Be What You Eat. My Work. When people get to me, they are frustrated. The role food plays in healing

Transcription

1 Be What You Eat The role food plays in healing 1 My Work Rejuvitrition is about how to rejuvenate the body through nutritional choices Work in three areas: Nutritional lifestyle coaching Performance food choices Workforce wellness Certified Nutritional Therapy Practitioner; GAPS Practitioner; Restorative Wellness Practitioner; Certified Healing Food Specialist, Culinary Degree from The Art Institute of Pittsburgh 2 When people get to me, they are frustrated 3

2 The Patient Role In Outcomes 1. Inflammation 2. Food Sensitivities 3. Health of your Gut 4. Pre-Op/Pre-admission testing 5. A timeline 4 My Story IT band injury long-distance cycling 2009, and subsequent partial ACL tear Intention to avoid surgery at any cost Elected PRP & BMAC yrs. old - focused on whole dense nutrient rich foods and working on improving digestion Completed Pittsburgh to DC bike trip again, painlessly Completed Mud on the Mountain 2013 Hiked all over Utah summer of 2014 Food choices continue to make a significant contribution to my health 5 You can trace every sickness, every disease, and every ailment to a nutritional deficiency. - Dr. Linus Pauling 6

3 What We Do Today Injections Regenerative medicine Replacements Physical Therapy Pre-Op? 7 The Role of Nutrition in Orthopedic Outcomes Body of research and literature increasing Observational research shows mobile, active patients more likely to have better nutrition Gut-brain connection research growing Systemic inflammation relationship to outcomes widely studied Food is useless without digestion 8 Effects On Outcome Weight Diet Exercise PT Gut health Pre-Op? 9

4 Inflammation Causes Diet Sugar Processed foods Lifestyle Exercise Stress Choices Digestion Health of your gut Bio-chemical Toxins Allergies Food allergies Food sensitivities 10 Inflammation Systemic inflammation is deep in our cells The very ones you are trying to repair and replace Heal faster and quicker Better outcomes Referrals & WOM 11 3-Types Of Systemic Inflammation Food allergy IgE type-1 hypersensitivity Immune system reacts inversely to protein Food sensitivity Mediators released Some originate in the immune system Some directly in cell (cell mediated) Causes inflammation Food intolerance Ability to digest Lactase/Lactose 12

5 Food Allergy IgE mediated Peanut allergy Shrimp Epi pen 13 Food Sensitivities Much less dramatic More common occurrences Creates many more problems Reactions can be 72 hours later Mediators released 14 Food Intolerance Digestive issue Dairy Non-humoral reaction Not IgG Not IgE Immediate reaction 15

6 Sensitivity Symptoms Weight gain Fluid retention Fatigue Sinus and nasal congestion Joint pain Headaches Acne Brain fog IBS Mood Eczema 16 Histamines Cytokines Prostaglandins Mediators 17 What Causes Mediator Release Humoral mechanisms: Antibodies: IgE, IgG, IgM Cellular mechanisms: Cellular reactions T-Cells Phagocytes, granulocytes NK cells Non-immune mechanisms: Lectins, histamine containing foods, etc 18

7 What Happens With A Food Sensitivity Ingestion Eat something Recognition Invader Defense White blood cells, antibodies, immune Chemical warfare Mediators are released Symptom manifestation Tissue inflammation 19 Where Are Mediators Found Immune cells and circulation Mast cells Basophils Eosinophils Macrophages Monocytes Neutrophils NK cells T-cells 20 21

8 We Can Tell file:///.file/id= Eggs Grapes Oranges Dill My Sensitivities Millet Carob Catfish 23 24

9 How Does This Happen Eat food Salivary enzymes Chewing Stomach Churns and burns HCL/enzymes Small intestine Microscopic nutrients/blood and lymph Large intestine Waste, toxins 25 Dysfunction In The Gut Leaky gut Bacterial balance Mucosal tissue integrity Antibiotics SAD/processed foods Not chewing your food HCL-digestive enzymes Sugar 26 27

10 28 Leaky Gut Ingest food 2-3 times each day Immune system whips into a frenzy Releasing mediators Undigested food sneaks through tight junctions in our intestines 29 What A Patient Can Do Pre-admission testing Food sensitivity testing GI panel Exercise Hydrate Anti-inflammatory diet Probiotics Turmeric Fish oil Meditate Always trust your gut. It knows what your head 30

11 What A Patient Can Do 31 Food sensitivity test GI panel Heal and seal Stress Give Tools 32 What Am I Asking Get your patients healthy first A few weeks can make a difference Heal quicker Better outcomes Referrals 33

12 CALENDAR - TIMELINE 4-6 weeks pre-op 2-4 weeks pre-op 1-2 weeks pre-op Post-op 34 Patients Can See Results Allergies Arthritis Fatigue Weight High blood pressure Digestive disorders Reflux Mood Depression anxiety 35 We are, at our most basic level, walking food. Joshua Rosenthal, MScED Integrative Nutrition: Feed Your Hunger for Health & Happiness 36

13 For more Cheryl Bagley Rejuvitrition PH: Matthew E. Deren, MD; Joel Huleatt, MD; Marion F. Winkler, PhD; Lee E. Rubin, MD; Matthew J. Salzler, MD; Steve B. Behrens, MD Assessment and Treatment of Malnutrition in Orthopaedic Surgery JBJS Reviews, 2014 Sep; 2 (9): e de van der Schueren, M., Elia, M., Gramlich, L., Johnson, M. P., Lim, S. L., Philipson, T., Jaferi, A. and Prado, C. M. (2014), Clinical and economic outcomes of nutrition interventions across the continuum of care. Annals of the New York Academy of Sciences, 1321: doi: /nyas