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.
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