There are those that can predict approaching storms, and weather change based on the way, their joints behave.
Similarly, individuals with chronic back pain can at times sense a change in how they feel when the weather shifts.
The connection between weather and back pain is not fully understood but here are a few beliefs on why people feel pain based on the season/weather.
There is not a great deal of research on weather’s effects on spinal conditions. said Dr. Alexander Jimenez, D.C. in El Paso, Texas.
Some spinal conditions have been shown to have a clear link to cold weather. An example is sciatica patients that would experience worsened pain when the weather would shift.
Chiropractor Alexander Jimenez breaks down how weather can affect back pain and explains six ways to help weather-related back pain.
Weather and Osteoarthritis
Dr. Jimenez talks of a study that examined joint pain differencesbetween older people with osteoarthritis that were weather-sensitive versus those who also had osteoarthritis but were not weather-sensitive.
More than two-thirds said weather affected their osteoarthritis pain
Researchers found that weather sensitivity and pain:
More prevalent among women
People with anxiety conditions
Weather and season change alters how we feel mentally and emotionally.
That link is definitely true between depression and back pain.
Dr. Jimenez sees the shift in spine health from the hot summer months into the cold ones and that is when the health problems peak.
Winter brings cloudier weather, and that increasesmelatonin from the brain, which causes drowsiness and less energy.
Sunlight increases serotonin, which causes feelings of happiness.
Cold, dark, winter weather can deplete energy and makes people stay indoors. This is not good because being outside, involved in activity and exercise definitely helps with joint pain.
Staying inside and not moving will worsen pain and possibly lead to severe conditions.
When the seasons begin to change, it also brings to realization the holiday season, which can cause all kinds of:
Anxiety
Stress
Tension
The holiday season can cause major stress, and the changes in weather are a reminder of that upcoming stress.
Theories
A common theory suggests that when the temperature drops it affects the viscosity of the synovial fluid in the joints.
This could be one of the reasons why people with spinal joint pain experience flare-ups during the cold shift.
Dr. Jimenez says that the structures within your:
Joints
Tendons
Ligaments
Muscles
Connective tissues
All have different densities and react differently to temperature changes.
In the cold, some connective tissues are looser than others.
So those that are tighter take longer to warm up, and if not then there is a perfect set-up for joint dysfunction.
Another theory is that barometric pressure is what causes the pain. This theory supports people with joint pain that can tell when it�s about to rain.
Some rheumatologists believe the joint capsule and tissues around the joint are like a balloon.
The barometric pressure squeezes this balloon, causing the balloon to expand/inflammation that causes pain.
Moving to Warmer Climate
Mental
Emotional
Physical
Factors play into how pain affects the individual and moving to a sunny place is not necessarily the answer.
Dr. Jimenez says that warmer climates have been thought to be healthier for various conditions.
In a sunny climate, one is likely to be in the sun, being active physically/mentally,� getting plenty of vitamin D, which is good for bones and joints and makes for a good mood all around.
But moving to a warm climate isn�t always an option, so lifestyle changes can do the trick.
Clinical treatments, like infrared sauna, can bring�the sun’s benefits during dark winter days.
People with chronic pain have said they feel pain-free and relaxed after sitting in an infrared sauna.
An infrared sauna does not give off ultraviolet rays, but healthy light.
The light penetrates into the tissues, warms the body, and makes the connective tissue stretchier and looser, which moves easier and doesn’t hurt.
6 Tips
There is no need to move to a sunny climate.
Dr. Jimenez says you can minimize the weather�s effects with these tips:
Diet
Dr. Jimenez recommends reducing consumption of inflammation-inducing foods like:
Red meats
Fried foods
Sugars
Processed starches
Quitting smoking tobacco is essential for finding pain relief.
Proper Hydration
Alcoholic beverages dehydrate and can worsen depression and anxiety.
Dr. Jimenez says drinking plenty of water is important for the spine, and is often overlooked by the senior community.
Older adults don’t have an active thirst like a young person, and can, therefore, dehydrate rapidly.�
Stay Warm
Layer clothing or keep the house warm.
Keep a humidifier running with the heater to prevent respiratory problems caused by the dry heat.
Get Into The Sun Regularly
Natural light helps wards off depression, and it improves productivity in the workplace
Exercise
Physical activity plays a huge part in particularly with low back conditions, walking, which he said engages the postural muscles in the spine.
Dr. Jimenez personally sees the benefits of this: When I�m working out, I don�t feel my hip pain. And I continue because I know that I’m strengthening my body for the better, especially since I help others with their pain.
Hobbies Can Help
A hobby creates a diversion from the pain and releases endorphins, the body’s natural painkillers.
A hobby allows you to focus on something else besides the pain.
Depression & Chronic pain | El Paso, Tx
Chronic pain caused by accidents and/or aggravated conditions can often be one of the primary reasons for depression in patients. When painful symptoms induce patients to struggle with their everyday physical activities, their mental health can be tremendously influenced. Chiropractic care utilizes spinal adjustments and manual manipulations which could help restore the initial integrity of the backbone. Patients describe how chiropractic care has helped them recover their well-being and they highly recommend Dr. Alex Jimenez, doctor of chiropractic, as the non-surgical choice for chronic pain and depression, one of a variety of other common health issues.
NCBI Resources
Back pain can be debilitating, causing immobility, inflexibility, and have a significant impact on a person�s quality of life. It can make even the most mundane daily activities extremely difficult � and even excruciating. Building the muscles that make up your core (abdominals and back) can help support your spine and reduce back pain. In many cases, strengthening these muscles can assist a patient to avoid medication with its unpleasant side effects and even avoid surgery. With just a few smart moves you can significantly decrease your�back pain, increase your mobility, and take back your life.
The cold and flu season can cause havoc on a person�s body during the colder seasons. An individual can feel overly tired, congested, the body has aches and shivers, and lastly, the immune system will work overtime to help fight off the germs. When this happens, many remedies can help these symptoms when a person feels a little bit under the weather. They help the body give that extra boost to recover from cold and flu symptoms and can provide the body a chance to rest.
When anyone is starting to feel sick, an important note is to try and get as much rest as they possibly can. It can be anything like getting more sleep, scaling down on exercising, or take some time off of work to heal more quickly. In this article, here are some of the top 5 foods to help the body improve and recover from the cold and flu season, with some additional remedies to boost the immune system as well.
Soups
Soups are one of the most excellent sources of feeling better during cold and flu season. They are easily digestible and helps soothe the body by containing ample waters to keep it hydrated. Water-based soups like chicken noodle, Hippocrates soup, and vegetable soup incorporates all the essential nutrients that the body needs when it is the colder season, helping to combat the flu.
Garlic
Garlic has a wide variety of health benefits that can help the body during the cold and flu season. It can help reduce the risk of heart diseases, improve mental health, and enhance the immune system. Studies have shown that whole garlic contains a compound called alliin. When garlic is chopped, chewed, or crushed, it will help boost the disease-fighting response of white blood cells in the body when they are encountering viruses that cause the common cold or flu.
Studies also stated that garlic helps support neurodegenerative health, cardiovascular health, and compromised liver functioning from excessive alcohol use. Researchers at the Toxicology, School of Public Health, Shandong University in China, have isolated the garlic compound, DADS (diallyl disulfide), as the main compound that helps protects the body from ethanol-induced oxidative stress.
Foods That Are Rich in Vitamin C
Foods that contain vitamin C is highly essential when it comes to battling the cold or flu. Vitamin C is a powerful, potent supplement that has antioxidants and immune system boosters that protects the body from environmental factors like reducing oxidative stress, prevent and treat respiratory and systemic infections. With vitamin C-rich foods, they contain essential minerals, vitamins, and high in flavonoids that help individuals who don�t feel like eating or preferring bland foods to consume when they are sick. Initially, they can eat vitamin C rich food by either juice or soup. Here are some delicious fruits and juices that contain a high amount of vitamin C to combat the cold and flu.
Guava
Strawberries
Tomato juice
Oranges and Orange juice
Apple Cider Vinegar
Apple Cider Vinegar can provide many minerals and enzymes that can fight off pathogens that can be caused by the common cold or flu. A 2011 study has shown that the probiotics in apple cider vinegar have an immune-boosting effect that can shorten the duration of a cold when an individual drinks apple cider vinegar. Taking apple cider vinegar with a glass of water can also help the body when it is not cold and flu season. Apple cider vinegar helps inhibits bacterial growth, can support healthy blood pressure levels in the body, as well as an excellent addition to the medicine cabinet during cold and flu season.
Ginger
Ginger is a medicinal root plant that has been used for thousands of years. This root has been known to relieve motion sickness and nausea in the digestive system. Studies have shown that 70% of the immune system is found in the gut, and so it is highly essential that the digestive system in the body is working efficiently. Since ginger is made up of hundreds of compounds, some of them have potent antioxidants and can help support healthy inflammatory pathways in the body. Ginger can be found as a fresh root, dried, as an extract or oil, tinctures, capsules, and lozenges. Here are some of the foods that contain ginger to help the body fight the common cold or flu.
Ginger tea
Curry
Gingerbread
Cookies
Gingersnaps
Ginger ale
“It is highly essential to stay hydrated during the cold and flu season. Ample fluids like water, coconut water, and herbal teas are the first line of defense.
Additionally, getting a good night’s sleep helps the immune system in the body recover faster. It is also essential to avoid eating foods like processed foods, alcohol, soda, fried foods, and dairy when it is cold and flu season. Since it can cause inflammation and aggravate the immune system when the body is trying to recover from being sick.”- Dr. Alex Jimenez D.C., C.C.S.T. Insight – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Conclusion
All in all, when it is cold and flu season, people can start stocking up on these five remedies and taking antibiotics to get a head start on not getting sick. When the body does get sick, taking these remedies, getting lots and lots of rest, staying hydrated, and relaxing can ensure that the body will recover faster. Since food matters to people�s health, it�s vital to give the body the nourishment it needs for the cold and flu season.
October is Chiropractic Health Month. To learn more about it, check out Governor Abbott�s proclamation on our website to get full details on this declaration.
So the mechanisms of an autoimmune disease can be either by genetics or by environmental factors that can cause an individual to have problems in their body. There are many autoimmune diseases, both common and rare, that can affect the body. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
References:
Biotics Education Team, Unknown. �5 Foods to Eat During the Cold & Flu Season.� Biotics Research Blog, 16 Sept. 2019, blog.bioticsresearch.com/5-foods-to-eat-during-the-cold-flu-season.
Borlinghaus, Jan, et al. �Allicin: Chemistry and Biological Properties.� Molecules (Basel, Switzerland), MDPI, 19 Aug. 2014, www.ncbi.nlm.nih.gov/pubmed/25153873.
Carr, Anitra C, and Silvia Maggini. �Vitamin C and Immune Function.� Nutrients, MDPI, 3 Nov. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5707683/.
Das, Arabinda, et al. �Garlic Compounds Generate Reactive Oxygen Species Leading to Activation of Stress Kinases and Cysteine Proteases for Apoptosis in Human Glioblastoma T98G and U87MG Cells.� Wiley Online Library, John Wiley & Sons, Ltd, 23 July 2007, onlinelibrary.wiley.com/doi/full/10.1002/cncr.22888.
Felman, Adam. �Antibiotics: Uses, Resistance, and Side Effects.� Medical News Today, MediLexicon International, 18 Jan. 2019, www.medicalnewstoday.com/articles/10278.php.
Newman, Tim. �Congestive Heart Failure: Causes, Symptoms, and Treatments.� Medical News Today, MediLexicon International, 3 Jan. 2018, www.medicalnewstoday.com/articles/156849.php.
Song, Fu-Young, et al. �The Activation of HO-1/Nrf-2 Contributes to the Protective Effects of Diallyl Disulfide (DADS) against Ethanol-Induced Oxidative Stress.� Biochimica Et Biophysica Acta (BBA) – General Subjects, Elsevier, 28 June 2013, www.sciencedirect.com/science/article/pii/S0304416513002882.
Surh, Y J, et al. �Chemoprotective Properties of Some Pungent Ingredients Present in Red Pepper and Ginger.� Mutation Research, U.S. National Library of Medicine, 18 June 1998, www.ncbi.nlm.nih.gov/pubmed/9675305.
Vighi, G, et al. �Allergy and the Gastrointestinal System.� Clinical and Experimental Immunology, Blackwell Science Inc, Sept. 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2515351/.
West, Helen. �How Garlic Fights Colds and The Flu.� Healthline, 17 Mar. 2016, www.healthline.com/nutrition/garlic-fights-colds-and-flu.
Yagnik, Darshna, et al. �Antimicrobial Activity of Apple Cider Vinegar against Escherichia Coli, Staphylococcus Aureus and Candida Albicans; Downregulating Cytokine and Microbial Protein Expression.� Scientific Reports, Nature Publishing Group UK, 29 Jan. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5788933/.
Often referred to as C1-C7, with the “C” indicating cervical, and the numbers 1-7 indicate the level.
C1 is closest to the skull
C7 is closest to the thoracic chest/rib cage area
The cervical spine is particularly susceptible to degenerative problems because:
Highly mobile with a broad range of motion
Supports the skull
Neck anatomy is complex
Many degenerative problems, including osteophytes or bone spurs, can develop.
Neck Pain Symptoms
Several symptoms can occur and indicate the presence of a degenerative condition:
Neck pain
Pain around the back of the shoulder area
Arm pain, numbness, or weakness
Difficulty with hand dexterity or walking
Conditions That Affect the Neck
The degenerative process begins in any of the joints in the spine, but over time it can cause changes in the other joints.
An example is an intervertebral disc�where:
The disc narrows and the normal movement becomes altered, and the adjacent joints are subjected to force and pressure, which can lead to degenerative arthritis joint inflammation.
Spondylosis or spinal osteoarthritis causing pain in the neck is common. The pain can radiate, or spread, into the shoulder/s or down the arm/s. Arm pain or weakness caused by a bone spur compressing a spinal nerve root can also occur.
Diagnosing Cervical Spine Conditions
Once examined one or more symptoms are likely to be present.
The doctor will ask the patient questions to learn the history of the patient.
A thorough evaluation of the patient will be conducted, including tests to identify the cause of pain and symptoms.
A neurologic examination is performed to rule out neurological disorders
Shoulder examination will also be done to ensure that the symptoms originate from the neck
Diagnostic tests
X-rays for:
Narrow intervertebral disc space
Anterior osteophytes or bone spurs
Spondylosis (ie, arthritis) of the facet joints
Osteophytes created from the uncovertebral joints
CT Scans or computed tomography can show bone changes associated with degenerative spondylosis. Osteophytes can be observed and evaluated.
CT does not provide an optimal evaluation but can sometimes show disc herniations.
MRI magnetic resonance imaging is a powerful tool for cervical spondylosis.
MRI can help doctors identify:
Disc herniation
Osteophytes
Joint arthrosis a type of osteoarthritis
MRI is best for soft disc herniation/s.
Myelogram/CT can be utilized in complex cases that involve multi-level spinal diseases.
It is very useful in delineating bone spurs from safe disc herniations.
Discography is used diagnostically when viewing the lumbar/low back and thoracic/mid-back spine, but using it in cervical spine imagery is debated among doctors.
Treatment Options
After the tests have been performed, a custom treatment plan is created.
Nonsurgical Neck Pain Treatment
Nonsurgical treatment of cervical degenerative disease has been proven to provide excellent results in over 85% of patients.
A multi-disciplinary approach:
Immobilization of the neck�to reduce motion can be beneficial during acute episodes of pain.
Physical therapy (PT) and Chiropracticcan be useful to decrease muscle spasms and return motion.
Non-surgical treatment provides positive long-term pain and symptom relief.
Surgery
A surgeon is likely to consider surgery for a disorder if one or more of the following criteria are met:
Nonsurgical care has been tried and has not worked
Spinal cord dysfunction
Arm pain or weakness (neurological symptoms) that do not go away
Depending on the diagnosis, surgical procedures can vary:
One type of surgery is the removal of the bone spur(s)
Cervical spinal fusion that joins two or more vertebrae
But the surgical procedure is based on the way you the patient wants to go, the diagnosis, general health, and what the spine surgeon recommends.
The surgeon will explain the recommended procedure to you clearly.
Most of the time the preferred approach is anterior or from the front interbody fusion.
A cervical plate could be placed over the interbody device or graft to stabilize the neck. This can avoid the need for a brace after.
A posterior approach from the back of the spine is considered when a disc has herniated laterally or to the side.
Things You Can Do
Cervical spine disorders can be diagnosed�and treated more accurately with today’s advancing technology.
With the guidance and treatment of an expert medical team, patients can expect to see a definite improvement in their condition and symptoms.
El Paso, TX Neck Pain Chiropractic Treatment
Sandra Rubio discusses the symptoms, causes, and treatments of neck pain. Headaches, migraines, dizziness, confusion, and weakness in the upper extremities are a few of the typical symptoms. Trauma from an accident, such as that from an automobile accident or a sports injury, or an aggravated illness because of improper posture can commonly cause neck pain and other ailments. Dr. Alex Jimenez uses spinal alterations and manual manipulations, one of other chiropractic treatment techniques like deep-tissue massage, to reestablish the alignment of the cervical spine and improve neck pain. Chiropractic care with Dr. Alex Jimenez is your non-surgical choice for restoring general patient well-being.
Neck pain is a frequent health issue, with roughly two-thirds of the people being influenced by neck pain at any time throughout their lifetimes. Numerous other health issues can cause pain arising in the upper back, or the spine. Neck pain can result emanating from the vertebrae, or because of muscular tightness in both the neck and the upper back. Joint disruption in the neck causes migraines, and headache, as does joint disturbance at the trunk, or can generate a variety of other symptoms. Neck pain affects about 5 percent of the worldwide population as of 2010, based on figures.
NCBI Resources
A chiropractor evaluates the spine as a whole because other regions of the�neck (cervical), mid-back (thoracic) and low back (lumbar)�can be affected as well. Along with treating the spine as a whole, chiropractic medicine treats the entire person and not just a specific symptom/s. Chiropractors may�educate on nutrition, stress management, and lifestyle goals in addition to treating neck pain.
When compared to other central nervous system (CNS) health issues, chronic neurodegenerative diseases can be far more complicated. Foremostly, because the compromised mitochondrial function has been demonstrated in many neurodegenerative diseases, the resulting problems in energy sources are not as severe as the energy collapse in ischemic stroke. Therefore, if excitotoxicity contributes to neurodegeneration, a different time of chronic excitotoxicity needs to be assumed. In the following article, we will outline what is known about the pathways that may cause excitotoxicity in neurodegenerative diseases. We will specifically discuss that in amyotrophic lateral sclerosis (ALS), Alzheimer’s disease (AD) and Huntington’s disease (HD) as fundamental examples with sufficiently validated animal models in research studies. �
Huntington’s Disease
Huntington’s disease (HD) is as an inherited, fatal neurodegenerative disease which is caused by a trinucleotide (CAG) repeat expansion in the coding region of the huntingtin (htt) gene which is associated with the degeneration of the GABAergic medium-sized spiny neurons (MSN) in the striatum, although other brain regions can also ultimately be affected as the health issue progresses. HD is identified as a movement disorder with co-morbid cognitive and psychiatric symptomatology. Both mutant htt RNA together with the encoded protein which includes a polyglutamine repeat expansion is believed to cause the complicated changes in cellular metabolism which occurs in mitochondrial dysfunction and oxidative stress. �
Early research study findings which demonstrated that excitotoxicity may play a fundamental role in HD were based upon the observation that an injection of their KYN metabolite and NMDA receptor agonist QUIN, in addition to L-glutamate and kainate, in the striatum of rats caused neuronal degeneration. Another research study determined that QUIN, as compared to NMDA and kainate, causes selective degeneration of the MSNs instead of neuronal death, which tremendously resembles the pathology of HD. Moreover, NMDA receptors have been shown to be hyperactive and striatal neurons from different HD mouse models, such as a yeast artificial chromosome (YAC) which leads to over-expression of full-length htt with elongated polyglutamine repeats as well as R6/2 mice over-expressing htt exon 1 with elongated polyglutamine repeats in addition to in knock-in mice with greater CAG repeats inserted from the mouse htt gene, were demonstrated to be sensitized to excitotoxicity in vitro. Furthermore, in vivo, a sensitization to an excitotoxin injection into the striatum was only demonstrated in the transgenic YAC model of HD, whereas mice overexpressing mutant htt exon 1, R6/1 and R6/2 mice, or N171-82Q mice overexpressing mutant exon 1 and components of exon 2 or the so-called “shortstop” mouse expressing human N-terminal htt encoded by exon 1 and 2 with a 128 CAG repeat below the htt promoter, produced somewhat of a resistance to striatal excitotoxin injection during the aging process. This neuroprotection isn’t necessarily for NMDA receptor agonists, however, it can help different neurotoxic insults and may be an adaptive response to cellular stress. �
Rat MSN release increased levels of NR2A- and NR2B-containing NMDA receptors compared to interneurons in the striatum. NR1 and NR2B mRNA expression in the neostriatum of HD patients has been demonstrated to considerably decrease which is associated with the loss of these neurons. In addition, NMDA receptor-mediated pathways in MSN were determined to be tremendously sensitive to the NR2B-specific inhibitor ifenprodil. In HEK293 cells, overexpression of mutant htt increased NMDA receptor-mediated pathways and aggravated NMDA-induced cell release only when NR2B- but not when NR2A-containing NMDA receptors were co-expressed. One possible explanation for the increase in NR2B-containing NMDA receptor expression from HD models is that an extended polyglutamine repeat in htt decreases its connection to PSD95, a postsynaptic density protein included in NMDA and kainate receptor clustering, ultimately causing a greater response of PSD95 together with the NR2B subunit. Recently, research study findings suggest that not only does the subunit composition but also the localization of NMDA receptors may play a fundamental role in the NMDA receptor activity. Another research study showed that in severe striatal slice preparations from YAC transgenic mice utilizing 128 CAG repeats, extrasynaptic NMDA receptors, especially those with NR2B, are considerably increased compared to pieces from wild-type mice and YAC mice expressing htt with 18 CAG repeats. As expected from in vitro research studies, this change was associated with decreased CREB phosphorylation. The increased percentage of NR2B-containing extrasynaptic NMDA receptors was demonstrated to be associated with increased extrasynaptic localization of PSD95. One pathway which may cause the sensitization to excitotoxic stimulation downstream of the activation of extrasynaptic NMDA receptors was identified as activation of p38 MAPK. Taken multilayered evidence suggests that mutant htt results in sensitization of MSN into glutamate excitotoxicity through the redistribution of NMDA receptors from subunits to extrasynaptic sites. �
The activation of extrasynaptic NMDA receptors in acute striatal brain slices can be effectively shown in YAC mice utilizing 128 CAG repeats through spillover of synaptic glutamate by restricting EAATs. As a result, it may be determined that decreased EAAT expression may increase the activation of NMDA receptors. Surprisingly, within situ-hybridization, research studies discovered a decrease in astrocytic EAAT2 mRNA expression in the neostriatum of all HD patients. As compared to wild-type mice, however, no changes in protein expression were found to be decreased in synaptosomes of YAC mice overexpressing human htt utilizing 128 CAG repeats. The researchers determined that a decrease in EAAT2 activity from the YAC model of HD was caused by decreased palmitoylation of the transporter. In R6/2 mice, others discovered decreased EAAT2 mRNA and protein expression associated with decreased EAAT2 in synaptosomes or acute cortico-striatal pieces. However, extracellular striatal glutamate concentrations have been shown to be similar to those of wild-type control mice and a decreased glutamate clearance capability in the R6/2 mice demonstrated by therapy with EAAT inhibitors or glutamate. A putative explanation for this finding could be a decrease in glutamate release through system x?c and in xCT, the subunit of system x?c which has been demonstrated at the striatum of R6/2 mice in the mRNA and protein levels. �
As previously mentioned, the injection of the KYN metabolite QUIN in supraphysiological concentrations was utilized as an early animal model of HD. This caused further research studies of KYN metabolism in HD. Surprisingly, the QUIN precursor 3HK aggravates neurodegeneration from the QUIN HD version while KYNA is protective. Research studies discovered that in early-stage HD, compared to control and end-stage HD, neostriatal 3HK and QUIN concentrations were considerably upregulated. Another research study discovered that KYNA levels decreased in autopsied HD striata with the CSF of HD patients when compared with controls. The first enzyme of this KYN pathway, IDO, is triggered from the striatum of both YAC mice with 128 CAG repeats. Mice deficient in IDO are less sensitive to intrastriatal QUIN injection. Evaluation of KYN metabolites from three different mouse models of HD, R6/2 mice, YAC128 mice as well as HdhQ92 and HdhQ111 knock-in mice in various brain regions, suggested age-dependent activation of their KYN pathway. However, the detailed pattern of metabolite changes was different among the versions with increased 3HK in cortex, striatum, and cerebellum in R6/2 mice whereas mice expressing full-size mutant htt demonstrated an extra cortical and striatal upregulation of QUIN. Moreover, treatment of R6/2 mice with a non-blood brain barrier permeable KMO inhibitor, JM6, which indirectly improved cerebral extracellular KYNA concentrations by 50 percent, has been associated with a decrease in extracellular cerebral L-glutamate, decreased neurodegeneration and prolonged survival. Further research studies are still required for further evidence. �
Taken collectively, the research studies support the view that in HD there is a redistribution of both NMDA receptors, especially those containing NR2B, which can activate signaling pathways which boost neurodegeneration, as shown in Figure 5. There is not any evidence that cerebral L-glutamate levels are grossly increased in HD. This might be explained by the fact that even though EAAT2 and KYNA may be downregulated, there is also a downregulation of system x?c action. As only very high levels of QUIN activated NMDA receptors, this KYN metabolite is unlikely to contribute to the excitotoxic load. �
In many research studies, evidence and outcome measures have demonstrated that glutamate dysregulation and excitotoxicity in many neurological diseases, including AD, HD, and ALS, ultimately lead to neurodegeneration and a variery of symptoms associated with the health issues. The purpose of the following article is to discuss and demonstrate the role that glutamate dysregulation and excitotoxicity plays on neurodegenerative diseases. The mechanisms for excitotoxicity are different for every health issue. – Dr. Alex Jimenez D.C., C.C.S.T. Insight – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Metabolic Assessment Form
[wp-embedder-pack width=”100%” height=”1050px” download=”all” download-text=”” attachment_id=”72423″ /] � The following Metabolic Assessment Form can be filled out and presented to Dr. Alex Jimenez. Symptom groups listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
In honor of Governor Abbott’s proclamation, October is Chiropractic Health Month. Learn more about the proposal. �
In the article above, we outlined what is known about the pathways which may cause excitotoxicity in neurodegenerative diseases. We also discussed that in amyotrophic lateral sclerosis (ALS), Alzheimer’s disease (AD) and Huntington’s disease (HD) as fundamental examples with sufficiently validated animal models in research studies. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
References
Lewerenz, Jan, and Pamela Maher. �Chronic Glutamate Toxicity in Neurodegenerative Diseases-What Is the Evidence?� Frontiers in Neuroscience, Frontiers Media S.A., 16 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4679930/.
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.
Neural Zoomer Plus for Neurological Disease
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force.
The thyroid is a small, butterfly-shaped gland that is located in the anterior neck producing T3 (triiodothyronine) and T4 (tetraiodothyronine) hormones. These hormones affect every single tissue and regulate the body�s metabolism while being part of an intricate network called the endocrine system. The endocrine system is responsible for coordinating many of the body’s activities. In the human body, the two major endocrine glands are the thyroid glands and the adrenal glands. The thyroid is controlled primarily by TSH (thyroid-stimulating hormone), which is secreted from the anterior pituitary gland in the brain. The anterior pituitary gland can stimulate or halt the secretion to the thyroid, which is a response only gland in the body.
Since the thyroid glands make T3 and T4, iodine can also help with the thyroid hormone production. The thyroid glands are the only ones that can absorb the iodine to help hormone growth. Without it, there can be complications like hyperthyroidism, hypothyroidism, and Hashimoto�s disease.
Thyroid Influences on The Body Systems
The thyroid can help metabolize the body, such as regulating heart rate, body temperature, blood pressure, and brain function. Many of the body�s cells have thyroid receptors that the thyroid hormones respond to. Here are the body systems that the thyroid helps out.
Cardiovascular System and the Thyroid
Under normal circumstances, the thyroid hormones help increase the blood flow, cardiac output, and heart rate in the cardiovascular system. The thyroid can influence the heart�s �excitement,� causing it to have an increasing demand for oxygen, therefore increasing the metabolites. When an individual is exercising; their energy, their metabolism, as well as their overall health, feels good.
The thyroid actually strengthens the heart muscle, while decreasing the external pressure because it relaxes the vascular smooth muscle. This results in a decrease of arterial resistance and diastolic blood pressure in the cardiovascular system.
When there is an excess amount of thyroid hormone, it can increase the heart�s pulse pressure. Not only that, the heart rate is highly sensitive to an increase or decrease in the thyroid hormones. There are a few related cardiovascular conditions listed below that can be the result of an increased or decreased thyroid hormone.
Metabolic Syndrome
Hypertension
Hypotension
Anemia
Arteriosclerosis
Interestingly, iron deficiency can slow the thyroid hormones as well as increase the production of the hormones causing problems in the cardiovascular system.
The Gastrointestinal System and the Thyroid
The thyroid helps the GI system by stimulating carbohydrate metabolism and fat metabolism. This means that there will be an increase in glucose, glycolysis, and gluconeogenesis as well as an increased absorption from the GI tract along with an increase in insulin secretion. This is done with an increased enzyme production from the thyroid hormone, acting on the nucleus of our cells.
The thyroid can increase the basal metabolic rate by helping it increase the speed of breaking down, absorbing, and the assimilation of the nutrients we eat and eliminate waste. The thyroid hormone can also increase the need for vitamins for the body. If the thyroid is going to regulate our cell metabolism, there has to be an increased need for vitamin cofactors because the body needs the vitamins to make it function properly.
Some conditions can be impacted by thyroid function, and coincidentally can cause thyroid dysfunction.
Abnormal cholesterol metabolism
Overweight/underweight
Vitamin deficiency
Constipation/diarrhea
Sex Hormones and the Thyroid
The thyroid hormones have a direct impact on ovaries and an indirect impact on SHBG (sex hormone-binding globulin), prolactin, and gonadotropin-releasing hormone secretion. Women are dramatically more affected by thyroid conditions than men due to hormones and pregnancy. There is also another contributing factor that women share, their iodine vitals and their thyroid hormones through the ovaries and the breast tissue in their bodies. The thyroid can even have either a cause or contribution to pregnancy conditions like:
Precocious puberty
Menstrual issues
Fertility issues
Abnormal hormone levels
HPA Axis and the Thyroid
The HPA axis�(Hypothalamic-Pituitary-Adrenal Axis) modulates the stress response in the body. When that happens, the hypothalamus releases the corticotropin-releasing hormone, it triggers the ACH (acetylcholine hormone) and the ACTH (adrenocorticotropic hormone) to act on the adrenal gland to release cortisol. Cortisol is a stress hormone that can lower inflammation and increase carbohydrate metabolism in the body. It can also trigger a cascade of �alarm chemicals� like epinephrine and norepinephrine (fight or flight response). If there is an absence of lowered cortisol, then the body will desensitize for the cortisol and the stress response, which is a good thing.
When there is a higher level of cortisol in the body, it will decrease the thyroid function by lowering the conversion of the T4 hormone to T3 hormone by impairing the deiodinase enzymes. �When this happens, the body will have a less functional thyroid hormone concentration, since the body can�t tell the difference of a hectic day at work or running away from something scary, it can either be very good or horrible.
Thyroid Problems in the Body
The thyroid can produce either too much or not enough hormones in the body, causing health problems. Down below are the most commonly known thyroid problems that will affect the thyroid in the body.
Hyperthyroidism: This is when the thyroid is overactive, producing an excessive amount of hormones. It affects about 1% of women, but it�s less common for men to have it. It can lead to symptoms such as restlessness, bulging eyes, muscle weakness, thin skin, and anxiety.
Hypothyroidism: This is the opposite of hyperthyroidism since it can�t produce enough hormones in the body. It is often caused by Hashimoto�s disease and can lead to dry skin, fatigue, memory problems, weight gain, and a slow heart rate.
Hashimoto�s disease: This disease is also known as chronic lymphocytic thyroiditis. It affects about 14 million Americans and can occur in middle-aged women. This disease develops when the body�s immune system mistakenly attacks and slowly destroys the thyroid gland and its ability to produce hormones. Some of the symptoms that Hashimoto�s disease causes are a pale, puffy face, fatigue, enlarged thyroid, dry skin, and depression.
Conclusion
The thyroid is a butterfly-shaped gland located in the anterior neck that produces hormones that help function the entire body. When it doesn�t work correctly, it can either create an excessive amount or decrease the number of hormones. This causes the human body to develop diseases that can be long term.
In honor of Governor Abbott’s proclamation, October is Chiropractic Health Month. To learn more about the proposal on our website.
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
References:
America, Vibrant. �Thyroid and Autoimmunity.� YouTube, YouTube, 29 June 2018, www.youtube.com/watch?feature=youtu.be&v=9CEqJ2P5H2M.
Clinic Staff, Mayo. �Hyperthyroidism (Overactive Thyroid).� Mayo Clinic, Mayo Foundation for Medical Education and Research, 3 Nov. 2018, www.mayoclinic.org/diseases-conditions/hyperthyroidism/symptoms-causes/syc-20373659.
Clinic Staff, Mayo. �Hypothyroidism (Underactive Thyroid).� Mayo Clinic, Mayo Foundation for Medical Education and Research, 4 Dec. 2018, www.mayoclinic.org/diseases-conditions/hypothyroidism/symptoms-causes/syc-20350284.
Danzi, S, and I Klein. �Thyroid Hormone and the Cardiovascular System.� Minerva Endocrinologica, U.S. National Library of Medicine, Sept. 2004, www.ncbi.nlm.nih.gov/pubmed/15282446.
Ebert, Ellen C. �The Thyroid and the Gut.� Journal of Clinical Gastroenterology, U.S. National Library of Medicine, July 2010, www.ncbi.nlm.nih.gov/pubmed/20351569.
Selby, C. �Sex Hormone Binding Globulin: Origin, Function and Clinical Significance.� Annals of Clinical Biochemistry, U.S. National Library of Medicine, Nov. 1990, www.ncbi.nlm.nih.gov/pubmed/2080856.
Stephens, Mary Ann C, and Gary Wand. �Stress and the HPA Axis: Role of Glucocorticoids in Alcohol Dependence.� Alcohol Research: Current Reviews, National Institute on Alcohol Abuse and Alcoholism, 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3860380/.
Wallace, Ryan, and Tricia Kinman. �6 Common Thyroid Disorders & Problems.� Healthline, 27 July, 2017, www.healthline.com/health/common-thyroid-disorders.
Wint, Carmella, and Elizabeth Boskey. �Hashimoto’s Disease.� Healthline, 20 Sept. 2018, www.healthline.com/health/chronic-thyroiditis-hashimotos-disease.
Hormone deficiencies and imbalances are more common than one might originally think. Research suggests that “nearly half of the women in the United States have experienced a hormone imbalance” (Grinta, 1) . However, hormone imbalance does not just affect women, “as nearly 35% of males in their seventh decade have lower testosterone levels than younger men”. (McBride, 2)��An imbalance in hormones can cause an array of symptoms and ultimately affect an individuals day to day life.�
Symptoms�
The symptoms of hormone deficiency might not be as obvious as one could imagine. Some symptoms are small and could be brushed off as stress or lack of sleep, but it is important to look at the symptoms for what they really are. “In women, low estrogen can contribute to:
mood swings
hot flashes
headaches
depression
trouble concentrating
fatigue
irregular or absent periods
increased UTI’s “
(Swns, 3)�
In men, some of the symptoms are similar to those in women, but also include:
decreased bone mass
sleep disturbances
decreased motivations
increased body fat
decreased muscle mass
hair loss
libido
(Wallace, 4)
Solutions�
If these symptoms are affecting an individual’s lifestyle, there are multiple steps that can be taken to diagnose the problem and ultimately reduce symptoms. In today’s medical world, practitioners are able to use integrative techniques towards functional medicine, focusing on the biochemical level. If a patient is seeking solutions, the first step taken is an extensive questionnaire. This allows the doctor to pinpoint the exact symptoms, issues, and gives an insider look as to what direction to head towards first.
An example of the questions asked are as follows:
Once the questionnaire is completed and reviewed, a lab test is needed in order to confirm and view the exact levels the hormones are at. D.U.T.C.H ( Dried Urine Test for Comprehensive Hormones) provides one of the most accurate results. To gain more insight on D.U.T.C.H and how it works, please see last week’s article, linked here.
Testing & Conclusions
Filling out the questionnaire�essentially allows the practitioner to score and rate the severity of the issues. Adding the D.U.T.C.H results to the questionnaire gives the practitioner a factual level and complete understanding of their patient’s sex and adrenal hormones and metabolites.
This further allows the practitioner to diagnose (if necessary) and suggest nutraceuticals to help the patient’s hormone levels return to normal and minimize symptoms. There are many factors and systems involved when it comes to treating hormones and having tests completed that reflect the numbers that need to be adjusted is necessary. A hormone imbalance can easily take charge of an individual’s life, but now is the time to get these symptoms under control and get back to feeling like you used to!
A great place to start is to find a doctor or healthcare provider who will supply you with a full questionnaire and listen to the symptoms you’re having. This condition is fairly common and can be treated! October is Chiropractor Health Month, and we would love to see you and aid in providing treatment if you are experiencing any of these symptoms. Due to the fact that hormones can be complex and affect different body systems, we take the time to really understand and check all aspects before jumping to a conclusion. – Kenna Vaughn, Senior Health Coach
The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Bibliography
(1) Ginta, Daniela. �What Are the Symptoms of Low Estrogen in Women and How Are They Treated.� Healthline, 31 Jan. 2017, www.healthline.com/health/womens-health/low-estrogen-symptoms.
(2) McBride, J Abram, et al. �Testosterone Deficiency in the Aging Male.� Therapeutic Advances in Urology, SAGE Publications, Feb. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4707424/.
(3) Swns. �Nearly Half of Women Have Been Affected by a Hormonal Imbalance.� New York Post, New York Post, 22 Feb. 2019, nypost.com/2019/02/22/nearly-half-of-women-have-been-affected-by-a-hormonal-imbalance/.
(4) Wallace, Ryan, and Kathleen Yoder. �12 Signs of Low Testosterone .� Healthline, 25 Apr. 2019, www.healthline.com/health/low-testosterone/warning-signs.
Many patients with peripheral neuropathy often believe that their painful symptoms are irreversible or permanent. However, Dr. John Coppola and Dr. Valerie Monteiro describe that peripheral neuropathy can be treated by treating the underlying source of the painful symptoms. Several patients discuss their painful peripheral neuropathy symptoms and how these affected their overall quality of life.
Moreover, the patients also discuss how Dr. John Coppola and Dr. Valerie Monteiro helped treat their painful peripheral neuropathy symptoms through the use of a variety of treatment methods and techniques. Dr. Alex Jimenez, doctor of chiropractic in El Paso, TX, can help treat painful symptoms associated with peripheral neuropathy. Dr. Alex Jimenez is the non-surgical choice for chiropractic care and peripheral neuropathy treatment.
Peripheral Neuropathy Recovery Stories | El Paso, TX (2019)
Neuropathy is a medical term used to describe a collection of general diseases or malfunctions which affect the nerves.
The causes of neuropathy, or nerve damage, can vary among individuals and these may be caused by different:
Diseases
Injuries
Infections
Vitamin deficiencies
Neuropathy can also be classified according to the location of the nerves being affected and according to the disease-causing it.
Furthermore, depending on which nerves are affected will depend on the symptoms that will manifest.
Peripheral neuropathy is simply referred to as neuropathy, which is a state that happens when the nerves become damaged or injured, oftentimes simply disturbed.
It�s estimated that neuropathy affects roughly 2.4 percent of the general populace and approximately 8 percent of people older than age 55.
Type
Neuropathy can affect any of the three types of peripheral nerves:
Sensory nerves�transmit messages from sensory organs:
Eyes
Nose
Brain
Motor nerves track the movement of the muscles
Autonomic nerves regulate the involuntary body functions
Sometimes, neuropathy will only impact one nerve. This is medically referred to as mononeuropathy and instances of it include:
Ulnar neuropathy affects the elbow
Radial neuropathy affects the arms
Peroneal neuropathy affects the knees
Femoral neuropathy affects the thighs
Cervical neuropathy affects the neck
Sometimes, two or more isolated nerves in separate regions of the body can become damaged, injured or disrupted, resulting in mono neuritis multiplex neuropathy.
Most of the time, multiple peripheral nerves malfunction at the same time, a condition called polyneuropathy.
Cause
Neuropathies are often inherited from birth or they develop later in life.
The most frequent inherited neuropathy is the Charcot-Marie-Tooth disease, which affects 1 in 2,500 people in the USA.
Although healthcare professionals are sometimes not able to pinpoint the exact reason for an acquired neuropathy, medically referred to as idiopathic neuropathy.
There are many known causes for them, including:
Systemic diseases – a systemic disease is one that affects the whole body.
Physical trauma
Infectious diseases
Autoimmune disorders
The most frequent systemic cause behind peripheral neuropathy is diabetes, which can lead to chronically high blood glucose levels that harm nerves.
Other systemic issues can cause neuropathy, including:
Kidney disorders permit high levels of nerve-damaging toxic chemicals to flow in the blood
Toxins from exposure to heavy metals include:
Arsenic
Lead
Mercury
Thallium
Drugs/medications, including anti-cancer medications, anticonvulsants, antivirals, and antibiotics
Chemical imbalances because of liver illnesses.
Hormonal diseases, like hyperthyroidism, which disturbs metabolic processes, and potentially induces cells and body parts to exert pressure on the nerves.
Deficiencies in vitamins, such as E, B1 (thiamine), B6 (pyridoxine), B12, and niacin can be vital for healthy nerves.
Alcohol abuse induces vitamin deficiencies and could harm nerves.
Cancers and tumors can exert damaging pressure on nerve fibers and paths.
Chronic inflammation can damage protective tissues around nerves, which makes them more vulnerable to compression, getting inflamed and swollen.
Blood diseases and blood vessel damage, which may damage or injure nerve tissue by decreasing the available oxygen supply
Symptoms
Depending on the reason and unique to each patient, signs, and symptoms of neuropathy can include:
Symptoms are dependent on autonomic, sensory, or motor nerves or a combination are affected.
Autonomic nerve damage can start a chain reaction of physiological functions like blood pressure or create gastrointestinal problems and issues.
Damage or dysfunction in the sensory nerves may impact sensations and sense of equilibrium or balance, while injury to motor nerves affects movement and reflexes.
When both sensory and motor nerves are involved, the condition is known as sensorimotor polyneuropathy.
Complications
Peripheral�neuropathy�may result in several complications, as a result of disease or its symptoms.
Numbness from the ailment can allow you to be less vulnerable to temperatures and pain, making you more likely to suffer from burns and serious wounds.
The lack of sensations in the feet, for instance, can make you more prone to developing infections from minor traumatic accidents, particularly for diabetics, who heal more slowly than other people, including foot ulcers and gangrene.
Furthermore, muscle atrophy may cause you to develop particular physical disfigurements, such as pes cavus, a condition marked by an abnormally high foot arch, and claw-like deformities in the feet and palms.
Treatment
The first step in neuropathy treatment should be finding the root cause that’s causing the neuropathy.
Treatment of diseases such as:
Diabetes
Guillain-Barre syndrome
Rheumatoid arthritis
Sarcoidosis
Other underlying diseases
Prevents continued nerve damage and in cases heals the damaged nerves.
If you are unaware of any underlying disease that is causing the peripheral neuropathy, make sure to let your doctor know of abnormal symptoms.
Medication
Peripheral neuropathy can be treated with various medications.
The first type used to treat mild symptoms are:
Over-the-counter pain medications
In more severe cases:
Opiates
Narcotic medications
Anti-seizure medications
A doctor may prescribe a lidocaine patch or anti-depressants to relieve symptoms.
Patients should thoroughly discuss�neuropathymedication with a doctor before proceeding.
Chiropractic/Massage/Physical Therapy
Various manual therapies can benefit symptoms in neuropathy treatment.
A therapist or chiropractor will perform various manipulation techniques, and teach exercises and stretches to help improve symptoms combined with increased muscle strength/control.
A therapist may also recommend braces or splints to improve mobility.
Patients should attend all physical therapy sessions to gain maximum benefits.
Acids
Supplements like:
Essential acids called ALA (alpha-Lipoic acid)
GLA (gamma-linolenic acid) and omega-3 fatty acids
These can have a beneficial effect on diabetic peripheral neuropathy.
L-Carnitine
L-carnitine is a substance that the body makes and stores in the:
Liver
Brain
There have been reports that certain diabetics with neuropathy symptoms could regain regular sensation in the limbs when they increased their consumption of carnitine called acetyl-L-carnitine.
Red meat
Peanut butter
Dairy products
Are good dietary sources of this nutrient.
Supplements are also available at health food stores and pharmacies and health/wellness clinics.
Vitamin Supplements
Vitamin deficiencies can result in peripheral neuropathy in some people.
Therefore there needs to be a replenishing of vitamins:
B
B12
E
These can help to decrease symptoms.
Recommended dosages are 300mg daily of vitamin E.
Doses of the different B vitamins differ, but one option for patients is to take a daily B-complex supplement.
Herb Supplements
Herbal remedies are an alternative to explore.
St. John’s Wort, is a herbal supplement that can be taken orally and can reduce the pain.
Topical creams that have capsaicin, which is an anti-inflammatory found in chili peppers, can reduce the burning sensation.
While every type of neuropathy, such as diabetic neuropathy or autoimmune disease-associated neuropathy, develops its own unique group of symptoms, many patients will often report common complaints. Individuals with neuropathy generally describe their pain as stabbing, burning or tingling.
If you experience unusual or abnormal tingling or burning sensations, weakness and/or pain in your hands and feet, it�s essential to seek immediate medical attention in order to receive a proper diagnosis of the cause of your specific signs and symptoms. Early diagnosis may help prevent further nerve injury. Visit http://www.neuropathycure.org.
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“It is highly essential to stay hydrated during the cold and flu season. Ample fluids like water, coconut water, and herbal teas are the first line of defense.
