Paving Your OWN Way to Optimal Health - Is Functional Medicine the Future of Healthcare?

Left photo is now - gearing up for my 51st birthday, middle photo was from two years ago and the photo on the right is a photo my dear friend Laura Turbow took of me around my 50th birthday last year. I was around 20 pounds heavier in those previous photos although I have to say, I was hiding it well!

I haven't worn the pants in the newest photo above since my husband and I got married almost ten years ago. Funny thing is this blog post isn't about weight loss. Weight loss is just a happy bi-product of my ever-evolving and continuing journey to optimal health. I'm not only happy with the way I'm looking, but I'm feeling pretty great too and as I quickly approach my 51st birthday and listen to my husband's exclamations of how sexy I am. well - that's just the best!

My Health Journey with Chris Kresser and Functional Medicine

If you've been to any of The Healing Farm retreats or have read any of my early blog posts, you know that I worked with Functional Medicine practitioner Chris Kresser on the first leg of my healing journey. I agree with Chris that functional medicine could be (and should be) the future of healthcare (he has a new book coming out called "Unconventional Medicine"). This is why I'm hosting retreats based on the premise of healing from the inside out - finding what's at the core of your chronic health issues and addressing those problems in a quest for long-term healing and preventative care. It's also why I want to build the Healing Farm property. Except for some of the big stuff, like necessary surgeries (I had a ruptured appendix many years ago and would have died without surgery), cancer treatments, trauma and a whole host of other medical issues Western medicine can address, much of what Western medicine seems to do for chronic conditions and auto-immune disease is about putting a bandaid on the problem and not getting to the core issue.

If it weren't for the initial work I did with Chris, I would not be where I am today physically and emotionally or able to build The Healing Farm business as I'm currently doing. It's not that I went into his office with major issues, but it was a collection of long-term issues that seemed to be adding up and getting worse:

Add the words chronic to any of the conditions below and that's what I experienced:

• Sinus headaches so severe they bordered on migraines
• Massive indigestion that would sometimes keep my up all night wondering if I was having a heart attack
• Restless leg syndrome
• Fatigue
• Brain fog
• Increased mood swings - especially during PMS
• Low libido
• Constipation
• weight problems
• When I added chronic back pain to the list and opted out of surgery for that, I went to see Chris

When I worked with Chris, we found a parasite and some definciencies and indicators of inflammation. He put me on some herbal remedies and vitamins and an elimination diet and within six weeks most of my symptoms were alleviated. I was so inspired by natural healing and functional medicine that it set me on my current journey today. I had the energy and brain power to start taking business classes and started coming up with the concept of The Healing Farm. I would NEVER be where I am today if it weren't for the work I did with Chris Kresser. I would have continued to go around thinking it was just my darned bad luck that my body was so finicky.

Life-long Health Changes Can Take a Long Time and There May Be Setbacks

Fast forward a few years and my weight was creeping up again, restless legs were coming back, I was popping stomach pills and sinus pills again and wondering what the heck I was doing wrong. I thought I was eating a low sugar, low carb diet and I was almost 100% dairy and gluten free. I thought maybe it was just my aging body, but as I passed 50, I realized something was wrong again. I was listening to Magdalena Wszekaki's Cooking for Balance program since I was doing a retreat on menopause and women's health and started suspecting I may have a candida overgrowth or SIBO (small intestinal bacteria overgrowth). At this point in my business start-up I'm short on funds for just about everything so couldn't go to see Chris, but started doing some of the protocols in Magdalena's program including going on a vitamin and herb regimen recommended by her functional health practitioner and started taking Mega Spore probiotic. I've lost almost 20 pounds (I lost ten pounds on Keto) and am feeling great again. Now, I have to admit, I've been on a NO CARB, NO SUGAR, NO ALCOHOL plan for over eight weeks and had done the keto-type regimen right before I started the program and was now comfortable with eating fats and definitely not craving sugar or alcohol. This made it easier.

What I needed to think about though was the fact that I had almost lost all the work I had done with Chris and I needed to really think about the reasons. When I really thought about it, I realized I was drinking a lot of white wine and completely ignoring the fact that white wine is hight in sugar. I was sneaking in sugary snacks and gluten here and there and had found my new favorite go to chips (all natural beet chips in coconut oil) were really high in carbs (which converts to sugar in your body and if I do have a candida overgrowth - candida feeds on sugar). I also had to look at the amount of snacking and portions I was eating. I'm an emotional eater. It's a vicious cycle when you're down because you're not feeling good and it makes you feel better to eat (or drink wine). Basically, I was fooling myself thinking I was doing such a great job and was really producing more an more inflammation in my body. I got myself back into that unhealthy state. The no carb, high(er) fat plan has been working for me. Once I hit my goals and feel like I'm at optimal health, I'm not planning on going without my dark chocolate or an occasional beet chip, gluten free pizza, of glass of (red) wine in the future, but once I reach my goal, I know now what my limits are and I'm pretty darned happy with a few tablespoons of coconut yogurt (no sugar added!) for a sweet snack after dinner and some yummy ginger tea in the afternoon in the meantime. 

Your Personal Paleo Code, or Whole 30 Code, or Ancestral Code, or Veggie Code, or Mediterranean Code...Find Out What Eating Plan is Best for YOU and YOUR Body.

"Your Personal Paleo Code" was the title of Chris Kresser's first book before it was changed to: "The Paleo Cure". What I liked about Chris' philosophy is that he stresses that's it's most important to find what works for you and YOUR body. Although he's more of an ancestral/paleo guy, he's not completely opposed to carbs and grains. He's all about finding what works best for your body through the elimination diet and getting to the bottom of other lurking issues through blood and stool testing and then finding the right path to true healing. My husband can eat just about anything and never gain weight. He feels great all the time and is rarely sick. His way of eating is more like a snake's. He can go for hours without thinking about eating and then eat a ton and feel fine. A dear friend feels best when she eats more of a mediterranean diet, another friend recently discovered she really likes fasting for 24 hours between meals and loves the way she feels, another friend is vegetarian but has celiac so balances her diet accordingly. She's incredibly healthy and active despite what some of us would see as deficient in some essential nutrients by not eating meat. The point is, it's all about you and your body and what makes you feel best.

But Functional Medicine is Expensive....

I was recently telling someone about The Healing Farm concept and she instantly said she's not a fan of functional medicine. I asked her why and she said it's because it's cost prohibitive to a lot of people. This is where perception needs to change both in our own minds and in our healthcare system. If I added up all of the costs of the MRI and cortizone shots for my back, the upper GI and Endoscopy for my GI issues, years of blood tests and all the medication I've taken since I was in my mid twenties, it would be WAY more than the treatment cost of working with Chris Kresser. What we pay in insurance and what some of us get in health benefits from work hides most of what Western medicine costs. If we were paying all those bills (which increasingly we ARE), it would shock us. I paid about $1,000.00 five years ago for my work with Chris and the benefits have been life-changing. If we can change our healthcare system to accept Functional medicine into the fold (I was recently told by a THF client that Sutter Health now has a functional medicine practitioner), then maybe we can TRULY change the way we heal ourselves and prevent chronic conditions. This is why the work Chris Kresser, other functional medicine practitioners, nutritionists and hopefully The Healing Farm does is so important. We need to change the future of healthcare so let's start now!

My Flirtation with Keto: What I Learned and Why I'm not Afraid of Fat Anymore!

I remember when I hit 100 pounds. I don't remember the age, but I remember I was being weighed at a doctor's appointment. I was starting to be self-conscious about my body because the girls at school were starting to get a little snarky about looks and weight. It must have been around 4th, 5th or 6th grade. This was in the 1970s! I can't even imagine what it's like for girls in this day and age of body shaming! 

Anyway, I remember feeling mortified about being 100 pounds and I'm thinking I might have started the dieting yoyo from that point on. That would be about 40 years of dieting on and off. Sheesh. I've never been extremely overweight, but I know at which point my body and mind feel good and I've rarely been at that target. Of course most of my "diets" have revolved around low fat which is what we've all been taught for the past 50 or so years since American's weight (and health problems) has creeped up and up into the danger zone. It wasn't until about five years ago that I started thinking of my overall chronic health conditions and started working with Chris Kresser to solve my health issues. He described the process as "peeling an onion": years of upon years of bad choices + a parasite added in had gotten me to the point of needing to solve my unhealthy body once and for all.

Although I was turned off a little bit about the "paleo" term at the time, I liked that he was more about finding out what would make my own body feel better and getting down to my own health issues to resole them, but yes, it did require a paleo "reset" which is basically an elimination diet. We worked together and the chronic conditions that I blamed on "my bad luck body" slowly (and not so slowly) lifted. Here's a list:

• Indigestion (for twenty years)
• SI joint pain (back pain) (for eight years)
• Sinus headaches bordering on migraines (for twenty years)
• Restless legs
• Excess weight
• Joint pain
• Fatigue (for twenty years)
• Low sex drive

Quite a laundry list, huh? But, I worked through most of this with Chris. Got rid of the parasite and pretty much all of the other conditions until I had enough clarity and energy to want to start sharing this natural healing with others which is why (and how) I got the energy up to start The Healing Farm.

Fast forward to 2017 (my 50th year) and I'm now completely in tune to the food and drink choices I make and how they effect my body. I try to keep to the following:

• Mostly gluten free
• Mostly dairy free
• Mostly sugar free
• Low caffeine
• Low alcohol
• Mostly whole foods eating, mostly organic and mostly grass-fed

It's not been easy to get to this point, but every time I go overboard and "off the wagon" as they say, my chronic conditions creep back. The back and joint pain kick in, I wake up with the sinus headaches, I get a pimple (or two) and sometimes I even get sick (a cold!). Frustrating, but in reality I know when I screw up and I know when I screw up badly, so slowly as I learn to hate having these conditions come back, I've learned to be MOSTLY sticking to what works for me.

The piece of the puzzle I have not yet figured out is the fluctuating weight issues. I came close to hitting that optimal weight when I worked with Chris, but it has slowly been creeping back and I've gone up and down since. After the last THF retreat, a few of the retreat participants and I got together and one of them told me about Keto and the "Keto Clarity" book by Jimmy Moore. She had lost 30 pounds and felt great. But what really caught my interest was that she said she felt "sharp". Since peri menopause kicked in I have not felt "sharp". In fact, I'm not sure I've felt "sharp" since maybe my early twenties. There was a period of time when I first started taking my business classes and started thinking about The Healing Farm that I felt energized and on fire, but I'm not sure if I ever felt "sharp". She explained that one of the concepts behind keto is that the brain feeds on fat. The more "good" fats you give it, the sharper it will become.

This intrigued me even more than the potential weight loss. Since I have Alzheimer's in my family, I'm more than interested in ANYTHING having to do with keeping my brain healthy. I thought of my father who was diagnosed almost two years ago and thought about his low fat diet since the mid 1980s after he had his heart surgery. His diet at home was low fat, but also a lot of carbs and sugar. When he went out, it was all bets off and high fat, sugar AND carbs AND saturated fats. I was a little scared because I've been the same way for years. I decided I wanted to test out keto for myself and weight loss WAS a big incentive.

Doing a "keto" eating plan is hard. Keto is basically VERY low carb (almost no carb), VERY high fat and pretty low protein. I think I may have had an easier time if I could have eaten more protein, but I felt like I was constantly eating too much protein which resulted in not being in a ketogenic state enough to warrant eating all that fat. As a result, I didn't lose as much weight as I had hoped. BUT, there were three benefits that came out of trying the keto thing:

1 - For the first time in my "dieting" life, I didn't dream about buffet tables of food. I'm not kidding. Every time I would go on a low fat/ low calorie diet, I would dream about buffets of food. It's a little embarrassing admitting that, but this time I was losing weight and not feeling deprived. That was an eye opener that my body did indeed like fat. Once I got through the first week of not knowing what I could eat and feeling miserable and headachey, I loaded up on the fat and felt better and didn't dream of buffets. To be fair to Jimmy, he does give some good ideas on what to eat, but I just didn't feel comfortable eating butter with cheese rolled around it. Plus I'm sensitive to dairy, so I was avoiding that anyway! Bottom line was that I had a hard time figuring out what to eat. Plus I also didn't feel comfortable eating so few fruits and healthy carbs, but if I had stuck with it longer, all that probably would have been figured out.

2 - I had more energy and mental clarity than I've had in a LONG time (when I was in a ketogenic state). There were a handful of golden days and hours when I did reach a ketogenic state and I was on fire. I felt like I could accomplish anything. It was great. This was AFTER I started using MCT oil in my coffee though. After three weeks of not really hitting the ketognic state, I read online that MCT oil is key. It really does work and I only use one TBS. in my coffee in the morning (eased into it starting with a tsp, working my way up). What is MCT oil? Says Dr. Axe (read more here): 

“MCTs” are medium-chain triglycerides, a form of saturated fatty acid that has numerous health benefits, ranging from improved cognitive function to better weight management. Coconut oil is one great source of MCTs — roughly 62–65 percent of the fatty acids in coconut oil are MCTs — but recently more concentrated “MCT oils” have also been growing in popularity."

3 - I DID lose some weight. In fact, I've lost about 12 pounds in three months and the three months have included two vacations in which I was most definitely NOT in a ketogenic state.  

BUT, once I starting seeing the summer fruit at the farmer's market, I decided there was no way I was going to be able to keep up with a total keto plan. The peaches and cherries just looked too good! I also was getting headaches here and there still, my restless legs were kicking in every time I was not producing enough ketones and when I DID go off the plan, I kind of went bananas. That was a good indicator that this was not going to be sustainable for me.

I just finished up with Magdalena's "Cooking for Balance" program and am inspired again to add back in a small portion of healthy fruits and carbs into my diet. I've learned from the keto plan that I'm no longer afraid of fat. In fact, I lost some weight, felt satisfied AND felt great when I WAS eating a lot of fat so feel confident that I can rein in my tendencies to go overboard when eating if I continue to eat enough fat and not deprive myself of anything. I've also learned to rein in the carb intake too. Although I may add in a sweet potato here and there, it will probably only be a half or a very small one. I may even start adding in small portions of quinoa or rice to my stir fry meals. I'm not drinking nearly as much wine (although I did go overboard on vacation) and I'm definitely much more satisfied with eating nuts and seeds and not craving anything sweet or full of trans fats. I'm also not dreaming of buffet lines, so all-in-all, I think the keto trial was worth it in the end.

Now let's see if I can reach that weight sweet spot, but more importantly, I'm going to incorporate some of the "Cooking for Balance" tips by nutritionist Magdalena Wszelaki to tackle some final stubborn issues having to do with hormone balance and possibly SIBO. Maybe then I will reach my optimal health state once and for all. It's a work-in-progress that is taking several years, but as Chris said it's like peeling an onion. I hope that soon, I'll get to that core!

Come to the fall 3rd Act Retreat to immerse yourself in going through big change and at the same time kick off an elimination diet with a great whole food/paleo type meal plan and a nutrition lecture. The nutrition and eating plan will ALWAYS be a big part of EVERY Healing Farm retreat!

The Healing Farm - Cultivating Practical Wellness.

Always Behind on any Trend but LOVE the Simplicity and Practicality of the FITBIT!

Always Behind on any Trend but LOVE the Simplicity and Practicality of the FITBIT!

I didn't get my first iPhone until the day before I was leaving for a two week bicycle tour from Oakland to LA. That was just THREE years ago and as it was, the phone was a refurbished iPhone 4. On that trip, I didn't even know about Instagram so I was using my sunglasses over the camera lens as a warming filter. To this day, I still only use the standard default Instagram filters. Pretty sad for a pro photographer, but I'm definitely not one to embrace new technologies. I know it's sometimes a hindrance, but I like my personal time to be free to hike and hang with my husband and to read books (obviously not on a Kindle). I definitely don't want to spend my free time staring into my phone (which I seem to be doing more and more unfortunately). I sometimes like to sing (to the tune of the wedding song at the end of "Napoleon Dynamite") Iiiiiiii hate technology.....!

So when I received a free Fitbit as a thank you for photographing a couple of Fitbit events, it was no surprise that I couldn't get it to work with my iPhone 4. Since I wasn't about to run out and get the latest iPhone just so I could try out the Fitbit, I watched it taunt me for over a year. Then I decided I needed to upgrade my phone when I realized I needed to up my camera phone game (since I AM a photographer). I went out and got a refurbished iPhone 6 right after the seven's release (yes, I'm cheap and figured the six's camera was probably fine).

Out came the Fitbit the day before I left for a vacation in the Pacific Northwest. I figured if I got my start with the Fitbit on the right foot (no pun intended), then I might actually be motivated to use it long-term in my weight loss goals. I was immediately addicted to the great annoyance of the very Northwest hippie friend with whom I was traveling.

I originally wanted a Fitbit because I was curious about my sleeping habits. I knew I was a light sleeper, but wanted to see just how restless I was and when I learned that the Fitbit could monitor my sleep habits, I decided it would be worth it. Way cheaper than paying for a sleep clinic/study. Plus I don't usually sleep well when I travel (especially because I drink a LOT more wine when I travel) so I wanted to compare my sleep habits on the Northwest trip to my regular habits. Surprising results: not too different after all, plus even though I AM fairly restless during the night, I'm getting way more sleep than I thought. It would be interesting to have a sleep specialist analyze my sleep patterns and that's the next step when I have the funds, but for now, I feel ok with my results.

Then I discovered the other great benefits of the Fitbit: Real time calorie in/out tracking and being motivated to try to do 10,000 steps a day. I'm a stress-eater and I've probably mentioned ten times in the past year that with the stress that goes with mid-life career shifts, starting a new business and worrying about my family in the midwest, I've gained about 15 pounds and want to lose them. Not easy at 50 even with my healthy paleo-ish eating habits. I remember when my sister-in-law started counting her steps and joked that she would walk around their condo before going to bed to get to her 10,000 step goal.

I totally get it now. Twice in the past week I've had my husband put on dance music and I walked and danced around until I got to the goal. It's made me completely and totally aware of how little I actually walk around on a typical day. I work at home so I don't even have a commute to add to my step count (I walk across the yard) and even though I stand at my desk which may burn a few more calories than sitting, it's not adding to the step count. That doesn't add up very quickly and I realized, although I love my NYT 7 minute workout, followed by my 5 minute stretch routine (great way to make sure I work and stretch every part of my body almost every day), it's definitely more of a maintenance routine than for weight loss. When I discovered the calorie-in (food log) counter on the Fitbit, it became a whole new ballgame for weight loss. Now, not only was I completely aware that I wasn't moving enough to lose weight, but I also realized just how much it takes to burn more calories than what I was eating. It really does come down to calories in and calories out for weight loss. There's just no way around it and there's no easier way to keep track than the Fitbit. I'm sure Weight Watchers has a similar calorie counter, but to tie in (with Fitbit) with the calories out equation is so seamless it's brilliant. The day I discovered the food log on the Fitbit and how easy it was to enter and keep track, I was immediately hooked.

The other night, I not only realized I needed more steps, but I also had a lot more calories to burn to cover the food I had already eaten and quite frankly the food I still wanted to eat. Hubby and I were having a fun Friday night dance party (we often do this - just the two of us) and I wanted to snack. SO I upped the ante on the movement. Not only did I dance, but I decided I would be the more active one for the sexy part of the evening if you know what I mean. So Friday, not only did I end up with 10,872 steps, but I also burned 2,149 calories to the 1,929 that I put in. real time results. If I had not had that information at my fingertips, I guarantee you, I would have eaten WAY more and would not have been motivated to move as much as I did.

The best bonus that has resulted in only 1.5 weeks of using the Fitbit is that I started swimming. I'll probably write a post about my swimming goal for my 50th year, but in a nutshell I decided I wanted to learn to swim laps. Not only would it be less stressful exercise on my aging body, but I also wanted to enhance my meditation practice and had heard that swimming was meditative. SO when I saw that just my NYT 7 minute workout and the limited steps I took in a typical day wouldn't be enough to burn the calories I needed to lose weight, I was motivated to go to the pool and JUST DO IT. It was easy enough to manually enter the swim workout into my Fitbit so I could count those calories, plus the bike ride to the pool counted too! Voila! Since I started keeping track of my calorie intake last Wednesday, I have managed to burn more calories than I have eaten every day. Today will be difficult since it's a rainy Sunday, but I hope to make it up this week - or maybe we'll just put the dance music on tonight, have some rollicking sex and I'll manage to keep up the good work (update - it worked! I burned more calories Sunday than I took in!).

For weight loss, this is probably the easiest thing I've ever done (and let me tell you, I’ve tried a lot over the years) and if I have to wear it like a leash for as long as it takes to lose the weight, but then continue so that I understand how much I really need to work to keep it off, I'll do it. To go into my 50s, building The Healing Farm business as healthy as I can be is motivation enough to keep a tracker on my wrist. Sad, but true and once I start really seeing the results, I will likely be even more ok with it!!!

Dance, walk, swim, sex and bike on! It’s all hard (except the sex), but it’s the cheap way to weight loss! The Healing Farm. Cultivating Practical Wellness.

SF Gate Article - How Skinny People Stay Skinny

I'm always saying that The Healing Farm | Retreats and eventually The Healing Farm focusses and will focus on practical wellness solutions to build into your everyday life. Even though (according to this article) I'm about 20 pounds overweight right now, my focus in working with Chris Kresser and everything I've done in the past few years for myself has been about reducing inflammation in my body to reduce my chronic pain and health conditions - and doing so through practical means (like an elimination diet) that have (so far) worked in alleviating some (if not most) of my symptoms.

That doesn't mean I don't want to lose that 20 pounds, darn it! But given my age (almost 50) and my history with fluctuating weight, it's just not my focus right now since overall, I feel good and mostly chronic condition free. However, whenever I've talked to my husband and my close friends who have NEVER struggled with their weight, I'm always fascinated by the fact that they have never had to think about it. My husband and my very good friend have slightly different experiences in that my husband doesn't even think about food. He simply eats for sustenance. He eats when he's hungry. My good friend on the other hand has very sensitive taste buds and is a great cook. She loves food and wine, but has never struggled with her weight. She's always said she simply eats until she's full and then puts it aside. She'll even choose not to eat dessert if it isn't completely worth it taste-wise! I've NEVER had that kind of willpower.

Even though I'm convinced by newish studies about  weight being influenced by a whole host of things like your exposure to toxins, what your mother's body chemistry and biology were when she was pregnant with you, etc, I do think there's something to be said about willpower and the very simple things this article suggests. Given The Healing Farm wants to cultivate practical wellness, I feel it's important to reiterate those simple things this article mentions. Weight IS a huge issue for many in this country and IS a contributing factor to many chronic conditions, so maybe it's time to revisit what this article suggests!:

Routines of participants of the Global Healthy Weight Registry

1 - Eat breakfast: 96 percent

2 - Exercise:

• Exercise 5+ days per week: 42 percent
• Exercise 3 to 4 days per week: 27 percent
• Exercise 0 to 2 days per week: 32 percent
• Don't exercise: 10 percent

3 - Scale

• Weigh themselves weekly: 50 percent
• Weigh themselves infrequently: 27 percent

4 - Diet

• Never or rarely diet: 74 percent
• Have at least one non-restrictive strategy: 44 percent
• "Non-restrictive strategies" include listening to inner hunger cues, eating high-quality (and non-processed foods), as well as cooking at home.

5 - Food Choices

• Chicken is their favorite meat: 61 percent
• Vegetarians: 7 percent
• Don't drink alcohol: 33 percent
• Eat salad for lunch every day: 35 percent
• Eat vegetables at dinner every day: 65 percent

6 - Breakfast

• Daily breakfast includes fruits and vegetables: 51 percent
• Daily breakfast includes eggs: 31 percent

7 - Snack

• Favorite snack is nuts: 21 percent
• Favorite snack is fruit: 44 percent

8 - Beverage

• Soft drink of choice is a diet soda: 33 percent
• Favorite soft drink is regular: 25 percent
• Don't drink soda: 37 percent