Showing posts with label Arthritis Foundation. Show all posts
Showing posts with label Arthritis Foundation. Show all posts

Monday, August 22, 2016

Nightshades and Arthritis

I've been enjoying a bowl full of my friend's garden fresh tomatoes over the past few days, which lead me to thinking about nightshades. Many sources will tell you not to eat nightshades as part of an anti-inflammatory diet, but what are nightshades and should I avoid them?


Tomatoes, white potatoes, eggplant, and peppers (including cayenne and paprika, but not black pepper) are all part of the Solanaceae family, commonly referred to as nightshades. With the exception of those I just mentioned, most nightshades are poisonous, like belladonna, or the deadly nightshade made famous in MacBeth. Most people have no problem digesting edible nightshades. I rather enjoy cayenne, paprika, and tomatoes, but a case has been made that nightshades can cause problems for people with autoimmune diseases, like rheumatoid arthritis.

The evidence for health risks associated with rheumatoid arthritis in humans is largely based on personal reports. Although, loads of evidence exists that edible nightshades cause joint and bone problems in cows and horses because of the way that their bodies process the potent form of vitamin D3 specific to nightshades. In cows and horses, nightshades prevent the metabolization of calcium, leaving calcium deposits in the soft tissue, instead of in the bones that need it. This leads to painful arthritis and inflammation in cows and horses.


Humans aren't cows and horses. Our bodies don't process vitamin D3 the same way, but the alkaloids and lectins in nightshades do cause some people to complain of discomfort.

The term 'alkaloid' refers to any nitrogenous organic compound that has a pronounced physiological reaction in humans, including everything from morphine to strychnine. A lectin is a protein that binds certain sugars. Lectins are also thought to play a role in immune function and body fat regulation.
"Because we don’t digest lectins, we often produce antibodies to them. Almost everyone has antibodies to some dietary lectins in their body. This means our responses vary. Certain foods can even become intolerable to someone after an immune system change or the gut is injured from another source. The presence of particular lectins can stimulate an immune system response. There are some lectins that no one should consume. 
Ever wonder why you don’t see sprouted red kidney beans?" - Source.
Alkaloids developed in plants as a defence mechanism against bugs. Humans use them as medicines, addictive drugs, and as insect repellants.
'While the plant is alive, these compounds work as its home-grown “bug spray,” defending it from pests and molds that would otherwise kill it. In other words, they’re designed to be toxic. In the poisonous members of the nightshade family, these chemicals are so concentrated that they have deadly effects on humans, but in the edible nightshades, they’re present in much smaller amounts, and mostly in the leaves and stems (which we don’t eat anyway).' - Source.
Being so much larger than a caterpillar, and because we don't eat kidney bean sprouts or tomato leaves, most people experience no reaction to alkaloids. I imagine it is like eating a non-organic carrot, or anything at most restaurants. The trace amounts in the foods we eat are fairly insignificant to healthy people. But what about me? What about people with autoimmune disorders, like rheumatoid arthritis?
"Healthy guts can deal with these chemicals just fine, but people whose digestive system is already compromised by an autoimmune disease have trouble with them. For example, some kinds of alkaloids increase the power of the immune response – exactly what you don’t want when you’re dealing with an autoimmune disorder." - Source.
This can be especially problematic for people dealing with autoimmune disorders that directly effect their digestive system because the cells lining the intestinal tract are often the first victims of alkaloids. Lectins cause the same reaction for some people, but again... the evidence is based solely on personal reports. And this evidence is not as strong as what we've learned from animals, but it's harder to keep us in such a controlled setting as... say... lab mice.

The Arthritis Foundation maintains:
"They also contain solanine, a chemical that has been branded the culprit in arthritis pain. There’s no scientific evidence to suggest that nightshades trigger arthritis flares. In fact, some experts believe these vegetables contain a potent nutrient mix that helps inhibit arthritis pain." - Source.
Certain nightshades have great health benefits. Cayenne pepper, for example (also one of my favourites), is also high in capsaicin, which works as an anti inflammatory in healthy bodies. Tomatoes are considered highly antioxidant, and are believed to help fight cancer (which runs in my family).

Nightshades are like gluten, only people who have a genuine sensitivity to them need to avoid them. For people, like me, with rheumatoid arthritis, it may be worthwhile to eliminate nightshades from your diet for 30 days to see if you notice any improvement. I'd say it can't hurt, but I really love cayenne and still have a bowl of tomatoes in my kitchen.

Rather than wasting my food for something that has yet to be proven, the alkaloid content in the nightshades I east can be reduced by preparing them properly. Peel your potatoes and don't eat them when they are sprouting, or unripe. Cook everything thoroughly. Cooking your food is a good idea most of the time anyway, as cooked foods are generally easier to digest than raw foods.

To find out more about my journey in exploring food as medicine, like my Facebook page.

Wednesday, April 27, 2016

Arthritis Food Myths


Yesterday, a friend asked me about what foods I missed, since I started the anti-inflammatory diet. Thankfully, I don’t have much of a sweet tooth, but I do love pasta. I love Italian food in general. I've had a mad craving for pizza ever since I started this crazy diet! “That must suck,” said my friend, because a lot of what is good about Italian food is tomatoes and those are an anti-inflammatory no-no. Or are they?

The common belief is that tomatoes and other nightshades are bad for people suffering from arthritis. According to this belief, I should also be avoiding green and red peppers. Or should I?


People believe nightshades are bad for arthritis because they contain solanine. No research has ever confirmed solanine’s dangerous role in arthritis and inflammation. Although a 2011 study suggested the opposite was true in men. Moreover, many nightshades contain essential nutrients. A single tomato contains 20% of your recommend daily dosage of vitamin A and 28% of your daily dosage of vitamin C. Unless you have some other problem with tomatoes, eat them up!

While I found a lot of supportive information for the anti-inflammatory diet through the Arthritis Foundation (AF), the AF also provides a warning against certain myths about using food as medicine. They debunked the tomato myth for me and warned me about other myths.

I didn’t even know that a dozen gin-soaked raisins per day is supposed to provide pain relief, and a moment after I read that, I didn’t care. According to the AF, no scientific study has ever supported that claim.

People may have been doing this for centuries,
but it still doesn't work.
People are even drinking apple cider vinegar to ease pain because it contains beta-carotene, but the amount of beta-carotene in apple cider vinegar is nothing compared to the amount of beta-carotene in a carrot. Eat a carrot!

We’ve known since the 1980s that dairy can slow the progression of osteoarthritis, but people suffering from arthritis pain are still warned away from it. If you don’t have a problem with the dairy industry (blood and puss), choose lower-fat dairy products. I haven’t been avoiding dairy all together, but I have been replacing some of it with almond milk and soy cream (for my coffee).


The raw food diet, famously touted by Woody Harrelson (I love him), might make digestion more difficult and has been found to cause nausea and diarrhea, while offering little more than a placebo to those suffering from chronic-inflammation related problems. The AF recommends switching to a raw food diet slowly, if you are determined to make the change.

Some people think that coffee causes gout. This is silliness. Research has shown it actually lowers the risk and has many other health benefits. Drink up!


Also, people with chronic inflammation are often encouraged to avoid citrus fruits for no good reason. Citrus fruits are an excellent source of vitamin C, which can reduce arthritis pain.

To find out more about my journey in exploring food as medicine, like my Facebook page.

Thursday, April 14, 2016

What is the anti-inflammatory diet?

Shrimp bur blanc on linguini with a side salad.
Dr Andrew Weil says:
It is becoming increasingly clear that chronic inflammation is the root cause of many serious illnesses — including heart disease, many cancers, and Alzheimer's disease. […] Learning how specific foods influence the inflammatory process is the best strategy for containing it and reducing long-term disease risks.
The anti-inflammatory diet is not intended to cause weight loss, which is fine. Other than the constant pain, I am pretty comfortable in my body (I think I look hot). The anti-inflammatory diet isn’t so much a diet as it is a lifestyle change, in which you eat foods that reduce chronic inflammation in your body. Dr Weil calls understanding which foods to eat ‘scientific,’ though I still think parts of his approach are hookum, for example vitamins are a racket (Sheldon Cooper once referred to supplements as “very expensive urine”). If this means that the placebo aspect of this diet doesn’t work as well on me, so be it. I’m really sick and I want to feel better, but I prefer evidence-based medicine.



Supplements appear third from the top of Dr Weil's anti-inflammatory diet food pyramid, which illustrates the recommendations of the anti-inflammatory diet in a visually pleasing way -- not according to recommended quantities. Red wine and dark chocolate are the two recommendations that top supplements in the pyramid. Supplements were the first thing that made me skeptical of Dr Weil's approach, but he is not the only advocate of the health benefits of anti-inflammatory foods.

The Arthritis Foundation promotes the idea that certain foods help combat inflammation, implying that a diet of these foods may benefit people with rheumatoid arthritis (that's me). The Arthritis foundation recommends eating 3-4 ounces of omega-3 rich fish twice a week; "at least 1½ to 2 cups of fruit and 2 to 3 cups of veggies per meal"; a handful of nuts every day; lots of beans; 2-3 tablespoons of olive oil every day; onions (I'm not a big fan of those); lots of fibre; less processed food and salt; and moderate alcohol (they have a picture of red wine and that is good enough for me). The Arthritis Foundation encouraged me to calculate a diet plan that is right for me through the USDA.

The USDA recommended I eat 2600 calories a day to maintain my current weight, or 2400 calories a day to lose weight. I chose the 2400 calories a day option, because I can't imagine I ate more than that before I started really thinking about food, and this is what was recommended:



For breakfast I had enough fruit and grains for the day with a glass of pro-biotic blueberry pomegranate juice, half a cup of 7-grain oatmeal, topped with blueberries and strawberries. I put almond milk on my oatmeal and soy milk in my coffee, so (according to this) I can have two more cups of dairy, three cups of vegetables, and 6.5 ounces of protein before the day is over.

This is similar to, but not the same as Dr Weil's food pyramid. His food pyramid would have me eating more (I like him for that). Dr Weil says I can have all the mushrooms, garlic, ginger, turmeric, and cinnamon I can eat. After the wonderful breakfast I had, he would also let me have 2-4 more servings of whole grains; two more servings of protein than the USDA recommends (if one is beans and the other is tofu); another serving of fruit; and one more helping of vegetables than the USDA recommends. According to Dr Weil's food pyramid, I can also have 2-4 cups of tea and a couple glasses of red wine before bed. Either way, I am not going to starve.