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Health Considerations for Spring 2020

Health Considerations for Spring 2020

Dear Friends,

I wanted to share my findings after a period of research as well as a number of seminars with top practitioners. Firstly, though, as a disclaimer, it is necessary to say that my presentation here is for general informational purposes and is not meant to promote any preventive or curative measures for the Covid-19 virus. Naturopathic physicians in British Columbia have been designated an essential service and are following very closely the guidelines given out to health care practitioners by the Provincial Health Officer. I’ve left how my office is operating to the end of this paper.

Of course, I’m going to keep this as simple as can be. Much will be repetition from what you may have already learned. Some will be new. Along with all of the necessary personal and social behaviours being promoted by public health authorities, it is certainly worth considering some of the research that may have relevance to the current situation. I’ve also provided plentiful scientific references for those who would like to delve more deeply. This article focuses on naturopathic considerations. In the next article I’ll be discussing what’s been going on in the homeopathy world around Covid-19 and the homeopathic experience in past epidemics.

Just yesterday I learned that my nephew was ill with what has been confirmed to be Covid-19. He has a wife and three young boys, all so far well. Today I spoke with him and questioned him in detail regarding his experience, and believe me, none of us would want to go through it. I then spoke with his wife and reviewed all the measures she is employing to help herself and this was a great discussion. Notably, a number of his work colleagues are ill but have not been tested which tells us that the true count is well ahead of what is reported.

This also illustrates in several ways the importance of social distancing. We don’t know who is infected until they have isolated long enough to pass through the incubation stage, which can go all the way to three weeks. People feeling fine could be vectors of infection, as could their co-workers or family, so we have to avoid a false sense of security. Control freaks are having a huge healing right now as they finally realize we don’t control much and finally let it go. Nevertheless, we can, with an effort of will, control our behaviour.

A Few Points About Covid-19

This is a very infectious and virulent (which essentially means harmful) organism. So it is easily transmitted and easily able to do its dirty work. In the process of infection, once the virus attaches to a cell and then enters, it develops by activating a specific factor in the cellular fluid called an NLRP3 inflammasome. You don’t have to remember NLRP3. In act, forget I even said it. The important point is that this inflammasome activates the release of a complex family of immune factors known as cytokines that are ultimately responsible for the illness caused by Covid-19. By now you may have heard the term “cytokine storm”, which refers to an immune system gone wild. Cytokines are a normal part of the immune system, though under various circumstances they can trigger severe local inflammation, as in rheumatoid arthritis. A Cytokine Storm is when too many cytokines are released too quickly, leading to fever, inflammation, and the array of symptoms associated with the illness.

Of course, there are various other intriguing biochemical points around the coronavirus and its interactions in the cellular environment, but enough, as they say, is enough.

Risk Factors

The severity of the infection depends on two main factors. First is the basic health status of the individual. This includes any underlying conditions, the ways in which medications effect immune function, as well as nutritional status. Stress is another risk factor as it has so many harmful effects on the body, including increasing inflammation and depressing immune function. So chill out, get enough rest, breathe deeply, learn to meditate, as now is surely the opportune time.

The second basic risk factor is age, as many of the most potent defensive and restorative systems within the body are less efficient with age. Age related health issues such as cardiovascular or respiratory illness and all of the other wide-ranging biological changes that go along with aging can be a dangerous combination. I happen to be sensitive to this subject as I qualify for a pension this summer!

So in our review of research with some potential relevance, we have tried to understand how to support our bodies defensive capacity, increase the immune systems ability to kill viruses, prevent viruses from attaching to cells, prevent viral replication within the cell, or reduce the activation of inflammasomes and other cellular factors that lead to serious illness. One of the most interesting things I have learned though, is that virtually everything that has relevance to preventing viral infection, is also relevant to cancer prevention. I have nothing more to say about that but wanted to share that finding.

Again though, my initial disclaimer must of necessity be restated - I am not attempting to promote specific preventive or curative treatments for Covid-19, but rather to look at research that may or may not have some relevance.

Basic Nutritional Considerations

A clear conclusion from all of my research is that a plant-based natural food diet, rich in variety and colour, is your first, most important line of defence. Even the elements that give foods their colour are potent, antioxidant and anti-inflammatory nutrients. Some have been shown to reduce inflammasome signals that can lead to a cascade of inflammatory factors. So eat plenty of fresh vegetables, fruits, berries, nuts and seeds.

I would particularly mention broccoli sprouts due to their rich content of sulforaphanes, though broccoli, cauliflower, cabbage and kale are all endowed with this molecule. The current novel coronavirus is activated by an enzyme called TMPRSS2. Sulforaphanes, besides dampening inflammation, directly inhibit this enzyme. Green Tea catechins also inhibit the secretion of TMPRSS2.

Also legumes, i.e., beans, as well as grains such as millet, buckwheat, quinoa and rice are all rich sources of macro and micro nutrients, as well as a wide variety of phytochemicals, unique plant chemicals with health promoting and anti-aging value.

In fact, inadequate nutrient status is a major risk factor, so it doesn’t hurt to take a high quality Multi-Vitamin Multi Mineral supplement. There are various micronutrients that help maintain strong immune function, such as zinc and selenium. Diet alone can be insufficient and a general supplement can ensure that you’re covered. I would not recommend garden variety drug store formulas such as Centrum, as the quality of the nutrients and secondary ingredients are much less in tune with our natural physiology. Better to go to the natural food stores or natural health professionals. The typical natural food store customer is a label reader and a student of quality in this regard, therefore the companies are more competitive and produce better products to impress the market. This is useful because the form of a nutrient that you take can make a big difference for assimilation and utilization.

Gargling

I was sent an audio by six people on the same day of a woman with an Aussie accent claiming to be giving advice from a Spanish doctor. It wasn’t all that credible to me but she spoke about gargling, so I did a little research on this. Lo and behold, I discovered that gargling with green tea or salt water can be a very useful factor in lowering the risk of viral infection. Drinking green tea also has important benefits due to the potent green tea catechins.

Supporting Your Health with Natural Products

Vitamin C - 1-2 grams three times daily
1 grams for kids
Vitamin C inhibits inflammasome activation and improves the outcome of upper respiratory infections. For a variety of reasons, metabolic requirements go up significantly with infection, so double or even triple your dose if you become ill. Hospitals are using IV infusions.
Vitamin D - 5000 IU daily This is a preventive factor as the influence of Vitamin D on the immune system is significant. Vitamin D supplementation is important generally as Vitamin D deficiency is quite common in northern climates.
Zinc - 20 to 25 mg. daily, a third of that for children. Zinc is one of our top anti-virals and immune support nutrients. It improves the function of white blood cells, an essential aspect of our immune defence, and prevents the entry of viruses into cells. It can also prevent excess cytosine production.
N-acetyl Cysteine - 500 mg. twice daily Increases levels of Glutathione, the body’s master antioxidant. It protects the energy engine of the cell as well as various organ systems. It improves mucous clearance in the lungs, improves lung function and helps protect against lung damage. It also disrupts bacterial communities called biofilms.
Quercetin
Quercetin is a flavonoid found in fruits and vegetables, and is particularly rich in apples and onions, particularly onion skin. Onion skins are used as a dye and the pigment itself is the quercetin. Simply pour boiling water over onion skins and allow it to sit for thirty minutes, strain then drink it. Absorption of quercetin from onions is twice that of tea and three times that of apples. Quercetin has wide ranging values but relevant to our current situation, it inhibits the ability of viruses to establish an infection through several mechanism including preventing their entry into cells and reducing replication of the viruses that do enter. To achieve benefits requires supplemental doses.
Melatonin
Melatonin is not just for sleep. No, no, no! Yes, it can give you wild dreams. Yes, yes, yes! Melatonin is a potent inhibitor of NLPR3 (oops!) inflammasones, helps maintain the balance of the cells energy engine, the mitochondria, is antioxidant and lowers the production of pro-inflammatory cytokines. Melatonin can also prevent lung injury that can be associated with mechanical ventilators. Melatonin levels fall very significantly with age. A child can have ten times the level of melatonin as a healthy adult senior. Is there a relationship between melatonin levels and the far greater impact of the coronavirus on seniors? An interesting question. Even a half to one mg. taken in the evening can be a valuable supplement, particularly for seniors.

Herbal Medicine

When I was a teenager, I couldn’t get that excited about herbal medicine as the information around any given herb seemed so general and imprecise. In the many years since, herbal medicine has gained a far greater foothold in research. So much so that there is a huge and ever expanding world of information on the chemistry and bioactivity of a vast array of medicinal herbs. So as not to drag this already long article too much further, I’m going to simply list some of the most significant herbs with relevance to the inflammatory pathways associated with coronavirus, general immune system benefits and antiviral activity. Formulations based on some or all of these plants may be useful considerations at this time.
Astragalus - Anti-viral, Anti-inflammatory
Andrographis - A very potent broad spectrum anti-viral. Rather exceptionally bitter.
Licorice - Anti-viral, anti-stress, improves absorption of nutrients. Caution: Dose matters as it can stimulate high blood pressure.
Holy Basil - Anti-stress, broad spectrum anti-bacterial, anti-viral, anti-fungal.
Mentha - Anti-viral, anti-inflammatory
Medicinal Mushrooms - Potent immune support and anti-viral.
Olive Leaf - Anti-viral, anti-inflammatory, protects the entire cardiovascular system.
Scutellaria baicalensis - Potent anti-inflammatory and viral inhibition.
Nettle - Reduces cytokine release and reduces a range of associated inflammatory factors.
Elecampagne - Prevention and support for lung inflammation.
Elderberry extract - Despite the controversy, experts agree that Elderberry, at least up to the point of symptoms, has many potential benefits and should not be ignored. A fairly potent anti-viral herb that also tastes great.

Clinic Information

During the Covid-19 crisis we are happy to continue offering appointments via Skype, Face Time, Facebook Messenger video, What’s App or phone. To my experience, online video is as good as in person for first time case taking and follow-up. Details for appointments are found on the online appointment system at my website or by phoning the office. Suitable arrangements will be made for safe pick up or shipping via courier or Canada Post of homeopathic remedies and natural products.

Last Word

At this remarkable juncture through which we are all passing I ask myself: What will the world be like afterwards, when billions of people have shared such a dramatic, life changing experience – even if they are not impacted personally, but the physical distancing, the time away from work? What will change in our values and priorities and what will remain? If we can appreciate that we are in some kind of world altering gestation, do we want that to be based on fear or do we want that to be based on love?

Now is an opportunity if you don’t have kids swirling around you, to journal, to learn to meditate. You may wish to check out my free meditation program on the website. You may also consider reviewing the Regenerative Nutrition series of videos. It’s long, but I suspect you’ll have lots of time. All found under the education category.

May you and your dear ones be safe through this difficult passage.

Dr. Neil Tessler
Surrey, BC
(604)542-9759
uniqueholisticsolutions.com

References:
Stress:
https://adrenalfatigue.org/…/got-stress/stress-affects-body/
https://www.apa.org/helpcenter/stress-body
Aging
https://www.ncbi.nlm.nih.gov/pmc/…
https://www.intechopen.com/…/ageing-process-and-physiologic…
Flavonoids:
https://pubs.rsc.org/…/conte…/articlehtml/2010/fo/c0fo00103a
https://www.ncbi.nlm.nih.gov/pubmed/20569521
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5465813/
Plant Nutrition:
https://health.mo.gov › living › families › wic › pdf › phytonutrientsposter
https://tinyurl.com/vkmmkzp
https://journals.plos.org/plosone/article…
https://www.ncbi.nlm.nih.gov/pubmed/27613272
Gargling with salt water or green tea
https://www.ncbi.nlm.nih.gov/pubmed/…
https://www.ncbi.nlm.nih.gov/pubmed/29652019
https://www.ncbi.nlm.nih.gov/pubmed/27175786
https://www.ncbi.nlm.nih.gov/pubmed/30037024
TMPRSS2
https://en.wikipedia.org/wiki/TMPRSS2
https://www.pnas.org/content/early/2020/03/11/2002589117
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649750/
https://www.sciencedirect.com/…/nursing-and-he…/sulforaphane
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2757849/
Vitamin C
https://tinyurl.com/s3m2s74
https://tinyurl.com/wnmq6e3
https://www.ncbi.nlm.nih.gov/pubmed/16373990
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5707683/
https://www.ncbi.nlm.nih.gov/pubmed/21184650
Vitamin D
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6904361/
https://www.ncbi.nlm.nih.gov/pubmed/26035247
Zinc
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649098/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5306179/
https://www.ncbi.nlm.nih.gov/pubmed/18385818
https://www.ncbi.nlm.nih.gov/pubmed/28814517
https://www.ncbi.nlm.nih.gov/pubmed/28246125
N-Acetyl Cysteine
https://www.ncbi.nlm.nih.gov/pubmed/29972340
https://www.ncbi.nlm.nih.gov/pubmed/29573703
https://www.ncbi.nlm.nih.gov/pubmed/32098455
https://www.ncbi.nlm.nih.gov/pubmed/31962155
https://www.ncbi.nlm.nih.gov/pubmed/24968347
https://www.ncbi.nlm.nih.gov/pubmed/25156898
Quercetin
https://www.ncbi.nlm.nih.gov/pubmed/31436895
https://www.ncbi.nlm.nih.gov/pubmed/26851778
https://www.ncbi.nlm.nih.gov/pubmed/22350287
https://www.ncbi.nlm.nih.gov/pubmed/20934345
https://www.ncbi.nlm.nih.gov/pubmed/18992773
https://www.ncbi.nlm.nih.gov/pubmed/2125682
https://tinyurl.com/whca67a
https://www.mcgill.ca/…/a…/health/quercetin-take-or-not-take
https://www.ncbi.nlm.nih.gov/pubmed/17046271
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728566/
https://www.youtube.com/watch?v=vSJBGQaXJ7E
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594049/
Melatonin
https://www.ncbi.nlm.nih.gov/pubmed/26888116
https://www.ncbi.nlm.nih.gov/pubmed/32143642
https://www.ncbi.nlm.nih.gov/pubmed/29346581
https://www.fox10phoenix.com/…/doctor-offers-coronavirus-pr…
https://www.ncbi.nlm.nih.gov/pubmed/…
https://www.ncbi.nlm.nih.gov/pubmed/32182222
https://www.ncbi.nlm.nih.gov/pubmed/32117301
https://www.ncbi.nlm.nih.gov/pubmed/30242884
https://www.ncbi.nlm.nih.gov/pubmed/…
Herbs
https://www.ncbi.nlm.nih.gov/pubmed/17397266
https://www.ncbi.nlm.nih.gov/pubmed/32050880
https://www.ncbi.nlm.nih.gov/pubmed/11366542
https://www.ncbi.nlm.nih.gov/pubmed/22834653
https://www.sciencedirect.com/…/artic…/pii/S1978301916300766
https://www.ncbi.nlm.nih.gov/pubmed/27896563
https://www.ncbi.nlm.nih.gov/pubmed/31826474
https://www.ncbi.nlm.nih.gov/pubmed/27649599
https://www.ncbi.nlm.nih.gov/pubmed/26018920
https://www.ncbi.nlm.nih.gov/pubmed/25975107
https://www.ncbi.nlm.nih.gov/pubmed/21400748
https://www.ncbi.nlm.nih.gov/pubmed/29170045
https://www.ncbi.nlm.nih.gov/pubmed/31560964
https://www.ncbi.nlm.nih.gov/pubmed/30220668
https://www.ncbi.nlm.nih.gov/pubmed/29356205
https://www.ncbi.nlm.nih.gov/pubmed/27717933
https://www.ncbi.nlm.nih.gov/pubmed/31981749
https://www.ncbi.nlm.nih.gov/pubmed/30263705
https://www.ncbi.nlm.nih.gov/pubmed/25624701
https://www.ncbi.nlm.nih.gov/pubmed/26579460
https://www.ncbi.nlm.nih.gov/pubmed/32106571

My Berry Confession

Notice

During the Covid-19 crisis we are happy to continue offering appointment via Skype, Facetime, phone and in some cases, in person. Details for online appointments are found on the online appointment system or by phoning the office.  Suitable arrangements will be made for pick up or shipping of homeopathic remedies and products.