Alternatives - Dr. David Williams
Transcription
Alternatives - Dr. David Williams
Alternatives ® For the Health Conscious Individual Volume 16 • N o 2 • February 201 3 I Feeding Your Friendly Bugs ’ve talked about gut flora and probiotics for decades…long before they became popular. Although it certainly wasn’t my first discussion on the topic, in July 1989, I devoted two issues of Alternatives to the importance of normalizing intestinal bacterial flora in the gut. I felt it was that crucial to our health. The heading was “The Key to Solving a Thousand Problems.” Years before that, when I was seeing patients, the link between bowel health and dozens of the most common health complaints Inside Feeding Your Friendly Bugs. . . . . . . . . . . . . 1 News to Use from Around the World. . . . . . . . . . . . . . . . 4 Alternatives Mailbox: Magnesium Matters . . . . . . 7 You will observe with concern how long a useful truth may be known, and exist, before it is generally received and practiced on. — Benjamin Franklin Volume 16 • N o 2 • February 201 3 seemed so blatantly obvious. When you treat the whole person instead of just treating a disease or symptom, an imbalance in the intestinal tract stands out like an elephant in the room. At long last, in just the past few years, the importance of proper intestinal flora and probiotics are getting the attention they deserve. Research is confirming the direct connection between a disruption of gut flora and everything from heart and blood sugar issues to mental health problems. While the public and medical professionals are just starting to realize the importance of probiotics, we’ve been reaping the benefits for decades. Prebiotics: Food for Friendly Bacteria Another term you’re likely beginning to see more and more is “prebiotics.” Simply put, prebiotics are the food consumed by probiotics, the beneficial bacteria already residing in your gut. Probiotics are living microorganisms and need food to stay alive and flourish. Prebiotics, however, are not living organisms. I don’t want to get into too much detail here, but in the long run, it will be helpful for you to understand a few details about prebiotics. It will enable you to improve your health and keep you from wasting money on unnecessary supplements. For something to be considered a prebiotic, it has to meet three criteria. It must: ■ Not be broken down by stomach acid or enzymes in the body and absorbed into the body; ■ Be able to be fermented by the microflora in the gut; and ■ Be a food source only for the beneficial members of the gut microbial community and not those that are pathogenic. For the most part, prebiotics are soluble fiber and non-digestible sugars. (I should say non-digestible by humans…the microbes in our gut can digest them.) As you recall, there are two types of fiber—insoluble and soluble. Soluble fiber dissolves in water and insoluble fiber does not. Neither humans nor microorganisms can digest insoluble fiber. It’s mainly found in whole grains and vegetables. It acts like a broom that scrubs the digestive tract, creating a laxative effect. It’s actually an irritant that causes contractions and triggers the release of natural lubricants to move food and waste material through the digestive tract. Soluble fiber mixes with water and becomes gel-like. It slows down digestion, which gives a feeling of fullness and helps reduce Alternatives rapid rises in blood sugar and the resulting insulin release. This watersoluble fiber (a form of carbohydrate) moves through the digestive tract until it reaches the good bacteria in the colon. The bacteria ferment and feed on the fiber. During the fermentation process, soluble fiber is converted to shortchain fatty acids like butyric acid. Butyric acid stimulates more good bacterial growth. It also improves mineral and fat absorption, and prevents inflammation and cancer formation. Its anti-inflammatory action can be extremely helpful in calming conditions like ulcerative colitis and inflammatory bowel disease. ButyrAid by Nutricology is an enterically coated tablet of butyric acid that I’ve found to be very effective. Most people don’t know that kombucha tea also contains relatively high levels of butyric acid. However, I look at the supplemental use of butyric acid products as a temporary solution. Once you get the proper microorganism balance in the gut and supply it with soluble fiber, butyric acid production can be restored to the area naturally. The Most Common Prebiotics The two most-widely accepted prebiotics are FOS (fructooligosaccharides, which includes inulin) and GOS (galactooligosaccharides). There are lots of other prebiotics, Alternatives® but there isn’t as much research as there is with these two. From a chemistry standpoint, prebiotics are carbohydrates or sugars. Remember, they aren’t sugars that we can digest, so they don’t raise blood sugar levels or typically cause any issues. If you read prebiotic labels, you’ll see ingredients that end in “saccharides” and “ose,” which means sugar or carbohydrate. And you might see ones that end in “itol” for the alcohol sugars. But that’s enough chemistry. Nature Provides Us the Prebiotics We Need Probably the most important thing to remember is this: If your diet is right, I don’t think taking a prebiotic supplement is necessary. Some more advanced probiotic supplements include prebiotics to help keep the bacteria alive and extend the potency, which makes sense. But in my opinion, you don’t need to take separate prebiotic supplement. Our environment provides us with the prebiotics that we need. It’s been this way since birth. Within the first four days of life, Bifidobacterium longum begins to colonize in the gut of newborns. As adults, we have hundreds of different species of bacteria in our gut, but Bifidobacterium longum is only found in newborns, and is the primary form of beneficial bacteria in the newborn’s gut. This bacteria feeds on a component of breast milk that is indigestible to the baby. It is commonly found in the feces of infants and been shown to coat the lining of the infant’s intestine and protect it from pathogenic bacteria. (Comp Immunol Microbiol Infect Dis 06;29(5–6):345–352) (Proc Natl Acad Sci USA. 2011 Mar 15;108 Suppl 1:4653–4658) (J Nutr 12;142(11):1921–1928) When you closely analyze breast milk, it isn’t loaded with extremely high levels of vitamins and minerals, yet a baby is able to survive and actually thrive on it. Much of this stems from the fact that their gut has only one type of bacteria and it feeds off what would be waste products in the milk (sugars that the baby can’t digest). Once babies are switched to formula, the type of bacterium in their gut begins to change. The Bifidobacterium longum gets replaced with more adult forms of bacteria. These new forms require increased amounts and different sources of prebiotics. As a result, bowel movements change, and the risk of nutritional deficiencies, allergies, gastrointestinal problems, respiratory infections, and developmental problems increases. There are a few reasons for this. Newborns grow at an extremely rapid rate, unlike adults. Their nutritional needs are different than an adult’s. Mother’s milk during this time is the perfect diet because it Author: Dr. David Williams; Editor: Larissa Long ISSN# 0893-5025. Published monthly for $69.99/yr. by Mountain Home Publishing at 7811 Montrose Road, Potomac, MD 20854. Editorial Office: 7811 Montrose Road, Potomac, MD 20854. Periodicals postage paid at Rockville, MD and at additional mailing offices. Postmaster: Send address changes to Alternatives, Dept N, 95 Old Shoals Rd, Arden, NC 28704. Copyright © Healthy Directions, LLC All rights reserved. Photocopying or reproduction is strictly prohibited without permission from the publisher. The approaches described in this newsletter are not offered as cures, prescriptions, diagnoses, or a means of diagnoses to different conditions. The author and publisher assume no responsibility in the correct or incorrect use of this information, and no attempt should be made to use any of this information as a form of treatment without the approval and guidance of your doctor. Dr. Williams works with Healthy Directions, LLC to develop his unique formulations that supply many of the hard-to-find nutrients he recommends. Dr. Williams is compensated on the sales of these nutritional supplements and health products, which allows him to continue devoting his life to worldwide research and the development of innovative, effective health solutions. 2 February 201 3 provides the correct amount of fat, carbs, and protein to the baby. The initial strain of Bifidobacterium longum is designed to help transform components in breast milk into the necessary fatty acids and other compounds needed for neurological development, hormone formation, and much more. (In fact, supportive research shows that breastfed babies may have slightly higher IQs, likely from the increased levels of fatty acids used to build neurological connections.) If a baby does not get these initial components, there’s an increased risk of developing the problems mentioned earlier. The adult strains of probiotics that eventually inhabit everyone’s gut are beneficial, but it all has to do with timing. Since a baby’s immune system isn’t as developed as an adult’s, it’s not equipped to deal with an influx of many different strains of new bacteria. It adds extra physiological stress at a critical time in development. Researchers have added prebiotics to baby formula to make it more like breast milk, but in reality, formula could never fully recreate the special components of breast milk. Prebiotics in Food The fact that our health is influenced by prebiotics from birth illustrates just how important they are. Fortunately, we don’t have to look too hard to find them in our food supply. Most prebiotic supplements are made from grains like oats and corn. Obviously, most whole grains contain soluble fiber. This includes brown rice, whole grain breads, whole-wheat pasta, barley, oatmeal, flax, chia, etc. In an attempt to limit gluten, lectins, phytic acid, and starch consumption, many of Volume 16 • N o 2 us are trying to cut back on the grains in our diet. As such, it’s nice to know that prebiotics occur naturally in a wide variety of fruits and vegetables, as well. improve and protect nerve function, preserve memory, improve cholesterol levels, clear arteries, and protect you from liver damage. Lecithin is a prebiotic. All you have to do is eat a variety of produce and you can forgo the cost of a prebiotic supplement. This includes vegetables like asparagus, leeks, artichokes, garlic, carrots, peas, beans, onions, chicory, jicama, broccoli, tomatoes, cauliflower, spinach, kale, and chard. It’s interesting to note that cooking these vegetables doesn’t negatively affect the prebiotic fiber content materially. So you can eat them raw or cooked. As for fruits, fresh or frozen bananas, cherries, apples, pears, oranges, strawberries, cranberries, kiwi, and berries are good sources. Nuts are also a prebiotic source. And, the use of xylitol as a sweetener isn’t just a safe, effective way to help control Candida yeast infections, prevent tooth decay, sinus, ear, and throat infections, and avoid blood sugar fluctuations that can lead to diabetes. Xylitol also happens to be a prebiotic. It is naturally found in some fruits and vegetables and it’s also produced in small amounts by the body. (I’m not sure if I’ve mentioned it before, but xylitol is toxic to dogs, but not to cats, other animals, or humans.) As I mentioned earlier, soluble fiber turns gel-like when mixed with water. Pectin, gum arabic, and inulin are soluble fibers that are often added to yogurts, jams, jellies, milk-based desserts, nutrition bars, drinks, and other products to improve texture and thickness and enhance the satiating power. Just like you, I take quite a few supplements. And while I’m always open to adding new ones to my regimen, if I can get what I need from my diet, I’d much rather do that. Cost and convenience is always on my mind whenever I make any suggestion or recommendation. Such is the case with prebiotics. For example, there’s a “method to my madness” when I talk about incorporating a morning protein shake into your routine. A little banana (and/or flaxseed, chia seed, berries, etc.) in the shake doesn’t just add flavor; it also furnishes prebiotics and helps provide satiety for hours. The lecithin granules in the shake aren’t just there to Help for a Common Prebiotic Problem On the subject of xylitol, some individuals say they can’t use it because it causes gas, bloating, and intestinal discomfort. The same is true for many of the fruits, vegetables, and other foods mentioned earlier that are natural prebiotics. If you’re one of these individuals, there is a solution. Understand that prebiotics will initially cause excess gas and intestinal problems when the pH of the bowel is abnormal. Excess gas formation is one of the primary symptoms indicating the need to reestablish the growth of beneficial bacteria in the gut. Probiotics are obviously needed and in most cases will solve the problem. However, if the pH of the colon is abnormal, it can make the probiotics less effective and the gas and abdominal discomfort will continue. The ideal pH for the colon is very slightly acidic, in the 6.7–6.9 range. When there is an imbalance or lack of beneficial bacteria in the colon, 3 Alternatives the pH is typically more alkaline, around 7.5 or higher. The optimal pH range for gas-producing organisms is slightly alkaline at 7.2–7.3. When someone starts taking a probiotic or a prebiotic supplement (or eats a prebiotic food), the beneficial microorganisms begin to increase in number. These good bacteria start to ferment more soluble fiber into beneficial products like butyric acid, acetic acid, lactic acid, and propionic acid. These acids provide energy, improve mineral, vitamin, and fat absorption, and help prevent inflammation and cancer. The extra acid also starts to lower the pH in the colon. As the pH passes through the gasproducing range, some individuals start to experience the problems I just talked about. If the pH never drops low enough to get out of the gas-producing range, eating that particular food becomes an ongoing problem. Most of the time, continuing to take quality probiotics will eventually move the pH down to a point where these problems are overcome. In some individuals, however, it requires an additional step. For decades, I’ve used a product called Lactic Acid Yeast by Standard Process Laboratories. Lactic acid yeast is a modified form of brewer’s yeast that works in your intestines to produce significant amounts of lactic acid. The additional acid stops the growth of harmful bacteria while allowing beneficial bacterial to flourish. It works rather quickly, and when followed up with probiotics, the results can be amazing. I suggest chewing one lactic acid yeast wafer with each meal. In most cases, it will only be needed for five to seven days. During this time, I would also continue taking a probiotic. It’s one of the easiest and quickest ways to allow your body to adapt to any of the prebiotic foods I listed. Lactic acid yeast wafers are also a godsend for stopping chronic diarrhea. By making the gut’s environment hostile to pathogenic bacteria and helping to increase anti-inflammatory fatty acids like butyric acid, these wafers provide a one-two punch against diarrhea. (Half a ground-up wafer works wonders for kids with diarrhea, too.) Standard Process Laboratories typically only sells their products to physicians, but you can still find them online. Pure Formulas sells a 100-count bottle of Lactic Acid Yeast wafers for just under $20 with free shipping. Visit pureformulas.com/lactic-acidyeast-100-wafers-by-standardprocess.html or call 1-800-383-6008. The Bottom Line on Prebiotics If you include a variety of fruits and vegetables in your diet, you can ignore all the hype and hoopla about prebiotic supplements. Invest your money in a quality probiotic and fermented foods. These are investments that will pay daily dividends for a lifetime. ■ News to use from around the world Uric Acid Linked to Diseases Beyond Gout A couple of months ago, I had a question about uric acid and gout. Most people understand that connection, but new research is starting to link high uric acid levels with a nearly 20 percent increase in the risk of diabetes, over 40 percent higher risk of kidney disease, and most likely heart disease. Typically we think of uric acid as the waste product of the oxidation of purines, compounds found in virtually all high-protein foods. 4 For most people, uric acid doesn’t appear to be a problem, and excess amounts are cleared from the body. If you have or have had gout problems or high uric acid levels, I would suggest treating it as a warning sign. Just because you aren’t experiencing gout pain doesn’t mean you’re immune from other uric acid–related damage. I’ve discussed before how metabolic syndrome, diabetes, and obesity rates have skyrocketed over the last 30 years, and during this same time, high-fructose corn syrup (HFCS) became ubiquitous in our food supply. Researchers have found that uric acid levels rose significantly among those consuming HFCS-sweetened drinks. Even if these levels don’t rise to the level that causes gout symptoms, they eventually can lead to fatty liver and then diabetes, heart disease, etc. If you have gout, you need to avoid HFCS like the plague. I would avoid sugar as much as possible, as well. Keep in mind that fruit juice, alone or as an added sweetener, can be problematic. While both the fruit and the juice contain high levels of natural fructose, only the whole fruit contains February 201 3 News to use continued soluble fiber, which slows its absorption into the bloodstream. If you can’t control your uric acid levels strictly by avoiding sugars, then by all means stay on a tart cherry supplement to keep it under control. Again, we’re seeing more and more proof that our addiction to sugar and all that’s sweet is slowly killing us. Oil Blend Lowers Blood Pressure and Cholesterol An interesting study out of New Delhi, India was just released describing the blood pressure-lowering effects of a specific oil mixture consisting of 80 percent refined high oryzanol rice bran oil and 20 percent unrefined sesame oil. The two-month study involved 160 men and 140 women, average age 57, all of whom had high blood pressure. They were divided into three groups: one group took a calcium channel blocker medication; the second group consumed roughly 1.25 ounces daily of the oil blend, either in cooking or on salads; and the third group consumed both the oil and took the blood pressure medication. When researchers began to analyze the results of the study, it was pretty amazing. When they checked blood pressure readings, both the top number (systolic pressure) and the bottom number (diastolic pressure) changed significantly. Systolic readings fell 14 points among those taking the drug alone, 16 points among those consuming just the oil blend, and 36 points in those who did both. Diastolic readings fell 11 points among those taking the drug alone, 12 points among those consuming Volume 16 • N o 2 just the oil blend, and 24 points in those who did both. Cholesterol readings changed, too. Taking just the oil blend alone or when used in combination with the drug resulted in a 26 to 27 percent drop in LDL cholesterol and a 9.5 to 10.9 increase in beneficial HDL cholesterol. (American Heart Association High Blood Pressure Research 2012 Scientific Sessions, 12 Sept 2012) The results were so remarkable that studies are currently underway to test the use of the oil with other forms of blood pressure medication like beta blockers and ACE inhibitors. You can look at this study a couple of ways. One, adding these oils to your diet can help potentiate your calcium channel blocker medication. Two, by adding the oil blend to your diet, you can achieve the same amount of blood pressure reduction as you would by taking medication, plus experience significant positive changes in cholesterol readings. Should You Try This Blend? Both of the oils in this mixture are readily available, and it would be easy to blend the two and start using them. I have no problem with unrefined sesame oil (its composition is fairly close to that of peanut oil). It’s fairly stable, and although I wouldn’t recommend it for heavy frying, occasional stir-frying, pan-frying, or sautéing should be fine. On the other hand, rice bran oil is highly refined and, unlike sesame oil, it isn’t found naturally in nature. It worked well in this study for reducing blood pressure and changing cholesterol values, but I’m not sure what the long-term effects on one’s overall health would be. It would probably vary from individual to individual depending on other factors in the diet. I say this because both of these oils are fairly high in omega-6 fatty acids, and we are already getting an overabundance of these in the diet. However, having said that, the combination of these two oils appears to have a synergistic effect that could be very helpful for a lot of people. Other Heart-Healthy Oils When it comes to fats and oils, one of the experts I trust and follow is Mary Enig. Her research and writings validate and support a lot of what I’ve learned in this area. Years ago, she recommended an oil blend that might provide similar benefits without any of the possible downsides. As far as I know, however, it hasn’t been tested in this way. She recommended an oil blend with equal parts coconut oil, extra virgin olive oil, and cold-pressed, untoasted sesame oil. I use these oils and feel it’s a good combination. I don’t use it exclusively, primarily because I find the residue coconut flavor in most dishes a little too sweet for my taste. But I do take coconut oil daily, by itself or as a spread like butter, and I love it. In combination, the three oils can be used for cooking or in salad dressings. If extra virgin olive oil is too strong for you, the coconut oil seems to calm that. I highly recommend you find the combination of these oils that you like and incorporate them into your diet. The benefits of olive and sesame oils are well known, and coconut oil is fantastic at boosting the immune system and increasing metabolism to help lose body fat. And to be honest, if I had high blood pressure that could be controlled with the rice bran and sesame oil combination instead of drugs, I would consider it a viable option. These oils are available online and at your local health food store. If you have difficulty finding them 5 Alternatives News to use continued in your area, I suggest contacting Azure Standard (azurestandard.com, 1-541-467-2230 or 1-541-223-5640). They specialize in bulk orders, but the minimum is rather small. The Redemption of the Egg Slowly, it seems the public is beginning to understand the value of including whole eggs in the diet. On this topic, I sometimes think the public is more informed than most doctors. It has taken decades to reverse the erroneous idea that eggs are nothing more than artery-clogging, cholesterol-loaded grenades. However, even the more open-minded cardiologists still recommend eating yolk-free egg substitutes rather than whole eggs. And, you’ll find egg white and yolk substitutes instead of whole eggs under the “heart healthy” sections of most restaurant menus. One large egg contains about 180 mg of cholesterol—all in the yolk. But there have never been any studies showing that eating eggs or egg yolks increase harmful levels of cholesterol or your risk of heart disease. In fact, studies show just the opposite. One recent 12-week study involved 37 men and women ages 30–70. While following a moderately carbohydrate-restricted diet (limited to 25 percent carbs), individuals in one group ate three whole eggs per day, while those in the other group ate the equivalent amount of yolkfree egg substitute (about ½ cup). Each daily serving of whole eggs contained 534 mg of cholesterol, 0 grams of carbs, 16 grams of protein, and 12 grams of fat, for a total of 186 calories. The daily serving of egg substitute contained 0 mg of cholesterol, 2 grams of carbs, 14 grams of proteins, and 0 grams of fat, for a total of 60 calories. 6 At the end of the study, both groups lost a little weight. The LDL (“bad”) cholesterol didn’t change in either group. The HDL (“good”) cholesterol increased 10 percent in the group eating yolk-free egg substitutes, and 16 percent in the group eating whole eggs. Triglycerides dropped 20 percent and insulin levels dropped 15 percent in the yolk-free egg substitute group, but in the whole egg group, triglycerides dropped 30 percent and insulin levels dropped 20 percent. In every case, eating the whole eggs proved to be a better way to go. (Metabolism Clinical and Experimental online 28 Sept 2012, doi:10.1016/j.metabol.2012.08.014) Other Healthy Components of Eggs Researchers are now acknowledging that the lecithin in egg yolks helps move cholesterol to the liver instead of letting it build up in the arteries. Decades ago, I had the opportunity of communicating on numerous occasions with the chemist Jacobus Rinse. Dr. Rinse developed what he called “The Dr. Rinse Breakfast,” and one of the major components was lecithin granules. Dr. Rinse felt that the “melting point” of cholesterol could be reduced to less than body temperature when lecithin is consumed with the essential fatty acids linoleic and linolenic. I’ve talked about both of these beneficial fatty acids many times in the past. The two groups of people with the lowest incidence of heart disease in the world are the Cretans from the Eastern Mediterranean island of Crete, and the Japanese from Kohama Island. Both have a high dietary intake of these fatty acids. The Cretans get theirs from walnuts and purslane, and the Japanese primarily from soybean products. (Other food sources include eggs, green leafy vegetables, and many seeds and nuts and their oils, including flax, hemp, pumpkin, sunflower, sesame, olives, black current, primrose, grape seed, pine nuts, pistachios, cashews, Brazil nuts, and almonds.) Lecithin itself is found naturally in beef liver and eggs, both of which have fallen out of favor because of the anti-cholesterol, anti-fat craze. It’s one of the reasons I’ve always added lecithin granules to my morning protein shakes. (Hopefully you’re doing that, as well.) Everyone also seems to overlook the fact that eggs are an excellent source of the carotenoids beta carotene, lutein, and zeaxanthin. Higher levels of these carotenoids have been shown to reduce inflammation and lower the risk of cardiovascular disease, some cancers, and type 2 diabetes. These same researchers found that eating three whole eggs a day very significantly increased blood levels of all three of these carotenoids, while only beta carotene was increased in those eating yolk-free egg substitute. (Food Funct 2012 Nov 5. [Epub ahead of print]) Forget the yolk-free egg substitutes. You’re wasting your money and jeopardizing your health. Stick with whole eggs. The yolk is good for you! If you’re avoiding whole eggs because you want to prevent heart disease, you’re doing just the opposite of what you should be doing. Eat eggs and enjoy them! And if you have access to freerange eggs, then by all means eat those. When it comes to taste and quality, there’s no comparison. ■ February 201 3 UESTIO R A ED YO U R NS Q NSWE Alternatives MAILBOX MAILBOX Magnesium Matters Question: I’m very fidgety after I go to bed and have a hard time sleeping. When I do get to sleep, I often wake up with cramps and restless legs. Do you have any other ideas that might help me? —Clare H., Northfield, IL Answer: It’s possible that you might be low on magnesium. Along with an extremely long list of other benefits, magnesium can work as a natural muscle relaxer. Insomnia, muscle spasms, twitches, restlessness, and hyperactivity are all well-known signs of magnesium deficiency. In this day and age, we rarely hear about nutritional deficiencies. Most doctors and patients alike seem to think we’re civilized enough that deficiencies are rare in our society. When it comes to magnesium, however, that’s definitely not the case. Our intake in this country has dropped to less than half of what it was at the turn of last century. In 1900, it was roughly 500 mg a day, and today the average is 175–225 mg a day. The government recommended amount per day is 320–420 mg. Even worse, when you look at most of the research, adults should probably be getting somewhere between 500–750 mg a day. The problem comes from changes in our water and food supplies over the last 100 or so years. Fewer people get their drinking water from hard water sources that haven’t been treated or refined to remove calcium and magnesium. Wheat used to be a good source of magnesium, but when refined into white flour, over 90 percent of the magnesium is lost. (Environ Health Perspect 06;114(5):730–734) Tea, coffee, alcohol, and other diuretics wash magnesium out through the kidneys. Diets high in refined carbohydrates (like sugar) also deplete magnesium. Magnesium is required to metabolize sugar. Increased sugar consumption depletes existing magnesium reserves and interferes with one’s ability to control blood sugar levels. Type 2 diabetes has been linked to lower levels of magnesium. Not surprisingly, Volume 16 • N o 2 a craving for sweets, chocolate, and/or caffeine is typical when you’re deficient in magnesium. There’s been a lot of research directly linking a dramatic increase in heart attacks, high blood pressure, congestive heart failure, and arrhythmias to lower levels of magnesium. At one time, Finland was number one in the world when it came to deaths from heart attacks. The government started a nationwide program to increase magnesium levels using magnesium salt substitutes. They quickly fell from number one in the world to number 10. I’m afraid that many of the more common health problems we’re starting to see are exacerbated or even a result of lower magnesium levels in our population. Only about 1 percent of the magnesium found in the body is in the bloodstream at any one time. So accurate testing for the mineral is difficult. Magnesium is also involved in so many different functions throughout the body that it’s often hard to pinpoint it as the definitive causative factor. As such, there are probably only a handful of doctors in the county that would even consider low magnesium as a problem. But since it’s natural and safe, increasing magnesium intake should be on the short list of therapies before resorting to more drastic measures like medications. Beyond the Heart and Muscles Depression has reached epidemic proportions in this country. Teen depression is on the rise and attempted teen suicides have increased from 6.3 percent in 2009 to 7.8 percent in 2011. Yet practically everyone with chronic depression and suicidal thoughts has low magnesium. Withdrawal, apathy, irritability, decreased attention span, mental confusion, uncooperativeness, paranoia, and nervousness are all symptoms of a magnesium deficiency. Children with hyperactivity, another common sign of magnesium deficiency, are routinely given psychotropic medication like it’s candy. When is the last time you heard of doctors trying magnesium first? One study involving 116 children with ADHD found that 95 percent had magnesium deficiencies. (Magnes Res 97 Jun;10(2):143–148) (Magnes Res 97 Jun;10(2):149–156) Increase Your Magnesium When you look at what foods contain high levels of magnesium, it’s easy to see why most people aren’t getting enough of this mineral in their diet. They include bran from rice, wheat, and oats; seeds of pumpkin, flax, sesame, and sunflower; Brazil nuts, 7 Alternatives pine nuts, almonds, cashews, and peanuts; molasses; dry roasted soybeans; bananas; figs; raisins; kidney and black beans; spinach and other leafy vegetables; and halibut. aches, pains, and cramps. The magnesium sulfate is absorbed through the skin. It’s an inexpensive yet effective way of boosting magnesium levels that has fallen out of favor. Below, I’ve listed the typically recommended daily requirements. But keep in mind, these would be minimum daily amounts, and magnesium from food doesn’t have to be limited at all. Adults deficient in magnesium, and especially those experiencing problems like those mentioned previously, need higher levels before tapering off to a maintenance dose. If you like to take baths, Epsom salts are available at every drug store. For Epsom salts and really any kind of salt you can imagine, check out SaltWorks at saltworks.us. They have one of the largest selections of all types of salt, and they sell at wholesale prices. At the higher dosages, it’s possible to experience diarrhea, but that can be avoided by spreading the total dosage out and taking the magnesium three or four times throughout the day (preferably with meals). Children 1–3 years: 80 mg 4–8 years: 130 mg 9–13 years: 240 mg 14–18 years (boys): 410 mg 14–18 years (girls): 360 mg Adult Females In general: 310 mg During pregnancy: 360–400 mg Breastfeeding: 320–360 mg Adult Males In general: 400 mg The most common form of magnesium supplement is magnesium oxide. The aspartate and ascorbate forms tend to be more easily absorbed, but they all have been shown to be effective. It wasn’t that long ago that Epsom salts were commonly found and used in most households. Epsom salt is magnesium sulfate. Adding it to bath water actually does soothe muscle 8 As for supplements, magnesium is included in virtually all multivitamins, although you still may need to take an additional magnesium supplement to get the minimum daily requirement or to reach a more therapeutic level necessary to treat a particular condition. Fortunately, magnesium supplements are very inexpensive and can be found in pretty much every drug store or online. On the topic of multivitamins, I wanted to let you know that I recently decided to formulate a second multi. I know many of you take Daily Advantage packets like I do every day, and that’s still my top recommendation without a doubt. But apparently a lot of people still don’t take any multi at all, or take a generic one-a-day type vitamin, and that concerns me. I created Daily Basics Plus as a “basic” option for those who for whatever reason can’t take a full-spectrum multi like Daily Advantage. If you currently take Daily Advantage, I encourage you to stick with it. If you don’t, you may want to give Daily Basics a try. Until next month, This Month Online Visit Dr. Williams’ website at drdavidwilliams.com, where you’ll find information and recommendations for many of your top health concerns, including: ■B one and joint health ■D igestive health ■M emory and brain health ■ Immune health, including cold and flu prevention Stay in touch with Dr. Williams between newsletter issues! Sign up for his Health Dispatch E-News alerts by visiting drdavidwilliams. com and submitting your email address. You can also follow his blog, which you can find under the Connect with Dr. Williams tab on his website. Here are just some of the posts you can read there: ■C ut Blood Sugar Spikes with Green Tea ■O ral Health and Cancer— Is There a Connection? Contact Us Here ■T o submit a Mailbox question, suggest an article topic, or make a comment about this month’s issue, email feedback@ drdavidwilliams.com. ■F or customer service matters such as address changes, to renew your subscription, to order back issues or reports, or to sign up a friend for Alternatives, call 1-800‑527‑3044 or email [email protected]. February 201 3