How Traditional Chinese Medicine can help with a Cancer Diagnosis

Written by: Dr. Vikki McGuire, DTCM

We are all affected by Cancer. Whether you have been diagnosed or a close family or friend has, we have all struggled under the weight of this far-reaching disease. 

The majority of people who get diagnosed go through a series of emotions: fear, confusion, self-doubt and STRESS. 

In our society, we have not completely integrated all available therapies.  A patient may become unclear about which treatment journey to follow. It can be daunting as there are so many choices without much support from Oncology outside of their scope of practice.

Traditional Chinese Medicine is a great therapy for your whole system when undergoing cancer treatments and post-treatment. It works on the mind, body and spirit through needling, cupping, exercises (like Tai-Chi Qi-Gong), Herbal and Nutritional support. 

Dr. Vikki has been working with Cancer patients (and their families) for 10-plus years. During that time, she has learned the process of Oncology and how valuable holistic medicine is through all stages of cancer and beyond. She treats symptoms of cancer such as:

Anxiety/depression

Cognitive Issues (sometimes called chemo brain) 

Dry Mouth

Fatigue

Hot flashes

Lymphedema

Ileus (intestinal blockage)

Immune system recovery

Nausea

Neuropathy

Pain 

Post-operative pain

Dr. Vikki can help navigate the holistic system and guide patients to the right providers at the right time to aid in Cancer treatments and recovery. It can be a confusing, sometimes costly and frustrating process finding the right team for yourself. 

Just because your conventional cancer treatments have ended, your healing hasn’t.  This is where TCM can be a lifeline. Dr. Vikki can help you get back to your pre-cancer health. Chemo can take up to a year to leave your system and the damage it does to the good cells takes time and support to repair. 

Whether you are recently diagnosed, part way through Western treatments or looking for post-treatment care – give Dr. Vikki and Traditional Chinese medicine a try. 

Dr. Vikki McGuire works at AST Willow Park and is currently taking new patients. Call 403-278-1405 to book your appointment today!

Traditional Chinese Medicine

Musculoskeletal Syndrome of Menopause

Written by: Dr Fiona Lovely, DC

Many women are arriving in clinic with complaints of stiffness, sore, achey muscles and joints without experiencing this previously.  These women tend to be 40+ in age and lack an injury to cause the discomfort.  It’s important to consider how your hormones at midlife may be affecting your body.  

Menopause is not only characterized by hormonal changes and reproductive system adjustments but also by various musculoskeletal symptoms that can significantly impact a woman's quality of life. This is called the Musculoskeletal Syndrome of Menopause (MSM).  This encompasses a range of symptoms affecting the bones, joints, and muscles, which can be attributed to hormonal fluctuations.  

One of the most common musculoskeletal symptoms experienced during menopause is osteopenia and osteoporosis, a condition characterized by decreased bone density and increased risk of fractures. Estrogen plays a crucial role in maintaining bone health by inhibiting bone resorption and promoting bone formation. However, during menopause, declining estrogen levels lead to accelerated bone loss, especially in weight-bearing bones like the spine, hips, and wrists.

Menopausal women frequently report joint pain and stiffness, commonly attributed to osteoarthritis. Estrogen has anti-inflammatory properties that help protect joint cartilage and maintain joint function. As estrogen levels decline, inflammation increases, contributing to the development and progression of osteoarthritis, particularly in weight-bearing joints like the knees and hips.

I like to say that estrogen is a lubricator of all tissues, this is especially true with joints.  For example: I see many women in their 40’s and 50’s with new shoulder complaints which can be attributed to the estrogen decline.  The shoulder is the most freely moveable joint in the body and when it isn’t working well, you notice!

Muscle weakness and decreased muscle mass, known as sarcopenia, are also prevalent musculoskeletal symptoms of menopause. Estrogen has anabolic effects on skeletal muscle, promoting muscle growth and strength. Declining estrogen levels during menopause can accelerate muscle loss and impair muscle function, leading to decreased mobility, flexibility and function.

Menopause-associated hormonal changes can trigger new onset musculoskeletal symptoms, including tendonitis and bursitis.

Understanding the musculoskeletal implications of menopause is crucial for implementing preventive measures, such as regular weight-bearing exercise, maintaining flexibility with daily stretching, keeping your spine healthy with regular chiropractic treatments, adequate magnesium glycinate and vitamin D intake, and hormonal therapy when appropriate, to mitigate the impact of these symptoms and promote musculoskeletal health and well-being in menopausal women.

Dr. Fiona Lovely is a Chiropractor at AST Willow Park and can help you with your perimenopause and menopause-related concerns. In addition to her practice at Active Sports Therapy Dr. Fiona Lovely is the host of the wildly popular podcast "Not Your Mother's Menopause" which can be found on all of your favourite podcast platforms.

Disc Herniations and Schmorl’s Nodes

Written By: Dr. Evan Steinke, B.Sc, DC.

Lower back pain can stem from a wide range of issues including disc herniations, however, not all herniations are the same. Schmorl’s nodes, named after the pathologist Christian Schmorl, were first described in 1927 and are a form of herniation. While they can occur in any part of the spine, they are most common in the middle and lower regions.

To better understand what a disc herniation is let’s first look at the structure of the spine. The spine is made of a series of vertebrae, bony structures with a hollow channel running down the back side that encases our spinal cord. Vertebrae by themselves we be extremely rigid and cause our backs to be stiff and unable to bend. To be flexible, the bones are connected to each other by a series of discs. The discs are made of a fibrous outer layer that allows for some movement between bony levels and an inner gelatinous layer that allows for shock absorption.

Disc herniations, sometimes referred to as “slipped discs”, are when the disc sandwiched between the two bony vertebrae is ruptured in such a way that the inner gelatinous fluid is released. The most common form is when the posterior aspect of the disc is ruptured, and the fluid pushes out towards the spinal cord. This can trigger nerve irritation that leads to symptoms such as pain, numbness, or weakness wherever the affected nerve travels (often down the leg).

Schmorl’s nodes differ in that they are a vertical type of herniation. Rather than the inner fluid of a disc being pushed out the front or back it is pushed up or down into the bony vertebrae. Despite their first description nearly a hundred years ago there is still no consensus on the cause of Schmorl’s nodes. Some researchers view Schmorl’s nodes as a secondary finding of an underlying disease such as Scheuermann’s disease or lumbar disc degeneration. In fact, most Schmorl’s nodes are asymptomatic, and they are often incidental findings on imaging reports such as Xray or MRI. However, in some patients they can cause significant chronic pain and lead to reduced quality of life.

Treatment for Schmorl’s nodes often begins with conservative care, such as chiropractic, as they are often seen in conjunction with other spinal conditions. If unresponsive more invasive treatments such as nerve blocking or surgery can be considered.

If you suspect that you might have a Schmorl’s node mention this article to your chiropractor or physician. Expect your doctor to do a thorough examination and to rule out other possible causes of your symptoms first and be ready for possible imaging such as X-ray or MRI.

Contact AST to schedule your appointment today.

References:
1) Kyere KA, Than KD, Wang AC, Rahman SU, Valdivia-Valdivia JM, La Marca F, Park P.
Schmorl's nodes. Eur Spine J. 2012 Nov;21(11):2115-21. doi: 10.1007/s00586-012-2325-9. Epub
2012 Apr 28. PMID: 22544358; PMCID: PMC3481099.
2) https://radiopaedia.org/articles/schmorl-nodes-3?lang=us

What is Auricular Therapy?

By Dr. Wanda Duong, DTCM, R.Ac., B.Sc.,

Auricular Therapy (AT), also called Auriculotherapy, is both a diagnostic and an integrative treatment procedure whereby the external surface of the ear, or auricle, is stimulated to alleviate conditions in other parts of the body.

The principles of Auricular Therapy (AT) are based upon both Traditional Chinese Medicine and neurological reflex therapies that were discovered in Europe. The essential principle in AT is that there are neurological reflexes and energetic correspondences between specific areas of the external ear, or auricle, and other parts of the body that are arranged in the pattern of an inverted fetus, which is similar to principles of reflexology on the feet.

AT can produce a therapeutic effect for treating various conditions by stimulating the acupoint that corresponds to the targeted part of the body or organ. Treatment of those reactive ear points can be achieved by tactile acupressure (ear seeds and acupressure) or by the insertion of very thin acupuncture needles.

The WHO recognizes AT as a micro-acupuncture system that can produce a positive impact on regulating the whole body, and its therapeutic effect has been investigated in a wide range of health problems in both oriental and western countries. AT can be used to address very similar issues that body acupuncture can address including reducing pain, anxiety, withdrawal and addictions symptoms, migraines, insomnia, digestive issues, and many other conditions. Similar to body acupuncture, thin needles can be used on the ear for a short duration and a strong effect/stimulus. As an alternative, ear seeds can be placed onto acupoints of the ears to provide a much gentler stimulus whereby the patient is sent home with the ear seeds still in place and instructed on how to massage the ear seeds. This allows for a gentle yet longer stimulus of the acupoint on the ear. Traditionally, ear seeds come from the flowering herb Vaccaria, but practitioners can also use metal, silver, or gold-plated seeds today.

An ear seed appointment can be completed quite quickly and is done in a seated position. The procedure will typically look something like the following:

1. Clean and dry the outside of your ear. The ears are disinfected in preparation for the ear seeds that will go on the outside of your ear, not in your ear canal.

2. Identify the correct points. The acupuncturist will locate the best points based on your needs and symptoms.

3. Ear seeds applied. Ear seeds typically come pre-attached to adhesive tape where the The practitioner will press gently on the tape to make sure the ear seeds stick to the ear well.

4. Massage ear seeds gently. The patient is asked to follow simple instructions of massaging the ear seed three to five times each day or when symptoms are present. Apply pressure to massage the ear seeds for 30 seconds to two minutes if comfortable.

5. Change them regularly. As ear seed application does not stimulate an acupoint as strongly as needles, it is recommended to have an ear seed (auricular) appointment every 1-2 weeks when beginning treatment. Additionally, though safe to shower with, ear seeds will naturally fall off on their own from 2 – 7 days. Your practitioner will also recommend you remove any remaining ear seeds after about 5 -7 days regardless, so it’s recommended to get them replaced regularly to continue to benefit from those points.

6. Removal. You can use tweezers or your nails to remove the ear seeds. Simple tilt your head slightly to face the ground and remove the seeds.

Speak to our registered acupuncturist, Dr. Wanda Duong TCM, for more information or book your ear seed appointment today at Active Sports Therapy, Willow Park 403-278-1405

Menopause from a Traditional Chinese Medicine Doctors Prospective.

Written By: Dr. Wanda Duong DTCM, R.Ac., BSc. and Dr. Vikki Maguire DTCM.

The years leading up to menopause can bring tremendous changes to the female body. Although a natural biological process, menopause is not experienced the same by all individuals. Symptoms associated with menopause often create secondary symptoms that affect sleep patterns, energy levels, and overall physical and emotional well-being.

Menopause is the result of a dynamic decline in the function of the ovaries to produce eggs and associated hormones that regulate menstruation. This normal transition in menstruation often occurs between the ages of 45-55 years, though it can begin earlier in some females.  Symptoms associated with menopause are multivariate and can include difficulty concentrating, muscle and joint pain, changes in skin texture and appearance, urinary disruptions, mood changes, decrease libido, fatigue, and hot flashes and night sweating as the most prominent symptoms that most individuals experience.   

Like the western medicine approach to addressing menopause, traditional Chinese medicine (TCM) also aims to regulate the body’s internal thermostat to control and reduce symptoms such as hot flashes and night sweating, as well as support and stabilize a healthy change in hormone levels. However, TCM takes a more natural and holistic approach, that often has little to no negative side effects, and individuals often see improvements in many secondary areas such as quality of sleep, reduced aches and pains, improved skin and hair health, stabilized mood changes, and an increase in libido and energy.

Traditional Chinese medicine (TCM) uses a combination of modalities to create a personalized treatment plan based on the individual’s needs and underlying issues that are found through TCM diagnosis. A combination of acupuncture, herbal formulas, and dietary/lifestyle recommendations is often utilized.

TCM acupuncture utilizes specific point combinations to encourage the body to trigger the release of specific chemicals and hormones. This is done by stimulating the nervous system to then communicate with the spinal cord and brain. This biochemical change stimulates the body’s natural healing and regulating abilities to correct imbalances in temperature, hormone levels, and physical and emotional well-being. TCM acupuncture is a very safe and non-invasive therapy and research has suggested that of the myriad of symptoms menopause can present with, hot flashes and night sweating appear to respond quite quickly with just acupuncture.

One of the common approaches western medicine takes is hormone therapy, and though effective, hormone therapy may come with negative side effects such as breast and ovarian disorders, or individuals may have contraindications or are unwilling to use hormone therapy. TCM offers a natural and safe alternative often combining acupuncture with TCM herbal formulas as an adjunct to increase the efficacy of an acupuncture treatment. Herbal formulas are comprised of a balancing blend of ingredients found in nature. They often have little to no side effects, aside from allergies to a particular plant or plant part, and like homeopathy, TCM takes advantage of the therapeutic properties these plant materials offer to create formulas that address both symptoms and their underlying root causes. There is no one particular herbal formula to address symptoms of menopause as each herbal formula is unique in its ability to address underlying root causes of symptoms. After a consultation, your TCM practitioner will be able to prescribe an appropriate herbal formula to specifically address your condition.

The combination of TCM acupuncture, herbal formulas, and the addition of TCM dietary suggestions assists the body during this transition into menopause. Rather than the abrupt and drastic decline in hormones that the body is forced into during menopause, TCM takes a natural and whole-body approach to assist the body with a balanced and gradual change in hormone levels. However, regulating the body’s internal thermostat does work exactly like the thermostat on our wall, therefore patience and consistency is necessary to experience change.

TCM therapies can be used in conjunction with other forms of treatments including Western medicine, naturopathy, chiropractic, homeopathy, massage therapy, and so forth. When combing TCM acupuncture with other interventions (medication, supplements, herbal formulas, other therapies), studies have concluded that this combination is more effective than those interventions alone.

Sources:

Johnson A., Roberts L., Elkins G. Complementary and Alternative Medicine for Menopause. Journal of Evidence-Based Integrative Medicine. (2019). doi:10.1177/2515690X19829380

Lund KS., Siersma V., Brodersen J., et al. Efficacy of a standardized acupuncture approach for women with bothersome menopausal symptoms: a pragmatic randomized study in primary care (the ACOM study). (2019). 9:e023637. doi:10.1136/ bmjopen-2018-023637

Lian-Wei X., Man J., Roland S., et al. Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine. Review Article Efficacy and Side Effects of Chinese Herbal Medicine for Menopausal Symptoms: A Critical Review. (2012). Article ID 568106, 19 pages doi:10.1155/2012/568106

Kim KH., Kang KW., Kim DI., et al. Effects of acupuncture on hot flashes in perimenopausal and postmenopausal women-a multicenter randomized clinical trial. Menopause. (2010) Mar;17(2):269-80. doi: 10.1097/gme.0b013e3181bfac3b. PMID: 19907348.

*This blog is not intended to officially establish a physician-patient relationship, to replace the services of a trained physician, naturopathic doctor, physical therapist or chiropractor or otherwise to be a substitute for professional medical advice, diagnosis, or treatment.

The Common Link in Soft Tissue Injuries

Written by: Dr. David Westmacott, B.Kin, DC, RMT

All athletes have one thing in common. Whether they have had one, are currently playing with one, or are at risk of getting one, the dreaded SPORTS INJURY is and always will be a part of sports play. Many questions arise with coaches and parents of the athlete: Is the injured athlete doing more harm by continuing to play?  When is it safe to return to play? How can the risk of injury be kept at a minimum? These questions can become a little easier to answer with a basic understanding of the physiology of the injury.

The majority of sports injuries are injuries to the body’s soft tissues. Soft tissues are muscles, tendons, and ligaments. These structures work in harmony to produce movement of the body’s frame. When a muscle or tendon is injured (strain) or a ligament is injured (sprain), the microscopic parts of these structures become deranged in such a way as to produce pain, swelling and altered function. The body begins its healing process immediately by repairing the microscopic anatomy by laying down dense, fibrotic SCAR TISSUE. Scar tissue is a gristly, glue-like substance that is resistant to stretch. The normal elasticity of the muscle, tendon or ligament is lost and pain occurs with movement.

The common link between all soft tissue injuries is SCAR TISSUE. This scar tissue binds up and ties down tissues that need to move freely. As scar tissue builds up, muscles become shorter and weaker, thus inhibiting normal muscle function. Normal body mechanics is therefore altered predisposing the athlete to other soft tissue and joint injuries. Decreased athletic efficiency and performance is also a result of altered body mechanics.

In order for a soft tissue injury to be completely healed, the fibrotic scar must be broken down to restore the normal elasticity and pliability of the tissue. Normal functioning muscle is paramount to ensure normal body mechanics.

Active release therapy (ART) is a soft tissue treatment system that releases the scar tissue that occurs with injured and overused muscles. Back pain, shin splints, rotator cuff injuries, sciatica, plantar fasciitis, knee problems and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. The ART provider uses his or her hands to evaluate the texture, tightness and movement of muscles, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements.

The key to a safe and enjoyable athletic career is a basic understanding of the physiological changes that occur with the athletic injury. An understanding of the importance to rid the body of painful, movement altering scar tissue, will not only get the athlete back on the playing field sooner but will prevent further injuries and thus increase overall athletic performance.

If you think you could benefit from an ART treatment, please contact Active Sports Therapy for an assessment from one of our chiropractors.

*This blog is not intended to officially establish a physician-patient relationship, to replace the services of a trained physician, naturopathic doctor, physical therapist or chiropractor or otherwise to be a substitute for professional medical advice, diagnosis, or treatment.  

Supporting Your Immune System - The Connection Between Your Brain and Gut

By: Dr. Fiona Lovely, DC

Recently, a panel of AST experts joined forces to discuss the important topic of immunity. I had the pleasure of sharing the connections between the brain and the gut and below are just a few of my takeaways.

The human immune system is made up (in part) by the 4.4lbs of organisms (100 trillion of them!) which make up the human microflora, or microbiome and cells of the lining of the gut. The health and stability of the microbiome is what you are establishing and feeding when you take your daily probiotic. Think of it like a garden to be cultivated. They are bacteria, parasites, fungi, virus living within us and helping to regulate the system. They even contribute to our DNA, our genetic makeup and our ability to adapt to any environment. Poor diet, stress, chronic disease and antibiotic therapy will diminish or eliminate the bugs of our gut. You must re-seed the garden after antibiotics and it must be inoculated with a high quality probiotic supplement ongoing. I am often asked why it is important to eat organic - remember this, the pesticides, fungicides, etc that are sprayed on our produce are not fruit and vegetable selective! They will kill off your microbiome too.

The health of these systems, the microbiome, your organ reserves and health and your voluntary inputs (nutrition, stress management, exercise, etc.) make up the terrain that dictates how healthy you are. Terrain is the term used to describe the inner environment of a human being.  The health of the terrain explains why some get sick and some do not.

What can you do to help the health of your gut?

Let’s look at stress. When you are experiencing stress, your defences diminish because the brain is sending resources to the stress response system. We are living through one of the most intensely stressful times in our history, so if you are feeling stress, you aren’t alone. Stress is our current way of life, it isn’t going away anytime soon, you cannot control it. But what you can control is your response to something stressful. Are there calming thoughts you can have when something stressful comes up? Can you pause to meditate or incorporate meditation into your daily routine?

Take a closer look at all of the different things that you are consuming daily. News? Negative people? Toxic relationships or stinking thinking? Are you a complainer? Do you engage in drama? All of these things encourage you to have both negative thinking and a survival response. When you are surviving, your blood flow shunts from the extremities to the core organs resulting in your immune system taking a back seat to critical functions.

Here are three things you can start doing today to help with gut health and thus, immunity too:

Healthy mind = healthy brain = healthy gut = healthy immunity = health.

*This blog is not intended to officially establish a physician-patient relationship, to replace the services of a trained physician, naturopathic doctor, physical therapist or chiropractor or otherwise to be a substitute for professional medical advice, diagnosis, or treatment.  

Staying Injury-Free during Hiking Season

Written by: Rachel Grant, MScPT, B.Kin

We are fortunate enough to live just a few short hours from the beautiful rocky mountains! Whether you are an avid hiker and have years of experience under your belt, or have just started to explore the trails, injury prevention should be a top priority. Hiking injuries tend to be injuries to the lower limb. These injuries can range from acute injuries such as a ligament sprain to overuse injuries such as tendonitis. The goal of this blog is to give you an idea of what injuries to look out for and most importantly some prevention tips.

The most common lower limb sprain injury tends to be an ankle sprain when you overstretch the ligaments in your ankle from rolling it on uneven terrain. A key aspect to preventing this injury is to first have proper footwear.

●  Getting fitted to a hiking boot or trail runner that fits you well and provides you support around the ankle joint for your activity is key.

●  Secondly, it can be beneficial to strengthen and stretch your calf muscles. Completing a basic calf stretch before and after hiking in the parking lot helps keep your ankle mobile. Strengthening your calf muscles with exercises such as a calf raise will provide stability around your ankle joint to tackle uneven rocks, tree roots and the steep incline and decline of a trail.

●  Adding in some challenging balance exercises such as balancing near a counter with your eyes closed or working on maintaining your balance while standing on a pillow can prepare your ankle for the mountains.Overuse injuries are the next most common injuries you can encounter. Pain at the front of the knee, particularly with the descent of a hike can result in injuries such as patellofemoral pain syndrome and/or patellar tendonitis (inflammation of the tendon). Stretching and strengthening the muscles surrounding the knee and hip joint can help prevent and treat this knee pain.

●  Stretching the front of the thigh of the quadriceps muscle before & after a hike is also beneficial to prevent this injury. A simple stretch you can add is shown here.

●  Strengthening this same muscle with exercises such as a single leg step up and down a stair, and lunges can also be very beneficial.

●  Strengthening your hip muscles such as your glutes will provide support to your knee joint. Simple exercises such as a squat and a glute bridge with a resistance band are a great addition to any workout program. Lastly, an important part of injury prevention is preparing your body for the activity by slowly building up your endurance. Starting with lower elevation and shorter hikes at the beginning of the season to gradually building up to more challenging trails builds up your muscles to tackle a full hiking season injury free! Don’t forget about taking adequate rest breaks during the hike and in between hiking days while mixing in other kinds of exercise such as cardiovascular and strength training.

Sadly, despite our best efforts, injuries may still happen. If you experience injury hiking or maybe you would like to focus on injury prevention tailored specifically to you, our team at Active Sports Therapy can design a treatment program for your goals today! Call the office at 403-278-1405 today to book in with our team of experts.

*This blog is not intended to officially establish a physician-patient relationship, to replace the services of a trained physician, naturopathic doctor, physical therapist or chiropractor or otherwise to be a substitute for professional medical advice, diagnosis, or treatment.

Naturopathic Recommendations for Allergies

By Dr. Gayle Maguire, B.Sc, ND

It's allergy season and many of us find ourselves reaching for medication for our itchy eyes and runny noses! When it comes to an ND's perspective, most natural approaches to allergies should begin prior to the season, as we hope to soothe and cleanse necessary functions in the body.  When these functions become overwhelmed, we see a worsening of allergy symptoms.  This also explains why many adults "grow into" allergies.

Many patients are surprised to experience hay fever for the first time, wondering why they never had allergies as a child or young adult.  The question is usually "Don't we grow out of allergies?".  It would appear that stresses to proper immune response, such as stress in particular, throw off our body's natural response to pollen, snow mould, and more.  This may even include food allergies and sensitivities too.

It becomes really important to look at your diet going into your worst allergy season.  Try a "break-up" with coffee, sugar, and for some, dairy products.  If stress has been high, work diligently on stress reduction and talk to your naturopathic doctor about supplements to help.

Quercetin, a flavonoid antioxidant found in many vegetables can be purchased as a supplement and seems to calm the immune system very effectively for some.  Nettle, as a tea (provided you are not allergic to it!), can be an effective anti-inflammatory and immune stabilizer due to its quercetin content.  This can interact with several medications so talk to your pharmacist or naturopathic doctor first.  Probiotics and Vitamin D are other important nutrients for stable immune responses.

For more information, book a free meet-and-greet session with Dr. Gayle Maguire at AST Willow Park, 4032781405.

*This blog is not intended to officially establish a physician-patient relationship, to replace the services of a trained physician, naturopathic doctor, physical therapist or chiropractor or otherwise to be a substitute for professional medical advice, diagnosis, or treatment.

The Power of Nutrition in Sports

Written By: Kira Greasley, BA, CHNC

When talking nutrition, the consensus is clear, what you eat affects not only your health, but your athletic performance and recovery. Everyone has different nutritional needs so the goal should always be to fuel the body to support any training program, provide efficient recovery between workouts, reduce the risk of illness and/or overtraining, so you can achieve your potential.

Now, how you fuel depends on the following factors:

- intensity
- duration
- fitness level, goals and pre-exercise diet

What you fuel with is reliant upon the following three macronutrients:

Carbohydrates, or carbs are your body’s clean burning fuel source and is the most important source of energy. Your daily carb intake should match the fuel needs of your training but keep in mind that all carbs are not created equal. Simple carbs like refined breads and pastas (now I am talking the white pasta), pastries and sweets are void of any nutrients and fiber, providing only a quick bump in your blood glucose levels that will be used quickly. This condition is known as bonking or crushing. Ideally, you will want to opt for non starchy and starchy complex carbs such as brown rice, broccoli, carrots, sweet potato, glyphosate free steel cut oats, and quinoa, just to name a few.

Proteins, and specifically the amino acids, form the building blocks for new muscle tissue and the repair of body cells. Amino acids are also used for making enzymes, hormones, antibodies and providing a small fuel source for exercising muscles. Extra protein is required during and after intense exercise to compensate for the increased muscle breakdown that occurs, as well as to build new muscle cells. Several studies have found that eating carbohydrates and protein together immediately after exercise enhances recovery and promotes muscle building.

Healthy fat in food provides essential fatty acids, required to transport vitamins A, D, E & K and is an additional source of energy for exercise. Omega 3’s may be particularly beneficial when training as they help

increase the delivery of oxygen to muscles, improve endurance and may speed recovery and reduce inflammation and joint stiffness. Good sources of healthy fats come from avocados, nuts, seeds, olives, the meat we buy as well as the oils we use such as extra virgin olive oil, grass fed butter, ghee, and coconut oil.

Generally, your nutritional base should be around the following: 35% Carbs, 35% protein, 30% healthy fats. Then, depending on your training level, and goal those percentages would be adjusted to make sure your body is receiving the proper fuel in the right amounts. For example, the higher the intensity, the greater the reliance on muscle glycogen. Lower intensity is fuelled mainly by fat, and moderate intensity will have half the energy supplied from muscle glycogen and the rest from fat. Once muscle glycogen stores are depleted, protein makes an increased contribution to energy needs providing those amino acids for energy and to maintain blood glucose levels. However, protein is the least favourable source of energy and should not be relied upon as an energy source. There are many calculator apps out there that can assist you with this decision.

The last component and often the most important and overlooked component is hydration. Water makes up the principle components of all bodily fluids and functions. On average, we need about 12 cups (almost 3L) of filtered water each day to stay hydrated as we lose water daily through our skin, urine, bowels & lungs. Dehydration is generally defined as a fluid deficit greater than 2% Body Weight. So in simple terms, by the time your body is letting you know you need water, you are already dehydrated. Some signs you are dehydrated include: sluggishness, fatigue, headache, loss of appetite, feeling excessively hot, lightheaded and nausea. Water is the best way to hydrate, but get creative! Add some lemon, or cucumber to help with the body’s detoxification process. Berries are also a great way to add natural flavour and to receive your natural sugars to replenish those glycogen stores. Go one step further and add a pinch of pink Himalayan sea salt and you have an easy electrolyte drink.

Holistically speaking, proper food intake is only one piece of the puzzle. Adequate recovery between training sessions, proper stress management and plentiful sleep are just as important as the composition of your plate.

In short, whether you are a beginner athlete, an experienced athlete, or just someone looking to improve their health, what and how you eat are

important. Food is not only fuel for the body but it is used as information that directly communicates WITH our bodies, brain & DNA. In the words of Dr. David Perlmutter “Your fork sets you on a path that leads you to a disease or back to health”

If you are looking to learn more book in with Kira Greasley at AST Willow Park today.