The gut-bug connection

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Gloria
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Post by Gloria »

Sara wrote:I was thinking of taking cinnamon, and am randomly adding it to dishes here and there, but probably not enough for any serious antibacterial help.
I love cinnamon too, but it is high in histamines and I've recently given it up.

Here is a list of Food Sources of Histamine from the Urticaria Chapter. Cinnamon is listed under Spices and Herbs: http://www.urticaria.thunderworksinc.co ... foodsource

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sarkin
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Post by sarkin »

Thanks, Gloria. I think I need to merge those two lists in my mind...

With the amount of cinnamon I use, divided over a whole recipe, it hasn't seemed to be a problem. (I used probably 1/2 teaspoon, and my serving was 1/3 to 1/2 of that total meat-cupcake recipe.) I could certainly make that dish without that particular spice.

I believe my mast cell issues are highly variable, and am working toward a theory about why that might be, and hopefully, what I might be able to do about it.

The research continues... and I wish you health in the meantime.

Love,
Sara
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tex
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Post by tex »

Sara wrote:I believe my mast cell issues are highly variable, and am working toward a theory about why that might be, and hopefully, what I might be able to do about it.
FWIW, I agree with you. I get the impression that many of us have mast cell problems that show up at certain times, (myself included), but not often enough to force us to recognize that we have mast cell issues.

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Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Zizzle
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Post by Zizzle »

tex wrote: I get the impression that many of us have mast cell problems that show up at certain times, (myself included), but not often enough to force us to recognize that we have mast cell issues.
I agree. My exercise intolerance, dermographia and reactions to large quantities of VERY high histamine foods indicate I have something going on, but it's not contstant and not always bothersome. I suppose this may be a variation of "normal".
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sarkin
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Post by sarkin »

Z,

I think that for me, it's related to whatever wars are going on in the bacteria/virus/yeast/fungi colonies that live in my gut (and probably everywhere else). I know that you're on the hunt for a pathogen suspect, so I'm sharing this half-baked idea before I get it a little more cooked.

If my recent uptick in symptoms settles back down within a week or two of restarting the S. boulardii, I'll be persuaded there's merit along this line of thought. (Also, I'll feel better - double win!)

I finally tracked down the supplement at the fourth store I visited. The owner actually knew the story of how the scientist Boulard discovered it - here's the wikipedia version:
Boulard first isolated the yeast after he observed natives of Southeast Asia chewing on the skin of lychee and mangosteen in an attempt to control the symptoms of cholera.
You know, cholera... that old zonula-occludens-toxin excreting pathogen, that causes watery diarrhea?

I believe it's possible that the reason why this supplement did not agree with me in the past was because I was still ingesting gluten and other food irritants, and so the increased immune response (in the form of IgA) that S. boulardii induces made me feel sick... or rather, made the gluten/dairy/etc. make me feel sickER.

Anyway - it was certainly a real difference maker for my mother in her C. diff battle. I believe it is possible that the mast cells are responding to histamines produced by whatever else (C. diff or some other evil bug) is going on inside me, in the manner we read about in cattle's hooves (reference needed, as wikipedia would say - I will re-find this one, and thanks, Tex, for the awesome idea). In fact, my toenails look better than they have in years, now that I'm nearly 6months GF (speaking of hooves).

I do realize I am just guessing here, and hoping. I'll keep you posted,

Tex, I would guess that having too many mast cells will always be a problem, where as with too-easily-activated mast cells, there's more variability, making things harder to figure out, less likely to be diagnosed... but no less concerning, for sure.

Sara
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tex
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Post by tex »

Allisonella histaminiformans?

http://www.sciencedirect.com/science/ar ... 2004701381

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Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by harvest_table »

tex wrote:Allisonella histaminiformans?

http://www.sciencedirect.com/science/ar ... 2004701381

Love,
Tex
Tex, thanks for your insight and the link.

So this transference would be from eating beef?

Love,
Joanna
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sarkin
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Post by sarkin »

Tex,

Yes, that's it - thanks (you are the link master and genius reference-finder).

I bet our friend Allison (I call her that for short) isn't the only bacteria that can produce histamine... but for sure, we know that this can happen in a mammal.

Joanna, I don't know that this particular strain has been found in humans. But it's very possible we have a similar response, resulting from some other bacteria - and the culprit is eating grains, in the case of the cattle... (as opposed to eating the cattle). I'd put my money on grains being the culprit in humans, too - but I am truly speculating, and particularly about my own condition. And yeah, I'm pretty ticked off at the grains. So... take it with a grain of salt.

I hope this helps you think about your own situation - but do keep in mind I might be out on a skinny branch here ;) (Not the article - Tex's link is published science, which may not be perfect but for sure has banked some data.)

--Sara
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tex
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Post by tex »

Joanna wrote:So this transference would be from eating beef?
I have to agree with Sara - since meat in general, (and beef in particular), isn't classified as a high-histamine food, and since those bacteria are confined to the intestinal tract of cattle, we probably don't get any of these bacteria from eating beef, (unless we eat the contents of the rumen). Of course, the possibility of contamination is always present, since it's not uncommon for the rumen or other parts of the GI tract to be breached during the evisceration process, and the contents of the rumen to be spilled on parts of the carcass, during slaughtering, and then washed off, either with water, or a disinfectant wash. With poultry processing, for example, that's almost guaranteed to happen. With beef and pork, it's much less common.

However, noting that the bacteria are also found in horses, suggests that they may be found in other species, but apparently only in animals with significant fermentation capacity. With cattle, for example, most of the fermentation takes place in the rumen, prior to gastric digestion. By contrast, even though horses are monogastric, (humans are obviously monogastric, also), horses have extensive fermentation capacity downstream of the stomach, which allows them to digest both forages and concentrates, (grains).

Since the bacteria are found in the cecum of horses, (downstream of the small intestine, and presumably nowhere else), and in the rumen of cattle, (upstream of the stomach), that suggests that the bacteria are very adaptable, (presumably the environment in a bovine rumen would be significantly different than the environment in the equine cecum, but I don't know that for a fact), which implies that they may well have the capacity to survive in the digestive systems of other species.

OK, lets analyze the problem. The rumen in cattle normally maintains a pH in the range of 6.7 to 6.9, when hay is being utilized as feed. However, when grain is fed, the pH typically declines to as low as 5.5, (an acidic state which can result in a dangerous condition known as acidosis, if it goes too far). Normally, in a healthy rumen, lactic acid production is balanced by equal lactic acid utilization. As a result, lactic acid is typically maintained at below detectable levels, in a healthy rumen.

http://www.dfrc.ars.usda.gov/Research_S ... S96-40.pdf

http://ag.udel.edu/anfs/faculty/kung/ar ... cattle.htm

Likewise, the pH of the cecum of a horse, is typically near neutral, (7.0 is neutral), but if too much grain is fed, the pH can drop, (resulting in adverse systemic health effects, including liminitis). Since the digestive system of a horse is more similar to the human digestive system than the digestive system of a cow, lets consider equine digestive system anatomy. The article at the following link shows a sketch of the equine distestive system:

http://microbewiki.kenyon.edu/index.php/Equine_cecum

Not that the cecum is roughly 4 feet long, and is utilized as a fermentation chamber. You can read the discussion of the studies mentioned there, to see the link between the presence of gram positive, lactic acid producing bacteria in the cecum and downstream GI tract, and the appearance of potentially serious systemic symptoms in horses, (including laminitis). Apparently, research is ongoing, to determine whether probiotics may be effectively used to prevent laminitis in horses. Remember, laminitis is the condition involving inflammation of the laminae within the hoof, which has been connected with A. histaminiformans, an intestinal bacteria that is known to decarboxylate histidine, and produce histamine.

http://www.reeis.usda.gov/web/crisproje ... 16798.html

OK, looking at all this, what can we infer from it? Well, obviously, the fermentation of forage is fine, (in digestive systems specifically designed to handle it), but the fermentation of grains often leads to serious problems, even in digestive systems that are much more adaptable to alternate forms of feedstock than the human digestive system. Also, remember that the human digestive system is not designed to handle any significant amount of fermentation - anything more than minor levels of fermentation in the human digestive system leads to gas, bloating, cramps, D, etc. If cattle and horses can't handle large amounts of grain without risking serious adverse consequences, why should we expect to handle grain, with our inferior digestive system?

Since the issue that apparently leads to acidosis, (and the subsequent adverse systemic effects), is the presence of gram positive bacteria with a propensity for producing lactic acid, it would appear that probiotics might be beneficial for combating this imbalance. However, note that the Allisonella histaminiformans strain is gram negative, (even though they seem to be most closely related to certain gram positive bacterial strains, (Dialister pneumonsintes, Megasphaera elsdenii and Selenomonas ruminantium). That doesn't mean that any given probiotic that might be helpful for combating a lactic acid imbalance wouldn't also be effective at limiting A. histaminiformans populations, but it might open the door for the possibility that other strains, (or even a unique probiotic strain), might be needed.

Also, note that the researchers involved with the project linked to above, apparently aren't even aware of the A. histaminiformans connection with laminitis - they are only seeking a way to control lactic acid imbalance. It will be interesting to see whether they are successful in discovering any beneficial probiotics, since they don't even have the problem defined properly, (the first rule in solving a scientific problem is to properly describe the problem.) Of course, they may still be successful, by accident. :roll:

Anyway, IMO, the common link here is fermentation. A. histaminiformans only exists, (normally), in cattle and horses, in digestive system zones where fermentation is the primary mechanism of digestion. Human digestive systems are very poorly adapted for fermentation processes, and IMO, if we allow them to take place, we open the door to the possibility of encouraging undesirable bacterial populations, (such as A. histaminiformans, or some mutated relative of them). Eliminating grains from the diet greatly reduces that risk, IMO.

Love,
Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by sarkin »

Tex,

I don't know that our digestive system is exactly 'inferior' - but it sure is adapted to a different lifestyle than a grazing ruminant's :lol:

I think your reasoning is good - and I had forgotten an earlier thought I'd had, regarding histamine in grain-fed cattle, and connecting back to Joanna's question through a different thought-path: some celiac and gluten-sensitive people report feeling worse when eating grain-fed beef. That's often dismissed out of hand, as there's just not gluten in beef flresh, that anyone can imagine. BUT - if in fact the meat from grain-fed cattle has a higher level of histamines, because of the presence of bacteria such as A. histaminiformans, then indeed, someone whose system is already 'provoked' to have trigger-happy mast-cell response might feel worse, than when eating grass-fed beef, whose systems are less likely to support the bug that makes the histamine (which, in cattle, can lead to laminitis, but in humans... maybe to anything-else-itis).

I am assuming that my feeling great today is a placebo effect, since I just started the S. boulardii mid-day yesterday. (Don't get me wrong, feeling great is always great!) The form I am taking would not be suitable for those of us sensitive to Saccharomyces cerevisiae, which I fortunately am able to tolerate (though I don't eat it, come to think of it.) I believe there are other products available which don't contain any ingredients from S. cerevisiae, but I don't know whether the two species are close enough to cross-irritate someone sensitive to S. cerevisiae.

I'm afraid my knowledge is mostly at the wikipedia level, though I plan to read on through all the referenced articles and links. I only yesterday read about the anti-inflammatory effects and increased disaccharidases (those enzymes that break down disaccharides such as lactose - not that I'm consuming any of that!).

Thanks, Tex, for the thinking & the links. I am cautiously optimistic...

Love,
Sara
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Post by nancyl »

Sara,
Which Vit. K are you taking? I have been taking MK-7 by Jarrow and just found out from a call I made to them that it contains about 16 mg of soy. It is derived from soybeans. :mallet:

Nancy
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sarkin
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Post by sarkin »

Nancy,

Good for you, making that call and finding out.

I am taking this one, and I think I got it from iHerb.com:

http://www.lef.org/Vitamins-Supplements ... mplex.html

It contains coconut... my new best-friend food.

Love,
Sara
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Post by nancyl »

Thanks Sara, that is a very good brand. I will check with my heath food store or send for some.

Always learning,
Nancy
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Post by Sheila »

A quick question, Sara, please. I've been taking Florastor since December when I was diagnosed with C. diff. (I kind of doubt the C diff diagnosis but it makes no difference now.) I've been taking the Florastor ever since. It says it's "Saccharomyces boulardi lyo". Is this the S. boulardi you are referring to? My GI doc says he has a number of patients reacting very favorably to the Florastor. It is fairly expensive and I'm wondering if there is a "generic" version of this or one similar to it that would work as well.

BTW, I've also noticed that I have almost no body odor any more. Weird!! I go to the gym and come back sweaty but not stinky. Underarms, even when sweaty, also not stinky. Just sort of neutral smell. I didn't think too much about it, just thought it was one of those "getting older" things. Since you mentioned it, I wonder what the connection might be. I think when we eat gluten our body reacts by excreting the product of the "poisonous" gluten into our blood and also perhaps our sweat and tears. :idea: I'm glad you noticed it because I'm so used to being told, "it's because you're getting older", I didn't thick twice about it.

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sarkin
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Post by sarkin »

WOW, Sheila - that S. boulardii is magical stuff, in some mysterious anti-aging way! Let's hope it's affecting more than our underarm fragrance in a positive way.

S. boulardii lyo is 'lyophilized' - which either is a type of freeze-dried, or it just plain mean freeze-dried. This preserves it in a way that allows it to be stored at room temp., or shipped, or last longer (?). It's the same 'bug', however.

You could do a search on Saccharomyces boulardii at iHerb.com (or your favorite mail-order supplement place), adn compare prices (and of course, check labels to make sure they're free of the usual suspects). On the one hand, one kind of hates to change up a product that's working and not throwing you off, and on the other hand... life does get expensive.

It is also possible that you have already defeated your C. diff (if you ever had it - my doctor who Dx'd me originally with it doubted it himself - that was a confusing time!). Many of the trials that show positive effects for S. boulardii are pretty short - one month, three months. I was thinking I might take 2/day for a month, then 1/day for 2 months, and then... take a month off. This last time, I saw a change within a week or two (wish I had noted when I stopped it - I am good at noting when I begin things). I think the idea is that whatever bad bugs are lurking within us sneak out and start to reproduce, and then you can take the S. boulardii again, and wipe out another generation. And eventually, you win! However, I read all this a very long time ago, and haven't yet done the up-to-date research this theory deserves before giving it a try.

This wikipedia article is actually pretty interesting, and at a high level enough that you can follow along without getting an advanced degree in cell biology: http://en.wikipedia.org/wiki/Saccharomyces_boulardii

I really can't tell whether I should be taking it "for the foreseeable future" or for a course of a particular period of time (clearly, a longer period of time than my first round, though).

Hope this helps,

Sara

(I'm taking the Jarrow product, with 'MOS' - the bottle says MOS (MannanOligoSaccharides) is an oligosaccharide from the cell walls of S. cerevisiae that can discourage bacteria from adhering to the epithelial cells and reduce their proliferation.)
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