by Sara Gottfried, MD Exercise is key to overall health, but sometimes the wrong approach can do more harm than good. It’s likely one of the reasons you’ve encountered patients who are struggling to achieve results despite every effort to lose weight and improve their health. Thankfully, there’s more to the story. We sat down with Sara Gottfried, MD to discuss the connection between exercise, hormones, and healthy weight loss. Sometimes exercising too much can make it more difficult for…

by Bianca Garilli, ND Screen time is quickly becoming one of the hottest topics for parents, healthcare practitioners, and educators. How much screen time should children and adolescents be allowed per day? Does screen time include the time spent on laptops to complete homework and reading assignments for classes? At what age should children begin to use screens? When is an appropriate developmental timeframe to buy your child a phone? Does the use of screens increase the risks of behavioral…

by Sara Gottfried, MD and Lewis Chang, PhD Introduction When I finished my medical training in 1998 at the University of California at San Francisco, I thought I knew everything about vitamin D, particularly vitamin D deficiency and insufficiency. I understood vitamin D was important for the efficient trafficking of calcium in the body, and that helps to keep bones strong, which was important for women’s health over the age of thirty when bone density begins to decline. What I…

by Bianca Garilli, ND, USMC Veteran The estimated cost of diabetes in the US was $327 billion in 2017, which reflects both direct medical costs ($237 billion) and indirect costs ($90 billion).1 After adjusting for inflation, this amounted to a 26% increase in diabetes costs from 2012 to 2017 and accounted for 1 in 4 healthcare dollars spent in the US.1 In 2015 it was estimated that 30.3 million people of all ages, roughly 9.4% of the US population, had…

by Sara Gottfried, MD Behind closed doors, women bear all. Overwhelming fear, feelings of worry, irritability, and tension may plague them, yet the conversation around their anxiety has remained mostly unchanged for the past thirty years in mainstream medicine. Although anxiety is our nation’s most common mental disorder, there are lingering feelings of shame surrounding the condition. Women, who often feel pressured to live up to unrealistic expectations, may suffer silently and refrain from seeking the help they deserve. Anxiety…

by Sara Gottfried, MD and Annalouise O’Connor, PhD, RD Many women notice after age 45 that fat seems to accumulate readily at the waist. There are even terms for it, like menopause belly, muffin top, or “menopot.” What does the science tell us about menopausal belly fat and how to get rid of it? What are the hormonal drivers and are they amenable to change with personalized lifestyle medicine? Certainly belly fat, specifically subcutaneous and visceral abdominal fat, increases during…

by Bianca Garilli, ND Type 2 diabetes (T2D) is estimated to affect nearly 15 million adult women in the US.1 This chronic disease can lead to a host of medical concerns including detrimental effects on bone health, making T2D an independent risk factor for bone fractures.2 A study published in Menopause sought to assess the status of bone mass, bone microarchitecture, and factors associated with vertebral fracture in postmenopausal women with T2D.3 This is a particularly important research query to…

by Melissa Blake, BSc, ND The use of probiotics has grown substantially over the last several years. Propelled by development in sequencing methods and analytical techniques, there has been a significant increase in knowledge and understanding about the importance of a healthy microbiome.1 The currently accepted definition of a probiotic states they are “live microorganisms which when administered in adequate amounts confer a health benefit on the host”.2 Is this relatively broad definition sufficient for clinicians to guide treatment? Can…

by Bianca Garilli, ND, USMC Veteran Military ranks are full of healthy men and women participating in regular physical fitness routines comprised of cardiovascular fitness, strength training, and flexibility exercises all designed to keep the warfighter in tip top condition, ready to deploy and engage at a moment’s notice. In fact, due to the sharp focus on exercise and weight standards of the US Armed Forces, active duty troops are much healthier than their civilian counterparts. For example, rates of…

In this presentation made at The New York Academy of Sciences, Frank Hu, MD, PhD, Professor of Nutrition and Epidemiology at Harvard School of Public Health and Harvard Medical School, provides an edifying overview of the relationship between nutrition and metabolic diseases. Dr. Hu delves deep into systems epidemiology, which integrates a wide range of information from genetic predisposition, epigenetics, genetic expression and other factors into population-based epidemiological studies. According to Dr. Hu, systems epidemiology exists at the intersection of human observational…