Strengthening immunity through diet

Edit: I just got this link in an email (4/2/20) and since it’s relevant to the topic of this post, I’m adding it here.

Viome is a company that tests stool for microbes and prescribes the superfoods and foods to avoid, as well as supplements, to improve your gut health.

Give Your Gut a Chance: Microorganisms and Your Immune System (https://www.viome.com/blog/give-your-gut-chance-microorganisms-and-your-immune-system).

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Okay, readers, I posted on the basics of the immune system. If you missed that post, click here to read it. Bare bones version: we have an innate immune system that immediately goes to work against pathogens, and a slower adaptive immune system that kills pathogens, remembers them, and confers immunity by producing antibodies to those specific pathogens.

Since SARS-CoV-2 is a novel (new) virus, our adaptive immune systems have nothing to remember, which explains why it is so contagious and why it is taking so many people down. We don’t know yet if this virus will mutate and evade adaptive memory. Can people get it twice? We don’t know.

In this post, I want to explore how what we eat and drink affects our immune systems.

In general, eating lots of fruits and vegetables is recommended for the fiber and nutrient density, as is moderate to no alcohol consumption. Maintaining a healthy weight is also recommended.

There’s a lot that we don’t know yet about the highly complex immune system, but we do know that malnourished people are more vulnerable to infectious diseases, as are the elderly. You of course are aware that you do not have to be living in poverty in a third world country to be malnourished. Diets high in processed foods (a first world problem) can result in malnourishment.

Micronutrients that affect immune responses

The micronutrient deficiencies that have been shown to alter immune responses in animals include the following:

  • zinc
  • selenium
  • copper
  • iron
  • folate
  • Vitamin A
  • Vitamin B6
  • Vitamin C
  • Vitamin D3
  • Vitamin E

Foods high in these nutrients are recommended, and if these foods are unavailable, supplements should be helpful. High quality multivitamin and multimineral supplements can help.

I found this cool website where you can select a micronutrient and see what foods are high in it. Did you know that hemp seeds are high in zinc? I didn’t.

Stomach acid declines with age, which impacts nutrient absorption

Older people are more likely to be deficient in micronutrients. One possible factor is that stomach acid production declines with age. Zinc deficiency, high sugar intake, and eating too quickly also contribute. Stomach acid helps break down food for digestion and absorption of nutrients.

A way to remedy this is to take HCl, hydrochloric acid, with meals. Chewing food thoroughly, limiting processed foods, eating fermented foods, drinking apple cider vinegar in water, and eating ginger are recommended ways to boost stomach acid production without taking an HCl supplement.

The gut microbiome influences the immune system, and vice versa

Seventy to eighty percent of immune cells are found in the gut. The gut microbiome provides antigens and influences immune system cells. Food is a foreign substance introduced into the body, and the immune system decides if it’s beneficial or a threat. These two systems regulate and support each other.

When all is well, the immune system helps maintain stability of beneficial gut microbes, and microbes support the development of immune cells, as well as fine-tuning immune responses.

Keeping the gut microbiome healthy includes:

  • Not taking antibiotics unless absolutely necessary,
  • Consuming prebiotics — nondigestible fiber feeds the health-producing gut bacteria. Eat lots of veggies and fruits for fiber.
  • Eating fermented foods like sauerkraut, yogurt, and beet kvass increases beneficial micro-organisms in the gut.

Improving gut health and reducing gut inflammation (leaky gut)

One concern about the modern diet is that it may produce systemic inflammation through gaps in the cells that line the small intestines. This is called leaky gut, or intestinal permeability. These gut lining cells produce the anti-microbial chemicals that are part of the innate immune system.

Here are some recommendations to reduce gut inflammation:

  • Avoid processed, high fat, and high sugar foods.
  • Avoid common allergens, such as wheat and dairy.
  • Avoid alcohol.
  • Investigate a low-FODMAP diet.
  • Add foods with probiotics (kefir, yogurt, kimchi, etc.) and take probiotic supplements.
  • Add foods with prebiotics (bananas, berries, etc.). Prebiotic supplements are available.
  • Reduce your use of NSAIDs.
  • Reduce your stress level.
  • If you smoke, quit.

Working with a nutritionist can be very helpful.

This is Day 7 of sheltering in place in Austin, Texas. Here’s our case count as of last night. We’ve had another death. We’ve been getting roughly 20 more known cases per day.

Expect the case count to go up quite a bit tonight. There’s a report that a group of 70 people (mostly UT students) in their 20s went to Cabo in Mexico for spring break a week and a half ago, and after returning to Austin, 28 of them have tested positive, so far. About half the cases in Austin are still those ages 20-40.

Here’s a poignant video showing the empty streets of normally bustling Austin. The sentiment at the end says it all.

Feeding your gut microbes a new key to health

Some of the most fascinating revelations in science these days are coming out of the study of microbes living in our guts.

Michael Pollan wrote an 8-page article for the New York Times Magazine about his experience and some of the findings. Excerpts (and click the link just to see the photo of a dirty baby playing with dirty toys, licking the wheel of a toy car):

It turns out that we are only 10 percent human: for every human cell that is intrinsic to our body, there are about 10 resident microbes — including commensals (generally harmless freeloaders) and mutualists (favor traders) and, in only a tiny number of cases, pathogens. To the extent that we are bearers of genetic information, more than 99 percent of it is microbial. And it appears increasingly likely that this “second genome,” as it is sometimes called, exerts an influence on our health as great and possibly even greater than the genes we inherit from our parents. But while your inherited genes are more or less fixed, it may be possible to reshape, even cultivate, your second genome….

A similar experiment [to one performed on mice] was performed recently on humans by researchers in the Netherlands: when the contents of a lean donor’s microbiota were transferred to the guts of male patients with metabolic syndrome, the researchers found striking improvements in the recipients’ sensitivity to insulin, an important marker for metabolic health. Somehow, the gut microbes were influencing the patients’ metabolisms….

Our resident microbes also appear to play a critical role in training and modulating our immune system, helping it to accurately distinguish between friend and foe and not go nuts on, well, nuts and all sorts of other potential allergens. Some researchers believe that the alarming increase in autoimmune diseases in the West may owe to a disruption in the ancient relationship between our bodies and their “old friends” — the microbial symbionts with whom we coevolved….

Yet whether any cures emerge from the exploration of the second genome, the implications of what has already been learned — for our sense of self, for our definition of health and for our attitude toward bacteria in general — are difficult to overstate. Human health should now “be thought of as a collective property of the human-associated microbiota,” as one group of researchers recently concluded in a landmark review article on microbial ecology — that is, as a function of the community, not the individual.

The saying “You are what you eat” can be modified to “Your health is determined by what you feed your gut microbes.”

Although scientists typically like to say there’s not enough data to say something is once-and-for-all proven, it’s good to know how the growing evidence may have influenced them to make changes in their daily lives. Scientists working in this field were asked about how they’ve changed their own and their families’ lifestyles:

  • They don’t take probiotic supplements.
  • They eat a variety of plant foods — fruits, vegetables, and whole grains.
  • They eat more “prebiotics” that encourage the growth of good bacteria — fermented foods like yogurt, kimchi, and sauerkraut.
  • They let their children play in the dirt and with animals.
  • They eliminated or cut back on eating processed foods.
  • They avoid (and help their children avoid) taking antibiotics whenever possible.

Also, they are aghast at the number of Caesarian-section births occurring and recommend vaginal delivery if at all possible, as a means of “inoculating” newborns with their mothers’ bacteria, thus seeding their own gut microbe, enhancing their immune systems, and perhaps giving them an edge on health in other ways.

One of the scientists’ wives gave birth by C-section, and they used cotton swabs to transfer vaginal secretions to the newborn’s skin.

For the same reason, they highly recommend breast-feeding over using infant formula.

Pollan concludes:

I began to see how you might begin to shop and cook with the microbiome in mind, the better to feed the fermentation in our guts. The less a food is processed, the more of it that gets safely through the gastrointestinal tract and into the eager clutches of the microbiota. Al dente pasta, for example, feeds the bugs better than soft pasta does; steel-cut oats better than rolled; raw or lightly cooked vegetables offer the bugs more to chomp on than overcooked, etc. This is at once a very old and a very new way of thinking about food: it suggests that all calories are not created equal and that the structure of a food and how it is prepared may matter as much as its nutrient composition.

This is one of the most fascinating areas of science, with implications that touch everyone, because everyone eats, and it is beginning to look like achieving good health is not as out of reach for many problems as was long thought. I will definitely be posting more on this.