Clinic

Could A Calculation For Vit D Dosing Be The Answer?

Could A Calculation For Vit D Dosing Be The Answer?

  Wouldn't life be a breeze if there was a calculation telling us how much to prescribe of a given nutrient for every different patient to take them out of deficiency, into repletion or even optimal? Well there is. Kinda If the nutrient in question is Vitamin D...

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Are We Abandoning Our OGs?

Are We Abandoning Our OGs?

'Good v Better v Best', is often the value statement attached to each new nutritional product innovation as it enters the market...making the existing and older forms, according to the pattern, 'Bad'...or 'Inactive', certainly 'Superseded' etc. But changing the form...

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With or Withania You?

With or Withania You?

Cheesy I know! 😉  However, recently the issue of knowing when to use Withania somnifera & when not to, came up again in mentoring so I thought it's probably a good one to share.  Withania, aka Aswagandha or Indian Ginseng, has become a...

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The Beauty of the Basics

The Beauty of the Basics

Howdy practitioners - I've had an inspiring month of clients.  Not because I cured anyone, answered some major riddle previously unsolved by modern medicine or any of these enormous tasks we or our patients often set ourselves but rather because I got back to basics....

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When I Would Give Withania A Miss

When I Would Give Withania A Miss

We kicked off mentoring this year with some great cases last week.  One was a pregnant hyperthyroid client.   During the session the wonderful practitioner mentions that the client is using Withania somnifera as required for anxiety. Insert sound of brakes screeching...

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Turning the Spotlight on the Low Dopamine Depressive

Turning the Spotlight on the Low Dopamine Depressive

Low dopamine as an underpinning cause of depression, anxiety and even addiction (illicit drugs, sex, gambling) has been gaining increased recognition in research.  In spite of this there are no antidepressants currently on the Australian market that address dopamine...

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A Duck Called Homer? (HOMA-IR)

A Duck Called Homer? (HOMA-IR)

Most of us know that measuring a fasting blood glucose to assess how well someone is managing their glucose levels is about as crude and insensitive as waiting for the smoke detector alarm to tell you your dinner is cooked!  If we wait to see an abnormal result here...

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Bali Beauty Beware!

Bali Beauty Beware!

I've just come across yet another woman who has developed an unprecedented fungal nail infection  (Onychomycosis) in her toenails following a trip to Bali.  This infection is usually due to a species of tinnea that has managed to infiltrate the nail structure....

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Is Your Rep a Good Rep?

  Recently a practitioner lamented that because of her clinic location she didn’t see company reps very often & felt this was a barrier to her staying current with her clinical knowledge.  Of course, I had to beg to differ. We’re quick to judge the medical...

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Dump The Dairy But Not the Calcium?

  It’s not sexy but it is one of my favourite deficiencies. Favourite because it’s incredibly common…make no bones about it (tee hee)!  Favourite because a deficiency is actually reasonably easy to recognise once you know how (watch increasing phosphate levels...

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The Inclusive Specialist?

  Lots of great conversations with practitioners following my recent post on the need to specialise – really thought provoking & clarifying ones which makes me think it’s been a good conversation starter. Key things that have come up for people are: How do I...

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Why I wouldn’t use Vitex

Why I wouldn’t use Vitex

We had a great case in one of our graduate mentoring sessions the other day (thanks Kate 😉 ) , about a 40 something mum of 3 who reported to have cyclical mood and depression.  Further investigation of the case, however, revealed that some of the key characteristics...

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Money and Meaning?

I had one of those conversations with a friend recently in which he was wondering out loud about what the point of it all is.  Now don't panic...this is not 'suicidal ideation over a cuppa' kind of stuff ... no this is the regular existential crises that many of us...

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Avoiding Overwhelm In Clinic

Avoiding Overwhelm In Clinic

So…a 40 something female walks into your clinic with depression & anxiety…sounds common enough right?  But here’s the twist: she’s already seen another practitioner who ran a range of investigations revealing she has pyrroles, high copper levels & is...

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Iodine Excess in Action

  I'm only human & there are some questions that do make me silently groan & invisibly (I hope!) roll my eyes.  One is the old chestnut:  “but the Japanese consume on average 7mg of iodine a day!” which is typically offered up as a rationale for the need...

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Bad Patient Days (BPDs)

I was chatting with a colleague today about a complicated & interesting case of hers, severe hypothyroidism coupled with overt hypercortisolemia (salivary cortisol up to 230!).  This is a distance patient & she’s sharing care with a couple of other health...

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Who gives an RDW about RDW?

Ever noticed that thing called RDW (red cell distribution width) reported in your patients’ haematology results? Given that this parameter is currently regarded as one of the most important & earliest markers of a wide range of serious diseases, you might start...

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Learning the Language of Men’s Endocrine Health

  We should all be as skilled in investigating & treating male hormone imbalances as we are female ones, yet this is often not the case.  A lack of confidence in this area, which seems to be an issue for many, in particular will compromise our ability to...

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