In this re-released episode from 2020, Dr. Lisa and Dr. Toni are talking about a hot topic: hot flashes! Whether you call it a hot flash or hot flush, they can be an annoying and uncomfortable symptom that you may start to experience in perimenopause. We discuss: what hot flashes are and why they happen; the potential causes and triggers for your hot flashes and night sweats; and what you can do about them so you don’t have to suffer.
According to research, anywhere from 35%–50% of perimenopausal women suffer sudden waves of body heat with sweating and flushing that last 5–10 minutes.
What is a hot flash?
A hot flash or vasomotor flush can vary from feeling slightly warm to more like a fire from the inside out. They can come on rapidly and last anywhere from 1-10 minutes.
You may get them anywhere from a few times per week to more than 10 times during the day and night. They can be combined with visible flushing with your chest, neck and face turning red, with a little bit or a lot of sweat.
Hot flashes often continue for a year or two after menopause, but in up to 10% of women, they persist for years beyond that. They can disrupt your sleep, which can worsen: fatigue, irritability, anxiety, metabolism, weight control and immune system function.
Why do you get hot flashes?
Although hot flashes have been studied for more than 30 years, no one is absolutely certain why or how they occur. The Centre for Menstrual Cycle and Ovulation Research (CeMCOR) at UBC attributes hot flashes to “estrogen withdrawal”, as their research has found that hot flashes closely resemble an addict’s drug withdrawal due to the hormonal associations and brain effects seen.
Your level of estrogen while in perimenopause is fluctuating and can be unpredictable. When your estrogen level drops from normal to low or high to normal, it can trigger a hot flash in your body.
Estrogen drops can trigger the release of your stress hormone norepinephrine, as well as other stress hormones and brain neurotransmitters. Norepinephrine narrows the range of body temperature where you feel comfortable (also called your thermoneutral zone) so you’re more sensitive to both heat and cold.
A hot flash is a vasomotor symptom where your blood vessels dilate to release more heat because of the narrowing of your thermoneutral zone.
Causes of hot flashes can include:
Blood sugar imbalances that can trigger your stress hormones, resulting in you feeling hot and wired
High stress and cortisol levels that can worsen night sweats
Inadequate detoxification through your organs of elimination or emunctories. Things that can make your hot flashes worse by negatively affecting your body’s ability to detox include:
smoking, constipation, being overweight, not exercising and not sweating (via exercise and sauan usage)
Triggers are different for each women. It is useful to keep a hot flash journal, tracking your potential triggers such as:
Hot drinks, caffeine, alcohol
Sugar, spicy foods, garlic
Nightshades like tomatoes, eggplant, peppers
Perceived stress or stressful situations
What can you do about your hot flashes?
Avoid your known triggers
Manage your temperature
Turn your thermostat down, put on a fan or A/C
Sleep naked or in loose-fitting breathable cotton
Under-dress during the day and wear layers
Use a breathable weighted blanket like ZonLi, Chilipad or gel pillow
Drink cool or ice water
Use an essential oil spray with peppermint, clary sage, geranium
Manage your stress
Have stress-releasing time EVERY DAY! Be proactive to improve your response to stress
Meditation, yoga, deep breathing, singing, humming
Get a sweat going during the day with exercise, sauna or a hot bath
Include liver-detoxifyng and phyto-estrogenic foods
Ground flaxseeds (can add to chia pudding, smoothies, cereal, yogurt)
Organic fermented soy like miso soup or tempeh
Brassica vegetables like broccoli, cabbage, cauliflower, kale, Brussels sprouts
See a Naturopathic Doctor for hormone testing and individualized treatment including:
Herbs like maca, vitex, black cohosh, sage, red clover, pueraria (Thai kudzu), hops, milk thistle, dandelion, artichoke
Nutrients like berberine, plant sterols, N-acetyl cysteine, magnesium, vitamin E, L-glycine
Acupuncture
Homeopathy
Bio-identical hormone creams
Natural progesterone has been shown in recent research to be safe and effective for hot flashes and night sweats, avoiding some of the adverse effects of classic estrogen therapy or synthetic estrogen with synthetic progesterone (progestin)
Today’s Mama Must Have:
Dr. Toni has a favourite oat and fruit bar recipe for a quick and easy breakfast or snack that Frankie loves:
Dr. Toni’s Banana and Fruit Breakfast Bars
3 ripe bananas
1 cup chopped apricots, cranberries, dates and/or prunes
2 cups rolled oats
1 cup sunflower and/or pumpkin seeds
1 cup milled flax seed
⅓ cup olive oil
1 tsp vanilla
Mash bananas and combine with fruit and oil. Add remaining ingredients and mix well. Spread onto a pan or cookie sheet and flattened with a fork. Bake at 375oF for 10-15 minutes until slightly browned.
Dr. Lisa found a tasty gluten-free beer called Glutenberg to enjoy in moderation on hot summer days.
Thank you for joining us today!
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!
You can also support us by visiting our Patreon page.
Stay safe and healthy everyone!
Disclaimer: The information provided in this presentation is not meant to replace treatment with a licensed health care practitioner. It is for informational purposes only. Consult with a Naturopathic Doctor or other licensed health care professional to determine which treatments are safe for you.
In this episode, Dr. Lisa talks with Certified Holistic Nutritionist (and best-selling author!) Joy McCarthy about: which foods to eat to support detox; how to “green” your body care products; ways to amp up your salads with powerhouse foods; and how to sneak more vegetables into your child’s diet.
Joy McCarthy is the bestselling author of: Joyous Health, The Joyous Cookbook and Joyous Detox, which was a World Gourmand Cookbook Award recipient. She is also the co-host of the Joyous Health Podcast.
In this episode, we cover:
How a food-based 10-day detox can be the easiest way to get started
The benefits of focusing on what you can eat instead of what you can’t eat
Sources of different chemicals that you may be exposed to throughout the day (and it may shock you!)
The benefits of doing a beauty detox, starting with the products that spend a lot of time on your skin, like your moisturizer and foundation
Eat more: vegetables and other plants, especially cruciferous vegetables, citrus, herbs and spices like fennel, cilantro, parsley, mint, turmeric, ginger, garlic
Some delicious Joyous Health Detox Supporting Recipes you can try:
You can find Joy @joyoushealth on Instagram, Twitter, Pinterest and on Facebook. Shop for her detox tea, detox program, and the Joyous Detox Cookbook on her online store.
Today’s Mama Must Have:
Dr. Lisa takes a teaspoon of unpasteurized apple cider vinegar in water before eating to support her digestion.
Joy includes meditation in her daily routine to stay sane and manage anxiety, including the Calm app and Deepak Chopra’s Daily Breath app.
Thank you for joining us today!
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!
In this part 2 of 2 episodes on CGMs, Dr. Toni shares her surprising experience using a CGM (Continuous Glucose Monitor) over 14 days. She describes how her focus changed from watching for glucose levels that were too high to glucose levels that were too low. Tracking glucose levels can help support your energy and brain health, as well as reducing risk of disease like diabetes.
The downside of hyperglycemia (when your glucose levels are too high) and hypoglycemic episodes (when your glucose levels are too low)
How CGMs can help you discover the best food combinations for stable blood sugar levels
How eating snacks sweetened with stevia might not be your solution to blood sugar spikes and dips
See for Episode 133 (re-release of Episode 32) for Dr. Toni’s breakfast bar recipe and Episode 85 (re-release of Episode 10) for Dr. Toni’s hemp protein power ball recipe.
Today’s Mama Must-Have:
Dr. Toni recommends making your food intake a top priority instead of being a second (or third) thought after feeding your kids and all the other things we manage as parents.
What’s Else is Happening?
Dr. Toni’s next HypnoBirthing session for expecting parents looking to decrease fear and anxiety to support their natural instincts around labour and birth is next month. Join her at https://www.hypnobirthingcalgary.com/register
Join Dr. Lisa’s new Facebook group Wild Woman Adventures Toronto if you want to get out in nature, connect with other women and push yourself out of your comfort zone. Activities include: sunrise/sunset SUP, tree-top trekking, a new moon workshop and more!
We’d love you to subscribe, leave us a review and a 5-star rating if you enjoyed this episode.
You can also support us by visiting our Patreon page.
Please tell your perimenopausal mama friends about us, too!
Stay safe and healthy everyone!
Disclaimer:The information provided is not meant to replace treatment with a licensed health care practitioner. It is for informational purposes only. Consult with a Naturopathic Doctor or other licensed health care professional to determine which treatments are safe for you.
In this episode re-release, Dr. Lisa and Dr. Toni discuss the atopic triad of allergy, asthma and eczema that both perimenopausal moms and their kids can experience. Find out how your hormones are involved, plus what you can do to prevent and treat these inflammatory issues today.
What is an allergy?
Hypersensitivity disorder of your immune system, where you react to normally harmless substances in the environment that most people won’t react to.
Allergic symptoms include:
Itchy, watery, red eyes
Runny nose
Sneezing
Headache or pressure in sinuses
Itchy throat
Postnasal drip
Constant clearing of throat
More serious symptoms include:
Eczema – inflammatory skin condition
Asthma – immune reactivity and inflammation in airways causing wheezing, coughing, shortness of breath
Hives and anaphylaxis
The prevalence of allergic symptoms is increasing!
Allergic rhinitis, including runny nose, dark circles under eyes and throat clearing, affects as many as 40% of kids in US
CDC reported food allergies increased by 18% in US since 1990s
Eczema affects about 1 in 5 kids in US, with rates tripled in past 3 decades
Asthma affects at least 1 in 8 kids in US, with rates tripled between 1980 and 2008
Increased immune system reactivity causes may include:
Hygiene Hypothesis or Microbiome Disruption
Your immune system needs to learn to respond to components in dirt and soil
Babies born by C section are 5x more likely to develop allergies than vaginal birth, since they are not exposed to mom’s vaginal microbiome
Also influenced with breastfeeding
Good bacteria are needed for “oral tolerance” and immune tolerance, so you are less reactive to foods and environmental allergens
Reduced gut flora diversity linked with increased risk of eczema, damage to gut lining allows foreign particles to trigger more immune reactions since more than half of your immune system is found along your gut – see Episode 8
Germ phobia can make kids more allergic
Insufficient micronutrient and antioxidant intake
Environmental pollution and compromised liver detoxification pathways
Liver filters all the blood in the body from the digestive system and removes toxins, allergens, hormones, chemicals, drugs, etc.
Your liver contains the Reticuloendothelial System (RES) containing immune cells that remove antigens from the digestive system
If overworked with high levels of chemicals and pollution, your liver will not be able to remove allergens appropriately – see Episode 33
Stress and adrenal function
Adrenal glands produce stress hormone cortisol, which is needed for an appropriate immune response
If overstressed or burnt out, you produce less cortisol resulting in more inflammation – for more info, see Episode 24
Genetics
Can be modified by environmental factors
Just because your parents suffer from allergies doesn’t mean you have to!
Immune system balance is like a teeter-totter or see-saw
Th1 vs.Th2 response
Infants born with an allergic tendency and proper amounts of beneficial bacteria or microbiome supports more balance away from allergy while preventing autoimmunity
For example:
Research has shown that children in Estonia are less allergic than those in Switzerland and Estonian children have higher numbers of good bacteria in their intestines
Components of the Allergic Response include:
Allergens are also called antigens, like food, animal hair, insects, pollen, mold, dust, trees, chemicals, drugs, dyes, detergents, additives, etc.
Antigen binds to IgE antibody receptors on immune cells called mast cells, which triggers the release of inflammatory substances including prostaglandins and histamine
Histamine acts in many areas in the body causing:
Vasodilation – swelling, redness, inflammation
Skin – itching, swelling, redness, hives
Nose – runny nose, sneezing, nasal congestion
Eyes –watery
Lungs – congestion, bronchoconstriction of airways, difficult to breathe
Digestive System inflammation
Conventional medical treatment for allergies, asthma and eczema include:
Foods high in omega-6 increases inflammation and the allergic response – vegetable oils, soybean, canola, sunflower, corn, safflower
Ratio of omega 6 to omega 3 should be 4:1; Western diet ratio is 10:1!
In Japan, with westernization of diet (less fish and omega-3), saw increase in allergies
Can balance with more omega 3 from algae or fish source (anchovies, sardines, mackerel, herring, salmon), as well as omega 6 GLA found in evening primrose, borage, hemp
Deficiencies in:
Omega-3
B vitamins
Vitamin B6 – found in tuna, calf liver, chicken, salmon, turkey, potatoes, cod, sunflower seeds, halibut
Vitamin B12 – found in calf liver, sardines, salmon, beef, lamb, halibut, scallops, yogurt
Magnesium – found in pumpkin seeds, spinach, swiss chard, soybeans, sesame seeds, halibut, black beans, sunflower seeds, cashews, almonds
Zinc – found in oysters, red meat, poultry, baked beans, chickpeas, and nuts like cashews and almonds
Vitamin C – found in blueberries, strawberries, raspberries, oranges, papaya, broccoli, brussel sprouts, kiwi, cauliflower, kale, parsley, lemons, limes, spinach, snow peas, and rose hip tea
Vitamin D – found in small amounts in eggs, milk, best made with UV exposure to skin
Retinol – active form of vitamin A, found in animal liver, whole milk, and some fortified foods
Carotenoids – can turn into active form of vitamin A, found in plant foods like carrots, squash, sweet potatoes
Why Does Perimenopause Cause More Skin Itching and Hives?
Estrogen plays an important role in your skin health, impacting the microbiome of your mouth, gut and skin. Microbiome changes related to menopause may increase intestinal permeability, which increases the likelihood of having food reactions and atopic dermatitis.
Hives, also called chronic urticaria, are about twice as common in women as in men and may be associated with hormonal changes such as the menstrual cycle, pregnancy, menopause, birth control pill or synthetic hormone replacement therapy. Your sex hormones can modulate immune and inflammatory cell functions, including mast cell secretion of histamine.
One study suggests that patients with chronic urticaria have lower levels of serum DHEA-S (dehydroepiandrosterone sulfate), an adrenal hormone that tends to decline with age. Stress is commonly elevated during perimenopause, leading to high output of cortisol and adrenaline which are frequently associated with hives.
Lab testing you can consider:
Serum hormone testing or DUTCH urine hormone testing
IgG food sensitivity testing
Micronutrient testing – vitamin D, specialized labs for zinc, vitamin A, omega 3
Comprehensive stool testing for microbiome balance and gut health
Prevention and Treatment to Consider for Allergies, Asthma and Eczema:
Support stress management and adrenal glands
Avoid caffeine, sugar, alcohol, stimulants
Stress-relieving techniques including sleep support and routine
B vitamins, Vitamin C, adaptogenic herbs
Increase air quality
HEPA filter (heating, ventilation, air conditioning, vacuum cleaner)
Avoid carpeting
Regular dusting and vacuuming
Keep pets out of the bedroom and bathe regularly
Sinus rinse or Nasal Lavage
Neti Pot or Nevage
Steam inhalation with eucalyptus oil, peppermint oil, thyme oil
Blow your nose regularly
Support gut health with probiotics and fermented food
Avoid antibiotics, PPIs, NSAIDs
Use filtered water to remove chlorine
Nutrition
Avoid inflammatory and histamine increasing foods
Avoid food allergies and sensitivities
Increase foods with nutrients important for immune function, including flavonoids – see Episode 39 for more info on nutrients to support immune activity for viruses
Pomegranate, tomatoes, bilberry, blackberry, blueberry, black currant, sweet cherry, apples, apricots, pears, raspberries, black beans, cabbage, onions, parsley, pinto beans, watercress, green tea, grape skin
Consider regular intake of local honey to decrease immune sensitivity to environment
Supplements to consider:
Urtica dioica (nettles), Ribes nigrum (black currant), N-acetyl cysteine (NAC), Pine bark extract, Flavonoids including quercetin
Homeopathic Remedies
Homeopathic Immunotherapy
Topical treatments for eczema can include moisturizing oils like coconut, shea, jojoba (anything except olive), oat baths, calendula
Today’s Mama Must Have:
Dr. Lisa loves roasted beets and beet root powder to provide natural sweetness and extra liver support.
Dr. Toni is a big fan of having moisturizing lotion and creams for hands and body handy. She likes Baby Bum fragrance free every day lotion with shea butter and Rocky Mountain soap company omega 3 vanilla coconut hand cream.
Dr. Toni’s next HypnoBirthing info session for expecting parents looking to trust their instincts and their body during labour and birth is happening in May. Join her at https://www.hypnobirthingcalgary.com/register
Dr. Lisa’s Wild Collective: get on the waitlist: wildcollectivetoronto.com
We’d love you to subscribe, leave us a review and a 5-star rating if you enjoyed this episode.
You can also support us by visiting our Patreon page.
Please tell your perimenopausal mama friends about us, too!
Stay safe and healthy everyone!
Disclaimer: The information provided in this presentation is not meant to replace treatment with a licensed health care practitioner. It is for informational purposes only. Consult with a Naturopathic Doctor or other licensed health care professional to determine which treatments are safe for you.
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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