IHP Summer 2016

STRESS &

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ANXIETY

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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

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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.

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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

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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

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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).

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