Stress at Work Is Killing Us

Whether home or at work, at school, shopping, or driving, there’s no shortage of things to stress us out. Our ability to cope, get along with others, get things done efficiently, and be reasonable often hinges on how we manage that stress. Those coping mechanisms have a lot to do with how well our days go and how we get along with family and friends. But when it comes to work, there’s a greater price to pay. Not managing stress effectively costs employers billions of dollars annually in healthcare-related expenses, lost-work hours, and reduced productivity due to illness, depression, accidents, turnover, and worker burnout.

According to research by the American Psychological Association’s (APA) Center for Organizational Excellence, more than one-third (35%) of American workers experience chronic work stress, with low salaries, lack of opportunities for advancement, and heavy workloads topping the list of contributing factors. Stress in the workplace, researchers found, manifests itself in increased absenteeism and presenteeism (coming to work, but not achieving expectations, or working to potential), lower productivity, and increased service errors.

Stress also is a contributor to high blood pressure and other diseases. When we’re frustrated, depressed, or under tremendous pressure at work or at home, we tend to eat poorly, not exercise, and otherwise tax our bodies. Links have been established between stress and our body’s production of excess cholesterol. Stress also interferes with our normal sleep, which causes fatigue and makes us irritable and more susceptible to illness. When unchecked, stress interferes with our general quality of life, and can affect our relationships, productivity, customer service, teamwork, safety, and quality.

According to the Centers for Disease Control and Prevention (CDC), work-related stress is the physical and emotional damage that occurs due to a mismatch between work requirements and the resources, needs, and capabilities of workers. Currently, 40% of American workers say that their jobs are very or extremely stressful. At the same time, 26% of employees say they are very often burned out, or stressed at the workplace. Twenty-nine percent of workers say that their jobs are extremely stressful, and 25% report that their jobs are the leading causes of stress in their lives.

How is that affecting them physically? CDC statistics say that seven out of 10 workers say they experience stress-related psychological symptoms regularly, and close to eight out of 10 employees regularly encounter physical symptoms associated with stress. To avoid workplace stress, 60% of 26,000 U.S. workers surveyed said they would opt for a fresh career start. This dissatisfaction on the job is costing American employers $300 billion annually on employee healthcare and employee absence costs.

Why so much workplace stress?

If you’ve ever worked for or with other people, you probably can answer this question yourself.

Workload accounts for 46% of all workplace stress incidents, and “people issues” account for 28% of stress at work problems. Additionally, juggling work/personal life challenges accounts for 20% of stress incidents reported by American workers, while lack of job security is the fourth-leading cause of stress at the workplace.

The symptoms of worrying, anxiety, and stress at work result in back pain, fatigue, stomach ailments, headaches, teeth grinding, and changes in sex drive. It reduces immunity to disease, and leaves workers unable to sleep well at night due to worrying about their jobs. And it’s costing employers an estimated $10 billion annually in productivity losses alone.

All in all, it sounds pretty dire. Yet we have to work, we have to get along with our co-workers, bosses, and customers, and we have to remain focused on quality, service, and productivity. So how can employers help address the issues that cause this detrimental behavior and side effects, and improve outcomes?

Organizations that have implemented measures to address burnout have a staff turnover rate of just 6%, which is low compared to the national average of 38%. Additionally, in progressive-thinking companies, the rate of staff reporting “chronic work stress” stands at 19% compared to the national average of 35%. Employees at the same organizations registered higher job satisfaction scores, meaning they were unlikely to seek greener pastures elsewhere.

Tips for managing workplace stress

Humans are complicated – there are no easy answers or magic bullets. But based on research, an important first step is promoting a healthy work/life balance. Progressive organizations offer telecommuting, paid time off, and flex time perks. Employee recognition strategies including profit-sharing programs, bonuses, and cost-of-living salary raises. Organizing staff retreats, interacting with staff to learn more about their problems, and monitoring job satisfaction helps, as does providing workers with regular career growth and development opportunities.

While the work has to get done and get done on time, fatigue plays an enormous role in reduced workplace productivity. While napping in one’s car is helpful when coping with exhaustion, some employers provide rest or nap lounges with couches, reduced lighting, and soft music. Ensuring that employees get adequate time for stretching, moving around, breaks, and for lunch or dinner is critical.

Additionally, time during the day for recreation – walks, runs, athletics, bicycling, working out – helps people manage stress and keep themselves healthier. That could be as simple as having a fitness room, basketball or volleyball court at the workplace, or encouraging employees to take a walk or go to the gym at times that work best for them and fit within their work requirements.

Bringing in experts on nutrition, fitness, yoga, massage, and other forms of relaxation or wellness education is inexpensive and helpful. And engaging employees in team problem-solving, or creating and empowering recreation, communication, health and wellness, and “fun” committees goes a long way toward improving morale, teamwork and productivity.

Ultimately, we all have to find ways to deal with our own stress, and the stress that accompanies most jobs. But recognizing the signs of worker stress and acknowledging the importance of providing creative and healthy outlets for employees will help reduce some of the factors that are heavily taxing workers and costing employers a fortune, and employees their health.

Oral Cancers Are Largely Preventable

Oral health is not only important to our appearance and sense of well-being, but also to our overall health. Cavities and gum disease may contribute to many serious conditions, such as diabetes and respiratory disease, and untreated cavities can be painful and lead to serious infections. Poor oral health has been linked to sleeping problems, as well as behavioral and developmental problems in children. It also can affect our ability to chew and digest food properly.

But there’s a more insidious nature to poor oral health. While genetics can play a role, lifestyle and poor choices are major contributors to a cancer that kills approximately 10,000 Americans annually. In fact, the American Cancer Society’s latest estimates for 2017 forecast that approximately 50,000 people will get oral cavity or oropharyngeal cancer this year.

April is National Oral Cancer Awareness Month. Oropharyngeal cancer is a disease in which malignant (cancer) cells form in the tissues of the oropharynx. The oropharynx is the middle part of the pharynx (throat) behind the mouth. It includes the back one-third of the tongue, soft palate, side and back walls of the throat, and our tonsils. The rest are found in the lips, the minor salivary glands (which often occur in the roof of the mouth), and other sites.

These cancers are more than twice as common in men as in women. The average age of most people diagnosed with these cancers is 62, but they can occur in young people. They are rare in children, but a little more than one-quarter occur in patients younger than 55.

Smoking is a major risk factor for oral and dental disease, including oral cancer. Tobacco smoke (including the smoking of cigars and pipes) is very harmful to gum tissues and other tissues in your mouth. Toxins in smoke can cause oral cancer and also damage the bone around your teeth, a major cause of tooth loss. In fact, smoking and tobacco products that are chewed or held in the mouth are one of the biggest risk factors for gum disease and perhaps the biggest risk factor for oral cancer.

Oral tobacco products (snuff or chewing tobacco) are linked with cancers of the cheek, gums, and inner surface of the lips. Using oral tobacco products for a long time poses an especially high risk. These products also cause gum disease, destruction of the bone sockets around teeth, and tooth loss.

The most common risk factors for oropharyngeal cancer include the following:

  • Being infected with human papillomavirus (HPV) — the number of oropharyngeal cancers linked to HPV infection is increasing annually
  • A history of smoking a pack or more a day for greater than 10 years
  • The use of chewing tobacco, snuff, and other “smokeless” tobacco products
  • Heavy alcohol use
  • A diet low in fruits and vegetables
  • Drinking maté, a stimulant drink common in South America
  • Chewing betel quid, a stimulant commonly used in parts of Asia

Sometimes oropharyngeal cancer does not cause early signs or symptoms, but common signs include a lump in the neck and a sore throat. These and other signs and symptoms may be caused by oropharyngeal cancer or by other conditions. Check with your doctor if you have any of the following:

  • A sore throat that does not go away
  • Trouble swallowing
  • Trouble opening the mouth fully
  • Trouble moving the tongue
  • Weight loss for no known reason
  • Ear pain
  • A lump in the back of the mouth, throat, or neck
  • A change in voice
  • Coughing up blood.

When patients newly diagnosed with oral and oropharyngeal cancers are carefully examined, a small portion will have another cancer in a nearby area such as the larynx (voice box), the esophagus (the tube that carries food from the throat to the stomach), or the lung. Some who are cured of oral or oropharyngeal cancer will develop another cancer later in the lung, mouth, throat, or other nearby areas. For this reason, people with oral and oropharyngeal cancer will need to have follow-up exams for the rest of their lives. They also need to avoid using tobacco and alcohol, which increase the risk for these second cancers.

The good news is that the death rate for these cancers generally has been decreasing over the last 30 years. That’s primarily attributable to better health education, outreach from national organizations like the American Cancer Society, and changing patterns in the use of tobacco and alcohol. But oral cancer from human papillomavirus (HPV) is increasing significantly, and risk factors for youth who indulge in smoking or the use of smokeless tobacco also is on the rise. Another questionable practice is the use of “vapes” or electric cigarettes, but research on the long-term effects of these devices is still in its infancy.

It’s Spring, Pass the Tissues!

There are several sure signs spring has arrived. The daffodils and crocuses are up, trees are budding, migrating birds are flocking, ice cream trucks and motorcycles can be heard in the distance, and people all around us are starting to sneeze, wheeze, and sniffle.  For all its color, warmth, and wonder, springtime also heralds the return of seasonal allergies, and for millions of Americans, it’s not a pleasant visit.

The severity of allergy season can vary according to where you live, the weather, indoor contaminants, and many other elements. Seasonal allergic rhinitis is usually caused by mold spores in the air or by trees, grasses, and weeds releasing billions of tiny pollen grains.

Outdoor molds are very common, especially after the spring thaw. They are found in soil, some mulches, fallen leaves, and rotting wood. Everybody is exposed to mold and pollen, but only some people develop allergies. In these people, the immune system, which protects us from invaders like viruses and bacteria, reacts to a normally harmless substance called an allergen (allergy-causing compound). Specialized immune cells called mast cells and basophils then release chemicals like histamine that lead to the symptoms of allergy: sneezing, coughing, a runny or clogged nose, postnasal drip, and itchy eyes and throat.

Asthma and allergic diseases, such as allergic rhinitis (hay fever), food allergy, and atopic dermatitis (eczema), are common for all age groups in the United States. For example, asthma affects more than 17 million adults and more than 7 million children. It’s estimated that one-fifth of all Americans are allergic to something, whether seasonal, airborne, or food related. Nasal allergy triggers can be found both indoors and outdoors, and can be year-round or seasonal. It’s important to be aware of the times of day, seasons, places, and situations where your nasal allergy symptoms begin or worsen. If you can identify your triggers, and create a plan for avoiding them when possible, you may be able to minimize symptoms.

Here are a few points to remember:

  • You may be reacting to more than one type of allergen. For example, having nasal allergies to both trees and grass can make your symptoms worse during the spring and summer, when both of these pollens are high.
  • Molds grow in dark, wet places and can disperse spores into the air if you rake or disturb the area where they’ve settled.
  • People with indoor nasal allergies can be bothered by outdoor nasal allergies as well. You may need ongoing treatment to help relieve indoor nasal allergy symptoms.

If avoidance doesn’t work, allergies can often be controlled with medications. The first choice is an antihistamine, which counters the effects of histamine. Steroid nasal sprays can reduce mucus secretion and nasal swelling. The National Institutes of Health (NIH) says that the combination of antihistamines and nasal steroids is very effective in those with moderate or severe symptoms of allergic rhinitis. However, always consult with your physician before taking even over-the-counter medicines for allergies, as they may conflict with other medications or aggravate symptoms of other illnesses or chronic conditions.

Another potential solution is cromolyn sodium, a nasal spray that inhibits the release of chemicals like histamine from mast cells. But you must start taking it several days before an allergic reaction begins, which is not always practical, and its use can be habit forming. Immunotherapy, or allergy shots, is an option if the exact cause of your allergies can be pinpointed. Immunotherapy involves a long series of injections, but it can significantly reduce symptoms and medication needs.

Your physician can help pinpoint what you are allergic to, and tell you the best way to treat your nasal allergy symptoms. Providing detailed information about your lifestyle and habits will help your physician design an appropriate treatment plan for relieving your symptoms.

The American Academy of Allergy, Asthma, and Immunology has some useful tips for those who suffer from seasonal allergies:

  • Wash bed sheets weekly in hot water.
  • Always bathe and wash hair before bedtime (pollen can collect on skin and hair throughout the day).
  • Do not hang clothes outside to dry where they can trap pollens.
  • Wear a filter mask when mowing or working outdoors. Also, if you can, avoid peak times for pollen exposure (hot, dry, windy days, usually between 10:00 a.m. and 4:00 p.m.).
  • Be aware of local pollen counts in your area (visit the National Allergy Bureau Website).
  • Keep house, office, and car windows closed; use air conditioning if possible rather than opening windows.
  • Perform a thorough spring cleaning of your home, including replacing heating and A/C filters and cleaning ducts and vents.
  • Check bathrooms and other damp areas in your home frequently for mold and mildew, and remove visible mold with nontoxic cleaners.
  • Keep pets out of the bedroom and off of furniture, since they may carry pollen if they have been outdoors, or exacerbate your allergies if, for example, you’re allergic to cat dander.

We can’t always avoid the pollens, mold, and other triggers that aggravate our allergies, but we can try to limit or control exposure and pursue medical interventions to help mitigate our suffering. Spring is a wonderful time of year – enjoy it to its fullest, and pass the tissues

Yogurt Alert: Be Active

The message on overuse of antibiotics is finally getting plenty of press and for good reason.   The more we prescribe or use antibiotics, the faster nature adapts and evolves to find other paths for bacterial self-preservation. But there’s a flip side to the bacteria story that doesn’t get as much attention. There are “good” bacteria, as well as “bad” bacteria, and one of those “good” types of bacteria aids digestion and promotes a healthier digestive system.

Probiotics (from pro and biota, meaning “for life”) are bacteria that help maintain the natural balance of organisms (microflora) in our intestines. Normally, the human digestive tract contains about 400 types of probiotic bacteria that reduce the growth of harmful bacteria and promote healthy digestion. The largest group of probiotic bacteria in the intestine is lactic acid bacteria, of which Lactobacillus acidophilus, found in yogurt with live cultures, is the best known. Yeast is also a probiotic substance.

Only certain types of bacteria or yeast (called strains) have been shown to work in the digestive tract. Probiotics mimic our natural digestive system, and have been used for hundreds of years in fermented foods and cultured milk products. Europeans consume a lot of these beneficial microorganisms because of their tradition of eating foods fermented with bacteria including yogurt. Additionally, probiotic-laced beverages are popular in Japan. While their positive health benefits have been established, researchers continue studying the safety of probiotics in young children, the elderly, and people who have weak immune systems.

Many people use probiotics to prevent or limit diarrhea, gas, and cramping caused by antibiotics. Antibiotics kill beneficial bacteria along with the bacteria that cause illness, and a decrease in beneficial bacteria may lead to digestive problems. Taking probiotics may help replace the lost beneficial bacteria. Since the mid-1990s, clinical studies have established that probiotic therapy can help treat several gastrointestinal ailments, delay the development of allergies in children, and treat and prevent vaginal and urinary infections in women.

They’re also recommended to help prevent infections in the digestive tract, and to help control immune responses or inflammations such as irritable bowel disease or syndrome.  Additionally, probiotics are being studied for benefits relating to colon cancer, Crohn’s Disease, and skin infections.

Eating yogurt is a healthy practice. But to get the amount of probiotics available in traditional supplements, you’d have to eat at least five containers of yogurt daily. However, as with any dietary supplement, you should discuss its benefits with your physician or a licensed nutritionist as supplements are regulated as foods, not drugs, and may not be suitable for people with specific illnesses, conditions, or medical histories. The same precaution is extended to women who are pregnant or considering getting pregnant.

While much also remains to be learned about probiotics and the immune system, studies suggest that certain probiotic strains offer a variety of additional benefits:

  • Probiotics may help with inflammatory bowel disease by changing the intestinal microflora and lessening the immune system response that can worsen the disease.
  • Studies indicate that probiotics may enhance resistance to and recovery from infection. In research on elderly people, researchers found that the duration of all illnesses was significantly lower in a group that consumed a certain probiotic found in fermented milk. They also reported a possible 20% reduction in the length of winter infections (including gastrointestinal and respiratory infections).
  • Yogurt containing two probiotics, lactobacillus and bifidobacterium, was found to improve the success of drug therapy (using four specific medications) for people suffering from persistent  pyloriinfections. H. pylori is a bacterium that can cause infection in the stomach and upper part of the small intestine. It can lead to ulcers and can increase the risk of developing stomach cancer as well.
  • Certain probiotics may help maintain remission of ulcerative colitis and prevent relapse of Crohn’s disease and the recurrence of pouchitis (a complication of surgery to treat ulcerative colitis).
  • Probiotics also may be of use in maintaining urogenital health. Like the intestinal tract, the vagina is a finely balanced ecosystem that can be thrown out of balance by a number of factors, including antibiotics, spermicides, and birth-control pills. Probiotic treatment that restores the balance of microflora may be helpful for such common female urogenital problems as bacterial vaginosis, yeast infection, and urinary tract infection.

Make sure contents and the strain of probiotic in the supplement are clearly marked as not all are beneficial for different conditions. And note that the number of active agents in a supplement can vary widely from one to the next. Again, seek guidance from your physician or a nutritionist to help ensure the best results.

And while it’s great right out of the container, yogurt works as a substitute ingredient in many recipes. Plain yogurt can take the place of sour cream (over baked potatoes or when garnishing enchiladas). You can also substitute a complementary flavor of yogurt for some of the oil or butter called for in a muffin, brownie, or cake recipe. It can replace all of the fat called for in cake mixes, too.

The best and easiest advice is to get in the habit of eating yogurt that includes live and active cultures, particularly those brands and labels that are not loaded with sugar. Remember, yogurt comes from milk, so in addition to the active cultures, yogurt eaters benefit from several other nutrients found in dairy foods like calcium, vitamin B-2, vitamin B-12, potassium, vitamin D and magnesium. Happy eating, and remember – a little culture never hurt anyone!

Listen up, sugar

Are you still dipping into the Halloween booty once or twice a day?  Eating dessert with dinner every day or regularly drinking soda?  You don’t have to feel guilty, or alone – almost everyone likes sweets of some kind – but you should know about the long-term implications and dangers of sugar and sweeteners.

Beyond weight control, the most obvious consequence is the diabetes epidemic sweeping our nation. Nearly 30 million children and adults in the United States have diabetes. Another 86 million Americans have pre-diabetes and are at risk for developing type-2 diabetes, with 1.9 million new cases of diabetes diagnosed annually in people aged 20 and older. And it’s not only the dangers to your health and the health of your loved ones to consider — The American Diabetes Association estimates that the total national cost of diagnosed diabetes in the United States is $245 billion, including $176 billion for direct medical costs.

In a recent appearance on The Late Show, actor Hugh Laurie quipped that Americans don’t have to worry about ISIS- or Al Queda-linked terrorists killing us with bombs and guns. If our enemies were smart, Laurie observed, they’d simply open new chains of donut shops across the United States.

According to the National Institutes of Diabetes and Digestive and Kidney Diseases, part of the National Institutes of Health, Type 2 diabetes has become one of the most common and costly diseases in the United States and around the world.  Complications include heart disease and stroke, high blood pressure, kidney and nervous system diseases, blindness and an increased risk of amputation of lower limbs from complications including poor circulation and wounds.

Researchers say the side effects of diabetes also represent $69 billion in reduced productivity. And after adjusting for population age and sex differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes.

With November being Diabetes Awareness Month, and with the holiday season right around the corner, this is a good time to take stock of our diet and exercise routines. Studies by the National Diabetes Research Foundation have determined that just 30 minutes of moderate physical activity daily, and a 5 percent to 10 percent reduction in body weight can reduce the risk of diabetes by almost 60 percent.

To help achieve these goals, here are healthy living tips for the whole family:

  • Try to eat regular, balanced meals every four to five hours. Smaller amounts eaten more often are better for healthy blood-sugar levels
  • Eat carbohydrates in moderation. Carbohydrates raise blood sugar more than foods with protein or fat. Carbohydrates include milk, fruit, bread, rice, pasta, potatoes, corn and peas.
  • Eat plenty of fruits and vegetables every day.
  • Eat more fiber from whole grains and dried beans.
  • Eat less fat and less saturated fat. Choose lean meats, low-fat dairy products and low-fat snack foods.
  • Use drinks that do not raise blood sugar such as water, diet soda, coffee and tea.
  • Choose desserts occasionally. Look for dessert foods that are lower in carbohydrates and fat.
  • Read labels, and be aware of your sugar intake – for example, one teaspoon of granulated sugar equals 4 grams of sugar. To put it another way, 16 grams of sugar in a product is equal to about 4 teaspoons of granulated sugar.
  • As possible, avoid or limit products with high-fructose corn syrup, a commonly added sweetener found in most processed foods.
  • Look for healthy substitutes, such as mustard in place of ketchup, and avoid condiments like barbecue sauce, sweet relish and other flavor enhancers high in calories, fat, sodium and sugar.
  • Exercise or walk as often as possible – walking or moderate exercise plays a critical role in preventing weight gain, reducing stress, strengthening heart health and reducing chances for diabetes later in life

Other tips include bringing your own “healthier” desserts, entrees or side dishes to parties, eating low-fat, low-sugar yogurt for afternoon snack time, and drinking as much water as possible – at least 64 ounces a day. We don’t have to deprive ourselves, but when we practice moderation and pay attention to what we put in our bodies, our chances of avoiding sugar-related health issues will improve significantly – that, in itself, is quite a treat!

 


Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Connecticut and medical cannabis — laws and rights

While the debate about the use of medical marijuana continues unabated at the state and federal levels, 24 U.S. states (plus the District of Columbia), including Connecticut, have legalized the use of cannabis and its cannabinoids for medicinal purposes for treating a variety of conditions.  Use must be approved by a Connecticut-licensed physician, who must write a prescription that only can be filled at a licensed dispensary using products produced locally by a handful of State-approved growers.

To qualify, a patient needs to be diagnosed as having one of the following debilitating medical conditions that is specifically identified in the law, including:  Cancer, glaucoma, HIV, AIDS, Parkinson’s disease, multiple sclerosis, certain types of damage to the nervous tissue of the spinal cord, epilepsy, cachexia, wasting syndrome, Crohn’s disease or post-traumatic stress disorder. Other approved medicinal uses include:

  • Sickle Cell Disease
  • Post Laminectomy Syndrome with Chronic Radiculopathy
  • Severe Psoriasis and Psoriatic Arthritis
  • Amyotrophic Lateral Sclerosis
  • Ulcerative Colitis
  • Complex Regional Pain Syndrome

The laws regarding medical marijuana are fluid and constantly changing as a board of physicians and legislators reflect on patient needs, other available drugs and therapies, and new research. Effective October 2016, the following additional medical conditions will be covered for patients over 18 (excluding inmates confined in a correctional institution of facility under the Department of Correction, regardless of their medical condition), although patients under 18 also qualify, with certain restrictions and requirements:

  • Cerebral Palsy
  • Cystic Fibrosis
  • Irreversible Spinal Cord Injury with Objective Neurological Indication of Intractable Spasticity
  • Terminal Illness Requiring End-Of-Life Care
  • Uncontrolled Intractable Seizure Disorder

The first step is to make an appointment with the physician treating you for the debilitating condition for which you seek to use medical marijuana. You will not be able to register in the system until the Department receives a certification from your physician that you have been diagnosed with a condition that qualifies for the use of medical marijuana and that, in his or her opinion, the potential benefits of the palliative use of marijuana would likely outweigh the health risks.

Patients with a prescription for medical marijuana need to complete an application with the State Department of Consumer Protection, which oversees this program in Connecticut. The process involves providing proof the patient still lives in Connecticut; an updated photograph; five certifications that have to be completed online or in writing; and the payment of a $100 program fee. Medical marijuana in Connecticut is not a covered health insurance benefit.

Qualifying patient applications take between two to three weeks to process. Upon approval of the application, a temporary certificate is emailed to the patient. This temporary certificate is valid for 30 days from the approval date of the application. The temporary certificate will allow patients to use their selected dispensary facility while their permanent Medical Marijuana Certificate is being mailed.

Patients must visit their selected dispensary in advance of filling their prescription as part of the screening process. Then, once approved, they can fill their prescription by accessing medical marijuana in a variety of forms and strengths. This includes product for smoking for those who might have trouble ingesting this medicine, or who prefer this delivery method. Prescriptions also cover the use of liquids, lozenges, edibles and other styles.

Though legalized, there are rules restricting use. For example, the law prohibits ingesting marijuana in a bus, a school bus or any moving vehicle; in the workplace; on any school grounds or any public or private school, dormitory, college or university property; in any public place; or in the presence of anyone under 18. It also prohibits any use of palliative marijuana that endangers the health or well-being of another person, other than the patient or primary caregiver.

Finally, not every physician may be willing to write a prescription for medical marijuana, despite legalization. The Department of Consumer Protection does not require physicians or hospitals to recognize marijuana as an appropriate medical treatment in general or for any specific patient. If you believe that your physician is not providing you with the best medical care for your condition, then you may want to consider working with a different physician.

For more information, visit http://www.ct.gov/dcp and look under the section for medical marijuana.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Spread the word, not the germs

In today’s world, we’re well aware of many deadly viruses, thanks to media, anxious friends and the Internet. This past year Ebola raged in Eastern Africa and even made it to American shores. We’re bombarded almost daily by scary stories about strains of Avian, Swine and Bird flus. And closer to home, many of us are still infected by common contagious culprits such as influenza, measles, chickenpox, tuberculosis and even Whooping Cough.

Many infectious diseases can be largely prevented by vaccines. Frequent and thorough hand-washing also helps protect you from infectious diseases. The easiest way to catch most infectious diseases is by coming in contact with a person or animal that has the infection. Three ways infectious diseases can be spread through direct contact are:

  • Person to person. A common way for infectious diseases to spread is through the direct transfer of bacteria, viruses or other germs from one person to another. This can occur when an individual with the bacterium or virus touches, coughs on or kisses someone who isn’t infected. These germs can also spread through food handling, the exchange of body fluids from sexual contact or a blood transfusion. The person who passes the germ may have no symptoms of the disease, but may simply be a carrier.
  • Animal to person. Being bitten or scratched by an infected animal — even a pet — can make you sick and, in extreme circumstances, can be fatal. Handling animal waste can be hazardous, too. For example, you can acquire a toxoplasmosis infection by scooping your cat’s litter box.
  • Mother to unborn child. A pregnant woman may pass germs that cause infectious diseases to her unborn baby. Some germs can pass through the placenta. Germs in the vagina can be transmitted to the baby during birth.

Disease-causing organisms also can be passed by indirect contact. Many germs can linger on an inanimate object, such as a tabletop, doorknob or faucet handle. When you touch a doorknob handled by someone ill with the flu or a cold, for example, you can pick up the germs he or she left behind. If you then touch your eyes, mouth or nose before washing your hands, you may become infected.

Some germs rely on insect carriers — such as mosquitoes, fleas, lice or ticks — to move from host to host. These carriers are known as vectors. Mosquitoes can carry the malaria parasite or West Nile virus, and deer ticks may carry the bacterium that causes Lyme disease.

Another way disease-causing germs can infect you is through contaminated food and water. This transmission mechanism allows germs to be spread to many people through a single source. E. coli, for example, is a bacterium present in or on certain foods — such as undercooked hamburger or unpasteurized fruit juice. E. coli makes people violently stomach sick and dehydrated, and may require hospitalization.

In Connecticut, cases of Pertussis (Whooping Cough) have reemerged in the western part of the State, due largely to parents who choose to not vaccinate their children. Tuberculosis (TB) also remains stubbornly entrenched in Connecticut.

Understanding TB

Tuberculosis is a potentially serious infectious disease that mainly affects your lungs. The bacteria that cause tuberculosis are spread from one person to another through tiny droplets released into the air via coughs and sneezes.

Once rare in developed countries, tuberculosis infections began increasing in 1985, partly because of the emergence of HIV, the virus that causes AIDS. HIV weakens a person’s immune system so it can’t fight the TB germs. In the United States, because of stronger control programs, tuberculosis began to decrease again in 1993, but remains a concern and fairly active in most major cities.

Many strains of tuberculosis resist the drugs most used to treat the disease. People with active tuberculosis must take several types of medications for many months to eradicate the infection and prevent development of antibiotic resistance.

Tuberculosis is caused by bacteria that spread from person to person through microscopic droplets released into the air. This can happen when someone with the untreated, active form of tuberculosis coughs, speaks, sneezes, spits, laughs or sings.

Although tuberculosis is contagious, it’s not easy to catch. You’re much more likely to get tuberculosis from someone you live with or work with than from a stranger. Most people with active TB who’ve had appropriate drug treatment for at least two weeks are no longer contagious.

Don’t buy into the myths about vaccines

Earlier this year, hundreds of people contracted measles. “Ground zero,” it turned out, was Disneyland, in Anaheim, California. While there were only 50 reported measles infections in the United States in 2009, there had already been 288 cases in the country this year before the end of May 2015. Most of those cases have been linked to the unvaccinated; a recent study found “substandard vaccination” to have been the cause of the massive measles outbreak at Disneyland.

This month, California passed a mandatory vaccination law requiring children to be fully vaccinated before attending public school or a licensed pre-school program. Vaccinating children poses nearly no risk to their health; choosing not to vaccinate not only puts the child in harm’s way, but also endangers other immunocompromised persons — pregnant women, the elderly, and those who’ve had cancer or organ transplants — that un-vaccinated children come into contact with.

Additionally, adults should verify their own vaccination history. Disease resistance can deteriorate over many years, but your physician can easily search for active antibodies through a simple blood test, and revaccinate you as an adult. This is especially important if you work in healthcare, plan to travel internationally or will be living in communal spaces like college dormitories.

Other than a minuscule population who avoid vaccinations based on religious grounds, most non-conforming parents or individuals worry about contracting autism or other diseases from vaccinations. There are absolutely no scientific or medical grounds for that myth. However, an ingredient commonly found in some vaccinations — thimerosal — does contain trace amounts of mercury. According to the Centers for Disease Control (CDC), these extremely low doses of thimerosal pose no risk to humans, except for minor reactions like redness and swelling at the injection site.

While not dangerous, thimerosal has been removed from most vaccines anyway. In fact, there is no thimerosal present in the vaccine for measles, mumps, and rubella — and there never was.

Follow these tips to decrease your risk of infecting yourself or others:

  • Wash your hands. This is especially important before and after preparing food, before eating and after using the toilet. And try not to touch your eyes, nose or mouth with your hands, as that’s a common way germs enter the body.
  • Get vaccinated. Immunization can drastically reduce your chances of contracting or spreading many diseases. Make sure to keep up to date on your recommended vaccinations, as well as your children’s.
  • Stay home. Don’t go to work if you are vomiting, have diarrhea or are running a fever. Don’t send your child to school if he or she has these signs and symptoms, either.
  • Prepare food safely. Keep counters and other kitchen surfaces clean when preparing meals. Cook foods to the proper temperature using a food thermometer to check for doneness. For ground meats, that means at least 160 F (71 C), for poultry, 165 F (74 C), and for most other meat, at least 145 F (63 C). In addition, promptly refrigerate leftovers — don’t let cooked foods remain at room temperature for extended periods of time.
  • Practice safe sex. Always use condoms if you or your partner has a history of sexually transmitted infections or high-risk behavior.
  • Don’t share personal items. Use your own toothbrush, comb and razor. Avoid sharing drinking glasses or dining utensils.
  • Travel wisely. If you’re traveling out of the country, talk to your doctor about any special vaccinations you may need or foods to avoid.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

The thyroid connection

The thyroid gland is a vitally important hormonal gland that plays an essential role in metabolism, growth and maturation of the human body. The thyroid constantly releases hormones into the blood, helping to regulate many bodily functions.  Additional hormones are produced when the body needs more energy in certain situations like growth, for regulating body temperature or during pregnancy.

The thyroid is located in the front part of the neck below the voice box and has the shape of a butterfly. When working properly, hormones produced by our thyroid travel through our bloodstream and help cells get energy from the food we eat. Thyroid hormones help regulate our body temperature and blood calcium levels, help with growth and development and, during infancy, strengthen brain development.

For an estimated 27 million Americans, however, the thyroid produces either too much or too little hormone, which causes an array of health symptoms, some severe. But because thyroid disease is often misdiagnosed or simply overlooked, it’s estimated that more than half of affected Americans don’t know they have a problem.

Women are much more likely to have thyroid problems than men, and may have up to a one in five chance of developing thyroid problems during their lifetime. The risk increases with age and family history, as well as having an autoimmune disease or a close relative with one; through radiation exposure; by going through menopause or perimenopause; or following childbirth.

Hypothyroidism (underactive thyroid) accounts for the majority of thyroid disease cases — up to 80 percent according to some estimates. This condition occurs when our body produces too little thyroid hormone, leading to symptoms such as fatigue and general sluggishness; unexplained weight gain or increased sensitivity to cold; pain, stiffness or swelling in joints; muscle aches and weakness; heavy menstrual periods; depression; brittle hair and nails; and elevated blood cholesterol.

If left untreated, hypothyroidism can lead to obesity, joint pain, infertility, goiter (thyroid enlargement) and heart disease, but because the symptoms can mimic other diseases, or even be attributed to aging, many people do not realize the thyroid connection. Further, the symptoms may be mild at first, becoming increasingly severe only after a number of years, making them easy to overlook.

A blood test that measures our levels of thyroid-stimulating hormone (TSH) is typically used to diagnose hypothyroidism, and treatment usually involves taking a synthetic or natural thyroid hormone daily.

In contrast, hyperthyroidism results from an overactive thyroid. Symptoms include weight loss; nervousness, anxiety and irritability; increased perspiration; racing heart, hand tremors; difficulty sleeping; increased bowel movements; and muscle weakness, especially in the upper arms or thighs.

A TSH blood test can typically diagnose hyperthyroidism, and the condition is usually treated with anti-thyroid drugs that block the gland’s ability to produce thyroid hormone. Other treatments include surgery, or radioactive iodine, which destroys overactive thyroid cells.

Supplementing thyroid health

As with virtually every bodily function, our diet plays a role in the health of our thyroid. There are some specific nutrients that the thyroid depends on and it’s important to include them in our diet:

  • Iodine: Our thyroid contains the only cells in our body that absorb iodine, which it uses to make critical hormones. Without sufficient iodine, your thyroid cannot produce adequate hormones to help your body function on an optimal level. Iodine deficiency is not that common in the United States because of the prevalent use of iodized salt. However, according to the CDC, up to 36 percent of women of childbearing age may not get enough iodine from their diets, and it’s thought that iodine deficiency is on a slow but steady rise.
    Because iodized salt is heavily processed, physicians sometimes recommend avoiding iodized salt and instead getting iodine naturally from sea vegetables (seaweed), such as hijiki, wakame, arame, dulse, nori, and kombu. Too much iodine can actually trigger thyroid problems and worsen symptoms, so it’s important to have a healthy balance.
  • Selenium: This mineral is critical for the proper functioning of our thyroid gland, and is used to produce and regulate an important hormone. Selenium can be found in foods such as shrimp, snapper, tuna, cod, halibut, calf’s liver, button and shitake mushrooms and Brazil nuts.
  • Zinc, Iron and Copper: These metals are needed in trace amounts for healthy thyroid function. Low levels of zinc have been linked to low levels of TSH, and iron deficiency has been linked to decreased thyroid efficiency. Copper is also necessary for the production of thyroid hormones. Foods such as calf’s liver, spinach, mushrooms, turnip greens and Swiss chard can help provide these trace metals in our diet.
  • Omega-3 Fats: These essential fats, which are found in fish or fish oil, play an important role in thyroid function, and many help our cells become sensitive to thyroid hormone.
  • Coconut Oil: Coconut oil is made up of mostly medium-chain fatty acids, which may help to increase metabolism and promote weight loss, along with providing other thyroid benefits. This is especially beneficial for those with hypothyroidism.
  • Antioxidants and B Vitamins: The antioxidant vitamins A, C and E can help our body neutralize oxidative stress that may damage the thyroid. In addition, B vitamins help to manufacture thyroid hormone and play an important role in healthy thyroid function.

Finally, there are certain foods that should be avoided to protect our thyroid function. These include:

Aspartame
: There is concern that the artificial sweetener aspartame, sold under the brand name Nutrasweet, may trigger Graves’ disease and other autoimmune disorders in some people. The chemical may trigger an immune reaction that causes thyroid inflammation and thyroid autoantibody production.

Non-fermented Soy: Soy is high in isoflavones, which are goitrogens, or foods that interfere with the function of our thyroid gland. Soy, including soybean oil, soy milk, soy burgers, tofu and other processed soy foods, may lead to decreased thyroid function. Fermented soy products, including miso, natto, tempeh and traditionally brewed soy sauce are safe to eat, as the fermentation process reduces the goitrogenic activity of the isoflavones.

Gluten: Gluten is a potential goitrogen and can also trigger autoimmune reactions in people who are sensitive. Gluten is found in wheat, rye and barley, along with most processed foods.

The isothiocyanates found in cruciferous vegetables like broccoli, cauliflower, cabbage and Brussels sprouts are goitrogens as well.

While it’s true that large amounts of these vegetables, eaten raw, could interfere with thyroid function, they offer many other health benefits that make the benefits outweigh the risks for most people. If you know you have thyroid disease and want to be especially careful, steaming these vegetables will negate the goitrogenic effect, making them a healthy addition to your diet.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Oh my aching head

The changing seasons bring a lot of headaches as we dodge and weave our way through the holidays, overcrowded stores, and jammed parking lots. But families, shopping and money issues aside, millions of Americans suffer from the kind of debilitating headaches that aren’t just caused by annoying relatives and obnoxious shoppers.

Headaches tend to be hereditary — four out of five headache sufferers report family histories. Other common elements that can cause or worsen headache symptoms include weather and stress, a variety of foods and medications, fatigue, lack of exercise, skipping meals, and consuming alcohol, caffeine and tobacco products.

Most headaches are tension headaches. These headaches tend to happen again and again, especially if you are under stress. They are not usually a sign of something serious. But they can be very painful and hard to live with, and can last from 30 minutes to several days.

If you have a headache on 15 or more days each month over a three-month period, you may have chronic tension headaches. This type of headache can lead to stress and depression, which in turn can lead to more headaches. It often is caused by changes in brain chemicals. About four out of every 100 people in the United States get chronic tension headaches. Symptoms can start in childhood, but they are more likely to occur during middle age.

Tension headaches are one of the most common types of headaches. They can be triggered by things such as stress, depression, hunger, and muscle strain. Tension headaches may come on suddenly or slowly. Symptoms of tension headaches include constant pain or pressure on both sides of your head, and aching pain at your temples or the back of your head and neck.

This is different from migraine headaches, which usually cause throbbing pain and start on one side of your head. Pain from a tension headache is usually not severe and does not get in the way of your work or social life. But for some people, the pain is very bad or lasts a long time, and the headaches tend to come back, especially when you are under stress.

Changing weather stimulates headaches

Experts believe that people who get frequent headaches have a greater sensitivity to changes in the environment. They also have a lower threshold to the pain response, which may be an inherited sensitivity.

In a recent survey by the National Headache Foundation, three out of every four respondents said that weather triggered their headache pain. Specific weather triggers include changes in humidity and temperature, storms, and extremely dry or dusty conditions.

Many of these conditions cause or contribute to sinus headaches, as well as migraines.  Typical sinus headache symptoms include pain and pressure around the sinuses in the forehead, especially behind and between the eyes, and above the nose. These areas may be tender to the touch.

However, if headache pain is your only symptom, you probably don’t have a sinus headache. A sinus headache is usually accompanied by nasal stuffiness or discharge, cough and sore throat, and fatigue. Sinus conditions can be treated through pain medications, and by prescription and over-the-counter antihistamines and decongestants.

Migraines — the mother of all headaches

Most people with migraines have common migraines. This type of migraine causes a throbbing pain on one side of the head. The pain is moderate to severe and gets worse with normal physical activity. You also may have nausea and vomiting and may feel worse around light and sound. The headache lasts four to 72 hours if it is not treated.

Some people with classic migraines get an aura up to 30 minutes before they have a migraine. Symptoms of the aura include seeing wavy lines, flashing lights, or objects that look distorted. Other symptoms include tingling or a “pins-and-needles” feeling. Also, many women have migraines around their menstrual cycle. These occur a few days before, during, or right after their period. The symptoms are the same as those of common or classic migraines.

A variety of foods and beverages can trigger migraines. These include foods that are aged, such as cheeses, meats and wines. Also, processed foods often contain a variety of food additives such as nitrates and nitrites which dilate blood vessels. Additionally, while consumption of alcohol actually increases blood flow to your brain, the metabolic process for breaking down alcohol releases chemicals which contribute to headaches.

Solutions for dealing with a severe headache

Anyone suffering from regular or chronic headaches should see their physician. There are a variety of prescription medications available that can be taken at the first signs of onset, limiting duration and intensity. There also are steps you can take to help deal more effectively with headaches, or to prevent them from escalating. These include:

  • Seek a calm environment. At the first sign of a migraine or pressure headache, retreat from your usual activities, if possible.
  • Turn off the lights. Migraines often increase sensitivity to light and sound. Relax in a dark, quiet room. Sleep if you can.
  • Try temperature therapy. Apply hot or cold compresses to your head or neck. Ice packs have a numbing effect, which may dull the sensation of pain. Hot packs and heating pads can relax tense muscles; warm showers or baths may have a similar effect.
  • Use proper medications. Many medications contain elements that actually can make your headache worse. There are a variety of medicines that are effective for treating pain and headache symptoms, but always talk with your physician or pharmacist before self-medicating.
  • Massage painful areas. Apply gentle pressure to your scalp or temples. Alleviate muscle tension with a shoulder or neck massage.
  • Drink a caffeinated beverage. In small amounts, caffeine can relieve migraine pain in the early stages or enhance the pain-reducing effects of acetaminophen (such as Tylenol) and aspirin. Be careful, however. Drinking too much caffeine too often can lead to withdrawal headaches later on.
  • Unwind at the end of the day. Listen to soothing music, soak in a warm bath or read a favorite book. But watch what you eat and drink before bedtime. Intense exercise, heavy meals, caffeine, nicotine and alcohol can interfere with sleep.
  • Sleep well. Migraines and pressure headaches may keep you from falling asleep or wake you up at night. Likewise, many headaches are often triggered by a poor night’s sleep. Try to wake up and go to bed at the same time every day, and if you nap, take short naps (under 30 minutes) that won’t interfere with nighttime sleep.
  • Exercise regularly. During physical activity, your body releases certain chemicals that block pain signals to your brain. These chemicals also help alleviate anxiety and depression, which can make migraines worse. If your doctor agrees, choose any exercise you enjoy. Walking, swimming and cycling are often good choices. But it’s important to start slowly. Exercising too vigorously can trigger migraines.

Finally, doctors recommend keeping a headache diary, which may help you determine what triggers your headaches. Note when the pain or symptoms start, what you were doing at the time, how long they last and what, if anything, provides relief. Eventually you may be able to prevent migraines or other headaches by changing patterns in your daily life.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!

Understanding the Misunderstood Thyroid

The thyroid is a small, butterfly-shaped gland located in your lower neck. It has enormous responsibility for the body’s metabolic processes. Specifically, it releases two primary hormones — triiodothyronine (T3) and thyroxine (T4) — that control metabolism.

When working properly, the T3 and T4 hormones travel through our bloodstream and help cells get energy from the food we eat. Thyroid hormones are also responsible for helping to regulate our body temperature and blood calcium levels, helping with growth and development and, during infancy, brain development.

For an estimated 27 million Americans, however, the thyroid produces either too much or too little hormone, which causes an array of health symptoms, some severe. But because thyroid disease is often misdiagnosed or simply overlooked, it’s estimated that more than half of affected Americans don’t know they have a problem.

Women are much more likely to have thyroid problems than men, and may have up to a one in five chance of developing thyroid problems during their lifetime. The risk increases with age and family history, as well as having an autoimmune disease or a close relative with one; through radiation exposure; by going through menopause or perimenopause; or following childbirth.

Understanding common thyroid disease

Hypothyroidism (an underactive thyroid) accounts for the majority of thyroid disease cases. This condition occurs when our body produces too little thyroid hormone, leading to symptoms such as

  • Fatigue and general sluggishness
  • Unexplained weight gain
  • Dry skin
  • Increased sensitivity to cold
  • Constipation
  • Pain, stiffness or swelling in joints
  • Achy muscles and muscle weakness
  • Heavy menstrual periods
  • Depression
  • Elevated blood cholesterol level
  • Puffy face
  • Brittle hair and nails

If left untreated, hypothyroidism can lead to obesity, joint pain, infertility, goiter (thyroid enlargement) and heart disease, but because the symptoms can mimic other diseases, or even be attributed to aging, many people do not realize the thyroid connection. Further, the symptoms may be mild at first, becoming increasingly severe only after a number of years, making them easy to overlook.

In the United States, hypothyroidism is most often the result of an autoimmune disease called Hashimoto’s thyroiditis, which causes our immune system to attack and destroy the thyroid. It’s thought that a virus, bacteria, genetics or a combination of environmental factors may contribute to Hashimoto’s. Worldwide, however, hypothyroidism is most often caused by an iodine-deficient diet.

Other less common causes of hypothyroidism include radiation therapy used to treat head and neck cancers, thyroid surgery, certain medications, pregnancy, pituitary gland disorder, or congenital issues. A blood test that measures our levels of thyroid-stimulating hormone (TSH) is typically used to diagnose hypothyroidism, and treatment usually involves taking a synthetic or natural thyroid hormone daily.

With hyperthyroidism, our body produces too much thyroid hormone, leading to symptoms such as:

  • Weight loss
  • Nervousness, anxiety and irritability
  • Increased perspiration
  • Racing heart
  • Hand tremors
  • Difficulty sleeping
  • Increased bowel movements
  • Fine, brittle hair
  • Muscle weakness, especially in the upper arms or thighs

Most often, hyperthyroidism is caused by an autoimmune disorder called Graves’ disease, in which our immune system produces antibodies that stimulate our thyroid, causing it to produce too much T4 hormone. The exact cause of Graves’ disease is unknown, however it’s suspected that severe emotional stress may trigger the illness in some people. Family history may also be a factor.

A TSH blood test can typically diagnose hyperthyroidism, and the condition is usually treated with anti-thyroid drugs that block the gland’s ability to produce thyroid hormone, surgery, or radioactive iodine, which destroys overactive thyroid cells.

What to eat for improved thyroid health

As with virtually every bodily function, our diet plays a role in the health of our thyroid. There are some specific nutrients that our thyroid depends on and it’s important to include them in our diet:

Iodine: Our thyroid contains the only cells in our body that absorb iodine, which it uses to make the T3 and T4 hormones. Without sufficient iodine, our thyroid cannot produce adequate hormones to help our body function on an optimal level.

Iodine deficiency is typically not widespread in the United States because of the prevalent use of iodized salt. However, according to a nutrition evaluation conducted by the CDC, up to 36 percent of women of childbearing age may not get enough iodine from their diets, and it’s thought that iodine deficiency is on a slow but steady rise.

Because iodized salt is heavily processed, some recommend avoiding iodized salt and instead getting iodine naturally from sea vegetables (seaweed), such as hijiki, wakame, arame, dulse, nori, and kombu. Too much iodine can actually trigger thyroid problems and worsen symptoms, so it’s important to have a healthy balance.

Selenium: This mineral is critical for the proper functioning of our thyroid gland, and is used to produce and regulate the T3 hormone. Selenium can be found in foods such as shrimp, snapper, tuna, cod, halibut, calf’s liver, button and shitake mushrooms and Brazil nuts.

Zinc, Iron and Copper: These metals are needed in trace amounts for healthy thyroid function. Low levels of zinc have been linked to low levels of TSH, whereas iron deficiency has been linked to decreased thyroid efficiency. Copper is also necessary for the production of thyroid hormones. Foods such as calf’s liver, spinach, mushrooms, turnip greens and Swiss chard can help provide these trace metals in your diet.

Omega-3 Fats: These essential fats, which are found in fish or fish oil, play an important role in thyroid function, and many help our cells become sensitive to thyroid hormone.

Coconut Oil: Coconut oil is made up of mostly medium-chain fatty acids, which may help to increase metabolism and promote weight loss, along with providing other thyroid benefits. This is especially beneficial for those with hypothyroidism.

Antioxidants and B Vitamins: The antioxidant vitamins A, C and E can help our body neutralize oxidative stress that may damage the thyroid. In addition, B vitamins help to manufacture thyroid hormone and play an important role in healthy thyroid function.

There are certain foods that should be avoided to protect thyroid function. These include:

Aspartame: There is concern that the artificial sweetener aspartame, sold under the brand name Nutrasweet, may trigger Graves’ disease and other autoimmune disorders in some people. The chemical may trigger an immune reaction that causes thyroid inflammation and thyroid autoantibody production.

Non-fermented soy: Soy is high in isoflavones, which are goitrogens, or foods that interfere with the function of your thyroid gland. Soy, including soybean oil, soy milk, soy burgers, tofu and other processed soy foods, may lead to decreased thyroid function. Fermented soy products, including miso, natto, tempeh and traditionally brewed soy sauce, are safe to eat, as the fermentation process reduces the goitrogenic activity of the isoflavones.

Gluten: Gluten is a potential goitrogen and can also trigger autoimmune responses (including Hashimoto’s thyroiditis) in people who are sensitive. Gluten is found in wheat, rye and barley, along with most processed foods.

The isothiocyanates found in cruciferous vegetables like broccoli, cauliflower, cabbage and Brussels sprouts are goitrogens as well. While it’s true that large amounts could interfere with thyroid function, especially if eaten raw, these veggies offer a myriad of other health benefits that make the benefits outweigh the risks for most people. If you know you have thyroid disease and want to be especially careful, steaming these vegetables will negate the goitrogenic effect, making them a healthy addition to your diet.

If you suspect you have thyroid disease, you should visit your health care practitioner for a full thyroid hormone panel. In fact, even if you don’t suspect you have a problem it’s a good idea to get tested as part of your regular checkups.

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Be sure to check out the CBIA Healthy Connections wellness program at your company’s next renewal. It’s free as part of your participation in CBIA Health Connections!