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    Inflamm-Ageing

    page2

    InflammAgeing

    Inflammationisanunderlyingcontributorto

    virtuallyeverychronicdisease

    rheumatoidarthritis,Crohnsdisease,diabetes

    anddepression,alongwithmajorkillers

    suchasheartdiseaseandstroke.

    ScientificAmerican(2009)

    2013Paul

    Clayton

    andColin

    Rose

    Firstpublished2013

    byAcceleratedLearningSystemsLtd

    Aylesbury,Bucks,UK

    Allrightsreserved

    ISBN0905553764

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    Why we wrote Inflamm ageingThe pharmaceutical magic bulletmodel dominates healthcare. When the symptoms of a

    non-communicable degenerative disease emerge, doctors generally reach for a drug ordrugs.

    But this strategy is fundamentally too little, too late. Most drugs treat the symptoms rather

    than the root causes of disease and by the time symptoms emerge, the disease has already

    progressed a long way. The major age related diseases cancer, arthritis, heart disease,

    diabetes and Alzheimers develop silently for years before they finally emerge and start to

    cause pain or disability.

    However, science has developed to a stage where earlier and curative intervention is

    possible without drugs. We now know that most of these diseases are driven by chronicinflammation. We know too that chronic inflammation is due largely to nutritional andlifestyle choices that can be changed quite easily.

    This report will not take you long to read, because the message is simple: if you take action

    against the silent killer called chronic inflammation, you take a major step towards living

    longer and living more healthily. The actions you can take are simple too. Positive changes

    will begin to take effect, and can be measured, within weeks.

    Your first step is to read this report.

    Dr Paul Clayton graduated summa cum laude in MedicalPharmacology from Edinburgh University, prior to obtaining his

    PhD.

    He is a former Senior Scientific Advisor to the UK government's

    Committee on the Safety of Medicines and a past President of the

    Forum on Food and Health at the Royal Society of Medicine.

    Dr Clayton frequently presents at and chairs international

    conferences on nutrition and health. He is a Fellow of the Institute

    of Food, Brain & Behaviour, Oxford, and a visiting professor of

    Pharmaco-Nutrition at Pecs University, Hungary.

    Colin Rose Sc is a writer and publisher. His company,Accelerated Learning Systems, published Dr Claytons first book

    Health Defence,which became a best-seller.

    He is also an educational consultant and principal contributor to

    the EU funded programme EduScience, designed to improve theteaching of science in schools.

    A founder member of the UK Campaign for Learning, he is also a

    member of the Royal Society of Medicine and a Fellow of The Royal

    Society of Arts.

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    CHAPTER1

    CHRONICINFLAMMATIONISTHEMAINCAUSEOF

    DEGENERATIVEDISEASE

    Inflammatoryfactorspredictvirtuallyall

    badoutcomesinhumanshavingheartattacks

    havingheartfailure,becomingdiabetic

    becomingfragileinoldage

    cognitivefunctiondecline,

    evencancertoacertainextent.

    RussellTracy,ProfessorofPathologyandBiochemistry,

    UniversityofVermont,CollegeofMedicine

    Dontconfuseageingwiththepassingoftime.Wecantchangethespeedatwhichthe

    worldturns,buttherateatwhichweage,knownasbiologicalageing,iswellwithinour

    control.Takingcontrolofyourbiologicalagemeansyouwillnotonlylookandfeel

    youngerbutyouwillalsocutyourriskofdevelopingdegenerativediseases,andincrease

    yourprospectsofahealthymiddleandoldage.

    Ageingusedtobeseenasthesteadyaccumulationofdamagetothebodyscellsand

    tissues.Thiswasanuncriticalwearandtearmodelthatwenthandinhandwiththe

    conceptofagerelateddiseases;anditledtoaterriblemedicalfatalism.Afterall,ifyour

    symptomsareduetowearandtear,medicscantexpecttodomorethantrytomanage

    yoursymptoms.

    Currentresearch,however,revealsthatalmostalltheagerelateddiseasesfrom

    decliningmentalpowerstocoronaryarterydisease,cancer,hypertension,arthritis,

    diabetesandstrokehavelittletodowithageingperse.Instead,theyarelargelydriven

    bychronic,subclinicalinflammation,aconditionthatisnotinevitableatall.Infact,itis

    surprisinglyeasytoprevent.

    Chronicandsubclinicalmeanscontinuousandunnoticeduntilthechronicinflammation

    hascausedsomuchtissuedamagethatsymptomsofdiseasefinallyemerge.Thereisa

    growingconsensusthatchronicinflammationshouldbeminimisedoravoidedaltogether.

    Yet,thankstothewaywelivetoday,itisoccursinalmosteveryadultovertheageof

    about30andinincreasingnumbersofteenagersandthoseintheirtwenties.

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    Somepeopleareatevenhigherrisk.Areyou:

    Over50? Overweight? Afrequentdieter? Asmokerorcitydwellerinevitablyexposedtopollutedair? Aheavyconsumerofbakedgoods,confectionery,deep friedorfastfoodproducts? Orhaveyoubeendiagnosedwithanylongtermillnessendinginitis(whichmeans

    inflammation)?

    Ifyouansweredyestoanyoftheabove,thenyoualmostcertainlyhavealevelofchronic

    inflammationinyourbodythatshouldbereducednowtoprotectyourlongtermhealth.

    Acuteinflammation

    is

    usually

    apositive

    and

    healing

    reaction

    Notallinflammationisbad.Acuteinflammationisusuallypositive:thinkofhowtheskin

    reddensandwarmsfollowingacutoraninsectbite.Acuteinflammationisashortterm,

    protectiveimmuneresponsethatisswitchedontocounteractharmfulexternalthreats.

    Itsgenerallyaproductiveresponseandthesymptomsareshortlived.Oncetheacute

    inflammatoryresponsehasneutralizedthethreat,powerfulantiinflammatory

    compoundsarereleasedtoallowhealingprocessestotakeover.

    Butsometimestheacuteinflammatoryresponseisinsufficienttoclearthethreat.Ifthe

    threatthat

    initially

    triggered

    the

    inflammation

    remains,

    or

    is

    constantly

    drip

    fed

    into

    the

    bodyasoccurswithpoorfoodchoice,exposuretoenvironmentalparticulatesoratobacco

    habit,thiscanresultincontinuous,lowlevelinflammation:a.k.a.chronicinflammation.

    Chronicinflammationdestroystissue

    Chronicsubclinicalinflammationisasilentthreatthatsimmersundetectedinthebody,

    progressivelydamagingtissuesinthebodywhereveritoccurs:intheheart,brain,joints,

    bowel,colon,prostate,lungsandskininfact,inpotentiallyanyorgan.

    HarveyJay

    Cohen,

    of

    the

    Center

    for

    the

    Study

    of

    Aging

    at

    Duke

    University

    in

    the

    USA,

    likensinflammationtolittlewaveslappingontheshore.Itsarelativelylowlevelof

    activitythat,sustainedovertime,wearsawayatthebeachandstimulatesotherbad

    events.

    Thisinsidiousandgradualprocessoftissuedestructioniswhychronicinflammationisnow

    seenasamaincauseofalmostalltheagerelatedillnesses.Andwhychronicinflammation

    isassociatedwithfasterageing;orinflammageing,assomescientistsnowcallit.

    Althoughamaincausedoesnotmeantheonlycause,ithasbecomeclearthattaking

    actionto

    reduce

    chronic

    inflammation

    should

    be

    apriority

    ifyou

    want

    to

    cut

    the

    risk

    of

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    degenerativedisease,andmaximiseyourchancesoflongtermhealth.Fortunatelyyoucan

    reduceyourlevelsofinflammationquicklyandeffectively.

    Butfirstalittlemorebackground.

    Chronicinflammation

    is

    arecent

    problem

    Heartdiseaseandcanceraremajorcausesofdiseaseanddeathinoursociety,butitwas

    notalwaysso.ThemidVictorians,forexample,wererelativelyfreeofthesediseases

    (Clayton&Rowbotham2009).TherecordsshowthattheVictorianschancesofahealthy

    oldagewerebetterthanours,evenwithoutthemoderndrugs,surgeryanddiagnostics

    thatwehavecometorelyon!

    Thefirstfewyearsafterbirthwerehazardous,butthosewhoreachedtheirfifthbirthday

    hadalifeexpectancysimilartoourown.Theydidnotdieofdegenerativediseasesinthe

    main,

    but

    in

    childbirth,

    in

    fires,

    of

    trauma

    and

    of

    infections

    spread

    by

    crowded,

    insanitary

    livingconditionsandpollutedwatersupplies.

    AfewVictoriansdiddevelopheartdiseaseandcancer,butmostofthepopulationenjoyed

    relativefreedomfromdegenerativedisease.Thereason?Adietrichinnaturalanti

    inflammatorycompounds(ofwhichmoreinChapter4),thatprovidedextensive

    protectionagainstchronicinflammation.

    Chronicinflammationhasneverbeforebeenseenonthescalethatweseeitinthe

    developednationstoday.Thisisbecausewenotonlyconsumefarlowerlevelsofnatural

    anti

    inflammatory

    compounds

    in

    our

    diets

    than

    did

    our

    ancestors,

    but

    also

    we

    are

    exposed

    tofarhigherlevelsofproinflammatorycompounds,thankstomodernfoodprocessing

    andcookingmethods,and,forsome,theprevalenceoftobaccoandenvironmentaltoxins.

    Assomanyofussufferfromchronic,subclinicalinflammation,itisnowonderthatthe

    steadyaccumulationoftissuedamageeventuallysurfacesasamajordegenerativedisease

    andwhythedegenerativediseasesincreaseinfrequencyaswegetolder.

    Itislittletodowithageingassuch,forifweateaprofoundlyantiinflammatorydietwe

    wouldnotbecomemorepronetodiseaseasweaged.

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    CHAPTER2

    WHATCAUSESCHRONICINFLAMMATION?

    Lowgradeinflammationisassociatedwith

    everythingfromheartdiseaseanddiabetes

    toAlzheimersandarthritis...

    UniversityofCaliforniaBerkeley,SchoolofPublicHealth(2010)

    Therearefivemainandthreesecondarycausesofthemodernepidemicofchronic

    inflammation.

    1. ToomuchOmega6,notenoughOmega3

    Themainhormonesthatcontroltheinflammatoryresponsearecalledeicosanoids.The

    bodyusesfattyacidsfromthefoodweeattomaketheseeicosanoids.

    Omega6fattyacids,foundinpolyunsaturatedplantoilslikesafflower,sunflowerandcorn

    oil,produceeicosanoidsthatpromoteinflammation.

    Omega3fattyacids(fromoilyfish)havetheoppositeeffect,producingeicosanoidsthat

    reduceinflammation.

    Formostofhumanhistory,weateadietwitharatioofOmega6toOmega3ofbetween1

    to1and2to1,whichisahealthyratio.Thebalancetodayhasbecomeprofoundly

    unhealthy.WeconsumefoodsfartoohighinOmega6andfartoolowinOmega3.Infact,

    ourcurrentratioisanywherebetween10to1and40to1,andinsomecasesmaybeas

    highas100to1!

    ThebodyisthereforeforcedtousetoomanyOmega6fattyacidstobuildcells,tissues

    andhormonesandthebalanceinthebodybecomesproinflammatory.

    TheprevalenceofOmega6overOmega3intodaysdietisbecauseourintakeofoilyfish,

    theonlysignificantsourceoftheOmega3sweneed,hasfallen,whileourintakeofplant

    oils,whichprovideOmega6s,hasrisendramatically.

    Plantoilssuchassoya,palmandcornoilarewidelyusedincookingandinprocessed

    foodsbecausetheyarecheapandpalatable(foodmanufacturershavenolegal

    requirementtoproducehealthyfood).

    Tomakemattersworse,mostanimalsraisedforhumanconsumptionarealsofedwith

    foodsthatarehighinOmega6. GrassfedanimalshavehealthierlevelsofOmega3but

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    todayonlysheepareconsistentlyraisedthisway.Mostcowsandpigsarecerealfedand

    haveamuchhigher6to3ratioasaresult.

    Youfindthesameresultsinchickensandeggs.Batteryandbarnchickensarefedgrains

    highinOmega6andtheirmeatandeggshaveahighOmega6toOmega3ratioasaresult.

    Freerange

    chickens

    consume

    more

    Omega

    3fatty

    acids

    and

    produce

    meat

    and

    eggs

    with

    a

    betterOmega6to3balance.

    DopleasenotethattheOmega6fattyacidsareessentialforlife.Itsjustthatweeatfar

    toomanyofthem.However,withsoundfoodchoices,andanOmega3supplement,you

    cantipthebalancebacktowardsalower6to3ratiothatisantiinflammatoryand

    thereforeconsiderablyhealthier.

    2. Notenoughfruitsandvegetables

    Fruitsand

    vegetables

    are

    important

    because

    they

    contain,

    amongst

    other

    compounds,

    flavonoids.Theseexertpowerfulantiinflammatoryeffectsinthebody.

    Flavonoidsblockthekeyenzymesthatdriveinflammation.TheseincludeCOX1andCOX2,

    thesameenzymesthataretargetedbymanyantiinflammatorydrugs.Theyalsoblocka

    secondpairofproinflammatoryenzymescalledLIPOX5andLIPOX8.Perhapsevenmore

    critically,theyblockathirdgroupofproinflammatoryandhighlydestructiveenzymes

    calledthematrixmetalloproteases(MMPs).

    Thisthreewayblockingactionexertsamorefundamentallyprotectiveeffectthanany

    pharmaceuticaldrug

    because

    MMPs

    are

    directly

    responsible

    for

    the

    tissue

    damage

    that

    turnschronicinflammationintoovertdisease.

    Unfortunately,wedonoteatenoughfruitsandvegetables.TheAmericanCancerInstitute

    nowrecommendsnineportionsadaybutwemanageanaverageofonly3.Without

    enoughfruitsandvegetables,thecriticallyimportantenzymeblockingflavonoidsarenot

    presentinourbodiesinadequateamounts.TogetherwiththeexcessOmega6to3ratio,

    thiscreatestheconditionsfortheperfectinflammatorystorm.

    Incontrast,whenthedietcontainsenoughflavonoidstoblocktheproinflammatory

    enzymesand

    enough

    Omega

    3to

    help

    create

    anti

    inflammatory

    hormones,

    then

    chronic

    inflammationisminimisedorstoppedandnaturalhealingprocessesinthebodycanonce

    againpredominate.

    3. Proinflammatorycookingmethods

    Whenfoodscontainingproteinsarecookedathightemperatures,theproteinbindswith

    glucoseorothersugarsinthefoodtoproducecompoundscalledAdvancedGlycationEnd

    products,orAGEs.

    Manyfoods

    brown

    at

    high

    temperatures

    and

    this

    discolouration

    is

    asign

    of

    AGE

    production.AGEcompoundsareveryproinflammatoryandveryageing.

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    ThebestknownAGEcompoundisacrylamide,whichformswhenstarchyfoodsare

    cookedathightemperatures.Acrylamidehasbeenfoundincrisps,Frenchfries,toastand

    otherfoods.Worryingly,acrylamidehasbeenclassifiedascarcinogenicinhumans.

    AGEscanalsobeformedwithinthebodywhenlevelsofglucosearetoohighfortoolong,

    ashappens

    in

    diabetes.

    Inanondiabeticstate,enzymesbindglucosemoleculestoproteins,formingglycoproteins

    thatareessentialtonormalbodyfunctioning. Butwhenbloodsugarlevelsaretoohigh,

    glucosecanbindtoproteinsinthebodythroughnonenzymaticaction.Thisdrivesthe

    formationofAGEsandthusleadstoinflammationwhichexplainswhydiabeticssuffer

    fromexcessiveinflammation,increasedriskofseriousdiseaseandacceleratedageing.

    AGEsstimulateinflammation,butthisisnottheonlywaytheyacceleratetheageing

    process.Thebindingofglucosetoproteinscausescrosslinkingbetweenproteins,linking

    themtogether

    in

    arandom

    and

    dysfunctional

    manner.

    This

    shows

    up

    externally

    as

    skin

    ageing,wrinklingandreducedelasticity.Internally,itdrivesdiseasessuchascataracts,

    hypertension,bloodclottingandkidneydamage.

    DrLevioftheAmericanJournalofKidneyDiseasessays:AGEreactionsgradually

    accumulateoverthelifetimeoftheprotein.ThegoalmustbetopreventAGEsformingin

    thefirstplace.

    ItisnotjustAGEswehavetoguardagainst.Whenfatsandoilsareheatedtohigh

    temperatures,ALEs(AdvancedLipoxidationEndproducts)arecreated.Thesemightsound

    friendlierbuttheyarejustasharmfulandarehighlyproinflammatory.

    FoodscontaininghighlevelsofbothAGEsandALEsinclude:

    hightemperaturefriedandgrilledmeatandpoultry deepfriedandshallowfriedfish coffeeandcolas soysaucesandbalsamicproducts smokedandcuredfoods

    Inshort,fastfoodstaplesandeventheheatdriedmilkusedininfantformula.

    Higherlevelsoftheseproinflammatorycompoundsinthebloodarelinkedtohigherrates

    ofmanydegenerativediseases,includingalargenumberofcancers.ButletusnotallbecomePuritans.Theaimisbalance.

    Humans(andotheromnivores)likehighfat,highsugarfoods,andlifewithoutthe

    occasionaldessert,cake,chiporsnackwouldbe,well,ratherlessenjoyable.Ifyou

    consciouslybalance

    those

    foods

    with

    anti

    inflammatory

    foods

    and

    nutrients,

    you

    can

    indulgeoccasionallywithoutharm.

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    4. Gettingolder

    Levelsofthesexhormonesoestrogen,progesteroneandtestosteronefallasweage,and

    lowerhormonelevelsareimplicatedinagerelatedinflammation.Symptomsofchronic

    inflammationoftenbecomemoreapparentduringandaftermenopauseinwomenandin

    menas

    testosterone

    levels

    reduce.

    Chronicinflammationhasbeencitedasonecauseofsarcopenia,themusclelossthat

    occurswithageing.Forbothsexes,therefore,thetendencytoincreasedinflammation

    typicallyacceleratesafterabout4550.

    Tomakemattersworse,thereisevidencethatourimmunesystemsmaybecomeless

    efficientatcontrollinginflammationaswegetolder.

    Youcantstoptheyearsrollingbybutthereisoverwhelmingevidencethatyoucanslow

    ageingby

    reducing

    or

    preventing

    the

    damage

    caused

    by

    chronic

    inflammation.

    And

    althoughinourviewitmakessensetostartdoingsomethingaboutitfromearly

    adulthood,youcanseewhythetimetotakeseriouspreventativeactionisaroundage45

    50.

    5. Beingoverweightorobese

    Overweightandobesityaremajorcausesofchronicinflammationtoday.Thisisbecause

    excessadipose(fat)tissuesecretesproinflammatorycompounds.Itusedtobethought

    thatappleshapedobesity(fataroundthebelly)wasmoredangerousthanthepear

    shapedkind

    (fat

    around

    the

    hips)

    but

    that

    is

    now

    discredited.

    Fat

    around

    the

    hips,

    thighs

    andbottomalsosecretesproteinsthatleadtoinflammationandinsulinresistance.

    Inasocietywherealmost30%ofpeopleareobeseand62%areofficiallyoverweight,the

    proinflammatoryroleoffathasbecomeanimportantcauseofillhealthandaccelerated

    ageing. Ourexpandingwaistlinesarelinkedtohighintakesofproinflammatory,

    processedfoodshighinsugarsandOmega6fats,andtoourgenerallylowlevelofphysical

    activity,whichitselfisproinflammatory.

    Sinceexcessfatisproinflammatory,andchronicinflammationisafactorinheartdisease,

    stroke,diabetes,

    Alzheimers

    and

    arange

    of

    cancers,

    it

    is

    hardly

    surprising

    that

    being

    overweightisariskfactorforallthesediseases.

    ThegoodnewsisthattheantiinflammatoryfoodregimeinChapter4canalsobeaweight

    lossregime.

    6. Smokingandpollution

    Exposuretoairpollutantscantriggeroxidativedamageandchronicinflammation.

    Smokingisaleadingcauseofillness,acceleratedageinganddeath,andcitydwellers

    exposedto

    high

    levels

    of

    diesel

    exhaust

    particulates

    are

    also

    at

    risk.

    Exposure

    to

    certainpesticidesmayalsotriggerinflammation.

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    6. Excessfreeradicals

    Mostpeoplehaveheardthatfreeradicalscandamageyourhealth.Infact,itisonlyan

    excessoffreeradicalsthatisdamaging.Someleveloffreeradicalactionisnormalanda

    necessarypartoftheimmuneresponsetopathogenssuchasbacteriaandviruses.

    However,excessfreeradicalactioncanindeedcausecellandtissuedamageand,

    eventually,majorhealthproblems.

    Freeradicalsareminuteparticlesformedduringthebillionsofchemicalprocessesthat

    takeplaceinthehumanbody,andmakelifepossible.Wearemadeofmoleculesthatare

    inturnmadeupofatoms,andbothmoleculesandatomshaveelectronssurrounding

    them.

    Electronsaregenerallypaired,butduringcertainreactionsoneelectronmaybecome

    detached.The

    remaining

    atom

    (or

    molecule)

    now

    becomes

    an

    unstable

    free

    radical,

    with

    oneunpairedelectron.Tobecomestableagain,thefreeradicalmustgrabanelectron

    fromanothermolecule,butnowthatothermoleculebecomesafreeradical!Thischain

    reactionofmoleculesstrippingelectronsfromeachothercontinues,sometimesreaching

    thousandsofeventslongandwreakingdestructionuntilthesequenceends.

    Theprocessoffreeradicalformationisalsocalledoxidativedamage,asoxygenmolecules

    areofteninvolved.Therustingofiron,fatsturningrancidoracutappleturningbrownare

    familiarexamplesofoxidative/freeradicaldamage.

    Excessivefree

    radical/oxidative

    damage

    to

    the

    tissues

    contributes

    to

    age

    related

    diseases

    fromheartdiseasetocancer. Thereareanumberofwellknownfactorsthatincreasethe

    levelsoffreeradicalsinourbodies,whichincludesmoking,exposuretoradiation(egultra

    violet,Xraysandallthingsradioactive)andinflammation.

    Whencellsaredamagedbyinflammationtheyproducetoxiccompoundsthattriggerthe

    releaseofexcessfreeradicals.Theresultingoxidativestressfurtherdamagesthosecells,

    andthisprocessreleasesasecondwaveofinflammatorycompounds.

    Thisviciouscircledrivesbothdiseaseandtheageingprocessitselfunlesssufficientanti

    inflammatoryand

    anti

    oxidant

    defences

    are

    in

    place.

    Someyearsago,theCentreforEnvironmentalandHealthScienceinAustraliastatedthat:

    Evidenceisaccumulatingthatmostofthedegenerativediseasesthatafflicthumanity

    havetheiroriginindeleteriousfreeradicalreactions.Thesediseasesincludeatherosclerosis,

    cancer,inflammatoryjointdisease,asthma,diabetes,seniledementiaanddegenerative

    eyedisease.Theprocessofbiologicalageingmightalsohaveafreeradicalbasis.

    Theirmorerecentpositionisthatageingandagerelateddiseasesaredrivenbythevicious

    circleofchronicinflammationcreatingfreeradicalscreatingfurtherinflammation.

    CHRONIC EXCESSFREE MORE

    INFLAMMATION RADICALS INFLAMMATION

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    Thisiswhythereisafastgrowingconsensusamongscientistsandcliniciansthatfora

    lifestyletobecomprehensivelydiseasepreventativeandhealthprotective,itshould

    includefoodsandsupplementswithhighantiinflammatoryandhighantioxidantcapacity.

    Thisislesscomplicatedthanitsounds,asantiinflammatoryandantioxidantfoodsare

    oftenthe

    same

    foods

    and

    were

    going

    to

    look

    at

    those

    in

    detail

    later.

    8. Geneticinfluences

    Wedontwanttogivetheimpressionthatallillnessandagerelateddiseasesare

    exclusivelycausedbylifestyleanddietaryfactors.

    Geneticinheritancecanbeacontributingfactor,andadeterminingfactorinsinglelocus

    diseasessuchasHuntingtonsDiseaseorSickleCellAnaemia.Stronggeneticriskfactors

    havealsobeenimplicatedinabout58%ofcasesofheartdisease,cancer,Alzheimersand

    theother

    major

    diseases.

    Butformostofus,ourdestinyisnotwritteninourgeneticcode.Ourgeneticinheritance

    maymakeusmoreorlesssusceptibletolifestyleanddietaryinfluencesbutwecan

    controlthose.

    Forexample,researcherFedericoLicastroandothersfromtheUniversityofBolognastate

    that:Alzheimer'sdisease,atherosclerosis,diabetesandevensarcopenia(lossofmuscle

    mass)andcancer,justtomentionafew,haveanimportantinflammatorycomponent,

    thoughdiseaseprogressionseemsalsodependentonthegeneticbackgroundof

    individuals.

    Inotherwords,certaingenetypesaremoresusceptibletoagerelateddisease.Butthe

    sameresearchersconcludethat:controllinginflammatorystatusmayallowabetter

    chanceofsuccessfulageing.

    Sowhateveryourgenes,establishinganantiinflammatorylifestyleisapriorityifyouwish

    toimproveyourhealthprospects.

    Itstimeforacomprehensiveantiinflammatoryandantioxidantsolution!

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    CHAPTER3

    HOWINFLAMMATIONWORKS

    INSPECIFIC

    DISEASES

    Theconnectionbetweeninflammationandcancer

    hasnowmovedtocenterstageintheresearcharena.

    MassachusettsInstituteofTechnologysWhiteheadInstitute

    forBiomedicalResearch(2009)

    HEART

    DISEASE

    Heartdiseaseissometimesdescribedasaplumbingproblemplaquebuildsupinthe

    wallsofbloodvessels,clogsandblocksthem.Butbloodvesselsarenotlikepipes;theyare

    composedofliving,reactivetissue,andaresensitivetodamageandinjury.

    Forexample,theyarehighlysensitivetoproinflammatorycompoundssuchasAGEsand

    ALEsthetoxiccompoundsformedwhendifferenttypesoffoodsarecookedathigh

    temperatureswhichwetalkedaboutbefore.

    Thesecompoundscanalsobeformedinthebody;diabeticsproducetheirownAGEsdue

    totheir

    high

    blood

    sugar

    levels

    and

    smokers

    produce

    ALEs

    internally

    because

    of

    the

    high

    oxidativestressintheirbodiescausedbysmoking.

    Whethereatenorformedinthebody,thesetoxiccompoundsattacktheliningsofthe

    bloodvessels,causinginflammationanddamage.Immunecellsthentargetthedamaged

    site,andmigrateintothevesselwallwheretheyattempttoresolvethedamage.

    Ifthetoxinsarepresentinexcessiveamounts,theimmunecellsdie.Thiscausesfurther

    inflammation,furtherimmunecellinfiltrationandmorecelldeath.Thecellremains

    graduallybuildupasatheroma,atoxicsludgerichinoxidisedcholesterolcompoundsthat

    camenot

    from

    circulating

    cholesterol

    but

    primarily

    from

    the

    dead

    immune

    cells.

    Iftherearetoomanyproinflammatorycompoundsandnotenoughantiinflammatory

    andantioxidantcompoundsinyourdiet,therateatwhichatheromaisformedoutstrips

    thebodysabilitytoremoveit.

    Consequently,theatheromabuildsupovertime,formingplaquesinsidethearterywalls

    whichcaneventuallyrestrictbloodflow.Ifthishappensinanarterysupplyingtheheart,it

    cancauseangina;ifitsuppliesthebrain,itcancauseconfusionordizziness.Iftheplaques

    rupture,astheyoftendo,thiscancauseaheartattackorastroke.

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    Theproblemismadeworsebythefactthatthesameinflammationthatdrivesthe

    formationofatheromainthearterywallsalsocausesthemtoconstrict,sothatthereisa

    gradualriseinbloodpressure.Thisforcesthehearttoworkharderanditmakesthe

    arterieslesselastic,creatingacombinationofeffectsthatincreasesstressesandshock

    waves

    within

    the

    arterial

    system.

    Statinsarenotveryeffectivebecausetheyattackthewrongtargetcholesterollevelsin

    theblood.Infact,bloodcholesterolisaveryinaccuratebiomarker,asfullyhalfofallheart

    attacksoccurinpeoplewithnormalcholesterollevels.

    Thereisagrowingsuspicionthattherelativelyminorprotectiveeffectsofstatins(andwe

    willnottalkabouttheiradverseeffectshere)areduetothefactthatsomeofthemhavea

    mildantiinflammatoryeffectaswellasacholesterolloweringaction.

    Theroleofundetected,chronicinflammationinheartdiseasemayexplainwhy50%of

    heartattacks

    occur

    in

    patients

    with

    normal

    cholesterol

    levels.

    Elevated

    levels

    of

    inflammatoryCreactiveprotein(CRP)andanaminoacidcalledhomocysteinehavebeen

    suggestedasmoreimportantpredictorsofheartattacks.

    ALZHEIMERSDISEASE

    InflammationisasignificantfactorinAlzheimers.Itwaslongagoknownthattheriskof

    Alzheimerswasreducedinpeoplewho,becausetheyhadaninflammatoryconditionsuch

    asarthritis,tookcertainantiinflammatorydrugs.Thesedrugsare,however,tootoxicfor

    longtermpreventiveuse.

    AnextendedpieceofresearchcalledtheHonoluluAsiaAgingStudyfoundthatmenwith

    thehighestlevelsofinflammation,asmeasuredbyCRP,werethreetimesmorelikelyto

    developdementiathanthosewiththelowestlevels.

    Howdementiadevelopsisthefocusofintensestudy,andisundoubtedlyaverycomplex

    process. Butwedoknowthatchronicinflammationisinvolved,andthatthisattacksand

    killsbraincells.

    Wealsoknowthatthebrainreliesonacontinuoussupplyoffattyacids,andparticularly

    Omega3fatty

    acids,

    to

    build

    and

    renew

    the

    walls

    of

    its

    brain

    cells.

    One

    study

    in

    Neurology

    suggeststhatanOmega3richdietcouldreducedamagebybetween2030%andcould

    playanimportantroleinpreventingordelayingtheonsetofAlzheimersdisease.

    Omega3sarenottheonlyneuroprotectivenutrients.Flavonoidsderivedfromfruitsand

    vegetablesreduceinflammationbothdirectlyandalsoindirectly,bybindingfreeiron

    (whichisproinflammatory)andbyreducingtheproductionofexcessfreeradicalsthat

    wouldotherwisecausecollateraldamage.

    Moreevidenceontheimportanceofcombiningarangeofnutrientscomesfromscientists

    atthe

    University

    of

    California,

    published

    in

    the

    Journal

    of

    Alzheimer's

    Disease.

    They

    tested

    acombinationofcurcuminandvitaminD3toenhancetheactivityoftwotypesofimmune

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    cellactinginthebrain.Theystate:Ourfindingsdemonstratethatactiveformsofvitamin

    D3andcurcuminmaybeanimportantregulatorofimmuneactivitiesofmacrophagesin

    helpingtoclearamyloidplaques.

    DIABETES

    HarvardMedicalSchoolresearchershavenotedaconnectionbetweenchronic

    inflammationandType2diabetes.Wehaveseenthatfatcellsreleaseproinflammatory

    chemicals.Theseinhibitthebodysabilitytoregulatebloodsugar.

    Thehormoneinsulinworksbyensuringthatmusclecellstakeupbloodsugarafterameal,

    therebyloweringbloodsugarlevels.Acombinationofexcessbodyfat,acarbohydraterich

    dietandinsufficientlyexercisedmusclehindersthisprocess,leadingtochronically

    elevatedbloodsugarlevels.

    Elevatedblood

    sugar

    in

    turn

    creates

    AGE

    products

    and

    cross

    linking

    damage

    to

    tissues,

    leadingovertimetoaccumulateddamageinmanysitesincludingthebloodvessels,eyes,

    kidneysandbrain.

    Thedietandnutritionalsupplementregimewerecommendhereisantiinflammatoryand

    hasalowGlycaemicLoad(GL)inotherwordsitonlyraisesbloodsugarlevelsmoderately.

    Thismakesitaparticularlysuitabledefenceagainstdiabetes,especiallywhencoupled

    withexerciseand,whereappropriate,weightloss.

    CANCER

    Cancershavemanycauses,butchronicinflammationisincreasinglyconsideredasan

    importantcausativefactor.Patientswithcoloncancer,forexample,haveconsistently

    raisedlevelsofbiomarkersforinflammation;andchronicinflammationislookingmore

    andmoreasifitmaybeanessentiallinkinthechainofeventsthatleadstothedisease.

    HereswhatScientificAmericansaidinakeyarticlein2008.Cancerbeginswithaseriesof

    geneticchangesthatpromptagroupofcellstooverreplicateandtheninvadesurrounding

    tissue,thepointatwhichtruemalignancybegins.Eventuallysometumourcellsmaybreak

    offandestablishnewgrowths(metastases)atdistantsites.

    WhatappearstocausethatprogressionfromDNAdamagetocancerischronic

    inflammation,whichthenencouragesfreeradicaldamage.Asthemagazinethenputsit:

    Geneticdamageisthematchthatlightsthefire,andinflammationisthefuelthatfeedsit.

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    CHAPTER4

    FIGHTINGINFLAMMAGEING

    Chronicinflammationtheenemyinsideyou

    aslow,silentdisturbancethatnevershutsoff.

    Youcan'tfeelit.Youcan'tbetestedforit.

    Yetithasbecomeamedicalhottopic.

    It'sanunderlyingcauseformany,manydiseases.

    WomensHealthDecember2012

    Itis

    clear

    that

    for

    long

    term

    health,

    chronic

    inflammation

    and

    excess

    free

    radical

    action

    mustbekeptincheck.Therearefiveactionsyoucantakethatmatchthemaincausesof

    inflammationandtheyaresurprisinglyeasytocarryout.

    ANTIINFLAMMATORYACTION1:Getyourdietright

    Youllinevitablygetoneyearolderevery365daysorso.However,giventhatbiological

    ageingislargelydrivenbychronicinflammationwithadegreeoffreeradicaldamage,it

    followsthatincreasingthelevelofantiinflammatoryandantioxidantnutrientsinyour

    dietwillslowtherateatwhichyouagebiologically.

    Thekeyantiinflammatoryfoodsincludefruits,vegetablesandOmega3richoilyfish.

    FishhighinOmega3include:

    wildsalmon(notfarmed,asthisisfedonhighOmega6grains)mackerel

    herringtunasardinespilchards

    Fruitswithhighantiinflammatoryandantioxidantscoresinclude:

    blueberries raspberries blackberries strawberries cherries

    blackcurrants

    Highscoringvegetablesinclude:

    broccoli asparagus beetroot chard spinach cabbage

    mushrooms(whichareactuallyfungibuttheyusuallyliveinthevegetablesection)

    Thesefruitsandvegetablesareallgoodsourcesofflavonoids,carotenoidsandother

    phytonutrientswithantiinflammatoryandantioxidantproperties.Eatingarainbowis

    soundadvice.Generallythemore(natural)coloursthereareonyourplate,thehigherthe

    antioxidantandantiinflammatorycontentofyourdiet.

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    UseTable1toincreaseantiinflammatoryfoodsinyourdietandreduceproinflammatory

    foods.Althoughnotaweight lossdietinitself,manypeoplefinditeasiertomaintaina

    healthyweightonthistypeoffoodregimeandmostloseweight.

    NotethatthetableisheadedMOREandLESS,becauseitisallaboutbalance.Thereisno

    onefood

    that

    is

    all

    good,

    or

    all

    bad.

    Bananas,

    for

    example,

    raise

    blood

    sugar

    levels

    but

    areasourceofpotassiumandfibre.

    Balance! Or,asColinsfatherusedtosay:Moderationinallthingsincludingvirtue!

    Table1 Antiandproinflammatoryfoods

    EATMORE EATLESS

    Fruits Red/black/purplefruits,allberriesinc

    strawberries,raspberries,blackberries,

    blueberries,

    elderberries,

    blackcurrants,

    citrus,plums,cherries,grapes

    Therearenofruitsweshouldeatlessof

    Veg Broccoli,chard,spinach,cabbage,collards,

    kale,onions,carrots,sweetpotatoes,garlic,

    peppers,mushrooms,courgettes(zucchini),

    celery,asparagus

    Potatoesorpotatoproducts,cornorcorn

    products,unlessyouareveryactivephysically

    Legumes

    Legume

    products

    Lentils,beans,peas

    Tofu(fromsoybeans),dhal(fromlentils),

    hummus(fromchickpeas)

    Herbsand

    Spices

    Turmeric,garlic,ginger,cayenne,chilli,curry

    powder,basil,thyme,blackpepper,

    cinnamon,oregano,rosemary,nutmeg

    Salt

    Fatsandoils Oliveorrapeseed(canola)oil Othervegetableandpalmoilsincsunflower.

    Hardmargarines.

    Fish Salmon(ifwild),herring,tuna,mackerel,

    sardines,pilchards,trout,oysters

    Deepfried

    fish,

    fish

    fingers

    Meat Game,grassfedbeef,mutton&lamb,free

    rangechicken

    Intensivelyfarmedbeef,porkorpoultry.

    Sausages,burgers,bacon,curedmeatssuchas

    hotdogs,salami

    Dairyproducts Realcheesesespeciallygreen&blue,plain

    yoghurt,particularlylive

    Sweetenedyoghurt,icecream

    Breads Wholemeal&ryeinmoderation,although

    physicallyactivepeoplecaneatmore

    White(refined)flourproducts

    Cereals Brancereals,noaddedsugarmuesli,porridge

    oats

    Cornflakes,allsugaredcereals

    Biscuitsand

    snacks

    Crisps,chips,pretzels,biscuits,cookiesandpies

    Pastaand

    grainsWholemeal

    pasta,

    brown

    rice,

    quinoa

    White

    rice,

    white

    pasta,

    gnocchi

    Nutsandseeds Eatinmoderationtheyarefullofomega6

    fattyacids

    Saltedandroastednuts

    Sweeteners Preferintensenaturalsweetenerssuchas

    steviaifneeded.

    Sugar,honey,syrup,molasses

    Dessertsand

    sweets

    Darkchocolate Mostsweetsanddesserts,icecream,baked

    pastries

    Drinks Fruitandvegetablejuices,tea,coffee,milk,

    moderateredwine

    Sugarsweetenedsoftdrinks,colas,spirits

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    Somecookingtips

    UsefewerOmega6polyunsaturatedplantoils;switchto(monounsaturated)oliveoilor

    rapeseedoil.

    Reducefoodscookedathightemperatures(grilled,fried,barbecued,roasted).Instead,

    stew,slowcook,stirfryorsautquickly.

    Steamormicrowavevegetables.

    Rubjointsforroastingwiththymeand/ororeganowhichhelpscounteracttheformation

    ofAGEproducts.NeverusehoneytocoatorglazemeatasthisencouragesAGEs.

    ANTIINFLAMMATORYACTION2:Takeanantiinflammatorysupplement

    AconventionaldailyAZvitaminandmineraltabletprovidesabaselineofthosemicro

    nutrients

    for

    which

    there

    are

    Recommended

    Daily

    Amounts

    (RDAs),

    but

    will

    do

    little

    or

    nothingtoreducechronicinflammation.

    Thisisonereasonwhystudiesonsimplevitaminandmineralsupplementsgenerallyshow

    noreductioninagerelateddisease.

    TheAmericanCancerInstitutenowrecommendsnineportionsoffruitandvegetablesa

    day.Ifthisistoomuchforyou,youcanmovethebalanceofyourdiettowardsanti

    inflammatorystatusbychoosinganutritionalsupplementthatincludesmorethanthe

    conventionalvitaminsandminerals.

    Itshould

    also

    include

    potent

    anti

    inflammatory

    compounds

    such

    as

    Omega

    3fish

    oil,

    curcumin,greenteaandgrapeseedflavonoids.

    Drawingonover30yearsofresearch,Paulhasdesignedasupplementprogrammethat

    combinesantiinflammatorynutrientswithanAZrangeofvitaminsandmineralsat

    levelsandinformsthatresearchindicatesareoptimal.

    TheformulaisincludedasAppendix1.Ithasbeentestedunderpharmaceuticallaboratory

    conditionsandtheresultsshowedthatcellinflammationmarkerswereessentially

    eliminatedatthelevelsusedinthesupplement.

    Asyougetoldertypicallyover45to50inflammationtendstoincrease,soitthen

    makessensetoaddadditionalantiinflammatoriesandothernutrientsthatresearch

    indicatescanhelpprotecteyes,brain,heartandcellularhealth.

    Thesewouldcertainlyincludelycopene,lutein,andbetacarotene,allcarotenoidswhich,

    amongstotherbenefits,helpmaintainnormalcellsignallingfunction.Cellsneedto

    communicatewitheachothertofunctionproperlyanderrorsincellsignallingcanleadto

    cancer.PubMed,theonlinepublishingarmoftheAmericanNationalInstitutesofHealth,

    confirmsthat

    carotenoids

    can

    be

    useful

    in

    the

    prevention

    of

    cancer

    and

    other

    degenerativediseases.

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    ItwouldalsoincludecoenzymeQ10whichparticipatesintheproductionofenergyinthe

    mitochondriathetinyenergyfactorieswithineachcell.Q10hasresearchsupportfor

    cardiohealthandisavailableasamedicineinsomeEuropeancountries.Itsroleappearsto

    beinhibitedbystatins.

    Itwould

    also

    include

    soy

    isoflavones.

    The

    Journal

    of

    the

    National

    Cancer

    Institute

    in

    2003

    concludedthathigherintakeofsoyfoodslikemisosoupandtofuintheJapanesedietwas

    linkedtolowerlevelsofbreastcancer.Otherepidemiologicalstudiesshowarelationship

    betweenhighsoyconsumptionandlessincidenceofprostatecancer.

    Finallyitwouldcertainlyincludebetaine,whichhelpslowerabloodproteincalled

    homocysteine.Elevatedlevelsofhomocysteineareassociatedwithahigherriskofheart

    disease.

    Theseadditionscreateanevenmoreantiinflammatory'cocktail'andallround

    preventativehealthcare.

    See

    Appendix

    2.

    ThesupplementslistedatAppendices1and2aredesignedtocombinethemost

    protectiveelementsfromthehealthiestdietsasidentifiedbylaboratoryand

    epidemiological(populationbased)research.Sincesomeofthenutrientslistedareless

    familiar,orhavemultiplebenefits,hereisalittlemorebackground.

    Omega3

    WelearnedabouttheimportanceofOmega3fattyacidsearlier,butOmega3hasother

    anti

    inflammatory

    benefits.

    A2012studycarriedoutatOhioStateUniversityandpublishedinBrain,Behaviourand

    ImmunityfoundthataslittleasfourmonthssupplementationwithOmega3was

    associatedwithanincreaseinthelengthoftelomeresinimmunesystemcells.

    Whataretelomeresandwhydoestheirlengthmatter?TelomeresaresequencesofDNA

    attheendofchromosomes,sometimeslikenedtothetagsattheendofashoelace.

    Withoutthetagsthelacewouldunravelandwithouttelomeres,cellscannotdivide.

    Telomeresgetshorterandshorterascellsreplicateanddie.Indeedsomeresearchers

    measureageingbytheshorteningoftelomeres.Oncethetelomereistotallyconsumed,

    thecelldies.Anynutrientthatcanreducetherateatwhichtelomeresshorten(oreven

    reversetheprocess)isthereforepotentiallyexcitinglongevitynews.

    TheleadresearcheratOhioStatecommented:Ourfindingsstronglysuggestthat

    inflammationiswhatisdrivingthechangesinthetelomeres.

    Otherantiinflammatorycompoundsalsoplayarole.Thenutrientslycopene,lutein,

    vitaminEandtheflavonoidsandisoflavonesareimportanthere,asarethemineralszinc,

    manganese,copperandselenium,theessentialcofactorsfortheantioxidantenzymes.

    Soincludetheminanyantiageingprogramme.

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    Beyondapossibleroleinlongevity,theresearchonOmega3isextensiveandshowsthatit

    isahighlyimportantnutrientforheart,jointandbrainhealth.

    Curcumin

    Derived

    from

    turmeric,

    the

    yellow

    spice

    which

    is

    used

    in

    curry,

    and

    a

    member

    of

    the

    ginger

    family,ithaspotentantiinflammatoryandantioxidantproperties.Inanimalstudiesithas

    beenshowntoinhibitthedevelopmentofcanceranddementia.

    Intriguingly,thoseareasinIndiawiththehighestintakesofcurcuminappeartohavethe

    lowestratesofageadjusteddementia.Asaresultoftheseandotherfindingshumantrials

    areunderway,andstartingtoproduceencouragingresults.

    Curcuminisbestabsorbedinthepresenceofoil,sotakingitwithafishoilcapsuleis

    logical.AsitprotectstheOmega3fattyacidsfromoxidationinthebody,thecombination

    makes

    good

    sense.

    VitaminD3

    VitaminD3isagoodexampleofhowtheformofavitaminmatters.Someformsofsome

    vitaminsaremoreeffectivethanothers.VitaminD3ispreferredtoD2onthosegrounds.

    VitaminDisreallyahormoneratherthanavitamin,andisvitalforthenormalfunctioning

    ofeverysysteminthebody,includingtheimmunesystem.

    PeoplewithinsufficientDappeartobemorepronetoinflammation;conversely,people

    with

    adequate

    levels

    of

    D

    in

    their

    bodies

    have

    a

    lower

    risk

    of

    cancer,

    arthritis,

    heart

    disease,dementia,autoimmunedisease,depressionandosteoporosis.Thereiseven

    evidencesuggestingthatahealthyDstatusmayhelpmaintainahealthyweight.

    Dresearchalsoprovidesagoodexampleofthecriticaldifferencebetweendeficientand

    insufficientordepleted.

    DatafromtheUSNationalHealthandNutritionExaminationSurveyfoundthat9%of

    childrenacrosstheUSAwerevitaminDdeficient,(ie.didnotreachtheRDAlevel).

    However,astaggering61%(50.8millionchildren!)werevitaminDinsufficientordepleted

    (ie.had

    levels

    that

    were

    insufficient

    to

    afford

    protection).

    WeexpectedtheprevalenceofvitaminDinsufficiencywouldbehigh,butthemagnitude

    oftheproblemnationwidewasshocking,saysleadauthorJuhiKumar,afellowin

    paediatricsattheAlbertEinsteinCollegeofMedicine.

    ThereisnoreasontosupposethatthesituationisanybetterinWesternEurope.

    DrClaytonhasbeenmakingthepointformanyyearsthatinasedentarypopulationwith

    lowenergyrequirements,andwhere2000to2500caloriesperdayisconsiderednormal,

    itisnolongerpossibletogeteverythingneededforlongtermhealthfromevenawell

    balanceddiet.

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    Thewellbalanceddietwillgenerallypreventoutrightdeficiency,butitwillnotprevent

    micronutrientandphytonutrientdepletion,andthuscannotprotectagainstchronic

    inflammation,ordegenerativedisease.

    VitaminK2

    VitaminKiswellknownasanessentialbloodclottingagentbutitisalsocriticalinthe

    controlofcalciuminthebody.InsufficientKdamagesthebodysabilitytobuildcalcium

    intothebones,ortokeepcalciumfromdepositinginourarteriesandsofttissues.

    Thereareseveralformsofthisvitamin.VitaminK1occursinleafygreenplantssuchas

    spinach,chard,kale,saladgreens,parsley,mustardgreensandbroccoli.AbsorptionofK1

    fromthesesourcesispoor,atonlyabout20%;anditdoesnotstaylongintheblood,

    whichmakesitrelativelyineffectiveatbuildingbonesandprotectingarteries.

    K2

    is

    derived

    from

    cheeses

    such

    as

    quark

    and

    the

    blue

    and

    green

    cheeses,

    and

    occurs

    in

    highlevelsinthefermentedsoydishcallednattoaJapanesedelicacyfewWesterners

    haveexperienced(orenjoyeditisaveryacquiredtaste!).K2isverywellabsorbedand

    remainsinthebloodstreamforhoursatatimemakingitamuchmoreeffectiveboneand

    cardiovascularprotector.K2ismoreexpensivethanK1,whichiswhyitisrarelyfoundin

    massmarketsupplements.

    ANTIINFLAMMATORYACTION3:Speeduptoslowdownageing

    Moderateexercise

    increases

    your

    health

    prospects,

    in

    part

    because

    it

    has

    anti

    inflammatoryeffects.Thestandardadviceistotake30minutesofexercise,fivetimesa

    week,atalevelthatraisesyourheartrate.

    Peoplewhoexerciseataroundthislevelhavelowerratesofheartdisease,cancer,

    diabetesanddementia.

    However,youcanoverdose.Intenseexercisecantriggerinflammationandexcessivefree

    radicals,sotakeantiinflammatorysupplementstocounternegativeeffects.

    ANTIINFLAMMATORYACTION4:Loseweightifyouneedto

    Ifyoucarryexcessweight,slimdowninagradualandsustainableway.Thereisevidence

    thatyoyodietingisintrinsicallyproinflammatory,soavoidcrashdiets.

    Supportanyweightlossregimewithasupplementthatincludesafullrangeofanti

    inflammatorynutrientsandphytonutrients,asthesealltendtobelowincalorie

    restricteddiets.

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    ANTIINFLAMMATORYACTION5:Makesuretheacuteinflammationresponsefully

    clearsinfection

    Ifaharmfulmicroorganisminvadesthebodyandtheacuteinflammatoryresponseis

    insufficienttoclearthatthreat,theinfectiousagentmaylingeron.Thebodywillthen

    switchovertoachronicinflammatoryresponsethat,asyouknowbynow,willeventually

    leadtoseriousdiseases. Thisiswhy,forexample,poororalhygieneandsubsequent

    chronicgingival(gum)inflammationarelinkedtoheartdisease.

    Itisthereforeimportanttoensurethatyouracuteimmuneresponseisefficientinfully

    clearinginfections.Themosteffective(andnatural)waytoboostyourimmunityistotake

    13,16betaglucans.Thesearepolysaccharides,derivedfrombakersyeast,thathave

    beenproventoincreasetheeffectivenessofyourfrontlineimmunesystemdefence

    againstbacteriaandviruses.

    The13,16betaglucans(nottobeconfusedwiththe13,14betaglucansinoatsand

    othercereals)havebeentestedagainstawiderangeofpathogensfromE.colitoflu

    virusesandeventhedeadlyanthraxbacillus,andshowntobehighlyprotectiveagainstall

    ofthem.

    WhentheCanadianDepartmentofDefencewassearchingforanimmuneenhancerthat

    couldhelpcounteractradiation,theytestedover100productsandonebetaglucan

    extractcameoutontop.ThiswasapatentedingredientcalledWellmune,anditisthe

    mainingredientintheimmuneenhancersupplementcalledImmunoShield

    www.immunoshield.com.

    Acomprehensiveantiinflammatorysupplementwillhelpreducelongtermchronic

    inflammationanda13,16betaglucansupplementisdesignedtoenhancetheimmune

    systemsshorttermacuteresponse.Thecombinationhasexcitingpotential.

    Andfinally

    Stopsmoking(butyoualreadyknewthat!)andminimiseexposuretoairpollutionwhere

    possible.If

    you

    live

    in

    acity

    where

    air

    quality

    is

    an

    issue,

    you

    should

    seriously

    consider

    an

    antiinflammatorysupplement.

    Itreallyworks

    Astudyina2004issueofMetabolismmagazineshowedthatadietrichinanti

    inflammatoryfruits,vegetablesandwholegrainsandreducedinrefinedflours,sugarsand

    saturatedfats,ledtoa45%averagereductionininflammationlevelsasmeasuredbyCRP

    injusttwoweeks.Moreover,thesupplementsdetailedonthenexttwopageseffectively

    eliminatedinflammation

    in

    cell

    tests.

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    APPENDIX1

    DrClaytonsrecommendedsupplementformulaforages30to50

    isNUTRISHIELDESSENTIALS

    www.nutrishield.com

    Nutrient Level Function

    Omega3 650mg Antiinflammatory,hearthealth

    Greenteaextract 150mg Antiinflammatory&antioxidant

    Curcumin 250mg Antiinflammatory&antioxidant

    Grapeseedextract 100mg Antiinflammatory&antioxidant

    VitaminC 500mg Antiinflammatory&antioxidant

    NaturalVitaminE 55mg/83IU Antiinflammatory&antioxidant

    VitaminK1

    VitaminK250

    mcg

    25mcg

    Antiinflammatory

    at

    high

    doses.

    K2

    is

    themostpotentform

    VitaminD3 20mcg Importantimmunesystemsupport

    Selenium 150mcg Antiinflammatory&immunesupport

    Chromium 120mcg Supportstheactionofinsulin

    Zinc 10mg Essentialtobuildantioxidantenzymes

    Magnesium 114mg Essentialinmanymetabolicreactions

    Iodine 100mcg Essentialtoproducethyroidhormones

    Copper 1mg Acofactorforantioxidantenzymes

    Calcium 177mg Importantinboneformation

    Manganese 2mg

    Aco

    factor

    for

    anti

    oxidant

    enzymes

    Molybdenum 40mcg Acofactorforseveralvitalenzymes

    VitaminA 800mcg Importantinimmunefunction

    VitaminB1 7.5mg Helpsconvertfoodintoenergy

    VitaminB2 7.5mg Essentialtometabolisefoodforenergy

    VitaminB3 15mg HelpsboostprotectiveHDLcholesterol

    VitaminB5 11.25mg Helpsconvertfoodintoenergy

    VitaminB6 7.5mg Essentialtometabolisefoodforenergy

    Biotin(B7) 150mcg Helpsconvertfoodintoenergy

    FolicAcid(B9) 200mcg Providesvitalmethylgroups

    VitaminB12 6.75mcg Antiinflammatory

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    APPENDIX2

    Peopleoverabout50orwithaparticularlystressfullifestyle

    shouldconsiderNUTRISHIELDPREMIUM,whichADDSthe

    followingnutrientstothoseinEssentials.

    www.nutrishield.com

    Nutrient Level Function

    CoEnzyme

    Q10

    30mg Antioxidantmitochondrialhealth

    Soy

    Isoflavones

    40mg Antiinflammatorymayalsohelpnormalisedamagedcells

    Betaine 450mg Providesvitalmethylgroups;lowersdangeroushomocysteinelevels

    Betacarotene

    7mg

    Antioxidant,

    anti

    inflammatory

    Lutein 6mg Antioxidant.Eyehealth

    Glucosamine 415mg Workstohelpbuildconnectivetissue,workingtogetherwithvitaminsKandD

    Zeaxanthin 42mcg Antioxidant,eyehealth

    Cryptoxanthin 49mcg Antioxidant

    Lycopene 5mg Antioxidant.Mayprotectprostate,brainandgastrointestinaltract

    Notethatmen,andwomenafterthemenopause,generallydonotrequire

    supplementaliron,asexcessironinthebodyisproinflammatory.Womenbeforetheir

    menopausedo

    need

    iron

    in

    their

    supplement.

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    APPENDIX3

    LABORATORYTESTS

    Testresults

    on

    NutriShield

    can

    be

    seen

    at

    http://univite.com/Nutrishield/documents/VivacellSummaryWeb.pdf

    TheindependentlaboratoryVivacellinGermanyusedtheindustrystandard

    inflammatorybiomarkersInterleukin1beta(IL1beta),TumorNecrosisFactor(TNF

    alpha),Interleukin6(IL6),Interleukin8(IL8),ProstaglandinE2(PGE2)andIsoprostane

    8(IsoPGF2alphaIsoprostan).

    Thereportsupportstheconvictionthatonlyacombinationofnutrientsthatmimicsan

    idealdiet

    can

    be

    truly

    effective.

    Thereportconcluded:

    OurdataclearlyprovideevidencethatNutriShieldcreatespotentantiinflammatory

    andantioxidanteffects.

    NutriShieldisthereforeabioactivenutraceuticaltobeusedtohelpprevent

    inflammatorydiseaseofanykind.

    OurdatafindasynergisticeffectoftheseveralingredientsofNutriShieldsincethe

    combinationwasmoreeffectivethanthesummaryofthesingleingredients.

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    WHATNEXT?

    YoucanvisittheNutriShieldwebsiteatwww.nutrishield.com

    DrPaulClaytonhaswrittenaverywellreviewedandhighlyrecommendedbestseller

    calledHealth

    Defence,

    which

    you

    can

    buy

    from

    www.healthdefence.com.

    Healsohasawebsiteatwww.drpaulclayton.com

    APersonalNotefromColinRose

    About Health Defence

    Dr Paul Clayton has developed a multitude of creative and innovative solutions forthe promotion of human health and wellbeing.

    David RichardsonVisiting Professor, Food and Nutrition Science

    University of Newcastle on Tyne

    This book is a must for everyone

    it will educate and inspire.What Medicine? Magazine

    My parents died too young and I have always been interested in the impact of dietand lifestyle on health. When I met Dr Paul Clayton 10 years ago I recognisedsomeone who was more knowledgeable about nutrition and health than anyone I hadever met or read. He was clearly passionate about improving the nations health.

    I suggested he write a book capturing his knowledge and advice. It was eventuallypublished as Health Defence,and it contained a well-documented rationale forsupplementation which was extended in a series of papers he co-authored in theJournal of the Royal Society of Medicine.

    But no existing supplement came close to meeting his specifications, so I decided tofound a company to develop one (called NutriShield) to fill that gap.

    The logic and book came first, and the supplement followed. We assumed thesupplement would be for people of 50 years and over. But a mountain of research,and increasing rates of degenerative disease in younger age groups, has now led to

    the realisation that the need for an anti-inflammatory programme starts much earlierthan that, particularly for vulnerable individuals.

    Consequently we believe there is a requirement for two levels of anti-inflammatoryand anti-oxidant support; one for the younger person living fairly healthily, and asecond for older subjects, and those younger folk who dont have the time orinclination to live as well as they should.

    Dr Paul Clayton stills consults for the company that I founded in order to produceNutriShield, but he has no financial interest in that company or its products. Heremains an independent health researcher.

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    ENDNOTE

    Thescienceisstillunderconstruction,butmostscientistsnowbelievethatchronic

    inflammationis

    at

    the

    core

    of

    almost

    all

    of

    the

    degenerative

    diseases.

    As

    aresult,

    chronic

    inflammationisbeingtargetedbythepharmaceuticalindustry,andindustrialteamsare

    tryingtodevelopnewsyntheticantiinflammatorydrugs.

    Ourviewisthatthisisadeadend.Drugshaveanoverwhelmingtendencytoproduce

    adverseeffects,andmoreoftheseemergethelongerthedrugsareused.Veryfewdrugs

    aresafeenoughtobeusedforlongtermprevention.

    Inanycase,whywaitforthenextcropofartificialdrugswhenyoucouldbeeatinga

    naturalharvestoffruits,vegetablesandoilyfish?Thedietandsupplementcombination

    detailedhere

    is

    inherently

    safe,

    and

    likely

    to

    be

    far

    more

    effective.

    Evidenceforthiscomesnotonlyfromthetestsandextensiveresearchbehindthisbook,

    butfromthemidVictorians.Theyateadietcontaininglevelsofantiinflammatory

    compoundsroughlytentimeshigherthanwedo.Asaresult,theywerealmostimmuneto

    degenerativedisease.Heartattacksandcancerwereknownbuttheywererare,occurring

    atlessthan10%ofthelevelswethinkofasnormaltoday,andmostmidVictorianshada

    healthyoldage.

    Livinginthewaythatwedotodayalmostguaranteesthatouroldageisincreasingly

    compromisedby

    disability

    and

    disease.

    Manyofusmightliketheideaoflivingforlonger,butnotatanycost.Theprospectof

    extendingourhealthylivesseemsmuchmoreattractivequalityoflifenotjustlengthof

    life.

    Thechancesofachievingthisaregreatlyenhancedbypreventingchronicinflammation.

    Chronicinflammationislikeaseriesofslow,smoulderingfiresthatgraduallyburnaway

    healthytissueanddriveustowardsillness,disabilityandprematuredeath.

    CRPand

    the

    other

    tests

    are

    fire

    alarms.

    The

    right

    diet,

    supplements

    and

    lifestyle

    provide

    youwithasetoffireextinguishers.

    Nowitsuptoyou.

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    REFERENCES

    ClaytonP,RowbothamJ.HowthemidVictoriansworked,ateanddied.IntJEnvironResPublicHealth.2009Mar;

    6(3):123553.

    CutoloM,SerioloB,VillaggioB,PizzorniC,CraviottoC,SulliA.Androgensandestrogensmodulatetheimmune

    andinflammatoryresponsesinrheumatoidarthritis.AnnNYAcadSci.2002Jun;966:13142.

    DuntasLHetal.SeleniumandInflammation.HormoneandMetabolicResearchJune2009

    EspositoK,MarfellaR,CiotolaM,DiPaloC,GiuglianoF,GiuglianoG,D'ArmientoM,D'AndreaF,GiuglianoD.

    EffectofaMediterraneanstyledietonendothelialdysfunctionandmarkersofvascularinflammationinthe

    metabolicsyndrome:arandomizedtrial.JAMA.2004Sep22;292(12):14406.

    GarcaJJ,BoteE,HinchadoMD,OrtegaE.Asinglesessionofintenseexerciseimprovestheinflammatoryresponse

    inhealthysedentarywomen.JPhysiolBiochem.2011Mar;67(1):8794.

    Geleijnse,J.M.etal2004:Dietaryintakeofmenquinone(VitaminK2)isassociatedwithareducedriskofcoronary

    heartdisease:TheRotterdamStudy.AmSocNutrScience.May2004.NutritionalEpidemiology

    JosephJA,ShukittHaleB,DenisovaNA,PriorRL,CaoG,MartinA,TaglialatelaG,BickfordPC:Longtermdietary

    strawberry,spinach,

    or

    vitamin

    Esupplementation

    retards

    the

    onset

    of

    age

    related

    neuronal

    signal

    transduction

    andcognitivebehavioraldeficits.JNeurosci.1998Oct1;18(19):804755.

    KelavkarUP,HutzleyJ,McHughK,AllenKG,ParwaniA.Prostatetumorgrowthcanbemodulatedbydietarily

    targetingthe15lipoxygenase1andcyclooxygenase2enzymes.Neoplasia.2009Jul;11(7):6929.

    KnoopsKT,deGrootLC,KromhoutD,PerrinAE,MoreirasVarelaO,MenottiA,vanStaverenWA.Mediterranean

    diet,lifestylefactors,and10yearmortalityinelderlyEuropeanmenandwomen:theHALEproject.JAMA2004Sep

    22;292(12):14339.

    KournikakisB,MandevilleR,BrousseauP,OstroffG.Anthraxprotectiveeffectsofyeastbeta1,3glucans.

    MedGenMed.2003Mar21;5(1):1.

    deLorgerilM,SalenP,MartinJL,MonjaudI,DelayeJ,MamelleN.Mediterraneandiet,traditionalriskfactors,and

    therateofcardiovascularcomplicationsaftermyocardialinfarction:finalreportoftheLyonDietHeartStudy.

    Circulation.1999Feb16;99(6):77985.

    LouisianaStateUniversity:VitaminCActsasAntiInflammatoryAgentinMen.

    MoriT.Omega3FattyAcidsandinflammation.

    RautiainenS,LevitanEB,OrsiniN,AkessonA,MorgensternR,MittelmanMA,WolkA.TotalAntioxidantCapacity

    fromDietandRiskofMyocardialInfarction:AProspectiveCohortofWomen.AmJMed201;125(10);974980.

    RasouliN,KernPA.AdipocytokinesandtheMetabolicComplicationsofObesity.JClinEndocrinolMetab.2008

    November;93(11Suppl1):S64S73.

    ScarmeasN,LuchsingerJA,MayeuxR,SternY.MediterraneandietandAlzheimerdiseasemortality.Neurology.

    2007Sep11;69(11):108493.

    SimopoulosAP.Theimportanceoftheomega6/omega3fattyacidratioincardiovasculardiseaseandother

    chronicdiseases.ExpBiolMed(Maywood).2008Jun;233(6):67488.Review.

    SinghUetal.VitaminE,OxidativeStress,andInflammation.AnnualReviewofNutritionJuly2005

    StavitskyK,BrickmanAM,ScarmeasN,TorganRL,TangMX,AlbertM,BrandtJ,BlackerD,SternY.The

    progressionofcognition,psychiatricsymptoms,andfunctionalabilitiesindementiawithLewybodiesand

    Alzheimerdisease.ArchNeurol.2006Oct;63(10):14506.

    TeixeiradeLemosE,OliveiraJ,PscoaPinheiroJ,ReisF.Regularphysicalexerciseasastrategytoimproveanti

    oxidantandantiinflammatorystatus:benefitsintype2diabetesmellitus.OxidMedCellLongev.2012;

    2012:741545.