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Lyme Disease & Mold Illness: Multiple Sclerosis How To Diagnose
In this blog, you will learn how multiple sclerosis is diagnosed as well as hidden root causes:
- How an underlying viral infection, Lyme disease and mold illness can be linked to, and even trigger, Multiple Sclerosis (MS)
- How biotoxins from Lyme or mold can cross into the brain and damage cells, causing neurological symptoms
- How this cell damage can trigger an autoimmune reaction and bring on symptoms of Multiple Sclerosis
- How we can address and correct Multiple Sclerosis using a Functional Medicine approach to Lyme disease or mold illness
Do your clients suffer from poor coordination, memory issues or neurological symptoms? Do they have Multiple Sclerosis and struggle to perform normal daily activities? Then this blog is for you, as we present one possible missing link to treating Multiple Sclerosis (MS). Please read on for the details!
Do you get stuck clinically with symptoms of Multiple Sclerosis with your patients? Would you like to have a larger impact on improving neurological or coordination issues? The key to MS treatment may be an individual approach using nutrition, lifestyle and exercise. If you want to improve your patient’s quality of life, you need a customized approach to address each patient’s unique needs. Our functional medicine course will teach you how to do this. Look into our functional medicine school (mindbodyfunctionalmedicine.com): we will educate you to have a greater impact on improving your client’s lives.
** Please note: If you want the short summary version of this article, then please click here **
Multiple Sclerosis (MS) is an inflammatory disease of the central nervous system. It is an autoimmune condition. The immune system goes into overdrive and mistakenly attacks the myelin sheath. Myelin is a protective layer around nerves, like the rubber layer around an electrical cord. Myelin increases nerve signaling. When myelin is damaged, nerve conduction and signaling is compromised. This leads to neurological symptoms that affect the brain or spinal cord of the nervous system.
The most common symptoms of MS include fatigue, numbness and tingling, blurred vision, double vision, weakness, poor coordination, imbalance, pain, depression and cognitive problems with memory and concentration. Less frequent but possible symptoms include tremor, paralysis or blindness (National MS Society, 2020). MS is progressive and typically debilitating, although occasionally it can be mild. MS leads to substantial disability in more than 50% of patients (Martin R, 2001).
Multiple Sclerosis Facts:
- Nearly one million people had MS in the US in 2019 (MS Association of America, 2020).
- The average risk of developing MS in the US is approx. 3.5 in 1,000, or less than 0.5% (MS Association of America, 2020).
- Risk factors include being female, low vitamin D levels, cigarette smoking, obesity and viral infections (Tarlinton RE, 2020) and (Thompson AJ, 2018).
- Underlying genetic and environmental factors (toxins, infections, the immune response) affect your likelihood of developing MS.
- MS is most common in Caucasians of northern European ancestry (National MS Society, 2020).
Multiple Sclerosis How to Diagnosis
Diagnosing MS can be challenging. Early MS symptoms may be non-specific, may come and go and can be similar to those of other disorders of the nervous system.
There is no single laboratory test to prove or rule out MS. An MRI and spinal fluid analysis are used to make the diagnosis (National MS Society, 2020).
An autoimmune disease like MS can be triggered in a pro-inflammatory environment (Martin R, 2001). If the environment is not inflammatory, then it is less likely that autoimmunity will take hold. The pro-inflammatory environment may be created due to an underlying viral infection, Lyme disease or mold illness. As these are often difficult to detect, the infection can have plenty of time to take hold and create systemic inflammation. This can set the scene for autoimmunity, in the form of MS, to develop. Or the established Lyme or mold issue can present with symptoms that mimic MS.
Is Viral Infection a Root Cause of MS?
MS is not a fast-onset disease. It typically is a process that is going on for some time before diagnosis (Martin R, 2001). Unresolved chronic viral infections can have a pathogenic role in triggering an MS autoimmune response (Tarlinton RE, 2020).
It is thought that infections can activate T cells specific to myelin (Martin R, 2001). This can happen by molecular mimicry. Molecular mimicry is due to the similarity or the mimicking of the foreign invader virus to ‘self-tissue’, in this case the myelin. This is a mechanism seen in all autoimmune disease. Bystander activation may also be involved, when excessive inflammatory cytokines are produced (Martin R, 2001). In the case of MS, there is likely a pathogenetic role of molecular mimicry or cross-reactivity that causes the myelin damage (Martin R, 2001).
Viruses may manipulate gene expression, leading to inflammation, immune dysregulation and possibly myelin destruction (Tarlinton RE, 2020). They can cross the blood brain barrier (BBB) and can establish lifelong chronic infection (Tarlinton RE, 2020).
- Demyelination in the brain can be initiated by viruses (Martin R, 2001). For example, acute demyelinating damage to the brain can happen after a measles infection (Martin R, 2001).
- Epstein–Barr virus, herpes virus and others play a role in MS pathogenesis (Tarlinton RE, 2020).
- The most commonly used and effective MS treatments directly induce anti-viral responses or remove cells that viruses replicate (Tarlinton RE, 2020).
Is Lyme Disease a Root Cause of MS?
Infections, like Epstein-Barr, bacterial infections, and especially, Borrelia burgdorferi infection, play a role in MS (Batinac T, 2007). Borrelia burgdorferi is a tick-borne spirochete that causes Lyme disease after a tick bite and has been implicated as a cause of MS (Batinac T, 2007).
Lyme disease is characterized by lesions in the brain similar to those found in MS patients (Shroff, 2016). Lyme disease can cause delayed neurological symptoms that can turn into serious illness, similar to MS.
In fact, the symptoms of Lyme and MS can be very similar (MacLean G, 2020). Overlapping symptoms include visual disturbances, peripheral neuropathy, cognitive defects and fatigue. In the late stages of Lyme disease, demyelination in the central nervous system can develop (Batinac T, 2007).
As of now, in conventional medicine, there is no effective cure for MS. Antibiotics can treat Lyme disease, but in some patients the symptoms continue, even after antibiotics (Shroff, 2016). There are also herbal and non-pharmaceutical options to treat Lyme. We work with these treatments every day in our Functional Medicine clinic.
Is Mold Illness a Root Cause of MS?
Mold is a type of fungus. Fungal toxins, or mold, produce mycotoxins (mold toxins). Many studies report a strong relationship and associate fungal toxins with nerve cell damage that can lead to Multiple Sclerosis (Purzycki CB, 2010).
Some types of pathogenic fungi sequester in tissue and release toxins that target and destroy Central Nervous System (CNS) cells. This can bring on myelin degradation, triggering the onset of MS symptoms (Purzycki CB, 2010).
Mycotoxins can cross the blood-brain barrier and directly damage the nerve cells that support myelin (Purzycki CB, 2010). The damaged cells release debris that triggers an immune response, creating more oxidative damage (Purzycki CB, 2010).
The mechanism used by micro-organisms to cross the blood-brain barrier and invade the brain remains unclear. One study looked at gliotoxin. Gliotoxin is a mycotoxin, produced by certain fungal species; Aspergillus fumigatus, Eurotium chevalieri, Trichoderma virens, Neosartorya pseudofischeri, and Penicillium and Acremonium species (Campos Fraga-Silva TF, 2019). Acute and prolonged exposure to gliotoxins compromise BBB integrity and allow Aspergillus fumigatus to get into the brain (Patel R, 2018). The gliotoxin can then cause nerve cell death and demyelination (Purzycki CB, 2010).
In mice, it was found that gliotoxin mycotoxin enhanced the permeability of the blood-spinal cord barrier in normal mice (Campos Fraga-Silva TF, 2019). This increased permeability allows for inflammation and demyelination to take hold in the CNS. Gliotoxin also gets into the brain, causing inflammation, cell damage and demyelination (Campos Fraga-Silva TF, 2019).
The mice with this mold toxin produced significantly higher levels of certain cytokines (Campos Fraga-Silva TF, 2019). These cytokines are neuroinflammatory and contribute to the pathogenesis of MS (Campos Fraga-Silva TF, 2019).
In Functional Medicine, we always want to get to the root cause or causes of a disease. Based on the research, it is clear that Lyme disease and/ or mold illness should be considered when treating MS. Treatment should focus on detoxing these biotoxins from the body to address the Lyme and mold problems. We frequently work with Lyme or mold illness patients in our clinic and have success treating these conditions
Once the Lyme or mold condition is treated, then we can see how much of the MS symptoms have improved and decide on next steps. In some cases, this can resolve the issue entirely while in others, there may be an improvement in symptoms, but more work and treatment may be needed to fully resolve to MS symptoms.
** Please stay tuned for our next Blog! **
As always, please get in touch with us. If you or someone you know is struggling with MS, or MS-like symptoms, contact our clinic today. We can work on any issue(s) and improve your health. Book a free health evaluation call with us today, to see how we can help you with your concerns. We can answer your questions and help you book an initial consult with one of the functional medicine doctors in our clinic.
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Dr. Miles Nichols and Dr. Diane Mueller have spoken for the following organizations: