microbiome

The Earth is Floxed

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“The earth is badly floxed.”

I’m not sure if the person who wrote that meant it literally or figuratively, but, I agree – both literally and figuratively – the earth is badly floxed.  (“Floxed” is short-hand for suffering from fluoroquinolone toxicity – an adverse reaction to cipro/ciprofloxacin, levaquin/levofloxacin, avelox/moxifloxacin or any of the other fluoroquinolone antibiotics. Fluoroquinolone toxicity manifests as a multi-symptom, often chronic, disease.)

Fluoroquinolone residues are everywhere. They are ubiquitous in meat, water, milk, honey, soil, etc. Fluoroquinolone residues get into our water through human and animal waste.  The drugs are excreted through the urine and feces of those who take them, and the drug residues get into our water supply.  Animal waste (manure) containing fluoroquinolone residues are also used as fertilizers.  “Large quantities of fluoroquinolone carboxylic acid (FQCA) derivatives are applied as antibacterial agents in large-scale animal husbandry. Important quantities are transported to agricultural areas by means of liquid manure.” (source)  Fluoroquinolone molecules are spread throughout our soil, and get into our food, both through the use of that contaminated feces as fertilizer, and through livestock excreting onto the ground.

Fluoroquinolones not only hurt the animals (including humans) that they are directly administered to – causing multi-symptom illness that includes destruction of tendons, cartilage, muscles, nerves, etc., they also harm the soil that they end up in – the earth.

Soil is rich with biodiversity. There are many strains of bacteria, viruses and fungi in soil. Some of these bacteria, viruses and fungi are dangerous to animals, but most are not. Most are helpful to all forms of life. The soil microbiome is as important to soil (earth) as the human microbiome is to humans. The microbiome within each human contains ten times the number of cells of the human himself/herself.  A healthy human microbiome is necessary for immune system health, mental health, digestive system functionality, etc.  Our bacteria, both the good and the bad, are part of us and they work symbiotically with us.  Without the bacteria in our microbiome, we would die.

The importance of the soil microbiome for various ecosystem services such as nutrient cycling, soil fertility, degradation of pollutants, and plant growth promotion is well recognized. However, antibiotics introduced into agricultural fields via manure might alter the ability of soil microbes to fulfill crucial ecosystem services, changing the diversity and activity of key functional groups by enhancing antibiotic resistant populations while decreasing the abundance of sensitive populations in soils. (source)

Introducing powerful, man-made, antibiotics to the soil can have hugely deleterious effects on the soil.  Somewhat counter intuitively, when soil is exposed to antibiotics, the dangerous pathogens within the soil adapt and propagate while the “good” bacteria that keep them in check are killed – filling the soil with the stronger, pathogenic bacteria and eliminating the helpful bacteria. A study published in PLOS One entitled “Dynamics of Soil Bacterial Communities in Response to Repeated Application of Manure Containing Sulfadiazine” notes that, “The amendment of soil with SDZ (antibiotic filled) manure resulted in a significantly increased relative abundance of numerous Gram-negative and Gram-positive taxa such as Devosia, Shinella, Stenotrophomonas, Clostridium, Peptostreptococcus, Leifsonia, Gemmatimonas, suggesting that the presence of SDZ provided a selective advantage for these taxa.”  SDZ, sulfadiazine, a sulfa antibiotic, is the antibiotic used in the experiment. It is not a fluoroquinolone antibiotic. A similar experiment has not yet been done regarding the effects of fluoroquinolones on soil. The 2014 study notes that, “The present study is the first to explore the influence of veterinary antibiotics entering soil via manure on the diversity and abundance of Acidobacteria.”  However, it should be noted that fluoroquinolones are used frequently in animal husbandry.

In an article about “Dynamics of Soil Bacterial Communities in Response to Repeated Application of Manure Containing Sulfadiazine” it was noted that:

After repeated application of manure contaminated with antibiotics, we found a decrease in the bacteria that are important for good soil quality. This means a loss of soil fertility and thus in the long run a decline in crop yields,’ said Professor Michael Schloter, head of Research Unit Environmental Genomics at Helmholtz Zentrum München. ‘Moreover, the number of microbes living in the soil that are harmful to humans increased’ under the experimental conditions of the study. (source)

Soil naturally has a balanced microbiome. Diverse bacteria and fungi within soil performs many valuable functions. Some of the bacteria, viruses and fungi in soil can be pathogenic when they get out of hand. Bacteria and fungi with natural antibiotic qualities typically keep these dangerous bacteria, fungi and viruses in check. For example, penicillin is a fungi that is naturally found in soil. Penicillin kills bacteria, but it doesn’t decimate the entire soil microbiome. It eliminates some of the pathogenic bacteria, but not all of the bacteria.  However, when man-made antibiotics, some of which disrupt the process of DNA replication and reproduction for the bacteria and mitochondria that they come in contact with – as is the case for fluoroquinolones, saturate soil, the balance of “good” and “bad” bacteria is disturbed, and (potentially) harmful bacteria propagate while the good bacteria that keep them in check are killed.

The earth is badly contaminated with antibiotics being excreted from livestock. The microbiome of the soil has been disturbed because of the rampant, foolish use of antibiotics in livestock.

Though fluoroquinolones are not the most commonly used antibiotics in agriculture, they are used.  And as bacteria become more resistant to commonly used antibiotics, more powerful antibiotics, like fluoroquinolones, are likely to increase in popularity. The earth is already floxed, with fluoroquinolone residues found in meat, water, milk, honey, soil, etc. The microbiome of the earth is being disturbed by fluoroquinolone, and other, antibiotics.

The “scorched earth” policy of killing all bacteria with antibiotics is foolish and short sighted. The goal should be a balanced microbiome, with “good” bacteria keeping “bad” bacteria in check. When antibiotics are used, pathogenic bacteria are made stronger, while the “good” bacteria that naturally keep them in check are extinguished. This is true both within each human microbiome, and throughout the earth – especially in the soil. Professor Michael Schloter, also notes that,

The increase in human pathogenic microorganisms in the environment has wide-reaching consequences for human health. We are in continuous contact with these microorganisms, and the probability of contracting an infection increases accordingly. This applies particularly to diseases of the respiratory system and the lungs, as bacteria are spread through the air and inhaled. Moreover, many of the bacteria are resistant to commonly used antibiotics, which often makes treatment more difficult. We must therefore urgently develop a new mindset as regards the use of antibiotics in animal husbandry.

We have entered a vicious cycle of foolish antibiotic use.  Antibiotics decimate the microbiome of the organism (or whatever you want to call soil) that is exposed to them.  The surviving bacteria are the stronger, often more pathogenic, bacteria.  These “bad” bacteria make people and animals sick, and the microbiome no longer has the “good” bacteria to fight the pathogenic bacteria. Sick people and animals take more antibiotics, which the already strengthened bad bacteria have adapted to. Antibiotic resistance increases.  Increasingly dangerous antibiotics, like fluoroquinolones, are used. The cycle continues on and on, with increasing intensity and damage inflicted.

Humans often need antibiotics in order to survive bacterial infections.  Sometimes the cycle of bacterial decimation is necessary in order to save a life. However, the use of antibiotics in agriculture is nothing but foolish. The use of antibiotics in agriculture is, indeed, floxing the earth.

Resources:

Information about Fluoroquinolone Toxicity

Information about the author, and adverse reactions to fluoroquinolone antibiotics (Cipro/ciprofloxacin, Levaquin/levofloxacin, Avelox/moxifloxacin and Floxin/ofloxacin) can be found on Lisa Bloomquist’s site, www.floxiehope.com.

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This article was published originally in December 2014.

A Progressive Disintegration of Function: Macrobid Adverse Reactions

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Hi, my name is Dana. I am 29 years old and in December of 2017, I suffered an adverse reaction to the antibiotic Macrobid. I walked into a minute clinic to treat a urinary tract infection (UTI) the night before Christmas Eve and the doctor gave me 100mg of Macrobid twice daily for 7 days. I have suffered from UTI’s quite a few times in my life and have ended up with a severe kidney infection and so I felt taking an antibiotic was my only option. I have taken Cipro 3 or 4 times in my life and never experienced an adverse reaction that I was aware of. However, I did take Levaquin around age 12 and remember having a horrifying reaction to it. I believe now that I may have been floxed at that time but was unaware of it then. All I could tell my parents was that I felt ‘weird’ and didn’t know what was happening to me. I laid on the couch in the basement for weeks remembering having vivid nightmares and an overwhelming sense of fear, heaviness in my arms and legs, and vision problems. I did recover from that, but Levaquin has been on my charts since age 12 as a drug I experienced horrible side effects from.

The Progressive Adverse Reactions to Macrobid

Within two days of starting Macrobid, I noticed some unpleasant side effects such as severe night sweats, constipation, spotty vision, dry mouth. None of it was affecting my everyday life, so I carried on as normal. Two weeks after stopping Macrobid, I began to feel extreme bouts of vertigo and noticed severely spotty vision and bad digestive issues. This was just the beginning of the nightmare that has unfolded in the past over 4 months.

I was driving my car for work in Chicago and started to feel extreme digestive distress. It was so bad that I had to pull over and wait for it to pass. A few days later, I was driving and the same thing happened. My mom rushed to the city to pick me up so we could go to urgent care. I had a complete blood panel done and everything came back normal. In fact, the doctor told me I had “beautiful blood.” When I questioned whether or not the recent antibiotic I took could have anything to do with it, he assured me that Macrobid does not affect the GI tract and sent me on my way with a prescription for antacids, some liquid to take with meals to coat the lining of my stomach. I never filled either prescription.

Weeks passed and my symptoms grew worse and worse. I began to experience severe bone and joint pain. I was running on the treadmill at the gym and after only two minutes I had to stop because the pain in my legs was so intense I couldn’t take it. I went from someone who worked out 4-5 times a week to not even being able to lift a 2 pound weight. I lost all strength in my arms and legs. I couldn’t even hold my arms up to wash my hair in the shower. I developed a severe sensitivity to sunlight, burning in my arms and legs, loss of feeling and tingling in my arms and legs, severe joint pain, severe digestive issues, anxiety to the point of feeling psychotic, shortness of breath, chills, extreme vision issues – seeing black spots, ringing in ears, 20 pound weight loss, overwhelming fear, crying spells, depression, abrupt wake ups in the middle of the night, confusion, hallucinations, loss of time and dates, and the list goes on.

Connecting the Dots: Macrobid Reactions Look Like Fluoroquinolone Reactions

At this point, I knew this drug was responsible for causing all of these symptoms, and I began to research. I came across the Facebook page Floxie Hope. A lot of these people’s stories sounded exactly like what I have been experiencing. Even though Macrobid is not in the fluoroquinolone class of antibiotics, it is fully able to cause the same horrific symptoms because I am living it. While reading their stories of recovery can be terrifying, I also find a lot of them hopeful. I hope to one day recover like a lot of the Floxies have. I hope and pray for these people every day, no one deserves to have this happen to them. Some people completely lose their ability to walk for months, and some people never fully recover. But, these stories are inspiring and recovery is possible.

In these past four months I have had to quit my job, lost my ability to drive, and for about two months, I lost my ability to function at all. I am slowly regaining function again, but the struggle is not over. I still cannot drive or work, but am noticing daily small improvements. A month ago I could not go for a five minute walk, but today I can go for 15 minutes.

My younger sister was married this past weekend. Even though I was able to be at her wedding, I wasn’t able to dance like I would have loved to or partake in most of the activities surrounding the day. I had to sit down a lot because even the smallest amount of physical activity tires me. I wasn’t able to go to her bachelorette weekend getaway, or even help her with simple tasks getting ready for the most important day of her life.

This nightmare is far from over, but with each day I hold onto the hope that I will one day return to my normal self. I love to exercise and I hope to one day be able to run again. I hope to one day be able to eat the foods I love again. I am a musician and I love to perform. Losing the energy to sing has maybe been the hardest part of this all. I hope to one day be able to perform a song again.

Another hard part has been trying to explain this to people that do not understand. A lot of people are unaware as to how often these adverse reactions to antibiotics and other meds have been happening. I can’t tell you how many people I’ve had undermining me or doubting my condition. I have had a handful of people telling me to get other opinions. People don’t want to believe this happens and won’t believe it unless it happens to them. I am making this my life goal to spread awareness to others of these dangerous drugs.

Recovery and Learning

I began working with a functional medicine doctor a month and a half ago, and I do believe it is helping speed up the process of recovery. Macrobid destroyed my gut, and I am on a strict diet and supplement protocol to try and repair my gut health. I had several labs done and stool test analysis of my gut flora. The test results showed I have severely elevated cortisol/DHEA levels, putting my body into an acute stress response. My hormones were also completely out of balance, with elevated levels of testosterone and progesterone. I am currently taking natural supplements to balance back out and take the stress off my adrenals working overtime. I also have gut dysbiosis, which is when the bad bacteria overrides the good bacteria and causes a plethora of health issues (chronic pain, fibromyalgia, arthritis, anxiety, depression, etc.). A lot of people end up with the deadly C-diff parasite after antibiotic use because it completely kills all of your guts healthy bacteria. So what do doctor’s offices and hospitals do? Give people MORE antibiotics!

Working with a doctor in functional medicine has, however, opened up a whole new door to cracking the code to my own previous issues prior to taking Macrobid. So maybe through all of this suffering, there is light on the other side. While I have been suffering immensely for over four months now, I have also been doing a ton of research on gut function and overall health.

For most of my 29 years, I have suffered from anxiety and digestive issues. I began taking prescription drugs at age 14 after suffering a panic attack in an 8th grade class, and that marked the beginning of living a life with anxiety.

From ages 15-25 I was seeing countless therapists and psychologists to try and correct my anxiety issues. I also was on a plethora of prescription drugs (Xanax, Busbar, Lexapro, Zoloft) but nothing seemed to help and I was a zombie. I also have suffered from acid reflux for most of my life, to where I would pop Zantac to relieve issues. My whole life I have been told that my anxiety was caused by an imbalance of serotonin and that it was ‘all in my head.’

Making the decision to see a functional doctor after my body started falling apart from Macrobid these past months has been one of the best decisions I’ve ever made. Within 15 minutes of meeting this doctor, he asked me if I was born via C-section. I was confused, but replied “yes” and that my mom had quite the traumatic delivery with me. I got home and what I started researching was mind-blowing to me. When we are born, our initial inoculation of healthy gut flora comes from our mothers birth canal. When babies are stripped of that and born via C-section, we aren’t properly inoculated with the healthy gut flora we need for a healthy functioning body, and the bad gut bacteria overrides the good. Not only has my life long struggle of panic attacks been real, but the shakiness, palm sweating, heart palpitations I have experienced are a result of having reactive hypoglycemic episodes due to low blood sugar caused by a poor functioning gut.

I have also learned that through being born by traumatic delivery, I have a poor functioning vagus nerve. The vagus nerve is the main nerve stemming from the brain that is responsible for many things, main one being control of your parasympathetic nervous system or ‘rest and digest system.’ People that have a poor functioning vagus nerve may deal with symptoms such as anxiety and poor digestion. There are a lot of new articles coming out about how to strengthen your vagus nerve and doing some of these exercises has helped a lot of the Floxies. My doctor has me stimulating my gag reflex before meals, gargling water several times a day, and humming or singing if I’m able to.

This information may not be as shocking to some people as it was to me. But the most shocking part of it all is that no doctor or psychologist EVER told me this information. Not because they are negligent, but because most of them do not even know. Who would consider that my poor gut function since birth and being born via C-section could be the cause of my lifelong struggle with panic attacks and anxiety? Look to your gut and you may find the root of all disease.

I urge people that struggle from digestive disorder, autoimmune disease, hormone imbalance, endometriosis, arthritis, osteoporosis, etc., to visit a doctor in functional medicine and get a complete panel done of your gut microbiome. As we age, our gut flora becomes compromised. Things like stress, standard American diet, and antibiotic use completely alters our gut flora causing premature aging and a whole list of health problems. For some of us, we’ve been compromised since birth. Life doesn’t have to be that way. We don’t have to live a life of pain and prescription drugs.

Had I had known this information sooner, my life would’ve been a lot different. I am now receiving natural treatment to restore my gut health, and hopefully, be able to live a normal life at some point. I also do daily exercises to stimulate my vagus nerve to improve digestion. I may have fallen apart from Macrobid, but I am seeing the light and hope in this nightmare I’ve been living the last 4 months. I only hope that full recovery is possible and that I will one day feel like myself again, maybe even better than I ever have before. I hope and pray for all these sick people and people who have been negatively affected by an antibiotic. All of your stories are inspiring and give me hope that recovery from this is possible.

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This article was originally published on May 15, 2018.

Glyphosate Induced Obesity?

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Are you struggling with your weight? Are you eating well and exercising but still not losing weight? Well then, it might be time to consider what’s on or in what you are eating or what you are eating eats. Sound complicated? It’s not. An emerging body of evidence shows a strong link between eating foods sprayed with commercial herbicides and eating meats raised on commercial feedlots (that are born and bred on a cocktail of chemicals) and obesity.

After years of eating highly processed and chemically laden fruits, vegetables and meats, the bacteria in our guts shift radically towards a species that emit what are called endotoxins. These endotoxin releasing bacteria induce inflammation, which then shifts a series biochemical pathways that favor fat storage as a protective and compensatory reaction to the steady state of chemicals coming from our diet and the lack of nutrients contained within these foods. Indeed, what we now call autoimmune reactions, the continued elevation in inflammation and antibodies, may be a result of the food we eat (and the other pharmacological and environmental chemical exposures). It turns out, that the constant state of inflammation many of us find ourselves in is the body’s way of trying to clear those toxins.

With obesity in particular, there have been several interesting studies published over the last couple years providing clear links between chemical exposures and fat storage. Whether the body stores fat or uses fat depends upon the balance of good and bad bacteria in the gut and that balance is predicated heavily upon nutrient availability and toxic exposures. High calorie, low nutrient, chemically dosed foods, shift bacterial communities that increase fat storage and inflammation. Not only that, but since gut bacteria metabolize dietary vitamins and even synthesize vitamins from scratch on their own, the high fat, low nutrient, chemically laden diet downregulates the vitamin producing bacteria, in favor of the more pathogenic and opportunistic bacteria. This further depletes nutrient stores while enhancing inflammation. The cycle becomes very difficult to end, as anyone struggling to lose weight knows all too well. There is hope, however. New research from disparate sources demonstrates how reducing the toxic load and increasing nutrient availability can re-calibrate fat usage and storage parameters.

Gut Bacteria and Obesity

Just a few years ago, researchers from Shanghai, China identified one of the gut bacterial over growths associated with obesity and published their results in a paper entitled: An opportunistic pathogen isolated from the gut of an obese human causes obesity in germfree mice. Called enterobacter clocae, the endotoxin producing bacteria was found overpopulated in the gut of a severely obese patient who was also insulin resistant, hypertensive and suffered from the array of obesity related health issues. The enterobacter clocae pathogens made up 35% of the total bacterial content in this patient’s gut; a huge bacterial load. Knowing that enterobacter emitted endotoxins and that endotoxins were associated with inflammation and insulin dysregulation, the researchers speculated that a reduction in the enterobacter population would correspond with a reduction in weight and the other health issues. They were correct. With a special diet and traditional Chinese herbs, weight loss and health parameters changed along with the reduction in toxic load. After 9 weeks, enterobacter represented only 1.7% of the total gut bacteria and at 23 weeks, .32%. The total weight loss during that period was 50kg or 110lbs.

Could something as simple as reducing the opportunistic enterobacter via diet be the solution to obesity? To answer this question, the researchers went back to lab and designed an experiment to test the hypothesis, only they did it in the reverse. They asked if enterobacter was a causative factor in obesity, could they induce obesity in mice bred specifically to resist excessive weight gain simply by increasing the bacterial load?

From the fecal matter of the obese patient, the researchers isolated the particular strain of enterobacter clocae called B29. They took the B29 and inoculated four groups of seven, germ-free mice; B29 inoculated plus normal diet or high fat diet and non-inoculated normal or high fat diet. Germ-free mice are a strain of mice that are microorganisms free and raised in isolates. They are resistant to obesity even when fed a high fat diet.

One mouse from each of the inoculated groups died immediately after the inoculation indicating the toxic nature of this bacteria. Remember, this strain of bacteria represented 35% of the original patient’s gut bacteria, likely acquired gradually over the course of lifetime. During the first week, all of the inoculated mice lost weight, again indicating the mounting immune response. Anorexia, is often a sign of illness as the body reallocates resources towards fighting an infection.

Subsequently, and after the immediate anorexic responses, both groups of inoculated mice gained excessive weight, whereas the non-inoculated mice did not. The inoculated plus high fat diet group not only gained significantly more weight but expressed higher levels of enterobacter inflammatory markers and insulin resistance showing an interaction between diet and bacterial growth. The researchers speculate that the high fat diet facilitates the transfer of this bacteria to the bloodstream and increases the systemic inflammatory reaction. The inflammation then shifts the body towards fat storage via a range biochemical cascades meant to fight the infection but that also induces other reactions along the way; reactions we consider hallmarks of metabolic disease including high cholesterol, insulin resistance, liver damage, decreased adiponectin (satiety hormone – low adiponection means one is always hungry) and even increased amyloid A proteins associated with Alzheimer’s. This study, albeit small and in need of replication, shows us that when the balance of good to bad bacteria shifts, obesity is induced. It doesn’t tell us, however, how environmental chemicals in and on food impact this bacterial shift. For that we have to go to a couple other reports.

Nutritional Perils of the Western Diet

The Western diet has become a synonymous with highly processed foods that barely resemble actual food in nutrient and DNA composition. Indeed, in our efforts to produce the largest and prettiest produce, we’ve cultivated out 95% of the genetic variation from food crops; reducing to almost nothing the ~200,000 plant metabolites that provide nutrition. To make matters worse, we have substituted nutritionally rich and diverse crops with ones that originate from plant seeds engineered with bacterial RNA and DNA and are laced with glyphosate, adjuvants and other chemicals. In addition, all commercial meat production relies heavily on genetically modified, glyphosate-doused feed to grow the cattle, combined with prophylactic antibiotics, growth hormones and a cocktail of other chemicals that compensate for the deplorable conditions under which Western foods are produced. The genetically modified, chemically laden food stuffs are then sold to the consumer as fruits, vegetables, meats and dairy or processed even further into other food-like products. From beginning to end of the food chain are exposures to chemicals and foreign bacterial DNA that our bodies cannot accommodate and that provide only limited nutrients.

So, in addition to the direct exposure to chemical toxicants, conventionally grown Western foodstuffs also impair health by reducing vital nutrient content required for even the most basic cell functioning. By disrupting the balance between good gut bacteria and bad or pathogenic bacteria conventionally grown further disrupts nutrient availability while increasing inflammation and the cascade of ill-health is set in motion.

Metabolic Starvation in the Face of Obesity

As we’ve covered previously, every cell in the body requires energy to exist and function. That energy comes in the form of mitochondrial adenosine triphosphate or (ATP). The production of ATP requires nutrients as co-factors and for enzyme functioning. Many of these nutrients come from diet and others are produced de novo or from scratch by the bacteria in our gut. Glyphosate grown foods attack both. Glyphosate reduces the nutrient availability of foodstuffs, even in the less processed, presumed healthy fruits and vegetables, while simultaneously killing the good bacteria in our guts. Glyphosate is a potent bactericide that in a perverse twist of design preferentially targets the beneficial bacteria while leaving untouched the opportunistic and pathogenic bacteria, like enterobacter clocae. So while eating a healthy diet might lead to weight loss and improved health outcomes under normal circumstances, when that diet consists of conventionally grown foods, with genetically engineered seeds capable of withstanding the toxic insults of glyphosate and its adjuvants, neither the diet nor the disrupted intestinal flora can produce the nutrients required to enable healthy cellular metabolism. The GM-glyphosate combo induces a state of metabolic starvation and through a number of survival pathways and shifts towards fat storage rather than fat loss as a secondary source of energy.

Critical to this entire equation is the fact that the bactericidal properties of glyphosate disrupt normal gut microflora.  Glyphosate directly shifts the balance of power away from the healthy, vitamin and mineral factories that feed the body’s enzymes and mitochondria, towards more pathogenic bacteria that are resistant to glyphosate and may even feed on it, further evoking metabolic starvation. As the bacterial balance continues to shift, disease appears and inflammation ensues. Those diseases are then treated pharmacologically with drugs that also disrupt gut bacteria, deplete nutrient stores and damage mitochondria. The cascade of ill-health becomes more and more difficult to end using traditional approaches. Moreover, where and how disease appears is as much based upon individual predispositions as it is on nutrition and other exposures, making the complexity of modern illness something modern medicine is not accustomed too. In other words, these diseases do not fit neatly into the one disease, one medication model, and thus, very rarely respond favorably to treatment.

To Lose Weight, Feed the Body What it Needs: Nutrients.

Despite the complexity of the interactions that come together and create the chronic health issues we face today, there is one variable that can be controlled that will mitigate obesity and ill-health directly: eating, or more specifically, what is eaten. The simple act of cleaning up one’s diet, of moving away from processed foods and away from conventionally grown foods towards organics, can have a tremendous effect on reducing the body’s toxic load and subsequent inflammation, weight gain, and disease. Similarly, replacing needed micronutrients so that bacterial and mitochondrial functioning can come back online and switch from fat storage to fat/energy burning will be critical. This will take time, however, and the transition towards health may be slow. Obesity and ill-health did not emerge overnight and they will not disappear overnight. Finally, we have to recognize that there is no one-size-fits-all, silver bullet, diet vitamin or diet pill. Each of us adapts to chemical exposures and the lack of nutrition individually and uniquely. So each of us requires a different cocktail of nutrients to move forward. Which nutrients and at what doses should be determined individually and may involve some degree of trial and error. As the Western diet is devoid of critical vitamins, minerals and amino acids, it is likely many individuals are suffering from broad based deficiencies. It is also likely, that restoring what has been absent chronically will go a long way towards health and healing, regardless of one’s particular health issues. So if you are struggling with obesity and other health issues, feed your body what it needs to function – nutrients.

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More people than ever are reading Hormones Matter, a testament to the need for independent voices in health and medicine. We are not funded and accept limited advertising. Unlike many health sites, we don’t force you to purchase a subscription. We believe health information should be open to all. If you read Hormones Matter, like it, please help support it. Contribute now.

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This post was published originally on Hormones Matter on July 28, 2014. 

 

The Harmful Effects of Antibiotics on the Human Microbiome

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How many articles about the importance of the microbiome – and the relationship between microbiome health and chronic, devastating diseases – need to come out in order for the cognitive dissonance around antibiotic safety to stop?

People assume that all antibiotics are safe drugs, that they damage bacteria but leave people and animals unharmed.  People assume (soap commercials have conditioned us well) that bacteria are bad, that they are harmful and make us sick, and that human life is improved when they are killed.  Many also assume that all antibiotics are created equally and that the more powerful an antibiotic, the better.  Most people assume that there are no long-term consequences from taking antibiotics.

There is ample evidence that these assumptions are false, and that a microbiome that is disturbed by antibiotics makes people more anxious, intolerant of pain, and sick with a variety of diseases.

A disrupted microbiome has been connected with development of Parkinson’s Disease (PD), as shown in Gut microbiota are related to Parkinson’s Disease and clinical phenotype,” published in the journal Movement Disorder.  It was found that patients with PD had less Prevotellaceae (a type of gut microbe) than those in the control group, and that, “The relative abundance of Enterobacteriaceae was positively associated with the severity of postural instability and gait difficulty.”  It is also pointed out in the study that the reason for examining the relationship between PD and the gut microbiome is that:

“In the course of PD, the enteric nervous system (ENS) and parasympathetic nerves are amongst the structures most frequently and earliest affected by alpha-synuclein pathology. Accordingly, gastrointestinal dysfunction is an important non-motor symptom in PD and often present years before motor symptom onset. Recent research has shown that intestinal microbiota interact with the autonomic and central nervous system via diverse pathways including the ENS and vagal nerve.”

The microbiome profoundly affects neurotransmitters and thus mental health, as is shown in “The microbiome-gut-brain axis during early life regulates the hippocampal serotonergic system in a sex-dependent manner” published in Molecular Psychiatry, as well as “That Gut Feeling” published in the American Psychological Association magazine, Monitor on Psychology.  The article, “Altering your gut bacteria could ease anxiety and depression” on www.sciencealert.com is also interesting and informative.  All of the articles point to the finding that, “that tweaking the balance between beneficial and disease-causing bacteria in an animal’s gut can alter its brain chemistry and lead it to become either more bold or more anxious” (quote from “That Gut Feeling”) and that temperament changes were induced by gut microbiome alterations. If you’re feeling anxious or depressed, you may want to look at your past antibiotic use.  Our guts and our brains communicate through a variety of signaling mechanisms including “the autonomic nervous system (ANS), the enteric nervous system (ENS), the neuroendocrine system, and the immune system” as well as the vagus nerve.

The connection between microbiome health and Alzheimer’s Disease is described in “Alzheimer’s disease and the microbiome” published in Frontiers in Cellular Neuroscience (and the referenced articles are interesting too).  In it, it is noted that, “GI tract-abundant gram-positive facultative anaerobic or microaerophilic Lactobacillus, and other Bifidobacterium species, are capable of metabolizing glutamate to produce gamma-amino butyric acid (GABA), the major inhibitory neurotransmitter in the CNS; dysfunctions in GABA-signaling are linked to anxiety, depression, defects in synaptogenesis, and cognitive impairment including Alzheimer’s Disease.”

Rheumatoid Arthritis is connected to microbiome health in the article on the NIH web site, “Gut Microbes Linked to Rheumatoid Arthritis,” in which it is noted that, “The immune system is influenced by the microbiome, a network of microorganisms that live in and on the human body. These microbes outnumber the body’s cells by 10 to 1. Trillions of microbes—both helpful and harmful—reside in the digestive tract. The gut microbiome has been linked to arthritis in animal studies.”

Inflammatory bowel diseases (IBD) Crohn’s disease and ulcerative colitis are connected to microbiome health in “Dysfunction of the intestinal microbiome in inflammatory bowel disease and treatment” published in Genome Biology. In the article, it is stated that, “The inflammatory bowel diseases (IBD) Crohn’s disease and ulcerative colitis result from alterations in intestinal microbes and the immune system.”

The microbiome has been shown to affect both Type 1 and Type 2 diabetes.  In “Intestinal microbiota and type 2 diabetes: From mechanism insights to therapeutic perspective” published in the World Journal of Gastrointerology the relationship to Type 2 diabetes is shown.  In “Type 1 diabetes: role of intestinal microbiome in humans and mice” published in the Annals of the New York Academy of Sciences the connection to Type 1 diabetes is shown.

More general information about the relationship between the microbiome and human health can be found on the National Institute of Health’s Human Microbiome Project web site.

Thousands of articles about the importance of the microbiome have come out.  Millions of dollars have been spent studying the microbiome and its relationship to human health.  Antibiotics indiscriminately destroy bacteria in the microbiome, and some even lead to oxidative stress in the microbiome. Yet misconceptions about antibiotic safety persist. Why is that?

Greg Spooner answered that question perfectly. He said:

“I think the reason for this is that the early antibiotics (like penicillin) were quite safe and they spared us from very serious infections that often lead to death. Our life expectancy jumped at this point, and they were rightly considered miracle drugs. But this was also their downfall, as they quickly became so overused that they lost their efficacy and killed off many people’s helpful biomes. When FQs (fluoroquinolones) came out, most docs probably thought they were just “better” antibiotics that were still effective. ‘All progress is precarious, and the solution of one problem brings us face to face with another problem.’ – Martin Luther King Jr”

Indeed.

Antibiotics, as a class of drugs, have saved millions of lives. That is undeniable. But their value in life-threatening situations does not negate their consequences. The increased risk of Parkinson’s, Alzheimer’s, depression, anxiety, inflammatory bowel diseases, diabetes and other diseases that result from microbiome disruption, should be weighed carefully and conscientiously against the risk of harm from the diseases that are treated with antibiotics. This analysis isn’t being done currently. Both patients and physicians will need to shift their thinking about antibiotic safety for a proper safety analysis to be conducted.  Unfortunately, the proper safety analysis involves comparing immediate and acute pain to potential future pain, and humans are horrible at doing that kind of analysis.

Also, as Greg pointed out, the value and safety of one antibiotic does not mean that all antibiotics are equally safe and valuable.  Though penicillin is not kind to the microbiome, it doesn’t cause multi-symptom, chronic illness like fluoroquinolones do.  Fluoroquinolones are broad-spectrum antibiotics that not only kill bacteria, they deplete mitochondrial DNA and induce a massive amount of oxidative stress, not only in the microbiome, but in the body generally.  Fluoroquinolones are related to the diseases mentioned above not only through the destruction of the microbiome inflicted by them, but also through the destruction of mitochondria and disruption of cellular mineral homeostasis.

It would be a good place to start for the dangers of fluoroquinolones to be considered before they are prescribed.  After all, fluoroquinolones have an extensive list of adverse effects (the Cipro warning label is 43 pages long) that include tendon ruptures and seizures, among hundreds of other adverse effects. There are thousands of patients screaming about how they have been hurt by fluoroquinolones, and demanding that they be used more prudently.

All antibiotics should be used with care and consideration of potential future consequences. Those antibiotics with the most severe adverse effects should be looked at most closely and immediately. Fluoroquinolones are not worth the harm that they cause in most cases. Restriction of the use of fluoroquinolones is a good place to start in thinking about antibiotics as dangerous, consequential drugs. They are, indeed, consequential, dangerous drugs.

The role that antibiotics and the microbiome play in the many chronic diseases of modernity is just starting to be recognized.  Though recognition has been slow to come about, there are thousands of articles about the importance of the microbiome. Perhaps it is time for us to consider more prudent use of antibiotics, especially the most potent and destructive ones (like fluoroquinolones).

Information about Fluoroquinolone Toxicity

Information about the author, and adverse reactions to fluoroquinolone antibiotics (Cipro/ciprofloxacin, Levaquin/levofloxacin, Avelox/moxifloxacin and Floxin/ofloxacin) can be found on Lisa Bloomquist’s site, www.floxiehope.com.

Participate in Research

Hormones MatterTM is conducting research on the side effects and adverse events associated with the fluoroquinolone antibiotics, Cipro, Levaquin, Avelox and others: The Fluoroquinolone Antibiotics Side Effects Study. The study is anonymous, takes 20-30 minutes to complete and is open to anyone who has used a fluoroquinolone antibiotic. Please complete the study and help us understand the scope of fluoroquinolone reactions.

Hormones MatterTM conducts other crowdsourced surveys on medication reactions. To take one of our other surveys, click here.

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Traveling Super Bacteria in Commercial Livestock

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With the trend in commercial livestock to raise large numbers of animals in small and confined spaces, fed a regular diet of antibiotic doused feed, it should be no surprise when those animals develop infections, even antibiotic resistant infections. According to the third annual report released by the FDA’s Center for Veterinary Medicine in 2012, antimicrobials sold or distributed for food-producing animals are increasing, rapidly, far and above human use, and despite recommendations to the contrary. In 2011:

  • 29.9 million pounds of antibiotics were sold in the US for meat and poultry production
  • 7.7 millions pounds of antibiotics were sold in the US for humans

Along with that increased usage comes an increased incidence of antibiotic resistant strains of bacteria found in the animals, the retail meats sold for human consumption and in the humans who raise these animals and consume these meats with overuse of fluoroquinolone antibiotics being one the main culprits.

More recently, researchers investigating the persistence of livestock associated antibiotic resistant staphylococcus aureus among the industrial hog workers in North Carolina, found that fully 86% of the workers (n=22) carried the livestock staph bacteria nasally over the course of the two week testing period that sometimes included 96 hours away from the hog farms. One worker carried methicillin resistant staphylococcus aureus (MRSA) persistently and 46% of the workers carried the more virulent strain of mutli-drug resistant staphylococcus aureus (MDRSA) at some point during the test period. The researchers observed that carriage of the bacteria continued even when the workers were away from the farms. Although it should be noted, most workers were at the farms over 50 hours per week and rarely had more than 24 hours off unless ill (in itself, a cause for concern).

Traveling Bacteria

As we learn more about the microbial environment, it becomes clear that organisms, human and animal, are walking bacterial ecosystems, with trillions of microbes upon and inside us. Which populations of bacteria predominate have as much to do with the host organism’s health and habits as with his/her exposures. Bacteria and other microbial pathogens are emerging as a flexible interface of sorts, between us and the environment.

From birth onward which bacteria thrive is moderated by the environment. A child born by cesarean in a hospital adopts the bacteria of the hospital setting, even the pathogenic ones, whereas a child born vaginally develops much of the mom’s microbial influence. More interestingly, a child born vaginally and at home, adopts the microbial patterns of her surrounds, even from that of the family pet. Indeed, across the lifespan, our bacterial exposures influence our microbiome. Living with pets, eating habits and environmental exposures change our microbial ecosystems, regularly and continuously, as we adapt to our surroundings – and these changes happen quickly.

Change the diet and the gut microbiome changes within days. Spend time in the hospital, your microbiome changes within hours. Buy a dog, enter a relationship, ditto. The totality your environment influences your microbiome. And so, it should be no surprise that the animals raised in deplorable conditions, would carry dangerous and deadly bacteria more frequently than animals raised on organic feed and in a more healthy environment. Similarly, it should no surprise that those who work with those animals carry those same deadly bacteria and that their health and the health of their families could be impacted by microbial environment in which they work, but it is.

Even though the importance of the microbiome has only recently come to light, common sense should tell us that the way we raise and grow our food is not healthy for the animals or for us. I suspect, our hunter-gatherer ancestors would not consume diseased animals, understanding the risk of illness to themselves, but we do, every day. Perhaps it is because we do not see the animals and the connection between their health and ours is lost; perhaps it is because some of these animals look healthy bolstered by growth hormones, antibiotics and other chemical toxicants; perhaps it is because we don’t want to see or to think about what we put in our mouths. Whatever the reason, commercial livestock practices are becoming increasingly dangerous to human health. Whether we recognize those dangers or not, we will bear the costs in the chronic illnesses that raising and eating those animals initiate.

Unintended Consequences: Cesarean Birth, Gut Microbiota, and Child Health

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When I first learned some years ago that cesarean birth was associated with an increased risk of childhood asthma and eczema, I eagerly awaited the rest of the story. What could the link possibly be? Epidurals? Anesthetics? Antibiotics? Something strange and exotic was afoot, I was certain.

Imagine my surprise, then, when a growing body of evidence pointed to an unexpected source: the newborn gastrointestinal tract and the microorganisms that live there.

How might intestinal bacteria play such a major role in the health and well being of newborns and children? The answer lies in an ancient, mutually beneficial relationship between humans and bacteria, one that modern birth technology has dramatically altered.

Gut Microbiota

“Microbiota” is the term used to describe the community of microorganisms—bacteria, viruses, and fungi—that normally live in or on a given organ in the body. There’s a unique microbiota that inhabits the mouth, for example, another that lives on the skin, and still another that populates the intestine, or gut. Given an intestinal surface area of about 2,700 square feet—more or less the size of a tennis court—the microbiota inhabiting the gut is the largest and most diverse in the body.

How large and diverse? The gut microbiota contains roughly one quadrillion cells—at least ten times as many cells as there are in the entire human body. More than 1,000 bacterial species having been identified to date, with unknown numbers yet to be discovered.

The cells of the gut microbiota perform a number of critical functions for their human hosts: they promote intestinal cell growth, protect against infection, manufacture vitamin K, and even extract extra nutrients from otherwise indigestible food. A laboratory mouse bred without a gut microbiota will be scrawny, weak, and infection-prone; the same would be true for humans if not for our legion of microscopic fellow travelers.

The Bacterial Colonization of the Infant Gut

How do all those bacteria find their way to the newborn’s intestine?

The colonization of the infant gut occurs in five distinct phases: 1) prenatal; 2) intrapartum; 3) introduction of oral feedings; 4) weaning to solids; and 5) complete adult colonization, which under typical circumstances occurs by 12-18 months of age. The intrapartum and introduction of oral feeding phases—phases 2 and 3—will be discussed here, as mode of delivery and type of initial feeding are the most critical determinants of final gut microbiota makeup.

Intrapartum phase: For vaginally born babies the vast majority of bacteria destined to colonize the gut originate in the maternal birth canal and rectum. Once swallowed by the fetus/newborn during birth, they travel through the stomach and colonize the upper and lower intestine, a complicated process that evolves rapidly over the first hours and days of ex-utero life. Cesarean-born babies, particularly those delivered electively, encounter a very different scenario which will be discussed below.

Introduction of oral feedings: The type of feeding a mother chooses for her baby greatly influences the makeup of the gut microbiota. Breast milk is perfectly designed to promote the growth of healthy, “probiotic” bacteria in the gut. Breast milk contains not only the very probiotic bacteria the infant needs, but also oligosaccharides—small carbohydrate molecules that promote the growth of probiotic bacteria. These oligosaccharides—which are essentially “germ food,” as the newborn can’t digest them—make up 8% of the nutritive content of breast milk.

In other words, the initial colonization of the infant gut during birth is continually augmented by breastfeeding, which “seeds and feeds” the gut with health-promoting bacteria, such as Bifidobacteria, Lactobacillus and Bacteroides species, and bacteria-specific nourishment.

Disrupting an Ancient Process: How Cesarean Birth, Formula Feeding, and Antibiotics Impact Gut Colonization

Humans co-evolved over millions of years with the bacteria that populate our intestines. Our bodies have come to expect the arrival of probiotic bacteria at birth, and to prepare a bacteria-friendly environment in which they flourish. Two very recent technological advances—cesarean birth and artificial infant formula feeding—have radically changed this ancient relationship. We’re just now beginning to understand the unintended consequences of these changes.

Infants born by cesarean section—particularly cesareans performed before labor begins—typically don’t encounter the bacteria of the birth canal and maternal rectum. (If a cesarean is performed after rupture of membranes the infant may be exposed to these bacteria, but to a lesser degree than in vaginal birth.) Instead, skin bacteria and those from the hospital environment enter the newborn’s nose and throat and quickly populate the bowel. As a result, the bacteria inhabiting the lower intestine following a cesarean birth can differ significantly from those found in the vaginally born baby.

The gut microbiota in cesarean-born babies is less diverse than that seen with vaginal births. Probiotic bacteria species are slow to arrive and reduced in number. Abnormal bacteria, such as Clostridium difficile, are commonly found. Final colonization, which is completed between 12 and 18 months of age in vaginally born babies, can be delayed by months, even years.

Today’s commercial infant formulas can’t match breast milk for promoting a healthy gut microbiota. Unlike breast milk, formulas do not contain probiotic bacteria, and although prebiotic oligosaccharides are now added to some formulas, there is no convincing evidence that this promotes a healthy gut microbiota.

A third disruptor of gut colonization is the use of antibiotics during pregnancy, labor, and birth. Ample evidence has shown the microbiota-altering properties of antibiotics given to older infants for ear infections, pneumonia and the like. But, surprisingly, there hasn’t yet been much research on the effects of maternal antibiotics on the formation of the gut microbiota, or how maternal antibiotics might impact the probiotic content of breast milk. What studies there are suggest that antibiotics do change the gut microbiota in the immediate newborn period, but to what extent, and for how long, remain unclear.

Why Gut Microbiota Matter: Development of the Newborn Immune System

The dramatic first steps in immune system development take place at the same time the gut microbiota is being formed, and the bacteria acquired during birth and early feeding play critical roles in that process. In fact, they actually direct it.