Posts Tagged supplements

Food Allergy, Intolerance, Sensitivity Testing Impacts Disordered Eating

I am frustrated by the lack of clear information on food allergy, intolerances, and sensitivity testing on the Internet, so I am writing this post to show what I have seen as someone who works with those who may have had these tests in their past.

First off, we all know someone who believes they are allergic to certain foods.  Technically, allergies are serious, so we don’t take any chances with them. In practice, I try to work around people’s real or perceived food allergies, intolerances, or sensitivities.

When I think of a food allergy, I think of anaphylactic shock and hives.  When I think of food intolerance, I think of getting diarrhea due to something like lactose intolerance, where the food, when taken in large enough quantities, draws water into the gut from blood circulation and washes you out because you can’t create enough lactase.

I don’t know what to think about food sensitivities because they weren’t on the RD exam and were mentioned as not one of the two types of reactions you could have and even included as a wrong answer in that multiple choice question on the exam.

Common food allergy testing includes tests and protocols like ALCAT and LEAP, among many others.  A pharmacist, Scott Gavura, did an EXCELLENT blog post about food sensitivity testing for the website sciencebasedmedicine.org and did a lot of work on finding real evidence in the literature to support it.  The short conclusion?  There isn’t.  Check out his post for more detailed info.

Because I won’t attempt to do a better blog post than he did on this subject, I will say, in short, that I support that work he did.  The rest of this post will be what I actually see in clients who have had these sorts of tests as well as my own experience having had allergy testing early in life myself.  It impacts their lives both positively and very negatively.

I had the full 42 pricks in the back and 21 shots in the arm allergy testing done twice in my life, once when I was 11 or 12 and once when I was 22.  The first time, I supposedly was allergic to eastern and western weeds, molds, dust mites, and tomatoes.  Yet, I wasn’t going to get away from dust, molds, and tomatoes in my life.  Hell was I going to miss dad’s pizza on Sundays or not eat spaghetti.  I kept eating it and it had no real effect on me.

Growing up I always had a lot of inflammation in my nose such that I felt like I was congested but actually wasn’t.  Looking back, a lot of that actually just was undiagnosed generalized anxiety disorder, something I’ve struggled with my whole life for reasons that aren’t related to allergies or nutrition at all.

Having worked with an excellent pscyhotherapist on that, I don’t experience those symptoms anymore and can check in with myself when I get anxious.  With this life experience, I’m keen on seeing if it happens in others!

In others, I have heard sensationalized testimonials about how after having their food sensitivity test that they experienced dramatic weight loss and found God.  I won’t even dive into that subject because it is a case by case basis as to how eliminating certain foods can help people.

You would really have to see what that person was actually doing through detailed dietary recalls to see if their testimonial has merit from a nutrition standpoint.  Perhaps they also found love in the the meantime, which released anti-inflammatory cytokines throughout their body.  It could be a number of things.

Some clients have had these tests negatively impact their lives, and some of them aren’t even aware of it.  One client I worked with was told she was allergic to chicken among many other foods by the alternative medicine practitioner.  Her parents tried to keep her in line with her food restrictions throughout life (out of love, which is understandable) enough that she felt left out of social activities involving food.

Imagine going to a birthday party and not being allowed to have what everyone else is having.  Fast forward 10 years when she is allowed to have these foods now and can’t get enough of them such that it leads to overeating of them.

It’s the psychology of deprivation.  The more you restrict it, the more you want it.  Look what happened to Miley Cyrus.  Things will rebalance after they swing the other way for a while.  Right now, she’s just being Miley.

I have worked with others who have such an extensive list of foods they are not allowed to eat from these tests that they literally have trouble constructing a healthy diet out of it, let alone allow for variety.  This is a problem that these tests have that much power over people.

If the person got results and thinks it was from restricting certain foods that lack a legitimate scientific basis, they will live in fear of eating with others for the rest of their lives.  Granted, if you reintroduce some of these banned foods and notice symptoms reappear, then yea, maybe you should avoid them.

However, most of the time when you reintroduce these foods, you DON’T get the same symptoms.  Many find out that you are actually allowed to have all these foods you previously thought were bad for you based off a sham test that costs $450 that the desperate must pay out of pocket for.

Maybe you can start with just a little bit of the banned food and experiment to see if it actually gives you unpleasant symptoms.

Bottom line, these sorts of tests that give you extensive lists of foods to avoid beyond common allergens like soy, tree nuts, peanuts, dairy, wheat, fish, shellfish, and egg (for more info see foodallergy.org) should be given extra scrutiny and skepticism until proven by adding back in offending foods to see if they actually produce symptoms.  This is just called an elimination and reintroduction diet, and you don’t need a $450 test to try one.



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Vitamin and Supplement Tips from Experts–Media Quote

In a well-written article by Dave Gordon, supplements and vitamins are weighed in terms of overall usefulness, precautions to take, and most common ones taken.  Experts from various health disciplines weigh in on the usefulness.  Joey Gochnour quoted.



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BCAAs–Waste of Money Supplement Scam

Branched chain amino acids, or BCAAs, are synonymous with the amino acids leucine, isoleucine, and valine.  These are essential amino acids, of which there are 9.  Essential amino acids are found in pretty much any source of protein or protein complement.  This includes eggs, soy, animal flesh, dairy protein (casein and whey), beans, nuts, seeds, and grains (which tend to be low on lysine, they still have BCAAs).  Essential means you must eat them every day for good nutrition.

I’m tired of seeing this scam promoted.  If you eat protein, your blood has plenty of BCAAs.  If you are worried about your BCAA level going down during exercise, eat dietary sources of protein sometime within 2-3 hours of your workout or a faster absorbing protein 30 min to 1 hour before your workout (whey) if you didn’t plan your day well enough to have dietary sources.  That is a good time period to ensure BCAAs, or protein in general, will be in your blood.

If you supplement with BCAAs or protein and your body doesn’t need it, your liver deaminates (removes the nitrogen group) or transaminates (moves the nitrogen to a different keto acid, making a different amino acid) the amino acid to maintain homeostasis.  The nitrogen group forms urea, which is filtered by the kidneys into your urine.

The carbon backbone of the amino acid is then integrated into either glucogenic pathways (pathways that synthesize glucose) or ketogenic pathways (pathways that synthesize fatty acids and ketones).

In other words, BCAAs become carbohydrate or fat calories, just like dietary carbohydrate and dietary fat do, and an insignificant amount of calories at that.  Except you bought BCAAs, and your body isn’t using them like that.  Consider the cost difference.  Let me break it down for you:

If you bought a container of BCAAs with 40 servings of 10 calories each, you might get 400 Calories from that whole container, according to the label.  That said, they apparently don’t count the protein from amino acids into the total calories on the label.  This particular item actually has 12 Calories from carbohydrate (rounded down to 10, so that is legit), but 5 g of protein from amino acids leucine, isoleucine, and valine.

Add 20 calories to that serving size from the 5g of protein, so there are about 30 calories per serving total.  So, 30 calories times 40 servings means the bottle has 1200 calories total, 3 times as much as reported on the label.

If that’s not enough to make you distrust this supplement, this bottle costs $26.39 at the time this post is written.  For $26.39, you could have bought about 10 bags of rice and 10 bags of beans or lentils, or you could buy 5 bottles of olive oil or 2-3 large containers of nuts if you prefer to get your calories from fat.  All of these are much more cost effective per calorie than buying a bottle of BCAAs.

People who tell you to buy BCAAs may be salesmen trying to make a living in the supplement industry or personal trainers who don’t have any human physiology or biochemistry education who work for gyms that tell you to push supplements or lose your job.  These are not people you should take nutrition advice from.

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Save Your Money on Amino Acid Supplements for Weight Lifting

I see weight lifters, bodybuilders, and personal trainers promoting individual amino acid supplements, such as glutamine, leucine, or BCAAs.  BCAAs are branched-chain amino acids, specifically leucine, isoleucine, and valine.

What I would like to know is if there is research that differentiates between having dietary protein and having specific amino acids.  Because, frankly, it baffles me why people would buy individual amino acids when consuming high protein foods such as various animal flesh (chicken, beef, turkey, salmon, tuna), dairy, eggs, soy, or other higher protein foods like beans and seeds.  Supplement companies obviously want you to buy more product and will tell you anything.

In my frank opinion, if you are consuming adequate amounts of protein for your physical activity, i.e. active people need 1.2-1.7 grams protein/kilogram (1 kg = 2.2. lbs) body weight, and you are spreading your meals out throughout the day to maintain the pool of amino acids in your blood, then you should have more than enough amino acids available for anything your body is doing.  This is more than the RDA for protein for the general population that is not exercising, which is 0.8 grams protein/kilogram body weight.

Additionally, bodybuilding supplements could be contaminated with substances that improve your workouts that aren’t even amino acids, since as previous posts have mentioned, the supplement industry is not tightly regulated for quality, purity, and unadulterated ingredient listed on labels.

This post does not hold true for those who may be in the hospital or have a specific medical condition for which there is clear research on the efficacy of providing individual amino acids.  These cases often involve situations where dietary protein intake is limited for various reasons.  Often, your physician will order a specific amino acid in cases like these.

However, for working out?  Save your money, and go buy someone a present or donate to a charity you believe in.



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Supplement Adulteration and Gut Immunity Health Stance

I recently answered a media query for health professionals on the best ways to improve your immune system.  I was NOT made aware that I would be put on a supplement website.  If you know me, I’m NOT a big fan of MOST supplements.  I received no form of remuneration other than my website being posted on their website.  Between 1 in 4 and 1 in 5 supplements in the US are adulterated.  This means they:

  1. Don’t have what they say they have on the label
  2. Don’t have any active ingredients they say they have
  3. Have other active ingredients that can be dangerous.  Some sports supplements contain steroids and STRONG stimulants, which can result in a collegiate athlete having a positive drug test and losing eligibility…and/or die from the stimulant and/or get the negatives of steroids.
  4. Are not guaranteed to have the amount of the ingredient stated on the label
  5. Could be pure white sand (silicon dioxide) when you thought you were getting creatine or probiotics.  That’s some expensive sand that went in one end and out the other!

Supplements are not regulated until someone experiences an adverse effect AND reports it.  It is the responsibility of the manufacturer selling you the supplement to ensure quality control.  This is completely laughable that this is allowed, but the alternative is using taxpayer money to increase government bloat programs on an elusive market as it is, since these companies come and go fast.  Some third parties will certify supplements, including NSF and ConsumerLab.  If you think I’m making up these statistics, I invite you to do your own research at ConsumerLab!

The panel of health experts has 85% good advice for promoting immunity, if you would like to check out the quote.  Those that I do not agree with include those who recommend probiotics for everyone.  As you see, registered dietitians are not in agreement on this.  I don’t understand how gut bacteria in a capsule that are supposed to survive in an alkaline environment in the large intestine can make it past the extreme acidic environment of the stomach alive and set up camp lower down the tract where they promote immunity.  Unless they’re using special capsule technology, the bacteria in these capsules probably die before they do any good.

The bacteria would also have to compete with existing microorganisms in your colon, which have already set up camp based on your diet, exercise, stress levels, etc.  You would have to continually consume these capsules to compete against the bacteria down there that your current diet supports.  The bacteria are called the gut flora, gut microbiota, microflora.  Did you know there’s a 90% cure rate for irritible bowel syndromes with fecal transplantation?  Just get over the ick factor.

I think it is MUCH more important to consume a variety of different types of indigestible carbohydrates, ie fiber, as these are considered “prebiotics,” which is what the bacteria ferment.  You would get these from eating a variety of fruits, vegetables, and whole grains (the food components in our diet with fiber).  Try to eat various colors and textures of vegetables.  I am not in the school of thought that everyone needs to take a probiotic.  There may be some cases where it could possibly help, but I think it is secondary to the big picture of consumption of more types of prebiotic fibers, which will select for certain species of bacteria.

The bacteria in the gut have coevolved with us through natural selection.  If you supply the appropriate food ingredients, they self-select for the limited real estate in your colon.  It’s like living in on an island.  Only those who can thrive in the area will be there based on the food present while waging war against other strains of bacteria for space.  The bacteria that enjoy a processed food diet that is low in plant fibers will flourish in the guts of those who eat those foods.

The gastrointestinal tract is not just for digestion and absorption.  It is an endocrine and immunity organ.  It responds to relative energy deficits and surpluses in the body through diet and exercise, which also selects for different types of bacteria.  This is a relatively newer area of science that is just now being charted.

For these reasons, I am not a germaphobe.  There are many good bacteria that I do not want to get rid of, which can happen through excessive antibiotic use and being overly antiseptic.  Don’t get me wrong: I still believe food safety is important for the general public that may have a weak immune system with limited varieties of bacteria present who cannot literally stomach any new invaders that cause foodborne illness.  People should throw out spoiled food and not take risks with food that has been left out, cooked to the proper temperature, or reheated to the proper temperature.

Other opinions I really disagree with on the quoted expert panel:

  1. I don’t believe you have to take glutathione, cysteine, and vitamin C in supplement form three times a day as one of the “experts” recommends.  Sounds like he wants to sell some supplements!
  2. Probiotic supplement pushers.  We were just fine without taking these many years ago.  You cannot get healthier than a non-disease state by consuming supplements, in most cases.
  3. We don’t all need to be popping magnesium.  Just because it is a component in physiological and biochemical systems does not support the recommendation you need to start supplementing without clear evidence of deficiency in real lab tests.  Don’t get me started on real lab tests.  That’s another blog post, but in short, there are a lot of sham lab tests out there that support a set agenda.  This woman has a conflict of interest that is pretty evident also.
  4. You cannot “alkalise [sic-British]” your body.  The blood pH is strictly maintained between 7.35-7.45 (slightly basic) via bicarbonate excretion of the kidneys and carbon dioxide release in lungs, which reduces the carbonic acid produced from the carbon dioxide produced at the end of glycolysis in the transformation of pyruvate to acetyl-CoA.  If your blood isn’t in this range, you likely are in a serious disease state, such as respiratory or kidney failure.

Janice Maras had a good quote.  Shout out to her.

If you have any comments feel free to post below.

 



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