303-390-1245
     2355 Canyon Blvd.   |   Suite 102   |   Boulder, CO 80302

Author: Dr. Terri Rebibo Fox

Dr. Terri Fox is a holistic, integrative, functional medicine doctor. She works on your behalf as a medical detective searching for the underlying dysfunction, instead of just treating your symptoms. She has expertise in fatigue, bio-identical hormones, sleep disorders, gastro-intestinal dysfunction, and Chronic Inflammatory Response Syndrome from mold toxicity and Lyme disease.

August Summer Heat Hydration Special

The heat is ON and it’s a great time to revitalize, hydrate and boost your immune system to get the most out of the last few weeks of summer before school starts. Medical grade nutritional IV’s have been found by many to help get your energy and vitality back after COVID.
This month, we are offering a 15% discount on all IV’s booked through August 31. So get your spot, come in and relax and enjoy the health benefits offered by our nutrient dense IV’s. 

IVs to help beat the summer heat

NAD+ IV’s NAD has become the darling of the bio hacking and advanced regenerative medicine world lately. NAD+ (nicotinomide di nucleaotide) is an electron donating molecule our bodies use to super charge our energy, improve metabolism, increase athletic endurance and boost natural energy and help with many chronic conditions including fatigue, weight gain and brain fog. Online source

Myers Cocktail and Glutathione

Antioxidants like vitamin C and glutathione help to protect our cells from damage by free radicals. Free radicals are unstable molecules that our bodies produce in response to environmental and other internal or external stressors like viruses, bacteria and mold.

Vitamin C infusions, like the Myer’s cocktail, and glutathione IV’s help by boosting the bodies natural immune response, modulating inflammation in the body by scavenging free radicals. They are also potent antiviral therapies and can help in patients suffering with fatigue. We have found them extremely helpful in the pre-COVID prevention and in post-COVID treatment.

Essential N (Phosphatidyl Choline) and Glutathione

The phospholipids in our PC IV’s combined with the antioxidant power of glutathione are helpful in healing and stabilizing the nervous system and the brain, replacing damaged cell membranes in chronic illness including Tick Borne Illness (Lyme and co-infections) and mold illness/CIRS. It’s a powerful detoxification IV with neuroplasticity and longevity benefits. Glutathione has been found to help many people recover from the neurological effects of COVID.

If you don’t have time to book and IV, it’s always a good day to pop in for a B-12 or M.I.C. shot. B-12 shots help to boost energy and can help with methylation detox, while the M.I.C shot adds inositol and choline to the methyl-b12 for added energy, metabolic balance and help with maintaining healthy weight!

Enjoy your Summer! Hope to see you in the office!

Dr.’s Terri and Amy

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The leaves are back, the kids are out of school, it smells like flowers, summer in Colorado is here!

Boulder Holistic has an exciting announcement! Our Registered Nurse extraordinaire, Ame, is back! She will be in clinic 2-4 days per week including some Saturdays and we are offering Nutritional IV’s, blood draws, PRP (more info to come), urine and throat checks, ionic foot baths, etc. on those days. Please call the office at 303-390-1245 or email us at info@boulderholistic.com to schedule.

Medical IV’s vs hydration IV’s?

Our providers tailor IV therapy to the unique constitution, diagnoses and treatment plan of each patient. At Boulder Holistic, we use medical grade, high dose IV nutrients, increasing doses over time as the patient heals.
 
The dosages we use as well as the quality of the nutrients in the IV’s are often exponentially higher than in the IV bars. Below are some of our favorites as well as their indications:
IV Phosphatidyl Choline and Glutathione
This is a combination of two IV’s and is essential in repairing cellular membranes and the central nervous system. These systems can get damaged by toxins such as mold, environmental toxins, biotoxins, etc. Glutathione is known as the “Mother of all antioxidants” and helps alleviate toxic burden on the cells. We often use this combo as a type of detoxification and neuroregeneration therapy for mold and Lyme, it helps the body to pull out mycotoxins, biotoxins, plastics, pesticides and more while replacing critical cell membranes and aiding in neuroplasticity. 
 
It can also be highly beneficial for neurocognitive function, helping with memory, focus and concentration. It’s incredibly healing for post-concussion syndrome and for CNS disorders. It is believed to decrease the risk of all forms of dementia as it allows the membrane in the CNS to replace old, damaged parts of the membrane, and in so doing, it releases a lifetime of fat-soluble toxins. Membrane stability is critical for vibrant health, mental clarity and growing older gracefully and happily! Dosage of phosphatidyl choline increases with regular IV treatments and is always paired with glutathione. This is the IV for optimal brain function, sleep, headaches and detoxification.
 
 
 
IV NAD
NAD is a coenzyme vital in the metabolic process by aiding in mitochondrial renewal. It increases the mitochondria’s ability to produce ATP or energy. It may help enhance mood, improves energy and sleep, decrease stress and anxiety, (including easing symptoms of PTSD), aid in exercise recovery, and slow the aging process including strengthening hair, skin, and nails. It’s also indicated as a natural treatment for a whole host of chronic illnesses. Dosage of NAD increases with regular treatments. This one is great for fatigue, brain fog, weight loss and athletic endurance.
 
IV Meyers Cocktail
This unique cocktail includes large doses Vitamin C (25,000mg), calcium, magnesium, zinc, selenium, trace minerals and Vitamins B5, B6 B12 and a B-complex. Methyl folate can be added and this IV can be followed by a quick glutathione push. It is indicated for those with a heavy bacterial or viral load, fatigue, nutritional depletions, inability to absorb nutrients, chronic infections or cognitive dysfunction. It’s incredibly immune boosting, anti-carcinogenic, anti-inflammatory and repleting. Our clinic offers a “mini” and a standard Meyer’s. The mini is a nice option for someone with time constraints wanting a quick boost, while the standard dosages will provide a more robust result. This is the IV for immune function, fatigue and repleting the system.
 
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IVs to help beat the summer heat

Allergies in the time of COVID-19

There’s bad news and there is good news this allergy season.

There’s bad news and there is good news this allergy season.
 
Many of the symptoms of seasonal allergies can be mistaken for signs and symptoms of other upper respiratory infections including COVID-19. Many symptoms include runny nose, stuffy nose, red eyes, scratchy throat, cough, tight chest and sneezing.
 
Seems the tricky part is how embarrassing it is to have allergies right now. Having a runny nose and sneezing in the grocery line-aaak! It can be a whole situation… Believe me; just imagine the looks you get from other people shopping right now — Ugh.

The good news is that many of the natural things we use to treat seasonal allergies are also great at COVID-19 prevention.

Quercitin — Quercitin is a polyphenol that comes from the skins of many fruits and vegetables including apples and onions and is a natural anti-histamine. It helps take the overall level of histamine during allergy season down a notch. Quercitin also appears to prevent coronavirus from attaching to the ACE receptor on the outside of the cell membrane, blocking the entrance of the virus into the cell and slowing viral replication. Recommended dosing 1200mg twice a day.
 
Diamine Oxidase — Diamine oxidase (DAO), also known as histaminase, is the enzyme that we make to break down and recycle histamine. The highest levels of DAO are found in the digestive tract. Taking this enzyme helps to break down histamine once it is released in the body. Our favorite DAO product is HistDao by Xymogen, take 3-4 capsules as needed throughout the day.
 
Bromelain — Bromalain is an enzyme that comes from pineapples. Taken on an empty stomach, this enzyme gets absorbed and helps to digest inflammation and mucous in the upper respiratory tract. We love this one! Take 2-6 caps on an empty stomach twice daily.
 
NAC — N-acetylcysteine (NAC) is the supplement form of the amino acid cysteine. NAC is mucolytic, anti-viral and is a precursor to glutathione, our body’s most potent antioxidant. NAC is recommended for both seasonal allergies and COVID-19. NAC can be taken orally 900 mg twice daily. NAC is also available in prescription form that may be inhaled to help with asthma and shortness of breath.
 
AllQlear — AllQlear by Integrative Therapeutics has a unique ingredient derived from quail eggs that appears to act as a tryptase inhibitor, stabilizing mast cells and reducing histamine secretion. Chew two tablets twice daily between meals.
 
Sinus Rinsing — Rinsing out the sinuses helps both with seasonal allergies and preventing COVID-19.
 
Read more here about sinus rinsing and all the things you can add to your sinus rinse to make it more powerful! We especially like the nasal ionic silver for allergy season.
We hope you are staying healthy and happy during this great pause.
Let us know if we can help in any way!
 
Please call or email the office. We can ship you an allergy package or anything to help during this crazy time. We can also do curbside pick up.
 
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Up The Nose

What?  Yep, more COVID prevention.  And great for allergy season too!

One great way to help prevent the seeding of a virus into upper respiratory tract is by sinus rinsing.

I recommend the Neil Med system or a neti pot, at least 2X’s/day.  This can help clear out the days exposures, allergens and mucous.  To make this even more effective you can put some biocidin 5-15 drops in your sinus rinse (with your salts or packets.)  Biocidin is an herbal combination with great anti-viral effects.

Get it out of the nose before it goes any further!

And did you know your glymphatic system in your brain detoxes neurotoxins and neuroinflamation and may help prevent dementia of all kinds.  Keeping your sinuses clear and lots of sleep may help with this process.

https://www.ncbi.nlm.nih.gov/pubmed/24199995

Other Things you can Put Up your Nose

Ionized Silver –my favorite is Argentyn23 – Widely know to have well respected anti-microbial effects while being helpful at nipping any virus in the bud. 

Nicatinomide Riboside (or RG3) – A compounded nasal spray increases NAD which increases mitochondrial function.  Incredible for fatigue, brain fog, and or neurodetoxification.

Nicatinomide Riboside (or RG3) – This compounded nasal spray increases NAD which increases mitochondrial function.  Incredible for fatigue, brain fog, neurodetoxification.

Glutathione –compounded intranasal glutathione –there’s some great emerging data on glutathione as helpful to prevent the cytokine storm in COVID 19.  And when you spray it up your nose, you have better access to you central nervous system – for neurodetoxification and brain healing. Great for brain fog too!

Sinus rinse and prevent viral infection, improve allergies and neurodetoxification!

If you think you may have a fungal sinusitis from mold or yeast, contact our office to get tested or your favorite functional medicine doctor.

If you suspect you may have marcons (multiple antibiotic resistance coag negative staph), we can test you for that too!

woman_sleeping

Sleep: The Key to Happiness?

Do you fall asleep easily only to lie in bed wide awake at 3 a.m.? Do you sleep but don’t feel rested when you wake up? Do you dread bedtime because you have such a hard time falling asleep?   My own personal hell: being awake in the middle of the night for hours with my mind making craziness out of nothing. 

Sleep: delicious, life giving, deep sleep. Do you find it elusive? Is it the solution? The fountain of youth?  All I know is everyone wants more of it and can’t get enough. Your cells and nervous system detox and regenerate.   Your glymphatic system drains neurotoxins and neuroinflammation from your central nervous system while you sleep. The world seems brighter and has more sparkle after a good night’s sleep.  There’s nothing you can’t do or take on after a deep, full night’s sleep. Its super fuel, liquid gold, your motivation, excitement and ease with life all at the same time.

This is a topic that is close and dear to my heart.  I lost my ability to fall asleep and stay asleep in my third year of medical school.  I don’t think I slept more than a few hours per night for over 10 years, nor did I sleep easefully for over 20 years.  Although I mostly sleep wonderfully now, it remains my weak spot. If anything is out of balance in my life, if my heart is heavy or my stress level high, this is where I’m affected. My sleep patterns give me insight as to what may be off with my health and heart. It’s my integrity meter, my stress odometer, my most vulnerable truth about where my heart really stands.  I can see it now as information from my unconscious, teaching me what needs more attention, more love or perhaps what needs letting go.

I must admit, knowing when I don’t sleep well is useful information doesn’t always help the middle of the night madness.  I’m sure many of you can relate. Your mind may choose this time to fret over the unfinished minutiae of your life or create lists. Or it can create massive upheaval, devastation or destruction out of absolutely nothing grounded in reality.  And your conscious awareness often can’t help you in this weird, middle of the night madness. The twilight mind’s is not to be talked out of it’s madness. As the moment you relax the conscious mind enough to fall back asleep, the madness takes over again.

“Earthquakes don’t happen in Colorado and if they did, your roof isn’t actually made of glass, so stop it with the craziness!“ says your sensible rational mind.  Every fragile thing you can think of is sitting on top of your glass roof and there’s a massive earthquake coming and good god, your child’s bed is right under that big weird glass unicorn statue (where did that thing come from anyway?)

What’s important to remember is there’s a middle of the night madness that is not uncommon and is unlike any other irrationality we experience in other parts of our lives.  Many of us have been there, it’s not pretty and the evolved psyche is not immune. It has its own unique flavor of madness.

Know that you are not alone.  Know that you can’t talk yourself out of this place with your rational mind.  Take a deep breath and try these four tips:

  1. Focus on things that make you happy, things you are grateful for, things that make your heart overflow with love, joy and gratitude.  Kittens snuggling, your sweet children, football, winning at ping pong, whatever puts you into your heart and takes you out of your head.
  2. Put on an audible book, podcast, something you can listen to with your eyes closed and the lights off.  Something light hearted ideally, interesting enough to take you away from the madness but boring enough for you to drift back off to sleep.
  3. Do any kind of breath work, meditation, visualization that works for you.  
  4. And at the same time or if the above tips aren’t working, try some natural calming micronutrients that feed your brain, your adrenals, your parasympathetic nervous system, your limbic system the food it needs to fall back asleep deeply and naturally.

Some of my favorite middle of the night nutrients that won’t leave you drowsy in the morning:

Xymogen “Relax Max”

Glycine, “optimag Neuro” by Xymogen

Botanical tincture with Valerian root, California Poppy, Kava Kava, Oatstraw or chamomile.

Now let’s dive into the actual root causes of sleep dysfunction. I am a functional medicine doc after all, and I intend to find the actual underlying dysfunction. There are multiple organic causes of difficulty sleeping. I encourage you to find the actual cause and treat it.  Then may you enjoy deep, restful, effortless sleep and wake up rested, vibrant and full of energy.

  • Low thyroid: Waking up in the middle of the night can be a symptom of a low functioning thyroid.  Alternatively, I find clinically that if your thyroid level is a bit high, you may have a hard time falling asleep.  This is more common than people realize and it’s the first thing I check, personally, when my sleep is out of balance. I recommend getting a full thyroid panel (TSH, FT3, FT4, RT3) to help figure out if this is contributing to your sleep dysfunction.
  • Adrenal Dysfunction: A common cause of the 3:00 am wake up or an inability to fall asleep is an elevation in your cortisol levels.  Cortisol is a hormone secreted by your adrenal glands, which is responsible for your “flight or fight” response, your survival instinct.  Optimally, your cortisol levels are at their highest in the morning and decrease to close to zero by the time you drift off into a delicious, easeful sleep at night.  

      However, your adrenals can get “stuck” in a pattern where they may spike at bedtime or in the middle of the night.  It’s easy to imagine that one cannot easily sleep when your cells are screaming at you to “get up and run, as FAST as you can, from the tiger!”  Unfortunately, your cells can’t distinguish between perceived stress and a true survival emergency.

      New parents, shift workers, medical students are especially prone to this particular form of sleep dysfunction.  As is anyone who has been burning the candle on both ends, which turns out to be many of us!

      For example, if you have kids, remember waking up multiple times throughout the night to feed or check on your little one?  These repetitive wake ups throughout the night to keep your baby alive and healthy can set a pattern in your adrenals to wake up in the middle of the night.  This may contribute to increased nighttime cortisol levels. In some people, that middle of the night cortisol spike can remain in that pattern, even after your baby sleeps through the night (and thank goodness when that happens). There are great natural things out there that can help blunt overnight cortisol secretion. However, just so we know what’s actually going on, I do recommend doing the salivary adrenal test first.  

 

https://www.diagnostechs.com/our-tests/adrenal-stress-index-asi/

  • Low progesterone: This one is for the ladies. Another contributing factor to sleep dysfunction is progesterone deficiency.  Other symptoms of low progesterone are anxiety, irritability, impatience, anger, menstrual headaches and migraines and heavy, painful or irregular periods. I think of progesterone as our “zen, calm” hormone. When it decreases, we lose our patience, are more irritable and have a hard time sleeping.

       In a normal menstrual cycle, progesterone takes a big dive for 1-2 nights right before you get your period, it’s part of bringing on your bleed. These 1-2 nights of poor sleep and increased anxiety before your period is the more common, expected low progesterone state.  Some people call this the “bitchy” part of their cycle. 😉 If these “bitchy” symptoms persist for more than a couple days before your period, you may want to get your progesterone levels checked.  Husbands, boyfriends- you are welcome to chime in here – you may have a more objective opinion.;-)

       Adrenal dysfunction may even be contributing to your low progesterone levels as progesterone converts directly to cortisol. Cortisol gets precedence in our hormonal system, as it’s our survival instinct. Even if it’s perceived stress from our daily busy lives, our cells are wired to react with: “screw your zen, calm, the wooly mammoth is about to STOMP on you, get up and run!” I recommend getting your progesterone levels tested day 17-21 of your cycle. And if your levels are low, bioidentical compounded progesterone may be something to consider with your functional medicine doctor.

  • Low gaba: If your brain doesn’t have enough gaba, for a variety of reasons, it can make you more prone to anxiety and insomnia.  Gaba is one of your main inhibitory neurotransmitters. It’s calming and balances out your stimulatory neurotransmitters.  Be careful, however, when purchasing it, as much of the “gaba” out there won’t cross the blood brain barrier and simply gets urinated out.
  • MTHFR: People with this gene mutation can have trouble with methylation, which is critical to the body’s processes for things like detoxification, hormone clearance and neurotransmitter clearance.  With certain MTHFR snp’s(single nucleotide polymorphism), one can be more at risk for insomnia, anxiety, fatigue and depression. Treating this with supplements without knowing detailed information about your genetic makeup can result in elevated anxiety or insomnia.  It’s a tricky one to treat, though, and I recommend that you find a physician with some training in this area. Or make an appointment today with myself or Dr. Amy Reidhead.
  • CIRS or Mold Toxicity: One of the most common symptoms of mold toxicity is insomnia.  
  • Lyme Disease and its co-Infections: A common co-infection in Lyme disease is Bartonella.  This bacteria can cause retractable insomnia in some people.  Borrelia, the bacteria that causes Lyme disease can also cause insomnia.

Sleep deprivation is a form of torture.  The studies in medical literature are immense when it comes to the far-reaching effects of poor sleep on your health and ability to detox especially in your brain.  Some are cited below and quite depressing if you are someone who struggles with sleep. I don’t recommend you look at these studies if it will only serve to increase your stress level (skip the next paragraph if this is you.)  

Cognitive decline, neurologic degeneration, depression, increased incidence of cardiovascular events and worse health outcomes of almost all kinds are illustrated in studies of sleep deprivation.  In one study done as old as 1894 by a Russian scientist, the complete absence of sleep was fatal in puppies after only a few days. Aaaak!

I encourage you to find the root cause of your sleep dysfunction, whether it’s mild or severe.  There may be nothing more important for vibrant health and vitality, brain function and absolute happiness than a good night’s sleep!  

May you sleep effortlessly, restfully, all the way through the night.  And live a beautiful, happy, long, healthy and active life.:-)

Stress Reduction techniques and sleep – the studies are astounding!

  • Meditation (a favorite meditation app, Calm)
  • Mindfulness stress reduction
  • Breathwork
  • Exercise
  • Yoga
  • Therapy that helps you work on the underlying stressors in life or old trauma and patterns that keep you awake at night.  My favorite is EMDR (Eye Movement Desensitization and Reprocessing)  
  • Laughing out loud
  • Creative Visualization
  • The body scan
  • A gratitude practice
  • Love and dropping into your heart

 

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656292/
https://www.ncbi.nlm.nih.gov/pubmed/9322273
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5489575/
https://academic.oup.com/sleep/article/26/2/117/2709164
https://journals.lww.com/psychosomaticmedicine/Abstract/2000/03000/Symptoms_of_Stress_and_Depression_as_Correlates_of.14.aspx
https://bmjopen.bmj.com/content/7/7/e014920?utm_source=trendmd&utm_medium=cpc&utm_campaign=jnis&trendmd-shared=1&utm_term=TrendMDPhase4&utm_content=Journalcontent
https://www.ncbi.nlm.nih.gov/pubmed/24136970
https://en.wikipedia.org/wiki/Glymphatic_system

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Boulder Holistic
303-390-1245

2355 Canyon Blvd.   |   Suite 102   |   Boulder, CO 80302

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