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Balanced Diet

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General fitness, health and nutrition
Published
20 December 2005
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28 December 2005
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Usman
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  1. Wed, 28 Dec 2005 01:43:05 +0200 in article
    <[email hidden]> Matti Narkia <[email hidden]>

    Quoted message said:

    Tue, 20 Dec 2005 23:19:36 +0200 in article
    <[email hidden]> Matti Narkia <[email hidden]>

    Quoted message said:

    20 Dec 2005 11:42:02 -0800 in article
    <[email hidden]> "Usman"

    Quoted message said:


    I have been suffering from severe depression from more then a year.
    Despite of trying prescription anti depressants, there isnt much
    improvement. I am finally resorted to alternative treatment and trying
    to find out if I have some kind of food allergy.I have started with
    gluten free diet.

    - I take around 2-3 cups of carrot juice for breakfast.
    - Eat around 3-4 bananas at regular intervals during work (9:30 AM to
    6:30 PM) with 2, 3 hours difference.
    - Eat guava for lunch.
    - Eat an apple around 4-4:30 PM
    - Eat boiled rice with cooked vegetables for pulses for dinner.

    Kindly suggest if the diet plan mentioned above is balanced or is there
    any thing important that I need to add?


    I'm not a doctor, but here is my suggestion: Take your medication or get it
    replaced with something which works better. Get psychological counseling, if
    possible. Try to excercise daily, even walking is ok. Eat some fatty fish
    daily. And use some supplements such as 1 g ethyl-EPA/d (or 6-9 g EPA+DHA
    from fish oil, if ethyl-EPA is not available), 1 mg vitamin B12/d, folic
    acid and other B-vitamins, vitamin D (2000 IU/d), vitamin C, vitamin E,
    selenium, ginkgo biloba, ginseng, curcumin (or turmeric) and ginger. All of
    these are important and necessary, if your depression is as severe as you
    claim.

    Major depression is often accompanied with low level systemic inflammation,
    I don't know if it is a cause or consueqence, but you need to curb this
    inflammation and increased free radical production caused by it to prevent
    any further biological damage and to stop depression from getting worse.
    Many of the above supplements are meant for that purpose, to stop the damage
    inflammation is causing and to catch the free radicals. Curcumin and and
    ginger help to reduce inflammation.

    Depressed patient have low levels of long chain omega-3 fatty acids
    (especially EPA) in their cells, the level of these fatty acids correlate
    inversely with severity of depression. Low levels of omega-3 could be caused
    by excessive lipid peroxidation (caused by freee radicals created by
    inflammation) and/or low intake. Ethyl-EPA or fish oil help to restore the
    omega-3 levels, and they also help in inhibiting inflammation. 1 g ethyl-
    EPA/d and 6-9 g of EPA+DHA from fish oil have been effective in preliminary
    trials, enhancing the effect of antidepressant medication.

    Folic acid has also enhanced the effect of antidepressants in trials, and
    many depressed people have low B12 status.

    Antioxidants vitamin C and E, and selenium will help in making free radicals
    harmless. Ginkgo biloba is also antioxidant, but in addtion it and Panax
    ginseng help to bring down stress hormon cortisol level, which is often
    elevated in depression. Ginkgo also protects your brain, especially
    hippocampus from a potential athropy chronic depression otherwise could
    possibly cause.

    I don't know where you live, but if you don't get enough UVB radiation onto
    a large enough area of skin throughout the year (20 minutes whole body
    exposure on a clear summer day gives equivalent of 10000 - 25000 IU of
    vitamin D, which is a lot more than you need), take vitamin D daily at least
    in winter, if live at latitude higher than 35-40. Low vitamin D status can
    cause secondary hyperparathyroidism, which can cause depression. Vitamin D
    has been found effective in seasonal affective disorder (SAD) in at least
    one trial, and another trial found that it improved the mood of healthy
    volunteers in winter.

    The following new study also suggests a possible link between low vitamin D
    status and depression:

    Obradovic D, Gronemeyer H, Lutz B, Rein T.
    Cross-talk of vitamin D and glucocorticoids in hippocampal cells.
    J Neurochem. 2006 Jan;96(2):500-9. Epub 2005 Nov 29.
    PMID: 16336217 [PubMed - in process]
    <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16336217>


    Related studies:

    Jorde R, Waterloo K, Saleh F, Haug E, Svartberg J.
    Neuropsychological function in relation to serum parathyroid hormone and
    serum 25-hydroxyvitamin D levels The Tromso study.
    J Neurol. 2005 Nov 14; [Epub ahead of print]
    PMID: 16283099 [PubMed - as supplied by publisher]
    <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16283099>
    <http://www.springerlink.com/(223r1i55nnd1grnnpx2n0ors)/app/home/contribution.asp?referrer=parent&backto=issue,28,97;journal,1,145;linkingpublicationresults,1:100440,1>

    Schneider B, Weber B, Frensch A, Stein J, Fritz J.
    Vitamin D in schizophrenia, major depression and alcoholism.
    J Neural Transm. 2000;107(7):839-42.
    PMID: 11005548 [PubMed - indexed for MEDLINE]
    <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11005548>
    <http://www.springerlink.com/(cfoemoziiiiulw45av4nwo55)/app/home/contribution.asp?referrer=parent&backto=issue,9,10;journal,63,89;linkingpublicationresults,1:101493,1>

    Gloth FM 3rd, Alam W, Hollis B.
    Vitamin D vs broad spectrum phototherapy in the treatment of seasonal
    affective disorder.
    J Nutr Health Aging. 1999;3(1):5-7.
    PMID: 10888476 [PubMed - indexed for MEDLINE]
    <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=10888476>

    Michelson D, Stratakis C, Hill L, Reynolds J, Galliven E, Chrousos G, Gold P
    Bone mineral density in women with depression.
    N Engl J Med. 1996 Oct 17;335(16):1176-81.
    PMID: 8815939 [PubMed - indexed for MEDLINE]
    <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8815939>
    <http://content.nejm.org/cgi/content/full/335/16/1176>

    --
    Matti Narkia

  2. Wed, 21 Dec 2005 19:09:22 +0200 in article
    <[email hidden]> Matti Narkia <[email hidden]>

    Quoted message said:

    21 Dec 2005 04:17:41 -0800 in article
    <[email hidden]> "Usman"

    Quoted message said:

    I used to take seretide inhaler for asthma and dermovete ointment for
    psoraisis. I believe its psoraisis not atopic dermatitis. I have it on
    my left palm, elbow and left foot. I used to take rhino clenil for
    sinusitis. All these medicines really helped me controlling symptoms.
    Its important to note that both seretide and dermovete contains
    steroid.


    Seretide contains fluticasone propionate and salmeterol. Fluticasone is
    corticosteroid i.e. glucocorticoid. Glucocorticoids are usually already
    elevated in depression and probably make it worse. Of course you may have to
    take glucocorticoid for your asthma, but I think that it is not helping your
    depression and could possibly make it worse, if used very regularly. But
    that's just my guess, I'm not a doctor.


    A related article:

    Reinhart WH.
    [Corticosteroid therapy]
    Schweiz Rundsch Med Prax. 2005 Feb 16;94(7):239-43. Review. German.
    PMID: 15773140 [PubMed - indexed for MEDLINE]
    <http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15773140&>

    "Synthetic corticosteroids have variable glucocorticoid
    and mineralocorticoid potencies. Depending on their
    galenic form they can be administered either by
    intravenous, oral, intraarticular, intramuscular,
    inhalative or topic route. A local application is
    preferable over a systemic administration to avoid side
    effects. An initially high dose should always be tapered
    to the lowest possible effective dose. Among the side
    effects some have substantial clinical implications:
    Osteoporosis (to be treated during any long-term steroid
    application with calcium, vitamin D and eventually bis-
    phosphonates), immunodeficiency and a risk for often
    atypical infections, diabetes mellitus and psychiatric
    disorders such a depression and psychosis. A long-term
    glucocorticoid treatment can lead to a permanent adrenal
    insufficiency (M. Addison), which must be recognized and
    properly managed."

    --
    Matti Narkia

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