The diversity of depression

In a meta-analysis assessing the mineral intake of approximately 3,000 women. It found that eating an iron-rich diet (20mg per day) was linked to a 30-40% lower risk of developing premenstrual syndrome when compared to the lowest intake of iron (around 10mg per day) (Am J Epidemiol. 2013 May).

Menstruating women lose around 40% more iron per day when compared to men, with some studies stating how heavy menstrual bleeding is one of the leading causes of anemia in the developed world (Liu Z, et al. 2007).

The National Health and Nutrition Examination Survey indicates that 12-16% of non-pregnant women (aged 16-49 years) have iron deficiency, with 2-4% having anemia.

Increasing iron intake through diet and supplementation for two months has been shown to reduce PMS symptoms considerably in all anemic women (Mitesh Sinha et al. 2013).

Got plaque?

The conventional approach uses a process known as ‘Triple Therapy’ – this is the combination of two different antibiotics in-conjunction with a proton-pump inhibitor (which lowers HCL).

Not only does this have a low success rate, but it makes the host vulnerable to infection from other pathogens and parasites post-treatment. This is due to decreased stomach acid and a lessened ability to sterilise bacteria within food along with less competitive dominance within the gastrointestinal tract due to the eradication of the microbiota (pathogenic and beneficial species) within the gut, leaving available space to harbour unwanted bacteria.

H. Pylori is starting to develop resistance to antibiotics, making the conventional approach less and less effective – leading to the ‘thought’ process of adding more medication to the mix to overcome this resistance by using ‘Quadruple Therapy’.

The Health Protection Agency reports that the prevalence of H. Pylori antibiotic resistance varies within the UK depending on location, from 20-63% for metronidazole and 4.4-11% for clarithromycin. [11]

This is one factor explaining why as many as 20% of affected individuals have a reoccurring infection even after treatment.

Another factor for reinfection is the presence of H. Pylori in the oral cavity [1–3]; therefore, failure to eliminate H. Pylori from the mouth could lead to gastrointestinal reinfection.

Gingivitis and chronic periodontitis may be associated with H. Pylori infection and considered as a potential reservoir for bacteria. [4,5]

The plaque should be removed professionally, and oral hygiene procedures should be performed along with eradication strategies of H. Pylori [6] to increase the probability of success.

One could argue that an alternative approach yields much less risk to the host when compared with the iatrogenic complications and long-term hindrance from antibiotics (especially given that a single course of antibiotics can disturb the microbiome for unto 2-4 years post-treatment [12]).

The following has been found effective when addressing H. Pylori:

• Bismuth subcitrate
• Mastic gum
• Goldenseal/Berberine
• DGL Licorice wafers
• Matula tea

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The following foods have also been found beneficial:

• Coconut oil
• Manuka honey

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All this has to be addressed with the appreciation of humans being a multi-dimensional and bi-directional organism.

Seeking advice from a trusted professional is always recommended when dealing with any health ailments.

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References:

1. Morales-Espinosa R, et al., Oral Microbiol Immunol. 2009
2. Nguyen AM, et al., Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995
3. Miyabayashi H, et al., Helicobacter. 2000
4. Gebara EC, et al., J Clin Periodontol. 2006
5. Dye BA, et al., Am J Public Health. 2002
6. Eskandari A, et al. Med Oral Patol Oral Cir Bucal.
7. Abro AH, et al. J Ayub Med Coll Abbottabad. 2011
8. Saudi J Gastroenterol. 2014
9. J Gastrointestin Liver Dis. 2011
10. J Gastroenterol Hepatol. 2011
11. Surveillance of Helicobacter pylori antibiotic resistance in England and Wales; Public Health England, 2008
12. Jernberg, C, et al. 2010

How many of the following symptoms for iron deficiency do you have?

• Non-Physical Symptoms
• Anxiety
• Cognitive dysfunction
• Dizziness
• Fatigue
• Headaches
• Lowered attention
• Light-headedness
• Mood swings
• Post-partum depression

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Physical:

• Atrophy or enlargement of the taste buds
• Compromised immune function
• Hair loss
• Koilonychia (Brittle, spoon-shaped nails)
• Leg cramps / heavy legs
• Lowered body temperature
• Mouth sores
• Pale skin complexion
• Palpitations
• Poor thyroid function
• Skin problems
• Shortness of breath
• Swollen tongue
• Restless legs
• Pregnancy complications

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Here are some of the mechanisms behind the above symptoms:

Iron is required for tryptophan hydroxylase activity, this enzyme converts tryptophan to 5HTP, the precursor for serotonin – the chemical brain messenger responsible for our happiness. Therefore with inadequate iron levels, serotonin production will be reduced.

Iron is also needed for tyrosine hydroxylase, this enzyme is essential for the production of dopamine – the chemical brain messenger that is responsible for our drive and motivation.

Iron is essential for the intracellular reception of T3. This reduces the activity of the main thyroid hormone thus lowering metabolism, energy, whilst leading to hair loss and other related factors.

Iron is required to make hemoglobulin. Hemoglobulin helps carry oxygen within the blood to tissues, an integral part of energy production. If iron is low, the body’s ability to produce energy is hindered therefore increasing the likelihood for fatigue. This same mechanism leads to reduced oxygen availability to the brain giving reason as to why headaches are also linked to iron deficiency.

The paling of the skin and inside of the eyelids is due to less hemoglobulin within the blood, as hemoglobulin gives blood its red pigmentation.

Reduced hemoglobulin levels result in less oxygen within the body. As a compensatory mechanism, the body will start to increase breathing and heart rate in hope to get more oxygen, thus leading to a shortness of breath and increased heart palpitations.