How to Support Your Liver Health

Hi friends! Today’s episode is kind of a “part 2” to last week’s episode on liver health. In that episode, we covered what the liver does and a few of the really important roles that it plays in our overall health, as well as what can happen when we don’t support our liver health. In this episode, I’m sharing practical ways that we can support the health of our livers as they support the rest of our bodies. 

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There are a number of ways that we can help support the health and function of our livers and most of them can be done from the comfort of our homes! So that’s great news! I’ve broken these down into a couple of categories to hopefully help it be easier for you to remember (you can always go to the show notes as well). 

The very first thing that we can do to support the health of our livers is… can anybody guess it?? You know what I’m going to say...

Improve gut health

I know that I sound like a broken record here, but I’m not exaggerating when I say that the health of our gut affects just about everything else in our bodies - especially our livers. If our guts aren’t healthy, toxins can be recirculated right back into the liver, instead of being excreted as they are designed to be. 

So if you are experiencing a lot of gut health issues, work with a professional trained in gut health to address the root cause. If you struggle with constipation or regular bowel movements, this is something that needs to be addressed ASAP with a treatment that will address the root cause and not just force your body to go. Unfortunately, these kinds of medications, while necessary at times (for short-term use), do nothing to heal to cause of constipation, and can harm the balance of the microbiome even more, which just perpetuates the problem. 

Here are a few ideas to help, if this is something you are struggling with: 

• High-quality bone broth daily 

• Deep breathing/box breathing before all meals

• Eating every 3-4 hours (fiber, protein, and fat)

• Add more variety to your meals (change out produce often)

• Gargle every day (start small and build up to 2-3 minutes at a time)

• Take a multi-strain probiotic (best to start this after a few weeks of the daily bone broth)

• Hydrate!! (½ body weight in oz of filtered, mineral water daily; can also add electrolytes to help)

Prioritize key nutrients 

Your liver is dependent on certain nutrients to function effectively. It needs protein to supply amino acids which assist with detoxification. It also needs liver-friendly nutrients including vitamin C and B vitamins, zinc, and selenium,  as well as antioxidants found in cruciferous vegetables like broccoli, cauliflower, brussels sprouts, cabbage, and kale, for example. Healing foods like garlic and turmeric can also support liver function by assisting with the production of liver enzymes.

One simple tip for increasing the intake of these essential nutrients is to aim for half a plate of vegetables at every meal, making sure to include some/all of the cruciferous ones that I just mentioned. If you’re also working on your gut health, most of these veggies are more easily digested when cooked (sauteed, roasted, steamed, etc.).

There are some other nutrients and herbs that may also be helpful in supporting the liver: 

• NAC (N-acetyl cysteine) and Glutathione are both antioxidants that have been shown to support the liver 

• Milk Thistle, dandelion root, and astragalus are commonly used to nourish the liver and assist in healing, especially for those with congested/fatty livers. You can often find Liver Support Teas that are made of a blend of these herbs. 

Increase lymphatic movement

Unlike the circulatory system, the lymphatic system doesn’t have a pump to keep things moving. It is dependent on the movement of your muscles and tissue to move the lymph around to different lymph nodes in the body to be filtered and then recirculated.

Moving our bodies every day for even just 10-15 minutes can help increase circulation as well as movement within the lymphatic system. Dry Brushing is also a helpful tool for increasing lymph movement in the body and can be done daily or several times a week before showering or taking a bath. 

Reduce toxic burden

One major way that we can help support the health of our livers is by reducing our exposure to toxins. As I’ve talked about many times, the body - specifically speaking here about the liver - is designed to filter toxins, so we don’t need to try to be 100% toxin-free or live in a pure bubble, however, we can place an undue burden on the liver when the number of toxins we are exposed to and the rate at which we are exposed to toxins is really high. Remember how in the last episode we talked about how every single thing we breathe, digest, or absorb has to be filtered through the liver. So when we are continually eating, breathing, and absorbing things that are full of chemicals that are harmful to our bodies, we have created a huge workload for our livers. 

So what are some simple ways to reduce our exposure: (have entire episodes about this 24, 64, and 65)

• Choosing organic produce (for the dirty dozen) and organic, antibiotic-free meats dramatically reduce the number of herbicides and pesticides we are exposed to.

• Increase awareness of the ingredients in personal care products and cleaning products. (EWG)

• Decrease foods/substances that create a greater workload for the liver such as alcohol/drugs, sugar, caffeine, high-starch carbohydrates (especially w/o protein and fat). 

Use Alternative therapies

There are a few other ways to support the liver that I wanted to mention:

• The use of a castor oil pack over the liver is believed to increase circulation to the liver as well as help in the production of one of our master antioxidants - glutathione. 

• Epsom salt baths are helpful for many things, especially in relief from sore muscles and even in reducing stress. Some also believe that the absorption of magnesium sulfate from the epsom salts can also support the liver. 

• Acupuncture has been shown to improve circulation and therefore decrease stagnation. There are many studies showing that acupuncture is helpful for liver function. 

• TCM believes there to be a direct link between unresolved feelings of anger or sadness and poor liver health. We know unresolved emotions and trauma can also lead to chronic inflammation and even poor adrenal health as well. So all the more reason to be sure you are paying attention to your emotional health as well, managing stress well, as well as seeing a counselor if you feel that you need some additional support navigating through past experiences or feelings (most of us do). 

Adding in a combination of few of these ideas into your daily and weekly rhythms will help support not only your liver health but your overall health as well.

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Why Liver Health Matters

Hi friends! In today’s episode, we are talking about our livers and why it’s so important that we take good care of them! The health of our livers is probably not something that often crosses our minds, but it is one of the most important organs in our bodies both for everyday function and long-term health. So let’s get into talking about the liver…

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The liver is the unsung hero of our bodies. It performs over 500 essential functions and unless something is going wrong, it rarely ever gets noticed. Most people I know don’t go around thinking about their livers throughout the day, yet it’s functions are vital to all other body systems’ ability to function. 

For example, here are a few of the essential functions the liver is responsible for:

Digestion and absorption

Our livers help turn our food into energy. It stores and distributes both fat and glucose, as well as metabolizes both cholesterol and protein.  It produces bile which is vital for digestion and absorption of key vitamins and nutrients and then distributes those nutrients out to the body. It also produces key enzymes that are needed for other chemical reactions all over the body. In addition to distribution, it also stores vitamins and minerals that will be needed in the future. So just by listing these few things, this shows that our livers help regulate our blood sugar, cholesterol, and hormone levels. 

Immune Function

Our livers produce of certain proteins and components of the immune system such as cytokines as well as various other immune cells. Our livers maintain a certain amount of controlled inflammation which assists the body in detoxification, but when this becomes uncontrolled or dysregulated, it can lead to systemic inflammation which damages the immune system and can even lead to auto-immunity or cancer. 

Hormone Function

The liver is hugely important for hormone health. Our livers create proteins and cholesterol that carry hormones all over the body. In addition, it also helps deactivate hormones and assist with ridding our bodies of excess hormones, or ones that we no longer need. This process is vitally important. For example, with the hormone estrogen, our livers actually regulate which kind of estrogens our bodies produce, as well as help with the processes that remove excess estrogen from the body. Without this essential function, an excess of estrogens can build in the body leading to estrogen-dominant diseases and cancer.  

Detox 

The function that our livers are best know for is detoxification. The liver is responsible for the movement of the blood in our bodies. As a matter of fact, almost 1½ liters of blood pass through our liver every single minute in order to be filtered. Through this process it extracts toxins and stores nutrients for later use (which we discussed when talking about digestion and absorption). The liver detoxifies in three phases that must stay in sync with each other. 

Phase One is bioidentification. This is when your body sends out enzymes that put a red flag on all toxins. Phase two is conjugation. This is when the body attaches molecules to those flagged toxins to make them either water soluble or fat soluble. Phase three is elimination. This is when the body actually flushes the toxins from our bodies when we use the bathroom (and sometimes through sweat). If one of these phases isn’t working correctly, it can damage our body’s cells and allow the toxins to continue to circulate in our bodies, further taxing our livers and creating a loop of inflammation. Every single substance we breathe, ingest, or absorb through our skin will pass through our liver, which creates a huge workload for it every single day. 

The point here is that every other system in the body is dependent on the function of the liver and when our livers are healthy, and functioning well, this works great! However, the truth is that the majority of Americans are walking around with less-than-healthy livers. 

What happens when our livers aren’t healthy

It’s estimated that up to 90 million Americans (that’s almost ⅓ of the American population) has Fatty Liver Disease, which is basically inflammation of the liver that occurs when apprx. 5% of cells in the liver are replaced with fat cells. This causes the liver to be unable to keep up with it’s 500+ essential functions and add to systemic inflammation in the rest of the body, which can lead to other chronic diseases like heart disease, diabetes, even Alzheimers and Dementia. 

If Fatty Liver Disease is left untreated, it can progress into Fibrosis, and even Cirrhosis of the liver, which leads to liver failure (fatal). Liver Disease doesn’t just occur because of alcohol or drug use or Hepatitis. Non-alcoholic fatty liver disease is the most common form of liver disease and is caused by a combination of lifestyle and genetics - most commonly high-starch/high-sugar diets, insufficient protein intake, intake of trans fats and artificial chemicals, unresolved emotions and trauma, lack of movement in the lymphatic system, and overexposure to environmental toxins. It’s not usually only too much fat, as the name would suggest.

Symptoms of an unhealthy liver or fatty liver disease

There aren’t always immediate symptoms, which can make it tricky. When symptoms do occur, some common ones are:

• Abdominal pain, fullness in the upper right side

• Nausea, loss of appetite (especially in the AM)

• Swelling in legs/abdomen

• Fatigue

• Brain Fog/confusion

• Waking up at night in the 2-3 am range regularly

You can ask your provider to run labs to check enzyme levels most commonly found in the liver ALT and AST. If either level is over 30, especially ALT, this can be indicative of a damaged liver. It’s important to note that by the time these levels are above normal, damage to the liver is already happening. So we don’t want to wait until then to care for and support the health of our liver. 

The good news is that livers regenerate and that our body has an amazing ability to heal. It will need some support from us, but an unhealthy liver, even most diseased livers, with the exception of cirrhosis, can be become healthy and well-functioning again. 

In the next episode, I am going to share ways that you can support your liver health to prevent an unhealthy, sluggish, or diseased liver, as well as ways that you can help your liver to heal if you are already experiencing liver dysfunction or disease. Make sure you stay tuned for that episode! 

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PCOS 101

September is PCOS awareness month and so for today’s episode, I wanted to do a quick deep dive into some basics about PCOS. It is actually the number one hormonal imbalance condition among reproductive-aged women and sadly, the leading cause of female infertility. So, this condition affects a lot of women and like many other hormonal issues, it can take a long time to get a proper diagnosis. So I want you to be informed about what PCOS is, what some of the common symptoms are, and if you or someone you love has PCOS, what we can do to help with it!

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PCOS is a common hormone and metabolic condition that affects up to 15% of reproductive-age women. It is associated with a higher risk for long-term health issues such as heart disease, diabetes, hypertension, sleep apnea, and infertility. Higher instances of insulin resistance, IBS, and depression/anxiety are also reported with PCOS. 

Symptoms often associated with this disorder are absent or infrequent menstrual cycles, excess weight gain or inability to lose weight, excess facial or body hair, head hair thinning or loss, severe acne, and often (but not always) insulin resistance and polycystic ovaries. 

PCOS is the most common form of hormonal imbalance and while experts know that it is rooted in inflammation and insulin dysregulation, what actually triggers PCOS is not understood. There seems to be a genetic factor, as women with moms or sisters diagnosed with PCOS are likely to have it as well. Also, as with any hormonal condition, gut health plays a major role. Some believe that it can possibly be linked with a combination of imbalanced gut flora and increased intestinal permeability, which leads to increased inflammation in the body. This can cause cells to become rigid and unable to receive the signal from insulin to let glucose into the cell (which leads to your pancreas continuing to pump out more insulin, and left untreated eventually becomes insulin resistance). Although ovaries do not become insulin resistant, when bombarded with insulin, the ovaries can respond by secreting testosterone. An excess of insulin can also inhibit the secretion of sex hormone-binding globulin (SHBG) which is the protein that binds excess sex hormones like testosterone and estrogen. This creates a perfect storm for these common PCOS symptoms.

PCOS is a clinical diagnosis, which means that it’s based on having a grouping of some PCOS symptoms and ruling out other diagnoses. Often a physician may want to perform an ultrasound to check the ovaries for cysts, but it is important to note not every woman with PCOS will have polycystic ovaries (despite the name). Most women with PCOS do have insulin resistance, but again - not all. It’s important that you work with your physician and be informed on the recommended lab tests that can be helpful for making a diagnosis. Functional medicine practitioners recommend a full thyroid panel, a full hormone panel including estrogen, testosterone, DHEA, SHBG, progesterone, prolactin, LH, FSH, and AMH, as well as a lipid panel and fasting blood glucose and insulin, and A1C. There may also be other tests as well as research about PCOS continues to be published. 

Once someone receives a PCOS diagnosis there really aren’t a lot of great conventional treatment options. The most common option is to take hormonal birth control and while that can help with symptoms, unfortunately, it doesn’t do anything to actually heal the cause of the symptoms. Not only that, but some believe that it may actually worsen the condition over time. Metformin is also a common medication given to women with PCOS. Just be sure to research and speak with your doctor about the common negative side effects that can be associated with it. 

While there is no cure for PCOS, there are things that a woman diagnosed with PCOS can do to help with symptoms as well as target the underlying known contributors to PCOS - blood sugar dysregulation, poor gut health, and inflammation. 

When I work with clients who have PCOS the first two things that we work on are supporting balanced blood sugar and healing their gut. So let’s talk about some foods, supplements, and lifestyle modifications that can help with those things.

When it comes to food, the first thing to remember is that your body needs to feel safe and know that it can count on adequate fuel throughout the day. The best way to do this is to eat a balanced meal (meaning fiber, protein, and fat) about every 3-4 hours. So that typically looks like breakfast, lunch, dinner, and at least 1 snack, maybe 2. You don’t want to eat continually or fall into grazing throughout the day, but also don’t skip meals or go long periods of time without eating. 

Some specific foods that can help:  

• clean sources of protein: wild-caught, omega-3 rich fish such as salmon, cod, trout or sardines; bone broth, grass-fed beef

• High fiber carbs:  cruciferous veggies, pumpkin, beans, rice, berries, goji, cherries, onion, parsley, garlic, freshly ground flax seeds 

• Healthy fats: walnuts, coconut, olives, 

• Herbs, spices, teas: cinnamon, turmeric, ginger, decaf green tea, Holy Basil tea, liver support teas - like milk thistle or dandelion 

There are some supplements that may also be helpful. I do just want to remind you that everyone’s body is different and may respond differently to herbs/supplements. It’s really best to work with a practitioner who is knowledgeable about these supplements and your particular healthy history. With that said, Vitamin D and methylated B-complex can be helpful because a lot of women (in general), especially with PCOS, are deficient in these. Herbs like Vitex, Dong Quai, saw palmetto, nettle root, and licorice can help with some of the common PCOS symptoms. Inositol is another common supplement given to help with insulin sensitivity and other common issues with PCOS.

There are also some lifestyle recommendations and alternative therapies that can be helpful as well. We all know that regular exercise is good for us, but especially for women with PCOS daily movement is vital for reducing inflammation, balancing blood sugar, and supporting gut and liver health. It’s also important to participate in weight training at least 2x per week (either bodyweight or added weights) which has been proven to help increase insulin sensitivity, allowing it to be more useful in the body. It’s also recommended that women with PCOS prioritize getting 8-9 hours of sleep each night and commit to stress-reducing routines like daily walks and downtime from social media and other emotional stressors. Acupuncture can also be helpful. Many women have also found seed cycling to be helpful - and that probably needs its own episode but essentially is eating certain types of seeds in the follicular phase of your cycle and then switching to other seeds in the second type of your cycle. This can help the body get rid of excess hormones more efficiently and may support more balanced hormone levels. It also provides a great source of fiber which is helpful for gut and liver health  

Ultimately, if you or someone you love has PCOS it’s important to know that even though there isn’t a cure, symptoms can be managed and your body can be supported in such a way that the condition doesn’t have to take over your life. Make sure to get a good team of healthcare professionals on your side that can help you with all aspects of your health and really take the time to learn about PCOS and about how your own body responds - what works for you and what doesn’t. 

Friends, I hope that this episode has been helpful for you. If you’re struggling with PCOS know that you aren’t in this alone and that there is help available for you. Start with some of these things that I’ve mentioned today and build a team of people around you that can support you in this journey. As always if you have any questions, you can send an email to info@yourhealthforward.com. 

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027 - The Secret to Healthy Skin Starts from Within

Welcome back, friends!  Today we are talking about healthy skin! We all deal with skin issues from time to time but for some of us it’s a major source of frustration that can really mess with our confidence and self-esteem. Especially when we can’t seem to get to the bottom of it no matter what we do! 

Well, today’s post won’t answer all your skin health-related questions, but hopefully, it will give you some helpful knowledge about what your skin may be trying to tell you and how you can help keep it looking and feeling healthy! Let’s get into it! 

It probably won’t come as a surprise to you that healthy skin starts from within our bodies. We tend to want to focus on products and things we can put on our skin from the outside - and we will get into that a little later - but really, we need to start by focusing on what we put into our bodies and what is going on with the function of the inside of our bodies first. That’s where the big difference is made. 

So often when we experience one of these skin issues, or maybe even cyclical hormonal breakouts, we tend to jump to what we can take or apply that might fix the problem. We think of it as only going skin-deep, so to speak. But really it’s likely giving you a clue of some other dysfunction or imbalance in the body. 

Our skin is our largest organ, one of our strongest defenses, and it’s also one of our few detox pathways - so it has a lot of functions that affect our whole bodies and visa versa.

There seem to be three main dysfunctions in the body that tend to show up in the skin. 

An overloaded, congested liver - which can often result in acne; poor gut health, either an imbalance in the microbiome or leaky gut syndrome - which can also result in both acne and eczema, as well as cause plenty of other health issues. And the other is blood sugar dysregulation or chronically high insulin levels - which leads to high levels of inflammation in the body and can show up as skin issues like cyclical breakouts, acne, etc. This will often be associated with other hormonal imbalance symptoms as well, maybe even PCOS. 

There can definitely be other causes as well but those are the three that are most common. So if you are dealing with any those issues, it’s worth it to take a look at your liver health,  as well as your gut health and make sure your glucose and insulin levels are where they should be as well. 

So now that we’ve talked about some common causes let’s talk about what you can do to help with these issues! 

Focus on what you are eating 

The first thing is to focus on what you are eating. The common thread in a lot of these skin issues is inflammation, so choosing to remove inflammatory foods (processed foods, sugar, refined grains, oftentimes dairy) will help and then also following an anti-inflammatory diet. This is going to look like a lot of plants - veggies and fruits high in antioxidants and fiber (think leafy greens, broccoli, cauliflower, blueberries, acerola cherries, strawberries), healthy fats (like avocados, coconut products, nuts like almonds and cashews, olive oil) and then clean, organic proteins (like wild-caught fish, grass-fed beef, lentils, and beans, etc). 

Make sure you are well hydrated

Also drinking a LOT of water. Like a lot. Your gut and liver depend on you doing this in order to function well. This is key in helping to flush toxins from your body, as well as adding the hydration needed for the skin. Remember, your goal is half your body weight in ounces every day (weight in lbs.  / 2 = # of ounces you need to drink daily)

Take skin-loving supplements to boost your nutrient levels

Adding in key supplements like collagen (either in bone broth which is healing for your whole body or through a protein powder, like collagen peptides). Collagen is one of the main proteins in our bodies - it helps make up our skin, hair, nails, joints, gut lining, etc. so it’s important that we have enough! Also anti-inflammatory supplements like fish oil / omega-3 and curcumin (found in turmeric) can help lower overall inflammation in the body. Also, adrenal healing herbs like ashwagandha and ginseng can also help to help regulate cortisol in the body, which will help with the inflammation as well. And then, of course, you know that I’m all about getting good probiotics in - whether through fermented foods like sauerkraut and kefir or through a supplement, like a soil-based probiotics, or one of my current favs MaryRuth Organics Raw Liquid probiotics. 

Live an Anti-Inflammatory Lifestyle

In addition to eating an anti-inflammatory diet, the other thing that will help is also living an anti-inflammatory lifestyle. This means getting good, restorative sleep (7-9 hours every night - this is when your body rebuilds and repairs) and also lowering your emotional stress (this has a huge effect on your gut health and adrenal health), so try to find ways to actively pursue peace in your life.

The other side to having healthy skin is obviously going to be what you put on it and what you expose it to.

Use clean skincare products 

Did you know that your skin has a microbiome, or ecosystem of bacteria, just like your gut? We need to be careful that what we are applying to our skin, to clean or moisturize isn’t something that will strip the skin or kill the food bacteria. Also, make sure that it isn’t full of parabens, sulfates, and artificial fragrances that contain who knows what kind of chemicals. Not only are those things damaging to our skin but they also absorb into our bloodstreams and only create more problems for our livers and gut, creating more inflammation. 

Look for products that are made of ingredients that you recognize, that are naturally sourced, and if you want fragrance, use natural sources for that too, like essential oils. 

You can use the Think Dirty or EWG apps to search for products that are safe for your whole body. I know that Beautycounter and Primally Pure are both really safe, clean options. I’ve also heard some great things about Honest Beauty brand, and Acure, although I haven’t used those myself. Even my girl, MaryRuth has a few facial masks and other skincare products you can check out. 

The good news is that most common skin-issues can be resolved! You may need to do a little digging into what is actually causing it and what may not be functioning well in your body - but that will only help to make you healthier overall, not just help your skin! It’s a much better option than just trying to treat symptoms and cover things up! 

If you have any questions about today’s episode or feel like you need some specific, personalized help - please reach out. I’d love to help you!