How To Holiday Right - Tips to Enjoy the Holidays Without the Side Effects

As the Holidays approach it is usually hard to avoid overindulging, over drinking, under sleeping and over stressing! Routines may go out the window to make way for holiday parties, last minute shopping or hosting family. On average people gain 1-2 pounds during the holidays and while this doesn’t sound like much, if we are not careful these 1-2 pounds can start to accumulate. Our liver and gut also tend to take a beating this month which ultimately suppresses our immune system and ability to detox. I want to share some simple tips and reminders to keep you on track with your health. 

1. Remember it is a Holi-DAY not Holi-MONTH!

Even though your holiday parties may have already started or coworkers are bringing holiday baking to the office, be careful not to overindulge throughout the whole month and reserve that to the actual holiday you are celebrating. Cave into small cravings but keep a mental record of how many sweets or drinks you’ve had that day or week. Writing it down could be helpful. Festive alternative could be pomegranates or clementines and don't forget that there are actually health benefits to eating a few pieces of dark chocolate! 

2. Find Balance!

Holding out for the party food this evening and avoiding calories during the day? That is setting you up for disaster as you will be starving when you actually get there and end up eating much more than your body needs. I suggest sticking with balanced meals throughout the day and even eating something small before a party to avoid the ravenous hunger hands. For example, an omelet with veggies in the morning, a protein shake or bar late morning, a healthy salad or soup with hummus and crackers for a late lunch, then a handful of almonds before the party. Sound delicious?! 

3. Don’t stray from your Routine.

I say it time and time again, our body LOVES routine and when we stray from that for late nights out, or missed exercise for family or shopping our body suffers. I see this leading to fatigue, depression, weight gain etc. Commit to a brisk walk, a 20 minute HIIT workout or yoga in the morning to start your day off on the right foot. Exercising on an empty stomach can help boost metabolism and aid in weight loss. Try to head to bed at a decent time as well even though I know another Christmas movie is tempting. You may want to try magnesium bis-glycinate, melatonin or cortisol reducer to help you sleep, which I carry at the clinic.

4. Save your Gut.

For those bigger holiday meals we don't want to avoid try boosting enzymes and stomach acid to aid in digestion and prevent bloating. Some things that could help are a basic digestive enzymes, bitters in liquid tincture form, or simply sipping on apple cider vinegar before your meal. These things will help with detoxification as well! If you have strict food sensitivities, stick with them as best you can to ensure you feel well for the rest of your holidays. 

5. Day after support.

I am not immune to a few too many drinks over the holidays but I make sure to support my body before and after. If you are heading out to a holiday party, think about drinking more clear liquids instead of heavy booze and sugary drinks. The less sugar the better. Enjoy cocktails? Have 1 then switch to something lighter. During that night be sure to drink plenty of water. For food, instead of reaching for greasy food the next day, make yourself a big salad filled with healthy greens, cruciferous veggies and fat, such as olive oil, nuts and seeds, or avocado. Some supplements I suggest the day before and after are B vitamins, liver support and antioxidants! 

6. Pamper yourself!

There are 2 reasons I suggest this. One is to ensure stress levels do not rise too high, which suppresses our immune system. The other is to aid in detoxification after our Christmas cocktails. Find a hot sauna (infrared is best), a hot yoga class, take a hot bath with epsom salts, or invest in a dry skin brush to create a mini spa experience before jumping in the shower. These ideas increase circulation, sweating and ultimately detoxification - they are relaxing as well!

There you have it, my top solutions to survive the holidays and support your body! Any questions, let me know! 

Happy Holidays! 
Dr. Karen

The Winter Blues: 5 Ways to Beat Seasonal Affective Disorder and Depression

It always surprises me after the time change in November how dark it can get in the evenings. Every year around this time I have to check in with myself and how I am feeling and every year I realize, after a gentle reminder from those around me, that the darker days do affect my mood. Living in Vancouver for 4 years, where it is raining most of the winter, I would forgot how much happier people were with the sun out, until the skies opened and you get a glimpse again of sunny summer days. The same goes for most of Canada however. When a patient comes to me concerned about their mood, I always ask whether they notice a more depressed mood in the winter...most say yes! 

An important point is that there could be a easy explanation as to why you are feeling depressed and ruling these out first is key. There are a few common reasons I see in my practice, for why people feel depressed. They are vitamin D deficiency, adrenal fatigue, hormone imbalances, hypothyroidism and food allergies/sensitivities. Simple blood work, a health history and/or elimination diet can help decipher if your mood is affected by one of these issues.  However these simple tips can make a drastic change in your mood.

1. Light Exposure:

As the day shorten our circadian rhythm adapts and melatonin production increases. This in turn decreases serotonin production. Unfortunately this combination doesn’t improve sleep. Getting some light exposure in the morning, helps to keep our circadian rhythms in check. Suggestions for this are going for a 20 minute walk in the morning when it is brighter out, in nature is an added bonus, or investing in a sunlamp. I recently learned that the Public Libraries around HRM have these on loan!

2. Vitamin D3:

One of the first vitamins I think about when it comes to mood is vitamin D. It plays an important role in many things, including bone, skin and immune health, but it also contributes to improving mood. There are several studies that show an association with low vitamin D status and mood disorders, including seasonal affective disorder. 30 minutes of full-exposure to sunlight, without sunscreen, can provide between 10,000 to 20,000IU of vitamin D. In the winter, or if we work in an office all year, it is difficult to get enough D3, therefore we need to supplement. I suggest 2000-5000IU/day for mood disorders, however it is recommended to have your vitamin D levels checked to avoid toxicity. 

3. Increase Endorphins:

On these cold darker days we tend to sink into the couch. Exercise, even moderate amounts, have been proven to increase endorphins and serotonin production, ultimately improving your mood. Start by walking 20 minutes in the morning or at lunch if you are just getting back into it, or increase the intensity with HIIT workouts. Massage also has been studied to increase endorphins, or any physical touch for that matter! Our testosterone levels have been shown to increase in the winter so take advantage of the increased sex drive. 

4. B Vitamins:

These vitamins are also important to regulate mood. B vitamins are necessary for every energy reaction in your body, including the production of hormones and neurotransmitters mentioned above. Women on oral contraception become deficient in B6 (and magnesium), therefore it is even more important to supplement in these women. I recommend a multi-B vitamin, with higher amounts of certain Bs depending on the person. 

5. Decrease Sugar Intake:

When our blood sugar spikes then crashes it stimulates a stress response in our body. An increased cortisol level in turns affects other hormones and neurotransmitters and ultimately affects mood. If you are having energy crashes or bouts of fatigue or depression take inventory at how much sugar you are eating in a day. The recommendation is no more than 6g/day! Good quality protein, fat and fibre in the morning will set your day off right so you won’t be craving that 2pm sugary snack. 

As you can see there are many tools to consider to help with SAD and depression. There are other nutrients and botanicals that I would consider in my practice, depending on the person and if they are on medication or not. For a more individualized approach consider booking an appointment with me or your local ND.

In health & happiness,

Dr. Karen

p.s Check out these posts if interested - PMS: Recognizing the Signs, Anxiety: Tried & Tested Tools, Adrenal Fatigue

CTV Morning Live! Segment - Old Remedies that Really Work

Yesterday I spent some time at CTV Morning Live! We talked about those grandmother remedies we hear about that really work. These remedies have medical properties that bring validity to their claims. Check out the clip below! 

Click on the photo to see the segment.

Food Friday: Quick & Easy One Pan Meals!

On busy days when you get home later than expected or have little time to spend in the kitchen cooking AND doing dishes, one pan meals come in very handy! I usually reserve more complex meals to the weekend when I have more time to cook and can indulge a little more. During the week I focus on pretty simple meals making sure I have protein, a little fat and lots of veggies, unless I am having leftovers from what I cooked on the weekend (see below for some decadent inspiration!). You don't have to slave away in the kitchen to come out with something delicious and nutritious. 

For one pan meals, I think about 2 things - what protein do I want and what veggies go with that, including a green veggie of course. It is that simple! It helps to have a variety of spices in the cupboard to change things up, such as rosemary, thyme, cinnamon, basic chicken spice, curry. Below are two examples of one pan meals that I have been known to whip up. Honestly the best things about this are the few dishes you dirty and how easy it is to make leftovers. This is also a great grain free or paleo meal. 

One game changer in making a delicious meal is roasted veggies. If you haven't roasted brussels sprouts, broccoli or beets before you are in for a treat! Beets would take the longest to roast but they are great with carrots and sweet potatoes. Check out this recipe to try that. 

One Pan Meal #1: Chicken, Sweet potato, Brussel Sprouts

Ingredients:

• 2 chicken breast, skinless, boneless
• chicken spice of your choice
• 2 handfuls brussel sprouts, cleaned and cut in halves 
• 1 medium sweet potato, peeled and cut into wedges 
• 1-2 tbsp cornstarch 
• 2 tbsp extra-virgin olive oil
• salt and pepper, to taste
• sweet potato spice options - cumin, cinnamon, cardamom, nutmeg, curry powder, paprika

Directions:

Preheat oven to 400F. Line a large baking pan with parchment paper or nothing if you have a good non-stick pan. In one bowl, toss brussels sprouts with a little olive oil, salt & pepper to coat. In a second bowl, toss sweet potato wedges with cornstarch to lightly coat, salt then olive oil and spices of your choice. Spread veggies evenly on the pan and put in the oven. Depending on the size of your chicken breast, you may want to add chicken 5-10 minutes into cooking, it should take 18-20 minutes per 1.5in. Sprinkle chicken with chosen spice. After 15 minutes, flip veggies. They should be lightly browned on one side. Roast for another 10-15 minutes until tender and crispy and chicken in cooked through. Voila! 

One Pan Meal #2: Salmon, Carrots, Asparagus 

Ingredients:

• 2 salmon fillet, skin on or off
• 2 large carrots, peeled and cut into large rounds 
• 1 bunch asparagus 
• salt and pepper
• 1-2 tbsp olive oil 
• 1-2 tbsp balsamic reduction (homemade or store-bought) OR dried/fresh rosemary for salmon

Directions:

Preheat oven to 400F. Line a large baking pan with parchment paper or nothing if you have a good non-stick pan. In one bowl, toss carrots with a little olive oil, salt & pepper to coat. Evenly spread asparagus on the pan and roll with a little olive oil, salt and pepper. Add carrots and salmon to pan and drizzle a little olive oil over salmon and season with salt and pepper. Roast for 15-20 minutes depending on thickness of salmon. Asparagus should be slightly browned but not faded in colour, carrots should be slightly softened and salmon should be flaky. Add to plate and drizzle asparagus and salmon with balsamic reduction. Voila! 

In health & happiness,

Dr. Karen