Posts Tagged restless legs syndrome

Participants sought for restless legs study

Individuals with restless or unpleasant feelings in their legs at night or at rest, that are relieved by movement are needed. We are studying the possible benefits of yoga versus an educational film program for reducing symptoms of restless legs syndrome. Participants will attend up to two classes per week in Morgantown for 12 weeks. The study also involves two visits to WVU to complete questionnaires. Compensation is $150 upon completion of this research study. IRB approval on file (1505699758)

For additional information, contact:

  • WVU School of Public Health, Department of Epidemiology
  • Caitlin Montgomery, MPH
  • 304.293.2082, cmontgo2@mix.wvu.edu

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“The Common Causes of Restless Legs Syndrome” by Dr. Aaron Ernst

AskDrErnstRestless legs syndrome is a seemingly unique condition and the cause is often difficult to pinpoint.

Few things are more frustrating than lying in bed at night, exhausted, but not being able to fall asleep because of an uncontrollable urge to move your legs. It seems so strange, doesn’t it? This phenomenon, known as restless legs syndrome (RLS), affects between 4% and 29% of adults in Western populations, and is a major contributor to sleep loss.

Pinpointing the cause of RLS has been an active research topic for years, but the condition is still not fully understood. The symptoms have been convincingly linked to impaired dopamine function in the brain, but the cause of this dysfunction is still being explored. Here are my top causes:

1. Systemic Inflammation & Immune Dysregulation (Subluxation)

One review paper published in 2012 investigated health conditions that were reported to Acute pain in a woman hand. Isolation on a white backgroundcause or exacerbate RLS symptoms, and found that 95% of the health conditions that are associated with RLS have an inflammation or immune component. As further evidence, an elevated blood level of C-reactive protein (a marker of systemic inflammation) has been associated with increased RLS severity.

Researchers have proposed three potential mechanisms to explain the association between RLS and inflammatory or autoimmune states: direct autoimmune attack on the nervous system; genetic factors that could predispose an individual to RLS and be triggered by inflammation or autoimmunity; and vitamin D deficiency caused by inflammation, which I’ll talk more about below.

What to do: If your RLS is a symptom of underlying systemic inflammation or immune dysregulation, the goal should be to find and treat the root cause & reduce the stressors to the central nerve system and spine. Often we see the issue target to L5/S1 regions.

2. Small Intestinal Bacterial Overgrowth (SIBO) and IBS

A recent study found that 69% of RLS patients also had SIBO, compared with only 28% of control subjects. They also found that 28% of RLS patients had IBS, compared to only 4% of controls. And according to the 2012 review I mentioned above 32% of the health conditions associated with RLS are also associated with SIBO. As I’ve mentioned many times in the past neurological interference & gut infections are often the culprit—even if you don’t have noticeable symptoms—its worth getting your gut tested.

What to do: If you have RLS and suspect you may have SIBO or a gut issue its best to get tested to find our what is going on in there. Generally speaking, the intestines need to be flushed or cleansed then re-inoculated with healthy living strains of bacteria. Your typical probiotic won’t be able to do that. Overall the best approach is to follow a ketosis diet with bone broth until symptoms subside (and your SIBO tests are normal), and then gradually re-introduce fermented foods and probiotics.

3. Vitamin D Deficiency

One of the most-researched theories about the cause of restless legs syndrome is impaired dopamine signaling, which has led to the conventional treatment of RLS by dopamine agonists (i.e. chemicals that can bind to and activate dopamine receptors). Unfortunately, these treatments can become less effective over time, and can even result in a worsening of symptoms.

vitaminThis is where vitamin D comes into play. The role of vitamin D in dopamine signaling is only beginning to be investigated, but some evidence indicates that vitamin D could play an important role by increasing levels of dopamine and its metabolites in the brain, as well as protecting dopamine-associated neurons from toxins.

RLS has been associated with vitamin D deficiency in several studies, and disease severity has been inversely correlated with vitamin D levels. One study has also found that vitamin D supplementation improved the severity of RLS symptoms.

What to do: If you have RLS, one of the easiest first steps you can take is to get your vitamin D levels tested. A good range to shoot for is typically between 40-60 ng/mL. If you have an autoimmune disease or another chronic health condition, optimal levels are between 60-80 ng/mL. One way to supplement vitamin D is through taking it directly. And of course, you should get regular sun exposure.

We’re still learning more and more about this syndrome, and hopefully we’ll come to some truly concrete answers soon enough. But as is so often the case, watching your nutrition and lifestyle goes a really long way in taking care of these sorts of issues.

This information originally appeared on the “Ask Dr. Ernst” website.
https://askdrernst.com/common-causes-restless-leg-syndrome

Dr. Aaron Ernst completed his undergraduate education in pre-medicine/biology at Messiah University in Grantham, PA. As a first generation holistic practitioner, he began his career with a Doctorate in Chiropractic from Logan College of Chiropractic in Chesterfield, MO.  While in Missouri, Dr. Aaron began helping patients rebuild their health in a Maximized Living Health center, which was the largest wellness clinic in Missouri. His experience has led him to spend countless hours studying and researching to create procedures and protocols to rebuild health naturally. Dr. Aaron has traveled all over North America, Europe and Africa teaching the principles of Maximized Living and educating all generations on gaining victory over disease naturally.

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Restless Legs and Food Intolerance

foodintolerances

Detecting any food intolerance you may have is CRUCIAL for a healthy recovery from RLS.

A food intolerance will continue the lineage of inflammation in your body (including the inflammation that is causing your restless legs), even if you are taking supplements and avoiding obvious triggers.

I’m going to write an article on this in the near future based on my own experience, but for now, I present to you this overview on what a food intolerance is and how it can affect you.

FOODS THAT CAUSE CHRONIC INFLAMMATION

Chronic inflammation lies at the root of a host of diseases, including rheumatoid arthritis, colitis, heart disease (as measured by C-reactive protein), asthma, and many others. Food can be a major cause of chronic inflammation, however, symptoms differ from one person to another. If the inflammatory symptoms are suggestive of food allergy, then a food allergy blood test may pinpoint the causes.

Causes of inflammation

Acute inflammation is the first response to infection and manifests with symptoms of inflammation such as redness, swelling, pain, heat, and loss of function. Chronic inflammation is more subtle and involves a different mechanism than acute inflammation. Pro-inflammatory cytokines, such as IL-1, IL-6, TNF-α and others can cause chronic symptoms such as fatigue, joint pain, irritable bowel, asthma, etc., and cause tissue damage.

Foods that Cause Chronic Inflammation

The Western diet is a major culprit in chronic inflammation because it contains a high proportion of inflammatory foods, such as processed food, sugar, and trans fats. Most people don’t get enough healthy foods in their diet, such as fatty fish, fruits and vegetables, which are packed with anti-inflammatory compounds. Many of us also get too much fat, sugar and refined carbohydrates in our diet, all of which promote chronic inflammation. The fats we do eat are too often derived from processed seed oils (safflower, sunflower, soy) which are high in omega-6 fatty acids and low in omega-3. This high omega-6/omega-3 ratio is a key cause of chronic inflammation. Fats that are highly processed or heated contain a high proportion of trans fatty acids, one of the most inflammatory compounds known and which can hardly be called a “food.” These days, many physicians and nutritionists recommend an anti-inflammation diet, such as the Mediterranean diet.

Food Sensitivity – An Often Overlooked Cause of Chronic Inflammation

The symptoms of food hypersensitivity are driven by chronic inflammation. Gut inflammation can cause digestive problems and cause symptoms such as bloating, leaky gut syndrome, indigestion, and gas, food hypersensitivity can cause inflammation-related symptoms such as diarrhea, irritable bowel syndrome, celiac disease, eczema, asthma, rhinitis, and even depression, hyperactivity, and migraine. Classic food allergies mediated by IgE antibodies are often the source of the problem, but many healthcare providers believe that delayed food hypersensitivity, also called Type III food allergy, can cause chronic inflammation and may play an important role in diseases such as inflammatory bowel syndrome, which includes Crohn’s disease. In this type of food allergy, circulating immune complexes made up of food molecules and IgG antibodies travel through the bloodstream and enter tissues where they cause chronic inflammation. Delayed hypersensitivity often goes unnoticed because symptoms arise hours or days after ingesting the offending foods. The list of foods that can cause food hypersensitivity is long, but the major offenders include dairy products, wheat and glutenous grains, yeast, eggs, food additives, and more. Sympoms of food intolerance are non-immune mediated and are usually due to toxic or metabolic reactions to food.

Elimination Diets are the Gold Standard of Diagnosis

Until recently, food allergy and intolerance was diagnosed with an elimination diet, a lengthy, unpleasant process of removing foods, waiting awhile, and replacing them back into the diet to observe symptom patterns. Elimination diets are a hit-and-miss affair because symptoms to some foods may persist while you have eliminated other foods. In the most extreme version of the elimination diet, the patient is put on a simple diet of foods with low allergenic potential, such as lamb, rice, and cooked vegetables. Then foods are added one by one while observing symptoms. It is common for such diets to go on for months when food sensitivities are many. But despite the effort required, elimination and rechallenge is still considered the gold standard for diagnosis of food allergy and intolerance.

Food Allergy Tests may Help Improve Chronic Inflammation Caused by Foods

The IgG food allergy blood test detects an individual’s IgG antibody response to various foods by combining their serum with food extracts distributed in an array of tiny wells. Through a process known as the enzyme-linked immunosorbent assay (ELISA), a chemical signal is generated when IgG antibodies in the person’s serum reacts with the food extract in the well. The IgG food allergy blood test can be valuable adjunct to food elimination and rechallenge. Once the problematic foods are identified, they can be excluded from the diet. The IgG food allergy test is not useful for diagnosing non-immune mediated food intolerance; this can only be done through food elimination and rechallenge.

 

This article is from the LSIA Labratory website. You can read the full article here:

http://en.food-intolerance.ca/24/foods-that-cause-chronic-inflammation/

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“A LITTLE-KNOWN CAUSE OF RESTLESS LEGS SYNDROME” by Dr. Della Parker

Dr. Della Parker3Systemic Inflammation and Immune Dysregulation
 
Restless legs syndrome has been associated with numerous conditions involving systemic inflammation and immune dysregulation. One review paper published in 2012 investigated health conditions that were reported to cause or exacerbate RLS symptoms, and found that 95% of the 38 different health conditions that were strongly associated with RLS have an inflammation or immune component. These conditions include Parkinson’s disease, multiple sclerosis, ADHD, Alzheimer’s disease, Celiac disease, Crohn’s disease, rheumatoid arthritis, sleep apnea, diabetes, and depression.
 
As further evidence, an elevated blood level of C-reactive protein (a marker of systemic inflammation) has been associated with increased RLS severity. (5) A small crossover trial found that a hydrocortisone infusion, which reduces systemic inflammation, reduced RLS symptoms.
 
Researchers have proposed three potential mechanisms to explain the association between RLS and inflammatory or autoimmune states: direct autoimmune attack on the nervous system; genetic factors that could predispose an individual to RLS and be triggered by inflammation or autoimmunity; and iron deficiency caused by inflammation, which I’ll talk more about below.
 
What to do: If your RLS is a symptom of underlying systemic inflammation or immune dysregulation, the goal should be to find and treat the root cause. As I’ve mentioned many times in the past, gut infections are often the culprit—even if you don’t have noticeable digestive symptoms—so get your gut tested.
 
If you already have a diagnosed inflammatory or immune condition such as those I mentioned above, the best first step you can take is to adopt a “low-inflammatory” diet and lifestyle. This means eating a nutrient-rich, low-toxin diet based on whole foods; getting enough sleep every night; prioritizing stress management; and incorporating regular movement into your day.
 
You can also check out the bonus chapter about autoimmune disease from my book, as well as explore other information on my site about reversing autoimmune disease, the autoimmune protocol, the role of the microbiome, and alternative therapies such as LDN.
 
You can read the entire article here:
Dr. Della Parker, a naturopathic doctor, was born and raised in Portland, Oregon. She graduated from Portland State University with a Bachelor of Science. She then went on to graduate from the National College of Naturopathic Medicine, also in Portland, Oregon. Dr. Della has struggled with health problems throughout her life. Severe asthma and eczema as a child led her down a path of chronic steroid use, which led to many other health problems. It wasn’t until she took a job as a receptionist at a holistic health clinic that she realized how health care could be different. Making basic changes to diet and lifestyle as well as being treated with the holistic model of health, she was able to regain and take control of her health. This experience put her on the path of becoming a Naturopathic Physician. Most conventional doctors use a “cookbook” approach to treating patients. They use protocols to treat diseases while disregarding the host. This takes the functioning of the individual’s body out of the equation. Dr. Della rejects this idea and instead uses a holistic approach to treatments. Using the holistic model means that the whole person is addressed. For example, ten different patients could present with high cholesterol. They each may receive a different treatment recommendation based on the functioning of their whole body. http://www.drdellaparker.com
 

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“RESTLESS LEGS SYNDROME – A SCOURGE, BUT THERE ARE SOLUTIONS” by Ken Cowley. Heart Disease Miracle Blog

BikramQuote1(Editor’s Note: While researching online I found this article plugging my website http://www.rlcure.com and I’d like to share it with you).

As a contributor to this blog I’ve spoken before about my own health, nutrition and fitness thoughts and issues.

One issue I’ve had, and which I might be able to help others with is Restless Legs Syndrome. If you’ve never had it, you won’t understand it, but if you have you’ll know exactly what I mean when I say it’s a scourge. It’s not debilitating, it’s not exactly painful, it doesn’t stop you doing things, but it does/can have a big impact on quality of life.

So, what is it?

Essentially it’s a restless creeping feeling in one’s legs, particularly in the quads/thighs, and particularly at night and particularly (for me anyway) when sitting down. It’s extremely uncomfortable and I find it at it’s worst during flights or long films, or even just sitting down in my living room watching tv.

I’ve done quite a bit of research in to it, including what people usually say are the biggest triggers (caffeine, stress, poor diet, high blood pressure) and what are the solutions (medication, quinine, stretching etc.).

However, I recently came across a website with some excellent suggestions in it about RLS, and I’m happy to give it a plug here. The chap who runs the website isn’t even selling anything, he just wants to pass on his findings. Here’s the link; http://www.rlcure.com

Basically, he says that RLS is completely caused by Inflammation. Now, inflammation is a whole other subject, with a whole other list of causes and symptoms.

However, his cure, which simply involves a combination of herbs which can be purchased at any health store, DOES seem to helping me a lot, so I suggest you have a think about if, if you suffer from RLS.

Two other things that have also helped are;

Bikram Yoga, and again, that’s a whole other subject, which I’ll come back to some day.
65f064ee487967f293f01ed3d9500b3c
ProArgi9 from Synergy Worldwide. The reason I think Pro Argi helps with RLS is that it creates Nitric Oxide in the body and therefore has a big impact on circulation, blood flow (and possibly inflammation) thereby helping the legs to relax, including when seated or lying down at night time.

So, that’s my tuppence worth on Restless Legs Syndrome, a nasty little affliction, and I hope the above may be of some help to fellow sufferers!

Ken Cowley has a background in the leisure industry and sales, and wants to further explore all aspects of health, fitness and wellness and share this with friends and colleagues along the way. http://www.heartdiseasemiracle.com

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Debunking the Myth That There is a PRIMARY and SECONDARY type of Restless Legs Syndrome

myths-debunkedINTRODUCTION

Since you’re reading this article, it’s safe to assume that you or a loved one suffer from Restless Legs syndrome. You’ve probably read dozens of articles on this mysterious condition. You have come to learn that there is a PRIMARY type of RLS (where the condition develops naturally, without an obvious cause) and a SECONDARY type of RLS (RLS caused by another underlying health condition).

The truth is that there is only ONE kind of RLS, the kind that is caused by chronic inflammation. There is no other type of RLS.

RESTLESS LEGS SYNDROME IS CONNECTED TO OVER 50 INFLAMMATORY CONDITIONS

Ankylosing Spondylitis (a chronic inflammatory disease of the axial skeleton) is another condition that you can add to the large number of inflammation-based conditions that show a higher prevalence of RLS. A recent study (Tekatas and Pamuk, 2015) found that RLS was significantly more common in patients with Ankylosing Spondylitis compared with healthy controls (30.8 versus 13.2 percent).

The latin suffix “itis” denotes diseases characterized by inflammation. For example, Arthritis (inflammation of one or more joints), Colitis (inflammation of the colon) etc.

You can be certain that any disease or condition that ends with “itis” is going to demonstrate a higher prevalence of Restless Legs Syndrome within its community. The “itis” disease and RLS are both a result of an underlying chronic inflammation.

Many studies have been performed in recent years that show the undeniable relationship between RLS and inflammatory conditions. To date, there are more than 50 inflammatory conditions that show a higher prevalence of RLS. Many of these studies are cited in the paper “Restless Legs Syndrome: Theoretical Roles of Inflammatory and Immune Mechanisms.” (Weinstock et al, 2012). http://www.rlcure.com/rls_study.pdf

CHRONIC INFLAMMATION IS THE UNDERLYING CAUSE OF MOST DISEASESInflammation

Many doctors and scientists believe that the primary cause of most diseases is an underlying inflammation. And that belief is growing in leaps and bounds within the medical community. How it eventually manifests or “shows up on the surface” is based on the lifestyle and genetics of each individual.

In some cases it may manifest as cancer, in others as ALS, and in many it manifests several ways. Depression, IBS, Crohn’s disease … the combinations are endless.

Almost any ailment you can think of has the same issue at its core … inflammation.

If you don’t believe me, do a web search “Depression and inflammation”, “ADHD and inflammation”, “Parkinson’s and inflammation” etc. You’ll find a wealth of information on how they are intimately and undeniably linked.

The fact is, most of the people that contact me with questions or comments have other medical conditions that they are dealing with in addition to their RLS. These conditions are ALWAYS inflammation-based.

INFLAMMATORY CONDITIONS ALWAYS HAVE A HIGHER PREVALENCE OF OTHER INFLAMMATORY CONDITIONS

As stated, the reason that RLS has a higher prevalence in relationship to so many medical conditions is because the RLS and the medical condition result from the same core issue – chronic inflammation. They’re like different fingers on the same hand.

We’re focused heavily on RLS, because that’s what we’re dealing with in life. That’s how the chronic inflammation has manifested in our lives.

However, you can take ANY inflammatory condition and find that there is a higher prevalence of any other inflammatory condition (provided there has been a study done at some point). RLS is not unique in this mysteriously connected world.

To illustrate this fact, I’ve taken RANDOM pairs of conditions from the list of inflammatory diseases linked to RLS http://www.rlcure.com/diseases-conditions-that-are-linked-to-restless-legs-syndrome-willis-ekbom-disease.html and did some research to see if there is any known link between these random pairs.

health_20090219_depression_bannerHere are the results …

CANCER and ANEMIA
from “Anemia” by MediResource Inc.
“Anemia is very common in people with cancer. In fact, about half of people with cancer develop anemia.”  

DEPRESSION and DIABETES
from “Depression is more common in people with diabetes compared with the general population” by the Canadian Diabetes Assc.
“Symptoms of depression affect 30% of people with diabetes, while 10% of them experience major depression.”

PARKINSON’S and IRRITABLE BOWEL SYNDROME
from “Is there an association between inflammatory bowel disease and Parkinson’s disease?” by European Crohn’s and Colitis Organisation – ECCO
“The proportion of PD having concomitant IBD is considerably higher than one would expect.”

FIBROMYALGIA and HEART DISEASE
from “Fibromyalgia linked to heart disease in new study” by EmaxHealth
“A new study has found a link between fibromyalgia and coronary heart disease after comparing patients with the condition to control groups. Researchers discovered that there was an association between the two disorders, and fibromyalgia patients were more likely to have heart disease.”

MIGRAINES and OBESITY
from “Migraine and Obesity: What You Should Know!” by B. Lee Peterlin, DO
“Those with general obesity have a greater prevalence of high frequency migraine (migraines occurring 10-14 days per month) than those without.”

COLITIS and MULTIPLE SCLEROSIS
from “Association between ulcerative colitis and multiple sclerosis.” (Pokorny et al. 2007).
“The association between ulcerative colitis and MS appears to be real and may help identify common factors involved in the cause of these two diseases.”

You could spend weeks mixing and matching the various conditions. What you’ll find is that there is always a higher prevalence, a definite link between them.

THERE IS A HIGHER PREVALENCE OF INFLAMMATORY CONDITIONS FOR THOSE WITH FIBROMYALGIA  fibromyalgia

I’m going to use fibromyalgia in this mini-study to show that the link that RLS has with various inflammatory medical conditions is not unique. You can find similar links with any inflammatory condition – cancer, colitis, depression etc. but in this case I’m going to use fibromyalgia as the benchmark.

FIBROMYALGIA and RESTLESS LEGS SYNDROME
from “Restless legs syndrome and leg cramps in fibromyalgia syndrome: a controlled study.” (Yunus and Aldag, 1996).
“Our study shows an association between fibromyalgia syndrome and restless legs syndrome as well as leg cramps and confirms a previously reported association between rheumatoid arthritis and restless legs. The basis of this association is not clear. Fibromyalgia is not a psychiatric condition, and we found no association between restless legs syndrome and psychological state.”

FIBROMYALGIA and DEPRESSION
from “Bipolar Disorder Common in Fibromyalgia” by Jessica Ward Jones, MD, MPH, Psych Central
“Many fibromyalgia patients may also suffer from bipolar disorder as well as depression. New research suggests that just over 25 percent of patients with fibromyalgia also have symptoms of bipolar disorder.”

FIBROMYALGIA and MIGRAINES
from “7 Conditions Linked to Fibromyalgia” by Health.com
“A significant number of people with fibromyalgia also experience migraines and/or tension headaches, says Robert Duarte, MD, director of the Pain Institute at the North Shore–Long Island Jewish Health System, in Manhasset, N.Y.”

FIBROMYALGIA and IRRITABLE BOWEL SYNDROME (IBS)
from “7 Conditions Linked to Fibromyalgia” by Health.com
“Irritable bowel syndrome (IBS) is marked by abdominal cramps and bouts of constipation and/or diarrhea. Between 30% and 70% of people with fibromyalgia have IBS too.”

FIBROMYALGIA and OBESITY
from “Fibromyalgia and obesity: the hidden link” (Ursini et al. 2011).
“Epidemiological data show that Fibromyalgia patients have higher prevalence of obesity (40%) and overweight (30%) in multiple studies compared with healthy patients.”

inflammation1IN CLOSING

After reading the above data, hopefully you’ll come to understand that the link between RLS and other inflammatory conditions is not unique at all. This whole belief about there being a PRIMARY and SECONDARY RLS just isn’t real. It’s like saying there’s a PRIMARY and SECONDARY depression, or a PRIMARY and SECONDARY migraine.

I urge you to do your own research in this area. Take any pair of conditions that interest you from this list http://www.rlcure.com/diseases-conditions-that-are-linked-to-restless-legs-syndrome-willis-ekbom-disease.html and do a search to see if they are knowingly linked.

Eventually you’ll realize, that without a doubt, there is growing inflammation beneath the surface that is causing this laundry list of conditions.

RLS is only one of its many faces.

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“STRENGTHENING CIRCULATION TO LESSEN RESTLESS LEGS SYMPTOMS” by Dr. Isaac Eliaz, MD, MS, LAc

arterial-and-venous-circulation-of-the-legsThere are a number of simple ways to boost circulation. Simply standing up and walking more frequently can work wonders.

You can also stretch, touch your toes, and practice deep breathing. Strengthening your circulation is especially important for people in office jobs, as sitting for many hours is known to be bad for your health on a number of levels, specifically cardiovascular.

I particularly recommend an ancient and extensively researched Tibetan herbal formula ( find out more here: http://www.dreliaz.org/recommended-product/tibetan-herbal-formula ) which has been shown in clinical studies to support circulation and cardiovascular health, along with other benefits. The formula includes Iceland moss, costus root, cherubic myrobalan, and other more unusual botanicals. In addition to boosting circulation, the formula also supports cellular health and immunity and provides antioxidant protection, demonstrated in more than 40 years of published studies.

We’re still learning about RLS, so I would encourage people to keep an eye on emerging research. However, by combining moderate exercise and minor lifestyle changes, together with circulation-boosting formulas and essential minerals, people struggling from RLS may find significant relief.

Even better, by supporting circulation and cardiovascular health, they can help lower their risk for heart disease and other serious conditions.

DrEliaz_BioPic-150x150Dr. Isaac Eliaz, MD, MS, LAc, integrates Western medicine with his extensive knowledge of traditional Chinese, Tibetan, ayurvedic, homeopathic, and complementary medical systems. With more than 25 years of clinical experience and research, Dr. Eliaz has a unique holistic approach to the relationship between health and disease, immune enhancement, detoxification, and cancer prevention and treatment. For more health and wellness information, visit http://www.dreliaz.org.

This article originally appeared on the website “Maria’s Farm Country Kitchen” http://www.mariasfarmcountrykitchen.com/restless-legs-syndrome

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