Dr. Nathan Goodyear

Between Valentine’s Day and American Heart Month, there’s no denying that hearts and February go hand-in-hand. This month, as we celebrate the things that make our hearts melt, let’s also think about preventing heart disease with the 4 Pillars of Heart Health: Minerals, CoQ10, Alpha Lipoic Acid, and L-Carnitine.

Not only is Cardiovascular Disease (CVD) one of the most widespread and costly problems in the U.S., it is among the most preventable. Like any other part of the body, the heart requires preventive care to ensure it will operate at its best. These days I see more preventive care for cars than for the heart. Prevention is not early detection. It is identifying those at risk and instituting therapy to actually prevent the disease. And while early detection and treatment is needed and saves lives, we need also to focus on preventing CVD altogether.

Current statistics on Cardiovascular Disease (CVD):

•   33.5% (149 million) of US adults have been diagnosed with high blood pressure
•   8% (18.3 million) of the US adult population has been diagnosed with diabetes
•   67% (34% of which are obese [149.3 million]) of US adults are either obese or overweight

These 2012 statistics tell us that we are not gaining much ground in the battle against heart disease.

So, what is the heart? The heart is complex organ, but essentially it is a big hunk of muscle. The heart is responsible for pumping the blood to the lungs to be oxygenated and then deliver that oxygenated blood throughout the body. To pump that oxygenated blood, the heart needs lots, and lots of energy (ATP). The heart uses the “power house” of the cell, called mitochondria, to generate all this needed energy.

How much energy does the heart make? The heart makes enough energy, everyday, to drive a truck 20 miles. That mileage, over an average lifespan, will get you to the moon and back. The ability of mitochondria within the heart (which is muscle) to generate energy is critical to life. In fact, the result of compromised mitochondria is aging and death. The lack of ability to produce energy, actually triggers apoptosis (cell death). Enough cell death equals organ death, which results in the body’s death. Obviously, this is not what we want. Mitochondria are crucial to the heart’s ability to make energy and avoid all the, well…unintended consequences.

At Seasons Wellness Clinic, we focus on the 4 Pillars of Heart Health which support mitochondrial function.

1. Minerals

•  Magnesium is a nutrient. Magnesium is needed for more enzyme reactions than any other nutrient, which makes it extremely important.
•  B Vitamins give us energy. Why? One reason is B vitamins are co-factors in energy production. Many of the B vitamins are co-factors in the Kreb’s cycle, another very important pathway for energy production.

2. CoQ10 is critical in energy production. CoQ10 is a carrier protein between complex I and complex II of the electron transport chain (ETC). The ETC is where your body makes most of the ATP (energy). CoQ10 is an antioxidant as well.

3. Alpha Lipoic Acid is very important in the pyruvate dehydrogenase enzyme complex. This enzyme complex is very important in the first steps of energy production from glucose, a process called glycolysis. Alpha Lipoic Acid, like CoQ10, is an antioxidant.

4. L-Carnitine is involved in the “fat shuttle.” Carnitine is involved in how the cell shuttles fat into the mitochondria for energy production. You can see how a compromised “fat shuttle” can effect energy production and fat production. L-carnitine, too, is an antioxidant.

Not only do we want to evaluate these critical components (and yes, we can test for these essential molecules), but we want to prevent any compromise to their function. A major cause of component malfunction in the body’s processes is mineral depletion, and the #1 cause of mineral depletion is prescription drugs.

To demonstrate my point, let’s use Metformin and Statin drugs as examples. First, Metformin, a good prescription drug for Diabetes, is known to deplete the body of Magnesium, B12, folic acid, CoQ10.  And second, Statin drugs, for cholesterol, are known as disruptors of CoQ10. Ever wonder why those on statin therapies complain of muscle pains/cramps?  If you poisoned your muscle’s ability to make energy, you would do the same. I am not opposed to these medications, it is just very important that we understand that a patient with Diabetes and high cholesterol (closely linked) must avoid therapies that actually worsen the problems.

To help the heart live long and strong, remember the 4 Pillars of Heart Health. There are four major vessels of the heart as well as four major obstacles to heart health. For more information about heart health, specialized testing, and medical-grade supplements, contact a Patient Relations Specialist at Seasons Wellness at  (865) 675-9355

These are questions I am often asked. In short, Seasons breaks free from the disease model of medicine. Our focus is wellness by optimizing your health. What does this mean? Just because you are free of disease does not mean you have great health. A wellness model of medicine is the only way to prevent disease and promote healthy living.

At Seasons, we work to achieve health and wellness with balance using our 5 Points of Wellness: Nutrition, Exercise, Hormones, Inflammation, and Detoxification.

NUTRITION

Are nutrition and health related? Absolutely. We are what we eat. Hippocrates said it best, “Let food be your medicine and medicine be your food.” Your diet must be individualized to meet your metabolic needs, limit inflammatory responses, and meet your lifestyle demands.

We offer personalized nutritional counseling to develop a plan for disease management, disease prevention, and overall good health. At Seasons, your nutritional plan is individualized to meet your needs in a way that fits your lifestyle.

EXERCISE
Exercise is an important part of any weight-loss or weight-maintenance program. Maintaining healthy weight is an excellent benefit of exercise, but it does so much more for your body. Exercise builds muscle, relieves stress, and helps to detoxify, just to name a few. However, too much exercise can severely harm the body.

At Seasons, we work to maximize your calorie expenditure, while reducing the damage to your body from excessive exercise. We do this in a way to match your lifestyle and your physical abilities.

HORMONES
Regardless of your age, your body needs hormones to function. Hormones are a means of communication with your body. And balance of those hormones is the key. Sure, it would be great if men were just a Testosterone sponge; or women just an Estrogen factory. But, that is not the case and the key is to create a balance. When your hormones are balanced, so are you. When your hormones are not balanced, your body will let you know.

Your hormone balance is unique and will change based on factors such as weight loss, weight gain, stress, and even nutrition. The only way to determine your imbalance is to share any symptoms you may be having with your healthcare team at Seasons. This gives us information on where to look for hormone imbalance issues. Only then can we identify your particular imbalance and formulate a plan to balance your hormones. Balanced hormones = better health.

INFLAMMATION
Inflammation is the greatest obstacle to good health and is a part of the body’s immune system signaling department. Pain, redness, swelling, heat, and loss of function are common manifestations of inflammation. Inflammation is not new. The first four classical signs were described by Celsus (30 BC – 38 AD).

The source of inflammation is unique to each person. It may be due to deficiencies, such as vitamin D, poor dietary intake of antioxidants, such as resveratrol and curcumin, or even a deficiency of fish (low Omega-3 intake leads to inflammation). Your gut could also be the source of inflammation! Did you know that up to 75% of your immune system lines your gut? In many ways, your health starts with your gut.

The source of inflammation is as different as the individual. The only way to identify your unique source of inflammation is through symptom evaluation and state-of-the-art testing. At Seasons we can identify the causes of inflammation and implement specific therapy to eliminate inflammation, which can be as diverse as parasite treatment to dietary changes.

DETOXIFICATION
We live in a toxic world today. There is no way around that! According to a recent study, detectable levels of toxins were found in up to 99% of pregnant women even though many of these chemicals have been banned since the early 1970’s. This number will only rise with the approximately 1,800 new chemicals approved annually. This tidal wave of toxins are overwhelming our detoxifications systems proven by the exponential rise in rates of autism spectrum disorder and neurodegenerative diseases such as Alzheimer’s, Parkinson’s and Multiple Sclerosis.

The ability to detoxify is critical to health. Every cell must detoxify. At Seasons, we evaluate your individual ability to detoxify with state-of-the-art testing and treat those areas that are dysfunctional. We focus on your major detox organs — liver, skin, kidneys, lymphatics, and GI tract — through which every cell in the body must detoxify. We provide a detoxification plan to meet your specific toxic load and to support your identified needs.

Nathan Goodyear, M.D.

WHAT NEXT?

At Seasons, we offer individualized therapy to aggressively eliminate the obstacles to good health and maximize your body’s performance. We are not your disease doctor, we are your partners in health. We work to restore your health and then maintain that good health.

As Aristotle said, “The whole is more than the sum of its parts.” And at Seasons, our holistic approach encompasses all the body’s functions creating one plan giving you the tools you need to pursue wellness.

Questions? Spend some time on our website getting to know us and what we do. Then call 865.675.9355 and speak with one of our Patient Relations Specialists. Remember, good health is a choice. And at Seasons, we offer you that opportunity. Don’t miss your opportunity to choose a health and wellness lifestyle.

What is a Flexible Spending Account (FSA)?

A Flexible Spending Account is a tax-advantaged account, set up through your employer, that allows you to set aside a certain amount of your earnings to pay for qualified expenses. Contributions you make to your FSA are deducted from your check before taxes are calculated. The purpose of the FSA is to help cover out-of-pocket medical, dental, and vision expenses such as health insurance co-pays, uninsured treatments, or even over-the-counter drug purchases.

How does a Flexible Spending Account work?

At the beginning of the plan year (usually January 1st), your employer will ask how much you want to contribute for the year. Each month, the amount of money that you have pre-determined will be deducted from your paycheck and put into an account for your use during that same year. There is a limit of how much can be deposited into an FSA account, so check with your employer on the limit.

You can access the funds in your FSA account two ways:

• You may pay out-of-pocket then submit a copy of the Explanation of Benefits (EOB) or the provider’s invoice and proof of payment to the plan administrator. A reimbursement check will be issued to you as long as the expenses are approved.
• Some employers offer an FSA debit card that can be used at the point of purchase. Please note that unlike other debit cards, FSA debit cards are not accepted at every merchant that accepts Visa or MasterCard. The merchant must be coded as an approved business. Ex: You visit a spa to make an approved purchase for prescription cream for Rosacea but the FSA debit card doesn’t process. Even though it’s an approved purchase, the card doesn’t recognize the business as a medical facility. In the case that your card is declined at the point of purchase, you must pay out-of-pocket and submit the appropriate paperwork for reimbursement as described previously.

What are the benefits of a Flexible Spending Account?

An FSA saves you money by reducing your income taxes and your out-of-pocket medical expenses. The contributions you make to a Flexible Spending Account are deducted from your pay before your Federal, State, or Social Security Taxes are calculated and are never reported to the IRS. You decrease your taxable income and increase your spendable income. A Flexible Spending Account, when utilized to its fullest potential, can save you hundreds or even thousands of dollars per year. You may be able to pay for lab fees using your Flexible Spending Account.

You may be able to pay for lab fees using your Flexible Spending Account.

What expenses are eligible for reimbursement?

Any expense that is considered a deductible medical expense by the IRS and is not reimbursed through your insurance can be reimbursed through the Flexible Spending Account. Here are a few examples:

• Laboratory fees
• Acupuncture treatments
• Fees in excess of amounts allowed by your insurance
• Birth Control Pills
• Co-payments on covered expenses
• Deductibles
• Meals, transportation and lodging
• Nutritional supplements, vitamins, herbal supplements, etc. can only be included if they are recommended by a medical practitioner as treatment for a specific medical condition diagnosed by a physician, according to the IRS website.

A complete list of eligible medical expenses and explanations can be found on the IRS website.

What is the difference between a Flexible Spending Account (FSA) and a Health Savings Account (HSA)?

The most important commonality between the two accounts is that you are allowed to set aside the money before you pay income taxes on it. The FSA is a spending account, which indicates that you are expected to spend the money that you have set aside within that year. The HSA is a savings account, meaning, you may save that money until you need it, even if you don’t need it until many years later.

Wheat Belly by Dr. William Davis, M.D.

Wintertime in Tennessee is a great excuse to download or buy a new book and then get lost between its covers. My favorite for 2012 is “Wheat Belly” by Dr. William Davis. This is a fascinating and fun read describing how the amber waves of grain of our grandparents are barely recognizable as today’s genetically modified dwarf grain. This leads to potential digestive disorders, increased inflammation, and ultimately malabsorption of nutrients.

Did you know that wheat products elevate blood sugar more than Snickers candy bars or ice cream? As blood sugar (glucose) rises, more insulin is released from the pancreas. This allows entry of glucose into the cells of the body, converting glucose to fat. The higher the blood glucose after eating, the greater the insulin level leading to more fat being deposited, especially in the abdomen. The bigger your wheat belly, the poorer your response is to insulin, in turn leading to insulin resistance which can trigger diabetes.

Other effects of wheat include behavioral changes as well as documented tendencies to addiction! Digestion of wheat produces morphine-like compounds that bind to the brain’s opiate receptors. This can induce euphoria as well as unpleasant withdrawal effects. Dr. Davis states that wheat is one of the few foods that can alter behavior and generate a withdrawal syndrome upon removal. He describes it as a “powerful appetite stimulant” and cites cases of people continuing to snack from dinner to bedtime after wheat consumption.

Avoiding wheat can diminish food cravings and hunger, decrease calorie intake, and improve moods, not to mention decreasing weight and shrinking wheat bellies!

The book continues with such chapters as wheat and heart disease; cataracts, wrinkles, and elevated aging; and wheat’s destructive effect on the skin. Dr. Davis ends with wonderful resources and recipes that are wheat-free. So, when you are done with your daily exercise and are ready to nestle down with a book, check out Wheat Belly!

And the next time you are at Seasons, ask about our tests for wheat sensitivities such asALCAT and our GI Panel.

The beginning of 2012 is a great time to get healthy. Lose the wheat. Lose the weight!

There are several important things to remember when you are trying to prevent a cold. First of all, sugar suppresses the immune system and hinders your ability to fight off the sickness. It is good practice to avoid sugar as a prevention and especially during a cold. A good multivitamin is a must to take every day for prevention of colds. And last, if not restricted by medicine, grapefruit is perfect for providing vitamin C and detoxifying the liver to keep you well.

If you currently have a cold and are in dire need of relief, remember these points to help your body fight the cold faster:

• Drink plenty of fluids. Water and a small amount of fresh fruit juice are best.
• Avoid dairy which has been shown to increase congestion.
• Avoid diuretics such as coffee and tea.
• Avoid alcohol which depletes stores of vitamin C.
• Eat light with focus on easily digestible foods such as broths, vegetable soups, salads, fish and chicken.
• Chicken soup actually does work! Researchers say that the cold-fighting powers are from the vegetables that are part of the stock and that it helps relieve symptoms especially congestion. Make a batch of chicken vegetable soup and freeze to thaw when you are fighting a cold.

Chicken Soup

Nathan Goodyear, M.D.

We are just days away from putting on silly hats, drinking champagne, and kissing the one we love as we bid goodbye to the year. What an amazing year 2011 has been and how quickly it has come to an end! Soon, we will wake to January 1, 2012 resolving to do something new, to do something better. We will all take the plunge into New Year’s resolutions.

So, why do we make resolutions?

The need for a resolution implies that a problem exists. That a need for a change of direction is required. With a resolution, we have a resolve or determination to do something better. The way I see it, we should be focusing on solutions. And in the battle for our health, we need a solution-focused approach.

To find a solution, we must define the problem. The greatest obstacle to health today is disease. The problem is that our current health care disease model doesn’t work for health or health restoration. It does do a good job of managing disease, but we are not interested in disease management, as it relates to obesity. We are interested in disease resolution.

So, what does the research say in response to the above statement?

The future health of Americans is bleak. According to a recent article from the world’s leading general medical journal, The Lancet, 50% or more of Americans will be obese by the year 2030. The same article showed that 12 states have an obesity rate exceeding 30%. The healthiest state was Colorado, but its obesity rate just clipped the 20% mark. In fact, no state had an obesity rate less than 20%. Another article from The Lancet revealed that 86% of American adults will be obese or overweight by 2030.

We need a resolution to focus on solutions, not band-aids.

But, according to the Organization for Economic Co-operation and Development, it will happen before 2030. The OECD says that 75% of Americans will be obese or overweight by 2020. And it is worse for men, where 82% are estimated to be obese or overweight.

The impact of obesity? According to the International Diabetes Federation Foundation, 1 in 10 adults will have diabetes by 2030. That equates to 552 million adults worldwide. In the US, money spent or lost on obesity has reached an estimated 1% of GDP (Gross Domestic Product).

What has our current disease-model paradigm done for the obesity battle? If you look at the statistics, nothing. In fact, we are losing the battle. Yet we continue to pour money into a failing medical model for obesity, that studies have shown doesn’t work.

What we need is a solution-focused approach to the obesity epidemic. We need a resolution to do better as a medical community. We need a resolution to focus on solutions, not band-aids. We need a resolution to focus on health and health restoration, not on disease management.

At Seasons Wellness Clinic, our approach to wellness is solution-focused and addresses the obesity epidemic head on. We work every day to offer our patients and clients the tools they need to pursue wellness. Questions? Spend some time on our website getting to know us and what we do. Then call 318.255.3223 and speak with one of our Patient Relations Specialists. We look forward to a New Year full of health, wellness, and solutions!

Nathan Goodyear, M.D.

Testosterone is on the decline in American men making low testosterone a growing epidemic. As we mentioned in an earlier post, The Truth About Low T: Men, Middle-Age, and More, low testosterone has many causes and results from a combination of issues. From 1987 to 2004, Americans saw a 15% decline in serum testosterone. We can expect to see even lower tissue levels, as determined by salivary testing. So, the problem is likely much worse.

Two recent articles confirm the metabolic and health benefits of testosterone therapy in men with low testosterone.

The first study, published online from the Journal of Clinical Endocrinology and Metabolism, reviewed 820 studies and found that “low endogenous testosterone levels are associated with increased risk of all-cause and CVD death.” The results of this study substantiates previously documented publications.

The second study, published in the Journal of Clinical Endocrinology and Metabolism, was reported in the Newmax article Low Testosterone Does Not Shorten Life.  However, when you actually read the article, there is very little evidence to support the headline. The study states that “low testosterone is linked to diabetes via a bi-directional relationship with visceral fat, muscle, and possibly bone. There is consistent evidence from randomized trials that testosterone therapy alters body composition.”

The conclusion that diabetes in men should be treated with dietary management and exercise as the foundation, is correct. However, testosterone support in men identified to have low testosterone is also appropriate. Testosterone therapy in diabetics is just one piece of the puzzle. Low testosterone is found to be common in type II diabetes and obesity. A one-size-fits-all approach is never appropriate in medicine.

Testosterone support in men with documented low T does provide many metabolic and health benefits. Unfortunately, it is not as simple as it appears in the “Is It Low T?” commercial with the man dancing with his shadow. Customized testing will determine your exact hormone levels and from these results, we can create an individualized therapy plan for you. Our individual pathways to health and wellness are unique and should be treated that way.

Now that you know the truth about the metabolic and health benefits of customized testosterone therapy, what will you do about it? If you have symptoms and need answers or more information, call our office at 865.675.9355.

We have provided links to these studies and more on the Seasons Diigo bookmarking service.

With the convenience of today’s technology, there is no excuse for poor eating habits. From recipes and food journals to menu planners, you can find just about anything you need online. There are hundreds of apps that can be downloaded to your phone or iPad to help with any dietary needs or health plan. Some of my favorites include:

Crispy Turkey Tostadas Recipe

Ingredients

• 1 14-ounce can petite diced tomatoes, with jalapeños optional
• 1 medium onion, thinly sliced
• 3 cups shredded cooked turkey, or chicken (12 ounces; see Tip)
• 8 corn tortillas
• Canola or olive oil cooking spray
• 1 avocado, pitted
• 1/4 cup prepared salsa
• 2 tablespoons reduced-fat sour cream
• 2 tablespoons chopped fresh cilantro
• 1 cup shredded romaine lettuce
• 1/2 cup shredded Monterey Jack cheese

Preparation

1. Position racks in the upper and lower thirds of the oven; preheat to 375°F.
2. Bring tomatoes and their juice to a boil in a medium saucepan over medium heat. Add onion and cook, stirring occasionally, until the onion is soft and most of the liquid has evaporated, 15 to 20 minutes. Add turkey (or chicken) and cook until heated through, 1 to 2 minutes.
3. Meanwhile, coat tortillas on both sides with cooking spray. Divide the tortillas between 2 large baking sheets. Bake, turning once, until crisped and lightly brown, about 10 minutes.
4. Mash avocado in a bowl. Stir in salsa, sour cream and cilantro until combined.
5. To assemble tostadas, spread each crisped tortilla with some of the avocado mixture. Top with the turkey (or chicken) mixture, lettuce and cheese.