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INTEGRATIVE MEDICINE-
Recharge Your Mind and Body.
Explore non-invasive, complementary and alternative medicine and therapies.

KEY POINTS-
Awareness of and understanding viable options and integrative approaches to address wellness is key.
Cultivating homeostasis and recharging is essential to health and healthy living.
Complementary and alternative medicine focuses on treating the whole person.

It is widely accepted that the only constant in life is change. And its constant change in our external lives that impacts our internal mental and physical ecosystem. Being aware of and understanding viable options and integrative approaches to address health and wellness to cultivate homeostasis within, and recharge in a non-invasive complementary way is essential to health longevity, life, and living.

Homeostasis is the state of balance for a body to function properly and survive while continuously adjusting to surrounding conditions.

Jaden’s Story
Jaden is a young 42-year-old seasoned attorney at a prestigious DC law firm. He works long hours every day including weekends. Normally, he’s able to overlook how he feels and power through the many competing demands, but lately, he’s found himself taking more and more over-the-counter medications to dull the pain that’s consuming his life. The chronic tension headaches and low back pain he’s experiencing are debilitating at times and he’s not able to focus on his work the way he needs. And if that’s not enough, he’s sleep deprived, not rested in the morning, and has been contemplating options other than the OTC medications and even stronger prescribed medications he’s been taking, but he's not really sure where to turn or what to do. It is a conundrum.

Jaden represents many of us in the world — flowing with the hustle and bustle of everyday life while trying to navigate common health concerns like stress, headaches, low back pain, and sleep deprivation, wanting to tap into different ways to manage health and recharge mentally and physically, but not fully aware of viable options outside of conventional medicine. The U.S. population is a melting pot of ethnic, cultural, gender, and age groups and the rapidly changing demographics from a less homogeneous to a more heterogeneous society has given rise to growing demands for different but comprehensive and effective health care options. Integrative, complementary and alternative medicine (CAM) has emerged as a relevant form of health care used to address a litany of common health issues and for whole-body wellness.

As defined by the Academic Consortium for Integrative Medicine and Health, “integrative medicine and health focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic and lifestyle approaches, healthcare professionals and disciplines to achieve optimal health and healing” (ACIMH, 2023). Furthermore, according to a 2017 National report by the NIH National Center for Complementary and Integrative Medicine (NCCIM), there was an increase in the use of yoga, meditation, and chiropractors between 2012 to 2017 which were identified as commonly used approaches to health and wellness (Clark, T. et al, 2018).

While traditional medicine is steeped in a system of treating symptoms, complementary and alternative medicine and integrative approaches focus on a system of treating the whole person; mind and body are one and affect each other physiologically. Integrative health emphasizes multimodal interventions, two or more, such as conventional health care approaches (e.g., medication, psychotherapy), and complementary health approaches (e.g., yoga, probiotics) in various combinations, with an emphasis on whole-body integrative treatment (NIH, NCCIH, 2021). National data from a 2000 study which included a sample of nearly 10,000 participants, when CAM was emerging, examined the relationship between mental disorders and the use of complementary and alternative medicine and found “relatively high rates of use of complementary and alternative medicine among respondents who met criteria for common mental disorders” (AJP, 2000). Under the parent organization, National Institutes of Health (NIH), the National Center for Complementary and Integrative Health (NCCIH) divides CAM into five major domains:

STRESS-
Feeling Stressed? It Might Be Your Liver Calling.
The liver-mental health connection is probably more important than you think.
Reviewed by Tyler Woods

KEY POINTS-
Liver disease is a common but rarely recognized contributor to mental health symptoms.
Non-alcoholic fatty liver disease is now the most prevalent liver condition, affecting one-third or more adults in the U.S.
A diseased liver cannot protect the body and brain from accumulating toxins that cause symptoms of physical and mental illness.
Improvements in health and lifestyle habits are the best way to reverse early to moderate liver disease.
Julia thought she must be losing her mind. Ostensibly in her prime, at age 35, and working at a successful law firm, she began having panic attacks out of the blue at work. Her sleep deteriorated. She suffered from spells of brain fog and began making embarrassing mistakes at work. Finally, after finding herself on the side of the road after missing a turnoff she'd made 10,000 times before, she decided to speak with her physician.

Thankfully for Julia, the doctor didn't refer her to mental health. Instead, results from her metabolic tests revealed a more likely cause of her symptoms: advanced liver disease. In Julia's case, identifying and treating her liver disease not only reversed her mental health symptoms, it may have saved her life.

Right now, unfortunately, millions of Americans are experiencing some of the same symptoms as Julia, suffering from the same invisible process of liver pathology, but not understanding the connection or getting the right treatment.

The liver and mental health.
Anxiety, depression, mood swings, memory loss, sleep impairment, personality changes.

If the above symptoms make you think "mental illness," then you may be overlooking a potential cause now affecting nearly half of American adults: fatty liver disease. This once-rare condition results primarily from factors such as excess body fat, poor dietary practices, and alcohol and substance abuse.

Although most people know about obesity and diabetes, far fewer have heard about fatty liver disease, their close metabolic cousin. And almost no one realizes how closely their liver health is connected to their mental health1. The aim of this post is to change that.

The liver is a remarkable organ, both for its staggering contributions to our overall health and for its vast underappreciation by the general public (see above figure). Outside of specialized liver doctors—such as hepatologists and gastroenterologists—even most healthcare providers do not realize the hundreds of life-enabling functions the liver performs each day.

The liver is the ultimate domestic engineer, working 24-7 to chemically neuter toxins in our blood before they infect our bodies. The organ functions as a nutritional warehouse for many essential vitamins and minerals and metabolizes medicines, alcohol, and other substances that would otherwise quickly jeopardize our existence.

The liver labors in these and many more roles in almost total obscurity, taking a relentless beating in the process of protecting us. Thankfully, the liver also just happens to be the organ equivalent of Wolverine—the fast-healing superhero mutant from the Marvel movies—in its ability to regenerate.

But even the marvelous liver has limits. Too much insulin, too much alcohol, or too much fructose, for example, and even the normally indomitable liver can no longer keep pace and begins to develop invasive fat within the liver tissue itself (the liver, under normal conditions, contains only trace amounts of fat).

The first signs of liver disease are sometimes recognized by physicians in the form of chronically elevated triglycerides, results on liver function tests such as alanine aminotransferase (ALT), or even by certain medical imaging procedures such as MRI and ultrasound. Caught early, fatty liver disease is treatable, frequently even reversible.

When these signs are missed, however, liver fat levels slowly progress, spiraling from the initial stages of inflammation to fibrosis and even cirrhosis. The latter cirrhosis stage is when the life-threatening process of liver failure ensues. As liver disease progresses across these stages, not only do many forms of physical illness become more likely, symptoms of mental illness also increase2.

As shown in Figure 2 above, liver disease can be a direct cause of mental health symptoms because a compromised liver cannot prevent toxins in the blood from reaching the brain. These unwelcome invaders then proceed to wreak havoc on a range of critical brain functions. Concentration, memory, mood stability, and the ability to tolerate and respond to stress are just a few of the potential mental capacities that can be impaired when toxins begin accumulating in the brain. Sadly, fatty liver disease remains a silent epidemic in the U.S., with most people unaware of the signs, symptoms, or causes3.

Healthy liver, healthy mind. What to do?
Treating fatty liver disease is a good news/bad news situation. The bad news is that there are no medicines approved by the FDA for the treatment of fatty liver disease. Unlike high blood pressure, cholesterol, or glucose, there is no simple prescription drug for fatty liver disease.

Instead, the most effective treatments for improving fatty liver disease and liver-induced mental health symptoms are behavioral. Losing body fat—particularly abdominal area body fat—, reducing sugar and fructose intake, lowering insulin resistance through exercise, sleep, and stress management, and limiting or eliminating alcohol and certain medicines that can harm the liver in high quantities such as acetaminophen (Tylenol), are some of the best ways to improve liver function (particularly at early stages).

Summary.
Because fatty liver disease is becoming more common each year in the U.S. population, a growing number of people will experience the physical and mental side effects of the condition. Talk to your doctor about liver function tests during healthcare visits, and remember how this much this vital organ contributes to your health and well-being.