Accurate Education – Nutrition & Supplements

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“Treatment without prevention is simply unsustainable.”

 – Bill Gates

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Diets

Wellness/Anti-Inflammatory Diet

There are always many opinions as to what constitutes the healthiest diet and what people should eat. The Paleo diet appears to be a front runner currenty but how one defines a Paleo diet is open to a wide range of interpretation and the reader is referred to other sites for more information at this time. The Mediterranean diet is highly recommended particularly as an anti-inflammatory diet to reduce oxidative stress and minimize dietary contribution to chronic pain (see handouts below).

What is less controversial is what one should not eat: low fiber, calorie-dense, high fat, highly-processed foods. It has been well established that a diet rich in these products contributes to oxidative stress, obesity, cardiovascular disease and possibly some cancers as well as other diseases. For more information, please see

 

  1.    Wellness (Anti-inflammatory) Diet: Overview
  2.    Wellness Diet: Menu Examples

 

Diet for High Blood Pressure

Conventional recommendations focus on the Dash Diet (see below) for high blood pressure. This generally does not conflict with the Paleo or Mediterranean diets but also includes the focus on salt restriction.

 

  1.    Dash Diet for High Blood Pressure

 

Diet for Managing Gout

Gout occurs when high levels of uric acid in the blood cause crystals to form and accumulate in and around a joint. Your body produces uric acid when it breaks down purines. Purines occur naturally in your body, but also come from eating certain foods, such as organ meats, anchovies, herring, asparagus and mushrooms. Dietary recommendations for managing gout are therefore focused on  restricting purines in the diet as their metabolism contributes to symptomatic gout.

 

  1.    Diet: Gout

 

Diet for Managing Constipation

While the dietary approach to constipation depends of course on the reason for constipation, for the usual initial approach to constipation includes maintaining an abundant intake of fiber particularly from vegetables (preferably raw) and fruits and should amount to 30 gms of dietary fiber/day. Plenty of water and exercise are also important in the prevention and management of constipation. Consult your physician for any symptomatic constipation that persists despite dietary treatment, especially if associated with a smaller caliber of stool. For more information, see the handout below.

 

Opioid Induced Constipation (OIC)

For patients taking opioids, constipation is a common problem. In general, the initial approach to opioid induced constipation (OIC) is the same as noted above. When this fails and rotating to an alternative opioid is not advised, there are new prescription medications on the market specifically for OIC that are generally very effective and well tolerated, such as Movantik. Consult your physician for further information

  1.    Constipation & Laxatives

 

Diet for Managing Depression

Studies indicate that those people with depression or at risk for depression are likely to experience a mood benefit from a short term tryptophan-rich diet with high Trp:LNAA (tryptophan:other amino acids) ratios based on selected foods or tryptophan supplements. However, if taken to extremes excessive tryptophan intake can have the reverse effect of impairing mood.

 

Similarly, cognitive improvement in terms of memory and learning may be expected from a short term tryptophan-rich diet with high Trp:LNAA ratios based on selected foods or tryptophan supplements. However, if taken to extremes excessive tryptophan intake can have the reverse effect of impairing memory and learning.

See: Depression Diet

 

Diet for Managing Reward Deficiency Syndrome and Addiction

Similar to the suggestions related to diet in depression related above, there are dietary modificatons that may support dopamine levels in the brain. Reduced dopamine levels are implicated as playing a central role in susceptibility to, and manifestations of, a number of conditions related to Reward Deficiency Syndrome (RDS). RDS is believed to be a core component underlying conditions such as binge eating, obsessive compulsive disorder (OCD), PTSD as well as chemical and behavioral addictions including gambling and computer gaming.

 

There may be a benefit from a short term tyrosine-rich diet coupled with low carbohydrate/low glycemic index foods to support dopamine levels, particularly in times of stress or relapse into addictive behaviors. A recent pre-clinical animal study provides support for the benefit of a diet rich in omega-3 fatty acids in reducing the consequences of chronic opioid use related to neuroinflammation secondary glial activation.

See: Dopamine Diet

 

Focus on Foods

  1.    Chia Seeds
  2.    Fiber
  3.    Pistachios

 

Nutritional Supplements

When selecting therapeutic supplements, it is important to take several considerations into account prior to purchasing a commercial product. First, not all labels are accurate as to content.

 

To help assure that a product is one of high quality and effectiveness, look for the following labels:

• USP seal of approval

• GMP seal of approval

• NSF seal of approval

• “Clinically Tested”

 

Not all supplements are well aborbed either from the gut into the bloodstream, from the blood stream into a tissue and then into the target cell or cross the “blood brain barrier” that restricts many substances from entering the brain and nervous system. The term that reflects how well a substance that is taken orally then reaches the intended target tissue or cellular component is “bioavailability.” The extent to which a supplement is bioavailable is a major factor contributing to it’s effectiveness. To read more on recent advances in improving the bioavailability of many nutritional or therapeutic substances, see “Nanoformulations” below.

 

For more information on evaluating supplements, please see: Evaluating Supplements

 

Resources:

 

 www.NutritionData.com


This is my favorite online resource for nutritional information. It provides excellent breakdowns of the nutrional value of natural foods, raw and cooked, as well as commercial food products. It offers a web-based app that allows you to track and analyze your diet and monitor your exercise. It has a wealth of educational information on topics from food additives, glycemic index, food processing, individual nutrients and pretty much anything of interest to the person motivated to learn more about diet and nutrition. There are even recipes!

 

www.Nutrition.gov


Nutrition.gov provides easy access to vetted food and nutrition information from across the federal government. It serves as a gateway to reliable information on nutrition, healthy eating, physical activity, and food safety for consumers.

 

Providing science-based dietary guidance is critical to enhance the public’s ability to make healthy choices in the effort to reduce obesity and other food related diseases. Since dietary needs change throughout the lifespan, specialized nutrition information is provided about infants, children, teens, adult women and men, and seniors.

 

Users can find practical information on healthy eating, dietary supplements, fitness and how to keep food safe. The site is kept fresh with the latest news and features links to interesting sites.

 

 National Association to Advance Fat Acceptance


Founded in 1969, the National Association to Advance Fat Acceptance (NAAFA) is a non-profit, all volunteer, civil rights organization dedicated to protecting the rights and improving the quality of life for fat people. NAAFA works to eliminate discrimination based on body size and provide fat people with the tools for self-empowerment through advocacy, public education, and support.

 

“Dopamine for Dinner”

by Joan Borsten, 2014
Avaliable online at Amazon.com: Kindle subscriber: free;  Kindle book: $9.95  Paperback: $149.00

 

“Dopamine for Dinner,” is the first Malibu Beach Recovery Diet Cookbook, based on their famous low-glycemic diet. The recipes developed by four accomplished chefs are both pleasant eating as well as healthy. Based on the use of low glycemic index foods, the recipes emphasize nutritious eating in a manner that promotes maintaining high brain levels of dopamine and serotonin as a means of supporting healthy brain chemistry.

 

References:

Diet – Overviews

  1. Diet and cognition – Data, theory, and some solutions from the playbook of psychology – 2016

 

Nutritional Supplements – Overview:

  1.    Evaluating Supplements
  2.    Multi-Nutrient Supplements

 

Nanoformulations

Nanoformulations –  Overview

  1. Blood–brain barrier – a real obstacle for therapeutics – 2012
  2. Natural product-based nanomedicine – recent advances and issues – 2015
  3. Particle size reduction to the nanometer range – a promising approach to improve buccal absorption of poorly water-soluble drugs – 2011

 

Nanoformulations – Phytosomes

  1. A Review on Phytosome Technology as a Novel Approach to Improve The Bioavailability of Nutraceuticals – 2012
  2. Bioavailability and activity of phytosome complexes from botanical polyphenols – the silymarin, curcumin, green tea, and grape seed extracts – 2009
  3. Phytosomes – A New Herbal Drug Delivery System – 2012
  4. Phytosome – A Novel Revolution in Herbal Drugs – 2012
  5. Phytosome – Phytolipid Drug Delivery System for Improving Bioavailability of Herbal Drugs – 2013

 

Amino Acids

  1.    L-Glutamine

 

Antioxidants & NRF2 Activators

  1. Antioxidant Capacity of Selected Foods – 2007
  2. NRF2 Activators

 

Antioxidant & NRF2 Activators – Individual & Commercial Products

  1.    Acetyl-L-Carnitine
  2.    Alpha-Lipoic Acid
  3.    CoQ10
  4.    Curcumin (Meriva)
  5.    Glutathione
  6.    Green Tea (Phytosome)
  7.    Meriva (Curcumin)
  8.    Milk Thistle (Siliphos – Silybin Phytosome)
  9.    PolyResveratrol SR
  10.    Quercetin
  11.    Siliphos (Milk Thistle – Silybin Phytosome)

 

COMT Inhibitors

  1.    Quercetin
  2.    Green Tea (Phytosome)

 

Minerals

  1.    Calcium
  2.    Magnesium

 

Palmitoylethanolamide (PEA)

Phytosterols

Probiotics

SAMe

Vitamins

 

Genetics and Nutrition

  1.    Genovive – Sample Nutrition & Fitness Report

Emphasis on Education

 

Accurate Clinic promotes patient education as the foundation of it’s medical care. In Dr. Ehlenberger’s integrative approach to patient care, including conventional and complementary and alternative medical (CAM) treatments, he may encourage or provide advice about the use of supplements. However, the specifics of choice of supplement, dosing and duration of treatment should be individualized through discussion with Dr. Ehlenberger. The following information and reference articles are presented to provide the reader with some of the latest research to facilitate evidence-based, informed decisions regarding the use of conventional as well as CAM treatments.

 

For medical-legal reasons, access to these links is limited to patients enrolled in an Accurate Clinic medical program.

 

Should you wish more information regarding any of the subjects listed – or not listed –  here, please contact Dr. Ehlenberger. He has literally thousands of published articles to share on hundreds of topics associated with pain management, weight loss, nutrition, addiction recovery and emergency medicine. It would take years for you to read them, as it did him.

 

For more information, please contact Accurate Clinic.

 

Supplements recommended by Dr. Ehlenberger may be purchased commercially online or at Accurate Clinic.

Please read about our statement regarding the sale of products recommended by Dr. Ehlenberger.

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