STRESS &
PM42684014 | 1235 BAY STREET SUITE 700 | TORONTO ONTARIO, M5R 3K4 | $14.95
ANXIETY
THIS IS A PREVIEW VERSION. FOR THE FULL VERSION DOWNLOAD OUR APP ON ITUNES AND GOOGLE PLAY
WWW.IHPMAGAZINE.COM
SUMMER 2016
Polo Health & Longevity Centre Effective Communication With Your Patients
contents
FEATURES 18
Effective Communication with Your Patients
22
The natural approach to stress and anxiety
28
Improved management of primary chronic fatigue syndrome with the supplement French oak wood extract (Robuvit®): a pilot, registry evaluation
22
DEPARTMENTS 7
Publisher’s Letter
8
Editorial Board
10
Product Profiles
14 34
Clinic Profile
Polo Health & Longevity Centre
Post Scriptum
find us on 4
IHP Contents.indd 4
14
18 SUMMER 2016 • IHPMAGAZINE.COM
2016-08-02 2:26 PM
publisher’s letter
Impressionable Consumers
T
he Internet has evolved fairly
Knowing what bloggers are interested
quickly over the last two decades,
in can help you determine what clients are
and so has the way consumers are
looking for. These bloggers utilize all social
influenced. We spoke about how social
media platforms to get their ideas out into
media is able to drive buying decisions in
the world, and making them aware of what
our last issue, however advertising isn’t
you’re doing can raise awareness amongst
just about how often potential customers
their followers.
see what your offer—it’s whether they can envision themselves visiting your clinic.
IHP Magazine has created a platform that brings bloggers and businesses
Many well-known brands have already
together. With one event, we reached over
started to utilize the many faces of Internet
450,000 people and made 1.3 million
to sell their labels to millennials, with many
impressions within one week. Coverage is
hiring bloggers to creatively make their
completely traceable, and the impact is
products and services seem attainable. As
immediate. Showcasing a new service,
such, they give the consumer an answer to
product, or giving a demonstration in a
Olivier Felicio
their question: yes, I can use that in my
neutral space gives trend influencers an
Publisher/Editor-in-Chief
day-to-day life.
opportunity to get to know you in an inviting
Bloggers in every industry have drawn in
environment. In doing this, we are able to
readers from all over the globe, promoting
put the spotlight back on your clinic and
products and services they love and encour-
offering.
aging others to see value in these things. The
The best advertisement for your clinic
best part of this marketing venture? When
is having someone share their experience.
your consumer has someone—i.e., a blogger—
Since millennials are dominating the con-
speaking to them in terms they understand,
sumer world, you need to be active where
they are better able to relate to you.
they are getting their inspiration.
SUMMER 2016 • Volume 9 Issue 3 Founder Sanjiv Jagota
Circulation
Publisher & Editor-in-Chief Olivier Felicio
IHP Magazine Inc. 920 Yonge St., Suite 610; Toronto, Ontario, M4W 3C7 Email: circulation@ihpmagazine.com
Managing Editor Cayla Ramey Editorial Assistant Corrina Mosca Art Director Scott Jordan
Advertising
Junior Graphic Designer Janelle Scriver
Olivier Felicio (416) 203-7900 x 6107 olivier@rivegauchemedia.com
Contributors
Rob Ayoup, Jason Boxtart, Rochelle Fernandes, Inna Levchuk, Corrina Mosca, Marita Schauch
IHP Magazine Inc. President Olivier Felicio General Manager Melanie Seth General Customer Care Manager Lucy Holden Subscription Rates
Canada $80 (gst included) for six issues | International $120
Published by IHP Magazine Canada Post Canadian Publication Mail Agreement Number 4067800 The publisher does not assume any responsibility for the contents of any advertisement and any and all representations or warranties made in such advertising are those of the advertiser and not of the publisher. The publisher is not liable to any advertiser for any misprints in advertising not the fault of the publisher and in such an event the limit of the publisher’s liability shall not exceed the amount of the publisher’s charge for such advertising. No portion of this publication may be reproduced, in all or part, without the express written permission of the publisher. ihp magazine is pleased to review unsolicited submissions for editorial consideration under the following conditions: all material submitted for editorial consideration (photographs, illustrations, written text in electronic or hard copy format) may be used by ihp Media Inc. and their affiliates for editorial purposes in any media (whether printed, electronic, internet, disc, etc.) without the consent of, or the payment of compensation to, the party providing such material. Please direct submissions to the Editor, ihp magazine.
SUMMER 2016 • IHPMAGAZINE.COM
IHP PubLetter.indd 7
7
2016-08-02 2:28 PM
cover story
The Natural Approach to Stress and Anxiety By Marita Schauch (BSc, ND) Peer-reviewed by Jason Boxtart (ND), Rochelle Fernandes (MSc, ND cand)
“T
o understand the mechanism of stress
than adaptive effects when their actions are chronically
gives physicians a new approach to treat-
unbalanced due to chronic stress.
ment of illness, but it can also give us a new
Along with glucocorticoids, the adrenal glands also
way of life, a new philosophy to guide our
secrete another class of hormones called catecholamines.
actions in conformity with natural laws.” - Hans Selye, MD
Norepinephrine and epinephrine are often associated with the “fight-or-flight” response in chronic stress and can also
In today’s fast paced society, the vast majority of individuals
contribute to anxiety symptoms.
are under a barrage of constant stressors. While some of
The natural approach to stress and anxiety is a multi-
the initial “fight-or-flight” stress responses may be beneficial
faceted approach that involves changes in diet, exercise,
to survival (acute stress), there is an increased risk of various
nutritional supplementation and strategies for calming the
physical and psychological health challenges when the
mind and body.
stressors are prolonged (chronic stress).
In this article, the role of botanical medicine is explored,
Like many other mental health conditions, anxiety dis-
with a focus on three less common stress supportive herbs
orders seem to be a result of a combination of biological,
that have shown promising and exciting research in the
psychological, genetic and other individual factors.
treatment of stress and anxiety.
Glucocorticoids (GC), particularly cortisol, play important roles in fear and anxiety. The mechanisms by which
LAVENDER (LAVENDER OFFICINALIS)
GCs exert their effects on behavior are often indirect
Lavender flower and its extracts have been used—both
because, although corticosteroids do not regulate behaviour,
internally and externally—for centuries as a treatment for
they induce chemical changes that determine certain
anxiety and depression. Lavender oil contains more than
behavioural outcomes. GCs can exert maladaptive rather
160 constituents, many of which interact synergistically to
22
IHP Cover Story.indd 22
SUMMER 2016 • IHPMAGAZINE.COM
2016-08-03 4:07 PM
SUMMER 2016 • IHPMAGAZINE.COM
IHP Cover Story.indd 23
23
2016-08-03 4:07 PM
cover story
Lavender Schisandra Chinensis contribute to its healing effects. The main active constitu-
The lavender was superior to placebo regarding the
ents of lavender oil are linalool, linalyl acetate, terpinen-4-ol
percentage of responders (76.9 per cent versus 49.1 per
and camphor.
cent, P<0.001)
In-vitro and in-vivo studies have demonstrated multiple
The German Commission E Monographs list no contra-
possible mechanisms of action of lavender oil, as well as
indications, side effects, or drug interactions of lavender
its individual constituents, which may partly account for
flower. Internal use of the volatile oil of lavender has been
its relaxing effects when taken orally. Lavender oil has
reported to cause nausea and drowsiness but only after
potentiated expression of gamma-Aminobutyric acid (GABA-
excessive intake.
A) receptors in cell culture1 , more over linalool, a main active ingredient of lavender oil, has been shown to inhibit glu-
SCHISANDRA (SCHISANDRA CHINENSIS)
tamate binding in the brain of animals and has also inhibited
The dried fruit of schisandra, known in Chinese as bei wu
acetylcholine release; linalyl acetate is described to exert
wei zi, has been highly regarded in Chinese medicine since
a relaxing effect as well.
antiquity. Schisandra is presently listed in the pharmaco-
Several clinical studies have demonstrated the benefits
peias of China, Japan, South Korea and Russia, and is used
of lavender extracts in comparison to reference or placebo
as an adaptogen, aphrodisiac, and for liver, urinary and
in decreasing symptoms of anxiety.
reproductive tract conditions.
Two-hundred-twenty-two adults reporting unspecified
Used as a traditional liver herb in China, it can provide
anxiety were randomized to receive 80mg per day of
a very valuable support for anxiety and depression to help
lavender or placebo for 10 weeks. This study was the first
calm liver qi.
double-blind, randomized, placebo-controlled trial to doc-
Schisandra has been reported to reduce stress-related
ument the anxiolytic efficacy of orally administered lav-
elevations in cortisol and neurotransmitter levels in animal
ender oil for anxiety disorder. Lavender had a significant
investigations, and researchers have suggested a reduction
beneficial influence on quality and duration of sleep and
in hypothalamic-pituitary-adrenal axis activation.
improved general mental and physical health without
A significant number of active constituents have been
causing any unwanted sedative or other drug-like effects.
identified. These include different types of lignans as well
Hamilton Anxiety Rating Scale (HAM-A) and Pittsburgh
as essential oils, vitamins A, C, and E, flavonoids, citric acid,
Sleep Quality Index (PSQI) scores as well as Zung Self-
triterpenic acid, triterpenoids, and phenolic glycosides.
rating Anxiety Scale and the SF-36 (Quality of Life) Health
Multiple studies have shown the benefit of schisandra
Survey Questionnaire all scored in favour of the
for human subjects for exhaustion and stress by mental
lavender.
work. Racehorses and polo horses given standardized
24
IHP Cover Story.indd 24
SUMMER 2016 â&#x20AC;˘ IHPMAGAZINE.COM
2016-08-03 4:07 PM
Bacopa Monnieri
extracts of schisandra fruit demonstrated increased overall
Just as it reduces stress, bacopa has also shown to
performance and reduced fatigue. This was measured by
alleviate anxiety and depression. The leaves of bacopa
a lowered increase in heart rate and a faster recovery of
contain saponins, including the bacosides, which are
normal breathing after the race ended.
thought responsible for the therapeutic properties of the
In another study, the effects of schisandra on the func-
herb. In animal studies, both purified bacosides and extracts
tion of the pituitary-adrenal cortex axis, the gonadal axis
of bacopa standardized for bacosides have been found to
and carbohydrate metabolism were investigated as rats
enhance several aspects of mental function and learning
were subjected to experimental chronic psychological
ability. Additional brain effects of bacopa demonstrated
stress, navigation and strenuous exercise. The male rats
in animal research include reduction of both anxiety and
in the group that received schisandra had lower levels of
depression. Biochemically, these nervous system effects
blood sugar and corticosterone as well as protection of
have been attributed to an enhancement of the effects of
the adrenal cortex, as revealed by examination after
the neurotransmitters acetylcholine and possibly, serotonin
excision.
or GABA.
Based on studies, caution should be used in patients
Bacopa has been used safely in Ayurvedic medicine for
with bleeding disorders due to proposed platelet-activating
several hundred years, however some adverse effects may
factor antagonist activity and in patients with diabetes, as
include increased bowel movements, nausea, dry mouth
schisandra may cause lowering of blood glucose.
and fatigue.
BACOPA (BACOPA MONNIERI)
entirely alleviate stress and its impacts as behavioural mod-
Bacopa, also known as water hyssop, is found in tropical
ifications, lifestyle and diet all play important roles as well.
and subtropical regions, and has been used for several
However, lavender, schisandra and bacopa each provide a
thousand years, especially in India, as a rejuvenating herb.
unique reaction in the body that can help alleviate feelings
Research on bacopa has indicated that it has an adapto-
of anxiety, thus allowing one to implement other stress
genic effect on systems related to cognition, motivation,
reduction strategies and improve a sense of well-being.
To be clear, the use of botanical medicine alone may not
sensory and motor function. It has also shown to provide a significant decrease in stress-related anxiety, mental fatigue and memory loss. Scientists have found that bacopa modulates specific stress-triggered disruptions
View the references on your tablet.
in homeostasis, such as cortisol and certain neurotransmitters (discussed below). SUMMER 2016 â&#x20AC;˘ IHPMAGAZINE.COM
IHP Cover Story.indd 25
25
2016-08-03 4:07 PM
IHP MAGAZINE IS NOW DIGITAL
NOW ON IPHONE 5 AND UP!
Want more IHP Magazine? Get your digital version PACKED WITH EXTRA CONTENT AND THE DETAILED, FULL-LENGTH RESEARCH PAPERS WITH REFERENCES
WWW.IHPMAGAZINE.COM IHP Digital Ad.indd 21
2016-08-02 2:37 PM