Cheryl's Transformation: Member Spotlight
Cheryl's Transformation: Member Spotlight

Cheryl's Transformation: Member...

Cheryl realized she was ready to make a change in her life. She started with her diet...

Cheryl's Transformation: Member Spotlight

Lifestyle

Cheryl's Transformation: Member Spotlight

Cheryl realized she was ready to make a change in her life. She started with her diet and then knew it was time to add fitness back into the plan. After training with Mike for 6 months, Cheryl has lost an additional 34 lbs and has seen an 11% reduction in her body fat! 

5 Minutes with Meg: No Better Time to be Grateful
5 Minutes with Meg: No Better Time to be Grateful

5 Minutes with Meg: No Better Time...

I’ve been thinking a lot about…

… being grateful. I...

5 Minutes with Meg: No Better Time to be Grateful

Lifestyle

5 Minutes with Meg: No Better Time to be Grateful

I’ve been thinking a lot about…

… being grateful. I know. Pretty clich√© this time of year. But gratitude is such a powerful, positive emotion, I just couldn’t help myself.

7 Tips for a Happy, Healthy Thanksgiving: Building a Healthier Plate
7 Tips for a Happy, Healthy Thanksgiving: Building a Healthier Plate

7 Tips for a Happy, Healthy...

Thanksgiving marks the start of the holiday season – a season when we tend to eat...

7 Tips for a Happy, Healthy Thanksgiving: Building a Healthier Plate

Lifestyle

7 Tips for a Happy, Healthy Thanksgiving: Building a Healthier Plate

Thanksgiving marks the start of the holiday season – a season when we tend to eat excessively. I mean, who can blame us? But, this year is going to be different, and here’s why…we’ve got the top SEVEN tips to help you with portion control that will, ultimately, help to stave off the holiday bulge.

Is Shockwave Therapy Right for You?
Is Shockwave Therapy Right for You?

Is Shockwave Therapy Right for You?

Shockwave therapy is a non-invasive alternative to surgery for those suffering from...

Is Shockwave Therapy Right for You?

Lifestyle

Is Shockwave Therapy Right for You?

Shockwave therapy is a non-invasive alternative to surgery for those suffering from many joint and tendon disorders. Everyone with soft tissue injuries can benefit from shockwave therapy.

Take Your Golf Game to the Next Level in the Offseason
Take Your Golf Game to the Next Level in the Offseason

Take Your Golf Game to the Next...

Now that fall is upon us, let's face it - the golf season is winding down. Insert...

Take Your Golf Game to the Next Level in the Offseason

Lifestyle

Take Your Golf Game to the Next Level in the Offseason

Now that fall is upon us, let's face it - the golf season is winding down. Insert sad face. For some, that would mean putting the clubs away until spring and spending your winter dreaming about the course; instead, you can use this fall and winter to assess, train smart, and strengthen your body-swing connection.

5 Minutes with Meg: Feeling Overwhelmed? Me Too!
5 Minutes with Meg: Feeling Overwhelmed? Me Too!

5 Minutes with Meg: Feeling...

I’ve been thinking a lot about …

…being...

5 Minutes with Meg: Feeling Overwhelmed? Me Too!

Lifestyle

5 Minutes with Meg: Feeling Overwhelmed? Me Too!

I’ve been thinking a lot about …

…being overwhelmed.  Lots of starts and restarts happening around us right now.  All that change is awesome.  It’s crucial for growth, ongoing engagement, stimulation, and, ultimately, a happy fulfilled life.  And it can be crushingly overwhelming sometimes.

Member Spotlight: Michael
Member Spotlight: Michael

Member Spotlight: Michael

Most clients come to a session with their personal trainer ready to work, but very few...

Member Spotlight: Michael

Lifestyle

Member Spotlight: Michael

Most clients come to a session with their personal trainer ready to work, but very few come as prepared as Michael! Beginning in 2006, Michael has joined me at the Toronto Athletic Club three times a week for training; and we’ve been consistently working together ever since.

What it Takes to be an Ironman...
What it Takes to be an Ironman...

What it Takes to be an Ironman...

On August 19th, 2018, just under 3000 eager athletes, including 581 first...

What it Takes to be an Ironman...

Lifestyle

What it Takes to be an Ironman...

On August 19th, 2018, just under 3000 eager athletes, including 581 first timers, ages 18-80, raced in the 6th Annual Ironman Mont Tremblant. I was included in these athletes, along with our members Darcy and Tom Wefers and Louise Engelmann.

Self-Care Strategies for Stress Reduction & Wellness
Self-Care Strategies for Stress Reduction & Wellness

Self-Care Strategies for Stress...

Did you know that August is Wellness Month? While we near the end of the month, we...

Self-Care Strategies for Stress Reduction & Wellness

Lifestyle

Self-Care Strategies for Stress Reduction & Wellness

Did you know that August is Wellness Month? While we near the end of the month, we wanted to share a few strategies that you can (and should) incorporate into your daily life to reduce your stress and improve your overall well-being all year long! 

Helpful Tips for a Better Night's Sleep
Helpful Tips for a Better Night's Sleep

Helpful Tips for a Better Night's...

Jumy Kim, the Adelaide Health Club's Traditional Chinese Medicine and Acupuncture...

Helpful Tips for a Better Night's Sleep

Lifestyle

Helpful Tips for a Better Night's Sleep

Jumy Kim, the Adelaide Health Club's Traditional Chinese Medicine and Acupuncture Specialist, explains how poor sleep is one of the most common concerns in her practice and gives some helpful tips for a better night's rest.

Have You Tried Bulletproof Coffee Yet?
Have You Tried Bulletproof Coffee Yet?

Have You Tried Bulletproof Coffee...

It may sounds strange but it’s actually pretty darn tasty. So what is Bulletproof...

Have You Tried Bulletproof Coffee Yet?

Lifestyle

Have You Tried Bulletproof Coffee Yet?

It may sounds strange but it’s actually pretty darn tasty. So what is Bulletproof coffee anyway?

Good Vs. Bad Sugars
Good Vs. Bad Sugars

Good Vs. Bad Sugars

Everyone “knows” that sugar is bad for you — but are there...

Good Vs. Bad Sugars

Lifestyle

Good Vs. Bad Sugars

Everyone “knows” that sugar is bad for you — but are there “good” vs “bad” sugars?


First things first, there is a big difference between added sugars in boxed/bagged/packaged foods such as candy, pop, cookies, etc vs natural sugars in whole foods such as fruits, vegetables and whole grains.

How To Strengthen Your Core Without Harming Your Lower Back
How To Strengthen Your Core Without Harming Your Lower Back

How To Strengthen Your Core Without...

You are doing sit-ups and crunches to build that six-pack, but your back gets sore. So...

How To Strengthen Your Core Without Harming Your Lower Back

Lifestyle

How To Strengthen Your Core Without Harming Your Lower Back

You are doing sit-ups and crunches to build that six-pack, but your back gets sore. So how are you going to build those washboard abs without hurting your back?

How Alcohol Consumption is Related to Fat Loss
How Alcohol Consumption is Related to Fat Loss

How Alcohol Consumption is Related...

There seems to be this notion among the average gym goers that it is okay to drink...

How Alcohol Consumption is Related to Fat Loss

Lifestyle

How Alcohol Consumption is Related to Fat Loss

There seems to be this notion among the average gym goers that it is okay to drink certain alcoholic beverages, because they contain zero calories. Vodka and soda is the go-to that I always hear about. 

Effects of Alcohol on Building Muscle
Effects of Alcohol on Building Muscle

Effects of Alcohol on Building...

Let's just jump straight to it! If you want to build muscle, which is a tough task...

Effects of Alcohol on Building Muscle

Lifestyle

Effects of Alcohol on Building Muscle

Let's just jump straight to it! If you want to build muscle, which is a tough task on it's own, you definitely want to stay away from alcohol consumption.
 
Alcohol will take away from muscle building for a variety of reasons. Here are a few points on why alcohol consumption is a bad idea when attempting to build muscle:

Do I Need To Go Gluten Free?
Do I Need To Go Gluten Free?

Do I Need To Go Gluten Free?

Gluten (a protein) can be found in wheat, barley and rye.

With so many...

Do I Need To Go Gluten Free?

Lifestyle

Do I Need To Go Gluten Free?

Gluten (a protein) can be found in wheat, barley and rye.

With so many processed foods on the market today, it can also be found hiding in salad dressings, condiments, deli meats and even candy. This makes giving up gluten a bit more tricky, and why should we do that in the first place?

Exercise and the Aging Brain
Exercise and the Aging Brain

Exercise and the Aging Brain

June is Alzheimer’s and Brain Awareness Month. In an effort to spread awareness...

Exercise and the Aging Brain

Lifestyle

Exercise and the Aging Brain

June is Alzheimer’s and Brain Awareness Month. In an effort to spread awareness about brain health, we are here to talk about Exercise and the aging brain.

9 Unexpected Things That Happen When You Abandon Your Workout Routine
9 Unexpected Things That Happen When You Abandon Your Workout Routine

9 Unexpected Things That Happen...

When our schedules become busy and stress levels raise, we tend to skip our workouts...

9 Unexpected Things That Happen When You Abandon Your Workout Routine

Lifestyle

9 Unexpected Things That Happen When You Abandon Your Workout Routine

When our schedules become busy and stress levels raise, we tend to skip our workouts and let our busy lifestyles get the best of us. We’ve all been there, and that’s ok.

Here are 9 reasons why your workout should be a priority during those busy, stressful times:

Cracking Your Back - Is it Good for You?
Cracking Your Back - Is it Good for You?

Cracking Your Back - Is it Good for...

Vanessa Foucher, Adelaide Clinics Physiotherapist talks to us about cracking your back,...

Cracking Your Back - Is it Good for You?

Lifestyle

Cracking Your Back - Is it Good for You?

Vanessa Foucher, Adelaide Clinics Physiotherapist talks to us about cracking your back, and the effects it may have. 

Adelaide Club Member Competes in First Ironman
Adelaide Club Member Competes in First Ironman

Adelaide Club Member Competes in...

Stephen Hamer, a 12 year member of the Adelaide Club, just completed his first...

Adelaide Club Member Competes in First Ironman

Member Profile

Adelaide Club Member Competes in First Ironman

Stephen Hamer, a 12 year member of the Adelaide Club, just completed his first Ironman!

We had an opportunity to spend some time with him; to find out his motivation for competing and to better understand what goes into accomplishing such an incredible feat.

Case Study: The Complexity of Infertility

Case Study: The Complexity of Infertility
Posted: Sep 27, 2016

HISTORY
Anna is a 35-year-old legal assistant. She presented in our initial visit with complaints of difficulty conceiving. She had been trying for more almost a year, diligently tracking her ovulation cycles with no success. Her family doctor eventually diagnosed her with infertility and referred her on to a fertility clinic. Blood work was performed there and determined a low follicle count, commonly seen with women in her age range and is reflected by the anti-mullerian hormone (AMH, a marker of the size of the remaining egg supply or “ovarian reserve). They proposed a treatment plan of in vitro fertilization (IVF), which included a preparatory phase requiring hormone injections to increase the number of maturing eggs prior to harvesting and fertilizing, as well as continuous hormones throughout the protocol to increase chances of implantation. Having had several of her friends try this path with mixed results and complaints of side effects from the hormones, coupled with the anxiety Anna had about the invasivenes of the procedures, she sought other potential treatments which led her to our initial visit.

Fertility cases are always interesting, as conventional investigations can be minimal. Given there are no other significant abnormalities, such as a blocked fallopian tube, male infertility, history of polycystic ovarian syndrome, fibroids, endometriosis, and reproductive hormone imbalance, the AMH value becomes the target of treatment. With increasing female age, the size of their pool of egg supply decreases and AMH levels also decrease. Once this low level is found, IVF tends to be the
standard treatment protocol.

Although IVF has given a safe and successful opportunity to individuals that have otherwise been unable to conceive, and is more successful than other forms of assisted reproductive technology, IVF success rates are still low (just over 25% of IVF cycles result in live birth), are expensive, and there may be associated side effects such as a higher chance of ectopic pregnancy, prematurity of birth and low birth weight, and takes an emotional/psychological toll.

Many other factors beyond those listed above can play into an infertility diagnosis and as a result, treatment options expand. Infertility is highly complex, also being effected by hormones such as cortisol (a stress hormone) and thyroid hormone (responsible for metabolism), history of hormonal birth control use, nutritional deficiencies (such as iron, folic acid, b vitamins),  inflammation, circulation, oxidative stress and egg quality, and uterine lining thickness and implantation ability. With this in mind, treatment options from a naturopathic perspective can expand into helping an individual’s body optimize its roles in fertility through diet and lifestyle, Traditional Chinese Medicine and acupuncture, nutraceutical supplementation, and herbal supplementation.

OBJECTIVE FINDINGS
In Anna’s assessment, several other factors were found. She shared that she had been on the birth control pill (BCP) for thirteen years up until trying to conceive. Once discontinuing the BCP, her period returned regularly but was heavy and extremely painful for the first three days in her upper abdomen, and would have associated loose stools. Premenstrual symptoms (PMS) also developed including bloating, moodiness, and decreased libido. She also began experiencing yeast infections tied to her menstrual cycle.

She also shared that her gastrointestinal health was poor, suffering from heartburn once a week, stabbing pain in the stomach twice a week that could last up to two hours, and increased bowel urgency. Associated symptoms included low energy and weakness. A CT scan and colonoscopy was performed in the past by her family doctor and gastroenterologist and she was diagnosed with colitis. Treatment was done by antibiotics which worsened symptoms.

Both menstrual and gastrointestinal complaints were aggravated by stress. She described herself as an anxious person with a demanding job, coupled with the pressure of conceiving; stress was a major part of her life.

TREATMENT
After taking a full history, blood work was performed and found that she had low iron and thyroid stimulating hormone (indicating hypothyroidism). Researchers have found that women that have low iron have a higher risk of ovulatory infertility (an inability to produce healthy eggs), and that abnormal thyroid function is associated with an increased rate of infertility, miscarriage, and adverse pregnancy and neonatal outcomes. Anna returned to her family doctor and was prescribed Synthroid to treat her low thyroid function, and low iron was treated through supplementation.

Anna’s gastrointestinal complaints were concurrently addressed by a gentle detox of initiating a clean diet consisting of low inflammatory ingredients and whole foods, while avoiding any known food sensitivities she had. This was supported with probiotics to help restore healthy bacterial flora of the digestive tract.

She also experienced PMS symptoms which are indicative of suboptimal regulation and production its reproductive hormones, especially progesterone. This is very common with women that have been on BCP long term (longer than 3 years), as it becomes dependant on the pill to regulate its hormones. Other factors such as poor thyroid function and stress can also pull the regulation of hormones out of balance.

Once her body adjusted to a cleaner diet and her digestive complaints resolved, herbal supplementation of Chaste Tree was used to help the body restore its ability to regulate and produce its reproductive hormones. Additional supplementation of the herb Tribulus was used to help boost vitality and support production and maturation of eggs prior to ovulation which was especially important as her AMH levels were low.

L-Arginine was used in conjunction to increase blood circulation to the reproductive organs to optimize egg production and maturation, uterine lining development for implantation, and nutrients to the fetus for healthy development. CoQ10 was also used as it helps to produce energy in our cells and is a strong antioxidant that helps to preserve egg quality.

We monitored this treatment plan for 3 months while taking a break from trying to conceive. PMS and digestive symptoms resolved, energy and mood improved, and she experienced no yeast infections.

She then began trying to conceive again with the addition of acupuncture around ovulation. In two months she was pregnant. She has now the mother of a healthy baby.

FINAL THOUGHTS
Infertility is a reminder that the body is highly complex, intelligent, and unique. As Naturopathic Doctors, each case is individualized and by gaining a thorough understanding of each patient’s overall health, a protocol can be developed to support the body and promote fertility, whether you are seeking an alternative to IVF or for collaborative support during IVF. The benefits of treatment don’t end when you conceive either. Symptoms of discomfort during pregnancy can also be treated such as constipation, morning sickness, emotional changes, yeast infections, and back pain, and care for mom and baby can continue once the baby is born.

 

Case Study by Cristina Allen, ND of Adelaide Health Clinic

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