Fredd there is no reputable evidence that Hashimoto's thyroiditis is caused be B12 or nutrient deficiencies. If you can find any article suggesting that a simple nutrient deficiency is the primary causal factor/etiology - and THAT has been published in a reputable, peer reviewed medical journal I would be interested. My mum has that condition and once again it is associated with particular genetic histocompatibility - this time the genetic markers being HLA-dr5 histocompatibility and some other associated genes. But that is ofcourse only part of the picture and there is so much to it.
Medical research is a funny thing. You can potentially find a medical paper that supports any conjectural theory. Publishing itself doesn't equate to fact.
What appears to occur in autoimmunity is that there is a genetic predisposition to loss of self tolerance or there is chronic activation of pro-inflammatory cytokines as in inflammatory arthritis. The immune system cannot recognise self targets as not being pathogenic or the innate immune system cannot turn off pro-inflammatory cytokines. To suggest that simple nutrient deficiencies are a primary CAUSE of specific autoimmune disease is too simplistic im afraid. Its like saying CFS is caused by Candida - it might fly in the early 90s in a naturopath's office but try and get that pear reviewed in a medical journal.
In a person with a predisposition to lack of tolerance to self, perhaps (as has been recently suggested) some deficiencies in their innate immune system, a trigger - usually a stressor such as pregnancy, infection, stress, emotional upheaval, heavy exercise or exposure to a toxin and occasionally immuno-modulation following vaccination - results in an autoimmune response. The target of that autoimmune response appears to be regulated either by the toxin in rare cases, perhaps the virus or infection but often it is just mediated by the histocompatibility of the patient:
HLA-b27 - ankylosing spondylitis
HLA-dr3 - graves disease
HLA-dr5 - Hashimoto's thyroiditis
And in M.gravis there may be histocompatibility issues and thymus tumours.
etc, etc.
So autoimmunity is not simply caused by nutrient deficiencies or by foreign substances - it is a highly complex process that they are only beginning to understand - it has received years and years of research focus and as yet the primary etiologies are still conjectural and only beginning to be understood. At any given time there are about 300 clinical trials ongoing for most major individual autoimmune diseases (compared to POTS which may have approx 20 and CFS which may have 30-40).
As for autoimmunity in cancer, yes that does occur quite frequently.
Personally what I think has happened in CFS is that for years doctors and serious research funding has been totally withheld from the CFS community. In response the patient group have had to for years actually run and lead the process of research for the primary etiology and push for their own treatment options.
But now I think that research is progressing rapidly and some impressive results - particularly the work of Stewart/Medows, the spinalfluid work and now this work in Norwey is starting to build a concept of CFS and related illnesses that is testable, repeatable, and most importantly stands up to peer-review for publishing in reputable and respected medical journals.
I think we need to be more discerning in what research we value and what we can see as being speculative, poorly researched or flim flam. Some patients need to have an answer so badly that they will actively attach themselves to that etiology like a faith. they will unwaveringly hold to that one etiology and try endlessly to bend new findings so that they can accommodate or support their 'faith etiology'.
Whereas often these speculative theories are supported on conjecture, incorrect or questionable assumptions and simplistic concepts of physiology. As an armchair speculator I am always attracted to the science that is well supported, has a strong evidence base, demonstrates clinical outcomes through therapy and interventions and gets published in reputable journals.
Hi Ramakentesh,
Medical research is a funny thing. You can potentially find a medical paper that supports any conjectural theory. Publishing itself doesn't equate to fact.
You can say that again. I have read a multitude of papers, co-authored a few and co-delivered at conferences. However, the topics were generally about how compensation mechanisms affected theraputic choices. Because of a complicated situatuation we were able to obtain all the claims data from insurers for multiple groups with various models of compensation ranging from full capitation to hybrid to full fee for service so we had the same docs with patients across multiple plans and compensation models. What we did not see were the uninsured and we all know how they get screwed by the system, there are plenty of studies on that. In any case, that is not relevent here except to say that we made a lot of people angry with what we found.
To take it to a different topic, opioids, I read a lot of papers for a project. I found that a mistake made in one early paper was endlessly repeated as fact in many others. The mistake was switching two data points on a serum level at 15 minute increments. This was in the graph. The original table wasn't avaialbe for examination, but the change in the curve was impossible to occur. For 15 minutes the 1/4 of the serum level disapppeared and then sudenly reappeared at the next increment. When the two points were switched the curve matched the calculated curve. In another the graph was manipulated to show an infamous "second release" of the medication when in fact there was none but the marketing deptment ran with it for several years until it disappeared from future versions of the graph, in 3 stages. In another paper for the same drug the serum peaks listed in the table was 40% lower in the graph, the AUC didn't match the table values, and on and on and on. Everything was manipulated to look like what the marketing wanted to show. These papers wouldn't have passed a high school chem lab for all the flaws.
In B12 papers, most of which were based on cyancbl or hycbl until recently, the unproven assumptions ran rampant and just don't match what happens with active mb12/adb12 despite being the basis of analysis of the newer mb12 research. Read 500 or 1000 papers and integrate them and the unvalidated assumptions, even myths, and problems will jump out. Then there are the outright conjectural papers labeled as such based on the same assumptions and myths and a collection of suspicious data. So now all the new findings are contradicting all the old ones so a person can choose to support whatever they want by how they want it to be. There are those who defend the old, "quantum physics theory advances one funeral at a time" and those who go with the newer papers.
To suggest that simple nutrient deficiencies are a primary CAUSE of specific autoimmune disease is too simplistic im afraid.
And there be your false and prejudicial assumptions. There is nothing simple about ACTIVE b12 and Methylfolate deficiencies. They are intimately tied together in a multitude of ways not yet defined but can be demonstrated repeatedly, predictably and reliably, but not with cyanocbl, hycbl and folic acid, and for some unfortunate percentage of the popuation, folinic acid found in vegetable source folates which can actually block the active methylfolate form leading to severe folate and b12 deficiency symptoms without lowering serum levels or affecting MMA or HCY becasue of the body's triage system. So the traditional tests are worthless for saying whether somebody has actual functional deficiencies or not. So every paper that counts on those tests for detecting b12 and folate deficiencies is invalid. So the need to "rule out" b12 deficiency for an MS diagnosis doesn't take into account the newer studies showing the CSF/CNS cobalamin deficiencies and elevated HCY in CSF in MS or the benefit of intrathecal injections of mb12. This is still very new and only a few papers out of Japan. However, it can be DEMONSTRATED very easily. So does a CNS/CSF deficiency of b12 rule out an MS diagnosis? You must be kidding. It is never mentioned. In this case the one death a time are thousands of patient deaths every year. Nobody dies of b12/folate deficiency these days, they die of the multitude named or unnamed disorders casued by these. If I had died 8 years ago my death certificate would have read "congestive heart failure" or something of the sort.
As these deficiencies can cause approximately 600 biochemical failures in the body (including CNS) according to another paper, sorry I can't give you the reference, I was doing the reading to save my life, not to pose an accademic question. I was in a hurry. These same deficiencies also lead to massive inflammation in every system of the body, system failure in every system, hyper reactivity of all kinds. They trash the immunce system. They rtrash the neurology leading to every variety of neuropathy known to mankind. Start trashing the autonomic nervous system and see what happens. These deficiencies trash the hormone systems, the neurotransmitter systems, the endothelium, the epithelial tissues, the muscles, the mitochondria, etc. I don't know of any tissue not affected potentially to the point of failure. So you call this SIMPLE? Tell me, how good are you at understanding and solving 1000 variable problems? What do you call complicated?
Its like saying CFS is caused by Candida - it might fly in the early 90s in a naturopath's office but try and get that pear reviewed in a medical journal.
Lots of nonsense gets hypothesized when nobody knows and nobody knows how to do an effective treatment. So a whole lot of specific viruses and other things have been hypothesized as a cause while ignoring that all of them are stressors that might trigger something else that goes on and on and on and that the original stressor could be almost anything if the person has certain genetic and/or aquired characteristics. The stressors include viruses, bacteria, physical trauma, chemicals, pregnacy, vaccines and who knows what else. In my own and family experience and those I have worked closely with, include all of those. In my 100 provider 20 year $200,000 search for a diagnosis and treatment I found a whole of ignorant male bovine excrement and that NOTHING worked and much of what was tried provoked horrendous side effects and hypersensitive responses despite the faith each provider had in their favored hypothesis. The MDs were no better than the naturopaths. The chiropractors actually helped with my back and neck problems but nothing else.
In a person with a predisposition to lack of tolerance to self, perhaps (as has been recently suggested) some deficiencies in their innate immune system, a trigger - usually a stressor such as pregnancy, infection, stress, emotional upheaval, heavy exercise or exposure to a toxin and occasionally immuno-modulation following vaccination - results in an autoimmune response. The target of that autoimmune response appears to be regulated either by the toxin in rare cases, perhaps the virus or infection but often it is just mediated by the histocompatibility of the patient:
Very good. This is exactly what I'm talking about.
So autoimmunity is not simply caused by nutrient deficiencies or by foreign substances - it is a highly complex process that they are only beginning to understand - it has received years and years of research focus and as yet the primary etiologies are still conjectural and only beginning to be understood.
Part of that long delay is the fault of research focusing on cyabocbl/hycbl and folic acid. I am suggesting that the tendency towards out of control hyperresponsive reactions are the result of cascading failures that exist as a result of the ACTICVE mb12/adb12/methylfoalte. Everything that uses understanding of what b12 doesn't do based on the study of cyanocbl and hydroxycbl is wrong. What failures result from people who can only utilize folate from meat and in whom vegetable folate blocks that meat folate and it happens their entire life. These kids also can't use the folic acid in formula and will usually have trouble casued by cyanocbl as well or at least can't utilize it becasue of the folic acid. What happens in utero to these kids?
Let's consider for a moment post partum depression and schizophrenia. In the late 40s and early 50s a couple of studies were done on the effect of concentrated liver extract on on these two disorders. They were targeting the "protein mystery factor" whcih they identifeid as cyanocbl (lab mistake) and was properly identified 10 years later as mb12 and adb12. In high probability it also included methylfolate. Becasue of the amount in liver in that period the doses may very well have been several hundred micrograms of each mb12/adb12 and methylfoalte. Women sufferring from post partum depression recovered in 3 days. Hospitalized schizophrenics were relaseable in 3 days of such treatment. So what happened? Two things. The results were not able to be duplicated with the "pure substances" which at that time was cyanocbl and folic acid and those studies were considered flukes. Also Thorazine and other drugs came on the market and everybody promptly forgot about these results that were not replicated with the inactive pseudo substances. I hope you can find them I came across a summary of these studies but never the studies themselves.
So let's reproduce that in an experimental model. Take some subjects (we used 10 volunteers) who have had a year or more of excellent healing from CFS/FMS with mb12/adb12 and Metafolin. Take your base blood tests. Give them sufficient glutathione and/or precursors NAC/l-glutamine. Observe, if they have sufficienct b12 in their bodies by dose, that their urine becomes MUCH pinker or redder or red-orange-brown if lots of yellow color within hours of the glutathione. Continue until the increasing symptoms become too much. Take blood tests every week. Stop before neurological damage becomes evident, no more than 6 weeks, and record ALL symptoms, major and minor, day by day. The early symptoms will duplicate those of Cerefolin-NAC side effects. Deplin does not have those.
Then, using normal 1mg injected doses of cyanocbl and of folic acid, dose doesn't appear important, more might be worse, attempt to reverse the symptoms in group A. In group B give 15mg of metafolin per day in divided doses with each meal and 10mg iSC injections of mb12 or 50mg of Jarrow sublingual held for 3 hours or more under upper lip. Also 50mg of Adb12 (Source naturals). Repeat each day until back to all induced symptoms reversed in group B. If the dose is insufficient, increase, doubling or tripling. Compare to group A. Then do the same for group A to heal that which cyanocbl and folic acid can't do.
Six weeks should be enough to cause profound inflammation all over the body, the start of hyper-reactivity but not much as that takes longer return of folate deficiency symptoms starting in hours to days and mb12 deficiency symptoms starting up in 3-7 days and adb12 deficiency sypmtoms starting with 14-28 days. Mood and personality changes should be apparent withn 28 days and worsening. By worsening I mean depression and the appearance of irratiblity and so on in a shift that might be called Dr Jeckyll to Mr Hyde. These will usually start before actual neurological damage becomes apparant. These induced deficiencies will give you a lot of blood test information of what goes wrong.
and THAT has been published in a reputable, peer reviewed medical journal I would be interested. My mum has that condition and once again it is associated with particular genetic histocompatibility - this time the genetic markers being HLA-dr5 histocompatibility and some other associated genes. But that is ofcourse only part of the picture and there is so much to it.
The reference may be on the former wrongdiagnosis b12 thread. That was where the Hashimoto's discussion came up and I think a number of references and/or links posted. Do a search on the board for it if it's not on the thread. I was diagnosed hypothyroid in 1956 or 57 I think it was at about the age of 8. One or more persons on the board who were still in the active phase of Hashimoto's had their thyroid function restored and verified by tests.
As an armchair speculator I am always attracted to the science that is well supported, has a strong evidence base, demonstrates clinical outcomes through therapy and interventions and gets published in reputable journals.
I was dying. I couldn't afford to wait for my hypothetical great grandchildren to benefit. I prefer that too. However, the entire body of b12 and folate research needs to be redone with mb12 without asking only the questions established by cyanocbl and folic acid. In fact ALL research using those things as a base need to be redone those pseud vitamins are such poor replacements for the real thing. I changed my standards. There has to be some (several items) research in reputable journals that have the information reading beteween the lines if not in the conclusions. There has to be widespread actual success on the internet in a form without too many confounding factors, all the things must pass the "sniff" test and lack the component of male bovine excrement and all of it has to INTEGRATE across hundreds of separate examples. That was what didn't match up on my only severe mistake, glutathione precursors. I took the peer reviewed journals word for things and the internet HYPE but no results that passed the sniff test and it didn't integrate. I broke my own standards and knew I was doing it. I also knew I was missing an important factor and suspected that might be it. It wasn't. It was a disaster. However, it lead me to the missing factor, paradoxical folate deficiency.
You can read all the journals you want and nowhere will you find about the variablity of neurological effects of mb12 at the crystal level or about the practical meaning of mb12s photolytic breakdown nor the effects of metafolin on retention of mb12/adb12 or the differences of mb12 brands on neurological and other systems nor the effects of sublingual time on absorbtion percentage of mb12/adb12 dose and how it relates to injections or what amount of injected and/or sublingual mb12/adb12 it takes to consistantly deliver cobalamin to the CNS/CSF. These are all original work by me.
Doctors and researchers ASSuME folate deficiency is a thing of the past since folic acid. Paradoxical folate deficiency is not recognized but is easliy demonstrable as more and more people are doing on this board. The 70 year clock is just starting on this understanding. Mb12/adb12 became commercoially available in 1998, so another 55 years to possible understanding based on history.
ankylosing spondylitis
I and my son, with the same b12/folate situation as I have, have both had that suggested to us as a problem. With the mb12 my CRP went to < 1.0 and stayed there. There has been no further problem since mb12 for either of us and the pain was almost entirely relieved. Hard to say since I have so much damage from being broken in half sideways by a red light runner.
"Science is the art of making the obvious so to everybody"
John W. Campbell Jr.
"Sufficiently advanced technology looks like magic"
Arthur C. Clarke
Be in good health.