Matt Beyer, Author at 911爆料 /author/matthew-beyer/ The Standard of Excellence in Integrative Medicine Thu, 11 Jun 2026 16:41:02 +0000 en-US hourly 1 https://wordpress.org/?v=7.0 /wp-content/uploads/2020/01/cropped-favicon-32x32.png Matt Beyer, Author at 911爆料 /author/matthew-beyer/ 32 32 An End is a New Beginning /an-end-is-a-new-beginning/ Fri, 13 Dec 2024 14:00:14 +0000 /?p=237042 This year leading up to graduation has been nothing short of transformative. Since starting in the 911爆料 clinic, I have immersed myself in the intricacies of evaluating and managing chronic conditions鈥攁 dream I鈥檝e held since childhood.

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This year leading up to graduation has been nothing short of transformative. Since starting in the 911爆料 clinic, I have immersed myself in the intricacies of evaluating and managing chronic conditions鈥攁 dream I鈥檝e held since childhood. During my preceptorship, I took this to the next level, gaining firsthand experience with functional lab testing, such as microbiome analysis, comprehensive hormone panels and nutrient testing. I learned to synthesize complex histories, physical exam findings and lab results, translating them into actionable treatment plans to help people heal naturally. Both the 911爆料 clinic and my preceptorship offered unique opportunities to work through multi-faceted cases requiring critical thinking and collaboration鈥攕kills I will carry with me for the rest of my career.

As I step into this next chapter, I鈥檓 excited to build upon the foundation I鈥檝e worked so hard to create. This week, I will earn my Doctor of Chiropractic degree while also holding the title of 鈥淐ertified Functional Medicine Clinician,鈥 achieved through additional coursework. My focus now shifts to completing my board certification in functional neurology, which entails both written and practical examinations. Over the next several months, my focus outside of clinical care will be on studying the intricacies of clinical neuroscience. In the meantime, I鈥檓 thrilled to officially join the team at Integrative Brain and Body, this time as a doctor. This new role will allow me to apply the knowledge and hands-on experience I鈥檝e accumulated, further refining my skills while helping patients achieve better health outcomes.

Closing this chapter of education is bittersweet. I have spent 3.5 years of my life at 911爆料, and there are aspects I will deeply miss. I will miss the swans and their indifferent affection. I will miss the countless hours I spent at the gym job, studying neurological pathways amidst the sound of slamming weights and pounding bass. Most of all, I will miss the 鈥済oblin sessions鈥濃攖he library study marathons shared with some of the guys in my cohort. Yet, I look forward to leaving these moments of joy and struggle behind as I embark on this new chapter. Graduation doesn鈥檛 signify the end of my academic journey; rather, it marks the beginning. My time at 911爆料 serves as the foundation upon which I will build mountains of knowledge.

I鈥檓 excited about the opportunity to continue learning while contributing back by teaching. Since I鈥檒l be practicing just down the street at Integrative Brain and Body, I plan to stay heavily involved鈥攔eturning to teach at the Functional Neurology Club and sharing clinical pearls from my early trials and triumphs in practice.

As this is my final blog, I want to thank everyone who took the time to read these. I鈥檝e loved writing since middle-school English class, though I鈥檝e always known my greatest passion lies in studying the human body and helping others. Combining these two passions has been a beautiful experience. I hope you鈥檝e enjoyed reading my posts as much as I鈥檝e enjoyed writing them.

Cheers! – Matt Beyer

Read more about Matt鈥檚 journey here.

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Beyond the Brain: Effects of Concussions /beyond-the-brain/ Fri, 29 Nov 2024 14:00:58 +0000 /?p=236932 Persistent post-concussion syndrome (PCS) is more common than many clinicians or patients might expect, affecting up to 22% of individuals who sustain a concussion.

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Persistent post-concussion syndrome (PCS) is more common than many clinicians or patients might expect, affecting up to 22% of individuals who sustain a concussion. (1) Unlike the acute effects of traumatic brain injuries, PCS represents a chronic condition that persists for months, years or even decades after the initial trauma. These patients often face debilitating symptoms that impair their quality of life, yet the condition is often underdiagnosed or dismissed. As health care providers, it is crucial to address PCS holistically, recognizing its wide-ranging effects that go far beyond the brain.

Neurological Findings in Persistent Concussion Syndrome

Persistent PCS often presents with a constellation of neurological symptoms that can profoundly affect daily functioning. Visual convergence issues, for example, are common, leading to difficulty reading or focusing on close objects. (2) 聽Vestibular dysfunction, such as dizziness or balance problems, adds another layer of disability, frequently resulting in falls or reduced activity levels. (2) Cognitive difficulties like poor memory and concentration are hallmark features, often described by patients as 鈥渂rain fog.鈥 (3) 聽The emotional toll of these symptoms cannot be overlooked; many patients experience irritability, depression or chronic fatigue, compounding their struggles. These issues highlight the critical need for a comprehensive, multidisciplinary approach to care.

The Gut-Brain Connection in PCS

Emerging research underscores the role of gut health in chronic PCS. Traumatic brain injuries can induce systemic inflammation, disrupting the gut-brain axis. (4-8) This leads to increased intestinal permeability, or 鈥渓eaky gut,鈥 which perpetuates neuroinflammation and exacerbates symptoms. (9,10) Dysbiosis, or imbalances in gut microbiota, may further drive this process, contributing to cognitive impairment, mood disorders and systemic fatigue. (11) Addressing gut health through improving brain health, dietary interventions, specific probiotics and targeted supplementation can be a pivotal component in managing PCS effectively.

Hormonal Imbalances and Chronic PCS

The endocrine system often takes a hit in the aftermath of a concussion, particularly when the hypothalamic-pituitary axis (HPA) is disrupted. Dysregulation of sex hormones (like testosterone and estrogen), cortisol and thyroid hormones can manifest as chronic fatigue, poor stress tolerance and mood instability. (12- 15) Growth hormone deficiency is another common yet underappreciated sequela of concussion, associated with cognitive deficits and decreased quality of life. (15) These hormonal findings are likely attributed to how concussions specifically affect the anterior pituitary gland, where many of these hormones are released or regulated. Therefore, identifying and treating these hormonal imbalances via thorough hormone analysis and evidence-based interventions is critical in helping patients recover fully.

Conclusion

Persistent post-concussion syndrome is a multi-faceted condition that demands a broad clinical lens. From the brain to the gut to the endocrine system, its effects ripple through the body, leaving patients with a range of chronic, debilitating symptoms. This information should also inspire clinicians to consider previous mild traumatic brain injuries as a root cause of a patient鈥檚 chronic complaints. 聽By addressing the neurological, gastrointestinal, and hormonal dimensions of PCS, clinicians can provide more effective, individualized care. In doing so, we must appreciate how the brain interacts with other bodily systems and truly support recovery for the whole person.

Read more Doctor of Chiropractic 鈥 Illinois Student Blogs here.

References:

  1. van der Vlegel M, Polinder S, Toet H, Panneman MJM, Haagsma JA. Prevalence of Post-Concussion-Like Symptoms in the General Injury Population and the Association with Health-Related Quality of Life, Health Care Use, and Return to Work.聽J Clin Med. 2021;10(4):806. Published 2021 Feb 17. doi:10.3390/jcm10040806
  2. Master CL, Bacal D, Grady MF, et al. Vision and concussion: symptoms, signs, evaluation, and treatment. Pediatrics. 2022;150(2):e2021056047. doi:10.1542/peds.2021-056047.
  3. McInnes K, Friesen CL, MacKenzie DE, Westwood DA, Boe SG. Correction: Mild Traumatic Brain Injury (mTBI) and chronic cognitive impairment: A scoping review.聽PLoS One. 2019;14(6):e0218423. Published 2019 Jun 11. doi:10.1371/journal.pone.0218423
  4. Xu W, Yue S, Wang P, Wen B, Zhang X. Systemic inflammation in traumatic brain injury predicts poor cognitive function.聽Immun Inflamm Dis. 2022;10(3):e577. doi:10.1002/iid3.577
  5. Witcher KG, Eiferman DS, Godbout JP. Priming the inflammatory pump of the CNS after traumatic brain injury.聽Trends Neurosci. 2015;38(10):609-620. doi:10.1016/j.tins.2015.08.002
  6. Norden DM, Muccigrosso MM, Godbout JP. Microglial priming and enhanced reactivity to secondary insult in aging, and traumatic CNS injury, and neurodegenerative disease.聽Neuropharmacology. 2015;96(Pt A):29-41. doi:10.1016/j.neuropharm.2014.10.028
  7. Hanscom M, Loane DJ, Shea-Donohue T. Brain-gut axis dysfunction in the pathogenesis of traumatic brain injury.聽J Clin Invest. 2021;131(12):e143777. doi:10.1172/JCI143777
  8. Soriano S, Curry K, Sadrameli SS, et al. Alterations to the gut microbiome after sport-related concussion in a collegiate football players cohort: A pilot study.聽Brain Behav Immun Health. 2022;21:100438. Published 2022 Mar 1. doi:10.1016/j.bbih.2022.100438

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Part IV Boards: The Final Boss /part-iv-boards-the-final-boss/ Fri, 15 Nov 2024 14:15:59 +0000 /?p=236857 For one last time, I get to use writing a blog post as a welcome reprieve from board studying鈥攖his time, it鈥檚 for Part IV, the final board exam. This is the part of the boards I鈥檝e been most anxious about since I first learned of its existence. Part IV is the practical portion...

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For one last time, I get to use writing a blog post as a welcome reprieve from board studying鈥攖his time, it鈥檚 for Part IV, the final board exam. This is the part of the boards I鈥檝e been most anxious about since I first learned of its existence. Part IV is the practical portion, where you walk into a room, and any simulated clinical situation can take place. The breakdown of the exam includes three case histories, six rooms where we must perform specified orthopedic and applicable neurological physical exams, a physical exam room (where we鈥檒l either examine the patient鈥檚 heart, lungs or abdomen鈥攄epending on their complaint), and five adjustment set-up rooms. All rooms (aside from the adjustment set-up rooms) have 鈥減ost-encounter probes,鈥 where we must answer questions related to diagnosis and applicable treatment/referral based on findings from the room.

At this point, this exam is mostly a review of things we鈥檝e done time and time again throughout the Chiropractic Medicine curriculum. We鈥檝e even had practicals simulating this type of exam in Physical Diagnosis and Advanced Diagnosis. However, this is the main event鈥攖he final board exam we all need to pass to become licensed after graduation. I鈥檝e been consistently seeing real patients over the past 11 months, but there鈥檚 something much more nerve-wracking about a choreographed encounter with a simulated patient while a doctor sits in the room, grading your every move. For these reasons, field doctors have described Part IV of the board exam as the 鈥渆asiest yet most nerve-wracking鈥 section.

Ultimately, the Part IV board exam represents the culmination of years of study, practice, and perseverance. Each encounter is a reminder of the skills we鈥檝e honed and the knowledge we鈥檝e accumulated. While this final exam may be the most cumbersome, it truly represents a significant milestone toward a rewarding career in chiropractic medicine.

I鈥檝e found that the best way to fight the nerves is with preparation, and with that preparation comes confidence. This last hurdle before graduation and licensure is here, giving my peers and me one final chance to prove we鈥檙e ready to bring our skills and compassion to the real world.

Learn more about career support for 911爆料 Doctor of Chiropractic students here.

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The Carnivore Diet: A Whole-Food Win or Microbiome Misstep? /the-carnivore-diet-a-whole-food-win-or-microbiome-misstep/ Fri, 01 Nov 2024 13:15:03 +0000 /?p=236774 The carnivore diet has recently surged in popularity, promising rapid weight loss and improvements in various health conditions. While the appeal of an all-meat approach is strong, it鈥檚 essential to consider both its potential benefits and limitations...

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The carnivore diet has recently surged in popularity, promising rapid weight loss and improvements in various health conditions. While the appeal of an all-meat approach is strong, it鈥檚 essential to consider both its potential benefits and limitations. Equally important is recognizing the role of dietary diversity鈥攑articularly from vegetables鈥攊n supporting gut health and overall well-being.

Preliminary research and anecdotes indicate that many individuals on the carnivore diet report significant health benefits. A survey published in Current Developments in Nutrition surveyed 2,029 adults who had adhered to this diet for at least six months. The results were compelling: 95% of participants noted improvements in overall health, with 89% experiencing increased energy levels and 85% reporting enhanced mental clarity. Among those with diabetes, a remarkable 98% reported improvements or even resolution of their condition, along with significant reductions in glycated hemoglobin levels and medication use (1). While these findings are promising, the survey methodology is inherently weak, relying on self-reported outcomes without controlled conditions. Thus, while anecdotal and preliminary evidence suggests potential benefits, caution is warranted before fully endorsing this restrictive diet.

In my opinion, the carnivore diet works for people simply because it is a whole-food diet. The prevailing theory in functional medicine is that the standard American diet, filled with ultra-processed foods, serves as an inflammatory trigger for a variety of health conditions. By removing these processed foods, refined sugars and artificial additives, the carnivore diet effectively eliminates many of the common dietary culprits linked to chronic inflammation. Without these triggers, individuals may experience relief from symptoms that previously seemed unmanageable, leading them to attribute this improvement to the carnivore approach itself. However, the success may stem less from the absence of plant foods and more from the removal of inflammatory ingredients that compromise gut health, disrupt metabolic processes and promote insulin resistance. Thus, the carnivore diet might be beneficial not because of what it includes, but because of what it excludes.

One of the most significant concerns surrounding the carnivore diet is its neglect of vegetable diversity, which plays a crucial role in fostering a healthy microbiome. The microbiome鈥攁 complex community of microorganisms residing in the gut鈥攊s vital for digestive health, immune function and even mental well-being. A diverse diet rich in plant-based fibers helps maintain a balanced microbiome. In contrast, the absence of dietary fiber from vegetables can lead to dysbiosis, a microbial imbalance that is linked to various health issues, including inflammation, obesity and chronic diseases. (2-5)

In conclusion, while the carnivore diet presents some intriguing short-term benefits for certain individuals, it fundamentally overlooks the vital role of vegetable diversity in supporting gut health. The microbiome鈥檚 influence on nearly every aspect of health cannot be overstated, and a balanced approach that incorporates both animal and plant sources is likely to be the most effective strategy for sustainable health. As the debate around the carnivore diet continues, it is essential to weigh its potential benefits against the need for a diverse, fiber-rich diet that promotes overall well-being.

Read more blogs by Matt Beyer, 911爆料鈥 Doctor of Chiropractic-IL student blogger here.

Sources:

  1. Lennerz BS, Mey JT, Henn OH, Ludwig DS. Behavioral Characteristics and Self-Reported Health Status among 2029 Adults Consuming a “Carnivore Diet”.聽Curr Dev Nutr. 2021;5(12):nzab133. Published 2021 Nov 2. doi:10.1093/cdn/nzab133
  2. Boulang茅 CL, Neves AL, Chilloux J, et al. Recent insights of obesity-induced gut and adipose tissue dysbiosis in type 2 diabetes. Curr Dev Nutr. 2022;6(1):nzab131. doi:10.1093/cdn/nzab131. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10575740/ 1
  3. Wani K, Rahman S. Editorial: Dysbiosis, obesity, and inflammation: interrelated phenomena causes or effects of metabolic syndrome? Front Immunol. 2023;14:1112032. doi:10.3389/fimmu.2023.1112032. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616948/ 2
  4. Cani PD, Amar J, Iglesias MA, et al. Gut microbiota as a trigger for metabolic inflammation in obesity and type 2 diabetes. Front Immunol. 2020;11:571731. doi:10.3389/fimmu.2020.571731. Available from: https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2020.571731/full 3
  5. Massier L, Sweeney TE, Denson LA, et al. Dysbiotic gut bacteria in obesity: an overview of the metabolic mechanisms and therapeutic perspectives of next-generation probiotics. Front Nutr. 2021;8:687164. doi:10.3389/fnut.2021.687164.

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911爆料 Clinic Reflections /nuhs-clinic-reflections/ Fri, 18 Oct 2024 13:30:26 +0000 /?p=236696 The start of 2024 marked the beginning of my lifelong journey into clinical practice. January was my first trimester in the clinic. As an 8th-trimester student, I navigated the initial anxieties of patient care, learning how to use the EHR system while striving for clinical efficiency.

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The start of 2024 marked the beginning of my lifelong journey into clinical practice. January was my first trimester in the clinic. As an 8th-trimester student, I navigated the initial anxieties of patient care, learning how to use the EHR system while striving for clinical efficiency. By the 9th trimester, I found my footing and realized that this profession was indeed the right path for me. Each day, I woke up excited to see the patients with whom I had built strong rapport. By the 10th trimester, the foundations of my personal clinical framework had begun to take shape, setting the stage for my continued growth.

Left to right: 911爆料 Illinois Doctor of Chiropractic interns Syed Quddoos, Lizzy Francis and Matthew Beyer.

I am deeply grateful for the shift peers and supervising clinician I had the opportunity to work with at 911爆料. My clinician, Dr. Jurik, has unique expertise across many areas鈥攈olding certifications in perinatal care, craniosacral therapy, acupuncture and being a licensed dietitian with extensive training in functional medicine. Her wide-ranging skills allowed our shift to encounter a diverse set of patients, giving us exposure to the types of care we hope to specialize in ourselves. This experience demonstrated firsthand the profound impact that lifestyle, functional and medicine can have on a person鈥檚 quality of life. Dr. Jurik鈥檚 guidance has made me feel confident in handling complex cases as I step into real-world practice.

I would also like to express my appreciation for my peers on the clinic shift. We truly had a 鈥渄ream team,鈥 with each intern contributing a unique perspective to clinical care. If you鈥檙e new to my blog posts, you鈥檒l know I鈥檓 passionate about the intersection of nutrition, lifestyle (functional medicine) and neurological rehabilitation (functional neurology). However, my peers each had a different focus, such as musculoskeletal rehabilitation, acupuncture and pediatric/perinatal care. This diversity allowed us to provide integrative health care to a wide variety of patients, supporting their overall health in nearly all aspects.

After my invigorating experience at the 911爆料 clinic, I have transitioned to my preceptor clinic, where I am now under the supervision of Dr. Holmes at Integrative Brain & Body – a family wellness clinic offering chiropractic, functional medicine and functional neurology. The doctors at Integrative Brain & Body address chronic health complaints holistically, educating patients on the best lifestyle habits, nutrition, exercise and supplementation tailored to their unique physiology. I am thrilled to have found a practice that aligns with my clinical philosophy and professional aspirations! Now, as I step into this new chapter, I am eager to embrace the opportunity to learn and grow in my specialty areas.

For more information about 911爆料 clinical opportunities, click here

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The Cerebellum & ADHD /the-cerebellum-adhd/ Fri, 04 Oct 2024 13:05:09 +0000 /?p=236574 Attention Deficit Hyperactivity Disorder (ADHD) has long been viewed through the lens of executive function deficits, with attention focused primarily on the prefrontal cortex, dopamine, and/or norepinephrine deficiencies.

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Attention Deficit Hyperactivity Disorder (ADHD) has long been viewed through the lens of executive function deficits, with attention focused primarily on the prefrontal cortex, dopamine, and/or norepinephrine deficiencies. However, emerging evidence supports another brain structure鈥檚 critical role in the coordination of thoughts and attention. The cerebellum, classically known for its role in the coordination of movement, coordinates our thoughts in the same way. This provides fascinating implications into the value of not only rehabilitating the cerebellum for movement or vestibular disorders, but for cognitive disorders as well.

The cerebellum, which means 鈥榣ittle brain鈥 in Latin, is a structure located at the back and bottom of the brain. Although this 鈥榣ittle brain鈥 constitutes only 10% of total brain volume, it contains nearly 50% of the brain鈥檚 neurons. The cerebellum compares what the brain intends for the body to do with what the body actually does, fine-tuning our movements accordingly. So, when there is a problem with somebody鈥檚 cerebellum, we start to see uncoordinated or inaccurate movements, a phenomenon referred to as 鈥榙ymestria.鈥 聽More recently, researchers have found that problems with the cerebellum can also result in dysmetria of thought 鈥 disruptions in how we think and process information.

A growing body of literature supports the link between cerebellar dysfunction and ADHD symptoms. This relationship is particularly interesting with the realm of function neurology, as it shows that the cerebellum plays a crucial role not just in motor control but also in cognitive coordination. This opens the door to exploring how cerebellum-focused exercises may help improve symptoms in those with ADHD.

One study that explored this idea was conducted by Janmohammadi et al., titled 鈥淓ffect of a Visual Tracking Intervention on Attention and Behavior of Children with Attention Deficit Hyperactivity Disorder.鈥 The researchers aimed to test whether specific eye-tracking exercises could enhance cognitive function in children with ADHD. They found that the group performing these exercises showed significant improvements in cognitive performance, behavior and hyperactivity. Specifically, they observed better outcomes on tasks like the Continuous Performance Test (CPT).

The exercises included smooth pursuit eye tracking while on a tilt board, which activated not only the visual system but also vestibulocerebellar pathways. As children tracked stimuli that suddenly appeared on a screen, they were asked to recall where each appeared. Another beneficial exercise involved tracing lines in different orientations (vertical, horizontal and diagonal) with a laser pointer while keeping the head in a fixed position. These tasks, which rely heavily on the cerebellum鈥檚 role in controlling smooth and precise eye movements, showed marked improvements in ADHD symptoms.

Ultimately, these findings reinforce the broader idea that the cerebellum鈥檚 role in ADHD extends beyond just motor control. As we continue to explore the cerebellum鈥檚 cognitive functions, treatments that focus on this 鈥渓ittle brain鈥 may prove to be a game-changer for ADHD and other neurodevelopmental conditions. This approach presents a low-risk, non-pharmacological option for managing ADHD, either as a standalone treatment or an adjunctive one.

Have you ever wondered about specialty topics within chiropractic or neuroscience? Learn about research opportunities at 911爆料 here.

References:

  1. Carrick Institute for Graduate Studies, Inc. Clinical Neuroscience Module 08: Cerebellum. Carrick Institute; 2021.
  2. Janmohammadi S, Haghgoo HA, Farahbod M, Overton PG, Pishyareh E. Effect of a visual tracking intervention on attention and behavior of children with Attention Deficit Hyperactivity Disorder.聽J Eye Mov Res. 2020;12(8):10.16910/jemr.12.8.6. Published 2020 Apr 22. doi:10.16910/jemr.12.8.6

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The Gut, Brain & Body: It鈥檚 All Connected /the-gut-brain-body-its-all-connected/ Fri, 20 Sep 2024 13:00:37 +0000 /?p=236411 By now, most of us are aware that the gut, brain and body are connected in ways beyond digestion. Just a decade ago, leaky gut 鈥 more formally known as intestinal permeability 鈥 was dismissed as a 鈥減seudoscientific concept鈥 with no bearing on health or disease. Today, Intestinal permeability is recognized...

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By now, most of us are aware that the gut, brain and body are connected in ways beyond digestion. Just a decade ago, leaky gut 鈥 more formally known as intestinal permeability 鈥 was dismissed as a 鈥減seudoscientific concept鈥 with no bearing on health or disease. Today, Intestinal permeability is recognized as a potential factor in various conditions, including inflammatory bowel, autoimmune, neurodegenerative and even neoplastic diseases (1,2).聽 Similar leaps are being made in our understanding of the gut microbiome and how when its imbalanced (a process called 鈥渄ysbiosis鈥), it may contribute to anything from degenerative disc disease to psychiatric illness to cardiovascular disease (3, 4, 5).

While a whole textbook can be written on this topic, I鈥檓 going to take a wild stab at simplifying (hopefully without completely butchering) these concepts. Essentially, there are two crucial components to gut health: 1. intestinal barrier integrity (the converse of leaky gut/intestinal permeability) and 2. a diverse, pathogen-free gut microbiome. If the gut barrier loses its integrity, excess food particles and bacterial pathogens can enter the blood stream 鈥 leading to an overactive immune system and inflammation. Additionally, when the gut microbiome becomes imbalanced 鈥 this leads to less anti-inflammatory byproducts made by our 鈥榞ood鈥 bacteria and more of the pro-inflammatory byproducts made by the 鈥榖ad鈥 guys. Since inflammation is a key driver of most chronic diseases, it鈥檚 no surprise that both the loss of gut barrier integrity and an imbalanced microbiome are closely linked to a wide range of health conditions.

So low-grade inflammation may explain why gut health relates to different diseases throughout the body, but how does it relate directly to brain health? The most intricate connection between the gastrointestinal (GI) system and brain is through the vagus nerve. This famous and be-loved nerve transmits signals between the brain and the GI system. Because of this two-way communication, the health of the gut doesn鈥檛 just impact the brain, but the health of the brain (and vagus nerve in particular) impacts the gut as well. This is why we not only see neurodegenerative conditions (like Parkinson鈥檚 Disease) linked to gut inflammation, but we also see inflammatory GI diseases when there is diminished output from the brain back to the gut. In a modern approach to health care, it is essential that we leverage these pathways. This is done by improving the 鈥渜uality鈥 of these signals between the gut and brain. We can enhance the quality of these signals by optimizing the two key components of gut health by simultaneously improving the vagus-to-gut pathway.

As research continues to deepen our understanding of the gastrointestinal system and its far-reaching impact on the rest of the body, it鈥檚 becoming clear that maintaining gut health is crucial for overall well-being. From digestive disorders to neurodegenerative diseases and even chronic pain, maybe Hippocrates was on to something when he famously proclaimed, 鈥淎ll disease begins in the gut.鈥 Modern science is now affirming this insight, and it鈥檚 time for modern medicine to keep up.

Learn more about 911爆料鈥 Doctor of Chiropractic program here

References:

  1. Pardo-Camacho C, Esp铆n-Jaime B, Mart铆n-Torres M, N煤帽ez-Montero B, Plaza-D铆az J. The Role of Intestinal Permeability in the Development of Non-Alcoholic Fatty Liver Disease: A Comprehensive Review. Int J Mol Sci. 2020;21(13): 4787. doi:10.3390/ijms21134787.
  2. Fasano A. Zonulin, Regulation of Tight Junctions, and Autoimmune Diseases. Ann N Y Acad Sci. 2012;1258(1):25-33. doi:10.1111/j.1749-6632.2012.06538.x.
  3. Houser, M.C., Tansey, M.G. The gut-brain axis: is intestinal inflammation a silent driver of Parkinson鈥檚 disease pathogenesis?.聽npj Parkinson’s Disease3, 3 (2017).
  4. Andrioaie IM, Duhaniuc A, Nastase EV, et al. The Role of the Gut Microbiome in Psychiatric Disorders.聽Microorganisms. 2022;10(12):2436. Published 2022 Dec 9. doi:10.3390/microorganisms10122436
  5. Novakovic M, Rout A, Kingsley T, et al. Role of gut microbiota in cardiovascular diseases.聽World J Cardiol. 2020;12(4):110-122. doi:10.4330/wjc.v12.i4.110

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The Schism of Perfectionism /the-schism-of-perfectionism/ Fri, 16 Aug 2024 13:00:31 +0000 /?p=236192 Strong motivation is a ubiquitous trait among all health care professionals. Without this internal drive, one would never be able to make the short-term sacrifices required to go through all the education and training necessary to reap the long-term rewards of this field. For many of my peers and me...

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Strong motivation is a ubiquitous trait among all health care professionals. Without this internal drive, one would never be able to make the short-term sacrifices required to go through all the education and training necessary to reap the long-term rewards of this field. For many of my peers and me, this internal drive transcends mere motivation and is better characterized as perfectionism. Perfectionism is the ultimate double-edged sword. This trait can simultaneously propel students to become great doctors, while quietly undermining their well-being and satisfaction.

On one hand, perfectionism can be an invaluable asset. This drive to excel pushes students to immerse themselves in their studies, ensuring they grasp every detail and leave no stone unturned.聽 In a field where knowledge is so critical, this level of dedication to one鈥檚 craft can translate to exceptional clinical competence, confidence and patient outcomes. Students who are perfectionists become better doctors through extra learning outside of school, and by consistently holding themselves to a higher standard.

However, the flip side of perfectionism is its potential to rob students and future doctors of joy and fulfillment. The constant pressure to meet impossibly high standards can lead to a pervasive sense of inadequacy. I equate perfectionism to a bottomless pit, in which no matter how great one鈥檚 external achievements are, they will never feel good enough. It is important to recognize this tendency, rather than constantly believing that each next external accomplishment will fill that persistent void.

Conquering perfectionism as student doctors requires a shift in mindset, one that embraces progress over perfection. It鈥檚 important to remember that our journey in chiropractic and naturopathic medicine is not about being flawless, but about growing and learning from our experiences. We must learn to set realistic goals and celebrate small victories, understanding that mistakes are not a reflection of our worth, but opportunities for growth. Cultivating self-compassion is key; it allows us to forgive ourselves for inevitable missteps and maintain our passion for helping others. By balancing our drive for excellence with a healthy dose of self-kindness, we can thrive in our studies and future practice without letting perfectionism steal our joy.

For more information about what it鈥檚 like to be a doctor of chiropractic intern, read Matt鈥檚 blogs here.

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TMAO: A Link Between Gut Microbiota & Cardiovascular Disease /link-between-gut-microbiota-cardiovascular-disease Fri, 02 Aug 2024 13:00:11 +0000 /?p=236108 Trimethylamine N-Oxide (TMAO) is a metabolite produced by certain gut bacteria during the digestion of nutrients such as choline, phosphatidylcholine and L-carnitine found in red meat, fish and eggs. TMAO has been strongly correlated with cardiovascular disease...

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Trimethylamine N-Oxide (TMAO) is a metabolite produced by certain gut bacteria during the digestion of nutrients such as choline, phosphatidylcholine and L-carnitine found in red meat, fish and eggs. TMAO has been strongly correlated with cardiovascular disease (CVD) via platelet hyperactivity, increased foam cell responses and decreased reverse cholesterol transport (2,3).

It has been proposed that this may be part of the reason why some of these foods, specifically red meat, are correlated with heart disease. However, there is no guarantee that your specific gut bacteria will produce TMAO when you eat choline- and L-carnitine-rich foods. TMAO, therefore, illustrates the nuances that should be appreciated in nutritional sciences and functional medicine. For instance, the Mediterranean diet is largely regarded as one of the best diets for longevity and prevention of disease. Yet, this diet, consisting of a lot of choline-rich fish, may greatly increase TMAO levels in people with a certain gut microbiome composition. Many people report remission of chronic diseases and other miraculous health results with the carnivore diet, yet this may be creating a cardiotoxic soup of TMAO in the gastrointestinal tract of some populations. With cardiovascular disease being the silent killer that it is, I argue that TMAO should be assessed in anybody who plans to eat foods linked to its increase.

While I dream of a future where we can all fully assess our microbiomes and how they may relate to a variety of specific diseases, these types of tests are still very much in their infancy and do not offer much more than telling us whether our bacteria are good or bad. Therefore, the best way to assess whether you have TMAO-producing bacteria (those with the TMA lyase) is to simply test TMAO via a blood test when eating a typical diet of these foods. If you aren鈥檛 someone who eats red meat, fish, or eggs, then TMAO doesn鈥檛 have to be a concern for you. However, these foods can offer many health-promoting nutrients as long as your gut microbiome agrees with them鈥攁gain, the nuance of nutrition.

Like anything in the nutrition world, TMAO is not without controversy. It鈥檚 important to note that TMAO is correlated with CVD risk and not necessarily causative. Some theorize that TMAO levels are a marker of other underlying processes or conditions that contribute to cardiovascular risk, rather than a direct cause of CVD. It has also been shown to have some protective functions, such as supporting the immune system and offering protective effects on cells from hydrostatic and osmotic pressure (4).

My current verdict on TMAO is that there is much more evidence to show that it is harmful than beneficial, especially at higher levels. I also appreciate that it is a relatively inexpensive marker (about $20) that can tell us a lot more about our gut microbiome. The good news about the microbiome is that it is highly adaptable, so this might be the motivator some people need to address their gut health so that they can enjoy that delicious grass-fed steak.

For more information about 911爆料 University鈥檚 Doctor of Chiropractic program, click here.

References

  1. Ahmadmehrabi S, Tang WHW. Gut microbiome and its role in cardiovascular diseases.Curr Opin Cardiol. 2017;32(6):761-766. doi:10.1097/HCO.0000000000000445
  2. Duttaroy AK. Role of Gut Microbiota and Their Metabolites on Atherosclerosis, Hypertension and Human Blood Platelet Function: A Review.Nutrients. 2021;13(1):144. Published 2021 Jan 3. doi:10.3390/nu13010144
  3. Zhang Y, Wang Y, Ke B, Du J. TMAO: how gut microbiota contributes to heart failure.Transl Res. 2021;228:109-125. doi:10.1016/j.trsl.2020.08.007
  4. Nowi艅ski A, Ufnal M. Trimethylamine N-oxide: A harmful, protective or diagnostic marker in lifestyle diseases?.Nutrition. 2018;46:7-12. doi:10.1016/j.nut.2017.08.001

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Boards Over Beaches /boards-over-beaches/ Fri, 19 Jul 2024 13:15:18 +0000 /?p=235972 I鈥檓 writing this blog post as a sweet reprieve from what feels like endless studying for boards. Next week, I take both Part 3 as well as the Physiotherapy (PT) portion of exams required by the 911爆料 Board of Chiropractic Examiners (NBCE). Just about a month ago...

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I鈥檓 writing this blog post as a sweet reprieve from what feels like endless studying for boards. Next week, I take both Part 3 as well as the Physiotherapy (PT) portion of exams required by the (NBCE). Just about a month ago, I had finished taking Part 2 boards. With these back-to-back June and July exams, it鈥檚 safe to say my summer has been consumed.

For those unaware, a Doctor of Chiropractic (DC) is required to take four parts of boards to be licensed in any of the 50 United States. Then, there is a 5th PT portion that is only required in some states. Even though I plan on practicing in Illinois, a state that doesn鈥檛 require the PT exam for licensure, I want to keep my options open and take on this smaller exam while I鈥檓 in this board studying mindset.

Sure, it鈥檚 been a bummer to my summer having to study for boards, but there is some silver lining. I have found the content of Part 3 (composed of clinical science questions and case management vignettes) generally engrossing and applicable compared to the previous board exams. As a doctor in training, this is all very important stuff to know 鈥 how to manage a case yourself, where to refer out and when to get advanced imaging.

The way I鈥檝e managed boards is by taking it piece by piece. A more specific strategy that has worked for me is starting an hour a day of board studying about a month before the examination. I highly recommend breaking this information into bite-sized chunks, rather than letting it become overwhelming as the exam nears.

At 911爆料 University, we are lucky to have a great curriculum with repeated exposure to all the content on these board exams. This makes studying for boards just a big review. Therefore, it鈥檚 best to take inventory on what may not have stuck the first time around in school and really hammer it into your brain come boards. For me, anything neuro or lab-related comes easy, but dermatology is still giving me a run for my money.

As I dive into the final sprint of this summer exam marathon, it鈥檚 evident by my paleness that my beach days have been swapped for study sessions. While others are perfecting their tan lines, I鈥檓 perfecting my clinical approach and identification of radiographic signs. Here鈥檚 to hoping that all this hard work pays off, and I鈥檒l soon be trading in my review note-packets for some well-deserved relaxation. Until then, it鈥檚 one more coffee and back to the grind!

Click here to learn more about career support in 911爆料鈥 Doctor of Chiropractic program.

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