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Is your Thyroid working for you, against you, or not at all?

By Lorri | Published January 18, 2022
coffee energy fatigue
Are you drinking caffeine just to get through your day?

 

Did you know January is Thyroid Awareness Month?

It is.

 

So my question is your  thyroid  working for you, against you, or not at all?

 

What is the thyroid and what does it do?

It is a small butterfly shaped gland in the neck whose duty is to carry chemical messages (via hormones) to every tissue in our bodies. It impacts many things such as:

  • Metabolism –
  • Sexual function
  • Reproduction
  • Mood
  • Growth and development

 

If your suddenly feeling “systemically crummy” on a multitude of levels? It could be your thyroid.

 

For example….

 

If you suffer from the following symptoms, you may suffer from hypothyroidism (an underactive thyroid).

  • Fatigue
  • Increased sensitivity to cold
  • Constipation
  • Dry skin
  • Weight gain
  • Puffy face
  • Hoarseness
  • Or Muscle weaknes

 

 

Or do you suffer from the following symptoms? If so, you may suffer from hyperthyroidism (an overactive thyroid).

 

  • Unexplained weight loss.
  • Rapid heartbeat, abnormal heartbeat, or pounding of the heart.
  • Nervousness, anxiety, or touchiness.
  • Tremors.
  • Changes in menstrual patterns.
  • Sensitivity to heat.

 

 

If you have any two or three of these symptoms it is suggested that you seek out a complete thyroid panel. This would include TSH, T4, T3 as well as thyroglobulin and Thyroid Peroxidase Antibodies and reverse T3.

This panel of tests can be ordered by your primary care physician, and endocrinologist, or any healthcare professional that specializes in thyroid function.  Additionally, at home test gaining popularity as doctor visit appointments are being booked farther and farther out. Whoever you decide to see, we suggest it is a professional well practiced in diagnosing thyroid function.

 

 

What do we see in our office regarding thyroid function? We frequently see hypothyroid men and woman with long term plaguing symptoms such as memory loss, cold hands and feet fatigue, and weight gain. Less commonly we see patients with hyperthyroidism with rapid pounding pulses and severe anxiety, although they frequently end up in the ER before our office. Whether you have hypo, hyper, or auto immune disorder (which can be a combination of both hyper and hypo), they are all treatable by a qualified healthcare professional.

 

 

Your provider may order further imaging of the gland, a prescription if available or other treatments. TCM/ acupuncture offices will suggest lab work, reviewing your symptoms and use traditional Chinese diagnostic techniques prior to beginning any treatment. At that point, here will be a discussion on how to properly move forward.

 

 

Treatment performed by acupuncture physicians includes acupuncture and herbal capsules chosen to regulate thyroid function specific to your symptoms and/or diagnosis. For example, your herbal formula may include commonly known herbs such as Rou Gui (cinnamon bark). However, a provider will only choose a formula specific to your case. The treatment is not a one size fits all. It is specific to each patient.

 

What can you do to help support your thyroid?

  1. Avoid chlorine or fluoride found in tap water or toothpaste
  2. Eat Vitamin B rich foods or take a B complex supplement
  3. Use mineral salts (such as Himalayan Salt) rather than iodized salts
  4. Eat iodine rich foods such as seaweed (short term for hyper patients)
  5. Eat as much organic nutrient dense foods as possible
  6. Regular Moderate Exercise (don’t overdo it)
  7. And follow up with your health care provider!

All in good health!   -Dr. Lorri

 

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Simple Guide to Increasing Fertility (Dr. Lorri Style)

By Lorri | Published January 26, 2021

 

motherhood
Motherhood comes with all the right efforts!

 

 

I love my job and feel very fortunate to work with fertility. I talk about fertility all the time. I talk about it with my friends. I talk about it with my family. I even talk about it on dates and recall drawing the internal reproductive system on a bar napkin once. What really amazes me is that everyone seems to have an opinion on it. Pre-covid, two retired gentlemen at a restaurant even had questions and insights about infertility. Maybe it touches everyone’s lives now. (remember the Handmaid’s Tale). Regardless of where I am, it does seem to come up in conversation. So, if you ever get stuck next to me at the dinner table, and decided to ask about fertility here is some basic questions and advice I might share:

 

When trying to achieve pregnancy you’re the top things to ask yourself:

 

Do you ovulate? When?

Females only actually ovulate one day a month a normal cycle. If you’re having sex on the wrong days conception will not happen. This can be done by tracking your body temperature, using an ovulation predictor kit, or even a new ovulation tracking bracelet, called, Ava. I want to try it next.

 

Are you eating green stuff and drinking fresh spring water while avoiding pesticides?

Mother nature has the best plan for increasing fertility. Trust that the foods that we are given in nature are exactly what we need.  Animals eat little buds off the branches because they are full of phytonutrients which our body’s cells need.  Are we getting those same nutrients? They’re certainly not in this coffee I’m holding right now.

 

Are you using nutritional supplements actually bioavailable to your body?

The truth is we are probably not going to get everything we need in our diet in a short amount of time if we want to increase our fertility. Proper nutritional supplementation is the quickest, most proven way to do this. Choose whole food or liposomal products so you’re not wasting your dollars and pills you’re not even absorbing. You can even get your vitamin levels checked with lab testing if you’re concerned about what is lacking.

 

Are you enjoying caffeine, alcohol, and sugar you take in on a daily basis?

We all know these items are not really good for us. Over time, excess of these indulgences will definitely decrease your fertility.  Everything in healthy moderation ladies. Enjoy these items in their more natural, organic, and pesticide free whenever you can.

 

Are you smoking cigarettes and marijuana? 

The substances have a profound negative effect on female follicles and male sperm cells, particularly if one has been using these substances over a period of time. So if you just have a few, on the weekends, or after the bar but just with your friends I can guarantee it is not helping. Cutting back and quitting these will help give your cells the oxygen they so desperately need to create new life.

 

How much stress is actually in your life?

I didn’t ask how much stress you can handle. That’s a different question. When we have high amounts of stress we produce cortisol. When we produce the hormone cortisol it is absorbed by our sex cells instead of our proper sex hormones.  This decreases fertility. So when push comes to shove, we have to take a good hard look at how much daily stress you really endure on a biochemical level, and how this is affecting your sex hormones. Counteracting the ill effects of stress is hugely important.

 

Is your life as balanced as you would like it to be? Are you happy the way it is?

Make sure your life is indeed balanced. In cultures where they make time to laugh, worship, relax, spend time outdoors, and get plenty of sleep fertility is not an issue.  It is only a problem in our modern, industrialized society.  Are you getting everything you need in your current life?

 

Are you getting all the right tests performed with your doctors? 

There are more reasons you may not be getting pregnant than you may even be aware of. Of course it’s a good idea to check for possible blocked tubes or see if hormone levels that are in normal range. This is a standard in any physicians office.  However, if you have unexplained infertility then it may be time to re-think that term. I believe there is no such thing as unexplained infertility. You just have not found the reason yet. There are many more tests to check for the hidden culprits of infertility.

 

Have you found the right doctor?

Does your Ob/Gyn doctor or nurse listen to you? Does your IVF doctor have optimism or enthusiasm? Do you fully trust them with your genetic material and future child?  Have you met more than one IVF doctor? You test drive more than one car before you . You purchase it, right? You also went on more than one date before you married. IVFand IUI’s are expensive. Do your research before you buy. I havehad  the luxury of meeting with many doctors over the years. Believe me, they are all unique and practice differently. I certainly did not choose the one I met in the beginning of my career.

 

Most importantly….

 

Be  patient with yourself, your partner, and nature.

If you spent 20 years training your body not to get pregnant then do not expect your body to get untrained overnight. Mother nature wants us to have children and for life to continue on this planet.  Fertility is on your side. When the body is ready to conceive and bear a child it will do so. All we need to do is to get your body ready for what it naturally wants to do (procreate), and do it in a healthy manor.

 

Finally, Get an advocate or sounding board.

Throughout history women have always stuck together through onset of menses, pregnancy,  fertility ceremonies, childbirth, and childrearing.  Only recently have we decided to do it alone as an independent nuclear family unit. Women need and deserve support from other women. Not a “negative nelly” that perpetuates and complicates the problem.  Look for positive, open minded, pro-active people to help you get you through this.

 

Ladies, we are changing history.  For thousands of years we have been having children early in life and continuing until we are middle aged.  Now, we are often waiting until we are a little older.  This is ok.  This is how evolution happens. So, if your body needs a little extra help through acupuncture, herbs, detoxes, supplements, hormone testing, medical intervention, massage, meditation, prayer, hypnosis…or whatever it may be, well…that’s okay with us.  Use these basic tips to know that you are indeed doing the right actions to increase your fertility. Follow your gut intuition, and feel free to contact our office for a more in depth consultation.

 

lots of love, 

 

Dr. Lorri  

 

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The Gentle Art of Convalescing

By Lorri | Published April 25, 2020

convalesce (per Merrium-Webster)

verb

con·​va·​lesce | \ ˌkän-və-ˈles  \

Convalescing, resting
Pepper relaxed.

convalesced; convalescing

Definition of convalesce

intransitive verb

: to recover health and strength gradually after sickness or weakness. He is convalescing from influenza.

 

The art of convalescing…what is that really? Does it paint a picture in your head of Victorian women, pale and sickly, in their beds? Or perhaps soldiers wrapped in bandages, unconscious in their hospital ward with nurses attending to their many needs? I tell you what it does not paint. It does not paint anything I’ve practiced with ease in this lifetime. I am assuming not you either. Let us backtrack.

I was born prematurely by three months. I assume I used all my coupons for convalescing the first few months in the incubator, because since then life, the world, my parents, school systems, and work rarely granted me permission to slow down.

I am now a grown woman and cannot point my fingers at anyone. It is all on me.  I hate telling people no. I will work often always grateful for the opportunity. Admittedly, I foolishly have gone to the doctor to have a “nodule” removed (totally cancer btw), and promptly returning two hours later; white as a ghost, almost fainting in the hallway. I have literally had two surgeries where I put myself back on the work two days later, sore, peaked and fatigued. A third surgery went all wrong. I found myself incapacitated for several months. These months later turned into over a year with subsequent chemo/ immune therapy treatments. The treatments were rough and made me quite ill. My well-trained brain allotted myself that one single day to be sick. Again, foolish. I felt the need to be productive. I’ve certainly should have been cleaning, organizing, taking online classes, trying to work or something?!?  I think I failed at every attempt at all these things listed above. I could do nothing well or safely.  At the time, I had a remarkable oncology social worker, Dr. Sheridan. She who gave me permission to stay home and watch TV or sleep. I barely listened. I could not I could not accept this fate. This is the statement that finally resonated with me.  “Lorri, unfortunately, we do not live in a society that values the sick or elderly.” She proceeded to tell me I needed this time to heal. It would be a good year after finishing treatment before I felt better, and this disease and treatment does not discriminate. Even a top neurosurgeon would be pigeonholed into the sick and or elderly category during cancer treatments. I was shocked. We, the previously busy and successful, were the modern convalescents.

 

” Lorri, unfortunately, we do not live in a society that values the sick or elderly.”-Dr. Sheridan 

Benito takes time for himself.

 

This shaming of convalescents is not exclusive to the chronically ill.  I have had friends break a limb, patients returned to work weeks after having a baby, a family member retire, a cousin that sleeps a lot, and people that grieve the loss of a loved one. What is the message? It is always, “Get out there and get busy!”

I am not proposing laziness, because that would be counter-intuitive to my Midwest hard-working All-American upbringing… but jeez let us rest! Is there really any shame in that?  My European friends seem to be better accustomed to relaxing and taking “down time.” Also, so does my dog and cat. Those two are collectively awake less than four hours a day and are not stressed about it.

So let us look at the present times. Now, it is not only our loved ones battling illness or disease needing to rest. Like a lightning bolt, Covid-19 struck us down. Globally, we are being forced to convalesce collectively on a multitude of levels we have never endured before.  We are forced to sit and be. I do not know what your experience has been, but I know closing in my office was not an easy decision. However, I was going to be alright because I was going to: clean my house, clean my car, organize my paperwork, design a new website, paint ten paintings, learn a language, learn to play piano, create a garden, get amazing abs and possibly learn salsa alone at home.  The joke was on me. Four days into social distancing I fell off a ladder and hurt my back. I, once again, (thank you God and Universe) am convalescing. But then again, aren’t we all?

We have all been home long enough to spend some time with ourselves and possibly with others. It is true. I have done some my chores as you probably have also.  The truth is, I rested my back, I decompressed, I thought to myself and others, I have reached out to people I’ve meant to do for months if not years, I’m getting to know my neighbors and fellow dog walkers, I’m picking fruit from neighbor’s trees, cooking, sleeping…and reading all of my own pace (which happens to be slow.) So, through years of great illnesses and injuries, through societal expectations and economic needs, I never let myself truly convalesce. Now, through the threat of a global pandemic, I am finally convalescing; physically mentally and spiritually. I cannot imagine this is an easy for anybody out there. Our lives have changed rapidly, but I sincerely hope you have taken the time to nurture yourself. Convalesce the ills of the modern world and get back to who you were before this crazy life got a hold of you.

This too shall pass, and we will all the back to our somewhat normal lives. So please take this time to care for yourself, your family, your needs, and your dreams. May you wrap up in a blanket, bask in the sun or pull out that favorite album that you have not listened to in years. Whatever it takes, take advantage of this rare time in history to properly practice the art of convalescing.  sincerely, Dr.LorriI am a work in progress;)

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Hot flashes, High FSH, Menopause and Me: My Own Experience

By Lorri | Published June 5, 2019

Holy cow. Hot flashes are no joke.

Please don’t get me wrong. I have dealt with women and menopause symptoms since the beginning of my career in women’s health. I thought I had a great deal sympathy regarding all health issues-especially women’s. After all, being human is hard, being a woman is quite complicated. That’s my opinion anyway. However, in continuous pattern with my life the universe decided to send me a good strong message. Hot flashes are no joke.

I first noticed about 48 hours after treating a patient with hot flashes. She was responding quite well to acupuncture despite maintaining her lifestyle. She continued to drink delicious yet inflammatory red wine, jet set across the nation for her exciting career an impressive social calendar, not take the Chinese herbs I had suggested, yet her hot flashes consistently and quickly disappearing. Her symptoms sounded terrible. I was so happy not to go through that. Then, like a lightning bolt, it happened.

“What the hell is happening to me? Is this a hot flash?”

Sounds downright dumb. I know exactly what a hot flash is. I’ve read about them, heard about them and treated them for over a decade. However, I never had one. Within a week I was having hot flashes so severely that I was almost nonfunctional. It went something like this: warmth, extreme heat, burning sensation from every joint to the very top of my body, terror, sweating, chills, nausea with potential to vomit. It was horrifying. And, like any good science minded American I called my doctors immediately. This could not be normal.

Soooo…. let’s back up a minute. I’m a prime candidate for early menopause. History is like this: yin/yang deficiency (it’s mentioned below), high stress lifestyle, possible infertility, cancer, premature ovarian failure (right, my ovaries are not a failure) cancer again, one year of chemo-immunotherapy, some annoying complications and (drum-roll)…. and menopause!

I spent weeks chasing this diagnosis with my Western doctors. With my history there is always an onslaught of questions. Has the cancer returned? Is it staph infection? Is my heart failing? No. Thank God. However, my FSH (follicle stimulating hormone) was off the charts; meaning it was literally higher than any posted reference range even for women of postmenopausal age. Also, I barely had any estrogen or progesterone in my body. A man had more of these female sex hormones than me and so did a six-year-old girl. My doctors were baffled (can you picture them looking at the labs, then me, then the labs again…wide eyed?) They did not know what to do. They had never seen those numbers before. Neither did a Bristol Myers Squibb, the manufacturers of my chemo agent. In a true sweaty rampage my thoughts were like this, “How can any of you over-educated, overpaid medical professionals and scientists not know what to do”? (I however must give credit to my nurse practitioner who isolated the problem and wrote an Rx. She is truly a wonderful and compassionate woman. Her I am grateful for.)

 

As I sat in my car profusely perspiring on the leather seats it occurred to me that I’m a doctor of Oriental medicine with a fellowship in women’s health and reproduction. Duh. Can I not handle this? In honesty, we always make her own worst doctors. I realized I am my best resource. I also contacted a colleague in Sarasota that I admire greatly for a consult. In less than 36 hours I began to feel relief.

Here was my plan:

  1. I had to get this heat (yin deficiency) out of my body.
  2. I had to give my body a coolant (yin) to keep it from getting hot again.
  3. I had to give my body the resources (yang energy) to stay in a state of homeostasis.
  4. I had to learn to be patient because it did not happen overnight (years of work, lifestyle surgeries, and treatment led me down this thorny path).

To get the heat out of my body I decided to take the Chinese herbs I suggested to my patients. They really do work magic. I chose the first one for myself as a deemed itself most appropriate. As time progresses, I will switch with different supplement that’s coincides with my current symptoms.

Common herbal formulas for menopause and hot flashes in Chinese medicine:

Zhi bai di huang wan My herb of choice for hot flashes. It is considered a kidney yin tonic that clears fire from the kidneys. It is safe, gentle, and can work miracles if it matches well with the patient’s symptoms.

Other herbal formulas may include:

Da bu yin wan: This formula is for a pattern called ‘steaming bone syndrome’ in which the hot flashes feel as if they are penetrating into the bones.

Tian wan bu xin dan/Celestial Emperor’s Teapill: This formula will manifest with symptoms such as insomnia, anxiety, irritability, thirst, and malar flush.

.Er Xian Tang: Symptoms may include feeling cold with recent onset of hot flashes, low libido, fatigue, and low back pain.

Jei Xiao Yao Wan/free and Easy Wanderer Plus: This formula would include symptoms such as irritability, high stress, red eyes and headaches. I basically should have been taking this for the past 20 years.

 

Additionally, I have added 2000 mg of MACA to my regiment to reduce FSH and hot flashes. A brilliant tidbit I learned from my recent continuing education course.

To help my body cool off I am adapting lifestyle. I’m getting acupuncture and self-acupressure to help nourish my yin (the coolant). I’ve also omitted some things for my diet (such as red wines and sugars) while added others yin nourishing such as seafood, fresh fruits, and lots of liquids like water and broths.

To give my body the resources to stay healthy I began receiving moxibustion in addition to acupuncture. I also began incorporating small amounts of ginger in my water (to aid in digestion that will give me fuel to repair), a whole food supplement with vitamins and Chinese herbs to support my immune system (it’s called Tonic Alchemy and it’s delicious).  I am beginning to take extra methyl B vitamins and a rhodiola and schisandra to stave off exhaustion and give my body strength.

Being patient. Okay, I’m a work in progress and comes to this. Like I would tell anyone else, I took years for my body to get this way. The final immune chemo treatment may have been the straw that broke the camel’s back, but it wasn’t the actual cause that set my body fully ablaze. I am grateful to have the resources to help my body recover and am quite confident when I returned to my allopathic position in July that my FSH levels will have gone down considerably. Already my hot flashes are almost 100% gone (hours in the SE Florida sun or a large coffee and I body will still try have one-but just try.)

 

So, I must do my due diligence in state that I am not a medical physician. Always consult your physician if you have any symptoms. It is also good to have the actual blood test to see where your hormone levels are measuring. However, a good acupuncturist, herbalist or doctor of Oriental Medicine can guide you and tell you what supplements may best suit your body without you having to second-guess yourself. From my own personal experience, I pleased to tell you that your hot flashes and menopause symptoms are completely treatable under the right supervision. And seriously, hot flashes are no joke.

 

with love,

 

Dr. Lorri

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Going It Alone

By Lorri | Published October 30, 2018

Recently, I had the pleasure of catching up with a friend from college. She explained to me that last year she was attempting to have a child on her own. She was explaining this to her brother, when he replied, “In this day and age, why would you do that on your own?”  Perhaps he had good intentions, however, I could not help feel insulted for her. My question is, “In this day and age, why would she not do that on her own?”

In recent years, as many of my girlfriends hover in their late 30s to late 40s, I’ve had a handful that have decided to do parenthood on their own. I commend them. No more waiting or wishing for Mr. Right, no more hoping for Prince Charming or a knight in shining armor, no more sacrificing what they really desire for the sake of making another happy. They became a parent on their own, alone, and consciously.

Don’t get me wrong. A fantastic partner would have been ideal. Nobody can deny the fact that it takes a village let alone another human being to help raise a child. However, that opportunity never presented itself to these women at the right place, time, or situation. So, like strong women do in many situations, they decided to go it alone.

Going It Alone.

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