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Mitochondrial Disorders
by Annalies Corse BMedSc, BHSc
What is Mitochondrial Disorder?
The phrases Mitochondrial Disease, Mitochondrial Dysfunction, or even merely the term mitochondria in general, can be confusing, evoke fear and leave any parent or carer utterly frustrated when these foreign words are diagnostically attached to their unwell child. When did children’s health move on from coughs, colds, ear infections and scraped knees? Are mitochondrial disorders something that most children need to be routinely tested for? Why are some children being investigated when others are not?
This article aims to explain what Mitochondrial Disorders are, from the cellular level, to the population level and particularly how they may present at the individual level. Treatments and support from both a Medical and Naturopathic approach will be highlighted, with advice on accessing professional assistance to care for, manage and support any individual living with a Mitochondrial Disorder. Research into mitochondrial disorders grows every year. Consequently, this means more knowledge and support than ever before, translating into an improved quality of life for children diagnosed with these conditions.
Cells need a Battery
An understanding of the role of mitochondria is the first step in knowing how dysfunctional mitochondria affect us. The human body thrives on the chemical and electrical energy produced within our cells. To produce this energy, our cells contain tiny sub-cellular organelles (“little organs”), which extract significant amounts of energy from ingested nutrients, in order to power each individual cell and the human body as a whole. These organelles are our Mitochondria. Without them, energy production would cease and all cellular functions would be compromised.
All cells in the human body contain mitochondria, with the exception of red blood cells. It’s a huge reflection of their importance for correct cellular function. The total number of mitochondria within cells varies from fewer than one hundred towards the thousands, depending on the type of cell and its energy requirements. Mitochondria are an elongated bean shape, with two bi-layered membranes constructed of lipid (fat) and protein. One of these membranes is highly folded and is nestled inside the mitochondria forming neat shelves. Sitting on these shelves are the enzymes responsible for two major biochemical pathways for extracting energy from food. These pathways are known as the Citric Acid Cycle and Oxidative Phosphorylation. Energy produced in these two mitochondrial pathways will then be used to synthesize the extremely high-energy molecule, adenosine triphosphate (ATP). ATP then spreads within the cell, releasing energy where required to support cellular functions.
Signs and Symptoms of Mitochondrial Disorders
As mitochondria are located in nearly all cells (hence, almost all organs) of the body, the signs and symptoms of their diseases can mean two things. Firstly, mitochondrial dysfunction can affect multiple organ systems. Secondly, diagnosis may be a lengthy process. The more dependent an organ is on energy, the more profound the symptoms of mitochondrial dysfunction will be.
The signs and symptoms of dysfunctional mitochondria are described in medical terms are protean, meaning they are very variable, easily and continually changing. Again, because the signs and symptoms involve multiple organs, the clinical presentation of these children can be very non-specific, affecting the diagnostic process for the medical profession. A mitochondrial disorder may not be suspected until significant progression has occurred.
Additionally, the variable and changing nature of such disorders is a source of great frustration for parents and carers, who want some control over, or insight into what ameliorates or deteriorates their child’s health. Supporting the health of these children involves a whole body approach, as many organs may be compromised
Organs that are incredibly dependent on energy for optimal function include skeletal muscles, the brain, the eyes, cardiac muscle (the heart), the liver and the kidneys. The following table presents some of the signs, symptoms and known conditions associated with mitochondrial disorders.
| Organ Type |
Signs and Symptoms |
Some Known Conditions |
| Skeletal Muscle |
Pain, fatigue, weakness, myopathy, delayed or poor developmental milestones. In infants: poor feeding, poor head control, poor physical coo-ordination |
MELAS (mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes) |
| Neural Tissue (Brain) |
Seizures, headache, loss of intellectual function, similarities to stroke, movement disorders |
Leigh’s Disease, MELAS, dyspraxia, autism |
| Eyes |
Compromised vision and eye muscle movement, ptosis |
Leber Hereditary Optic Neuropathy (LHON) |
| Cardiac Muscle (Heart) |
Cardiomyopathy and heart rhythm disturbances |
Cardiomyopathy |
| GIT |
Constipation, diarrhoea, reflux, pain, cramping, difficulty swallowing |
Seen as symptoms within many other mitochondrial disorders |
| Kidneys |
Dehydration, lethargy, poor urine output |
Renal failure |
| Pancreas |
Hypoglycaemia |
Diabetes |
The Genetic Impact
The term Mitochondrial Disease is just that, a term. It is actually a name applied to greater than one hundred different genetic disorders that all harm mitochondrial function. As these conditions are genetic disorders, they are subject to all the complexities of inheritance patterns, tracing faulty genes and the emerging science of epigenetics in order to try and understand them.
As described earlier, mitochondria are subcellular organelles, but what makes them so unique is they are the only known organelles containing their own DNA. DNA is normally only found in the cells nucleus. It’s the molecule we all know as the bearer of our genetic code, passed from one generation to the next.
Mitochondrial DNA (mtDNA) consists of 37 known genes. Genes are a code or a “recipe” instructing our cells to manufacture various chemical substances. Some mtDNA contains genes coding for enzymes involved in energy production reactions. Other mtDNA genes are not so “local”. They govern the formation of RNA (DNA’s cousin), which is responsible for translating the information in ALL our genes into fully functional, healthy cellular processes.
mtDNA is subject to the same damage as DNA in all our cells. Mutations can occur. Mutations in the mtDNA will produce a faulty gene and compromise the eventual healthy role of that gene in the body. With mtDNA being genetic material, it can be passed on, from one generation to the next. There are over 1500 hundred known mutations that contribute to mitochondrial disease, some within mtDNA itself and some within nuclear DNA.
From an inheritance standpoint, mitochondria in our body is inherited from our mother, that is, mitochondrial DNA is passed from mother to child, regardless of the child’s gender. The mother’s mtDNA may carry mutations. Not all of the mother’s mtDNA is mutated, so as her egg combines with the sperm and the cells divide, significant amounts of mixing, dilution and mosaic spreading of genetic material occurs.
The level of damaged mtDNA versus unaffected DNA varies. As cells differentiate and develop, the types of cells affected (cardiac, brain, digestive, muscular etc.) will govern the severity and type mitochondrial disease symptoms an individual will inherit. The presentation is also generational, meaning that individuals in each generation in the same family can have a different mitochondrial disease. Due to the mosaic pattern of spread and the way that different systems are affected, each individual may have very different symptoms, with variable severity. This is another reason why the mitochondrial disorders can be so hard to identify; they are so different from one generation to the next that they don’t appear inherited. For instance mitochondrial dysfunction might be the driving force behind a grandmother’s heart issues, her daughter’s Irritable Bowel Syndrome and her grandson’s Autism.
It must also be mentioned that some mitochondrial mutations are spontaneous and not inherited. Other mutations linked to mitochondrial disease are from nuclear DNA, which can be inherited from either the mother or the father.
The presentation of these illnesses in the population is very deceptive, with the precise incidence of mitochondrial disease unknown. Worldwide statistics have changed noticeably over time, but conservative estimates from recent Australian research states approximately 1 in 250 people will carry a mitochondrial genetic defect – that equates to approximately 90,000 Australians. Not all of these individuals will develop disease or display symptoms.
Environmental Impact
Without question, there are vast amounts of scientific evidence linking environmental factors with damaged DNA. The following list provides a brief summary of these factors:
- Heavy Metals. The following heavy metals have been implicated in genetic damage. Avoiding them during the pre-conception and pregnancy phase is so important, along with your family as they grow. Men need to minimize exposure in the pre-conception phase just as much as women.
| Mercury (Hg) |
Naturally occurring, but human exposure is associated with ingestion of contaminated fish and dental amalgam. |
| Arsenic (As) |
Naturally occurring, may be found in food, water and treated wood |
| Cadmium (Cd) |
Mining, cigarettes, soil, use of phosphate fertilisers. |
| Lead (Pb) |
Possibly drinking water, soil, dust and treated wood. Lead (Pb): paint (old houses, old toys), house dust, car exhaust, art/craft materials, plumbing and construction materials. |
| Aluminium (Al) |
Cookware, canned food, antiperspirants, aluminium containing antacids |
- Other chemicals. Pesticides: mainly found in food and water. Pesticides are known to cause DNA damage, including DNA within ova and sperm. Polychlorinated biphenyl (PCB’s) are one well known chemical culprit. They are found in old electrical equipment and insulation. Occupational exposure can be a major source of contact with these chemicals.
- Clostridium infection. There is some evidence that this genus of bacteria may be linked to mitochondrial disease. Tetanus, Botulism, Colitis and antibiotic associated diarrhea may all be linked to various species of Clostridium.
- Inadequate nutrition. Lack of good quality proteins, specific fatty acids, choline, inositol, antioxidant vitamins/minerals/phytochemicals, folate, CoQ10, vitamin B12, other B vitamins can all contribute to mutations in DNA and dysfunctional mitochondria. While it may seem hopeless, disheartening and a lost battle, there is so much we can do with nutritional medicine to preserve our genetic resilience and reclaim the health of ourselves our children and their families. The most powerful and effective way to achieve this is through proper nutrition. Getting back to correct nutritional principles and avoiding hype and spin is not only simple, but enjoyable. The use of nutrition for mitochondrial disease is not utilized enough and it could be much more an established part of the future approach for preventing and managing these illnesses.
Testing
The pathology testing available for mitochondrial disease diagnosis ranges incredibly from routinely requested blood and urine tests performed every day, to highly specialized blood and urine tests and muscle biopsies. Routine pathology tests include liver function tests, blood glucose levels, full blood counts, kidney function tests and antibody levels. More specialized pathology tests include screening blood, urine or cerebrospinal fluid (CSF) for red cell minerals, specific enzymes, amino acids, fatty acids, metabolic wastes and substances indicative of altered cellular metabolism and poor mitochondrial function. Muscle biopsies may also be performed.
The more specialised pathology tests are requested by Paediatricians with expertise in mitochondrial disorders. Children under investigation for mitochondrial disorders are referred to these Paediatricians via their GP. Both orthodox and integrative medical Paediatricians use these tests when they suspect that a mitochondrial disorder may be the underlying reason for the child’s health problems.
From a Complementary Medicine perspective, other testing may be useful. This may include IgG food sensitivity testing, complete digestive stool analysis, hair tissue mineral analysis and IgE allergy testing.
Treatments
There are no long-term studies that dictate an exact or all-encompassing treatment for mitochondrial dysfunction. Every child’s presentation is so highly variable and each child will have different needs in order to prevent relapses and manage their symptoms.
The main focus of medical treatment is to repair the profound deficiency in energy. This means attempting to deliver medications and nutrients to the right location within the mitochondria, which is difficult. Despite the difficulties, there are many strategies used to assist with the alleviating symptoms that are known to improve treatments and significantly help these children:
- Targeted physical therapy and exercise
- Adequate rest
- Astute use of nutritional medicine at the dietary level
- Administration of nutrient co-factors for the deficient biochemical pathway
From a Naturopathic perspective, the use of nutritional medicine, nutrient co-factors as supplementation and phytomedicine are the modalities used to greatest effect. Wise referrals and a mutually respected integration with medical staff, the family, carers and most importantly, the child themselves become our priorities moving into the future with these very special children.
Top 10 Tips for Protecting Mitochondria and DNA
- Remove processed foods from the diet. Eat wholefoods. A good tip is not to eat food your great grandmother would not recognise.
- Filter your water.
- Eat organic where possible, particularly animal products.
- Minimise exposure to chemicals in your hobbies or occupation. Protect your body.
- Remove processed, low-fat foods from the diet.
- Eat good quality, organic, full fat products in their natural form, avoiding those with added sugars.
- Focus on: nutritious fats, nutritious proteins, clean fruits, vegetables, nuts, seeds and legumes.
- Consult a professional for supplementation: don’t self prescribe
- Address addictions: caffeine, tobacco, alcohol, sugar, prescription drugs (if safe to do so) and recreational drugs.
- Minimise exposure to electromagnetic radiation and chemicals as much as possible.
Specific nutrients are associated with a powerfully protective effect on DNA, hence supplementation may be required. Anti-oxidant vitamins and minerals, specific B complex vitamins, co-enzymes and certain amino acids are essential for protection of genetic material, healthy cell division and replication.
Managing the symptoms of mitochondrial disease can also be achieved through judicious use of nutrition. Self-prescribing is not recommended and does not achieve adequate clinical results. Professionals such as Naturopaths, Nutritionists and Doctors trained in Nutrition have expertise in effective and safe supplementation. They can help you with finding solutions to transitioning to healthy eating, for you, your partner and your children.
Where to seek Nutritional Help
Practitioners who are listed with the MINDD Foundation as recommended practitioners are all health professionals with additional training in genetic, immune and metabolic disorders. Ask a Naturopath, Nutritionist or Integrative GP if they have expertise in this area. If it’s not their area of expertise, they should be able to refer you. Also look on these professional sites:
- Annalies Corse BMedSc, BHSc
November, 2011
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| Diet |
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Diet
What everyday food is causing obesity, diabetes, heart disease and digestive disorders?
Sugar is an ongoing source of confusion for many parents. Every cell in our body needs glucose as it is the energy of life, but too much of any type of sugar is not a good thing. It can wreak havoc throughout the body and initiate a cascade of dis-ease. Too much of any sugar can contribute to weight gain, dental decay, eczema, acne, hypertension, poor gut health, damage your pancreas, trigger free radicals and oxidative stress, hormonal imbalances, reduce learning capacity and the list goes on.
Not all sugars are the same
To make it even more confusing, it appears that not all sugars are equal when it comes to our health. Dextrose, fructose, and glucose are all monosaccharides, known as simple sugars, but the body doesnt recognize them as being the same or metabolise them in the same way. Glucose is made when the body breaks down starches such as carbohydrates found in fruits, cereal grains, pastas and vegetables. Dextrose is simply a form of glucose. Fructose is a type of sugar found naturally in fruits and some vegetables including beetroot, potatoes, parsnips, cauliflower, asparagus, peppers, spinach and celery.
These sugars can co-exist in foods to form more complex sugars, including the disaccharide known as sucrose, or table sugar. Sucrose comes from two sources, sugar cane and sugar beets.
The sugar doctors call “poison”
For a long while, fructose was touted as a healthy sugar alternative; with a low glycemic index and naturally derived from fruits and vegetables. But research is showing that this couldnt be further from the truth, linking this potentially dangerous sugar with a range of health issues including obesity, digestive disorder, insulin sensitivity, type 1 diabetes, hypertension, cardiovascular disease, memory loss and metabolic syndrome.
Professor of Medicine, Dr Richard Johnson, at the University of Colorado says glucose is the form of energy you were designed to run on. He says every cell in the body and every living thing on the earth uses glucose for energy. But fructose is metabolized completely differently, which is why it is particularly dangerous when consumed in large amounts.
Studies conducted by Dr Johnson revealed fructose as the number one risk factor for obesity. But its adverse effects, he say extend far beyond those of the waistline. “ Most of our research at the university has focused on how it may cause hypertension, kidney disease, obesity, fatty liver, vascular disease and other problems”. Fructose, he says increases levels of uric acid, responsible for gout and hypertension and it increases abdominal fat and circulating triglycerides. These characteristics, he says, are known high risk factors for high blood pressure, coronary heart disease, cancer, type 2 diabetes and metabolic syndrome".
Robert H. Lustig, MD, UCSF Professor of Pediatrics in the Division of Endocrinology, has been researching the negative effects of fructose and likes to call it poison. His eye-opening video called, Sugar: The Bitter Truth reveals the relationship between fructose and the exponential increase in obesity and health problems in American children and adults.
But isnt fruit good for you?
Dr Lustig points out that its important to remember that fructose alone isn't evil as fruits are certainly beneficial. Fruit in moderation, he says is good. But stay away from fruit juice as the fiber has been removed. “Fiber reduces rates of intestinal carbohydrate absorption, reducing insulin response and it also induces satiety. He adds, “Fiber helps inhibit the absorption of some free fatty acids and suppresses insulin. But when you consume high levels of fructose it will absolutely devastate your biochemistry and physiology”.
According to Dr Johnson, eating 25gms of fructose a day in fruit is the right amount, which equals between two to four pieces of fruit. "But most people consume around 70gms and in the US 25% consume more than 130gms of fructose a day, of which a lot is added to packaged foods including soft drinks, fruit juices, sauces, chips and breads”.
He adds, “Without the fiber or nutrients found in fruit that minimize the negative effects of the sugar, it goes straight to the liver, bypassing the pancreas, which normally processes sugar. Fructose is being metabolized to produce fat, while glucose is largely being processed for energy or stored as carbohydrate”.
Most people, he says, rely on the low fat diet foods to lose weight but these are often the ones highest in fructose. “It isn't that fructose itself is badit is the massive doses you're exposed to that make it dangerous”, he says.
Beware of High Fructose Corn Syrup in packaged foods
According to the Center for Disease Control and Prevention, in the 40 years since the introduction of high-fructose corn syrup as an effective sweetener (it is way sweeter than glucose making it a preferred sweetener by food companies) in the American diet, rates of obesity in the U.S. have skyrocketed. In 1970, around 15 percent of the U.S. population met the definition for obesity; today, roughly one-third of the American adults are considered obese, the CDC reported. On average, Americans consume 60 pounds of the sweetener per person every year.
High Fructose Corn Syrup derived from corn, is particularly unhealthful; According to Dr Johnson fructose contains the same two sugars as sucrose but is more metabolically risky, due to its chemical form. The fructose and the glucose are not bound together in HFCS, as they are in table sugar, so your body doesn't have to break it down. Therefore, the fructose is absorbed immediately, going straight to the liver.
Fructose doesnt regulate appetite
According to Professor Lustig, another problem is that fructose doesnt suppress ghrelin, the hunger hormone.
Dana Flavin, PhD, a former assistant to the associate bureau director for toxicology at the FDA says that fructose may have less impact on appetite than glucose, so processed foods rich in fructose can contribute to weight gain, obesity, and its related consequences by failing to manage appetite. “Because high fructose corn syrup is not treated as regular sugar in the body, it has the potential to cause a lot of damage. The body never gets the signal that it has enough food, so there is no feeling of "fullness" that would normally accompany a meal. The sweetener also impacts on the sugar levels in blood, causing a sugar rush. After the rush has passed, blood sugar levels drop, and the body begins to crave more sugar. This cycle can repeat indefinitely if the person does not significantly cut back on his high fructose corn syrup consumption, leading to diabetes, hypertension or obesity”.
Some sugars including fructose contribute to digestive disorder
“Gut health is very dependent on our diets, and while there are many factors such as nutritional balance, toxins, food allergies and intolerances it is becoming more evident that fermentable sugars may also play an important role. Any form of gut dysfunction has the potential to affect both the body and mind” says Dr Braham Rabinov.
Certain sugars including fructose, lactose, sorbitol, mannitol, fructans (wheat, rye, onions) can undergo fermentation. It is these fermentable sugars that through osmosis (drawing fluid into the gut) and the action of the bacteria that normally reside in the gut to take up the sugars and produce chemical substances that may then act on the gut wall to produce the symptoms of the condition know as Irritable Bowel Syndrome.
Fructose harms memory in animal studies
If the adverse physiological effects arent enough, researchers at Georgia State University have found that diets high in fructose impaired the spatial memory of adult rats. They found that unlike glucose, it is processed almost solely by the liver, and produces an excessive amount of triglycerides fat which gets into the bloodstream. Triglycerides can interfere with insulin signaling in the brain, which plays a major role in brain cell survival and plasticity, or the ability for the brain to change based on new experiences.
The fructose catastrophe
- Fructose does not regulate appetite
- Fructose contributes to digestive disorders
- A high fructose diet is a high fat diet.
- Fructose causes insulin resistance in normal adults.
- Fructose can cause hypertension, obesity, diabetes type 2, liver problems, cardiovascular disease, and metabolic syndrome.
Healthy alternatives
- Replace packaged snacks with fresh vegetables, fruit, cheese and nuts
- Drink water or herbal teas instead of fruit juice.
- Make your own fresh fruit juice with the fibre of the fruit in it (See Vitamix)
- Eat high protein snacks to help balance blood sugar levels and stop sugar cravings.
- Try stevia as a healthful sugar substitute.
- Sweeten recipes with real fruit such as berries and bananas.
- Use raw honey in moderation-it does have beneficial antioxidant
- Replace white sugar with rapadura sugar, a dehydrated cane juice and unrefined sugar which retains its molasses content as well as other important nutrients.
- Avoid Agave syrup. It is highly processed and super rich in fructose (around 80%).
- Avoid sugar alcohols like xylitol, glycerol, sorbitol, malitol, mannitol, and erythritol as they cause problems with bloating, diarrhea and flatulence.
Fructose levels in fruit |
Fruit |
Serving Size |
Grams of Fructose |
| Limes |
1 medium |
0 |
| Lemons |
1 medium |
0.6 |
| Cranberries |
1 cup |
0.7 |
| Passion fruit |
1 medium |
0.9 |
| Prune |
1 medium |
1.2 |
| Apricot |
1 medium |
1.3 |
| Guava |
2 medium |
2.2 |
| Date |
1 medium |
2.6 |
| Cantaloupe |
1/8 piece |
2.8 |
| Raspberries |
1 cup |
3.0 |
| Clementine |
1 medium |
3.4 |
| Kiwifruit |
1 medium |
3.4 |
| Blackberries |
1 cup |
3.5 |
| Star fruit |
1 medium |
3.6 |
| Cherries, sweet |
10 |
3.8 |
| Strawberries |
1 cup |
3.8 |
| Cherries, sour |
1 cup |
4.0 |
| Pineapple |
1 slice |
4.0 |
| Grapefruit |
1/2 medium |
4.3 |
| Boysenberries |
1 cup |
4.6 |
| Tangerine |
1 medium |
4.8 |
| Nectarine |
1 medium |
5.4 |
| Peach |
1 medium |
5.9 |
| Orange (navel) |
1 medium |
6.1 |
| Papaya |
1/2 medium |
6.3 |
| Honeydew |
1/8 melon |
6.7 |
| Banana |
1 medium |
7.1 |
| Blueberries |
1 cup |
7.4 |
| Date (Medjool) |
1 medium |
7.7 |
| Apple (comp) |
1 medium |
9.5 |
| Persimmon |
1 medium |
10.6 |
| Watermelon |
1/16 melon |
11.3 |
| Pear |
1 medium |
11.8 |
| Raisins |
1/4 cup |
12.3 |
| Grapes |
1 cup |
12.4 |
| Mango |
1/2 medium |
16.2 |
| Apricots |
dried 1 cup |
16.4 |
| Figs |
dried 1 cup |
23.0 |
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| Digestive Health |

HEALING THE GUT & IMPROVING DIGESTIVE FUNCTION
Frances Dalton Naturopath, Herbalist, Nutritionist
Gastrointestinal or “gut” problems are a dominant feature in many chronic states of ill health including cancer, dementia, heart disease, diabetes and obesity.
Over the past 2 decades, gut issues have become epidemic in our children and co-exist or drive a range of childhood conditions including Autism, Allergies, ADHD, food sensitivities and other learning and behavioural disorders. Although gut problems do not stand alone as the only issues that need to be addressed, treating the gut is imperative as part of any treatment program. Gastrointestinal symptoms are diverse and include: bloating, flatulence, constipation, diarrhoea, poor appetite, cravings, stomach pain, smelly stools, faecal impaction, heartburn and reflux; as well as nutrient deficiencies and yeast, bacterial and parasitic gut infections.
When treating the gut, it is best to take a holistic approach. It is a very common trap to focus solely on the different pathogenic organisms, to chase symptoms, without addressing some of the fundamental issues that have led to the development of problems. It is important to take into consideration that infections are usually the result of lowered immune resistance and nutritional deficiencies.Only in a body that is depleted or weakened can a germ, virus, parasite or yeast gain a foothold. The aim of treatment therefore should be to strengthen the child and restore vitality to assist the body’s natural healing processes. Alongside vitamin and mineral supplementation, you should work to improve digestion, absorption and the assimilation of nutrients. Alongside antimicrobial and probiotic treatment, you need to change the environment in the gut and boost the immune system.
HEALING THE GUT
When healing the gut, we need to incorporate the following principles:
- Nutritionally restore vitality – remove problem foods, processed foods, foods with preservatives, colours & flavours and foods high in sugar. More importantly, add in healing foods and nutrient dense foods. The diet should consist of organic whole food with a major emphasis on fresh vegetables and fruits - rich in phytonutrients and antioxidants, whole grains (gluten free), nuts and seeds and quality proteins. - A ‘Primitive’ or ‘Traditional’ diet that alkalises the body is recommended; lots of dark leafy greens, a range of meat, seeds and nuts and low fructose fruits. It is not good enough to leave in high sugar & highly processed foods (pastas, breads, cereals and sauces) even if they are gluten & casein free. The immune system, the brain, all the cells in the body must be nourished to restore the child’s vital force. In addition research has shown that various bacteria produce toxic metabolites with high sugar diets.
- Enhance the immune system - stimulate the body’s own innate ability to fight off infections. There are many very effective herbal remedies that assist immune function such as Echinacea, Cat’s Claw, Wild Indigo, Picrorrhiza, Andrographis, Astragalus, American Ginseng, Pau D’Arco, Olive Leaf and Siberian Ginseng. In addition, Transfer Factor & Probiotics benefit the immune system, stimulating antibody production andinterferon synthesis. Vitamin C and Zinc are also important for the immune system.
- Specifics – Antimicrobials, antifungals, antiparasitics, nutritional supplements, anti-inflammatories and antioxidants should all be supplemented according to the individual’s needs. Synthetic vitamin and mineral supplements are often necessary but aim to incorporate organic whole food-based supplements which have a high inherent antioxidant capacity, provide immune support and are rich in phytonutrients.
- Change the environment - make it difficult for the Unfriendly Faecal Organisms (UFO’s) to gain dominance or remain dominant. Some important principles involved in this step are outlined below.
CHANGING THE ENVIRONMENT
Clear out the garbage
First and foremost we need to CLEAR OUT THE GARBAGE in a clogged up colon. If you try to kill UFO’s when there are impacted faeces, you will have limited success. Certain parasites, bacteria and yeasts will be protected somewhat from both the immune system and any antimicrobials you use if they are able to ‘hide’ under a layer of faecal matter. For successful treatment of gut infections, faecal matter must not accumulate in the bowel. The use of enemas, high dose vitamin C, magnesium oxide powders like Oxycolonic or Colon Cleanse, or herbal laxatives should be used to clear out accumulated garbage & then be repeated as necessary.
Regular bowel movements are important for the body to get rid of its garbage. The bowel should move AT LEAST ONCE per day - in the MORNING. The stool should be formed but not hard, lumpy or pebbly. It should be passed with no pain, strain, blood or mucus. It should not be sticky and should be a medium brown colour. There should be complete emptying. If faeces remain in the colon for too long (slow transit time), then the body reabsorbs much of the toxic matter that should have been eliminated contributing to autointoxication. Organisms thrive in this type of environment. Dietary changes, probiotics as well as various herbal and homeopathic formulas can be used to assist in helping to restore regular bowel movements.
Alkalise
By alkalizing, we are aiming to ensure that the average pH of the body is alkaline not acid.
Excessive acidity is a widespread problem in the Western world. Both modern lifestyle and diet promote acidification. In general, the current standard diet is primarily composed of acidic or acidifying elements (proteins, cereals, sugars). Alkaline foods such as vegetables are eaten in too smaller quantities; their alkaline content is insufficient to neutralise surplus acids. Furthermore, stress, nervous tension, noise and other pressures contribute to acidification through the physiological disturbances they create. In addition, heavy metal toxicity, certain infections and inflammation all contribute to acidity.
The acidification of the internal terrain is the source of many health problems. There are a number of effects that lead to illness. Firstly, the activity of enzymes is disrupted. Enzymes are the “worker drones” behind all the biochemical transformations that take place in the body and on which the proper functioning of the organs depend. Enzymes can perform their task correctly only in an environment with a clearly defined pH. Otherwise their activity can be disrupted or even cease completely.
Secondly, the body can become ill due to the harsh corrosive nature of acids present in excessive amounts within the tissues. Before they are neutralised by alkaline substances, acids irritate the organ with which they come in contact. Inflammation as well as lesions or hardening of the tissues can result. The fragile state of the tissues resulting from the invasive presence of acid makes them vulnerable to microbial or viral infection. This is aggravated by the fact that the immune system’s effectiveness can also be lessened by acidity. Additionally, various infections themselves such as Streptococcus-overgrowth, can produce acidic by-products that can overwhelm the body’s ability to maintain balance and a vicious cycle is set up. This is a major factor in gut dysbiosis.
Many compromised children are acidic. When a child is acidic you need to place a greater emphasis on alkaline foods (vegetables and fruits) and use specific bicarbonate based supplements to help alkalise the body.
Improve the Digestive Process
To improve digestion and absorption of nutrients, there must be adequate stomach acid. Many of these children have hypochlorhydria or low stomach acid. One study of autistic children found 62% had low stomach acid and clinically I find that the majority of the children I see fail the acid test.
Adequate stomach acid is essential for protein digestion. Poor protein digestion leads to low levels of the raw materials our bodies need to make neurotransmitters, immune cells and so much more. Poor protein digestion is also associated with an increased susceptibility to food allergies and sensitivities.
Adequate stomach acid is essential for absorption of Folic Acid, B12 and minerals. When acid is inadequate, there are typically deficiencies in Zinc, Iron, Calcium & Magnesium.
Stomach acid is essential for proper functioning of the pancreas and liver/gallbladder. The acidity of the stomach contents triggers a signal for these two organs to do their work.
Stomach acid also provides the first line of defense against pathogenic organisms that may enter the body with our food. Most organisms cannot survive in the acid environment of the stomach.
Strategies to improve stomach acid:
- Reduce Stress – especially at mealtimes
- Provide essential nutrients: Zinc,Niacin,Magnesium,B6 Celtic Sea Salt & Potassium
- Bitter foods before meals e.g. olives, bitter lettuce & rocket
- Apple cider vinegar in water before meals
- Supplemental Betaine Hydrochloride before meals
- Herbal Bitters before meals:
- Enhance upper digestive function / improve assimilation of nutrients
- Stimulate appetite
- Increase flow of digestive juices
- Increase flow of bile
- Regulate secretion of insulin & glucagon by the pancreas & liver
- Stimulate repair of gut lining
- Improve the micro-environment of the gut
Digestive enzymes are also important for improving the digestive process. They chemically breakdown food so that nutrients can be absorbed. These enzymes are produced in large amounts at different stages along the digestive tract, for example the digestion of carbohydrates requires enzymes from the mouth, the pancreas and the small intestine. Fat needs lipase from the pancreas and bile from the liver. Protein needs enzymes from the stomach, the pancreas and the small intestine.
Many of these children have insufficient enzymes. Signs of this are bloating, flatulence and pain particularly near the belly button. There may also be undigested food in the stool. Light tan or yellow 'floaty' stools indicate that fat digestion is poor. Supplemental digestive enzymes relieve symptoms and improve absorption of nutrients.
Balancing Gut Flora - Probiotics
Probiotics are essential both in supplemental form and in the form of fermented foods. The number of functions the gut flora fulfils is so vital for us that if the digestive tract got sterilised we probably would not survive.
One of the most important functions of the gut flora is appropriate digestion and absorption of nutrients from food. If a child does not acquire normal balanced gut flora, then they will not digest and absorb nutrients from foods well, leading to the development of multiple nutritional deficiencies. Certain species of gut flora actively synthesise various nutrients: vitamin K, folic acid, vitamin B1, B2, B3, B5, B6, B12, CoQ10, various amino-acids and proteins, all of which can become deficient in an unbalanced gut. Restoring the beneficial bacteria in the gut helps to treat these deficiencies.
Apart from taking a vital part in nourishing the body, beneficial bacteria keep the gut healthy. Certain species coat the entire surface of the gut protecting it from invaders and toxins by providing a natural barrier and producing a lot of anti-bacterial, anti-viral and anti-fungal substances. At the same time they provide the gut lining with nourishment. It is estimated that 60 –70% of energy the gut lining derives, is from the activity of bacteria, which live on it. An unhealthy gut lining will substantially reduce the body’s ability to absorb nutrients from food.
Additionally, gut flora are intricately involved in the functioning of the immune system. The beneficial bacteria in the gut ensure appropriate production of different immune cells. They also help balance the immune system. With dysbiosis the Th1 and Th2 arms of the immune system can get out of balance, contributing to Th2 overactivity. This causes the immune system to over-react to various foods and environmental stimuli leading to allergies.
The absence or greatly reduced numbers of beneficial bacteria in the gut flora leads to overgrowths of certain species of bacteria that produce toxins in these circumstances. These toxins can overwhelm the body’s natural ability to detoxify, which can contribute to the accumulation of heavy metals, pesticides & other environmental toxins as well as mimic certain food intolerances such as salicylate sensitivity. In effect the digestive system instead of being a source of nourishment becomes a major source of toxicity in the body.
In practice, I use a handful of probiotics from different companies, depending on the current state of health of the gut. Stool testing can be invaluable here to determine the most appropriate strain or strains. In general probiotic strains can be classed as transient or residential, both are beneficial & different strains or classes may be needed at different times. However alkalising & appropriate nutrition as discussed above are absolutely essential when working to restore a healthy balanced gut flora.
Detoxification
Another important issue to deal with when healing the gut is detoxification. This involves supporting the body’s natural detoxification systems. A discussion of this issue is too complex to address here. Treating bacterial & fungal overgrowths to reduce gut toxicity is an important part of this. In general more will need to be done… “ It is a mistake, it’s half a therapy if you only treat the gut. The other half of the therapy is to detoxify.…..We have to get the toxins out to even allow the nutrients to get into the tissues. You can’t get the nutrients in there if they are full of poisons, you can’t get two things into one space.” Charlotte Gerson
Healing the gut is a complex process and there are many other important factors to consider. These are just a few of the fundamental issues that should be considered in any treatment program. Below is a table with some foods & wholefood supplements that can assist in gut healing. In summary you need to consider. The order of treatment will vary by individual and should be determined by an experienced practitioner.
- Restore vitality
- remove problem foods
- Primitive diet
- Enhance the Immune System
- herbs, supplements, probiotics
- Change the Environment
- Clear the colon
- Alkalise
- Improve digestion
- Restore beneficial bacterial balance (probiotics, fermented foods)
- Support detoxification
- Specifics – Antimicrobials, antifungals, antiparasitics, nutritional supplements, anti-inflammatories, antioxidants.
Wholefoods support overall vitality and in so doing aid in gastro intestinal healing
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Whole food
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Action
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Slippery Elm
Cabbage
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Anti-inflammatory, nutritive
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Young Green Coconut
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Enzyme rich, Nutritive
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Kefir
Sauerkraut (unpasteurised)
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Probiotic
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Garlic
Quality Honey
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Antimicrobial
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Turmeric
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Anti-inflammatory, supports detoxification
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Acai Berry
Goji Berry
Blueberry, Raspberry, Blackberry
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Antioxidant
Immune enhancement
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Spirulina
Chlorella
Green Juices
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Nutritive, Alkalising, Support Detoxification, Promote healthy flora
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Bee Pollen
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Nutritive, Enzyme rich, antioxidant
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Coconut Oil
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Antibacterial, antiviral, antifungal, Nutritive
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Chia Seeds (soaked)
Flax seeds (soaked)
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Nutrient Dense, Anti-inflammatory
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Seaweeds
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Nutrient Dense, Alkalising
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Papaya
Pineapple
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Enzyme Rich
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| Lifestyle |
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| Organic |
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