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IBS is a digestive disorder characterized by bloating, changes in bowel habits, and abdominal pain which can be caused by digestive insufficiencies, food intolerances, or infections. Many potential treatments are available depending on the cause. Irritable bowel syndrome (IBS) can be classified as diarrhea-predominant, constipation-predominant, or a mixed subtype of either. Studies show that those diagnosed with IBS usually have an altered gut microbiome, increased inflammation/ intestinal permeability, and systemic immune reactivity. Causes of IBS: Digestive Insufficiencies: Digestion imbalance and improper absorption may contribute to bowel symptoms. Gut Dysbiosis: Disruption in your normal gut bacteria are often observed in patients with IBS. History of Gastrointestinal Infection: Research shows that previous gastrointestinal infection is a risk factor to develop IBS. We also have benign gut bacteria that under environmental pressures- such as overuse of antibiotics, poor diet and toxin exposure -can promote unwanted overgrowth and disrupt your gut. Adverse Food Reactions: Studies have shown a correlation between certain foods and the development of symptoms. These foods often contain FODMAPs, lactose, or gluten. Anxiety and stress: Lifestyle and environmental factors can affect the emergence and severity of IBS. Research shows that negative emotions, such as anxiety, play a major role in GI functioning due to the bidirectional relationship between the gut and brain axis. Genetics and Vitamin Deficiency: Vitamin D deficiency and genetics have also been tied to the development of IBS. At Select Internal Medicine we take a root cause approach by offering further analysis with gut microbiome testing and food sensitivity testing and then formulate a personalized protocol for gut healing. Understanding the various factors that affect your gut microbiome helps to optimize the treatment regimen! Written by Dr. Dina Diehl

As we enter the fall and winter months many of us become more susceptible to infections since we spend more time indoors and in colder temperatures. There are numerous ways we can prepare our bodies and boost our immune systems to help prevent infections. Tips to Improve Your Immune System Eat a healthy and balanced diet that is rich in colorful fruits and vegetables. Try to aim for 7-10 servings of fruits/veggies a day. Get moderate, regular exercise to boost your overall health. Exercise increases infection-fighting white blood cells, improves circulation, and decreases stress hormones. Manage stress through relaxation and mindfulness as chronic stress can alter your immune system. Get adequate sleep for your body to recover which on average is 7-8 hours a night. Stay hydrated and if you drink alcohol, only drink in moderation. Maintain a healthy weight since increased weight leads to increased inflammation and can worsen infections. Wash your hands frequently, disinfect surfaces/objects, and avoid close contact with those who are sick. Stay up to date on recommended vaccines. Avoid smoking and limit exposure to pollutants. Supplements to Support Immune Function Quality Multi-Vitamin - A must! Consult with your doctor on recommended brands. Our bodies require certain micronutrients to work that can be difficult to get from your diet alone! Vitamin C- known for antioxidant properties. Regular use can shorten the duration of colds. Higher doses can be taken during illness and can act as an antihistamine and anti-inflammatory. Vitamin D- regulates immune function and can reduce the risk of infections. Vitamin D deficiency is linked to an increased susceptibility to infections. Vitamin A - can support your body's ability to fight respiratory infections when used short term. Zinc- supports immune cell function and can reduce frequency and duration when started within 24 hours of symptom onset. Echinacea- stimulates immune function and can be taken as preventive or for acute infection. Elderberry- could help reduce the duration of cold /flu symptoms. Astralagus- has anti-bacterial and anti-inflammatory properties to support the immune system. Quercetin- shown to decrease viral growth at initial stages. NAC -promotes glutathione which is a potent anti- oxidant that supports immune function. It has been shown to suppress viral replication and reduce inflammation. Probiotics- supports gut health which is linked to your immunity. Consult with your provider on what is best for you! Written by: Dr. Dina Diehl

"Inflammaging" is a term that combines "inflammation" and "aging" and refers to the chronic, low-grade inflammation that tends to increase with age. It's believed to be a key factor in the aging process and is associated with various age-related diseases Factors that contribute to Inflammaging Chronic Infections: Lingering chronic infections can activate the immune system and lead to inflammation. Lifestyle Factors: Poor diet, stress, lack of exercise and other unhealthy habits can contribute to chronic inflammation in the body. Clean up your lifestyle to offset inflammation! Cellular Senescence: As we age cells can deteriorate and stop dividing and can secrete inflammatory markers. Measures to promote autophagy such as fasting and cold plunges/saunas can be helpful to offset this. Immune System Dysregulation: As we age your body's immune system becomes less efficient in distinguishing harmful and unharmful signals leading to inflammation. Dysfunctional mitochondria: Mitochondrial are the power houses is our cells and when these are not functioning optimally it can promote aging and decreased energy. There are supplements that you can take to help optimize your mitochondrial function! Leaky gut: An imbalanced gut microbiome can lead to gut permeability and this barrier dysfunction can lead to inflammation. Obesity: Unhealthy weight, especially fat deposition around the abdomen, contributes to an increased release of inflammatory cytokines that cause inflammation throughout the body. Maintaining a healthy weight is an important factor to prevent this. In the field of aging and longevity , reducing inflammation is imperative. Following an anti-inflammatory healthy diet, getting adequate sleep, proper exercise, managing stress in addition to certain vitamin supplements are the cornerstone in reducing inflammation! Written by: Dr. Dina Diehl

There are various antiaging supplements available in the market. Some supplements may claim to have antiaging effects but their effectiveness & safety can vary.. below are some common antiaging supplements that have been studied for the potential benefits. 1. Omega-3 fatty acids: found in fatty fish and flaxseed oil they can have anti-inflammatory properties and support heart and brain health- make sure you pick up quality brand of omega-3's as needs to be a pure form. 2. Coenzyme Q 10: antioxidant that helps produce energy in cells and may have skin and heart health benefits. 3. Vitamin C: antioxidant that supports collagen production and helps protect the skin from oxidative stress and damage. 4. Vitamin E: antioxidant that may help protect the skin from damage caused by UV rays and other environmental factors. 5. Resveratrol: found in red wine and grapes it is an antioxidant that has been studied for its potential antiaging effects. 6. Curcumin: derived from turmeric and is an antioxidant that has anti-inflammatory properties. 7. Niacinamide (vitamin B3): vitamin studied for its potential to improving skin elasticity and reducing fine lines. 8. Collagen supplements : there are some studies that suggest collagen could improve skin elasticity and hydration. 9. Green tea extract: contains polyphenol's that have antioxidant properties and could support skin health. 10. NMN ( Nicotinamde mononucleotide): precursor to NAD+ and shown to elevate levels of NAD+ which produces energy. 11. NAD+ ( Nicotinamide adenine dinucleotide): important for energy production and supplementation has been shown to slow mitochondrial decline ( the powerhouses of our cells) and improve health and age. 12. NR ( Nicotinamde riboside): precursor to NAD+ and shown to elevate levels of NAD+ which produces energy. These supplements could offer potential benefits but they are not a substitute for healthy lifestyle which includes a balanced diet, exercise, sleep and proper skin care. Additionally, individual responses to supplements can always vary and supplements can interact with medications.. so always consult with a physician before starting. Written by: Dr Dina Diehl




