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General Discussions => Health, Fitness, Nutrition, and Medicine => Topic started by: Billzbub on July 11, 2019, 03:33:16 PM

Title: Personal Health MD - mainstream meets functional?
Post by: Billzbub on July 11, 2019, 03:33:16 PM
Okay peeps, I need your help.  One of my daughters in her 20s has had gut issues for several years now.  She's been to a few doctors and been told she has IBS.  She would rather not have it, and she's not convinced that the doctors she has seen are up to date on the latest cutting-edge treatments and is looking for the best care she can get.

She's done some research online and found Richard Donahue MD, MPH running a place called Personal Health MD in Boston where she lives.  Here's a relevant quote from their web site https://www.personalhealthmd.com (the Functional Medicine tab)

Quote
Functional Integrative Medicine
At Personal Health MD we foresee the cutting edge of 21st Century medicine being a marriage between the best of modern Western Medicine and the best of emerging Functional Integrative Medicine as a way to promote health and longevity. While Conventional medicine, with its ongoing scientific breakthroughs can be life saving for life threatening diseases, Functional Integrative Medicine better fine tunes your health by treating the origin of a symptom, the upstream biochemical imbalance that will result in a disease.

For Example, Treating IBS
By measuring immune sensitivities to food, gut bacteria DNA biome analysis, hidden parasitic or yeast growth, digestion and absorption markers, plus gut inflammatory markers, we can address the origins of IBS in ways that conventional medical tests cannot. Recommended treatments include more natural strategies such as using targeted nutrition as medicine and targeted supplements or probiotics as medicine to treat imbalances in small intestine cellular function, gut bacteria, and nutrient malabsorption

The terms "Functional Integrative Medicine", "targeted supplements" and "probiotics" immediately sets off warning alarms for us skeptics.  However, when I read through the web site, it sounds like what they mean in this case is that they start with modern medicine to diagnose what is wrong, and then they use modern medicine and procedures in combination with dietary changes to fix the problem.  I know, I know, this is how they suck you in.

Now my daughter is somewhat (not totally) of a skeptic.  She understands that clinics just like this exist just to bilk people out of thousands of dollars, relying on natural healing over time to make people think what they are doing is working.  She is going in with a skeptical mindset, but she's also hopeful that they will be able to prove that they are the real deal.  She called me for advice on what to ask at the meeting.

I told her all of my concerns about probiotics, integrative medicine, and what not, and she understands what I am saying.  However, as she points out, this guy is an actual medical doctor and is not putting down conventional medicine.  Maybe he actually does know what he is doing.

So, I told her to mention that probiotics have been shown to have very little effect on actually changing the self-reinforcing stasis of gut biota, so how does his treatment work?  I told her to make it clear to him that she knows the difference between anecdotes and evidence, and that she's looking for actual proof that the treatments he is using are effective.  I told her to ask him if he works with any colleagues in the medical community that can vouch for him so we can look them up and see if they are crackpots.

My questions for all of you nice, smart people are:
- What have you heard of this guy or his practice?
- What other questions should she ask at a 45 minute appointment?
- What other options does she have for chronic IBS treatment (this place charges $7000 per year, and for that much she can fly anywhere in the world a few times to see leading specialists)?

I'm heading over to Google to start researching it myself.  Thanks!
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 11, 2019, 04:26:52 PM
I had gut issues and IBS my entire adult life until I went LCHF. I haven’t had a hint of IBS since. And I had the nasty kind.

There are studies on pub med that show the effectiveness of LCHF  diet for IBS.

Since it is a digestion issue it makes sense that dietary changes could effect it.


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Title: Re: Personal Health MD - mainstream meets functional?
Post by: lonely moa on July 11, 2019, 04:27:53 PM
I think those clinics staffed by board certified MD are everywhere and they get results, partly because they spend more time discover underlying causes.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: daniel1948 on July 11, 2019, 04:54:47 PM
The term "Integrative Medicine" is a code word for "alternative medicine" to make it sound like they're using real medicine also. Combining quack remedies with real medicine does not make the real medicine work any better.  I know nothing about this doctor, but I think you're doing the right thing by priming your daughter with the right questions to ask. These quacks make their living preying on people for whom real medicine has failed, and who are willing to spend money trying fake medicine because they are desperate. I certainly understand the motivation. I went to a chiropractor once because I was so desperate for relief of my back pain. The treatment felt good, but 5 minutes later my back hurt as much as when I went in. On another occasion when I had back pain I again was desperate enough to call a chiropractor. He couldn't fit me in until the following week, by which time my back had gotten better on its own. If he had had time to fit me in, I might have credited him with fixing my back.

Just because a person has a medical degree doesn't mean they're not a quack. Wakefield was a doctor.

I wish your daughter the best of luck.

Probably couldn't hurt to see if the Science-Based Medicine blog has anything on IBS, but I'm sure you've done that already.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 11, 2019, 05:58:40 PM
The term "Integrative Medicine" is a code word for "alternative medicine" to make it sound like they're using real medicine also. Combining quack remedies with real medicine does not make the real medicine work any better.  I know nothing about this doctor, but I think you're doing the right thing by priming your daughter with the right questions to ask. These quacks make their living preying on people for whom real medicine has failed, and who are willing to spend money trying fake medicine because they are desperate. I certainly understand the motivation. I went to a chiropractor once because I was so desperate for relief of my back pain. The treatment felt good, but 5 minutes later my back hurt as much as when I went in. On another occasion when I had back pain I again was desperate enough to call a chiropractor. He couldn't fit me in until the following week, by which time my back had gotten better on its own. If he had had time to fit me in, I might have credited him with fixing my back.

You seem to be saying it's either mainstream medicine or quackery and there is nothing in between.

Title: Re: Personal Health MD - mainstream meets functional?
Post by: Billzbub on July 11, 2019, 06:14:38 PM
The term "Integrative Medicine" is a code word for "alternative medicine" to make it sound like they're using real medicine also. Combining quack remedies with real medicine does not make the real medicine work any better.  I know nothing about this doctor, but I think you're doing the right thing by priming your daughter with the right questions to ask. These quacks make their living preying on people for whom real medicine has failed, and who are willing to spend money trying fake medicine because they are desperate. I certainly understand the motivation. I went to a chiropractor once because I was so desperate for relief of my back pain. The treatment felt good, but 5 minutes later my back hurt as much as when I went in. On another occasion when I had back pain I again was desperate enough to call a chiropractor. He couldn't fit me in until the following week, by which time my back had gotten better on its own. If he had had time to fit me in, I might have credited him with fixing my back.

Just because a person has a medical degree doesn't mean they're not a quack. Wakefield was a doctor.

I wish your daughter the best of luck.

Probably couldn't hurt to see if the Science-Based Medicine blog has anything on IBS, but I'm sure you've done that already.

I hadn't thought of that yet.  Good idea.  Thanks for the response.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: arthwollipot on July 11, 2019, 09:00:46 PM
I had gut issues and IBS my entire adult life until I went LCHF. I haven’t had a hint of IBS since. And I had the nasty kind.

There are studies on pub med that show the effectiveness of LCHF  diet for IBS.

Since it is a digestion issue it makes sense that dietary changes could effect it.

Okay, hands up anyone who did not predict that CarbShark would come here and say this. Anyone?
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 11, 2019, 10:23:34 PM
Considering that I’ve mentioned IBS and LCHF before what would you expect?


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Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 11, 2019, 10:24:32 PM
I had gut issues and IBS my entire adult life until I went LCHF. I haven’t had a hint of IBS since. And I had the nasty kind.

There are studies on pub med that show the effectiveness of LCHF  diet for IBS.

Since it is a digestion issue it makes sense that dietary changes could effect it.

Okay, hands up anyone who did not predict that CarbShark would come here and say this. Anyone?
And what was your contribution to the thread?


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Title: Re: Personal Health MD - mainstream meets functional?
Post by: bachfiend on July 12, 2019, 12:43:36 AM
I had gut issues and IBS my entire adult life until I went LCHF. I haven’t had a hint of IBS since. And I had the nasty kind.

There are studies on pub med that show the effectiveness of LCHF  diet for IBS.

Since it is a digestion issue it makes sense that dietary changes could effect it.


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Why none of your usual block dump of links to journal articles?  And aren’t you just giving an anecdote, which you decry as being inadequate whenever anyone else mentions when it’s contrary to your diet?
Title: Re: Personal Health MD - mainstream meets functional?
Post by: daniel1948 on July 12, 2019, 11:00:27 AM
The term "Integrative Medicine" is a code word for "alternative medicine" to make it sound like they're using real medicine also. Combining quack remedies with real medicine does not make the real medicine work any better.  I know nothing about this doctor, but I think you're doing the right thing by priming your daughter with the right questions to ask. These quacks make their living preying on people for whom real medicine has failed, and who are willing to spend money trying fake medicine because they are desperate. I certainly understand the motivation. I went to a chiropractor once because I was so desperate for relief of my back pain. The treatment felt good, but 5 minutes later my back hurt as much as when I went in. On another occasion when I had back pain I again was desperate enough to call a chiropractor. He couldn't fit me in until the following week, by which time my back had gotten better on its own. If he had had time to fit me in, I might have credited him with fixing my back.

You seem to be saying it's either mainstream medicine or quackery and there is nothing in between.

No. I'm saying that quackery does not become less quacky when combined with real medicine. And I'm saying that adding a quack remedy on top of real medicine does not make the real medicine work any better. And I'm saying that "integrative medicine" is just a new word for quackery, just as "intelligent design" was a new word for creationism. When they started losing the fight to put creationism into science classes, they changed its name to "intelligent design" to make it seem more sciencey. The quacks peddling "alternative medicine" are trying to slither their way into the medical profession by calling it "integrative."
Title: Re: Personal Health MD - mainstream meets functional?
Post by: AQB24712 on July 12, 2019, 02:17:55 PM
Administrator Comment Lay off CarbShark (also lay off, CarbShark) and focus on the topic at hand, please and thank you.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: bachfiend on July 12, 2019, 04:47:16 PM
Administrator Comment Lay off CarbShark (also lay off, CarbShark) and focus on the topic at hand, please and thank you.

Well, the topic at hand is irritable bowel syndrome (IBS) and its treatment, so not even CarbShark has gone off topic.  IBS is a syndrome, not a disease like Crohn’s disease or coeliac disease.  A syndrome is broadly speaking a constellation of signs and symptoms.  IBS doesn’t even appear to be a single condition:

https://en.m.wikipedia.org/wiki/Irritable_bowel_syndrome

Some people have diarrhoea.  Some have constipation.  Some have alternating constipation and diarrhoea.  Some have abdominal pain.  All in the absence of a recognisable disease.  Some people have noticed that dietary manipulation by eliminating fermentable carbohydrates from their diets improve their symptoms.

CarbShark might have gained relief by eliminating fermentable carbohydrates from his diet (along with other carbohydrates), not because of a high fat intake.  Or his nutritional ketosis.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 12, 2019, 06:06:36 PM
Most likely from the food choices.

When I first looked on pub med years ago LCHF was the only dietary option that had been found effective.

In the last few years other diets, especially  FODMAP, have also shown good results.

Even though symptoms for IBS can differ, it’s the same issue and most respond to the same treatments.


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Title: Re: Personal Health MD - mainstream meets functional?
Post by: bachfiend on July 12, 2019, 06:33:29 PM
Most likely from the food choices.

When I first looked on pub med years ago LCHF was the only dietary option that had been found effective.

In the last few years other diets, especially  FODMAP, have also shown good results.

Even though symptoms for IBS can differ, it’s the same issue and most respond to the same treatments.


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IBS is a set of conditions without a recognisable disease, such as coeliac disease.  Or inflammatory bowel disease.  It’s a diagnosis of exclusion.  It’s pretty obvious that what you take in through your mouth is going to affect what comes out the other end.  If you get symptoms consuming one particularly food, or type of food, then it makes sense to avoid it.  I know from experience that one of my no-noes is oatmeal, despite my loving bircher muesli.  I have to restrict to only an occasional treat, otherwise...  could I have IBS?  I don’t know.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 12, 2019, 06:56:59 PM
Most likely from the food choices.

When I first looked on pub med years ago LCHF was the only dietary option that had been found effective.

In the last few years other diets, especially  FODMAP, have also shown good results.

Even though symptoms for IBS can differ, it’s the same issue and most respond to the same treatments.


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IBS is a set of conditions without a recognisable disease, such as coeliac disease.  Or inflammatory bowel disease.  It’s a diagnosis of exclusion.  It’s pretty obvious that what you take in through your mouth is going to affect what comes out the other end.  If you get symptoms consuming one particularly food, or type of food, then it makes sense to avoid it.  I know from experience that one of my no-noes is oatmeal, despite my loving bircher muesli.  I have to restrict to only an occasional treat, otherwise...  could I have IBS?  I don’t know.

The primary and most common symptom of IBS is acute and sometimes severe pain in the lower abdomen. Usually it's not a single food (although some are suggesting that sucrose or just fructose may be a cause) but a broad range of foods avoided on diets like LCHF or FODMAP.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: bachfiend on July 12, 2019, 07:09:19 PM
Most likely from the food choices.

When I first looked on pub med years ago LCHF was the only dietary option that had been found effective.

In the last few years other diets, especially  FODMAP, have also shown good results.

Even though symptoms for IBS can differ, it’s the same issue and most respond to the same treatments.


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IBS is a set of conditions without a recognisable disease, such as coeliac disease.  Or inflammatory bowel disease.  It’s a diagnosis of exclusion.  It’s pretty obvious that what you take in through your mouth is going to affect what comes out the other end.  If you get symptoms consuming one particularly food, or type of food, then it makes sense to avoid it.  I know from experience that one of my no-noes is oatmeal, despite my loving bircher muesli.  I have to restrict to only an occasional treat, otherwise...  could I have IBS?  I don’t know.

The primary and most common symptom of IBS is acute and sometimes severe pain in the lower abdomen. Usually it's not a single food (although some are suggesting that sucrose or just fructose may be a cause) but a broad range of foods avoided on diets like LCHF or FODMAP.

No.  IBS isn’t a single condition, nor does it have a single set of symptoms.  As I’d noted, some people have diarrhoea.  Some have constipation.  Some have alternating diarrhoea and constipation.  Some have abdominal pain.  There’s no common set of symptoms.  It’s a diagnosis of exclusion.  It’s necessary to exclude ‘real’ diseases, such as coeliac disease and inflammatory bowel disease.

Some people have noted that it’s diet related, and eliminating certain foods is helpful.  Your LCHF diet works only because it’s a highly restrictive diet, eliminating a whole range of carbohydrates, including some which have been noted to worsen the symptoms.  It’s a good reason for you to persist with it, but it’s not a good reason for you to be proselytising for it.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: Billzbub on July 19, 2019, 10:14:10 AM
Megan had her initial appointment with this clinic, and she felt pretty positive about it.  The doctor uses conventional medicine as much as possible, but also tries cutting edge treatments that haven't yet been clinically researched.  He doesn't buy into acupuncture, reflexology, homeopathy, chiropractic, etc.  I'm still on the fence because, if something is not clinically proven, how does he know how safe or effective it will be?  Megan said she's willing to be a guinea pig since the doctors she has seen so far haven't helped.

The great news is that she put me and her dad on her consent form and asked the doctor to conference call with us.  They have e-mailed me and set up an appointment for this afternoon.  I get to ask my questions personally!  *hold my beer*

So, I went ahead and sent my question via e-mail because I want the doctor's best answer.  Here's my e-mail:

(click to show/hide)

I've already sent it, so I'm not asking for input on the e-mail.  But, I still have 6 hours before the phone call if you have anything else I should ask.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: daniel1948 on July 19, 2019, 10:30:00 AM
You've covered the things I was going to rant about except for: Clinical trials are conducted after a review board makes a determination that the procedure offers reasonable prospects of being useful. Basically, this doctor is conducting clinical trials without an independent review beforehand, and without any sort of blinding to eliminate bias in the results or comparing against placebo. If a patient gets better he has no way of knowing if it was due to the procedure or if the person would have gotten better anyway.

OTOH, in your daughter's place, I'd probably be doing just what she is doing. My step-mother had IBS and I gather it is miserable.

But this is why independent review boards exist: To prevent doctors from throwing dirt at the wall to try and see what sticks, and then having no way of knowing if it stuck because of the dirt or because of the wall.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 19, 2019, 10:31:05 AM
Before your call I would suggest a PubMed search for IBS and diet.

I would be very surprised if diet is not part of the treatment.

FWIW diets (FODMAP;LCHF) have been found effective in clinical trials (better than any other approach) but are not accepted as a mainstream treatment.




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Title: Re: Personal Health MD - mainstream meets functional?
Post by: stands2reason on July 19, 2019, 11:59:36 AM
My gut reaction is that IBS is just people trying to diagnose a bad diet, especially since irregular bowel movements are a defining symptom. It's not a disease; it doesn't have a pathology; it's not a thing that's confirmed to exist. It's a collection of symptoms under a science-sounding label. The only treatment for IBS that sounds like real medicine is fiber supplements, which is similarly suggestive.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: Billzbub on July 19, 2019, 02:10:36 PM
...
But this is why independent review boards exist: To prevent doctors from throwing dirt at the wall to try and see what sticks, and then having no way of knowing if it stuck because of the dirt or because of the wall.

I did not mention this in the e-mail but I will keep it in mind during the phone call.  This is an excellent thought.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 19, 2019, 02:14:20 PM
My gut reaction is that IBS is just people trying to diagnose a bad diet, especially since irregular bowel movements are a defining symptom. It's not a disease; it doesn't have a pathology; it's not a thing that's confirmed to exist. It's a collection of symptoms under a science-sounding label. The only treatment for IBS that sounds like real medicine is fiber supplements, which is similarly suggestive.

"Gut reaction," hah!

Irritable Bowel Syndrome is not a disease. It's a syndrome. (that's what the S is). No irregular bowel movements are not a defining symptom. Pain in the bowels are the defining syndrome (that's what the I is for irritable, i.e. pain). The collection of symptoms, which include irregular bowel movements; diarrhea and constipation, vary, sometimes even in the same individual. But there is always pain and at least one other symptom.

It's pathology is unclear, but IBS is confirmed to exist.

Title: Re: Personal Health MD - mainstream meets functional?
Post by: Billzbub on July 19, 2019, 02:21:32 PM
My gut reaction is...

Well played, sir!

...that IBS is just people trying to diagnose a bad diet, especially since irregular bowel movements are a defining symptom. It's not a disease; it doesn't have a pathology; it's not a thing that's confirmed to exist. It's a collection of symptoms under a science-sounding label. The only treatment for IBS that sounds like real medicine is fiber supplements, which is similarly suggestive.

I have a bad diet, and I'm not doubled over in gut pain a few times a week.  She has a great diet, and is.  So I don't think a bad diet is the sole cause of IBS.  Maybe diet can affect it, but it does not cause it.

Just because we don't yet understand what causes the symptoms doesn't mean that there is not a root cause or multiple root causes.  And, whether or not IBS is a clearly-defined thing has no bearing on whether an individual suffering from the symptoms has a clearly-defined thing going on with them.  For example, my daughter may have gut biota that aren't working together correctly, or a tear in her intenstine, or who knows what else.  Just because they diagnosed it as IBS (a general term for these kind of symptoms), doesn't mean the cause can't be found and fixed.

She hasn't yet tried a strict keto diet or a long-term FODMAP diet, and I hope she does try both as low-cost, no risk trials.  I will also ask the doctor about them over the phone.  I will ask about fecal transplants and probiotics, too.  I've heard Steve's take on probiotics and want to know what this doctor things about them.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: stands2reason on July 19, 2019, 02:30:51 PM
She hasn't yet tried a strict keto diet or a long-term FODMAP diet, and I hope she does try both as low-cost, no risk trials.  I will also ask the doctor about them over the phone.  I will ask about fecal transplants and probiotics, too.  I've heard Steve's take on probiotics and want to know what this doctor things about them.

I'm not saying I'm certain it's not real. But it is a thing that's not confirmed to exist (because there is no confirmed pathology or mechanism of action), and the most likely explanation IMO is not getting enough water & fiber.

In case you're wondering, FODMAP's are often found in beans. Basically, just like bean flatulence, some people have more issue with it than others. The gut flora <---> FODMAP connection isn't absurd, but probably a niche effect.

LCHF, or otherwise avoiding FODMAP's & grains is strongly correlated with getting less fiber (one of the best arguments against those diets), which is likely to make the problem worse. 

Plus, if someone is transitioning back into eating a proper amount of fiber, they are going to get more gas as the fiber causes a bloom in the kind of gut flora that digest it.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: Captain Video on July 19, 2019, 02:39:04 PM
I have it, nobody can ever tell me whats wrong. I have had a colostomy, upper and lower GIs, nothing.  Diet makes no difference.

I believe it is anxiety related or similar, at least in my case.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 19, 2019, 06:13:22 PM
My gut reaction is...

Well played, sir!

...that IBS is just people trying to diagnose a bad diet, especially since irregular bowel movements are a defining symptom. It's not a disease; it doesn't have a pathology; it's not a thing that's confirmed to exist. It's a collection of symptoms under a science-sounding label. The only treatment for IBS that sounds like real medicine is fiber supplements, which is similarly suggestive.

I have a bad diet, and I'm not doubled over in gut pain a few times a week.  She has a great diet, and is.  So I don't think a bad diet is the sole cause of IBS.  Maybe diet can affect it, but it does not cause it.

Or, maybe, what you think is a "bad diet" may not be all that bad, and what you think is a "good diet" may have interactions that actually cause it. (Also there is a theory that it gut micro biome may have an influence, but that's the dietary equivalent of saying "who knows, maybe it's dragon"
Quote

 She hasn't yet tried a strict keto diet or a long-term FODMAP diet, and I hope she does try both as low-cost, no risk trials.  I will also ask the doctor about them over the phone.  I will ask about fecal transplants and probiotics, too.  I've heard Steve's take on probiotics and want to know what this doctor things about them.

And please report the response here!
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 19, 2019, 06:14:26 PM
I have it, nobody can ever tell me whats wrong. I have had a colostomy, upper and lower GIs, nothing.  Diet makes no difference.

I believe it is anxiety related or similar, at least in my case.

Have you gone script LCHF or strict FODMAP?
Title: Re: Personal Health MD - mainstream meets functional?
Post by: lonely moa on July 19, 2019, 06:29:06 PM
An informative article on IBS with enough links to studies to choke on (sorry). 

https://chriskresser.com/5-causes-of-ibs-your-doctor-may-not-be-looking-for/?fbclid=IwAR0UqfngM9aqmOMBuuiFkSylJHxNDpAWlyxQXGY0mdCO4gcGIqS2eE7F7UY
Title: Re: Personal Health MD - mainstream meets functional?
Post by: bachfiend on July 19, 2019, 06:35:57 PM
I have it, nobody can ever tell me whats wrong. I have had a colostomy, upper and lower GIs, nothing.  Diet makes no difference.

I believe it is anxiety related or similar, at least in my case.

Have you gone script LCHF or strict FODMAP?

Well, when you eat, you’re not just feeding yourself, you’re also feeding the much larger number of cells represented by the bacteria within your gut.  Your gut bacteria are adapted and selected for the diet you consume.  If you change your diet radically, it’s likely that your current gut bacteria aren’t going to ‘like’ it and respond by producing diarrhoea, which is going to eliminate and select against your current gut bacteria.

Going on a LCHF diet often causes diarrhoea or constipation, illustrating that changing your diet often has effects.  It’s probably best to avoid foods that cause symptoms, and to keep your diet as close as possible to constant.  If LCHF diets are effective in managing IBS, then it’s probably because it’s a restrictive diet.  Eventually your gut bacteria adapts or is selected for the food items in the diet, and the symptoms disappear.

I love Bircher muesli, but from experience I know it’s best for me to avoid it.  The oatmeal for me is almost ‘lethal.’
Title: Re: Personal Health MD - mainstream meets functional?
Post by: Captain Video on July 19, 2019, 07:04:30 PM
I have it, nobody can ever tell me whats wrong. I have had a colostomy, upper and lower GIs, nothing.  Diet makes no difference.

I believe it is anxiety related or similar, at least in my case.

Have you gone script LCHF or strict FODMAP?

Does eating nothing but chicken and rice for a month count? No change.  Also not drinking milk added stress as it comforts me. Im pretty well rounded with my diet and recently I noticed my weight is on target. No particular food triggers anything but stress certainly does. I haven't had a really bad spell in over a year just minor bouts of it.

I do alter my diet if I get hit with a bad spell as some things are just easier to pass.

When it got bad I had blockage and could not pass, I get a mix of both, they sent me to the hospital from set which was what triggered the tests.

Its stress.


Title: Re: Personal Health MD - mainstream meets functional?
Post by: bachfiend on July 19, 2019, 07:47:04 PM
I have it, nobody can ever tell me whats wrong. I have had a colostomy, upper and lower GIs, nothing.  Diet makes no difference.

I believe it is anxiety related or similar, at least in my case.

Have you gone script LCHF or strict FODMAP?

Does eating nothing but chicken and rice for a month count? No change.  Also not drinking milk added stress as it comforts me. Im pretty well rounded with my diet and recently I noticed my weight is on target. No particular food triggers anything but stress certainly does. I haven't had a really bad spell in over a year just minor bouts of it.

I do alter my diet if I get hit with a bad spell as some things are just easier to pass.

When it got bad I had blockage and could not pass, I get a mix of both, they sent me to the hospital from set which was what triggered the tests.

Its stress.

CarbShark will undoubtedly note that rice isn’t part of a LCHF diet.  IBS is a syndrome, not a disease, with unknown causes.  It may be more than one condition, with different causes and triggers.  Have you ever thought you might have ‘abdominal migraine,’ which is another syndrome of unknown cause?  But which may be precipitated by stress.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: Captain Video on July 19, 2019, 07:50:30 PM
I have it, nobody can ever tell me whats wrong. I have had a colostomy, upper and lower GIs, nothing.  Diet makes no difference.

I believe it is anxiety related or similar, at least in my case.

Have you gone script LCHF or strict FODMAP?

Does eating nothing but chicken and rice for a month count? No change.  Also not drinking milk added stress as it comforts me. Im pretty well rounded with my diet and recently I noticed my weight is on target. No particular food triggers anything but stress certainly does. I haven't had a really bad spell in over a year just minor bouts of it.

I do alter my diet if I get hit with a bad spell as some things are just easier to pass.

When it got bad I had blockage and could not pass, I get a mix of both, they sent me to the hospital from set which was what triggered the tests.

Its stress.

CarbShark will undoubtedly note that rice isn’t part of a LCHF diet.  IBS is a syndrome, not a disease, with unknown causes.  It may be more than one condition, with different causes and triggers.  Have you ever thought you might have ‘abdominal migraine,’ which is another syndrome of unknown cause?  But which may be precipitated by stress.

No, because no doctor has ever mentioned it.  I get "we don't know, probably stress related" every time so I pretty much need to accept that.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: daniel1948 on July 19, 2019, 08:12:16 PM
FWIW diets (FODMAP;LCHF) have been found effective in clinical trials (better than any other approach) but are not accepted as a mainstream treatment.

If they're not accepted as part of the mainstream approach it's probably because there are just as many studies showing them to be ineffective as showing them to be effective.

One difference between a scientist and an internet-savvy science enthusiast is that the latter can find any number of studies supporting what they want to believe, while a scientist reviews studies that also show things they'd rather not have to believe.
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 19, 2019, 08:51:43 PM
FWIW diets (FODMAP;LCHF) have been found effective in clinical trials (better than any other approach) but are not accepted as a mainstream treatment.

If they're not accepted as part of the mainstream approach it's probably because there are just as many studies showing them to be ineffective as showing them to be effective.

That’s an easy assumption to make but it’s just false in this case
Quote
One difference between a scientist and an internet-savvy science enthusiast is that the latter can find any number of studies supporting what they want to believe, while a scientist reviews studies that also show things they'd rather not have to believe.

That’s pretty much false.




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Title: Re: Personal Health MD - mainstream meets functional?
Post by: bachfiend on July 19, 2019, 10:36:02 PM
FWIW diets (FODMAP;LCHF) have been found effective in clinical trials (better than any other approach) but are not accepted as a mainstream treatment.

If they're not accepted as part of the mainstream approach it's probably because there are just as many studies showing them to be ineffective as showing them to be effective.

That’s an easy assumption to make but it’s just false in this case
Quote
One difference between a scientist and an internet-savvy science enthusiast is that the latter can find any number of studies supporting what they want to believe, while a scientist reviews studies that also show things they'd rather not have to believe.

That’s pretty much false.




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Is this the sort of ‘evidence’ you reckon exists for the efficacy of LCHF diets? 

http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742013001100013

Or perhaps you might like to do one of your worthless block dump of links to various articles?
Title: Re: Personal Health MD - mainstream meets functional?
Post by: CarbShark on July 20, 2019, 12:11:54 AM
No and no


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Title: Re: Personal Health MD - mainstream meets functional?
Post by: bachfiend on July 20, 2019, 12:14:02 AM
No and no


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Well, it’s the sort of response I have come to expect from you.  You don’t have any evidence.