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	<title>WeeksMD</title>
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	<link>http://weeksmd.com</link>
	<description>The blog of Dr. Brad Weeks</description>
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		<title>Bile Duct cancer &#8211; a better understanding</title>
		<link>http://weeksmd.com/2012/05/bile-duct-cancer-a-better-understanding/</link>
		<comments>http://weeksmd.com/2012/05/bile-duct-cancer-a-better-understanding/#comments</comments>
		<pubDate>Thu, 17 May 2012 00:52:27 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Cancer]]></category>

		<guid isPermaLink="false">http://weeksmd.com/?p=9125</guid>
		<description><![CDATA[Dr. Weeks&#8217; Comment:  understanding the etiology (cause) of a problem isn&#8217;t sufficient but it can be helpful.  Bile duct cancer (cholangiocarcinoma) is a tough type of cancer and it sneaks... <span class="meta-more"><a href="http://weeksmd.com/2012/05/bile-duct-cancer-a-better-understanding/">Read more &#187;</a></span>]]></description>
			<content:encoded><![CDATA[<p><em><strong>Dr. Weeks&#8217; Comment:  understanding the etiology (cause) of a problem isn&#8217;t sufficient but it can be helpful.  Bile duct cancer (cholangiocarcinoma) is a tough type of cancer and it sneaks up on people.   Here is the newest thinking on this problem which accounts for 10-25% of liver cancers world-wide.</strong></em></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<h1 id="headline">Breakthrough in Bile Duct Cancer With Discovery of New Gene Mutations</h1>
<div id="story">
<p id="first">ScienceDaily (May 14, 2012) — A team of international scientists has made a significant breakthrough in understanding the cause of bile duct cancer, a deadly type of liver cancer. By identifying several new genes frequently mutated in bile duct cancers, researchers are paving the way for better understanding of how bile duct cancers develop.</p>
<p>Their discovery is published online in <em>Nature Genetics</em>.</p>
<p>Bile Duct Cancer, or Cholangiocarcinoma, is a fatal cancer with a poor prognosis. Accounting for 10 to 25 per cent of all primary liver cancers worldwide, bile duct cancer is a prevalent disease in Southeast Asia, particularly in Northeast Thailand, which sees about 20,000 new cases each year. <em><strong>The high incidence in Thailand is attributed to long-term consumption of raw fish infected with liver flukes &#8212; food-borne parasites found in fish.</strong></em> Liver fluke infections are widespread in Northeast Thailand, where they are thought to occur in over 6 million people. Once eaten, the flukes accumulate in the bile ducts of the human host, causing constant infection and eventually the onset of cancer.</p>
<p>The research team was led by Bin Tean Teh, M.D., Ph.D., Director and Principal Investigator of the NCCS-VARI Translational Cancer Research Laboratory. Van Andel Research Institute (VARI) and the National Cancer Center, Singapore (NCCS) established the NCCS-VARI Translational Research Program at the National Cancer Center, Singapore in 2007. The program focuses on the biology behind varying drug responses in Asian versus non-Asian patients with specific types of cancer.</p>
<p>The team also included Associate Professor Patrick Tan, Associate Professor Steve Rozen (both of Duke-NUS Graduate Medical School of Singapore) and Professor Vajarabhongsa Bhudhisawasdi from Thailand&#8217;s Khon Kaen University. The breakthrough came after two years of intensive research, which saw scientists from Singapore visiting the villagers in northern Thailand, and Thai researchers coming to Singapore to work in NCCS laboratories.</p>
<p>Professor Teh said the study will pave the way for a better understanding of the roles that newly identified genes play in the development of bile duct cancer.</p>
<p>&#8220;This discovery adds depth to what we currently know about bile duct cancer,&#8221; said Teh. &#8220;More important is that we are now aware of new genes and their effects on bile duct cancer, and we now need to further examine their biological aspects to determine how they bring about the onset of Cholangiocarcinoma.&#8221;</p>
<p>Using state of the art DNA sequencing, the researchers analysed eight bile duct cancers and normal tissues from Thai patients, and discovered mutations in 187 genes. The team then selected 15 genes that were frequently mutated for further analysis in an additional 46 cases. Many of these genes, such as MLL3, ROBO2 and GNAS, have not been previously implicated in bile duct cancers.</p>
<p>&#8220;With this finding we now know much more about the molecular mechanisms of the disease and we can draw up additional measures that can be taken while we identify the most appropriate treatment protocols. We are talking about the potential to save many lives in Thailand,&#8221; said Professor Vajarabhongsa Bhudhisawasdi, Director of the Liver Fluke and Cholangiocarcinoma Research Center, Khon Kaen University of Thailand. &#8220;Also, this study shows that we can work closely with our counterparts in other countries and share our expertise and experience to improve the lot for the people.&#8221;</p>
<p>The researchers also compared the bile duct cancers to other related cancers of the liver and pancreas. Surprisingly, they found that the bile ducts cancers shared certain similarities with pancreatic cancer.</p>
<p>&#8220;This research provides a strong direction for future studies,&#8221; said Associate Professor Patrick Tan, faculty member of the Cancer and Stem Cell Biology Programme at the Duke-NUS. <em><strong>&#8220;Cholangiocarcinoma and Pancreatic Duct Adenocarcinoma appear to share more molecular similarities than earlier studies had indicated,</strong></em> and suggest that there are common biological pathways between the two cancers. By studying these pathways, we can then shed more light on how these tumours develop.&#8221;</p>
<p>Dr. Chutima Subimerb, a Thai scientist involved in the project, said she was pleased with the collaboration and to be able to participate in this health diplomacy project. &#8220;We are very privileged to be able to work alongside Prof Teh and the other scientists from Singapore. By pooling our resources we were able to make this discovery which will have very wide impact on the people, especially the poor people who have been eating the fish that they catch from the ponds and rivers in the region. I believe this is only a first step and we will see even more collaborations in time to come between our two countries in the field of scientific research.&#8221;</p>
<p>The research was funded by the Singapore Ministry of Health&#8217;s National Medical Research Council, Millennium Foundation, Lee Foundation, National Cancer Centre Research Fund, Duke-NUS Graduate Medical School Singapore, Cancer Science Institute Singapore, Research Team Strengthening Grant, National Genetic Engineering and Biotechnology Center and the National Science and Technology Development Agency (Thailand).</p>
<p>&nbsp;</p>
<p><strong>Journal Reference</strong>:</p>
<ol>
<li>Choon Kiat Ong, Chutima Subimerb, Chawalit Pairojkul, Sopit Wongkham, Ioana Cutcutache, Willie Yu, John R McPherson, George E Allen, Cedric Chuan Young Ng, Bernice Huimin Wong, Swe Swe Myint, Vikneswari Rajasegaran, Hong Lee Heng, Anna Gan, Zhi Jiang Zang, Yingting Wu, Jeanie Wu, Ming Hui Lee, DaChuan Huang, Pauline Ong, Waraporn Chan-on, Yun Cao, Chao-Nan Qian, Kiat Hon Lim, Aikseng Ooi, Karl Dykema, Kyle Furge, Veerapol Kukongviriyapan, Banchob Sripa, Chaisiri Wongkham, Puangrat Yongvanit, P Andrew Futreal, Vajarabhongsa Bhudhisawasdi, Steve Rozen, Patrick Tan, Bin Tean Teh. <strong>Exome sequencing of liver fluke–associated cholangiocarcinoma</strong>. <em>Nature Genetics</em>, 2012; DOI: <a href="http://dx.doi.org/10.1038/ng.2273" rel="nofollow" target="_blank">10.1038/ng.2273</a></li>
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		<title>How to detect Pancreatic cancer early</title>
		<link>http://weeksmd.com/2012/05/how-to-detect-pancreatic-cancer-early/</link>
		<comments>http://weeksmd.com/2012/05/how-to-detect-pancreatic-cancer-early/#comments</comments>
		<pubDate>Thu, 17 May 2012 00:47:15 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Ask Your Doctor About]]></category>
		<category><![CDATA[Cancer]]></category>

		<guid isPermaLink="false">http://weeksmd.com/?p=9123</guid>
		<description><![CDATA[Dr. Weeks&#8217; Comment:  This could be very beneficial and is worth asking your doctor about! &#8220;&#8230; We found that a kinase called PEAK1 is turned on very early in pancreatic... <span class="meta-more"><a href="http://weeksmd.com/2012/05/how-to-detect-pancreatic-cancer-early/">Read more &#187;</a></span>]]></description>
			<content:encoded><![CDATA[<p><em><strong>Dr. Weeks&#8217; Comment:  This could be very beneficial and is worth asking your doctor about!</strong></em></p>
<p><em><strong>&#8220;&#8230; We found that a kinase called PEAK1 is turned on very early in pancreatic cancer&#8230;&#8221;</strong></em></p>
<h1 id="headline">Early Biomarker for Pancreatic Cancer Identified</h1>
<div id="story">
<p id="first">ScienceDaily (May 15, 2012) — Researchers at the University of California, San Diego School of Medicine and Moores Cancer Center have identified a new biomarker and therapeutic target for pancreatic cancer, an often-fatal disease for which there is currently no reliable method for early detection or therapeutic intervention.</p>
<p>The paper will be published May 15 in <em>Cancer Research</em>.</p>
<p>Pancreatic ductal adenocarcinoma, or PDAC, is the fourth-leading cause of cancer-related death. Newly diagnosed patients have a median survival of less than one year, and a 5-year survival rate of only 3 to 5 percent. Therefore, biomarkers that can identify early onset of PDAC and which could be viable drug targets are desperately needed.</p>
<p><em><strong>&#8216;&#8221;We found that a kinase called PEAK1 is turned on very early in pancreatic cancer,&#8221;</strong></em> said first author Jonathan Kelber, PhD, a postdoctoral researcher in the UCSD Department of Pathology and Moores Cancer Center. &#8220;This protein was clearly detected in biopsies of malignant tumors from human patients &#8212; at the gene and the protein levels &#8212; as well as in mouse models.&#8221;</p>
<p>PEAK1 is a type of tyrosine kinase &#8212; an enzyme, or type of protein, that speeds up chemical reactions and acts as an &#8220;on&#8221; or &#8220;off&#8221; switch in many cellular functions. The fact that PEAK1 expression is increased in human PDAC and that its catalytic activity is important for PDAC cell proliferation makes it an important candidate as a biomarker and therapeutic target for small molecule drug discovery.</p>
<p>In addition to showing that levels of PEAK1 are increased during PDAC progression, the scientists found that PEAK1 is necessary for the cancer to grow and metastasize.</p>
<p>&#8220;PEAK1 is a critical signaling hub, regulating cell migration and proliferation,&#8221; said Kelber. &#8220;We found that if you knock it out in PDAC cells, they form significantly smaller tumors in preclinical mouse models and fail to metastasize efficiently.&#8221;</p>
<p>The research team, led by principal investigator Richard Klemke, PhD, UCSD professor of pathology, studied a large, on-line data base of gene expression profiles to uncover the presence of PEAK1 in PDAC. These findings were corroborated at the protein level in patient biopsy samples from co-investigator Michael Bouvet, MD, and in mouse models developed by Andrew M. Lowy, MD, both of the UCSD Department of Surgery at Moores Cancer Center.</p>
<p>While many proteins are upregulated in cancers of the pancreas, there has been limited success in identifying candidates that, when inhibited, have potential as clinically approved therapeutics. However, the researchers found that inhibition of PEAK1-dependent signaling sensitized PDAC cells to existing chemotherapies such as Gemitabine, and immunotherapies such as Trastuzumab.</p>
<p>&#8220;Survival rates for patients with pancreatic cancer remain low,&#8221; said Bouvet. &#8220;Therefore, earlier detection and novel treatment strategies are very important if we are going to make any progress against pancreatic cancer. Since current therapies are often ineffective, our hope is that the findings from this research will open up a new line of investigation to bring a PEAK1 inhibitor to the clinic.&#8221;</p>
<p>Additional contributors to the study include Theresa Reno, Sharmeela Kaushal, Cristina Metildi,Tracy Wright, Konstantin Stoletov, Jessica M. Weems, Frederick D. Park, Evangeline Mose, UC San Diego; Yingchun Wang, Chinese Academy of Science, Beijing; and Robert M. Hoffman, UC San Diego and AntiCancer, Inc., San Diego.</p>
<p>The study was supported by the National Institutes of Health.</p>
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<p><strong>Journal Reference</strong>:</p>
<ol>
<li>J. A. Kelber, T. Reno, S. Kaushal, C. Metildi, T. Wright, K. Stoletov, J. M. Weems, F. D. Park, E. Mose, Y. Wang, R. M. Hoffman, A. M. Lowy, M. Bouvet, R. L. Klemke. <strong>KRas Induces a Src/PEAK1/ErbB2 Kinase Amplification Loop That Drives Metastatic Growth and Therapy Resistance in Pancreatic Cancer</strong>. <em>Cancer Research</em>, 2012; 72 (10): 2554 DOI: <a href="http://dx.doi.org/10.1158/0008-5472.CAN-11-3552" rel="nofollow" target="_blank">10.1158/0008-5472.CAN-11-3552</a></li>
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		<title>Gila monster for weight loss</title>
		<link>http://weeksmd.com/2012/05/gila-monster-for-weight-loss/</link>
		<comments>http://weeksmd.com/2012/05/gila-monster-for-weight-loss/#comments</comments>
		<pubDate>Thu, 17 May 2012 00:44:07 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Ask Your Doctor About]]></category>

		<guid isPermaLink="false">http://weeksmd.com/?p=9120</guid>
		<description><![CDATA[Dr. Weeks&#8217; Comment:  bee venom for joint pain, scorpion venom for heart problems, cobra venom for neurological issues and now&#8230;. Gila monster saliva for weight loss! Yikes! &#160; Drugs from... <span class="meta-more"><a href="http://weeksmd.com/2012/05/gila-monster-for-weight-loss/">Read more &#187;</a></span>]]></description>
			<content:encoded><![CDATA[<p><em><strong>Dr. Weeks&#8217; Comment:  bee venom for joint pain, scorpion venom for heart problems, cobra venom for neurological issues and now&#8230;. Gila monster saliva for weight loss!</strong></em></p>
<p><em><strong>Yikes!</strong></em></p>
<p>&nbsp;</p>
<h1 id="headline">Drugs from Gila Monster Lizard Saliva Reduces Cravings for Chocolate and Ordinary Food</h1>
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<p id="first">ScienceDaily (May 15, 2012) — A drug made from the saliva of the Gila monster lizard is effective in reducing the craving for food. Researchers at the Sahlgrenska Academy, University of Gothenburg, have tested the drug on rats, who after treatment ceased their cravings for ordinary food and also chocolate.An increasing number of patients suffering from type 2 diabetes are offered a pharmaceutical preparation called Exenatide, which helps them to control their blood sugar. The drug is a synthetic version of a natural substance called exendin-4, which is obtained from a rather unusual source &#8212; the saliva of the Gila monster lizard (<em>Heloderma suspectum</em>), North America&#8217;s largest lizard.</p>
<p><strong>Unexpected effect</strong></p>
<p>Researchers at the Sahlgrenska Academy at the University of Gothenburg, have now found an entirely new and unexpected effect of the lizard substance.</p>
<p><strong>Reduces cravings for food</strong></p>
<p>In a study with rats published in the <em>Journal of Neuroscience,</em>Assistant Professor Karolina Skibicka and her colleagues show that exendin-4 effectively reduces the cravings for food.</p>
<p>&#8220;This is both unknown and quite unexpected effect,&#8221; comments an enthusiastic Karolina Skibicka: &#8220;Our decision to eat is linked to the same mechanisms in the brain which control addictive behaviours. We have shown that exendin-4 affects the reward and motivation regions of the brain.&#8221;</p>
<p><strong>Significant findings</strong></p>
<p>The implications of the findings are significant&#8221; states Suzanne Dickson, Professor of Physiology at the Sahlgrenska Academy: &#8220;Most dieting fails because we are obsessed with the desire to eat, especially tempting foods like sweets. As exendin-4 suppresses the cravings for food, it can help obese people to take control of their weight,&#8221; suggests Professor Dickson.</p>
<p><strong>Treatment for eating disorders</strong></p>
<p>Research on exendin-4 also gives hope for new ways to treat diseases related to eating disorders, for example, compulsive overeating.</p>
<p>Another hypothesis for the Gothenburg researchers&#8217; continuing studies is that exendin-4 may be used to reduce the craving for alcohol.</p>
<p>&#8220;It is the same brain regions which are involved in food cravings and alcohol cravings, so it would be very interesting to test whether exendin-4 also reduces the cravings for alcohol,&#8221; suggests Assistant Professor Skibicka.</p>
<hr />
<p><strong>Journal Reference</strong>:</p>
<ol>
<li>Suzanne L. Dickson, Rozita H. Shirazi, Caroline Hansson, Filip Bergquist, Hans Nissbrandt, and Karolina P. Skibicka.<strong>The Glucagon-Like Peptide 1 (GLP-1) Analogue, Exendin-4 Decreases the Rewarding Value of Food: A New Role for the Mesolimbic GLP-1 Receptors</strong>. <em>Journal of Neuroscience</em>, April 4, 2012 DOI:<a href="http://dx.doi.org/10.1523/%u200BJNEUROSCI.6326-11.2012" rel="nofollow" target="_blank">10.1523/%u200BJNEUROSCI.6326-11.2012</a></li>
</ol>
</div>
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		<title>Baclofen for autism</title>
		<link>http://weeksmd.com/2012/05/baclofen-for-autism/</link>
		<comments>http://weeksmd.com/2012/05/baclofen-for-autism/#comments</comments>
		<pubDate>Wed, 16 May 2012 23:10:54 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Autism]]></category>
		<category><![CDATA[Multiple Sclerosis (MS)]]></category>
		<category><![CDATA[Neurology]]></category>

		<guid isPermaLink="false">http://weeksmd.com/?p=9114</guid>
		<description><![CDATA[Dr. Weeks&#8217; Comment:  Baclofen is an old medication which is a muscle relaxant. Typically it was used to lessen the muscle spasms of cerebral palsy or multiple sclerosis.  Years ago,... <span class="meta-more"><a href="http://weeksmd.com/2012/05/baclofen-for-autism/">Read more &#187;</a></span>]]></description>
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<p><strong>Dr. Weeks&#8217; Comment:  Baclofen is an old medication which is a muscle relaxant. Typically it was used to lessen the muscle spasms of cerebral palsy or multiple sclerosis.  Years ago, we starting recommending it for alcoholism after the courageous book  <a href="http://abcnews.go.com/GMA/Books/story?id=6636845&amp;page=1#.T7Qzto55nzI">&#8220;The End of My Addiction&#8221;</a>  written by a French surgeon.  Now we find, like Oxytocin,  Baclofen can help with the symptoms of autism.  Given its low side-effect profile, this merits closer study.</strong><em></em></p>
<p>&nbsp;</p>
<h1>Addiction Drug for Autism Patients</h1>
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<div>An old drug used to treat addiction has recently been reformulated to help a new group of people. Studies are underway for the drug formerly known as baclofen to help children with autism.</div>
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<p><strong>History of Baclofen</strong></p>
<p>Baclofen was originally used in the 1920s to help with cerebral palsy. It is a muscle relaxer and antispastic agent. It has a way of calming muscles, relieving pain, and decreasing stiffness in patients with cerebral palsy, multiple sclerosis, and epilepsy. Baclofen works on a neurotransmitter in the brain called GABA, which makes it also effective for the treatment of addiction. Baclofen increases GABA activity, which is the same effect <a title="alcohol" href="http://thewayoutrecovery.com/addiction-facts-recovery/alcohol-rehab/">alcohol</a> and some drugs have on the brain. The result is a calming of the brain, and a decrease in anxiety. Doctors have been using baclofen to treat people with drug addiction and alcoholism since the 1980s.</p>
<p><strong>Baclofen for Autism</strong></p>
<p>This is the same effect researchers are hoping the new form of this drug will have on a different group of people. Children with autism have been found to benefit from a reformulated version of baclofen, called STX209. Researchers are studying this drug and its effects on autistic children and have found a reduction in behavioral outbursts and an increase in social behavior and communication. The children become more relaxed, more comfortable, and not as anxious as they normally would be.</p>
<p><strong>Benefit for Addiction Treatment</strong></p>
<p>The development of STX209 and its treatment for autistic patients may also benefit the field of addiction treatment. It could be that this medication has more potential than was originally thought. We know it can help with addiction, because it helps reduce anxiety in these patients. With the trials for autism treatment, researchers have separated out baclofen into two components, and begun using the active part of this drug, called STX209. This new drug is more potent than baclofen and may more effectively treat addiction patients also.</p>
<p>There is much research to be done on this drug before it is given the go ahead to use. Scientists are learning much along the way about how a drug addict or alcoholic can be similar to an autistic child. These two conditions, while such different diseases, seem to have somewhat of a connection. Maybe it has to do with how the brain handles stress, or the effects of anxiety on the mind. But hopefully with more studies, we will have a better treatment someday for autism. Someone that suffers from addiction may also be able to benefit from a medication like this during treatment, but there is no quick fix for conditions like addiction. Any medication given will need to be followed up with treatment and therapy in order to help the recovering addict stay sober without the aid of medication.</p>
<p><strong>Sources</strong></p>
<p><a href="http://thestir.cafemom.com/big_kid/113771/revamped_meds_may_help_with">Revamped Meds May Help With Autism &amp; Special Needs</a></p>
<p><a href="http://healthland.time.com/2010/12/01/how-a-new-version-of-an-old-drug-may-someday-help-treat-autism-and-addiction-too/">New Version of an Old Drug Could Treat Autism (and Addiction Too)</a></p>
<p><a href="http://www.drugs.com/baclofen.html">Baclofen</a></p>
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		<title>Cardiologist rethinking the illness</title>
		<link>http://weeksmd.com/2012/05/cardiologist-rethinking-the-illness/</link>
		<comments>http://weeksmd.com/2012/05/cardiologist-rethinking-the-illness/#comments</comments>
		<pubDate>Wed, 16 May 2012 21:38:26 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Heart Health]]></category>

		<guid isPermaLink="false">http://weeksmd.com/?p=9108</guid>
		<description><![CDATA[Dr. Weeks&#8217; Comment:  Live and learn &#8211; a privilege afforded doctors more than patients. This cardiologist is learning and living&#8230;. read what he shares so you and those you love... <span class="meta-more"><a href="http://weeksmd.com/2012/05/cardiologist-rethinking-the-illness/">Read more &#187;</a></span>]]></description>
			<content:encoded><![CDATA[<p><em><strong>Dr. Weeks&#8217; Comment:  Live and learn &#8211; a privilege afforded doctors more than patients. This cardiologist is learning and living&#8230;. read what he shares so you and those you love will live and learn too!.</strong></em></p>
<p><em><strong>&#8220;&#8230;The injury and inflammation in our blood vessels is caused by the low fat diet recommended for years by mainstream medicine&#8230;&#8221;</strong></em></p>
<p><em><strong>&#8220;&#8230;By eliminating inflammatory foods and adding essential nutrients from fresh unprocessed food, you will reverse years of damage in your arteries and throughout your body from consuming the typical American diet&#8230;&#8221;</strong></em></p>
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<h2><a href="http://preventdisease.com/news/12/030112_World-Renown-Heart-Surgeon-Speaks-Out-On-What-Really-Causes-Heart-Disease.shtml">Heart Surgeon Speaks Out On What Really Causes Heart Disease</a></h2>
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<div>Dr. Dwight Lundell, cardiologist.<br />
Thu, 01 Mar 2012 21:58 CST</div>
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<div>We physicians with all our training, knowledge and authority often acquire a rather large ego that tends to make it difficult to admit we are wrong. <em><strong>So, here it is. I freely admit to being wrong.</strong></em>As a heart surgeon with 25 years experience, having performed over 5,000 open-heart surgeries, today is my day to right the wrong with medical and scientific fact.I trained for many years with other prominent physicians labelled &#8220;opinion makers.&#8221; Bombarded with scientific literature, continually attending education seminars, we opinion makers insisted heart disease resulted from the simple fact of elevated blood cholesterol.The only accepted therapy was prescribing medications to lower cholesterol and a diet that severely restricted fat intake. The latter of course we insisted would lower cholesterol and heart disease. Deviations from these recommendations were considered heresy and could quite possibly result in malpractice.It Is Not Working!</p>
<p>These recommendations are no longer scientifically or morally defensible. The discovery a few years ago that inflammation in the artery wall is the real cause of heart disease is slowly leading to a paradigm shift in how heart disease and other chronic ailments will be treated.</p>
<p>The long-established dietary recommendations have created epidemics of obesity and diabetes, the consequences of which dwarf any historical plague in terms of mortality, human suffering and dire economic consequences.</p>
<p><em><strong>Despite the fact that 25% of the population takes expensive statin medications and despite the fact we have reduced the fat content of our diets, more Americans will die this year of heart disease than ever before. </strong></em></p>
<p>Statistics from the American Heart Association show that 75 million Americans currently suffer from heart disease, 20 million have diabetes and 57 million have pre-diabetes. These disorders are affecting younger and younger people in greater numbers every year.</p>
<p>Simply stated, without inflammation being present in the body, there is no way that cholesterol would accumulate in the wall of the blood vessel and cause heart disease and strokes. Without inflammation, cholesterol would move freely throughout the body as nature intended. It is inflammation that causes cholesterol to become trapped.</p>
<p>Inflammation is not complicated &#8212; it is quite simply your body&#8217;s natural defence to a foreign invader such as a bacteria, toxin or virus. The cycle of inflammation is perfect in how it protects your body from these bacterial and viral invaders. However, if we chronically expose the body to injury by toxins or foods the human body was never designed to process,a condition occurs called chronic inflammation. Chronic inflammation is just as harmful as acute inflammation is beneficial.</p>
<p>What thoughtful person would willfully expose himself repeatedly to foods or other substances that are known to cause injury to the body? Well, smokers perhaps, but at least they made that choice willfully.</p>
<p>The rest of us have simply followed the recommended mainstream diet that is low in fat and high in polyunsaturated fats and carbohydrates, not knowing we were causing repeated injury to our blood vessels. This repeated injury creates chronic inflammation leading to heart disease, stroke, diabetes and obesity.</p>
<p><em><strong>Let me repeat that: The injury and inflammation in our blood vessels is caused by the low fat diet recommended for years by mainstream medicine. </strong></em></p>
<p><em><strong>What are the biggest culprits of chronic inflammation? Quite simply, they are the overload of simple, highly processed carbohydrates (sugar, flour and all the products made from them) and the excess consumption of omega-6 vegetable oils like soybean, corn and sunflower that are found in many processed foods. </strong></em></p>
<p>Take a moment to visualize rubbing a stiff brush repeatedly over soft skin until it becomes quite red and nearly bleeding. you kept this up several times a day, every day for five years. If you could tolerate this painful brushing, you would have a bleeding, swollen infected area that became worse with each repeated injury. This is a good way to visualize the inflammatory process that could be going on in your body right now.</p>
<p>Regardless of where the inflammatory process occurs, externally or internally, it is the same. I have peered inside thousands upon thousands of arteries. A diseased artery looks as if someone took a brush and scrubbed repeatedly against its wall. Several times a day, every day, the foods we eat create small injuries compounding into more injuries, causing the body to respond continuously and appropriately with inflammation.</p>
<p><em><strong>While we savor the tantalizing taste of a sweet roll, our bodies respond alarmingly as if a foreign invader arrived declaring war.</strong></em> Foods loaded with sugars and simple carbohydrates, or processed with omega-6 oils for long shelf life have been the mainstay of the American diet for six decades. These foods have been slowly poisoning everyone.</p>
<p>How does eating a simple sweet roll create a cascade of inflammation to make you sick?</p>
<p>Imagine spilling syrup on your keyboard and you have a visual of what occurs inside the cell. When we consume simple carbohydrates such as sugar, blood sugar rises rapidly. In response, your pancreas secretes insulin whose primary purpose is to drive sugar into each cell where it is stored for energy. If the cell is full and does not need glucose, it is rejected to avoid extra sugar gumming up the works.</p>
<p>When your full cells reject the extra glucose, blood sugar rises producing more insulin and the glucose converts to stored fat.</p>
<p>What does all this have to do with inflammation? Blood sugar is controlled in a very narrow range. Extra sugar molecules attach to a variety of proteins that in turn injure the blood vessel wall. This repeated injury to the blood vessel wall sets off inflammation. <em><strong>When you spike your blood sugar level several times a day, every day, it is exactly like taking sandpaper to the inside of your delicate blood vessels. </strong></em></p>
<p>While you may not be able to see it, rest assured it is there. I saw it in over 5,000 surgical patients spanning 25 years who all shared one common denominator &#8212; inflammation in their arteries.</p>
<p>Let&#8217;s get back to the sweet roll. That innocent looking goody not only contains sugars, it is baked in one of many omega-6 oils such as soybean. Chips and fries are soaked in soybean oil; processed foods are manufactured with omega-6 oils for longer shelf life. While omega-6&#8242;s are essential -they are part of every cell membrane controlling what goes in and out of the cell &#8212; they must be in the correct balance with omega-3&#8242;s.</p>
<p>If the balance shifts by consuming excessive omega-6, the cell membrane produces chemicals called cytokines that directly cause inflammation.</p>
<p><em><strong>Today&#8217;s mainstream American diet has produced an extreme imbalance of these two fats. The ratio of imbalance ranges from 15:1 to as high as 30:1 in favor of omega-6. That&#8217;s a tremendous amount of cytokines causing inflammation. In today&#8217;s food environment, a 3:1 ratio would be optimal and healthy. </strong></em></p>
<p>To make matters worse, the excess weight you are carrying from eating these foods creates overloaded fat cells that pour out large quantities of pro-inflammatory chemicals that add to the injury caused by having high blood sugar. The process that began with a sweet roll turns into a vicious cycle over time that creates heart disease, high blood pressure, diabetes and finally, Alzheimer&#8217;s disease, as the inflammatory process continues unabated.</p>
<p>There is no escaping the fact that the more we consume prepared and processed foods, the more we trip the inflammation switch little by little each day. The human body cannot process, nor was it designed to consume, foods packed with sugars and soaked in omega-6 oils.</p>
<p>There is but one answer to quieting inflammation, and that is returning to foods closer to their natural state. To build muscle, eat more protein. Choose carbohydrates that are very complex such as colorful fruits and vegetables. Cut down on or eliminate inflammation- causing omega-6 fats like corn and soybean oil and the processed foods that are made from them.</p>
<p>One tablespoon of corn oil contains 7,280 mg of omega-6; soybean contains 6,940 mg. Instead, use olive oil or butter from grass-fed beef.</p>
<p>Animal fats contain less than 20% omega-6 and are much less likely to cause inflammation than the supposedly healthy oils labelled polyunsaturated. Forget the &#8220;science&#8221; that has been drummed into your head for decades. The science that saturated fat alone causes heart disease is non-existent. The science that saturated fat raises blood cholesterol is also very weak. Since we now know that cholesterol is not the cause of heart disease, the concern about saturated fat is even more absurd today.</p>
<p>The cholesterol theory led to the no-fat, low-fat recommendations that in turn created the very foods now causing an epidemic of inflammation. Mainstream medicine made a terrible mistake when it advised people to avoid saturated fat in favor of foods high in omega-6 fats. We now have an epidemic of arterial inflammation leading to heart disease and other silent killers.</p>
<p>What you can do is choose whole foods your grandmother served and not those your mom turned to as grocery store aisles filled with manufactured foods. <em><strong>By eliminating inflammatory foods and adding essential nutrients from fresh unprocessed food, you will reverse years of damage in your arteries and throughout your body from consuming the typical American diet.</strong></em></p>
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		<title>Nutritional Psychiatry &#8211; coming to a hospital near you!</title>
		<link>http://weeksmd.com/2012/05/nutritional-psychiatry-coming-to-a-hospital-near-you/</link>
		<comments>http://weeksmd.com/2012/05/nutritional-psychiatry-coming-to-a-hospital-near-you/#comments</comments>
		<pubDate>Wed, 16 May 2012 03:34:28 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Psychiatry]]></category>
		<category><![CDATA[SSRI]]></category>
		<category><![CDATA[The Corrective Clinics]]></category>

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		<description><![CDATA[Dr. Weeks&#8217; Comment:  The delight in being able to say &#8220;I told you so!&#8221; is massively overwhelmed by the sadness of  the unnecessary tragic loss of life and creativity resulting... <span class="meta-more"><a href="http://weeksmd.com/2012/05/nutritional-psychiatry-coming-to-a-hospital-near-you/">Read more &#187;</a></span>]]></description>
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<div><em><strong>Dr. Weeks&#8217; Comment:  The delight in being able to say &#8220;I told you so!&#8221; is massively overwhelmed by the sadness of  the unnecessary tragic loss of life and creativity resulting from the standard of care in psychiatry.  Corrective Psychiatry has offered nutritional protocols for almost 30 years and patients have been very grateful.  Now in 2008, a supportive article appears but few psychiatrists are listening&#8230;   read on and be delighted.</strong></em></div>
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<div><em><strong>&#8220;&#8230;.Many of these studies were done in the 1970s and 1980s, but were soon discontinued because they were underfunded. Nutritional therapies have now become a long-forgotten method of treatment, because they were of no interest to pharmaceutical companies that could not patent or own them. Instead, the companies that funded most clinical research spent their dollars investigating synthetic drugs they could patent and sell; these drugs however usually caused adverse side effects&#8230;&#8221;</strong></em></div>
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<div><strong>Nutritional therapies for mental disorders</strong></div>
<div>Shaheen E Lakhan<sup><img src="http://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcgifs/corrauth.gif" alt="corresponding author" /></sup><sup>1</sup> and Karen F Vieira<sup>1</sup></div>
<div><sup>1</sup>Global Neuroscience Initiative Foundation, Los Angeles, CA, USA</div>
<div><sup><img src="http://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcgifs/corrauth.gif" alt="corresponding author" /></sup>Corresponding author.</div>
<div>Shaheen E Lakhan: <a href="mailto:slakhan@gnif.org">slakhan@gnif.org</a>; Karen F Vieira: <a href="mailto:kvieira@gnif.org">kvieira@gnif.org</a></div>
<div>Received July 28, 2007;</div>
<div>Accepted January 21, 2008.</div>
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<div>Nutr J. 2008; 7: 2.</div>
<div>Published online 2008 January 21</div>
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<div>This is an Open Access article</div>
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<div>Abstract</div>
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<div id="__p2">According to the Diagnostic and Statistical Manual of Mental Disorders, 4 out of the 10 leading causes of disability in the US and other developed countries are mental disorders. Major depression, bipolar disorder, schizophrenia, and obsessive compulsive disorder (OCD) are among the most common mental disorders that currently plague numerous countries and have varying incidence rates from 26 percent in America to 4 percent in China. Though some of this difference may be attributable to the manner in which individual healthcare providers diagnose mental disorders, this noticeable distribution can be also explained by studies which show that a lack of certain dietary nutrients contribute to the development of mental disorders. <em><strong>Notably, essential vitamins, minerals, and omega-3 fatty acids are often deficient in the general population in America and other developed countries; and are exceptionally deficient in patients suffering from mental disorders.</strong></em> Studies have shown that daily supplements of vital nutrients often effectively reduce patients&#8217; symptoms. Supplements that contain amino acids also reduce symptoms, because they are converted to neurotransmitters that alleviate depression and other mental disorders. Based on emerging scientific evidence, this form of nutritional supplement treatment may be appropriate for controlling major depression, bipolar disorder, schizophrenia and anxiety disorders, eating disorders, attention deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD), addiction, and autism. <em><strong>The aim of this manuscript is to emphasize which dietary supplements can aid the treatment of the four most common mental disorders currently affecting America and other developed countries: major depression, bipolar disorder, schizophrenia, and obsessive compulsive disorder (OCD).</strong></em></div>
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<div id="__p3">Most antidepressants and other prescription drugs cause severe side effects, which usually discourage patients from taking their medications. Such noncompliant patients who have mental disorders are at a higher risk for committing suicide or being institutionalized. <em><strong>One way for psychiatrists to overcome this noncompliance is to educate themselves about alternative or complementary nutritional treatments. Although in the cases of certain nutrients, further research needs to be done to determine the best recommended doses of most nutritional supplements, psychiatrists can recommend doses of dietary supplements based on previous and current efficacious studies and then adjust the doses based on the results obtained.</strong></em></div>
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<div>Introduction</div>
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<div id="__p4">Currently, approximately 1 in 4 adult Americans have been diagnosed with a mental disorder, which translates into about 58 million affected people [<a id="__tag_145276387" href="http://www.ncbi.nlm.nih.gov/pubmed/15939839">1</a>]. Though the incidence of mental disorders is higher in America than in other countries, a World Health Organization study of 14 countries reported a worldwide prevalence of mental disorders between 4.3 percent and 26.4 percent [<a id="__tag_145276366" href="http://www.ncbi.nlm.nih.gov/pubmed/15173149">2</a>]. In addition, mental disorders are among the leading causes for disability in the US as well as other countries. Common mental health disorders include mood disorders, anxiety disorders such as post-traumatic stress disorder (PTSD), panic disorders, eating disorders, attention deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD), and autism. However, the four most common mental disorders that cause disabilities are major depression, bipolar disorder, schizophrenia, and obsessive compulsive disorder (OCD) [<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B3">3</a>,<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B4">4</a>].</div>
<div id="__p5">Typically, most of these disorders are treated with prescription drugs, but many of these prescribed drugs cause unwanted side effects. For example, lithium is usually prescribed for bipolar disorder, but the high-doses of lithium that are normally prescribed causes side effects that include: a dulled personality, reduced emotions, memory loss, tremors, or weight gain [<a id="__tag_145276382" href="http://www.ncbi.nlm.nih.gov/pubmed/17288494">5</a>,<a id="__tag_145276372" href="http://www.ncbi.nlm.nih.gov/pubmed/17366344">6</a>]. These side effects can be so severe and unpleasant that many patients become noncompliant and, in cases of severe drug toxicity, the situation can become life threatening.</div>
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<div id="__p6">Researchers have observed that the prevalence of mental health disorders has increased in developed countries in correlation with the deterioration of the Western diet [<a id="__tag_145276364" href="http://www.ncbi.nlm.nih.gov/pubmed/11826946">7</a>]. Previous research has shown nutritional deficiencies that correlate with some mental disorders [<a id="__tag_145276391" href="http://www.ncbi.nlm.nih.gov/pubmed/2699207">8</a>,<a id="__tag_145276362" href="http://www.ncbi.nlm.nih.gov/pubmed/17353937">9</a>]. <strong>The most common nutritional deficiencies seen in mental disorder patients are of omega-3 fatty acids, B vitamins, minerals, and amino acids that are precursors to neurotransmitters</strong> [<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B10">10</a>-<a id="__tag_145276355" href="http://www.ncbi.nlm.nih.gov/pubmed/3886024">16</a>]. Compelling population studies link high fish consumption to a low incidence of mental disorders; this lower incidence rate has proven to be a direct result of omega-3 fatty acid intake [<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B10">10</a>,<a id="__tag_145276398" href="http://www.ncbi.nlm.nih.gov/pubmed/16962306">17</a>,<a id="__tag_145276403" href="http://www.ncbi.nlm.nih.gov/pubmed/11343534">18</a>]. One to two grams of omega-3 fatty acids taken daily is the generally accepted dose for healthy individuals, but for <em><strong>patients with mental disorders, up to 9.6 g has been shown to be safe and efficacious</strong></em> [<a id="__tag_145276399" href="http://www.ncbi.nlm.nih.gov/pubmed/17326331">19</a>-<a id="__tag_145276370" href="http://www.ncbi.nlm.nih.gov/pubmed/10232294">21</a>]. Western diets are usually also lacking in fruits and vegetables, which further contributes to vitamin and mineral deficiencies.</div>
<div id="__p7">This article will focus on the nutritional deficiencies that are associated with mental disorders and will outline how dietary supplements can be implemented in the treatment of several disorders (see Table <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T1/">​Table11</a> for an overview). The mental disorders and treatments covered in this review do not include the broad and complex range of disorders, but however focuses on the four most common disorders in order to emphasize the alternative or complementary nutritional options that health care providers can recommend to their patients.</div>
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<div id="T1"><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T1/"><img title="Table 1" src="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T1/?report=thumb" alt="Table 1" border="0" /></a></div>
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<div><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T1/"><strong>Table 1</strong></a></p>
<div>Summary of proposed causes and treatments for common mental health disorders</div>
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<div><em><strong>Major Depression</strong></em></div>
<div id="__p9">Major depression is a disorder that presents with symptoms such as decreased mood, increased sadness and anxiety, a loss of appetite, and a loss of interest in pleasurable activities, to name a few [<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B22">22</a>]. If this disorder is not properly treated it can become disabling or fatal. Patients who are suffering from major depression have a high risk for committing suicide so they are usually treated with psychotherapy and/or antidepressants [<a id="__tag_145276356" href="http://www.ncbi.nlm.nih.gov/pubmed/17640152">23</a>]. Depression has for some time now been known to be associated with deficiencies in neurotransmitters such as serotonin, dopamine, noradrenaline, and GABA [<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B22">22</a>-<a id="__tag_145276340" href="http://www.ncbi.nlm.nih.gov/pubmed/17446201">27</a>]. As reported in several studies, the amino acids tryptophan, tyrosine, phenylalanine, and methionine are often helpful in treating many mood disorders, including depression [<a id="__tag_145276349" href="http://www.ncbi.nlm.nih.gov/pubmed/9438232">28</a>-<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B33">33</a>]. Tryptophan is a precursor to serotonin and is usually converted to serotonin when taken alone on an empty stomach. Therefore, tryptophan can induce sleep and tranquility and in cases of serotonin deficiencies, restore serotonin levels leading to diminished depression [<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B15">15</a>,<a id="__tag_145276344" href="http://www.ncbi.nlm.nih.gov/pubmed/787511">31</a>].</div>
<div id="__p10">Tyrosine is not an essential amino acid, because it can be made from the amino acid phenylalanine. Tyrosine and sometimes its precursor phenylalanine are converted into dopamine and norepinephrine [<a id="__tag_145276388" href="http://www.ncbi.nlm.nih.gov/pubmed/6490415">34</a>]. Dietary supplements that contain tyrosine and/or phenylalanine lead to alertness and arousal. Methionine combines with ATP to produce S-adenosylmethionine (SAM), which facilitates the production of neurotransmitters in the brain [<a id="__tag_145276394" href="http://www.ncbi.nlm.nih.gov/pubmed/2345536">35</a>-<a id="__tag_145276350" href="http://www.ncbi.nlm.nih.gov/pubmed/3052139">38</a>]. Currently, more studies involving these neurochemicals are needed which exhibit the daily supplemental doses that should be consumed in order to achieve antidepressant effects.</div>
<div id="__p11">Since the consumption of omega-3 fatty acids from fish and other sources has declined in most populations, the incidence of major depression has increased [<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B10">10</a>]. Several mechanisms of action may explain how eicosapentaenoic acid (EPA) which the body converts into docosahexaenoic acid (DHA), the two omega-3 fatty acids found in fish oil, elicit antidepressant effects in humans. Most of the proposed mechanisms involve neurotransmitters and, of course, some have more supporting data than others. For example, antidepressant effects may be due to EPA being converted into prostaglandins, leukotrienes, and other chemicals the brain needs. Other theories state that EPA and DHA affect signal transduction in brain cells by activating peroxisomal proliferator-activated receptors (PPARs), inhibiting G-proteins and protein kinase C, as well as calcium, sodium, and potassium ion channels. No matter which mechanism(s) prove to be true, epidemiological data and clinical studies already show that omega-3 fatty acids can effectively treat depression [<a id="__tag_145276374" href="http://www.ncbi.nlm.nih.gov/pubmed/8729112">39</a>]. Consuming omega-3 fatty acid dietary supplements that contain 1.5 to 2 g of EPA per day have been shown to stimulate mood elevation in depressed patients. However, doses of omega-3 higher than 3 g do not present better effects than placebos and may not be suitable for some patients, such as those taking anti-clotting drugs [<a id="__tag_145276369" href="http://www.ncbi.nlm.nih.gov/pubmed/2331929">40</a>].</div>
<div id="__p12">In addition to omega-3 fatty acids, vitamin B (e.g., folate), and magnesium deficiencies have been linked to depression [<a id="__tag_145276381" href="http://www.ncbi.nlm.nih.gov/pubmed/17353937">9</a>,<a id="__tag_145276379" href="http://www.ncbi.nlm.nih.gov/pubmed/2005338">13</a>,<a id="__tag_145276338" href="http://www.ncbi.nlm.nih.gov/pubmed/16542786">14</a>]. Randomized, controlled trials that involve folate and B12 suggest that patients treated with 0.8 mg of folic acid/day or 0.4 mg of vitamin B12/day will exhibit decreased depression symptoms [<a id="__tag_145276339" href="http://www.ncbi.nlm.nih.gov/pubmed/17353937">9</a>]. In addition, the results of several case studies where patients were treated with 125 to 300 mg of magnesium (as glycinate or taurinate) with each meal and at bedtime led to rapid recovery from major depression in less than seven days for most of the patients [<a id="__tag_145276404" href="http://www.ncbi.nlm.nih.gov/pubmed/16542786">14</a>].</div>
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<div><em><strong>Bipolar Disorder</strong></em></div>
<div id="__p13">A patient suffering from major depression may also present symptoms such as recurring episodes of debilitating depression, uncontrollable mania, hypomania, or a mixed state (a manic and depressive episode) which is clinically diagnosed as bipolar disorder [<a id="__tag_145276384" href="http://www.ncbi.nlm.nih.gov/pubmed/17170470">41</a>]. Some biochemical abnormalities in people with bipolar disorder include oversensitivity to acetylcholine, excess vanadium, vitamin B deficiencies, a taurine deficiency, anemia, omega-3 fatty acid deficiencies, and vitamin C deficiency.</div>
<div id="__p14">Bipolar patients tend to have excess acetylcholine receptors, which is a major cause of depression and mania [<a id="__tag_145276368" href="http://www.ncbi.nlm.nih.gov/pubmed/7278735">42</a>,<a id="__tag_145276371" href="http://www.ncbi.nlm.nih.gov/pubmed/3888297">43</a>]. Bipolar patients also produce elevated levels of vanadium, which causes mania, depression, and melancholy [<a id="__tag_145276352" href="http://www.ncbi.nlm.nih.gov/pubmed/6443582">44</a>,<a id="__tag_145276358" href="http://www.ncbi.nlm.nih.gov/pubmed/6791192">45</a>]. However, vitamin C has been shown to protect the body from the damage caused by excess vanadium. A double-blind, placebo controlled study that involved controlling elevated vanadium levels showed that a single 3 g dose of vitamin C decreases manic symptoms in comparison to placebo [<a id="__tag_145276378" href="http://www.ncbi.nlm.nih.gov/pubmed/6791192">45</a>].</div>
<div id="__p15">Taurine is an amino acid made in the liver from cysteine that is known to play a role in the brain by eliciting a calming effect. A deficiency of this amino acid may increase a bipolar patient&#8217;s manic episodes. In addition, eighty percent of bipolar sufferers have some vitamin B deficiencies (often accompanied by anemia) [<a id="__tag_145276365" href="http://www.ncbi.nlm.nih.gov/pubmed/9155210">46</a>]. The combination of essential vitamin supplements with the body&#8217;s natural supply of lithium reduces depressive and manic symptoms of patients suffering from bipolar disorder [<a id="__tag_145276359" href="http://www.ncbi.nlm.nih.gov/pubmed/9479613">47</a>].</div>
<div id="__p16">Another well-known factor for mental disorders is that cells within the brain require omega-3 oils in order to be able to transmit signals that enable proper thinking, moods, and emotions. However, omega-3 oils are often present at very low levels in most Americans and bipolar sufferers [<a id="__tag_145276361" href="http://www.ncbi.nlm.nih.gov/pubmed/15960565">48</a>]. Numerous clinical trials, including double-blind, placebo controlled studies have been performed which show that 1 to 2 grams of omega-3 fatty acids in the form of EPA added to one&#8217;s daily intake decreases manic/depressive symptoms better than placebo (See Table <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T1/">​Table11</a>).</div>
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<div id="__p17">Prescription lithium is in the form of lithium carbonate, and doses can be as high as 180 mg. It is these high doses that are responsible for most of lithium&#8217;s adverse side effects. Some of the more common side effects include a dulled personality, reduced emotions, memory loss, tremors, or weight gain [<a id="__tag_145276346" href="http://www.ncbi.nlm.nih.gov/pubmed/17288494">5</a>,<a id="__tag_145276347" href="http://www.ncbi.nlm.nih.gov/pubmed/17366344">6</a>]. Another form of lithium called lithium orotate, is preferred because the orotate ion crosses the blood-brain barrier more easily than the carbonate ion of lithium carbonate. Therefore, lithium orotate can be used in much lower doses (e.g. 5 mg) with remarkable results and no side effects [<a id="__tag_145276389" href="http://www.ncbi.nlm.nih.gov/pubmed/4607169">49</a>,<a id="__tag_145276357" href="http://www.ncbi.nlm.nih.gov/pubmed/3718672">50</a>]. Clinical trials involving 150 mg daily doses of lithium orotate administered 4 to 5 times a week, showed a reduction of manic and depressive symptoms in bipolar patients [<a id="__tag_145276354" href="http://www.ncbi.nlm.nih.gov/pubmed/3718672">50</a>]. In addition, lithium orotate is available without a prescription, unlike lithium carbonate, which is considered a prescription drug by the Food and Drug Administration (FDA). Studies have also shown that the amino acid-derivative, taurine, as an alternative to lithium, blocks the effects of excess acetylcholine that contributes to bipolar disorder [<a id="__tag_145276351" href="http://www.ncbi.nlm.nih.gov/pubmed/12888180">51</a>].</div>
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<div id="__p18">Numerous studies for bipolar disorder have been published that list specific lifestyle changes as well as amounts of dietary supplements that can be used to treat this disorder. A summary of these results is listed in Table <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T2/">​Table22</a>.</div>
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<div id="T2"><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T2/"><img title="Table 2" src="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T2/?report=thumb" alt="Table 2" border="0" /></a></div>
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<div><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/table/T2/"><strong>Table 2</strong></a></p>
<div>List of possible causes and treatments for bipolar disorder including specific doses as well as supplementary information</div>
<div></div>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</div>
</div>
<div id="__sec4">
<div></div>
<div><em><strong>Schizophrenia</strong></em></div>
<div id="__p20">Schizophrenia is a mental disorder that disrupts a person&#8217;s normal perception of reality. Schizophrenic patients usually suffer from hallucinations, paranoia, delusions, and speech/thinking impairments. These symptoms are typically presented during adolescence [<a id="__tag_145276348" href="http://www.ncbi.nlm.nih.gov/pubmed/1790446">52</a>]. Disturbances in amino acid metabolism have been implicated in the pathophysiology of schizophrenia. Specifically, an impaired synthesis of serotonin in the central nervous system has been found in schizophrenic patients [<a id="__tag_145276343" href="http://www.ncbi.nlm.nih.gov/pubmed/15372327">53</a>]. High doses (30 g) of glycine have been shown to reduce the more subtle symptoms of schizophrenia, such as social withdrawal, emotional flatness, and apathy, which do not respond to most of the existing medications [<a id="__tag_145276390" href="http://www.ncbi.nlm.nih.gov/pubmed/8037263">54</a>-<a id="__tag_145276392" href="http://www.ncbi.nlm.nih.gov/pubmed/11806864">56</a>]. An open-label clinical trial performed in 1996 revealed that 60 g of glycine per day (0.8 g/kg) could be given to schizophrenic patients without producing adverse side effects and that this dose led to a two-fold increase in cerebrospinal fluid (CSF) glycine levels [<a id="__tag_145276342" href="http://www.ncbi.nlm.nih.gov/pubmed/8837983">55</a>]. A second clinical study treated patients with the same dosage divided into 3 doses within 1 week. This form of glycine treatment led to an eight-fold increase in CSF glycine levels [<a id="__tag_145276345" href="http://www.ncbi.nlm.nih.gov/pubmed/11806864">56</a>].</div>
<div></div>
<div id="__p21">The most consistent correlation found in one study that involved the ecological analysis of schizophrenia and diet concluded that increased consumption of refined sugar results in an overall decreased state of mind for schizophrenic patients, as measured by both the number of days spent in the hospital and poor social functioning [<a id="__tag_145276367" href="http://www.ncbi.nlm.nih.gov/pubmed/15123503">57</a>]. That study also concluded that the dietary predictors of the outcome of schizophrenia and prevalence of depression are similar to those that predict illnesses such as coronary heart disease and diabetes.</div>
<div id="__p22">A Danish study showed that better prognoses for schizophrenic patients strongly correlate with living in a country where there is a high consumption of omega-3 fatty acids [<a id="__tag_145276396" href="http://www.ncbi.nlm.nih.gov/pubmed/3232536">58</a>]. <em><strong>Eicosapentaenoic acid (EPA), which is found in omega-3 fish oils, has been shown to help depressive patients and can also be used to treat schizophrenia</strong></em> [<a id="__tag_145276380" href="http://www.ncbi.nlm.nih.gov/pubmed/17170470">41</a>,<a id="__tag_145276377" href="http://www.ncbi.nlm.nih.gov/pubmed/7278735">42</a>,<a id="__tag_145276375" href="http://www.ncbi.nlm.nih.gov/pubmed/14623502">59</a>]. Furthermore, studies suggest that supplements such as the commercially available VegEPA capsule, when taken on a daily basis, helps healthy individuals and schizophrenic patients maintain a balanced mood and improves blood circulation [<a id="__tag_145276401" href="http://www.ncbi.nlm.nih.gov/pubmed/14623502">59</a>-<a id="__tag_145276397" href="http://www.ncbi.nlm.nih.gov/pubmed/15253886">65</a>].</div>
<div></div>
<div id="__p23">The VegEPA capsule contains:</div>
<div id="__p24">• 280 milligrams of EPA from marine omega-3 fish oil</div>
<div id="__p25">• 100 milligrams of organic virgin evening primrose omega-6 oil</div>
<div id="__p26">• 1 milligram of the anti-oxidant vitamin E</div>
<div id="__p27">• An outer capsule made out of fish gelatine</div>
<div></div>
<div id="__p28">For schizophrenic patients, docosahexaenoic acid (DHA) supplements inhibit the effects of EPA supplements so it is recommended that the patient <em><strong>only takes the EPA supplement</strong></em>, which the body will convert into the amount DHA it needs [<a id="__tag_145276385" href="http://www.ncbi.nlm.nih.gov/pubmed/14623502">59</a>-<a id="__tag_145276373" href="http://www.ncbi.nlm.nih.gov/pubmed/15253886">65</a>]. Double-blind, placebo controlled studies, randomized, placebo controlled studies, and open-label clinical studies have all shown that approximately <em><strong>2 g of EPA taken daily in addition to one&#8217;s existing medication effectively decreases symptoms in schizophrenic patients</strong></em> [<a id="__tag_145276386" href="http://www.ncbi.nlm.nih.gov/pubmed/14623502">59</a>,<a id="__tag_145276341" href="http://www.ncbi.nlm.nih.gov/pubmed/12202284">60</a>,<a id="__tag_145276400" href="http://www.ncbi.nlm.nih.gov/pubmed/15253886">65</a>].</div>
</div>
<div></div>
<div></div>
<div id="__sec5">
<div><em><strong>Obsessive-Compulsive Disorder</strong></em></div>
<div id="__p29">Obsessive compulsive disorder (OCD) is an anxiety disorder that causes recurring stressful thoughts or obsessions that are followed by compulsions, which are repeated in an uncontrollable manner as a means of repressing the stressful thought [<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2248201/?tool=pubmed#B66">66</a>]. It is well documented that selective serotonin reuptake inhibitors (SSRIs) help patients with OCD [<a id="__tag_145276360" href="http://www.ncbi.nlm.nih.gov/pubmed/17376013">67</a>]. Therefore, it is clear that nutrients which increase serotonin levels will reduce the symptoms of OCD. As discussed earlier, the amino acid tryptophan is a precursor to serotonin, and tryptophan supplements (which are better than 5-Hydroxytryptophan) will increase serotonin levels and treat OCD [<a id="__tag_145276395" href="http://www.ncbi.nlm.nih.gov/pubmed/333953">68</a>].</div>
<div></div>
<div id="__p30">A commercially available supplement called Amoryn has recently proven to help patients suffering from depression, anxiety, and OCD [<a id="__tag_145276353" href="http://www.ncbi.nlm.nih.gov/pubmed/15802718">69</a>,<a id="__tag_145276402" href="http://www.ncbi.nlm.nih.gov/pubmed/16160619">70</a>]. The main ingredient in Amoryn, St. John&#8217;s wort, has been shown to help OCD patients better deal with their recurring thoughts and compulsions. Two double-blind, placebo-controlled studies were recently performed that compared the affects of a 900 mg daily dose of St. John&#8217;s wort extract to 20 mg daily doses of Paroxetine (Paxil) or Fluoxetine; which are both SSRIs used to treat OCD. In comparison to patients taking Paxil, those who took the St. John&#8217;s wort supplement showed a 57% decrease in OCD symptoms and were 47% less likely to exhibit side effects [<a id="__tag_145276393" href="http://www.ncbi.nlm.nih.gov/pubmed/15802718">69</a>]. In comparison to patients taking Fluoxetine, consumption of the St. John&#8217;s wort extract reduced 48% of OCD patient&#8217;s symptoms [<a id="__tag_145276363" href="http://www.ncbi.nlm.nih.gov/pubmed/16160619">70</a>]. These results clearly depict how the use nutritional supplements can be effective treatments for mental disorders.</div>
<div></div>
</div>
</div>
</div>
<div id="__sec6">
<div id="__sec6titletitle">
<div><em><strong>Conclusion</strong></em></div>
</div>
<div id="__sec6content">
<div id="__p31">Here we have shown just a few of the many documented nutritional therapies that can be utilized when treating mental disorders. <em><strong>Many of these studies were done in the 1970s and 1980s, but were soon discontinued because they were underfunded. Nutritional therapies have now become a long-forgotten method of treatment, because they were of no interest to pharmaceutical companies that could not patent or own them. Instead, the companies that funded most clinical research spent their dollars investigating synthetic drugs they could patent and sell; these drugs however usually caused adverse side effects.</strong></em></div>
<div></div>
<div id="__p32">There is tremendous resistance to using supplements as treatments from clinicians, mostly due to their lack of knowledge on the subject. Others rather use prescription drugs that the drug companies and the FDA researches, monitors and recalls if necessary. <em><strong>However, for some patients, prescription drugs do not have the efficacy of nutritional supplements and they sometimes have far more dangerous side effects.</strong></em></div>
<div></div>
<div>So for clinicians to avoid these supplement therapies because of a lack of knowledge and unwillingness to use treatments not backed by drug companies and the FDA, they are compromising their patients&#8217; recovery due to their own <em><strong>laziness or selfishness.</strong></em></div>
<div></div>
<div id="__p33">Clinical studies that show the ability of a prescription drug to effectively treat mental disorders will often argue that supplements as treatments, when unmonitored, are more risky than prescription drugs and may ineffectively treat a patient&#8217;s symptoms. For example one study listed several methods of treatment, none of which include natural compounds, for OCD patients that include: megadoses of SSRIs, intravenous chlomipramine, oral morphine, deep brain stimulation, and functional neurosurgery [<a id="__tag_145276376" href="http://www.ncbi.nlm.nih.gov/pubmed/17376013">67</a>]. Most of these treatments are invasive or unnatural and will inevitably cause severe side effects to the patient, whose symptoms will probably still reoccur over time. Another example of the literature scaring clinicians away from supplement therapies is an article that warns patients about the dangers of consuming high amounts of omega-3 fatty acids. This manuscript involves a patient who was taking approximately 10 times more than the recommended dose of omega-3 supplements [<a id="__tag_145276383" href="http://www.ncbi.nlm.nih.gov/pubmed/2331929">40</a>]. Numerous studies have shown that up 2 grams of EPA (omega-3 fatty acid) taken daily is sufficient for decreasing symptoms of several mental health disorders with no side effects. This publication with a megadose of omega-3 fatty acids stresses the importance of monitoring the consumption of supplements as well as prescribed drugs, preferably through regular consultations with a licensed health care professional.</div>
<div></div>
<div id="__p34"><em><strong>Proper medical diagnosis and a clear description of all possible treatment options should always be the first plan of action when treating mental disorders.</strong></em> However, the final decision on whether or not to try nutritional supplements as a treatment must be based on the patient preferences.</div>
<div></div>
<div>Now with consumers becoming more interested in natural and holistic therapies, nutritional therapies have been well-received, and some studies are again underway in these areas. New well-designed clinical studies are being published daily on the positive effects of nutritional and supplement therapies on all types of disorders and diseases. It will take some time for clinicians to become educated on all the options available, but this is an important task that should not be ignored.</div>
<div></div>
<div id="__p35">Those with influence in this field should continue to examine natural treatments on the scientific level in order to increase the availability of grant money for this type of research. This will lead to a surge of researchers who will submit proposals for grants enabling laboratories to further investigate the hypothesis that proper nutrition contributes to better mental health.</div>
<div></div>
<div id="__p36">Psychiatrists treating patients with mental disorders should be aware of available nutritional therapies, appropriate doses, and possible side effects in order to provide alternative and complementary treatments for their patients. This may reduce the number of noncompliant patients suffering from mental disorders that choose not to take their prescribed medications. As with any form of treatment, nutritional therapy should be supervised and doses should be adjusted as necessary to achieve optimal results.</div>
<div></div>
</div>
</div>
<div id="__sec7">
<div id="__sec7titletitle">
<div>Abbreviations</div>
</div>
<div id="__sec7content">
<div id="__p37">ADD: attention deficit disorder</div>
<div id="__p38">ADHD: attention deficit hyperactivity disorder</div>
<div id="__p39">CSF: cerebrospinal fluid</div>
<div id="__p40">DHA: docosahexaenoic acid</div>
<div id="__p41">EPA: eicosapentaenoic acid</div>
<div id="__p42">FDA: Food and Drug Administration</div>
<div id="__p43">GABA: gamma-aminobutyric acid</div>
<div id="__p44">OCD: obsessive-compulsive disorder</div>
<div id="__p45">PPARs: peroxisomal proliferator-activated receptors</div>
<div id="__p46">PTSD: post-traumatic stress disorder</div>
<div id="__p47">SAM: S-adenosylmethionine</div>
<div id="__p48">SSRI: selective serotonin reuptake inhibitors</div>
</div>
<div></div>
<div></div>
</div>
<div id="__ref-listid3637898">
<div id="__ref-listid3637898titletitle">
<div>References</div>
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<li id="B97">Bellivier F, Leboyer M, Courtet P, Buresi C, Beaufils B, Samolyk D, Allilaire JF, Feindgold J, Mallet J, Malafosse A. Association between the tryptophan hydroxylase gene and manic-depressive illness. Arch Gen Psychiatr. 1998;55:33–37. doi: 10.1001/archpsyc.55.1.33.[<a href="http://www.ncbi.nlm.nih.gov/pubmed/9435758" target="pmc_ext">PubMed</a>] [<a href="http://dx.crossref.org/10.1001%2Farchpsyc.55.1.33" target="pmc_ext">Cross Ref</a>]</li>
<li id="B98">Cassidy F, Murry E, Carroll BJ. Tryptophan depletion in recently manic patients treated with lithium. Biol Psychiatr. 1998;43:230–232. doi: 10.1016/S0006-3223(97)00010-3. [<a href="http://dx.crossref.org/10.1016%2FS0006-3223(97)00010-3" target="pmc_ext">Cross Ref</a>]</li>
<li id="B99">Benkelfat C, Seletti B, Palmour RM, Hillel J, Ellenbogen M, Young SN. Tryptophan depletion in stable lithium-treated patients with bipolar disorder in remission. Arch Gen Psychiatry.1995;52:154–155. [<a href="http://www.ncbi.nlm.nih.gov/pubmed/7848051" target="pmc_ext">PubMed</a>]</li>
<li id="B100">Sandyk R. L-tryptophan in neuropsychiatric disorders: a review. Intl J Neurosci. 1992;67:127–144.</li>
<li id="B101">Carney MWP, Chary TK, Bottiqlieri T, Reynolds EH. The switch mechanism and the bipolar/unipolar dichotomy. Br J Psychiatr. 1989;154:48–51.</li>
<li id="B102">Tolbert LC, Monti A, Walter-Ryan W, Alacron RD, Bahar B, Keriotis JT, Allison JG, Cates A, Antun F, Smythies JR. Clinical correlations of one-carbon metabolism abnormalities. Prog Neuropsychopharmacol Biol Psychiatr. 1988;12:491–502. doi: 10.1016/0278-5846(88)90108-X. [<a href="http://dx.crossref.org/10.1016%2F0278-5846(88)90108-X" target="pmc_ext">Cross Ref</a>]</li>
<li id="B103">Carney MWP, Chavy TK, Bottiglieri T, Reynolds LH. Switch and S-adenosylmethionine. Ala J Med Sci. 1988;25:316–319. [<a href="http://www.ncbi.nlm.nih.gov/pubmed/3052141" target="pmc_ext">PubMed</a>]</li>
<li id="B104">Pacchierotti C, Iapichino S, Bossini L, Pieraccini F, Castrogiovanni P. Melatonin in psychiatric disorders: a review on the melatonin involvement in psychiatry. Front Neuroendocrinol.2001;22:18–32. doi: 10.1006/frne.2000.0202. [<a href="http://www.ncbi.nlm.nih.gov/pubmed/11141317" target="pmc_ext">PubMed</a>] [<a href="http://dx.crossref.org/10.1006%2Ffrne.2000.0202" target="pmc_ext">Cross Ref</a>]</li>
<li id="B105">Nurnberger JI, Adkins S, Lahiri DK, Mayeda A, Hu K, Lewy A, Miller A, Bowman ES, Miller MJ, Rau L, Smiley C, Davis-Singh D. Melatonin suppression by light in euthymic bipolar and unipolar patients. Arch Gen Psychiatry. 2000;57:572–579. doi: 10.1001/archpsyc.57.6.572.[<a href="http://www.ncbi.nlm.nih.gov/pubmed/10839335" target="pmc_ext">PubMed</a>] [<a href="http://dx.crossref.org/10.1001%2Farchpsyc.57.6.572" target="pmc_ext">Cross Ref</a>]</li>
<li id="B106">Avery D, Lenz M, Landis C. Guidelines for prescribing melatonin. Ann Med. 1998;30:122–130.[<a href="http://www.ncbi.nlm.nih.gov/pubmed/9556099" target="pmc_ext">PubMed</a>]</li>
<li id="B107">Fekkes D, Pepplinkhuizen L, Verheij R, Bruinvels J. Abnormal plasma levels of serine, methionine and taurine in transient, acute, polymorphic psychosis. Psychiatry Res.1994;51:11–18. doi: 10.1016/0165-1781(94)90043-4. [<a href="http://www.ncbi.nlm.nih.gov/pubmed/8197268" target="pmc_ext">PubMed</a>] [<a href="http://dx.crossref.org/10.1016%2F0165-1781(94)90043-4" target="pmc_ext">Cross Ref</a>]</li>
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		<title>Polish beekeepers braver than American</title>
		<link>http://weeksmd.com/2012/05/polish-beekeepers-braver-than-american/</link>
		<comments>http://weeksmd.com/2012/05/polish-beekeepers-braver-than-american/#comments</comments>
		<pubDate>Mon, 14 May 2012 14:16:08 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Apitherapy]]></category>
		<category><![CDATA[Government]]></category>
		<category><![CDATA[Honey]]></category>

		<guid isPermaLink="false">http://weeksmd.com/?p=9090</guid>
		<description><![CDATA[Dr. Weeks&#8217; Comment: &#8220;Just say No to Monsanto&#8221; Beekeepers Win Ban on Monsanto&#8217;s GMOs in Poland  Monsanto&#8217;s Mon810 corn, genetically engineered to produce a mutant version of the insecticide Bt,... <span class="meta-more"><a href="http://weeksmd.com/2012/05/polish-beekeepers-braver-than-american/">Read more &#187;</a></span>]]></description>
			<content:encoded><![CDATA[<p><strong>Dr. Weeks&#8217; Comment: &#8220;Just say No to Monsanto&#8221;</strong></p>
<p><strong>Beekeepers Win Ban on Monsanto&#8217;s GMOs in Poland</strong></p>
<p><strong> Monsanto&#8217;s Mon810 corn, genetically engineered to produce a mutant version of the insecticide Bt, has been <a href="http://www.poland.pl/news/article,GMM_and_GMO_in_Poland,id,470898.htm">banned in Poland</a> following protests by beekeepers who showed the corn was killing honeybees.</strong></p>
<p><strong>Poland is the first country to formally acknowledge the link between Monsanto&#8217;s genetically engineered corn and the Colony Collapse Disorder (CCD) that&#8217;s been devastating bees around the world.</strong></p>
<p>&nbsp;</p>
<p>GMM and GMO in Poland?</p>
<div>2012-04-17, 08:43</div>
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<td><a href="http://www.poland.pl/cms/image.htm?id=470898" target="_new"><img src="http://www.poland.pl/f/img/news6/790corn130.jpg" alt="To increase the genetic diversity of U.S. corn, the Germplasm Enhancement for Maize project seeks to combine exotic germplasm, such as this unusually shaped maize from Latin America with domestic corn" width="130" height="87" border="0" /></a></p>
<div>To increase the genetic diversity of U.S. corn, the Germplasm Enhancement for Maize project seeks to combine exotic germplasm, such as this unusually shaped maize from Latin America with domestic corn</div>
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<p>The Polish position on GMO is sceptical. According to the government&#8217;s policy, Poland intends to be a GMO-free country &#8211; it was stipulated in the government&#8217;s position on GMO in 2008.</p></div>
<div>
<p>At the moment, the EU law does not provide a possibility to say a decisive</p>
<p>&#8220;NO to GMO&#8221;, but it allows using so-called exemptions, if human and animal health</p>
<p>or life or natural environment is at risk &#8211; the Polish Ministry of Agriculture is currently taking advantage of this possibility. As far as maize is concerned, <em><strong>the ministry will introduce a regulation forbidding cultivation of genetically modified maize throughout Poland</strong></em> (MON 810 maize) &#8211; the draft version of March 15th has been sent to the public consultation.</p>
<p><em><strong>The ban is justified by the threat of pollution of areas where bees collect nectar with genetically modified pollen and the resulting damage to Polish bee-keepers</strong></em>. As far as the ban on cultivation of genetically modified potato (Amflora) is concerned, currently there is no evidence proving its harmfulness, so the exemption cannot be applied. It should, however, be pointed out that there is no information that Polish farmers are interested in its cultivation.</p>
<p>These are not the only actions taken by the government. At the beginning of April, the Ministry of Environment prepared and sent to the public consultation the draft act on genetically modified organisms. The draft concerns technical issues related to the closed use of GMM and GMO, i.e. handling genetically modified micro-organisms and organisms in closed systems, e.g. in laboratories, greenhouses, etc., mainly during scientific research. The scope included in the new draft will be sufficient to ensure that once Poland adopts these regulations it will have legal norms compliant with EU law with respect to GMM (genetically modified micro-organisms). The act will be particularly important to scientists. Among other things, a simplification of procedures for obtaining permits for conducting work in laboratories is planned. The act will guarantee a high level of safety for research. Thanks to the modern act, it will be possible in Poland to safely conduct research important for the development of medicine (clinical research in which GMM and GMO are used) and pharmacology (manufacturing of, for example, medicines and vaccines).</p>
<p>The GMO regulations which are currently applicable in Poland do not regulate all issues connected with it which are regulated by the EU law, e.g. the manner in which cultivations of genetically modified plants are to be conducted and registered or supervision of such cultivations. The GMO issue in Poland requires new regulations, for example due to the need to adjust the law to the current EU regulations and the need to follow the fast technological progress in this field.</p>
<p>The discussion on the future of GMO has been underway in the Council for nearly 10 years. During the debate, the Member States have demanded the right to more independent actions with respect to the issue of making decisions about GMO crops in their territory. At meetings of the so-called GMO ad hoc group, which Poland was in charge of in the second half of 2011, we called for agreement and resumption of the work on EU decisions, but the differences in positions of the Member States are still very significant, also during the current Danish presidency. The aim of the group&#8217;s work was to obtain Council&#8217;s consent for adopting a new legal act which would enable the Member States to introduce bans on GMO crops in their territory.</p>
<p>Once it is possible to coordinate the national and EU processes, an additional (for draft versions of the Ministry Environment and Ministry of Agriculture) &#8220;big&#8221; act on GMO will be prepared in Poland, which will regulate, among other things, the issue of exemption of the country from GMO crops.</p>
<p>Source: the Chancellery of the Prime Minister</p>
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		<title>Parkinson&#8217;s Disease &#8211; an appeal for common sense. Find the cause!</title>
		<link>http://weeksmd.com/2012/05/parkinsons-disease-an-appeal-for-common-sense-find-the-cause/</link>
		<comments>http://weeksmd.com/2012/05/parkinsons-disease-an-appeal-for-common-sense-find-the-cause/#comments</comments>
		<pubDate>Sun, 13 May 2012 20:20:59 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Neurology]]></category>
		<category><![CDATA[Parkinson's]]></category>

		<guid isPermaLink="false">http://weeksmd.com/?p=9082</guid>
		<description><![CDATA[Dr. Weeks&#8217; Comment:    A friend of mine told me about a friend of his whose creative work was cut short by &#8220;Parkinson&#8217;s disease&#8221;.  It is a tragic process but what... <span class="meta-more"><a href="http://weeksmd.com/2012/05/parkinsons-disease-an-appeal-for-common-sense-find-the-cause/">Read more &#187;</a></span>]]></description>
			<content:encoded><![CDATA[<p><em><strong>Dr. Weeks&#8217; Comment:    A friend of mine told me about a friend of his whose creative work was cut short by &#8220;Parkinson&#8217;s disease&#8221;.  It is a tragic process but what irks me is that few doctors strive to determine WHY the person has the disease.  There are many, many ways to get this disease. Unless you learn what toxins or imbalances created the pathology, how can you strategize to correct the problem? In the treatment of Parkinson&#8217;s, we in Corrective Health strive to identify the imbalances which lead to the pathological state.  Te standard of care just adds drugs. We strive to correct imbalances. Those imbalances are well described in Parkinson&#8217;s disease and many people are grateful for this common sense approach.  Click on the highlighted<a href="http://weeksmd.com/2012/05/vitamin-k2-for-parkinsons-disease/"> sections on this post</a> to learn about possible remedies and read about <a href="http://weeksmd.com/2012/05/parkinsons-disease-75-of-the-time-arises-from-unknown-causes-check-your-blood-mercury-level/">detoxification in this post</a>.</strong></em></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p>&nbsp;</p>
<h2 style="text-align: left;"><strong><span style="color: blue; font-family: arial,helvetica,Geneva;">Parkinson&#8217;s Disease: Is Victory in Sight?</span></strong></h2>
<p>&nbsp;</p>
<h3 style="text-align: left;">by Hans R. Larsen, MSc ChE</h3>
<p style="text-align: left;">If research into Parkinson&#8217;s disease continues at its present pace this dreaded disease may well be fully understood and largely preventable early in the 21st Century.</p>
<p style="text-align: left;">Parkinson&#8217;s disease (<em>paralysis agitans</em>, shaking palsy) was first described in 1817. L-dopa, the mainstay of current drug therapy was introduced in 1970 and since then hundreds of research papers have been published on the disease. It is now increasingly clear not only what causes Parkinson&#8217;s, but also how it can be prevented and its relentless progress slowed down.</p>
<p style="text-align: left;"><strong>Incidence and Symptoms</strong><br />
Idiopathic (of no known cause) Parkinson&#8217;s disease affects about one percent of the population over the age of 60 years in the United States. It is more common among men than among women and also seems to be more widespread in northern countries. The incidence of the disease increases with age although aging itself is not believed to be a causative factor. Parkinson&#8217;s disease is rarely inherited and less than one per cent of all cases are thought to have a genetic component. At this time there is no medical cure for the condition, but drugs that alleviate the symptoms and slow the progress of the disease are available(1-5).</p>
<p style="text-align: left;">The main symptom of Parkinson&#8217;s disease is a pronounced tremor affecting the extremities notably the hands, chin or lips. The tremor is most evident at rest and disappears with movement. Other characteristic symptoms of Parkinson&#8217;s disease are stiffness or slowness of movement, a shuffling walk, stooped posture, and difficulties in performing simple tasks. Memory impairment and cognitive dysfunction are rarely encountered in early stage Parkinson&#8217;s disease. Depression is, however, a common feature and about 30 per cent of Parkinson&#8217;s disease victims eventually develop Alzheimer&#8217;s disease or other forms of dementia(1-3,6-8).</p>
<p style="text-align: left;"><strong>Environmental and Dietary Factors</strong><br />
Parkinson-like symptoms can also occur as a result of head injuries, carbon monoxide poisoning or poisoning by pharmaceutical or other drugs. Certain diuretics (reserpine), antipsychotics (chlorpromazine), and heart drugs (verapamil) have all been implicated in causing or worsening Parkinson&#8217;s disease symptoms as has the &#8220;designer drug&#8221; MPTP (methylphenyl-tetrahydropyridine). In some cases, drug-induced Parkinson&#8217;s disease may be halted or reversed if the drug is promptly withdrawn. Naproxen and other NSAIDs (non-steroidal anti-inflammatory drugs) may also exacerbate Parkinson&#8217;s disease(1,2,8-10).</p>
<p style="text-align: left;">Recent research carried out in Iceland, which has a very high incidence of Parkinson&#8217;s disease, has shown that children born during or after a whooping cough (<em>pertussis</em>) epidemic are particularly vulnerable to Parkinson&#8217;s disease in later life(11). This finding supports the idea that Parkinson&#8217;s disease may develop later in life as a result of a neurotoxic event that occurred at an early age(8).</p>
<p style="text-align: left;">The main pathological feature of Parkinson&#8217;s disease is the progressive destruction of dopamine- producing cells in the <em>substantia nigra</em> region of the brain stem. The loss of dopamine production affects the balance between dopamine and acetylcholine in the brain with the result that messages to the muscles become garbled. It is estimated that the characteristic Parkinson&#8217;s disease symptoms develop once 70 per cent of the dopaminergic neurons in the <em>substantia nigra</em> have been destroyed(1,2,5,8).</p>
<p style="text-align: left;">The question as to what causes the destruction of the dopamine-producing cells has puzzled researchers for years but a consensus is now emerging that Parkinson&#8217;s disease is caused by oxidative stress and metal toxicity(1,2,5,8). The idea that oxidative stress, i.e. an excess of free radicals in the body, can cause disease was first brought forward in 1983(12). In 1994 Professors Halliwell and Jenner of King&#8217;s College, London proposed that neurodegenerative diseases and Parkinson&#8217;s disease in particular were the result of oxidative stress(13,14). Numerous studies have shown that Parkinson&#8217;s disease victims have low levels of natural antioxidants (glutathione and superoxide dismutase) and high levels of iron in the <em>substantia nigra</em> areas of their brains. It is believed that iron helps catalyze the free radical reactions that destroy the dopamine-producing cells(2,8,15-21). Other metals, notably manganese, cadmium, copper, and mercury (from dental amalgams) have also been implicated as causative factors in the development of Parkinson&#8217;s disease(2,8,22-27).</p>
<p style="text-align: left;">People who live in areas where the aluminum content of the drinking water is high have an excessive risk of developing Parkinson&#8217;s disease(4,28-32). Recent research has linked high aluminum levels in drinking water to acid rain that leaches the aluminum out of the soil and transfers it to the ground water(4,28,29). Occupational exposure to pesticides and herbicides has also been linked to a significantly higher risk of developing Parkinson&#8217;s disease(33-36).</p>
<p style="text-align: left;">Diet is another important factor in Parkinson&#8217;s disease. Researchers at the University of Magdeburg in Germany recently reported that people with a high intake of sugar (mono- and disaccharides) increase their risk of developing Parkinson&#8217;s disease by a factor of three as compared to people with a more moderate intake. The same study also showed that diets high in vitamin C and beta-carotene provide significant protection(37). American researchers have concluded that a high intake of animal fats is associated with a five-fold increase in the risk of developing Parkinson&#8217;s disease(20).</p>
<p style="text-align: left;"><strong>Antioxidants: The Key to Prevention and Control</strong><br />
Researchers at the University of Hawaii recently reported that people with a high blood level of the natural antioxidant uric acid have a lower risk of developing Parkinson&#8217;s disease than do people with lower levels. Unfortunately, high levels of uric acid may cause heart disease and gout, and as a matter of fact, the overall mortality rate in the high uric acid group was about 30 per cent higher than in the low uric acid group. Nevertheless, the uric acid study does provide evidence that high levels of antioxidants may help prevent Parkinson&#8217;s disease(21,38).</p>
<p style="text-align: left;">That antioxidants also slow down the progression of existing Parkinson&#8217;s disease was demonstrated in 1991 in a pilot study carried out by Dr. Stanley Fahn of Columbia University. Dr. Fahn found that Parkinson&#8217;s disease patients given large doses of oral vitamin-C and synthetic vitamin-E supplements (3000 mg and 3200 IU daily respectively) delayed the progression of their disease to the point where they needed l-dopa 2.5 years later than a group of patients who were not taking supplements(39,40). Later research has shown that synthetic vitamin E in itself does not retard the progression of Parkinson&#8217;s disease(2,41). Thus it is likely that it was vitamin C by itself or its combination with vitamin E that was the active component in Dr. Fahn&#8217;s experiment. This fits with a later finding that vitamin E, a fat-soluble vitamin, does not readily cross the blood-brain barrier nor does it accumulate in the cerebrospinal fluid that bathes the brain(5,42). Vitamin C, on the other hand, while not crossing the blood-brain barrier does enter the cerebrospinal fluid and can be found there in concentrations proportional to dietary intake(43- 45). Inasmuch as vitamin C is a highly effective antioxidant and is particularly adept in quenching hydroxyl radicals (the main culprits in the dopamine-cell destruction), it is becoming increasingly clear that this vitamin may be an excellent protector against Parkinson&#8217;s disease and can materially help in slowing down the progression of the disease(46).</p>
<p style="text-align: left;">Flavonoids, and in particular the proanthocyanidins (grape seed and pine bark extracts) which are water- soluble, stronger antioxidants than vitamin C, and readily cross into the brain fluid should also be excellent candidates as Parkinson&#8217;s disease preventers and retarders. Clinical trials are, however, still required to support this hypothesis(47).</p>
<p style="text-align: left;">Another promising candidate in Parkinson&#8217;s disease prevention is coenzyme Q10 (ubiquinone) that also is absorbed in brain fluids and is a very powerful antioxidant. Recent research has shown that the coenzyme Q10 content of the mitochondria (energy-producing cell components) in the brain declines rapidly when Parkinson&#8217;s disease is induced in monkeys; this reduction in coenzyme Q10 level leads to a detrimental increase in free radical destructive reactions(48).</p>
<p style="text-align: left;">The overall conclusion of this recent research is that one can lower one&#8217;s risk of developing Parkinson&#8217;s disease by reducing one&#8217;s intake of animal fats and sugar, avoiding excessive exposure to metals such as aluminum, iron, manganese, mercury, cadmium and copper, and by ensuring an adequate intake of antioxidants.</p>
<p style="text-align: left;"><strong>Conventional Treatment</strong><br />
Meanwhile, what can be done for people who already have the disease? Conventional medical treatment relies heavily on l-dopa (levo-dihydroxy-phenylalanine) a dopamine-precursor that can cross the blood- brain barrier and is converted to dopamine in the brain. L-dopa is now rarely used by itself, but rather in combination with carbidopa (Sinemet) or benserazide (Madopar) that protects it from breaking down before it reaches the brain tissue. As l-dopa must compete with other amino acids in crossing both from the gut to the blood stream and from the blood stream to the brain it is usually recommended that it be taken between meals rather than with meals(1,2,8,49).</p>
<p style="text-align: left;">Although l-dopa medications can bring significant relief from Parkinson&#8217;s disease symptoms they become less effective with time. After four or five years of increasing dosages their effect becomes sporadic and unpredictable (the &#8220;on-off syndrome&#8221;) and patients become increasingly helpless and depressed. There is also evidence that the use of l-dopa medications may lead to a deficiency of B vitamins, especially niacin and vitamin B-6. Most Parkinson&#8217;s disease experts now recommend that l-dopa therapy be started as late as possible after diagnosis of Parkinson&#8217;s disease so as to postpone the day when it no longer works and to limit its many serious adverse effects(1,2,5,7,8,50).</p>
<p style="text-align: left;">Selegiline (Deprenyl, Eldepryl) is another drug used in Parkinson&#8217;s disease therapy. It works by blocking the breakdown of dopamine in the brain. Recent trials have shown that starting Parkinson&#8217;s disease patients off on selegiline can extend the time period before they need l-dopa by about nine months(2,5,8,51). Combinations of l-dopa medications and selegiline have also been tried in early stage Parkinson&#8217;s disease patients, but were found to have no advantage. As a matter of fact, a recent study concluded that the combination therapy increased mortality by about 50 per cent when compared to Parkinson&#8217;s disease patients treated with l-dopa medications alone(7,52).</p>
<p style="text-align: left;">Anticholinergenic drugs work by reducing the amount of acetylcholine produced in the brain and thereby redresses the imbalance between dopamine and acetylcholine. They are no longer recommended for older patients as they have serious neuropsychiatric side-effects(7,8).</p>
<p style="text-align: left;"><strong>Alternative Treatment</strong><br />
Until recently there were few alternative treatments available for Parkinson&#8217;s disease patients. This is now changing. Supplementation with vitamin C and E markedly slows the progression of the disease in its early stages. Other antioxidants such as coenzyme Q10 and proanthocyanidins may be equally or more effective &#8211; however, this remains to be proven in clinical trials. Supplementation with vitamin B complex may also be necessary, especially for patients who take l-dopa medications. The timing of protein intake can markedly increase the effectiveness of l-dopa and thereby lead to reduced dosage requirements. Researchers now recommend that protein intake be kept as low as possible and that protein be included primarily in the evening meal(47,49).</p>
<p style="text-align: left;">Australian researchers have found that broad beans (<em>Vicia faba</em>) is an extremely good source of l- dopa and can, in some cases, actually replace l-dopa. A 100 g serving of broad beans (including the pods) provides about 250 mg of l-dopa and in addition, a significant amount of proanthocyanidins. The broad beans remain effective even if canned or frozen, but should always be consumed whole as the pod has been found to have the highest concentration of l-dopa. Medication dosage may have to be adjusted if broad beans are consumed on a regular basis(49,53).</p>
<p style="text-align: left;">Stress aggravates Parkinson&#8217;s disease and relaxation therapy has been found useful in the treatment of the disease. A well thought-out program of rest, exercise, and physiotherapy can also significantly ameliorate the symptoms of Parkinson&#8217;s disease(1,8,54).</p>
<p style="text-align: left;">The finding that Parkinson&#8217;s disease is almost certainly caused by oxidative stress aggravated by metal toxicity is a major step forward in understanding and eventually conquering the disease. At present the best preventive strategy is to limit the intake of animal fats and sugar, eat a diet rich in fruits and vegetables, avoid toxic metals and an excessive iron intake, and insure an adequate intake of antioxidants. These preventive measures may also be useful in slowing down the progression of the disease. As research intensifies new avenues will no doubt open up and in a few years Parkinson&#8217;s disease will hopefully be both preventable and controllable.</p>
<p>&nbsp;</p>
<h4>REFERENCES</h4>
<p>&nbsp;</p>
<ol>
<li>Beal, M. Flint, et al. Parkinson&#8217;s disease and other extrapyramidal disorders. Harrison&#8217;s Principles of Internal Medicine, 13th edition, McGraw-Hill, 1994, pp. 2275-80</li>
<li>Fahn, Stanley. Parkinsonism. Merritt&#8217;s Textbook of Neurology, 9th edition, Williams &amp; Wilkins, 1995, pp. 713-30</li>
<li>Stein, Jay H., ed. Internal Medicine, 3rd edition, Little, Brown and Co., 1990, pp. 1949-52</li>
<li>Foster, Harold D. Health, Disease &amp; the Environment, CRC Press, 1992, pp. 370-98</li>
<li>Youdim, Moussa B.H. and Riederer, Peter. Understanding Parkinson&#8217;s disease. Scientific American, January 1997, pp. 52-59</li>
<li>Harrison&#8217;s Principles of Internal Medicine, 13th edition, McGraw-Hill, 1994, pp. 144-45</li>
<li>Nadeau, Stephen E. Parkinson&#8217;s disease. Journal of the American Geriatrics Society, Vol. 45, No. 2, February 1997, pp. 233-40</li>
<li>Playfer, J.R. Parkinson&#8217;s disease. Postgraduate Medicine Journal, Vol. 73, May 1997, pp. 257-64</li>
<li>Padrell, Maria D., et al. Verapamil-induced Parkinsonism. American Journal of Medicine, Vol. 99, October 1995, p. 436</li>
<li>Shaunak, S., et al. Exacerbation of idiopathic Parkinson&#8217;s disease by naproxen. British Medical Journal, Vol. 311, August 12, 1995, p. 422</li>
<li>de Pedro-Cuesta, Jesus, et al. Whooping cough and Parkinson&#8217;s disease. International Journal of Epidemiology, Vol. 25, No. 6, December 1996, pp. 1301-11</li>
<li>Ames, B.N. Dietary carcinogens and anticarcinogens. Science, Vol. 221, 1983, pp. 1256-64</li>
<li>Halliwell, Barry. Free radicals, antioxidants, and human disease: curiosity, cause, or consequence? The Lancet, Vol. 344, September 10, 1994, pp. 721-24</li>
<li>Jenner, P. Oxidative damage in neurodegenerative disease. The Lancet, Vol. 344, September 17, 1994, pp. 796-98</li>
<li>Oestreicher, E., et al. Degeneration of nigrostriatal dopaminergic neurons increases iron within the substantia nigra: a histochemical and neurochemical study. Brain Research, Vol. 660, October 10, 1994, pp. 8-18</li>
<li>Sengstock, G.J., et al. Iron induces degeneration of nigrostriatal neurons. Brain Research Bulletin, Vol. 28, April 1992, pp. 645-49</li>
<li>Dexter, D.T., et al. Alterations in levels of iron, ferritin, and other trace metals in neurodegenerative diseases affecting the basal ganglia. Annals of Neurology, Vol. 32, 1992, pp. S94-S100</li>
<li>Riederer, P., et al. Transition metals, ferritin, glutathione, and ascorbic acid in Parkinsonian brains. Journal of Neurochemistry, Vol. 52, February 1989, pp. 515-20</li>
<li>Fahn, S. and Cohen, G. The oxidant stress hypothesis in Parkinson&#8217;s disease: evidence supporting it. Annals of Neurology, Vol. 32, December 1992, pp. 804-12</li>
<li>Logroscino, G., et al. Dietary lipids and antioxidants in Parkinson&#8217;s disease: a population-based, case-control study. Annals of Neurology, Vol. 39, January 1996, pp. 89-94</li>
<li>Church, W.H. and Ward, V.L. Uric acid is reduced in the substantia nigra in Parkinson&#8217;s disease: effect on dopamine oxidation. Brain Research Bulletin, Vol. 33, 1994, pp. 419-25</li>
<li>Shukla, A., et al. Cadmium-induced alterations in blood-brain barrier permeability and its possible correlation with decreased microvessel antioxidant potential in rat. Human and Experimental Toxicology, Vol. 15, May 1996, pp. 400-05</li>
<li>Pall, H.S., et al. Raised cerebrospinal-fluid copper concentration in Parkinson&#8217;s disease. The Lancet, August 1, 1987, pp. 238-41</li>
<li>Gorell, J.M., et al. Occupational exposures to metals as risk factors for Parkinson&#8217;s disease. Neurology, Vol. 48, March 1997, pp. 650-58</li>
<li>Reinhardt, J.W. Side-effects: mercury contribution to body burden from dental amalgam. Advances in Dental Research, Vol. 6, September 1992, pp. 110-13</li>
<li>Ngim, C.H. and Devathasan, G. Epidemiolgic study on the association between body burden mercury level and idiopathic Parkinson&#8217;s disease. Neuroepidemiology, Vol. 8, No. 3, 1989, pp. 128-41</li>
<li>Terry, Robert D., et al., eds. Alzheimer Disease. Raven Press Ltd., 1994, pp. 361-63</li>
<li>Bolla, Karen I., et al. Neurocognitive effects of aluminum. Archives of Neurology, Vol. 49, October 1992, pp. 1021-26</li>
<li>Muhlenberg, W. High aluminum concentrations in well water of southern Lower Saxony sandy soil areas caused by acid precipitation: evaluation from the public health and ecologic viewpoint. Offentliche Gesundheitswesen, Vol. 52, January 1990, pp. 1-8 (in German)</li>
<li>Good, P.F., et al. Neuromelanin-containing neurons of the substantia nigra accumulate iron and aluminum in Parkinson&#8217;s disease. Brain Research, Vol. 593, October 16, 1992, pp. 343-46</li>
<li>Yasui, M., et al. Calcium, magnesium and aluminum concentrations in Parkinson&#8217;s disease. Neurotoxicology, Vol. 13, Fall 1992, pp. 593-600</li>
<li>Yasui, M., et al. Aluminum deposition in the central nervous system tissues of patients with Parkinson&#8217;s disease. Rinsho Shinkeigaku (Clinical Neurology), Vol. 31, October 1991, pp. 1095-98 (in Japanese)</li>
<li>Fleming, L., et al. Parkinson&#8217;s disease and brain levels of organochlorine pesticides. Annals of Neurology, Vol. 36, July 1994, pp. 100-03</li>
<li>Semchuk, K.M., et al. Parkinson&#8217;s disease and exposure to agricultural work and pesticide chemicals. Neurology, Vol. 42, July 1992, pp. 1328-35</li>
<li>Hubble, J.P., et al. Risk factors for Parkinson&#8217;s disease. Neurology, Vol. 43, September 1993, pp. 1693-97</li>
<li>Golbe, L.I., et al. Follow-up study of early-life protective and risk factors in Parkinson&#8217;s disease. Movement Disorders, Vol. 5, No. 1, 1990, pp. 66-70</li>
<li>Hellenbrand, W., et al. Diet and Parkinson&#8217;s disease II: a possible role for the past intake of specific nutrients. Neurology, Vol. 47, September 1996, pp. 644-50</li>
<li>Davis, J.W., et al. Observations on serum uric acid levels and the risk of idiopathic Parkinson&#8217;s disease. American Journal of Epidemiology, Vol. 144, September 1, 1996, pp. 480-84</li>
<li>Fahn, Stanley. An open trial of high-dosage antioxidants in early Parkinson&#8217;s disease. American Journal of Clinical Nutrition, Vol. 53, January 1991, pp. 380S-82S</li>
<li>Fahn, Stanley. A pilot trial of high-dose alpha-tocopherol and ascorbate in early Parkinson&#8217;s disease. Annals of Neurology, Vol. 32, 1992, pp. S128-S32</li>
<li>The Parkinson Study Group. Effects of tocopherol and deprenyl on the progression of disability in early Parkinson&#8217;s disease. New England Journal of Medicine, Vol. 328, January 21, 1993, pp. 176-83</li>
<li>Pappert, E.J., et al. Alpha-tocopherol in the ventricular cerebrospinal fluid of Parkinson&#8217;s disease patients: dose-response study and correlations with plasma levels. Neurology, Vol. 47, October 1996, pp. 1037-42</li>
<li>Spector, R. and Eells, J. Deoxynucleoside and vitamin transport into central nervous system. Federation Proceedings, Vol. 43, February 1984, pp. 196-200</li>
<li>Go, K.G. The normal and pathological physiology of brain water. Advances and Technical Standards in Neurosurgery, Vol. 23, 1997, pp. 47-142</li>
<li>Brown, Lou Ann S. and Jones, Dean P. The biology of ascorbic acid. Handbook of Antioxidants (Enrique Cadenas and Lester Packer, eds.), Marcel Dekker Inc., 1996, pp. 117-56</li>
<li>Przedborski, S., et al. Antiparkinsonian therapies and brain mitochondrial complex I activity. Movement Disorders, Vol. 10, May 1995, pp. 312-17</li>
<li>Rona, Zoltan P. Parkinson&#8217;s disease. Health Counselor, Vol. 9, February/March 1997, pp. 26-27</li>
<li>Battino, M., et al. Coenzyme Q, peroxidation and cytochrome oxidase features after Parkinson&#8217;s-like disease by MPTP toxicity in intra-synaptic and non-synaptic mitochrondria from Macaca fiscicularis cerebral cortex and hippocampus: action of dihydroergocriptine. Neurochemical Research, Vol. 21, December 1996, pp. 1505-14</li>
<li>Kempster, P.A. and Wahlqvist, M.L. Dietary factors in the management of Parkinson&#8217;s disease. Nutrition Reviews, Vol. 52, February 1994, pp. 51-58</li>
<li>Bender, D.A., et al. Niacin depletion in Parkinsonian patients treated with L-dopa, benserazide and carbidopa. Clinical Science, Vol. 56, January 1979, pp. 89-93</li>
<li>LeWitt, P.A. Neuroprotection by anti-oxidant strategies in Parkinson&#8217;s disease. European Neurology, Vol. 33, Suppl. 1, 1993, pp. 24-30</li>
<li>Lees, A.J. Comparison of therapeutic effects and mortality data of levodopa and levodopa combined with selegiline in patients with early, mild Parkinson&#8217;s disease. British Medical Journal, Vol. 311, December 16, 1995, pp. 1602-07</li>
<li>Cansfield, P.E., et al. Condensed proanthocyanidins of fababeans. Journal of the Science of Food and Agriculture, Vol. 31, August 1980, pp. 802-12</li>
<li>Chung, W., et al. Behavioral relaxation training for tremor disorders in older adults. Biofeedback and Self Regulation, Vol. 20, June 1995, pp. 123-35</li>
</ol>
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		<title>Parkinson&#8217;s disease &#8211; 75% of the time arises from unknown causes:  check your blood mercury level.</title>
		<link>http://weeksmd.com/2012/05/parkinsons-disease-75-of-the-time-arises-from-unknown-causes-check-your-blood-mercury-level/</link>
		<comments>http://weeksmd.com/2012/05/parkinsons-disease-75-of-the-time-arises-from-unknown-causes-check-your-blood-mercury-level/#comments</comments>
		<pubDate>Sun, 13 May 2012 20:08:31 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Neurology]]></category>
		<category><![CDATA[Parkinson's]]></category>

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		<description><![CDATA[Dr. Weeks&#8217; Comment: Parkinson&#8217;s disease is a tragic and yet treatable illness.  But before your try to &#8220;fix&#8221; something, why not find out that &#8220;broke&#8221; it?  What causes Parkinson&#8217;s disease?... <span class="meta-more"><a href="http://weeksmd.com/2012/05/parkinsons-disease-75-of-the-time-arises-from-unknown-causes-check-your-blood-mercury-level/">Read more &#187;</a></span>]]></description>
			<content:encoded><![CDATA[<p><strong>Dr. Weeks&#8217; Comment: Parkinson&#8217;s disease is a tragic and yet <a href="http://weeksmd.com/2012/05/vitamin-k2-for-parkinsons-disease/">treatable illness</a>.  But before your try to &#8220;fix&#8221; something, why not find out that &#8220;broke&#8221; it?  What causes Parkinson&#8217;s disease? Did you know that in 75% of the cases, the cause has not been identified?  </strong></p>
<p><strong>&#8220;The etiology is known in 25% of the cases of Parkinson&#8217;s disease (medicaments, poisonings, cerebrospinal meningitis, etc.), and in 75% of the cases the etiology is unknown.<sup>&#8220;</sup></strong></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<p align="left"><span style="font-family: Times New Roman; font-size: medium;"><strong>Parkinson&#8217;s Disease and Mercury</strong></span></p>
<p align="left"><span style="font-family: Times New Roman; font-size: x-small;">Geir Bjørklund</span></p>
<p align="left">Source: www.orthomed.org</p>
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<p align="left"><span style="font-family: arial; font-size: xx-small;"> <a href="http://www.orthomolecular.org/library/jom/1995/pdf/1995-v10n0304-p145.pdf" target="blank"><br />
</a></span></p>
<p align="left"><a href="http://orthomed.org/jom/jom.html" target="blank"><img src="http://www.orthomolecular.org/pics/blue_tri.gif" alt="" border="0" />Subscribe to the JOM</a></p>
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<p align="justify">The British physician James Parkinson reported in a publication in 1817 the clinical symptomatology in paralysis agitans or shaking palsy. The name of this disorder today is Parkinson&#8217;s disease (PD).</p>
<p align="justify">Parkinsonism is characterized by hypokinesia, rigidity, tremor, symptoms from the vegetative nervous system, and in some cases dementia.<sup>1</sup> Tremor is the most characteristic, and often the first symptom in Parkinson&#8217;s disease.<sup>2</sup> A still more incapacitating symptom is akinesia, which for the patients with the disorder results in augmenting difficulties at every movement.<sup>2 </sup></p>
<p align="justify">The etiology is known in 25% of the cases of Parkinson&#8217;s disease (medicaments, poisonings, cerebrospinal meningitis, etc.), and in 75% of the cases the etiology is unknown.<sup>1</sup> Cases of unknown etiology are named idiopatic Parkinson&#8217;s disease.</p>
<p align="justify">Parkinson&#8217;s disease has probably a multifactorial etiology involving genetic, environmental, trauma and possibly other factors.<sup>3 </sup></p>
<p align="justify">The shortage of neuro-transmitters, such as monoamines, is well established in the etiology of Parkinson&#8217;s disease.<sup>2</sup> Studies of Parkinson patients have demonstrated low levels of monoamine transmitters encountered in the basal ganglia, decreased values of HVA and 5-HIFAA in the cerebrospinal fluid, and loss of the dark melanin pigment in the dopaminergic substantia nigra (ergon = work, niger = black) of the basal ganglia.<sup>2 </sup>A failure of the neurons in the substantia nigra result in decreased production of dopamine and leads secondarily to a loss of function in the corpus striatum.<sup>2</sup> The consequence of this process is the clinical picture of Parkinson&#8217;s disease.</p>
<p align="justify">Heavy metals, like mercury and copper, can produce lesions of the basal ganglia, with symptoms like hyperkinesia.<sup>2</sup> According to Komulainen and Tuomisto<sup>4</sup> copper has a significant action on adrenergic neurons. Researchers at the Henry Ford Hospital in Detroit, Michigan have studied Parkinson&#8217;s disease with respect to heavy metal exposure.<sup>5</sup> They have calculated mortality rates for Parkinson&#8217;s disease in Michigan counties for 1986-1988 with respect to potential heavy metal exposure (iron, zinc, copper, mercury, magnesium, and manganese) from industry based on recent census data. The death rates are statistically significantly higher in counties with an industry in the chemical, paper, iron or copper related-industrial categories (ICs) (p &lt; 0.05) than counties without these industries.<sup>5</sup> The authors concluded: “These ecologic findings suggest a geographic association between PD mortality and the industrial use of heavy metals.”</p>
<p align="justify">Ngim and Devathasan<sup>6</sup> have done a case-control study among the multiethnic population of Singapore. They tested the hypothesis that a high level of body burden mercury is associated with an increased risk of Parkinson&#8217;s disease. In 54 cases of idiopathic Parkinson&#8217;s disease and 95 hospital-based controls, detailed interviews were completed.<sup>6</sup> The two groups were matched for age, sex and ethnicity, between July 1985 and July 1987. The researchers found that there was a clear monotonic dose-response association between blood mercury levels and Parkinson&#8217;s disease. The result was adjusted for potential confounding factors, including dietary fish intake, medications, smoking and alcohol consumption.<sup>6</sup> Scalp hair mercury was shown to be a poor predictor of the risk of Parkinson&#8217;s disease after adjustment.</p>
<p align="justify">Ngim and Devathasan<sup>6</sup> listed the following factors that could contribute to the body burden of mercury: dietary fish intake, ethnic over-the-counter medications, occupational exposures and dental amalgam fillings.<sup>6 </sup></p>
<p align="justify">Tremor is a classical symptom among victims of inorganic mercury poisoning, as well as among methyl mercury poisoning victims. “Tremor Mercurialis” has been known since antiquity.<sup>2</sup> The tremor of methyl mercury poisoning is different from physiological tremor and other pathological tremors in frequency and amplitude.<sup>7 </sup></p>
<p align="justify">According to Störtebecker a possible exposure to mercury should be considered in the etiology of “Shaking Palsy” (Parkinson&#8217;s disease).<sup>2</sup> He asks: “&#8230; why shouldn&#8217;t a daily release of small amounts of mercury from dental amalgam fillings be capable of producing similar neurological symptoms.”</p>
<p align="justify">Dental amalgams are the predominant source of inorganic mercury and mercury vapour in the general population.<sup>8</sup> There is found a direct correlation between the number and surfaces of dental amalgam fillings and the amount of mercury in the brain.<sup>9 </sup>Mercury vapour has no toxic threshold.<sup>10</sup> No exposure to mercury can therefore be considered totally harmless.</p>
<p align="justify">In light of these facts, the possible role of dental mercury in etiology of Parkinson&#8217;s disease should be further studied.</p>
<div>
<h5 align="justify">References</h5>
<ol type="1">
<li>Hamre HJ: <em>Amalgam og sykdom</em>. Oslo: Vidarforlaget, 1993.</li>
<li>Störtebecker P: Neurology for barefoot doctors in all countries. Correct Diagnosis by simple methods. Täby/Stockholm: Störte</li>
</ol>
<p align="center">becker Foundation for Research, 1988.</p>
<ol type="1">
<li>Semchuk KM, Love EJ, Lee RG: Parkinson&#8217;s disease: a test of the multifactorial etiologic hypothesis. <em>Neurology</em> 43: 1173-80, 1993.</li>
<li>Komulainen H, Tuomisto J: Effects of heavy metals on dopamine, noradrenaline and serotonin uptake and release in rat brain synaptosomas. <em>Acta Pharmacol Toxicol</em> 48: 199-204, 1981.</li>
<li>Rybicki BA, Johnson CC, Uman J, Gorell JM: Parkinson&#8217;s disease mortality and the industrial use of heavy metals in Michigan. <em>Mov Disord</em> 8: 87-92, 1993.</li>
<li>Ngim CH, Devathasan G: Epidemiologic study on the association between body burden mercury level and idiopathic Parkinson&#8217;s disease. <em>Neuroepidemiology</em> 8: 128-41, 1989.</li>
<li>Yamanaga H: Quantitative analysis of tremor in Minamata disease. <em>Tohukv J Exp Med</em> 141: 13-22, 1983.</li>
<li>Clarkson TW, Friberg L, Nordberg GF, Sager PR editors: <em>Biological monitoring of toxic metals</em>. New York: Plenum Press, 1988.</li>
<li>Nylander M, Friberg L, Lind N: Mercury consentrations in the human brain and kidneys in relation to exposure from dental amalgam fillings. <em>Swed Dent J </em>1987; 11:179-87.</li>
</ol>
<p align="justify">10.World Health Organization. <em>Environmental Health Criteria</em> 118: Inorganic Mercury. Geneva: World Health Organization, 1992.</p>
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		<title>Vitamin K2 for Parkinson&#8217;s Disease</title>
		<link>http://weeksmd.com/2012/05/vitamin-k2-for-parkinsons-disease/</link>
		<comments>http://weeksmd.com/2012/05/vitamin-k2-for-parkinsons-disease/#comments</comments>
		<pubDate>Sun, 13 May 2012 19:48:37 +0000</pubDate>
		<dc:creator>Brad Weeks, MD</dc:creator>
				<category><![CDATA[Neurology]]></category>
		<category><![CDATA[Parkinson's]]></category>

		<guid isPermaLink="false">http://weeksmd.com/?p=9062</guid>
		<description><![CDATA[Dr. Weeks&#8217; Comment:   Vitamin K2,  the sunlight vitamin/hormone vitamin D3, the treasure from the beehive: Royal Jelly, acetylated glutathione and many more agents are worth discussing  (even calcium channel blockers)... <span class="meta-more"><a href="http://weeksmd.com/2012/05/vitamin-k2-for-parkinsons-disease/">Read more &#187;</a></span>]]></description>
			<content:encoded><![CDATA[<p><em><strong>Dr. Weeks&#8217; Comment:   Vitamin K2,  the sunlight vitamin/hormone <a href="http://weeksmd.com/2009/01/parkinsons-and-vitamin-d/">vitamin D3</a>, the treasure from the beehive: <a href="http://weeksmd.com/2009/02/royal-jelly-and-neural-regeneration/">Royal Jelly</a>, acetylated <a href="http://weeksmd.com/2009/08/glutathione-and-parkinsons-2001/">glutathione</a> and many more <a href="http://weeksmd.com/2012/04/the-french-lilac-medicine-metformin-reduces-risk-of-parkinsons/">agents</a> are worth discussing  <a href="http://weeksmd.com/2010/01/calcium-channel-blockers-block-parkinsons-disease-development/">(even calcium channel blockers) </a>with your doctor if you or a loved one suffer from Parkinson&#8217;s disease. Tragically, most doctors are not educated about cheap and effective agents because most doctors get most of their information from drug company sales reps or they get information from medical journals whose content, in turn,  is dictated by the revenue source-  again: ad dollars from,  Big Pharma.   News about safe and effective but non-patentable (i.e. not profitable) agents never gets shared with most doctors.  So read for yourself about vitamin K2  </strong><strong>(which is also critically important in caring for cancer patients!)   In addition to replenishing with <a href="http://weeksmd.com/2008/01/glutathione-for-parkinsons-and-schizophrenia/">nutrients</a> one is deficient in, take care to detoxify:  watch out for <a href="http://weeksmd.com/2009/09/parkinsons-and-pesticides/">pesticides</a> and <a href="http://weeksmd.com/2009/05/residence-near-power-lines-and-mortality-from-neurodegenerative-diseases/">electropollution</a> as well as <a href="http://weeksmd.com/2009/09/statin-drugs-and-parkinsons-disease-oops/">statin drug</a>s and  heavy metals &#8211; mercury and lead.<br />
</strong></em></p>
<p><em><strong>&#8220;&#8230;It appears from our research that administering vitamin K2 could possibly help patients with Parkinson&#8217;s&#8230;&#8221;</strong></em></p>
<p>&nbsp;</p>
<h1 id="headline">Vitamin K2: New Hope for Parkinson&#8217;s Patients?</h1>
<div id="story">
<p>ScienceDaily (May 11, 2012) — Neuroscientist Patrik Verstreken, associated with VIB and KU Leuven, succeeded in undoing the effect of one of the genetic defects that leads to Parkinson&#8217;s using vitamin K2. His discovery gives hope to Parkinson&#8217;s patients.</p>
<p>This research was done in collaboration with colleagues from Northern Illinois University (US) and was recently published in the journal<em>Science.</em></p>
<p>&#8220;It appears from our research that administering vitamin K2 could possibly help patients with Parkinson&#8217;s. However, more work needs to be done to understand this better,&#8221; says Patrik Verstreken.</p>
<p>Malfunctioning power plants are at the basis of Parkinson&#8217;s.</p>
<p>If we looked at cells as small factories, then mitochondria would be the power plants responsible for supplying the energy for their operation. They generate this energy by transporting electrons. In Parkinson&#8217;s patients, the activity of mitochondria and the transport of electrons have been disrupted, resulting in the mitochondria no longer producing sufficient energy for the cell. This has major consequences as the cells in certain parts of the brain will start dying off, disrupting communication between neurons. The results are the typical symptoms of Parkinson&#8217;s: lack of movement (akinesia), tremors and muscle stiffness.</p>
<p>The exact cause of this neurodegenerative disease is not known. In recent years, however, scientists have been able to describe several genetic defects (mutations) found in Parkinson&#8217;s patients, including the so-called PINK1 and Parkin mutations, which both lead to reduced mitochondrial activity. By studying these mutations, scientists hope to unravel the mechanisms underlying the disease process.</p>
<p><strong>Paralyzed fruit flies</strong></p>
<p>Fruit flies (<em>Drosophila</em>) are frequently used in lab experiments because of their short life spans and breeding cycles, among other things. Within two weeks of her emergence, every female is able to produce hundreds of offspring. By genetically modifying fruitflies, scientists can study the function of certain genes and proteins. Patrik Verstreken and his team used fruitflies with a genetic defect in PINK1 or Parkin that is similar to the one associated with Parkinson&#8217;s. They found that the flies with a PINK1 or Parkin mutation lost their ability to fly.</p>
<p>Upon closer examination, they discovered that the mitochondria in these flies were defective, just as in Parkinson&#8217;s patients. Because of this they generated less intracellular energy &#8212; energy the insects needed to fly. When the flies were given vitamin K2, the energy production in their mitochondria was restored and the insects&#8217; ability to fly improved. The researchers were also able to determine that the energy production was restored because the vitamin K2 had improved electron transport in the mitochondria. This in turn led to improved energy production.</p>
<p><strong>Conclusion</strong></p>
<p>Vitamin K2 plays a role in the energy production of defective mitochondria. Because defective mitochondria are also found in Parkinson&#8217;s patients with a PINK1 or Parkin mutation, vitamin K2 potentially offers hope for a new treatment for Parkinson&#8217;s.<strong>Journal Reference</strong>:</p>
<ol>
<li>M. Vos, G. Esposito, J. N. Edirisinghe, S. Vilain, D. M. Haddad, J. R. Slabbaert, S. Van Meensel, O. Schaap, B. De Strooper, R. Meganathan, V. A. Morais, P. Verstreken.<strong>Vitamin K2 Is a Mitochondrial Electron Carrier That Rescues Pink1 Deficiency</strong>. <em>Science</em>, 2012; DOI:<a href="http://dx.doi.org/10.1126/science.1218632" rel="nofollow" target="_blank">10.1126/science.1218632</a></li>
</ol>
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