Lupus and food
Food that may aggravate lupus include excess calories, excess protein,
high fat (especially saturated and omega-6 polyunsaturated fatty acids), and iron. Some
people with lupus placed on food allergy elimination diets report improvement in their
lupus symptoms; however, this may be related to a decrease of other substances in the
diet.
Natural alternatives that may be helpful
in lupus:
Some people with lupus placed on food allergy
elimination diets report improvement in their lupus symptoms; however, this may
be related to a decrease of other substances in the diet.
We encourage eating more fish and fewer sweets. Food may play a role in some
individuals with this condition.
Fish Oils
- 20 grams a day of MaxEPA
(fish oil) improved symptoms of systemic lupus erythematosus, while placebo did not.
Lipoic Acid in
low dosages
DHEA hormone may help but has side effects,
including hair loss.
Substances that may aggravate lupus include excess calories, excess protein,
high fat (especially saturated and omega-6 polyunsaturated fatty acids), and
iron.
Vitamin D and lupus
Vitamin D deficiency is a risk factor in many diseases that have high morbidity
and mortality, including lupus. Vitamin D is an immune influencing hormone with
effects on T cells, B cells, and dendritic cells. Animal models of autoimmune
disease and epidemiologic studies suggest a role for vitamin D as a modifiable
environmental factor in autoimmune disease.
Vitamin E
The efficacy of vitamin E against oxidative damage
and autoantibody production in systemic lupus erythematosus: a preliminary
study.
Clin Rheumatol. 2007 March. Third Department of Internal Medicine,
Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama, 641-0012,
Japan.
The hypothesis that reactive oxygen species modification of DNA is involved in
the development of autoantibodies in systemic lupus erythematosus SLE is
supported by the enhanced reactivity of anti-DNA antibodies to reactive oxygen
species -denatured DNA. We studied the efficacy of vitamin E against both
oxidative DNA damage and autoantibody production in systemic lupus erythematosus
SLE. Urinary 8-hydroxydeoxyguanosine (8-OHdG), an indicator of oxidative DNA
damage, and the anti-double-stranded DNA (anti-ds DNA) antibody, a predictor of
disease activity, were assayed twice, first during the season with the most
intense sunlight and then later in the year. Twelve women among 36 outpatients
received vitamin E (150 to 300 mg/day) together with prednisolone. The present
study suggests that vitamin E can suppress autoantibody production via a
mechanism independent of antioxidant activity.
Lupus and exercise benefit
A pilot study on the effects of exercise in patients with systemic lupus
erythematosus.
Arthritis Care Res. 2000 Oct;13(5):262-9.
Ramsey-Goldman R, Schilling EM, Dunlop D, Langman C, Greenland P, Thomas RJ,
Chang RW.
Department of Medicine, Division of Arthritis, Northwestern University Medical
School, Chicago, Illinois, USA.
A pilot study was designed to assess the efficacy and safety of
different exercise therapies on patient-reported fatigue and functional status.
Ten patients with systemic lupus erythematosus (SLE) were randomly
placed in either an aerobic exercise group (group 1: n = 5) or a range of
motion/muscle strengthening (ROM/MS) exercise group (group 2: n = 5). Outcome
measures assessed at baseline and the end of the study were fatigue, functional
status, disease activity, cardiovascular fitness, isometric strength, bone
mineral density (BMD) of the lumbar spine and femoral neck, and parathyroid
hormone and osteocalcin as representative bone biochemical markers for bone
resorption and bone formation, respectively. Both aerobic and ROM/MS
types of exercise were safe and did not worsen SLE disease activity. Patients in
both exercise groups showed some improvement in fatigue, functional status,
cardiovascular fitness, and muscle strength. Both groups showed increased bone
turnover, but BMD was unchanged. Eighty percent of the patients met the
compliance standard for the study. This pilot study shows the
feasibility of exercise for systemic lupus erythematosus patients. The potential value of this approach
shows promise in the routine management of these patients.
Smoking cessation
One of the first steps in the treatment of
lupus is to stop smoking since
smoking could well lead to lupus flare ups.
Drug cause of lupus
Terbinafine, an oral antifungal agent, which rarely causes cutaneous eruptions,
has been implicated as the cause or exacerbation of cutaneous lupus
erythematosus in several patients.
Diagnosis of lupus
Systemic lupus erythematosus -- or, more simply, lupus -- arises when the immune
system launches a misguided attack on the body's own tissue. Among the most
common symptoms are painful, swollen joints, fatigue and skin rash; however,
lupus can damage many parts of the body, including the heart and blood vessels.
Before a patient can be classified with systemic
lupus erythematosus, at least four of the following 11 disorders must be present: Malar
rash, discoid rash, photosensitivity, oral ulcers, arthritis, serositis, renal disorder,
neurologic disorder, hematologic disorder, immunologic disorder, antinuclear antibodies.
Symptoms of lupus
At some point, over 90 percent of patients with systemic lupus erythematosus
have polyarthralgias or polyarthritis because of the disease. Nonsteroidal
anti-inflammatory drugs (NSAIDs) remain the mainstay of treatment in these patients,
especially those who have mild polyarthralgias or polyarthritis. NSAIDs may adversely
affect renal function, a special concern because 50 percent of patients with systemic
lupus erythematosus develop associated nephritis.
Medical therapy for lupus
- Lupus treatment
Hormone replacement in women with
systemic lupus erythematosus
Menopause hormonal therapy does not seem to alter
lupus disease activity.
However, an apparently increased risk of thrombosis seems to be a real threat in
women with systemic lupus erythematosus who receive menopausal hormone therapy.
Lupus treatment with topical
calcineurin inhibitors
There is a need of steroid-free topical treatment in
lupus. Topical calcineurin inhibitors, tacrolimus and pimecrolimus, are an
alternative treatment of cutaneous lupus. In chronic discoid lupus,
hypertrophic plaques do not well respond because of limited penetration. The
primary target seems to be the decrease or blocking of cytokine production by
activated T lymphocytes.
Weight loss or gain and systemic
lupus erythematosus activity
An increased body mass index is independently associated with presence of
fibromyalgia but not with lupus disease activity, damage accrual, fatigue or
self-reported quality of life in patients with systemic lupus erythematosus.
Lupus natural therapy questions
Q. I have lupus nephritis and now hair loss. What can be done about the hair
loss. I am taking prednisone 20 mg medication.
A. Prednisone can cause thinning of hair and hair loss.
Q. Have you heard of acai berry herb as lupus
alternative treatment?
A. We have not seen any studies with acai berry supplements as a
treatment for this condition.
Q. I'm from Singapore and I went through your website
as I'm sincerely thanking you for your excellent research. I'm 40 years old
female. I'm suffering from Systemic Lupus Erythematosus (SLE) with secondary
antiphoslipid syndrome on warfarin. I have mainly mucocutaneous manifestaions,
and thrombocytopenia with low platelet count and associated with fibromyalgia
and depression and rheumatoid arthritis. I was diagnosed with this illness in
year 1999. I hope there is any alternative medication to substitute my present
warfarin as i see that i have lots of side effect taking warfarin and
prednisolone for long term which makes me lost confident in myself as I'm
greatly depressed with my overall health condition and I'm most of the time
prone to bloatedness and reflux with associated indigestion. I'm also getting
treatment from Chiropractors and Osteopath to relief my severe aches and pain.
Presently, I'm taking the following medication: warfarin 6.5mg, prednisolone
10mg, hydroxychloroquine 400mg, Xanax 0.25mg, omeperazole 20mg, Motilium 10mg,
Calcium and vitamin D 450mg. I hope there is any alternative medication to my
above mentioned illness.
A. Systemic lupus erythematosus
studies with natural supplements are quite limited but we hope more scientists
focus their attention on this topic. In the meantime, some of the suggestions
above may be helpful to you.
A friend of mine has bruising and lupus, she got
on vitamin c and grape seed extract recently to try and help and it made lupus
flare up badly. Is this supposed to happen, I thought grape seed would calm
lupus.
Lupus can flare up for unknown reasons and it is not clear whether
the grape seed extract was the cause. If it happens again on reintroduction then
it would make it more likely that there is a cause and effect relationship for
her.
Q. Do you think it is advisable to take royal jelly supplement if I was
diagnosed with lupus 38 years ago and have been in remission for years? I do
have a low white blood count and my immune system.
A. We really are not in a position to offer individual advice, all
we can do is offer general research info on lupus and
royal jelly and then it
is up to you and your doctor to decide whether royal jelly is appropriate for
your particular condition.
Does
tribulus terrestris
extract help or hurt the natural
course of lupus?
We are not familiar with the use of this herb as an alternative
treatment for lupus
natural therapy for lupus vitamins