<p> Dr. Sara Korsunsky BSc, ND</p><p>Naturopathic Medicine  Licensed, primary health care doctors  Combine effective traditional therapies with advanced modern medical science  Focus on the individual, on prevention, and natural solutions for health.</p><p>What is health?  A state of balance and good function that permits a person to achieve their ultimate purpose of existence. A place where there is spiritual fulfillment. It is a changing process that requires persistent effort to maintain.  Where are you on the RIVER of HEALTHTM? </p><p>The foundations of health:  Proper Hygiene  Regular Movement/ Exercise  Adequate Rest & Quality Sleep  Healthy Nutrition & Digestion  Effective Stress Management  Functional Organs  = Anti-inflammatory lifestyle</p><p>Factors that contribute to Disease (*Scleroderma specific)  Poor digestion and elimination*  Bad breakdown- bloating and promotion of unhealthy microbes  Bad absorption- low levels of nutrients, weight loss or obesity  Bad bowel movements- toxins reabsorbed or nutrients blood lost, pain.</p><p> Immune system malfunction* or suppression  Poor recovery, chronic infections, autoimmunity, sclerosis  Both can present through skin! o Environmental toxins* . Chemical, pollution, pesticides, etc. o Unhealthy lifestyle . lack of movement, poor mental health, drugs, alcohol . Unhealthy diet- low in nutrients, high in fat/ sugars/ salt, skipping meals or overeating o Lack of rest or quality sleep . Affects adrenal stress glands . Increases inflammation o Genes* . Not a definitive outcome, can be turned on or off o STRESS! . Contributes to every single disease . Is inflammatory</p><p>Infections & Poor Microbiology (Microbiome)  Bacteria, Viruses, Parasites, Fungi  Lack of healthy levels of good bacteria/ overgrowth of poor microflora -very common  Diagnosis by stool culture or CSDA (www.diagnos-techs.com) Infections & Poor Microbiology (Microbiome) cont’d:  Research shows distinct improvement using probiotics in Scleroderma After 2 months use, significant improvements were seen in scores of total gastrointestinal symptoms, reflux, and bloating/distention. Frech TM, Khanna D, Maranian P, Frech EJ, Sawitzke AD, Murtaugh MA. Probiotics for the treatment of systemic sclerosis-associated gastrointestinal bloating/distention. Clin Exp Rheumatol 2011;29(Suppl 65):S22-S25.  Resource: Nutritional Medicine, a textbook by Dr. Alan R Gaby M.D. </p><p>◦ Detoxification to relieve the body of toxins and impurities can benefit pathophysiology of autoimmunity1 Crinnion WJ. Results of a decade of naturopathic treatment for environmental illnesses: a review of clinical records. J Naturopathic Med 1997;7:21-27</p><p>Scleroderma Specifics:</p><p>Don’t self- prescribes. ND’s check interactions with medications!!!  Vitamin D: often low in scleroderma, autoimmunity and MB.  Vitamin E supplementation resulted in improvements in the skin of scleroderma patients, including morphea, calcinosis cutis, and Raynaud’s phenomenon.  Zinc improves Morphea: 17 patients (mean age, 50.3 years; range, 20-77 years) with histologically confirmed morphea (localized scleroderma) for more than 1 year that had failed to respond to at least 3 months of treatment with a high-potency topical glucocorticoid were treated with 60-90 mg/day of zinc (as zinc gluconate). 4 patients had a complete remission (after an average of 11.3 months) and 5 other patients improved (after an average of 14.4 months), for an efficacy rate of 53%. Stop inflammation  Fish oils- high dosage, Turmeric- bonded to a lipid (fat), Boswellia, cayenne, licorice, Flaxseed, hemp, Ginger  Remove food intolerances  Stress management- counselling, spirituality, energy medicine  Meditation</p><p>Improving Energy and Sleep Treat Adrenal gland dysfunction o Testing- Adrenal Stress Index (www.diagnos-techs.com) o Treat Anxiety o Correct dysfunction (gut, brain)  Natural options: Lifestyle, Herbs, Homeopathy, Acupuncture</p><p>Naturopathic medicine treats all health concerns: from pediatric to geriatric, from irritating symptoms to chronic illness and from physical to the psychological. ND’s attend to your individual physical, mental & emotional harmony.</p><p>Book with a licensed Naturopathic Doctor to explore your health options. </p><p>1218 Lorette Avenue, Winnipeg, Manitoba, R3M 1W5 Ph. 204-488-6528 Fax. 204-452-7044 www.naturalmedicine.mb.ca</p>