Archives for January 2019 | Integrative functional medicine blog

"Any fool can Know. The point is to understand" - Albert Einstein

How to tell if you have Hashimotos

If your doctor says you have hypothyroidism, this can explain why you might be feeling like crap, experiencing crazy weight gain, and your hair might be falling out in clumps, or your scared to brush your hair for fear of pulling more out.

But how do you know if Hashimoto’s (the auto immune form of hypothyroid) is causing your hypothyroidism?
So glad you asked!

Hashimoto’s is an autoimmune disease, meaning the immune system is attacking and destroying the thyroid gland.


Is there an alternative to the mammogram?

Have you ever wondered if there is alternative to the mammogram? Most of my patients have. So toady we are taking my wife in to OC breast wellness in fountain valley to get a test done that for some people they may choose to use it as an alternative to a mammogram.

There are a couple of things Id like to point out that most patient are curious about.

Does a mammogram hurt?
Well… I don’t know for sure since Im not a woman but I can imagine so. I've seen it and had many patients tell me it can be very painful.

Are they accurate?
That is a loaded question. According to some statistics they are 78% accurate in detecting “abnormalities”. What those abnormalities are isn’t very clear. In addition, they are also reported to have a false positive rate of about 50%. Meaning that in 1/2 of all the “positive" breast cancer mammograms that are run, 50% of those turn out to be wrong.

Talk about scarring the be-jesus out of you.

Do they cause cancer.
This is another loaded question. According to some unmentionable government agencies and mammogram official sites they do not cause cancer. Or I should say, they say the amount is insignificant”

Here are a couple of facts to consider. In order to take an x-ray image of the breast tissue, which is soft. The setting of the X-ray machine, specifically the mAs and KVP have to be adjusted so that more of the radiation is absorbed by the soft tissue in order to get an image.
The breasts are a more sensitive area than most other areas.
Now Im not going to say mammograms cause breast cancer because that might get me into trouble. But I will say that we do know x-rays cause cancer.

According to some statistics I have read by other doctors and laypeople, they estimate that mammograms may increase your risk of cancer 1% each year. So over 15 years thats 15%.

One last thing to consider. Mammograms have been the standard of care for screenings since 1960 and were last updated in 1980. Thats about 40 years ago. Now I will say, with digital X-rays you are most likely getting exposed to slightly lower levels of radiation.

So I will not say there is an alternative to a mammogram because it is the standard of care. But, if you ask my wife she might say something else.

So what is some other test you might choose to do?
That is precisely what OC breast wellness is providing.
They have 2 different procedures that they offer as a Brest exam.
The first is thermography. They use a FLIR camera which is basically a fancy heat seating camera that can look at body temperature and thus circulation and any inflammatory processes going on in the body. This can be used as a great screening tool to assess any potential current or preceding problems that may develop. A lot of alternative doctors will also use this to look at the entire body to see if and where you have inflammation.

The second process that they use is a very high tech form of a palpation (touching) breast exam. They use what is called the Sure touch palpation breast exam. It is reported to be 1000 times more sensitive than your fingers in finding a breast abnormality. You can see the wave form that comes up on the screen. What you want to see is nice gradual waves. Any sharp spikes indicates an abnormality that might need to be investigated.

My personal recommendation is that if you are going to get these done, do both. They do have the option of doing one or the other. But I always say more is better. Ok, not always. But many times.

Our nurse that did the exam for us, I mean my wife, I just filmed. She explained the screening tests to use like this. And this includes home breast self exams, mammograms, thermograms and the sure touch. The screening tests are just to find out if you have a needle in your hay stack and where it is. Like using a metal detector to see if there is something there. It doesnt tell us what it is.

That is where the diagnostic Ultrasounds come in. If any abnormality is found on any of those exams the next step is pretty much always going to be an Ultrasound and/or possibly an MRI.

That usually begs the question. “Why not just start with an Ultrasound?” Because that is like looking for the needle in the haystack. Without the metal detector.

So there you have it. Another tool in your tool box in the fight against breast cancer.
Now go exam your breasts, and do it regularly, the same time every month.

I’m Dr. Craig Mortensen
Be healthy, be happy.

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Your Breast (and other implants) might be linked to autoimmunity and cancer.

Your Breast (and other implants) might be linked to autoimmunity and cancer.

Sorry to bust your bubble! But your implants (and not just breast) may be causing or contributing to certain autoimmune diseases and cancer. So what are your "girls" to do? Not all is lost. Stay tuned to learn more about why this is happening and some things you can do to protect yourself.

After assurance from breast implant makers that concerns about silicone leaks were a thing of the past, more than 10 million women worldwide have received silicone breast implants in the past decade alone. In the last 20-30 years the number is even more staggering.

Despite the repeated assurances by the manufactures there is a growing body of research — supported by increased symptom reporting by women —linking silicone breast implants to autoimmune disorders and a rare form of immune cancer.

Silicone breast implants linked to autoimmune disease

Doctors commonly advise potential breast implant candidates that the risks are minimal, yet multiple recent studies indicate otherwise. However, there are things you can do to reduce your risks. Stay tuned!

A recent study at the University of Alberta comparing nearly 25,000 women with breast implants to nearly 100,000 without them confirmed that nearly one in four implant recipients is
at risk of developing an autoimmune disorder. The most commonly associated autoimmune diseases included Sjogrens syndrome, Systemic Sclerosis and Sarcoidosis. Not fun ones to have. Not that any of them are.

The risk for women with breast implants developing an autoimmune disease is 45 percent higher than for those without implants.

While former studies on the topic have been criticized because they were based on self-reporting by subjects, this study used doctor-based diagnoses to confirm results.

That is a pretty significant difference. Not that patient symptoms don't mean anything. It's more of a difference between subjective and objective findings.

Previous research has also found surgical mesh implants used for gynecological or hernia repair may be linked to autoimmune disorders such as rheumatoid arthritis and lupus.

Additionally, patients with allergies prior to the procedure were significantly worse afterward. This may give us some clue as to why this may be happening as well. For example if someone has a food allergy they are unaware of, yet continue to eat that food allergy (let's say wheat/gluten for example) then it makes it more likely that they may develop a leaky gut situation. Predisposing them to autoimmunity.

These last 2 findings indicate that there is a little more going on than just breast implants. It could be the trauma of the surgery, the fact that there is a foreign body IN your body, the anesthesia, etc. Or, most likely it a combination of everything topped of by the fact that they are silicon.

In the Alberta study, the strongest links were shown between silicone implants and these autoimmune conditions:

  • Sjögren's syndrome, an autoimmune disorder of the salivary and tear glands.
  • Sarcoidosis, an autoimmune disorder of the lung, skin and lymph nodes.
  • Systemic sclerosis, an autoimmune disorder of the connective tissue affecting the skin, arteries, and visceral organs such as lungs and kidneys.

The theory behind these findings is that foreign material of the mesh and silicone implants causes an activation of the immune system. The body continues to fight the "invader" and over time autoimmunity develops. Again this is more likely if you already have other health conditions.

That begs the question, what about other types of surgical implants?

Here is food for thought. I have seen multiple patients with autoimmunity after all types of surgeries. From knee, hip, and shoulder replacements. I have also seen patients develop allergies and/or toxicity to the metals used in the implants (not just breast).

In the largest-ever long-term safety study of breast implants, a similar study this year at 
The University of Texas MD Anderson Cancer Center linked silicone implants with higher rates of Sjögren's syndrome, rheumatoid arthritis, scleroderma, dermatomyositis, and melanoma compared to the general population.


Emerging form of breast implant-related cancer on the rise

Individuals with breast implants are also at risk of developing breast implant large cell lymphoma, or BIA-ALCL. BIA-ALCL is not breast cancer but a form of non-Hodgkin's lymphoma, a cancer of the immune system. There are a lot of lymph nodes in and around the breast tissue and in the armpit. So this really kind of makes sense.

In most cases BIA-ALCL is found in fluid and scar tissue near the implant, however there are cases where it spreads throughout the body.

The FDA states, "At this time, most data suggest that BIA-ALCL occurs more frequently following implantation of breast implants with textured surfaces rather than those with smooth surfaces." Im not sure why this would be the case. Mostly because I haven't read or actually tried to work out the mechanism of why this might be.

Plastic surgeons have identified 615 cases of BIA-ALCL worldwide with the disease occurring at higher rates among women with textured implants. French authorities have recommended against the use of textured implants due to the cancer risk.

At present, however, the risks are difficult to determine due to significant limitations in world-wide reporting and lack of data.

Lax reporting rules at fault for lack of patient awareness

Prior to 2017 the FDA allowed breast implant companies to report breast implant injuries as routine events that did not require public disclosure. This is similar to other health related issues that I wont talk about. I don't want to get into trouble.
This effectively kept the information from the public and may have skewed opinions on the safety of using them.

In 2017 reporting rules were changed and reports of injuries soared. At the current rate, they are slated to increase more than 20-fold in the last two years from the previous two-year period.

According to an
ICIJ analysis of FDA data, after the rule change the number of suspected breast implant injuries skyrocketed from 200 a year to more than 4,500 in 2017 alone.

In just the
first half of 2018, that number almost doubled to more than 8,000 filed reports.

The increase in reports doesn't mean implants are suddenly going bad but that they may never have been as safe as patients were told in the first place. Which I'm sure is the case. Most things that invasive aren't as safe as "they" say they are.

The FDA has acknowledged a "transparency issue" regarding the undisclosed injury reports and that the increase in numbers reflected the change in reporting rules.

Changing the system to better protect breast implant recipients

The FDA warns that as many as one in five women who receive breast implants will get them removed within a decade due to complications such as rupture, deflation, and painful contraction of scar tissue around the implant, but currently there is no warning about autoimmunity, and there should be. Maybe one day there will be. But I wouldn't hold my breath.

The good news is that in response to the new information, the FDA and agencies around the world acknowledge that more research needs to be done to determine the autoimmune and cancer risks of implants.

While current studies do not prove breast implants cause these diseases, they do show that women with the implants suffer them at significantly higher rates than women without implants. Which I alluded to some of the possible causes before.

It’s proposed that bacterial infection of a biofilm that surrounds the implants is the likely cause of implant-related illness, including BIA-ALCL. Which is something that may be helped with a natural functional doctor.

Patient advocates have proposed rules that require breast implants to be sold with “black box” label warnings, which are reserved for life-threatening and other serious risks.

Undoubtedly, it will take much larger and longer studies to root out the details and bring about protective actions, and in the meantime doctors and patients need to have deeper conversations about the benefits and risks of silicone breast implants.

Functional medicine is about making your body function better. There are a multitude of different things you can do to prevent and in some cases maybe even reverse autoimmunity. If you need some help give my office a call.

In the mean time some things to consider to help prevent these issues if you have implants or are considering them:

1. Get a full workup by a functional doctor to make sure your body is functioning at 100%

2. Make sure you don't have toxins already built up and support your bodies ability to detox

3. Consider food allergy/food sensitivity testing.

4. Look at healing any gut problems you might have so you don't develop leaky gut and autoimmunity.

Keep this in mind. Which I have said before.
Correlation does not equal causation. BUT! If it walks like a duck, and quacks like a duck….

You know the rest.

I'm Dr. Craig Mortensen
Be healthy, be happy!

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Green Chef review

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