Naturopathic Postpartum Support!

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For one month before delivery, I recommend a uterine tonic containing helonias, mitchella and viburnum. This prepares the uterus for an easier delivery and, when taken one month postpartum, helps the uterus recover faster. I also recommend Klaire Labs Ther-Biotic Complete probiotics at one per day, all the way through pregnancy, and especially just before delivery, to optimize the flora of the vaginal tract. This may lessen the chances of the baby developing thrush after birth.

High EPA and DHA fish oil, Nordic Naturals ProOmega at 4 per day or Arctic Cod Liver Oil at 2 teaspoons per day, is also imperative during the pre and post-natal period. Adjust vitamin D dosage, as this will provide 2000 IU’s of vitamin D. I recommend at total of 4000-5000 IU’s of vitamin D for most adults including pregnant women. Testing 25(OH) prenatally along with homocysteine, Ferritin, CBC, fasting blood sugar and HgA1C, and TSH and T3 can provide a good baseline for women.

Homeopathic Arnica 200 ch, taken several times per day for one week postpartum, will help the body heal from the physical trauma of delivery. I also recommend giving this to the baby once or twice daily. The pellets can be dissolved in water and taken in drop dosages. This can help with swelling and bruising of tissues.

One of the bigger concerns during the postpartum period is postpartum depression and fatigue. Siberian ginseng taken in tincture form is one of the best adrenal supports that is safe to take during breastfeeding. I recommend it in teaspoon dosages once to twice daily, for up to the first three months after delivery.

Basic nutrients including B-complex, calcium and magnesium are more important now, especially if the mother is breastfeeding.

Echinacea and silymarin are both safe during breastfeeding, and can be used for infections or liver issues that may arise during the postpartum phase.

Greens First, along with Dream Protein smoothies, can help the mother regain her energy as she transitions into her new busier schedule, especially when she finds she is skipping some meals.

If the mother is anaemic, supplementing with iron can be cause colic in babies. Iron Plus C is an option but if baby cannot tolerate consider Fluoravit, a liquid iron supplement available in health food stores, that is both effective and well tolerated in sensitive patients.

Babies don’t need much supplementation in the first year of life, when breastfed. However, I do recommend extra vitamin D at 2000 IU’s per day, administered in drop from. I start fish oil supplementation after one year of age. I also recommend probiotics in the first year of life. After one year, consider Ther-Biotic Complete in powder form, dosed at ¼ tsp once daily. This combination of supplements will set the stage for a healthy immune system.

I offer a food introduction chart to mothers and emphasize how important this is to prevent future food allergies. Also an updated handout on Pre- and Postnatal care that you can review with your patients. I like to review this with patients as soon as they know they are pregnant. Heres to a healthy baby!

New Study Shows PectaSol-C® Enhances Radiotherapy for Prostate Cellular Health!

A new study publisheScreen Shot 2015-05-28 at 11.48.17 AMd July 2018 shows PectaSol-C Modified Citrus Pectin sensitizes prostate cell lines to ionizing radiation, by down-regulating galectin-3, modulating DNA repair pathways, and increasing reactive oxygen species production.

PectaSol-C was also shown to reduce invasive cell behaviour. Research was performed at the Laboratory of Herbal Medicine and Cancer Research, Institute of Oncology, Tel Aviv Sourasky Medical Centre, and the University of Tel Aviv.

Results of this study demonstrate the importance of PectaSol-C as a safe and effective adjuvant supplement to promote prostate cellular health. Importantly, this is the first published study to show PectaSol-C enhances the effects of radiotherapy for prostate cellular health, further substantiating the powerful synergistic benefits of this simple, natural ingredient. Previous synergistic studies demonstrate PectaSol-C enhances both conventional and integrative protocols for cellular health, immune support, increased antioxidant activity and other areas.

Because of its unique ability to block the effects of galectin-3, PectaSol-C is increasingly studied for broad-spectrum actions supporting our most critical areas of health.

Optimizing the Gut Microbiome!

dr-pincott-header-pinkingrid-croppedMicrobiota refers to the individual microbes in the body (about three pounds in weight), whereas the microbiome refers to the genome of these microbes, of which there are about 4 million. The gut microbiome is essential for the maturation and the development of the enteric nervous system.
For the past 30-plus years I have made taking a probiotic one of my “Foundations for Health”, in other words I prescribed them to all of my patients. As more research emerges, we are seeing that this practice is not only important for the gut health and the immune system, but also very important as an anti-inflammatory. They will lower lipopolysaccharides or LPS (endotoxin) a potent inflammatory compound. LPS is a component of the outer membrane of gram-negative bacterial cell walls. LPS can be measured by itself, and if elevated suggests that the gut is permeable to LPS allowing it into systemic circulation. In ALS and Autism, LPS is dramatically elevated. High levels of LPS are also found in the obese population and in Alzheimer’s patients. In the case of beta-amyloid production in the brain causing Alzheimer’s, the question is: why is the body trying to protect the brain against inflammation with this overproduction of beta-amyloid? Measuring anti-bodies against LPS more routinely might be the better approach to dealing with the cause of inflammation starting in the gut. LPS or endotoxins cause inflammation, increased intestinal permeability, impaired cytochrome P450 detoxification system, impaired mitochondrial performance and pain sensitization. SIBO, for example, promotes the absorption of endotoxin. Lowering the total microbial load (TML), which includes bacteria, viruses, yeast, bacteriophages and endogenous viruses, reduces inflammation in the body.
The Hygiene Hypothesis is gaining popularity, as we don’t see as many immunological or severe neurological diseases in developing countries with poor hygiene. Soil-based organisms are critically important for enhancing diversity and health-giving properties of the human microbiome. Babies born by Caesarean have lifelong consequences for immunity and inflammation as they lack the inoculation from the vaginal flora. Another problem in today’s medical practices is the gross overuse of antibiotics. With the very real threat of antibiotic resistance just around the corner, and the impact antibiotics have on the microbiome, we must put a focus on eliminating them from practice completely, and instead turn to natural alternatives.
Another important aspect of gut micrbiome health is the use of prebiotics. Prebiotics are fibres that were consumed by our hunter-gatherer forbears at around 125 grams per day. By modern comparison, the average North American only consumes about 5 grams! Fibre enhances the balanced production of three short-chain fatty acids: acetic acid, propionic acid and butyric acid.
In his textbook, Brain Inflammation and Textbook of Clinical Nutrition and Functional Medicine, Dr. Vasquez explains in detail the inflammatory connection, and dysbiosis of the microbiome. In the 1990s, dysbiosis referred exclusively to gastrointestinal dysbiosis, but now dysbiosis is found in the mouth, sinuses, genitourinary tract, skin and parenchymal tissues. Each type of dysbiosis corresponds with a different pattern of inflammation, such as dermatitis, vasculitis, reactive arthritis and certain autoimmune diseases. In clinical practice these patients exhibit sustained, low-grade inflammation. Underlying contributors are mitochondrial impairment, metabolic dysfunction, pro-inflammatory diet, multifocal dysbiosis, psycho-emotional and physical stressors, hormone imbalances, xenobiotic toxicity and immune system imbalances.
Promedics is pleased to provide Canadians a few of the Klaire Labs Probiotics. We all have our favourites in our practices, but you may want to branch out and try a few new ones. Klaire Labs provides research linking the microbiome to brain health and their benefits for Alzheimer’s Disease and Autism, as well as diabetes and immune diseases.

Gut Talk Along the HPA Axis
During treatment protocols, it is critical to follow a low-carbohydrate diet. Following high-carbohydrate meals, there are rapid fluctuations in blood glucose, depletion of serotonin and dopamine, B-vitamins and magnesium. All of these changes contribute to glycation, insulin resistance, depression, anxiety and neurodegeneration, hence, the importance of optimizing the microbiota using high-potency probiotics.

Patient Protocol for a Healthy Microbiome

  1. Avoid antibiotics. Use Echinacea Premium (can be taken all year long) or Andrographis Complex for optimal immune support without diminishing our friendly, beneficial gut bacteria.
  2. Nordic Naturals Fish Oils: 3000 mg per day of EPA and DHA for healthy integrity of gut mucosa as well as immune support.
  3. Smoothie: Greens First with Dream Protein for optimal protein and antioxidant status for patients with poor diets.
  4. Klaire Labs: Ther-Biotic Complete: 25 billion microroganisms per capsule for treatment of GI symptoms. Can be taken up to 4 times per day or more, or one per day for maintenance; ABx support for treatment during and after antibiotics; Ther-Biotic D for use during detoxification programs, and S. Boulardii for treatment of diarrhoea or dysentery.
  5. Diet low in carbohydrates, low in food allergens, low in alcohol.
  6. Citricidal Caps Plus: this has been my favourite remedy for dysbiosis for years. I always start my patients with 3 months of Citridical Caps Plus at 3 per day. Additionally, supplement with MediHerb Garlic at one per day, both taken at breakfast, and a probiotic taken at dinner. If not effective then I move them into a SIBO protocol.
  7. Get patients off proton pump inhibitors and other antacid drugs as much as possible (they contribute to SIBO).
  8. Look for deficiencies in folic acid and B12 caused by dysbiosis.
  9. Consider measuring antibodies to LPS in your difficult patients.
  10. Consider using GI MAP genetic testing, to diagnose and treat the microbiome very specifically in chronic disease management.