In keeping with the theme of our last post, we will delve into the puzzling and agonizing world of autoimmunity and how it relates to functional medicine. The first couple of eye opening paragraphs below were scribed by Dr. Datis Kharrazian and could make a substantial difference in quality of life.
“Autoimmunity has become a growing epidemic and many individuals seeking care in the healthcare system are suffering from autoimmunity. Autoimmunity is basically the loss of self tolerance, or the inability for the immune system to recognize self-tissue from foreign or pathogenic organisms, leading to an attack upon oneself.”
(I’d be remiss here if I didn’t briefly touch on one of the reasons why our trusty immune system may turn on us and it comes down to what we knowingly put in our bodies. When the food we eat leads to issues within our gut, lending to leaky gut or intestinal permeability, one of our main barrier systems of our bodies becomes compromised and foreign and undigested particles are allowed entry.
Our immune system sees this and does it’s job and attacks. Problem solved.
The issue arises when the presence of unwanted invaders persists and the immune system must continually attack. This puts the immune system on hyperactive defense mode and eventually, due to the similarity in structure between certain tissues and certain foods, the up regulated immune system begins to also attack our own tissues.
This can lead to the start of rheumatoid osteoarthritis as the immune system attacks the joints and breaks down cartilage, or diabetes 1 as the pancreas is attacked (studies now illustrating the similarity in structure of the beta cells of the pancreas and the casein proteins found in milk), MS as the protective covering of our central nervous system, myelin is broken down, or hypothyroidism (Hashimotto’s) as the thyroid is attacked (similar protein structure between thyroid tissue and gluten).
While diet is a major player in the development or facilitation of an autoimmune reaction, the list of catalysts goes well beyond that including many other environmental toxins.)
“The loss of self-tolerance and the development of autoimmunity is a major reason why many individuals notice a rapid decline in their health and seek consultation with a healthcare professional. Unfortunately, autoimmunity leads to a destructive process to various tissues over several years, and early autoimmunity may be easily overlooked in the current healthcare model.
In the current system, autoimmune disease is not diagnosed until the tissue has already been destroyed. In other words, an individual may have cartilage antibodies for several years and suffer significant pain, but they will probably not be diagnosed with rheumatoid arthritis until they have severe joint deformity.
Another person may have subtle autoimmunity to myelin and present with diverse neurological symptoms, but they will not be diagnosed because their MRI does not show enough destruction to be sensitive to MRI findings. It is now clear that the antibodies to tissues appear years before total destruction is obvious, and during these years, individuals suffer from symptoms associated with the destructive process.”
In the all too common scenario like the one above, a person suffering from the early stages of autoimmunity seeks consultation and since they do not have total tissue destruction, they are not diagnosed with any conditions. At this point many individuals end up seeking alternative medicine, as conventional models offer them very little support in the early stages.
Functional medicine looks at autoimmunity through a different lens, classifying it into three stages.
1) Silent Autoimmunity: antibodies present, but no symptoms.
2) Autoimmune Reaction: antibodies AND symptoms present, BUT not enough tissue destroyed to be diagnosed as an autoimmune disease.
3) Autoimmune Disease: antibodies present, symptoms may or may not be present, enough tissue destruction to diagnose.
So what can you do with all this empowering information? Well, speak with a healthcare professional who goes beyond the black and white and looks at things from a functional perspective. A review of history and symptoms will be done along with an exam. Appropriate blood work can be ordered and analyzed and if need be tests looking for specific antibodies can also be obtained.
With this information the appropriate nutritional, dietary and lifestyle modifications can be made in order to potentially delay progression or keep symptoms quiet by lessening inflammation, controlling the immune system and addressing any other systems specific to the individual.
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