"Guide for Rheumatologists" V 1.5.6 (for 'Paddison Program'-ers)
For Paddison Program-ers (PP) interested in sharing the Low-Fat, Whole-Foods, Plant-Based “Paddison Program” Diet and Lifestyle Approach for Rheumatoid Arthritis: A Guide for Rheumatologists (Version 1.5.6) with your rheumatologist, here's a link to the 12-page PDF file: paddisonprogram.com/wp-cont...
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[This reference/ content is also posted at: Erika's Rheumatologist Confirms Erika's CCP Reduced (from 144.3 to 27) via Diet — turning_pain_n2_purpose: healthunlocked.com/nras/pos... ]
[Hope this helps when trying to communicate with your rheumatologist.
7️⃣2️⃣ Oats as Cooked Oatmeal or Fermented Overnight. Rolled, Steel Cut, or Whole Groat. Prebiotic, Probiotic, not Idiotic via Dr. Richard Matthews.: healthunlocked.com/cure-art...
5️⃣6️⃣ Osteoarthritis: Prevented with Diet & Exercise? University of Surrey (U.K.) study in 'Nature Reviews Rheumatology': healthunlocked.com/ra-warri...
4️⃣3️⃣ "How U.S. Health Care Became Big Business": Medical Journalist, Dr. Elisabeth Rosenthal talks with NPR's Terry Gross: healthunlocked.com/ra-warri...
3️⃣8️⃣ "A Kitchen Fairy Tale" by Iida, How She Healed Herself with a Plant-Based Diet (according to 'Tribe Magazine'): healthunlocked.com/nras/pos...
3️⃣7️⃣ Can I Avoid RA Drugs or Should I Go On Drugs? 'Paddison Program' FAQ Opinion; Also: Methotrexate Explanation & References: healthunlocked.com/nras/pos...
2️⃣2️⃣ Roxana, 'The Sofia Vergara of Peru' (& now 'The States'), Improves Her Hashimoto's (Hypothyroid) & Rheumatoid Arthritis (RA): healthunlocked.com/thyroidu...
2️⃣ FREE 3-Part 'Serology (RF, ACPA, Anti-CCP, ANAs, ANCA) in Rheumatology' Series from Dr. Robert Coughlan's 'Rheumatology Toolbox': healthunlocked.com/nras/pos...
For PPers interested in sharing a PP guide with your rheumatologist, here's a link to the Guide for Rheumatologists from the PP Facebook page ( facebook.com/pg/RheumatoidA... ).
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Guide for Rheumatologists: [Part 1 of 5]
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Low-Fat, Whole-Foods, Plant-Based “Paddison Program” Diet and Lifestyle Approach for Rheumatoid Arthritis: A Guide for Rheumatologists (Version 1.5.6): paddisonprogram.com/wp-cont...
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ABSTRACT
There is an ever-increasing body of evidence that supports the health advantages of plant-based nutrition. Working with a modified 'Paddison Program' version of this dietary framework, along with a strong daily exercise plan, enabled the author of this report to recover from crippling RA and become symptom free and drug free long term1 and help many others achieve life-changing results rarely witnessed with this condition2 The objective of this report is to provide published evidence of the impact of lifestyle choices on RA disease progression, highlighting the link between gut health and disease activity, and to encourage medical practitioners to encourage safe, healthy lifestyle habits for their patients to minimise their disease perpetuation.
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SUMMARY
Every patient needs to eat, and eat they will. So why not encourage them to eat in a way that supports their overall health? Despite popular belief that diet plays little role in RA outcome, the truth is that diet plays a dominant role, and changes to diet create rapid changes in patient symptoms. The table below explores the interaction between the BLAAME (bacteria, leaky gut, acidosis, acid levels in the stomach, mucosal lining integrity and enzymes) with disease severity.
The term “leaky gut” has become increasingly common in medical research, frequently appearing in the most prestigious publications. A review of the available articles reveals that there is growing consensus that the shift in microbiome demographics and intestinal permeability play a causative role in immune alteration towards an inflamed or autoimmune disease state.
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Here's what some leading researchers are publishing in the leading medical journals:
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International Journal of Clinical and Experimental Pathology: “Autoimmune hepatitis is associated with leaky gut and intestinal microbiome dysbiosis. The impaired intestinal barrier may play an important role in the pathogenesis of autoimmune hepatitis”152
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Therapeutic Advances in Gastroenterology: “In health, homeostasis exists between the intestinal microbiome, mucosal barrier, and immune system. In irritable bowel disease, this homeostasis is disrupted leading to durable alterations in the intestinal microbiome (dysbiosis), disrupted barrier function (leaky gut), and immune system activation (inflammation)”153
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FEBS Letters: “these studies suggest that the intestine may be a critical organ in triggering disease through altered immune homeostasis and a leaky gut with proinflammatory conditions may be an event that begins before the actual onset of clinical phenotype”154
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Journal of Internal Medicine: “In addition, a leaky gut mucosa can trigger systemic inflammation mediating peripheral insulin resistance that together with a blunted incretin response aggravates the hyperglycaemic state”155
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American Journal of Clinical Nutrition: “The data suggest that a leaky gut barrier is linked with liver steatosis and could be a new target for future steatosis therapies.”156
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Pediatric Diabetes: “Increasing evidence, both functional and morphological, supports the concept of increased intestinal permeability as an intrinsic characteristic of type 1 diabetes (T1D) in both humans and animal models of the disease.”157
It is now well established that RA is associated with increases in both morbidity and mortality compared with the general population. RA increases the risk of cardiovascular (CV) mortality by up to 50% compared with the general population160 161 162 Plant-based diets have been associated with lowering overall and ischemic heart disease mortality163 Furthermore, a plant based diet have also been associated with sustainable weight management164 reducing medication needs ; lowering the risk for most chronic diseases ; decreasing the incidence and severity of high-risk conditions, including obesity , hypertension 171, hyperlipidemia and hyperglycemia172, and even possibly reversing advanced coronary artery disease and type 2 diabetes 175
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ARE THERE ANY DANGERS, RISKS OR CONTRAINDICATIONS?
— The first two days of the Paddison Program is a 2 day cleanse. If patients are using medications that must be taken with food, these two days should be skipped.
— High blood pressure can usually resolve itself within a few days to a few weeks. Patients on high blood pressure medications should be made aware of this, so as to be monitored closely and avoid potential overmedication and be given guidelines about their medication dosages should their blood pressure comes back to normal.
— Patients eating an all-plant diet should consume a B12 supplement to avoid potential deficiency.
A whole-foods, low-fat, plant based (vegan) diet is the ideal approach for a patient with Rheumatoid Arthritis. Succinctly stated by authors of this British Journal of Rhueumatology study “We conclude that a vegan diet changes the faecal microbial flora in RA patients, and changes in the faecal flora are associated with improvement in RA activity”. 176 The Paddison Program for Rheumatoid Arthritis builds on the successful vegan dietary framework and adds evidence-based modifications to enhance these improvements to gastrointestinal health and intestinal barrier repair. For more information visit paddisonprogram.com.
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[Pages 5-12 are 8 pages of links to (176) References.]
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[Hope this helps when trying to communicate with your rheumatologist.
The "Guide for Rheumatologists" is referred to/ discussed in this Bill Gasiamis' podcast: How to Reverse Rheumatoid Arthritis with Clint Paddison Episode #17 at ~minute 35.30: m.youtube.com/watch?v=SsrL9...
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Podcast description reads:
Published on Jan 19, 2017 | The Transit Lounge Podcast Episode 17 Clint Paddison is one of the worlds leading experts, in Reversing Rheumatoid Arthritis naturally. He has helped thousands of people to feel less pain and use less medication with his unique approach and rheumatoid arthritis diet. I had the pleasure of interviewing Clint Paddison for episode 17 of thetransitloungepodcast.com - with the aim of empowering people to take control of their diagnosis and improve their quality of life. When I asked Clint, What causes Rheumatoid Arthritis? his answer was not what I expected or thought it would be. Watch to find out the cause of rheumatoid arthritis. You can find out more about Clint and his highly successful approach to treating and reversing Rheumatoid Arthritis . . .
. . . "Natural healing is a sensitive topic. There's masses of information available nowadays, but with so much of it being confusing and conflicting, those who want to give it a go often stumble at the first hurdle. Without Wings therefore decided to make it our mission to source real life success stories from people with proven results. Incredibly, we found that we easily sourced not just one, but TWO speakers, who, crucially have both recovered from Rheumatoid and Psoriatic Arthritis, USING THE SAME PROGRAMME! As ex-sufferers, Andy Swarbs[*] from the UK and Danny Preil[*] from the Netherlands, will be with us this Sunday, we therefore thought what better way to introduce their event, than by actually interviewing the devisor of the Paddison Programme for Rheumatoid Arthritis himself, Clint Paddsion!
Here it is!
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Without Wings...
Hi Clint! Thank you so much for speaking with us today. This is such a fantastic opportunity for those people on the Island with autoimmune arthritis who really want to take control of their situation. We hope you enjoy us picking your brains! So for the first question...
Low fat, plant based diets in general seem to be taking the natural healing world by storm. You tuber, ‘Healing Josephine,’[**] has just declared she’s off all medication, and even Venus Williams[***] is using LFPB to manage Sjogren’s Syndrome. However, there are thousands of healing programmes out there, from deep liver cleanses to paleo or grandma’s honey and cinnamon recipe. Is plant based just another trend? Are these success stories luck? Or is there some real science behind this?
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Clint...
Yes low-fat plant-based diets are certainly taking the world by storm as we begin to understand the power of this way of eating. There is no luck involved in getting well from a chronic disease. It requires a tremendous amount of determination, patience and discipline. When I was going through my own journey with rheumatoid arthritis, there was very little information available for me. Trying to work out what foods I should be eating and how I should be exercising, was like searching in the dark. I was determined though, and was very lucky in that I have a scientific background. This gave me the confidence to read and interpret medical literature, then apply the principles of scientific research to my health journey. This is how I devised the Paddison Programme. Now if people are looking for something that actually works, it’s much more straightforward to access the right information.
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Without Wings...
On the topic of determination, you’re often quoted as referring to RA as being “the worst disease on the planet.” There are of course, lots of terrible diseases. What is it about RA that made it such an awful experience for you and made you so determined to get well?
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Clint...
Rheumatoid arthritis has a way of reducing your hope and your happiness and completely suppressing your quality of life. Even at a maximum tablet dose of 25mg/week Methotrexate, I was in agony for years with severe inflammation in my jaw, chest, elbows, knee, wrists, ankles and feet. As I’m sure you yourself know, some mornings it was impossible to get out of bed. And if it’s not bad enough having a disease that creates such pain and disability, the medications suggested for this condition can have serious side-effects. Most commonly we hear about fatigue, nausea and ‘brain-fog’. However, there are also hidden side effects and one of these includes a worsening of the actual underlying cause - the condition of our digestive tracts. It wasn’t until I got my diet and exercise right that my blood-work began to normalise and I was finally able to safely get off my medication.
Ah yes, the topic of medication. It’s an interesting one. Medications, as I’m sure you’ll agree, are usually absolute - if not literal, life savers. However, toxicity aside, many people with autoimmune arthritis are desperate to get off these meds because of the side effects. When people commit to the Paddison Programme, at what point do they know it’s safe to begin to lower their meds?
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Clint...
Firstly, thank goodness for medications. Without them I would never have recovered from my rheumatoid arthritis. In Australia the max Methotrexate dose is 25mg/week. I needed to take this amount of Methotrexate for several years just to get me through the days. Without it I would not have had the quality of life to work on my diet and exercise. Plus, inflammation begets inflammation, so we certainly need to see medications as an important tool in the toolbox that can give us significant symptomatic relief. If a rheumatoid arthritis patient is looking to get off medications entirely then they need to hit a sequence of important milestones in order to do so. They must also work closely with the Rheumatologist to hit these milestones. This will vary from Rheumatologist to Rheumatologist, but mine required me to hit perfectly normal monthly blood inflammation levels, pass physical assessments of swelling and inflammation, and have an overall feeling of well-being. Once I hit these markers, we tapered my Methotrexate down bit by bit and kept an eye on my progress month to month. Meanwhile, I adhered to the Paddison Program closely, so that I didn't inadvertently trigger more inflammation.
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Without Wings...
So clearly the Paddison Programme is not just about food, but other elements too - such as the exercise you have mentioned. What type of exercise do you recommend? And is there anything else we need to know about that contributes to success with the Paddison Programme?
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Clint...
The Paddison Program is a holistic approach. It addresses not just diet but also intense aerobic exercise - of which Bikram yoga is my preference. It also focuses on stress reduction, and some optional supplements. Mindset is important too. I encourage everyone who follows the programme to write out 5 reasons why they MUST get well, and pin these somewhere where they’ll see them everyday. Keeping charts are also vital. Monitoring your success and your triggers is a powerful motivator. In addition to this, a medication review is essential. Many of the medications themselves contribute to the disease as I mentioned above.
Your programme sounds very exciting, but what if I’m not ready for such a huge lifestyle change? Or what if I’m just looking to prevent illness? Are there any small changes you might suggest people make in order to see a difference?
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Clint...
Two simple tips I tell everyone, not just people with rheumatoid arthritis:
1️⃣ Eat more greens. These leafy greens like bok choy, cos lettuce, romaine lettuce - anything that is leafy and green and grew in the garden. These are wonderful for alkalising the body and are rich in minerals. Of the highest importance, they are ideal food for your gut bacteria. If we concentrate on creating a wonderful environment so beneficial bacteria can thrive and exist in great diversity, then we are going to receive optimal health.
2️⃣ Finish your meals by 7 PM at night. Our digestive juices are optimised with daytime rhythms and our ability to digest food peaks at noon. So we should eat the greatest quantity of our food around lunchtime and we should not eat long after the sun has set when digestion is weak and the body begins to enter its resting period.
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Without Wings...
This is wonderful information Clint and so inspiring. We would also like to say a huge ‘congratulations!’ Because we’ve heard that you’ve been safely off meds now for over five years! That must feel incredible. Can you please tell our readers how you are now? Can you eat whatever you like? Do you still have niggles or set backs? Basically, are you better?
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Clint...
I'm great. Niggles come only from some structural alignment issues I have with my left knee and my elbows as over the course of the illness these became significantly damaged. I’m working hard to rehabilitate them through Bikram yoga or working out at the gym. Through Bikram I have been able to develop more flexibility and structural alignment. The gym has allowed me to strengthen my major muscles and create a stronger self-confidence in my body. As the connective tissue around the joints (the ligaments and tendons) have been strengthened my joints have improved and give me very little problem - as long as I don't try and push them too much through running or ball sports (tennis/golf) which require heavy use of my elbows. If I don’t do my preferred exercise, or if I sleep awkwardly, I occasionally get uncomfortable in my damaged joints, but these are non-inflammatory issues. I see them as a motivator to keep me being disciplined about continual improvement. My diet is now standard whole food plant based, without restrictions on fat content. I'm thriving, inflammation free, and loving it - and have been for years. Energy levels are normal, even though I have two young girls who get up early! They are the greatest gift from this journey into wellness. They are my world. Lot's of good times ahead for the Paddisons now, sharing the healthy path forward for others, and trying to help as many people as we can who are ready to help themselves.
Go on then Clint, if you were to give us ‘5 top tips’ for our Inspirational Stories page, what would they be?
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Clint...
1️⃣ Become your own RA puppeteer. Control your destiny by controlling what you put into your body, how you exercise, and what you want to believe about your future with this condition.
2️⃣ Get a support group around you who want what you want and have good advice on how to overcome your problems.
3️⃣ Eat a low fat, plant based diet starting TODAY.
4️⃣ Exercise more.
5️⃣ Let go of the victim mindset and take massive action.
And if I could just add one more top tip?
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Without Wings...
Go for it!
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Clint...
Go to Without Wing’s event on the 23rd July! Don’t just take my word for it, listen to Danny and Andy speak - these guys are exceptional and inspirational. I’ve had close communication with the pair of them over the past few years, in fact, I’ve podcasted them myself at least twice each. These guys worked hard and they're the real deal.
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Without Wings...
Thanks for that great plug Clint! And thanks so much once again for taking all this time to answer our questions!
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Clint...
Thanks to you, and good luck with Without Wings. These illnesses are so tough. It’s a fabulous initiative and you're going to positively influence the lives of many people!"
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