Hey everybody,
I hope you're feeling ok today. If not, I hope you feel better tomorrow!
I read this forum every day and I noticed that a lot more people are starting to talk about Functional Medicine, Diet, Supplements etc.
I think this is amazing, but I also see quite a lot of dodgy information posted. If I see one more shameless plug for Clint Paddison's programme I am going to go crazy!!!
From now on I am going to try and share one thing every day that I learn as part of my research. This information will ALWAYS come from reliable sources.
I am deep, deep, deep, deep down the Rabbit Hole of Rheumatoid Arthritis and I have been for almost a year now. I read the latest Scientific studies every day and I am determined to find a cure within my lifetime or at least crack the code, which will enable me to put together a treatment plan that will turn Rheumatoid Arthritis into a minor inconvenience as opposed to such a cruel, life-changing disease.
Right now I am working on my first step towards this, which will be a website where we will translate the latest Scientific research around RA and Autoimmunity into layman's terms so that everyone can understand the information and implement it into their everyday lives.
Our amazing Rheumatologists, Doctors, and Nurses want to help us, but large organizations move soooooooooooo slow and I worry that it may take 10 - 20 years for some of the latest research to be incorporated into mainstream medicine. This is not good enough when we have millions of people suffering every day.
I hope to have this website launched sometime in 2018.
The second part of my quest to solve the RA puzzle will be to set up a private research facility. It will be privately funded, which means we'll be able to focus our research on what we believe the priorities should be. I strongly feel like the big RA charities waste a lot of time and money on research projects that will not bring us any closer to a cure. This is unacceptable to me. Hopefully, this research facility is something that I can start building in 2019.
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My first piece of information to share today is the actual Scientific link between Gluten consumption and Rheumatoid Arthritis symptoms.
At this stage, it is pretty well documented that Gluten has a direct impact on the severity of RA symptoms and disease progression, but you don't often see people do a reasonable job of explaining the Scientific process behind it.
I also want to reiterate that going Gluten Free is not a magic bullet. If you cut Gluten out of your diet, your pain won't disappear completely, but it will almost always improve. Arthritis.org have some information on this here:
arthritis.org/living-with-a...
But the big question is... What is the science behind this? Why does Gluten make our joints hurt?
So... I'll do my best to explain briefly one part of what we know so far...
Transglutaminase is an enzyme found in different parts of the body. The first kind was discovered in 1959 and so far we have discovered 7 different varieties of this enzyme:
TGM1 is found in the skin.
TGM2 is found in general tissues around the body.
TGM3 is found in the skin
TGM4 is found in the Prostate
TGMX is found in the skin
TGMY has been found in various locations but does not appear to be specific to any one area of the body
TGMZ is found in the lungs and testicles
There is a protein in Gluten called Gliadin that has virtually the same chemical structure as these Transglutaminase enzymes.
Gluten is toxic and the body sees it as a threat. It doesn't matter if you are Coeliac or not. Everyone experiences gut inflammation when they consume Gluten.
In the case of Coeliac disease, the immune system creates antibodies to Gluten, which then results in inflammation. Because the Transglutaminase enzymes have a similar chemical structure to Gliadin, the immune system mistakenly attacks our tissues which contain the Transglutaminase enzymes.
So to summarise...
Gliadin, a protein found in Gluten has almost an identical chemical structure to Transglutaminase, which is an enzyme found in different parts of our body. Gluten is toxic in the body and creates inflammation in the gut for everybody, even if you are not Coeliac. As a result, the immune system creates antibodies to attack the Gluten. Because Gliadin and Transglutaminase share similar chemical structures, the immune system mistakingly attacks Transglutaminase enzymes found in various tissues around the body because it mistakenly thinks it is Gliadin, which is a toxic protein found in Gluten.
Gluten is implicated as a probable cause of almost all modern diseases. It is heavily implicated as a root cause of Cancer and Autoimmune Diseases and there are thousands of Scientific research papers on this topic.
It has been estimated that up to 75% of Cancer cases are caused by Diet:
ncbi.nlm.nih.gov/pmc/articl...
It is estimated that 70% of people diagnosed with Coeliac Disease also suffer from either Eczema or Psoriasis. These skin conditions often disappear when you eliminate Gluten from the diet. 3 different kinds of Transglutaminase enzymes can be found in the skin [TGM1, TGM3, and TGMX]. It doesn't take a rocket scientist to work out the strong links between Gluten and Autoimmune skin conditions.
Research has also shown that people suffering from Parkinson's and Huntington's Disease have elevated levels of Transglutaminase in their tissues. We also know that Gluten can create inflammation in the brain. Could Gluten be contributing to these diseases? The connections are certainly strong:
en.wikipedia.org/wiki/Trans...
How does this information apply to Rheumatoid Arthritis?
The TGM2 and TGMY enzymes can be found in various tissues around the body. It appears that these enzymes are sporadically found in joint tissue, cartilage, and tendons etc. It appears that in the case of Rheumatoid Arthritis, the body creates antibodies to the Gliadin protein found in Gluten, which then mistakenly attacks tissue containing the TGM2 and TGMY enzymes found in our joint tissue. This would explain why the pain of Rheumatoid Arthritis often moves around the body on different days or weeks and why pain can appear in different locations for different people.
The first Transglutaminase enzyme was only discovered in 1959, so it's also possible that there are more enzymes in the body that mimic the proteins found in different foods that we haven't discovered yet. This would explain why eliminating Gluten from the diet only improves symptoms of RA, instead of completely making symptoms disappear.
However...
It does also give us some Scientific explanation for the reasons why fasting for more than 4 days often results in zero symptoms presenting for RA and why various different elimination diets are able to have a profound impact on disease progression and symptom severity.
Here is some more information on Transglutaminase and it's links to RA:
clinchem.aaccjnls.org/conte...
sciencedirect.com/topics/ag...
ncbi.nlm.nih.gov/pubmed/155...
ncbi.nlm.nih.gov/pubmed/125...
ncbi.nlm.nih.gov/pubmed/165...
en.wikipedia.org/wiki/Tissu...
I also want to say that these posts I will be sharing are very basic overviews. There is a lot more depth to them. It will be easy to rip them apart and find holes in what I've said because I don't have the time to go into these topics in big detail.
I could probably write mini books on most of these topics, so I urge you to do your own research if you want more information.
For example, this particular post I have made on Transglutaminase is a perfect segway into what Anti-CCP actually is. Problem is... I can't even go there because it opens up another huge can of worms.
I will try to keep things as brief as possible with these posts. But I am also conscious that I can't give in-depth information and analysis on a forum like this because there are not enough hours in the day.
Please trust me that I have done due diligence on all of the information I share with you. This is coming from a place of Love. I don't like to see people suffer. My wife battles RA every day and I believe I have the resources to one day fix this problem. I am determined to do it.
When you are first diagnosed with Rheumatoid Arthritis they tell you that there is no cure. They hand you a bag of medication and send you on your way.
This is very, very, very poor service.
We can put supercomputers in our pockets, but we can't cure a Disease that affects millions of people? This is not acceptable.
In my profession, problems are only difficult to solve when we do not understand the root cause.
The causes of Rheumatoid Arthritis are well documented. There are thousands of scientific studies that have identified the environmental factors that cause the disease to develop. There is not any one singular cause, but we have identified all the factors that play a role in the onset of disease.
In my profession, when we know what causes a problem, we can reverse engineer a solution. It's standard practice.
With so much information available, the World Health Organization should be ashamed that they haven't already found a cure. But it will come soon. It has to with all the information available and I do feel like the current research is putting us in touching distance of a solution.
Please let me know if there are any specific aspects of Rheumatoid Arthritis you would like me to cover in future posts. I'll try and do one post a day from now on unless you guys don't want me to and then I'll disappear for a while.
At this point, I have a pretty good understanding of the Science behind RA, which is why I am so confident that we are close to a cure or at least a treatment plan that will significantly reduce the severity of the disease.
It also fills me with a lot of confidence that Pharmaceutical companies are pouring money into Microbiological research, instead of developing drugs that turn off critical processes in the body.
I am so sorry that this is such a long post, but there is so much to say about this disease. It could be 1000 pages and we still would not cover everything.