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Now that school has officially started and our minds are racing with fears of Swine Flu lingering all around, many questions arise. A big one that I often hear is, “What is the single most important thing I can do every day for my kids to protect them?”

It’s simple: Feed them healthy food every day. As a parent and physician, I can assure you that well-nourished children stay healthier–and when they do get sick, recover quicker. The body obtains it’s main source of naturally-occurring vitamins and minerals from fruits and vegetables. Further, these nutrients provide the building blocks for a healthy immune system and cellular integrity throughout the body.

With the importance of childhood nutrition in mind, here are some tips for packing a healthy school lunch or snack:

1. Pack a nutritious snack every day that has at least 2 grams of protein
2. Look for snack foods or bars that are less than 140 calories per serving
3. Always pack at least one fresh fruit or veggie in school lunches
4. For younger kids who may not eat a lot, pack a half a sandwich (but that’s full of good stuff in the middle!)
5. Avoid artificial sweeteners, flavorings, and colors
6. Stay away from high fructose corn sweeteners at all cost
7. Pack a reusable water bottle every day so your child stays hydrated
8. Pack a calcium-rich snack such as a cheese stick or yogurt if your child is not drinking milk with lunch

-Dr. Keri Marshall, MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine

It’s that time of year again: Everywhere you go it’s blueberry this or raspberry that. Trust me, I am not complaining–next to fresh peaches, I would take a fresh berry any day. And I have to say, one of the best gifts my parents ever gave me as a child was a love for picking berries. And such, it continues to be one of my favorite outings with my own kids.

When a parent tells me that their child does not “like” raspberries or blueberries, the first question I ask, is “have you ever gone and picked your own?” I have never met a child that, when tempted with big, beautiful berries in front of them, fresh from a vine or bush, can’t help but shove one (and then many more) in their mouth and become an instant fan. And the glory of coming home with ten or more pounds of berries? The possibilities are endless.

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In honor of May being the month to celebrate moms, it seems only appropriate to bring your attention to a very useful website that I just came across. As a naturopathic doctor, I always have friends, family, and patients asking me for resources that I find valuable, or on “the same page as me.” That being said, it is hard to find such resources which with I agree.

The American Pregnancy Association (APA) is the leading non-profit organization in the US committed to promoting reproductive and pregnancy wellness through education, research, advocacy and community awareness. I have found their website to be fair, balanced, and informative for a wide range of readers. The links they provide will answer many important questions for those trying to achieve a healthy pregnancy, as well as answer questions regarding infertility issues and adoption. They also provide a list of resources to find specific practitioners such as doulas, lactation consultants, pregnancy massage and yoga experts, and midwives.

More importantly, and close to my own heart, they provide facts regarding pregnancy-related nutrition and commonly asked questions regarding prenatal vitamins and herbal medicines that are safe to use during pregnancy. In addition, you will find accurate information about what foods should be avoided and what foods should be eaten.

In February of this year, the APA officially announced a partnership with Nordic Naturals, the leader in omega-3 fish oils and essential fatty acid blends. Scientific research has confirmed the importance of essential fatty acids, in particular DHA, for prenatal, maternal and neonatal development. DHA comprises about 30-40% of the fatty tissue found in the brain and is essential for proper development of brain, eyes, male genitalia, nerves, and the immune system.  International organizations have set standards for essential fatty acids during pregnancy at a minimum of 300mg a day. Nordic Naturals Prenatal DHA provides 450 mg of DHA in just 2 caps.

If you are pregnant or are thinking of getting pregnant, please visit their website,  americanpregnancy.org.

-Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

The eternal question: How I can stay fit, be outside, get enough exercise and juggle parenting? This Mother’s Day I told my husband that I was mowing the lawn, and that he was in charge of the kids. We recently moved into a new suburban neighborhood in Washington DC and as a result we have to keep up with the “lawn Olympics.” This is what my husband and I refer to as the compulsive need to have the perfect manicured lawn and garden, with all the accessories to manage it. While many of our elderly neighbors have lawn service, our younger generation tends to fend for themselves.

What I have noticed is that while much of the gardening is a shared task between the genders, the actual lawn mowing is most often the male’s “job.” I vote to change that. Not only was my Mother’s Day mow relaxing and meditative (good music on my Ipod), I burned somewhere around 900 calories! And I made Vitamin D in the process from the sun. Mowing the lawn can burn anywhere from 350-500 calories per hour depending on the speed you move and your body weight. There really is no reason why this chore needs to be male dominated.
In fact, I think I finally realized why men find such joy in this. I would take it any day over vacuuming or sweeping dusty floors inside. I am always looking for an excuse to be outside, why not get exercise in the process?  Maybe for Father’s Day this year, tell your husband you are treating him to a morning with the kids while you mow the lawn for him. He will think you are doing him a favor!

– Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

Do we really need an excuse to eat chocolate? Well it seems we have more and more reasons to eat it these days. Most people don’t realize that chocolate, much like fruits and vegetables is plant derived. Dark chocolate bars, with high-cocoa content, are loaded with something called epicatechin. Epicatechin is a particularly active member of a group of compounds called plant flavoniods. Flavonoids help protect us by exhibiting anti-oxidant activity in the body.

And here is more good news, some of the fats in chocolate are actually good for you! The fats in chocolate are 1/3 oleic acid, 1/3 stearic acid and 1/3 palmitic acid. Oleic Acid is a heart-healthy monounsaturated fat that is also found in olive oil. Stearic Acid is a saturated fat, but one which research is shows has a neutral effect on cholesterol. Palmitic Acid is also a saturated fat, however this one does raise cholesterol and increases the risk for heart disease. That means that only 1/3 of the fat in dark chocolate is bad for you. Not bad when you consider that alternative sweet treats such as baked goods are often loaded in partially hydrogenated fats, and excessive amounts of plant fats such as soy and canola oil which promote inflammation in the body.

In a study published in the journal Hypertension in August 2005, researchers from Italy found that dark chocolate may lower blood pressure in people with hypertension. The research also found that levels of LDL cholesterol in these individuals dropped by 10 percent. Another study showed that flavonoids in cocoa prevent fat-like substances in the bloodstream from oxidizing and clogging the arteries which will make blood platelets less likely to stick together and cause clots.

While a little dark chocolate can be good, a lot is not better. Chocolate is still loaded with calories. If you’re going to put more chocolate in your diet, you’ll have to cut back somewhere else. Don’t forget that a balanced diet, full of other plant based foods, and plenty of exercise is still the key to heart health.

So remember, pure cocoa powder ranks the healthiest amongst all chocolate products, followed by dark chocolate and milk chocolate. The way that cocoa powder and chocolate syrups are manufactured, removes most flavonoids and depletes the finished product of any health benefits. Avoid all chocolate products with artificial sweeteners and corn syrup and look for ones with high cocoa content. According to the Chocolate Manufacturers Association, dark chocolate contains about eight times the amount of polyphenol antioxidants found in strawberries. How about some chocolate covered strawberries? It is almost berry season.

– Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

A new study was published this month in the medical journal The Lancet that appeared to be groundbreaking for some but is really common sense when you stop to think about it.  The study came out of Europe and looked at young patients with heart disease and addressed that they are smoking more and twice as many suffer from diabetes compared to 12 years ago. It was determined that heart disease prevention in routine clinical practice is inadequate, with only a third of patients being referred to and joining prevention programs, while doctors are prescribing more and more drugs. The most shocking revelation was that despite large increases in the use of all classes of blood pressure lowering drugs, blood pressure management showed no improvement.

One thing many of us agree with is that lifestyle programs should be the backbone of preventive care. Saving people’s lives from acute heart attacks is one thing where conventional medicine excels, but we need an urgent investment in prevention to address the lifestyle causes of heart disease. The nation’s integrative health care leaders met in Washington DC earlier this month to discuss patient centered health care and how to reduce health care costs in the long term. As I was there to witness this inspiring meeting, the word prevention was repeated over and over.

Just how do we prevent heart disease? Exercise and diet are key. How many times do you hear yourself or friends and family make excuses for not exercising. Well, there is not an excuse; in fact your life depends on it! Remember that even housework and gardening burn a number of calories. Enjoy the increased light and longer days. Get on a bike with your kids or throw your little ones in the jogger. Create a mom’s walking group in your neighborhood.

As for diet, fresh fruits and veggies, 5-8 servings a day! When choosing which ones, always aim for a variety of colors to increase the vitamin and mineral assortment. Fiber is important as well. Try to get a minimum of 25 grams a day. While fresh fruits and veggies have a lot of naturally occurring fiber like pectin, other reliable sources are Chia seed, which also contain essential fatty acids. Try Gaia Herbs Chia Fresh. It can be added to salads, smoothies or taken alone.

And yes, of course, no heart healthy plan will ever be complete without mentioning Omega-3 fatty acids. The American Heart Association recommends eating fish regularly and/or consuming around one gram daily of EPA+DHA from fish oil. For a great quality heart healthy option, try Nordic Naturals Ultimate Omega. They have a guaranteed no repeat policy because their oils are so fresh.

-Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

An estimated 35 to 50 million Americans will come down with the flu this flu season, which typically lasts from November to March. And that’s just the flu. Millions more will also catch the common cold and pneumonia. So how do you protect your kids?

Here’s how to naturally prevent sickness and what to do if it’s too late.

Stop Sickness in its Tracks                                                                  •Get enough sleep! Adults should have at least seven to eight hours of sound sleep every night. And kids need at least ten. When your body is at rest, all your systems have a chance to recover and restore for the next day.

•Eat at least five servings of fruits and veggies daily. Why? They’re loaded with vitamins and minerals, which serve as co-factors for the different systems in our body. The more nutrients you get from natural sources, the better your body will work!

•Exercise. I know it’s cold out there, but keeping your body moving during the winter months will help keep your blood and lymphatic system moving as well. The lymphatic system carries our immune cells in vessels throughout the body. Without exercise, there are few ways to increase circulation. Go out and sled with your kids or take advantage of midday sun and go for a walk.

•Hydrotherapy helps. If you have access to a steam room or sauna, try and do a 15-20 minute session once a week. Afterwards jump in a cold shower. This a great way to get your blood and lymphatic system flowing.

•Wash your hands. Simple soap and water does the trick. No need for antibacterial soaps: our hands also have good bacteria on them that we need to stay healthy.

Oops! You’re Sick. Now What?
•Rest! Your body needs time to recover. Sometimes getting sick is your body’s way of telling you to slow down.

•Drink plenty of fluids. Water (plain or as an herbal tea) is one of the best ways to break down mucous, and it’s free. Try adding a pack of Emergen-C to get a little boost of Vitamin C and other electrolytes.
•For adults, try using certain natural remedies to help alleviate symptoms at the first sign of a cold. Boiron’s Oscillococcinum or Quick Defense by Gaia Herbs are both great. Products like these need to be taken frequently and in high doses to work. For kids, try Gaia Herbs Black Elderberry Syrups. They have a nighttime version to help children relax and sleep more soundly. All of these are available at your local health food store.

•Healing socks (my personal favorite). At night before bed, get a pair of white cotton socks and a pair of wool socks. Wring the cotton socks under cool water and put on feet. Place wool socks over them and go to bed. Don’t walk around the house in wet socks, make sure you go right to bed. While you are sleeping, the cool wet socks will help draw heat and congestion from the upper respiratory system down to your feet, gradually drying the socks. You’ll wake in the morning feeling less congested. Works great for both kids and adults!

– Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine

In case you haven’t noticed, cold and flu season is upon us. My daughter awoke two days before Christmas with a runny nose and hard, wet cough. Saddened by the outlook of being sick for this much-anticipated holiday, she inquired, “don’t you have something to fix it?” Fortunately, as both a mother and a Naturopathic doctor, I have many tricks up my sleeve. Administered during the onset of a cold, the right herbal medicines can significantly reduce the cold’s symptoms as well as duration.

The million dollar question? What are those herbs and how do I get them? First, keep in mind is that similar to items like cars, food, appliances, or clothing, not all herbal products are created equal. As far as supplements go, if the product seems especially cheap, there is usually a reason behind this. An exceptionally low price usually signifies poor quality raw materials, and perhaps less integrity in the final product, suggesting a lowered efficacy. While you don’t necessarily need to purchase the most expensive herbal product you can find, you should investigate the company at hand and explore their manufacturing practice. Do they grow and harvest their own products? Do they import their raw material from China? Do they use organic herbs? Do they fill their capsule with unnecessary binders and fillers (this is usually the case with cheaper products, resulting in a lowered medicinal potency.)

That being said, what can you take for cold and flu symptoms actually works, and how much? For adults or kids over twelve who can swallow a capsule, try Gaia Herbs Quick Defense, a combination of high potency echinacea, elderberry, ginger, and andrographis that will rapidly diminish symptoms (Try two capsules five times per day for three days.) For kids, Gaia’s Composition Essence will do the trick. This great tasting liquid formula can be taken in water or juice at a dose of 30-60 drops three times daily.

For those of you who find yourself struggling throughout the entire cold and flu season, catching everything that comes your way, try Gaia’s Whole Body Defense, which works to strengthen the body’s immune system, in turn preventing sickness. (Try two capsules twice a day.) Finally, try to keep stress levels at a minimum by eating healthfully and getting enough sleep, as well as drinking plenty of water!

Keri Marshall, MS, ND.

The eternal question: “How do I avoid gaining weight over the holidays?” People always ask me, as a Naturopathic doctor, what I do to avoid over-indulging during the holiday season. First, in the days leading up to the big event, eat as a clean of as diet as you possibly can. By this, I mean choose your foods wisely. Eat simple fruits, vegetables, whole grains and lean animal protein for breakfast lunch and dinner so when the big feast occurs, you can balance the weeks calories and not the days calories.

Secondly, buy some digestive enzymes at your local health food store and take them before the meal. I started this tradition a few years ago at the younger end of the table (sisters, cousins, etc…) Buy taking a digestive enzyme before you begin a big feast, it gives your digestive system a quick jump start and wake up call that something extraordinary may be occurring. With the added digestive protection, your body has the assistance it needs to break down what could potentially amount to several thousand more calories than it is used too. Don’t hesitate to take them before desert as well.

Drink lots of water. It will allow things to eliminate through your body in a more effective manner. Also, if you are drinking alcohol, balance the amount of alcohol you drink with water to prevent a hangover the next day (it really isn’t an old wives tale!)

And lastly, try to get out for a walk between meals. Volunteer to walk to the dog. It will give you a chance to escape doing dishes and get away from your aunt who has been chewing your ear off all night. The walk will give you fresh air, burn a few calories, and help to ensure the best digestion possible under the circumstances.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine

With kids going back to school and ideas of what to pack for lunch comes a heightened awareness over what constitutes “healthy.” With childhood obesity as one of the nation’s leading health threats, this is clearly a million dollar question.

Did you know that childhood obesity is the number one concern amongst US parents, ahead of drug abuse and smoking? Today, almost 25 million children are overweight or obese and thus are at risk for early-onset cardiovascular disease and type-2 diabetes. If obesity rates among children continue to climb at such a rate, this generation will be the first to have a shorter life span than their parents!

The Alliance for a Healthier Generation, a partnership between the American Heart Association and the Clinton Foundation, has designated September “Go Healthy Month.” The Alliance is taking preventive measures against childhood obesity to ensure that future generations won’t struggle with illnesses associated with poor food choices and lack of physical activity.

I encourage you to check out www.igohugo.org to find out how both you and your child can engage in this challenge, which encourages better food choices as well as finding ways to participate in at least 60 minutes of physical activity each day. Exercising together will not only help you look and feel better, but will allow for time to catch up on your child’s school day.

What are you waiting for? Turn off the TV and enjoy the warm afternoons!

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine

Looking for a fun and healthy adventure for you and the kids this summer? Try berry picking. Kids of all ages (and parents/grandparents too!) can benefit from taking a trip to a local “U-Pick” farm to engage in some wholesome and delicious fun.

Allowing children to understand how food grows will ultimately awaken their senses to enjoy their food more (they can pick and eat). After picking, keep a bowl of fresh berries on the table to allow for grazing throughout the day. Let your kids know that this is a great healthy snack that they can much on any time throughout the day.

In addition to tasting great, berries are very high in phytochemicals such as antioxidants and bioflavonoids. These types of nutrients have demonstrated a beneficial effect in numerous health conditions, including the prevention of oxidative and inflammatory stress on the lining of blood vessels and red blood cells.

When the cells in our body use oxygen, they naturally produce free radicals, or by-products, which can cause damage. Antioxidants act as “free radical scavengers” and can help to prevent and repair damage done by these free radicals. Health problems such as heart disease, macular degeneration, diabetes, and cancer are all known to be, in part, caused by oxidative damage.

In a test that measures the antioxidant potential of a variety of foods—the Oxygen Radical Absorbance Capacity (ORAC) test—blueberries came out on top. Wild blueberries, such as those found all over New England, have the highest ORAC value, with the larger blueberries coming in a close second. Blueberries also contain lutein, which is important for healthy vision. And best of all, a cup of blueberries has four grams of fiber and only 83 calories!

Raspberries are rich in anthocyanins, which is a powerful antioxidant, as well as cancer-fighting phytochemicals such as ellagic, coumaric and ferulic acid. Raspberries have 8 grams of fiber and only 64 calories per cup.

While berries are great eaten alone, they can also be made into muffins, cakes, scones and even homemade ice cream. One of my favorite ways to eat berries is with a scoop of fresh, home made whip cream. Also, throw them in a dinner salad for an extra special treat.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

At your local farmers market this summer, ask your farmers if they have in place, an option for buying a share of their farm. Community Supported Agriculture (CSA) farms operate as a partnership between farmers and members of the community who buy a share in a farm’s harvest each growing season. Each share that is purchased contributes a fee, typically between $300-500, to cover the farm’s yearly operating costs, and, in turn, purchases a share of the yearly harvest. Typically, the result of each share is a weekly supply of organic produce at the peak of its growing season, between June and October. In addition to vegetables, some CSAs can include flowers, fruits, eggs, meat and milk, in its weekly allotments.

This innovative model of sustainable agriculture has steadily gained popularity over the last twenty years, but in particular, in the past few years. In 1985, this practice was first brought to the U.S. from Europe, where it was originally inspired by the biodynamic farming methods of the Austrian philosopher Rudolf Steiner (who also started Waldorf Education). The first two CSA farms in the U.S. formed independently in 1986, as the Indian Line Farm in Massachusetts, and the Temple-Wilton Community Farm in New Hampshire. In 1990, there were already 50 CSA farms in North America. Today’s estimations vary, with reports of at least 2,000 CSA farms, and perhaps as many as 3,000.

A CSA is usually run as a small, independent family farm. After community members sign up to purchase shares, a yearly budget is drawn up to determine what the production costs will be for that year. The budget is then divided by the number of members who have signed up, which, in turn, determines what the cost of each share will be. Members either buy their shares up front, or arrange to pay in installments throughout the season. Many CSAs also offer a work option for families who cannot afford to buy a full share, where as they can help plant and harvest to work for a portion of their share. The close proximity of the farm to its members strengthens local economy by keeping local food dollars circulating within the community, allows for consumption of fresh and healthy foods, as well as educates members on the natural cycles of food and plants. In a CSA, farmers can concentrate on producing the highest quality produce because they do not have to worry about finding potential buyers for their product. As a result, the weekly crop is delegated solely for the shareholders.

To find your local farmers market, check out www.farmersmarket.com.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

I have always worried about the environmental impact of shipping food hundreds of miles across the country and in some cases (fresh peaches in New England in January?) thousands of miles around the world. In addition, if you pay attention to the dwindling fate of local farmers, it all begins to make sense what the logical answer is: become a locavore. If you are obsessed with the idea of eating really good food, like I am, challenge yourself this summer. Try to only buy food that is grown within a 100-mile radius of your home.

Among locavore enthusiasts, a popular pastime is the “eat local challenge,” in which participants try, usually for one month, to eat only food that comes from within their community. The rest of the year, many locavores are more realistic about the limits of their devotion but still make an attempt to buy whatever local products they can.

For example, I have found a local (75 miles away) farmer, Farmer Bob, who, once a month delivers organic, free-range, grass-fed meat, eggs, and cheese to a group of us. He also makes 7 other stops within a 20-mile range on delivery day. It has been such a smashing success for him that he has brought in some of his local farmer friends and now we have options for seasonal veggies and homemade pastas and pies, all at the cost that he would sell to the local grocer. We are helping to support his farming community and he provides our families with outstanding quality foods that are extremely fresh!

If you live anywhere where there is a farming community within 100 miles of where you live, I can assure you that there is a framer Bob waiting to start a food co-op. Pick a beautiful weekend day to go explore the countryside and don’t be afraid to visit local farms and farm stands and ask lots of questions. These farmers need you as badly as you need them.

As you begin your quest to become a locavore, start by visiting http://www.localharvest.org/blog/ or http://www.eatlocalchallenge.com/ for ideas of where you can find locally grown goods in your area.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

I was at my son’s travel soccer tryouts last night. The setting: a beautiful local winery that rents its fields to our town for the kids to play soccer and lacrosse. The winery is surrounded by dense New England forest, the kind every kid dreams about running through if it weren’t for the deer tick checks that inevitably follow each romp.

In New England, we wait a long time to wear tank tops and capris, following our dreadfully long winters, only to be bombarded by flying, biting bugs of all shapes and sizes. Black flies, gnats, mosquitoes… if you have ever been to New England in the summer, you know what I am taking about. The beauty is like no other, and so are the bugs.

People love to have me around because I am a natural magnet for these venomous creatures. They tend to leave others alone when I am around. Unfortunately for my daughter, I passed this gene on to her.

As a result I have been forced into finding the perfect natural insect repellent, while avoiding conventional sprays that contain DEET. And let me tell you, I have tried them all!

Here’s what works: essential oils of citronella, lemon eucalyptus, cinnamon, rosemary, lemongrass, cedar, peppermint, clove, and geranium.

The down side of these is that they require frequent application to be effective.

My personal favorite formula, Buzz Away Extreme, is made with all natural ingredients (and it smells good, too). Not only did it last an entire soccer practice, but it allowed me to water my garden three hours later, at dusk with not a single bite!!

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

One of the most important daily regiments that allergy sufferers need to do is a nasal cleansing rinse. Rinsing out the sinuses and nasal passageways with lukewarm saltwater is an inexpensive, natural and comfortable way to relieve irritated and inflamed tissue. I recommend doing this at least once a day during allergy season, however when pollen counts are highest, or following gardening or lawn mowing, nasal irrigation should be repeated to remove any pollen residue that inevitably produces mucous and congestion.

There are many different nasal rinsing apparatus available on the market; netty pots, Nasaline, and my personal favorite The Rhino Horn. The Rhino Horn is plastic, which has its pros and cons, a pro being that it does not break easily (like a ceramic netty pot) and it travels well. Not to mention, the shape of the Rhino Horn is ergonomically correct in that when the apparatus is held up to the nostril, the saltwater solution flows freer through the sinus passages and out the other nostril.

In addition to rinsing the sinuses, natural remedies that I have found to be most effective for treating seasonal allergies are quercetin and essentially fatty acids. Quercetin stabilizes mast cells so that histamine is not readily released. A dose of 250-500mg three times daily is most effective when allergy season is at its peak.

Essentially fatty acids are effective in reducing inflammation in mucous membranes. The ideal essentially fatty acid blend for allergies and asthma is a combination of borage oil and fish oil (EPA and DHA). I recommend Nordic Naturals Complete Omega 3-6-9 Liquid at a dose of 2 teaspoons per day.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

For most people, after a long winter, the budding of trees and spring flowers can be a greatly anticipated time of year. However, for allergy sufferers, it can be an unwelcome time as sneezing, runny nose and itchy eyes prevail. Being proactive with your health during allergy season can vastly prevent most symptoms and make springtime a time to be outdoors.

Histamine is a neurotransmitter that is released from mast cells when the body is exhibiting an allergic reaction or immune response. Histamine dilates blood vessels and increases blood vessel permeability. This leads to visual signs in the body such as localized swelling, warmth, and redness. Histamine also irritates nerve endings that can lead to itching and pain. The bump and redness immediately following a mosquito bite is a good example of this reaction, which occurs seconds after challenge of the mast cell by an allergen. If you are a person whose body “over-reacts” to bug bites, then your body likely has a tendency towards inflammation and allergy.

Try taking a daily dose of Vitamin C. Research shows that 1-gram a day can help to reduce overall histamine levels in the body. Foods that tend to increase histamine levels in the body are strawberries, tomato, chocolate, wine, bananas and shellfish. These foods should be limited or avoided all together during allergy season. In general, dairy foods such as cheese, milk and yogurt should be avoided as well, as they have a tendency to cause generalized inflammation and can create more mucous if it already exists.

Berries such as blueberries, cherries, and raspberries as well as mango contain a good amount of bioflavonoids. These phytochemicals stabilize mast cells in the body and decrease overall histamine response, thus reducing inflammation.

Lastly, try using a HEPA air filter. It can reduce dust in the bedrooms and main living areas as well as eliminate circulating pollen that enters through open windows. Be sure to keep windowsills wiped down in the bedroom and sweep under the bed. Keep in mind; the bedroom should be the most dust-free room in the house as this is where you will have the most concentrated period of breathing throughout the day!

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

Did you know?

• Omega-3 fats taken during pregnancy and breastfeeding can reduce a mother’s risk for postpartum depression

• Omega-3 fats support the healthy development of the fetal brain, eyes, nervous system, and immune system

• Omega-3 fats significantly reduce the risk of allergies in infants

• Omega-3 fats improve attention and focus in infants and young children

One thing we know for certain is that being pregnant does not automatically mean that you will become depressed after the birth of your child. However, if you do not nourish your body properly during pregnancy and breastfeeding you are at risk. DHA (docosahexaenoic acid) is an Omega-3 essential fatty acid that makes up approximately 20% of the human brain and nervous system. DHA is considered essential because the body cannot produce this type of fat and it is essential that it is obtained from the diet.During the last trimester of pregnancy, the developing fetus’ nervous system undergoes a tremendous growth spurt. In order for the developing nervous system to grow properly, it requires healthy fat in the form of DHA from the mother. Maternal stores of DHA are preferentially shuttled to the fetus at this time, leaving a smaller supply for mom. I’m sure most moms will agree; we always give our children the best of what we have!Unfortunately, unless a mother is eating a lot of fish, or supplementing with a high quality fish oil product, the new mom can be left depleted of DHA, and therefore at risk of developing postpartum depression. Following childbirth, a newborn’s nervous system continues to grow rapidly, and similar to pregnancy, DHA is preferentially shuttled through breast milk to the new baby. Again, leaving mom with depleted stores of healthy, essential fat, furthering her risk factors for depression and baby blues.The bottom line is that pre and postnatal supplementation with essential fatty acids is as essential as a prenatal vitamin! International organizations recommend a minimum of 300mg daily of DHA, however I suggest 450mg of DHA. Try Nordic Naturals Prenatal DHA, which will give you this amount in just 2 capsules.–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

The state of women’s emotional health during and following pregnancy has become a hot topic on Capitol Hill. During the spring of 2008, Congress will be addressing provisions for “The Mother’s Act”, Senate Bill 1375, which provides federal funding for the development of new treatments for anxiety, depression, and unpleasant mood changes that can occur with motherhood. The “baby blues” of motherhood are characterized by mood swings, feelings of being overwhelmed, tearfulness, irritability, mood changes and a sense of vulnerability, all of which any new mother can attest to!

While the excitement around the passing of this bill is high, it can’t be overlooked that much of the funding for this bill is coming from the pharmaceutical industry. Let me assure you, pregnant women do not have an anti-depressant deficiency. Nutritional treatments for improving emotional health during and following pregnancy have been scientifically proven and need to be considered as well.

It is well established that appropriate nutrition greatly improves pregnancy outcomes for both mom and baby. During pregnancy, a women’s physiology changes dramatically to meet the needs of the growing baby. Nutritional demands, in the form of fat, protein and calories, must be increased to ensure that these physiologic changes are met.

Be sure to write your Senators and let them know that you support this bill, especially if it is inclusive of non-pharmaceutical means as well, including, but not limited to nutritional intervention. Let your voice be heard!!

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

Just like the body needs essential amino acids for normal functions, it also requires another essential nutrient that is often overlooked. Essential fatty acids (EFAs) are considered essential fats because they are required for health, but cannot be produced by the body. These fats, known as omega-3 and omega-6, are commonly called the “good fats.”

Hands down, children are deficient in the beneficial omega-3 fats (as are most Americans) and not the omega-6 fats. Kids consume excessive pro-inflammatory omega-6 fats from corn, soy, safflower and sunflower oils. An imbalance in the omega-6 to omega-3 ratio has been unequivocally proven to burden the body with excess inflammation. In kids, this has been linked to conditions such as eczema, asthma, allergies, and attention and behavioral problems.

Simply put, omega-3 fats are brain food. The brain is made up of 60 percent fat, half of which is the essential fatty acid DHA. Therefore, the type of fat consumed by children⎯especially during the developmental years⎯is of paramount importance. A child’s nervous system begins to form in the last trimester of pregnancy and continues to develop at a rapid rate until the age of seven. The essential omega-3 fats, primarily DHA, are required for adequate nervous system development. Research has shown DHA is especially important for brain and eye development. Getting enough EPA and DHA in the diet, particularly in children, is difficult because many children eat minimal fish and so many fatty fish are laden with mercury, PCBs and dioxin.

I have found that purified fish oil supplementation is the safest way to obtain the omega-3 fats EPA and DHA, without the environmental toxins. Fish oil has been shown to improve many conditions that affect children, including attention, learning, behavior and eye health.

Taste is the key to compliance for adults and children alike. If a kid likes the taste of a product, he will remind the parents to give it to him everyday. In my practice, I use Nordic Naturals Children’s DHA and Omega-3-6-9 Junior supplements. You can call Nordic Naturals and ask them to send you sample packets so that your kids can taste the product before you bring it home. There is nothing worse that spending $20-30, only to find out your child won’t take a product. Compliance will always be higher if it tastes good and a child has decided that he will take the product regularly.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

The old cliché, “Breakfast is the most important meal of the day,” is not far from the truth. In a 2000-calorie a day diet, which is required to maintain weight for the average woman, almost a third of the calories should be eaten during the first hour or two upon waking. Estimated calories needed for children range from 900 a day for a 1-year-old to 1,800 for a 14–18-year-old girl and 2,200 for a 14–18-year-old boy.

The body needs to consume these calories early in the day so that they can be readily converted to energy sources that will provide mental clarity, focus, physical energy, and to prevent overall fatigue. The most common cause of inattention at work and school that I see clinically, is consuming a low protein, high carbohydrate breakfast, or skipping breakfast altogether!

The body has twenty essential and non-essential amino acids that are required to maintain normal bodily functions such as making skin, hair, muscle, blood vessels, immune cells, digestive enzymes and neurotransmitters for brain function. In most animal protein food sources, all 20 amino acids are readily available–this is called a complete protein. There are no plant proteins that are complete proteins unless they are fortified with manufactured vitamins, minerals and amino acids.

Egg protein is the most nutritious readily-available, complete protein and is considered to be the perfect protein food. It provides the standard of comparison for all other proteins. All of the essential amino acids are present in such generous quantities that egg protein is often used to fortify other foods. However, people tend to be scared of eggs for a number of reasons.

MYTH: Egg yolks are high in fat and contribute little else to the diet.

FACT: Egg yolks contain 45% of the egg’s protein, numerous minerals, and the majority of the egg’s vitamins.

The average person needs to consume a minimum of 0.8 grams of protein per kg of body weight, per day. This is equivalent to a 130 lb. woman eating 47g and a 40 lb. child consuming 15g of protein per day. Every meal, in addition to including either a fruit or vegetable, needs to include a source of protein:

• 1 egg = 7g protein, 70 calories
• Fish, poultry, beef 1 oz = 7g protein, calories vary per type
• 8 oz. milk (2%) = 7g protein, 130 calories, (300mg calcium)
• 1 oz. cheese (1 cheese stick) = 8g protein, 60 calories, (200mg calcium)
• Stonyfield 6 oz, yogurt smoothie = 6g protein, 140 calories, (250mg calcium)
• 21 almonds = 7g protein, 180 calories, (60mg calcium)
• 2 Tbsp. peanut butter (natural, with no sweeteners) = 9g protein, 140 calories

In general, we need to consume a variety of fruits and vegetables daily, while limiting juice intake altogether. Each meal should contain at least 1 fruit or vegetable. Children’s recommended fruit intake should range from 1 cup/day (in divided portions), between ages 1 and 3, to 2 cups for a 14–18-year-old boy. Recommended vegetable intake ranges from ¾ cup a day at age 1, to 3 cups for a 14–18-year-old boy.

Recommended grain intake ranges from 2 oz./day for a 1-year-old to 7 oz/day for a 14–18-year-old boy. This is an area that we tend to overdo by offering so many carbohydrate laden children’s foods such as goldfish crackers, cereal, pancakes, bagels, pasta, and sandwiches.

So what is the perfect breakfast? One egg on whole grain bread and a piece of fruit.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

When it comes to preventing winter illnesses, don’t look for a quick fix or magic bullet. Your best defense is consistent healthy living, which comes from staying well-rested and well-nourished. When your body feels fatigued and undernourished, it makes you more susceptible to the bacteria and viruses that linger around us. When your body is healthy, your immune system tackles these invading organisms before they have a chance to make you sick.

Creating a routine around eating and sleeping will help both you and your children stay healthy. Sit down, relax and eat three meals a day—at the table—with your children. Try to avoid replacing sit-down, nourishing meals with snacking. Also, make bedtime patterns as early as you can with your children, even before they start school. This way parents have some downtime to themselves or can choose to go to bed early if they want.

Wash your hands often and be sure your children do the same. Although antibacterial soaps, gels and wipes abound, good old-fashioned soap and water do the trick. Antibacterial formulas destroy all the bacteria on our hands, both good and bad. But our skin needs an outer foundation of normal “healthy” bacteria to provide a first line of defense for our immune system. Using only antibacterial products actually diminishes our natural immunity, making us more susceptible to bacteria.

If a cold does strike, sleep, eat and drink it away. Give your body time to recover and turn in early for the night. Simplify your meals—homemade chicken soup really can do the trick. Drink plenty of warm teas to keep the body hydrated. Try adding honey to your tea, as it has antibacterial properties. And take 2-3 grams of vitamin C daily. For kids, 1 gram will do. Emergen-C and Ola Loa vitamin C drinks are easy ways for kids to boost their Vitamin C. Echinacea can help, but only if you use it at the onset of the cold—otherwise reach for medicinal mushroom formulas such as olive leaf, Oregon grape root, and lomatium.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.

My name is Keri Marshall and I am a licensed Naturopathic Doctor in private practice in Dover, NH, and mother of two. I have a general family practice that encompasses all aspects of natural medicine including clinical nutrition, herbal medicine, homeopathy and lifestyle counseling. I enjoy organic gardening, cooking, snowboarding, camping, biking and surfing. Currently one of the big projects I am working on in my community is an effort to improve the public school hot lunch program. Recently, our school board unanimously approved removal of all trans fats from foods being served, no artificial sweeteners, and at least 50% of grains served will be whole grains.

With the information I provide, I hope to help you understand a few simple concepts, one of which is that childhood nutrition begins as early as conception. How we eat throughout pregnancy as well as how we introduce food to an infant will greatly impact lifelong nutrition and eating habits. I also hope to provide beneficial information with regard to decoding nutrition labels and de-mystifying contradictory information that we hear about in the media and what it means in our day-to-day life.

In general, children who consume Standard American Diet (SAD) meet the RDA basic guidelines for nutrition. Unfortunately, it appears that we have set the bar too low and the guidelines set by the government are fostering an epidemic of obesity and poor health. I look forward to creating a forum to discuss ways to raise the bar with regards to our children’s nutrition and explore ways to improve our own personal nutrition and lifestyle habits as parents.

–Dr. Keri Marshall MS, ND is a licensed Naturopathic Doctor who specializes in holistic pediatrics and women’s medicine.