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THE NUTRI-SPEC LETTER
Volume 8 Number 10
From:
Guy R. Schenker, D.C.
October, 1997
Dear Doctor,
In last month's Letter you learned that with the
magical ...
ABRACADABRA ZAP ...
you give your patients with Oxy A-Plus and Oxy D-Plus, along
with the unique combination of ingredients in Oxy A and Oxy D,
there is no anaerobic/dysaerobic clinical challenge you cannot
meet.
But, believe it or not,
THERE IS EVEN MORE YOU CAN DO FOR YOUR
ANAEROBIC/DYSAEROBIC PATIENTS.
Your QRG lists several amino acids which can take your
clinical results from excellent to spectacular. On the
dysaerobic side of your QRG you will note that it is often
beneficial to give your patients the amino acids histidine and
glutamine above and beyond what is already contained in their
Oxygenic D.
We already covered histidine in our discussion several
months ago of electrolyte stress imbalance. Histidine was
recommended for those patients who have a dysaerobic oxidative
stress as a major part of their cardiovascular disease. We
noted in that Letter that histidine has a specific protective
effect on the arterial intima. It is also a vaso-dilator and
thus decreases blood pressure. We also noted that Histidine
has been shown to decrease angina pain.
These and all the other beneficial effects of histidine
are associated with its unique antioxidant activity.
Histidine is the most effective naturally occurring singlet
oxygen scavenger. That makes it the most important
antioxidant found in our diets.
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What exactly does it mean to be a singlet oxygen
scavenger? A classic free radical contains an unpaired
electron which makes it highly reactive. There is, however, a
reactive, highly unstable oxygen species called singlet oxygen
that contains a pair of electrons (and so technically cannot
be classified as a free radial itself). But since the two
electrons exist in unstable form, this molecule participates
in reactions that generate free radicals. One example is the
super oxide radical. Deactivating singlet oxygen with
histidine prevents the formation of the super oxide radical.
(The other common singlet oxygen quencher in our diet is beta
carotene, though it is not nearly as powerful as histidine.)
Histidine has been found to be particularly effective in
the following conditions (frequently found in dysaerobic
patients): rheumatoid arthritis, anemia, allergies, and
nausea (including nausea of pregnancy), and upper GI ulcers.
Regarding rheumatoid arthritis, it has been shown that
both NSAIDS and steroids lower plasma histidine. So, while
affording temporary relief, they actually exacerbate the
condition.
Aging is largely a cumulative effect of excessive
oxidative free radical damage in the body. A chronic
dysaerobic imbalance is always associated with tissue
destruction and premature aging. It is interesting to note
that low histidine levels are strongly correlated with aging.
Your other powerfully anti-dysaerobic amino acid is
glutamine. There is so much to be said about this amazing
amino acid and its anti-dysaerobic effects that I don't know
how I can cover it in less than 10 pages. But here goes:
The specialized biological activities of glutamine can
all be attributed to two distinctive qualities it possesses:
1. It is the one amino acid that contains two nitrogens, not
just one. Therefore, it functions throughout the body as a
nitrogen shuttle. Its role as a nitrogen shuttle is the basis
of all glutamine's metabolic effects outside the GI tract.
2. In the GI tract glutamine is used directly by the cells of
the GI lining for food. Glutamine is absorbed by enterocytes
where it is broken down to eventually yield 5 ATP for every
glutamine molecule. You must understand (and this is
important because almost no other clinicians understand this)
that almost no glucose is utilized by enterocytes for energy.
In other words, glutamine is the source of fuel which the
intestinal tract uses to perform its functions and to maintain
itself structurally.
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Let us talk about the GI functions of glutamine first.
You note that ulcerative colitis, mucus colitis and certain
other GI ulcers are typical of your dysaerobic patients.
Glutamine is even more essential for the GI tract of the
dysaerobic patient than for the rest of us. Glutamine is
essential for the maintenance of GI cell metabolism, for the
maintenance of its structure and for the maintenance of GI
epithelial function.
Leaky gut syndrome (which is associated with chronic
allergic symptoms as well as absorption of bacterial and viral
toxins) can be reversed with glutamine supplementation. The
negative impact of disease/stress is far greater and occurs
far earlier in the GI tract than any other organ. Further-
more, the recovery time from disease or stress is much longer
in the GI tract than in other organs. (Fibromyalgia is one
example of a stress-related disease that has a GI component
and is always associated with leaky gut syndrome.)
Secretory IgA is the most abundant immunoglobulin in the
intestinal immune barrier. The synthesis and expression of
secretory IgA requires adequate glutamine.
Regarding GI ulcers, glutamine supplementation results in
complete healing within four weeks of 92% of ulcer patients.
Glutamine supplementation has been shown to be beneficial
in patients with inflammatory bowel disease. The glutamine
helps decrease inflammation, helps repair the epithelial
tissue, and helps decrease the excess mucosal permeability,
thus decreasing the absorption of enterotoxins. Glutamine
supplementation is therefore indicated in therapeutic doses
for all your dysaerobic patients with irritable bowel syndrome
and inflammatory bowel disease and chronic diarrhea. (It is
also beneficial for viral diarrhea for any patient.)
Glutamine has also been shown to prevent and eliminate
gall stones. Glutamine achieves this by increasing bile flow
and by decreasing the ionized calcium concentration of the
bile.
Consider now the other unique biological activity of
glutamine -- its ubiquitous presence as a nitrogen shuttle.
As part of the body's stress reaction, muscle tissue breaks
down and amino acids are liberated. (This catabolic state is
exaggerated in your dysaerobic patients.) Glutamine comprises
33% of the amino acids liberated from muscle breakdown during
stress. What is more, 60% of the free amino acids in the
intracellular amino acid pool (mostly found in muscles)
consists of glutamine. This amino acid pool is reserved to be
mobilized into plasma when amino acids (particularly
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glutamine) are needed at other organ sites. So we see that
muscle tissue is first a storage depot for glutamine, and
second, a synthesizer of glutamine.
In response to stress (either emotional or disease
related) glutamine synthesis increases by 200 to 400%, yet the
glutamine level in muscles decreases by 50% and the glutamine
level in the blood decreases by 30%. How is it that glutamine
levels decrease while synthesis is actually increased by two
to four times? It is decreased simply because glutamine is
utilized for tissue repair throughout the body and especially
to maintain the GI mucosa. The muscle wasting that occurs
when a person is sick or under chronic stress is virtually
100% due to a glutamine deficiency.
Following is a list of other glutamine functions related
to its nitrogen shuttle capacity, and which are particularly
relevant to your dysaerobic patients:
1. Low glutamine levels decrease the activity of lymphocytes,
decrease phagocytosis, and decrease the levels of
immunoglobulin A, thus crippling immune function. One study
showed that among animals made septic with massive doses of
bacteria, 21 of 38 died, yet when given glutamine for one week
prior only 3 out of 38 died. Another study showed that when
animals were given an enzyme to destroy glutamine they all
became rapidly immuno-suppressed; all developed necrotizing
enterocolitis and died.
2. In burn patients glutamine levels were shown to drop by
58% and remained far below normal for 21 days. This relates
to the immuno-suppression that occurs in burn patients. It
was further found that the chance of infection in a burn is
inversely proportional to the glutamine levels. From a
NUTRI-SPEC perspective, burns are a dysaerobic lesion. (Note
that Oxygenic D-Plus is extremely effective when used
topically on burns for the first three days. The effect on
healing is unbelievable until you have seen it yourself.)
3. Auto-immune diseases are typified by the presence of
excess cytokines. (Rheumatoid arthritis patients have 50%
more than normal.) Glutamine has a dramatic impact on
decreasing cytokine production. (NOTE: On the DYSAEROBIC
page of your QRG, add rheumatoid arthritis to the conditions
for which glutamine supplementation is indicated.)
4. When an athlete over-trains (and they all do) glutamine
levels decrease 9% below normal. This is due to muscle
catabolism that exceeds the anabolic rebuilding capacity. The
glutamine is also pulled out of muscles to be sent to the
kidneys to help eliminate the acids produced during exercise.
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The low glutamine levels from over-training decrease the
athlete's resistance to infection and decreases the healing of
wounds and athletic injuries.
Many athletes supplement with substances purported to be
anabolic aids. Most of them are an ineffective waste of
money. If there is one anabolic aid that would really work
for athletes it would be glutamine. Glutamine has been shown
to stimulate human muscle glycogen synthesis following
exercise. Glutamine administration has been shown to increase
circulating plasma growth hormone concentration.
Also note that glutamine is extremely heat labile and is
thus destroyed in over-cooked foods. Note further that
glutamine is not a part of the protein powders taken as
supplements by many athletes, yet it is the one component of
protein that they really may need in supplement form.
5. Glutamine is the most abundant amino acid in the cerebro-
spinal fluid. Glutamine is a precursor to glutamic acid (an
excitory neuro transmitter which does not cross the
blood/brain barrier), and, glutamine is a precursor to GABA
(an inhibitory neuro transmitter). Supplementation with only
250-1000 milligrams per day of glutamine has been shown
effective as an antidepressant and a mood elevator. Keep this
in mind for your dysaerobic patients. (In fact, you may add
this to your QRG page as a dysaerobic condition for which you
give additional glutamine.) Other brain effects of glutamine
include improved problem solving on continuous performance
tests -- and the effect here was immediate. Glutamine has
also been shown to decrease anger and decrease fatigue.
6. Glutamine reverses the catabolic effect on muscles due to
glucocorticoids. Glutamine thus eliminates the muscle atrophy
typical in patients taking glucocorticoids.
7. Glutamine is effective in treating impotence.
8. Low levels of glutamine (like histidine) are strongly
correlated with aging.
How's that for an impressive list of credentials?
Certainly you see the many uses you have for histidine and
glutamine supplementation in your dysaerobic patients.
Now look at the anaerobic side of your anaerobic/
dysaerobic QRG page. Three amino acids are listed as
frequently beneficial for your anaerobic patients -- tyrosine,
methionine and taurine. We covered the benefits of tyrosine
in our discussion of electrolyte insufficiency imbalance in
our March Letter. Rather than repeat that discussion, suffice
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it to say that tyrosine is compatible with an anaerobic body
chemistry. It elevates depressed levels of certain brain
transmitters. Tyrosine also has specific antihistamine
activity and specifically strengthens thyroid function. In
terms of symptoms, it can be used for all your anaerobic
patients with somnolence, fatigue, allergies or depression.
Methionine is an essential amino acid that is powerfully
anti-anaerobic by virtue of its sulfhydril group. (Also note
that methionine is the most heat labile of the amino acids and
therefore is easily destroyed in over-cooked food.) Via its
active sulfur group methionine assists in detoxification.
Methionine facilitates liver function and increases the
production of lecithin in the liver.
Methionine is lipotrophic -- helping the liver process
and eliminate cholesterol and other fat. Methionine also
decreases histamine levels and is thus beneficial for your
anaerobic patients with allergies. Methionine has also been
found beneficial in many cases of schizophrenia (and this is
speculated to perhaps be due to its anti-histamine effect).
Methionine also shows its anti-anaerobic activity in its
effect on anaerobic cancers. According to a study published
in Nutrition and Cancer, it may prevent and even reverse
certain cancers by permitting the remethylation of DNA
methylation inhibited by a carcinogen.
Our final anti-anaerobic amino acid is taurine, which you
read about extensively in our May Letter regarding its use for
your electrolyte stress patients. The only clinical effect of
taurine we did not cover in that discussion is its effect on
the nervous system. Taurine enhances brain function in many
ways and has demonstrated a particular beneficial effect on
seizure disorders. It is important to note that virtually all
seizure patients are anaerobic.
In summary: The majority of your patients have an
anaerobic/dysaerobic component to their health problem. (If
the imbalance doesn't show up on initial testing it often will
on a follow-up.) With Oxy A & A+, Oxy D & D+, and the amino
acids histidine, glutamine, tyrosine, methionine and taurine,
you are equipped to empower these patients like no other
clinician can.
Sincerely,
Guy R. Schenker, D.C.
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