Showing posts with label Vitamin A. Show all posts
Showing posts with label Vitamin A. Show all posts

Tuesday, September 9, 2014

Dr Tetyana Obukhanych, Ph.D. - Natural Immunity and Vaccination





Dr Tetyana Obukhanych, Ph.D. - Natural Immunity and Vaccination

Ukrainian-born immunologist, Dr Obukhanych PhD is the author of Vaccine Illusion: How Vaccination Compromises Our Natural Immunity and What We Can Do to Regain Our Health. In her book, she presents a view on vaccination that is radically different from mainstream theories
Dr Tetyana Obukhanych, has studied immunology in has studied immunology in some of the world's most prestigious medical institutions. She earned her PhD in Immunology at the Rockefeller University in New York and did postdoctoral training at Harvard Medical School, Boston, MA. and Stanford University in California.

She does talks for mom groups, practitioners and WAPF groups. I just saw her in SF on Sunday. She's absolutely wonderful and super brilliantly sharp!

Her view on the science is clear, concise and complete. Her intention is to illuminate the science, not perpetuate the public health fears. Facts v. fiction. The goal of the talk is to review: the facts, the theories, the choices.

"Facts without theory are nonsense. And theories without facts are b*llsh*t."
--Dr Obukhanych's favorite stat professor at Stanford



In her latest talk, she discusses some immunoprotective strategies and their mechanisms in health:
--vitamin C
--vitamin A (her favorite is WAPF supported, fermented CLO, cod liver oil)
--vitamin D
--probiotics
--raw dairy, cream, raw eggs
--breastmilk as a shield for the baby and why (AHS14 The first paleo food: Breastmilk and it's alive! Speaker: Dr Goscienski MD)


Monday, February 16, 2009

Animal Pharm Science: Vitamin A Deficiency Increases Marbling


Do you want marbling in your meat? I mean, fat-infiltration of your meat-muscles...biceps, triceps, quads and gluts.

M-A-X-I-M-A-L gluteus maximus is what I'm going for! Maximization with functional exercises like squatting and digging volleyball-style which is oh-so-nice...

Not... marbled...meat!!

Looking at journals of animal farm science, studies for increasing USDA Grades of beef and Marbling Scores (MS) have yielded some interesting perspectives regarding vitamin A and its role in controlling obesity. Do Americans get enough vitamin A? The beef industry has figured out that better grades and thus higher market value can be achieved by restricting vitamin A in the food fed to commercial cows. In fact, by depleting liver stores and restricting the content in food, the grade of meat and percentage of intramuscular (IM) fat increase quite substantially. Better yield for livestock owners. Higher levels of blood glucose (BG) are also associated with lower vitamin A status and higher marbling.

HHHhhmmm... why??

Is the livestock which is raised commercially on grains clinically obese, diabetic, inflamed, cancerous (well, unlikely...they're slaughtered too young), high in MUFA, low in saturated fats, vitamin A and vitamin D deficient? With vast desaturase deficiencies?

Livestock owners may be purposefully inducing vitamin A deficiency in order produce higher USDA grade meat for the market. Should we be consuming this kind of low-quality protein?

Humans are actually not that different biochemically and physiologically from our bovine cousins. At one time, bovine insulin was used in Type 1 diabetes mellitus treatment and management. Until human recombinant insulin was developed, pork and beef-derived products were it. Porcine (pork) insulin actually produces less skin irritation and injection site adverse effects like (lipodystrophy, allergic reactions) than bovine, yet bovine filled the needs of many Type 1 diabetes individuals for decades.

One the most curious observations is how cows become very lean (and thus less profitable for ranchers) during spring and summer. This is theorized to be secondary to the increased vitamin A intake from pasturing and eating grass. Vitamin D and increased sunshine probably can be attributed to this relevation as well.

The last set of researchers link how our steroid nuclear receptors are all interrelated in controlling adiposity and the creation of fat cells (adipocytes). They propose a "model of vitamins A and D as suppressors on adipocyte development through retinoid/thyroid/vitamin D/fatty acid-activated/peroxisomal proliferator-activated receptor's subfamily." PPARs have been discussed here before and their crucial role in attenuating chronic and acute diseases including CAD and cancer: Happy Cows...etc.


Who might be vitamin A deficient?
--those who don't consume a lot of wild seafood/grassfed meat (like me but I've discovered... Whole Wallet now)
--those with Hashimoto's hypothyroidism -- Hashimoto's (vitamin A supplementation improves iodine efficacy; hypothyroidism=first sign of vitamin A deficiency in chicks)
--Oprah Winfrey
--Steve Jobs
--those with other autoimmune diseases: Grave's, RA, SLE, Sjogrens, multiple sclerosis, NASH, primary biliary cirrhosis, (??!) CAD, etc
--those with cancer -- see HERE and HERE and HERE--chronically ill
--those with infections or high CRP -- see HERE, HERE and HERE
--children less than age 4 and women -- see HERE too
--those who eat 'low fat'
--those with skin conditions (again, autoimmune origin and wheat-triggered): eczema, rosacea, skin cancer, poor wound healing, atopic dermatitis, psoriasis, dermatitis herpetiformis, porphyria cutaneous tarda
--diabetic-induced rats fed vitamin A deficient lab chow
--those with gluten enteropathy, (known v. unknown) wheat/casein allergies, 'leaky gut' and a poor intestinal barrier which prevent absorption of fat and fat-soluble vitamins
--those without a gallbladder who may not produce sufficient digestive enzymes to absorb fat and fat-soluble vitamins
--those who take Orlistat/Xenical or OTC Alli (weight loss pills which block fat and thus fat-soluble vitamins ADEK1 K2)
--those on antiseizure drugs (valproic acid, carbamezepine, phenytoin which increase metabolism/elimination of vitamin A)
--vegans
--those who have had gastric bypass which unnaturally cuts out a great portion of our most important absorptive surface area for fat and nutrients, the duodenum
--Inuit children with frequent lower respiratory tract infections and otitis media (who are probably no longer consuming their traditional H-G-fish Paleo diets but the S.A.D. grain-based one like Americans)
--third world countries where night-vision blindness is prevalent



What dose of Vitamin A is sufficient?

Like Vitamin D, we need adequate amounts Vitamin A for optimal health -- the desired amount is dependent on various factors: inflammation, growth, reproductive state, hormone state, etc. Vitamin A is not the same as beta-carotene, which is the precursor of Vitamin A. Beta-carotene is the common form found in multi-vitamins.

The current RDA for Vitamin A is 5,000 to 10,000 IU daily (take in AM -- may cause insomnia). Converting from RE mcg to IU see HERE.

Here are other benefits of Vitamin A discussed here: Synergy of Vitamin D and Its Co-factor Vitamin A
Consideration for Vitamin A supplementation is necessary if diet (wild seafood, grassfed meat, organ meats) are insufficient to meet daily requirements.

Ck out Vitamin A...for your healthwise b-o-t-t-o-m . . . line. I'll be watching it for you. *wink*

Hey Gibby -- this post is per your request!




CLICK ON CITATION TO VIEW (below)
"...long vitamin A restriction (LR) specifically increased fat deposition in the i.m. depot, without promoting an increase in the overall fatness of the animal. We conclude that feeding low-vitamin A diets may be a feasible and economical strategy to affect the site of fat deposition within the beef carcass. Pyatt and Berger (2005) hypothesized that the observed
seasonal decline in carcass grade during the fall may be associated with previous high-vitamin A intake during spring and summer. Additionally, typical feedlot diets are formulated to provide 2 to 3 times NRC (1996) vitamin A recommendations (Galyean and Gleghorn, 2002). Thus, feedlot cattle in the United States are fed vitamin A in excess of their requirements. Results of
this experiment provide evidence that the vitamin A level of the diet affects the site of fat deposition in feedlot cattle.

We recently reported that feeding low-vitamin A diets to beef steers appears to increase adipocyte differentiation in the i.m. depot without affecting s.c. adipocytes. This was accompanied by numerical in- creases in marbling scores and USDA carcass quality grades, with no effects on backfat deposition and USDA yield grades (YG; Gorocica-Buenfil et al., 2007). Marbling scores also were increased when low-vitamin A diets were fed to Japanese Black cattle (Adachi et al., 1999). The duration of vitamin A restriction required to improve i.m. fat deposition remains unknown. It is likely that to affect the vitamin A status of the animal, hepatic vitamin A stores need to be depleted. However, research in this area is negligible.

The effect of feeding low-vitamin A diets on beef fatty acid composition remains unclear. The enzymatic activity of stearoyl coA desaturase (SCD), required for the endogenous synthesis of CLA in ruminants, may be reduced by retinol (Alam and Alam, 1985). However, a numerical trend (P > 0.10) was observed in marbling score and the percentage of carcasses grading USDA Choice or above (from 28% in control to 50% in LR steers). If this effect were real, it would be economically important because most formulas used in the market to determine carcass value include a premium for
carcasses ≥ Cho (USDA Agricultural Marketing Service, 2006). The numerical increase in the percentage of highly marbled carcasses is in agreement with our previous experiment (Gorocica-Buenfil et al., 2007) where we reported a 7% increase in the marbling scores when low-vitamin A diets were fed to Angus-based steers."
Effect of dietary vitamin A restriction on marbling and conjugated linoleic acid content in Holstein steers. (PDF) Loerch SC et al. J Anim Sci. 2007 Sep;85(9):2243-55.Relationship between serum biochemical values and marbling scores in Japanese Black steers. Ohwada K et al. J Vet Med Sci. 1999 Aug;61(8):961-4.



"Slight changes in the fatty acid profile of s.c. fat of the steers were detected. A greater proportion of MUFA (LOW = 41.7 vs. HIGH = 39.9%, P = 0.03) and fewer SFA (LOW = 47.1 vs. 48.7, P = 0.03) were observed in vitamin A-restricted steers. This suggests that vitamin A restriction may affect the activity of desaturase enzyme (desaturase activity index, LOW = 46.9 vs. HIGH = 44.9, P = 0.01)."
Effect of vitamin A restriction on carcass characteristics and immune status of beef steers. Loerch SC et al. J Anim Sci. 2008 Jul;86(7):1609-16.


"It is well documented that grain feeding stimulates adipogenesis in beef cattle, whereas pasture feeding depresses the development of adipose tissues, including intramuscular (i.m.) adipose tissue. Additionally, production practices that depress adipocyte differentiation also limit the synthesis of monounsaturated fatty acids (MUFA). Marbling scores and MUFA increase in parallel, indicating that stearoyl-CoA desaturase (SCD) gene expression is closely associated with and(or) necessary for differentiation of marbling adipocytes. Similarly, marbling scores and fatty acid indices of SCD activity are depressed in response to dietary vitamin A restriction. In bovine preadipocytes, vitamins A and D both decrease glycerol-3-phosphate dehydrogenase (GPDH) activity, an index of adipocyte differentiation..."Cellular regulation of bovine intramuscular adipose tissue development and composition. Sawyer JE et al. J Anim Sci. 2008 Nov 7.



"The study aimed to systematically examine the effects of fat soluble vitamins and their analogs on terminal differentiation of adipocytes on the cellular and molecular aspects. It is well known that fat soluble vitamins especially vitamins A and D inhibit the differentiation of adipocytes in cultured cells. Furthermore, it has been revealed that the low level of dietary fat soluble vitamins, especially vitamin A and carotenoid actively stimulate the development of adipose tissue, namely bovine marbling in vivo. We have shown that the expression of retinoic acid receptor (RAR) alpha and gamma, retinoid X receptor (RXR) alpha and beta, and vitamin D receptor (VDR) mRNA were abundant in rat adipose tissue and 3T3-L1 cells. The autoregulated amplification and reduction of RAR, RXR and VDR mRNA by their own ligands, were observed in 3T3-L1 cells. Finally, we proposed the model of vitamins A and D as suppressors on adipocyte development through retinoid/thyroid/vitamin D/fatty acid-activated/peroxisomal proliferator-activated receptor's subfamily."
The possibility of active form of vitamins A and D as suppressors on adipocyte development via ligand-dependent transcriptional regulators. Sugimoto E et al. Int J Obes Relat Metab Disord. 1996 Mar;20 Suppl 3:S52-7. Review.

Saturday, January 17, 2009

Hormonal Imbalances: Oprah, Steve Jobs




Hashimoto's Hypothyroidism and Oprah Winfrey

I love Oprah. My sister 'M' loves Oprah. It would be a gigantic understatement to say that all my girlfriends and co-workers love Oprah.

Now, with that said, I feel extremely, deeply saddened when I see the most well connected woman and influential/popular educator sooooo disconnected with her health and hormones. Have you been there? Unable to control your body or weight? Like a typical Oprah nut, I spent a few nights madly emailing her about year ago in Jan 2008 about vitamin D and weight loss and optimal health (and my 50# weight loss story). Where did it go? Filed in the big phat Oprah-empire round file??


Who has not been in her precise shoes?

Read about Oprah's Thyroid Club HERE (NY Times).

Hashimoto's hypothyroidism is one of the most common female (and male) afflictions of the late 20th and 21st centuries. Nearly every one of my diabetes patients has Hashimoto's.

Why??

Why are 45+ million Americans burning their Thyroid to a toast, like Oprah?

In my 20's -- stressed, eating dorm food, trying do everything 'right', instead of gaining the freshman 'fifteen', I gained F-O-R-T-Y lbs (b/c... hey... can you say overachiever?).
[Another college curiosity was observing how my hormones/ cycles/ periods became imperceptibly and immutably N*SYNC with my female dorm-mates. Mense shifts are apparently secondary to pineal gland and pheromones (link and other refs from an astute friend, thanxxx dude). Recall, pheromones are picked up by the nose- vomeronasal system and subsequent hypothalamus/limbic brain (paleopallium).]


What was going on with that college weight gain, mood fluctuations, difficult concentrating, sluggishness, coarse hair/skin, skin tag growth/insulin resistance, cold intolerance, resistance to weight loss/exercise, high cholesterol, mental fog and general feeling of clinical cr*ppiness??

I wish I knew back then...



Oprah... let's try to clue you in, my honeybun... from my sad life lessons.

For me, in hindsight, there were a few situations that may parallel Oprah's, that are backed up by the medical literature that cause thyroid dysfunction.



How to Give Yourself Hashimoto's Thyroiditis 101:

--lack of sunlight/vitamin D/indoor habitation
--mental stress
--more mental stress
--sleep deprivation... (excessive mochas/lattes at Berkeley cafes)
--excessive 'social' calendar
--inherent family history of autoimmune disorders (who doesn't??)
--wheat, wheat, and more wheat ingestion ('comfort foods' craved in times of high cortisol/stress, right? how did I know the carbs were killing me?)
--lack of nutritious food containing EPA DHA, vitamin A, sat fats, minerals, iodine, etc
--lack of play, exercise, movement (or ?overtraining perhaps for Oprah's case)
--weight gain -- which begins an endless self-perpetuating vicous cycle of all the above (Is it stressful to balloon out for no apparent reason? YES)





Of course, it turns out there is a hheeeyyuuggee link between sunlight/vit D/melatonin and the neuroendocrine system.



These four research groups below discuss how our Hypothalamus-Pituitary-Thyroid-Gonad Axis is tightly affected by melatonin, Thyroid Hormones, neuropeptides like brain tachykinins, and our reproductive sex steroids (Estrogen and Testosterone).


Melatonin influences on the neuroendocrine-reproductive axis.
Díaz López B, Díaz Rodríguez E, Urquijo C, Fernández Alvarez C. Ann N Y Acad Sci. 2005 Dec;1057:337-64.
The neuroendocrine-reproductive axis designates the functional activity of the hypothalamus-pituitary-gonadal axis. A delicate synchronization of many inputs at these three different levels is vital for normal reproductive function. From the median basal hypothalamus, the median eminence releases gonadotrophin releasing hormone into the portal circulation to reach the anterior pituitary gland.


Evidence for pineal gland modulation of the neuroendocrine-thyroid axis.
Vriend J. Neuroendocrinology. 1983;36(1):68-78.
Although melatonin administration has been reported to inhibit blood T4 levels in both rats and hamsters, under certain experimental conditions melatonin administration can be demonstrated to have a counter-antithyrotrophic effect resulting in increased blood levels of T4 and thyrotrophin... The effects of melatonin on the neuroendocrine-thyroid axis are similar to its effects on the neuroendocrine-gonadal axis, leading to the hypothesis of a common site of action for the thyroid and gonadal effects of melatonin.


Modulation of the hypothalamo-pituitary-gonadal axis and the pineal gland by neurokinin A, neuropeptide K and neuropeptide gamma.
Debeljuk L, Lasaga M. Peptides. 1999;20(2):285-99.
Tachykinin concentrations in the hypothalamus and pituitary are regulated by steroid hormones. In the hypothalamus, estrogens and testosterone increase tachykinin concentration. In the anterior pituitary gland, estradiol and thyroid hormones markedly depress tachykinin concentrations.



REVIEW. Melatonin and the thyroid gland.
Lewinski A, Karbownik M. Neuro Endocrinol Lett. 2002 Apr;23 Suppl 1:73-8.
The confirmation of these relations in clinical studies in humans meets numerous difficulties, resulting - among others - from the fact that, nowadays, human beings, as well as certain animal species, used in experimental studies, have been living far away from their natural and original habitat. It makes almost impossible to compare the results obtained in particular studies performed in different species, on the pineal-thyroid interrelationship.
(Yes...we may be jacking up our hormones with artificial light, computer screens and TV.)




Oprah Likely Needs Vitamin D

Vitamin D ties everything together. The above two pictures come from the below research article (Sunlight--can it prevent as well as cause cancer?). The authors review: "The active form, 1.25D,, is a full member of the endocrine system, and as such interacts with virtually every organ in the body (31, 32). Especially noteworthy is its interaction with the sex and pituitary hormones (32-34), e.g.,the promotion of l-a-hydroxylation of 25D, by prolactin (34), since some of these interactions provide a mechanism for participation of 1.25D, in the control of cell growth in the reproductive organs . . . The Darwinian view of evolution suggests that loss of body hair in Homo sapiens should have some survival advantage, and it is difficult to think of reasons other than that this provides ready access of sunlight to the skin . . . lack of sufficient sunlight contributes to the known high incidence of carcinoma of the prostate in black American men and to the more aggressive progression of carcinoma of the breast in black women."



Vitamin D interacts with all the steroid nuclear receptors especially Thyroid Receptors and Vitamin A/Carotenoid Receptors (The concept of multiple vitamin D signaling pathways. Carlberg C. J Investig Dermatol Symp Proc. 1996 Apr;1(1):10-4.)

Oprah has a few risk factors for low blood vitamin D:
--stress -- our body burns up Vitamin D to maintain cellular processes under stress and infections
--wheat consumption (Stephan discusses this very well: Vitamin D and Celiac/Gluten Sensitivity) (and ?leaky gut prevent absorption of fat soluble vitamins)
--pigmented skin
--indoor lifestyle
--makeup/sunscreen
--living north of the 37th latitude where UVB solar radiation (the activating wavelength for vitamin D) is scarce for 40-50% of the calendar year
--age


Unless Oprah is receiving bio-identical hormone replacement, then her natural steroid sex hormones are likely to be 'off' and this would affect her Thyroid as well. Women from age 35 yo and up start experiencing declines in sex hormone due to the atresia (dissolving) of the eggs in the ovaries, one of the main sources of Estrogen and Testosterone. After Menopause (average age: 51 yo), nearly all the eggs are gone. Again, as the above emphasizes, the lack of significant sex hormones will profoundly affect the Hypothalamus-Pituitary-Thyroid glands.



What can help Oprah's Thyroid and take her to optimal health?
--Richard, at Free the Animal Oprah's Recipe For Failure -- And My Solution For Success, started this conversation and many of his fans chimed in.
--Scott Miller wrote:

"Here are ten quick mistakes I see her making that will sabatoge her efforts:
[1] Eating starches and grains.

[2] Eating low fat foods (like the egg whites rather than full eggs)
[3] Eating too often...How many omnivores in nature eat five times per day, regularly, like clockwork?
[4] Using fat-free dressings.
[5] A stunning lack of variety in salad-type vegetables (pretty much always romaine lettuce).
[6] Having a killer temptation like those blue chips in the house.
[7] Stead-pace aerobics violate the power law of human conditioning.
[8] And doing aerobics too often.
[9] Slow-twitch-fiber-only strength training.
[10] Strength training too often. "


Besides the paleolithic lifestyle, Oprah could use some natural neolithic bio-identical hormone replacement, starting with the big 'D':
--Vitamin D to blood [25(OH)D = 70 ng/ml] which will probably require about 8000 IU daily in the morning (Cannell doses 1000 IU per 25 lbs -- Oprah reports weight is ~200 lbs)
--Cortisol Reduction -- rest, relaxation, meditation, turn off the Crackberry
--Correct hGH Deficiency-- eat enough fat/protein, carb restrict, sleep well and enough, induce some strain/pain/gain on the muscles, food deprivation 18-36 hr 2-3x/wk
--Correct excess insulin -- stop wheat
--THYROID Replacement-- correct gradually to tolerance and mood, energy, cognition (Dr. Davis goal TSH: 1.0; Free T3: upper nl)
--Estrogen (estriol E3 primarily) -- restore to personal youthful levels prior to peri- and menopausal changes; provides cognition (our brains are FULL of estrogen-receptors), mentation/memory, skin/hair/mucuous membrane functioning, immunity, etc
--Natural Progesterone -- calms and restores all the other cycles (Avoid Provera, Levonorgestrol, which are progestins, man-made, associated with cancer and lower HDL 20-30%)
--Testosterone -- yes women need this just like men... provides confidence, vitality, well-being, affiliation, motivation, zest, in addition to libido
--DHEA-S
--Melatonin





How to Stop the Autoimmune Process of Hashimoto's

When one of our organs is jacked how do we recover it? Can we induce our immune system to heal and restore function? Certainly! With time, appropriate nutrients and stimulus, I believe depending on the extent of the incurred damage, our bodies have the capacity to regenerate itself. With Vitamin D repletion and Wheat-Cessation, I have observed a trend of improved TSH (including my own from 1.3-1.9 to 1.0 when my 25(OH)D stays above 60 ng/ml). Why? Vitamin D interacts intimately with thyroid, vitamin A/carenoid and other steroid hormone controls, including the sex hormones.

These below nutrients and lifestyle changes have been shown to aid the Thyroid to heal and restore functionality:
-stopping wheat which triggers our immune systems: innate+humoral
-stopping wheat which triggers genetic expression of stress responses
-stopping wheat which results in rapid rises of insulin
-stopping gluten/wheat/barley/rye
-stopping beans, peanuts, legumes (lectins)
-stopping dairy (which contain opioid-like proteins like wheat)
-stopping grains (rice, corn, etc) -- which are all grass-derived (*ha * I didn't say WEEDS but that's what I mean)
-proper nutrients which are the building-blocks of the Thyroid Gland and Thyroid Enzymes: proteins (taurine, leucine, arginine, OKG, L-carnitine, etc), minerals (IODINE, Mg, Zn, Se, Chromium, Bo, etc)
-B-vitamins (including α-lipoic acid)
-Vitamin D3 (goal 25(OH)D=70 ng/ml)
-Vitamin E (tocopherols, tocotrienols)
-Vitamin K1 K2
-Vitamin A
-Carotenoids (grassfed meat, wild seafood, Krill oil/Astaxanthin)
-EPA + DHA (ditto) -- high dose if extreme inflammation is present
-Antioxidants (Flavonoids, CoQ10, ALCAR/α-LA, Pycnogenol, etc)
-Avoid dietary and environmental toxins (nitrite preservatives, plastic, petroleum, bisphenol, heavy metals (Lead, Mercury), endocrine disrupters, pesticides, dioxins, etc)





Hashimoto's Thyroiditis Related to Autoimmune Genes

All autoimmune conditions are related to differences in our immune system. Even Migraines are associated with a certain type of immunity variation (Prevalence of HLA DQB1*0602 allele in patients with migraine). Hashimoto's is strongly tied to HLA DR5 types, vitamin D receptor anomalies, and CYP1 alpha hydroxylase (vitamin D activation enzyme) variations. It turns out also that Addison's Disease is tied to the same Cyp enzyme variant or what is known as a polymorphism.
A promoter polymorphism of the CYP27B1 gene is associated with Addison's disease, Hashimoto's thyroiditis, Graves' disease and type 1 diabetes mellitus in Germans.
Association of vitamin D receptor gene 3'-variants with Hashimoto's thyroiditis in the Croatian population.
Vitamin D receptor gene polymorphisms are associated with risk of Hashimoto's thyroiditis in Chinese patients in Taiwan.
Vitamin D receptor genotype is associated with Addison's disease.
Vitamin D 1alpha-hydroxylase (CYP1alpha) polymorphism in Graves' disease, Hashimoto's thyroiditis and type 1 diabetes mellitus.
Vitamin D receptor gene polymorphisms in Hashimoto's thyroiditis.
[Genetic markers in thyroid autoimmune diseases]





Steve Jobs: Addison's Disease?

Via Apple headquarters, Mr. Jobs issued a statement reporting that he was receiving treatment for 'protein wasting' for what doctors believed was caused by a 'hormonal imbalance.' He states he does not have cancer. Could Mr. Jobs be suffering from the same ailment as our late great president John F Kennedy? Mr. Jobs was reported to consume a vegetarian diet which are often devoid of EPA and DHA -- protectors against autoimmune disease as well as pancreatic cancer (see below). EPA and DHA are long chain omega-3 polyunsaturated fatty acids (PUFA) which ONLY come from animal sources. EPA and DHA are like Comcast and DSL -- they provide the reliable high-spped connections for electronic conductions in our nervous systems (compare v. lame lowtech modem/omega-6). Our brain is comprised of inordinate amounts of DHA and EPA. Every cell membrane. Unfortunately humans do not induce enough of the enyzmes to convert vegetarian omega-3 ALA to EPA + DHA in our bodies. If you are not stressed, then it is unlikely to matter. ALA from vegetarian sources would sufficiently maintain health. Most people however undergo some degree of stress or oxidative damage from daily living (like...umm...breathing or... hard breathing at Crossfit or HIIT). Although Mr. Jobs apparently did not have the most aggressive form of pancreatic cancer, he had surgery a few years ago for a neuroendocrine tumor in the pancreas. Addison's may also originate from metastatic tumors to the adrenal glands.

Has Mr. Jobs been under stress? Maybe...
(1) Cancer survivor
(2) Rolled out the best neolithic tech advances of our times: iPOD, iPHONE
(3) Apple innovator/revivor/evolver

o Modulatory effects of EPA and DHA on proliferation and apoptosis of pancreatic cancer cells.
o Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients.
o Fish oil and treatment of cancer cachexia.




Do you want Pancreatic Cancer??

Consume a lotta Omega-6 refined veggie oils like Sunflower or Safflower oil
and/or develop Omega-3 Deficiency
and/or eat a lot of Fructose
and/or a USDA Whole Grain Diet:
Opposing effects of n-6 and n-3 polyunsaturated fatty acids on pancreatic cancer growth.
Effect of dietary omega-3 and omega-6 fatty acids on development of azaserine-induced preneoplastic lesions in rat pancreas.
Carcinogen-induced lesions in the rat pancreas: effects of varying levels of essential fatty acid.
Effect of dietary intake of fish oil and fish protein on the development of L-azaserine-induced preneoplastic lesions in the rat pancreas.
Dietary glycemic load, added sugars, and carbohydrates as risk factors for pancreatic cancer: the Multiethnic Cohort Study.

Dietary sugar, glycemic load, and pancreatic cancer risk in a prospective study.
Etiology of nonresponsive celiac disease: results of a systematic approach.
Aldolase C in neuroendocrine tumors: an immunohistochemical study.
Dietary fructose enhances the development of atypical acinar cell nodules in the pancreas of rats pretreated with N-nitrosomorpholine.




Hormone Imbalances and Organ Failure

Like Oprah, several hormonal imbalances can lead to organ failure due to an autoimmune process. In Addison's, the organ mainly affected is the adrenal glands which provide Cortisol and other cholesterol-derived hormones to the body. Without a minimal amount of Cortisol, we do not make muscles or store fat. Addison's leads to muscle wasting, weight loss, dizziness, and depression. Excessive Cortisol, on the other hand, causes a condition known as Cushing's where excessive abdominal weight gain, moon-face, thin-skin, muscle wasting, fatigue and insomnia occur.



Other Thyroid Sources:



Hormone Balancing Resources:

  • Dr. Uzzi Reiss, MD OBGYN: Natural Hormone Balance
  • Dr. Michael Colgan, PhD: Hormonal Health -- Nutritional & Hormonal Strategies for Emotional Well-Being & Intellectual Longevity
  • Colgan, The Sports Nutrition Guide
  • Dr.Cheryle Hart, MD OBGYN: Hormones By Hart

Saturday, December 27, 2008

Vitamin D and Other TYP Basics

We use a lotta Vitamin D at Track Your Plaque. Everyone is deficient and everyone requires supplementation. Dr. Davis has found that Vitamin D revolutionized and accelerated coronary calcification reversal in addition to many other attributes:
--improved insulin resistance
--increase in HDL 20-30% (in 6-12mos)
--lowering of blood pressure
--energy
--increased testosterone (and I've noticed higher estrogen)
--protection from colds and infections


Vitamin D is a pro-hormone... powerful, potent, and paleo-to-the-core. Since pre-paleolithic times, Vitamin D has been produced in our skin from the UVB radiation of sunlight. The sun indeed powers nearly all life on earth. It is essential and signals reproduction, energy and longevity for not just humans but all land and marine plants, prokaryotes, and animals. The sun has been around the last ~4 Billion years and scientists estimated it will continue to burn another ~4 Billion years.

If you are taking vitamin D, then you are on 'bio-identical hormone replacement therapy' baby!

Typical Dose: 2000 to 10,000 IU daily (enough to achieve and maintain ideal blood ranges 60-70 ng/ml)

Typical Administration: Morning/Daytime

(many people report insomnia, including me, if taken in the evening *makes sense right?*)

Typical Lab Monitoring: Calcium, Magnesium, PTH, [25(OH)D] every 6 months once optimal levels are obtained

TYPical Goal: Blood [25(OH)D] = 60-70 ng/ml




Other TYP staples are:

--High to Ultra-high dose fish oil 6 to 10 g EPA + DHA daily (Depending on how much inflammation and Lp(a); low dose 3 g/day if no inflammation)

--Niacin, Vitamin B3 1-2 grams daily (we prefer Slo-Niacin which is EFFECTIVE and cheap $12.99 at Costco for #150 tabs)




Side benefits of all the above:
--diminished infections (and maybe incl HIV?)
--diminished immunosuppression
--diminished cancers, melanoma
--diminished wrinkles *twinkle*
--increases life span



Vitamin A (natural; not vitamin A precursors like beta-carotene)
Vitamin A helps all the above as well. I like Vitamin A esp because most rice-eating communities are deficient of vitamin A (Bamji MS Experientia Suppl. 1983;44:245-63.). On the Japanese diet, 20% of individuals were deficient in Vitamin A and Riboflavin B2. Going grain-free and eating Paleo easily ameliorates Vitamin A deficiency. In the mean time, supplementation provides a bridge until optimal health is achieved.

Read more about Vitamin A: HERE

Wednesday, December 24, 2008

Shrinkage 101 (With Vitamin D)

Here is a post...tongue-in-cheek from our wonderful community on the Track Your Plaque forum from about a year ago (when I joined). How is shrinkage desirable on many levels? Vitamin D assists on reducing many things pertinent to plaque:
--coronary atherosclerotic plaque (and elsewhere, like the penile vasculature)
--belly fat, WAT (white adipose tissue)
--small dense LDL (atherogenic particles)
--small dense HDL (atherogenic particles)
--hypertensive tension in the circulation (perfect BP: 115/75 according to TYP)
--systemic inflammation
--autoimmune-related hypersensitivity


Just a note about the TYP Forum...Several categories exist with threads on-going. I believe there is a utility for a 'Newbie's Corner' for all the new members joining us. TYP is rather overwhelming in the beginning. Right? Please don't hesitate to inquire for any help. There are many helping hands!

**General Discussion
This forum is for topics of all types for all members.

**What Else is New? Interesting Finds from Other Places
This is the place to post interesting heart health news that you wish to share with other Members.
**Track Your Plaque 101 - Basic Q&AThis is the forum for basic questions about the Track Your Plaque Program and heart disease prevention and reversal. Questions should be short, specific, and of a nature that can be answered quickly so that our staff can address as many as possible. Questions will be prioritized on this basis. Please keep in mind that it is illegal to diagnose or prescribe treatment over the Internet. Replies are designed to be of a general nature and not meant to treat a specific individual or replace the advice of your physician.

**Advanced Discussion Forum
This forum exists to collect input and questions on advanced topics about heart disease, lipoproteins, prevention and regression. This forum is monitored for items of interest for upcoming articles and developing the Track Your Plaque program. Questions are typically not answered directly but may be answered generally if there is common interest among contributing members.

**Emerging Medicine
This is the forum for discussions and information on new and experimental heart disease theories and treatments. It was added by Member request to relieve the burden on the Advanced Discussion Forum and to provide easy access to posts on what the future may hold for heart disease prevention, detection, reversal, and cures.
**Who do you trust?Unfortunately, trusted sources of reliable heart health information can be darn hard to come by. Tell other Track Your Plaque Members about the doctors, scan centers, and other sources of information, products, and services that you've come to trust and have been helpful to your plaque control program.

**Tell us your story
Tell us about your successes, failures, horror stories, or come here to just converse with other Track Your Plaque Members. We love your testimonials!
**Recipe RepositoryMembers have asked for a place to share their favorite heart healthy recipes. This is it! In order to maintain uniformity please use the following format. Recipe Name, Short Description, Ingredient List (amount, unit of measure, description), preparation instructions, comments. Bon Appetite!




ggglll Posted: 1/26/2008 9:48:00 AM

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I love classic Seinfeld...

Do you 'member the episode with George and shrinkage??!
(the accidental full Monty... and cold... *HEEEE HEEEE*)



Women are in the same boat, we have shrinkage as well... Sadly... and it has to do with vitamin D!

http://mend.endojournals.org/cgi/content/full/18/9/2208
Accelerated Mammary Gland Development during Pregnancy and Delayed Postlactational Involution in Vitamin D3 Receptor Null Mice



Gals, recall after breastfeeding when the mammary glands (ie, b**bies -- can I say that here?) minimized from obscene-XXX sizes to negative(-)A's?

VDRs (vitamin D receptor and vit D) return them to non-lactating form (and rather hanging to the knees, shriveled like raisins; no one is upset... or in need of plastic surgery).

Of course, here on TYP, SHRINKAGE is the optimal outcome!!! PLAQUE shrinkage is a G-O-O-D thing (as well as colon, prostate, ovarian and breast cancer).

(another D E E P thought...)
(from the shallowest-thinking member)




DR. Davis' Comment
Posted: 1/27/2008 9:58:00 AM

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Hi, G-- I believe that the authors' comment that vitamin D "is best known for its role in maintenance of calcium homeostasis, 1,25-(OH)2D also regulates epithelial cell proliferation, differentiation and apoptosis" is most telling. I remain very excited about the plaque-regressing, calcium-normalizing, and cancer-preventing properties of this fascinating hormone/nutrient.
----------------- Dr. William Davis Author, Track Your Plaque




Anonymous Posted: 1/28/2008 4:22:00 PM

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g It shrinks? "YES, like a frightened turtle!" I don't know how you guys walk around with those things! Good luck with the vitamin D. Wonder if that's what Pamela Anderson used, and if so how many IU's of D per day



------------------------------------------------------------------------
P.S.
2009 update on the uummm mammaries...thanks to vitamin ADEK/TYP/hyperlipid/Paleo diet there is sustainable growth without unwanted shrinkage I'm glad to report (I suspect the synergy betw Vitamin D and Vitamin A and mod/high-fat-diet has improved my ummm...34-24-34 numbers the most).

Incidentally, the HDLs are up from 84 to 89 now (27% incr from 70 baseline) and body fat down to 19.5% (from 22%) (despite hormone issues and mild vit D insufficiency [25(OH)D]). I'm trying to beat Richard *hee* here at Free the Animal (HDL 104) and Stephan here at Whole Health Source (!! wow !! HDL 111). What brilliant beasts! OMG... wtf how amazing are these measurements... Of course these lab values (incl mine) are all Freidewald calculations -- and thus liable for some miscalculations and inaccuracies by ~10% or more (the lower the HDL, the more inaccurate, imo; the larger, too? I dunno?).

I'll show you how the new TYP tracking graphics work in a few wks...wow...they are beautific and will blow your mind... (after more shrinkage *ah haa* and better ABS and labs) !

Saturday, May 24, 2008

Plaque, Plaque, and... More Plaque Reversal

"Remodelling of alveolar bone involves interaction between osteoblasts and osteoclasts. Osteoblasts, under the influence of osteotropic hormones (vitamin D3, PTH and retinoic acid), produce MMPs which appear to function in the removal of soft tissue that precludes access of osteoclasts to the mineralized tissue surface.... Although there is strong evidence for the involvement of MMPs in the resorption of bone and in the inflammation-mediated destruction of periodontal tissues, the role of MMPs in the remodelling of mature soft connective tissues remains equivocal."

Sodek J, Overall CM. Matrix metalloproteinases in periodontal tissue remodelling. Matrix Suppl. 1992;1:352-62. Review. PMID: 1480060


------------------------


Boyd LD, Lampi KJ. Importance of nutrition for optimum health of the periodontium. J Contemp Dent Pract. 2001 May 15;2(2):36-45. Review. PMID: 12167932 Link HERE *good review*


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Figure. Activation mechanisms of MMP-2. The full-length MMP-2 can be activated in two ways. Proteolytic activation of MMP-2 by MT1-MMP/TIMP or by other proteases occurs by removal of the autoinhibitory propeptide domain (left arrow) resulting in an active truncated MMP-2. The presence of oxidative stress (ONOO-) and cellular glutathione (GSH) causes the S-gluathiolation of the critical cysteine residue in the propeptide domain, disrupting its binding to the catalytic Zn2+ ion, resulting in an active full-length enzyme. MMP, matrix metalloproteinase; ONOO-, peroxynitrite; TIMP, tissue inhibitor of metalloproteinase. Chow AK, et al. Acute actions and novel targets of matrix metalloproteinases in the heart and vasculature. Br J Pharmacol. 2007 Sep;152(2):189-205.


Recently we moved and lost our housekeepers. I've been in the double-dog dumps ever since... So to say the cleaning of the house has been neglected is a very grave understatement. Last week I devoted an inordinate amount of time scouring the calcium deposits off all the toilets in the house... it took so long so I had a long time to think. Why (??!) did I wait so long? Why did I let this thing go?? The work was so much harder and and tougher than had I just kept up with routine maintenance weekly. Right? (Also have spent time weighing the benefits of hiring professionals again) My girlfriends love using CLR (above ad) but I hesitate using such a strong cleaning solvent on the toilets not just for the environmental impact but also the corrosive effects on the pipes (not withstanding other effects such as melting my corneas and the first 2 layers of my skin -- rubber gloves are mandatory).

As I was really getting into the scrubbing and facing the challenge of getting back an immaculate white and tidy bowl, I thought is this what my nazi-Dental Hygienist thinks every time she sees me as she sharpens her metal instruments for scraping tartar and plaque off the teeth? A few years ago I was diagnosed with gum disease with pockets of '4' and '5' and told that implants and antibiotic treatment et cetera might be required some day. When you have periodontal disease, extra cleanings (btw are NOT covered by insurance) and deep scaling/root planing (yes it's as nasty as it sounds) are required to control plaque with the hopes of reducing inflammation and further damage. Gum disease actually involves similar processes that atherosclerosis/heart disease involves, including destruction by excessive MMPs. On the surface of atherosclerotic plaques in our blood vessels, MMPs are found. Destabilization of plaque has been related to overactivity of MMPs. The above article demonstrates the value of vitamin D3 and vitamin A (retinoic acid) and PTH in ameliorating gum disease and correcting the balance between building (osteoblastic activity) and cutting (osteoclastic activity) of our mature gum soft tissues. Interestingly these agents, Vitamins D3 and A, also have incredible plaque-busting benefits in the Track Your Plaque program for CAD regression and eradication. Dr. Davis demonstrated the value of Vitamin D3 in shrinking plaque in coronary arterties and heart disease reversal.


My gum disease now has reversed. I've attributed all the benefits to a low-inflammatory diet (ie rich in good oils, protein, veggies and low low carb), exercise, A-N-D vitamins D3, A and high dose EPA + DHA fish oil. At the end of sumer last year, surprisingly, my lab 25(OH)D3 was extremely low (after being in the sun daily for hours with the kids at the pool). Correction of vitamin D deficiency was one component of improving periodontal disease (obtaining blood levels of 50-60 ng/ml). Happily, at my last visit to the dentist, my gums were given a clean bill of health. Nearly all the pockets were '3's and a few '4's now. The '5's had disappeared and I was told I could return to a normal bi-annual cleaning schedule again (and no more out-of-pocket cleanings). The throbbing that I once felt in the gums are gone too.

Other MMP inhibitors include Doxycline (part of the tetracycline family of drugs). It is a prescription drug which is used in the treatment of periodontal disease and gingival inflammation but has also demonstrated some value in atherosclerosis and preventing heart failure remodeling. PERIOSTAT is a brandname Doxycline indicated by the FDA for treatment of gum disease.
  • Tessone A, et al. Effect of matrix metalloproteinase inhibition by doxycycline on myocardial healing and remodeling after myocardial infarction. Cardiovasc Drugs Ther. 2005 Dec;19(6):383-90. PMID: 16435072
  • Chow AK, Cena J, Schulz R. Acute actions and novel targets of matrix metalloproteinases in the heart and vasculature. (see above Figure) Br J Pharmacol. 2007 Sep;152(2):189-205. Epub 2007 Jun 25. Review. PMID: 17592511


    I wish I could stick vitamin D in all my toilets everyday... *heh*
  • Dietrich T, et al. Association between serum concentrations of 25-hydroxyvitamin D and gingival inflammation. Am J Clin Nutr. 2005 Sep;82(3):575-80. PMID: 16155270

    Rickets -- a profound vitamin D deficiency condition which frequently involves signficant dental disease (because vitamin D plays a vital role in calcification of teeth and remodeling of soft gum tissues).
  • Chaussain-Miller C, et al. Dentin structure in familial hypophosphatemic rickets: benefits of vitamin D and phosphate treatment. Oral Dis. 2007 Sep;13(5):482-9. PMID: 17714351
  • Yamamoto T. Diagnosis of X-linked hypophosphatemic vitamin D resistant rickets.
    Acta Paediatr Jpn. 1997 Aug;39(4):499-502. Review. PMID: 9316300
  • Chaussain-Miller C, et al. Dental abnormalities in patients with familial hypophosphatemic vitamin D-resistant rickets: revention by early treatment with 1-hydroxyvitamin D. J Pediatr. 2003 Mar;142(3):324-31. PMID: 12640383

    Dental insurances allow one extra covered dental cleaning during pregnancy. Studies show that the pregnancy-state increases the risk of periodontal disease (likely secondary to cortisol, inflammation, insulin? vitamin D and EPA/DHA deficiency? I would presume). Prevention with an extra cleaning is therefore now advocated. Isn't that interesting? Pregnancy may significantly deplete vitamin D stores (unless replenished) -- in order to construct enough progesterone and estrogen which are also steroidal hormones for supporting the pregnant state. Both pregnancy and lactation also reduce the mother's stores of EPA+DHA in her brain and heart in order to supply the growing fetus/baby's brain and heart. Did you know that a baby's brain is 70% of its birth weight? And did you know that breastmilk is a rich source of 'fish oil' EPA + DHA !

    This researcher believes that maternal imprinting can affect CAD risk later in life. By not consuming enough good oils during conception and pregnancy, are we affecting our children later in life? He strongly believes fish oil may protect and even prevent CAD and diabetes in children when maternal EPA and DHA are adequately provided.
  • Das UN. A perinatal strategy to prevent coronary heart disease. Nutrition. 2003 Nov-Dec;19(11-12):1022-7. Review. PMID: 14624957

  • Cerná H, et al. Acta Univ Palacki Olomuc Fac Med. 1990;125:173-9. Periodontium and vitamin E and A in pregnancy.
    The evaluation of the clinical condition of periodontium by means of the epidemiological indexes and the level of oral hygiene in two weeks intervals in the course of physiological pregnancy in 39 women in good general health revealed the maximum of inflammatory changes of periodontium in the 8th month of pregnancy with the amelioration shortly before delivery. Simultaneous follow-up of the physiological levels of vitamin E and A in four weeks intervals showed the decline of the mean levels of both vitamins in the course of the 8th month and their marked elevation shortly before delivery; therefore remains questionable, if this elevation reaching over their physiological range, contributes to the amelioration of the condition of periodontium observed at the same time. PMID: 2150274

    Phenytoin is a drug that increases the liver metabolism of certain drugs and hormones, including Vitamin D and Vitamin A. Seizure and other individuals taking Phenytoin can be at risk not only for osteoporosis but also gum disease (and heart disease and many over conditions) due to subsequently low vitamin D levels. (Isotretinoin is a synthetic vitamin A)
  • Norris JF, Cunliffe WJ. Phenytoin-induced gum hypertrophy improved by isotretinoin. Int J Dermatol. 1987 Nov;26(9):602-3. No abstract available. PMID: 2965113
  • Lucchesi JA, et al. Severe phenytoin-induced gingival enlargement associated with periodontitis. Gen Dent. 2008 Mar-Apr;56(2):199-203; quiz 204-5, 224. PMID: 18348382
  • Hall EE. Prevention and treatment considerations in patients with drug-induced gingival enlargement. Curr Opin Periodontol. 1997;4:59-63. Review. PMID: 9655022
  • Sobaniec H, et al. Antioxidant activity of blood serum and saliva in patients with periodontal disease treated due to epilepsy. Adv Med Sci. 2007;52 Suppl 1:204-6. PMID: 18229666


    Vitamin A is also helpful for reversing gum disease in a condition called Papilon-Lefevre syndrome.
  • Nazzaro V, et al. Papillon-Lefèvre syndrome. Ultrastructural study and successful treatment with acitretin. Arch Dermatol. 1988 Apr;124(4):533-9. PMID: 2965550

    When I think about inflammation and the crucial role fish oil plays in maintaining healthy hearts and minds.... I am not shocked to find out it also regulates healthy gums and oral health. Friends on the TYP forum on the other hand will be shocked that I've reduced my dose of fish oil (slightly) since our family started drinking grass-raised cow milk which is rich in EPA+DHA, CLA, vitamins A D3 E and K2. I love fish oil for all its amazing benefits. Here is more evidence for its healing properties on gingival inflammation (and the hypothesized relationship with vascular inflammation).
  • Fish oil reduces tooth loss mainly through its anti-inflammatory effects?
    Hamazaki K, et al. Med Hypotheses. 2006;67(4):868-70.
    Competing at several steps of arachidonic acid metabolism, n-3 fatty acids reduce production of highly active prostaglandins and leukotrienes and exert anti-inflammatory effects. They are also experimentally shown to be anti-osteoporotic. Periodontitis is responsible for most tooth loss in adult populations. If enough n-3 fatty acids are provided, periodontitis with alveolar bone resorption may be controlled, and tooth loss may be prevented. In fact, n-3 fatty acid administration lowered prostaglandin E(2) production, tooth movement and alveolar bone resorption in animal experiments. Aggression, which may be related with tooth loss, was also controlled with fish oil. Our cross-sectional data supported our hypothesis. We recruited 256 men (22-59 y of age) and 95 women (22-66 y), counted the numbers of their remaining teeth, and analyzed the fatty acid composition of the total phospholipid fraction of RBCs. The beta-coefficient of the numbers of remaining teeth and EPA concentrations in the fraction was 0.89 (per 1% EPA, p=0.007) after adjustment for 9 possible confounding factors. Long-term intervention studies with fish oil planned in the future should be able to test our hypothesis by just adding another very simple endpoint in those studies: tooth loss during the intervention period. This hypothesis may explain the linkage between periodontitis/tooth loss and coronary heart disease. PMID: 16759817

  • Campan P, et al. [Polyunsaturated omega-3 fatty acids in the treatment of experimental human gingivitis] Bull Group Int Rech Sci Stomatol Odontol. 1996 Feb-Mar;39(1-2):25-31. French. PMID: 8720373
  • Kesavalu L, et al. Omega-3 fatty acid effect on alveolar bone loss in rats. J Dent Res. 2006 Jul;85(7):648-52. PMID: 16798867
  • Kesavalu L, et al. Omega-3 fatty acid regulates inflammatory cytokine/mediator messenger RNA expression in Porphyromonas gingivalis-induced experimental periodontal disease. Oral Microbiol Immunol. 2007 Aug;22(4):232-9. PMID: 17600534
  • Requirand P, et al. Serum fatty acid imbalance in bone loss: example with periodontal disease. Clin Nutr. 2000 Aug;19(4):271-6. PMID: 10952799
  • Iwami-Morimoto Y, Yamaguchi K, Tanne K. Influence of dietary n-3 polyunsaturated fatty acid on experimental tooth movement in rats. Angle Orthod. 1999 Aug;69(4):365-71. PMID: 10456605


    Nutritional factors play the same important roles in parallel organs in our body. Perhaps proper vitamins/food and fish oil everyday will not only keep the doctor away...

    But also my nazi-hygienist! :)

    If only the same were true for all other types of housekeeping.

    (Thanks go out to Mr.California for his super-RICH ideas. You deserve an 'S' emblazoned on your chest for sharing your fascinating cardiovascular-related thoughts and insights.)

  • Friday, March 28, 2008

    Vitamin D's Co-Factor (and Its Cousin)

    Scientists may have been wrong about sunscreen... and perhaps even more wrong about vitamin D (by a magnitude of ten)...

    FREE TO WEAR SUNSCREEN
    Enjoy these 'meandering experiences' and pearls
    (it's... calcium+Vitamin D3!)
    Courtesy of Youtube.com

    So what are scientists saying now about Carotenoids and Vitamin A (Retinoids)? Let's review the data available and examine what lessons may be learned for further plaque eradication and heart protection.

    The below researchers from Sweden believe that Vitamin A and Carotenoids have a strong role in preventing restenosis after coronary intervention. And like vitamin D, low blood concentrations of Carotenoids and Vitamin A are statistically correlated to greater ischemic heart disease and coronary events. Additionally, recently published is one of the first studies to show low serum total carotenoids are independent predictors of all-cause 5-y mortality among older women living in the community. The main cause of mortality (14.1%) in the cohort was cardiovascular disease (32.6%). Clearly the advantages for heart protection with these fat-soluble vitamins mirror many of the same spectacular effects witnessed with the other fat-soluble vitamin, the 'D.' (As well as natural E and K2/menaquinones)

    Vitamin D is one of many members in a superfamily of steroid nuclear receptors.... like superheroes. If the vitamin D receptor (VDR) is the 'super daddy', then is the retinoid X receptor (RXR) 'super mommy?' So WHO'S your Daddy???! (Remember Brad Pitt in Mr. and Mrs. Smith? *ha haaa*)

    You are already aware that I do love my Soltriol (i.e. vitamin D -- the early nomenclature as it related to its initially discovered solar-related powers). Now after reviewing some of the literature on the incredible anti-inflammatory, heart rhythm stabilizing, and plaque-exterminating effects of Vitamin A and Astaxanthin (a carotenoid, cousin of vitamin A), I am convinced that these dietary components have extremely high heart protective value. Is my heart growing for Vitamin A and its cousin Carotenoid?

    Recruit
    Potent, Un-Paralleled Plaque-Busting Power
    RRRXXXRRR
    super-XXX MILF warrior
    (sorry, NSFW)

    Both vitamin D and A receptors are ubiquitious not only throughout the eukaryotic kingdom, but also found in EVERY cell of every eukaryotic cell. Scientists continue to locate these receptors in the most intersting places (like human sperm -- discovered in 2006). These receptors appear to be super-switches for energy production and balance, growth, development, reproduction, survival, and life extension. Thus it may reflect why they are found e-v-e-r-y-w-h-e-r-e.

    T-o-g-e-t-h-e-r.

    In the nucleus of the cell, RXR, the vitamin A receptor has the ability to 'crosstalk' and influence the activity of nearly all the other steroid receptors (including thyroid, PPAR, glucocorticoid, estrogen, progesterone and testesterone). RXR also heterodimers with VDR, the vitamin D receptor. Heterodimer is as heterodimer does... which means RXR binds with VDR to work together. (and if one is missing, does the other partner help out? I believe that may be the case)

    Severe vitamin A deficiency as you are probably aware is one of the leading causes of global blindness. What does chronic vitamin A deficiency cause? Infertility? Cancer? Skin disorders (ie psoriasis, exczema, acne)? Heart disease?

    YES. To all.

    Does it sound familiar?

    Like Vitamin D, Vitamin A, its derivatives (retinoids) and Beta-carotene and its derivatives (carotenoids) have been shown in human trials to treat and prevent cancers:
    --suppresses carcinogenesis of skin, lung, breast, oral, prostate, ovary--acute promyelocytic leukaemia (APL) -- in fact 'cures' APL without a doubt

    Vitamin A is used short term at high dose 50,000 IU to 100,000 IU adjunctly to augment cancer therapy as part of core integrative nutraceutical programs (incl natural beta-carotene, high dose vitamin D 25(OH)D 75ng/ml, high dose fish oil (4-20g/day), glutamine, butyrate, etc)

    ---------------------
    If you want to go fast... go alone.

    If you want to go far... go together.

    -----AFRICAN PROVERB


    Why is Vitamin A used together with Vitamin D? Why are they found in potent quantities together in nature (ie, fish liver, oily fish, salmon, oysters, trout, catfish, egg yolk, zooplankton, butter, pate, fish eggs/roe/caviar, breastmilk)? All the best foods in life... (breastmilk -- my kids were really into that stuff). Pasture-raised cows indeed produce butterfat brimming with a wealth of cardioprotective vitamins K2, A, D and E! I wonder why??

    A synergistic effect has been observed for nearly all benefits studied. This makes absolute sense since they exist co-dependently physically located in the nucleus of our cells.
    • Synergistic cardioprotection of Vitamin D3 and retinoic acid protect against hypertrophy of neonatal rat cardiac myocytes induced by endothelin
    • Synergistic anti-proliferative effective of vit D derivatives and 9-cis-retinoic acid on neuroblastoma cells
    • Synergism between vit D derivative and retinoids on skeletal cells
    • Synergistic inhibition of prostate cancer cell lines by vit D analogues and a retinoid
    • Synergistic terminal differentiation of leukemia cells by Vitamin D3 and retinoic acid
    Astaxanthin is a member of the carotenoid family which provides the bright orange color in salmon, shrimp and krill. For its anti-inflammatory properties and anti-cancer benefits, Astaxanthin exhibited the highest anti-tumor activity among 3 of the most potently bioactive carotenoids.

    For heart protection, Li et al demonstrated that Astaxanthin dramatically reduces MMP-3 expression in the plaque found in the thoracic aorta of atheroscleroic rabbits (p<0 .05=".05" activity="activity" and="and" been="been" br="br" de-stabilization="de-stabilization" have="have" high="high" implicated="implicated" in="in" mmps="mmps" of="of" plaque="plaque" rupture.="rupture.">

    Li W, et al. Alpha-tocopherol and astaxanthin decrease macrophage infiltration, apoptosis and vulnerability in atheroma of hyperlipidaemic rabbits. J Mol Cell Cardiol. 2004 Nov;37(5):969-78.





      Cardioprotective Effects of Astaxanthin (carotenoid)




      Cardioprotective Effects of Vitamin A(RA=retinoic acid is the carboxylic acid of vitamin A) (All-trans-retinoic acid (ATRA) is the primary active metabolite of vitamin A) (9-Cis retinoic acid, a metabolite of vitamin A, is the most potent ligand of RXR)
      • Wu J 1996: Vitamin D3 and retinoic acid protect against hypertrophy of neonatal rat cardiac myocytes induced by endothelin
      • Zhou MD 1995: Retinoid-dependent pathways suppress myocardial cell hypertrophy by minimizing alpha-adrenergic receptor-dependent hypertrophy
      • Kang, Leaf 1995: All-trans-retinoic acid protects against cardiac arrhythmias induced by ischemia, adrenaline-like stimulants
      • de Paiva 2003: Retinoic acid at small physiological doses remodeled damaged heart issue in adult rats
      • Wang 2003: All-trans-retinoic acid prevented remodeling in cultured rat cells and cardiac hypertrophy induced by angiotensin II
      • Worley JR 2003: 9-cis-retinoic acid prevent MMP-9 in human monocyte-like cells
      • de Paiva 2005: Retinoic acid supplementation attenuates ventricular modeling post-myocardial infarction in rats
      • Preston 2005: All-trans retinoic acid elicits inhibition of serontonin-induced changes in cultured human smooth muscle cells (took cells from human subjects with idiopathic pulmonary arterial hypertension who often demonstrate low serum levels of RA and 13-cis-RA compared with healthy controls)
      • Choudray 2007: All-trans-retinoic acid in pressure overloaded rats (by aortic band) prevented systolic and diastolic dysfunction and change in cardiac structure by inhibiting the rennin-angiotensin system.
      • Choudray 2008: All-trans-retinoic acid prevents angiotensin II and mechanical stretch induced ROS generation cardiomyocyte cell death
      • Mercader 2006: with retinoic acid remodeling of WAT in mice, increased thermogenesis in skeletal muscle, triggered reduction in body weight, reduction in visceral fat, improved glucose tolerance
      Consider for supercharging a health program:
      Vitamin A (Natural)
      • Dose of Vitamin A: 5,000 to 10,000 IU** daily in the morning with food
      • Use Natural only
      • Side effects: Rare (unless high dose or synthetic analogue and/or vitamin D deficient -- hepatitis, hypertriglyceridemia, osteoporosis, joint aches)
      • Food Sources: Bioavailability increases with presence of fat, fiber, protein, acidity, being heated (for vegetables; for fish, least amount of cooking maintains activity). Animal sources include liver and organ meat, red meat, whole fish, fish oils, cod liver oil, egg yolk, butter, dairy products, and breastmilk. Dark green vegetables, yellow and red fruits (excluding citrus) and vegetables, and red palm oil are rich sources of retinoids and carotenoids.
      • Teratogenic (with high dose or synthetic analogues) -- Avoid supplementation without MD supervision if pre-conceiving, pregnant.

      • **Caveat: Discuss with your physician prior to starting -- If you already at goal for vitamin D 25(OH)D 50 - 80 ng/ml, then consider reducing your vitamin D dose by 25-50% and re-checking the vitamin D status 25(OH)D 6-8 weeks later to verify that the 25(OH)D has not increased excessively (supratherapeutic levels). Both A and D are fat-soluble vitamins, co-factors and synergize each other's respective actions and I believe blood concentrations (like the addition of other steroid nuclear receptor agonists increases Vitamin D blood concentrations, and... vice versa. Yes...The latter has been demonstrated anecdotally. Rare studies also confirm this phenomenon). Therefore, it's prudent to reduce vitamin D supplementation if you begin vitamin A supplementation... and t-r-a-c-k i-t . :)

      Astaxanthin (Natural)
      • Dose of Astaxanthin: 1.5 to 2 mg daily in the morning with food
      • Use Natural only
      • (Synthetic Astaxanthins are used commercially in farmed salmon, trout and other aquaculture; these fake analogues are apparently made from benzene/petrochemicals; avoid all un-natural vitamins if possible. A synthetic beta-carotene, Lurotin by BASF, was shown to increase cancer, heart attacks, and mortality in clinical human trials.)
      • Side effects: Rare (limited human trials but so far none reported). Less joint aches, wrinkles, cancer, H.pylori dyspepsia, infections, male infertility, etc.
      • Food sources: Microalgae, yeast, wild salmon (especially wild sockeye), wild rainbow trout, krill, shrimp, shellfish.