Medicine, for me, is a quest for my healthier self, and healthier patients. I am learning something new every day. In a way, I feel sorry for my patients of so many years ago – now, I think, I could help them so much better.
This also implies that you – the patient – could possibly be a step ahead of your physician, if you are trying to figure out what makes your body feel better and stronger and more awake, and happier. With the Internet, we all have more information at our fingertips, flawed and good information, for sure – but more of the latter. If you ask me.
Take for instance the stomach problems that plagued me when I was younger. Setting out with conventional drugs like H2-receptor blockers (Tagamet, Zantac) and proton-pump inhibitors (Prilosec, Prevacid) years ago, I at least got the problem under control. Then, twenty years the, I found that at the root of my heartburn and stomach aches were allergies: I left out the offending foods – and I dropped all meds, and never looked back.
Forward a bit, and I discovered probiotics – bacteria that are helpful for the intestines. They improved my bowels, and I took them faithfully for many years. I still recommend them to nearly every patient I encounter. Many studies link probiotics to good clinical outcomes, even if we have not yet quite figured out all the intricacies of how they work. One thing is sure: What you eat helps or destroys the microbiome that coexists in your body. A microbiome is the whole entity of bacteria, good or bad, that thrives with you, in you, on you.
Don’t worry – the good guys are winning right now. Otherwise you would be dead. But that the good guys are winning is not guaranteed – it could change any moment. You could crowd out the good guys with sugar, or commercial dairy, or destroy them with a course of antibiotics) or meat from one of those inhumane, antibiotic-resistance breeding feed lots – the list is long how you can hurt your microbiome inside and outside; cosmetics and household cleaners are high on the list. But even if we did everything right in our personal lives, outside forces can destroy your good bacteria – pollutants in water, air and soil.
Not to be an alarmist, but no man is an island, and if we don’t preserve our Mother Earth, we surely can forget about the intricacies of feeding our coworkers - our good bacteria - the right amount of this and that.
Health comes down to the health of our gastrointestinal tract. Lately, I have found that probiotics can be applied not just as capsules or caplets, but as probiotic foods. A big group which I just mention in passing are fermented foods – sauerkraut, miso, kimchi, tempeh, and so on. “Fermented” can be taken as another word for “loaded with gut-healthy bacteria”.
I have argued widely against the dangers of dairy – and still do. Ninety-nine-point nine percent of dairy is bad for you because of the highly inflammatory proteins and cancer-breeding hormones (be it naturally occurring, or gene-technologically inserted). But there is a tiny fraction of organic dairy that contains live cultures. Examples are yogurt, kefir, buttermilk and sour cream. But only, if they truly are organic, contain live cultures and have absolutely no additives that turn a good food into a nightmare: sugars, sweeteners, fruit, fruit substitutes, tapioca, carrageenan, and so on. In my mind, to qualify as natural they also have to have their full fat content – nothing skimmed or improved or processed any way other than pasteurizing – and the good bacteria have to be added afterward. Fat is not the culprit in milk and milk products – milk proteins are. Not only are they inflammatory, but also addictive. Now you can even get dairy-free organic yogurts, made for instance from almond milk. Or probiotic powders, ready to be dissolved in warm water. But always read the labels for ingredients!
Good dairy bacteria do not take away dairy’s inflammatory proteins and cancer-causing hormones. Therefore these probiotics should be taken in small amounts – very small amounts, indeed: a sip or a teaspoon full is the serving size here. And you don’t eat or drink them. You swish them around in your mouth as long as you can stand it, or unless you forget about them, and finally swallow them.
Probiotics thus taken increase not only your gut health, but especially your oral health. Studies show that probiotics swished around in the mouth after brushing your teeth reduce caries and gum disease in most cases – and I bet the result would be even better if people would add a healthy, sugar-free diet on top of this.
Using this to fight caries sure beats taking poisonous fluoride. Fluoride made me always uneasy: Studies link fluoride to cancer and neurotoxicity. But other studies clearly showed that it reduced caries – and I had not yet come by a natural method to preserve my teeth. Granted, “primitive” societies usually boast perfect teeth, but I had not quite found out why. Not sure, why, but sugar-free nutrition was probably the main cause. Then again, who of us modern Americans can boast a totally absolutely sugar-free diet – since infancy? Not that I know anyone.
Still, I am a believer in brushing and flossing (and also with good results, I have to say) – and don’t want to get rid of that. But neither fluoride toothpaste appealed to me, nor the brutal cleaning of my teeth at the dentist’s office twice a year. There is nothing natural in putting sharp metal scraping objects in your mouth. Now I am using an organic, neem-based tooth powder most of the time.
With oral swishing probiotics we gently provide a mildly acidic environment in our mouths for a few minutes. That cleans your teeth of plaque and implants healthy bacteria into the lining of your mouth, which then can grow during the next hours, or overnight, and fight bad bacteria. The result is amazing. And natural.
We take for granted that with advancing age we will lose our teeth, and that diseases will creep up on us. Ever been to a nursing home? A certain old-age odor emanates from those old bodies. We think the odor is normal. It is not. If one eats well, nourishes one’s oral cavity and intestines, in their entire length, and not destroys the precious skin bacteria with harsh soaps and cosmetics, we would smell like babies until our final days (and those will come even if we take good care of ourselves, but I bet those final days with be sweeter and easier if you have lived your life well).
Working on the microbiome in my mouth – that has been the newest station on my medical quest. In a way, this quest has been a journey from mouth to anus - and still is. Read More
Blog: On Health. On Writing. On Life. On Everything.
The Wolf That Ravages - Lupus
July 31, 2011
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
2 Comments
These Times Are Hard On Your Liver
November 30, 2010
The liver is the heaviest organ in the body, and during the holidays, it is also the hardest working organ. Because the liver is your detoxification organ.
Too much heavy (sweet, fatty, alcoholic) foods hurt your liver – and too much even of good stuff can be hard on this most precious organ. But this is probably not the time to preach moderation. So what can you do to survive these taxing times? (I hope you hear the irony in my voice – when half of mankind is still starving).
Everything unhealthy has to be eliminated via the liver: spoiled and rotten food, modern preservatives, artificial colors and flavorings. If the liver is overloaded with rich foods and toxins, you end up with a fatty liver – a diseased liver that cannot fulfill its tasks properly. And if it gets really bad, you end up with cirrhosis, the shrinking of this valuable organ. Fatty liver is reversible with a better lifestyle; cirrhosis is not.
These are the essentials for a healthy liver:
• Drink enough water – not ice-cold. Herbal teas are helpful, especially in the winter season. Some of the herbs below come also as teas – make use of them. Enough fluid will flush out your liver.
• Elderberry juice helps regenerate the liver.
• Keep alcohol (wine, beer, liquor) at a minimum.
• After a big meal, go for a walk. A walk uses up some of the calories you have been ingesting, and it gives your whole digestive system a little boost – things in your stomach can settle, and the peristalsis gets a jumpstart. In Europe, Sundays and holidays will bring people out of their houses in droves – everybody goes for a walk after a feast.
• These herbs help to improve liver function: Most beneficial is milk thistle – you should have it at hand these days. Also helpful are bitter plants like dandelion, artichoke, sage, and gentian root. Most are available in capsules, often in combination.
• Kitchen herbs and spices also help digestion: For instance, the traditional stuffing for a goose is: grind the gizzards, add cut apples, raisins, walnuts and two hands full of fresh (or less of dried) marjoram. No bread!! Don’t know who invented the bread filling…
• A working gut relieves an overworking liver – and a probiotic helps with useful bacteria.
• Fermented foods like sauerkraut, soy sauce and miso help digestion. Traditional kitchens have very specific fermented foods – explore a Japanese or Korean store. Make sure you buy the real thing – not a modern product that still has the taste but no actual fermentation any more in the production process. Look up “fermented foods” in one of my earlier blogs.
• Make sure you eat not only meats and cakes and cookies – but also cabbages, red beets, celery and celeriac, carrots, cucumbers, radishes are famous for relieving a moaning liver.
• Take some very deep massaging breaths: Always start with exhaling. Deep breathing moves the abdominal organs, and oxygen is required in myriad detoxing chemistry processes of the liver. If you feel stuffed, do the deep breathing by lying on your back.
• Stop all unnecessary medications, especially over-the-counter drugs. They only burden your liver more.
And since we are discussing liver health: Hepatitis A can be acquired through food (especially uncooked oysters, and such), hepatitis B and C through sex, drugs and blood. There are vaccines available against A and B. Unfortunately not against C. It might be wise to get vaccinated. Talk to your doctor.
And enjoy the festivities! Read More