Creative Thriving LLC

Day two in the office after three years of working from home! Loving this new space & this sunshine we’ve been having in Portland ☀️

If you missed it, check out my prior post for more details, but Wednesday & Friday I’ll be in NE Portland so you can see me in person if you would like (Don’t worry virtual is here to stay)!

I’m in the AWOL dance collective building sharing space with PT Jen Crane 😊

Happy Friday!

-Tasha

FYI for those taking oral cromolyn, there has been a recall from one manufacturer.

Details from image:
Cromolyn Sodium Oral Solution (Concentrate) 100 mg/5 mL,produced by Ritedose Corporation, Columbia, South Carolina, for
Ritedose Pharmaceuticals.

The doses that have been recalled are from Lot number "23CE2, Exp. 03/31/2026" This
recall affects 44 cartons of Cromolyn Sodium Oral Solution (Concentrate) 100 mg/5
mL.

This does not apply to all cromolyn, check the label to see if it matches the above brand & lot

Going along with my last post, I wanted to talk a bit about compounding medications.

People with allergies or sensitivities to particular inactive med/ supplement ingredients may need to get some of their medications through a compounding pharmacy if they are unable to find commercially made without the problematic ingredient.

Compounded medications are specially formulated by a compounding pharmacy to meet the individual needs of a specific patient.

Some reasons someone may need to have a compounded medication...

〰Allergies to ingredients in a commercially prepared formulation
e.g. dyes, preservatives, lactose, etc.
〰Trouble swallowing pills and needing medications in liquid form
〰Needing medication in a different dosage than is commercially available

While the ingredients used to create compounded medications are FDA approved, the compounded medication formulations are not regulated by the FDA.

It is important to use a reputable and certified compounding pharmacy.

Questions? Feel free to leave a comment below!

~Tasha

〰️
💻 How to reach me? Visit the connect page of my website [link in bio] to send me a secure message or schedule an appointment!

📍Location? I see patients in OR & WA state via telehealth.
〰️

Inactive ingredients in medications & supplements

Meds & supplements contain more than the active ingredient.

These "Inactive ingredients", sometimes called "excipients" have a variety of purposes.

〰What they are?
Ingredients other than the actual medication

〰Why are they used?
Bind ingredients together
Prevent separation
Increase volume for easier measurement
Dyes for identification
Flavor/sweetener
Lengthen shelf life

〰Why it's important?
Some people are allergic or sensitive to some inactive ingredients.

A common question I receive is, "How do I know what the inactive ingredients are?"
〰Slide 2 has an example label. This particular label is for Allegra (fexofenadine), an over the counter allergy medication
〰The website dailymed.nlm.nih.gov can be helpful in finding labels / ingredient lists for prescription medications.

Some people don't have any issue with inactive ingredients, but many of my patients have sensitivities or allergies.

You don't need to avoid these unless they are causing you symptoms. Many people tolerate fine.

If you change medication or supplement brands / manufacturers & suddenly don't tolerate, it could be an excipient / inactive ingredient causing the problem.

As always, you should discuss with your licensed healthcare provider before making changes to your medication or supplement regimen.

Here are some common inactive ingredients that may cause allergy or sensitivity reactions, but certainly not all inclusive:

〰Artificial dye
Fd&C Blue #1
Fd&C Red #40,
Fd&C Yellow #6
& others

〰Preservatives
Benzoates
Benzalkonium chloride
Benzyl alcohol
Sulfites
Nitrites
MSG (monosodium glutamate)
Potassium sorbate

〰Emulsifiers
Polysorbates (e.g. polysorbate-20, polysorbate-80, etc)

〰Sweeteners
aspartame
sorbitol
xylitol
& others

〰Other common allergens
lactose
gluten
soy

Questions? Feel free to leave a comment below!

~Tasha

〰️
💻 How to reach me? Visit the connect page of my website [link in bio] to send me a secure message or schedule an appointment!

📍Location? I see patients in OR & WA state via telehealth.
〰️

Often it can be challenging to pinpoint what may be triggering a symptom/ symptoms to flare.

Here are a few potential triggers to consider…
🩺Stress, Fatigue, & Illness

🌡Temperature hot/cold/change

🦠Infections & Toxins

🕯Fragrance & Chemicals

🌮Food & Beverages

🛟preservative, additives, & dyes

💊Medication & inactive ingredients

🏃‍♂️Activity

🌿Environment

Questions? Feel free to leave a comment below!

~Tasha

〰️
💻 How to reach me? Visit the connect page of my website [link in bio] to send me a secure message or schedule an appointment!

📍Location? I see patients in OR & WA state via telehealth.
〰️

Many conditions commonly co-occur with Ehlers Danlos Syndrome & Hypermobility Spectrum Disorders, and an important part of EDS/HSD management is identifying & treating any co-occurring conditions.

This is one reason an EDS/HSD diagnosis is important, it provides a framework for better understanding symptoms and what other conditions may be co-occurring.

Treating co-occurring conditions often greatly improves quality of life.

Here are some, but certainly not all inclusive…

🦓Spinal instability including upper cervical spine instability (CCI/AAI)

🦓Sleep disorders, such as Obstructive Sleep Apnea (OSA) and others.

🦓Dysautonomia, including POTS

🦓Small fiber neuropathy

🦓Abdominal pain and gastrointestinal disorders such as gastroparesis

🦓Intracranial Hypertension

🦓Chiari malformation

🦓Tethered Cord Syndrome

🦓Mast Cell Activation Syndrome (MCAS)

🦓Various types of chronic pain

🦓Chronic fatigue

🦓ME/CFS

🦓Immune system disorders

🦓and more…

Questions, or something to add? feel free to drop a comment below.

~Tasha

~~~
💻 How to reach me? Check out the connect page of my website (linked in bio)

📍Location? I serve clients in Oregon, Washington state via telehealth.
~~~