Guest guest Posted May 31, 2004 Report Share Posted May 31, 2004 I'm very much a newbie and have been following the discussion of fatty acid metabolism, coconut oil, MCT, etc., with much interest. I'm still at the point where I'm trying to gather appropriate info before I present it all to my doc. What I find particularly interesting is the mention in passing of " defects in fatty acid metabolism " . In '89 when I first had tests results indicating the possibiliity of a thiamine (vitamin B1) dependency disorder, the head of the lab doing the work ( in consulting with my doc at the time), suggested that my fatty acid metabolism should be investigated. I've had 3 fatty acid tests done since then, all showing abnormal results, but my doc is now deceased and I haven't been able to find a doc to interpret the results with any level of understanding (family doc, neurologists, nutritionally oriented alternative medicine MD' s, and naturopaths haven't really had a clue). What kind of a doc investigates defects in fatty acid metabolism? I'm suspecting a " run of the mill " endocrinologist or neurologist would not be the answer. Do many mito specialists have the knowledge/resources to investigate this? I am headed now to read the info on the links on MCT oil that Barbara so kindly provided in hopes of finding some info that might help, but thought I would also ask here. For what it's worth (probably nothing considering it's apples and pears), I've been on a ketogenic diet for close to a year with very beneficial results (it's the recommended diet for PDCD) . It's a diet VERY low in carbs and VERY high in all kinds of fats including Yudo Blend high omega 3-6-9- fatty acids, butter, olive oil, cod liver oil and coconut oil. In that time, my cholesterol numbers have now DROPPED to normal (sometimes BELOW normal) on the regime. Cause and effect....very hard to say. As always, thanks for your collective expertise and guidance. Best Wishes, Anita Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2004 Report Share Posted May 31, 2004 Fat is metabolized in a metabolic cycle called beta oxidation, which takes place in the mitochondrion. Many experts include defects of fat metabolism under the mito umbrella. UMDF includes them in their list. For example, carnitine deficiency is a defect in fat metabolism. Usually patients with defects of fat metabolism require a low-fat diet, as fats are known triggers in those disorders. Dr. Roe's page on the FOD site explains the whys. Medium-chain triglyceride oil (MCT) has been tried in disorders of long-chain fat metabolism, the idea being to bypass the blocked long-chain pathways by beefing up medium-chain pathways. But for various complicated reasons, this has not worked well. Most adult FOD patients figure out (before diagnosis) that fat triggers their symptoms and that carbohydrates improve their symptoms. Generally, FOD patients have blocks in either short, medium, long or very long chain pathways, not all. But it is very difficult if not impossible to limit dietary fat intake to one chain length. Therefore the rationale for limiting all fat intake. In my case, all chain lengths are blocked. Mito specialists do see patients with defects in fat metabolism. In general most FOD patients see neurologists. Take care, Barbara > I'm very much a newbie and have been following the discussion > of fatty acid metabolism, coconut oil, MCT, etc., with much > interest. I'm still at the point where I'm trying to gather appropriate > info before I present it all to my doc. > > What I find particularly interesting is the mention in passing of > " defects in fatty acid metabolism " . In '89 when I first had tests > results indicating the possibiliity of a thiamine (vitamin B1) > dependency disorder, the head of the lab doing the work ( in > consulting with my doc at the time), suggested that my fatty acid > metabolism should be investigated. > > I've had 3 fatty acid tests done since then, all showing abnormal > results, but my doc is now deceased and I haven't been able to > find a doc to interpret the results with any level of understanding > (family doc, neurologists, nutritionally oriented alternative > medicine MD' s, and naturopaths haven't really had a clue). What > kind of a doc investigates defects in fatty acid metabolism? I'm > suspecting a " run of the mill " endocrinologist or neurologist > would not be the answer. Do many mito specialists have the > knowledge/resources to investigate this? > > I am headed now to read the info on the links on MCT oil that > Barbara so kindly provided in hopes of finding some info that > might help, but thought I would also ask here. > > For what it's worth (probably nothing considering it's apples and > pears), I've been on a ketogenic diet for close to a year with very > beneficial results (it's the recommended diet for PDCD) . It's a > diet VERY low in carbs and VERY high in all kinds of fats > including Yudo Blend high omega 3-6-9- fatty acids, butter, olive > oil, cod liver oil and coconut oil. In that time, my cholesterol > numbers have now DROPPED to normal (sometimes BELOW > normal) on the regime. Cause and effect....very hard to say. > > As always, thanks for your collective expertise and guidance. > > Best Wishes, Anita Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2004 Report Share Posted May 31, 2004 Barbara, I'm so sorry to read that you have blockages in all your fatty acid chain metabolism. That must make things difficult. Thanks so much for your in depth explanation and guidance. Because my symptoms are SO much BETTER with LARGE amounts of EFA and other fats in my diet, I suspect that I probably have an " abnormally abnormal " probablm with EFA metabolism. (so what else is new :-) My EFA tests are just crazily imbalanced with generally very high levels of Omega 6 and low levels of Omega 3 with some other weird imbalances. The recommendation to my doc from the doc at the lab which did my last tests suggested that I limit my animal protein. At the time I had been a vegan for 22 years (no animal products AT ALL, not even butter). Hmmmmmm Thanks, you have given me more info to explore as we try to sort things out. Best Wishes, Anita > > Fat is metabolized in a metabolic cycle called beta oxidation, which > takes place in the mitochondrion. Many experts include defects of > fat metabolism under the mito umbrella. UMDF includes them in their > list. For example, carnitine deficiency is a defect in fat > metabolism. > > Usually patients with defects of fat metabolism require a low-fat > diet, as fats are known triggers in those disorders. Dr. Roe's page > on the FOD site explains the whys. Medium-chain triglyceride oil > (MCT) has been tried in disorders of long-chain fat metabolism, the > idea being to bypass the blocked long-chain pathways by beefing up > medium-chain pathways. But for various complicated reasons, this has > not worked well. > > Most adult FOD patients figure out (before diagnosis) that fat > triggers their symptoms and that carbohydrates improve their > symptoms. > > Generally, FOD patients have blocks in either short, medium, long or > very long chain pathways, not all. But it is very difficult if not > impossible to limit dietary fat intake to one chain length. > Therefore the rationale for limiting all fat intake. In my case, all > chain lengths are blocked. > > Mito specialists do see patients with defects in fat metabolism. In > general most FOD patients see neurologists. > > Take care, > Barbara > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2004 Report Share Posted June 1, 2004 Whoa!!! I'm confused!!!! I have CPT-II deficiency, and all the literature says that carbs are necessary to prevent muslce breakdown. A ketogenic diet would seem to me to be very harmful to people with disorders of the fatty acid metabolic pathway. Can anyone explain? I'd love to go on the South Beach diet, but have been scared to do so. Thanks, Mike > I'm very much a newbie and have been following the discussion > of fatty acid metabolism, coconut oil, MCT, etc., with much > interest. I'm still at the point where I'm trying to gather appropriate > info before I present it all to my doc. > > What I find particularly interesting is the mention in passing of > " defects in fatty acid metabolism " . In '89 when I first had tests > results indicating the possibiliity of a thiamine (vitamin B1) > dependency disorder, the head of the lab doing the work ( in > consulting with my doc at the time), suggested that my fatty acid > metabolism should be investigated. > > I've had 3 fatty acid tests done since then, all showing abnormal > results, but my doc is now deceased and I haven't been able to > find a doc to interpret the results with any level of understanding > (family doc, neurologists, nutritionally oriented alternative > medicine MD' s, and naturopaths haven't really had a clue). What > kind of a doc investigates defects in fatty acid metabolism? I'm > suspecting a " run of the mill " endocrinologist or neurologist > would not be the answer. Do many mito specialists have the > knowledge/resources to investigate this? > > I am headed now to read the info on the links on MCT oil that > Barbara so kindly provided in hopes of finding some info that > might help, but thought I would also ask here. > > For what it's worth (probably nothing considering it's apples and > pears), I've been on a ketogenic diet for close to a year with very > beneficial results (it's the recommended diet for PDCD) . It's a > diet VERY low in carbs and VERY high in all kinds of fats > including Yudo Blend high omega 3-6-9- fatty acids, butter, olive > oil, cod liver oil and coconut oil. In that time, my cholesterol > numbers have now DROPPED to normal (sometimes BELOW > normal) on the regime. Cause and effect....very hard to say. > > As always, thanks for your collective expertise and guidance. > > Best Wishes, Anita Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2004 Report Share Posted June 2, 2004 You are absolutely right, Mike. The experts never recommend a high fat diet for people with inborn errors in fat metabolism. One of the hallmarks of those disorders is that fats trigger serious symptoms, and there are very good biochemical reasons why this occurs. I also have CPT II deficiency, as well as a second global mito defect. Please do not try the South Beach diet without checking with your doctor! You can trigger life-threatening events! Take care, Barbara > > I'm very much a newbie and have been following the discussion > > of fatty acid metabolism, coconut oil, MCT, etc., with much > > interest. I'm still at the point where I'm trying to gather > appropriate > > info before I present it all to my doc. > > > > What I find particularly interesting is the mention in passing of > > " defects in fatty acid metabolism " . In '89 when I first had tests > > results indicating the possibiliity of a thiamine (vitamin B1) > > dependency disorder, the head of the lab doing the work ( in > > consulting with my doc at the time), suggested that my fatty acid > > metabolism should be investigated. > > > > I've had 3 fatty acid tests done since then, all showing abnormal > > results, but my doc is now deceased and I haven't been able to > > find a doc to interpret the results with any level of > understanding > > (family doc, neurologists, nutritionally oriented alternative > > medicine MD' s, and naturopaths haven't really had a clue). What > > kind of a doc investigates defects in fatty acid metabolism? I'm > > suspecting a " run of the mill " endocrinologist or neurologist > > would not be the answer. Do many mito specialists have the > > knowledge/resources to investigate this? > > > > I am headed now to read the info on the links on MCT oil that > > Barbara so kindly provided in hopes of finding some info that > > might help, but thought I would also ask here. > > > > For what it's worth (probably nothing considering it's apples and > > pears), I've been on a ketogenic diet for close to a year with > very > > beneficial results (it's the recommended diet for PDCD) . It's a > > diet VERY low in carbs and VERY high in all kinds of fats > > including Yudo Blend high omega 3-6-9- fatty acids, butter, olive > > oil, cod liver oil and coconut oil. In that time, my cholesterol > > numbers have now DROPPED to normal (sometimes BELOW > > normal) on the regime. Cause and effect....very hard to say. > > > > As always, thanks for your collective expertise and guidance. > > > > Best Wishes, Anita Quote Link to comment Share on other sites More sharing options...
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