Sleep Too, Early Waking

Some people fall asleep fine but cannot stay asleep. Like other sleep pathology this can be due to a complex interplay of underlying reasons. Often the 24H cortisol circadium rhythm has become dysregulated and the early morning peak is coming earlier than it should, waking people up at 3, 4 or 5am. What can be done? There are some prescription sleep medications that can be helpful, and global stress management skill building is also important. Underlying anxiety disorder may need to be treated and substance use disorders are also major players in sleep-wake disorders.

Alcohol is an obvious player in the 3am waking game. For people who drink regularly, depending on what time one goes to bed and therefore stops drinking, at some point the alcohol with start to wear off and the withdrawal will start bringing agitation, heart palpitations, sweating, and headache. This can cause early morning waking between 3-5am. Chinese medicine correlates each organ to a 24H clock, and this time of day is the Liver time. Ironic, yes? Accurate, yes? Decreasing evening alcohol can certainly result in better sleep. Alcohol free evenings may take some time to produce better sleep but after about 7 days of abstinence the sleep cycle will begin to regulate. If full abstinence is not desired, start by at least assessing the effect of alcohol and considering your own motivations for changing drinking patterns as they do certainly effect sleep negatively. Having some protein closer to bed time can be stabilizing to blood sugar and alcohol metabolism overnight.

This is true for diabetics as well as for people using alcohol. This is not my area of expertise, but diabetes is related to increased cortisol levels due to the connection between fasting blood glucose, blood sugar, and the liver and pancreas control of blood sugar during the overnight fasting period. There are several studies on sleep disorders in people with diabetes which have evidenced that there are clinical correlations. If you have diabetes and poor sleep, I recommend working with your PCP or Diabetes specialist to make sure your blood sugar issues are not the root cause before moving into more behavioral or psychiatric sleep medications and sleep medicine studies.

The first botanical medicine I turn to when faced with early waking is a version of several different formulations using standardized botanical extracts of magnolia. The first agent that was trademarked was called Relora and was a Canadian product. This standardized extract regulates disorderde circadiuan rhythms. Whan taken at night it helps smooth out early morning cortisol spikes, decreasing early morning waking related to stress and anxiety. It also has some evidence to decrease stress related eating, and improve subjective mood and wellbeing.

Relora vs placebo effects

A similar American product is Cortisol Manager by Integrative Therapeutics. This product also uses the honokiol standardized extract with magnalol rather than berberine. This product is combined with ashwaganda (Withania somniferol). Ashwaganda also has evidence that it adjusts dysregulated cortisol circadian rhythms for improved early morning waking. There are many sleep formulations available that contain Ashwaganda. Gaia brand “Sleep Thru” formulation is another similar product for use when early waking is the issue rather than difficulty falling asleep.

These botanical formulas are generally safe for people without significant health conditions. If you are taking more than 5 medications, have kidney disease CKL3 or greater, or are on immunosuppressive drugs for transplants, autoimmune disease or any other indication, supplements should not be taken randomly without supervision by a licensed Naturopathic doctor or trained herbalist as there could be real drug-herb interactions.

 Finally, as mentioned at the beginning, emotional stimuli do go thru hypothalamic-pituitary-adrenal axis to effect cortisol secretion. Lifestyle modifications are necessary in every case to at least consider the underlying causes of the stress. A pill alone cannot regulate a deeply engrained habit or pattern. Most health care providers would like to hear about what is keeping you up at night, in order to troubleshoot with you ways to improve coping and reduce suffering. These plant based medicines are allies in your journey towards improved health and are only part of the team based approach that real change towards health entails.

lDeshpande A, Irani N, Balkrishnan R, Benny IR. A randomized, double-blind, placebo-controlled study to evaluate the effects of ashwagandha (Withania somnifera) extract on sleep quality in healthy adults. Sleep Med. August 2020;72:28-36.

Talbott, S.M., Talbott, J.A. & Pugh, M. Effect of Magnolia officinalis and Phellodendron amurense (Relora®) on cortisol and psychological mood state in moderately stressed subjects. J Int Soc Sports Nutr 10, 37 (2013). https://doi.org/10.1186/1550-2783-10-37

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DETOX 2015: Start the New Year With A Clean Metabolic Slate

tabula rasa – the latin term for “erased slate” referring to the emptiness of a slate sheet that was previously written on by chalk.

 To start the New Year with a fresh clean slate we need to erase the old clutter from our internal metabolic “chalk board”, which means DETOXIFICATION.

Why detoxify? Intermediate metabolites build up like desk clutter from all of the work that our liver has to do to break down hormones, pesticides, pollution, cholesterol, medications, bacteria, viruses, alcohol, caffeine, and everything else that we inhale or ingest. Symptoms of this “clutter” include allergies, skin disorders, constipation or diarrhea, heartburn, irritability, fuzzy thinking, headaches, low energy, fatigue and many more low grade but uncomfortable signs of poor health.

I do not believe in crazy diets, water  fasting, purges, enemas, or other “heroic” efforts. An effective detoxification process can be simple, inexpensive, easy to accomplish and leave you feeling fresh, renewed and in many cases with less weight! The focus is on fresh, whole foods, clean water, daily smoothies and supplements to improve liver detoxification.

I will be offering an all-inclusive program for one week in January – The tentative dates are January 10-17, 2015. One week is enough time to begin the detoxification process in the liver, but not so much time as to interrupt our busy lives. This program will be a group event, with individual introductory sessions to troubleshoot potential obstacles during the detoxification process.  This program will consist of:

  • A 30 minute detox interview and consultation to assess your personal needs. (The interview can be bypassed for Dr. Wright’s current patients.)
  • A 60 minute group meeting to introduce the program, review the basics of detoxification, and get you ready to start!
  • One week of detoxification with daily email support and a Facebook group for recipe sharing, troubleshooting and cheerleading.
  • A 30 minute group program review at the end to assess the effects, with suggestions on supplements and lifestyle options to maintain the beneficial effects of the detox.

Some people may choose to repeat the detox cycle for 1-3 more weeks in order to really delve into metabolic restoration; however this is an independent option.

Call Age Management Center today at 207-774-1356 IMG_1420or email Dr. Wright at thewrightnd@gmail.com and find out how our New Years Metabolic Detox program can help improve focus, increase energy, decrease allergies and enhance metabolic balance.

Cost: $250 inclusive, prepaid new patients or those needing individualized 30 minute support session.

Cost breakdown: 30 minute consultation: $75, Core Restore Detox Kit $100, 60 minute initial group consultation $50, 30 minute review session $25. Administration, daily emails during the detox program, Facebook group monitoring and detox troubleshooting included.

Current patient & friend/family rate: $175. (Does not include the 30 minute individual consultation.)

Some patients may choose additional Integrative Medicine consultations for more personalized care; individuals who choose to become patients of Dr. Wright’s during or after the program will have $75 taken off her initial consultation fee.

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Foods to Enhance Detoxifcation

tortellini-soup6+srgb.What you eat and how well you take care of yourself will affect how well your liver works. Therefore it’s important that you choose foods that will help maintain and support your liver. Good nutrition can also help to rebuild some damaged liver cells and help the liver form new cells.

The liver has two detoxification pathways called Phase One and Phase Two. To work, each of these phases requires specific vitamins and minerals. These in turn need other nutrients called phytochemicals and amino acids to help them. The liver has a big job to do and as you will see, it requires a team effort.

Phase One changes a toxic chemical to one that is less harmful, and free radicals are formed. Free radicals are unstable particles that react within the body and damage cells. If too many free radicals are made, they can hurt liver cells. In order to get rid of or reduce free radicals, our bodies need foods high in antioxidants and phytochemicals. Antioxidants are beta carotene, vitamins C and E, and selenium; phytochemicals are found in fruits, vegetables and whole grains. One of the most important antioxidants is an amino acid called glutathione that cannot be taken as an oral supplement. Glutathione is made by the body and is also found in some foods. B vitamins including folate are also very important in the Phase One process.

In Phase Two the liver adds a substance to the now less harmful chemical to make it water soluble. It can then be moved out of the body in urine or feces. During Phase Two, sources of sulphur compounds are needed. Some of the foods with a lot of sulphur compounds are (you know the kind, they smell when you cook them) cabbage, brussel sprouts, and broccoli.

Following is a list of foods that have the nutrients needed to help Phase One and Phase Two work as well as they can.

Foods to Help Phase One Detoxification (choose 2 per meal)

Beets contain antioxidants such as beta-carotene, other carotenoids and healing flavonoids. They also contain folic acid which is necessary for Phase One detoxification. Enjoy these as fresh vegetable juice, grated raw on salads, boiled or roasted.

Broccoli contains B vitamins and vitamin C both of which help Phase One detoxification; it also is a source of folic acid. Use raw as a snack with dips, lightly steamed or stir fried.

Brown Rice provides B vitamins and the antioxidant selenium.

Carrots contain beta-carotene and other carotenoids that help to protect the liver. Enjoy as freshly juiced (with beets!) grated raw on salads, steamed, roasted, or in soups and stews.

Eggs supply B vitamins.

Garlic has selenium and glutathione, both of which act as antioxidants.

Spinach provides folate and other B vitamins.

Tomatoes have vitamins C and E which are both needed for Phase One detoxification. They are also a good source of the antioxidant lycopene.

Wheatgerm contains selenium and vitamin E and is an excellent source of phytochemicals.

Melons and peppers are good sources of vitamin C.

Tomatillos, papaya, plantains, carambola and guava are good sources of the antioxidants beta-carotene and vitamin C.

 

Foods to Help Phase Two Detoxification (choose 2 per meal)

Broccoli contains natural sulfur compounds needed to enhance Phase Two detoxification.

Cabbage like broccoli, contains natural sulfur compounds.

Eggs contain methionine, a sulfur-containing compound needed for detoxification.

Brazil Nuts contain selenium, an antioxidant needed for detoxification.

Garlic has high levels of methionine which is needed for detoxification; also contains glutathione, a powerful antioxidant.

Onions have sulfur compounds which are important in both detoxification pathways; also a source of glutathione.

Asparagus and Watermelon are rich, natural sources of glutathione.

Papaya and Avocado help the body to produce glutathione.

Mushrooms are high in glutamic acid which is needed to produce glutathione and aids in detoxification pathways.

 

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Spring Wellness Shopping List

Spring! Winter skin comes out from under the covers, and the winter blues start to melt away…. Here are a few simple things you can do to feel and look your best!

Shopping List

£ Nettle Tea

£ Dry Skin Brush

£ Weleda Cellulite Birch Oil (or other good quality body oil.)

£ Flax Seeds

£ Sheep Yogurt

Instructions:

The key to Spring Wellness is getting the lymphatics moving and improving detoxification systems. The lymphatic channels run just underneath the skin, and are the highways of the immune system. Rough and bumpy skin is often from congested lymphatics – toxins literally surface to the skin when they cannot be eliminated properly. Nettle tea is an excellent and very safe lymphatic tonic that can used by everyone – for children, in pregnancy and breastfeeding, with multiple medications, and beyond!

Dry skin brushing is a physical medicine that sloughs off dry skin and stimulates lymphatic channel movement. It creats a youthful vibrant skin surface and helps to eliminate toxins released by the Nettle tea! Dry skin brush before every bath or shower. How? Using a specially designed brush, start at your feet and gently sweep upwards in big circles. Repeat from the wrists to the shoulders and across the chest.

Continuing topical care, nourish your skin with a rich organic oil when you are just out of the bath or shower. This improves dehydration and provides your cell membranes with the rich lipids it needs for optimal elasticity. Don’t towel off your extremities, instead just dry your trunk, face and hair. Generously apply your body oil, massaging your muscles and rubbing it in. Then, take a minute and lie back down wrapped in your towel to let the oils sink in. If you don’t have the time to rest, just wait a few extra moments before you get dressed (to let the oils sink in.) Weleda Birch Cellulite Oil is my favorite for Spring as it stimulates the dermal layers under the skin to continue detoxifying, and has no synthetic perfumes or chemicals that add to your body’s toxic burden.

Internally, adding 2 tbsp of ground flax seeds daily will have great health benefits. First, they are good source of fiber – this  will gently help your bowels to eliminate more effectively, without any laxative effect. Flax seeds also contain lignans, which support estrogen detoxification, which can help men and women taking any hormonal therapies. If you aren’t taking any hormones, lignans still help your body find its best state of hormone balance. And finally, flax seeds are a tasty source of vegetarian omega 3 oils.

I like taking my flax seeds in organic sheep yogurt, with fresh or frozen fruit and maple syrup. This makes a great snack! Its also an easy and yummy breakfast. The reason for using sheep rather than cow yogurt is threefold. First, Variety is the Spice of Life. Most of us eat a fair amount of cow dairy, so diversifying the food spectrum is good for the digestive health. Secondly, our body is made to absorb the small protein molecules in sheep and goat (and human) milks, not the large protein molecules from a cow. This is why many people with dairy intolerance can still have goat (and sheep) products.  Third, sheep yogurt is creamy and tasty! It doesn’t have the “farmy” flavor that many goat products have, so it is more like organic cow dairy in taste and texture. Yum.

Simple changes for simple wellness. Its not the drastic cleanses and restrictions that really make a difference to health in the long run. It’s the simple daily choices that add up to big results. Gently sweeping out the old and inviting in the new and fresh cells by stimulating lymphatics and nourishing the skin will have you feeling radiant.  For any questions or concerns about your personal health and health care, please contact me at http://thewrightdoctor.com/contact-information/

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Coffee Addiction

I am a coffee lover – dark, black, strong, sometimes sweet.   I am the girl who will get out of bed for a french press. I have known for some time though that I will need to break the addiction – for detoxification, for adrenal fatigue, for hormone health, for fertility. And, I have finally decided that its time to start weaning myself from the dream bean. I know my skin will improve in hydration and texture, that my energy levels will improve (after I get through the caffeine withdrawal) and that my body will thank me in the long run. Coffee is a strong, complex mix of chemicals, and eventually any constant chemical exposure must play its toll.

I don’t intend to become completely abstinent! I just want to break my daily reliance on the drug. I want to become someone who savors the delicate flavors of organic green tea on sunny mornings. I will know a gen mai from a jasmine or sencha, and my cells will bathe in the anti-cancer catechins from the green tea flavonoids. However, I am not there yet. This week I am weaning to “half-caf,” and then to decaf (french press.) I will still have occasional, even weekly hits of delicious (full strength) coffee. I am also using a black/green tea mix to break the coffee habit while also slowly weaning off caffeine.

In her NDNR (Naturopathic Doctors New and Review) article Managing Caffeine Withdrawal in the Patient Undergoing Detoxification (V. 7 Issue 12 p. 8-9) Dr. Erica Peirson ND recommends supplementing Magnesium Citrate, a B Vitamin Complex and Adrenal Botanicals while weaning off caffeine. She also explains how caffeine works as a CNS stimulant. “Blocking adenosine receptors in the brain is a primary way that caffeine acts as a stimulant given its structural similarity to adenosine, Adensoine is not a neurotransmitter but a neuromodulator. Adenosine receptors inhibit the release of neurotransmitters. The release of neurotransmitters is increased when adenosine receptors are blocked by caffeine, resulting in central nervous system stimulation.” She then goes on to explain that the headaches associated with caffeine withdrawal are in part from increased sensitivity of these same receptors leading to dilation of blood vessels and hypotension.

To take the biochemistry of caffeine one step further, the binding of caffeine to the adenosine receptors means instead of slowing down, the brain/nerve cells fire up. The pituitary notices this increased action and sends hormones to tell the adrenal glands to increase production of adrenaline, giving you a boost of fight or flight energy. At the same time, caffeine slows down resorption of dopamine which is our pleasure neurotransmitter. With extra dopamine, you not only feel alert, but you feel good!

All of this is great occasionally – but I know that years and years of this cycle cant possibly be good for me. I am dehydrated, magnesium deficient, and my adrenaline and dopamine levels are pushed beyond their natural limits of production. Stepping off the caffeine / coffee platform will give my body the opportunity to restore adrenal health, balance my brain chemistry, and a great side effect will be improved liver detoxification leading to improved skin texture and color.  Its not going to be all fun – I am sure I will be more tired than usual, need more rest, and I may even be a little grumpy as my dopamine deficiency gets exposed. At least its winter in Maine, and I can tuck in early!

http://science.howstuffworks.com/caffeine5.htm

Arousal effect of caffeine depends on adenosine A2A receptors in the shell of the nucleus accumbens. The Journal Of Neuroscience: The Official Journal Of The Society For Neuroscience [J Neurosci] 2011 Jul 6; Vol. 31 (27), pp. 10067-75.

http://scienceblog.com/community/older/2003/C/2003921.html

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Nutrition to Strengthen Liver Yin

     Modern culture is Yang obsessed. We go-go-go, we seek sun, we burn the candle at both ends, we exercise vigorously, and we love stimulants. It is a rare bird that has enough quiet, meditative alone time, in a dim or dark environment. This is the Yin state – nourishing, moistening, dark, and quiet – Yin builds what Yang wears down.

Every organ of the body has a Yin and a Yang aspect. Some organs (Spleen, Liver, Heart, and Lung for example) are naturally more Yin in Nature. Other organs (Stomach, Gall Bladder, Small Intestine and Large Intestine for example) are more Yang in nature. These “natures” were determined by the functions each organ enact as well as more energetic attributes. Supporting the natural state of each organ will optimize health, and promote healthy functioning.

      Much is said about detoxifying the Liver, and reducing its Yang (brought on by alcohol, drugs and stimulants) but what happens when you actually have deficient Liver Yin that needs to be nourished?  Stripping an already deficient organ will create further disharmony that will eventually manifest as pathology.

      A diagnosis of Liver Yin deficiency means that this aspect of the Liver organ network is compromised. The Liver not only detoxifies, it has many other (building) jobs including cholesterol metabolism, vitamin storage, bile production, and blood reservoir. Blood is a Yin substance (all fluids are yin) and many B12 and iron anemias can be diagnosed early on as a Liver Yin deficiency by a trained Acupuncturist. Thin brittle nails, anemia, sallow skin, easy bruising, hair loss, blurred vision, tinnitus, dizziness, infertility  and some tremors  are all associated with a Liver Yin deficiency diagnosis.

Nutrition is one of the best ways to support and recover Liver Yin. A diet that is nutrient rich and nourishing is essential, as is sitting down to relax while you eat and chewing thoroughly to savor flavors. The diet should also include plenty of fluids, especially in the form of soups. Meals consist of 40% easily digested complex carbohydrates like whole grains and starchy root vegetables. Another 40% of the diet is cooked vegetables. Proteins comprise 10-20% of the diet, with a focus on high quality organic or grass fed sources. Healthy fats fill the other remaining 5-10%.

Below is a list of recommended foods to nourish Liver Yin. Do not limit your nutritional intake to only these foods. Instead follow the guidelines above of the optimum ratios of carbohydrates, vegetables and proteins, and add the recommended foods from the list below within your meals. Where ever possible choose organically grown foods to avoid genetically modified ingredients.

Foods to Nourish Liver Yin Deficiency

 Zucchini, squash, potatoes, sweet potatoes, string beans, beets,

Mushrooms including wood ears & tremella,

Tomatoes, spinach, carrots, parsley,

Molasses

Apples, banana, mulberries, mango, coconut, peaches, lychee fruit, melons,

Grapes, raisins, cherries, plums

Olive oil, flaxseed oil, almond oil

Vegemite, kelp, spirulina, wheatgrass

 Oats, rice, millet, barley

Adzuki beans, black beans, mung beans

Organic cow, goat and sheep yogurt

Tempeh, tofu, miso

Nuts & seeds, black sesame seeds (great as a condiment!)

Eggs

Pork, chicken, Chinese black boned chicken, duck

Mackerel, sardines, oysters, mussels, clams

Cuttlefish, squid, perch, eel

Foods to Restrict or Avoid

Chilies, cinnamon, garlic, ginger, onions, shallots, leeks, basil, cloves, wasabi

Coffee, black tea

Vinegar, pickles

Lamb, shrimp, veal

Citrus fruits

Cigarettes, alcohol

Recreational stimulants

Activities that build whole-body Yin nourishment are also encouraged while working specifically on Liver Yin. Rest more. Read. Spend some quiet, alone contemplative time in a cool, dark room with a candle lit (taking a bath is a nice way to do this.) Exercises like Tai Chi and Yoga are more Yin building than Yang in nature. Drink warm water and lemon. Get extra sleep. Breathe.

References:

Clinical Handbook Of Internal Medicine, Vol. 2. MacLean & Lyttleton. University of Western Sydney: Australia. 2002.

Chinese Dietary Therapy. Liu, J. Churchill Livingston: Edinburgh. 1995.

The Healing Cuisine of China. Zhao & Ellis. Healing Arts Press: Vermont. 1998.

An interesting theoretical write up: http://www.indiadivine.org/audarya/ayurveda-health-wellbeing/997986-liver-yin-deficiency-patterns-derived-patterns.html

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Optimizing Nutrition for Beautiful Skin

The skin is the largest organ of the human body – and the only one that the world can see. Keeping skin luminous requires not only topical maintenance, but also premium nutritional support and hydration. The skin is a secondary organ of elimination. This means that when the primary organs of elimination  -the liver, kidneys and bowels – become overworked, the skin takes on the additional job of detoxifying for the body. This results in acne, redness, discoloration, eczema, rosacea, spider veins and other cosmetic maladies. Fortunately, by providing skin with optimal essential fatty acids, antioxidants, vitamins and minerals, and by improving detoxification at the primary sites of elimination, you can maintain the glowing, clear complexion and collagen levels you have always wanted.

NUTRITIONAL SUPPORT FOR HEALTHY SKIN

¨     Eat more liver-loving foods on a daily basis. Start your day with the juice of 1/4 a lemon in a pint glass hot or cold water on waking to get your digestion started. Eat at least 2 of the following foods daily to improve detoxification: beets, carrots, cabbage, cauliflower, kale, bok choy, arugula or broccoli.

¨     Increase your vegetarian daily essential fat intake. Nuts, seeds, avocado, and ground flax seeds are all sources of essential fatty acids. Use olive oil and/or organic coconut oil for cooking. Nuts and seeds are best raw, unsalted and unroasted. (You can dry-toast them yourself in a cast iron pan to improve taste without losing all of the nutritional benefits.)

¨     Choose local cold water fish, such as cod, sardines, sole, haddock, or herring  2-3 times per week. Avoid swordfish, shark, king mackerel, halibut, sea bass or tuna steak, which contain high levels of mercury. Remove skin from all fish to reduce PCB contamination. Tuna, sea bass and Atlantic cod are overfished. Tuna can only be eaten once every 2 weeks to avoid mercury contamination. Only eat wild caught salmon, avoid farmed if possible.

¨     Ensure adequate fibre intake daily from whole grains, lentils, beans, vegetables, and fruits. Be adventurous with your grains – try millet, quinoa, brown rice, wild rice, and buckwheat kasha as part of your meal plans. Include a minimum of two raw vegetables daily and one piece of organic fruit.

BASIC SUPPLEMENT SUPPORT FOR BEAUTIFUL SKIN

Omega 3 Fish oil – 2 caps twice / day or 1 tsp – Omega 3 oils reduce inflammation decreasing redness and dryness. They also keep hair, skin, and nails rich and lustrous with essential fatty acids to nourish from the inside out.

Jarrow CoQ10 – 1 capsule daily – CoQ10 is a potent fat antioxidant and works microscopically to maintain your cellular health. Healthy cells = healthy skin

Vitamin C -2000mg daily. C is an integral component of the collagen matrix. It is also a potent water soluble antioxidant, which works to detoxify the fluids surrounding cells. Adequate levels of vitamin C can be absorbed from a diet high in organic fruits and vegetables, otherwise supplementation is advised. Research has also proven that topical Vitamin C products improve skin quality.

Zinc/Copper by AOR. Copper pairs with Vitamin C to form collagen, and Zinc is an essential mineral for many enzymatic processes. If you are having problem skin, supplement with a Zinc / Copper mineral at least 6 months of each year.

ADVANCED SKIN CARE

With more invasive procedures such as aggressive peels and some laser treatments, more personalized treatments may be needed to optimize healing and provide long term maintenance. Its best to create a plan for before, during and after your facial rejuvenation.

Homeopathy is an integral part of advanced skin care. Several studies have been done using Arnica Montana in homeopathic preparation for post surgical care. http://www.med.nyu.edu/content?ChunkIID=38342 These have all illustrated that this remedy decreases post-operative edema, and can reduce pain and bruising as well. Homeopathy is extremely safe, and can be used to treat bruising, pain, burns, and other side effects of advanced facial care.

Complicated or chronic dermatological conditions such as vitiligo, acne, rosacea, eczema and other pathological skin conditions generally require personalized treatment plans as these all involve internal organ dysfunctions that are manifesting as skin conditions. Nutrition, Botanical Remedies, Stress Management and Lifestyle Counseling will likely be employed to restore your skin to its natural beauty.

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Liver Health Presentation

Living with Hepatitis/Chronic Liver Conditions

With Masina Wright ND

NATUROPATHIC MEDICINE AND HEPATITIS C ~ At this session we will talk about the new generation of protease inhibitors about to be released, how to prepare yourself for best treatment outcomes, and how to manage side effects as they come up. We will also touch on Depression and Hepatitis C.

You and your family are cordially invited to attend the

Liver Health Support Group at Maine Medical Center

WHAT . . .

Liver Health is an ongoing group that meets once a month offering:

1)     Support through experience sharing with other group members

2)     Education through scheduled presentations

3)             Information on resources available in your  community

WHERE & WHEN . . .

Tuesday, May  17, 2011 6:00-7:30

(Always on the third Tuesday of each month)

Dana Health Education Center, Classroom #5

Maine Medical Center

QUESTIONS?

For more information or answers to questions, please feel free to leave a message for

Ruth Grady at the Virology Treatment Center, 207-662-2099

Please call to leave a message if you would like to be removed from this mailing list or if you have suggestions for topics or presenters.  PLEASE CHECK TV CHANNEL 13 FOR CANCELLATION IF STORMY WEATHER.

 

 

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