What’s all this fuss about the gut?

What’s all this fuss about the gut?

As Dr. Mark Hyman (one of the most renowned functional medicine physicians) says in his latest podcast (pasted below for your reference), “The impact the gut has on the entire body should not be underestimated, but unfortunately in conventional medicine it often is. We are shuttling pounds and pounds of food into this tube we have called the digestive system several times a day and we don’t give it a second thought—it’s pretty crazy when you think about it. The gut is responsible for our ability to turn food into fuel; to absorb and even create certain nutrients; to rid the body of harmful toxins on a daily basis. We rely on it to do so much for us.”

Luckily we have a gut health expert in Bangkok itself. Her name is Laura Martin and she’s wonderful. Have a look at our interview with her below.

Tell us a bit about yourself and why you are so passionate about gut health.

My name is Laura Martin. I’m a certified nutrition and lifestyle consultant and creator and founder of Healing to Happy, which is an online program that focuses on healing the mind from the inside out approach. The story behind Healing to Happy and gut health is long, but a quick little version of it is that from an early age I struggled with depression, anxiety, constipation, disordered eating, and just overall a toxic lifestyle which ultimately resulted in me getting very ill. After unexpectedly losing my mom, I found myself wanting to make more out of my life. Food had been something I was struggling with so I started with nutrition (to make peace with my enemy) and moved forward from there. I realized over time that as I was eating better, my digestion began to improve but so did my mindset. I started to feel happier overall and making better decisions, which in turn helped to create a healthier life outside of what was happening on my plate. So, I decided to go back to get certified as a gut specialist so I could learn more about the microbiome, specifically the gut-brain connection and how we can use nutrition and lifestyle to help heal depression, anxiety, and other mental illnesses.

What is the gut?
The gut helps you take in and digest your food and utilize the nutrients to fuel your cells. It’s the organ that is in direct contact with the outside world through our digestive tract – starting at the mouth all the way to our anus. So what you put in is incredibly important to your overall health and wellbeing.

What is the microbiome?
Your microbiome is made up of trillions of different bacteria that grows into a 3 lbs mass. This mass controls everything about you! From the way you digest your foods, to the genes that are turned off and on, to the weight that you hold, to the way your hormones work, to what’s happening on your skin, to how you feel. We naturally are made up of these bacteria but it’s our job to make sure that your gut is in balance so that you don’t see flare-up in any of these areas.

How does someone know if their gut is healthy or not? 
Do you have digestive issues (constipation, diarrhea, IBS, SIBO, candida, etc)? Do you have skin flare-ups? Do you have cravings and mood swings? How are your hormones and what’s your PMS like? Do you suffer from an autoimmunity or are you constantly falling ill? Do you suffer from depression or anxiety? Those are all good indicators that you have an imbalance in your gut. Majority of people nowadays are suffering from some type of gut dysbiosis, it’s just a matter of how extreme it is or not.

What are some of the lab tests they can take to find out?
Honestly, I think there is no better test than yourself which is why I provide my clients with a Gut Diary so they can track themselves. I’ll usually start clients off with elimination diets, but without the scare behind it. I work with people that are working through food fears so we have to be mindful of that approach. If that doesn’t work or if their symptoms are more extreme, I’ll suggest that they go meet with their functional medicine doctor and either do some stool, urine, blood, or breath tests.

Why do you call the gut the second brain? 
I’d arguably say that it’s the first, actually! Like I said earlier, the gut is made up of trillions of different bacteria but it is also home to over 100 million different neurons and over 30 different neurotransmitters, along with controlling 85% of your immunity. It holds as much power as your spinal column and brain. Your gut houses 90% of your serotonin levels, that’s your happy hormone! Along with 50% of your dopamine levels (your reward hormone). So it makes sense that after a long day at work, coming home and having a bowl of ice cream and pizza helps to give you that dopamine and serotonin boost. This is also why I’m a huge nerd for using foods to help navigate through depression and anxiety and understanding how inflammation can impact our mental wellbeing.

How does our diet influence the gut microbiome?
Like I said earlier, our gut is in direct contact with our outside world. It starts at our mouth with the food we put in and goes all the way through. So, it’s pretty important that we be mindful of what we’re consuming, right? If we have a diet that is highly inflammatory, meaning foods that are loaded with sugar, overly processed, or that don’t agree with our body, it can offset the balance of good to bad bacteria in our gut. We will never have 100% good, but we do want to ensure that we have a healthy balance between the two.

What impact does sugar have on the gut?
Yes, sugar is one of the main culprits but this doesn’t mean fear all sugars such as fruit and the like, our cells need glucose to function properly. I’m talking about processed sugars. These feed the bad bacteria, set off an alarm response in the body, and throw the system totally out of whack. These are all things that can lead to leaky gut which will then result in a flare-up of the symptoms I had mentioned earlier.  This is why in my programs we focus on a leveling up the diet to one that is rich in whole, real foods. I don’t care what diet you follow, the base of any of them is to eat mostly plants and to avoid the center isles of the grocery stores. You want a diet that is rich in fibers to feed the healthy bacteria along with vibrant colors to boost the diversity of the food for the gut. You’ll also want to make sure that you’re getting quality proteins and healthy sources of fat so that you keep your blood sugars levels stable, which in turn keeps your moods stable. And also, fermented foods!

What are prebiotics?
So, prebiotics are the indigestible fibers that only your gut bugs can munch on. Prebiotics occur naturally in many plant-based foods such as garlic, leeks, root vegetables, asparagus, green bananas, and legumes.

What are probiotics?
Well, we’ve been talking so much about the good bacteria- those are probiotics! Probiotics are tiny living microorganisms that live in your digestive tract and are considered the “good guys”. Picture them like the superheroes of your gut. These bacteria aid in keeping the digestive system running smoothly by limiting and fighting off the growth of bad bacteria. Probiotics help in digesting food, destroying harmful pathogens, and producing vitamins we need to live a healthy and balanced life.

If there are 3 tips you would give to your clients for maintaining their gut health, what would you tell them and why?

  1. Eat your vegetables. If you hate them, figure out a way to make yourself like them. Hide them in your favorite dishes, blend them into smoothies, put them on your pizza- heck, they even make pizza out of vegetables these days (just check out Pizza Massilia!) Your body, your mind, and your gut will love you for them.
  2. Sleep! We live in a world that thinks it’s cool to sleep 4 hours and glorifies the fact that we’re overworked. Your body goes into repair and recovery mode while you sleep. It’s essential to repair the gut lining and also to repair your brain. If you’re looking to do anything or start somewhere, start here.
  3. This pairs nicely with stress. I’m sure you were thinking of food things, but the key to maintaining a healthy gut comes from maintaining a healthy lifestyle outside of the plate. If your body is on high alert and stressed out, digestion is the last thing it’s worried about. When you’re stressed blood flow is sent to your muscles and brain, not the gut. Digestion is a hard task for the body to do! This is why in my programs we take an inside out and outside in approach. End of the day, meet yourself where you’re at and be realistic about it. Don’t go off running and thinking you need to cut out everything and anything and spending your next paycheck on the best probiotics on the market. That’s going to set yourself up for failure and just continue that diet cycle we’re trying to break away from.

Any final thoughts?
Be realistic, pick one thing and start from there. Maybe it’s more vegetables, maybe it’s getting a quality probiotic supplement, maybe it’s getting an awesome nerdy gut coach to walk you all through it. Who knows! But seriously, keep it simple and keep it real – those are all the tips you need when it comes to gut health and real life.
Thank you for your time, Laura!

If you are concerned about your gut health please do reach out and it will be our pleasure to connect you with Laura so she can help you. 

Interview led by Devi Bajaj
Founder and Director of Enliven Health Concierge

For more information about gut health, below are some articles from our partners and other informative health resources:

#EnlivenConcierge#MedicalConcierge#MedicalTourism#Health#GutHealth#GutHealthMatters#GutHealthy#GutHealthDiet#GutHealthCoach#Microbiome#Probiotics#Prebiotics#Depression#Anxiety#Constipation#DisorderedEating#ToxicLifestyle#LifestyleDisorders

 

Enliven’s Tips for Staying Healthy During the Holidays

Enliven’s Tips for Staying Healthy During the Holidays

The holidays are here! This means lots of celebrations filled with delicious food and drink. We firmly believe in enjoying ourselves while keeping our health and wellness in check so we’ve created a series of tips for staying healthy during the holidays:

Our favorite tip from the ones listed above is the final one: don’t feel guilty! Enjoy yourself and don’t beat yourself up if you overdo it once in a while. Life is for living and having a good time! I also make it a point to continue intermittent fasting as much as I can throughout the holidays so my body has time to repair and rebuild itself. Have a look at our previous posts here and here to learn more about how intermittent fasting works.

Now let’s have a look at the tips for healthy holiday drinking:

The key with drinking during the holidays is the same as eating – find a balance so you’re able to have a good time without going overboard or being frustrated by restricting yourself too much!

Now on to fitness tips:

Make sure you get in some exercise over the holidays – even if it’s just a walk at the park or a 15 minute stretch routine a day (Fitness Blender is an awesome resource and here is a link to one of their great stretch videos), your body and mind will thank you. Your body is the only place you have to live in, so give it the most love you possibly can and take care of it.

Have a look at more tips from some of our favorite Health & Wellness Portals and their thoughts on staying healthy during the holidays:

Enliven wishes everyone a very Happy and Healthy Holiday season!

Feel free to reach out if you want more tips on how to stay healthy during this time of year or throughout 2020, we’re here to help!

Written by Devi Bajaj
Founder and Director of Enliven Health Concierge

#EnlivenConcierge#MedicalConcierge#MedicalTourism#Health#Wellness#HealthyChoices#StayingHealthyDuringTheHolidays#HealthyEating#HealthyLiving#HealthyBodyHealthyMind

Only take antibiotics if you absolutely need to!

Only take antibiotics if you absolutely need to!

This week’s post is prompted by World Antibiotic Awareness Week (November 18-24, 2019)

I’ve spent majority of my life in Bangkok. I was born at Samitivej Sukhumvit Hospital (now one of our trusted partners!) and lived in downtown Bangkok until I was 9 years old. For the next nine years I lived in Kobe, Japan, but came back to Bangkok every summer (for 2-3 months) and winter (for 2-3 weeks). Following that I spent five years in the United States where I studied Health Policy and Management at the University of Southern California and was experienced a variety of internships including stints at the Clinton Foundation in the Health Arm in Boston and the Asthma and Allergy Foundation of America (AAFA) in Washington DC.

It was during my time at AAFA that I learned about Antibiotic Resistance, but before getting into the details of resistance, let’s first understand what antibiotics are. As defined by the World Health Organization, antibiotics (or antibacterials) are medicines used to prevent and treat bacterial infections. Antibiotics CANNOT treat viral infections, such as cold, flu, and most coughs (https://www.medicalnewstoday.com/articles/10278.php). “Antibiotic resistance occurs when bacteria change in response to the use of these medicines. Bacteria, not humans or animals, become antibiotic-resistant. These bacteria may infect humans and animals, and the infections they cause are harder to treat than those caused by non-resistant bacteria. Antibiotic resistance leads to higher medical costs, prolonged hospital stays, and increased mortality. The world urgently needs to change the way it prescribes and uses antibiotics.” (https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance)

Have a look at this infographic from the WHO explaining how Antibiotic Resistance Spreads:

The reason I started this post mentioning that I’ve lived in Bangkok for most of my life is because during my childhood I went to so many doctors in this city when I have a cold or cough and the doctor almost automatically prescribes antibiotics. Before there was widespread knowledge about antibiotic resistance, this was the norm. Now that we know the threats it poses, before taking antibiotics for something that may not be bacterial in nature, please ask your doctor if you really need them. And if you know someone who frequently takes antibiotics for simple sneezes and sniffles, let them know they could be endangering themselves and their loved ones. (https://health.clevelandclinic.org/when-antibiotics-stop-working-whats-next/)

Have a look at this short but informative video about using antibiotics correctly and take action where needed:https://www.youtube.com/watch?v=-ZX97bIbZBQ(ask him to embed the video in the post pls)

Don’t get me wrong; antibiotics are not the devil. They are extremely effective to treat bronchitis, pneumonia, strep throat, ear infection, and pinkeye – as long as they’re caused by bacteria. If used correctly and only when required, there is nothing wrong with taking antibiotics.

Are you worried that you may take antibiotics too often? Or unsure if you take them when you don’t need to? Reach out to us and we will be happy to hear more about your concerns and find a way to help you.

Written by Devi Bajaj
Founder and Director of Enliven Health Concierge

#EnlivenConcierge#MedicalConcierge#MedicalTourism#Health#Antibiotics#Antibiotic#AntibioticResistance#AntibioticAwarenessWeek#Bacteria#BacterialInfection

Vitamin IVs: Help or Hindrance?

I’m a person focused on having a routine and I believe this keeps me both physically and mentally healthy (and sane). I aim to intermittently fast for at least 16 hours a day for 5 days a week (to let the cells in my body rest, rebuild and repair), workout 3-5 to times a week, and sleep at least 6 hours a night.

My husband is in an entirely different field of work. His event management job requires him to be on his feet for 12-16 hours at a time, sleep late and eat only when (or if) he gets a break. As a result he was often fatigued and would come home from work sneezing or with the sniffles.

I was determined to find a way to make him feel better, without it being complicated or taking too much of his time because I knew if I told him it would take longer than an hour every couple weeks that he (and I) wouldn’t succeed in the long term. After reading up on my favorite online portals for healthy living (I’ve listed a few of them at the bottom of this post for your reference) and discussing with colleagues in the field of health and wellness, I decided what he should try to do to make him feel better. There was a consensus across the board that he needs to replenish the nutrients and vitamins in his body, so I suggested direct insertion of these essentials into his blood stream intravenously.

The most popular IV for rejuvenation across the world is called the “Myers’ Cocktail” developed by Dr. John Myers of John Hopkins Medical School. It is compromised of the following components:

He was nervous at first, but after speaking to the doctor who explained the benefits of the IV (but making it a point that this is not a long term solution, however ensured that it can help in the interim while he moves towards a healthier lifestyle), he said he’ll give it a shot. On the day of the first drip he had a slight fever and was feeling very tired which resulted in a good night’s sleep and more energy the next day and coming weeks. IV drips work by increasing the blood concentration of several essential vitamins and minerals beyond that which can be achieved when supplementing orally. For example, Vitamin C given intravenously has been found to reach blood concentrations more than 50 times greater than what can be achieved when given orally. (https://theremedyroom.com/2014/01/what-is-a-meyers-cocktail/), therefore definitely helping immunity if needed.

With the doctor’s recommendation we also started him on melatonin supplements for when he flies (he has major anxiety and this helps to calm him down), and to ease his mind and put him to sleep easier for the nights when his mind is racing. He used to have terrible acid reflux problems and applying intermittent fasting to his lifestyle has essentially cured that. Furthermore, a family member suggested that he start taking metamucil (https://www.metamucil.com/en-us/articles/Fiber-101/metamucil-faqs) which is a plant-based fiber supplement to aid digestive health (we’ll get more into gut health in an upcoming post, so stay tuned).

It’s been a couple months now and he generally seems to feel better from his lifestyle adjustments, and the occasional Myers’ cocktail. The main result is that it’s helped his immunity (he now rarely comes home with a cold) and makes him feel hydrated. It’s important to note that IV drips are not a substitute for healthy habits in your daily life—these should not be seen as quick fixes (https://www.wellandgood.com/good-advice/iv-drip-therapy-health-risks/).

Before getting into the habit of adding IV drips to your routine, ask yourself if you can obtain the vitamins, minerals and nutrients by having a well-balanced diet that meets your needs. If after trying that you don’t see any improvement, it may be time to check if your vitamin and micronutrient levels require supplementation. We have a team of specialists who can support if you reach to that point, or even if you’d like to ask some questions about your health and chat further so do feel free to reach out.

Written by Devi Bajaj
Founder and Director of Enliven Health Concierge

Some of our favorite Health & Wellness Portals and their thoughts on IV therapy:

#EnlivenConcierge#MedicalConcierge#IVDrips#MyersCocktail#Fatigue#IntermittentFasting#Melatonin#HealthyLiving#HealthyChoices#Bangkok#Thailand