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Uncovering the Power of Biotherapeutic Drainage Therapy

May 12, 2025 by Dr. Gil Winkelman Leave a Comment

Biotherapeutic drainage therapy is something near to me. I first learned about it as a patient many years ago. I can’t remember why I went to see Dr. Thom originally. Maybe several things. Fatigue, sleep issues, digestive problems, migraines. I can’t remember why now. I just remember him explaining how drainage works and why taking UNDA numbers would help me. Though I experienced benefits along the way, it took several years before I felt the full effects. I remember getting out of bed one morning and realizing I got up with no pain for the first time in years.

And recently, I visited the eye doctor who asked me, “what are you doing?” I said, “what do you mean?” He marvelled how much my eyes IMPROVED; something that shouldn’t be happening at my age, he thought.

When I have patients that the Walsh Protocol doesn’t help, I like to use biotherapeutic drainage therapy. It is a holistic approach designed to enhance your body’s natural detoxification processes and promote overall wellness. It provides a myriad benefits and applications. We’ll compare this therapy with other popular wellness options and I’ll try my best to explain the process.

What is Biotherapeutic Drainage?

Definition and Overview

Biotherapeutic drainage therapy is a holistic approach designed to enhance the body’s natural detoxification processes. This therapy focuses on the removal of accumulated toxins from the body, which can arise from various sources, including air and water pollution, poor dietary choices, and chronic stress. Historically, the concept of drainage can be traced back to ancient practices in Chinese medicine, Ayurveda, and homeopathy, where the emphasis was placed on restoring the body’s balance and promoting optimal health, not eliminating symptoms.

Think of it this way. If your body was a cistern, (think of a bucket with a valve at the bottom), the valve at the bottom needs to be open to release toxins and waste. If the valve gets stuck, the top of the cistern will overflow. That’s what happens to people when they aren’t eliminating properly. Toxins build in the body and erupt through other mechanisms causing symptoms. Biotherapeutic drainage therapy aims to support and enhance these natural processes, ultimately facilitating a healthier body and mind.

Mechanisms of Action

Biotherapeutic drainage therapy stimulates the body’s natural detoxification processes through various techniques that support the lymphatic and circulatory systems. The UNDA numbered compounds work to restore the elimination pathways in the body. For example, we might give a set of numbers to help the liver clear toxins more efficiently. Working on the lymphatic system simultaneously is crucial to improvement. Things like dry skin brushing, castor oil packs, and movement help move lymph. By enhancing lymphatic flow and improving circulation, biotherapeutic drainage therapy helps to mobilize and eliminate stored toxins effectively.

Benefits of Biotherapeutic Drainage Therapy

Physical Health Benefits

One of the primary benefits of biotherapeutic drainage therapy is enhanced detoxification and elimination of toxins from the body. This process can lead to improved immune function and overall vitality, as the body is better equipped to fight off infections and diseases. Additionally, individuals may experience relief from chronic pain and inflammation, making it a valuable option for those suffering from acute and chronic conditions. In my own life, that’s what happened. The creakiness I experienced in the mornings was gone.

Mental and Emotional Wellness

Beyond physical health, biotherapeutic drainage therapy also offers significant mental and emotional wellness benefits. The detoxification process can lead to a reduction in stress and anxiety, as the body releases built-up tension and toxins. Many of my patients improve psychologically as a result of my treatments. When Walsh doesn’t work fully, I use a variety of these remedies to help improve cognitive and emotional health.

Applications of Biotherapeutic Drainage

Targeted Conditions and Uses

Biotherapeutic drainage therapy treats a variety of conditions, including allergies, digestive issues, neurological problems, and skin problems. I use it to treat autoimmune issues and other chronic illnesses. I should warn you that it doesn’t make problems leave overnight. With time, symptoms improve. And if you’ve read my blog in the past, you know that habits are such an important part of health. The processes involved in biotherapeutic drainage help build good health habits.

Integrating with Other Wellness Practices

Biotherapeutic drainage therapy can be seamlessly integrated with other holistic treatments, such as nutrition and lifestyle changes. Many of my patients will also continue a modified Walsh Protocol protocol, for example. Or they may use an elimination diet to enhance their detoxification efforts. The main thing is creating a routine that promotes overall health and wellbeing.

Comparison with Other Wellness Treatments

Biotherapeutic Drainage Therapy vs. Traditional Detox Methods

If you compare biotherapeutic drainage to traditional detox methods, you’ll find key differences in approach and philosophy. Traditional detox methods often focus on short-term cleanses or restrictive diets. Or in the case of chelation, for example, it works to quickly remove toxins from the body. The problem with this approach is what if the body isn’t ready to release the toxins? In many cases, the situation can be exacerbated.

Biotherapeutic drainage encourages a more sustainable, gentler, long-term approach to health. It becomes a lifestyle for many people even without the remedies. This helps continue detoxification after the “detox.” I mean most people shower often to get dirt and sweat off of them. Why wouldn’t you do the same with helping the body remove the interior “dirt.”

Another great advantage of biotherapeutic drainage is other treatments can continue simultaneously. I have many patients who do my treatments and either Western Medicine treatments (including chemotherapy) and/or acupuncture, neurofeedback, or other CAM type treatments. In fact, many MDs marvel about how well my patients are doing on their treatments, not understanding how biotherapeutic drainage helps reduce the side effects of those medications. Often, with detoxes, the physician does not want the patient doing other treatments as they can conflict with one another.

Conclusion

Final Thoughts on Biotherapeutic Drainage

In summary, biotherapeutic drainage  presents a multitude of benefits and applications for individuals seeking to enhance their health and well-being. From improved physical health to mental and emotional wellness, this therapy offers a holistic approach to detoxification. As you consider your individual health needs and goals, it may be worthwhile to explore biotherapeutic drainage further. If you want to find out more about biotherapeutic drainage, click on the schedule now button and send me an email. I would be delighted to guide you through the journey towards optimal wellness.

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How to Transform The Thoughts and Habits Cycle

May 4, 2025 by Dr. Gil Winkelman Leave a Comment

Every day, an invisible force: the dynamic connection between our thoughts and habits quietly steered our lives. While many people focus on external circumstances when trying to make life changes, the true starting point lies within the mind. Our thoughts generate feelings, which drive our behaviors. Repeated behaviors solidify into habits, and over time, these habits build the lives we experience — for better or worse.

Understanding this chain reaction gives you the key to personal transformation. When you learn to recognize and reprogram your thoughts, you can create healthier feelings, develop empowering behaviors, and ultimately form habits that support your goals and dreams.

The Cycle: Thoughts → Feelings → Behaviors → Habits

The heart of human experience is the relationship between thoughts and feelings. A single thought — often so fleeting we barely notice it — can trigger a cascade of emotional responses. For example, the thought “I’m not good enough” can stir feelings of sadness, shame, or anxiety. Those feelings may influence behaviors like procrastination, withdrawal, or overcompensation.

Behaviors repeated over time become habits. If you consistently procrastinate because of feelings of inadequacy, procrastination can become a habitual response — not because it’s who you are, but because it’s the path your thoughts and feelings paved for you.

Understanding the chain reaction from thoughts to habits is so powerful. It empowers you to change the trajectory of your life at its true origin point: your inner world.

Recognizing Feelings to Uncover Thoughts

Most of us live on autopilot, reacting to life without questioning why we feel or act the way we do. However, feelings are important signposts. When you slow down and pay attention to your emotional state, you can trace the feeling back to the thought that created it.

Let’s say you suddenly feel anxious before a meeting. If you pause and explore that anxiety, you might uncover a thought like “I’m going to mess up and embarrass myself.” Recognizing the feeling gives you a doorway into the unconscious thought patterns driving your emotional and behavioral responses.

Here’s a simple process you can use:

  1. Notice the feeling. Label it: fear, anger, sadness, joy, etc.
  2. Pause and get curious. Ask yourself: What thought might have triggered this feeling?
  3. Write it down. Seeing the thought on paper often helps you recognize its influence and exaggeration.
  4. Challenge or reframe the thought. Is it true? Is there another way to see the situation?
  5. Let Go. Ask yourself if you can release the thought. If you can, great. If not, feel into and allow the resistance to the thought. Often, allowing the resistance is all that is needed to release it.

By using feelings as a guide, you become better at recognizing the thoughts that shape your world. And remember that neurons that wire together, fire together. But the opposite is true too. Neurons that stop firing, unwire. As you let things go, you unwire those neural pathways.

How to Reprogram Your Thoughts

Once you’ve identified the thoughts that are creating unwanted feelings and behaviors, the next step is reprogramming them. Here are several proven methods:

1. Cognitive-Behavioral Techniques (CBT)

CBT is based on the idea that thoughts, not external events, cause our feelings and behaviors. Using CBT techniques, you can learn to challenge irrational thoughts and replace them with healthier ones.

For example:

  • Automatic Thought: “I’m terrible at public speaking.”
  • Challenge: “Is that 100% true? What evidence do I have to support or refute this?”
  • Replacement Thought: “I’ve spoken in public before and did fine. I can prepare and do my best.”

Over time, practicing these shifts rewires your mind and changes your emotional responses.

2. Visualization and Affirmations

Visualization involves imagining yourself thinking, feeling, and behaving positively. Affirmations are positive statements that help counteract negative thought patterns.

For example:

  • Visualize yourself confidently speaking in front of a crowd.
  • Repeat affirmations like “I am calm, prepared, and capable.”

Visualization and affirmations help create new neural pathways that support healthier thoughts and habits.

3. Mindfulness Meditation

Mindfulness trains you to observe your thoughts without getting hooked by them. By regularly practicing mindfulness, you develop the ability to notice negative thoughts early — before they spiral into powerful feelings or impulsive behaviors.

A simple mindfulness practice:

  • Sit quietly and focus on your breath.
  • Notice any thoughts that arise without judgment.
  • Let the thoughts float by like clouds.

This detachment helps you reclaim your power to choose which thoughts you engage with. If you tend to get anxious, this may not be the best approach as it can increase anxiety. But many of my patients in this situation, find that doing a guided process helps alleviate that problem.

4. Somatic Work

Since thoughts also live in the body (more on this shortly), somatic techniques like body scanning, breathwork, or movement practices (yoga, dance, etc.) can help you process and shift ingrained thought-feeling patterns.

Somatic work can release old emotional memories that were locked into your muscles and nervous system, allowing space for new patterns to emerge. I have patients report feeling a tightness, twitching, or other physical experience when they are doing somatic work and a thought arises.

  1. Neurofeedback

Neurofeedback is extremely helpful in rewiring the brain. LENS neurofeedback in particularly, works quickly. My patients often notice changes in how their brains function differently as a result. This amplifies when the person focuses on changing.

Thoughts Live in the Body Too

It’s tempting to think of thoughts as purely mental events, but research in neuroscience and somatic psychology reveals a deeper truth: thoughts are embodied. They create real physical responses in your body. Think of your body like the hard drive of a computer. We store thoughts throughout the body, not just in the brain. It is why my patients report having deep memories arise after doing somatic work.

When you think a stressful thought, your body doesn’t just “think” it — it feels it. Stress hormones, like cortisol, are released by your body. Your heart rate may quicken. Your muscles may tense up. Over time, chronic negative thinking can contribute to physical illness, fatigue, and even autoimmune conditions.

Many chronic health issues are linked to the accumulation of unconscious, unresolved emotional patterns. The body remembers what the mind tries to forget. This is why people who carry deep-seated guilt, fear, or grief often experience physical symptoms like migraines, digestive issues, or chronic pain. Just a note. I say this not to blame the person, nor do I want to say it’s in their heads. The emotions are real. The physical experience is real. And there is no blame. It is an understanding that the body responds to our thoughts. And these thoughts may have been formed when we were very young.

Healing the body often begins by healing the mind. When you change your habitual thoughts, you change your physiology — from your brain chemistry to your immune function.

Building Better Habits Through Thought Mastery

Once you understand how thoughts create feelings and feelings drive behaviors, you can intentionally plant the seeds of better habits. Here’s how to apply this practically:

  1. Start small. Choose one habit you want to build (e.g., exercising daily).
  2. Identify the underlying thoughts. Notice any resistance thoughts (“I’m too tired”, “It won’t make a difference”).
  3. Reframe the thoughts. Replace them with empowering ones (“I always feel better after exercising,” “Small steps lead to big changes”).
  4. Create emotional fuel. Visualize and feel the pride, energy, or joy that comes from completing the behavior. Visualizing yourself going through your workout can help you break the non-habit.
  5. Reinforce consistently. Repeat the behavior daily, linking it to positive thoughts and feelings.

Over time, the new behavior becomes a habit — an automatic expression of your conscious thought programming.

Why “Thoughts and Habits” Are the Cornerstone of Personal Growth

Mastering your thoughts and habits isn’t just about personal success; it’s about aligning with your true nature. At your core, you are not your fears, insecurities, or limiting beliefs. We often learned these early in life and reinforced them through habit. But we are more than these things. Otherwise, how could we notice them?

By reclaiming the power to direct your thoughts, you create a positive feedback loop:

  • Healthier thoughts → Better feelings → Empowered actions → Life-affirming habits → Fulfilled living.

No external circumstance has more power over your life than the thoughts you consistently choose to believe. And when you master your habits, you master the outcomes of your life.

Final Thoughts

The journey of transformation always begins within. By recognizing the feelings that arise, uncovering the thoughts that fuel them, and reprogramming your inner dialogue, you can change the behaviors and habits that define your existence.

Your thoughts are not just fleeting mental events. They are the architects of your emotions, the sculptors of your behaviors, and the builders of your life’s habits. And because thoughts live not just in your mind but also in your body, taking care of your mental landscape is essential for true, holistic wellness.

Remember: the quality of your thoughts determines the quality of your life. Choose them wisely, nurture them patiently, and watch as your habits — and your life — transform in extraordinary ways.

Learn more about how to change habits and transform your life.

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How to Release the Past: Embracing What Is.

March 18, 2025 by Dr. Gil Winkelman Leave a Comment

Releasing the past is one of the most profound challenges many people face. Painful memories, regrets, or unresolved emotions can weigh us down, preventing us from fully embracing the present and shaping the future we desire. While it may seem like an impossible task, psychological principles provide effective ways to release the past and step into a more peaceful state of being. How to completely let go of the past is an important question in helping overall health.

Two key psychological concepts—the psychology of mind and allowing emotional experience instead of resisting—offer a powerful framework for letting go. By understanding how the mind works and learning to allow emotions rather than fight them, we can free ourselves from past burdens and move toward a more fulfilling life.

Understanding the Psychology of Mind and Letting Go

The Psychology of Mind (also known as 3 P’s psychology) is based on the understanding that our thoughts create our experience of reality. It is not events themselves that cause suffering, but the meaning and emotional weight we attach to them. This concept is at the heart of many psychological and spiritual traditions, emphasizing that we have the power to shift our perspective and our emotional experience.

People often struggle with the past because they believe that:

  • The past defines them. They see past mistakes or traumas as permanent labels rather than events from which to learn.
  • They need closure. They feel they must fix or resolve something before they can move on. But we don’t always get that opportunity.
  • Holding on protects them. They believe that staying attached to the pain will prevent future suffering. Holding on rarely protects us, but almost always increases suffering.

The past exists only in our minds. While its effects may feel real, our thoughts shape our relationship to the past. By changing our mindset and emotional response, we can transform our experience of the past and free ourselves from its grip.

The Power of Allowing Emotional Experience Instead of Resisting

One of the biggest obstacles to letting go of the past is emotional resistance. Many people suppress, ignore, or fight against painful emotions because they fear overwhelm. Resisting emotions only strengthen them, much like trying to hold a beach ball underwater—it takes energy, and eventually, it will pop back up.

Why Resistance Causes Suffering

Resistance creates inner conflict. When we reject emotions, we create a battle within ourselves, leading to stress and anxiety.

  • It keeps the pain alive. Suppressing emotions does not eliminate them; they remain stored in the subconscious and resurface in unexpected ways. Sometimes those emotions remain in the body, creating symptoms.
  • It prevents healing. Healing requires processing emotions, not avoiding them.
  • The alternative to resistance is allowing. This involves acknowledging, feeling, and accepting emotions without judgment. This approach is at the core of emotional freedom techniques like mindfulness, somatic therapy, the Sedona Method, and other techniques.

Practical Steps to Release the Past Using These Concepts

1. Recognize That Thoughts Are Not Reality

There’s a wonderful bumper sticker that says, “don’t believe everything you think.” Most people in our society do not question their thoughts. The past has no power over you except through your thoughts. One practice I recommend to patients is notice in how often you replay past events in your head. Don’t try to change anything, just watch as though watching a movie. Remind yourself:

“This is just a thought. It is not happening now.”

By understanding that your mind is generating these experiences rather than the past itself, you create space to detach and let go.

2. Allow Your Emotions Fully

When painful emotions arise, instead of resisting, try the following approach:

  • Pause and acknowledge the feeling. Say to yourself, “I am feeling sadness,” or “I notice anger arising.”
  • Allow the sensation. Feel where the emotion exists in your body without trying to change it.
  • Breathe into it. Imagine breathing space into the emotion rather than tightening around it.
  • Let it move naturally. Emotions, when fully felt, often dissipate on their own.

By allowing emotions to exist without suppression, you give them the space to process and release naturally.

3. Use the Sedona Method to Let Go

Similar to the above method, the Sedona Method, developed by Lester Levenson, is a powerful technique for emotional release. I really like this technique though it’s one that doesn’t work for everyone (what does?). It involves asking yourself a series of simple but profound questions:

  • Could I allow this feeling to be here?
  • Could I let it go?
  • Would I let it go?
  • When?

This method works by shifting your relationship to emotions. Instead of clinging to them, you practice allowing and releasing, which leads to a natural sense of inner freedom. And it also works on helping us overcome our resistance to change and letting go. For many people, understanding our resistance to the experience is transformative.

4. Reframe the Past with a New Perspective

Often, people hold on to the past because they have assigned it a painful meaning. However, you have the power to rewrite the story. Ask yourself:

  • What did this experience teach me?
  • How has this strengthened me or made me wiser?
  • Can I see this event as something that helped me grow rather than something that broke me?

By shifting the meaning, you change the emotional weight the past holds over you. Remember this. Physiologically, fear and excitement are the same. Reprogramming ourselves to experience around excitement instead of fear can be very freeing.

5. Practice Present-Moment Awareness

One of the most effective ways to let go of the past is to be fully present. To some extent, these ideas are all about being present. Mindfulness helps ground you in the now, where the past has no control. Simple practices include:

  • Breathing exercises. Focus on your breath to bring awareness to the present.
  • Body scans. Notice physical sensations to connect with the now.
  • Mindful activities. Engage fully in everyday tasks like walking or eating.

The more present you become, the less grip the past has on you.

6. Cultivate Self-Compassion

Many people hold on to the past because they judge themselves harshly. Self-compassion is key to healing. Try:

  • Speaking to yourself as you would a friend.
  • Forgiving yourself for past mistakes.
  • Acknowledging that growth comes from experience.

By treating yourself with kindness, you create an environment where letting go happens naturally.

Final Thoughts: Embracing Freedom from the Past

Releasing the past is not about erasing memories or denying experiences; it is about changing your relationship to them. By understanding that the mind creates suffering through thoughts, you gain the power to shift your perspective. By allowing emotions rather than resisting them, you free yourself from their grip.

Through awareness, emotional acceptance, and mindful release, you can move beyond the past and into a life of greater peace, presence, and joy. Remember, the past does not define you—your ability to grow, heal, and embrace the present moment does.

If you are struggling with how to release the past, I can help you work through this in different ways. Reach out to my office to learn more.

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The Critical Role of Supplements for TBI Recovery

November 13, 2024 by Dr. Gil Winkelman Leave a Comment

Traumatic Brain Injury (TBI) can have lasting effects on physical, cognitive, and emotional well-being. Recovering from TBI often involves a multifaceted approach, combining traditional medical treatments with complementary methods such as neurofeedback and targeted nutrition. Many years ago, I wrote an article in Holistic Primary Care about this combination. This article serves as an update on that article. I explore supplements for TBI recovery in this post with an understanding of why they work.

Understanding Traumatic Brain Injury and its Aftermath

A sudden jolt or impact to the head can cause a TBI, leading to brain damage. This can cause symptoms such as memory loss, fatigue, mood changes, and difficulty concentrating. Recovery can be challenging and prolonged, as the brain requires adequate support to repair and regenerate damaged cells. Studies have shown a link between TBI and dementia in adults 55 and older. A 55-year-old with a moderate concussion or a 65-year-old with a mild concussion is more likely to develop dementia than a cohort with no concussion. Therefore, treatment of some sort is critical for long-term health. Supplements for TBI recovery, combined with neurofeedback, can support recovery by reducing inflammation, oxidative stress, and underlying nutrient deficiencies.

Key Nutritional Deficiencies and Supplements for TBI Recovery

Demonstrated research shows that many nutrients play a role in brain health and recovery from injury. For instance, inflammation and oxidative stress are common in TBI, and certain vitamins, minerals, and other compounds can counteract these processes. 

1. Omega-3 Fatty Acids

Omega-3 fatty acids, especially EPA and DHA, reduce inflammation and support cognitive function. They promote membrane stability in neurons and may improve mood and cognitive outcomes in TBI patients. Studies have found that TBI patients with higher DHA levels experience better recovery rates, as DHA supports cell membrane repair and synaptic plasticity. Omega-3 fatty acids in higher doses (3 grams per day) may reduce depression in patients with no other interventions.

2. Antioxidant-Rich Supplements

TBI often increases oxidative stress, which can lead to further cell damage. Antioxidants can neutralize these effects and protect brain cells from further harm. Key antioxidants for TBI recovery include:

Vitamin C: Known for its neuroprotective effects and ability to reduce inflammation.

Vitamin E: Protects cell membranes and reduces free radical damage.

Coenzyme Q10: Supports cellular energy production and can mitigate mitochondrial dysfunction, often observed in TBI. CoQ10 is a very important supplement for TBI recovery because of the energy requirements needed by the brain. Watch my video about mitochondria to learn more. 

Blueberry Anthocyanins: Anti-inflammatory and reduces oxidative stress, this is highly important for brain healing. They also help regulate BDNF (brain-derived neurotropic factor), something that gets mis-regulated after a brain injury. 

3. Magnesium

Magnesium deficiency is common in TBI patients. It plays a critical role in stabilizing neural activity and reducing excitotoxicity (neuronal damage caused by excessive neurotransmitter release). Magnesium supplementation can help reduce symptoms like headaches and cognitive issues, making it a valuable addition to TBI recovery protocols. Magnesium also is important for ATP production. 

4. Curcumin

Curcumin, an active compound found in turmeric, possesses potent anti-inflammatory and antioxidant properties. Curcumin can cross the blood-brain barrier, making it particularly beneficial in brain-related injuries. Studies suggest curcumin may reduce amyloid plaque formation, commonly associated with cognitive decline, and improve neurogenesis (the process of creating new neurons). The research on curcumin for TBI is conflicting. Some studies show it being effective, while others have not. Variations in the quality of supplement may be a factor in these results. If you try curcumin, find a high potency version. 

5. Vitamin D

Vitamin D deficiency is linked to a variety of neurological and cognitive issues, such as mood disorders and slower recovery from brain injuries. Vitamin D supports brain health by promoting anti-inflammatory cytokine production and regulating calcium levels. Studies show that supplementing with vitamin D can improve outcomes in TBI patients, particularly those with mood-related symptoms.

6. Riboflavin and other B Vitamins

Riboflavin is essential as a coenzyme in ATP production. As I’ve already discussed, brain healing requires high amounts of energy. Patients given 400 mg of riboflavin daily for two weeks within 24 hours of the TBI showed significant improvement than patients given a placebo. Studies with other B vitamins in humans are limited. But B12 deficiency is associated with cognitive decline and is crucial for neurological function. As we get older, our ability to absorb B12 diminishes leading to potential issues. If you are over 55, you may want to see about getting B12 injections to help.

7. Zinc Picolinate

Clinical studies show zinc deficiency is a big problem for patients with TBI. In rat studies, severe zinc deficiency worsened the effects of TBI. Studies in humans showed that increasing zinc immediately after a concussion improved outcomes and lessened the severity of symptoms. Zinc is also important in forming the protein metallothionein, which protects the blood-brain barrier. 

As you can see, there are many supplements for TBI Recovery. Key nutrients like omega-3s, magnesium, and antioxidants address underlying inflammation and oxidative stress. I like to combine nutrients with LENS neurofeedback, though I can’t always provide that to patients. But the research continues to validate natural approaches to TBI treatment, offering a non-invasive option to recovery. 

Dr. Gil, a naturopathic physician in Honolulu, has over 20 years of experience using LENS neurofeedbackLENS neurofeedback and the Walsh Protocol to help patients with TBI. His approach incorporates nutrient therapy alongside LENS sessions to provide a comprehensive recovery plan that targets both physiological and neurological aspects of TBI. For more information on this approach, you can contact Dr. Gil at info@askdrgil.com or 808-726-2772.

 

Some Sources:

Mitigating Traumatic Brain Injury: A Narrative Review of Supplementation and Dietary Protocols

Improving treatments and outcomes: an emerging role for zinc in traumatic brain injury

Dementia Risk After Traumatic Brain Injury vs Nonbrain TraumaThe Role of Age and Severity

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How To Start Feeling Better: Mold Illness Recovery

February 17, 2024 by Dr. Gil Winkelman Leave a Comment

I’ve heard the refrain from many patients. “I’ve been to several excellent doctors and none can figure out why my symptoms aren’t going away.” Chronic mold-related illness may be at the core of the issue. Identifying mold as the culprit is extremely important for recovery. Many times, treating the body without identifying mold as the issue could make the problem worse. Mold illness recovery may be an important aspect of your health journey. But how do you know if you might have a mold problem? And what do you do about it if you have a mold-related illness? Read on to learn more.

Signs of Mold Illness

The symptoms of mold illness vary between people. The infographic below shows the different areas that symptoms can arise. Cognitive issues, mood problems, pain, sensitivity to light, sounds, chemicals, visual changes, respiratory problems, digestive issues, and other areas.

 

CIRS Symtpoms
Physical SymptomsPhysical SymptomsCognitive/Emotional Symptoms
Fatigue/weaknessAbdominal painMemory issues
DizzinessDiarrheaFocus/concentration issues
Aches/muscle crampsJoint painWord recall issues
Metallic tasteMorning stiffnessInability to learn new things
TremorsSkin sensitivityConfusion
Sharp PainsAppetite changesDisorientation
HeadachesSweats (especially night sweats)Mood swings
Light sensitivityTemperature regulation issuesAnxiety
Red eyesExcessive thirstDepression
Blurred visionIncreased urination
TearingStatic shocks
Sinus problemsNumbness/tingling
CoughShortness of breath

 

Mold illness arises less from the mold itself but from the body’s reaction to the mold. Mold produces biotoxins and biofilm that interfere with the body’s ability to clear toxins. Biofilms are created by certain organisms, including mold, yeast, and bacteria. This enables the individual organisms to act together, preventing the body from effectively attacking the invader. Many patients will react to treatment protocols as a result. For example, pyroluria may be a result of mold or other biofilm producers. The body can ’t absorb vitamin B6, a key component of pyrrole treatment causing stomach upset.

The second thing that makes mold different is that mold produces toxins. For many people the problem isn’t fighting the mold. Rather, the biotoxins overwhelm the body. This is significant because it changes the treatment protocol. Instead of trying to breakdown the biofilm and kill the organism, we have to clear the biotoxins. Biotoxins can’t be killed because they aren’t alive! But our immune system overacts in response, creating high levels of inflammatory cytokines. This creates the symptoms in most people.

 

Mold Illness Recovery

Clearing the biofilm and/or the biotoxins is key to treatment. But so is limiting exposure. I’ve lived in Portland, Oregon and the North Shore of Oahu. Both places get a lot of rain, leading to moldy environments. But dry climates can attract mold too. Tucson, Arizona has a lot of mold in the houses, according to several of my colleagues there. It has to do with building codes not prepping for the rain. I bring this up because living in a drier climate doesn’t make you safe from mold.

Many patients don’t realize that mold rests behind a wall in the bathroom or in a closet. It only takes one leak to cause an issue. These organisms can release an array of toxins into the air. For example, microbial volatile organic compounds (VOCs) can give a room that familiar musty smell. But these agents can release a variety of molecules, including endotoxins, spores, and inflammagens. Any of these can be in the air, (detectable by scent or not), and potentially create problems in the body. To treat the problem, the mold or toxins may need to be removed from your environment. In extreme cases, patients have needed to move houses. Several of mine moved because of finding mold in their homes.

Problems can hit almost anywhere in the body. But it is important to remember though you may have symptoms in multiple areas, it doesn’t mean mold toxicity is the problem. Other causes lead to this constellation of symptoms. Seeking professional help can be useful in determining the problem. I offer comprehensive testing and evaluation to help determine what may be happening to you. Most of the time, the problem can be solved with natural remedies and supplements. Schedule today to learn if mold related illness affects you.

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What is Optimal Health?

October 19, 2023 by Dr. Gil Winkelman Leave a Comment

A few years ago, I went to the optometrist to have a regular check up. I needed new contacts because my old ones weren’t working too well. After my exam, the doctor asked “How long have you been wearing glasses?” I told him since my teens. His responsed with amazement. “You don’t need glasses at all, Dr. Winkelman. At your age, your eyes shouldn’t be improving they should be getting worse! What are you doing to get optimal health?” In fact, my follow-up recently showed not only had my eyes remained great but several cholesterol deposits that had been there were gone!

Optimal Health is something that almost everyone wishes to have. But what is it and how does one get there?  In this article, I want to give my definition of optimal health and what impedes it. In a future article, I’ll go through how trauma plays a role in interfering with optimal health.

Optimal health represents a total balance and homeostasis in the body. How do you know things are right, though? If you don’t get sick, does that mean you’re healthy? Not necessarily. I’ve seen many patients who never were sick get serious illnesses later in life. Colds and flus give our body an opportunity to tune up our immune system and remove toxins. (More on that later.) Can we use tests?  Blood testoptimal healths only measure a moment in time. Most blood tests do not give us a long-term picture of what is happening in the body. Hair and urine tests can give us the long-term picture but can sometimes be misleading. For example, I’ve seen hair mineral analysis that shows the body has not mercury, but all the signs are there in other ways. Plus, you can’t run tests every week. It would be too expensive. So how can we self-evaluate to determine how we are doing?

What is Optimal Health?

I like to use a simple system called SEAMMS to measure how patients are doing. It’s not a complete examination or touches on every system in the body. But it’s a simple system for self-evaluation without the need of a physical examination, tests, or imaging. The first S stands for sleep. Sleep is a key component of optimal health. Good sleep requires 7-12 hours (depending upon one’s age), of deep sleep at night, preferably uninterrupted. If you struggle to fall asleep or stay asleep, you likely have an imbalance somewhere that requires some intervention. One of the best treatments for sleep is Cognitive-behavioral therapy for Insomnia (CBT-I.) There are definitely supplements and medications one can take to help sleep, but not all of them work for everyone. Melatonin, for example, is great to help one fall asleep but not stay asleep. (And most people take too high of a dosage.)  Furthermore, some people don’t do well with hops, valerian, or other herbs that help with sleep. Knowing what to take is a topic that I need to save for another article.

Good sleep leads to the next factor, which is energy. One should be able to function throughout the day without brain fog, lethargy, or crashes. The occasional nap is fine. I should clarify that if one works out extremely hard, the day is hot, or something out of the ordinary. Many activities can sap energy, but baring any of those, you get through the day easily. If your energy is off though, there is likely something out of balance in the body.

Appetite, which includes digestion, is the next important aspect of optimal health. Studies from the Blue Zones  show that people who live the longest tend to not overeat. They eat until they are around 80% full and stop. People in the blue zones eat all the colors of the rainbow, limit dairy and meat, and are mostly plant-based. Furthermore, good digestion means you are absorbing the nutrients you’ve taken in. (Chewing is an important factor.) Gas and bloating are not an issue. And you have well-formed and regular bowel movements. Constipation and diarrhea are rare.

Menses are regular in terms of length of cycle and the number of days bleeding. Cramping, headaches, premenstrual tension, and other symptoms are minimal though occur from time to time.

The musculoskeletal system is the next area that is important to look at. Do you wake with aches and pains? Or do you jump out of bed? Does doing the slightest bit of exercise hurt? If you’re in good shape, you can do things without consequences. Though I do recommend stretching before and after exercise. When I was younger, I had aches and pains every morning. But as I worked with my doctor on optimal health, that went away. Now when I get out of bed, it is rare that my body hurts at all.

The last S is a sense of wellbeing. This is harder to definite as it varies for everyone. But there’s a sense of minimal stress, feeling fulfilled, having purpose, and being part of a community. What intrigues me about the Blue Zone research is how social networks and spirituality are so important for longevity. It may be why the one-two drinks a day helps some people live longer. It’s not the alcohol, but rather the socialization that increases life span. As you’ll see in other articles, this may be the key link to chronic health problems.

What Impedes Health?

Now, having a sense of what optimal health is, how does one get there? In some ways, it is the easiest thing to do and in other ways, it is extremely challenging. Why? Optimal health is something the body naturally works towards. We have mechanisms in place that, when properly functioning, allow us to remove toxins from our system. Our bowels, liver, kidneys, lungs, and lymphatic systems all remove toxins from the body. What are some of those toxins? Some factors that can harm our health include nutrient depleted foods, air pollution, and toxic emotions. But sometimes the body gets overwhelmed and struggles to remove these things. Poor diet, lack of exercise, microbiome imbalance, and a lack of elimination can cause problems. That’s why these are some things naturopathic doctors emphasize in their practices. It is important to have the basics of proper health to encourage the body to heal, recharge, and eliminate toxins. Sleep, for example, is the time that our body removes many toxic components and melatonin may activate the enzymes that does this.

Much of the research is in cellular senescence, the phenomenon of the cessation of cell division. When stressed or damaged, cells stop dividing to allow for healing. For example, when we are cut, the cells around the wound stop dividing to staunch the injury. In a healthy organism, other cells come after the wound heals and removes them from the body. But when the stress or insult is chronic, the body doesn’t remove these cells. Senescent cells are called zombie cells in some of the literature. They produce hormones that attempt to turn other cells into zombies.  What causes this chronicity? Inflammation!

In my next article, I’ll go into more detail about how inflammation reduction is critical for optimal health. But this give us a way to self-evaluate on a regular basis how we are doing towards that optimal health. Remember that optimal health is not something achieved and forgotten. It requires ongoing effort and vigiliance. If you want to work towards that goal, make an appointment with me to discuss.

 

 

 

 

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The Amazing Effectiveness of Holistic Treatment for OCD

October 5, 2023 by Dr. Gil Winkelman Leave a Comment

In over 15 years of working as a Naturopathic Physician, I have seen many patients with obsessive-compulsive disorder (OCD) or OCD traits. I can tell you that holistic treatment for OCD works extremely well. What is OCD? And what types of natural remedies for OCD are effective? The Walsh Protocol is highly effective. But before I get into that, let us explore what OCD is.

What is OCD?

Holistic Treatment For OCDOCD is a pattern of unwanted thoughts and obsessions leading to repetitive behaviors (compulsions). These compulsions and thoughts interfere with daily activities. In extreme cases, very dark thoughts accompany the behaviors. Regardless, the person suffers extreme distress and anxiety. (OCD is a subset of anxiety.)

One can try to stop the obsessions or compulsions but that often serves to increase the distress and anxiety. Performing the acts is an attempt to relieve the stress. The thoughts come back even when ignored, leading to more ritualistic behavior and the cycle of OCD.

Often, OCD revolved around a theme, such as a fear of germ contamination. To ease the fear, the compulsion starts. In this example, compulsive hand washing is even to the point of sore or chapped hands.

If you have OCD, holistic treatment for the condition exists. Before we explore treatments, I want to discuss the symptoms in more detail.

Symptoms of OCD

Obsessive-compulsive disorder usually includes both obsessions and compulsions. But it is also possible to have one without the other. Some people cannot see that their obsessions or compulsions are excessive. What is excessive? Anything that interferes with your daily routine, social, academic, or work functioning. It is important to distinguish OCD from perfectionism. Perfectionism is the desire for something to be flawless. Recently, I had my car detailed. My friend joked about the detailed that it’s a good way to channel his OCD. And while he worked really hard to make my car perfect while spending hours cleaning it, he didn’t obsess about the things who couldn’t get perfect. He just moved on. Thoughts about actual problems in your life, or liking things arranged particularly, are not necessarily OCD thoughts. It’s when these actions and thoughts interfere with your life that it is a problem. Let’s dive into the difference between obsessions and compulsions.

Obsession symptoms

OCD obsessions appear as recurring thoughts, urges, or images that cause distress. One may try to ignore them or use a ritual to remove them. Typically, these obsessions intrude when attempting to do something else.

Some examples of obsessive themes include:

  • Fear of contamination or dirt
  • Uncertainty intolerance
  • Needing things orderly and symmetrical
  • Aggressive or horrific thoughts about losing control and harming yourself or others
  • Unwanted thoughts, including aggression, or sexual or religious subjects
  • Needing to perform a task to prevent something bad from happening.

Examples of obsession signs and symptoms include:

  • Doubting if they locked the door or turned off the stove
  • Intense stress when objects aren’t orderly or facing a certain way
  • Images of driving your car into a crowd of people
  • Thoughts about shouting obscenities or acting inappropriately in public
  • Unpleasant sexual images
  • Avoidance of situations that can trigger obsessions, such as shaking hands

Compulsion symptoms

OCD compulsions are repetitive behaviors one feels driven to perform to reduce anxiety. Engaging in compulsions brings temporary relief but rarely pleasure. One invents the rituals or rules to control anxiety, but is rarely realistic or related to the problem.

Compulsions typically have themes such as:

  • Washing and cleaning even until the skin becomes raw.
  • Repeatedly checking locks and that the stove is turned off.
  • Counting in specific patterns
  • Orderliness
  • Following a strict routine
  • Demanding reassurance

Severity varies

OCD usually begins in the teen or young adult years, though signs of it appear in childhood. A gradual increase of symptoms occurs as people age, and sometimes the obsessions and compulsions change. Symptoms worsen with increased stress and can be disabling.

Holistic Treatment for OCD

Now that we have explored what OCD is, how is it treated? When I think holistically, I consider various approaches to treat the condition, not just medication. Many people find benefit from a mix of psychotherapy, the Walsh Protocol, neurofeedback, and/or Naturopathic care. Let’s explore each of these.

Psychotherapy for OCD

Cognitive-behavioral therapy (CBT) is effective for many people with OCD. One type is called exposure and response prevention (ERP). In ERP therapy, you gradually face fears and learn to resist rituals. ERP takes effort and practice, but improves one’s life quality if effective.

Neurofeedback for OCD

Neurofeedback shows great promise to treat OCD. Many patients report having less severe symptoms following neurofeedback sessions. During neurofeedback, we first map the brain by placing sensors on the scalp. The map directs treatment of OCD by showing which areas of the brain may be most affected. Depending upon the type of neurofeedback system and severity of symptoms, most practitioners treat 1-3 times per week. I like to start with weekly sessions to better monitor how the treatment takes.

Walsh Protocol for OCD

The Walsh Protocol is a highly effective holistic treatment for OCD. When I first started using the Walsh Protocol, we thought OCD was strictly a methylation issue. It turns out that OCD may also have an element related to NMDA receptors too. The beauty of the approach is that knowing the biosubtype allows us to determine the treatment plan for the NMDA receptor, too. Patients with OCD typically have issues with memory extinction. By affecting the NMDA receptor, supplements can help ease symptoms. Many patients report having fewer disturbing thoughts or compulsions.

Naturopathic Treatments for OCD

OCD and other mental illness may be related to high levels of inflammation in the body. Natural treatments like bio-therapeutic drainage, supplements, gut balancing, and hydrotherapy can reduce inflammation and lower oxidative stress in the body. While these treatments do not always immediately resolve the problem, they do improve overall health. One aspect of OCD that I am integrating into my practice is looking at trauma. Trauma affects many areas of the body but particularly the mitochondria. Changes in the mitochondria cause a myriad of downstream effects on glial cells (the helpers of neurons), methylation, oxidative stress, and so forth. In fact, mitochondria may be an important  aspect of all health problems. This approach can help can not only help OCD but likely prevent other conditions too.

How to Get Holistic Treatment for OCD

Curious to get treatment for OCD. Contact me today to schedule an appointment. I’m excited to share what I have learned and help you or your loved one struggling with OCD. Call my office today at 808-726-2772 or use the schedule now form.

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How to Cope with Pandemic Anxiety using Teletherapy

March 26, 2020 by Dr. Gil Winkelman 2 Comments

In the two weeks since I sent my last newsletter about teletherapy we have all experienced many changes. Many of us are sheltered in place. We are stuck at home, balancing work and children. We are unaccustomed to the constancy of family being around, while some feel very isolated. What to do?

Before I give more information, I want to let you know that for people in Oregon and some in Hawaii, I can bill telemedicine visits to your insurance. That change is a huge step in the right direction. I do not know how long this will last. And obviously I cannot do neurofeedback. But I can help with many medical issues and provide counseling during this difficult time. One of the curious aspects of this virus is that people with underlying conditions such as diabetes, heart disease, and high blood pressure may be at greater risk to this virus. Naturopathic medicine has much to offer regarding treating these conditions.

How to Cope with the Anxiety

What can you do to help yourself and your family? Here’s a list of the main items that I have compiled from looking at several studies about this, along with my experience of working from home for many years.

Create a routine and stick to it! This is important even not in quarantine. We are creatures of habit in a lot of ways. Our bodies like consistency. I’m not suggesting that you have to do or eat the same thing every day. But going to bed and waking at the same time daily is good for our systems. It reduces stress and helps the adrenal glands be balanced. Lower stress means higher immunity.
Another aspect of a regular sleep routine is it helps our bodies produce the proper amount of melatonin. It may be related to stress and cortisol levels, but higher melatonin levels also improves immunity. There are a few studies suggesting that melatonin levels that function properly help fight off coronavirus. (There have not been studies on supplements, only looking at melatonin in the body.)
Every hour of sleep before midnight is like two hours after midnight to the body. I recommend going to bed by 10 PM. It can also help your weight too.

Reframe your situation. Instead of thinking you are stuck inside the house, do projects you have not had time to complete. Always wanted to plant a garden? Get to it! Or maybe you wanted to explore an aspect of yourself. Whatever it is, you have time to do it now. Even if you are still working, most people will save commute time. (Not to mention getting ready for work time.) Use that extra few hours to do something you have wanted to do.

Avoid the news. I know some have a morbid fascination with what’s going on. Or maybe there’s this unconscious belief that knowing what is going on will protect us. What is happening extends way beyond this outbreak. (I’ll write more about this later.) It is unlike anything we have faced in our lifetimes. But constantly going online and reading about what is going on is not good for anyone’s mental health. (I’m talking to you too, Facebook users!) The constant barrage of information is stress provoking even in good times. It’s super intense. Step away from the computer. Unless you’re watching funny cat videos.

Keep things clean and decluttered at home. I have a confession to make. In the last three weeks, I have cleaned my house more times than I think I have in the last three years. Seriously! I have become a clean freak. And I have decluttered everything too. It is calming. I can think. I feel there is space to think.

Start a quarantine ritual. This is odd I know. And it can be anything to meditating to journaling. Writing about what is happening can be super helpful for people.

Use Video Chat and the phone to connect with friends. This is super important, particularly for teens. I think the most stressful thing for adolescents is the social isolation. Younger kids often miss their peers too. But they can talk on the phone or computer. (You can limit the time if that is appropriate. And limit social media.)

Kids and Relationship Issues

Signs of Stress in Kids. Along this line, if you have children there are definite signs of stress that may require help in this situation. Here’s a partial list:

  • In younger children, excessive crying or irritation.
  • Returning to outgrown behaviors  (for example, toileting accidents or bedwetting).
  • Excessive worry or sadness.
  • Unhealthy eating or sleeping habits.
  • Irritability and “acting out” behaviors in teens.
  • Poor school performance or avoiding school (For those of you with closed schools, I’ve found that most kids want something to do to feel a little productive. So if they are avoiding everything, that could be a sign).
  • Difficulty with attention and concentration.
  • Avoidance of activities enjoyed in the past.
  • Unexplained headaches or body pain.
  • Use of alcohol, tobacco, or other drugs.

Take space. There was a tiktok video showing a cat upset that the humans were always at the house. My brother related to the cat. He works at home and found his family being shuttered with him to be stressful at first. And maybe others can relate. Take space for yourself and communicate to others around you. Explain calmly that you need time to yourself.  NOTE: I will do a relationship workshop in the near-term. More on this later.

Get outside if allowed by law. Being in nature is best, if you can and properly socially distance yourself. Having that time is necessary regardless. But this is a stressful time.

Teletherapy for anxiety or just to talk. Get help when you need it. It’s so important to use professional help. As I mentioned, I provide services and can bill insurance for Oregon and Hawaii. But if you are in another state, telemedicine is required coverage now. Check with your healthcare provider because there are stipulations by different companies. But overall, there is help available. You can always call 808-726-2772 to schedule or ask about coverage.

 

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The Advantages of Telemedicine Appointments: How to Get Care During an Outbreak

March 12, 2020 by Dr. Gil Winkelman Leave a Comment

With WHO declaring the Covid-19 a pandemic, we all must take precautions. By now you have received many emails about what to do to protect yourself. Social isolation, as best as possible, is one of them. That does not mean you cannot see the doctor. The advantages of telemedicine are clear right now. For many years, I have offered telemedicine appointments. I use HIPAA compliant software to allow me to do video consults with patients. For many people, this suffices to get their medical needs met. First, a quick reminder about how to protect yourself:

The CDC and the WHO recommend several basic measures to help prevent the spread of respiratory diseases such as Covid-19.

CDC and WHO Guidelines

  • Wash your hands often for at least 20 seconds.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects.
  • Stay home when you are sick.
  • AVOID touching your face.
  • DON’T travel if you have a fever and cough.

NOTE: Several surveys suggest that only 66% of Americans wash their hands regularly. This is problematic. Get in the habit of washing your hands. It could save your or someone else’s life.

The Advantage of Telemedicine Appointments While in Isolation

Second, if you are showing symptoms, isolate yourself right away. There is testing available, but they must perform the test in an outpatient setting. The test is a nasal, lung, or throat swap. Hawaii is setting up test centers for symptomatic patients. Oregon is rolling out drive through testing stations. Many clinics do not want patients to come if they are showing symptoms. My local Adventist Health outpatient clinic is asking people to stay home and call the advice line if they are sick. Why? Most offices do not have resources to handle infections disease.

And this is one of the biggest advantages of telemedicine. Most people infected with the coronavirus (or another virus) can be treated at home. While it is likely highly contagious and will be deadlier than the seasonal flu, it is self-limiting in the majority of cases. I can prescribe treatments via video (or instruct you what to do if it’s more serious.) Telemedicine appointments can help with the coronavirus (or other illness). There are many natural treatments body fight infections before needing hospitalization. And if you have other health concerns, telemedicine appointments helps avoid exposure.

If you wish to discuss your symptoms, or have any other issues that require medical help, please call my office to schedule a telemedicine appointment.

You can email me at info@askdrgil.com or call 808-726-2772.

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How to Cure Hypothyroidism and Anxiety

January 24, 2020 by Dr. Gil Winkelman 19 Comments

In medicine, hypothyroidism and anxiety aren’t typically associated. It is usually depression associated with a low thyroid function and anxiety with high. But many of my patients found their anxiety disappear with proper thyroid function. Why is this? Could low thyroid be the answer to treatment-resistant anxiety? Many patients come to me taking thyroid but are not feeling better. Others presented with subclinical hypothyroid. Why is this? Let’s explore more about these issues. I should note that hormone interactions in the body are very complex. This article does not serve as a full primer but a short introduction.

Before jumping into the complexity of hormones, I want to review the scope of the problem. Anxiety occurs in 30-40% of patients with hypothyroid. They can also have irritability, depression, learning issues, and poor concentration.

The Causes of Hypothyroidism (and Anxiety)

Most research suggests that doctors should not give medications for depression and anxiety until they check thyroid levels. While I agree with the approach in theory, it’s not as simple as testing thyroid.
To understand the paradox of this problem, I want to explain a bit about the hypothalamic-pituitary axis (HPT). This may be technical but bear with me. The hypothalamus and pituitary are in the brain, controlling hormonal function in the body through different hormones. The hypothalamus produces Thyrotropin-releasing hormone (TRH) to signal the pituitary to make thyroid-stimulating hormone (TSH). TSH signals to the thyroid to produce T4 (Thyroxine) which is stored in the thyroid gland until the body needs to use it. When the body needs energy, T4 converts to T3 (Triiodothyronine).

Because T3 is so potent, the body only converts what it needs when it needs it and mostly inside the cell. T3 then crosses into the nucleus and started turning genes on. If you have listened to my podcast about methylation and epigenetics, there may be a connection here. Remember that everything you eat, drink, breathe, and experience can change your genetic expression. Specifically, high or low methyl may affect T3 binding at specific sites, thereby producing different results. The following are  required for the thyroid to work:

  • Hypothalamic/pituitary function
  • Secretion of TSH
  • Thyroid function (secretion of T4)
  • Thyroid hormone transport into the cell
  • Conversion of T4 to T3
  • Receptor binding
  • Downstream activation

There are a lot of steps. I want you to remember this list because it will be important in a moment.
But the doctor said my thyroid levels were normal!
Both the tests for thyroid and their interpretation are problematic. Typically, most doctors only run a TSH to see if thyroid is functioning well. But many recent research studies suggest that TSH is a poor measure of thyroid function. Several studies concluded that looking at just TSH does not show how cells are utilizing thyroid.

Some doctors know this and also measure T4 to determine thyroid function. There are problems with this approach. First, both TSH and T4 measure supply of thyroid hormone. A normal TSH means that the pituitary receives the message from the hypothalamus to tell the thyroid to produce thyroid. When these numbers are normal, most likely, your  thyroid is working. But often in hypothyroidism, the problem stems from somewhere further downstream from the gland. Look at the list above. There are four more steps below the level of the thyroid that can lead to hypothyroidism.

More Problems with Thyroid Tests

If TSH or T4 is off, most clinicians give T4! That helps nothing further downstream, and it could make things worse for many people too. Why? Because the body may convert too much T4 to reverse T3. This blocks the receptor sites for good T3 but no cell activity changes. Reverse T3 also stops conversion of T4 to T3. When this occurs, treatment to reduce reverse T3 must be given before thyroid function can return to normal.
The other big problem with this testing is that it presupposes that if there’s T4 that the T4 is getting into the cell and the body is converting it all to T3. But that is not always the case.

But my doctor tested the T3 and it was normal!
I’ve done that too but what we are finding that measuring T3 and T4 are not always good indicators of thyroid function either. One problem is that T3 is an intracellular component meaning that we don’t see a lot in the blood. Therefore, doing a blood test tells us nothing about how the cell is utilizing T3.

But the biggest problem with these tests is that many common conditions skew the results. For example, patients with fibromyalgia have low normal TSH normal T4 but low T3. Doctors typically treat these patients as though their thyroid is either normal or on the high end. Patients who are obese typically have thyroid results that do not correlate with their symptoms. The same is true of patients with high levels of inflammation and diabetes.

Many conditions may be issues of conversion of T4 to T3. Why is this happening? Much of the research suggests that chemicals such as flame retardants, bisphenol A, plastics, heavy metals and such. These compounds may disrupt the energy production mechanisms in cells called mitochondria.

Why am I Anxious if I’m Hypothyroid?

You may wonder how this related to anxiety. The short answer is we don’t know. My best guess is that the sympathetic nervous system kicks in to speed up processes in the body. Adrenaline rushes over long periods leads to anxiety.

If you suffer from anxiety, depression, learning issues, or brain fog, it’s time to get your thyroid checked. There are better ways to test thyroid than just doing a TSH including taking your temperature or measuring other hormone in the body such as sex hormone binding globulin. This is what I do in my practice now instead of measuring just the thyroid levels.  I am certified in Wilson’s Temperature Syndrome therapy, a novel approach to correct issues with thyroid conversion. In  fact many people who were previously diagnosed with Hashimoto’s or other thyroid issues, regained healthy thyroid function after  this  treatment  approach. Schedule  with me if you want to learn  more.  Your path to feeling better is just around the corner.

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