Multiple Sclerosis Ever Changing
Multiple Sclerosis Everchanging. Trials, experiments, medications, research, scientists, . A blog of a real patient, his details on how MS keeps him actively looking for items that help, real time research, articles with links to university experiments, drug manufacturers experiments, bloggers, and more
Everchangingms.blogspot.com
Since I have primary progressive Multiple Sclerosis, many additional understanding is needed on my rare H63D gene, and how it effects blood, blood flow, and the heart. The Heart is a Muscle that can be effected by Multiple Sclerosis. So are Chest Muscles, and Lung Muscles.
But first two videos I found from you tube, explaining this. You must understand how blood is made, This relates to many people with or without multiple sclerosis.
I have a fast heart beat at rest. 115-135 beats per minute. Tachycardia. The heart dr said its like I am running a marathon, while sitting down, because of my MS. He could slow it down, but it is compensating for other MS items going on. My Heart is going good, Echo and EKG are excellent.
You do not need to understand the technical language, just the concept. These are not in any special order.
I think that's enough knowledge to watch for the day from him. Don't get to involved in the terms, unless you are a student or techie watching, its more of the learning curve.
Secondary polycythemia, also known as secondary erythrocytosis or secondary erythrocythemia, is a rare condition in which your body produces an excess amount of red blood cells.
This overproduction of red blood cells thickens your blood. This thickened blood can’t pass through your small blood vessels like capillaries easily. This increases your risk of having a stroke
This is my newest diagnosis, that is added to the Chronic Kidney Disease and Hereditary Hemochromatosis with the two H63D genes, on top of primary Progressive Multiple Sclerosis
Red blood cells are made by the bone marrow. To get the marrow to make red blood cells, the kidneys make a hormone called erythropoietin, or EPO. When the kidneys are damaged, they may not make enough EPO. Without enough EPO, the bone marrow does not make enough red blood cells, and you have anemia.
Erythropoietin is an essential hormone for red blood cell production. Without it, definitive erythropoiesis does not take place. Under hypoxic conditions, the kidney will produce and secrete erythropoietin to increase the production of red blood cells by targeting CFU-E, proerythroblast and basophilic erythroblast subsets in the differentiation. Erythropoietin has its primary effect on red blood cell progenitors and precursors (which are found in the bone marrow in humans) by promoting their survival through protecting these cells from apoptosis, or cell death.
Erythropoietin is the primary erythropoietic factor that cooperates with various other growth factors (e.g., IL-3, IL-6, glucocorticoids, and SCF) involved in the development of erythroid lineage from multipotent progenitors. The burst-forming unit-erythroid (BFU-E) cells start erythropoietin receptor expression and are sensitive to erythropoietin. Subsequent stage, the colony-forming unit-erythroid (CFU-E), expresses maximal erythropoietin receptor density and is completely dependent on erythropoietin for further differentiation. Precursors of red cells, the proerythroblasts and basophilic erythroblasts also express erythropoietin receptor and are therefore affected by it.
The Kidney specialized Dr told me this EPO pathway was working good, and with me off all Nsaids, diclofenac, that being off, was helping the Chronic Kidney Disease, and I would see him in person in three months.
Gene location
I have the H63D Gene with H63D Gene, both mutated, causing iron overload. 17 phlebotomy were done last quarter of 2018. Then Nothing. I should of bounced back, and needed phlebotomy every three months. But no iron, or ferritin made.
Instead, the bone marrow, that makes the red blood cells, shown from other blogs, makes lots of hemoglobin and Hematocrit, causing the blood to be thick again. Solution is a phlebotomy, but not in reality, as no iron or ferritin, and would make me Anemic.
Speaking of which, I had been low in iron, or iron deficient, along with ferritin level of 7, I had been complaining about my shortness of breath for two years, since the phlebotomy. This seemed to be getting worse.
I remember telling my partner, 20 minutes of moving twigs, was all I could do. We had started a fire outside during burning season, when we realized our helpers were not coming back. Tree limbs from the falling of many trees had to slowly be added to the pile. It took a lot of work just doing simple tasks. I finally collapsed on the ground and watched the fire being what I thought was out of breath.
My heart would race, my blood pressure increase, and a air pathway seemingly odd at catching breath. This was told to many doctors over the two years
I think I will leave this blog here, as a whole blog has to be about the Diagnosis they have now found. A few more specialized Drs, more Test done, but nerd time to absorb all this new info
Multiple Sclerosis has many turns, and relates to many areas of the body.
This is the " phone booth test"
Yes I became hot, sweaty and out of breath, fatigued, and tired. This cause can be MS, playing into everything. It can also be where my ferritin of 7 and iron of 29 is at. On the low side.
The test has you blow into a tube at regular breaths. This is recorded on the technicians computer. He has you repeat the test several times. Another breath test shows how your lungs expand, then hold and pretend your blowing a birthday candle out. Only so many times could I do this, so thought of a campfire, trying to get this going with one big breath. Then comes a test where you exhale inwards and the machine valves close to check chest pressure of the lungs. You are then given a inhaler to open the ports in you lungs that accept more oxygen, and test repeated.
The door gets closed on a few tests. The inhaler had no effect on me. Elasticity, spascity, was talked about. My low ferritin and iron were mentioned. Hypoxia also. He showed me graphs of where I was, or was supposed to be at.
Chronic Hypoxia was mentioned by my Cancer Dr, as well as the H63D gene playing a role, Multiple Sclerosis doing its part. I looked that up, and Yes, Rare, but controls the muscles of the rib cage. Think of having a continuous MS Hug.
My weight has not changed, but my girth would increase 8" for some reason. Simethicone was used to assist, but many theories given to my cancer Dr. My height has decreased another inch.
My Ferritin is 7, iron 29. I have large Red blood cells, to many hemoglobin and Hematocrit, to Cary enough oxygen to my system.
This puts me out of breath when doing anything. I figure if they gave me a type of iron or ferritin, this would fix problem, but there is much more to it.
A phlebotomy, would take out to much iron and ferritin. If a infusion, that would raise hemoglobin and Hematocrit. I have thrown alot of theories I read about or find articles on to my specialist.
I need to get into some technical videos I found. This shows how red blood cells are made. Now Remember I have two H63D Genes that create havoc.
I need to start the explanation in a way everyone can understand, so this video starts with the formation of red blood cells. Try just to understand concept, not all TBE technical Nathan unless you are a scientist.
Dixie, Armani, Wil and I hiking thru the woods to get to our tree house, as snow to deep to drive. Pulling sled full of supplies.
Ever changing multiple sclerosis
If you have been reading my blogs over the years, you will notice that everything is additive on top of my Multiple Sclerosis. Primary progressive multiple sclerosis still remains as my primary Diagnosis. I see my Primary Neurologist about every six months, which is coming up next month.
Our last visit with my neurologist, my botox had worn off, and other Doctors had taken me off All Nasaids. Ibuprofen off list, Diclofenac Sodium 75 mg twice a day removed. My Walking speed, or straightforward was off. Without botox, my lower extremities are rigid due to muscles being over stimulated by my MS, cramping up. I did not pass her exam, even with my eyes. Ocrevus was talked about, as a infusion medicine.
I had just received a Diagnosis, that nobody wants to hear. This was caused by my 17 phlebotomy I had done two years before. A medication, Fenofibrate, I am one of the lucky 3% that are allergic to. It is used in Hypertrycglimeria. I was switched to Vascepa, It is a Super Charged Fish oil, containing something like 32Fish pills into one. That was another diagnosis, but not the one that was concerning. IBelieve I need to keep that quiet for now, so not to concern my audience. Most of the Time spent with neurologis was t talking about this over.
I was given a new GP. She is wonderful for asking questions, and following me so far. I think I was just to complicated for a student GP.
My Endocrinologist was the next involved a few times. This got me a new specialist to add to my list, I will talk about in a future blog, as telemedicine with them in a few weeks. My Endocrinologist is as proactive as I am trying to be, when blood tests come back abnormal, and nobody is screaming about them.
So, if you are jumping into my blog at this point, you will know that the summer of 2018 I had THICK BLOOD. My Endocrinologist caught this and sent me to the cancer center, after taking me off testosterone therapy for six months, to verify pituitary gland, located inside the brain, that a MRI was checking out good. Yes, I knew the word Cancer, she was looking for. This however, checked out excellent. But testosterone was still needed injected. (Testosterone therapy) for yet a different diagnosis added, confirmed.
The Cancer Center, Dr R, did some DNA, to rule out polythcemia, Jak2 mutation. He looked further, and found two H63D genes causing me to iron overload, thus causing THICK BLOOD. 17 phlebotomy came next over a three month period.
This left me iron deficient, and ferritin deficient. None came back, going on the third year now. I did notice more fatigue, cold fingers, never had that before. I became out of breath for doing anything simple after this. Also sweating, soaking t-shirts for simple items. I still help walk our dogs daily, and have a elliptical, to keep get moving on rainy days. Moving a piece of firewood became troublesome. I let all my Drs know.
My blood test, I do every three months at the u c davis University Hospital. Quite a trip to take our 28 year old car to from our remote living. This last test, being fully hydrated, and doing a few extra test added on, figured would be somewhat like everything else.
Again, my Endocrinologist was telemedicine, as was my next visit. She was livid, that no other Dr was doing anything. THICK BLOOD was once again in my system. My Hematocrit and hemoglobin was way to high. But this could not be, as she lowered my testosterone again, so its like a pink rock weekly.
My O2 was talked about, as the Drs involved did not know I had done a sleep study. They had to search for that one. Figured box. Low o2, means sleep apnea, which us just a cpap mask. I'm not really interested in, as just sounds weird. My O2 readings were low during the day, recorded with my oxygen meter you stick your finger into. Hospital verified accuracy.
I have a great Heart Dr, who has followed me for ten years. Dogs, heart scans, wearing a heart meter. He said my heart was the best thing going for me. Tachriarda was another diagnosis added, as my resting heart beat is 115-137. He said " its like you are running a marathon, even when you are sitting still due to the Multiple Sclerosis ". Every Dr questions my fast heart rate, some bringing in EKG machine. My heart Dr does echo scans, with everything looking good, even thru first Thick blood episode. I am due for another scan coming up..
This Las scenario, I emailed all my Drs, and specialist, as was in loss of THICK BLOOD.The Drs started talking to each other. My main one from the Cancer center replied, after sending links on Thick blood with the following.
"You have secondary polycythemia - that means that you have increased hemoglobin and hematocrit due to your body trying to compensate for a number of other factors. This is not driven by a primary bone marrow issue. IF (and this is a big IF) the H63D homozygous mutation is contributing, it is doing so in a minor way. I can say this because your iron stores have taken years to recover despite taking in dietary iron - and HFE gene mutations act to increase oral iron absorption. In fact, your hematocrit has risen despite low iron stores.
While it would be convenient to pin this on a single diagnosis/process, I think it's more complicated in your case and may well be due to several smaller factors, each pushing you to a higher hematocrit. In this case:
- testosterone administration
- chronic hypoxia (this is USUALLY nocturnal, but may be during the day)
- H63D to some smaller extent.
The risks of blood clotting/symptoms in secondary polycythemia are poorly studied but do not appear to be high - thus any intervention is likely to be more risky than beneficial (with, perhaps, use of a baby aspirin). Do not forget, you felt terrible when I made you anemic and it took a long time to recover.
In summary, I'm not overly concerned about your "thick blood," so much as understanding what drives it (such as chronic hypoxia).
This can be further discussed at your next follow up. "
I will leave the conversation here. Feel free to comment with your thoughts
I have a great skin Dr from Sacramento. My first visit with her was a few years ago, when I took this video of time lapse of a area she froze off my hand. This was a Wart, that would not go away. She loved her little Freezing canister, when I showed her some lother dark spots area She froze those.
She checked up on me six months later.
A year went by. This time, A different spot on the same hand was of concern, that she froze off using Cryotherapy.
Warts are noncancerous tumors that develop due to human papillomavirus (HPV) infections. Cryosurgery, or cryotherapy, is a common way to remove them. It involves freezing off the targeted cells and tissues.
My fingers have arthritis or degenerative disc disease for the old timers. Some special rx creams are used to keep fingers moving, and skin dermatitis at bay.
a old time medicine, used as a heart medicine, Clonidine, was used before my diagnosis to unclench my hands which were doughy, with clenched fingers. the Doctor 12 years ago, I remember him saying, you have something going on, but the insurance company won't let me run tests to find out. Clonidine was titrated up and down, to get what opened my hands. Little did I know of Multiple Sclerosis.
The Skin Doctor also took some biopsies this year. A spot on my back was cut off, and put into a jar. The picture above is a spot that she froze . some dark spots off some other areas was also cut off.
A few weeks went by with them growing me in a lab.
Then came some unusual results back. HPV, also known as Warts. These are highly contagious.
And where did they originate? I went backwards in my mind thirty years at least.
My partner has been with me for twenty years, and has no symptoms.
The legions , only looked like dark aging spots, not raised or bumpy like warts are supposed to look like. I got quite uncomfortable looking at pictures on the internet, so beware of what you search for.
So the next step I took was looking at my medicine pamphlets. Those really fine small print fold out papers.
I am on Copaxone, as my Diseases Modifying Therapies. DMT.
There it was, clear as could be of what Copaxone could cause.
Skin and Appendages:
Frequent: Eczema, herpes zoster, pustular rash, skin atrophy, and warts.
pigmentation, benign skin neoplasm, skin carcinoma, skin striae, and vesiculobullous
rash.
Teeth caries is also on there, making trouble with my teeth every year. Its common name is tooth decay.
I saw the dentist for four days, a cleaning, and many fillings.
The dentist spent four days in a row. Eight cavities filled. A tooth extraction was saved for later date. I was glad of that. Our dental facility is in the Indian tribal land, near their casino. We both don't gamble, and way to much smoke to go into their massive complex.
The drive is not for the faint of heart from our house. You must go thru the town of volcano, population 100. But the windy roads and curves to get down to the small valley, and the steepest road out, that our vehicle bogs down going slowly up thru more curves to get to the highway.
my skin Dr next in next month, just came, her earliest appointment to freeze the pesky dark spots off. The unkown, as this time a fingernail was cut off to grow. A normal immune system would get rid of these in two years, but one with Multiple Sclerosis on a DMT, unknown.
Now the Endocrinologist says I have Thick Blood. A Major concern from her, that I had to email all my Drs.
Anxiety and Multiple Sclerosis has been mentioned on many blogs I read. Until you have experienced this, it is all just words being read..
Anxiety can be manifested in many ways, or to me it is a cause and effect situation that is happening either in my mind, or playing out in reality.
Some examples, would be a change in insurance companies. One huge insurer bought out my plan. They have been doing this for the last ten years. Bigger companies swallowing up the smaller ones. A behind the scenes, the small ones are actually giant, like Walgreen, CVS, Rite Aid. They are now owned by giant companies overseas.
They make promises, but less and less medicines become available, or now need prior authorization, or a exception to their plan. They are playing Doctors, without a licence.
I have a great Dr support team, from UC Davis, that tries to ensure I obtain proper medication, and the amounts. But the Anxiety, and hours I spend, sometimes 4 hours with the insurance phone people to obtain meds creates anxiety.
Anxiety can also be created by other people. A elderly gentleman had my partner and I over. A simple haircut, and a computer check. He then said his insulin injections were acting up. He went into the other room, coughing. A RED flag for a imune compromised person with covid 19 killing over 500,000 people now in the USA.
He could of said, he was under the weather, could we come on a different day, but no. Possibly Exposing us, as one of the only times maskless.
He went to the clinic, who took his temperature, and said he was good. That was not a covid test we told him.
We self quarantined, having a covid test done five days later.
We gave him directions and registration on line. Then he wanted to come with us.. Hu??
Two days later our results came back negative. This was a major Anxiety for days. Every cough, or pain, you thought it could be covid.
Watching videos, our my favorite is our hummingbird.
Another example of a major anxiety, was a GP, who I never have seen, put into my chart a CKD diagnosis. I will talk about this in another blog, as I need to go into specifics. The Anxiety, was awaiting to get feed back from All my specialists that were being seen over a few month period.
The CKD, given in November 2020, I was not sure I would make it to 2021, as explained.
This of course got me a referral to a Nephrologist. A new specialist to add to my list. A good item.. A New GP was also given this year. This GP is more attentive to details, and listens, asking questions. She is like the First GP I had at UC Davis.
Another example is our Westie. She just turned five, but was diagnosed last year with Cushing disease. Yes quite common in older dogs. But a alarm went off with my partner and i , when we saw blood in her feces, with diahrreha. A call to the vet, and bringing her in for X-Ray and blood tests. Four hours later, we were able to bring her home. We got to explore the dollar tree, the supermarket and high prices, and a local coffee shop, sitting outside. Not much more is in town.
Anxiety can manifest in many ways. It can increase your blood pressure, your heart rate, Iratate your stomach, and more...
Which brought in a few more specialized Doctors, just to look at blood, blood flows, A Secondary Polycythemia going on per cancer Doctor.
This brings more tests, like a sleepover at the hospital, A plumagology test, and others I will talk about in future videos, and try to explain the making of blood.
Just take a deep breath I tell myself, and say its not just MS.
For all my blog followers, Facebook, Instagram, and other sites, Rare Disease has become part of my life. My partner and I were invited to Rare a disease Day a few years back, in Sacramento, California. I blogged about the event back then. The Zebra, one has made it to Alaska for my mom. The Event opened my eyes on how rare of a disease I have.
I am a patient with primary progressive multiple Sclerosis, researching all aspects.
In 2018, I was sent to the Cancer unit for Thick Blood. UC Davis found two copies of the H63D gene, causing Iron overload. Less than 3% are diagnosed with hereditary Hemochromatosis. I went thru 17 phlebotomy, to bring down iron.however, since I was the first person they have seen with the rare H63D gene, my iron never returned two years later. This has recently caused complications, so writing this beforehand to be published.
2021 the world is in a pandemic of the Covid that has killed more than wars have.Special masks are required to go out. Only specific Grocery Stores and Needed necessary stores open. Many businesses did not make it thru 2020, when the virus hit us hard from China.
A Vaccine is sitting, awaiting in California for months now. One of the same researchers of the covid vaccination may of stumbled on one for MS.
This day helps me reflect on how far I have come in researching the H63D Gene, genetics of Hemochromatosis, iron or anemia.
The Rarity of my Gene.
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A Rare set of two copies of the mutated H63D Gene can cause iron overloading in less than 3%. I happen to fall into that category.
rs1799945(GG)5H63D Two copies of H63D, 5.4% chance of iron overload. This I got.
HFErs1049296(CT)3Pro570Ser - risk allele: T (Pro589Ser) This is called TF C2. It creates an increased likelihood of iron loading when combined with any c282y and h63d because it forces a reduced TIBC resulting in higher levels of free iron and free radicals. This also Increases susceptibility to Alzheimer's disease but only when combined with c282y.
I had 17 phlebotomy or vein puncture in last quarter of 2018. My Iron has not returned two years later. My gut derailed after phlebotomy. My EGFR dropped to 45 during the 17 phlebotomy. This causes concern for CKD, to be talked about in another blog. Hematocrit and blood thicker than pancake batter.
Mutations in HFE Causing Hemochromatosis Are Associated with Primary Hypertriglyceridemia
Back to this pesky H63D gene needing to write again on.
This does concern the Primary Progressive Multiple Sclerosis disease I was given in 2012, and the multitude of diagnosis that came afterwards, all inter related. I hope some scientist can figure this out.
Pro570Ser - risk allele: T (Pro589Ser) This is called TF C2. It creates an increased likelihood of iron loading when combined with any c282y and h63d because it forces a reduced TIBC resulting in higher levels of free iron and free radicals. This also Increases susceptibility to Alzheimer's disease but only when combined with c282y.
But I have two copies of H63D, that one less than 3% get iron overloaded.
This gene has been With me my entire life. It is hereditary.
Hemochromatosis is one of the diagnosis in 2018. Thick blood, that the endocrinologist sent me to the Cancer Center. It took them a few DNA searches to find, but two pair. Less than 3% have Hemochromatosis caused by this gene. My Iron, Hemoglobin, Hematocrit, Transferrin were high, along with Hypertrycglimeria stage I was in.
17 phlebotomy or vein punctures for my Europe readers were done last quarter of 2018.
Two years later, no iron has returned (or a little, since they allowed me to use cast iron skillet again, and spinach) but iron still low, barely on the chart.
My blood was thicker than pancake batter.
Does this still make me anemic two years later? Depends on which Doctor you talk with
Is this being anemic for two years? I kept doing my blood labs every two months. with iron not moving. The hemoglobin is on high side now. So does this make me iron deficient?
Lots of questions, so asked my medical team.
Ferritin 13, iron 49, Transferrin 305H, Total iron binding 424H, Iron sat11.6% low. This is two years after phlebotomy Erythropietin was 25H. Creatine still high, along with Tryglicerdimia
As anemic, has its own set of problems, and other diagnostic items of what it can damage, and so does low iron, and MS.
I belong to a Hemochromatosis group. had family checked, as hereditary. Found two others given diagnostic from this pesky gene. I asked to become a member of anemia group, and iron group to find out more of what came first?
What if I had anemia my whole life, but it was drowned out by Hemochromatosis, and MS? I found a site, https://www.anemiaid.com/
This will check your DNA for free. I sent request to my cancer Dr.
I also found interesting info from these sites I emailed my Dr team.
My GI symptoms went south when I had my last phlebotomy. He did not see coordination of iron playing a role. He is a great GI Dr. Linzess along with laculose was given. He informed me from my last upper and lower GI, that I did not have ulcerative colitis, but IBS-C. He did more test to verify this. A breathing test to check for hydrogen. Used l lactulose, so had to be off this for a week. Constipation. A emptying test.
I have also had a swallowing test, that showed problems. Eating radioactive food, never sound appealing.
I am also on metoclopramide, as my MS is not giving my bowel muscles the proper signal to muscles to move food along. This was also tested, by going off this medicine for months, and being put back on. I call this a Black Box medicine, as may interfere with my other meds. My drug company always has to check with GP, Neurologist, and GI Dr to get ok.
But GI problems go with MS, hand in hand. However, if you do not have iron, another story.
Iron is a absorbed in the lower intestine.
I have problems absorbing items there, as a test with vitamin D was done, with the assistance of my endocrinologist. I was able to take 50,000 iu/day less tablets, by just changing time of day taken. A oil pill, like Vascepa, but interference with some genes and possibility meds.
Not that Iron is the solution, but why am I not absorbing from foods, cast iron skillets?
If regular Hemochromatosis, I would be making new red blood cells every four months. The bone marrow, would tell this. Also I would need to give blood every three months for Hemochromatosis levels.
So not to go into any new diagnosis given, I asked my team at UC Davis to check on more items. This may add a new team member, but that's for another blog.
Would love feedback from anyone.
Stay health and safe. Be sure to like my blog and YouTube channel.
This amino acid is very important in gut healing. Glutamine helps to maintain the integrity of the intestinal wall and therefore aides in leaky gut. With less intestinal permeability means less microbes can get through the gut wall, decreasing infections. It is also fuel for hepatocytes, improving liver function.
Zinc is involved in many biochemical processes in the body including protein and DNA synthesis, carbohydrate metabolism and antioxidant systems. It is therefore important for effective digestion. Wound healing and normal immune responses require zinc, so it is great for IBS sufferers and their overall health. Zinc deficiency has also been linked to depression. Zinc supplements can cause nausea on an empty stomach so please ensure you take it with food. Foods high in zinc include all meats, pumpkin seeds, eggs, and seafood
Magnesium like zinc is one of those nutrients that is part of hundreds of processes in the body. The main ones that affect IBS are:
While calcium contracts muscles, magnesium relaxes them, so for those with cramps this is important to make sure your body has the resources to relax muscle. Magnesium can help reduce discomfort and pain caused by cramping.
Stress and anxiety use up a lot of magnesium. These have been identified as trigger in many people with IBS, so it is very important to maintain good levels of magnesium, so you don’t get depleted.
Magnesium is also used for sleep and relaxation so very important for everyday wellness.
You can take magnesium as a supplement but be careful with the form of magnesium that you take. Magnesium oxide is the most common form found in supplements but is used for bowel cleansing as it is not well absorbed. Look for magnesium citrate, chelate and malate
Magnesium rich foods include almonds, avocado, and figs. These foods are all high FODMAP, so as IBS sufferers are often avoiding these foods, this can often lead to low magnesium. Some low FODMAP foods high in magnesium include spinach, pumpkin seeds and Brazil nuts.
Vitamin B6.
Vitamin B6 is also known as pyridoxine. B6 is absorbed in the small intestine, so problems with absorption can occur in those with IBS. B6 is very important for mental health as it is used to make serotonin, dopamine and GABA neurotransmitters, basically all of the happy hormones. As mental health is an important part of IBS treatment B6 is crucial.
Iron and B12
Many people with IBS end up with iron-deficient or B12-deficient anemia because of issues with absorption. Those with IBS-D are especially susceptible as this causes absorption to be low. With the high levels of inflammation often present with IBS, this can cause the digestive system to be unable to absorb both iron and B12.
The H63d genes I have, play into this. I absorb iron from both these genes, making phlebotomy or vein puncture needed to get rid of iron,
But then dangers of being anemic, I will blog about later.
I’m lumping them together here as they often go hand-in-hand and while not essential for treatment of IBS per se, they are important nutrients to keep an eye on, so you don’t have further health complications. Therefore, if you are feeling tired and fatigued all the time make sure you check your iron and B12 levels. Make sure you get appropriate testing and consult your medical professional before taking iron or B12 supplements.
As always, consult your health professional before taking any supplements.
Multiple Sclerosis and food, Diets. You can Google and get every type of diet out there.
The current Fad Diets, like keto, not proven.
i tried being being sugar free. Less than 4 grams per day. Sure lets you become aware of how much sugar is in everything, and also hidden sugar. Even yougurt was off the list, milk, and a ton of other items by reading and understanding lables, and how they hide the sugar now. becoming a vegan, going gluten free, milk free, and many more explored.
Many multiple sclerosis meds cause weight gain, almost overnight. I am not exempt from this.
My GI Dr suggested the food map diet. Eliminating everything and adding it back in slowly to see what bothers your GI system. I went a step ahead, did a DNA, that showed foods to avoid, super foods, and cautious ones. This seemed a no brainer, with probiotics, vitamins, and recommendations made by viome.com, and my nutritonalist.
The food map was interesting, and kinda exciting finding super foods, and ones to avoid, or bring back slowly.
Canker sores. Research shows that applying a gel containing berberine can reduce pain, redness, oozing, and the size of ulcers in people with canker sores.
Diabetes. Berberine seems to slightly reduce blood sugar levels in people with diabetes. Also, some early research shows that taking 500 mg of berberine 2-3 times daily for up to 3 months might control blood sugar as effectively as metformin or rosiglitazone.
High levels of cholesterol or other fats (lipids) in the blood (hyperlipidemia). Berberine might help lower cholesterol levels in people with high cholesterol. Taking berberine for up to 2 years seems to reduce total cholesterol, low-density lipoprotein (LDL or "bad") cholesterol, and triglyceride levels in people with high cholesterol. When compared with standard cholesterol-lowering medications, berberine appears to cause similar changes in total cholesterol, LDL cholesterol, and high-density lipoprotein (HDL or "good") cholesterol, and it might be better at reducing triglyceride levels.
High blood pressure. Taking 0.9 grams of berberine per day along with the blood pressure-lowering drug amlodipine reduces systolic blood pressure (the top number) and diastolic blood pressure (the bottom number) better than taking amlodipine alone in people with high blood pressure.
A hormonal disorder that causes enlarged ovaries with cysts (polycystic ovary syndrome or PCOS). Research shows that berberine can lower blood sugar, improve cholesterol and triglyceride levels, reduce testosterone levels, and lower waist-to-hip ratio in women with PCOS. Berberine may even lower blood sugar levels similar to metformin and may improve cholesterol levels better than metformin. It is unclear if berberine increases pregnancy rates or live birth rates in women with PCOS.
1: Reduces Cholesterol and Triglycerides
Significantly and Safely
Big Pharma has created a multi-billion-dollar industry around controlling cholesterol and triglycerides with a "solution" that too often negatively impacts other aspects of your health.
Thankfully, berberine can come to the rescue. One study of participants with elevated cholesterol and triglyceride levels reported that taking 1,000 mg of berberine daily for three months led to a remarkable 25% drop in LDL and a 35% drop in triglycerides—as well as a 29% reduction in total cholesterol—with no side effects.[1]
Another study found much the same. In this second trial, scientists recorded a 21% reduction in LDL, a 36% reduction in triglycerides and an 18% reduction in total cholesterol—just by taking 1,000 mg daily for three months.[2]
And here's another reason why berberine is such an extraordinary antioxidant...#2: It Dramatically Improves Metabolism,
Promotes Weight Loss and Boosts Energy
How Effective is Berberine for Weight Loss
"Berberine has already passed a handful of important demonstrations of efficacy. In 2012, for example, one study showed that obese human patients lost an average of 5 lbs over the 12-week course of treatment.4 While these results may seem modest, there’s more to the story. Significantly, the patients in the trial experienced a 23% drop in their soluble triglyceride levels and a 12.2% drop in their cholesterol levels beyond what would be expected from weight loss alone. This means that berberine helped the patients lose weight while simultaneously reducing the harmful chemical correlates of being overweight; high triglyceride and cholesterol levels are associated with many of the negative health outcomes of being overweight. As such, berberine provided valuable protection of overall health."
The supplemental benefits of berberine are best taken advantage of by people who are concerned about their metabolic health, want to reverse the negative health effects of obesity, or who want a chance at improving their blood glucose regulation and fight back against metabolic dysfunction.
It’s been studied most intently as a way to help treat insulin insensitivity in people who have type two diabetes or who have metabolic syndrome. However, berberine also finds applications in helping with other health issues commonly associated with an unhealthy diet and excessive body weight, such as high cholesterol and high blood lipids.
While berberine is not, on its own, a fantastic weight loss supplement, it does do a fairly good job helping to ameliorate the negative health effects associated with being overweight. It might help lower your body fat percentage, but it’s far stronger at improving health than just reducing the number that you see on the scale.
Some research suggests that berberine works for weight loss, but not as well as some of the more high-powered compounds for weight loss like green tea extract. Its real strength lies in changes to your body’s metabolic health. So taking berberine might be helpful as you are trying to lose weight, so you can move your body closer to a metabolically healthy state.
Interestingly, berberine also has a dedicated core of advocates among people who have irritable bowel syndrome. While the mechanism of action here is not entirely clear, clinical research does support the use of berberine to reduce some of the symptoms of irritable bowel syndrome, so if you have gastrointestinal problems attributable to IBS, you may have success using berberine as well.
https://bodynutrition.org/berberine
https://www.stopagingnow.com/berberine56
Alpha lipoic acid is another one I am on.... Like many prescribed by my neurologist.
Alpha Lipoic Acid (ALA) is a vitamin-like compound that is used in the body to break down carbohydrates and generate energy for the body’s organs
Natrol® ALA is also an antioxidant, a substance that neutralizes potentially harmful chemicals called free radicals and thereby helps prevent cell damage in the body. What makes alpha lipoic acid unique is that it functions in both water and fat unlike the more common antioxidants such as vitamins C and E, and it is able to re-cycle antioxidants such as vitamin C and vitamin E after they have been used up.
Alpha-lipoic acid can improve the function and conduction of neurons in diabetes, as well as help with memory loss and mental acuity.
Taurine plays an essential role in metabolism and digestion, as it helps the liver to create bile salts. Bile salts help break down fatty acids in the intestines. Bile acids are the body's main way of breaking down cholesterol.
Mutations in HFE Causing Hemochromatosis Are Associated with Primary Hypertriglyceridemia
The diagnosis is made on blood tests, often performed as part of screening. Once diagnosed, other blood tests are usually required to determine whether the raised triglyceride level is caused by other underlying disorders ("secondary hypertriglyceridemia") or whether no such underlying cause exists ("primary hypertriglyceridaemia"). There is a hereditary predisposition to both primary and secondary hypertriglyceridemia.[1
How the body digests and absorbs fat
Biologically speaking, the purpose of eating is to gain energy, nourishment, and building blocks for the body to continually renew itself. Fats are a great source of energy because, at 9 calories per gram, they have more than twice the energy potential of carbohydrates, and they do not cause cardiac events. But they do more than just supply energy.
Fats are the building blocks of phospholipids, key components of cell membranes. Fats store energy, and their components serve as intracellular messengers and help to manufacture hormones. Most of the fat we eat is in the form of triglycerides, which are large molecules. The body uses lipase enzymes to break them down into smaller particles. Most lipid digestion in an adult occurs in the upper loop of the small intestine, where a pancreatic lipase does the work. Fats may differ from each other by virtue of carrying different fatty acids, which may be saturated or unsaturated.
When we eat fat, stomach emptying slows and a small amount of fat is treated by gastric lipase in the stomach. This holds especially true for saturated fats, like those in butter.
The liver produces bile, stored in the gallbladder, ready to be shot into the small intestine when the fat gets there. Bile emulsifies the fat and introduces it to pancreatic lipase, whose job is to digest the triglycerides into free fatty acids and monoglycerides, which are then absorbed into the small intestine under typical circumstances.
Fat malabsorption symptoms
At the most basic level, fat malabsorption is a decreased ability for the intestines to absorb needed fats.
The signs and symptoms that someone who is lacking sufficient enzymes to digest and absorb fats may
bloating
gas
feelings of fullness
stomach cramps
diarrhea
pale-colored stool
floating stool
erratic bowel movements
Failure to absorb fats will likely engender additional symptoms, including:
dry hair and skin
premature skin aging
weak nails
sore joints
Where fatty acids are concerned, it also affects:
moodiness
anxiety by
depression
impaired cognitions
allergic or atopic conditions - eczema, ast byhma, hay fever
sleep problems
You may also see low levels of cholesterol, triglycerides, HDL, and LDL in your blood test results.
What are the health benefits of taurine? The most important role that taurine plays in the body is assisting with metabolism and digestion. Taurine is known to aid the body in the development of bile salts, which are ultimately used by the body to metabolize fats within the digestive system and thus can decrease the acquisition of body fat.
Some studies also note a connection between heart health and taurine consumption, as taurine has been connected to a decrease in cholesterol levels and an increase of positive heart functioning. Additionally, like many amino acids, taurine plays a role in muscle maintenance and development. The effects that taurine has on the heart and muscles can result in improved athletic performance and focus during workouts. Taurine also has been shown to improve mental focus, making it a powerful pre-workout agent.
Is taurine bad for your kidneys? Taurine is an important amino acid that plays a significant role in kidney functioning. Oftentimes, taurine is administered to those with kidney disease or decreased kidney functioning to improve their functioning. Taurine has even been prescribed as a treatment method for those suffering from diabetic nephropathy, which affects the kidneys (11).
Another blog is needed about Green Tea and Matcha. I will have to go into later, as this is getting extensive to understand, but each of these plays a role in Multiple Sclerosis and the Gut. This is More for me to find quick links, and of course to ask your Doctor before trying any of these.
Thanks for reading
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Why even call or say something like this? Seems strange on its own, but I. Am sure everyone can relate.
"The life cycle of a Painted Lady butterfly is approximately three weeks. Female butterflies usually lay their caterpillar eggs around 5-7 days after emerging from their chrysalis. Baby caterpillars hatch from the eggs after three days. The growing caterpillars will then eat for 10-12 days before forming their own chrysalides. Finally, adult butterflies will emerge from the chrysalides after 7-10 days, starting the life cycle all over again!"
What does this have to do with MS? There is a term used like I have "butterflies in my stomach", usually referring to the unknown, or a churning feeling given at any moment. This can manifest into the above cycle of learning, exploring, and redoing the same as new items are found.
RimabotulinumtoxinB (Myobloc), also called botulinum toxin type B, is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscles, causing a temporary reduction in muscle activity.
Myobloc is used to treat cervicaldystonia (severe spasms in the neck muscles).
I have many unknowns with Primary Progressive Multiple Sclerosis. This includes waking up with shooting zaps from my legs and neck muscles, wondering if they will support me. On other blogs, I talk about the
Black Box Warning.
This is for botulinum toxin type b I recieve every three months. Its cycle is like a butterfly. Mine is injected with fine needles into many muscles of my calves, neck and thigh muscles. The botulinum toxin then starts to spread over the next few weeks, making its cycle of reproduction into, deadening overactive muscle nerves that are part of my Multiple Sclerosis sending to them erroneously.
symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have underlying conditions that would predispose them to these symptoms. In unapproved uses, including spasticity in children and adults, and in approved indications, cases of spread of effect have occurred at doses comparable to those used to treat cervicaldystonia and at lower doses.
The botulinum toxin continues its life cycle, for me, lasting about 52 days. Short of the 90 days, that is required to wait for the next injections, or new cycle to begin.
Even on with a computer guidance system, the professor of the Neurological department, knows which muscles, injections, spots, muscle names, and where he is trying to obtain the best result, using the entire allotted amount of botox in many sites.
Of course, not all sites get addresses at a single visit. It takes time for the botox to multiply and travel into and thru the muscles. A Cane helps me walk into and out of his office, feeling immediately the botox injection.
A black box warning
The botulinum toxin contained in this medication can spread to other body areas beyond where it was injected. This can cause serious life-threatening side effects.
This is where the benefits outweigh the risks for me. A special form is signed by me before the neurologist can inject.
A weird process to look forward to, that I just had done, and done since the beggining of my diagnosis, every three months.
And the butterfly process begins again.
As far as butterflies in my stomach, is always the unknowns. I can research many items. Some outside my control, some just numbers that specialists look at from blood work.
There are items I share with my Neurologist, I will post links in another blog to keep you reading. They thank me for the links, as it pertains to the Rare H63d genes I have, and also to specific topics. You (my audience) gets to wait until I see the proper specialists, so I can obtain their perspective.
Anyways, thanks for reading!
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