Here Comes the Sun and Vitamin D

Here Comes the Sun

Regular Chiropractic Care Helps Build Healthy Bones

Your daily dose of Vitamin D participates in a complex biochemical sequence of events leading to the construction of strong bones and teeth. In order to help achieve these important goals, the vitamin D molecule must be processed by the kidney and liver to yield a metabolically active form. Such processing depends on timely and accurate instructions received from the nerve system and feedback signals transmitted to the nerve system by the target organs. Biomechanical integrity of the spine supports this series of events. As nerve interference will disrupt vitamin D metabolism and function, proper alignment of the spinal column is necessary to ensure appropriate functioning of the nerve system. Regular chiropractic care detects, analyzes, and corrects sources of nerve interference and thus is an essential part of effective utilization of vitamin D. Overall, regular chiropractic care is an important component of a complete program of health and wellness.

Summer is here and, although you may not be actually "dancin' in the streets" as famously proclaimed by the beloved Motown group Martha and the Vandellas, you will likely be spending much more time outside. One of the great benefits of our increased time outdoors is the biochemical activation of vitamin D synthesis triggered by exposure to ultraviolet rays in sunlight. Of course, in today's world, it's important to make sure we're not exposed to too much ultraviolet radiation. We need to balance the beneficial effects of vitamin D verses the harms of overexposure.

Vitamin D, also known as cholecalciferol, is a fat-soluble vitamin that is primarily obtained when our skin comes in contact with sunlight. The molecule thus synthesized is inert metabolically and is processed in the liver and kidney to yield the active form, 1,25-dihydroxycholecalciferol, otherwise known as active vitamin D3. Problematically, we are exposed to substantially less sunlight than were our evolutionary ancestors. Also, we now understand that overexposure to ultraviolet radiation can cause skin cancer, cataracts and other eye disorders, premature aging, and even suppression of the immune system. Therefore, we must obtain vitamin D supplementation from food sources such as eggs, tuna, salmon, cheese, and vitamin D-fortified foods including milk, yogurt, and orange juice.

As many school-age children are taught, we need vitamin D to build strong bones.1 Vitamin D helps absorb calcium from the gastrointestinal tract and helps osteoblasts (bone tissue) utilize the available calcium in the process of building robust Haversian systems (osteons), the fundamental building blocks of compact bone. Vitamin D may also have a role in immune system function and muscle activity. Vitamin D deficiency leads to rickets in children and osteomalacia in adults, both conditions involving the presence of soft, brittle bones, bone pain, and weakness. Vitamin D deficiency may also lead to osteoporosis, that is, overall reduced bone mass, resulting in an increased risk of hip fractures and fractures of other weight-bearing structures.2,3

Thus, obtaining our daily recommended dietary allowance (RDA) of vitamin D is necessary for ongoing good health. At present, evidence-based guidelines recommend 600 IU (international units) of vitamin D per day for children, teenagers, and adults up to age 70. Beyond age 70, guidelines recommend 800 IU per day.  In addition to obtaining our daily RDA of vitamin D, regular vigorous exercise is needed to ensure there is a reason for your body to build strong bones. Our bodies operate on the principle of limited resources. Resources not required in one area will be used elsewhere, stored, or excreted. Regular vigorous exercise creates a demand for ever-stronger bones, and will cause your body to put your daily dose of vitamin D to good use.

Finally, regular chiropractic care helps you obtain the greatest benefit from all your time and care involved in obtaining proper nutrition and sufficient exercise. By helping ensure healthy functioning of the nerve system, your body's master system, regular chiropractic care helps you maximize the benefits of all your lifestyle enhancements.

1. Weaver CM: Nutrition and Bone Health. Oral Dis 2016 Jun 2. doi: 10.1111/odi.12515. [Epub ahead of print]
2. Mousa A, et al: Vitamin D in Reproductive Health and Pregnancy. Semin Reprod Med 2016 May 26. [Epub ahead of print]
3. Ivanova S, et al: Osteoporosis: Therapeutic Options. Folia Med (Plovdiv). 2016 Jul-Sep;57(3):181-90. doi: 10.1515/folmed-2015-0037.

Thanks for your time. Your health and long life is important to us.
Dr Greg Millar, DC CCEP
And the Doctors of Millar Chiropractic Clinics

For Information or Appointments at any office call
Toll Free 1-800 Go Chiro 1-800 462-4476

Six Clinics to Serve You
Millar Chiropractic - Madison AL
Millar Chiropractic - Huntsville AL (Downtown)
Millar Chiropractic - Huntsville AL (Jones Valley)
Millar Chiropractic - Decatur AL
Laser Neuropathy Center - Huntsville AL
Alabama Laser Spine Decompression

How Diabetes Affects Heart Disease Risk

This article a repost from Harvard Medical School publications this month. Good Read. Dr Greg Millar DC CCEP. 

How diabetes affects heart disease risk

Diabetes raises the risk of heart disease by four to five times compared with people without the disease. For this reason, in addition to controlling blood sugar, people with diabetes need to pay close attention to controlling their blood pressure and cholesterol levels.

The treatment goals for people with diabetes are more stringent than those for people without diabetes. The good news is that lifestyle changes — and weight loss in particular—to improve your blood sugar usually will have a beneficial effect on the other values as well.

Blood pressure targets for people with diabetes

Your blood pressure reading has two parts, the systolic blood pressure (the first number) and the diastolic blood pressure (the second number). The systolic number represents the pressure while the heart is contracting and pushing blood into your vessels, and the diastolic number represents the pressure while the heart is refilling with blood between beats.

People with high blood pressure (known medically as hypertension) are more than twice as likely to suffer a heart attack or stroke as those with normal blood pressure. For that reason, people with diabetes are advised to keep their blood pressure as close to the ideal as possible, and always less than 130/80 millimeters of mercury (mm Hg).

Much of the dietary advice commonly recommended for people with diabetes—such as restricting salt intake, increasing physical activity, and losing weight—should help to lower your blood pressure. To make sure, your health care provider will test your blood pressure regularly. If diet and exercise alone do not bring your blood pressure into a healthy range, medications may be necessary to lower it.

The ABC's of diabetes control

Having diabetes increases your risk for cardiovascular disease, including heart attack and stroke. If you have diabetes, you should pay close attention to factors that can put you at greater risk for heart trouble. These are often referred to as the "ABC's:"

• hemoglobin A1c (HbA1c) blood sugar test
• Blood pressure
• Cholesterol.

"ABC" Goals

• HbA1cLess than 7%
• Blood pressureLess than 130/80 mm 
• HgLDL (bad) cholesterolLess than 100 mg/dL
• TriglyceridesLess than 150 mg/dLHDL (good) cholesterol
• More than 40 mg/dL in men and 50 mg/dL in women

Cholesterol levels

Your blood cholesterol level reflects the amount of one of the circulating lipids (fats) in your blood. This material travels in the bloodstream within spherical particles called lipoproteins. About two-thirds of blood cholesterol is in the form of low-density lipoprotein (LDL). This is sometimes referred to as "bad" cholesterol, because the higher the level of LDL cholesterol, the greater the risk for heart disease and stroke. High-density lipoprotein (HDL), on the other hand, counteracts the harmful effects of LDL. For that reason, HDL is sometimes referred to as "good" cholesterol. Another aspect of your lipid profile is the triglyceride level. Triglycerides are the main form of stored fat in the body and are carried by another type of lipoprotein. High triglyceride levels also increase the risk for heart disease, although not as much as LDL cholesterol.

Blood tests for cholesterol, which are measured after a fast of eight hours or more, provide information on total cholesterol as well as LDL, HDL, and triglyceride levels. These measurements provide another indicator of whether the changes you have made in your diet and activity levels and any medications you take have reduced your risk for heart disease, and whether you need to make any further adjustments.

The goals for LDL cholesterol in people with diabetes are quite stringent, as diabetes, in and of itself, places people at high risk for heart disease. The National Heart, Lung, and Blood Institute (NHLBI) recommends that everyone with diabetes keep LDL levels below 100 mg/dL. For people with diabetes whose cardiovascular risk is particularly high because they have a history of previous heart disease or other poorly managed risk factors (such as smoking cigarettes), the NHLBI suggests lowering LDL levels even further, to less than 70 mg/dL. Although dietary approaches are an important first step, medications are often required to reduce LDL cholesterol to ideal levels.

5 Exercise Tips For Chiropractic Patients To Speed Healing And Maintain Health

Chiropractic care is designed to alleviate pain and restore the body to its natural balance. For chiropractors, injury prevention is key for a healthy body. Good practices combined with solid exercises creates toned muscles that protect the body and spine from harm. While each patient receives exercise instructions for their specific condition, the following exercise tips for chiropractic patients apply to everyone.

Do Take Time To Warm Up Before Exercising

Before starting any exercises, it's important to warm up. A series of dynamic moves will boost your heart rate and heat up the muscles that you will be using during your work out.

Select whole body movements such as leg lunges paired with arm motion or walk in place while raising and lowering your arms. Once you've warmed up, you can safely stretch without risk of injury.

Introduce Ergonomics Into Your Home And Work Space

One of the most important exercise tips for chiropractic patients is to take steps to keep your body in alignment as you move through your day. In the workplace, check with an ergonomics consultant to ensure proper positioning, especially if you spend most of the day seated or doing repetitive tasks.

A comfortable chair reduces muscle strain and prevents injury. Make sure that your feet sit firmly on the floor and that lumbar support is in place. At home, you should have a good mattress and supportive furniture.

Choose The Right Shoes

Before you buy your next pair of shoes, check for stability, flexibility, and comfort. During your test drive, make sure that the shoes feel firmly in place as you move through your entire range of motion for a stable gait during wear.

Footwear should be flexible enough to give easily at the base of the toe for a smooth gait, and there should be cushioning at all the right places with plenty of room for the toes to move. Shoes that properly fit your feet means that your walk will be more natural and healthy during exercise and in daily motion.

Sit And Stand With Posture In Mind

Perhaps the biggest reason that these exercise tips for chiropractic patients are so important is that strong and flexible muscles will help you have good posture. Be mindful of the following as you move through your day:

• When sitting, your feet should be on the floor, your shoulders should be relaxed, and your forearms should remain parallel with the ground.
• If you will be standing for a time, make sure that you maintain posture by tucking your stomach muscles in.
• When standing for an especially long period of time, be sure to shift your weight from one foot to the other and from the heels to the toes and back again.

These simple tips for maintaining good posture will passively work your muscles and result in a healthier spine.

Passive Stretches For Large Muscles

Finally, it is important to target large muscle groups with passive exercises. Use your weight to slowly stretch your hamstrings, your piriformis, and your entire back. Passive stretching is gentle and relieves stress points that cause back pain. These gentle exercises provide a great deal of relief and are easily adjusted to suit your current ability.

Your Millar Chiropractor will work with you to design an exercise program that is optimal for you. We call that "Complete Rehab."  Be sure to follow through with the plan and include these tips in your regular work out to experience the joy of healing from your chiropractic care.

Dr Greg Millar DC CCEP

The Shoulder Requires Proper Care

Dr Greg Millar, DC CCEP; Dr Ken Randolph, DC; Dr Dana Berthiaume, DC;
Dr Justin Walbom, DC; Dr Sherman Connell, DC

Shouldering the Load

Regular Chiropractic Care and Healthy Joints

We don't often think about the integrity of our musculoskeletal system. Rather, we expect our bodies to work efficiently without giving any thought to their physical and mechanical requirements. But there are numerous critical requirements for healthy functioning of our joints, muscles, and ligaments. The primary specification involves mechanical integrity of the spinal column. A healthy spine has full range of motion in three-dimensional space. Any loss of this capability will interfere with the function of other joints and muscle groups that are attached to the spine. For example, loss of spinal joint integrity in the neck will transmit mechanical faults to the upper ribs. Such mechanical compromise will then be transmitted to the collar bone and shoulder joint. Thus, shoulder joint problems often have their root cause in mechanical problems of the neck and elsewhere in the spine. Regular chiropractic care, by detecting and correcting these biomechanical issues, helps restore improved functioning to the shoulder and other important joints. As a result, regular chiropractic care helps you and your family become healthier and enjoy higher levels of wellness and well-being.

As with much in life that we take for granted, we are not usually concerned with the mechanisms of how our bodies work and how they do what they do. Such knowledge is not required for use of these magnificent machines that have been freely given to us. But just as a wise consumer will care for her or his car in terms of regular scheduled maintenance, our bodies require ongoing attention in order to maintain proper function. The shoulder joint, in particular, requires such proper care.

The shoulder has the greatest range of motion of any joint in the human body. The shoulder is capable of 360º of mobility from front to back (the sagittal plane), 360º of mobility in the frontal plane, and 180º of mobility to the right and the left (horizontal plane). Taken together, these optimal ranges are termed circumduction. But the shoulder's remarkable capabilities come at a price. The shoulder girdle is the least stable joint structure and is readily subject to sprains (of the acromioclavicular joint) and dislocation injuries (of the glenohumeral joint). Additionally, the rotator cuff, the group of muscles that protect the shoulder girdle and move the shoulder joints through three-dimensional space, is commonly injured, owing to the substantial mechanical stresses involved in such extensive motion.1

We can help prevent such injuries by engaging in regular physical exercise such as yoga and strength training. These activities place weightbearing loads on the shoulder, progressively training the muscles, tendons, and nerves that supply the shoulder joint structures to handle mechanical stresses.2,3 As a result of such training, when called upon to manage the shock of an unusual mechanical force, the shoulder will be able to respond effectively while likely preventing injury.

The choice of yoga versus strength training is not mutually exclusive. Many people will enjoy taking one yoga class per week and doing two strength training sessions per week. For persons taking yoga class, the two strength training sessions could focus on (1) the chest and back and (2) the shoulders and arms. Almost every yoga exercise involves weightbearing loads on the arms. Regarding strength training, a representative shoulder program includes seated dumbbell or barbell press (for the entire shoulder girdle), standing lateral raise (for the middle deltoids), and seated bent-over raise (for the rear deltoids). If you're doing yoga, strength training sessions for the legs may not be necessary. Of course, a complete exercise program includes specific cardiovascular exercise such as walking, swimming, bicycling, or running.

It may not be possible to prevent every shoulder injury. Engaging in a regular program of vigorous exercise, including yoga, strength training, and cardiovascular exercise, is the best means of ensuring optimal biomechanical health and wellness and the best overall method for preventing injury.
 

Sources

1Camargo PR, et al: Eccentric training as a new approach for rotator cuff tendinopathy: Review and perspectives. World J Orthop 5(5):634-644, 2014
2Miller RM, et al: Effects of exercise therapy for the treatment of symptomatic full-thickness supraspinatus tears on in vivo glenohumeral kinematics. J Shoulder Elbow Surg  2015 Nov 24. pii: S1058-2746(15)00485-1
3Awad A, et al: Effect of shoulder girdle strengthening on trunk alignment in patients with stroke. J Phys Ther Sci 27(7):2195-2200, 2015

Thanks for your time. Your health and long life is important to us.
Dr Greg Millar, DC CCEP
And the Doctors of Millar Chiropractic ClinicsTM

For Information or Appointments at any office call
Toll Free 1-800 Go Chiro 1-800 462-4476

Four Clinics to Serve You
Millar Chiropractic - Madison AL
Millar Chiropractic - Huntsville AL (Downtown)
Millar Chiropractic - Huntsville AL (Jones Valley)
Millar Chiropractic - Decatur AL

Getting In Shape for the Summer

Getting in Shape for Summer Again

Reposted from Millar Chiropractic Clinics Website www.millarchiro.com

Pay Attention to Your Body

Everybody likes to have fun. We work hard, and when we play, we like to go all out. When exercising or playing sports however, it's important to pay attention to the feedback our body is giving you.  If you ignore the friendly messages your body is sending you, your body will probably get your attention in a more unpleasant way. And when that happens, there may be significant recovery time involved. Paying attention to your body's signals can save a lot of downtime. Important warning signs include shortness of breath, feeling faint, and sometimes intense muscle soreness and other pain. Any of these symptoms mean you're working too hard, doing too much, or working beyond your current physical capabilities. Slow down and back off a bit. Tell yourself that's enough for the day and you'll be able to get back to it again tomorrow. Your chiropractic physician can help you design challenging and fun exercise routines that will work best for your particular body and current state of fitness. They will be able to recommend stretches, sports, and other activities that align with your fitness goals and interests - helping you to be active, healthy and well

Summer is finally here! It's time to have fun in the sun, making the most of these extra hours of daylight.  If you have let things go a bit, getting back into shape may seem like a very good idea right about now.  We all like to look good in our shorts, tank tops, swimsuits and other summer attire. Even more importantly, we want to be able to participate in all the fun activities we enjoy without huffing and puffing, and without having to constantly think about restrictions and limitations.

So how do we return to fitness? There are three main aspects on which to focus - losing excess weight, increasing strength and muscle tone with weight-training, and improving aerobic fitness.^1,2

Whether you want to lose ten or twenty pounds or more, the basic principles remain the same. First of all, watch the size of your portions, choosing to eat several small meals each day.  Eat slowly by putting your fork down between bites, chew your food well, and do not overeat.  You should never feel stuffed after eating.  In fact, you should really not even feel full.  Instead, pay attention to your body's cues that tell you you've had enough before you get too full.

In order to keep your energy up and keep your hunger at bay, make sure that each meal includes both protein and healthy fats such as pasture butter, organic coconut oil or organic olive oil. This will help to retrain your metabolism, helping you to become naturally leaner. This will also help to optimize your energy, balancing your insulin levels throughout the day. This is especially crucial for those who are pre-diabetic or hypoglycemic. Be sure to check with you doctor to make sure your new eating and fitness plans are appropriate for you.

Regaining aerobic fitness is very important for summer activities. The simplest way to begin is to start with a very basic walking program - just ten or fifteen minutes of easy walking each and every day. Chances are, you'll be surprised at how enjoyable it is.  After getting in the habit of enjoying this short walk each day for a week or two, slowly increase the length of your walks by a minute each day until you've built up to thirty-minutes. When it becomes very easy for you to walk for thirty minutes, increase your pace, but do it gradually over several weeks. 

At some point, depending upon various factors such as your age, weight, general condition, cardiovascular health and any musculoskeletal concerns, you may want to consider alternating walking with a few short sprints.  Intermittent sprinting is very effective for losing weight and improving your metabolism, but it can be particularly challenging to your cardiovascular system and hard on your joints. Because of this, it is especially important to get advice from your doctor before beginning this type of high intensity intermittent training.  (Particularly if you are overweight and/or have any health issues.) 

Please also make sure that you stay well hydrated.  This is especially important with the increased summer temperatures and humidity here in Alabama, and increased physical activity.  Avoid strenuous exercise during the hottest part of the day and don't be afraid to take a break if you feel yourself getting overheated.

Elliptical machines, treadmills, stair machines and stationary bikes can be a very good alternative for increasing your aerobic fitness - especially if you have joint problems that preclude sprinting as an option.  As with the walking program described above, it is very important to build up gradually. Building up to using high intensity interval training methods, with one or more of these activities, is a great way to get in shape and improve your cardiovascular fitness.  Most of these types of fitness equipment have options that you can choose that will alternate between easier and more difficult settings, providing an effective interval workout.

Weight-training is another important aspect of physical fitness.  It tones your muscles, prepares your body to do physical work, and best of all, it causes your metabolism to burn fat even while you're resting. There are many excellent books and workout videos available that can help you to begin your weight-training program. If you have a knowledgeable friend, ask them to check your form and offer advice.  Or take a few classes with an experienced instructor or trainer if you're feeling overwhelmed. That should give you the confidence to continue your workouts on your own.  Remember to start slow and use lighter weights with fewer repetitions than you think you can do, as your body gets used to the new movements. The benefits of strength training are well worth your efforts.

If at any time you experience DOMS (delayed onset muscle soreness) which will usually occur a day or two after overdoing it, try an abbreviated session doing the same types of movements with little or no weights, followed by plenty of stretching once your muscles are nice and warm.  This will usually help your body clear the lactic acid from your muscles, thereby reducing soreness.  And don't forget to visit your chiropractor to make sure you are in optimal condition for exercise.

You'll soon find that you're feeling better and stronger, and ready to enjoy all that summer has to offer.

 

¹Simkini-Silverman LR, et al. Lifestyle intervention can prevent weight gain during menopause. Ann Behav Med 26(3):212-220, 2003
²Knuttgen HG. Strength training and aerobic exercise: comparison and contrast. J Strength Cond Res 21(3):973-978, 2007
 

 

 

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Mini Workouts While You Work

This is a repost from Millar Chiropractic Clinic

Mini Workouts While You Work

What Do You Eat at Work?

The vast majority of us sit throughout the day at work. Exercising regularly - even if it's just a few minutes at a time throughout the day - helps to keep a person's metabolic rate, at an optimal level and therefore the muscles continue to burn calories even while sitting. Conversely, when we sit for hours at a time without getting up to move around, our metabolic rates drop.  That is why taking short exercise breaks often throughout the day may be even more beneficial than performing a longer workout once a day - if it means you barely move for hours at a time during the rest of the day. You can help keep your metabolism revved up and your blood sugar and energy levels balanced by making an effort to bring your own healthy lunch and snacks to work. It takes some effort to prepare your own food in advance, but the benefits are well worth it. If you prepare a healthy dinner, try making a bit extra and bring the leftovers with you to work for an easy lunch.  A salad can be a simple solution, adding some grilled chicken or turkey for protein. Whole milk organic yogurt is a good choice for a snack that will satisfy your hunger longer than anything out of the vending machine. Bring zippered plastic bags containing organic cheddar or other cheese, and an organic apple, banana, or other fresh fruit - preferably something in season. Energy bars can also be a good choice for a snack at work, but make sure to read the ingredients and avoid anything with artificial sweeteners such as aspartame or sucralose (Splenda).  Ideally they should have at least 30% protein to keep your blood sugar level.

Are you like most typical office workers who sit for hours on end in front of a computer screen?  If so, probably one of the most important things you can do for your health is get up and move around every 30-60 minutes, even if your exercise break is very brief.  Fitting in exercise doesn't have to be a big interruption during your day.  Just walk around your home or office for a few minutes, or even just march in place or do a quick stretching routine.

This is also a good time to give your eyes a break.  Your eyes become fatigued when you look at something at a static distance for too long.  Make a point to look out a window if you can and focus on the details you see.  Look around your house or office and focus on items at varying distances to exercise the lens in your eyes.  Looking at trees outside and other natural surroundings are not only pleasant and relaxing, but can also help your mind be refreshed and energized.

Stand up straight, making sure your knees and shoulders are relaxed, and tighten your abdominal muscles for a strong core while you do the following stretches:

• Inhale while you sweep your arms out to your sides and then up over your head, and exhale while you bring them back down to your sides.
• Inhale while you reach one arm over your head and gently lean to the opposite side to stretch, and exhale while you return to center bringing your arm back to your side.  Repeat on the other side.
• Inhale while you sweep your arms in front of you, and exhale while you bring them back, stretching the chest muscles. 
• Keeping your arms straight out at your sides and your breathing relaxed, gently rotate your torso to one side and then to the other.
• Continue taking nice deep breaths while you roll your shoulders forward and then backward.  Then place your hands on your shoulders and circle your elbows around very slowly - as if you are drawing the biggest circles possible with your elbows - stretching out the muscles of your upper back and shoulders.
• Stretch your neck by gently tilting your head forward and back, then gently tilt your ear toward each shoulder, and finally gently turn your head from side to side.  Make your movements slow and relaxed and be careful not to push too far.  Just stretch to the point where it feels comfortable.
• Warm up your legs a bit by bending your knees into a partial squat, and then come back to standing, then up on your toes.  You can add in the arm lifts we started with, lifting your arms above your head while you raise up on your toes, and lowering your arms as you lower your body.

You don't have to do all of these during each break, unless you would like to.  Pay attention to which exercises feel good to you and which areas of your body have the most tension.  Usually just a few repetitions will be sufficient, and taking regular mini-breaks throughout the day can make a big difference. It only takes a few minutes to get your circulation going and your joints and muscles loosened up. 

Mini-exercise breaks also give your mind a rest, and you will probably find that you have renewed mental vigor and greater clarity when you get back to work.  Exercise breaks are especially helpful when you are struggling with a problem.  You may notice that giving your mind a break while you perform a short bout of exercise is just what you need to come up with a solution.

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Gluten Intolerance?

This is a repost from Millar Chiropractic Clinic website

Gluten Intolerance

Starting a Gluten-Free Diet

A strict gluten-free diet is the first one step in treatment of gluten intolerance and celiac disease.  It is critically necessary to treat the disease, as symptoms of these disorders will only resolve when gluten is removed from the diet. Even minuscule amounts of gluten can reactivate the disease-causing immune reaction mechanism. As little as 20 parts per million (ppm; a standard measure of concentration) can cause symptoms in a person who is gluten intolerant. The very good news is that gluten intolerance and celiac disease are receiving a much higher media profile. The Media are now focusing on these disorders, with featured content appearing frequently in the national press. The result is that gluten-free foods and household products are becoming much more widely available.  It has never been easier to avoid gluten.  Most health food stores and quality grocery stores have created a gluten-free section and continue to expand their offerings.  Many gluten-free foods can also be ordered online. Tinkyada is a brand that offers gluten-free pastas, made from rice, that are a great substitute for wheat pasta. You can even enjoy fresh made pizza at local restaurants, such as Pane e Vino and Mellow Mushroom, which provide the option of choosing gluten-free crusts.

About 40% of Americans are genetically predisposed to become intolerant to gluten. At least 1% of Americans (about 315,000 Americans) have the very severe form of gluten sensitivity, called celiac disease.  It is possible that the percentage of Americans suffering from celiac disease may actually be much higher reports the NCHS the National Conference on Health Statistics, because most physicians simply do not recognize the signs and symptoms of celiac disease when presented. Celiac disease has been nicknamed the "great masquerader" as the disease often presents with a variety of signs and symptoms.  A person who is gluten intolerant may develop celiac disease after repeated exposure to gluten.

So what exactly is gluten?  It's a complex of proteins that are found in wheat, rye, and barley. When eaten, the human digestive tract is unable break down the gluten proteins into its component amino acids, so the gluten proteins remain  undigested in the gastrointestinal tract until they are excreted. 

The body tags proteins as "self: or "Foreign." In those persons who develop celiac disease, the gluten proteins are identified as "foreign" and their immune systems launch a reaction against these proteins trying to kill them. Infants, children, teenagers, and adults, may have this reaction, and continued exposure to gluten may cause development of celiac disease.^1-2

The Western Diet is made up of significant amounts of Wheat, rye, and barley. Think about the last time you went to a restaurant. They served bread. Almost all breads are made from one or more of these three grains. Then think of our daily consumption of Cerials, cookies, cakes, pizza, bagels, muffins, and don't forget all pasta are just a few of the foods that contain gluten. Additionally, gluten is found in nearly everything we consume from vitamins,  to shampoo, to toothpaste, household cleansers, and even prescription drugs. Wheat-based binders are often used in the manufacturing process of many food and non food items. 

A susceptible person's initial immune reaction to gluten will often worsen with continued exposure. Eventually the immune reaction may damage the lining of the person's small intestine, leading to the classic symptoms of Irritable Bowel - abdominal pain, constipation and/or diarrhea, and abdominal bloating.  Intestinal damage causes these very unpleasant and debilitating symptoms to get worse and leads to Celiac Disease and other serious diseases. One of the major consequences of celiac disease can be malnutrition because the damaged intestinal lining is unable to properly absorb needed nutrients.

Gluten intolerance may be related to a variety of serious disorders. Perhaps surprisingly, research has pointed to neuropsychiatric conditions such as attention deficit hyperactivity disorder (ADHD), autism, and schizophrenia may be associated with underlying gluten intolerance and celiac disease. Evidence suggests that arthritic conditions such as rheumatoid arthritis (RA), systemic lupus erythematosus (lupus), and psoriatic arthritis may also be related to gluten intolerance. Endocrine conditions, which are so prevalent today, including diabetes, hyper- and hypothryroidism, and Addison's disease are often related to gluten intolerance and celiac disease. Infertility and frequent miscarriages may also be related to an underlying condition of gluten intolerance. What did the Greeks say, "So goes the gut so goes the body."

It is important to realize that gluten intolerance and celiac disease may be an underlying cause of many of these serious medical conditions that have not been treated successfully. It may be critical to consider gluten intolerance as an underlying cause of these various disorders and to take appropriate action. Patient knowledge and increased physician knowledge and awareness are crucial to correctly identifying a hidden problem.³

Your Millar Chiropractor is an expert in nutrition and is trained to identify underlying causes of health problems. Additionally, chiropractic treatment may help restore more normal and more effective immune system functioning. In cases requiring a holistic, multidisciplinary approach, chiropractic treatment is a crucial component.

¹Selimolu MA, Karabiber H: Celiac disease. Prevention and treatment. J Clin Gastroenterol 44(1):4-8, 2010
²Setty M, et al: Celiac disease: risk assessment, diagnosis, and monitoring. Mol Diagn Ther 12(5):289-298, 2008
³Schuppan D, et al: Celiac disease: from pathogenesis to novel therapies. Gastroenterology 137(6):1912-1933, 2009