Functional Nutrition

Holistic Strategies for Getting Ahead of Depression

As we move into the darker, colder months, for many folks out there, the onset of November comes with concerns for maintaining a positive, healthy mental state. What we advocate for in Holistic Health & Functional Medicine, is to be preemptive and preventive as much as, and whenever, possible. If you know that the darkness of November brings with it the challenge to stay positive and healthy in mind and body, it’s a good (perhaps imperative) time to start thinking about what your most difficult challenges have been in the past, what has helped pull you through, and how your intentions might be different this time around.

While we all seem to know that there are lifestyle habits and behaviours that help and foods/meal practices that are beneficial also, it is common place to lose sight of these things when the constant demands of life gets in the way. This is why it can be so important, and sometimes life changing, to spend some time thinking through what approaches might work for you and how you can choose to prioritize them NOW.

As I have many friends and family members that are challenged with various degrees of depression, and have supported many clients who share this challenge, I understand the need for regular reminders and continued support throughout all the seasons, but particularly the harder ones. I also know that in every inspirational intention, every offer of education and information sharing, and every sentiment of encouragement, there are small nuggets of wisdom that reach someone who really needs it.

So let’s get to it!

Because Holistic Health means to come at the imbalance from ALL SIDES and to consider the person as a whole (body, mind, emotional being, spirit), there are THREE AREAS I want to focus on here: Dietary Strategies, Supplement Considerations, & Lifestyle Modifications.

  1. Dietary Strategies to Prevent Depression

MAINTAIN STABLE BLOOD SUGARS: There is growing research & evidence connecting blood sugar imbalance & instability with increased risk for development of depression and anxiety. This is one of the easiest AND cheapest ways to work to prevent mood swings, brain fog, and energetic spikes & crashes, which can all increase your chances of developing or furthering depression.

  • Eat Regularly Throughout the Day - every 2-3 hrs

  • Aim to Balance Your Macronutrient Intake - adequate carbs, protein, + fat

  • Steer Clear of Refined Sugars & Processed Foods - blood sugar nightmare

  • Stick to Low Glycemic Index Carbohydrates - Glycemic Index Chart for reference

ENSURE ADEQUATE OMEGA 3s: Our brain is made up of 60% fat and 1/4 of the dry weight of your brain is made up of Omega 3 (DHA). Proper levels of the right fats can greatly affect overall function of the brain and long-term brain health. Omega-3s can travel easily through the brain cell membrane and interact with mood-related molecules inside the brain. They also have anti-inflammatory actions that may help relieve depression. Most diets consist of a 40:1 Ratio of Omega 6:Omega 3. The Optimal ratio we are looking for is a 3:1. Reducing refined oils and foods high in Omega 6 oils, and increasing intake of Omega 3s can greatly influence overall brain health, as well as impact risk of depression.

  • High Omega 3 Foods Include: Cod Liver Oil, Mackerel, Salmon, Herring, Oysters, Sardines, Flaxseeds, Chia Seeds, Walnuts, Soybeans

  • EASY IDEA: Add 1 - 2 Tbsp of Freshly Ground Flaxseed to Your Daily Smoothie

INCLUDE ANTI-INFLAMMATORY FOODS REGULARLY: Inflammation may actually be the underlying cause of such high rates of depression and our societal struggle to get on top of so many cases. Symptoms of Inflammation include: brain fog, unclear thoughts, low brain endurance, slow & varied mental speeds, loss of function after trauma, brain fog after meals, brain fog from scents, chemicals, & pollutants. Body inflammation impacts the brain and brain inflammation impacts the body, so inflammation anywhere can influence your risk for depression. Including foods that are anti-inflammatory regularly can be your secret weapon to keeping the inflammation at bay. Read more about Brain Inflammation Here.

  • Anti-Inflammatory Foods: berries, broccoli, avocado, leafy greens, turmeric, olive oil, garlic, ginger, tomatoes, cherries, nuts, seeds, seaweeds, blue/green algae, dark chocolate, herbal teas: rooibos, rosehips, chamomile, ginger, dandelion, Spices: turmeric, black pepper, chili, cinnamon, cloves, ginger, rosemary

  • Reduce Inflammatory Foods: sugar, cooking oils (corn, cottonseed, safflower, soy, sunflower, canola, vegetable), trans fats, dairy products, white flour/refined grains, excessive alcohol, fried foods, red & processed meats, candies/store bought chocolates, baked goods

2. Supplements that Might Make a HUGE Difference

Supplement Disclaimer: While it’s always the ideal approach to use food as medicine first and foremost, sometimes we can use a little clinical support through strategic supplementation. I will first mention that it’s important to work with a Health Professional to help you find the right supplements, in the proper form, and in the appropriate dosage for YOU in order to get the benefits that you hope for through the use of supplementation.

5-HTP: 5-hydroxytryptophan is a chemical that the body makes from tryptophan (an essential amino acid). After tryptophan is converted into 5-HTP, the chemical is converted into the neurotransmitter serotonin (responsible for relaying signals between brain cells). 5-HTP can help raise serotonin levels in the brain and can be as effective as SSRIs, as it crosses the blood brain barrier and can increase serotonin conversion by up to 70%. Since serotonin helps regulate mood and behavior, 5-HTP may have a positive effect on sleep, mood, anxiety, appetite, and pain sensation, and therefore be very beneficial to prevent or reduce depression.

SAMe: S-Adenosyl-L-methionine is made in the body from methionine, an amino acid found in foods, and has been found to regulate key functions in living cells. SAMe increases serotonin, dopamine, and phosphatides; can have as great a response as antidepressants and has had promising results in clinical trials.

GINGKO BILOBA: A powerful herbal supplement that enhances oxygen and glucose utilization by the Nervous System. It improves circulation to the brain, is a powerful antioxidant that is protective for brain health, and inhibits b-amyloid deposition (which increases aging and deterioration of the brain). It’s role in preventing symptoms of depression include improved cognitive function and improved blood circulation to the brain.

ST. JOHN’S WORT: The most thoroughly researched natural antidepressant, St. John’s Wort modulates serotonin reuptake, positively affects several other neurotransmitter functions, calms the adrenals, can improve quality of sleep, and is a powerful antioxidant.

VITAMIN D: Deficiency is highly correlated with increased risk of depression. Vitamin D plays critical roles in hormone formation and modulation, nerve growth factors, and it’s deficiency is associated with most mood disorders.

FOLIC ACID + B12: Both low folate and low vitamin B12 status have been found in studies of depressive patients, and an association between depression and low levels of the two vitamins is found in studies of the general population. About 35% of our population and up to 92% of our elderly population is deficient in Folate. Vitamin B12 deficiency is significantly associated with increased symptoms of depression.

OMEGA 3s: There are a number of studies indicating that omega-3 fatty acids are proving to be very effective against the treatment of major depression disorder and other psychiatric disorders. Omega 3s are important for normal metabolism, cell signaling, and structure of the cell membrane. Increasing the quantity of DHA in the brain is linked with higher neurogenesis in the hippocampus, positively affecting learning and memory, and reducing symptoms of depression.

3. Lifestyle Habits & Behaviours that Cost You Nothing & May Change Everything

EXERCISE: The absolute BEST and CHEAPEST way to reduce symptoms of anxiety and depression is to include daily exercise. Studies are now concluding that exercise can be AS EFFECTIVE at treating depression as drugs (SSRIs and others) and psychotherapy! Daily movement, whatever feels right for you, is imperative to a solid, Holistic Approach, to working with depression. The only thing required is a little effort and motivation. What I often suggest to clients who struggle getting started on a movement regime is to either buddy up with a friend who needs a little kick in the butt too, or sign up for a local class, pay for it so that you are held accountable, and reap the benefits of not only the movement, but the connection as well.

TIME OUTDOORS: Nature heals. Nature energizes. Nature connects us to the world around us beyond our immediate life. Spending time outdoors, no matter the weather, no matter time-constraints, no matter what you are doing, can have great benefits to your mental health. Aim to spend time outdoors AT LEAST 1 hour/day and for much longer increments on the weekends. It’s FREE, nurturing, and will fill your lungs and mind with fresh air & a new perspective on life!

SLEEP: A continuing struggle for so many people out there, we not only seem to struggle to get enough sleep and spend enough time in bed, but we struggle with sleep quality. Your sleep quality affects ALL OTHER ASPECTS of your life and can affect your overall health long-term. Aim for 9 hours in bed - 8 of sleep. Look at putting some energy into a better sleep routine, avoid screens in the bed or close to bedtime, avoid/reduce alcohol & caffeine, and try some sleep meditations before you drift off. More on Sleep HERE.

PASSION PROJECTS: I work with many clients who struggle with Dysfunctional Eating & Eating Disorders and a common underlying theme seems to be a loss of sense of self and a loss of passion for life. Similarly with those who are challenged with Mental Health (and all human beings for that matter), finding hobbies, crafts, creativity, community contributions, and other activities that fill you up with excitement and passion is CRITICAL for recovery and to improve positivity and overall life-enthusiasm. Think about things that light you up and make you feel energized and excited - these are things you need to spend more time doing and acting on. Make room in your life for your passion projects, share them with others, and see if they may lead you towards other life avenues that make you feel good in your body and mind.

While so many folks out there are challenged with depression and the numbers continue to climb, it doesn’t mean that we are powerless to prevent it or manage it. There are SO very many ways to help support yourself and your loved ones through the darker, more challenging times. May you find a few nuggets of wisdom and encouragement here.

With love & in great health ♡
Cindy

Resources
Glycemic Variability Impact on Mood and Quality of Life
5-HTP & Depression
SAMe & Depression
Gingko Biloba & Depression
Vitamin D Deficiency & Mood Disorders
Folic Acid, B12 & Depression
Omega 3, DHA, & Depression

Health Benefits of Iron, Food Sources, & Supplement Options

IRON! A mineral worth talking about!

  • Vital for brain development & growth

  • Needed for cell production

  • Boosts resistance to infection & critical to immune function

  • Needed for hormone production

  • Makes up myoglobin - a protein that carries & stores oxygen in the muscles

  • Needed for proper immune function

Iron deficiency is the MOST COMMON nutrient deficiency, most often caused by excessive blood loss (menstruation), lack of iron in the diet, absorption issues and digestive dysfunction, & pregnancy. Those at Risk: females (monthly blood loss), growing infants & children, vegans who are not consuming enough iron, & endurance athletes (particularly female).

Iron is an essential element for blood production - about 70% of your body's iron is found in the red blood cells of your blood called hemoglobin and in muscle cells called myoglobin.
About 6% of body iron is a component of certain proteins, essential for respiration and energy metabolism, supporting the synthesis of collagen, some neurotransmitters, and needed for proper immune function.
About 25% of the iron in the body is stored as ferritin, found in cells and circulating in the blood. The average adult male has about 1,000 mg of stored iron (enough for about three years), whereas women on average have only about 300 mg (enough for about six months). When iron intake is chronically low, stores can become depleted, decreasing hemoglobin levels.

There are 2 kinds of Iron: Heme (animal sources) and Non-Heme (plant sources). While heme iron is absorbed more efficiently than non-heme, we can reach the body’s iron needs through consumption of either forms, provided we are absorbing iron efficiently.

When iron stores are exhausted, the condition is called iron depletion. Further decreases may be called iron-deficient erythropoiesis and still further decreases produce iron deficiency anemia.

How to Increase your Iron Absorption:

✔︎ Consume iron rich foods with vitamin C - vit C works synergistically with iron to increase absorption
✔︎ Avoid drinking tea or coffee with your meals - the tannins can reduce absorption by 39% - 64%
✔︎ Avoid calcium-rich foods or supplements when consuming iron foods - calcium interferes with iron absorption
✔︎ Consume a variety of iron-rich foods regularly
✔︎ In the Elderly, decreased iron absorption is often caused by a lack of hydrochloric acid secretion in the stomach and supplementing with HCl can be beneficial

One of the best ways to Up Your Iron Game is to consume foods that contain high iron levels REGULARLY through the diet. Choosing 3 - 5 foods on the list below and weaving them into your daily consumption will help you meet your Iron Needs proactively, without Supplementing, provided your Iron Levels aren’t already low.

Best Food Sources of Iron:

Kelp
Blackstrap Molasses
Pumpkin Seeds
Oysters
Beef/chicken liver
Beef/chicken
Sunflower Seeds
Almonds, Cashews, Brazil Nuts
Millet, Brown Rice
Leafy Greens
Broccoli, Cauliflower
Sprouted Mung Beans
Sesame Seeds

What If You Feel as Though You May Be Iron Deficient?

Symptoms of Iron Deficiency

Fatigue or Lethargy
Weakness
Depression
Restless Leg Syndrome
Impaired Cognitive Function
Pale Skin
Dark Circles Under the Eyes
Headache, Dizziness, or Lightheadedness
Inflammation or Soreness of the Tongue
Cold Hands & Feet
Brittle Nails
Chest Pain, Fast Heartbeat, or Shortness of Breath
Unusual Cravings for Non-Nutritive Substances, such as Ice, Dirt, or Starch

Considering Supplementation

BEFORE YOU SUPPLEMENT: Have your Ferritin levels checked by your doctor. Ideal levels should be above 70ng/mL. It isn’t a great idea to supplement with iron unless you’ve had your levels checked. Excess iron can cause build up in the liver, kidneys, and arteries, and may lead to increased risk of heart disease. Antioxidants like vitamin C & E can protect against iron-induced oxidative damage.
Dosage Ranges: It is best to work with a Health Care Practitioner to help decide what’s right for you. As a general recommendation, for Iron Deficiency, take 30mg of iron bound to either succinate or fumarate 2x/day between meals. If there is abdominal discomfort, take 30mg with meals 3x/day. To increase absorption, take with Vitamin C (Reference: Encyclopedia of Nutritional Supplements, Michael T. Murray, N.D.).

SUPPLEMENT OPTIONS:
Thorne Research -
Ferrochel® Iron is chelated with bisglycinate amino acids, providing high absorption and increased tolerability. Capsule includes Vitamin C, B6, Folate & B12, all of which can enhance absorption and encourage proper nutrient balance.

OptiFer - 11mg of Elemental Iron, highly recognized, high bioavailability, and low gastrointestinal side effects.

Feresom Forte - Canadian Company, Liposomal Iron, high absorption, nutrient balanced.

NOTE: High intakes of other minerals, particularly calcium, magnesium, and zinc, can interfere with iron absorption and drugs like aspirin and ibuprofen may contribute to iron loss via gastrointestinal bleeding.

Always work with a Health Care Practitioner to be sure you are supplementing correctly and to avoid any interactions or negative side effects.

Hope you've learned something here today! If you have any questions or comments, please feel free to reach out to me directly. And be sure to sign up for the Newsletter so that you won’t miss any new info or recipes!

Resources:
Encyclopedia of Nutritional Supplements, Michael T. Murray N.D.
Examine.com
GI Society Product Review
Natural Medicines.com
Mayo Clinic
UCFS Health