Cholesterol
Clues From Our Thyroid – part 1
Two key reasons:
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Innocent until proven guilty. It’s estimated that perhaps 18-25% of women have an underlying thyroid disorder (It’s somewhat less common in men). This still means that 75-82% of us (women, for statistical ease) do not. Become well acquainted with your body so that you may better decipher the clues you are being given, and remember that there are many possible causes for almost every clue the body gives. Cluster clues for the win!
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Thyroid disease is overwhelmingly mistaken and/or overlooked in favor of other disorders (often mental health related) by the corporate owned medical community. Thyroid diagnosis often requires intuition (Holy Spirit discernment), patience, persistence, and attention to details. If you feel “off”, and yet your doctor tell you “everything looks good”…. Who do you believe? I hope you pointed a finger back at yourself just now. You believe what you know about your body and your refined detective skills!
Function of the Thyroid
Symptoms of thyroid deficiency might include:
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Chronic fatigue or tiredness.
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Muscular fatigue
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Puffiness or evidence of fluid retention
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Difficulty regulating body temperature (chronic feelings of being hot or cold. Recall the posts on body temperature)
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Development of Reynaud’s Syndrome
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Reduced pulse pressure and blood pressure
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Heart rate fluctuations
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Angina and/or feelings of breathlessness
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Higher cholesterol. People with subclinical hypothyroidism often have higher levels of LDL cholesterol. Thyroid disease is a major contributor to cholesterol problems.
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Arteriosclerosis (decreased elasticity of arteries)
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Changes in bruising or clotting (generally, bruising will become more common)
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Depression and/or anxiousness
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Difficulty gathering thoughts, memory, focus and concentration
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Headaches with unknown origin
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Moodiness or lack of enthusiasm in life
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Peripheral neuropathy
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Carpal tunnel (there is a strong link!)
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Random shooting pains in the hands and feet
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Osteoporosis (chronic hypothyroidism can be a contributor)
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Visual problems: dry eyes, age related macular degeneration, primary open angle glaucoma
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Loss of the outer eyebrows
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Chronic constipation
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Increased incidence of gallstones (thyroid hormones affects the composition of bile and how well it flows)
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Poor digestion of fats and proteins
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Decreased stomach acid resulting in poorly digested foods (If this clue is on your radar, grab your YL Essentialzyme and give your body digestive support!)
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Bloating, gassy
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Small Intestinal Bacterial Overgrowth (SIBO)
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Insulin resistance (and therefore) increased risk of developing Type II Diabetes
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Thicker tongue, perhaps even with scalloped teeth marks on the sides of the tongue.
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Changes in how food tastes.
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Periodontal disease
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Development of a husky or hoarse voice
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Infertility or difficulty maintaining a pregnancy
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Heavy periods (There is often a link between hypothyroidism and PCOS)
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Sex hormone imbalances (progesterone, estrogen and testosterone in women)
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Loss of libido
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Postpartum depression (very common)
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Premature menopause
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Dry skin
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Deep cracks and scales on the bottoms of the feet
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Deep lines on the palms of hands or soles of feet
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Yellowish orange or reddish color on palms of hands or soles of feet
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Reddish spots, bumps, or rashes that come and go
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Acne (often seen in conjunction with testosterone level disturbances)
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Brittle, flaking nails or nails that fail to grow well
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Hair loss (on the head) or gaining hair in all the wrong places elsewhere
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Getting sick more often, especially upper respiratory tract infections and in women, persistent urinary tract infections.
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Bedwetting in kiddos
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Delayed wound healing
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Gaining or losing weight without trying
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Poor sleep
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Iron deficiency anemia (roughly 50% of people with thyroid disease struggle with this)
Guilty or Innocent? Weighing in on Cholesterol
Cholesterol has been heavy on my heart for the last month… haha! No pun intended there… my cholesterol is actually fine….. but I tend to root for the the misunderstood and the underdog when given a choice. (That’s probably why our farm tends to be a haven for rescue dogs and cats…. but I digress!)
Did you know that approximately 80% of people with acute cornary syndrome….(ie: reduced blood flow to the heart… often leading to heart attack) have NORMAL cholesterol values? What’s up with that?
Cholesterol is one of those underdogs. Bless its sticky little heart….. it’s given a bad rap more so than nearly any other body produced compound. What would we do without cholesterol? That’s a good question…. I’m not entirely sure any of us would be around to discuss it if we lacked it in our bodies! It is a major component of cell membranes and is a necessary building block for hormones, fat soluble vitamin D, and bile salts (aiding in the digestion of fats and fat soluble nutrients). Cholesterol is also extremely important to the function of our nervous system. Without it, we’d be bumbling malfunctioning idiots….especially considering that our brains are roughly comprised of 50% cholesterol. So why all the hate?
Our bodies are efficient producers of cholesterol…. producing about 80% of what is in our bodies (the other 20% comes from dietary sources). Cholesterol should not be confused with Triglycerides (perhaps the real bad boys), or the obscure thug that likes to hang on to its buddy LDL….. lipoprotein(a).
Unpacking Cholesterol: The cholesterol in our vascular system is a mixed bag of good and bad. HDL (the good guys) has the job of bouncer…. and it escorts out the shadier gang members, LDL, from our bloodstream. LDL comes in a variety of sizes…. and the smaller sizes (subunits 3 & 4) are really bad news. The bigger ones (subunits 1 &2) are fluffier and are actually pretty helpful. Because they (subunits 3&4) are small, they can easily work their way into the lining of our arteries where the bouncer (HDL) can’t reach them. In a whopping 20% of the population (1 in 5) there is something called Lipoprotein(a) that makes LDL ‘extra sticky’….. if you carry this genetic characteristic, it is best to know about it early on in life, as it dramatically increases your risk for clogged arteries and blood clots leading to strokes and heart attacks. It is a serious health risk, and frankly…. should be tested for at least once in everyone’s life.
While managing total cholesterol with careful eating habits (avoid processed and ‘fast’ foods) is important, …. the real culprits we should be monitoring are inflammation, triglycerides, and lipoprotein(a).
Triglycerides are produced predominately by the liver. When we eat, the body stores any excess calories as triglycerides in our fat cells. It is particularly fond of doing this with carbs. Later…. between meals…. hormones will signal a need for more energy, and those triglycerides will be released. Herein lies the rub tho….. if you eat more than you exert energy, triglycerides begin building up and you end up with hypertriglyceridemia (HTG), and THAT my friends, is cause for alarm. Even if someone has verified genetic HTG, management can be achieved with responsible ownership of the vessel you reside in:
- Daily physical activity
- Conscious consuming of healthy fats… avoiding processed foods and other sources of “bad fats”
- no smoking
- Optimizing body weight
- Limit processed sugar intake to no more than the equivalent of 6 teaspoons of sugar per day. (The average North American consumes about 200gms or 48 teaspoons of processed sugar in their diet daily)
- Work towards optimal triglyceride lab values of <100 and a triglyceride to HDL ratio of 1:1 to 2:1.
Lipoprotein(a) is no joke. 73 million people in the USA are estimated to be living with this ‘sticky’ situation. It is extremely dangerous because the molecule itself is so small, sticky, and it difficult to manage. What makes it even more dangerous is this: most insurance companies refuse to pay for the test that determines if you have it….. and many doctors don’t even mention the test to patients because insurance doesn’t pay. I have not been able to wrap my brain around the logic of NOT paying for a potentially life saving test…. but there you have it. It’s just one more reason to take charge of your own health and ask for the test and pay for it out of pocket, ESPECIALLY if you have family history of heart disease. Nothing….. no vacation, no daily coffee, no new phone…. should be more valuable to you than knowing this information about yourself. Once you know, you have the power to act…. and that can change the trajectory of your life. If you do carry this genetic trait, you will want to have your children tested. They need to learn healthy habits early in life. It’s never too young to become a CEO of oneself!
IF you have inherited lipoprotein(a), you’ll want to pay very close attention to what you CAN do, because it’s time to take your health seriously. Some people do not get a warning, and find themselves diagnosed at the same time their mortality is realized. Lp(a) requires close attention and monitoring. Tools to help in management include:
- Daily baby aspirin
- High quality Omega3 fish oil…. lots of it… has been found to lower Lp(a)LDL by approximately 10%. (Poor quality Omega 3’s become oxidized and can actually do more damage than taking nothing at all. Know your supplement company…not just their name, but how they do business. This is especially important with Omega 3’s.)
- High doses of Niacin (1-3 gms/day) … the flushing kind (ex: Slo-Niacin)… have been found to lower Lp(a)LDL by up to 30%
- Maintain a fasting blood glucose of <100
- Vitamin C @ 3000mg/day
- L-lysine, L-proline & L-carnitine in high doses (L-carnitine helps make lp(a) less sticky)
- Test for and maintain hs-CRP (high sensitivity c reactive protein) at <1. This measures inflammation in the body and high levels are a risk factor for heart attack.
- Control blood pressure ideally at 120/70.
- Consistent exercise
- Abstain from smoking
- Get (regularly) an Advanced Lipid Panel every 6 months w/ the following goals:
- LDL< 60
- Triglycerides < 60
- LDL particle # < 700
I realize this has been kind of a heavy post. I’m sorry about that. It’s a heavy topic tho. Most people (even healthcare professionals) don’t have a clear understanding of exactly what causes the real problems in our vascular system. Hopefully, you can see that cholesterol itself is not the real monster….. it’s actually pretty awesome stuff. Too much of a good thing is bad tho…. no matter what it is. Although I only barely touched on inflammation in this post, it’s HUGELY important to this topic too. Sticky Lp(a)LDL is especially fond of a chronically inflamed vascular system.
It is my hope and blessing that this helps someone better manage their own health, and to prompt personal responsibility one’s own health. I am not a doctor. Information here is for recommendation purposes only, and not intended to substitute for specific medical advice. Please do use this information as a starting point for your own research, and use as discussion points with your personal healthcare provider.
Love and hugs, Liz
Goin’ Down the Gopher Hole
Have you ever begun researching or looking for information on something, and it leads to more research ad infinitum? Well, that has happened to me over the course of the last six weeks. It’s all good stuff and I’m super excited to begin sharing it with you all, but first I have to get it unpacked properly from my brain. I love learning and uncovering new information…. it makes my heart go pitter patter, even if it does at some point begin to give me blurry vision and in need of a map as I return from the warren of learning I’m being steeped in.
The gopher hole (yes, I know the cuties above are actually prairie dogs!) I went down began with a simple question that had been ping ponging about in my brain for several months. I am a holistically minded pharmacist as you may well know, and I LOVE to help people realize feasible ways prevent dis-ease, restore function, and become optimally healthy. In a word: Not just surviving, but thriving!
There ARE times when medication is necessary and Western medicine needs to work its magic thru intervention, but really….. this needs to be reserved for emergent care, when holistic measures have failed, or when genetics simply deal us a challenging hand.
Unfortunately, we have become an immediate gratification society, and the ‘grab and go’ healthcare system has capitalized on that. It’s much easier to take a pill for a symptom than it is to identify the root cause and work towards fixing what’s actually ‘broken’…..but taking a pill (or having an elective surgery) will ALWAYS have a consequence, and frequently, it may have more than one consequence. Often, the consequence will simply replace the original symptom (dysfunction), but occasionally, it can open a can of worms that was bigger than the first problem. I’ve seen this scenario happen too many times to count in my career.
“We” (ie: our current worldview) tend to discount risk versus immediate benefit in lieu of the desire for an immediate ‘fix’. When the immediate need is resolved, the focus of our attention is removed from the problem (or dysfunction)…. we’ve moved on to the next thing. Meanwhile, the risk may have slowly and quietly slipped thru the cracked door, and we fail to notice the correlation….. benign neglect, innocent ignorance of our own bodies, willingly handing over the ‘care and feeding of us’ to a Third Party who has little or no vested interest in our optimal health….. regardless of the reason(s)….. secondary dysfunction has crept in on padded feet.
Here is but one example:
Statins are one of the most commonly prescribed medications in the United States for high cholesterol. Nearly 30% of adults over 40 are on them. Impressive stat for Big Pharma, right?
But let’s go over another set of stats on the statins. Statins work by blocking a VIP enzyme called HMG-CoA. When this enzyme is blocked…. it blocks the production of cholesterol, but it also blocks the production of a nutrient called CoQ10. (Blocking the production of cholesterol is a post unto itself, that I will tackle next week and unpack for you…. cholesterol has been demonized when in actuality, it is an absolutely vital component to our well being)CoQ10 is critically important, and it can be supplemented to offset potential problems. Unfortunately, in my experience, most doctors never tell their patients this when they hand them a statin prescription. The doctor ‘might’ tell them to let them know if they have unusual soreness or cramping in their legs (a warning sign of something called rhabdomyolysis). This is a common ‘side effect’ of statin use…. but the reality is that it’s a sign of a secondary deficiency that crept thru the door that statin use opened. Other signs of CoQ10 deficiency include:
- cardiac arrhythmia or palpitations, which could land you on medication. (Low CoQ10 is found in nearly all patients with heart failure. Read into that what you will…..)
- depression or memory loss (meds for this too)
- fatigue (you may live with this, or begin self medicating with caffeine or other stimulants)
- Impotence or decreased libido (ugh!)
- High blood sugar (setting you up for diabetes OR making your current diabetic state harder to manage or regulate….. don’t even get me started!)In 2014, the American Diabetes Association actually made the recommendation that all adults over the age of 40 take statins. (I’ll speak more to this when I write that cholesterol post)
Does this worry you? It should. And this is but one class of medications that causes a deficiency of CoQ10.
Now, I’m not a doctor, and please….. do not take my words (or anyone’s words) as gospel. I am all about self study and whole truth… which is not always easy to come by in the healthcare industry. (Remember, there are billions of dollars at stake here.) I encourage all of you to become the best advocate of you that you can be. Nobody knows you better than you, right? Self study can be a little confusing if you aren’t used to it. Talk to your healthcare provider. Don’t be afraid to ask the hard questions….. and above all, be armed with knowledge that you yourself have found. Do not be afraid to shake the dust off your shoes and move on if your doctor doesn’t take full consideration of your concerns.
If this post has rattled your cage a little, so be it. That is my job as a pharmacist…. to point out some things that are important for a body to stay healthy, and it’s your choice whether to keep your head in the sand or be on the lookout for danger. We (pharmacists) are trained to counsel on side effects, but we need to be taking it a step further …..counseling on the causes of those side effects as well as potential ways to mitigate them, and to teach our tribe how to not just avoid deficiency, but to have optimal health in the process.
This is but one of the reasons I believe proper supplementation is so absolutely critical to living well, but especially if you are one of the millions who are on (and may need to remain on) a medication. Because statin use is also now being linked to probable Vitamin D deficiency, I recommend both MindWise and OmegaGize3 as being stellar products in the supplement industry… for everyone. Don’t wait for a deficiency to actually happen. It’s much harder to fix than it is to prevent, right?
If these products are new to you, I encourage you to learn more about Young Living and why I’ve chosen them as my supplement company of choice. You can learn more about the company and how to receive discounted pricing by returning to my home page, or if you’d like to chat, please reach out to me. That’s why I’m here.
Be well, and have a glorious day!
Hugs and Love, Liz
Equipped and Called
Have you ever felt like you were at a crossroads in your life? I’m not talking about a midlife crisis, but rather something bigger and more profound.
About 3 years ago, we took a pretty long road trip to pick up a bull in a remote (VERY REMOTE) area in West Texas. I mean…… drive to the very edge of civilization and then head 3 hours further…..the kind of remote that requires a physical map instead of cell phone/ GPS service. Without a map or good navigational tools, you’re sunk kind of remote. As you might guess, we confidently drove down the road….. in the wrong direction because we thought we knew where we were going. It cost us about 3 extra hours that day. We were reminded the value of an old school map and a dose of intuition!
This kind of parallels the last 15+ years of my life. I have been a pharmacist since 1991. I graduated, and like most health professionals…. upon graduation…… was pretty sure I had a really good grasp of the profession. I’m not saying I was God’s gift to pharmacy (hardly!), but I certainly thought I knew enough to make a difference in people’s lives. I toodled along in pharmacy doing the absolute best job I could do (because that’s my nature….. never tackle anything halfway).
When I was in my 30’s I thought we were living the dream. Charlie and I both had good jobs, had bought our farm, and had begun building our home (by hand, ourselves…. because that’s how we do things…. with all our heart and soul). We worked super hard…. 40-60 hrs a week at our respective jobs and then swung hammers and wielded paint brushes on nights and weekends for about 3 years before completing our home. It was somewhere during that time that I broke my wrist, was subsequently diagnosed with osteopenia , and both Charlie and I were diagnosed with high cholesterol. In hindsight, that broken wrist was probably the best thing that could have ever happened to me. I won’t go into great detail (you can read more about that journey here and the second half here), but it was a big fat hairy road sign to stop and assess what I thought I knew.
That broken wrist reopened a different avenue of education for me…. only this time, it was not subsidized by the pharmaceutical industry and there was some skin in the game…. my own. When you are a pharmacist, you’re in the business of knowing side effects of meds. The good news is…. you know the potential side effects. The bad news is…. you know the potential side effects. I wasn’t willing to go down that road given the med options they were dangling in front of me. My gut said no way, and once my research started it changed my life forever. It all began with raw milk. From there, my research extended into finding access to truly healthy and healing foods. Each time I thought I knew enough, I found that more pieces to health puzzles were MIA…. not just my puzzle, but everyone else’s too.
About the same time, I went to work at a pharmacy that specialized in rare diseases, oncology, auto-immune disorders, and infertility (which frequently has an auto-immune component). Sadly, this pharmacy represented the outcome of people living in toxin filled environments. Silly me. I still thought I was helping people. I guess I was. Kindness matters, especially when you are dealing with life altering body dysfunctions….. but kindness and pharmaceuticals don’t dissolve the problems these patients face every day.
Another personal puzzle piece fell into place after I was diagnosed with something called interstitial cystitis and discovered (after 9 years of no REM sleep and frequent trips to the bathroom), that it could be managed well with a fresh and healthy, but limited, diet. Expensive medication and daily catheterization are the common treatments. Ummm, no thank you. I would later learn that IC is part of the autoimmune disorder family. Not surprisingly, approximately 1 in 5 adults in the USA are card carrying autoimmune disorder patients. I had been given my card.
Eight years ago, my dad was diagnosed with dementia. It made no sense to me and we had no family history of dementia. I backtracked the onset to a statin drug (commonly prescribed for high cholesterol). In the finest of the fine print of this class of drugs you will find information alluding to possible memory loss with these drugs. Dig deeply and you’ll find it. I thank God for leading me to raw milk to lower my cholesterol instead of that which stole my dad’s memory. I don’t blame the pharmaceutical industry for burying the whole ‘memory loss’ side effect in the fine print. I mean, would you want to take a drug that could potentially rob you of your memory as a side effect? Ummmm, no thank you.
By now, I’ve truly begun second guessing pharmaceuticals. I began educating myself on everything I could get my hands on that gave honest and documented proof that maybe what I knew wasn’t EVERYTHING…… that perhaps there were some gaps in my education and knowledge base. I dug deep deep deep into gut health and discovered the link to most autoimmune disorders. I studied sleep patterns, herbs, thyroid and hormones. I picked up yoga and began healing my posture and my stress level. That led to my recent certification (7 years later) as a Christian yoga instructor.
I had a life changing accident 3 years ago this week, and (eventually… after a 3 month recovery) walked out of it when I should have been an amputee. Last week I walked a 37 minute 5K with many close friends. Thank God. Despite the severity of my injury, I have no pain day to day and am not on any medication. I’ve got oils, supplements and a little thing called Dolphin MPS that rocked my recovery world so much so that I decided to begin taking classes so that I could help others as I was helped…. another tool in my toolbox that wasn’t related to pharmacy.
The last 18 years, by serendipity or Divine design (I believe the latter), I have been gathering tools to help people (myself included) heal physically and emotionally. What had started out as a mission to care for myself and my family gradually extended to include friends and strangers who have become dear friends. The more truth in healing I gleaned, the more uncomfortable I became in my white lab coat. Back in the day, we took an oath to do no harm (that oath has been changed and no longer includes that phrase).
Once you know something, you can’t unknow it.
I have grown uncomfortable in my pharmacist skin (and coat)….. able to speak only truths that are approved talking points regulated by the pharmaceutical industry.
Once I found that there are better, safer, more life sustainable ways to heal, it became harder and harder to deny people access to these opportunities in wellness……. because they exist for the taking.
Every day, people make unconscious choices that affect their health….. making poor food choices, drinking chemically treated water, watching too much media and not exercising enough…. taking meds without researching them thoroughly first. They think a pill will solve their ills. I’m here to tell you that medications are simply adding to the already hefty toxin load within all of us. The heavier the load, the sicker the individual.
I’ve had several people in the last many months call me a healer. I don’t claim that moniker. I feel more like a shepherd, leading those who are thirsty to a safe place to drink, eat, and rest. It gives me great peace, and it makes my heart sing a song it’s never sung before.
I have straddled both worlds now for many years, and being true to myself is becoming increasingly difficult despite the six figure income that comes with the white coat. I fill prescriptions for people I have grown to love in the community, knowing that they can be helped in other ways that actually heal. I respect my duty as a pharmacist and do not step outside that boundary……but I feel God’s hand firmly on my back telling me to Go. Do. Become. Shepherd those I send your way.
Really God?
Yes. Really.
And so I prayed. “Lord, if it is your will, send me those who need me.” I began praying this daily about 5 months ago. God has a sense of humor. I’m sure of it. About a month ago, I had to alter my prayer a tiny bit. ” Lord, if it is your will, can I have a little breather so I can adequately help those you sent so far? ” God is so very good.
I would have never in a million years guessed that I would step away from pharmacy more than halfway thru my career. Pharmacy has taught me so much. Perhaps most importantly, it has given me the gift of scientific discernment: the ability to understand fact from fiction or skewed data.
When I was a young pup out of pharmacy school, I thought my life was set on auto pilot. I couldn’t have been more wrong. God took me down a completely different path, guiding me and giving me tools along the way: pharmacy, nutrition, exercise, yoga, health coaching, scientific based knowledge of essential oils, supplements, and herbs, Dolphin MPS, and most importantly the empathy acquired from personal experiences.
God doesn’t call the equipped. He equips the called.
Here’s to the journey! I can’t wait to see what the second half of my life holds.
Hugs and love, Liz
PS: I am not completely stepping away from the pharmacy just yet. You will still see me in a white coat one or two days a week.