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Questions and Answers Segment

Your questions answered every 2 weeks. If you have a question for Dr Elstein, click here.


QUESTION 1: Is cosamin DS vitamin beneficial for spinal stenosis?

Answer: Here are two useful definitions which explain what spinal stenosis is all about:  A syndrome that results in narrowing of the dimensions of the spinal canal due to disc disease, bony changes ligamentous thickening and congenital factors.’  ‘General term denoting narrowing of the spinal canal in the lumbar area leading to nerve root compromise; term often used for developmental abnormality that leaves a narrow, bony canal. There are four subgroups of this condition: achondroplastic stenosis, constitutional stenosis, degenerative stenosis, and combined stenosis.’  Cosamin is a formulation which contains chondroitin and glucosamine, two natural substances that repair damaged cartilage and are commonly incorporated to manage arthritis.  Depending on the cause of your problem these may or may not be helpful.


QUESTION 2:  I am starting to get "liver spots" especially on my hands, and am wary of chemical creams. Are there any natural treatments that you could recommend as effective?

Answer:  You might find that formulations that contain herbs like st mary’s thistle, globe artichoke, dandelion and burdock are useful.  Glutathione is a substance that supports effective liver function and you can boost your glutathione levels by taking supplementary alpha-lipoic acid, a powerful antioxidant that is found in spinach and various meats.  Vitamins A, C and E, the B vitamins, the minerals; zinc, magnesium and selenium, the amino acids; cysteine and methionine together with lecithin and inositol will also assist liver function.

These spots are also thought to be related to free radical excess and extra sugar that is running around your bloodstream and is not being adequately metabolized. A substance called carnosine may be helpful in this regard.


QUESTION 3:  I have been sick for four months now. A week after a very big new year’s eve I started feeling nauseous and all of a sudden had sensitivities to food. I also developed reflux and stomach pains. I saw a gastroenterologist, had an endoscopy (revealed no abnormalities besides mild acid reflux). I was then prescribed antacids. They have taken away all stomach problems but for the last 3 months I have been constantly dizzy & disorientated. I have poor concentration, a very foggy mind & at times am overwhelmingly tired. At times my vision becomes blurry and I get almost mild hallicinations, whereby my judgement of distance and colours becomes muddled up. What does this sound like to you? I have done so much reasearch it's driving me crazy. One week I'm sure I have CMV, the next EB & now I'm wondering if I have candida overgrowth syndrome. I take it you are a doctor  who believes in candida? If so, in your opinion do I have it & what should I do. I desperately want to get better so I can get on with Life. !
 I can hardly bare working even shopping in this state!! Any help would be very much appreciated!!

Answer:  It is possible that you have candida overgrowth. I have found that doing a blood test which measures candida antibody levels is a reliable method for diagnosing this condition.  I have also noticed that excess candida levels can precipitate acid reflux and can lead to fuzzy headidness and fatigue.  It has to be said that there are doctors who dispute the presence of this syndrome but in my years of medical practice I have certainly been impressed with the number of people who were suffering just like you and improved considerably once they adopted the kinds of measures which addressed this problem including a yeast-free diet, probiotics such as acidophilus and bifidus that combat candida overgrowth and natural substances like the herbs pau d’arco, olive leaf extract, oregano, golden seal, barberry and others that target candida infestation.  It is also possible that you have a lingering viral infection and weakened defences together with a compromised hormonal system and you might be helped by finding a physician who can evaluate these possibilities.

 


QUESTION 4:   I have been taking Avapro 300mg for about a year now. The blood pressure has stabilised, mostly between130/85. Lately I am taking it twice a day, 150 in the morning and night.  2/3 hours after taking it, I get a leg pain shooting down mostly on my left leg, but at night on both legs. I wake up in the middle of the night with severe pain, and can't sleep more than 3 hours a night for the last 7 months. Would there be a connection between Avapro and the pain? Is there anything you could advise as this would be much appreciated.

Answer:  Avapro is an angiotensin 11 receptor blocker that is one of the newer medications that have been introduced in recent times to treat high blood pressure.  It achieves its effects by opening up blood vessels and limiting sodium and fluid retention.  I looked at the side-effect profile and while this phenomenon is extremely rare there is evidence that numbness and pins and needles can result from taking this medication.  However you are very clear that you are experiencing pain down your leg and my suggestion is to have this reviewed by your doctor as this might be related to the medication in question or it might be totally unrelated and by due to another cause entirely.


QUESTION 5: What causes constant gas in the head with burping sensations?  Upon massaging the areas it relieves the pain and also causes burping.  I have had this for several years and the doctors say they have never heard of it.

Answer: This is indeed a curious phenomenon and must be extremely distressing for you.  One of the previous questions raised the possibility of candida overgrowth being the cause of fatigue and digestive complaints and I’m wondering whether a yeast-free diet might just be the answer to your anguish.  I had a look at the medical website ‘Medline’ which you can access via google and if you enter the phrase ‘gas in the head’ you might come up with an answer that might be relevant to your situation.


QUESTION 6: I am taking enbrel (my second month) for RA. I want to start taking moducare, as I want to regulate my immune system. Is this recommended? my rheumatologist hasn't heard of moducare. I also read that Nettle leaf extract has the same effect as enbrel, it is a TNF inhibitor. What is your opinion?

Answer:  You are absolutely correct tumour necrosis factor-alpha (TNF-alpha) and interleukin-1beta (IL-1beta) produced by articular chondrocytes and synovial macrophages, are  the most important cytokines or proinflammatory molecules that  stimulate matrix metalloproteinases or substances that lead to the kind of inflammation typical of rheumatoid arthritis.  There are studies showing that stinging nettle can inhibit TNF-alpha and therefore may be appropriate for the management of this condition.  Moducare is an example of a phytosterol, a natural substance that has immune modulating benefits and can be used to help manage auto-immune diseases such as rheumatoid arthritis.  What you have to be careful of when using this substance is the fact that phytosterols and moducare have the ability to increase the TH1 arm of the immune system and this is the very component that has become overactive with regard to rheumatoid arthritis.  Therefore even though those who are responsible for bringing moducare to the market place seem to indicate that moducare might help to manage rheumatoid arthritis there is the theoretical possibility that taking this formulation might make your condition worse.  You might just have to experiment with this.  Substances such as fish oil, the herbs curcumin and polypodium and the hormone dehydroepiandrosterone (DHEA) and the avoidance of dairy products and those containing wheat and gluten might also be helpful.  Subscribing to a website called www.naturaldatabase.com and www.naturalstandards.com will also provide you with useful scientific information.


QUESTION 7:  Where can I buy a very good HGH product?

Answer:  This is available on prescription and before you proceed you should have your growth hormone levels measured which can be done via a blood test which assesses IGF-1.


QUESTION 8: Where can I find information on how to treat graves disease?  I have two friends that have this disease.  The first one has already had radiation to destroy her thyroid.  The second is starting treatments soon.  Could glyconutrients be of some help for either or both of them?  Do you know of any cases like these that have used them?

Answer:  Graves disease is characterized by an overactive thyroid gland which can be extremely debilitating leading to anxiety, weight loss and palpitations to name just a few of the distressing features of this disorder.  Interestingly I discovered a recent study indicating that the hormone DHEA referred to in the previous answer can be used to reduce the activity of certain cells that have become excessively pugnacious and which may be responsible for driving this disorder. 

Endocr Rev. 2005 Apr 12; [Epub ahead of print]

Related Articles, Links

Click here to read 
INSIGHT INTO GRAVES' HYPERTHYROIDISM FROM ANIMAL MODELS.

The above is an article which although complex might give you some insights that are useful. I could not find any evidence that glyconutrients are beneficial.


QUESTION 9: I have always been underweight my whole life. I actually weight 107 lbs (5.4 ft). I would like to gain 20 more pounds. All diet programs are to help lose weight. I look scrawny and find it difficult to find clothes that fit me well. I wear a size 0. Can you please tell me if there is anything I can take to help me gain more weight?
I have to add that I have a poor appetite.

Answer:  Naturally having a poor appetite doesn’t help.  You might benefit form having your hormones measured.  Certain hormones such as testosterone and growth hormone are anabolic or muscle building and if these are low boosting these might be beneficial.  Equally if your thyroid hormone levels are overactive this might make it difficult for you to gain weight.


QUESTION 10: I have read your book, after being recommended by my Dr in Imbil. Are there any GPs in Townsville, Australia who do the testing that you recommend? I have asked Belrowes, who did, but they are not taking more patients.

Answer:  You are referring to ‘Eternal health- a comprehensive guide to anti-aging for the new millennium’ which is described on this site.  In my anti-aging clinic we see patients from all around Australia as well as those from overseas so you might want to consider utilizing our facilities.  If this is a problem there is a website www.acnem.org which list physicians around Australia who practise anti-aging medicine.


 

QUESTION 11: It's my pleasure to introduce you a brand new process / production method that yields non-toxic 2-deoxy-d-glucose, P-2DG.
If you are interested  it please don't hesitate to contact us.

Answer:  Caloric restriction or eating less is one of the strategies that can be adopted to prolong life.  2-deoxy-d-glucose is a substance which can replicate this effect. The only problem is that there is little margin for error as this formulation also has the potential to harm us at doses which are just slightly above that amount needed to achieve the desired outcome.  Therefore it is pleasing to find manufacturers who provide us with some comfort regarding safety.  Unfortunately the manufacturers cannot be advertised on this site and for those who are interested you might have to await further developments to unfold as these products become more commercially available.


 

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