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Centers For Dental Medicine Saving Lives One Smile at a Time


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Why Dr Steven Hinchey? Both he and his staff


Listen to YOU - Non judgmental assessments - Respect for you and your time


Are concerned about YOU - Mercury free dental treatment - Mercury safe dental conditions - Mercury removal and detoxification - Biocompatible dental materials - Minimally invasive procedures - Implant tooth replacement - Same day non metal crowns


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We want to help YOU get healthy - Financial Flexibility


Steven F Hinchey DMD 860-633-6518


, www.dochincheydmd.com


the amount of mast cells as found in masto- cytosis patients. Rather, the mast cells can either become both more active and pro- duce extra infl ammatory mediators, or they are simply more easily triggered to degranu- late. It is also possible that they may release a variety of types of mast cell mediators. This is caused by abnormal expression of certain proteins that alter mast cell behav- ior. Those with MCAS may react to foods, chemicals, pollen, and medications. Typi- cally, this person has no more actual IgE allergies than anyone else. However, even IgG antibodies associated with delayed food sensitivities can have the same effect on mast cells in those with MCAS.


Symptoms of MCAS include: fatigue,


weakness, fever, environmental sensitivi- ties, weight loss/gain, anaphylaxis, brain fog, sinusitis, rhinitis, burning mouth pain, dyspnea (labored breathing), cough, wheezing, increased mucous, tachycardia (heart beat above 100 beats per minute), palpitations, fainting, episodes of low blood pressure, non-cardiac chest pain, diarrhea, abdominal pain, constipation, nausea, vom- iting, gastroesophageal refl ux, cramping, bloating, gastritis, enlarged liver, enlarged spleen, increased cholesterol, bladder pain, osteopenia/osteoporosis, pain, degenerative disk disease, itching, fl ushing, rashes, hives, dermatographia (skin writing—scratching the skin results in a raised red welt of hives), edema, swollen lymph nodes, headaches, depression, anxiety, sleeplessness, vertigo, tinnitus (ringing in the ears), polyneuropa- thy (degeneration of peripheral nerves), and paresthesias (abnormal skin sensations). Evaluation for MCAS includes serum trypt- ase (an increase of 20% from baseline to reaction), serum histamine, 24-hour urinary N-methylhistamine, and 24-hour urinary 2,3-dinor 11-beta prostaglandin F2 alpha.


Often there are specifi c elements to


food to which those with MCAS react. This may include:


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• Sulfur is found in foods such as cru- ciferous vegetables, eggs, onions and garlic. This is related to a genetic poly- morphism to CBS C699T or a vitamin B6 defi ciency.


• Oxalates are an element in certain plants such as spinach, Swiss chard, potatoes and sweet potatoes. Often those with genetic hyperoxalurias or those with Candida and other yeast infections may become intolerant.


• Salicylates is a chemical found in most vegetables and herbs and is the active ingredient in aspirin. Sensitivity is very diffi cult and may be associated with leaky gut syndrome and dysbiosis as bacteria may also produce salicylates.


36 Natural Nutmeg -May/June 2017


• Gluten is a protein found in grains such as wheat, barley, rye, kamut, spelt and contaminated oats.


• Histamine is produced from the break- down of the amino acid histidine into histamine in animal proteins. It is also found in fermented foods, citrus fruits, tomatoes, peppers, etc. (see complete list below).


• Food colorings, preservatives, MSG and artifi cial sweeteners


While mast cell disorders are typically treated with H1 blockers (antihistamines including Benadryl, hydroxyzine, Xyzal, Claritin, Zyrtec and Allegra), H2 block- ers (Zantac, Pepcid, Tagamet), mast cell stabilizers (Chromolyn sodium and Ketoti- fen) and leukotriene inhibitors (Monteleu- kast), there are many natural remedies that may be helpful. Some helpful possibilities include: • Quercetin is a natural mast cell stabilizer. Choose a formula without bromelain which can worsen MCAS.


• Vitamin C is required to break down histamine. Supplementing smaller doses (500 mg) several times per day can help improve absorption. • Holy basil is a natural antihistamine that is very calming since it supports the adrenals. Try one to two cups of holy basil tea per day.


• A low histamine diet is a must for those with MCAS. High histamine foods include alcohol; fermented foods; ma- ture cheeses; smoked foods; shellfi sh; nuts; chocolate; vinegar; wheat; toma- toes; citrus fruits (lemon, lime, orange, tangerine, grapefruit and pineapple); prepared, boxed and canned foods; older, aged or ground meats; poultry skin; and black, white and green tea, coffee and other caffeinated beverages. • Certain probiotics including Lactoba- cillus Rhamnosus and Bifi dobacterium longum are helpful in breaking down histamine in the gut.


• Fish oil is a natural leukotriene inhibi- tor and may help with the respiratory symptoms associated with MCAS.


Jessica Pizano is the owner of Fit to You, LLC, which offers clinical nutrition and nutrig- enomic counseling, as well as personalized training pro- grams. Her concentrations


include genetics and nutrigenomics, general health and fi tness, weight loss, food allergies/sensitivities, autoimmune disease, obesity intervention, and Pilates. She may be contacted at (860) 321-7234 or online at www.fi ttoyouct.com. See ad on page 21.


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