INTEGRATIVE HEALTH EDUCATION

             A monthly review of 150 medical journals

 

                                         Volume 9 Number 9 October 2008                             

                                                           EDITOR’S NOTE 

Dirt Poor      

The September issue of the National Geographic journal has two articles on our dwindling top soil: “Our Good Earth: the future rests on the soil beneath our feet” (page 80) and “Dirt Poor: Haiti has lost its soil” (page 108.) They are stark reminders of what could happen to our own topsoil in the USA if we continue on the path we are on. As “city slickers” we have become detached from the realities of food production and sustainability. We have been conditioned to depend and trust those who mass-produce food to maximize profits, not our health. (See below.)       

Big Food pretty much dictates to farmers how they are to run their farms and what crops to plant. If Joe Farmer does not go along, there are other farmers who step in, often cutting corners that affect food and soil quality. For example, Walmart has told farmers that it will not pay more than 10% surcharge for organic crops. This does not fairly compensate the efforts that farmers put into organic farming. So, what are they going to do? They will role over and go along with what Big Food wants or other farmers will step in and take the deal.           

Short-term mass-production hurts the land in the long run. Pesticides and planting only crops that are subsidized by the Farm Bill (corn and soy) also end up hurting the consumer because they are turned into cheap High Fructose Corn Syrup and Trans-fats. People are economically driven to eat the cheaper foods packaged full of chemicals like preservatives and colorants and who knows what else. Food processing also takes out many nutrients; for example grains lose significant amounts of fiber and micronutrients like vitamin B complex. (See below.)            

This whole mess is part of the problem that has driven our economy to its knees. Agrobusiness operates under the same shady principles that rule Wall Street. For that matter, so do Big Pharma and Insurance companies.            

What can we do? In my opinion we need to learn to be self-sufficient ASAP.           

Start by buying local produce and meat raised by people you can look in the eyes when you ask them how they are raising crops and animals. Do they use pesticides? Do they truly allow their poultry to be free-range? Do they give their animals antibiotics, hormones or steroids? Local farmers have a stronger commitment to safeguarding their lands’ topsoil. Consuming local food also saves the environment by cutting down on the fuel to import it from far away places. Think about it: as much as I like bananas like everyone else, it no longer makes sense to eat them unless you live in Florida or Hawaii.           

It turns out that local food has no hidden costs like mass-produced food does, so it is cheaper to eat the former. Besides, fuel may soon be so expensive that we may be forced to eat local, anyway.            

If you want to read more about these issues check out “Animal, Vegetable, Miracle” by Barbara Kingsolver (HarperCollins, 2007,) “Seeds of Deception: exposing industry and government lies about the safety of the genetically modified foods you are eating” by Jeffrey Smith (Yes! Books, 2003) and “Collapse: how societies choose to fail or succeed” by Jared Diamond (Viking, 2005.) If you are thinking that “Collapse” couldn’t happen in the USA you may have forgotten about the dustbowl in Oklahoma during the Great Depression. Check out the movie “Grapes of Wrath” if you don’t want to read the book.

Hugo Rodier, M.D.

B careful           

We have a significant lack of B vitamins in our society from milling grains, soil depletion and gut-absorption problems (anti-acid pills, antibiotics, seizure and diabetes medications, alcohol, tobacco, heavy metals, etc.) It turns out that some of us are genetically more at risk of serious consequences, which are even more likely when we eat poorly. Food determines how your genes are copied. Bad food makes you more susceptible to DNA mutations leading to cancer and poor DNA copying making chronic diseases more likely (“Genome Health Nutrigenomics and Nutrigenetics: diagnosis and nutritional treatment of genome damage on an individual basis,” J. Food Chemical Toxicology 2008;46:1365.)            

We are also more vulnerable to environmental toxins when we are so genetically predisposed. We have even more trouble detoxifying chemicals in the environment that are causing DNA mutations, like the plastic in chemicals Bisphenol, BPA. Mothers who are so genetically predisposed must get plenty of vitamin B in their diets to fuel methylation in the Liver to get toxins out of their body. Then, their children will have a lower risk of getting neurological and metabolic problems (“Maternal Nutrient Supplementation Counteracts BPA-induced DNA Hypomethylation in Early Development,” J. Proc Nat’l Acad of Science 2007;104:13056.) BPA also increases the risk of heart attacks and diabetes in adults for the same reasons (JAMA 2008;300:1353.)           

Now you know why Refined grains make you obese: intra-individual changes in DNA methylation (indispensable for copying DNA) are worse when we lack B complex in our diets (JAMA 2008;300:2877.) No wonder that by supplementing B vitamins like folic acid, B-12, choline and betaine lowered the risk of mice becoming obese (International J. of Obesity, July 2008.)

The dose does not make the poison           

As an environmental doc I have been worried that this old dogma has been around far too long. Why? It has been financially beneficial to hide the extent of chemicals in the environment harming our health (Book “The Secret History of the War on Cancer,” Devra Davis; 2008.) Since the 16th century most people have maintained that “the dose makes the poison,” meaning that any substance may be harmful at high doses, even water and oxygen. The FDA has operated under this antiquated dogma since its inception, despite solid evidence that some chemicals may be toxic at very small doses, too.               

The biphasic or monotonic dose-response curves observed… in many studies…     follow an inverted U shape, which is a common finding for endocrine-active        chemicals and drugs, for which high doses inhibit (down-regulate) the low          response system while initiating a wide array of other adverse effects via different             response mechanisms.” (JAMA 2008;300:1353.                        

The “U” shaped-curve of toxic exposure is now felt to be a more accurate approximation of what is going on: at very small doses (the beginning of the “U” curve”) chemicals may escape detection and detoxification in our body so that no initial reaction is seen when exposed. But, in the long run (the end of the “U” curve) said tiny exposures may cause significant damage. The same toxins at a more detectable mid-range level may then be properly eliminated (the bottom of the “U” curve) before damage occurs.               

We need to get serious about small amounts of chemicals in our body. Remember that avoidance is the main way to protect ourselves. Second, maximizing our detox pathways in the body with excellent nutrition. Stay tuned to blog on book “War on Cancer” or go buy it yourself.

Skin-deep dermatology advise?

I am sure you have heard that food has nothing to do with acne.

Hopefully we will soon put to rest that disturbing notion. (“Diet-Acne Association Gains Footing in Literature,” J. Family Practice News, June 15th, 2008, p15.) Sadly, many people, especially teenagers would like to believe they may eat anything they want and still have “totally awesome” skin. Simply put, our skin is a major detoxifying organ that will struggle to clear the garbage we eat, particularly when we are having intestinal problems like IBS and constipation. (“Skin Problems May Provide Clues to GI Disease,” J. Family Practice News, March 15th, 2008, page 25.) In those cases the skin ends up picking up the slack in the “exhaust-pipe” department.           

The article “Acne Vulgaris: a disease of western civilization” (J. Archives of Dermatology 2002;138:1584) hits it right on the head. So, the more processed food we eat the more likely we are to have a whole lot of problems besides acne. Think of your skin as a reflection of what is going on inside your body. If we get acne we are at risk of other diseases with time.           

Many feel that milk is the main culprit (J. American Academy of Dermatology 2008;58:787.) I agree. It is full of hormones, steroids antibiotics and who-knows what else. Every one of those chemicals may stimulate the growth of bacteria on our skin. Besides, milk has too much fat and sugar, which also exacerbate acne. In fact, eating the right sugars or a low glycemic diet improves acne (J. American Academy of Dermatology 2007;57:247.) Eating the right fats, that is nuts, avocados, fish, olives and avoiding Trans-fats and saturated fats also improves our skin.           

No doubt you may be told that acne is a hormonal issue: absolutely. The more refined sugars we eat the more hyperinsulinemic we become. The extra insulin produced upsets ovarian and testicular function leading to hormonal imbalances that increase toxicity issues particularly in the skin and gut. This has been widely documented. In its worst form it is called PCOS in women.           

Try to stay away from antibiotics to treat acne; they destroy intestinal flora, which has been associated with a host of problems, including Lupus as kids grow up (J. Chest 1999;115:1471.) Review previous issues to learn about other items that help acne, like the bush Berberine.           

There are no shortcuts: healthy skin comes from healthy diets. Anybody who tells you differently is trying to sell you something. At least that is what the masked man sort of said in “The Princess Bride.”

 Telegraphed articles

Stress in pregnancy and cesarean sections increases risk of asthma in kids. Exposure to micro-organisms in birth canal improves kids’ immune system

            JAMA 2008;300:29

Prebiotic oligosaccharides (fiber) in newborns reduces allergies in 1st two years of life; fiber feeds probiotics or healthy organisms who are key to the immune system.

            J. Nutrition 2008;38:1091

Vitamin E and resveratrol (nutrient I grapes and peanuts) inhibit human breast cancer cell growth.

            J. Nutrition and Cancer 2008;60:401

Melatonin 6 mg helps reflux

            J. Alternative Therapies 2008;14:54

Citrus pectin (fiber) chelates lead in hospitalized kids with toxic levels

            J. Alternative Therapies 2008;14:34

 “The Fragile Mind: early life stress and inflammatory disease.” Stress in children may predispose them to inflammatory diseases when they grow older.

            J. Endocrinology 2008;149:2724

Progesterone and Estrogen Regulate Oxidative Metabolism in Brain Mitochondria.” Translation: your hormones affect your brain-energy function.

J. Endocrinology 2008;149:3167

Progesterone and Progestin Receptors in the Brain: the neglected ones,”

                        J. Endocrinology 2008;149:2737

Nutritional Hormesis.” Pesticides and food additives and preservatives even in small doses have a negative impact on our bodies.

European J. Clinical Nutrition 2007;61:147

Hyperactivity in children has been associated with chemicals above.

British Medical Journal 2008;336:1144

A low glycemic index diet, fiber (fenofibrate) and the antioxidant CoQ10 (it improves mitochondrial function) help the heart pump blood more efficiently.

            J. Diabetes Care 2008;31:1502

Fatty liver” is now seen in about 50% of children over the age of 5 who are obese and in 10% of all children: “Experts predict those who have [fatty liver] as a kid may need a transplant by their 30s and 40s.” Amazing…

            American Liver Foundation report in Salt Lake Tribune, September 8th, 2008.

High sugar in the blood associated with more clotting problems.

            J. Diabetes Care 2008;31:1590

Vitamin K improves bone density.

            AJCN 2008;88:356

Omega 3 oils lower risk of Macular Degeneration

J. Ophthalmology 2008;126:826