2021: The Year of Epigenetics and Biological Aging

This April marked an important milestone for me and my team with the publication of our groundbreaking clinical trial on reversing biological age through diet and lifestyle. And since then, quite a number of research articles have been published on this very same topic. 

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6 Surprising Reasons to Test for the MTHFR Mutation

Many of you know about methylation and how problems with this process are linked to heart disease, diabetes, Alzheimer’s, attention deficit hyperactivity disorder (ADHD), autoimmune disease, and autism. But did you know that methylation problems may also be involved in other more surprising areas of your health? In this article, we’ll dive into those other lesser-known consequences of faulty methylation and what you can do about it. But first, a refresher course on what methylation is and how the MTHFR mutation is involved in methylation problems.

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A few additional treatment possibilities in COVID19 (SARS Cov-2) addressing furin-like cleavage and pyroptosis (caspacin-1 activation of inflammasome NLRP3)

The cytokine storm seen in SARS Cov1 and Cov2 might be due to chronic pyroptosis activation. However, known activators of NLRP3 in SARS-CoV differ from CoV2.  While SARS Cov1 and COVID19 are genetically very similar, the extraordinarily high rate of infectivity of COVID19 is unique. Prepublication research suggests the cause might be a unique furin-like cleavage site on the spike protein of Cov2 that was absent in Cov1.  

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A Few Surprises About Ketogenic Diets and Their Effects on the Microbiota and Th17

As you know, here at drkarafitzgerald.com we like to push the boundaries of what we know, and sometimes this means being a little contrarian. In this blog, our Nutrition Director, Romilly Hodges CNS takes us on a tour of some of the emerging research on Th17 prompted by a new paper in the journal Cell, that postulated a reduction in Bifidobacteria may mediate some of the benefits of a ketogenic diet for epilepsy by reducing Th17.

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A pack of smart, hedonistic creative types with a lot of anxiety and high brain dopamine: A case history of a family homozygous for the COMT Val158Met mutation.

I admit it. I’ve harvested a scientific nugget or two from the Daily Mail. Not long ago, sandwiched between a story on toast and the five-second rule, and a selfie of Zac Efron eating a worm, was this…

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A Step-Change in Our Approach to Mitochondrial Care with Urolithin A

Over the last decade, there has been an explosion of research looking at bioenergetics (energy metabolism) and the role our energy generators – the mitochondria – play in human health and longevity. In functional medicine, we’ve long been aware of bioenergetics – the need to “tend to our patient’s mitochondrial health,” and as such, we readily employ a litany of nutrients – from CoQ10 to carnitine and lipoic acid and others – whenever we deem them indicated. There have not been, however, many nutrients to blast onto the bioenergetics center stage with quite the impressive force as the postbiotic rock star Urolithin A. With studies published in top-tier journals such as Nature and Cell – and with 11 (yes, eleven) compelling human clinical trials – if this compound hasn’t made it to the top of what you’re using for patients (and taking yourself), read on.

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Acne, the Skin Microbiome and Salicylic Acid Treatment

There has been a lot of published research lately around the role of our skin’s microbiome on overall immune health as well as the impact bacterial dysbiosis has on different diseases. The bacteria Cutibacterium acnes (C. acnes) — one of the most abundant strains of bacteria in most people’s facial microbiome — has long been associated with acne lesions. But, how does acne occur and how does our microbiome impact it?

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Age-Specific Phenotypic Expression of Food Allergies

We in functional medicine have long been aware that children can start out with a clearly identified food allergy. As the child ages, the primary allergic symptoms fade and some other clinically relevant presentation appears in its place. For example: we’ll see a classic milk allergy in infancy — often as milk colitis.

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Are You a Hospitable Host to Your Microbial Partners?

Are you enriching their lives with good, healthy food choices and lifestyle habits or are you angering your trillions of guests, pushing them towards causing disease? I wrote my thesis in medical school on stealth infections, where I concluded that health had much to do with how well we tended our microbial garden… I was…

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