Category: Blood Sugar

NAD+ – Nicotinamide Adenine Dinucleotide is a co-enzyme present in every cell in the body and it is vital for cellular function.

Like hormones and other endogenous compounds in the body, NAD+ levels decrease as we age however they decrease precipitously with NAD+: down 50% at the age of 50 and down 90 – 96% at the age of 80.

One of the key functions of NAD+ is to activate the Sirtuin longevity genes which as the name implies are important for healthy aging. Without adequate levels of NAD+ to activate the Sirtuin genes, vascular aging accelerates.

We can help to optimize our NAD levels as we age by engaging in exercise and as well by fasting.

Another way to optimize NAD+ levels is to take a precursor formulation.

Taking NAD+ itself is not effective because it gets broken down in the digestive system.

Optimizing NAD+ levels as we age has been shown to provide many health benefits including:

KEY APPLICATIONS

• Neurodegenerative conditions e.g. Parkinson’s
• Inflammation
• Addictions
• Chronic Fatigue Syndrome
• Exercise performance and recovery
• Immune system activation
• Diabesity Spectrum
•Mitochondrial dysfunction
• Hypertension
• Elevated cholesterol levels
• Depression
• Oxidative stress

For more information on NAD+, the Sirtuin longevity genes and NAD+ precursor formulations such as our top selling practitioner quality Pricera formulation reach out to me – or review some of the info on our website:

https://roblamberton.com

Or in the following document on Pricera:

https://lnkd.in/gxS9RJDv

Some individuals develop significant but difficult to diagnose and treat health issues and bounce around the health care system trying to get help for health issues which seem almost impossible to correctly diagnose – let alone develop effective treatment protocols.

This newsletter article from the Clinical Rounds section of Functional Medicine University discusses one type of condition that can cause this issue: MCS – Multiple Chemical Sensitivity.

Here is the article:

MCS can be difficult to diagnose because it can mimic a spectrum of other conditions.

A 25 year old woman named Jan begins her new career as a 2nd grade school teacher. After many of years of preparation, Jan is ready to serve the public and help her young students learn how to read and write. Beginning in a newly renovated school is an extra bonus which makes our new teacher proud that she became part of the educational system. Everything is moving along fine.. she couldn’t be happier!

Three months pass by and Jan has noticed that her concentration is just not right. She has been getting a little “edgy.” Definitely not like her. Her husband is concerned that maybe she is pushing herself a little too much and encourages her to simply slow down and pace herself. As the weeks go by, she begins experiencing headaches over her eyes and the back of her head. The headaches are now occurring more frequently; a minimum of 3-4 times a week.

Six months into the school season and her symptoms are getting worse. In addition to her headaches, lack of concentration and irritability, Jan is now having insomnia, cries over nothing and has noticed an unusual tingling in her face, hands and feet. Concerned, our once “excited” trainer of children decides to see her family physician. After a brief consultation and a basic physical evaluation, her physician is confident she is again just overdoing it and recommends she lighten her work load. In the mean time, she is prescribed Xanax, a mild tranquilizer to settle her nerves. Feeling reassured that nothing is seriously wrong, our teacher returns to her young students and pushes on.

Another three months pass and this time our once highly motivated teacher is only a “shadow” of herself. It takes every ounce of energy to get started in the morning. She is having greater difficulty preparing her school assignments and simply is just exhausted! In a state of desperation she is referred to a psychiatrist. He diagnoses her with depression and prescribes an anti-depressant and also recommends counseling.

After two emotional years of trying an assortment of anti-depressants and hours of counseling, Jan is stuck in a nightmare.. a web of medical labels… depression, chronic fatigue syndrome, stress … just name a few!

Is It Possible Something Has Been Missed?

Every year thousands of teachers are afflicted with a condition that simply “zaps” the life right out of them. Most physicians are at a total loss to understand what is behind this mysterious illness. Unfortunately, many people are looked at as hypochondriacs and continue to suffer year after year.

The Diagnosis

By a stroke of luck and a lot of prayer, Jan stumbled on a medical article that “painted” an exact picture of her health challenges. She was amazed to find that she was not alone and that thousands of other teachers were experiencing the same problem.

She was able to find a physician who was trained in making this difficult diagnosis and learned that she was suffering with something called “Multiple Chemical Sensitivities (MCS).” Some physicians have coined the term “The Toxic Teacher Syndrome” due to the numbers of teachers suffering with the same symptoms.

What is MCS?

Chemical Sensitivity is not a new term. It has been around for many years. The diagnosis MCS was researched by allergist Theron G. Randolph, M.D. (1906-1995). Dr. Randolph discovered that many of his patients became ill from chemical substances that were normally considered safe at the recommended dosage. In the 1950s, Dr. Randolph concluded that people were failing to adapt to modern-day synthetic chemicals. As more research was done on the effects of MCS, doctors suggested that the immune system is like a barrel that continually fills with chemicals until it overflows and symptoms appear. Potential chemical toxins include:

  • Formaldehyde which can be found in foam insulation, plywood, particleboard and press cabinets, fabric finishes, new carpet, polyurethane foam rubber (used in pillows, cushions, mattresses and rug padding), mobile homes, adhesives, synthetic clothes that crease resistant, wrinkle resistant
     
  • Oil vapors: from oil furnaces, motor-oil air-conditioning filters, electric kitchen appliances such as food processors, blenders, can openers.
     
  • Polyethylene plastics: fake leather, artificial flowers, shower curtains.
     
  • Household chemicals such as dry cleaning chemicals in clothes, mothballs, rug-cleaning products, paints, solvents, stain removers, air fresheners, window washing compounds
     
  • Polyesters in clothing, upholstery, drapery, furniture and stuffing for pillows and quilts.
     
  • Pesticide residue on cottons and woolens; residues from exterminators.
     
  • Epoxy adhesives on plastics, electronic equipment (TVs, microwaves,) which release gases when heated up.
     
  • Common school paraphernalia such as carbon paper, ink, mimeographic and duplicating chemicals, glue

How Do These Chemicals Cause Health Problems?

For most people the constant exposure to the above chemicals may not pose any health challenge. However, an individual may come in contact with a freshly painted room and begin to experience dizziness, nausea, headaches etc.. Usually, however, it requires the constant everyday exposure to various toxins that simply become cumulative and eventually overwhelm the body’s ability to eliminate them. When your detoxification system is in good working order, it protects you from low level chemical build-up. It is interesting that most of the sixty thousands chemicals in current use today have been developed in the last forty years. In other words, it seems quite clear that these chemicals are being made at a faster rate than our bodies are able to get rid of them.

Chemicals are known to injure the part of the cell that produces energy causing swelling of the cell membrane and a decreased ability to pump out chemical toxins. When this occurs you can experience fatigue, weakness, poor memory, migraine headaches, insomnia, anxiety, etc..

So What Happened to our Teacher?

When Jan first arrived in her new school, she was greeted with fresh paint, new carpet, new furniture etc.. which was all piled in her small room. This was further complicated by inadequate ventilation. When the chemical load to her system was too high, some of the chemicals were simply unable to be detoxified. This resulted in the slow accumulation of chemicals backing up in the blood causing her health to slowly spiral downward.

How Was She Helped?

Our school teacher was thoroughly evaluated receiving a physical examination, blood tests for liver function, comprehensive detoxification blood test and chemical toxicity assessment.

Detoxification Profile: This test is used to determine how well her body is getting rid of toxins.

Click here for a PDF copy for better clarity
of the following lab test

Comments and Results:

As you can see above ( please review PDF copy to allow for improved readibility), Jan had a normal phase I detoxification function but her phase II revealed a high plasma cysteine with low plasma sulfate and an impaired glucuronidation detoxification.

** Detoxification is much more complicated than most doctors (not trained in the diagnosis of detoxification) make it out to be and commonly will cause more harm than good.

HERE IS WHAT YOU NEED TO KNOW

A healthy liver uses two mechanisms, called Phase I and Phase II detoxification to remove toxins.

In Phase I, your body’s enzymes activate toxic substances to make them more accessible to Phase II.

In Phase II, other enzymes convert toxins to more water-soluble forms, which your body eliminates through urine or stool. Major Phase II pathways include glutathione, sulfate, glycine, and glucuronide conjugations. Individual xenobiotics and metabolites usually follow one or two distinct pathways.

Chemical Testing

A chemical blood exposure test was also performed. This test is extremely valuable in determining the levels of chemical toxins in the blood.

A checklist of suspected chemical toxins was done as well as an assessment of the schools ventilation system.

The Results

After suffering for a little over two years, her tests revealed the following:

  1. The Liver Profile was normal
     
  2. The Detoxification Profile revealed a compromised phase II detoxification with high plasma cysteine with low plasma sulfate and an impaired glucuronidation detoxification resulting in an inability to process the load of chemicals.
     
  3. The Chemical Testing revealed high levels of: Formaldehyde,Toluene and Xylene
     
  4. The checklist accurately correlated with her high levels of chemicals in her blood.
     
  5. As suspected, although the school received a face-lift with new furniture and a fresh coat of paint, the ventilation system was functioning at approximately 40% efficiency and needed a major overhaul!!

The Treatment

The first step was too begin treatment on improving Jan’s ability to detoxify by improving her impaired glucuronidation detoxification and decrease the total load of toxic elements.

  • Ruled out hypothyroidism (delays maturation of conjugating enzyme)
     
  • Correct nutrient deficiencies
     
  • Increase intake of nutrient cofactors for glucuronidation
     
  • L-glutamine, aspartic acid, niacin, vitamin B6
     
  • Support other Phase II pathways, especially sulfation and glycination, to reduce burden
     
  • Increase intake of cruciferous vegetables (induces conjugating enzyme)
     
  • Had teacher purchase a Four Stage Air Filtration System for her classroom to improve ventilation
     
  • Our teacher had a comprehensive safe environmental check of her classroom. Chemical toxins were replaced with non-toxic products. This was carried over to her home as well.

The Outcome

Within 2 weeks, Jan began to notice an improvement in her health. Her energy gradually increased, headaches were reduced to 1 every 2 weeks, the depression lifted, insomnia was replaced by sound restful sleep. By the end of 2 and half months, Jan felt like her old self again and has continued to do well ever since.

Our Comments:

This article presents a real case and demonstrates the sad fact that thousands of people are suffering needlessly. Unless a physician has studied and been trained in the diagnosis and treatment of environmental illness, many more people especially teachers and other professionals working in similar environmental surroundings will continue to develop MCS and unfortunately be “branded” undiagnosable and sadly a hypochondriac. The truth of the matter is.. there is an answer and this answer can pull many people out of this nightmare.

Today I want to share with you an article which discusses different ways plastics can damage the body.

Are you looking to develop your own nutritional supplement formulations?  I can help you with that!  Reach out to me and we can discuss how I can help you.

As Ron suggests at the beginning of the article:

“Plastics (or the chemical name, phthalates) are now considered the number one pollutant in the human body”.

In the next edition of our newsletter I will share a further article from Ron which discusses how to detox plastic compounds out of the body.

This article was written by Ron Grisati from Functional Medicine University.

Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N., M.S.,CFMP

Plastics (or the chemical name, phthalates) are now considered the number one pollutant in the human body. They make products flexible, durable, and these chemicals are also in items you would not consider to be plastics, like pesticides, detergents, cosmetics, medications, or your shampoo. They are found everywhere. It is difficult to completely avoid them. 

You can live in the most pristine place on planet earth and still find animals polluted with plastics.

It is an interesting fact that plasticizers are over 10,000 to 1,000,000 times higher in our bodies than any other toxins that have been found in EPA studies.

Unfortunately once in the body, these plastics do enormous damage.

7 Ways Plastics Damage the Body

1: Phthalates damage the chemistry of fatty acids most importantly, the fatty acid, DHA (docosahexaenoic acid). This is the fundamental chemistry necessary for making every cell lining or membrane. These fatty acids are the foundation for brain health including memory and recall.

2: Phthalates can create a zinc deficiency which will compromise the metabolism of vitamins A and B-6. In turn this could lead to conditions such as indigestion, depression, heart disease, cancer, diabetes, and accelerated aging. 

As a quick side note the combination of low zinc and low DHA can lead to chronic inflammation. Medical literature has clearly identified chronic inflammation as one of the most common underlying pathologies of most diseases leading to auto-immune diseases (rheumatoid arthritis, MS) to cancer and heart disease.

3: Phthalates has been found to be responsible for damaging the pancreas leading to diabetes, insulin resistance and metabolic syndrome X. 

4: Phthalates has been found to lower sulfation.  This means that you are no longer able to effectively detoxify like you should. This in turn can lead to a whole host of health challenges.

5: Phthalates damage hormone function, especially thyroid and testosterone.   

6: Phthalates can poison the peroxisomes needed for the control of the chemistry of cholesterol. They can cause high cholesterol while at the same time keep cholesterol from forming the “happy hormones” (neurotransmitters) of the brain. 

7: Phthalates can damage the body’s ability to make catalase. Catalase is absolutely essential for devouring up the hydrogen peroxide that cancer cells make to allow them to metastasize or wildly spread throughout the body. Lack of catalase is a reason why many cancers briefly seem to be in remission after treatments, only to resurface months or years later with lethal consequences.

These are only 7 of the devastating effects of plastics in our bodies. Many diseases will never be cured until the phthalates are out. 

Reference:

Rogers S, Detoxify or Die, Prestige Publishing, 2002

Attention health care practitioners: Have you ever thought about developing your own nutritional supplement formulations? I can help you with that!

Reach out to me to explore this exciting opportunity – rob@healthspanformulations.com or phone: 778-227-4952

Many members of the general public – as well as members of the practitioner community consider a plant based diet to be the healthiest option to choose.

I would suggest – those of you who are health practitioners have seen this in your patient population if diet selection is a focus in your practice that first of all no one specific diet is the perfect diet for everyone.

Another key consideration is the fact that many plants produce anti-nutrients to protect themselves and these compounds can cause GI as well as systemic issues for individuals – especially those who have preexisting GI issues such as Chrohn’s, IBS etc.

Also those with autoimmune conditions may have problems with anti-nutrients.

The following article from Ronald Grisanti from Functional Medicine University discusses this issue with plant anti-nutrients.

Another source that has a similar opinion regarding the negative effects of plant anti-nutrients is Paul Saladino MD.

Here is a link to Paul’s website.

Paul is a big proponent of the carnivore diet which excludes plants from the diet but it does include fruit.

When I first learned about the carnivore diet several years ago I though it was crazy.  But then I did a presentation to a local Meet Up group: the Low Carb/High Fat, Keto, Carivore Diet group.

When I interacted with them and heard the stories of near miraculous health improvements that resulted from adopting the carnivore diet I had to reassess my belief system.

Today I think the carnivore diet is a potentially valuable intervention for GI issues, autoimmune conditions etc. to give the gut a rest from the influence of the anti-nutrients in plants.

Whether it makes sense to follow it on an ongoing basis – well the jury is still out for me.

I eat a lot of plants in my diet and I consider myself to be in excellent health so I am not making any radical changes to my diet in the forseeable future – however at some point in the future I may try the carnivore diet to see how it impacts on how I feel…

Anti-Nutrients-Is There a Downside to Plant Based Eating?

Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP

In my quest to identify the most effective way of eating, I came across something that has caused a paradigm shift in my thinking on many “healthy” plant foods.

I first need to preface my article on the fact that I have been a “huge” advocate of eating a plant based diet with minimal meat consumption for as long as I can remember.

My diet typically consisted of drinking a morning smoothie with every type of plant food (spinach, beets, almonds, chard, seeds, etc.) with plant based protein powder. My lunch was  big salad with more spinach, assorted greens, nuts and some protein. Dinner was a plate rich in plant foods and some protein. I commonly would eat broccoli, cauliflower, cabbage, brussel sprouts,beets, etc..

My long standing question was why in the world was I feeling so bad? Irritable bowel syndrome, joint pain, diarrhea, brain fog, anxiety, difficulty losing weight (fat).

Of course for most people this does not fit what we have been informed about this way of eating. Of course it was healthy!

So I just pushed forward and continued to eat this way believing that it was the price I had to pay to be healthy.

But I wasn’t!

My dear wife, Debbie frequently went to bed with an ice pack on her right hip and right knee. Chronic constipation was the norm. Stuck at an unacceptable weight level was simply frustrating.

Again we faithfully continued to eat this way accepting and “preaching” the ultimate benefits of eating an abundance of plant based foods.

I really never challenged my “strong” belief on eating mainly plants and some protein. One look at my extended library of books would convince anyone that I was on board with plant based diets, hook, line and sinker!

By pure coincidence, I came across a book on some of the downsides to eating a heavy plant based diet.

At first I was appalled at the thought that plant based foods may not be the best for “ULTIMATE” health and well-being.

Like I love to do I dug into the literature and read everything I could on some of the negative effects of eating a lot of plant based foods.

Wow what I learned was an eye-opener!

Since tweaking my diet and reducing some of the more toxic plant foods (will discuss shortly), all of the above symptoms vanished. I effortlessly lost weight. My wife, Debbie, was totally free of right hip and knee pain. No more ice bags! And to top it off she hit a goal weight she tried to accomplish for at least five years!

My thinking and beliefs in a heavy plant base diet changed.

My goal today is to share what I learned and hope you give me the time of day to at least listen with an open mind to what I am about to share with you. It could in fact be the tipping point to reversing a number chronic long standing health issues for many of you reading my article.

Ready?

Plants have something called ANTI-NUTRIENTS.

Anti-nutrients are natural compounds found in plants. Anti-nutrients protect plants from bacterial infections and protect plants from being eaten by predators. Since plants unlike animals can’t fight off predators, anti-nutrients are a plant’s self-defense mechanism.

Anti-nutrients are found in all parts of plant based foods, including vegetables, seeds and fruits.

Too many anti-nutrients have been found through my research to cause inflammation, gut dysbiosis, arthritis, joint pain,skin issues and brain fog, too name a few ailments.

A big concern of anti-nutrients is how they interfere with nutrient and mineral absorption.

Here are the top 10 anti-nutrients:

1: Oxalates– Oxalates are found in green leafy vegetables (spinach), sesame seeds, teas, and soybeans. Oxalates can bind to calcium and iron and prevent it from being absorbed. Oxalates are enzyme inhibitors that can prevent proper digestion, cause gut problems and protein deficiencies. Enzymes create chemical reactions in the body that help support our bodies to function properly. Enzymes are especially important in the digestive process. Without the enzymes to properly metabolize food, GI issues can occur, such as bloating and constipation.

2: Polyphenols –Polyphenols known as phytochemicals are anti-nutrients that are touted for their health benefits. Dark chocolate, flaxseed meal, cocoa powder and many fruits and vegetables contain polyphenol compounds. Polyphenols may have some health benefits, such as possible body weight regulation and decreasing blood pressure, but there are studies on high doses of polyphenols causing kidney damage, tumor development and altered thyroid hormone production.

3: Gluten– Gluten is a protein that is almost impossible for stomach acid to breakdown and digest. Dr. Fasano of Harvard, a leading expert on gluten, says that, in the most susceptible people, eating gluten can do small amounts of damage to the intestinal lining creating leaky gut and inflammation.

4: Phytic Acid (Phytate)–Phytic acid is primarily found in whole grains, legumes, seeds and some nuts. Phytic acid can decrease the absorption of iron, zinc, magnesium, copper, phosphorous and calcium. Studies show that 80% of zinc-rich foods (cashews, chickpeas), 80% of phosphorous-rich foods (pumpkin seeds, sunflower seeds) and 40% of magnesium-rich foods (spinach, almonds, avocado) can be blocked by phytates.

5: Lectins–Lectins are found in legumes (beans, peanuts, soybeans) and whole grains (wheat). They can interfere with nutrient digestion and absorption of calcium, iron, phosphorous and zinc. Lectins are notorious for surviving GI tract digestion. They can then penetrate cell lining in the digestive tract and cause damage to gut epithelial cells and membrane lining, change bacterial flora and trigger autoimmune reactions.

6: Tannins–Tannins are similar to oxalates as they are also enzyme inhibitors. Tannins are found in teas, coffees, wines and legumes. They can interfere with iron absorption. Tannins have also been shown to impede the digestion of nutrients.

7: Glucosinolates–Glucosinolates are found in cruciferous vegetables (broccoli, kale, brussels sprouts) and can interfere with the absorption of iodine, which can then interfere with thyroid function. Another study found, with over 100,000 participants, that those who ate the most glucosinolates had a 19 percent greater risk of developing Type 2 diabetes.

8: Saponins–Saponins are found in legumes (green lentils) and whole grains. They can interfere with normal nutrient absorption (iron, zinc) and similar to lectins, can affect the GI lining, causing leaky gut and autoimmune responses.

9: Solanines–Solanine is found in nightshades (potatoes, eggplants, tomatoes, peppers). For some, these can cause inflammatory bowel disease and autoimmune conditions. Others may feel a slight feeling of poisoning. (nausea, throat burning, headaches, etc.)

10: Salicylates–Salicylates are compounds found in foods, medications and other products that can cause adverse reactions in those who are intolerant. There is much (renewed) interest about the effects of salicylates on food intolerance, attention-deficit disorders, and cardiovascular disease.

The following is a good chart to reference with foods associated with specific anti-nutrients.

Chart Obtained from page 127 of Carnivore Cure--Judy Cho

Chart Obtained from page 127 of Carnivore Cure–Judy Cho

My conclusions and continued special journey.

Although I have taken a deep dive into some of the pitfalls of eating an abundance of plant based foods I sincerely believe there is a middle ground for most people including myself. I can not deny that many of these plant foods do indeed have many health benefits and should not be entirely denied for consumption. On the other hand I was totally ignorant of this well researched downside. 

At this point in my 64 years of living on this earth, I am still researching for optimal health through many facets including science based nutrition.

Today I have presented another side that should not be ignored but at least considered in the event you, like myself, has strived to achieve optimal health through a plant based diet.

Just maybe some of these anti-nutrients may indeed may be playing havoc on your ability to be free of chronic disease entities.

As I dug deeper in my review of the literature I have discovered the least toxic vegetables and fruits.

Here they are: 

Vegetables: Avocados, Zucchini, Olives, Cucumber, Pumpkin and Squash

Fruits: Apples, Oranges, Berries, Pineapple, Pears, Melons, Bananas, and Mango

As I continue to use myself as a testing platform and work with many patients I will report back to you on my findings.

So far I have been impressed with the results!

References

https://pubs.acs.org/doi/pdf/10.1021/bk-1997-0662.ch001

https://www.functionalmedicineuniversity.com/Anti-Nutrientspaper.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7600777/
https://academic.oup.com/ajcn/article/81/1/326S/4607649
https://academic.oup.com/ajcn/article/65/5/1453/4655482?searchresult=1
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996528/

Phytic acid

https://pubmed.ncbi.nlm.nih.gov/15302522/
https://pubmed.ncbi.nlm.nih.gov/2598894/
https://poisonousplants.ansci.cornell.edu/toxicagents/tannin.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669329/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6266829/
https://pubmed.ncbi.nlm.nih.gov/8961750/

Carnivore Cure by Judy Cho, NTP

Carnivore Code by Paul Saladino MD

https://pubs.acs.org/doi/pdf/10.1021/bk-1997-0662.ch001

Anti-Nutrients

https://scialert.net/abstract/?doi=pjn.2010.827.832
https://www.functionalmedicineuniversity.com/Anti-Nutrientspaper.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7600777/
https://academic.oup.com/ajcn/article/81/1/326S/4607649
https://academic.oup.com/ajcn/article/65/5/1453/4655482?searchresult=1
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996528/

Phytic acid

https://pubmed.ncbi.nlm.nih.gov/15302522/
https://pubmed.ncbi.nlm.nih.gov/2598894/
https://poisonousplants.ansci.cornell.edu/toxicagents/tannin.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669329/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6266829/
https://pubmed.ncbi.nlm.nih.gov/8961750/

Carnivore Cure by Judy Cho, NTP

Carnivore Code by Paul Saladino MD

Ronald Peters, MD, MPH

I want to share with you today an article written by Ronald Peters, MD, MPH which gives an overview of a mechanism in the body which is activated when there is a perceived threat which could be viral, bacterial, toxic chemicals and metals etc. called: “The Cell Danger Response”.

Practitioners are familiar with the typical protective reactions that get activated in these situations, however where problems can arise is when this activation is not turned off after the threat has disappeared.  It is suggested that this can contribute to the development of chronic, degenerative disease processes.

This concept was originally hypothesized by Robert K. Naviaux in the published paper:

Metabolic features of the cell danger response, Robert K. Naviaux, Mitochondrion 16 (2014) 7–17 The Mitochondrial and Metabolic Disease Center, University of California, San Diego School of Medicine

It has started to gain a lot of traction within the Functional Medicine community and I would suggest it certainly warrants some consideration with respect to how we approach working with patients.




You and I are wired to escape danger by automatically firing the sympathetic nervous system so we can run away or fight to survive.  However, for the trillions of cells within our bodies, it is not so simple.  They cannot run away. They are programmed to survive dangerous invaders such as viruses and bacteria, toxic chemicals and metals such as mercury by activating the Cell Danger Response, or CDR.  Two key features of the CDR are reduced energy production (ATP) in the mitochondria and the release of inflammatory cytokines.   Once the threat is eliminated the CDR is witched off and energy production starts again, and we resume our normal lives.  However, sometimes the CDR does not stop and we stay fatigued and inflamed.  This pathological persistence of the CDR is believed to be a primary cause for many chronic diseases including autism, PTSD, chronic fatigue syndrome, rheumatoid arthritis and many more. In this article I will review the cell danger response, what turns it on, and, importantly, how you can turn it off once the danger has passed.

CELL DANGER RESPONSE – AN ANCIENT SURVIVAL SYSTEM

Dr Robert Naviaux at the University of California, San Diego School of Medicine has reviewed the choreography of micro-events that occur as the cells and organs of the body prepare to survive threats, such as invading viruses, bacteria, fungi and parasites, or, toxic chemicals and heavy metals like mercury, lead and aluminum, as well as excessive heat or radiation. Mitochondria are the powerhouses within our cells as they use oxygen to convert chemical energy from the foods we eat into an energy form that the cell can use, which is called ATP. There are thousands of mitochondria in our cells and they orchestrate the cell danger response, which includes the following:

In response to viral attack, mitochondria sound the alarm and reduce voltage and energy production to prevent the virus from hijacking DNA to make more viruses.

Intracellular attack releases mitochondrial proteins and ATP which sound the alarm to attract other immune cells to attack the invader.

Mitochondria reduce oxygen utilization (less ATP) and reactive oxygen species along with increased hydrogen peroxide are toxic to viruses and support the cell defense.

Bacterial endotoxins activate an enzyme within the mitochondria which decreases vitamin D, thus increasing inflammation, but raising the risk for autoantibodies, especially to the thyroid gland (Hashimoto’s thyroiditis).

Under the oxidizing conditions of the CDR, methionine metabolism is shifted to assist with the production of antimicrobial reactive oxygen species as well as other antiviral and antimicrobial compounds.

De-methylation of histones is stimulated by oxidizing conditions of the CDR to increase pro-inflammatory cytokines such as TNF alpha.

Sulfur metabolism within cells is shifted to create more glutathione for macrophages and to increase glutathione transport into the brain.

CDR stimulates an enzyme which produces histamine, a potent vasodilator which facilitates the delivery of increased oxygen and immune cells to sites of inflammation.

Arginine metabolism is shifted within mitochondria to create nitric oxide (NO) gas which inhibits mitochondrial energy production.

Damaged cells release hemoglobin and heme into the tissues which stimulates the production of carbon monoxide, a potent inhibitor mitochondrial ATP production.

Cell danger increases lipoxygenase which leads to cell wall peroxidation and stiffening of cells walls in the vicinity of the threat.

Tryptophan metabolism is shifted to increase kynurenic acid which induces IL-6 and inflammatory cytokine, as well as increasing many aspects of immune function.

Toxic metals like mercury, as well as some chemicals will try to steal electrons and the mitochondria respond by reducing cellular energy production to shield the cell from further injury.

Intracellular conditions produced by the CDR lead to sequestration, or accumulation of toxic metals such as mercury, lead, cadmium, aluminum, arsenic and others, as well as reduced elimination,

When functional vitamin D is decreased by a chronically active CDR, magnesium is lost from the cells.

GUT MICROBIOME IS ESSENTIAL TO HEALTHY CDR


According to Dr. Naviaux, “healthy metabolism acts as a survival engine that computes the optimum chemical solution for fitness based on the developmental history, current environmental conditions, and the genetic resources available to the individual.”

Metabolism is all of the chemical reactions that occur in the cells of the body. Billions are occurring every second to respond to the surrounding environment in order to sustain life and they are intricately dependent on the health of the microbes that live in your body, or, microbiome.  Since there are more bacterial in your body than cells, they have evolved to act as a “living shield to protect us from opportunistic pathogens and keep us healthy”.

About 99% of the bacteria in your body reside in your gut, consisting of 3,000 to 30,000 species which provide a metabolic and genetic diversity which far exceeds that of the human host.

Again, according to Dr. Naviaux, “the composition and function of the microbiome are best considered as an ecosystem that is continuously shaped by the developmental history, diet, health and activity of the host.”  Basically, when the host is sick, the microbiome is also sick.  The chronic activation of the CDR changes the ecosystem in the bowel and perpetuates disease in some people

RESOLUTION OF THE CDR

Once the danger or threat is eliminated, the CDR is turned off by a series of anti-inflammatory messages, normal mitochondrial energy is re-established, and normal cell life begins again.

However, based on genetic predisposition and the intensity and magnitude of the dangerous exposure a dysfunctional and persistent CDR can occur which is the precursor of many chronic diseases.

According to Dr. Naviaux, the following diseases result from a pathological persistence of the CDR:

  • autism spectrum disorders (ASD),
  • attention deficit hyperactivity disorder (ADHD),
  • food allergies,
  • asthma,
  • atopy,
  • emphysema,
  • Tourette’s syndrome,
  • bipolar disorder,
  • schizophrenia,
  • post-traumatic stress disorder (PTSD),
  • traumatic brain injury (TBI),
  • chronic traumatic encephalopathy (CTE),
  • suicidal ideation,
  • ischemic brain injury,
  • spinal cord injury,
  • diabetes,
  • kidney, liver, and heart disease,
  • cancer,
  • Alzheimer and
  • Parkinson disease,
  • autoimmune disorders like lupus, rheumatoid arthritis, multiple sclerosis,
  • primary sclerosing cholangitis.

According to Dr. Naviaux, each of the metabolic features of the CDR listed above “can be addressed individually with specific treatments, or more globally with a combination of supplements, dietary and activity changes, or with adaptogen therapies.”

I would add the following to the list:

  • Chronic fatigue syndrome
  • Irritable bowel syndrome
  • Fibromyalgia
  • Lyme’s disease
  • Mold related illness
  • Multiple chemical sensitivity
  • Chronic Inflammatory Response Syndrome
  • “Brain fog”

SUMMARY – CELL DANGER RESPONSE

Naviaux and other researchers have found the cell danger response is triggered by various types of environmental stressors:

  • Biological stressors such as viruses, bacteria, fungi such as mold, parasites and more
  • Chemical stressors such as toxic chemicals and heavy metals (e.g. mercury and lead)
  • Physical trauma such as an accident, burn, surgery, or physical abuse
  • Psychological trauma that creates overwhelm and persistent despair, such as the loss of a loved one, divorce, financial struggle, childhood emotional neglect

As Naviaux explains, these are triggers of illness, but they are not the cause of disease. As he presented to the Open Medicine Foundation on 9/28/2017, they all “ring the same bell – the cell danger response. “  In this new paradigm of disease, symptoms arise because a cell danger response gets stuck in the “on” position and can’t complete its healing cycle to turn itself back off as it is designed to do.

In most cases of persistent chronic illness lasting for > 3–6 months, mitochondria are not dysfunctional. They are just stuck in a developmental stage that was intended to be temporary, unable to complete the healing cycle”

Robert Naviaux, Mitochondrion 46, 2019

TURNING OFF THE CELL DANGER RESPONSE – CONSCIOUSNESS AS THE SOURCE AND CURE FOR DISEASE

Illness gives patients temporary permission to act in more open ways emotionally.  But if they cannot learn to give themselves that same permission when they are healthy, then the moment they get well, the old rules again apply, and they find themselves in the psychologically and physically destructive situation that first contributed to their illness.

 Carl Simonton, MD

The cell danger response is turned on by dangers perceived at the cellular level, or, by dangers perceived by the individual in their life experience.  Dr. Naviaux has described the cellular events that initiate the CDR.  And we all have experienced threatening or frightening life events.  The horrors of war can be overwhelming and a soldier will often suppress the intense emotions and later develop PTSD.  For the abused or abandoned child, strong emotions are automatically suppressed, only to be stored in the unconscious mind as an emotional wound.  These wounds will surface later in life and contribute to dis-ease of one kind or another. In both cases the CDR is ignited by the powerful “fight or flight” sympathetic nervous system as it births anger, fear and panic.

In order to turn off the CDR, once the danger has passed, we need to understand ourselves and how we create stress and handle emotions. Extensive medical research also shows that digestion, blood circulation, immune activity, hormone levels are but a few of the systems controlled by the mind. Dr. Candace Pert, the NIH researcher who discovered neurotransmitters, said it simply: “The more I look, (at the immune system) the more I’m convinced that emotions are running the show.”

Basically, we need to heed the “message of illness” and consider the dysfunctional beliefs and suppressed emotional pain that are expressed within the fabric of your body as dis-ease. Mindbody medicine is the science of healing at the level of consciousness and represents the next step in healthcare.  It is based on the disturbing and eternal truth that the body is governed by consciousness (both conscious and unconscious).

Mindbody medicine will help you learn the following:

  • The natural intelligence of your body is governed by consciousness.
  • The function of the sympathetic nervous system (SNS) which is activated by fear, worry, anger and frustration.
  • How to enhance your parasympathetic nervous system (PNS), which governs your immune system, proper digestion, and hormone production.
  • The nature of the stressful life experiences which precede illness and how they can be tracked back to childhood experiences.
  • Adverse Childhood Experiences (ACE) and how they compare to Post-traumatic Stress Disorder (PTSD).
  • What is the “limbic lock” associated with chronic disease?
  • How to create a healthy gut microbiome, which is required to quiet the CDR and enhance vagal activity.
  • How to find the personal meaning of disease.
  • How reduce stress and live from your heart, the seat of emotion, love, intuition, and “seeing the big picture”.
  • All dis-ease is a personal invitation for healing, growing and gaining self-knowledge, by making the unconscious mind conscious.
  • The “blessing” of the dis-ease in any area of your life as well as your body offers you a window into the stored pain in the unconscious mind and how it can be discharged thereby leading to greater levels of peace and happiness.
  • How to activate the powerful vagus nerve which turns off the SNS and CDR.

READ DR NAVIAUX RESEARCH PAPER

Today I wanted to share with you the results of a recently released meta-analysis published in JAMA questioning the benefits of statins:

A new meta-analysis questions the science demonstrating the link between statin-induced LDL-C lowering and improved CV, all-cause outcomes.

Pricera – NAD+ Precursor Highlight

From the Innovative Medicine website:

NAD+ and the Brain

One of the most impacted organs from NAD+ deficiency is the brain. NAD+ plays a vital role in the brain, with a 2007 study stating, “NAD+ and NADH (the reduced form of NAD+) may also mediate brain aging and the tissue damage in various brain illnesses. Our latest studies have suggested that NADH can be transported across the plasma membranes of astrocytes, and that NAD+ administration can markedly decrease ischemic brain injury. Based on this information, it is proposed that NAD+ and NADH are fundamental mediators of brain functions, brain senescence and multiple brain diseases.”

NAD+ helps to replenish the supply of neurotransmitters, improve cognitive functioning, withdraw from addictive substances, overcome anxiety, depression, chronic or acute stress, post-traumatic stress, CTE, and other conditions by giving the brain what it needs to return to proper functioning. NAD+ has been shown to be effective with cases of brain fog, cognitive impairment, and “chemo brain”. It has a powerful capacity to “reset” the brain to its original set point.

Reach out to me if you would like to get some more info on NAD+ therapy, our very popular practitioner grade NAD+ precursor formulation, the Sirtuin Longevity Genes etc.
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As you may know, statins have been a very popular prescription drug for many years for Cardiovascular Disease..

There are many potential negative side effects associated with the use of statins.

I witnessed this with my own parents. Lifestyle issues were involved however my father ended up becoming diabetic, he developed dementia and he had so little energy that we had to install an electronic lift for him to get up the stairs due primarily to the consumption of statins.

I had predicted all of these outcomes to my parents several years earlier if they continued their consumption of statins.

Hopefully this meta-analysis will provide ourselves as well as other health care practitioners in addition to the general public with further clinical data to be able to make an informed decision regarding the usage of statins.

Here is the article from the Patient Care Online website:

Current evidence on the association between statin therapy-driven lowering of low-density lipoprotein cholesterol (LDL-C) and reductions in negative cardiovascular (CV) outcomes as well as all-cause mortality may no longer be indisputable, according to authors of a new meta-analysis.

Findings from research led by Paula Byrne, PhD, HRB Centre for Primary Care Research, RCSI University of Medicine and Health Sciences, Dublin, suggest that lowering LDL-C using statins has an inconsistent and inconclusive impact on CVD outcomes such as myocardial infarction (MI), stroke, and all-cause mortality. Specifically, the authors conclude that the association between statin-induced reduction in LDL-C and absolute risk reduction (ARR) compared with relative risk reduction (RRR) in these outcomes is modest, at best.

“The message has long been that lowering your cholesterol will reduce your risk of heart disease, and that statins help to achieve this,” Byrne said in a RCSI statement. “However, our research indicates that, in reality, the benefits of taking statins are varied and can be quite modest.”

Byrne and colleagues set out to look more closely at the association between statin-induced reductions in LDL-C and the absolute risk reduction in individual clinical outcomes with an ultimate objective to facilitate shared decision-making between clinicians and patients and inform clinical guidelines and policy.

The primary outcome associated with statin use they sought to clarify was all-cause mortality and secondary outcomes included myocardial infarction and stroke.

The investigators searched PubMed and Embase for eligible trials from January 1987 to June 2021. For inclusion trials had to examine efficacy of statins vs placebo or usual care in reducing total mortality and CV outcomes, enrolled ≥1000 participants aged >18 years, have a planned duration of ≥2 years, and reported absolute changes in LDL-C levels.

The final meta-analysis included 21 trials with at least 1000 participants. Of those, 33% were primary CVD prevention trials, 29% were studies of secondary CVD prevention, and 38% included both primary and secondary prevention populations.

Trial size ranged from 1255–20 536 patients. After pooling, statin and control arms each had >66 000 patients. Average follow-up among all trials was 4.4 years (range 1.9-6.1). LDL-C differences achieved ranged from 17-68 mg/dL.

Absolute and relative risk compared

Writing in JAMA Internal Medicine, Byrne et al report among patients randomized to receive statin treatment, an absolute risk reduction (ARR) of 0.8% (95% CI, 0.4-1.2%) for all-cause mortality, 1.3% for MI (95% CI, 0.9-1.7%), and 0.4% (95% CI, 0.2-0.6%) for stroke.

They found associated relative risk reductions for statin-treated patients of 9% (95% CI, 5-14%), 29% (95% CI, 22-34%), and 14% (95% CI, 5-22%) respectively.

Results of a metaregression to explore the potential mediating association of the magnitude of statin-induced LDL-C reduction with relative and absolute treatment effects were inconclusive, demonstrating a proportion of between-study variance explained by LDL-C ranging from 0-14%.

 Absolute risk reductions of treatment with statins in terms of all-cause mortality, MI, and stroke are modest compared with the relative risk reductions. A conclusive association between absolute reductions in LDL-C levels and individual clinical outcomes was not established, and according to the authors, these findings underscore the importance of discussing absolute risk reductions when making informed clinical decisions with individual patients.

Some association was found for the relative effects on all-cause mortality and stroke, but not for myocardial infarction. Similarly, some association was found between the magnitude of LDL-C reduction and size of the absolute treatment effect on stroke, but not for all-cause mortality or myocardial infarction.

Absolute risk reductions of treatment with statins in terms of all-cause mortality, MI, and stroke are modest compared with the relative risk reductions. A conclusive association between absolute reductions in LDL-C levels and individual clinical outcomes was not established, and according to the authors, these findings underscore the importance of discussing absolute risk reductions when making informed clinical decisions with individual patients.

“We believe that absolute risk reduction is essential for clinical decision-making and provides the clinician with a more accurate means of discussing the true benefits and harms of a specific therapy with their patients,” Byrne and colleagues wrote.

“Framed this way, our analysis found that when considering the absolute risk reduction of statins, the benefits are quite modest, and most trial participants who took statins derived no clinical benefit.”


Reference: Byrne P, Demasi M, Jones J, et al. Evaluating the asssociation between low-density lipoproetin cholesterol reduction and realtive and absolute effects of statin treatment: a systematic review and meta-analysis.
JAMA Intern Med. Published online March 14, 2022. doi:10.1001/jamainternmed.2022.0134

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