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Chapters:
0:00 – Here’s why you need to watch.
0:37 – The crucial role of Vitamin D
2:35 – Why Fish Oil, Omega-3 fatty acids are so important
5:48 – A CONTROVERSIAL SUPPLEMENT
8:55 – How do I know that a supplement is good?
10:15 – Always check this!
11:00 – Best supplements for RA
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Disclaimer: This video and its content are for general informational purposes only and should not be considered a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor before making any medical decisions. Views expressed in comments are those of the individuals and do not reflect the opinion of Rheumatologist OnCall. 📜
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👩🏻⚕️ About Me
Dr. Diana Girnita is a distinguished, double board-certified physician specializing in Rheumatology and Internal Medicine. Holding a Ph.D. in Immunology and having completed rigorous training at Harvard and other top-tier institutions, her expertise in rheumatology is unparalleled. 🎓🏥
🔬 Rheumatologist OnCall
Rheumatologist OnCall is a pioneering platform that offers cutting-edge, integrative rheumatology care to democratize access to specialized healthcare. 🌐
🎯 Dr. Girnita’s Focus
Dr. Girnita’s unique focus is on Rheumatoid Arthritis (RA), allowing for personalized, multi-disciplinary treatment plans beyond pharmacotherapy. She integrates nutrition 🥦, physical activity 🏋️♀️, and stress management techniques 🧘♀️ to empower her patients to live fuller, healthier lives.
#rheumatoidarthritis #supplements #AutoimmuneHealth #RheumatoidArthritis #VitaminDSupplements #Omega3Benefits #GutHealth #PsoriaticArthritis #LupusAwareness
IN THIS VIDEO, I WILL DISCUSS 3 BEST SUPPLEMENTS THAT CAN POTENTIALLY PREVENT OR REDUCE
THE SEVERITY OF AUTOIMMUNE DISEASES! PLUS, I WILL TEACH YOU HOW TO SELECT GOOD QUALITY
SUPPLEMENTS, AND WHAT ARE THE RECOMMENDED DOSES? IF YOU OR A LOVED ONE IS SUFFERING FROM
RHEUMATOID ARTHRITIS, PSORIATIC ARTHRITIS, SJOGREN’S DISEASE, OR LUPUS
THEN THIS VIDEO IS FOR YOU. MY NAME IS DR DIANA GIRNITA AND
I AM A RHEUMATOLOGY SPECIALIST TREATING PEOPLE WITH AUTOIMMUNE
DISEASES FOR MORE THAN 15 YEARS. THE FIRST SUPPLEMENT IS VITAMIN D.
YOU MOST LIKELY KNOW THAT VITAMIN D HELPS WITH YOUR BONES!
AND YOU ARE CORRECT !!! VITAMIN D REGULATES HOW CALCIUM, MAGNESIUM,
AND PHOSPHATE ARE ABSORBED IN THE SMALL INTESTINE AND DEPOSITED IN YOUR BONE.
ALTHOUGH YOU MAY NOW UNDERASTANDEVER, IT WAS LATER DISCOVERED THAT VITAMIN
D IS MORE THAN JUST A VITAMIN; IT IS ACTUALLY A HORMONE AND IT CAN
INFLUENCE YOUR IMMUNE SYSTEM CELLS. YES, IT APPEARS THAT A LOW LEVEL OF VITAMIN D
IN THE BODY WAS LINKED TO MORE INFLAMMATION AND AN INCREASE RISK TO DEVELOP AUTOIMMUNE
DISEASES LIKE SJOGREN’S DISEASE OR RA. NOW, THE OPOSITTE! ALTHOUGH YOU MAY NOW UNDERASTANDAT HIGHER
VITAMIN D LEVELS OF VITAMIN D SEEMS TO BE PROTECTIVE AND PEOPLE DEVELOP LESS
AUTOIMMUNE DISEASES LIKE RA, LUPUS, SJOGREN’S, MULTIPLE SCLEROSIS,
AND EVEN PSORIASIS AND PSA. ACTUALLY A LARGE STUDY PUBLISHED
IN 2022, SHOWED THAT PEOPLE TAKING A VITAMIN D SUPPLEMENT DECREASED THEIR RISK
OF DEVELOPING AN AUTOIMMUNE DISEASE BY 22 % ALTHOUGH YOU MAY NOW UNDERASTANDK YOUR VITAMIN D LEVEL EVERY YEAR AND IF YOUR VITAMIN D
LEVEL IS LOW, THEN START SUPPLEMENTING TO REDUCE THE RISK OF AUTOIMMUNE DISEASE, THE STUDY THAT I JUST MENTIONED
, CALLED VITAL STUDY, PROPOSE TO TAKE 2,000 INTERNATIONAL UNITS (IU) DAILY.
IF YOU ARE INTERESTED, I WILL LEAVE A LINK IN THE DESCRIPTION OF THIS VIDEO FOR
A GOOD-QUALITY VITAMIN D SUPPLEMENT. THE SECOND SUPPLEMENT THAT I WANT TO
DISCUSS IS FISH OIL OR OMEGA-3 FATTY ACIDS. YOU PROBABLY HEARD ABOUT ITHE BENEFITS OF FISH OIL FOR YOUR HEART OR TO DECREASE THE LIPIDS
(CHOLESTEROL AND TRIGLYCERIDE LEVELS). BUT…. HAVE YOU HEARD ABOUT USING
FISH OIL FOR AUTOIMMUNE DISEASES? FA HAVE GREAT ANTI-INFLAMMATORY EFFECTS,
MEANING THEY DECREASE INFLAMMATION IN YOUR BODY. HOW IS THIS POSSIBLE? THEY ACT ON THE COX 2, WHICH IS THE SAME ENZYME
THAT NSAIDS (LIKE NAPROXEN, AND IBUPROFEN) ARE BLOCKING AND… IN THIS WAY THEY REDUCE INFLAMMATION
AND, MORE IMPORTANT, WILL REDUCE PAIN! THERE ARE MANY STUDIES IN PATIENTS WITH
RA, THAT SHOW THAT USING A FISH OIL/ OMEGA 3 SUPPLEMENT WILL
DECREASE THE JOINT PAIN REDUCE THE MORNING STIFFNESS
AND SWELLING OF THE JOINTS AND IMPORTANT: DECREASE OR ELIMINATE
THE NEED TO TAKE MORE NSAIDS. ONE STUDY FROM 2015, SHOWED THAT PEOPLE THAT TOOK A HIGH DOSE FISH OIL ALONG WITH
THE TRIPLE DMARD THERAPY (LIKE MTX, PLAQUENIL AND SSZ) GOT INTO REMISSION FASTER.
ALTHOUGH YOU MAY NOW UNDERASTANDIS HUGE…… AS A RHEUMATOLOGIST SEEING PATIENTS WITH RA
EVERY DAY…. IF THERE IS A WAY, MORE NATURAL WAY, THAT I CAN BRIDGE WITH THE STANDARD THERAPY
TO HELP MY PATIENTS USE LESS MEDICATION, TO USE LESS NSAIDS (THAT YOU KNOW CAN BE
TOXIC FOR YOUR HEART AND FOR YOUR KIDNEYS) AND GET THEM INTO REMISSION FASTER…..
I WILL DISCUSS IT WITH MY PATIENTS. THE SAME BENEFITS WERE SEEN IN PATIENTS
WITH LUPUS. SO TAKING AN O3 SUPPLEMENT WAS HELPING LUPUS PATIENTS TO
HAVE LESS AGGRESSIVE DISEASE. IN PATIENTS WITH PSORIASIS
AND PSORIATIC ARTHRITIS, FISH OIL/ OMEGA3S SHOW TO DECREASE THE SKIN
PSORIASIS AND DECREASE THE PAIN FROM THE JOINTS. IN PATIENTS WITH SJOGREN’S DISEASE , THE USE OF FISH OIL SHOWED TO IMPROVE
THE DRY EYES AND DRY MOUTH WHAT IS THE RECOMMENDED DOSE? THE RECOMMENDED DOSE IS 2-4G EPA/ DHA DAILY. IF YOU WANT TO IMPROVE THE ABSORPTION, THEN
TAKE THE OMEGA3’S SUPPLEMENTS WITH YOUR MEALS, AS OTHER FATS THAT YOU ARE EARRING
WILL HELP THE GUT ABSORPTION. ONE THING THAT YOU NEED TO PAY ATTENTION! SOME FISH OIL PRODUCTS CAN CONTAIN MERCURY SO
MAKE SURE YOU GET A HIGH-QUALITY SUPPLEMENTS! AND IF YOU ARE TAKING OTHER MEDICATIONS
LIKE BLOOD THINNER, BLOOD PRESSURE OR CONTRACEPTIVE MEDICATIONS, TALK TO YOUR DOCTOR
AS THERE MIGHT BE SOME INTERACTIONS THERE. NOW RIGHT HERE WE ARE GETTING EVEN DEEPER,
AND WE WILL DISCUSS ABOUT A CONTROVERSIAL SUPPLEMENT THAT MANY PATIENTS ARE
TAKING TO IMPROVE THEIR GUT HEALTH. IF YOU DID NOT KNOW, YOUR GUT IS IN VERY
MUCH CONTACT WITH YOUR IMMUNE SYSTEM CELLS. IN THE LAST 10 YEARS, THERE ARE A LOT OF
CONVERSATIONS RELATED TO THE GUT BACTERIAS, THAT WE SCIENTIFICALLY CALL , THE MICROBIOME
AND THE LINK WITH AUTOIMMUNE DISEASES. WE CLEARLY SEE AN EPIDEMIC OF AUTOIMMUNE DISEASES
AND MANY RESEARCHERS BELIEVE THE ROOT CAUSE IS IN THE GUT AND THE CHANGES THAT ARE HAPPENING
WITH OUR BACTERIAS, THAT IS CALLED DYSBIOSIS. DYSBIOSIS MEANS THAT, FOR MULTIPLE REASONS
(THAT I WILL DISCUSS IN ANOTHER VIDEO), WE LOOSE THE BENEFICIAL OR THE GOOD
BACTERIA AND WE END UP WITH A LARGER NUMBER OF POTENTIALLY HARMFUL OR BAD BACTERIA. THE RESULT? AN INCREASED RISK TO DEVELOP AUTOIMMUNE DISEASES. SO HOW CAN WE FIX THE GUT BACTERIA? MANY SUPPLEMENT COMPANIES PROPOSE TO TAKE
PROBIOTICS, WHICH ARE LIVE ORGANISMS, SO CALLED GOOD BACTERIA THAT COME WITH THE
PROMISE THAT WILL IMPROVE YOUR GUT HEALTH. MANY PROBIOTICS CONTAIN MULTIPLE STRAINS
OF LACTOBACILLUS AND BIFIDOBACTERIUM. ALTHOUGH YOU MAY NOW UNDERASTANDBOUT PROBIOTICS
IN PEOPLE SUFFERING FROM AUTOIMMUNE DISEASE? IN PATIENTS WITH PSORIASIS, THAT TOOK
PROBIOTICS FOR 3 MONTHS, THEY PROVED TO REDUCE THE MARKERS OF INFLAMMATIONS AND HELP
THE SKIN DISEASE IN 75% OF THOSE PATIENTS. IN PATIENTS WITH RA, TAKING PROBIOTICS ALSO HELPED TO REDUCE THE MARKERS OF
INFLAMMATION AND THE SYMPTOMS. BUT, DONT GET TOO…. EXCITED AS THERE ARE
OTHER STUDIES THAT SHOWED THAT TAKING PROBIOTICS IS NOT BENEFICIAL, AND THERE ARE
MANY EXPLANATIONS FOR THESE VARIABLE RESULTS. ALTHOUGH YOU MAY NOW UNDERASTANDNDS OF
PROBIOTICS, WITH DIFFERENT STRAINS OF BACTERIA, MAYBE THEY TOOK THEM TOO SHORT TIME…
SO IF YOU ARE TAKING PROBIOTICS AND YOU HAVE AN AUTOIMMUNE DISEASE, PLEASE SHARE
YOUR EXPERIENCE IN THE COMMENTS BELLOW! BUT IF YOU WANT TO TRY PROTIOTICS
SUPPLEMENTS, HERE IS MY RECOMMENDATION: USE A MULTI-STAIN PRODUCTS WITH AT
LEAST 20 BILLION COLONY-FORMING UNITS. IN MY UPCOMING BOOK “THRIVING WITH RA”,
I AM TALKING ABOUT ALL THESE STUDIES AND GIVE YOU THE SCIENTIFIC EVIDENCE FOR
ALL THE SUPPLEMENTS THAT YOU NEED. NOW THIS PART MIGHT BE CONFUSION, BUT
IT IS ACTUALLY QUITE SIMPLE….HOW TO SELECT THAT GOOD QUALITY SUPPLEMENT THAT YOU NEED? YOU HAVE TO KNOW THAT FDA (THE FOOD
AND DRUG ADMINISTRATION (FDA) DOES NOT EVALUATE THE EFFECTIVENESS, SAFETY,
OR QUALITY OF DIETARY SUPPLEMENTS — OR THE INGREDIENTS IN THEM. THAT
MEANS THERE IS NO GUARRANTESS THAT WHAT THE SUPPLEMENTS COMPANIES CLAIM
THAT THEY HAVE INSIDE IT IS ACTUALLY TRUE. BUT, HEAR THIS SMART TACTIC: FIRST MAKE SURE THAT YOU BUY SUPPLEMENTS
CERTIFIED BY A THIRD-PARTY COMPANY. THESE THIRD PARTY COMPANIES WILL VERIFY
THE PRODUCING SUPPLEMENT COMPANY THAT WHAT THEY CLAIM THERE IS IN THE
BOTTLE, IS ACTUALLY THERE AND…. THE SAME COMPONENTS AND DOSES REMAIN
THE SAME BETWEEN DIFFERENT BATCHES! THERE ARE DIFFERENT CERTIFICATES THAT YOU
WILL SEE ON THE SUPPLEMENT BOTTLES LIKE NSF, USP, CONSUMERLAB. SO, LOOK
FOR THESE CERTIFICATIONS . SECOND, ALWAYS CHECK FOR HOW LONG IS THAT COMPANY
ON THE MARKET, IS IT FOR 1 YEAR OR FOR 40 YEARS? BEYIONG ON THE SUPPLEMENT MARKET FOR MANY YEARS
SAYS SOMETHING! THEY MUST DO SOMETHING RIGHT! I PUT SOME LINKS IN THE DESCRIPTION ABOUT PRODUCTS
THAT MEET THESE CRITERIA, BUT PLEASE KEEP IN MIND THAT I AM NOT ENDORSING THESE COMPANIES AND
I CANT GUARANTEE THEIR EFFECTIVENESS IN YOUR CASE. WHILE ALL OF THIS IS IMPORTANT, DO NOT
TAKE A SUPPLEMENT JUST BECAUSE YOUR FRIEND OR NEIGHBOR RECOMMENDED. ALWAYS TALK TO
YOUR DOCTOR AND AKS FOR MEDICAL ADVICE. ALTHOUGH YOU MAY NOW UNDERASTAND
THAT THERE ARE SOME SUPPLEMENTS THAT HELP YOUR AUTOIMMUNE DISEASE, NOT
ALL SUPPLEMENTS ARE RIGHT FOR YOU… SO, HERE IS A VIDEO THAT WILL TEACH YOU
WHAT SUPPLEMENTS ARE GOOD FOR ARTHRITIS.
