Sarah Cimperman - Naturopathic, Holistic, Alternative Medicine

Sarah Cimperman, N.D.


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Santé! Naturopathic News From Dr. Sarah Cimperman

Santé means "to your health!" This French expression embodies the purpose of my monthly newsletter. My goal is to provide support for healthy lifestyles through articles, recipes, current research in holistic medicine and answers to your health questions.



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Fall 2011

“A growing body of scientific evidence has indicated that the air within homes and other buildings can be more seriously polluted than the outdoor air in even the largest and most industrialized cities.”
United States Environmental Protection Association

Indoor air pollution is a bigger threat than outdoor air pollution, but there are precautions we can take to minimize exposure to toxic chemicals inside our homes. Find the details in my new article, “Home Detox Checklist.”

Other topics this season include flu shots and alternatives, the effectiveness of chemotherapy, Cajun Roasted Cod, and healthy holiday gift ideas.

In good health,

Sarah Cimperman, ND

Article
Home Detox Checklist

Research Review
Flu Shots and Alternatives

Ask the Doc
Is Chemotherapy Effective?

Doctor’s Pick
Gifts for Healthier Homes

In the Kitchen
The Naturopathic Gourmet

Quote:
“A growing body of scientific evidence has indicated that the air within homes and other buildings can be more seriously polluted than the outdoor air in even the largest and most industrialized cities.”
United States Environmental Protection Association


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Home Detox Checklist
By Sarah Cimperman, ND

Harmful chemicals linked to cancer, cardiovascular disease and diabetes permeate our air, water and food. They’re inside our homes, lurking in furniture, fridges, flooring and paint. We slather them all over our bodies in soaps, shampoo, moisturizers and make-up. And they silently escape from our mattresses, clothes and cleaning products.

Studies show that these chemicals aren’t only in the environment, they’re already inside our bodies. According to the Cancer Prevention Coalition, residues of more than 400 environmental chemicals have been identified in human blood and fat tissue. And government agencies, academic institutions, and independent organizations have found up to 358 different chemicals in the cord blood of newborn babies.

We can’t escape them completely, but we can take the following precautions to minimize our exposure to environmental toxins inside our homes.

#1 Take Off Your Shoes

One of the easiest ways to prevent outdoor chemicals from becoming indoor toxins is to leave your shoes at the door. Insist that everyone else does too.

#2 Open the Windows

According to the Environmental Protection Association, indoor air pollution is more dangerous than outdoor air pollution, even in the biggest and most industrialized urban areas.

To help exchange and circulate the air inside your home, open your windows as often as you can. Individuals with indoor allergies or chemical sensitivities should also consider high-efficiency particulate arresting (HEPA) air filters.

#3 Filter Tap Water

Activated carbon filters can remove chlorine, lead, mercury, copper, pesticides, solvents, radon, parasites, some volatile organic compounds, and bad tastes and odors from tap water.

In addition, reverse osmosis removes fluoride, cadmium, asbestos, bacteria, arsenic, barium, nitrates, nitrites and perchlorate. Reverse osmosis filters use thin membranes to remove 99.97 percent of contaminants 0.3 microns or larger, while ulta-HEPA filters reportedly filter out 99.99 percent.

Before you buy, check out the water filter buying guide from the Environmental Working Group. After you buy, change the filters regularly.

#4 Get the Plastic Out

Replace plastic food storage containers with glass, stainless steel or ceramic containers. Replace plastic beverage bottles and travel mugs with stainless steel or glass varieties.

Avoid foods and drinks that have been packaged in plastic containers, cans, and cartons unless they specify “BPA-Free” and “Phthalate-Free” (look for Vital Choice and Eden Organics).

Avoid foods that have been packaged in foam (polystyrene) materials like disposable cups, take-out containers and egg cartons. (Buy eggs in cardboard cartons.)

Replace plastic wrap with aluminum foil or parchment paper and eliminate your need for plastic bags by taking a reusable organic cotton bag with you to the farmer’s market and grocery store.

#5 Nix Non-Stick

Replace non-stick cookware with cast iron, stainless steel, copper, glass, or ceramic cookware.


If non-stick pans are your only choice, never preheat them when they are empty, use only low heat, never put them in the oven, and discard them as soon as the surface becomes scratched.

#6 Use Cleaner Cleaners

Replace chemical cleaners with essential oils, baking soda and vinegar. Pure essential oils are naturally anti-bacterial and tea tree essential oil is especially effective at removing mold and mildew (avoid synthetic and perfume oils).

Baking soda acts as an abrasive agent to remove residue and stains from glass, ceramic, stainless steel and silver. Add a few drops of water to make a baking soda paste for cleaning the stove, sink, counters, toilet and tub.

Use white vinegar to polish mirrors and wash windows and floors. Or use a steam mop to clean non-carpeted surfaces (steam mops use only water and steam to clean).

Remove rust stains by sprinkling salt over the area, squeezing fresh lemon juice on top and allowing it to sit for several hours before you wipe it off.

To unclog drains, first pour a quarter cup of baking soda down the drain, then pour in one cup of white vinegar. Wait for the foaming to reside, then flush with plenty of boiling hot water. Don’t forget to make use of drain snakes and plungers.

To polish wood furniture, mix three parts olive oil with one part freshly squeezed lemon juice and apply it with a soft cloth, rubbing briskly and allowing to air dry. (You may want to test a small area before you apply it to an entire piece of furniture.)

Non-Toxic All-Purpose Cleaner


1 cup of white vinegar
5 drops of tea tree essential oil
5 drops of pure lavender or orange essential oil (avoid synthetic and perfume oils)
1/2 cup of water

Add the ingredients to a clean glass spray bottle and shake to combine them. Label the bottle with the ingredients and date. Shake it again gently before use to re-distribute the essential oils. Spray the cleaner on dirty surfaces and wipe it off with a clean wet sponge.

For tougher cleaning jobs, omit the water and leave the solution a few minutes longer before wiping it off.

Use this cleaner on counters, sinks, stove tops, appliances and tiles. Do not use it on wooden or delicate surfaces.

#7 Avoid Drycleaned Clothes

Find a cleaner who uses wetcleaning, a water-based alternative to solvent-based drycleaning. Wet cleaning uses biodegradable detergents and a humidity-controlled drying environment to preserve “dryclean only” clothes.

If you can’t avoid drycleaned clothes, store them in a well-ventilated spot away from your living area (like the garage) and each time they're treated, allow them air out for at least two days before wearing them.

#8 Avoid Fragrances

Get rid of air fresheners and all fragranced household products. Manufacturers are not required to disclose additives regarded as "fragrance," and a single fragrance can contain several hundred ingredients. Remember that “unscented” doesn’t necessarily mean fragrance-free (chemicals may have been added to cover odors).

As an alternative to air fresheners, use pure essential oil diffusers. In the laundry room, replace liquid fabric softener with a half cup of white vinegar (mixed with 5 drops of pure lavender essential oil if you wish to scent your clothes) and substitute organic wool or silicone dryer balls for fragranced dryer sheets.

#9 Research Your Personal Products

According to the Environmental Working Group, the average woman uses 12 products containing 168 unique ingredients every day, while the average man uses 6 products daily with 85 unique ingredients, and most of them have not been tested for safety.

Use the Skin Deep Cosmetics Safety Database to learn what you’re putting on your skin. Search by product, ingredient or company to read safety reviews and make good choices when selecting items like soap, shampoo, toothpaste, deodorant, eye drops, contact lens cleaner, bubble bath, skin creams, hair styling products, makeup, nail polish, sunscreen and baby products.

#10 Use Plants to Clean the Air

One six-inch houseplant per 100 square feet of living area can greatly improve indoor air quality. Several species have been shown to filter harmful chemicals including the Boston fern, English ivy, moth orchid, dendrobium orchid, ficus tree, gerbera daisy, heartleaf philodendron, peace lily, pot mum, snake plant, spider plant and several species of dracaena.

#11 Use Non-Toxic Building Supplies

If you are planning refurnishing or remodeling work, or buying or building a new home, look for non-toxic building materials like pre-finished real hardwood furniture and flooring; stone, porcelain, glass or ceramic tiles; latex mattresses and mattress pads; and organic cotton fabrics, bedding and washable rugs. If possible, chose a home without an attached garage. Take precautions when removing toxic materials like old paint and carpet.

#12 Reduce Your Exposure to Unnecessary Electromagnetic Radiation

Remove unnecessary electronic gadgets from the bedroom and do not sleep next to wireless devices unless they are completely powered down. Keep all Wi-Fi transmitters away from where you work and sleep.

Do not keep cell phones or other wireless devices in your pockets or next to your body when they are turned on. Use a headset, wireless headphone, or speaker phone whenever possible. Keep calls short and when you don’t need to speak in person, send text messages instead. Use wireless devices only when the signal strength is strong and avoid using them inside spaces enclosed by metal, like elevators, subways, trains, planes and cars.

Before you buy, check out EWG's Cell Phone Shopping Guide to learn about radiation risks associated with specific devices.

#13 Test and Maintain

Have your home tested for mold, radon, and lead. Install and maintain a carbon monoxide detector. Use furnace filters with a MERV 7-9 rating (minimum efficiency reporting value) and change them every six weeks. And don’t forget to clean out your air ducts and vents regularly. If you can’t do it yourself, hire professionals.

References

Cancer Prevention Coalition. 2003. Carcinogens at home.

Environmental Protection Association. 2011. The Inside Story: A Guide to Indoor Air Quality.

Environmental Working Group. 2008. Statement of Jane Houlihan on Cosmetics Safety.

Environmental Working Group. 2009. Pollution in People: Cord Blood Contaminants in Minority Newborns.


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Research Review: Flu Shots and Alternatives

A recent study published in the prestigious medical journal The Lancet found that flu shots are not as effective as most people think. Infectious disease experts conducted a meta-analysis, which is a study of studies, and found that flu vaccines were only 59 percent effective overall in adults aged 18 to 65. Efficacy varied and fell as low as 35 percent.

Influenza vaccines never prevent colds and they aren't always effective against the flu either. Furthermore, vaccines carry the risk of adverse effects and there is growing concern that their over-use is contributing to the increasing resistance of viruses.

Healthy adults don't need the flu shot. As an alternative to the flu shot, follow these 7 tips to stay well this winter:

#1 Get More Sleep

Adequate sleep is essential for a healthy immune system. Experts recommend 9.5 hours per night in the winter, when days are naturally shorter and nights naturally longer. If you can't get that much sleep, aim for at least 8 hours. A study published in the Archives of Internal Medicine found that healthy adults who slept at least eight hours each night had a higher resistance to upper respiratory infections than those who slept 7 hours or less.

#2 Manage Stress

Stress hormones activate the body's sympathetic nervous system responsible for "fight or flight" reactions. This natural response to stress prepares the body for instant action and inactivates functions that aren't essential for immediate survival, including immune surveillance, the body's defense against abnormal cells like viruses, bacteria and cancer.

Stress can be unavoidable but if you manage it well, it doesn't have to suppress your immune system. Learn to manage stress through activities like breathing exercises, meditation, yoga, tai chi and qi gong.

# 3 Exercise

Studies show that regular exercise is associated with fewer upper respiratory infections and less severe symptoms. Aim for 2.5 hours each week and a combination of aerobic and strengthening activities. Don't forget to stretch, but do it only after your muscles have warmed up, and again at the end of your workout.

#4 Wash Your Hands

Viruses that cause colds and flu are transmitted through contact with contaminated surfaces (and also by airborne droplets produced from coughing and sneezing). Reduce your risk of acquiring colds and flu by washing your hands several times each day, especially after touching shared surfaces and before touching your face. Rub hands together vigorously with soap and hot water for thirty seconds or more, and teach kids a song to sing while they wash to ensure a thorough job.

Avoid anti-bacterial products because they aren't necessary (soap is naturally anti-bacterial) and can contribute to bacterial resistance.

#5 Eat Your Vegetables

A diet high in fruits and vegetables will provide nutrients necessary for a strong immune system. Onions, garlic, chili peppers and ginger root are especially helpful for cold and flu prevention, as studies have shown that these foods can stimulate immunity.

#6 Consider Probiotics

Studies show that having the right balance of healthy bacteria can reduce the risk of colds and flu. Include cultured and fermented foods in your diet like yogurt, tempeh and miso. Some people may benefit from a probiotic supplement.

#7 Test Vitamin D

Healthy levels of vitamin D are important for a strong immune system. If you don't know your number, ask your doctor for the simple blood test that will determine whether or not you need to supplement and, if so, how much you should take.

Reference

Osterholm MT et al. Efficacy and effectiveness of influenza vaccines: a systematic review and meta-analysis. Lancet Infectious Diseases. 2011 Oct 25.

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Ask the Doc: Is Chemotherapy Effective?

Will chemotherapy shortages have a big impact on cancer care?
-Corinna, New York City


Shortages of chemotherapeutic drugs might not make as much difference as some experts predict. The reality is that chemotherapy isn't very effective. A study published in the well-respected journal Clinical Oncology found that it didn’t significantly improve 5-year survival.

Researchers in Australia analyzed results of randomized clinical trials (the gold standard for research studies) involving 22 different kinds of cancer. They found that "the overall contribution of curative and adjuvant cytotoxic chemotherapy to 5-year survival in adults was estimated to be 2.3% in Australia and 2.1% in the USA."

Overall, only 2% of cancer patients treated with chemotherapy were alive five years later.

In some cases, chemotherapy was much more successful. For example, in the United States, 40 percent of patients with Hodgkins Disease (a cancer of the lymphatic system) treated with chemotherapy lived at least five more years. But in other cases, chemotherapy was even less effective. Less than 1 percent of patients with stomach cancer in the US were alive 5 years after chemotherapy treatment.

For some people, chemotherapy can be a life-saving treatment. But for most, it doesn't lead to a longer life and it can compromise the quality of life patients have left.

If you're considering chemotherapy, weigh both the benefits and the risks. Don't just ask your oncologist what treatments are available, inquire about their effectiveness as well.

Reference

Morgan G, Ward R, and Barton M. The contribution of cytotoxic chemotherapy to 5-year survival in adult malignancies. Clinical Oncology 2004 Dec; 16(8):549-60.



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Doctor’s Pick: Gifts for Healthier Homes

Share the gift of a healthier home with non-toxic alternatives to everyday items. Find my top picks for every budget in my recent blog.

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In the Kitchen with the Naturopathic Gourmet

My healthy, whole foods blog, The Naturopathic Gourmet, was rated as one of the Top 25 Naturopathic Blogs.

Each week I add a recipe that calls for seaonsal ingredients, so check back frequently for my most recent dishes.

Pumpkin Soup
I serve this soup as a simple starter when I'm short on time. It's easy to throw together and doesn't take long to cook.

Quick Refrigerator Pickles
These pickles can be made in the fridge in just 24 hours.

Frisée Salad with Poached Eggs
Frisée is an endive in disguise. Its leaves look lacy and delicate but it's really a sturdy, bitter green vegetable.

Cajun Roasted Cod
You can use this recipe with any protein, so if you don't have cod, substitute shrimp, Alaskan halibut, chicken or triangles of tofu.h.

To read these recipes, visit my blog. To find a specific recipe, scroll down to navigate the archive on the right side of the screen.

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Subscribe to this newsletter
This monthly newsletter is published by Dr. Sarah Cimperman and is available free for everyone. Those who would like to receive a monthly email with the link can email newsletter@drsarahcimperman.com with "subscribe" in the subject field. All email addresses are kept confidential and will never be shared with any other party.

Please Note
I never accept commission or compensation of any kind for my recommendations. If I recommend a book or website or service, it is because I believe it is of exceptional quality and interest to my readers.

Copyright 2011 Sarah Cimperman, ND



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