Class 11 Flashcards
All autoimmune diseases will improve with a ______ free diet
gluten
Typically, most western doctors treat ai disease with either _______ or ______________
steroid
biologic immunosuppressives
Dr. Fratellone’s favorite med for AI disease is ____ dose _______
low dose naltrexone
how much is in a low dose of naltrexone?
1 - 4.5mg
low dose naltrexone boosts the __________ system and brings down _________
immune
antibodies
What is the main side effect of low dose naltrexone?
colorful dreams
if colorful dreams interfere with sleeping, you should take low dose naltrexone at what time?
during the day
What drugs will low dose naltrexone interfere with
opiates
what is the other name for naltrexone?
what is it typically used for?
narcan
reversing overdoses
Which 6 autoimmune diseases have no blood test?
alopecia psoriasis multiple sclerosis fibromyalgia demyelinating polyneuropathy Guillain Barre Syndrome
which two autoimmune syndromes fall under the category of IBS?
Celiac disease Regional Enteritis (aka Crohn's)
What are the two most common symptoms of the IBS AI diseases, in order?
bloating
loose stools
Which enzyme test indicates celiac disease?
transglutenaminase
which are the four basic glutenous grains?
barley
rye
oats
wheat
Which 7 grains are safe for celiacs to eat
brown rice millet amarinth teff buckwheat quinoa einhorn
Most people with Hashimoto’s Autoimmune Thyroiditis have hyp___thyroidism, but some can have ________ thyroid levels
hypothyroidism
swinging
the tissue of the thyroid is typically __________ but in Hashimoto’s, it’s ___________
homogenous
heterogenous
the thyroid peroxidase antibodies should be below ___ for Hashimoto’s patients
35
what are the three most important treatments for Hashimoto’s patients?
1) Be gluten free
2) Eat one brazil nut per day for selenium
- make sure they have a balance of zinc and copper
3) Get on LDN
which trace mineral is contraindicated for hashimotos
iodine
synthroid causes _________
osteoporosis
What is the blood test for Rheumatoid Arthritis?
Do all patients have it?
Rheumatoid Factor
No. 10% have negative RF and still have RA.
What are the four most common treatments for Rheumatoid Arthritis?
Steroids
Methotrexate (cancer treatment)
NSAIDs like prescription Motrin
Eating gold
Epinephrine is necessary in case of Bee Venom allergy. What is the contraindicated drug for Epinephrine?
Beta Blockers
Systemic Lupus Erythematosus (SLE) affects which three organs the most?
Brain
Kidney
Heart
What rash and skin appearance are caused by Systemic Lupus Erythematosus?
Butterfly rash and malar flush
What is the prognosis of Multiple Sclerosis
Poor
What are the 4 main possible causes of Multiple Sclerosis
Epstein Barr Virus
Mercury from silver fillings
Hormones
Genetics (even though there’s no genetic marker for it)
What is the first sign of Multiple sclerosis?
double vision
how to test for Multiple sclerosis? What are you looking for? What number is a problem?
spinal tap for Antinuclear antibodies (ANA). anything greater than 1:40 is a problem
Scleroderma is when the skin is _____
tight
What is CREST syndrome?
Caused by scleroderma
Calcium deposits all over the body Raynaud's Esophageal motility problems Syndactyly (spider fingers) Telangiectasia (blood blisters and spider veins)
What is another name for Sjögren’s Syndrome?
dry eye syndrome
Which antibodies are associated with Sjogren?
Anti-Rho/SSA
What are the three types of Alopecia
Ariata (Patches)
Totalis (Entire body)
Capitis (Whole head)
Which other AI disease is associated with Alopecia?
Vitiligo
What are the best treatments for Alopecia?
Low dose naltrexone
Plasma reacted platelets
What are the two most common treatments for psoriasis?
Immunosuppressants
Steroid creams
what’s the problem with using steroids to treat autoimmune diseases
thins the skin
trains your adrenals to stop making your own steroids so you get puffy and moon face
increases blood pressure and sugar cravings
weight gain
what are the best treatments for Psoriasis
UV light
Gluten free
LDN
bee stings around patches
Where is psoriasis most likely to appear
elbows
knees
scalp
nails
What is the cause of Myasthenia Gravis?
Acetylcholine receptor problem
What is a main sign of myasthenia gravis?
ptosis of the eyelid
Grave’s Disease is hyp__thyroidism and the TSH level is
hyperthyroidism
TSH less than .2
What kind of diet causes hyperthyroidism
cruciferous greens, soy, strawberries, peanuts, peaches, spinach
which other AI disease is linked with Pernicious Anemia?
Crohn’s
What types of b12 should a person with pernicious anemia take?
methyl or hydroxy B12
what is dermatomyositis
destruction of muscle tissue and rash
What type of cancer is associated with Dermatomyositis
GI cancer
Guillain Barre was first documented in ____ after the __ vaccine
1976
flu
Guillain Barre results in ________ that can occur at any level. The person will be _______ from there down
demyelination
paralyzed
if demyelination from Guillain Barre occurs in the ___________ area then the person will need a ventilator
cervical
Is Guillain Barre reversible?
no
what is antiphospholipid syndrome? and what is the other name for it
The blood has a propensity to clot
Anticardiolipin syndrome
IgM means the disease is _____
IgG means the disease is _____
active
inactive
What med do we use for antiphospholipid syndrome? What is the risk if we don’t use it?
cumadin to thin the blood
we risk DVT/Pulmonary embolism
Type ___ Diabetes is insulin dependent
1
The ___ cells of the ___________________________ in the _________ make insulin
B cells
islets of langerhan
pancreas
Why might the Pancreas be damaged and cause type 1 diabetes?
children born with problems
pancreas can be damaged by virus, extreme exercise, or injury (fall/gunshot)
