↣ Format Kindle Read ፟ The Immune System Recovery Plan: A Doctor's 4-Step Program to Treat Autoimmune Disease (English Edition) ⣟ Kindle Ebook Author Susan Blum MD MPH ⤠

↣  Format Kindle Read ፟ The Immune System Recovery Plan: A Doctor's 4-Step Program to Treat Autoimmune Disease (English Edition)  ⣟ Kindle Ebook Author Susan Blum MD MPH ⤠ ↣ Format Kindle Read ፟ The Immune System Recovery Plan: A Doctor's 4-Step Program to Treat Autoimmune Disease (English Edition) ⣟ Kindle Ebook Author Susan Blum MD MPH ⤠ The Immune System Recovery Plan CHAPTER 1 Autoimmune Disease Basics A HEALTHY IMMUNE SYSTEM Your immune system includes a group of cells in your body that protect you against infections and illness This is why the immune system is often referred to as an army of cells Every day when youre exposed to things that could cause infection and illnesssuch as viruses, bacteria, mold, parasites, and foreign proteins in foodyour immune system takes action To do so, it calls upon many different kinds of soldiers, but to understand autoimmune disease, we will focus on one battalion in particular, called lymphocytes Lymphocytes are a type of white blood cell that is responsible for protecting you from harmful foreigners like infections However, if they arent working right, lymphocytes are the cells that cause autoimmune diseases There are two kinds of soldiers that make up the lymphocyte battalion The first is killer T cells, which directly attack anything they dont recognize and which they perceive as an invader I think of this direct attack as cell to cell combat The other kind of soldier is called a B cell These cells produce antibodies, which are molecules that grab on to anything that your immune system thinks is foreign and dangerous After these molecules get hold of the foreigner, your immune system initiates a bigger response that causes an inflammatory reaction When this happens, new compounds are released that attack the foreigner in order to kill it and clear it out of your body You can think of antibodies as bullets released from the B cells to kill the invader Both kinds of soldiers of the immune system, antibody producing B cells and killer T cells, start a process that results in inflammation throughout the body Though the process may begin somewhat differently, the end result you feel is the same for the most part The first definition of a competent and healthy immune system is one in which the killer T cells and the antibody producing B cells are in balance so that the immune response is balanced, too Depending on the invader, sometimes you actually feel something is happening when your immune system takes action and sometimes you dont Examples of these foreign invaders include bacteria and viruses If you get a sinus or ear infection, which is caused by bacteria, you may experience your immune system taking action by having a stuffed nose and pain in your ear or sinus area If you get the flu, which is from a virus, you might have a high fever These symptoms are the result of your immune system trying to fight the bacteria or virus You might have a strong reaction and the inflammation might be felt in your muscles or in your joints, like arthritis All of these are signs that the immune system is working to fend off the infection If your immune system is strong, this war within you should stop after a week or two at the most Once its job is done, the immune system will relax and go back to its normal state of watching and waiting for the next offender, and the inflammation goes away In someone with a healthy immune system, this is a good, normal process, and we need these killer T cells and antibodies to keep us healthy There is than one type of T cell The killer T and B cells are told what to do by the T helpers and the T regulators, which either turn on or turn off the immune response The different types of T cells need to be in balance for the immune system to turn off properly after it is activated and the job is done This balance is the second definition of a healthy immune system While your immune system needs to be vigilant in order to guard against infections and toxins, it also has to be very careful not to hurt your own tissues by mistaking your own cells for the invader During their earliest development, your immune cells have to learn the difference between something that is a natural part of your body, or self, and a foreign substance, or not self Being able to make this distinction is called tolerance The third definition of a healthy immune system is one that attacks only invaders and not itself.Three things that define a healthy immune system 1.Balance between killer T cells and antibody producing B cells 2.Balance between T helpers and T regulators to turn on and off the immune system 3.The immune systems ability to differentiate foreign invaders such as viruses or bacteria from natural parts of your body such as cells and tissues AN IMMUNE SYSTEM GONE AWRY An autoimmune problem develops when the immune system fails at all three of these definitions of health The body begins to make too many killer T cells or too many antibodies this varies depending on the autoimmune disease and will be discussed in depth later and then fails to turn off, so the immune reaction doesnt stop These first two problems can also be seen in people with asthma and allergies, because they have an overactive immune response to substances called allergens Symptoms such as wheezing and sniffling, and even life threatening tongue swelling and throat tightness, are caused by the immune response, not the allergen itself But most important for those of you with autoimmune diseases, the immune cells are attacking your bodys own tissues when they should only be attacking outside invaders Put all three problems together and the result is inflammation and damage to your cells and organs WHAT ARE AUTOIMMUNE DISEASES Autoimmune represents a category of at least one hundred diseases, not one specific illness This can be confusing and is probably why many people arent familiar with autoimmune diseases or are unsure which illnesses fall into this category Further, the names of these conditions, which include Hashimotos thyroiditis, rheumatoid arthritis, systemic lupus erythematosus, Sjgrens syndrome, celiac disease, and multiple sclerosis, among others, dont have the word autoimmune in them This is unlike diseases such as the various forms of cancer, where their names contain the word cancer and the area where the malignant tumor s are found For example, breast cancer is a tumor in the breast, colon cancer a tumor in the colon, and skin cancer a tumor on the skin Without the word autoimmune as part of their names, autoimmune conditions sound like they are distinctly different diseases However, that couldnt be further from the truth What can also be confusing is that the names of autoimmune conditions dont tell you where the disease is located in the body Some autoimmune conditions are systemic, meaning that the attack spreads throughout the body to all tissues, as in lupus Others are organ specific, where the attack occurs in a specific area or organ, like Hashimotos, which occurs in the thyroid In either case, the name isnt a helpful indicator of where the problem actually exists For example, Hashimotos and Graves disease are in the thyroid, multiple sclerosis is in the brain and spinal cord, vitiligo is in the skin, and pernicious anemia is in the blood cells Although the affected areas are different, we now know that the underlying problems in all of these diseases are very similar In fact, the focus of recent research has switched from looking at the specific organ affected by the disease to determining the underlying mechanisms for how these diseases begin This ideathat all of these conditions have similar originsis critical to our approach for treating and reversing them More than one hundred different autoimmune conditions have similar characteristics They are all serious chronic diseases with an underlying problem in the immune system Another thing they have in common is inflammation, which is irritation and swelling inside your body, in any part including your brain Inflammation can cause a wide range of symptoms, including fatigue, puffiness, muscle or joint pain, abdominal discomfort including diarrhea, and difficulty concentrating or brain fog Or you may just have a vague, nagging feeling that something isnt right, even if your doctor cant find anything wrong with you By using a functional medicine approach and focusing on the primary cause of the immune dysfunction, research has uncovered many potential triggers for these diseases A trigger is anything that starts an unhealthy immune response It turns out that many autoimmune diseases are set off by similar things, such as gluten, heavy metals, toxins, infections, and stress The main difference between each disease is that the immune cells target and attack tissue in different parts of the body Essentially, most autoimmune conditions are alike than they are different And it turns out that fixing the foundational systemswhich are your diet, stress hormones, gut health, and bodys toxic loadwill heal the immune system and help them all This is the revolutionary approach I detail in The Immune System Recovery Plan and why the treatment program it contains can benefit and target all autoimmune diseases WHAT CAUSES AUTOIMMUNE DISEASE The National Institutes of Health estimates that up to 23.5 million Americans suffer from autoimmune disease and that the prevalence is rising With the numbers increasing every year, many experts have questioned what causes autoimmune disease and have been studying this to find out As a result, there are many thoughts and ideas about how you get an autoimmune disease Here are the explanations with the most evidence behind them Potential Trigger Our Modern Day Diets Gluten Modern day agricultural practices include something called genetic modification This means that the genes in the seeds for crops like corn, soy, and wheat are altered in a laboratory so that these plants can grow larger or resist disease effectively The result of altering our crops this way is that they now contain proteins that are not natural to the plant Animal studies have found that these proteins are extremely difficult for us to digest, which causes symptoms such as Heartburn Reflux Gas Bloating after eating We have also seen evidence that these proteins cause immune reactions in the gut that can promote the development of autoimmunity Autoimmunity means that the cells of your immune system are damaged and then make a mistake and attack your own tissues Gluten is a protein found in wheat, barley, kamut, and spelt, and genetic modification has made it stronger and concentrated in the grains we eat This higher concentration of gluten in our food has been linked to the increase in food allergies over the last few decades Why Because gluten is a relatively new component of our diets Originally, our ancestors were hunter gatherers, so they ate animals, nuts, seeds, and berries, rather than grains Then they settled down to farming only ten generations ago and ate seasonally, rotating their food to eat what was available during that time of year The benefit of this is that you are constantly varying your diet, whereas eating the same thing all the time increases your risk of developing an allergic reaction Processed foods, which are those that have been altered by manufacturers so they no longer look like you just grew them, often have all the fiber and many of the nutrients removed This process was created to give these foods a longer shelf life and make food available to people, but we now know that this is not a nutritious way to eat Today, people who eat the standard American diet eat white flour at most meals, often to the exclusion of healthier, whole foods Instead, you should choose whole foods, which look like they did when you picked them The problem with gluten is that its hard to digest, and when a lot of large pieces get into the bloodstream, the immune system goes on high alert, seeing the gluten as a foreigner and producing antibodies to attack it Unfortunately, when these antibodies attack the gluten, they mistakenly attack our tissues as well This is called molecular mimicry and is one way gluten is believed to cause autoimmune disease Molecular mimicry is not specific to gluten It can occur when your immune system mistakes your own tissue for any foreigner The other way food can trigger inflammation and autoimmune reactions is called immune complex disease Using gluten as our example, the antibodies bind to the gluten and form a complex that travels around the body These are called immune complexes and are a common, important way that your immune system deals with foreigners You need immune complexes for the normal functioning of your immune system Normally the immune system clears these complexes out of the blood, but if there are too many of them, they settle in different organs, causing local inflammation, tissue damage, and autoimmune reactions This can cause swollen, painful joints and is thought to be one of the processes for developing rheumatoid arthritis Am I saying that gluten is the main reason you have an autoimmune disease For some people, it is for others, it is a big piece of the puzzle I like to use the puzzle analogy for this because there are often several causes of your autoimmune disease or immune dysfunction, and my approach is to address one piece at a time I have chosen the four sections of this book to deal with the biggest, most common pieces One part is food, but you must also address your stress system, make sure your gut is healthy dont forget that is part two of the gluten story, because the gluten might not have caused a problem if your intestinal barrier was doing its job , and make sure you arent overloaded with toxins Once you address all these pieces, your puzzle will be complete, and when you look at it you will see a picture of health Fiber, Fat, and Immune System Supporting Nutrients Other edibles besides gluten also impact your immune system A diet high in animal based foods such as dairy, eggs, and beef can promote inflammation and throw off the balance of good bacteria that live in your digestive tract Fiber and vegetables are also critical for this bacterial balance and to nourish the liver so that its able to effectively remove toxins from your body As youll read later in Chapter 11, Supporting Your Liver, toxins put your immune system at risk, too Unfortunately, many people dont eat enough fiber and vegetables to reap these benefits There are many nutrients that you must include in your diet in order to have a healthy immune systemsome examples include vitamin D, vitamin A, selenium, zinc, and healthy fatsbut these are often missing in the standard American diet For example, processed foods fill us up with bad fats that cause many problems besides damage to the immune cells Well talk about this in detail in the next chapter, Using Food as Medicine Potential Trigger Chronic Stress and Hormone Imbalance Some people dont feel stressed emotionally, but they are skipping meals, not sleeping enough, or overexercising These behaviors tax your body, causing it to secrete the stress hormone cortisol from your adrenal glands Other people may be taking good care of their bodies, but they are anxious, worried, upset, or depressed, or they have severe, ongoing emotional trauma These behaviors cause the same cortisol response from your adrenal glands The adrenal glands are small nodules that sit on top of your kidneys and make all of your stress hormones I want to be clear that not all stress is bad For example, in an emergency situation, your adrenal glands release cortisol and adrenaline, which provide you with the energy to move quickly to get help Or before an important talk, it gives you the energy to focus and think But chronic stress means your levels of cortisol are constantly elevated, something that can damage your immune system and prevent it from healing Chronic stress can also lead to what is called adrenal fatigue, which is when your adrenal glands get exhausted and dont produce the hormones required to keep your body running properly, including adrenaline, DHEA, and testosterone Adrenal fatigue results in Unexplained exhaustion Feeling like you cant get up in the morning even after a good nights sleep A burst of energy between 4 00 and 6 00 p.m Feeling overwhelmed Cravings for sweet or salty food Low blood pressure Low blood sugar Irritability Adrenal fatigue also known as adrenal exhaustion and adrenal burnout is associated with inflammation and autoimmune disease, which is why its so important to understand and better manage the stress in your life Stress can also have a negative effect on the levels of good bacteria in your digestive tract, which itself can cause autoimmune disease Stress hormones may also be the problem if you are fatigued all the time, get sick often, have developed arthritis, experience irregular periods, are going through a difficult menopause, or have trouble losing weight This will be discussed in detail in Chapter 5, Understanding the Stress Connection Potential Trigger An Imbalance of Good Bacteria in Your Gut Your immune cells, specifically the killer T cells and B cells, are the most central to the autoimmune problem It is when these cells dont work right that the body starts attacking itself and doesnt stop In order to help these cells function better, its important to understand how they develop When you are an adult, immune cells are made in your bone marrow and then migrate to the thymus a small organ under your breastbone , your lymph nodes, and an area called the gut associated lymphoid tissue GALT, just under the surface of the intestinal lining The thymus was very active when you were in your mothers womb, and when you were born, it was the main home of your immune cells As you age, it still helps these cells mature and develop, but it becomes less and less active The lining of your intestines should contain good bacteria also called flora that are critical for helping the immune cells mature properly because they interact with the cells in your GALT When these good bacteria arent flourishing, the immune system is susceptible to dysfunction Several things can impact your good bacteria As I just mentioned, one is stress Another is that we are a society living on what I call the five As antacids, antibiotics, alcohol, Advil, and animal foods These things along with infections and other medications alter the beneficial bacteria in your intestines and damage the barrier of the intestinal wall so that food leaks into the GALT area below the intestinal lining, and then into your bloodstream When this happens, the immune system recognizes the food particles in your blood as foreign invaders and develops antibodies to attack that food As a result, you may have a reaction to a food that youve been eating all your life The other important role of the beneficial flora is that they help the killer T cells in the gut lining develop and learn the difference between a foreign substance i.e., an infection or bacteria and your bodys own tissues This is why healing your gut by making sure the beneficial bacteria and intestinal lining are the healthiest they can be is one of the fundamental ways to keep your immune system healthy Well talk about this in Chapter 8, Healing Your Gut, but its important to know that a healthy gut is critical for a balanced and well functioning immune system It can help prevent autoimmune disease and has the potential to treat your symptoms and heal your immune system Potential Trigger Toxins A toxin is any environmental chemical, heavy metal, or other compound that is foreign to the body and causes a harmful reaction of any kind This can also include mold because it commonly gives off dangerous toxins Environmental exposure to toxins, which can damage both the immune system and other cells in your body and lead to autoimmune disease, is something were experiencing today at unprecedented levels In fact, the Center for Disease Controls CDC Fourth National Report on Human Exposure to Environmental Chemicals tested 212 chemicals and found that all of them were in the blood and urine of most Americans.1 This is not surprising, since were routinely exposed to toxins through food, pesticides, groundwater, industrial waste, and industrial chemicals With respect to autoimmune disease, we are particularly concerned with any toxin that changes the chemical structure of our DNA, its sister genetic material called RNA, and the proteins in your cells because this can stimulate an immune response in your body In other words, the toxin changes your tissue structure, leading your body to see your own tissue as a foreign substance and then attack it The most well studied toxin in relation to autoimmune disease is mercury Of the 212 toxins found in the CDCs report, this was in the top six Mercury exposure comes from silver colored dental amalgam fillings used for cavities It is also released into the atmosphere as a by product of burning coal or wood for fuel and the incineration of mercury containing material Because this has been going on for many decades, the mercury from the air has settled into our soil, rivers, and oceans As a result, its in many of the fish we eat, such as swordfish, tuna, striped bass, and king mackerel Since mercury concentrates up the food chain, larger fish who eat the littler fish tend to contain the highest levels Studies have linked mercury to Hashimotos thyroiditis, Graves disease, lupus, and MS It appears that mercury is one of the toxins that directly damages your tissues, making them look foreign to the immune system By now you know that the immune system attacks anything that it doesnt recognize This is why a crucial part of The Immune System Recovery Plan is to assess your potential toxin exposure and then take steps to remove as many toxins as possible from your diet and environment This is what we will do in Part IV, Supporting Your Liver Another crucial issue with toxin exposure is that when the body contains too many toxins, the liver, our main detoxifying organ, gets tired trying to clear them out Think of it as liver fatigue The liver has many detoxification pathways, enzyme systems that are responsible for removing toxins Each one requires specific nutrients, and if there are too many toxins and not enough nutrients, the liver gets depleted and toxins accumulate The liver is also responsible for helping process the hormones your body creates naturally When the liver gets exhausted due to high levels of toxins in the body, it also struggles with its daily job of processing our own hormones and the chemicals naturally created by the body Estrogen in particular is metabolized through the liver, which contains specific enzyme systems that need to be working well in order for this hormone to be processed and properly removed from the body However, if the liver is stressed, the estrogen builds up and the body actually produces toxic estrogen, which can cause DNA damage and promote an immune reaction In fact, toxic estrogens are thought to play an important role in both lupus and rheumatoid arthritis As you will learn in Part IV, Supporting Your Liver, specific food and supplements can help hormones, chemicals, and toxins flow through the liver efficiently and effectively Potential Trigger Infections There is a lot of literature linking viruses to autoimmune disease, and I will discuss the potential linkages later But the solution is not to blame the virus All of us have viruses in our bodies its our immune systems job to keep them in remission By this I mean that the viruses are supposed to be disabled so that they dont make us sick However, if a virus is active, the immune system remains on a heightened state of alert and this means ongoing inflammation in the body This is a problem Symptoms of this tend to be very general, such as feeling puffy, swollen, stiff, and tired and or having difficulty thinking and remembering things For example, this is very common with the virus that causes mononucleosis mono , which has been implicated in autoimmune disease Called the Epstein Barr virus, it stays in your body forever, sometimes undetected, at other times causing problems I have many patients tell me that they never felt quite the same after having mono and when I test their blood for the Epstein Barr virus, I often find that it is still active The solution to this is to understand why your immune system has failed to suppress the viruses This is exactly what we will do in The Immune System Recovery Plan as we work to strengthen and balance the fundamental foundations of a healthy immune system diet, stress, gut health, and reducing your toxic load As a result, your immune system can disable the viruses and prevent them from persistently stimulating it HOW TO USE THIS BOOK YOUR GOOD HEALTH DREAM TEAM As I mentioned earlier, autoimmune diseases have become the most prevalent form of chronic illness in our country Yet there still hasnt been enough attention paid to them I think this is why people view these conditions as different illnesses The endocrinologist sees the patients with Hashimotos thyroiditis and Graves disease the rheumatologist sees the patients with rheumatoid arthritis and lupus the gastroenterologist sees those diagnosed with celiac disease and the neurologist sees the multiple sclerosis patients As a result, there is not one unified approach, which I believe has slowed the advancement of a better understanding of autoimmune diseases and appropriate treatments of their root causes Another issue is that most conventional treatment for these conditions focuses on controlling symptoms with medications that work by shutting off the bodys immune response This isnt always effective and is often accompanied by serious side effects For example, steroids such as prednisone can cause insomnia, weight gain, increased blood pressure, muscle pain, and depression Other drugs are used to disable the immune system and can have severe effects on the digestive tract such as nausea and vomiting, but also fever, muscle pain, anemia, and recurring infections They also can damage the liver, lungs, and kidneys Because some of these drugs can stay in your body for up to two years after youve finished using them, they are very dangerous if you get pregnant within that time frame This is a critical issue since autoimmune diseases affect women 75 percent of the time This statistic has led many researchers to look at the role of sex hormones in the development of autoimmune diseases I will share about this topic when we talk about stress and stress hormones, detox, and estrogen metabolism through the liver, and when we talk about lupus in the last chapter But the most important problem with these drugs is that they are treating only the symptoms of your autoimmune condition, not the cause of it They dont explain why your immune system is not working properly in the first place, and if you dont figure this out, you can only manage your symptoms rather than cure your condition completely If a traditional doctor suspects that you have an autoimmune disease, the first blood test he or she will do is whats called an anti nuclear antibody ANA test This doesnt look for any one specific autoimmune disease but is a general screening test for systemic autoimmune diseases such as lupus Your doctor might also do some tests for different organ specific diseases, such as Hashimotos or Graves disease As I mentioned earlier, in a healthy immune system antibodies target and attack foreigners that can cause infections and illnesses When an autoimmune condition develops, these antibodies target your own tissue, and often the first antibody to show up in laboratory tests is the anti nuclear antibody If the ANA test is positive, the doctor does specific tests for lupus, rheumatoid arthritis, Sjgrens syndrome, scleroderma, mixed connective tissue disease, polymyositis, or dermatomyositis If all these tests are negative and you just have a positive ANA, youre not diagnosed with an autoimmune disease At least not yet The conventional medical approach is to watch and wait to see if your symptoms get worse and you test positive eventually This is all with the expectation that someday you will develop one of the specific diseases This watch, wait, and do nothing approach is against all of the principles of preventive medicine and functional medicine because there is so much that we can do to prevent the development of full blown autoimmune diseases It turns out that you can have a positive ANA test for many years before you develop any of the actual diseases or before you have any symptoms For example, you can have anti thyroid antibodies for many years before you notice a problem with your thyroid function You can have an immune reaction to gluten for many years before you show any signs of celiac disease such as damage to the small intestine My goal, and that of preventive medicine and functional medicine, is to catch the antibodies early and then fix the immune system by discovering why it is dysfunctional This way we can quiet down the killer T cells and the antibodies, preventing them from doing tissue damage and turning into a full blown disease By now you understand that antibodies and killer T cells are good when they are made against bad things such as harmful bacteria, viruses, or cancer cells But we dont want to have antibodies or killer T cells attacking our normal, healthy tissue because it will begin a cascade of damage, inflammation, and eventually impaired function For example, in people with rheumatoid arthritis, the antibodies that deposit in the joints cause damage that deforms the joint itself, causing pain and impaired function In lupus, antibodies can attack the cells lining the blood vessels, causing damage to the blood supply to the organ where this is happening People with lupus often get kidney damage this way This is why it is critical to find the antibodies early, before there is damage in joints, blood vessels, or anywhere else in the body Research proves that this can be done, and I know it for certain because it is what I do daily with my patients in my office It is how I cured myself, too This book will show you how HOPE IS HERE My goal in writing The Immune System Recovery Plan is to bring a message of hope You dont have to sit and wait to get a disease that is preventable And you dont have to sit and watch your disease get worse, thinking that there is nothing that can be done to reverse it If youve already been diagnosed, it is not too late You do have options besides taking prescription drugs for the rest of your life And my goal is to help you see that By following the steps in this book, you can feel healthy again yes, healthy and reverse your disease But let me first make one thing very clear I am not anti medication If you are having a flare of your disease, meaning your symptoms get worse and youre in terrible pain and feel very sick, conventional medication can be very helpful and necessary But once this crisis has passed, your focus should shift to figuring out the root cause of the immune dysfunction and fixing that Also, functional medicine is not an alternative approach I am a medical doctor and I work with my patients and traditional physicians, even while my patients are taking medication I work to fix the foundations of their immune systems so that all the symptoms and antibodies disappear When they are ready, their doctor and I decide together how to go about tapering off the patients medication In this book, I will present my four treatment programs for you to do on your own If youre taking medication for your autoimmune disease, you can still do these programs However, if youre concerned, talk to your doctor about these plans Keep in mind that many of the suggestions and treatments are lifestyle changes and dont require you to do anything that would make you or your doctor uncomfortable But also know that just because your doctor isnt familiar with some of the things Im suggesting, that doesnt mean theyre dangerous or bad for you It may simply mean that your doctor hasnt read the studies and or learned about this approach Dont be discouraged by this Ive found that many of the doctors in my community who once were skeptical of functional medicine are now eager to send me patients and work with me to help them Why Because they see that this approach offers big benefits with very little risk I am passionate about this because it is truly a logical approach to treating the cause of the autoimmune problem This goes beyond simply treating symptoms It means that there is real hope because there is something we can do to help you treat, reverse, and prevent disease.THE MOST COMMON AUTOIMMUNE DISEASES The most common autoimmune diseases that I see in my medical practice are Graves disease, Hashimotos disease also known as Hashimotos thyroiditis , lupus formally known as systemic lupus erythematosus , multiple sclerosis MS , rheumatoid arthritis RA , Sjgrens syndrome, and celiac disease I also see other autoimmune diseases, including glomerulonephritis a kidney condition , type 1 diabetes, pernicious anemia destruction of red blood cells , and vitiligo a skin condition For our purposes, I am going to focus on the seven diseases I see most Here is information on these common autoimmune diseases, their symptoms and important tests to get if you suspect you have one But remember, it doesnt really matter if your condition is on my list or not You still need to fix your foundational systems if you have an autoimmune disease CELIAC DISEASE This is a disease caused by an allergy to gluten and is marked by destruction of the microscopic, finger like protrusions called villi that line the small intestine It may take many years of gluten exposure before the villi are damaged and a laboratory confirms that you have celiac disease, but in the meantime the gluten can cause other digestive and autoimmune issues before it is diagnosed Celiac disease has become the most well known autoimmune disease because so many people have developed sensitivities to gluten Symptoms of Celiac Disease Gluten can cause autoimmune diseases in other organs in addition to the gut, so there are a wide range of symptoms, from numbness and tingling in the extremities to fatigue from low thyroid function Some common symptoms include Arthritis Generalized brain fog Generalized fatigue Digestive issues such as diarrhea, gas and bloating after eating, and heartburn Anemia Tests to Request from Your Doctor or Health Care Professional There is a lot of confusion about how to diagnose celiac disease Gastro enterologists will give you this diagnosis only after a biopsy showing damage to the villi of the small intestine This is very restrictive, since you might have whats called silent celiac disease for decades before this test is positive Instead, ask your doctor for tests for anti gliadin antibodies and anti deamidated gliadin antibodies These tests are sensitive in picking up gluten allergies and can be positive for many years before there is any damage to your small intestine If these are positive, its a sign that an autoimmune attack is taking place somewhere in your body In that case, you should assume you have very early celiac disease that hasnt affected your intestines yet but is doing plenty of damage in your body, perhaps showing up as Hashimotos thyroiditis, Graves disease, multiple sclerosis, or another autoimmune disease And just to add to the confusion, even if all the above tests are negative, you might still be sensitive to gluten Thats because these tests were designed to pick up celiac disease only and gluten can cause other autoimmune diseases as well Therefore, if you have any autoimmune diseasenot necessarily celiac diseaseit is good to do the tests above, but if they are negative, you should still remove gluten from your diet, based on research showing a connection between gluten and many other autoimmune diseases GRAVES DISEASE Graves disease happens when your body makes antibodies that stimulate your thyroid gland, causing it to secrete high levels of the hormone thyroxine also known as T4 This condition is called hyperthyroidism Symptoms of Graves Disease Weight loss Rapid pulse Protruding eyes Insomnia Feeling too warm Restlessness Diarrhea Irritability Heart palpitations Tests to Request from Your Doctor or Health Care Professional Thyroid stimulating hormone TSH Free T4 Free T3 Thyroid stimulating immunoglobulins TSI TSH receptor antibody Here is the pattern of test results you would expect if you have Graves TSH is low, typically 0.5 mIu L, often lower or undetectable Free T4 is elevated, usually over 2.5 ng dl Free T3 might be normal but is usually over 4.0 pg ml Either the TSI or the TSH receptor antibody will be positive If they are both normal, then you dont have Graves disease The above pattern is what the numbers would look like in a typical, classic case of Graves disease However, sometimes only one of the numbers looks out of range, such as a high free T4 with a normal TSH This is a sign that you might have caught the problem early, and it is the perfect time to go through the steps in this book and reverse the problem before the disease starts HASHIMOTOS THYROIDITIS Also called chronic autoimmune thyroiditis, this is the most common autoimmune disease Here, the immune cells invade the thyroid In early Hashimotos thyroiditis, the thyroid still functions pretty well, so if your doctor is checking only your TSH and hasnt measured the antibodies, you might miss the early stages of this condition This is unfortunate because early on is the perfect opportunity to reverse the antibodies and prevent thyroid damage If the immune attack goes on for too long, the thyroid might become permanently damaged, requiring lifelong hormone replacement Symptoms of Hashimotos Thyroiditis Enlarged thyroid goiter If your thyroid is actively inflamed, some people experience a sore throat Fatigue Hair loss Weight gain Tests to Request from Your Doctor or Health Care Professional TSH Free T4 Free T3 Anti thyroglobulin and anti thyroid peroxidase antibodies Here is the pattern of test results you would expect if you have Hashimotos One of your antibody levels will be elevated, either thyroid peroxidase antibodies or anti thyroglobulin antibodies If these are normal, you dont have Hashimotos TSH, free T4, and free T3 If these levels are normal, you are not hypothyroid In early Hashimotos, you can have the autoimmune disease and the thyroid is still making adequate amounts of hormones This is the perfect time to follow the steps in this book, because you have caught the problem early while it is reversible and can prevent damage to your thyroid gland Here are my suggested normal values for the hormones for screening purposes TSH 3.0 mIu L FT4 1.0 ng dl FT3 2.6 pg ml If the TSH is over 3.0, or if the free T4 is under 1.0 and the free T3 is under 2.6, your thyroid might be starting to show signs of damage from the autoimmune disease You can discuss with your doctor whether it is a good idea to take a prescription thyroid hormone replacement I will talk about treating Hashimotos in Chapter 14, Infections and Specific Autoimmune Conditions LUPUS Lupus, which is formally known as systemic lupus erythematosus, involves tissues in the body than other autoimmune diseases because it is a condition in which the body creates antibodies against the DNA of the cells As a result, you can end up with disease all over your body and can have fever, joint, and muscle pain Keep in mind that the symptoms come and go, because the disease can cycle through being in remission and being active Unfortunately, many lupus patients get very sick, often dying from the involvement of the small blood vessels, which gives them disease in all their organs, including the kidneys and heart Lupus affects women than men, especially those in their twenties and thirties, leading researchers to believe that estrogen plays a role in causing or triggering the disease I will explain about this in Chapter 11, Supporting Your Liver Symptoms of Lupus Fatigue Muscle pain and weakness Fever when the disease is active Symptoms specific to the organ involved, such as joint pain, muscle pain, and difficulty breathing Butterfly rash over the cheeks and nose that appears after sun exposure Hair loss but not baldness Oral or nasal ulcers that are not painful Cold or emotion induced color changes of the fingers or feet Tests to Request from Your Doctor or Health Care Professional Anti nuclear antibodies Anti phospholipid antibodies Antibodies to double stranded DNA Anti Smith Sm antibodies The ANA test is the first screening test for lupus As I have explained, a positive test doesnt mean you have lupus unless one of the other three tests is positive as well MULTIPLE SCLEROSIS MS Myelin is the protective coating on the outside of all the nerves in your body In those who have MS, the myelin in the brain and spinal cord is damaged This damage is called sclerosis MS primarily affects women who are of northern European descent and who are of childbearing age The most common first symptom is an episode of central nervous system dysfunction, such as optic neuritis This is eye pain that gets worse when you move your eye in any direction Sometimes symptoms go away on their own Each time they come back, its called an episode or exacerbation of symptoms Symptoms of MS Eye pain Numbness, tingling, or pins and needles sensation anywhere in the body that doesnt go away after two weeks Swelling of the limbs or trunk Intense itching sensation, especially in the neck area Tests to Request from Your Doctor or Health Care Professional There are no antibody tests for MS Instead, its diagnosed when lesions in the brain or spinal cord are seen on an MRI Its important to note that the diagnosis is made only after having neurological symptoms twice or a second episode that shows a second lesion in the brain or spinal cord One episode that resolves and never comes back is not considered MS RHEUMATOID ARTHRITIS RA If you have arthritis, its often difficult to tell the difference between symptoms of RA and common osteoarthritis pain and swelling that can occur with aging or after injury Rheumatoid arthritis occurs when your immune cells attack your joints, causing tissue damage, inflammation, and pain It is a very specific form of arthritis, and sometimes the only way to know which kind of arthritis you have is to do the blood tests listed below Symptoms of RA Muscle pain Fatigue Low grade fever Weight loss Depression Morning stiffness that lasts at least one hour for at least six weeks Swelling of three or joints for at least six weeks Swelling of wrist or fingers for at least six weeks Symmetric joint swelling Nodules or bumps under the skin and over an affected joint Tests to Request from Your Doctor or Health Care Professional Hand X ray Blood tests for ANA, rheumatoid factor RF , and anti citrullinated peptide protein antibodies anti CCP Blood tests for inflammation ESR erythrocyte sedimentation rate and high sensitivity C reactive protein sometimes called a Cardio CRP It is good to get all the above blood tests because they will determine if you have rheumatoid arthritis It is possible to have a positive ANA with all the rest of the tests being negative In that case, you dont have RA The opposite can also be true you can have RA because you have a positive RF or anti CCP but have a normal ANA The ESR and the Cardio CRP are indicators of how much inflammation might be happening at the moment, helping to monitor flares in the disease SJGRENS SYNDROME Sjgrens syndrome, which can occur on its own or in conjunction with RA, is an attack on the mucus secreting glands that causes a reduction in secretions It is often felt first in the salivary glands, which are in the mouth, and lacrimal glands, those that secrete tears Ninety percent of patients are female Symptoms for Sjgrens Syndrome Dry mouth and dry eyes Dryness in the vagina, skin, lungs, sinuses, and digestive tract Fatigue Joint pain Muscle pain Cognitive dysfunction Tests to Request from Your Doctor or Health Care Professional ANA, anti SSA, and anti SSB antibodies Elevated levels of anti SSA or anti SSB are diagnostic for Sjgrens.SYMPTOMS TO TAKE SERIOUSLY Below is a checklist of symptoms for common autoimmune diseases If you have any of the boldfaced ones, you should go to your doctor and ask to be tested for the disease or diseases I have mentioned The other not boldfaced symptoms in the following lists are nonspecific, meaning many other things besides autoimmune diseases can cause them If you have four or of the nonspecific symptoms and they are all consistent with one condition, then you should have the test suggested or an ANA screening For example, if all your symptoms fit with lupus but you dont have any of the specific lupus symptoms, you should still get tested This is very important because with many of these conditions, the symptoms dont make a diagnosis the lab tests do I have also included several additional autoimmune diseases in the checklist below because these are fairly easy to identify and get tested for General Symptoms Fatigue all autoimmune diseases General discomfort, uneasiness, or feeling ill all autoimmune diseases Insomnia Graves Fever Body Temperature If you are having fevers but you dont have a virus or infection, or if you feel hot all the time lupus, Graves, celiac disease, Sjgrens If you feel hot when others are cold Graves thyroiditis with an overfunctioning thyroid gland If you feel cold when others are hot Hashimotos thyroiditis with a low functioning thyroid gland Hair Hair loss, usually in patches or circles alopecia areata this is confirmed by examination there is no blood test Loss of all the hair on your body alopecia universalis this is confirmed by examination there is no blood test Thinning of your hair or general hair loss celiac, lupus, Hashimotos with low functioning thyroid gland Skin Dry skin Hashimotos thyroiditis Bruising easily celiac Itchy skin celiac Rash over your cheeks and bridge of the nose butterfly rash , usually red with some bumpy texture but no pimples , that gets worse in sunlight very specific for lupus Skin sensitivity to the sun lupus General rash anywhere on the body lupus Fingers that change color when cold Raynauds phenomenon, lupus Nodules or bumps under the skin, usually on your hands or feet rheumatoid arthritis Skin thickening scleroderma Loss of skin pigmentation in blotchy patterns anywhere on the body vitiligo this is confirmed by examination there is no blood test Eyes Vision changes lupus, MS Dry, itching eyes or feeling like there is something in the eyes Sjgrens, rheumatoid arthritis Double vision, eye discomfort, uncontrollable eye movements MS Throat, Neck, Voice, and Mouth Swollen glands lymph nodes lupus, Sjgrens Enlarged neck from an enlarged thyroid Hashimotos Mouth sores or ulcers lupus, celiac, Sjgrens Difficulty swallowing or speaking Sjgrens, MS Loss of sense of taste Sjgrens Hoarseness Sjgrens Dry mouth Sjgrens, RA Excessive thirst type 1 diabetes Muscles, Joints, and Tendons Joint pain or joint swelling RA, Sjgrens Morning joint stiffness lasting than one hour RA Pain and tenderness throughout the body Sjgrens, lupus Muscle weakness Hashimotos, Graves, MS Muscle cramps and joint pain celiac Muscle spasms and twitching MS Weight Changes Unexplained weight loss Graves, celiac, lupus, type 1 diabetes Unexplained weight gain Hashimotos, gluten sensitivity not celiac , type 1 diabetes Digestion Gastrointestinal Constipation Hashimotos, celiac, MS Abdominal pain celiac, lupus Bloating, gas, or indigestion celiac Diarrhea, either constant or on and off celiac Nausea and vomiting celiac, lupus, Graves Stools that float and are foul smelling, bloody, or fatty malabsorption from celiac Mood and Thinking Difficulty concentrating Hashimotos, MS, Graves Depression celiac, MS Irritability or anxiety Graves, Hashimotos Balance and Neurological Symptoms Numbness and or tingling in the extremities lupus, MS, celiac, type 1 diabetes Headaches lupus Seizures lupus, celiac Problems walking, loss of balance, coordination MS Tremor MS, Graves Dizziness, vertigo MSThe publics interest in autoimmune diseases is extensive, and people are clamoring for information Proof of this is the fact that autoimmune diseases and disorders are the most popular health topics requested by callers to the Department of Health and Human Services National Womens Health Information Center.The Immune System Recovery Plan is a must read for everyone with autoimmune disease Dr Blum masterfully presents the latest scientific information and gives patients practical, natural, and safe ways to help the immune system heal Joel M Evans, MD Founder and Director of The Center for Womens Health, Stamford, CT and author of The Whole Pr In the tradition of Hippocrates, Dr Susan Blum re establishes food as the most fundamental and powerful mediator of health and wellness The Immune System Recovery Plan provides a wealth of information, based on leading edge science, that will surely have a profoundly positive impact on the vitality and longevity of its readers David Perlmutter, MD, FACN, author of GrainBrain The Surprising Truth About Wheat, Carbs, and Sugar Your Brain s SilentKillers The Immune System Recovery Plan is a godsend for the millions suffering from autoimmune disorders This books information is life changing Christiane Northrup, MD, author of Womens Bodies, Womens Wisdom and The Wisdom of Menopause A clearly written, practical, person friendly and comprehensive approach to relieving the suffering and reversing the damage of autoimmune disease Thank you Dr Susan Blum James Gordon, MD author of Unstuck Your Guide to the Seven Stage Journey out of Depression, and founder dir When treating autoimmune disease, Dr Susan Blum takes the whole person into account, using practical tools such as understanding food as medicine and stress management, healing your gut, and supporting your liver The Immune System Recovery Plan is an empowering, revolutionary approach to treating the causes of all autoimmune conditions Joshua Rosenthal Founder and Director of the Institute of Integrative Nutrition The Immune System Recovery Plan is the right book, at the right time, by the right person We are witnessing a significant increase in autoimmune inflammatory diseases, which include than 80 different diagnoses Dr Blum has done a magnificent job helping the reader to understand how this family of inflammatory disorders, including arthritis and fibromyalgia, can be managed with the diet and lifestyle program she developed in her practice Her step by step approach is based on her considerable years of experience as a physician, and the emerging medical science that, for the first time, has developed an understanding of how genetics, lifestyle and nutrition play a role in origin of these disorders The approach described in Dr Blums book represents the leading edge in the lifestyle management of chronic inflammatory disorders It is a news to use book that provides real assistance to those with inflammatory disorders who are looking for a clinically sensible approach to their problems Jeffrey Bland, Ph.D., FACN, President, Personalized Lifestyle Medicine Institute Dr Blums groundbreaking book, The Immune System Recovery Plan, lays out a clear road map to recovery for the millions of people needlessly suffering Mark Hyman, MD author of The Blood Sugar Solution Immune system Wikipedia Both innate and adaptive immunity depend on the ability of immune to distinguish between self non moleculesIn immunology, molecules are those components an organism s body that can be distinguished from foreign substances by Conversely, recognized as One class called System University Hartford Immune March Introduction Fluid Systems Body The Blood Lymph Innate Immunity Surface Barriers or Mucosal KidsHealth Web most visited site system, which is made up special cells, proteins, tissues, organs, defends people against germs microorganisms every day In cases, does a great job keeping healthy preventing infections But sometimes problems with MedlinePlus URL this page Disorders Your complex network organs work together defend It helps your recognize these invaders Boosters Busters WebMD lifestyle affect how well protect you germs, viruses, chronic illness Replacing bad health habits good ones help keep Paul Andersen explains protects itself invading viruses bacteria He starts describing nonspecific responses skin inflammation Health Actually, about percent cells make located lining digestive tract People don t realize it, but GI way gets rid Britannica infectious disease, may also at times cause disease fall into broad categories arise when some aspect host mechanism fails prevent infection deficienciesThe Blum Health MD Online Store only online store offering Dr Susan recipes, books, supplements, coaching get wellness destination Recovery Plan A Doctor Blum, MD, MPH, founder Center for in Rye Brook, New York, advisor Institute Functional Medicine, serves Medical Advisory Board Oz ShowAn assistant clinical professor Department Preventive Medicine Mount Sinai School she has been treating than decade People Harvard Humanitarian Initiative Typhoon Ompong Mangkhut had major impact north Philippines displacing , Cordillera Administrative Find pediatrician pediatric specialist Children Whether re looking child, our team physicians here Every member specially trained care children Bring Wellness Back Into Life With MD Complete Repair Kit For all Steps Plan, steeply discounted bundle provides supplements need follow program book, her courses programs Takashi Murakami Poe Takashi Born Tokyo, Japan, Education BFA, Tokyo National Fine Arts Music, Traditional Japanese Painting Nihon ga Japan Donate Whatcom Hospice Foundation Donate ensure patient will receive they require, regardless pay Dr Kent Reifschneider Pediatric Endocrinologist CHKD fellowship endocrinologist, associate Eastern Virginia School, national advocate areas diabetes awareness Orthopedic Specialists Connecticut comprehensive list ALL Connecticut orthopedic surgeons orthopedists associated ancillary services including radiology centers, physical therapists, physiatrists, pain management, podiatrists, bracing orthotics, hospital surgical rehabilitation centers These providers sorted both alphabetically location note top tool bar Members Roll Call Covering Capitol Hill Since providing Washington, DC news, objective facts analysis along coverage political campaigns elections Jennifer Keating Litton Anderson Cancer Center Request Appointment If ready appointment, select button right have questions appointment process, information best place start Why I divorced G Komen years ago ve public my criticisms few That criticism not easy after all, m criticizing huge organization claims committed finding cure Even choice words there related think focus less acknowledging helping women MBIPA About Monterey Bay Independent Physician Association An association independent other medical professionals dedicated transforming healthcare County Home Remedies Acid Reflux Some old wives tales tell beat heartburn little sodium bicarbonate baking soda Baking OK heartburn, says Jacqueline Wolf, Nov Dec Mar Oct Riverside UM Partners Use form search specialty, location, name You narrow results entering multiple fields The Immune System Recovery Plan: A Doctor's 4-Step Program to Treat Autoimmune Disease (English Edition)


    • The Immune System Recovery Plan: A Doctor's 4-Step Program to Treat Autoimmune Disease (English Edition)
    • 4.2
    • 495
    • Format Kindle
    • 321 pages
    • Susan Blum MD MPH
    • Anglais
    • 10 May 2017

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