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Autoinflammatory Conditions_Final

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Hi, I am back. In this lecture, we'll discuss autoinflammatory conditions. This is a popular topic in gut health, so let's jump right in. Autoinflammatory is a newly recognized category of disease where just like with autoimmune conditions, inflammation occurs and the body attacks healthy cells. However, instead of a malfunction in the adaptive immune system, it's a dysfunction of the innate immune system that's occurring. With autoinflammatory disease, the innate immune system becomes activated for an unknown reason. In the absence of any antibodies or antigens, the body's first line of defense reacts in the form of inflammation. In these conditions, there's some kind of environmental trigger that's setting off the innate immune system. The most common autoinflammatory disease of the gut, fall under a group of conditions called Inflammatory Bowel Disease or IBD. This is a cluster of conditions where the immune system attacks the lining of the intestines and inflammation becomes chronic. IBD is a condition we can diagnose as opposed to IBS which is a collection of unexplained symptoms. There are two main types of IBD, Crohn's disease and ulcerative colitis. Combined these conditions affect 1.4 million Americans. In this lecture, we'll talk about both. Let's start with Crohn's disease. Crohn's disease is inflammation that affects the small intestine and extends through the beginning of the colon, often resulting in diarrhea and other gastrointestinal problems. The hallmark of this condition is an inflamed small intestine which can cause discomfort. Often individuals with Crohn's disease will have more water in the colon, less food gets digested than it should, and the water keeps moving things faster than a normal pace causing diarrhea. People with Crohn's disease often have a reduced appetite and nausea which further compounds the problem of inadequate nutrition absorption. In addition to a decreased appetite, frequent diarrhea, and nausea, symptoms of Crohn's can include unintentional weight loss, abdominal cramps, blood in the stool, and in more severe cases, fissures or tears in the anus and rectum. This is no cakewalk. Crohn's disease can affect all the layers of the gut lining, cause irritation and discomfort for the individual. Inflammation while typically concentrate in the small intestine can appear anywhere along the digestive tract. In contrast, ulcerative colitis occurs only in the large intestine and affects the mucosa, the top layer of the intestinal lining. Ulcerative colitis is a condition of chronic inflammation of the colon which can include the development of ulcers. A higher rate of this condition exists among Caucasians and people of Jewish heritage. Ulcerative colitis can be triggered by a disturbed microbiome, stress or diet. Many practitioners have seen some correlation between Accutane use and ulcerative colitis, but there is no hard data around these claims. Again, with both of these conditions, it appears that the causative factors are of genetic disposition coupled with environmental triggers. People who have IBD are generally found to have a higher ratio of pathogenic bacteria. IBD like many other conditions goes hand in hand with dysbiosis in the microbiome. With this condition, the immune system can mistake some of the wonderful bacteria in your gut as invaders. Tribes in Africa with lower occurrences of IBD have been studied and found to have more fermenting bacteria that produce those great short-chain fatty acids that we've talked about. There maybe a connection here. One way for your clients to increase their short-chain fatty acids is by eating fermented foods and taking probiotics with bacteria that produce these chains. Even if they don't survive or stay in the gut, they least can influence the probiotics already living there. The standard American diet, high in fat protein and refined carbohydrates along with low fiber and fresh fruits and veggies is correlated with IBD. It's no surprise that sugar and refined carbohydrates also seem to aggravate IBD. Several other factors including an urban lifestyle, antibiotics, smoking, and the birth control pill have also been linked as things that can increase the risk of IBD. Though these are serious conditions that should be evaluated and treated by a doctor, as a Health Coach, you have an important role to play alongside these practitioners. Help them monitor and support their patients with diet and lifestyle interventions that can alleviate symptoms and flare-ups. We won't be getting into diagnosis or treatment of IBD since this is outside of your scope of practice. For this reason, it's less important to memorize the signs and symptoms of IBD and more important to know how to appropriately support a client who already has a diagnosis. As a Health Coach you can support your client with IBD by helping them create a healthy lifestyle, manage and reduce their stress, and keep track of what foods trigger them. The goal is to minimize unnecessary flare-ups without restricting too much which could result in the lack of nutrients. Both conditions put a person at risk for being malnourished. Diets that address these conditions are really based around minimizing flare-ups. The key here is to avoid inflammatory foods while trying to get your client to successfully take in as much nutrition as possible. This comes down to bio-individuality and will vary from one client to the next. It's a delicate process of cautious trial and error. Food journals are especially helpful with these conditions. Elemental therapy is a common diet for clinically extreme cases. This is a diet that's often in liquid form and contains all essential nutrients, such as, amino acids, fats, sugars, vitamins, and minerals. This diet provides all the building blocks to protein and is hypo-allergenic. It does seem that with the semi-elemental diet, half of IBD patients have their symptoms reduced, but as you can imagine, one cannot stay on this forever. It's quite restricted and this is the diet that should only be recommended and overseen by a doctor. It's something you'll want to recommend your clients to consider with their doctors only when other diets yield little to no positive results. Many people with IBD follow a low residue diet. What does that mean? This is a diet that's easy to digest and low in fiber. If your client was previously on the elemental diet, the low residue diet can be a great transition back to normal food. It includes lots of cooked foods and limits bulk by avoiding indigestible fibers such as, nuts, seeds, and skins. During a flare-up, you can recommend your clients to eat a low salt, low fiber, low fat diet. Fiber which can be so good for digestion can actually irritate IBD conditions and the idea here is to minimize irritants. Another general rule to remember is that cooking vegetables rather than eating them raw is always easier to digest. Advice your clients with autoinflammatory conditions to avoid foods with tough skins or any roughage that can be irritating. In general, they should also avoid stimulants or anything that will move food through their system too quickly. Since diarrhea is often a problem. They should also try to avoid allergens, toxins, and GMO or non-organic food whenever possible, as they contain a high amount of irritating chemicals like Roundup. Remember, for any diet you support your clients with, if they are limiting foods, you'll want to try and find replacements that work to keep diversity in the diet. For example, if limiting fiber, soluble fiber is better than insoluble. So have them start by limiting insoluble before cutting this out all together. Insoluble fiber moves faster through the digestive tract and can irritate the lining. Good foods to include in the diet are healing foods, such as, broths, especially bone broth. Looking for a specific diet for your clients with autoinflammatory conditions, the Specific Carbohydrate Diet, SCD for short, was first developed for celiac disease, but has since been shown to be helpful for individuals with IBD. This diet looks like carbohydrates based on their chemical structure. According to this diet, carbohydrates feed unwanted bacteria and yeast overgrowth. The idea that by starving the gut bacteria, unwanted symptoms can be eliminated. This can be very useful for flare-ups, but given the importance of the microbiome, we don't want to recommend it as a long-term solution. Anti-inflammatory diets and anti-inflammatory foods can be beneficial for any autoinflammatory condition. Be sure to check out the handout we've included in this module called Anti-Inflammatory Diets. This has more information about the IBD Anti-Inflammatory Diet, which was derived from the Specific Carbohydrate Diet. The six basic rules of the IBD Anti-Inflammatory Diet are, one, limit carbohydrates in order to starve bad bacteria. Potato, in particular, has been shown to aggravate IBD. Two, consume prebiotics and probiotics to reestablish a healthy microbiome. Three, distinguish between healthy and unhealthy fats. Four, identify intolerances to avoid flare-ups. Five, avoid wheat, dairy, refined sugar, trans fats, and corn. And six, modify the texture of foods to increase absorption. For example, cooked foods versus raw. General guidelines for this diet include avoiding fatty foods and paying attention to serving size as eating smaller meals can help reduce symptoms. This diet asserts that heavy consumption of animal fat and alcohol are likely to cause flare-ups. Instead, this diet emphasizes using fats like, avocado, coconut, and olive oil. Another important consideration for your clients with autoinflammatory conditions is whether they're getting enough water and electrolytes. Due to frequent diarrhea, a person with IBD is often losing water and electrolytes. Coconut water is a great source of electrolytes and hydration or you can show them how to make a homemade electrolyte drink with lemon, lime, and a drop of some form of juice. Try orange juice, combined with honey or maple syrup along with a pinch of salt. This drink is refreshing, tasty, and almost like a healthy Gatorade. Another great way to get electrolytes is by soaking Himalayan salt in water overnight to create a mineralized water called sole. Check out the done-for-you handout in your business tool kit for recipes you can hinge your clients. You can also encourage your clients to eat hydrating foods. These are foods that are rich in water like, watermelon and cucumber. Chia seeds absorb liquid really well and are great for nourishing the gut lining. Your client can try starting one to two tablespoons of Chia seeds into one cup of any liquid of their choice. Let them soak for at least 20 minutes or overnight. And the end result is a gelatinous and soothing liquid. Chia seeds also contain a good amount of omega-3 fatty acids which are great for individuals with IBD. Now let's talk about another piece of the puzzle when it comes to supporting your clients with IBD, supplementing deficiencies. The most common deficiencies in individuals with IBD are calcium, magnesium, zinc, and potassium. Supplements in foods that contain and support these minerals should be taken. Foods that contain high levels of magnesium include spinach, chard, and kefir. And Calm is a great magnesium supplement. There are also many supplements including some by Calm that have Cal-Mag, meaning they contain both calcium and magnesium. These two nutrients work well together in the body, but sometimes you're just allowing one or the other. Both calcium and magnesium can reduce antibiotic absorptions so with any supplement, have your client check back with their primary practitioner before supplementing. Zinc is another common mineral deficiency. Zinc can be found in whole grains and red meat, but these can be irritants, so clients should pay attention to what causes irritation and chose grains that have been soaked and fermented. Cooking, sprouting, or soaking grains, nuts and seeds can help in activate what are known as anti-nutrients. These are compounds that can interfere with nutrient absorption. The existence of anti-nutrients was an evolutionary function designed to protect plants from being eaten by predators. This is especially true for seeds so that the plants have the opportunity to reproduce without being eaten. Hurray for a nature for being intelligent to survive, but on the flipside, this can be problematic to a sensitive digestive system. In addition to these minerals, there are two vitamins that are commonly deficient in people with IBD. Vitamin D, which is necessary for the absorption of calcium. It's a good practice to refer to any protocol from your client's doctor who can recommend supplements based on levels and tests they've run. It can be dangerous to take too much vitamin D. And vitamin B12 which is absorbed in the ileum. People who have inflammation or Crohn's disease in that area may need supplementation in the form of B12 shots so that the vitamin can be absorbed. To recap, when it comes to diets for IBD, there are no universally healing diets. Instead, individualized diets should be designed to avoid symptoms and minimize discomfort during flare-ups. Real healing can come from reducing or eliminating triggering irritants that the body has a chance to heal itself, which it does best. Vitamin and mineral supplements are helpful for preventing deficiencies. Remember most importantly to hold space, and listen, and support your clients. It can be very frustrating for them to find that their symptoms can't be cured entirely by diet and that this is a condition they'll have to adapt to living with. Even with the perfect diet, a client may still experience symptoms. Frustration can manifest as feeling of hopelessness and no matter what they do, they don't seem to feel better. Take time to really listen to your clients and make them feel heard. Remind them that they're not alone. If you have other clients with IBD or know of any resources in the community, it can be helpful to connect them so they can see others share the same struggle as well. This in itself can be comforting. Autoimmune and autoinflammatory diseases are the more extreme ways that gut health can be compromised. These are two prime examples of how the gut and the immune system are connected. The best way you can help your clients is by helping them to listen to their bodies and record what they find so that they can bring that information back to their doctor and create a plan of healing that really works for them. Have you ever worked with a client who had Crohn's disease or ulcerative colitis? What was this experience like? Share and comment in the Facebook group. We'd love to hear from you and support you. Thanks for watching. Bye for now.

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Duration: 14 minutes and 52 seconds
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Language: English
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Posted by: ninaz on Mar 22, 2018

Autoinflammatory Conditions_Final

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