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What is Metabolic Syndrome?

Metabolic Syndrome is an increasing health crisis around the globe. Approximately one-third of the US population has this condition.

Metabolic Syndrome refers to a collection of symptoms and characteristics.

If you only have one or two of the following, it does not mean you have the condition but have an increased risk of developing it or other health issues in the future. 

What are the symptoms of Metabolic Syndrome?

The following are characteristics of Metabolic Syndrome:

What are the Causes of Metabolic Syndrome?

Metabolic Syndrome

Can be induced by poor lifestyle habits such as consuming excessive amounts of energy-dense foods such as high fat and sugars and lack of physical activity.

Other lifestyle habits that can contribute to metabolic syndrome include smoking, high amounts of stress, poor sleep, and alcohol consumption.

There are also genetic risks for developing metabolic syndrome. The combination of lifestyle and genetic factors can predispose people to be more at risk of developing future health problems. 

Syndrome X

Is similar to Metabolic Syndrome but the difference is that there are more cardiovascular symptoms seen with it compared to Metabolic Syndrome. People who are diagnosed with Syndrome X experience angina.

Angina is a condition where the tiny vessels of the heart are dysfunctional and are constricted and can cause chest pain and tightness. 

What are the Symptoms of Metabolic Syndrome?

There are no symptoms of Metabolic Syndrome, usually, there are clinical signs such as obesity, abdominal/belly fat, increased thirst and urination, fatigue, and blurred vision. It can easily be diagnosed at your doctor's office with standard blood tests and physical examinations. 

How do you Test for Metabolic Syndrome?

Blood tests that will show Metabolic Syndrome include:

Physical Examinations that show Metabolic Syndrome:

What are the Treatments for Metabolic Syndrome?

Treatment for Metabolic Syndrome can vary anywhere from an allopathic medical approach to a naturopathic medical approach.

In allopathic/traditional Western Medicine, the emphasis is to use medications to manage symptoms. A naturopathic approach employs what is also known as an Integrative medicine or Functional medicine approach which places a heavy emphasis on lifestyle factors.

This approach believes that Metabolic Syndrome is reversible without medication, however, this requires complete patient compliance with the dedication to health so that the risks are managed through healthy eating, good sleep hygiene, regular physical exercise, and stress management.

Here are some basic naturopathic lifestyle recommendations that can help you with Metabolic Syndrome:

Can you reverse your Metabolic Syndrome?

  1. Schedule your New Patient Appointment with Natural Endocrinology Specialists to get started.
  2. We will help you understand your baseline levels and help design a specific treatment plan that is specific to helping you achieve optimal wellness. This plan usually takes a comprehensive lifestyle approach by focusing on nutrition/diet, exercise, sleep and stress management recommendations. In addition, supplements and medications can also be a part of your treatment plan.
  3. Help prepare for your visits by listing all your medications and supplements and bring them with you to your first appointment.
  4. At your follow up appointments, your progress will be monitored and the treatment plan will be adjusted accordingly based on your results. 

Integrative medicine is a style of medicine that is patient-centered and is focused on healing the body. It offers therapies that are usually combined with Western and Eastern medicine.

We will explore what integrative health is and explain what it consists of.

It has a strong focus on lifestyle medicine and how this can help patients heal from current diseased states. It employs behavior change, continuity of care, and empowerment strategies to help patients achieve optimal outcomes in their health.

Integrative Medicine is also known as team-based medicine as partnerships in health are heavily emphasized and encouraged.

The full definition of health addresses inpatient visits and focuses on mind, body, and spirit. Once these levels are managed and optimized, a patient can truly experience health.

This type of medicine approach has been shown to help improve the health care crisis by focusing on preventing disease and illness and assisting patients in living healthier lives. As a result, don't overburden the existing healthcare system.

Patients are increasingly becoming aware of Integrative medicine and are actively researching and sourcing it out for health care needs.

Unfortunately, some Integrative health care options are out of pocket, and patients have to self-pay unless they have insurance coverage for prevention and wellness.

More and more insurance companies recognize the benefits of Integrative medicine and provide opportunities for patients to be rewarded for health promotion activities.

The modalities used in Integrative medicine include homeopathy, acupuncture, yoga, meditation, and exercise and nutrition.

plates with healthy food

Functional medicine

It is a similar style of medicine to Integrative medicine as it is also focused on healing. Functional medicine tends to emphasize treating the root cause of disease and illness, and Integrative medicine tends to bridge both Eastern and Western medicine therapies together.

Functional medicine differs from Integrative medicine as it employs a unique and personalized approach to health care. This is not a one size fits all medicine. The individual is treated and not the disease. This approach is gaining popularity among patients, and it is known as the future of medicine.

Many patients do not want a band-aid approach or walk into a doctor's office to only leave with a script to manage symptoms. They want to know WHY they have an issue and HOW to solve it naturally first.

These types of patients who seek out Functional medicine generally have chronic and autoimmune conditions; therefore, just a plain prescription does not solve the problem. They do not want to be told what to do. They want a partnership in health and a plan to get better.

They want to learn what causes the condition and how to manage it using lifestyle changes and behaviors, foods, exercises, natural supplements, and medications if needed.

Physicians who practice functional medicine offer patients way more specialty lab testing that dives deep into finding underlying causes such as genetics, microbiome causes, nutritional excesses or deficiencies, hormones, and how the body works together to understand the relationships in the body. 

What is Integrative Health?

Integrative health is the same as Integrative medicine in that the focus is on health and wellbeing and not just on medicine.

It takes an overall systems approach and utilizes both alternative and complementary medicine and Western medicine, also known as allopathic medicine. Many types of practitioners use integrative medicine, such as Chiropractors, Acupuncturists, Nutritionists, Naturopathic Physicians, Doctors of Osteopathic Medicine, and health coaches.

two woman engaging in workout

Using this approach, both patients and physicians can achieve maximum health benefits and help nurture the human body by preventing chronic diseases. This approach helps manage stress and teaches the patient how to take care of their body.

Physicians teach patients how to eat for their body, what exercise is best for them, the importance of sleep and stress management.

By just focusing on these basic tenants of health, much healing occurs. If patients continue to struggle with health, nutritional supplements can be incorporated to bridge the gaps. If they require further assistance, then the use of medications is added.

This approach focuses on collaboration with the patients, and this partnership generally results in positive health outcomes, patient and physician satisfaction, compliance, and reducing the healthcare burden.  

Integrative Health and Wellness Assessment 

A wellness assessment is a tool that provides insight into how well a patient's health is. It provides basic medical information such as chemistry, metabolic markers, and subjective and objective information to help assess if the body is working normally.

integrative health assesment

The difference in Integrative Health is that normal and optimal have two different meanings. Normal can mean that you are doing well compared to many others, but Optimal shows that a patient is thriving.

A wellness assessment is usually performed in a brief survey that highlights the areas where patients excel and need improvement.

This is not a diagnostic tool such as testing for toxins. It is generally a tool that collects data and is useful for general information and feedback. Examples of questions seen in a wellness assessment include questions about weekly exercise, fruit and vegetable consumption, sleep patterns, stress ratings, social support, mood changes, and others.

This is a useful tool for patients who seek to improve their health and for either physicians or employers to see where they can focus on the areas of improvement. Examples of well-structured wellness tools used in medical, employment, research, and institutional settings. 

Wellness is an evolving process, and it can change over time. For example, there are times in life when stress is less, and then it can quickly change to high stress in a short period.

Integrative health helps patients put their health into perspective and learn to adopt coping strategies that can help them maintain a state of optimal health.

Using these surveys helps patients to understand their current state of health and make them aware of the areas that are lacking and need improvement. Wellness assessments provide valuable information and data, which can help facilitate positive changes.

What is Polycystic Ovarian Syndrome?

Polycystic ovarian syndrome (PCOS) is a hormonal disorder common among women of reproductive age. A syndrome is known as a collection of symptoms.

It is known as PCOS due to the presence of cysts that can be seen on an ultrasound of the ovaries. Cysts are tiny fluid-filled sacs that contain ovarian eggs.

These cysts can prevent ovulation from occurring and this is one of the underlying mechanisms to why women with PCOS can have menstrual irregularities.

Generally, women with PCOS ovaries tend to have greater than 12 or more follicles in their ovaries. PCOS is an inflammatory and systemic disorder that can cause infertility, insulin resistance, obesity, acne, and can lead to cardiovascular problems.

What causes PCOS?

Do you have these symptoms?

Symptoms of PCOS

Diagnosis

Traditional treatment of PCOS involves treatment using medications such as birth control, metformin, and spironolactone. These can sometimes help control symptoms but at NES, we care about treating the root cause. We heavily focus on lifestyle factors as underlying causes of PCOS.

How we can help you with your PCOS

At NES we aim to target these issues and can help you understand the problem at hand versus only treating your symptoms.

We believe this is a more sustainable way of treating this condition and we empower you to learn more about the condition and take a multifactorial approach.

Our Process

We teach you about hormones and how they affect your health. We use comprehensive lab testing for hormones to help you identify areas of excess and deficiency and how you can get your hormones dialed in and in functional and optimal ranges. 

Do you struggle with any of the following symptoms?

What is hyperthyroidism?

Hyperthyroidism is a thyroid condition in which your thyroid is overactive. This indicates that your thyroid is overproducing too much thyroid hormone, known as thyroxine.

In hyperthyroidism, your metabolism is put on overdrive, which is why many patients often experience some common symptoms like diarrhea, unintentional weight loss, and an increase in appetite. 

What are other symptoms associated with hyperthyroidism?

Symptoms that may be associated with an overactive thyroid include unintentional weight loss, anxiety, diarrhea or loose bowel movements, increased appetite, nervousness, hair loss, irregular periods, irritability, sensitivity to heat, increased sweating, palpitations, rapid heartbeat, and insomnia.

While some individuals with hyperthyroidism may experience severe symptoms, others may experience little to no symptoms. 

How do I test for hyperthyroidism?

It is important to see a practitioner who will take a full medical history and assess your symptoms and complete a thorough physical examination.

Your practitioner will order lab tests to assess your thyroid function. These tests usually include a comprehensive thyroid panel including TSH and your free thyroid hormones T4 and T3.

Your Physician may also think it is warranted to assess for an autoimmune cause of your thyroid condition and will run other markers including anti-thyroid peroxidase, thyroglobulin stimulating immunoglobulin, and thyroglobulin antibody.

Along with a thyroid panel, your physician may assess other important markers including iodine, iodine/creatinine ratio, and order thyroid imaging to get a full picture of your thyroid function.

Your physician may also order a lipid panel to assess your cholesterol and triglyceride levels are hyperthyroidism may be linked to low cholesterol and triglyceride levels. 

Example of HIGH Thyroid levels on lab work before Thyroid treatment:

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What causes hyperthyroidism?

There are several factors that could cause hyperthyroidism. The most common cause of hyperthyroidism is Graves Disease, an autoimmune attack on the thyroid. Other potential causes of hyperthyroidism may include:

Who is at increased risk for developing hyperthyroidism?

Hyperthyroidism is more common in females than males, affecting 2 out of every 100 females and 2 out of 1,000 males. Hyperthyroidism is also more common in:

How do you treat hyperthyroidism?

The treatments for hyperthyroidism vary depending on your symptoms and your lab and imaging results.

Oftentimes, anti-thyroid medications are prescribed which will prevent your thyroid from making an excessive amount of hormones. Some of the treatments for hyperthyroidism may include: 

What happens if I don't treat my hyperthyroidism?

Because your thyroid plays a major role in your metabolism, if it's not regulated or stable, it can wreak havoc on many of your other body systems. Some complications may include:

  1. Cardiac problems:
    1. Being in a hyperthyroid state can make your heart work faster and harder, causing palpitations and increased heart rate. This is why its so important to follow your physician's instructions in frequent lab testing and follow-up. While these complications can be seen in hyperthyroid patients, it can als  occur in hypothyroid patients who are on too much thyroid medication.
  2. Thyroid Storm:
    1. This is a potentially life-threatening condition when your body releases too much thyroid hormone putting you into a hypermetabolic state. Some symptoms may include sudden fever, deliria, rapid pulse and sweating. This is a medical emergency and you must seek immediate care.
  3. Weak brittle bones:
    1.  An excess amount of thyroid hormone can impair your body's ability to absorb calcium. Your bones become weak when they don't obtain enough calcium and can put you at great risk for fractures and osteoporosis. 
  4. Infertility
    1. Excess thyroid hormone can interfere with a females menstrual cycle and can cause her to experience infertility. 
  5. Ophthalmic problems:
    1. Certain patients who have hyperthyroidism due to Graves Disease may experience eye problems. If untreated, these problems may lead to loss of vision.

Can hyperthyroidism cause hypothyroidism?

Yes. If you're on too much anti-thyroid medication or have had part of your thyroid removed, its likely that you will become hypothyroid.

Hypothyroid symptoms may include weight gain, hair loss, constipation, fatigue, joint pain, cold intolerance. Frequent follow-ups and lab testing with your Physician can help you keep your thyroid better managed. 

What is Andropause?

This can also be known as Male Menopause. After the age of 40, hormones such as testosterone start to decline about 10% with each decade of life.

This can lead to symptoms of fatigue, depression, weight gain, and low libido. This can lead to a diagnosis of male hypogonadism, a condition in which the male primary reproductive organs are not functioning optimally.

The gonads are endocrine glands that produce hormones and as a natural part of the aging process, the levels start to decline. Other conditions such as:

Some studies show that low testosterone levels can lead to health conditions such as osteopenia, obesity, cognitive decline, fatigue, erectile dysfunction.

How do you find out if you have low testosterone or are in Andropause?

It can be simply discovered with a comprehensive blood test that includes testing for testosterone levels. Blood tests are recommended to be taken fasting and between the hours of 7-11 A.M for best readings and to help physicians make the best interpretation of findings. 

NameResultReferenceInterpretationStatusLab
Testosterone, Total, LC/MS211 ng/dLAdult Males > 18 yearsLOWFinal03
Example of LOW Testosterone levels on lab work before Testosterone replacement

Other signs and symptoms commonly associated with andropause include:

  1. Erectile Dysfunction
  2. Low libido
  3. Fatigue
  4. Depression
  5. Muscle loss
  6. Insomnia
  7. Gynecomastia (development of male breasts)
  8. Mood swings
  9. Irritability

These symptoms can be seen when testosterone levels are below the optimal range. If you want to find out your optimal levels or see if testosterone is an option for you, please schedule an appointment with us and we can help you get your hormones dialed in. 

Potential Benefits from Testosterone Replacement Therapy

Several studies have shown that most patients will experience an increased muscle mass and improved body composition when they are determined to be an eligible candidates for hormone replacement therapy.

Furthermore, patients will also experience an improvement in libido, energy, and mood. Long-term benefits include improving bone mass density and helping to reduce the risk of fractures and osteoporosis.

In addition, motivation is a key psychological component that improves when testosterone levels are optimal. Another benefit that is often not discussed is that testosterone can improve anemia levels as this hormone has an effect on red blood cells in the body.

Testosterone deficiency can cause about a 10-20% decrease in a protein in your blood called hemoglobin, which is responsible for transporting oxygen to your body.

If you want to find out your optimal levels or see if testosterone is an option for you, please schedule an appointment with us and we can help you get your hormones dialed in. 

Potential Side Effects from Testosterone Replacement Therapy 

Like with any hormone,  side effects of testosterone replacement therapy include acne, increased body hair growth, and increased red blood cells.

There is no conclusive research evidence that proves that testosterone replacement therapy causes an increased risk of prostate cancer or even a condition known as BPH (Benign Prostatic Hyperplasia). 

Types of Testosterone Replacement Therapy 

There are several types of testosterone replacement therapy including oral prescriptions, creams, gels, injections, and pellet therapy.

What is the best type of therapy for you will be based on your levels and after consultation with the doctor.

Schedule your consultation with one of the doctors here at Natural Endocrinology Specialists and we can help you understand what is the best kind for you.

Your thyroid is a butterfly-shaped endocrine gland located at the base of your neck responsible for many aspects of how your body functions.

Your thyroid comprises an isthmus, the middle part of your thyroid, and two lobes, with each lobe sitting on either side of the isthmus.

What is a gland?

A gland is an organ in your body that makes hormones, sweat, saliva, tears, milk, and digestive juices. Your body has two types of glands- exocrine and endocrine glands.

Endocrine glands, like your thyroid, secrete hormones into your blood. The other endocrine glands in your body include the pituitary gland, parathyroid gland, hypothalamus, adrenal glands, pineal gland, ovaries, and testes. 

Where is your thyroid located?

Your thyroid is located at the front of your neck, along the front of your trachea, above your collarbone, and below your larynx. In males, the thyroid can be found directly below the Adam's apple.

Woman with sore thryroid gland that is a sign that she has hyperthyroidism

Can I feel my thyroid?

Yes, you can do your thyroid neck check at home, however, this should not replace a visit with your healthcare provider, who can better assess your thyroid through physical examination, bloodwork, and imaging. It should be noted that it is normal not to feel your thyroid.

Now, to palpate your thyroid it is best to stand in front of the mirror with your neck extending and chin pointing up towards the ceiling. With your neck extended back, take a sip of water and visualize the shape of your thyroid as you swallow. By doing so, you will be better able to see any irregularities in your thyroid.

You can assess for any enlargements, swelling, bumps, or protrusions as you swallow. Next, you can begin to gently touch the area around your thyroid, checking for any swelling, lumps, enlargements, or irregularities. You can repeat this step a few times and observe your neck.

The thyroid is located directly below Adam's apple so be sure not to confuse your Adam's apple with your thyroid. If you see any bulges or irregularities, consult with your healthcare provider.

What does your thyroid do?

Your thyroid is responsible for many of your body's functions. Your thyroid gland helps release and control your thyroid hormones which help regulate metabolism. When it starts to malfunction it is called hyperthyroidism. At NES, we treat hyperthyroidism see what our process looks like.

Your thyroid hormones include thyroxine, also known as T4, and triiodothyronine or T3. Your thyroid hormones play a significant role in your body's metabolism helping regulate your body temperature:

How is my thyroid related to other glands?

Your thyroid is supervised by your pituitary gland. Your pituitary gland is a pea-sized gland located at the base of your brain. Your pituitary gland helps to control the number of thyroid hormones that float around your bloodstream.

Your pituitary gland releases a hormone called TSH (thyroid-stimulating hormone) which is sent to your thyroid, telling it how much thyroid hormone to release to get the body back to normal.

The pituitary gland senses whether there is too much or too little thyroid hormone and therefore adjusts the amount of its own hormone, TSH. 

How can integrative health help your thyroid-related problems? Learn what integrative health is and contact us to know more!

Hypothyroidism is a condition that indicates your thyroid is underactive, meaning it is not producing a sufficient amount of thyroid hormone. We will break down what is hypothyroidism is and give you some examples of what to look for.

What symptoms are associated with hypothyroidism?

Some symptoms that may indicate an underactive thyroid include:

  1. unintentional weight gain
  2. constipation
  3. dry skin
  4. hair loss
  5. fatigue
  6. brain fog
  7. puffiness
  8. joint pain
  9. irregular menstrual periods
  10. slowed heart rate
  11. depression
  12. muscle weakness
  13. hoarseness
  14. and increased sensitivity to cold. 

How common is hypothyroidism?

About 5% of the general population above 12 years old has hypothyroidism. Despite this percentage, millions of Americans have hypothyroidism and have not yet been diagnosed. 

How do you test for hypothyroidism?

Blood tests are often used to diagnose hypothyroidism. Your healthcare provider will likely assess your thyroid by checking TSH, also known as Thyroid Stimulating Hormone.

Man's arm getting blood drawn in a doctor's office. Checking for hyperthyroidism

TSH is a hormone released by your pituitary gland that signals your thyroid to make and release hormones into your bloodstream. When your bloodstream has an insufficient amount of thyroid hormone, also known as hypothyroidism, your thyroid will signal to your pituitary gland.

This signal will cause your TSH levels to increase the signals to your thyroid to make more thyroid hormones (T4 and T3). So therefore, your healthcare provider will most likely assess your TSH to assess your thyroid function but may also evaluate your thyroid hormones, including free T4 and free T3.

TSH levels range between 0.45 and 4.5 mu/L in a normal functioning thyroid. However, every healthcare provider has a different value that they believe is optimal.

At Natural Endocrinology Specialists, we like to see a TSH value between 1-2 mu/L. A TSH value above 4.5 often indicates low free thyroid hormone, indicating hypothyroidism.

While healthcare providers will also look at your free thyroid hormones, TSH is still clinically the best indicator to assess for hypothyroidism. 

Is hypothyroidism familial?

Yes, often, hypothyroidism runs in families. If you have a family history of thyroid disease, you should let your healthcare provider know so you can get tested.

What is Hashimotos?

Hashimotos Thyroiditis is an autoimmune condition in which your immune system attacks your thyroid gland. Hashimoto's disease most often causes hypothyroidism or an underactive thyroid. 

What causes Hashimotos?

The exact etiology of Hashimotos is unknown. However, it is believed that there are several contributing factors. Some of these factors may include your genetics.

A family history of thyroid disease could contribute to Hashimoto's or hypothyroidism in many cases. Other contributing factors include hormones, excessive iodine, and radiation exposure. 

Does Hashimotos affect males and females equally?

Hashimotos is known to affect women 7x as likely as it does males. It's not uncommon for women to be diagnosed with a thyroid condition during the first year after having, with 20% of these women developing Hashimoto's years later. 

Do the symptoms between hypothyroidism and Hashimotos differ?

Frequently, the symptoms of hypothyroidism are similar to Hashimotos. However, some patients with Hashimoto's may develop an enlarged thyroid, also known as a goiter.

The goiter may look like a significant swelling at the front of your neck and may cause other symptoms like hoarseness and difficulty swallowing.

How do you test for Hashimotos? 

To test for Hashimotos, your healthcare provider will often run a thyroid panel to assess if your thyroid is under or overactive.

Your healthcare provider will also run other blood tests, specifically thyroglobulin antibodies, to assess general autoimmune thyroid disease and Thyroid peroxidase antibodies (TPO), which tests specifically for Hashimotos Disease.

If your healthcare provider suspects thyroid disease, they should also send you a thyroid ultrasound to assess for vascularity of any thyroid nodules.

How are hypothyroidism and Hashimotos treated?

Hypothyroidism and Hashimoto's are often treated with thyroid replacement medication. There are several different types of medication, so it is always best to work with your healthcare provider to assess what type of medication is best for you.

You mentioned iodine... how much iodine should I be having per day?

The recommended daily allowance for iodine intake is 150 mcg in adults and slightly more in pregnant and breastfeeding women. Research shows that too much iodine intake may contribute to hypothyroidism.

Where can I be getting excess iodine from?

Fish, seafood, and seaweed contain high levels of iodine. Other dietary sources of iodine include eggs, dairy products, and iodized salt. Other sources of iodine could be found in your daily multivitamins and may even be found in some of your favorite skincare products.

Cooked fish plate with vegetables. Food that is high in iodine

Is it possible to completely heal hypothyroidism or Hashimotos?

Yes. While medication is often necessary to initially treat these conditions, with the right dietary, lifestyle, and additional modification, if is possible to heal yourself of your thyroid condition.

Can Integrative Healthcare help heal my hypothyroidism?

Yes, integrative healthcare is a great way to approach and help with your hypothyroidism.

A collaborative approach between 2 caring physicians who take a team approach to helping you improve your health. Learn more about how these two doctors work together and why this strategy works!


Disclaimer: This video was originally uploaded on Dr. Sarika Desai's youtube channel

Lipoprotein(a) [Lp(a)] is unique lipoprotein that has been discovered as an independent risk factor for developing heart disease. This is a genetic marker that is present in ~20% of the world's population. Have you had high cholesterol since forever? Then you should get tested for this marker to see if it is due to hereditary reasons.


Disclaimer: This video was originally uploaded on Dr. Sarika Desai's youtube channel

40% of females in their 40's have thyroid nodules. Healing thyroid nodules and shrinking them without surgery is possible, but you need first to know more about them.

If you have been worried about nodules turning into thyroid cancer, then this article is for you.

Here we will explore the integrative approach to treating your thyroid!

So, What Are Thyroid Nodules?

Simply explained, Thyroid nodules are abnormal lumps of thyroid tissue. Your thyroid has a normal buildup of cells, called follicles. Follicles functions are:

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These little follicles of cells build hormones in your body. Performing all of the steps for your thyroid to function. However, if some parts remain uneven or are not the same texture, those are “nodules.”

It is essential to determine whether or not these nodules are a problem.

What Can Cause Thyroid Nodules?

The leading cause of nodules in the modern world is Hashimoto's thyroiditis. The other reasons can also include exposure to radiation, iodine excess, and iodine deficiency. (See Hypothyroidism)

It's good to know that iodine plays an essential role in causing thyroid nodules.

Who Can Get Thyroid Nodules?

The risk of people getting thyroid nodules runs parallel to their age. For women, their age in decades corresponds clearly with their risk for developing nodules.

At age 30, there is a 30% risk of developing thyroid nodules. And 50 years old people have a 50% chance of developing thyroid nodules. The same goes for being 60 (60%) and 70 (70%). Quite simple to remember but essential not to forget.

Overall, for women, it is three times more common to develop thyroid nodules compared to men. Especially for women, getting to know more about their thyroid status is essential. But still, men should know the chances of developing thyroid problems and how it varies between genders.

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Are Your Thyroid Nodules Dangerous?

You may be concerned that thyroid nodules will be especially dangerous for your health.

Thyroid nodules are usually not dangerous. There are natural methods for thyroid nodules.

Often, 95% or more pose no risk (benign). If you are concerned about thyroid nodules and having them, first, you need to determine whether or not you for sure have them.

Also, just having them doesn't mean that they are necessarily going to cause you harm. The majority of nodules are harmless.

What Are Symptoms Of Thyroid Nodules?

It is common to want to know possible symptoms for those at risk of developing thyroid nodules. People want to know whether they might feel something due to the thyroid nodules being present on their thyroid. What you should know is there are usually no symptoms.

If the nodules are big enough, they can affect speaking or swallowing. If they are massive, they can affect the nerves that allow your tongue to move properly. This is rare, and they are usually not ever painful.

If they are big or not in the right place, nodules can cause some discomfort on a certain level. However, this is pretty unusual. It's most likely not something you need to be actively worrying about.

How To Find Out If You Have Thyroid Nodules?

There are three effective methods to consider when finding out if you are dealing with thyroid nodules: doctor's exam, self-exam, and ultrasound.

Doctor's exams are able to pick up nodules somewhere around 10% of the time. Self-exams are similar unless you are doing it regularly and can pick up any irregularities yourself. The gold standard is, ultimately, ultrasound.

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It is encouraged that all of those with thyroid disease have a screening ultrasound to determine the state of their thyroid.

This is the only method to definitively determine whether you have a potentially dangerous nodule that you have never noticed before.

What Steps Can Be Taken To Treat Thyroid Nodules?

There are a few things you can consider should the need arise.

Possibly needing to have a biopsy can be determined on multiple factors, such as your nodule is well over 1 centimeter in size, your nodule has calcified, and if your nodule has exaggerated blood vessels.

Now, considering all of the factors, you might want to have your nodule biopsied. This is because the nodule, at this point, looks like it could be developing into cancer.

Typically you should have some combination of these three to require surgery of any sort.

If you have a nodule that's biopsied, the next thing to consider is removal. How to know when to remove it? 

These factors are important in deciding whether the thyroid nodule or portions need to be removed.

How To Reduce Nodules Naturally?

The most significant factors in handling thyroid nodules are: dialing in your iodine^2, reverse insulin resistance, and dialing in your TSH.

When it comes to TSH, let's think about the normal/optimal range. We have an extensive normal range and a very slim optimal range.

When it comes to nodules, what we want to do is get even narrower (between 0.5 and 0.9 but not lower than that).

How Does TSH Affect Your Nodules?

TSH stimulates the thyroid and while that might be good for a perfectly healthy thyroid, it can also promote nodules.

TSH and your nodules don't get along in the sense that more TSH causes your nodules to grow and could make them problematic. The lower you get your TSH to a normal level, the better opportunity you have of suppressing any potential nodule growth.

What Do We Know About Iodine?

When your iodine is well dialed in, you start to decrease your risk for thyroid nodules. Iodine is essential, and it is even more important to know the amount you are getting in your diet already.

Low iodine intake could lead to an increased potential for thyroid nodules. However you shouldn't get too much, but you also don't want to have too little.

Having too little Iodine is not right, and so is too much, and even a responsible change can be dangerous for specific segments of the population. That balance is delicate and it is so crucial that you get it correct.

Also, reversing our insulin resistance is ideal. There is data suggesting that you are more apt to grow nodules on your thyroid when your body has a more challenging time dealing with blood sugar.

When we are able to deal with how our bodies deal with insulin, it can go help in managing our risk for developing nodules.

What About Produce?

Significant amounts of produce in the diet can reduce the risk of nodules. It suppresses the growth of nodules and ultimately helps reverse them altogether.

You should be aware of the benefit of more produce in your diet. It's just one extra reason to add a bit more fresh fruit into your diet.

Have your produce, and don't worry about it. You are better off having more types of different fruits and vegetables than fewer.

When you get more into your diet, you ward off nodules that may start appearing naturally. It's a tasty way of keeping your thyroid in check while being helpful.

Fruits and vegetables help your body detox naturally!

What Can Be Done Today?

You might want to start checking for thyroid nodules while looking for thyroid nodule treatments that are also natural.

Start taking more steps towards better health now. 

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Keeping on top of thyroid nodules comes down to being aware of the state of your thyroid.

When you have followed the proper steps, you should be able to get a pretty good read of whether you have nodules almost right away. Keep in touch with your thyroid, and it will pay dividends.

Better Your Thyroid Management Today

It's important always to understand your body and know when it is trying to tell you something. Start taking in whole healthy food today, incorporate turmeric into your diet followed by exercise.

Some doctors recommend applying bentonite clay over your nodules, however, read this article on the dangers of clay before you do that (and more importantly talk to your doctor)!

First of all, what is bentonite clay? Is it safe to use daily? What hidden dangers should you be aware of?

All these reasonable questions may occur to you and leave you wondering whether or not to purchase and utilize this natural material.

Nowadays, bentonite clay has created a somewhat controversial reputation for itself - some swear by its beneficial effects, while others try to stay as far away from it as possible. What is the absolute truth in reality?

It's a pretty complicated question to answer, and for this reason, you should decide it for yourself. Let me introduce you to the fundamental facts supported by research work and consumer experience.

The story behind bentonite clay

Bentonite clay springs into existence when volcanic ashes react with seawater and take up its minerals. Its name originates from its most significant source globally, which is in Fort Benton (USA).

It was first discovered in Montmorillon (France), and this is why its main component is named montmorillonite, which is formed by layers of silica and alumina.


integrative health

This raw material is bound to many other minerals, for instance, sodium, calcium, magnesium, and aluminum. This implies that another denomination for this substance is calcium bentonite clay. Its most significant producer and trader in the US, followed by China, India, and Greece.

Throughout history, humans used clay to treat minor illnesses such as food poisoning, aches and pains, infections, mineral deficiencies, and cosmetic purposes.

In some recluse societies (such as native African or Australian cultural tribes) that have not lost touch with nature, clays are still used these days for preventative care, remedies, and their curative powers.

The diverse usage of clay

Bentonite clay is a natural clay with a finely-grained, soft texture. It forms a thick paste when mixed with water. Some people use that mixture for medical or cosmetic benefits, such as treating rashes, cleansing the skin, or hair masks.


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On the other hand, it is also commonly used internally to detoxify the body from accumulated toxins. It has been stated that bentonite clay adsorbs materials by sticking to their molecules and ions. As the clay leaves the body, it takes the toxins and other unwanted molecules. Some doctors, also recommend applying a benodite clay mask to help shrink your thyroid nodules, however, ask your doctor about this first!

Furthermore, it is claimed that bentonite clay treats and has an excellent effect on the following problems: skin infections, pimples, poison ivy allergy, constipation, recurring diarrhea, diaper rash, and high cholesterol levels.

This kind of clay can be modified and converted into synthetic materials. These can be used as improved delivery and slow-release drugs for infections, different types of cancer, mental disorders, glaucoma, and sunscreen protection.

What happens if you only use clay on your skin?

If you choose to use the clay on your skin, it is exceedingly important to do a patch test on a small, hidden area of your skin before trying it on your face. Clay acts like a sponge on your skin as it absorbs dirt and oil, like sebum (which is the leading cause of acne).

Several analyses provide information that bentonite clay may help with dermatitis (eczema), mild acne, and ulcers. The most popular method to utilize the clay is to apply it to the surface of your skin as a face mask.

At the same time, the studies, which ,erudite scientists did show that the lead in clay absorbs across the skin and can enter the bloodstream, which can efficiently conduct to severe infections and dangerous health issues.

In addition, other researches have shown that bentonite is detrimental to immune cells and to regrow endothelial cells when it's placed on wounds or cuts.

Side effects and cautions

It's possible to consume too much of this questionable substance without even noticing it. Bentonite clay and its derivates can have high harmful germs and heavy metals like lead, arsenic, and mercury.

You must contact your doctor before you take bentonite clay or any supplement orally, especially if you're pregnant or take other medications. We would recommend that you steer clear of bentonite clay products altogether.

Can we absorb lead from clay?

Yes, you can.

In everyday life, lead-based pots, cookware, and eating out of clay pots can pose a threat and rise to lead poisoning. Studies have demonstrated that amongst children, using clay utensils wasone of the more significant contributors to lead toxicity.

Can Bentonite Clay detox lead?

There have been sources that claim bentonite clay will remove detox lead. This, however is in the case of lead ladened water. Bentonite clay will remove lead from water by binding to it, but when you eat clay, it does the opposite.


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When you eat clay, your stomach acid pulls most of the lead out of the clay. Then, it goes right into your body.

Bentonite clay is beneficial when it comes to removing lead, zinc, nickel, and cadmium from different substances, like wastewater, because it can bond with these kinds of heavy metals.

However, in the case of eating bentonite, it has more harmful side effects than expedient ones. Inasmuch, when you consume clay, your stomach acid pulls most of the lead out of the bentonite clay, and it absorbs straight into your system.

Therefore, ingestion of large quantities of lead can directly bring about gastrointestinal troubles with symptoms such as dire vomiting, disturbances of the blood and circulation systems, and damage to the whole nervous system.

How much lead is considered safe?

According to a scientific review, there is no such thing as a safe threshold. Moreover, the WHO (World Health Organization) officially declared that there is no known level of lead exposure considered safe.

Taken all around, no amount of lead is safe for the human organism. It may sound fearsome as people usually can't determine how much lead can be found in individual food groups. The best solution is to take precautionary measures and avoid lead to a feasible extent.

How much lead do we actually absorb from bentonite clay?

Researches have shown that one gram of bentonite clay bottles up around 37.5 micrograms of lead. As an average oral dose of bentonite clay is usually 2 tablespoons (which is 0.72 ounces or 20.4 grams), this means that your oral lead dose could be as high as 765 mcg. To understand the unit of measurement, Mcg/g is the same as ppm (parts per million).

Why should you take lead poisoning seriously?

Most physicians don't recommend eating clay as it could cause a blockage in your intestines and lead to bothersome digestive issues.

Research done by the FDA laboratories evinced that exposure to lead can cause grave damage to the central nervous system, kidneys, and immune system.

In children, chronic exposure to lead, even at deficient levels, is associated with cognitive impairment, growth delays, reduced IQ, hyperactivity, behavioral difficulties, and other serious problems.

In general, high exposure to lead can bring on vague symptoms, for example, exhaustion, numbness and tingling, digestive problems, and aching joint pain.

Recent and continuously appearing evidence suggests that it can also be the cause of high blood pressure, heart disease, depression, kidney damage, anxiety, infertility in males and females, and mental health problems.

Health care professionals advise consumers to desist from using this harmful material as soon as possible because it might cause irreversible effects on their wellbeing and health conditions.

Symptoms of lead toxicity

Lead poisoning can be hard to detect, and even people who seem to be healthy can have high blood levels of lead (More about lead poisoning here). If you suspect that you might suffer from lead toxicity, get yourself tested to be aware of your condition and accidental hardships.

A blood test called serum lead is the best way to check the lead levels in your body. This type of test can be ordered by any healthcare provider and executed by any standard referencing laboratory.

It may show that there's no need to worry, but make sure to request an examination by a creditable physician better safe than sorry! Any lead levels above 10L are considered dangerous.

Lead side affects in children

What is the lead side effect of children?

Here are the side effects of lead poisoning in children:


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An alternative possibility is a red blood cell test, which is more accurate than the serum lead test. This one covers a 90-day average and works far more precisely. Frequent check-ups are indispensable, even more, if you have previously suffered from lead poisoning.

The main symptoms of lead toxicity for adults include high blood pressure, difficulties with memory, headache, joint, and abdominal pain, and anemia. As in the case of children, the symptoms may involve learning difficulties, loss of appetite, seizures, constipation, and weight loss.

Other unexpected and unanticipated sources of lead

Besides Bentonite Clay and the other sources that we have explored containing lead, there are some unexpected sources of lead in our everyday lives.

Lead usually derives from the tap water and our home's water system, alongside household dust, lead-based paint, and utensils (cutlery, plates, glasses) that contain lead. Besides these common contingencies, we can also be exposed to some flabbergasting lead sources.

Surprisingly, calcium supplements that are derived from bone tissue have often been found to carry excessive amounts of lead. Also, the inorganic calcium extracted from rocks, such as dolomite calcium, can possess a high level of lead contamination.

Besides, even bone broth and collagen can cause lead poisoning when consumed in large quantities. This may occur as a consequence of the fact that lead builds up in bone tissue and collagen.

Livestock (and cows mainly) are prone to lead accumulation. Knowing this, it's recommended to pay attention to what kind of cookware and utensils you employ daily.

Keep this in mind when consuming gelatine, since in the form it can be found in bone broth, it's able to pull the lead out of cookware and thereby raise the risk of lead poisoning.

Beyond that, the meat of wild animals (game meat) can easily be soiled with lead residue.

The process of contamination happens when the animals are shot with lead bullets, and those bullets break down into hundreds of minute fragments that afterward spread over a large area of their meat.

Conclusion

Bentonite clay certainly has its advantages and disadvantages, yet it's still disputed if its effects are helpful or it should be banned from the healthcare and beauty industry.

With all the above-listed information in your possession, it is fully up to you if choose to/ not to use this material.

If you do, please contact a medical professional beforehand and discuss the exact application adequate for your needs. Your health and safety should always be your number one priority!

Also, there are plenty of other ingredients you can use instead of clay, for instance, clean versions of fiber that contain resistant starches.

They do wonders to your immune system and get rid of the objectionable toxins. Additionally, you can mix it with chlorophyll, which is extracted from spinach.

As natural remedies seem to have a deep root (and future) in maintaining body health, it merits doing more profound research on bentonite clay and its impacts on bodily functions.

In the near future, bentonite clay may turn into a stable and dependable ingredient for both skincare and nutritional supplements. In the meantime, please act cautiously regarding this relevant matter and stick to the safer natural medicines such as turmeric!

Enjoy this article? See our article on Olive Oil and learn how to effectively make sure you are getting the right stuff!

Visit any supermarket, and you'll find aisles and aisles filled with olive oil, many with picturesque labels informing you this is the authentic Italian extra-virgin olive oil.

But in actuality, the reality of olive oil is a little more complicated than that.

Did you know that many olive oil brands are corrupted by the Italian Mafia, and regularly mix in cheaper oils with their olive oil to profit off of you?

And this is not a small business either it's estimated that this is a $16-billion-per-year enterprise for the Mafia. Olive oil fraud is a genuine thing and even more concerning is, most olive oils are never even tested.

So, what are the health threats of this scam? And how to tell real olive oil from the fakes?

The 60 Minutes report producer, Guy Campanile, offers an exploration into the olive oil industry and adds a few tips on finding the true extra-virgin olive oil amongst a sea of fakes.

So keep on reading, and you'll find out!

The Olive Oil and Mafia

First, you need to watch the 60 Minutes report on the olive oil scam. Seriously, you need to.

It's an exploration into how Italy's olive oil business has been corrupted by the Italian Mafia, making a fortune by meddling with Italian food products in ways that can affect consumers worldwide.

As the 60 Minutes producer, Guy Campanile, says: 'The Italians call it Agromafi, and it is estimated to be a $16-billion-per-year enterprise. One result: "Much of the olive oil we import isn't as pure as it seems.

The most common type of olive oil fraud is mixing it with lower-cost oils, often from North Africa and Mediterranean.

In some cases, what is labeled extra-virgin olive oil may not be olive oil at all instead, seed oil like sunflower made to look and smell like olive oil with a few drops of chlorophyll and beta-carotene.

Is Your Italian Olive Oil Really from Italy?

Some may be shocked to hear that Italy only produces 15% of the world's olive oil.

In recent years, factors such as attacks from the Xylella fastidiosa bacteria and weather fluctuations have meant that Italy's olive oil production has plummeted to record lows.

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The issue is that while there is far less oil produced, the demand constantly rises, making "Made in Italy" designations both highly coveted and highly falsified.

As the New York Times warned: much of the 'extra-virgin Italian olive oil' flooding the world's market shelves is neither Italian nor virginal.

The author of Real Food, Fake Food, Larry Olmsted, notes that a lot of the oil labeled as Italian is only bottled, not produced, there.

The Italian police have already uncovered massive scams in which tons of cheap, low-quality oils from Syria, Turkey, North Africa, and Spain are being bottled and sold as authentic Italian extra virgin to international markets.

One of the biggest victims of this fraud is America, to which Italy exports around 30% of all its olive oil.

Even Europe isn't left out a 2013 European Parliament report concluded olive oil as Europe's most adulterated, tampered with, and counterfeited agricultural product.

Despite attempted regulation and legislation changes, a 2020 report by the U.S.'s American Botanical Council discovered that adulteration of olive oil is still rampant.

It also highlights the two main reasons for this fraud: low availability of high-quality olive oil and soaring demand.

The Dangers of Olive Oil Fraud

The dangers might be more significant than you think, especially if you have a peanut or soybean allergy since those are often the oils mixed into the actual virgin olive oil. But the threat doesn't stop with allergies.

Numerous contaminants and toxins, including hydrocarbon residues of pesticides, have been found in these fake oils.

If this wasn't enough, pomace oil, which is a common adulterant often containing mineral oil as well as PAHs both proven carcinogens that can also damage your DNA and immune system, is also often contained.  

Sometimes, it has even life-threatening consequences. In the early 1960s, olive oil doctored with jet engine oil left 10,000 people in Morocco seriously ill, when rapeseed oil mixed with an industrial additive, sidenote: sold as olive oil, killed 800 people and injured even more.

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But don't take my word for it; take Tom Mueller's - a New York Times Bestselling author of the book Extra-Virginity, where he mentions all these cases and so much more.

How Much of a Role Does Storage Play?

Organized crime isn't the only factor threatening the safety of olive oil. As reported in the 60 Minutes expose, the storing of olive oil is a much broader problem than might seem on the surface.

You have to remember; olive oil is easily spoilt food. Owing to its elegant taste and innumerable nutrients, heat, light, time, and exposure to oxygen are all factors which can decrease its quality and safety.

Giant corporations, who are likely to care more about making a quick buck than your health, can, on their journey from the olive oil trees to your kitchen, easily expose olive oil to these natural elements.

Both the fake olive oil and its decrease in quality due to improper treatment lead to, as Tom Mueller estimated: 75 to 80 percent of the oil sold in the US not meeting the legal grades for extra-virgin oil.

Conclusion: You're Overpaying for Wanna Be Olive Oil

As the 60 Minutes report exposed, you're overpaying thinking the product you're buying is the highest quality of olive oil “extra virgin olive oil“ when in reality you're getting a much more second-class product or even one which has been altered.

Unfortunately, this is nothing new for the olive oil business.

Olive oil fraud has been around for almost four thousand years.

But as Campanile says, the difference now is that the food supply chain is so vast, so global, and so lucrative that it's easy for the bad guys to either introduce adulterated olive oils or mix in lower quality olive oils with extra-virgin olive oil.

There have been numerous examples of the oil imported to the US not meeting internationally accepted standards.

In July 2010, researchers at the UC Davis Olive Center set out to inspect samples of imported olive oils, only to discover that 69% failed to meet international standards for the oil to be considered extra virgin.

Both NBC News and the Wall Street Journal have reported that cheap, fake extra virgin olive oil is rampant and American stores are flooded with it.

Even Forbes magazine urged: the olive oil in your pantry, the one you bought for its health benefits and some sliver of the seductive Mediterranean lifestyle, is most likely a scam.

And what's most annoying about this? It's preventing you from the insane health benefits of authentic extra virgin olive oil!

Not to mention it has been shown to reduce joint pain and inflammation, reduce the risk of osteoporosis due to improving calcium absorption, and it can even lower your risk of Alzheimer's disease.

Even your immunity isn't left out it's full of antioxidants and polyphenol, which help balance your immune system and aid it with protection against diseases.

So, finally, how do you avoid the fakes to get a taste of the real deal?

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The Best Way to Avoid Olive Oil Scam

Because methods of adulteration have become so sophisticated, it's increasingly more difficult for olive oil specialists and law enforcement, let alone consumers, to spot fake olive oil from its tangible counterpart.

The scams often operate at high-tech refineries, to the point that the resulting product is difficult to detect even via chemical analysis.

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But not to worry, Campanile still has some answers.

There are two main ways really: look at the label and Google.

Firstly, he suggests you look at the label. Is the oil really from Italy? If so, Campanile recommends two main places Sicily and Puglia, known for producing olive oil.

And secondly? Google! Many honest farmers around the globe intentionally avoid significant selling to a middle man, often influenced by the Mafia, and instead sell directly to the customer.

Campanile mentions Italian producers like Lucia Iannotta or Nicolo Clemenza, who offer olive oil now to American consumers.

As the production date also matters, Campanile suggests buying from California, which can produce and deliver extra virgin olive oil much faster.

But if it's authentic Italian olive oil you want, prepare your wallet: If you're paying seven bucks or eight bucks for a bottle of Italian extra virgin olive oil, he says, it's probably not Italian extra-virgin.

And when you taste the real olive oil, you'll fall in love. True extra-virgin olive oil is made exclusively from the first pressing of the olive harvest and is devoid of additives.

You know, when you see it there [in Italy], it's this almost luminescent green," Campanile says, "it looks like nothing you've seen before and tastes like nothing you've tasted before.

When you walk into the mill, you are just hit with this extraordinary aroma of olive oil that is just so pleasing, it makes the hair on the back of your neck kind of stand up," he tells Overtime editor Ann Silvio, I don't know what it is, but it's almost primeval how wonderful it is.

So don't forget to throw out the extra-virgin olive oil from your kitchen, and join the true olive oil club!

The 60 Minutes report producer, Guy Campanile, offers tips and information on fake and adulterated olive oil

Now that you are informed on this scandal, find the real stuff! If you like this article check out our article on the Dangers of Benodite Clay! Stay safe when shopping for natural health products!

We are offering safe in-person and virtual care. We are taking precautions and are following national and state guidelines to ensure safety for everyone.

NES Policies:

  1. Mandatory mask
  2. Strict limits on the number of people in the office
  3. Monitored entrance with temperature check, CDC questions are asked
  4. Screening patients for symptoms of COVID-19
  5. The waiting area is conducive for social distancing
  6. Deep cleaning of entire office including exam rooms and equipment after each visit

Are you experiencing these symptoms?

Are you experiencing headaches, allergies, pain, digestive issues, infertility, anxiety, or insomnia? Have you tried medications, supplements, and other therapies with little to no relief?

It can be challenging to suffer from these chronic issues without answers. Acupuncture might be the right therapy for you to help alleviate your symptoms so you can begin living optimally and symptom-free.

How acuncture can help

At NES, we provide acupuncture therapy by getting to the root cause of your symptoms and formulating a specific, unique protocol for you and your needs. We listen to all of your symptoms and develop specific therapy for you.

Our acupunture process

Acupuncture is a therapy used in Traditional Chinese Medicine (TCM). It involves the insertion of thin needles into meridians (points along the body) to help move energy known as Qi.

It is a great therapy to help with modern-day stress, blood stagnation, detox and can help promote relaxation.

You will come in for a visit with the Physician, and they will ask you a slew of questions related to your symptoms and observe your pulse and tongue to understand the root cause of your symptoms better. At that point, the Physician will customize a protocol for you.

The acupuncture therapy will last 20-30 minutes, where you can relax in a quiet, lightly dimmed room. For best effects, it's recommended to get acupuncture therapy at least once a week for several weeks.

At each visit, the practitioner will follow up on your symptoms to assess improvement.

What are specialty lab tests?

Specialty tests are not usually part of standard lab testing.

Specialty lab testing includes testing for:

Does this describe you?

Do you feel that your labs look normal and still have symptoms but cannot find out why? Are you tired of having just basic labs drawn that do not give you the big picture?

Do you want to have a comprehensive analysis of your health and are unsure how to do that?

Do you like having a lot of details about your health?

How getting a specialty lab can help you

At NES, we offer specialty lab testing, which means that we partner with reputable lab companies that provide tests beyond the basics.

We select tests that give us detailed information on your health, such as:

With this information, we take a bigger look at your condition's root causes and help generate a treatment plan that addresses them.

The goal is to help you feel amazing and help empower you to take the steps needed to achieve optimal health and wellbeing.

What to expect when booking a specialty lab test with us

After your first appointment, the doctor will order the necessary lab work for your condition. In addition to this, the doctor will make recommendations for specific specialty testing, depending on your circumstances.

The specialty test kits will usually be provided after your visit if you have an in-person visit. If you have a telemedicine or phone consultation, the test kits can be shipped to you.

The testing kit(s) come with instructions on how to complete and shipping information on how to send it back to the company. After you submit this, the doctor will be notified when your results are ready, and then you can schedule a follow-up appointment to review them.

You can book a follow-up appointment in your patient portal or by calling us to schedule you.

What is injection therapy

IM therapy is a quick and easy way to deliver nutrients such as B12 and hormones like testosterone and estradiol. There are many other nutrients that can be administered alone or in combination to help you achieve therapeutic effects that cannot be done orally.

Are you experiencing this?

Are you struggling with taking many vitamins and supplements and feel that you are not absorbing them? Are you looking for a more convenient way of getting your nutrients and hormones without having to take something orally every day?

Injection therapy can help you boost your energy and immune system and it can deliver substances in a safe, efficient, and effective way.

We offer injection therapy such as:

How We Can Help

Injection therapy can help improve concentration, energy, improve your mood and metabolism, boost your immune system and deliver hormones in an efficient way. It is used to help conditions such as B12 deficiency, menopause, andropause, obesity, adrenal dysfunction, diabetes, and more!

What our process of injection therapy looks like

After your appointment with the doctor, a series of injections may be recommended for you to receive either weekly, biweekly or monthly.

You can purchase these injections in a package if more convenient and you can schedule these injection appointments directly in the patient portal, online on our website at https://www.nesaz.com/book-now/, or by calling us directly at 480-687-0054.

What is IV therapy?

IV therapy is a great way to deliver nutrients, fluids, and medications more directly into the body. This method can be a great alternative for individuals who struggle with absorption problems.

In addition, this method is also a great way to deliver a high amount of key nutrients in therapeutic doses that cannot be given orally.

Can you relate with this?

Are you struggling with taking many vitamins and supplements and feel that you are not absorbing them?

Are you looking for a more convenient way of getting your nutrients and hormones without having to take something orally every day?

How IV therapy can help you

IV therapy can help you boost your energy and immune system and it can deliver substances in a safe, efficient, and effective way.

Some nutrients cannot be given with an injection therapy but can be delivered through an IV. Examples of this include Iron and Vitamin C.

IV therapy is a fast, easy, and convenient way to get your nutrients which can help improve your overall health and wellness. IV therapy can deliver higher dosages of nutrients to reach the cellular level, which generally cannot be orally tolerated. 

What our process of IV therapy looks like

The type of IV therapy is customized for each patient and is prescribed by the physician as part of a treatment plan.

The different types of IV therapy include formulas that help improve resilience to stress, aid with detoxification, boost immunity, hydrate, increase energy and improve antioxidant levels in your body.

After your appointment with the doctor, an IV treatment or treatment series may be recommended for you to receive either weekly, biweekly or monthly.

You can purchase these injections in a package if more convenient and you can schedule these IV therapy appointments directly in the patient portal, online on our website at https://www.nesaz.com/book-now/, or by calling us directly at 480-687-0054.

What is GI health balancing?

Balancing the gastrointestinal system involves an understanding of the pH, microbiome, and intestinal permeability of the tissues.

If the GI system is not working properly, this can influence the absorption of key nutrients and minerals, detoxification, increase inflammation and cause changes in the blood-brain barrier.

Are you experiencing these symptoms?

Are you struggling with GI issues such as:

If so, there are ways to test to see what can be contributing to why you feel this way. Oftentimes, imaging is useful to help rule in or out certain medical conditions such as stones, lesions, or masses.

When it comes to finding out if your microbiome is in tip-top shape, a comprehensive stool analysis can provide us with clues to better understand your gastrointestinal system.

We refer to this as a bacterial selfie and can go deep in understanding factors that contribute to overall GI health.

We test for:

Did you know that about 5lbs of your current body weight is made up of bacteria?

Are you curious to see what makes up your microbiome and if your Gut health is in optimal shape?

Do you want to get to know your internal roommates and make sure they are not creating havoc in your system?

The gut plays an integral part in your immune system and it is also where your diet and nutrients play a key role in your overall health.

If you are experiencing GI symptoms, this can affect you on many other health levels such as fatigue, depression, skin disorders such as eczema, inflammation, pain, and more.

It is essential to get your GI health in excellent health and to understand the world that lives inside you.

What our process of GI health balancing looks like

At your doctor's appointment, a take-home stool analysis kit will be recommended.

You will complete the testing kit in the comfort of your own home and it contains specific prepaid shipping instructions.

Once the data is received and processed, the physician will be notified and then you will be required to follow up on results at your next appointment.

Based on the results, an individualized treatment plan will be generated that can consist of medication and/or supplement protocol specific to your condition.

Imaging and appropriate referrals to specialists may also be recommended based on results. The goal is to complete the recommended protocol and retest in the appropriate time frame to see if your symptoms and markers have improved.

What is cardiovascular disease?

Heart disease is the number one killer in men and women. This condition actually begins in adolescence. It is important to understand the level of risk with this disease and it can be determined by a simple blood test that can show if it is genetic or lifestyle-induced.

Are you tired of this?

Are you tired of doctors blaming your high cholesterol on your diet or lack of exercise or other lifestyle behaviors?

You may already do great in following lifestyle suggestions but are not seeing results. This is why it is important to search for reasons such as genetics, deficiencies, and imbalances to find out the root cause. Did you know that your endocrine system is related to your cardiovascular system?

Are you at risk or have a family history of heart disease? Hypothyroidism can be a cause of elevated cholesterol and hyperglycemia.

How we can get your cardiovascular health back in shape

It is important to understand why you may have elevated metabolic inflammatory markers and how your body systems are connected.

This information is very helpful for creating a health plan as it treats underlying causes, not just treating symptoms.  

At NES, we focus on treating the body naturally and finding relationships of how your body is connected. Our focus is strongly dedicated to disease prevention and using natural and integrative medical approaches to help you reverse, improve and optimize your health conditions.  

Everyone is different and having an individualized plan is essential in order to get your goals met.

Our process of cardiovascular health optimization

At your doctor's appointment, your doctor may decide to order comprehensive cardiovascular testing to look for the underlying genetic causes, inflammation, nutrient deficiencies such as Omega 3, hormone imbalances, and lifestyle.

This information is useful in order to generate treatment recommendations for you.

The treatments usually consist of diet and lifestyle recommendations, supplement recommendations, stress management recommendations, medications, possible imaging, referrals to specialists, future lab recommendations, and next steps for follow-up.

What is inflammation?

This is the root cause of disease. Inflammation is a condition in which the immune system is being told to fix a problem. Not all inflammation is bad.

Some Inflammation is good such as in healing after a wound injury. Bad types of inflammation are seen in chronic conditions such as metabolic syndrome and autoimmune conditions. Some of this can be reversed.

The root cause of illness and disease is inflammation. It can cause a whole host of conditions such as heart disease, autoimmunity, joint pain, depression, obesity, hormone issues, cancer, and more.

How we can get your inflammation back on track

At your doctor's appointment, your doctor may decide to order comprehensive inflammatory testing specific to your condition. Examples of inflammatory markers include:

These are generally proteins seen in the blood and can be elevated due to a wide range of things seen in acute and chronic conditions. This information is useful in order to generate treatment recommendations for you.

This is what our process looks like

The treatments usually consist of diet and lifestyle recommendations, supplement recommendations, stress management recommendations, medications, possible imaging, referrals to specialists, future lab recommendations, and next steps for follow-up.

Examples of elevated inflammation Levels:

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Are you stressed out?

Who does not have stress? It's inevitable. You are human and you will experience this symptom.

The thing is that stress is not a bad thing, what is bad is having poor coping skills and letting it affect your health in a negative way.

Without stress, we cannot survive, it is essential to learn how to manage it so it can work in your favor instead of against you.

When stress becomes a chronic response, that is when it starts to affect your body in a negative way. Elevated cortisol levels are linked with a poor immune response, insomnia, anxiety, poor health, cardiovascular risk, and more.

Did you know you can get this response measured to see where you are at that is the best thing you can do to get on top of it now!

How we can help you with your cortisol levels

Awareness is key. Once you can identify your stress response, you can learn new actions to take to get it back on track.

At NES, we offer a 4-point salivary cortisol test to help us better understand the secretion of this hormone throughout the day and to get a deeper understanding of your circadian rhythm.

The downside of doing this in a simple blood test is that you can only get one reading and that may look normal.

A full day picture is a better analysis of how cortisol is being released in your body by the adrenal glands. There are different types of rhythms and the most optimal one is when you are thriving and in the zone based on the circadian slope.

You can have other conditions where your cortisol may be below in the morning and high in the evenings, or you can either run high cortisol all day or low cortisol all day.

Once this is better understood, a specific treatment plan will be recommended for you to get your adrenal health in excellent shape and back on the nice curve.

A normal and optimal cortisol curve shows a high level in the morning and a low level at night. Ask us more about cortisol testing!

What to expect from us

At your doctor's appointment, a take-home salivary cortisol test may be recommended for you to better understand and evaluate your adrenal health.

Your adrenal gland release cortisol and do so in a circadian pattern, high in the mornings, low at night. It mimics the light and dark cycle; it should be the highest during the hours of sunrise and lowest during the hours of sunset.

This test is a salivary cortisol test that requires you to collect 4 saliva samples at specific times during the day. The kit comes with prepaid mailing instructions and is to be completed and shipped out by the patient upon completion. The results will be sent directly to your doctor.

At your next scheduled follow-up appointment, the results will be reviewed and if a treatment should be required, it will usually be discussed at this visit. 

A repeat test will typically be required so that a pre and post-analysis of your cortisol levels can be determined to see if therapy and results are improving symptoms.

Examples of HIGH and LOW Serum Cortisol Levels:

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integrative health

Are you struggling with these symptoms?

Are you struggling with hot flashes, night sweats, insomnia, dry skin, and moodiness? These are all signs and symptoms of menopause.

Did you know that technically menopause is only one day, according to the definition? Menopause is when a woman reaches this milestone when she has had no period for precisely 1 year.

All of the symptoms that occur before reaching one year are known as perimenopause.

Symptoms that persist after one year are known as postmenopause. Symptoms can be intense, and women can struggle to find a resolution. 

How we can help you with your menopause

At NES, we work with our patients through educating and empowering them and providing solutions to help them reach optimal health.

We provide bioidentical hormone replacement therapy (BHRT) options for our patients. Before starting BHRT, the doctor will assess your health to see if you are a good candidate for this therapy.

BHRT helps patients feel great again resolves symptoms of hot flashes, night sweats, insomnia, dryness. It also has a great impact on cognitive, heart, and bone health.

It can also aid in improving metabolic markers such as glucose and cholesterol levels, although it is not primarily indicated for these conditions as first-line therapy. The goal is about maximizing benefits, minimizing risks, and helping you achieve a fantastic quality of life. 

What to expect

Before initiating therapy, screening questions, labs, and imaging may be required at your doctor's visit.

There are many hormone replacement therapy options, including creams, capsules, troches, patches, injections, and pellet therapy.

You will work with your doctor to help determine which one is right for you. We require that you have lab work minimally two times per year to help your doctor analyze your lab results and make decisions about therapy dose and duration.

Example of menopausal levels on lab work before treatment:

integrative health

Did you know that you might have low testosterone?

At the age of 30 years, both men and women will start to have testosterone levels decline. Yes, women also have testosterone levels, but they should be 1/10th of men. 

Symptoms of low testosterone in women include:

Symptoms of low testosterone in men:

How we can help you with your testosterone levels

At the age of 30, testosterone levels naturally start to decline in both men and women. Testosterone replacement can help improve energy, libido, weight, bone density, metabolism, and overall wellbeing.

In men, when testosterone levels decline toward <400, lack of libido occurs, when levels are <350, obesity emerges, and <230, erectile dysfunction is seen.

How our process works

Testosterone is a controlled substance and requires periodic monitoring. At your doctor's visit, screening questions, labs and imaging will require prior to initiating therapy. Not every patient is a candidate for replacement therapy.

Those who are NOT candidates include patients with cancer (any kind), untreated sleep apnea, blood disorders, heart disease, desire for fertility, and more. 

There are many types of hormone replacement therapy options including creams, capsules, troches, patches, injections, and pellet therapy.

You will work with your doctor to help determine which one is right for you. We require that you have lab work minimally two times per year to help your doctor analyze your lab results and to make decisions about therapy dose and duration.

Have you been diagnosed with Type 2 Diabetes?

Have you been diagnosed with Type 2 Diabetes or struggle with pre-diabetes? Are you suffering from weight gain, excessive hunger, fatigue, increased urination, excessive thirst, or poor wound healing?

Type 2 Diabetes is a condition in which the body cannot break down sugars properly and causes your blood sugar to elevate.

This is a chronic condition and often develops in adulthood. Have you merely been prescribed diabetes medication but are curious to investigate other therapies to potentially reverse this diagnosis and improve your symptoms?

How we can help you with your Diabetes

Fortunately, Naturopathic care provides many treatment options for patients with pre-diabetes or type-2 diabetes.

While medication may be necessary to help control your blood sugar, we at NES take a preventative and holistic approach to help you balance your blood sugar. We will utilize innovative diet approaches, lifestyle tools, herbs, and supplements that are unique to YOU to help you achieve optimal health.

How our process works

At NES we will perform extensive blood tests and offer blood sugar monitoring so we can address the root cause of your blood sugar dysregulation.

After assessing your bloodwork, we will customize a personalized plan for you and help guide you in optimizing your diet, sleep, stress, and lifestyle to help control your blood sugar with a more natural approach.

Medication may be required but we will work with you to create an integrative, holistic approach to properly manage your blood sugar.

Examples of elevated glucose and insulin Levels:

integrative health

Are you experiencing these symptoms?

Have you been diagnosed with Hashimotos Thyroiditis but are unsure of the following steps you should take? Have you been put on thyroid medication but still not feeling better?

Are you still suffering from brain fog, weight gain, hair loss, constipation, fatigue? Hashimotos Thyroiditis is an autoimmune condition in which your immune system attacks your thyroid, often causing hypothyroidism.

Symptoms of Hashimoto's Thyroiditis may include dry skin, hair loss, constipation, weight gain, muscle weakness, swelling in your extremities, joint stiffness, brain fog, and fatigue.

We take an Integrative approach

At NES, we take an integrative approach to your thyroid health. We will inquire about your complete medical history to further investigate how your autoimmune condition manifested so we can remove any obstacles to cure.

Many factors can contribute to an autoimmune attack on your thyroid. Through extensive bloodwork, imaging, and physical exam, we will be better able to provide the appropriate treatment for you.

How we treat your Hashimoto's

Screening questions, labs, and imaging may be required before initiating therapy at your doctor's visit. Some patients diagnosed with Hashimoto's Thyroiditis may present with normal thyroid labs and imaging and may not require thyroid medication.

Depending on your thyroid lab values and antibody levels, your doctor will work with you by initiating dietary, lifestyle, supplement, and medication therapies.

Your doctor will follow up every few weeks with lab tests to make sure you are responding well to the initiated therapies.

Example of Hashimoto's levels on lab work before treatment:

integrative health
Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist.

7500 E. Pinnacle Peak Rd.
Suite A 109
Scottsdale, AZ 85255
Copyright © 2022 Natural Endocrinology Specialists. All Rights Reserved.
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