Rachel's Blogs
Are Our Kidney Conversations Constrained By ‘Cause’?
It's so wonderful to know kidney health is moving address. From the darkest bits at the back, now to the front of our clever clinical minds. We're easy to impress when it comes to any 'axis' - gut-brain, brain-immune etc. so we all need to take a moment and take note...
The Polyphenol Prescription For Excess Iron
Do you realise we're often giving our patients Crabs? Stay with me 🙄 We're all BIG fans of polyphenols right, but did you know that one of the key ways they qualify as antioxidants is that they chelate metals? Chemically speaking that means that polyphenols...
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MasterCourse I Price Freeze Ends 30th July
Never done a MasterCourse in Diagnostics with me? Is that because you're scared of... a) investing that...
The Ultimate Pageturner: The Thyroid Biography Of Every Patient
Have you had a book that is so compelling & transporting you can't put it down? In the last year or so I've rewritten my own little book of sorts, on thyroid physiology and results interpretation and during that process I came across a paper that referred...
More Histamine Intolerance? Really?! 🤐
I can barely bring myself to write the word given how overused it has been of late 🤐🙄😯😕🙃 But I gotta say something! If we have found ourselves currently in a place where every second (or indeed single!) patient has a 'histamine...
Everyday Q&As – Pathology Indicators Of Hypercortisolism
The case of a slim 41YOF under very high stress due to marriage separation & the care of 2 young kids was presented in mentoring this month. Her a.m. Cortisol was 710 nmol/L - Rachel asked the group to identify 3 results in her routine labs that are consistent...
What do you know about Black Pepper?
I am just back from the NHAA Symposium - all informationed-up and raring to share!! LOL I learned some great stuff about Black Pepper and that made me think about a case from mentoring last month🤓 One of the presentations was from Jason Hawrelak during which...
Another Iron Question For Us All
What level of Serum Ferritin represents 'empty'? As in complete depletion of iron stores? Is it any value below the minimum of the reference range? e.g. < 30 mcg/L Or does the bottom of the reference range allow for a buffer and 'empty' is substantially lower than...
Everyday Q&As – HPA and Sleep Disorders
Practitioner: I haven't yet done the MasterCourse II in Thyroid & Adrenal Diagnostics but I want to better understand the HPA of that patient we discussed with significant sleep disorders. Waking blood? Saliva? Urine? Which one? Rachel: Well, you've heard me say...
Everyday Q&As – More Postnatal Iodine (Not) Fun
Rachel: And sometimes emails from practitioners provide me with both the question and their own answer to their question even! Cameron Barker's (Ex-student long-term learner & mentee) email arrives titled: Unexpected Source of Iodine in Placenta Caps?! A 32 yo...
Everyday Q&A – Oh Gawd! Grave’s & Iodine in Pregnancy?!
Just as optimal integration of lab results into our patient work-ups makes 'the invisible visible' we thought we might make visible some of the everyday Q & A that we engage in with wonderful practitioners who are fast becoming Diagnostic Divas & Divos....
Everyday Q&As – Time-frames for Change
Just as optimal integration of lab results into our patient work-ups makes 'the invisible visible' we thought we might make visible some of the everyday Q & A that we engage in with wonderful practitioners who are fast becoming Diagnostic Divas & Divos....
Welcome To Our Thyroid Collective!
There's a bit of a backstory - play along at home if you want - by ticking off the steps in this journey we have travelled together! 😂 14 years ago I was first asked to contribute to ACNEM’s thyroid training module 9 years ago I put together a little...
Everyday Q&As – Iodine and Thyroid Nodules
Just as optimal integration of lab results into our patient work-ups makes 'the invisible visible' we thought we might make visible some of the everyday Q & A that we engage in with wonderful practitioners who are fast becoming Diagnostic Divas & Divos....
An Eczema Case – A Nickel For Your Thoughts…
When it comes to the recognition of Nickel as the number one metal allergen worldwide, affecting up to 30% of adults and with a particular predilection for women, it seems like Australian health professionals really do come from the 'land down under', with many of us...
Ever Met A Set Of Thyroid Results You Didn’t Like?
Ever met a set of thyroid results you didn't like? Because you couldn't work them out? Because they defied your expectations, & therefore your understanding, of how they should look in this patient given their weight, nutrition, meds, diagnoses? Yeah - me too. In...
Thyroid Health in a Time of (& after) COVID
Did you know that your thyroid expresses more ACE 2 receptors than your lungs? So while there is nothing new about the potential for a virus (or indeed even a vaccine against a virus) to impact thyroid form and function, the particular predilection this recent virus...
Weight Issues & Thyroid – Are We Asking The Wrong Question?
If I wrote down these 2 elements on a MindMap: Thyroid dysfunction and Adiposity, how would you connect them? Would you reflexively draw an arrow from the former to the latter to flag that the thyroid underpins the weight management issues? My arrow would be the...
A Growing Case of Practitioner Paralysis?
Over the years I've observed an increase in the incidence of practitioner paralysis. This occurs typically & understandably in the face of fearmongering. A good example is in the area of so-called 'methylation medicine' where we've been lead to believe...
The Big SAMe Rethink Continued
You know the saying, 'If I had a dollar...', well there's so many ways I could finish that sentence, especially in relation to the most common questions I'm asked by praccies on a weekly basis and 'Can my patient on antidepressant 'X' take SAMe?', would be in the top...
The Big SAMe Rethink Starts Now
Recently a very experienced practitioner who uses SAMe frequently and successfully in her patients and also delivers education said to me, "I don't know what I am doing wrong - practitioners still come back to me with cases where they're throwing 8 different products...
How Long Do You Give The ‘How’?
I've been ruffling feathers over here while speaking at AIMA in Auckland. While I am pretty familiar and comfortable with that role (& responsibility?) - this topic ruffled my own, arguably the most. In fact, I kicked off the presentation with, 'What I'm going to...
An Obese Individual Walks Into Your Clinic
This is not about body shaming nor body positivity. I understand the crudeness of the body mass index, as a measure of (un)healthy weight - let alone (un)healthy muscle mass, so I don't use this as a stand-alone assessment of weight, nor rigidly adhere to the...