Tag Archives: mind body

A gynecologist’s favorite gut bug and probiotic: Lactobacillus rhamnosus

I’ve said it! My favorite bug is L. rhamnosus. I know it sounds crazy, but just looking at the image of them makes me happy. WHY?!

l rhamnosus

If you haven’t heard the news the bugs, or microbes, that colonize our bodies are amazing. There are over 10,000 strains of these microorganisms that make up almost 5 lbs of our body weight. More and more data continues to emerge related to the bugs that inhabit our bodies and the amazing health benefits they provide, not just for the body, but as it turns out, for the mind as well.  We each have our own unique “fingerprint” of these bugs that is likely determined by our mothers vagina, but also, can be influenced by our own diet and lifestyle, and in some cases by taking probiotics. So why do I have a favorite?

For many gynecologists and the women they care for, recurrent BV is a pain in the neck to treat. This is why early in my career, I began to do some research to see how I could better serve my patients. When it comes to recurrent BV, I have had many patients benefit from the simple addition of the strain of Lactobacillus rhamnosus. It turns out that a healthy vaginal flora provides a microenvironment that is not very pleasant for nasty bacteria that can cause a yucky fishy odor and a thin vaginal discharge. This study, published in the journal of Immunology and Medical Microbiology showed that in a randomized, controlled trial, oral L. rhamnosus not only colonized the vagina, it also prevented BV and candida colonization of the vagina. Many of my patients that were coming back to me for recurrent BV swear by this probiotic. Some are even able to treat themselves without the help of antibiotics by taking it when they start to feel some discomfort or discharge.

But wait…there’s another reason why I like this bug for women and it involves weight loss. A large study showed that babies that are delivered by cesarean section and or are formula fed suffer higher rates of adult obesity. It is thought to be due to the lack of healthy flora that babies born through the vagina get. Recently after noticing my own weight gain following treatment with broad spectrum antibiotics, I remembered the studies about obesity and cesarean section. I decided to look into which strains might be beneficial for weight loss. And I found this study. They randomly gave L. rhamnosus or a placebo pill to men and women that were attempting to lose weight with the exact same diet and exercise regimen. They found that the women dieters (BUT NOT THE MEN!!!) using the L. rhamnosus lost twice as much weight as those taking the fake pill. Keep in mind, the study was funded by Nestle so potential bias could exist however the double blind design does minimize potential bias. Keep in mind…you still have to exercise and eat right!!! But the addition of the probiotic should give you an extra boost. It worked for me!

Still more and perhaps most interesting, there was a neurobiology study looking at depression behaviors in in mice taking L. rhamnosus versus not taking it. What they found was that mice that were given the L. rhamnosus (JB-1) strain had significantly lower levels of the stress-induced hormone corticosterone and exhibited less anxiety- and depression-related behavior. It was thought to be driven by the vagus nerve and effects of GABA receptor expression. So how’s that for mind-body. Perhaps we should really be talking about mind-body-bug.

Hopefully this will convince you that your own microbiome can protect you and explains why as a gynecologist, L. rhamnosus is my favorite bug. Here are some natural ways you can promote your body’s own beneficial flora:

Diet high in fiber

Sleep

Exercise

Plant based diet

So there you have it, the reasons why my favorite gut bug is L.rhamnosus.

For more on the microbiome, check out this TEDx Talk on YouTube.

Or this talk by Stanford Immunology Professor David Relman

If you want to try a supplement, here are some products that have the L. rhamnosus strain, but there are many out there that will work, you just have to look for it on the side of the probiotic bottle where they have the strains listed. Try to buy from a reputable company however so you can ensure you are getting active strains.

© Regina Zopf MD 2014. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Regina Zopf MD with appropriate and specific direction to the original content. Accessing this site means you agree to the disclaimer that can be read here.

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Dieters? Go ahead, INDULGE! but do it mindfully

With all of the varied diets that are promoted all over the place, what’s a woman that wants to stay healthy to do?

So by now, most of us know we shouldn’t “diet”. It is really about making healthy food choices that become a part of our everyday life and habits. Does that mean you can’t sneak a sweet treat every now and again? ABSOLUTELY NOT. But if you do, be sure to fully indulge. Here is a great posting on NPR from yesterday. When folks were given the same exact 300 calorie delicious milkshake, one was labeled low calorie, fat free, and guilt free, while the other was labeled with exactly what it was, 300 calories. Well what happened next was yet another window into the mind body connection and the miriad of ways that what we believe can actually affect how our body responds the food we put into our bodies! The folks that drank the mislabeled “healthy milkshake” secreted more Ghrelin. This hormone basically makes you think you are hungry and leads you to seek out more “satisfying foods”. But wait…there’s more, it also slows your metabolism, making it harder to burn calories and easier to gain fat and store sugars.

WHAT!!!!

So what does this mean? It means, fully enjoy in your food. Eat mindfully and indulge in your food. Even if it is healthy food. When you are mindfully eating, enjoying your food and the way it is nourishing your body, your mind is sending out all the right hormones to satisfy your hunger. If on the other hand, you are restricting your diet with health foods you really don’t want, you may actually be shooting yourself in the foot.

You can try mindful eating on your own the next time you eat. If you have a grape handy, it is always fun to try with that. Take a quiet moment to savor a grape in a way you never have. Slow down. Pick up the grape. Feel it in your fingers, note how it feels or any thoughts you may be having about eating the grape. Place the grape in your mouth. Notice any sensations on your tongue. Slowly bite into the grape and feel the texture, the pressure on your teeth. Feels the juicy sweetness that bursts onto your tongue as you bite into the grape. Take your time as you savor the flavors and aromas. Notice how you feel while you are eating the grape. Note: You can try this with any food.

Want to try a free webinar on mindful eating? Check out the Center for Mindful Eating. They have a webinar coming up on April 24, 2014. For further reading, check out a NY Times article on mindful eating to avoid binging here.

Mother Nature’s Network author and registered dietitian Jenni Grover recommends these 5 tips for mindful eating:

  1. Eat Slower
  2. Savor the Silence
  3. Shut off the phone and TV
  4. Pay attention to flavor
  5. Know your food

You can read more about these tips from the original blog post here.

Mind Body Wellness in the First and Second Trimester

Join us in this 2 hour small group seminar to explore how you can encourage optimal mind body wellness in your pregnancy. Topics covered will be tailored to the groups interest but will include information on the mind body connection, optimal nutrition in pregnancy, hormone balance, guided  meditation for learning relaxation techniques, coping with fear and anxiety, and prenatal parenting. The format will be an interactive group setting to facilitate open exploration and community building.

Place:  Hill Center at the Old Naval Hospital, 921 Pennsylvania Ave SE, Washington, DC 20002

Date: June 29, 2014

Time: Teatime! 2-4 PM

Cost: $60

SIGNUP SOON as space is limited. email reginazopfmd@gmail.com for questions and to register.

Brochure: Mind Body Health in Pregnancy