Why am I so tired?

Check out. my latest video health tip on Facebook and Instagram.

One of the most common health-related searches last year was: “Why am I so tired?” This is definitely something I see very often in my private practice.

Sometimes the answer is simple. Lifestyle changes like decreasing your caffeine intake, eating a better diet, getting more exercise, getting more sleep or just improving your sleep hygiene can improve your fatigue.

But sometimes, there is a an underlying condition that needs to be properly identified and treated. This is why seeking a qualified natural healthcare provider is so important.

One of the tools in my toolbox is blood work. I love looking at lab work with my patients. Even just the basic labs that your primary care provider orders every year. These can help identify a deficiency in iron, protein or healthy fats or a blood sugar imbalance. And sometimes there is a more serious underlying issue like a hormone imbalance or a thyroid condition that requires more in-depth lab work.

If you are feeling tired, get off Google and come see me! A comprehensive intake paired with bloodwork can help identify the root cause of your fatigue.

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Setting SMART goals

Happy New Year! Check out my latest Instagram video about setting goals.

Setting goals is important. Personally, I think using the new year as a time to reflect and plan for the year to come is a great idea. The new year is symbolically a very powerful time as it represents a natural new beginning.

But whether you are setting them at New Year’s or any other time, remember the acronym, SMART.

S. Goals need to be specific. They have to be clearly defined. It’s not enough to say “I’m going to get more exercise in 2023.” You need to be specific about what that means. Try instead “I am going to get 150 minutes of moderate exercise every week” (which happens to be what the CDC recommends for adults.)

M. Goals need to be measurable. Have an objective way to track your goal. Instead of saying “I’m going to drink more water in 2023,” instead quantify what exactly you mean. "I am going to drink 80-100 oz of water each day” is usually a good place to start for most adults.

A. Goals must be attainable. Choose a goal that is realistic for your situation. Some people run marathons, I am not one of those people. An attainable goal needs to be doable given my situation, schedule, resources and physical abilities. For example, “I will go for a 20-minute walk at least 4 days per week.”

R. Goals should be relevant to the larger goal you are working towards. If you are focused on improving your health, managing your weight and getting better sleep then make goals that help you achieve those broader objectives. Making a goal about saving $100 each month is not relevant to your larger aim in getting healthier.

T. Goals must be time-bound. Goals should have an endpoint to assess if you have succeeded. This can also help break up a large goal into smaller ones. If you have saving for a big trip, instead of saying “I will save $8,000”, instead say “I will save $1000 this month.” Or even, “I will put $250 into my savings account this week.” The second benefit of having a time component is that it allows you to assess your progress and adjust your goal as you go along. So if I set a health and fitness goal for the whole year, I may get discouraged or distracted. Start with a portion of the year. “I will go to the gym 3 days per week for the next 2 months.” At the end of that time, you can assess if you succeeded or not and adjust your goal accordingly. This also allows your goal to vary with different seasons and circumstances. I can say personally it’s much easier to get outside and walk in the summer than doing it in the winter. So my fitness goals may vary depending on the season.

Are you setting any goals for 2023? Share below!

I’m here to help you meet your health goals in 2023! I offer free 15-minute consultation calls to answer your questions about natural medicine, my background and how I help patients achieve great health!

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Vitamin D

The winter months have arrived and I do a lot of patient education regarding Vitamin D. Here are some highlights:

• Checking your vitamin D levels every year is crucial to supporting overall health and wellness. 

• Unfortunately many providers fail to order this test and patients are left wondering what their levels are. 

• We make vitamin D in our skin from sunlight exposure but this depends on many factors - our skin tone, the time of day and the season. In northern latitudes even if you go outside naked on a sunny day in the winter, it is thought that the sun is too low in the sky and its rays are too weak to produce sufficient vitamin D in your skin.

• Going into the winter months is a perfect time to test vitamin D so that we can determine if supplementation is necessary and how much  to take. 

• Vitamin D is an essential nutrient that affects many different systems in the body - the immune system, gut health, bone health as well as mood. Low levels of vitamin D are linked to more severe Seasonal Affective Disorder (SAD). 

• Many patients are unaware that there is an "optimal level" of vitamin D and even if your numbers are considered "normal," they may not be "optimal."

• Vitamin D is a fat-soluble nutrient which means it needs to be taken with food for optimal absorption. 

• Make sure you are taking the active form of vitamin D which is D3. The inactive form, D2, requires conversion to D3 before the body can use it.

• Blood testing for vitamin D is the only way to know for sure if you are deficient or not.

• Vitamin D does not require fasting before the blood draw but you should not take a vitamin D supplement before you get your blood drawn.

• Vitamin D dosage should be based on your blood work, where you live and how much time you spend outdoors. Make sure you always get an individualized recommendation that takes into account these factors. 

• Vitamin D is found in food but not in a lot of them and not in high amounts. Vitamin D is found in fortified milk and juice, mushrooms, swordfish, salmon, cod liver oil, beef liver and egg yolks.

Happy World Breastfeeding Week

Head over to Instagram to see my latest video about all things breastfeeding @drjesskeating or check it out on Facebook here.

Quick tips:

1. Keep taking your prenatal vitamin after you give birth.

2. Stay hydrated. Drink 50% more water than before you gave birth. (60 oz = 90 oz. 100 oz = 150 oz, etc).

3. Get support. Lean on friends, family and professional help from Lactation Consultants.

4. Try out a breast pump. Having someone else feed baby is good for you and baby.

5. Eat enough healthy foods. Increased caloric intake is important. Emphasize fruits, vegetables, complex carbs, protein and healthy fats.

Breastfeeding can be very hard. It can take time for you and your baby to really figure it out. Having lots of support is essential. Support can come from your workplace, Lactation Consultants, friends, family and your moon network. It is an amazing journey and it is so worth it but it is important to know that it can be very challenging.

Do not hesitate to reach out to friends, family or professionals for help so that your breastfeeding journey can succeed!

Research shows that the majority of new moms want to breastfeed but most of them stop earlier than they intended to due to a variety of challenges. Things that can hinder your breastfeeding journey include going back to work (time away from baby and lack of adequate time or pumping areas), supply issues (over or under), poor latch, exhaustion/sleep deprivation, sore nipples and balancing breastfeeding with caring for older children.

Get all the right gear. It can help to have a good breast pump so that your baby can take a bottle from someone else and you can get a break. There are electric pumps, manual pumps and basic suction pumps or shells. Get a good nipple cream to take care of your nipples (I’m a big fan of Motherlove.) Breast pads to keep your bra and shirt dry. Healthy snacks and hydration are also essential.

I am here to help! I am a naturopathic doctor and a chiropractor. I work with patients to optimize their health. Feel free to reach out with any questions. I offer free 15 minute consultation calls.

Share your breastfeeding stories, questions or favorite breastfeeding supplies below!

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Let's talk about thyroid hormones

Head over to Instagram @drjesskeating or Facebook Willow Clinic of Natural Medicine to see my latest video about testing for thyroid disease.

Here is some basic info:

A lot of thyroid disease gets missed with a basic panel – TSH and Free T4. If someone has symptoms of low thyroid – difficulty losing weight, fatigue, menstrual changes, hair loss, brittle nails, dry skin, poor digestion – I will run a comprehensive thyroid panel including TSH, Free T4, Free T3, Total T4, Total T3, reverse T3, TPO antibodies, Thyroglobulin antibodies and iodine.

High thyroid function looks the opposite but can still be problematic – menstrual issues, weight loss, rapid heart rate, irritability, GI upset, reproductive issues. In addition to the above labs, TSI antibodies can also be run.

It is very important to get a proper diagnosis if you suspect you have a thyroid condition. Unfortunately, the basic labs miss a lot of early or subclinical disease and then patients continue to suffer without answers. If you feel like something is off, talk to your doctor. If you are not getting answers, keep asking or get a second opinion. I highly recommend finding a holistic practitioner like a naturopathic doctor, functional medicine doctor or other qualified healthcare provider who will take your concerns seriously. Remember, I am here to help! Drop any questions below!

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