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www.rejuvitrition.com
© C
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Be What You Eat The role food plays in healing
1 April 2015
www.rejuvitrition.com
© C
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Reju
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© C
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My Work
• “Rejuvitrition” is about how to rejuvenate the body through nutritional choices
• Work in three areas: – Nutritional lifestyle coaching
– Performance food choices
– Workforce wellness
• Certified Nutritional Therapy Practitioner; GAPS Practitioner; Restorative Wellness Practitioner; Certified Healing Food Specialist, Culinary Degree from The Art Institute of Pittsburgh
2 April 2015
www.rejuvitrition.com
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When people get to me, they are frustrated…
3 April 2015
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The Patient Role In Outcomes
1. Inflammation
2. Food Sensitivities
3. Health of your Gut
4. Pre-Op/Pre-admission testing
5. A timeline…
4 April 2015
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My Story
• IT band injury long-distance cycling 2009, and subsequent partial ACL tear
• Intention to avoid surgery at any cost – Elected PRP & BMAC
– 45-50 yrs. old - focused on whole dense nutrient rich foods and working on improving digestion
• Completed Pittsburgh to DC bike trip again, painlessly
• Completed Mud on the Mountain 2013
• Hiked all over Utah summer of 2014
• Food choices continue to make a significant contribution to my health
5 April 2015
www.rejuvitrition.com
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© C
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“You can trace every sickness, every disease, and every ailment to a nutritional deficiency.”
- Dr. Linus Pauling
6 April 2015
www.rejuvitrition.com
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What We Do Today
• Injections
• Regenerative medicine
• Replacements
• Physical Therapy
• Pre-Op?
7 April 2015
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The Role of Nutrition in Orthopedic Outcomes
• Body of research and literature increasing
• Observational research shows mobile, active patients more likely to have better nutrition
• Gut-brain connection research growing
• Systemic inflammation relationship to outcomes widely studied
• Food is useless without digestion
8 April 2015
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Effects On Outcome
• Weight
• Diet
• Exercise
• PT
• Gut health
• Pre-Op?
9 April 2015
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Inflammation Causes
• Diet – Sugar
– Processed foods
• Lifestyle – Exercise
– Stress
– Choices
• Digestion – Health of your gut
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• Bio-chemical
– Toxins
• Allergies
– Food allergies
– Food sensitivities
April 2015
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Inflammation
– The very ones you are trying to repair and replace
– Heal faster and quicker
– Better outcomes
– Referrals & WOM
11 April 2015
Systemic inflammation is deep in our cells
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3-Types Of Systemic Inflammation
• Food allergy – IgE type-1 hypersensitivity – Immune system reacts inversely to protein
• Food sensitivity – Mediators released – Some originate in the immune system – Some directly in cell (cell mediated) – Causes inflammation
• Food intolerance – Ability to digest – Lactase/Lactose
12 April 2015
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Food Allergy
IgE mediated
– Peanut allergy
– Shrimp
– Epi pen
13 April 2015
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Food Sensitivities
• Much less dramatic
• More common occurrences
• Creates many more problems
• Reactions can be 72 hours later
• Mediators released
14 April 2015
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Food Intolerance
• Digestive issue
– Dairy
• Non-humoral reaction
– Not IgG
– Not IgE
• Immediate reaction
15 April 2015
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Sensitivity Symptoms
• Weight gain
• Fluid retention
• Fatigue
• Sinus and nasal congestion
• Joint pain
• Headaches
• Acne
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• Brain fog
• IBS
• Mood
• Eczema
April 2015
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Mediators
• Histamines
• Cytokines
• Prostaglandins
17 April 2015
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What Causes Mediator Release
• Humoral mechanisms: – Antibodies:
• IgE, IgG, IgM
• Cellular mechanisms: – Cellular reactions
• T-Cells
• Phagocytes, granulocytes
• NK cells
• Non-immune mechanisms: – Lectins, histamine containing foods, etc
18 April 2015
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What Happens With A Food Sensitivity
• Ingestion – Eat something
• Recognition – Invader
• Defense – White blood cells, antibodies, immune
• Chemical warfare – Mediators are released
• Symptom manifestation – Tissue inflammation
19 April 2015
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Where Are Mediators Found
• Immune cells and circulation – Mast cells
– Basophils
– Eosinophils
– Macrophages
– Monocytes
– Neutrophils
– NK cells
– T-cells
20 April 2015
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21 April 2015
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We Can Tell
22 April 2015
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My Sensitivities
• Eggs
• Grapes
• Oranges
• Dill
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• Millet
• Carob
• Catfish
April 2015
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24 April 2015
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How Does This Happen
Eat food – Salivary enzymes – Chewing
Stomach – Churns and burns – HCL/enzymes
Small intestine – Microscopic
nutrients/blood and lymph
Large intestine – Waste, toxins
25 April 2015
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Dysfunction In The Gut
• Leaky gut
• Bacterial balance
• Mucosal tissue integrity
– Antibiotics
– SAD/processed foods
– Not chewing your food
– HCL-digestive enzymes
– Sugar
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April 2015 27
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28 April 2015
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Leaky Gut
• Ingest food 2-3 times each day
• Immune system whips into a frenzy
• Releasing mediators
• Undigested food sneaks through tight junctions in our intestines
29 April 2015
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What A Patient Can Do
– Pre-admission testing
– Food sensitivity testing
– GI panel
– Exercise
– Hydrate
– Anti-inflammatory diet
– Probiotics
– Turmeric
– Fish oil
– Meditate
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Always trust your gut. It knows what your head
April 2015
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What A Patient Can Do
31 April 2015
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Give Tools
• Food sensitivity test
• GI panel
• Heal and seal
• Stress
32 April 2015
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What Am I Asking
• Get your patients healthy first
– A few weeks can make a difference
• Heal quicker
• Better outcomes
• Referrals
33 April 2015
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CALENDAR - TIMELINE
• 4-6 weeks pre-op
• 2-4 weeks pre-op
• 1-2 weeks pre-op
• Post-op
34 April 2015
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Patients Can See Results
Allergies Arthritis Fatigue Weight High blood pressure Digestive disorders Reflux Mood Depression anxiety
35 April 2015
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“We are, at our most basic level, walking food.”
Joshua Rosenthal, MScED Integrative Nutrition: Feed Your Hunger
for Health & Happiness
April 2015
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For more…
Cheryl Bagley Rejuvitrition PH: 412-558-0636 [email protected]
37 April 2015
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Matthew E. Deren, MD; Joel Huleatt, MD; Marion F. Winkler, PhD; Lee E. Rubin, MD; Matthew J. Salzler, MD; Steve B. Behrens, MD Assessment and Treatment of Malnutrition in Orthopaedic Surgery JBJS Reviews, 2014 Sep; 2 (9): e1. http://dx.doi.org/10.2106/JBJS.RVW.M.00125 http://reviews.jbjs.org/content/2/9/e1.abstract
de van der Schueren, M., Elia, M., Gramlich, L., Johnson, M. P., Lim, S. L., Philipson, T., Jaferi, A. and Prado, C. M. (2014), Clinical and economic outcomes of nutrition interventions across the continuum of care. Annals of the New York Academy of Sciences, 1321: 20–40. doi: 10.1111/nyas.12498
38 April 2015
