GUIDE TO RELIEVE THE 5 MOST COMMON SYMPTOMS Your Place For Answers 1085 Park Avenue, Suite 1E, New York, New York 10128 (646) 661-7447 - www.DrStevenG.com - [email protected] SYMPTOM Fatigue Understanding Your Fatigue Dr. G’s Relief Recommendations FUEL Fatigue implies lack of energy production. Like any machine, the human body needs a power or fuel source in order to produce energy. That fuel is glucose (blood sugar from food or storage) and oxygen (breathing and Iron metabolism from diet). When considering fatigue understanding all of the ways oxygen, iron and glucose are made available to our cells must be understood by your doctor. PROPER NOURISHMENT • Eat within the first hour of waking up, with foods that consist of high-quality fat, protein, and/or vegetables. • Fruits are best consumed in the afternoon and avoided in the morning and evening • 75% of fruit and vegetable intake for the day should be vegetable and 25% fruit • Complex carbohydrates should be consumed in the evening • If your bed time is 10PM, last calories should be consumed by 7:30 • Vegetable and nut and seed snacks between meals. Avoid hunger by grazing throughout the day. ACTIVATION Fuel allows our cells to work and do their job. Activation refers to the ability to tell and initiate our cells to work. It’s like an automobile that has a working engine and a full tank of gas. By itself it does nothing but turning the key to engage the starter tells the car it has to now get to work. Activation requires a working nervous system (communication and electrical system) and hormonal system. Hormones in the body regulate our blood sugar availability (cortisol, insulin) as well as hormones that actually act as a starter for the cell to function as is the case with one of the forms of thyroid hormone called Free T3. QUALITY SLEEP • Getting a solid night’s sleep is pivotal to not feeling physical or mental fatigue. • Read more about healthy sleep habits on page 5. “When considering fatigue understanding all of the ways oxygen, iron and glucose are made available to our cells must be understood” 2 SYMPTOM Brain Fog & Anxiety Understanding Your Brain Fog Dr. G’s Relief Recommendations NEURO-DEGENERATION Brain fog is a symptom that is all too common. It can lead to depression, anxiety, lack of focus and concentration. Technically this is a form of neuro-degeneration. In its most severe form, term neuro-degeneration is most commonly associated with diseases like Parkinson’s, dementia and Alzheimer’s. In its mildest form it can be perceived as “brain fog”. PROPER TESTING • A comprehensive wellness panel will give valuable information about state of blood sugar control, iron metabolism, B-vitamin physiology, “extended” thyroid panel. Nearly all medical doctors merely check for what they can help and therefore do not bother to check for functional thyroid problems that do not qualify for medication. IMMUNE ACTIVITY Brain fog is most commonly caused by the excessive presence of immune activity in the brain. Immune activity in the brain is not well tolerated and can result in excessive damage. Immune activity is closely tied to what is happening in the gut (gastrointestinal system). Inflammatory processes that are chronic result in a 2 way immune system communication process between the gut and brain, what I call the “Brain Belly Connection”. There is a more extensive nerve network in the stomach and small intestines than there is in the brain. It makes sense that we evolved or were created in a way that gave the brain the strongest connection with those systems that brain depends on for its own survival. RULE OUT SYSTEMIC INFLAMMATION • Fasting for a minimum of 24 hours and maximum of 3 days is a test that helps identify systemic inflammation related to immune elevation at the level of the gut. I recommend that this be done under supervision as there are several ways to do this. Choosing the right method can be the difference between a pleasant or a negative experience. PUMP IT UP • Talk to your Functional Medicine provider about your personal exercise goals. • I recommend finding a routine you like and preferably work out in the morning. DEPRESSION, ANXIETY, & BRAIN FOG These are very similar processes, which explains why drugs that work on specific brain systems are prescribed for each. “Inflammatory processes that are chronic result in a 2 way immune system communication process between the gut and brain, what I call the “Brain Belly Connection” 3 SYMPTOM Headaches Understanding Your Headaches POSTURE It is believed that 80% of headaches are associated with muscles and nerves that surround the head and neck. This is epidemic because of the posture we assume at our computers. Our head rests too far forward on our spine creating abnormal muscle tone and stress on our nerves that exit the spine and go to our head. The human body was meant to hunt and gather, not sit for 40-60 hours per week at a computer. This results in early degeneration of spinal joints in your neck, loss of the normal curves and position (subluxation) and eventually a diagnosis of arthritis. VASCULAR OR MIGRAINE The nervous system manages blood delivery by using body position and your body uses information from nerves as well as pressure receptors in the blood vessels in your neck that go to your head and brain. There are 4 major blood vessels and if the pressure below the neck is low then the pressure above the neck can be high, which could easily trigger a “vascular” headache. Vascular headaches can be triggered by changes in blood volume (mild dehydration) and blood sugar balance and control. AUTONOMIC NERVOUS SYSTEM The part of our nervous system related to stress, protection and defense is called the sympathetic nervous system. The part of the nervous system associated with digestion, relaxation, healing and repair is called the para-sympathetic system. At any given point only one can be dominant. Many of us have excessive sympathetic tone (stressed) resulting in an imbalanced state. This can lead to the inability of our stress management system to keep up with the demands. This can trigger morning, sleep deprived type headache. SYSTEMIC INFLAMMATION Often times people with these types of headaches have other chronic pain syndromes. A careful look at blood chemistry and diet is important here because of how common it is for people to be sensitive to common food proteins. Dr. G’s Relief Recommendations HYDRATE • Drink water with lemon! It has an “alkalizing effect”. GET EQUIPPED • For morning headaches, try a cervical support pillow • For migraines, try an icepack while lying on your back where skull and neck meet for 10 minutes every hour. GRINDING Clenching or grinding teeth is due to contraction and spasm of the muscles involved with your jaw and teeth while you sleep. The excessive use of the muscles creates a soreness and release of inflammation over the muscles around your temples over the front side portion of your head. GET CHECKED • Have your spine evaluated by a chiropractor. GET UP! • Maintain spinal range of motion and flexibility through regular exercise. 4 SYMPTOM Difficulty Sleeping Understanding Your Sleep Pattern Dr. G’s Relief Recommendations HEALING PROPERTIES Sleep is underestimated in its importance for healthy living and avoiding chronic illness like arthritis, heart disease, stroke, diabetes and the like. There are so many bodily processes of growth, healing and repair that occur when we sleep and the truth is we cant do without it or without “enough” of it. The research is clear. As adults we function best if we get just about 8 hours of sleep. Less than 8 hours is fine as long as there is a “catch up” day during the week. ENVIRONMENT • Sleep environment should be silent and dark. No television, radio, music and eliminate all light from the room. Eye mask if necessary. • Use software like https://justgetflux.com/ which changes the light spectrum coming from your computer based on the time of day. Our computer screens are designed to use the full spectrum of daylight. It is not good for your brain to experience the full spectrum into the evening. • Read yourself to sleep. Do not use a back-lit device. Many of my patients report no more than 3-4 hours of sleep for years. Usually women with undiagnosed thyroid dysfunction or thyroid dysfunction with normal lab tests (common symptoms include anxiety, depression, weight gain). It is no surprise that companies who want to sell health and wellness products have their infomercials on in the middle of the night. They are very aware millions of women who can’t sleep, are likely to impulse buy a product that can make them look and feel the way they once did. QUALITY • Determine your quality of sleep. People who snore are in danger of experiencing apnea (repeated blockage of airway during the night, resulting in serious health issues). A clue to your quality of sleep can be determined by using at home biometric devices or software apps that give a score to your quality of sleep. Fitbit and jawbone devices have sleep tracking software. • Have ASI (adrenal stress index) performed by your wellness expert or functional medicine doctor. ASI tracks the hormone cortisol. Cortisol impacts your quality of sleep. TYPES OF SLEEP PROBLEMS Sleep problems can include too little deep (REM) sleep, difficulty falling asleep, difficulty staying asleep, or both. Some botanical and herbal supplements give doctors of functional medicine diagnostic clues if they work. For example GABA, Valerian, Melatonin and the like give us clues as to what system may need to be addressed. TAKE THE 7-DAY CHALLENGE • Be outside for 10-20 minutes for 7 days during the first light in the morning and be outside at dusk, when the sun goes down at night. Our sleep mechanism is intimately tied to the way the sun hits our retina. “Sleep is underestimated in its importance for healthy living and avoiding chronic illness.” 5 SYMPTOM Can’t Lose Weight Understanding Your Weight Issues EAT RIGHT • Avoid calorie restriction and calorie counting. Focus on food types instead. • Eat frequently. Grazing is a healthy practice. • Consume vegetables, vegetables, and more vegetables. 80% of fruit and vegetable intake for the day should be in the vegetable family. • Limit fruits to the middle part of the day and avoid fruits in the morning and evening. • Avoid sugars and artificial sweeteners. • Eat healthy meats like wild fish, grassfed, hormone and antibiotic free beef, or organic poultry. • Do not avoid fat. As a matter of fact increase healthy fats from olive oil (not heated), nuts and seeds (preferably raw, no peanuts), nut butters from almonds, walnuts, cashews (not peanut butter), and extra virgin coconut oil. • Cut the glycemic index by combining fat and fruit. For example, dipping apple slices in almond butter reduces the sugar effect of the apple. • Your first meal of the day should be mostly protein, healthy fat and/or vegetables. • Snack on healthy nuts, seeds, and veggies every 2 hours all day between bigger meals. This will prevent excessive hunger and the cravings for food that is less healthy. • Legumes, grains and anything made from grains should be limited and even avoided. THE EXCEPTION When diet and exercise listed above do not work or get you to a point where you hit a plateau, you may have something else going on. The common misconception is that if you consume fewer calories than you burn you will lose weight, and for the most part you will. Unfortunately this is the model that has a 98% rate of gaining all the weight back and then some, resulting in a “yoyo” experience which is documented to be very unhealthy. Dr. G’s Relief Recommendations Get these recommendations right 80% of the time and most people will do great. More stubborn cases will require further evaluation and management. BE FIT • Exercise, 3-5 times per week, preferably in the morning. High intensity interval training (HIIT) is optimal. GET YOUR HEAD RIGHT • Spend some time in quiet solitude during the morning and/or evening. Meditation or prayer rhythmically practiced has a calming effect that will impact your other bodily systems dramatically. “Get these recommendations right 80% of the time and most people will do great. ” 6
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