
044 - COVID, Autoimmunity, and why SARS-CoV-2 is dubbed "The Autoimmune Virus"
10/05/22 • 51 min
Long Haulers UPDATED (video)
Long Haulers Mechanisms (video)
SARS-CoV-2 and the gut-brain-lung axis (video review of a research paper)
From the onset of the pandemic through the last (almost) 3 years, we have continued to find out new things about how people respond after coronavirus infection. Not surprisingly, there is more and more research coming out indicating that an increased autoimmune response may be responsible for many of the lingering symptoms.
Early on in the pandemic, SARS-CoV-2 was nicknamed "The Autoimmune Virus" because it appeared to be triggering more of an autoimmune response than other viral infections. As science has continued to evolve our understanding, it turns out that COVID infection is absolutely associated with increased autoimmunity - both exacerbation of existing autoimmunity as well as new autoimmunity.
Autoimmunity is the process in which the body "loses self tolerance" for tissues of the body and begins to initiate an immune "attack" against self-tissue (thyroid, joints, brain, gut, etc) as if they were a foreign invader - which leads to chronic inflammation, tissue damage, and a gradual loss of function, and can eventually become a diagnosed autoimmune "disease" like Type 1 Diabetes or Rheumatoid Arthritis.
One of the ways that viruses can trigger autoimmunity is by means of "molecular mimicry", or what can be described as a case of "mistaken identity". In this podcast I describe it like this - I have a blue F150 pickup truck, extended cab, long bed. There are many blue F150s on the road, so what if the police were looking for a blue F150 and they accidentally pull ME over instead of the bad guy they are looking for? That's a case of mistaken identity. Well COVID antibodies can also misdirect their immune attack, and they can accidentally attack many tissues, and in this episode I go through dozens of different autoantibodies that have now been associated with COVID - - thyroid autoantibodies, neurological autoantibodies, mitochondrial autoantibodies, and more.
We now know that COVID infection can lead to a myriad of symptoms, and they can all be described as the "long-haul", but the mechanisms can be all quite different, so they are NOT all the same thing, and it's not fair to group everyone together as "long-haulers". You could have POTS, dysautonomia, clotting/coagulation, neurological (depression, brain fog, and TONS of anxiety...), digestive changes, fatigue, or you could develop post-COVID diabetes or arthritis.....as science continues to learn more are we going to find that it's ALL autoimmune in nature?? Only time will tell, but I believe that treating any condition as if it were an autoimmune case is never a bad approach - decrease inflammation, balance the immune system, and look for (and remove) any root cause triggers!
Long Haulers UPDATED (video)
Long Haulers Mechanisms (video)
SARS-CoV-2 and the gut-brain-lung axis (video review of a research paper)
From the onset of the pandemic through the last (almost) 3 years, we have continued to find out new things about how people respond after coronavirus infection. Not surprisingly, there is more and more research coming out indicating that an increased autoimmune response may be responsible for many of the lingering symptoms.
Early on in the pandemic, SARS-CoV-2 was nicknamed "The Autoimmune Virus" because it appeared to be triggering more of an autoimmune response than other viral infections. As science has continued to evolve our understanding, it turns out that COVID infection is absolutely associated with increased autoimmunity - both exacerbation of existing autoimmunity as well as new autoimmunity.
Autoimmunity is the process in which the body "loses self tolerance" for tissues of the body and begins to initiate an immune "attack" against self-tissue (thyroid, joints, brain, gut, etc) as if they were a foreign invader - which leads to chronic inflammation, tissue damage, and a gradual loss of function, and can eventually become a diagnosed autoimmune "disease" like Type 1 Diabetes or Rheumatoid Arthritis.
One of the ways that viruses can trigger autoimmunity is by means of "molecular mimicry", or what can be described as a case of "mistaken identity". In this podcast I describe it like this - I have a blue F150 pickup truck, extended cab, long bed. There are many blue F150s on the road, so what if the police were looking for a blue F150 and they accidentally pull ME over instead of the bad guy they are looking for? That's a case of mistaken identity. Well COVID antibodies can also misdirect their immune attack, and they can accidentally attack many tissues, and in this episode I go through dozens of different autoantibodies that have now been associated with COVID - - thyroid autoantibodies, neurological autoantibodies, mitochondrial autoantibodies, and more.
We now know that COVID infection can lead to a myriad of symptoms, and they can all be described as the "long-haul", but the mechanisms can be all quite different, so they are NOT all the same thing, and it's not fair to group everyone together as "long-haulers". You could have POTS, dysautonomia, clotting/coagulation, neurological (depression, brain fog, and TONS of anxiety...), digestive changes, fatigue, or you could develop post-COVID diabetes or arthritis.....as science continues to learn more are we going to find that it's ALL autoimmune in nature?? Only time will tell, but I believe that treating any condition as if it were an autoimmune case is never a bad approach - decrease inflammation, balance the immune system, and look for (and remove) any root cause triggers!
Previous Episode

043 - Your Amazing Liver
Your liver is seriously pretty amazing. I'm a 'mechanisms' kind of guy, and the liver is the king of mechanisms, including:
- The liver is crucial for metabolism, regulating blood sugar, lipid, and protein metabolism.
- The liver participates in immune surveillance and pathogen clearance, and is intimately connected with the gut.
- The liver performs "hepatic biotransformation", or transforming toxins into things that can be excreted, aka DETOXIFICATION.
The liver can be damaged by many things including lifestyle, alcohol, viruses, parasites, and especially toxins. As liver damage progresses, the liver becomes more congested, toxins begin to accumulate, and metabolic dysfunction can follow. Liver damage is generally a spectrum of worsening fibrosis, and often starts with "fatty liver" and then progresses toward cirrhosis, which is liver scarring. Liver damage can be detected by several labs, and I discuss these labs in detail.
In the liver there are many functions, but this podcast focuses mostly on hepatic biotransformation, or detoxification. This includes Phase 1 and Phase 2 of liver detox, cytochrome P450, and includes processes like methylation, sulfation, conjugation, and more. These processes require many cofactors such as B vitamins and amino acids, and I discuss these all in detail.
There are also many genetic mutations that can affect liver and detoxification, so I discuss these as well, along with the common and popular liver supplements and what their mechanisms are. All together this is a comprehensive overview of everything I know about the liver and how I use that information clinically in helping sick people get well!
Youtube video about Liver, Carnitine, and Depression....
Next Episode

045 - How to Support Your Brain - Part 1 of 4 - Brain Overview
Anxiety, Mast Cell Activation, and LPS (video)
Cell Danger Response and Limbic System Dysfunction (video)
Anxiety, Neuroinflammation, and Autoimmunity (podcast)
Your brain is the most complex organ in an incredibly complex body, and it's running the show. I continue to see a massive uptick in brain-based symptoms coming into my clinic (and everyone else's), such as depression, anxiety, depersonalization, derealization, dizziness, vertigo, fatigue, brain fog, memory loss, panic attacks, bipolar episodes, nausea, pain syndromes, and so much more.
I have a lot of brain-related content available, and I linked some at the top of the show notes for this episode. My goal with this series is to help people understand how all these puzzle pieces fit together - neurotransmitters, brain regions, how to use all of the different tools available. Today's episode is an overview of some of the more important concepts in the brain, and reviewing what a healthy brain needs:
- Neurotransmitter Activity - serotonin, dopamine, acetylcholine, epinephrine/norepinephrine, GABA
- Adequate Oxygen - good blood flow, no anemia
- Steady Fuel - no hypoglycemia, and no insulin resistance
- Proper Lipid Morphology - omega 3s, DHA, phosphatidylcholine
- Healthy Stimulation - learning, fun, skills, memory, coordination, visual complexity, connecting with other humans
- Hormone Balance - estrogen, testosterone, progesterone, cortisol (steroid hormones), thyroid
- Gut-Brain Connection - good micro biome, bacterial diversity and abundance, no infections/overgrowths, good vagus nerve activity
- Healthy Circadian Rhythms - good light exposure, good sleep....
I also briefly talk through a patient's case history and some of her symptoms, lab findings, and how we have kept her brain healthy and kept her symptoms under control over the past several years. The next several episodes will be more of this, teaching you how to solve your own puzzle!
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