What to Expect in a Natural Medicine Consultation

You will be given time to tell your story.  It's important that a full and detailed picture of your health concern is considered.  In the world of Holistic Natural Medicine we consider the events around the onset of an illness to be very important, especially in chronic disease.  It's amazing just how many patients recall a specific event be it physical, mental, emotional or environmental that arose just prior becoming unwell.  This is important because we are not machines held together with sinew and connective tissue as much as complex multifaceted beings that are affected by physical, emotional and environmental catalysts.  So when you come in for your session we offer you the space and time to share your story.

Most of my patients arrive as a last ditch effort to save their health.  They feel let down by conventional medicines inability to treat chronic disease and are seeking non-pharmaceutical ways to improve their health because the drugs don't work or because they cause more problems.   Somehow the patient has gotten lost in an array of disconnected appointments consulting physicians that only assess parts of themselves in isolation to one another and fail to see the individual nature of their illness.   Others just want to find out what is causing their anxiety or bloating or chronic pain and are open to look holistically to address their concern.  Many patients see me to find out if nutritional deficiency or food sensitivity or toxicity is the cause of their problems.  Some patients turn up not knowing what to expect.  They have just heard that a "natural" approach may help.

I use the initial consultation to gather as much information about the patient as possible and I do this in a range of ways.   I get the patient to detail the onset and progression of their complaints and tell me in what ways it affects their lives.  Next I ask them what outcomes they would like.  In complex cases I ask patients to prioritise their top three health goals. This allows us to work together on a common goal.  So now it's not a patient/doctor relationship so much as a patient/doctor team activity. The more trust there is the better the results.  It's as simple as that.

After I gather this information I run a range of clinical non-invasive tests to identify likely causes and drivers of their illness.  This includes but is not limited to, Urinalysis, Nutrient Deficiency, Dietary Deficiency, Absorption capacity, Food Sensitivity, Toxicity, Mineral Status check and Systems check.  This is the part where I ask like a zillion questions to understand where the imbalances may lie.  After this I perform a physical examination including assessment of Tongue, Iris, Vital signs, Nails and Abdominal palpation and auscultation.  I also make note of how the patient walked into the room to observe their movement and gait as well as the sound and timbre of voice.  In some cases I will make note of test results they may have brought in or suggest additional testing to gather more useful and targeted information.  It's really quite comprehensive and rather a lot to squeeze into an hour.  But it is important to be as observant and thorough as possible.

After I have gathered all this information I compile it in an easy to read handout for the patient.  I step out what is needed in order to become well, why they should change their diet, how herbal medicine can help, why some acupunture will integrate their body even more.  Almost everybody that comes in needs to get a water filter and move their mobile phone away from their bed head.  Mine is a thorough and detailed holistic overview of a patients health status at the time of consultation explaining how diet, lifestyle and environment are affecting their body' s capacity to heal. 

I always include a set of detailed instructions and suggestions on how best to adjust their diet and lifestyle to modulate their internal environment for the better.  It's amazing how many patients appreciate the thorough nature of this approach.  I will prescribe a course of therapeutic nutrients, minerals and herbal medicine as needed being very clear to let the patient know that I have studied pharmacology and am up to date on drug/herb/nutrient interactions. 

I adhere to the Hippocratic oath all physicians take, "do no harm".

Some cases require integrative care models to achieve better outcomes such as working in conjunction with an acupuncturist, massage therapist, counsellor and GP.  Patients love this level of care, detail and support.   In a lot of cases it's the missing link, putting together all the pieces of the puzzle and stepping back to take a look.

Why Probiotics may be the Last Thing You Need!

Building a Better Microbiome

The human microbiome (MB) is simply fantastic! It is made up from a combination of micro-organisms including, bacteria, fungi, viruses and protozoa that exist in and on the surfaces of your body. The majority of these organisms reside within your gastrointestinal tract (GIT) and weigh up to 2kg in a healthy adult.  Building a better microbiome will have a lasting and positive effect on your whole health.   Let me share with you some tips on why this is important and how you can achieve excellent results.

The Microbiome population in the adult gut weighs 2kg!

 Imagine your microbiome as a complex eco-system, like a beautiful rainforest, made up thousands of different species, both symbiotic,  pathogenic and opportunistic.  It is a dynamic environment, constantly influx, and involved in a complex array of biological functions including neurotransmission, immune modulation, nutrient production, hormone signalling and energy production to name just a few.

 These microbes occupy many locations on and in your body and many of the subgroups of microbes are unique to you and your social group.  Importantly, these populations can be greatly influenced by environmental factors like diet and lifestyle. 

Around 98% of the genes in your body belong to non-human microbes

You are literally a walking ecosystem!!

The prognosis of chronic health complaints is affected by the health of  your microbiome

  It's a hot topic right now and there is certainly a lot of information on the web as to how one should best ramp up the health of their gut microbes.  Probiotics are one such option and there are many fantastic strains that can be used to modulate your internal environment.  But often there are other things like finding the right diet to suit your needs, tweaking habits that improve digestive function such as meal times and thorough chewing and reducing consumption of things that can reduce beneficial microbe numbers such as alcohol, sugar and highly refined and processed food.

The scope of what one can achieve by tweaking one's diet is quite remarkable

Why all the fuss?

Our gut microbes produce metabolites that directly orchestrate biological functions within our body.  Appetite, Mood, Behaviour, Energy production, Inflammation and immune function appear to be the results of the chemical messages that our microbes produce.  Our microbial diversity is what makes us unique and allows our bodies to flourish, grow, repair and combat illness.  It's not so much the numbers of particular species that are important compared to the overall diversity. A well balanced plant-rich whole food diet will keep your microbes happy and when your microbes are happy it usually follows suit that you are too.  

At Eluvi Natural Medicine we  are focused on helping people repair damage that has been hindering their health

 There is significant evidence to suggest that our microbes influence emotional responses such as Anxiety, Depression and Stress Response.  Our MB affects neurotransmitter production of Dopamine, Serotonin, Adrenalin, Nor-Adrenalin, and GABA.  There is also evidence to suggest that microbes can affect the important tight junctions in our Blood Brain Barrier (BBB) which protect our brain from unwanted infection.   The gut really is the seat of all health.  

 Sadly though, our MB cops a significant amount of damage and stress from preventable and reversible factors.  A poor diet with lazy choices can adversely affect your good bugs.   For example, a low fibre diet will result in less food for the microbes that live in your large bowel and when they starve they are unable to produce an important contingent nutrient called Butyrate which plays a significant role in immune and inflammation regulation.   Many chronic illnesses can be improved by increasing Butyrate production which is facilitated partly by the microbes that inhabit your large bowel.

We have helped thousands of people repair their microbiome and restore their health and vitality using a systematic and evidence-based system of traditional, holistic natural medicine. eluvi.com.au

 Other lifestyle factors that affect your MB include sedentary behaviour and unnecessary medication, both natural and pharmaceutical.  This can result in your digestion becoming sluggish leading to over-fermentation and putrefaction ultimately giving rise to a state of Dysbiosis or germ overgrowth.  This type of functional damage will result in an internal shift in your biology that has the propensity to sustain biological and physiological functions that are not compatible with health.  There is evidence to suggest that this type of imbalance gives rise to opportunistic microbe populations, the ones we don't want to get out of hand to proliferate and dominate the internal landscape, shaping and influencing key system functions for the worse. 

Alterations in beneficial microbe populations have been linked to Inflammatory Bowel Disease, Allergic diseases and reduced Immunotolerance 

 Alterations in your MB may be contributing to a multitude of neurological and mood altering conditions, psychiatric symptoms, obesity, diabetes, irritable bowel syndrome, allergy and food sensitivity as well as impaired immune function.  Looking after and building a better microbiome is highly beneficial for overall health.  Hippocrates was correct when he stated more than 2500 years ago  All Dis-ease Begins in the Gut!

 

Patients love that we are available for consultation and support when they undergo a microbiome restoration.  

We can show you how to build a better microbiome and tailor an individual diet to support your boy's needs.  Maybe you've made changes in the past to your diet or lifestyle that resulted in a positive effect. A month without the booze, quitting sugar, or increased your exercise.  How did you feel when you committed to changes that enhanced your wellbeing?  

You might be surprised to know that a few simple dietary changes is all it takes to make your microbes feel as if all their Christmases have come at once

Repair work is part of the key
when you work with a suitably qualified practitioner you can find your path back to wellness.  For example, when we undertake a microbiome restoration in our clinics we embark on a comprehensive fact finding mission to understand what external and internal influences are disrupting the balance of the individual.
 We assess for underlying inflammation, parasitic infestation, hormone imbalance, geopathic stress, immune dysregulation, and which organ systems are most imbalanced.  We need to determine to what extent nutrient deficiencies play a part.  There are complicated biochemical pathways to consider including cellular, hormonal, electrical and biochemical signalling.  Once this is determined we can then target the area that needs most work and focus on repairing damage to your microbiome.  Trust me, you can't google this. You simply need to consult someone who knows what they are doing.

Hoping your ailments will resolve by taking a probiotic without addressing the underlying cause/s is like tipping water into a bucket with holes and expecting the water not to run out!

Probiotics are the last thing you need!

 Your attention should be directed to move beyond simply re-inoculating the gut with probiotics.  This is an overly simplistic approach that often leaves people with very little to show by way of therapeutic effect.  Don't get me wrong, probiotics can be beneficial, we use them everyday in our clinical practice but it's vital that the correct strains are used, at a therapeutic dose to match individual needs and...at the right time in the course of treatment.   Simply buying a probiotic and presuming your health complaints will all dissolve into the ether is simply naive.

We have helped thousands of patients resolve their health concern with our expert knowledge and experience in human health, wellness and nutrition

Our clinic offers individualised and highly successful microbiome restoration programmes

that will help your body re-establish its natural state of balance.

If you’re suffering physical, mental / emotional, immunological or metabolic health concerns  taking an individual approach to repairing and rebalancing your microbiome will yield great rewards. We look forward to working with you.  

Reference material and relevant links

Genome Medicine and your Microbiome

Control of Brain Development, Function, and Behavior by the Microbiome

Fungal Microbiota Dysbiosis in IBD

Reduced Immunotolerance and the Role of the Microbiome

Concepts of Chinese Medicine: Part 1. Holism

Holism in Chinese Medicine

NB: These notes are intended to convey key concepts that are part of Master of Chinese Medicine study I am undertaking at RMIT - Melbourne.  

Chinese Medicine (CM) is more than 2000 years old with a rich history of change and development within the many dynasty periods.  Central to CM is the concept of holism, how things function in relation to each other.  The practice of CM is largely based on observation, patterns of harmony and rhythm, in the natural order of the universe, within the seasons and within humans. 

Chinese Medicine is based on treating patterns of disharmony within the body.

Yin Yang Theory

Explains how things function in relation to each other and the universe.  How the parts of the whole fit together in harmony and balance.  Yin and Yang is about parts of a whole that are inseparable. They inter-consume each other in a dynamic manner. The seed of Yang is within Yin, and the seed of Yin is within Yang. 

Yin can be described as feminine (relative to masculine), shady, dark, quiet, introverted, interior, a state of resting, a downward movement.  The front of the body is more Yin relative to the back, which is more Yang.  Yang can be described as bright, expansive, hot, upward, expansion, stimulation. The back of the body is more Yang relative to the front.  

The aspect of relativity is an important concept to grasp when it comes to Yin Yang theory.  For example it can be said that Hot water is 'Yang' compared to cold water, which is 'Yin'.  However cold water is 'Yang' relative to ice-cold water.  The point is, the two are never static and in fact it is their dynamic flux and movement that gives them vitality.  It can be said that when Yin and Yang seperate life itself comes to an end.

  

Yin and Yang represents inter-connectedness of all life

4 Aspects of Yin Yang Relationship

1. Yin and Yang are never in a static 50/50 equal split, but rather move in a dynamic and constantly in a changing balance.
2. Yin and Yang are in opposition but they are inter-dependant, one cannot exist without the other. For example, there cannot be expansion without contraction, day without night and rest without exertion. 
3. Mutual consumption of Yin and Yang.  Balance is maintained by adjusting relative levels of Yin and Yang. If one is out of balance it will affect the other and as a result they will recompense to maintain balance.
4. The inter-transformation of Yin and Yang. This change happens are certain stages of development. For example, Summer changes into Winter, Day changes into night, happiness changes into unhappiness, movement changes into rest. 

4 States of Yin Yang Imbalance

1. Excess Yin - excess Yin induces a decrease of Yang
2. Excess Yang - excess of Yang induces a decrease of Yin
3. Deficiency of Yin - induces an apparent excess of Yang relative to the deficient Yin 
4. Deficiency of Yang - induces an apparent excess of Yin relative to the deficient Yang

                

                                         

Application of Yin Yang to Medicine

CM treatment is aimed to balance Yin and Yang. Illness in its physiological, pathological, diagnostic and treatment can be reduced to Yin Yang theory.  

• Tonify Yang
• Tonify Yin
• Eliminate Excess Yang
• Eliminate Excess Yin