Advanced Mediterranean Diet

If you’re really interested in nutrition, you should be reading Bix regularly:

“Vitamin B12 follows a rather circuitous path to absorption. First, of course, you have to eat it. Then you have to free it from the proteins to which it’s bound, so you need a healthy amount of stomach acid. Stomach acid levels decline as we age. They’re also affected by drugs like antacids which are taken for gastric conditions that occur more frequently in the elderly. Once the vitamin is freed, it must bind to a specific protein called Intrinsic Factor (IF) which is secreted by cells that line the stomach. That’s a major stumbling block right there. Anything that damages those parietal cells will cause outright B12 deficiency. (Some people don’t secrete much IF to begin with.) Like? … Ulcers, tumors, scar tissue from ulcers & tumors, any kind of inflammation or gastritis, alcohol intake, and, naturally, the removal of these cells through weight loss or cancer surgery. Intrinsic Factor also doesn’t bind well in an acidic environment. Remember we needed an acidic environment, a low pH, to release B12 from its protein source? Well, now we need a higher pH, about 7, for binding. The pancreas releases buffers to raise the pH of gastric juice. Anything that interferes with pancreatic secretion (diabetes, cancer, cystic fibrosis, etc.) will interfere with B12 absorption. Right, now the IF-B12 complex travels to the small intestine where it’s absorbed. B12 needs to be freed from IF. The pancreas would have secreted enzymes to do that. No enzymes? Poor absorption. Finally it gets absorbed. Any damage to the lower part of the small intestine (celiac disease or other gluten-induced damage, cancer surgery, scar tissue, overrun by bacteria from the colon) will result in poor B12 absorption.”

Source: Repost: The Case For Taking A B12 Supplement | Fanatic Cook

BTW, Bix seems to be a vegetarian or vegan, but don’t hold that against him.

Like many folks, ItsTheWooo ain’t happy about it:

“Now, if you search my blog tags, you guys will know i’ve experimented, and very much benefit from kratom.  I’ve been using kratom for 2 years and counting, and i consider it really a healing substance, that transformed my life considerably. . Kratom has been a very valuable herb to me, which helps my mood and assists my sleep, helps my body regulate weight, and is generally a relaxing pleasant addition to my regimen.The first year i found it, the kratom was so effective it felt like a magical cure. There was greater happiness in my experience of life – it made me happier days after a dose, it kept fall depression completely at bay, and finding it in late august 2 years ago it was as if the summer did not end. It also stopped my brain, made the “noise” go away, let me sleep normally. Kratom seemed to normalize my body rhythm – i woke the same time every day, i slept the same every day. Upon finding kratom , my mood , sleep, everything got so much better; it even helped cure residual “eating problems” , eating became much easier and residual dieting/monitoring behaviors vanished.Work became much easier – the constant struggle with thoughts of people’s intents died down considerably. I could peacefully exist w/o this internal dialogue of suspicion. I performed vastly better at work as a result of kratom resolving these thought issues, as i could interact more normally with coworkers vs “coping” with my thoughts.”

Source: *The Scribble Pad*: Personal update + Kratom discussion (The unethical DEA tramples civil , human rights)

As a hospitalist, I see lots of accidental and intentional drug overdoses and adverse drug effects. But I’ve never seen a patient with an adverse effect from kratom. I’ve never even run across a patient who mentioned taking it.