Hi Nonie,I consistently follow your articles and I havea follow-up question about a recent article. You state, Systemic inflammation can almost always be traced back at least in good part to malnutrition or toxicity related to dietary imbalances. Inflammation is an issue I deal with as I have Lupus, arthritis and sinusitis. Could you elaborate further on areas of malnutrition that contribute to inflammation? Would you also be more specific in regards to toxicity? What should I be looking for or doing to fix these two possible issues? And lastly, is there anywhere you can recommend to have a reliable food intolerance test?Thanks,Confused
Dear Confused,
Thank you for your question, and for reading regularly.With your specific conditions Lupus, arthritis (RA?), and sinusitis you do need to address inflammation on a systemic level. Each of these conditions is inherently inflammatory in nature. Doing so will be the cornerstone to improving your health.
Yours is a very complex health picture and obviously outside of the scope of my column to address fully, but holistic treatment should include addressing gut dysbiosis and permeability, which is certainly a factor in your inflammation. Ill try to unpack this a bit, as it relates to toxins and malnutrition. But first I want to clarify the meaning of malnutrition.
The root mal means disordered (Latin) or badly (le francais). We tend to take malnutrition to mean a lack of proper nutrition from not getting enough to eat. But it can also mean a lack of nutrition from not eating enough of the right things or from not getting adequate nutrients from the food one does eat. I will explain how this is relevant.
Healthy intestines dont just absorb nutrients and channel waste, their mucosa and structure also act as a barrier to pathogens and an informant to the immune system. When theres permeability in this barrier (think of it as tiny holes or gaps in a tube shaped, tightly woven screen covered in little finger like projections) food, various toxins, and microorganisms weve been exposed to escape or leak into the bloodstream to circulate. This is not supposed to happen in a healthy body!
In a healthy body, only beneficial, fully digested nutrients are given entry into the bloodstream by specific transport molecules via approved pathways to strategic sites where they are unloaded and used for specific manufacturing purposes. And all the dangerous things are locked inside the tube and swept along to be excreted. So foreign molecules (even nutrients) arent supposed to get into our bloodstream indiscriminately.
But our bodies are wonderfully designed! Our immune systems are set up to tag antigens on the surface of all potentially harmful substances that get into our bloodstream, creating antibodies to them forevermore so once we have come into contact with an offender, we are more quickly able to identify and remove it in the future. Antibodies are a signal to obliterate: a sort of seek and destroy function, if you will. Toxins, viruses, fungi, bacteria, chemicals, drugs, foreign debris, and proteins all have surface antigens that identify them.
So do many of our own cells, it turns out. But with an immune system that is functioning at normal levels, these are clearly recognized.
In a healthy body the antigens are limited and of a specific duration under normal circumstances (a flu virus, for example), after which the body recuperates and the immune response dies down. But, in the case of a leaky gut, the invaders are continual every time anything is passing through the gut there is a slow leak of antigens from various sources. The immune system goes to work tagging them all as a threat - even proteins we need for survival because they are escaping in an unrecognized form. Now theyre seen as offenders and a food reaction (sensitivity) is borne. Of course, the response is system-wide because the gaps allow these antigens directly into the bloodstream to circulate around.
Now, the immune system response doesnt stop there. Its super sophisticated.It has a backup to that backup, called inflammation. When the body gets the memo that the seek-and-destroy mission isnt doing the job and there are still circulating offenders getting in like gangbusters, it mounts an inflammatory response that is sort of like a system lockdown.
Inflammation can be localized when a tissue is damaged, for example, and we get swelling, heat, redness, and pain as chemicals are released to bring blood to the area to facilitate healing and clean up. Or inflammation can be non-specific and systemic, depending on the perceived threat.
Systemic inflammation looks like this:
Seek and destroy botched it again.Not surprising. Snort. Okay, lets get this done right. Initiate operation overkill.Heat or fever - lets torch these guys.Mucous - lets trap these guys.Tissue swelling - lets lock these guys in.Call in the Mr. Ts. (T-cells) - lets attack these guys.Okay, but were running low on energy.Right. Shut down the brain and draw all the energy reserves.
For someone with Lupus, these symptoms will sound very familiar.
The current medical paradigm is that systemic inflammation is a response in the body that doesnt understand there is no threat a spontaneously overactive or delusional immune system, if you will. In this paradigm its recognized that people with chronic systemic inflammation are more likely to develop autoimmune disease, although its not really understood how. Its perceived that the body just randomly attacks its own tissues. And these people, in turn, develop multiple chemical and food sensitivities, by unknown mechanisms.
But what if the leaky gut sets all this in motion? When antigens are appearing several times a day the immune system naturally goes on high alert. This isnt a dysfunctional immune system its a smart one. And when it does this, it has to become hypervigilant in attacking antigens. Since the bodys cells have their own antigens, its easy to see how they could get accidentally tagged in sites where thereis a perceived threat.
When quality control in any factory isdealing with threeor four timesthe normal maximum capacity, there are mistakes. And in this factory, tags are a forever thing. Any food with any protein component that escapes into the bloodstream via this mechanism would also be tagged and become something the body reacts to. Ditto chemicals. When this is happening daily, of course the backup inflammatory system is going to kick in to try to protect against the perceived invasion.
BOOM! Continual systemic inflammation with multiple food and chemical intolerances and an immune system on overdrive that is now busy attacking not only outside offenders, but itself. This is a holistic understanding of autoimmune disease. And it all starts in the gut.
And leaky gut is often linked to gluten intolerance. With your symptom set I feel safe saying its likely that youre gluten intolerant, if not celiac. I would recommend testing for celiac immediately. If that does not return a positive test, I would recommend non-celiac gluten sensitivity testing. You can get antibody, saliva and blood testing, but they are not always accurate in the absence of symptomatology and a knowledgeable practitioner. Its still new territory. I prefer my food intolerance test, antibody testing, and intestinal permeability testing, working collaboratively with your physician. In complex cases its always best to have a collaborative approach if you can.
Why do I feel you are gluten intolerant? Gluten, in particular, damages the gut lining in sensitive individuals. It burns the microvilli and causes gaps in the junctions of the intestinal lining. Remember, these gaps are how antigens leak into the bloodstream to initiate and fuel the immune system mayhem.
Undiagnosed non-celiac gluten sensitivity has been shown to masquerade as Lupus.
As for toxins, mycotoxins (molds), parasites, candida, bacteria from root canals, heavy metals, synthetic fragrances, chemical cleaners, chemical body care products, and environmental toxins should all be considered and eliminated. These can precipitate the problem or just add to it. Remember, if there are regular antigens the immune system mayhem starts. Regular antigens can come from a food intolerance (gluten), from environmental toxins (mould), from endogenous toxins (bacterial imbalance or candida), or from any number of sources. So if you are gluten intolerant, that is also acting as a toxin.
The person with an autoimmune disease will, as a result of all this, have an overburdened liver because it is trying to deal with all these toxins -and this means any subsequent toxin will have an exaggerated impact compared to the impact they would have on a healthy host. Something as benign as perfume can even trigger migraines or seizures in such people. Their livers just cant handle any more! Discerning and eliminating these toxins can make a big impact on the burden of the body. Removing common toxins like sugar, alcohol, drugs, cigarettes, and processed foods are also imperative for managing symptoms and discomfort.
It may be helpful to think of toxicity as anything that adds to the burden of the body. It only makes sense that if the burden is increased chronically, the body is going to need copious nutrients to do that work. Unfortunately, when we are chronically ill the first thing to go is often our diet. We eat convenience food instead of quality, nutrient dense foods. These foods are full of toxic chemicals and additives. Too, many healthy molecules are mistakenly tagged as toxins (above). The body struggles in the presence of so many substances to protect itself from and is overwhelmed by the burden of it.
But how does malnutrition play in? When the digestive system cant contain nutrients in the lumen until they are properly broken down and delivered via appropriate pathways, deficiencies develop. At the same time, the body requires more nutrients than normal to sustain its protective detail. These deficiencies, in turn, make it difficult for tissues (like the damaged gut tissue) to self repair. This happens even when a person is eating well - because the food is not being absorbed properly. This is why I say malnutrition plays a large role.
As such, I believe healing the gut and adding strategic supplements to a nutrient dense, easy to digest diet that identifies and avoids or rotates intolerances is essential in starting to address chronic inflammation and autoimmunity.
I hope this helps clarify the role of inflammation, toxicity, and deficiency, particular to your concerns, and of food intolerances. I hope it gives you some clear actions you can take to start to improve your health. If you want further guidance you can come see me in my clinic. I offer comprehensive testing for food intolerances and gut biome health, which would tell us a lot about the state of your digestive system to create a strategic plan. At the very least, I hope you are less confused.
As always, if readers have their own questions I encourage them to write to me at nonienutritionista@gmail.com. For more health news, recipes, and nutrition related events in the community, readers can go to my website at nonienutritonista.com and sign up for the newsletter. Its nutritionist certified and 100 per cent gluten and sugar free!
Namaste!Nonie Nutritionista
Nonie De Long is a registered orthomolecular nutritionist with a clinic in Bradford West Gwillimbury, where she offers holistic, integrative health care for physical and mental health issues. Check out her website here.
Do you have a question about health and wellness? Emailnonienutritionista@gmail.com
Read more:
Inflammation is body's response to a threat - NewmarketToday.ca
- 001 Cells of the Immune System - Video [Last Updated On: October 18th, 2011] [Originally Added On: October 18th, 2011]
- 002 Can immune cells from healthy people pulverize cancer? [Last Updated On: February 4th, 2012] [Originally Added On: February 4th, 2012]
- 003 Seg_2 - Suhaasini: Immune System Boosters - 21 Feb - Suvarnanews - Video [Last Updated On: February 22nd, 2012] [Originally Added On: February 22nd, 2012]
- 004 Seg_1 - Suhaasini: Immune System Boosters - 21 Feb - Suvarnanews - Video [Last Updated On: February 22nd, 2012] [Originally Added On: February 22nd, 2012]
- 005 Researchers Find Sarcoma Tumor Immune Response With Combination Therapy [Last Updated On: March 1st, 2012] [Originally Added On: March 1st, 2012]
- 006 Transplant Procedure Creates 'Hybrid' Immune System to Combat Rejection [Last Updated On: March 8th, 2012] [Originally Added On: March 8th, 2012]
- 007 Radiation Blast May Turbocharge Bristol-Myers Melanoma Drug, Report Shows [Last Updated On: March 8th, 2012] [Originally Added On: March 8th, 2012]
- 008 Vaccination strategy may hold key to ridding HIV infection from immune system [Last Updated On: March 9th, 2012] [Originally Added On: March 9th, 2012]
- 009 Stem cell treatment tricks immune system into accepting donor organs, study shows [Last Updated On: March 9th, 2012] [Originally Added On: March 9th, 2012]
- 010 Bite-Sized Biochemistry #53 - Immune System [Last Updated On: March 9th, 2012] [Originally Added On: March 9th, 2012]
- 011 Progress, no big breakthrough, in hunt for HIV cure [Last Updated On: March 12th, 2012] [Originally Added On: March 12th, 2012]
- 012 Could the immune system help recovery from stroke? [Last Updated On: March 14th, 2012] [Originally Added On: March 14th, 2012]
- 013 'Personalized immune' mouse offers new tool for studying autoimmune diseases [Last Updated On: March 15th, 2012] [Originally Added On: March 15th, 2012]
- 014 "Personalized Immune" Mouse Offers New Tool for Studying Autoimmune Diseases Model May Allow Development of ... [Last Updated On: March 15th, 2012] [Originally Added On: March 15th, 2012]
- 015 Peoples' immune systems can now be duplicated in mice [Last Updated On: March 17th, 2012] [Originally Added On: March 17th, 2012]
- 016 Immune Role in Brain Disorder? [Last Updated On: March 19th, 2012] [Originally Added On: March 19th, 2012]
- 017 Kidney Transplant Patients Seek Life Without Immune-Suppressing Drugs [Last Updated On: March 20th, 2012] [Originally Added On: March 20th, 2012]
- 018 A Chimeric Immune System: Fixing the Problem With Organ Transplant [Last Updated On: March 20th, 2012] [Originally Added On: March 20th, 2012]
- 019 Key to immune system disease could lie inside the cheek [Last Updated On: March 21st, 2012] [Originally Added On: March 21st, 2012]
- 020 Powerful new cells cloned: Key to immune system disease could lie inside the cheek [Last Updated On: March 23rd, 2012] [Originally Added On: March 23rd, 2012]
- 021 Powerful cheek cells offer promise for combating immune system diseases [Last Updated On: March 23rd, 2012] [Originally Added On: March 23rd, 2012]
- 022 Cancer research targets a key cell protein [Last Updated On: March 27th, 2012] [Originally Added On: March 27th, 2012]
- 023 Your Gut Is Good For You: Benevolent Belly Fat Modulates Immune System, Helps Repair Tissue Damage [Last Updated On: June 7th, 2012] [Originally Added On: June 7th, 2012]
- 024 Trudeau Institute announces $9 Million Translational Research Award [Last Updated On: June 14th, 2012] [Originally Added On: June 14th, 2012]
- 025 Immune system molecule weaves cobweb-like nanonets to snag Salmonella, other intestinal microbes [Last Updated On: June 21st, 2012] [Originally Added On: June 21st, 2012]
- 026 Immune Design Corp. Announces Appointment of Dr. Roger Perlmutter as a Member of Its Board of Directors [Last Updated On: June 26th, 2012] [Originally Added On: June 26th, 2012]
- 027 Hope for Leukemia and Myelodysplasia Patients from Rabbits' Antibodies [Last Updated On: July 8th, 2012] [Originally Added On: July 8th, 2012]
- 028 Mix of Immune Cells Detects Cancer [Last Updated On: July 16th, 2012] [Originally Added On: July 16th, 2012]
- 029 New evidence links immune irregularities to autism, mouse study suggests [Last Updated On: July 18th, 2012] [Originally Added On: July 18th, 2012]
- 030 Mouse with human immune system may revolutionize HIV vaccine research [Last Updated On: July 19th, 2012] [Originally Added On: July 19th, 2012]
- 031 New Clinical Trial Seeks to Cure Advanced Crohn's Disease by Replacing a Diseased Immune System with a Healthy One [Last Updated On: July 24th, 2012] [Originally Added On: July 24th, 2012]
- 032 Clinical trial seeks to cure advanced Crohn's disease using bone marrow transplant [Last Updated On: July 24th, 2012] [Originally Added On: July 24th, 2012]
- 033 Replacing Diseased Immune System With A Healthy One To Cure Chrohn's Disease [Last Updated On: July 26th, 2012] [Originally Added On: July 26th, 2012]
- 034 Dormant HIV gets rude awakening [Last Updated On: July 28th, 2012] [Originally Added On: July 28th, 2012]
- 035 Cancer Drug Unmasks HIV in Immune Cells [Last Updated On: July 28th, 2012] [Originally Added On: July 28th, 2012]
- 036 Unexpected variation in immune genes poses difficulties for transplantation [Last Updated On: August 3rd, 2012] [Originally Added On: August 3rd, 2012]
- 037 UCLA Researchers Discover "Missing Link" Between Stem Cells and the Immune System [Last Updated On: September 1st, 2012] [Originally Added On: September 1st, 2012]
- 038 'Missing link' between stem cells and the immune system [Last Updated On: September 2nd, 2012] [Originally Added On: September 2nd, 2012]
- 039 UCLA researchers discover missing link between stem cells and immune system [Last Updated On: September 2nd, 2012] [Originally Added On: September 2nd, 2012]
- 040 'Missing link' ties blood stem cells, immune system [Last Updated On: September 6th, 2012] [Originally Added On: September 6th, 2012]
- 041 Stem Cells & Immune System: "Missing Link" Found [Last Updated On: September 7th, 2012] [Originally Added On: September 7th, 2012]
- 042 Immune system molecule affects our weight [Last Updated On: September 24th, 2012] [Originally Added On: September 24th, 2012]
- 043 Immune system harnessed to improve stem cell transplant outcomes [Last Updated On: October 2nd, 2012] [Originally Added On: October 2nd, 2012]
- 044 Researchers harness the immune system to improve stem cell transplant outcomes [Last Updated On: October 2nd, 2012] [Originally Added On: October 2nd, 2012]
- 045 Vaccine to treat cervical cancer shows early promise [Last Updated On: October 11th, 2012] [Originally Added On: October 11th, 2012]
- 046 Technique shields immune system from chemo effects [Last Updated On: November 1st, 2012] [Originally Added On: November 1st, 2012]
- 047 Immunice Recommendations - Video [Last Updated On: November 9th, 2012] [Originally Added On: November 9th, 2012]
- 048 Caiden's Story - A 4-year-old's epic battle - Video [Last Updated On: November 27th, 2012] [Originally Added On: November 27th, 2012]
- 049 SU2C-CRI Cancer Immunology Translational Research Dream Team - Video [Last Updated On: December 12th, 2012] [Originally Added On: December 12th, 2012]
- 050 Immunotherapy Boosting the immune system to fight cancer - Video [Last Updated On: December 19th, 2012] [Originally Added On: December 19th, 2012]
- 051 Microgravity Affects The Immune System - The Daily Orbit - Video [Last Updated On: April 29th, 2013] [Originally Added On: April 29th, 2013]
- 052 Embryonic Stem Cells Generate Immune System - Video [Last Updated On: May 21st, 2013] [Originally Added On: May 21st, 2013]
- 053 Repairing a Damaged Immune System - Video [Last Updated On: June 28th, 2013] [Originally Added On: June 28th, 2013]
- 054 Stem Cells and the Immune System - Anastasia Filomeno - Video [Last Updated On: October 11th, 2013] [Originally Added On: October 11th, 2013]
- 055 3 - day fast might reboot your immune system - Video [Last Updated On: June 23rd, 2014] [Originally Added On: June 23rd, 2014]
- 056 WHD Murings Apak Apak Magnetic Healing Mat ( The Immune System & Stem Cell Activator ) - Video [Last Updated On: October 11th, 2014] [Originally Added On: October 11th, 2014]
- 057 A chronic lymphoblastic leukemia (CLL) patient's video diary: Immune system - Video [Last Updated On: November 22nd, 2014] [Originally Added On: November 22nd, 2014]
- 058 MS Stem Cell Medication Therapy Shows Promise - Video [Last Updated On: January 2nd, 2015] [Originally Added On: January 2nd, 2015]
- 059 Stress Weakens the Immune System [Last Updated On: May 19th, 2015] [Originally Added On: May 19th, 2015]
- 060 Your Immune System: Natural Born Killer - Crash Course ... [Last Updated On: May 19th, 2015] [Originally Added On: May 19th, 2015]
- 061 How to boost your immune system - Harvard Health [Last Updated On: May 19th, 2015] [Originally Added On: May 19th, 2015]
- 062 How Your Immune System Works - HowStuffWorks [Last Updated On: May 19th, 2015] [Originally Added On: May 19th, 2015]
- 063 Immune system - Wikipedia, the free encyclopedia [Last Updated On: May 19th, 2015] [Originally Added On: May 19th, 2015]
- 064 Immune response: MedlinePlus Medical Encyclopedia [Last Updated On: May 21st, 2015] [Originally Added On: May 21st, 2015]
- 065 Immune and Lymphatic Systems Anatomy Pictures and ... [Last Updated On: May 24th, 2015] [Originally Added On: May 24th, 2015]
- 066 Adaptive immune system - Wikipedia, the free encyclopedia [Last Updated On: May 24th, 2015] [Originally Added On: May 24th, 2015]
- 067 Immune System: Can Your Immune System ... - Biology of Aging [Last Updated On: May 29th, 2015] [Originally Added On: May 29th, 2015]
- 068 What Is the Immune System? (with pictures) [Last Updated On: June 1st, 2015] [Originally Added On: June 1st, 2015]
- 069 Immune System - KidsHealth [Last Updated On: June 3rd, 2015] [Originally Added On: June 3rd, 2015]
- 070 The Immune System | Health | Patient.co.uk [Last Updated On: June 8th, 2015] [Originally Added On: June 8th, 2015]
- 071 Immune System - Cancer Fighting Strategies [Last Updated On: June 27th, 2015] [Originally Added On: June 27th, 2015]
- 072 How Sleeping Can Affect Your Immune System - Mercola.com [Last Updated On: July 3rd, 2015] [Originally Added On: July 3rd, 2015]
- 073 14.00-Immune-Adult - Social Security Administration [Last Updated On: July 3rd, 2015] [Originally Added On: July 3rd, 2015]
- 074 Immune System: MedlinePlus - National Library of Medicine [Last Updated On: July 5th, 2015] [Originally Added On: July 5th, 2015]
- 075 Lack of Sleep and the Immune System - WebMD [Last Updated On: July 5th, 2015] [Originally Added On: July 5th, 2015]
- 076 Easy Immune System Health home page [Last Updated On: July 13th, 2015] [Originally Added On: July 13th, 2015]
- 077 Immune System News -- ScienceDaily [Last Updated On: July 24th, 2015] [Originally Added On: July 24th, 2015]
- 078 How Sleeping Can Affect Your Immune System [Last Updated On: August 5th, 2015] [Originally Added On: August 5th, 2015]
- 079 The immune system and cancer | Cancer Research UK [Last Updated On: August 19th, 2015] [Originally Added On: August 19th, 2015]
- 080 Innate immune system - Wikipedia, the free encyclopedia [Last Updated On: August 31st, 2015] [Originally Added On: August 31st, 2015]