Prescription Medications and Nutrient Depletion: What’s the Connection?

Nutrients are vital substances the body obtains from foods and liquids for growth, development, and sustaining bodily functions. Sometimes, medications can interfere with the body’s nutrient balance and cause levels of certain nutrients to become too low.

Taking medications short-term does not result in nutrient depletion. However, long-term maintenance medication regimens used to treat chronic conditions like diabetes and high blood pressure can, over time, lead to nutrient depletion. 

How do Medications Cause Nutrient Depletion?

Medications can deplete nutrients from the body in a few ways:

  • Excretion: Certain drugs can deplete nutrients by increasing urination and flushing them out of the body.
  • Decreasing absorption: Certain drugs affect the body’s ability to absorb certain nutrients.
  • Increasing metabolism: Certain drugs can speed up the body’s metabolism, causing the body to use certain nutrients more quickly.

Why Is it Important to Monitor Nutrient Levels?

The body needs nutrients to execute all of its functions, including growth, development, and reproduction. There are six main groups of nutrients:

  • Carbohydrates: Provide an important source of energy to the body’s cells as well as fiber. 
  • Minerals: Essential elements needed for nerve function, fluid balance, and bone density.
  • Lipids: Fats that help the body store energy and form cell membranes for cell protection. 
  • Proteins: Form the basic building blocks of structures throughout the body like bones, muscles, cartilage, and skin and are also used to repair these structures.
  • Vitamins: Vital compounds that facilitate chemical reactions throughout the body needed for everyday functions.   
  • Water: Substance that helps the body regulate temperature, lubricate the joints and acts as a solvent to dissolve nutrients and make them available to the body.  

When the body is low in a certain nutrient, it’s unable to perform all of its functions properly. For example, magnesium (a mineral) plays a role in numerous functions throughout the body, including energy production, muscle and nerve function, and DNA replication (vital to cell division and reproduction). If the body is low in magnesium, this can lead to symptoms such as constipation, fatigue, and abnormal heart rhythm. Long-term magnesium deficiency may even lead to more serious conditions like osteoporosis and heart disease. 

Examples of Common Drug-Induced Nutrient Depletions 

Scientists have identified numerous drug-induced nutrient depletions. Some of these include:

  • Antidepressants—can cause folate, calcium, and vitamin D deficiency.
  • Oral contraceptives (birth control)—can cause vitamin B12, folate, calcium, and magnesium deficiency. 
  • Nonsteroidal anti-inflammatory drugs—can cause iron and vitamin C deficiency. 

Is it Possible to Avoid Nutrient Depletion When Taking Medications?

Symptoms of nutrient deficiency may not be obvious. If your doctor has prescribed a long-term maintenance medication regimen, ask him/her about the possibility of nutrient depletion. He/she may recommend periodical blood tests to monitor levels of nutrients and may prescribe supplements to restore healthy levels of nutrients, as needed.

If you’re currently taking a long-term medication and are interested in learning whether it is associated with a known nutrient depletion, or if you notice symptoms of nutrient depletion, talk to your doctor. 


Sources:

https://www.health.harvard.edu/staying-healthy/are-your-medications-causing-nutrient-deficiency
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874849/
https://www.sciencedirect.com/science/article/abs/pii/S0889157501909780
https://med.libretexts.org/Courses/American_Public_University/APUS%3A_An_Introduction_to_Nutrition_(Byerley)/Text/01%3A_Nutrition_and_You/1.03%3A_What_Are_Nutrients%3F
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4224210/
https://www.uofmhealth.org/health-library/ta3912
https://www.news-medical.net/life-sciences/Lipid-Biological-Functions.aspx
https://www.piedmont.org/living-better/why-is-protein-important-in-your-diet
https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/multimedia/functions-of-water-in-the-body/img-20005799
https://www1.health.gov.au/internet/publications/publishing.nsf/Content/canteen-mgr-tr1~nutrients
https://www.medicalnewstoday.com/articles/322191.php#what-does-magnesium-deficiency-mean

How to Get Long-Lasting Results From Your Healthy New Year’s Resolutions

The New Year is a time when millions of Americans decide to change unhealthy behaviors and adopt healthy habits, but few people maintain their resolutions. As with any goal, it can be difficult to stay on track and achieve the final results. How can you stay focused and achieve your New Year’s health resolutions? 

Start Small

Bigger goals like, “I want to quit smoking,” can seem overwhelming. Consider breaking up bigger goals into smaller goals that are more easily attainable. For example, “This year, I want to smoke one less cigarette a week,” is a smaller more easily attainable goal that can be adjusted until you reach the bigger goal of quitting smoking.  

Other examples of smaller, achievable goals include:

  • Taking your medication on time
  • Making an appointment with your general practitioner for a general physical
  • Walking for 15 minutes a day
  • Drinking one glass of water in the morning

Define Specific Goals

When defining health goals, it’s helpful to set measurable and achievable goals. For example, “I want to lose weight” is not very specific, and “I want to lose 100 pounds in 2020”, is not very realistic. However, “I want to lose five pounds every two months, in order to lose 30 pounds within a year,” is a specific and realistic goal.

Focus on One Goal at a Time

A long list of goals that incorporates new habits can be daunting. It can lead you to be more stressed, exhausted, and distracted than you were before, and may even lead to feelings of failure and guilt. It’s not necessary, or even possible, to change every bad habit you want to change or start every good habit you want to start, beginning January 1st without slipping. Instead, focus on one goal at a time. Once you’ve achieved the first goal, then move on to the next one. 

Find Support

Making changes requires a lot of attention and energy and does not come without challenges. Having support when things seem difficult can make a big difference between reaching your health goals and not. 

Before starting your health journey, reach out to friends and/or family members and ask if they will support you throughout this process. Tell them exactly how they can support you: One day you may need some encouragement, or you may just need someone to help you with accountability (for example, maybe you need someone to send a message to once you’ve completed your goal each day).

Celebrate Milestones

Reaching any goal means passing many milestones along the way. It’s important to celebrate these milestones and recognize the hard work that goes into making a daily commitment. You can celebrate milestones by treating yourself to a gift or by sharing your success with a friend over lunch or coffee. Celebrating milestones can help build self-confidence and help motivate you to continue working towards your health goals. 

In addition to celebrating milestones, it’s important to remember to be kind to yourself throughout the process. If you miss a day or two, your goal will not be ruined. Remind yourself that no one is perfect and continue working on your New Year’s resolutions the following day. 


Sources:

https://www.businessinsider.com/new-years-resolutions-failure-advice-jonathan-alpert-2018-12
https://www.mayoclinic.org/healthy-lifestyle/weight-loss/in-depth/support-achieve-health-goals/art-20270836
https://www.verywellfit.com/how-to-start-losing-weight-3495465
https://www.nhsinform.scot/healthy-living/stopping-smoking/how-to-stop/cutting-down-to-quit
https://www.indeed.com/career-advice/career-development/smart-goals
https://www.apa.org/helpcenter/resolution

What Are Mitochondrial Disorders and How Common Are They?

Mitochondrial disorders are genetic disorders that affect the mitochondria—an important cellular structure. Within each cell are structures called organelles that perform a specific function, like protection or cell division. Mitochondria are responsible for generating more than 90 percent of the cellular energy that sustains organ function, and therefore our lives.

How Do Mitochondrial Disorders Affect Health?

Mitochondria act as a digestive system for cells. They take in nutrients from the food and beverages we consume and turn them into energy-rich molecules that are then used by the cell to perform other functions, like growth and division. Certain cells like muscle and liver cells require thousands of mitochondria, while other cells like red blood cells do not need any.

Mitochondrial disorders occur when the mitochondria cannot produce enough energy for cells to use, and therefore are unable to properly carry out their functions. When this happens, it can lead to serious symptoms. 

The symptoms of mitochondrial conditions can vary greatly because they can affect cells in any system of the body, and sometimes in more than one. Mitochondrial disorders affect each person differently, but common symptoms can include:

  • Muscle weakness and/or intolerance to exercise
  • Gastrointestinal (GI) disorders
  • Increased risk of infection
  • Movement disorders
  • Respiratory complications

How Common Are Mitochondrial Disorders?

It is estimated that nearly two million people in the United States have a mitochondrial disorder, and that about 1,000 to 4,000 people each year are born with a mitochondrial condition. Mitochondrial disorders can affect people of all ages but are primarily diagnosed in children. 

How Do Mitochondria Disorders Occur?

Mitochondrial disorders can be inherited (a gene is passed onto a child from the mother, the father, or both) or the result of a random error. Genetic mutations associated with mitochondrial disorders are caused by defects in either the DNA of the mitochondria or the nucleus.

Mitochondrial disorders can develop in the following ways:

  • Autosomal recessive: Two copies of a mutated gene are needed in order for the disorder to develop. A genetic mutation is inherited from both the mother and the father.
  • Autosomal dominant: Only one mutated gene is needed in order for the disorder to develop. The genetic mutation can be inherited from either the mother or the father.
  • Mitochondrial: The mitochondria have their own DNA, apart from DNA found in the cell’s nucleus. Some mitochondrial disorders occur as the result of a genetic mutation in the mitochondrial DNA—this is referred to as mitochondrial inheritance. Mitochondria are only passed down from the mother. If a male inherits a disorder related to mitochondrial DNA, he cannot pass it onto his children. 
  • Random mutation: Sometimes, a mistake in cell division can result in a random error in DNA. These types of mutations are not inherited by either parent.

Treatment Options for Mitochondrial Disorders

There currently is no cure for mitochondrial disorders. Treatments consist of relieving symptoms and delaying or halting the progression of the disease. Current treatments for mitochondrial disorders include:

  • Diet therapy as prescribed by a doctor and guided/monitored by a registered dietitian
  • Vitamins and supplements as prescribed by a doctor
  • Exercise as indicated by a doctor
  • Therapies specific to the symptoms of each individual, like speech therapy, respiratory therapy, and physical therapy


Sources:

https://my.clevelandclinic.org/health/diseases/15612-mitochondrial-diseases
https://rarediseases.info.nih.gov/diseases/7048/mitochondrial-genetic-disorders
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5967365/
https://www.nature.com/scitable/topicpage/eukaryotic-cells-14023963/
https://www.toppr.com/guides/biology/the-fundamental-unit-of-life/cell-organelle/
https://www.ncbi.nlm.nih.gov/pubmed/21698761
https://my.clevelandclinic.org/health/diseases/15612-mitochondrial-diseases/management-and-treatment

The Most Common Health Threats to Men and How to Prevent Them

The way men approach their overall health may contribute to the fact that certain preventable and treatable health concerns lead to more deaths in men than women. Men are more likely than women to:

  • Make risky decisions
  • Make unhealthy choices
  • Consume alcohol and use tobacco products
  • Delay or put off getting regular checkups and/or medical care

Below, we discuss some of the most common health concerns among men and how to prevent them or catch them early on to get appropriate treatment. 

Cardiovascular Disease

Cardiovascular disease is the most important health issue affecting men in the US. According to the Centers for Disease Control, cardiovascular disease is the number one cause of death among men in the US, and the American Heart Association tells us that more than one in every three men has some form of cardiovascular disease. Cardiovascular disease includes a wide range of complications involving the blood vessels (veins and arteries), like atherosclerosis, which can lead to coronary events like a heart attack or stroke. 

Being physically active and eating a diet rich in whole grains, vegetables, and fruits can help reduce one’s risk of developing heart disease.

Prostate Cancer

Prostate cancer is the most commonly diagnosed cancer in men and is the second deadliest cancer among men. All men are at risk of developing the disease, as the most important risk factor is age. However, men with a family history of prostate cancer have a higher risk of developing the disease. 

All men should be regularly examined for signs of prostate cancer, even if they do not have any symptoms. But the age at which annual screenings should begin depends on each individual’s risk. For example, men with a family history (a brother or father who has been diagnosed with prostate cancer) should begin regular screenings at age 40.

Diabetes

A study published in Diabetologia shows that men are more likely to develop type 2 diabetes than women. The study found that men develop type 2 diabetes at a lower body mass index (BMI) compared to women. BMI is a ratio that compares a person’s weight to their height to get an approximation of their total body fat. A higher than average BMI is a risk factor for many conditions, including diabetes.

Eating a well-rounded diet rich in vegetables and fruits, along with having a consistent exercise program can help prevent type 2 diabetes. 

Depression and Suicidal Thoughts

Although women are almost twice as likely to develop depression, nearly 3.5 times more men die by suicide. Doctors and researchers think this is because men, in general, are less likely than women to talk about their feelings or seek help for depression. Depressive symptoms can also be different in men—manifesting as anger and irritability instead of feelings of sadness—which can make it more difficult for family and friends to notice signs of depression in men.

Most people respond well to treatments for depression: talk therapy, antidepressant medications, or a combination of the two. People who get treatment for depression early on are more likely to find relief from depressive symptoms and are less likely to relapse. 

Liver Disease

Two lifestyle behaviors place men at a higher risk of developing liver disease: More men use tobacco products than women, and men are more likely to consume excessive amounts of alcohol compared to women. Drinking alcohol increases the risk of developing certain conditions of the liver, like liver cancer and cirrhosis. Heavy tobacco use (at least two packs a day for 10 years or more) has also been linked to liver damage. 

Limiting or quitting tobacco and alcohol use significantly decreases one’s risk of developing liver disease.


Sources:

https://www.webmd.com/men/features/6-top-health-threats-men#1
https://medlineplus.gov/menshealth.html
https://www.cdc.gov/nchs/fastats/mens-health.htm
https://www.womansday.com/health-fitness/wellness/g27310750/mens-health-issues/?slide=7
https://www.mayoclinic.org/healthy-lifestyle/mens-health/in-depth/mens-health/art-20047764
https://www.cdc.gov/heartdisease/men.htm
https://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319573.pdf
https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease
https://www.cdc.gov/cancer/prostate/basic_info/risk_factors.htm
https://www.cancer.org/cancer/prostate-cancer/about/key-statistics.html
https://www.ncbi.nlm.nih.gov/pubmed/11206408
https://www.nhs.uk/news/diabetes/men-develop-diabetes-more-easily/
https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression/art-20047725
https://www.nimh.nih.gov/health/publications/men-and-depression/index.shtml
https://www.ajmc.com/journals/supplement/2007/2007-11-vol13-n4suppl/nov07-2638ps092-s097
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4088100/
https://www.who.int/gender/documenhttps://www.cancer.org/cancer/liver-cancer/causes-risks-prevention/risk-factors.htmlts/10facts_gender_tobacco_en.pdf
https://www.cancer.org/cancer/liver-cancer/causes-risks-prevention/risk-factors.html

What Is the Gut Microbiome and Why Is it So Important?

Should_I_use_probiotics

Within the gastrointestinal (GI) tract lives a community of microorganisms called the gut microbiome, also called the gut flora and gut microbiota. The gut microbiome not only plays a crucial role in digestion and metabolism, but forms part of an important relationship between the gut and the rest of the body.  

The Gut Microbiome Helps Regulate Mood

The gut microbiota interacts with certain cells and neurons (nerve cells) within the gut to produce mood-regulating neurotransmitters (chemicals that relay signals between nerve cells), including serotonin, GABA, and dopamine. Scientists estimate that as much as 90 percent of serotonin is produced in the gut. Serotonin is well-known for its effect on happiness, feelings of well-being, and even regulating anxiety. 

The gut microbiota communicates with the gut-brain axis (a communication network between the enteric nervous system found in the GI tract and the central nervous system), forming a relationship between the emotional and cognitive functions of the brain with the intestines. For example, scientists have linked a specific bacteria in the gut, called Campylobacter jejuni, to the onset of symptoms of anxiety

The Gut Flora Maintains a Healthy Immune System

Researchers have discovered that roughly 70 percent of the body’s immune system and 80 percent of plasma cells (a type of immune cell) lies within the GI tract. The gut microbiota and the gastrointestinal immune system interact and have a beneficial relationship: the gastrointestinal immune system helps promote the growth of beneficial bacteria and maintain a balance among the various microorganisms of the gut flora, while the gut microbiota supports the development of immune cells. 

The Gut Microbiota Protects the Brain

A study published in the Journal of Experimental Biology observed the effects of gut microbiota on memory formation in mice. Researchers conducted memory tests, like object recognition and maze completion. Some mice were bred with gut flora and some mice were bred with no gut flora (germ-free). When none of the mice were placed under stress, results showed that germ-free mice had problems with memory, while mice with gut flora did not. This suggests that the gut microbiome may affect memory formation.

How Can You Maintain or Improve Gut Health?

The key to maintaining a healthy gut microbiome is to ensure diversity and balance between beneficial bacteria and potentially harmful bacteria. Some ways in which people can do this include:

  • Eating foods rich in prebiotics: Prebiotics are plant fibers found in vegetables and whole grains. Beneficial bacteria grow by fermenting prebiotics in the large intestine.
  • Eating foods rich in probiotics: Probiotics are live beneficial bacteria that are found inside the gut and also in supplements and certain foods, like yogurt, sauerkraut, and miso.
  • Eliminating processed foods: Processed foods can negatively affect the gut flora, leading to inflammation in the intestines and interrupting the proper interaction between the gut microbiota and the gut-brain axis.  

Finding ways to manage and reduce stress: Stress can cause gut flora to become imbalanced and even less diverse.


Sources:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433529/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2515351/
https://neurohacker.com/how-the-gut-microbiota-influences-our-immune-system
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662178/
https://www.nature.com/articles/d42859-019-00021-3
https://www.caltech.edu/about/news/microbes-help-produce-serotonin-gut-46495
https://www.theatlantic.com/health/archive/2015/06/gut-bacteria-on-the-brain/395918/
https://www.medicalnewstoday.com/kc/serotonin-facts-232248
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4367209/
https://www.medicalnewstoday.com/kc/serotonin-facts-232248
https://thebrain.mcgill.ca/flash/i/i_01/i_01_m/i_01_m_ana/i_01_m_ana.html
https://www.ncbi.nlm.nih.gov/pubmed/26589591
https://www.ncbi.nlm.nih.gov/pubmed/27231050
https://jeb.biologists.org/content/214/7/vi
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872783/

How to Keep Your Bones Healthy and Prevent Osteoporosis

Loss of bone mass is a common occurrence of aging. Around the age of 40, the body starts to lose bone density and the risk of developing osteoporosis increases. Osteoporosis occurs when enough bone mass has been lost, that the bones become fragile and can be easily fractured from falls or even minor bumps.  

Bones are often seen as merely a structural necessity, but they are important for numerous functions in the body, including:

-Protection of vital organs

-Production of blood cells

-Storage of important minerals

-Storage of energy sources

As we age, loss of bone mass not only increases the risk of fractures, it affects the bones’ ability to properly carry out their functions. It is estimated that, worldwide, one in three women and one in five men over the age of 50 will break a bone due to osteoporosis. 

But osteoporosis does not have to be a burden of aging. There are steps people can take to slow the rate of bone loss, maintain healthy bones, and prevent osteoporosis. 

Eat a Well-Balanced Diet Rich in Whole Foods

Eating a varied and well-balanced diet is a critical step in the prevention and management of osteoporosis. A diet rich in nutrients, vitamins, and minerals helps the body perform all of its functions properly, including bone formation. 

Calcium and vitamin D are two of the most important nutrients in maintaining bone health. Ninety-nine percent of the calcium in the body is found in the bones, while vitamin D helps the body to absorb calcium. Calcium is found in dairy products, leafy greens, legumes, and dried fruit while vitamin D can be found in foods like mushrooms and fish. However, many people choose to get their daily intake of calcium and vitamin D from supplements.

Protein is a nutrient that preserves bone mass. It is found in animal sources like fish and dairy products. Protein can also be consumed from plant sources like lentils, grains, and nuts. 

Nutrients found in plants have been shown to support bone density in both men and women. Fruits, vegetables, and grains provide the body with a wide range of vitamins, minerals, and 

micronutrients that are necessary for bone tissue renewal, including vitamin A, vitamin B, vitamin K, magnesium, and zinc.

Do Daily Weight-bearing Exercises

Like muscles, bones also become stronger when exercised correctly. Weight-bearing and resistance exercises are the best types of activities for strengthening the bones. Exercise also helps to strengthen the muscles and maintain or improve coordination and balance, which can help prevent falls and broken bones. 

Examples of weight-bearing exercises include walking, climbing stairs, and dancing. Examples of resistance exercises include push-ups, squats, and lifting weights. Exercises like running and jumping are not necessary and may put added stress on already fragile bones. 

Quit Smoking and Limit Alcohol Consumption

Researchers have found that drinking alcohol, smoking tobacco, and taking certain medications could increase the risk of developing osteoporosis. These lifestyle factors or modifiable factors can interfere with the normal function of mitochondria (a cellular structure that produces energy for the body). When mitochondrial function is compromised, it sends out a stress signal. 

When this occurs in cells called macrophages (a type of immune cell that detect, consume, and digest foreign substances in the body, like pathogens), they turn into osteoclasts (a type of cell that absorbs bone tissue). This stress response can lead to an overproduction of osteoclasts and therefore an acceleration of bone loss.

Consider Bone-Forming Medications

In some cases, metabolic conditions can affect the rate at which a person’s body loses bone density. For these individuals, or for people who have advanced bone density loss, doctors may recommend bone-forming medications. 

Hormone therapy may also be a viable treatment option for both men and women. As men age, testosterone levels drop and may contribute to osteoporosis. Women are more susceptible to bone loss after menopause due to a sudden drop in estrogen. 


Sources:

https://orthoinfo.aaos.org/en/staying-healthy/healthy-bones-at-every-age/
https://www.iofbonehealth.org/facts-statistics
https://www.webmd.com/osteoporosis/features/diet-dangers
https://www.bones.nih.gov/health-info/bone/bone-health/exercise/exercise-your-bone-health
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2991386/
https://www.medicalnewstoday.com/articles/325163.php#1
https://www.healthline.com/health/bone-health/bone-function#function
https://www.iofbonehealth.org/nutrition
https://www.mayoclinic.org/diseases-conditions/osteoporosis/diagnosis-treatment/drc-20351974
https://www.bones.nih.gov/health-info/bone/osteoporosis/men
https://www.healthline.com/nutrition/how-to-increase-vitamin-d


Allergy Immunotherapy: How it Works and Why It’s Changing the Way We Treat Allergies

allergy-medicine-pharmacy-online

Allergy immunotherapy is a relatively new treatment that can provide long-term relief from allergies for both children and adults. Although immunotherapy was first used to treat a pollen allergy in 1911, it is now widely used to treat a variety of allergic complications, such as asthma. 

An allergic reaction occurs when the body identifies a substance as harmful and causes an immune response. People can have an allergic reaction to all kinds of things, including food, insect stings, pollen, and certain medications. The substance that causes an allergic reaction is called an allergen. Allergens can cause uncomfortable symptoms such as sneezing or itchy and watery eyes. In some cases, allergens can cause life-threatening symptoms such as asthma or swelling of the throat, threatening the patient’s ability to breathe. 

Who Might Consider Getting Allergy Immunotherapy Treatment?

Traditionally, allergy medications are used to treat symptoms of allergies. But these medications stop working once the individual stops taking them. Allergy immunotherapy can offer long-lasting results, even after the last dose. 

Allergy immunotherapy may be a good treatment option for patients who:

-Do not find relief from allergy medications 

-Have adverse reactions from taking allergy medications with other necessary medications

-Have a life-threatening allergy such as insect stings

-Wish to stop taking long-term allergy medications 

How Does Allergy Immunotherapy Treatment Work?

Allergy immunotherapy works by introducing a small amount of the allergen (the substance that causes an allergic reaction) into the body over a few years to build up a resistance and eliminate symptoms. 

How Is Allergy Immunotherapy Administered?

Subcutaneous immunotherapy (SCIT)

Subcutaneous immunotherapy (SCIT), also called injections or shots, are the most common method of administering allergy immunotherapy. Subcutaneous means “under the skin.”

SCIT works by injecting a small amount of the allergen under the patient’s skin. This is done initially once a week for a few months, then once every two weeks, and eventually once every four weeks until the end of treatment. Treatment may last three to five years for the patient to develop long-term immunity to the allergen. An added benefit of SCIT is that it may help prevent the development of new allergies in patients. 

Sublingual immunotherapy (SLIT) 

For individuals who prefer to receive treatment without injections, there is an oral treatment option called sublingual immunotherapy (SLIT). Sublingual means “under the tongue.” SLIT is administered using tablets. The patient places a tablet containing a small amount of the allergen under the tongue and keeps it there for a few minutes before swallowing it. Tablets help patients build resistance to the effects of the allergen, therefore reducing and hopefully eliminating symptoms. SLIT is repeated at least three days a week for three to five years for the patient to develop long-term immunity to the allergen.

Drops can also be used for SLIT. However, in the US, this method is currently considered an off-label treatment, meaning that it is not yet approved by the US Food and Drug Administration as an effective treatment for allergies. 

Sublingual immunotherapy only helps patients achieve symptom relief from one type of allergen and, unlike injections, does not prevent the development of new allergies. 

The Future of Allergy Immunotherapy 

Allergy immunotherapy is currently not indicated for use in children with life-threatening food allergies, although researchers are working on developing a safe and effective treatment method. Today, allergy immunotherapy for food-allergies is administered in a research setting, where children are under constant supervision. 

A study published in the Journal of Allergy and Clinical Immunology: In Practice assessed the safety of oral immunotherapy administered in a hospital or clinical setting in 270 children aged 9 months to five years old with a peanut allergy. During the study, 68 percent of children experienced an allergic reaction that was mild or moderate. Less than half of a percent of children in the study experienced a severe allergic reaction. Although severe reactions can occur in a small portion of patients, 90 percent of children reached the maintenance stage of treatment, demonstrating that immunotherapy may be a safe treatment option for young children with peanut allergies. 


Sources:

https://www.specialtypharmacytimes.com/news/immunotherapy-found-safe-for-young-children-with-peanut-allergies
https://www.jaci-inpractice.org/article/S2213-2198(19)30383-6/abstract
https://www.mayoclinic.org/tests-procedures/allergy-shots/about/pac-20392876
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https://www.pharmacytimes.com/news/immunotherapy-found-safe-for-young-children-with-peanut-allergies

“Why Am I So Tired?” How Prolonged Stress, Vitamin Deficiency, and Poor Diet Contribute to Low Energy

High-stress-can-cause-chronic-fatigue

Feeling tired now and again is normal. But feeling tired constantly while also feeling unmotivated and unable to concentrate could indicate fatigue. When someone feels low energy for a prolonged amount of time, or “tired all the time,” they are most likely fatigued. When symptoms of fatigue last for six months or longer, this is referred to as chronic fatigue. It is estimated that one in eight adults aged 18 and older has chronic fatigue. 

Fatigue can be caused by certain medical conditions. But what causes fatigue when a medical condition is not to blame?

Prolonged Stress

Perceived stress (the level of stress an individual feels) is associated with fatigue. More specifically, higher stress levels correlate with a greater sense of fatigue. Stress associated with fatigue can be emotional, psychological, or physical. Adrenal fatigue is a common explanation for fatigue caused by chronic stress. However, there is some controversy among the medical field as to whether adrenal fatigue is a legitimate diagnosis.

Managing stress is an important part of managing fatigue. Exercise, relaxation techniques, and participating in fun activities can help relieve stress. 

Vitamin and/or Mineral Deficiency

When the body is deficient in vitamins or minerals, it’s unable to properly perform all of its functions. Deficiencies occur when the body is unable to absorb or breakdown certain vitamins or minerals. Vitamin and mineral deficiencies associated with fatigue include:

-Iron

-Vitamin B12

-Potassium

-Magnesium

-Omega-3

-Folic Acid

-Vitamin D

Long-term vitamin and mineral deficiency can lead to health complications more serious than fatigue, like bone brittleness and neurological disorders, if left untreated. If you’ve been experiencing low energy or fatigue, make an appointment to see your doctor.

Poor Diet

Diets high in trans-fat and saturated fat could contribute to low energy. A study published in 2016 in the journal Nutrients shows that a high-fat diet is associated with daytime sleepiness. Moreover, processed foods and foods high in added sugars can lead to a sudden drop in blood sugar and therefore energy levels. This is because, at first these foods provide a boost of energy due to a rapid rise in blood sugar. But they can also lead to a rapid decline in blood sugar just as quickly.

A well-balanced diet that includes protein, fruits, vegetables, and whole grains can help maintain consistent energy levels. Avoid trend diets that offer health benefits by cutting out an entire food group. Individuals considering a diet to lose weight should consider working with a registered dietician to avoid vitamin and/or mineral deficiency.

Have You Been Feeling Tired Lately?

Many factors can contribute to fatigue. If you’ve been feeling excessively tired, unmotivated, and have noticed a change in your general mood, make an appointment to see your doctor. It’s important to diagnose the cause of fatigue as soon as possible. Fatigue can be caused by an undiagnosed medical condition. In this case, an early diagnosis can help prevent further health complications from developing.


Sources:

https://www.health.harvard.edu/mind-and-mood/could-a-vitamin-or-mineral-deficiency-be-behind-your-fatigue
https://health.clevelandclinic.org/always-tired-7-hidden-causes-for-your-fatigue/
https://health.usnews.com/health-news/health-wellness/articles/2015/09/08/is-a-vitamin-or-mineral-deficiency-making-you-tired#targetText=Some%20of%20the%20most%20common,vitamin%20B12%20and%20folic%20acid.&targetText=Even%20the%20mundane%20can%20become,untreated%20anemia%20from%20iron%20deficiency.
https://www.health.harvard.edu/mind-and-mood/could-a-vitamin-or-mineral-deficiency-be-behind-your-fatigue
https://www.mdpi.com/2072-6643/8/4/207/htm
https://well.blogs.nytimes.com/2016/04/21/a-high-fat-diet-may-lead-to-daytime-sleepiness/#targetText=A%20High%2DFat%20Diet%20May%20Lead%20to%20Daytime%20Sleepiness&targetText=Eating%20a%20high%2Dfat%20diet,they%20felt%20during%20the%20day.
https://www.ncbi.nlm.nih.gov/pubmed/21774803
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158648/
https://www.health.harvard.edu/a_to_z/chronic-fatigue-syndrome-a-to-z
https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress-symptoms/art-20050987
https://health.usnews.com/health-news/health-wellness/articles/2015/09/08/is-a-vitamin-or-mineral-deficiency-making-you-tired
https://www.health.harvard.edu/blog/is-adrenal-fatigue-real-2018022813344#targetText=The%20adrenal%20fatigue%20theory%20suggests,lightheadedness%2C%20and%20other%20vague%20symptoms.

What is Blood Pressure, and Why Is it Important to Be in a Normal Range?

Keep-blood-pressure-in-range

Normal blood pressure is crucial to maintaining optimal cardiovascular and circulatory health. Blood pressure is responsible for delivering blood throughout the body and returning it to the heart. This happens through a system of blood vessels called veins, arteries, and capillaries. 

How Does Blood Pressure Work?

Each time the heart beats, it sends blood to every tissue and organ of the body via arteries. Blood returns to the heart through the veins, when a collaborative effort of the skeletal muscles squeezes the veins and pumps blood back into the heart. 

What Are the Functions of Blood Pressure?

The primary function of blood pressure is to move blood around the body through the circulatory system. Our blood is full of oxygen and nutrients that feed the body’s tissues and organs. Blood pressure also transports immune cells, called white blood cells, to areas of the body in need. 

In addition to acting as a delivery service, blood pressure also functions as a purifier — when fresh blood is carried away from the heart, it can pick up waste products and toxins from the body’s tissues and organs.  

How to Check Blood Pressure and What do Readings Mean

Blood pressure is measured by using an instrument called a sphygmomanometer or a blood pressure monitor. A sphygmomanometer has an inflatable cuff that is placed around the arm. 

A blood pressure reading has two numbers: one on top of the other (for example 120/80). The top number is called the systolic pressure reading and is the pressure exerted from the heart when it pumps through the arteries. The bottom number is called the diastolic pressure reading and is the pressure in the arteries when the heart is resting in between beats.

What Happens When Blood Pressure is Too High or Too Low?

For blood pressure to perform its functions properly, it must be within a certain range. Sometimes, blood pressure can be too high or too low. This can place stress on the heart and even the brain.

The American Heart Association defines normal blood pressure levels as systolic less than 120 and diastolic less than 80. Lower blood pressure is typically seen as healthier, but when blood pressure dips too low, one can experience symptoms such as:

-Fatigue

-Inability to concentrate

-Nausea

-Lightheadedness

There is no defined range for low blood pressure, but rather blood pressure is said to be too low when these symptoms outlined by the American Heart Association present themselves. When blood pressure is too low, this can deprive your body of much-needed oxygen.  

High blood pressure (hypertension) is defined as a systolic read greater than 130 and/or a diastolic reading greater than 80. When blood pressure is too high, it places stress on the arteries and therefore on the circulatory system. Down the road, consistently high blood pressure can lead to heart, brain, and kidney damage.

How to Maintain a Normal Blood Pressure Range

There are many steps you can take to maintaining blood pressure within a normal range, including:

-Exercise 

-Eat a well-rounded diet

-Quit smoking

-Limit consumption of alcohol

-Maintain a healthy weight

-Find healthy ways to manage stress

-In some cases, medications may be necessary

To understand your normal blood pressure range, regularly get your blood pressure checked with your doctor. Regular blood pressure checks allow your doctor to keep a history of blood pressure readings. This makes it easier to identify an upward or a downward trend and possibly prevent any associated health complications.


Sources:

https://www.nia.nih.gov/health/high-blood-pressure
https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings
https://www.medicalnewstoday.com/articles/270644.php
https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/low-blood-pressure-when-blood-pressure-is-too-low#targetText=Symptoms%20of%20low%20blood%20pressure,Nausea&targetText=Dehydration%20can%20sometimes%20cause%20blood%20pressure%20to%20drop.
https://www.ncbi.nlm.nih.gov/books/NBK279250/#targetText=The%20arteries%20carry%20blood%20away,it%20back%20to%20the%20heart.&targetText=In%20the%20systemic%20circulation%2C%20the,and%20into%20the%20capillary%20network.
https://courses.lumenlearning.com/boundless-ap/chapter/the-venous-system/#targetText=The%20return%20of%20blood%20to,then%20close%20to%20prevent%20backflow.
https://www.mayoclinic.org/diseases-conditions/low-blood-pressure/symptoms-causes/syc-20355465#targetText=Even%20moderate%20forms%20of%20low,to%20your%20heart%20and%20brain.
https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art-20046974

Summit Health Submits Petition to Protect Patients with BH4 Deficiency

Summit Health owner, Vince Canzanese, RPh, was recently recognized in the August 2019 issue of Apothagram for writing a petition to ensure that patients with BH4 deficiency continue receiving the compounded medications they need. You can read more about his work here, or keep an eye out for the latest issue of Apothagram.