FUNCTIONAL MEDICINE BLOG
Includes over 800 monographs reporting on emerging studies in the medical and scientific literature of practical clinical importance, easily searched for content.
Adolescent oral contraceptive use predicts lasting risk for adulthood depression
In this study, the authors found that women who had used oral contraceptives during adolescence show an increased risk for depression in adulthood, even years after that exposure.
Leaky gut: inflammation, chronic fatigue and depression
Leaky gut permits bacterial LPS translocation into the gut lymphoid tissue where it triggers inflammation causing chronic fatigue and depression.
Mood disorders and thyroid autoimmunity
Mood disorders and thyroid autoimmunity are linked by aberrant levels of hematopoietic/neuronal growth factors...even before hypothyroidism has developed, and also in relatives of thyroid autoimmunity subjects, growth factors necessary for healthy brain function are at levels associated with a range of mood disorders including bipolar, depression and psychosis. They also include an important reminder that antibodies can predict clinical disease years in advance.
Depression, inflammation and light therapy
Research shows relief from depression by combining management of inflammation with bright light and chronotherapy to correct circadian dysregulation.
Insulin resistance indicated by neutrophil-lymphocyte ratio
We recommend that the NLR values of diabetic patients be calculated as NLR is a cheap, predictive, and prognostic marker for IR. High NLR values were independently related to IR.
Systemic inflammation drives brain neurodegeneration
n a richly valuable paper published recently in Frontiers in Cellular Neuroscience the authors describe the ways in which systemic inflammation causes neurodegeneration in the brain associated with cognitive decline and a host of neuropsychiatric disorders. In the short term this manifests the anorexia, malaise, depression, and decreased physical activity known as sickness behavior (SB) that occurs with inflammation due to infection. Permanent cognitive and behavioral changes due to neurodegeneration occur when inflammation is chronic. Discerning and targeting the causes of inflammation offers opportunities for treatment.
Fatigue: inflammation and autoimmunity
Severe fatigue, associated with chronic fatigue syndrome (CFS) or another disorder, has as a core underlying cause chronic inflammation...there are sufficient robust multiple lines of evidence to support the proposition that the severe fatigue and profound disability experienced by people with the neurodegenerative, neuro-immune and autoimmune diseases discussed here is largely driven by peripheral immune activation and systemic inflammation either directly or indirectly by inducing mitochondrial damage.
Perinatal brain injury and inflammation
Perinatal brain injury involves neuroinflammation with consequences for neuropsychiatric disease extending into adult life...
Traumatic brain injury and chronic neuroinflammation
Traumatic brain injury (TBI) even in it's milder forms can initiate a process of chronic neuroinflammation that causes a range of chronic neurodegenerative disorders. ..Judicious application of natural anti-inflammatory agents to minimize side-effects along with other measures guided by objective measurements is a standard for treating traumatic brain injury that can be applied to other neurodegenerative disorders as well.
Fatigue commonly caused by iron deficiency without anemia
Fatigue, often accompanied by depression and anxiety, frequently has iron deficiency shown by suboptimal levels of serum ferritin but occurring without anemia. This often goes unrecognized in clinical practice.
Benzodiazepines associated with increased Alzheimer's risk
Benzodiazepines are well known to be deleterious to brain health with more than very short-term use. Research just published in BMJ (British Medical Journal) presents evidence that the use of benzodiazepines to treat anxiety or insomnia is associated with a substantial increase in the risk of Alzheimer's disease.
Antidepressants: expectation predicts response; relapses
A study just published in the British Journal of Psychiatry provides further evidence showing that there was no significant difference in outcomes between antidepressants and placebo, and the response to both was predicted by expectations. Moreover, antidepressants increase the vulnerability to relapses.
Schizophrenia risk increased by maternal inflammation
Schizophrenia is well recognized to have a neuroinflammatory component, and a study just published in the American Journal of Psychiatry links maternal inflammation during pregnancy as reflected in elevated CRP (C-reactive protein) levels with a markedly increased irisk of schizophrenia in offspring.
Nigella sativa, a true 'wonder medicine'?
Nigella sativa, also known as black cumin, produces seeds with a mind-boggling wealth of medicinal virtues. For colleagues and others who may not be familiar with the abundance of scientific evidence for the use of Nigella sativa seed extract in clinical practice, this selection of citations serves as an introduction to its wide range of indications.
Depression and brain inflammation
Evidence for the role of brain inflammation in depression is proliferating as noted in a report published recently in JAMA. Certain biomarkers including the proinflammatory cytokines interleukin-6 (IL-6) and TNF, and CRP are standing out...
Neuropsychiatric illness in non-celiac gluten sensitivity
Neuropsychiatric illness can result from neuroinflammation due to a variety of causes. Recent studies offer more evidence that depression and other neuropsychiatric disorders can be a manifestation of non-celiac gluten sensitivity. A paper published in Gastroenterology Research and Practice explores the pathophysiologic mechanisms by which gluten sensitivity can present as a variety of neuropsychiatric conditions in the absence of celiac disease.
Thyroid in heart, metabolism, brain, kidney; vital importance of T3
Thyroid disorders have widespread impact and although subclinical hypothyroidism and low triiodothyronine (T3) syndrome are common they are frequently overlooked in practice.
Benzodiazepines and anxiolytics increase risk for dementia, mortality
Benzodiazepines increase risk for dementia; benzodiazepines, anxiolytics and Z drugs such as Ambien increase risk for mortality. Along the way they can cause morbidities that are harder to treat.