertise in diagnosing the roots of inflammation, autoimmune, and chronic disease and developing treatment strategies that reduce symptoms while restoring you to becoming Fully Functional. They frequently recommend treatments like **Dry Needling in Carmel** with their highly qualified on-site Physical Therapist, Lauren Boscaini (PT, DPT, CMTPT). Tens of thousands of patients have benefited from The Center for Fully Functional Health’s five-step unique protocol and *tailored treatment programs*, including a range of supplements/nutraceuticals and modalities. We can improve your health and your life by working together. Learn more about how **Dry Needling can help you** by scheduling your appointment today. #### Dry Needling Frequently Asked Questions --- ## Facials With BioMat **Link:** [Facials With BioMat](https://fullyfunctional.com/skin-treatments/facials-with-biomat/) ([md](https://fullyfunctional.com/skin-treatments/facials-with-biomat/index.html.md)) **Type:** Service **Description:** At the Center for Fully Functional Health in Carmel, BioMat Therapy naturally promotes deep muscle relaxation and increased circulation, essential steps to becoming Fully Functional. ### Content #### Relax and rejuvenate on your way to Fully Functional *BioMat Therapy in Carmel, IN* CFFH *BioMat Therapy naturally promotes deep muscle relaxation and increased circulation*, essential steps to becoming Fully Functional. [Pillar Three](https://fullyfunctional.com/services/) of becoming Fully Functional is to optimize! That means taking steps to detoxify your body and restore optimal function. Our Carmel BioMat therapy is a great way to do just that. Experience increased resilience to sickness, improved sleep, reduced brain fog, and enhanced focus. It is also an enjoyable and relaxing experience – perfect for self-care! #### The Path to Wellness begins here. *What is BioMat?* *BioMats are filled with amethyst stone and emit far-infrared deep heating therapy and negative ions*. Amethyst is highly conductive and allows the two therapeutic elements to be more effective, penetrating deep into your tissues. Our Richway Amethyst **BioMat** is FDA-approved for relaxing muscles and increasing circulation. BioMat therapy offers cutting-edge NASA technology to improve your health using infrared wavelengths and negative ions. #### Restore Balance To Your Health *What are the benefits of BioMat?* In our office in Carmel **BioMat** has been seen to be effective for reducing inflammation, stress reduction, and more *effective detoxification* in those with chronic illness. - Enhanced detoxification - Reduction in body fat - Better circulation - Boosted immune system health - Improved joint stiffness - Stress reduction Some patients continue therapy because it makes them feel fantastic. Dr. Ellen sleeps on hers every night! #### Unwind and Heal *Who is a candidate for BioMat therapy?* Many of our patients with chronic illness are looking for more effective detoxification and methods of reducing inflammation, and **BioMat** therapy can help. That said, optimal detox pathways and low inflammation levels can really benefit anyone. Signs you should consider **BioMat therapy in Carmel** include: - Chronic fatigue - Frequent illness - Poor sleep pattern - Adrenal dysfunction - Unexplained joint pain - Feeling chronically stressed - Chronic muscle aches and pains - A desire to optimize detoxification If you relate to any of these symptoms or are interested in promoting better detoxification and reducing inflammation, consider trying *BioMat therapy*. It is incredibly safe and offers many benefits with little-to-no side effects. #### Boost Your Overall Health Without Drugs *How does BioMat technology work?* The **BioMat** stimulates the circulatory and autonomic nervous systems and is an extremely relaxing treatment. You simply lay on the BioMat for 15-30 minutes, depending on what is recommended by your doctor. Living a Fully Functional life means optimizing your body and mind for overall wellness. [Get Started](/contact/) #### Conquer Tension and Fatigue *Negative Ions for Positive Results* Yes, you read that correctly! Negative ions are abundant in nature, especially in waterfalls, ocean surf, beaches, mountains, and forests. While using **BioMat** Carmel patients often report feeling very relaxed and sometimes having a sense of euphoria. *The BioMat emits negative ions*, which can help to: - Purify the blood - Neutralize free radicals - Increase serotonin levels - Enhance immune function - Revitalize cell metabolism - Balance the autonomic nervous system - Boost energy and improve mental health - Promote deep sleep and healthy digestion [Get Started](/contact/) *BioMat therapy options include:* Our cutting-edge treatments and hands-on care from our doctors are designed to enhance and accelerate your overall health and healing. #### Join the Self-Care Revolution *Schedule your Carmel BioMat appointment today at The Center for Fully Functional Health.* With the help of *BioMat therapy*, you can relieve tension, improve your circulation, and become Fully Functional. So take steps to detoxify and restore function with our non-invasive, relaxing treatment - it's worth the time and effort because of the incredible benefits you'll receive! Book your BioMat session today. #### BioMat Therapy *Frequently Asked Questions* --- ## Full Body Red Light Therapy Pemf **Link:** [Full Body Red Light Therapy Pemf](https://fullyfunctional.com/functional-medicine/full-body-red-light-therapy-pemf/) ([md](https://fullyfunctional.com/functional-medicine/full-body-red-light-therapy-pemf/index.html.md)) **Type:** Service **Description:** At the Center for Fully Functional Health, Red Light Therapy is a quick, comfortable treatment that encourages powerful healing so you can continue your journey to Fully Functional. ### Content #### Red Light Therapy *Therapeutic Healing Tailored To You* [.intro.highlight-color]CFFH[] [.intro.highlight-color]**Red Light Therapy in Carmel**[] [.intro.highlight-color]is a quick, comfortable treatment that encourages powerful healing so you can continue your journey to Fully Functional. Mitochondria are the powerhouses inside your cells that produce adenosine triphosphate (ATP), which serves as energy-rich cellular fuel.[] When your cells are more energized, they can perform their functions better, faster, and more efficiently. *Red Light Therapy exposes you to safe wavelengths of light that penetrate your skin*, allowing your mitochondria to soak it up. This, in turn, allows all of your bodily systems to function more optimally as you experience healing from within. Get the facts about improving your wellness with the **Full Body Red Light Therapy with PEMF** offered at the Center for Fully Functional Health in Carmel, IN. Learn more when you schedule your session today! *Red light therapy can promote healing in skin and muscle tissue*, making it ideal for injuries, chronic pain, wrinkles, and scarring​. [Get Started](/contact/) #### What is Red Light Therapy? *Restore & renew on a cellular level​.* *Red Light Therapy aids in restored and renewed cellular health, the basis for all healing*. Think of **Red Light Therapy** as nourishment for your cells, contributing to your overall well-being. If you are unsure which treatment option is right for you, we are happy to assess your situation and advise a protocol. *What are the benefits of Red Light Therapy?* Living a Fully Functional life means feeling relaxed and youthful. Our Carmel **Red Light Therapy** can help your body heal from a variety of ailments and conditions. It’s also a great preventative measure to *ensure your cells perform optimally to keep you Fully Functional for life*. Benefits include: - Improved mood - More restful sleep - Boosted immunity - Enhanced brain function - Better pain management - Reducing oxidative stress - Upgraded physical performance and shorter recovery times - Increasing collagen production for healthier, plumper looking skin With **Red Light Therapy** Carmel patients do not need to schedule an appointment with one of our physicians, so you can get started today and start enjoying the benefits immediately. #### Who can benefit from Red Light Therapy? *Am I a good candidate for Red Light Therapy?* *Red light provides therapeutic benefits without the harmful effects of ultraviolet (UVA/UVB) rays*. It’s safe and painless, making it an excellent option for anyone experiencing: - Seasonal Affect Disorder (SAD) - Need for muscle growth and exercise recovery - Depression - Chronic or acute pain - Back pain - Skin health, tone, and texture - Inflammation - Scars and stretch marks - Immune dysfunction - Impaired cognitive function *The FDA clears this type of therapy to treat fine lines and wrinkles, joint pain, and many other conditions*. However, it’s important to note that *Red Light Therapy does not cure these conditions*. Instead, it promotes your body’s own healing mechanisms – something traditional medications do not do. As a result, **Red Light Therapy** may reduce the duration of your medication needs, making it a complementary treatment to all of the other services we offer at CFFH. *Boost your vitality on the way to Fully Functional* **Red Light Therapy** is a pleasant and relaxing healing experience. Michael Hambline, a photomedicine researcher at Harvard Medical School, says, *“Red light therapy may help you recover from exercise, sleep better, heal injuries, reduce arthritis – and it may simply make you feel better, which is something that’s hard to quantify*.” We want to help you begin the process of becoming Fully Functional for life! For many of our patients, Red Light Therapy increases overall healing and quality of life. [Get Started](/contact/) #### Function | Repair | Regenerate *What is PEMF Therapy, and how can it enhance your Red Light Therapy?* **PEMF** (*Pulsed Electromagnetic Field Therapy*) is an excellent companion to **Red Light Therapy**, which is why we at the Center for Fully Functional Health offer this combination treatment for enhanced results. PEMF supports cellular regeneration to promote optimal repair and recovery. Furthermore, using Red Light Therapy before participating in any sport or activity has been shown to improve tissue performance. When it comes to pain treatment, PEMF is a potent and well-established technique that can be added to employ magnets to generate pulsating, moving energy. *PEMF treatment has been approved by the FDA to fuse bones and relieve swelling and joint discomfort*. Another key effect of red light treatment with **PEMF** is the triggering of the release of nitric oxide, a naturally occurring molecule in your body that is crucial for healthy circulation. Studies have confirmed that increased blood flow to a localized location results in more oxygen being delivered to the area, aiding the healing and regeneration of injured tissue. For more than 60 years, this technique has alleviated pain and edema in soft tissue injuries, making it the ideal companion treatment to maximize the healing results of **Red Light Therapy**. *The powerful combination of Red Light Therapy and PEMF gives your body the energy it needs to function, repair, and regenerate*. [Learn More About PEMF](/functional-medicine/pulsed-electromagnetic-frequency/) #### Your Personalized Treatment Plan *Take the First Step Toward Fully Functional Living* *Red Light Therapy is available by the individual session, or save 10% when you book a package of four sessions*. We always reward you for making consistent self-care a priority! Not sure whether **Red Light Therapy in Carmel** is right for you? Ask about a complimentary 15-minute consult with our MedSpa Health Coach to create the right package for your personal health needs and goals. *Schedule your Carmel Red Light Therapy consultation at CFFH today* [.intro.highlight-color]Among the many *MedSpa* treatments available at The Center for Fully Functional Health in Carmel,[][.intro.highlight-color] **Full Body Red Light Therapy with PEMF**[] [.intro.highlight-color]is one of the most effective at combating inflammation, maximizing healing, and reducing the signs of aging.[] This therapy allows all of your body’s systems to perform optimally, helping you improve pain management, decrease oxidative stress, and achieve your health objectives. *Make an appointment for a Red Light Therapy treatment at our Carmel office and discover what it means to become Fully Functional from the inside out*. #### Red Light Therapy Frequently Asked Questions --- ## Health Coaching **Link:** [Health Coaching](https://fullyfunctional.com/functional-medicine/health-coaching/) ([md](https://fullyfunctional.com/functional-medicine/health-coaching/index.html.md)) **Type:** Service **Description:** Our Carmel Health Coaching at the Center for Fully Functional Health supports key mindset and behavior changes, plus help customize your diet and lifestyle plan to your health goals. ### Content *Key Mindset And Behavior Changes* Our **Health Coaches** support key mindset and behavior changes, plus help *customize your diet and lifestyle plan to your health goals*. *Implement Your Personalized Fully Functional Treatment Plan* Health Coaching in a doctor’s office setting offers so much more than standard Health Coaching. CFFH *Health Coaching* supports you in making transformational health behavior changes, so you can implement your personalized Fully Functional treatment plan and get your life back. Our Carmel **Health Coaching** bridges the gap between your doctor’s medical recommendations and successfully implementing custom diet, mindset, and lifestyle changes by helping you: - Identify personal values - Break harmful habits - Create healthy habits - Develop inner body wisdom - Establish a healthy relationship with food - Create a positive relationship with your body - Become actively involved in your own healing process - Make your health goals a reality *Health Coaching Tailored To You* *Our Health Coaching is customized to your health concerns and long-term goals*. It’s Health Coaching that meets you where you are today. In individual programs, we look at your daily life and find solutions that work for you. This is a one-on-one approach that gives you extra attention and care at your most delicate times. In the group **Health Coaching** setting, not only do you have the support of your doctor and a *certified Health Coach*, but you get the added support of other patients who know exactly what you’re going through. That connection through shared experience is priceless. Health Coaching is a critical step in the healing process for so many of our patients – both in individual sessions and group settings. [Get Started](/contact/) #### Coaching empowers you to make lasting change *Your Success Depends on YOU* When it comes to truly turning your health around, a huge part of your success depends on YOU. *You’ll need to implement diet, mindset, and lifestyle changes for your body to fully heal and detox, so you have the best possible chance to reverse any damage and optimize your health.* We know firsthand how hard it can be to replace unhealthy habits with new, positive ones. Relying on willpower alone is almost never successful! That why we offer our patients **Health Coaching in Carmel**. Health Coaching programs offer you the support and tools you need to succeed on your health journey and turn your life around. You never have to go it alone. *What does Health Coaching look like?* You might be wondering what to expect with *Health Coaching*! Our coaching programs are completely customized to fit your needs, meaning much will depend on your current health. For patients with more complex conditions or difficult symptoms, we often recommend individualized **Health Coaching** so you can benefit from intensive one-on-one attention. As you progress, you can move into our group coaching programs for ongoing accountability and a place to share your successes throughout your health journey. #### Coaching Sessions And Types Of Support To Your Goals *We offer Health Coaching in person at our Carmel office, or online via telemedicine/video calls.* Your **Health Coach** will receive direction and input from our physicians about your specific needs. We then customize the frequency of your coaching sessions and types of support to your goals. That may include *strategies to address your stress*, *meal planning*, *accountability* and *encouragement*, or help creating a schedule that facilitates the implementation of your treatment plan. [Get Started](/contact/) *Save money and time on your way to Fully Functional* With our **Health Coaching** Carmel patients are never without support and answers. Coaching has the potential to save you unnecessary appointment and medication costs, as well as keep you from missing out at work and home because of your health. Most of all, *coaching offers you even more resources to permanently improve your health and become more healthy, joyful, and fulfilled*. *Our coaching packages include:* --- ## Holistic Body Sculpting **Link:** [Holistic Body Sculpting](https://fullyfunctional.com/body-sculpting/) ([md](https://fullyfunctional.com/body-sculpting/index.html.md)) **Type:** Service **Description:** Our holistic body sculpting in Carmel at the Center for Fully Functional Health, combines the best of non-invasive, non-surgical body sculpting techniques. Learn more today! ### Content *Holistic Body Sculpting* Our Holistic **Carmel Body Sculpting** in is a safe, modern way to trim inches and minimize the appearance of cellulite without any downtime. The Fully Functional Med Spa takes a natural approach to Body Sculpting that reflects the exceptional integrative care offered by The Center of Fully Functional Health. As you tone your skin and erase bloating and stretch marks, you’ll also fight systemic inflammation and enhance your body’s overall detoxification and fat burning. The results are not only an impressive change in your appearance, but also *noticeable improvements in your energy, mood, and immunity*. Discover what our innovative Body Sculpting can achieve when you schedule a consultation today. #### Tighten & Tone Naturally *What is Holistic Body Sculpting?* **Holistic Body Sculpting** at the Fully Functional Med Spa combines four state-of-the-art wellness and aesthetic treatments: - Ballancer Pro Lymphatic Drainage - Red Light Therapy with PEMF - Full Spectrum Sauna - Laser RF Microneedling These Body Sculpting therapies feature FDA-cleared technology and are clinically proven to *firm and tone without invasive procedures or scary side effects*. Even better, our world-class Functional Medicine physicians hand-selected this suite of treatments to ensure you also address common root causes of weight gain, cellulite, and sagging skin. Our goal is always to help you become Fully Functional from the inside out. #### Body Contouring That Improves Overall Health *What are the benefits of Holistic Body Sculpting?* - Tighten and tone skin - Smooth stretch marks and cellulite - Improve detoxification and immunity - Enhance overall healing and relieve pain - Increase your natural ability to burn fat and build muscle - Trim inches overall, especially in the abdomen, hips, and thighs Traditional Body Sculpting treatments like liposuction, CoolSculpt, and EMSculpt might mention the first few benefits on that list, but they will never be able to improve your overall wellness or match the consistent results of Holistic Body Sculpting. By using science-backed **Functional Medicine** therapies, we ensure that you feel just as amazing as you look! No surgical procedures or scary side effects involved. Our natural Body Sculpting therapies are rigorously researched and proven effective, making them a good fit for almost anyone looking to **contour their shape** and improve whole-body signs of aging. With our Body Sculpting program, you can expect to: #### Relax & Rejuvenate *Your Holistic Body Sculpting Procedure* Our patients typically find the therapies included in the Holistic Body Sculpting package *very relaxing*. Sessions in the Ballancer Pro, Red Light with PEMF, and Full Spectrum Sauna are restful and involve sitting or laying down while you experience gentle pressure or heat. All you need to do is hydrate before and after to ensure the best possible results! Because of the Legend Pro laser’s thoughtful design, most patients do not require numbing before RF Microneedling. Some swelling and redness is normal, but **recovery is quick**. You can expect to return to normal activities right away. #### Love Your Body *Holistic Body Sculpting Recovery & Results* The treatments in our natural Body Sculpting program are designed to simultaneously improve your overall health as you achieve the desired body changes, so *there is no downtime involved*. In fact, pain relief and better healing are happy “side effects” of three of the four therapies included in our Body Sculpting package. We’re betting you feel more energized than ever by the time your Body Sculpting is complete! If you want to maximize your results or burn more fat, consider upgrading your package with Trim IV Therapy. We also offer all-inclusive Weight Management Focus Appointment packages to find and address the root causes of any unwanted weight gain. If you'd like to **find out more about our Holistic Body Sculpting** Carmel aesthetic experts at The Center for Fully Functional Health can answer any questions you have during a consultation. Call us today! #### Holistic Body Sculpting Frequently Asked Questions Taking charge of your journey to Fully Functional includes *choosing the aesthetic treatments that are right for you*, and our team is happy to meet one-on-one to discuss your goals. Learn more about the advanced Med Spa services and Functional Medicine protocols offered at CFFH, like Body Sculpting in Carmel, IN, by scheduling your consultation today. --- ## Hydrafacial **Link:** [Hydrafacial](https://fullyfunctional.com/skin-treatments/hydrafacial/) ([md](https://fullyfunctional.com/skin-treatments/hydrafacial/index.html.md)) **Type:** Service **Description:** The Center for Fully Functional Health in Carmel provides soothing, hydrating, refreshing, and calming HydraFacial treatments year-round. Treat yourself or your teenager to a HydraFacial today! ### Content #### Experience A Facial Oasis *Soothing Hydrafacial Treatments in Carmel, IN* Healthy skin is essential. Give your skin the attention it deserves with a **Hydrafacial in Carmel**, at the Center for Fully Functional Health. *Our Hydrafacial treatments thoroughly cleanse your face, eliminate blackheads and other impurities*, and moisturize dry or damaged skin to leave you feeling rejuvenated. CFFH's *Hydrafacial* treatments are great for soothing and calming damaged skin while you unwind in our peaceful setting. Allow us to pamper you with one of our hydrating facials today! #### Hydrate Your Skin *What is Hydrafacial?* It all starts with a thorough cleaning of the face, followed by exfoliation and pore extraction, before applying a nourishing serum to finish. Your Clinician may use unique "*HydraPeel*" attachments to gently remove old, dulling skin cells while simultaneously infusing your face with healthy and refreshing ingredients such as *antioxidants*, *peptides*, and *hyaluronic acid*, according to your skin's needs. Our facials may be enjoyed as a soothing treatment or as part of a customized skincare routine to keep your skin looking and feeling young and fresh. Every Fully Functional *MedSpa ***Hydrafacial** includes a complimentary consultation with one of our world-class Aestheticians to ensure we choose exactly the right products for your skin and goals. #### Medically Approved Anti-Aging Effects *What are the benefits of Hydrafacial?* Take advantage of the revitalizing advantages of a professional facial treatment. Relax in our warm and friendly setting as you are treated to a therapeutic massage that provides benefits such as improved circulation and reduced appearance of blemishes. Our Carmel **Hydrafacials** are safe for all skin types and tones, and the process enhances the tone and texture of your skin. *Our facials also stimulate your lymphatic system*, which helps to reduce the collection of fluid beneath your skin that can cause puffiness and fluid accumulation. Plus, eliminating dead skin encourages your body to produce new skin cells and prevents pores from clogging, which might help you avoid blackheads. Rosacea patients often have few alternatives for caring for their sensitive skin. Treatments similar to *Hydrafacials* have been demonstrated in trials to help certain forms of Rosacea. Your Aesthetician will ensure that your skin is correctly cared for to get the best outcomes possible for your skin type. #### Rejuvenate and Recharge *Am I a good candidate for Hydrafacial?* *Hydrafacial treatments allow even the most sensitive skin to benefit from the moisturizing advantages of softer, brighter skin*. Your non-invasive Hydrafacial will feel as relaxing as a classic facial, yet the suction technology in the Vortex Fusion wand will thoroughly cleanse, exfoliate, extract, and nourish your skin. Uneven tone and texture, fine lines and wrinkles, hyperpigmentation, and loss of elasticity are all addressed by the proprietary **Hydrafacial** moisturizing serums, which include a combination of antioxidants, peptides, and hyaluronic acid. During your appointment, your aesthetic expert will examine your skin-related issues and create a treatment plan that is right for you. For best skincare maintenance, further *Hydrafacial treatments may be suggested on a regular basis*, and we offer package pricing to ensure you are rewarded for prioritizing your self-care. #### Rejuvenate and Recharge *Your Hydrafacial Procedure* Your medical specialist will begin by making you feel at ease in our treatment room. The extraction wand exfoliates and cleanses your face, removing dead skin cells, oil, and grime. The unique wand then administers restorative serums to hydrate your skin while your pores are suctioned. Light therapy or other extra boosters specific to your skin type are often used as the last phase of your *Hydrafacial*. Your treatment will take between 30 and 60 minutes, depending on which **Hydrafacial** Carmel patients select. #### Say Yes to Hydrafacial treatments! *Hydrafacial Results* **Hydrafacial treatments conform to your skin type**. There is little to no risk of irritation and no downtime. You will see brighter, more luminous skin right after your treatment, which will last seven to ten days. Furthermore, unlike other treatments, *you will not encounter any redness or peeling*, allowing you to apply makeup and continue your normal activities. #### Hydrafacial—Your Guarantee for Feeling Beautiful *Schedule your Carmel Hydrafacial consultation at CFFH today* The Fully Functional *MedSpa* provides **Hydrafacial treatments for men and women in Carmel, Indianapolis**, and the surrounding regions. HydraFacial treatments exfoliate and moisturize your skin, resulting in remarkable results. Additionally, *Hydrafacial treatments help enhance the appearance of acne, dryness, and wrinkles*. Make an appointment for your Hydrafacial consultation today. #### Hydrafacial Frequently Asked Questions --- ## Infrared Sauna Therapy **Link:** [Infrared Sauna Therapy](https://fullyfunctional.com/functional-medicine/infared-sauna-therapy/) ([md](https://fullyfunctional.com/functional-medicine/infared-sauna-therapy/index.html.md)) **Type:** Service **Description:** Forget those stuffy, overheated saunas at health clubs! The Center for Fully Functional Health in Carmel has Infrared Sauna Therapy, which is a superior, more enjoyable option. ### Content Forget those stuffy, overheated saunas at health clubs! **Infrared Sauna Therapy** is a superior, more enjoyable option. *Infrared sauna therapy can help you detox, reduce inflammation, andreach your ideal weight​.* In fact, *you can burn up to 600 calories in just one session*! Infrared waves are able to penetrate your body deeply and raise your core temperature. However, they are about 50°F cooler than traditional saunas, making it a much more comfortable experience. Our Carmel **Infrared Sauna Therapy** is incredibly pleasant, and our patients often leave feeling revitalized and refreshed. Dr. Ellen and Dr. Scott even have one in their home! Benefits include: - Enhanced detoxification - Reduction in body fat - Better circulation - Boosted immune system health - Improved joint stiffness - Stress reduction *Whole-body Wellness Tailored to You* When receiving **Infrared Sauna Therapy** Carmel patients can help in treating the following health concerns: - Cardiovascular disease - Chronic fatigue - Chronic infections - Chronic pain - Detoxification of metals & mycotoxins - Diabetes - High blood pressure - Weight loss We selected our top-of-the-line *Clearlight Sanctuary Sauna* because this state-of-the-art device offers many benefits that other *infrared saunas* don’t, including full spectrum light with near, mid, and far infrared wavelengths, *Chromotherapy*, and *low EMF/ELF emissions*. *Living a Fully Functional Life means feeling your very best, and our sauna can help.* *Did you know that sweating is a major detoxification pathway for your body*? In today’s modern world, you are constantly bombarded by toxins, which require proper detoxification – from the soap you use on a daily basis to the air you breathe. **Infrared saunas are an effective therapy** to promote sweating and detoxification. A few major toxins excreted through sweat are arsenic, lead, mercury, BPA (a chemical used to make plastics), mycotoxins (toxins from mold), and phthalates (a group of chemicals used to make hundreds of products). [Get Started](/contact/) #### You know that runner’s high people talk about getting with exercise? *Feel Refreshed & Energized​* That’s from your body releasing hormones called “endorphins.” Endorphins help reduce anxiety while boosting your mood, leaving you with a feeling of pleasure and euphoria. *Infrared Sauna Therapy* has been shown to give you a natural boost of endorphins by increasing your body’s core temperature. *As a result, you feel rejuvenated and relaxed after just one quick session*. Come rejuvenate and reset your body by relaxing in the comforts of one of the best **Infrared Sauna Therapy** Carmel has to offer! With our expertise, we want to help you begin the healing process from within and help guide you to becoming Fully Functional for life. *Who is ​infrared sauna therapy for?* Those wanting to *improve detoxification*, *support weight loss efforts*, *improve cardiovascular and immune health*, and *boost their mood and energy* could benefit from our **Infrared Sauna Therapy**. One of our favorite reasons to use our *infrared sauna* is to support weight loss. It increases your body’s core temperature, causing it to react as if you were exercising while you are actually relaxing! *If you struggle with pain, osteoarthritis, cardiovascular disease, or respiratory problems that make exercise difficult for you, using infrared saunas for weight loss can be extremely beneficial*. On the other hand, if used in conjunction with exercise you can reap compounded benefits. *Infrared sauna therapy enhances the wellness efforts for many of our patients.* *Saunas are safe and effective for most people*. However, people with uncontrolled high blood pressure or those you are pregnant should check with our physicians. It’s also important to *stay well hydrated before and after a sauna session*. [Get Started](/contact/) *Relax and rejuvenate on your way to Fully Functional* Pillar Three of becoming Fully Functional is to optimize! That means taking steps to *detoxify your body and restore optimal function*. Our **Infrared Sauna Therapy** is a great way to do just that. Infrared waves are able to penetrate your body deeply, energizing your detox pathways and promoting cellular healing. It is also an incredibly pleasant and relaxing experience – *perfect for self-care*. #### Schedule Your Infrared Sauna Therapy Consultation *Infrared Sauna Therapy in Carmel, Indiana* --- ## IV Lounge **Link:** [IV Lounge](https://fullyfunctional.com/functional-medicine/iv-lounge/) ([md](https://fullyfunctional.com/functional-medicine/iv-lounge/index.html.md)) **Type:** Service **Description:** At the Center for Fully Functional Health in Carmel, IV Therapy is one of the most popular treatments among our patients. This is because it designed to nourish, detoxify, and restore. ### Content *Going from Good to Great atThe Center for Fully Functional Health in Carmel, IN* [.intro.highlight-color]IV Therapy is a Fully Functional delivery and dosing system for optimal absorption and health.[] [.intro.highlight-color]The *Fully Functional IV Lounge* offers a curated menu of physician-formulated IVs and IM injections designed to nourish, detoxify, and restore.[] Remember, where you get your IV matters. IVs deliver their contents directly to your cells, making safety and quality absolutely paramount. *Every Fully Functional MedSpa IV is carefully administered by our world-class clinical team*. We source the highest quality ingredients and do all we can to ensure your Carmel **IV Therapy** experience is comfortable and health-transforming. Get started with your IV package today and experience what it means to live Fully Functional from the inside out! *What is IV Therapy* CFFH *Intravenous Therapy*, or **IV Therapy**, is one of the most popular treatments among our patients. This is because it boosts nutrients specific to your condition for faster relief. IV Therapy also aids in detoxification and support overall optimal cellular health and function. *IV Therapy Tailored To You* We offer a selection of *IV therapies* we have found most effective for our patients over the years. When you have an IV administered at our office, it is prescribed based on your personal needs. The Center for Fully Functional Health takes extensive measures to ensure the safest and highest quality **IV Therapy in Carmel**. As IV therapy delivers nutrients directly to your blood stream, it is imperative that every ingredient is safe and beneficial to your overall health. We are extremely selective of the ingredients we offer and our doctors personally research each formulation and supervise each treatment for optimal results. *Each of our ingredients are made in a pharmacy that is controlled by the FDA, is registered, and licensed*. As a result, the purity and sterility of our IV formulations meet or exceed the requirements of the most demanding safety standards. *Living a Fully Functional life requires proper nutrient absorption and levels.* **IV therapy** bypasses the gastrointestinal tract, preventing common side effects of taking vitamins and minerals, such as stomach upset and diarrhea. Design *your personalized IV therapy* from our signature *nutrient formulas*, *detox formulas*, *oxidative formulas* (high-dose vitamin c), *energy-boosting formulas*, and *immune health formulas*. Physician-curated *IV Therapy* formulas offered are: *Additional IV Lounge services include:* Infusion treatment is a significant advantage for any of our patients who are coping with a chronic condition. With **IV Therapy** Carmel patients get assistance with correcting imbalances in the body more quickly and without causing additional symptoms. #### What are the benefits of IV Therapy? *PersonalizedIV Therapy* *IV Therapy has rehydrating, rejuvenating, and renewing effects that help to keep your mind and body healthy and strong*. **IV Therapy can also boost your immune system, digestion, and mitochondrial function**, which enables you to battle illness more effectively. In addition, it can aid in athletic recuperation, the relief of migraine and hangover symptoms, and the enhancement of mental concentration, mood, and libido, to name a few benefits. When nutrients are deposited directly into your bloodstream, they are absorbed by your cells faster. The benefits include: - Optimal nutrient absorption - Quick cellular access to nutrients - Immune system support - Detoxification support - Nutrients bypass the digestive tract (especially helpful to anyone who has dysfunctional absorption) - Boosted cellular energy processes and production (noticeable in day-to-day energy levels) *IV Therapy helps many of our patients feel better, faster.* Many of our IVs benefit the general public, including our *Myers Cocktail* and *athletic recovery formulas*. Be sure to ask us about a complimentary 15-minute assessment with our *MedSpa Health Coach* to choose the IV that’s right for you! You may benefit from **IV Therapy** if you are looking for improvement with: - Fatigue or lack of energy - Chronic pain - Immune dysfunction - Anxiety - Post-workout recovery - Inflammation - Environmental toxin exposure [Get Started](/contact/) *Nourish & Detoxify More Efficiently* Each **IV Therapy** has its own specific benefits, depending on the contents and your individual needs. For example, when taken orally, vitamins and minerals need to go through your digestive system to be metabolized. This reduces the amount absorbed by your body. In addition, those with poor gut health, leaky gut, or gut dysbiosis (which is more common than you might think!) absorb even less. *IVs are an effective way to take vitamins and nutrients because beneficial compounds are delivered straight into your bloodstream*. That makes them available for immediate use by your body. *Who is a candidate for IV Therapy?* IV Therapy may help patients who are struggling with poor gastrointestinal health and aren’t absorbing nutrients properly as a result. **Those looking to improve energy or immune health can also benefit from IV Therapy**. Chances are, your environment has your body working overtime to fight off toxins and rejuvenate on the cellular level. You may need additional support with your detox processes, membrane support, or oxidative therapies. *We would love to help you become Fully Functional for life.* Through IV therapies, we’re often able to achieve that! Let us help you feel more energized and healthier as quickly as possible. And **our IV Therapy keeps your unique needs and budget in mind.** We always prioritize what is essential first. *Our IV Therapy Price & Package Options* *IV therapy costs depend on the type of infusion*. We offer package discounts on all of our IV therapy treatments to help you stay Fully Functional, and our MedSpa Health Coach can help you create the right package for your health goals and lifestyle. *Book your Carmel, IN, IV Therapy session with CFFH today* The Center for Fully Functional Health is dedicated to assisting patients in looking and feeling their best. We have a comprehensive list of therapies for our patients, ranging from non-surgical options and IV Therapy treatments to help you live a better life. *Your IV Therapy is conducted accurately and safely* and offers the most effective formulations for overall well-being. Make an appointment for your Carmel **IV Therapy** now. #### IV Therapy Frequently Asked Questions --- ## Laser Hair Removal **Link:** [Laser Hair Removal](https://fullyfunctional.com/laser-treatments/laser-hair-removal/) ([md](https://fullyfunctional.com/laser-treatments/laser-hair-removal/index.html.md)) **Type:** Service **Description:** If you're looking to eliminate unwanted hair using laser technology, the Center for Fully Functional Health in Carmel has Laser Hair Removal to save you money, time, & frustration! ### Content #### Dare to Be Bare *Say Goodbye to Unwanted Hair with Laser Hair Removal in Carmel, IN* The Center for Fully Functional Health is home to today's most advanced **laser hair removal** technology. Whether you have thick, dense body hair or just a few stray fuzzies, the world-class team of Carmel **laser hair removal specialists** at The Center for Fully Functional Health will help you achieve the smooth skin of your dreams.[] Whether you have thick, dense body hair or just a few stray fuzzies, the world-class team of Carmel laser hair removal specialists at The Center for Fully Functional Health will help you achieve the smooth skin of your dreams. Toss your razor and rely on our state-of-the-art laser therapy to remove inconvenient hair without razor burn, ingrown hairs, or frequent trips for waxing or threading. To start your hair removal journey, stop by our office or call us today to learn more. #### Hassle-Free Body Hair Removal *What is Laser Hair Removal?* *Laser hair removal permanently reduces hair on the face and body* by using light beams to burn away the root of each hair without causing damage to the surrounding skin. Laser hair removal is a safe, convenient option for almost any part of the body, from large areas such as the back and legs to a single unwanted hair on the neck or face. Common treatment areas include: - Face - Neck - Upper Lip - Between Brows - Sideburns - Hands - Arms - Underarms - Feet - Legs - Back - Chest - Stomach - Bikini Area [Schedule Appointment](/contact/) #### Diolaze Laser Hair Removal *What is Diolaze Laser Hair Removal?* **Diolaze** uses one of the most advanced and innovative diode laser systems to diminish hair growth effectively. This superior laser hair removal technology is FDA-approved *for all skin types* and features multiple new advances that make removing even dark, stubborn hair easier and faster than ever. Diolaze boasts a quick treatment time because of its ability to handle large areas rapidly. Additionally, the built-in cooling enhances your comfort – *our Diolaze patients report that it's an almost painless process*. The same technological advances also mean fewer sessions are typically required for lasting results. Diolaze sets the industry standard as **a safe, modern way to achieve more permanent hair removal**. Schedule your first treatment today! #### Is Laser Hair Removal right for me? *Upgrade To Smooth* **Laser hair removal** is ideal if you're frustrated with unpleasant waxing experiences or ingrown hairs from shaving. Those with a pale complexion and dark hair are the best candidates for Laser Hair Removal because laser treatments target pigment. Blonde hair is more challenging to treat, and darker skin tones may require extra treatments at a lower setting to minimize the chances of skin discoloration. Our talented Aesthetics team and Laser Therapy professionals can advise you on the correct number of treatment sessions and laser strength for your personal needs. The skin around the laser hair removal treatment area must be in good condition *and cannot be tattooed*. If you have any skin irritation or injuries, postponing treatment until the irritation or damage has healed is preferable. If you are experiencing significant acne in the area you want treated, please ask our care team about options to clarify and heal your skin before beginning laser hair removal. If you'd like to find out if you'd make a good candidate for our laser hair removal **Carmel hair removal experts** at The Center for Fully Functional Health can address that and answer any questions you have during your initial consultation. Contact us today! #### The Smart Hair Removal Solution *The Laser Hair Removal Process* Our team will ask for a brief medical history and a list of your current medications to ensure laser hair removal is safe for you. Four weeks before each laser hair removal session, refrain from waxing or tanning to ensure the hair bulb is intact and easily found by the laser. *Please shave the treatment area before your appointment.* You can expect to feel a series of quick zaps and a warming sensation as the technician passes the Diolaze laser over your skin. Most patients report tolerable discomfort, and your Clinician can adjust the laser strength to fit your needs. Numbing cream is also available for extremely sensitive areas. Expect your treatment to take between **30 and 90 minutes**, depending on the size and number of locations. #### Bye Bye Unwanted Body Hair *Laser Hair Removal Recovery* After laser hair removal, *there is no downtime required*. Tenderness, redness, swelling, and stinging from sweat are all possible symptoms on the first day of treatment. It is advised to avoid vigorous activity, tight clothes, and sauna usage during the first 24 hours after the procedure is completed. Laser hair removal may make your skin more susceptible to sunburn, so please use a broad-spectrum, fragrance-free sunscreen on all exposed areas. The Fully Functional MedSpa offers a number of [medical-grade skincare options](/skin-treatments/anteage-stem-cell-skincare/) suitable for even the most sensitive skin. [Schedule Appointment](/contact/) #### Different Stages Of Development *Laser Hair Removal Results* Hair grows in cycles and *repeated laser hair removal sessions enable us to target the hair at different stages of development*. Patients typically require six to nine sessions to eliminate unwanted hair completely, with visible results after three sessions. Upon completing a full course of treatment, you may expect to have hair-free skin for up to a year, depending on your hair color and thickness. Followup sessions every eight to ten weeks will ensure you maintain long-term results, or you may choose to return once you see hair beginning to grow again. #### Smooth Skin No Matter Where You Go *Learn More about Carmel, IN Laser Hair Removal at CFFH today* Start your journey to a razor-free future with **laser hair removal in Carmel**. Schedule an appointment today for a personalized hair removal consultation at The Center for Fully Functional Health. *Walk-ins are also welcome!* We serve Carmel, Indianapolis, and neighboring communities, including Westfield, Fishers, Noblesville, Zionsville, and Lawrence. [Schedule Appointment](/contact/) #### Laser Hair Removal Frequently Asked Questions --- ## Lift & Glo **Link:** [Lift & Glo](https://fullyfunctional.com/laser-treatments/liftnglo/) ([md](https://fullyfunctional.com/laser-treatments/liftnglo/index.html.md)) **Type:** Service **Description:** CFFH has Carmel's first and only two-step skin rejuvenation procedure - Lift & Glo. Combining IPL and RF microneedling to drastically eliminate wrinkles, fine lines, and pigmentation. ### Content #### See the Latest in Skincare Rejuvenation *Keep Them Guessing with Lift & Glo* [.intro.highlight-color]Discover two treatments in one with our Carmel **Lift & Glo** procedure for smoother, brighter skin at The Center for Fully Functional Health. The condition of your skin can drastically age your appearance, especially with ongoing exposure to the sun and the numerous environmental toxins that are a part of modern life. Hormonal shifts and natural protein breakdown can amplify fine lines, wrinkles, and pigmentation changes.[] Lift & Glo is a powerful new **skin rejuvenation treatment** designed by The Center for Fully Functional Health *to reverse these common signs of aging*, using a duo of modern laser therapies. Keep people guessing your age with a Lift & Glo skin rejuvenation treatment. Learn more by scheduling your consultation today. #### Discover A New Way To Enhance Your Appearance *What is Lift & Glo?* **Lift & Glo is a non-surgical treatment that improves your skin's texture, tone, and volume**. It can help reduce skin issues like dark spots, loose skin, acne scars, and signs of aging such as fine lines and wrinkles. The therapy combines two proven laser technologies to provide the benefits of both IPL and RF Microneedling *in one convenient session*. [Schedule Appointment](/contact/) #### What are the benefits of Lift & Glo? *Regain Your Youthful Glow* **Lift & Glo** is most often used on the face, but it may also be used on the neck, chest, arms, back of hands, and other areas of your body. This two-step procedure is more effective when carried out sequentially in a series of 3 to 6 sessions, resulting in smoother, brighter, and firmer skin over time. At the Fully Functional MedSpa in The Center for Fully Functional Health, we combine the powerful therapeutic benefits of Lift & Glo laser therapies with the AnteAGE MD Aftercare Kit for maximum benefits. And don’t forget to ask about our AfterGlo Facial, a companion treatment designed specifically *to optimize and speed your Lift & Glo results*. #### Say Goodbye To Problematic Skin *Am I a good candidate for Lift & Glo?* *Anyone interested in improving their skin's tone, texture, volume, and general appearance without undergoing surgery* is an excellent candidate for this non-invasive treatment. In addition, men and women concerned with sun damage, skin pigmentation, or lack of elasticity may be excellent candidates. If you'd like to find out if you'd make a good candidate for Lift & Glo **Carmel skin rejuvenation experts** at The Center for Fully Functional Health can address that and answer any other questions you may have. Contact us today! #### Two Steps to Radiant Skin *Your Lift & Glo Procedure* *Lift & Glo is a revolutionary two-step skin rejuvenation treatment that takes about 60 minutes per session*. It combines Intense Pulsed Light (IPL) with Radio-frequency (RF) microneedling to give you outstanding results. Wrinkles, fine lines, and pigmentation are significantly reduced, while skin texture is smoothed and collagen production is stimulated, resulting in **healthier and brighter skin**. The [Lumenis Stellar M22 IPL](/laser-treatments/lumenis-resurfx-skin-resurfacing/) device is used in the first step of the **Lift & Glo** treatment to improve your skin's overall tone. The unique instrument helps you get rid of red and brown lesions while increasing your body's water levels. An increase in the skin's moisture content amplifies the radiofrequency. The second step of the **Lift & Glo** treatment targets skin laxity and wrinkles by transferring heat energy into the dermal layer through radio-fractionated microneedles. For this part of the process, the [Morpheus8 RF Microneedling](/laser-treatments/lumenis-legend-pro-microneedling/) is employed, which results in the natural synthesis of hyaluronic acid (HA), elastin, and collagen, *all of which contribute to a more revitalized and firmer skin*. #### You’re ready to Glo! *Lift & Glo Recovery* Your skin may feel heated for many hours after treatment, and you may notice redness and minor swelling for up to four days. Because the *Lift & Glo* can cause significant dryness, we include a complimentary AnteAGE MD Aftercare Kit **(valued at $110)** for every Lift & Glo patient. We highly recommend the AfterGlo Facial, a Fully Functional MedSpa Facial designed specifically to mitigate or prevent a rough skin texture during healing after the Lift & Glo procedure. [Schedule Appointment](/contact/) #### Complete Skin Rejuvenation *Lift & GloResults* You should avoid sun exposure for at least six weeks following your treatment and refrain from using any retinol products for at least one week. In addition, it is critical to use mild, non-abrasive cleaners after treatment and to moisturize often. Your Fully Functional MedSpa aesthetician will thoroughly review all of the recommended Lift & Glo aftercare and recommend cleansers and moisturizers that are a good fit for your skin. As your skin heals and calms after your **Lift & Glo** session, *you will see noticeable results immediately*; however, it will take several weeks for the complete skin rejuvenation benefits to emerge as new collagen firms your skin. Once you complete the recommended number of Lift & Glo sessions, you can expect your results to last *up to three to five years*. #### Skin Rejuvenation | Clear Complexion *Schedule your Carmel Lift & Glo consultation at CFFH today.* **Lift & Glo offers a new two-step skin rejuvenation treatment** with *laser skin resurfacing* and *photofacial* to substantially reduce the appearance of wrinkles, fine lines, and pigmentation while also smoothing out your skin texture. In addition, it can stimulate collagen production for healthier and firmer skin. *Lift & Glo* is just one of many therapies offered at the Fully Functional **MedSpa** selected by our team of experienced [Integrative and Functional Medicine practitioners](/) to help you transform your health, so you can experience what it means to live Fully Functional from the inside out!. #### Lift & Glo Frequently Asked Questions --- ## Lip Fillers **Link:** [Lip Fillers](https://fullyfunctional.com/injectables-fillers/lip-fillers/) ([md](https://fullyfunctional.com/injectables-fillers/lip-fillers/index.html.md)) **Type:** Service **Description:** Rejuvenate thin lips safely with Revanesse Lip Fillers in Carmel, IN. Call The MedSpa at The Center for Fully Functional Health to schedule a consultation! ### Content *Optimize Your Beauty Without Sacrificing Your Health* With countless [dermal fillers](/injectables-fillers/dermal-fillers/) brands on the market, we made selecting the best lip filler product our priority. Our clinicians stay at the cusp of industry research and product development to ensure we always offer you the smartest options. After careful consideration, we have chosen to work exclusively with Revanesse because their **lip fillers** look fantastic and have the lowest likelihood of adverse reactions. *Lip Fillers at the Center for Fully Functional Health* At The Center for Fully Functional Health’s [Carmel MedSpa](/), we believe it’s possible to enhance your beauty and *minimize the signs of aging without compromising your health*. We always use a science-based, holistic approach to select our **injectable lip enhancement products** not based solely on efficacy but also their safety profile and performance. Together, we can develop a plan to accentuate your lips while keeping your overall wellbeing in mind. *What are Lip Fillers?* Lip fillers are cosmetic injectable solutions that replenish volume to improve the look of aged, thinning, or asymmetrical lips. Our **Carmel lip fillers** are a safe, natural-looking, temporary *alternative to surgical lip augmentation*. With fewer risks than lip lift surgery and no downtime, it is no wonder why lip fillers have earned a spot as one of the buzziest procedures in the beauty world. *What is Hyaluronic Acid?* Most lip filler products contain *hyaluronic acid*, a flexible, soft ingredient that moves with you as you make different facial expressions. The beauty of hyaluronic acid (HA) is that it is biocompatible and has a **near-zero risk of allergic reaction** when injected into the lips. We have selected **Revanesse**, the only lip filler manufacturer to spend an additional seven days purifying their filler gel to remove endotoxins. This proprietary step also pre-hydrates the solution for easier application and more predictable results. We also like that Revanesse is easily dissolved — if you decide to go from perfectly pouty to a more natural look, no problem! *Benefits of Lip Fillers* Some of the aesthetic issues solved by lip fillers include *a more defined cupid’s bow, correction of downturned mouth corners, a more clearly defined lip border, improved lip symmetry, and better proportionality between the upper and lower lip size*. Adding filler to the lips can also smooth out pesky lip lines and wrinkling. - Our filler ingredients are safe, effective, and yield natural-looking results. - Unlike other lip fillers, Revanesse Versa does not contain lidocaine, making allergic reactions virtually impossible. - Our lip filler treatments are fully customized to your goals, whether you are seeking a subtle enhancement or a pillow-soft pout. - The hyaluronic acid in lip fillers is dissolvable if you change your mind. *Your Lip Filler Treatment* If you are eligible for lip fillers in Carmel, your injections may happen on the same day as your consultation. If you have a special event or vacation coming up, *you may want to book your filler appointment at least two weeks in advance*. The injection process can take anywhere from **15 to 30 minutes**. Plan to spend at least an hour in the office to allow time for your consultation. Before the procedure, our Nurse Practitioner Injector may apply ice or topical numbing cream to minimize discomfort during the injections. Once sufficiently numbed, the filler is injected into the lips and artistically molded into the ideal shape following your customized treatment plan. *Results, Recovery, and Aftercare* After receiving **lip filler**, most patients take a few days off from socializing as there can be some tenderness, swelling, bruising, or pinpoint bleeding immediately afterward. These side effects largely subside in the first three days, although bruising and residual swelling may last up to two weeks. *You may apply lip makeup to conceal bruises after 24 to 48 hours*. Please restrict exercise for the first day or two and avoid NSAIDs, alcohol, and Vitamin E until cleared by your injector. [Schedule Appointment](/contact/) *Schedule Your Lip Filler Consultation at the Center for Fully Functional Health Today* Naturally thin or aging lips do not have to define your appearance. We welcome you to book your consultation with our Med Spa team to discover how lip fillers can give you the **full, luscious lips** you have always wanted. Call [(317) 989-8463](tel:(317) 989-8463) or use our online booking form today. #### Lip Fillers Frequently Asked Questions --- ## Lumenis Beautiful Eyes **Link:** [Lumenis Beautiful Eyes](https://fullyfunctional.com/laser-treatments/lumenis-beautiful-eyes/) ([md](https://fullyfunctional.com/laser-treatments/lumenis-beautiful-eyes/index.html.md)) **Type:** Service **Description:** At the Center for Fully Functional Health in Carmel you will have bright, luminous, and younger-looking eyes after receiving the Lumenis Beautiful Eyes Treatment. Schedule your consultation today. ### Content #### Let's talk about dry eyes *Revolutionizing Dry Eyes* [.intro.highlight-color]**Beautiful Eyes** is a cutting-edge treatment for skin irritation and redness around and beneath your eyes caused by rosacea and other skin conditions. The Center for Fully Functional Health is proud to be the first Clinician in Indiana to offer this remarkable therapy! [] Due to a frequent condition known as Meibomian Gland Dysfunction, some people with rosacea and inflammation may also suffer from dry eye illness (MGD). *Beautiful Eyes is the first and only FDA-approved IPL therapy for treating the signs and symptoms of dry eye disease*, and The Center for Fully Functional Health is the only practice in Indiana to provide it. Let your eyes shine with **Beautiful Eyes** dry-eye laser treatment from the Fully Functional *Med Spa in Carmel, Indiana*. Learn more by scheduling a consultation today. #### Get Relief from Dry, Itchy Eyes *What is the Beautiful Eyes Treatment?* Our Carmel **Beautiful Eyes** treatment reduces redness and inflammation around and beneath the eyes, giving you a more awakened appearance. [Schedule Appointment](/contact/) #### What are the benefits of Beautiful Eyes? *Enjoy Life Without Irritated Eyes* You are not alone if you suffer from dry, itchy eyes. Inflammation of the skin and eyelids affects millions of Americans, causing painful ocular disorders, including dry eye. Although eye drops may give a temporary remedy, relying on a "bandaid solution" for the rest of your life is impractical. The Center for Fully Functional Health is the only place in Indiana to get **Lumenis Beautiful Eyes** therapy, a groundbreaking process that treats the underlying cause of dry, red, itchy, and burning eyes while also *providing instant relief*. #### Dry Eye Treatment That Can Change Your Life *Your Beautiful Eyes Procedure* The laser pulses produce heat by penetrating the sensitive under-eye tissue. This heat is directed at the aberrant arteries that are the source of the inflammation. As a result, the tear glands can be more prolific and less irritating by shutting and decreasing the feeder blood channels. *This therapy makes your eyes seem brighter and less fatigued! Each session takes about 15 minutes*, and it is recommended to have four treatments for maximum results. #### See with Confidence *Beautiful Eyes Recovery & Results* Clinical testing, research, and patient testimonials show that *Lumenis* **Beautiful Eyes** IPL treatments immediately relieve the most severe dry eye symptoms. In addition, because it's a groundbreaking therapy for skin and eyelid irritation, you may expect to see and feel improvements almost immediately after your treatment. You may experience minor redness around the treated regions in addition to the alleviation. This is a typical and safe reaction to the *IPL* technology's heat, and it will go away in a few hours. You may resume regular activities and apply makeup the same day since there is little to no downtime. #### Stop Suffering | Talk to the Experts *Schedule your Carmel Beautiful Eyes consultation at CFFH today* If you book your consultation, *you will be able to eliminate red or dark circles, smooth any fat deposits, and reduce crow's feet and wrinkles*. Dr. Ellen and Dr. Scott bring decades of exceptional medical practice and personal experience with autoimmune disease, mold sickness, and PANS/PANDAS to the table. They established a cutting-edge practice with the devotion and compassion required to improve your health and life due to outstanding leadership. Schedule your Carmel **Beautiful Eyes** consultation today! [Schedule Appointment](/contact/) #### Unwavering Commitment to a Fully Functional Life *Meet the Antoines* Each of the Antoine's is a board-certified Emergency Medicine physician and a well-known Integrative & Functional Medicine practitioner. This dynamic husband-and-wife team with *over 27 years of experience* is dedicated to assisting you in *identifying the source of your medical problems* and improving your overall health. Because Dr. Ellen and Dr. Scott have decades of great medical practice under their belts and personal experience with autoimmune disease, mold sickness, and PANS/PANDAS, they bring a unique viewpoints and insights to the table. They not only understand the science underlying and often misunderstood symptoms and illnesses, but they also have the drive and compassion necessary to change your health and your life. In addition, when other medical experts need assistance, they contact Drs. Antoine. They regularly consult with other doctors throughout the nation on *diagnosing and treating challenging cases*. Dr. Ellen Antoine - DO, FACEP, ABOIM, IFMCP Dr. Scott Antoine - DO, FACEP, FMNFM, ABOIM, IFMCP [Schedule Appointment](/contact/) #### Beautiful Eyes Frequently Asked Questions --- ## Lumenis Legend Pro Microneedling **Link:** [Lumenis Legend Pro Microneedling](https://fullyfunctional.com/laser-treatments/lumenis-legend-pro-microneedling/) ([md](https://fullyfunctional.com/laser-treatments/lumenis-legend-pro-microneedling/index.html.md)) **Type:** Service **Description:** The Center for Fully Functional Health in Carmel offers Legend Pro RF Microneedling - a complete skin rejuvenation system that stimulates & revitalizes the surface layers of the skin. ### Content #### Skin Tightening Technology Without Downtime *Legend Pro RF Microneedling* The Legend Pro is the most advanced skin regeneration, resurfacing, and tightening technology available! The Legend Pro combines the power of unique Tripollar radiofrequency (RF) energy with VoluDerm *microneedling* to stimulate collagen activation and the regeneration of new skin on the face and body. This dual method targets both superficial and deep skin rejuvenation. Our Carmel and Indianapolis patients may get long-term results with little downtime or discomfort using the Legend Pro. Learn how our *Legend Pro Microneedling treatment may enhance your skin's appearance*. Contact The Center for Fully Functional Health and *MedSpa* to arrange your consultation for **Legend Pro Microneedling in Carmel**. #### Skin Tightening In Just 20 Minutes *What is Legend Pro Microneedling?* The *Legend Pro* by **Lumenis** is a complete skin rejuvenation system that stimulates and revitalizes the surface layers of the skin while also renewing collagen and elastin fibers in the deeper dermis. Without numbing medication or substantial downtime, this procedure is designed to minimize wrinkles, tighten, and smooth the skin. The **Legend Pro Microneedling** device used at the Fully Functional MedSpa is a more advanced version of the VoluDerm *microneedling* treatment, with the inclusion of TriPollar RF thermal energy and RF-assisted ultra-thin electrodes that act to tone the facial muscle layers (SMAS). As a result, *skin is tighter, smoother, and more youthful*. [Schedule Appointment](/contact/) #### No Downtime | Long-term Results *What are the benefits of Legend Pro Microneedling?* *The Legend Pro can substantially improve many key indicators of aging by targeting the exterior, and interior skin layers to treat the core causes of skin aging and deterioration*: reduced collagen production and damaged skin cells. For example, the *Legend Pro* can do the following as a result of this top-to-bottom rejuvenation: The Legend Pro is intended to offer long-term results with little to no downtime or pain, allowing our Carmel and Indianapolis patients to get dramatic results without surgery. Learn more about how our *Legend Pro Microneedling treatment can improve the look and feel of your skin*. Schedule your Carmel **Legend Pro Microneedling** consultation today at The Center for Fully Functional Health and MedSpa. #### You, Only Better *Am I a good candidate for Legend Pro Microneedling?* Almost every patient who wants to alleviate wrinkles, fine lines, blemishes, sun damage, or loose, aging skin will benefit from the *Legend Pro*. Our focus at The Center for Fully Functional Health is always to offer treatment protocols and modalities customized to your specific health goals. The **Legend Pro Microneedling** platform allows for genuinely individualized therapy. Our professionals would be pleased to consult with you one-on-one about your needs and design a *personal treatment plan* for beautiful, glowing skin. #### The Power of Dual Technology *Your Legend Pro Microneedling Procedure* The **Legend Pro Microneedling** treatment is performed in-office at the Fully Functional MedSpa in The Center for Fully Functional Health. Following a discussion of your skin concerns and objectives, we will create a treatment plan tailored to your specific requirements. First, the *Legend Pro Microneedling* handpiece will be positioned over the treated area. Next, TriPollar RF energy provides regulated heating to the dermal layers to restart collagen formation while tiny micro-perforations on the skin's surface regenerate new skin. Because of the Legend Pro's detailed and patient-centered design, there is usually no need for a numbing cream to be applied beforehand. While some redness or swelling is to be anticipated, most patients report little to no pain and are able to return to their daily routines immediately after treatment. Although a series of treatments is suggested to attain the best outcome, a *substantial change in the skin is immediately noticeable*. #### Beautiful Complexion Now *Legend Pro Microneedling Recovery and Results* Because there is little downtime with **Legend Pro Microneedling** Carmel patients may resume your favorite activities within 24 hours. As skin cells change and collagen and elastin levels increase, some benefits will be seen soon after the treatment, with additional improvement developing over the following weeks and months. [Schedule Appointment](/contact/) #### Schedule your Carmel Legend Pro Microneedling consultation at CFFH today. *Schedule your Carmel Legend Pro Microneedling consultation at CFFH today.* *Our expert doctors and medical staff in Carmel use the Legend Pro Microneedling to tighten and tone skin*. T This therapy can also enhance the benefits of body sculpting and cellulite reduction to improve the look of your face and neck. Contact our staff at The Center for Fully Functional Health to see whether the **Legend Pro Microneedling** is right for you. #### Legend Pro RF Microneedling Frequently Asked Questions --- ## Lumenis M22 Stellar IPL **Link:** [Lumenis M22 Stellar IPL](https://fullyfunctional.com/laser-treatments/lumenis-legend-skin-resurfacing/) ([md](https://fullyfunctional.com/laser-treatments/lumenis-legend-skin-resurfacing/index.html.md)) **Type:** Service **Description:** At the Center for Fully Functional Health in Carmel, the Lumenis Stellar M22 IPL Photofacial is one of the most popular treatments. Intense pulsed light penetrates deep into the skin while not harming the skin’s surface. ### Content #### Bring Out Your Shine *Lumenis Stellar M22* Bring out the best of your skin with our Carmel **IPL Photofacial** treatments at CFFH. Clean and healthy skin is a simple, practical approach to returning to feeling and looking your best. Unclog your pores, decrease the appearance of wrinkles and sunspots, and restore your skin's natural, youthful glow with an *IPL Photofacial with our Lumenis Stellar M22*. The Center for Fully Functional Health's highly qualified medical staff provides state-of-the-art aesthetic treatments and services. The physicians at CFFH understand how to empower and support you in living your healthiest life. Relax and enjoy your *IPL Photofacial* while your healthy skin is revealed. Learn more about whether the **Lumenis Stellar M22** is suitable for you. #### Discover A New Way To Enhance Your Appearance *What is an IPL Photofacial?* An **IPL Photofacial in Carmel** is one of the most popular and well-tolerated cosmetic procedures available today, and it is also one of the most rewarding. IPL is an abbreviation for 'intense pulsed light,' and the treatment penetrates deep into the skin without causing damage to the surface of the skin. Among the many skin concerns that *Lumenis Stellar M22* may address are reducing sunspots, freckles, and eliminating redness caused by rosacea. In addition to ensuring that your process is as pleasant and enjoyable as possible, the highly-skilled professionals at The Center for Fully Functional Health’s Fully Functional *Med Spa* will assure you get the rejuvenated appearance of clearer, brighter skin. Inspired by the most brilliant constellation in the sky, the *Stellar M22* is a versatile and adaptable multi-application device. As a result, your Clinician can safely and successfully address a variety of over 30 skin conditions, *leaving you with smoother, brighter, and clearer skin*. #### Discover the Versatility of IPL Photofacials *What are the benefits of an IPL Photofacial?* Since the *IPL Photofacial* may address a wide range of cosmetic concerns, the final decision of which benefit to pursue is ultimately up to you. For example, if you have excess pigmentation on your face, such as dark spots caused by the sun, freckles you've had from birth, or melasma patches, you may benefit from this therapy. An additional benefit of the **IPL Photofacial** is that it repairs broken capillaries and redness associated with rosacea, which few light-based treatments can do. Treatments with the *Lumenis Stellar M22* are relatively quick, with the session length dependant on the number and size of your treatment areas. After treatment, you can immediately return to your daily activities, making *IPL an efficient and effective solution for your skincare needs*. At the Fully Functional Med Spa, we frequently pair our IPL Photofacial with the [Lumenis ResurFx Skin Resurfacing](/laser-treatments/lumenis-resurfx-skin-resurfacing/) in a treatment we call the Signature Photofractional. Be sure to ask your Aesthetician about this dazzling duo for optimal results. #### You Deserve this! *Am I a good candidate for IPL Photofacial?* At The Center for Fully Functional Health, our medical team will ensure you receive the VIP service you deserve. During your first visit, your Clinician will determine that you are a suitable candidate for the treatment and take the time to give you all of the necessary information, including preparation for your first **IPL Photofacial** treatment and recommended aftercare. In addition, our Fully Functional *Med Spa* professionals go out of their way to make sure that you understand every element of your visit and treatment so that you receive the outcomes you desire. #### Fight Aging with Star Power *Your Lumenis Stellar M22 Procedure* Before your treatment, your *Med Spa* Clinician will address any questions. While your skin is being cleaned, your Clinician will ensure you have protective eyewear on before beginning your treatment. Once your Carmel **IPL Photofacial** treatment at CFFH begins, our state-of-the-art laser applicator is softly moved over your skin. It only takes one pass of the device to help you achieve your skin objectives. #### Stellar Skin | Stellar Results *Stellar M22 Recovery & Results* Recovery from an *IPL Photofacial* procedure is usually swift and painless. After receiving an **IPL Photofacial** Carmel patients can return to their usual activities within a few hours. However, if you experience any discomfort, the professionals at CFFH will be available to help you. They may prescribe a range of options to alleviate any discomfort or redness you experience in your treatment area. In most cases, our customers see improvements within the first two weeks after a treatment session. *IPL Photofacials are most effective when combined with other treatments*, and our staff is committed to ensuring that you achieve optimal results. #### Meet Our Newest Skin Care Advancement *Lumenis M22 Stellar IPL in Carmel, Indiana* We recommend the **Lumenis Stellar M22 IPL Photofacials** for all your cosmetic skin concerns. An *IPL Photofacial* is ideal for reducing brown spots, freckles, melasma areas, and overall skin brightening. The experts at CFFH can utilize this treatment's advanced technology to address over 30 different skin concerns and conditions. Learn more about *Lumenis Stellar M22 IPL Photofacial* by scheduling your consultation today. #### IPL Photofacial Frequently Asked Questions --- ## Lumenis ResurFX Skin Resurfacing **Link:** [Lumenis ResurFX Skin Resurfacing](https://fullyfunctional.com/laser-treatments/lumenis-resurfx-skin-resurfacing/) ([md](https://fullyfunctional.com/laser-treatments/lumenis-resurfx-skin-resurfacing/index.html.md)) **Type:** Service **Description:** Become part of our family at The Center of Fully Functional Health in Carmel, Indiana. Discover what ResurFX Skin Resurfacing by Lumenis can do for your skin by scheduling a consultation. ### Content *ResurFX Skin Resurfacing* [.intro.highlight-color]**ResurFx Skin Resurfacing in Carmel** is a groundbreaking laser therapy designed to erase the signs of acne and scarring. [] If you struggle with uneven tone and texture as a result of cystic acne, sun exposure, or other skin damage, ResurFx can help turn back the clock and offer impressive healing and smoothing. Become part of our family at The Center of Fully Functional Health and Fully Functional MedSpa, where we offer an innovative, whole-body approach to your overall well-being. Discover what *ResurFX Skin Resurfacing* by Lumenis can do for your skin by scheduling a consultation today. #### All-in-one Treatment *What is ResurFX Skin Resurfacing?* The *ResurFX fractional laser* is a cutting-edge, non-ablative **Skin Resurfacing** system. Non-ablative treatments do not damage or ablate skin cells, while fractional refers to treatments that only impact a tiny portion of the skin. So, unlike the CO2 laser, which causes several days or more of peeling, crusting, and severe swelling following the operation, *ResurFX* allows you to get amazing results with a short recovery time. In the deeper layers of the skin, the fractional laser encourages the development of new collagen and elastic fibers. The secret to a more radiant, young appearance is to stimulate new collagen formation. We can achieve excellent results over a series of treatments with the *ResurFX* technology while keeping your comfort and downtime to a minimum. Non-ablative means that the skin cells are not destroyed, while fractional refers to a fraction or portion of your skin. [Schedule Appointment](/contact/) #### Take Control Of Your Skin Health *What are the benefits of ResurFX Skin Resurfacing?* **Laser skin resurfacing is a safe and effective treatment**. ResurFX can provide excellent results with a shorter recovery time than other laser treatments. *Common treatable conditions with ResurFX Skin Resurfacing include age or sun spots, fine lines and wrinkles, stretch marks, hyperpigmentation, uneven skin tone, acne scars, and loose skin. *At the Fully Functional *MedSpa*, we frequently pair our **ResurFx Skin Resurfacing** with the [Lumenis IPL Photofacial](/laser-treatments/lumenis-legend-skin-resurfacing/) in a treatment we call the *Signature Photofractional*. Ask your Aesthetician about this dynamic therapy option for optimal results. #### Healthy Skin Starts Here *Your ResurFX Skin Resurfacing Procedure* *The non-ablative nature of the ResurFX laser limits downtime*, and we apply a topical anesthetic with every treatment to keep you comfortable. With **Skin Resurfacing** Carmel patients' treatment typically takes between 20 and 60 minutes, depending on the size and areas being addressed. #### Revitalize Your Skin *ResurFX Skin Resurfacing Recovery and Results* After **ResurFX Laser Skin Resurfacing**, you can expect mild redness and swelling, but these symptoms usually disappear within a few days. Most patients immediately resume their daily activities, and the recovery period is typically brief and painless. *Sun exposure should be avoided before and after treatment*, and your Fully Functional *MedSpa* aesthetician will recommend a physician-grade sunscreen to use in the days after your procedure. Once your skin has healed, make sure you use sunscreen with an SPF of 15 or higher every day to help protect your skin for optimal results. #### Bring Back Your Healthy Glow *Skin Resurfacing in Carmel, Indiana* At The Center for Fully Functional Health, *our mission is to help our patients reclaim their energy and well-being through personalized integrative health and functional therapies*. Taking charge of your health journey includes discovering the aesthetic treatments that are right for you, and our team is happy to meet one-on-one to discuss your goals and options. Learn more about new therapies and advanced treatments offered at CFFH, like **ResurFX Skin Resurfacing in Carmel, IN**, by scheduling your consultation today. [Schedule Appointment](/contact/) #### Skin Resurfacing Frequently Asked Questions --- ## Medspa Non Surgical Facelift **Link:** [Medspa Non Surgical Facelift](https://fullyfunctional.com/medspa/non-surgical-facelift/) ([md](https://fullyfunctional.com/medspa/non-surgical-facelift/index.html.md)) **Type:** Service **Description:** Discover the benefits of a Non-Surgical Facelift in Carmel, IN at the Center for Fully Functional Health! Book a consultation for this combination of laser and injectable treatment. ### Content *Non-Invasive Facelift* [.intro.highlight-color]A **Non-Surgical Facelift** offers the impressive results of a facelift without the surgery, recovery time, or 5-figure price tag. Smooth away wrinkles and transform your skin with a package of services designed to erase the years. *It’s total facial rejuvenation* – no scalpels involved![] Our Carmel Non-Surgical Facelifts, performed at our MedSpa, are not only safe and effective, but they also adhere to the high standards of integrative care offered by The Center of Fully Functional Health. Schedule a consultation today and discover what it feels like to lift, tone, and tighten, with a nurturing medical team who cares about your overall health. #### Remove Wrinkles Without Surgery *What is a Non-Surgical Facelift?* A Non-Surgical Facelift at our [Carmel MedSpa](/) uses a combination of laser therapies, injectables, and skincare to achieve the results of a traditional facelift *without any of the pain or lengthy recovery*. Not only is the process **scalpel-free and safe**, it’s also far more affordable than a surgical facelift. [Schedule Appointment](/contact/) #### Rewind the Years *What are the benefits of a Non-Surgical Facelift?* A Non-Surgical Facelift offers *the same benefits as a traditional facelift*, minus the discomfort and downtime! You can expect your facelift package to: - Smooth fine lines and deep wrinkles - Tighten sagging skin - Even skin tone and texture - Brighten your skin for a youthful glow - Improve natural collagen production for lasting results #### Customize Your Facelift *Your Non-Surgical Facelift Procedure* Tailor your Non-Surgical Facelift to your skin needs and rejuvenation goals. Choose from three all-inclusive packages, each with a significant discount and spectacular results! #### All the Results, Zero Downtime *Non-Surgical Facelift Recovery* The selection of **laser therapies, skincare, and injectables** used for your Non-Surgical Facelift will vary based on the level of treatment you choose. However, every Fully Functional Facelift includes [Lift & Glo treatments](https://fullyfunctional.com/laser-treatments/liftnglo/), our signature AfterGlo Facial, a selection of injectables, and clean skincare. #### Total Skin Rejuvenation *Non-Surgical Facelift Results* Our Non-Surgical Facelift results speak for themselves, but you don’t have to take our word for it! Hear from one of our happy patients. *“I have a drawer in my bathroom filled with creams, lotions, and serums. I used them in the ridiculous hope that they would actually erase the wrinkles around my eyes and brighten my skin, making me look like a 19-year-old again. I am 57 years old and had moderate crows feet, lines under my eyes, and fairly significant lip lines.* *I am writing this review because, for the very first time, something has actually worked! I am three weeks out and still marveling at its results. It’s as if I had plastic surgery! My skin is the skin of a 19-year-old!! My crows feet are truly faded, and the lines on my lips have all but disappeared. I don’t usually write reviews, but this was one happy experience that is too good to keep to myself. The results are astonishing! I can’t wait to see what the next round of Lift & Glo will do for me. Thank you, Fully Functional MedSpa, for living up to all the promises!!!”* - Sharon M. #### Total Skin Rejuvenation *Non-Surgical Facelift Results* Our Non-Surgical Facelift results speak for themselves, but you don’t have to take our word for it! Hear from one of our happy patients. *“I have a drawer in my bathroom filled with creams, lotions, and serums. I used them in the ridiculous hope that they would actually erase the wrinkles around my eyes and brighten my skin, making me look like a 19-year-old again. I am 57 years old and had moderate crows feet, lines under my eyes, and fairly significant lip lines. * *I am writing this review because, for the very first time, something has actually worked! I am three weeks out and still marveling at its results. It’s as if I had plastic surgery! My skin is the skin of a 19-year-old!! My crows feet are truly faded, and the lines on my lips have all but disappeared. I don’t usually write reviews, but this was one happy experience that is too good to keep to myself. The results are astonishing! I can’t wait to see what the next round of Lift & Glo will do for me. Thank you, Fully Functional MedSpa, for living up to all the promises!!!”* - Sharon M. #### Begin Your Journey to Fully Functional *Schedule an Appointment Today.* The Center for Fully Functional Health® is led by a team of award-winning, internationally recognized physicians, committed to providing personalized, life-changing care. 40 North Rangeline Rd. Carmel, IN 46032 [Schedule Appointment](/contact/) #### Non-Surgical Facelift Frequently Asked Questions Our team would love to meet one-on-one to discuss your aesthetic goals and help you choose the right Non-Surgical Facelift for your skin, age, and lifestyle. To learn more about our world-class Functional Medicine treatment and advanced MedSpa wellness and aesthetic services, like the **non-surgical facelift** Carmel aesthetic professionals at CFFH invite you to schedule a consultation today, where we can answer any questions you have and work out a treatment plan for your exact needs and wants. Call us today! --- ## Menopause Treatment **Link:** [Menopause Treatment](https://fullyfunctional.com/functional-medicine/menopause-treatment/) ([md](https://fullyfunctional.com/functional-medicine/menopause-treatment/index.html.md)) **Type:** Service **Description:** Struggling with hot flashes, brain fog, or sleep problems? Discover personalized menopause treatment and hormone support from trusted experts in Carmel, IN. Contact CFFH today! ### Content #### Treating Menopause at The Center for Fully Functional Health *Aging Happens. Misery Doesn't Have To.* You might be sleeping less, snapping more, or wondering why your energy disappeared overnight. Maybe your jeans fit differently, or your patience has a shorter fuse lately. You're not imagining it, and you're definitely not alone. These are the kind of changes that sneak in when hormone levels start shifting during **perimenopause** or **menopause**. At The Center for Fully Functional Health in Carmel **menopause treatment** isn't rushed or "routine." Dr. Ellen and Dr. Scott Antoine are experienced, calm, and genuinely curious about what's going on with your body. They explain things clearly and never push treatments. Instead, they partner with you to figure out what actually helps. Many patients find comfort knowing their care plan is based on detailed lab work, a deep understanding of hormonal imbalances, *and top-notch personalized care*. #### More Than Just a Missing Period *What is Menopause?* **Menopause officially starts when you haven't had a period for 12 months.** But the transition begins long before that, and it can last years. Estrogen, progesterone, and testosterone levels start dropping, and that affects way more than your cycle. These hormonal shifts can cause everything from *brain fog* and *night sweats* to *mood swings, low libido, weight gain, bladder infections,* and *headaches*. Menopause is a natural part of a woman's life, but that doesn't mean you have to just deal with uncomfortable symptoms or the loss of bone density and vitality. At CFFH, we help correct hormonal imbalances so you can sleep better, think more clearly, and feel more like yourself again. #### Real Relief *How is Menopause Treated?* #### Side Effects: More Energy, Better Sleep *Menopause Treatment Benefits* When hormones are balanced, many women feel *a noticeable difference in their quality of life*. - **Clearer Thinking:** Brain fog lifts and mental clarity returns. - **Better Sleep:** Sleep quality improves, with fewer night sweats or interruptions. - **Mood Support:** More stable moods, fewer emotional swings, and less anxiety or depression. - **Increased Libido:** Renewed interest in intimacy and reduced sexual dysfunction. - **More Comfort:** Vaginal dryness, discomfort, and UTIs become less frequent. - **Fewer Hot Flashes:** Hormone balance reduces the intensity and frequency of hot flashes. - **Bladder Strength:** Less urgency and better urinary control. - **Healthier Skin and Hair:** Skin becomes more elastic and hair appears fuller. - **Metabolic Support:** Hormonal balance aids weight management and muscle tone. #### Menopause Treatment Candidates *If You're Asking, It's Time* If you're navigating perimenopause or menopause and dealing with symptoms like *hot flashes, weight gain, anxiety, low libido,* or *mood swings*, you may be a good **candidate for menopause treatment**. Many women with a medical history of thyroid issues, sleep problems, or other health problems also benefit from correcting hormonal imbalances. *We always consider your full medical history before recommending treatment*, and we tailor each plan based on your needs, test results, and lifestyle. #### Consultation and Preparation *You Talk, We Listen* When you come in for your consultation for menopause treatment **Carmel functional medicine specialists** take the time to get to know you and your health concerns. You'll meet with a doctor or nurse practitioner to review your symptoms, medical history, and goals. Comprehensive lab testing is part of the process. We look at hormone levels, thyroid hormones, cortisol, insulin, vitamin D, and more. *No prep needed*, just bring your questions and we'll handle the rest. #### Life Gets Easier From Here *Treating Menopause* #### Not an Overnight Fix *Results, Recovery, and Aftercare* Some people feel better within a few weeks of starting treatment. Others see gradual improvements over two to three months. We follow up regularly to adjust your dosage and make sure the treatment is working. Pellet therapy typically needs to be repeated every few months. Creams and patches require more frequent use. *We'll guide you on what to expect and how to maintain results*. #### What You're Really Paying For *Menopause Treatment Cost* Every treatment plan is personalized, so **costs vary**. Hormone testing, pellet insertion, prescriptions, and supplemental therapies all play a role in pricing. Insurance may cover some labs or consultations, but BHRT and functional care are often out-of-pocket. *We'll review costs with you before starting anything*. #### The Menopause Experts in Carmel *Why Choose Fully Functional Health?* CFFH is a **trusted healthcare provider** for menopause treatment in Carmel. Led by Dr. Ellen and Dr. Scott Antoine, our team offers compassionate care backed by decades of experience in hormone health, functional medicine, and integrative care. We take time to listen, look at the full picture, and help people feel Fully Functional again. We've been featured on **ABC, Fox 59, and IndyStar**, and voted **Best Integrative Medicine Practice** in Carmel multiple times. Our office near Clay Terrace offers a calming, supportive space with access to state-of-the-art therapies. #### Time to Start Feeling Better *Schedule Your Menopause Consultation Today* If menopause symptoms are affecting your life, don't wait. Schedule an appointment with CFFH in Carmel today. Call [(317) 989-8463](tel:(317) 989-8463) or use our [online form](/contact/). We'll help you create a personalized treatment plan that supports your health, well-being, and future. #### Menopause Treatment Frequently Asked Questions --- ## Microneedling **Link:** [Microneedling](https://fullyfunctional.com/skin-treatments/microneedling/) ([md](https://fullyfunctional.com/skin-treatments/microneedling/index.html.md)) **Type:** Service **Description:** The Center for Fully Functional Health offers medical-grade microneedling in Carmel, IN to improve skin texture, reduce acne scars, and stimulate collagen production. Book today! ### Content #### A Medical Procedure, Not a Spa Service *Carmel, Indiana Microneedling* One of our primary focuses at The Center for Fully Functional Health is **preventative medicine**: taking proactive steps to address symptoms before they become something more serious. *Our approach to skincare is no different*. When patients ask us about **microneedling**, it’s often because they’ve noticed small shifts and want to be proactive. That might be texture that doesn’t smooth out, or tone that looks uneven in the rearview mirror. It could be lines that stick around, even after a solid eight hours of sleep. Our Carmel microneedling treatment is the perfect tool for natural preventive maintenance. We use it to trigger the skin’s natural healing ability, improving texture without forcing you into hiding for a week. *What Is Microneedling?* Microneedling is a **minimally invasive treatment** that creates precise micro-injuries in the skin to stimulate collagen and elastin production through the body’s own healing response. Those controlled injuries signal repair at a cellular level, leading to stronger structure, improved texture, and more stable skin over time, rather than a short-lived change on the surface. *At-a-Glance* - **Cost** - Varies by depth, area, and treatment plan - **Downtime** - 24-72 hours of redness, similar to a mild sunburn - **Pain Level** - Mild to moderate with a topical anesthetic - **Sessions Needed** - Typically 6 sessions or more for optimal results #### Scars, Pores, Uneven Tone *What Microneedling Can Be Used to Treat* You might have seen marketing that positions **microneedling** as a sort of magic eraser for any skin issue or sign of aging. That isn’t actually the whole story. How effective microneedling is depends on your tissue quality and specific concerns. When the plan is solid, *microneedling can noticeably improve the look of fine lines, acne scars, enlarged pores, and that vague "unevenness" caused by sun exposure*. It works on stretch marks, too, provided the depth control is managed correctly. However, microneedling has limits. If you have significant sagging (volume loss) or deep scars, we suggest combining microneedling with [laser therapy](/laser-treatments/) for the best results. #### Function Over Flash *Benefits of Medical-Grade Microneedling* Microneedling is a fantastic option for patients who want *a natural look*. You’re using your body’s own healing mechanisms to turn back the clock, rather than making any structural changes. It’s the ideal choice to **smooth and firm skin** without using fillers or resorting to surgical intervention. Microneedling is our pick because it: - Stimulates collagen and elastin production through biological signaling - Improves skin texture, tone, and resilience over time - Enhances penetration of growth factors and regenerative topicals - Supports natural beauty without altering facial structure - Offers visible results with minimal downtime when performed correctly #### Not A Shortcut Treatment *When Microneedling Is Not a Good Fit* Not every patient is a good candidate for microneedling. In order to heal, your immune system needs to be heathy and active. We take a careful approach when treating patients with severe acne, uncontrolled rosacea, or a history of issues with **skin pigment changes**. If you’re struggling with autoimmunity, infections, or a compromised immune system, we can help guide you through **a holistic wellness plan** before you start microneedling treatment. Microneedling can help improve the skin over time, but it’s not a fast fix. This is a **regenerative skin treatment** that works with your body’s natural healing processes. #### Your Microneedling Treatment *Skin-Led Decisions* We begin by applying a numbing cream and allow time for it to take effect. Once we start, the sensation is mostly **pressure and vibration**. Some areas, such as the forehead or upper lip, register more than the cheeks or chin. We will adjust the depth and technique based on how your skin flushes in real time, so *every microneedling session is customized to you and your skin*. One session starts the signaling process for your skin to heal from the inside out. By giving your skin room to respond on its own terms, you can expect positive ongoing changes with every session. #### Red Today, Fine Soon *Recovery After Microneedling* You will look sunburned at first. The skin will feel warm, and tightness and minor swelling are normal, especially that first night. *Most people are socially comfortable within 48 hours*. You might hold onto a pink hue a little longer, depending on how deep your treatment was. The rules for recovery are simple but strict: avoid heat, heavy sweating, sun, and active skincare ingredients for at least 48 hours. **Don't irritate tissue that is trying to heal**. #### Gradual Changes That Stick *Microneedling Results* Results are gradual, and that’s by design. You might see a "glow" in the first week, but that’s often just swelling going down. The real changes – called “collagen remodeling” – happen **over 6 to 12 weeks**. Expect your results to stack, as each session builds on the results of the last. The beauty of microneedling is that there’s no "final reveal," just *progressive improvement* that helps your skin hold up over the years. #### How Many Sessions Are Needed? *Progress Comes In Layers* Most patients benefit from **a series of treatments spaced several weeks apart**. The exact number of sessions needed depends on baseline skin condition and the concerns being treated. Acne scars, stretch marks, and deeper textural issues usually need additional sessions, as compared to fine lines or roughness. #### Different Tools, Different Jobs *Microneedling vs Other Procedures* Choosing the right approach requires understanding what your skin actually needs – *not defaulting to the most aggressive option*. Our team is happy to help you choose the right treatment for your whole body, not just your skin. ####
*Why Choose Our Practice for Microneedling in Carmel* At The Center for Fully Functional Health, we take **a holistic approach** to every aspect of your care. That means the practitioners performing your microneedling treatment are also able to advise you on hormones, diet, lifestyle, and other factors that impact not only your skin but also your overall health. As with our **functional and integrative medicine services**, our skincare and aesthetic treatments also emphasize state-of-the-art technology, expert providers, and individualized planning. Microneedling is not an add-on service – it’s a deliberately *regenerative procedure* used to enhance long-term skin quality. *Schedule Your Consultation* If you're ready to experience microneedling Carmel patients rely on for **long-term skin health**, schedule your complimentary consultation with our team today. Call or fill out the form at the bottom of this page to begin your personalized treatment plan. #### Microneedling FAQs --- ## Morpheus8 **Link:** [Morpheus8](https://fullyfunctional.com/skin-treatments/morpheus8/) ([md](https://fullyfunctional.com/skin-treatments/morpheus8/index.html.md)) **Type:** Service **Description:** Transform skin from the inside out with the power of our Morpheus8 skin rejuvenation treatment and book your consultation with the experts at the Center for Fully Functional Health today. ### Content *Experience Exceptional SkinTransformation* Feeling comfortable in our own skin goes a long way toward a positive body image and an overall sense of well-being. If scars, loose skin, or signs of aging are causing you to feel uncomfortable when you look in the mirror, **Morpheus8** is a simple, *minimally invasive skin rejuvenation treatment* that can give you back a sense of vibrant confidence. *Morpheus8 Microneedling at the Center for Fully Functional Health* Our primary goal for each of our patients is to use *a holistic approach to health and wellness*. Whether the goal of the patient is improved health or addressing aesthetic concerns, we want to ensure that we meet each need with care, compassion, and professional skill. Led by Dr. Ellen Antoine and Dr. Scott Antoine, the entire team at The Center for Fully Functional Health is proud to offer our Carmel **Morpheus8 microneedling treatment** as a safe and effective skin rejuvenating option. *What is Morpheus8?* **Microneedling** has been a trusted method for stimulating collagen production and repairing skin damage over many decades. With the cutting-edge microneedling technology of the InMode Morpheus8, we can go beyond the conventional treatment by incorporating radiofrequency (RF), providing additional power for skin rejuvenation and fat reduction. Morpheus8 is categorized as a subdermal adipose remodeling device (SARD), which targets both superficial and subdermal layers with microneedles and fractional laser, delivering a comprehensive transformation. *Benefits of Morpheus8* From facial rejuvenation to addressing specific body areas, **Morpheus8 RF microneedling** stands out as a versatile and effective solution for a spectrum of skin concerns. See radiant, youthful skin and experience a higher level of confidence in your everyday life. Our Carmel Morpheus8 patients enjoy: *Am I a candidate for Morpheus8?* As an incredibly versatile treatment, RF microneedling can be used for both women and men and on any skin type or tone. Patients typically want to achieve skin tightening, eliminate wrinkles, reduce small pockets of fat, treat cellulite, scars, and stretch marks, and even out the texture of the skin. If you'd like to find out if you'd make a good candidate for Morpheus8 microneedling **Carmel functional medicine doctors** at The Center for Fully Functional Health can address that and any other questions you have during your initial consultation. Call us today! *Consultation and Preparation* A consultation is the best way to determine whether you are a good **candidate for Morpheus8**, and we will perform a skin evaluation as well as discuss any relevant health history prior to creating your comprehensive treatment plan. About one week before treatment, you will need to stop the use of certain products, including retinoids, tretinoins, and vitamin C. *The Morpheus8 Experience* Prior to treatment, we may apply a topical numbing cream if needed. Your provider will then apply the Morpheus8 handpiece to the treatment area in a steady pattern, and hyaluronic acid may be applied afterward to help soothe the skin. Most treatments take **about 30 minutes**. *Results, Recovery, and Aftercare* While there is **no necessary downtime**, most patients experience some minor itchiness, redness, or swelling after treatment, which typically disappear within one to two days. Patients will want to avoid exposure to the sun for about a week as the skin will remain sensitive. As collagen is stimulated and continues to naturally repair the skin, you will see improvements over days, weeks, and months, *with optimal outcomes usually about three to six months after treatment*. *Why choose The Center for Fully Functional Health?* Passionate about balanced wellness and overall patient care, [functional medicine doctors](/), Dr. Ellen Antoine and Dr. Scott Antoine, along with the exceptional medical staff at the Center for Fully Functional Health, guide every individual toward achieving *a fully functional life*. At CFFH, we are dedicated to addressing the entirety of each patient's well-being, adopting **a holistic approach** to tackle challenges, whether exclusively medical, aesthetic in nature, or a combination of both. *Schedule Your Carmel, IN, Morpheus8 Consultation at The Center for Fully Functional Health Today* Call us today at [(317) 989-8463](tel:(317) 989-8463) for a comprehensive consultation, or request your appointment online with our simple and convenient request form. #### Morpheus8 Frequently Asked Questions --- ## PANS/PANDAS TREATMENT **Link:** [PANS/PANDAS TREATMENT](https://fullyfunctional.com/pans-pandas/) ([md](https://fullyfunctional.com/pans-pandas/index.html.md)) **Type:** Service **Description:** Dr. Scott Antoine, functional medicine physician and PANS/PANDAS book author, offers root-cause care for children in Carmel, IN. In-person & virtual visits. ### Content #### HELPING FAMILIES FIND ANSWERS FOR PANS AND PANDAS. PANS and PANDAS can bring sudden, dramatic changes in a child’s behavior, emotions, anxiety, OCD symptoms, eating patterns, sleep, and daily functioning. At Fully Functional Health, we take a deeper look at the body systems that may be contributing to these changes so we can build a thoughtful, root-cause care plan. #### Physician Led Care *States Dr. Scott is Licensed to see Patients* If you’re outside of these states, please call our office and our team can help connect you with an appropriate referral. Call us at (317) 989-8463 #### RESOURCES FOR FAMILIES You don’t have to navigate PANS and PANDAS alone. Through Dr. Scott Antoine’s book, *The Comprehensive Guide to the Management of PANS and PANDAS*, our educational course, and comprehensive patient care, we help families better understand the root causes, treatment options, and next steps available for their child. The book is a detailed resource for parents who want to better understand the complexity of PANS and PANDAS, including possible triggers, immune dysfunction, infections, inflammation, toxins, and treatment considerations. Our course offers a guided way to learn at your own pace, helping families feel more informed, equipped, and confident as they begin to make decisions for their child’s care. #### ARE YOU FOLLOWING US? #### BLOGS WRITTEN BY DR. SCOTT --- ## Peels **Link:** [Peels](https://fullyfunctional.com/skin-treatments/peels/) ([md](https://fullyfunctional.com/skin-treatments/peels/index.html.md)) **Type:** Service **Description:** Carmel patients who want to treat acne, melasma, fine wrinkles, rough skin, age spots, and acne scars may do so with Chemical Peels. Come to the Center of Fully Functional Health to learn more! ### Content #### Seeking Smoother Skin *Chemical Peels in Carmel, IN* *Chemical Peels* are used as part of the exfoliating process during Fully Functional Custom Facials. This portion of your facial may be used on the face, neck, chest, and hands, among other places, and addresses the following skin concerns: acne, melasma, fine wrinkles, rough skin, age spots, and acne scars. At The Center for Fully Functional Health and Fully Functional MedSpa in Carmel **Chemical Peels** are available in a variety of levels to give our patients smoother skin and a more youthful appearance. In addition, *a chemical peel may be an effective solution for men and women who want to freshen their look* with significant and noticeable results but do not want more invasive procedures. #### Uncover Your Beauty *What is a Chemical Peel?* *A chemical peel is a painless, non-invasive procedure that encourages your body to shed old skin cells*, revealing younger, smoother skin underneath. Non-surgical facial rejuvenation treatments such as our Carmel **Chemical Peels** may help to minimize skin flaws such as fine lines, wrinkles, scars, and discoloration. During the treatment, your practitioner will apply a chemical solution to your skin that is entirely harmless. Damaged tissue will slough softly away from the surface as a result of the substance's action, exposing healthy tissue underneath. #### Rejuvenation that goes deep *What are the benefits of Chemical Peels?* **Chemical Peels may help with acne, scarring, and aging indications, including brown spots, fine lines, and wrinkles**. More intensive peels can help eliminate precancerous growths and address more serious cosmetic issues, such as deeper scars and more noticeable lines, wrinkles, and skin discolorations. After your session, *you'll notice smoother, suppler skin, giving you a more rejuvenated look*. #### Beauty and Budget-Friendly *Am I a good candidate for Chemical Peels?* *Chemical Peels should not be utilized on skin with open sores or inflamed skin*. If you have active acne, it is advised first to treat your acne and then consider a peel if your skin condition worsens. CFFH provides acne cleansing facials and laser treatments that help clean up the complexion, preparing your skin for a chemical peel safely and effectively. If you are a qualified candidate, you may have your **Chemical Peel** performed on the same day as your consultation. #### Brighter Complexion In Just One Treatment *Chemical Peel Recovery & Results* With our **Chemical Peels** Carmel patients' recovery times vary based on the strength and duration of exfoliation. Your Aesthetician will ensure your peel is suited to your skin texture, tone, and needs. Once *your skin is restored with new, healthy cells*, you will be more susceptible to sunlight and should use a moisturizer and broad-spectrum sunscreen, as well as prevent prolonged exposure to direct sunlight. Our team is happy to recommend *medical-grade products* that offer sun protection while ensuring you look and feel your very best. #### Reveal Your Healthy Skin *Schedule your Carmel Chemical Peel consultation at The Center for Fully Functional Health today.* The Center of Fully Functional Health's skin rejuvenation and **Chemical Peels enhance your natural attractiveness** while remaining safe and effective. Drs. Ellen and Scott Antoine and our talented team take pleasure in assisting patients in achieving their *skin rejuvenation* objectives. CFFH serves residents of Carmel, Indianapolis, and the surrounding regions. #### Chemical Peel Frequently Asked Questions --- ## Pelvic Floor Phyical Therapy **Link:** [Pelvic Floor Phyical Therapy](https://fullyfunctional.com/functional-medicine/pelvic-floor-phyical-therapy/) ([md](https://fullyfunctional.com/functional-medicine/pelvic-floor-phyical-therapy/index.html.md)) **Type:** Service **Description:** The Center for Fully Functional Health in Carmel offers expert Pelvic Floor Physical Therapy to help with fertility, urinary incontinence, and sexual function. Live your life Fully Functional! ### Content #### Pelvic Floor Physical Therapy in Carmel, IN *Discover Freedom from Pelvic Floor Issues* For both women and men, *Pelvic Floor Physical Therapy is the best way to restore your muscle strength and control*, regain confidence, and become Fully Functional again. You don’t have to deal with the personal frustration, limitations, and discomfort caused by weak pelvic floor muscles. *Pelvic Floor Physical Therapy* isn’t about convenience; it is about achieving the quality of life that everyone deserves. At The Center for Fully Functional Health, you can always expect compassionate, professional service with real, meaningful results. Our team is ready to help you take back control of your personal wellness through comprehensive **Pelvic Floor Physical Therapy in Carmel**. #### Proper pelvic floor function is key for quality of life *Convenient And Effective Pelvic Floor Physical Therapy* Normal pelvic muscle function usually goes unnoticed, like blinking or breathing. However, *weakened pelvic muscles can cause embarrassing and even debilitating issues that affect everything from daily routines to intimacy*. Strong pelvic muscles support vital organs in the pelvic region, and these organs control some of the body’s most critical functions, including urination, bowel movements, and sexual activities. *A weak or damaged pelvic floor can cause significant health problems, including*: - Organ prolapse - Pain and discomfort during sexual intercourse - Incontinence or difficulty controlling urination and bowel movements - Chronic pain and muscle fatigue - Involuntary bladder leakage - Inability to control gas release #### Pelvic Floor Physical Therapy rehabilitates weakened pelvic muscles *Physical Therapy Benefits* - Focused tightening and release of pelvic floor muscles, called *Kegels* - Manual manipulation and training of specific muscles (performed by your therapist) - Exercises for *stretching*, *coordination*, and *relaxation* - *Therapy aids used to restore muscle contraction capabilities* **Pelvic Floor Physical Therapy** strengthens pelvic muscles through targeted exercises that focus on tightening, releasing, and controlling specific muscle groups. *With time and routine therapy, pelvic muscles can get stronger and recover from the stress of extra weight or damage*. Our approach relies on a proven combination of exercise methods and manual therapies, including: There’s more good news: undergoing Carmel **Pelvic Floor Physical Therapy** during pregnancy can be a great way to prepare for birth and prevent more severe issues after labor. *Many OB/GYNS and primary care clinicians recommend starting pelvic floor therapy as early as the second trimester*. [Get Started](/contact/) #### How do you know if you need Pelvic Floor Physical Therapy? *Am I a Candidate?* - Partial or total inability to control urination or bowel movements - Pain or discomfort during urination or bowel movements - Aching in the groin region after walking or standing - Aching or pain in your lower abdominal region - Difficulty performing sexually If you’re experiencing pain, discomfort, or abnormal issues in the pelvic region, then physical therapy might be the simplest and most effective treatment option. Any of the following symptoms are a good reason to schedule a formal evaluation and consider **Pelvic Floor Physical Therapy**: In combination with other therapies, *pelvic floor treatments* can also help you regain the ability to exercise and help you tighten and tone areas stretched due to labor and weight gain, etc. In addition, **for men, Pelvic Floor Physical Therapy can aid recovery from prostate surgery** and help avoid side effects like incontinence or pelvic discomfort. [Get Started](/contact/) #### Building the right Pelvic Floor Physical Therapy plan for you *Your Pelvic FloorTreatment* Though birth is one of the primary reasons that pelvic muscles are weakened or damaged in women, *the pelvic floor of both men and women can be stressed in several ways, including*: - Pelvic surgery - Muscle atrophy - Prostate surgery - Chronic gut inflammation - Accidental damage or trauma - Obesity or excessive weight gain - Carrying extra weight during pregnancy - Vaginal stretching or tearing during labor #### Schedule your Pelvic Floor Physical Therapy in Carmel, Indiana, at CFFH today *Pelvic Floor Issues?Let Us Help.* You deserve freedom from the personal frustration, limitations, and discomfort caused by weak pelvic floor muscles. At our office in **Carmel Pelvic Floor Physical Therapy** isn’t about convenience; it’s about achieving the quality of life that everyone deserves. At the Center for Fully Functional Health, you can always expect compassionate, professional service with real, meaningful results. Our team is ready to help you take back control of your personal wellness through comprehensive *Pelvic Floor Physical Therapy*. Contact our team today by calling [(317) 989-8463](tel:(317) 989-8463) or [filling out our online form](/patient-resources/become-a-patient/) to set up an initial consultation and treatment session and start the path back to Fully Functional. #### Pelvic Floor Physical Therapy Frequently Asked Questions --- ## Peptide Therapy **Link:** [Peptide Therapy](https://fullyfunctional.com/functional-medicine/peptide-therapy/) ([md](https://fullyfunctional.com/functional-medicine/peptide-therapy/index.html.md)) **Type:** Service **Description:** The Center for Fully Functional Health in Carmel offers Peptide Therapy, a natural and effective way to alleviate pain on your journey to treat chronic health conditions & become Fully Functional. ### Content #### Turn back the hands of time with Peptide Therapy *Why You Should Be Considering Peptides* [.intro.highlight-color]*Peptide therapy has quickly become a key approach for treating everything from the natural effects of aging to chronic health issues*. By restoring and balancing naturally occurring peptides, patients can experience significant wellness and cosmetic benefits.[] **Peptide Therapy in Carmel** is available at the Center for Fully Functional Health, and is an ideal option to help you achieve youthful skin and joints, improved healing and recovery times, and a host of other health benefits. Some peptides may be compounded specifically for you, while others are available as commercial formulations through traditional pharmacies. Schedule your Peptides Focus Appointment to learn more about how *Peptide Therapy* is a part of Fully Functional living. #### When peptides are deficient, so are you. *What are Peptides?* *Peptides are small but mighty, and they are critical for total body health*. From immune system deficiency to hair loss and decreased sex drive, **Peptide Therapy** can treat persistent health issues and help restore a meaningful quality of life. Though you may not be aware of what peptides are doing “behind the scenes,” they are hard at work supporting your body's most crucial functions, including: - Producing collagen and elastin for healthy skin, hair, and joints - Controlling the release of mood-stabilizing hormones - Assisting with immune health and wound healing - Developing and regulating the nervous system - Regulating blood pressure and blood glucose - Promoting weight loss and/or muscle gain - Improving recovery after workouts When peptides are out of balance, you might experience frustrating medical symptoms and notice more visible effects of aging. At The Center For Fully Functional Health, we offer our Carmel **Peptide Therapy** patients comprehensive treatment plans that are tailored to their specific health goals. #### Peptides bolster your immune system and support processes at the core of a healthy body *What are the benefits of Peptides?* To learn how **Peptide Therapy** works, it helps to understand exactly what peptides are and how they support full-body health. Peptides are chains of amino acids that form the building blocks of protein. While peptides are usually present in large amounts when you're young, they typically reduce in number and strength over time. *Beyond building your body's defenses against disease and immune threats, peptides also play a key role in helping you look and feel your best*. [Get Started](/contact/) *Is Peptide Therapy right for you?* Are you struggling to feel your best? Does it feel like the effects of aging are catching up faster than ever? *As the presence and potency of peptides begin to fade over time, patients may notice chronic health issues or signs of aging, including*: - Hair loss - Skin damage, wrinkles, or loss of elasticity - Persistent fatigue - Chronic inflammation (e.g. joint pain, arthritis) - Sexual dysfunction - Trouble with memory or focus - Slower metabolism - Changes in blood pressure or blood glucose - Difficulty achieving personal weight loss or fitness goals Improving the naturally occurring strength and volume of **peptides** can stop these symptoms in their tracks, and give your body the help it needs to stay Fully Functional. [Get Started](/contact/) #### Peptides support your body’s most critical functions *Types of Peptides* Peptides are classified in three ways: according to how they are arranged (amino chains), their source (plant or animal), and their function in your body. *A peptide is essentially a chain of amino acids that contains two or more amino acids*. The amino acids are subsequently joined together by a chemical connection known as a peptide bond. Peptides may also form complex structures (with more than 50 amino acids on the chain), which is when they are referred to as proteins. *All of these things contribute to the proper functioning of your body*. #### We provide fully customized Peptide Therapy *Your Peptide Therapy Procedure* Though **Peptide Therapy** is a modern wellness treatment, it's quickly growing in popularity and the medical benefits are widely recognized and well established. We partner closely with each patient, offering deep expertise and advanced treatments exactly where they're needed. After a brief initial consultation to collect your medical history and baseline labs, we will create and review your recommended treatment plan. *Peptide Therapy is typically quick and easy*, and at-home treatment may involve oral capsules, injections, nasal sprays, or topical application through lotions or creams. #### CFFH offers a Full Range of Anti-Aging Peptide Therapy *Schedule your Peptide Therapy Focus Appointment* Today, *there are over 7,000 known peptides and 100+ FDA-approved peptide treatments*. Each one can play a unique role in supporting bodily health, and peptide treatments can be precisely targeted to focus on specific cellular functions. The most effective approach is to work with a clinician who can tailor a unique peptide treatment program to your specific needs. After a one-on-one consultation with a CFFH Clinician and a series of labs, we will prescribe a personalized protocol designed to achieve your goals. Learn more about how **Peptide Therapy** can help you tackle health issues, recover well-being, and experience the life you want. Contact our compassionate, experienced team today by calling [(317) 989-8463](tel:(317) 989-8463) or [filling out our online form](/patient-resources/become-a-patient/) to schedule your appointment. #### Peptide Therapy Frequently Asked Questions --- ## Personalized Tms **Link:** [Personalized Tms](https://fullyfunctional.com/functional-medicine/personalized-tms/) ([md](https://fullyfunctional.com/functional-medicine/personalized-tms/index.html.md)) **Type:** Service **Description:** Carmel, IN Personalized TMS offers non-invasive brain stimulation for mental health issues customized to individual brain patterns. ### Content *Non-Invasive Transcranial Magnetic Simulation* **Personalized Repetitive Transcranial Magnetic Stimulation** (TMS) uses gentle magnetic waves to help realign and reorganize how information passes through neurons in the brain. This FDA-cleared therapy is ideal for patients with depression, anxiety, sleep, stress, addiction, or brain inflammation as a result of injury or infection. Personalized TMS maps your specific brainwave patterns to inform a customized treatment protocol. TMS has proven successful for patients with needs ranging from cognitive and athletic performance to healing after concussion. We also recommend our Carmel Personalized TMS for OCD (Obsessive Compulsive Disorder) and challenging symptoms of ASD (Autism Spectrum Disorder). This state-of-the-art therapy may offer life-changing results *without prescriptions or invasive procedures*. Contact us today to learn more and start your journey to better focus, clarity, and confidence. #### Understanding Personalized Repetitive Transcranial Magnetic Stimulation *What is Personalized TMS?* **Personalized TMS** at The Center for Fully Functional Health is a non-invasive therapy that uses gentle magnetic pulses to alter brainwaves. Repeated exposure to these magnetic waves over weeks can *reorganize cellular function in the brain* with impressive results. We describe TMS as a pacemaker for your brain. Patients with an abnormal heartbeat often receive a pacemaker that administers tiny electrical impulses to help stabilize and correct their heart rhythm. In the same way, TMS uses localized electrical impulses to alter how messages travel from one part of the brain to another, correcting disruptions that cause various challenging mental health conditions and neurological disorders. #### Holistic Mental Health *What are the benefits of Personalized TMS?* TMS was first used over 40 years ago and received FDA clearance in 2008 as a treatment option for serious depression that did not respond to medication. Since then, TMS has been further FDA-cleared for patients with migraines with aura, OCD, or those who wish to stop smoking, and its benefits don't stop there. While Repetitive TMS showed promising success, the results were limited by a one-size-fits-all approach. For instance, every patient who received TMS therapy for depression received the same TMS treatment protocol, regardless of their specific brain function, medical history, or needs. In contrast, **Personalized TMS is customized to each patient's specific brain patterns and neuron function**. Personalized TMS therapy represents an incredible scientific advancement in addressing the brain wave disruption caused by brain trauma, infection, toxic/toxicant exposure, congenital abnormalities, lack of sleep, stress, and addiction. #### Keys to Successful Transcranial Magnetic Stimulation Therapy *How Does Personalized TMS Work?* Personalized TMS therapy starts with a painless scan called an EEG with ECG – an electroencephalogram with electrocardiogram, and it's used to map brain waves. Small adhesive sensors are placed across the patient's scalp for **30-60 minutes** to record their brain waves and heart rhythm. A specially trained neurologist then analyzes the information this EEG with ECG provides. Based on the results, we create a customized TMS protocol explicitly designed to address the disruptions shown in that EEG. Your Fully Functional practitioner will discuss the suggested TMS protocol with you and show you exactly which areas of the EEG report it's designed to address. #### Personalized TMS Results *Am I a Good Candidate for TMS?* [.intro.highlight-color]Once your initial EEG is complete and interpreted, **Personalized TMS therapy** is administered via a special cap worn on the head. *Each session lasts about 30 minutes*, and there is typically no discomfort beyond a mild tapping or twitching sensation on the scalp.[] Personalized TMS sessions are scheduled every weekday, Monday through Friday, for 4 to 8 weeks, depending on the goals and level of intervention required. Every two weeks of your TMS protocol, we will also repeat an EEG with ECG to evaluate progress and make necessary changes. To see the expected results, you must be available to come to the practice for your half-hour session every weekday. The process of Personalized TMS offers exciting, real-time insight into brain function, with the potential for quick and lasting results. It's been used to successfully improve both cognitive and athletic performance, as well as to noticeably reduce symptoms of: - PTSD - Depression - Anxiety - Traumatic Brain Injury or Concussion - OCD - Insomnia or disturbed sleep - Brain fog or trouble with focus/memory - Chronic pain - Stroke - Autism Spectrum Disorders (ASD) - Brain dysfunction associated with chronic infections - Addiction and cravings - Movement Disorders/Spasms (such as those seen with Parkinson's) If you or a loved one suffers from any of the symptoms or conditions above, we encourage you to consider Personalized Transcranial Magnetic Stimulation. If you'd like to find out if you'd make a good candidate for Personalized TMS **Carmel functional medicine doctors** at The Center for Fully Functional Health can address that and any other questions you have during a consultation. Please call our office at [(317) 989-8463](tel:(317) 989-8463) or fill out the contact form at the bottom of this page for more information about how to schedule an EEG and begin the evaluation process. #### Begin Your Journey *Discover Personalized TMS* We would love to speak with you one-on-one to determine whether TMS in Carmel, IN, best fits your health needs and goals. We look forward to creating a customized journey to Fully Functional that helps you live your healthiest, most joyful life. Contact our team today by calling [(317) 989-8463](tel:(317) 989-8463) or filling out our online form to schedule your initial consultation. [Schedule Appointment](/contact/) #### Personalized TMS Frequently Asked Questions --- ## Physical Therapy **Link:** [Physical Therapy](https://fullyfunctional.com/functional-medicine/sports-medicine-physical-therapy/) ([md](https://fullyfunctional.com/functional-medicine/sports-medicine-physical-therapy/index.html.md)) **Type:** Service **Description:** At The Center for Fully Functional Health in Carmel, you can achieve balance and optimal wellbeing with Sports Medicine Physical Therapy. Book your session today! ### Content #### The Power of Performance *Sports Medicine Physical Therapy* Don't settle for sitting on the sidelines or dealing with pain and limited range of motion due to an injury! With proper **Sports Medicine Physical Therapy in Carmel**, at The Center for Fully Functional Health, *you can continue to enjoy the activities you love* and have complete, comfortable mobility. *Eliminate Pain Without Painful Procedures* When injuries take you out of the game, *Physical Therapy helps you recover and thrive*. The drive to compete and win often pushes people to their limits and beyond. While this drive is at the heart of great performances and personal records, *ignoring pain thresholds and overlooking risky behavior can put you at risk of a new or recurring injury*. These injuries can have life-long impacts like significant pain and discomfort and an inability to compete or participate in beloved activities. Common sports-related injuries that may need **Sports Medicine Physical Therapy** include: - Sprains - Plantar fasciitis - Strained muscles - Achilles tendonitis - Dislocated shoulder - Torn ligament (ACL, LCL, MCL, PCL) At CFFH, *we treat sports and exercise-related injuries with a range of physical therapy techniques* designed to **reduce pain and promote healing**. Our goal is to help patients continue playing or performing at their peak without missing a step. #### Dry Needling *Unique Benefits to Keep You at the Top of Your Game* By applying the right therapies to specifically address areas of weakness, strain, or damage, we help patients put injuries on the defensive. Our therapy treatments include: - Plyometrics - Strength training - Guided stretching exercises - Targeted muscle conditioning and strengthening - Skill development for specific sports to train key muscle groups - Dry needling to release tension, reduce pain, and promote healing Dry needling is an innovative and **medically-verified approach** to our Carmel **Physical Therapy** that helps relieve pain and ease discomfort from common injuries. During [**dry needling treatments**](/functional-medicine/dry-needling/), specific trigger points (areas of high muscle sensitivity) are targeted to reduce tension and encourage muscle relaxation by stimulating an anti-inflammatory response. In addition, *the dry needling method promotes blood flow to irritated muscles and releases endorphins* for an all-natural way of relaxing and soothing. *Weight Management* Nutritional planning and our [**weight loss program**](/functional-medicine/weight-loss-program/) may assist you in developing healthy habits, overcoming a sugar addiction, and reaching your optimal weight. Our team can assist you when the nutritional adjustments you need to make seem too daunting or challenging to handle on your own. We can help you transition into a better way of life gradually. Our *expert health coaches* assist with nutrition planning, overseen by our board-certified doctors. *Health Coaching* Our **Health Coaches** assist you in making necessary mental and behavioral adjustments and customizing your food and lifestyle plan to meet your specific health objectives. [**Health Coaching**](/functional-medicine/health-coaching/) from the Center for Fully Functional Health (CFFH) assists you in achieving transformative health behavior changes so that you may execute your specific Fully Functional treatment plan and regain your life. In order to effectively adopt customized food, mentality, and lifestyle adjustments, health coaching is used to bridge the gap between your doctor’s medical advice and old habits. This is an integral part of our Sports Medicine Physical Therapy. [Get Started](/contact/) #### Improve Pain Relief and Stay Active *A personalized plan to keep you at 100%.* Our team will use their extensive knowledge of biomechanics and exercise science to craft the right plan for your specific body, needs, and goals. *We’ll begin with a 60-minute evaluation and treatment session* to determine the exact issue and how it’s affecting your quality of life, including the presence of pain, limited range of motion, and other impacts. With **Sports Medicine Physical Therapy** Carmel patients can also help improve their outcome and recovery time if they’re ever facing surgery for their injury. Our treatments are designed to help *speed healing*, *reduce pain*, *minimize scar tissue*, and *recover the full range of motion*. #### We understand an injury can feel like much more than a minor setback. *Make Peak Performance Possible Again* *Surgery*, *physical therapy*, *healing*, and continued practice can all be part of your journey back to normal. Our experienced, dedicated team is ready to help you understand the next steps and put the best plan in place for optimal recovery, treatment of an old injury, or preemptive physical therapy to avoid injury and stay healthy long term. *It is Time to Fully Function* We believe that a personalized approach and understanding of your body’s limits are vital to achieving better performance, avoiding future issues, *and staying Fully Functional for life*. Because sports injuries can be especially severe and challenging, they require a knowledgeable and experienced approach for adequate treatment and to ensure a full recovery. Our physical therapy team is Certified Doctors of **Sports Medicine Physical Therapy**, with extensive education and over a decade’s experience *helping patients successfully regain range of motion*, relieve pain, and meet the unique physiological demands placed on the body during athletic activities and exercise. [Get Started](/contact/) *Better Shape Means Better Health* Schedule your Sports Medicine Physical Therapy in Carmel, Indiana today. When it comes to *transforming your health and wellbeing*, **YOU** are responsible for a large portion of your success. For your body to properly recover and cleanse, you'll need to make dietary, mental, and lifestyle adjustments to give you the greatest opportunity of reversing any harm and optimizing your health. We realize how difficult it may be to change old habits with new, healthy ones. It is practically never effective to rely just on willpower! Learn how **our Sports Medicine Physical Therapy techniques may assist you in becoming Fully Functional**. Contact our team today by calling [(317) 989-8463](tel:(317) 989-8463) or [filling out our online form](/patient-resources/become-a-patient/) to set up an initial consultation and treatment session and start the path back to Fully Functional. #### Sports Medicine Physical Therapy Frequently Asked Questions --- ## Pulsed Electromagnetic Frequency **Link:** [Pulsed Electromagnetic Frequency](https://fullyfunctional.com/functional-medicine/pulsed-electromagnetic-frequency/) ([md](https://fullyfunctional.com/functional-medicine/pulsed-electromagnetic-frequency/index.html.md)) **Type:** Service **Description:** The Center for Fully Functional Health in Carmel offers Pulsed Electromagnetic Frequency - PEMF Therapy - a great option for patients who don’t respond to conventional medical care. ### Content *PEMF Therapy can help jump-start your healing on the cellular level, improving how your body heals itself.* [.intro.highlight-color]CFFH Pulsed Electromagnetic Frequency (PEMF) therapy is a great option for patients who don’t respond to conventional medical care.[] **PEMF Therapy** is a safe, effective, non-invasive treatment meaning no surgery, no medication, no injections or needles. It is used to help a wide variety of conditions – including many dismissed as chronic or unmanageable. An excellent study was done by NASA, where they discovered *the benefits of the type of PEMF we offer promotes*: - Better healing and regeneration of damaged or diseased tissue - Greater cell longevity, which leads to an anti-aging effect - Up-regulation of genes responsible for collagen production - Cell restoration and growth *Restorative Treatments Tailored To You* At CFFH, we’re patient-focused and committed to targeting the individual root causes of your illness.Living a Fully Functional life means treating your body as a whole – all ten trillion cells at once.​​​​​​​​ Are you feeling frustrated with your current treatment? Do you find that your doctor or team of specialists are not connecting all the dots? Is the cost of your medication rising, or are you scared of a life-disrupting surgery? At our office in Carmel **PEMF Therapy** has been found to be helpful for the following conditions: - Chronic pain - Inflammation - Effects of stress - Muscle pain and spasms - Osteoarthritis-related pain - Back pain - Fatigue - Poor sleep - Immune dysfunction If you feel lost or disconnected from your friends and family because of your condition, please consider **PEMF Therapy in Carmel**. [Get Started](/contact/) *How PEMF Therapy Can Help You* Your body uses a molecule called “adenosine triphosphate” (ATP) as fuel for your cells. *A session of PEMF powers up your ATP, ensuring your cells function optimally*. By focusing on the cellular level, PEMF improves how your body heals itself, from the inside and out. Your cells also gain improved nutrient absorption and waste removal functions. When cells are able to align and communicate with one another better, your whole body sees the benefits. **PEMF Therapy can improve the inner workings of every single cell**. This can mean better circulation and reduced inflammation. Your muscular system can also contract and relax more efficiently. *Who is PEMF Therapy for?* **PEMF Therapy is ideal** for people with chronic conditions who feel they have exhausted all their medical options without the results they hoped for. Many of our patients find PEMF Therapy heals their relationship with their body, improving their quality of life. In some cases, patients have been previously told the only option left is surgery. The associated potential risks and long recovery time can be concerning. Or you may think that you have run out of choices entirely. *There are over 300 medical uses of non-invasive PEMF*. The **PEMF Therapy** itself lasts no longer than the average *spa treatment* and is a convenient course of care that may bring real serious relief. [Get Started](/contact/) *Find a partner in Functional Medicine and start living Fully Functional* *Stop living in pain and discomfort*. Surgery might not be the only option! We share your values and want to provide you with real answers and optimize your health. We are motivated to give you your life back, so you can achieve all the things you were put on this earth to do. *PEMF Therapy* We are your biggest cheerleaders! We want you to feel better, with improved energy and mobility so you can be Fully Functional® to meet all your goals. With **PEMF Therapy** Carmel patients can expect to pay in ranges from $30-$60 per session, depending on their needs. More details will come after meeting with a physician to discuss your course of treatment. --- ## Recharge IV Therapy **Link:** [Recharge IV Therapy](https://fullyfunctional.com/functional-medicine/recharge-iv-therapy/) ([md](https://fullyfunctional.com/functional-medicine/recharge-iv-therapy/index.html.md)) **Type:** Service **Description:** Recharge and Recharge Plus IV Therapy at The Center for Fully Functional Health in Carmel, IN, delivers NAD+, B vitamins, and essential nutrients. Schedule your IV therapy session today. ### Content *Recharge & Recharge Plus at The Center for Fully Functional Health* Dragging through the week? Training harder than you’re recovering? Recharge and Recharge Plus give your cells what they need to get back in gear. These physician-formulated drips deliver hydration and key nutrients straight into the bloodstream for dependable uptake—no guessing with digestion. - Recharge: 250 mg NAD+ in IV fluids for cellular energy and recovery. - Recharge Plus: Myers Cocktail base + 250 mg NAD+ for broader micronutrient support. *What is Recharge IV Therapy?* Recharge is a focused NAD+ infusion (250 mg) in balanced fluids. Patients choose it for low energy, post-illness lag, long workweeks, or to support athletic blocks and healthy aging. *What is Recharge Plus?* Recharge Plus adds a Myers Cocktail (B-complex, magnesium, and core vitamins/minerals) to the same 250 mg NAD+ dose—useful when you want both cellular energy and broader repletion in one visit. *Consultation& Prep* We’ll talk goals, scan your history, and pick the formula and add-ons that make sense. Come fed and hydrated. Bring a book or headphones—you’ll be in a comfy chair. *What the Visit Feels Like* A nurse places a small IV; you’ll settle into the Lounge. Recharge or Recharge Plus usually runs about 60–90 minutes, depending on add-ons and the NAD+ rate. We adjust the drip if you feel pressure or warmth—common with NAD+—so the session stays easy. *Results & Follow-Up* Many patients feel a lift within a day or two; momentum builds with a short series. Some come monthly, others time sessions around travel, training, or high-demand stretches. Package options include savings and free BioMat upgrades when available. *Why CFFH* You’re seen by a team that blends functional medicine with practical IV protocols. Dr. Ellen Antoine and Dr. Scott Antoine lead care with decades of experience, and every drip is mixed and monitored by a skilled clinical team. You get clear reasoning, clean ingredients, and a plan that fits your week. *Schedule Your Recharge IV in Carmel* Ready to feel like your capacity matches your calendar? Call [(317) 989-8463](tel:(317) 989-8463) or [book online](/contact/). #### Recharge IV Frequently Asked Questions --- ## Restore IV Therapy **Link:** [Restore IV Therapy](https://fullyfunctional.com/functional-medicine/restore-iv-therapy/) ([md](https://fullyfunctional.com/functional-medicine/restore-iv-therapy/index.html.md)) **Type:** Service **Description:** Restore and Restore Plus IV Therapy at The Center for Fully Functional Health in Carmel, IN, delivers essential vitamins, amino acids, and minerals to support gut health, boost energy, and improve overall well-being. ### Content *Restore & Restore Plus at The Center for Fully Functional Health* When fatigue hangs on, digestion drags, and your day never quite hits stride, a gut-forward IV can help you reset. Restore and Restore Plus give your system fuel for metabolism and repair while you relax in the IV Lounge. - Restore: Vitamin B-complex + amino acids. $250. - Restore Plus: Vitamin B-complex + amino acids plus minerals. $325. *What is Restore IV Therapy?* Restore supports gut health and cellular work with a blend of Vitamin B-complex and amino acids in hydrating fluids. The aim: steadier energy, smoother digestion, and a clearer head as baseline nutrients reach circulation without relying on an irritated GI tract. *What is Restore Plus?* Restore Plus adds targeted minerals (think magnesium, calcium, zinc) for metabolism, skin, and immune support when you want a broader lift. *Candidates& Safety* Good fit for most adults seeking support for gut function, nutrient repletion, and day-to-day stamina. We review history and meds, then tailor the formula and drip rate. If you’re pregnant, managing complex allergies, or on specific therapies, we’ll adjust the plan. *Consultation & Prep* We map symptoms, diet, and goals, then choose Restore or Restore Plus with add-ons that make sense. Eat a light meal, hydrate, and skip alcohol ahead of the visit. *What the Visit Feels Like* A nurse places a small IV; you settle into a recliner. Sessions run 60–90 minutes, depending on add-ons. Read, nap, or catch up on email while we monitor the infusion. *Results & Follow-Up* Most people feel changes within 24–48 hours—easier digestion, clearer thinking, and more even energy. Some book monthly for maintenance; others time visits around travel, busy seasons, or recovery windows. Package options include savings and a free BioMat upgrade when available. *Why CFFH* IV therapy here is run by a functional medicine team with deep clinical experience. Dr. Ellen Antoine and Dr. Scott Antoine oversee protocols, and each drip is mixed and monitored by a skilled clinical staff. Clear reasoning. Clean ingredients. A plan that fits your life. *Schedule Your Restore IV in Carmel* Ready to steady digestion and bring energy back on line? Call [(317) 989-8463](tel:(317) 989-8463) or [book online](/contact/). #### Restore IV Therapy Frequently Asked Questions --- ## Sexual Wellness **Link:** [Sexual Wellness](https://fullyfunctional.com/functional-medicine/sexual-wellness/) ([md](https://fullyfunctional.com/functional-medicine/sexual-wellness/index.html.md)) **Type:** Service **Description:** The Center for Fully Functional Health in Carmel offers optimal Sexual Wellness with vFit Gold to help you achieve and maintain your highest level of sexual wellness. ### Content *Restore Your Sexual Fitness* [.intro.highlight-color]Your intimate relationships significantly influence your emotional, mental, and physical well-being. And when you find your libido or sexual performance inhibited by aging, hormonal changes, or childbirth, it can have a real impact on your self-confidence and stress levels.[] It can also be a challenge to discuss your sexual wellness or discover the right therapies and treatments for your specific body and needs. At the Center for Fully Functional Health in Carmel, IN, we understand how important your sexual health is to your quality of life. We help patients feel comfortable and confident again, using our compassionate, research-oriented approach to create personalized solutions that speak to every aspect of your **Sexual Wellness in Carmel**. With a combination of *hormone therapy, peptides, MedSpa services*, and innovative at-home treatments, we can help you recapture that spark and feel like yourself again. *A Whole-Body Approach to Sexual Wellness* Although the public conversation about **Sexual Wellness** often focuses on major hormonal events, such as pregnancy, menopause, or andropause (male menopause), your sex hormone levels also change throughout your lifetime in response to stress or health challenges. Paying close attention to sex and stress hormones can help you identify your natural cycles and supplement as needed. And while *shifting levels of estrogen, progesterone, and testosterone* can have a major impact on sexual arousal and performance, so can systemic inflammation and changes in anatomy due to aging and illness. Your thyroid, stress hormones, and the neurotransmitters that regulate your mood can also play a major role in your libido. *That’s why we approach Fully Functional Sexual Wellness with your whole body in mind*. #### Sexual Dysfunction Relief in Carmel, IN *Starting Your Journey to Sexual Wellness* At CFFH, *we offer a range of therapies and treatments designed to help you find joy and satisfaction in the bedroom*. If you would like to see a health Clinician, we recommend beginning with a **Hormone Balance Focus Appointment** package. That package includes two visits with our expert Functional Medicine Nurse Practitioner, plus standard baseline labs and the testing needed to identify any issues with your sex hormones. Based on the results of your Focus Appointment, we can prescribe a course of [Bioidentical Hormone Replacement](/functional-medicine/bioidentical-hormone-replacement/) if needed, available through a combination of creams, injections, or pellets. We can also recommend [Peptide Therapy](/functional-medicine/peptide-therapy/) options to help safely and naturally boost your sexual function. *MedSpa Services for Sexual Health* In the *Fully Functional MedSpa*, we also offer a range of treatments for Carmel **Sexual Wellness** patients, including *Spark and Spark Plus IVs*. These physician-curated formulas are available in our [IV Lounge](/functional-medicine/iv-lounge/) and offer a combination of vitamins and amino acids known to support healthy libido and sexual performance. Through our Fully Functional Apothecary, we also offer supplements *designed specifically to help men or women optimize their sexual performance*. Our *medical-grade skincare* offerings include the AnteAGE MD Vaginal Rejuvenation Kit, a perennial bestseller for women who have recently given birth or are experiencing symptoms of menopause. If you are interested in a more comprehensive approach, we recommend the Spark Wellness Plan. That plan includes Spark IVs, as well as foundational services to combat inflammation, including [Red Light Therapy](/functional-medicine/full-body-red-light-therapy-pemf/), Ballancer Pro Lymphatic Drainage, and our sauna. The Spark Wellness Plan also includes a [Pelvic Floor Physical Therapy](/functional-medicine/pelvic-floor-phyical-therapy/) Consultation and Treatment session. By addressing these multiple aspects of sexual health, we are able to consistently achieve *excellent results* for our patients. *Pelvic Floor Therapies for Complete Sexual Fitness* Anatomical issues with your abdominal and pelvic floor muscles, reproductive organs, digestive tract, and bladder can all have a significant effect on sexual performance. Our in-office *Pelvic Floor Physical Therapy* Doctor can help identify problem areas and tone and tighten your pelvic floor muscles. Pelvic Floor PT is our preferred method to address painful or difficult intercourse, incontinence, and other aspects of your **Sexual Wellness**. We are also proud to offer the **vFit Gold**, a revolutionary at-home light therapy device. Treatments with vFit Gold have been proven to enhance overall sensation during physical intimacy. In fact, 95 percent of women said their confidence, intimate wellness, and health had improved after just 60 days of vFit Gold use. Paired with *Pelvic Floor Physical Therapy* treatments, the *vFit is an outstanding way to restore vaginal flexibility and tightness*. Schedule a consultation now to learn more. #### Take Charge of Your Intimate Wellness *Am I a good candidate for vFit Gold?* Indicators that you may be a good fit for the vFit Gold include *vaginal dryness, urinary incontinence, weakness in the pelvic floor, discomfort during sex, lack of sensitivity during sex*, or *low sexual response*. Our women's healthcare providers can introduce you to this breakthrough Sexual Wellness device and determine whether or not the vFit Gold is a suitable therapy option for you. Please note, **pregnant women or women who are actively trying to become pregnant should refrain from using the vFit until after delivery**. #### Specializing In Sexual Wellness *Schedule Your Sexual Wellness Consultation* Our suite of office-based treatments such as the *Hormone Balance Focus Appointment*, *MedSpa* and *IV Therapy*, and *Pelvic Floor Physical Therapy* are a fantastic complement to the **vFit Gold**. Contact us now to book your private appointment and discover how to optimize your **Sexual Wellness**. [Schedule Appointment](/contact/) #### Sexual Wellness & vFit Gold Frequently Asked Questions --- ## Spark IV Therapy **Link:** [Spark IV Therapy](https://fullyfunctional.com/functional-medicine/spark-iv-therapy/) ([md](https://fullyfunctional.com/functional-medicine/spark-iv-therapy/index.html.md)) **Type:** Service **Description:** Spark and Spark Plus IV Therapy at The Center for Fully Functional Health in Carmel, IN, deliver essential vitamins and amino acids to boost energy, support sexual health, and improve overall well-being. ### Content *Spark & Spark Plus at The Center for Fully Functional Health* Low drive, low fuel, low mood—when all three show up, it’s time to help your system out. Spark and Spark Plus support sexual wellness and steady energy while you relax in the IV Lounge. - Spark: Vitamin B12, Vitamin C, amino acids. Sexual health & energy. $250. - Spark Plus: Vitamin B-complex, Vitamin B12, Vitamin C, amino acids. $325. *What is Spark IV Therapy?* Spark delivers B12, Vitamin C, and amino acids in hydrating fluids. The blend supports blood flow, cellular repair, and a steadier energy curve—useful when stress, sleep debt, or age are crowding out libido and stamina. *What is Spark Plus?* Spark Plus adds a B-complex for extra metabolic support when you want a broader nudge for mood, focus, and performance. *Candidates& Safety* A good fit for most healthy adults looking to support libido, mood, and day-to-day energy. We review your history first and tailor the formula and rate to your needs. *Consultation& Prep* We’ll map symptoms and goals, then choose Spark or Spark Plus with any add-ons that make sense. Eat a light meal, hydrate, and bring something to read. *What the Visit Feels Like* A nurse places a small IV; you settle into a recliner. Sessions usually run 60–90 minutes, depending on add-ons. You can nap or catch up on email while we monitor the infusion. *Results & Follow-Up* Spark delivers B12, Vitamin C, and amino acids in hydrating fluids. The blend supports blood flow, cellular repair, and a steadier energy curve—useful when stress, sleep debt, or age are crowding out libido and stamina. *Why CFFH* IV therapy here is run by a functional medicine team with deep clinical experience. Dr. Ellen Antoine and Dr. Scott Antoine oversee protocols, and every drip is mixed and monitored by a skilled clinical staff. Clear reasoning. Clean ingredients. A plan that fits your life. *Schedule Your Spark IV in Carmel* Ready to bring back your edge and keep it? Call [(317) 989-8463](tel:(317) 989-8463) or [book online](/contact/). #### Spark IV Therapy Frequently Asked Questions --- ## Sublingual Immunotherapy **Link:** [Sublingual Immunotherapy](https://fullyfunctional.com/functional-medicine/sublingual-immunotherapy/) ([md](https://fullyfunctional.com/functional-medicine/sublingual-immunotherapy/index.html.md)) **Type:** Service **Description:** At the Center for Fully Functional Health in Carmel, Sublingual Immunotherapy (SLIT) is an option for treating allergies once and for all as part of your journey to living Fully Functional. ### Content #### Sublingual Immunotherapy in Carmel, IN *Lasting Allergy Relief* *Allergies can cause a range of life-changing symptoms from skin breakouts and sinus congestion to brain fog, sleep issues, and trouble breathing*. It can be both frightening and frustrating to recognize that a food, plant, or family pet is causing serious health issues. Even worse is when the potential allergens remain a mystery, and you're left with a series of unpredictable allergy attacks. At The Center for Fully Functional Health, we are experts at identifying and *treating allergies* with safe, natural therapies, including **Sublingual Immunotherapy in Carmel**. We will partner with you to uncover hidden food, environmental, or seasonal allergies and suggest a care plan that calms your immune system and restores your health and quality of life. #### Long-Lasting Allergy Treatment Tailored To You *What is Sublingual Immunotherapy?* CFFH **Sublingual Immunotherapy** (*SLIT*) is an option for treating allergies once and for all as part of your journey to living Fully Functional. *SLIT can be very effective for chronic allergies* and a great alternative to injections. Millions of people struggle with sneezing, coughing, and watery eyes due to seasonal allergies, while some struggle all year round. For many, allergy symptoms can be debilitating. *SLIT is the use of specially formulated drops that desensitize your system to allergens*. Testing will initially be required, and then your Physician will discuss the ideal drops and timing to address your unique needs. Drops are most commonly administered at home three times daily. This treatment can offer significant relief without the use of injections or antihistamine medications. At our office in Carmel **Sublingual Immunotherapy** is an easy, convenient way to treat allergies that has been used in other countries for many years. #### What are the benefits of Sublingual Immunotherapy? *Say Goodbye to Allergies Without Injections* *SLIT has been used for decades to alleviate common allergy symptoms associated with grass, weeds, pollen, pet dander, and dust mites*. In our office, we also see the benefits in people with other immune conditions, including food allergies and allergy-related skin issues such as mild eczema. With **Sublingual Immunotherapy** Carmel patients can get help to alleviate common symptoms of allergies, including: - Red, itchy eyes - Sneezing - Wheezing - Flushing - A runny or stuffy nose - Difficulty breathing - Rashes and skin conditions - Fatigue - Digestive issues #### Live Free of Allergies on Your Way to Fully Functional *Am I a good candidate for Sublingual Immunotherapy?* What if your *allergy symptoms* were just a distant memory? Stop masking symptoms and instead address the root cause. Living Fully Functional means enjoying an active life without allergies. **Sublingual Immunotherapy** might be a good option for you if previous testing, allergy shots, or elimination protocols proved ineffective. We will first perform an allergy test to confirm your sensitivities and specific allergies. Based on those results, we will formulate drops that are simply applied under your tongue, where they are absorbed. The good news is there are no injections, and *SLIT is easy and effective*! To find out whether SLIT or other *allergy therapies* are right for you, the first step is to book an Allergy Relief Focus Appointment. This convenient package includes consultations and baseline labs where our Clinician can determine whether you require further allergy testing or are ready to begin **Sublingual Immunotherapy**, immune balancing supplements, or other Functional Medicine modalities such as Defend [IV Therapy](/functional-medicine/iv-lounge/). *Progressive Treatment to End Your Allergy Suffering* Schedule your Carmel Sublingual Immunotherapy Allergy Relief consultation with CFFH today Anyone looking for allergy treatment solutions that have a lasting impact can benefit from Sublingual Immunotherapy Allergy Relief in Carmel to potentially address the underlying reaction of your overactive immune system and build up your body's tolerance to an allergen. If allergies are having a negative impact on your daily life, contact The Center for Fully Functional Health to get started with our suite of safe, innovative therapies and find long-term relief. #### Schedule Your Sublingual Immunotherapy Consultation *Sublingual Immunotherapy in Carmel, Indiana* #### Sublingual Immunotherapy Frequently Asked Questions --- ## Therapeutic Lymphatic Drainage Massage **Link:** [Therapeutic Lymphatic Drainage Massage](https://fullyfunctional.com/functional-medicine/therapeutic-lymphatic-drainage-massage/) ([md](https://fullyfunctional.com/functional-medicine/therapeutic-lymphatic-drainage-massage/index.html.md)) **Type:** Service **Description:** At our office in Carmel, the Ballancer Pro Lymphatic Drainage Massage is one of our most popular services and its benefits are essential to becoming Fully Functional ### Content #### A Deeper Sense of Wellness *Ballancer Pro Lymphatic Massage in Carmel* Whether you are chasing a new personal best at the gym or chasing your kids around the playground, you want your body to feel up to the challenge. *Lymphatic massages in Carmel* can be a tremendous way to get rid of aches and pains and make sure you’re up for whatever life throws your way. The Center for Fully Functional Health is the only practice in Indiana to offer the *Ballancer Pro*, a fascinating, drug-free, non-surgical way to improve your body’s performance. Schedule your Carmel Lymphatic Drainage Massage sessions right now—over the phone or using our web form—or you can schedule a complimentary 15-minute Health Coaching Assessment to learn more about the *Ballancer Pro* and determine how many sessions are appropriate for you. #### A Gentle Hug for your Lymphatic System *What is Ballancer Pro?* *Ballancer Pro* is a compression massage system for your lymphatic system. Using computer-assisted technology and a compression body sleeve that resembles a sleeping bag, **Ballancer Pro delivers targeted Lymphatic Drainage Massage** to your body to improve lymphatic circulation and speed the removal of toxins from the lymphatic system. The process feels relaxing and therapeutic, and you'll notice a physical difference immediately after your session. *What are the benefits of lymphatic massage?* It turns out that our ancestors were onto something! Ancient Chinese medicine had the concepts of Qi and Yin and Yang. Ancient Egyptians believed in body balance. The ancient Greeks had their four humors. Nearly every ancient society had some notion that *the body's ability to remove toxins was critical to good health*. Modern science proves that the lymphatic system acts as the body's conduit for eliminating certain toxins that cause inflammation and swelling. **Lymphatic Drainage Massage** through technologies like *Ballancer Pro encourages lymphatic drainage*. This process literally pushes these toxins through your system more quickly, reducing inflammation and improving your body's overall ability to manage stress, inflammation, and toxins like lactic acid, which build up in the body as you exercise. This makes *Ballancer Pro* an excellent choice for everything from muscle aches to maintaining a healthy immune system. #### A Difference You Can Feel *Am I a good candidate for Ballancer Pro?* *Ballancer Pro* is a safe, non-surgical, drug-free way to improve your body's overall ability to function. It is generally well tolerated by almost all patients, and there are very few side effects, the most common of which are mild headaches. Getting the pressure settings right is important, which is why the trained *Ballancer Pro* technicians at The Center for Fully Functional Health are an excellent choice. Their attention and experience ensure that you will get a comfortable, effective **Lymphatic Drainage Massage in Carmel**. #### A Soothing Sensation *Your Ballancer Pro Procedure* Your Carmel **Lymphatic Drainage Massage** will take about an hour overall. The session takes 45 minutes and targets either your upper body (arms and abdomen) or your lower body (waist, hips, and legs). Our *Ballancer Pro* technicians will get you into the compression sleeve and make sure you are comfortable. Once your technician programs in your settings, you can just lay back and relax during your treatment. The process is so soothing some patients even find themselves dozing off! #### Ready to Go *Ballancer Pro Recovery* There is no recovery time from Ballancer Pro. Once the session is through, you can resume your day, just like you would after any other type of massage. Also, just like any other massage, our Ballancer Pro technicians will remind you to hydrate following your treatment. With our **Lymphatic Drainage Massage** Carmel patients should know that proper hydration is essential for overall body health and can help maximize the effects of your *Ballancer Pro* session. #### The Confidence of You *Ballancer Pro Results* Athletes often complain of having “heavy legs'' or feeling sluggish or sore. Often, this can be due to *lactic acid buildup in the lymphatic system*. Following your **Ballancer Pro** session, you may find that you feel “lighter” or that moving your upper or lower body comes with less resistance. *Patients who make Ballancer Pro part of their normal fitness routine find that they are more in tune with their lymphatic systems* after several months and can start to feel “heavier” when it’s been a while between sessions. Additional aesthetic benefits include *reducing the appearance of stretch marks*, *alleviating puffiness and swelling*, *alleviating digestive problems*, and contours your body with a reduction in overall inches. *Schedule your Indianapolis Ballancer Pro consultation with The Center for Fully Functional Health today.* At The Center for Fully Functional Health in Carmel **Lymphatic Drainage Massage** with *Ballancer Pro* is one of the many *MedSpa* treatments we offer to keep you healthy and functioning at your peak. No matter your health goals, lymphatic massage with Ballancer Pro can help your body improve muscle function and maintain a healthy immune system. *Schedule your complimentary 15-minute Health Coaching Assessment to learn more about the Ballancer Pro* to determine how many sessions are appropriate for you at our office in Carmel, IN. Discover the difference Fully Functional health can make in your life. #### Schedule Your Therapeutic Lymphatic Drainage Massage Consultation *Therapeutic Lymphatic Drainage Massage in Carmel, Indiana* #### Ballancer Pro Frequently Asked Questions --- ## Trim IV Therapy **Link:** [Trim IV Therapy](https://fullyfunctional.com/functional-medicine/trim-iv-therapy/) ([md](https://fullyfunctional.com/functional-medicine/trim-iv-therapy/index.html.md)) **Type:** Service **Description:** Trim and Trim Plus IV Therapy at The Center for Fully Functional Health in Carmel, IN, deliver essential vitamins and amino acids to support metabolism, boost energy, and aid your weight loss journey. ### Content *Trim & Trim Plus at The Center for Fully Functional Health* Plateaued progress. Low spark. Metabolism in low gear. Trim and Trim Plus give your system the basics it needs to move again—nutrition for energy, focus, and body-composition goals—delivered by our IV team while you kick back in the lounge. - Trim: Vitamin C, Vitamin B-complex, minerals. $275. - Trim Plus: Everything in Trim plus B12 and a lipotropic injection. $345. *What is Trim IV Therapy?* Trim is a physician-formulated infusion for metabolism support. The blend supplies Vitamin C, B-complex, and key minerals in hydrating fluids. Because the nutrients go straight into the bloodstream, you bypass an irritated or sluggish gut and raise circulating levels without relying on digestion. The aim: steadier energy and better output during your cut, recomp, or maintenance phase. *What is Trim Plus?* Trim Plus layers in Vitamin B12 and a lipotropic injection for extra help with methylation, mental clarity, and fat processing—useful when stress and training loads run high or you want a stronger push during an active weight-management plan. *Add-Ons & Injections* - Glutathione IV push, Vitamin C, Vitamin B-complex, magnesium, taurine, amino acids, or extra saline (250–1000 cc). - IM injections: B12, Vitamin D, lipotropic. - Packages: save on multi-visit bundles; packages often include a free BioMat heat upgrade when available. *Benefits you can feel* - More stable energy during the day - Support for metabolism and body-composition work - Clearer head and better focus under load - Hydration that shows up in skin and recovery - Extra liver support when cutting or under stress *(Our care team can also pair Trim with InBody body-composition check-ins so your plan tracks muscle mass, fat mass, total body water, and BMR as you go.)* *Who it helps* Good fit for adults working toward weight goals who want help with energy, hydration, and nutrient repletion. It’s also useful when dieting has reduced intake, training volume is up, or you’re coming off illness. We’ll review history, meds, and sensitivities first, then adjust the formula and drip rate to you. *Schedule Your Carmel Trim IV* Ready to support metabolism and bring your energy back online? Call [(317) 989-8463](tel:(317) 989-8463) or [book online](/contact/). #### Trim IV Frequently Asked Questions --- ## Weight Loss Program **Link:** [Weight Loss Program](https://fullyfunctional.com/functional-medicine/weight-loss-program/) ([md](https://fullyfunctional.com/functional-medicine/weight-loss-program/index.html.md)) **Type:** Service **Description:** Our evidence-based weight management program in Carmel addresses root causes through comprehensive lab testing, personalized nutrition planning, and integrative therapies. Contact us today! ### Content We offer a suite of services and support to address **weight challenges** and the underlying health conditions that often fuel them, whether you're looking to shed excess pounds, regain strength after illness, or simply understand why your body isn't responding the way it used to. Figuring out your weight shouldn't feel like a guessing game. And it shouldn't feel like something you're meant to solve alone. At The Center for Fully Functional Health in Carmel, we offer our evidence-based Carmel **Weight Management Program** that's guided by lab testing, integrative therapies, nutrition planning, and real clinical insight - *not fad diets or social media advice*. *What Is Weight Management?* For many patients, **changes in weight** are one of the first signs that something deeper is going on. You might be gaining weight even though you haven't changed your eating habits, or you might be dropping pounds too fast, struggling to eat, or feeling physically weak. We've seen both and everything in between. **Weight management** means figuring out why your body is off balance and giving it what it needs to stabilize. That could mean addressing inflammation, hormone fluctuations, nutrient deficiencies, autoimmune triggers, gut dysfunction, or even trauma-related stress. In the case of conditions like PANS/PANDAS (a complex autoimmune disorder in which Dr. Scott Antoine is an internationally recognized expert), severe weight loss and food aversion are often part of the picture, *and helping patients gain weight safely becomes a vital part of their care*. Effective weight gain and weight loss both start the same way: *by stopping the guesswork*. At CFFH, we take a close look at your full health picture - labs, symptoms, lifestyle, goals - and build a weight management plan that's rooted in science and made to work for you. *Benefits of Holistic Weight Management* When your plan is customized to your body, things start to shift in a way that feels real and sustainable. Patients often tell us they feel **more energized, less foggy, and more in tune with their hunger cues**. Their digestion improves. Their mood stabilizes. Their strength comes back. And they finally stop feeling like their body is working against them. That's the impact of *treating the root cause*, not just the symptom. We're not here to micromanage your food log. We're here to help you feel better in your body and trust it again. *Focus on a Healthy Weight* There is no single number that defines "healthy." What matters is how your body functions - and how you feel living in it. Weight management is highly individual. A person recovering from chronic illness, mold exposure, or autoimmunity may need to prioritize healing and safe weight gain. Someone dealing with insulin resistance or hormone shifts might need to reduce inflammation and support metabolism to see meaningful changes. We help patients understand their unique physiology and give them the tools to work with it, not against it. Our **Weight Management Focus Appointment Package** is a comprehensive evaluation that includes two in-depth appointments, baseline labs, and a full review of your medical history. From there, we'll build a plan that fits your needs, *not just your symptoms*. *Your Weight Management Program Consultation* Every plan begins with a real conversation - no pressure, no assumptions. Your appointment includes: - Two one-on-one visits with a practitioner - Lab testing to assess hormones, inflammation, and metabolic markers - A personalized plan that may include supplements, meal guidance, therapy support, or advanced treatments like red light therapy, GLP-1, or lymphatic drainage Plans are flexible and evolve with you. As your body changes, your care will too. *Explore Our Nutrition Planning* Nutrition is a core part of our **weight management program**, but we don't believe in restriction for the sake of it. We help you eat in a way that supports your biology and still works in real life. Whether we're helping you rebuild appetite after illness, manage blood sugar swings, or support detox pathways, our health coaches and physicians work together to guide your food choices with clarity and compassion. We offer anti-inflammatory meal plans tailored to your needs - Paleo, Grain-Free, AIP, Low-FODMAP, and more - *so you can feel better without feeling deprived*. *Feel Confident in Your Body* You might benefit from: - Holistic Body Sculpting - Radiofrequency Microneedling - Red Light Therapy - Cellulite and Stretch Mark Reduction - Fillers or Injectables to restore volume loss - Personalized Facials and HydraFacials These services are always offered through a functional lens, *prioritizing your health as much as your appearance*. *Why Choose Fully Functional Health?* This isn't a crash diet. It's not a supplement subscription. It's a medically informed plan, built by a team that understands the science of weight and the humanity behind it. Led by Drs. Ellen and Scott Antoine, our team blends decades of emergency and **integrative medicine** experience to help patients reach sustainable, realistic health goals. We've worked with patients who've felt dismissed, overlooked, and burned out by the healthcare system. We listen. We dig deeper. *And we stay with you*. From autoimmune weight loss to stress-related weight gain, we've seen how complex weight changes can get - and how powerful the right plan can be when it's based on real root causes. If you'd like to learn more about our weight management program Carmel integrative medicine specialists at CFFH can answer any questions you may have during your initial consultation. Contact us today! #### Schedule Your Weight Loss Program Consultation *Weight Loss Program in Carmel, Indiana* #### Weight Loss Program Frequently Asked Questions ---