Concomitant with Medications Millennia Ruth Lytle ND MPH CNS aka Dr Millie wwwmilliesaysom millielytlegmailcom Introduction To facilitate the bodys innate ability to heal itself is a principle of NM ID: 347678
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Slide1
Facilitating Self-Healing;
Concomitant with Medications
Millennia Ruth Lytle ND, MPH, CNS aka “Dr. Millie”
www.milliesays.om
millielytle@gmail.comSlide2
Introduction
To facilitate the body’s innate ability to heal
itself is a principle of NM
70% of Americans taking at least one prescription medication and up to 50% taking
two.
85% are taking at least one over-the-counter medications
NM includes
responding to the secondary effects of iatrogenic
interventions
Setting Intention
for nutritional intervention
Beyond essential nutrition and orthomolecular medicine –
What
is the role of nutrigenomics as a tool for improving vital force to overcome drug-induced diseaseSlide3
Learning Objectives
Consider the normal capacity of healing
for the typical American patient
Review common
pharmaceutical obstacles to cure
Consider the healing deficit
Address Naturopathic treatment intentionInvestigate new mechanisms Slide4
Iatrogenesis
In the United States medical error results in 44 000-98 000 unnecessary deaths each year 1
000 000 excess
injuries
BMJ
. 2000 Mar 18; 320(7237): 774–777.
Where do nutrient depletions fit in
Men who
died
of a sudden ischemic heart attack
had very
low levels of magnesium and potassium in the heart muscle as compared to others who had a heart attack, but who did not
die death
as a result of cardiac arrest could be dependent on levels of electrolytes available.
Am
J
Clin
Nutr
.
1979 May;32(5):967-70Slide5
Common Prescription medications
Common meds that cause nutrient depletions
Antibiotics
Statins
HRT
Acid blockers
Antidepressants
Anxiety Medications
Blood Pressure Medications
Breathing Medications
Cohen, S. Drug Muggers. 2011Slide6
Mechanisms of Drug-Nutrient depletion
Interfere with absorptionAltered metabolism
Increased ExcretionSlide7
Common Nutrient Depletions
Medications are not studied for their depletions
To facilitate healing we must integrate
the reversal of nutrient
depletions into SOAP
CoQ10
Magnesium
Glutathione
Fat soluble Vitamins
Omega 3s
Iron
Vitamin C
Vitamin B complex
and
Folic
Acid
Probiotics
Cohen, S. Drug Muggers. 2011Slide8
What is the healing deficit? Slide9
Rats treated with 8 mg/kg Adriamycin intravenously 4 days prior to chamber implantation develop impaired wound healing in a wound chamber model. Slide10
How medicine is changing the picture of N
Modifying metabolic biomarkers standards
FPG
rising 0.14mmol to 0.18
mmol
/L per decade from1980 and 2008
Lancet. 2011 Jul 2;378(9785):31-40.Diabetes definition <6.0 mmol/L . New standards <6.5 - <7.0 mmol/L. Int
J
Prev
Med. 2010 Summer; 1(3): 187–194
.
Modifying
measurement
standards
Global mean total cholesterol was 4.6-4.7 in 2008, and was highest in North America 5.23-5.24
mmol
/L. Lancet. 2011 Feb 12;377(9765):578-86.
New Risk Algorithms for targeting risk of CVD at 5-7.5%. Indian Heart J. 2014 Jan; 66(1): 1–4
.Slide11
Prioritizing Medications over Nutrition
FDA says only drugs treat, regardless of research http://
www.fda.gov/downloads/Food/DietarySupplements/UCM240978.pdf
Young and healthier patients on meds
New guidelines propose statins for everyone 40–79 years old, with LD >70 mg/& estimated 10-year risk of hard CV disease is >5.0% risk
Circulation.
2014 Jun 24;129(25 Suppl 2):S1-45
.
Vilifying Vitamins and Supplements
Over prescribing Coumadin; Avoidance
of vitamin K, Probiotics or natural clotting
mechanisms
Warnings about antioxidants, Fish Oils–
drug studies using synthetic versions or exceedingly high
levels
RDAs remain low and based on 2000 calorie diet.
Reduced availability i.e. Potassium
– banned by FDA for supplementation at RDA levelsSlide12
FDA’s Position
Unlike
drugs, supplements are not intended to treat, diagnose, prevent, or cure diseases. That means supplements should not make claims, such as “reduces arthritic pain” or “treats heart disease.” Claims like these can only legitimately be made for drugs, not dietary supplements
.
– FDA-
http://www.fda.gov/downloads/Food/DietarySupplements/UCM240978.pdfSlide13
Intention
RDAsOrthomolecular medicine
A
ntioxidants
Whole
foods nutrition as nutrigenomic entities
Unclaimed antioxidants – NrF2 Nutrigenomic cascade for cell detox and methylationIntroduce effect of pharmaceuticals on nutrigenomic capabilities of the cellresent research on medications that impede NrF2 expressionSlide14
Critical role of essential nutrients
Medical misunderstanding
Role of iron deficiency anemia in cardiovascular disease
Nutrients important for bones
Levels of Vitamin D3 required for immune health
Vitamin K2’s role in bone health
trace
minerals for bone
repair
Boron
SilicaSlide15
Flavinoids
found in red, blue, purple berries, red and purple grapes and Red wine.Flavanols found in teas (green, black and oolong white), chocolate (choose dark chocolate for lower sugar content and higher
catechin
content!), grapes, berries and apples.
Proanthocyanidins
found in chocolate, apples, berries, red grapes and red wine.Slide16
Flavanones found in Citrus.
Flavonols found in yellow onions, scallions, kale, broccoli, apples, berries and teas.Flavonesfound
in parsley, thyme, celery, and hot peppers.
Isoflavones
found in Soybeans Legumes.
Non-flavonoid Polyphenols found in
Tumeric.Resveratrol found in Grapes.Slide17
Phenolic acids or Phenolic
diterpenes found in Rosemary.Organosulfur compounds found in Cruciferous or Brassica vegetables - Sprouts of Broccoli & Cauliflower (highest content), kale, broccoli,
brussel
sprouts, cabbage, cauliflower,
bok
choy, collards, Chinese broccoli and Broccoli
rabe, kohl rabi, mustard, turnip, radish, arugula and watercress.Thiosulfonate found in Garlic - Aged garlic is fermented garlic that converts allicin
to S-
allylcysteine
& S-
allylmercaptocysteine
, which are more bioavailable, water soluble and stable.
Cinnaminic
aldehyde found in Cinnamon.Slide18
Nutrigenomics and Healing DeficitSlide19
Critical role of non-essential nutrients
The cell and organ systems have a natural ability to detoxify, self-destruct and regenerateinnate
healing functions – epigenetic and nutrigenomic
The body has a natural direction of cure
Can we, through nutrition (nutrigenomics), not only homeopathy, we can change the vital force and follow Herring’s Law.Slide20Slide21
Questions/Answers: What are the three common Drug-Nutrient Interactions in which nutrient priority could preempt death?
Diuretics (Loop and Thiazide) and Magnesium/Potassium
Acetaminophen and Glutathione/NAC
Coumadin and Vitamin K
Identify 3 mechanisms by which pharmaceutical prescriptions create healing deficit?
Deplete essential nutrientschange normal standards to favor pharmaceutical prescriptionobstruct balanced intakeimpede healthy gene expression leading to toxicity
mass medical misunderstanding of nutritional implications
What medications downregulate NrF2 expression?
It’s a cellular
chemoprotective
pathway that controls programmed cell death, methylation and cell detox. Expression of NrF2 is turned on by certain nutrients that increase cells production of inborn antioxidant systems such as melatonin, glutathione, catalase and superoxide dismutase.