Dr. Bray Links

Monday, November 30, 2015

The Celiac Disease Diet: Why Gluten-Free Isn’t Working


Check out this free webinar Dec 2, 2015 8pm EST about healing the gut in Celiac Disease:
http://solvingleakygut.com/webinar/internal-autoimmune/

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If you have Celiac disease and you’re following a conventional Gluten-Free Diet… but still experiencing any of these symptoms, the Celiac Disease Diet isn’t working for you either.

(Remember, only 50% of Celiac Disease symptoms actually occur in the digestive system.)

  • Recurring bloating and cramping
  • Chronic or recurrent diarrhea
  • Constipation
  • Nausea
  • Liver and biliary tract disorders
  • Weight loss
  • Pale, foul-smelling stool
  • Iron-deficiency anemia unresponsive to iron therapy
  • Fatigue
  • Arthralgia
  • Tingling numbness in the legs
  • Sores inside the mouth
  • Skin rashes/acne
  • Tooth discoloration or loss of enamel
  • Unexplained infertility or recurrent miscarriage
  • Osteopenia or osteoporosis
  • Anxiety and/or Depression

Each of these symptoms can present themselves as part of Celiac disease and simply removing gluten can help. Many people even see a disappearance of random symptoms after they go gluten free.

However, if you have Celiac disease, and any of the these symptoms are still present… even after you’ve removed gluten, it’s likely the Celiac Disease Diet isn’t working for you. It might be providing some relief, but it’s not healing the underlying damage in your gut… which dramatically increases your risk for cancer and the other diseases I just mentioned.

That doesn’t mean all hope is lost either….

So, Should Celiacs Eat a Gluten-Free Diet?

Yes… gluten is still the kryptonite in Celiac disease, don’t ever eat it. Following a gluten-free diet is a requirement for treating this autoimmune condition… but you can’t stop there.

This evidence clearly shows that only following a traditional Celiac Disease Diet doesn’t fix leaky gut, gut inflammation, or a damaged gut lining. That means the gluten-free diet isn’t enough to treat Celiac disease patients and anyone using it as the only protocol is at risk for dying much sooner than they should…

Like I almost did.

The conventional Celiac prescription is incomplete and not working. There needs to be more.

The real solution is fixing leaky gut. Reversing Leaky Gut is a critical step in reversing Celiac disease… and now you know that gluten-free doesn’t cut it.

That means we must fix leaky gut. That’s ground zero… where it all starts… and where medicine MUST look first when treating Celiac disease.

http://scdlifestyle.com/2015/11/the-celiac-disease-diet-why-gluten-free-isnt-working-and-what-to-do-instead/#more-11979

Sugar-free drinks may damage teeth, study says | Fox News


In their study, researchers also found that both sugary and sugar-free drinks— including flavored mineral water— cause a measurable loss of tooth enamel, with no significant difference between the two types of drinks. Six of eight of the sports drinks tested caused dental enamel loss.

Researchers suggested the following to protect teeth health:
- Look for acidic additives such as citric acid and phosphoric acid in the ingredient list of sugar-free products.
- After eating or drinking acidic products, rinse your mouth with water and wait for an hour before brushing. Doing so any sooner can remove the softened tooth layer.
- Chew sugarless gum after drinking acidic beverages— such as soda— on its own to increase saliva flow to neutralize the acid.

Friday, November 27, 2015

Was Linus Pauling Right About Vitamin C's Powers After All?


While most animals have the ability to produce vitamin C internally, three species cannot. Guinea pigs, primates, and humans must obtain their vitamin C from their diet.

Vitamin C has numerous functions in the human body,1 including acting as an essential cofactor in enzymatic reactions.

In this way, it plays a role in your body's production of collagen, carnitine (which helps your body turn fat into energy), and catecholamines (hormones made by your adrenal glands).

Vitamin C is also used by your body for wound healing, repairing, and maintaining the health of your bones and teeth, and plays a role in helping your body absorb iron.

A powerful antioxidant, vitamin C also helps prevent damage caused by free radicals. Over time, free radical damage may accelerate aging and contribute to the development of heart disease and other health conditions.

It's through this antioxidant effect that it's thought vitamin C may play a role in protecting heart health.

8-Year-Old Utah Girl Battling Breast Cancer


At just 8 years old, Chrissy Turner is battling a rare form of childhood breast cancer.

A few weeks ago, the little girl who loves Legos and dragons approached her mother and asked, "Mommy, what is this?"

Her mother, Annette, felt a lump in Chrissy's right breast and called the doctor the next morning, according to a Facebook page set up by the Centerville, Utah, family.

She was diagnosed with secretory breast carcinoma.

The medical journal Pediatric Surgery International reports that this type of cancer accounts for fewer than 1% of all breast cancers and fewer than 0.1% of all tumors in children. Expert reviews of the literature report just 34 cases total.

Generally, the prognosis is favorable; a mastectomy is required as the treatment of choice. She will then need multiple PET scans each year for five years.

Chrissy recently underwent surgery at Primary Children's Hospital in Riverton, Utah, to have the lump removed. She faces additional surgery in December, according to a GoFundMe account set up by friends of the family to help pay for her care.

Thursday, November 26, 2015

Alpha Lipoic Acid: Improve Insulin Sensitivity & Fight Diabetes! - Dr. Axe


The best way to get any nutrients is ideally through real food sources, since this is how your body knows how to absorb and use various chemicals best. ALA is found in many different plant and animal sources, since it's bound to protein molecules (especially lysine).

The concentration of ALA in different foods can vary widely depending on where they're grown, the quality of the soil, how fresh they are and how they're prepared, so it's hard to quantify how much is in each type of food. There hasn't been much research done to draw conclusions about how much ALA is found in particular foods, although we know vegetables and certain organ meats seem to be highest.

That being said, when you eat a whole food-based diet and vary the types of things you eat, chances are you consume a decent amount in addition to what your body already makes on its own.

Here are some of the best food sources of alpha lipoic acid (9):
    Broccoli
    Spinach
    Red meat
    Organ meat (sch as liver, hearts, kidneys from beef or chicken)
    Brussel sprouts
    Tomatoes
    Peas
    Brewer's yeast
    Beets
    Carrots

Two Trials Extending Resident Hours Called 'Unethical'


Two trials extending shifts of first-year residents from 16 hours to as many as 28 or more at nearly 190 teaching hospitals to see what would happen to patients and trainees alike have come under fire as "unethical."

Leveling that charge is the consumer watchdog group Public Citizen and the American Medical Student Association (AMSA), which includes residents. The two groups say that the trials not only have exposed sleep-deprived residents and their patients to harm but also have failed to obtain informed consent from them.

"These are among the most unethical studies I've seen in the past couple of decades," said Michael Carome, MD, director of Public Citizen's Health Research Group, in an interview with Medscape Medical News.

Joint Commission to Suspend Hospital Ratings in 2016


Last week, the JC published its list of 1043 hospitals that attained Top Performer status because of their performance in 2014. At the same time, it announced it would not issue such a list in 2016 regarding 2015 performance. It intends to use the hiatus to rethink how it should evaluate hospitals in the "evolving national measuring environment."

The problem is, the JC does not like how hospital quality metrics are evolving, especially on the federal side. There was a time, however, when the JC and the federal government were in sync, said Mark Chassin, MD, MPH, the group's president and chief executive officer, in an interview with Medscape Medical News.

Long-term T Does Not Up Risk for High-grade Prostate Cancer


Testosterone replacement therapy taken for up to 5 years is not associated with an increase in the risk that older men will develop high-grade prostate cancer, according to a study with more than 50,000 men with prostate cancer.

The results were published in the December issue of the Journal of Urology.

This study extends the length of time testosterone therapy, commonly known as T, has been studied in men who are subsequently diagnosed high-grade disease, explain the authors, led by Jacques Baillargeon, MD, from the University of Texas Medical Branch in Galveston.

"To date only one population-based study has been done to examine whether exposure to testosterone therapy increases the risk of high-grade prostate cancer," they write, referring to an analysis that examined up to 1 year of testosterone therapy use before a diagnosis of prostate cancer (Urology. 2013;82:321-326).

End of daily injections for diabetes as scientists restore insulin production


Now researchers at the University of California and Yale have shown that the 'T-regs' can be removed from the body, increased by 1,500x in the laboratory and infused back into the bloodstream to restore normal function.

An initial trial of 14 people has shown that the therapy is safe, and can last up to a year.
"This could be a game-changer," said Dr Jeffrey Bluestone, Professor in Metabolism and Endocrinology at the University of California, San Francisco (UCSF).

"By using T-regs to 're-educate' the immune system, we may be able to really change the course of this disease.

"We expect T-regs to be an important part of diabetes therapy in the future."

Wednesday, November 25, 2015

Medicine 2.0 - Talk 02 - Dr. Bray


Medicine 2.0 - Talk 02 - 11/21/2015: Doctor, send me to a nutritionist!: Causes and general strategies to improve digestion and absorption of essential nutrients (not your standard weight loss talk)

Materials for the research part of this talk (talk 02) can be found here. And talk 01 materials here.



** The VIMEO password is "smile" **

The Medicine 2.0 community outreach program is a pilot research project to demonstrate tangible improvements in healthcare metrics through greater physician-directed community-based group education.

The content presented focuses on areas of medicine that often require too much time for adequate education within the context of primary care visits, but are likely to have a large impact on health outcomes in the community. There are 12 talks coordinated by Dr. Christopher Bray. All content has been extracted from evidence-based published scientific data. Traditional alternative medicine is a mix of hearsay and pseudoscience, but also includes some very effective therapies. Often “thinking outside the box” is required to correct the course of chronic disease.

The fields of integrative medicine and functional medicine hold alternative approaches to maintenance of good health and treatment of disease accountable and require scientific evidence for endorsement and promotion of novel perspectives and therapies.

Dr. Bray has no conflicts of interest with any of the content presented. The presentations are not being used to "recruit patients" as he is not accepting new patients at the time of talks. The lectures are being made available for free. These lectures were delivered with the generous donation of facilities by Gainesville Health and Fitness Center. The primary intent was for community education and are wholly not-for-profit. Every effort was made to give credit to content creators of the material included in these talks.

For Talk 02, extracts from the following videos have been used within the guidelines of "fair use":

Tana Amen & Mark Hyman - Choosing Right Foods Part 1
Tana Amen
https://www.youtube.com/watch?v=VjgdHDiy7ho

Tana Amen & Mark Hyman Choosing Right Foods Part 2
Tana Amen
https://www.youtube.com/watch?v=1k4mJM-9Ty8

Food as Medicine
Tulane University
https://www.youtube.com/watch?v=goFb-gnZHyQ

Cooking up culinary medicine
Tulane University
https://www.youtube.com/watch?v=L0vWLn0lU5k

Medical School Announcement About PlantPure Nation
PlantPure Nation
https://www.youtube.com/watch?v=efIFyAtnXuU

*One of my favorite speakers*
Food as Medicine: Preventing and Treating the Most Common Diseases with Diet
NutritionFacts.org / Dr. Greger
https://www.youtube.com/watch?v=d0IhZ-R1O8g

Special thanks to the Institute of Functional Medicine (IFM):
https://www.functionalmedicine.org/

Medicine 2.0 - Talk 01 - Dr. Bray


Medicine 2.0 - Talk 01 - 11/7/2015: Help, I don’t need urgent care, I need a guide for better health!: Overview of emerging trends in chronic disease management through improved nutrition, movement and resiliency.

Materials for the research part of this talk can be found here.



** The VIMEO password is "smile" **

The Medicine 2.0 community outreach program is a pilot research project to demonstrate tangible improvements in healthcare metrics through greater physician-directed community-based group education.

The content presented focuses on areas of medicine that often require too much time for adequate education within the context of primary care visits, but are likely to have a large impact on health outcomes in the community. There are 12 talks coordinated by Dr. Christopher Bray. All content has been extracted from evidence-based published scientific data. Traditional alternative medicine is a mix of hearsay and pseudoscience, but also includes some very effective therapies. Often “thinking outside the box” is required to correct the course of chronic disease.

The fields of integrative medicine and functional medicine hold alternative approaches to maintenance of good health and treatment of disease accountable and require scientific evidence for endorsement and promotion of novel perspectives and therapies.

Dr. Bray has no conflicts of interest with any of the content presented. The presentations are not being used to "recruit patients" as he is not accepting new patients at the time of talks. The lectures are being made available for free. These lectures were delivered with the generous donation of facilities by Gainesville Health and Fitness Center. The primary intent was for community education and are wholly not-for-profit. Every effort was made to give credit to content creators of the material included in these talks.

For Talk 01, extracts from the following videos have been used within the guidelines of "fair use":

What Is Integrative Medicine?
Andrew Weil, M.D.
https://www.youtube.com/watch?v=4pXsm3qaFIk

Real Food: The Best Diet
Andrew Weil, M.D.
https://www.youtube.com/watch?v=nRTKgp5nz18

CLEVELAND CLINIC FOR FUNCTIONAL MEDICINE
Cleveland Clinic
https://www.youtube.com/watch?v=0OdgXIzFVQU

Mark Hyman at TEDMED 2010
TEDMED
https://www.youtube.com/watch?v=IhkLcpJTV9M

Genomics and Functional Medicine - July 2015 Functional Forum
Functional Forum - Jeffrey Bland
https://www.youtube.com/watch?v=pfYQ8EcMpLg

Special thanks to the Institute of Functional Medicine (IFM):
https://www.functionalmedicine.org/

Monday, November 23, 2015

Medicine 2.0 - Future Talks

Medicine 2.0 Community Outreach Program
Dr. Christopher L. Bray MD PhD ABIHM

11/7/2015: Help, I don’t need urgent care, I need a guide for better health!: Overview of emerging trends in chronic disease management through improved nutrition, movement and resiliency

11/21/2015: Doctor, send me to a nutritionist!: Causes and general strategies to improve digestion and absorption of essential nutrients (not your standard weight loss talk)

12/5/2015: Doctor, fix my gut!: Prebiotics, probiotics, infections and bacterial imbalances in the human microbiome

12/19/2015: My salmon was eating what?: Farming methods, food storage, food processing and cooking methods and the net impact on health (not your standard diabetes talk)

1/2/2016: Fans of heavy metal are not welcome!: The impact of metals on health and strategies to detoxify your life

1/16/2016: What’s in my water?: The impact of emerging endocrine disruptors and other chemical toxins on health

1/30/2016: I’m really inflamed!: Relationship between immune system dysfunction, chronic infections and inflammation

2/13/2016: I need to cool off!: Introduction to an anti-inflammatory diet, phytonutrients and botanicals

2/27/2016: My hormones are not right!: Health consequences of imbalances in hypothalamic, pituitary, adrenal, thyroid and gonadal endocrine systems

3/12/2016: Shot through the heart, and your to blame!: Root causes of cardiovascular disease and nutritional / lifestyle strategies in optimizing health

3/26/2016: Doctor, I’m tired all the time!: The importance of the mitochondria in health, common mitochondrial toxins and fatigue as dysfunction of the mitochondria

4/9/2016: My head is going to explode!: Root causes of migraines and depression and nutritional / lifestyle strategies in optimizing health


** All talks are at Gainesville Health and Fitness Center from 10am until noon on Saturdays **

** Topics and date may change and it is best to check docbray.com for schedule changes **

Sunday, November 22, 2015

8 Strategies to Eliminate Psoriasis - Hyman


Heal Psoriasis with these Strategies

While psoriasis often becomes linked with gluten intolerances, that isn’t always the case. The three biggest culprits are:

  • Gluten sensitivities
  • Yeast overgrowth in the gut
  • Heavy metals exposure

To address psoriasis, I remove these obstacles while restoring the body’s natural balance. It really becomes that simple. Take away the things that cause the problem and add those that ameliorate it.

With that approach, I’ve found these eight strategies can naturally heal psoriasis without steroids, creams and other invasive procedures.

  1. Eat a whole food, anti-inflammatory diet. Focus on anti-inflammatory foods including wild fish and other sources of omega-3 fats, red and purple berries (rich in polyphenols), dark green leafy vegetables, orange sweet potatoes and nuts. Add anti-inflammatory herbs, including turmeric (a source of anti-inflammatory curcumin), ginger and rosemary to your daily diet. Eliminate inflammatory foods such as refined, omega-6 and inflammatory oils – including:  corn, soy and safflower oils.
  2. Remove food sensitivities. These include gluten and dairy. 
  3. Test for heavy metal toxicity. Mercury and other metals trigger or exacerbate psoriasis. 
  4. Fix your gut. Your gut plays a significant role in skin health. One study found intestinal permeability (or leaky gut) can contribute to psoriasis. Yeast overgrowth, abnormal gut flora and other gut issues can also trigger or exacerbate psoriasis. If you suspect these or other issues, work with an integrative practitioner to optimize your gut health. I often use prescription or herbal antifungals to treat the yeast.
  5. Use the right supplements. Nutrients like fish oil, vitamin D and probiotics can help eliminate psoriasis. Also consider anti-inflammatory nutrients like quercetin, grape seed extract and rutin. Using UltraInflamX PLUS 360 as a meal replacement also helps many of my patients with inflammation. You can find these and other professional-grade supplements in my online store.
  6. Exercise regularly. Regular exercise is a natural anti-inflammatory. One study found increased physical exercise along with dietary intervention reduced psoriasis severity in systemically treated overweight or obese patients with active psoriasis. You don’t have to go to the gym, run on a treadmill and pump iron to stay in shape. Just start moving around more. Go for walks with your friends or family. Go out and do some gardening. Play Frisbee in the park with your kids. Pick up a tennis racket and just knock a tennis ball around. Anything you can do to get out and move your body can be considered exercise. So don’t think that you absolutely have to go to the gym to get fit. Just use your body more.
  7. Practice deep relaxation. Studies show chronic stress can influence the development and exacerbation of psoriasis. The proportion of psoriasis patients who believe stress affects their skin condition ranges from 37 to 78 percent, and researchers believe stress may worsen psoriasis severity and may even lengthen the time to disease clearance. Calming techniques such as yoga, deep breathing, biofeedback, massage or my UltraCalm CD can reduce stress and anxiety to promote relaxation.
  8. Sleep for 8 hours every night. Studies show patients with psoriasis suffer from more sleep disturbances. While some situations require professional help, you can improve sleep quality and quantity by implementing my 19 sleep tips from this blog.

How to Eat Healthy & Still Be a Gracious Holiday Dinner Guest - Aviva Romm


So how can you enter the holiday season, with all of its visiting and shared meals, be a gracious and kind dinner guest, not give into the temptation to acquiesce so you don't cause hurt feelings, and follow the food rules that keep you feeling on top of your game and health?

Here are 5 simple table tips:
1. Give a head's up: Let your host know as far as possible ahead of time that you are looking forward to the shared meal, and that you also hap- pen to have health-based food restrictions that you really do have to follow or else you pay for it later. You don't want to be a nuisance but this is important to you. A bit of disclosure ahead of time will make things less uncomfortable for you than rejecting platter after platter at the dinner table.

2. Bring a dish: Ask your host if it would be helpful and welcomed for you to bring a couple of dishes that will meet your health needs and that you can also share with others. Find out what foods coordinate with what is being served so your dish will harmonize with the meal. It's quite likely that another dinner guest will have some food restric- tions if the dinner party is large enough, so prepare foods that are as allergen-free as possible – i.e., gluten-free, dairy-free, sugar-free will cover a lot of people's needs these days.

3. Don't show up hungry: Eat something at home before you go to the dinner. Getting satisfied on healthy foods before the festivities will make it less tempting to fill up later on things that will leave you feeling bad in the long run.

4. Bring your enzymes: If you have a food intolerance but not a terrible food allergy, bring along some di- gestive enzymes to take at the start of the meal – this can help prevent some of the symptoms that might usually result from eating foods that don't agree with you should you inadvertently eat something "contraband" or decide to go with the flow.

5. Be kind and confident: Be true to your health and tell the truth without apology while at the A simple statement such as "I don't mean to be rude, but I am truly gluten intolerant and can't eat that… as much as I really want to" can make a huge difference when you decline that basket of bread or pumpkin pie. It might even get you a wink of admiration from someone, and get a conversation going about health and food. Others may find themselves eating healthier because of your honesty. Regardless, others' food issues, their judg- ments, or disapproval should they express any, are not your problem. You have the right to eat well and feel well, so don't internalize any guilt!

Saturday, November 21, 2015

Dealing with indigestion during the holidays


Eating clean, whole foods and getting to the root cause of your belly issues is the only way to ensure you'll fingure out what the problem is without blindly taking a band-aid approach to cover up your symptoms.

I personally spent the first 20 years of my life covering up stomach pain symptoms- not knowing why I was bloated or uncomfortable after eating. Once I started to look at the bigger picture as to what was going on inside my stomach, I realized I was lacking enough of the right enzymes to help my poor, little body break down my food.

I can still remember my doctor giving me a bottle of enzymes and feeling like a million bucks -- without bloating -- as soon as I started taking them. Now, I take enzymes with my meals every day and take them with me when I travel and eat out in restaurants because it's not worth forgetting about them and then have to deal with bloating or being uncomfortable for the rest of the day.

Whether you have heartburn, bloating or gas, you can work with your doctor to figure out what's going on inside and help support your body by breaking down those foods as soon as you bite into them.

Occasional heartburn goes hand in hand with indigestion. When we don't have enough digestive enzymes to break down our food, it begins to ferment in the digestive tract, generating all sorts of uncomfortable reactions, like gas, bloating, etc. This can happen with anything we eat, but it especially happens with those who suffer from food intolerances, or enzyme deficiencies, such as gluten, dairy, casein, etc. These individuals, myself included, don't have enough of, or the right enzymes to break down the food that they consume, and negative reactions result.

Friday, November 20, 2015

Mercury toxicity is unfortunately common


"So the mercury is wearing out the mitochondria, and that could be through the whole body. Another target that's more of an organ target would be the thyroid, and there's a similar effect there. In the thyroid, it blocks the conversion of T4, which is the hormone that comes out of the thyroid. It blocks the conversion of T4 to T3, which is the one that's active in the rest of the body, turning up the respiration in the rest of the body. So there's another thing where it's bringing fatigue, possibly weight gain. It's slowing down metabolism. Then let's hit one third very common target in the body, and that's the brain. The most well-defined target in the brain is the NMDA receptor, which is the glutamate receptor. In your brain, the symphony of neurochemistry in your brain is most dominated by the yin-yang pair of GABA and glutamate, where GABA is a calming neurotransmitter and glutamate is an activating neurotransmitter. But when glutamate is hyper-expressed, as happens with mercury toxicity, you get high levels of anxiety. You're overstimulated and your body is stuck in what's called sympathetic autonomic tone, where it can't relax, it can't repair, it can't digest. It's just running, running, running, in fear all the time. And so there's this combination of fatigue in the body while hyper-stimulating the neurology that's sort of the most common presentation of mercury toxicity."

Dr. Shade obtained a bachelor's and a master's degree from Lehigh University in environmental and aqueous chemistry and a PhD from the University of Illinois, where he studied metal-ligand interactions in the environment and specialized in the environmental and analytical chemistries of mercury. During his PhD work, Dr. Shade patented analytical technology for mercury speciation analysis and later foundedQuicksilver Scientific to commercialize this technology, and it's the lab that we use for heavy metal and mercury testing, as you'll learn in the show. Shortly after starting Quicksilver Scientific, Dr. Shade turned his focus to the human aspects of mercury toxicity and the functioning of the human detoxification system.

Thursday, November 19, 2015

Isocaloric fructose restriction and metabolic improvement in children with obesity and metabolic syndrome


Chronic diseases such as non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes (T2DM) now occur in children, an age group that had never previously manifested such pathologies. In addition, dyslipidemia and hypertension, two risk factors for cardiovascular disease (CVD), are now common in childhood [1, 2]. While these diseases clearly exhibit higher prevalence in children with obesity, they nonetheless occur in those with normal weight [3]. Furthermore, the prevalence of diabetes is higher than obesity prevalence in some countries, such as India, Pakistan, and China [4], suggesting that calories alone do not explain this phenomenon. It has been hypothesized that changes in dietary composition associated with the Western diet are responsible for biochemical alterations which promote insulin resistance and foment these diseases, known collectively as metabolic syndrome [5]. Fructose has attracted particular concern, due to several unique metabolic and neuroendocrine properties: 1) it is metabolized almost exclusively in the liver [6]; 2) it serves as a substrate for de novo lipogenesis and drives hepatic triglyceride (TG) synthesis and accumulation [7, 8]; 3) it engages in non-enzymatic fructation and reactive oxygen species formation which causes cellular dysfunction [9]; 4) it does not suppress the hunger hormone ghrelin, resulting in excessive consumption [10]; and 5) it stimulates the nucleus accumbens resulting in increased reward and continued ingestion [11]. Short-term studies demonstrate that excessive oral fructose increases serum TG and visceral fat more than does its isomer glucose [12]. However, previous clinical studies of orally administered fructose on surrogate markers of metabolic syndrome were confounded by the administration of excessive or pharmacologic doses and by the inability to isolate the metabolic effects of fructose from either its caloric content or its effects on weight gain and adiposity.

Instead, we assessed the effects of dietary sugar restriction with isocaloric substitution of starch (complex carbohydrate) on metabolic parameters in children with obesity with high habitual added sugar consumption who evidenced co-morbidity, so as to obviate concerns of dose, caloric equivalence, or effects on adiposity.

EWG's 2015 Shopper's Guide to Pesticides in Produce™


EWG analyzed pesticide residue testing data from the U.S. Department of Agriculture and Food and Drug Administration to come up with rankings for these popular fresh produce items. All 48 foods are listed below from worst to best (lower numbers = more pesticides)

Note: EWG analyzed pesticide tests of 48 popular produce items. Domestic and imported versions of two items - blueberries and snap peas- showed sharply different results, so we have ranked those domestic and imported items separately. As a result, the full list of foods ranked by the Shopper's Guide displays 50 entries.

Scientists Have Found Bacteria Resistant To 'Last Resort' Drug


In a report published Thursday in The Lancet Infectious Diseases, a U.K.-based medical journal, the scientists wrote that they'd found colistin-resistant bacteria on a Chinese pig farm. Later, they observed the resistant bacteria in raw meat and even humans.

Colistin, a 50-year-old drug used on animals more than humans, is given to people only when all other antibiotics have proven ineffective.

The resistant mutation, dubbed the MCR-1 gene, was found in one-fifth of the 804 animals observed. It also showed up in 15 percent of the 523 raw meat samples and in 1 percent of the 1,332 patients observed in the roughly three-year study.

One in two healthy adults will develop pre-diabetic high blood sugar



Almost half of 45-year-olds will develop so-called prediabetes, an elevated blood sugar level that often precedes diabetes, according to a large study from The Netherlands using population estimates.
Prediabetes, sometimes called impaired glucose metabolism, has no clear symptoms, but people with higher than normal blood sugar based on a blood test should be tested for diabetes every one or two years, according to the American Diabetes Association.

"We have known this from previous studies - but what this study adds is a method of communicating risk in a better way - a person's lifetime risk of developing diabetes," said Dr. Kamlesh Khunti of Leicester General Hospital in the U.K., who coauthored an editorial accompanying the new results.
One in three healthy 45-year-olds will develop diabetes in his or her lifetime, Khunti said.

Wednesday, November 18, 2015

Diverticulosis and diverticulitis: Integrative prevention and treatment



In the 1960’s, successful British surgeon Denis Burkitt traveled to Uganda to undertake a medical mission among the African native population. There, he characterized a rare form of cancer, eventually to be named “Burkitt’s lymphoma.” But Burkitt is probably best known as the “Fibe rMan” after his observation that diseases such as hypertension, diabetes, colon cancer and diverticulosis were virtually unknown among fiber-consuming Africans.

In Uganda, Burkitt noted that Africans produce several times more fecal material than their Westernized counterparts. Moreover, their bowel movements are soft and produced with negligible discomfort, seemingly at will, and were more likely to float. Burkitt hypothesized that a major cause of Western disease is the consumption of refined carbohydrates with its low content of dietary fiber. Constipation, the nutrition pioneer inferred, was the root of many of the maladies of modern man.

According to this theory, diverticulosis can be mechanistically attributed to years of inefficient elimination, the consequence of increased intra-intestinal pressure. Like high air pressure in a worn-out bicycle tire inner tube, increased pressure in the intestine generated by stasis and straining can cause small ruptures and outpocketing, the condition known as diverticulosis. It is estimated that more than half of individuals older than sixty in industrialized countries have diverticulosis. This is evidenced by routine findings on colonoscopy or barium enema screenings. Diverticulosis mostly occurs near the end of the long intestine, on the left side, although serious cases can leave the entire intestine riddled with scores of outpocketings.

Diverticulosis is in itself a benign condition, but troubles arise when it turns into diverticulitis. This occurs when infection develops in the tiny blind alleys where diverticula (the plural of diverticulum) form off the intestinal main highway. Infections can lead to pain, fever, abscesses and, in the worst case scenario, rupture of the intestinal wall with release of pus into the abdominal cavity (peritonitis).

The latter is a medical emergency equivalent to appendicitis. (Indeed, it could be argued that the appendix is a natural anatomical diverticulum that also is susceptible to infection.)

When peritonitis is not imminent, diverticulitis can be “cooled down” with antibiotics and “bowel rest”—a light diet consisting of clear liquids. But repeated bouts of diverticulitis often raise the specter of surgical removal of a segment of the large intestine.

Prevention of diverticulosis is no longer a matter of controversy—lifelong adherence to a high fiber diet makes it extremely unlikely. Once diverticulosis predisposes to diverticulitis, there are no foods or supplements that reverse the structural changes in the walls of the intestine that predispose to infection; just as with blood vessel aneurysms, diverticuli cannot be coaxed to revert back to normal. But conventional nutritionists agree on certain preventive measures: a diet high in non-abrasive soluble fibers and avoidance of certain foods.

Soluble fibers (such as pectin from apples or gums from cooked cereal) gently distend the intestinal wall and alleviate constipation, and they provide a growth medium for beneficial intestinal bacteria, which optimize stool consistency and suppress the growth of pathogenic organisms responsible for diverticulitis. In contrast to abrasive insoluble fibers such as cellulose, soluble fibers are less likely to get “stuck” in tiny diverticuli and form a nidus for infection (sometimes referred to as a fecalith).

For the same reason, nutritionists counsel patients with repeated bouts of diverticulitis to avoid certain foods that shed indigestible particles into the intestine: whole or chopped nuts, popcorn, granola and seeds (but not smooth or creamy nut or seed butters); strawberries, raspberries, blackberries, figs, zucchini, cucumbers and tomatoes (but not tomato sauce); baked goods that have cracked wheat, poppy, sesame, sunflower or caraway seeds; abrasive raw salad ingredients (but not cooked vegetables); and fruit peels (but not peeled fresh fruit without seeds or pits).

But in the course of researching my book 7 Weeks to a Settled Stomach and after treating scores of patients with diverticulitis at the Hoffman Center, I developed additional powerful tools for preventing recurrent infections and heading off intestinal surgery. (Remember that I am all-too-often called upon to be the “court of last resort” for many patients faced with imminent surgery for advanced GI disorders!)

In particular, I have found Elaine Gottschall’s “Specific Carbohydrate Diet” to be a godsend for patients suffering repeated bouts of diverticulitis. In 1994 I was privileged to be invited to write the forward to Elaine’s revolutionary book, Breaking the Vicious Cycle. In it, she outlines a dietary program that has provided relief to thousands of sufferers of ulcerative colitis and Crohn’s disease, and that forms the mainstay of the Hoffman Center’s approach to severe GI problems.

The diet does not propose an outright ban on carbohydrates but instead allows only those that do not support intestinal fermentation. It turns out the suppression of fermentation is an ideal strategy for controlling the bacterial proliferation that leads to recurrences of diverticulitis. Once the “vicious cycle” of overgrowth of harmful bacteria is broken, infections can be better controlled.

Another way to tackle the vicious cycle is to systematically reintroduce beneficial bacteria via foods such as “live” yogurt and unpasteurized sauerkraut.  Alternatively, probiotic formulas, in capsules or powder, offer more targeted delivery of healthy flora.

Additionally, there are numerous natural supplements that can gently suppress out-of-control bacteria. These include concentrated extracts of garlic, gentian, olive leaf, oregano and goldenseal. Unlike conventional antibiotics, these agents are less likely to engender bacterial resistance or deplete beneficial intestinal flora.

For more information on this subject: http://www.scdrecipe.com/journal-entry/ronald-hoffman-radio-talk-september/

Tuesday, November 17, 2015

US sexually transmitted disease epidemic worsening, CDC says


A U.S. sexually transmitted diseases epidemic is increasing and the most common infection, chlamydia, has risen to record levels, government officials say.

Reported cases of chlamydia, gonorrhea and syphilis all increased in 2014. Chlamydia cases had dipped in 2013, but last year's total of more than 1.4 million - or 456 cases per 100,000 - was the highest number of annual cases of any condition ever reported to the federal Centers for Disease Control and Prevention. The chlamydia rate was up almost 3 percent from 2013, the CDC reported Tuesday.

New Approach to Fibromyalgia Tackles Poor-Quality Sleep


For patients with fibromyalgia, directing treatment toward nonrestorative sleep, a key feature of the syndrome, leads to improvements in other symptoms of the disease, including pain, according to two analyses of data from the phase 2b placebo-controlled BESTFIT study.

"It's been known for a long time that poor-quality sleep correlates with disease severity in patients with fibromyalgia," said Seth Lederman, MD, chief executive officer of Tonix Pharmaceuticals in New York City, who was involved in both analyses.

"We recognized that sleep wasn't only a symptom; poor sleep exacerbates the pain of fibromyalgia. It's probably a vicious cycle of poor sleep, more pain, more pain, and worse sleep," he told Medscape Medical News.

"Bedtime sublingual cyclobenzaprine hydrochloride, which targets several key receptors involved in sleep regulation, doesn't work right away, but after about 4 weeks, we are seeing an improvement in sleep quality, and after that, pain and other symptoms also improve," Dr Lederman said.

The results of the analyses were presented at the American College of Rheumatology (ACR) 2015 Annual Meeting in San Francisco.

Friday, November 13, 2015

Plasma biomarker for detection of early stage pancreatic cancer


We recently reported that circulating apolipoprotein AII (apoAII) isoforms apoAII-ATQ/AT (C-terminal truncations of the apoAII homo-dimer) decline significantly in pancreatic cancer and thus might serve as plasma biomarkers for the early detection of this disease. We report here the development of novel enzyme-linked immunosorbent assays (ELISAs) for measurement of apoAII-ATQ/AT and their clinical applicability for early detection of pancreatic cancer. Plasma and serum concentrations of apoAII-ATQ/AT were measured in three independent cohorts, which comprised healthy control subjects and patients with pancreatic cancer and gastroenterologic diseases (n = 1156). These cohorts included 151 cases of stage I/II pancreatic cancer. ApoAII-ATQ/AT not only distinguished the early stages of pancreatic cancer from healthy controls but also identified patients at high risk for pancreatic malignancy. AUC values of apoAII-ATQ/AT to detect early stage pancreatic cancer were higher than those of CA19–9 in all independent cohorts. ApoAII-ATQ/AT is a potential biomarker for screening patients for the early stage of pancreatic cancer and identifying patients at risk for pancreatic malignancy.

Do you know what's in your pad or tampon?


"Our concerns of the care products ... was out of the lack of ingredient disclosure," said Alexandra Scranton, director of science and research for Women's Voices for the Earth. The group has been leading a two-year campaign it calls "Detox the Box."

When the group tested P&G's Always pads, it found the sanitary napkins emitted chemicals, like styrene, chloroethane and chloroform. The World Health Organization classifies styrene as a carcinogen. And the EPA says short-term exposure to high concentrations of chloromethane can have neurological effects. The Centers for Disease Control and Prevention says high levels of exposure to chloroethane can result in lack of muscle coordination and unconsciousness.

New sexually transmitted infection spreading — RT UK


People across the UK could be infected with a newly discovered sexually transmitted infection (STI), according to new research.

Known as MG, mycoplasma genitalium does not produce many symptoms, but it can be transmitted via sexual intercourse. New research suggests up to one percent of 16-24 year olds in the UK could be affected.

MG is associated with causing discharge, testicular pain, pelvic pain and bleeding after sex in women, but mostly people who have the infection show no signs of disease. Scientists also believe the bug can cause pelvic inflammatory disease, infertility and ectopic pregnancy.

Public Health England (PHE) now believes they have found further evidence to suggest that MG is contracted through sexual intercourse.

Thursday, November 12, 2015

Tocotrienol - Wikipedia


In the 1990s, studies showed tocotrienols are the components of vitamin E responsible for growth inhibition in human breast cancer cells in vitro,[53] through estrogen-independent mechanisms.[54] Tocotrienols work synergistically with tamoxifen, a commonly used breast cancer medicine, in killing cancer cells.[55]

Tocotrienols can also affect cell homeostasis, possibly independently of their antioxidant activity.[56] Anti-cancer effects of α- and γ-tocotrienol have been reported, although δ-tocotrienol was verified to be the most effective tocotrienol in inducing apoptosis[57] (cell death) in estrogen-responsive and estrogen-nonresponsive human breast cancer cells. Based on these results on cells in culture, investigators have hypothesised that a mixture of α- and γ-tocotrienols might reduce breast cancer risk.[58]

Further studies on tocotrienol and breast cancer indicated that gamma-tocotrienol targets cancer cells by inhibiting Id1, a key cancer-promoting protein. Gamma-tocotrienol was shown to trigger cell apoptosis as well as anti-proliferation of cancer cells. This mechanism for δ- and γ-tocotrienol was also observed in separate prostate cancer and melanoma cell line studies.[59]

In 2009, a study by scientists at the College of Pharmacy, University of Louisiana at Monroe, showed that lower level statin treatment in combination with γ-tocotrienol inhibits growth of highly malignant +SA mammary epithelial cells in culture (suggesting the possibility of avoiding myotoxicity associated with high dose statin monotherapy).[60]

Natural anti-inflammatory agents for pain relief


The use of both over-the-counter and prescription nonsteroidal medications is frequently recommended in a typical neurosurgical practice. But persistent long-term use safety concerns must be considered when prescribing these medications for chronic and degenerative pain conditions. This article is a literature review of the biochemical pathways of inflammatory pain, the potentially serious side effects of nonsteroidal drugs and commonly used and clinically studied natural alternative anti-inflammatory supplements. Although nonsteroidal medications can be effective, herbs and dietary supplements may offer a safer, and often an effective, alternative treatment for pain relief, especially for long-term use.

Wednesday, November 11, 2015

Some Older Patients Are Treated Not Wisely, but Too Much - NYTimes.com


"In our health care system, we are all more scared of failing to do something than of doing too much," said Dr. Jeremy Sussman, a primary care physician and research scientist at the Ann Arbor hospital.

Under current guidelines, most older patients with diabetes don't have to get their blood sugar to rock bottom; a 7.5 or 8 percent HbA1c produces the same benefits as very low glucose.

Blood pressure readings, too, should be allowed to rise as patients age — up to 150 millimeters of mercury for systolic pressure. The previous goal was to keep it below 140.

Complicating this question, a large trial of intensive blood-pressure control, announced Monday in The New England Journal of Medicine, found that patients randomized to an extremely low blood pressure goal — 120 millimeters of mercury or below — in fact did see substantially lower death rates. The benefit was seen in patients over age 75.

But the new trial did not include people with diabetes, who are at higher risk for cardiovascular problems. A widely cited study called Accord, published in 2008 in The New England Journal of Medicine, found that intensive therapy to reduce blood glucose actually resulted in higher mortality. Expect debates among those who treat older patients about how to apply these results.

Doctors prescribe new apps to manage medical conditions | Fox News


The new apps aim to help with highly specific issues such as recovering from surgery and managing cancer-related pain. Because they are prescribed by physicians and used under medical supervision, researchers say, they stand a better chance of being integrated into patients' daily routines, compared with health apps that consumers download and use without their doctors' involvement.

Researchers are conducting clinical trials to test apps that help patients adhere to HIV medications, manage the symptoms of inflammatory bowel disease and asthma, and prevent repeat heart problems after a cardiovascular rehabilitation program. In addition to sending messages, reminders and instructions, the apps can alert providers to developing problems before they become a crisis. Researchers say their use could help reduce costly emergency room visits and hospitalizations.

Patients (and Insurers) to Doctors: More Empathy, Please!


"The big word in medicine right now is 'value,'" observes Dr Tulsky, the study's lead author. "Quality comprises two things: One is outcomes; the other is the patient experience. Health systems, particularly as there is more competition among them, are beginning to recognize that patient experience drives quality. That is what is expected by people. A key piece of the patient experience is what the encounter is like with their provider. The thing that will affect their sense of having a good experience is their sense of a clinician whom they believe understands what they're going through. That's the definition of empathy."

Food Allergy Connected to Irritable Bowel Syndrome


Food allergy and atopy might be underlying factors in some patients with irritable bowel syndrome (IBS), two new studies suggest.

In fact, the constellation of allergic asthma, rhinitis, and eczema in a subgroup of IBS patients goes hand-in-hand with diarrhea and gastrointestinal reactions to food.

"The thinking is that if you can figure out their food allergies, you can really improve their diarrhea and abdominal pain. And we see in the clinic that they do feel better," said senior investigator Mary Tobin, MD, an allergist at the Rush University Medical Center in Chicago.

The findings of both studies were presented here at the American College of Allergy, Asthma & Immunology 2015 Annual Scientific Meeting.

In a previous study that Dr Tobin was involved in, patients with atopic symptoms were shown to be more likely to have IBS than patients without atopic symptoms (odds ratio, 3.2) (Ann Allergy Asthma Immunol. 2008;100:49-53).

In their current study, Dr Tobin and her colleagues identified a possible connection between the allergic airway and the allergic gut.

They evaluated 122 with atopic IBS and 32 with nonatopic IBS. Median age was 34.2 years.
In patients with atopic IBS, the predominant GI symptom was diarrhea, whereas in those with nonatopic IBS, the predominant GI symptom was constipation (P < .05).

The diarrhea is possibly from increased mucosal mast cells and gut permeability, which are associated with IgE-mediated reactions, such as food allergy, Dr Tobin explained.

Testing for Food Allergies
In the second study, 48 patients with atopic IBS, 65% of whom reported GI symptoms after eating specific foods, underwent skin prick testing for a panel of food allergens, including peanut, tree nuts, fish, shellfish, egg, milk, cereals, meats, poultry, fruits, vegetables, and legumes. Mean age was 37.2 years.

Express Scripts sues Horizon over prescriptions


"Our philosophy of ensuring that patients get the medicine their doctors prescribe is threatening Express Scripts' profiteering and exposing what we believe is a lack of care for patients and respect for physicians," said Timothy P. Walbert, chairman, president and chief executive officer.
Express Scripts says customers have many pharmacy choices for getting their medicines, and it takes action when pharmacies fall out of compliance with network agreements.

Monday, November 9, 2015

Study finds that vegetable oils pose health risks in cooking | Fox News


*Damaged oils are the ones we have to be concerned about, not natural undamaged oils*
-CB

---

Like cooking with vegetable oils as a "healthy" alternative to lard and butter? A professor in England has some bad news: When you heat up oils such as sunflower or corn oil, they produce intense concentrations of chemicals known as aldehydes that have been associated with dementia, heart disease, and cancer, the Telkegraph reports.

"I was surprised as I'd always thought of sunflower oil as being 'healthy,'" chemistry professor Martin Grootveld told the BBC in July. In his study, Grootveld had people cook with various oils and fats and hand over the remainder for analysis at De Montfort University in Leicester, England; his team also heated the same fats and oils and compared the findings.

Sunday, November 8, 2015

Global diets becoming more unhealthy as factory food imperialism expands internationally


A study published in The Lancet Global Health that focused on global dietary health yielded some unsettling findings, building the case that diets around the world are worsening instead of improving.
The study outlined what are considered healthy foods -- whole grains, fruits, vegetables, polyunsaturated fat, plant omega-3s, fish, legumes, milk and dietary fiber -- and compared them to unfavorable dietary patterns in which people consumed the likes of processed meats, trans-fats and sugar-sweetened beverages.

Overall, the results concluded that depending on resources, some people were eating healthier, while a majority were still turning to processed, unfavorable foods.

According to the study, "by 2020, nearly 75% of all deaths and 60% of all disability-adjusted life years will be attributable to [non-communicable diseases] and most of the key causes of these conditions are dietary or strongly diet-related."

Commodity traders eyed as large reason behind faltering dietary habits
Many experts say unhealthier dietary patterns can be traced to food supply and distribution issues.
For example, a good part of the problem concerning the decline in healthy eating is that much of our food supply and distribution depends on the four big commodity traders known collectively as the ABCD companies: Archer Daniels Midland (ADM), Bunge, Cargill, and Dreyfus (Louis Dreyfus).
They are considered to be the dominant grain traders of the world and key players in the agri-food system, responsible for many diverse companies, agricultural activities, storage and shipments.
For example, Cargill supplies Kraft, Unilever, Nestle and General Mills.

Monday, November 2, 2015

Highly processed foods cause food addiction similar to hard drugs, study shows


The conclusion of the report states:
The current study provides preliminary evidence that not all foods are equally implicated in addictive-like eating behavior, and highly processed foods, which may share characteristics with drugs of abuse (e.g. high dose, rapid rate of absorption) appear to be particularly associated with 'food addiction.'

In other words, the highly processed foods work on our bodies in similar ways that addictive hard drugs do: they are absorbed into our bloodstreams quickly and in high doses, but do they actually give us a "rush" or a "high" similar to hard drugs?

How is cheese like heroin?
Dr. Neal Barnard is the president of the Physicians Committee for Responsible Medicine and has written a book titled Breaking the Food Seduction in which he explores the mechanics of food addiction.

Barnard explains the addictive effect of the "casomorphins" that are produced in the body and released in the brain upon digestion of cheese:
Casomorphins attach to the brain's opiate receptors to cause a calming effect in much the same way heroin and morphine do. In fact, since cheese is processed to express out all the liquid, it's an incredibly concentrated source of casomorphins - you might call it dairy crack.

Sunday, November 1, 2015

Food=Medicine Conference, Atlanta, Nov 13



The Alliance to Repair the American Diet (a Georgia corporation, 501(c)(3) ID 47-2758876) was founded by Benji Kurtz. Obese his entire adult life, Benji, along with his wife Claire, watched the film Forks Over Knives in May 2013, and he immediately set out to learn as much as possible about a Whole-Food Plant-Based (WFPB) diet. The WFPB diet includes fruits, vegetables, whole grains, legumes, nuts and seeds and excludes all animal products. Processed foods are minimized, as are any additional salt, oil and sugar.

After reading books by WFPB pioneers such as Dr. Caldwell Esselstyn, Dr. Colin Campbell, Dr. John McDougall, Dr. Neal Barnard and Dr. Dean Ornish, watching hours of YouTube lectures and reading the research, Kurtz became fully dedicated to changing to a WFPB lifestyle. Over the subsequent 18 months, his weight dropped from 258 to 128 (height 5’ 5”), Blood Pressure 109/65, Cholesterol 155, and Blood Glucose 83. Claire has had great success as well, losing 50 lbs thus far.



Benji’s successes were spotlighted in the media, with his story being featured on CNN.com, HLN television, The Daily Mail, and The Globe. He was also honored to be featured as a “Star McDougaller” by Dr. John McDougall. (See more on those appearances here.)

After returning from their second plant-based conference on the west coast (where such conferences happen regularly), Kurtz made the decision to bring the first multiday conference to Atlanta, highlighting the great benefits that nutritional choice can have on one’s health. The Food = Medicine Conference will educate the public as well as provide continuing education for medical professionals about the growing amount of research that shows that food choice can affect chronic disease (prevention as well as reversal).

The Food = Medicine Conference

Americans are as unhealthy as we have ever been. For the first time, children are not expected to live longer than their parents. Obesity and chronic disease run rampant. What can be done? What if the answers to our public health crisis could be found at the end of our fork? What if we could easily and naturally prevent and reverse some of the biggest killers in our society? Here’s the great news – we can!

The charter Food = Medicine conference will be held Friday, November 13th through Sunday, November 15th, 2015 at the Emory Conference Center Hotel in Atlanta. Healthy, plant-based meals are included in the admission price. The Keynote speeches and dinner will take place Friday night; presentations by nationally recognized health experts and celebrity chefs will be made all day Saturday and Sunday, with adjournment Sunday afternoon. There will also be a “Movie night” Saturday evening, featuring Q&A with Nelson Campbell, director of PlantPure Nation.

http://foodasmedicine.info/