Category Archives: Stress

Cortisol: good or bad?

Cortisol has hit the social media airwaves with a bad reputation, especially about weight loss.  As usual, social media took something right and made it wrong.

Before I can comment about cortisol’s relationship to weight gain, it is important to understand cortisol.

Cortisol is a glucocorticoid hormone secreted from the adrenal glands and is a vital hormone for the stress response system. Cortisol helps increase blood sugar and blood pressure during stress events.

Without an adequate amount of cortisol, the body is unable to respond to stress and results in numerous symptoms, including:

  • Fatigue
  • Dizziness, fainting
  • Low blood pressure
  • Low blood sugar
  • Digestive upset such as vomiting, diarrhea
  • Muscle pain, cramping, fatigue
  • Joint pain
  • Depression
  • Loss of body hair
  • Salt cravings
  • Abdominal weight gain
  • Inappropriate responses to stress

Severe depletion of cortisol may lead to coma or death, but this occurs when the adrenal glands are damaged, such as with Addison’s disease.  Most people do not suffer from Addison’s disease, but it highlights the importance of cortisol.  

Much more common is cortisol insufficiency resulting from a living a lifestyle colloquially known as “burning the candle at both ends.” In this scenario, cortisol levels initially rise, to address stress, but over time may become depleted. Fatigue, abdominal weight gain, poor ability to manage stress, salt/sugar/fat cravings, repetitive colds, and an inability to respond to stress with grace are common symptoms of insufficient cortisol levels.

For many, regular consumption of sugary foods will result in cortisol depletion.  This occurs due to the following (simplified) mechanism:

  • Blood sugars rise steeply after eating sugar.
  • Insulin takes the sugar out of the blood stream and puts it into the cells.
  • Subsequently, there is a lack of blood sugar to support the next need for cellular energy. This is felt like a blood sugar “crash.”
  • Cortisol rises to raise blood sugar. I call this inappropriate release of cortisol due to dietary choices. Remember, cortisol is a stress hormone, so stress responses also occur with the rise of cortisol, including a rise in blood pressure.
  • If this blood sugar is not needed immediately by cells, it is converted into fat.   

Blood sugar yo-yo-ing may result in weight gain, fatigue, and insufficient cortisol.

The adrenal glands also produce other hormones, including:

  • Sex hormones: Progesterone, DHEA, Testosterone, Estrogens
  • Mineralocorticoids: Aldosterone (a blood pressure regulator)
  • Catecholamines: epinephrine, norepinephrine (adrenalins).

In order to maintain cortisol levels, the adrenal glands may preferentially support cortisol production over these over hormones. For peri/menopausal women, hot flashes and night sweats may worsen if hormone production needs to favor cortisol production rather than sex hormones.

So, yes, cortisol is a contributor to belly fat due to blood sugar dysregulation, but cortisol is not the culprit. Lifestyle, diet, nutritional insufficiencies, and a lack of allowing oneself to relax is path to cortisol insufficiency. It is possible to regain cortisol balance with lifestyle,  nutritional changes, and if needed, targeted nutraceutical therapy. Weight loss is also only possible when cortisol and other hormones are balanced.

Not sure if cortisol insufficiency contributes to your symptoms?  Dr. Rodgers offers testing for cortisol and sex hormone levels.  She can also counsel you on how to maintain healthy blood sugars to preserve your cortisol stores.

Video: Finding Your Joy

SARS CoV-2/ Covid-19 virus has changed society as we know dramatically since the Spring of 2020. Because of these changes, many patients report an increase in depression and anxiety. Dr. JOYLYN Maniaci focuses her counseling coaching practice on helping people re-connect with joy in their lives. Dr. Rodgers,ND interviews Dr. Maniaci, ND about her unique practice.

Managing Fear During a Crisis

The only thing we have to fear is fear itself.

– Franklin D. Roosevelt, First Inaugural Address

Is there something to fear? Yes.

Covid-19 is dangerous: it is a new virus, with a different infection mechanism unlike other coronaviruses; it is easily transmittable; there is a lack of vaccine; mortality risk is high for certain parts of the population; test kits are not available for everyone; and research about successful pharmaceutical, herbal, and vitamin treatments is lacking. The economic impact due to the need for social distancing is also causing incredible stress for many people.

Should we let our fear consume us? No.

Fear helps to mobilize us toward action, but staying in fear may lead to inaction, cause an inappropriate immune response, and reduce our cortisol reserves. For those with a predisposition for anxiety, it is important to address this underlying condition in addition to supporting the immune system. 

Another word for fear is anxiety. The good news is that we know how to treat anxiety.

There are three very important reasons to treat anxiety.

  1. Anxiety may cause shortness of breath and constriction of the bronchioles.  For those with anxiety and asthma, the use of a steroid medicine may further suppress the immune system.
  2. Covid-19 has a propensity to attack the lungs, causing oxygen deficit. 
  3. Anxiety causes an up regulation of our stress hormones leading to reduced rational thought, reduced healthy sleep, and immune system suppression.

You can improve your breathing and reduce stress during the Covid-19 crisis in a variety of ways:

  1. Gratitude. By remembering what you are grateful for can improve a poor outlook and reduce overall stress.  For example, I am grateful that modern technology allows me to continue to help my patients via phone calls and tele-health. I am also grateful the weather is warming and the spring flowers help remind me that the world is still a beautiful place.
  2. Practice relaxation through humor, relaxation breathing, exercise, and meditation-type exercise: prayer, tai chi, qi gong, and yoga.  As many of you know, I recommend Yoga With Adriene. Her wonderful YouTube videos are easy to follow and gentle, and comply with the social distancing suggestions we are all following. I always feel more relaxed after I complete one of them.
  3. Exercise. Exercise helps move stress hormones out of the system. Exercise also promotes the endocannabinoid system and reduces inflammation.  Exercise in the sunshine also improves immune enhancing Vitamin D levels.
  4. Practice healthy breathing techniques. These are especially important for asthmatics.  See the links below.   The two video links below are excellent resources to help promote healthy breathing and induce relaxation.  Practicing these techniques would be helpful on a daily basis.

Buteyko breating exercise for asthma or panic attack. Click here for Buteyko exercises– watch the entire video to get the most information.

Diaphramatic breathings. Remember: Breathe in = belly out. Breathe out= belly in.  Relax the shoulders. If you watch babies, they do this naturally! Click here for diaphragmatic breathing demonstration.

Herbal, Mineral, and amino acid support. To facilitate physiologic relaxation I suggest the following supplements. Some of these products can be found at Dr. Rodgers’ Fullscript site, or over the counter.

  • CBD oil. CBD helps promote relaxation and inflammation. Start with 0.5-1 mg and work up to 10-20 mg. Reduce dose if any adverse reactions occur.
  • L-theanine.  100-200 mg one to 3 times daily. L-theanine is an amino acid that promotes relaxation. .  On Fullscript, look for chewable Gaba-Trex by Neuroscience.
  • Passionflower, valerian, hops, lemon balm. On Fullscript, look for Relaxing Sleep by Herb Pharm. This herbal combination helps promote relaxation without melatonin.  Can be taken during the day or night for relaxation.
  • Magnesium.  Take 100-400 mg daily.  Choose magnesium citrate, glycinate, and/or malate forms. Natural Calm by Natural Vitality powder is found on Fullscript and over the counter.  Take to bowel tolerance, meaning that you can reduce the dose to the level that does not cause loose stools. Epsom salt baths are an excellent relaxation strategy. Warm water + magnesium both reduce stress.
  • For improved sleep: Any of of the suggestions listed above may be helpful. If you need extra help, a little melatonin may be what you need.  Best Rest Formula by Pure Encapsulations on Fullscript contains 0.5 mg melatonin, 150 mg GABA,  25 mg L-theonine, and valerian, passionflower, chamomile, lemon balm and hops, all of which act to calm and relax the central nervous system

If you have further questions about how to treat your anxiety, please contact me. I am available for phone or video (Remote Consults). To schedule go to: ttps://www.idnatmed.com/appointment

Remember, as in all things, this too will pass.

Click here to read FDR’s full First Inaugural address.

Achieve Your Dreams: New Year’s Resolutions

It is that time of year for resolutions.   Here are some tricks for successfully maintaining and reaching your goals.

  1. Find the experts who can guide you toward your goal.
  2. Break down the goal into distinct, achievable steps. 
  3. Find the support you need to be accountable to your goals.
  4. Be patient and persistent.

Find the experts who can guide you toward your goal.
Use experts who have proven their expertise to help you achieve your goal. For example, finding the right nutritionist, financial planner, fitness instructor, or business coach can help you create a plan that works for you.

Break down the goal into distinct, achievable steps. 
For example, if you desire to get in shape, consider the following steps:

  1. Decide if you are going to join a gym or work out at home.
  2. Choose activities you enjoy doing.  The more enjoyable the activity, the more likely you will look forward to keeping in shape.  If you have not exercised in the past, try a variety of classes or programs to find one you enjoy. 
  3. Utilize a professional trainer for at least 3 weeks to set you on your path and guide you towards a regular work out program.

Find the support you need to be accountable to your goals.

Accountability will help you Persist in your goal.  Being accountable to your goal is the most powerful way of achieving your goal.

One weight loss study “determined that programs supervising and monitoring attendance improved adherence rates by 65% compared to self-monitoring programs and had the highest adherence rates overall.”

Joining a group, checking in with a professional, or working on a goal with a friend can all be ways of keeping you on-track towards your goal.

Be patient and persistent.

Be patient with your progress, remember it takes time to become who you want to be.

Hey, is your goal to loose weight? Dr. Rodgers offers a successful weight loss program that has proven results. Click here to learn more.

Making Summer Fun and Healthy

Eating well and exercising is sometimes a chore. Here are some ideas to make life fun and healthy.

Zesty vinegar spritzer. Combine your favorite cooled sparkling water with an infused vinegar. This has become a summer favorite. Pour 1-2 Tablespoons of your favorite flavor infused light balsamic vinegar with 8-12 ounces of sparkling water. I really enjoy a lemon vinegar with sparkling water.  Not only does this drink taste great, it helps to create an alkaline balance. Olivin in Boise offers a variety of high quality infused vinegars and olive oils.  One tablespoon of balsamic vinegar may provide ~3 grams of carbohydrates.

Quick yoga workouts. There are some days that are too busy to go to yoga class. Find a quick work out on Youtube to help reset the mind, body, and spirit. I’ve been following Yoga with Adriene , but there are others you can follow to get in a quick rejuvenating yoga set.

Morning workouts. Research shows that exercise helps to increase mood and brain health. Even if you can’t do a full work out in the morning, a quick summer morning walk or bicycle ride can help set you for a productive and smart day.