CAND Journal https://candjournal.ca/index.php/candj The CAND Journal is the official peer reviewed publication of the Canadian Association of Naturopathic Doctors. Published online four times per year, the CANDJ’s mission is to connect the evidence-informed best practices of the naturopathic profession to members, health care practitioners, health care stakeholders, government, and the general public. Canadian Association of Naturopathic Doctors en-US CAND Journal 1491-0187 <p><strong>© <a href="https://www.cand.ca/" target="_blank" rel="noopener">Canadian Association of Naturopathic Doctors</a></strong>. For permission requests contact <a href="mailto:candj@cand.ca">candj@cand.ca</a>.</p> <p> </p> Mercury Screening for At-Risk Populations https://candjournal.ca/index.php/candj/article/view/182 <p>This article discusses the risks associated with mercury exposure, particularly focusing on at-risk populations in Canada, such as those living in remote areas, individuals living near toxic spills, and those who rely on fish consumption year-round. It underlines the detrimental health effects of mercury exposure, including liver and kidney damage, neurological changes, and developmental issues. The lack of awareness and screening for elevated mercury levels is identified as a significant issue along with the need for greater education regarding possible exposures to mercury. A screening pathway is proposed to aid primary care providers in identifying individuals at risk of elevated mercury levels, with the aim of preventing long-term health complications. Overall, the paper highlights the importance of proactive measures to mitigate mercury exposure and safeguard public health.</p> Miranda Bevilacqua Rylan Copeman Copyright (c) 2024 Canadian Association of Naturopathic Doctors 2024-09-19 2024-09-19 31 3 7 10 10.54434/candj.182 The Case for Naturopathic Prescribing https://candjournal.ca/index.php/candj/article/view/190 Marianne Trevorrow Copyright (c) 2024 Canadian Association of Naturopathic Doctors 2024-09-19 2024-09-19 31 3 1 2 10.54434/candj.190 Defining Naturopathic Medicine in the Context of Comprehensive Team Primary Care https://candjournal.ca/index.php/candj/article/view/183 Greg Nasmith Copyright (c) 2024 Canadian Association of Naturopathic Doctors 2024-09-19 2024-09-19 31 3 3 4 10.54434/candj.183 Promoting Diversity in Naturopathic Medicine through Mentorship and Transformational Leadership https://candjournal.ca/index.php/candj/article/view/186 Baljit Kaur Khamba Copyright (c) 2024 Canadian Association of Naturopathic Doctors 2024-09-19 2024-09-19 31 3 5 6 10.54434/candj.186 The Combination of Proteolytic Enzyme Supplementation, Acupuncture, and Osseous Manipulation for the Treatment of Traumatic Peripheral Nerve Injury: A Case Report https://candjournal.ca/index.php/candj/article/view/176 <p>This report describes the treatment of peripheral nerve injury in a 43-year-old woman using a combination of proteolytic enzymes, acupuncture, and osseous manipulation as alternatives to conventional care. Her presenting symptoms include complete loss of sensation in the superolateral left thigh and a mass of fibrotic scar tissue in the area of injury. A holistic treatment plan was created to address the underlying mechanisms of the injury. Plant-based proteolytic enzymes, bromelain and papain, were used to address tissue inflammation and reduce scar tissue formation around the nerve, acupuncture was used to regenerate the superficial nerves, and osseous manipulations were provided for structural re-alignment. After 8 weeks of treatment, the patient reported significant reduction in the size of the fibrotic mass and complete resolution of sensory loss. The fibrotic mass of tissue reduced from 6 cm to 1 cm during the treatment course. Proteolytic enzymes have wide-ranging indications; however, they have not been well studied for peripheral nerve injury, which makes this a novel indication for this natural health product. This case report found the use of proteolytic enzymes, and acupuncture, effective in treating peripheral nerve injury and provides grounds for research to treat nerve-related injuries.</p> Tamara Clarke Sherry Wilson Copyright (c) 2024 Canadian Association of Naturopathic Doctors 2024-09-19 2024-09-19 31 3 11 16 10.54434/candj.176