What Physical Effects May Be Less Common?
One study concludes, "Since beer seemed to be protective against kidney stones, the physiologic effects of other substances besides ethanol, especially those of hops, should also be examined. Prolonged use of alcohol has been known to impair the nervous system, heart, liver and the reproductive organs resulting in reduced sexual abilities in adult males. National Institute on Drug Abuse May; 19 6. The economic cost was mostly borne by individuals between 30 — 49 years old. Management of diarrhoea with severe malnutrition".
All his muscles were contracted. He slept with his foot on the floor, because his leg would not stretch out. His arm was contracted to him, against his body.
His fingers were tight and closed. He could not open his hands. They gave him a muscle relaxer. You may remember from Module 1 that movement of the right side of the body is controlled by the left side of the brain, and movement of the left side of the body is controlled by the right side of the brain.
Even bowel and bladder functions are controlled by the brain. For many people with TBI, bowel and bladder functions are impaired in the early days to weeks following injury. Health care providers expect this and are prepared to help.
Urinary catheters and use of diapers or pads may be needed. Bowel and bladder retraining is part of the rehabilitation process. Fortunately, with time and practice, most people with TBI regain control of these body functions. I bought a bunch of pants that snapped down the side, the kind the basketball players wear. It was very accessible — those snap pants were a lifesaver. It took a lot of time and patience. Many people with traumatic injuries do not drink or eat for a period of time.
As a result, they lose weight. Once the person is fully awake and able to follow directions, swallowing can be evaluated. It is important to fully evaluate swallowing before the injured person drinks or eats. When food or fluid slips into the lungs, it often results in pneumonia. A speech or occupational therapist evaluates swallowing. If not, the therapist may escort your family member to the x-ray department for a video fluoroscopy.
Your family member will consume a barium-laced liquid or food that will light up on an x-ray. The x-ray helps the therapist to see precisely where it is going. Most people do best with medium consistencies, rather than thin fluid or very chewy, tough foods. Appetite can be affected. Some people with TBI complain of a reduced appetite. Others gain weight due to boredom, memory problems, and an increased appetite. Visual spatial abilities begin in the brain.
The ability to perceive where you are in space and in relation to other items in the environment may also be affected by TBI. This is called spatial awareness. In the bathroom, I moved everything to the left side of the counter. A person with apraxia can often understand what to do and has the physical ability to do the task. However, his or her body simply has trouble cooperating with his or her best intentions. Seizures can be temporary or chronic.
Late-onset seizures carry a greater risk of future seizures than do early seizures. A neurologist is the member of the health care team who usually diagnoses seizures. He or she will treat seizures with medications. Late-onset seizures can also cause changes in smell, behavior, or personality. Sometimes, people mistake a seizure as a psychiatric disorder.
And the first seizure he had, I thought he was dying. I had no idea what was going on. There are some things - -like if you lack sleep or if you have too much caffeine or if you drink alcohol--that may be triggers for some people.
I think there should be education, too, about the different kinds of seizures, like what they are and what they look like… for me, it was very scary the night Pat had a seizure. Everyone has a seizure threshold, but, for some people, once you have a a brain injury it can drop way down.
Driving laws for people with seizures vary from state to state. Check with your Department of Motor Vehicles to find out what the rules are for your family member if he or she has a seizure disorder. Heterotrophic ossification HO happens when bone forms in an unnatural location, such as in soft tissue or muscle. The questions below can help you reflect on your experience as a caregiver. This is especially beneficial for people suffering from immune disorders or adrenal or chronic fatigue.
Shiitake mushrooms contain many chemical compounds that protect your DNA from oxidative damage — for example, lentinan, a substance that can heal chromosome damage caused by anti-cancer treatments.
In Japan, shiitake mushrooms provide this special chemical component known as lentinan, which is used to prolong longevity and act as a natural treatment for cancer. In addition, revealed in the Journal of Nutrition, shiitake mushroom nutrition benefits include antiviral, antibacterial and antifungal effects, as well as helping to control blood sugar and reduce the symptoms of inflammatory diseases.
Look for them in most grocery stores, especially Asian markets. Cordyceps are sometimes known as anti-aging mushrooms since they can help increase stamina and endurance due to their ability to help the body produce ATP, the primary fuel our bodies run on. They also act as protectors of mitochondria by scavenging reactive oxygen species, inhibiting mitochondrial swelling and increasing the activities of antioxidant substances, which makes them a natural anti-aging food. Cordyceps interfere with how cancer cells make proteins and stop metastatic spread of cancerous tumors.
In addition to being loaded with vitamins, maitake mushroom nutrition benefits are due to special polysaccharide components called beta-1,6 glucan, which stimulates the immune system. They can even help minimize toxic effects of radiation or chemotherapy. In studies, maitake mushroom nutrition is linked to enhanced immunity and the ability to balance hormones naturally and reduce the growth of cancerous tumors.
Maitake mushrooms have even improved the health of AIDS patients and the blood sugar levels of diabetics. They may also reduce hypertension and protect people from heart disease.
Oyster mushrooms are available at certain spatiality food stores, in dried mushroom packages or at some farmers markets. These ordinary mushrooms are super dense with nutrients, including having more copper, potassium , protein and selenium than either oyster or shiitake mushrooms.
Research shows that extracts from creminis can reduce hormonal imbalances and prevent hormone-dependent types of cancer, especially breast cancer. Similar to white mushrooms, porcinis, portabellas and morels are also mushrooms loaded with nutrients and antioxidants, so include in these recipes often too.
Look for fresh or dried mushrooms in grocery stores, health food stores or at your local farmers market, where you might be able to find some rarer types that have their own special benefits. To wash mushrooms, some need just a wipe down with a clean, damp cloth to remove any dirt like shiitake, portobello, crimini and button mushrooms.
But others ideally should be cleaned using a delicate brush like chanterelles. Many people like to store them in a paper bag not a plastic one. This allows air to move in and out, which can keep them in better condition. When it come to cooking mushrooms, each type needs to be handled a bit differently. Dried mushrooms, for example, can be rehydrated by combining them with boiling water and letting them sit for about 15 minutes so they plump up to a larger volume. Fish oil provides a variety of benefits when supplemented, particularly when the ratio of omega-3 and omega-6 fatty acids in the body is almost equal 1: The average diet red meat, eggs, and so forth are high in omega-6 fatty acids, which is why fish oil is recommended to balance the ratio.
A ratio of roughly 1: Fish oil can also decrease the risk of diabetes and several forms of cancer, including breast cancer. Fish oil works primarily through eicosanoids, which are signalling molecules. A proper ratio of omega 3: It should be noted that fish oil can also reduce triglycerides in people with high triglyceride levels. However, it can also increase cholesterol, so care should be taken before supplementing fish oil for this purpose.
Though fish oil is not a stimulant, it increases brain activity, so a stimulatory effect may be felt after supplementation. Most of fish oil's beneficial effects happen over a period of days and weeks, rather than immediately. Post-supplementation "fish burps" can be avoided by consuming fish oil with food, or freezing the capsules before supplementation.
Vitamin E , Milk Thistle because they are anti-lipid peroxidation agents. Curcumin for breast cancer risk-reduction. Fucoxanthin for increasing fucoxanthin's effects. Fenugreek Oil, for reducing after-meal glucose spikes. Fish oil can oxidize if left out in the sun or in heat. Though generally not harmful, it is prudent to refrigerate fish oil. Fish oil can reduce blood clotting and should be supplemented with caution if blood-thinning medications, asprin, warfarin or clopidogrel are already present in the body.
Fish oil doses vary depending on the goal of supplementation. The American Heart Association recommends 1g daily. If the goal of supplementation is to reduce soreness, a 6g dose, spread over the course of a day, will be effective. Since fish oil is a combination of two different fatty acids, these numbers reflect a combined total. Total eicosapentaenoic acid EPA and docosahexaenoic acid DHA consumption should come from a mix of real food and supplements.
Fish oil can be taken throughout the day. To minimize the "fish burp" taste, take fish oil with meals. Pregnant women should increase their intake of DHA by at least mg a day, as long as there is no risk of elevated mercury levels. Right, so I would imagine that supplementing Uridine alongside fish oil would be ideal for anything related to neurology.
This is speculation mind you, hence why the other sections of the page don't outright claim they go well together. The most important sections of this article for overall understanding and comprehension would be the eicosanoid section how fish oil actually does stuff , the nutrient-nutrient interactions for synergism , and immunology fish oil is pretty complex, and isn't just immunosuppressive.
When should I take Vitamin D? Read full answer to "When should I take Vitamin D? Should I take Fish Oil if I am sick? Can I eat flax seeds instead of fish or fish oil for omega 3s? Read full answer to "Can I eat flax seeds instead of fish or fish oil for omega 3s?
Does fish oil actually help heart health? The sheer number of fish oil studies makes it hard to tell if supplementation helps heart health. A recent meta-analysis looked at only the largest randomized trials, and found no benefit. Read full answer to "Does fish oil actually help heart health?
The Human Effect Matrix looks at human studies it excludes animal and in vitro studies to tell you what effects fish oil has on your body, and how strong these effects are.
Studies Excluded from Consideration Confounded with other fatty acids . Fish oil is a term used to refer to a certain solution of fatty acids a component of dietary fat called eicosapentaenoic acid EPA and docosahexaenoic acid DHA ; they are referred to as oils from 'fish' despite a small presence in poultry and presence in neural tissue of all species as serum EPA and DHA concentrations tend to scale with fish intake, with Americans  usally having lower serum levels of these two fatty acids than Japanese  and Inuit Greenland  persons.
Any fish oil product may contain more omega-3 fatty acids that are neither EPA nor DHA for example, the intermediate called DPA  and may contain fatty acids that do not belong to the omega-3 class; exact levels of fatty acids and omega-3 fatty acids depend on the source of fatty acids and processing, and tend to be stated on the label.
Methylmercury contamination    although this is dependent on initial source of the oil fish and company dependent processing. More info in the safety and toxicology section on this topic.
Organochlorine contamination  . Generally any toxin that is released into the water and is fat-soluble in nature and thus can be stored in the tissues of fish has potential to be found in fish oil supplementation.
If possible, fish oil supplements from non-predatory and non-bottom feeding fish such as sardines, herring, or mackerel should be used, as mercury levels used as a standard by which to assess 'contaminants' in general typically are elevated in fish that consume other fish and build up stores of mercury and PCBs   , and bottom-feeders that feed on carcasses of fish and accumulate toxins and minerals. Both fatty acids are similar in structure, although DHA a tad longer eico - refers to a fatty acid with 20 carbons in its chain, while docosa - refers to a carbon chain 22 in length.
Any fatty acid that has a double bond is unsaturated if only once, monounsaturated; if many times like both fish oils, polyunsaturated or PUFA and thus has an omega designation; saturated fatty acids lack double bonds and thus have no omega designation.
The diagram below indicates double bonds via parallel lines. The shortened nomenclature for EPA is For dietary ingestion of EPA and DHA from fish products, there are a few choices; triglycerides, reesterified triglycerides, ethyl ester the pharmaceutical Lovaza , and phospholipid crustacean sources such as Krill oil. Due to fish oil supplements being derived from fish, they are not classified as vegan. Currently, the only significant vegan source of DHA is microalgae phytoplankton  and its supplement referred to as 'algae oil'.
Other vegetarian sources of omega-3 fatty acids tend to have the parent structure of alpha-linolenic acid ALA; not to be confused with alpha-lipoic acid which shares the acronym and significant plant sources of ALA include hemp protein and flaxseed, while supplements with a smaller ALA quantity include Spirulina and Chlorella. As all fish oil supplementation is derived from fish, these products are animal byproducts. Their usage would thus not be vegan. In animal models rats  and primates  a DHA deficiency in critical tissue retina and brain only occurs after restricting multiple generations but does result in functional impairment of the eyes and brain.
An enzyme located on the cellular membrane called Phospholipase A 2 is able to hydrolyze free up a fatty acid from the middle of a glycerol backbone upon activation, and due to both DHA and arachidonic acid being in the middle of a triglyceride frequently they are frequently mobilized by Phospholipase A 2.
The cellular membrane ratio of omega 3 to 6 fatty acids is important as phospholipase A 2 is not discriminatory as to which polyunsaturated fatty acids it releases, and the eicosanoids that are produced when a cell is stressed correlate directly with the polyunsaturated fats that make up the membrane. The standard western diet mostly in reference to the US tends to have a ratio highly favoring omega-6 fatty acids in the range of It has been hypothesized that paleolithic humans had an omega ratio around 0.
Resolvins resolution-phase interaction products  are potent signalling molecules involved in inflammation  derived from omega-3 fatty acids, and those that are derived directly from EPA without requiring metabolism into DHA are referred to as the E series, while those derived from DHA are called the D series. COX1 is inactive in this regard,  acetominophen and indomethacin are unable to exert the same effects.
Protectins are molecules that are produced from DHA and are structurally docosatrienes, alongside resolvins they mediate many benefits associated with fish oil ingestion. Neuroprotectin D1 10,17S-docosatriene of the lipoxygenase pathway . Marisen 1 7,14S-dihydroxy-docosa-4Z,8,10,12,16Z,19Z-hexaenoic acid of the lipoxygenase pathway . Marisen 1 is named after macrophage mediators in resolving inflammation and is present in macrophages and platelets and formed via the actions of lipoxygenase,  but beyond that is not fairly well researched.
Neuroprotectin D1 NPD1 is more well understood. Produced by a lipoxygenase like action  after cleavage from phospholipase A 2  where the metabolite 17 S H p DHA same as the D series of resolvins is converted into a 16 17 -epoxide and then reconfigured to NPD1. While both resolvins and protectins are fatty acid chains derived from EPA or DHA, prostaglandins are characterized by having a pentacyclic ring in their structure ie.
PPARs are fairly general receptors, as their binding site is times larger than other receptors  , which means they have a very general binding capacity. Adenosine monophosphate kinase AMPK is a nutrient signalling molecule that is antagonistic of mTOR and activated in periods of nutrient deprivation; it is also the molecular target of various supplements like Berberine or the pharamceutical Metformin.
The free fatty acid receptor FFA , also known as GRP, is a G-protein coupled receptor rhodopsin-like  with a short amino acids; Activation of this receptor by omega-3 fatty acids is known to secrete some gut hormones Glucagon-like peptide 1   and cholecystokinin  and is involved in insulin sensitization secondary to antiinflammatory effects  and possible anti-obese effects as loss of GRP is a risk factor for obesity and GRP knockout mice are obese .
It has not yet been confirmed whether DHA and EPA are direct agonists of the receptor or whether they work via eicosanoids, although the ability of alpha-linolenic acid to activate the GRP suggests the former.
Although these are free fatty acid receptors, they are not seen as molecular targets of EPA nor DHA due to the long length of fish oil fatty acids.
EPA and DHA tend to be digested and taken up as normal dietary fats, by getting packaged into micelles in the intestines and being subsequently dropped off at fat cells and muscle cells by chylomicrons a transport molecule before the chylomicron remnant goes to the liver. If the fish oils are microencapsulated which occurs in some functional foods to avoid a fishy taste they tend to be absorbed in the upper small intestines  although a large bit is incorporated into the intestinal wall as well.
Bodily loading of fish oil seems to be maximal after approximately 3 weeks of supplementation with no significant difference between doses tested mg EPA and mg DHA. It has been hypothesized that aggression is a symptom of DHA deficiency,  in which case supplemental DHA would alleviate this deficiency. In otherwise healthy persons, DHA appears to prevent excessive aggression in times of stress.
The mechanism for the apparent aggression-stabilizing effects of DHA are unknown, but warrant futher studies since low levels of omega-3 fats in general have been linked to increased incidence of depression. The effects of DHA on depression and stress are observed in the range of 1.
An exception may be schoolchildren, who showed benefit at 3. DHA is investigated for its role in memory formation as higher serum DHA concentrations are correlated with greater verbal fluency skills in older humans  and a deficiency of DHA is known to damage rat memory processing. A meta-analysis on fish oil supplementation and depression inclusive of disease states such as schizophrenia or bipolar disorder  able to assess 28 studies with a dosage range of ,mg EPA and ,mg DHA Postpartum or perinatal depression,      major depression disorder or depression without other cognitive diseases,       depression associated with fatigue,   bipolar disorder,     schizophrenia,  Parkinson's disease,  self-harm,  personality disorders,  or no significant disease state or just mild depression     noted that a higher EPA: DHA ratio was predictive of anti-depressive effects and that the three studies using pure DHA    outright failed to exert antidepressive effects.
Oddly, 1g of EPA supplementation as ethyl ester appears to be more effective than g in one trial  or at least 2g fails to outperform 1g  and the meta-analysis came to the same conclusion where supplemental EPA dose was inversely related to efficacy with higher doses being less effective.
It is plausible that fish oil is an augmentor of antidepressants, as the above meta-analysis did note that most trials conducted in major depression or disease states were also mediated with standard antidepressant drugs such as lithium. Fish oil supplementation is hypothesized to aid bipolar symptoms as reference drugs lithium carbonate and valproate reduce neuronal signal transductance systems   which appears to have been noted with omega-3 fatty acids in regards to arachidonic and phospholipid signalling.
However, despite a preliminary study noting that fish oil supplementation may aid symptoms of bipolar disorder at 9.
A Cochrane meta-analysis on the effect of omega-3 PUFAs in general on people with major depressive disorder found a small benefit equivalent to a 2. EPA from modulating some immune functions associated with stress  and DHA is tied in with aggressive increases during stressful times. A deficiency of omega-3 fatty acids has been noted to reduce glucose metabolism in the brain in rats  thought to be related to reduced GLUT1 transporters  which is amendable with supplemental omega-3 fatty acids in vitro.
As assessed by haemodynamics in functional near IR spectroscopy NIRS where total blood hemoglobin is closely correlated to blood volume and oxygenation rates can be measured  it has been noted that in otherwise healthy young adults not consuming more than one fatty fish product per week who then recieved mg DHA and 90mg EPA for 12 weeks was able to increase cerebral oxygenation during cognitive testing without affecting deoxygenated hemoglobin as total hemoglobin increased ;  this study is duplicated in Medline.
Most epidemiological evidence,     but not all,  suggest a reduced risk of stroke associated with high dietary fish consumption particularly in elderly persons  and following standard dose-response;  this is thought to be related to the omega-3 fatty acids  and particularly DHA. The amount of DHA complexed with phosphatidylcholine in plasma appears to be negatively correlated with the risk of dementia in humans  and high dietary intakes of fish have been noted to be protective against the rate of developing dementia and related cognitive decline disease states in older and middle aged persons.
When assessing older adults, higher cerebral levels of EPA surprisingly, not DHA are related to less atrophy of select brain regions hippocampus, right amygdala when followed over 4 years  and lower erythrocytic EPA and DHA are associated with reduced brain mass in older adults in cohort studies.
In people with Alzheimer's, 2,mg DHA no EPA supplementation from algae over 18 months has failed to benefit cognitive decline  and another study using 1,mg DHA and mg EPA in persons with Alzheimer's for 6 months has failed to significantly attenuate the rate of cognitive decline as assessed by MMSE  and failed to alter neuropsychiatric symptoms both citations are the same trial.
In human studies on age-related cognitive decline that are not Alzheimer's patients, one study found that mg DHA may reduce the rate of cognitive decline  but another study using mg DHA and mg EPA over 24 months found no benefit.
A third study in people with age-related macular degeneration AMD found that mg DHA and mg EPA daily for years failed to prevent cognitive decline as measured by a phone-delivered composite of 8 tests for cognitive decline. Resolvin E1 RvE1 signals for analgesia via the Chem23 receptor, and is active independent of fish oil supplementation injections of 0.
For human studies, supplemental fish oil has been found to reduce pain in persons with inflammatory joint pain as assessed by patient reports and NSAID consumption rescue medication, which was reduced but not by physician reports. In regards to fasting triglycerides TGs; risk factor for cardiovascular disease when elevated , fish oil appears to be both a potent and reliable triglyceride reducing agent for persons with hyperlipidemic high blood TGs.
The meta-analyses that have been published indicate that fish oil is effective for general dyslipidemia 0. Both EPA and DHA are able to reduce triglycerides  and these benefits extend to other sources of DHA including algae oil meta-analysis  and krill oil with comparable potency. When comparing the effects of EPA against DHA when they are used in isolation separate trials , EPA appears to be a tad more effective meta-analysis  concluding a However, studies that assess direct comparisons between DHA and EPA      note superiority with isolated DHA when doses are similar in weight; ie.
It is plausible that this difference is due to EPA traditionally being dosed at a higher quantity than DHA, with fish oils typically following dose-dependence. It is possible for fish oil to reduce LDL cholesterol, but infrequent; it requires the user to not have disturbances in LDL cholesterol in the first place normocholesterolemic   or otherwise augments the LDL-C reducing effects of statin drugs Nutrient-Nutrient Interactions section.
In secondary prevention of cardiovascular disease, a membrane ratio of 4: The mechanistic basis for the improved endothelium-triggered relaxation with n - 3 PUFAs may include the suppression of thromboxane A2 or cyclic endoperoxides, a reduced production of cytokines, the augmented endothelial synthesis of nitric oxide, an improvement of vascular smooth muscle cell sensitivity to nitric oxide, and a reduced expression of endothelial adhesion molecules .
It should be noted that the increases in glucose are not observed at low doses of fish oil supplementation 6g of fish oil conferring 1,mg EPA and mg DHA  and appear to follow dose-dependence, with one study failing to find an influence of 4g fish oil finding an adverse increase with 7.
Other studies note similar results in healthy persons  but did not record phospholipid ratios. In otherwise healthy males, even pairing exercise with fish oil did not yeild any changes to insulin sensitivity that were attributable to the fish oil. Other studies suggest improvement in insulin sensitivity in populations who typically have worse 3: The above mechanism of increasing insulin sensitivity may be by preserving cell fluidity and rheology, or bringing an aberrant omega3: This is supported by Haugaard et al.
Another possible mechanism is merely negating the negative effects on some saturated fatty acids on insulin sensitivity. Palmitic acid is known to induce muscular insulin resistance,  and polyunsaturated fats either omega-3 or 6 can reduce the negative effects of palmitic acid. There appears to be a reduced risk of diabetes associated with a somewhat normalized omega3: