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Could it be Lyme?

By Mila McManus MD

Are you dealing with health issues and seeing specialist after specialist with no answers? Or unable to tolerate medications that have been prescribed to address your health issues? Are you an enigma to your doctors? Do you suffer with physical as well as mental health issues?

Several years ago I began researching Lyme disease, as well as the other microbes that travel with the Lyme bacteria, called co-infections. Lyme disease is known to be transmitted by a tick bite, but there’s also some controversy surrounding whether it can be transmitted by mites, fleas, mosquitos, etc. Also controversial, it’s been alleged that Lyme-causing bacteria (Borrelia) can be transmitted sexually and from mother to child in the womb.

It’s so frustrating how controversial the existence of chronic Lyme disease is between the conventional medical establishment and functional medicine specialists. In conventional medicine, it’s rarely even thought of as something to test for that may be the underlying cause of symptoms and diseases such as fibromyalgia, arthritis, autoimmune diseases, mental health disorders, and neuropathies. In addition, testing for Lyme is so unreliable that most people have negative test results and are assured that they don’t have Lyme, and are subjected to taking numerous prescription medications to band-aid their myriad symptoms.

Reasons why testing is unreliable include:
1. Typical labs such as Quest and LabCorp test for only one strain of Borrelia (the bacteria that causes Lyme), namely Borrelia burgdorferi. The problem is that there are 300 strains of Borrelia worldwide!
2. Lyme can evade and suppress the immune system. The conventional tests for Lyme are looking for immune system reactions to the bacteria, so if Lyme has evaded and suppressed the immune system, it may not have mounted a response and, therefore, would show up negative on the test.
3. FYI, co-infection tests have the same issues. There are often numerous strains of microbes and the labs are only testing for one or a few.

Why the controversy?
1. As stated above, conventional testing is often negative, so the diseases are ignored as the test results are taken at face value.
2. Insurance companies are surely playing a role! Insurance companies want to avoid paying out anything they don’t have to, and if people are getting the diagnosis of Lyme, conventional doctors will want to prescribe IV antibiotics for possibly months at a time. That would be very costly for insurance companies. Why do you think insurance companies won’t pay for anything we functional specialists do? Sigh.
3. In depth training on this subject is not taught in medical school, at least not when I was there. There’s no consensus on how to treat it because the only guidelines revolve around acute Lyme diagnosis. Acute Lyme is diagnosed when a person with a known tick bite gets the typical bullseye rash and goes to the doctor, and then gets prescribed antibiotics for a few weeks. Well, what about the patients who don’t recall a tick bite and never got the rash? This happens more than people realize. The size of the tick that transmits Lyme, by the way, is the size of a pin head and could easily be missed. So, these people with no known tick bite and no rash aren’t rushing to the doctor for antibiotics. Perhaps the immune system has been able to handle it for years and years, and then, e.g., 20 years later, due to diet and toxins and stressors, etc, it gets the upper hand and begins to manifest as symptoms and disease. Is that NOT plausible? Does it seem to you more plausible to just be told you have a disease without any reason and are just medicated for it? If you are told you have a neuropathy, don’t you want to know why? Sure, it could be a vitamin or other nutrient deficiency, or related to an injury, or a consequence of diabetes. But you shouldn’t assume otherwise that it just may be genetic. I’m a detective and I will always continue to dig deeper until I find answers for my patients.

As I mentioned above, there’s NO consensus on how to treat suspected chronic Lyme (aka “post-Lyme syndrome”, according to the conventional medical establishment). Some doctors use multiple antibiotics for months at a time. Others try using only herbals, homeopathic remedies, supplements, and nutrition to treat the symptoms (and suspected microbes involved). Others are very aggressive with all the above, as well as with other modalities such as IV vitamin C, ozone, hyperbaric oxygen, energy medicine, colloidal silvers, and peptide therapy.

From all the research I’ve done over the years, I’ve determined that, while there is no consensus on how to treat, there IS a consensus on what must be addressed in order to recover:
1. Critter control—destroy bacteria, parasites, fungi, and viruses that have overrun the body.
2. Break up the biofilm. Biofilm is a protective layer of substances under which the microbial community hides and communicates with one another. Some biofilm disruptors include proteolytic enzymes (proteases), stevia, DMSO, curcumin, oregano oil, garlic, N-acetyl cysteine, and apple cider vinegar.
3. Address toxic burden, including heavy metals, mycotoxins, and environmental pollutants.
4. Address unresolved or ongoing emotional trauma, such as being abused as a child, or being stuck in a bad marriage. 5. Mitigate exposure to dangerous EMFs and dirty electricity in your environment, known as electropollution. For example, turn wi-fi off in your house at bedtime.  Put your phone in airplane mode when not using it. I read an article that mentioned that molds increase mycotoxin production 600-fold when exposed to EMF.  If you are sensitive to EMFs, it may be because you have mold in your system.

Of course there are other aspects that are foundational to achieving and maintaining good health, such as addressing gut health, nutrition, and hormone imbalance.  When you do this, as well as address the above 5 things, that could certainly go a long way with improving whatever ails a person, whether there’s a firm diagnosis or not!  Stop suffering and get well HERE!

By |2020-01-25T02:26:59-05:00December 18th, 2019|Articles, General|

Autoimmunity Explained

By Mila McManus, MD

According to the American Autoimmune Related Diseases Association, there are more than 150 different diseases on the autoimmune spectrum[i].  In America, almost one in six people have an autoimmune disease.  To understand autoimmunity, it is necessary to start with discussing foreign invaders and inflammation.

Inflammation is designed to be a necessary process. It is a natural response when the body identifies a foreign invader or threat.  Examples of threats include:

  • Injury
  • Microbes, such as bacteria, viruses, molds or parasites
  • Chemicals and heavy metals
  • Undigested food particles that have made their way into the body through a leaky gut

When a threat is detected, the body creates antibodies to find and mark the invaders. Antibodies attach to, and highlight, the foreign invader so that the immune system can see it and attack it.  Inflammation is the result of the battle within.  Under healthy circumstances, once the threat is removed, the battle is won, and the inflammation dissipates.

Antibodies find the foreign invader by identifying the unique protein molecules of the invader. This can be complicated, much like trying to distinguish poison ivy from another green, leafy plant.  You have to know what distinguishes poison ivy from other plants that look very similar.

Problems arise when foreign threats multiply and/or become persistent.  As small battles turn into full blown war, inflammation, stress and confusion increases. The immune system is now hyper sensitive and operating in high alert.  Antibodies begin to make mistakes and fail to distinguish the nuanced differences between the proteins in healthy, human tissue and the proteins of the foreign invader.  Mistakenly, antibodies attach to human tissues (for example, thyroid tissues or joint tissues), marking them for attack, and causing the immune system to attack its own. This is autoimmunity.

Autoimmunity develops over time, in a sequence, from chronic, on-going exposure and inflammation. As tissue damage accumulates, degenerative processes escalate, and symptoms are increasingly manifesting. The autoimmune process moves from unnoticeable to an organized disease pathology.

Autoimmune diseases can strike many parts of the body, making symptoms vary widely, and making diagnosis sometimes difficult.  Interestingly, the same foreign threat can manifest differently in different people. For example, a gluten sensitivity may result in compromised brain function for one person.  In the next person, it may manifest as constipation, while yet another person, as liver disease and neuropathy. For yet another, it may affect the thyroid. Some suggest that the place of attack is simply your weakest link in overall health, caused by genetics, lifestyle factors or environmental factors.

Conventional Medicine will tell you it is genetic, and nothing can be done except to minimize the severity of symptoms. You will be directed to a specialist who treats the specific damaged tissue.  Standard treatment protocols involve reducing inflammation with steroids, biologics, and even cancer drugs such as methotrexate.

Functional Medicine will seek to stop the cascade of events which lead to autoimmunity.  The root of the problem lies first with the foreign invasion and resulting inflammation. A Functional physician will address the entire chain of events rather than one tissue that has been attacked.  For example, important interventions include:

  • Addressing gut health
  • Identifying and reducing toxic burden
  • Uncovering and addressing food sensitivities and allergies
  • Supporting and strengthening immune function
  • Identifying if pathogenic microbes are involved and address them
  • Improving diet and nutrition in general
  • Obtaining a genetic profile to address mutations that affect how the body functions

Other supportive modalities include:

If you want to read  more about autoimmunity, we recommend the following books:

Brain Maker by David Perlmutter, MD

Plant Paradox by Steven Gundry, MD

Wahls Protocol by Terry Wahls, MD

The Autoimmune Fix, by Tom O’Bryan, DC, CCN,DACBN

[i] American Autoimmune Related Diseases Association, “list of Diseases: Autoimmune and Autoimmune-Related Diseases,” http://www.aarda.org/autoimmune-information/list-of-dieases/.

By |2019-07-29T13:47:24-05:00July 25th, 2019|Articles, General|

Ghostly Gluten – You May Think You Know, But We Bet You Don’t

gluten is bad

By Mila McManus, MD and Nancy Mehlert, MS

Gluten can seem like a ghost.  We may not be familiar with all the sources, but most of us have heard the word by now.  You can’t see it like you can see a bottle of Coca Cola or a candy bar.  It hides in other consumables. So it does seem rather mysterious and ghost-like, and thus makes a good topic for October and all things spooky. As we care for ourselves and our families, understanding all we can about gluten is a critical part of making efforts to better health. Let’s try to clear up the mysteries.

Datis Kharrazian, DHSc, DC, MS says in his book Why Isn’t My Brain Working? (2013): “No single dietary protein is a more potent trigger of neurological dysfunction and neurological autoimmunity than gluten, the protein found in wheat.  We’re seeing dramatic increases in the number of people sensitive to gluten in the United States.  Research shows gluten sensitivity has risen sharply in the last 50 years.”[i]

Gluten is made up of a sticky portion called glutenin and a protein called gliadin. One does not exist without the other and gliadin itself has three more fractions called alpha, omega and gamma. Wheat is the primary source of gluten, though there are other grains that also have gluten including barley, rye, spelt, kamut and oats (unless the oats are properly processed by a certified gluten free method).

The gluten in ancient wheat of a century ago was very different. It was nature’s real food. Today, gluten, and more specifically wheat, has been significantly hybridized, meaning the seed has been altered many times over the years to create a new, man-made wheat, if you will, that appears to trigger immune reactions.  In other words, it is not natural or understood by the human body as a real, nature made food. In addition to this fake wheat, it has also been further altered through a process called deamidation.  The food industry deamidates wheat using acids and enzymes to make wheat water soluble so that it mixes more easily with other foods. And let’s not forget about all the pesticides sprayed on the wheat crops and the chemcials used during the harvesting process! A study published in the European Journal of Inflammation concluded this new compound may be the major cause of hidden inflammatory responses to foods[ii]. These things make wheat a fake, man-made substance that perhaps should not be honored with the name “food”.

Gluten is pervasive in processed foods and products and can be truly hidden under unsuspecting names, often not listed at all, yet very easily present. This makes a gluten allergy or sensitivity extremely difficult to navigate, especially in the world of packaged, manufactured and restaurant food. Few realize that modified food starch, food emulsifiers, food stabilizers, artificial food coloring, malt extracts, and dextrins often have gluten in them.  Even some clarifying agents used in red wine can have gluten. Equally unsuspecting sources of gluten include many deli meats, instant coffee, some ketchups and mustards, beer, soy sauce, imitation crab meat and even your shampoo and prescription medications!

Equally frustrating is that the immune system often does not make good distinction between gluten and other similar proteins and, as a result, attacks not only gluten, but other proteins recognized  to be the same.  Foods that fall into this area include milk proteins, corn, all oats including certified gluten free oats, yeast, millet, and rice.  The immune system can also confuse nervous tissues with gluten and attack the nervous system, resulting in neurologic symptoms or an autoimmune disease such as Multiple Sclerosis. In addition, when the immune system attacks gluten, this attack can break down the blood-brain barrier (the thin lining that protects the brain) and lead to what is called a leaky brain.  This is much like the Leaky Gut Syndrome of the gastrointestinal system.

You can see how important it is to understand that gluten and wheat have a very broad impact on health, not only in the intestines, but the central nervous system and skin. Despite extensive research, many physicians do not understand Celiac disease, much less gluten sensitivity. Most physicians who do have knowledge of it relate it only to intestinal damage and gut issues, ignoring the potentially dramatic impacts on the central nervous system. According to Dr. Kharrazian, the average neurologist has no idea gluten can impact every part of the nervous system from the brain, the spinal cord, and peripheral nerves that extend into the arms and feet, causing any number of neurologic symptoms and diseases.  It also can directly affect our skin, being an underlying cause of such conditions as Rosacea, acne, or keratosis pilaris. And sadly, the criteria and testing for diagnosis of celiac disease and gluten sensitivity are outdated, unreliable, and incomplete. The best test is to radically remove it from the diet and see the results.

Gluten sensitivity has been shown to be a significant trigger in a broad host of health conditions including psychiatric and behavioral disorders, autoimmune diseases, hearing loss and restless leg syndrome.  Virtually every part of the nervous system that has been researched has shown gluten to be a clear trigger for diseases of the central nervous system.[iii] If you do not have your health, or if you have an autoimmune disease of any kind, feel that your brain is not functioning optimally, have digestive, neurological, or skin issues or a combination of any of these, you owe it to yourself to learn more about gluten, how to avoid it and eliminate it from your diet.  (Tests are also available).  Here at TWIHW we are well prepared to help you with dietary advice, useful supplements and healing protocols.  Call 281-298-6742 for help today!



[i] Page 158

[ii] Vojdani A, O’Bryan T, Kellermann GH. The immunology of immediate and delayed hypersensitivity reaction to gluten. European J of Inflammation. 2008;6(1):1-10.

[iii] Kharrazian,D. Why Isn’t My Brain Working?, Carlsbad, CA.,Elephant Press. 2013. Page 134.

By |2017-10-31T14:47:38-05:00October 7th, 2017|Articles, General|

Could You Be Next?

Do you have, or are you at risk for, an Autoimmune Disease?

By Nancy Mehlert, MS and Mila McManus MDautoimmune diseases

While rare in underdeveloped nations, autoimmune diseases have become a 21st century epidemic, with one in six people in America living with autoimmune disease. Some of the increasingly common autoimmune diseases of our times include Hashimoto’s thyroid disease, multiple sclerosis, rheumatoid arthritis, lupus, inflammatory bowel disease (i.e., ulcerative colitis and Crohn’s disease), psoriasis, and celiac disease.  What you may not realize is how easily anyone can end up with an autoimmune disease if inflammation is not addressed aggressively and in a timely manner.  Here’s why:

Your immune system is designed to protect and defend you from potential invaders; those microbes and substances which should not be in your body, including bacteria, parasites, yeast, fungi, chemicals (e.g., plastics, pesticides, petroleum, heavy metals), and anything else that looks foreign and mysterious to  your body. There are varying theories as to the exact etiology of autoimmune disease. Traditionalists tend to blame genetics or occasionally allow that infectious disease may stimulate it.  Others in the functional and integrative medicine fields give genetics significantly less credit and recognize inflammation as an underlying common thread to all autoimmune diseases that have become chronic and systemic. Simply put, autoimmune disease occurs when the immune system loses its ability to distinguish friend from foe and begins to attack its own tissues, whether that be an organ, nerves, joints, bone, or other tissues. Most functional integrative practitioners also recognize the gut microbiome (i.e., the colonies of various microbes in the gastrointestinal tract) as providing the vast majority of our immune system, and so connect a compromised microbiome and consequent gut inflammation, as well as related gut permeability (aka “leaky gut”), directly to the onset and progression of autoimmune disease.  So while definitions and causes of autoimmune diseases vary, what is consistent among them is a systemic inflammation partnered with the body attacking itself, most likely involving underlying gut UNhealth. Lack of gastrointestinal symptoms does NOT equal a healthy gut.  Moreover, let’s not underestimate the role of stress as it triggers and/or exacerbates all that ails you.

Treatment methods also vary.  Traditionalists will simply seek to stop the immune response with anti-inflammatory medications and immune suppressing medications, all of which have serious side effects and fail to address the source of the problem.   Functional medicine seeks to find the chronic sources of inflammation in the body and correct these areas, working to restore optimal function and offer healing.

Understanding the concepts above about autoimmune disease can help you see that, if you don’t identify and put out the fires of inflammation in the body, they can lead to some very serious diseases. Moreover, it follows that your best defense against autoimmunity is to choose a balanced lifestyle that avoids common sources of inflammation, and address any inflammation at its source if, or when, it does appear.

The human body is complex.  Just as a car needs the parts of the engine, properly assembled, AND gas, AND oil, AND tires, AND brake fluid AND filters, the human body has many parts that must function together properly and be cared for properly in order to remain disease free and healthy.  There is not a simple pill or diet or an exercise that can cure or prevent autoimmune disease.

Here are many of the likely factors to consider as you seek to avoid or treat an autoimmune disease. We recommend that you partner with a functional/integrative practitioner to explore the following:

  • Check for hidden infections caused by yeast, viruses, bacteria, and other parasites or pathogens.
  • Identify food allergens and sensitivities with IgE and IgG testing so that they can be removed as a source of immune attack and invasion.
  • Identify inflammatory foods and beverages, as well as medications, which contribute to overall inflammation, and avoid them.
  • Identify vitamin, mineral, and other nutrient deficiencies. Healing and recovery will require them. They help to regulate the behavior of the immune system.  For example, vitamin D and zinc deficiencies have been well studied as common culprits involved with inflammation.
  • Address your gut health by restoring the military force of beneficial bacteria that protects you, while simultaneously eliminating the inflammation there.  The gut needs to be healed, sealed and re-militarized!
  • Identify possible sources of chemical exposure and minimize ongoing exposure. Consider your past and present exposure to pesticides, heavy metals (e.g., mercury, lead and arsenic), petrochemicals, Roundup (an herbicide), plastics, fragrances and other beauty care products. All of these are invaders that create havoc, disrupt normal bodily processes and create real and significant inflammation. They are pervasive and present in our routine daily lives but can be dramatically minimized with an intentional approach.
  • Consider utilizing PEMF as a complement to your other treatments.
  • Address your stressors.  Stress is an inflammatory trigger.  According to Dr. David Marquis, a Diplomat American Clinical Board of Nutrition, “ when you engage in an argument and your cortisol levels increase or you are burning the midnight oil to finish a project and your thyroid hormone levels fluctuate, both are examples of chemical changes in the body that create immediate, real time intestinal permeability, resulting in absorption of partially undigested food, toxins, viruses, yeast and bacteria to pass through the intestines into the bloodstream where the immune response attacks”. Learn to balance your life, practice deep relaxation, exercise regularly but not excessively, ensure quality sleep and maintain healthy relationships. Care for your mind, body and spirit – your whole, integrated being.









By |2016-08-01T08:57:27-05:00July 29th, 2016|Articles, General|