Dr. Paul Hrkal ND

Naturopathic Doctor

Dr. Hrkal is a Toronto area native that attended McMaster University where he completed a bachelor’s degree in kinesiology. He completed his medical training at the Canadian College of Naturopathic Medicine in North York. Dr. Hrkal is a member of the Ontario Association of Naturopathic Doctors(OAND); the Canadian Association of Naturopathic Doctors (CAND), and is registered with the Board of Directors of Drugless Therapy – Naturopathy in Ontario. He has extensive background and experience in sports and exercise performance. He played 4 years of Varsity volleyball while at McMaster University where he had the opportunity to travel throughout North America and work with the top technical and sports performance coaches. He has a tremendous passion for providing high quality and comprehensive patient care with a clinical focus in sports medicine. Clinical focus areas Sports injury and athletic performance maximization: Dr. Hrkal applies his background in high level sports participation and specialized clinical training to provide comprehensive treatment to athletes of all levels. Whether it’s eliminating aches and pains or taking your performance to next level, Dr. Hrkal applies advanced treatments in high performance sports nutrition, botanical medicine, acupuncture and nutrient therapy to provide each patient with an individualized and specific treatment plan. Physical therapy and pain management: Dr. Hrkal applies his extensive experience in physical medicine and uses very specialized treatment techniques such as acupuncture, muscle release therapy, botanical medicine and nutrient therapy and intravenous and injection therapy to quickly, effectively, and naturally reduce pain and provide lasting relief.

You may have heard me say on @concussion_doc 'a recent podcast that there is an autoimmune component of brain injuries. I wanted to stare a little more about the autoimmune-neuro connection. ⁣

There are many conditions that affect the neurological system. In some cases the cause is obvious but in others it's not. One root cause that often gets overlooked is autoimmunity.⁣

Symptoms associated with autoimmunity in the nervous system include:⁣
🧩Poor balance and changes in gait⁣
Loss of sensation ⁣
🧩Numbness, tingling and burning - Neuropathies⁣
🧩Impaired vision⁣
🧩Light sensitivity⁣
🧩Muscle pain/spasms⁣
🧩Muscle weakness⁣
🧩Chronic pain/fibromyalgia⁣
🧩Memory loss or brain fog⁣

The immune system can attack many different proteins that are part of the nervous system. Conditions that may cause neurological symptoms are: ⁣

🚨 #Celiacdisease⁣
🚨 #MultipleSclerosis⁣
🚨 #Hash*tmotosThyroiditis⁣
🚨 #GuillainBarrésyndrome⁣
🚨 #Lupus⁣
🚨 #sarcoidosis⁣
🚨 #Vasculitis⁣
🚨 #Behcetsdisease⁣

There even is a rare condition called Autoimmune Brain disease or “AIBD” which consists of a syndrome of central nervous system caused by antibodies or immune cells attacking the brain. There can even be antibodies to your neurotransmitters (i.e. Anti-GABA) which balance your mood and keep you calm and happy. ⁣

Bottom line if you can any chronic and un-resolving neurological or cognitive symptoms you should get a comprehensive assessment by a Naturopathic doctor. There are specific blood tests that can be run to assess neuro-tissue autoimmunity and personalized diet, lifestyle and supplemental plan can help reduce the autoimmune process. ⁣

If you found this post helpful and educational comment with 💪🏻💪🏻💪🏻 Emoji⁣

S T R E S S could be a trigger to the start of an autoimmune process in your body ultimately leading to a full blown condition. ⁣⁣
I usually focus on dietary, lifestyle and environmental factors BUT 𝘦𝘮𝘰𝘵𝘪𝘰𝘯𝘢𝘭, 𝘮𝘦𝘯𝘵𝘢𝘭 𝘢𝘯𝘥 𝘴𝘱𝘪𝘳𝘪𝘵𝘶𝘢𝘭 𝘧𝘢𝘤𝘵𝘰𝘳𝘴 are just as important especially in autoimmunity. ⁣⁣
I am fascinated by the fact that our body's defence system, which is supposed to be protecting you, would start to attack itself. There must really be a profound shift from natural function. This process definitely doesn’t happen quickly but over a long period of time with multiple factors. ⁣⁣
The above study shows that stress may be that key push to dysfunction and mistaken identity. ⁣⁣
Also consider that another way of looking at autoimmunity is that our immune system has lost its “tolerance of self.” ⁣⁣
Which means the tolerance of our own tissues. Think about that..⁣⁣
🤯 That is pretty profound if we zoom out and look at that from a mental-emotional perspective. ⁣⁣
❓How have we stopped tolerating ourselves? ⁣⁣
❓What part of us is so hurtful that we are unconsciously attacking it? ⁣⁣
There is a school of thought in the alternative psychology and mind-body medicine that autoimmune conditions should also be assessed and treated based on past trauma, stressors and the loss of our mental and emotional tolerance.⁣⁣
Ex. It is said that a thyroid autoimmune condition is to do with a lack of “voice” somewhere in that person’s life. It could be in a relationship or job. Interestingly, the thyroid is right beside our voice body in the front of our throat. This can be also applied to the treatment where people with a thyroid condition should sing and use their voice daily. I already suggest this as part of my gut-brain and vagus healing exercises.⁣⁣
Work with an expert - I really like clinical psychologists but there are other very skilled mindfulness practitioners as well. Don’t discount the power of the mind and emotions as part of your assessment and treatment plan. ⁣

What are some things you are doing in your life to reduce stress? I am ALL 👂🏼 ⁣
Comment below🔻🔻

The following are a few conditions or situations where deficiencies of minerals or vitamins can play a role in the disease process. Adequately replacing these essential nutrients may help reverse the conditions.⁣

💊High blood pressure: Magnesium plays a key role in blood vessel relaxation. Low levels lead to constricted blood vessels and increased pressure. Chronic magnesium deficiency also allows calcium to build up in the lining of the vessels creating constriction and hardening. ⁣

💊Depression: Zinc, magnesium, vitamin B6 and B3 are all essential for the formation of the “feel good” neurotransmitter serotonin. ⁣
Deficiencies in the above nutrients can lead to poor production of serotonin and melatonin decreasing mood and impairing sleep. Unfortunately, anti-depressant drugs don’t address this root cause since they don’t increase production of serotonin but only keep it in the brain longer. ⁣

💊Hypothyroidism: Most people have heard of iodine being essential to thyroid hormone production but selenium and zinc are also required in this process. Selenium is especially important since it is required for the conversion of T4 to T3 (the active form of thyroid hormone) in the liver and peripheral tissues. Additionally it also reduces autoimmunity against the thyroid gland (Hashimoto’s thyroiditis). ⁣

💊Acne: Zinc plays an essential anti-inflammatory role by stabilizing the immune system. When levels are low people may be predisposed to more acne outbreaks and increased severity. It’s important to note that copper should always be supplemented along with zinc since long-term zinc use can lead to a copper deficiency. ⁣

💊Fibromyalgia: Magnesium is a key factor in muscle function and some research shows that people with fibromyalgia have low intracellular magnesium levels despite blood levels being normal. The combination of magnesium and malic acid has been shown to have a positive effect. ⁣

💊Restless legs syndrome (RLS): Iron is an often-overlooked mineral in RLS. It is required for the formation of dopamine in the brain, which regulates muscle movement. Before supplementing be sure to get your ferritin levels checked to see if you're deficient

The Brain-Hormone-Stress Connection⁣

🧠The hypothalamic-pituitary-adrenal (HPA) axis plays a key role in our health.⁣

🧠The HPA axis starts with a part of the brain called the hypothalamus, considered the “master gland” of the neuroendocrine system. Amongst its many functions, the hypothalamus controls the pituitary gland, which produces signalling hormones that travel throughout our body to each hormonal organ.⁣

🧠During stressful periods, the hypothalamus and pituitary work together to stimulate the adrenal glands to release stress hormones including cortisol and adrenaline.⁣

Cortisol does many important things in our body:⁣

1) Keep our blood sugar levels high which fuels our cells. Short term this is great but long term this is a problem for weight loss.⁣

2) Assisting in fat, protein and carbohydrate metabolism. High levels of cortisol decrease the feeling of being full and stimulates our appetite. This leads to fatigue, cravings and abdominal obesity.⁣

3) Suppressing the immune system to allow the body to perform priority or life dependent upon tasks. In the short term this is great because it keep inflammation low but long term (chronic stress) it doesn’t allow full healing and recovery to occur. ⁣

🔬Standard blood cortisol testing doesn’t tell the whole story as your cortisol changes throughout the day and night. I use a dried urine hormone test (DUTCH) to assess cortisol levels over a period of 12 hours. Knowing these fluctuations can really help with creating a personalized treatment plan for brain recovery.⁣

💥In chronic disease (including brain injury), many people experience heightened levels of cortisol and other stress hormones which are a key obstacle to healing. Over time, our HPA system can keep up with the demand for excess cortisol and now our normal daily pattern changes leading to many symptoms:⁣

😴Excessive fatigue🙇🏻‍♀️Nervousness/irritability 🥵PMS🚶🏻‍♂️Depression 🍭Sweet cravings🗣Allergies 🤦🏻‍♂️Headache🍷Alcohol intolerance🧠 Poor memory 💔Palpitations🥴Poor digestion 🤯Lightheadedness 💩Constipation/diarrhea 😳Insomnia⁣

If you are a #TBIwarrior can you relate to these symptoms? Comment below ⬇️⁣⬇️

Today we remember all the babies born sleeping.⁣
Those carried but never met.⁣
Those held but never taken home.⁣
And those that came home but could not stay.⁣

October 15 is Pregnancy and infant loss awareness day.⁣

Tonight at 7pm, #WaveOfLight will take place where families around the world will light a candle for all the babies we remember this month and every day. ♥️⁣

Photo: @direiellie⁣

#iamstillstanding #infantloss #miscarriage #miscarriageawareness #miscarriagesupports #grief #pail #pailawareness #october15 #dadsgrievetoo #icarryyouinmyheart #octoberispregnancyandinfantlossawarenessmonth

Be Kind To Yourself.
Today. And always.
#mentalhealthawareness #mentalhealth #concussion #tbi #endthestigma #naturopathicdoctor #naturalmedicine #mentalhealth #itsokaynottobeokay #toronto #mississauga #schomberg #portcredit #maplevaughan

🗣WE LIVE IN A PLASTIC WORLD. Know better. Do better.
@withrepost • @doctor.g_
@empoweredautoimmune .
🔹Many people, myself formerly included, go out of their way to buy products packaged in BPA-free plastic.
🔬Their chemical replacements, however, structural analogs called BPS and BPF in particular, may have similar physiological effects in organisms.
🔹In one review published in Environmental Health Perspectives, researchers analyzed the body of literature to date on bisphenol analogs that consisted of 32 studies, including 7 in vivo and 25 in vitro, and concluded:
👩‍🔬 "The majority of these studies examined the hormonal activities of BPS and BPF and found their potency to be in the same order of magnitude and of similar action as BPA (estrogenic, antiestrogenic, androgenic, and antiandrogenic) in vitro and in vivo.
💀 BPS also has potencies similar to that of estradiol in membrane-mediated pathways, which are important for cellular actions such as proliferation, differentiation, and death.
🔹BPS and BPF also showed other effects in vitro and in vivo, such as altered organ weights, reproductive end points, and enzyme expression.
🔬 Based on the current literature, BPS and BPF are as hormonally active as BPA, and they have endocrine-disrupting effects" (Rochester & Boded, 2015).
Because fetal testes in particular are especially susceptible to BPS and BPF during a critical period of masculinization, these compounds may be implicated in reproductive issues such as declining sperm count, increased incidence of testicular cancer, cryptorchidism (undescended testicle) and hypospadias due to their pro-estrogenic effects.
👨‍🔬 Researchers in fact suggest that because the fetal testis may be the main target of endocrine-disrupting chemicals (EDCs) such as BPA, BPS, and BPF, we may anticipate higher incidence of male reproductive disorders to come.
🔹Moreover, levels of BPA and BPS are significantly and positively correlated with a urinary marker of oxidative stress, 8-Hydroxy-2’-deoxyguanosine (8-OHdG), which signifies inflammation and DNA damage, and often appears in autoimmunity.
🔹Dr.G: Glass or stainless steel always instead ofplastic

FREE LIVE WEBINAR for practitioners: THE POWER OF P.E.A with @fullscript October 8th.⁣

"Your body uses the endocannabinoid system (ECS) to heal, repair and protect itself against many different types of stressors and insults such as toxins, bacterial and viral infections, pesticides, carcinogens and inflammation. One of the key signalling molecules in the ECS is called Palmitoylethanolamide (P.E.A.).⁣

Dr Paul Hrkal, will share the highlights of over 80 years research and more than 300 scientific and clinical studies on the effectiveness and safety of P.E.A. Learn about this ground-breaking “ortho-molecule” and its impact on a wide range of health conditions including pain, neuro-inflammation, allergies, mood, immunity, and much more.⁣

What You'll Learn: ⁣
Understand the biological role of the endocannabinoid system⁣
Review the differences between P.E.A, endocannabinoids, and cannabis⁣
Review the research supporting the P.E.A⁣
Clinical applications of P.E.A"

🔴To register: click the link in bio
#naturopathicmedicine #naturopathicdoctor #integrativemedicine #healthyliving #concussionnaturopath #torontonaturopathicdoctor #endocannabinoidsystem


John Weeks: Self-Interested Whims of the Oligarchs: Google and Facebook Kill Access to Alternative and Integrative Medicine - Today's Practitioner

This is frightening. It affects anyone that is in natural and integrative medicine


todayspractitioner.com Before we jump into John Weeks’ column, we thought it best to give you some background on recent changes to Google and Facebook that may be affecting your practice’s website traffic. In case you missed it, from 2018 and into the summer of 2019, Google and Facebook changed their search ... Read m...


Canada Adopts New Concussion Protocol For Athletes, Including Baseline Tests

Check out the new concussion guidelines. https://www.huffingtonpost.ca/2019/03/19/concussion-guidelines-canada_a_23695727/?fbclid=IwAR39Z4tyxWKexMb6seevb7aY2vKSRDsLXDaYhz1GojYCuWpyR7_5J3MR-Kg

huffingtonpost.ca The test compares a patient's post-concussion to pre-concussion brain.


Effectiveness of and overdiagnosis from mammography screening in the Netherlands: population based study

New study shows that mammograms lead to over diagnosis of #breastcancer and have a "marginal effect on breast cancer mortality". 1/2 of screen detected BC would represent over diagnosis. http://ow.ly/O3AB30h9nYH pureBalance Dr Elias Markou | The Detox Doctor PureBalance Wellness · Cancer Care

bmj.com Research Effectiveness of and overdiagnosis from mammography screening in the Netherlands: population based study BMJ 2017; 359 doi: https://doi.or...

Looking forward to my talk and meeting everyone.

Whole Life Expo Featured Presentation:
With Dr. Paul Hrkal ND
What form of magnesium is best for chronic pain, heart issues, and depression? What dose is most effective? Can we test for magnesium deficiency? Which form is best? Join Dr. Hrkal for a dynamic discussion of evidence-based information and interactive Q&A.
November 4th, 2017, 11:30 am - 12:15 pm
Available afterward for questions at the Advanced Orthomolecular Research booth, 138 & 139.
Lecture Hall 205, Metro Toronto Convention Centre

What Is the Ideal White Blood Cell Count? | NutritionFacts.org

High WBC an inexpensive predictor of inflammation and mortality. Range should be 4-7 not 4-11. Check your CBC test http://ow.ly/owe830dfSzc

Since white blood cell count is such a strong predictor of lifespan, what should we aim for and how do we get it there?


Magnesium may promote bone health and prevent fractures: Study

Low Magnesium levels linked to increased fracture rates - you need more then just calcium to support bones http://ow.ly/FMV330aZ561

nutraingredients.com Healthy levels of magnesium in the body might decrease the risk of bone fractures, according to results of a study from the Universities of Bristol...

PureBalance Wellness Cancer Care

New study finds high doses of vitamin C IV improve radiation and chemo in brain cancer - better outcomes found


Supplement Ethics: Does Your Magnesium Glycinate Also Contain Magnesium...

Could your magnesium glycinate actually be mixed with mag oxide? If its over 125mg / cap could be the case. at http://ow.ly/H1hY309dou8

drnibber.com Magnesium is one of the most used natural health products for good reason, it does so many beneficial things. It relaxes tight muscles, calms...

Complete Concussion Management

New family doctor referral program for concussions

Concussion Patient with Persistent Symptoms? We can help.

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