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Carin Nielsen MD

Carin Nielsen, M.D., is a board-certified family physician specializing in Integrative Medicine, Wellness and medical weight management. Dr. Nielsen received a B.S. in Microbiology from the University of Montana before receiving her medical degree in 2001 from the University of Washington in Seattle, Washington. She completed her residency in family medicine in Grand Rapids, Michigan before practicing family medicine/primary care in Harbor Springs, Michigan for five years prior to her decision to pursue a career in Integrative Medicine. She is certified by the American Board of Integrative Holistic Medicine and has completed additional training through the American Board of Bariatric Medicine, the Institute of Functional Medicine, and the University of Arizona Program in Integrative Medicine under the direction of Andrew Weil, MD. Dr. Nielsen lives in Petoskey, Michigan with her husband and twin sons.
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Book Review

FOOD: WHAT THE HECK SHOULD I EAT? 
Dr. Mark Hyman

b2ap3_thumbnail_MARKHYMAN.jpgFROM THE PUBLISHER: When it comes to diet, there's so much changing and conflicting information flying around that it's impossible to know where to look for sound advice. Decades of misguided "common sense," food-industry lobbying, bad science, and corrupt food policies and guidelines have only deepened our crisis of nutritional confusion, leaving us overwhelmed and anxious when we head to the grocery store.

Bestselling author Dr. Mark Hyman is here to set the record straight. In Food: What the Heck Should I Eat? -- his most comprehensive book yet -- he takes a close look at every food group and explains what we've gotten wrong, revealing which foods nurture our health and which pose a threat. From grains to legumes, meat to dairy, fats to artificial sweeteners, and beyond, Dr. Hyman debunks misconceptions and breaks down the fascinating science in his signature accessible style. He also explains food's role as powerful medicine capable of reversing chronic disease and shows how our food system and policies impact the environment, the economy, social justice, and personal health, painting a holistic picture of growing, cooking, and eating food in ways that nourish our bodies and the earth while creating a healthy society.

With myth-busting insights, easy-to-understand science, and delicious, wholesome recipes, Food: What the Heck Should I Eat? is a no-nonsense guide to achieving optimal weight and lifelong health.

MY THOUGHTS: This book is a MUST READ, and will forever change the way you think about food. When I began reading this book I set aside a notebook, thinking that I would take brief notes of information “pearls” to share with my patients - I stopped after 2 chapters because there was so much relevant and useful information on EVERY PAGE I couldn’t possibly write it all down!

In this book, Dr. Mark Hyman acknowledges that there is no one “perfect” diet for everybody, instead of focusing on basic dietary principles that simply make sense. He breaks down macronutrients (carbohydrates, proteins, and fats), providing education on each group’s benefits, as well as information on how to make safe, quality food choices. For example, not only will you learn more about why protein is important for our health, but also which sources of protein provide the most benefit and the “dos and don’ts” of choosing quality sources of protein for you and your family.

The book is packed with information, yet easy to read, and each recommendation is backed by sound research, not simply opinion. I found this book to be eye-opening, thought-compelling, and forever life-changing when it comes to thinking about the food that we eat. Consider adding this book to your Summer reading list!

Carin Nielsen, MD



Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, and using a "Food First" approach is a common theme in our office. Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed to your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office at This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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b2ap3_thumbnail_SupplementSwap3.jpgIf you take nutritional supplements, the changing of seasons is a great time to clean and organize your supplement cupboard and re-think your routine. The demands on your mind and body vary with the seasons, and adjusting your supplements to meet seasonal needs can help you to look and feel your best all year long!

Check out these “Summer Supplement Swaps” from my personal routine to help you get started:

SWAP OUT IMMUNE SUPPORT FOR ANTIOXIDANTS

During Winter months I take Vira-Resist herbal immune support daily to fight off coughs, colds, and flu. In the Summer months, I take a break from my immune support and tighten the cap and store the bottle in a cool, dark cupboard.

Summer months bring the potential for increased oxidative stress from sun exposure, summer cocktails and restaurant meals. To fight the effects of oxidative stress I increase my antioxidant routine, adding extra Antioxidant Support Formula, which contains the powerful antioxidants Selenium, Alpha-Lipoic Acid, and N-Acetyl Cysteine, as well as Milk Thistle, which helps to protect my liver from potentially damaging effects of summer cocktails. I also add extra antioxidant-rich Vitamin C in the form of Buffered Vitamin C (which is more gentle on the stomach) to help protect my skin from sun damage and boost collagen synthesis.

ADD EXTRA MINERALS

Summer = Sweat. Combining the increased perspiration of summer with regular infrared sauna use puts me at risk for excess mineral loss, so I add extra Zinc and Magnesium to my routine to replenish losses. In addition, I am liberal with my use of sea salt to replenish minerals and stay hydrated.

KEEP YOUR VITAMIN D DOSE IN CHECK

For myself and many of my patients, a hefty dose of Vitamin D is recommended during Fall and Winter months. During Summer months, with increased sun exposure, this may not be necessary. I check my 25, OH Vitamin D levels and adjust my dose of Vitamin D3 as necessary. Why is this important? You can overdose on Vitamin D! Vitamin D is one of four fat-soluble vitamins (along with Vitamins A, E, and K), so levels can build up in your system and become toxic. It’s important to know your number!

Here’s to a happy, healthy Summer!

Carin Nielsen, MD


Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions. Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed to your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office at This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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BACKGROUND
b2ap3_thumbnail_Abdominal-Pain-Is-It-Appendicitis_article_main.jpgI first met Todd* with his wife in October 2016. He had been diagnosed with Crohn's disease (an autoimmune inflammatory bowel disorder) three years prior.  His symptoms included abdominal pain and loose stools with blood and mucous.

During our first visit, I learned that during the time his symptoms began Todd had been under increased stress with an upcoming wedding, a change in employment, and home renovations.

He had originally been treated with sulfasalazine, a common prescription medication for Crohn's, however, the medication made him nauseated and his symptoms were not well controlled. He had been unable to increase the dose as recommended due to side effects.

Todd continued to have frequent loose bowel movements within 15 minutes of eating, often associated with mucus and blood. He was experiencing sharp localized abdominal pain with activity, and the pain was limiting his ability to perform his physically strenuous job as an electrical lineman.

Prior to our first visit, Todd and his wife had already explored holistic options for his treatment. He had tried digestive enzymes, probiotics, and homeopathic remedies without relief. He had also completed a two month trial of a gluten-free diet but was unsure if that made any difference.


INITIAL WORK UP
At our first visit, I ordered a comprehensive laboratory evaluation to screen for:
  • Inflammation
  • Nutritional deficiencies
  • Anemia
  • Hormone balance
  • Candida/Yeast
  • Celiac disease
I also ordered Functional Stool Testing.

While waiting for results, I recommended that Todd begin a four-week Comprehensive Elimination Diet, and provided educational materials and book recommendations for support with this.

Blood testing revealed low levels of zinc, and significant vitamin D deficiency, but was otherwise normal. Functional stool testing indicated significant intestinal inflammation and low levels of "good" gut bacteria.

Recommendations were customized for Todd based on his laboratory results (no more “guessing game” when it comes to supplements):
  • Vitamin D (which supports the immune system response)
  • Zinc carnosine (a key factor in the health of the intestinal lining)
  • Fish Oil (a natural anti-inflammatory)
  • Immunoglobulin powder (derived from colostrum)
  • VSL#3 - A high-dose prescription-grade probiotic (this brand has solid evidence supporting its use in the treatment of Crohn’s)
I also prescribed Low-Dose Naltrexone (LDN), an opioid antagonist that has an outstanding safety profile and has shown promise in the treatment of Crohn’s in both adults and children with minimal side effects.


TWO MONTHS LATER–IMPROVEMENT!
Two months after initiating diet changes, LDN and targeted supplementation, Todd reported his pain improved by at least 50% with some pain-free days and improved energy. While still experiencing blood in his stools, he described it as much less than before.

I recommended he add a glutamine/aloe combination to promote further healing of the intestinal lining.


SIX MONTHS LATER–MORE IMPROVEMENT!
b2ap3_thumbnail_intestines.jpgAt six months Todd reported that he continued to experience significant improvement and was very pleased with his progress. He described his pain as minimal, with only minor flares "nothing like it was before”. He had good energy and stamina and was no longer having any work pain. He had become a “believer” in his regimen of supplements and LDN, having forgotten them on two nights, each time with a symptom flare.

While bowel movements had earlier been improved, he had since noticed increased blood and mucus in his stools, so a low dose of Sulfasalazine had been restarted.

He continued to cautiously experiment with his diet, determining his “trigger foods”.


ONE YEAR LATER
This past fall I was able to meet with Todd and his wife for his one-year follow-up. He reported great energy and stamina, no work pain, and no blood in his stools.

While still on the low dose of Sulfasalazine, it was a dose that did not give him side effects and his symptoms as a whole were nearly resolved. Follow up laboratory testing showed normalized levels of iron, zinc and Vitamin D.

I ordered comprehensive nutritional testing at this visit, which allowed us to customize Todd’s diet and supplement needs. His testing showed a need for B-vitamins, as well as magnesium and enhanced antioxidant support to reduce oxidative stress in the intestinal lining. Based on this testing, I also recommended he begin to reduce the amount of animal protein in his diet, transitioning to plant-based proteins.

In just one year, Todd was able to get much better control of his Crohn’s disease through changes in diet, targeted supplementation, and lower-doses of prescription medications without side effects. He had normalized bowel movements, no blood in his stool, minimal pain and improved energy. I look forward to continuing to work with Todd and his wife to optimize his nutrition, simplify his regimen as he continues to heal, and achieve further success!

*Patient names are changed to protect privacy

Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, including many autoimmune conditions. Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” (using assessments like estrogen metabolite testing) to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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SEASONAL ALLERGY ALTERNATIVES

b2ap3_thumbnail_Depositphotos_2734528_l-2015.jpgAccording to the Asthma and Allergy Foundation of America, at least 50 million people in the US suffer from symptoms of nasal llergies, and that number is on the rise.  If you suffer from allergies, you likely know the symptoms well - nasal congestion, runny nose, sneezing, itchy and watery eyes. as well as fatigue and “brain fog”.  In today’s blog, I present alternatives to the standard prescription and over-the-counter antihistamines commonly used to treat seasonal allergies - calling on the advice and recommendations of Dr. Andrew Weil. world-renowned leader and pioneer in the field of Integrative Medicine, and Director of the Arizona Center for Integrative Medicine at the University of Arizona



QUERCETIN

b2ap3_thumbnail_blueberries.jpgQuercetin is a bioflavonoid found in a variety of foods, and can also be taken in supplement form.  Dr. Weil states that in the lab, Quercetin stabilizes mast cells that release histamine, the principal mediator of reactions to pollen and other allergies, making it a natural antihistamine. It is used to treat symptoms of hay fever (when taken regularly for at least six to eight weeks), such as runny nose, watery eyes, and itching, as well as other forms of allergy and hives.
Food sources of Quercetin: buckwheat, apples, onions, kale, tomatoes, broccoli, asparagus, berries, red wine, and tea.

STINGING NETTLE
b2ap3_thumbnail_nettle.jpgStinging Nettle is a perennial flowering plant that has been used medicinally for ages. dating back to ancient Greece.  Dr. Weil states that Stinging Nettle, while often used to treat conditions such as osteoarthritis, eczema and gout, may also affect the sneezing and itching of hay fever, perhaps because the herb can reduce the amount of histamine the body releases from mast cells in response to an allergen.
Stinging Nettle grows all over the world and blooms June through September, with pink and yellow flowers.


ACUPUNCTURE

b2ap3_thumbnail_acupuncture.jpgAcupuncture for allergies?  While you may be skeptical, Traditional Chinese Medicine specialists frequently use Acupuncture to lessen the signs and symptoms of seasonal allergies.  In a study published in the journal Annals of Internal Medicine, researchers examined 422 people who tested positive for pollen allergies and had allergic nasal symptoms. The participants who received real acupuncture treatments with their antihistamines showed a greater improvement in their allergy symptoms and less use of antihistamines compared to the other groups.  While the conclusion had it’s limitations (those participants receiving “sham” acupuncture also showed some benefit, suggesting a placebo effect), Dr. Weil states the study’s outcome suggests that acupuncture may help relieve the symptoms of seasonal allergies and is worth further investigation.
To read more about this research article and Dr. Weil’s views on acupuncture for allergies click here.


THE GUT-ALLERGY CONNECTION

b2ap3_thumbnail_tarmar.jpgDid you really think that I could blog without mentioning the gut?  Dr. Weil also acknowledges that deleterious changes in the microbiome may underlie the increased incidence of allergy, as they are also felt to be linked to other conditions, including gluten sensitivity, autoimmunity, and autism.  In a study published in 2011 in the Journal of Allergy and Clinical Immunology, Danish researchers showed that the risk of allergies is higher than normal in children with a less diverse microbiome. If you suffer from allergies, consider working with a Functional Medicine specialist to evaluate and optimize your gut microbiome.
Do the bugs in your belly cause allergies?  Read Dr. Weil’s article here.

 



Carin Nielsen, MD Integrative MedicineLooking for a personalized approach to your healthcare? I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions. Treating symptoms and chronic disease simply by prescribing medication doesn't address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface" to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.

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b2ap3_thumbnail_sanitasgeneral2.jpg

THREE REASONS TO CHOOSE SANITAS:


1. MAKE YOUR SKIN WORK FOR YOU
Sanitas products give skin everything it needs to do what it already does best: repair and strengthen itself.

The human skin has miraculous built-in mechanisms for constant repair and renewal of its surface. Unfortunately, the combined assaults of lifestyle, environment and time can compromise the body’s ability to keep up – which is why every technology, ingredient, and dosage in every Sanitas product is selected to foster and improve your skin’s own natural processes to regenerate and protect itself.


2. “EXERCISE & REST” - YOUR NEW SKINCARE ROUTINE
The heart of Sanitas’ tested and proven skincare routines lies in the concept of “exercise and rest.”

A resting phase and strengthening phase are both necessary to build continuous skin strength. “Exercising” products utilize alpha hydroxy acids to encourage skin renewal and strengthen the skin’s barrier. On resting days, exercising products are eliminated and only pH neutral products are used to keep the skin’s barrier intact. Limiting the use of exercising products to three to four days per week allows the skin to recover and regenerate.


3. CLEAN, SAFE INGREDIENTS
All Sanitas products are cruelty-free and contain no parabens, phthalates, dyes, harsh preservatives or gluten.

Sanitas Skincare pharmaceutical-grade ingredients are obtained from fair trade, earth conscious, sustainable suppliers. All Sanitas facial care products that remain on the skin are completely fragrance-free and only essential oils that are medicinal in purpose are used.

Want to learn more? Stop by our Downtown Petoskey office to sample or browse products online.

Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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Your skin has the amazing ability to repair and regenerate itself, especially when you treat it with the right balance of stimulation and nourishment. This simple truth is the foundation of the Sanitas Skin Care line.

I have been using products from this Boulder, Colorado based company for years and am excited to share them with my clients.  All Sanitas products are cruelty free and contain no parabens, phthalates, dyes, harsh preservatives or gluten.


b2ap3_thumbnail_SAN_CURRENT-PHOTO-groupsm.jpgPROGENERATE • ACTIVATE • OPTIMIZE

AN OVERVIEW OF THE SANITAS SKIN CARE SYSTEM
 

PROGENERATE
The foundation for healthy skin starts here.
Start with daily essentials: Cleanser - Serum - Moisturizer

Looking to change up your skin care routine? This is the place to start. This collection features customized, daily essentials that are specially formulated for various skin types. A simple daily regimen of cleanser, serum, and moisturizer will help strengthen and prepare your skin to progress to the Activate and Optimize categories for rapid results.  Formulas available for all skin types.
Dr. Nielsen's favorites: The Lemon Cream Cleanser is addictive - one smell and you will be hooked! I alternate between the Vita Rich Serum (very hydrating and packed with antioxidants) and the Weightless Serum (more of a matte finish) depending on the time of year.

b2ap3_thumbnail_SAN_GlycoSolution-5_sm.jpg
ACTIVATE
Looking to take your skin care routine up a notch?
Integrate one or more of the Active skin care products into your routine. 

Designed to activate skin rejuvenation levels and elevate results, this collection of products integrates powerful technologies for progressing the health of the skin. Activate products include alpha-hydroxy acids, retinols, high-potency topical Vitamin C and more. Product concentrations may increase over time to prevent your progress from plateauing.
Dr. Nielsen's favorites: I'm obsessed with the Vitamin C Lactic cleanser (used 2-3 days per week).  I use the Vita C Serum at night - this high-potency Vitamin C serum is rich in antioxidants and essential fatty acids.  

b2ap3_thumbnail_SAN_BrighteningPeelPads_sm.jpg
OPTIMIZE
Have a specific need?
Try these targeted, therapeutic products.

Whether you are looking to reduce blemishes, brighten, hydrate, or reverse the effects of aging, this collection of targeted, therapeutic products is designed to help rehabilitate challenged skin. When combined with the proper Progenerate and Activate programs, the correct selection of Optimize products will advance skin to its most healthy, optimal state.
Dr. Nielsen's favorites: I LOVE the Brightening Peel Pads - these pads can be used 2-3 times per week for an instant glow. The Hyaluronic Concentrate is combined with your usual moisturizer to boost hydration and reduce the appearance of fine lines - instant results!

Want to learn more? Stop by our Downtown Petoskey office to sample or browse products online.

Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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b2ap3_thumbnail_HealingArthritis.jpgIn Healing Arthritis, Dr. Susan Blum, author of the bestselling The Immune System Recovery Plan shares her science-based, drug-free treatment plan for the almost fifty million people who suffer from arthritis.

FROM THE PUBLISHER:
Arthritis is the most common cause of disability in the world—greater than both back pain and heart disease. One example, Rheumatoid Arthritis (RA), is the most common autoimmune disease, affecting 1% of the US population, and almost 68 million people worldwide. Conventional medicine tends to treat arthritis with strong, gut-damaging, immune-suppressing pain medications, temporarily relieving the symptoms of the disease without addressing its root causes. Now, in her groundbreaking new book, Dr. Susan Blum, a leading expert in functional medicine, offers a better approach to healing arthritis permanently.

MY THOUGHTS:
This book is a must-read for anyone suffering from joint pain or arthritis. While I’ve been recommending Dr. Blum’s first book The Immune System Recovery Plan to my patients for years, I find Healing Arthritis easier to read and more user-friendly for my patients to navigate. The book provides an overview of the root causes of inflammation/arthritis, focusing on:
  • inflammatory foods
  • gut health
  • the role of stress/trauma
Dr. Blum includes a straightforward two-week plan to quickly reduce pain through anti-inflammatory foods and supplements; followed by an intensive gut repair program. Once through this initial phase, her plan addresses the emotional issues that contribute to inflammation and outlines a simple, Mediterranean inspired diet to maintain a healthy gut.

I was pleased to see that the diet and supplement recommendations are given are the same available to patients in my office! This book will serve as a useful companion for patients navigating the world of Functional Medicine in treating arthritis and controlling inflammation.

Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, including arthritis. Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. When treating arthritis and autoimmune disease, my approach involves treating root causes such as toxicity, food allergy/sensitivity, stress/trauma and underlying infection. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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In one year, this 10-year-old has made significant behavioral improvements, has stopped two of three medications, is no longer experiencing insomnia or constipation, and is thriving at school.  Read today's blog to hear his story!

BACKGROUND

I first met nine-year-old Luke* and his mother in late 2016. Luke had been diagnosed with a variety of psychological and neurological disorders, including ADHD, PDD-NOS (pervasive developmental disorder-not otherwise specified), Anxiety, OCD (obsessive-compulsive disorder), ODD (oppositional defiant disorder), and a sensory processing disorder.

b2ap3_thumbnail_boy-attacked.jpg

Since the age of five, Luke had been evaluated and treated by a variety of psychologists, psychiatrists, neuropsychologists, and pediatricians, as well as a number of occupational and physical therapists. By age nine he was on three different prescription medications for mood and attention.

At that first visit, Luke’s mom described him as "consistently inconsistent". She illustrated a child who on one day would appear happy, calm and content, while the next day appeared ”tormented" by irritability, anger, hyperactivity, impulsiveness, and anxiety.

I also learned that Luke had suffered from both chronic interrupted sleep and lifelong constipation. At times he would go 5–7 days without a bowel movement, and his mother would notice worsening behavior during these times. Complicating matters, his multiple psychiatric medications only seemed to worsen both his sleep and constipation.

INITIAL WORKUP AND RECOMMENDATIONS 
After hearing Luke’s story and performing an examination, a comprehensive laboratory evaluation was ordered which included testing for:
  • nutritional deficiencies
  • inflammation
  • blood levels of heavy metals
  • thyroid function
  • food allergies and sensitivities
  • micronutrient testing
  • functional stool testing
Prior to our first visit, Luke's parents had already implemented changes to his diet by eliminating additives and preservatives, most processed foods, sugar, soy, and conventional dairy products. I asked them to expand upon this and completely remove gluten from his diet.

FOLLOW UP AND PLAN 
I met again with Luke and his mother in early March 2017 to review the results of his testing. With the exception of low Vitamin D, Luke’s blood lab results were overwhelmingly normal. His stool testing, however, was not.

Luke’s functional stool testing revealed several abnormalities, including:
  • poor digestion, with evidence of high levels of protein and fat in his stool
  • bacterial dysbiosis, an overgrowth of “bad” bacteria in the gut
  • low microbial diversity
I recommended they add both fish oil and vitamin D with specific dosing recommendations given. We also initiated a protocol to rebalance his gut which included:
  • continued food restriction, avoiding gluten and other inflammatory foods
  • chewable digestive enzymes with meals
  • pharmaceutical-grade probiotics
  • an herbal blend to reduce the overgrowth of “bad” gut bacteria while still promoting the growth of “good” gut bacteria
TWO MONTHS LATER - PROGRESS! 
Off one medication and behavior improved!

Luke’s mother and I followed up via email in May after completing the herbal gut protocol. I was thrilled to learn of the progress that Luke had made! He had been off of Concerta (a medicine for hyperactivity and attention) for 2 months and was experiencing less behavioral problems. I advised them to continue the probiotics, enzymes, fish oil and vitamin D, and we added magnesium.

A FEW MORE MONTHS - MORE PROGRESS!
Off two medications, sleeping well and regular bowel movements!

b2ap3_thumbnail_GUT.jpgBy August 2017 Luke was down from three to only one medication. His mother reported that he was sleeping well and was having daily well-formed bowel movements! While Luke was still often impulsive and defiant, overall significant behavior improvement had continued since his initial visit.

In November Luke’s mother and I touched base after he had been back in school. She reported that he was “loving school” and was excited to report that he had not had any behavioral or academic problems. His anxiety and impulsiveness had improved. and his mother commented that “he looks really healthy”.

ONE YEAR LATER 
To follow up our gut protocol, we repeated Luke’s Functional Stool Testing, as well as a Urine Organic Acid Panel (which can give us a wealth of information without another blood draw). His stool testing had significantly improved, with better microbial diversity however he continued to show signs of poor digestion and bacterial levels, while much better, were still trending toward imbalance.

Using this follow up information we were able to “tweak” his current program, adding back digestive enzymes (which had been phased out), and repeating a one-month herbal program to further balance gut bacteria. We also added back L-glutamine to further heal and strengthen his small intestinal lining.

His diet restrictions have loosened slightly, but key concepts remain in place, including a whole food diet, and keeping sugar and processed foods to a minimum. They have identified significant gluten intolerance with increased anxiety and agitation, as well as a slightly less pronounced sugar intolerance.

Through the use of a thorough history, appropriate laboratory testing, and evidence-based Functional Medicine protocols, Luke has made significant behavioral improvements, has stopped two of three medications, is sleeping well, having regular bowel movements and thriving at school. I look forward to seeing his progress continue over the years to come!

*patient name has been changed to protect privacy

Carin Nielsen, MD Integrative MedicineI use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, including both adult and childhood mood and behavior disorders. Rather than focusing solely on the use of prescription medication, consider addressing potential "root causes" of you or your loved one's symptoms, such as nutrition, gut health, toxicities/impaired detoxification, hormone imbalance, deficiencies and more. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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b2ap3_thumbnail_Shop_17FiberCapsules.jpgGlucomannan is a “Super Fiber” that has been shown to reduce appetite, aid in weight loss, lower cholesterol and blood sugars, and relieve constipation.*

Glucomannan is an ancient fiber that comes from the Asian elephant yam, also known as Amorphophallus konjac. This soluble fiber is one of the most viscous dietary fibers known - it can absorb up to 50 times its weight in water.

APPETITE AND WEIGHT LOSS

When combined with water, glucomannan forms a viscous gel-like substance that slows digestion, delays the emptying of food from the stomach into the small intestine, slows down the influx of carbohydrates and fats into the bloodstream, binds to bile acids, and impedes dietary fat absorption.* [1,2]  Studies suggest that glucomannan supplementation significantly reduces weight at doses of 3 g/d to 4 g/d when compared to placebo. [1-7]

Bottom line: When combined with water, Glucomannan expands in your stomach, helping to reduce hunger and promote weight loss.*

GLUCOSE AND LIPID METABOLISM

Soluble fiber slows the absorption of carbohydrates, which influences the release of insulin and the rate of fat storage. Glucomannan studies have not only demonstrated a positive impact on postprandial glucose handling and glucose metabolism but also on cholesterol metabolism.* [1-4,7-9]

Bottom line: When combined with food, studies show that Glucommanan can lower blood sugars and cholesterol.*

HEALTHY BOWEL FUNCTION, PREBIOTIC

Glucomannan not only allows more water to remain in the stool, thereby making waste softer, larger, and easier to pass through the intestines, but it is also an excellent prebiotic. In a placebo-controlled, randomized, parallel, double-blind, crossover trial, doses of 3 g/d and 4 g/d of glucomannan had a positive impact on bowel regularity when compared to placebo. [10] Glucomannan has also been shown to increased the fecal concentration of lactobacilli as well as the daily output of bifidobacteria, lactobacilli, and total bacteria. In addition, fermentation of glucomannan resulted in greater fecal concentrations of short-chain fatty acids and lower fecal pH.*[11]

Bottom line: Glucomannan promotes regular bowel movements and the growth of more "good bacteria" in your gut.*


FIBER LEAN

b2ap3_thumbnail_Shop_17FiberLean.jpgFIBER LEAN
features Shimizu Propol® A propolmannan - a konjac-derived glucomannan using proprietary processing techniques that allow the fiber to maintain high viscosity yet remain stable through the digestive tract.
  • Supports Appetite and Weight Control* 
  • Supports Glucose and Cholesterol Metabolism* 
  • Supports Healthy Bowel Movements* 
  • Serves as a Prebiotic for Intestinal Bacteria* 
When taken with adequate amounts of water, Fiber Lean expands in the stomach, creating a viscous “gel-like” substance which promotes a sense of fullness, slows the rate at which food enters your bloodstream and increases the speed at which food exits the body through the digestive tract (pushing more calories out through the colon, rather than letting them be absorbed). Fiber Lean binds and quickly eliminates toxins from the gut.*
  • Take 30-60 minutes before a meal to feel full with reduced portion sizes*
  • Take prior to heading out to a party/event to reduce cravings and temptation*

Fiber Lean comes in both powder and capsule form.  
Visit our Downtown Petoskey office for a free Fiber Lean sample, 

or visit our online store to buy online.


1. Walsh DE, Yaghoubian V, Behforooz A. Effect of glucomannan on obese patients: a clinical study. Int J Obes. 1984;8(4):289-93. [PMID: 6096282]
2. Doi K, Nakamura T, Aoyama N, et al. Metabolic and nutritional effects of long- term use of glucomannan in the treatment of obese diabetics. In: Oomura Y, Tarue S, Inoue S, Shimazu T, eds. Progress in Obesity Research 1990. London: John Libbey; 1991:507-14. [on file]
3. Kaats GR, Bagchi D, Preuss HG. Konjac glucomannan dietary supplementation causes significant fat loss in compliant overweight adults. J Am Coll Nutr. 2015 Oct 22:1-7. [PMID: 26492494] 4. Biancardi G, Palmiero L, Ghirardi PE. Glucomannan in the treatment of overweight patients with osteoarthritis. Curr Ther Res. 1989;46:908-12. [on file]
5. Reffo GC, Ghirardi PE, Foranttini C. Glucomannan in hypertensive outpatients: pilot clinical trial. Curr Ther Res. 1988;44(1):22-27. [on file]
6. Salvatoni A, Bosetti G, Gambarini G. Lipid pro le and excess body weight in obese children: effect of a dietary drug supplement (glucomannan vs detastranum). Ped Oggi. 1991;11:243-45. [on file]
7. Kraemer WJ, Vingren JL, Silvestre R, et al. Effect of adding exercise to a diet containing glucomannan. Metabolism. 2007 Aug; 56(8):1149-58. [PMID: 17618964]
8. Hopman WP, Houben PG, Speth PA, et al. Glucomannan prevents postprandial hypoglycaemia in patients with previous gastric surgery. Gut. 1988;29(7):930- 34. [PMID: 2840365]
9. Vita PM, Restelli A, Caspani P, et al. Chronic use of glucomannan in the dietary treatment of severe obesity [in Italian]. Minerva Med. 1992 Mar;83(3):135-39. [PMID: 1313163]
10. Marsicano LJ, Berrizbeitia ML, Mondelo A. Use of glucomannan dietary ber in changes in intestinal habit [in Spanish]. G E N. 1995 Jan-Mar;49(1):7-14. [PMID: 8566676]
11. Chen HL, Cheng HC, Wu WT, et al. Supplementation of konjac glucomannan into a low- ber Chinese diet promoted bowel movement and improved colonic ecology in constipated adults: a placebo-controlled, diet-controlled trial. J Am Coll Nutr. 2008 Feb;27(1):102-08. [PMID: 18460488]

Consult your healthcare practitioner prior to use. Individuals taking medication, especially hypoglycemic agents, should discuss potential interactions with their healthcare practitioner. Do not take Fiber Lean at the same time as medication as it may reduce medication absorption.

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.

Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, including many that are linked to unhealthy eating habits and lifestyle patterns Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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THE THREE BOOKS I MOST OFTEN RECOMMEND TO PATIENTS

Summer is a great time to relax in the hammock or on the beach with a good book.  Below are three books I frequently recommend to patients.  Each is the type of book that you can come back to over time, re-reading chapters and absorbing more information.  Happy reading!


b2ap3_thumbnail_ImmuneSystemRecovery.jpg THE IMMUNE SYSTEM RECOVERY PLAN: A DOCTOR'S 4-STEP PROGRAM TO TREAT AUTOIMMUNE DISEASE

By Susan Blum, MD, MPH

A must-read for anyone seeking a Functional Medicine approach to Autoimmune Disease, and a great companion to my office protocols.

This book provides:

 -A basic science “primer” of the immune system and its dysfunction in Autoimmune Disease (you can skip ahead if it’s too much).
- An overview of a Functional Medicine approach to Autoimmune Disease.
- Sep-by-step protocols for managing stress, cleaning up the gut and optimizing detoxification.


b2ap3_thumbnail_HormoneCure.jpg THE HORMONE CURE:
RECLAIM BALANCE, SLEEP, AND SEX DRIVE; LOSE WEIGHT; FEEL FOCUSED, VITAL, AND ENERGIZED NATURALLY WITH THE GOTTFRIED PROTOCOL

by Sara Gottfried, MD

If you are a female between the ages of 35-65, you should read this book!

Harvard-trained physician Dr. Sara Gottfried provides an easy-to-read, well-organized summary of a Functional Medicine approach to hormone balance, including:
  • - Adrenal dysfunction
  • - Thyroid disorders
  • - Peri-menopause and Menopause
Dr. Gottfried explains how stress impacts hormones at many levels and provides evidence-based protocols to get you started on the path to hormone balance.


b2ap3_thumbnail_GrainBrain.jpg GRAIN BRAIN:
THE SURPRISING TRUTH ABOUT WHEAT, CARBS, AND SUGAR--YOUR BRAIN'S SILENT KILLERS

by David Perlmutter, MD

Looking to learn more about gluten and its potentially damaging effects on the body? Considering a more “Paleo” diet? This best-selling book by board-certified Neurologist David Perlmutter is thought-provocative and research-oriented, and will certainly cause you to pause before you put that bagel in your mouth! Included is a practical four-week plan to get you started on a grain-free lifestyle, including gluten-free recipes.

Want to learn more? Consider a few of Dr. Perlmutter’s other books:
  • “The Grain Brain Cookbook” and “The Grain Brain Whole Life Plan” offer even more practical, day-to-day applications.
  • “Brain Maker” a compelling read that describes the relationship between gut health and brain function.
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The National Weight Control Registry (NWCR) is an ongoing research study established in 1994 that includes over 10,000 adults who have lost at least 30 pounds of weight and kept it off for at least one year.

Members complete annual questionnaires about their current weight, diet, exercise habits and behavioral strategies for weight loss maintenance.

The NWCR was developed to identify and investigate the characteristics of individuals who have succeeded at long-term weight loss.


HOW DID NWCR MEMBERS LOSE THE WEIGHT?
  • 98% of NWCR participants report that they modified their food intake in some way to lose weight.
  • 94% increased their physical activity, with the most frequently reported form of activity being walking.
  • Over half of participants lost weight with the help of some type of program.

HOW HAVE NWCR MEMBERS KEPT THEIR WEIGHT OFF? HERE ARE SOME LIFESTYLE HABITS THEY HAVE IN COMMON:
  • 78% eat breakfast every day.
  • 75% weigh themselves at least once a week.
  • 62% watch less than 10 hours of TV per week.
  • 90% exercise, on average, about 1 hour per day.
Like I frequently discuss with clients. this is not rocket science! These people (over 10,000) lost weight simply by changing their eating patterns in some way and moving more!


WANT TO LEARN MORE?

Visit the NWCR website www.nwcr.ws




Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, including weight gain and obesity. Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” (using assessments like estrogen metabolite testing) to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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b2ap3_thumbnail_Alpha-lipoic-acid.jpgWHAT IS ALPHA-LIPOIC ACID?

Alpha-lipoic acid (sometimes referred to as ALA) is a co-enzyme found in every cell of the body, and is used to turn glucose into energy. Alpha-lipoic acid also functions as a powerful antioxidant, attacking "free radicals". Free radicals are produced in the body as a byproduct of energy production, and cause harmful chemical reactions that can damage cells, organs and tissues, and make it harder for the body to fight off infections.

Alpha-lipoic acid is the only antioxidant that is both water and fat-soluble, which means it has access too all parts of our body to attack free radicals and prevent oxidative damage. Alpha-lipoic acid also helps to regenerate other powerful antioxidants and make them active again.

WHAT IS ALPHA-LIPOIC ACID USED FOR?
  • Diabetes, Pre-Diabetes and Insulin Resistance
  • Peripheral Neuropathy
  • Heavy Metal clearance
  • General Antioxidant Support
Researchers believe Alpha-lipoic acid helps improve insulin sensitivity. More simply put, Alpha-lipoic acid may make it easier for your body to use blood sugar for fuel. Alpha-lipoic acid is also used to treat the symptoms and delay progression of diabetic and alcoholic peripheral neuropathy. Studies show Alpha-lipoic acid binds with toxic metals, such as mercury, arsenic, iron, and other metals that act as free radicals. Because alpha-lipoic acid can pass easily into the brain, it may help protect the brain and nerve tissue, researchers are investigating it as a potential treatment for stroke and other brain problems involving free radical damage, such as dementia.

HOW TO SUPPLEMENT: ADULTS
  • General antioxidant support: 50-400 mg per day
  • Diabetes and diabetic neuropathy: 600-800 mg per day

PRECAUTIONS/POSSIBLE INTERACTIONS


Because of the potential for side effects and interactions with medications, you should take dietary supplements only under the supervision of a health care provider. Side effects are generally rare and may include insomnia, fatigue, diarrhea, and skin rash.

Alpha-lipoic acid has not been studied in children, pregnant or breastfeeding women and is therefore not recommended for use in these populations.

Caution:
  • If you are diabetic or have low blood sugar, as Alpha-lipoic acid many lower blood sugars further.
  • If you are an alcoholic, or have Vitamin B1 (Thiamine) deficiency, as animal studies have shown that Alpha-lipoic acid may lower Vitamin B1 levels.
  • If you are on thyroid medication, monitor thyroid levels as Alpha-lipoic acid may reduce thyroid hormone levels.
  • If you are on chemotherapy, you should check with your oncologist prior to using Alpha-lipoic acid.
SOURCES:
  • University of Wisconsin Integrative Medicine - Supplement Samplers
  • University of Maryland Medical Center - Complementary and Alternative Medicine Guide
  • Oregon State University, Linus Pauling Institute - Micronutrient Information Center



Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions. Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” (using assessments like estrogen metabolite testing) to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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Interested in learning more about our 12-week Weight Loss/Lifestyle Change programs?

Wondering how a program might work for you?


TODAY'S BLOG COMES FROM A PATIENT'S OWN WORDS AFTER HER RECENT
“12-WEEK TRANSFORMATION”.


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“The program was personalized to fit my needs, concerns. Once I learned how and what to eat I have been able to continue almost automatically. It works because it changes how you see food and gives you a healthy change, instead of yo-yo diets or a fad diet that you won't be able to do long-term.

It is a lifestyle change, one that my body needed. I am able to pinpoint which foods make me feel sick and which ones add weight, and eliminate them.”  EL, Age 36.

In just 12 weeks, she lost:

28 POUNDS
7 INCHES OFF HER WAIST 
4.5 INCHES OFF HER HIPS
3.75 INCHES OFF HER CHEST
3.25 INCHES OFF HER ARM

 And she even took a three-week vacation during her program!  


Are you ready to get started?


Call 231-638-5585 to book your appointment today, or feel free to email me with questions at This email address is being protected from spambots. You need JavaScript enabled to view it.



Carin Nielsen, MD Integrative MedicineLooking for a personalized approach to your healthcare? I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions. Treating symptoms and chronic disease simply by prescribing medication doesn't address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface" to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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Have you or a loved one been diagnosed with high cholesterol? Have you been prescribed a statin medication? Functional Medicine provides a framework to determine why you have high cholesterol, assess other cardiovascular risk factors, and outline a treatment plan that is cu
stomized for your individual needs.

1. FUNCTIONAL MEDICINE ASKS THE QUESTION- WHY DO YOU HAVE HIGH CHOLESTEROL?

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As Functional Medicine physician and best-selling author Dr. Mark Hyman likes to say, “High Cholesterol is not a Lipitor deficiency”.

Before jumping to a prescription, Functional Medicine asks the question why? By addressing the root cause of your elevated cholesterol you may be able to avoid medication and lessen cardiovascular risk.

Obviously, diet can play a big role in elevated cholesterol, but there are other factors that may be contributing to or causing high cholesterol that a Functional Medicine doctor considers, including:

  • Genetics
  • Hormone Imbalance (especially thyroid and insulin/blood sugar)
  • Hidden Infections
  • Toxicity (especially heavy metals)


2. FUNCTIONAL MEDICINE GOES BEYOND THE STANDARD LIPID PANEL WITH ADVANCED LABORATORY TESTING.

Why do we even care about high cholesterol? Because of risk for heart and vascular disease! Yet many physicians base risk and treatment decisions on a standard lipid panel alone.

Functional Medicine uses Advanced Laboratory Testing to get a more accurate assessment of risk and to develop individualized treatment plans that are not simply focused on statin medication.

b2ap3_thumbnail_ExampleLipidPanel_Click.jpgLDL cholesterol is typically referred to as “bad cholesterol”, but not all LDL cholesterol is created equal!

Advanced Laboratory Testing measures the size and number of your LDL particles - which is a better predictor of heart and vascular disease risk. If you have small, dense “sticky” LDL particles, these are much more concerning than large, buoyant “beach ball”-like particles, which carry less risk. In addition to measuring the size of your LDL particles, Advanced Laboratory Testing measures another type of lipid protein called lipoprotein(a). Lipoprotein(a) is a highly atherogenic “troublemaker” that has a strong genetic component and does not readily decrease with diet change or statin drugs. Knowing your lipoprotein(a) levels can help to direct a more individualized treatment plan.

What is LDL?
LDL is a “carrier protein”. Its job is to “carry” cholesterol particles around the body.

LDL isn't always "bad" because your body needs cholesterol!

Cholesterol is an important component of cell membranes and has an antioxidant effect on the brain. Cholesterol is also an important “building block” from which we make our hormones and Vitamin D.

LDL cholesterol itself isn't necessarily a bad thing, yet when LDL cholesterol is in an inflamed environment, your risk of heart and vascular disease increases.

Advanced Laboratory Testing measures the factors that make your LDL cholesterol more of a problem:

  • Inflammation (think of as “fire” in your arteries) measured with hsCRP and fibrinogen
  • Oxidation (think of as “rusting” in your arteries) measured by myeloperoxidase or oxidized LDL
  • Glycation ( think of as “sugar coating” LDL and making it stickier) measured with fasting glucose, insulin, and HbA1c

Advanced testing can also look for signs of plaque formation in the arteries - measured with LP-PLA2 activity laboratory testing, or imaging studies such as carotid artery ultrasound or coronary calcium CT scoring.


3. FUNCTIONAL MEDICINE OFFERS TREATMENT FOR HIGH CHOLESTEROL THAT GOES BEYOND STATIN DRUGS.

b2ap3_thumbnail_Blog_vegetables.jpgDon’t get me wrong, a Functional Medicine doctor may prescribe statin medications if indicated, but not as first-line therapy. These days it seems almost a “knee-jerk” reaction for doctors to prescribe statin medications at the first sign of elevated cholesterol. In fact, statin drugs are one of the most frequently prescribed classes of medication worldwide and account for hundreds of billions of dollars in revenue for pharmaceutical companies.

Once you’ve determined why your cholesterol is elevated, and what other risk factors are present, Functional Medicine then outlines a treatment plan that is individual for each patient, based on this information.

Food First!

Diet is first and foremost in the treatment of high cholesterol and the discussion of heart and vascular disease risk. This doesn’t have to be difficult! The principles of a heart-healthy diet can be broken down to a few simple goals:

  • reduce the “white stuff” (sugar and processed and refined carbohydrates)
  • avoid unhealthy fats
  • eat more plants
  • choose high-quality protein sources

Functional Medicine does not believe in a “one-size-fits-all” diet approach. Based upon a person’s genetics, testing results, and the current state of health, various diet plans may be recommended, including:

  • A low glycemic load diet, such as “The Blood Sugar Solution” by Dr. Mark Hyman
  • A modified Mediterranean Diet such as the Institute for Functional Medicine’s Cardiometabolic Food Plan
  • A plant-based diet such as Rip Esselstyn’s Engine 2 Diet
  • A “paleo” diet such as Chris Kresser’s “Your Personal Paleo Code”

Laboratory studies are re-checked about three months after making diet change to assess the impact on disease risk.

Beyond Diet

Moving “beyond diet”, a Functional Medicine treatment plan for high cholesterol will focus on the underlying causes listed above, and the results of Advanced Laboratory Testing, and may include:

  • Treatment of low thyroid to achieve optimal thyroid levels (not simply “normal range”)
  • Stress-reduction and mind-body tools to lower cortisol output
  • Weight reduction to lower blood pressure and reduce sleep apnea
  • Treating insulin resistance and lowering blood sugars
  • Treating infections in the gut and restoring gut balance
  • Antioxidant support to reduce oxidation stress
  • Detoxification/chelation of heavy metals
  • A regular exercise program to increase cardiovascular fitness


Carin Nielsen, MD Integrative MedicineDo you have questions about a Functional Medicine approach to High Cholesterol or Cardiovascular disease risk? Are you ready to get your own evaluation started? If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.

 
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b2ap3_thumbnail_6DayDetox.jpg

“Detox Jump-Start” - Five Tips for Success



1. GIVE YOURSELF TIME TO PREPARE.

Take time to look the kit over and become familiar with the diet plan. Make a shopping list and stock your kitchen for success!

2. IF YOU ARE CONSTIPATED, START THE COLON-X AND DRAINAGE PRODUCTS FOUR DAYS PRIOR TO THE DETOX START, RATHER THAN TWO.

You should never detox if you are constipated, you need to be able to “take the garbage out”! Ensure adequate bowel movements prior to starting.

3. IF YOU DRINK COFFEE, CUT BACK SLOWLY.

Stopping coffee “cold turkey” can cause headaches! Cut back slowly, down to 1/2-1 cup in the AM. If you desire, eventually stop completely or switch to decaf.

4. KEEP IN MIND - YOU MIGHT NOT FEEL WELL THE FIRST FEW DAYS OF THE DETOX PROGRAM. 

This is common. As your body begins to detox, you may experience symptoms such as headaches, fatigue, mental fog or irritability. Don’t worry! After a day or two these symptoms should subside. Drink plenty of water and get plenty of rest.

5. PLAN FOR LONGER THAN SIX DAYS!

While the kit says “6-Day Detox”, you will get more benefits if you extend your program. We ask clients to try to commit to a minimum of two weeks. With the exception of OptiCleanse GHI, all products in the kit contain a 30 day supply! As you wrap up your program, make note of how you are feeling, and consider re-introducing food groups one at a time. Allow about three days before re-introducing new foods, and monitor how you feel for 1-3 days after reintroduction. This will allow you to identify food sensitivities you may not have been aware of.

If you have any questions or concerns, don't hesitate to contact me at This email address is being protected from spambots. You need JavaScript enabled to view it.

Carin Nielsen, MD
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“My health was continuing in a negative pattern, other programs weren’t working…I knew if I didn’t make changes now it would have dire consequences.”
-Sandra, age 63

Sandra was referred to our office by her family physician in August 2016 for help with weight loss. At 63 years old, her weight had been hovering between 190-200 pounds for the past 20 years. Despite regular exercise, including CrossFit, she had not been able to achieve lasting weight loss on her own.

LESSON #1 - YOU CAN'T EXERCISE YOUR WAY OUT OF A POOR DIET.

Sandra’s “weakness” was sugar. She loved to bake and her sweet tooth often took over, especially in the evening. She also had a fairly high-starch diet, with bread or muffin in the morning, and snacking on chips or popcorn later in the day.

LESSON #2 - WHITE FLOUR IS PROCESSED IN THE BODY JUST LIKE SUGAR.

Sandra’s plan was simple -
Rather than focusing on what she shouldn’t have, we focused on “stacking the deck”, a term we use to describe getting the right foods in earlier in the day to avoid over-eating later in the day. It’s more positive to think about the good foods you should be eating, rather than the foods you should be avoiding.

LESSON #3 - IF YOU DON'T GIVE YOUR BODY WHAT IT NEEDS DURING THE DAY, YOUR BODY WILL SEEK OUT WHAT IT DOESN'T NEED IN THE EVENING!

By focusing on protein, fiber, and healthy fat at key points during the day, Sandra was able to curb her nighttime snacking, and within a couple of weeks her sweet tooth had subsided.

12 weeks later:
  • Sandra had lost 18 pounds.
  • Her body mass index was no longer in the “obese” range. 
  • She took 4.5” off her waist, 2.25” off her chest, and 1.5” off her hips.
  • Her thyroid numbers were optimized.
  • Her blood sugar was no longer in the pre-diabetic range.

The best part? I saw her yesterday at the office, and one month after her program ended, she had maintained her weight loss!

When asked how our program was different from weight loss programs she has tried in the past, Sandra stated, “It was fairly simple in what to have. What to eliminate from eating. Not counting everything and just helping to make better choices…the encouragement from all of you was amazing.”

Are you ready for a change in the New Year?  
Visit www.CarinNielsenMD.com for more information,
or contact our office for an appointment 231-638-5585.



Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, as well as for general health and wellness and weight loss. Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” (using assessments like estrogen metabolite testing) to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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INFRARED SAUNA THERAPY

Frequently Asked Questions


b2ap3_thumbnail_InfraredSaunta.jpgWHAT IS AN INFRARED SAUNA?
An infrared sauna uses infrared light waves to penetrate deep into the body, heating it directly.
Infrared sauna treatments cause reactions in the body, including:
  • increased sweating
  • increased heart rate
  • the same type of clarity-of-mind feelings as moderate exercise
  • relaxation responses triggered by the body’s parasympathetic nervous system

HOW IS AN INFRARED SAUNA DIFFERENT THAN A CONVENTIONAL SAUNA?

An infrared sauna differs from “regular saunas” because their light directly penetrates your skin but does not warm the air around you. The results of a far-infrared sauna are produced at lower temperatures than a conventional sauna.


WHAT ARE THE POTENTIAL BENEFITS OF INFRARED SAUNA?
Potential benefits of infrared sauna may include:
  • Relief of stress
  • Relaxation of muscles
  • Reduction of chronic pain, including pain from arthritis
  • Enhanced detoxification
  • Improved heart function
  • Increased calorie burning
  • Improved skin appearance
  • Lowered side effects in Diabetes
  • Reduction of coughs/colds and Influenza
  • Overall improved well-being

WHO MIGHT BENEFIT FROM INFRARED SAUNA THERAPY?

As sweating is one of the most powerful detoxification tools of the body, anyone may benefit from infrared sauna treatments.

Some studies have shown benefits of infrared sauna therapy for people with:
  • cardiovascular disease
  • diabetes
  • high blood pressure
  • congestive heart failure
  • Improved heart function
  • rheumatoid arthritis
  • chronic muscle and joint pain
  • poor digestion
  • chronic depression and anger

OUR  INFRARED SAUNA THERAPY USES FAR-INFRARED LIGHT,
WHAT DOES THAT MEAN? 

All infrared sauna therapy is not the same!  There are different levels of infrared light: near, middle, and far.  These different levels represent the different sizes in infrared wavelengths and refer to the intensity of the treatment.

While near-infrared light may be helpful for wound healing and may help to warm the body. far-infrared light penetrates deeper in the body producing more sweat.  Potential benefits may include improved circulation, muscle relaxation, and enhanced detoxification.


SHOULD I BE CONCERNED ABOUT EMR (ELECTROMAGNETIC RADIATION) OR ELECTRICAL FIELDS)?

Our Finnleo® far-infrared sauna uses Pure Infra technology, which was developed to take the worry out of unnecessary exposure to EMR and EF. Simply put, no other infrared sauna system minimizes your exposure to EMR and EF better than Pure Infra. The electrical field in a Pure Infra is less than you’d experience from a computer screen or cell phone.




Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions.  Holistic therapies such as Infrared Sauna are just one way that we help patients "think outside the box". Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” (using assessments like estrogen metabolite testing) to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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SEASONAL MOOD CHANGES?

Time to check in with your Neurotransmitters.


PART ONE – LIGHT THERAPY AND VITAMIN D

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It’s that time of year. The days are getting shorter, the sky is getting darker. If you are one of the many people affected by the changing seasonal light patterns, you may be starting to feel physical symptoms such as:
  • Feeling more tired or feeling a need for more sleep.
  • Feeling “blue”, sad, or even depression.
  • Increased food cravings, especially carbohydrates.
These seasonal physical symptoms are thought to be caused by changes in your neurotransmitters. Neurotransmitters are brain chemicals that communicate information throughout our brain and body. Think of neurotransmitters as “brain hormones”. Proper balance of neurotransmitters is essential to regulate hunger, mood, cravings, energy, motivation, and self-image.

Learn more from my earlier blog “Get to Know Your Neurotransmitters”.

BOOST YOUR NEUROTRANSMITTERS THIS FALL: CONSIDER LIGHT THERAPY

As our daylight dwindles are you getting tired and grumpy?

b2ap3_thumbnail_CarinNielsen_LightTherapy225.jpgReduced exposure to sunlight in the fall and winter can be a major factor contributing to symptoms of seasonal depression, cravings, and fatigue. With light therapy (also called phototherapy), a light device (which is most often a light box but also available as a light visor) emits a full-spectrum light resembling sunlight. Light therapy is felt to work by regulating and improving the production of the neurotransmitters serotonin and dopamine (key chemicals in regulating mood, energy and food cravings).

For best results using light therapy:
  • Your light box or device should emit 10,000 lux (a measurement of light intensity).
  • You should sit with your face near the light, eyes open but not looking directly into the light.
  • Aim for 30 minutes daily, preferably in the morning.
Want to learn more about light therapy? Check out this article by Dr. Andrew Weil.

OPTIMIZE YOUR VITAMIN D LEVELS

b2ap3_thumbnail_CarinNielsen_Sunshine125.jpgVitamin D - the “Sunshine Vitamin”
Vitamin D is often referred to as the “Sunshine Vitamin”, however is not actually a vitamin at all! Vitamin D is a hormone that is produced in the body when your skin is exposed to sunlight. That being said, as the daylight hours lessen, so does your ability to produce Vitamin D. As a physician who has been routinely checking Vitamin D levels in my patients for many years, I can tell you that I rarely see an “optimal” Vitamin D level in the winter months without Vitamin D supplementation.

You may be aware of the numerous well-studied benefits of Vitamin D - including it’s role in bone strength, fracture prevention, healthy immune and nervous system function,and even prevention of certain cancers - but did you know that Vitamin D was also important in regulation of mood? Several studies have suggested that the symptoms of seasonal depression may be due to changing levels of Vitamin D3, which may affect serotonin levels in the brain (a key neurotransmitter in mood and appetite regulation).
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My Vitamin D recommendations:
  • Have your blood levels of 25 OH Vitamin D measured. While a number greater than 30 is considered “normal”, aim for an “optimal” level closer to 60.
  • If supplementing with Vitamin D, choose Vitamin D3, and take with a meal containing fat for best absorption.
  • While supplementing, recheck 25 OH Vitamin D levels approximately every three months.
Want to learn more about Vitamin D? Check out this article by Dr. Mark Hyman.


Carin Nielsen, MD Integrative Medicine I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, including many that are linked to unhealthy hormone imbalance. Treating symptoms simply by prescribing medication as a “band-aid” does not address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface” (using assessments like estrogen metabolite testing) to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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How much Fish Oil are you really taking? Read the label!

As an Integrative and Functional medicine physician, I frequently recommend omega-3 fatty acids to my patients for a variety of reasons. Omega-3 fatty acids:
  • have potent anti-inflammatory benefits
  • are important components of cell membranes
  • help to maintain heart, brain and nervous system health

Omega-3 fatty acids are backed by volumes of research indicating their value in preventing conditions such as:
  • heart attack and stroke
  • autoimmune disease such as rheumatoid arthritis
  • certain forms of cancer
I most often recommend fish oil to supplement omega-3 fatty acids, because it is a rich source of the two active and essential omega-3 fatty acids known as EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). Other omega-3 rich supplements include cod liver oil and krill oil.

All omega-3 fatty acid supplements are not created equal!

WHAT YOU NEED TO KNOW ABOUT FISH OIL: 
  • EPA and DHA are the active omega-3 fatty acids in fish oil
  • When taking fish oil, the amount of EPA and DHA is what is most important, not total omega-3 fatty acids or total fish oil content.
  • The amount of EPA and DHA varies widely in different products.
  • Fish oil labels can be very deceiving.
  • The FDA does not regulate dietary supplements, so you need to know how to read labels!

HOW TO READ YOUR FISH OIL LABEL:

Look at the Serving Size.
How much of your product is considered a serving?
How much EPA and DHA is in each serving?
  • Remember, EPA and DHA are active omega-3 fatty acids, the rest of the omega-3 content is inactive.
  • Calculate how many servings you need to take to get your doctor’s recommended dose of EPA and DHA. 

Take a look at this example:

These two fish oil labels both contain 1000mg of fish oil, yet their EPA and DHA content is very different.

Product #1 contains 330mg of EPA and 250mg of DHA per serving (1 soft gel). Total EPA+DHA 580mg per serving.
b2ap3_thumbnail_MyFishOilLabel.jpg

Product #2 contains 250mg EPA+DHA per serving (1 soft gel). It does not specify amounts of each.
b2ap3_thumbnail_KirklandFishOil2.jpg

If your doctor was recommending 1000mg daily EPA+DHA, you would have to take:
  • 2 tabs of Product #1
  • 4 tabs of Product #2
Even though they both contain 1000mg of fish oil!

Take a look at this label. This product does not even specify EPA and DHA content:
b2ap3_thumbnail_WalMartFishOil2.jpg

IF A PRODUCT DOESN'T SPECIFY EPA AND DHA CONTENT, DON'T BUY IT!

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Our Balanced Fish Oil (available at my office and online at shop.carinnielsenmd.com) is:
  • High-Potency
  • Ultra-Pure
  • 2 soft gels provide over 1000mg EPA+DHA

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Carin Nielsen, MD Integrative MedicineLooking for a personalized approach to your healthcare? I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions. Treating symptoms and chronic disease simply by prescribing medication doesn't address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface" to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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Acupuncture is part of Traditional Chinese Medicine and can be traced back for at least 2,500 years.

The general theory of Acupuncture is based on the premise that there are patterns of energy flow through the body that are essential for health. This energy is referred to as Qi (pronounced “chee”). Disruptions of the flow of energy/Qi are believed to be responsible for disease.

Acupuncture works to correct imbalances of energy/Qi flow by stimulating anatomical points on the body. These points are stimulated using very thin, solid metallic needles placed at identifiable points close to the skin. The needles may be manipulated by the practitioner’s hands or by electrical stimulation.

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Three reasons it’s time to consider Acupuncture.

#1 NEARLY EVERYONE CAN BENEFIT FROM ACUPUNCTURE.

Regardless of your health history and physical background, almost anyone is a candidate for acupuncture. If you have an ailment, acupuncture can help relieve it. If you feel well, acupuncture can help you maintain wellness, boost immunity and manage stress.

#2 THE BENEFITS OF AN ACUPUNCTURE APPOINTMENT OFTEN GO FAR BEYOND THE REASON YOU BOOK IT.

While localized pain such as tennis elbow, carpal tunnel syndrome and back pain are common reasons for seeking acupuncture treatments, the treatment itself provides full-body benefits. Many different acupuncture points are stimulated throughout the body. Those who participate in Acupuncture often report an overall feeling of calm, relaxation and well-being after their treatment

#3 ACUPUNCTURE IS A SAFE ALTERNATIVE TO PRESCRIPTION MEDICATION.

While prescription medication may sometimes be necessary, the risk of adverse reactions and potential side effects can be staggering (all you have to do is turn on the television at night to hear the long lists of medication side effects that permeate commercials). Acupuncture can provide a safe and effective alternative with much less risk and few negative side effects. In addition, Acupuncture has been proven to treat the side effects of many chemotherapies, especially nausea and vomiting.

Are you ready to start your trial of Acupuncture? Contact our office or visit our website for more information.

Yours in Health,
Carin Nielsen, MD



Carin Nielsen, MD Integrative MedicineLooking for a personalized approach to your healthcare? I use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions. Treating symptoms and chronic disease simply by prescribing medication doesn't address the underlying factors that contributed your problems in the first place, and is not likely to provide lasting results. My approach involves getting "under the surface" to find and correct underlying imbalances. If you are interested in learning more or if you would like to schedule a consultation, please contact our office This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.
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