Client with Crohn’s Disease

Hi i was just wondering if you have any information on Crohn’s Disease. I have a client who wants to increase his weight and tone up but i am not entirely sure which exercises to prescribe. Moreover, he has been told by his doctor to consume cakes, and take aways to increase his calorie intake as his metabolic rate is apparently 3 times faster than a ‘normal’ individual. Is this the best way to get a balanced diet for someone with this disease? Any help would be much appreciated. 

ANSWER:

Here is a quick definition of Crohn’s from www.wikipedia.com: 

Crohn’s disease (also known as regional enteritis) is a chronic, episodic, inflammatory condition of the gastrointestinal tract characterized by transmural inflammation (affecting the entire wall of the involved bowel) and skip lesions (areas of inflammation with areas of normal lining between). Crohn’s disease is a type of inflammatory bowel disease (IBD) and can affect any part of the gastrointestinal tract from mouth to anus; as a result, the symptoms of Crohn’s disease vary between affected individuals. The main gastrointestinal symptoms are abdominal pain, diarrhea (which may be bloody) or constipation, and weight loss. 

Let me first start out with this, you are going to need more than just training to help a client with a dysfunction such as this. You need to take the lead and start getting a team together or developing relationships with other people in the field in order to help this client. Your best bet would be to work along with a Holistic Nutritionist (CHEK Nutrition and Lifestyle Coach, HHP, someone at the Poliquin Institute), a Chinese Medicine Doctor and someone who practices Functional Medicine to do some lab testing with (www.biodia.com). 

I will start by giving you some basic nutrition and lifestyle recommendations that will help with a client such as this. These are things that you can RECOMMEND in order to facilitate healing. The bottom line is that this client needs to be assessed nutritionally, needs their lifestyle to be assessed, as well as needs some lab work (GI stool testing for parasites, bacteria, fungus sIgA, dysbiosis, C-Diff, and so forth). If you refer to the article series by Paul Chek called You are What you Eat series 1-3, this should help you get started. I would also refer them out as well to get further assessments, testing and nutrition and lifestyle recommendations.  You can also begin the 4R (remove, replace, reinocculate and repair) Program with your client. Each phase is about 3 months long. 

1. Remove: This entails eliminating anything in their life that may create parasites, bacteria, fungus, etc. As well, any environmental derived toxic substances, including conventional foods, plastic, microwaves, hygiene and cleaning products. There is always organic!
2. Replace: This entails replenishing enzymes and other digestive factors which may be limiting healing. The key ingredients are pancreatic, digestive and liver enzymes.
3. Reinocculate: This entails reintroducing good microflora back into the gut. This means pre and probiotics. Prebiotics are synergistic flora and mucosal cell regeneration.
4. Repair: This entails providing nutritional support for regeneration and healing of the GI mucosa. You can also add in glutamine, fish oils, zinc and pantothenic acid. This will reduce inflammation and regenerate the mucosa of the gut.

 As far as training goes, you don’t want to create more stress for this client. Stress creates inflammation and inflammation is one thing that you want to get rid of with a client with Crohn’s. The first thing I would do would be to assess your client. You need to know what is short (so you can stretch it) and what is elongated (so you can strengthen it). That is the bottom line when writing a program. From there, you need to take your client through the basic stability-strength-power paradigm. Depending on the client, you might have 1-3 phases within each of the above.  While your client is getting his gut back in order, which will increase his immune system as well (75% of the immune system is housed in the GALT system in the gut), I would start by having him do some simple daily Qi Gong. This will pull him more into a parasympathetic state. This will decrease inflammation and allow for repair to take place. As well training wise, I would keep him in a Base Conditioning Phase for someone who has what is called a High Physiological Load. 

You would use the exercise examples below with your client:

1.     Light cardio (conversation level)a.     light walkingb.      aqua walking

2.     Tai Chi, Yoga, or Qi Gong

3.     Flexibility routine

4.     Light corrective exercises (Primal Patterns, LA #1, prone cobra, supine bridging on floor, forward ball roll, supine lateral ball roll to name a few). You would just want to make sure that these are not too challenging (increasing internal stress) and that put the variables as follows:a.     rest +70 secondsb.      intensity –2repsc.      reps 8-12d.     tempo 2-1-2,2-0-2, 3-0-3, 2-1-1, or breathing pace (slow)

 There are many pieces to the healing puzzle. You need to figure out which ones your client needs, but also in what order. Training is important, but it might not be first on the totem pole of importance. 

Joshua Rubin

www.eastwesthealing.com 

What is Love?

What is love
Is it of the mind
Is it of the ego
Or is it one of a kind

Is it caring what is felt
Is it caring what is said
Is it just an experience
Or is it just laying in bed

Does it come out of compassion
Is it lived with conditions
Are there any judements
Or is it built in traditions

What is known
Is that love is being
Being with another
Not caring who is seeing

What is around
Who knows
When there is love
Life just flows

Flowing with compassion
Feeling and feeling
Fitting together on all levels
There is meaning

It is the smile
It is the laugh
Feeling deep inside
Moments pass

Nothing else matters
All attention on her
You know what is felt
Clearing all the blur

It is felt
Felt so right
Holding hands
Cuddling at night

Love is known
Flowing through the air
Her beuaty is known
It is so clear

So that is love
One of a kind
Tears of joy
What a find!

Joshua Rubin

www.eastwesthealing.com

Beings Of Nature

We are beings of a nature
One with all
Flowing we shall be
Like leaves in the fall

Heavens above
Earth below
We are so close
You don’t even know

Are we here with all
Can we feel whats around
Do you see whats above
Are we all that is on the ground

Perceptions, oh life is
It is different for all
Don’t think too fast
You will miss it all

Experience life
Don’t forget the past
Mixed up you can get
Life will go by fast

Do we forget
Or do we choose to not remember
Open your mind
You will see its almost november

Humans we are
We experience it all
It may be different
Large or small

Beings of nature
People can get in our mind
Cut the weeds
Life you will find!

Joshua Rubin

www.eastwesthealing.com

Soul Expressions

Breathing in silence
With no-thing else around
You can see your breathe
As it comes around

The mist
The meaning of it all
The beauty it expresses
It is ALL

From no-thing
One
Comes every-thing
Life, meaning = fun

The all knowing
The all presence
The all pervading
It all begins to make sense

Tap in
It begins to know
Stop thinking
Life becomes slow

Like a snowflake
Falling from above
Slow as it falls
To earth with love

The existence it creates
Creation I begin to feel
Alive I AM
Here again to seel the deal

Birth again
Soul comes out
Vibrate it is
Without a doubt

Is it your breath
It is the smile
Laugh you will be
It has been a while

The meaning of the soul
To breath out with glow
Exression it is
All I know

Joshua Rubin

www.eastwesthealing.com

Client with Proteinuria and Type 2 Diabetes

I think this explains it all. If you clear up the Type 2 Diabetes, I think you will relieve his proteinuria. I just wrote a newsletter on this. I copied and pasted it below as well. Take it slow with the NLC principles, as I would focus on food elimination first.

   Proteinuria describes a condition in which urine contains an abnormal amount of protein. Proteins are the building blocks for all body parts, including muscles, bones, hair, and nails. Proteins in your blood also perform a number of important functions. They protect you from infection, help your blood clot, and keep the right amount of fluid circulating throughout your body. As blood passes through healthy kidneys, they filter the waste products out and leave in the things the body needs, like proteins. Most proteins are too big to pass through the kidneys’ filters into the urine unless the kidneys are damaged. The main protein that is most likely to appear in urine is albumin. Proteins from the blood can escape into the urine when the filters of the kidney, called glomeruli, are damaged. Sometimes the term albuminuria is used when a urine test detects albumin specifically. Albumin’s function in the body includes retention of fluid in the blood. It acts like a sponge, soaking up fluid from body tissues. Inflammation in the glomeruli is called glomerulonephritis, or simply nephritis. Many diseases can cause this inflammation, which leads to proteinuria. Additional processes that can damage the glomeruli and cause proteinuria include diabetes, hypertension, and other forms of kidney diseases.Research shows that the level and type of proteinuria (whether the urinary proteins are albumin only or include other proteins) strongly determine the extent of damage and whether you are at risk for developing progressive kidney failure. Proteinuria is also associated with cardiovascular disease. Damaged blood vessels may lead to heart failure or stroke as well as kidney failure. If your doctor finds that you have proteinuria, do what you can to protect your health and prevent any of these diseases from developing.Several health organizations recommend that some people be regularly checked for proteinuria so that kidney disease can be detected and treated before it progresses. A 1996 study sponsored by the National Institutes of Health determined that proteinuria is the best predictor of progressive kidney failure in people with type 2 diabetes. The American Diabetes Association recommends regular urine testing for proteinuria for people with type 1 or type 2 diabetes. The National Kidney Foundation recommends that routine checkups include testing for excess protein in the urine, especially for people in high-risk groups. [Top]

Who is at risk?

People with diabetes, hypertension, or certain family backgrounds are at risk for proteinuria. In the United States, diabetes is the leading cause of end-stage renal disease (ESRD), the result of chronic kidney disease. In both type 1 and type 2 diabetes, the first sign of deteriorating kidney function is the presence of small amounts of albumin in the urine, a condition called microalbuminuria. As kidney function declines, the amount of albumin in the urine increases, and microalbuminuria becomes full-fledged proteinuria. High blood pressure is the second leading cause of ESRD. Proteinuria in a person with high blood pressure is an indicator of declining kidney function. If the hypertension is not controlled, the person can progress to full renal failure. African Americans are more likely than Caucasians to have high blood pressure and to develop kidney problems from it, even when their blood pressure is only mildly elevated. In fact, African Americans are six times more likely than Caucasians to develop hypertension-related kidney failure.Other groups at risk for proteinuria are American Indians, Hispanic/Latinos, Pacific Islander Americans, older people, and overweight people. These at-risk groups and people who have a family history of kidney disease should have their urine tested regularly.

My newsletter for the public in lamens terms; 

In type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin. Insulin is necessary for the body to be able to use sugar. Sugar is the basic fuel for the cells in the body, and insulin takes the sugar from the blood into the cells. When glucose (sugar) builds up in the blood instead of going into cells, it can cause two problems:

• Right away, your cells may be starved for energy.
• Over time, high blood glucose levels may hurt your eyes, kidneys, nerves or heart.

Scenario: 1. Calorie restriction, skipping meals, diet pills and unbalanced meals consisting of mostly carbohydrates2. Stress response and altered hormonal levels3. Immune response, digestive issues, increase insulin and cortisol response (2 hormones that store fat around the midsection)4. Elevated lypogenic (fat storing) enzymes and decreased lypolytic (fat burning) enzymes5. Muscles become sensitive to insulin6. Fat collection in the midsection, fatigue, Type II Diabetes and Insulin Resistance

Causes:1. Eating a diet high in carbohydrates, low in fat and proteins2. Eating a conventional diet of fast foods, boxed, canned or microwavable foods3. Eating a diet high in sugar (either from candy or enriched breads/pastas)4. A diet consisting of mostly fruit juices (sugar water) or any form of soda5. A diet that is low in water consumption6. A sedentary lifestyle

Treatments: 1. Eliminate all boxed, canned and microwavable foods2. Eliminate all forms of carbohydrates (eat only 40% of plate of veggies) for 3-6 months3. Eat a diet of organic proteins and fats (fats slow down the insulin spike)4. Get to bed by 10pm and get up no earlier than 6am5. Begin some form of exercise routine: exercise, yoga, biking or hiking 3x wk)6. Take 4-6K mg of Cod Liver oil each morning for 3 months7. Take Fenugreek by Herb Pharm, Ginseng (before 1 meal), Diabenel from Thorne research Group and Glucobalance from Integrative Nutrition

Joshua Rubin

www.eastwesthealing.com