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Adrenal Fatigue Treatment Options for Tampa Residents

By |2017-08-17T14:10:36-04:00August 17th, 2017|Adrenal|1 Comment

What do Academy Award-winning actress Gwyneth Paltrow, extreme skier and author of The Art of FEAR Kristen Ulmer, and singer and Instagram personality Kristina Cassandra “KC” Concepcion all have in common? Aside from having great minds for business and very successful careers, each is reported to suffer from Adrenal fatigue — a mild form of adrenal insufficiency.

If you’re unfamiliar with the condition, Adrenal fatigue may occur when the adrenal glands, positioned on top of the kidneys, produce too much or too little stress hormones (including cortisol and adrenaline) due to long-term exposure and response to stress.

Conventional medicine recognizes two adrenal-related diagnoses:

  • Addison’s Disease (low cortisol)
  • Cushing’s Syndrome (high cortisol)

Each of these two diagnoses is relatively rare and requires immediate attention. However, high or low cortisol in the absence of adrenal disease can cause fatigue, body aches, and a host of other symptoms commonly seen in clinical practice. Clusters of these symptoms are what clinicians commonly diagnose as adrenal fatigue.

Defining “Stress”

In the context of adrenal fatigue, stress is anything that triggers the adrenal gland to produce and release stress hormones, including: Continue reading…

The Power of Peptides in Reducing Brain Inflammation

By |2024-03-19T12:47:31-04:00March 19th, 2024|Brain Health|0 Comments

Marilyn, an otherwise healthy 45-year-old woman, first visited our functional medicine and integrative healthcare clinic complaining of unrelenting fatigue, brain fog, loss of concentration, difficulty recalling words, and restless sleep.

She had seen other doctors, and they were unable to offer a diagnosis or any effective treatments. Her brain MRI scans came back as normal, and the neurologists with whom she consulted found no notable dementia or neurological disease that could explain her symptoms.

Her nervous system and brain were seemingly intact. All good from the perspective of conventional medicine, but Marilyn knew better; clearly, her brain was not functioning optimally. Marilyn’s symptoms were classic signs of brain inflammation. We had seen these same symptoms in hundreds of patients in the past. We knew the causes, and we had effective treatments to help her.

Peptides for brain inflammation

In this post, we look at common causes of brain inflammation and the PROVOKE Health approach to treatment, which may include the use of medically prescribed therapeutic peptides such as:

  • Semax
  • Selank
  • Thymosin Beta 4

Exploring the Causes of Brain Inflammation

In Marilyn’s case  many of the   common symptoms of brain inflammation were there: exhaustion, clouded thinking and brain fog, poor sleep, anxiety, and a steep decline in quality of life. But before I (Dr. Lewis) go deeper into the specifics of Marilyn’s case, let’s take a look at the bigger picture.

Other Health Conditions Linked to Brain Inflammation

Numerous health conditions can negatively impact brain health and function, including the following: Continue reading…

Semax: A Therapeutic Peptide for Brain Health and Function

By |2023-07-05T17:39:02-04:00July 5th, 2023|Peptides|1 Comment

Brain health and function are at the very core of our physical, mental, and emotional health and wellbeing. The brain supports — and in many ways orchestrates — cognitive, sensory, motor, social, emotional, and behavioral functions.

Our brain serves as the command center for the body’s central and peripheral nervous systems, controlling nearly every other system of the body — circulatory, respiratory, digestive, muscular, and so on. It is the center of our thoughts and memories, enabling us to learn, work, and be creative and innovative. It’s also the center of our emotions. Thanks to our brains, we can not only live but enjoy our lives and fully realize our potential.

Anything that positively impacts brain health and function enhances our overall health and the quality of our lives, including healthy diet, long-term learning / education, clean water, fresh air, physical activity, intellectual challenges, and constructive relationships.

Many medications and supplements on the market can also be helpful in supporting brain health and function, including omega-3 fatty acids, L-theanine, phosphatidylserine, resveratrol, creatine, choline, ginkgo biloba, B vitamins, vitamin E, caffeine, and others. Currently, my supplement of choice for supporting, restoring, and enhancing brain function is Semax.

Semax peptide illustrated

What Is Semax?

Semax is a therapeutic peptide based on the molecular structure of adrenocorticotropic hormone (ACTH) — a hormone produced and secreted by the pituitary gland to stimulate the release of cortisol (the stress hormone) from the adrenal gland. Semax is best known for having the following three properties: Continue reading…

Why I Take a Consultative Approach to Healthcare

By |2023-01-27T21:45:00-05:00January 27th, 2023|Dr. Matt Lewis|0 Comments

Depending on where you take your vehicle to have it serviced, you’ll deal with either a mechanic or a parts changer. A mechanic conducts a thorough evaluation before doing anything. Your mechanic asks you to describe what’s going on; drives the vehicle, taking note of any strange sounds, vibrations, or odors; visually inspects the vehicle; and runs diagnostics to check for any error codes.

A parts changer makes an educated guess as to what the problem is and then proceeds to change parts until the problem goes away. It can be a costly, time-consuming process that often fails to address the root cause of the problem.

Unfortunately, modern medicine is driven largely by a part-changer mentality. Many doctors spend only a few minutes talking at a patient and reviewing results from lab tests and even less time listening to the patient, coming up with a diagnosis, and generating a thoughtful plan of care. Instead, they jump right to treatments that often include prescription medications — many of which alleviate symptoms without addressing their root cause. Even worse, medications can cause adverse side effects, resulting in a symptom profile that grows longer and more complex with every visit.

In contrast, I take a consultative approach to treating and caring for my patients. This approach is more collaborative and relies far more on listening to my patients, enabling them to play a much more active role in their treatment outcomes.

Image for consultative healthcare

What Is a Consultative Approach?

A consultative approach requires a deep understanding and appreciation of your medical history, family history, lifestyle, life events, and current health conditions and concerns.

The process begins with you completing your functional medicine analysis form, which I review in preparation for your initial consultation, and refer to over the course of your recovery. Your functional medicine analysis is an inventory of your health history and presenting symptoms. In time, we should be checking off symptoms and seeing a trend towards better health and quality of life.

The consultative approach requires good listening in an environment that is not rushed, judgmental, or dismissive. I contrast this to a visit with a more conventional healthcare provider who works in an environment that rewards speed over thoroughness and the importance of building a collaborative doctor-patient relationship.

In this non-consultative scenario, it’s a quick conversation and lab review, followed immediately by knee jerk recommendations. I see this happening today in both conventional and holistic medicine as practitioners build models of medicine based on meeting the demands of insurance providers instead of improving patient outcomes.

Key benefits of a consultative approach to medicine include the following: Continue reading…

Battling Burnout and Building Resistance to It

By |2021-11-08T20:27:04-05:00November 8th, 2021|Mental Health|0 Comments

I enjoy writing about what I commonly treat in my Tampa Functional medicine practice, and one of the most common conditions I treat is burnout.

Few people would consider burnout to be a medical condition, but it is, by far, the root cause of millions of annual doctor visits. Think about it. When your energy stores are totally depleted; you’re feeling overwhelmed by life’s burdens and demands; and you don’t have the time, money, and other resources to give yourself a break; your body becomes more susceptible to all forms of illness.

My grandmother provides the perfect case study in how burnout can impact health and how it can be treated successfully. Her second child, my uncle, was born prematurely and received excess oxygen, which resulted in blindness. My grandmother did a great job caring for him and ensuring that he would have a normal life. At the same time, she was caring for her first child, maintaining the household, and helping my grandfather run their family business.

(Photo ©2018 Daniel Garcia – sourced from Unsplash)

After several years, she started to feel overwhelmed and began experiencing numerous health issues related to her hormones. She eventually developed ovarian cancer. Thankfully, it was detected and treated early and successfully.

Following surgery, she continued to feel overwhelmed, additionally burdened with worries over her health. While she survived the cancer, she still had to care for her children, maintain the household, and assist in the business. She met with her primary care doctor who noticed she was visibly anxious. Back then, prescribing an anti-anxiety medication like Xanax or Valium wasn’t as common as it is now. Instead, the doctor suggested she board a train and go somewhere nice for a few weeks.

Now this may sound like strange advice, it may even strike you as dismissive, but it was — for that day and age — the ideal prescription for treating the root cause of my grandmother’s medical condition. Based on her doctor’s orders, she carved out the time and headed from New York to California to visit some old friends for a few weeks. She returned refreshed, healthy, and relaxed, and from that point on, she experienced no major health issues. She died at the age of 92 and wasn’t taking a single prescription medication.

I tell this story to remind people that life isn’t just about work and responsibilities — and that healthcare isn’t merely about treating illness. With the right approach, we can alleviate and manage stress, replenish our energy reserves, and make our minds and bodies more resilient. I realize not all of us have the time and resources to hop on a train, travel cross-country, and visit friends for weeks at a time. But we all have the power to Continue reading…

Anxiety is Normal But Also a Hindrance to Optimal Health

By |2021-05-19T19:20:42-04:00May 19th, 2021|Brain Health|2 Comments

At some point in our lives, most of us can expect to experience some form of anxiety. It might occur as the result of a life challenge, whether that be a relationship, health issue, work conflict, finance, or traumatic event. Such anxieties are normal and seldom anticipated.

Having said that, I believe it’s important to avoid downplaying the impact that stress has on our lives. It can ruin a person’s health and yet it’s so often treated superficially or worse — it’s blown off by the medical provider.

However, if you are going through a period of acute stress, or you remain in a state of chronic stress and now find yourself feeling fatigued, unmotivated, or irritable, you may be experiencing the negative health impacts of stress. And that stress might possibly be diagnosed as Generalized Anxiety Disorder (GAD).

Anxiety is Normal but Not Optimal.

In our culture — curated as it is by conventional medicine — anxiety is often seen as a disorder and, in such fashion, labeled GAD. However, anxiety is also a normal part of life. It’s a normal part of physiology and in many cases it’s not a disorder. When anxiety becomes a disorder, it is far more obvious to recognize in ourselves and those around us and there is a greater likelihood a diagnosis of GAD will be provided by a psychologist or similar health care professional.

Whether you actually have GAD or just suffer mild to moderate anxiety, it can feel as if you’re being treated for anxiety or depression abstractly, and even with such treatment your health can decline because the underlying issues have not been resolved.

I have observed many patients seeking out functional medicine or holistic medicine who are struggling with a low to moderate anxiety level that doesn’t fit the formal diagnosis of Generalized Anxiety Disorder.

Some men and women can be reluctant in acknowledging their anxiety, while others freely discuss their concerns. It is also common for people to dismiss anxiety or lower the value it has on their health outcomes.  In some ways I think we have the wrong understanding of what anxiety is and how it blocks us from reaching our optimal health.

Breaking anxiety down, I like to classify it as follows:

  1. Generalized Anxiety Disorder — advanced anxiety often benefitting from prescription medication
  2. Moderate/ mild anxiety — successfully treated without the use of prescription medication

Conditions and Symptoms Associated with GAD and Moderate to Mild Anxiety

Anxiety can create or exacerbate many conditions including:

  • Chronic Fatigue
  • Cortisol Imbalances
  • Hormone Imbalance, altered libido or painful cycles
  • Hypoglycemia
  • Irritable Bowel Syndrome (IBS) — Constipation or Diarrhea
  • Insomnia or restless sleep
  • Neurological Symptoms
  • Restless Legs
  • Weight Gain or Loss

Besides the commonly known symptoms of anxiety, which cause worry, upset and inability to relax, there are others, including: Continue reading…

HPA Axis Dysfunction is a Legitimate — and Accurate Medical Diagnosis

By |2022-02-24T14:02:44-05:00August 25th, 2020|Adrenal|3 Comments

I recently read an article on adrenal fatigue posted on a leading medical organization’s website that began with the claim that, “Adrenal fatigue isn’t an acceptable medical diagnosis.” This same article ended by stating, “. . . accepting a medically unrecognized diagnosis from an unqualified practitioner may leave the real cause — such as depression or fibromyalgia — undiagnosed, while it continues to take its toll.”

To be fair, the author is an M.D. and Ph.D. who studies the relationship between osteoporosis and cardiovascular disease and the potential role of estrogen in the development of both diseases. And the conventional medical community also recognizes adrenal insufficiency as a medically recognized diagnosis.

But to imply that adrenal fatigue is any less legitimate a diagnosis, or that the illness is any less “medical” in nature is puzzling. Especially when the same author recognizes depression and fibromyalgia as actual medical diagnoses. Truth is, even the medical community has no lab test for either of them.

In fact, I would suggest the opposite; that depression and fibromyalgia are not acceptable medical diagnoses and that accepting either diagnosis without a much deeper examination often leaves the real cause — an underlying adrenal-related physical condition undiagnosed and untreated.

I often see patients who have been diagnosed with depression or fibromyalgia or chronic fatigue syndrome — all medically-recognized diagnoses — who continue to suffer even when receiving what the conventional medical community deems proper treatment. Many of these patients have been diagnosed based solely on a process of elimination. It’s almost as if the doctor had given up resolving the issue and reached for a prescription pad in frustration.

Adrenal-related illnesses, like many medical ailments, exist on a spectrum and often involve more than one gland or organ or system. They are complicated conditions that require careful examination and detailed testing to unravel the mystery, and they often address several interrelated dysfunctions. Adrenal illnesses cannot be treated effectively simply by taking medications that suppress symptoms or supplements promoted solely for supporting immune function.

In this post, I describe a variety of health conditions related to the adrenal gland, some that may be caused by dysfunction upstream of the adrenal. With a greater understanding of the adrenal gland and dysfunctions that impact its health and function, my hope is that anyone with symptoms of an adrenal disorder seek a medical diagnosis from a functional and integrative medical practice to get at the root of what’s going on.

Adrenal fatigue

It was back in 1998 that James L. Wilson, DC, ND, PhD of Tucson, Ariz., coined the term “adrenal fatigue” and used it to describe a condition in which the adrenal glands — overstimulated by chronic stress — burn out and shut down, causing a variety of symptoms, including: Continue reading…

What’s Making Your Immune System Go Haywire?

By |2020-06-18T16:55:45-04:00June 18th, 2020|Autoimmune Diseases|0 Comments

As a doctor trained in the functional medicine approach to healthcare, I spend much of my time discovering and treating chronic illnesses, including those encompassing chronic inflammation, which can often be traced to immune system dysfunction. The COVID-19 pandemic demonstrates daily how an infection can trigger a powerful immune response resulting in inflammation.

With COVID-19, the inflammation primarily impacts the lungs, but it can affect other organs and tissues, as well. Deaths from COVID-19 are typically a result of excessive inflammation caused by the body’s over-the-top immune response.

Inflammation isn’t all bad. In fact, it’s part of the mechanism responsible for enabling the body to fight disease, recover from injury, and repair damaged tissue. Any trauma to the body’s cells triggers an inflammatory response. The immune system releases inflammatory chemicals, which expand blood vessels and cause them to leak, thereby delivering healing cells and substances to the site that’s injured or under attack. The expansion and leaking of blood vessels are what cause the inflammation.

Unfortunately, the immune system can become the body’s own worst enemy, identifying healthy cells as threats and attacking those cells — a condition referred to as autoimmunity. Various autoimmune diseases can develop as a result, depending on the cause and the organs or tissues being damaged. With type 1 diabetes, the immune system attacks pancreatic cells, impairing the body’s ability to produce insulin; with Hashimoto’s thyroiditis, the immune system attacks the thyroid; with rheumatoid arthritis, it primarily attacks the joints; with multiple sclerosis (MS) and Guillain-Barré syndrome, it attacks nerve cells; with myocarditis, it attacks the heart; and so on.

The exact mechanism that gives rise to an autoimmune disease remains a mystery. However, evidence suggests that the cause may be traced to a genetic susceptibility triggered by one or more environmental factors, which may include chronic stress, poor diet, gut dysbiosis (an imbalance of microorganisms in the intestines), infections, environmental toxins, as well as other stressors.

Recent research points to viral and bacterial infections as being major triggers for several autoimmune diseases, including the following: Continue reading…

Assessing Your Home For Root Causes of Chronic Fatigue & Inflammation

If you have been experiencing chronic health problems that seem to be unexplained it’s possible you stumbled upon my blog in an effort to find solutions.If you are a current patient in my Tampa holistic medicine practice, I may have asked you to read this blog to help better understand some next steps in your treatment plan. In this post I am going to share with you the importance of checking your home to be sure you are breathing clean air. I will also share resources so that you may start to improve your health immediately. 

Some tells. If you play poker you probably heard of a “tell”. This is a signal made by another player that essentially foreshadows her hand. Over twenty years of practice I have picked up on some tells that often suggest there is an indoor environmental issue at home. A few appear obvious, while for some symptoms the connection may be harder to comprehend, and you’ll see from a review of the list below:  Continue reading…

What is Postural Orthostatic Tachycardia Syndrome – or POTS?

By |2018-07-06T22:16:25-04:00July 6th, 2018|POTS|2 Comments

While there’s probably only a handful of Philadelphia Eagles fans living here in Tampa, Fla., the team’s 2018 Super Bowl-winning quarterback Nick Foles has certainly been highlighted in the news lately.

That’s because Foles and his wife, Tori, have brought public attention to a private issue within their family. Tori Foles was recently diagnosed with postural orthostatic tachycardia syndrome — better known as POTS — which is an often undetected and underdiagnosed chronic syndrome that causes an increased heartbeat, fatigue, dizziness, and fainting.

POTS patients like Tori Foles frequently find themselves at battle with gravity, which is why this disorder is often referred to as “the fainting disease.” The human heart normally beats 70 to 80 times per minute when we are at rest. That rate climbs another 10 to 15 beats per minute when standing up, then settles back down. But for people with postural orthostatic tachycardia syndrome, the heart rate often increases 30 to 50 beats per minute — or more — leading to the lightheadedness, dizziness and fainting that Tori Foles experienced.

(Image © Maria Hagsten Michelsen)

While the plight of those suffering POTS became more visible last month when Tori Foles took her case to news outlets and a CNN audience, many of us in healthcare — especially those of us who practice functional and integrative healthcare — are committed to raising awareness about the disorder, and the misconceptions and frequent poor diagnoses surrounding POTS.

Women and the Misdiagnosis of POTS

Between one and three million Americans suffer from postural orthostatic tachycardia syndrome, and 80 percent of them are young women — particularly those in their early teens — with the condition getting worse through the growing years. Because these women are younger and otherwise appear healthy when the disorder strikes, doctors often dismiss the physical prognosis, choosing instead to explore the Continue reading…

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