NUTRITIONUPDATES:
Presentedby:JulieBender-SibbioRDN,LD/N,cWCCertifiedFunctional&IntegrativeNutritionist
WhatyouNEEDtoknowtokeepyourBONES,GUT,&HEARTHealthy!
CeliacSupportGroup March18,2017
InterpretingNutritionInformation
MediaMarketingResearch
PhysicianHealthExperts
FriendsFamily
Experience
MagazinesJournals
PersonalizedMedicine/Nutrition
U • EachPersonisUnique – Noeatingstylefitseverybody
R • Goal:DetermineRootCauseoftheStruggle
A• AssessALLAreasofHealth– food,lifestyle,stress,genetics,hormones,health,sleep,exposure,beliefsystem,values
P • Partnership toImprovedHealthandOptimalhealth
P+ • Requirestime,mindfulness,andparticipation
Afunctionalandintegratednutritionapproach
MyworkasaCertifiedIntegrative&FunctionalNutritionistinvolves:
Today’sObjective:
• Tosharethemostcuttingedgeresearchrelatedtooneessentialnutrientthatcouldimpactyourhealth...fromheadtotoe
• Empoweryoutobeyourgreatesthealthadvocate
• Tosharemyprofessionalconcernswithmanyoutdatedrecommendationsforbonehealththatcouldleadtohealthrisk
• Todemonstratetheimportanceofaindividualized,comprehensive,andholisticapproachtooptimalhealth
• Tohavealivelyandinformativediscussion!
Answerquestionsrelatednutrition,celiacdisease,guthealthandmore….
Educate,Empower,Encourage,&Engage!
WhatImpactsYourBone&HeartHealth?
Stepstocareforyourbones&heart?
Howisthistiedtoyourgut?
CALCIUM VITAMIND WEIGHTTRAINING
SUPPLEMENTS BONEDENSITY
2017SurveyfromConsumerLabs
TOP5MostPopularSupplements:
1.VitaminD2.Fishoil3.CoQ104.Probiotics5.Multivitamins
Next5popular:6.B-vitamins
7.Magnesium
8.Curcumin/turmeric
9.Calcium
10.VitaminC
**Whatdoesthisimply?
Osteoporosis–anewepidemic?FACTS:
• 1/3womenovertheageof50experienceosteoporoticfractures• Osteoporosis-relatedfracturesareamajorpublichealthburden,estimatedat1.6millionfracturesperyear• Bonehealthismorethancalcium&VitaminD• Nutritionsupplementationcancauseharm
“Wemustunderstandthebiochemistrybehindnutrients,apersonshealthhistory/genetics,dietaryintakebeforewecanresponsibilityrecommend
supplementationandstepstoachieveoptimalbone,heart,andguthealth”~Julie
AnUnhealthyGutWillImpactBone!
ØMalabsorptive gutissuesareunabletoabsorbkeynutrients forbonehealth(ie.Calcium,VitaminD,Magnesium,vitaminK)
Ø ThegutistheonlyplacethatmanufacturesK2essentialforbonehealthØ Ifyoudon’thaveahealthgutflora(microbiome)youareunabletoeffectively:• SynthesizeVitaminsK,B9(folicacid),andB12• Reduceinflammation• Effectivelydetoxifythebody• Boostimmunesystem• Promotehealthydigestion
Ø Chronicinflammation=boneloss(Leakygut,dysbiosis,SIBO)• >95%oftheinflammationinthebodymaycomefromthegut.
STUDY:Probioticsmayhelpwithboneloss!
Calcium
• Itsroleandpurpose• Currentrecommendations
•Impactofage,diet,andmedications oncalciumabsorption
•Whatisthebestsource?Howwellisitabsorbed?
• Concerns,risks,andbenefits• Aresupplementsnecessaryifourbonesarenotimproving?SOURCES: Dairy, salmon, sardines, kale, broccoli, collards, mustard greens, turnip greens, tofu,
Chinese cabbage, sesame seeds, blackstrap molasses, calcium-fortified products
Doyouknowyourcalciumscore?
TimeMagazine2005
• Ischolesterolreallyagoodpredictor?• Only50%ofpeoplewhohave⬆cholesteroldevelopheartdisease.
• C-reactiveproteinandhomocysteine• Calciumscoreshowscalcificationwhichis#1riskfactorforCAD.
ü Excessivecalciumcanbuildupinthevesselsandstiffenthem,layingthefoundationforheartdisease.
ü StudiesshowthatatANYageifyouhaveahighervascularcalciumlevelyouareatrisk
WHYarewefindingcalciuminarteries?
Studied:Calciumsupplementationandimpactoncardiovascular
disease.Conclusion:“reassesstheroleofcalciumforthemanagementof
boneloss/osteoporosis”
BMJ 2010;341:c3691
2010
JournaloftheAmericanHeartAssociation– October2016
NEWSTUDY:“CalciumIntakeFromDietandSupplementsandtheRiskofCoronaryArteryCalcificationanditsProgressionAmongOlderAdults:10-yearFollow-upoftheMESAStudy”
Findings:*22%increaseinlikelihoodofdevelopingheartdiseaseoverthedecadeinpeoplewhousedcalciumsupplements.
WelcomeVitaminK2
• VitaminK1(Phylloquinone)canbefoundinleafygreenvegetables,suchasspinach,kale,collards,andbroccoli.Thegreenertheplant,thehigherthevitaminKcontent.
•VitaminK2-7(Menaquinone),istheformproducedbyintestinalbacteriaandalsoderivedfromputrefiedfishmeal,natto,fermentedcheeses.• NotfoundinourWesternculture
2FORMS(K2-4andK2-7)
VitaminK1 VitaminK2Forms Phylloquinone Menaquinone (MK-7)
MainSources Darkgreenveggies Natto or fermentedcheeses(notfoundinUSorWesternculture)
Halflifetime About1-2 hours About3daysMainuptake intissues
Hepatic(liver)tissue Bones andarteries
Role ClottingFactors Activation ofosteocalcin
VitaminK1andK2Comparison
HowVitaminKuptakeworks?
• Livertakes1st whatitneeds• RemainingKisleftforothertissues
• K-deficiencyoccursoutsidetheliverwithintissue• EffectsofVitaminKdeficiencyismostpronouncedinbone,cartilage,andarteries.
Whyandhow??
WithoutK2unabletoACTIVATEOsteocalcin
Bonesthriveonlywiththetrifecta– calcium,VitaminD3,andK2-7(Plusotheressentialnutrients)
Whatcangowrong?1. DeficiencyinVitaminD3=unabletoreleaseosteocalcin2. DeficiencyofVitaminK2= unabletoactivate“active”osteocalcin• OsteocalcinisdependentonVit.K2tocreatebonematrixupon
whichcalciumcrystallizes– itistheGLUEthatholdscalciuminthebone
• VitaminK2activatesosteocalcinthroughprocesscalled“carboxylation”
• IFvitaminK2isnotpresent= “undercarboxylated osteocalcin”(ucOC)=calciumisnotabletolaydownonbone– circulatesthroughbody…..
RESEARCH ALERT!!“High ucOC demontrated a 6-fold increase in fracture risk” Szulc etal.
Osteocalcin,BMD,FractureRateTheRESEARCH
Szulc etal: “ucOC inverselycorrelatedforBMD”
Knapen etal: “ucOC inverselycorrelatedwithBMD”
Vergnaud etal: “serumucOC predictshipfracture”
NaturalVitaminK2atMK-7fromNatto isEffective
v 2001- HighconsumptionofMK-7levelsfromnatto resultedinbetterlevelsofactivatedosteocalcinandreducedfracture
v 2006– natto consumptionhelpspreventthedevelopmentofosteoporosis
v 2008– Yaegashi demonstratedthatbettervitaminKstatusattributedtoNatto resultedinthereductionofhipfracturerisk
WhatelsecanVitaminK2-7foryourbones?
1. Estrogendepletion=bonelossduetobonereabsorption.(releasescalciumfromthebone=bonelossinmenopause)VitaminK2-7hasbeenfoundtoINHIBIT(prevent)reabsorptionofbone!
2. WithadequatenutrientsandK2-7itcanhelp:• Slowdownlossofbone• Rebuildbone
ConcernswithHypervitaminosis D:1. IncreasecalcificationalloverthebodyifDisreleasing
osteocalcin– extraOsteocalcinisusingupalltheVitaminK2foractivationofVitaminD!
VitaminKandVascularHealth
Objective:TostudytheassociationofdietaryintakeofK1andK2withaorticcalcification,CVD,andtotaldeath.
Geleijnse etal.JournalofNutrition2004
K2andCardiovascularDisease
ResultsofStudy:CONCLUSIONS:Whenconsumingdaily45ugdietaryK2-7 youhave:
§ 50% reduction of arterial calcification
§ 50% reduction of cardiovascular health
§ 25% reduction of all cause mortalityAscomparedtolowintakeofdietaryK2
TherewasNOcorrelationwithvitaminK-1inthisstudy!
AdditionallyClinicallyProvenIndications….
• VitaminK2-7showntoreducediabetesriskby20% inaDutchpopulationstudyover10years(38,000patients)
• VitaminK2-7showntodecreasecancerrisk(ingeneral).Studyon23,000Germanadults.ShowedhigherK2intakeassociatedwithlowerlikelihoodofdevelping anddyingofcancer.
NEWDISCOVERIESONTHEHORIZON
• FunctioninMuscleContraction
• FunctioninNerveHealth• FunctioninMitochondria
• FunctioninCardiacFunctionandOutput.
K2-7 maybecomethemostimportantAntiAging Nutrient?
Agingisafactorofmitochondrialhealth,cardiacoutput,andvascularhealth.
Ø Removescalciumfromarteries(onlythingnatural!)
Ø Slowsdownprogressionofdiabetes
Ø Everycellinthebodygetsmorenutrientsandbloodsupply
Ø Increasesmitochondrialfunction,soeachcellcanproducemoreenergyandwecanregeneratedyingcells
Ø Preventsagingrelatedtissuedegeneration
It is proposed that likely ALL of us may be sub-clinically deficient in this key nutrient!
Howmuchisrequired?
• ThereisNOtoxicity• Takeinconjunctionwithco-factorsforoptimalabsorption
• AvoidChinesesourceofK2-7• PrescriptionisofferedinItaly,Poland,IndiaONLYProductknownontheMarketisMegaQUINONE K-7• ONLYpharmaceuticalgradewithnaturalvitaminK2-7with320mg• ONLYsupplementthatcontainschelatedmineralsthatareessentialK2-cofactors• Soy,allergen,dairy,gluten,andnon-GMO(Kosher/Vegan)• NOTrecommendedforthoseonbloodthinningmedications
❋100-300mcgissupportedintheliterature
Observations,Conclusions,Considerations:
•VitaminK2-7:missingnutrientinbone& hearthealth!?• Considerinthepreventionandtreatment• Maygomuchfurtherthanthis- overallhealth!
•Cautionshouldbeusedwithcalciumsupplementation-foodsourcesarepreferred• ItisestimatedthataveragepersoninUSconsumes~700mgcalciumday• Foodfoodlabels• IfyouDOtakecalcium,dosoindivideddosesinawell-assimilatedform• Avoidfoodsthatimpactabsorptionofcalciumwhentakingsupplements
•VitaminDlevelsshouldbemonitoredannuallyandaddressedtodeterminecauseandpropertreatment.
Observations,Conclusions,Considerations:
• Comprehensivenutritionplanmustbetailoredtobonehealth• essentialnutrients(protein,calcium,VitaminD,magnesium,VitaminA,K,boron)andsupportingnutrients(B6,B12,folicacid,VitaminC)
• UnderstandthatjustbecauseyouhavegoodBMDthatitisnotalwaysapredictorofstronghealthybonesfromtheinside.
• Discusswithphysiciantheimpactofmedicationonnutrientabsorptionandutilization(EspeciallyPPI’s,chronicuseofantibiotics.)
• ExerciseandLifestylehabits• EACHpersonisunique.“Osteoporosis:animbalanceinthebody’schemistry.BoneLossisa
directcooralation withyourbiochemistry”
Julie’sResearchBasedProtocolforOsteoporosis
1. Diet:Avoidrefinedsugar.Avoidexcessiveintakeofcaffeine,colabeverages,andsodiumchloride.Testforceliacdiseaseinpatientswithunexplainedosteoporosis.Considerinvestigatingfoodallergiesinselectedcases.Considereatingdriedplums
2. Environment:Attempttominimizeexposuretoaluminum,lead,cadmium,andtin.
3. Calcium:600–1,200mg/day.(preferablynon-dairysourcesformost– supplementsasindicated)
4. VitaminD:800-2000IU/day5. Magnesium:300–600mg/day6. VitaminK:100–1,000μg/dayofvitaminK1.VitaminK2-7 atadoseof
100-300mg/day .(Menaqinone-4atadoseof45mg/daymaybeconsideredinselectedcases.)
Julie’sResearchBasedProtocolforOsteoporosis
7.Probioticandprebioticfoods – optimizeguthealth.
8.Additionalsupportivenutrients(dailydosesinparentheses):vitaminB6 (10–25mg),folicacid(0.4–5.0mg);vitaminB12 (20–1000μg),vitaminC(100–500mg),zinc(10–30mg),copper (1–3mg),manganese(3–20mg),boron (1–3mg),silicon(1–5mg),strontium (2–6mg).
9.Strontium:170–680mg/dayonlyselectedcases.Consideradosagereductionorstoppingafter1yr.Basedonnewresearchmaynotbeindicated.
10.Hormone-replacementtherapy:DHEA,estrogens,progesterone,andtestosterone(individuallyorinvariouscombinations)(perMD)
Gaby,AlanR.,M.D..NutritionalMedicine(SecondEdition).AlanR.Gaby,M.D.,04/2017.VitalBookfile.*Over300referencesavailableuponrequest.
FoodforThought……
“Achieving Optimal Health is a complex interplay between your “one of a kind genes”, dietary intake, biochemistry, metabolism, hormones, emotions, exercise, stress, sleep, exposure to toxins, inflammation, and belief system.”
Youmaye-mailmeforacopyofthispresentation.
JulieBender-SibbioRDN,LDN,cWC
www.jbsnourishwell.com [email protected]
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