Tag: inflammation

What is a Myocardial infarction or Heart Attack?

What is a Myocardial infarction or Heart Attack?

What is a Myocardial infarction or Heart Attack? Dr. Claire Arcidiacono, ND   What exactly is a myocardial infarction or MI? Well in layman’s terms, it is what is known as a heart attack. But what exactly happens during a heart attack? Basically during a 

Power Up Your Heart With Grape Seed Extract, Invite Health Podcast, Episode 641

Power Up Your Heart With Grape Seed Extract, Invite Health Podcast, Episode 641

Subscribe Today! Please see below for a complete transcript of this episode. POWER UP YOUR HEART WITH GRAPE SEED EXTRACT, INVITE HEALTH PODCAST, EPISODE 641 Hosted by Amanda Williams, MD, MPH *Intro Music* InViteⓇ Health Podcast Intro: [00:00:04] Welcome to the InViteⓇ Health Podcast, where 

GOUT

GOUT

 

 

Written by Dr.Claire Arcidiacono, ND

For further questions or concerns email me at [email protected]

Last week we finished our conversation about lupus. Today we will be discussing gout. Gout will be the last condition specific blog in this series on joints. What exactly is gout? Basically, gout is a form of inflammatory arthritis in the joints. This arthritis is interesting because it is associated with uric acid build up in the joints. This uric acid causes the joints to become inflamed and this inflammation is what leads to the joint damage and pain. (1) Please see picture for exactly what this looks like. † (2)

 

Symptoms of gout may sound familiar, interestingly gout usually starts in the joint of the big toe. As the condition progresses more and more joints become involved. Like other inflammatory disorders in gout the joints will be red, tender, swollen and even warm to the touch. In addition to joint pain the buildup of uric acid can also cause the buildup of crystals in the kidneys leading to what is known as urate nephropathy. In addition to these symptoms’ gout can also lead to systemic symptoms such as fatigue and even a high fever. † (3)

The symptoms of gout are caused by the buildup of uric acid crystals. Therefore, anything that increases the uric acid levels in the body will increase the risk of developing gout. Diet is a very well-known risk factor for gout. A diet high in alcohol, meat, seafood and sugar can increase the uric acid in the body and thus can increase gout risk. (4) Another well-known diet-based risk factor for gout is a diet that is high in purines which can increase uric acid.  Purines are a part of every cell and break down into uric acid.  Because they are found everywhere it is impossible to eliminate them entirely. It is possible to try and limit the foods that have a very high purine content. (5) These foods include but are not limited to anchovies, shrimp, mushrooms, seaweed and organ meats. (6) Some research has indicated that potatoes as well as chicken can increase the risk of developing gout. (7) As a result of the fact that gout occurs when uric acid builds up anyone that has kidneys that do not excrete the uric acid properly is at a higher risk of developing gout. † (8)

Certain genes have been found to increase the risk of developing gout. Therefore, anyone with a family history of gout may want to reduce their other risk factors for the disease. † (9)

Gout is associated with certain medications as well as certain chronic conditions. For example, diuretics, niacin, aspirin, ACE inhibitors as well as Beta blockers and even some chemotherapy may increase the risk of gout. (10) Interestingly with excessive vitamin D (blood work showing vitamin D over 80) there is an increased risk of gout. (11) A few examples of chronic conditions that are associated with gout include but are not limited to the following: metabolic syndrome, kidney failure, organ transplant recipients, those exposed to lead and those who are obese/overweight. † (12)

Other triggers that can lead to a gout flare up can include rapid changes in the weather. Additionally, trauma, surgery and having sleep apnea increase the risk of gout. † (13)

While having high uric acid on blood work or hyperuricemia is considered to be a classic sign of gout not everyone with gout has this classic sign. In fact, up to 50% of people with gout never develop high uric acid on blood work. (14) In order to diagnose gout uric acid crystals are found in the synovial fluid of the joints. (15) Other conditions that should be ruled out can include but are not limited to pseudo-gout, RA, psoriatic arthritis and rheumatism. † (16)

ICYMI:PSORIATIC ARTHRITIS>>READ NOW!

The goals of working with gout include stopping the acute attack or flare up that is occurring right now and then from there we work on lowering the uric acid. By lowering the uric acid, we can reduce the risk of a flare up in the future. Now I know some people might think that they only need to work on gout during a flare up but it’s important to work to reduce the uric acid levels regardless of flare up status. Each gout “attack” or flare up increases the risk of damaging the joint. This can lead to destruction of the joint surface and even cause the joint to become deformed. Lastly in 30% of those with untreated gout something called tophi can occur. This is basically a buildup of uric acid that most commonly occurs on the ear, olecranon process and the Achilles. † (17) Please see the attached picture (18) †

 

 To help reduce uric acid and thus reduce the risk of gout the following have been found to be helpful:

  1. Low purine diets have been found to help reduce the uric acid and reduce the risk of a gout flare up.† (18)
  2. Potassium deficiency has been found to be associated with gout. Thus, taking potassium and correcting that deficiency can help the gout. † (19) Please see Invite’s Uric Hx
  3. Celery root has been found to reduce the risk of gout flare ups. † (20) Please see Invite’s Uric Hx
  4. Chanca Piedra root has been found in studies to reduce uric acid levels. † (21) Please see Invite’s Uric Hx
  5. Tart cherry has been found to lower uric acid levels and reduce the inflammation found in gout. † (22) Please see Invite’s Beets Hx
  6. Magnesium has been found to lower uric acid build up and help reduce gout flare ups. † (23) Please see Invite’s extensive line of magnesium products.
  7. Turmeric has been found to help with swelling and pain. † (24). Please see Invite’s Biocurcumin, and Curcumin blend.†

Next week we will be discussing how to heal from surgical based interventions. †

REFERENCES

  1. Abhishek, A; Roddy, E; Doherty, M (February 2017). “Gout – a guide for the general and acute physicians”. Clinical Medicine. 17 (1): 54–59. doi:7861/clinmedicine.17-1-54. PMC 6297580. PMID 28148582.
  2. https://www.bouldermedicalcenter.com/about-gout-causes-symptoms-and-treatment/
  3. Dalbeth, N; Merriman, TR; Stamp, LK (April 2016). “Gout”. Lancet (Review). 388 (10055): 2039–2052. doi:1016/S0140-6736(16)00346-9. PMID 27112094. S2CID 208790780.
  4. Neogi, T (July 2016). “Gout”. Annals of Internal Medicine (Review). 165 (1): ITC1-16. doi:7326/AITC201607050. PMID 27380294.
  5. https://www.arthritis-health.com/types/gout/what-are-purines
  6. Kaneko, Kiyoko; Aoyagi, Yasuo; Fukuuchi, Tomoko; Inazawa, Katsunori; Yamaoka, Noriko (2014). “Total Purine and Purine Base Content of Common Foodstuffs for Facilitating Nutritional Therapy for Gout and Hyperuricemia”. Biological and Pharmaceutical Bulletin. 37 (5): 709–721. doi:1248/bpb.b13-00967. PMID 24553148.
  7. Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G (March 2004). “Purine-rich foods, dairy and protein intake, and the risk of gout in men”.  Engl. J. Med. 350(11): 1093–1103. doi:10.1056/NEJMoa035700. PMID 15014182.
  8. Richette P, Bardin T (January 2010). “Gout”. Lancet. 375 (9711): 318–328. doi:1016/S0140-6736(09)60883-7. PMID 19692116. S2CID 208793280.
  9. Merriman, TR; Dalbeth, N (2011). “The genetic basis of hyperuricaemia and gout”. Joint Bone Spine. 78(1): 35–40. doi: 1016/j.jbspin.2010.02.027. PMID 20472486.
  10. Firestein, MD, Gary S.; Budd, MD, Ralph C.; Harris Jr., MD, Edward D.; McInnes PhD, FRCP, Iain B.; Ruddy, MD, Shaun; Sergent, MD, John S., eds. (2008). “Chapter 87: Gout and Hyperuricemia”. Kelley’s Textbook of Rheumatology (8th ed.). Elsevier. ISBN 978-1416048428.
  11. Chen, Yingchao (2020). “Association between serum vitamin D and uric acid in the eastern Chinese population: a population-based cross-sectional study”. BMC Endocr Disord. 20 (79): 79. doi:1186/s12902-020-00560-1. PMC 7268462. PMID 32493273. Retrieved 21 June 2021.
  12. Weaver, AL (July 2008). “Epidemiology of gout”. Cleveland Clinic Journal of Medicine. 75 Suppl 5: S9–S12. doi: 3949/ccjm.75.Suppl_5.S9. PMID 18819329. S2CID 40262260.
  13. Singh, JA; Reddy, SG; Kundukulam, J (March 2011). “Risk factors for gout and prevention: a systematic review of the literature”. Current Opinion in Rheumatology. 23 (2): 192–202. doi:1097/BOR.0b013e3283438e13. PMC 4104583. PMID 21285714.
  14. Schlesinger N (March 2010). “Diagnosing and treating gout: a review to aid primary care physicians”. Postgrad Med. 122 (2): 157–161. doi:3810/pgm.2010.03.2133. PMID 20203467. S2CID 35321485.
  15. Rothschild, Bruce M. “Gout and Pseudogout Workup”. Medscape. Updated: Jun 30, 2020
  16. Schlesinger N (March 2010). “Diagnosing and treating gout: a review to aid primary care physicians”. Postgrad Med. 122 (2): 157–161. doi:3810/pgm.2010.03.2133. PMID 20203467. S2CID 35321485.
  17. Sriranganathan MK, Vinik O, Pardo Pardo J, Bombardier C, Edwards CJ (11 August 2021). “Interventions for tophi in gout”. The Cochrane Database of Systematic Reviews.2021 (8): CD010069. doi: 1002/14651858.CD010069.pub3. PMC 8406833. PMID 34379791.
  18. https://upload.wikimedia.org/wikipedia/commons/5/52/Case_30-top.jpg
  19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950134/
  20. https://ukrocharity.org/2014/08/top-news-on-uric-acid-and-gout/#:~:text=Gout%20can%20be%20triggered%20by,%25%20of%20cases%20%5BColton%5D.
  21. https://www.healthline.com/health/gout/can-different-parts-of-the-celery-plant-naturally-treat-gout#:~:text=The%20researchers%20found%20that%20luteolin,acid%2Dinduced%20inflammation%20in%20gout.
  22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073821/
  23. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872714/
  24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7750830/#:~:text=Practical%20Applications&text=This%20study%20found%20that%20acupuncture,joints%20afflicted%20with%20psoriatic%20arthritis.

Osteoarthritis

Osteoarthritis

  Written by Dr. Claire Arcidiacono, ND For further questions or concerns email me at [email protected]† Now that we have gone over joint anatomy and lab work that is important for joint health, it is time to get deeper into our interesting topic. Today we are 

New Data, Vitamin D & the Immune System. Invite Health Podcast, Episode 610

New Data, Vitamin D & the Immune System. Invite Health Podcast, Episode 610

Subscribe Today! Please see below for a complete transcript of this episode. NEW DATA, VITAMIN D & THE IMMUNE SYSTEM, INVITEⓇ HEALTH PODCAST, EPISODE 610 Hosted by Jerry Hickey, Ph. *Intro Music* InViteⓇ Health Podcast Intro:[00:00:04] Welcome to the InViteⓇ Health Podcast where our degreed 

Ceramides makes cholesterol very dangerous, Part 2

Ceramides makes cholesterol very dangerous, Part 2

cholesterol

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Please see below for a complete transcript of this episode.

CERAMIDES MAKES CHOLESTEROL VERY DANGEROUS, PT 2-INVITEⓇ HEALTH PODCAST, EPISODE 591

Hosted by Jerry Hickey, Ph.

*Intro music*

InViteⓇ Health Podcast Intro: [00:00:04] Welcome to the InViteⓇ Health podcast, where our degreed health care professionals are excited to offer you the most important health and wellness information you need to make informed choices about your health. You can learn more about the products discussed in each of these episodes and all that InVite Health has to offer at www.invitehealth.com/podcast. First time customers can use promo code podcast at checkout for an additional 15% off your first purchase. Let’s get started.†[00:00:34] cholesterol

*Intro music*

Jerry Hickey, Ph: [00:00:40] Welcome back to part two of my episode ceramides, these fats make cholesterol extremely dangerous. Ceramides are a type of fat that our body makes. And there’s different forms of ceramides and they’re okay at normal levels, in fact, they make your skin and are involved with your cell production, etc., but at very elevated levels, they’re extremely dangerous for your heart. And we discussed, Dr. Jeff Meeusen he’s the co-director of the cardiac lab at the Mayo Clinic. And Dr. Meeusen says that elevated LDL or overeating causes ceramides to build up in our tissues. So LDL is notoriously titled bad cholesterol. It’s not always bad. You need it for certain things. But when it’s elevated or goes rancid, it’s very dangerous, especially the small, dense variety of it, dense meaning, it’s heavy, so it floats out of our blood because of gravity, it is attached in the blood vessel walls and because it’s a small molecule, because it has these small molecules in it, any cracks in the blood vessel walls any opening in the blood vessel walls are can easily insinuate itself into them. So what’s the problem with ceramides, the ceramides literally shoves the LDL, bad cholesterol into the walls of our blood vessels. And according to the Mayo Clinic, 50 times worse than usual. In other words, if LDL, bad cholesterol has a propensity for attaching and damaging our blood vessels and causing a buildup of the plaque that leads to hardening of the arteries, it’s 50 times worse if you’re elevated in ceramides.†[00:02:17]

[00:02:18] So I said in part one of this episode that elevated ceramides, on their own, are monsters for our hearts and they actually affect our survival and inflammation causes them to increase the kind of inflammation you’d see in diabetes or maybe kidney disease or liver disease, not the temporary inflammation you get from an infection that that goes away quickly, hopefully. But also obesity increases ceramides, eating a lot of unhealthy fats, eating a lot of sugary foods like donuts. They all increase ceramides, overeating in general, obesity, blood sugar problems, like I said, inflammation, elevated LDL. All of these increase ceramides, unfortunately. So it’s just a process of aging. That’s why it’s so important for us older adults to have a lot of antioxidants to help protect our blood vessel walls and antioxidants like what’s in blueberries and broccoli and green tea and a little bit of cocoa, if it’s not damage into milk chocolate, things like that. Antioxidants, they help protect us. Vitamin C, natural vitamin E, tocotrienols, version of vitamin E, all those help protect us.†[00:03:37]

[00:03:39] But also you want your bad cholesterol down when you’re older because the ceramides are going to be there. So the bad cholesterol literally becomes more dangerous as we grow older. So we really should discuss at this point what lowers ceramides. And just to cover quickly the Mayo Clinic and many other academic research institutions of high caliber, said that elevated ceramides are involved with severe heart attacks, strokes, severe build up of cholesterol, the blood vessel walls. There’s even evidence for Alzheimer’s disease in older people. Our T cells don’t work well to fight cancer. It leads to massive heart attack strokes, the need for bypass surgery and open heart surgery and stenting and also, unfortunately, mortality, not just morbidity, which is disease, but mortality, which is the end. So you really want to lower your ceramide level.† [00:04:36]

CERAMIDES MAKES CHOLESTEROL VERY DANGEROUS>>LISTEN NOW!

[00:04:37] Now, just a word on this. LDL once again is the number one fat that builds up in our arteries that leads to atherosclerosis and arteriosclerosis, etc., you know, hardening of the arteries and blood vessel walls. And a spike, tremendous success which statins for lowering LDL cholesterol, heart disease still remains the number one cause of death everywhere in the planet. So we have to look at other things involved here. We know inflammation is part parcel of these issues. That’s something you could get checked out, I’ve done a couple of podcast episodes on something hs-crp, which is something that can be used for a marker of chronic low grade inflammation that can damage the kidneys or the brain or the heart. We’ve spoken about different kinds of fat previous in episodes, like triglycerides. Now we’re talking about ceramides.† [00:05:32]

[00:05:33] So this is another thing, and by the way, a good diet exercise, not smoking, not drinking a lot of alcohol. All of these things tend to lower all of these bad things. But we need a little bit more help with ceramides. Now, they have found that two types of statin drug do help lower ceramides, rosuvastatin, which is Crestor. If I had to take a statin, that’s the one I would take. I would take about five milligrams a day because, five milligrams a day doesn’t seem to be a problem. It doesn’t tend to make people fatigued, it doesn’t have an effect on the liver or anything like that. It seems to be fine and it does a great job of pushing down the bad cholesterol. A tiny, tiny, tiny bit raises the good cholesterol, but not very significantly. But now they’re finding that rosuvastatin lower ceramides. So that’s another plus. And that might be why out of all the statins, rosuvastatin along with Atorvastatin, seem to be the best for keeping patients alive because Atorvastatin also has a slight propensity for lowering ceramides.† [00:06:37]

[00:06:48] When you look at evidence of something helping, you always want to look at the cell evidence. You always want to look at animal evidence of the animals not being mistreated or being put in pain, etc. So these are researchers from Spain, a bunch of different academic research institutions in Spain. And by the way, if you’ve never been to Spain, it’s a gorgeous country, and the history and the architecture and the food is just amazing. And the art, the arts amazing. In any event, getting back to the podcast episode, researchers from Spain published their findings in the journal Food and Function. And they they were feeding animals a lot of fats and sugar. So that’s not a terrible thing. It’s not like they were torturing the animals. They were feeding the animals fats and sugars. And I saw that, ceramide levels were increasing, so they gave them fish oils in their chow and they found that the ceramide levels were dropping. And this is not the only evidence is mounting evidence now, accruing evidence that fish oils lower ceramides, so that’s another feather in the cap of fish oils. We know that fish oil do help preserve muscle and bone. They are healthy for women’s breasts and your colon, they’re certainly healthy for your heart. They lower the risk of sudden cardiac death, which is amazing. They’re fantastic for your brain and they’re needed by your eyeballs. They need for color vision and fine vision. They are needed for memory and a good mood. Mental health issues. So fish oils are really good supplements. Just make sure you get a really high quality fish oil because you want it to be fresh and clean. † [00:08:27]

[00:08:30] So as ceramide levels dropped in these animals, the ability to control their blood sugar improved. And you know, in part one of this episode, we spoke about ceramides being part parcel of blood sugar issues. So here we have animal evidence that the animals that were becoming chunky and their cholesterol was going up and everything was going up and their ceramides were going up and they were losing control of their blood sugar, which is leading towards diabetes in the animals, simply giving them fish oils, lowered ceramides, and they could see a direct connection. As ceramides levels dropped, blood sugar control improved. So the Karolinska Institute is kind of like our Tufts University or our Johns Hopkins. They do a lot of high quality research, the Karolinska Institute in Stockholm, Sweden. They hand out different Nobel Prizes for medicine and physiology, I believe, but they hand out several Nobel Prizes. So they’re highly regarded and they worked with the University of Bergen, which is in Norway, and they published their findings in the Journal Lipids in Health and Disease. And they gave mice, once again in mice, a high fat diet, which is not a terrible thing. They’re not torturing them, roasted, not in pain or anything. They didn’t cut off their tail, so they gave mice, a high fat diet and they found that, ceramide levels were increasing. So then they gave some of the mice, fish oils or krill oil, and both of them were lowering ceramide levels. Fish oils lowered ceramide levels. But the krill oil at equal dosages was superior to fish oil for lowering the level of ceramides. I’m glad I take two Krill oil every day with my breakfast. Just so happens my wife and I, do have a lot of fish, a lot of different kinds of fish. But I still take the Krill every morning because you want that DHA for your memory. You want the EPA, DHA, for your brain, and you want it for your eyeballs. Additionally, Krill oil has a little bit of DPA, which is amazing for the heart. And Krill oil has other things useful for the memory like astaxanthins, phosphatides and choline, it gets into your brain, so I take Krill, fish oil is fine. I think it’s a great supplement, I just prefer Krill.†  [00:10:54]

FISH OILS ARE GOOD FOR YOUR JOINTS & KRILL MIGHT BE SUPERIOR- INVITE HEALTH PODCAST, EPISODE 580>>LISTEN NOW!

[00:10:57] So here’s a study from Yale University School of Medicine and Howard Hughes Medical Institute. It’s published in the American Journal of Physiology, Endocrinology and Metabolism. And they found that fish oils, yes, they lower triglycerides, which is a greasy fat that when it’s elevated, it’s terrible for your heart, it’s terrible for your liver, and it causes strokes. But besides lowering triglycerides, it lowered ceramide levels and this led to correcting elevated blood sugar. So there’s a connection now, you know, I didn’t even do my intro. You know, my name’s Jerry Hickey. I’m a nutritional pharmacist, and you can find all the Invite Episodes wherever you listen to podcasts or just go for free, by the way, or just go to invitehealth.com/podcast and you can get all of our podcasts all in one place. And you can also find invite on Facebook, Twitter and Instagram at Invite Health. So when you listen, if you could subscribe and leave a review, it would be helpful for us. But let’s get back to this. I was so psyched about it, I didn’t even do the intro. That’s okay. Who cares about the intro?† [00:12:12]

[00:12:24] So we are concerned about ceramides, just to reiterate, because they increase your high blood pressure, they increase with diabetes, they increase with obesity, the increase with inflammation, increase with age, they increase with eating too many fats and sugars and they cause heart damage. And if they’re really elevated, they lead to fatal heart attacks. And I said that statins can help lower them and fish oils help lower them and krill oil, not a lot of data on krill oil yet with ceramides. But that one study was very, very positive. Oh, and by the way, besides several statins, Atorvastatin and Rosuvastatin, lowering your intake of bad fats and sugars helps lower ceramides, cutting your calories, aerobic exercise and fish oils. They all help lower ceramides, so I just want to repeat these things, they are so important. So eating incorrectly, especially if you overeat, leads to heart disease, diabetes, obesity, many things, it contributes to Alzheimer’s disease, even bone loss and pain, etc. And eating correctly reduces inflammation, supplies antioxidants. Eating wrong leads to bad things, including cancer, eating correctly, good things. I think fish oil should be part of that. They’ve seen, it was, uh, researchers at the University of Manchester in England, University of London. It’s published in the journal Biochemical Pharmacology that, even people who choose a poor diet, high in cholesterol and sugar, if they take fish oils, it helps prevent the inflammation, it helps prevent the rise in triglycerides and it helps prevent the rise in ceramides. So let’s go on with some of these fish oil studies. And in fact, let’s let’s talk about related studies. I mean, fish oils also lowered the kind of inflammation related to over eating, related to diabetes, related to obesity. The FDA actually allows a health claim for fish oils with high blood pressure, recently, and it’s based on 70 different studies. So there’s a new study from the Journal Frontiers in Nutrition. It’s a meta analysis of ten existing studies that fish oils help lower high blood pressure. More importantly, dozens of studies show that it reduces the risk of sudden cardiac death, which is related to high blood pressure. Now, there are several other studies that fish oils lower ceramides. I think that that’s a very positive thing to do. So I want to thank you for listening to part two of our episode. How ceramides make your cholesterol exceedingly dangerous. Exceedingly dangerous. My name is Jerry Hickey. I’m a nutritional pharmacist. And let me just reiterate, you can find all of our episodes for free wherever you listen to podcast or go to Invitehealth.com, where it says podcast. So thanks for listening. Hope to see you next time, on another episode of the InViteⓇ Health podcast, Jerry Hickey signing off. †[00:15:33]

*Exit Music*