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Epilepsy and Diet

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In This Section:
 
 
 

dogtorjandluke.jpg
Dogtor J and "Luke", an epilepsy success story.

* IMPORTANT NOTE:  I have been studying idiopathic epilepsy in humans and animals for over 8 years. When I began, I pretty much knew only what I have been taught in veterinary school- that no one knew what really caused epilepsy and that once seizures reached a certain frequency or severity, medication was needed to help control them. But over the past 7 years, I have learned so much more, including the food connection, environmental factors, the role of viruses and even about seasonal influences. This study has been done in a progressive fashion and has built upon previous knowledge. The papers I have written build upon each other, with the latest dealing with the important role of the virus. So, PLEASE read as much of this section as you can handle to get the best view of the complete picture of epilepsy.

Be sure to check out the Testimonials section and read the success stories from numerous pet owners as well as a rising number of people who have employed this diet for their own or their child's epilepsy.

The Epilepsy Diet Made Simple- Out of necessity, this is the same introductory paper I have on the G.A.R.D. section of this Website. It is a summary style piece that explains the logic behind the diet I have developed to help manage epilepsy. It is filled with "med-speak", however, and may be a bit more difficult for the layperson to understand than the following papers. I wrote this article in response to a request by doctors who were asking for a more concise, medically-oriented explanation of the diet to offer to their epileptic and pain suffering patients. It is about 5 pages long when printed out....a step in the right direction, anyway. I decided to lead this section with this paper even though it jumps right into topics that the rest of this section builds up to. Consider it an outline for what you will find in much greater detail in the papers and addendums that follow.

* How to Control Idiopathic Epilepsy Naturally- (New!!! as of 3-06) This paper is another work in progress. I will be updating this section as my studies continue. I have been successfully treating pets with epilepsy using diet changes alone for nearly 5 years now. The results have been as astounding. At first, I knew very little about how and why the response could be so dramatic when a patient was place on this restricted diet. But over the past 5 years, I have come to understand many of the pathomechanisms of food intolerance as well as other secondary factors that lead to this "syndrome" we call idiopathic epilepsy. I have also been pursuing research into supplements and other auxiliary therapies as well as helpful diagnostic testing in an attempt to insure and speed recovery. This paper helps to summarize my findings.

* Food Intolerance, Epilepsy, and "The G.A.R.D."- This is the transcript for my lecture at the 2007 NAVC (North American Veterinary Conference) in Orlando. It was the second hour that followed a talk on food intolerance in general. This speech on epilepsy briefly covers most aspects of the "syndrome" we call epilepsy and introduces the role of viruses in the development and perpetuation of idiopathic epilepsy. 

* Idiopathic Epilepsy- The Dietary Solution- This 13-page paper chronicles the discovery that limiting the diets of epileptic dogs will halt their seizures. It takes the reader through the step by step process that I went through to arrive at this conclusion. I do not claim to be the first nor the only one to have made the connection between food and epilepsy. However, this story describes exactly how I arrived at this independently of anyone else's work other than reading that celiac children (those with gluten intolerance) showed significant improvement in their seizures once wheat was eliminated from the diet. The rest was arrived at by my own medical research and "intuition", which was followed by even more research. For specific diet recommendations, see the section DogtorJ's Food Handout.

* Veterinary Diets to Control Seizures- The response of epileptic dogs (and people) to the elimination diet (The G.A.R.D.) has been one of the most amazing things I have ever seen. The papers in the epilepsy section (Epilepsy and Diet) explain this incredible phenomenon. You can see DogtorJ's Recommended foods by clicking here.

* My Current View of Epilepsy in a Nutshell- This letter to a client basically sums it all up. I will be writing an entirely new paper in the near future that will contain all of this information- and more. I think the following letter will serve this purpose for the time being. It has most of the elements of the "syndrome" we call epilepsy.

* An "Epilephany"- Viruses, Serotonin, and Light Boxes to Help Treat Epilepsy (New!!!)  This is a letter that I wrote to my friend and colleague Dr. Jean Dodds today (1-12-06). It started out...innocently enough...as a question that I was posing to her brilliant mind asking whether she thought that light therapy could help epileptics as it does people with seasonal affected disorder (SAD). Once we understand the vital serotonin connection, which this letter goes into more deeply, then we can see how light therapy...the right kind of light therapy... may benefit those with epilepsy by boosting their serotonin levels. BUT, as I am prone to do, I got a little off topic and unloaded some other loaded questions and thoughts on her. It turned out to be a pretty good summary of everything I know and believe about how diseases...yes all diseases...occur. Hope you get something good from it.

* Viruses and Epilepsy- A Forum Post- Here Is a post that I made on a human epilepsy forum in response to a question concerning a viral infection that later resulted in epilepsy. This is explainable. 

*Seasonal Seizures? - (New as of 1/07) This a collection of Emails and posts that address this important observation. Yes, many epileptics (both humand and veterinary) experience an increase in seizure frequency and severity during the shorter days of the year (November to April). Serotonin and vitamin D levels are two of the key factors.

*Links to Scientific Articles- I should have done this years ago, but I am starting (as of 2/07) a section of links that show how much researchers know about the role of food intolerance (e.g. celiac disease) in epilepsy. I hope this helps to convince the reader of the importance of this crucial element in this oftentimes very controllable condition. 

* Letter to a Mother of an Epileptic Child- (New as of 3/06). This letter summarizes what I believe causes this "syndrome" we call epilepsy and the logic behind my approach to treating this condition.

* Another Letter to a Mother of an Epileptic Child- (New as of 9/07). This letter also summarizes what I believe causes this "syndrome" we call epilepsy and the multiple benefits of The GARD  when employed for epilepsy, autism and other neurological conditions.

* Foods to Avoid, Foods to Enjoy- In this section, I will try to make it clear which foods should be avoided when coping with the "excitotoxin"-related disorders such as epilepsy, insomnia, ADHD, chronic pain (e.g. fibromyalgia), and neurodegenerative diseases such as ALS, MS, Parkinson's, Alzheimer's, Huntington's, and more. Autistic patients should benefit from these dietary guidelines as well, especially the avoidance of the gluten grains, soy, and dairy products. Please also check out the autism, ADHD, and food addiction parts of the Appetizers section.

*Estrogens in Food- (link only) There are estrogens in foods which should be considered in formulating the ultimate diet, especially for women and those suffering from epilepsy, pain, and other excitotoxin-related disorders. We know that estrogens are inflammatory and immunosuppressive and sensitize neurons to the action of glutamate (e'g catamenial seizures, PMS). I will be expanding this section as time allows. Please also see the Appetizers section for more on this and other issues in women's health.

* Epilepsy Testimonials- (NEW!!!)  Here are some of your letters that state how the diet has helped your epileptic pet...or you. Yes, people are responding as well.

* Your letters, my answers- This section has some of your Emails concerning epilepsy and diet, with my responses following them. I have sent this paper to a number of AKC breeder sites to inform them of the results that I have observed in my practice once I began applying those concepts purported in this paper. Since that mail-out, I have been getting a steady stream of great stories that support the findings in this paper.

Some of the letters I have received and subsequently answered were so awesome that I have decided to publish them. They can be found after the paper below. I will be adding to these regularly so check back often if your are interested (or still skeptical).

Please continue to write to me about your experiences with epileptic pets. I did not foresee the incredible value in sending out this paper to my readers. I have already had so many great stories and cases come out of it that I am very excited about what the future holds. Please do not hesitate to write, positive or negative. So far, the "negatives" have turned out to be positives, as you will read in the testimonies below

Some of the questions you may have could be listed here. If not, please Email me at: dogtorj@bellsouth.net                      

 
 
 
*IMPORTANT NOTE:
 
I have been studying idiopathic epilepsy for over 7 years. When I began, I pretty much knew only what I have been taught in veterinary school- that no one knew what really caused epilepsy and that once seizures reached a certain frequency or severity, medication was needed to help control them. We knew that certain breeds were more prone to epilepsy than others but no one spoke of diet, viruses, environmental factors, and the things I now write at length about .
 
This has been a continuous learning process, beginning with the amazing discovery of the celiac-epilepsy connection in the early days of my research. This was the doorway into a mansion filled with rooms of answers that I knew nothing of in my first 20 years of veterinary practice. Each time I opened a door, another room presented itelf, each complimenting the other. The information that I was gaining built upon itself in a phenomenal way, not cancelling out the previous discoveries but rather completing them.
 
The malabsorption syndrome caused by the "big 4" (gluten, casein, soy, and corn) that I first described in
Idiopathic Epilepsy- The Dietary Solution was...and still is...integral to the develpment of this "syndrome" we call epilepsy. The role of lectins added a new dimension to the damage being done by "the four horsemen".
 
But it was the information concerning viruses that put it all in perspective. Tne reader will find a number of articles in this section that speak to the importance of the role of viruses in the pathogenesis of seizures.
 
In fact, I am now convinced that "idiopathic epilepsy" is ultimately viral in origin, some of which are acquired and others being embedded in our very genome. The diet does play a huge role in why these viruses cause seizures but the reason why one individual with severe food intolerance develops seizures while another doesn't is likely to be the viral status of the glial cells (and neurons). To support this idea, there are over 25 viruses known to cause seizures in man, many of which are ubiquitous and latent in nature (e.g. Epstein Barr, Herpes simplex, varicella, measles, mumps, Coxsackie virus and many others). These viruses have a real affinity for the glial cells ("nurse cells" to the neuron, if you will) that control the levels of the neurotransmitter glutamate at the synapse, among other things. 
 
Therefore, the relationship between the diet and epilepsy becomes one step more complex than I described in my earliest works once we see the role of the virus. Yes, the malabsorption and maldigestion syndrome that results from the food intolerances play a HUGE role in the disease of the neurons as well as the demise of the immune system, both of which set the stage for the viral involvement. Then, add to the mix the effect of the lectins on these same cells, as well as those of the thyroid gland (with low thyroid levels being capable of dramatically lowering the seizure threshold) and the picture becomes clearer. Next come the negative effects on the liver, kidneys, and intestines, all of which are vitally involved in glutamate metabolism. Now throw in the environmental toxins that are known to be neurotoxic and you have a situation that is ripe for the onset of seizures.
 
So, I would encourage the reader to examine all of the evidence presented in this section if they truly desire to understand this life-altering yet fascinating condition. In addition, we can use this knowledge of epilepsy to understand other related conditions that afflict so many individuals. These same principles can be applied to ADHD, insomnia, pain syndromes, and many other neurodegenerative disorders (MS, ALS, Alzheimer's, Parkinson's, and more) both in our understanding or their origin and their treatment. Our knowledge of epilepsy can then be the doorway into a fuller understanding of many of the diseases that plague man and his companions.
 
DogtorJ
 

 

The Epilepsy Diet Made Simple

By Dogtor J.

©2005 DogtorJ.com

 

Many of you have expressed the need to have this work simplified, especially health professionals trying to make sense of my recommendations. I do understand and will vary from my stated philosophy, that being that I do not believe in fast-food medicine and that the more you understand, the better you will be able to apply these principles. We do live in a world with the fast-food mentality and this has reduced our time, patience, and the mental energy needed to really deal with the vital issues that face us. Sad but true.

So, here are the nuts and bolts of “the G.A.R.D“....the glutamate/aspartate restricted diet...that has helped so many pets and people with epilepsy, ADHD, insomnia, fibromyalgia (pain syndromes), chronic fatigue/depression, IBS/heartburn, and much more. It should make perfectly good sense. If not, once again, I have not done my job....yet.

1) There are 4 known "foods" that can induce villous atrophy of the duodenum*: gluten, casein, soy, and corn. The gluten comes from the gluten grains: wheat, barley, and rye. Casein comes from cow's milk products and is mostly absent in goat's milk. The absence of casein in goat's milk is what makes it the "universal foster milk." (*The duodenum is the first section of small intestine after the stomach. The villi are the tiny, finger-like projections that absorb nutrients. Atrophy is the wasting away/destruction of these villi.)

2) Adhesives are made from these four foods. Powerful, industrial-strength glues are made from gluten, casein, and soy. Corn is also used to make adhesives but those made from this food are weaker, used for paper/cardboard products whereas those made from the other three can be used to make glues capable of holding metal together. The glycoproteins from these foods are clearly VERY adherent.

3) Simple-stomached animals (non-ruminants) are incapable of completely breaking down these "glues". Celiacs are the proof. These troublesome glycoproteins DO adhere to the duodenal villi after passing from the stomach, surviving the acid designed in part to break it down. This is the known pathophysiology of celiac disease. This adherence and the ensuing immune response causes serious damage to the duodenal and even jejunal villi.

4) The duodenum is responsible for the absorption of calcium, iron, iodine, B complex, vitamin C, and many trace elements (zinc, boron, manganese, lithium, magnesium, and more). In fact, 95% of the intestine's vitamin D activity (involved in calcium absorption) takes place in the proximal (first) one third of the duodenum. (Here's the rub: I have yet to meet a doctor...veterinary or human...that knows or remembers this simple truth concerning the absorption of nutrients taking place in the duodenum. In fact, I have had a number of doctors look me in the eye and tell me that it absorbs "nothing". This is unfathomable to me, although I did not know this either, until I began my research. Therefore, I am NOT throwing stones here. But I am very disappointed in the educational process that we as health care providers go through if basic truths like these are lost.

5) The official number now being published by the medical profession (Johns Hopkins University and Mayo Clinic) is that 1:122 Americans have celiac disease (gluten intolerance). This is a staggering number and a vast change from "a rare disorder affecting less than 1:5000 people" that was being purported at the time of my diagnosis 5 years ago. BUT remember: wheat is only one of the four gut-damaging foods and is only the number two human, dog and cat allergen. Cow milk is number one. Casein intolerance is bound to be even more prevalent.

6) The allergies to these four foods (gluten grains, cow's milk, soy, and corn) are formed at the time the damage to the gut is taking place. These four foods are the top human, dog, and cat allergens for a reason. They are the PRIMARY allergens- those that do harm to the gut and elicit an immune response in the process. All other foods allergens are SECONDARY to this damage, drawing an immune response as they pass through the damaged gut. This is called the "leaky gut syndrome" and this is the accepted pathophysiology of adulthood food allergens in celiac disease, not a theory.

7)There are antibody-sized glycoproteins that we derive from foods that are now termed "lectins". It is crucial that we understand these dietary proteins and the potential harm they can do. There are good and bad lectins in our food components, with the most damaging being from the same four foods listed above. For a great paper on this subject and a good discussion of their involvement in immune-mediated diseases, click on this link (http://www.krispin.com/lectin.html).

8) Glutamic acid (glutamate) and aspartic acid (aspartate) are two NON-essential amino acids. Our bodies manufacture all of the required amounts of these two amino acids from other proteins. Glutamate is one of the principle neurotransmitters in our brain. The amount of glutamate at the synapse is regulated by the adjacent glial cell (astrocyte), which removes excess glutamate from the synapse to prevent over-excitation of the impulse-receiving neuron. Glutamate is not only neurostimulating, it is potentially neuro-lethal. Excessive glutamate at the synapse is the described pathomechanism in Lou Gehrig's Disease (ALS), with that excess leading to the death of that neuron. Similarly, the "glutamate cascade" is the known cause of brain death regardless of the cause of our bodily death. Therefore, it is clearly very important for the synapse to have the proper level of glutamic acid present at any given moment. Excessive glutamate can lead to overstimulation of neurons (e.g. seizures, reduced pain threshold, sleep disorders, and emotional disturbances) or neuronal death (e.g. ALS).

9) Glutamic acid is the parent protein in MSG (mono sodium glutamate). MSG is used as a neurostimulator, acting to sensitize the open-ended nerves in our taste buds so that food will taste better. MSG is a KNOWN trigger of seizures, as is its sister amino acid, aspartic acid- the parent protein in artificial sweetener in aspartame (Nutrisweet). Both are neurostimulators (and "excitotoxins", as Dr. Russell Blaylock terms them) and the very proof lies in the purpose for their use in the food industry.

10) It has been commonly held that blood sources of these two neurostimulating amino acids do not cross the "normal" blood brain barrier, that layer of cells that protect the brain by limiting the passage of certain blood components into the brain. This contention is only partly true, as there are areas of the brain that are not protected by the normal blood brain barrier. Also, the key word in the above contention is "normal". The question is whether we have normal barriers any longer. Air pollution, hydrogenated oils, and normal immune/allergic responses are known to alter the permeability of the blood brain barrier. Therefore, with 90% of prepared foods containing trans fats, with most of us living in highly polluted environments, and with huge populations of us experiencing significant allergies, it is reasonable to question the integrity of our "normal" blood brain barrier.

11) Wheat gluten is 25% glutamic acid by weight. Casein from cow's milk is 20% glutamic acid by composition. Soy protein has much more glutamate than either of these two. Corn contains the least amount of these two non-essential amino acids but it DOES potentially do harm to the intestinal villi and IS a very common food allergen. This has become even more of a problem as we have genetically modified corn, the evidence of which came in the recent news concerning Starlink corn (CRY9C), the culprit in the "Taco Bell shell" fiasco a few years back. The reader should really search out the complete story.

12) 70% plus of the calories of the Standard American Diet (S.A.D.) come from dairy and wheat alone, the number one and number two food allergens in humans, dogs, and cats. Remember: The damage they do to the gut is the root cause of the allergies. These foods are loaded with glutamate. Allergic reactions affect the blood brain barrier. The products made from these foods are often very high in refined sugar and hydrogenated oils.

13) Cow milk products, wheat, and soy are the leading sources of dietary estrogens. Dairy products have been related to breast cancer, prostate cancer, endometriosis, and polycystic ovaries. Dairy and soy have been both incriminated in altering the onset of first menses in our children, with dairy first bringing that age down from 15 to 12.5 years and soy bringing it further down to 8 years of age (in 16.7% of our little girls). Estrogens are both inflammatory and immune suppressive. Their role in breast cancer is well documented, setting the stage for the viruses that cause breast cancer. (Put "virus, breast cancer in your search engine.) Estrogens play a role in catamenial seizures (inflammatory), PMS (obvious), and in the immune suppression that helps unleash the opportunistic viruses that we have acquired over our lifetime, including Epstein Barr and others that occupy our brain. Put “virus, seizure” or “virus, epilepsy” in your search engine and read about the viral agents known to be involved in seizures.

14) The damage to the duodenal villi results in a chronic, progressive malabsorption of the nutrients it normally absorbs. Again, those nutrients include calcium, iron, iodine, B complex, and vitamin C along with numerous trace minerals. Evidence of this malabsorption is everywhere you look in this country- osteoporosis, iron deficiency anemia, thyroid diseases, folate deficiencies, and immune incompetence. Celiacs represent the worst of the worst, acting as a "who's who" of what goes wrong with humans, dogs, and cats. Growth abnormalities, juvenile bone diseases, dental issues (cavities) , and iron deficiencies are obvious evidence of the malfunction taking place in the duodenum. In veterinary medicine, the most food allergic breeds have the worst juvenile bone disorders and suffer the worst cartilage failure as adults (intervertebral discs, heart valves, and supportive ligaments such as anterior cruciate ligaments). The evidence of the chronic malabsorption of calcium and vitamin C...the building blocks for our skeletal system (collagen) is EVERYWHERE once we see this KNOWN process is taking place. What we can't readily see is how normal enzyme systems (e.g. those in the liver, kidney and brain) that control blood and neuronal glutamate levels suffer from the deficiency in those vitamins critical to the function of that enzyme. What we DO see is the consequences- the effects of the excess glutamate in the brain in the form of seizures, pain syndromes, insomnia, and neurodegenerative diseases. Another element that is difficult to accurately measure is the competence of the immune system. But you do not have to be a doctor to know that an individual that is not getting adequate levels of vitamins and minerals would have a less than perfect immune system. Celiacs stand out here once again, leading the pack in immune incompetence (e.g. fighting mono, shingles, and herpes), immune-mediated diseases (lupus, rheumatoid disease, etc), and cancer (e.g. a 50 fold increase in colon cancer). Put “cancer, virus” in your search engine.

NOTE: In April of 2006, I came to understand something very important about viruses, their role in nature, and their place in what we call diseases. I encourage the reader to examine my newest section, Viruses-Friend or Foe.  I am now thoroughly convinced that much of what we call "disease" is simply the reaction of viruses that are in situ (some of which are known to be embedded in our very DNA) to noxious stimuli, some of which we term "carcinogens" when they are powerful enough to cause these viruses to form tumors, their ultimate adaptation. As in cancer, I believe the virus(es) involved in epilepsy cause seizures because it is the right thing for them to do in order to protect the neuron. Excessive glutamate is not only neurotoxic but potentially neurolethal, as illustrated by Lou Gehrig's Disease and by the glutamate cascade that causes the death of our brain regardless of the cause of our bodily death. I believe that seizures help prevent neuronal death in the epileptic by disposing of excessive glutamate. AND,  I believe that the viruses that take up residence in the glial cells "know" exactly what they are doing by making this occur in that it is a form of adaptation to the conditions (malnutrition) and insults (lectins, excitotoxins, chemicals) with which they are faced, just as other viruses form tumors to protect themselves and the cells they were designed to protect from the carcinogens we keep throwing at them. Adaptation...which is what viruses were designed and created to do. 

15) The G.A.R.D. is primarily an elimination diet. It is "simple" but not necessarily easy. It is certainly much more easily accomplished in our pets tat in our own lives. In the dogs and cats, it can be a simple as changing from pet food "A" to pet food "B" after checking the ingredients. However, eliminating snacks and treats seems to be just as hard for some pet owners to do as it is for them to do in their own lives. What to eliminate becomes quite obvious, dictated by the condition being treated and degree of affliction. The "worst of the worst" require the strictest elimination, often showing marginal recovery without doing so but demonstrating significant improvements when enough is done right. Once the molecular nature of the immune system is understood, the reason for the variation is response is very clear.

16) The first to eliminate are the "big 4" (or the four horsemen of the apocalypse, as I like to refer to them)- gluten, casein, soy, and corn. This shuts off the damage being done to the duodenal villi, a step of paramount importance in the full recovery from any condition imaginable. Logic should dictate this to be true...and it does. This also eliminates the top four primary food allergens and main sources of glutamate, estrogens, and lectins. Could this step be any more important???

17) The next step is to eliminate the "crack cocaine" versions of these non-essential amino acids...MSG and aspartame. This can be difficult in the human diet and often requires intense research for the hidden sources of MSG. There are MSG and migraine support Websites that deal specifically with this issue. Diet drinks must be eliminated immediately. Put "aspartame syndrome" in your search engine and believe the testimonies that you read.

18) Eliminate the other sources (listed in the following article) of glutamate. Peanuts, for example, are VERY high in this non-essential amino acid, being soy's closest cousin. All legumes are rich in glutamate as are the bean family (not green beans), which include garbanzo, lima, black, kidney, and navy. Lentils are also rich in glutamate. Certainly, these foods are nutritious in other regards, but for those battling excitotoxin-related disorders, they should be limited until full recovery is attained. Then, perhaps as the body functions (enzyme systems, blood brain barrier, neuronal sensitivity, and tissue health) return to normal, these can be eaten again. Perhaps not.

19) RUN from hydrogenated oils. For an incredible read, click here for David Dewey's Hydrogenated oils- The Silent Killers (http://www.dldewey.com/hydroil.htm). You will see how these trans fats- one of man's worst creations- play a vital role in atherosclerosis, type 2 diabetes, and in neurodegenerative and immune-mediated conditions. Learn how they kill an American every 3.5 seconds. In the context of our discussion, they damage the blood brain barrier, disrupting enzyme systems, and allowing excess glutamate levels to build in the brain by preventing their exclusion. Thankfully, pet foods do not contain appreciable amounts of these deadly fats. But after reading David's article, you may have a clue why pet's do not suffer from clinical atherosclerosis...yet.

20) In summary: The G.A.R.D. allows the gut to heal, thereby reversing the malasorption of nutrients that are vital to the health of all tissues and systems, including the brain and immune system. It is also naturally hypoallergenic, which relieves symptoms and improves the function of the blood brain barrier. It is low in dietary estrogens, which in turn reduces inflammation and improves immune function. And mainly, the G.A.R.D. is low in the non-essential amino acids glutamate and aspartate, which clearly ARE crossing into the brain in the same fashion as their concentrated forms (MSG and aspartame), causing over-excitation of neurons. The elimination of the offending foods has resulted in phenomenal improvements in seizures, pain syndromes, insomnia, ADHD, bipolar disease, and even MS and ALS. Because these foods are also the primary food allergens, their restriction also relieves numerous symptoms such as nasal congestion, asthma, heartburn, IBS, skin allergies, ear problems, and more. And when the immune system recovers from the malnutrition and over-stimulation from which it has been suffering (being over-worked and under-paid, as I stated in The Answer), it can better handle the viruses, bacteria, mycoplasms, and air pollution it faces everyday. As we learn more and more about the role of viruses in cancer, immune-mediated diseases, and neurodegenerative diseases, we will easily see how our food choices have contributed so greatly to our downfall. Imagine an immune system capable of not only fighting off these opportunistic organisms but also even being capable of eliminating many of the ones that we have harbored for years.

Sound too good to be true? The bottom line is that this elimination diet works! And, it should make sense.... perfectly good, common, everyday horse sense. If it doesn't, then.........yes........I haven't done my job....yet.

Dogtor J.

Addendum

Here are a couple of great sites for looking up the nutritional profiles of food, including their glutamate and aspartate content:
 
 
 
Simply click on the food you are inquiring about, then scroll down toward the bottom of the page until you see the chart in the Nutritional Profile section. There is a click-on link after that chart (just above the References section) that reads "In Depth Nutritional Profile for (chosen food)" .  Click on that link and then just scroll done to the aspartate and glutamate listings. Make note of the serving size at the top of the chart so that you'll be making an accurate comparison.  You will quickly see the huge difference between the glutamate/aspartate content of healthy fruits/vegetables versus items such soy, wheat, barley, and the bean family (with the exception of green beans).
 
 

How to Control Idiopathic Epilepsy Naturally

by Dogtor J.

©2006 DogtorJ.net

 
The following is another work in progress. I will be updating this section as my studies continue.
 
I have been successfully treating pets with epilepsy using diet changes alone for nearly 5 years now. The results have been as astounding. At first, I knew very little about how and why the response could be so dramatic when a patient was placed on this restricted diet. But over the past 5 years, I have come to understand many of the pathomechanisms of food intolerance as well as other secondary factors that lead to this "syndrome" we call idiopathic epilepsy. I have also been pursuing research into supplements and other auxiliary therapies as well as helpful diagnostic testing in an attempt to insure and speed recovery.
 
Here is my approach:
 
 
1) Immediately institute The G.A.R.D. (The glutamate-aspartate restricted diet) http://dogtorj.tripod.com/id2.html  This is the key.  We want to rapidly reduce the amount of the two non-essential, neurologically active amino acids, glutamate and aspartate while eliminating the foods that can do harm to the intestinal tract. The above link goes into detail. 
 
    a) Avoid all gluten (wheat, barley, rye, and all forms of wheat including bulgar, durham, graham, spelt, spelta, kawmut, or triticale)
  
   b) Avoid all casein (cow milk products, including milk, cheese, and even some non-dairy creamers)
  
   c) Avoid all soy (Read labels. Its everywhere)
  
   d) Avoid corn
  
   e) Avoid all MSG  (60% of prepared foods have it, including soups)
  
   f)  Avoid all aspartame (Nutrisweet).
  
   g) Severely limit (or avoid altogether) the consumption of the bean and lentil family (navy, black, lima, garbanzo, soy) 
  
   h) limit or curtail the consumption of nuts and seeds (especially peanuts, almonds, cashews, pistachios)
 
For the dog, I recommend the IVD/Royal Canin potato-based diets. These are sold through veterinarians or select PetsMarts with vet offices in store. Here is the Royal Canin Website. Look for the Limited Ingredient Diets(http://www.royalcanin.us/vetdietcanineprod.asp). However, do not be confused by the fact that the vast majority of their other diets are filled with the "big 4". For a more complete listing of foods that do no contain these potentially harmful ingredients, please read DogtorJ's Food Handout found here: http://dogtorj.tripod.com/id5.html.  Remember, for epilepsy the most effective diets have been the potato-based foods above.
 
For people who are interested in pursuing this course, it is "simple"...but certainly not easy. But results can be swift and dramatic. You can get an idea of how I have accomplished this by reading my paper What in the World Do I Eat found here: http://dogtorj.tripod.com/id4.html. You can also read more about the benefits of this diet in The G.A.R.D. and Pain Management sections of this site.
 
For motivation, you can find a thread of testimonials here: http://lab-retriever.net/board/showthread.php?t=47643 . Although this is a breed forum for Labradors retrievers, the testimonies listed include both veterinary and human success stories.
 
Once recovery is well-established, an individual may find that they are able to resume eating more beans and nuts as long as they are clearly not allergic to them. The avoidance of the "big 4" (especially gluten, casein, soy) should continue indefinitely. Above all, be strict and consistent!
 
 
2) Begin vitamin and mineral supplementation. Remember that the "big 4" have been potentially causing the malabsorption of calcium, iron, iodine, B complex, C, and trace minerals such as zinc, copper, magnesium, manganese, and more. This supplementation should be done under the advice of a knowledgeable person and follow recommended dosages. Particular care should be taken in the use of the fat soluble vitamins A,D,E, and K which can be toxic in high doses. I recommend that at least the following be considered for supplementation-
 
   a) A multi-vitamin with Zinc
   b) B complex
   c) Vitamin C
   d) Vitamin D, either by itself or in an omega three supplement
   e) Omega three fatty acids (Fish oil, specifically)
 
Avoid chewable veterinary vitamins as they are usually loaded with offensive proteins (wheat, dairy, soy, corn) in order to make them palatable. Read all labels on vitamins and supplements in an attempt to avoid these same proteins in human products.
 
For a great book, check out Treating Epilepsy Naturally by Patricia Murphy. It can be found on Amazon:
 
 
3) Have blood tests done, particularly to evaluate thyroid and liver function. Hypothyroidism can lower the seizure threshold and the diagnosis of this common and oftentimes insidious condition can be crucial in the control of seizures. As the liver is integral in the control of blood glutamate levels, it is easy to understand how liver disease could worsen seizures.
 
   a) Thyroid tests- For veterinary patients, I recommend the reader visit this site and have the thyroid tests done by Dr. Dodds and her lab ( http://www.canine-epilepsy-guardian-angels.com/DrDoddsInstructions.htm ).
  
   b) Liver function- There are routine tests included in standard blood panels that help to evaluate liver function. However, there are specialized tests (e.g. bile acids tests) that can be done to better determine liver function/mass, especially in the case of chronic conditions such as chronic active hepatitis and liver shunts.
 
 
4) Consider alternative/auxiliary therapies- Once the underlying causes of disease are better understood (e.g. food intolerance, seasonal changes, decreasing daylight/serotonin levels, etc), then we can more easily visualize other therapies that will aid in the recovery. 
 
   a) Light therapy- to improve serotonin levels. Read my paper An "Epilephany"- Viruses, Serotonin, and Light Boxes to Help Treat Epilepsy to help you see the rationale behind this approach. It can be found here: http://dogtorj.tripod.com/id2.html . 
  
 
   c) Tryptophan and 5- HTP supplements- Please write to me at dogtorj@bellsouth.net about the use of these for epilepsy.
  
  
   e) Chelation therapy- to reduce heavy metal loads on the body/brain.
   
   f) Air filters to reduce inhalant allergies and environmental pollution 
 
 
5) Auxiliary testing- Again, once the underlying causes and secondary issues (such as serotonin deficiencies, food and inhalant allergies and their effect     on the deteriorating blood brain barrier, and more) are better understood, then we will know better what to test for to insure and speed our recovery. 
 
   a) Food allergy testing- For veterinary patients, I recommend VARL (Veterinary Allergy Reference Labs) Here is their Website their ( http://www.varlallergy.com/aboutus.html ) . Your veterinarian can submit this test for you. For humans, I recommend The Sage Systems blood test ( http://www.foodallergytest.com/sageTest3.html )as they test for numerous antibodies against a wide array of foods and additives.
  
   b) Serotonin levels- I would love to see more MDs run this test on their epileptic patients. As far as I know at this writing, this test is not available to veterinarians. I am convinced that we will find that many epileptics are very low in this essential hormone, neurotransmitter, and mood/seizure moderator.
 
   
I hope this helps. Please contact me at dogtorj@bellsouth.net if you have any questions about what you have read or have any suggestions that would improve this paper or the Website.
 
 John
 
 
 

 
A Letter to the Mother of an Epileptic Child
 
Hi T.,
 
It's good to hear from you. I hope that I can be of some help.
 
Epilepsy is an interesting "syndrome"...multiple things coming together to produce the outcome. As you may know, epilepsy typically strikes humans between 2 and 14 years and then again after age 65. In the dog, it occurs mainly between 6 months and 6 years. Why does it wait? What is waiting? What triggers it to come out of hiding? Did these individuals catch something or were they born with it? If they were born with it or acquired it sometime earlier, why did it wait 'til 12 years to show up? These are all great questions and there are good answers, I believe. And, the answers to these questions not only tell us what may be causing epilepsy but also what to do about it...how to best manage/cure it. 
 
I am convinced that THE main underlying cause of epilepsy is a virus. There are numerous viruses that are known to cause seizures so this should not be a stretch, many of which cause seizures as part of the clinical disease they cause or later after they have been latent for a while. They have cultured live measles and mumps viruses out of the brain of elderly people who have no associated symptoms. Viruses can be acquired through natural infection, casual contact, and even from mother (and father) to offspring prenatally. In fact, your DNA has more viral information in it than it does genes. Wow! The point of this is that viruses can have many presentations, from acute disease to chronic latency without symptoms to anything in between.
 
So, how hard is it to believe that a virus that has remained dormant for 12 years has suddenly arisen and is causing problems? It happens all of the time. Over 50% of our kid have Epstein Barr infection by age 5. Wow! 95% of Americans have this virus in their body by age 40. Wow again! And Epstein Barr is a KNOWN cause of seizures. When does mononucleosis show up more than any other time? In the teenage years. The question is, when it shows up between 12 and 18 years, is it a new infection or is it the one they got before age 5 showing up? Ahhh...great question. The main way to tell is the clinical course. If the teenager throws it off in a few days like my daughter did, then it is likely to be a new infection. If it takes 6 weeks to get rid of the guy, like it did me at age 13, then it could be either. But, I would bet that those who take soooo long to get rid of him acquired it early and he just surfaced. Why did he surface? Because something "unleashed" him. What? A sudden physiological insult or an incompetency in the immune system developed... or both.
 
Why does mono show up in teenage years? Well, what isn't happening in those years? They are under a lot of stress and their diets are horrible for the most part (fast food addicts) and their body is changing rapidly due to hormonal issues. It is a critical time in their lives. They are also starting to get closer to the opposite sex. Yes, they call mono the "kissing disease", although that is certainly not the only way they acquire it. Other things happen at this time as well...acne, epilepsy, and the second spike in lymphoma (lymph cancer). Yes, the first spike is at age 5-6, then 15, then 40, then the incidence shoots up after 65, a typical pattern for a viral illness (We KNOW that lymphoma is viral now. Epstein Barr causes a few of the rarer forms. Oh oh). 
 
I write all of this to set you up for what is likely to be the cause of epilepsy (virus), what unleashed it (the stress of the teenage years), and to then cover what we have to do about it. What do we have to do about it? Make you son as healthy as possible. That's how you "cure" epilepsy. What does that involve? We must STOP doing what we are doing that is dragging down his health and also do all that we can to build up his health. Simple, right? Yes, simple... just not easy.
 
First of all, one of the most damaging things to our entire body turns out to be some of the very foods we eat the most of. Millions of people are like me, intolerant of gluten, casein (cow milk), soy, and corn...the "big 4" that I write so much about. It is very important for you to understand this part. It is the entryway into the rest of the solution. This would be a good time for BOTH of you to read or reread The Epilepsy Diet Made Simple, found here (http://dogtorj.tripod.com/id2.html ). That'll cut this Email length considerably. :):):)
 
Then, you are ready to read or reread How to Control Idiopathic Epilepsy Naturally found immediately after the paper above. About half way down that main page, you will find an addendum that has the food rich in glutamate listed. (I am sorry for the scrolling, but this is a pretty primitive Website but that will all be changed in the near future.)
 
Here is that section:
 
******************************************************

Addendum:

Here are a couple of great sites for looking up the nutritional profiles of food, including their glutamate and aspartate content:
 
 
 
 Simply click on the food you are inquiring about, then scroll down toward the bottom of the page until you see the chart in the Nutritional Profile section. There is a click-on link after that chart (just above the References section) that reads "In Depth Nutritional Profile for (chosen food)" .  Click on that link and then just scroll done to the aspartate and glutamate listings. Make note of the serving size at the top of the chart so that you'll be making an accurate comparison.  You will quickly see the huge difference between the glutamate/aspartate content of healthy fruits/vegetables versus items such soy, wheat, barley, and the bean family (with the exception of green beans).

For example, recently my wife started eating peanuts and raisins as a late night television snack. Almost immediately, she started having very restless sleep and was complaining about soreness in her muscles and back. A quick trip to the chart showed very high levels of glutamate and asparate in peanuts.

I'm just glad that my canine patients don't eat peanut butter and jelly sandwiches and down it with a big glass of milk like our ADHD kids do. Let's see: wheat bread (with gliadorphins and plenty of glutamate and aspartate), peanut butter (LOTS more glutamate and asparate), jelly ("sugar gel"), and all of it washed down with cow milk (casomorphins and plenty of glutamate. Oh yeah. Don't forget the arachadonic acid for you pain sufferers).

Hmmmm..... It does all make sense, doesn't it?

 

Foods rich in glutamate and aspartate:

1) Grains: Wheat, barley, and oats are highest. Corn and rice are lower than the previous three but higher than potatoes.

2) Dairy Products: All Cheeses (cheddar, Swiss, Monterey Jack, Mozzarella, PARMESAN) are very high. Casein is very concentrated in cheese and is 20% glutamic acid by composition.

3) Beans: Soy, Pinto, lima, black, navy, and lentils

4) Seeds: Sunflower, pumpkin, etc.

5) Peanuts: Very high, as are cashews, pistachios, and almonds. I have more detailed charts on the site to show exact values for the various nuts. Everything in moderation applies when eating nuts of any kind. So, I do not recommend you reach for nuts when you are really hungry unless you can stop after a few. Nuts are very good for you..in moderation. For example, seven almonds a day gives you what you need .

6) Diet drinks: Primary source of aspartate (aspartame)

7) Prepared foods, soups:  70% of prepared foods and many soups have MSG

8) Meats: Note- All meats are naturally rich in glutamate and aspartate. Lamb (and eggs) are the lowest,  while rabbit and turkey are the highest.

However, I believe that the amount in a normal serving of meat should not be enough to cause problems. I think that it is all of the other "unnatural" sources when combined with the meats that are causing the problems. 

One of my newest concerns is the presence of glutamate in the flesh of grain-fed animals, especially chickens, turkeys, and cattle. This is s topic of discussion on the celiac forums and we are now believing that this is a real concern and could explain why some celiacs are not responding to elimination diets. Catfish are also grain fed.

The fact is that 60-70% of the American Diet is wheat and dairy (with heavy emphasis on cheese). This combined with the amount of artificial sweeteners being consumed and the addition of SOY has led this country into an epidemic of pain syndromes, including fibromyalgia. Epilepsy is definitely on the rise in pets and the combination of wheat and soy in pet foods is playing a huge role. I am seeing first time epileptic dogs within three weeks of starting such diets.

 

Food low in glutamate and asparate:

1) Fruits

2) Vegetables

3) Potatoes

4) Lamb and eggs are relatively low.

5) Tree nuts (e.g. pecans, walnuts, macadamias) NOTE: These are relatively low when compared to peanuts and cashews. I have more detailed charts on the site to show exact values. Pecans, for example, have half the amount of glutamate that peanuts have but that is still quite a bit. Again, everything in moderation applies when eating nuts of any kind. I do not recommend you reach for nuts when you are really hungry unless you can stop after a few. Nuts are very good for you..in moderation. 7 almonds a day gives you what you need .

 
******************************************************
 
The main thing to cut out is the gluten, casein, and soy. These are the main players in epilepsy...the guys doing the intestinal harm, providing HIGH levels of glutamate, causing allergic reactions, and providing estrogens that also play a role. During the recovery phase...that time when the body is healing, regaining its vitamin stores, and getting the viruses back under control, it is best to avoid the other foods rich in glutamate (nuts/seeds, beans, grain and foods with ANY MSG or Nutrisweet. The worst epileptics should eat these and the grain substitutes very sparingly, until their neurons have had a chance to return to normal. How long does this take? Good question. It takes some longer than others and also depends on how much they've cheated and where they live. Air pollution is a major player in neurodegenerative diseases and my worst epi cases almost always live in the most polluted cities. 
 
So, are you getting the picture yet? Think of your son as having "decompensated". He was fine until age 12 and then something changed. The "big 4" foods play a HUGE in this as they damage the intestinal villi that absorb the major vitamins and minerals he needs to stay healthy. Secondary factors like hormonal changes, environmental pollution, time of year (seizures are worst during the short days of the year), and others are also playing a role.
 
Some will stop seizing immediately upon removal of all dairy and gluten. Others require a much stricter diet. Other have to take major supplements like the ones outlined in How to Control Idiopathic Epilepsy Naturally . Other will benefit from light therapy to raise their serotonin levels. Think of epilepsy as a spectrum disorder, just like autism, asthma, depression, cancer, and most other things that afflict us...some individuals are much worse than others. Once we understand the nature of the food intolerances and all of the secondary players in this "syndrome", it is easy to see why the spectrum exists.
 
I have a paper on my site called What in the World Do I Eat? It can be found here. It gives examples of every day food that I eat, most of which would be fine for me if I were an epileptic. I DO eat just as I suggest others do. And as a result, my pain threshold is through the roof and I sleep really well now, with boundless energy during the day. Going caffeine-free really helped, but I did this last. We really can't go caffeine free until we cut out the "depressant" foods...the gluten grains and dairy and any other foods that were allergic to. For major allergy sufferers who have epilepsy, it is a great to get food allergy tested like I suggest in the paper How to Control Idiopathic Epilepsy Naturally .
 
I hope this helps. I know it is a lot but epilepsy is complicated. It will become "simple" as this sinks in and some time passes but it will continue to be difficult to eat right in this world we have created...until the food intolerances become more well-known and the big manufacturers of food (like Nabisco and Sarah Lee) start making gluten-free products. That day IS coming and it may be sooner than you think. Celiac awareness is skyrocketing. It should. Some researchers think 1:30 people have it and don't know it. That is BIG...and dairy and soy are potentially even worse. :(
 
Let me know if this brings up more questions.
 

 
John
 
John B. Symes, D.V.M (aka "Dogtor J.")
www.dogtorj.net
(Read: Food Intolerance- Man and Animals versus Gluten, Casein, Soy, and Corn...OR...How We Won the Battle of Helm's Deep" http://www.dogtorj.net/id1.html)

Idiopathic Epilepsy- The Dietary Solution

By Dogtor J.
©2003 DogtorJ.com

 

Introduction

I have been practicing veterinary medicine for twenty-three years. I graduated with honors from veterinary school in the late 70's, received the Upjohn Award as outstanding senior student in small animal medicine, and followed that with an extracurricular internship at a prestigious medical institution in Boston. I mention these things not to boast but as a matter of fact to illustrate the point that I was more than conventionally schooled in basic medicine and clearly had an ample mind for that medical training. And yet, I fell into the same pattern that most doctors do, that of taking a history and examining that patient just long enough to determine which drug was appropriate to facilitate their recovery. In many cases, this is an appropriate approach...or at least it used to be.

Three years ago, I was personally handed a diagnosis that would change my life forever. At the age of forty-five, I found out that I had celiac disease, also known as gluten intolerance. Once I began researching this condition, a medical revelation of astounding proportion struck me right between the eyes. The list of conditions that celiacs like myself suffered from was a who's who of what is wrong with humans, dogs, and cats. This list included every symptom and condition that I had experienced over the years, including the allergies, heartburn, irritable bowel, headaches, insomnia, chronic fatigue/depression, joint and spinal problems, memory and balance loss, and even my fibromyalgia. However, the list went on to include strong tendencies toward so many of the "diseases" that are taking our friends, acquaintances, and loved ones from us. These were the more devastating conditions such as immune- mediated diseases and cancer. Celiacs truly were the glaring example of what was wrong with human beings.

The Epilepsy Connection

One of the most interesting findings involved epilepsy in the celiac child. In one short article that I came across, it was stated that children with celiac disease who also had epilepsy had their seizure frequency improve, dramatically in some cases, once a gluten-free diet was instituted. As I was already in the mode of comparing what I had read about humans to what I experienced in my veterinary practice, I took this idea on as a project. I was already seeing the potentially universal nature of the damage caused by gluten and the correlation of celiac disease and epilepsy was something that I somehow knew was going to be totally explainable.

The first clues came in the analysis of the components of wheat. Gluten was clearly a major culprit and understanding the pathophysiology of its role in celiac disease was of paramount importance. The first hint was that gluten was used in industry as an adhesive. This just made sense when I read about celiac disease for the first time as the text explained how gluten adhered to the villi of the duodenum. Suddenly, the role of the "glue-ten" in industry and the development of celiac disease became clearly related.

Gluten leaves the stomach as an adhesive and subsequently sticks to those delicate villi of the duodenum, those structures vital to the absorption of essential nutrients such as calcium, iron, iodine, all water-soluble vitamins such as B and C vitamins, and most trace minerals such as boron, zinc and magnesium. The implications of this became immense. Without certain vitamins, proper bodily development and function would be slowed or halted and most enzyme systems would be affected. The immune system would certainly suffer from the relative lack of vitamin C and other essential nutrients. It seemed as though the Pandora's box of medicine had been opened and the celiac was the innocent recipient of the plagues it unleashed.

But this was only the beginning. This did not explain epilepsy...yet. However, the second clue put me on the right track. I quickly found that the foods that caused problems did so in a myriad of ways. Gluten had its damaging effects, causing malabsorption, maldigestion, and what we refer to as the "leaky gut". (This is beyond the scope of this paper but is covered in depth in The Answer found on my Website www.dogtorj.com .) But, there were other components of wheat that had serious ties to the subject at hand. The second clue was the fact that monosodium glutamate was often made from wheat (and soy).

A quick review of the uses of and the side effects of MSG spoke volumes about the true nature of idiopathic epilepsy. As mos