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Does anyone here have any experience of using xylitol (especially with a view to controlling strep)?

>>>You need to make sure its not Xylitol from corn which the cheaper brands are, I have used the nasal spray with good effect but have no idea if I have strep. It is in Amy Yasko's list of recommneded things for strep

Mandi x

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HI Tim

I know that its recommended by Yasko, Theresa has some info I remember form Yasko Europe. You can buy a Nasal Spray and toothpaste containing Xylitol and a mouthwash. I think they are aclled something like x-clear or soemthing like that.

I wonder if its maybe because often streps exist in biofilms like on your teeth gunk stuff like that, if xylitol is used in toothpaste and stuff and somehow mucks them up, you are probably reducing the amount in those reservoirs... not terribly scientific but heh its my bedtime now!!

I didnt see Dr U's presntation with this bit but I dont reckon she was suggesting you consume xylitol (could be wrong!) but I do know about these products being recommended..

HTH Luv

Caroline

xxx

PS I bought the toothpaste at our pharmacy, was very expensive probably cheaper from Cenaverde or somewhere...

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2007/2/18, Sandy and Tim S.I.Woolley@...:

Does anyone here have any experience of using xylitol (especiallywith a view to controlling strep)? thanks Tim

And dosage - protocol ??

Geir Flatabø

DISCLAIMERNo information contained in this post is to be construed as medical advice. If you need medical advice, please seek it from a suitably qualified practitioner.

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Hey There,

Here is my understanding of the full strep protocol a la Yasko:

• ImmuneFactor 5 – ½ capsule daily or every other day,

especially if you are NOS+

• Microbial Support RNA – 3-4 drops once a day and then work up

to ½ dropper if no reaction

• Caprylic acid -- ½-1 per day (can cause a reaction in many)

• Lactoferrin – ½-1 per day at night time

• Xylitol toothpaste, mouthwash and sugar

• Papaya enzyme and Vitamin C until bowel tolerance

• Gut herbs: Some people rotate the gut herbs daily, others

give a mix of all of them once they know they are tolerated. Dosing

for herbs - 1/4-1/2 capsule 1- 3 x a day work up to 1 capsule as

tolerated, or cut back to a sprinkle to too much. These include:

o Neem (this one tastes unbearably bitter, so my approach to

this for kids who don't swallow pills is that if you don't want to do

it and something else shows up on the sensitivity testing, don't do

it)

o Myrrh

o Oregon grape

o Golden seal

o Cranberry

o Oregano

o Uva ursi – same dosing, but do 2 weeks on and 2 weeks off for

this herb

• For OCD behaviour:

o Benfotiamine – ¼ - ½ per day

o Nerve Calm RNA – 2-4 drops 2x daily

o Behavior RNA -- 2-4 drops 2x daily

It's good to start with sprinkles and work up.

There is a xylitol and lactoferrin/lysozyme toothpaste available in

the UK -- Biotene. They have a product for babies called First Teeth

that has no flouride in it. Spry Toothpaste has xylitol in it and is

an excellent choice as well. Cenaverde int he Netherlands carries

Spry nasal spray (Xlear), toothpaste, gum and xylitol sugar (they had

a booth at the TA conference, I believe). Maybe Mandi carries some

Spry stuff as well?

Love the xylitol and have used it for some time with Lulu. Xylitol in

VERY high doses in IVs (FAR more than these products give you) has

been known to raise urinary oxalates.

Hugs,

>

> HI Tim

>

> I know that its recommended by Yasko, Theresa has some info I

remember form

> Yasko Europe. You can buy a Nasal Spray and toothpaste containing

Xylitol and

> a mouthwash. I think they are aclled something like x-clear or

soemthing like

> that.

>

> I wonder if its maybe because often streps exist in biofilms like

on your

> teeth gunk stuff like that, if xylitol is used in toothpaste and

stuff and

> somehow mucks them up, you are probably reducing the amount in

those

> reservoirs... not terribly scientific but heh its my bedtime now!!

>

> I didnt see Dr U's presntation with this bit but I dont reckon she

was

> suggesting you consume xylitol (could be wrong!) but I do know

about these

> products being recommended..

>

> HTH Luv

> Caroline

> xxx

>

> PS I bought the toothpaste at our pharmacy, was very expensive

probably

> cheaper from Cenaverde or somewhere...

>

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I've seen a lot of reference to strep throat which is probably what the

toothpaste, gum and nasal spray are aimed at. We're more interested in

the other end at the moment so I'd expect to be consuming it. Not at all

sure if this is the same type of strep with the same sensitivities, etc.

(but we think it is).

thanks

Tim

>

> HI Tim

>

> I know that its recommended by Yasko, Theresa has some info I remember

form

> Yasko Europe. You can buy a Nasal Spray and toothpaste containing

Xylitol and

> a mouthwash. I think they are aclled something like x-clear or

soemthing like

> that.

>

> I wonder if its maybe because often streps exist in biofilms like on

your

> teeth gunk stuff like that, if xylitol is used in toothpaste and stuff

and

> somehow mucks them up, you are probably reducing the amount in those

> reservoirs... not terribly scientific but heh its my bedtime now!!

>

> I didnt see Dr U's presntation with this bit but I dont reckon she was

> suggesting you consume xylitol (could be wrong!) but I do know about

these

> products being recommended..

>

> HTH Luv

> Caroline

> xxx

>

> PS I bought the toothpaste at our pharmacy, was very expensive

probably

> cheaper from Cenaverde or somewhere...

>

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Thanks for the extensive info. We've been looking at Yasko for a

while but haven't really got to stage one yet. We have, however,

tried (and are trying) lots of stuff on the list so hopefully we'll

get on top of this one before too long!

Do you know if there are there any dosage recommendations for the

xylitol 'sugar'?

Tim

> >

> > HI Tim

> >

> > I know that its recommended by Yasko, Theresa has some info I

> remember form

> > Yasko Europe. You can buy a Nasal Spray and toothpaste containing

> Xylitol and

> > a mouthwash. I think they are aclled something like x-clear or

> soemthing like

> > that.

> >

> > I wonder if its maybe because often streps exist in biofilms like

> on your

> > teeth gunk stuff like that, if xylitol is used in toothpaste and

> stuff and

> > somehow mucks them up, you are probably reducing the amount in

> those

> > reservoirs... not terribly scientific but heh its my bedtime now!!

> >

> > I didnt see Dr U's presntation with this bit but I dont reckon

she

> was

> > suggesting you consume xylitol (could be wrong!) but I do know

> about these

> > products being recommended..

> >

> > HTH Luv

> > Caroline

> > xxx

> >

> > PS I bought the toothpaste at our pharmacy, was very expensive

> probably

> > cheaper from Cenaverde or somewhere...

> >

>

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Hi,

i know this to be a fact that using xylitol can increase urinary

oxalates, cos this happened with our ds, so is something you need to be

aware of if using alot of this product. We were only using small

amounts regularly in drinks and xylitol gum and this caused us problems.

Having said that xylitol gum (and i expect toothpaste and mouthwash)

was brilliant at keeping ds teeth clean. Killing off all the nasty

bacteria in his mouth - so is entirely possible IMO that it would also

help control Strep.

Nikki

> Love the xylitol and have used it for some time with Lulu. Xylitol in

> VERY high doses in IVs (FAR more than these products give you) has

> been known to raise urinary oxalates.

>

>

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Yes, apart from creating oxalate problems in those who are prone, there

is reason to believe that xylitol may be problematic for kids who do not

tolerate calcium supplements, as it greatly increases calcium absorbtion

(as do other complex sugars and polyol sweeteners).

Natasa

>

>

> Hi,

>

> i know this to be a fact that using xylitol can increase urinary

> oxalates, cos this happened with our ds, so is something you need to

be

> aware of if using alot of this product. We were only using small

> amounts regularly in drinks and xylitol gum and this caused us

problems.

>

> Having said that xylitol gum (and i expect toothpaste and mouthwash)

> was brilliant at keeping ds teeth clean. Killing off all the nasty

> bacteria in his mouth - so is entirely possible IMO that it would also

> help control Strep.

>

> Nikki

>

>

>

>

>

>

>

> > Love the xylitol and have used it for some time with Lulu. Xylitol

in

> > VERY high doses in IVs (FAR more than these products give you) has

> > been known to raise urinary oxalates.

> >

> >

>

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Wow, thanks, Natasa, we can't get enough calcium into her...wondering how we could introduce some xylitol, maybe in gum. Honest I would never do IV's but if we were calcium would be the first out of the block.

Re: Xylitol for Strep

Yes, apart from creating oxalate problems in those who are prone, thereis reason to believe that xylitol may be problematic for kids who do nottolerate calcium supplements, as it greatly increases calcium absorbtion(as do other complex sugars and polyol sweeteners).Natasa>>> Hi,>> i know this to be a fact that using xylitol can increase urinary> oxalates, cos this happened with our ds, so is something you need tobe> aware of if using alot of this product. We were only using small> amounts regularly in drinks and xylitol gum and this caused usproblems.>> Having said that xylitol gum (and i expect toothpaste and mouthwash)> was brilliant at keeping ds teeth clean. Killing off all the nasty> bacteria in his mouth - so is entirely possible IMO that it would also> help control Strep.>> Nikki>>>>>>>> > Love the xylitol and have used it for some time with Lulu. Xylitolin> > VERY high doses in IVs (FAR more than these products give you) has> > been known to raise urinary oxalates.> >> >>

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, the essential sugar that xylitol is derived from, xylose,

also increases calcium absorbtion (also good for candida and

bacteria). It's available in supplements but also in Guava, Pears,

Blackberries, Loganberries, Raspberries, Aloe Vera gel, Kelp,

Echinacea, Boswellia, Psyllium, Broccoli, Spinach, Eggplant, Peas,

Green Beans, Okra, Cabbage, Corn.

http://www.innvista.com/health/nutrition/essensug/xylose.htm

take care

Rene

>

> Wow, thanks, Natasa, we can't get enough calcium into

her...wondering how we could introduce some xylitol, maybe in gum.

Honest I would never do IV's but if we were calcium would be the

first out of the block.

>

>

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The xylitol was like a big 'fix' for my daughter! She used the gum-

thought from what I read that it would be good for dental health. She

just could not get enough of the stuff, became very irritable, nasty

etc. As it is high in oxalates, that may have been part of the

problem. I always get suspicious when food products cause addictive

type behaviors and this one did.

> >

> > Wow, thanks, Natasa, we can't get enough calcium into

> her...wondering how we could introduce some xylitol, maybe in gum.

> Honest I would never do IV's but if we were calcium would be the

> first out of the block.

> >

> >

>

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My daughter has persistent infection in her gums that I can't get rid

of or even get under proper control although she eats a very low-sugar

diet and I clean her teeth a lot. Would Xylitol help with this? Is

there any wider connection to her guts because it is one of the obvious

odd things about her

xx Sally

CarolineTraa@... wrote:

HI Tim

I know that its recommended by Yasko, Theresa has some info I

remember form Yasko Europe. You can buy a Nasal Spray and toothpaste

containing Xylitol and a mouthwash. I think they are aclled something

like x-clear or soemthing like that.

I wonder if its maybe because often streps exist in biofilms

like on your teeth gunk stuff like that, if xylitol is used in

toothpaste and stuff and somehow mucks them up, you are probably

reducing the amount in those reservoirs.. . not terribly scientific but

heh its my bedtime now!!

I didnt see Dr U's presntation with this bit but I dont reckon

she was suggesting you consume xylitol (could be wrong!) but I do know

about these products being recommended. .

HTH Luv

Caroline

xxx

PS I bought the toothpaste at our pharmacy, was very expensive

probably cheaper from Cenaverde or somewhere...

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Checked by AVG Free Edition.

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Hey Sally,

Barring what has been said about the calcium and oxalates issue --

this is very interesting, Natasa -- the xylitol will help with

breaking up various bacterial biofilms in the mouth, etc. However,

the Biotene toothpaste and maybe even the mouthwash (I don't know)

also has lactoferrin and lysozyme, both of which are very abundant in

human breast milk and are there in the milk to keep iron away from

bacteria and make it available to the body for use -- they are human

iron binding proteins. I would suggest the Biotene, and I would

really suggest trying some lactoferrin mixed in something like rice

milk. We give Lulu 1 capsule of lactoferrin every night with some

rice milk before going to bed, as well as 1/16th of a teaspoon of the

xylitol sugar. This has been really great for the strep in her gut.

Lactoferrin is a truly amazing protein -- helps with bone resorption,

immune stimulation, it's an anti-inflammatory, anti-microbial,

antiviral and of course is the best way to keep the iron away from

the bacteria, helps with both anemia and high iron conditions -- I

can't say enough good things about lactoferrin. I have read maybe 30

articles on it and there are whole books written and it's really

amazing how crucial it is -- why it is comprises 20% of the protein

in human breast milk. See some sources on this below. Amazing!

Hugs,

Theresa

Interesting articles and books on lactoferrin at BioInfo -

http://lib.bioinfo.pl/meid:18045 and http://www.amazon.com/s/104-

8507128-8259949?ie=UTF8 & tag2=bioinfobank-

20 & keywords=lactoferrin & search-type=ss & index=books

Check out the table of contents in some of these books – very

interesting.

Try this one, for example, published in 1998 -

http://www.amazon.com/gp/reader/0306459264/ref=sib_dp_pop_toc/104-

8507128-8259949?ie=UTF8 & p=S00D#reader-link -- It seems that

Lactoferrin is involved in a great number of issues – antibacterial

activity, antiviral activity, antiyeast activity, iron regulatory

protein activity, lipid metabolism enhancement (LDL), immune

enhancement, IL6 interaction, antibodies against lactoferrin in

neurological disorders, etc.

Or this one, published in 2000 –

http://www.elsevier.com/wps/find/bookdescription.cws_home/620805/descr

iption - antiinflammation, immunomodulating effects, antimicrobial

activity, antitumor activity, prevention of preterm delivery,

hepatitis C virus viremia inhibition, iron absorption. Wow, do I

want this book…

Or this one published in 1997 -

http://www.amazon.com/gp/reader/089603366X/ref=sib_dp_pt/104-8507128-

8259949#reader-link

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Dear Theresa, thank you. I will do all that. Thank you for writing me

such a good explanation

xx Sally

tltbaku wrote:

Hey Sally,

Barring what has been said about the calcium and oxalates issue --

this is very interesting, Natasa -- the xylitol will help with

breaking up various bacterial biofilms in the mouth, etc. However,

the Biotene toothpaste and maybe even the mouthwash (I don't know)

also has lactoferrin and lysozyme, both of which are very abundant in

human breast milk and are there in the milk to keep iron away from

bacteria and make it available to the body for use -- they are human

iron binding proteins. I would suggest the Biotene, and I would

really suggest trying some lactoferrin mixed in something like rice

milk. We give Lulu 1 capsule of lactoferrin every night with some

rice milk before going to bed, as well as 1/16th of a teaspoon of the

xylitol sugar. This has been really great for the strep in her gut.

Lactoferrin is a truly amazing protein -- helps with bone resorption,

immune stimulation, it's an anti-inflammatory, anti-microbial,

antiviral and of course is the best way to keep the iron away from

the bacteria, helps with both anemia and high iron conditions -- I

can't say enough good things about lactoferrin. I have read maybe 30

articles on it and there are whole books written and it's really

amazing how crucial it is -- why it is comprises 20% of the protein

in human breast milk. See some sources on this below. Amazing!

Hugs,

Theresa

Interesting articles and books on lactoferrin at BioInfo -

http://lib.bioinfo.

pl/meid:18045 and http://www.amazon.

com/s/104-

8507128-8259949? ie=UTF8 & tag2= bioinfobank-

20 & keywords= lactoferrin & search-type= ss & index= books

Check out the table of contents in some of these books – very

interesting.

Try this one, for example, published in 1998 -

http://www.amazon.

com/gp/reader/ 0306459264/ ref=sib_dp_ pop_toc/104-

8507128-8259949? ie=UTF8 & p= S00D#reader- link -- It seems that

Lactoferrin is involved in a great number of issues – antibacterial

activity, antiviral activity, antiyeast activity, iron regulatory

protein activity, lipid metabolism enhancement (LDL), immune

enhancement, IL6 interaction, antibodies against lactoferrin in

neurological disorders, etc.

Or this one, published in 2000 –

http://www.elsevier

..com/wps/ find/bookdescrip tion.cws_ home/620805/ descr

iption - antiinflammation, immunomodulating effects, antimicrobial

activity, antitumor activity, prevention of preterm delivery,

hepatitis C virus viremia inhibition, iron absorption. Wow, do I

want this book…

Or this one published in 1997 -

http://www.amazon.

com/gp/reader/ 089603366X/ ref=sib_dp_ pt/104-8507128-

8259949#reader- link

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I doubt that it is 'high' in oxalate itself, it is a case of highten

absorbtion and production in the body.... Seriously, there are cases in

literature where highter doses caused severe hyperoxaluria (spell?) and

brain inflammation.

Natasa

> > >

> > > Wow, thanks, Natasa, we can't get enough calcium into

> > her...wondering how we could introduce some xylitol, maybe in gum.

> > Honest I would never do IV's but if we were calcium would be the

> > first out of the block.

> > >

> > >

> >

>

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Rene,

Thanks, she gets plenty of most of these fruits and vegetables with the exception of cabbage and okra.

Re: Xylitol for Strep

, the essential sugar that xylitol is derived from, xylose, also increases calcium absorbtion (also good for candida and bacteria). It's available in supplements but also in Guava, Pears, Blackberries, Loganberries, Raspberries, Aloe Vera gel, Kelp, Echinacea, Boswellia, Psyllium, Broccoli, Spinach, Eggplant, Peas, Green Beans, Okra, Cabbage, Corn. http://www.innvista.com/health/nutrition/essensug/xylose.htmtake careRene>> Wow, thanks, Natasa, we can't get enough calcium into her...wondering how we could introduce some xylitol, maybe in gum. Honest I would never do IV's but if we were calcium would be the first out of the block. > >

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Yes, Natasa, but I've always wondered if that is dose-dependent,

given that these were given in high doses via IV and were I think

also given in cases where there already renal issues involved. So I

wonder what the mechanism is here, given that this is a sugar and

thus will work on those pathways. I think that's interesting to look

into further, especially in relation to the calcium stuff.

Can we maybe take a look at the literature on this one? I think I

have some abstracts womewhere in my mass of emails. I would like to

do this, but have to run to pick up Lulu and run some errands, so

won't get to it today, probably.

Hugs,

Theresa

> > > >

> > > > Wow, thanks, Natasa, we can't get enough calcium into

> > > her...wondering how we could introduce some xylitol, maybe in

gum.

> > > Honest I would never do IV's but if we were calcium would be the

> > > first out of the block.

> > > >

> > > >

> > >

> >

>

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Of course, it wasn't my intention to imply that any amound (and way of

administration) of xylitol would lead to brain inflammation, but to

raise awareness of the issue for people with oxalate issues, or

suspected dietary calcium/oxalate related problems..

I never saved those specific abstracts, but here are some of the ones I

have, lots of food for thought:

J Nutr. 2004 Aug;134(8):1935-41.

Various nondigestible saccharides open a paracellular calcium

transport pathway with the induction of intracellular calcium signaling

in human intestinal Caco-2 cells.

* Suzuki T, * Hara H. Division of Applied Bioscience,

Graduate School of Agriculture, Hokkaido University, Sapporo, Japan.

Ingestion of soluble nondigestible saccharides increases calcium

absorption, and it is suggested that paracellular calcium transport

contributes to this effect. However, cellular mechanisms and the

contribution of active transport have not been clarified. This study

examined the effects of 4 nondigestible saccharides, difructose

anhydride (DFA) III, DFAIV, fructooligosaccharides, and raffinose, on

active and passive calcium transport, permeability of paracellular

pathways, and intracellular calcium signaling in a human intestinal

Caco-2 cell monolayer. Net, active, and passive calcium transport were

evaluated using (45)Ca. Transepithelial electrical resistance (TEER) and

transport of lucifer yellow were measured as indicators of paracellular

passage in differentiated Caco-2 cell monolayers incubated with 0-100

mmol/L of the various saccharides. The changes in intracellular calcium

ion concentrations ([Ca(2+)](i)) were measured by fura-2 loading before

and after the addition of each saccharide (50 or 100 mmol/L). The

addition of 100 mmol/L of each saccharide to the apical medium of the

Caco-2 cells enhanced net calcium transport without any changes in

active calcium transport. Relative TEER was dose dependently and

reversibly decreased by the addition of saccharides, and the decreases

in TEER were highly correlated with net calcium transport (P < 0.001).

Basolateral application of the saccharides had a slight or no effect on

indicators of the paracellular pathway. Each saccharide caused an

immediate and dose-dependent rise in [Ca(2+)](i) in the cells. The 4

nondigestible saccharides increased net calcium transport in the cells

via the paracellular route through tight junctions. The rise in

[Ca(2+)](i) induced by these saccharides may be involved in the opening

of tight junctions.

PMID: 15284379 [PubMed - indexed for MEDLINE]

Dig Dis Sci. 2004 Jan;49(1):122-32.

Indigestible disaccharides open tight junctions and enhance net

calcium, magnesium, and zinc absorption in isolated rat small and large

intestinal epithelium.

* Mineo H, Northern Advancement Center for Science and

Technology, Colabo-Hokkaido, Sapporo 001-0021, Japan.

The effects of three indigestible disaccharides on net calcium (Ca),

magnesium (Mg), and zinc (Zn) transport in isolated rat jejunal, ileal,

cecal, and colonic epithelium were determined. Permeability of

fluorescein isothiocynate-dextran-4 (FD4) and transepithelial electrical

resistance (TEER), which vary according to tight junction (TJ) activity

in the intestinal mucosa, were also determined. The addition of 1-100 mM

melibiose, difructose anhydride (DFA) III, or DFA IV to the mucosal

medium increased the net absorption of the three minerals and FD4

permeability, while decreasing TEER dose dependently in the four

intestinal portions. Positive linear relations were found between the

net transport of the three minerals and FD4 passage in all portions of

the intestine, whereas negative linear relations were observed between

net absorption of the three minerals and TEER. We concluded that the

three indigestible saccharides directly affect the epithelial tissue and

open TJs, thereby promoting Ca, Mg, and Zn absorption in the small and

large intestine in vitro.

PMID: 14992446 [PubMed - indexed for MEDLINE]

J Ocul Pharmacol Ther. 1995 Winter;11(4):527-31.

Inhibition of polyol formation in rat lens by verapamil.

* Devamanoharan PS, * Varma SD. Department of

Opthalmology, University of land at Baltimore, USA.

Accumulation of sorbitol and xylitol in rat lenses incubated in

medium-199 with and without verapamil has been studied. This

antihypertensive drug, known to attenuate hypertension by its calcium

channel blocking effect, is also known to inhibit cataract formation in

diabetes. The present studies have demonstrated that verapamil's effect

against cataract could also be partially related to its aldose reductase

inhibitory activity, in addition to the Ca++ channel blocking activity.

The accumulation of sorbitol in the lenses incubated with high glucose

in the presence of 400 microM verapamil was only 2.3 mmoles/Kg wet

weight against 11.3 mmoles/Kg in its absence. The level of xylitol

attained in the presence of 10 mM xylose was 25.7 +/- 2.4 mmoles/Kg. It

decreased to 4.8 +/- 1.2 mmoles/Kg in presence of 400 microM verapamil.

Hence, verapamil is significantly effective in inhibiting lens aldose

reductase dependent polyol synthesis, an action simultaneous with its

effect on calcium penetration.

PMID: 8574816 [PubMed - indexed for MEDLINE]

Dig Dis Sci. 2002 Jun;47(6):1326-33. Related Articles, Links

Click here to read

Sugar alcohols enhance calcium transport from rat small and large

intestine epithelium in vitro.

Mineo H, Hara H, Tomita F.

Hokkaido Foundation for the Promotion of Scientific and Industrial

Technology, Colabo-Hokkaido, Sapporo, Japan.

We compared the effect of a variety of sugar alcohols on calcium

absorption from the rat small and large intestine in vitro. An Ussing

chamber technique was used to determine the net transport of Ca across

the epithelium isolated from the jejunum, ileum, cecum, and colon of

rats. The concentration of Ca in the serosal and mucosal Tris buffer

solution was 1.25 mM and 10 mM, respectively. The Ca concentration in

the serosal medium was determined after incubation for 30 min and the

net Ca absorption was evaluated. The addition of 0.1-200 mM erythritol,

xylitol, sorbitol, maltitol, palatinit, or lactitol to the mucosal

medium affected net Ca absorption in the intestinal preparations.

Differences in Ca transport were observed between portions of the

intestine, but not between sugar alcohols tested. We concluded that

sugar alcohols directly affect the epithelial tissue and promote Ca

absorption from the small and large intestine in vitro.

PMID: 12064809 [PubMed - indexed for MEDLINE]

Int J Legal Med. 2004 Apr;118(2):98-100. Epub 2003 Nov 22. Related

Articles, Links

Click here to read

Fatal cerebro-renal oxalosis after appendectomy.

Pfeiffer H, Weiss FU, Karger B, Aghdassi A, Lerch MM, Brinkmann B.

Institute of Legal Medicine, Rontgenstrasse 23, 48149 Muenster,

Germany. pfeiffh@...

A case of a 24-year-old male with fatal cerebro-renal oxalosis

assumed to be due to infusions of the sugar surrogate xylitol after

appendectomy is reported. The diagnosis was established only after

intensive histological investigations following the autopsy. The

clinical picture was characterized by an acute seizure, coma and renal

failure 2 days after the first xylitol infusion. Death occurred due to

cerebral dysregulation as a very rare complication after parenteral

administration of xylitol. Subendothelial double refractive calcium

oxalate crystals were found in the walls of cerebral blood vessels, in

particular in the stem ganglion regions and in the cortical renal

tubules. The most common type of primary oxalosis was excluded by

sequencing analysis. The young age, the minor surgical intervention and

the otherwise unremarkable history are special features of this case.

Since the genetic background of xylitol intolerance is still unclear, it

is suggested that it should be banned as a sugar surrogate in clinical

practice.

Publication Types: * Case Reports

PMID: 14634832 [PubMed - indexed for MEDLINE]

3: Int J Food Sci Nutr. 2000 Jan;51(1):45-54. Related Articles,

Links

Investigation of an in vitro model for predicting the effect of food

components on calcium availability from meals.

Kennefick S, Cashman KD. Department of Nutrition, University

College, Cork, Ireland.

The availability of calcium from semi-synthetic meals and model food

systems was studied by an in vitro method using equilibrium dialysis

after simulating gastric digestion. Twelve different food components

(phytate, oxalate, wheat fibre- and barley fibre-extract, D-sorbitol,

xylitol, galactitol, casein, three different casein phosphopeptide

preparations, and lactose) were added to the semi-synthetic meal and

their effect on the relative index of availability of 45Ca was studied.

Phytate, oxalate, wheat fibre-extract and barley fibre-extract, and,

surprisingly, casein had a negative effect on availability of calcium.

The most pronounced effect was observed for the addition of phytate. The

other dietary factors had no effect on calcium availability. Therefore,

this rapid and inexpensive in vitro model could be a useful screening

method for factors affecting calcium absorption, especially inhibitory

factors, in future human calcium bioavailability studies.

PMID: 10746104 [PubMed - indexed for MEDLINE]

4: Arch Oral Biol. 1995 Dec;40(12):1137-41. Related Articles, Links

Click here to read

Effects of xylitol and carbohydrate diets on dental caries, dentine

formation and mineralization in young rats.

Hietala EL, Larmas M.

Institute of Dentistry, University of Oulu, Finland.

Female Wistar rats were weaned at the age of 3 weeks and fed for 7

weeks either a high-sucrose diet, a non-cariogenic raw potato-starch

diet, a high-sucrose diet with 5% xylitol supplement, a raw

potato-starch diet with 5% xylitol supplement or a non-cariogenic,

commercial, powdered rat food (Ewos R3) for reference. A low xylitol

concentration reduced the progression and severity of carious lesions

but did not affect dentine apposition or the width of predentine in rats

fed high-carbohydrate diets. Widening of the predentine zone in rats fed

a high-sucrose diet might reflect disturbed mineralization, which could

not be explained by serum ionized calcium or phosphate ion levels and

which could not be corrected by low xylitol concentrations. It is

concluded that the reduced area of dentinal carious lesions after low

xylitol supplementation is not dependent on dentine formation or

mineralization, but rather on direct effects in the mouth.

PMID: 8850653 [PubMed - indexed for MEDLINE]

5: Calcif Tissue Int. 1995 Mar;56(3):232-5. Related Articles, Links

Diminished bone resorption in rats after oral xylitol

administration: a dose-response study.

Mattila P, Svanberg M, Knuuttila M.

Institute of Dentistry, University of Oulu, Finland.

The effects of 5, 10, and 20% dietary xylitol supplementations on

the resorption of bone were studied. The resorption was measured by the

urinary excretion of [3H] radioactivity from [3H]tetracycline-prelabeled

rats. The 10 and 20% oral xylitol administrations caused a significant

decrease in the excretion of [3H] as compared with the control group

with no xylitol supplementation. The effect was detected as early as 2

days after the beginning of xylitol-feeding and was maintained

throughout the experimental period of 31 days. The retarding effect on

bone resorption was about 25% in the 10% xylitol group, about 40% in the

20% xylitol group, and undetectable in the 5% xylitol group. The amount

of preserved [3H] radioactivity in the tibiae of the 10 and 20% xylitol

groups after the experiment clearly exceeded the values of the control

group. The mechanism of the retarded bone resorption caused by dietary

xylitol still remains obscure, but an increased absorption of calcium

may be involved. In conclusion, dietary xylitol supplementation in rats

seems to retard the bone resorption in a dose-dependent way. The effect

is achieved rapidly and is maintained at least over a period of 1 month

xylitol feeding.

PMID: 7750030 [PubMed - indexed for MEDLINE]

6: J Nutr. 1994 Jun;124(6):874-81. Related Articles, Links

Bone repair in calcium-deficient rats: comparison of xylitol+calcium

carbonate with calcium carbonate, calcium lactate and calcium citrate on

the repletion of calcium.

Hamalainen MM.

Institute of Dentistry, University of Turku, Finland.

The potential value of xylitol in calcium therapy was evaluated by

comparing the effect of dietary xylitol (50 g/kg diet) + calcium

carbonate with the effects of calcium carbonate, calcium lactate and

calcium citrate on bone repair of young male rats after the rats

consumed for 3 wk a calcium-deficient diet (0.2 g Ca/kg diet). After

this calcium-depletion period, the rats were fed for 2 wk one of four

diets, each containing 5 g Ca/kg diet as one of the four dietary calcium

sources. The diet of the control animals was supplemented with CaCO3 (5

g Ca/kg diet) throughout the study. The Ca-deficient rats showed low

bone mass, low serum calcium and high serum

1,25-dihydroxycholecalciferol, parathyroid hormone (1-34 fraction) and

osteocalcin concentrations. They also excreted magnesium, phosphate and

hydroxyproline in the urine in high concentrations, and had high bone

alkaline phosphatase and tartrate-resistant acid phosphatase activities.

Most of these changes were reversed by the administered of the calcium

salts. The highest recoveries of femoral dry weight, calcium, magnesium

and phosphate were observed in the groups receiving xylitol+CaCO3 and

calcium lactate. Calcium lactate and calcium citrate caused low serum

phosphate concentration compared with rats receiving CaCO3 and with the

age-matched Ca-replete controls. Xylitol-treated rats excreted more

calcium and magnesium in urine than did the other rats, probably due to

increased absorption of these minerals from the gut. These results

suggest that dietary xylitol improves the bioavailability of calcium

salts.

PMID: 8207545 [PubMed - indexed for MEDLINE]

7: Miner Electrolyte Metab. 1994;20(3):153-7. Related Articles,

Links

Dietary xylitol retards bone resorption in rats.

Svanberg M, Knuuttila M. Institute of Dentistry, University of

Oulu, Finland.

Dietary xylitol has previously been found to promote the content of

calcium and minerals of the bone during rehabilitation following dietary

calcium deficiency and during a normocalcemic diet in rats. This in vivo

experiment was performed in order to study whether a short-term dietary

xylitol supplementation affects bone resorption and calcium

incorporation into bone during two different experiments utilizing

either calcium-deficient or normocalcemic diets. Xylitol reduced bone

resorption measured by the urinary excretion of 3H radioactivity both

during calcium-deficient and normocalcemic diets. However xylitol

reduced vitamin D levels only during calcium deficiency, indicating that

the decreased bone dissolution was not associated with changes in

1,25(OH)2D3 concentration alone. Dietary xylitol did not alter 45Ca

incorporation into bone, although this does not exclude the possibility

that xylitol may have caused alterations in bone apposition. These

results suggest that a short-term xylitol ingestion retards bone

resorption in the rat.

PMID: 7816005 [PubMed - indexed for MEDLINE]

8: J Nutr. 1993 Dec;123(12):2186-94. Related Articles, Links

Intestinal calcium absorption in rats is stimulated by dietary

lactulose and other resistant sugars.

Brommage R, Binacua C, Antille S, AL.

Nestle Research Centre, Vers-chez-les-Blanc, Lausanne, Switzerland.

Lactulose is a disaccharide analogue of lactose that is resistant to

metabolism in the small intestine but not in the large intestine. The

effects of lactulose and other sugars on intestinal Ca absorption were

determined from the decrease in the 47Ca:47 Sc ratio between diet and

feces after feeding male rats diets containing these sugars during a

single night. Dietary lactulose was more potent than lactose in

stimulating Ca absorption and was effective between 5 and 38 wk of age.

The component sugars of lactulose, galactose and fructose, did not

influence Ca absorption when provided together at concentrations

equimolar to that of lactulose. The stimulation of Ca absorption by

dietary lactulose increased as dietary Ca concentration was raised and

was not influenced by prior injections of calcitriol. Lactulose must be

present in the same meal as Ca to stimulate Ca absorption, but this

stimulation was lost if the rats were fed lactulose continuously for 2

or 7 d prior to the test diet. Other sugars thought to be poorly

absorbed in the small intestine (xylitol, lactobionate, arabinose,

raffinose, pyroglutamate, sorbitol, gluconate and raftilose) stimulated

Ca absorption to an identical extent as lactulose. Cecectomy did not

influence the enhancement of Ca absorption by lactulose. These results

indicate that sugars resistant to metabolism and absorption in the small

intestine but not the large intestine stimulate Ca absorption in the

small intestine.

PMID: 8263614 [PubMed - indexed for MEDLINE]

9: Miner Electrolyte Metab. 1993;19(2):103-8. Related Articles,

Links

Citric acid concentration compared to serum parathyroid hormone,

1,25(OH)2D3 and calcitonin during dietary Ca deficiency and

rehabilitation enhanced with xylitol in rats.

Svanberg M, Knuuttila M, Hamalainen M.

Institute of Dentistry, University of Oulu, Finland.

Young male Wistar rats were fed on a Ca-deficient diet for 3 weeks,

after which dietary Ca was restored with either CaCO3 or CaCO3 + xylitol

(5% per weight). Citric acid, Ca, Mg, Zn and P were determined in the

tibia and femur at the beginning and after 2 and 4 weeks of

rehabilitation, and serum and urinary citric acid and serum 1,25(OH)2D3,

parathyroid hormone (PTH) and calcitonin were measured at the same

points in time. The diminished bone Ca (p < 0.001) after 3 weeks of

deficiency did not reduce the bone citric acid concentration, although

serum citrate increased markedly. Simultaneously the serum 1,25(OH)2D3

concentration more than doubled and PTH increased (p < 0.01).

Rehabilitation with CaCO3 + xylitol reduced the 1,25(OH)2D3

concentration to below the control level (p < 0.05), while serum citric

acid remained elevated. CaCO3 alone normalized the elevated hormone and

citric acid levels in the serum. Dietary CaCO3 and CaCO3 + xylitol

normalized the PTH concentration equally well. The gain in bone Ca after

4 weeks of rehabilitation was significantly greater when xylitol was

added compared with CaCO3 alone (p < 0.05). Only the 4-week CaCO3 +

xylitol group attained the bone Ca concentration of the controls.

Xylitol supplementation seems to affect the serum citric acid

concentration independent of 1,25(OH)2D3 and PTH concentrations. The

elevated citric acid concentration could be associated with increasing

bone Ca.

PMID: 8377724 [PubMed - indexed for MEDLINE]

10: Acta Physiol Scand. 1987 Aug;130(4):687-93. Related Articles,

Links

Adrenal function of the rat in relation to peroral administration of

xylitol: depression of aldosterone.

Hamalainen MM, Makinen KK.

The effect of peroral administration of xylitol (5% or 20% in food)

on adrenal function was investigated in thirty-five Long- male

rats. The control rats were fed either a non-substituted stock diet or a

20% glucose diet. Glucose elevated and 20% xylitol reduced the growth of

the rats (P less than 0.001), but 5% xylitol had no effect on the body

weight. The concentrations of serum glucose and lactic acid decreased in

rats fed 20% and 5% xylitol, respectively, but those of insulin,

glucagon, corticosterone and aldosterone were not affected. In the

adrenal glands, 20% xylitol loading was associated with increased

epinephrine (P less than 0.05) and norepinephrine (P less than 0.001),

but with decreased aldosterone (P less than 0.001) concentrations. The

weights and histological picture of adrenal glands were normal. The

urinary pH of xylitol-fed rats decreased significantly (P less than

0.01). Although peroral xylitol affected the levels of aldosterone and

catecholamines, a normal glucocorticoid metabolism was permitted. The

reduced aldosterone levels were regarded as secondary reactions,

possibly resulting from alterations in electrolyte and/or acid-base

balance. The increased catecholamine synthesis may be associated with

the promoting effect of xylitol on intestinal calcium absorption.

PMID: 3630741 [PubMed - indexed for MEDLINE]

11: Miner Electrolyte Metab. 1985;11(3):178-81. Related Articles,

Links

Peroral xylitol increases intestinal calcium absorption in the rat

independently of vitamin D action.

Hamalainen MM, Makinen KK, Parviainen MT, Koskinen T.

The absorption of 45Ca from the diet in the presence of xylitol was

investigated with 28 adult male rats. The supplementation of the diet

with 10% xylitol for 3 weeks augmented the urinary excretion of 45Ca

2.5-fold p less than 0.001), but did not affect the urinary excretion of

sodium. The concentration of calcium in the serum remained unchanged.

The serum levels of vitamin D metabolites [1,25-(OH)2D; 24,25-(OH)2D,

and 25-(OH)D] did not correlate with the augmentation of Ca absorption.

The diuretic effect of xylitol and the complex formation between polyols

and calcium in rat intestine were considered responsible for the changes

in calcium metabolism.

PMID: 4010648 [PubMed - indexed for MEDLINE]

Caries Res. 2006;40(1):43-6. Related Articles, Links

Click here to read

The effect of adding calcium lactate to xylitol chewing gum on

remineralization of enamel lesions.

Suda R, Suzuki T, Takiguchi R, Egawa K, Sano T, Hasegawa K.

Department of Periodontology, Showa University Dental School, Tokyo,

Japan. suda@...

The purpose of the study was to determine whether adding calcium

lactate to chewing gum containing xylitol enhances remineralization of

enamel surfaces using an early caries lesion model. Enamel slabs were

cut from human extracted sound teeth and artificial subsurface lesions

created within each. Half the enamel slabs were used as controls and

stored in a humidifier while half were mounted into oral appliances worn

by 10 volunteers (22-27 years old, 2 males and 8 females) in a three-leg

trial, during which they wore the appliance without chewing gum, chewed

gum containing xylitol + calcium lactate or chewed gum containing only

xylitol 4 times a day for 2 weeks. Calcium concentrations in the enamel

surfaces of control and test slabs were measured by X-ray spectrometry

and degrees of remineralization were calculated. The mean degree of

remineralization was greater after chewing xylitol-Ca gum (0.46 +/-

0.10) than after no gum (0.16 +/- 0.14) or after chewing xylitol gum

(0.33 +/- 0.10) (p < 0.01). In conclusion, chewing gum containing

xylitol + calcium lactate could enhance remineralization of enamel

surface compared to chewing gum containing only xylitol or no gum

chewing.

Publication Types: * Randomized Controlled Trial

PMID: 16352880 [PubMed - indexed for MEDLINE]

> > > > >

> > > > > Wow, thanks, Natasa, we can't get enough calcium into

> > > > her...wondering how we could introduce some xylitol, maybe in

> gum.

> > > > Honest I would never do IV's but if we were calcium would be the

> > > > first out of the block.

> > > > >

> > > > >

> > > >

> > >

> >

>

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