Peter Saydak

Hashimoto's: The First Steps to Getting Better (Working with Me!)

An estimated 20 million Americans have some form of thyroid disease.  Out of those 20 million, 60% do not even know they have it. Many people walk around with symptoms like:

• Fatigue
• Constipation
• Hair Loss
• High cholesterol
• Unexplained weight gain
• Muscle aches, often in shoulders and hips
• Joint pain
• Feeling cold
• Difficulty becoming pregnant
• A pale, puffy face
• Depression

And just think that it is normal!

Hashimoto’s disease is an autoimmune disease that affects the thyroid and an estimated 90% of hypothyroid patients have Hashimoto’s.

It is hard to know what has caused Hashimoto’s in each patient because it can be a different cause for everyone. Thyroid medication alone is not enough to treat Hashimoto’s. This is why most people taking thyroid medication do not feel like it is helping them. Underlying triggers such as gut infections, HPA-axis dysfunction, blood sugar imbalance, food sensitivities, hormone imbalance, heavy metal toxicity and other contributing factors, must be addressed in order to keep Hashimoto’s at bay.

Many people write me and ask what I do for Hashimoto’s, and many other issues, so I have decided to write this post with the exact details to answer these questions.

How Our Office Works

Phase One: The Initial Consult

The initial phone consult is the first step for all new patients. Identifying the underlying patterns contributing to disease is the key to a successful and lasting outcome. The initial consult serves several purposes. It enables me to more accurately estimate how long your treatment program will last, what testing will need to be done to evaluate your condition very thoroughly, what it will include and how much it will cost. It gives you the chance to ask any questions you may have about your condition and what you should expect. And it provides an opportunity for us to get to know each other, and determine if our clinic is a good fit for you over the long-term.

The exact lab testing ordered after the Initial Consult depends on your individual circumstances, but may include:

• A comprehensive blood chemistry panel. This is the single most efficient, effective and affordable tool for quickly evaluating your health. It screens for a wide range of conditions, including several types of anemia; gut, viral and bacterial infections; insulin resistance and hypoglycemia; liver and kidney issues; and thyroid and adrenal problems. It offers important clues for how to structure and focus your treatment to get the best results. And it provides a baseline of biomarkers that can be used to objectively track the progress of your treatment over time.
• Additional blood tests for specific conditions, such as high cholesterol, hypothyroidism, autoimmune disease, and gluten sensitivity.
• Advanced stool testing to screen for parasites, fungal overgrowth, bacterial infections, intestinal inflammation, dysbiosis and a deficiency of beneficial gut bacteria, since the majority of your immune system lies in your gut.
• Urine organic acids testing to screen for small intestinal bacterial overgrowth, fungal overgrowth, problems metabolizing fat or carbohydrate, B-vitamin status, methylation issues, detoxification capacity, oxidative stress, and neurotransmitter metabolism.
• Urine hormone testing for adrenal and sex hormone status.
• Other tests may be ordered, depending on your case, which can identify other triggers like heavy metal toxicity and biotoxin illness.

At the initial consult I will also provide you with a 30 day Hashimoto's reset diet to help start the healing process immediately and remove foods you may be reacting to.

Phase Two: The Case Review

The Case Review Consultation is a 60-75 minute phone, or video appointment. Prior to the consultation, I will review the results from the labs that were ordered. Then I will create a Report of Findings, which is broken into three parts:

• A summary of the underlying patterns that are contributing to your symptoms.
• An outline of the suggested treatment plan, including dietary, supplement and lifestyle recommendations.
• Recommendations for further testing (this will typically be minimal, if necessary at all, because of the completeness of the Case Review process)

I have decided to have a virtual office so that I may help people that are located all over the US and keep the care plan cost as low as possible. Most patients find it very convenient to get on a phone or video conference and avoid driving and long wait times in an office.

Insurance Coverage/Cost of Care

Some of the testing I recommend will be covered by most insurance plans and others will be an out of pocket expense. I will let you know the exact details of what you should expect once I decide what testing will be necessary.

Prognosis

While there is no cure for Hashimoto’s, I can tell you that I have a very high success rate of helping patients feel their best and I will work as hard as I can to help you find out what your underlying causes of disease and symptoms are. Hashimoto’s can be helped greatly when finding out what an individual’s underlying causes are. Getting the disease to go into remission can give you back your quality of life and make you feel like yourself again.

Reading Recommendation

To get started on your own, to support your recovery journey, and to learn more about the Paleo-style anti-inflammatory diet I recommend or if you have Hashimoto’s or another thyroid disease, I recommend reading and following the recommendations in my book, The 30-Day Thyroid Reset Plan: Disarming the 7 Hidden Triggers That are Keeping You Sick. You will learn everything you need to know about thyroid disease. I offer a 30-day plan to improve your health and my favorite thyroid-friendly recipes to nourish your body with delicious meals.

Other Conditions I Work With

Other conditions I work with include, but are not limited to:

• Acne
• Adrenal disorders
• Anxiety
• Autoimmune disease
• Cardiovascular disease
• Chronic fatigue
• Chronic infections
• Depression
• Diabetes
• Digestive disorders (IBD, IBS, GERD/Reflux)
• Eczema/psoriasis
• Elevated cholesterol
• Environmental and food allergies
• Fatigue
• Female disorders (PMS, Menopause, Infertility, PCOS)
• Fibromyalgia
• Hormonal imbalances
• Histamine intolerance
• Mast cell activation syndrome (MCAS)
• Mercury and heavy metal toxicity
• Metabolic syndrome, pre-diabetes, insulin resistance
• MHTFR genetic mutation
• Migraines and headaches
• MS (Multiple Sclerosis)
• Osteoporosis
• Overweight and obesity
• Sleep disorders and insomnia
• Stress
• Thyroid disorders

Make Your Appointment Today

If you are dealing with symptoms of Hashimoto’s disease, other thyroid issues, or any other chronic symptoms or health issues listed about I invite you to schedule a consultation with me. I can help to identify the root cause of your condition and recommend a personalized treatment plan to repair your body and regain your health and well-being. Schedule your consultation here.

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I look forward to speaking with you!

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by Peter Saydak

Fibromyalgia: What is the Cause?

Today it seems as though more and more people are diagnosed with fibromyalgia. In fact, over 6 million Americans are suffering from fibromyalgia symptoms and most of them are woman. Fibromyalgia is a disorder that causes muscle pain in certain points in the body and is accompanied by fatigue. Unfortunately, most patients with fibromyalgia suffer with more than just pain and fatigue. Many people who have fibromyalgia also have:

• Headaches
• Anxiety
• Depression
• Brain fog
• Sleep disorders
• Memory issues
• IBS
• Mood issues

Symptoms sometimes begin after a physical trauma, surgery, infection or significant psychological stress. In other cases, symptoms gradually accumulate over time with no single triggering event (1).

What Causes Fibromyalgia?

There are several theories about the causes of fibromyalgia from hormonal disturbances to stress to genetics. While there is no clear consensus about what causes fibromyalgia, most researchers believe fibromyalgia results not from a single event but from a combination of many physical and emotional stressors. Some have speculated that lower levels of a brain neurotransmitter called serotonin leads to lowered pain thresholds or an increased sensitivity to pain (2).

While I do believe that it may be from a series of different underlying causes, I believe that the most important place to look is in the gut. Here is what research showed in 3 different studies:

• 100% of fibromyalgia patients studied at Cedars-Sinai Medical Center in Los Angeles found they had small intestinal bacterial overgrowth (SIBO) (3)
• 70% of fibromyalgia patients had leaky gut (4)
• A correlation between the gut flora and fibromyalgia (5)

So does fibromyalgia cause gut infections or do gut infections cause fibromyalgia? A study done giving half the patients treatment for SIBO (small intestine bacterial overgrowth) and the other half a placebo, showed improvement in fibromyalgia symptoms in the group that received SIBO treatment and no improvement in fibromyalgia symptoms in the group that did not receive the SIBO treatment (6)(7).

While there is neither a definitive nor singular cause for fibromyalgia, it has also been linked to (8):

• Chemical sensitivities
• Food sensitivities
• Spinal misalignments
• Stress
• Poor digestion
• Viruses
• Genetics

Treatment for Fibromyalgia

If leaky gut, SIBO, or any other type of gut infection are in fact one of the underlying causes of your fibromyalgia it is very important to find a functional medicine practitioner that can diagnose and treat this for you properly. Treating gut infections can greatly reduce and possibly eliminate, fibromyalgia symptoms. Other treatment options include:

• Get tested for and eliminating food sensitivities (different from food allergies)
• Eliminate foods like gluten, sugar, artificial sweeteners, grains, pasteurized dairy that is not grass-fed, and caffeine from your diet
• Eat plenty of fermentable fiber like sweet potatoes, yucca etc. and fermentable foods like kefir, sauerkraut, kim chi, etc.
• Try mindfulness meditation to manage stress and relax the body
• Get plenty of sleep (about 8 hours)
• Consider taking a curcumin supplement which is known to reduce inflammation in the body
• Add ginger to food for it’s anti-inflammatory properties

 click here  for more information.

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by Peter Saydak

Mercury Toxicity

Mercury Toxicity Fast Facts

Mercury is a common environmental contaminant that can be very harmful to our bodies. I am finding this to be the route cause of many symptoms when looking for the underlying causes of chronic illness. Mercury comes in three forms:

1. Organic mercury:  also known as methylmercury, is the type of mercury found in the seafood we eat. Especially large fish like swordfish, tilefish, shark, tuna, sea bass and king mackerel. This type of mercury has a high absorption rate and the ability to cross the blood-brain barrier and hide out in the brain tissue.
2. Inorganic mercury: this type of mercury usually enters the body through the skin or orally. It has been found in skin lightening creams, laxatives and soaps.
3. Elemental mercury: this form of mercury is found in amalgam or “silver” fillings in the mouth. We inhale small amounts of mercury vapor and it goes into the tissues in our bodies. This can affect the nervous, immune, digestive and respiratory systems in the body.

Symptoms

Mercury toxicity can cause a wide range of symptoms, including but not limited to:

• Anxiety
• Autoimmune disease
• Brain fog
• Cardiovascular disease
• Depression
• Fatigue
• Headaches
• Hair loss
• Hormone dysregulation
• Multiple chemical sensitivities
• Neuropathy

Diagnosis

There are multiple methods of diagnosing mercury toxicity. Some practitioners rely on hair testing alone and others do not believe in using hair to find out accurate levels of mercury. I prefer the mercury tri-test, which looks at mercury in the blood, hair and urine. Dr. Christopher Shade, a mercury and glutathione expert from the University of Illinois created this method.

Treatment

Treatment for mercury toxicity involves building up the glutathione system in our bodies and using key detoxifying agents to remove the mercury from the body. The approach is to gradually introduce these to the body and dose to a high therapeutic level then back down. Dr. Shade’s protocol (which I use in my practice) involves five days on and 2 days off for about 3 months.

Prognosis

Once the mercury has successfully been removed from the body a full recovery can occur. This process alone can cause relief from the symptoms listed or may be paired with other treatments for other underlying causes of these symptoms.

If you are suffering from any health related issues, I am currently accepting new patients. To start the testing process and discover what is driving your health issues and to get on the road to recovery call our office at +1 (866) 498-1958 to schedule your initial consultation. If it is after our normal hours of operation you can click here to leave us a message. Please only leave a message if you would like a call back to schedule a consultation.

Sources:

Nett, A (2014, August). Could Mercury Toxicity Be Causing Your Symptoms? Retrieved from https://chriskresser.com/could-mercury-toxicity-be-causing-your-symptoms/

Mercola, J (2001, March). Mercury Toxicity and Systemic Elimination Elements. Retrieved from http://www.mercola.com/article/mercury/mercury_elimination.htm

Murphy, J (2012). Three Types of Mercury. Retrieved from http://holisticdentistry.ie/three-forms-of-mercury.html

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by Peter Saydak

HPA-Axis Dysfunction - How Stress Can Cause Weight Gain, Fatigue, Sleeplessness and More

To understand this we must first understand what the HPA-axis is and what happens when it is not functioning properly (HPA axis dysfunction). The hypothalamic-pituitary-adrenal axis is responsible for helping us adapt to stress. In response to stress, cortisol is released for several hours after encountering the stressor. Cortisol is a hormone that is made by the adrenal glands and is best known for its involvement in the fight or flight response. We need cortisol for the body to function properly, but when we are constantly stressed the HPA axis gets desensitized to the negative feedback loop that is necessary telling it to “calm down”, leading to chronic stress on the hypothalamus, pituitary gland and adrenal glands (4).

Adapted from: Wikipedia Hypothalamic-pituitary-adrenal axis. (2016, August 13)

Retrieved from: https://en.wikipedia.org/wiki/Hypothalamic–pituitary–adrenal_axis

What Causes HPA Axis Dysfunction?

It is important to understand that many different aspects of our lifestyle can cause HPA axis dysfunction. Any event that causes wear and tear on the body is a stressor. This can be physiological, emotional, physical, environmental etc. If someone does not feel emotionally stressed and they don’t have any physical stress that they know about, they can still have something like a gut infection or food intolerance that will cause their body stress, therefore causing HPA axis dysfunction.

In the book “The Role of Stress and the HPA Axis in Chronic Disease Management”, Dr. Guilliams talks about the four categories of stressors that lead to chronic HPA Axis dysregulation. There is perceived stress, circadian disruption, glycemic dysregulation, and inflammatory signaling.

Perceived Stress
The HPA axis can easily be triggered by signals outside the body that are non-physical, which the brain perceives as threatening. Things like public speaking, financial and relationship trouble, work stress etc. are called “perceived” stressors because how people perceive the event has the ability to affect HPA axis function.

Circadian Disruption
Circadian rhythms are physical, mental and behavioral changes that follow a roughly 24-hour cycle, responding primarily to light and darkness in an organism's environment (2). The HPA axis is intimately tied to the mechanisms controlling circadian rhythm. Unfortunately, most people have the ability to ignore these important cues when choosing their work, social, sleeping and entertainment schedules (1). What this means is that working the night shift and sleeping during the day, not getting enough sunlight during the day, and the use of electronics at night, can lead to HPA axis dysfunction as well as many different metabolic dysfunctions like obesity and insulin resistance.

Glycemic Dysregulation
Glycemic dysregulation is the inability of your body to regulate your blood sugar levels, which can lead to hyper or hypoglycemia. Poor diet, lack of exercise and lack of sleep can not only dysregulate the HPA axis but it can cause glycemic dysregulation. Cortisol is very important for regulating glucose. When stress happens, the body raises cortisol levels and therefor can raise blood sugar levels. The rising epidemic of insulin resistance, obesity, and their related metabolic disorders has a complex cause-and-effect relationship with the increase of stress-related disorders.

Inflammatory Signaling
Cortisol is a powerful anti-inflammatory steroid. When someone has chronic inflammation, his or her body will signal the HPA axis to secrete more cortisol in order to decrease the inflammation. The increase in cortisol downregulates inflammatory pathways within tissues and immune cells through genomic and non-genomic signaling. This suppresses most other immune functions, which explains so many of the side effects of prednisone and other steroid drugs (3). Inflammation from food allergies, obesity, rheumatic diseases, or anywhere can be a HPA axis stressor.

How Do We Support the HPA Axis?
Supporting the HPA axis is extremely important in chronic disease management. It is important to understand that you must support the central nervous system, the adrenal glands and the way in which cortisol signaling functions within the tissue. This is achieved by removing as many known stressors as possible. In addition:

• Stay away from inflammatory foods like gluten, sugar, grains and dairy
• Avoid food sensitivities and allergies
• Get tested and treated for any infections like SIBO, yeast overgrowth etc. that may be causing stress on the body.
• Use tools like mindfulness training and yoga to help with the way you perceive stress.
• Get plenty of sunlight and fresh air during the day and stay away from electronics like TV, cell phones, computers and artificial house lights at night.
• Consider supplementing with adaptogenic herbs, Vitamin C, B vitamins and phosphatidyl serine (I recommend you work with a skilled practitioner to find out which supplements are right for you).
• Have adrenal gland hormones like cortisol, DHEA and sex hormones tested by a skilled practitioner so they can create a specific treatment protocol for you.

If you are suffering from any health related issues, I am currently accepting new patients. To start the testing process and discover what is driving your health issues and to get on the road to recovery call our office at +1 (866) 498-1958 to schedule your initial consultation. If it is after our normal hours of operation you can click here to leave us a message. Please only leave a message if you would like a call back to schedule a consultation.

Sources:

Guilliams, T. The Role of Stress and the HPA Axis in Chronic Disease Management. Point Institute, 2015. Print
Circadian Rhythms Fact Sheet. (2016, April 6).

Kresser, Chris. “HPA-D:Etiology.” Adapt Framework Level 1, kresserinstitute.com

Greenfield, B. (2016) Two Ways Your Brain Breaks and Exactly What You Can Do About It Part 2.

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by Peter Saydak

Hormone Imbalance-What Can Be Causing It?

Hormone Imbalance Fast Facts

There are many different types of hormones in our bodies like estrogen, progesterone, adrenaline, testosterone, cortisol and insulin. Hormones, also known as chemical messengers, control many processes in the body like reproduction, growth, metabolism, responding to stress and more. Glands like the adrenals, thyroid and pituitary secrete these hormones and any imbalance can cause major health problems.

Symptoms

• -Weight gain, especially belly fat and loss of muscle mass
• -Fatigue
• -Trouble sleeping
• -Anxiety and/or depression
• -Low sex drive
• -Insomnia or un-refreshing sleep
• -Cravings

Some physicians choose to use the replacement model when helping patients who are struggling with hormone imbalance. The replacement model is giving the patient a synthetic or non-synthetic (think progesterone cream) form of whatever hormone they are low in. The problem with this is that it is not really fixing the problem, and can often have dangerous side effects.  In the functional medicine model we are looking at the underlying causes of hormone imbalance rather than a replacement model. If you can find what is driving the body not to function properly, your body will do what it is supposed to do on it’s own once the underlying cause has been treated. Some functional medicine practitioners will use a combination of the two approaches if absolutely necessary.

Causes

-Gut issues like bacterial overgrowth can actually cause you to have excess estrogen or estrogen deficiency

-HPA axis dysfunction, which is the hypothalamic pituitary adrenal axis, regulates your adrenal, thyroid and sex hormones. If you are under stress, your cortisol can be elevated and this can lead to hormone resistance

-Insulin surges, which come from improper blood sugar control, can increase testosterone, which can lead to PCOS and infertility.

-Foods that we eat play a big role in hormone imbalance as well. Growth hormones are given to cattle to make them gain weight faster and produce more milk. This is one of the reasons you see girls going through puberty at a very early age these days.

How to Balance Your Hormones

-Make sure you are eating a diet low in inflammatory foods like:

• Dairy
• Sugar
• Industrial seed oils
• Grains

-Make sure you are eating anti-inflammatory foods like:

• Leafy greens
• Wild caught salmon
• Coconut oil
• Blueberries

-Get your adrenal, thyroid and sex hormones tested properly. There are specific tests that can give you very accurate and detailed values of these hormones.  Make sure you receive the proper treatment from your individual results, not everyone needs the same treatment.

-Have thorough testing done to check for gut infections including SIBO and infections like bacterial overgrowth, fungal overgrowth and parasites in the colon.

-Make sure you are getting 7-8 or more hours of sleep per night

Prognosis

Once you can find the underlying cause of hormone imbalance the body will usually rid itself of these symptoms. There may be specific cases where the patient has to use a replacement method along with some of the treatment options listed above. Most of the time I find that patients can have a full recovery using the more natural methods.

If you are suffering from any health related issues, I am currently accepting new patients. To start the testing process and discover what is driving your health issues and to get on the road to recovery call our office at +1 (866) 498-1958 to schedule your initial consultation. If it is after our normal hours of operation you can click here to leave us a message. Please only leave a message if you would like a call back to schedule a consultation.

Sources:

Abbott, J (2015, September). Chemical Messengers: How Hormones Help Us Sleep. 

Axe, J (2015) Ten Ways to Balance Hormones Naturally. 

Kresser, C (2015, July) What Causes Hormone Imbalance. 

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by Peter Saydak

Body Type - How it Can Be Related to Your Health

Although calories and specific foods can play a major role in weight they are not the only contributing factors, read below to see what else can lead to weight gain.

Many people mistakenly think you can lose weight by just eating fewer calories or exercising more. If only it was that simple! Your body has 6 fat burning hormones and 3 fat storing hormones. Diet and exercise DON’T actually burn fat, they trigger your organs and glands to release hormones that burn fat. This is why some people regardless of their diet and exercise habits gain weight, while others do nothing at all and have the kind of body you dream of. For various reasons, your organs and glands may have become weak or damaged and your body will secrete less fat burning hormones. As a result, there are 4 distinct body types and each type has its unique look and set of symptoms. Over time, as that specific organ and hormone system spiral out of balance, your symptoms can worsen.

The Adrenal Body Type

The adrenal glands are little glands that sit on top of your kidneys and are responsible for the “fight or flight” response. When the adrenal glands are over stimulated they get out of balance and affect your sleep-wake cycle. It often feels as if it is hard to turn off your thoughts and you find it difficult to fall asleep and stay asleep despite the fact during the day you feel exhausted.
The adrenal glands are responsible for the release of a stress hormone called cortisol. When the levels of this hormone are elevated, research has shown it can cause weight gain in the midsection, leading to belly fat.

Swelling and rounding of the face, puffy eyes, very dark circles and a double chin can develop because of adrenal dysfunction. The Adrenal Body type can also result in facial hair and swelling of the ankles. It is common if you suffer from the Adrenal Body type to suffer from anxiety and feelings of severe exhaustion. It is also common for the Adrenal body type to rely on caffeine and sweets to get through the day, especially in the afternoon. Once the Adrenals become exhausted you will start having difficulty waking up, concentrating or even remembering simple tasks.

The Liver Body Type

The Liver Body type may suffer from blood sugar issues (like diabetes or insulin resistance), high blood pressure, and elevated cholesterol levels. You may also begin to suffer from the accumulation of toxins. These toxins can seep into your joint capsules causing painful joints (arthritis). These toxins can also cause you to suffer from allergies, skin problems, hives and bad body odor. Toxic accumulation can also lead to poor memory, headaches or migraines, and you will often wake up an hour or two before your alarm clock goes off. When you are a Liver Body type, you crave fatty foods, fried foods, and alcohol but feel worse after having them. You may suffer from hemorrhoids, feel the sensation of fullness after eating and burp after meals.

The Thyroid Body Type

It makes hormones that regulate your rate of metabolism. If you are a “Thyroid Body” type, you may notice that you mysteriously gain weight all over your body even though nothing has changed in your life. With the Thyroid Body you can develop sagging skin under the arms, chin or midsection and experience hair loss, especially the outer third of the eyebrows.

When the thyroid isn’t functioning well your body starts to feel cold, especially the hands and feet. In an effort to
stay warm you are always wearing extra clothes and even socks to bed. When the thyroid is at fault, your energy levels drop and your legs and arms can start to feel heavy. Many times, if you suffer from thyroid problems, you are more prone to suffer from depression. In an effort to improve your mood and increase your energy you will crave carbohydrates like breads, pastas, crackers, juice, and so on. Unfortunately, eating these foods can make the problem worse.

The Ovary Body Type

When the ovaries are to blame for your problems you will notice signs of hormonal imbalance which include: PMS (premenstrual syndrome), irregular menstrual cycles, early menopause, excessive or absent menstrual cycles and occasional constipation. The Ovary Body type often craves chocolate or dairy products. If you are menopausal, an ovary malfunction can lead to hot flashes and night sweats. You will start to develop “saddlebags” or a “pear” shaped lower half.

If you are suffering from any health related issues, I am currently accepting new patients. To start the testing process and discover what is driving your health issues and to get on the road to recovery call our office at +1 (866) 498-1958 to schedule your initial consultation. If it is after our normal hours of operation you can click here to leave us a message. Please only leave a message if you would like a call back to schedule a consultation.

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by Peter Saydak