Lupus is Latin for “wolf” - an apt name for a disease that may maul your skin and inner organs relentlessly. Lupus is a group of autoimmune diseases that can affect skin, joints, blood, brain lungs, heart, and in its most feared form the kidneys, leading to kidney failure. One interesting picture produced by SLE (Systemic Lupus Erythematosus) of the brain can be an obsessive-compulsive-like disorder.
Autoimmune diseases – with all our scientific advances – are still not thoroughly understood. From experience and the literature I would consider the following steps if I were afflicted with lupus – which I am not.
1. Eliminate all dairy because casein seems to be hurting badly in lupus. Do not eat butter, cream, milk, yogurt, cheese, or any food with dried milk ingredients. For instance, “milk-free” cheese still usually contains casein. Since lupus is basically a disease of chronic inflammation in the body, it is wise to throw out all foods that contribute to inflammation – and dairy is the worse in that respect. Sugar and artificial molecules come in second. And food items you already know don’t agree with you (allergies and intolerances). Of all those, dairy has been consistently been linked with lupus and other autoimmune diseases.
2. Fish oil. Take good-quality fish oil capsules daily, about three times three. Make sure you don’t have a bleeding problem because fish oil slightly thins the blood. Also eat small ocean fish.
3. Flaxseed. If you don’t have a nut-and-seed problem, flaxseeds have a healing quality in lupus. Use olive oil for cooking.
4. Vitamin D or sunlight is beneficial in lupus, but photosensitivity (skin reactions to sun) is a prominent feature of lupus. What is a person to do? If you can’t tolerate light, take a vitamin D preparation or eat cod liver once a month.
5. Eliminate soy unless fermented. The reports about soy are not clear – sometimes soy hurts, sometimes it helps. This might have to do with two facts, namely that unfermented soy is not better than any other bean, and might even be worse as soy is one of the new mono-crops of gene-manipulated seeds. GMO are linked to lupus by some authors. On the other hand, fermented soy has done well in all studies. Miso, a good soy-sauce and tempeh are fermented soy products; tofu and the “nutritional” bars are not.
6. Caloric restriction has been shown to delay the onset of lupus. That does not mean you should starve yourself. But if you are overweight – even if ever so slightly – you should seriously focus on losing the extra pounds – which might actually happen all by itself if you eliminate dairy, sugar and other junk foods.
7. Herbs. There is a long list of herbs and plants helpful in lupus. I would not recommend any one over any others. And obviously, there might be other herbs and pants beneficial. For me it means that plant material – the way we should nourish ourselves naturally – is the way to go. So, eat a variety of vegetables. And from the list below chose food items, herbs and spices freely in your cooking. For medicinal herbs, chose one at a time and take it according to directions, until the bottle is empty, then choose another one:
Alfalfa sprouts
Antrodia camphorata (a medicinal mushroom)
Apples
Astragalus
Basil
Brussels sprouts
Bupleurum chinense (and other Buleurum species)
Celery
Chamomile (Chamomilla recutita)
Cilantro
Clover
Cordyceps sinensis (a medicinal mushroom)
Curcumin (in turmeric and curries)
Gentiana macrophylla
Green tea
Legumes (beans, peas, lentils, garbanzo)
Lotus flower (Nelumbo nucifera)
Mugwort (Artemisia vulgaris)
Oregano
Parsley
Pycnogenol (French Maritime Pine bark extract)
Rheum emodi
Royal jelly (a honey bee secretion)
Sophora flavenscens
Spinach
Tarragon
Tripterygium wilfordii
Wormwood (Artemisia absinthium, notoriously bad for the brain – absinth! So consult an herbalist for this)
8. Vitamin E and DHEA have been beneficial in lupus, but I would not take them without consulting a physician because both may have side-effects.
9. Avoid mineral oils (lipstick, lotions, creams, etc.) as mineral oils have been implicated in the development of lupus.
10. Certain vaccinations, especially hepatitis B, have been brought in connection with lupus. The jury is still out on that – but think twice before you get an unnecessary vaccination.
11. Exercise moderately.
12. Do sauna regularly for detoxification. Take a cold shower after a hot one to regulate your immune system.
13. Get enough sleep. Your body needs to repair during sleep.
Lupus might be what I like to call the canary diseases: Certain foods and lifestyles hurt all of us. But in some – the canaries – the damage shows earlier. Read More
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Irritable Bowel Syndrome?
September 6, 2010
In my thirty years in medicine, I have never diagnosed anybody with “irritable bowel syndrome.”
Not that I didn't want to make the diagnosis. But it always seemed to be the last resort - if there wasn't a better explanation for the patient's symptoms. And there always was.
If my patients came with the label, I quietly looked for a more appropriate diagnosis, mostly some kind of food intolerance and/or infections. And if they came with any of the myriad of gastrointestinal complaints, they deserved a thorough workup.
Food allergies: Physicians differ between food allergies and food intolerance. For the patient the difference is minimal: The only action that will help is leaving out the offending food.
Allergies are mediated either through blood – then they show up in blood tests. Or they are cell-mediated, which means they can’t be detected by blood tests; skin prick test is the way to go then.
If you usually feel good (or even just better) in the morning before you eat, food problems are likely. – Floating stools point to a food culprit, too.
There are rare and dangerous diseases, therefore a doctor should eliminate serious diagnoses. But this is what you can do yourself:
• Write a food journal. Everything that goes into your mouth should go in here – including beverages, pills and chewing gum. A pattern might become clear once you regularly record everything.
• In my experience, these are the most common food offenders: dairy, soy, nuts, gluten, corn – especially HFCS (High Fructose Corn Syrup), nightshades (tomato, potato, eggplant, bell and hot peppers), citrus, seafood, lectins, food colorings, preservatives, flavor enhancers (like MSG), eggs, apples and other fruit, chocolate (though probably less common than people think – it usually are the non-cacao ingredients that cause trouble), yeast. And don’t forget: prescription medication! Recreational drugs.
• Read labels! Of course, foods without labels – like kale and carrots – are healthier anyway because only processed food is required to be labeled.
• Has anybody in your family a bowel disease? You might have the same.
• Jot down pains, headache, heartburn, stomach ache, bloating, diarrhea, constipation, blurred vision, slow urination, skin rashes, blocked nose or ears,
• Don’t eat after dinner – and don’t have dinner late. The sheer bulk in your stomach may create the discomfort; besides it prevents the cell repair that should be taking place nightly – but can’t happen when your body is busy digesting.
• Are you very thirsty – especially during and after a meal? That might be a sign of a food allergy. Don’t suppress your thirst – this is how your body gets rid of the offending food: by diluting it.
• If you suspect food allergies, leave out the whole list above plus whatever you suspect for a week. Then one by one, every few days reintroduce another food from the list. – Sometimes only repeated exposure shows the problem – that happens mostly with cell-mediated allergies.
• Blood-mediated allergies are the quick ones – that can bring you to the emergency room - like peanuts. Never try to force your body into accepting any food that it doesn’t want!
• Slow allergies make you sick over time – by the chronic inflammation in your body. That causes for instance cancer in the long run.
• Take a probiotics regularly. I personally like Primal Defense (this is not an endorsement – only an idea to start with. Begin with a small dose, slowly take more. If a probiotic does not agree with you, change the brand.
• Most people benefit from fish oil – to counteract the constant inflammation that comes with food allergies.
• Chew well.
• Eat vegetables, vegetables, vegetables. Not only are they good for you – they also seem to cause fewer allergies.
• Serious runners suffer from a curious disease called “runner’s diarrhea” (about fifty percent of them.
• Obesity might be a sign for food allergies: We tend to crave exactly the foods that are worst for us.
• And most importantly: Don’t eat it if it hurts you!
Unfortunately, you can even have a bowel disease without any gastrointestinal complaints: About fifty percent of gluten intolerance (celiac sprue) patients never notice anything wrong with their belly. But they might have joint or back pain, diabetes, autoimmune disease, mental fog, depression – and a host of other problems. Read More
Autoimmune Diseases
July 11, 2010
In autoimmune diseases the body’s immune system turns against cells of the own body, slowing destroying them, creating havoc like thyroid problems, allergies, arthritis and muscle weakness, skin afflictions, diabetes type I, neuropathy, autism (at least some forms), fibromyalgia, kidney failure, multiple sclerosis, urticaria, psoriasis, chronic fatigue, bowel troubles – and many more.
Autoimmune diseases are on the rise – more people are suffering from them. Doctors are baffled and, on the whole, helpless. Strong medications like cortisone with myriad side-effects are employed, without getting to the root cause of autoimmune diseases.
Some researchers suspect that our modern diet plays a big role; others blame pollutants in the environment or the fact that we have much less intestinal parasites (compared with cave men) which makes the idle immune system turning against the self. Modern medical drugs (to name just one example - statins - that can cause an autoimmune muscle disease) might contribute.
Of course, I don’t have all the answers either – but these are some ideas that helped patients:
• Make sure you don’t have a gluten intolerance. Test are notoriously unreliable; a better idea is to leave out all gluten (wheat, rye, barley, oats) and see if you improve. Many people feel so much better already after a week off gluten. Others need up to a year.
• Autoimmune diseases hurt the body at different organs. They all have in common an inflammatory effect. To do away with SAD (Standard American Diet) should therefore be the most important step: No sugar, no sweeteners, no white starches, no dairy (which might be the main culprit here!), no bad fats (nothing fried and processed). Instead: vegetables, vegetables, vegetables – and herbs, legumes, a bit meat and fish (but no deli). If you are not willing to cook for yourself and take yourself out of the mainstream food insanity, my hope for your recovery is slim.
• Moderate exercise: For a minimum, go for a walk everyday. Exercise produces anti-inflammatory molecules in your body.
• Bright light: Get some light outdoors. Not to the point of burning (autoimmune patients often have photo-sensitivity and are prone to easy sunburns). But light is important. If you have dark skin, you need more light. – Vitamin D might be what is protecting. I usually don’t give supplements; going outdoors daily and eating cod liver (delicious!) once a month should do the trick.
• Herbs (don’t take them all at once; try one after the other and give it time to work):
---Resveratrol; a strong anti-oxidant. Remember, there is far more resveratrol in the green vine leaves than in red wine – and nearly none in white wine and grape juice.
---Astragalus has shown some benefit. Just know that allergies are frequent in patients with autoimmune diseases. So, if you show signs of intolerance (upset stomach, aching joints, rash, etc.), stop the herb.
---Turmeric (its main ingredient curcumin) has anti-inflammatory properties is.
---Green tea.
---Korean Gamgungtang.
---Padma28, a Tibetan formula. There are some controversies about this. Talk this through with a knowledgeable physician.
---Zyflamend, a blend of several anti-inflammatory herbs. Make sure you don't have an allergy to any of its components.
---Artemisia (vulgaris and annua) both have shown some anti-inflammatory effects.
---Olive leaf extract.
---Cordiceps, a medicinal mushroom. – Eating mushrooms generally has a good effect on the immune system. Just never eat them raw (they could cause cancer): Always cook mushrooms!
---Alfalfa sprouts.
---Gluscosamine, while not an herb in the strict sense, has shown anti-inflammatory promise.
---Bupleurum, a Chinese medicinal plant.
• Be careful with vaccinations. A link between shots and autoimmune disease is suspected by some researchers. That does not mean you should avoid all vaccinations; just stick to the essential ones. Discuss this with your physician – who hopefully has an open ear for alternatives. The link between vaccines and autoimmune disease might come from the suppressing of the normal function of the body, namely fighting viruses off; or might be a function of certain additives in vaccines like mercury, aluminum and squalene.
• Selenium might be missing in your diet (Brazil nuts have the highest amount of selenium, but most nuts have some; seafoods are more moderate sources of selenium). As you might have noticed, I am no friend of supplements: minerals (and vitamins) from a bottle are not the same, and have even been proven to be harmful by recent studies. – With nuts always stay aware that you might develop an allergy at any time.
• Add some good anti-inflammatory fish oil capsules (you should not belch up a fishy taste!) daily.
• Help your intestines with probiotics. The bowels might be at the root of autoimmune diseases: A chronically inflamed bowel (“Leaky Gut Syndrome”) leads to inflammation in other parts of your body.
• One study showed that calorie restriction might decrease inflammation. I would not aim for weight loss per se; eating a fresh diet might lead to weight loss anyway. But a one-day vegetable broth fast per week (see an earlier blog entry here) might be a good idea. – Interestingly, one study showed that fasting during infectious fevers reduced the risk of developing consequent autoimmune disease.
• Don’t try this at home … but nicotine seems to protect from autoimmune disease. So does cannabis (which is still illegal!).
If you want to know which of all the above ideas are most important – probably these: NO DAIRY, NO GLUTEN! Read More