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Diet and Supplements for Athletes
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Nutrition
Written by David R. Seaman, DC, MS, DABCN   
Friday, 25 January 2013 00:53
T
he general goal with diet and supplements for athletes should be to promote an anti-inflammatory state so body better responds to the wear and tear generated by heavy exercise 1-3. With this in mind, diet and supplement recommendations can be uncomplicated.

athletedietHumans have historically lived on health-promoting foods, including wild game (land animals, fish, and birds) and vegetation in the form of vegetables, fruits, nuts, tubers, and spices. Athletes and non-athletes should be consistent with our historical eating patterns. Grocery stores have a wide variety of natural animal proteins and vegetation, such that we can literally go to our favorite store and behave as modern hunter-gatherers. Athletes, versus non-athletes, will typically need additional calories, which means that athletes need to eat larger amounts of healthy foods 1-3.

There are no special supplements that will make an athlete perform better. Peak performance at any level is largely due to a proper mental state. There are certain key supplemental nutrients that we all need and this also applies to athletes. The most important appear to be vitamin D, omega-3 fatty acids, magnesium, and probiotics. Multivitamin use is also reasonable. Athletes should also consider the regular use of anti-inflammatory botanicals such as ginger and turmeric, as well as proteolytic enzymes 1-3.

There are certain calories sources that should be avoided by all of us, especially athletes. The most problematic calorie sources include sugar and gluten grains.

Avoiding Sugar
A recent CNN report by Dr. Sanja Gupta focused on the health problems associated with sugar consumption 4. The final third of the show included an interview with a cancer researcher who said that he absolutely avoids sugar because it helps to promote cancer; tumor cells essentially need sugar to grow and thrive. Unfortunately, the average American’s diet contains approximately 20% of calories from refined sugars and 20% from refined flours 5, which means that the average American is pursuing cancer expression. So the notion that endurance athletes should “carb load” with high glycemic refined carbohydrates is patently absurd.

One could try to argue that it is the chronic consumption of refined carbohydrates that is the problem and not when carb loading is related to athletic activities. Unfortunately, this argument falls flat. The consumption of 50 grams of available carbohydrate as glucose and white bread, but not pasta, led to a significant postprandial increase in monocyte nuclear factor-kappaB (NF-KB) activation in subjects in their twenties with and a body mass index (BMI) of 22 6. NF-KB is a marker of inflammation as it leads to the production of pro-inflammatory cytokines and other inflammatory mediators.
 
So, refined carbohydrates cause cancer in the long term and surges of inflammation immediately after eating. How can this be a good thing for athletes of any kind? One could argue that refined sugar is okay in moderation. This may be true, but no one knows what level of moderation is safe. Moreover, refined carbohydrate eaters generally eat too much as mentioned above; that is, 40% of American’s calories come from refined carbohydrates. The other glaring problem is the issue of sugar addiction. The same Sanja Gupta specially outline how refined sugar activates the same addiction pathways in the brain as cocaine 4.
 
The exception mentioned above was pasta, which, because of its low glycemic index, did not appreciably activate NF-KB 6. Does this mean that pasta in general and pasta parties before endurance events is a smart choice? The answer, again, is no.
 
Avoiding gluten
Wheat, rye and barley all contain gluten. While most individuals do not express overt celiac disease, the consumption of gluten causes a harmful pro-inflammatory IL-15 mediated immune reaction in all individuals 7. Why would any athlete want to regularly dine on foods that cause gut inflammation?
 
Not generally appreciated is that gluten consumption can cause a host of problems in individuals who do not have celiac disease. This is because gluten consumption causes a low grade leaky condition that may not produce any gut symptoms. Gluten causes gut enterocytes to produce a protein called zonulin that disassembles gut tight junctions, allowing for gluten and bacterial antigen penetration 8. The bad news is that multiple diseases have been linked to zonulin production including classic autoimmune diseases such as multiple sclerosis, rheumatoid arthritis, type 1 diabetes, inflammatory bowel disease, systemic lupus erythematosis, and ankylosing spondylitis 8. Several cancers are also associated to gluten/zonulin, including those of breast, brain, lung, ovaries and pancreas 8.
 
Zonulin/gluten has also been associated to the expression of schizophrenia 8.
 
Multiple mental disorders are caused by gluten sensitivity including depression, anxiety disorders, mental fog/lethargy, and attention deficit disorders 9-11. The reason for the mental disorders is thought to occur because gluten causes cerebral vascular hypoperfusion 11. Clearly, an athlete who wished to be in tip-top condition should avoid gluten, especially for the purpose of reducing the chance of brain hypoperfusion. 
 
The practice of sugar/gluten loading before an endurance event should be avoided. Potatoes are a non-gluten starchy carbohydrate that are a better choice, and they also contain an abundance of potassium that is needed for proper muscle function and vascular function. Grains, in fact, contain virtually no potassium.
 
References
  1. Seaman DR. A sports nutrition: a biochemical view of injury care and prevention. In Hyde TE, Gengenbach MS. Eds. Conservative management of sports injuries. 2nd ed. Boston: Jones and Bartlett; 2007: p.1067-1092. 
  2. Seaman DR. Nutritional considerations in the treatment of soft tissue injuries. In Hammer WI. Editor. Functional soft-tissue examination and treatment by manual methods. Boston: Jones & Bartlett; 2007: p.717-734. 
  3. Seaman DR. Nutritional considerations for pain and inflammation. In Liebenson CL. Ed. Rehabilitation of the spine: a practitioner’s manual. Baltimore: Williams & Wilkins; 2006: p.728-740.
  4. Dr. Sanjay Gupta. http://www.youtube.com/watch?v=sXhKQEdIDa0
  5. Cordain L et al. Cordain L et al. Origins and evolution of the Western diet: health implications for the 21st century. Am J Clin Nutr. 2005; 81(2):341-54.
  6. Dickinson S et al. High-glycemic index carbohydrate increases nuclear factor-kappaB activation in mononuclear cells of young, lean healthy subjects. Am J Clin Nutr. 2008;87(5):1188-93.
  7. Bernardo D et al. Is gliadin really safe for noncoeliac individuals? Production of interleukin 15 in biopsy culture from non-coeliac individuals challenged with gliadin peptides. Gut. 2007;56(6):889-90.
  8. Fasano A. Zonulin and its regulation of intestinal barrier function: the biological door to inflammation, autoimmunity, and cancer. Physiol Rev. 2011;91: 151-75.
  9. Volta U, De Giorgio R. New understanding of gluten sensitivity. Nat Rev Gastroenterol Hepatol. 2012;9:295-99. 
  10. Hopper AD, Hadjivassiliou M, Butt S, Sanders DS. Adult coeliac disease. BMJ  2007; 335:558-62.
  11. Addolorato G et al. Affective and psychiatric disorders in celiac disease. Dig Dis 2008;26:140-48.
 
Dr. Seaman is a Professor of Clinical Sciences at the NUHS branch campus at St. Petersburg College in Florida. He is also a Clinical Consultant for Anabolic Laboratories. He has written numerous articles on the treatment options for chronic pain patients, with a focus on nutritional management. He can be reached at deflame@deflame.com.
 
The Natural Approach to Treatment of High Cholesterol Profiles
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Nutrition
Written by Robert G. Silverman DC, DACBN, MS, CNS, CCN, CSCS, CIISN, CKTP, CES, DCBCN, HKC   
Sunday, 25 November 2012 20:50
I
t is in the news on a near-daily basis. Research studies address various aspects of it. Many people ask what their doctor can do about it.“It” is cholesterol.The evidence overwhelmingly demonstrates that elevated cholesterol levels greatly increase the risk of death due to cardiovascular diseases (CVD), such as heart attack and stroke. These diseases claimed 927,448 lives in the U.S. in 2002, making CVD the number one killer in the U.S. today.
 
cholesterolThere are two types of cholesterol: LDL and HDL. LDL cholesterol is the “bad” cholesterol because it carries cholesterol from the liver to the bloodstream, which can ultimately contribute to the formation of plaque that clogs the arteries, resulting in atherosclerosis. HDL cholesterol is the “good” cholesterol and has the exact opposite effect of LDL. Specifically, HDLs carry cholesterol away from the arteries and back to the liver, where it is then eliminated from the body.
 
Triglycerides transport and store fat in the body. It is clear that high triglyceride levels are not good for the body, and this can be particularly problematic when combined with excess levels of LDL cholesterol. People with high triglycerides often have high total cholesterol, high LDL cholesterol, and low HDL cholesterol.
 
The cholesterol-lowering drugs known as “statins” are among the most widely prescribed drugs used today (Lipitor ranked second). However, some adverse side effects of statins are possible elevation of liver enzymes and muscle discomfort. Literature shows that the nutritional supplements listed below have produced more advantageous changes in cholesterol profiles, with more tolerability and safety, than statins:
 
1. Policosanol: (a natural compound derived from sugarcane wax): 10-20 mg. Numerous studies show that policosanol reduces total cholesterol, LDL cholesterol, and lipoprotein (a), and it increases the good HDL cholesterol.
 
2. Fish Oil: 1-3 g. Fish oils help to reduce inflammation in the arteries and lower cholesterol and triglyceride levels.
 
3. Niacin (Inositol hexaniacinate): 1500 – 2500 mg. This is a non-flush form of niacin. It is known to reduce cholesterol levels and increase HDL. 
 
4. Red Yeast Rice Extract (Monascus purpureus): 1200 mg twice daily. This has been shown to reduce cholesterol levels and increase HDL.
 
5. Guggulipid: Up to 1500 mg. This herb helps to reduce cholesterol levels and increase HDL.
 
6. Garlic: 1000 mg. This helps reduce cholesterol levels and increase HDL cholesterol levels.
 
7. Multivitamin/Multimineral Complex: (with proper antioxidant formula): Antioxidants prevent cholesterol oxidation.
 
8.  Magnesium: 400-800 mg. This more reliably improves all aspects of dyslipidemia, including raising HDL-C and lowering triglycerides, and it has the same pleiotropic effects as statins without the adverse effects.
 
9. Green Tea: Daily consumption of green tea was found to decrease serum LDL.
 
10. L-Carnitine: 1000 mg. Decreases triglyceride levels by aiding in fatty acid oxidation.
 
11. Co-enzyme Q10: 100 mg. If a statin drug is presently being used: A vital nutrient that is required for proper heart function that is lowered by statin use.
 
12. Milk Thistle (Silybum marinum): 200 mg. Counteracts increased liver enzymes attributed to statin use.

Dr. Robert Silverman graduated magna cum laude from the University of Bridgeport College of Chiropractic and has a Masters of Science in human nutrition. He is a certified nutrition specialist, certified clinical nutritionist, certified strength and conditioning specialist, certified Kinesio Taping® practitioner, NASM-certified corrective exercise specialist, and a certified sports nutritionist from The International Society of Sports Nutrition. Dr. Silverman is a diplomat with the American Clinical Board of Nutrition and with the Chiropractic Board of Clinical Nutrition. He has a successful full-time private practice in White Plains, NY, where he specializes in the diagnosis of joint pain and soft-tissue management while incorporating proper nutrition protocols. Among his nutrition recommendations are products from Ajinomoto, including Capsiate Natura ®, which naturally increases metabolism; Natura Guard BP ™, which can help patients maintain healthy blood-pressure levels; and Glysom ™, which promotes sounder, more satisfying sleep for occasional sleeplessness.
 
Resolving Vitamin B12 Deficiency Using Oral Supplementation
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Nutrition
Written by Leonid Ber, MD   
Sunday, 25 November 2012 19:46
New research validates high dose methylcobalamin lozenge regimen

V
itamin B12 (often referred to as cobalamin) is an essential nutrient that can only be  obtained from diet or supplements. Its main function in the body is to assist in the synthesis of DNA. As a result, quickly dividing cells such as red blood cells are among the most frequently affected by cobalamin deficiency. DNA synthesis supported by Vitamin B12 is achieved in concert with another B vitamin, folic acid. This is why a combination of these two vitamins is often found in supplements.
 
vitamindeficiencyAnother process requiring direct Vitamin B12 participation is production of ATP from lipids and amino acids. Thus, cobalamin is often promoted as an energy-boosting nutrient. The central and the peripheral nervous systems are critically affected by the scarcity of Vitamin B12, which can manifest itself in depression, premature memory loss, confusion, and unpleasant sensations in the tips of the toes and fingers.
 
The elderly are most susceptible to developing Vitamin B12 deficiency, with an estimated 15% of people over 65 having low levels of cobalamin in the blood.¹ Normal body stores of Vitamin B12 are quite significant (2,000 to 5,000 mcg, mostly in the liver), so it takes years to develop symptoms of Vitamin B12 deficiency. The signs are often non-specific. Deficiency might be hard to recognize unless Vitamin B12 levels are measured directly in the blood. For decades, levels below 200 pg/ml had been regarded as B12 deficiency, but recently a strong case has been made to view levels between 200 and 350 pg/ml as suboptimal for human health.² Other signs that might suggest Vitamin B12 deficiency in older people include chronic gastritis, anemia, and increased homocysteine level, especially when general malaise and depression are present.
 
One reason the elderly are predisposed to developing B12 deficiency is that cobalamin absorption requires robust digestion and intact production of Intrinsic Factor in the stomach. Gastric juices enable extraction of cobalamin from food and Intrinsic Factor binds with extracted cobalamin for further absorption in the small intestine. Dwindling digestive function combined with limited consumption of meat (the main dietary source of Vitamin B12) can reduce the amount of Vitamin B12 taken up by the body. Eventually, body reserves of cobalamin are depleted and symptoms of deficiency emerge. Because dietary Vitamin B12 is found almost  exclusively in food of animal origin, vegetarians also have a significant risk of becoming cobalamin-depleted.
 
Vitamin B12 Deficiency Is Diagnosed. What's Next?

It is important to understand, however, that Intrinsic Factor allows for absorption of only up to 3 mcg of Vitamin B12 from a single meal or supplement administration.³

When Vitamin B12 deficiency is present, it's always a good idea to identify the underlying cause. However, independent of the mechanism leading to B12 deficiency, correction of cobalamin shortage is required. Traditionally, physicians have administered Vitamin B12 injections to bypass the digestive tract, as cobalamin absorption is assumed to be compromised.

While this is true, with the exception of strict vegetarianism, current clinical research conducted with high-dose oral Vitamin B12 supplementation challenges the traditional practice of injections.
 
Since the discovery of its critical role in cobalamin absorption, the Intrinsic Factor-dependent  pathway has been understood to be the sole mechanism by which Vitamin B12  can cross the gastrointestinal (GI) cell membrane. It is important to understand, however, that Intrinsic Factor allows for absorption of only up to 3 mcg of Vitamin B12 from a single meal or supplement administration.³ Since the typical multi-vitamin contains only about 6 mcg, and absorption from this low dose has to rely on intact Intrinsic Factor production, oral supplementation with a typical multi-vitamin is not an effective way to address Vitamin B12 deficiency. In contrast, a single injection can deliver 1,000 mcg of Vitamin B12, which is administered once a week at first, followed by a once a month regimen for the rest of the patient's life.
 
b12chartFortunately, another mechanism is operative for treating Vitamin B12 deficiency. Research has shown that Vitamin B12 can be absorbed by “passive diffusion” without Intrinsic Factor participation when administered in high doses.³ Although only about 1% of orally administered cobalamin crosses the GI cell membrane by this mechanism, the amount absorbed becomes significant as the dose of Vitamin B12 increases. Because Vitamin B12 has no known toxicity, and very high doses can be given orally without safety concerns. Research shows that after administration of 10,000 mcg of cobalamin, about 100 mcg of Vitamin B12 can be absorbed.
 
A series of recent human bioavailability studies with 10,000 mcg Vitamin B12 doses supports this conclusion (Unpublished, Protocol For Life Balance, Bloomingdale, IL; 2011-2012).
 
Injections or Supplementation?
The latest clinical confirmation of the effectiveness of oral Vitamin B12 in the form of methylcobalamin lozenges comes from a study conducted at ABC Wellness Clinic (Sterling Heights, MI) in collaboration with Protocol For Life Balance®.4 The study was presented at the 2012 Conference by the American Association of Naturopathic Physicians. In this clinical trial,ten patients with newly diagnosed cobalamin deficiency were randomly assigned to receive either once a week B12 injections or daily high-dose 10,000 mcg methylcobalamin lozenges for 8 weeks. 
 
The study demonstrated that Vitamin B12 lozenges were in fact as effective as injections (Figure 1). All patients' cobalamin and homocysteine levels returned to normal and their symptoms improved independent of  the treatment group to which they belonged. The results strongly suggest that a high-dose daily lozenge regimen is a viable and convenient option to injections and should be used more often.
 
Additionally, lozenge supplementation offered a significant cost advantage as compared to injections. In this study, the cost of supplementation was approximately $35 for 8 weeks. The cost of just one office visit and a single injection was estimated to be $100, adding up to $800 for the duration of the study.
 
To summarize, confirmed efficacy, validated mechanism of absorption, an excellent safety record, ease of administration, and clear economic advantage makes oral high-dose Vitamin B12 a viable option in addressing cobalamin deficiency.
 
 
References
  1. Clarke R, Grimley Evans J, Schneede J, et al. Vitamin B12 and folate deficiency in later life. Age and ageing. Jan 2004;33(1):34-41.
  2. Spence JD, Stampfer MJ. Understanding the complexity of homocysteine lowering with vitamins: the potential role of subgroup analyses. JAMA. Dec 21 2011;306(23):2610-2611.
  3. Andres E, Dali-Youcef N, Vogel T, Serraj K, Zimmer J. Oral cobalamin (vitamin B12) treatment. An update. Int J Lab Hematol. Feb 2008;31(1):1-8.
  4. Culik DA BL, Sharpee RL, Pacholok SM. Effect of Daily High-Dose Methylcobalamin Lozenge Regimen or Weekly Injections in Patients with Cobalamin Deficiency. A Single-Center Prospective Randomized Open-Label Trial. AANP 2012 Conference: ABC Wellness; Protocol For Life Balance;2012.

Leonid Ber, MD specialized in hematology and endocrinology and has been intimately involved in the scientific advancement of the dietary supplement industry. He collaborated with companies such as Immudyne, Himalaya USA, Marlyn Nutraceuticals, Garden of Life, and most recently joined Protocol for Life Balance as Sr. Medical Scientist. Contact Dr. Leonid at: This e-mail address is being protected from spambots. You need JavaScript enabled to view it  or 630-545-9098 x370
 
Have You Considered Using Nutrition to Help Patients With Neuropathy?
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Nutrition
Written by Todd Singleton, D.C.   
Sunday, 25 November 2012 18:06
A
bout seven years ago, I switched from an insurance-based practice treating solely musculoskeletal conditions to an all-cash practice treating some musculoskeletal conditions as well as a lot of additional conditions like obesity, diabetes, fibromyalgia and candida. During my first 20 years of practice, when a patient came in with serious neuropathy in their feet or hands, I was not able to give them complete relief. In fact, I felt like I needed to refer them out to another physician. However, in 2009 everything changed when Nan, a 58-year-old patient, entered my office.
 
neuropathyNan was a size 4X and needed to lose a lot of weight. Nan explained that she had noticed a weight-loss advertisement for my clinic, so she came to my office to lose weight. The reason Nan wanted to lose weight was because she was scheduled to have one of her legs amputated due to her terrible neuropathy. Nan feared that since she was so overweight, she would not be able to walk on the new prosthetic leg she would receive after her amputation. Her goal was simple: She wanted to lose enough weight to be able to easily adjust to her new prosthetic leg.
 
The way I handle weight loss in my office is to focus on healing the body. I tell patients that they will lose weight, but the real goal is to get their bodies healthy. I help them with a healthy diet plan, pure supplementation, some therapies to address cellulite and emotional eating, and a whole lot of one-on-one attention and support.
 
After a few months on the weight-loss program, not only had Nan lost about 55 pounds, but also her legs had healed to the point that her medical doctor cancelled the amputation surgery. Now, several years later, Nan has continued to feel the positive effects of her improved lifestyle changes. She has been able to stop taking 14 medications, keep both of her legs and no longer suffers from neuropathy. And, not surprisingly, Nan has referred many patients to our office.
 
After seeing Nan’s amazing results, I decided it was time to start treating more patients for neuropathy. The results have been amazing. Before treating Nan for weight loss, it had never occurred to me to treat neuropathy patients with a change of diet and pure nutritional supplementation. However, after seeing improvements in Nan and hundreds of other neuropathy patients, I am sold on the idea that the body really can heal itself given the proper environment.
 
Most chiropractors are well versed in neuropathy, but in case you have forgotten what you learned in school, let us review.
 
What is Neuropathy?
Neuropathy essentially means an abnormal and degenerative condition of the nervous system.
 
Neuropathy may be diffuse, affecting many parts of the body, or it can be focal, affecting a single, specific nerve and part of the body.
 
Diffuse Neuropathy:
The two categories of diffuse neuropathy are peripheral neuropathy, affecting the hands and feet, and autonomic neuropathy, affecting the internal organs.
 
Peripheral Neuropathy:
This is the most common type of neuropathy, damaging the nerves of the limbs—especially the feet—and affecting both sides of the body. Common symptoms of peripheral neuropathy are:
  • Numbness or insensitivity to pain or temperature
  • Tingling, burning or prickling sensations
  • Sharp pains or cramps (or like walking on sponges)
  • Extreme sensitivity to touch, even light touch
  • Loss of balance and coordination
Most of these symptoms are often worse at night.
 
Autonomic Neuropathy (also called visceral neuropathy): 
This is another form of diffuse neuropathy. It affects the nerves that serve the heart and internal organs. Neuropathy affecting the organs via nerve damage can lead to:
  • Urinary incontinence
  • Lack of sexual function
  • Digestion issues (the stomach emptying slowly, bloating, persistent nausea and vomiting) 
  • Lower bowel problems (constipation, diarrhea)
  • The cardiovascular system (which controls the circulation throughout the body)
Damage to the cardiovascular system affects the signal for the blood in regulating blood pressure and heart rate. As a result, one can feel dizzy upon standing (orthostatic hypotension). This type of neuropathy also affects the system in the perception of pain from heart disease. People may not experience angina as a warning sign of heart disease and may suffer painless heart attacks. Damage can also lead to hypoglycemia, or low blood sugar. This condition makes it difficult to recognize and treat an insulin reaction.
 
Uncontrolled diabetes (even on medication) results from a poor diet, lack of exercise and unstable sugar levels. This can lead to conditions such as neuropathy, affecting the whole body and potentially leading to amputations. Unstable glucose levels (e.g., high blood sugar due to poor diet) harm nerves and blood vessels. This affects circulation, especially in the peripheral area of the body such as the limbs. Poor circulation can lead to diabetic neuropathy where damaged nerve fibers cause numbness. When limbs are numb, there is a greater risk of injury and/or infection due to decreased sensations in the limb. When injury occurs, poor circulation means that blood cannot circulate fast enough to heal the wounded area. The result is often infection, gout and foot ulcers, which can then lead to foot and leg amputations.
 
Nutritional Deficiencies and Neuropathy 
Neuropathy can present after years of a poor diet. Patients who eat foods void of live enzymes will suffer consequences in later years. In our highly developed society, we have advanced to the point that people often eat foods that only come from a box, bag or can. The problem is that these foods are all dead foods where no live enzymes are present.
 

Malnutrition was the only common denominator in all the physical ailments these men experienced.

Poor nutrition as a cause of neuropathy was first identified during WWII. The war provided an unprecedented opportunity for observation of the effects of nutritional deficiencies. Men of many ethnicities were subjected to years of defective nutrition as prisoners of war. It was discovered that malnutrition most affected the highly differentiated cells of the organism, causing the greatest suffering. In fact, it was found that the nervous system shows the most severe and common lesions. These findings were not dependent on external factors such as region or location. In fact, the findings were the same regardless of where each person was located. Malnutrition was the only common denominator in all the physical ailments these men experienced.
 
Proper Diet and Pure Supplementation
Prescribing a healthy diet and specific pure supplementation to a neuropathy patient will address the nutritional deficiency issues that are causing the neuropathy. This course will get the patient’s body to start digesting and assimilating food correctly. It also allows the body to start healing from the inside and decreases the degenerative process of the nervous system. Combining the following nutrients and vitamins in a neuropathy patient’s diet should greatly speed up their recovery process.
 
Vitamin E
Patients with neuropathy have a higher than usual need for vitamin E. This vitamin helps improve insulin activity and acts as an antioxidant as well as a blood oxygenator. Research has shown that people with low levels of vitamin E are also more likely to develop Type 2 diabetes.  Studies show that vitamin E improves glucose tolerance in older patients as well as diabetic patients. A vitamin E deficiency results in increased free radical-induced damage, particularly in the lining of the vascular system. Supplemental vitamin E may help prevent diabetic complications through its antioxidant activity. Neuropathy cases may require three months of vitamin E supplementation and diet change for benefits to become apparent. The trace mineral selenium functions synergistically with vitamin E.
 
Vitamin C
People with neuropathy typically have low vitamin C levels. Vitamin C lowers sorbitol levels in neuropathy patients. Sorbitol is a sugar that can accumulate and damage the eye, nerves and kidneys. The transport of vitamin C into cells is facilitated by insulin. Due to impaired transport or dietary insufficiency, a vitamin C deficiency exists in neuropathy patients and may be responsible for the increased capillary fluidity and other vascular disturbances often seen in neuropathy patients. 
 
Vitamin B6 (Pyridoxine) 
Diabetics with neuropathy have been shown to be deficient in vitamin B6 and benefit greatly from supplementation. Peripheral neuropathy is a known result of pyridoxine deficiency and cannot be distinguished from diabetic neuropathy. 

I now can reassure them that help does exist for their Neuropathy.

Vitamin B6 supplements also improve glucose tolerance in women with diabetes caused by pregnancy. Furthermore, pyridoxine helps prevent other diabetic complications because it is an important coenzyme in the cross-linking of collagen and inhibits platelet aggregation.
 
Vitamin B12
Vitamin B12 supplementation has been used with some success in treating diabetic neuropathy. This may be because it corrects, or normalizes, a deficient state of vitamin B12 metabolism. Vitamin B12 is needed for normal functioning of nerve cells. Taken orally, intravenously or by injection, it reduces nerve damage caused by diabetes in most people. Oral supplementation may be sufficient.
 
Start Helping Neuropathy Patients Nutritionally
Most patients who come into my office to get help with neuropathy are very skeptical. They have been told over and over again that there is no help available to them. I now can reassure them that help does exist for their neuropathy. I have been thrilled with the improvements that have occurred by giving my neuropathy patients a healthy diet to follow and the right pure supplementation. Patients who have suffered for years finally have been able to feel their feet again and be pain free.
 
Again, I  remember learning in school, “The body will heal itself given the proper environment.”  After 20 plus years of practicing, it is still exciting for me to see this happen daily right before my eyes with so many patients suffering with Neuropathy.

TODD SINGLETON, DC is an author, speaker, consultant, and a practicing doctor for over 20 years. He ran the largest MD/DC/PT clinics in Utah until he switched to an all-cash, nutrition model in 2006.  He has a nutrition practice in Utah specializing in Weight Loss, Neuropathy, Fibromyalgia, Diabetes and other nutritional deficiencies. He also teaches fellow chiropractors how to add these programs into their offices. He can be reached at (801) 916-9532. For additional information about Dr. Singleton’s work visit www.startneuro.com
 
Detoxification
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Nutrition
Written by Lynn Toohey, D.C.   
Monday, 03 September 2012 19:31
W
e all know that detoxifying is good for us, but how do you choose a good protocol to follow?  When we remove toxins that have built up over years, it is just as important to consider things we DON’T do as well as the things we DO. A good detox program (there are thousands out there) should be written by a professional in the field of nutrition.  Many programs have been criticized for being too harsh, not supplying enough nutrition, or just plain causing more harm than good. Choose one that is effective, nutritionally sound and safe at the same time.
 
liver234It is critical to make sure your detox program: 
  • Does not ask you to fast. Toxins are released too quickly with no nutrition to bind and remove them, plus it is just too stressful on the system.
  • Does not ask you to refrain from solid food for too long. Easing into a detox makes for higher compliance for one thing. The closer a “program” is to the way you should be maintaining everyday healthy dietary protocols, the higher  the probability that you will stick with an energizing wellness plan for life!
  • Does not ask you to eat a lot of fruit while resting the gut. This gut-resting time period is usually 3 days to a week to ten days; however, it is possible to rest the gut and provide nutritional support for healing the gut without stressing the glycogen making capacity of the liver. Protein powders are good for resting the gut, and the resting period can vary, but including a lot of fruit is going to work adversely when it comes to blood sugar control (important!).
  • Provides the daily requirement of macronutrients (protein, fat and carbs). One hundred and thirty grams of carbohydrate a day are needed to make enough glucose for proper brain function. To give you an idea, a cup of wild, cooked rice has about 35 grams (135 calories) of carbohydrate, 10 grams per cup less than white rice.  A cup of cooked broccoli has a little over 5 grams (20 calories) of carbohydrate. Make sure you don’t go too low on your carbohydrate requirement.  Many programs unnecessarily limit carbs below what is needed for a healthy diet.
  • Provides lists of acceptable foods and non-acceptable foods, along with cooking tips and healthy, tasty recipes to increase compliance.  Also make sure that it takes into consideration the huge importance of regulating blood sugar throughout the cleanse.  
  • Provides a journal to help the practitioner assess the individual’s goals and progress.
Taking The Time To Detox:
 
When we set aside the time to cleanse our body, we give it the needed attention to get the desired results, although keeping the body cleansed of toxins should be a lifetime goal. The practitioner helps the individual adjust a program to their specific needs. While some detox programs expect you to drastically change your lifestyle and eating habits, the right cleansing system will set you on a lifelong, healthy course for eating the right foods moderately and sensibly, while supporting the body with essential nutrition. Post detox, you will feel revitalized, reenergized, and empowered to maintain optimal results.
 
Ridding The Body Of Toxins:
 
All of the toxins enter the body and overwhelm what is usually an already overburdened liver, increasing the need to optimize other detox pathways and support the removal process. In order to remove toxins from their place of storage (fat tissue) we must: Mobilize, Bind and Remove.
  
Mobilize: To release toxins from the fatty tissue, we usually reduce the caloric load, meaning simply that we eat less.  When total calories are reduced, the fat cells are mobilized, and the toxins stored in the fat cells are mobilized with the fat cells into the circulation.
 
Bind: Once toxins are mobilized, they must be bound so that the body can easily eliminate them.  The liver has a sophisticated process (two phases of detoxification) to facilitate the exit of toxins from the body. In Phase I, the liver utilizes nutrients, mostly antioxidants, to prepare the toxin for entry into Phase II.  It does this by changing the toxin from a fat-soluble substance to a water soluble one.  The important thing to remember is that if a person lacks either the antioxidant power for Phase I, or the nutrient binding power for Phase II, then that toxin cannot enter Phase II , and instead it becomes MORE toxic than when  it first entered the body.
 
In Phase II, the liver then utilizes nutritional elements, mostly glutathione (a nutrient consisting of three amino acids) and sulfur, to bind to the toxin and prepare for removal.  Supplements that raise glutathione levels or protect glutathione levels can be helpful (N-acetyl-cysteine, alpha lipoic acid, glutamine, milk thistle, turmeric, selenium, vitamin C, vitamin E).
 
Remove: Toxins are removed from the body by several different pathways. Although the colon is a major detox organ, other important detox organs include the liver, skin, lymph, blood, kidneys and  lungs. The body utilizes many nutrients to remove toxins. Vitamins, minerals, herbs, etc. can all help to mobilize, to bind, and to remove toxicity.
 
Outstanding detox nutrients: Fiber, fish oil, flaxseed oil, black currant seed oil, greens (spirulina, chlorophyll, kelp, parsley, etc.),  flax seed, cruciferous vegetables (especially sprouts!), garlic, apple pectin, chia seed, beet root, betaglucans, rice bran, vitamin C, N-acetyl cysteine, alpha lipoic acid, glutamine, milk thistle, silybin, Co-Q1O, quercetin ,silymarin, turmeric, minerals (calcium, magnesium, zinc, selenium, etc.), glucuronic acid, carrot, asparagus, papaya, caprylic acid, yellow dock, dandelion, mullein, eleuthero (Siberian ginseng), molybdenum, etc. Binding and removing toxins efficiently assures that they do not redeposit somewhere else in the body.

When fruit is balanced with protein and fat during a meal, there is less impact on blood sugar.

 
Many nutrients, like high fiber food and supplements, are good for both binding and removing toxins. High fiber nutrients include flax seed, chia seed, apple pectin, garlic, inulin, glucomannan, rice bran, and beta glucans. Many vegetables are high fiber, and also provide phytochemical power, such as asparagus and beets.  If you’re looking for a concentrated wallop of nutrient efficacy, SPROUTS from cruciferous vegetables (broccoli, cauliflower, cabbage, etc.) have up to 50-100 times the amounts of phytochemicals than even the actual plants themselves!
 
Even though it’s a good idea to limit the higher sugar fruits in the beginning of the program, many fruits like blueberries contain biologically active antioxidants and fiber, along with enzymes to help digestion, and blueberries are relatively low on the glycemic index. They contain fiber, and a minimum of 40 grams of fiber per day is required on any daily eating plan.
 
It is especially important post-detox to include fruits; however, your practitioner may still limit high glycemic fruits. Always check with your practitioner to assess your blood sugar handling status and modify intake accordingly. Your practitioner may determine that fruit spikes your blood sugar (sometimes a glucose reading is used to confirm individual responses) and may suggest alternatives. Remember that when you are not getting the beneficial phytochemicals from fruit (because of blood sugar concerns), it is even more crucial to substitute nutrient-packed cruciferous vegetables instead of filling that void with a food that does not offer as much nutritional power. When fruit is balanced with protein and fat during a meal, there is less impact on blood sugar. Recommendations are usually based on healthy individuals, not blood sugar challenged patients, so attending to this detail is important.
 
It is impossible to address all the details of detox here in the limited scope of this article; however, when choosing your detox program, make sure that the details and guidelines are provided to you and that the program meets the above requirements. Post-detox should be an easy transition to the way you want to eat for life.
 
Dr. Lynn Toohey received her Ph.D. in nutrition (summa cum laude) from CO State University in Ft. Collins, CO. She has lectured to chiropractors, chiropractic associations, and other health professionals across the country and overseas on nutrition-related topics, including the Colorado Chiropractic Association (CCA), United Chiropractors of New Mexico (UCNM), the Ohio State Chiropractic Association (OSCA) the Florida Chiropractic Association (FCA), the Georgia Chiropractic Association (GCA) and the International College of Applied Kinesiology (ICAK). Dr. Toohey has been published in a number of peer-reviewed journals, including The Journal of Nutrition, The American Journal of Clinical Nutrition, and the British Journal of Nutrition. She has been a Keynote speaker for the MS Society (Vancouver Branch), and for the British Society for Allergy, Environmental and Nutritional Medicine.
 
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