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DISORDERS

(Their description, characteristics or symptoms,

causes, and complementary or alternative treatments)

Disorder: CYSTIC FIBROSIS (CF)

Description: Cystic fibrosis is an inherited disease that begins to clog the lungs with a thick, life-threatening mucus in early childhood. The gene responsible for CF was identified in 1989. All human cells (except red blood cells, eggs, and sperm) contain two copies of this gene, one inherited from each parent. CF results when both copies of the gene are abnormal. If one copy is abnormal and one is normal, an individual will show no signs of CF but is a carrier capable of passing a defective gene on to offspring. A child of two carrier parents has a 1 in 4 chance of inheriting CF; a 1 in 4 chance of being completely free of the mutant gene; and a 1 in 2 chance of being a carrier like the parents. About 8 million people in the U.S. may be carriers.

Symptoms: Symptoms begin early in life. Glands in the lungs and bronchial tubes secrete large quantities of thick, sticky mucus that blocks lung passages and traps harmful bacteria, resulting in chronic coughing and wheezing, difficult breathing, and recurrent lung infections. Thick secretions also often obstruct the release of pancreatic enzymes, resulting in digestive difficulties and malabsorption problems, particularly with metabolism of fats. Malnutrition often results because nutrients from foods are not properly absorbed. This can cause pain after eating and, especially in young children, failure to gain weight normally. Persons with this disorder also lose large amounts of salt through their sweat glands. Sweating may be profuse. Other signs suggestive of CF include clubbing of the fingers and toes (due to poor circulation); infertility; greasy, bulky, foul-smelling stools; and salty-tasting skin. An individual may have any or all of these symptoms.

Incidence: Cystic fibrosis is the most common inherited illness among Americans of northern and western European ancestry, affecting some 30,000 people. It occurs with approximately equal frequency in men and women, and is far more common in Caucasians (an estimated incidence of 1 in 2400) than in African-Americans (1 in 17,000).

Causes: CF is caused by a defect in a gene that encodes instructions for a protein that regulates the passage of salt in and out of the cells of the body’s exocrine glands. This glitch in genetics affects many different glands in the body including the pancreas, sweat glands, and glands of the digestive and respiratory system.

Treatments: The identification of the CF gene has enabled researchers to begin developing new approaches to diagnose and treat the disease. To keep the body as strong as possible, a person with cystic fibrosis is encouraged to eat a well-balanced diet and to take specially prepared supplemental pancreatic digestive enzymes, plus multivitamin/mineral supplements as prescribed by their physician or nutritionist.

The dosages suggested below are for adults. For children between the ages of 12 and 17, reduce the dose to three-quarters of the recommended amount. For children between 6 and 12, use one-half the recommended dose, and for children under six, use one-quarter the recommended amount.

Nutrients:

Supplement Dosage Comments

Proteolytic enzymes

As directed by physician. Take on empty stomach, between meals.

Aids in controlling infection, helps, digestion, and thins the mucus secretions of the lungs.

Pancreatin

As directed by physician. Take with meals.

Needed for protein digestion.

Vitamin B complex

Plus extra

Vitamin B2 (riboflavin)

100 mg. 3 times daily, with meals.

50 mg. 3 times daily.

Aids in digestion, healing, and tissue repair.

Vitamin B12

1,000 mcg. 3 times daily, on an empty stomach.

Needed for proper digestion and assimilation of nutrients, including iron.

Vitamin C

3000-6000 mg. daily, in divided doses.

For tissue repair and immune function.

Vitamin K

Or

 

Alfalfa

100 mcg. twice daily.

Deficiency is common in those with this disorder. Needed for proper digestion.

See under Herbs below.

Protein supplement

As directed on label.

Needed for healing. Use protein from a vegetable source or a free-form amino acid complex.

Essential fatty acids (primrose oil is a good source).

As directed on label.

Relieves inflammation.

Vitamin A

50,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily.

For tissue repair. Also boosts the immune system.

Vitamin E emulsion or capsules

400-1000 IU daily.

An antioxidant necessary for tissue repair.

Zinc

50 mg. daily.

Important in immune function and healing of tissue.

Herbs:

bulletAlfalfa extract supplies vitamin K and necessary minerals, which are often deficient in those with cystic fibrosis due to absorption problems. It is also a good source of chlorophyll.
bulletOther beneficial herbs for cystic fibrosis include echinacea, ginger, goldenseal and yarrow tea.

Recommendations:

bulletPeople with CF require as much as 50 percent more of many nutrients than normal. A diet high in calories, protein and other nutrients is necessary.
bulletEat plenty of raw fruits and vegetables and raw nuts and seeds.
bulletInclude in the diet foods that are high in germanium, such as garlic, shiitake mushrooms, and onions. Germanium helps to improve tissue oxygenation at the cellular level.
bulletDrinking plenty of water is important. The excessive loss of salt from sweating causes easy dehydration, especially in hot weather.
bulletThe diet should be supplemented with salty foods. Do not use salt tablets, however, because they are too concentrated.
bulletAvoid processed foods, sugar, or white flour products.
bulletWhen you must take antibiotics, take acidophilus to replace "friendly" bacteria.

Considerations:

bulletThe future of CF treatment may lie in gene therapy. Experiments in rats have indicated that replacing the defective CF genes with normal ones in just 10 percent of the lung lining cells improves lung function.
bulletThe symptoms of CF are normally controlled with a number of different drugs. Antibiotics are used to combat the infections to which people with cystic fibrosis are prone. Pancrelipase (Viokase) is a prescription product containing a combination of digestive enzymes that is often prescribed for people with CF and other pancreatic insufficiencies.
bulletThe drug amiloride (Midamor, Moduretic), which is used as an adjunct to treatment with some diuretic drugs, is being tested as a treatment for CF. Another substance undergoing testing as a potential treatment for CF is deoxyribonuclease (DNase), a protein administered in aerosol form to help thin secretions and clear the lungs.
bulletFurther information about cystic fibrosis is available from the Cystic Fibrosis Foundation, 6931 Arlington Road, Bethesda, MD 20814; telephone 800-FIGHT-CF.

Medical Alert: The correct types and amounts of vitamin and mineral supplements should be individualized by the patient’s own physician or nutritionist.

Vitamin For Life Recommended Regimen and cost:

Product No 59618-

Description

Comments

Cost

NS6ONS

Amino Acid-Free Form 600 mg. Caps.

As directed on label.

$17.95/100

889-15

Alfalfa 500 mg. Tablets

As directed on label.

$2.25/100

224-15

Beta Carotene 10,000 IU softgels

1 softgel 3 times daily.

$4.50/100

890-15

Vitamin B complex 100 mg. tabs.

1 tablet 3 times daily.

$8.95/100

970-12

Vitamin C 1000 mg. with rose hips tabs.

1 tablet 3 times daily.

$5.75/60

234-15

Vitamin E 400 IU (D-alpha tocopheryl)

1 softgel daily

$8.95/100

990-12

Evening primrose oil 1000 mg. softgels

As directed on label.

$13.95/60

982-15

One a day maximum tabs.

As directed on label.

$6.95/100

Sources:

Prescription for Nutritional Healing, 2nd Edition

By James F. Balch, M.D. & Phyllis A. Balch, C.N.C.

Prevention’s Healing with Vitamins, by the Editors of

Prevention Magazine Health Books

Alternative Medicine, The Definitive Guide

Compiled by the Burton Goldberg Group

 

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