Digestive Wellness: Strengthen the Immune System and Prevent Disease Through Healthy Digestion, Fourth Edition

BOOK: Digestive Wellness: Strengthen the Immune System and Prevent Disease Through Healthy Digestion, Fourth Edition
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Copyright © 2012 by Elizabeth Lipski. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.

ISBN: 978-0-07-170161-7
MHID:       0-07-170161-3

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This is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hill’s prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms.

THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise.

This book is dedicated to Chris Dennen,
husband, friend, coworker, and playmate. Your unwavering love and support
allow me to spread my creative wings and fly. You are the banks of my river.

 
CONTENTS
 

Foreword: Why Is Your Gut Making You Sick? by Mark Hyman, M.D.

Acknowledgments

Introduction

PART I Fundamentals

CHAPTER
1
Changing the Way You Feel: When in Doubt, Begin in the Gut

CHAPTER
2
A Voyage Through the Digestive System

PART II The DIGIN Model and the 5 Rs

CHAPTER
3
Digestion/Absorption: Replace and Repair

CHAPTER
4
Intestinal Permeability/Leaky Membranes

CHAPTER
5
The GI Microbiome: “Aliens Have Overtaken My Body!”

CHAPTER
6
The GI Microbiome: Probiotics Naturally from Food and Supplements

CHAPTER
7
The GI Microbiome: Dysbiosis, a Good Neighborhood Gone Bad

CHAPTER
8
The GI Microbiome: Specific and Common Dysbiosis Infections

CHAPTER
9
Fire in the Gut: Immune and Inflammation

CHAPTER
10
The Enteric Nervous System: The Second Brain

CHAPTER
11
Functional Medicine/Functional Testing

PART III Coming Back into Balance

CHAPTER
12
Food Is Your Best Medicine

CHAPTER
13
Restorative Foods for Healing

CHAPTER
14
Food Sensitivities, Intolerances, and Allergies

CHAPTER
15
The Elimination Diet, or How to Feel Remarkably Better in Two Weeks

CHAPTER
16
Managing Stress and Finding Balance

CHAPTER
17
Rebalance Biochemistry: Acid-Alkaline Balance

CHAPTER
18
Cleansing and Detoxification

PART IV Natural Therapies for Common Digestive Problems

CHAPTER
19
The Mouth

CHAPTER
20
The Esophagus and Stomach

CHAPTER
21
The Liver

CHAPTER
22
The Pancreas

CHAPTER
23
The Gallbladder, Gallstones, and Cholecystectomy

CHAPTER
24
The Small Intestine

CHAPTER
25
The Colon or Large Intestine

PART V Natural Therapies for the Diverse Consequences of Faulty Digestion

CHAPTER
26
Arthritis

CHAPTER
27
Autoimmune Diseases

CHAPTER
28
Behcet’s Disease

CHAPTER
29
Cardiovascular Disease: The GI Link

CHAPTER
30
Chronic Fatigue Syndrome

CHAPTER
31
Eczema or Atopic Dermatitis

CHAPTER
32
Fibromyalgia

CHAPTER
33
Interstitial Cystitis

CHAPTER
34
Migraine Headaches

CHAPTER
35
Obesity, Metabolic Syndrome, and the GI Connection

CHAPTER
36
Osteoporosis: The GI Connection

CHAPTER
37
Psoriasis

CHAPTER
38
Rosacea

CHAPTER
39
Schizophrenia

CHAPTER
40
Scleroderma (Systemic Sclerosis)

CHAPTER
41
Sjögren’s Syndrome

Afterword

Index

FOREWORD
Why Is Your Gut Making You Sick?
 

Doctors are trained to identify diseases by where they are located. If you have asthma, it’s considered a lung problem; if you have rheumatoid arthritis, it must be a joint problem; if you have acne, doctors see it as a skin problem; if you are overweight, you must have a metabolism problem; if you have allergies, immune imbalance is blamed. Doctors who understand health this way are both right and wrong. Sometimes the causes of your symptoms do have some relationship to their location, but that’s far from the whole story.

As we come to understand disease in the 21st century, our old ways of defining illness based on symptoms and location in the body are not very useful. Instead, by understanding the origins of disease and the way in which the body operates as one whole, integrated ecosystem we now know that symptoms appearing in one area of the body may be caused by imbalances in an entirely different system. Everything is connected. The center of that connection is the gut. Nowhere are those connections made clearer, and nowhere will you find a better owner’s manual for your gut and how to keep it healthy, than in Dr. Lipski’s updated edition of
Digestive Wellness
, which I have used successfully in my practice for more than a decade.

If your skin is bad or you have allergies, can’t seem to lose weight, suffer from an autoimmune disease, struggle with fibromyalgia, or have recurring headaches, the real reason may be that your
gut is unhealthy
. This may be true even if you have
never
had any digestive complaints.

There are many other possible imbalances in your body’s operating system that may drive illness as well. These include problems with hormones, immune function, detoxification, energy production, and more. But very often the gut may be at the root of your chronic symptoms.

SYMPTOMS THROUGHOUT THE BODY ARE RESOLVED BY TREATING THE GUT
 

Many today
do
have digestive problems, including reflux or heartburn, irritable bowel syndrome, bloating, constipation, diarrhea, and colitis. In fact, belly problems account for more than 100 million doctor’s visits and billions in health-care costs annually. But gut problems cause disease far beyond the gut. In medical school I learned that patients with colitis could also have inflamed joints and eyes and that patients with liver failure could be cured of delirium by taking antibiotics that killed the toxin-producing bacteria in their gut. Could it be that when things are not quite right down below it affects the health of our entire body, including many diseases we haven’t linked before to imbalances in the digestive system?

The answer is a resounding yes. Normalizing gut function is one of the most important things I do for patients, and it’s so simple. The “side effects” of treating the gut are quite extraordinary. My patients find relief from allergies, acne, arthritis, headaches, autoimmune disease, depression, attention deficit, and more—often after years or decades of suffering. Here are a few examples of the results I have achieved by addressing imbalances in the function and flora of the gut:

A 58-year-old woman with many years of worsening allergies, asthma, and sinusitis who was on frequent antibiotics and didn’t respond to any of the usual therapies was cured by eliminating a worm she harbored in her gut called Strongyloides.

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