Blog Layout

Getting the most from your appointments

Evangeline Lindorf

I know you are sick and tired; of feeling sick and tired. From the other side of the exam table, I’d like to give you a provider’s perspective so you can best advocate for yourself.

The current model of mainstream western medicine is simply to see as many patients as possible in a single day. This leaves both providers and patients frustrated and dissatisfied; and, ultimately, leads to burn out for both. This system is destined fail. Patients should feel like a person, not a number. 


So, as a patient, how can you make the most of your time with your provider? Showing up 15 minutes early to check in and fill out paperwork helps tremendously with flow and efficiency. There is always paperwork to be done during a first visit. You’ll fill out forms quickly and easily if you bring the following information:


 A list of current, accurate medication, that includes the name, dosage, and frequency of each medication, as well as the reason you are taking it. This can be written down on a piece of paper; or tracked via an app on your phone. Heck, I don’t even care if you bring a plastic bag of all of your prescriptions and supplements in it! It’s so important to avoid medication errors and unwanted interactions, and this is the best way to ensure that. Rather than needing to go track down that information later, providing a complete, accurate list will not only prevent delays in your care, but it also allows your provider to make the best treatment decisions for you. Good information leads to good treatment plans!


A list of medications you have tried in the past (especially if it is relevant for the condition in which you are currently seeking treatment), and why you stopped it (if you had side effects or an allergic reaction for example), it is very helpful to know. That allows us to jump through some of the insurance hoops faster and get you to the best medication or treatment possible, as soon as possible.


A list of your top 2-3 most pressing questions that I can help answer. 


The number one most concerning symptom that you want addressed during our visit. We all deal with multiple symptoms and concerns, but your specialist is most valuable to you when they can hone in on their area of expertise. Knowing what is most important to your quality of life right now will help your provider get to the root cause of that symptom fastest: they can order the most relevant lab work or ask questions about your medical history that haven’t been explored during more general visits. (A urologist, for example, won’t have much insight on your thyroid medication.)


A list of any allergies to medications or foods, as well as a list of any surgeries you have had along with the year (approximately) you had the surgery. 


Radiology reports, recent lab work, or any other relevant testing done. Please note that none of our computers have CD readers on them, so the radiology report itself is the fastest way to make an assessment. (And we’ll cross our fingers that one day radiology converts to using thumb drives!)


A brief list of any chronic conditions you have been treated for. A short, one-page health history can be extremely helpful and save a lot of time. 


A family member or friend who knows you well and can help corroborate the health history, drive you home after the appointment if needed, and offer an outside viewpoint. 


Having a book, magazine, or noise-blocking headphones on hand can be helpful. Use the time you may be waiting to be seen to relax, breathe, and enjoy a moment of downtime. Enjoy the breather. what prompted you to seek the specific specialty’s services in the first place, or why your primary care doctor referred you here. 


A sure hope and solid belief in your body’s ability to heal itself given the right tools. 


PLEASE DO NOT BRING:


Lengthy articles printed off and written by Dr. Google or WebMD. They do not replace years of experience, education, and training, although they can be helpful tools when utilized properly. The majority of the time though, Dr. Google has induced a lot of unnecessary anxiety and angst sadly. 


MOST IMPORTANTLY:


The last things to bring with you—hope and patience. Exercise patience in the process; medicine is often a matter of trial and error—that’s why we call it practice—and sometimes it takes a few tries to find what works for you. Despite what you may have experienced in the past, the majority of those in the healthcare profession have a goal to get you better, improve your quality of life, and restore your health. I am overjoyed when my patients come back and tell me they are feeling better. Don’t lose hope. Keep advocating for yourself. Get a second opinion, or a third opinion if needed. You may feel like you are climbing Mt. Everest to get your health back, but I will be your guide, and will help you get the right team and equipment so you succeed in your climb. 

Hashimoto's Thyroiditis

By eklindorf • August 20, 2024
Natural Treatments for Hashimoto’s Thyroiditis: A Holistic Approach Hashimoto's thyroiditis, also known as autoimmune thyroiditis, is a condition where the immune system mistakenly attacks the thyroid gland, leading to chronic inflammation and, over time, impaired thyroid function. Practicing as a holistic, integrative nurse practitioner in Provo, Utah, I often encounter patients seeking natural treatments for Hashimoto’s to complement conventional care. Individualized treatment is crucial. Several natural protocols have shown promise in managing this condition. Below, I outline some of the most effective holistic approaches, including iodine protocols, castor oil packs, essential nutrients and supplements, treating underlying infections, and the importance of a gluten-free diet. 1. Iodine Protocols Iodine is essential for thyroid function, as it plays a critical role in the synthesis of thyroid hormones. While iodine deficiency contributes to thyroid dysfunction, excessive iodine intake may, in very rare cases, exacerbate autoimmune activity in the thyroid. Therefore, it’s important to approach iodine supplementation cautiously. For patients with Hashimoto’s, I offer and recommend an iodine loading test to determine baseline levels before starting supplementation. If deficiency is confirmed, low-dose iodine supplementation can be considered, typically in combination with selenium. Selenium is crucial because it helps mitigate the inflammatory detoxing effects from iodine supplementation. We carefully titrate based on the patient’s response and lab results. 2. Castor Oil Packs Castor oil packs are a time-honored remedy in holistic medicine, valued for their anti-inflammatory and detoxifying properties. When applied over the thyroid gland, castor oil packs can help reduce inflammation and support lymphatic drainage, which can be very beneficial for patients with Hashimoto’s. The castor oil packs and castor oil I have found to be of the highest quality are available at the following link: https://www.shopqueenofthethrones.com/ Many patients report reduced neck pain and swelling, as well as an overall sense of well-being with regular use. 3. Essential Vitamins and Nutrients Several vitamins and minerals play a pivotal role in supporting thyroid health and modulating the immune system. Key nutrients to consider include: Vitamin D : Low levels of vitamin D have been linked to an increased risk of autoimmune diseases, including Hashimoto’s. Supplementation with vitamin D3 can help modulate immune function and reduce autoimmune activity. A typical dose ranges from 2,000 to 5,000 IU daily, depending on the patient’s blood levels. The best way to get Vitamin D is through your skin from the sun. In Utah, we are so far north of the equator that many people are deficient year round, and may need sun exposure + supplementation. I test all of my patients' Vitamin D levels routinely. B Vitamins : B vitamins, particularly B12, are essential for energy production and neurological function. Many patients with Hashimoto’s are found to be deficient in B12, which can contribute to fatigue and cognitive symptoms. Supplementation with a high-quality B-complex can support overall thyroid function and energy levels. I also test for the MTHFR gene to see if you need methylated B vitamins. Magnesium : Magnesium is involved in hundreds of biochemical reactions in the body, including those related to thyroid hormone production and utilization. It also supports adrenal health, which is often compromised in patients with chronic autoimmune conditions. Magnesium glycinate or citrate are well-absorbed forms that can be taken daily. Zinc and Selenium : Both of these minerals are crucial for thyroid hormone synthesis and immune regulation. Selenium, as mentioned earlier, is particularly important when supplementing with iodine, while zinc supports immune function and may help reduce thyroid antibody levels. 4. Treating Underlying Infections Chronic infections, such as Epstein-Barr virus (EBV), Lyme disease, and intestinal dysbiosis, have been implicated in the onset and exacerbation of autoimmune thyroiditis. Identifying and addressing these underlying infections is a critical component of a holistic treatment plan. For example, if EBV is suspected, antiviral herbs in combination with generalized immune system support may be beneficial. In cases of intestinal dysbiosis, a comprehensive gut-healing protocol, including probiotics, prebiotics, and digestive enzymes, can help restore balance to the microbiome and reduce systemic inflammation. Functional medicine testing can be useful in identifying these hidden infections, allowing for targeted treatment that addresses the root cause of the autoimmune response. 5. Gluten-Free Diet A gluten-free diet is often recommended for patients with Hashimoto’s thyroiditis, as gluten has been shown to trigger autoimmune responses in susceptible individuals. This is particularly true for those with celiac disease or non-celiac gluten sensitivity, both of which are more prevalent in people with Hashimoto’s. Eliminating gluten from the diet can reduce inflammation, improve gut health, and lower thyroid antibody levels. Many patients report significant improvements in symptoms such as fatigue, brain fog, and digestive issues after adopting a gluten-free diet. In addition to avoiding gluten, it’s beneficial to focus on a nutrient-dense diet rich in anti-inflammatory foods, such as leafy greens, fatty fish, nuts, seeds, and berries. Reducing the intake of processed foods, refined sugars, soy, caffeine, and dairy can also support thyroid health and overall well-being. Conclusion Managing Hashimoto’s thyroiditis requires a comprehensive and individualized approach. By integrating the use of castor oil packs, essential vitamins, minerals, and supplements, going on a gluten free diet, and treating underlying infections, patients can significantly improve their thyroid function and overall quality of life. My goal is to empower my patients with the tools and knowledge they need to take control of their health, addressing not just the symptoms but the root causes of their condition.

Nutrition and Diet for Optimal Gut Health

By eklindorf • July 10, 2024
Welcome to the gut health series! This week, I'll discuss with you how nutrition and diet play a crucial role in maintaining a healthy gut. Your gut is home to trillions of bacteria that help with digestion, nutrient absorption, and immune system function. Your gut creates neurotransmitters and affects your mood too. You should, actually, trust what your gut is telling you! The Gut Microbiome: Your Digestive Allies Your gut microbiome consists of a vast community of microorganisms that live in your digestive tract. These bacteria, viruses, and fungi play a key role in breaking down food, producing vitamins, and protecting against harmful pathogens. A balanced diet can help maintain a healthy and diverse gut microbiome, which is essential for overall health. The more good bugs you have, and the more types of good bugs you have, the better you will feel. Fiber: The Gut's Best Friend Fiber is one of the most important nutrients for gut health. It acts as food for the beneficial bacteria in your gut, helping them thrive and produce short-chain fatty acids (SCFAs) that support gut lining integrity and reduce inflammation. There are two types of fiber: soluble and insoluble. Soluble Fiber: Found in foods like oats, beans, fruits, and vegetables, soluble fiber dissolves in water to form a gel-like substance. It helps regulate blood sugar levels and lowers cholesterol. (We have to be cautious with certain foods that contain lectins though, like oats and beans, they require special cooking methods, because they can tear up that delicate one celled intestinal lining. More on this in a future blog post). Insoluble Fiber : Found in whole grains, nuts, seeds, and vegetables, insoluble fiber adds bulk to stool and helps it pass more easily through the digestive tract, preventing constipation. (Please refer to Dr. Gundry's books on lectins to learn more). Fermented Foods: Boosting Probiotics Fermented foods are rich in probiotics, which are live bacteria that can confer health benefits when consumed. These foods help replenish and maintain the balance of good bacteria in your gut. Some popular fermented foods include: Yogurt : Contains beneficial bacteria like Lactobacillus and Bifidobacterium (low Bifidobacterium puts you at higher risk for developing COVID-19). Kefir : A fermented milk drink that is a potent source of probiotics. Sauerkraut and Kimchi: Fermented cabbage that provides a variety of beneficial bacteria. Kombucha : A fermented tea rich in probiotics and antioxidants (I do not advise making your own). Prebiotics: Feeding Your Gut Bacteria Prebiotics are non-digestible fibers that feed the beneficial bacteria in your gut. Including prebiotic-rich foods in your diet can enhance the growth and activity of good bacteria. Some excellent sources of prebiotics are: Garlic and Onions : Contain inulin, a type of prebiotic fiber. Bananas: Especially when slightly green, are rich in resistant starch. Asparagus and Artichokes : High in inulin and other prebiotics. Whole Grains : Such as barley, oats, and whole wheat. Avoid these, obviously, if you are gluten free. I recommend for everyone to utilize ancient grains such as Einkorn or Khorasan wheat, both are non hybridized and are more easily digested and better for the body. The brand Jovial Foods makes excellent healthy whole grain products, that even those who are gluten sensitive (but not wheat allergic or Celiac's) can usually tolerate. Hydration: The Unsung Hero Staying hydrated is crucial for maintaining gut health. Water helps dissolve nutrients, aids in digestion, and keeps stool soft, preventing constipation. Aim to drink at least eight glasses of water a day, and more if you're active or live in a hot climate. Avoid tap water whenever possible. Try to drink water that is distilled or has gone through a reverse osmosis process; add back in electrolytes as needed. Drinking from glass is always preferable to drinking out of plastic when possible. Mindful Eating: Savor Your Meals How you eat is just as important as what you eat. Eating mindfully can improve digestion and enhance your gut health. Chew Thoroughly: Chewing breaks down food into smaller pieces, making it easier for your digestive system to process. Eat Slowly : Eating slowly allows your body to recognize when you’re full, preventing overeating. Avoid Distractions : Focus on your meal rather than eating while watching TV, playing on your phone, or working, which can lead to overeating and poor digestion. Foods to Limit: Protecting Your Gut Certain foods can disrupt your gut microbiome and negatively impact your digestive health. Try to limit: Processed Foods: High in unhealthy fats, sugars, and additives that can harm your gut bacteria. The majority of foods found on American grocery shelves are UHPFs (Ultra High Processed Foods). Regular consumption of these foods leads to terrible gut health later. Artificial Sweeteners : Some studies suggest they can disrupt the gut microbiome and lead to digestive issues. Additionally, the brain cannot tell the difference between artificial sweeteners and real sugar, so the dopamine effect is the same and weight gain can be a serious issue, whether you are drinking diet coke or full sugar coke. Alcohol and Caffeine : Excessive consumption can irritate the gut lining and affect digestion. Conclusion A healthy gut starts with what you put on your plate-- eat lots of plants and lots of colors. Don't eat foods your great grandma would not recognize as a food . By including a variety of fiber-rich, fermented, and prebiotic foods in your diet, staying hydrated, and eating mindfully, you can support your gut microbiome and overall digestive health. Remember, small changes in your diet can make a big difference in how you feel. As I like to say, you can pay at the grocery store now, or the pharmacy later - your choice! Next week, I'll discuss supplements that can support your gut health. Stay tuned!
More Posts
Share by: