How to Know if Gluten is Driving Your Inflammation, Autoimmunity, Migraines, and More

March 4th 2024

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The foods many of us eat every day, like breads and grains, may have an effect on our health in ways we may not even be aware of. From inflammation to a leaky gut, insulin resistance, and even autoimmune conditions, gluten often plays a role in degrading our health, as do modern farming practices that douse grains with harmful pesticides.

In today’s episode, I talk with Maggie Ward and Dr. Terry Wahls about the connection between gluten, leaky gut, and autoimmune conditions.

Maggie Ward, MS, RD, LDN, is the Nutrition Director at The UltraWellness Center. Maggie holds a master’s degree in Nutrition from Bastyr University which focuses on using whole foods for holistic Nutrition Therapy. In addition, she completed her requirements to become a registered dietitian at Westchester Medical Center in NY. Prior to joining The UltraWellness Center team in 2008, Maggie worked at The Brooklyn Hospital Center in New York providing nutrition counseling to children and families dealing with HIV. She also taught at the Jewish Community Center in Manhattan and other sites throughout New York City, teaching nutritionally focused cooking classes for children and adults. Much of her focus is on food allergies, digestive disorders, inflammatory conditions, pediatrics, and sports nutrition.

Dr. Terry Wahls is a clinical professor of medicine at the University of Iowa. Her secondary progressive multiple sclerosis confined her to a tilt-recline wheelchair for four years, but she restored her health using a diet and lifestyle program she designed specifically for mitochondrial health and now pedals her bike to work each day. She is the author of The Wahls Protocol: How I Beat Progressive MS Using Paleo Principles and Functional Medicine, The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles, and the cookbook, The Wahls Protocol Cooking for Life: The Revolutionary Modern Paleo Plan to Treat All Chronic Autoimmune Conditions.

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Full-length episodes of these interviews can be found here:
Why Eating Grains Can Drive Obesity, Heart Disease, Autoimmune Issues, And More
Is Gluten-Free A Fad Or Is Gluten A Real Threat To Our Health?
What Would Happen If You Stopped Eating Bread For 30 Days?
Reversing Multiple Sclerosis And Autoimmune Disease With Functional Medicine

Read the full article here:

How to Know if Gluten is Driving Your Inflammation, Autoimmunity, Migraines, and More

How Can Alopecia Areata Affect Your Nails?

How Can Alopecia Areata Affect Your Nails?

March 1st 2024

Greatist Health RSS Feed

If you’ve heard anything at all about alopecia areata, you prob already know that it makes hair fall out. While hair loss is the main symptom of this autoimmune disease, it’s not the only symptom.

Yes, alopecia can also affect your nails.

Up to 30% of people with alopecia areata have nail changes, too. Pitted, bumpy, grainy, split, brittle, and thin are just a few of the words they use to describe alopecia-affected nails. These nail problems can appear before hair loss, at the same time, or after the hair grows back in. 

How does alopecia affect the nails? No one knows exactly. One possible reason is that nails grow a lot like hair does. Because of those similarities, the same inflammatory immune reaction that damages hair follicles also harms nails.

Nail changes might not be as noticeable as hair loss, but they can still cause problems. Some people are embarrassed by their pitted, bumpy nails. Others have trouble doing everyday activities because their nails hurt so much.

If you have nail changes, it’s worth talking with your dermatologist about possible treatments.

What nail changes happen in alopecia areata?

Alopecia areata can affect the fingernails, toenails, or both.

Pitting is the most common nail change. About one-third of people with nail changes from alopecia have little grooves in their nails.

Nail pitting
Nail pitting. MARUIZ/Shutterstock

These are some of the other possible nail changes alopecia areata can cause:

  • grooves or dents running across the nails, called Beau’s lines
  • separation of the nail from the skin underneath (this doesn’t hurt, but the nail can stay separated for months or even years)
  • red spots at the bottom of the nail
  • ridges or splitting down the length of the nails
  • rough nails that feel like sandpaper, with ridges that run down them 
  • small white spots on the nails
Grooves or dents running across nails called Beau's lines
Beau’s lines. la-mar.photo/Shutterstock
Trachyonychia, or ridges or splitting down the length of the nails
Ridges or splitting down the length of the nails. Copyright : © Indian Dermatology Online Journal CC BY-NC-SA 3.0

Do all types of alopecia cause nail issues?

Any type of alopecia can cause nail issues, but some kinds affect the nails more than others. You’re more likely to have nail symptoms with alopecia universalis, which causes a total loss of scalp and body hair, than with focal alopecia, which causes patchy hair loss.

Your nails might actually offer an important clue about your condition. People with nail symptoms tend to have more severe alopecia areata that’s harder to treat.

How to take care of your nails

Try to keep your nails as healthy as possible. Wash and dry your fingernails and toenails every day.

Keep both sets of nails well-trimmed. Long nails are more likely to tear and break than short ones. If alopecia affects your toenails, make sure your shoes are wide enough to give your toes (and toenails) room.

Some people with alopecia take nutrients like vitamin B complex, vitamins D and E, and biotin to strengthen their nails.

You can also get these nutrients from a well-balanced diet. If you don’t get enough from diet alone and you want to add a supplement, it’s a good idea to check with your doctor first.

Treating alopecia nails

A few medications calm the immune system and stop it from damaging hair follicles. While there’s no specific treatment for nail changes, some of the same medicines that regrow hair also make nails look and feel better. 

One way to treat alopecia is with corticosteroids (or steroids, for short). These immune-suppressing medicines come as a pill, a cream, or an injection into the affected nails. Steroids can help to both regrow hair and treat nail changes.

Tazarotene is a cream used to treat alopecia nail changes. It’s made from vitamin A. 

A group of drugs called Janus kinase (JAK) inhibitors treat autoimmune diseases by blocking a substance that causes inflammation and damage. This treatment may help with both hair loss and nail changes from alopecia areata. 

Just because hair loss improves doesn’t mean the nails will, too. You may have to keep treating your nails even after your hair has grown back in.

Preventing alopecia nail problems

It’s not always possible to prevent alopecia nail problems. One way to protect your nails from damage is by getting alopecia under control. Your dermatologist can help you find the right treatment to manage hair loss and nail problems.

When to see a doctor

The time to see a doctor for alopecia is when you notice:

  • pits, grooves, thinning, or other changes in your nails
  • more hair falling out or filling your brush/comb than usual
  • sudden patches of hair loss

These symptoms might not necessarily be alopecia. Still, they’re worth getting checked out.

tl;dr

Alopecia areata is an autoimmune disease that causes hair loss, but it can affect your nails, too.

Brittle, weak nails with pits, grooves, and red or white spots could be signs of alopecia — especially if they happen along with hair loss. Having nail problems could be a sign that your alopecia is severe or hard to treat.

Nail changes can affect your self-esteem. If your nails hurt, it may be harder to use your hands. Let your doctor know about any changes to your nails or hair. Treatments are available to help with both these symptoms of alopecia areata.

Read the full article here:
https://greatist.com/health/alopecia-areata-nail-changes

The Most Overlooked Cause of Aging and Disease: Your Microbiome

March 1st 2024

Of all the body’s systems, the gut ecosystem might be the most complex—and, perhaps, the most critical to longevity and disease prevention. 

Though medicine has long dismissed the gut as an isolated system of tubing with little import outside of acid reflux and irritable bowel issues, we now know that imbalances in the gut are inextricably linked to inflammation, accelerated aging, and nearly all chronic disease including cancer, diabetes, heart disease, and dementia. 

In fact, scientists have effectively been able to reverse aging and disease in aged mice simply by modifying their gut microbiome with fecal transplants from young, healthy mice—and vice versa, accelerating aging and disease in young mice by disrupting their microbiome with transplants from older mice. 

 Why did this work? Because the gut, more than “just a tube,” is a microbiome that’s home to some five thousand species of bacteria and as many bacterial cells (roughly 30 trillion) as we have human cells. 

 When in balance (symbiosis), these bacteria keep the body in health. Yet when out of balance (dysbiosis), bad bacteria can grow like weeds, outnumbering good bacteria and creating a toxic environment that weakens the gut barrier, allowing waste products like undigested food particles and bacterial toxins to leak into the bloodstream—driving chronic inflammation and increasing the risk of virtually everything from obesity and auto-immune disease to heart disease, dementia, diabetes, and cancer (the “four horsemen” of the aging apocalypse).

The beneficial gut microbe Akkermansia muciniphila, for example, stimulates the secretion of glucagon-like peptide-1 (GLP-1), which plays a crucial role in regulating glucose levels and metabolism, and numerous studies have linked low levels of the microbe to diabetes, insulin resistance, obesity, and metabolic syndrome. Similarly, gut microorganisms can synthesize metabolites that trigger inflammation and cardiometabolic diseases—and levels of certain gut bacteria,  such as Enterobacteriaceae and Streptococcus, are strongly linked to atherosclerosis. More broadly,  systemic inflammation from dysbiosis can facilitate the development and progression of cancer as well as neurological disorders through the gut-brain axis. 

 It’s no wonder Americans are facing unprecedented and exponential illness, given that 60 percent of our calories come from ultra-processed foods that fuel these “bad bugs” and destroy the microbiome. Because diversity in the gut microbiome also tends to decrease with aging, creating an opportunistic environment for bad bugs to thrive, aging can often accelerate gut issues. 

 Fortunately, there are simple strategies we can take to restore the gut once we understand how it functions.

Tend to Your Inner Garden

Gut bacteria are picky eaters. But we know what they like and don’t like. Bad bacteria thrive on starches, sugars, and ultra-processed foods. Good bacteria feed on prebiotic fiber (avocados, artichokes, asparagus, berries, peas, chia seeds, and pistachios), probiotics (fermented foods like sauerkraut, pickles, tempeh, miso, natto, and kimchi), and polyphenols in colorful plants (olive oil, turmeric, pomegranate, cranberries, green tea).

So, significantly reducing sugars and starches, especially as part of processed foods, and upping your intake of prebiotic, probiotic, and polyphenol-rich foods can help bring your gut into balance.

Because you want to foster a diversity of beneficial gut bacteria, you also want to aim for diversity in your diet, e.g., eating a variety of polyphenols from red, yellow, green, purple, and orange vegetables.  

Consider Colostrum

Numerous studies have shown that supplementing with colostrum has a remarkable ability to strengthen and repair the gut wall and prevent intestinal permeability, as colostrum is rich in growth factors and bioactive compounds that help repair the intestinal lining; antibodies that protect the gut from pathogens; anti-inflammatory components that reduce inflammation; and milk oligosaccharides that act as prebiotics to support a healthy microbiome. 

Take a Daily Probiotic and Prebiotic

Even if you’re eating all the right things—and eliminating the wrong things—you may need some outside assistance maintaining plentiful and diverse gut bacteria and repairing the gut lining. 

Probiotics help populate your gut with beneficial strains of bacteria and are critical to protecting and rebuilding the gut. They also modulate intestinal function, improve immune function, are anti-inflammatory, and help us break down food into absorbable nutrients. Prebiotics, meanwhile, are a form of soluble fiber that feed good bacteria in the gut. Some of my favorite brands for revitalizing the gut and maintaining gut health are Microbiome Rejuvenate, BiotaGen Capsules, and BiotaGen Powder.

Avoid Gut Busting Medications

Ironically, many of the drugs commonly prescribed to alleviate gut problems also cause gut problems, particularly acid-blocking medications such as Prilosec, Prevacid, and Nexium, which prevent the absorption of essential nutrients and can lead to dysbiosis in the gut. 

Other medications that can damage the gut include antibiotics, steroids, birth control, and anti-inflammatories like ibuprofen and aspirin. (For inflammation and pain relief, consider curcumin, an anti-inflammatory compound found in turmeric that’s proven comparable in studies to NSAIDs like ibuprofen—and, as a bonus, also happens to support gut health.) 

Give Up Gut-Damaging Gluten

Even if you’re not gluten-sensitive, gluten can trigger inflammation in the gut that increases intestinal permeability (leaky gut). Modern wheat gluten is particularly inflammatory, as it has far more inflammatory proteins than ancient wheat and is often sprayed with glyphosate (a carcinogenic herbicide that’s destructive to the microbiome as well as our soil and water).

Does this mean you should hit the gluten-free aisle? Not exactly. Many industrial additives, thickeners, emulsifiers, and gums that are added to gluten-free foods (such as microbial transglutaminase and carrageenan) can also cause gut damage and leaky gut. So be weary of ingredients you don’t recognize or can’t pronounce and aim to get as much of your nutrients as possible from whole food sources. 

If you want to live a long and healthy life, it is essential to tend to your inner garden: the microbiome.

References

  1. Parker A, Romano S, Ansorge R, et al. Fecal microbiota transfer between young and aged mice reverses hallmarks of the aging gut, eye, and brain. Microbiome. 2022;10(1):68. Published 2022 Apr 29. doi:10.1186/s40168-022-01243-w
  2. Ferranti EP, Dunbar SB, Dunlop AL, Corwin EJ. 20 things you didn’t know about the human gut microbiome. J Cardiovasc Nurs. 2014;29(6):479-481. doi:10.1097/JCN.0000000000000166
  3. Rodrigues VF, Elias-Oliveira J, Pereira ÍS, et al. Akkermansia muciniphila and Gut Immune System: A Good Friendship That Attenuates Inflammatory Bowel Disease, Obesity, and Diabetes. Front Immunol. 2022;13:934695. Published 2022 Jul 7. doi:10.3389/fimmu.2022.934695
  4. Hasani A, Ebrahimzadeh S, Hemmati F, Khabbaz A, Hasani A, Gholizadeh P. The role of Akkermansia muciniphila in obesity, diabetes and atherosclerosis. J Med Microbiol. 2021;70(10):10.1099/jmm.0.001435. doi:10.1099/jmm.0.001435
  5. Noor R, Naz A, Maniha SM, et al. Microorganisms and cardiovascular diseases: importance of gut bacteria. Front Biosci (Landmark Ed). 2021;26(5):22-28. doi:10.52586/4921
  6. Beyond the brain: The gut microbiome and Alzheimer’s disease. National Institute on Aging. Published June 12, 2023. 
  7. Ser HL, Letchumanan V, Goh BH, Wong SH, Lee LH. The Use of Fecal Microbiome Transplant in Treating Human Diseases: Too Early for Poop?. Front Microbiol. 2021;12:519836. Published 2021 May 13. doi:10.3389/fmicb.2021.519836
  8. Paultre K, Cade W, Hernandez D, Reynolds J, Greif D, Best TM. Therapeutic effects of turmeric or curcumin extract on pain and function for individuals with knee osteoarthritis: a systematic review. BMJ Open Sport Exerc Med. 2021;7(1):e000935. Published 2021 Jan 13. doi:10.1136/bmjsem-2020-000935
  9. Hałasa M, Maciejewska D, Baśkiewicz-Hałasa M, Machaliński B, Safranow K, Stachowska E. Oral Supplementation with Bovine Colostrum Decreases Intestinal Permeability and Stool Concentrations of Zonulin in Athletes. Nutrients. 2017;9(4):370. Published 2017 Apr 8. doi:10.3390/nu9040370
  10. Dziewiecka H, Buttar HS, Kasperska A, et al. A Systematic Review of the Influence of Bovine Colostrum Supplementation on Leaky Gut Syndrome in Athletes: Diagnostic Biomarkers and Future Directions. Nutrients. 2022;14(12):2512. Published 2022 Jun 17. doi:10.3390/nu14122512

Read the full article here:
https://drhyman.com/blog/2024/03/01/a-comprehensive-6-step-strategy-to-heal-your-thyroid-2/

18 Useful (and Fun) Skills to Learn Online

March 1st 2024

Wellness Mama Blog | Simple Answers for Healthier Families

I’ve talked before about setting up new habits that help create a healthier lifestyle, like increasing your movement, getting more sleep, and eating more protein. But have you ever thought about the health benefits of learning a fun new skill? Learning new things keeps our minds sharp and healthy, which is important as we age. […]

Continue reading 18 Useful (and Fun) Skills to Learn Online

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https://wellnessmama.com/organization/learn-skills-online/

Herb & Veggie Muffins

February 29th 2024

These beautiful purple muffins are an easy and fun way to get more veggies into your family’s diet. The violet hue is thanks to healthspan-supporting anthocyanins in Japanese sweet potatoes, complemented with some shredded zucchini for additional fiber and vitamin A.

Almond flour and tahini offer good fats to support cardiovascular health, while thyme, rosemary, and sage contain a variety of phytochemicals linked to antioxidant activity, memory support, and immunity. 

I know you’ll love these as much as I do!

Wishing you health and happiness,
Mark Hyman, MD

Ingredients:

Wet Ingredients

  • 1 medium-large Japanese purple sweet potato
  • 1 large zucchini, grated using a box grater
  • 2 tablespoons coconut vinegar or rice vinegar
  • 3 large pasture-raised eggs, room temperature
  • ½ cup tahini

Dry Ingredients

  • 1 cup blanched fine almond flour (not meal)
  • ¼ cup coconut flour
  • 3 garlic cloves, thinly sliced
  • ½ tablespoon fresh or dry thyme leaves
  • ½ tablespoon fresh or dry rosemary leaves, chopped
  • ½ tablespoon fresh or dry sage leaves, chopped
  • 1 ½ teaspoon baking powder
  • ½ teaspoon garlic powder
  • 1 teaspoon sea salt
Method:

1. Preheat the oven to 425°F.

2. Punch holes in the sweet potato and place on top of a baking sheet. Once the oven is preheated, transfer sweet potato to the oven and bake for 1 hour until soft. Once ready, remove from the oven and cut lengthwise to cool. Scrape the inside of the sweet potato. Reduce oven temperature to 350°F.

3. Grate the zucchini using a box grater and transfer into a large mixing bowl.

4. Add the sweet potato, eggs, and tahini, mixing well, until the sweet potato is no longer lumpy.

5. Add the dry ingredients into the wet ingredients bowl and mix well.

6. Line a muffin tin with parchment or silicone liners, or use a sturdy silicone muffin form. Divide the batter evenly amongst 12 muffin slots using a large spoon or an ice cream scoop.

7. Bake for 30 minutes or until a toothpick inserted in the middle comes out clean. Store in an airtight container for up to 4 days at room temperature.

Nutritional analysis (per serving/muffin) : Calories: 168g, Total Fat: 12g, Saturated Fat: 2g, Cholesterol: 46mg, Fiber: 3g, Protein: 6g, Carbohydrates: 10g, Sodium: 289mg, Sugars: 2g, Net Carbs: 7g

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Herb & Veggie Muffins