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CONDITIONS

Symptoms: Extreme fatigue | Body aches | Nervousness | Sleep disturbances | Unexplained weight loss

ADRENAL FATIGUE

Adrenal fatigue is a syndrome that develops when the adrenal glands function below the necessary level. Adrenal fatigue can occur in all age groups and affects both sexes.

How will we know if I have adrenal fatigue?

Dr. Cohen will administer a neurotransmitter test and determine the best integrative treatment, taking the patient’s overall lifestyle into account. Treatments can include hormone replacement therapy, supplements and vitamins, exercise and dietary modifications.

Possible Treatments: Nutritional Counseling, Bio-Identical Hormone, Supplementation

Symptoms: Sneezing | Excess mucous production | Hives | Itchy, watery eyes | Itchy throat | Fatigue | Facial swelling | Headaches | Chronic sinusitis

ALLERGIES

Allergies are an exaggerated reaction of the immune system to a substance that it incorrectly identifies as a foreign substance, virus or bacteria. The immune system perceives a particular substance (such as mold, pollen or dust) as a threat, and triggers the release of histamine in order to fight off the “intruder”. Allergies affect both the immune system and the autonomic nervous system, and can cause reactions the span the whole body, not only the site of the allergen exposure.

How will we determine if I have allergies?

Dr. Cohen recognizes that allergies are a result of an immune system that is out of alignment, and believes that patients suffering from allergies can find relief through integrative treatments that seek to re-balance that system. Using specialized diagnostic tests, Dr. Cohen will pinpoint the patient’s specific allergies and work to a develop a treatment plan that includes changes in diet and the addition of vitamins and supplements that help to support the immune system and bring it back to a balanced state.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Morning stiffness | Joint pain | Soft-tissue swelling | Pain in hand joints | Subcutaneous nodules | Radiological changes suggestive of joint erosion

ARTHRITIS

Arthritis is an acute or chronic inflammation of the joints that causes pain and structural changes. It can be caused by an injury or infection, a genetic predisposition, or systemic issues. Among the most common forms of arthritis are rheumatoid arthritis, osteoarthritis, gout, and juvenile arthritis. About 50 million people in the United States live with some form of arthritis. Current conventional medical treatment often is inadequate when dealing with the more debilitating symptoms.

How will we determine if I have arthritis?

Dr. Cohen believes that patients suffering from arthritis can find relief through integrative treatments. With Dr. Cohen’s evaluation and guidance, patients may be able to mitigate the symptoms of arthritis by adopting an anti-inflammatory diet, increasing their intake of fish oil, adding supplements such as glucosamine and chondroitin, and adopting a gentle exercise routine that includes stretching, motion and heat.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Severe wheezing when breating both | Non-stop coughing | Allergies | Very rapid breathing | Chest pain or pressure | Difficulty talking | Tightened neck/chest muscles | Anxiety | Panic | Pale, sweaty face

ASTHMA

Asthma is a disease that affects your lungs by inflaming and narrowing the airways. It causes repeated episodes of wheezing, breathlessness, chest tightness, and nighttime or early morning coughing.

How will we determine if I have asthma?

Dr. Cohen believes that while traditional medical interventions like rescue inhalers are a critical component of treating asthma attacks, integrative treatments can be very helpful in providing patients suffering from asthma relief from their long-term, chronic symptoms. After an exhaustive evaluation in which she tests for allergies, environmental factors and establishes a lifestyle baseline, Dr. Cohen works with her patients to come up with a treatment plan that aims to minimize exposure to environmental toxins, optimize dietary intake to support lung heath, and, adding supplements or traditional medicine, if the individual’s biochemistry warrants it.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms:

LOW BLOOD SUGAR: Lightheadedness or shaky between meals | Irritability between meals | Faint or lightheaded when standing up | Nervousness or anxiety | Sweating or trembling | Cognitive decline Weakness | Heart palpitations | Morning nausea | Morning headaches

HIGH BLOOD SUGAR: Crave sweets after meals | Elevated blood pressure Fatigue/sleepiness after meals | Weight gain, especially around abdomen |
Waist is just as wide as, or wider than, your hips | High cholesterol levels Eating sweets doesn’t relieve sugar cravings

BLOOD SUGAR PROBLEMS

Blood sugar problems range from low blood sugar (hypoglycemia) to high blood sugar (insulin Resistance). Regardless of the extreme, if your body can’t regulate its blood sugar and keep it within a certain healthy range, massive health issues can develop.

How will we determine if I have blood sugar problems?

Dr. Cohen feels that an integrative approach to treating blood sugar problems can provide patients with the best overall care for their condition. She initiates the process with a blood test to understand the patient’s specific hormone, neurotransmitter and blood sugar levels. She will also perform an insulin response test to determine how a patient reacts to drinking a glucose drink. Dr. Cohen works with her patients who suffer from blood sugar disorders to eliminate sugars and processed carbohydrates, and to increase intake of lean proteins, vegetables, nuts, seeds and whole grains. Depending upon each individual’s specific needs, Dr. Cohen may also recommend a series of supplements that include a multivitamin, vitamin D, and fish oil. Additionally, Dr. Cohen believes that many of the problems associated with blood sugar disorders can be mitigated by proper control of stress and consistent exercise. She works with each patient to determine a wellness plan that may include meditation and relaxation techniques, and an exercise goal that includes at least 30 minutes of exercise 4-6 days a week.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Abdominal bloating and pain | Chronic diarrhea | Weight loss | Anemia | Foul-smelling, fatty or discolored stool | Fatigue

CELIAC DISEASE

Celiac disease is an inherited, autoimmune disorder that damages the small intestine due to an inability to process gluten. Gluten is the protein in wheat that makes dough elastic, and can be found in wheat, rye and barley.

How will we determine if I have Celiac Disease?

Dr. Cohen feels that integrative medicine can be the ideal path of treatment for patients suffering from celiac disease. She will take time to explore how your condition developed, your specific symptoms, what medications and therapies you have tried in the past, and perform specialized diagnostic testing to determine the exact nature of your condition. Dr. Cohen will then create a customized and multi-dimensional treatment plan that addresses not only your immediate discomfort, but also any possible underlying or co-existing conditions that may be causing or aggravating your symptoms. Treatment options may include nutritional counseling, herbal and nutritional supplements and intravenous supplementation. In some cases, meditation and massage therapies may help to promote overall wellbeing.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Post-exertion fatigue lasting more than 24 hours | Unrefreshing sleep | Significant impairment of short-term memory or concentration | Muscle pain | Pain in joints without swelling or redness | Headaches of a new type, pattern, or severity | Tender lymph nodes in neck or armpit | Sore throat that is frequent or recurring | Brain fog

CHRONIC FATIGUE SYNDROME

According to the CDC, Chronic fatigue syndrome (CFS) is a “debilitating and complex disorder characterized by intense fatigue that is not improved by bed rest and that may be worsened by physical activity or mental exertion. People with CFS often function at a substantially lower level of activity than they were capable of before they became ill.”

Managing chronic fatigue syndrome can be as complex as the illness itself. There is no cure, no prescription drugs have been developed specifically for CFS, and symptoms can vary a lot over time. Chronic fatigue syndrome may be very challenge for conventional doctors to treat, but a patient has many options in alternative therapies. In fact, integrative physicians, with their broad range of therapeutic options, may be the best-qualified practitioners for these patients.

How will we determine if I have CFS?

In particular, Dr. Cohen believes that nutritional therapy may be helpful for certain patients suffering from CFS.
This approach to treating CFS is twofold. It works to strengthen the health, in particular the immune system, and to eliminate any dietary items that might be causing or aggravating the condition. Supplements such as vitamin C, beta-carotene, vitamin B5, zinc and magnesium can support the activities of the immune system and adrenal glands, and can help provide relief to patients with CFS. Additionally, Dr. Cohen will complete a thorough investigation of the patient’s diet to determine what foods may be intensifying the symptoms of CFS, and work with the patient to gradually eliminate those foods.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Persistent diarrhea | Cramping | Abdominal pain | Fever | Fatigue | Rectal bleeding | Loss of appetite | Weight loss

CROHN’S DISEASE

Crohn’s disease is a condition of chronic inflammation of the gastrointestinal tract, frequently affecting the end of the small bowel and the beginning of the large bowel. In Crohn’s disease, all layers of the intestine may be involved and there can be normal healthy bowel between patches of diseased bowel.

How will we determine if I have Crohn’s Disease?

Patients suffering from Crohn’s disease may find relief through integrative treatments. Dr. Cohen has found success in mitigating symptoms of Crohn’s disease through probiotics, nutritional counseling to promote the ingestion of fiber and fish oils and vitamin and herbal supplements. These treatments can work in conjunction with physical therapies such as mediation and massage to promote overall comfort and well-being for a patient suffering from Crohn’s.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Frequent urination | Excessive thirst | Increased hunger | Weight loss | Tiredness | Lack of interest and concentration | Blurred vision
Tingling sensation or numbness in hands or feet

DIABETES

Diabetes is a lifelong, chronic disease in which blood sugar levels remain abnormally high. Typical management of this disease consists of consistent blood glucose testing, injections of insulin, prescription medication, and maintaining healthy diet and levels of exercise.

How will we determine if I have Diabetes?

Patients who suffer from diabetes can also benefit from integrative treatments in conjunction with the treatments prescribed by their primary care doctor or endocrinologist. Dr. Cohen believes that optimizing a patient’s diet and exercise or physical therapies can help regulate blood sugar levels, and in many cases, eliminate the need to insulin injections altogether. Dr. Cohen works with her patients who suffer from diabetes to help identify what type of diabetes they have, and determines the best course of action, in consultation with the patient’s endocrinologist.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Trouble getting an erection | Trouble keeping an erection
Reduced sexual desire | No morning erection

ERECTILE DYSFUNCTION

Erectile dysfunction (ED) is defined as the inability to obtain and/or maintain penile erection sufficient for satisfactory sexual performance, lasting for months.

How will we determine if I have ED?

Due to the complex mechanisms that contribute to an erection, patients suffering from ED are especially good candidates for integrative treatments. Dr. Cohen feels that evaluating a patient’s diet, exercise, personal life and history and hormone levels can help uncover the underlying cause of an individual’s ED. Dr. Cohen works closely with her patients suffering from ED to fine-tune a specialized treatment that may consists of changes in diet, supplements and Bioidentical Hormone Replacement Therapy.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Unable to establish a pregnancy | Inability to sustain pregnancy

FERTILITY DISORDERS

What you eat, body composition imbalances, toxins in your environment, urinary tract infections that present no symptoms, and high levels of personal stress in the period before conception as well as during pregnancy all have a direct impact on your ability to become pregnant and deliver a healthy baby. Most importantly, hormone imbalances can play a huge part in fertility disorders, as they help regulate the process of menstruation, ovulation, and the reproductive system as a whole.

How will we determine if I have Fertility Disorders?

Dr. Cohen specializes in integrative approaches to hormone-related disorders, and feels that women suffering from fertility disorders can find relief through specialized hormone replacement therapy. Dr. Cohen initiates the diagnostic process by conducting a blood test to determine levels of hormones and neurotransmitters. If appropriate, Bioidentical Hormone Replacement Therapy is initiated, with the levels of hormone being tailored to the specific needs of each patient. Additionally, Dr. Cohen works with her patients to ensure that diet, stress levels and exercise are all at optimal levels to increase the likelihood of conception.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Fatigue | Sleep disorders | Joint stiffness | Difficulty swallowing | Anxiety | Bowel and bladder abnormalities | Tingling | Depression
Congnitive dysfunction

FIBROMYALGIA

Fibromyalgia is a painful disorder of the soft tissues. It is categorized by chronic widespread debilitating pain and a heightened and painful response to pressure on the body. It is estimated that 5 to 8 million Americans are affected and almost 9 in 10 of those affected are women.

How will we determine if I have Fibromyalgia?

While fibromyalgia can be a very difficult disorder to treat, integrative treatments such as acupuncture, microcurrent stimulation, nutritional interventions, gentle exercise regimens, dietary modifications and gut rebalancing have had clinical success in providing patients with relief from their most acute symptoms, especially pain.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Memory loss | Fatigue | Irritability, depression, anxiety | Tremors
Skin inflammation | Insomnia | Headache | Dizziness | Hallucinations
Muscle weakness or poor coordination

HEAVY METAL TOXICITY

Heavy metal toxicity is defined by high levels of mercury, tin, lead, arsenic, aluminum and cadmium in the blood.

How will we determine if I have Heavy Metal Toxicity?

Dr. Cohen believes that a patient suffering from heavy metal toxicity can benefit from detoxification treatments. These treatments can range from nutritional and herbal supplements to intravenous chelation therapy. Dr. Cohen will work with you to understand the nature of your condition, and determine what therapy is the best choice based on your specific symptoms.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Symptoms are not always apparent | Headaches | Shortness of breath
Nosebleeds

HIGH BLOOD PRESSURE

High blood pressure is defined as prolonged raised blood pressure, that is, an active blood pressure consistently above 140 mm Hg, or a resting blood pressure consistently above 90 mm Hg. The condition has no symptoms, but in time it can cause blood vessel changes in retina and abnormal thickening of the heart muscle. People with untreated hypertension have a high risk for heart disease, kidney damage and other medical problems.

Traditional medicine aims to treat high blood pressure with prescription drugs that range from diuretics to flush out excess water in salt, beta-blockers to help the heart beat slower, ACE inhibitors that keep the body from producing hormones that narrow the blood vessels, nervous system inhibitors that causes the brain to send signals to relax and widen blood vessels to vasodilators that relax the muscles in the blood vessel walls. These pharmacological treatments come with great risk of side effects, and can be dangerous when combined.

How will we determine if I have high blood pressure?

Dr. Cohen believes that high blood pressure can be treated with integrative methodologies that are much less harsh, and have fewer side effects. Dr. Cohen works with her patients suffering from high blood pressure to find the best course of treatment. She will test blood and hormone levels to determine what may be at the root of the high blood pressure, and then craft a regimen of treatment that may include changes in diet to reduce salt intake, supplements such as calcium, magnesium and potassium, and in some cases, Bioidentitcal Hormone Replacement Therapy.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Missing menstrual period | Bleeding between menstrual periods
Menstrual cycle shorter than 21 days but longer than 30 days

IRREGULAR MENSES

Irregular menstruation is a menstrual disorder which is characterized by irregular cycle lengths as well as vaginal bleeding between expected periods. The menstrual cycle is governed by hormonal levels and neurotransmitter levels in the body. Irregularities in the menstrual cycle can be caused by anything from stress, environmental toxicity or insufficient diet and nutrients.

How will we determine if I have irregular menses?

Dr. Cohen believes that integrative treatments can be very effective in helping patients suffering from irregular menses find relief. She tests the levels of hormones and neurotransmitter present in the blood, and determines the nature of the patient’s condition. Dr. Cohen then works with the patient to establish a treatment plan that includes dietary modifications to promote a low-glycemic, low-fat diet, a supplement plan to ensure the ideal levels of iron, vitamin C, calcium, magnesium and vitamin D are being achieved, and a schedule of Bioidentical Hormone Replacement Therapy in order to rebalance the hormone levels in the body.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Chronic abdominal pain | Constipation/diarrhea in the absence of any detectable organic cause | Discomfort | Bloating

IRRITABLE  BOWEL SYNDROME

Irritable Bowel Syndrome (IBS) may begin after an infection, stress, or onset of maturity without any other medical indicators, and may also be related to chronic pain, chronic fatigue and fibromyalgia. It is also regarded as a chronic illness and can dramatically affect the quality of life. Due to often unsatisfactory results from medical treatments for IBS up to fifty percent of people turn to alternative and complementary medicine or integrative medicine.

How will we determine if I have IBS?

Dr. Cohen has successfully treated patients with IBS using a range of integrative techniques. Treatments such as probiotic supplements, dietary supplements and breathing techniques can promote the growth of good bacteria in your gut, relieve localized inflammation, decrease cramping, reduce incidence of diarrhea and reduce spasms and pain associated with IBS.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Abdominal pain | Insomnia | Bloating | Flatulence | Anxiety | Migraines
Fevers of unknown origin | Multiple chemical sensitivities | Skin rashes
Autoimmune disease | Inability to lose weight | Poor memory | Hair loss
Food allergies | Constipation and diarrhea | Fatigue | Muscle/joint pain
Changes in memory/cognition | Constant hunger pain

LEAKY GUT SYNDROME

Leaky gut syndrome occurs when the tight cell to cell junctions in the intestine wall break down.  This allows toxins and other compounds to seep into the body resulting in inflammatory and infectious bowel diseases, chronic inflammatory joints, skin conditions like acne, psoriasis and dermatitis and many diseases triggered by food allergy or specific food intolerance. Leaky gut can be caused by exposure to substances which damage the integrity of intestinal mucus. The most common causes of damage are viruses and bacteria, alcohol consumption, non-steroidal anti-inflammatory drugs and yeast overgrowth, all of which contribute to toxin accumulation in the body.

How will we determine if I have Leaky Gut Syndrome?

Patients who suffer from leaky gut syndrome can find relief through integrative treatments. Dr. Cohen will begin with diagnostic testing using a urine test to determine whether or not the intestines are permeated and leaking. Once this is determined, Dr. Cohen will work with her patient to implement a treatment methodology that may include changes in diet and lifestyle, vitamin recommendations, and mineral, herbal and probiotic supplements.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Absence of menstrual period | Hot flashes and night sweats | Tiredness
Vaginal dryness | Urinary incontinence | Stiff/painful joints
Changes in mood – depression, anxiety, irritability | No libido

MENOPAUSE

Menopause is the permanent end of a woman’s menstrual periods. Menopause occurs naturally, or it can be caused by surgery, chemotherapy, or radiation. As women age, the levels of estrogen, progesterone, testosterone and other hormones can change, and these changes are major factors in contributing to menopause.

How will we determine if I am going through menopause?

Dr. Cohen believes that the undesirable symptoms of menopause can be relieved through integrative treatments. Dr. Cohen gives her patients suffering from menopause a blood test that can determine the levels of hormones, neurotransmitters and blood sugars present in the body. Once these levels are established, Dr. Cohen works with her patients to determine the best treatment plan, which may include lifestyle and dietary changes, and in some cases, Bioidentical Hormone Replacement Therapy.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Temporary blind spot | Blurred vision | Eye pain | Tunnel vision
Seeing stars or zigzag lines

MIGRAINE HEADACHES

A migraine is a common type of headache that may occur with symptoms such as nausea, vomiting, or sensitivity to light. In many people, a throbbing pain is felt only on one side of the head. Some people who get migraines have warning symptoms, called an aura, before the actual headache begins.

How will we determine if I have migraine headaches?

Dr. Cohen feels that traditional medicine can often fall short of providing relief to those suffering from migraine headaches. She evaluates her patients who suffer from this condition to get a full picture of their lifestyle, and develops a tailored treatment plan that can include changes in diet, supplements and vitamins, acupuncture and relaxation techniques to minimize stress and anxiety.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Irregular/absent menstrual periods | Excess hair on face/body | Acne
Weight gain | Infertility | Insulin resistance | Decreased breast size

POLYCYSTIC OVARIAN SYNDROME

Polycystic Ovarian Syndrome (PCOS) is a condition in which small, non-cancerous cysts form in one or both of a woman’s ovaries. It is characterized by irregular menstrual periods, infertility and other hormonal difficulties.

This condition is can occur when the pituitary gland produces too much of an ovulation-stimulating hormone, which causes the ovaries to produce too much androgen (male sex hormone) and not enough of the hormone that stimulates the follicles of the ovary. This in turn prevents the ovaries from releasing an egg, which stays in the ovary and develops into a cyst.

How will we determine if I have PCOS?

PCOS can be a challenging condition to treat, but integrative treatments such as following an anti-inflammatory diet, avoiding foods which may contain hormones used as growth promoters, increased intake of whole soy foods, daily exercise of at least 30 minutes and integration of dietary supplements have been shown to moderate the effects of hormone imbalances, weight gain and insulin resistance.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Mood swings | Tender breasts | Food cravings | Nausea/vomiting
Fatigue | Irritability | Depression

PREMENSTRUAL SYNDROME

Premenstrual syndrome (PMS) is characterized by a collection of symptoms just prior to a woman’s menstrual period.

How will we determine if I have PMS?

While traditional medicine typically treats PMS with antidepressants, anti-inflammatory drugs and diuretics, Dr. Cohen feels that an integrative approach can bring relief to her patients suffering from PMS. Dr. Cohen will test hormone and neurotransmitter levels with a blood test, and tailor a Bioidentical Hormone Replacement Therapy program that is specific to each patient’s needs. Dr. Cohen also works with her patients suffering from PMS to make dietary modifications which can help mediate some of the symptoms of PMS. Typically, avoiding foods that contain caffeine, saturated fats, excessive salt, sugar and dairy can help prevent inflammation and fluid retention and promote more balanced blood sugar levels.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Itching, tingling or severe burning | Red patches that develop into blisters
Dense clusters of oozing/crusting small blisters | Swollen lymph nodes on one side of body

SHINGLES

Shingles is a secondary outbreak of the chicken pox virus, and typically occurs in people who have had chicken pox or the chicken pox vaccination. After being exposed to chicken pox, the virus becomes dormant in your nerve tissue, and can re-emerge years later as shingles. It is most common in adults between the ages of 60 and 80 and those with weakened immune systems. Because the virus travels along the nerve to the skin, it can damage the nerve and cause it to become inflamed. This condition can be very painful. If the pain persists long after the rash disappears, it is known as post-herpetic neuralgia.

How will we determine if I have shingles?

Dr. Cohen recognizes importance of of using traditional treatments such as antivirals to help patients who are suffering from shingles, but also places high value on integrative treatments that can help her patients find relief. In addition to antivirals and pain medication, Dr. Cohen will work with her patient to craft a specialized regimen of supplements that can help reduce the likelihood of future outbreaks, and bring the body back into a state of balance post outbreak.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Insomnia | Sleep apnea | Excessive snoring | Sleep paralysis Sleepwalking | Oversleeping

SLEEP DISORDERS

Sleep disorders are problems with sleeping, including trouble falling or staying asleep, falling asleep at the wrong times, sleeping too long or abnormal behaviors during sleep.

How will we determine if I have a sleep disorder?

Dr. Cohen feels that the traditional medical approach to sleep disorders, sleeping pills, is not a good solution for her patients suffering from this condition. Instead, Dr. Cohen performs an exhaustive physical and lifestyle evaluation on her patients, in addition to a blood test that establishes the patient’s hormone and neurotransmitter levels. Once these baseline levels are determined, Dr. Cohen works together with the patient to craft a specialized treatment plan that may include supplemental neurotransmitters, intravenous supplements, Bioidentical Hormone Replacement Therapy and behavioral sleep coaching. Some of Dr. Cohen’s patients have also found relief from their sleep disorders through acupuncture and meditation.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Fatigue | Restlessness | Poor concentration | Excessive sweating | Trembling | Irritability | Headaches | Muscle tension | Sleep problems
Elevated heart rate

STRESS AND ANXIETY

Like other emotions, fear is a normal part of being human. It is a reaction to danger or something you believe to be threatening. It increases our awareness of the environment. It reminds us to protect ourselves. However, it can also move out of balance. Anxiety should be treated if it is intense (more than people usually feel), chronic (felt many times during the day or most days of the week) or limiting (making it hard to do daily tasks or relate to others). Different forms of anxiety are linked to different chemical imbalances in the body. Levels of norepinephrine, dopamine, and serotonin, and many other chemicals, can affect anxiety.

How will we determine if I have stress and anxiety?

The uniqueness of each person’s biochemical processes is only just beginning to be appreciated by traditional medicine. The evolving field of functional medicine attempts to take into account both the genetic information and the unique differences that occur in each person’s metabolism, including their extra need for certain nutrients. Dr. Cohen feels that functional medicine can provide great relief to those suffering from anxiety. In order to provide specialized treatment, Dr. Cohen tests her patients suffering from anxiety for their blood sugar levels, hormone levels and neurotransmitter levels, as well as conducting a thorough evaluation of nutrition, exercise and typical daily habits. Once these levels are established, Dr. Cohen works with her patients to create a specialized treatment plan that can include changes in diet, exercise recommendations and nutrient supplementation (B vitamins, magnesium, folic acid, fish oil, probiotics and others). In some cases D., Cohen may recommend Bioidentical Hormone Replacement Therapy and intravenous nutrient supplementation, based on the individual’s biochemistry.

Possible Treatments: Nutritional Counseling, Supplementation

Symptoms: Low body temperature | Poor memory | Low energy | Depression Anxiety | Fatigue | Immune dysfunction | Weight gain/loss | Dry skin | Constipation

THYROID DISORDERS

Thyroid disorders are complex and often misdiagnosed or undiagnosed altogether.

How will we determine if I have a thyroid disorder?

Dr. Cohen believes that proper evaluation of the thyroid, adrenals and hormone levels, and treatment using bioidentical hormone replacement therapy and patient-tailored supplement regimens can help reslove the root cause of the thyroid disorder, and provide the patient relief from the associated symptoms.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation

Symptoms: Abdominal gas | Headaches, migraines | Excessive fatigue
Cravings for alcohol or sweets | Indigestion | Thrush | Vaginitis | Itching
Premenstrual syndrome | Rectal itching | Chronic Sinusitis
Poor concentration, memory or learning disabilities |  Persistent cough
Diarrhea or constipation | Sensitivity to chemicals or fragrances
Acne or eczema, athlete’s foot | Depression, mood swings, anxiety
Sinus inflammation | Ear aches, dizziness

YEAST SYNDROME/CANDIDA

Candida is a fungus (a form of yeast), and a very small amount of it lives in your mouth and intestines. Its job is to aid with digestion and nutrient absorption but, when overproduced, candida breaks down the wall of the intestine and penetrates the bloodstream, releasing toxic byproducts into your body. This can lead to many different health problems, ranging from digestive issues to depression.

The healthy bacteria in your gut typically keep your candida levels in check. However, several factors can cause the candida population to get out of hand. Eating a diet high in refined carbohydrates and sugar or consuming a lot of alcohol can “feed the yeast” and lead to an overgrowth. Taking oral contraceptives, eating a diet high in beneficial fermented foods like kombucha, sauerkraut and pickles and living a stressful lifestyle can also lead to an improper balance of candida.  Also, taking antibiotics can in some cases kill too many of those friendly bacteria, and give candida and opportunity to grow.

How will we determine if I have yeast syndrome/Candida?

Dr. Cohen specializes in diagnostic testing, and may perform blood, stool or urine tests to determine if there is a candida overgrowth in the body. In order to treat the overgrowth, Dr. Cohen may determine that it is appropriate for the patient to change his or her diet to a low carbohydrate diet. Sugar is what feeds yeast, so eliminating sugar in all of its simple forms like candy, desserts, alcohol and flours. She may also prescribe an antifungal medication and probiotic supplements to aid in the process of rebalancing the “good” and “bad” bacteria in your gut.

Possible Treatments: Nutritional Counseling, Bio-identical Hormone, Supplementation