General Wellness

SUPPLEMENT UPDATE (Last post for the week, I promise)

Andrew Chuma No Comments

Please forgive the “sciency” stuff. I geek out on it.

ZINC. Inside the cell, viral RNA molecules, like the ones which are the “brains” of Covid-19, are translated to produce RNA-dependent RNA polymerase, also known as Replicase. This is a key enzyme in the production of RNA viruses. RNA polymerase drives viral reproduction. It’s the “machinery”. The replicated RNA material is then packaged into virion particles, are released from the infected cell and can then infect other cells. Zinc inhibits the action of RNA-dependent RNA polymerase, but only if it’s in the cell. Zinc however is a positively charged ion and can’t get inside the cell without a transporter, an ionophore, a compound which transports a lipid across a cell membrane, made up mostly of lipid. Some lab studies have shown that the levels of zinc are significantly elevated in cells when the drug hydroxychloroquine was added, which is theorized to be partly why it may be. So, will taking zinc supplements help? Probably not to any significant degree. Although it has many extra cellular functions, it only seems to help with the viral infection if it can get into the cell. Another ionophore is quercetin.

QUERCETIN is a flavonoid phytonutrient found in many plants. Other phytonutrients include anthocyanin, which makes blueberries blue, resveratrol from grapes and wine and EGCG, which is found in high concentrations in Green tea. Quercetin has been reported to block SARS-CoV-1 in the lab but it has not been tested in SARS-CoV-2. It’s mode of action is theorized to be related to its activity as a Zinc ionophore (assisting in its transport into the cell where it can be active).

SO, these two compounds, zinc and quercetin, in combination, MAY be helpful and that is how we consume them when we eat whole fruits and vegetables. We don’t consume individual nutrients. We consume food, although 70+% of what is sold in stores can barely be considered “food”. It’s more like Frankenfood. The various nutrients in food are like the individual members of an orchestra. The orchestra as a whole produces the most beautiful music, rather than the individuals alone. The individuals work together, just like all the nutrients in food.

VITAMIN D. Remember that Vitamin D is not just a vitamin. It’s a hormone. I won’t get into the science here but there is plenty about it on the “Supplement” section on my website. There is some discussion on the web about Vitamin D upregulation of ACE-2 receptors, the ones to which the Cov-2 virus binds on the lining cells of the lungs. In a nutshell, vitamin D deficiency, among many other disturbances, impacts negatively on the renin-angiotensin system, a delicate balance in which the ACE-2 receptors, the enzyme ACE, the kidneys which make the enzyme renin and how they impact on blood pressure and fluid balance in the body. It acts as a suppressor of the renin production and increases ACE-2 levels. Although it might seem to make sense that the less ACE-2 receptors there are, the less chance the virus has of getting in, this is actually not exactly true. What is most important is the balance between the number and function of these receptors and the ACE enzyme. ACE-2 receptors get internalized when Cov-19 binds to it. ACE-2 receptors are key to preventing the severe reaction of the virus. THE SYSTEM NEEDS TO BE WORKING SMOOTHLY, just like everything else in the body. When disrupted, shit happens! Animal models show that Vitamin D administration improved lung outcomes, but only in those animals which had an already imbalanced system. Meaning, vitamin D normalizes things in situations where they are not normal. The bottom line, make sure your levels are where they should be. Supplement if low. Does adding more help if your levels are normal? Probably not.

What causes Vitamin D deficiency? First of all, it’s pretty common. About 70% of Americans are deficient while another 28% are insufficient. That is practically everyone! The most common cause is lack of sun exposure since it is generated on the skin when cholesterol molecules, exposed to UV rays, get converted into vitamin D and then get absorbed. Other risk factors include age, since vitamin D metabolism decreases with age as well as being overweight or obese, since vitamin D is fat soluble and is sequestered by the fat making less of the vitamin D bioavailable, by almost 50% as compared with healthy weight people. Populations with darker skin tones, because of the increased melanin which is a natural sunscreen.

MELATONIN. Known as the “sleep” hormone, melatonin does a lot more than just help up sleep properly. It controls the activity of over 500 genes, many associated with circadian rhythms which are mostly based on light exposure. Remember that we evolved with and our activities were based on the rising and falling of the sun. Melatonin also impacts on immune function inflammation as well as antioxidant activity. Although primarily made by the pineal gland in the brain, melatonin is also produced by cells in the gastrointestinal tract, retina as well as white blood cells, both in the peripheral blood and bone marrow. It’s production, especially in the pineal gland, decreases after 40. Many cells involved in immune function like NK (Natural Killer) cells, Mast cells as well as T cells contain melatonin receptors. Melatonin acts as both an activator of the immune system and an inhibitor of the inflammatory response. Melatonin levels rise with the setting of the sun and decrease as the morning approaches, IF allowed to proceed naturally. HOWEVER, we live in times where our circadian rhythms are hijacked by artificial light. Even one glimpse at your cell phone shuts off melatonin production and impairs sleep.

So, just like vitamin D as well as the issue of ACE-2 receptors, there is a natural balance of these substances which is important. Not too much and not too little.

I mentioned this in an earlier post but it is worth repeating. Supplements should be considered just that, supplements, not replacements for deficiencies in a healthy diet and lifestyle. If you are truly deficient, like vitamin D or B12, very common ones, that’s a different story. As always, it is better to get your fiber, vitamins, minerals and hormones from natural, whole sources like whole fruit and vegetables, exercise, rest, stress management… all the things which we evolved eating and doing for millenia. Foods and activities interact and impact on our bodies in a coordinated way, not as individual, isolated compounds. Supplements are usually isolated. A classic example is vitamin E. Most supplements come as 1 or maybe 2 forms. There are actually 8 forms of vitamin E and they are absorbed by the body in the ratios we need from whole foods. When you take a supplement, too much of that individual form of vitamin E is absorbed and it actually blocks the uptake of the other forms even if you get them from whole foods.

In the same way that supplements won’t make up for a crappy diet, a workout doesn’t make up for sitting on your butt all day either and remember that you can’t out-exercise a bad diet. Get up and move. Often.

This is my last post for the weekend (unless something really big comes up or an important question is posed). I need a break.

Have an awesome, safe weekend.

Stay safe and be well.

AC 😎✌️🌱❤🐖🏃🏻🧘🏻‍♂️🌎

Covid Therapies update.

Andrew Chuma No Comments

Antibiotics are used to treat bacterial infections. Antivirals are used to treat viral infections.
So how can an antibiotic and antiparasitic drug possibly treat a viral infection?

HYDROXYCHLOROQUINEatient not having a fever ot asny discolored drainge, the hallmarks of infiction., also known as PLAQUENIL is a drug primarily used to treat Malaria, caused by a tiny parasite known as a protozoan which invades red blood cells. In Malaria, it acts by inhibiting the parasite from releasing toxic substances, inhibiting its invasion of the cells and by dampening our immune response to the parasite. It’s immune modulating effects are also why it is used to treat autoimmune diseases like Lupus and Rheumatoid Arthritis. In COVID-19, it is proposed to inhibit viral entry into cells, impair viral maturation as well as dampen out over exuberant immune/inflammatory responses, aka the cytokine storm. It can also have serious side effects, especially in the heart where it can cause significant rhythm abnormalities, which can lead to heart attacks. Other side effects include GI effects like nausea and vomiting. It is still not clear how effective against covid but it is but it is clear that it can cause damage.

Just as an aside, clinical studies looking at efficacy of drugs to treat CoVid are VERY uncoordinated, not only on a national level but on a worldwide level. It seems like everyone is doing their own thing, looking at small groups of patients. There are over 90 ongoing studies looking at hydroxychloroquine alone in the US. The more patients are enrolled in a study, the more reliable the results and greater the statistical significance will be but to get everyone on the same page is unfortunately bogged down by red tape, regulations, pride and greed.

AZITHROMYCIN, also known as Zithromax, is a commonly over-prescribed antibiotic to treat bacterial infections but it also has a significant immunomodulatory, anti-inflammatory effect. Almost every day I see a patient who tells me that their doctor put them on Zithromax “just in case” for a “sinus infection” despite not having a fever or discolored mucus, the hallmarks of infecion. 90% of these patients are having migraines and the antibiotic is not helping because it is killing bacteria but because it is decreasing inflamation and helping the headache!🤯

Zithromax does not appear to directly impact the virus itself (again, it’s an antibiotic, not an antiviral!). It dampens our immune response to make the “cytokine storm” less significant. Zithromax also can have significant side effects. First of all, it impacts on gut health by killing the good bacteria. Our gut is where 80% of our immune function is located. It too is associated with potential cardiac rhythm problems.

Evidence of the efficacy of these drugs in treating Covid infections is limited and there is certainly NO evidence that taking them preventatively is of benefit. As I mentioned in a previous post, taking the drugs unnecessarily has resulted in shortages so those who really need them are not able to get them.

There are numerous other drugs being tested in hundreds of trials, again, without much coordination between hospital systems, states and countries. Drugs looking at killing or slowing down the virus as well as treating or dampening the overwhelming inflammatory response which is what is really killing most people.

For now, your best bet is to NOT TO GET INFECTED by:

  • isolation and social distancing if necessary.
  • If you MUST go out, wear a mask and social distance but LIMIT excursions to only absolutely necessary ones.
  • Stop touching your face
  • Wash your hands well and use hand sanitizers

In the meantime, work on improving your health so that if you do, you have a better chance at recovering faster.

  • Eat your fruits and vegetables, the best sources of minerals, vitamins and antioxidants. Fresh, canned, frozen, they are all good. They are also the ONLY source of fiber which is the most important factor in keeping your gut healthy and 80% of our immune function is in the gut!
  • Limit foods which increase inflammation in the body like processed foods, added sugars, excessive alcohol and, you guessed it, limit meat, dairy, fish and eggs, all of which are pro-inflammatory! If this crisis does not have you looking at your diet, not only because the desire to eat meat is what caused this pandemic, but also from an environmental and ethical perspective,we are truly doomed.
  • Exercise as much as you can.
  • Improve sleep quality.
  • Stress management

Stay safe and be well.

AC 😎✌️🌱❤🐖🏃🏻🧘🏻‍♂️🌎

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