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Wilmington Clinic

Dr. Michael J. Fiscella DC 4918 Weber Road

St. Louis, MO 63123 314-353-1477

Dr. Fiscella has been in practice for over 35 years

and holds the following certifications and licenses:

— Board Certified Chiropractic Orthopedist — Certified Acupressure/

Nimmo Technique

Instructor

— Graston Technique®

Certified

— Licensed

Acupuncturist

— Certified EndoNasal

Instructor

Services Provided

Myofascial Release

Trigger Point Therapy

Graston Technique

Acupuncture

Acupressure

Orthotics

Nutritional Counseling

Spinal Decompression

Sports Rehabilitation

EndoNasal Technique

X-ray

Cold Laser

Weight Management

We are participating providers for many HMO’s and PPO’s.

Providing knowledge to help you take control of your health and feel better

To Be or Not-To-Be Gluten-Free? gluten-free diet for six months and compared their blood and biopsy samples before and after gluten avoidance.

So what did they find? Non-celiac wheat sensitive individuals have … drumroll … leaky gut! NCWS subjects showed increased intestinal permeability compared to healthy subjects. This is not really all that surprising, since we know that gliadin, a component of gluten, can affect tight junction proteins.

In addition, subjects in the NCWS group had systemic immune activation. Serum levels of both lipopolysaccharide-binding protein (LBP) and sCD14 were significantly elevated in individuals with NCWS. These are sensitive markers of microbial translocation (AKA leaky gut). In other words, they indicate that bacteria and other microbes from the gut interior are “leaking” into the bloodstream, inducing a low-grade, chronic inflammatory response from the

immune system.

So, what does all this mean for you? First, you need to determine if you have an issue with gluten. Instead if expensive tests, you may want to do a gluten elimination and challenge test. Strictly avoid ALL gluten for 60-90 days (the longer the better), then eat substantial amounts in one day and see how you feel. If you notice one ore more symptoms

(such as intestinal issues, fatigue, rash, headache, emotional/mental symptoms, joint and/or muscle pain) you may want to invest in further testing to see if you have CD or NCWS, or, just start on a gluten-free diet and intestinal repair program.

There are many aspects of an intestinal repair program we can help you with. It may take a little time and effort, but the rewards are great. You may eliminate long standing problems and feel better than you have in years!

*Gut doi:10.1136/gutjnl-2016-311964: Intestinal cell damage and systemic immune activation in individuals reporting sensitivity to wheat in the absence of coeliac disease

Gluten, the main protein found in wheat, barley and rye, is one of those health topics that has provoked heated debates and mixed messages. Many tout the benefits of whole wheat/whole grains for a healthy diet. So then why are so many people going gluten-free and claiming great health benefits from avoiding gluten?

Celiac disease (CD) is the one area where we know for sure that it is important to eliminate 100% of gluten from the diet if you want to feel good. True celiac disease is an autoimmune disease characterized by an inflammatory immune response to gluten which results in marked disruption of normal gut tissue structure. CD can be determined by specialized tests that will show specific biological markers if the disease is present.

Non-celiac wheat sensitivity (NCWS), also called non-celiac gluten sensitivity, is a term applied to individuals who experience symptoms in response to wheat or gluten ingestion but lack the characteristic laboratory markers of celiac disease. Symptoms can range from GI discomfort to fatigue and neurological issues. These people tend to improve on a gluten-free diet. Unfortunately, many are mocked or ridiculed for avoiding wheat and told that their sensitivity is “all in their head.”

In a recent study*, researchers at Columbia University Medical Center sought to obtain objective evidence to determine if NCWS is real. They enrolled 80 individuals with self-reported non-celiac wheat sensitivity (NCWS), 40 individuals with celiac disease, and 40 healthy subjects for the study. NCWS patients were excluded if they showed any of the characteristic diagnostic markers of celiac disease (celiac-specific IgA, anti-TG2 autoantibody, or celiac-like histology).

The researchers took blood samples and intestinal biopsies from all 160 patients. In addition to comparing these measures between conditions, they also took a subset of 20 NCWS patients who had adhered to a

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Dr. Michael J. Fiscella 4918 Weber Road St. Louis, MO 63123 314-353-1477

www.thewilmingtonclinic.com

Free Wellness Lecture

Bayless School — Tuesday 12/13/16, 6:30-7:30pm Free notes, Knowledge and Fun!

Tell your friends & family so they can benefit too.

Healthy Sugar Alternatives

October is National Chiropractic Health Month!

Office Hours:

Mon, Wed, Thurs 11am -6 pm Tuesday 8-11 am Friday 6-11 am

Select Saturdays from 9-12 (by appointment only)

We would like to thank you for being our part of our practice and taking a positive approach to your health. Most people are unaware of all of the benefits of keeping your spine and nervous system healthy. Maybe you could help spread the word about Chiropractic by sharing these common health benefits achieved from regular Chiropractic care:

1. Improved Moods

Chiropractic has been shown to improve hormone balance which makes a big difference in how the brain and body works. This is why those suffering with depression and anxiety often have dramatic results with chiropractic care.

2. Fewer Colds and Flus

Dr. Ronald Pero at New York’s Preventive Medicine Institute measured 107 individuals who had received long-term Chiropractic care. The chiropractic patients were shown to have a 200% stronger immune system than people who had not received chiropractic care. Dr. Pero indicated that Chiropractic patients have incredibly strong immune systems, stronger than any group that he is ever measured.

3. Better Sleep and More Energy

Chiropractic has been shown to improve sleep, both in children and adults. Chiropractic patients consistently report that they have more energy.

4. Spend Less Money

“There would be highly significant cost savings if more management of low-back pain was transferred from physicians to chiropractors… Users of chiropractic care have substantially lower health care costs…” (1993 Manga Report)

5. Avoid Drugs and Hospitals

Chiropractic care has been shown to reduce pharmaceutical costs by 51.8%.The Journal of Manipulative and Physiological Therapeutics reported that chiropractic patients under care results in a 43 percent fewer hospital admissions, then those under medical care.

6. Less Pain

When the spine is not aligned and not moving well, pain frequently develops. Research tells us that Chiropractic care is effective for helping people with pain.

Refined sugar is one of the worst things you can ingest if you want to be healthy, lose weight, have a strong immune system, and avoid high blood pressure, diabetes and cancer. We all want sweet treats but we need to be careful not to replace one bad ingredient with another. So, you must be careful in choosing sugar substitutes.

Many of the artificial sweeteners on the market are not healthy choices and we would recommend avoiding them. They often contain toxic chemicals, reduce healthy gut bacteria and have been linked to many adverse health symptoms. This would include Sucralose (Splenda, Sukrana, SucraPlus, Candys, Cuken and Nevella), Aspartame (NutraSweet, Equal, AminoSweet, Spoonful and Canderel), Saccharrin (Sweet ‘N Low), Neotame, and Acesulfame Potassium (Sweet One).

Certainly some of the “healthy” options are better than others. We recommend certain substitutes in moderation only as they maybe aren’t the best choices, such as agave and xylitol. Better choices are organic raw honey and

organic coconut sugar. Two of the best choices are:

Stevia - this is one of the best alternatives but it doesn’t bake well and can have a funny after taste. Different brands are definitely better than others. We like Whole Foods brand and Sweet Leaf.

Monkfruit Sweetner - this is one most people haven’t heard of yet. We only know of one brand and have only found it online (www.lakanto.com). It is great for baking as it is granular and replaces sugar 1:1. It has zero calories, zero glycemic, zero

additives, is nonGMO and it tastes sweet with no aftertaste. It is a bit pricey so sign up for their emails because they often have special discounts. It comes in white and golden (a nice brown sugar substitute).

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