![SNP! Crackle! Pop!: Adventures in Genetic Testing]()
by Dr. Talia Marcheggiani, ND | Nov 22, 2014 | Detoxification, Evidence Based Medicine, Genetic testing, Medicine, Mental Health, Preventive Medicine
Rosalind Franklin: She might have been left out of the Nobel, but at least she gets the honoured spot as the featured image of this post. Lucky her. (Sorry, readers, just a little inside joke for the molecular biologists out there). Image source: wikipedia.org
“Do you find yourself easily able to bounce back from emotionally-charged situations?” Dr. Emily Fitzgerald, ND, asked while sitting across from me at her white desk. “The fact that this part of the gene is present and not deleted means that you are the ‘cool and collected’ type, the ‘Wolf of Wall Street’, if you will.” She went on, “We find here through our testing that most naturopathic doctors have the other version of this gene.”
Great, I thought, I was genetically unfit to practice naturopathic medicine; it was like something out of the movie GATTACA. I couldn’t help but feel let down by my genetic coding. I had always thought of myself as an empathetic and caring person and yet science was telling me the opposite. Wolf of Wall Street? Seriously? I hated the movie. In fact, I felt more at home sharing a collective vegan lunch with protesters occupying Wall Street than bidding on stock options. Surely this doctor must be mistaken. But alas, it wasn’t her fault. She was simply a messenger, reading out to me what was clearly spelt out in my nucleic acid.
Genes are funny things. We inherit one set from our mothers and another from our fathers. They don’t change throughout our lives and they are responsible for coding all of the proteins, enzymatic reactions and cellular structures that make up our beautiful bodies. However, I once read that interpreting the human body through genetic code is analogous to interpreting Shakespeare’s works by studying the alphabet; it’s not even a recipe, but a mere grocery list.
Dr. Mohammed, the CEO of YouNique Genomics, a Canadian lifestyle genomics company, will also assert that “genes aren’t everything.” Our environment has a lot to do with how they are expressed and this simple fact can explain why, despite the fact that I am missing part of the “emotional gene”, I am still able to regard my patients with positivity, appreciate literature and cry at sappy love stories.
Despite the Nature vs. Nuture debate, there is still a lot that can be garnered from looking at genetic coding. By studying my expression of SNPs (single nucleotide polymorphisms), or small variations in DNA, on only 14 of my 23,000 genes, Dr. Fitzgerald was able to tell me that I am a passionate person, I am capable of regulating my emotions when confronted with difficult situations, I can drink espressos after dinner without affecting my sleep and the Paleo Diet will only lead me to overeat. She told me how dopamine is metabolised in my brain, how my liver detoxifies and how my body digests cholesterol and lipids, giving me information about my long-term risk for heart disease. And she did all of this without looking at her crystal ball, not even once.
I previously associated genetic testing with detecting the risk for diseases such as early-onset Alzeimer’s or breast cancer. I had always thought that knowing one’s genetics was dis-empowering. After all, you’re born with your genetic code; what is the use of learning about something that you can’t change? It seemed to me as useful as tying yourself to a set of train tracks, powerless to stop yourself from being crushed under the freighter speeding towards you.
My mind changed when I learned about functional genomic testing like the kind offered at YouNique. Functional, or lifestyle, genomics don’t predict disease risk but rather only test for genes whose expression can be affected by lifestyle. The test I received was called the SNaP Shot. It looks at 14 genes, including those that code for dopamine metabolism, liver detoxification, methylation pathways and cardiovascular health.
One of the noteworthy pieces of information I learned was that my detoxification pathways are like a leaky faucet with a clogged drain. The enzymes that run Phase I liver detoxification, which make many toxins more toxic, are over-expressed, meaning that they work better than the average person’s. However, I have less than optimal Phase II detoxification, which is responsible for neutralizing these toxins and allowing them to be safely eliminated from the body. This means that I need to start supporting my liver and increasing my production of glutathione, an important antioxidant. If I don’t do this? It’s written in my DNA, and perhaps that stars, that my risk of cancer from toxin exposure could be higher than normal. I bought a bottle of milk thistle the next day.
I also learned that my body has a 30% reduced ability to use folate, meaning that I need to increase my intake of this vitamin or else risk problems with inflammation, which has wide-spread affects. I also found out that I respond poorly to saturated fat intake: it makes me hungrier by stimulating ghrelin, the appetite hormone, and can lead to weight-gain if my diet is uncontrolled. This is relevant in the natural health world because the Paleo Diet involves eating a diet high in saturated fats to achieve the exact opposite aim: controlling hunger. Genetic testing is the future!
What was the immediate result of the information I received by donating a vial of blood and an hour’s consultation time to YouNique? I learned that I need to support my liver (hence the milk thistle) and increase my folate intake. The truth of my long-term disease risk is there, written in my genome, which won’t change, that much is true. What I hadn’t considered, however, is our power to rewrite the future, by using naturopathic medicine to work with the building blocks we inherit. Our genes will always be the same but what we learn about how they are expressed will continuously evolve. Genomic testing, as Dr. Mohammed pointed out, is a living and breathing test. With the same test results, our treatment plans can evolve as our knowledge in the area grows. The more science learns about how lifestyle affects our genes, the more we can work with what we’ve got.
To end off, Dr. Mohammed told me a story in which he was examining a rather unfavourable genetic report before meeting the patient it belonged to, a naturopathic practitioner. When the ND entered the room, Dr. Mohammed was taken aback. Surely this healthy, spry, attractive individual was not the same person whose genes indicated an increased risk of obesity, inflammation, toxic exposure and heart disease? However, this individual had chosen to “walk the talk”, as we say in the field, and live his life in a healthy and holistic way. And, by doing so, he was able to change the course of his own personal health history; a great novel whose prologue began being written moments after his conception but whose conclusion he will be able to co-write. Shakespeare was given the alphabet. We are given a crazy combination of four nucleotides. Shakespeare wrote Hamlet. Through lifestyle genomics, I’ve come to realize that what we write with the information we’re given just might be up to us.
To learn more about lifestyle genomic testing and how it can help you affect your own health, contact me.
by Dr. Talia Marcheggiani, ND | Nov 20, 2014 | Acupuncture, Balance, Beauty, Book, Chronic pain, Healing Stories, Listening, Mental Health, Mind Body Medicine, Mindfulness, Preventive Medicine, Psychology, Self-care, Self-esteem, Self-reflection, Weight Loss, Women's health
I am in my grade 12 photography class. I am 17 years old. I have my head on the desk in abject despair, as I succumb to the intense stress that was my last year of high school, where every academic move I made would dictate my future. I remember catching sight of my thighs nestled on the hard-backed plastic chair beneath the desk. And, although my struggles in that moment were seemingly unrelated to my body, I remember feeling a sense of satisfaction as I made a mental note of how the once-curvy lines of my thighs were straightening themselves out, flattening and loosening some of the fat that cushioned my thigh bones. From this satisfaction, I drew a sense of calm; I was losing weight, therefore things would be all right. The notion sounds ridiculous now but, at the time, I associated thinness with all the things I valued: friendship, love and even success. These things could only take place in someone inhabiting a thin body. I would, naturally have to complete the prerequisite of achieving “thinness” before I could have any of those things. This belief, rather than creating a connection between the rest of my life and my experience in my body, only served to fragment my bodily experience, as I tried to form my shape into the mould I thought it should inhabit.
Fast-forward more than 10 years later. There is a sale at a store I used to frequent as a teenager. Since all my jeans have the coordinated foresight to spring holes at the same time (between the thighs, naturally), I decide to go in and try on some pants. When I realize that I take a full two sizes smaller than the last time I ever slid this brand of jeans over my hips, my chest is filled with the same contented bubbling I experienced that afternoon in photography. The anxiety of my future – my career, my empty wallet and my relationship -relaxes. I walk out with two pairs.
I am wearing the jeans on the subway when I run into my former boss. She and I chat about the weather and the school and she tells me that her young daughters refuse to wear pants because “they encumber their knees at circle time.” We chuckle at the humor of the situation and my mind travels to my closely wrapped thighs, feels the snugness of denim surrounding them. For me, pants serve as a container for the flesh that threatens to spill out of them. I remember wondering when my definition of “comfort” evolved from the freedom of the body to expand, move and breathe to this feeling of secure confinement I experience inside my jeans. I doubt these pants would allow my knees to properly stretch themselves out and bend at circle time. Luckily, when you’re pushing 30, you get to sit in chairs while people tell you stories.
As a naturopathic doctor, I preoccupy myself with the relationship our bodies have with our environment and lifestyles: how do the products we use affect our hormones? How does the food we eat and the movement we engage in affect our internal terrain? How does our mindset prevent disease? What I often don’t ask is how the learned relationship one has with their body affects health. Does the way I view my lower body cause me to engage in behaviours that affect my health? How are my tight jeans impeding lymphatic flow? How do they affect my digestion? Does my sense of self-worth affect my blood sugar? The answer is it absolutely can, if my sense of self-worth causes me to ignore my body’s food cravings and hunger signals. The way we treat ourselves and imagine our own health stems from our relationships with our bodies, which in turn dictates our future health states.
Susie Orbach, a feminist psychotherapist and author, once wrote that female babies are breastfed for less time, and picked up and cuddled less than male babies. She goes on to describe how this early treatment of women, “characterized by emotional deprivation and feelings of unentitlement”, secures the female’s place as a second-class citizen in society. More than that it teaches women to disconnect with our bodies. If our needs are not met at an early age, we are led to believe that these needs are wrong. We are taught to ignore the smelling, farting, bleeding, overflowing, curving bodies we are born with and try to recreate a “false body” that is perfect and that begins to believe it is “comfortable” being squeezed and starved and stuffed into pointy-toed shoes. Or we simply develop the ability to de-identify with the discomfort. This mechanism can lead to injury or disease if we fail to truly listen to what our bodies are trying to alert us to. (Matthew Remski writes about this extensively in his amazing research project on yoga injuries called What Are We Actually Doing in Asana (WAWADIA). I’ve been devouring his articles this week).
Orbach goes on to theorize that the symptoms the body produces in a disease state just might be a cry for help; the body is attempting to insist on its existence, to demand to be heard. So what then are menstrual cramps? Are they simply a result of inflammation or a hormonal imbalance caused by lifestyle or are they attempts made by the body to cry out, “I am female! I am menstruating! I am in need of attention!”
I remember a patient I had who would deny herself life pleasures. Convinced she needed to lose weight, she would ignore her hunger signals, even proudly telling me that she would turn to her stomach and tell it to “shut up” when the grumbling became too loud. Her chief complaint was chronic pain. I wonder if her body’s pain was simply its way of telling her it existed. I wonder if she’d have found a way to sufficiently answer her stomach’s calling, the pain would have subsided. Perhaps by listening to the experience of our bodies we can start to properly take care of our health. We can start by wearing comfortable pants that don’t “encumber the knees”, moving naturally, embracing our sexual appetites, feeding ourselves the food we truly crave and answering the need for physical touch and rest.
In a society that tends to view the body as an object, a machine that sometimes gets jammed with inconveniences such as pain, menstrual issues and eczema, I wonder how our collective health would change if we began to experience the body as a tool for healing and self-growth – something inherently wise.
To share one last story, I remember sitting across from Teresa, our school counsellor, while I was still a naturopathic student. At the time I was deciding to break up with my then-boyfriend thereby ending a 5-year relationship. I told her I had never been clear on the difference between the fear and apprehension that came with seizing something good and the repulsed feeling of avoiding something bad. This has led me to make decisions in my life that weren’t necessarily right for me. She asked me to cultivate the two feelings and locate their positions in my body. “See if there is any difference,” She told me. As I tuned in I immediately noticed that fear was closer to my heart. It was higher up and it bore the faint pleasant glow of excitement behind its initial anxiety. Disgust was located lower down. It felt like a stomach ache, a sense of doom, of indigestion: a hard-to-digest truth. It was in this moment that I fully appreciated the body’s wisdom. The old adage “listen to your gut” began to ring true to me. My gut was sending me a message that was loud and clear, but it was up to me to listen to it.
So what are some exercises we can do to cultivate body awareness and re-inhabit our bodies?
– Practice regular body scan mediations, such as those prescribed by the Mindfulness-Based Stress Reduction (MBSR) model taught by Jon Kabat-Zinn.
– Try Susie Orbach’s “Mirror Exercise” in her book Fat is a Feminist Issue or spend 3 minutes a day for 21 days staring at a body part that you have a hard time identifying with. By staring at the nose you’ve always felt was too big on a regular basis, you are able to incorporate it into your sense of self and accept it as something beautiful, in the way you would come to love the same nose on your grandfather, daughter or dear friend.
– Set a timer every hour while at work to remind yourself to tune in to your body and your breath. Notice your feet planted on the floor and move your awareness up through your feet to the top of your head. Ask yourself if there’s anything your body needs: are you thirsty, hungry, bored or lonely? Do you need to stand up and stretch? Do you need a hug?
– Get regular acupuncture or constitutional hydrotherapy to help the flow of Qi through the body.
– Finally, touch yourself. Practice ayurvedic self-massages or apply a natural moisturising lotion or oil before bed. Practice self-care in the form of hydrotherapy. Even placing the hands over the heart and breathing into that area will help to release oxytocin, a hormone responsible for love and bonding, creating feelings of calmness and attachment to the physical body.
by Dr. Talia Marcheggiani, ND | Nov 12, 2014 | Education, Philosophy, Psychology, Stress, Student, Student debt
I am afraid of money, especially when combined with health and medicine. Coming from a nation like Canada, it has been ingrained in the fibre of my being that healthcare should be completely accessible, read: free. As I embark on opening up a private practice as a naturopathic doctor, I am faced with a dilemma: I must charge my own patients for my services and, in this way, make my living.
This makes me afraid because, as mentioned above, I have a fear of money. I have seen money corrupt or become the main motivation for people to wake up in the morning. I have seen family members enslave themselves in certain lifestyles full of wants, rather than needs, that required large sums of money to maintain. I am also afraid of attracting only a certain kind of patient – those that can afford my services – and alienating a large demographic that naturopathic medicine could help. I don’t want to have a practice that is exclusive; I want to be able to reach a large number of patients and strive towards my goal of healing the world. What if no one can afford me? What if the people who can afford me don’t believe that I’m worth what I charge?
And in proper Cognitive Behavioural Therapy (CBT) fashion, from this dilemma surfaces a core belief: I am unworthy.
New practitioners struggle with unworthiness. After all, we are still learning and yet many expect us to be health experts. We emerge from school and enter into a society that has topical knowledge of health, especially natural health, but feigns depth of understanding. This can make us feel that we don’t know as much as we do. My relatives watch Dr. Oz and self-prescribe supplements. If they’re already taking fish oil, because they read about it on some health blog written by a second year ND student, why do they need a naturopathic doctor to tell them the same thing?
So, since CBT got me into this mess, let’s use it to facilitate the healing of my personal relationship with cash by examining some truths about the value of naturopathic medicine. I’m vaguely aware that this post has an uncomfortably self-aware, self-promontory tone, but my main goal is to convince myself, thereby coming to terms with my official début into this capitalist society. Hopefully it’s remotely entertaining and/or educational for the rest of you.
Naturopathic doctors are expensive. I have paid for 8 years of post-secondary education. The 4 years I was in naturopathic medical school; tuition alone was $20,000 a year. My OSAP debt accumulates a matcha green tea soy latte (unsweetened, of course)’s worth of interest daily. I owe other institutions and family members money. That’s just tuition. Now consider the fact that I wasn’t working during these 8 years. If I had gotten a job with a modest salary of say, $40-50,000 dollars a year, I could have made roughly $400,000 by now. I’ll stop, because this exercise is depressing me. But I think we all get the idea. So, financially, a naturopathic diploma is worth a truckload of cash, which can buy another truckload of self-prescribed supplements.
Being in practice is expensive. To get started we need electronic medical record software, a dispensary, acupuncture needles, linens, rent, licencing fees, malpractice insurance, association memberships, continuing education credits, website maintenance and hosting, and the list goes on. Being in practice can cost upwards of $200 a day. There are not many professions that pay to go to work each day. But not many professions put you in a position that allows you to heal the world… two sides to every coin (pardon the money pun).
NDs coming out of school are seasoned experts. Malcolm Gladwell, in his book Blink, famously tells us that it takes 10,000 hours to master something. Well, naturopathic medical school, with its 1200 hours of clinical training and 3000 hours of classroom training (not to mention the exams, studying, preceptoring, etc.) puts us at roughly half that number. Add in the numerous books I’ve read out of interest, the 300+ blog articles that I’ve researched and written and the fact that there isn’t a way to separate the practitioner from the medicine – “Doctor heal thyself” has become a mantra we regularly chant and put into practice – and you might just get up to 10,000 before graduation day. Or surpass it. I love health food stores, I do. But the minimum wage-earning employee recommending you the same brand of B-vitamins his sister takes just doesn’t have the expertise we do. You need a naturopathic doctor.
Medicine is not, and has never been free. I would not want to live in a country without universal healthcare. I believe that every citizen deserves equal treatment and equal access to quality health services. I believe that no one should receive priority based on their economic means rather than health needs. That being said, the medical system we support in Canada is quite expensive. It requires the input of hard-earned tax dollars. Some of these dollars support accessible emergency care, hospital stays, life-saving treatments and primary care. Some of them support poly-pharmacy: multiple prescriptions doled out to seniors. Some of these tax dollars are channelled into practices that do not promote health. Our healthcare system is not really health care; it doesn’t promote health, it manages disease. It should more appropriately be termed sick care. I don’t believe that health promotion like naturopathic medicine should be fee-for-service. I dream of a day where we are allowed to practice autonomously and offer those who need our services accessible care without charge. Until that day, sick care requires a lot of tax dollars and health care requires us to pay out of pocket. We need to pay for health care to avoid channelling all our resources into sick care. It’s the cold, hard truth.
Naturopathic medicine saves people money in the short and long-term. Whether it’s paring down your list of supplements to what you actually need, rather than what’s in vogue (Green coffee bean extract, anyone? I don’t think I’ve ever recommended it to anyone), to preventing and managing more expensive diseases down the road, I believe that an investment in seeing an ND will help save money. We empower you to take care of your own health. In the hands of an ND, you won’t need to visit your walk-in clinic for some ineffective and potentially harmful antibiotics the next time you get a cold; you’ll be taught how to manage common health concerns at home and feel in control of your body. Also, prescription drugs are expensive; I once paid $70 (that was after insurance covered half) for 6 migraine pills. I quickly figured out how to manage my monthly migraines naturally when I realized this system was unsustainable financially.
Naturopathic doctors are not in this to get rich. Due to the stress and lack of preparedness in setting up a business, a large percentage of NDs who graduate with the skills and knowledge we acquire are no longer practising. This is a harsh and sad reality. It means that the community is deprived of some very effective healers and the chance to be touched by what I know to be a powerful form of medicine; a true form of medicine. If I were motivated by money, I would have studied commerce at Queen’s, rather than science. I would have gotten my degree in 2008 and would be sailing my private yacht off the coast of Barbados right now. As it stands, my primary financial goal is to move out of my parent’s house and sustain myself financially while contributing to society and doing what I love in the meantime. And, if I achieve this goal, I still plan on continuing to purchase my clothing second-hand.
Money is a relative measurement. In the book The Wisdom of Insecurity by Alan Watts, money is described as “a mere symbol of wealth”. Watts tells us that money is a measurement of wealth, a representation of the real necessities that can be exchanged for it and that it is a mistake to give money itself value. There is nothing to be afraid of when it comes to money if all we see it as is a representation of needs. However, we live in a society where we don’t think twice about paying a few hundred dollars for clothes or shoes we don’t need, and then cringe when we see a bill for a service that has helped us move on a path to true healing. After investing in time with an ND, your life and health may never be the same. After paying for a pair of shoes or new haircut, your headaches and digestive issues are still going to be around. Your hair looks great, though. I’ll admit that.
Insurance companies don’t need the money. My insurance company once covered me for $20 of my $200 dentist appointment (in which I was told “everything looks great!”). If your health benefits cover naturopathic medicine you owe it to society as a whole to use up every last dollar of those benefits. Now is the perfect time to get started on that.
I would pay for a naturopathic doctor. How many used car salesman do you know who would personally buy the model that they’re selling? As a poor student I have seen naturopathic doctors, interns, chiropracters and massage therapists as a patient. I’ve gone to Body Blitz after back-breaking exams and have shelled out quite a bit of cash for supplements. The reason? There is value in spending money on these things; they work. So even though I am worried about coming up with the cash to replace my 4-year old computer, I don’t hesitate to fork over $50 for a bottle of quality B-complex vitamins.
Finding peace with making money involves a certain amount of hunger: becoming an ND and starting a practice is expensive. However, maintaining integrity as a doctor and putting the interests of my patients first is a priority for me. That’s why I have decided to offer patients supplements from my personal dispensary at Healthwave without mark-ups, at least for the time being. While many practitioners rightly and fairly choose to make part of their income off of vitamin sales, I have decided not to. Contact me to find out more.
by Dr. Talia Marcheggiani, ND | Nov 10, 2014 | Digestion, Homeopathy, Nutrition, Travel
“So, I hovered, I shat and I cried.” Recalled my friend S as she told me about her Christmas Eve on a Chinese train. You hover because there are only holes in the floor for toilets on Chinese trains. Ditto for Indian trains – although in second class they sometimes give you the “Western” option. But, trust me, you’ll still want to hover. She had diarrhea for 5 weeks in China, she told me. She now takes Immodium prophylactically while travelling in India. I told her that this wasn’t the way things ought to be done, but I guess past experience has left her traumatized.
Apart from one day of heartburn, which I cured with mango lassi, water and avoiding Nescafe, I felt pretty great during my month in India. The weather was 40 degrees and I drank 3-4 litres of water on the first day without requiring a washroom, but other than that, my health was in tiptop shape. Despite being told repeatedly that I would experience explosive diarrhea, or “Delhi Belly”, at least once on my journey, I felt incredibly comfortable. And all it took was packing a few key, natural items. Here was my strategy:
>Start taking multi-strain probiotics for one month before leaving on your trip to build up a healthy immune system and digestive flora.
>Take a heat-stable probiotic (I took Saccharomyces boulardi, a non-pathogenic yeast, which has been shown to prevent traveller’s diarrhea) daily while on your trip.
>Use vitamin C electrolyte powder to spruce up your water. Sweating out 3-4 litres of water a day will cause you to pump out necessary electrolytes such as potassium, sodium and magnesium causing muscle cramps, weakness and fatigue. Your water will need an extra kick to help replenish those lost ions.
>Have a homeopathic first aid kit on hand. You particularly want to have access to Arnica and Arsenicum album. Talk to your ND or homeopath for more info on which homeopathics you’ll need and at which potency.
>Bring along oregano oil. Shoot down colds before they progress, cure skin infections and combat cold sores with this antimicrobial cure-all. This can also kill intestinal pathogens that might cause diarrhea.
>Eat light. For a while I was nick-named “Dahl-ia” due to my frugal and practical tendency to order $0.25 lentil stew, or dahl at least once a day. This dish was not only cheap, but free from heavy spices and rich in fibre and protein. It was a great substitute for the greasy breads and rich, spicy curries, which can take a toll on the digestive system, especially in the stifling heat.
>Bring a ginger tincture to improve digestion and to treat nausea and motion sickness.
>Pare down your supplements. I took B-vitamins and magnesium – my two daily essentials. I tried to get the rest of my nutrients from food.
>Echinaceae for boosting the immune system, if you need it. It’s also safe to take in pregnancy.
>Have a list of potential go-to remedies, such as raw garlic, which is a great anti-microbial and anti-parasitic, that you know you’ll be able to access in the country you’re travelling to.
>Breathe. Breathing cures everything. At the first stomach grumblings, take a deep breath and find the nearest toilet. There is a direct connection between the mind and digestive system and anxiety has never been known to help optimize digestion. Getting stressed out over potential digestive issues will only make things worse. So just hover, shit and, if you need to, have a good cry. After a week of being home, you’ll miss Indian street food. Guaranteed.
Talk to you naturopathic doctor about preventing illness while travelling.
by Dr. Talia Marcheggiani, ND | Nov 7, 2014 | Medicine, Naturopathic Philosophy, Naturopathic Principles
Do you love and believe in naturopathic medicine but feel at a loss to describe it to your family and friends? Despair no more. Those at the YinOva Center in New York have created a cool infographic about naturopathic medicine, which “Alex” was kind enough to share with me. Take a read and feel free to pass it on!
by Dr. Talia Marcheggiani, ND | Nov 7, 2014 | Endocrinology, Fertility, Hormones, Sexual Health, Sexuality, Weight Loss, Women's health
There are many reasons to start using the birth control pill. Some of them are not-so-great: dealing with painful menstruation, acne, irregular periods or ovarian cysts – there are other, natural ways to manage these health concerns with fewer side effects and health risks! Some reasons for going back on the pill after a few-year hiatus are pretty awesome, like starting a new relationship. In other words, using the birth control pill for what it was designed for: birth control.
I’m surprised to find that I’m hesitant to admit it publicly, but I’ve decided to go back on The Pill after considering various contraception methods; in natural health circles the Birth Control Pill is often seen as an unnecessary evil. However, Tori Hudson author of the Women’s Encyclopedia of Natural Medicine, has called oral contraceptives a “truly revolutionary option for women” and points out that the dose of estrogen and progesterone in the pill today is much lower than it was when it first arrived on the market. That being said, it’s important to talk to a healthcare provider to go over birth control methods and decide which one is right for you. Alternate options include physical barriers, such as condoms and diaphragms, cycle charting, apps, such as the Lady Comp, or IUDs, to name a few. Each method has its associated pros, cons, costs and health risks. Finding a safe and effective form of contraception involves you and your healthcare team.
For me, The Pill seems to be the best choice at the moment for various reasons, which I won’t get into here. However, the idea of ingesting synthetic hormones again, after having carefully brought my cycles back to a perfect, painless and PMS-free 28-day rotation and after having cleared up my hormonal acne, made me nervous. So, I did what all trained naturopathic doctors do; I used my naturopathic know-how to tailor an optimal Synthetic Hormonal Experience for myself. Going back on the pill needn’t come with undesirable side effects; maybe it could be a positive experience. Here are some tips:
Decide if oral contraception is your best method
Selecting the method of birth control that best fits your lifestyle, budget, health history and personal style requires an in-depth conversation between you and your healthcare provider. He or she should have a detailed conversation with you about your expectations, goals, sexual and health history as well as family history. Selecting the right method may also require some trial and error.
Consider the associated risks
A history of smoking and blood clots could put you at risk for dangerous side effects. The birth control pill is also associated with an increased risk of certain cancers. (And a decreased risk of uterine and ovarian cancers in the general, healthy population). Your personal risk profile will involve your personal health history and family history as well as lifestyle factors such as smoking. Talk to your healthcare provider.
Pick the right pill for you
Based on my history of suboptimal glucose control, hormonal acne and irregular periods, I knew that I needed a pill with the lowest dose of estrogen possible. My hormonal profile tends towards estrogen dominant and progesterone deficient so I chose a low-dose estrogen and high-dose progestin pill. The form of progestin used has zero androgen (male hormone) activity, therefore it is unlikely to contribute to acne. It also contains a diuretic, which combats my tendency to hormone-related water-retention. The combination of my knowledge of my personal hormonal profile and ability to research hormone combinations in various pills led me to choose a product that offered positive side-effects rather than negative ones. Since being on the pill again, I’ve experienced weight loss, rather than gain, lighter, more regular cycles and clearer skin. It’s worth repeating that these side-effects were not my motivation for going on the pill. If you are using the pill for symptom-management and hormone-balancing rather than birth control, consider trying natural methods instead.
Be prepared for trial and error-ing as hormone levels fluctuate
Give your new pill a 3-month trial period. During this period, be prepared for temporary side effects such as mood changes, skin outbreaks, temporary weight gain or water retention and break-through bleeding. Other common side effects of synthetic hormones are nausea and headaches. Allow 3 months for things to stabilize and, if still experiencing symptoms, talk to your healthcare provider about trying a new pill or birth control method.
Make sure to supplement to account for vitamin and mineral deficiencies
Oral contraceptives can deplete several key vitamins and minerals. The B vitamins folate, B6 and vitamin B12 are most notably affected. Deficiencies in these vitamins could lead to fatigue and depression or even neurological impairment. Magnesium, zinc and vitamin C levels are also affected, which can have an impact on the immune system. These minerals are important in a variety of metabolic processes. Since starting the pill again, I am diligent about taking my B-complex and magnesium supplements. Make sure you talk to your naturopathic doctor or other healthcare provider about choosing a quality supplement and dosing correctly, to make sure you are putting back in your body the nutrients that your pill may be depleting.
Hormone balance when coming off the pill
If you reach a happy medium with your pill, then congratulations! But, you ask, what happens if I decide to get pregnant or switch to another method of birth control? Work with a naturopathic doctor or your trusted healthcare provider to balance hormones with herbal or nutritional supplements when coming off of the pill. Herbs such as vitex, help regulate hormones and prevent side effects from the withdrawal of synthetic hormones.
For more information on balancing hormones and optimizing fertility, contact me.
This article is not a substitute for medical advice.
