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Blog: On Health. On Writing. On Life. On Everything.

Today is National Celiac Day!

For some reason – and, please, bear with me – the first thought to my mind is the famous poem by Martin Niemöller (1892-1984): First they came for the Socialists, and I did not speak out— Because I was not a Socialist. Then they came for the Trade Unionists, and I did not speak out— Because I was not a Trade Unionist. Then they came for the Jews, and I did not speak out— Because I was not a Jew. Then they came for me—and there was no one left to speak for me. So, what is the connection? First, there were the celiacs – people who could not tolerate wheat because of the gluten it contains. They were the fringe of the movement, so to speak, and not many people who were not afflicted took the sufferings of the gluten-intolerant very serious. But now, about twenty years later, it has become clear that most people do better without wheat in their diet – not least, because the book “Wheat Belly” by William Davis has opened the eyes to the damages grains can wreak in the body. Wheat contains gluten, and for some people – the celiacs - this gluten acts like a poison, destroying first the gut, and then nearly every other organ: arthritis, depression, cancer, and so on are related to gluten intolerance. But wheat – like every other grain or seed or nut – also contains lectins. The other name for lectins are “antinutrients” – which gives you the idea that they might not be healthy for you. They are not. Lectins inflame the intestines, similar like gluten does in celiacs – only less so. But in the long run, the wreak havoc anyway. Sometimes lectins are described as ripping little holes in the lining of the bowels, which is a bit of a simple explanation and not quite right, but good enough if you want to understand why lectins are not good for you. Having a “leaky gut” as a consequence of gluten and lectins sets you up for many diseases – the most spectacular is obesity – hence the “wheat belly”. Why are there lectins in grains and seeds and nuts? Because plants don’t want their next generation to perish – they want their seeds to grow into new plants. Like animals, plants don't want to be eaten. Lectins defend the seeds by making them harder to digest. “Our Daily Bread” has made it possible to populate the Earth (overpopulate!), but it has come with a price: Disease and misery. Our original foods were greens and roots and fruit (in season only) and some nuts in the fall, and a rabbit or a mammoth, but at daily foraging grubs were more likely. Human ingeniousness discovered that one could sow and harvest the seeds of grasses. Selection made the tiny grass seeds bigger, and made agriculture and “progress” possible. In the last fifty years, we even drastically improved on the wheat plant: shortening the stalks (straw is unnecessary) and bulking up the kernel (mostly by increasing the gluten fraction) – our wheat is nothing what it was in medieval times or earlier. Not even like anything in the Fifties or Sixties! Spelt and kamut had much less gluten than our modern “improved” varieties. Spelt and kamut also caused less disease. First, a few unlucky people suffered from gluten intolerance. Now it has become widespread. Surprised? No. But it reminded me of the Niemöller poem. Read More 
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The Big Itch – Eczema

Today, in a New York Times blog, I published a version of this: One remedy does not work for all - that is the wisdom coming out of these letters. Seeing a good dermatologist and soothing your skin with some cortisone and/or other substance stands at the beginning. Leave out gluten, dairy, nuts, nightshades (tomato, bell & hot pepper, eggplant, potato) - they are, in my experience, the worst offenders. But I have seen people react to spices, artificial colorings, preservatives, even to apples. Use nothing on your skin than virgin coconut oil, aloe vera gel (best directly from the plant), and your prescription ointment. Try to avoid make-up and read the labels of your shampoo and conditioner: Balm of Peru is only one ingredient that lets rashes bloom! Take a probiotic and vitamin D, and go out into the sun as often as possible - but never to the point of reddening or burning. Then listen to your body - to the itch? What food makes you itch? What activity? Because every body is different, and my itch is not your itch. As soon as your itch gets better, avoid the cortisone cream, and go all coconut oil. If your body itches consistently after a certain food, eliminate it - it is hurting you. Eczema is an inflammation of your skin (often on the basis of your gut being inflamed, too). And every bit of inflammation lowers the threshold for the itch, and a new allergy. A lot of psychological theories are floating around – that certain personalities get it, that one gets it during stress, and so on. I think it is probably the inferior food we fall for in times of stress – comfort food that is loaded with sugars, white carbs and bad fats,. And when you have a chronic disease and an extremely itchy, disfiguring rash – yes, you might seem odd to so some people … When you have healed, try to introduce some of the eliminated foods again - very, very cautiously. Some you might have to leave out forever, or may have them only very occasionally. Go swimming in the ocean, whenever you can! - And my heart goes out to you poor thing! Read More 
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Diseases of the Gut Show at Your Skin

Less than a month ago, a young woman in her mid-twenties called me for “lumps in my armpit”. Now, that can be a thousand different things, not all easy to diagnose, some with dire prognosis. So, I told her I needed to see her. She came, and the diagnosis needed one look only: Hidradenitis suppurativa. This poorly understood skin disease can’t be confused with any other: The patient has multiple red swellings and scars in the axilla, sometimes at other areas, too. You could describe it as boils in the armpit. They are painful and disfiguring. Conventional medicine describes them as inflamed sweat glands (which is what “hidradenitis” means, and suppurativa means “leaking pus”). They are similar to boils, pilonidal cysts, chronic abscesses, fistulas and different kinds of cysts. They might be exacerbated by hormones, excessive sweating, and overweight. Genetic factors clearly play a role – hidradenitis suppurativa is more common in females, and in people of Mediterranean and African-American descend. Medicine might not understand the cause of it, but any layperson can see that hidradenitis suppurativa is a highly inflammatory disease. This young, pretty woman was slightly chubby – not badly, indeed. But I advised her to eat more vegetables with olive oil, and leave out all sugars and dairy products, as the most inflammatory foods. She also was bloated and had a family history of gluten problems, so I asked her to leave out gluten, too; at least for a few months. I also recommended anti-inflammatory fish oil and probiotics to help her poor, inflamed bowels to heal. What happened to the young woman? - Within two weeks, she was dramatically better and had lost some pounds, and all the bloating. I never counsel to lose weight; I recommend a better diet, and the weight loss will follow automatically. She was happy about the result. Unfortunately, then she went to a party where she indulged in all the wrong foods, including pizza, cheese, and sweets. The boils immediately recurred. I was not worried about the relapse: It only confirmed what she had learned: That what she eats has a beneficial or not so beneficial effect on her digestive system, and her health. – Her choice, really. I know that at this age, all the young woman wants is to look good and be able to were a sleeveless top, and there is nothing wrong with that. But I will make a prognosis – even if I might not be around to see the result: If this twenty-five year old will be able to stick to her resolutions (at least most of the time), she one day will be vibrant fifty-year old. If not, she will go the way most people go in our society that adores foods that I’d call “non-foods” – and she will experience obesity, diabetes, cancer and the myriad of chronic diseases that seem to pop out of nowhere as we age. – Let’s see which way she chooses … Read More 
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