10 FUNCTIONAL TESTS OFFERED BY DR. FISEL

Are you experiencing health symptoms that have left you feeling less than stellar?

You have tried everything you can think of to address your symptoms:

  • Practiced an over-the-counter medication or supplement regimen
  • Consulted with and obtained an allopathic doctor’s perspective
  • Made lifestyle adjustments related to nutrition, movement, sleep and stress management habits

After all of this, are you still struggling with your symptoms despite the fact that your tests have come back “normal”?

One important aspect of naturopathic medicine is the principle of “doctor as educator.” It is the cornerstone of naturopathic care. Naturopathic physicians teach their patients how to make conscious lifestyle choices, giving them the confidence they need to reach and maintain an optimal state of health.

As such, I want to help you get to the root of your symptoms. Following are ten additional lab tests – you might not have known about or considered – that we often utilize at our office. These tests can help you get a more complete picture of your health and also help you discern how your habits and symptoms are contributing to your overall wellness.

10 FUNCTIONAL TESTS OFFERED BY DR. MATTHEW FISEL ND:

  1. Cardiovascular – Testing done to screen for independent cardiovascular risk factors, such as hs-CRP, fibrinogen, and Lipoprotein(a). This test can give you a much more detailed assessment of your heart disease risk than just measuring cholesterol levels.
  2. Hormone – Detailed female hormone testing, including the DUTCH test, for women who are struggling with hormonal issues, and want more options than just a prescription for oral contraceptives.
  3. Glandular – Comprehensive adrenal and thyroid hormone testing, especially helpful for when you’re taking prescription thyroid medication, but still feel symptomatic.
  4. Environmental Toxicity – Heavy Metal testing, which can help to detect lead, mercury, arsenic, cadmium, and other metals that have been linked to various neurological and autoimmune diseases.
  5. Environmental Allergens – Mycotoxin testing, to identify mold toxicity that doesn’t otherwise show up with typical allergy testing.
  6. Gut Microbiome – Comprehensive stool testing, like the GI Map or GI Effects Profile, which look at a number of factors that can have a negative impact on your digestive health, including parasites, bacterial infections, candida, and inflammatory markers, as well as looking at your healthy microbiome.
  7. Digestion – SIBO breath testing, particularly helpful for patients who have been diagnosed with IBS, or are experiencing persistent bloating that doesn’t seem to resolve with any treatments.
  8. Nutrition – Food sensitivity testing, which can help to identify foods that may be contributing to both digestive and system wide symptoms. 
  9. Metabolic – Genetic SNPs, such as MTHFR and COMT, which can identify predispositions to metabolic problems that may make you more prone to depression, anxiety, fatigue, and a number of other symptoms.
  10. Comprehensive Nutritional Testing – helps to help identify optimal levels of vitamins, minerals, essential fatty acids, and amino acids. Most conventional testing is only looking to identify blatant deficiencies, but doesn’t take optimal ranges into account. 

Navigating the information available to you in terms of your health and wellness can be a daunting task. I work to support your wellness by utilizing all perspectives. If after exploring your health options, you are left with the feeling – THERE MUST BE SOMETHING MORE I CAN DO –let’s talk about the different tests I offer in my office and determine a course of action you might not have already considered.

If you live in the Guilford/ Branford/ New Haven/ Madison/ Clinton area and would like to learn more about integrative solutions for your health care needs, I can help you get to the root of your symptoms by promoting health and healing on all levels – physically, emotionally and spiritually.

Call (203) 453-0122 or CLICK HERE to schedule a consultation.

Could it be SIBO?

Could my symptoms be caused by small intestinal bacterial overgrowth (SIBO)?

It’s normal to grow bacteria in your large intestine, in fact it’s healthy to grow bacteria in your large intestine.

But what about when that good bacteria moves along into the small intestine and starts to grow?

The results are less than optimal and often uncomfortable.

When this happens, when bacteria from the large intestine moves into and grows in the small intestine, SIBO can create the following symptoms (Madormo):

  • Bloating
  • Flatulence
  • Diarrhea
  • Constipation

Frustratingly, these same symptoms might also indicative of other bowel disorders like, Irritable Bowel Syndrome (IBS), for instance. In fact, research shows that SIBO could be an underlying cause of IBS – and often times goes undiagnosed because of the similarities. (Ghoshal).

With persistent IBS, it might be time to take a look at the root cause – SIBO should be considered.

“SIBO sufferers are usually divided into one of three different categories: diarrhoea-dominant (D), constipation-dominant (C) or alternating variations of both.” (Lindemann)

Although there are several ways to determine if SIBO is at work in your gut, breath tests are the main form of diagnosis. Kits can be ordered through our office to measure hydrogen, methane, and hydrogen-sulfide gases – the gases produced in the small intestine that cause such discomfort.

If SIBO is present, treatment options are available. A general naturopathic approach might include the following:

  1. Anti-Microbial Combinations – including some form of: “Candibactin AR” and Candibactin BR” from Metagenics; Neem; “Biocidin and FC Cidal” from Biotics Research; and “Allimax Pro” by Allimax.  (Please consult your naturopathic or medical physician before starting an anti-microbial regimen).
  2. Dietary Changes – Limiting foods that promote fermentation in the lower gut is advisable. Generally, a low FODMAP diet, monitored by a physician, is recommended.
  3. Intestinal Repair – Once symptoms improve, repairing the intestines so that motility normalizes, hopefully decreases the likelihood of recurrence in the future.  

SIBO has a 40% chance of recurrence (Grace) complicated by fungal growth. Therefore, broad spectrum anti-microbial botanicals could provide benefits antibiotics do not. For this reason it always helpful to look at your symptoms from a whole health perspective.

Worried about whether or not you will ever feel relief from your intestinal discomfort? I would be happy to help you determine what underlying factors may be contributing to your symptoms.

If you live in the Guilford/ Branford/ New Haven/ Madison/ Clinton area and would like to learn more about SIBO and whether or not it’s affecting your overall health, Dr. Fisel is here to help. Call (203) 453-0122 or CLICK HERE to schedule a consultation.

REFERENCES

Bella Lindemann. “SIBO Series Part 1: Is Sibo the Hidden Cause of Your Ibs?” Bella Lindemann, Bella Lindemann, 30 Mar. 2021, https://bellalindemann.com/blog/sibo-series-part-1-hidden-cause-ibs.

Ghoshal, Uday C et al. “Small Intestinal Bacterial Overgrowth and Irritable Bowel Syndrome: A Bridge between Functional Organic Dichotomy.” Gut and liver vol. 11,2 (2017): 196-208. doi:10.5009/gnl16126

Grace E, Shaw C, Whelan K, Andreyev H. Review article: small intestinal bacterial overgrowth – prevalence, clinical features, current and developing diagnostic tests, and treatment. Alimentary Pharmacology & Therapeutics. 2013;38(7):674-688. doi:10.1111/apt.12456.

Madormo, Carrie. “SIBO: Symptoms, Treatment, Diet, and More.” Healthline, Healthline Media, 14 Sept. 2021, https://www.healthline.com/health/sibo.

Veloso, Hazel Galon. “FODMAP Diet: What You Need to Know.” Johns Hopkins Medicine, https://www.hopkinsmedicine.org/health/wellness-and-prevention/fodmap-diet-what-you-need-to-know.

Gut Health: Six Things to Do About Gut Health

Starting off the new year right can be tricky.

There are millions of messages in our everyday lives that tell us we have to look or act a certain way to be acceptable.

What we need are ways to be intentional about our health without becoming obsessed by unattainable weight loss goals.

One of the most important systems in our body is the gut microbiome that regulates the functionality of both our heart and brain.

To maintain optimal wellness (not just a focus on weight)

we must ensure the overall health of our gut.

Here are six things you can do to intentionally change your life by changing your gut:

  1. Think about your food. A diet based mostly on plants is optimal for your overall health. If at all possible, opt for food that is whole (with no added fat, sugar or sodium). Chew your food slowly and completely to aid in digestion. Consider fermented foods (probiotics) and fibrous foods (prebiotics).
  1. Listen to your body’s signals. Consider that food cravings are sometimes caused by an imbalance within your gut microbiome. Other signals like brain fog, stomach aches, fluctuations in weight, sleeplessness, a change in bathroom habits and acute inflammation can also be indicators of an imbalance.
  1. Consider your sleep schedule. Getting an adequate night’s sleep is an essential way for your gut microbiome to restore itself naturally. It is suggested that adults get at least 7-9 hours of sleep each night.
  1. Choose to drink more water. Water aids gut health naturally. It’s a simple and efficient way to repair your gut lining and the good bacteria in your intestines.
  1. Pay attention to your poop. Notice whether there are fluctuations in the way your body eliminates waste. Notice whether your stools are loose or hard. Track how often you eliminate and consider whether that is regular for your body or not.
  1. Get tested. As you become more aware of how your gut is interacting with other parts of your body, you might have questions. I can help you assess the health of your gut and how it might be impacting your life. Together we can look at food sensitivities, supplements and beneficial ways to nourish your gut microbiome. Schedule time with me here.

Whether you set goals or intentions for the new year, make it a priority to focus on the health of your gut microbiome. It could literally change your life.

If you live in the Guilford/ Branford/ New Haven/ Madison/ Clinton area and would like to learn more about the innovative programs Dr. Fisel has to offer, call (203) 453-0122 or CLICK HERE to schedule a consultation.

HISTAMINE INTOLERANCE


histamine intolerance, bloating, diarrhea, fatigue, anxiety, headaches, IBS, naturopathic doctor, Guilford

Last night you let the babysitter order pizza for the kids.

For some crazy reason there’s one slice of pepperoni left in the box on the counter.

Thinking back to those college days…


Why does leftover pizza seem like a good idea first thing in the morning?


As tempting as it sounds, food left out on the counter overnight can wreak havoc on your body.

It’s called…


HISTAMINE INTOLERANCE.


Most people are born with an amazing defense mechanism to protect their body from the outside world. One of the built-in ways the body fights off invaders is to utilize histamines (found in food) that carry away allergens and other irritants from our eyes, noses and skin for instance.


Histamines found in foods can be:

  • NATURAL – Histamines are naturally found in fermented foods, meat, shellfish, alcohol, tomatoes, avocado, spinach, and nuts among others.
  • LIBERATED – Some foods interact with the body to liberate histamines, such as: chocolate, alcohol, bananas, strawberries, nuts, and citrus.
  • DEVELOPED –Histamines multiply in food that is “left over” and not properly disposed of or frozen after preparation. This is your warning to avoid that last piece of pizza and leftovers in general!

Sometimes we over consume, or our bodies over produce, histamines. We develop an intolerance to histamines when we cannot break them down efficiently. Histamines can become too much for our system to handle and we start to notice certain symptoms that are different from seasonal allergies; persistent. Over the long term, they are indicative of histamine intolerance, and are systemic which can lead to larger problems.


Histamine intolerance might initially look like:

  • Itchy skin and/ or hives
  • Abdominal bloating
  • Diarrhea
  • Runny nose, nasal congestion, sneezing, red or itching eyes
  • Fatigue
  • Anxiety
  • Headaches


An abundance of histamines might cause more systemic damage like:

  • Ehlers-Danlos Syndrome (EDS)
  • Irritable Bowel Syndrome (IBS)
  • Inflammatory intestinal disorders
  • Periodontal disease
  • Postural Orthostatic Tachycardia Syndrome (POTS)
  • Small Intestinal Bacterial Overgrowth (SIBO)


If you have been experiencing chronic immune responses that cannot be easily explained, Dr. Fisel can help you look into the root of your discomfort to alleviate your obvious symptoms and hopefully your overall histamine intolerance.


Initially, Dr. Fisel can analyze your unique situation using several assessment tools:

  1. Nutritional – We help tailor your nutritional habits to limit excess histamines
  2. Environmental – We can assess your environment and help you eliminate histamine stressors
  3. Lifestyle – Sleep and movement play a big part in your overall health – we can take a look at your patterns.
  4. Medications – We will help you assess what you are currently taking and advise you about interactions; we can recommend complimentary protocols to your existing regimen.


Dr. Fisel can help you find relief if you are battling with histamine intolerance. If you live in the Guilford/ Branford/ New Haven/ Madison/ Clinton area and would like to learn more about the innovative programs Dr. Fisel has to offer, call (203) 453-0122 or CLICK HERE to schedule your consultation.


RESOURCES:

Histamine Intolerance: A Common Cause of Chronic Complaints

Mast Cell Activation: Skin is Just Scratching the Surface

Beyond An Auto-immune Diagnosis: Ten Things To Look For

Autoimmune diseases, autoimmune diagnosis, autoimmune symptom relief, Dr. Matt Fisel, naturopathic doctor, gut health, stress management, hormonal imbalance


Have you ever felt off, but you just kept pushing through the pain?

You might have experienced symptoms like:

Brain fog, muscle aches, or fatigue.

As time moved on, your symptoms didn’t.

After a battery of tests, you were given a general autoimmune disease diagnosis.

NOW WHAT?

Western medicine tends to give a catchall diagnosis for something that looks and feels like an autoimmune disease. You hear things like mold toxicity or chronic fatigue.

The truth is the immune system is so complex that a diagnosis might feel like a dead end; hopeless. It’s hard for doctors to diagnose…how do they expect you to understand what’s going on in your body?

From a Naturopathic standpoint…I see it as a starting point. Your autoimmune disease is not a life sentence. Working together, it’s a place we can begin to detect and identify where your symptoms are coming from and help you find relief and hopefully some natural solutions.

Here are TEN THINGS WE LOOK AT BEYOND AN AUTOIMMUNE DIAGNOSIS from a naturopathic standpoint:


1. STRESS MANAGEMENT – Ongoing stressors in your lifestyle can cause both mental and physical discomfort. Overwhelm and anxiety can cause inflammation in the brain and then systemically throughout the body. Dr. Fisel looks at root causes of stress in your life and work to alleviate and/ or eliminate them.


2. FOOD SENSITIVITIES – You may be sensitive to certain types of foods and not even be aware of the fact. Dr. Fisel can recommend certain testing or targeted diets to identify and eliminate those foods that don’t agree with your immune system.

3. GUT HEALTH – There is a very important connection between your gut and your brain. What goes on between the two can affect your entire body and how it functions. Often times leaky gut (when your intestinal walls are easily permeated) is a major culprit of autoimmune symptoms. Dr. Fisel can tell you if your gut is adversely affecting your overall wellness.

4. ENVIRONMENTAL TOXINS – You might be living in an older home, or over a land fill, and did not know or realize that pollutants were permeating your environment. Dr. Fisel considers your proximity to heavy metals, mold, pesticides (especially glyphosate), PCBs, cosmetics, and water pollution.

 5. MOVEMENT – Studies show an active lifestyle decreases inflammation in your body. You might not feel like running a marathon, but simple movements can increase your circulation and boost your immune system. Dr. Fisel can suggest ways to add movement into your life.

6. NUTRITION – Paying attention to your food intake is important to a healthy immune system. Avoid processed foods that are chemical laden in favor of anti-inflammatory fruits and vegetables like blueberries, broccoli and avocados. Dr. Fisel also looks at nutritional deficiencies and works to enhance the missing nutrients.

7. MEDICATION TOXICITY – You may not be able to avoid prescribed medications (especially antibiotics), but Dr. Fisel can counter-balance their effects with food or supplements that offer pro-biotics.

8. INFECTIONS – Something to consider is the effect of underlying infection on your body’s immune response. For example, Lyme Disease, Epstein-Barr Virus (EBV), and Candida, among other infections, can trigger autoimmunity. Dr. Fisel can help you determine if you have an undetected infection.

9. HORMONAL IMBALANCE – Changes in the hormonal balance of your body, as seen in menopause, can trigger changes in immune function. Dr. Fisel can help restore balance in your body.

10. GENETICS – Hereditary factors may cause adverse immune responses in your body. Dr. Fisel can help you sift through your genetic history to determine what if anything may be creating problems.

There is hope beyond your autoimmune diagnosis. Dr. Fisel would love to dig deeper into underlying causes to help you discover ways to feel better while living with the reality of your symptoms.

Dr. Fisel is here to offer you hope beyond your auto-immune disease diagnosis and to help you feel relief from your symptoms. Please call (203) 453-0122 or CLICK HERE to schedule an appointment, today.

NEW PATIENT FREE 15 MINUTE CONSULATION: Dr. Fisel promotes health and healing on all levels, physically, emotionally and spiritually. If you live in the Guilford/ Branford/ New Haven/ Madison/ Clinton area and would like to learn more about the innovative programs Dr. Fisel has to offer, call (203) 453-0122 or CLICK HERE to schedule your free 15 minute consultation.

Sometimes I Hate My Guts: Alleviating IBS Symptoms

IBS, Irritable Bowel Syndrome, stomach pain, gut health, Dr. Matt Fisel

We had plans to go on a long hike.

I chose my breakfast carefully. I didn’t want to rock the boat with any foods that might upset my stomach. I thought I had covered all of the bases, but a mile in I noticed the usual symptoms:

bloating, gassiness, and then…

my bowels started to activate.

I knew from experience this was not going to go well.

Maybe you’ve had your own bout, in public or private, with cramping, constipation or a sudden onset of diarrhea.

And…your doctor just could not tell you WHY.

Patients who have been categorized with Irritable Bowel Syndrome (IBS) say,

“Dr. Fisel…I was diagnosed with IBS months ago, and was prescribed medication that doesn’t seem to be working. Are there natural ways to find relief from my IBS?”

Unfortunately, IBS tends to be a catchall for those unexplainable symptoms in the intestines, appearing “normal” when tested. Your doctor may have ruled out cancer, colitis, etc., but wasn’t able to specifically answer the question:

WHY ARE MY GUTS HOLDING ME HOSTAGE?

We help patients find answers using an integrative approach that assesses their diagnosis and also gets to the root cause(s) of their underlying symptoms.

HERE’S THREE THINGS WE LOOK AT, from a naturopathic perspective, to understand more about your personal condition and why your symptoms might be persistent:

GUT SYSTEM HEALTH: We can do additional stool, breath, and/or blood testing to identify more definitive causes of IBS (small intestine bacterial overgrowth – SIBO, microbial overgrowths, enzyme deficiencies, food sensitivities, functional bowel problems, leaky gut syndrome).

Also, a number of treatments we can incorporate to improve the FUNCTION of the gut, along with promoting intestinal repair (probiotics, digestive enzymes, intestinal healing herbs and nutrients).

FOOD SENSITIVITIES: We will sometimes do elimination diets or cleansing protocols that often help people identify food triggers within their diets.

Cutting back on FODMAP foods, or following the Specific Carbohydrate Diet, can often help to give the intestines a rest allowing the intestinal tract to repair.

STRESS MANAGEMENT: Stress relief is key. At the very basic level we want to assess your day-to-day life and look at your habits.

You could start monitoring yourself by journaling about the foods you eat, how much sleep you’re getting, how you are moving your body – and of course how it makes you feel. Notice the trends.

Naturopathic medicine is an integrative approach to health care. Where western medicine leaves off, a Naturopathic Doctor helps patients get to the root of uncomfortable symptoms.

Dr. Fisel is here to help you get your life back after an IBS diagnosis and to help you feel relief from your symptoms. Please call (203) 453-0122 or CLICK HERE to schedule an appointment, today.

NEW PATIENT FREE 15 MINUTE CONSULATION: Dr. Fisel promotes health and healing on all levels, physically, emotionally and spiritually. If you live in the Guilford/ Branford/ New Haven/ Madison/ Clinton area and would like to learn more about the innovative programs Dr. Fisel has to offer, call (203) 453-0122 or CLICK HERE to schedule your free 15 minute consultation.

Heartburn Drugs Typically Not Necessary

gerdProton Pump Inhibitors (PPIs) such as Nexium, Prevacid, and Protonix, are some of the most widely prescribed drugs in the U.S. They are typically given to patients who complain of heartburn or reflux (GERD), who are then kept on the medication indefinitely. In fact, it’s not uncommon for many of the patients I see to think of being on this medication almost as an afterthought, because it’s so common in our culture. What they may not realize is that long-term use of these medications can lead to long-term complications, and may be doing more harm than good! When first approved by the FDA, the suggested use of PPIs was for 4-6 weeks, mainly for treating serious gastrointestinal issues, like ulcers and Barrett’s esophagus.  [Read more…]

IBS? It May Be Something Else . . .

SIBOPeople often come to my office saying they’ve been diagnosed with IBS. They may complain of intestinal pain, constipation, diarrhea, or all of the above, yet all of their test results come back “normal”, so they are prescribed anti-spasmodic medications to manage their symptoms, and sent on their way. In my experience, IBS is merely a symptom of other underlying causes, rather than  a definitive diagnosis. Whether it’s food intolerances, poor eating habits, or restoring optimal production of stomach acid and digestive enzymes, naturopathic medicine has a lot to offer when it comes to identifying and treating the underlying cause of IBS. [Read more…]

Digestive Health In Early Life Linked To Allergies

dandelionAs a naturopathic physician, I’m always paying close attention to the connection between intestinal health and systemic complaints. Allergies in particular are something that our profession has recognized as having strong ties to the digestive tract. When people present to my office complaining of allergies, one of the first things I ask about is whether or not they’re having any digestive symptoms. I also want to know about their history of antibiotic use, their diet, if they were breastfed as an infant, and whether or not they were born via Caesarean section. So, what do these birth-related issues have to do with someone’s current allergy symptoms? Well, we know that allergies are symptoms that result from antibody responses to antigens (dust mites, pollens, mold, etc.) that our body recognizes as foreign. But what your doctors don’t often discuss is why this occurs in the first place. [Read more…]

Does Arthritis Originate in the Gut?

I see quite a few patients with rheumatoid arthritis, and other autoimmune arthropathies, and what is the first thing I do?  Give them anti-inflammatory medications? Give them immune-modulaters? No! Chances are, their rheumatologists have already done this. The first thing I will always do with patients in this category is address their digestive health. What does digestion have to do with systemic inflammation? Everything! [Read more…]