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Understanding IBS

Triggers and ways to find relief

By Jane Eklund

Irritable bowel syndrome (IBS) is common, affecting roughly 10 to 15 percent of US adults, including twice as many women as men.

Whether or not your healthcare team has provided a diagnosis (over 90 percent of cases have not yet been diagnosed), you may suffer from abdominal cramps, bloating, constipation, diarrhea, or excessive gas.

What Is IBS?

Formerly known as colitis, nervous colon, or spastic bowel or colon, this group of symptoms occurs in a bowel that shows no obvious signs of disease. 

Doctors now classify IBS as a functional gastrointestinal disorder, or problem with the way the brain and gut work together.

The syndrome is more likely if a family member suffers from it; there has been a severe digestive tract infection; or stressful life events (such as child sexual abuse) have occurred.

Forms of IBS

IBS comes in four types according to a person's predominant bowel habits:

  • IBS-D

    IBS-D, or IBS with diarrhea, is the most common subtype. Its symptoms include abdominal discomfort, pain or cramps in the stomach, gas, and diarrhea: regular loose stools and urgency to move the bowels.

  • IBS-C

    IBS-C, or IBS with constipation, produces abdominal discomfort, pain and bloating, and constipation: straining and difficulty in moving the bowels, infrequent bowel movements, and hard stools.

  • IBS-M

    IBS-M, or IBS with mixed symptoms—sometimes referred to as IBS-A, for alternating—produces symptoms of both IBS-D and IBS-C.

    People with IBS-M swing back and forth from diarrhea to constipation.

  • IBS-U

    IBS-U, or undefined IBS, produces variable symptoms. Stool consistency does not meet the criteria for the other types of IBS.

Managing IBS Symptoms

IBS has no cure, but the condition is not life-threatening. Symptom management can involve lifestyle changes, stress reduction, and diet adjustments.

Know Your Trigger Foods

There's no list of foods that everyone with IBS needs to avoid. Triggers can vary from person to person. Pay attention to foods that consistently seem to bring on symptoms such as bloating, abdominal pain, diarrhea, or constipation. 

Some common potential triggers include:

  • High-FODMAP foods: Certain poorly absorbed carbohydrates can be rapidly fermented by gut bacteria, contributing to gas, bloating, pain, and changes in bowel habits. Examples include onions and garlic; apples, pears, and some other fruits; beans and lentils; wheat- and rye-based foods; and high-fructose corn syrup.
  • Milk and other lactose-containing foods.
  • Sugar alcohols such as sorbitol, mannitol, xylitol, and maltitol are frequently used in sugar-free gum and candy, protein bars, and reduced-sugar foods. 
  • Carbonated drinks
  • Caffeine
  • Beans
  • Cruciferous vegetables like broccoli and Brussels sprouts
  • Wheat
  • Red peppers and green onions
  • Red wine
  • Nutritional and weight-loss supplements

Some people find relief through the low-FODMAP diet. FODMAPs are fermentable sugars and fiber found in some dairy products, fruit, grains, legumes, and veggies, that are difficult for some people to digest. 

If you decide to follow a low-FODMAP diet, you can still eat foods like rice, potatoes, quinoa, wheat-free bread, lactose-free dairy products, fish, eggs, chicken, beef, and certain fruits and veggies. You will want to avoid garlic, onions, beans, lentils, sausage, battered fish, breaded meats, gluten-based breads, certain fruits (including blackberries, watermelon, pears, and peaches), and certain nuts (including cashews, almonds, and pistachios).

One recent study found that 71 percent of people with IBS who followed a low-carbohydrate, high-fat diet experienced significant reductions in IBS symptoms. 

Working with a gastroenterologist and a dietitian with IBS experience can help you sort through all this.

Lifestyle

Emotional stress can set off IBS as well. Exercise, deep breathing, biofeedback, acupuncture, yoga, a soothing cup of tea—cultivate relaxation methods to keep anxiety at bay.

Supplements

Some supplements have been shown to be helpful. Here’s what the research shows:

  • Probiotics

    Scientists are studying probiotics as a treatment for IBS and other GI disorders with similar symptoms, as an imbalance in the gut microbiota could be a cause of symptoms brought on by IBS.

    For instance, one study of patients with celiac disease who had IBS-type symptoms despite following a gluten-free diet found that those given probiotics for six weeks had a significant decrease in symptoms compared to the placebo group.

    A scientific review suggested that combining probiotic and prebiotic supplementation with the low FODMAP diet could have promise for management of IBS.

    While both treatments have been effective for some people with the condition, the probiotics and prebiotics would serve to counter the drop in Bifidobacteria caused by the FODMAP diet.

  • Boswellia Extract

    Several people with IBS but no other conditions were assigned to treatment groups for four weeks.

    • People in one group were given hyoscine butylbromide, a medication used to treat cramps.
    • Those in the second group were given papaverine hydrochloride, which is a vasodilator, plus belladonna extract.
    • Those in the third group were given supplements of boswellia extract (250 milligrams per day).

    Symptoms improved in all groups. The number of people who needed medical attention for IBS decreased significantly in the boswellia group only.

  • Peppermint Oil

    Scientists analyzed 12 randomized studies including 835 patients to determine the effect of peppermint oil as a treatment of IBS. They found that peppermint oil is safe and effective in treating pain and other symptoms in adults with IBS.

Exercise

Aerobic exercise, such as moderate-intensity walking three times a week, can contribute to less anxiety and depression related to GI issues.

Talk to Your Doctor

If you don’t have a diagnosis but think you may have IBS, talk with your healthcare practitioner. Other conditions can create similar symptoms, so you’ll want to rule them out.

Also, medication is available for people who need additional help managing the symptoms. Your healthcare provider will help you determine which of the four types of IBS you have, as the medication prescribed varies depending on type.

Looking for Supplements?

Explore the most researched ingredients for: 

  • bone health
  • joint health
  • stress
  • sleep 
  • brain health
  • and more!

“Altered gastrointestinal microbiota in irritable bowel syndrome and its modification by diet: Probiotics, prebiotics and the low FODMAP diet” by Heidi M. Staudacher and Kevin Whelan, Proceedings of the Nutrition Society

“Clinical and microbiological effect of a multispecies probiotic supplementation in celiac patients with persistent IBS-type symptoms: A randomized, double-blind, placebo-controlled, multicenter trial” by R. Francavilla et al., Journal of Clinical Gastroenterology

"Definition & facts for irritable bowel syndrome"; "Symptoms & causes of irritable bowel syndrome" National Institute of Diabetes and Digestive and Kidney Diseases, www.niddk.nih.gov

"Dietary interventions should be first-line treatment for IBS," www.garstroendonews.com

"Effect of a low FODMAP diet in irritable bowel syndrome: systematic review and network meta-analysis" by C.J. Black et al., Gut

“The impact of peppermint oil on the irritable bowel syndrome: A meta-analysis of the pooled clinical data” by N. Alammar et al., BMC Complementary Alternative Medicine and Therapies

“Supplementation with a lecithin-based delivery form of Boswellia serrata extract (Casperome) controls symptoms of mild irritable bowel syndrome” by G. Balcaro et al., European Review for Medical and Pharmacological Sciences

“Understanding the 4 types of irritable bowel syndrome: IBS-C, IBS-D, IBS-M/A and IBS-U,” www.medicine.com

Contributor

Jane Eklund

Jane has a rich, diverse background in both literary and journalistic writing, including book reviews, poetry, and history.

Nan Fornal

Nan Fornal has experience with fiction, nonfiction, and technical publications, working closely with book and magazine publishers from first edit to final proofing. She has worked with Exeter Press, Boston magazine, and self-publishers alike.

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Autumn Simmer Pot Recipes

Warming Stovetop Potpourri for The Fall Season

By Lisa Fabian

Autumn brings with it falling leaves, cooler days, and the innate desire to feel cozy against the encroaching chill of winter.

What better way to chase away the cold than with the soothing aromas of plants, spices, and herbs?

Adding fresh and dried aromatics to a do-it-yourself simmer pot, also known as stovetop potpourri, offers a natural way to scent your home.

What's a Simmer Pot?

Simmer pots, also known as stovetop potpourri, freshen the air naturally.

Fragrant ingredients like fresh fruits and herbs are simmered in water over the stovetop, infusing a space with gentle aromas.

If you're not familiar with them, read up on the basics of making and using simmer pots.

What Is a Simmer Pot?

If you aren’t familiar with simmer pots, they’re easy and quick ways to add fresh and clean fragrances to your home. Combinations of natural ingredients are simmered in a pot of water set over the stove. The heat and steam from the warmed mixture causes the ingredients’ natural essential oils to be released into the air. The result: a comforting and relaxing aroma fills the room.

Why Use a Simmer Pot?

Why go through the trouble of creating a simmer pot when you can just light a candle or plug in an air freshener?

Unfortunately, many store-bought candles are made from petroleum-based paraffin and artificial scents. Plug-in air fresheners aren’t much better with their synthetic fragrances. Many of us are sensitive to these manufactured ingredients, which can lead to headaches and have been linked to an increased risk of asthma in children and adults. For a cleaner and more natural way to add fragrance to a room, try a simmer pot.

Welcome Sweater Weather

Not only do simmer pots increase the warmth factor in your home, they also infuse the air with extra humidity during autumn’s typically drier days. They’re a great way to banish offensive kitchen odors too.

Simmer Pot Tips

Let It Simmer

*The longer a simmer pot simmers, the better the results. Let a pot simmer for at least three hours to effectively infuse the air. Remove the pot from the heat overnight to prevent a fire hazard while you’re sleeping. 

Pan Size Matters

Smaller saucepans tend to release aromas more effectively. But you’ll need to stay close to the stove, as the water level will evaporate more quickly.

Ingredient Tips

*Substitute your favorite juice for the water (try cranberry, grape, apple, or pear).

*Save apple, pear, and citrus fruit peels, as well as those last remnants at the bottom of a spice jar, and put them to good use in a simmer pot. Consider freezing the peels until you’re ready to use them.

*Simmer pot ingredients can be reused a second time, provided you refrigerate them between simmer sessions. The smell may not be as strong, but it will still be lovely.

If you don’t have a particular herb or spice in your kitchen, or you don’t want to use up your expensive spices, try substituting or adding in various tea bags (chai, black, or herbal blends). Keep in mind that a couple of bags are needed per simmer blend to release the tea’s aromas.

Making an Autumn Simmer Pot

The aromas of fall bring to mind rich spices and flavorful fruits:

  • cloves
  • cinnamon
  • nutmeg
  • apples
  • pears
  • oranges

If some of these scents aren’t your thing, no problem. Simmer pots are meant to be creative and customizable, so there are no hard-and-fast rules when it comes to ingredients or their measurements.

Be open to experimentation when it comes to a simmer pot. Better yet, base it on what you have readily available.

Simmer Pot Recipes for Fall

Embrace fall with the following simmer pot blends that will keep you in an autumnal spirit. Follow the instructions on setting up a simmer pot, and add the ingredients for the recipe you select below.

  • Apple-Ginger Pie

    • 2 organic apples, sliced
    • 1-inch fresh ginger root
    • 4 cinnamon sticks
    • 4 star anise
    • 1 tsp whole cloves
    • 1 tsp cardamom pods
  • Autumn Woods Walk

    • 1 tsp dried sage
    • 1 tsp dried thyme
    • 1 tsp dried rosemary
    • 1⁄2 tsp fenugreek
    • 1⁄4 tsp peppercorns
  • Chai Spice

    • 3 black tea bags
    • 3 cinnamon sticks
    • 1-inch fresh ginger root
    • 1 tsp cardamom pods
    • 1 tsp whole cloves
  • Cranberry Crisp

    • 1 1⁄2 cups fresh cranberries
    • 1⁄4 cup fresh ginger root 
    • 2 tsp allspice
    • 1 tsp whole cloves
    • 1 tsp vanilla extract
    • Zest of 1 organic orange
  • Ginger Spice

    • 1⁄4 cup fresh sliced ginger root
    • 1 Tbsp whole cloves
    • 1 Tbsp allspice 
    • 3 cinnamon sticks 
  • Pumpkin Pie

    • 4 cinnamon sticks
    • 1 Tbsp pumpkin pie spice
    • 1 Tbsp vanilla extract
    • 2 tsp whole cloves 

Using Essential Oils

Consider adding a few drops of essential oil to your simmer pot.

Essential oils perfect for fall-themed recipes include:

  • ginger
  • clove
  • orange
  • vanilla
  • cardamom
  • black pepper
  • sage
  • thyme
  • cinnamon

“5 of the best simmer pot recipes for fall and winter . . .” by Amna Muqeem, Homes & Gardens, www.homesandgardens.com, 2024

“11 simmer pot recipes to make your home smell like fall” by Cambria Bold, www.ApartmentTherapy.com, 10/31/23

“12 homemade natural simmer pot recipes for fall” by Sarah, www.SarahBlooms.com, 10/12/20

“Easy DIY trick to make your home smell like fall,” www.CreativeHealthyFamily.com, 11/19/22

Interested in making a simmer pot?

Here's some info on how to make a simmer pot, and some more helpful tips and ideas.

Contributor

Lisa Fabian

Contributing Editor

Lisa Fabian is an award-winning freelance writer with more than 25 years of experience in the publishing industry. She's enjoyed covering topics as diverse as arts and crafts, boating, food, and health and wellness.

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Natto in a Capsule

From traditional dish to modern supplement

By Nan Fornal

Natto, a dish native to Japan and becoming popular elsewhere, is made by fermenting soybeans with the bacterium B. subtilis. The result is a sticky, stringy, pungent high-protein food rich in probiotic bacteria. 

In Japan, natto is often eaten with rice at breakfast. Its characteristic ammonia-like smell comes from fermentation, which produces nattokinase—an enzyme studied for cardiovascular health benefits, including supporting healthy blood pressure, cholesterol, and circulation. 

In addition to nattokinase, natto offers biological activity from its enzymes, vitamins, proteins, and amino acids. Research suggests these components support bone health and exhibit antioxidant and antibacterial activity.

Natto’s exceptionally high level of vitamin K2, especially the form menaquinone-7 (MK-7), supports bone health by directing calcium into bones, increasing bone density and helping to prevent osteoporosis and fractures, especially in postmenopausal women. 

Research Results

A study, published in Frontiers in Cardiovascular Medicine, with more than 1,000 participants found that a dose of 10,800 fibrinolytic units (FU) of nattokinase per day for a year “effectively managed the progression of atherosclerosis and hyperlipidemia with a significant improvement in the lipid profile.” A lower dose, of 3,699 FU per day, was ineffective according to the study authors. 

A literature search (in Reviews in Cardiovascular Medicine) “supports that nattokinase can be used as an effective adjunctive therapy for hypertension,” but the authors suggest that “relatively low-dose supplementation of nattokinase may have no significant lipid-lowering effect.” 

Cautions

Those who are allergic to soy should discuss consumption of natto or nattokinase supplements with their healthcare providers, as should anyone who takes blood-thinning medication. And because supplements are more concentrated than food, taking too much may increase risk of excessive bleeding. 

 

 

Contributor

Nan Fornal

Nan Fornal has experience with fiction, nonfiction, and technical publications, working closely with book and magazine publishers from first edit to final proofing. She has worked with Exeter Press, Boston magazine, and self-publishers alike.

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Penne with Butternut Squash and Chicken Sausage

By The Taste for Life Test Kitchen
A bowl of penne with butternut squash and chicken sausage, garnished with sage

Courtesy BLM Photography

Prep Time
45 minutes prep time
Number of Servings
Serves 4
Ingredients
  • 8 oz whole-grain penne pasta
  • 2 cups peeled and cubed butternut squash (1⁄2 inch pieces)
  • 1 Tbsp olive oil
  • 1 cup low-fat milk
  • 1⁄2 tsp dried sage
  • 1⁄2 tsp salt
  • 1⁄4 tsp black pepper
  • 1 Tbsp cornstarch
  • 1 cup grated Parmesan cheese, divided
  • 2 cups chopped pre-cooked chicken sausage links
  • 1⁄2 cup whole pecans
Directions
  1.  Preheat oven to 400°.
  2.  Cook pasta according to package directions. Set aside.
  3.  Toss squash with oil in a medium bowl. Place squash in a roasting pan. Cook for approximately 15 minutes, until a fork easily pierces through squash.
  4.  In a saucepan set over medium heat, heat milk until just boiling. Reduce heat to medium low. Add sage, salt, and pepper. Mix cornstarch with 1 tablespoon of water. Add cornstarch to milk mixture, slowly whisking constantly until mixture thickens. Whisk in 1⁄2 cup of the cheese until sauce is smooth.
  5.  Heat sausage over stove or in microwave. Toss with cooked pasta. Fold sauce into pasta mixture. Divide among 4 plates. Garnish each plate with remaining cheese and pecans. 
Nutrition Info

571 Calories, 27 g Protein, 67 g Carbohydrates, 4 g Fiber, 25 g Total fat (7 g sat), 759 mg Sodium, ★★★★★ Vitamin A, Phosphorus, ★★★★ Vitamin C, Calcium, Magnesium, ★★★ Vitamin B1 (thiamine), B3 (niacin), ★★ Vitamin B2 (riboflavin), B6, Iron, Potassium, Zinc, ★ Vitamin B12, E, K

Contributor

The Taste for Life Test Kitchen

The Taste for Life staffers have a wide variety of backgrounds and dietary needs. We're always experimenting in the kitchen, and love to share what we cook—and what we learn in the process.

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Understanding Common Foot Problems

By Ann Louise Gittleman, Ph.D., C.N.S.
We host blogs from some of the leading voices in natural health and wellness. Opinions and views expressed by the author are their own, and do not necessarily represent those of Taste For Life or its editorial staff. Please contact Ann Louise Gittleman, Ph.D., C.N.S. with any questions about this content.

Your feet have a lot to tell you about your overall health.

How many times do you say, “I need to get off my aching feet” and then forget about them? It’s so important to pay attention to common foot problems and have a firm foundation underneath you. 

Look down at your feet. Those small appendages are supporting the weight of your entire body. That’s no easy task, and the right footwear is essential for good foot mechanics.

According to the American Podiatric Medical Association, 80 percent of Americans report suffering from foot pain and other common foot problems. It’s not hard to imagine that when your feet aren’t happy, it radiates up to your knees, hips and even your back. It’s also not hard to believe that diseases affecting the rest of your body also show up in your feet.

What Common Foot Problems Say About Your Health

Cold Feet

Do your feet ice your partner right out of bed? Common causes of cold feet include poor blood circulation (often as a side effect of smoking), high blood pressure, heart disease, hypothyroid, and anemia. Sympathetic dominance and adrenal fatigue cause increased blood flow to vital organs and less blood flow to extremities, making feet cold. While warm socks may take the chill off, increasing circulation by addressing the root cause is the best long-term solution.

Swollen Feet

Gravity isn’t always your friend. Blood and lymph flow are easy going down to the feet, but the veins have to carry it back. Instead of a pump system, veins have valves that open and close to work blood back up to the heart. This means swollen feet are a common foot problem – usually temporary, often caused by standing or sitting for long periods, especially during travel or pregnancy. 

If your feet are swollen on a regular basis, this can be caused by poor circulation, kidney issues, hypothyroid, impaired lymphatic drainage, or a blood clot.

Burning Feet

If you feel a burning sensation in your feet, check first for a fungal infection. Signs of athlete’s foot can range from tightness and burning sensations in the skin to rashes, cracks, and fissures in the skin, and more. 

If no infection is present, then check for B vitamin deficiencies, poor circulation from peripheral artery disease, diabetes, and chronic kidney disease. If a podiatrist finds blockages in the arteries of your feet, this is a sign you likely have arterial blockages elsewhere in your body.

Itchy Feet

Skin that is itching and scaling is most commonly caused by the athlete’s foot fungal infection, but can also be a sign of psoriasis, an autoimmune condition. 

In the case of psoriasis, the skin is thicker and may have a red, raised rash in the areas of the peeling skin. 

You can also have an allergic reaction to skin care products or a reaction to chemicals your feet are exposed to. This is known as contact dermatitis, and usually goes away on its own once the source of irritation is removed. Borage oil taken internally is a great ally to soothe irritated skin.

Toenail Issues

Your toenails can tell you a lot about your health.

White Toenails

White toenails that separate from the nail bed can be caused by injury, nail infection, or psoriasis. Systemic illnesses like liver or kidney disease, or congestive heart failure can also cause white toenails, but these nails don’t lift up from the nail bed or appear inflamed.

Yellow Toenails

Thick, yellow toenails can be caused by fungal infection, lymphatic drainage issues, lung disease, psoriasis, or rheumatoid arthritis. Spoon-shaped toenails that curve up at the end are a sign of frequent exposure to petroleum products and solvents or a sign of anemia and iron deficiency.

Rounded or Sloping Toenails

If you notice your toenails becoming more rounded and sloping downward, this is clubbing and can be a sign of lung disease and problems with oxygen absorption. Less commonly this can be caused by heart disease, liver disease, digestive disorders, infections, or even heredity.

Change in the Color of Your Toes

Raynaud’s disease can cause toes to first turn white, then red, and sometimes even blue in response to change in temperature or stress. Raynaud’s is often related to autoimmune thyroid diseases, Sjogren’s disease, and rheumatoid arthritis, so if you have red, white or blue toes, it’s time to get this evaluated.

Losing the Spring in Your Step

If you notice you’re starting to trip more easily or your feet are dragging, you may be losing sensation in your feet, which is caused by nerve damage from diabetes, nutrient deficiency (B vitamins), infection or alcoholism. 

If your gait is widening or you notice a foot drop, where your feet seem to almost slap the ground as you walk, these are signs of spinal cord issues (most commonly low back), neurologic diseases and muscle disorders. It’s time to seek professional help if your gait has changed.

Foot Sores That Don’t Heal

If you have a sore on your foot that’s taking a long time to heal, this is a red flag for diabetes. Both diabetes and peripheral artery disease impair circulation and sensation in the feet, making sores prone to slow healing and infection. In both these cases regular foot checks are essential.

Dark Spots on Your Feet

A dark spot anywhere on the feet or even underneath the nails isn’t likely to be an infection, but could be a melanoma skin cancer, which pops up even in areas that aren’t regularly exposed to the sun. Make sure you get any dark spots checked out by a dermatologist – you want to catch this deadly cancer as quickly as possible.

The Many Causes of Foot Pain

Start with Your Shoes

The most common cause of foot pain by far comes from ill-fitting shoes. The most stylish shoes are the biggest culprits in foot distress, but you may be surprised to find they aren’t the only villains. There are 4 main types of shoes to stay away from:

  1. Tapering Toe Boxes

    The natural shape of the foot is widest at the toes and tapers in toward the heel. However, most shoes for women and men – from athletic shoes and casual shoes to dress shoes – taper in at the toe. High-heeled shoes are the most notorious culprit – often tapering to a sharp point. Toes can’t conform to this shape, so the result is everything from toe deformities, bunions, and osteoarthritis, to pain disorders that extend all the way up into the knee, hip, and low back.

  2. Raised Heels of Any Size

    There is no heel height that’s sensible – not even cowboy boots. Any heel elevation shortens the tendons and muscles in the back of the leg as well as impairing the natural blood flow. There are women who have worn heeled shoes for so long that the posterior tendons and muscles have shortened to the point they can’t walk barefoot or in flat shoes without pain and deformity. Wearing shoes with an elevated heel also changes your normal gait and eliminates your natural arch support. Wearing heels changes the alignment of the body from the ball of your foot all the way up to your pelvis, which has to tilt back to accommodate the change in the pull of gravity forward. This not only impacts the back but also the pelvic organs.

  3. Shoes with Toe Spring

    Most common in athletic shoes, any shoe that turns up at the toes overstretches the tissues on the bottom of the foot and can lead to plantar fasciitis, neuromas in the ball of the foot, and even shin splints. If your shoes are flexible and lightweight, you can minimize toe spring by folding the shoes in half with the sole of the toes touching the sole of the heels and placing it under a heavy object to hold it in this shape for up to 48 hours.

  4. Inflexible Soles

    Shoes with a heavy, inflexible sole – including arch supports – prevent the necessary flattening of the arch during walking. They also reduce the sensitivity to the terrain you’re walking on and you’re more likely to misstep, causing injury and balance issues. A rigid sole limits the range of motion of the foot much like a cast does, and can cause atrophy of the foot muscles, making them dependent on orthotics or extra cushioning to be able to function.

Stealth Pain

Another common cause of foot pain is stress fracture, from intense exercise, like distance running or basketball. Weakened bones from osteopenia or osteoporosis increase this risk. If you have intense or nagging foot pain that persists no matter what you do, get an x-ray to make sure you don’t have a stress fracture.

Heel Pain

If you feel heel pain first thing in the morning when you hop out of bed, chances are you’re suffering from plantar fasciitis, a common inflammation of this long ligament that attaches to the heel bone. Stretching exercises, ice (fill a 12-20 ounce plastic bottle with water, freeze, then roll under the arch of the foot), therapeutic ultrasound, and kinesiotape work wonders with plantar fasciitis. A good physical therapist can’t be beat when it comes to this common painful problem.

Other causes of heel pain include bone spurs, tendonitis, arthritis, fracture, tumor, or infection. Excessive exercise or wearing one of the 4 types of shoes that cause foot pain are also common causes.

Foot Spasms

There’s nothing worse than having a muscle spasm in your foot while wearing laced up shoes or boots. Rubbing or massaging the spasm out is the quickest way to relief. Long-term relief comes from testing for nutrient deficiencies, like Vitamin D (a blood test), or mineral imbalances, like calcium, potassium, and magnesium.

Make sure you’re not dehydrated or overworking tired foot muscles, and check your circulation as well as the fit of your shoes. If you are pregnant or have a thyroid disorder, this can also cause frequent muscle spasms in the feet.

Toe Pain

Big Toe Pain

Sudden pain, heat, swelling and redness at the base of the big toe are the hallmarks of gout, an inflammatory condition which causes an increase in uric acid and a painful, swollen joint. If the pain is worse in the morning, the joint is stiff, and there’s no heat or redness, then osteoarthritis is the likely culprit. If it’s difficult to bend the joint you may have developed a bone spur as a complication of the arthritis. If the pain comes on suddenly as a result of an injury, you may have turf toe, a common ailment of athletes who play on hard surfaces.

Pain in Other Toes

If you have burning pain in the ball of your foot that radiates to your middle toes, or feel like you’re walking on a marble, then you may have a Morton’s neuroma, which is the thickening of tissues around a nerve, caused by injury or pressure on the toes from ill-fitting shoes or high heels. Not surprisingly, this foot issue is 10 times more common in women than it is in men.

Toe Deformities

Toes that bend upward then curve down at the end, resembling a claw are called claw toes. Claw toes can be caused by shoes that are too tight or by diseases that damage nerves, like diabetes, neurologic disorders, or alcoholism.

If the joint on one of your toes is pointing upward rather than lying flat, you may have a hammertoe or mallet toe. These happen when the muscles in the toes and ball of foot aren’t working together correctly, usually caused by wearing high-heeled shoes. Caught early, all of these deformities can be helped by stretching and toe exercises, but prescribed shoes and even surgery may be necessary.

Find Relief by Returning Your Feet to Their Most Natural State

Returning your feet to their most natural state is the best answer to most pain-related foot problems, as well as the musculoskeletal problems that are an extension of these issues. Wear shoes that support the natural alignment of your feet and allow them to move and stretch freely, working all the small muscles that support and give the feet strength in all directions. Stretch and strengthen your feet, and consider reflexology, massage, and physical therapy when dealing with pain, deformities, or transitioning from any of the 4 types of shoes that cause foot issues.

Contributor

Ann Louise Gittleman, Ph.D., C.N.S.

Ann Louise Gittleman, PhD, is a New York Times award-winning author of 30 books on detox, health, and healing, including the international bestselling Fat Flush Plan and Zapped! Visit her blog and join her online Fat Flush Community.

What Is SAMe Good for?

Natural compound may support mood, joint comfort, and liver health

By Nan Fornal

If you’ve heard of S-adenosyl-l-methionine, you’re likely more familiar with its nickname, SAMe (which is pronounced like the name Sammy). But you may not know what it does.

What Is SAMe?

Produced naturally by the body from the amino acid methionine, this compound “acts on a number of important molecules including hormones, neurotransmitters, fatty acids, DNA, proteins, and cell membranes,” according to a fact sheet published by Memorial Sloan Kettering Cancer Center. 

Research results suggest that SAMe has anti-inflammatory and antidepressant properties. People generally use SAMe to treat “depression, osteoarthritis, and liver disease,” according to Mayo Clinic staff.

Possible Uses of SAMe

  • Arthritis: Researchers have shown SAMe to be as effective as conventional treatments for osteoarthritis, but more studies are needed before the compound is recommended for pain.
  • Liver disease: Some studies showed promise in treating chronic liver disease and drug-induced liver toxicity, but in both cases, more research is needed to confirm safety and effectiveness. 
  • Depression: A review published in the Annals of General Psychiatry found that “existing trials of SAMe . . . have shown encouraging and generally positive results.” The authors noted that “SAMe has demonstrated the ability to induce a valid and effective antidepressants effect, with remarkably few side effects and a relatively rapid onset of action.” 

SAMe Side Effects

Generally mild, side effects may include flatulence, headache, upset stomach, and nausea and vomiting. 

“Information on the long-term safety of SAMe is limited,” according to the National Center for Complementary and Integrative Health, “because the participants in most studies took it only for short periods of time. However, in one study of alcohol-related liver disease, participants took SAMe for two years; in that study, no serious side effects were reported.” 

Interactions

Use of SAMe with drugs or supplements that increase serotonin levels could lead to serotonin syndrome, a condition in which high levels of serotonin accumulate in the body. The list includes antidepressants, antipsychotics, amphetamines, opioids, and St. John’s wort. 

Check with your healthcare provider before taking SAMe, especially if you already take any of the medications or supplements listed above.

“S-adenosyl-l-methionine (SAMe): In depth,” National Center for Complementary and Integrative Health, www.nccih.nih.gov

“S-Adenosylmethionine (SAMe) in major depressive disorder (MDD): a clinician-oriented systematic review” by A. Cuomo et al., Annals of General Psychiatry, 9/5/20

“SAMe” by Mayo Clinic Staff, www.mayoclinic.org, 8/13/25

“SAM-e: Purported benefits, side effects & more,” Memorial Sloan Kettering Cancer Center, https://www.mskcc.org, updated 11/9/22

Contributor

Nan Fornal

Nan Fornal has experience with fiction, nonfiction, and technical publications, working closely with book and magazine publishers from first edit to final proofing. She has worked with Exeter Press, Boston magazine, and self-publishers alike.

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Why Your Skin Needs Ceramides After 40

Supportive topical products and foods

By Nan Fornal

If it seems like your skin has been getting progressively drier and more reactive as you get older, you’re not imagining it. 

As we age, the skin’s natural protective barrier begins to weaken—and one of the biggest reasons is a decline in the body’s production of ceramides.

These natural fats, members of the sphingolipid family, are found in the outermost layer of skin, where they help keep moisture in. Think of skin cells as bricks—ceramides are the mortar that holds everything together. When ceramide levels start to decline, skin can become dry, sensitive, flaky, and easily irritated.

This can leave skin feeling thinner, rougher, and less able to bounce back.

What Are Ceramides?

Ceramides make up 50 percent of the outer skin layer barrier. But they do more than keep the skin surface moist. They actively repair and maintain the skin barrier itself, something which becomes increasing important as skin ages or becomes stressed by harsh weather, aggressive skin care routines, excessive exfoliation, and too much sun exposure.

Ceramide deficiencies are linked with atopic dermatitis, eczema, and psoriasis. Researchers are in the early stages of testing the usefulness of ceramides in fighting serious conditions such as skin cancer.

Support Your Natural Ceramide Production

Feed your skin from within by eating nutrient-rich, anti-inflammatory foods. Choose omega-3–rich foods such as salmon, sardines, walnuts, and flax as well as sphingolipid-rich foods such as dairy, brown rice, sweet potatoes, eggs, soybeans, and meat—especially poultry. 

Improving your gut health will help improve your skin. Focus on getting plenty of fiber in your diet, eating more fermented foods to support gut microbiome diversity, and avoiding ultra-processed foods. Stay well hydrated, manage the stress in your life, keep physically active every day, and get enough sleep.

How to Use Ceramides

For best results, use products that combine ceramides with other ingredients that are good for the skin. Three categories to look for are emollients, humectants, and occlusives. Emollients help relieve dry and itchy skin; humectants attract moisture; and occlusives lock in moisture—and don’t dissolve in water.

In addition to ceramides, check skincare product labels for glycerin, colloidal oatmeal, hyaluronic acid, and shea butter. For maximum absorption, use these products on damp skin.

Topical moisturizers containing ceramides have been shown to help prevent skin dryness and irritation for people undergoing acne treatment. People with dry, eczema-prone skin who used ceramide-containing creams found improved skin barrier function and hydration after use. Ceramides are also used in medical settings for eczema, very dry skin, and for a compromised skin barrier.

 

 

 

“Ceramides and skin health: New insights” by T.L. Yong et al., Experimental Dermatology, 2/25

“A daily regimen of a ceramide-dominant moisturizing cream and cleanser restores the skin permeability barrier in adults with moderate eczema: A randomized trial” by F. Spada et al., Dermatologic Therapy, 5/24/21

“Function of ceramides in the skin and its relationship with skin disease” by W. Huang et al., Journal of Steroid Biochemistry and Molecular Biology, 8/11/25

“Moisturizers and ceramide-containing moisturizers may offer concomitant therapy with benefits” by C.W. Lynde et al., Journal of Clinical and Aesthetic Dermatology 

“What are ceramides?” https://health.clevelandclinic.org, 4/15/25

 

Contributor

Nan Fornal

Nan Fornal has experience with fiction, nonfiction, and technical publications, working closely with book and magazine publishers from first edit to final proofing. She has worked with Exeter Press, Boston magazine, and self-publishers alike.

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Nutraceuticals and Herbs for Cervical Dysplasia

Supportive integrative strategies

By Dr. Silmacoral López Jiménez

Although it’s one of the most preventable forms of cancer, cervical cancer remains one of the most common among women worldwide. Most cervical cancers develop from cervical dysplasia, a condition in which abnormal cells form on the cervix, usually as a result of infection with high-risk strains of the human papillomavirus (HPV). When HPV infections do not clear naturally, they can lead to cervical intraepithelial neoplasia (CIN) and, over time, cervical cancer.

Many HPV infections resolve on their own, but some factors increase the risk of persistent infection and progression. These include smoking, immune suppression, multiple sexual partners, co-infections, early sexual activity, and nutritional deficiencies. Because cervical dysplasia represents a window of opportunity before cancer develops, supportive therapies may play an important role in prevention and recovery.

Conventional Treatment & the Role of Integrative Care

Management of cervical dysplasia depends on the severity of abnormal cells. Low-grade lesions are often monitored because many regress spontaneously. Persistent or high-grade lesions may be removed. While effective, removal doesn’t address viral persistence, immune function, or tissue repair. This has led to growing interest in integrative and naturopathic approaches that support the body’s ability to clear HPV, repair cervical tissue, and restore a healthy vaginal environment.

Key Nutrients for Cervical Health

  • Folate and vitamin B12 support viral regulation and healthy cell growth. Adequate levels may reduce HPV persistence and disease progression, while deficiencies are linked to increased persistence and abnormal cervical cell changes.
  • Hyaluronic acid is known for skin hydration. In cervical health, it helps restore the protective mucosal barrier and promote healing of the cervical lining. Vaginal use may aid tissue repair and help support spontaneous viral clearance in low-grade cervical lesions, particularly when combined with other reparative compounds.
  • Green tea contains antioxidant catechins, especially EGCG, which has anti-inflammatory, antiviral, and anti-proliferative properties. It may inhibit HPV-positive cervical cell growth, promote apoptosis (death of abnormal cells), and support immune function. Studies evaluating oral and vaginal green tea preparations show improvement in low-grade cervical lesions.
  • Diindolylmethane (DIM), a compound derived from cruciferous vegetables, supports healthy estrogen metabolism and may help shift estrogen pathways toward those associated with lower cancer risk. This mechanism may help reduce proliferation of HPV-affected cervical cells.
  • Coriolus versicolor, commonly known as turkey tail mushroom, has been studied for its immune-modulating and antiviral properties. Topical vaginal gels and oral supplements containing Coriolus versicolor have shown benefits in improving cervical tissue repair, supporting HPV clearance, and promoting a healthy vaginal microbiome. These products are often combined with hyaluronic acid and herbal ingredients, including aloe and neem.

The Vaginal Microbiome

The vaginal microbiome is key to cervical health. A Lactobacillus-dominant environment (e.g., L. crispatus, L. gasseri, L. reuteri) helps maintain an acidic environment and protect against pathogens. Reduced levels are linked to HPV persistence and dysplasia progression, making probiotics a potentially important support strategy.

Immune Support & HPV Clearance

AHCC, a standardized extract derived from shiitake mushroom mycelia, has been studied for immune support and viral infections. While additional research is needed, clinical studies show promising results in AHCC’s ability to support immune function and aid in the clearance of persistent HPV infections.

Note

Any woman interested in integrative approaches should work with a licensed healthcare provider who can develop an individualized plan that incorporates naturopathic medicine as a standalone approach and/or alongside conventional medical care.

“AHCC supplementation to support immune function to clear persistent human papillomavirus infections” by J.A. Smith et al., Frontiers in Oncology, 2022 

“The association of four natural molecules—EGCG, folic acid, vitamin B12, and HA—to counteract HPV cervical lesions . . .” by G. Grandi et al., Journal of Personalized Medicine, 3/22/23 

“Double-blind randomized placebo-controlled multicenter clinical trial (phase IIa) on diindolylmethane’s efficacy and safety in the treatment of CIN . . .” by L. Ashrafian et al., EPMA Journal 

“Efficacy of Coriolus versicolor–based vaginal gel in women with human papillomavirus–dependent cervical lesions . . .” by L. Serrano et al., Journal of Lower Genital Tract Disease, 2021 

“Interactions between serum folate and human papillomavirus with cervical intraepithelial neoplasia risk . . .” by J. Yang, et al., American Journal of Clinical Nutrition, 2018 

“Protective effects of green tea extracts (polyphenon E and EGCG) on human cervical lesions” by W-S Ahe et al., European Journal of Cancer Prevention 

“Therapeutic efficacy of Coriolus versicolor–based vaginal gel in women with cervical uterine high-risk HPV infection . . .” by A.A. Criscuolo et al., Advances in Therapy, 2/21 

The Women’s Encyclopedia of Natural Medicine: Alternative Therapies and Integrative Medicine for Total Health and Wellness by Tori Hudson, ND (McGraw-Hill, 2007)

Contributor

Dr. Silmacoral López Jiménez

Dr. Silmacoral López Jiménez is a naturopathic physician specializing in women’s health and natural medicine. She is on the faculty at the UAGM Gurabo School of Naturopathic Medicine and works as a public speaker and as a clinician at Nature Med Center, her clinic in San Sebastián, Puerto Rico.

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Value Your Veins

Strategies to prevent and treat CVI

By Claire Sykes

Sixty thousand miles—that’s the length of your vascular system. What a journey for your blood! Make it a healthy one.

Your heart pumps blood to your lungs for oxygen, then into your arteries carrying it down to your feet. Calf-muscle contractions push the blood toward your heart, while valves in your calf veins prevent backflow. If valves are weakened or damaged, blood pools in your calf veins, leading to chronic venous insufficiency (CVI). 

Although CVI is irreversible, you can manage and treat it, and maybe even prevent it altogether.

Causes of Chronic Venous Insufficiency

CVI can take years to progress without you knowing, as pressure gradually builds in your leg veins. This happens from prolonged standing or sitting, limited exercise, obesity, pregnancy, or a leg injury or surgery. Smoking can damage veins, which also can weaken with age. Or CVI could run in the family.

“The condition can affect one or both legs. Swelling of the calves and feet is the most common symptom. Second is varicose veins, bulging and twisted veins. With severe insufficiency, skin changes can develop and a wound from an injury in that area may not heal well because of poor blood flow,” says Dr. Lai Chim Chan, ND, associate professor at the National University of Natural Medicine, in Portland, Oregon.

Take Action Against CVI

See your healthcare provider as soon as you notice symptoms. “Mimics include diabetes, heart or kidney problems, hypothyroidism, or lymphedema,” says Chan. “If your legs feel heavy, a venous duplex ultrasound shows how leaky your valves are. Laser treatment for them and/or medicine injected into your veins could help.”

Most likely you can manage—and prevent—CVI with regular exercise that strengthens calf muscles, such as walking uphill or briskly. Compression socks can improve blood flow and reduce swelling, so wear them if you’ll be sitting or standing for a while (your doctor may prescribe them for all-day wear). And take breaks to move your legs and elevate them above your heart.

Drink plenty of water and eat anti-inflammatory foods, including those with flavonoids found in many colorful fruits and vegetables, such as blueberries, red cabbage, and kale.

Supplements for CVI

Chan suggests these herbal extracts for CVI: horse chestnut (Aesculus hippocastanum L.), butcher’s broom (Ruscus aculeatus), French maritime pine bark (Pycnogenol) and grapeseed (Vitis vinifara). Then there’s gotu kola (Centella asiatica). “Consult with your doctor for the right herbs and doses for you,” she urges.

It’s never in vain to care for your veins, CVI or not. A healthy vascular system assures a happy heart.

“Horse-chestnut seed extract for chronic venous insufficiency. A criteria-based systematic review” by M.H. Pittler and E. Ernst, Archives of Dermatology

Personal Communication: Lai Chim Chan, ND

“Therapeutic applications of natural products in the management of venous diseases: a comprehensive review” by R.E. Mustafa et al., Inflammopharmacology, 4/25

“Varicose veins and occupational health: Symptoms, treatment and prevention” by D. Camargo de Lima, Revista Brasileira de Medicina do Trabalho, 12/1/19

Contributor

Claire Sykes

Claire Sykes is a freelance writer based in Portland, Oregon.

She loves that she's always learning about something new, and gets to talk with a wide variety of people, often at such an extent or depth.

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Perfecting the Paleo Diet

By Lili Hanft

Are you thinking of trying the popular paleo diet? Inspired by the diet of our Paleolithic ancestors, the paleo diet emphasizes whole, unprocessed, high-quality meats and vegetables while excluding grains, legumes, sugar, most dairy, and refined vegetable oils.

Many people believe it helps them with health challenges ranging from digestive issues to hormonal imbalances.

With the Paleo Diet, Simplicity is Key

When eating paleo, it’s best to keep it simple if you want to increase your chance of success. While a Google search for “paleo recipes” will turn up countless “paleo-ified” versions of everything from bagels to brownies, these recipes can contain expensive, hard-to-find ingredients that aren’t as nutritious as simpler whole foods.

Simple foods that you likely already know how to cook can make a delicious paleo menu: fried eggs with a side of fresh berries for breakfast; a big salad topped with salmon and avocado for lunch; a bunless burger with a baked sweet potato and roasted broccoli for dinner; almonds and an apple for a snack.

As an added bonus, keeping your paleo diet simple will help you stick to a budget. Focus on the basics: meat, fish, eggs, loads of colorful veggies, some fruits, and fats such as coconut, avocado, and butter. If you have extra room in your budget, you can opt for grass-fed meats and packaged paleo snack bars and protein powders.

Be Prepared with Paleo Meal Prep

Another way to spare your wallet (and your sanity) when going paleo is to focus on meal prep. Consider cooking grass-fed ground beef with lots of veggies (think carrots, broccoli, kale, onion, mushrooms, and the like) on the weekend so you can have meals ready to go during the week. Other paleo staples that can be prepared in advance include hard-boiled eggs, baked sweet potatoes, trail mix, and hearty soups. Having your fridge and freezer stocked with premade, healthy options makes sticking to a paleo diet easier during busy weeks.

Finally, as you make the transition to this ancestral way of eating, listen to your body. Rather than seeing a non-paleo indulgence as a slip-up, see it as a chance to observe how your body feels when you eat different foods. At the end of the day, the best determinant of your ideal diet is how it makes you feel.

Further Reading

Contributor

Lili Hanft

Lili Hanft Hanft is a Functional Nutritional Therapy Practitioner. She works with clients to help them nourish their bodies, feel confident in the kitchen, and tailor their diets to their unique needs and health goals. Lili teaches virtual cooking classes focused on simple, nutrient-dense recipes and meal prep. Learn more on her website and follow her on instagram.

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