Nutrition and Mental Health<br />RicSaguil, MD<br />First Health Associates<br />With a cooking demo from<br />Tatiyana Pi...
First Health Associates<br />2010 S. Arlington Heights Rd<br />LL Suites<br />Arlington Heights, IL<br />My Doctor:<br /><...
Cares what I have to say
Doesn’t Keep Me Waiting
Gives Me Options</li></ul>We didn’t invent the practice of medicine….<br /> 		we’re just changing the way it’s provided.<b...
The First Health Approach<br />We didn’t invent the practice of medicine….<br /> 		we’re just changing the way it’s provid...
Your Community<br /> of Care<br />Ric Saguil, MD<br />Jason Gruss, MD<br />Tom Jordan, RD<br />Katrina Christie, LCPC<br /...
Back to school: Physiology 101<br />Jill Bolte Taylor<br />
You’ve got nerve!<br />Nerve cells=Neuron<br />Soma<br />Axons<br />Dendrites<br />
Upclose and Personal!<br />
The Chain of Command<br />
Impulse Drive Scotty?<br />Where does the impulse begin?<br />Next Time………..<br />
Where the music happensThe Synapse<br />
How medicines help<br />
Drug Classes<br />SSRI           Lexapro, Prozac, Zoloft, Paxil, Effexor<br />MAOI        Marplan, Parnate, Nardil<br />Tr...
Top 5 classes of drugs purchased ‘08<br />Cardiovscular<br />Central Nervous System<br />Metabolic Agent<br />Hormones/Hor...
Top 5 Psych Drugs 2009<br />Xanax                     44,029,000                    A<br />Lexapro                  27,698...
“My Bad”<br />(*My=Conventional Insurance Based Medicine)<br />
Congrats!<br />You now know the standard medicine approach!<br />
Integrative<br />The Saguil Approach<br />History (more than 7 minutes)<br />Search for other causes       Thyroid<br />  ...
Wellness Team<br />Ric Saguil, MD<br />Jason Gruss, MD<br />Tom Jordan, RD<br />Katrina Christie, LCPC<br />Jennifer Green...
Food and mood<br />Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study<br />     1,118 30-64 y...
Glycemic Index Theory and Processed Foods<br />
Whole Foods Healing (from Healing with Whole Foods)<br />Oyster shell (ca++)<br />Grain (whole wheat, brown rice, oats)<br...
Why eat “whole foods”?<br />
Why not processed?<br />
Work it sugar!<br />
Fast<br />slow<br />
Fast spikes in blood glucose =<br />Fast drop in blood glucose<br />
Emotional Rollercoaster from Food?<br />
The First Health Performance Diet<br />High Powered Oat Breakfast (Oatmeal, Flaxseed, Walnuts, Apples, Cinnamon)<br />Gree...
In Mice<br />Decrease in DHA = decreased glucose usage in the TempoparietalArea.  Superior temporal gyrus = conflict resol...
Whole Foods<br />Non Processed Foods<br />Healthy fats (O3) <br />Fruits and Vegetables (7-10?)<br />Legumes<br />Grain (f...
Omega 3<br />Fish Consumption and Depressive Symptoms in the General Population in Finland 3204 sampled<br />       result...
Fatty Facts:<br />ALA          short chain fatty acids<br />EPA DHA long chain fatty acids<br />Conversion from ALA to E a...
Organic when you can<br />
“Low and slow” exposure  to allergen<br />Elimination Diet<br />Detox Diet<br />
Piggy back products in/on your food<br />Bacteria <br />Pesticides<br />Mercury<br />Antibiotics<br />Hormones <br />Genet...
Go broke with Organics?        Pay up now or pay up later                                                                 ...
E M Power open label trial<br />Synergy Canada 2001<br />11 patients with bipolar disorder<br />17-46 y/o<br />6 month tri...
Documentaries:<br />Food Inc. <br />The Killer at Large<br />The Hidden Epidemic<br />Life Over Cancer (book)<br />
“Herbals” and Depression<br />St John's Wortfor major depressionKlaus Linde1, Michael M Berner2, LeventeKriston2 Editorial...
“Herbals” and Anxiety<br />Kava extract for treating anxiety<br />Compared with placebo, kava extract as effective of the ...
Environmental Working Group<br />    www.ewg.org<br />The Dirty Dozen<br />The Clean 15<br />
Saguil Approach go-to’s for “mild symptoms”<br />St Johns Wort<br />SAMe<br />Kava Kava<br />Inositol/Rhodiola<br />Valeri...
Trusted sites for reliable information:<br />http://www.ncbi.nlm.nih.gov/pubmed/http://scholar.google.comhttp://naturaldat...
In Summary:<br /><ul><li>Whole foods using store rating systems
Omega 3 fish oil/flax seed oil
Supplement with multivitamins, D3!
Consider adding herbal (with help)
Seek out an Integrative Approach
Control your choices and cook! </li></li></ul><li>Rating Systems for DIY dieting and cooking<br />ONQI (unhealthy/healthy=...
Upcoming SlideShare
Loading in …5
×

DrRic Whole Foods Market Schaumburg Nutrition and Mental Health (slide share edition)

1,321 views

Published on

Lecture on Nutrition and mental health 2011

  • Be the first to comment

  • Be the first to like this

DrRic Whole Foods Market Schaumburg Nutrition and Mental Health (slide share edition)

  1. 1. Nutrition and Mental Health<br />RicSaguil, MD<br />First Health Associates<br />With a cooking demo from<br />Tatiyana Piper<br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />
  2. 2. First Health Associates<br />2010 S. Arlington Heights Rd<br />LL Suites<br />Arlington Heights, IL<br />My Doctor:<br /><ul><li>Listens to my concerns
  3. 3. Cares what I have to say
  4. 4. Doesn’t Keep Me Waiting
  5. 5. Gives Me Options</li></ul>We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />
  6. 6. The First Health Approach<br />We didn’t invent the practice of medicine….<br /> we’re just changing the way it’s provided.<br />
  7. 7. Your Community<br /> of Care<br />Ric Saguil, MD<br />Jason Gruss, MD<br />Tom Jordan, RD<br />Katrina Christie, LCPC<br />Jennifer Green, ND<br />Joe Musolino, DC<br />Amy Iaquinta, DC<br />Nick Nowicki, DC<br />Emery Paredes, PT<br />Courtney Day, EP<br />Yu Zhu, MD China<br />Mike Blumberg, LCPC<br />You<br />
  8. 8. Back to school: Physiology 101<br />Jill Bolte Taylor<br />
  9. 9. You’ve got nerve!<br />Nerve cells=Neuron<br />Soma<br />Axons<br />Dendrites<br />
  10. 10. Upclose and Personal!<br />
  11. 11. The Chain of Command<br />
  12. 12. Impulse Drive Scotty?<br />Where does the impulse begin?<br />Next Time………..<br />
  13. 13. Where the music happensThe Synapse<br />
  14. 14. How medicines help<br />
  15. 15. Drug Classes<br />SSRI Lexapro, Prozac, Zoloft, Paxil, Effexor<br />MAOI Marplan, Parnate, Nardil<br />TricyclicsPamelor, Norpramin, Tofranil, Amytriptyline<br />Atypical Abilify, Risperidal, Geodon, Zyprexa, Seroquel<br />Other Classes Wellbutrin, Lamictal, Depakote<br />
  16. 16. Top 5 classes of drugs purchased ‘08<br />Cardiovscular<br />Central Nervous System<br />Metabolic Agent<br />Hormones/Hormone Modifiers<br />Psychotherapeutic Agents<br />206,294,564 purchases, 27,953,909 buyers<br />Medical Expenditure Panel Survey US Dept Health and Human Svs<br />
  17. 17. Top 5 Psych Drugs 2009<br />Xanax 44,029,000 A<br />Lexapro 27,698,000 A/D<br />Ativan 25,868,000 A<br />Zoloft 19,500,000 D<br />Prozac 19,499,000 D/A<br />Desyrel 18,873,000 D/A<br />Cymbalta 16,626,000 D/A<br />Seroquel 15,814,000 D/A<br />
  18. 18. “My Bad”<br />(*My=Conventional Insurance Based Medicine)<br />
  19. 19. Congrats!<br />You now know the standard medicine approach!<br />
  20. 20. Integrative<br />The Saguil Approach<br />History (more than 7 minutes)<br />Search for other causes Thyroid<br /> Adrenal<br /> Nutritional Deficiency<br /> Metal Toxicity<br /> Food Allergy<br /> Abuse(teen)<br /> Rheumatologic (autoimmune)<br /> FMS (CRPS)<br /> Coexisting Mental Disorder LD/ADD<br /> PMS<br /> Drug Side Effects<br />Behavioral Therapy Positive Psychology , CBT, EMDR(Imvmtdesensreprossg)<br />Herbal/Homeopathic<br />Medical Acupuncture<br />Nutritional Medicine <br />
  21. 21. Wellness Team<br />Ric Saguil, MD<br />Jason Gruss, MD<br />Tom Jordan, RD<br />Katrina Christie, LCPC<br />Jennifer Green, ND<br />Joe Musolino, DC<br />Amy Iaquinta, DC<br />Nick Nowicki, DC<br />Emery Paredes, PT<br />Courtney Day, EP<br />Yu Zhu, MD China<br />Mike Blumberg, LCPC<br />You<br />
  22. 22. Food and mood<br />Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study<br /> 1,118 30-64 y/o Baltimore MD 24hr diet recall= diet quality significantly associated<br /> with symptoms of depression<br />Dietary pattern and depressive symptoms in middle age<br />3486 participants participants in thehighest tertile of the whole food pattern had <br /> lower odds ofCES–D depression /high consumptionof processed food was associated <br />with an increased odds of CES–Ddepression<br />
  23. 23. Glycemic Index Theory and Processed Foods<br />
  24. 24. Whole Foods Healing (from Healing with Whole Foods)<br />Oyster shell (ca++)<br />Grain (whole wheat, brown rice, oats)<br />Mushrooms (chinese as an immune tonic)<br />Silicon foods (barley gruel, cucumber, celery, lettuce, celery/lettuce juice all to improve calcium metab)<br />Fruit (lemons, schisandra berries-wuweizi)<br />Seeds (jujube seeds-suanzoaren, chia)<br />Spices (dill, basil)<br />Herbs (chamomile, catnip, scullcap, valerian)<br />Animal Products (quality cow and goat milk, clarified butter-ghee)<br />
  25. 25. Why eat “whole foods”?<br />
  26. 26. Why not processed?<br />
  27. 27.
  28. 28. Work it sugar!<br />
  29. 29. Fast<br />slow<br />
  30. 30. Fast spikes in blood glucose =<br />Fast drop in blood glucose<br />
  31. 31. Emotional Rollercoaster from Food?<br />
  32. 32.
  33. 33.
  34. 34. The First Health Performance Diet<br />High Powered Oat Breakfast (Oatmeal, Flaxseed, Walnuts, Apples, Cinnamon)<br />Greek Yogurt (140 cal, 14g protein)<br />PVC Lunch: Turkey Sandwich, Vegetable Soup<br />Afternoon Go-To: <br />Cottage Cheese + Fruit<br />Almonds + Cheese Stick<br />Paleoshake (protein, almond milk, frozen fruit)<br />PVC Dinner: 4oz Salmon, 1c Broccoli, Sweet Potatoes, 2 cups Spinach salad w/ Balsamic<br />Tom Jordan, RD<br />
  35. 35. In Mice<br />Decrease in DHA = decreased glucose usage in the TempoparietalArea. Superior temporal gyrus = conflict resolution and decision making<br />
  36. 36. Whole Foods<br />Non Processed Foods<br />Healthy fats (O3) <br />Fruits and Vegetables (7-10?)<br />Legumes<br />Grain (fiber)<br />Tea(green)<br />Fish/chicken (for beef/pork)<br />
  37. 37. Omega 3<br />Fish Consumption and Depressive Symptoms in the General Population in Finland 3204 sampled<br /> results showed a relatively powerful and independent associationbetween fish consumption<br />anddecreaseddepressive symptoms in this populationsample of 3,402 Finnish adults<br />Omega-3 Treatment of Childhood Depression: A Controlled, Double-Blind Pilot Study<br />Omega 3 fatty acids may have therapeutic benefits in childhood depression<br />
  38. 38. Fatty Facts:<br />ALA short chain fatty acids<br />EPA DHA long chain fatty acids<br />Conversion from ALA to E and D depends on <br /> how much omega 6 is in diet<br />Proper ration omega 6/omega 3 = 1:1 1:4<br /> US diet 10:1 20:1<br />3 gm EPA/DHA daily safe<br />Alcohol, US diet, Stress (amphetamine/dopamine depleation)<br />
  39. 39. Organic when you can<br />
  40. 40. “Low and slow” exposure to allergen<br />Elimination Diet<br />Detox Diet<br />
  41. 41. Piggy back products in/on your food<br />Bacteria <br />Pesticides<br />Mercury<br />Antibiotics<br />Hormones <br />Genetic contaminants (GMO)<br />It may not be your allergic, could be your toxic<br />
  42. 42. Go broke with Organics? Pay up now or pay up later US soil not as good as before<br />The Metabolic Tune-Up: Metabolic Harmony and Disease Prevention<br />25% menstruating women – inadequate iron<br /> 10% us- inadequate zinc<br /> 1/3 us females low iodine<br /> inadequate intake=metabolic disruption, dna damage in vivo<br />Vitamin and mineral supplements improve the intelligence scores and concentration of six-year-old children <br />There was a significant relationship between the amount of sugar diet and <br />consumed in the improvement in intelligence scores when taking the <br /> vitamin/mineral supplement <br />
  43. 43. E M Power open label trial<br />Synergy Canada 2001<br />11 patients with bipolar disorder<br />17-46 y/o<br />6 month trial<br />50-55% symptom reduction<br />>50% need for psychotropic med decrease<br />Intervention with broad based nutrient supplement of dietary nutrients mainly chelated trace minerals and vitamins<br />
  44. 44. Documentaries:<br />Food Inc. <br />The Killer at Large<br />The Hidden Epidemic<br />Life Over Cancer (book)<br />
  45. 45. “Herbals” and Depression<br />St John's Wortfor major depressionKlaus Linde1, Michael M Berner2, LeventeKriston2 Editorial group: Cochrane Depression, Anxiety and Neurosis Group.Publication status and date: Edited (no change to conclusions), published in Issue 4, 2009.29 trials 5489 px, hypericum extracts tested in the included trials a) are superior to placebo in patients with major depression; b) are similarly effective as standard antidepressants; c) and have fewer side effects than standard antidepressants<br />Role ofS-Adenosyl-L-Methionine in the treatment of depression: a review of the evidence<br />SAMeis superior to placebo and is as effective as tricyclic <br />antidepressants in alleviating depression, although some<br />individuals may require higher doses<br />
  46. 46. “Herbals” and Anxiety<br />Kava extract for treating anxiety<br />Compared with placebo, kava extract as effective of the <br />symptomatic treatment for anxiety although, at present, the <br /> size effect seems small, The data available from the reviewed<br />studies suggest that kava is relatively safe for short-term<br />treatment (1 to 24 weeks)<br />Inositol treatment for panic disorder<br />Pilot study using inositol for panic showed better than placebo<br />response<br />
  47. 47. Environmental Working Group<br /> www.ewg.org<br />The Dirty Dozen<br />The Clean 15<br />
  48. 48. Saguil Approach go-to’s for “mild symptoms”<br />St Johns Wort<br />SAMe<br />Kava Kava<br />Inositol/Rhodiola<br />Valerian<br />Melatonin<br />http://www.naturopathic.org/ <br />
  49. 49. Trusted sites for reliable information:<br />http://www.ncbi.nlm.nih.gov/pubmed/http://scholar.google.comhttp://naturaldatabase.therapeuticresearch.comhttp://naturalstandard.com/http://www.usp.org/USPVerified/dietarySupplements/<br />DrLowdog- Chair US Pharmacopeia<br />Andy Weil<br />
  50. 50. In Summary:<br /><ul><li>Whole foods using store rating systems
  51. 51. Omega 3 fish oil/flax seed oil
  52. 52. Supplement with multivitamins, D3!
  53. 53. Consider adding herbal (with help)
  54. 54. Seek out an Integrative Approach
  55. 55. Control your choices and cook! </li></li></ul><li>Rating Systems for DIY dieting and cooking<br />ONQI (unhealthy/healthy=number) Grandpa<br /> (overall nutritional quality index)<br />NuValMeijer, Marianno’s Arlington Heights<br /> (www.nuval.com)<br />ANDI/MANDI Whole Foods Market<br /> (www.eatrightamerica.com)<br />Glycemic Index / Load Canada<br /> (http://www.glycemicindex.com)<br />Color code Supervalu/Jewel Osco (know your chakra’s?)<br />“trust me”<br />
  56. 56. First Tier Blood Testing at FHA<br />Metabolic panel<br />CBC<br />Lipid<br />Thyroid panel (tsh, free t4, t3, thyroid antibody-iodine)<br />Iron panel<br />B12, Folate, Vitamin D (25OH), Magnesium<br />IgG food sensitivity testing<br />
  57. 57. 2nd Tier Testing<br />Specific food allergy testing<br />Autoimmune Panel<br />Hormone testing (compounding pharmacies)<br />Cortisol testing (Genova)<br />Heavy metal toxicity<br />Omega 3 level via;<br />Spectracell Testing(nutrition, omega, telomere)<br />MRI<br />Stress Testing<br />
  58. 58. Whole Foods Market Schaumburg<br />First Health Associates Arlington Heights<br />REI Schaumburg<br />
  59. 59. Coming Up……<br />“Hiking for Health”…<br />Using the great outdoors to get healthy.<br />Wednesday Sept 7 TBA<br />Tatyiana Piper/Kaili Harding<br />Whole Foods Schaumburg<br />Lectures and Tours<br />
  60. 60. QUESTIONS?<br />Optimum mental health not just one path or deficiency, it’s multiple ….Take a multi-disciplinary approach! <br />CONCERNS?<br />COMMENTS?<br />2010 South Arlington Heights Road<br />Arlington Heights, IL<br />Phone: 847-593-3330www.FirstHealthAssociates.com<br />
  61. 61. Bibliography<br />Merikangas KR, He J, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J. Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry. 2010 Oct. 49(10):980-989.<br />Higher Healthy Eating Index-2005 Scores Associated with Reduced Symptoms of Depression in an Urban Population: Findings from the Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study<br /> Marie Fanelli Kuczmarski, PhD, RD, LDN, Alexandra Cremer Sees, MS, RD Lawrence Hotchkiss, PhD Nancy Cotugna, DrPH, <br /> Journal of the American Dietetic Association<br /> Volume 110, Issue 3 , Pages 383-389, March 2010<br />Dietary pattern and depressive symptoms in middle age<br />TasnimeN. Akbaraly, PhD The British Journal of Psychiatry (2009) 195: 408-413. doi: 10.1192/bjp.bp.108.058925<br /> Longevity increased by positive self-perceptions of aging.<br /> By Levy, Becca R.; Slade, Martin D.; Kunkel, Suzanne R.; Kasl, Stanislav V.<br /> Journal of Personality and Social Psychology, Vol 83(2), Aug 2002, 261-270.<br />Fish Consumption and Depressive Symptoms in the General Population in Finland<br />AnttiTanskanen, M.D., Joseph R. Hibbeln, M.D., JaakkoTuomilehto, M.D., AnttiUutela, Ph.D., Ari Haukkala, M.Sc., HeimoViinamäki, M.D., Johannes Lehtonen, M.D. and ErkkiVartiainen, M.D. <br />PsychiatrServ 52:529-531, April 2001 © 2001 American Psychiatric Association<br />St John's wort for major depressionEditorial group: Cochrane Depression, Anxiety and Neurosis Group.Publication status and date: Edited (no change to conclusions), published in Issue 4, 2009<br />Role of S-adenosyl-L-methionine in the treatment of depression: a review of the evidence<br />American Journal of Clinical Nutrition, Vol. 76, No. 5, 1158S-1161S, November 2002 © 2002 American Society for Clinical Nutrition<br /> Kava extract for treating anxiety<br />Cochrane Database of Systematic Reviews 2003, Issue 1. Art. No.: CD003383. DOI: 10.1002/14651858.CD003383<br />
  62. 62. Inhibiting and facilitating conditions of the human smile: A nonobtrusive test of the facial feedback hypothesis.<br />Strack, Fritz; Martin, Leonard L.; Stepper, Sabine <br /> Journal of Personality and Social Psychology, Vol 54(5), May 1988, 768-777. doi: 10.1037/0022-3514.54.5.768<br />Power Posing: Brief Nonverbal Displays Affect Neuroendocrine Levels and Risk Tolerance<br />Dana R. Carney1, Amy J.C. Cuddy2, and Andy J. Yap1<br />Psychological Science OnlineFirst, published on September 21, 2010 as doi:10.1177/0956797610383437<br /> Respiratory feedback in the generation of emotion<br />Philippot P.; Chapelle G.; BlairyS<br />Cognition and Emotion, Volume 16, Number 5, 1 August 2002 , pp. 605-627(23<br />Body posture effects on self-evaluation: A self-validation approach<br />Pablo Briñol1,*, Richard E. Petty2, Benjamin Wagner2<br />European Journal of Social Psychology Volume 39, Issue 6, pages 1053–1064, October 2009<br />Double-blind, placebo-controlled, crossover trial of inositol treatment for panic disorder<br />J Benjamin, J Levine, M Fux, A Aviv, D Levy and RH Belmaker Am J Psychiatry 1995; 152:1084-1086 Copyright © 1995 by American Psychiatric Association <br />Omega-3 Treatment of Childhood Depression: A Controlled, Double-Blind Pilot Study<br />HanahNemets, M.D., Boris Nemets, M.D., Alan Apter, M.D., ZivaBracha, M.D., and R.H. Belmaker, M.D. <br />Am J Psychiatry 163:1098-1100, June 2006doi: 10.1176/appi.ajp.163.6.1098<br />The Metabolic Tune-Up: Metabolic Harmony and Disease Prevention<br />Bruce N. Ames<br />The American Society for Nutritional Sciences J. Nutr. 133:1544S-1548S, May 2003<br />Vitamin and mineral supplements improve the intelligence scores and concentration of six-year-old children <br />David Benton and Richard Cook<br />Personality and Individual DifferencesVolume 12, Issue 11, 1991, Pages 1151-1158 <br />

×