Trouble Losing Weight?

Are you trying all you know to lose weight without results?

This can be a frustratingly common experience for women and may be caused by a number of imbalances in the body.  Here are the top 5 imbalances I see in clinic which prevent weight loss -

UNDER-ACTIVE THYROID

Yes you could have an under-active thyroid even if your blood tests are 'fine'.  We can test your 3 thyroid hormones and make sure your levels are optimal - not just within range.  Due to Medicare restrictions, GP's normally only test 1 thyroid hormone (TSH), but this alone can't give you a clear picture of thyroid function.  Checking your T4 and T3 will show if you are producing and converting enough thyroid hormones to support healthy metabolism.  Other symptoms of an under-active thyroid include fatigue, brain fog, low mood, constipation, hair loss and dry skin.

HIGH CORTISOL

When you are in an ongoing state of stress, as many women are, you produce more cortisol.  Some cortisol is a good thing, but constant cortisol day after day impairs your metabolism, as your body wants to conserve body stores to deal with the perceived threat.  Cortisol can contribute to more weight around the middle.  Helping to calm your nervous system and reduce cortisol is one of the most important things you can do for your weight and overall health, as excess cortisol has damaging effects all over your body, and can particularly impact other hormone levels.  Ensuring quality sleep is super important for giving your nervous system a chance to rest and recover each day, along with working on other daily stress management - gentle to moderate exercise, spending time in nature, meditation, music or anything that helps you feel calm.

PROGESTERONE AND ESTROGEN IMBALANCE

This imbalance can develop over time from multiple factors including the pill, stress, chemicals and a low fat diet.  Increased weight on the upper arms, chest, hips and thighs is more common with this imbalance.  Many other symptoms can indicate this type of imbalance such as painful or heavy periods, irregular periods, infertility, fibroids, fluid retention, anxiety and moodiness.  A saliva hormone test is a great way to assess your levels and work on restoring balance.

NOT ENOUGH CALORIES OR AN IMBALANCED DIET

A low calorie or low fat diet will encourage your body to hold onto weight as it perceives a shortage of food and nourishment.  Consuming enough protein and healthy fats will keep your blood sugar and energy more stable, keep you full for longer, support hormone production and support weight regulation.  

Too many refined grains and sugars in the diet will contribute to increased insulin - another hormone which can impact weight regulation.  

Focus on 2-3 serves of protein, quality fats and a variety of vegetables as the main components of your diet.  Moderate amounts of whole grains can be beneficial - take notice of how these make you feel to work out the amount that's right for you.  However we don't need 9-11 serves as some dietary guidelines suggest!  

I encourage you to not count calories - just focus on eating whole foods and count nutrients if anything!

POOR GUT HEALTH, LIVER TOXICITY AND INFLAMMATION

Our gut bacteria play a huge role in our health including weight regulation.  We are actually around 10 times more bacteria than human cells and the essential role they play in our health continues to be discovered.  Our bacteria balance is impacted every day from antibiotics, reflux medication, pain medication, processed foods, sugar, alcohol, stress and chemicals including chlorine in tap water.  Probiotics and fermented vegetables can be a great way to support your gut bacteria - however if these cause issues you may have a bacterial overgrowth that needs to be treated first.

Similar influences that impact our bacteria balance can also impact our liver function and levels of inflammation in our body which can also inhibit weight loss.  Underlying inflammation is now being linked to many symptoms and disease states including depression, dementia, obesity, diabetes and auto-immune conditions.

For easy weight regulation our body needs to be in a happy balance - particularly our nervous system, digestion and hormones.  If weight loss is a struggle for you, I'd love to help you work out any underlying reasons and help you reach your ideal weight.

Marion McConnell is a degree qualified Naturopath who helps women with stress, hormone imbalances, anxiety and fatigue.  The clinic is located in New Farm Brisbane, and consultations are also available via Skype.  You can contact Marion here.

Have You Had Your Iron Checked?

While iron is important for men and women, it is especially important for women as we are losing iron every month during our reproductive years!  Iron requirements are also increased during pregnancy and breastfeeding, and low levels are associated with increased risk of infection and low birth weight.  Teenage females also require more as they are going through extra growth and have started menstruating.

Low iron is one of the most common deficiencies I see in clinic.  Are you experiencing any of these symptoms?

• Fatigue

• Dizziness

• Poor memory or concentration

• Hair loss

• Shortness of breath

• Infections / Poor immunity

• Ridged or brittle nails

• Pale skin, lower eyelids and poor capillary refill

• Low mood

• Restless legs

Iron is essential for transporting oxygen around our bodies, supports muscle function and is also involved in producing energy.  Our immunity relies on iron to function optimally as does our ability to convert thyroid hormones to the active form. 

Reasons your iron may be low include - 

• Heavy periods (possibly caused by a hormonal imbalance)

• Pregnancy and/or breastfeeding

• Eating minimal or no red meat

• Vegetarian or vegan diet

• Digestive issues, gluten intolerance, IBS, polyps etc which reduce your ability to absorb iron

• Antacid use or low stomach acid production

• High intake of flour, grains and legumes, coffee, tea or wine. These contain phytates or polyphenols which can bind and inhibit iron absorption

• Underlying infection, inflammation or bleeding

• Regular blood donation

• Worm or parasites which can cause gastrointestinal bleeding

• Heavy metal toxicity, especially lead, or high copper levels (commonly related to low zinc)

TESTING

An iron studies blood test will show you levels of your blood iron and also your iron stores (ferritin).  Ideally your blood level should be over 15 umol/L while ferritin should be over 100 ug/L.  Ferritin can be falsely increased if there is inflammation or infection present, and recent dietary intake can impact test results, so it’s best to do a fasting blood test.

If you have had blood tests that are ‘fine’ but you don’t feel ‘fine’, please see a Naturopath who can give you ideal levels to aim for, rather than just being in the test range which is quite large.  Many women have been told their results are fine, even though they are right at the low end of the range, which is definitely not ideal for feeling great! 

It’s also good to take into account your hemaglobin and red blood cell levels, as these will also decrease with insufficient iron.  

TYPES OF IRON

HEME – animal meat (containing hemaglobin)                                               15-35% absorbed

NON HEME – plant foods (vegetables, spinach, legumes, nuts)                  2-20% absorbed

Non Heme iron is impacted more by other foods in the diet, such as phytic acid (flours, grains, legumes, nuts, seeds) and polyphenols (black tea, coffee, wine) which inhibit absorption. 

Including both types of iron and eating foods away from coffee/black tea/wine as much as possible, and sprouting/fermenting/soaking grains, legumes and nuts to reduce phytic acid, will help you to support optimal iron absorption.   Consuming vitamin C foods such as citrus, capsicum and broccoli can also help increase non heme iron absorption.

Having not eaten red meat for many years, I’m currently having this dilemma – trying to include some meat again or having to take a supplement indefinitely!  I believe it’s best to get as much nutrition as possible from quality foods, as it’s the combination of all the nutrients, and probably other compounds that we aren’t even aware of yet, that make food superior to supplements, which are usually synthetic compounds.  

However, quality supplements do have a place and are a great way to help increase low levels.  It’s good to get your levels checked once or twice a year if you are prone to having low iron, or if you’re supplementing – just to check the supplements are helping and to check you still need supplements, as too much iron is not ideal either! 

Getting your levels checked is also a great way to determine if you are including enough iron in your diet, as the ideal amount to include will vary between women.

Many pharmacy iron supplements can cause constipation and nausea, and are not the most absorbable forms of iron, so it’s best to ask your Naturopath for a good quality supplement.  It’s best to take iron away from other minerals such as zinc, and to take on an empty stomach if tolerated. Good quality iron supplements will also contain vitamin C to help improve absorption.

If you would like to have your iron tested and assess any other areas of your health, I'd love to help you. 

Marion McConnell is a degree qualified Naturopath who helps women with stress, hormone imbalances, anxiety and fatigue.  The clinic is located in New Farm Brisbane, and consultations are also available via Skype.  You can contact Marion here.