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Health Concerns

Page: 12

Muscular Dystrophy

Taurine. There is some evidence that the amino acid taurine may be of benefit in the symptomatic treatment of MD. Taurine is abundant in normal skeletal muscle and is believed to exert both long- and short-term control over the functionality of ion channels (Conte Camarino D et al 2004). These channels serve as passageways between the interior of a cell and the cell’s external environment. An excessive influx of calcium ions into MD muscle cells is believed to play a significant role in the inflammation and pathology associated with the disease (Ruegg UT et al 2002). Accordingly, regulation of ion channel function would appear to play an especially important role in the management of MD.

In ordinary laboratory rodents, it has been shown that aging is associated with biochemical changes that decrease muscles’ ability to contract. These changes are accompanied by a decrease in muscle cell taurine content. When taurine becomes depleted in adult rat muscle cells, biochemical changes similar to those seen in aged rats occur. When aged rats are fed supplemental taurine, these changes may be reversed (Pierno S et al 1998).

Building on this preliminary research, Italian scientists investigated taurine’s potential to influence muscle status in mdx mice. To test taurine’s effects in MD, the researchers treated mdx mice with taurine or other substances for four to eight weeks. The animals were subjected to chronic exercise on a treadmill, an activity known to worsen symptoms of MD. Afterwards, animals were evaluated for various indicators of declining or improving muscle functionality. “Exercise produced a significant weakness,” researchers reported. But taurine “counteracted the exercise-induced weakness.” Among the substances tested, this counteraction effect was strongest for taurine. “The results predict a potential benefit of taurine . . . for treating human dystrophy,” the researchers concluded (De Luca A 2001, 2003).

Anti-Inflammatory Therapy

Inflammation is playing an increasingly large role in the research regarding MD. Physicians are steadily gaining knowledge and insight into the inflammatory changes that are responsible for much of the actual damage associated with many diseases, including MD. This progress opens up the possibility for new, targeted treatment that would interfere with the inflammatory cascade, thus limiting muscle damage and slowing the disease. Although most of this research remains speculative, there appears to be great promise in anti-inflammatory therapies for MD (Tidball JG et al 2005).

Scientists have shown that chronic inflammation in DMD results from the coordinated activity of numerous components, including cytokine and chemokine signaling, white blood cell adhesion, and complement system activation, among others (Porter JD et al 2002).

The omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), primarily obtained from fish oil, have repeatedly been shown to exert anti-inflammatory effects when consumed in sufficient quantities (Ferrucci L et al 2006; La Guardia M et al 2005). Omega-3s are crucial components of cell membranes, where they contribute to stabilization and healthy function (Zamaria N 2004). Accordingly, at least one scientist has proposed that supplemental omega-3 fatty acids may be of some benefit in the nutritional support of MD patients (Leighton S 2003).

Life Extension Foundation Recommendations

Although advances in molecular biology, genetics, pharmacology, and stem cell research represent the best hope for an eventual cure, at present the muscular dystrophies remain a family of genetic disorders that are debilitating and ultimately fatal. Advances in palliative care have extended life span somewhat, however, and nutritional approaches to patient support should not be dismissed. They offer a potential means of delaying degeneration, promoting muscle regeneration, and thwarting destructive inflammation, thus improving quality of life.

The following supplements may be beneficial to MD patients:

Product Availability

The blood tests discussed in this section are available through Life Extension National Diagnostics, Inc. For ordering information, call anytime toll-free 1-800-208-3444.

Muscular Dystrophy Safety Caveats

An aggressive program of dietary supplementation should not be launched without the supervision of a qualified physician. Several of the nutrients suggested in this protocol may have adverse effects. These include:

Calcium

  • Do not take calcium if you have hypercalcemia.
  • Do not take calcium if you form calcium-containing kidney stones.
  • Ingesting calcium without food can increase the risk of kidney stones in women and possibly men.
  • Calcium can cause gastrointestinal symptoms such as constipation, bloating, gas, and flatulence.
  • Large doses of calcium carbonate (12 grams or more daily or 5 grams or more of elemental calcium daily) can cause milk-alkali syndrome, nephrocalcinosis, or renal insufficiency.

Coenzyme Q10

  • See your doctor and monitor your blood glucose level frequently if you take CoQ10 and have diabetes. Several clinical reports suggest that taking CoQ10 may improve glycemic control and the function of beta cells in people who have type 2 diabetes.
  • Statin drugs (such as lovastatin, simvastatin, and pravastatin) are known to decrease CoQ10 levels.

Creatine

  • Do not take creatine if you have diabetes, kidney failure, a kidney disorder such as nephrotic syndrome, or are otherwise at risk of having a kidney disorder.
  • If you take creatine, have your serum creatinine level monitored frequently.
  • Creatine can cause muscle cramping, muscle strains, and gastrointestinal symptoms such as nausea and diarrhea.

EPA/DHA

  • Consult your doctor before taking EPA/DHA if you take warfarin (Coumadin). Taking EPA/DHA with warfarin may increase the risk of bleeding.
  • Discontinue using EPA/DHA 2 weeks before any surgical procedure.

Green Tea

  • Consult your doctor before taking green tea extract if you take aspirin or warfarin (Coumadin). Taking green tea extract and aspirin or warfarin can increase the risk of bleeding.
  • Discontinue using green tea extract 2 weeks before any surgical procedure. Green tea extract may decrease platelet aggregation.
  • Green tea extract contains caffeine, which may produce a variety of symptoms including restlessness, nausea, headache, muscle tension, sleep disturbances, and rapid heartbeat.

L-Arginine

  • Do not take L-arginine if you have the rare genetic disorder argininemia.
  • Consult your doctor before taking L-arginine if you have cancer. L-arginine can stimulate growth hormone.
  • Consult your doctor before taking L-arginine if you have kidney failure or liver failure.
  • Consult your doctor before taking L-arginine if you have herpes simplex. L-arginine may increase the possibility of recurrence.

L-Glutamine

  • Consult your doctor before taking L-glutamine if you have kidney failure or liver failure.
  • L-glutamine can cause gastrointestinal symptoms such as nausea and diarrhea.

Vitamin D

  • Do not take vitamin D if you have hypercalcemia.
  • Consult your doctor before taking vitamin D if you are taking digoxin or any cardiac glycoside.
  • Only take large doses of vitamin D (2000 international units or 50 micrograms or more daily) if prescribed by your doctor.
  • See your doctor frequently if you take vitamin D and thiazides or if you take large doses of vitamin D. You may develop hypercalcemia.
  • Chronic large doses (95 micrograms or 3800 international units or more daily) of vitamin D can cause hypercalcemia.

For more information see the Safety Appendix

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*These statements have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure, or prevent any disease. The information provided on this site is for informational purposes only and is not intended as a substitute for advice from your physician or other health care professional or any information contained on or in any product label or packaging. You should not use the information on this site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. You should not stop taking any medication without first consulting your physician.