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#i do have a digestive disorder that affects nutrient absorption so that’s probably the culprit
athetos · 7 months
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I had a prescription for vitamin d supplements in the winter and I need to get in contact with my doctor to get that happening again but in the meantime I figured I’d just get otc ones and. The max the store had was 5,000 IU and I was taking 50k. This is going to be annoying.
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wallythayer · 6 years
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Is Salt Bad For You — Or Not?
The story of salt — as a favorite food flavoring and, at the same time, public-health enemy — continues to unfold.
Following a plot line familiar in the realm of nutrition, the salt saga pits two well-intentioned and strongly held perspectives against each other. On one side, public-health experts have warned of salt’s dangers for nearly 50 years, stressing its association with high blood pressure and heart disease. They insist we’d all be better off if we ate less of it. A lot less.
On the other side, a growing number of researchers and clinicians call for a more nuanced assessment. They argue that salt (a mineral known chemically as sodium chloride) is a biological -necessity and not inherently problematic — at least not for everyone.
They point to inconsistent findings in the literature regarding sodium’s role in raising blood pressure, and they caution against unintended consequences when we don’t get enough sodium.
Creating more confusion, the terms “salt” and “sodium” are often used interchangeably in health warnings. We eat salt — which typically contains 40 percent sodium and 60 percent chloride — but it’s the sodium that concerns health experts.
Americans consume an average of 3,400 mg of sodium per day, the amount in about 1½ teaspoons of salt. Nearly 70 percent of this comes from industrially processed foods — fare that is not only excessively high in sodium, but also sugar, refined grains, and other ingredients that research has shown to cause elevated blood pressure and other metabolic conditions that can lead to heart disease.
Many experts argue that the salt on our tables is not as much of a problem as the processed-food context in which we most often consume it (the quality of table salt does matter — more on that later). The solution, they say, is less about managing how much salt we’re getting and more about improving our overall diet.
“If you eat a healthy and varied diet, you probably do not have to worry about your sodium intake,” explains prominent sodium researcher Niels Graudal, MD.
Your Body and Salt
Salt plays a vital and beneficial role in human health. The sodium chloride molecule is a key factor in dozens of biological processes, including muscle contraction (think pumping heart), nerve-impulse function (think firing brain neurons), and blood-pressure and blood-volume regulation.
“Sodium also helps the body absorb vitamin C, and drive vitamin C into the brain and into the bone,” explains cardiovascular research scientist James DiNicolantonio, PharmD, author of The Salt Fix. “The other half of salt — chloride — makes up hydrochloric acid and helps with the digestion of food and nutrient absorption. It also helps to reduce bacterial overgrowth.”
The 2015–2020 U.S. Departments of Agriculture and Health & Human Services Dietary Guidelines recommend limiting daily sodium intake to 2,300 mg, roughly equivalent to 1 teaspoon of salt. Other public-health organizations, including the American Heart Association and the Academy of Nutrition and Dietetics, set daily sodium targets as low as 1,500 mg — the amount in less than ¾ teaspoon of salt.
Some health experts find these recommendations overly aggressive. They point to similar high-profile crusades against saturated fat and cholesterol that were later shown to be based on faulty scientific hypotheses.
Indeed, studies show that too little sodium can lead to increased cholesterol and triglycerides in the bloodstream, says Graudal. It also disrupts hormonal balance: The endocrine function that conserves salt in the body (known as the renin-angiotensin-aldosterone system) is activated when you’re low on sodium, he explains. “And increased renin is a prognostic marker for increased mortality.”
Lower sodium intake has also been associated with greater insulin resistance, notes Hillel Cohen, DrPH, MPH, an epidemiologist at Albert Einstein College of Medicine in New York City — though he cautions that there is likely significant variation from person to person.
Individual sodium needs can differ dramatically as well, says Cohen, and are affected by activity level, water intake, genetic predispositions, and other factors.
Further, many common health conditions increase our salt requirements, explains DiNicolantonio. Inflammatory bowel disease, celiac disease, and gluten intolerance, for example, inhibit salt absorption; other conditions, such as sleep apnea, hypothyroidism, and kidney disease, cause salt loss. Dietary factors also play a role in individual salt requirements, including caffeine consumption, which exacerbates salt loss from sweat and urine.
In other words, each of us would be wise to take broad public-health messages about sodium with a grain of salt.
“It took more than 30 years to turn around the low-fat, high-carbohydrate recommendations that had been mistakenly made, albeit with good intentions,” says Cohen. “So, it’s not surprising that an extreme low-salt position still lingers, despite growing evidence to the contrary.”
“Guidelines that affect millions of people should be made on the basis of unambiguous scientific evidence,” Graudal notes. “I think the current sodium-reduction guidelines could wind up inadvertently killing more people than they save.”
Good Salt, Bad Salt
Food manufacturers use sodium as a preservative, texturizer, and chemical catalyst — and as a seasoning that contributes to the amped-up flavor that makes many of these foods so hard to resist.
Sodium is found in surprising places: Much of the raw chicken sold in supermarkets, for instance, is injected with salt water, giving a 4-ounce serving up to 400 mg of sodium, more than five times that found in a same-size serving of unadulterated chicken. (For more on how processed foods hijack your taste buds, see “Take Back Your Tastebuds.”)
And the sodium value listed on the nutrition label of packaged, jarred, or canned food represents not only sodium chloride but also any added sodium bicarbonate (baking soda); monosodium glutamate (MSG); sodium benzoate (a preservative considered a potential trigger for kids with attention deficit hyperactivity disorder, or ADHD); sodium saccharin (the sweetener also known simply as saccharin); and sodium nitrate and nitrite (preservatives associated with increased cancer risk).
“Our bodies are not designed to handle the tsunami of sodium delivered day in and day out by processed foods,” says integrative nutritionist Kathie Madonna Swift, MS, RDN, LDN, cofounder of the Integrative and Functional Nutrition Academy.
Not only are sodium levels in processed foods higher (and of a different nature) than they would be if we salted to taste, but they’re also missing potassium and other synergistic minerals that have a protective effect on cardiovascular health. In addition, they crowd out whole foods that deliver nutrients in the proportions our bodies are designed to utilize.
“Because we don’t eat enough high-potassium vegetables and fruits to balance it out, our sodium-to-potassium ratio is totally lopsided,” says Swift. This is why reduced-sodium foods are not the best answer, even for those who do need to lower their sodium intake.
“It’s all about electrolyte balance,” says functional-medicine nutritionist Julie Starkel, MS, MBA, RD. “I always talk to my clients about ways to get more minerals.”
Starkel recommends limiting processed foods and enjoying whole foods, such as grassfed meat, vegetables, and unrefined grains, seasoned to taste with sea salt. “Sea salts contain more than 15 percent trace minerals and have been proven to raise trace-mineral levels in the body,” she says. (See “Make a Salt Swap,” page 39, for more on choosing natural salts.)
So instead of obsessing about salt, ditch the sugar, low-quality processed fats, and refined flours — all of which will likely do more harm to your health. Let high-quality salts enhance your enjoyment of the whole foods your body needs, such as bitter greens, which are high in potassium, magnesium, and other minerals.
“Salt can be a gateway to healthier eating,” says DiNicolantonio.
What About Salt’s Role in Blood Pressure and Heart Disease?
More than 360,000 Americans die due to complications from high blood pressure each year. But the case for the public-health initiative to restrict sodium in an effort to reduce blood pressure, and by extension cardiovascular disease, is not ironclad.
First, not everyone is sensitive to salt. “The data is fairly consistent that about 80 percent of people with normal blood pressure are not salt sensitive,” explains cardiovascular research scientist James DiNicolantonio, PharmD. He cites research indicating that 75 percent of people with prehypertension, and 55 percent with hypertension, are also not salt sensitive.
Plus, efforts to reduce sodium intake are not widely associated with low blood pressure and reduced risk for cardiovascular disease. A recent Cochrane Review meta-analysis found that salt-reduction initiatives resulted in only slightly reduced blood pressure among people without high blood pressure. Among study subjects who were hypertensive, there was only “weak evidence of benefit.”
And, while there is no simple way to test your body’s sensitivity to salt, experts say that even if you have high blood pressure, salt may not be the culprit.
“Hypertension, like fever, is not a diagnosis but rather a description,” explains Paul Rosch, MD, FACP, chairman of the board of directors at the American Institute of Stress. “The vast number of people you see with hypertension have no specific, obvious cause for it.”
So, when it comes to managing cardiovascular risk, how much sodium is too much — and how much is too little? Here’s what some of the latest research says.
Study participants whose daily sodium consumption fell between 4,000 and 6,000 mg suffered fewer heart attacks and strokes than those whose intake fell on either side of that range, according to a 2014 report published in the New England Journal of Medicine. The review, which looked at 100,000 people in 17 countries over an average of nearly four years, also found that higher potassium intake was associated with lower risk of both major cardiovascular events and death.
High sodium intake, when compared with moderate consumption, was associated with an increased risk of cardiovascular events and death in hypertensive populations. Yet researchers found no link among people without high blood pressure, according to a 2016 study published in The Lancet. The study also showed a connection between low sodium intake and increased risk of cardiovascular events and death in those with or without hypertension.
People who consumed less than 2,500 mg of sodium per day had higher blood pressure than those who consumed higher amounts — and those who consumed higher combined intakes of sodium (3,717 mg daily on average) and potassium (3,211 mg daily on average) had the lowest blood pressure, according to a study presented by Lynn L. Moore of Boston University School of Medicine at the 2017 American Society for Nutrition Scientific Sessions and Annual Meeting.
These studies and others suggest a J-shaped relationship between sodium and cardiovascular risk: People whose intake falls above or below a certain level tend to experience increased health risks. The studies also highlight the potential protective effect of the electrolyte potassium on cardiovascular health.
“As with any thresholds, the thresholds that have been identified for the J are not exact,” notes epidemiologist Hillel Cohen, DrPH, MPH. “They are rough estimates and will vary from study to study.”
Research has shown that salt sensitivity, independent of blood pressure, is a risk factor for cardiovascular morbidity and mortality. But risk also represents an interplay of genes and environment, including diet and lifestyle. Cohen recommends that those in at-risk categories consult with clinicians to discuss nonpharmacological methods of reducing blood pressure.
“No matter what group you are in, what’s true for the average is not necessarily true for the individual,” he says. “Broad assumptions about categories of people may not apply.”
This originally appeared as “The Great Salt Debate” in the March 2018 print issue of Experience Life, and is an updated version of “Shaking Out the Truth About Salt.”
Get the full story at https://experiencelife.com/article/is-salt-bad-for-you-or-not/
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robertsmorgan · 7 years
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Common IBS Symptoms and the Best Natural Remedies
Irritable bowel syndrome (IBS), also known as mucous colitis or spastic colon, is a chronic gastrointestinal (GI) disorder. Put simply, that means that your bowels behave abnormally without evidence of damage from the disease. IBS affects 10 to 15 percent of adults in the U.S. and can significantly compromise their quality of life.[1]
What Causes IBS?
Many health experts are still puzzled by IBS and what causes the disorder. When examined, the bowels of those with IBS don’t display any noticeable irregularities. There is evidence that stress, anxiety, a poor diet, and carbohydrate malabsorption can all contribute to the disorder.[2]
For some people, IBS begins with an infection. Bacterial gastroenteritis is an inflammation of the GI tract that occurs when bacteria cause an infection in your gut. Research has found that somewhere between 3 and 36 percent of these infections lead to long-term IBS symptoms. However, there are many people with IBS who have never had bacterial gastroenteritis, so there must be other causes.[2]
Another theory is that IBS may be caused by an imbalance in the brain-gut axis. The brain-gut axis is the biochemical communication system between the GI tract and the central nervous system. What this means is that if there is a disturbance in the gut, the issue may not be in the gut itself. Your gut could be receiving disrupted signals from the brain.[2]
Think of it like a malfunctioning GPS system that tells you to take a left into a lake. The car drives exactly as it should, but the information you get is bad, leading to a soggy mess.
Symptoms of IBS
The classic symptoms of IBS differ from person to person. Even the same individual can experience wildly differing symptoms from one week to the next. Some people experience constipation, others diarrhea. There are roughly three types of IBS, which are designated by the predominant symptom: constipation (IBS-C), diarrhea (IBS-D), or some combination of the two (IBS-M). For a clinical diagnosis, the symptoms of IBS must last for at least three days a month for three months.[2]
Those afflicted with IBS can experience a number of secondary symptoms. Other IBS symptoms may include:
Abdominal pain
Stomach ache
Cramping
Bloating
Gas
Unsatisfying bowel movements
Mucus in stool
Urgent need to poop when you wake up or after meals
Psychological effects, including anxiety and depression, often accompany IBS as well. People with this disorder often have low serotonin levels, although it’s yet unclear whether low serotonin causes IBS or if IBS causes serotonin levels to drop.
Because food is moving irregularly through your digestive system, nutrient absorption can be affected. If you have IBS, you may not absorb the full nutritional value of the food you eat.[3]
Who Is at Risk
While the condition can afflict anyone, certain groups face a higher risk. IBS affects about twice as many women as men. Young women are most likely to develop the condition, and symptoms usually appear before the age of 45. Other risk factors include a family history of IBS, food sensitivities, and certain medications. Stress also plays a factor, although we do not yet know if stress causes IBS or if it’s the other way around.[1]
Similar Conditions
Further complicating an IBS diagnosis is the fact that many conditions produce similar symptoms. These conditions could include:[4]
Diverticulosis
Colorectal cancer
Bacterial infections
Intestinal parasites
Food poisoning
Food allergies
Menstrual pain
Hypothyroidism
Crohn’s disease
Influenza
Bowel blockages
Small bowel bacterial overgrowth (SIBO)
Yeast overgrowth
Anemia
Leaky gut
This is only a partial list; there are many more potential causes of IBS symptoms. You’ll notice that some of these conditions are quite serious. Don’t self-diagnose—consult a professional. Your health care provider can perform tests to determine the root cause of the issue.
The Difference Between IBS & IBD
IBS is often mistaken for another condition, Inflammatory Bowel Disease (IBD). IBS is far from pleasant, but IBD is more serious. IBD is actually an umbrella term that refers to a group of chronic inflammatory disorders of the bowel, including ulcerative colitis and Crohn’s disease. Unlike IBS, IBD can cause inflammation, ulcers, or other visible damage to the bowel and is thus more easily diagnosed.
Triggers of IBS Symptoms
IBS is a little different for everyone, but some things are common triggers for many people. Eating certain foods can cause IBS symptoms to flare up. Avoid dairy products, caffeine, sugar, high-fructose corn syrup, artificial sweeteners, fried food, and alcohol. Heavily processed foods like chips and microwave meals can also cause difficulties.
Other triggers of IBS include:
Too little exercise
Stress and anxiety
Menstrual cycles
Chewing gum
Certain medications including antibiotics and antidepressants
Natural IBS Remedies
Conventional medicine tends to focus on treating the symptoms of IBS, rather than addressing the root cause of the condition. They have an array of medications, but the efficacy of pharmaceuticals at treating IBS is inconsistent at best. Some doctors even recommend antidepressants despite the fact that antidepressants are completely ineffective at treating GI symptoms.[5] Considering the known detrimental side effects of these drugs, this is hardly an ideal solution. Fortunately, there are some simple, natural lifestyle changes you can adopt to reduce IBS occurrences.
Change Your Diet
Because certain foods trigger IBS symptoms, a simple change in dietary habits may help. Don’t eat large meals as they can cause cramping and diarrhea. Instead of three large meals each day, try eating 4-5 smaller meals.[6]
Feed your body healthy food. Fruits, vegetables, nuts, legumes, and other high-fiber foods can help promote gut health. There are two types of dietary fiber, soluble and insoluble. Both can help ease the symptoms of IBS. Try to eat about 20 grams of dietary fiber every day.[6]
Multiple studies have found that a gluten-free diet can help improve bowel function in people with certain types of IBS.[7, 8] If you think you have a sensitivity, try cutting gluten out of your diet.
Keep a Food Journal
As the symptoms of IBS are so indistinct, different people can have wildly different food triggers. Your triggers could vary from one month to the next. It’s complicated, but one way to simplify things is to keep a food journal.
Get a small notebook and keep it on you at all times. A notepad app on your phone works just as well. Write down everything you eat and drink, noting the date and time of day. Be thorough; even condiments could be an IBS trigger, so don’t leave anything out. Record IBS symptoms and how you feel every day, both mentally and physically. It could even be a specific ingredient that triggers IBS, so look for patterns. For example, pasta, crackers, and soy sauce may seem unrelated, but they all usually contain wheat, so a reaction to all three could mean gluten is the culprit.
Improve Hydration
Your bowel will have a difficult time if your waste is a hard, dry lump, so be sure to stay properly hydrated. Are you drinking enough water? If you’re like most people, you’re probably at least a little dehydrated. Remember how your mom told you to drink eight glasses of water a day? She was pretty close to right. Eight glasses is a good start, but a slightly better estimate is to drink half your weight in ounces every day. In other words, if you weigh 200 lbs, drink at least 100 oz of water. Healthy fluids like coconut water and detox water count toward this goal, but dehydrating liquids, like coffee, soft drinks, and alcohol do not.[9]
Drinking plenty of water isn’t only necessary to prevent constipation. Hydration is just as important for those with diarrhea—even more so, in fact. Because you’re losing a lot more water with every bowel movement, your risk of dehydration is much higher.
Get More Exercise
Physical activity doesn’t just build muscle and burn fat; it’s one of the best things you can do for gut health as well. Exercise reduces stress and helps maintain GI function. Sign up for a yoga class. Studies have found that twice daily yoga sessions are as effective at improving IBS symptoms as conventional treatments.[2]
Manage Stress Effectively
It’s clear that there is a psychological component to IBS. While stress likely doesn’t cause the condition, excessive stress can impair GI function and make the symptoms worse. Everyone experiences some form of stress, but the trick is to learn effective stress management techniques. Find a method that works for you. I recommend meditation to relax both body and mind.
Try Probiotics
Your gut is home to beneficial microorganisms which make up your microbiota. A healthy microbiota has a profound positive effect on your gut health. Consume probiotic foods like kimchi, sauerkraut, and kombucha or take a probiotic supplement to maintain healthy gut flora. Researchers have discovered that a bacterial species called Bifidobacterium infantis is especially effective at improving the symptoms of IBS.[10]
Cleanse Your Colon
After you’ve altered your diet and lifestyle, try performing a full colon cleanse. Your colon is your main route of elimination, and a blockage can cause waste products to accumulate in your gut, compromising your health. When combined with diet, hydration, and exercise, regular colon cleanses can gently detoxify your bowels and normalize bowel function.
Have you had an experience with IBS? What worked? What didn’t? Tell us about it in the comments.
The post Common IBS Symptoms and the Best Natural Remedies appeared first on Dr. Group's Healthy Living Articles.
from Robert Morgan Blog https://www.globalhealingcenter.com/natural-health/ibs-symptoms-and-natural-remedies/
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