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Coronavirus: my immune boosting and antiviral plans (and what to use if you’re anxious)

By Trudy Scott 107 Comments

coronavirus immunity

 

3/27/20: Updated with a good blog post on elderberry (addressing cytokine storm concerns); an excellent video on “The Coronavirus Explained”; 3 new and promising coronavirus/COVID-19 studies on gut health and melatonin; an excellent hand-washing video I encourage you to watch with your families; a recap on using GABA, tryptophan, DPA, glutamine and tyrosine for emotional support

3/20/20: Updated with webinar information so you can post your questions.

3/12/20: Updated as a result of the situation in Italy and the WHO pandemic declaration – Italy overwhelmed with not enough ICU beds and ventilators; predictions the USA healthcare system (and other countries) will likely not be able to handle a similar situation; stay home and immune-boosting advice from Dr. David Brady; additional resources from Dr. Elisa Song; and more on hand-washing

1/31/20: Originally published – vitamin C and foundational nutrients; my other immune boosting nutrients and first aid kit; GABA or tryptophan if you are worried, overly anxious or fearful

UPDATES 3/27/20:

Coronavirus explained, gut health, elderberry, melatonin and more

So much is changing so quickly and there is so much to learn about the coronavirus. I am spending all my time pouring through the literature, learning from other practitioners, reaching out to researchers and trying to connect some of the dots for you. For this reason I’ve decided to do an update each week to this blog and add new findings and relevant information for you.

I’ve updated this blog again TODAY with a good blog post on elderberry, an excellent video on “The Coronavirus Explained” and 3 new and promising coronavirus/COVID-19 studies on gut health and melatonin. I will be taking a deeper dive into these studies, sharing my perspectives related to the anxiety nutrition work I do. I also share an excellent hand-washing video I encourage you to watch with your families!  And a recap on using GABA, tryptophan, DPA, glutamine and tyrosine for emotional support.

Elderberry concerns about it triggering a cytokine storm – put to rest

There have been many questions about elderberry and concerns about it possibly triggering a cytokine storm. Suzy Cohen addresses all these concerns here: In Defense of Precious Elderberries

The misinformation you’re getting was based upon a research article that evaluated blood cells in test tubes. It was not a well-designed, placebo-controlled clinical trial. It was not even done on real live people (in vivo).

A number of my respected colleagues agree with her conclusions: “compounds from elderberries can directly inhibit the [flu] virus’s entry and replication in human cells, and can help strengthen a person’s immune response to the virus.” More here.

Understanding the Coronavirus

I found this video very helpful for understanding the coronavirus: The Coronavirus Explained & What You Should Do

 

New and promising coronavirus/COVID-19 studies on gut health

Here are two new coronavirus/COVID-19 gut health studies. I will be taking a deeper dive into these studies in a future blog post, sharing my perspectives related to the anxiety nutrition work I do. For now, here are the links.  It’s very preliminary research but if you tuned in to the recent Anxiety Summit 5: Gut-Brain Axis, you know how promising this is:

Although no specific antiviral treatment has been recommended to date, we speculate that probiotics may modulate the gut microbiota to alter the gastrointestinal symptoms favorably and may also protect the respiratory system

Nutritional and gastrointestinal function should be assessed for all patients. Nutritional support and application of prebiotics or probiotics were suggested to regulate the balance of intestinal microbiota and reduce the risk of secondary infection due to bacterial translocation.

Anxiety and fear were common in patients with COVID-19. Therefore, we established dynamic assessment and warning for psychological crisis.

I address anxiety in all the work I do an agree it needs to be at the forefront for everyone.  I take a deeper dive into GABA and theanine and the anxiety/sleep/immunity connections in this recent blog: GABA and theanine for easing anxiety, improving sleep and supporting immunity.

Melatonin as a potential treatment: new research

This in press and pre-proof paper on melatonin is also very promising: COVID-19: Melatonin as a potential adjuvant treatment:

Melatonin, a well-known anti-inflammatory and anti-oxidative molecule, is protective against ALI/ARDS [acute lung injury/acute respiratory distress syndrome] caused by viral and other pathogens. Melatonin is effective in critical care patients by reducing vessel permeability, anxiety, sedation use, and improving sleeping quality, which might also be beneficial for better clinical outcomes for COVID-19 patients. Notably, melatonin has a high safety profile.

I will also be taking a deeper dive into this study in a future blog post, sharing my perspectives on serotonin, melatonin, anxiety and sleep.

THE best hand-washing video!

This is THE best hand-washing video I’ve come across. It was even retweeted and acknowledged by WHO Director General, Dr Tedros Adhanom Ghebreyesus.

I’m pretty sure I may have been missing my thumbs! What about you?

handwashing

I don’t know how to share a video from twitter other than share the twitter link so I hope you can watch it.

We’re using soap at home and have one designated person in our household of four adults going out to pick up food items. This is the time we use hand-sanitizer (and gloves). Here is another blog on How to Make Your Own Hand Sanitizer in case you’re in a similar situation to us and can’t find ingredients to make more. Suzy mentions vinegar and colloidal silver in this one and shares a number of practical recipes.

IV vitamin C, oxalates, anti-malarial drugs and losss of smell and taste

It’s so encouraging that New York hospitals are treating coronavirus patients with vitamin C.  There are, however, concerns for folks who have dietary oxalate issues (with both oral and IV vitamin C). I’ve been gathering feedback and research on this topic and will hopefully have more to share next week.

I also have some major concerns about the anti-malarial drugs chloroquine and hydroxychloroquine and will share those, together with my perspectives on the loss of smell and taste as a possible marker of infection.

 

bouquet of hope

Until then, here is another little “bouquet of hope” from our garden to you … My darling mom-in-law brought this lovely little arrangement to me in my home office earlier this week! Aren’t I a lucky girl!?

Amino acids for emotional support, good sleep and to prevent comfort-eating

Finally, don’t forget about the amino acids for added emotional and nutritional support (our needs are higher at a time like this):

  • GABA for physical tension and anxiety (more here)
  • tryptophan for excessive worrying and feeling fearful (more here)
  • glutamine if you’re not eating well and getting blood sugar crashes, and for gut healing (more here)
  • tyrosine if you just can’t focus and want to curl up in bed (more here)
  • and DPA if you’re feeling overly emotional and weepy, comfort-eating is your support right now (more here)

This blog, The Antianxiety Food Solution Amino Acid and Pyroluria Supplements, lists the products that I use with my individual clients and those in my group programs.

Please feel free to comment on any of the above new developments and share what you are learning too. And do let me know if this format is helpful for you.

Keeping you in my thoughts! And keeping you informed and empowered so anxiety is less of an issue.

UPDATES 3/20/2020:

I’m planning a series of webinars to get your coronavirus questions answered:

  1. I’m planning to interview a health coach/colleague living in Italy/Germany right now and have her share her experiences about living in lock-down and more about the situation in Europe
  2. I’m planning to interview Dr. David Brady to share his patient protocols for immunity,  testing and much more
  3. I’ll be doing one with me talking about best how to deal with the anxiety, worry and laying awake until 3am fearful.  Anxiety and lack of sleep adversely impact immunity so we have to sort that out. I’ll also cover the many nutrients for anxiety that also support immunity
  4. I’m looking for an expert to talk about vitamin C and the risks for those with dietary oxalate issues, and other viable and safe options instead of vitamin C
  5. I’ll be interviewing a doctor on the role of melatonin in counteracting severe inflammatory responses such as pro-inflammatory cytokines. It’s being theorized that older individuals are being more impacted because of low melatonin levels and it’s because children have higher levels of melatonin they are less impacted.

I hope these will be helpful for you? What questions do you have for each webinar (please list the webinar # and the question/s when you comment below. Please don’t send your questions via email – as you can imagine we are receiving a large number of emails!) Let me know what other information you are looking for.

UPDATES 3/12/2020:

The situation in Italy has me concerned

At the time of initial publication of this blog at the end of January, I was in agreement with what the Orthomolecular Medicine News Service were suggesting – we were reading a lot of media hype.

I am not one for fear-mongering, but after reading this very sobering account by two Italian doctors 2 days ago, I am now much more concerned about the coronavirus for the folks who will be most severely impacted – the elderly and the immune-compromised.

In Italy they do not have enough ventilators or ICU beds. Dr. Jason Van Schoor shared warnings from a colleague working in Northern Italy:

I feel the pressure to give you a quick personal update about what is happening in Italy, and also give some quick direct advice about what you should do.

First, Lombardy is the most developed region in Italy and it has a extraordinary good healthcare, I have worked in Italy, UK and Aus and don’t make the mistake to think that what is happening is happening in a 3rd world country.

The current situation is difficult to imagine and numbers do not explain things at all. Our hospitals are overwhelmed by Covid-19, they are running 200% capacity

We’ve stopped all routine, all ORs have been converted to ITUs and they are now diverting or not treating all other emergencies like trauma or strokes. There are hundreds of pts with severe resp failure and many of them do not have access to anything above a reservoir mask.

Patients above 65 or younger with comorbidities are not even assessed by ITU, I am not saying not tubed, I’m saying not assessed and no ITU staff attends when they arrest.

We have seen the same pattern in different areas a week apart, and there is no reason that in a few weeks it won’t be the same everywhere

You can read the entire thread on Twitter here. At first glance there is skepticism and disbelief this could be happening but a trusted colleague in San Francisco has heard similar accounts from doctors she knows in Italy. It’s thanks to her that I started digging deeper into the situation in Italy and had my mind changed.

And this article in the New York Times was also just published confirming much of this: Italy’s Health Care System Groans Under Coronavirus — a Warning to the World. They they do mention doctors being muzzled which is very concerning. We need transparency if we are to learn.

Predictions the USA healthcare system (and other countries) will likely not be able to handle a similar situation

This article supports what is happening in Italy, with serious predictions for the USA (and presumably other countries too) – What does the coronavirus mean for the U.S. healthcare system? Some simple math offers alarming answers

What does an avalanche of uncharacteristically severe respiratory viral illness cases mean for our health care system? How much excess capacity currently exists, and how quickly could Covid-19 cases saturate and overwhelm the number of available hospital beds, face masks, and other resources …

….like in Italy where this is happening right now!

This is why I am now fully behind social distancing and staying home

I’m still of the opinion I need to focus on healthy living/eating and boosting my immunity (and it’s what me and my family are currently doing) but I am now fully behind social distancing, staying home, not attending big events and not traveling – so this virus can be contained as much as possible. Knowing what I now know about Italy makes this an easy decision which is why I’m sharing it here today – even if it is frightening.

Dr. David Brady, ND, author of The Fibro Fix, provides some basic advice on staying as healthy as possible in this recent video posted on Facebook. His is the calm voice of reason, sharing precautions to take during the COVID-19 pandemic and also fully supporting the social isolation and stay home message.  He does mention andrographis for antiviral support, garlic, elderberry, vitamin C, lauric acid (monolaurin), vitamin D, preformed vitamin A (as opposed to beta-carotene), zinc and echinacea as all good nutrients to consider for his patients and family.

Unfortunately, many of my colleagues are still saying it’s media hype, out of control fear-mongering, is not as bad as the flu and there is no way this could happen in a country like the USA, Australia, UK and elsewhere.  I know they’ll get on board with all this once they have this information too.

I sincerely hope I am wrong about this and things don’t get as bad as Italy. For now I’m playing it safe.

My hand-washing research

I got called out for not mentioning hand-washing when I first published this blog. My focus was to share my first-aid kit i.e. nutraceuticals I use but KT was is absolutely right

Hand hygiene is the single most important intervention for reducing healthcare associated infections and preventing the spread of antimicrobial resistance.

My assumption was that this is common knowledge but based on this statement in the same paper, perhaps this isn’t the case?

while tremendous progress has certainly been made in this field, a significant amount of work is yet to be done in both strengthening the evidence regarding the impact of hand hygiene and maximizing its implementation

With regard to what to use: antibacterial soap showed little added benefit compared with regular soap

Interestingly this paper also states “Hand hygiene is clearly effective against gastrointestinal and, to a lesser extent, respiratory infections. Studies examining hygiene practices during respiratory illness and interventions targeting aerosol transmission are needed.” I’m not sure of the implications of this for the coronavirus. For now I’m following the guidelines outlined in Dr. Song’s blog (below).

This 2017 Time article, Washing Hands In Cold Water Works As Well As Hot Against Germs, clears up what they say is often conflicting data and has some good guidelines from a study published the same year (it was looking at E. coli bacteria and not viruses): wash hands in cold water, at least 10 secs of lathering and use regular soap. Hand lotion afterwards seems to help too.

Additional resources

I’ve also got some blogs from colleagues to share with you so you have additional resources:

It’s an approach the physicians of the Orthomolecular Medicine News Service are recommending and it’s gives me a higher level of comfort in these days ahead.

As I mentioned above I do have some questions and concerns about this vitamin C IV approach (and high doses of oral vitamin C) for folks with oxalate issues (myself included) and for folks with G6PD deficiencies and hemochromatosis. I’ll share more as I learn more.

  • And this one from Dr. Song too – Handwashing and Coronavirus: Are you doing it the right way? I encourage you to watch the hand-washing demo videos she links to and show them to your children! This fact is astounding: “If 60% rather than 20% of air travelers maintained clean hands, it could slow down the spread of infections by almost 70%“
  • Dr. Song also shares How to Make a 60% Alcohol-Based Hand Sanitizer. “Washing hands with soap and water is the #1 recommended way to prevent the spread of Coronavirus. But if you don’t have access to soap and water, what can you do? The CDC recommends using a hand sanitizer with at least 60% alcohol.“
  • A blog from Paleohacks: Thieves Oil What It Is, Benefits & How to Make It. Use Thieves oil as a natural disinfectant around your home. “It’s great for wiping down counters, cleaning toys, disinfecting cutting boards, removing stale odors, freshening trash cans and gym bags, and even cleaning veggies.”

Originally published 1/31/20:

How are you handling all the coronavirus news? Worried? Anxious? Fearful? Or are calmly watching and listening and making sure your immune system is in good shape and you have natural antivirals on hand if necessary? (and updated 3/12/20 – are you taking the stay at home message seriously? much more on that below)

There are still many unknowns but I’ve been gathering some articles and resources for my own personal use. I’m not an expert in infections but since folks in my community are asking I promised to share my first-aid kit and rationale in a blog post.

I can help with the anxiety and fear aspect if all this doesn’t put your mind at ease. I cover how I use individual amino acids with my clients at the end of this blog post.

Vitamin C and other foundational nutrients

This newly published blog by Andrew Saul PhD, Vitamin C Protects Against Coronavirus, offers sage foundational advice that resonates with what I already know:

The physicians of the Orthomolecular Medicine News Service and the International Society for Orthomolecular Medicine urge a nutrient-based method to prevent or minimize symptoms for future viral infection. The following inexpensive supplemental levels are recommended for adults; for children reduce these in proportion to body weight:

Vitamin C: 3,000 milligrams (or more) daily, in divided doses.

Vitamin D3: 2,000 International Units daily. (Start with 5,000 IU/day for two weeks, then reduce to 2,000)

Magnesium: 400 mg daily (in citrate, malate, chelate, or chloride form)

Zinc: 20 mg daily

Selenium: 100 mcg (micrograms) daily

Vitamin C, Vitamin D, magnesium, zinc, and selenium have been shown to strengthen the immune system against viruses.

Additional rationale for vitamin C

In another blog by Andrew Saul PhD, Nutritional Treatment of Coronavirus, offers additional rationale for vitamin C: “Abundant clinical evidence confirms vitamin C’s powerful antiviral effect when used in sufficient quantity” and states that the “physicians on the Orthomolecular Medicine News Service review board specifically recommend at least 3,000 milligrams (or more) of vitamin C daily, in divided doses. Vitamin C empowers the immune system and can directly denature many viruses.”

It’s very encouraging to read that just 200mg a day“given to the elderly resulted in improvement in respiratory symptoms in the most severely ill, hospitalized patients.”

This statement from the above blog puts much of what is considered to be media hype and fear-mongering into perspective: (see below why I no longer feel this is media hype)

“The common cold is a coronavirus, and SARS is a coronavirus, so they are the same viral type” ~ David Jenkins, MD, Professor of Medicine and Nutritional Science, University of Toronto.

I do have some questions and concerns about using high doses of oral vitamin C and vitamin C IV for folks with oxalate issues (myself included). I’m actively seeking answers.

Vitamin D, olive leaf extract, oregano oil, elderberry, NAC and diet

Here are some additional links that I have found or were shared with me (thank you if you shared one of these with me!):

  • Vitamin D and the anti-viral state “These results support the hypothesis that vitamin D … may play a major role in the inhibition of viruses.” I’m very aware of the immune-boosting properties of vitamin D.
  • Olive leaf extract “decreased the duration of upper respiratory illness in high school athletes.” We always have this on hand and it appears to work well for me and my family so I’ll make sure to keep this in mind.
  • Oregano oil – per this article on Holistic Primary care “A number of preliminary in vitro or animal studies have shown that compounds in oregano oil are virustatic and virucidal against several viral pathogens.” I always have oregano oil on hand (and especially when flying) and it always works well for me at the first sign of any bug. I was pleased to come across this research even though we don’t yet have a human study.
  • Black elderberry liquid extract “displays an inhibitory effect on the propagation of human pathogenic influenza viruses” and has antimicrobial effects against bacteria responsible for infections of the upper respiratory tract. This is also a firm favorite in our household in the winter months and I seldom need more than one or two doses at the first sign of the sniffles.
  • N-acetyl-L-cysteine (NAC) “antioxidants like NAC represent a potential additional treatment option that could be considered in the case of an influenza A virus pandemic.” I’ll be giving NAC more consideration.
  • Here are some well-balanced perspectives from Peter D’Adamo on Facebook mentions drinking plenty of water, stocks, garlic (freshly crushed), onions, leeks, elderberry and Andrographis paniculata. He does say “Keep in mind these are just my opinions and observations over a thin veneer of facts.”

Consider lomatium?

Lomatium is not my first choice but I’m listing it here out of interest. Lomatium by Barlow Herbals “During the flu pandemic of 1917-1918, the root came into extensive use by the two Washoe Indian tribes near Carson City, Nevada.” I have yet to try this one but have heard Jane from Barlow Herbals talk about lomatium on a number of summits and I’m intrigued.

My first-aid kit

In summary, here is my first-aid kit: Vitamin C, zinc, extra selenium, vitamin D, magnesium, oil of oregano, olive leaf extract, black elderberry and Biocidin Throat Spray and Xlear Nasal Spray (the latter two are always on hand and I always also travel with them).

I also always have essential oils on hand: tea tree oil, eucalyptus, peppermint, rosemary, lavender and others. I’ll be adding sage per Dr. Elisa Song’s blog (see below).

This is pretty much what I always use other than adding in extra selenium, so it was very affirming to gather all this research.

trudy first aid kit
Here are just a few products from my first-aid kit.

GABA or tryptophan: if worried or overly anxious or fearful

If you’re feeling worried or overly anxious or fearful, the best way is to be informed and prepared. Interestingly, some of the very same nutrients mentioned above also help ease anxiety – vitamin C, zinc, vitamin D, magnesium and selenium and B vitamins – because they are co-factors for making neurotransmitters like serotonin, GABA and dopamine.

If all this information and being prepared isn’t enough to calm you down, then don’t forget the individual amino acids for quick relief. I use GABA for clients who are feeling physically tense and tryptophan or 5-HTP for worry-type of anxiety and if they are imagining the worst and can’t switch off their busy mind off.

We use the trial method to find the ideal amount for each person, starting low and titrating up based on symptoms and then down if not added benefits are seen.

You can find my most popular amino acid products on the supplements blog here (and with details for how to set up an account for my online store). You can find everything else I write about in the store too. Just be sure to work with your practitioner.

My thoughts are with you and all of those currently ill and those who will get ill. We will get through this together.

My hope is that you are less anxious and fearful as you become more informed.

Please share your immune-boosting remedies and your thoughts and plans.

As I mentioned above, these are resources and information I’ve gathered for my own personal use, and are in no way intended to be recommendations.

 

RICE, arnica, GABA and DPA for my sprained ankle

By Trudy Scott 34 Comments

sprained ankle

I’m in the USA for 2 conferences and I just spent 3 super days visiting my brother and his family in Las Vegas. We had a super hike in Red Rocks National Park.

We went early to avoid the heat and it was fabulous until I slipped on some sand when going down a steep section in the way out.

I twisted my ankle and at the time I thought this is bad! This is very bad!

It was a big relief that I was able to walk out. I walked very slowly and used my sister-in-law’s shoulder in the steep sections, always keeping my foot flat.

However when we got home I found I could not put any weight on it at all. The pain was really bad if I tried! How was I going to be able to navigate airports, hotels, conferences, speaking on stages and standing at my booth over the next 10 days?

At Mindshare, I’m thrilled to have been selected to present on The Future of Health, a 5 min TEDx type talk. My topic is: Why Social Anxiety, Introversion and Loneliness can be Lethal and a Simple Nutritional Solution. It will be videotaped and I’ll be sure to share with you.

[UPDATE: January 2020 – Here is the blog post with a link to the presentation and additional information on pyroluria]

I’ve also be nominated for a Rising Tide award at Mindshare.

And I’m presenting at the Integrative Medicine for Mental Health (IMMH) conference on “GABA for Anxiety, ADHD, Autism, Insomnia, and Addictions: Research and Practical Applications.”

I had to get it healed as quickly as possible!

iced foot

I pampered my foot for the next 12 hours, keeping it elevated and alternating between ice and using a compression bandage.

The RICE – rest, ice, compression, elevate – technique really does work.

I was taken care of my my darling nieces and little Rascal, the taco-terrier came to check on me from time to time.

I could not stand on my foot at all that first day. When I did need to get up, I used the crutches. I was keeping well- hydrated so there were frequent bathroom breaks.

I also used arnica cream topically and arnica homeopathic pills orally 3 times a day.

It was pretty painful that first day so I also used DPA (d-phenylalanine), an amino acid which is great for physical pain. I also decided to use GABA, a calming amino acid  – this helped me relax and feel calm, sleep better and I suspect it helped ease some of the muscle stiffness and the pain too.

By the next day I was able to walk very carefully and 2 days later I was walking with almost no limp. I did continue with all of the above RICE, arnica, GABA and DPA supplements too.

bruised foot

This is how my foot looks 4 days later. There is slight bruising and very little swelling. I can walk without a limp and can now wriggle my toes with no pain.

[UPDATE: July 2021]

I injured my knee last week (the diagnosis is patellofemoral pain syndrome) and I have been hobbling around (I had to use crutches for 2 days), doing physical therapy sessions, doing home exercises from the physical therapist, and using the RICE, arnica, GABA and DPA approach outlined above. It’s doing so much better in just a week but this injury got me thinking “why does this happen to me and how can I prevent it again?”

I have pyroluria and one of the classic set of symptoms with pyroluria is this: “Joints popping, cracking, or aching; pain or discomfort between the shoulder blades; or cartilage problems” (due to low zinc). That’s my first clue.

Because of the pandemic and being mostly home, I’m not taking the pyroluria supplements consistently. That’s my second clue.

I do have Lyme disease. There is a pyroluria-Lyme connection, and it’s well recognized that the Borrelia burgdorferi spirochete often affects the musculoskeletal system. That’s my third clue.

I also have dietary oxalate and pain issues and with the oxalate-vitamin B6 connection, I suspect this may be my fourth clue.

Now I plan to dig deeper into this particular set of pyroluria symptoms and look at the mechanisms at play that cause knee/ankle/hip/shoulder and other injuries to tendons, joints and cartilage (I’ve had many injuries over the years). It’s fascinating what I’m learning so far.

Stay tuned for an entire blog post on the topic. Until then please do share your experiences below if you have pyroluria and/or Lyme disease and/or dietary oxalate issues, and have or have had a lot of injuries.  Keep in mind that just having pyroluria is enough to have these types of injuries and it’s the Lyme and oxalate issues that add to the problems.  Having Ehlers Danlos Syndrome (EDS) adds to the complexity too.

If you’re new to pyroluria, this blog with my Mindshare video, Why social anxiety, introversion and loneliness can be lethal and a simple nutritional solution, has the following information:

  • A brief overview of pyroluria
  • A link to the Pyroluria Questionnaire from my book The Antianxiety Food Solution (which has an entire chapter on the topic).
  • A discussion on how I first discovered the pyroluria-introversion connection
  • And information on loneliness and the sociability/vagus nerve connections

Do you have pyroluria (social anxiety or introversion) or score high on the pyroluria questionnaire?

Have you noticed you are more injury prone when you are not on the pyroluria protocol or that your injuries stopped or became less frequent once you discovered you have pyroluria and started supplementing? And then got worse again when not supplementing?

What kinds of injuries have you had or have now?

Do you also have Lyme disease and/or dietary oxalate issues?

Have you used a similar approach for an ankle or knee injury – RICE, arnica, GABA and DPA?

What other tips do you have for a sprained ankle or knee injury?

How best to use the amino acid DPA for easing heart-ache, weepiness, comfort eating and a compulsive desire for food

By Trudy Scott 36 Comments

amino acid dpa

DPA (d-phenylalanine) is an amino acid that destroys the enzyme that breaks down endorphins. Endorphins are feel-good chemicals that you experience with an endorphin rush when you go for a run or when someone gives you a big hug, when you show kindness to someone or an individual does something nice for you.

Taking the amino acid, DPA, as a supplement helps to raise your endorphins and helps when you feel weepy and overly emotional AND reduces the need to self-medicate with treats as a reward or for comfort. This amino acid is a favorite with so many of my clients and community because it makes them feel so lovely.

My recommendation has always been to chew the DPA capsule for the best effects and to get results quickly (in 2-5 minutes) but I’ve now changed my recommendation. Instead of chewing the whole capsule I now recommend opening the capsule into your mouth.

New DPA recommendation – open the capsule instead of chewing it

I’ve updated the Antianxiety Food Solution Amino Acid and Pyroluria Supplements blog as follows:

I used to recommend simply chewing the capsule to get the quickest and best effects and this worked well when it was produced in a gelatin capsule. Now it’s made with a cellulose capsule and chewing doesn’t work at all well, so opening the capsule (or just biting off the top) and tipping the powder into your mouth works best.

When it was in a gelatin capsule, the warmth of the mouth dissolved the gelatin and you could eat the capsule together with the DPA. With the cellulose capsule, chewing it leas to much of the DPA getting partially stuck in the chewed capsule, which is not very pleasant to chew and swallow. The DPA is simply much more palatable and effective when it’s opened up into the mouth, rather than chewed. There is one caveat – the taste of the DPA itself – but if you’ve been chewing it you’ll be fine opening the capsule going forward.

EndorphiGen

My favorite DPA product is Lidtke Endorphigen. It contains 500mg and a tiny amount of vitamin B2 and vitamin B6.

You’ll notice the bottle says: “Maintain healthy endorphin levels to ease minor pain.” Physical pain relief is one of the side-benefits of DPA, but you could easily replace this statement.

Results for weepiness and a deep heart-ache, and the taste of DPA

Missy shares how DPA helps her deep heart-ache sort of feeling:

I have found I was using this product incorrectly. If you are feeling fine, you do not feel much of anything from it. But today I was weepy and felt that deep, heart-ache sort of feeling. I chewed 1000 mgs (2 capsules) and it DID help lift that awful feeling within 15 minutes.

Notice that she said if you’re feeling fine you don’t feel much at all. This is true of all the amino acids – they only make a difference when you need them.

Missy chewed the capsule but with the new cellulose capsule it’s much more palatable when it’s opened up into the mouth. She also reported what about half my clients say:

Tastes like slightly bitter dark chocolate. 🙂

The remainder of my clients don’t like the taste at all, although many say the taste grows on them. I’ve always been in the dark chocolate camp and find it quite pleasant tasting.

If you have a really hard time with the taste of the DPA, you can mix it with a small amount of GABA powder (assuming low GABA is also an issue) or inositol powder (if low serotonin and obsessions and ruminations are also an issue) as both of these are naturally quite sweet.

Results for a compulsive desire for food

Nanner finds that opening a capsule into her mouth gets rid of the compulsive desire for food:

It really helps! Whenever I notice I am opening cupboards when I cannot possibly be really hungry, I open one capsule and pour it into my mouth, let it dissolve. I like the taste! The compulsive desire for food goes away, and I am able to re-focus my attention and get on with my day. Amazing! Now, I just need to form a new habit and remember to DO IT!!! Lol

Take note how quickly this works for her. She is actually opening cupboards and on the prowl for a treat or reward, recognizes this and has some DPA and viola, she no longer needs the sweet comfort she was seeking. In an ideal world she would be taking DPA a few times a day until she has good levels of endorphins. In this instance there would be no cupboard prowling. But as you can see, it can be used on-demand with excellent results.

DPA, glutamine, GABA, tryptophan (or 5-HTP) and tyrosine are ALL powerful for eliminating sugar cravings – is it low endorphins?

The individual amino acids DPA, glutamine, GABA, tryptophan (or 5-HTP) and tyrosine are ALL powerful for eliminating sugar cravings, often within 5 minutes. It seems that this wonderful benefit – over and above the anxiety-reducing and mood-boosting benefits – is often overlooked or poorly understood.

If you’re not certain if your cravings are comfort/reward cravings the best way to figure it which neurotransmitter deficiency is affecting your sugar cravings is to do the amino acid mood questionnaire and also review the list on this blog for further clarification: The individual amino acids glutamine, GABA, tryptophan (or 5-HTP), DPA and tyrosine are powerful for eliminating sugar cravings, often within 5 minutes

The big clue with low endorphins is that you may also feel weepy, overly emotional and sometimes experience physical pain. The emotional connection to the treat – be it chocolate or ice-cream or cookies – feels very real and very strong too and you can’t imagine having to give up this treat you clearly deserve.

Resources for you related to this blog

Here is one paper, which discusses how DPA inhibits or breaks down enkephalins (endorphins are closely related compounds) and as a result helps with depression and pain, and acts as an anti-inflammatory.  This paper, discusses beta-endorphins and the reward mechanism and how they can induce euphoria, reduce pain and ease addictions and distress. Despite that fact that this is discussed in the context of drugs and alcohol, more and more research is showing parallels between drug and food cravings.

Here is the amino acid questionnaire

You can find the DPA and other amino acid products I use with my clients here.

As always, thanks for sharing your feedback and questions on my facebook page and in all the blog comments. It allows me to write blogs like this and share your own feedback and experiences.

I have to say that I agree with Sandra’s sentiments and so do most of my clients:

Honestly I think the whole world needs this!

Do let us know if DPA has helped you with reducing weepiness, comfort/reward eating?

Has it also helped with easing physical pain too?

And have you noticed DPA works best when opened up onto your tongue? And are you in the dark chocolate camp and find it quite pleasant tasting?

Mycotoxin illness is real! Is mold the root cause of your mystery symptoms and unresolved anxiety?

By Trudy Scott 13 Comments

Do you suffer from mystery symptoms and unresolved anxiety? Toxic mold is one possible unrecognized root cause – it can create hormonal imbalances, brain disrepair and neurotransmitter imbalances, chronic gastrointestinal issues and multiple autoimmune conditions.

Almost 20 years ago, your host, Dr. Margaret Christensen, was a successful OB-Gyn with a booming practice. She began having debilitating fatigue, was unable to think clearly and she ached all over, to such an extent that she had to close her practice.

Her family also showed symptoms: learning difficulties, insomnia, severe mood swings, migraines, ADD, asthma and bronchitis, tremors, sinusitis. After 8 years of sickness, they finally found toxic mold in their water-damaged house.

You should suspect and look into mold toxicity if you are:

  • Enduring terrible mood swings, anxiety and/or depression
  • Suffering from sinus infections, bronchitis and migraines
  • Weakened by gut issues, brain fog, fatigue, neurologic symptoms
  • Constantly challenged with sleep issues
  • Reacting to chemicals, smells, foods, medications

You may have told mold toxicity isn’t a real issue or that it is a pseudo condition. I was digging through the recent research and it’s not surprising that many doctors say it’s not real especially with studies like this one: Toxic mold: phantom risk vs science:

Indoor mold growth is variable, and its discovery in a building does not necessarily mean occupants have been exposed. Human response to fungal antigens may induce IgE or IgG antibodies that connote prior exposure but not necessarily a symptomatic state.

When mold-related symptoms occur, they are likely the result of transient irritation, allergy, or infection. Building-related illness due to mycotoxicosis has never been proved in the medical literature. Prompt remediation of water-damaged material and infrastructure repair should be the primary response to fungal contamination in buildings. 

There are a rather large number of studies that reach the same conclusion (it’s not real) but the good news is that there is a 2013 paper – A review of the mechanism of injury and treatment approaches for illness resulting from exposure to water-damaged buildings, mold, and mycotoxins acknowledging that mycotoxins are an issue for many individuals:

Illness results from a combination of factors present in water-damaged indoor environments including, mold spores and hyphal fragments, mycotoxins, bacteria, bacterial endotoxins, and cell wall components as well as other factors. Mechanisms of illness include inflammation, oxidative stress, toxicity, infection, allergy, and irritant effects of exposure.

And ask anyone who has lived through mold toxicity and then healed and thrived, just how real and debilitating it is trying to figure out if it is in fact toxic mold that is the root cause and then what to do about it.

This same paper reviews commonly used treatments

such as glutathione, antioxidants, antifungals, and sequestering agents such as cholestyramine, charcoal, clay and chlorella, antioxidants, probiotics, and induced sweating.

All of the above will be covered in the summit (and much more).

Here are a few highlights and insights from me.

The interview with Dr. Ann Shippy – “Overview of the Journey to Recovery” – is just that, a very useful summary of all the mold connections and it highlights many of the other speakers and topics. She also shares this about Lyme disease, toxic mold and your total toxic load

Patients can have Lyme disease and not be sick but when they are sick it’s often because mold is suppressing the immune system and causing symptoms. It may not even be Lyme but mold instead.

Yuli Horesh covers: “Diffusing Probiotics to Defend Your Environment.” It is a fascinating interview I look forward to seeing some long-term research on the safety aspects. Other than this it makes so much sense and is a very exciting approach together with everything else. I also want to say that we don’t want to be thinking of this as a short-cut/quick-fix and not doing anything else.

Dr. Mary Ackerly’s interview is fabulous and is not to be missed– “Brain on Fire: The Role of Toxic Mold in Triggering Psychiatric Symptoms”. It’s very exciting to hear a psychiatrist who is so knowledgeable and passionate about this topic. I loved that she talked specific testing and about group 1, 2,3 and 3B in terms of how sick folks are and how quickly they respond to treatment and what needs to be done in terms of remediation.

I was also thrilled to learn about the International Society for Environmentally Acquired Illness (ISEAI) and encourage you to check them out as a resource for both your own recovery and if you’re a practitioner, for learning. They are hosting their first conference in May: “Healing Complex patients in a Toxic World”.

I was hoping to learn more about the NeuroQuant Triage Brain Atrophy Report (from Cortech) from her and other speakers. I wanted to know if a contrast agent is needed during the MRI as many folks have issues with gadolinium toxicity when having MRIs and I’d be very concerned about adding to the toxic load. It seems the contrast isn’t needed.

In Dr. Jill Carnahan’s interview – “Metabolic Endotoxemia and the Gut-Brain Connection”, she recommends a provoked or challenged urinary myctoxin test with some glutathione or sauna because you can get false negatives if you don’t do this before testing. She also shares all her favorite binders: charcoal, clay, zeolite, glucommanan and citrus pectin.

They also talk about SIBO (small intestinal bacterial infection) and say that a lot of SIBO is really SIFO (small intestinal fungal infection), how toxic mold can impact gut motility and and how antifungals rather than anti-bacterials are the way to go in this instance.

Jeff Bookout’s interview on “Non-Toxic Remediation for Chemically Sensitive” is wonderful. They cover dry-fogging, using non-toxic citrus based oils, practical tips for travel and hotel rooms, keeping dorm rooms safe from toxic mold and how best to clean the HVAC (heating, ventilation and air-conditioning) system so you’re not dispersing toxic mold throughout the house. This is a very practical and common-sense interview.

If you didn’t register yet, I’m hoping this inspires you to register and tune in. It’s one of the most popular summits I’ve promoted and I feel it’s a topic we all need to learn about and ideally before it’s a problem because when you’re in the midst of it, it makes it that much more challenging to deal with. You just never know when you may need this information. Take for example all the people affected recently by the dreadful floods in Townsville in Australia, and elsewhere.

If you are in the midst of dealing with your own mold toxicity I know you’re getting great resources for remediation and recovery. Be sure to have a friend or loved one who has not been affected, listen in and read the transcripts so you’re not alone in figuring things out.

Even if you don’t currently have symptoms of mold toxicity, it’s an excellent resource so you can be prepared the next time you have water damage in your home, office or school. It will also allow you to make sure you don’t have a growing mold problem which may affect your health down the road.

The Toxic Mold Summit health experts, air quality experts and mold remediation specialists will help you identify if you have mold exposure and share the latest tools and techniques for dealing with toxic mold.

When you register be sure to check out the ebook, “Got Mold? Now What? Hope for Health and Home: Overview of Toxic Mold and Biotoxin Illness!” It covers why you get the following symptoms and the mechanisms, total toxic load, recommended testing for you and your moldy home (or work place or school etc.), resources to make you more resilient, basic treatment steps and dietary approaches to consider.

Here are symptoms and illnesses caused by toxic mold exposure. Dr. Christensen explains that mold/biotoxin illness may present in many ways, even within the same family who have been exposed to mold, and often with some kind of pain or inflammation, and in almost any area of the body:

  • Chronic recurrent upper respiratory and sinus infections
  • Chronic headaches/migraines
  • Severe chronic fatigue or ongoing flu-like symptoms
  • Fibromyalgia (tender, sore muscles)
  • Neurological issues (tremors, neuropathy, brain fog, ADD, learning issues, etc.)
  • Neuro-degenerative diseases (Parkinson’s, MS, ALS, Alzheimer’s and other dementias)
  • Severe gut symptoms (IBS, Crohn’s, ulcerative colitis, SIBO/SIFO)
  • Autoimmune disorders (thyroid, Hashimoto’s, psoriasis, rheumatoid arthritis, eczema, hives)
  • Multiple chemical sensitivities and histamine intolerance (rashes and hives)
  • Night sweats (common in men of all ages, as well as women)
  • Psychiatric symptoms (anxiety, depression, panic attacks, bipolar symptoms, psychosis)
  • Severe sleep disturbances
  • Recurrent interstitial cystitis, bladder infections and frequent urination
  • Hormonal imbalances (adrenal and thyroid hormones)
  • Infertility, heavy periods and cramps, endometriosis, PMS, PCOS
  • Cardiovascular disease
  • Lyme and co-infections, including viral infections like EBV, HHV6
  • Cancer (especially hormonal, leukemias/lymphomas and bladder/kidney)
  • Children: chronic ear, throat and upper respiratory infections, asthma, allergies, ADD/ADHD, sleep, irritability, bedwetting

In the testing section she does state that “HLA genetics tests are not necessary but can be interesting” and I was intrigued to hear this because I considered this a gold standard test to have done.

Here are some of the excellent topics and speakers:

  • Chemical Sensitivity and Detoxing Your Home with Bridgit Danner, LAc, FDNP
  • Heavy Metals, Fatigue and Detox with Wendy Myers, FDN-P, NC, CHHC
  • Essentials Oils to Treat and Prevent Mold Toxicity with Jen Broyles, CHC
  • Mold Inspection and Detection with JW Biava
  • Mold, Mental Illness and Suicide Prevention with Jill Sheppard Davenport, MS, CNS, LN
  • Mold, Histamine and Multiple Chemical Sensitivity with Gail Clayton, RPh, MS, CNS
  • Brain on Fire: Mental Illness and Mold with Mary Beth Ackerley, MD, MD(H), ABIHM
  • Advanced Therapies for Mold Recovery with Mark Hyman, MD
  • Finding a Quality Mold Inspector and Remediator with Jason Earle, IEP

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UPDATE: March 28, 2021
This summit is being re-released for a third time on April 26 – May 2, 2021 due to the high demand and excellent content.

I was thrilled to be invited to speak on this summit AND my interview, Immediate Relief for Anxiety, also happens to be one of the registration gifts so you get access right away!

We initially cover some of the many connections between mold toxicity and anxiety and low mood. I share from this 2018 paper, Effects of Mycotoxins on Neuropsychiatric Symptoms and Immune Processes:

  • the presence of mold and dampness was associated with the prevalence of depression and emotional distress
  • it’s unclear whether neuropsychological problems are due to the adverse effects of mycotoxins or the emotional and financial stress of keeping a house clean in the face of recurrent mold [it’s very likely both + the loss of treasured possessions for some folks too]
  • a low sense of control may lead to an elevated risk for anxiety and depression.

I also share how much I learned from Dr. Neil Nathan’s presentation at one of the IMMH conferences: “Mold Toxicity as an Unrecognized Cause of Mental Health issues.” He shares that “mold  toxicity may directly trigger anxiety, panic attacks, depression, depersonalization and hallucinations AND mast cell activation, multiple chemical sensitivities, secondary porphyrias, methylation dysfunction and pyroluria” … all of which plays a role in anxiety/depression.

I go on and cover the solutions for the anxiety and panic attacks (often directly triggered by mold toxicity) and the sense of loss while you are dealing with the mold toxicity and home remediation or move:

  • mold anxiety and how to use GABA and serotonin support to ease the anxiety, fears, insomnia, worry and panic attacks that are so common with mold toxicity (so there is not the added toxic burden of psychiatric meds)
  • how certain mycotoxins may actually lead to high serotonin and what to do in this instance
  • using DPA (an amino acid that boosts endorphins) to help comfort folks who may lose their homes and beloved contents/books/photos due to mycotoxins

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If you or a loved one suffers from mystery symptoms and/or unresolved anxiety I encourage you to tune in to learn more.

I’ll see you online at this educational summit when you register here.

Can you relate to any of this? Have you been ill as a result of toxic mold exposure? Or do you suspect mold is one of your root causes?

Have you remediated a moldy home and healed your self with a functional medicine approach?

Gut bacteria, pain and anxiety connections: Klebsiella and ankylosing spondylitis

By Trudy Scott 21 Comments

We know about the gut-brain connection where the health of our microbiome impacts how anxious or depressed we feel, but we often forget that there is a gut-pain connection too and how addressing dysbiosis and bad bacteria in the gut can have far-reaching benefits.

An old work friend recently reached out asking for help for her husband who had been diagnosed with ankylosing spondylitis, ulcerative colitis and gluten sensitivity, and was not seeing results with conventional treatment. I did some digging for them and a colleague mentioned that they had addressed Klebsiella when they discovered that her husband had genes predisposing him to ankylosing spondylitis. Read on to see what I’ve learned.

Klebsiella as a precursor to ankylosing spondylitis

The paper shared with me: The relationship between Klebsiella infection and ankylosing spondylitis, discusses the HLA-B27 gene and the Klebsiella connection:

Klebsiella-reactive arthritis is the precursor stage occurring in the early and active phases of ankylosing spondylitis.

Let’s learn more about Klebsiella, ankylosing spondylitis, the anxiety connection and prevalence, the role of neuro-inflammation and genes, the problems of a high carb diet and the role the amino acids GABA, tryptophan and DPA play in pain and anxiety relief and being able to quit the carbs easily, plus provide sleep support.

In case you’re not familiar with Klebsiella, this excellent FX Medicine article describes it as follows:

Klebsiella pneumoniae (KP) is a type of gram-negative rod-shaped bacteria that can cause different types of infections ranging from pneumonia (lung), blood infections (septicaemia), wound or surgical infections, urinary tract infections, small intestinal bowel overgrowth (SIBO), ankylosing spondylitis, Crohn’s disease, ulcerative colitis and meningitis (brain).

Ankylosing spondylitis is an inflammatory disease of the spine

In case you’re not familiar with the condition ankylosing spondylitis (pronounced like this) the Mayo Clinic site provides this summary:

Ankylosing spondylitis is an inflammatory disease that, over time, can cause some of the vertebrae in your spine to fuse. This fusing makes the spine less flexible and can result in a hunched-forward posture. If ribs are affected, it can be difficult to breathe deeply.

Ankylosing spondylitis affects men more often than women. Signs and symptoms typically begin in early adulthood. Inflammation also can occur in other parts of your body – most commonly, your eyes.

They say there is no cure and the treatments include pain medications and physical therapy to ease symptoms (and surgery in some cases).

I’m all for physical therapy but you’ll notice there is no mention of gut health or Klebsiella. This is why we have to keep searching for root causes – and work with a functional medicine practitioner – no matter what the health condition, be it ankylosing spondylitis or anything else.

Prevalence of anxiety in ankylosing spondylitis

As with most physical conditions there is a connection with anxiety. This paper: Prevalence of psychological disorders, sleep disturbance and stressful life events and their relationships with disease parameters in Chinese patients with ankylosing spondylitis reports that

AS [ankylosing spondylitis] patients had more severe psychological disorders, sleep disturbance, and stressful life events.

Prevalence of anxiety, depression, and sleep disturbance was 31.6%, 59.3%, and 31.0% respectively.

We have to ask ourselves if we have anxiety, depression and insomnia because of the pain being experienced or because of one or more of the root causes that contribute to both pain and anxiety.

Microbiota disturbance, neuro-inflammation, and anxiety

Often the research focuses on the former but we know that there is Evidence for interplay among antibacterial-induced gut microbiota disturbance, neuro-inflammation, and anxiety in mice. In this 2018 animal study treatment with lactobacilli suppresses this neuro-inflammation.

Ankylosing spondylitis, Crohn’s disease, genes and a high carb diet

The above FX Medicine article shares the connection between ankylosing spondylitis, Crohn’s disease and ulcerative colitis, as well as the genetic susceptibility, together with the problems of a high carb diet:

Genetically susceptible people, such as those who have the HLA-B27 allelotypes and consume a high starch/carbohydrate diet, can trigger a growth in Klebsiella in the bowel, the starch becoming a main food supply for the Klebsiella.

The amino acids for pain, carb addition, anxiety and insomnia

The amino acids come into the picture again, helping to ease the pain, provide precursors for neurotransmitter production until the microbiome is balanced, and eliminate carbohydrate cravings so they can be given up without willpower.

As always figuring out your own imbalance and doing an amino acid trial is key. Here is a summary of how they may help in this instance, assuming you have low levels of GABA, serotonin and/or endorphins:

  • GABA helps with stress eating of carbs, eases physical anxiety, eases some pain.
  • Tryptophan helps with afternoon and evening carb cravings, eases mental worry-type anxiety and depression, and also eases some pain. Both GABA and tryptophan help with insomnia.
  • DPA boosts endorphins providing acupuncture-like pain relief and provides the emotional comfort that starchy treats often do.

The FX Medicine article has treatment and prevention tips for you to share with your functional medicine doctor, who will be able to run a functional stool test such as the GI-MAP offered by Diagnostic Solutions Lab.

Just because there are these gut bacteria, pain, anxiety, Klebsiella and ankylosing spondylitis connections, it doesn’t necessarily mean everyone with ankylosing spondylitis has Klebsiella or that everyone who has Klebsiella will go on to develop ankylosing spondylitis (as stated above) or even that everyone with ankylosing spondylitis will have anxiety. I’m simply connecting some dots so you can start to think outside the box.

I’d love to hear what has worked for you or a loved one with ankylosing spondylitis and/or if you’ve seen elevated Klebsiella on your stool test or have the genetic predisposition?

Have the amino acids and a low-carb diet helped the healing process and eased some of your anxiety while addressing the underlying Klebsiella infection?