Gut Health is Important for Mental Health

At Thrive Wellness, we recognise that mental health is multifaceted, and addressing it from all angles is important. While psychological therapy plays a significant role in mental health care, did you know that your gut health could be just as important? The gut-brain connection influences everything from mood to cognitive function and improving the health of your gut could be your ticket to a happier mind.

The Gut-Brain Connection: More Than Just a Feeling

Your gut and brain are constantly communicating through what’s known as the gut-brain axis – a two-way street where your gut can influence your mood, thoughts, and overall mental health, and vice versa. Here’s how it works:

Neurotransmitter Production: Did you know that a significant amount of serotonin, the “happy hormone,” is produced in your gut? A healthy gut is essential for maintaining optimal serotonin levels. An unhealthy gut can disrupt serotonin production, leading to mood swings, anxiety, or even depression.

Inflammation and Immunity: A disrupted gut can lead to systemic inflammation which has been linked to mental health conditions such as depression and anxiety. A healthy gut helps maintain a balanced immune response, reducing inflammation and potentially alleviating symptoms.

Nutrient Absorption: Your gut is responsible for absorbing the nutrients that your brain needs to function effectively. If your gut isn’t healthy, you might miss out on essential vitamins and minerals important for mental clarity, emotional balance, and resilience.

Microbiome Balance: Your gut is home to trillions of microorganisms, collectively known as the microbiome. These beneficial bacteria help regulate mood by producing and modulating neurotransmitters like serotonin and GABA. They also help maintain the gut barrier, enhance nutrient absorption, and regulate immune responses. When the microbiome is imbalanced – a condition known as dysbiosis – harmful metabolites and endotoxins are produced, leading to inflammation and poor mental health.

Why Psychological Therapy Alone May Not Be Enough

Psychological therapy is an essential part of mental health care, but it’s not the only piece of the puzzle. While therapy can help you manage emotions, thoughts, and behaviors, it may not address the underlying physical issues that could be contributing to your mental health struggles.

This is where a Certified Practicing Nutritionist (CPN), also known as a Clinical Nutritionist, can help. Through comprehensive assessment of your medical history, current symptoms, lifestyle factors and laboratory testing, a CPN can create a personalised plan that includes dietary modifications and therapeutic supplmenentation to support and enhance your mental well-being.

Research shows that this evidence-based, dual intervention approach of tackling mental health from both the inside and out produces better outcomes than psychological therapy alone.

Microbiota-gut-brain bidirectional relationship. Source: https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.813204/full

How Clinical Nutritionists assess and improve your Gut-Brain connection

Certified Practicing Nutritionists (CPNs) are tertiary qualified, clinically trained, Practicing Nutritionists who assess and address a person’s nutritional biochemistry and metabolism by providing customised recommendations within a clinical and nutritional medicine framework to improve health. Using dietary and lifestyle modifications along with therapeutic supplements, CPN’s aim to remediate the metabolic dysfunctions that drive a person’s poor health and/or chronic disease states. Here’s what you can expect when working with a CPN at Thrive Wellness to improve your gut-brain health:

  1. Comprehensive Assessment: Upon scheduling your appointment, you’ll receive an information pack and questionairres for you to complete detailing your health concerns, symptoms, lifestyle, dietary habits, and your health goals. Your CPN will review this information prior to your initial consultation, identifying key areas and questions to explore further during your first meeting.
  2. Additional Assessments: Your CPN may suggest further investigations, such as additional questionnaires, food diaries, or laboratory tests (e.g. blood, saliva, stool). A comprehensive stool analysis, for example, can profile your gut microbiome’s diversity and abundance, shed light on the health of your gut lining and mucous, nutrient breakdown and absorption and measure inflammation.
  3. Customised Recommendations: After evaluating your information, your CPN will provide tailored recommendations, education and support to help you implement the recommendations. Restoring gut health following dysbiosis typically involves five to six consultations over a 6 month timeframe, sometimes longer. Initial recommendations are based on population-based scientific studies, wheras prescription following specialised testing allows for a higher level of personalised health care due to your specific biochemistry and needs being identified. As not everyone requires advanced testing to get results, a cost-effective option can be to engage in an initial 2-3 month course of therapy and only pursue additional testing if you’re not getting the results you want.
  4. Nutritional Medicine – Supplement and Dietary recommendations: Your CPN will prescribe evidence-based therapeutic supplements and dietary modifications to address underlying issues. For example, if you’re lacking in key nutrients like magnesium, B-vitamins, or Omega-3 fatty acids, supplements might be recommended to fill the gaps, enhancing your mental health outcomes. Select clinical probiotic strains and prebiotic fibres will be prescribed to modify gut microbiome composition. Although making permanent changes to gut microbiome diversity and abundance takes a long time and requires a diet diverse in plant-foods to sustain it (possible without ongoing supplementation), faster improvements in mental health from taking psychobiotics occur on average, within 6 weeks. Such outcomes are due to the metabolites that the psychobiotic strains produce having a modulatory affect on the micorbiome-gut-brain axis and immune system, leading to significant reduction in depression and anxiety. Of course, gut health is just one system that may be contributing to and impacted by your mental health, as others systems are also affected, your CPN will provide you with recommendations that address your whole body and bring it back into balance. For this reason, early improvements in energy, mood or sleep may occur in just a few days.
  5. Transition to self management – Once balance is restored and your mental health wellness goals achieved, your CPN will provide you with a plan for maintaining your health, along with education on how diet and lifestyle alone can acheive this without the need for ongoing supplementation. Clients with a long history of being unwell, may cling to supplementation out of fear they might become unwell again. The supplements used for restoring homeostasis however are often not needed ongoing, with the exception of specific circumstances. An example of an exception is an individual experiencing ongoing stress, who has a genetic SNP or other variant that increases their susceptibility to poor gut, immune or mental health. Another example is an individual who is unable to make the necessary diet and lifestyle modifications to maintain their health. Your CPN will discuss your individual needs with you, and customise ongoing supports for you accordingly.

Ready to improve your Mental Health?

At Thrive Wellness we’re passionate about providing multidisciplinary, evidence-based, comprehensive, holistic mental health care. We value psychological therapy as an important primary mental health intervention. Our psychologists help you manage emotions, thoughts, and behaviors, and provide you with evidence-based strategies to reduce stress, however they can’t address underlying biochemical, genetic or metabolic issues that could be contributing to your mental health struggles. If you’d like to support your body using clinical nutrition and nutritional medicine interventions, reach out and request a CPN consultation. After all, when it comes to your well-being, why settle for anything less than complete care?

Image by pikisuperstar on Freepik

Personalised Medicine: how DNA testing can optimse medication results

Pharmacogenomic testing, also known as pharmacogenetic testing, examines how your genes affect your body’s response to medications. This testing combines pharmacology (the study of drugs) and genomics (the study of genes) to guide over-the-counter and personalised medicine prescriptions. By analysing your genetic makeup, healthcare providers can tailor treatments to ensure they are effective and safe for you.

Why is Pharmacogenomic Testing Important?

  • Personalised Medicine: Pharmacogenomic testing helps doctors customise treatments based on your unique genetic profile, increasing the effectiveness of medications and reducing the likelihood of side effects.
  • Improved Drug Efficacy: By understanding your genes, doctors can select medications that are more likely to work well for you, ensuring better treatment outcomes and quicker recovery.
  • Reduced Side Effects: Some individuals experience adverse reactions to certain medications. Testing can identify which drugs you may be sensitive to, helping to avoid these unwanted effects.
  • Optimal Dosage: Determining the right dosage can be challenging. Genetic testing helps find the correct dose for you, minimising trial and error.
  • Preventing Drug Interactions: Your genetic profile can reveal how you metabolise certain drugs, preventing harmful interactions between medications.
  • Cost-Effective Treatment: By reducing ineffective treatments and adverse drug reactions, pharmacogenomic testing can lower healthcare costs, avoiding unnecessary doctor visits and hospitalisations.

Who Can Benefit from Pharmacogenomic Testing?

Patients with Chronic Conditions: Those with chronic illnesses like depression, heart disease, or cancer can find more effective and safer treatment options.
Individuals with Unexplained Drug Reactions: If you’ve had adverse reactions or poor responses to medications in the past, testing can help identify the cause and suggest better alternatives.
Individuals on Multiple Medications: Those taking several drugs can benefit from testing to avoid drug interactions.

How to Access Pharmacogenomic Testing

You can discuss your interest in pharmacogenomic testing with your doctor, pharmacist, or our clinical nutritionist. They can provide information on whether it’s suitable for you and how to proceed.

Is Pharmacogenomic Testing Covered by Medicare?

Currently, pharmacogenomic testing is not subsidised under the Medicare Benefits Schedule. Patients can access private tests by referral from their GP, Psychiatrist, Paediatrician, our Clinical Nutritionist, or by purchasing an at-home test kit from a pharmacy stockist.

How Much Does Testing Cost?

Health practitioner referred: The laboratory will charge you approx $150-$300 for testing arranged by your healthcare provider. Results will be sent to your healthcare professional, so you’ll need to pay for an appointment to receive your results. Please note, if ordered through our Clinical Nutritionist, your results will be forwarded to your treating doctor.

At-home Test Kits: A MyDNA Practitioner edition “Medication” test kit (cheek swab) from your local pharmacy will cost around $100-$150. Results will be sent to your GP or pharmacist (who can forward a copy to your GP). You’ll need to make an appointment with your GP to discuss any recommended changes to your medications.

Click here to find your nearest local pharmacy selling MyDNA Practitioner edition, at-home “Medication” test kits.

What is the Testing Process?

  1. Sample Collection: A blood test, saliva (spit) test, or a small sample of your cheek cells is collected.
  2. Laboratory Analysis: The sample is analysed in a lab to identify genetic markers that influence your response to medications.
  3. Results Interpretation: Your healthcare provider reviews the results, considering your overall health and current medications.
  4. Personalised Treatment Plan: Based on the results, your doctor may adjust your medications or dosages to better match your genetic profile.

Understanding Your Results

Your test results will indicate any genetic variants that affect your response to medications. These results help your provider recommend the best treatment options, dosages, and predict potential side effects.

Additional Information

Pharmacogenomic testing is distinct from other genetic tests that diagnose diseases or assess disease risk. It focuses solely on how your genes impact medication efficacy and safety.

If you have any questions or would like more information, please speak with your healthcare provider.

Useful Information Sites and References

https://www.clinicallabs.com.au/about-us/doctor-media-releases/pharmacogenetic-testing-for-optimised-drug-treatment-outcomes/

https://medlineplus.gov/lab-tests/pharmacogenetic-tests/

https://www.mydna.life/pharmacy/ – Please note, when considering the range of myDNA test kits and their applications, Thrive Wellness doesn’t recommend myDNA’s at-home consumer test kit for nutrition and wellness insights. For clients seeking nutrition and wellness gene insights, we recommend the more comprehensive and clinically valuable nutrigenomic and exercisegenomic testing, available through our clinic. On request, testing can be arranged prior to initial consultation, with results recommendations discussed during your first appointment with our Clinical Nutritionist/Accredited Exercise Physiologist.

https://www.sonicgenetics.com.au/our-tests/all-our-tests/pharmacogenomic-pgx-screen

I’m drinking lots of water but can’t quench my thirst. Why?

What a heatwave!! (*pauses to wipe brow) Instinct has us reaching for water to quench our thirst, but for some of us, regardless of how much we drink, we remain thirsty. Why?

Did you know your body needs more than just water in order to hydrate? Specific minerals, called electrolytes – sodium, potassium and chloride especially – are necessary to hydration. While most people are aware their body is comprised 60% water, few realise the important role electrolytes (present in blood and other bodily fluids) play in enabling their body to hold onto and use the water they drink. Hydration is essential for healthy, happy cells, organs, hormones, brain health and absolutely everything!

So, in the midst of this heatwave, I thought I’d share this simple cocktail (and no, there’s no alcohol in this baby) to help you replenish lost sodium, potassium and chloride, as well as provide some wholefood Vitamin C, natural sugars and the plethora of nutrients, minerals and trace minerals found in oranges. This handy cocktail also serves as a balancing and restorative drink that supports your adrenals during times of stress, so feel free to mix up this delish cup of nourishment during the cooler months as well.

In terms of when to drink it, It’s best taken away from other food and drink. Ideally 10am and/or 2pm, but fit it in when you can. Please note that the cocktail is not a one-stop shop – meaning it’s absolutely not a replacement for water – you still need to drink plenty of quality, clean, mineral rich water throughout the day. The Electrolytes provided in this cocktail are only one part of the hydration puzzle – WATER still remains the major piece!

And of course, if you have any concerns about your health, or your Doctor has told you to restrict your sodium intake, please make an appointment to confirm this cocktail fits in with your specific health goals and wellness plan!

RECIPE VARIATIONS FOR ADRENAL COCKTAILS

Orange Juice recipe:
• 120ml fresh squeezed Orange Juice
• ¼ tsp cream of tartar
• ¼ tsp sea salt (unrefined)
• *provides approx: 62mg whole food Vit C + 372mg potassium and 485mg sodium chloride

Coconut water recipe:
• 1 cup coconut water (ensure 375mg potassium, each brand different amounts)
• ¼ tsp sea salt
• 60mg wholefood vit c

Recipe for Travelling:
• ¾ tsp cream of tartar
• ¼ tsp sea salt
• ½ tsp wholefood vit c
• 120ml water

*All Adrenal Cocktails should provide approx 60mg wholefood vit C + 375mg potassium + 460mg sodium chloride.

NOTES ON INGREDIENTS & WHERE TO PURCHASE

Where Wholefood C is mentioned, I recommend Eden Healthfoods Wild C powder. Wild C contains a mixed blend of organic, wild berries and greens, dehydrated at low temperatures and ground into powder – using whole foods ensures necessary co-factors like bioflavonoids, and other vitamins, minerals and phytonutrients are available, making it both non-toxic and more bioavailable compared to isolated Vit C.

I made a lot of phone call enquiries to companies marketing different brands of wholefood C products in Australia – I was surprised at how many admitted to knowing nothing about how the raw ingredients had been grown or processed, or whether they’d been heated or frozen along the way! They simple bought in various powders, mixed them together and marketed their product. In contrast, Eden Healthfoods are passionate about delivering quality wholefood supplements from nature to home and answered every question I asked in detail!

They’ve offered to give 10% discount to our readers. Use the code THRIVE at checkout, or click here for it to be automatically applied.

With regards to sea salt, choose unrefined Celtic Sea Salt (white-ish grey colour) or Himalayan salt (pink). ‘Salt of the Earth’ is a Celtic Sea Salt brand our family loves and can be purchased from most Organic Grocery stores and Health Food shops.

If juicing your own oranges, remove skin and pips and blend in food processor or similar. If buying orange juice, source WHOLEFOOD juices without additives or preservatives – eg. Nudie brand “Nothing But Oranges” available at supermarkets.

Neuroplasticity in action

It’s likely that by now you have at least heard the term “neuroplasticity”. Our understanding of the human brain’s capacity to rewire itself has grown dramatically over the past few decades. We have written about it previously in our blog post Rewire your brain: neuroplasticity FTW!.

It’s one thing to hear about neuroplasticity. But it is something else altogether to see it in action. Today I stumbled across this youtube video:

There are lots of skills that are complex and difficult to master, for which the development of new neurological wiring through continual practice will be essential to mastery. But rarely do we see such a <em>dramatic</em> challenge to achieving the most rudimentary level of competence. Why is this bike so difficult to ride?  If we reversed the steering in a car people would very quickly be able to adjust. Anyone who has played a reasonable number of flight-simulating computer games will know how quickly that adjustment can occur, because a proportion of those games reverse the vertical control axis. Adjusting to that can be accomplished in hours. It took <em>eight months</em> for the presenter of this video to be able to ride this bike.

The challenge with reversed steering on a bike is that steering is not <em>only</em> used to control your direction, but constant small adjustments are made to maintain balance on the bike. With the steering reversed there is almost <em>no room for error</em> that would allow the brain to try an option, realise it is producing the wrong result and adjust accordingly. It is worse than learning to ride the <em>first</em> time because the brain is predisposed by existing wiring to select a set of motor responses that are the precise <em>opposite</em> of what are needed, amplifying any imbalance instead of correcting it.

…so the thing that amazes me most, watching this video, is that even under circumstances that are tremendously prejudiced to failure, the neuroplasticity of the brain makes success possible. What might your brain be capable of that may seem impossible to you today?

Bicycle leaning against a wall

“Bicycle” by fedeanimationCC BY 2.0

The Science on Mindfulness

Mindfulness forms an important part of a range of strategies we use at Thrive Wellness to facilitate psychological well-being. So far we have never written on the subject on our blog. Now, once again, the Radio National program All in the Mind has done a great job summarising what mindfulness is and the current state of the science on its usefulness. Also included are some good personal accounts of its benefits.

Have a listen to the program, or read the transcript, here: All in the Mind – On being mindful.

Cape Naturaliste Lighthouse - WA

Radio National program on Borderline Personality Disorder

The All in the Mind program on ABC’s Radio National recently aired a good segment on effective treatments for Borderline Personality Disorder (BPD). Treatment is out there, and it works. To listen to the program, or read the transcript, follow the link here: Borderline personality disorder—what works?

On the program Catherine Bennett, formerly diagnosed with BPD, says the following:

BPD is not a choice, but recovery is. And like any mental illness, no one ever chooses to have a mental illness, but fighting for recovery, having a life worth living, that’s a choice. And making that choice is the first step.

If you would like to know more about BPD, you may also like to read Life on the Line – what is Borderline Personality Disorder?

Do you feel wise?

Have you ever noticed that many people are emotionist? This is a made-up word I am using here to refer to people being prejudiced against certain emotions. Some emotions are treated as acceptable – or even admirable – while others are treated as “bad” or “wrong”. Happiness is generally seen as something positive to aspire to, while anger, jealousy, fear and many times sadness are treated as though they are feelings that healthy people should not have. They are treated as feelings that you should eliminate as quickly as possible and it is even suggested that people should try to prevent them occurring in the first place.
Sad man crying in rain

Well, that is baloney. Every emotion exists for a reason. Continue reading