A must read on Huffington Post re: Candida .

July 26, 2010

Hi there. Dr. Mark Hyman on Huffington Post wrote this article on Huffington

Post. Maybe he needs to know more about SCD. Dr. Hyman asks for people's input

on Facebook.

Where is the great gentlement who wrote to the doctor on the NY Times

article ? (I forgot your name). There is also an interesting website at the

very bottom about neurotoxins and molds from the environment and workplace.

Thanks,

CD - 5 yrs.

SCD - 4 1/2

Mark Hyman, MD.Mark Hyman, M.D. is a practicing physician

Posted: July 24, 2010 07:00 AM BIO Become a Fan Get Email Alerts Bloggers' Index

..

Is Hidden Fungus Making You Ill?

A hidden fungus may be making you ill. A 35-year-old recently walked into my

office suffering from a whole list of health problems (which is why I often call

myself a " whole-listic doctor " ). She had chronic fatigue, recurrent yeast

vaginal infections, itchy ears, dandruff, patchy itchy skin rashes, irritable

bowel syndrome, muscle twitching, acne rosacea, malabsorption, headaches and

more.

These symptoms can have multiple causes, but in her case all of these problems

were related. They were symptoms of an overgrowth of yeast in and on her body.

This patient had such a fungus problem that she was practically a walking

mushroom!

The cause was clear. She had taken many, many courses of antibiotic over the

years. She had been diagnosed with a mostly benign condition called mitral valve

prolapse--a problem I believe is over diagnosed and over treated--and " needed "

antibiotics every time she went to the dentist. In addition, she had many

urinary tract infections for which she took many more courses of antibiotics.

Frequent use of antibiotics disrupts the normal balance between healthy bugs in

the gut (lactobacillus, bifidobacter, e. coli) and other potentially dangerous

bugs, including yeasts, bacteria and occasionally parasites. These bad bugs are

usually present in small numbers in the digestive system. But when the good bugs

are killed by antibiotics (i) or not fed with adequate fiber, or the bad guys

are fueled with too much sugar, or the gut's delicate ecosystem (ii) is damaged

by too much stress, then yeasts and other noxious agents take over.

This can result in many chronic illnesses and symptoms including allergies,

chronic inflammation, joint problems, mood and brain disorders, digestive

symptoms and more.

In today's post I will explain why yeast overgrowth is such a common problem,

why conventional medicine tends to overlook it, and provide you with a

comprehensive plan to reduce and remove yeast and rebalance your gut's delicate

ecosystem, which sits at the center of your health.

Yeast: A Common But Often Unrecognized Problem

Yeast overgrowth is quite common, but many people don't know they have it and

conventional doctors tend to ignore it. In medical school, we are taught that

you either have a disease or you don't. It's black and white. However, our

bodies weren't designed with an " on " or " off " switch for disease. All diseases

occur in shades of gray along a continuum of imbalance along spectrum of

disease.

Medical students learn about fungal and yeast problems, but only in a limited

way. They know that AIDS patients have severe yeast and fungal infections and

need long-term anti-fungal treatment. People with diabetes tend to grow yeast

because yeast likes sugar. Babies get thrush and need antifungal treatment.

Women get vaginal Candida yeast infections. All of these are well-accepted and

treatable problems. Unfortunately more subtle problems related to yeast are

usually ignored and not linked to patient's complaints. If a subject is not

taught in medical school, it is assumed not to be real. Medical history proves

this is a dangerous assumption.

On the other hand, many alternative practitioners over diagnose yeast problems.

However, there are many people who do have yeast problems, and most of them

don't know it.

There is not enough research on this topic. But the collective intelligence of

many doctors working in this field for decades with thousands of patients has

helped us learn how to appropriately diagnose and treat this often misdiagnosed

problem.

We know that yeast overgrowth can be triggered by a number of things. These

include a high-sugar, high-fat, low-fiber diet, impaired immunity, use of drugs

like antibiotics, birth control pills, estrogen, and steroids like prednisone,

and psychological stress.

Although symptoms of yeast overgrowth are similar to those of many other

conditions, you may have a yeast problem if you have these problems (iii)

General Symptoms

• Chronic fatigue

• Loss of energy

• General malaise

• Decreased libido

Gastrointestinal Symptoms

• Thrush

• Bloating and gas

• Intestinal cramps

• Rectal itching

• Altered bowel function such as diarrhea (iv) or constipation

Genitourinary Symptoms

• Yeast infections

• Frequent bladder infections

• Interstitial cystitis (irritable bladder)

Hormonal Complaints

• Menstrual irregularities like pain, bleeding, etc.

• Premenstrual syndrome

• Thyroid dysfunction

Nervous System Complaints

• Depression

• Irritability

• Inability to concentrate

Immune System Complaints

• Allergies

• Chemical sensitivities

• Low immune function

Past History

• Chronic yeast infections

• Chronic antibiotic use for infections or acne

• Oral birth control pill usage

• Oral steroid hormone usage

Associated Conditions

• Sensitivity to foods, chemicals, or other allergens

• Eczema

• Psoriasis

• Irritable bowel syndrome

• Craving for foods rich in carbohydrates or yeast

• Toenail fungus

Many tests we use for diagnosis of yeast problems are not definitive or

foolproof. It is often a diagnosis that must be made from a patient's story,

symptoms, and physical findings on examination. Blood antibody levels for

yeasts, stool tests, and organic acid urine tests (v) for yeast metabolites can

be helpful if they come out positive but don't rule yeast out if they're

negative.

The best method for diagnosis is a good history for risk factors like antibiotic

use and symptoms of chronic yeast problems. The symptoms of yeast overgrowth

vary from person to person and the response to treatments will vary. Some people

may need aggressive treatment, while others many need only simple changes to

make a significant difference in their health.

I recommend a systematic approach to yeast overgrowth. Taking the following

steps can help overcome this common but under diagnosed ailment.

Overcoming Yeast Overgrowth

1. Address predisposing factors. Don't take antibiotics, steroids, or hormones

unless absolutely medically necessary.

2. Eat a diet that doesn't feed yeast in the gut (low sugar and refined

carbohydrates, and low mold and yeast in food (see below).

3. Use probiotics to repopulate the gut with healthy bacteria

4. Take antifungal herbs and medications when indicated

5. Identify potential environmental toxic fungi and molds in your home or

workplace

6. Reduce stress.

The Yeast Control Eating Program

A simple five-day elimination of yeast and molds in your diet, followed by a

challenge or binge of yeasty foods will often relieve and then trigger your

symptoms. This can be a good diagnostic tool to see if a long-term yeast control

diet would be helpful for you. Remember, different people with different

sensitivities may require varying degrees of dietary restrictions. Often, the

process of healing requires listening to your body and its signals and

sensitivities. Nowhere is this better illustrated than in the management of

yeast problems. Follow these guidelines as the first step to assess your yeast

problem:

• Eliminate all yeast promoting or yeasty and moldy substances from your diet.

• Try to be totally strict during this time to get the best results.

• Keep a food diary and track what you are eating. You should try to vary your

meals and make sure you are not eating a lot of any one food.

• Avoid the test foods for five full days.

• On the sixth day, eat large amounts of the foods you have been avoiding and

monitor your reaction. If you get a recurrence of symptoms, you have identified

your problem. If not, then yeast may not be a problem

• Remember that sometimes a dietary change may not reduce the yeast overgrowth

enough to resolve your symptoms. Then you may need to proceed to the next steps

-- medication or non-prescription treatments.

• If you feel great off the yeasty foods, you might not want to do the

challenge. It could make you feel very ill. Continue to follow a yeast control

eating program for at least three months and continue with the other

recommendations here.

Additional Steps You Can Take to Reduce or Control Yeast Overgrowth

Often, I find that patients need extra help and should take antifungal herbs,

medications, and probiotics.

Probiotics

Take at least 10 to 20 billion live organisms a day of lactobacillus and

bifidobacter species. (vi) A special " yeast against yeast " probiotic called

saccharomyces boulardii (vii) can be very safe and effective in controlling

yeast.

Non-prescription Anti-fungals

Using antifungal therapies such as herbs and other naturally occurring compounds

can be very helpful in controlling yeast. The dose for all of the following

herbal remedies is generally two pills with meals, three times a day for two to

three months. You might need less or more based on your response and symptoms.

Sometimes these remedies can be combined for better effect. To find the right

combinations and doses for you and identify quality products, consult with a

qualified practitioner trained in functional medicine

(www.functionalmedicine.org) Some of the best antifungal compounds include the

following:

• Oregano -- Oil of oregano has many antibacterial and antifungal properties.

• Garlic -- Fresh, crushed garlic is a potent antimicrobial and immune booster.

• Citrus seed extract -- The phytochemicals in citrus seeds have been found to

have potent antimicrobial properties.

• Berberine -- This potent yellow plant extract comes from goldenseal and

barberry

• Tannins -- These are the astringent compounds found in tea and the bark of

trees.

• Undecylenate -- This chemical compound is a potent antifungal.

• Isatis tinctoria -- This Chinese herb can be a useful adjunct to treating

intestinal imbalances.

• Caprylic acid -- This is another useful compound for treating yeast.

Antifungal Medications

Sometimes, nutrition and supplements just aren't enough to clear up stubborn

yeast overgrowth. That's where prescription medications can help. (viii) They're

often needed to treat more resistant cases of yeast for either the short or long

term -- and in some cases can be miraculous in their results.

Nystatin is the most common antifungal drug and is often used to treat thrush in

babies. It is not absorbed by the intestinal tract and has no systemic effects.

Unfortunately, many fungal organisms are resistant to nystatin and you may need

stronger medications. I say " unfortunately " because these drugs are generally

processed by the liver and occasionally can cause reversible elevation of liver

function tests. They also may have serious interactions with other medications.

People with liver or heart diseases often cannot take these drugs. If you do

take Diflucan, Sporonox or Lamasil, you have to have your liver function checked

every six weeks. For all of these reasons, you should only take prescription

antifungals under the supervision of an experienced and qualified practitioner.

These medications can often be life-saving treatments for many conditions

unresponsive to conventional treatments.

Killing off yeast is a good thing. However you should be aware that in some

people the dead yeast release enough byproducts to cause a " die off " reaction

that may make you feel worse before you feel better. This reaction goes away may

take up to a week to completely resolve. You can minimize its effects by

following the yeast control eating program for a week or so before you start

taking any antifungal preparations.

I also recommend taking two to three activated charcoal capsules every four to

six hours during the day. Taking a soluble fiber supplement that contains guar

gum, alginates, psyllium seed, or pectin to bind to yeast toxins before bed can

also be helpful in reducing the " die off " reaction.

Now you know that fungi, yeasts, and mold can make you sick -- but there's good

news, too. You can treat the problem. I hope you'll use the tools I've given you

in this blog to start getting well and feeling healthy now.

Now I'd like to hear from you...

Do you suffer from the symptoms described here? Have you been diagnosed with

yeast overgrowth?

How do certain foods seem to affect your symptoms?

Are you seeing a doctor for yeast problems?

What's been your experience in dealing with and treating yeast?

Please let me know your thoughts by leaving a comment below.

To your good health,

Mark Hyman, M.D.

in the field of Functional Medicine. You can follow him on Twitter, connect with

him on LinkedIn, watch his videos on http://www.youtube.com/ultrawellness,

become a fan on Facebook, and subscribe to his newsletter at drhyman.com.

One exception has to do with mercury in the body. There is anecdotal evidence

that mercury has an affinity for candida, binds with it, and forms compounds

that tend to take the mercury out of circulation. While not well understood,

some believe the body promotes candida overgrowth in the presence of mercury as

a defensive mechanism. Those toxicologists that specialize in heavy metal

removal and autism treatment are particularly knowledgeable on this issue. The

conundrum is that using antifungals can break the mercury-fungal bond, releasing

large quantities of mercury into the system. In such cases, antifungal treatment

must proceed with care along with chelation therapy for metal removal.

A discussion and references on this issue can be found in " The Wellness

Project. "

Another exception is in the case of biotoxins generated by fungi such as

Stachybotrys, Aspergillus, and Fusarium. They are commonly found in mold from

toxic buildings. The problem here is that the biotoxins can remain in the body

long after the fungi have been killed. They get trapped in the bile loop of the

digestive system, and continue to recirculate, causing havoc. Treatments include

the use of bile sequestering agents such as cholestyramine (Questran).

A discussion on this issue can be found at:

http://www.chronicneurotoxins.com/

Roy Mankovitz, Director

Montecito Wellness LLC

RMankovitz: While many cases of fungal overgrowth such as candidiasis can

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Permalink | Share it HUFFPOST SUPER USER

Ohsotired 33 minutes ago (10:27 AM) 5 Fans Anyone out there have any

experience with skin fungus that is resistant to OTC topicals? I've eliminated

all but one patch, which isn't as severe, but can still be annoying when it is

as hot and humid as it has been here in the Midwest lately.

Ohsotired: Anyone out there have any experience with skin fungus that

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Guitarsandmore 3 hours ago (8:23 AM) 70 Fans I think another article could be

written about cleaning products, personal bathing products, etc. I understand

that bleach totally wipes out mold and mildew but also if you use bleach the

mold tends to come back even worse.......So what works better? Anyone know?

There is a lot of scuttle but right now about hand soaps and the anti bacterial

versus just plain soap. It seems there are problems with the new anti bacterial

soap.....That could be another post for someone to write.

I have met women who have absolutely no odor anywhere on their bodies. None.

Zero. How do they do it? I don't have a clue.

We all tend to shy away from these topics but if its a difference between

getting really sick and glowing health and happiness I think we should talk

about them.

In my place I try to replace the shower curtain liner several times a year. I

have determined the shower curtain liner can be a source of some nasty mold,

mildew, and make breathing difficult.

Guitarsandmore: I think another article could be written about cleaning

products,

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TakeSake 2 hours ago (9:26 AM) 93 Fans There's a lot to talk about here.

Anyway, I squeegee the shower down every time, and then wipe it down with a

towel. This gets most of the water, and I leave the fan on the whole time. It at

least slows down any growth.

A couple time a year I clean it up. Pine-Sol seems to work for some areas,

cleanser for cleaning things quickly, and borax for cleaning things slowly.

Borax seems to need a long soak time. Like a few days.

TakeSake: There's a lot to talk about here. Anyway, I squeegee

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Permalink | Share it Acleacius 3 hours ago (8:18 AM) 34 Fans What is there a

standard treatment length and dosage for Diflucan to treat Candida? Is it

something like 200mg a day for a month or 3 months or 6 months?

Acleacius: What is there a standard treatment length and dosage for

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Permalink | Share it Parthenolide 9 hours ago (1:46 AM) 23 Fans I disagree

with the following statement

" She had been diagnosed with a mostly benign condition called mitral valve

prolapse--a problem I believe is over diagnosed and over treated--and " needed "

antibiotics every time she went to the dentist. "

Mitral Valve Prolapse (MVP) is common, and not benign. With MVP a person is more

likely to have blood flow pool, increasing the likelihood of forming a

thrombotic embolism. People with MVP are more likely to suffer from

endocarditis, and have bacterial embolisms. Common dental procedures do in fact

push bacteria directly into the blood stream. This is why the standard of care

calls for prophylactic antibiotics.

I also disagree that recurrent vaginal yeast infections is due to an overgrowth

of yeast. Conventional medical wisdom now is that these women do not have an

excessive amount of yeast. Rather, the women are allergic to the yeast, and

fight it, instead of accepting it.

Parthenolide: I disagree with the following statement " She had been diagnosed

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ibsteve2u 7 hours ago (4:23 AM) 333 Fans Re: " Rather, the women [...] fight

it, instead of accepting it. "

So you're saying some yeast are bred for women, and they should roll with it?

ibsteve2u: Re: " Rather, the women [...] fight it, instead of accepting

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feed the enemy 9 hours ago (1:45 AM) 87 Fans Lay off the antibiotics unless it

is a life threatening condition. Eat a healthy diet and consume non-soy

non-dairy probiotics products. I like Good Belly Mango drink. It's great with

gin.

feed_the_enemy: Lay off the antibiotics unless it is a life threatening

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Permalink | Share it Promise 10 hours ago (1:19 AM) 29 Fans Try EFT

(Emotional Freedom Technique). It's helped a lot of people. Google it---there

are many websites that explain how to do it. It's free, too, although many

people have coaches to help them.

Promise: Try EFT (Emotional Freedom Technique). It's helped a lot of

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Permalink | Share it Promise 10 hours ago (1:14 AM) 29 Fans Kelley Eidam has

a great website which describes his protocol for eliminating candida. It

involves taking caprylic acid, olive leaf, probiotics, enzymes and L-Glutamine.

There is also an easy test to determine if you have candida: the " spit test. " It

involves spitting into pure water, first thing in the am before drinking

anything or brushing your teeth. Let it sit and if the spit settles to the

bottom of the glass within an hour, you have candida.

I followed 's protocol and kept my diet free of sugar. I did have some

die-off (Herxheimers reaction) in the beginning but it was worth it. It took me

much longer than the two months that promised, probably because I'd had it

for so long. I did eliminate brain fog, a chronic rash, lost some weight, and

just felt better.

The problem I had was, that when I was free of candida, I considered myself

" cured " and went back to sweets....just a cookie here and a glass of wine

there...but it was enough to bring the candida back. Now I'm starting the

protocol all over again, but fortunately it's easier this time.

Another thing to realize is that we get antibiotics in meats and eggs that are

not organic!! So, it's really easy to get your system knocked out of whack

without even eating any of the foods that are known causes. .

Promise: Kelley Eidam has a great website which describes his protocol

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Permalink | Share it Bonnie Barbash Lief 11 hours ago (11:53 PM) 0 Fans i

absolutely agree that using too many antibiotics, eating wrong(and in my case, i

cannot eat dairy) will lead to these symptoms. I found candex to be helpful.

Bonnie_Barbash_Lief: i absolutely agree that using too many antibiotics, eating

wrong(and

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TakeSake 12 hours ago (10:52 PM) 93 Fans Here's the short form of my story:

I put up with various allergies and other things starting around age 13.

About 15 years ago I would occasionally get sick. You know, 4 or 5 hours of

feeling bad followed by throwing up. This might have initially happened every 3

months or so.

Well, the frequency became more and more often. At the point where it was once

per month I found that Alka-Seltzer made it worse. Well, if alkaline doesn't

help - I thought I would try acid. I found that fresh-squeezed lemons would help

about 1/2 the time.

Eventually lemons became less effective, and I would get sick about once per

week. At the time I felt that one way or the other, I would be cured of this

within a year.

So I started some challenge tests. One helpful clue was that sometimes I would

become sick 1/2 hour after finishing a breakfast of Raisin Bran and milk.

After a few weeks of somewhat inconclusive substitutions, I tried more than one.

I took out both wheat and milk.

The change was noticeable within a couple days.

It took a few more months to narrow in and understand what was going on. Was

there a fungal component to this? I believe so, based on certain rashes

responding to topical anti-fungal medicine.

For me anyway, there is a connection between wheat, dairy, fungal growth, and

general well-being.

TakeSake: Here's the short form of my story: I put up

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Werner 13 hours ago (9:43 PM) 2 Fans -3-

After all this, feeling crappy for most of a decade while spending thousands of

dollars, here is what happened. Around 1998 I was driving and heard a health

program on AM radio. The guy was talking about oregano and its anti-fungal

properties. In all that time, no one had ever suggested oregano. So I tried it.

And it helped! Initial usual die-off (worse symptoms) reaction followed by a

consistent time of much less symptoms. I told my then current practitioner, who

said he had a supplement which consisted of time-release organic oil of oregano.

I have taken this supplement, which is ADP by Biotocs Research, sold at the

website www.naturalhealthyconcepts.com, for the last 12 years! It is the best

thing I've found to keep my particular Candidiasis condition under control. The

symptoms still come back if I run out... but this particular supplement has

given me my life back.

Dr. Hyman: I still have hope of rebalancing my system enough so that I don't

need the oregano. Do you think this is possible at age 56? I find that my

maintenance dose for feeling best is 2-3 tabs of ADP a day.

Werner_: -3- After all this, feeling crappy for most of a

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Werner 13 hours ago (9:42 PM) 2 Fans -2-

During this time an alternative type MD gave me shots to help adrenal function

and put me on Sporanox for Candida. At the first liver test my enzyme levels

were raised although I hadn't felt appreciably better, so I stopped taking it.

One time I went to a well-known parasitologist in NYC for a $300 stool test.

Nothing showed up but he said I needed to be tested while the symptoms were

particularly bad.

One time I developed severe dizziness upon moving my head, which went on for

weeks. Someone suggested an air filter for the basement which was supposed to

kill mold with negative ions... and the dizziness went away within hours. I

think I had developed an allergy to a mold in that house.

Anyway, this syndrome ALTHOUGH REAL is not easy to diagnose (the symptoms are

vague, cyclical, various and can be caused by lots of things) or treat

(practitioners have many different approaches which may or may not work for an

individual).

-continued

Werner_: -2- During this time an alternative type MD gave me

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Guitarsandmore 3 hours ago (7:50 AM) 70 Fans Hey,

We just went through something similar with black mold in the walls and mold in

the soil and ended up moving 175 miles away to a different climate (dryer) and

ecosystem. We all feel much better here. You can fight a little bit of mold, but

if its in the walls and the soil and the air you gotta move.

Some of us (painful to admit) like to read, write, play the guitar, much more

than do the chores......and so my health seems to improve when the place is

cleaner but I have some back sliding. It is so easy for me to get totally

absorbed in the reading, writing, and music hobby, while the other stuff slides.

The world's problems always seem so much more important than washing the sheets

on the bed, but I have learned you have to make the time to wash the sheets on

the bed. You have to do the dishes and scrub the floor no matter how pedestrian

it seems.

I don't have the expertise to confirm what the good doctor is saying other than

I do believe molds and mildews are a health problem from my own experience. It

is tough to fight. My family does seem to feel better when I cook with fresh

garlic, onions, and Italian spices. It is boring and time consuming to clean but

it just has to be done.

I will no doubt move again.

Guitarsandmore: Hey, We just went through something similar with black mold

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Werner 13 hours ago (9:40 PM) 2 Fans Hello ,

I offer my experience to you and anyone else who feels they may have this

syndrome.

About 20 years ago I knew something was wrong with my health, but had no idea

what. I often had gas and bloating; personal energy had been replaced with

tiredness/sleepiness much of the time. The tiredness was accompanied by a " brain

fog " resulting in dimunition of short-term memory. And mood swings... into

depression sometimes. All of this cycled back and forth, came and went from day

to day and even hour to hour and I had no idea why.

In 1990 after some stresses my health really broke down such that I had to quit

working and I began searching for answers. Over the course of the next several

years I visited at least 8 or 10 practitioners, most of whom gave me diets,

supplements etc. which seemed to make the symptoms slightly better but were

nothing like a cure. The whole thing continued... always made worse after sweet

foods and especially sweet juices, which I craved. It seemed like I had this

Candidiasis syndrome but finding an answer that worked for me proved very

elusive.

-(continued)

Werner_: Hello , I offer my experience to you and anyone

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Permalink | Share it Phattemer 16 hours ago (6:35 PM) 0 Fans Chinese medicine

has been around for thousands of years. They recognize this symptom complex /

state of being. It is just Western medicine that is having a hard time wrapping

their head around it.

I've spoken with many who found prescription antifungals were a good way to

jump-start their healing process. However, to truly heal, you have to change the

terrain, so that yeast and fungus don't want to live in your body. You have to

get rid of oxidative stress. Avoid polyunsaturated oils --- a source of

oxidative stress. Also, polyunsaturated oils directly encourage yeast growth in

low oxygen environments like the intestines. Take a few supplements that have

been depleted by the yeast and bad bacteria. Avoid estrogens. Improve liver

function. Take care of intestinal motility issues. Detox. Test nutrient status

and replenish. Just focusing on " killing yeast " will likely not be enough to

eliminate this syndrome.

Phattemer: Chinese medicine has been around for thousands of years. They

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Permalink | Share it zymos 16 hours ago (7:09 PM) 8 Fans " Avoid estrogens. "

Sorry ladies....

zymos: " Avoid estrogens. " Sorry ladies....

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