Living a Thyroid Friendly Life

Thyroid Healthy Tips To Keep your Thyroid In Tip Top Shape

Thyroid dysregulation is rampant today. Cases range from severe (cancers) to mild. The sheer numbers of Americans diagnosed each year is staggering.

Shockingly, diagnosing thyroid issue seems to elude a far more staggering number of people. I fell into that category myself. Eventually, I learned what I needed to change and took action. That is just how I “roll.”

The Symphony Is Only As Good As The Conductor.

We were, after all, divinely designed. Unfortunately, we were not meant to handle the numerous types of substances in our environment that we now swim in every single day.

Sadly, our “cleaning mechanism and systems” do not get an automatic operating system upgrade as our Smart Phones do. WE must make changes.

The human glandular system works like a well-orchestrated symphony when functioning as designed. Thyroid glands (and glands in general) are an excellent example of this orchestration.

. The highest forms of communication take place at the level of the human cell. In the case of our thyroid, there is a “sentinel” who gets the message out.
That means that the next “player” in the symphony has to interpret with accuracy, what the first guy told him to play.

They take in raw materials and turn them into usable “fuel” for this complex system. A system that controls everything from body temperature, digestion, the making/secreting of hormones, and so many more functions.

Interestingly, these glands even work together to slow us down or speed us up. In the case of the thyroid gland, the instrument is only as good as the conductor.

Hit it Maestro!

Five steps begin the process. In a tiny gland in our brain called the hypothalamus. The hypothalamus (a pea-sized gland in the brain) monitors the levels of thyroid hormone in your body.

Your hypothalamus produces thyrotropin-releasing hormone accordingly (TRH).  Below the hypothalamus is the anterior pituitary gland. This action produces TSH (thyroid-stimulating hormone.)

TSH then calls upon our thyroid gland (which produces thyroxine.  Thyroxine is known as  (T4), which converts to a language our body understands better. Triiodothyronine  (T3) which ultimately becomes an essential player here as it is the ACTIVE hormone. Our bodies listen for instructions from T3. Here is where the music and careful orchestration begins.

Let the Music Play.

T4 is converted into the more active T3 by the deiodinase system (D1, D2, D3) in multiple tissues and organs, but especially in the liver, gut, skeletal muscle, brain and the thyroid gland itself. Here is where  T3 turns into an inactive form of thyroid hormone in the liver.

Transporters carry the T3 and T4 to our tissues.  The transporters are called Thyroid binding globulins (TBG).  Once in the tissues they are cleaved from their carrier and become FREE.

Free T4 and free T3 to be exact,  which can now bind to thyroid hormone receptors (THRs) and exert their metabolic effect. We must measure what is ACTIVE to really understand what is USABLE thyroid hormone that available to do it’s job.

Chemical Confusion.

Sadly, many things can go wrong with this process. Imagine that something as simple as your toothpaste can confuse this delicate process. A process occurs through a” chemical confusion.” Tricking your body into thinking that you have all the thyroid hormone you need from the fluoride in your toothpaste.

Your body may misinterpret fluoride for thyroid hormone as fluoride “fits in the keyhole” but does not turn the key. Better yet, imagine having numerous keys that all fit into the SAME lock of your door, but only one of them can let you in

Only one key fits into the lock at a time, right? Fluoride, chlorine, and bromine are all culprits that fit into our thyroid receptors. Often, these molecules get to the target first leaving no room for our hormone. These imposters don’t work the way our hormone does.

So, who are these tricksters? They are called HALOGENS and are chemically similar to our natural thyroid hormone. Many times these molecules (keys) get to the receptor FIRST, first leaving no room for our hormone key. These imposters don’t open the lock that makes our thyroid work properly.

thyroid, thinning har, fatigue, brain fog, synthroid, tsh, T3, hypothyroidism,

Plasticizers like BPA, heavy metals like mercury, and many other chemicals found routinely in our environment disrupt or confuse the natural symphony of our bodies..

Be Smarter Than Your Doctor.

The result? You feel fatigued, cold, depressed, achy, and gain weight. You may lose your hair or part of your eyebrows. Uncomfortably dry skin becomes a problem despite lotions and potions. The real tragedy is that should you consult your physician; he may not run all the testing needed to pick up on the deception.

Here lies the main issue. “You cannot find something if you are not looking for it.”

Most doctors today do only a basic thyroid panel and miss situations where our bodies may be making antibodies to our thyroid gland. We can become “under attack” from our defense system. How cruel!

We may have trouble converting T4 into its active counterpart T3. As with any complicated system, many things could go wrong.


Following the Right Path

Have you ever heard this expression:  If someone has the results you want -do what they DO? ” I took that advice in 2012 after listening to a woman who cured her own “Hashimoto’s Thyroiditis.” I learned most all cases of low thyroid fall under the title of Hashimoto’s.

Most cases are immediately are treated with thyroid drugs. Sadly, they don’t always have to be Many things were added to my daily routine. A lot more would be removed.  Namely, toothpaste with fluoride was out the window. Body washes, dryer sheets, and all plastics went too. I had to make sure that most of the things that were within my environment were non-toxic and natural.

Mercury fillings we mostly removed as well. Scarily, removing them can be as much of a problem as leaving them in.

Ousting toxic metals from my tissues became my life’s mission. Coffee enemas and dry skin brushing became several times weekly habits. Dammit, I was going to get better.

Dr. Isabella Wentz’s book ROOT CAUSE came out just a year or so afterward and gave so much insight into what to do and how to do it.
Dr. Wentz has a website dedicated to providing free information. Follow in our footsteps and take charge of your health today.

CLICK HERE FOR FREE INFORMATION from Dr. Wentz.

Dr. Isabella Wentz PharmD FASCP   THE THYROID PHARMACIST-

Author of ROOT CAUSE  and  HASHIMOTO’s PROTOCOL and has a cookbook to help you live the autoimmune/Paleo diet that will help your body heal from the ravages of this debilitating disease.

You can get a wealth of information free from this incredible doctor who is dedicating her life’s work to her cause.

Ketogenic Diet Makes a Big Fat Comeback

Ketogenic diets are not new.

You might recall that ketogenic diets were made famous in the 1980s and ’90s by Dr. Robert Atkins and his products are popular with many dieters to this very day.

Interestingly, even up until today, some Doctors use the ketogenic diet to hinder seizures in those who have failed to respond to drug therapy. It was around 1998 that I first heard the words “if you eat more fat, you can lose more fat.”

I am one who never denounces something without giving it a fair shot.  Crazier ideas have proven factual.

Truthfully, I am quite fond of the saying, “The true definition of ignorance is to denounce something one knows nothing about.” So I set out to learn first hand.

Back then, as a  Personal Trainer and health educator, my reach was pretty substantial. Credibility was at stake with every suggestion that I made.  After all, my goal is to help others improve their health.  Each week my clients would tell me about Dr. Robert Atkins and his book about how eating bacon and cheese were dropping notches on their belt loops I had long since given up both of those foods in the name of health to reach my weight goal. After losing 80 lbs., I rarely ate either of them.

ketogenic diets, metabolic therapiesI found that my clients were boasting new found energy. At the end of our workouts, I could see they clearly performed BETTER than they had before. Many boasted feeling better than they had in their lifetime. This ketogenic diet seemed to really help change my client’s health quickly.

And then the other shoe dropped.

The Ketogenic Thrill Is Gone.

About two to three weeks into this new “diet,” many of my clients fell off the fat wagon. Why? It seems that fatigue limited their inability to complete workouts.  Others shared that it was just ‘too hard” to give up certain foods. Most cheated. Back to the drawing board, they went.

Why?  Their bodies had yet to become adapted to ketones as a fuel source.  I would later learn this horrible fate was called the “keto flu.” There would be a ketonian nirvana if you could survive the wrath of the keto flu.

It was the rite of passage into the world of being in ketosis.   For me, the intrigue set in. I was exercising about 5 hours a day easily. Would I lose energy?  What was this diet? Maybe I should test it out for myself. I committed to my first N=1.

Sixty days was the trial period, and I would stick to it. Then something amazing happened.

Eureka Moment.

Around week 3-4, I noticed several awesome things — no more blood sugar highs and lows. I was eating less.  I was eating LESS OFTEN.  Feelings of pure energy and true clarity of mind had me singing the praises of Dr. Atkins.

Although I still was unsure if this was healthy or not, I felt great.  Especially of concern to me was  WHEN NOT IF,  cholesterol issues would show.  The thought haunted me. But I felt amazing!

But could I live like this?   Not only could I, but wait until you see the changes in my lab work after eating mainly fats. EVERY marker for inflammation – GONE from my body.    http://biohackingwellness.com/big_fat_success/  see my ACTUAL test results before and after eating high fat.

Lone Soldier.

Every person I knew that had started this higher fat eating strategy was back to their original eating strategy except me. I stayed the course with very few blood sugar spikes. This strategy (I hoped) would one day pay off.

What History Proves.

Something deep inside me told me that eating fat was not bad. Weren’t’ our brains are about 60 % fat? And what about the fat-soluble vitamins? Don’t they need fats to be assimilated?  Our bodies make Vitamin D with the use of cholesterol. Another fat-based substance.

Cave dwellers did not go out in search of a 100-calorie snack pack. They ate meat, fat, fish, bark, insects, and fruits and veggies in season.

Here is the continued argument for the validity of a ketogenic diet. If we look at the requirement of our bodies that are of utmost importance, we can see the logic.


Fat Facts

Ketogenic,butter, saturated fat, LCHF, ketosis, intermittent fastingPrimarily fats help to make hormones and neurotransmitters and signal satiety.
• Additionally, fats also help to make MYELIN which is the sheath that covers nerve fibers
• 60% of our brains are fat.
• If we don’t EAT cholesterol, then our body will make MORE.
• When our body is running on fat as fuel, the energy extracted provides about 30% more ATP than glucose.
• Animal fats do not oxidize and cause free radicals the way other oils do.

Additionally, fats do not raise blood glucose or insulin.

You can’t get THIS in a pill.

The ACTIVE form of B12 (methylcobalamin) derives from an animal source (or blackstrap molasses). Humans and animals have difficulty using synthetic forms of B12, and our genetics dictate this. Much of what we get from plants would be unusable without fats.

If we are to get what our DNA requires, the co-factors we need to survive and procreate it becomes pretty clear.

Knowing that electrons RULE when it comes to energy – a keto diet is superior in its ability to provide a steady supply of electrons.

Keto Done RIGHT.

The ketogenic diet, when done right, is comprised of about 25-40 grams of carbohydrate only.  Contrary to the Atkins diet of the past, a true healing ketogenic diet calls for only a modest intake of protein. For most women, this averages out to about 50-70 grams per day — 70-120 grams for men. Anyone in the bodybuilding community would call me a fool for the last statement I just

made. They would be uninformed.

Check out this article on ketones, ketosis, and preserving muscle.
http://www.fasebj.org/content/30/1_Supplement/lb383.short

Overeating protein has a very negative effect on our genes. High protein intake also causes an increase in ammonia in our blood. So, in the process of elimination, we can see the facts.  Check out these resources on the overconsumption of protein.

Ron Rosedale – Protein: The Good, The Bad and The Ugly

Bacon and Cheese.

ile bacon and cheese are ketogenic foods, processed food is still processed. I am not saying you should not eat them at all.  But strictly limiting them assures you don’t add one health issue to remove another.


Work With Eating Windows.

Think HUNTER-GATHERER not handfuls of nuts. Nuts are great on a keto diet, but those carbs add up. Containing the eating window to a six to eight hour period works wonderfully in conjunction with a well-designed keto diet.

This comeback is a true health hack! It might just be what the “doctor ordered.”

Our Mighty Mitochondria-(practical tips to fix your energy crisis)

Mitochondria.  Not exactly dinner table conversation.

“Could you pass the butter and oh-by-the-way; what have you done for your mitochondria today?”

Not a household word yet.  Perhaps though, soon we will be chatting with friends about how we enhance our mitochondria in the same way we talk about what workouts we are doing for our best fitness.

What exactly is at the heart of mitochondrial function, and why is it so integral to our health and longevity?

How The Energy Crisis Begins.

You start your day jumping in the shower, grabbing breakfast and heading off to work.  On the way, you may catch a cup of coffee. Or two.  By mid-morning most feel that they need just a little “pick me up” in the form of a sweet snack.  For those whose jobs demand that they keep a feverish pace, you may even grab an energy drink or a soda.  A quick” bite.”

We are all seeking energy from a source that will pick us up quickly, right?  We feel we need it.  Done repetitively, this becomes a habit that actually “feeds” your energy crisis. It’s a cruel trick our body plays on us. And, then there are these tiny little mitochondria. Poor, hungry little mitochondria.

What Goes in IS Important.

Furthermore, these little energy-producing factories are feverishly trying to gather the raw materials to produce endogenous (made inside the body) energy.  But you have provided no such materials.  Why? Because you have given these little powerhouses nothing more than sugar, caffeine, and stimulants. The result?  Feelings of fatigue and run down.

We cannot seem ever to have enough energy. Now our adrenals and our nervous system are overtaxed. What do we do?  Reach for more caffeine, sugar and, stimulants, in a  vicious cycle that leaves us feeling burned out and stressed out.  Why? Because pure, lasting energy eludes us.

So what makes these little dynamos tick and how do we harness the power they are capable of producing?  What slows down their feverish energy making pace or worse, what causes their burnout?

A Tale of Two Organelles.

“Mitochondria and chloroplasts are two organelles that  have striking similarities to bacterial cells. They have their own DNA, which is separate from the DNA found in the nucleus of our cells.   And both organelles use their DNA to produce many proteins and enzymes required for their function.”  This is according to http://www.learn.genetics.utah.edu./  That is of course, if they have the raw materials to do so.

It is believed that mitochondria once lived in the ocean. Separate organisms from our own human form.  In the same way a bacterium can live inside a human host, mitochondria have merged with our own human  cells and we came to have a symbiotic relationship with them.   They somehow, over the evolutionary process became PART OF US. 

When they cease to exist so do we.  Mitochondria dysfunction is at the heart of all major diseases today.  Take for example MS which is a perfect example.

A Doctor Reverses Her Own Multiple Sclerosis.

Dr. Terry Wahls, assistant Chief of Staff at Iowa City VA Health Care and clinical professor at the University of Iowa,  suffered from MS.  After years of research, she devised a diet that addresses explicitly mitochondrial deficiency and sought to correct her own. She recovered from MS even though it’s latter stages she was confined to her wheelchair.  She now rides her bike to work.

How did she make such a miraculous recovery after being afflicted by a disease that has no cure? Dr. Wahls MINDED her mitochondria and uncovered what dictates the health of one of the most critical parts of the human body aside from the brain.

A diet was then devised as a dietary regimen to address the deficiencies we all face.  Dr. Wahls repaired her damaged mitochondria and reversed her symptoms so dramatically.

Mitochondrial deficiency is at the heart of most diseases that affect muscles and strength or energy and fatigue.
Watch the TED talk here With Dr. Terry Wahls

You Are Only as Healthy As your Mitochondria.

We now know that the health of our mitochondria determines our longevity.  Our “energy and life force” reside in these tiny cells. We are electrical and complicated beings.  But to discover what “makes us tick,” we need to go back to the barest of basics.

We know that light, water, and, magnetism play a massive role in the communication of one cell to another. LIGHT is the way our cells communicate. The work of Professor Fritz Albert Popp details how our bodies have millions of biophotons are the great communicators of our bodies and to our bodies.

You see, your cells speak LIGHT language. We are electrical beings.  Water is the substance in which all of our cells bathe.  Water intake and the adequate intake of minerals help these little biophotons to communicate with one another.

Feeding the machine.

Mitochondria derive their “raw materials” in the form of carbohydrate, protein, and fatty acids.  Those will convert these into ATP (energy) via a process that is known as “oxidative phosphorylation. ”

The mitochondria have a process whereby they take glucose and convert it into pyruvate.  Pyruvate gets oxidized into CO2 via the citric acid cycle.  Oxidation of fatty acids yields a substance named acetyl CO A.

This pathway is at the center of oxidative metabolism.  You may know it as the KREBS CYCLE  (see below)  Special thanks to the authors (see logo’s on their work in the pictures below of Sulfur- Rich Foods).

Our Native Fuel.

In the womb, we derive nutrition from our mother. When we are born, we are born in a state of “ketosis,” which is our native state. Mitochondria thrive on ketones as fuel. If they did not, a fetus would have no chance for survival

. Ketones turn on our survival genes. Let’s look at how the presence of this energy source can affect inflammation, oxidative stress, and the disease process.

Ketones are potent signaling molecules that also tell our bodies that food is scarce. Our mitochondria can make about 30% more ATP when fueled from ketones than they can from using glucose as the primary fuel source.

Sulfur- Rich Foods.

Sulfur rich foods are a necessity for adequately functioning mitochondria and can be found in eggs, onions, arugula, coconut milk (and coconut oil).  Cruciferous veggies like broccoli, cabbage, cauliflower are also fantastic sources. Greens like mustard, radish, kale, and turnip contribute sulfur as well.

Nature intended us to get this valuable nutrient through our foods. Note in the Krebs cycle diagram below that you can see the sulfur molecule in YELLOW.

The Krebs Cycle-Your Energy Factory.

Thanks to wiki (dinghy) for this colorful example

Sulfur would be at the top of the list of key compounds for mitochondrial health. An end-product in this cycle that is worth mentioning is something called NADH.

NADH is scarce in those with mitochondrial disorders. AND in some with autoimmune challenges.  The benefits of NADH are on the lips of scientists as we speak. Let’s look at a few practical tips to keep your mitochondria humming and yielding bountiful energy.


 From Dr. Susanne Bennett’s Book

“Might Mito”

Finally, Dr. Bennet recommends these nutrients for optimal mitochondrial function

• Omega 3s (healthy fats) – Helps to build up your mitochondrial membranes.

  • You should take a quality multi-vitamin and mineral formula – To ensure you are getting essential minerals, antioxidants, Vitamin C (studies have shown protection to  the mitochondria against oxidative stress)
  • Add the B complex nutrients as well.
  • Coenzyme Q10 (CoQ10) – Co Q 10 is a cofactor/ antioxidant that has been studied for its ability to reduce mitochondrial DNA mutations that contribute to degenerative diseases and aging.
  • Magnesium –Magnesium is linked to over 400 reactions in the human body and has been linked to the reduction of mitochondrial DNA mutation, and about 50% of us are deficient. It provides many other health benefits, such as maintaining a healthy heart and muscles, hormone metabolism, and a healthy immune system.
  • Carnitine –  Carnitine helps transport functional lipids (fatty acids) to the mitochondria. Contributes to metabolic support and, may also help remove toxins.
  • D-Ribose – A vital function of Ribose is to boost muscle strength. Marked improvement in symptoms of chronic fatigue syndrome in studies.
  • Resveratrol – A phytonutrient found abundantly in grapes and red wine.  Shown to increase the number of mitochondria in mice.
  • Amino acids – Many of us are protein deficient. There are eight essential amino acids for optimal energy, muscle, and, immune health.  They must be ingested.  We do not make them.

Lack of exercise and poor health habits can lead to mitochondrial dysfunction.  Some of the symptoms to look for are:

Fatigue, lack of energy, feeling burnt out
• Excessive pain and soreness after work-outs
• Memory loss
• Brain fog
• Mood changes
• Headaches
• Decreased mobility and joint stiffness
• Tingling and/or numbness
• Decreased immune function (longer healing time, infections)

The symptoms mentioned above could indicate that you may be at risk for the onset of challenges of the mitochondria. Soon, minding our mitochondria will become as much of a ritual as brushing your teeth or showering, and you will revel in all your newfound energy.

Nootropics: In Search of A Better Brain

“A substance that improves memory and facilitates learning.”

Pronounced “No TRAW Picks”.

Even though you may not have heard the term, you probably do something that helps you focus and think more clearly.  Many of us refer to this “coffee.”  For others, it is the B vitamins.  B12 “energy shots” are most common.  As a health coach, the complaint of “brain fog” is in the top 3 for most of my clients  Having more energy being number one.

We know we can feed our bodies optimally. But what about our brains?   We are finding out the answer is yes! We do this through food and targeted supplementation along with, of course, using it! Use it or lose it. Flexing our mental muscles by learning something new should become routine.

Research from the past claimed that you never regrow brain cells. Once they are gone, they are gone. I have some encouraging news to share with you.

Science has come a long way, and we now know that the brain DOES in fact, regenerate itself and grow new brain cells. Its called “neurogenesis” “While the brain has a limited capacity for regeneration, endogenous neural stem cells, as well as numerous pro-regenerative molecules can participate in replacing and repairing damaged or diseased neurons and glial cells.

Better gut, better brain – Viome tells the story of gut health.  What will your story be?

Save $15 Dollars off of the already lowered price of $149. Your health begins here.

A Better Brain with Nootropics.

Huperzine A

I recently listened to a podcast by Tim Ferriss, who is a well-known biohacker.  His guest was Dominic D’agostino of the University of South Florida (Morsani College).

Dr. D’agostino helped bring therapeutic ketones and their research to the public.
He was speaking about how he mitigates his loss of sleep when crossing continents while traveling.  He named huperzine “A”  as one of his recent favorites. Coming from someone who studies the brain for a living, I had to see for myself if this could work for me. I see this as a “must try” for anyone seeking a better brain.

He was right.  Huperzine A helps our other neurotransmitters work better. According to WEB MD “Huperzine “A” is thought to be beneficial for problems with memory, loss of mental abilities (dementia), and the muscular disorder myasthenia gravis because it causes an increase in the levels of acetylcholine.

Acetylcholine is one of the chemicals that our nerves use to communicate in the brain, muscles, and other areas.” Huperzine A is said to help increase dopamine levels.  Research on how huperzine A could help addictions will be much anticipated as those are “dopamine-driven.”

Bacopa Monierri

It’s no secret that I love when a single herb or combination of herbs shows us the power of substances, and how they can help us be better versions of ourselves. This little trailing plant has praised for cognition and recall, and overall memory enhancement increased neural activity.

http://nootropicsexpert.com/bacopa-monnieri/

Citicoline

Citicoline is the generic name of the pharmaceutical substance that chemically is cytidine-5′-di-phosphocholine (CDP-choline). Identical to the natural precursor of the phospholipid “phosphatidylcholine.”

Phosphatidylcholine is a natural chemical contained in eggs, soybeans, mustard, sunflower, and other foods. Phosphatidylcholine is also found in “lecithin,” and while the two are a bit different, the result sought is to get Choline. Choline is a critical B vitamin that helps to form the walls of cells.

What science is ascertaining is that Citicoline appears to slow the advancement of neurodegenerative diseases and glaucoma.

Vinpocetine

Vinpocetine is a man-made chemical resembling a substance found in the pretty purple periwinkle. The botanical name is “Vinca Minor.”

While Vinpocetine cannot claim to be completely natural, it is sold by prescription in Germany under the brand name Cavinton.  Vinpocetine studies to date seem to show there is an increase of blood flow to the brain with Vinpocetine.

Many people now are using this supplement to prevent ischemic stroke due to the surrounding science for its benefit to blood flow.

Exogenous Ketones

It is hardly a secret that I have personally found exogenous ketones to be one of the most valuable supplements for a number of reasons.  From fat loss, glucose and insulin regulation, to pain relief, exogenous ketones is one of my favorite supplements for your best cognition support.

Ketones are being studies in the fight against cancer and for the cognition support for those with Alzheimer’s disease. 

The beauty of the noogtropics I mention in this article is that you can “stack” them.  This means that you can use them in conjunction with one another.

An Inflamed Brain is an Aging Brain.

Dr. David Perlmutter has written two books on the very subject of brain health.  ONE main vein runs through all of his books.  We can eat our way to a better brain.  The other is that inflammation is what starts one down the path of cognitive decline.

5 Easy Tips for a Better Brain.

Any time we can cut down on inflammation systemically we benefit our bodies and our brains.  Here are 3 quick tips to reduce inflammation.

  1. Keep dietary sugars low and eat MORE fat.  The brain is about 60% fat.  Sugar isn’t brain food.  Avocado and egg yolk are brain superfoods.
  2.  Anything that affects the gut affects the brain.  Eat a clean, whole food diet. Take a good probiotic multistrain supplement. Switch different strains occasionally. Avoid diet sodas and processed foods.
  3. Increase antioxidants and inflammation with supplementation if necessary. Food alone is ineffective at scavenging the free radicals we face today. Avoid overexercising which causes accelerated inflammation and free radicals.
  4. Try nootropics or combinations of such. (do not take supplements without consulting with your physician.)  Many increase blood flow and decrease inflammation.  Improvement can be seen especially when combining them.
  5. Understand that your brain is not a “processor” it is a RECEIVER.

Learn something NEW!  Exercise your brain the way you exercise your body.  Flexing your “mental muscle” keeps your mind sharp.  Chess anyone?

**This post contains affiliate links, and I could be compensated if you purchase after clicking on my links. One should not take any natural or synthetic substance without first consulting with their physician.  This article is for information purposes only.