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It proves that food moving through your intestines causes the arthritis!

(Either by leaking through the lining, or by rupturing the lining which lets

the bacteria through).

-Mike-

rheumatic Leaky gut

Does that mean it's from leaky gut? I once saw a study where they were

postulating that people with arthritis have very thin intestinal linings and

thus the leaky gut. What does this IV test prove?

_________________________

Interestingly enough - this has been tested! People with psoriatic

arthritis see almost complete remission on IV feeding! It's just hard to

live life that way...

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Hi :

You are absolutely right that if you have food allergy then you have a leaky

gut and the gut needs to be addressed before anything else goes right.

I have allergies and a leaky gut, yeast infection and klebsiella (spelling?)

and my doctor treated me for the leaky gut, yeast and kleb and my allergies

are so much better. I am at present doing an immuno therapy and I feel

pretty good. Tomorrow is my next treatment to desensitize me and I sure

hope that it works just as well as the first one did.

Mado

Re: rheumatic Leaky gut

> I kind of have the feeling that if you have a food allergy then you have a

>leaky gut problem. I have no scientific basis for my opinion, its just a

> " gut " feeling.

> Im not sure if curing your leaky gut or eliminating allergens would cure

>your arthritis, but i feel it can help with severity and flare ups.

>

>

>

> rheumatic Leaky gut

>>

>>

>> Does that mean it's from leaky gut? I once saw a study where they were

>> postulating that people with arthritis have very thin intestinal linings

>and

>> thus the leaky gut. What does this IV test prove?

>>

>> _________________________

>> Interestingly enough - this has been tested! People with psoriatic

>> arthritis see almost complete remission on IV feeding! It's just hard to

>> live life that way...

>>

>> ------------------------------------------------------------------------

>> Get paid for the stuff you know!

>> Get answers for the stuff you dont. And get $10 to spend on the site!

>> 1/2200/0/_/532797/_/955558727/

>> ------------------------------------------------------------------------

>>

>>

>>

>>

>> ------------------------------------------------------------------------

>> Get paid for the stuff you know!

>> Get answers for the stuff you don't. And get $10 to spend on the site!

>> 1/2200/0/_/532797/_/955559995/

>> ------------------------------------------------------------------------

>>

>>

>>

>

>

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Guest guest

I kind of have the feeling that if you have a food allergy then you have a

leaky gut problem. I have no scientific basis for my opinion, its just a

" gut " feeling.

Im not sure if curing your leaky gut or eliminating allergens would cure

your arthritis, but i feel it can help with severity and flare ups.

rheumatic Leaky gut

>

>

> Does that mean it's from leaky gut? I once saw a study where they were

> postulating that people with arthritis have very thin intestinal linings

and

> thus the leaky gut. What does this IV test prove?

>

> _________________________

> Interestingly enough - this has been tested! People with psoriatic

> arthritis see almost complete remission on IV feeding! It's just hard to

> live life that way...

>

> ------------------------------------------------------------------------

> Get paid for the stuff you know!

> Get answers for the stuff you dont. And get $10 to spend on the site!

> 1/2200/0/_/532797/_/955558727/

> ------------------------------------------------------------------------

>

>

>

>

> ------------------------------------------------------------------------

> Get paid for the stuff you know!

> Get answers for the stuff you don't. And get $10 to spend on the site!

> 1/2200/0/_/532797/_/955559995/

> ------------------------------------------------------------------------

>

>

>

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  • 1 year later...
Guest guest

Gwen,

Doing a www.google.com search on " leaky gut " (in quotation marks) will

bring up 7,220 references. The following web pages are listed near the top

of the search results and will give you a start:

http://osiris.sunderland.ac.uk/autism/gut.htm

http://www.nutri-notes.com/marapr98_simple.htm

http://www.lovelyhealth.com/LGS.htm

http://www.healthy.net/asp/templates/article.asp?PageType=Article & ID=425

For a more refined search combining leaky gut with arthritis (for example),

do a www.google.com search on + " leaky gut " +arthritis (typing the quotation

marks and plus signs into the search field). The quotation marks define a

set of words that must appear together in the page, and the + signs mean

that only pages which incorporate the search term will be brought up. Doing

a search on " leaky gut syndrome " (in quotation marks) will bring up 3,780

pages.

Sincerely, Harald

At 11:05 PM 07/31/2001 -0600, Gwen Armstrong wrote:

>Hi Group

>Could someone give me some references /sites/ articles on " leaky gut

>syndrome " please?

>I know I have seen messages from various group members about it but of

>course until you have the problem , you don't pay close attention.

>Thanks in advance

>Gwen

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  • 2 years later...

Also, will the leaky gut infect other organs like stomach and kidneys?

--- In , " netbaroque " <netbaroque@y...>

wrote:

> If I do have yeast and bacteria problems in my gut, and I have

taken

> GSE and probiotics those kind, as well as on gcfc-like diet, will

the

> leaky gut recover itself, or should I take any med or supplement to

> heal it?

>

> Thanks

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Digestiv enzymes will help it heal, see www.enzymestuff.com

MAndi in UK

> If I do have yeast and bacteria problems in my gut, and I have taken

> GSE and probiotics those kind, as well as on gcfc-like diet, will the

> leaky gut recover itself, or should I take any med or supplement to

> heal it?

>

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> If I do have yeast and bacteria problems in my gut, and I have taken

> GSE and probiotics those kind, as well as on gcfc-like diet, will the

> leaky gut recover itself, or should I take any med or supplement to

> heal it?

For some people it may heal itself, but for my son he needed the metals removed.

Enzymes can help also

http://www.houstonni.com/

>>Also, will the leaky gut infect other organs like stomach and kidneys?

For my son, it apparently affected his brain and immune system. Might not have

been " leaky gut " which affected those areas, might

have been metal toxicity which *caused* leaky gut and the other issues.

Dana

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People often take glutamine powder or other stuff to heal it. Usually

taken between meals. 1 tsp to 1 tbsp glutamine.

Andy . . . . . .. . .

> If I do have yeast and bacteria problems in my gut, and I have taken

> GSE and probiotics those kind, as well as on gcfc-like diet, will the

> leaky gut recover itself, or should I take any med or supplement to

> heal it?

>

> Thanks

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  • 2 years later...

Hi Lizbeth;

I have Celiac disease besides the SD and it most likely caused the

Leaky Gut and possibly the SD.He is a wee bit of info that may clarify

things. Lynne G.

http://www.roadback.org/cgi-bin/eboard30/index2.cgi?frames=no & board=Main & mode=Cu\

rrent & message=63589

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urrent & message=63589>

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Posted by A Friend on Sat - Aug 5 - 9:43pm:

[This is a topic we need to thoroughly understand. The consequences of

having these problems can be great. AF]

http://www.positivehealth.com/test/articles.asp?i=1748 & b=1

Natural Approaches to Leaky Gut

by Neil Wootten (more info)

listed in colon health

originally published in issue 111 - May 2005

Leaky Gut sounds a bit messy, but actually it is not at all. It occurs

where there is hyperpermeability of the gut membrane. The gut should,

indeed, be permeable to a certain degree to allow nutrients through.

Ordinarily, the large intestine acts like a one-way protective sieve

that filters out certain food molecules and peptides. In the case of

Leaky Gut, the one-way gate of the gut open too wide, allowing an

increase in peptide molecules and pathogens, which attract certain cells

of the immune system called phagocytes, letting them pass through the

gut wall into the intestine. It is the presence of these phagocytes that

causes an inflammatory reaction in the gut wall.

I liken it to sieving flour. If you are sieving flour for baking, you

need a fine sieve that will allow the fine flour through and keep the

lumps out. This is how the gut operates normally; it allows molecules of

nutrients through, but stops larger molecules and pathogens getting

through into the bloodstream. When the gut becomes too permeable, the

effect is like trying to sieve flour with a colander - many more lumps

get through. This equates to undigested molecules and particles of food,

along with pathogens getting into the body and setting off an immune

reaction. Such foreign bodies, circulating in the blood, will sensitize

the immune system and often cause adverse reactions to food, showing up

as either an allergy or intolerance. These, in turn, can result in a

bewildering array of symptoms those with chronic illnesses may be able

to relate to:

.. Fatigue and malaise

.. Arthritic conditions

.. Painful muscle conditions

.. Fevers of unknown origin

.. Food intolerances

.. Abdominal pain

.. Abdominal distension

.. Diarrhoea

.. Skin rashes

.. Toxic feelings

.. 'Brain Fog'

.. Shortness of breath

.. Poor exercise tolerance

Also, whenever this permeability is increased, IBS gets worse.1

How Is It Caused?

Many people suffer from leaky gut and do not realize it. A Leaky Gut can

be caused by anything that damages the lining of the intestine -

infectious microbes, such as bacteria and parasites, a Candida albicans

overgrowth, allergies or even certain prescription drugs, such as

antibiotics and particularly Non-Steroidal Anti-Inflammatory Drugs or

NSAIDs.2 This last is a phenomenon that is a well-known and studied side

effect of NSAIDs. Even single doses of aspirin or of indomethacin

increase cellular permeability, in part by inhibiting the synthesis of

the protective fatty acid prostaglandin. Long-term exposure to NSAIDs

leaves the gut highly inflamed and permeable.

Whatever causes leaky gut, once the condition has developed, it can be

self- perpetuating. The relationship between food sensitivities and the

leaky gut is both complex and circular. In experimental trials reported

in Allergy in 1989, children and adults with eczema, urticaria or asthma

triggered by food allergy show that they have higher gut permeability

than those who don't have these conditions. This indicates that

allergies and food sensitivities may be caused by an over permeable gut.

Interestingly, gut permeability also sharply increases whenever allergic

subjects are exposed to allergenic foods. In all probability what this

indicates is that an increase in intestinal permeability is both

important as a cause of food allergy and also the result of food allergy.

How Does It Affect Us?

There are a number of physical conditions that are well-recognized by

mainstream allopathic medicine as having a relationship to Leaky Gut.

These include inflammatory and infectious bowel diseases, chronic

inflammatory joint diseases,3 skin conditions like acne, psoriasis and

dermatitis,4 and many diseases triggered by food allergy or specific

food intolerance, including eczema, urticaria and irritable bowel

syndrome,5 and even chronic hepatitis.

Leaky Gut is also very much associated with Candida. The Candida

organism can metamorphose in the gut, changing from a simple yeast cell

into a much more harmful 'mycelial' fungal form. Under the microscope,

the cell appears to sprout roots and branches; these burrow their way

into the walls of the intestine, and ultimately can spread throughout

the body, with potentially widespread adverse effect. The National

Candida Society notes that up to 16 million people in the UK may be

affected by Candida-related problems.

Increased gut permeability may play a primary role in causing these

diseases, or it may be a consequence of it. But by causing an immune

system reaction, liver dysfunction and pancreatic insufficiency, it

creates a vicious cycle. In most cases, the role of increased intestinal

permeability in these sorts of patients often goes undiagnosed and

unrecognized.

One of the latest and most interesting theories comes from health writer

Susie Cornell, who postulates that Leaky Gut probably plays a central

role in the development of Multiple Sclerosis (MS). In one research

project of 40 MS patients, all were found to have a number of

nutritional deficiencies, even among those taking supplements. The

patients show particular deficiencies of magnesium, manganese, selenium,

zinc and mostly all of the B vitamins. This is quite common with Leaky

Gut patients. Even patients who supplement with these specific nutrients

remain deficient in them.

Because different parts of the intestinal wall absorb different

nutrients, damage to the wall in one area may cause poor absorption of

one particular nutrient, says Cornell. This is why a patient might show

one single deficiency rather than complete malnutrition. The symptoms of

B12 deficiency and magnesium deficiency include fatigue, irritability,

nervous system disorders, tingling and numbness in fingers and toes and

even balance problems. These are among the symptoms that have

collectively been termed 'MS'. You may have noticed that some of these

symptoms are shared with Leaky Gut.

Testing for Leaky Gut

Thankfully, it is a relatively simple exercise to test for Leaky Gut. A

safe, non-invasive and inexpensive method called the Lactulose/Mannitol

test has been developed to measure small intestinal permeability and

also test how well a treatment is working. Claude Andre, the leading

French research worker in this area, says that measuring gut

permeability is a sensitive and practical screening test for detecting

food allergy and responsiveness to treatment.

In Andre's protocol, patients ingest five grams each of the innocuous

sugars lactulose and mannitol. These sugars are not metabolized by

humans, and the amount absorbed is fully excreted in the urine within

six hours. Mannitol, a monosaccharide, is passively transported through

the intestinal cell walls; the average absorption is 14% of the

administered dose. In contrast, the intestinal tract blocks lactulose, a

dissaccharide; less than one per cent of the administered dose is

normally absorbed. The level of both lactulose and mannitol recovered in

urine is then measured.

The normal ratio of lactulose/mannitol recovered in urine is less than

0.03. A higher ratio signifies too much absorption of lactulose and

therefore a gut that 'leaks'. If your test shows you have abnormal

fasting permeability, you have more gut lining damage than patients with

normal fasting permeability and will take longer to heal.

If you come up with a normal Lactulose/Mannitol test result, repeat it

after you've eaten a meal of your most common foods. If the test meal

produces an increase in lactulose excretion (which signifies a leaky

gut) or a decrease in mannitol excretion (signifying malabsorption of

food), it's likely that you have specific food intolerances. Further

testing for food allergy is then warranted. Once you've been maintained

on a stable elimination diet for four weeks, you should repeat the

lactulose/mannitol challenge after a test meal with the foods permitted

on the elimination diet. A normal result will assure you that all major

allergens have been identified. An abnormal result indicates that more

detective work is needed.

In the case of relatively mild celiac disease or inflammatory bowel

disease, your mannitol absorption may not be affected but the lactulose

absorption will be elevated. A recent study published in the Lancet

found that the lactulose/ mannitol ratio was an accurate predictor of a

relapse in patients who'd previously suffered from Crohn's disease.1

If your initial fasting lactulose is elevated, or if the initial fasting

lactulose/mannitol ratio is elevated, your practitioner should also

consider the possibility of mild bowel disease or gluten allergy.

We may have to entirely re-think what we term disease as not something

we necessarily catch, but something predominantly under our control,

caused by a chronic breakdown of digestive processes. It may be that

symptoms we group together into a classifiable disease or syndrome may

be no more than the manifestation of one or more nutrient deficiencies,

or the results of a hyperpermeable gut. This would mean that the most

important supplements we take may not necessarily be vitamins and

minerals themselves, but all the digestive enzymes and substances which

ensure that our gut properly absorbs and distributes what we eat.

How To Correct It?

It is quite possible to cure a Leaky Gut with a nutrient dense diet and

appropriate supplements. Many natural substances help repair the

intestinal mucosal surface or support the liver when it becomes

challenged and stressed by toxins.

We have found the swiftest approach, however, to be the use of

Colostrum. Professor Playford of Imperial College and Hammersmith

Hospital conducted trials on indomethacin-induced gut hyperpermeability,

and noted that Colostrum healed leaky gut even while the gut was being

attacked by this NSAID.6 A key growth factor in Colostrum is Epidermal

Growth Factor (EGF), a polypeptide that stimulates growth and repair of

epithelial tissue that is widely distributed in the body. Purified EGF

has been shown to heal ulceration of the small intestine.7 He noted that

the growth factors contained in Colostrum, including EGF, repaired

damage to the gut, and should also work to improve inflammatory and

ulcerative conditions of the gut. Colostrum also contains Secretory IgA,

which is essential to the maintenance of the integrity of the mucosal

lining of the gut.

Vitamin and mineral supplements should include all the B vitamins,

vitamin A, C and E, zinc, selenium, molybdenum, manganese and magnesium.

Because of the association between increased gut permeability and

pancreatic dysfunction, pancreatic enzymes may also be needed. It is

clearly better, if possible, to avoid drugs that damage the gut. This is

not essential if co-dosing with Colostrum, as it heals the gut and keeps

permeability at normal levels.

One would think that beneficial bacteria might have a role to play in

achieving and maintaining normal gut permeability levels. Currently

Lactobacillus caseii var GG, a strain of lactobacillus isolated and

purified in Finland, has been shown to be effective in improving the gut

permeability when this was associated with a rotavirus infection.8

Most practitioners recommend glutamine, the amino acid needed for the

maintenance of intestinal metabolism, structure and function for Leaky

Gut. It has been shown to reverse all the gut abnormalities in patients

fed intravenously. Glutamine also repairs gut lining damage caused by

chemotherapy or radiation,9 although we have found clinically that it is

much slower to take effect than Colostrum.

Supporting the Liver

Because the effects of Leaky Gut greatly increase the load on the liver,

it is vital to support proper liver function. The liver of leaky gut

patients works overtime to remove oversized food molecules and to

oxidize gut toxins, causing increased production of free radicals. This,

in turn, causes damage to liver cells and sends by-products into bile,

producing toxic bile capable of damaging bile ducts and backing up into

the pancreas. Indeed, this may be the cause of chronic pancreatic

disease. In attempting to rectify all this, the liver depletes its

reserves of certain amino acids.10 This is similar to the process that

occurs in liver diseases caused by alcohol.

A lowered level of liver glutathione is a common occurrence in leaky gut

syndromes, and contributes to liver dysfunction and liver necrosis among

alcoholics, and immune impairment in patients with AIDS. The most

effective way to raise liver glutathione is to take its dietary

precursors, cysteine or methionine. A useful supplement to take is

N-acetyl cysteine which helps the body to synthesize glutathione at the

same time as giving protection from the toxins.

Take essential fatty acids (EFAs), particularly gammalinolenic acid

(GLA). In laboratory experiments, fish oil was able to prevent

intestinal mucosal injury produced by methotrexate and protect the body

from the toxins produced in the gut.11 Take these in their most

concentrated and physiologically active form to avoid exposure to large

quantities of polyunsaturated fatty acids.

If you are supplementing with dietary fibre, make sure you are taking

hypoallergenic insoluble fibre and watch the amount, as too much may

increase gut permeability.12

A large proportion of the population have a kind of low-level

dysfunction in the gut, called dysbiosis. This is caused by an imbalance

of non-beneficial (bad bacteria or yeast) organisms which mainly do

their damage by altering the metabolic or immune responses of the body.

The situation where the immune system begins to react to (and destroy)

normal gut flora is one example that has been implicated in the

development of conditions such as Crohn's disease and ankylosing

spondylitis. Recent research suggests that this kind of gut bacterial

sensitization is an early complication of altered permeability.

Leaky Gut is relatively common, and when one looks at the possible

causes, one can easily understand why. Widely prescribed medications can

cause widespread problems. Yet Leaky Gut is also relatively easy to

diagnose with a simple Lactulose/Mannitol test, and also fairly

straightforward to correct. Once the Leaky Gut is dealt with, one should

find a lessening of a myriad of puzzling symptoms. It is important once

the gut is restored to a normal permeability to avoid the very things

that caused the hyperpermeability in the first place. Equally important

is the consumption of a diet and a supplement regime that will help

maintain the health of the gut wall. Remember, you are not what you eat;

rather you are what you absorb!

References

1. Wyatt J, Vogelsang H, Hubl W, Waldhoer T and Lochs H. Intestinal

permeability and the prediction of relapse in Crohn's disease. Lancet.

5: 341 (8858):1437-9. June 1993.

2. RT, Rooney PJ, DB, Bienenstock J and Goodacre RL.

Increased intestinal permeability in patients with rheumatoid arthritis:

a side-effect of oral nonsteroidal anti-inflammatory drug therapy? Br J

Rheumatol. 26(2): 103-7. April 1987.

3. Rooney PJ, RT and Buchanan WW. A short review of the

relationship between intestinal permeability and inflammatory joint

disease. Clin Exp Rheumatol. 8(1): 75-83. Review. Jan-Feb 1990.

4. Juhlin L and Vahlquist C. The influence of treatment on fibrin

microclot generation in psoriasis. Br J Dermatol. 108(1): 33-7. Jan 1983.

5. PG, Lessof MH, Baker RW, Ferrett J and Mac DM.

Intestinal permeability in patients with eczema and food allergy.

Lancet. 13: 1(8233):1285-6. June 1981.

6. Playford RJ, Mac CE, Calnan DP, Floyd DN, Podas T, W,

Wicks AC, Bashir O and Marchbank T. Co-administration of the health food

supplement, bovine colostrum, reduces the acute non-steroidal

anti-inflammatory drug-induced increase in intestinal permeability. Clin

Sci (Lond). 100(6): 627-33. June 2001.

7. Playford RJ, Woodman AC, P, Watanapa P, Vesey D, Deprez PH,

on RC and Calam J. Effect of luminal growth factor preservation

on intestinal growth. Lancet. 3: 341(8849):843-8. April 1993.

8. Siitonen S, Vapaatalo H, Salminen S, Gordin A, Saxelin M, Wikberg R

and Kirkkola AL. Effect of Lactobacillus GG yoghurt in prevention of

antibiotic associated diarrhoea. Ann Med. 22(1): 57-9. Feb 1990.

9. Klimberg VS, Salloum RM, Kasper M, Plumley DA, Dolson DJ, Hautamaki

RD, Mendenhall WR, Bova FC, Bland KI, Copeland EM third, et al. Oral

glutamine accelerates healing of the small intestine and improves

outcome after whole abdominal radiation. Arch Surg. 125(8): 1040-5. Aug

1990.

10. Whitcomb DC and Block GD. Association of acetaminophen

hepatotoxicity with fasting and ethanol use. JAMA. 21: 272(23):1845-50.

Dec 1994.

11. Vanderhoof JA, Blackwood DJ, Mohammadpour H and Park JH. Effect of

dietary menhaden oil on normal growth and development and on

ameliorating mucosal injury in rats. Am J Clin Nutr. 54(2): 346-50. Aug

1991.

12. Gyory CP and Chang GW. Effects of bran, lignin and deoxycholic acid

on the permeability of the rat cecum and colon. J Nutr. 113(11): 2300-7.

Nov 1983.

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NEW Natural Approaches to Leaky Gut/Worth Reading - Posted by A Friend -

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Lisbeth wrote:

> Who's tried what successfully?

>

> Am I correct in thinking that treatment is contradictory for anyone

> with diverticular disease and diverticulitus?

>

> Geoff??????

>

> Why is nothing ever straight forward !! :-))

>

> Huggles,

> Lisbeth

>

>

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Lynne, you're connecting your SD to Celiac? Leaky gut?

I'm keeping an open mind about the cause(s) of SD, at least until somebody

publishes THE definitive study in a major journal or Geraldo discovers the

truth.....live.

The problem with Wootten is the same as with many others.....acceptance of

their hypothesis is directly related to the commercial (and timely) success

of their revolutionary products. Maybe the guy is the Einstein of the

intestinal world, but for me, he's got just a little bit of a credibility

bump in the road as long as he profits. Relatively speaking, Albert received

only $28K for his Nobel theory and his ex took all of that and more.

Jeff

----Original Message Follows----

From: lynneandsantos <lynneandsantos@...>

Reply-rheumatic

rheumatic

Subject: Re: rheumatic Leaky gut

Date: Mon, 14 Aug 2006 10:18:22 -0400

Hi Lizbeth;

I have Celiac disease besides the SD and it most likely caused the

Leaky Gut and possibly the SD.He is a wee bit of info that may clarify

things. Lynne G.

http://www.roadback.org/cgi-bin/eboard30/index2.cgi?frames=no & board=Main & mode=Cu\

rrent & message=63589

<http://www.roadback.org/cgi-bin/eboard30/index2.cgi?frames=no & board=Main & mode=C\

urrent & message=63589>

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THANK THANK THANK YOU Lynne

This is excellent and exactly what I was after..!!

Have you tried any of their suggestions?

Really appreciate your help. !

Huggles,

Lisbeth

Re: rheumatic Leaky gut

Hi Lizbeth;

I have Celiac disease besides the SD and it most likely caused the

Leaky Gut and possibly the SD.He is a wee bit of info that may clarify

things. Lynne G.

http://www.roadback.org/cgi-bin/eboard30/index2.cgi?frames=no & board=Main & mode=Cu\

rrent & message=63589

<http://www.roadback.org/cgi-bin/eboard30/index2.cgi?frames=no & board=Main & mode=C\

urrent & message=63589>

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Posted by A Friend on Sat - Aug 5 - 9:43pm:

[This is a topic we need to thoroughly understand. The consequences of

having these problems can be great. AF]

http://www.positivehealth.com/test/articles.asp?i=1748 & b=1

Natural Approaches to Leaky Gut

by Neil Wootten (more info)

listed in colon health

originally published in issue 111 - May 2005

Leaky Gut sounds a bit messy, but actually it is not at all. It occurs

where there is hyperpermeability of the gut membrane. The gut should,

indeed, be permeable to a certain degree to allow nutrients through.

Ordinarily, the large intestine acts like a one-way protective sieve

that filters out certain food molecules and peptides. In the case of

Leaky Gut, the one-way gate of the gut open too wide, allowing an

increase in peptide molecules and pathogens, which attract certain cells

of the immune system called phagocytes, letting them pass through the

gut wall into the intestine. It is the presence of these phagocytes that

causes an inflammatory reaction in the gut wall.

I liken it to sieving flour. If you are sieving flour for baking, you

need a fine sieve that will allow the fine flour through and keep the

lumps out. This is how the gut operates normally; it allows molecules of

nutrients through, but stops larger molecules and pathogens getting

through into the bloodstream. When the gut becomes too permeable, the

effect is like trying to sieve flour with a colander - many more lumps

get through. This equates to undigested molecules and particles of food,

along with pathogens getting into the body and setting off an immune

reaction. Such foreign bodies, circulating in the blood, will sensitize

the immune system and often cause adverse reactions to food, showing up

as either an allergy or intolerance. These, in turn, can result in a

bewildering array of symptoms those with chronic illnesses may be able

to relate to:

. Fatigue and malaise

. Arthritic conditions

. Painful muscle conditions

. Fevers of unknown origin

. Food intolerances

. Abdominal pain

. Abdominal distension

. Diarrhoea

. Skin rashes

. Toxic feelings

. 'Brain Fog'

. Shortness of breath

. Poor exercise tolerance

Also, whenever this permeability is increased, IBS gets worse.1

How Is It Caused?

Many people suffer from leaky gut and do not realize it. A Leaky Gut can

be caused by anything that damages the lining of the intestine -

infectious microbes, such as bacteria and parasites, a Candida albicans

overgrowth, allergies or even certain prescription drugs, such as

antibiotics and particularly Non-Steroidal Anti-Inflammatory Drugs or

NSAIDs.2 This last is a phenomenon that is a well-known and studied side

effect of NSAIDs. Even single doses of aspirin or of indomethacin

increase cellular permeability, in part by inhibiting the synthesis of

the protective fatty acid prostaglandin. Long-term exposure to NSAIDs

leaves the gut highly inflamed and permeable.

Whatever causes leaky gut, once the condition has developed, it can be

self- perpetuating. The relationship between food sensitivities and the

leaky gut is both complex and circular. In experimental trials reported

in Allergy in 1989, children and adults with eczema, urticaria or asthma

triggered by food allergy show that they have higher gut permeability

than those who don't have these conditions. This indicates that

allergies and food sensitivities may be caused by an over permeable gut.

Interestingly, gut permeability also sharply increases whenever allergic

subjects are exposed to allergenic foods. In all probability what this

indicates is that an increase in intestinal permeability is both

important as a cause of food allergy and also the result of food allergy.

How Does It Affect Us?

There are a number of physical conditions that are well-recognized by

mainstream allopathic medicine as having a relationship to Leaky Gut.

These include inflammatory and infectious bowel diseases, chronic

inflammatory joint diseases,3 skin conditions like acne, psoriasis and

dermatitis,4 and many diseases triggered by food allergy or specific

food intolerance, including eczema, urticaria and irritable bowel

syndrome,5 and even chronic hepatitis.

Leaky Gut is also very much associated with Candida. The Candida

organism can metamorphose in the gut, changing from a simple yeast cell

into a much more harmful 'mycelial' fungal form. Under the microscope,

the cell appears to sprout roots and branches; these burrow their way

into the walls of the intestine, and ultimately can spread throughout

the body, with potentially widespread adverse effect. The National

Candida Society notes that up to 16 million people in the UK may be

affected by Candida-related problems.

Increased gut permeability may play a primary role in causing these

diseases, or it may be a consequence of it. But by causing an immune

system reaction, liver dysfunction and pancreatic insufficiency, it

creates a vicious cycle. In most cases, the role of increased intestinal

permeability in these sorts of patients often goes undiagnosed and

unrecognized.

One of the latest and most interesting theories comes from health writer

Susie Cornell, who postulates that Leaky Gut probably plays a central

role in the development of Multiple Sclerosis (MS). In one research

project of 40 MS patients, all were found to have a number of

nutritional deficiencies, even among those taking supplements. The

patients show particular deficiencies of magnesium, manganese, selenium,

zinc and mostly all of the B vitamins. This is quite common with Leaky

Gut patients. Even patients who supplement with these specific nutrients

remain deficient in them.

Because different parts of the intestinal wall absorb different

nutrients, damage to the wall in one area may cause poor absorption of

one particular nutrient, says Cornell. This is why a patient might show

one single deficiency rather than complete malnutrition. The symptoms of

B12 deficiency and magnesium deficiency include fatigue, irritability,

nervous system disorders, tingling and numbness in fingers and toes and

even balance problems. These are among the symptoms that have

collectively been termed 'MS'. You may have noticed that some of these

symptoms are shared with Leaky Gut.

Testing for Leaky Gut

Thankfully, it is a relatively simple exercise to test for Leaky Gut. A

safe, non-invasive and inexpensive method called the Lactulose/Mannitol

test has been developed to measure small intestinal permeability and

also test how well a treatment is working. Claude Andre, the leading

French research worker in this area, says that measuring gut

permeability is a sensitive and practical screening test for detecting

food allergy and responsiveness to treatment.

In Andre's protocol, patients ingest five grams each of the innocuous

sugars lactulose and mannitol. These sugars are not metabolized by

humans, and the amount absorbed is fully excreted in the urine within

six hours. Mannitol, a monosaccharide, is passively transported through

the intestinal cell walls; the average absorption is 14% of the

administered dose. In contrast, the intestinal tract blocks lactulose, a

dissaccharide; less than one per cent of the administered dose is

normally absorbed. The level of both lactulose and mannitol recovered in

urine is then measured.

The normal ratio of lactulose/mannitol recovered in urine is less than

0.03. A higher ratio signifies too much absorption of lactulose and

therefore a gut that 'leaks'. If your test shows you have abnormal

fasting permeability, you have more gut lining damage than patients with

normal fasting permeability and will take longer to heal.

If you come up with a normal Lactulose/Mannitol test result, repeat it

after you've eaten a meal of your most common foods. If the test meal

produces an increase in lactulose excretion (which signifies a leaky

gut) or a decrease in mannitol excretion (signifying malabsorption of

food), it's likely that you have specific food intolerances. Further

testing for food allergy is then warranted. Once you've been maintained

on a stable elimination diet for four weeks, you should repeat the

lactulose/mannitol challenge after a test meal with the foods permitted

on the elimination diet. A normal result will assure you that all major

allergens have been identified. An abnormal result indicates that more

detective work is needed.

In the case of relatively mild celiac disease or inflammatory bowel

disease, your mannitol absorption may not be affected but the lactulose

absorption will be elevated. A recent study published in the Lancet

found that the lactulose/ mannitol ratio was an accurate predictor of a

relapse in patients who'd previously suffered from Crohn's disease.1

If your initial fasting lactulose is elevated, or if the initial fasting

lactulose/mannitol ratio is elevated, your practitioner should also

consider the possibility of mild bowel disease or gluten allergy.

We may have to entirely re-think what we term disease as not something

we necessarily catch, but something predominantly under our control,

caused by a chronic breakdown of digestive processes. It may be that

symptoms we group together into a classifiable disease or syndrome may

be no more than the manifestation of one or more nutrient deficiencies,

or the results of a hyperpermeable gut. This would mean that the most

important supplements we take may not necessarily be vitamins and

minerals themselves, but all the digestive enzymes and substances which

ensure that our gut properly absorbs and distributes what we eat.

How To Correct It?

It is quite possible to cure a Leaky Gut with a nutrient dense diet and

appropriate supplements. Many natural substances help repair the

intestinal mucosal surface or support the liver when it becomes

challenged and stressed by toxins.

We have found the swiftest approach, however, to be the use of

Colostrum. Professor Playford of Imperial College and Hammersmith

Hospital conducted trials on indomethacin-induced gut hyperpermeability,

and noted that Colostrum healed leaky gut even while the gut was being

attacked by this NSAID.6 A key growth factor in Colostrum is Epidermal

Growth Factor (EGF), a polypeptide that stimulates growth and repair of

epithelial tissue that is widely distributed in the body. Purified EGF

has been shown to heal ulceration of the small intestine.7 He noted that

the growth factors contained in Colostrum, including EGF, repaired

damage to the gut, and should also work to improve inflammatory and

ulcerative conditions of the gut. Colostrum also contains Secretory IgA,

which is essential to the maintenance of the integrity of the mucosal

lining of the gut.

Vitamin and mineral supplements should include all the B vitamins,

vitamin A, C and E, zinc, selenium, molybdenum, manganese and magnesium.

Because of the association between increased gut permeability and

pancreatic dysfunction, pancreatic enzymes may also be needed. It is

clearly better, if possible, to avoid drugs that damage the gut. This is

not essential if co-dosing with Colostrum, as it heals the gut and keeps

permeability at normal levels.

One would think that beneficial bacteria might have a role to play in

achieving and maintaining normal gut permeability levels. Currently

Lactobacillus caseii var GG, a strain of lactobacillus isolated and

purified in Finland, has been shown to be effective in improving the gut

permeability when this was associated with a rotavirus infection.8

Most practitioners recommend glutamine, the amino acid needed for the

maintenance of intestinal metabolism, structure and function for Leaky

Gut. It has been shown to reverse all the gut abnormalities in patients

fed intravenously. Glutamine also repairs gut lining damage caused by

chemotherapy or radiation,9 although we have found clinically that it is

much slower to take effect than Colostrum.

Supporting the Liver

Because the effects of Leaky Gut greatly increase the load on the liver,

it is vital to support proper liver function. The liver of leaky gut

patients works overtime to remove oversized food molecules and to

oxidize gut toxins, causing increased production of free radicals. This,

in turn, causes damage to liver cells and sends by-products into bile,

producing toxic bile capable of damaging bile ducts and backing up into

the pancreas. Indeed, this may be the cause of chronic pancreatic

disease. In attempting to rectify all this, the liver depletes its

reserves of certain amino acids.10 This is similar to the process that

occurs in liver diseases caused by alcohol.

A lowered level of liver glutathione is a common occurrence in leaky gut

syndromes, and contributes to liver dysfunction and liver necrosis among

alcoholics, and immune impairment in patients with AIDS. The most

effective way to raise liver glutathione is to take its dietary

precursors, cysteine or methionine. A useful supplement to take is

N-acetyl cysteine which helps the body to synthesize glutathione at the

same time as giving protection from the toxins.

Take essential fatty acids (EFAs), particularly gammalinolenic acid

(GLA). In laboratory experiments, fish oil was able to prevent

intestinal mucosal injury produced by methotrexate and protect the body

from the toxins produced in the gut.11 Take these in their most

concentrated and physiologically active form to avoid exposure to large

quantities of polyunsaturated fatty acids.

If you are supplementing with dietary fibre, make sure you are taking

hypoallergenic insoluble fibre and watch the amount, as too much may

increase gut permeability.12

A large proportion of the population have a kind of low-level

dysfunction in the gut, called dysbiosis. This is caused by an imbalance

of non-beneficial (bad bacteria or yeast) organisms which mainly do

their damage by altering the metabolic or immune responses of the body.

The situation where the immune system begins to react to (and destroy)

normal gut flora is one example that has been implicated in the

development of conditions such as Crohn's disease and ankylosing

spondylitis. Recent research suggests that this kind of gut bacterial

sensitization is an early complication of altered permeability.

Leaky Gut is relatively common, and when one looks at the possible

causes, one can easily understand why. Widely prescribed medications can

cause widespread problems. Yet Leaky Gut is also relatively easy to

diagnose with a simple Lactulose/Mannitol test, and also fairly

straightforward to correct. Once the Leaky Gut is dealt with, one should

find a lessening of a myriad of puzzling symptoms. It is important once

the gut is restored to a normal permeability to avoid the very things

that caused the hyperpermeability in the first place. Equally important

is the consumption of a diet and a supplement regime that will help

maintain the health of the gut wall. Remember, you are not what you eat;

rather you are what you absorb!

References

1. Wyatt J, Vogelsang H, Hubl W, Waldhoer T and Lochs H. Intestinal

permeability and the prediction of relapse in Crohn's disease. Lancet.

5: 341 (8858):1437-9. June 1993.

2. RT, Rooney PJ, DB, Bienenstock J and Goodacre RL.

Increased intestinal permeability in patients with rheumatoid arthritis:

a side-effect of oral nonsteroidal anti-inflammatory drug therapy? Br J

Rheumatol. 26(2): 103-7. April 1987.

3. Rooney PJ, RT and Buchanan WW. A short review of the

relationship between intestinal permeability and inflammatory joint

disease. Clin Exp Rheumatol. 8(1): 75-83. Review. Jan-Feb 1990.

4. Juhlin L and Vahlquist C. The influence of treatment on fibrin

microclot generation in psoriasis. Br J Dermatol. 108(1): 33-7. Jan 1983.

5. PG, Lessof MH, Baker RW, Ferrett J and Mac DM.

Intestinal permeability in patients with eczema and food allergy.

Lancet. 13: 1(8233):1285-6. June 1981.

6. Playford RJ, Mac CE, Calnan DP, Floyd DN, Podas T, W,

Wicks AC, Bashir O and Marchbank T. Co-administration of the health food

supplement, bovine colostrum, reduces the acute non-steroidal

anti-inflammatory drug-induced increase in intestinal permeability. Clin

Sci (Lond). 100(6): 627-33. June 2001.

7. Playford RJ, Woodman AC, P, Watanapa P, Vesey D, Deprez PH,

on RC and Calam J. Effect of luminal growth factor preservation

on intestinal growth. Lancet. 3: 341(8849):843-8. April 1993.

8. Siitonen S, Vapaatalo H, Salminen S, Gordin A, Saxelin M, Wikberg R

and Kirkkola AL. Effect of Lactobacillus GG yoghurt in prevention of

antibiotic associated diarrhoea. Ann Med. 22(1): 57-9. Feb 1990.

9. Klimberg VS, Salloum RM, Kasper M, Plumley DA, Dolson DJ, Hautamaki

RD, Mendenhall WR, Bova FC, Bland KI, Copeland EM third, et al. Oral

glutamine accelerates healing of the small intestine and improves

outcome after whole abdominal radiation. Arch Surg. 125(8): 1040-5. Aug

1990.

10. Whitcomb DC and Block GD. Association of acetaminophen

hepatotoxicity with fasting and ethanol use. JAMA. 21: 272(23):1845-50.

Dec 1994.

11. Vanderhoof JA, Blackwood DJ, Mohammadpour H and Park JH. Effect of

dietary menhaden oil on normal growth and development and on

ameliorating mucosal injury in rats. Am J Clin Nutr. 54(2): 346-50. Aug

1991.

12. Gyory CP and Chang GW. Effects of bran, lignin and deoxycholic acid

on the permeability of the rat cecum and colon. J Nutr. 113(11): 2300-7.

Nov 1983.

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NEW Natural Approaches to Leaky Gut/Worth Reading - Posted by A Friend -

Sat - Aug 5 - 9:43pm

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Lisbeth wrote:

> Who's tried what successfully?

>

> Am I correct in thinking that treatment is contradictory for anyone

> with diverticular disease and diverticulitus?

>

> Geoff??????

>

> Why is nothing ever straight forward !! :-))

>

> Huggles,

> Lisbeth

>

>

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Hi Jeff;

You are just too funny.Finally after almost 6 years of reading

Rheumatic and Roadback postings I am getting to understand English wit

but I know I cannot spell worth 2 cents..I finally found a great

holistic/AP doctor a couple of years ago.She immediately had me tested

for celiac after seeing an itchy little spot on my back that had been

there since 1991.It was dermatitis herpetiformis and that is caused bu

celiac.She had 2 tests done,one here and one in the U.S by Enterolab,she

says it is the best.My count came in at 97 and should have been under

10.Until then I never heard the word Celiac.Dr. A says that over 80% of

people with chronic diseases have it.She then had me tested for yeast

and food sensetivities as she said that after all this time with celiac

it would have done a lot of damage to the intestine and sure

enough.Yeast was sky high,I have severe sensitivities to

anything " cow " ,lamb,anything from the sugar

cane,grapes,citrus,asperigus,beans and a couple others that are not so

bad.Throughout all of this I never had any symptoms or knowlege that

anything was wrong.

Celiac hits 1in 133 normal people without them knowing and just about

all sick people.There is a lot of info at www.celiac.com and how it

causes chronic disease.AP had never worked well enough.After dropping

all the no-no foods for 15 months I am just about normal and am on

minimal antibiotics.

F.Y.I we had my grandaughter's christening,I indulged in a slice

ofFrench Bread with cheese,a couple of sweets and have felt so bad for

the last 2 days,bloating,gas,pain and would you not know

it....stiffening in my handsGuess I will behave until temptation gets me

again

P.S My sister has Lupus and her celiac count was even higher Lynne G

Jeffery scott wrote:

> Lynne, you're connecting your SD to Celiac? Leaky gut?

>

> I'm keeping an open mind about the cause(s) of SD, at least until

> somebody

> publishes THE definitive study in a major journal or Geraldo discovers

> the

> truth.....live.

> The problem with Wootten is the same as with many

> others.....acceptance of

> their hypothesis is directly related to the commercial (and timely)

> success

> of their revolutionary products. Maybe the guy is the Einstein of the

> intestinal world, but for me, he's got just a little bit of a credibility

> bump in the road as long as he profits. Relatively speaking, Albert

> received

> only $28K for his Nobel theory and his ex took all of that and more.

> Jeff

>

> ----Original Message Follows----

> From: lynneandsantos <lynneandsantos@...

> <mailto:lynneandsantos%40citenet.net>>

> Reply-rheumatic <mailto:rheumatic%40>

> rheumatic <mailto:rheumatic%40>

> Subject: Re: rheumatic Leaky gut

> Date: Mon, 14 Aug 2006 10:18:22 -0400

>

> Hi Lizbeth;

> I have Celiac disease besides the SD and it most likely caused the

> Leaky Gut and possibly the SD.He is a wee bit of info that may clarify

> things. Lynne G.

>

>

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rrent & message=63589

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>

>

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  • 1 month later...

Hi Lea,if you go to www.roadback.org and to their bulletin board you can

ask A Friend.This person had the problem and has an amazing amount of

knowlege. Lynne G. SD

leatannerone wrote:

> If I'm taking a great probiotic and not eating sugar or drinking

> alcohol, eating lots of veggies, does anyone know how long it will take

> to repair leaky gut...it I do indeed have leaky gut? Lea

>

>

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Hi-

I too went through a wickedly stressful period this past

winter/spring, which brought on all the symptoms of leaky gut. I did

the diet (still doing a modified version, although I can eat more

normally now), increased the probiotics, but also went on Nystatin,

which works to get rid of the yeast buggers in the gut which drill

the holes to make the leaks. I have been on since may and the

improvement has been remarkable. While I am all about using

alternative methods, I think the Nystatin has been what has helped

to heal my gut most. It does not have the side effects of other

antifungals as it is not absorbed from the gut, but stays there to

do the work. Good luck with everything...peggy

>

> Hi all,

>

> I'm basically a lurker - can't remember if I've written before

this but I so appreciate

> everyone's input and the positive attitudes in this group. I was

in remission with R/A until

> six months ago (I think high levels of stress brought it back).

Now I'm on Plaquenil,

> Celebrex and prednisone (1 mg) I refused methotrexate) but am

working towards getting

> on to the antibiotics and eventually off the drugs as much as

possible. I now feel as

> though I'm through the shock and grief period and into positive

thinking again though it's

> often very difficult to stay vigilant about my thoughts.

>

> A couple of weeks ago someone asked about Leaky Gut. Three months

ago I was

> diagnosed with it and the main thing for me is to stay off gluten

and take acidophilus/

> probiotics and L-glutamine. I also watch my diet pretty strictly

(no dairy or meat, sugar or

> salt, nightshades or oranges) and I'm feeling so much better in

myself (apart from the R/A)

> that I can hardly believe it! My energy levels are much higher and

I don't get " flat " or

> discouraged or exhausted nearly as much.

>

> I know lots of people on this list do the non-processed food and

alternative approach and

> I know it doesn't do miracles re pain. I'm just saying what has

helped me in my general

> health.

>

> Many blessings and thanks to everyone from me in Australia.

>

> lind

>

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  • 2 years later...

The following was posted on another list I'm on. Does anyone know about

this?

Alessio Fasano is a well-known and well-respected researcher with 170

publications and 150 patents. His main work is in the leaky gut and the role

of leaky tight junctions in auto-immune diseases, especially Celiac. He

recently published a very interesting article in Scientific American on this

topic. There is no mention of autism in this article of course, but I found

it VERY relevant to autism. Especially the mention of his new drug,

Larazotide, that allows to close the tight junctions in the gut and the

brain. Imagine that, a drug that would repair the blood/gut and blood/brain

barrier...

Celiac Disease Insights: Clues to Solving Autoimmunity

Study of a potentially fatal food-triggered disease has uncovered a process

that may contribute to many autoimmune disorders

http://www.scientificamerican.com/article.cfm?id=celiac-disease-insights

Larazotide is in clinical trials for celiac now, but I would give a lot to

see what such a drug could do to an autistic patient: imagine no more food

peptides leaking in the blood, no more gut flora byproducts leaking in the

blood, no more toxins penetrating the blood/brain barrier: wouldn't that

reduce inflamation (brain, gut, etc...), reduce the burden on the detox

system, cool down the immune response?

The interesting point is that not suprisingly, since mainstream still

considers autism a brain hardware problem, I did not find any links between

Alessio Fasano and autism on the web.

Alessio Fasano, M.D. Gluten, Leaky Gut, and Autism: A Serendipitous

Association or a Planned Design?

http://www.defeatautismnow.com/dallas/speakers.html

Here is a link to the company he started, Alba Therapeutics, to develop and

market that drug Larazotide:

http://www.albatherapeutics.com/Vision/TechnologyOverview/tabid/168/Default.

aspx

Kristy

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Thank you. Very impressive information.

JR

From: knardini@...

Date: Wed, 2 Sep 2009 20:51:06 -0700

Subject: Leaky gut

The following was posted on another list I'm on. Does anyone know about

this?

Alessio Fasano is a well-known and well-respected researcher with 170

publications and 150 patents. His main work is in the leaky gut and the role

of leaky tight junctions in auto-immune diseases, especially Celiac. He

recently published a very interesting article in Scientific American on this

topic. There is no mention of autism in this article of course, but I found

it VERY relevant to autism. Especially the mention of his new drug,

Larazotide, that allows to close the tight junctions in the gut and the

brain. Imagine that, a drug that would repair the blood/gut and blood/brain

barrier...

Celiac Disease Insights: Clues to Solving Autoimmunity

Study of a potentially fatal food-triggered disease has uncovered a process

that may contribute to many autoimmune disorders

http://www.scientificamerican.com/article.cfm?id=celiac-disease-insights

Larazotide is in clinical trials for celiac now, but I would give a lot to

see what such a drug could do to an autistic patient: imagine no more food

peptides leaking in the blood, no more gut flora byproducts leaking in the

blood, no more toxins penetrating the blood/brain barrier: wouldn't that

reduce inflamation (brain, gut, etc...), reduce the burden on the detox

system, cool down the immune response?

The interesting point is that not suprisingly, since mainstream still

considers autism a brain hardware problem, I did not find any links between

Alessio Fasano and autism on the web.

Alessio Fasano, M.D. Gluten, Leaky Gut, and Autism: A Serendipitous

Association or a Planned Design?

http://www.defeatautismnow.com/dallas/speakers.html

Here is a link to the company he started, Alba Therapeutics, to develop and

market that drug Larazotide:

http://www.albatherapeutics.com/Vision/TechnologyOverview/tabid/168/Default.

aspx

Kristy

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