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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 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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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”.


b2ap3_thumbnail_Apple.jpg

“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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b2ap3_thumbnail_20130805165357_weightLoss1.pngMany people are familiar with the use of acupuncture for pain relief, alleviation of nausea, or its use in conjunction with IVF. Not as well known is that acupuncture is an excellent complement to a healthy weight loss program. It is by no means a quick fix, but, it can be an important piece of the puzzle for people struggling with weight issues.

Acupuncture is a major part of Traditional Chinese Medicine (TCM). TCM views excess weight as a symptom of a deeper underlying imbalance in the body. This imbalance can have a physical or psycho-emotional basis (or both). Until the underlying health issue is resolved, lasting weight loss is difficult, even with the most restrictive of diets.

TCM considers stress to be one of the most common causes of excess weight (or in underweight individuals, the inability to gain weight). Acupuncture can help to relieve stress and address other deeply rooted issues contributing to weight problems, allowing the body to naturally and easily shed unwanted pounds.

RESEARCH HAS SHOWN ACUPUNCTURE TO:

  • Reduce appetite1 2
  • Reduce food cravings3
  • Modulate gut bacteria4
  • Modulate hormones (specifically hormones that play important roles in metabolism, appetite regulation, and fat accumulation)5
  • Modulate neurotransmitters that promote a feeling of well-being, and reduce the effects of stress on the body.6
  • Reduce inflammation
  • Enhance motivation

FURTHERMORE, ACUPUNCTURE INDIRECTLY AIDS IN WEIGHT LOSS BY:

  • Improving sleep quality
  • Raising immunity
  • Increasing energy
  • Relieving pain that restricts a more active lifestyle.

b2ap3_thumbnail_Ac.jpgFor maximum benefit, I recommend starting with a series of six sessions. Although people frequently notice some changes after one treatment, the effects of acupuncture are cumulative and the response is much stronger if treatments are done regularly for a period of time. Acupuncture is not a magic bullet. For significant weight loss it must be combined with healthy diet and lifestyle changes. But with little to no negative side effects, and so much benefit, why not give it a try?

1Yao H1, Chen JX, Zhang ZQ et al. Effect of acupuncture therapy on appetite of obesity patients. 2012 Dec;37(6):497-501 Available from http://www.ncbi.nlm.nih.gov/pubmed/23383461

2Aust Fam Physician, Richards D, Marley J. Stimulation of auricular acupuncture points in weight loss. 1998 Jul;27 Suppl 2:S73-7 Available from http://www.ncbi.nlm.nih.gov/pubmed/9679359

3Kang OS, Kim SY, Jahng GH, et al. Neural substrates of acupuncture in the modulation of cravings induced by smoking-related visual cues: an fMRI study. Epub 2013 Feb 28. Available from http://www.ncbi.nlm.nih.gov/pubmed/23455593

4Xu Z, Li R, Zhu C, Li M. Effect of acupuncture treatment for weight loss on gut flora in patients with simple obesity. Epub 2012 Sep 8. Available from http://www.ncbi.nlm.nih.gov/pubmed/22961606

5Güçel F1, Bahar B, Demirtas C. Influence of acupuncture on leptin, ghrelin, insulin and cholecystokinin in obese women: a randomised, sham-controlled preliminary trial. Epub 2012 Jun 22. Available from http://www.ncbi.nlm.nih.gov/pubmed/22729015

6Sheng-Xing M. Neurobiology of Acupuncture: Toward CAM. 2004 Jun; 1(1): 41–47 Available at https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC442119/



b2ap3_thumbnail_katiewinslow_thumbnail.jpgRegardless 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. At Integrative Medicine, practitioners provide acupuncture in collaboration with Dr. Nielsen’s recommendations. Patients very often see greater improvement in their condition when treated by both an MD and an acupuncturist. If you are interested in a consultation or appointment, 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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“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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Three ways we can help you find your balance with diet and lifestyle change this winter.

#1 - DETOX JUMP-START
  • Enhance Detoxification
  • Reduce Inflammation
  • Improve Digestion
Let our staff design a detox schedule to meet your needs.

Using the Xymogen™ 6-Day Detox Kit, combined with a modified elimination diet, we can extend your detox up to 28 days, and modify your program as needed based upon your symptoms and your schedule.

A Detox Jump-Start is a great way to kick-off your weight loss program, break sugar cravings, and refresh your body and mind. Benefits may include:
  • improved energy
  • reduced bloat and body fat
  • decreased joint discomfort
  • improved focus and mental clarity
Click Here for more information about our Detox Jump-Start program, or This email address is being protected from spambots. You need JavaScript enabled to view it. to book your appointment!


#2 - ULTRALITE™ DIETARY KETOSIS WEIGHT LOSS PROGRAM

  • Reduce hunger and cravings
  • Increase mood and energy
  • Fast, visible results
The UltraLite™ dietary ketosis weight loss program is great for those who are motivated and ready for fast weight loss results.

The program combines an elimination diet with a balance of protein and carbohydrate to put your body into a mild state of dietary ketosis. This biochemically sets the body to burn your own fat as fuel for maximal fat loss. People will typically eat less protein than they normally do, but enough to not lose muscle mass (a key issue with weight loss is to protect your muscle mass; as muscle mass is your body's calorie burning engine).

Click Here for more information about the UltraLite™ program, or This email address is being protected from spambots. You need JavaScript enabled to view it. to book your appointment!


#3 - MY OPTIMAL DIET
CUSTOMIZED DIET AND LIFESTYLE CHANGE PROGRAMS


Looking for a program with more flexibility? My Optimal Diet 12-week Diet and Lifestyle Change Programs are physician-supervised, customized for your needs, and provide three months of one-on-one support to help you meet your goals.

Our unique approach to healthy diet and lifestyle change involves more than just counting calories. We explore a variety of factors that can contribute to poor health and weight gain, including:
  • hormone imbalance
  • high levels of stress
  • medication side effects
  • thyroid disorders
  • depression and anxiety
In addition, the types of food you are eating can have a strong impact on your weight gain, not to mention your energy level and mood.
There is no “one-size-fits-all” program in our office! Each 12-week program is designed to meet your needs and may include:
  • testing for hormone imbalance and vitamin deficiencies
  • customized meal schedules and food choices
  • protein-packed meal replacement products
  • prescription weight loss medication when appropriate
  • behavioral therapy to curb binge eating
  • vitamin and supplement support
  • acupuncture, massage, and more!
Click Here for more information about My Optimal Diet, or This email address is being protected from spambots. You need JavaScript enabled to view it. to get started!



Carin Nielsen, MD Integrative MedicineI use an Integrative/Functional Medicine approach with my patients to help them lose weight and improve their mood and vitality.  A "one size fits all" program where you simply sign up and go through the steps doesn't address the underlying factors that caused 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.

Yours in Health,
Carin Nielsen, MD


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No matter where you live, the summer season can quickly turn into one big party! Tuesday night suddenly looks like Friday night, friends and family come out of the woodwork, and the picnics, BBQs and cocktails start becoming daily activities.

Suddenly, healthy eating becomes even more of a challenge.

Challenging, yes - but not impossible! Let me share with you the same advice I give my patients everyday - when it comes to food, don’t focus on what you shouldn’t be eating, instead focus on the foods that you need to eat at key points during the day to maintain energy, boost metabolism, and avoid over-indulging.

CONSIDER THESE THREE SIMPLE STEPS TO PREVENT SUMMER DIET SABOTAGE:

b2ap3_thumbnail_ProteinShakes.jpg1. Start your day with protein and fiber

Cereals, donuts, toast and bagels all cause a rapid rise in blood sugar (and insulin) that is followed by a blood sugar crash within hours. This can cause your energy level to plummet and can spark strong hunger and cravings. Starting your morning with protein and fiber promotes consistent energy by avoiding a blood sugar crash, boosts metabolism to promote weight loss and keep you full, often until lunchtime!

A protein shake/smoothie is an excellent way to start your summer days. Read more about reasons to start your day with a protein shake.


b2ap3_thumbnail_salad.jpg2. “Stack the Deck”
This is a concept that I frequently discuss with my patients. "Stacking the deck" simply refers to giving your body the food that it needs earlier in the day to promote stable mood and energy and reduced food cravings later in the day. If you know you have a party or event later in the evening, the last thing you want to do is starve yourself in anticipation! Not only will this increase cravings and decrease willpower, it can cause rapid mood swings. In addition, not eating during the day makes your body feel as though it is starving, which switches your metabolism to "fat-storing" mode instead of "fat-burning" mode.

3. Fill up on the good stuff first
Have you ever been to a Mexican restaurant? If you have, then you have probably gorged yourself on a basket of chips and salsa - filling yourself up before your meal even comes to the table!
Let's turn this scenario around. What if they brought out the basket of chips after you finished your meal? Would they still be as appealing? No way! Think of this as you plan your eating for your next party. Fill your plate with vegetables first. By filling up first with foods that are high in fiber and low in sugar, you will be less likely to over indulge in unhealthy choices without feeling deprived.

You can visit our online store to learn more about products we have available to help support you this summer, including my physician-formulated Balanced Vegan Protein Shake Mix, Appetite Support Formula, Starch Blocker, and Balanced Liver Support. 

b2ap3_thumbnail_CN_TheEssentialsStore.jpg

I'd love to hear your comments or questions. Feel free to message me directly at This email address is being protected from spambots. You need JavaScript enabled to view it..

Be Well!
Carin Nielsen, MD
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In yesterday's blog I gave an overview of Neurotransmitters, brain chemicals that communicate information throughout our brain and body.  These “brain hormones” are essential for optimal mood, energy and weight!  Treating thousands of patients over the last ten years, I have learned that a proper balance of neurotransmitters is a key first step when embarking on a program toward lasting lifestyle change.  Take my short quiz to assess how neurotransmitter imbalance may be affecting your mood as well as your appetite and hunger patterns.  


Take my short quiz to assess your neurotransmitter balance.


CHOOSE 1-2 STATEMENTS FROM EACH GROUP BELOW THAT MOST APPLY TO YOU:
 
1.b2ap3_thumbnail_brain.jpg
A.  I consider myself a low-energy person
B.  I have trouble relaxing
C.  I am easily irritated, I can be quick to “snap"
D.  I am forgetful
 
2.
A.  I have trouble motivating to exercise
B.  I often feel "stressed out”
C.  I have poor self-esteem or poor body-image
D.  My memory is poor
 
3.
A.  I frequently seek out sugar/candy 
B.  I "binge", eating large amounts of food at one time
C.  I crave starchy carbohydrates, like pasta
D.  I crave fatty, fried foods like hamburgers and pizza
 
4.
A.  I consume caffeine throughout the day (coffee, soda)
B.  I am an emotional eater
C.  I have higher food cravings in the evening
D.  I prefer creamy deserts like cheesecake and ice cream
 
 
RESULTS:
 
- If you chose “A” for two or more of these statements, you may have low dopamine levels.  
 
Improving low dopamine levels:
  • ensure adequate intake of foods rich in tyrosine: including most animal products, green leafy veggies, avocado, vegetables, green tea, chocolate, coffee
  • supplement with L-tyrosine, the building block of dopamine, and/or ginkgo billoba*
  • exercise boosts dopamine levels
 
 
B - If you chose “B” for two or more of these statements, you may have low GABA levels.
 
Improving GABA levels:
  • increase intake of shellfish, broccoli, brown rice, bananas
  • start a regular yoga practice
  • consider supplementation with l-theanine, taurine, glutamine, leucine, and/or inositol*
  • learn to meditate
 
 
C - If you chose “C” for two or more of these statements, you may have low serotonin levels.
 
Boosting serotonin levels:
  • ensure  adequate protein intake at key times during the day
  • supplement with 5-HTP, samE, and/or melatonin*
  • increase B-vitamins (especially B6) and magnesium*
  • stress management (elevated cortisol produced with stress breaks down serotonin)
  • heal your gut - 90% of your serotonin is produced in the gut
 
 
D - If you chose “D” for two or more of these statements, you may have low acetylcholine levels.
 
Improving acetylcholine levels:
  • increase intake of eggs, avocado, olives, nuts and seeds
  • increase Vitamin B5 intake*
  • consider supplements such as phosphytidyl serine or choline* 
 
*Each individual is different, and the pattern of neurotransmitter balance may be different for each person.  Nutritional supplements may interfere with each other, or with prescription medication.  Consult with your health care provider, or consider working with an Integrative Medicine Specialist, prior to starting nutritional supplements to treat a medical condition.



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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Neurotransmitters
Balancing these “brain hormones” is essential for optimal mood, energy, and weight.


b2ap3_thumbnail_brain.jpgNeurotransmitters 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.

Neurotransmitters are synthesized in the body using amino acids, the building blocks of protein. These amino acids come from the digestion of protein in the foods that we eat. The synthesis of neurotransmitters also requires cofactors, various vitamins and minerals needed to make each type of neurotransmitter.


The four key neurotransmitters -
what they do and how their levels affect your mood, appetite and weight.



SEROTONIN 
What do you see when you look in the mirror?

b2ap3_thumbnail_serotonin.jpgSerotonin is perhaps the most important of all neurotransmitters in maintaining mood and well-being. The primary building block of serotonin is tryptophan, an amino acid found in large amounts in poultry. Tryptophan is converted to 5-HTP which is then converted to serotonin. Serotonin levels regulate:
  • self-image and confidence
  • mood stability
  • happiness/positive attitude
  • hunger and cravings
  • healthy sleep cycles
Low serotonin is associated with:
  • depression, anxiety, PMS and obsessive-compulsive disorder (OCD)
  • negative self-talk and self-image, poor self-esteem
  • sadness, tearfulness
  • short-tempered, an inability to “let things go”
Association of serotonin with hunger and weight:
  • serotonin is temporarily boosted after eating carbohydrates/sugar
  • those with low serotonin will often crave starches like pasta and bread
  • those with low serotonin will often have more hunger/cravings in the evening


DOPAMINE
Have you lost your “spark”?

Dopamine is another key neurotransmitter in mood and well-being. Dopamine is made from the amino acid tyrosine, which converts to L-DOPA, and then to Dopamine. Dopamine helps to regulate:b2ap3_thumbnail_dopamine.jpg
  • motivation
  • energy
  • focus
  • feelings of reward
  • Low dopamine levels may be associated with:
  • fatigue
  • low motivation
  • difficulty with focus/attention
The relationship of dopamine and food/drink:
  • those with low dopamine levels often have cravings throughout the day, especially sugar, candy, and chocolate
  • those with low dopamine levels also tend to seek out caffeine throughout the day

GABA
Are you able to relax?

b2ap3_thumbnail_GABA.jpgGABA is an inhibitory neurotransmitter that is needed to keep the brain from becoming overstimulated. It is our primary “relaxation” neurotransmitter. Low GABA levels are often associated with:
  • anxiety
  • an inability to relax
  • feeling chronically “stressed out"
  • Physical signs of low GABA may include:
  • recurrent headaches
  • heartburn
  • muscle tension
  • irritable bowel syndrome
How GABA levels may affect your eating patterns:
  • those low in GABA tend to be emotional eaters
  • those low in GABA are also more likely to binge eat, although not necessarily just starches

ACETYLCHOLINE  b2ap3_thumbnail_acetylcholine.jpg
Are you forgetful?

Acetylcholine is the neurotransmitter involved in the processing speed of the brain. Acetylcholine levels are associated with:
  • learning
  • memory
  • retention of information
  • low levels of acetylcholine are also seen with Alzheimer's disease.
Acetylcholine levels and food cravings:
  • those low in acetylcholine tend to crave fat, fried foods such as hamburgers and pizza
  • those low in acetylcholine may favor creamy desserts like cheesecake and ice cream

Are you relating to any of the above symptoms?  Many of my patients with neurotransmitter imbalance will relate to more than one of these categories.  Tomorrow I will offer a short quiz to test where your neurotransmitter imbalances may be, and discuss a variety of treatment options.  Stay tuned!

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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Are you constantly hungry? Always looking for a snack? Craving sweets? These are all signs that you may be resistant to the effects of Leptin, one of our key regulators of hunger and fat-burning.


b2ap3_thumbnail_light-switch.pngLeptin is made by your fat cells to turn off hunger in your brain.

Leptin (from the Greek word “leptose" meaning “thin”) is a hormone produced by fat cells when you eat.  After being released by the fat cells, leptin travels to your brain where it binds to receptors that turn off your hunger.  Leptin tells the brain that you have enough energy stored, and that you don’t need to eat any more.


Leptin levels increase with high fat mass and overeating.

Leptin is produced by fat cells, so the more fat cells you have, the more leptin you make. Leptin production is stimulated when you eat, so the more you eat, the more leptin you make.


Chronically high levels of leptin lead to leptin resistance.

You become leptin resistant in the same way that you become insulin resistant. (You can read more about insulin resistance here)  When the leptin receptors in the brain are continuously bombarded by high amounts of the leptin hormone, they become resistant to it's actions.  


Leptin Resistance = Hunger + Increased Fat Storage

When you develop leptin resistance the brain doesn’t "see" the leptin and thinks you are starving.  This leads to increased hunger, and your body gets a signal to “hold on” to your fat - making weight loss more difficult!


How to reverse leptin resistance:

Research is ongoing, but there are few things we know for sure can improve your sensitivity to leptin, helping to reduce hunger/cravings and promoting weight loss.

  • Reduce intake of simple carbohydrates, especially fructose - which is known to be a major culprit in leptin resistance.
  • Get a good night sleep!  Poor sleep patterns and lack of sleep increase leptin resistance.
  • Keep your stress levels in check.  Elevated stress levels worsen leptin resistance.  
  • Correct insulin resistance! High levels of insulin also block the leptin receptor in the brain, causing a “double whammy” when it comes to hunger and weight loss. (Read more about insulin resistance.)
 


Carin Nielsen, MD Integrative MedicineI use an Integrative/Functional Medicine approach with my patients looking to lose weight. Assessing for hormone imbalance is a key first step in this process. I do not believe in the “calories-in, calories-out” philosophy of weight loss. Your body is not a bank account (deposit/withdraw), your body is a chemistry lab! 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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There are a number of reasons why starting your day with a protein shake or smoothie is a great idea.
Here are my top 3 reasons to get you thinking about what your breakfast has to offer!

1. It gives you energy and keeps you full.

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Sugary cereals and donuts and gluten-filled bagels cause a rapid rise in blood sugar (and insulin) that is followed by a blood sugar crash within hours. This can cause your energy level to plummet and can spark strong hunger and cravings.

Starting your morning with protein and fiber promotes consistent energy by avoiding a blood sugar crash, boosts metabolism to promote weight loss and keep you full, often until lunchtime! 


2. It's healthy and quick to make!

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Toss your ingredients in the blender and you have a healthy, delicious breakfast in minutes.

If you are really pressed for time, use a shaker bottle to mix your shake on the go.

 

3. It's an easy way to pack more greens and super foods into your day.

blender_bottle.jpgb2ap3_thumbnail_smoothiegreen.jpgA shake or smoothie is a great way to add extra servings of the foods your body needs to stay healthy and strong! You can add handfuls of greens such as spinach or kale. Blend in 1/2 cup of dark berries for added flavor and antioxidants. A tablespoon of ground flax seed can increase fiber and improve detoxification. Use up what is left in the fridge and pack the nutrients in!

I don't just encourage my patients to start their day with a breakfast rich in protein, fiber and micronutrients - I do so myself! Most mornings I begin my day with a nutrient-packed Vegan Protein Shake. While I always start with a high-quality protein-powder base, I customize the ingredients to match my needs each day. Here are a few of my favorite tips:

  • I like to make my smoothie with 1/2 water and 1/2 unsweetened coconut or almond milk. This keeps the sugars low but allows for a creamer texture and more full flavor.
  • If I know my day will be jam-packed with patients or meetings, I make a double batch in my blender and save a second shake for mid afternoon. This allows me to maintain consistent energy during they day, and by the time I get home I can make a nice dinner without feeling like I have to raid all of my cupboards!
  • I often freeze my greens, such as organic spinach and throw 1-2 large handfuls in my blender in the morning. This prevents my greens from spoiling and adds a nice texture to my shake (my mom likes to use Watercress).
  • For patients who are often constipated, I recommend 1-2 TBSP ground chia seed for added fiber and promotion of regular bowel movements.


b2ap3_thumbnail_ProteinShakePhoto.jpgClick here for more information on my physician-approved Balanced Vegan Protein Shake mix. It's 100% vegan, 100% non-GMO, packed with fiber and micronutrients, and is a great value!

I'd love to hear your comments or questions. Feel free to message me directly at This email address is being protected from spambots. You need JavaScript enabled to view it..


Yours in Health,

Carin Nielsen, MD

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Meet Diane*

b2ap3_thumbnail_blog_foodismed_hands.jpgWhen we first met this past September, Diane was looking for both weight loss and an Integrative/Functional Medicine approach to her Rheumatoid Arthritis. She had been diagnosed with Rheumatoid Arthritis about 6 years earlier, and she had nodules and joint pain and stiffness in both her hands and her feet. Her pain had been worsening to the point where walking was very painful and she had become more sedentary. Her rheumatologist had recently recommended she move to an expensive intravenous/infusion medication to treat her joint pain pain and avoid further joint destruction. Diane was frightened by the thought of starting these infusions, worried about potential long-term side effects. She told me that she was in the process of scheduling her first infusion but felt was doing so while "kicking and screaming".

I asked Diane to postpone her first injection and give me two weeks to guide her to results both with weight loss and reduction of join pain. Diane agreed and started a Functional Medicine approach to her care, based on the concept of using Food as Medicine.
  • After 2 weeks Diane had lost 8 pounds and was pain free in her feet. Most of the pain was gone from her hands with the exception of some mild pain in her left wrist.
  • At 5 weeks she had lost over 12 pounds and had no pain with increased movement and activity.
How did Diane achieve such amazing results in such a short period of time? She did it by changing the information she was giving her cells, removing the foods that were promoting inflammation and activating her immune system to work against her. Diane did this simply by changing her diet through the use of a comprehensive elimination diet.

Food is Medicine

b2ap3_thumbnail_blog_jan2_salad.jpgOur bodies are made up of trillions of tiny cells. These cells work together to form all of our organs, our blood vessels, our nerves, our muscles and everything else that makes us, well us!

Each cell in your body contains your complete genetic code. Depending on where the cell is in the body, the cell will read a different part of the genetic code to do it's job (muscle cells read the muscle part of the code, skin cells read the part of the code that codes for skin, etc.).

Your cells will also activate different parts of the code depending upon the information that is presented to them.

Food is information

The food that you eat provides information to the cells of your body that tells the cells what to do! Food actually does this job as well if not better than prescription medication can! The type of food information presented to your cells can change the way the cells works by activating different parts of the cell's genetic code. For example, sugar activates the genes in our cells that promote the production of inflammation.

b2ap3_thumbnail_blog_jan6_cell.jpgIs this starting to make sense? The food that you eat can either activate or "quiet down" your immune system. And, like the example above, the food that you eat can activate pathways that increase inflammation, or activate other pathways from your genetic code that reduce inflammation.

You might ask, why is it that certain foods negatively affect some people more than others? This is because we are all working off a different genetic code, or what I like to call our genetic "blueprint". This is also the reason why certain medications affect some people differently than others. Because we are all working off of a different "blueprint" (which makes us biochemically unique), we don't all respond to food in the same way. This concept is the basis for Nutrigenomics. a growing area of research that is focused on the effects of food on gene expression. We use the concepts of Nutrigenomics in my office every day when prescribing elimination diets for patients to treat various medical conditions.

The Elimination Diet
learning how foods affect your gene expression

In my office, we do not believe that there is one optimal diet that works best for everyone, because we know that based on our different genetic blueprints, we will all have different nutritional needs. We work with our patients to help them determine their own optimal diet for optimal health and vitality. An elimination diet can be an effective tool in doing so.

An elimination diet can allow you to determine how food is affecting your gene expression. More simply put, it allows you to figure out how different foods make you feel. By removing certain foods from your diet for a period of time, then re-introducing them, you can experience which foods are "working for you" and which are "working against you". Based on your symptoms or medical condition, the list of foods that will be recommended for you to remove may vary. Foods are generally removed for a period of at least 3 weeks, and then they are reintroduced one at a time, allowing 3-4 days before reintroducing another food in order to assess for delayed reactions in the body.

In Diane's case, her list of foods to remove from her diet included:
  • gluten
  • dairy
  • sugar
  • soy
  • corn
  • eggs
  • peanuts
  • nightshade vegetables
  • citrus fruits
You might look at this list and ask "well what could she eat then"? That's easy! We asked her to focus on:
  • lots of vegetables and fruits
  • clean, lean proteins
  • nuts and seeds
  • healthy fats
  • gluten-free, high-fiber starches and grains (like rice, quinoa, sweet potatoes and beans/lentils)

b2ap3_thumbnail_blog_foodismed_feet.jpgBecause Diane was also interested in weight loss, she limited her starches and grains to not more than 2 servings per day. She also utilized a vegan protein meal replacement in the morning for breakfast (meal replacement can be very helpful with the elimination diet because it takes some of the "work" out of meal preparation and provides essential amino acids).

We use elimination diets frequently in the treatment of autoimmune disease as well as a number of other conditions including irritable bowel syndrome, fatigue, brain fog, chronic headaches and weight gain.

At this point, Diane is 12 weeks into her journey. She is 15 pounds lighter. She no longer needs to consider the infusion therapy and she is still pain-free. We will be spending the next 12 weeks continuing her weight loss efforts, attempting some food reintroduction, and assessing for other underlying imbalances that may be contributing to her autoimmune disease such as the health of her digestive tract and the possibility of heavy metal toxicity. Stay tuned!

Yours in Health,
Carin Nielsen, MD

*while this represents a true story, the patient name has been changed to protect his/her identity and privacy

Carin Nielsen, MD Integrative MedicineI use an Integrative/Functional Medicine approach with my patients to treat a variety of chronic medical conditions, including autoimmune disorders like Rheumatoid Arthritis. Treating autoimmune 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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Turn on your body's fat-burning switch!

Meet Karen*, age 65

This past fall, Karen was looking to lose 10 pounds.
She lost even more than that in just 4 weeks with Ultra Lite™!

Integrative Medicine Weight Loss UltraLiteAt age 65, Karen was healthy and energetic. She took very little medication and had few concerns about her health. There was one thing that was nagging at her - her waistline. Since menopause, Karen had slowly put on about 10 pounds, and it wouldn't come off! Her Body Mass Index (BMI) was still considered in the "normal" range, but her clothes weren't fitting well and she just didn't' feel comfortable in her own body. With the Holidays approaching she was looking for a program that would produce results - fast!

Karen started the Ultra Lite™ to jump-start her weight loss. After one week she had lost 7.6 pounds, and after four weeks she was down 12.6 pounds. She lost 4.5 inches off her waist and 3.4 inches off her hips. Best of all, she felt full of energy!



What is Ultra Lite™?

Ultra Lite™ is a dietary ketosis weight loss program. It is designed to reduce hunger and cravings, increase mood and energy and maintain muscle mass while burning fat.  Ultra Lite™ is a great program for those who are motivated and ready for fast weight loss results or are looking to "jump-start" their weight loss/


How does Ultra Lite™ work?

The Ultra Lite™ program combines a balance of lean protein and limited high-quality carbohydrate to put your body into a mild state of dietary ketosis. This biochemically sets the body to burn your own fat as fuel for maximal fat loss. 


What is dietary ketosis?

The cells of your body typically use glucose, or blood sugar, as their primary source of fuel (I discussed this recently in my post about insulin resistance). When the amount of carbohydrates in your diet are restricted below a certain level, the cells of your body change their fuel!  They go from burning sugar for fuel to burning fat.  When you begin to burn fat as your primary fuel, your body produces ketone bodies which are circulated in your bloodstream.  The circulating ketone bodies have the benefit of reducing hunger and increasing energy and mental clarity.  You can measure the levels of ketone bodies in your urine to stay in maximal fat mode.  (Nationally known Functional Medicine neurologist Dr. David Pearlmutter makes an argument for lifelong dietary ketosis in his best-selling book "Grain Brain")


Is Ultra Lite™ a high-protein diet?

No! As a matter of fact, people will typically eat less protein than they normally do, but enough to not lose muscle mass (a key issue with weight loss is to protect your muscle mass; as muscle mass is your body's calorie burning engine).

b2ap3_thumbnail_blog_jan2_scale.jpg
How is Karen doing?

Well, 2 weeks after transitioning out of dietary ketosis and into a normal, balanced diet, Karen was doing fantastic!  She had lost nearly 3 more pounds and her energy was still soaring high.

Are you interested in the Ultra Lite™ weight loss program? This is just one tool of many that I use with clients to customize weight loss and lifestyle change programs for their needs. Learn more about my approach to weight loss by visiting our website www.MyOptimalDiet.com.  

Yours in Health,

Carin Nielsen, MD

www.CarinNielsenMD.com

*while this represents a true story, the patient name has been changed to protect his/her identity and privacy.



Carin Nielsen, MD Integrative MedicineI 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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Proper insulin and blood sugar balance can be a key factor in optimizing hormone balance and improving energy, mood and weight.

Integrative Medicine Insulin ResistanceBelly fat and low energy?

Is it getting more difficult to button your pants due to belly fat? Does your energy plummet at different times during the day, especially around 3pm? These are both clues that your body is not maintaining normal blood sugar levels. If insulin and blood sugar aren't working together properly not only will you see your waistline get larger, but you may also feel more tired or even depressed.

Insulin and Blood Sugar - the Basics

Integrative Medicine Insulin ResistanceOur body is made up of trillions of tiny cells. These cells work together to form all of our organs, our blood vessels, our nerves,muscles and everything else that makes us, well us!
In order for our bodies to work, our cells need energy.

This energy comes primarily in the form of blood glucose, also called blood sugar. Blood sugar cannot just enter into cells to provide energy - the blood sugar has to be carried into the cells - this is the job of insulin.

Insulin is a hormone that is made in the pancreas.
Your pancreas makes insulin in response to the normal increase in blood sugar that occurs after you eat.

The insulin binds to blood sugar in the bloodstream, and transports the blood sugar into your cells through an insulin receptor on the cell's surface. This provides the cells with the energy they need to stay alive and function optimally.

Think of insulin like a gas pump -
it gets the gas into the car for energy!

Insulin Resistance

When you have insulin resistance, your cells don't allow insulin to transport blood sugar into your cells so easily. It's like the nozzle of the gas pump no longer fits and your cells become "resistant" to the action of insulin. To compensate, your pancreas has to make more and more insulin to get enough fuel into your cells.


Integrative MedicineInsulin Resistance = Higher Insulin Levels = Higher Blood Sugar Levels = Low Energy

Why is insulin resistance a problem? For many reasons. Both high insulin and sugar levels contribute to inflammation in the body. Excess insulin also causes changes in energy levels, especially feeling tired after a meal, and increases hunger and sugar cravings. The higher blood sugar levels cause more of your blood sugar to be stored as fat, promoting weight gain, especially in your abdomen. When cells aren't getting the energy they need, your body doesn't operate efficiently, and you experience more fatigue, brain fog, and low stamina. Insulin resistance contributes to infertility, and if not corrected, insulin resistance is likely to turn into Type 2 Diabetes and elevated risk of heart and vascular disease.


Are you at risk for insulin resistance?

You may want to discuss testing for insulin resistance with your physician or booking an appointment in my office for a consultation if you have one or more of the following:
  • you struggle with weight gain, especially in your abdomen
  • you experience energy "slumps" after eating, especially mid-afternoon
  • you have a family history of Type 2 Diabetes
  • you have a personal history of gestational diabetes (diabetes in pregnancy)
  • your diet is high in "fast carbs" like sugar and white flour
  • you experience chronic stress
  • you have dark patches of skin on the back of your neck, elbows, knees, or armpits
  • you have a lot of skin tags, especially around your neck and armpits

Can insulin resistance be reversed?

YES - insulin resistance can be reversed! As a matter of fact, we help walk people through this process frequently in my office. Insulin levels can be normalized fairly quickly if the problem is caught early enough and the right action is taken. Treating insulin resistance makes weight loss easier, improves energy and mood, and reduces hunger and sugar cravings. The mainstays of treating insulin resistance in my office involves the following:
  • Changing the types of foods in your diet. Removing "fast carbs" like sugar and white flour, and incorporating more "slow carbs" that are high in fiber and micronutrients
  • Learning how to read a food label to look for hidden sugars, fiber content, and more.
  • Stress management to avoid cortisol and blood sugar spikes
  • Supportive supplementation to correct underlying deficiencies, reduce inflammation, and make your cells more responsive to insulin
  • Prescription medication is sometimes used in advanced cases as one part of the treatment plan
Are you or a loved one interested in testing and treatment of insulin resistance? Feel free to send an email my way, or contact our office to schedule an appointment, This email address is being protected from spambots. You need JavaScript enabled to view it. or 231-638-5585.

Yours in Health,

Carin Nielsen, MD
www.CarinNielsenMD.com



Carin Nielsen, MD Integrative MedicineI 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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Five ways our approach to healthcare can help you find your balance in the New Year.

Integrative Medicine Petoskey Balance Hormones

#1 - Balance your Hormones and Neurotransmitters!

Looking for more stable mood and energy? Balanced hormones and neurotransmitters are the key! We can help you:
  • Evaluate your Thyroid using the right tests, and look for optimal levels, not the "normal range"
  • Examine the effects of stress on your Adrenals, which can be rebalanced with customized herbal blends
  • Learn about both hormonal and non-hormonal options for peri-menopause and menopause
  • Serotonin is a key factor in depression and anxiety, you can boost your levels by improving digestive health and providing key nutrients for serotonin production, not just with anti-depressants
Visit our website for more information about our approach to Emotional Health.

#2 - Figure out which Foods are working for you, and which are working against you.

Food sensitivities and intolerances are underlying factors in a number of chronic medical conditions, including:
  • chronic headaches
  • weight gain
  • eczema/skin rashes
  • asthma
  • depression
  • fatigue/low energy and "brain fog"
  • autoimmune disease (such as rheumatoid arthritis and lupus)
  • chronic sinus problems
  • joint and muscle pain
  • mood swings
We have the tools and experience to help you determine your optimal diet, including food sensitivity testing, customized elimination diets, and evaluation for "leaky gut".

Integrative Medicine Weight Loss Petoskey

#3 - Shed Pounds and Gain Energy with a Customized Diet Plan

We offer everything from a 10-day detox/cleanse to a 12-week weight loss and lifestyle change program to help you look and and feel your best. All programs are customized to your individual needs. No fad diets and no "one size fits all" program.

Visit our website for more information about our My Optimal Diet program.

#4 - Learn more about what is going on "under the surface" with Functional Laboratory Testing.

Assess the micronutrient status in your body. How well is your liver working? How balanced are the microorganisms in your gut? Our laboratory testing options go beyond "standard values". Examples include:
  • micronutrient testing
  • adrenal saliva testing
  • screening for heavy metals
  • advanced lipid testing
  • food sensitivity testing
  • hormone testing for men and women
  • assessment of cellular energy production
  • functional stool analysis

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#5 - Customize your Nutritional Supplements to meet Your Needs

Every cell in our body contains a copy of our genetic code, or "blueprint". The nutrients we obtain from our food and vitamins/nutritional supplements will provide us with varying benefits, depending on our blueprint. Your genetics, your medical history, and your current state of health should all be taken into account when choosing nutritional supplements. Dr. Nielsen can provide you with sound evidence-based recommendations to meet your needs. Micronutrient testing is also available.

Visit our website for more information about Customized Vitamins/Supplements.


Yours in Health,

Carin Nielsen, MD
www.CarinNielsenMD.com



b2ap3_thumbnail_blog_carin3.jpg
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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