Managing fatty infiltration

Fatty infiltration of the liver is known to cause varying degrees of liver dysfunction. How do you prevent or reverse it? What about fatty infiltration in other organs?

One place to start would be to consider the possible role of fructose. Some people on a Paleo diet exclude it, but many (most?) don’t.

Fructose is converted to fructose-1-phosphate in the liver, a process which can deplete the phosphate stores that normally would be used to create ATP, which is the body’s primary source of metabolic energy. A lack of ATP triggers the degradation of adenine, which produces uric acid, which can lead to gout — which is associated with metabolic syndrome. The fructose metabolites are then moved into fat storage, by increasing triglyceride levels in the blood. Fructose also increases insulin resistance.

http://www.ncbi.nlm.nih.gov/pubmed/16234313?dopt=AbstractPlus

As a result of the process above, fructose can then lead to fatty liver:

http://www.ncbi.nlm.nih.gov/pubmed/19403641

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Update on brushing my teeth with soap

As I posted some time ago, I was brushing my teeth with soap instead of toothpaste. It worked great on my teeth and gums. However, I decided to stop a while back.

Because soap is a natural antibacterial, it was apparently disturbing the natural balance of bacteria in my mouth and throat — to the point where I eventually got a bad case of thrush (yeast overgrowth), which was an unpleasant experience, to say the least.

This may not happen with everyone who brushes with soap; I think I’m sensitive in this area. It may also depend to some degree on the type of soap you use. You could probably also offset the antibacterial effect of soap by having a spoonful of acidophilus yoghurt after you brush.

The toothpaste I’m using now doesn’t have sodium lauryl sulphate or fluoride, but it does have glycerin. Even so, I was encouraged at a recent dental hygiene appointment with no gum pocket depths greater than 3mm (5mm is considered the threshold for gum disease).

 

Would you take statins for high cholesterol?

If I had high cholesterol, I wouldn’t statin drugs, for two reasons. First, from what I’ve seen, the research is not clear that reducing cholesterol levels has any real long-term benefit with regard to heart disease. Second, the drugs themselves have a terrible side-effect profile. For those who decide to go that way, though, be sure to take Co-Q10 to help minimize the damage.

I had a heart scan done myself about 5 yrs ago, and would highly recommend the procedure. Although mine came back clear, I could imagine that having someone tell you that they suspect plaque has started to form in the vessels affecting your heart is nothing like actually seeing and measuring them.

Instead of statins, look into the Pauling/Rath protocol for reversing heart disease. Basically, Lysine, Proline, Vitamin C, Co-Q10, Carnitine, Niacin and Vit E.

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Leg cramps

I used to get leg cramps, and have researched the causes thoroughly.

What I found is that the most common cause is not having enough magnesium. The second most common cause is getting too much calcium. Other micronutrient or electrolyte imbalances can also play a role.

Calcium is required by muscles in order for them to contract, and magnesium is required in order for them to relax. There are many factors that can lead to magnesium deficiency, including exposure to toxins in your food or environment. Some people also tend to leak magnesium from their kidneys when they are totally well, and so can be in a chronic state of deficiency, even when on a good diet.

If you’re having cramps, you might try dramatically increasing your magnesium intake, while reducing calcium as much as you can, until the cramps abate (if you get too much, you’ll find it’s a natural laxative). There are many different forms of magnesium supplements; some are much more readily absorbed than others. I prefer the amino acid chelates, although I’ve also found mag citrate (“Natural Calm”) to be effective when taken in sufficient quantity.

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Correcting mineral deficiencies

Whether correcting deficiencies with whole foods alone is possible depends on many factors: how bad the deficiencies are, which minerals are deficient, your health status, environmental conditions, etc. For example, if you live in an area with selenium-poor soils, and that’s your only deficiency, then eating whole foods that contain selenium should be enough. But if you’re unhealthy and have a number of deficiencies that have advanced to the point where your ability to absorb nutrients from your food is impaired, then food alone may not be enough.

There are things you can do to improve how well nutrients are absorbed from your food. As I’ve mentioned before, chewing really well is an important one. Eating a good variety of food is another (avoid a mono-diet). Juicing (veggie juices) can also help.

I tried a whole food approach for quite a while, without supplementation, and it wasn’t enough for me–but I was very unwell at the time. I had to add supplements before I started to make any progress. In fact, after everything corrected, I stopped taking supplements and went back to whole foods only, and found that several minerals in my blood dropped back down well below normal. So for me, I need to continue certain supplements even today.

One issue with using whole foods alone is that there can be considerable
variation in the mineral content of your food. Also, certain types of food are good sources for certain minerals; if you eliminate those foods from your diet, it can be a challenge to get enough of the associated minerals. For example, molybdenum is present in beans; if you don’t eat beans, it can be difficult to get enough.

Of course, if you’re healthy and live in good environment, I don’t think
this is an issue. Paleo people certainly didn’t need supplements to survive and thrive.

Mineral absorbtion and transdermal magnesium

I don’t have first-hand experience with transdermal magnesium (Mg). However, many substances are absorbed by the skin and make their way into the blood–including things like formaldehyde from clothes sizing, fire retardant from kids nightclothes (required by law!), perfumes, etc–so it seems reasonable that Mg could be absorbed that way, particularly if it was in an oil-based carrier (although the carrier would be absorbed too). However, the skin is also a natural barrier, so it doesn’t absorb most substances very easily or in large quantities (though there are exceptions, such as DMSO).

The gut, on the other hand, has a much larger surface area than the skin, and readily absorbs nutrients that come into contact with it. I am therefore skeptical that Mg applied to the skin would be absorbed any better than Mg when you ingest it. As a technology, transdermal is great for compounds that you want to be absorbed slowly over a period time or in very small doses. But the body needs a fair amount of Mg every day, and of course even more when you’re deficient.

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Glutathione deficiency

I suspect that glutathione (GSH) deficiency is relatively common in modern society. Although the body will create GSH, it needs the sulphur-containing amino acid cysteine in order to do so. Unfortunately, sulphur intake, including cysteine, tends to be fairly low with modern diets. Since GSH is involved with many detoxification reactions, it also gets consumed much more quickly now than in the past, given our regular exposure to things like pesticides.

In addition, in order for GSH to be used properly by the body, the mineral selenium (Se) is required. Se is present in GSH peroxidase, one function of which is to eliminate peroxides such as hydrogen peroxide. Se is also often low in the diet, particularly in certain regions with soils that are naturally low in Se, such as Finland and New Zealand. Low levels of Se in the blood are a well-documented risk factor for cancer.

Just because the chemical pathways exist in the body doesn’t mean that nutrients or their co-factors are being made in the quantity needed. Also, supplementation of the substance itself (such as GSH, which is largely destroyed in the stomach) is often not the best way to address the problem; specific precursors such as cysteine or Se may be much more effective. Getting these precursors through diet is the ideal for the long-term, diet alone may not be enough to correct or even prevent deficiencies (depending on where you live and the source and quality of your food).

Magnesium testing and supplementation

Several studies have shown that most people these days are magnesium (Mg) deficient. However, diagnosing and treating those deficiencies is tricky.

The red blood cell (RBC )Mg test is probably the best “easy” test. Unfortunately, a normal result isn’t enough to rule out a deficiency.

The Gold Standard in magnesium testing is the Magnesium Loading Test. The process involves having an IV containing a known amount of Mg, and
measuring 24-hr urine Mg before and after the IV. Using those numbers, you can calculate how much Mg the body held onto, and based on that amount, you can tell if you’re deficient or not. Since an IV is costly and time consuming, most docs fall-back to the RBC Mg test if you’re lucky, or the plasma test if not. The plasma test is one of the least reliable, most misleading tests around (plasma contains only about 0.3% of total body Mg).

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Risk factors for cardiac mortality

Great post at Hyperlipid.

The whole article is interesting, but the graph below is the kicker:

Relative risk of CHD episodes vs total and LDL cholesterol and HbA1c

Notice that as HbA1c increases, particularly over about 6.2%, the risk of a cardiac episode increases dramatically.

Also notice that there is no indication that high cholesterol with a low HbA1c increases the risk of cardiac mortality.

In other words, an important goal for any heart disease prevention diet should be to minimize HbA1c. How do you do that? Minimize blood glucose — and the most effective solution there is to reduce simple carbs and increase fat.