Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2)...

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Leaky Heart Syndrome Jack Wolfson DO, FACC TheDrsWolfson.com

Transcript of Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2)...

Page 1: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Leaky Heart Syndrome

Jack Wolfson DO, FACCTheDrsWolfson.com

Page 2: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 3: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 4: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 5: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 6: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 7: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 8: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 9: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

▪ D.O. 1996- Midwestern Univ.

▪ Internal Medicine 96-99

▪ Cardiology 1999-2002

▪ Chief fellow

▪ Senior partner of a large cardiology

group, 2002-2012

▪ Chairman of Dept. of Medicine

▪ Director of Cardiac Rehab

▪ Phoenix Top Doc 2011

▪ Top Holistic MD 2012,14-17

Page 10: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 11: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Prescriptions Filled in the U.S., 2014 (Generic)

Page 12: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 13: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
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9/16/18

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ALLHAT Trial-18% More People

Died in the Statin Group

JAMA Intern Med. 2017;177(7):955-965. doi:10.1001/jamainternmed.2017.1442

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One Million Stents Per Year½ Million Bypass Surgeries

Page 17: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
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Leaky Gut Syndrome

Page 19: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Immune System Activation Inflammation/Oxidative Stress

Page 20: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Leaky

Heart

Syndrome

Page 21: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 22: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 23: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3458511/figure/F1/

Zonulin controls the tight junction

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Zonulin Levels Are Higher in Patients with Coronary Artery Disease

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https://www.ncbi.nlm.nih.gov/pubmed/28069576

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Zonulin levels are higher in people with:

AI▪ Celiac▪ IBD▪ RA▪ SLE▪ Type 1 DM▪ AS

Cancer▪ Brain▪ Breast▪ Lung adeno CA▪ Ovarian▪ Pancreatic

Nervous ▪ Demyelination

(MS and CIDP)▪ Psych disorders

Fasano, A. Physiol Rev. January 2011

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https://www.ncbi.nlm.nih.gov/pubmed/28285651

Leaky Gut Linked to Metabolic Syndrome and Inflammation

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https://www.ncbi.nlm.nih.gov/pubmed/28282855

Zonulin and:▪ Obesity▪ Hypertension▪ Elevated blood sugar▪ Dyslipidemia

Page 30: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

The higher the LPS…the higher the heart attack risk

https://www.ncbi.nlm.nih.gov/pubmed/17601541

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Lipopolysaccharides (LPS)

- Increase coagulation- Activate compliment- Activate TLR present on cardiac myocytes- Decrease contractility- Decrease vascular responsiveness- Induce cell apoptosis

https://www.ncbi.nlm.nih.gov/pubmed/20592272

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Anti-actin Antibodies

Page 33: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Anti-actin Antibodies

Page 34: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Leaky Gut is Linked to Heart Failure

Page 35: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Leaky Gut and Parkinson’s Disease

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Leaky Gut is Leaky Brain

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Intestinal Permeability and Autism Spectrum

26% of ASD group

2% of control group

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Leaky Gut and Cancer

Page 39: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Prevent the Leaky Gut

Treat the Leaky Gut

Page 40: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Quality waterSpicesFermented foodsOrgans

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Paleo Versus the Dutch Diet

Intestinal Permeability By Lactulose: Mannitol Ratio

After two weeks on the recommended diet, Paleo IP improved by 21%, while the Dutch diet led to a 27% INCREASED IP

Page 42: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Gluten Free Improves Leaky Gut

AND ASD Symptoms

Page 43: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Gluten-free Diet Resolves

Neurologic Symptoms in

Celiac and Non-Celiac

Patients

Page 44: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Whey Protein and Leaky Gut

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Metals Destroy The BBB

Page 46: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Alcohol and Leaky Gut

Pharma and OTC and Leaky Gut??????????

Page 47: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Vitamin D and the Leaky Gut

Page 48: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 49: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Decreased Melatonin and Leaky Gut

Page 50: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 51: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Sleep Apnea and Leaky Gut

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Stress and the Leaky Gut

https://www.ncbi.nlm.nih.gov/pubmed/26528128

Page 53: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Leaky Teeth?- See Your Holistic Dentist

Pubmed.gov- 151 studies

Page 54: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

The Gift of Chiropractic

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Page 56: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Evidence Based Supplements for Leaky Gut

1) Multivitamin2) Digestive enzymes3) Probiotics and prebiotics4) Omega DHA5) Vitamin D6) Berberine7) Butyrate8) Curcumin9) Whey protein 10)Glutamine11)Immunoglobulins12)Lactoferrin

Page 57: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 58: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 59: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 60: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Berberine

Page 61: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Vitamin D Supplementation and Leaky Gut

Page 62: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine
Page 63: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Butyric acid

Page 64: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Butyrate Lowers

Inflammation

Page 65: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Butyrate Reduces Plaque

Page 66: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Omega-3 Increases butyrate-producing Bacteria

Page 67: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

Chlorogenic acid (coffee and honeysuckle)- https://www.ncbi.nlm.nih.gov/pubmed/30263265, https://www.ncbi.nlm.nih.gov/pubmed/26824685

Curcumin- https://www.ncbi.nlm.nih.gov/pubmed/25251395

Whey protein- https://www.ncbi.nlm.nih.gov/pubmed/26810899,https://www.ncbi.nlm.nih.gov/pubmed/25012977

Lactoferrin- https://www.ncbi.nlm.nih.gov/pubmed/26810899

Immunoglobulins- https://www.ncbi.nlm.nih.gov/pubmed/26068582

Page 68: Leaky Heart Syndrome · 2019-02-14 · Evidence Based Supplements for Leaky Gut. 1) Multivitamin 2) Digestive enzymes 3) Probiotics and prebiotics 4) Omega DHA 5) Vitamin D 6) Berberine

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