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Dr. John Gannage MD, CCFP
Medicine Professional Corporation
300 Main St. Markham N
Markham, ON. L3P1Y8
Leader in Integrative Medicine to Restore Health and Prevent Disease.

Environmental Exposures & ADHD
By Natasha Klemm ND 

The prevalence of ADHD diagnoses has increased by 42% in just 8 years. And while many doctors are quick to medicate, research demonstrates the increasing importance of avoiding everyday environmental exposures for the management and treatment of ADHD.
Prenatal exposure to organophosphates, a commonly used group of pesticides, has been linked with ADHD and developmental delays in children. The good news—eating organic fruits and vegetable drastically reduces exposure to these chemicals.
Lead exposure is associated with ADHD, lower IQ and conduct problems. While lead has been banned in home pipes and paint since the early 1980s, lead can still be found in inexpensive jewelry, imported toys and even chocolate.
Endocrine disruptors, such as BPA are ubiquitous, found in plastics, pesticides, furniture and cosmetics. These chemicals, which can mimic or block estrogen are not only associated with ADHD, but also obesity and infertility. To avoid exposure, use glass water bottles, eat organic food and use the EWG guide before purchasing cosmetics.
Artificial fluoridation of water, a common practice used to reduce tooth decay, has recently been linked with ADHD. Scientists are labeling it a developmental neurotoxin. Drinking fluoride-free spring water and using water faucet filters can minimize exposure.
ADHD is a serious concern for families, schools and a community at large. We must understand the role that our environment has on ADHD and take the steps necessary to reduce our and our children’s exposures. 

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For a second year,
Dr. John Gannage presented

Integrative Medicine for Children's Mental Health.
An evidence-based orthomolecular approach.

on Saturday, March 28th, 2015
Toronto, ON

To a roomful of medical doctors, naturopaths and other healthcare practitioners, Dr. Gannage reviewed the current evidence and clinical applications of integrative medicine for children's mental health.

Stay tuned for the next offering of this professional seminar!

To learn more & register:
Study Links Widely Used Pesticides to Antibiotic Resistance

Read Here

Food Preservatives Linked to Obesity & Gut Disease 

Read Here

The Government's Bad Diet Advice

Read Here
Polycystic Ovarian Syndrome
By Natasha Klemm ND
Up to 20% of women of reproductive age have Polycystic Ovarian Syndrome (PCOS), which is a major cause of infertility. This syndrome, which represents a constellation of hormone-based symptoms is also associate with increased risk of diabetes, heart disease and endometrial cancer. Standard conventional treatment for PCOS is oral contraceptive pills (OCP), which provides exogenous estrogen and progesterone to regulate the menstrual cycle. However, OCP cannot be used when a patient is trying to conceive. Furthermore, OCP does not address the underlying hormonal imbalance, which is insulin resistance and hyperandrogenism (increased male hormone production), not an estrogen and progesterone imbalance.
PCOS is stereotypically identified by the presence of multiple ovarian cysts (hence polycystic), and abnormal ovulation, as well as obesity, acne and abnorma
l facial hair.  While this is the typical presentation, many patients with PCOS have a normal BMI or lack the presence of ovarian cysts, making diagnosis of the syndrome difficult. While the presenting symptoms may be different, the underlying hormonal imbalances remain pervasive.
 Testosterone and other male hormones are typically increased inPCOS. This prevents ovulation and is associated with a history of acne and hirsutism (facial hair growth. High testosterone levels may explain why many women with PCOS have a normal BMI.
Insulin insensitivity is a hallmark of PCOS, which may lead to weight gain, particularly around the abdomen. High insulin levels prohibit luteinizing hormone (LH) secretion, preventing the release of a mature egg, thus causing an ovarian cyst. Insulin also stimulates the production of testosterone in the ovaries and prevents the production of sex hormone binding globulin, increasing the amount of circulatory or free testosterone.
By understanding the  true hormonal imbalances, naturopathic medicine can effectively manage PCOS symptoms and prevent associated illnesses. Maintaining a low glycemic load—not just a low glycemic index—diet is key to reducing blood sugar and increasing insulin sensitivity.  Insulin resistance is further mitigated with regular exercise. Nutrients and herbs, such as inositol and maitake regulate blood sugar to enhance ovulation and regulate menses, while anti-androgenic herbs, including spearmint, licorice and reishi mushroom reduce potent male hormone concentrations.
It is important to note that PCOS cannot be cured, but it can be easily managed with dietary modifications, lifestyle changes and nutritional and herbal medicine, instead of masked with OCP. Natural therapies balance dysregulated hormones and promote female fertility.
Copyright © 2014 Dr. John Gannage MD CCFP, Markham Integrative Medicine, All rights reserved.

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Dr. John Gannage MD, CCFP