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Many people in the Western world tend to burn the candle at both ends. They are stressed and try to pack too much into their busy day. Inevitably, the amount of sleep they get starts to decrease as they struggle to meet all of the demands placed upon them.

Sleep is an essential part of our circadian system (pronounced sir-KAY-dee-ann), a roughly 24-hour cycle in which our mind and body go through certain rhythmic patterns. These are influenced both by daily routines and by our environment, such as having a lot of light around us, versus the absence of light.

Circadian rhythms can influence sleep-wake cycles, hormone release, body temperature and other important bodily functions. Disrupted circadian rhythms have been linked to various sleep disorders, such as insomnia. They have also been associated with obesity, diabetes, depression, bipolar disorder and seasonal affective disorder (SAD), which is triggered during winter in the Northern Hemisphere due to a lack of sunlight.

The different stages of sleep seem to trigger different pro- or anti-inflammatory responses. It also appears that certain important cells in the immune system are only produced or distributed throughout the body during sleep, such as the T cells and Killer cells, both of which are essential in fighting disease.

To give you an idea of how important T cells are, those with HIV, Human Immunodeficiency Virus, as the name suggests, have a deficient immune system. Those with HIV/AIDS will constantly have their levels of T cells to try to maintain their health.

In addition, sleep appears to contribute to what is termed the immunologic memory. Your immune system can “remember” certain illnesses like chicken pox, for example, and its response to this threat, which is why many childhood diseases can be contracted only once.

However, a run-down immune system may develop memory problems, so to speak, leaving you vulnerable once more to chicken pox in the form of shingles, a particularly painful and potentially dangerous skin manifestation of the disease which shows up as blisters externally and can attack nerve endings and even the eyes internally.

So what can you do if you've been struggling with sleep issues? Practice good sleep hygiene, that is:

If you’ve been running yourself ragged, slow down, adjust your priorities, and make time for sleep. See what a difference your new sleep routine can make to reduce your chronic pain and improve your overall health.

Our bodies are intricate and finely tuned machines, requiring a delicate balance of essential nutrients to function optimally. When this balance is disrupted due to nutritional deficiencies, it can manifest in a wide array of symptoms that affect overall health and well-being. In this blog post, we'll explore the fascinating link between nutritional deficiencies and their diverse manifestations, ranging from headaches and muscle pains to sleep disturbances and thyroid issues.

The Building Blocks of Health

Imagine your body as a complex puzzle, with each piece representing a specific nutrient essential for various physiological processes. These nutrients include vitamins, minerals, amino acids, and fatty acids, all of which play crucial roles in maintaining health.

Headaches and Vitamin Deficiencies

Headaches can be debilitating, and their root causes can vary. Some types of headaches may be linked to specific nutrient deficiencies:

  1. Magnesium: Low magnesium levels have been associated with migraines. Magnesium plays a role in regulating blood vessel function and neurotransmitter release, and its deficiency can contribute to headaches.
  2. Riboflavin (Vitamin B2): Deficiency in vitamin B2 has been linked to an increased risk of headaches. Riboflavin is involved in energy production and antioxidant defense mechanisms.

Muscle Pains and Vitamin D Deficiency

Vitamin D, often referred to as the "sunshine vitamin," is essential for bone health and muscle function. A deficiency in vitamin D can lead to muscle weakness and pain, contributing to conditions like fibromyalgia and myalgia.

Sleep Issues and Nutrient Imbalances

The quality of your sleep is influenced by several factors, including nutrient status. Nutritional deficiencies can disrupt sleep patterns and contribute to insomnia:

  1. Melatonin: This hormone, crucial for regulating sleep-wake cycles, relies on the precursor amino acid tryptophan, as well as vitamins B3 and B6. A deficiency in these nutrients can disrupt melatonin production.
  2. Magnesium: As mentioned earlier, magnesium plays a role in muscle relaxation. A deficiency can lead to restless leg syndrome and nighttime muscle cramps, disrupting sleep.

Thyroid Health and Iodine

Iodine is a key component of thyroid hormones, which are essential for regulating metabolism and overall energy levels. A deficiency in iodine can result in thyroid dysfunction, leading to symptoms like fatigue, weight changes, and temperature intolerance.

Iron and Anemia

Iron deficiency anemia is a well-known condition resulting from inadequate iron intake. It can lead to fatigue, weakness, pale skin, and shortness of breath due to reduced oxygen-carrying capacity in the blood.

B Vitamins and Nervous System Function

The B vitamins, including B1 (thiamine), B6 (pyridoxine), and B12 (cobalamin), are essential for proper nervous system function. Deficiencies in these vitamins can lead to symptoms such as neuropathy, tingling sensations, and cognitive disturbances.

Zinc and Immune Function

Zinc is a mineral critical for immune system function. A deficiency in zinc can weaken the immune response, leading to increased susceptibility to infections and delayed wound healing.

A Holistic Approach to Wellness

Understanding the diverse ways in which nutritional deficiencies can manifest underscores the importance of a holistic approach to health. Rather than merely addressing symptoms, it is crucial to identify and rectify underlying nutrient imbalances. This can be achieved through:

  1. Balanced Diet: A diet rich in a variety of whole foods can provide the necessary nutrients for optimal health. Focus on incorporating fruits, vegetables, lean proteins, and whole grains into your meals.
  2. Supplementation: In cases of known deficiencies or when dietary intake is insufficient, targeted supplementation can help correct nutrient imbalances. Consult with a healthcare provider before starting any new supplements.
  3. Regular Health Checkups: Periodic health assessments and blood tests can detect early signs of nutritional deficiencies, allowing for timely intervention.
  4. Lifestyle Factors: Lifestyle choices, such as managing stress, getting regular exercise, and prioritizing sleep, play a significant role in maintaining overall health.

In conclusion, the human body is a complex web of interdependent systems, and nutritional deficiencies can disrupt this delicate balance, leading to a wide range of symptoms and health issues. Recognizing the signs of nutrient imbalances and taking proactive steps to address them through diet, supplementation, and lifestyle changes can help restore vitality and well-being. Remember that optimal health is a journey, and nurturing your body with the right nutrients is a fundamental step towards a happier, healthier life.

Gluten, a protein found in wheat, barley, rye, and their derivatives, has garnered significant attention in recent years. While celiac disease, an autoimmune condition triggered by gluten consumption, is well-established, there has been ongoing debate about the existence of non-celiac gluten intolerance (NCGI). In this blog post, we'll explore NCGI, its symptoms, and the scientific evidence surrounding its existence.

What Is Non-Celiac Gluten Intolerance (NCGI)?

NCGI, often referred to as gluten sensitivity, is a condition characterized by gastrointestinal and/or extra-intestinal symptoms that occur after gluten consumption in individuals who do not have celiac disease or wheat allergy. The symptoms of NCGI can be similar to those of celiac disease, but without the autoimmune response and damage to the small intestine seen in celiac patients.

Common Symptoms of NCGI

Individuals with NCGI may experience a range of symptoms, including:

  1. Gastrointestinal Symptoms: These can include abdominal pain, bloating, diarrhea, and constipation, similar to those seen in irritable bowel syndrome (IBS).
  2. Extra-Intestinal Symptoms: NCGI may also manifest with symptoms outside the digestive system, such as headaches, joint pain, fatigue, and mood disturbances.
  3. Neurological Symptoms: Some individuals report neurological symptoms like brain fog and difficulty concentrating.

The Controversy Surrounding NCGI

The existence of NCGI has been a subject of debate within the medical and scientific communities. One of the challenges in studying NCGI is the absence of specific biomarkers or diagnostic tests. Unlike celiac disease, there are no blood tests or intestinal biopsies that can definitively confirm NCGI.

Additionally, some studies have yielded conflicting results regarding the prevalence of NCGI. While some suggest that a significant portion of the population may be sensitive to gluten, others argue that many individuals who self-diagnose as gluten-sensitive may have other underlying issues, such as FODMAP intolerance, a group of carbohydrates found in certain foods.

The Role of FODMAPs

FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) are a group of short-chain carbohydrates that can be poorly absorbed in the small intestine. Many foods high in FODMAPs also contain gluten. This overlap in food sources has led to some confusion, as people may attribute their symptoms to gluten when FODMAPs could be the culprit.

Research has shown that a low-FODMAP diet can alleviate symptoms in individuals with IBS, which further complicates the distinction between NCGI and FODMAP intolerance. Some individuals may mistakenly believe they are gluten-sensitive when, in reality, they are reacting to high-FODMAP foods.

Diagnosis and Management

If you suspect you have NCGI, it's essential to consult with a healthcare professional for a proper evaluation. Diagnosis of NCGI involves ruling out celiac disease and wheat allergy through blood tests and, in some cases, endoscopy with biopsies.

The primary treatment for NCGI is a gluten-free diet. Removing gluten-containing foods from your diet can lead to symptom relief if you are truly gluten-sensitive. However, it's crucial to work with a registered dietitian or healthcare provider to ensure you maintain a balanced and nutrient-dense diet, as gluten-free diets can be deficient in certain vitamins and minerals.

The Bottom Line

Non-celiac gluten intolerance, or NCGI, is a complex and debated condition characterized by gastrointestinal and extra-intestinal symptoms following gluten consumption in individuals without celiac disease or wheat allergy. While some people undoubtedly experience gluten sensitivity, the absence of definitive biomarkers and potential overlap with FODMAP intolerance has fueled controversy.

If you suspect you have NCGI, consult with a healthcare provider for a proper evaluation and diagnosis. They can help you determine if a gluten-free diet is appropriate for managing your symptoms and ensure that your dietary choices support your overall health and nutrition needs. Remember that self-diagnosis and self-imposed dietary restrictions can have unintended consequences, so seeking professional guidance is crucial for your well-being.

Polycystic Ovary Syndrome (PCOS) is a complex hormonal disorder that affects many individuals, primarily women of reproductive age. Characterized by a range of symptoms, including irregular menstrual cycles, cystic ovaries, and hormonal imbalances, PCOS presents unique challenges for those living with it. In this blog post, we'll delve into PCOS from a functional medicine perspective, exploring its potential causes, common symptoms, and holistic approaches to treatment.

Understanding PCOS

PCOS is a syndrome, meaning it involves a cluster of symptoms without a single identifiable cause. The primary features of PCOS include:

  1. Irregular Menstrual Cycles: Women with PCOS often experience irregular or absent menstrual periods due to hormonal imbalances.
  2. Cystic Ovaries: On ultrasound, the ovaries may appear enlarged and contain multiple small cysts.
  3. Hyperandrogenism: Elevated levels of male hormones (androgens) in women with PCOS can lead to symptoms such as acne, hirsutism (excessive hair growth), and male-pattern hair loss.
  4. Insulin Resistance: Many individuals with PCOS have insulin resistance, which can lead to elevated blood sugar levels and an increased risk of type 2 diabetes.

The Functional Medicine Approach

Functional medicine takes a comprehensive and individualized approach to understanding and managing PCOS. Instead of merely addressing symptoms, functional medicine practitioners aim to identify and address the root causes of the condition. Here are some key aspects of a functional medicine approach to PCOS:

  1. Hormone Balance: Balancing hormones, especially insulin and sex hormones like estrogen and progesterone, is a central focus of PCOS treatment in functional medicine. Addressing insulin resistance is crucial for improving hormonal balance.
  2. Nutritional Support: A nutrient-dense diet tailored to individual needs is vital in managing PCOS. Functional medicine practitioners may recommend dietary changes to improve insulin sensitivity and reduce inflammation. These changes often include reducing refined carbohydrates and sugar while increasing fiber and healthy fats.
  3. Lifestyle Modifications: Lifestyle factors play a significant role in PCOS management. Maintaining a healthy body weight through regular physical activity and dietary adjustments can help regulate menstrual cycles and improve symptoms.
  4. Gut Health: There is emerging evidence of a connection between gut health and PCOS. Addressing gut imbalances, such as dysbiosis (an imbalance in gut microbiota) and leaky gut, may be part of the treatment plan.
  5. Supplements: Specific supplements, such as inositol and N-acetylcysteine (NAC), have shown promise in improving insulin sensitivity and ovarian function in women with PCOS. Functional medicine practitioners may recommend supplements based on individual needs.
  6. Stress Management: Chronic stress can exacerbate PCOS symptoms. Mind-body techniques, such as meditation and yoga, may be incorporated into treatment plans to reduce stress.
  7. Collaborative Care: Functional medicine practitioners often work collaboratively with other healthcare providers, including gynecologists, endocrinologists, and mental health professionals, to provide comprehensive care.

PCOS is a complex condition, and its exact cause can vary among individuals. As a result, treatment can be multifaceted and requires a personalized approach. While PCOS management can be challenging, many individuals with the condition experience symptom relief and improved quality of life through functional medicine interventions.

In conclusion, PCOS is a hormonal disorder that affects many individuals, and its management involves addressing hormonal imbalances, insulin resistance, and lifestyle factors. Functional medicine offers a promising approach by identifying and treating the root causes of PCOS, tailoring treatment plans to individual needs, and emphasizing nutritional support, lifestyle modifications, and holistic interventions. If you or someone you know is dealing with PCOS, consider consulting a functional medicine practitioner to explore personalized strategies for symptom management and improved well-being.

Gluten, a protein found in wheat, barley, rye, and their derivatives, has gained widespread attention in recent years due to its potential health implications. For some individuals, adopting a gluten-free diet isn't a dietary trend but a necessity for managing specific health conditions. In this article, we will explore various health conditions that can benefit from a gluten-free diet and the rationale behind these dietary choices.

Celiac Disease

Celiac disease is an autoimmune disorder triggered by the ingestion of gluten. When individuals with celiac disease consume gluten-containing foods, their immune system launches an attack on the lining of the small intestine, leading to inflammation and damage. Over time, this damage can impair nutrient absorption and result in a range of symptoms, including:

  • Abdominal pain
  • Diarrhea
  • Bloating
  • Fatigue
  • Skin rashes
  • Nutritional deficiencies

The only effective treatment for celiac disease is a strict gluten-free diet. Eliminating gluten allows the intestinal lining to heal and symptoms to subside.

Non-Celiac Gluten Sensitivity (NCGS)

Non-Celiac Gluten Sensitivity, often referred to as NCGS, is a condition characterized by gastrointestinal and non-gastrointestinal symptoms that occur after gluten consumption. Unlike celiac disease, NCGS does not involve an autoimmune response or intestinal damage. Common symptoms of NCGS include:

  • Abdominal discomfort
  • Bloating
  • Fatigue
  • Headaches
  • Joint pain
  • Mood disturbances

For individuals with NCGS, adhering to a gluten-free diet can alleviate their symptoms and improve their overall well-being.

Wheat Allergy

Wheat allergy is an allergic reaction to proteins found in wheat, with gluten being one of the implicated proteins. Symptoms of a wheat allergy can range from mild to severe and may include:

  • Skin rashes
  • Hives
  • Difficulty breathing
  • Gastrointestinal distress
  • Anaphylaxis (rare but life-threatening)

Individuals with a wheat allergy must eliminate wheat and wheat-containing products from their diet, which naturally excludes gluten.

Dermatitis Herpetiformis

Dermatitis herpetiformis (DH) is a skin condition associated with celiac disease. It manifests as intensely itchy, blistering skin lesions, often on the elbows, knees, buttocks, and scalp. DH is considered the skin manifestation of celiac disease, and a gluten-free diet is the primary treatment to alleviate skin symptoms.

Irritable Bowel Syndrome (IBS)

Although IBS is not an autoimmune or allergic condition, some individuals with Irritable Bowel Syndrome may experience symptom relief on a gluten-free diet. This subset of individuals often falls under the category of Non-Celiac Gluten Sensitivity. For them, eliminating gluten can reduce abdominal discomfort, bloating, and irregular bowel movements.

Autism Spectrum Disorder (ASD)

Some parents and caregivers of individuals with Autism Spectrum Disorder have reported improvements in behavior and gastrointestinal symptoms when their loved ones follow a gluten-free diet. While more research is needed to establish a definitive link between ASD and gluten sensitivity, some individuals with autism may benefit from this dietary approach.

Inflammatory Bowel Disease (IBD)

Inflammatory Bowel Disease, which includes conditions like Crohn's disease and ulcerative colitis, can be challenging to manage. In some cases, gluten may exacerbate symptoms or trigger flare-ups in individuals with IBD. While gluten avoidance may not be a primary treatment, it can be considered as part of a broader dietary strategy for managing IBD symptoms.

Gluten Ataxia

Gluten ataxia is a neurological condition characterized by poor coordination and unsteadiness, often accompanied by other neurological symptoms. It is associated with gluten sensitivity and may respond positively to a gluten-free diet.

Thyroid Conditions

There is ongoing research into the connection between thyroid conditions, such as Hashimoto's thyroiditis and Graves' disease, and gluten sensitivity. Some individuals with thyroid conditions report symptom improvement when gluten is eliminated from their diet. While this link is not fully understood, it highlights the potential impact of gluten on various body systems.


For individuals with celiac disease, wheat allergies, or non-celiac gluten sensitivity, following a gluten-free diet is crucial for managing their conditions and improving their overall health. However, it's essential to consult with a healthcare provider or registered dietitian before making significant dietary changes. They can provide guidance, ensure nutritional adequacy, and help individuals make informed decisions about their diet based on their specific health conditions and needs. Gluten-free diets can be restrictive, and proper guidance can help individuals navigate them successfully while maintaining their overall well-being.

In recent years, the gluten-free diet has gained popularity not only among individuals with celiac disease or gluten sensitivity but also among those seeking weight management and relief from chronic pain. While it's not a one-size-fits-all solution, adopting a gluten-free diet may offer benefits for some individuals in terms of weight control and pain management. In this article, we'll explore the relationship between a gluten-free diet, weight management, and chronic pain relief.

Gluten Sensitivity and Inflammation

For some people, consuming gluten-containing foods can lead to an inflammatory response within the body. This inflammation, while not as severe as in celiac disease, can still contribute to a range of health issues, including chronic pain. Inflammation is associated with conditions like osteoarthritis, rheumatoid arthritis, and fibromyalgia, all of which can cause persistent pain.

By eliminating gluten from the diet, individuals who are sensitive to gluten may experience a reduction in systemic inflammation, potentially leading to decreased chronic pain symptoms. While not everyone with chronic pain will see significant improvements, it's worth exploring this dietary approach under the guidance of a healthcare provider or registered dietitian.

Gluten-Free Diet and Weight Management

Reduced Caloric Intake

Gluten-containing foods often include bread, pasta, pastries, and other carbohydrate-rich options. When individuals switch to a gluten-free diet, they may naturally reduce their caloric intake, as gluten-free alternatives tend to be less energy-dense. This can be advantageous for individuals looking to manage their weight, especially when combined with other healthy eating habits.

Improved Nutrient Choices

Many gluten-free diets prioritize whole, unprocessed foods like fruits, vegetables, lean proteins, and gluten-free grains like quinoa and brown rice. These nutrient-dense options can lead to improved overall diet quality. By focusing on whole foods, individuals can support their weight management efforts and enhance their overall health.

Enhanced Digestive Health

Some people with gluten sensitivity or irritable bowel syndrome (IBS) experience digestive discomfort when consuming gluten. By eliminating gluten from their diet, they can achieve better digestive health, reducing symptoms like bloating and irregular bowel movements. This improved gut function can positively influence weight management.

Considerations Before Going Gluten-Free

While a gluten-free diet may offer benefits for some individuals, it's essential to approach this dietary choice mindfully:

  1. Consult a Healthcare Provider: Before making significant dietary changes, especially if you have chronic pain or weight management concerns, consult with a healthcare provider or registered dietitian. They can help you determine whether gluten sensitivity or other dietary factors may be contributing to your symptoms.
  2. Balanced Nutrition: Ensure that your gluten-free diet is balanced and provides all essential nutrients. Gluten-free foods can sometimes lack certain vitamins and minerals found in gluten-containing grains. A dietitian can help you plan a nutritionally sound gluten-free eating pattern.
  3. Hidden Gluten: Be vigilant about hidden sources of gluten in processed foods. Gluten can often be present in unexpected places, such as sauces, condiments, and even some medications. Read labels carefully and consider cross-contamination in shared kitchen spaces.
  4. Monitor Symptoms: If you decide to go gluten-free for weight management or chronic pain relief, keep a journal to track any changes in your symptoms, energy levels, and overall well-being. This will help you assess the effectiveness of the dietary change.
  5. Individual Variation: Remember that responses to a gluten-free diet vary among individuals. Some may experience significant improvements, while others may not see any noticeable changes in weight or pain levels.

For individuals with gluten sensitivity or those who experience inflammation-related chronic pain, adopting a gluten-free diet may offer relief and contribute to better weight management. However, it's essential to approach this dietary change with careful consideration, guided by healthcare professionals or dietitians. While a gluten-free diet can be a valuable tool for some, it may not be suitable for everyone. Personalized nutrition plans that address individual needs and health conditions are essential for long-term success in weight management and chronic pain relief.

Diabetes, a chronic condition characterized by elevated blood sugar levels, affects millions of people worldwide. While conventional medical treatments often focus on managing symptoms, functional medicine offers a holistic approach that aims to address the root causes and potentially reverse diabetes. In this blog, we'll explore how a functional medicine approach can help individuals take control of their health and work towards reversing diabetes naturally.

Understanding Diabetes

Diabetes comes in two primary forms: Type 1 and Type 2.

Functional Medicine Approach

Functional medicine practitioners view diabetes as a multifaceted condition influenced by genetics, diet, lifestyle, and environmental factors. Rather than merely managing symptoms with medication, they focus on identifying and addressing the underlying causes to promote lasting health and potentially reverse the condition.

Comprehensive Assessment

Functional medicine starts with a comprehensive evaluation that includes:

Personalized Nutrition

Nutrition plays a central role in diabetes management and reversal. Functional medicine practitioners work with patients to create personalized dietary plans that prioritize:

Targeted Supplementation

Supplements may be recommended based on individual needs. Common supplements for diabetes management include:

Lifestyle Modifications

Functional medicine prioritizes lifestyle changes to improve diabetes outcomes:

Gut Health

The gut microbiome plays a significant role in metabolic health and diabetes. Functional medicine considers gut health as a crucial aspect of diabetes management. Strategies to support a healthy gut include:

Continuous Monitoring

Functional medicine involves ongoing monitoring of blood sugar levels and other relevant markers to assess progress. Adjustments to treatment plans are made as needed based on individual responses.

Reversing Diabetes Naturally

While not everyone with diabetes may achieve complete reversal, many individuals experience substantial improvements in blood sugar control and overall health through a functional medicine approach. The goal is to reduce reliance on medication, minimize diabetes-related complications, and enhance quality of life.

It's essential to approach diabetes reversal under the guidance of a qualified functional medicine practitioner or healthcare provider. They can create a personalized plan that addresses your unique needs and circumstances.

In conclusion, a functional medicine approach to diabetes management focuses on addressing the root causes of the condition rather than merely managing symptoms. By prioritizing personalized nutrition, targeted supplementation, lifestyle modifications, and gut health, individuals with diabetes can work towards better glycemic control and potentially even reverse the condition naturally. Always consult with a healthcare professional before making significant changes to your diabetes management plan.

Areas Served

Dr. Pedro Gonzalez, MD is based in Chicago/Illinois, and serves patients throughout Illinois, Florida and Texas. These areas include but are not limited to Chicago Loop, Lincoln Park, Near North Side, River North, West Town, Streeterville, Lake View, Logan Square, Little Village, Bridgeport, Oak Park, Oakbrook, Harwood Heights, Arlington Heights, Bucktown, Old Town, Maywood, Lincoln Square, Edgewater, Evanston, Cook County, Lake County.

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