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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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...
The Fig Fix for Potassium Goals?
My lord I can go on, I know. And for weeks now I've really been banging 🥁🥁 The 1st drum was me making us all salivate & suffer through my month-long Mediterranean feast The 2nd, my ongoing incurable fixation on the 'Power of the Ps' - Protein &...
My Big Fat Greek Feast…the End?
Ok look away now if you've already heard too much from me about Greece. I understand. For the rest of you, still prepared to tough-out the travel tales, we've been discussing my recent thrill at eating something very similar to the Mediterranean diet - often touted as...
The Protein & Potassium Riddle of Ageing – Muscles and Bones
Notice a bit of a theme? Me too. Ok, so 50 is a landmark year, for lots of great reasons & they are all staring me right in my (increasingly wrinkled) face. But just at the edges of my now newly bespectacled visual field, I catch a glimpse of that stealth threat...
My Big Fat Greek Feast Continues
But just like so many well-meaning researchers who purport to employ 'THE' Mediterranean diet while their dietary intervention is actually just a rough approximation, I can't claim that what I ate over my month in Greece was an identical replica of what the...
My Big Fat Greek (month-long) Feast!
Somehow it didn’t dawn on me immediately, that I was in fact living this nutrition nerd’s dream…I WAS ACTUALLY EATING THE MEDITERRANEAN DIET! 🤯 😍 Like, the real-deal, legit, bona fide, honest-to-goodness, original, dinkum 1960s Greek diet. That...
Suboptimal Thyroid Function? Could It Be Their Psych Meds?
Gone are the days, thankfully, when we could all easily identify any individual taking an antipsychotic 1) because they were the marginalised 'mad' and 2) stigma and shame were rife. With the seismic shift that has occurred both in psychiatry & society we now know...
Our *NEW* Prescribers Program in 2023
How much? How often? When is the best time & timing? do you know about friends, foes and frenemies? Which form, when? e.g. building blocks or bioactives? And for how long? aka are we there yet...? These are the kind of questions that one would imagine nutritional...
The Perfect TSH??
Have you been told somewhere by someone that the ‘perfect’ TSH is 1.5 mIU/L? This is a wonderful, terrible & wonderfully terrible example of ‘magical numbers medicine’. As a push-back against the published reference ranges we’re given, that are so wide you could...
The Silent Scream of Aging?
One of my dear friends told her husband several years ago that she had noticed he was now making, 'old man noises' upon standing up from couches & chairs. She told him that must simply stop. She pointed out that he was only 50 and that she neither could nor would...
MasterCourse II
13 years ago I was first asked to contribute to ACNEM's thyroid training 8 years ago I put together a little Masterclass on Diagnostics & 6 years ago co-created another one on Thyroid 2 years ago I dived deep into new literature to update my ideas & my...
*NEW* Advanced Thyroid Training Coming Soon!
I've spent the best part of about 4 months recording my *NEW* Advanced Thyroid Assessment training. I told my team this would be easy and quick, given it was to be based on a great little 2-part, 2hr updated presentation I delivered just last year for ACNEM!! Sixteen...
Keeping Things Real & Representative
Any pathology test is only of value if the result produced is 'real', or, representative of that individual, right? So the timing of the test is a major pivot point then: do I tell my patient to present for the test, or collect the sample themselves, on their...
Are You A Finger-Pointing-Prescriber Or A Change-Maker?
Are we doing ourselves out of a job? I've been talking treatment plans with my New Grads recently. Given, only recently these were major assessment items in their clinic units, they have been trained to create ALL-ENCOMPASSING (biopsychosocial) prescriptions and...
The GREAT Cortisol Capture! 35K Aussies Get Tested
And all 35K results have been collated, analysed & made available so we can be better informed regarding expected Cortisol values based on sex (spoiler alert: women win & when I say win I mean track higher generally🤷♀️), age &...
Is Your Diagnosis on the $ or a Misdirection?
No, I can't leave it alone. I've been gabbing on about Gilbert's Syndrome for about 15 years now and it's not going to stop anytime soon! This is not because I think it's the most common condition we encounter but, rather because it is not uncommon. It is also not...
I read it on Facebook
We all (inaudibly🤞) sigh when patients utter this & adopt the brace position for whatever mis- or dis-information may follow. So how would you feel, if instead, these were the words of the health professional you're seeing? We could debate forever the pros...
Increasing Patient Buy-in: Compliance Changers
Have you ever noticed that our products don't work if our patients don't take them?!🙄 The reasons for non-compliance, dis- or non-engagement, poor patient buy-in & follow through are many: *My dog ate the instructions * My inbox swallowed the instructions...
Have You Received a Nudge?
A recent foreboding article featured in NewsGP Pathology requests under the microscope warned, 'More than 5000 GPs are about to receive a letter from the Department of Health about their pathology requests.' This is a ritual cleanse performed by Department of Health...
Independent Education For All
Over years of delivering independent education in integrative health I have spoken to some diverse audiences. This has included health professionals from very different backgrounds: from hospital-based psychiatrists & mental health nurses, to whom I presented on...