|
|
|
|
Journey to Wellness Happy Mothers Day
Each month I have this unique opportunity to share my MS story. I often say that we can choose to be a victor instead of a victim of our MS (or anything else in our lives for that matter). I have chosen to be "enabled" by MS rather than "disabled," and I believe that each one of us has the opportunity to make that same choice. I believe my body is designed to be self-healing, and that my challenge is to learn how to "listen" to my body and to help it turn on that innate self-healing process.
_____________________________________ The sun has finally returned to Southern California where I live. Over lunch a few days ago some of my neighbors and I were discussing how glad we are to see nice warm, sunny days after our longer-than-usual, colder-than usual, and certainly wetter-than-usual winter. But enough about the weather. Whether you are new to Journey to Wellness, or you have been with me for years, I warmly welcome you to our world-wide network of readers. Thanks to the Internet and the rapid rise in "social networking," it seems that we are all becoming more aware of how truly alike and connected we are. I hope something I have chosen to include in this issue "speaks" to you and challenges you to move ahead in your own journey to wellness. Throughout the 15 or so years since I began my own search for wellness, after being diagnosed with Primary Progressive MS, I have invited all to come along with me as I pursued helping my body to heal itself. I have never made any claims that I know all the answers, only that I felt certain that the answers I needed were "out there" waiting for me to discover them. Along the way I tried many things, all of which I have shared with my Journey to Wellness readers. During the first two years of my journey I was able to halt all progression of my MS, and I chronicled my early search in the book From MS to Wellness. Today I am symptom free and enjoying life as a very healthy and active retired senior. It is the goal of this newsletter to help you find direction in each of the important areas of your life. I hope you find this issue of Journey to Wellness both informative and inspirational. There is the usual food section, From My Mailbox, important research news, a look at choices, as well as other features. Enjoy.Remember that the updated Four Steps to Overcoming MS is now available. One of the reasons for publishing via the e-book format is that frequent updates and revisions may be easily made. I am so proud of this e-book, as it contains everything I believe and have practiced in my own journey to wellness, defeating my Primary Progressive MS. If you do not have Four Steps, you may easily order it on-line here.
Do
you enjoy reading this free on-line newsletter? Do you appreciate the fact that
there are no sponsoring commercial ads cluttering the pages? Then please
consider making a contribution to help keep them coming. I have always wanted
Betty's house to be commercial free, and that is still my intention. And I
never wanted it to be paid subscription only. But be that as it may, everything
connected with the website and newsletter costs money, and I cannot do it alone.
Even a small amount helps and is greatly appreciated.
Any contribution you would like to make may be sent to Iams House, 139 Inner Circle, Davis, CA 95618, or by credit card here. I have a new shopping cart that makes it easy for you to make a donation. YOU make the website and this newsletter possible. Without your help both will disappear. For those of you who have recently made a donation, many thank yous and big hugs. THANKS FOR SHOPPING AT MY AMAZON STORE: Just click on this Amazon link, then when it opens bookmark it in your "favorites" and it will be easy to always use it. I love Amazon's convenience, which really makes for easy, trouble-free shopping. Each order you place using this Betty's House Amazon link means a few cents is returned to Betty's House to help pay the monthly expenses for the website. It doesn't amount to very much, but every little bit helps. Thanks so much.PLEASE NOTE:
"Order" if you are writing concerning an order "From a Newsletter Subscriber" for all other correspondence R emember to do that and your e-mail won't be lost in the never-never land of hundreds of pieces of spam!!
There are not a lot of things about which I am 100% sure, but self-healing is certainly one that I absolutely know for sure works. I am proof positive that self-healing is alive and well. I also know that: ■ Anyone can do it I also know for sure that all healing must address the three facets that make up what and who we are. Those are: MIND, BODY and SPIRIT Our mind is the creative genius of the universe - the creative force behind everything that is. When we control our mind, the thoughts we think, we control all aspects of our life. Just how does that work? The formula is: THOUGHT (our intention) creates an EMOTION which creates an ATTITUDE, which creates FEELINGS, which = THE RESULT Notice how we have conscious control of the outcome through control of our intention, that is our thoughts. Intention is such a powerful healing tool. Actually it applies not only to healing but to how everything else in our life turns out. Whatever you wish to be, do or have in your life, just apply this formula. Still skeptical? That is OK. Being skeptical is healthy. But I challenge you to try it - just ACT AS IF . . . and you will be amazed at the results. If you can imagine it, you can have it! Many times we think we are positive, when actually the words we say belie our true feelings. I have a neighbor who tells everyone how positive she is, all the while sharing her "he/she done me wrong" stories, about everyone and everything. In seminars I teach guarding the gateway to our thoughts, because they are such powerful things. MEDITATION: If you truly want to heal your body and/or your life, learn the discipline of daily meditation. It is the gateway to your true, infinite nature and holds the key to the ultimate healing formula. It addresses all three aspects of who we are - mind, body and spirit. Qi Gong also is a powerful healing tool, which also addresses all these three aspects. Anything that has worked for centuries, as does the ancient healing form of Tai Chi that we call Qi Gong, must certainly have much to teach us.
"When you change the way you
look at things, - Dr. Wayne Dyer "Control your attitude and you will control your life" - Burt Goldman "Consciousness is a field of
all possibilities - Dr. Deepak Chopra
A VERY IMPORTANT QUESTIONDo you ever wonder why something I recommend so highly doesn't seem to be working for you? Here's a note I received the other day from a reader:
I was excited when I found you on the Internet, and I began following much of the program you recommend. But it doesn't seem to be working, and I am confused and disappointed. Can you help me with what I might be doing wrong? /s/ Rebecca That's a very good question, Rebecca. Perhaps you are doing nothing wrong. Remember that when one wishes to know something, if you are going to get the correct answer, then you must ask the correct question. My guess is that "What am I doing wrong?" is not really what you are asking. Perhaps you should be asking, "Can you help me improve on my program?" There are many factors involved - your attitude, your belief level, your intention, your commitment and determination. There are many variables in all these things. Often when I counsel people on the phone, and I can ask them in person about what they are doing, I find that in many of these areas they have challenges. Sometimes there is a neurologist or family member who is pushing them to take the often recommended MS drugs. Sometimes they are pressured by family members, and those challenges make it very difficult to ignore the "nay sayers." It is difficult many times to go against the advice of those we have been taught to respect. I suggest you go back and re-read Four Steps to Overcoming Multiple Sclerosis and really let the words "speak" to you. I truly do believe that it takes a commitment to all the various aspects of self-healing. I so often hear people say something like, "I am doing well following your recommendations about diet, and I am at least partially successful with exercise, but I don't know about meditation - I don't seem to get it." I truly do know what you are experiencing. I shall never forget when I was newly diagnosed and I spent a week at the Deepak Chopra Center for Mind Body Medicine in the resident program they had at that time. It was held at a hotel in Del Mar near San Diego. The day I checked in the director of the program greeted me and went over our schedule for the week. He began by telling me that we would have three meditation periods every day - two group meditations, each morning follow breakfast, and in the evening before dinner, and one alone in our rooms to practice what we were learning. I told him that I hated to disappoint him but that I could not do meditation, that I had tried many times and "failed." He just smiled and our conversation went something like this: He said, "don't worry. You will do fine." I replied, "You didn't understand; you didn't hear me. I cannot do that! He again smiled and said, "Oh I get it, but I assure you that you will learn before the week is over." Well, you guessed it - before the week was over I not only "got it," I had developed a life-long commitment and belief in meditation as a healing and life-changing practice. Not only had I learned to meditate, I had also been introduced to Qi Gong and gentle Yoga stretches. In retrospect I realize I had laid the foundation for much of what I know about healing today. And please do not underestimate the importance of exercise . . . gentle stretching combined with deep breathing is an essential healing tool. It was shortly after my week at the Chopra Center that I discovered Mark Johnson's Tai Chi/Qi Gong for Seniors program, and it became a part of my daily routine. Every morning before going to work I would do half an hour of meditation, followed by the Qi Gong exercise section of Mark's program. It meant getting up earlier in order to fit it all in, but I quickly realized that starting each day with my meditation and exercise ritual made a profound difference in the rest of my day. A year or so later I found the Yoga for MS program while reading a Yoga Journal article about Shoosh Crotzer who developed that program. I hope this is helpful to you, Rebecca. Please don't hesitate to write to me with your questions and concerns. Remember that when you purchased the Four Steps e-book you acquired me as a coach. I give great pep talks!
ARUGULA SALAD WITH SIMPLE
DRESSING This beautiful, colorful salad is the world's perfect dish. Because arugula is so flavorful, it only needs a simple dressing. If you don't care for the tart flavor of arugula, then use any leafy greens you love. Always lightly salt your salad greens first. 6 c. arugula (I like baby arugula for this salad) 1 ear raw corn kernels (yes, raw - you will love the sweet flavor) 1 avocado, halved, pitted, scored into cubes, and removed with a spoon 2/3 c. pear or grape tomatoes cut in half salt and pepper to taste fresh basil cut in thin strips, for garnish NOTES: (1) You may use frozen whole kernel corn that has been thawed. Arrange lightly salted arugula on a platter. Sprinkle the corn on top, then arrange the avocado pieces and tomatoes over the corn. Season with pepper as desired and drizzle the Simple Dressing below over the salad. Garnish with basil. Simple Dressing This recipe looks too simple, but some of the best recipes are amazingly simple. You will love this light dressing. juice from 1 small lemon Whisk all of the ingredients together in a bowl and taste. If the dressing is too acidic for you, add a drizzle of honey. (Tip: You may substitute lime juice for the lemon.) Whole foods are your best sources of vitamins and minerals. They offer three main benefits over dietary supplements: ■ Greater nutrition. Whole foods are complex, containing a variety of the micronutrients your body needs — not just one. An orange, for example, provides vitamin C plus some beta carotene, calcium and other nutrients. A vitamin C supplement lacks these other micronutrients.■ Essential fiber. Whole foods provide dietary fiber. Fiber, as part of a healthy diet, can help prevent certain diseases, such as type 2 diabetes and heart disease, and it also helps eliminate constipation.■ Protective substances. Whole foods contain other substances recognized as important for good health. Fruits and vegetables, for example, contain naturally occurring food substances called phyto-nutrients, which may help protect you against cancer, heart disease, diabetes and high blood pressure. Many are also good sources of antioxidants — substances that slow down oxidation, a natural process that leads to cell and tissue damage, as well as aging.Stock up on healthy, portable snacks. When you are grocery shopping, pick up bags of baby carrots, string cheese, nuts, fresh and dried fruit, single serving packs of applesauce, yogurt, wholegrain crackers, peanut butter, turkey jerky, etc. Having healthy portable snacks around will help you avoid the bad guys that find their way into our kitchen. (Remember to eliminate dairy if you are on Stage 2 of the Best Bet Diet.)
Dr. Marie
Savard's Secret Morning Mix High-Fiber Granola Ingredients: old fashion uncooked oats Preheat the oven to 325 degrees F. Spread oats in one or two baking sheets/roasting pans with sides. Dr. Savard says, "I make extra to freeze in zip lock bags. I never measure but suggest you use enough oats to generously cover the bottom of the pan. Add plenty of flax seed, wheat bran, seeds, nuts and coconut if desired. I never measure the amount and therefore use whatever I like best and have available." Mix together canola oil, peanut butter, water, honey and cinnamon in a 2-cup glass measuring cup and heat at 50 percent power in the microwave for approximately two minutes (the peanut butter stays pretty lumpy). You can also heat the mixture slowly in a pan. Stir into dry ingredients. Bake at 325 for 20-30 minutes or so, stirring once or twice. Remove when "toasted" to a nice light brown color. On occasion I turn up the temperature to 350 degrees to toast more quickly. When granola is baked and cooled, add some of your favorite dried fruit such as dried cherries, raisins, figs and blueberries! This granola is a great gift for family and friends. Cool well before placing in freezer bags and storing in the freezer. NOTE FROM BETTY: This recipe is exactly as Dr. Savard gave it. I mixed everything except the dried fruit in a huge bowl, then spread it on my roasting pans, then after roasting for about half an hour (as noted above), I let it cool, then added dried fruit. This makes an "out o' sight" breakfast either by itself or over plain yogurt.
THE IMPORTANCE OF DETERMINATION
Gary Prichard from Hershey, PA, a long time follower of Journey to Wellness, has over the years communicated with me. As he has battled with severe MS disability, I have often thought that he is probably his own worst enemy - and I think he would probably agree with me. Actually he has a tendency to always put everyone else's needs ahead of his own. A few weeks ago he sent me an "article" for the newsletter. Unfortunately it is too long and some of it I do not deem appropriate to include here. However, Gary offers some excellent insights and I'd like to include some of them. Somehow deep inside Gary he knows that exercise holds an important key in his own search for wellness. He had regained much of his functionality in the past, not only once but twice, only to lose it again due to stressful situations that caused him to "fall off the exercise wagon" as it were. He then found himself having to start his program totally over. Because of his overwhelming fatigue, Gary has come up with an approach to exercise that he calls "Easy-by-Slow." Here is a quote from him: "Do you want to feel and do better? Then easy-by-slow. Have you failed with exercise before? Then easy-by-slow!. Do you want your life back? Easy-by-slow can regain years of capability for you, and do much more. Easy-by-slow is an approach to exercising rather than an exercise program as such. You choose exercise that is suitable to and enjoyable for you." Gary emphasizes that progress is possible, even if slow. I have often written about the great book The Healer Within by Chinese Medical Doctor Roger Jahnke. It is the perfect example of what Gary describes. This book is the bible of very simple, easy Qi Gong movements and breathing exercises, all of which may be done lying in bed, seated in a chair, or standing. And all are illustrated in the book. Gary goes on: ". . . Some of you might consider your activity during a normal day as exercise, and in a quite limited way that might be true, but generally "exercise" is something structured and extra . . . [think of] exercise as something to balance you and improve your functionality, though it also does many other good things for you. . . . The most important two factors about exercise may be that you do something that's appropriate to you, and that you do it consistently." Gary offers an excellent suggestion in that he selected one very simple Qi Gong movement from a DVD program he has and for 12 months he just did that one exercise for about 2-1/2 minutes, gradually increasing it to two times each day. Now he is ready to select a second movement to increase his program. Thank you Gary for sharing your story. With your determination I'm sure you will be back on top of your wellness game soon. Do let us know how you are doing.
FROM MY MAILBOXI recently had an interesting e-mail exchange with reader Kevin S. He had ordered Four Steps to Overcoming MS, and his questions were follow-ups. I asked him for permission to share them with you, because his questions and concerns are so universal. I know there is some duplication with other material in this newsletter, but they bare repeating:
Hi Kevin, It took 2-3 years for my diagnosis, and I was hardly able to work before they finally made the diagnosis. I was finding it difficult at that time to work all day (I was a marketing executive), so I took a leave of absence for six months, and by then my neuro insisted that I go on disability. I was 59 years old at that time. I lived in San Diego, but after about five years my son (an attorney in Sacramento), persuaded me to sell my home and move to the Sacramento area to spend my retirement years near him. About 6-8 months after getting settled into my new home, I told my son that I was bored, and to make a long story very short, I ended up doing the accounting for the law firm for whom he was the managing partner. It was supposed to be a temporary assignment while they replaced someone who left very suddenly, but it turned out to be a five-year three day a week job! I loved it and continued to work until I was 71 years old. If I hadn't lost my son to lung cancer three years ago, I'm sure I'd still be working. I am now 73. So, the answer to your question is, you most surely can continue to have a fulfilling career. You just have to make up your mind that you'll be committed to lifestyle changes. I really believe - from the vantage point of having reversed my MS and being symptom free today, that the two most important aspects of the program I recommend are daily gentle stretching exercise, combined with coordinated breath work, and meditation. At the risk of snowing you with too much information all at once, I'm going to attach an audio file of a meditation exercise you can follow along with. I press the pause button when the person on the audio says he will be silent for one minute and stretch it out to about 10 minutes . . . it can be really powerful. Please remember, if I can do it, YOU CAN DO IT TOO!
I've been on the Best Bet Diet now for probably seven weeks. I haven't noticed much difference in my symptoms, albeit probably no signs of worsening either. Out of curiosity, did it take awhile before you began to notice improvements in your symptoms? Not that anything is guaranteed for me. Let me know, thanks. Hello Kevin. I think I was probably on my program for about a year before I noticed much difference. If you are just staying even you are really winning the game already! For me improvements were very, VERY gradual. It was just sort of that I would suddenly one day realize that there was some improvement in one area (like maybe less fatigue, which was I think the first improvement I noticed). All those a-ha's were very gradual. Are you working with the meditation audio file I sent to you? From the perspective of where I am today, I think my meditation and QiGong were - and still are - the most important part of my program. For the first few years I thought the BBD was the most important, but I know now that was not true. I still today do half an hour of meditation every day, and half an hour of QiGong. If you will really get into the meditation, it will change your life on many levels. Just keep keeping on!
Did you ever do medication and then avoid after a period of time? Or were you successful in steering clear? from the beginning? They can be tempting as a quick fix, but I know the real solution is your program. Hello again Kevin. To answer your question, first I have not taken any meds at all . . . in fact I don't take meds for anything! I stopped taking meds about 25 years ago, and many off-and-on physical problems I had (like chronic bronchitis, etc.) all went away. Right now I can't even remember the last time I was sick with even a cold. I think dollars are much better spent on healthy foods than meds and even most supplements. Early on in my search for how to manage my MS I was taking every supplement I had heard of, at one point spending over $200/month. I finally realized that I was only making the supplement manufacturers rich and depleting my bank account, and I gradually settled on just the few that are recommended in Four Steps to Overcoming MS that directly relate to MS. Here is my perspective on meds and most supplements. Our body is not "designed" to have chemicals put into it. What doctors call side effects are our body telling us to STOP what we are doing to it. I have come to believe that self-healing (which is natural to our body, if we feed it properly) cannot occur if we are putting the chemicals in. The things that support our body healing itself need to address the three-part triangle that makes all human beings who we are - body, mind, and spirit; that is physical, mental, and spiritual. Meditation is such a powerful healing tool because it addresses all three areas. Other than daily meditation the most powerful healing tool I know of is Qi Gong. I also recommend modified yoga, which really helps keep your body strong. Both Qi Gong and yoga also address all three aspects of healing - body, mind and spirit. If we do not practice one or the other, then we are kidding ourselves that we are on a natural healing path. And they must be done on a regular basis, at least 5 times each week. Frequent deep breathing several times during our day, and the fuel (food) we put into our bodies, are also very important. I cannot overemphasize how important it is to get the "white stuff" out of our diet; that is, white flour and anything made with it, processed sugars (white or brown), white rice, etc. If we just do that much, we will really help our body to heal. All these foods are nutritionally depleted non-foods. (The only exception to that rule is if we have food allergies or sensitivities, which should of course also be removed). Allergies are another way that our body talks to us saying, "I can't handle that!" When we add a foundation of an "I CAN DO IT" attitude, we can all be winners. ~~~~~~~~~~ USELESS INTERNET TRIVIA - Wow your friends with this one!Months that begin on a Sunday will always have a "Friday the 13th." ~~~~~~~~~~
I
absolutely do not believe anyone can prevent T he worst aspects of MS, including the acute fatigue that plagues many, respond very positively to gentle exercise. Such a deal! And it really doesn't matter what level of disability one has. Many exercises can be done either standing, seated, or lying down. And deep breathing — which is so essential — can be done any time and any where.I am often contacted by readers about various Qi Gong programs they have purchased that they cannot or do not use. I understand. I have many, many different DVD programs in my personal library, but most do not work for me either. That is the joy of the Tai Chi/Qi Gong for Seniors routine, as well as Yoga for MS. They are designed specifically for people with limited mobility. They are simple and easy, perhaps deceptively so. At first they almost seem too simple. But over time when you really learn to work with them and do the simple movements in a slow, meditative way, the benefits are enormous. Both have been practiced successfully for centuries in many countries of the world. When combined with the Qi Gong techniques in The Healer Within book, the Tai Chi/Qi Gong for Seniors and Yoga for MS programs are superb healing tools. ~ Fitness must be a Way of Life ~ Over the years I have evaluated personally many exercise programs, and the absolute best overall that I know of are: Tai Chi/Qi Gong for
Seniors by Mark Johnson
I am very confident in recommending them.
FOUR
STEPS TO OVERCOMING MULTIPLE SCLEROSIS
includes just about
everything I have learned in my own journey to wellness. It is an easy
to read, understand and follow e-book guide to the management of
Multiple Sclerosis using the healthy lifestyle approach that I practice
and recommend. It incorporates each of the four areas,
exercise, meditation, diet,
breathing techniques,
and supplements.
This book includes
an extensive recipe collection as well as an all inclusive guide to the
Best Bet for MS food plan. It also includes a complete guide to our
Internal Guidance System.
THE HEALER WITHIN is an excellent book by Roger Jahnke, a Doctor of Oriental Medicine, which is truly the "bible" of Qi Gong and oriental medicine.
Sometimes in order to move forward in our lives, we need to close our eyes and open our heart. At some level I think we all know that, but sometimes the "doing" is the challenge. Here's what some famous people have had to say on this subject: "Follow your instincts. That's where true wisdom manifests itself" - Oprah Winfrey "I rely far more on gut instinct than researching huge amounts of statistics." - Sir Richard Branson "Often you have to rely on intuition" - Bill Gates
". . . Have the
courage to follow your heart and intuition . . . - Steve Jobs . . . Go into the wilderness of your intuition. What you will discover will be wonderful. What you will discover is yourself." - Alan Alda
"I feel there are
two people inside of me - me and my intuition. - Kim Bassinger "There are no rules. Just follow your heart." - Robin Williams "Trust yourself . .. You know more than you think you do." - Dr. Benjamin Spock We all have an internal guidance system, and one of the ways we listen to its wisdom is through meditation. I urge you to develop the daily ritual of meditation. It will change your life in ways you can hardly imagine.
RESEARCH NEWS: March 10, 2010 Absence of Epstein-Barr virus in the brain and CSF of patients with multiple sclerosis S.A. Sargsyan, PhD, A.J. Shearer, BS, A.M. Ritchie, BS, M.P. Burgoon, PhD, S. Anderson, BS, B. Hemmer, MD, C. Stadelmann, MD, S. Gattenlöhner, MD, G.P. Owens, PhD, D. Gilden, MD and J.L. Bennett, MD, PhD From the Departments of Neurology (S.A.S., A.J.S., A.M.R., M.P.B., S.A., G.P.O., D.G., J.L.B.), Microbiology (D.G.), and Ophthalmology (J.L.B.), University of Colorado Denver School of Medicine, Aurora; Department of Neurology (B.H.), Technische Universität, Munich; Universitätsmedizin der Georg-August-Universität Göttingen (C.S.), Göttingen; and Department of Pathology (S.G.), Julius-Maximilians-University, Würzburg, Germany. Objective: Epstein-Barr virus (EBV) is a ubiquitous human herpes virus that becomes latent in B-lymphocytes and has been implicated in the pathogenesis of multiple sclerosis (MS). We searched for latent and active EBV infection in MS brain and CSF. Methods: Nested and non-nested real-time PCR were used to detect cell-specific and EBV-specific transcripts in 15 fresh-frozen and 5 formalin-fixed paraffin-embedded MS plaques and in single MS CSF B-lymphocytes and plasma cells. Intrathecal anti-EBV antibody synthesis was measured by ELISA. Immunocytochemistry was used to detect binding of MS CSF and recombinant antibodies (rAbs) generated from clonally expanded plasma cells in MS CSF to EBV-infected cells. Results: No EBV RNA was found in MS CSF B-lymphocytes or plasma cells. In active MS plaques, EBV-encoded RNA (EBER)-1 was the only and rarely detected transcript. The frequency of detected intrathecal anti-EBV antibody synthesis in patients with MS did not differ from that in non-MS inflammatory CNS disease control patients. Anti-EBV antibodies were detected in the CSF of patients with MS, but MS rAbs did not react with EBV. Conclusions: Application of real-time PCR to multiple sclerosis brain and single B-lymphocytes in CSF did not reveal any evidence of active Epstein-Barr virus infection. NOTE FROM BETTY: I wish this study would put an end to the theory that EBV is a causative factor in MS. But **sigh** it probably will not, for some reason unknown to me. For at least the last 50 years researchers have stubbornly continued to attempt to prove there is a link between EBV and MS, all to no avail.
Low Vitamin D Levels Are
Related to MS Brain Atrophy, Cognitive Function, Studies Show Contact BUFFALO, N.Y. -- Low vitamin D levels may be associated with more advanced physical disability and cognitive impairment in persons with multiple sclerosis, studies conducted by neurologists at the University at Buffalo have shown. Their results, reported at the American Academy of Neurology meeting, held earlier this month, indicated that: • The majority of MS patients and healthy controls had insufficient vitamin D levels. • Clinical evaluation and magnetic resonance imaging (MRI) images show low blood levels of total vitamin D and certain active vitamin D byproducts are associated with increased disability, brain atrophy and brain lesion load in MS patients. • A potential association exists between cognitive impairment in MS patients and low vitamin D levels. The MRI study involved 236 MS patients -- 208 diagnosed with the relapsing-remitting type and 28 with secondary progressive, a more destructive form of MS -- and 22 persons without MS. All participants provided blood serum samples, which were analyzed for total vitamin D (D2 and D3) levels as well as levels of active vitamin D byproducts. MRI scans performed within three months of blood sampling were available for 163 of the MS patients. Results showed that only seven percent of persons with secondary- progressive MS showed sufficient vitamin D, compared to 18.3 percent of patients with the less severe relapsing-remitting type. Higher levels of vitamin D3 and vitamin D3 metabolism byproducts (analyzed as a ratio) also were associated with better scores on disability tests, results showed, and with less brain atrophy and fewer lesions on MRI scans. Bianca Weinstock-Guttman, MD, UB associate professor of neurology/ Jacobs Neurological Institute and director of the Baird Multiple Sclerosis Center, is first author on the study. Commenting on these results, Weinstock-Guttman said: "Clinical studies are necessary to assess vitamin D supplementation and the underlying mechanism that contributes to MS disease progression." While lower-than-normal vitamin D status is known to be associated with a higher risk of developing MS, little is known about its relationship to cognitive impairment. Sarah A. Morrow, MD, UB assistant research professor of neurology/ Jacobs Neurological Institute and lead author on the cognitive- impairment study, compared vitamin D levels in blood samples of 136 MS patients with the results of their neuropsychological assessments that tested multiple types of cognition affected by MS. "Results showed that MS patients who were impaired on tests of executive function --critical reasoning and abstract thinking -- and the ability to plan and organize, were more likely to be deficient in vitamin D," said Morrow. "This relationship held true when controlling for the season during which vitamin D was measured, as well as depression, which is known to be associated with lower vitamin D levels." Morrow noted there also was a suggestion that verbal fluency (word generation) and visual- spatial memory (learning and memory of shapes and figures) is more likely to be affected when vitamin D levels are not sufficient. Morrow is continuing her research to clarify these relationships.
That's it for this month. Be sure to tell your loved ones that you indeed do love them . . . remember that you never know when you may not have another chance to tell them. Blessings and big {{hugs}} to all of you.
Betty
|