Module 10 - Immune & Allergy

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Module 10 - Immune & Allergy
2014-06-04 18:59:30
immune allergy allergic sensitivity sensitivities

Nutritional Therapy Flash Cards
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  1. MO: What are the big ideas for the immune system?
    1. Always address the Foundations first…Healthy digestion is key to healthy immunity.

    2. To improve immune function, strengthen the defenses and remove the stressors.

    • 3. To resolve food intolerances, address the
    • true allergies along with sensitivities.
  2. MO: Three lines of defense of the Immune System.
    • 1. Nonspecific Resistance/Barriers
    • Meant to stop the entrance of invaders.  Mechanical, chemical and expulsion types.

    • 2. Nonspecific or “Innate” Immunity
    • White blood cells and other biochemical substances that provide a rapid response to a wide range of invaders. This is your surveillance team.

    • 3. Specific or “Adaptive/Acquired” Immunity
    • White blood cells that mount an attack to target specific invaders that escaped the nonspecific defenses.
  3. MO: Two types of responses involved in Adaptive/Acquired Immunity.
    Cell-mediated Response (Lymphocytes/T cells)

    Antibody-mediated Response (Lymphocytes/B cells)
  4. MO:  How does the Foundation of a NUTRIENT DENSE WHOLE FOODS DIET support the Immune System?
    • Diet containing adequate, balanced amino acids, healthy fatty acids, minerals, vitamins, complex carbs and water is essential to proper functioning of the immune system.
    • Fermented foods also support immune system by supporting healthy bowel flora, which can combat "bad" bacteria.
  5. MO: How does the Foundation of DIGESTION support the Immune System?
    • Hydrochloric acid in the stomach digests bacteria, viruses, parasites, prions, etc… the same way it does with any other protein.
    • During absorption in small intestine, remaining microbes are destroyed by the immune cells in the Peyer’s Patches.
    • Healthy bowel flora offset the effects of any “bad” bacteria that may remain in the chyme.
    • With HCl dysfunction, undigested proteins damage gut wall (leaky gut), which compromises Peyer's Patches.
    • With HCl dysfunction, bacteria, parasites, etc. can make their way past the stomach and into intestine.
    • Need good bile production (liver/GB function) to absorb fatty acids for production of prostaglandins to control inflammation.
  6. MO: How does the Foundation of BLOOD SUGAR HANDLING support the Immune System?
    • A stress response by the adrenals depresses the immune system.  Adrenals are an “emergency” organ. When they fire, the body goes into “flight or fight” mode.  The body has to make a decision. Do I want to “fight” to save my life now, or do I want to fight infection?
    • Consistently high blood sugar reduces white blood cell activity and depresses the immune system in general.
    • Cortisol regulates White Blood Cells.
    • Cortisol acts like a fire truck rushing to the fire set by the White Blood Cells to burn down infected area.
    • Cortisol boosts anti-immune and anti inflammatory properties. Homeostasis requires equal inflammatory/anti-inflammatory reactions. Excessive inflammation irritates tissues if not properly regulated. Cortisol prevents overreaction of the immune system
    • High Cortisol = Depression of lymphocytes, other immune cells and diminished S IgA levels.
    • Low Cortisol = Runaway immune system. The moderating effect on immune is lost and lymphocytes circulate in excess which causes inflammation.
  7. MO: How does the Foundation of FATTY ACID BALANCE support the Immune System?
    • The appropriate mix of fatty acids is critical for the management of inflammation.
    • We need omega 3s, omega 6s, and saturated fats to balance the inflammatory/anti-inflammatory healing response.
    • Excess PG2 triggers IgE antibodies; basophil/histamine inflammatory response.
    • Maldigested fatty acids (leaky gut) actually assists in the formation of inappropriate antibodies (food allergies).
    • Most immune activity occurs on cell membrane, which must be healthy.
  8. How does the Foundation of MINERAL BALANCE support the Immune System?
    • Ionized calcium supports white blood cell activity.  In blood tests, the phagocytic index goes up with ionized calcium in the serum. (This is why we give clients Ca-Zyme anytime they have an allergic/sensitivity reaction to a protocol.)
    • Zinc is a component of the enzymes required to heal wounds. Zinc also provides a general boost to the immune system and helps protect against free radicals.
    • Iodine is a natural anti-bacterial and antiviral agent.
    • Sodium/Potassium pump must be balanced for healthy cell activities.
    • Copper protects against bacterial/fungal invaders.
  9. MO: How does the Foundation of HYDRATION support the Immune System?
    • Water is needed by the lungs to keep air passages moist and prevent them from drying up as you breathe; passages must be moist in order to successfully expel pathogens.
    • Good hydration supports good lymphatic flow and proper blood viscosity.
    • Dehydration can aggravate a histamine response, which swells tissue to draw in moisture for the purposes of water regulation, which can play a role in asthma and allergies.
    • Mucus consists of 98% water and 2% the physical “scaffolding” that traps water.
    • The Mucosal lining of the air pathway, from the nose to the lining of the lungs, is where the immune system does its work.
    • The Mucosal lining of the digestive tract, from North to South is where the immune system does its work.
  10. MO: What is the difference between an allergy and an intolerance or sensitivity?
    • Allergies
    • According to the medical definition, a person
    • can only be truly allergic to some type of
    • protein-based substance.

    • Food Sensitivities
    • However, many people experience “allergic type” reactions to other foods that are not
    • protein-based.
  11. MO: What are 3 basic questions you must address for clients with intolerances?
    • Is the problem caused by something the client needs to avoid? What is making it worse? (e.g. wheat or milk allergy)
    • Is the problem caused by something that needs to be eliminated or detoxified? (e.g. mercury toxicity)
    • Is the problem caused by a deficiency in something? What must be done to get better? (e.g. essential fatty acid deficiency)
  12. MO: Differentiate between the three types of possible reactions to a new protocol.
    • Digestive Reaction
    • – Looks like a digestive problem
    • – Examples: Diarrhea, cramping, heartburn, constipation

    • Sensitivity and/or Allergic Reaction
    • – These look like sensitivity or allergy symptoms
    • – Examples: Rashes, congestion, etc…

    • Healing Reaction
    • – Looks like the symptoms you are trying to fix
    • – Examples: Flu-like symptoms if you’re working on immune function or nausea if you are working on gallbladder
    • – Mild/Moderate Symptoms: give the client the option to cut back or work through it.
    • – Severe Symptoms: recommend the client call you.
  13. MO: List the five steps of the Coca Pulse Test.
    1. Sit down, take a deep breath and relax.

    2. Establish baseline pulse by taking it for one full minute.  Record in the "before" space on the pulse test record form.

    3. Put a sample of food to evaluate on your tongue.  You may chew but refrain from swallowing. You need to taste if for about 30 seconds.

    4.  Retake your pulse with the food still in your mouth.  Write down your "after" pulse on the pulse test record form.  An increase of 6 beats or more is indicative of a stress response.

    5. Discard the tested food (do not swallow).  Rinse mouth and repeat with other foods or supplements, rinsing in between.  Repeat with as many foods as you like as long as you return to normal resting pulse rate in between.
  14. MO: Describe Lingual Ascorbic Acid test (FE for Immune).
    • The ascorbic acid test looks at Vitamin C status and is a general indicator of oxidative/free radical stress.
    • Briefly explain the process to the client before beginning.
    • Have the client stick out their tongue and dry it with a piece of gauze. If the client is unable to hold their tongue steady, you may help by holding the tongue with the piece of gauze (never touch the client’s tongue directly with your hand unless you have rubber gloves).
    • Place 1 drop of the dye on the tongue, avoiding any creases. As soon as the dye has dispersed, begin counting to determine when the dye has completely decolorized or 60 seconds has lapsed. If the dye runs into cracks in the tongue, disregard the color in those areas. The more quickly the dye disappears, the more sufficient the client is.
    • SCORE:
    • Excellent – 1- 10 seconds
    • Fair – 11-20 seconds
    • Poor - 20-30 seconds
    • Fail – 30+ seconds
  15. MO: Describe Chapman’s Reflex Thymus (FE for Immune).
    • The thymus is the organ where the T lymphocytes mature before they migrate to their assigned areas. Immature cells lead to general immune weakness.
    • This point is located in the 5th intercostal space at the sternum on the right side only. Find the 6th intercostal space and move to the sternum, then up into the 5th intercostal space, or count down from the clavicle. Palpate A>P for tenderness.
    • This point is also expressed in the 5th intercostal space on the right, lateral/coronal portion of the ribcage. Move to the far lateral/coronal portion of the ribcage. Single finger palpation, A>P.
    • DOES LNT.
  16. MO:  Describe the Sanchez-Cuenca Test (FE for Immune).
    • A screen for allergic tension. Helps determine if Coca Pulse testing needed to identify specific allergens/sensitivities.
    • Take 1 full-minute pulse sitting and then have the client stand and wait 15-30 seconds before taking a second full-minute pulse. Compare the two.
    • A rise of 6+ BPM indicates allergic tension and a need for Coca Pulse Testing.
    • If having difficulty getting a good steady pulse reading, try using a point along the neck directly below the jaw (carotid artery).
  17. MO:  Describe the Histamine Point (FE for Immune).
    Located at 5:00, 5th & 6th on Right.  The best way to find this point is to locate the 6th intercostal on the right side only and move up one rib and over lateral from the sternum. The Histamine Point sits on the edge of the pectoralis muscle at a 5:00 position.

    - Or -

    Locate the tip of the Xiphoid and draw an imaginary line to the nipple. The Histamine Point is located half-way between the Xiphoid and the nipple.

    Single finger palpation A->P.  Does not LNT.
  18. MO: Describe Toe Touch and Hip/Foot Rotation (FE for Immune).
    • Used to LNT if the Histamine Point (which does not LNT) is “hot.”
    • For the exam, you must perform BOTH tests.
    • Toe Touch – Ask client if they have any problems with their low back. Ask client to stand, feet shoulder width apart. Then direct them to bend forward and attempt to touch their toes without undue strain, hinging at the hips, keeping back straight.
    • Measure the distance from the floor to the tips of their fingers with a ruler or simply eyeball it. Record the distance. Note, if the client can easily touch their toes, then use the Hip/Foot Rotation test as a better indicator of flexibility.
    • Hip/Foot Rotation – first ask if there are any knee, ankle or hip issues. With the client on their back, cradle each ankle with your hands with your thumbs supporting the outside of the ankle. Gently twist the feet inward, testing for resistance. Feel for and eyeball the degree of flexibility. Note changes in range of motion with LNT procedure.
  19. MO: Describe Chapman Reflex Sinuses (FE for Immune).
    • 1st Intercostal Space, Bilateral. To locate the point drop into the first intercostal space both right and left directly below the clavicle. Starting at the sternum, move your hands laterally until you find a natural “hole” that is on either side. Palpate A>P for tenderness. Record R and L indicators.
    • DOES LNT.
  20. MO: Describe Chapman Reflex Lungs (FE for Immune).
    • 3rd & 4th Intercostal Spaces, Bilateral. Third and fourth intercostal spaces, next to the sternum. Palpate for tenderness A>P. Record R and L indicators for both intercostal spaces.
    • DOES LNT.