We refer to this past episode from October 8, 2020 so often that we decided to re-release it! Is your thyroid the reason you are exhausted, depressed, constipated, forgetful and gaining weight? We discuss signs and symptoms of hypothyroidism, how to properly diagnose imbalances, how to eat to support thyroid health and how we approach assessment and treatment as Naturopathic Doctors.
One in eight women will develop thyroid disease at some point in their life and women are 5-8 times more likely than men to experience thyroid issues.
As Dr. Lisa shared previously in Episode 3, she realized that her thyroid wasn’t functioning properly after giving birth to her son. It is common for women to discover thyroid issues in the postpartum period. Proper blood work, addressing stress and taking dessicated thyroid were crucial for Dr. Lisa to feel her best.
Why is your thyroid so important?
Your thyroid gland regulates your temperature, energy production and metabolism. When your thyroid is under functioning, it is called hypothyroidism. High thyroid function is called hyperthyroidism.
Symptoms of hypothyroidism include:
Fatigue and exhaustion
Unexplained weight gain
Increased sensitivity to cold and temperature changes
Constipation
Dry skin and thinning hair
Puffy face
Cravings for sugar and carbohydrates
Muscle weakness, aches, tenderness and stiffness
Pain, stiffness or swelling in your joints
Heavier than normal or irregular menstrual periods
Depression and anxiety
as many as 15% of women on antidepressants have an undetected thyroid problem as the cause of their depression
Brain fog, poor memory and concentration
Studies of women in their 60s have shown that low thyroid function can cause dementia-like symptoms and treatment can improve cognitive function and have a protective effect on the brain
High cholesterol
Increased risk of heart attack, cardiac arrhythmias and congestive heart failure due to the regulatory control of the thyroid on heart rate and rhythm
Fertility issues, increased risk of miscarriage and preterm birth
Increased risk of prenatal and postpartum depression
Why do so many women have thyroid issues?
Possible Causes of Your Thyroid Issue Include:
Environmental exposure to different chemicals, xenoestrogens and heavy metals
Certain medications including birth control pill
Vitamin and mineral deficiencies
Iodine, selenium, vitamin D, zinc, iron, vitamin A
Low calorie diets
Infections
Stress
High cortisol levels due to chronic stress:
reduces thyroid hormone production
inhibits your conversion of the inactive form of thyroid hormone T4, to the active form T3
Gut issues
Leaky gut (also known as intestinal hyperpermeability) and imbalances in your gut microbiome have both been shown to impact hormone imbalances and fluctuations, like when you are postpartum or in perimenopause
Autoimmunity
Environmental toxins, chronic stress, nutritional insufficiencies, leaky gut, food intolerances and having chronic inflammation are all factors that can contribute to autoimmune disease
Your immune system is triggered to produce antibodies that can attack your thyroid, which is what is happening when you have Hashimoto’s thyroiditis
How do you properly test your thyroid function and the underlying causes of thyroid issues?
Blood work:
Full thyroid panel: TSH, free T4 and T3, thyroid peroxidase antibodies, thyroglobulin antibodies, reverse T3
Vitamin D, iron
Celiac screen
Gluten and other food sensitivity
Saliva and urine testing for hormones including cortisol, estrogen, progesterone
Urine testing for heavy metal exposure (eg. cadmium, mercury)
Temperature checks every 3 hours during the day to see if your body is using your thyroid hormones properly
What can you do about an underfunctioning thyroid?
Avoid raw goitrogenic foods – soy and Brassica family veggies like broccoli and cauliflower
Increase your intake of thyroid supporting foods
Seaweed like dulse for iodine, brazil nuts for selenium, pumpkin seeds and oysters for zinc
Reduce toxin exposure
Replace nutrient deficiencies
Consider adrenal and stress support:
Address your throat chakra – speaking your truth, asking for help
Herbal support with ashwagandha, kelp, bladderwrack, Coleus forskohlii
Thyroid hormone replacement with Synthroid or Dessicated thyroid
Take in the morning, on an empty stomach, away from caffeine
Why would you consider dessicated thyroid?
If you’re on monotherapy like Synthroid (T4), you still night suffer from anxiety and depression even if your TSH levels are normal
T4 may not be enough to restore your T3 levels in your blood and target tissues
It contains all four natural thyroid hormones – T4, T3, T2, T1, plus iodine, thyroglobulin
Today’s Mama Must Have:
Dr. Toni loves having a healthy and easy recipe like Egg Muffins from Amanda Naturally that the whole family will eat for breakfast or a snack. Check out Episode 5 for more tips for healthy food habits from Amanda.
Dr. Lisa knows that Dessicated Thyroid is an absolute must have for her!
Thank you for joining us today!
Connect with us at our website www.perimenopausalmamas.com, on Facebook and on Instagram. We’d love you to subscribe, leave us a review and a 5-star rating if you enjoyed this episode.
Please tell your perimenopausal mama friends about us, too!
This episode was originally released on June 18, 2020. We had such great feedback on the tips provided that we decided to re-release it. Even if you had previously listened to this episode, it is still useful to listen again to be reminded how powerful simple daily habits can make a world of difference when it comes to your health. (Note: for the month of August, we are re-releasing some “oldies but goodies” – popular previously recorded episodes. We will go back to releasing new episodes in September 2021).
The majority of your health, energy and vitality is determined by the small, consistent habits that you incorporate daily. In this episode, Dr. Lisa and Dr. Toni “go back to the basics” and uncover 10 simple (and free!) things you can do to support energy, immunity, hormone balance, mood, digestion, disease prevention and more. Pick 1 or 2 health habits that resonate with you and that are easy to incorporate. Every little bit helps!
In this episode, we cover:
Deep breathing
Prioritizing sleep
Drinking water
Practicing Hydrotherapy
Adding fresh herbs and spices to your food
Eating more veggies
Getting in “exercise snacks” throughout the day
Connecting to nature
Practicing gratitude
Being a part of a community
Deep Breathing
Dr. Lisa’s favourite technique is Box Breathing aka 4-4-4-4 Breath
This technique is simple and easy. You can notice benefits of box breathing even after 1-2 minutes
You can practice deep breathing while you are showering, working, walking, watching tv, driving or stressful transitions with your kids, like bedtime
It helps to reduce stress, anxiety, possibly blood pressure and cortisol
Boosts feeling of well being and ability to be calm and present
Dr. Toni’s enjoys repurposing the HypnoBirthing Calm Breath (inhale to count of 4, pause, exhale to count of 6-8) in addition to the HypnoBirthing guided relaxation track available on HypnoBirthing Institute website as a free download
Prioritizing sleep – aim for about 7-8 hours
Sleep is essential for mental and emotional health, in addition to proper metabolism and immune system function
Give yourself permission to make sleep a priority over other things you could be doing – let yourself sleep!
Add in an afternoon nap if you need to (especially if you have little ones still napping)
Drinking Water
Hydration first thing in morning can make a huge difference in your energy, reduce your frequency of headaches and migraines, improve your digestion function and bowel movements
You can increase the quality of your tap water by using a filtration system
Adding lemon or other citrus fruit can add in flavour and more benefits for your health:
D-limonene is the essential oil found in the rind of citrus shown to have anti-inflammatory, antioxidant anti-stress and anti-anxiety properties, plus in animal studies shown to reduce triglycerides, LDL cholesterol, blood sugar and blood pressure, protect against stomach ulcers
Practicing Hydrotherapy aka “water therapy”
30-60 seconds cold water spray at end of your shower
Boosts your alertness, energy and mood
Helps your skin and hair to have a healthy glow (flattens follicles)
Supports your immunity and circulation to our internal organs
May support your weight loss with the production of more brown fat that produces heat, increasing your metabolism and temperature
Reduces your muscle soreness and can speed up your recovery post-workout
Other hydrotherapy options include cold spray on your feet while waiting for shower water to warm up or wet warming socks at the first sign of a cold
You can check out the free mini-class online by Wim Hof with focus on breathing, cold showers and power of your mind
Adding spices and fresh herbs to your food
Provides extra antioxidants for a quick and easy win for your health
Cinnamon can lower your blood sugar level and reduce inflammation
Ginger – supports digestion, good for nausea (even in pregnancy), can reduce pain and inflammation associated with arthritis, migraines and menstrual cramps
Add cinnamon, nutmeg and ground ginger to your chia pudding, yogurt, oatmeal or smoothie in the morning
Oregano – antibacterial properties, helps prevent against damage to your DNA and cells, plus has nutrients like calcium, vitamin K, manganese, iron, tryptophan
Add oregano and thyme to pasta sauces
Turmeric- used to reduce pain and inflammation for menstrual cramps, arthritis, may help to prevent against cancer and dementia
Add turmeric powder to hummus, baba ghanouj, scrambled eggs or omelettes with some black pepper and/or a bit of healthy fat)
Garlic – antimicrobial properties can help treat and prevent candida, fungus and other infections, support cardiovascular health
Enjoy roasted whole and spread on bread or crackers
Add garlic, parsley and cilantro to salad dressings with lemon juice, olive oil, coconut aminos, salt and pepper
Add dill to homemade coleslaw or salads
Add rosemary to barbequed meat to reduce advanced glycation end products (AGEs) and roasted veggies like squash, sweet potato and potatoes
Eating more vegetables
Aim for at least 8 servings a day with a rainbow of colours
More variety of veggies provides more nutrients
Higher fruit and vegetable intake (5 servings or more) is linked to decreased risk of cardiovascular disease, especially:
Leafy greens like lettuce, spinach, swiss chard, mustard greens
Cruciferous vegetables like broccoli, cauliflower, cabbage, Brussels sprouts, bok choy and kale
Also provides more fibre for improved digestion, balanced blood sugar and can help prevent hypertension, diabetes, cancer
How can you get more in? Try one new veggie per week
Add spinach or greens to smoothies or “green eggs”
Switch out a serving of pasta, rice, bread for cauliflower rice, vegetable pasta or konjac noodles/rice
Research shows that intake of starchier vegetables like potatoes, corn, and peas were linked with more weight gain
Getting in “exercise snacks” throughout the day
Great for switching up your emotional state, maintaining your muscle mass, your cardiovascular and lymphatic health, and spending time with your kids
Walking or running, outside or doing stairs or laps inside!
Indoor dance party in your living room
Set a timer to do some push ups, lunges and/or squats for 1-2 minutes every hour to reduce the amount of time you’re sitting during the day
Connecting to Nature
calming, connects me with something bigger than myself and my little problems, simple as being mindful and observing the trees in the yard and the neighbourhood park, grateful to live with large pine trees in front and back yard
Aim for at least 20 minutes 2 times a week
Studies show getting outside can lower blood pressure and stress hormone levels while boosting mood and memory
Induces calm and relaxation by reducing rumination
Can be done alone or with others (while physically distance as necessary)
Can include taking a nature walk in a park, forest bathing, sitting in your backyard or balcony, listening to nature sounds, looking at pictures of nature scenes or hugging trees (as they were urged to do in Iceland to help overcome social isolation
Doctors are starting to write prescriptions for getting out in nature
Practicing gratitude
Research shows that grateful people experience less pain and depression, plus better sleep and self-esteem
Can be as simple as feeling thankful for hugs from family, connecting to family and friends online, summer weather, having time to listen to a podcast for new information or getting to drink your coffee or tea while it’s hot!
Gratitude practice can include a gratitude journal or mental review in the shower or in bed before sleep
“Where your attention goes, your energy flows”
Being part of a community
Social isolation and loneliness has a bigger health impact than smoking on your risk for heart disease, stroke, cancer and Alzheimer’s disease
Reduces stress and anxiety
Options include:
Talking with friends and family over phone, WhatsApp or Zoom
Playing games with friends online
Online book clubs
Online groups like Mom Halo, Mamas and Co, Camp Hoo-ha, Business Networking International (BNI)
Volunteering
Today’s Mama Must Have:
Dr. Toni is thankful to have Arnica homeopathic pellets and ointment to safely manage the inevitable falls, bumps and bruises that happen in daily life with a toddler.
Dr. Lisa finds a real benefit from a gratitude journal and writing down what she’s grateful for in a regular ringed notebook from the dollar store. In the morning, she reflects on, and writes down: what would make today great; three amazing things that happened yesterday; plus people and opportunities that she’s grateful for.
Thank you for joining us today!
Find the show notes at stephanies48.sg-host.com or connect with us on Facebook and Instagram. We’d love you to subscribe, leave us a review and a 5-star rating if you enjoyed this episode.
Please tell your perimenopausal mama friends about us, too!
Here’s another oldie and goodie pre-pandemic episode worth another listen! This episode is packed full of real talk about mom guilt and how your expectations and self-awareness can impact parenting and your attachment to your kids. This conversation between Dr. Toni and registered psychologist, neurofeedback therapist and SheWorth founder Kimberly Mueller was recorded in August 2019 and previously released on Feb 13, 2020.
In this juicy episode, we cover:
Lessening your egoic attachment to your kids
Awareness of how your experience with your own parents impacts how you parent your kids
The inevitability of mom guilt
Distorted thought patterns women can get stuck in
How mood follows action
How trauma, anxiety, sleep and nervous system patterns can shift with neurofeedback brain training
Powerful Mama Advice from Kimberly:
Are you anxious about what your child is doing or not doing, especially in regard to their grades in school, their behaviour in public or their activities like dance or sports?
Remember that your kids are not yours; they are with you right now for a period of time before they go out into the world. Your kids do not have to define you and your identity doesn’t have to be tied up in them. It can be helpful to loosen your egoic attachment to who your child is, what they are saying or how they are acting. This can lessen some of the stress and anxiety you may feel about who your child is becoming. As a result, this can give your kids the permission they need to be loved and accepted for exactly who they are without conditions and expectations.
This idea can be a shift from previous generations. Growing up, you may have felt the burden that you had to be a particular kind of person or fit into a specific mold and that it wasn’t ok to be different. You may even regress back to feeling that way when you go back to your childhood home now!
As an adult, you might still be healing from the idea that it’s not ok to be yourself or you have to be a certain way. Hopefully, we can all step into a new fluidity and looseness around the rigid belief system we grew up in.
Your experience growing up with your own parents can colour how you parent your own kids.
When you become an adult, there is a lot of value in seeing your parents for who they really are. We can begin to see the inevitable faults in our parents and their parenting choices. With increased self-awareness, you can start to be radically honest with yourself and be willing to see the tendency of your parents in your own parenting. If your mother yelled often when you were growing up, you might be yelling often with your children. If your mother was a disagreeable personality type and your father was an agreeable personality type, you are likely going to think it’s ok for one person to often succumb to another person’s opinion or desires.
By breaking down how your family of origin influenced you, you can see how some of your parents’ faults might be manifesting in your own parenting. Because of that conditioning on your nervous system over the years, changing how you respond to different situations doesn’t happen overnight. This is also the case with your partner, too! Give yourself permission to make mistakes and learn from them.
Mom Guilt, Anyone?
The idea of the perfect, happy image that can be present on social media doesn’t help with some of the inevitable mom guilt that you can experience. While mom guilt is inevitable, it is manageable. You are knocking on some primitive parts of your brain when you are experiencing mom guilt. You are evolutionarily wired to want to protect your young. When you go out to seek out resources (in other words: working), you might feel some dissidence or the feeling that something isn’t quite right at some level. Even in the 21 century, you are still operating on the same software system from many, many years ago.
From an evolutionary perspective, your tribe was designed to help raise your young. You can look at it that way when it comes to having your kids in daycare or at school while you are working. Your tribe is helping to raise your young and helping with social skills. The research
When you have those emotions, be curious about it. Go through the process of checking in with yourself. Are you working a lot of extra hours and being more short with your kids because of guilt around that? Even if you love your job, this can come up over and over again. Is the guilt coming from a place of your spidey sense telling you that something is off?
While nothing is perfect, often mom guilt can be turned down when you feel comfortable with the care that your kids are getting when you are at work. Honour your intuition if your gut is telling you to make a change. It’s helpful to have someone in your life to talk it out, whether it is your partner, friend, another family member or a therapist.
Could everyone benefit from therapy and seeing a psychologist?
The biased answer is yes! Being aware of your emotions and putting a label on it is the biggest part of making change and feel better. You don’t need to have a problem or diagnosis to benefit from working with a therapist. It can help look at things in your life with a new lens that you may not have considered. Mental training and emotional agility is something that needs work, like training for your physical health and how brushing your teeth is necessary for your dental health and overall well-being.
Do you get lost in your head?
Our minds can be a dangerous place! Our imagination can create stories and narratives that are not true.
Examples of distorted thoughts include:
Mind reading – you think you know what another person is thinking, even though they aren’t thinking that way
Catastrophizing – you think that if one thing goes wrong, then another and another will happen and create a problem that is far worse than it really is
These distorted thoughts can be challenged by a therapist or a really good objective friend. Seeing a therapist can be a great alternative to talking to a friend because it can be hard for a friend to not be biased or not just say something you want to hear in order to affect the friendship and be nice. While your social tribe is there to unconditionally support you, a therapist is objective with no skin in the game. Also, you are wired to want to keep your status and position amongst your tribe to ensure survival. While it is great to share with close friends, you can say whatever is there for you with a therapist without worrying about the potential impact.
Mood follows action.
You might not have the “perfect” mood to go out for a walk or go to a new place. It can be hard, but by not doing it, you are reinforcing the same pattern that there is something to be afraid of or is threatening.
Just talking about patterns around past trauma and anxiety (big or little) you might be stuck in sometimes isn’t enough to remove them. This involves the firing of neurons in different areas of the brain and different brain neurotransmitters.
Neurofeedback trains the brain and can help re-organize the brain at the subconscious level. As a result, the brain is no longer firing or stuck in the patterns that are causing anxiety or insomnia or keeping trauma stuck in the body.
Your brain doesn’t want to exert a lot of energy. It takes a lot of energy to be anxious, depressed or ADHD. Neurofeedback helps the brain to become more efficient and resilient. Like the internet, neurofeedback is super easy to use but incredibly complex in how it’s organized behind the scenes.
Neurofeedback has been helpful for some women to wean off anti-anxiety medication. Also, Dr. Toni has experienced the benefits of neurofeedback while pregnant to calm anxiety, reduce the amount of waking in the middle of the night and gain better sleep quality.
Today’s tip:
Take a deep breath. Recognize that you’re doing the best you can and your kids are doing the best they can. Support each other and celebrate our successes.
Today’s Mama Must Have:
Dr. Toni recommends having indestructible stainless steel water bottles for both moms and kids. She loves Klean Kanteen for herself and her daughter Frankie.
Kim recommends having a guide for free, fun family activities in your area, like Calgary’s Child: https://www.calgaryschild.com/
Find out more about cognitive behaviour therapy, neurofeedback and Kimberly’s approach at www.psychologycalgary.com
Connect with Kim and find out more about her organization SheWorth on Instagram @sheworth_women
Thank you for joining us today!
Have any comments, suggestions or burning questions? Visit our Website and connect with us on Facebook and Instagram. We’d love you to subscribe, and Please leave us a review and a 5 star rating if you enjoyed this episode.
Please tell your perimenopausal mama friends about us, too!
This episode is an oldie but goodie. It was previously released on Mar 5 2020 (pre-pandemic!) but the nutritional information is timeless. Listen in to discover how to: eat healthy with minimal preparation and time; what foods should be on your plate; which foods may wreak havoc on your hormones; and how to eat to balance blood sugar levels, energy and hormones.
As perimenopausal mamas, it can be tough to eat healthy when life is busy. Preparation can be key, especially to help make it easier at the end of the day after working and running around picking up kids from school or daycare.
Quick tips for food prep:
Pick a day on the weekend to do quick meal prep for the week, make a grocery list and get your groceries for the week
Keep frozen veggies on hand to roast, steam or saute as an option for quick nutrient boost to meals
What does a healthy, balanced diet look like? Macronutrients found in food include:
Protein – animal and plant based
Fats – animal and plant based, unsaturated and saturated (avoiding trans fats!)
Carbohydrates – simple and complex including fibre
There is no one size fits all when it comes to a healthy diet! There is no one master diet that is the right way to eat for everyone and your nutritional needs can change depending on the stage of life you are in.
While a healthy diet can vary from person to person, there are some nutrition guidelines to consider:
Aim for covering half your plate in vegetables, especially colourful veggies and leafy greens
Eat more Brassica family veggies to support estrogen detoxification, including broccoli, cauliflower, cabbage, Brussels sprouts and kale
Cover a quarter of your plate with healthy sources of protein like wild caught fish, organic chicken, grass fed beef, beans and legumes
Complex carbohydrates like whole grains or starchy vegetables like sweet potatoes, squash and beets can cover the remaining quarter of your plate
Add healthy fats like avocado, coconut and olive oil, ghee, nuts and seeds like almonds and walnuts
Start your kids early with healthy eating to avoid having to make more than one meal – see Episode 5 with Amanda Beatty for more tips!
Remember that your portion control and balance of carbs in your meals will most likely be different than your kids! Your kids may need more simple carbs in the form of fruit and grains.
Read the label when you’re picking out processed foods and looking for healthy snacks. A snack may say gluten free or natural, but can still have a whole lot of added sugar in it in the form of evaporated cane juice, sucrose, glucose, fructose or other words that end with “ose”.
Are you eating enough protein?
Protein is important for hormone balance for a number of reasons:
Acts as essential building block for hormones and enzymes
Supports muscle mass, which is metabolically active tissue that burns more calories!
Has higher thermic effect of food, which means that your body will burn more calories when digesting and processing food with higher levels of protein
Make sure you have a breakfast that contains protein with:
Eggs in scrambled, omelette, frittata or hard boiled form
Quinoa porridge with seeds like hemp and ground flax
Chia seed pudding
Smoothie with nut butter, protein powder
Adding in an extra scoop of collagen or protein powder to any of the above
Other goals to use your food as medicine can include:
Balance your blood sugar to prevent energy dips, insulin release and fat storage
Stay more full and satisfied with protein, healthy fats, complex carbohydrates and fibre
Get a mood boost with complex carbohydrates and tryptophan-containing foods like chia and sesame seeds
Avoid inflammatory foods like processed sugar and find out if your body is not happy with other normally healthy foods
Common food sensitivities can include dairy, gluten, corn, soy, eggs and even almonds!
Avoid drinking too much water with your meals so that you’re not diluting your stomach acid which can impact your ability to digest and absorb your food properly
Today’s Mama Must Have:
Dr. Toni believes that every mama needs a go-to healthy snack to fuel yourself and your kids and her go-to snack is her hemp protein power balls. Here’s her recipe:
Dr. Toni’s Hemp Protein Power Balls:
½ cup hemp protein powder (from Manitoba Harvest)
1 tbsp organic cocoa powder (from Camino Cuisine or Rodelle)
½ cup sunflower seed butter (from Nuts to You, or use almond/pumpkin seed butter)
½ tbsp hemp seed oil (from Manitoba Harvest, or use MCT/flaxseed oil)
Optional:
Coconut flakes
Ground flaxseed
Dried cranberries (sweetened with apple juice from Patience)
Mix dried ingredients in a large mixing bowl, then add wet ingredients. Consider adding more oil if using optional ingredients. Roll into bite sized balls and store in the refrigerator.
Thank you for joining us today!
Have any comments, suggestions or burning questions? Email us or connect with us on Facebook and Instagram. We’d love you to subscribe, leave us a review and a 5 star rating if you enjoyed this episode.
Please tell your perimenopausal mama friends about us, too!
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