Cheshire Cat: Where are you going? Alice: Which way should I go? Cheshire Cat: That depends on where you are going. Alice: I don’t know. Cheshire Cat: Then it doesn’t matter which way you go. ― Lewis Carroll, Alice in Wonderland   Dear Dr. Aaron E. Carroll, You don’t know me from Adam, but I feel Read More →

Glass

  Abbreviations: CNS: central nervous system DNA: deoxyribonucleic acid DNMTs: DNA methyltranferases EAAT: excitatory amino acid transporter EAAT3: excitatory amino acid transporter 3 ENS: enteric nervous system FODMAP: Fermentable Oligo-, Di- and Mono-saccharides and Polyols GERD: gastroesophageal reflux disease GSH: glutathione IBS: irritable bowel syndrome LPSs: lipopolysaccharides SAM: S-adenosylmethionine SIFBO: small intestinal fungal and bacterial Read More →

Gluten

On February 13th of 2013, I published a post entitled Fibromyalgia, Irritable Bowel Syndrome and Endotoxemia. I made the case that the high prevalence of bowel dysfunction and fibromyalgia was no mere coincidence. In today’s post, I’ll present evidence from a preliminary study out of Spain implicating non-celiac gluten sensitivity (NCGS) as a possible trigger Read More →

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  “Proton-pump inhibitor therapy is now being prescribed for a wide variety of upper gastrointestinal symptoms on the basis that they might be acid induced and therefore may benefit from such treatment. This increasingly liberal usage of these powerful drugs is due to a number of factors, including reduced concerns about potential side effects, reduced Read More →

  “Saturated fats are benign with regard to inflammatory effects, as are the MUFAs [monounsaturated fats]. The meager effect that saturated fats have on serum cholesterol levels when modest but adequate amounts of polyunsaturated oils are included in the diet, and the lack of any clear evidence that saturated fats are promoting any of the Read More →

  The role of stress in negatively impacting the gastrointestinal system has long been recognized. It doesn’t take an Einstein to note a strong correlation between acute psychological stress and the onset of gut feelings that are anything but pleasant. I’ve written about how gut dysbiosis is capable of initiating psychological states like depression and Read More →

  Fibromyalgia is a disease characterized by chronic wide-spread pain. These painful areas are spread throughout numerous points on the body. Other symptoms of this disorder are joint stiffness, gastrointestinal upset and mental distress: insomnia, fatigue, depression, anxiety and cognitive dysfunction. Estimates for the prevalence of fibromyalgia range from between 1% to 2% of the Read More →

  In this post, I want to talk about how your gut flora is an integral player in the development and health of your immune system. Up until now, I’ve talked about how a compromised gut-wall barrier can cause endotoxemia and other immune reactions via translocation of antigens into systemic circulation. However, maintaining gut wall Read More →

  Today I want to talk about depression and the evidence implicating increased intestinal permeability and endotoxins in this psychological disorder. Having discussed how endotoxemia impacts your hormonal system, it’s now time to explore what this can mean for your mental state. Wikipedia describes depression as: “…a state of low mood and aversion to activity Read More →

  This is the third part of my blog series on small intestinal bacterial overgrowth (SIBO). In part one, I covered what it is and in part two I discussed what diseases are associated with it. This and the next two posts covers the causes of SIBO. As I wrote in my opening article in Read More →

  In the previous two posts I wrote about the different types of gut flora and their physiological functions. In this post, I want to write about what can go terribly wrong when our commensal gut flora are unhappy. Let’s first define the term dysbiosis or disordered flora. I find that this term is thrown around Read More →