by Christopher Moulton, PhD Pectin is a complex and heterogeneous aggregation of polysaccharides first isolated from plant matter in 1825 by French chemist and pharmacist Henri Bracconot.1 Pectin is the major constituent of all plant primary cell walls, contributing to the plant’s structural integrity and providing a barrier to the external environment. Consequently, pectin is a component of all omnivorous diets. Pectin is known to be a soluble, prebiotic fiber that bypasses human digestion in the small intestine, but is…

by Bianca Garilli, ND In a single year, Clostridium difficile (C. difficile) is responsible for nearly 500,000 infections among patients in the US. Approximately 29,000 of these patients die within 30 days of initial diagnosis of the infection, and 15,000 of those deaths can be attributed directly to C. difficile infection (CDI). C. difficile is now the most common microbial cause of healthcare-associated infection in US hospitals, with excess health care costs in acute care facilities estimated to be $4.8…

by Bianca Garilli, ND Within the first few hours of birth, bacteria are introduced to the infant gut through multiple vectors including maternal skin and vaginal exposure, breast milk, and the external environment. These initial exposures leave a life-long bacterial footprint that can be detected into adulthood.  The importance of early gut imprinting on long term health is substantial and has been well documented.  It includes protection against respiratory and gastrointestinal tract infections, a reduction of atopic disease incidence, and…

Total Patient Care Management: Knowing the Predisposition of Chronic Disease - Robert Martindale, MD, PhD In this presentation, “Total Patient Care Management: Knowing the Predisposition of Chronic Disease,” Robert Martindale, MD, PhD of Oregon Health & Science University discusses how to get ahead of chronic disease in an aging population by reviewing current research and clinical experience. Dr. Martindale explores unique challenges associated with aging, including malnutrition, sarcopenia and anabolic resistance, cognitive decline, obesity and chronic inflammation, and gut/microbiome health.…

Over 75% of overeating can be attributed to emotional factors. Lifestyle habits can translate into an obese phenotype, but understanding the psychological underpinnings of food choices and obesity is crucial to effective obesity management. Deanna Minich, PhD, CNS, FACN, IFMCP is a Functional Medicine-trained clinician and researcher with a unique approach that combines physiology and psychology. In this talk titled “Scientific Understanding and Clinical Strategies for Eating Issues Related to Obesity,” Dr. Minich explores the role of mood in food…

by Bianca Garilli, ND  During the first years of life, an infant’s gut microbiota undergoes rapid colonization, and the microbial diversity of the growing infant results from exposure to a variety of sources.1 These microbiota sources are impacted by a variety of factors, including but not limited to: genetic underpinnings, the mother’s microbiota composition, method of delivery (vaginal vs. cesarean section), hospital and birthing environment, feeding sources (breast vs. bottle), sanitation of environments exposed to, and antibiotic use.1 By 2-5 years…

Most clinicians know that patients who present with complaints and symptoms indicative of gastroesophageal reflux diseases (GERD) can be amongst the most challenging to diagnose since they mimic so many other conditions and, are often the most difficult to effectively treat. Symptoms indicating reflux diseases are also increasingly more commonly being diagnosed  in the clinician’s office and often directly attributed to the weakness of the gastroesophageal juncture (EGJ) which begins at the terminal end of the esophagus and beginning of…

Results from a recent small randomized clinical trial found that a combined probiotic and peanut oral immunotherapy (PPOIT) may potentially be an effective option to manage children with peanut allergy and the treatment effect may last for at least 4 years.1Previously, researchers at the Murdoch Children’s Research Institute (Melbourne, Australia) conducted a randomized, double-blind, placebo-controlled trial to investigate the effect of PPOIT in 62 children with peanut allergy. For 18 months, children received either placebo or PPOIT (2 x 1010 CFU of Lactobacillus…

by Nilima Desai, MPH, RD Research has established that inflammation is a risk factor for several chronic conditions such as diabetes, cardiovascular disease, arthritis, inflammatory bowel disease, and metabolic syndrome.1 But understanding how inflammation works can be overwhelming. Types of Inflammation Inflammation is classified as either acute or chronic. Inflammation is a natural and necessary component of innate immunity since acute inflammation is the normal physiologic response to injury, infection, or irritation1 and is often short-lived. This acute inflammatory process…

Gail Cresci, PhD, RD, LD, CNSc: The Gut Microbiome in Health and Disease 2-part series, "Therapeutic Manipulations of Gut Microbiota – Module 2" In this module Dr. Gail Cresci discusses the therapeutic manipulations of gut microbiota, including methods for managing peptic ulcers. Dr. Cresci explores the use of fecal microbiota transplants to manage recurrent C. difficile infection, as well as the benefits of pre- and probiotics for specific ailments. Dr. Cresci’s research examines the desirable properties of specific probiotic strains, their…