Dhia Aldoori

Dhia Aldoori
Autumn 2011 in Ohio

Thursday, April 9, 2020

COVID-19: Should I wear a protective mask? Masks for general public?

Question (TK): Hi there, what are your thoughts on the general public buying masks online to wear when shopping or going outside? I know there is a shortage of masks in hospitals, but it seems like there’s a surplus online, so I assume hospitals aren’t buying the ones I am finding. An example:
Amazon Link

Answer (Dhia Aldoori): I think it is a good idea for all to wear masks in public at this time, particularly when you are going to be in a place which may force too close person proximity, and always if you are sick with the possibility  people may come near you (especially  important in a closed environment).
That said, let us (health professionals) have first dibs on the really useful kind, the NIOSH N95 version by 3M which I couldn’t find on Amazon.  
The ones in the link are apparently abundant and will help prevent aerosol projection from a cougher and sneezer, and prevent a person from unconsciously hand-face touching. It won’t protect against incoming viruses. The other kind does, and isn’t currently very available to many caregivers.


COVID-19: Using Anti-inflammatory Medications

At this time I am of the opinion that avoidance of NSAIDs for flu like symptoms is the way to go [non steroidal anti-inflammatory drugs are like ibuprofen (Advil, Motrin), naproxen (Aleve), diclofenac (Voltaren), meloxicam (Mobic), etc.]. Of course, that is if you even feel inclined to band-aid your symptoms. Barring an allergy or medical condition where it is contraindicated, I would go with acetaminophen (Tylenol). Covid-19: ibuprofen should not be used for managing symptoms, say doctors and scientists.
The theory behind this is that NSAIDs may hinder the natural inflammation cascade of events otherwise needed to fight against viral infections. That said, even acetaminophen, has an antipyretic action which I am not sure I want to impede during this process. I change my stance if there is excessive fever making the patient uncomfortable or symptomatic (e.g. delirious).
I am more a fan of rest, hydrate, good nutrition (beef barley soup rocks) and stay warm. After you do the preceding, hydrate some more. 🙂

Tuesday, March 24, 2020

COVID-19: Running Notes (quick link above or click on my picture above)

Clicking on the quick link above or the link below within this post will take you to the diagram.

See "Black Box Warning" update for 4/3/20.
My COVID-19 Running Notes @ Diagrams.net

Depending on feedback I will answer questions within the updated diagram. 

Sunday, August 13, 2017

Nightshade Vegetable Allergies

    In response to:
    [Bess Rhoades has left a new comment on your post "Why I'm a Fan of Copper": 
    Dr. A- I do not know how to enter a question on this blog, so this is the best I could do. Could you please address what you believe about nightshade vegetable allergies- and their possible role in inflammatory process and perhaps even arthrities in certain individuals. I thought this was far fetched until I began reading. This article in particular caught my interest: 
    Thank you] 
    Looking at your reference.
    Paragraph 1: Claiming sensitivity to these plants without delineating a causal pathophysiology is always concerning to me and makes the content lack credibility.
    Paragraph 3: If you have as claimed a sensitivity to a certain food, I don’t think it would be harmful to avoid them for a month or two, and monitor the improvement or lack thereof. I doubt with pretty good logic and science that nightshade plants "cause" heartburn. They may exacerbate symptoms but don’t cause relaxation of the lower esophageal sphincter, as far as I know at this time. (One of these days I will write up the causes of alluded to relaxation).
    Paragraph 5: Potatoes causing dropsy. Anytime a human relies on a high carbohydrate low protein diet in tandem with a  deficiency of other important nutrients, expect there to be body swelling.
    I stopped reading after paragraph 6 as the author's arguments and evidence presentation were excessively weak and lacking in logic and definite pathophysiological cause, not to mention heavily infused with loose associations being put forth as evidence. Also the author, although listing references, didn’t associate them with the facts being quoted and therefore very difficult to verify his studies/articles/references.
    Notes: Tomatoes have evidence of being anticancer.
    In summary I would say that it's possible some people may have increased sensitivities to certain foods, but I would hesitate to say that 'nightshade' plants are dangerous as a group.
    DA

Friday, November 13, 2015

Mucuna Pruriens in Anxiety/Depression

Question: AnonymousNovember 13, 2015 at 2:45 PM
What are your thoughts on the herbal supplement, mucuna pruriens, for anxiety/depression? 

Answer: I have personally not been aware of this herb, Mucuna pruriens, till your question. After a quick research I found the following:

The major phenolic constituent of M. pruriens beans was found to be L-dopa (5%), along with 5-indole compounds, two of which were identified as tryptamine and 5-hydroxytryptamine.
The thought is that L-dopa being a precursor of dopamine, thence the different pharmacological effects. (Anti-diabetic, anti-inflammatory, neuroprotective, and anti-oxidant properties). 
I would think that the benefit of this herb would be via 1- the increased production of adrenaline (from the precursor L-dopa), outside the brain, 2- the provision of a significant amount of precursors (tryptamine and 5-hydroxytryptamine), for serotonin peripherally and centrally, and 3- provision of L-dopa to the brain (as it crosses the blood brain barrier), which is a precursor for dopamine centrally. The increased production of adrenalin physiologically, in addition to increased production of serotonin and dopamine centrally should have a positive impact on depression.
In India, the seeds of M. pruriens have traditionally been used as a nervine tonic, and as an aphrodisiac for male virility.
It looks promising logically for anxiety but more so for depression, but I'm afraid I can't endorse its use at this time as I am not familiar with its dosing, its safety profile, purity of preparation, and studies where it has been used for anxiety or depression.
[Ref.- Lampariello LR, Cortelazzo A, Guerranti R, Sticozzi C, Valacchi G. The Magic Velvet Bean of Mucuna pruriens. Journal of Traditional and Complementary Medicine. 2012;2(4):331-339.] 

Friday, June 7, 2013

How to Decide On How Much 5-HTP (5-Hydroxytryptophan) and L-Tyrosine to Take In Mild Depression? (Edited: 1/15/17)



The question posed: “I am taking 5-HTP and L-Tyrosine supplements for mild depression and have been doing some research. I have read that a 10:1 ration (L-tyrosine to 5-HTP) is recommended so that no neurotransmitter is depleted. What are your thoughts? How about a 5:1 ratio? I know everyone is different but how would you recommend starting out and adjusting dosage?”

My answer: (run the following by your doctor first before applying) 
I don’t agree with tying these two building blocks together in a ratio as posed because of the following: each one is involved in the production of different neurotransmitters, and everyone has a different magnitude of symptoms of depression which is commensurate with the neurotransmitter that is deficient. Therefore the symptoms and the response thereby to ingesting these precursors can be your guide on how much to take in the beginning and thereafter tailor accordingly.
If the exhibited symptoms include headache, poor sleep, inexplicable body pains, and/or memory issues then the anticipated deficiency is more in line with serotonin deficiency. Hence I would think 5-HTP is going to be needed for sure. I would start with a dose of 50 mg nightly after the evening meal and escalate a week later to 100 mg nightly and hold there for at least one month to see if the symptoms described here improve. It takes time to build up the amino acid pools in the body. This is assuming the 5-HTP is good quality and pure. If nausea arises, or if you become jittery, sweaty or get a rapid heart rate 30-60 minutes after (Edited: 1/15/17) intake of the 5-HTP in spite of taking it after a regular sized meal then you may be taking too much.
If the exhibited symptoms include sugar and starch craving, fatigue, preponderance of gloom, poor stamina, feeling cold more than normal people around you then the anticipated deficiency would be more in the adrenaline, and noradrenaline (neurotransmitter) arena. In this setting the tyrosine will be essential to production of the forementioned, as it is the precursor to both. As such I would go with a starting dose of 100 mg daily with a meal. This may be upped 100 mg every three days to a maximum of 1000 mg daily depending on side effects and therapeutic response. Once you get improvement then I would hold at that dose for 6 to 9 months then start weaning off over the following 3 months. I started low on the tyrosine as some patients may be deficient in this amino acid and on taking it in a large dose may result in hypotension, and or dizziness secondary to a higher production of adrenaline in a more than used to fashion. The body should be able to adjust to this over the following weeks, and if not I would do the escalation even more slowly.
Note: to produce neurotransmitters from precursors like you are targeting, there must be available certain vitamins which are part of certain enzymes and co-enzymes necessary for this production. Specifically I will mention vitamin C for production of serotonin and noradrenaline. Also copper and iron for production of noradrenaline. The amount I recommend is vitamin C 250 mg daily, copper 2 mg daily and iron 8-15 mg daily, or even better getting the equivalents in food (tomatoes, peanuts, red meat) (Edited: 1/15/17). The last two may be found in many multivitamin preparations. I would also recommend taking the multivitamin after the main meal of the day to enhance their absorption and decrease the possibility of nausea.
Note: do not take above supplements with anti-depressants.

Thursday, December 20, 2012

A DIET FOR FIBROMYALGIA? FOODS ACCEPTABLE FOR FIBROMYALGIA AT THE RESTAURANT.


Regarding the diet for Fibromyalgia, with a couple of exceptions, it is basically the one found here:  http://thepillarsofhealth.blogspot.com/2008/04/appendix-diet.html

For Fibromyalgia I prefer that the patient not have any products containing white flour, because of its refinement and the ease with which it is absorbed into the blood stream as glucose, which will elicit an insulin response which will inhibit adrenalin output, which we don’t want.

A practical principle here is to avoid high glycemic index foods. A nice list is here: http://www.health.harvard.edu/newsweek/Glycemic_index_and_glycemic_load_for_100_foods.htm

Another point is that there should be emphasis on protein intake (fish, chicken, turkey, eggs, cheese, etc.), as there is the need to keep the amino acid pool satisfactorily stocked with the building blocks for energy hormones, and neurotransmitters.  In addition amino acids can act as a source for slow production of glucose (which shouldn’t initiate an insulin secretion response – I have not verified this factoid). This production of glucose takes place in the liver in a process called gluconeogenesis.

Acceptable restaurants foods for Fibromyalgia:

·         Chicken paprikash without the dumplings or noodles. More sour cream or yoghurt and vegetables.

·         Salads topped with chicken, or steak.

·         Steak and eggs. For breakfast. Hold on the white bread.

Basically apply: no refined sugars and no white starches.