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important to our understanding and
prevention for global increasing
inflammatory bowel disease we know that
dietary fiber appears to reduce risk
whereas
dietary fat animal protein and sugar may
increase risk despite the recognition of
the westernization of lifestyles a
major driver of the growing incidence of
inflammatory bowel disease
no countermeasures against such
lifestyle changes have been recommended
except that patients with crohn's
disease shouldn't smoke
look we know consuming whole plant-based
foods is
synonymous with an anti-inflammatory
diet here's a list of foods with
inflammatory effects here's a list of
foods with
anti-inflammatory effects so how about
putting a
plant-based diet to the test just
cutting down on red and processed meat
didn't work
what about cutting down on all meat
25 year old got diagnosed with crohn's
disease but failed to enter clinical
remission
despite standard medical therapy but
after switching to a diet based
exclusively on grains
legumes like beans flavors chickpeas and
lentils vegetables and fruits
he entered clinical remission without
the need for medication and showed
no signs of crohn's disease and
follow-up colonoscopy
it's worth delving into some of the
details
the conventional treatment they started
them on is infliximab
sold as remicade which can cause a
stroke
it may increase your chances of getting
lymphoma and other
cancers but it's a bargain for only
35 000 a year and it may not even work
in
35 to 40 percent of patients and that
seemed to be the case here so
they upped the dose after 37 weeks and
still suffering after
two years on the drug until he tried
completely eliminating animal products
and processed foods from his diet
finally experiencing a complete
resolution of his symptoms
prior to this his diet had been a
typical american diet
but having experienced complete clinical
remission for the first time since his
diagnosis
he decided to switch to a whole food
plant-based diet
permanently severely reducing his intake
of processed food and limiting animal
products to
one serving or less per week and
whenever his diet
started to slip symptoms started coming
back
but he could always wipe them out by
eating healthier after six months of
implementing these changes in diet and
lifestyle including stress relief and
exercise
a follow-up demonstrate complete mucosal
healing of the gut lining with no
visible evidence
of crohn's disease we know a diet
consisting of whole grains legumes
fruits and vegetables has shown be
helpful in the prevention treatment of
heart disease obesity diabetes
hypertension gallbladder disease
rheumatoid arthritis many cancers
although further research is required
this case report suggests that crohn's
disease might be added to this list of
conditions
but that further research has already
been done
about 20 patients with crohn's disease
were placed on a semi-vegetarian diet
meaning
no more than a half serving of fish once
a week and a half serving of meat
once every two weeks and achieves a
hundred percent remission rate at one
year and ninety percent
at two years some strayed from the diet
though let's see what happened to them
after a year half had relapsed in a year
two only 20 percent
remained in remission but those that
stuck with it had remarkable success it
was a small study with no formal control
group but
represents the best reported result in
crohn's relapse prevention published
in the medical literature to date
nowadays crohn's patients are often
treated with so-called biologic drugs
expensive injected antibodies that
suppress your immune system and have
effectively induced and maintained
remission in crohn's disease
but not in everyone current remission
rate in crohn's with early use of
remicade 64
so 30 to 40 of patients are likely to
experience a disabling disease course
even after
treatment so what about adding a
plant-based diet
remission rates jumped up to a hundred
percent for those who didn't have a
had to drop out due to drug side effects
even if you exclude the milder cases
a hundred percent of those with serious
even severe
fulminant disease achieved remission
but if you look at gold standard
systematic reviews they conclude that
the effects of
dietary inventions on inflammatory bowel
diseases
crohn's disease and ulcerative colitis
are uncertain
this is because only randomized
controlled trials were considered
totally understandable that's the most
rigorous study design
nevertheless people with inflammatory
bowel disease deserve advice
based on the best available evidence
rather
than no advice at all and switching to a
plant-based diet has been shown to
achieve
far better outcomes than those reported
on conventional treatments in both
active and quiescent
stages in both crohn's and ulcerative
colitis
for example here's one-year remission
rates in crohn's disease a hundred
percent
compared to budesinide an
immunosuppressant corticosteroid drug
a half elemental diet meaning like at
home tube phoenix
the 35 000 a year remicade or the
75 000 a year drug humura
safer cheaper and more effective
maybe we should recommend plant-based
diets for inflammatory bowel disease
it would seem clear that treatment based
on treating the cause of the disease is
optimal
spreading the word about healthier diets
could help halt the scourge of
inflammatory bowel
but how are people going to hear about
this amazing research without some kind
of
you know public education campaign
that's
what nutritionfacts.org is all about
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you