Orthomolecular Flashcards
*What nutrient is reduced by statins?
CoQ10
*Why do statins reduce CoQ10?
Statins’ role is to decrease body’s cholesterol synthesis. Both cholesterol and CoQ10 use the same metabolic pathway (Mevalonate Pathway). Statins inhibit HMG-CoA enzyme - required for pathway to progress.
(Aceytl-CoA to HMG-CoA to Mevalonic Acid to Cholesterol and CoQ10)
*What two nutrients does the Mevalonate Pathway metabolise?
CoQ10 and cholesterol
*Why is alpha-lipoic acid so effective as an antioxidant?
Universal antioxidant:
1. Functions in water soluble and fat soluble environments
2. Functions both intra-cellularly and extra-cellularly.
3. Regenerates other antioxidants eg vits C and E, glutathione.
*What are THREE key ways that chondroitin protects cartilage?
- Reduces enzymes that degrade cartilage.
- Inhibits inflammatory cytokines therefore reduces inflammation.
- Increases HLA production - lubricant in joints. NB Glucosamjne is the building block.
*Outline TWO ways that N-acetyl glucosamine can be of benefit for IBD.
- Protects / heals the mucosal barrier in GI tract through the production of mucins.
- Reduces ability of pathogenic bacteria to form biofilms.
*Briefly explain why betaine (TMG) can reduce the risk of cardiovascular disease.
Acts as a methyl donor to ensure homocysteine levels do not build up (highly inflammatory) as can damage vascular endothelium and cause atherosclerosis. Need homocysteine to either recycle back to methionine or convert to cysteine. Homocysteine can be remethylated to methionine by betaine-homocysteine
methyltransferase (BHMT). This enzyme uses betaine as
a methyl donor.
*Outline TWO ways in which phosphatidylserine is beneficial for Alzheimer’s disease
- Reduces hypothalmic inflammation to reduce damage.
- Reduces acetylcholinesterase to maintain acetyl choline levels (vital for memory and processing). Increases availability of ACH.
- Helps with production of other neurotransmitters:
a) dopamine
b) noradrenaline
c) seratonin.
Orthomolecular compound meaning?
Substances that are already found in our body ie we can make them ourselves but they deteriorate with age. Therapeutic doses can reduce chronic disease. NB Must be used in:
- correct dosage
- healthy environment ie good diet, sleep, exercise to work.
What is orthomolecular medicine?
Practice of restoration and maintenance of health through use of nutrients that are normally present in the body by providing optimal amounts of substances.
Nine orthomolecular compounds
CoQ10
Alpha-lipoic acid
Glucosamine
Chondroitin sulphate
MSM
Betaine TMG
Phosphodylserine
Phosphodylcholine
Myo-inositol
How does orthomolecular medicine fit in with naturopathy?
Focus of orthomolecular medicine is prevention therefore aligns
with core naturopathic philosophy “prevention is preferable to cure”.
Concept builds on the idea that creating an optimal nutritional environment in the body will reduce disease.
What can accelerate ageing process?
- Free radical exposure
- Chronic inflammation
- Toxic exposure.
Reversing or slowing it down is one goal of orthomolecular therapy.
Where can you find co-enzyme Q10?
Mitochondria (of every cell).
Plays a key role in ATP production (electron transport chain).
What are the two forms of Co-Q10?
Ubiquinone - oxidised form (lost electrons)
Ubiquinol - reduced form (gained electrons)
The two forms inter-convert.
Ubiquitous - everywhere in the body and in many foodstuffs!
How can the body’s Co-Q10 levels decline?
- Ageing
- Drugs (eg statins)
- Smoking
- Disease eg CVD
How much CoQ10 do you get from diet?
3 to 6 mg per day
TWO plant and TWO animal sources of CoQ10
Plant sources:
Nuts (eg peanuts, pistachios)
Sesame seeds
Olive oil
Fruit and vegetables including oranges, strawberries, avocado,
broccoli, cauliflower
Animal sources:
Meat
Poultry
Fish (eg herring, sardines, mackerel, trout)
Eggs.
What destroys CoQ10 in food?
Frying 14-32%. Destroys up to a third.
What age does coq10 levels decline?
40 (can be earlier if crap diet)
Which body areas use up the most coQ10?
Muscle cells and esp the heart.
Muscles need ATP in high quantities for muscle contraction.
Five uses for CoQ10
- Energy production
- Antioxidant
- Peridontal health
- Male and female fertility
- CV health
How is CoQ10 used for energy?
Electron transport chain (complex 2 of 4) which supports mitochondrial function and energy production.
Great for fibromyalgia and chronic fatigue.
What makes CoQ10 such a great antioxidant?
- Potent fat-soluble antioxidant that inhibits the peroxidation of cell membrane lipids.
- Neutralises free radicals produced by mitochondria and ageing
- Enhances SOD
NB CoQ10 naturally decreases with age while t ROS increases and imitochondrial function is impaired.
Mitochondrial dysfunction, associated with;
- fibromyalgia,
- Type 2 diabetes,
- CVD
- neurodegenerative diseases
- cancer.
NB Also for AI conditions - another chronic ageing disease. And lime disease.