1. NUTRITION IN LYME
and
TICK INFECTIONS
Martin D. Fried, MD, FAAP,
ABPNS
Physician Nutrition Specialist
3200 Sunset Ave Suite 100
Ocean, NJ 07712
www.healthydays.info
3. Leaky Gut from Infection
• Gastritis with foreign protein
leaking into the blood stream
• Examples of immune activation
psoriasis,
IBD, Celiac
Neovascular rashes
4. Inflammation causes
permeable gut
Foreign proteins to
immune system
Crohn’s, Colitis,
Celiac
10. Nutritional Goals
• Minimize Nutritional Risk
• Provide Nutrition
• enhance absorption and tolerance
• Maintain intestinal integrity
• Favorably alter intestinal flora
• Regulate immune system favorably
• Address fatigue and obesity
11. Nutritional Goals
• Minimize nutritional risk by providing:
adequate calories, protein,
carbohydrates
healthy fats, vitamins
and minerals
12. Provide Nutrition to Enhance
Absorption and Tolerance
• Whey verses Casein properties of milk
• Whey empties faster (reference 1)
• Casein delays gastric emptying
• In cases of Neurologic conditions affecting
gut motility, whey protein is preferred
• Mixture of protein sizes of varying length
helps absorption due to dual transport of
Proteins (reference 2)
13. Lyme and IBD, Celiac
• Genetic predisposition
• Environmental trigger (infection)
• albumin, protein absorption, folate
• Calcium and fat
• Consider Zinc and Iron deficiencies
(references 3-6)
19. Celiac vs Food Intolerance
• Celiac is Autoimmune to wheat, rye,
barley
• Gluten, Genetics and Environment
• Allergy is IgE mediated
• Celiac is non IgE mediated
20. Celiac Disease
Enzymes lost in disease malabsorption affected:
Lactase milk sugar
Sucrase table sugar
Maltase Simple starch
Glucoamylase Complex starch as rice
22. Alter GI Flora Favorably
• Minimize Clostridium difficile - colitis
• Reduce Candida albicans – yeast overgrowth
• Short chained Fructoligosaccharides (scFOS)
• Promote growth of Bifidobacteria
• Lactobacillus acidophillus
23. Clostridium difficile
• C. difficile is normal bacterial flora
• Antibiotics kill lactobacilli, bifidobacter
• C. difficile overgrowth occurs
• C. difficile elicits – Toxin A and Toxin B
• Pseudomembranous colits
• Treat with Metronidazole and
pre/probiotics
27. Prebiotics
• Natural Carbohydrates not digested
by : amylase, sucrase and maltase
• scFOS
• Sources include banana, garlic,
onion, leeks, whole wheat, asparagus
and tomato products
28. Keeps yeast and C difficile in check
Lowers the pH in the colon
Acidic environment is bifidogenic
29. Foods with sc FOS
• Soluble Fiber in Fruits and
Vegetables
• Fermented in colon to short chain
Fatty acids by normal colonic flora
(refer 8,9)
• banana onions
• garlic asparagus
• Barley wheat
37. Conclusions
• Lyme, Bartonella, Mycoplasma cause
inflammation and changes in the GI
tract
• Prevent yeast, c. difficile overgrowth
with prebiotics and probiotics
• Address specific nutritional
deficiencies
• Consider omega three foods to down