Watch The Video Above If You Don’t Feel Like Reading.
Please, note the disclaimer: Always ask your healthcare provider for an advise when consuming our content.
Diet for People with IBD.
Way too many Crohn’s and colitis patients feel it their gut, and literally speaking that the diet and nutrition play a role in their condition and flare ups. And way too many IBD patients do not receive much dietary advice. Some doctors still stay with the idea that you can and should eat anything. Patients get lost and the most they would do is avoid major trigger foods like spicy foods, vegetables, high-fiber foods, coffee, beans, and popcorn.
But in some early research on the IBD-AID (anti-inflammatory diet) is confirmed by more studies, that patients improve eating more cooked vegetables, choosing from a long list of berries, and importantly, favoring fish and wild seafood for their protein.
Creating and Customizing a diet for IBD.
The study design was a diet specifically for Crohn’s and colitis patients, used an anti-inflammatory diet, which encouraged consumption of foods with omega-3 fatty acids, especially fish and seafood. More patients had a positive response than mixed results. All of them were able to discontinue at least one of their IBD medications, and all patients needed fewer trips to the bathroom. Big win. As of now, there is no set anti-inflammatory diet used in all studies, in my program that I compiled together with over a decade of research, clinical experience and personal experience, I use an anti-inflammatory diet like this study, and I customize it for my clients.
Should you take a fish oil supplement if you have IBD (Crohn’s or Colitis)?
Taking a supplement has helped colitis patients take less medication when ill according to some studies. It may help reduce pain (Barbalho et al., 2016). But studies suggest it will not substitute for medication or prevent flares (Farrukh et al., 2014). More studies are certainly needed.
The link between IBD and fatty acids
The typical modern Western diet gives us a ratio close to 20 to 1 of omega-6 to omega-3 where we ideally need to be at least 3 to 1 ratio. That huge change is a big suspect in the rise of inflammation related diseases. As proof, epidemiologists show the spread of IBD with the introduction of the Western diet to South America, Africa, and Asia in this century (Hsieh et al., 2020).
One of the first epidemiological studies on nutrition and the rise in IBD in Asian countries came from Japan, showing that as the omega-3 to omega-6 ratio increased, AND so did colitis (Schreiner, 2020).
Linoleic acid became a major source of oils in the processed foods in the American diet beginning in the 1970s when soybean oil was on most labels. (Whelan et al., 2013).
Way larger study with more than 203,000 people, concluded that an approximately 30 percent of colitis cases could be attributed to a high intake of linoleic acid (common form of omega 6) (John et al, 2010). They also analyzed consumption of omega-3s, following more over 25 thousand people, ages between 45 and 74, who completed 7-day food diaries and were monitored for between two and eight years. Eating more omega-3s appeared to help protect volunteers from colitis (John et al., 2010).
We can draw a conclusion to eat more wild fish and consider taking a quality, tested, professional Omega 3 supplementation in Crohn’s and colitis cases.
Hsieh MS, Hsu WH, Wang JW, Wang YK, Hu HM, Chang WK, Chen CY, Wu DC, Kuo FC, Su WW. Nutritional and dietary strategy in the clinical care of inflammatory bowel disease. Schreiner P, Martinho-Grueber M, Studerus D, et al. Nutrition in Inflammatory Bowel Disease. Digestion. https://pubmed.ncbi.nlm.nih.gov/31927540 Published Jan. 10, 2020.
Watch The Video Above If You Don’t Feel Like Reading.
Please, note the disclaimer for the previous email and all my video information: Always ask your healthcare provider for an advise when consuming our content. Doses depend on each individual case and condition.
What to do if you have a sensitive gut and previously did not do well with supplements.
These are 7 suggestions from Digestive Reset ™:
eat a full meal before taking your supplements, unless otherwise is recommended by your practitioner. But majority of nutraceuticals are meant to be taken after a full meal. If you wanted to learn the difference between nutraceuticals and natural supplements, watch my previous YouTube video.
try to spread supplements, for example if you had a multivitamin pack, consider breaking them to individual vitamins and take only the ones needed or the ones you are depleted of.
try the liquid options, like vitamin C, Zinc, B vitamins, Glutathione are all now have liposomal liquid forms.
before taking fat soluble vitamins like A, D and E you will need to eat a meal that contains healthy fat for best absorptions and tolerance.
try opening capsules, pour the contents and mix it small amount of unsweetened apple sauce (one at a time). Please, note some liver supporting supplements, bitter herbs and others may not be suitable for this option.
see if the same supplements come in powder form that you can dilute or mix in your favorite non-dairy milk or beverage.
consider purchasing from a reputable supplement company. Less expensive brands can have fillers that are can be rough on your tummy and you may think it was the supplement or the vitamin that hurt you while it was the filler or additive that hurt your sensitive lining. Examples of those include magnesium stearate or sodium benzoate.
I wanted to wish you the Healthiest and Most Prosperous Year!
I personally and professionally know how important health is. I know how we tend to disregard the little signs and how hard it can hit us when we are completely loose the connection between the mind and the body.
This new year, I am committing to some things and cutting off some others, that no longer serve me.Last year, we overspent our precious time on social media and fears of the future, instead of doing small actionable steps toward better health and better mindset. And frankly, there were all the reasons for this behavior.
But 2020 is over, so I am starting new and fresh, no resolutions at all. I notice that when I make resolutions (side note I’m a free and creative person by nature), all kind of resolutions feel restricting to me. But if it works for you, awesome.
What I choose to do instead is being more in tune with my body and listen to it to achieve my health goals (and of course doing functional medicine along the way). If the day did not go according to my original plan, there is always tomorrow, but that does not have to mean you slack off all the time. Also, there are times when you feel where you can’t afford to slack off, like if it feels like I could go in a flare, I get VERY strict and very good. Trust the process and trust yourself.
My commitments for health and personal growth this year:I commit to less social media, more self-love, less screen time, and more family time and back to more learning and education. It is not a New Year’s resolution; it is more of a fluid commitment for me. Few years ago, I started giving a word for the upcoming year and this year my word is “SELF-LOVE”. For years I thought it was selfish to think this way, but more than ever I realize that it is crucial for healing the body and healing your digestive system. Self-love starts when we observe our actions, words, and thoughts with compassion as if we were our best friend. Be your own best friend! Especially when it hurts, when you want to get angry with your body, that is the time, more than ever, to be your own best friend.Share with me what your word for the year is.
Great digestive health is not always about the right kind of medicine, the right kind of a supplement, even the right kid of food. It is an amazing balance between mind at peace, right kind of nutrition and of course understanding your body as much as possible.
Over the years, I have done so many different tests that the information and those experiments will not fit into a book. Some of those diagnostics made sense, but some really did not. For example, if you find out something about your genetics that we have no control over or no treatment for yet, why would it make sense to test it.What I would rather do instead is do my best for my gut microbiome so it can run the process in my gut to almost perfect.
The science of epigenetics has shown us the beauty of our system and the power and control we truly have over our genetics. We used to think that genetics rule our health and our future but now we know that we can prevent or control illnesses when learning more about our predispositions.
Genetics is not a sentence; it is more knowledge and power to do something about your health. For example, if you happen to have parents with diabetes and you have a genetic predisposition to get it at certain age, you have a choice to say the heck with it and eat whatever and do whatever because you will get it anyway or your other option could be eating clean, monitoring stress levels, monitoring blood sugar and keeping blood sugar stable. The second choice will surely prevent or delay the onset or severity of the illness. You still have the power and you still have the control, if you choose to take it.
If you are on the same page with me, let us do this year right. Let 2021 be a wonderful year and you be as resilient as possible.
Come on the Healthy and Happy 2021 ride with me! I would be constantly on top of the newest and greatest research of gut health, IBD and hormone health!
I’m starting a Free 7 Day Gut Microbiome Challenge on my Instagram on Jan 10th. Please, follow me there @digestivereset or click HERE.
I wish you great health!
I would love some feedback. Please, follow the YouTube page, Subscribe, and comment under the videos. I know many have questions.
I know we are still having lots of COVID related complications and acute respiratory flare ups. It is a trial period in our lives and for our healthcare system.
Thankfully, great supplements have seen some recognition but still not enough of it. People with better immune system and with better immune barriers, like uncompromised digestive mucosal lining are in better shape against many illnesses.
One of the recent articles highlighted the dosing and supplements needed for respiratory support. I will have the link for the articles listed.
Here are the supplements and their doses. Please, notice some of these can already be in your multivitamin formulas, your meal replacements shake, and your foods fortified with those, so do not overdo it:
Omega 3 fatty acids
Arginine and glutamine
I recommend trying to get the nutrients from your food first and testing of course for micronutrient depletion. But many with digestive problems cannot absorb them and many cannot get to do the testing.
Getting those supplements in the doses suggested previously are considered safe enough not to cause high levels of micronutrients.
Fat soluble vitamins like A, D and E are the ones we worry more about overdosing them. Sticking to the recommendations above is important to prevent issues.
What to do if you have a sensitive gut and previously did not do well with supplements. I’ll send the next email with a video on my best 7 Tips To Reduce Your Chances of Supplements Hurting Your Tummy.
Boswellia as an option for Ulcerative Colitis or Crohn’s Disease. Would Boswellia work for UC? Is Boswellia effective for Crohn’s Disease? Why Do I find Boswellia Irritating? And Why Would Boswellia Disrupt my Cycle?
These and many other questions I get from my clients.
Hi, I am Doctor Inna at Digestive Reset, and I am here weekly to answer your questions and give you my tips for digestive and hormone health, so your immune system gets in the great shape. And Please, always speak to your doctor while consuming our content.
Boswellia for Ulcerative Colitis and Crohn’s Disease? When it comes to UC:
We investigated Boswellia both the induction of remission as well as for maintenance of remission in patients with ulcerative colitis. Certain clinical research shows that taking Boswellia gum resin three times daily for 6 weeks increases the rate of remission when compared with taking sulfasalazine. Certain observational research shows that taking a lecithin-based delivery form of Boswellia extract for 4 weeks is associated with a reduction in symptoms and drug use in patients who are in remission.
Two clinical trials show that taking Boswellia gum resin can improve some symptoms and pathological measures of active ulcerative colitis. In one study, taking Boswellia gum resin 350 mg three times daily improved symptoms and disease markers in patients with ulcerative colitis. In this study, about 82% of patients taking Boswellia went into remission compared to 75% taking sulfasalazine. In another preliminary clinical study, taking Boswellia gum resin 300 mg three times daily for 6 weeks improved symptoms and some measures of disease pathology in about 90% of patients. In this study, 70% of patients taking Boswellia went into remission compared to 40% taking sulfasalazine 3 grams daily.
In patients with colitis in remission, one observational study has found that taking a specific lecithin-based delivery form of Boswellia extract (product called Casperome) 250 mg daily for 4 weeks is associated with a reduction in abdominal pain, cramps, and fatigue, a decrease in the need for additional medications, and a 58% lower risk for requiring additional medical care when compared with no treatment. Additionally, weekly episodes of bloody diarrhea, bowel movements, and watery stools were reduced when compared with baseline.
With Crohn’s Disease we found that there’s insufficient evidence.
Preliminary clinical research shows that taking Boswellia extract (H15) 1200 mg orally three times daily for 8 weeks reduces the severity of Crohn’s disease symptoms as effectively as mesalamine (brands like Asacol, Pentasa). However, the clinical impact of these results are questionable, because mesalamine is generally not considered to be an effective treatment for Crohn’s disease that is active or quiescent. Other clinical research shows that taking Boswellia (Boswelan) 800 mg orally three times daily does not increase rates of remissions and quality of life any more than placebo in patients with Crohn’s.Then why are many colitis patients find it ineffective and even irritating. Both Boswellia acids, especially AKBA, inhibit 5-lipoxygenase and reduce leukotriene synthesis and inhibit leukocyte elastase, which are the likely mechanisms for its anti-inflammatory and analgesic properties.
And here is where I’m going to make conclusions that are NOT on fact evidence based, but my practice and knowledge based. Full disclosure, these are my personal conclusions since I can’t find science backing this up yet. Think about taking Motrin or Advil, very effective for pain and inflammation. There are similarities in the mechanism of action. In theory, if it hurts your tummy when you take Motrin or Advil, you can also be irritated by Boswellia. And in theory, if you continuously take it and it disrupts your cycle, it is possible to connect it to gut microbiome disruption from the product used incorrectly or on empty stomach.
Also, in humans, Boswellia acids are poorly bioavailable from Boswellia; however, intake of fat may improve the absorption and bioavailability.
As of November 1st 2020, my practice is 100% remote. My physical office is officially closed due to my client’s demand and for their convenience. I am able to spend even more time with each of my clients so they get even more guidance throughout their healing journey. The sessions are on Zoom, the test kits come in the mail along with the supplements. If I’ll see the demand in the future, I’ll re-open a bigger and a better space for my amazing local clients. Thank you for being a part of my life and for being patient throughout these unprecedented times.If you’ve been thinking of scheduling a dive-in session with me, there’s never been a better time: CLICK HERE TO SCHEDULE.
For now, if you are consuming typical American diet, strongly consider a combination of Multivitamins, Omega 3, Vitamin D and Magnesium.You can register and purchase those from my DISPENSARY and order the supplements with a discount.
I would love some feedback. Please, follow the YouTube page, Subscribe, and comment under the videos. I know many have questions.And a BIG GRATITUDE sale is coming VERY soon. I’m so EXCITED to OFFER my Digestive Reset program as a group coaching program! Stay tuned.
Disclaimer: The views and nutritional advice expressed by Inna Lukyanovsky, PharmD is not intended to be a substitute for conventional medical service. Purchasing a product, program or wellness consulting does not establish a pharmacist/ patient relationship with her. If you have or suspect that you have a medical problem, promptly contact your health care provider. Our services are not indented for acute or life-threatening situations. Consulting services we provide do not replace the advice of a licensed physician, and all clients should be working with a primary care physician. We require that you continue to work with qualified medical professionals (MD) as you engage in our materials, products and services and share the wellness recommendations with them since it doesn’t only include evidence based medicine. No information offered here should be interpreted as a diagnosis of any disease, nor an attempt to treat or prevent or cure any disease or condition. Some information and statements regarding products and/or services made available by Inna Lukyanovsky, PharmD at Real Health Solutions, LLC have not been evaluated by the Food and Drug Administration. If you have any allergies to food, supplement or other substance, please contact the manufacturing company directly to learn if there are allergens present as we are not responsible for that. The supplements/products and services are not intended to diagnose, treat, cure or prevent any disease. Real Health Solutions, LLC DBA DigestiveReset.
NEW BOOK Digestive Reset: Fix Your Hormones and Digestion by Balancing Your Gut Microbiome and Adrenals by Dr. Inna Lukyanovsky, PharmD