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Breaking the Vicious Cycle

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Abstracts of Report on SCD in The Journal of Pediatric Gastroenterology and Nutrition

January 19th, 2005

Journal of Pediatric Gastroenterology and Nutrition Volume 33(3)
September 2001 pp 370-385
Title: Inflammatory Bowel Disease
[Abstracts: North American Society of Pediatric Gastroenterology, Hepatology and
Nutrition 14th Annual Meeting October 25-28, 2001 Orlando, Florida Abstracts]

COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) IN THE TREATMENT OF INFLAMMATORY BOWEL DISEASE (IBD) Hillel Naon and Patrick Donovan, Pediatric GI, Tacoma, WA; and University Health Clinic, Seattle, WA, United States.

The role of CAM in IBD is not well established and patients frequently ask questions regarding their use in this disorder. Side effects and lack of effectiveness of standard therapies are the most common reasons for patients to seek CAM.

Eleven patients (5 males, 6 females), 9 - 17 years old, 4 with chronic ulcerative colitis (CUC), 7 with Crohn's disease (CD) were treated with standard IBD therapy and CAM. Six patients commenced CAM when rectal bleeding recurred after prednisone was discontinued; 3 of these patients were also treated with 6-MP. Three patients commenced CAM when they started standard IBD therapy. The parents of one patient with CD refused any medical therapy and elected to treat with CAM exclusively.

CAM therapy consisted of a full spectrum, high potency multivitamin/mineral without iron favoring high levels of antioxidants; codliver oil providing EPA and DHA fatty acids, vitamin A and D; Marine Care Forte(TM) (concentrated, standardrized botanicals, Boswellia serrata, Curcuma longa, Harpagophytum procumbanas with sea cucumber); L-Glutamine, butyrate (oral and/or enema); ferrous fumarate (Trinsicon(TM) or injectible organic iron; folate; zinc; injectible B12; The Specific Carbohydrate Diet (SCD) as described by Elaine Gottschall, B.A., M.Sc. (elimination diet of complex carbohydrate), and elimination of markedly allergenic foods as determined by IgE RAST and IgG-4
ELISA. CAM therapy lasted from 4 months to 3-1/2 years.

All patients had resolution of rectal bleeding and reported improvement of overall symptoms. Two patients with CUC who discontinued the SCD relapsed, despite continuing with the naturopathic regimen, and medical therapy. Restarting the SCD did not change their symptoms, and remission was achieved with prednisone course. The patient with CD who was treated exclusively with CAM gained clinical and biochemical remission within three months and maintained his remission for two years. He had elevated sedimentaion rate, mild anemia and low prealbumin level two months after his diet was liberalized. He regained remission for 18 months since strict SCD was reinstituted.

Conclusion: There may be a role for CAM in the treatment of IBD. Further prospective studies are necessary to establish this.

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I'm following the "specific carbohydrate diet" book for one year and I have regained my health. I'd been struggling with colitis and the side effects from drugs for years. I'm getting off all the drugs with the help of this diet. Thank You Ms.Gottshall!
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- Anonymous
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