US Military

The US Military and Celiac Disease EP061

It goes without saying that anyone who serves in the military needs to be healthy and strong—and that military leaders have an obligation to keep enlisted servicemen and women as safe and healthy as possible. So, it makes sense that people with food allergies (including celiac patients) are disqualified from military service, but it is less clear why celiac testing is not a part of the medical exam to qualify for enlistment.

Today, the Gluten Free RN addresses the issue of celiac disease in the military. She explains the challenges of preparing gluten-free food in a mess hall setting and describes the consequences for an active duty soldier who is found to have celiac disease.

Nadine shares a research study exploring celiac trends among active duty military as well as a case study around veterans and celiac disease. Listen in for insight on what’s behind the increased prevalence of celiac disease among military personnel and the confirmed association between celiac disease and other complex health issues.

What’s Discussed: 

Why celiac patients are disqualified from enlisting in any branch of service

  • Unable to provide safe food

What happens to military personnel who are found to have celiac disease

  • Will receive medical discharge

The US military policy around food allergies and intolerances

  • No accommodations made

Countries that allow celiac patients to serve

  • Israel, Finland and Scandinavia

The Mayo Clinic study of celiac trends among active duty military

  • Healthy worker population with medical diagnostic coding
  • Incidence of celiac disease increased five-fold from 1999-2008
  • Combination of increased suspicion and environmental factors

The challenge of preparing gluten-free food in a military setting

  • High risk of cross-contamination

A case study involving military veterans and celiac disease

  • Confirmed association between CD and other complex issues

The benefits of a gluten-free diet

  • Preventative for autoimmune disorders, nutritional deficiencies and cancer

Nadine’s argument for celiac testing prior to enlistment

  • Obligation to safety of servicemen/women

Resources:

Military Standards of Medical Fitness

‘The Incidence and Risk of Celiac Disease in a Healthy US Adult Population’ in the American Journal of Gastroenterology

‘Celiac Sprue Among US Military Veterans: Associated Disorders and Clinical Manifestations’  in Digestive Diseases and Sciences

‘Gluten-Free Soldier in Afghanistan’ in Gluten-Free Living

‘Medical Mix-Up Sidelines Army Sergeant’s Career’ in Military Times

Celiac Disease-Related Veterans Affairs Case

Connect with Nadine:

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‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

Injection _ RF Studio

Hepatitis B Vaccine and Celiac Disease EP060

We get vaccinated to protect ourselves, to gain an immunity to a particular disease. But in the case of hepatitis B, celiac patients may come to find out that we are NOT immune—despite having done the right thing in getting a hepatitis B vaccination.

Today, the Gluten Free RN is walking us through the latest research around vaccination and celiac disease. She explores the fact that celiac patients are more likely to be non-responsive to HBV than the general population, explaining the fundamentals of hepatitis B and the two main theories as to why the vaccine doesn’t work for some celiac patients.

Nadine shares her take on immunizations, explaining why she is a proponent of an alternate vaccination schedule for infants who may be immunocompromised. Listen in and learn how to determine whether you are truly immune to hepatitis B and protect yourself from potentially life-threatening disease!

What’s Discussed:

The basics of hepatitis B (HBV)

  • Viral infection that attacks liver
  • Transmitted through blood, body fluids

The prevalence of hepatitis B

  • 257M people infected
  • 887K deaths in 2015

The 2013 Italian study around celiac disease and the hepatitis B vaccine

  • Number of non-responders to vaccine higher in CD patients
  • May be genetic OR caused by gluten intake during vaccination

Nadine’s experience with vaccination as a child

  • Contracted mumps despite MMR

Nadine’s take on vaccination

  • Advocates for immunization to prevent disease
  • Giving babies multiple vaccines at once may not be best

The conclusion of a 2017 Italian study

  • Administer booster shots of hepatitis B vaccine as needed
  • Evaluate response to vaccine in newly diagnosed celiac patients
  • Revaccinate one year after adoption of gluten-free diet

The value of a hepatitis B titer

  • Confirms whether really immune
  • If not, test for celiac disease

Resources:

‘Hepatitis B Vaccine in Celiac Disease: Yesterday, Today and Tomorrow in the World Journal of Gastroenterology

‘Vaccinations in Celiac Disease’ in the Journal of Pediatric Gastroenterology and Nutrition

‘Immune Response to Vaccines in Children with Celiac Disease’ in the World Journal of Gastroenterology

‘Immune Response to Hepatitis B Vaccine in Patients with Celiac Disease: A Systematic Review and Met-Analysis’ in Human Vaccines and Immunotherapeutics

‘Early Vaccinations are Not Risk Factors for Celiac Disease’ in Pediatrics

‘Gluten Intake Interferes with the Humoral Immune Response to Recombinant Hepatitis B Vaccine in Patients with Celiac Disease’ in Pediatrics

‘Effect of Pentavac and Measles-Mumps-Rubella (MMR) Vaccination on the Intestine’ in Gut

‘Normal of Defective Immune Response to Hepatitis B Vaccine in Patients with Diabetes and Celiac Disease’ in Human Vaccines and Immunotherapeutics

Connect with Nadine:

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‘Your Skin on Gluten’ on YouTube

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

hypothyroidism - myamericannurse.com

Hypothyroid, Pulmonary Edema and Celiac Disease EP059


When the Gluten Free RN went on a gluten-free diet 11 years ago, her thyroid settled down and the associated symptoms and disorders—Graves’ disease, weight gain and hair loss—resolved.

But when Nadine was inadvertently hit with gluten two years ago, several of those symptoms returned, along with a few new ones. She was losing hair and gaining water weight again. On top of that, her sinuses were congested. She developed asthma, a rash on her lower right leg and a scary case of pulmonary edema (excess fluid in the lungs).

Hindsight being 20/20, Nadine realizes that her recent diagnosis of hypothyroidism is associated with that accidental gluten ingestion. Further study made it clear that there is a potential connection between her thyroid problems and pulmonary edema, as the leaky gut that comes with celiac disease can cause fluid shifts into body tissues.

Today the Gluten Free RN explores the links among celiac disease, thyroid disorders and pulmonary edema. She explains the function of the endocrine system, the symptoms associated with hypothyroidism, and the diet she recommends for patients with thyroid issues. Listen in for Nadine’s insight around how gluten affects the thyroid gland and why the resulting low sodium levels might trigger edema in celiac patients.

What’s Discussed:

The function of the endocrine system

  • Glands in body that make hormones

The connection between celiac disease and thyroid disorders

  • Thyroid especially vulnerable to gluten protein in wheat, barley, rye and oats

Nadine’s symptoms of hypothyroidism

  • Lower extremity edema
  • Congested sinuses
  • Hair falling out
  • Pulmonary edema
  • Asthma
  • Rash on leg

How damp rash lotion resolved Nadine’s symptoms

  • Prescribed by acupuncturist in Chiang Mai
  • Rash cleared, could breathe easy
  • Symptoms returned within four weeks of return to US

Nadine’s thyroid-stimulating hormone (TSH) levels

  • Within normal limits despite thyroid issues
  • Practitioner declined to order thyroid panel

The relationship between thyroid issues and edema

  • Sodium = major electrolyte, maintains body’s pH
  • Hypothyroidism means low sodium levels
  • Leaky gut of celiac disease leads to fluid shifts (edema)

The research around thyroid disorders and celiac disease in Current Allergy and Asthma Reports

  • Association between CD and thyroid disorders well documented
  • Increased prevalence of autoimmune thyroiditis and Graves’ disease in celiac populations

The diet Nadine recommends for celiac patients with potential thyroid issues

  • Gluten-free, dairy-free
  • Whole food, Paleo

Why patients with unexplained pulmonary edema should be tested for celiac disease AND thyroid disorders

  • Potential connection among all three

The symptoms associated with hypothyroidism

  • Puffy face, constipation, fatigue
  • Muscle weakness, aches and pains
  • Irregular, delayed menstrual periods
  • Hair loss, thinning hair
  • Slower heartrate, hypothermia
  • Depression, memory problems

Resources:

‘Pregnancy Complicated with Pulmonary Edema Due to Hyperthyroidism’ in the Journal of the Chinese Medical Association

‘Sleep Apnea, Hypothyroidism and Pulmonary Edema’ in CHEST Journal Letters to the Editor

‘Thyroid and Fluid Retention’ on the Wilson’s Syndrome Site

‘Acute Pulmonary Edema as a First Manifestation of Hyperthyroidism in a Pregnant Woman’ in Revista Medica de Chile

‘Hypothyroidism and Non-Cardiogenic Pulmonary Edema: Are We Missing Something Here?’ in Endocrinology, Diabetes & Metabolism Case Reports

‘Celiac Disease and Autoimmune Thyroid Disease’ in Clinical Medicine & Research

‘Celiac Disease and Autoimmunity: Review and Controversies’ in Current Allergy and Asthma Reports

‘An Unusual Cause of Flash Pulmonary Oedema’ in BMJ Case Reports

‘Challenges in the Management of a Patient with Myxoedema Coma in Ghana: A Case Report’ in Ghana Medical Journal

‘Hyponatremia and the Thyroid: Causality or Association?’ in the Journal of Clinical Medicine

‘Interactions Between Thyroid Disorders and Kidney Disease’ in the Indian Journal of Endocrinology and Metabolism

Connect with Nadine:

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‘Your Skin on Gluten’ on YouTube

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

pexels - Daniel Reche

Mental Health Disorders and Celiac Disease EP058


An estimated 50% of Americans are on some type of psychotropic drug. Half of the US population!

What is causing such widespread prevalence of mental health disorders? Prescription anti-depressants and sedatives don’t solve the underlying problem…  So how do we get to the bottom of this?

The Gluten Free RN contends that there may be a connection between mental health and undiagnosed celiac disease. Today she explains how several disorders (anxiety, depression and paranoia, among others) have been linked to gluten, discussing how a leaky blood-brain barrier can lead to hypoxia, an inflammation of the brain.

Nadine walks us through the best research in mental health disorders and gluten sensitivity, sharing two landmark studies that emphasize the gut/brain connection and characterize celiac disease as primarily a neurological disorder. Nadine offers her insight around working with schizophrenic patients and the increasing number of children suffering from anxiety. Listen in to understand how gluten impacts your mental health, and learn how to eliminate brain fog, get off prescription meds, and enjoy a higher quality of life!

What’s Discussed:

The connection between gluten and hypoxia

  • Leaky blood-brain barrier leads to inflammation of brain, decreased oxygen flow

The shocking statistics around Americans and psychotropic drugs

  • Estimated 50% of US population on psychotropic medication

The potential relationship between mental health disorders and undiagnosed celiac disease

  • High instance of depression, anxiety, fatigue and paranoia
  • May have difficulty sleeping, headaches or seizure disorder
  • Nearly all experience brain fog

The health consequences of undiagnosed celiac disease

  • Malabsorption of nutrients
  • Damaged immune system
  • Neurological symptoms
  • Hormonal imbalance
  • Neurotransmitter disruption

The findings of the landmark Cooke study in 1966

  • Ten of 16 patients with celiac disease had severe progressive neuropathy
  • All 16 had severe malabsorption

The conclusion of an editorial published in Neurology, Neurosurgery & Psychiatry

  • Celiac disease, NCGS is primarily neurological

How a gluten-free diet can resolve gastrointestinal and psychiatric symptoms

  • Celiac disease can manifest as depression, anxiety or psychosis
  • Research published in International Journal of Celiac Disease demonstrates gut/brain connection

Nadine’s experience with schizophrenia patients

  • Majority are gene positive for HLA-DQ2, HLA-DQ8

The increasing number of children diagnosed with anxiety disorder

  • May be caused by undiagnosed sensitivity to gluten

The concept of food as medicine

  • Body may read gluten as toxic, must remove from diet

Resources:

‘Gluten Sensitivity as a Neurological Illness’ in the Journal of Neurology, Neurosurgery & Psychiatry

‘Psychiatric Complications of Celiac Disease’ in the International Journal of Celiac Disease

‘Genetic Hypothesis of Idiopathic Schizophrenia: Its Exorphin Connection’ in Schizophrenia Bulletin

‘Markers of Gluten Sensitivity and Celiac Disease in Bipolar Disorder’ in Bipolar Disorders

‘Neurologic and Psychiatric Manifestations of Celiac Disease and Gluten Sensitivity’ in Psychiatric Quarterly

‘Neuropsychiatric Symptoms and Celiac Disease’ in Neuropsychiatric Disease and Treatment

Connect with Nadine:

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‘Your Skin on Gluten’ on YouTube

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

Nadine Grzeskowiak, RN, BSN, CEN

My Health and Lessons for You EP057


Two and a half years ago, Nadine was inadvertently hit with gluten—three times in a row. In the past, it had taken about ten weeks for her symptoms to resolve after an accidental exposure, but this time they stuck around. It started with feeling cold. Then she began experiencing abdominal distention and pain.  Her dermatitis herpetiformis returned, she was plagued with sinus congestion, and she was gaining weight. Most concerning of all, she developed pulmonary edema, a condition caused by excess fluid in the lungs.

Today, the Gluten Free RN is getting real, revealing the health struggles she has been dealing with since 2015. She explains the circumstances that led to her accidental gluten exposure and recounts the ten scary nights she spent in a recliner, forced to sit up in order to breathe.

Nadine takes us along on her global search for the answers that began with a practitioner in Thailand and a tiny container of damp rash lotion, and ended with a diagnosis of myxedema from a naturopath here in the States. Nadine discusses how those three consecutive hits of gluten targeted her thyroid gland and how T3 is working to resolve her symptoms. Listen in and learn how the Gluten Free RN is reclaiming her Superwoman status and how you, too, can reach your full potential with good health and wellbeing!

What’s Discussed:

Maslow’s hierarchy of needs

  • Physiological, safety needs must be taken care of first
  • Difficult to achieve self-actualization with poor health

Nadine’s health struggle the past 30 months

  • Inadvertently hit with gluten three times in a row
  • Symptoms persisted past usual ten weeks
  • Sinus congestion, DH, pulmonary edema and weight gain

Nadine’s search for the underlying cause

  • Saw practitioner in Chiang Mai, damp rash lotion resolved symptoms
  • Naturopath in Oregon diagnosed myxedema (hypothyroidism)

How Nadine is reclaiming her health

  • Taking T3 to resolve symptoms

How a damaged thyroid gland impacted Nadine

  • Affected sleep, ability to do challenging physical activity

The importance of support in getting your health back

  • Need relationships to support choices

Resources:

Whole30

Connect with Nadine:

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Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

Nurse - by Laura James

Celiac Disease for Nurses EP056

Celiac disease is messy. It can develop at any age, in any ethnicity, in both men and women, with any symptom or no symptom at all. Every patient is different, and each one presents differently. There is nothing cut and dried about celiac disease, except that a 100% gluten-free diet is necessary for healing.

Nurses are in a unique position to make sense of this chaos and advocate for patients, recognizing possible celiac disease and non-celiac gluten sensitivity and recommending appropriate testing when necessary. Today, the Gluten Free RN covers the basics of celiac disease for nurses, explaining the frequency with which the disorder is misdiagnosed or goes undiagnosed for years.  She walks us through the testing required for a diagnosis of celiac disease proper, who should undergo testing, and why one negative test doesn’t rule out the disease.

Nadine speaks to the 300-plus signs of celiac disease, reviewing the most common symptoms and the overlap between celiac disease and autoimmune disorders like type 1 diabetes. She also shares the discouraging statistics around the impact of undiagnosed celiac disease on fetal development and maternal health. Listen in to understand why Nadine encourages fellow nurses include celiac disease as part of their differential diagnosis, providing gluten-sensitive patients with a safe, gluten-free environment and a higher quality of life!

What’s Discussed:

The frequency with which celiac disease is misdiagnosed or goes undiagnosed

  • 94% of people with celiac disease are undiagnosed
  • Current estimate is 3% of US population
  • Takes average of 9-15 years for diagnosis

The challenges around getting a diagnosis of celiac disease proper

  • Requires genetic test, celiac antibody test and documented villous atrophy
  • Celiac antibody test = 70% false negative in US

The chronic nature of celiac disease

  • Patients must go 100% gluten-free for life

The 300-plus signs and symptoms of celiac disease

  • Primarily a neurological disorder

Why celiac patients must be tested for potential nutritional deficiencies

  • May need B12, Mg RBC, D3, Zn or I supplements

The detrimental impact of undiagnosed celiac disease on fetal development, maternal health

  • 800-900% increase in miscarriage
  • Increased risk of stillbirth, premature birth and neural defects

Where gluten is hiding

  • Medications, personal care products and food items

Who should be tested for celiac disease

  • Patients with mental health issues, developmental delays
  • Anyone with an autoimmune disorder (e.g.: type 1 diabetes)
  • Family members of celiac patients

Why one negative test doesn’t rule out celiac disease

  • Can seroconvert at any time

How a gluten-free diet can benefit children with stunted growth

  • Growth resumes if diagnosed before epiphyseal plates seal

Resources:

Celiac Disease and Non-Celiac Gluten Sensitivity for Nurses

Recommended Labs

Recognizing Celiac Disease: Signs, Symptoms, Associated Disorders & Complications by Cleo J. Libonati

Gluten Free Works

PubMed

Cyrex Labs

Connect with Nadine:

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‘Your Skin on Gluten’ on YouTube

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

exercising

Hopes and Wishes for Celiac Disease in 2018 EP055

As we ring in the New Year, many of us take the time to jot down our aspirations for the next twelve months. What are your hopes and dreams for 2018? Health and happiness? An opportunity to travel? Stronger relationships?

Whether you have big plans to hike the Grand Canyon this year, or you simply resolve to get a little more sleep, it’s likely that aspects of health and wellness are a big part of your vision for 2018. The Gluten Free RN wants you to be happy and healthy in the coming year, and today she is sharing her hopes and wishes around celiac disease for 2018.

Nadine offers insight on taking control of what you can, including the food you eat. She shares her wish for widespread access to high-quality food and nutritional information that is NOT influenced by corporations. She explains the need for universal healthcare, better comprehensive testing for celiac disease (performed annually), and appropriate follow-up care for patients with a celiac diagnosis. Listen in to understand why Nadine advocates for a global celiac education campaign and learn how to evaluate new information about the disease with a critical ear. Let’s get happy and healthy in 2018 so that we can pursue all of our hopes and dreams!

What’s Discussed:

Nadine’s wish for health, happiness and wellness

  • Reevaluate your choices and control what you can (sleep, food, activities)

Why Nadine advocates for universal healthcare

  • Everyone deserves access to high-quality healthcare without financial strain

The need for better comprehensive testing

  • Healthcare providers should be educated in ordering, interpreting labs

Nadine’s hope for worldwide knowledge of celiac disease

  • Patients in US not diagnosed correctly for 70 years
  • Consider mini-mass screening of patients/family

The importance of accurate media coverage

  • Stories not influenced by sponsors, pharmaceuticals, etc.

Why friends and family should be tested every year

  • Early diagnosis important
  • Can be ruled in, not ruled out

The value of nutritional information not influenced by food companies

  • Understand where food comes from, how processed

Nadine’s aspiration for universal access to high-quality food

  • Organic, whole foods with minimal processing
  • Provides fuel today, building blocks of healing

The need for appropriate follow-up care

  • Labs to address nutritional deficiencies, associated issues

Nadine’s insight around celiac education

  • Seek information, evaluate with critical ear

Resources:

Rotten Documentary Trailer

Whole30

Nadine’s Recommended Labs

Columbia University Celiac Disease Center

PALEOf(x)

Connect with Nadine:

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‘Your Skin on Gluten’ on YouTube

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

wheat

Thoughts on Celiac Disease EP054

In 11 years as the Gluten Free RN, Nadine has done an incredible amount of research on celiac disease and delivered more than 2,000 lectures. No question she is frustrated to see misinformation continue to make its way onto celiac support sites and Facebook groups. How does the average person sift through all the material that’s out there—material that may be influenced by corporations and pharmaceutical companies with a vested interest in the way celiac disease is perceived—to get to the most accurate information?

Just in time for the holidays, the Gluten Free RN is sharing her wish list around the direction of celiac disease and non-celiac gluten sensitivity in the next ten years. She discusses the need for a global mass screening, explaining how celiac disease meets the World Health Organization’s criteria. She covers the reasons why pharmaceutical companies have no place in celiac research as well as the bad publicity the gluten-free community receives in the media.

Nadine speaks to the grievous lack of education about celiac disease among healthcare providers and shares her hope for a cultural shift to support people on a gluten-free diet, explaining the role nurses can play in ending the needless suffering. She talks about why a gluten-free diet is NOT dangerous and how to make the best food choices based on your lifestyle and current situation. Listen in and get empowered to accept responsibility for your health!

What’s Discussed: 

The need for a global mass screening

  • Celiac disease meets WHO criteria
  • 30-50% of population carries gene

Why pharmaceutical companies should not be involved in celiac research

  • Diet change resolves symptoms
  • Pharmaceutical involvement gives false hope for cure

The misinformation about celiac disease in the media

  • Misrepresentation in recent episode of Freakonomics Radio

The need to educate healthcare providers around celiac disease

Nadine’s call for support of people on a gluten-free diet

  • Don’t assume intentionally being difficult

The unique position of nurses to use their influence

  • Prevent needless suffering with understanding of celiac disease

Why you must accept responsibility for your own health

  • Take advantage of available resources
  • Find practitioners open to other modalities

How to avoid processed foods

  • Focus on raw, whole foods
  • Choose fresh fruits, vegetables
  • Don’t fall victim to convenience marketing
  • Use community, intuition to make decisions

Why a gluten-free diet is NOT dangerous

  • Nadine restored her health by eliminating grains
  • Unethical to suggest that celiac patient go off gluten-free diet

Resources:

Freakonomics Radio: The Demonization of Gluten

2004 NIH Consensus Statement on Celiac Disease

Connect with Nadine:

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Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

citrus fruits

Alex Michaels from LPI on Vitamin C EP053

You know that vitamin C is good for you. It is necessary for the growth, development and repair of all your body tissues, and it plays a role in the healthy functioning of your immune system. But evidence shows that the RDA—90mg for men and 75mg for women—may be woefully inadequate. And if you are suffering from certain types of cancer or sepsis, vitamin C may be the key to recovery.

The Gluten Free RN is joined by vitamin C researcher Alex Michaels from the Linus Pauling Institute at Oregon State University to discuss the latest developments in vitamin C, explaining how intravenous vitamin C works to kill certain cancer cells and reverses the organ failure associated with sepsis. He also covers the difference between vitamin C inadequacy and vitamin C deficiency and the debilitating symptoms of scurvy.

Nadine and Alex speak to the best food sources of vitamin C and how it impacts other vitamins and minerals like iron and copper. Alex offers his advice around how much vitamin C you should get on a daily basis and explains why synthetic and natural vitamin C are identical. Learn about the LPI mission to determine the optimal ranges of micronutrients and phytochemicals you should be getting on a daily basis and how you can benefit from their research!

What’s Discussed:

Micronutrients vs. macronutrients

  • Micronutrients are vitamins, essential minerals needed in small amounts (milligrams or micrograms/day)
  • Macronutrients include fats, carbs and proteins (grams/day)
  • Phytochemicals come from plants, affect health but not essential nutrients

The difference between intravenous and oral vitamin C

  • Intravenous bypasses GI system, high concentration in bloodstream (up to 100 grams)
  • Body can only absorb certain amount of oral vitamin C, inflammation may prevent absorption

Vitamin C’s resurgence as a cancer therapy

  • High levels of intravenous vitamin C can covert oxygen to hydrogen peroxide
  • Hydrogen peroxide floods and kills some cancer cells (e.g.: pancreatic tumors)

Vitamin C’s role in the treatment of sepsis

  • Reverses organ failure, decreases inflammation
  • May restore vitamin C to normal levels, protect from negative effects of iron

The availability of intravenous vitamin C

  • Difficult to obtain, naturopaths usually have dedicated supplier
  • More readily available in Australia, New Zealand

The fundamentals of scurvy

  • Defined as deficiency in vitamin C
  • Symptoms include bleeding gums, corkscrew hair growth, open wounds, malaise and low energy
  • Very rare in western world, would have to go without any fruits or vegetables for months
  • May have vitamin C inadequacy without any outward signs of problem

The best food sources of vitamin C

  • Chili peppers
  • Tropical fruits (papayas, Kakadu plum, camu camu)

Factors that are known to denigrate vitamin C

  • Heat, light and air
  • Mechanical disruption (i.e.: juicer)
  • Basic pH (anything above 7)
  • Enzymatic factors
  • Iron, copper

How vitamin C impacts other vitamins and minerals

  • Enhances iron absorption, some must be careful of iron overload
  • Synthetic vitamin C may deplete copper concentration

Alex’s take on the appropriate daily intake of vitamin C

  • 400 mg/day recommended
  • RDA much too low

Resources:

Linus Pauling Institute

Micronutrient Information Center

LPI on Facebook

LPI on Twitter

LPI on LinkedIn

LPI on Pinterest

Biochemical, Physiological, and Molecular Aspects of Human Nutrition by Martha H. Stipanuk PhD and Marie A. Caudill

Cancer and Vitamin C by Ewan Cameron and Linus Pauling

Dr. Paul Marik on NPR

Connect with Nadine:

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‘Your Skin on Gluten’ on YouTube

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism