This document discusses circadian rhythms and how botanical adaptogens can be used to target the 24-hour circadian cycle. It begins by defining circadian rhythms as the body's internal 24-hour cycles that allow for adaptation to daily environmental changes. It then discusses the three main components of the human circadian clock system: the input pathways, central circadian clock, and peripheral clocks. Several botanicals are then presented that can be used to modulate the circadian rhythm and cortisol cycle, including holy basil, eleuthero, reishi, rhodiola, rhaponticum, licorice, cordyceps, ashwagandha, and magnolia. Dosages and times of day for application of each botan
Circadian rhythm sleep disorders (CRSD) are a family of sleep disorders affecting (among other bodily processes) the timing of sleep. People with circadian rhythm sleep disorders are unable to go to sleep and awaken at the times commonly required for work and school as well as social needs. They are generally able to get enough sleep if allowed to sleep and wake at the times dictated by their "body clocks". The quality of their sleep is usually normal unless they also have another sleep disorder.
My presentation deals with how circadian rhythm happens in human body and how alterations in circadian rhythm effects in different disorders.
We live in an era of medication, but what else can we do to improve mental health? Are we excessively prescribing, can we approach medicine in a more holistic way?
Here is a sample nursing care plan for a patient with a neurological disorder:
Nursing Diagnosis: Risk for injury related to impaired neurological status as evidenced by [describe neurological deficits].
Goals:
- Patient will remain free from injury.
- Neurological status will be monitored for any changes.
Interventions:
- Provide safe, protective environment. Use side rails, place call light within reach.
- Assess neurological status every [timeframe], including level of consciousness, motor and sensory function.
- Reposition patient every 2 hours and as needed to prevent pressure injuries. Use draw sheet for transfers.
- Ensure proper positioning of tubes/lines to prevent accidental removal or injury. Secure to gown
Bipolar disorder - a psychological perspective (talk 1)Nick Stafford
This document provides an overview of bipolar disorder from multiple perspectives including the brain, cognition, circadian rhythms, life events, and dysfunctional beliefs. Key points include:
1) Brain imaging and studies show differences in brain structures and activity in areas related to mood regulation like the prefrontal cortex and limbic system between those with bipolar disorder and healthy controls.
2) Disruptions to circadian rhythms and sleep patterns are implicated in bipolar disorder through their effects on mood regulation.
3) Stressful life events and lack of social support are associated with increased risk of bipolar episodes, while positive social support predicts a better illness course.
4) Cognitive models suggest dysfunctional beliefs and information processing styles may
Circadian rhythm is the body's natural, internal process that regulates physical and mental functioning with a cycle of about 24 hours. It is controlled by a pacemaker in the brain and influences sleep-wake cycles, temperature, and hormone regulation. Circadian rhythm disorders occur when the body's internal clock is misaligned with external demands, causing insomnia or excessive sleepiness. Jet lag results from travel across time zones disrupting circadian rhythms, while shift work misaligns circadian rhythms from working during normal sleep periods, increasing health risks. Treatments include light therapy, drugs to improve sleep, and optimizing sleep schedules.
Circadian Rhythm: The Body's Internal ClockPrasan Das
Circadian rhythm is the natural, internal process that regulates the sleep-wake cycle and repeats roughly every 24 hours. It is influenced by external cues like light and temperature but is driven by an internal biological clock located in the brain's suprachiasmatic nucleus. This rhythm impacts various bodily functions, including hormone release, eating habits, digestion, and body temperature. Understanding and maintaining a healthy circadian rhythm is crucial for overall well-being, as disruptions can lead to sleep disorders, metabolic issues, and other health problems.
Circadian rhythm sleep disorders (CRSD) are a family of sleep disorders affecting (among other bodily processes) the timing of sleep. People with circadian rhythm sleep disorders are unable to go to sleep and awaken at the times commonly required for work and school as well as social needs. They are generally able to get enough sleep if allowed to sleep and wake at the times dictated by their "body clocks". The quality of their sleep is usually normal unless they also have another sleep disorder.
My presentation deals with how circadian rhythm happens in human body and how alterations in circadian rhythm effects in different disorders.
We live in an era of medication, but what else can we do to improve mental health? Are we excessively prescribing, can we approach medicine in a more holistic way?
Here is a sample nursing care plan for a patient with a neurological disorder:
Nursing Diagnosis: Risk for injury related to impaired neurological status as evidenced by [describe neurological deficits].
Goals:
- Patient will remain free from injury.
- Neurological status will be monitored for any changes.
Interventions:
- Provide safe, protective environment. Use side rails, place call light within reach.
- Assess neurological status every [timeframe], including level of consciousness, motor and sensory function.
- Reposition patient every 2 hours and as needed to prevent pressure injuries. Use draw sheet for transfers.
- Ensure proper positioning of tubes/lines to prevent accidental removal or injury. Secure to gown
Bipolar disorder - a psychological perspective (talk 1)Nick Stafford
This document provides an overview of bipolar disorder from multiple perspectives including the brain, cognition, circadian rhythms, life events, and dysfunctional beliefs. Key points include:
1) Brain imaging and studies show differences in brain structures and activity in areas related to mood regulation like the prefrontal cortex and limbic system between those with bipolar disorder and healthy controls.
2) Disruptions to circadian rhythms and sleep patterns are implicated in bipolar disorder through their effects on mood regulation.
3) Stressful life events and lack of social support are associated with increased risk of bipolar episodes, while positive social support predicts a better illness course.
4) Cognitive models suggest dysfunctional beliefs and information processing styles may
Circadian rhythm is the body's natural, internal process that regulates physical and mental functioning with a cycle of about 24 hours. It is controlled by a pacemaker in the brain and influences sleep-wake cycles, temperature, and hormone regulation. Circadian rhythm disorders occur when the body's internal clock is misaligned with external demands, causing insomnia or excessive sleepiness. Jet lag results from travel across time zones disrupting circadian rhythms, while shift work misaligns circadian rhythms from working during normal sleep periods, increasing health risks. Treatments include light therapy, drugs to improve sleep, and optimizing sleep schedules.
Circadian Rhythm: The Body's Internal ClockPrasan Das
Circadian rhythm is the natural, internal process that regulates the sleep-wake cycle and repeats roughly every 24 hours. It is influenced by external cues like light and temperature but is driven by an internal biological clock located in the brain's suprachiasmatic nucleus. This rhythm impacts various bodily functions, including hormone release, eating habits, digestion, and body temperature. Understanding and maintaining a healthy circadian rhythm is crucial for overall well-being, as disruptions can lead to sleep disorders, metabolic issues, and other health problems.
This document discusses sleep patterns and sleep disturbances. It begins by defining sleep and describing the sleep-wake cycle which is regulated by circadian rhythms. It then outlines the stages of sleep including non-REM and REM sleep. Key factors that affect sleep like age, illness, lifestyle and environment are mentioned. Common sleep disorders are introduced including insomnia, narcolepsy, sleep apnea, and parasomnias. Assessment methods like questionnaires, sleep diaries and polysomnography are covered. Nursing management strategies to promote better sleep are provided. Research evidence on sleep enhancement interventions for hospitalized patients is briefly summarized.
Linda Shell presented on the importance of sleep for elders. She explained sleep architecture and the benefits of each sleep stage. Factors like pain, medications, light exposure, and physical activity can impact sleep. Screening tools like PAINAD can help assess sleep quality in cognitively impaired elders. Non-pharmacological interventions like relaxation, sunlight, and exercise can enhance sleep. Proper sleep hygiene including schedules, environments and limiting daytime naps are important.
Circadian rhythms exhibit a period of about 24 h whereas circannual (seasonal) rhythms cycle over the course of a year. Both types of rhythms are coordinated by the brain's suprachiasmatic nucleus (SCN).
The document summarizes a presentation on provider wellness. It defines health and healing, discusses the importance of provider wellness, and provides some simple tools to enhance health. Specifically:
1) It defines health as a natural phenomenon like gravity that is the tendency for living beings to grow and adapt. Healing involves homeostasis, tissue remodeling, and the emergence of new patterns that allow freedom and fitness.
2) Provider wellness is important because physicians have higher rates of health issues like heart disease, depression, and stroke than other professions, despite healthier behaviors, due to factors like stress, sleep deprivation, and medical training.
3) Some simple self-governance tools discussed to improve health include caring
Healthcare Designs: Can Modern Lighting Cure the ill's of Ailing Institutions...Cindy Foster-Warthen
In this session, we will describe key trends impacting healthcare, discuss functional, physiological, and psychological aspects of lighting in healthcare settings, review key design interventions in facility lighting design and the link to health outcomes, examine current and future state of lighting technologies and their application for care environments
This document discusses chronobiology and fatigue disorders. It begins by defining chronobiology as the study of biological rhythms in living organisms. It then discusses circadian rhythms and how they regulate important biological processes like cortisol and melatonin secretion. The document focuses on fatigue disorders like chronic fatigue syndrome and fibromyalgia, explaining their symptoms like severe fatigue. It analyzes research showing disturbances in circadian rhythms of hormones and cytokines in these patients, which may contribute to symptoms like unrefreshing sleep. The conclusion emphasizes the importance of circadian rhythms for health and treatments tailored to patients' diurnal variations in symptoms.
BOOSTING YOUR IMMUNITY During the COVID 19 PandemicLouis Cady, MD
In this presentation, presented as a live webinar on Monday, April 27th, Dr. Louis Cady of the Cady Wellness Institute reviewed practical, common-sense things that can be done to boost your immunity, with documentation from the peer-reviewed medical literature. Dr. Cady also reviews supplements and nutrients that are established in the peer-reviewed medical literature as having antiviral capabilities. These include Vitamins C,D, and E, Zinc, carotenoids and antioxidants, probiotics, the reishi mushroom, elderberry, cannabidiol (CBD - not marijuana or weed!).
Points presented are scrupulously documented from the medical literature. This presentation does not guarantee or represent that using ANY of these nutrients will "keep you from getting infected or dying" from COVID 19. They are presented for your thoughtful consideration.
Biological rhythms in the body include ultradian (heart rate), circadian (sleep-wake cycle), and infradian (menstrual cycle) rhythms. The circadian rhythm is regulated by the suprachiasmatic nucleus in the hypothalamus and helps control sleep patterns, hormone release, body temperature, and more. Disruptions to circadian rhythms can lead to obesity, diabetes, fatigue, insomnia, and other issues. Treatments include lifestyle changes, light therapy, and medications like melatonin.
A course developed for the AIA CES program demonstrating the problems presented with electric light along with how new lighting technologies can be modified to promote better health.
This document discusses an orthomolecular approach to decreasing inflammation through lifestyle and dietary changes as well as supplements. It covers how chronic inflammation can negatively impact brain health and mental health conditions like anxiety and depression. Key recommendations include a low-carb diet, exercise, stress reduction, probiotics, fish oil, and antioxidants like alpha lipoic acid and N-acetyl cysteine to reduce inflammation and repair damage in the brain.
Sleep is essential for health, safety and productivity. Lack of sleep has increased in recent decades and is associated with numerous health issues. Normal sleep involves NREM and REM cycles that regulate functions like temperature and hormones. Sleep deprivation impairs the immune system, increases health risks, and causes mood changes, reduced cognitive function and weight gain. It is estimated to cost the Australian economy billions annually in accidents, lost productivity and healthcare. Employers should promote sleep health through education, shiftwork policies, monitoring and encouraging good sleep hygiene habits.
Sleep and sensory balances (overload and deprivation.pptxShehlaBano3
leep deprivation is a general term to describe a state caused by inadequate quantity or quality of sleep, including voluntary or involuntary sleeplessness and circadian rhythm sleep disorders. Sleep is as important to the human body as food and water, but many of us don't get enough sleep.
Circadian Rhythm Enhancing Brain Synchronization and Cognitionijtsrd
Cognition is impaired in many neuropsychiatric disorders and the quality of life is severely affected. A key mechanism for sculpting communication patterns between large scale brain networks that underpin cognition and its breakdown in neuropsychiatric disorders is synchronous electrophysiological rhythms. According to a study, light has a wide range of effects on the synchronization of circadian rhythms with the external environment and it is found that light influences the urinary excretion of melatonin and controls sleep. Autonomic and neuroendocrine responses such as feedback regulation and the involvement of the immune system have also been shown to influence the circadian rhythm. There have been major advances in our understanding of the retinal photoreceptors mediating these non image forming light responses over the last two decades, as well as the neural pathways and molecular mechanisms that generate and energize circadian rhythms in the phase of the light dark LD cycle. Our understanding of the mechanisms by which lighting impacts cognitive processes, on the other hand, is more misleading. Lights effect on different cognitive processes is complex. Indirect effects may also arise due to disrupted circadian rhythm, in addition to the direct effects of light on consciousness. In studies that rely on various cognitive and sensory processes, different assays have been used, which can also contribute to variable outcomes. The physiological basis of these responses and the influence of various lighting environments on cognitive processes are summarized here, taking into account their effects on circadian rhythms, sleep and arousal. Uthirakumar Devaraj | Elumalai Balamurugan "Circadian Rhythm: Enhancing Brain Synchronization and Cognition" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-6 , October 2021, URL: https://www.ijtsrd.com/papers/ijtsrd46394.pdf Paper URL : https://www.ijtsrd.com/biological-science/neurobiology/46394/circadian-rhythm-enhancing-brain-synchronization-and-cognition/uthirakumar-devaraj
This document provides an overview of chronobiology, which is the study of biological time and circadian rhythms. Some key points:
- The suprachiasmatic nucleus (SCN) acts as the master circadian pacemaker in the brain. It regulates circadian rhythms in physiology and behavior through neuronal and hormonal outputs.
- Circadian rhythms are endogenously generated but can be entrained, or reset, by environmental cues called zeitgebers, most importantly the light-dark cycle.
- At the molecular level, circadian rhythms are generated by transcriptional feedback loops involving clock genes such as Period and Cryptochrome.
- Disruptions to circadian rhythms are implicated in psychiatric
This document discusses chronobiology and fatigue disorders. It notes that chronobiology examines periodic biological rhythms related to light and lunar cycles. The most important rhythm is the circadian rhythm, which is a roughly 24-hour cycle regulated by circadian clocks in the hypothalamus. Fatigue disorders like chronic fatigue syndrome are debilitating and cause severe fatigue, pain, and other symptoms. The document suggests circadian rhythm disturbances may contribute to fatigue disorders, as seen in lower melatonin and cortisol levels in patients, which can impair sleep quality and increase pain/stiffness. Understanding circadian rhythms could help optimize treatment timing for fatigue disorder patients.
1) The document discusses circadian rhythms, which are biological processes that display 24-hour oscillations driven by an internal biological clock.
2) It reviews how the suprachiasmatic nucleus in the hypothalamus controls circadian rhythms in mammals and can be entrained by external factors like light and temperature.
3) Disruptions to circadian rhythms can cause health issues like diabetes, obesity, and psychological disorders. Certain drugs like cocaine can also disrupt circadian rhythms.
OCD is characterized by obsessions and compulsions that affect around 2-3% of the population. Neuroimaging and neuropsychological studies have found abnormalities in brain circuits involved in cognition, motivation, and behavioral control, particularly the frontal-subcortical circuits, in patients with OCD. Specifically, studies have found reduced volumes in regions like the orbitofrontal cortex and anterior cingulate cortex, as well as metabolic and blood flow abnormalities in areas like the caudate, thalamus, and prefrontal cortex. These brain abnormalities may underlie the cognitive and executive function deficits commonly observed in OCD.
Thyroid, Adrenals, and Sex Steroids - A Balancing ActLouis Cady, MD
This was the second presentation gibven on MZarch 29, 2019 at the Manlove Psychiagtric Group and Brain Injury Institute spring conference in Rapid City, SD.
In this presentation, Dr. Cady carefully goes over the necessity of integrating and overview and awareness of hormones and their levels in the elucidation of what truly is going on with the patient.
This was an overview lecture only. Dr. Cady will be presenting a 16 hour CME program in Austin Texas on June 22 and 23 for the National Procedures Institute, and will explore all aspects of all relevant hormones and what can be done to manage and optimize them.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
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This document discusses sleep patterns and sleep disturbances. It begins by defining sleep and describing the sleep-wake cycle which is regulated by circadian rhythms. It then outlines the stages of sleep including non-REM and REM sleep. Key factors that affect sleep like age, illness, lifestyle and environment are mentioned. Common sleep disorders are introduced including insomnia, narcolepsy, sleep apnea, and parasomnias. Assessment methods like questionnaires, sleep diaries and polysomnography are covered. Nursing management strategies to promote better sleep are provided. Research evidence on sleep enhancement interventions for hospitalized patients is briefly summarized.
Linda Shell presented on the importance of sleep for elders. She explained sleep architecture and the benefits of each sleep stage. Factors like pain, medications, light exposure, and physical activity can impact sleep. Screening tools like PAINAD can help assess sleep quality in cognitively impaired elders. Non-pharmacological interventions like relaxation, sunlight, and exercise can enhance sleep. Proper sleep hygiene including schedules, environments and limiting daytime naps are important.
Circadian rhythms exhibit a period of about 24 h whereas circannual (seasonal) rhythms cycle over the course of a year. Both types of rhythms are coordinated by the brain's suprachiasmatic nucleus (SCN).
The document summarizes a presentation on provider wellness. It defines health and healing, discusses the importance of provider wellness, and provides some simple tools to enhance health. Specifically:
1) It defines health as a natural phenomenon like gravity that is the tendency for living beings to grow and adapt. Healing involves homeostasis, tissue remodeling, and the emergence of new patterns that allow freedom and fitness.
2) Provider wellness is important because physicians have higher rates of health issues like heart disease, depression, and stroke than other professions, despite healthier behaviors, due to factors like stress, sleep deprivation, and medical training.
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Healthcare Designs: Can Modern Lighting Cure the ill's of Ailing Institutions...Cindy Foster-Warthen
In this session, we will describe key trends impacting healthcare, discuss functional, physiological, and psychological aspects of lighting in healthcare settings, review key design interventions in facility lighting design and the link to health outcomes, examine current and future state of lighting technologies and their application for care environments
This document discusses chronobiology and fatigue disorders. It begins by defining chronobiology as the study of biological rhythms in living organisms. It then discusses circadian rhythms and how they regulate important biological processes like cortisol and melatonin secretion. The document focuses on fatigue disorders like chronic fatigue syndrome and fibromyalgia, explaining their symptoms like severe fatigue. It analyzes research showing disturbances in circadian rhythms of hormones and cytokines in these patients, which may contribute to symptoms like unrefreshing sleep. The conclusion emphasizes the importance of circadian rhythms for health and treatments tailored to patients' diurnal variations in symptoms.
BOOSTING YOUR IMMUNITY During the COVID 19 PandemicLouis Cady, MD
In this presentation, presented as a live webinar on Monday, April 27th, Dr. Louis Cady of the Cady Wellness Institute reviewed practical, common-sense things that can be done to boost your immunity, with documentation from the peer-reviewed medical literature. Dr. Cady also reviews supplements and nutrients that are established in the peer-reviewed medical literature as having antiviral capabilities. These include Vitamins C,D, and E, Zinc, carotenoids and antioxidants, probiotics, the reishi mushroom, elderberry, cannabidiol (CBD - not marijuana or weed!).
Points presented are scrupulously documented from the medical literature. This presentation does not guarantee or represent that using ANY of these nutrients will "keep you from getting infected or dying" from COVID 19. They are presented for your thoughtful consideration.
Biological rhythms in the body include ultradian (heart rate), circadian (sleep-wake cycle), and infradian (menstrual cycle) rhythms. The circadian rhythm is regulated by the suprachiasmatic nucleus in the hypothalamus and helps control sleep patterns, hormone release, body temperature, and more. Disruptions to circadian rhythms can lead to obesity, diabetes, fatigue, insomnia, and other issues. Treatments include lifestyle changes, light therapy, and medications like melatonin.
A course developed for the AIA CES program demonstrating the problems presented with electric light along with how new lighting technologies can be modified to promote better health.
This document discusses an orthomolecular approach to decreasing inflammation through lifestyle and dietary changes as well as supplements. It covers how chronic inflammation can negatively impact brain health and mental health conditions like anxiety and depression. Key recommendations include a low-carb diet, exercise, stress reduction, probiotics, fish oil, and antioxidants like alpha lipoic acid and N-acetyl cysteine to reduce inflammation and repair damage in the brain.
Sleep is essential for health, safety and productivity. Lack of sleep has increased in recent decades and is associated with numerous health issues. Normal sleep involves NREM and REM cycles that regulate functions like temperature and hormones. Sleep deprivation impairs the immune system, increases health risks, and causes mood changes, reduced cognitive function and weight gain. It is estimated to cost the Australian economy billions annually in accidents, lost productivity and healthcare. Employers should promote sleep health through education, shiftwork policies, monitoring and encouraging good sleep hygiene habits.
Sleep and sensory balances (overload and deprivation.pptxShehlaBano3
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Circadian Rhythm Enhancing Brain Synchronization and Cognitionijtsrd
Cognition is impaired in many neuropsychiatric disorders and the quality of life is severely affected. A key mechanism for sculpting communication patterns between large scale brain networks that underpin cognition and its breakdown in neuropsychiatric disorders is synchronous electrophysiological rhythms. According to a study, light has a wide range of effects on the synchronization of circadian rhythms with the external environment and it is found that light influences the urinary excretion of melatonin and controls sleep. Autonomic and neuroendocrine responses such as feedback regulation and the involvement of the immune system have also been shown to influence the circadian rhythm. There have been major advances in our understanding of the retinal photoreceptors mediating these non image forming light responses over the last two decades, as well as the neural pathways and molecular mechanisms that generate and energize circadian rhythms in the phase of the light dark LD cycle. Our understanding of the mechanisms by which lighting impacts cognitive processes, on the other hand, is more misleading. Lights effect on different cognitive processes is complex. Indirect effects may also arise due to disrupted circadian rhythm, in addition to the direct effects of light on consciousness. In studies that rely on various cognitive and sensory processes, different assays have been used, which can also contribute to variable outcomes. The physiological basis of these responses and the influence of various lighting environments on cognitive processes are summarized here, taking into account their effects on circadian rhythms, sleep and arousal. Uthirakumar Devaraj | Elumalai Balamurugan "Circadian Rhythm: Enhancing Brain Synchronization and Cognition" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-6 , October 2021, URL: https://www.ijtsrd.com/papers/ijtsrd46394.pdf Paper URL : https://www.ijtsrd.com/biological-science/neurobiology/46394/circadian-rhythm-enhancing-brain-synchronization-and-cognition/uthirakumar-devaraj
This document provides an overview of chronobiology, which is the study of biological time and circadian rhythms. Some key points:
- The suprachiasmatic nucleus (SCN) acts as the master circadian pacemaker in the brain. It regulates circadian rhythms in physiology and behavior through neuronal and hormonal outputs.
- Circadian rhythms are endogenously generated but can be entrained, or reset, by environmental cues called zeitgebers, most importantly the light-dark cycle.
- At the molecular level, circadian rhythms are generated by transcriptional feedback loops involving clock genes such as Period and Cryptochrome.
- Disruptions to circadian rhythms are implicated in psychiatric
This document discusses chronobiology and fatigue disorders. It notes that chronobiology examines periodic biological rhythms related to light and lunar cycles. The most important rhythm is the circadian rhythm, which is a roughly 24-hour cycle regulated by circadian clocks in the hypothalamus. Fatigue disorders like chronic fatigue syndrome are debilitating and cause severe fatigue, pain, and other symptoms. The document suggests circadian rhythm disturbances may contribute to fatigue disorders, as seen in lower melatonin and cortisol levels in patients, which can impair sleep quality and increase pain/stiffness. Understanding circadian rhythms could help optimize treatment timing for fatigue disorder patients.
1) The document discusses circadian rhythms, which are biological processes that display 24-hour oscillations driven by an internal biological clock.
2) It reviews how the suprachiasmatic nucleus in the hypothalamus controls circadian rhythms in mammals and can be entrained by external factors like light and temperature.
3) Disruptions to circadian rhythms can cause health issues like diabetes, obesity, and psychological disorders. Certain drugs like cocaine can also disrupt circadian rhythms.
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This was the second presentation gibven on MZarch 29, 2019 at the Manlove Psychiagtric Group and Brain Injury Institute spring conference in Rapid City, SD.
In this presentation, Dr. Cady carefully goes over the necessity of integrating and overview and awareness of hormones and their levels in the elucidation of what truly is going on with the patient.
This was an overview lecture only. Dr. Cady will be presenting a 16 hour CME program in Austin Texas on June 22 and 23 for the National Procedures Institute, and will explore all aspects of all relevant hormones and what can be done to manage and optimize them.
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5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
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1. Mary Bove, ND
July 12, 2023
Targeting the 24-Hour Circadian
Cycle with Botanical Adaptogens
2. • Dr. Bove is receiving compensation for
creating and presenting this webinar.
Disclaimer
3. • Internal manifestations of the solar day that permit adaptations to
predictable environmental temporal changes.
• 24-h rhythms are controlled by molecular clockworks within the brain
that are reset daily to precisely 24-h by exposure to the light–dark
cycle.
• A bidirectional relationship exists between mood disorders and
circadian rhythms.
Circadian Rhythms
Nature Reviews Neuroscience volume 20, pages49–65 (2019)
4. • The input pathways, which receive and relay exogenous cues to the
brain
• Light exposure (most “potent”), feeding times, physical activity, and sleep
habits
• A central circadian clock in the brain, which maintains the circadian
rhythm (“master clock”)
• Peripheral clocks within individual organs, which control the
physiologic, behavioral, and metabolic end responses
Three Essential Components of the
Human Circadian Clock System
5. • In humans, circadian nocturnal sleep-daytime wakefulness is
associated with changes in peripheral cytokines, cellular immune
functions, and endocrine influences.
• The interaction between the circadian sleeping/waking brain and the
cytokine-immune-endocrine system are integral to preserving
homeostasis.
Circadian Sleep/Wake Brain
http://dx.doi.org/10.1016/S1087-0792(99)90003-5
6. • Wide range of metabolic processes— including lipid metabolism,
glucose metabolism, oxidative phosphorylation, and detoxification
pathways
• Any desynchrony with each other or with the central clock, can
directly impact:
• Individual thoughts and behaviors
• Overall health
• Predilection for disease development
Peripheral Clocks
8. Normal 24-hour Circadian Cortisol Cycle
Cortisol is released in a circadian
rhythm pattern. This means that the
levels of cortisol change based on
the time of day
Cortisol levels are highest in the
morning, decline sharply by noon,
flatten out in the afternoon, and
slightly decline before bed
This type of pattern suggests a
properly functioning Hypothalamic-
Pituitary-Adrenal (HPA) Axis
9. Mother Baby Rhythms
Rhythms of life: circadian disruption and brain disorders across the lifespan
Nature Reviews Neuroscience volume 20, pages49–65 (2019)
10. • Sleep disturbances and circadian disruptions are associated with
attention-deficit hyperactivity disorder (ADHD) and autism spectrum
disorders (ASDs).
• Inattentiveness, impulsivity and hyperactivity are associated with high
rates of co-occurring sleep problems and circadian alterations.
• Reductions in sleep quality, delays in circadian phase and evening
preference are consistently reported in children and adults with
ADHD and may be correlated with the severity of ADHD symptoms.
Circadian Disruptions
Nature Reviews Neuroscience volume 20, pages49–65 (2019)
11. • The behavioral health and psychiatric consequences of circadian
disruption by light at night are becoming increasingly apparent.
• Circadian rhythms can be disrupted by jet travel across time zones.
• Light at night has the potential to substantially alter physiology and
behavior via suppression of melatonin rhythm.
• Exposure to light at night could dysregulate the HPA axis, in turn
increasing the prevalence of cortisol-associated mood disorders
Light at Night and Screentime
Translational Psychiatry volume 10, Article number: 28 (2020)
12. • Human clinical data support a strong interaction between MDD and circadian processes.
• Symptoms of depression demonstrate diurnal variations; patients exhibit symptoms in a
morning-worse or evening-worse pattern.
• Disruptions of biological rhythms underlie hallmarks of MDD; specifically, alterations in
sleep/wake states (decreased latency to rapid eye movement sleep, concurrent with
increased rapid eye movement sleep and reduced slow wave sleep), social rhythms,
hormone rhythms (reduced amplitude in melatonin and cortisol rhythms), and body
temperature rhythms (reduced amplitude and increase in nocturnal body temperature)
are seen in patients with MDD.
• Clinical studies demonstrate that the severity of MDD is correlated with the degree of
misalignment of circadian rhythms
Circadian Disruptions
Translational Psychiatry volume 10, Article number: 28 (2020)
13. Neurodegeneration and the circadian clock:
“Here, we review the common circadian abnormalities observed in
ADs, PDs and HDs, and circadian-oriented interventions proposed as
treatments for these neurological disorders.”
Frontiers in aging neuroscience, 2017 - frontiersin.org
Circadian Rhythm Disruption
14. • Circadian system — A novel diagnostic and therapeutic target in
Parkinson's disease? Aleksandar Videnovic MD, MSc,Gregory L. Willis
PhD First published: 30 January 2016
https://doi.org/10.1002/mds.26509Citations: 65
• Alterations of the circadian system in Parkinson's disease patients;
Karim Fifel PhD; First published: 15 November 2016
https://doi.org/10.1002/mds.26865Citations
Parkinson's Disease
15. • Manage your exposure to light. Light is the strongest signal in the environment to help
reset your sleep-wake cycle. You may need more sunlight during the day and less
artificial light at night from TV screens and electronic devices. Artificial light can lower
your melatonin levels, making it harder to fall asleep.
• To move your sleep and wake times earlier, use the light box when you wake up in the
morning. This may also help reduce daytime sleepiness. This method may be used to
help treat delayed sleep-wake phase disorder, irregular sleep-wake rhythm disorder, and
jet lag disorder when you travel east.
• To move your sleep and wake times later, use the light box late in the afternoon or early
in the evening. This method may be used to help treat advanced sleep-wake phase
disorder, shift work disorder, and jet lag disorder when you travel west
Light to Reset
Circadian rhythm disruption and mental health
Translational Psychiatry volume 10, Article number: 28 (2020)
16. • Time of day
• Target system, organ, or gland
• Action and energetics of botanicals
• Duration of therapy
Botanical Application in Relationship to
the Circadian Rhythm
0800 1200 1700 2100
Hour of Sample
Collection
Salivary
Cortisol
0
0800 1200 1700 2100
Hour of Sample
Collection
Salivary
Cortisol
0
17. • Regulating adrenal and HPA axis communication
• Homeostasis of cortisol patterns & influences
• Glycemic regulation and stability
• Healthy sleep wake cycle
• Application of specific adaptogen agents in the 24-hour cycle
• Morning
• Night
• Daytime
Restoring the Adrenal 24-Hour Cycle
18. • Apply botanicals for modulating cortisol into the normal cortisol
circadian cycle.
• Supportive Adaptogens – Holy Basil, Eleutherococcus, Reishi,
• Revitalizing Adaptogens – Rhodiola, Rhaponticum, Licorice, Cordyceps
• Restoring Adaptogens – Withania, Magnolia, Mimosa
Cortisol and Botanicals
Adaptogen Dosing & Time of Day
20. • Adaptogen, antiviral, galactagogue, radioprotective, hypoglycemic,
anti-inflammatory, cortisol regulator
• Enhancing metabolic functions and natural resistance
• Modulates innate stress response
• Reduces generalized anxiety
• Enhanced endurance
• Cortisol reducing compounds
• Ursolic acid, a constituent in Holy Basil, activity as an anti-
inflammatory and COX-2 inhibitor.
• Enhances the activity of glutathione S-transferase, a key enzyme in
detoxification
• 4-10 mls/day 1:5LE
• 250-1000 mg/d dry herb
Holy Basil - Ocimum sanctum
21. • Root, Araliaceae
• Immunotonic, adaptogen, neuro-protective, hepato-
protective, gastro-protective, anti-oxidant, anxiolitic
• Regulates blood sugar levels for hypo & hyper
• Effects of prolonged stress, fatigue, insomnia, depression,
post surgery/ trauma/ chemotherapy
• Normalizes leukocyte levels
• Improves reproductive capacity and uterine health
(rhodiola and astragalus)
• Counteracts hypertrophy and atrophy of the thyroid and
adrenal glands
Eleutherococcus Senticosus
Academic Press: London, UK, 1985; Volume 1, pp.156–209.
22. • 3-10 mls/day 1:3 liquid extract daily
• 10-15 mls 1:5 tincture daily
• 1-4 gr/day dry root
• Standardized preparations of Eleutheroside E
• 2 gr/day reduces frequency of recurrent herpes simplex outbreaks*
• Combines well with Rhodiola and Schisandra
Eleutherococcus Dosage
Williams M, Immunoprotection against herpes simplex II by Eletherococcus root extract, J Alt
Comp Med 13 (1995);9-12
24. • Anti-fatigue - 200 mg three times a day
• Insomnia – 600 mg dose**
• Mild – Moderate Depression-170 mg or 340 mg twice daily)/placebo
for 6 weeks*
• 4-8 ml/d liquid extract
• 200-600 mg/d dried root
• 100 mg of extract standardized to 3 percent rosavins and 0.8-1 percent
salidroside, as the naturally occurring ratio of these compounds is approximately
3:1.
• A high dose-daily intakes of 1,000 mg
Rhodiola Dosage
*Nord. J. Psychiatry 2007, 61, 2343–2348
**Pharmaceuticals 2010, 3,188-224; doi:10.3390/ph3010188
25. • Rhaponticum carthamoides
• Common name: Leuzea or Maral Root, derived
from the fact that the Maral deer fed on this plant.
• Part Used: Root
• Herbaceous plant native to the sub-alpine and
alpine meadows of Siberia.
• Traditionally used as an energizing or tonic remedy
after long Siberian winters
• This plant was often combined with Rhodiola rosea
in traditional Siberian folk medicine and is still used
by modern Russian athletes.
Rhaponticum
26. • Active Constituents:
• Levseins (over 10 different ecdysterones), which increase activity of the cellular
compartments where protein synthesis takes place, thus enhancing muscle protein synthesis
• 25 years of research and clinical study has gained this plant entry to the Official
Russian Pharmacopoeia.
• Recommended for: increasing work efficiency, athletic performance and recovery
after muscular workloads. Stimulates muscle growth by increasing protein
synthesis in the muscle.
• A synthetic version was manufactured in Russia and the US,
but the Rhaponticum extract proved superior to synthetic
versions.
Rhaponticum
26
27. How does Rhaponticum affect the physiology?
• Promotes anabolic metabolism, preserves mitochondria
• Increases working capacity of skeletal muscle and their content of glycogen
for fuel and increases ATP
• Increases glycogen to the brain, liver and muscles; has mental and physical
anti-fatigue effects
• Increases oxidative enzyme systems, decreases lipid peroxidation acting as
a free-radical scavenger
• Enhances protein synthesis in muscle tissue, builds lean muscle mass
• Increases muscle recovery, supports structural integrity of muscle
• Decreases fat deposition
• Restoration of lowered IgG, IgA and C3 concentrations, improving humoral
immunity
Rhaponticum
27
28. • Root, leguminosae
• Clears heat, moistens membranes
• Adrenal restorative
• Anti-inflammatory
• Mucoprotective, reduces irritation of the body’s
mucus membranes
• Can raise the blood pressure if pre-hypertensive
• 5-10 mls/day 1:5 liquid extract
• 1-4 g/day dry root
Licorice - Glycyrhiza glabra
29. • Licorice root helps decrease the breakdown
of cortisol thereby effectively increasing
cortisol levels.
• If cortisol levels are very low, a patient may
benefit from licorice root supplementation
at the appropriate times of the day.
• Adaptogens to support anabolic
metabolism
Support the Cortisol Cycle
30. • Scientific names: Cordyceps sinensis & militaris
• Aka Caterpillar mushroom
• In nature, this parasitic fungus grows on the caterpillar larvae of a
moth.
• Grows in the highlands (10,000 feet) of China, Tibet and Nepal
• Recently, cultivated varieties (Cordyceps militaris) have been
developed. These Cordyceps fruiting bodies are cultivated on
nutritious barley substrate.
• Research has shown that C. militaris and C. sinensis provide
similar support, and they are used interchangeably in TCM and
other branches of herbalism.
Cordyceps
30
31. Action
• Anti-inflammatory, antioxidant, anti-tumor, adaptogen,
immunomodulatory, endocrine modulator, hypolipidemic, tonic
• Promotes restoration and regeneration
• Decreases fatigue and increases physical endurance, vigor, and energy
• Enhances athletic performance and training
• Builds vitality when recovering from stress
• Oxygen free-radical scavenger
• Regulates testosterone and cortisol
• Supports liver function and acts to protect the liver from stressors, aids regeneration
• Immune regulating, building, and supporting to normal cell growth and development
• Safety: Research on this mushroom shows complete safety when consumed in recommended doses
Cordyceps
31
33. Effecting the neuroendocrine system
• Thyroid modulating
• Supports blood sugar metabolism
• Enhances conception, fertility issues
• Regulates HPA axis
• Neuro-protective effects
• Promoter of learning and memory retrieval; cognitive enhancer
• Tonic- debility, chronic exhaustion, low WBC, increases hemoglobin*,
convalescence
Withania somnifera (Ashwagandha)
*Bone K, Clinical Application of Ayurvedic and Chinese Herbs, Warwick, Qld; Phytotherapy Press, 1996 p 137-41
34. • Somnifera means “sleepmaking”
• A randomized, double blind, placebo-controlled study to evaluate the
effects of ashwagandha (Withania somnifera) extract on sleep quality
in healthy adults.
• Deshpande, A., Irani, N., Balkrishnan, R., & Benny, I. R. (2020).
Ashwagandha - Withania somnifera
Sleep Medicine, 2020, 72, 28-36.
35. • 3-6 grams daily of the dried root
• 6-15 ml of a 1:2 fluid extract per day
• 300-500 mg of an extract standardized to contain 1.5 percent
withanolides
• 125 mg-250 mg/d WSE- CVS/ Glucose regulation*
• 125 mg-500 mg/d WSE for stress reducing effects*
• Generally safe, large doses have been shown to cause gastrointestinal
upset, diarrhea, and vomiting.
Dosage for Withania
*Biswajit Auddy, PhD1 et al; JANA Vol.11,No.1, 2008
36. • Anxiety and adrenals
• Overweight premenopausal women
• A decrease in transitory anxiety, although salivary
cortisol levels were not significantly reduced
• Magnolia has been demonstrated to improve
mood, increase relaxation, induce a restful sleep
and enhance stress reduction.
Magnolia (Magnolia officinalis)
Nutrition Journal 2008;7:11:1-6.
J Pharm Pharmacol 1998;50:819-826.
37. • Cortisol and Mood
http://www.ncbi.nlm.nih.gov/pubmed/23924268
• Anti-inflammatory Suppresses NF-kB
http://www.ncbi.nlm.nih.gov/pubmed/24893579
• Honokiol, a Multifunctional Antiangiogenic and Antitumor Agent
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2842137/
• Enhanced GABAergic Neurotransmission in Hippocampal Neurons
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3652012/
Magnolia References
38. • Refers to total neolignans (usually magnolol plus honokiol), which are
usually at 1-10% of a basic bark extract
• Dose: 160 mg to 500 mg depending on weight/condition of patient
• Caution: Avoid in pregnancy due to possible oxytocic effects
Magnolia
39. • Scientific name: Tree of Happiness
• “Calms the spirit”
• “Relieves constrained emotions”
• Parts used: Bark and flower
• Has an acrid taste
• Actions: Anxiolytic, anti-microbial, antioxidant, antiinflammatory,
anti-asthma, nervine, hepatoprotective and lipid-lowering
• Dosing: 3-5 mls 1:5 tincture, 3-5 grams dry herb TID
Mimosa Albizia julibrissin
39
40. • Nervine with immune-regulating and cancer-inhibiting effects.
• 5-HT receptor binding – depression, anxiety, irritability
• Neurotransmitter mechanisms via GABA, dopamine and serotonin
• Bioactive Compounds:
• High in saponins in many forms: triterpenes, monoterpenes, flavone saponins, alkaloids and
flavonoids
• Flowers high in Quercetin and Isoquercetin
• Supports:
• Person with low blood pressure, low mood, low thyroid, anxiety and poor energy
• Parasympathetic-dominant person
• Low thyroid function with female hormonal aggravation and low mood
• Linking endocrine system to the nervous system via the pituitary gland
• Decreases sleep latency
• Poor memory, mind chatter
Mimosa Bark
40
41. • Assists the HPA Axis deal with and adapt to everyday stressors;
foundational, supports adrenal function;
• Ashwagandha, Eleuthero, Holy Basil, Reishi
• Deep support of the HPA Axis for those in state of adrenal
fatigue/exhaustion
• Cordyceps, Licorice, Rhaponticum, Rhodiola
• Restores HPA Axis function at night, promoting a healthy sleep cycle,
repair, growth and restoration
• Ashwagandha, Magnolia, Mimosa
Adaptogen Wrap Up
42. • Never seems to get enough sleep, wakes up
tired but able to get up and going
• Always has a low time midafternoon looking
for a sweet or caffeine to boost their energy
• Notes that they feel tired soon after they
evening meal or may even fall asleep for a
short time while putting the kids to bed
• Gets a second wind and may stay up to 1-2
am
• Struggles with weight issues even though
they exercises regularly
Night Owl
43. • This person has had life challenging
situations for several years.
• Examples of this could be graduate
student, very stressful job, several
pregnancies with breastfeeding, periods
close together, PTSD, chronic fatigue
issues, super athlete for several years
coupled with acute injury to body over
that time and a very busy life.
Adrenal Burnout
45. 5 Elements of Botanical Quality
1. Design: Evidence-based formulation & appropriate
dosage form
2. Authenticity: Ingredient identity is always verified
using validation
3. Potency: Ingredient & finished product potency
verified w/validated methods
4. Purity: No contaminants
5. Validation: Safety/ efficacy
✓ Efficacy
✓ Quality & Trust
✓ Transparency
46. Botanical Support for the HPA Axis*
This webinar offered 1.0 CE for eligible NDs on the live event.
Certificates will be sent via email. Thank you.