The primary way that salicylates are removed is via glucuronidation. [1] When this pathway is unable to remove the excess salicylates, the salicylates will bind to glutathione. [1] So it is important to support both your glucuronidation pathway and your glutathione levels.
An overgrowth of bacteria in the small intestine will interfere with your glucuronidation pathway. These bacteria can secrete an enzyme that breaks down glucuronidation products. (These bacteria will often also interfere with the absorption of vitamin B12, which is important for your glutathione levels.) The primary symptom of a bacterial overgrowth is bloating after a meal. So, if bloating is one of your symptoms, this may be the reason you are salicylate sensitive.
There are quite a few ways to help get rid of this bacterial overgrowth, and you can read about them in a free ebook available at http://www.healthyawareness.com/forum/default.asp?b=43 The information is contained in the seventh ebook about fibromyalgia. (People with fibromyalgia usually have a severe overgrowth of bacteria in the small intestine.) So, I won’t go into that topic here.
What I do want to suggest is that a supplement called calcium-d-glucarate may be of particular use in this situation. Calcium-d-glucarate inhibits an enzyme produced by bacteria that breaks apart glucuronidation products. Therefore, this supplement counters the effect these intestinal bacteria have on your glucuronidation pathway.
If you try Calcium-d-glucarate, start with a very small amount and gradually build up to the recommended three pills taken three times per day with meals. The reason that you want to start slowly, is that glucuronication also removes phenolics like estrogen. A quick fluctuation in estrogen may set off a migraine. I spoke with one person with Lyme who was so sensitive to the calcium-d-glucarate that she had to start with just a tenth of one pill and gradually build up to the full amount. She felt a lot better once she was up to the full amount. (I’ve also tried this supplement but didn’t notice much except I felt a little bit healthier. ) A precaution : If you are on drugs with phenolic compounds, then the calcium-d-glucarate will improve your drug clearance, so you may need an adjustment of your dose. Talk to your doctor.
Improving your other liver pathways may take a load off of your glucuronidation pathway. So, it may be wise to consider supplements of support products for the other pathways as well. (Things like taurine, glycine, glutathione, TMG and sulfates.) It may also be helpful to avoid excess bioflavonoids (phenolics) and food colorings. There is even “Sarah’s Diet” to consider, which is a diet of white food -- devoid of colors. However, you might not have to go overboard on this diet. Many people find that they are sensitive to only one set of colors and may easily be able to tolerate the color green for instance.
As for supporting glutathione levels. Those with mercury poisoning often find that a nasal spray of methylcobalamin (New Beginnings brand) will help raise glutathione levels. Folinic acid is also sometimes employed in this situation.
1. Reference - There is a nicely written explanation of aspirin / salicylate toxicity by Franklin A. Ahrens in his book on Pharmacology. http://books.google.com/books?id=JgtQHQY7VJQC&pg=PA173&lpg=PA173&dq=salicylates+glucuronidation&source=web&ots=2nbyWqapPx&sig=S-Rz-sAi1KhwtQ-202yDr_ijc98&hl=en&sa=X&oi=book_result&resnum=8&ct=result#PPA173,M1
Paraphrasing what he had to say: Salicylates make the body more acidic. They also bind to glutathione. The primary way that they are removed is via glucuronidation. Cats are particularly vulnerable to salicylate poisoning because their glucuronidation ability is so weak.
Thanks for that Polly - very interesting - a good addition to my research file! Calcium-d-glucarate is also found in apples (and grapefruit, broccoli and alfalfa). we can eat golden delicious apples peeled so get eating everyone! HUGS Lindy xx
I've spent a little more time reading the comments at this forum. Common symptoms are bloating, puffiness and weight gain. These symptoms are all so very consistent with bacterial overgrowth, estrogen dominance and a weak glucuronidation pathway. When your glucuronidation pathway isn’t working, then your body will have trouble removing phenolics like estrogen --- hence the weight gain, puffiness and water retention. Sorry to say, but you really need to do something about getting your glucuronidation pathway working better or else your long term health picture is in danger. I know you want to keep this discussion light, and I agree with the suggestion to eat golden delicious apples. However, the seriousness of the situation calls for more drastic measures. Please consider getting this bacterial overgrowth and glucuronidation problem checked out. Alternative doctors have tests for these conditions.
PS: Is this an interesting coincidence or not? Most of the people with fibromyalgia have a bacterial overgrowth in their small intestine. One of the treatments that helps some of them is taking guaifenesin and avoiding all salicylates.
Hi Polly I wasn't meaning to be flippant or dismiss your information. Your link really is a very interesting one and one I most certainly will be researching further as it looks hopeful. I like many on this and other sites have got excited about a "New supplement or theory" feeling that "this is the one" and have been disappointed. Still it is important to keep going and researching and trying.... I refuse to take the drugs that the doctor has given me (apart from antihistamines). They are still sitting in my medicine cupboard beckoning!!!!!) There is an answer out there somewhere but for each of us it may not be the same answer! The apples comment was a serious one. I am a Nutritionist who is studying to practice in Nutritonal Therapy...I have a very strong belief that everthing we put in our mouth has a big effect on our body/mind and even small changes in diet can be a help in the interim before we find our "big answer".... There are a few on this forum who are doing a lot of research on our "condition" and the many other linked problems we have. Rita is currently researching into the gall bladder/liver link and I am researching the PST pathway (I also have sulphite problems as has Teddy and there seems to be a strong link). I also have a family history of Diabetes and as the pancreas secretes digestive enzymes as well as insulin. I am currently taking pancreatic enzymes in a bid to improve my digestion/absorption as I am having a problem with these . We are also looking into the Candida/gut flora link.....and so on and on... I would love to know: Are you taking the Calcium-d-glucarate? Do you know others who are taking it? What results are they having? Are you doing anything else for your salicylate problems? are they helpful? Keep posting Polly... every little bit of information helps. HUGS Lindy xxxxxx
Being new to your forum, I’m not aware of the general attitude of your group. So, yes, I was a little bit concerned that people might think that all they had to do was eat apples. Although food is of number one importance, you can’t get as much calcium-d-glucarate from food as you can get from a supplement. The only way to really test out this idea is to try the supplement.
I know that there are hundreds of supplements available, and all of them have their own special appeal. My personal experience has been that only about one in ten supplements was really something special for my needs. This low percentage of success seems like a big waste of money. However, I continue to try things because I’m so very pleased with those one in ten occasional great results. As for getting a person’s hopes up, well, one’s hopes or curiosity has to be up enough to continue to try things. To guide us in our choices, we have logic, research, peer experiences, reasonable precautions, physicians and a bit of divine intervention or perhaps luck.
The reaction you could get from calcium-d-glucarate would range from very strong to something you would hardly notice, as in the two contrasting examples that I gave. I would suspect a strong reaction if you happened to have a particular overgrowth of bacteria in the small intestine that was breaking apart this glucuronidation bond. A minor change in your health might occur if there weren’t that many bacteria creating that enzyme that breaks this bond.
If you happen to have intestinal symptoms, especially bloating, and if you suspect that your body is having trouble getting rid of salicylates, then it seems logical that the problem might be an overgrowth of certain bacteria. It isn’t the only possible explanation. It is just a conjecture. Even if true, it probably isn’t the whole story --- just a step in the right direction.
This bacterial overgrowth isn’t the only possible explanation. Yeast can certainly be part of the problem because they make the strong estrogen called estradiol. They also make PGE2 which increases the body’s production of estrogen.
I strongly suspect that Teddy has a yeast overgrowth because of her sensitivity to MSG. That is very common in people who have yeast overgrowth. This sensitivity to MSG is probably due to yeast depleting P5P (the active form of B6). (Yeast not only deplete P5P, but they deplete alpha keto-glutaric acid, which is needed to create P5P from regular B6.) Teddy, if you are sensitive to MSG, then I suggest that you avoid regular B6 and take a small amount of P5P spaced throughout the day. This may rid you of your sensitivity to MSG.
A little about myself --- I don’t have salicylate sensitivity. I’m fairly healthy. However, I used to have a significant problem with yeast overgrowth in my intestines. I had many food allergies and way too many migraines. I had no energy and significant brain fog. I’ve been fortunate to overcome most of that.
A dozen or more years ago, I started looking at what other people were saying about yeast overgrowth / dysbiosis on the internet and I became a regular at a yeast discussion forum. www.healthyawareness.com
I saw that there was a need for a compendium of information on how to get rid of Candida. So, with people’s explicit permission, I grouped their comments together under different topics and created seven health forum books. They are available for free at http://www.healthyawareness.com/forum/default.asp?b=43 They cover the topics of Candida, autism, fibromyalgia, hormones, and diet. The books are documented with references, there is an index, and the books have been checked over by an MD. So, although nothing is ever perfect, the books should be fairly reliable. They at least should provide an outline of the topics that need to be addressed when one has dysbiosis / Candida.
If you think your only problem is yeast, you really have to broaden your perspective. The problem is so very much more than just "killing yeast." So the books cover a lot more than that. For instance, if you want to learn about the different types of pancreatic enzymes, you will find that in book 2 in the chapter on the digestive system. If you want to learn about people’s experiences with calcium-d-glucurate, or liver-gallbladder flushes, you would check the liver chapter in book 1. The PST enzyme is covered in the fifth book. Bacterial overgrowth is covered in book 7.
By the way, since you mentioned a concern about a cirrhotic liver, glycine is one of the things that will help get rid it. In order to get rid of a cirrhotic liver, you also need to get rid of a leaky gut, avoid omega-6 oils and get some clean saturated fat in your diet. (Organic butter comes readily to mind.) If you have a cirrhotic liver, you will probably be low on T3 thyroid, so that should be addressed as well.
I dont think there is anyone on this forum 'stupid enough to think you just need to eat apples'.
We have struggled with our condition/s for a long time and it is taken very seriously. All of us research in our own ways what we can when we can and we share it with one another.
As Lindy says what applies to one person or works for one person doesnt necessarily work for another person.
Any information anyone puts on the forum is relevant and we all appreciate that.
I was interested what you said about the link to MSG where I am concerned and I will look into that information you have kindly provided us with.
Also Polly can you explain to me what P5P is so that I can try to do something about this. I take it you are talking about a supplement? or maybe not.
That is one of the great things about the forum we can share information with others and hopefully help them along the way.
We appreciate all advice and I certainly do appreciate what you have shared with us.
Hi Polly. Thanks for the info. I hope your around later when I'm in my research mode so I can pick your brain and benefit from your research. Right now, I haven't been in research mode, just enjoying my summer vacation. Just wanted to chime in and say, "Interesting...... hi, and thanks."
Teddy, sorry for taking so long to answer your question. I didn't have access to the internet for a few days. Yes. P5P is a supplement that you can find at local vitamin shops. One brand is Solgar. Country Life also makes it, but instead of calling it P5P, they call it "Active Co-enzyme B6."
If you try the P5P, I'd suggest that you do so in the morning. Until your body gets used to it, the P5P might interfere with sleep. However, with time, perhaps a few weeks, you might find that your sleep is better. Here is an excerpt from those books that I mentioned.
---------------------------
The active form of B6 is called coenzyme B6, or sometimes Pyridoxal-5-Phosphate or P5P. Coenzyme B6 is the actual form of the vitamin that the body needs. Coenzyme B6 is a much better purchase than plain B6, in my opinion.
1) I strongly suspect that many of us who have had a long-standing yeast problem may have trouble converting B6 into its coenzyme form. You need the amino acid alpha-ketoglutaric acid, zinc and vitamin B2 to convert B6 into its active coenzyme form. Some of us may be low on alpha-ketoglutaric acid because the yeast toxin acetylaldehyde depletes this. [11] Many of us are also low on zinc.
2) Those with aluminum poisoning may be low on alpha ketoglutaric acid and have trouble using phosphates. [14] This could interfere with the formation of Pyridoxal-5-Phosphate (coenzyme B6) and riboflavin-5-phosphate (coenzyme B2).
3) Coenzyme B6 isn’t that much more expensive and, when you consider its effectiveness is considered 3 to 10 times higher, it is actually cheaper. Country Life’s “Active B6“ contains coenzyme B6 and it costs about $8 for 50 capsules of 50 mg each. This should be enough to tell if it is helpful. Solgar makes tablets of P5P (coenzyme B6). Klaire Labs makes a combination of P5P with magnesium glycinate. You might have to have your vitamin shop order one of these for you.
4) Personally, I’d try the coenzyme form of B6 before ever trying the high dose B6. I think the coenzyme B6 product should be much less likely to cause nerve problems. The liver has a limited ability to convert B6 into coenzyme B6. If you overload the body with plain B6, the B6 can theoretically become toxic by taking up the receptor sites meant for coenzyme B6. [15] If B6 starts to cause nerve problems, doctors suggest that you lower the dose, and add magnesium and other B vitamins, especially B2. B2 activates an enzyme that completes the conversion of B6 into coenzyme B6.
I was told to take 40 mg of coenzyme B6 three times per day (total of 120 mg) by the company that did my amino acid assay. In Dr. Shaw’s book on autism, they talk about using 500 mg or more of regular B6 along with B2 and magnesium. If you assume that coenzyme B6 is up to 10 times as effective as regular B6, this translates into 50 mg or more of coenzyme B6 per day. However, one must always be careful to observe reactions carefully and not take too much. Those with a PST problem must be particularly careful with coenzyme B6. Coenzyme B6 can suppress the PST enzyme, phenol-sulfotransferase. [16] (There is some more information about PST, B6, autism and attention deficit in book 5.)
Bernard Rimland, MD, suggests that in order to avoid destabilizing the coenzyme B6, you take your coenzyme B6 after your meals, especially if you are taking other vitamins and minerals before your meal. However, nothing is perfect. I have heard of one autistic kid who can’t tolerate the coenzyme B6, but who does well with plain B6. Part of the problem may be that the coenzyme B6 is used more quickly than plain B6. Of course, if you are taking prescription drugs, you should check for interactions before supplementing high doses of either form of B6. [17]
Thanks for explaining to me what P5P was. I havent had time to read the articles but I will certainly get round to reading them tomorrow evening. Thanks for sharing this with us all.
As there has been discussion on another thread about calcium d glucorate I thought I would revive this one too to bring it to the attention of newer members.. I am planning to purchase some d-glucorate and do one of my "famous trials" ..can I just check out who here is taking it or has taken it in the past and their reactions? Lindy xx
I cannot tolerate calcium d-glucarate, possibly because I am allergic to corn products.
"What Is The Source?
Calcium-d-Glucarate is derived from cornstarch and glucose. (United States Patent Nos. 4,845,123; 5,364,644; 5,561,160. European Patent No. 0,528,950.)"
Polly you mentioned low zinc as going along with sal problems..
<My levels are bordering on low.. Even with 50-100mg daily.. When my zinc is too low my shins start to itch like crazy.. One day of a higher dose .. ie over 100 mg for me.. and the itching is totally gone.. Got to love that.. ie an easy fix..
Hi Lindy Thanks for reviving that thread - especially useful was the tip to start with really low doses (yet another supp that needs to be started low and worked up!). I agree with you about the zinc - It certainly seems to help me as well. Kind Regards Marie
Lindy, Thank you for bringing that thread to the forefront! I have been reading the website Polly mentioned with extreme intrest..much of it offers solutions and excellent website references!
I am just reading about the amino acid histidine and how it can help impaired sulpur oxidation....now I think I know why I had a reaction to epsom salts!
Lizz, can you send me the site where it is said that histidine can help sulphoxidation, please ? :D i know that sulfite oxidase/cysteine dioxygenase are histidine-iron contaigning enzymes, but i have found no studies (but searched a lot) saying that L-histidine supplementation would result in better sulfoxidation ! If you did, then it could be amazingly interresting !!
Why do you think you react to epsom salt ? lacking histidine ? epsom salt actually don't need to be oxidized because they are already oxidized. Actually, sulfate is the oxidized form of sulfite (the non toxic form). you can't react to sulfate, unless you have bacteria that convert sulfate back to sulfur (sulfite, sulfide).
I am looking for it...I read so much and then forgot to copy what I read that was relevant. I think it had to do with lacking amino acids to complete sulfur conversion (I'm trying to understand it and am trying to get a better grip on the whole amino conversion or whatever it is, not sure of the scientific description just yet) What I was reading had to do with autism spectrum disorders and was talking about building autisitic children up with sulpur on epsom salts. I think in this chapter; http://www.healthyawareness.com/articles/about-autism/msm-sulfates-tmg-b6-magnesium.aspx It's all on this website; http://www.healthyawareness.com/articles/about-health-forum-books.aspx
At times I am hesitant to post what I discover because I don't want it to be taken the wrong way or I want to be sure I have read and understood it correctly so if my information is wrong (and extracting the information and presenting it in a readable form to everyone is time consuming and challenging too)..well I am not a scientist and I'm just trying to contribute to the better understanding and it can always be edited..which is why I didnt post it last night and now I don't rembember exactly where I found it..uggg I think it may be the histadine..I am not sure but soaking feet in a small amount (of epsom) made me feel quite ill... I have been diagnosed ADD..additionally, I have an autistic son so it would seem it is in the genes... Well..also diagnosed with fibromyalgia too.. I am not totally sure if this has something to do with it (me being tired) but I took 1500mg of vitamin b12 and had extreme fatigue (don't ask why I took 1500mg lol I just did) since then, I have been super tired and instead of not sleeping like I have been, have been sleeping 12+ hrs..
Rereading this thread, wouldn't it seem that finding supplements to help us feel better is only putting a bandage on our problem? Polly seems to be of the opinion that yeast is the cause of low glutation levels. Of course, the main problem would be sugar, sugar, sugar. But I also think I am susceptible to yeast beacause of low stomach acid which would be genetically handed down. I think I need to start drinking beer. I read somewhere that the yeast in beer competes with candida.
Yep, Calcium D-glucarate is not a cure, but maybe could bring some help until yeast overgroath is controlled, because you would probably herbs, or other things like that to control the yeast overgroath. So it's good to have a better tolerance.