Health and Wellness Newsletter
Hippocrates
Let food be thy medicine and thy medicine be thy food. 
Our Offices
spa logo
touchstone

 

IN THIS ISSUE
Gut Flora and Autism
The Gut Part 4
Insulin and Prematurity
Recipe of the Week
QUICK LINKS
QUICK LINKS 2
QUICK LINKS 3
JOIN OUR LIST
Join Our Mailing List
FREE THOUGHTS

 

If your eyes can not cry, then your gut will.


The head and heart may be in denial of your human needs, but the gut will always carry the wisdom of your needs met and unmet, and thusly respond. 
 

Martha Char Love 

Quality Products

This book is written by a man that I respect and admire. I have learned more from him in the last 4 years than anyone. The future of medicine is here.

Please email me your favorite products.  I would like to share quality products with our readers. Think - car seats, toys, anything that a mother would love!
 
PRIMETIME

For all teenagers and college students interested in a new medical experience, pay attention.
Salisbury Pediatrics has opened a new wing dedicated to you. In Primetime we are only focused on your needs as an emerging adult. 
From the music when you enter, to the autonomy of your visit, we are sure that you will love a new way to see your doctor.


FEEDBACK

Please reply with feedback or questions here.  I will try to answer as many questions via the newsletter as possible.  As always be well and love your children!

 

The forum
simply good
Dr. Magryta
Go to www.salisburypediatrics.com,  if you would like to learn about Integrative Medicine or our practice

 

Issue: #24
June 2, 2014
New babies in my mailbox. 

Volume 4, Letter 24
 

June 2, 2014

  

There is new evidence that links an abnormal gut microbiome and autism.

 

In the Journal Cell from December 2013, Dr. Elaine Hsaio, et. al. from Cal Tech looked at MIA mice with a neurobehavioral disorder that mimics autism spectrum disorder, their gut flora makeup and chemicals that are released by their bacteria.

 

All of the mice had a characteristically leaky gut lining allowing for abnormal bacterial metabolites to be absorbed into the bloodstream. One of these chemicals is known to be found in higher levels in autistic human children. They were also able to induce autistic features in control mice by giving them the metabolites intravenously. Furthermore, they were able to reverse the effects with probiotics. 

 

WOW! Let me break this research down a bit. What this study proves is that there is a defined and real connection between the intestinal bacteria and the brain's function. If we grow the wrong bugs in our intestines and they release certain chemicals into our blood, then we can worsen or maybe induce a neurologic disease. They further demonstrated that these effects can be reversed (in mice at least) with probiotics. 

 

This data coupled with the discussion from newsletter 18 is providing a clear indication that the gut is paramount to helping people with neurobehavioral disorders. 

 

Diet, mode of birth, mode of infant feeding, drug exposure and many other environmental triggers are changing the gut bacteria and setting us up for trouble. I wonder if the next breakthrough will look at whether maternal gut flora is a link to why children are developing autism predisposition in utero. Just a hypothesis.

 

 

The gut keeps turning up as the major player in all disease. 

Dr. M

 

The GUT Part 4 - Antibiotics

Now that we understand some of the basics, lets get into what we now know.
 
Early life experiences are known to affect the bacteria that reside in our guts. Let us use the child who was born vaginally, breast fed for a year and gets exposed to dirt. He should be set up with a good gut ecosystem.
 
Now let us give him a urinary tract infection. He receives antibiotics to clear the infection. He is better. What we did not know was that his gut microflora took a hit. Some bugs died off not to ever return and strong players grew stronger. 
 
These strong bugs cause a less diversified ecosystem. The lack of diversity means that bugs that previously helped us by providing nourishment and chemicals that our cells love no longer can complete this function. Our gut and immune cells start to become dysfunctional. The beginning of the permeable intestine or LEAKY GUT. 
 
If antibiotic use happens multiple times in the first decade, we now know that the risk of an abnormal gut ecosystem and thus an abnormal immune system is high. As we discussed last week, the unbalanced immune system will begin to attack us. Children that have received extra rounds of antibiotics in the first 10 years of life have a 3+ fold increased risk of developing inflammatory bowel auto immune disease (multiple studies). 
 
It turns out that most human microbial ecosystems are set by age three years old. Therefore, that first level of exposure is like squatter's rights. FIrst in gets the best seats. The vaginally delivered baby gets the best start with Lactobacillus species. Then the breasfed infant gets Bifidobacter species. The breastfed infant also gets certain sugars from the milk that preferentially feed the Bifidobacter. What a beautiful system to establish healthy bacteria in the intestines. You get the bug and its food source from mother's milk. Diversity is happening right from the beginning. 
 
It is only through our efforts that we disrupt this previously healthy ecosystem. Avoiding antibiotics where possible is an absolute in the medicine of the future. We have to be very sure that the indication for the antibiotic is clear. I understand that in today's litigious society this is a difficult sell for many physicians, however, close follow up and a working relationship with the family can make this reality come true and save many a child from developing a dysfunctional gut microbiome and then disease. 
 
Take home point: Antibiotics are necessary in certain circumstances, yet they should be used sparingly and with great thought. They have a greater effect on the future than previously understood. 
 
 
 
Dr. M
 
 
 
Prematurity and Obesity

Premature children have elevated insulin levels for years after they are born. We have known for quite some time that being born premature is a risk factor for developing diabetes. Now a study by Dr. Wang and colleagues in the Journal JAMA from February 2014 has found the direct link. 

If a child is born at 36 weeks and develops insulin sensitivity as a child, what is the reasoning? It would seem to me that the premature body fearing for starvation because of low birth weight turns on a gene that increases insulin hormone levels which then will aid in fat deposition and weight gain. This is useful until you live in America where bad calories are plentiful and diabetes and obesity are the consequence.

Dr. M
Recipe of the Week

Try out these GF Pancakes. They are excellent.

http://www.finecooking.com/recipes/gluten-free-buttermilk-pancakes.aspx

 

Newsletter Photos
 
If you have any pictures of your family that you wish to share for the header of this newsletter -
 
please send them to:
 
Newsletter@salisburypediatrics.com
 

 

 

The newsletter archive can be found in the links section.  New readers can now go back in time to learn about the future!

 

Copyright � 2010-2014 Christopher J. Magryta, MD. Readers, please note: The information provided in this newsletter is for educational and informational purposes only. It is not a substitute for advice and treatment provided by your physician or other healthcare professional and is not to be used to diagnose or treat a health issue.


 


Chris Magryta
Salisbury Pediatric Associates
Touchstone Pediatrics