asthma

Dr. M’s Women and Children First Podcast #70 – Stan Gabryszewski, M.D., Ph.D. – Allergies

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

This week I sit down with Dr. Stan Gabryszewski to discuss allergies from multiple angles.
Dr. Gabryszewski graduated from Princeton University with a degree in Molecular Biology before attending Columbia University for his MD as well as a PhD degree in Cellular, Molecular and Biomedical Studies. He then completed his pediatric residency and is a senior allergy immunology fellow at the Children’s Hospital of Philadelphia where he now teaches and performs research in the lab of Dr. David Hall. His research is focused on better understanding the epidemiologic and immunologic features among pediatric allergic disorders, in particular the food allergies IgE-mediated food allergy and eosinophilic esophagitis.
In this conversation, Stan and I sit down to discuss his recent paper in Pediatrics entitled, Patterns in the Development of Pediatric Allergy. This article is a much needed look at the true prevalence of allergy and allergic diseases in children. We discuss the statistics as well as the thoughts behind the why this is occurring. The upstream reasons are very important, hard to tease out but worthy of discussion.
Please enjoy my conversation with Stan Gabryszewski,
Dr. M
His recent paper in pediatrics.

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 34

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Asthma and Nutrition Part V

Case presentation: DM is a 12 yo caucasian male who presented to integrative pediatric clinic for the first time at age 8 years with the chief complaint of moderate persistent asthma and allergic rhinitis. His past medical history relates one to three severe asthmatic flairs per winter requiring steroids and overnight hospital stays over the past few years. He had relatively mild disease in between major flares and was well controlled with a high dose inhaled corticosteroid making it difficult to predict these severe respiratory events. His mother brought him to our clinic for a different approach since they had failed to stop the flairs over the last 5 years…. and a blurb on choking prevention.

 

Enjoy, Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 33

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Asthma, Allergies and Nutrition Part IV – The Story – Micronutrients

Zinc is a mineral involved in over 100 enzymatic reactions in the body! It is necessary in adequate levels for cellular metabolism and is critical for the function of our immune system, our skin and our gut lining. At the cellular level, zinc is necessary for protein synthesis, DNA synthesis and cellular repair in wound healing…..as well as sections on the book the courage to be disliked and Derek Sivers recent work.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 32

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Asthma, Allergies and Nutrition – The Story Part III – THE NUTRITION STUDIES – THE TO DO
There is good quality data on specific parts of a diet or nutritional plan as it relates to asthma. This section will detail these micronutrient and macronutrient benefits and how to implement them in an overall asthma plan. We will start by looking at a list of high quality nutritional interventions and then follow with an expanded view of a few critical players…… and a second section of mothers and death risk perinatally.
To your health,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 31

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

THE NUTRITIONAL STUDIES
We know that the foods that we consume affect our intestinal microbiome, our immune system, our metabolism and therefore have a significant effect on inflammation. Is this knowledge translatable to asthma? Let us look specifically at nutrition as it relates to Asthma. Are there specific diet studies available that lead us toward a unified diet for better asthma health? Can we make good recommendations for our patients on a macronutrient basis with fats, carbohydrates and protein ratios and types. Do we have data to support certain micronutrient needs in asthma and how a diet could provide these nutrients? How much can we trust the data?…..
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 30

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Asthma, Allergies and Nutrition – The Story
Here is a long form look at asthma and allergies as I am preparing a lecture on asthma and allergies for a conference in October. I will break it up into a few parts for your consumption.
  • Asthma is now well known to be an inflammatory disease based on the response to anti-inflammatory medications and pathophysiological evidence making it a prime candidate for anti-inflammatory nutritional interventions.
  • The Standard American Diet is filled with pro-inflammatory highly refined and processed foods that are laden with excessive amounts of sugar and unhealthy fats thus promoting inflammatory pathways that exacerbate disease.
  • The genesis of the inflammation is now believed to start in part in the intestinal and pulmonary microbiomes with the loss of immune tolerance. The intestinal microbiome is highly responsive to whole food dietary alterations.
  • Uric acid, a by product of fructose metabolism, is becoming a known driver of inflammasome activation and local tissue inflammation
  • We will discuss in depth the food choices that lower the inflammatory burden, the asthma phenotype and the food immune reactions that exacerbate disease……..

Enjoy,

Dr. M