Deja ewww!
It’s peculiar but instructive: phenomena triggered by re-exposure after being confidently wheat- and grain-free. The re-exposure can be intentional, as in “Just one can’t hurt!” or it can be inadvertent, as in “That gravy looks safe.” Typically, someone will be wheat/grain-free for at least a week. Re-exposure from, say, salad dressing or seasoning mix then triggers re-exposure fireworks. The most common re-exposure phenomena to are: Gastrointestinal distress, bloating, and diarrhea that can last hours to a couple of days. (People with celiac disease can have problems for months, howev...
Source: Wheat Belly Blog - November 1, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates Detox Gliadin grain-free grains Inflammation joint pain re-exposure wheat belly Source Type: blogs

What happened to the grasshoppers?
When I was a kid, grasshoppers were everywhere. I walked through a field every day to get to school and grasshoppers were everywhere, jumping back and forth across my path, frequently banging off my legs. At night in summer, the backyard was filled with fireflies that we’d chase and capture in jars to watch up close. And there were butterflies of many colors and varieties everywhere, flitting from flower to flower. Today, I don’t see any grasshoppers. In fact, I haven’t seen one in over 40 years. I saw one—just one—firefly this past summer in my backyard. And I can count the number of butterie...
Source: Wheat Belly Blog - October 22, 2018 Category: Cardiology Authors: Dr. Davis Tags: Agribusiness bowel flora Inflammation microbiota prebiotic probiotic wheat belly Source Type: blogs

The Wheat Belly One-Way Street
There’s a practical reality to the Wheat Belly grain-free lifestyle, one that I believe some followers of the lifestyle fail to recognize. Understand these simple facts that I’ve discussed in the Wheat Belly books and your life will be simplified. By living the Wheat Belly grain-free lifestyle, you will find that: You cannot consume grain-containing foods without becoming ill. Many of you have learned this lesson the hard way and found, for instance, that eating a handful of French fries fried in oil also used to prepare fried chicken will have you sitting on the toilet while your gastrointestinal tract forcefu...
Source: Wheat Belly Blog - September 16, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates gluten gluten-free grain-free grains Inflammation wheat belly Source Type: blogs

Constipated Society
Our ancestors who lived without grains, sugars, and soft drinks enjoy predictable bowel behavior. They ate some turtle, fish, clams, mushrooms, coconut, or mongongo nuts for breakfast, and out it all came that afternoon or evening—large, steamy, filled with undigested remains and prolific quantities of bacteria, no straining, laxatives, or stack of magazines required. If instead you are living a modern life and have pancakes with maple syrup for breakfast and you’ll be lucky to pass that out by tomorrow or the next day. Or perhaps you will be constipated, not passing out your pancakes and syrup for days, passing it inc...
Source: Wheat Belly Blog - August 30, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates bloating bowel flora bran constipation Dr. Davis fiber grain-free grains hydrate Inflammation laxatives Opiate drugs Opiods prebiotic undoctored wheat belly Wheat Belly Total Health Source Type: blogs

Podcast: Diverse Diseases, Allied Advocates
Listen to part two of the episode recorded live on location at HealtheVoices 2018. (Part one was posted last week, so check it out if you haven’t, already.) In this continuation of the multi-advocate panel discussion, our panelists talk about the most difficult aspect of their advocacy and how they deal with it. They also address misconceptions and ignorance about their diseases, such as the difference between AIDS and HIV or IBD and IBS, the fact that lupus is not contagious, and that men can have breast cancer. To close out the episode, each panelist shares his/her thoughts on what advocates for different conditions ha...
Source: World of Psychology - May 24, 2018 Category: Psychiatry & Psychology Authors: The Psych Central Show Tags: General Interview Mental Health and Wellness The Psych Central Show Advocacy Source Type: blogs

Podcast: Finding Strength & Unity in Our Differences
Listen to part one of the first ever LIVE Psych Central Show, recorded on location at HealtheVoices 2018, an annual event that brings together online advocates from across various health conditions for an opportunity to learn, share and connect. In this show, you will meet four advocates who join our hosts on stage for a panel discussion on a variety of advocacy issues, including lupus, inflammatory bowel disease, HIV, and breast cancer. You’ll hear about how being diagnosed affected their lives in ways they didn’t expect, and what made them become advocates. The second half of this show will be posted next week!  ...
Source: World of Psychology - May 17, 2018 Category: Psychiatry & Psychology Authors: The Psych Central Show Tags: General Interview Mental Health and Wellness The Psych Central Show Advocacy Source Type: blogs

MKSAP: 38-year-old man with ulcerative colitis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old man is evaluated in follow-up after a diagnosis of ulcerative colitis. Ten days ago he was started on prednisone, 60 mg/d, but his symptoms have not improved. He has six to nine bloody bowel movements per day and moderate abdominal pain. He has decreased his oral intake because eating exacerbates his pain and diarrhea. On physical examination, temperature is 37.0 °C (98.6 °F), blood pressure is 110/56 mm Hg, and pulse rate is 96/min. He is pale but in no distress. The abdomen is diffusely tender ...
Source: Kevin, M.D. - Medical Weblog - May 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Gastroenterology Source Type: blogs

“Smart” Training Devices Alleviate Concerns of Self-Injection: Interview with Noble International’s Joe Reynolds
Most patients encounter shots and injections, like the flu vaccine, in the context of a clinic or local pharmacy. However, for many patients, shots and injections are not an annual occurrence but are required frequently and, as a result, need to be self-administered at home. Biologic drugs have recently found success addressing chronic diseases but can require at-home administration using prefilled syringes (PFSs) and autoinjectors. Patients using these self-injection devices can experience psychological challenges ranging from mild squeamishness to extreme anxiety. A recent study of patients with rheumatoid arthritis and...
Source: Medgadget - May 3, 2018 Category: Medical Devices Authors: Michael Batista Tags: Exclusive Medicine Pediatrics Source Type: blogs

A Closer Look at Portal Instruments ’ Needle-Free Injector
At SXSW last month, we had the opportunity to take a closer look at Portal Instruments‘ upcoming needle-free drug delivery device. As we wrote previously, Portal Instruments has developed a injection system that involves delivering a tiny jet of liquid through the skin at a high speed. We naturally had to ask how similar an experience this would be to Star Trek’s hypospray device (which seems to actually be kind of painful), and we were told that the jet of vaccine is so tiny and moves so fast that most only feel a small tickle. We also learned more about Portal’s recently announced partnership with Taked...
Source: Medgadget - April 17, 2018 Category: Medical Devices Authors: Scott Jung Tags: Medicine Pediatrics Source Type: blogs

The momentum to treat in America is unmatched around the globe
An excerpt from At Peace: Choosing a Good Death After a Long Life. Copyright © 2018 by Samuel Harrington, MD. Reprinted with permission of Grand Central Publishing. All rights reserved. The momentum to treat in America is unmatched around the globe or throughout history. As a result, we spend twice as much on medical care as the next most expensive country. A very large percentage of that money is spent in the last six months of life. What fuels the momentum to treat? American exceptionalism, for one. This is an ingrained feeling that the United States and its citizens are not only different but are the best, have the b...
Source: Kevin, M.D. - Medical Weblog - April 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/samuel-harrington" rel="tag" > Samuel Harrington, MD < /a > Tags: Physician Geriatrics Hospital-Based Medicine Primary Care Source Type: blogs

Uncontrollable itching – part II
As we heard the history we stopped, prior to hearing the exam and labs, and developed a differential diagnosis.  With the combination of itching, probable jaundice and pale stools we assume either intrahepatic or extrahepatic obstruction.  Our differential diagnosis with commentary:   Primary biliary cirrhosis – much more common in women then men – but does often present at this age with uncontrollable itching Primary sclerosing cholangitis – no history of ulcerative colitis or diarrhea symptoms, but still possible Gallstone – not all common duct stones cause pain Cholangiocarcinoma – ...
Source: DB's Medical Rants - March 20, 2018 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

What patients — and doctors — need to know about vitamins and supplements
A recently published clinical guideline on vitamin and mineral supplements reinforces every other evidence-based guideline, research review, and consensus statement on this topic. The bottom line is that there is absolutely no substitute for a well-balanced diet, which is the ideal source of the vitamins and minerals we need. The brief article, co-authored by nutrition guru Dr. JoAnn Manson, cites multiple large clinical trials studying multiple nutritional supplements’ effects on multiple end points. The gist of it is, our bodies prefer naturally occurring sources of vitamins and minerals. We absorb these better. And be...
Source: Harvard Health Blog - March 16, 2018 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Complementary and alternative medicine Drugs and Supplements Health Healthy Eating Prevention Vitamins and supplements Source Type: blogs

Medical education systematically ignores the diversity of medical practice
I remember the moment I first saw a female chest X-ray. It was my own. My lecturers in the first months of medical school showed a few chest films, but I failed to recognize that the bodies all looked the same. I proudly showed my sister my clear lungs. She laughed and said, “I can see your boobs.” I looked again at mine with new eyes, taking in the dull, gray color of adipose tissue that I had never seen before. Something was missing from all the previous images I had seen: diversity. As second years, we practiced procedures on each other to gain experience before working with patients. We did abdominal ultras...
Source: Kevin, M.D. - Medical Weblog - January 30, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/rebekah-fenton" rel="tag" > Rebekah Fenton, MD < /a > Tags: Education Hospital-Based Medicine Pediatrics Primary Care Source Type: blogs

The Yogurt Diaries
I’ve been lately discussing how to take a single species of bacteria and amplify bacterial counts by making yogurt in the presence of prebiotic fiber. Here, for instance, I described my early experience cultivating a strain of Lactobacillus reuteri. For anyone new to this conversation, the method of making prebiotic-infused yogurt is discussed here; and why we choose higher fat starting liquids, such as half-and-half with around 18% fat, is discussed here. For anyone wishing to avoid dairy, you can also accomplish the same with coconut milk (canned, full-fat), though it requires longer to ferment (typically 48-72 hou...
Source: Wheat Belly Blog - January 19, 2018 Category: Cardiology Authors: Dr. Davis Tags: Undoctored Wheat Belly Lifestyle bowel flora grain-free Inflammation lactobacillus prebiotic probiotic Source Type: blogs

What Diet Works Best, Part 1: Put Down The Grapefruit
Why is choosing a diet so hard? The information we receive about diets, food, and nutrition is confusing.  Millions of dollars are spent on weight loss schemes that never last.  So, how do you choose a diet that will work?  This post is the first in a series of articles exploring questions to ask when choosing a diet.  Here goes… Does the grapefruit diet work? It’s not the grapefruit’s fault.  This morning, however, I had three emails touting a celebrity with a “new” grapefruit diet to get in shape for the holidays.  This sort of thing drives me crazy.  First, celebrities aren’t e...
Source: Embrace Your Heart Wellness Initiative - December 13, 2017 Category: Cardiology Authors: Eliz Greene Tags: Diet and Nutrition Tips Heart Health Women's Wellness grapefruit healthy diet Source Type: blogs