Author Archives: Sarenka Smith

Gut & Autoimmunity: The Intimate Ties

The ways in which factors like genes, infections, the microbiome/gut, and environment—the formulaic composition of the autoimmune system—interact collectively create environments that promote either disease or health. Though genes cannot technically be altered, they can easily be influenced, and manifest themselves differently through the microbiome, infections, and environment.

Autoimmune diseases are the third leading cause of morbidity in the industrialized world, surpassed only by cancer and heart disease. Several researchers are proponents of a framework that uses scientifically based targeted nutritional therapies to address the underlying systemic imbalances of these diseases.

This approach, rooted in Functional Medicine, concentrates on the body holistically, as a whole, rather than a collection of separate entities and organs. Because autoimmune diseases can be influenced through food and nutrition, and the gastrointestinal track ‘controls’ between 70 and 80% of the body’s immune cells, certain dietary changes can both feed the microbiome and reduce inflammation: ultimately lessening allergies and autoimmunity.

The gut is the gateway to health, as it houses 80% of the immune system, and it is impossible to have a healthy immune system without a healthy gut. Research from Alessio Fassano confirms that if you have an autoimmune disease, your gut has become leaky, meaning the tight junctions that typically hold gut lining together have become loose, allowing undigested food particles, microbes, toxins, and more to escape your gut and enter your bloodstream.

All of these particles are recognized by the immune system as foreign invaders, sending the immune system into high alert and triggering an extreme spike in inflammation. This continual strain on the immune system ultimately causes it to go haywire, and it ends up attacking the body’s own tissues by mistake.

Moreover, gluten contributes to autoimmune disease in three key ways. It is the primary cause of leaky gut because gluten triggers the release of zonulin in the intestines, a chemical that tells gut lining to “open up.” Gluten is also highly inflammatory, causing stress to the immune system. Additionally, the gluten protein has a similar chemical structure to some of the body’s tissues (specifically the thyroid), which can lead to molecular mimicry: wherein the body mistakes its own tissues for gluten and attacks them.

Toxic molds, like mycotoxins, and heavy metals such as mercury are the two primary toxins found in those with autoimmune conditions. Mycotoxins are volatile compounds produced by toxic molds that wreak havoc on the immune system. We are exposed to heavy metals like mercury in different ways: mercury amalgam fillings in teeth, fish consumption, and the environment–yet mercury is toxic to the human body.

Some other interventions include eating more plant foods, particularly fermented foods such as kefir, kimchi, and kombucha; removing cow’s milk and adding supplements and vitamins can also help fight disease—rather than feed it. If you are interested in comprehensive metabolic, functional, and nutritional approaches to gastrointestinal dysfunction and diseases, sign up for our Module IV: Gastroenterology, taking place in Nashville, Tennessee from September 27-30, 2018. 

The Cost of Chronic Disease

The primary issue that consumes the majority of the burden of healthcare costs in the United States is preventable chronic disease: while the most prevalent health conditions are simultaneously the most avoidable, they continue to cost the country’s budget billions of dollars. While overall numbers have decreased since 2010, when chronic disease cost the U.S. a total of $315 billion, morbid obesity rates have continued to rapidly spike—a condition that leads to a range of critical health issues including heart disease, diabetes, and stroke.

Primary care providers have long faced the struggle of determining how to implement best practice care for patients diagnosed with chronic diseases. Recent studies indicate that almost half of the entire U.S. population has at least one chronic health condition—including heart disease, cancer, diabetes, obesity, or arthritis. Statistics designate these health care treatments costs to account for 86% of cumulative national healthcare spending, and the CDC reports that chronic conditions are the leading causes of death and disability in the country.

Yet the past decade has seen the advent and proliferation of digital health technology, spurring the generation of new techniques and strategies for healthcare professionals to utilize in chronic disease management. These types of technology vary in terms of accessibility and usability, but include remote monitoring, mobile health apps installable on phones, and wireless wearables—which serve as activity trackers.

A series of interviews conducted by Medical News Today demonstrate a bright future for the potential of new technology, and its ability to spur and provide high-quality care. Suzanne Falck, MD, an associate professor of internal medicine at the University of Illinois College of Medicine, noted that a highly successful digital tool is currently in use for the management of heart failure: an implanted sensor immediately transmits data to a healthcare practitioner, who then analyzes the data in order to make medical recommendations. Further clinical trials and studies indicate that remote monitoring is more cost-effective than traditional, conventional management.

Moreover, the burgeoning popularity of medical apps signifies that mobile technology can make a hugely positive impact on chronic disease management. There are currently approximately 259,000 medical health apps available to purchase; over half are aimed at targeting consumers with chronic conditions. Clinical trials have repeatedly shown that patients with type 2 diabetes who utilized an app to monitor their blood glucose levels showed greater benefits than those who did not. A recent article in Diabetes Technology & Therapeutics states that the prognosis in patients with diabetes is ‘strongly influenced by the degree of control of their disease,’ which reinforces the effectiveness of self-management support through mobile apps.

Another innovative and exciting development is wearable technology and devices, which are currently being studied in a variety of clinical research settings. Many healthcare providers believe that the ‘potential of this technology is endless,’ as they can improve access to care while simultaneously enhancing convenience—and likely patient compliance.

Most importantly, being conscious of medicinal needs and treatments requires a consistently high level of responsibility and awareness. Healthcare experts urge patients to take active, informed roles in managing their health: online workshops have been developed to offer chronic disease self-management programs, which have been proven to significantly improve health statuses. Moreover, healthcare practitioners and professionals must collectively work together and utilize the new landscape of digital medical technology to their patients’ benefits.

Hard on the Heart: Disease of Depression

While medical experts have long known of the correlation between psychological and physical health, mental illness was not considered a major risk factor for cardiovascular disease—until a recent series of research confirmed that depression may serve as one of the most significant causes of heart problems.

Approximately 350 million people suffer from depression globally, according to data from the World Health Organization. According to new research, the risk of fatal heart disease in men due to depression is almost the same as the risk from elevated cholesterol levels, obesity, and smoking.  The findings further pointed to a greater need for heart health screenings among patients with depression, in addition to mental health checks for patients with cardiovascular disease.

The causality is twofold, as patients with pre-existing heart disease conditions are more likely to become depressed due to their poor health and otherwise healthy people diagnosed with depression are likewise significantly more apt to develop heart disease, compared to the general population. Viewed across the population, depression accounts for roughly 15% of cardiovascular deaths—comparable to the other known risk factors.

A professor of medicine at Harvard Medical School, Ahmed Tawakol, has conducted extensive research surrounding the connection between stress and heart health, stating that only over the past few decades “has mounting evidence suggested that stress and depression may be more than simple markers of heart disease; they might be important causes.”

While it remains unclear exactly how depression impacts heart health, it is likely that stress hormones play a critical role. Yet leading a healthy lifestyle—including diet, physical activity, managing stress, being smoke-free—is known to be effective in preventing and treating both depression and heart conditions.