Sara Gottfried's Blog, page 3
November 28, 2020
Brain/Body Prebiotic Porridge
This porridge is what I eat when I want something warm and comforting in the morning—or the occasional dinner! It is packed with fiber, which plays an important part in gut health and healthy hormonal balance. Fiber also features in my Brain Body Diet detoxification protocols. Ingredients: 1 cup warm unsweetened almond or cashew milk…
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October 26, 2020
PCOS: Natural Solutions for a Common Hormone Imbalance
What is polycystic ovary syndrome (PCOS)? It is a complex endocrine disorder that affects 20 to 30 percent of women. In medicine, we use the term syndrome to describe a collection of signs and symptoms that don’t necessarily have a single identifiable cause or pathological process. PCOS causes the sex hormones in women to become…
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October 11, 2020
Hot Flashes and Night Sweats: New Data That You Need to Know
The most classic symptoms of low estrogen are hot flashes and night sweats, collectively known as vasomotor symptoms. Vasomotor symptoms are an extreme thermoregulatory response associated with profuse sweating, flushing, and increased heart rate. Vasomotor symptoms can last for seconds to minutes, and frequency varies throughout the day and night. I was taught in medical…
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October 4, 2020
Endometriosis: Diet and Lifestyle Changes That Help
Endometriosis is an often undiagnosed problem that affects 10 to 15% of women.1 What happens with endometriosis is that the cells of the endometrium, or uterine lining, migrate and implant outside the uterus, usually on the ovaries or other pelvic organs, causing inflammation and sometimes extreme pain. This pain usually occurs during their period, although…
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September 8, 2020
Creamy Greens Soup: A Great Source of Calcium
The dairy industry would have us believe that milk is an indispensable source of calcium in our diet as calcium is necessary for healthy bones. What the milk advertisements don’t tell us is that there are many other sources of calcium besides dairy products, and that the mineral is only one of the building blocks…
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August 26, 2020
Bioidentical Hormone Therapy, Part 1: What’s Safe? What’s Smart?
I’ve been prescribing bioidentical hormone therapy since 1994. In the 25+ years since that first prescription for bioidentical hormones, we have evidence for and against their use. This has led to confusion, misinformation, and even guidelines from mainstream medical societies that are not consistently evidence-based.1 Fortunately, a masterful new book sets the record straight: Tapestry…
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August 2, 2020
Hormone Therapy for Women: What Are the Known Risks?
Discussion about hormone therapy for perimenopause and menopause is complex. Questions about safety, timing, and duration typically require a nuanced conversation about a person’s history, diet, lifestyle, risk factors, genetics, blood tests, and cognitive function. This article illustrates why the discussions are complicated and how I approach them. I practice Precision Medicine, which means that…
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July 13, 2020
How Do We Create Antiracist Healthcare?
I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information and inspiration that have influenced me. First is my grandfather, my lifelong mentor, a biracial White/Black man from Texas who played college football and rose through…
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Health Disparity, Racial Weathering, and Social Determinants: How Do We Create Antiracist Healthcare?
I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information that have influenced me. Conversations, particularly a recent interview with integrative physician Andrea Pennington MD. Books, mentioned in this article, including How to Be an Antiracist by…
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June 10, 2020
Racism in Medicine: 5 Disparities That Point to Health Inequality
It’s time to acknowledge the role of racism in medicine in the United States. It’s not just the racism of George Floyd that we witnessed on video at the hands of police, it’s the daily traumatizing experiences of Black Americans at our hands as well in the US healthcare system. While most physicians and other…
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