Case Report: Supplementation and Dietary Modification for Histamine Intolerance

This is the account of a 24-year-old Caucasian female diagnosed with histamine intolerance by a chiropractic physician. This case should be of interest as it is not a condition which is routinely considered. Following years of a variety of seemingly diverse symptomatology, including suspected cerebrovascular accidents which were unable to be confirmed medically, objective data in the form of an advanced intestinal barrier assessment and a dietary antigen test were obtained. These tests provided objective verification that the patient had both elevated serum histamine and low diamine oxidase (DAO), both signs of an issue with histamine metabolism. The patient was placed on a low histamine diet, as well as supplemental diamine oxidase, and Histoplex®. After several months of following the recommended treatment, the patient experienced a reduction in her symptoms. Histamine intolerance has the potential to be causative of a wide range of symptoms, and as this case demonstrates can be overlooked by physicians of all disciplines. Consideration of histamine intolerance may need to be added to the list of differential diagnoses in patients that are not responding to other recommended treatments.

Rachel A. Kordonowy, Sean T. Norkus DC, MS, DIBCN, DIBE

Review: A Vicious Cycle: Using Nutrition to Combat the Behavioral Impact of Premenstrual Syndrome and Premenstrual Dysphoric Disorder.

Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are mood disorders experienced by women of child-bearing age who are regularly experiencing their menstrual cycles. Symptoms experienced negatively impact women cognitively, socially, emotionally, and physically. A literature review was performed relevant to the behavioral effects of PMS and PMDD and symptomology. Nutritional and lifestyle interventions with evidence were analyzed and reviewed. Studies indicated that intestinal dysbiosis, the Western diet, inadequacies in omega-3 fatty acids, vitamin D, vitamin B6, iron, sun exposure, smoking, alcohol, and physical activity are linked to symptomology associated with PMS and PMDD. Addressing micronutrient and essential fatty acid deficiencies, intestinal dysbiosis, smoking avoidance, limiting alcohol consumption, promoting physical activity and sunlight exposure, and providing education on PMS and PMDD may improve symptoms associated with these conditions.

Alexandra Trezza, Jeffrey P. Krabbe DC MPH MS DACBN FACN CISSN CSCS

Original Research: Nutritional Knowledge of NAIA Collegiate Women’s Volleyball Athletes.

This observational study analyzed and surveyed the nutritional knowledge of collegiate female volleyball athletes. Participants were required to complete a survey which tested sport nutrition knowledge, track food consumption over a three-day period in a food diary, and share anthropometric data (height, weight, age). Resting energy expenditure (REE) was collected, which al-lowed the calculation of their active energy expenditure (AEE). Collection of this data allowed for understanding of nutritional knowledge, eating patterns, and anthropometrics in women’s collegiate volleyball. Diary entries showed a lack of caloric intake, and in addition, insufficient macronutrient consumption. Survey results reported knowledge was low based on incorrect or inability to answer. Upon review of diary entries and survey results, it was concluded that there is a lack of nutritional knowledge within collegiate female volleyball athletes. Diary entries showed a lack of caloric intake, insufficient macronutrient consumption, and survey results were unsatisfactory.

Tyler LaRosa, Liam Smith, Dr. James Geiselman, DC, MS, DACBN, CCSP, ICSC, CES, CNC, NREMT, EMT-P, Bryan Gatzke, PhD, CSCS, PES, CES

Review: Comparison of the effect of whey protein and soy protein supplementation combined with resistance training.

The current research directly comparing whey to soy protein supplementation following resistance training and its effect on muscle protein synthesis (MPS) is limited. Existing literature comparing the difference between whey and soy protein is equivocal. The purpose of this review is to examine research directly comparing whey to soy protein supplementation regarding muscle protein synthesis following resistance training. A literature review was performed utilizing specific search terms with inclusion and exclusion criteria. It is suggested that differences between whey and soy protein on MPS with resistance training are apparent in experienced resistance training athletes and when the duration of training is 12 weeks or longer.

Thomas Jensen CSCS, Jeffrey P. Krabbe DC MPH MS DACBN FACN CISSN CSCS

Review: The Role of Calcium and Vitamin D in the Treatment of Premenstrual Syndrome

Background: Premenstrual syndrome (PMS) is a wide spectrum of symptoms that affects roughly 75% of women of reproductive age. Methods: A literature review was performed relevant to the effects of calcium and vitamin D on PMS symptoms. Nutritional interventions with evidence were analyzed and reviewed. Results: Studies showed that vitamin D has anti-inflammatory effects and can contribute to healthier stress levels and decreased anxiety and depression. Calcium can help maintain mineral balance and uterine function leading to a reduction in overall luteal phase symptoms. Conclusions: A combination of supplementation with calcium and vitamin D may improve the symptoms of PMS.

Lizmary Rivera Dávila, Marc Lucente DC, MA, DIANM

Review: Evidence-based Recommendations for the Treatment and Management of Ulcerative Colitis

Background: Ulcerative Colitis (UC) is a chronic inflammatory bowel disease involving the mucosa of the rectum that commonly affects those between the ages of 15 and 30 years and is characterized by exacerbations and remissions. Methods: A literature review was performed relevant to the clinical practice of UC utilizing a functional approach to treatment. Nutritional interventions with evidence were analyzed and reviewed. Results: Treatment goals should focus on a combination of symptomatic remission and mucosal healing through correction of nutritional inadequacies and targeted supplementation with sufficient evidence. Support for interventions including a low FODMAP diet, restoration of gut microbiota through probiotic supplementation, and mind-body therapies were discussed. Conclusions: A functional management strategy for UC is suggested that is guided by nutritional interventions that are evidence-based

Derek DeCagna, Jeffrey P. Krabbe DC, MS, DACBN, FACN, CISSN, CSCS

Review: Small Intestinal Bacterial Overgrowth – Concepts and Considerations

Background: Small Intestinal Bacterial Overgrowth (SIBO) is a condition characterized by a change in the number or quality of microorganisms present in the small intestine. It is associated with functional diseases of the gastrointestinal tract, such as irritable bowel syndrome. Methods: Factors affecting the microbiota present as possible risk sources as well as potential treatment approaches. Nutritional intervention could be effectively employed as a treatment protocol for SIBO. Results: A nutritional approach should include restoring the intestinal lining, enhancing nutritional status, and preventing recurrence. Use of the Bi-Phasic Diet Protocol, herbal therapy, and probiotic supplementation is suggested. Conclusions: Nutritional therapy for SIBO should be complex and individualized. A functional approach may be a valid method to treat the condition.

Jennifer Vannoy, Marc Lucente DC, MA, DIANM