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Hi,

I was reading through your response below and was interested in your

saying that a high protein, low carbohydrate diet decreases general

immune response. I know that following such a diet causes ketosis.

Were you referring to that? I've tried following a high protein, low

carb diet and felt terrible. I think I was going through ketosis -

felt very dizzy and constipated. It was horrible. I didn't notice

much of change in my skin.

Nonetheless, I do follow a moderate protein and moderate carbohydrate

diet. I get about 60 grams of protein a day (which is the rda for my

height and weight) and eat 6-7 servings of whole grains a day. I also

eat 9 servings of fruits and vegetables a day, along with 25% of my

calories coming from fat, mostly olive oil and nuts. I eat salmon 3

times a week. I also try to abstain from sugar. I don't add any to my

meals and avoid processed foods with them. I do eat desserts about 2-

3 times a week. I do notice that my skin is less reactive when I

follow that type of diet. I am also hypothyroid, and eat like this to

gain more energy. That's why I started eating this way in the first

place, and I did notice a change in my skin. Dr. Nase has discussed

the role of simple sugars triggering flares.

Some people do have issues with food allergies triggering rosacea

flares. For me, I don't think this is an issue. I believe if I had

food allergies, I would get more symptoms than a flare on my face. I

might get swollen lips, eyes, tongue or worse suffer from

Anaphylaxis. (I have had those symptoms occur in the past, and my

skin has looked great.) I believe food allergies are caused by

histamine being released and causing IgE antibodies to form. I think

most people who react to histamine releasing foods with rosacea don't

have IgE antibodies forming and don't have food allergies. I think

that the damaged blood vessels in their face get dilated with the

extra amount of histamine in their bodies. If they didn't have

damaged blood vessels, they would not see a problem at all like non-

rosaceans do. The flushing would not occur. Some people are bothered

by histamine-releasing foods (the NRS and the NIH have lists) causing

flares. Some of those foods do that for me while some don't. For some

people, they aren't bothered by any foods at all. They have other

triggers - cold temperatures, excessive heat, etc.

Taking all of these issues into consideration, I'm looking at page

101 of Dr. Nase's book where he discusses " Substances Can Cause

Widespread Dilation and Trigger Facial Flushing...Foods,beverages,

medications and supplements contain natural dilator substances, and

can release dilators after being broken down in the gastrointestinal

tract. These are both normal events which occur in all humans. If

these substances reach high enough concentrations, they can cause

widespread dilation of blood vessels and trigger facial flushing.

This form of food flushing is, by far, the most common in rosacea

sufferers(normal byproducts of ingested substances causing dilation).

The hyper-reactive facial blood vessels of rosacea sufferers just

can't handle these substances, even at normal concentrations. Some of

the most important foods, beverages, medications, supplements that

can cause dilation include: Foods that contain or release histamine

(a potent dilator)...;foods or supplements that contain or release

dilator prostaglandins. The most common example is niacin...;eating

large amounts of simple sugars...can cause glucose levels in the

blood stream to rise quickly and trigger skin flushing...

Anyway, sorry to go off on this tangent. There's been discussion on

this board about food allergies and rosacea. Some people have it,

but you don't have to have food allergies to react to histamines-

releasing foods as Dr. Nase points out. I would guess the majority of

people with rosacea who react to foods (many with rosacea don't react

to any foods at all) do not have food allergies. The minority

probably can list food allergies as a trigger. There's also been

discussion of simple sugars causing flares. I've noticed it in myself

and Dr. Nase does discuss this.

Take care,

Matija

I don't know about your diet in particular, Brady -- please let me

> know if I'm missing something -- but in general the relationship

> between diet and the immune system is fairly well documented in the

> medical literature, both as a way of modulating the inflammatory

> response and in the area of food allergens.

>

> While certainly effective in decreasing chronic inflammation like

> rosacea, immune modulating diets (that strongly limit sugars, among

> other things) are notoriously difficult to stay on. ly, it's

> also easy to imagine untold long term health effects if these diets

> work by causing a decrease in general immune response, not just

> chronic inflammation.

>

> A person on an immune modulating diet who eats chocolate, for

> example, may well experience increased inflammation, but I wouldn't

> call that a rosacea trigger. I would view that as a return to

normal

> manifestion of inflammation.

>

> Foods, drinks, and manner of cooking that increase facial flushing

> are rosacea triggers, and avoiding them makes obvious sense. That's

> not a food allergy, since allergies are stereotypic responses.

> Allergic rashes can sometimes be difficult to diagnose, especially

> when several rashes are present at the same time. But good

allergists

> can tell with only a glance what's an allergic reaction on the face

> and what isn't.

>

> Thank you for your email, and I appreciate your letting me know

about

> your diet.

>

> Marjorie

>

> Marjorie Lazoff, MD

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Guest guest

Hi,

I was reading through your response below and was interested in your

saying that a high protein, low carbohydrate diet decreases general

immune response. I know that following such a diet causes ketosis.

Were you referring to that? I've tried following a high protein, low

carb diet and felt terrible. I think I was going through ketosis -

felt very dizzy and constipated. It was horrible. I didn't notice

much of change in my skin.

Nonetheless, I do follow a moderate protein and moderate carbohydrate

diet. I get about 60 grams of protein a day (which is the rda for my

height and weight) and eat 6-7 servings of whole grains a day. I also

eat 9 servings of fruits and vegetables a day, along with 25% of my

calories coming from fat, mostly olive oil and nuts. I eat salmon 3

times a week. I also try to abstain from sugar. I don't add any to my

meals and avoid processed foods with them. I do eat desserts about 2-

3 times a week. I do notice that my skin is less reactive when I

follow that type of diet. I am also hypothyroid, and eat like this to

gain more energy. That's why I started eating this way in the first

place, and I did notice a change in my skin. Dr. Nase has discussed

the role of simple sugars triggering flares.

Some people do have issues with food allergies triggering rosacea

flares. For me, I don't think this is an issue. I believe if I had

food allergies, I would get more symptoms than a flare on my face. I

might get swollen lips, eyes, tongue or worse suffer from

Anaphylaxis. (I have had those symptoms occur in the past, and my

skin has looked great.) I believe food allergies are caused by

histamine being released and causing IgE antibodies to form. I think

most people who react to histamine releasing foods with rosacea don't

have IgE antibodies forming and don't have food allergies. I think

that the damaged blood vessels in their face get dilated with the

extra amount of histamine in their bodies. If they didn't have

damaged blood vessels, they would not see a problem at all like non-

rosaceans do. The flushing would not occur. Some people are bothered

by histamine-releasing foods (the NRS and the NIH have lists) causing

flares. Some of those foods do that for me while some don't. For some

people, they aren't bothered by any foods at all. They have other

triggers - cold temperatures, excessive heat, etc.

Taking all of these issues into consideration, I'm looking at page

101 of Dr. Nase's book where he discusses " Substances Can Cause

Widespread Dilation and Trigger Facial Flushing...Foods,beverages,

medications and supplements contain natural dilator substances, and

can release dilators after being broken down in the gastrointestinal

tract. These are both normal events which occur in all humans. If

these substances reach high enough concentrations, they can cause

widespread dilation of blood vessels and trigger facial flushing.

This form of food flushing is, by far, the most common in rosacea

sufferers(normal byproducts of ingested substances causing dilation).

The hyper-reactive facial blood vessels of rosacea sufferers just

can't handle these substances, even at normal concentrations. Some of

the most important foods, beverages, medications, supplements that

can cause dilation include: Foods that contain or release histamine

(a potent dilator)...;foods or supplements that contain or release

dilator prostaglandins. The most common example is niacin...;eating

large amounts of simple sugars...can cause glucose levels in the

blood stream to rise quickly and trigger skin flushing...

Anyway, sorry to go off on this tangent. There's been discussion on

this board about food allergies and rosacea. Some people have it,

but you don't have to have food allergies to react to histamines-

releasing foods as Dr. Nase points out. I would guess the majority of

people with rosacea who react to foods (many with rosacea don't react

to any foods at all) do not have food allergies. The minority

probably can list food allergies as a trigger. There's also been

discussion of simple sugars causing flares. I've noticed it in myself

and Dr. Nase does discuss this.

Take care,

Matija

I don't know about your diet in particular, Brady -- please let me

> know if I'm missing something -- but in general the relationship

> between diet and the immune system is fairly well documented in the

> medical literature, both as a way of modulating the inflammatory

> response and in the area of food allergens.

>

> While certainly effective in decreasing chronic inflammation like

> rosacea, immune modulating diets (that strongly limit sugars, among

> other things) are notoriously difficult to stay on. ly, it's

> also easy to imagine untold long term health effects if these diets

> work by causing a decrease in general immune response, not just

> chronic inflammation.

>

> A person on an immune modulating diet who eats chocolate, for

> example, may well experience increased inflammation, but I wouldn't

> call that a rosacea trigger. I would view that as a return to

normal

> manifestion of inflammation.

>

> Foods, drinks, and manner of cooking that increase facial flushing

> are rosacea triggers, and avoiding them makes obvious sense. That's

> not a food allergy, since allergies are stereotypic responses.

> Allergic rashes can sometimes be difficult to diagnose, especially

> when several rashes are present at the same time. But good

allergists

> can tell with only a glance what's an allergic reaction on the face

> and what isn't.

>

> Thank you for your email, and I appreciate your letting me know

about

> your diet.

>

> Marjorie

>

> Marjorie Lazoff, MD

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Share on other sites

Guest guest

Hi,

I was reading through your response below and was interested in your

saying that a high protein, low carbohydrate diet decreases general

immune response. I know that following such a diet causes ketosis.

Were you referring to that? I've tried following a high protein, low

carb diet and felt terrible. I think I was going through ketosis -

felt very dizzy and constipated. It was horrible. I didn't notice

much of change in my skin.

Nonetheless, I do follow a moderate protein and moderate carbohydrate

diet. I get about 60 grams of protein a day (which is the rda for my

height and weight) and eat 6-7 servings of whole grains a day. I also

eat 9 servings of fruits and vegetables a day, along with 25% of my

calories coming from fat, mostly olive oil and nuts. I eat salmon 3

times a week. I also try to abstain from sugar. I don't add any to my

meals and avoid processed foods with them. I do eat desserts about 2-

3 times a week. I do notice that my skin is less reactive when I

follow that type of diet. I am also hypothyroid, and eat like this to

gain more energy. That's why I started eating this way in the first

place, and I did notice a change in my skin. Dr. Nase has discussed

the role of simple sugars triggering flares.

Some people do have issues with food allergies triggering rosacea

flares. For me, I don't think this is an issue. I believe if I had

food allergies, I would get more symptoms than a flare on my face. I

might get swollen lips, eyes, tongue or worse suffer from

Anaphylaxis. (I have had those symptoms occur in the past, and my

skin has looked great.) I believe food allergies are caused by

histamine being released and causing IgE antibodies to form. I think

most people who react to histamine releasing foods with rosacea don't

have IgE antibodies forming and don't have food allergies. I think

that the damaged blood vessels in their face get dilated with the

extra amount of histamine in their bodies. If they didn't have

damaged blood vessels, they would not see a problem at all like non-

rosaceans do. The flushing would not occur. Some people are bothered

by histamine-releasing foods (the NRS and the NIH have lists) causing

flares. Some of those foods do that for me while some don't. For some

people, they aren't bothered by any foods at all. They have other

triggers - cold temperatures, excessive heat, etc.

Taking all of these issues into consideration, I'm looking at page

101 of Dr. Nase's book where he discusses " Substances Can Cause

Widespread Dilation and Trigger Facial Flushing...Foods,beverages,

medications and supplements contain natural dilator substances, and

can release dilators after being broken down in the gastrointestinal

tract. These are both normal events which occur in all humans. If

these substances reach high enough concentrations, they can cause

widespread dilation of blood vessels and trigger facial flushing.

This form of food flushing is, by far, the most common in rosacea

sufferers(normal byproducts of ingested substances causing dilation).

The hyper-reactive facial blood vessels of rosacea sufferers just

can't handle these substances, even at normal concentrations. Some of

the most important foods, beverages, medications, supplements that

can cause dilation include: Foods that contain or release histamine

(a potent dilator)...;foods or supplements that contain or release

dilator prostaglandins. The most common example is niacin...;eating

large amounts of simple sugars...can cause glucose levels in the

blood stream to rise quickly and trigger skin flushing...

Anyway, sorry to go off on this tangent. There's been discussion on

this board about food allergies and rosacea. Some people have it,

but you don't have to have food allergies to react to histamines-

releasing foods as Dr. Nase points out. I would guess the majority of

people with rosacea who react to foods (many with rosacea don't react

to any foods at all) do not have food allergies. The minority

probably can list food allergies as a trigger. There's also been

discussion of simple sugars causing flares. I've noticed it in myself

and Dr. Nase does discuss this.

Take care,

Matija

I don't know about your diet in particular, Brady -- please let me

> know if I'm missing something -- but in general the relationship

> between diet and the immune system is fairly well documented in the

> medical literature, both as a way of modulating the inflammatory

> response and in the area of food allergens.

>

> While certainly effective in decreasing chronic inflammation like

> rosacea, immune modulating diets (that strongly limit sugars, among

> other things) are notoriously difficult to stay on. ly, it's

> also easy to imagine untold long term health effects if these diets

> work by causing a decrease in general immune response, not just

> chronic inflammation.

>

> A person on an immune modulating diet who eats chocolate, for

> example, may well experience increased inflammation, but I wouldn't

> call that a rosacea trigger. I would view that as a return to

normal

> manifestion of inflammation.

>

> Foods, drinks, and manner of cooking that increase facial flushing

> are rosacea triggers, and avoiding them makes obvious sense. That's

> not a food allergy, since allergies are stereotypic responses.

> Allergic rashes can sometimes be difficult to diagnose, especially

> when several rashes are present at the same time. But good

allergists

> can tell with only a glance what's an allergic reaction on the face

> and what isn't.

>

> Thank you for your email, and I appreciate your letting me know

about

> your diet.

>

> Marjorie

>

> Marjorie Lazoff, MD

Link to comment
Share on other sites

Guest guest

> Nonetheless, I do follow a moderate protein and moderate carbohydrate

> diet. I get about 60 grams of protein a day (which is the rda for my

> height and weight) and eat 6-7 servings of whole grains a day. I also

> eat 9 servings of fruits and vegetables a day, along with 25% of my

> calories coming from fat, mostly olive oil and nuts. I eat salmon 3

> times a week. I also try to abstain from sugar. I don't add any to my

> meals and avoid processed foods with them. I do eat desserts about 2-

> 3 times a week. I do notice that my skin is less reactive when I

> follow that type of diet. I am also hypothyroid, and eat like this to

> gain more energy. That's why I started eating this way in the first

> place, and I did notice a change in my skin. Dr. Nase has discussed

> the role of simple sugars triggering flares.

hi matija,

thanks for posting this response. you are following the type of diet and the

proportions that i aspire to! i'm having trouble with the actual application

of it you might say though. i do fine with the protein: i eat alot of

salmon, catfish and albacore, some chicken and turkey. i do ok with the

whole grains too. i have always eaten them, as opposed to white flours. now

though i am steering clear of yeasted breads as they seem to cause some

minor reactions. i eat oatmeal and brown rice regularly and am trying to

incorporate other grains like quinoa into my day. where i have the most

trouble is getting the 9-10 servings of fruits and veggies every day. it's

hard for me to achieve every day for a couple reasons: 1)i have a limited

repertoire of recipes and 2)i get sick of chopping them all every day. i

have avoided doing alot of " bulk " chopping because i know that the nutrients

can be destroyed easily.

so the above is sort of a long prelude to asking you, could you share some

of the ways you prepare vegetables? what is a typical days or even weeks

menu for you? do you mostly steam them? do you juice? i believe you are the

one that mentioned making a veggie soup and i somehow missed the

recipe...would it be too much trouble to repost it?

thank you very much!

carrie

ps: thank you by the way for the vbeam info. i'm going to email that doctor

and see if she does have a bay area referral. i'll let you know.

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Guest guest

> Nonetheless, I do follow a moderate protein and moderate carbohydrate

> diet. I get about 60 grams of protein a day (which is the rda for my

> height and weight) and eat 6-7 servings of whole grains a day. I also

> eat 9 servings of fruits and vegetables a day, along with 25% of my

> calories coming from fat, mostly olive oil and nuts. I eat salmon 3

> times a week. I also try to abstain from sugar. I don't add any to my

> meals and avoid processed foods with them. I do eat desserts about 2-

> 3 times a week. I do notice that my skin is less reactive when I

> follow that type of diet. I am also hypothyroid, and eat like this to

> gain more energy. That's why I started eating this way in the first

> place, and I did notice a change in my skin. Dr. Nase has discussed

> the role of simple sugars triggering flares.

hi matija,

thanks for posting this response. you are following the type of diet and the

proportions that i aspire to! i'm having trouble with the actual application

of it you might say though. i do fine with the protein: i eat alot of

salmon, catfish and albacore, some chicken and turkey. i do ok with the

whole grains too. i have always eaten them, as opposed to white flours. now

though i am steering clear of yeasted breads as they seem to cause some

minor reactions. i eat oatmeal and brown rice regularly and am trying to

incorporate other grains like quinoa into my day. where i have the most

trouble is getting the 9-10 servings of fruits and veggies every day. it's

hard for me to achieve every day for a couple reasons: 1)i have a limited

repertoire of recipes and 2)i get sick of chopping them all every day. i

have avoided doing alot of " bulk " chopping because i know that the nutrients

can be destroyed easily.

so the above is sort of a long prelude to asking you, could you share some

of the ways you prepare vegetables? what is a typical days or even weeks

menu for you? do you mostly steam them? do you juice? i believe you are the

one that mentioned making a veggie soup and i somehow missed the

recipe...would it be too much trouble to repost it?

thank you very much!

carrie

ps: thank you by the way for the vbeam info. i'm going to email that doctor

and see if she does have a bay area referral. i'll let you know.

Link to comment
Share on other sites

Guest guest

> Nonetheless, I do follow a moderate protein and moderate carbohydrate

> diet. I get about 60 grams of protein a day (which is the rda for my

> height and weight) and eat 6-7 servings of whole grains a day. I also

> eat 9 servings of fruits and vegetables a day, along with 25% of my

> calories coming from fat, mostly olive oil and nuts. I eat salmon 3

> times a week. I also try to abstain from sugar. I don't add any to my

> meals and avoid processed foods with them. I do eat desserts about 2-

> 3 times a week. I do notice that my skin is less reactive when I

> follow that type of diet. I am also hypothyroid, and eat like this to

> gain more energy. That's why I started eating this way in the first

> place, and I did notice a change in my skin. Dr. Nase has discussed

> the role of simple sugars triggering flares.

hi matija,

thanks for posting this response. you are following the type of diet and the

proportions that i aspire to! i'm having trouble with the actual application

of it you might say though. i do fine with the protein: i eat alot of

salmon, catfish and albacore, some chicken and turkey. i do ok with the

whole grains too. i have always eaten them, as opposed to white flours. now

though i am steering clear of yeasted breads as they seem to cause some

minor reactions. i eat oatmeal and brown rice regularly and am trying to

incorporate other grains like quinoa into my day. where i have the most

trouble is getting the 9-10 servings of fruits and veggies every day. it's

hard for me to achieve every day for a couple reasons: 1)i have a limited

repertoire of recipes and 2)i get sick of chopping them all every day. i

have avoided doing alot of " bulk " chopping because i know that the nutrients

can be destroyed easily.

so the above is sort of a long prelude to asking you, could you share some

of the ways you prepare vegetables? what is a typical days or even weeks

menu for you? do you mostly steam them? do you juice? i believe you are the

one that mentioned making a veggie soup and i somehow missed the

recipe...would it be too much trouble to repost it?

thank you very much!

carrie

ps: thank you by the way for the vbeam info. i'm going to email that doctor

and see if she does have a bay area referral. i'll let you know.

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Guest guest

> I was reading through your response below and was interested in

> your saying that a high protein, low carbohydrate diet decreases

> general immune response. I know that following such a diet causes

> ketosis. Were you referring to that?

No, Matija, I wasn't. I don't believe immune modulating diets would

be high protein, and I don't see how ketosis would be beneficial.

They stay clear of sugars, but beyond that I can't help you with the

specifics of immune modulating diets.

Continuing on with your interesting post: you're right, there would

be a clear difference between reacting to ingested histamine, and

having an allergic reaction that involves a cascade of cellular and

immune-mediated substances, one of which is release of intracellular

histamine. The foods you describe as " natural dilator substances " or

that release dilators after ingestion sound like they could trigger

flares in sensitive rosaceans. But I'm not familiar with food

allergies that only or predominately cause just facial flushing,

which is how I understand the term " trigger. " (Allergies can cause

rashes, but even if on the cheeks it's still an allergic rash, not a

rosacea rash.) This is an area I don't know much about from a rosacea

perspective, but I'll educate myself. Thanks for the information.

Just so we're not confusing each other, neither food allergies nor

histamine-releasing foods have anything to do with immune modulating

diets. The latter is a diet that inadvertently or intentionally

avoids the specific nutrients necessary to build or stimulate certain

components of the immune system. Without them, the immune system has

low amounts of key components and so it can't function normally --

and so can't mount a full inflammatory response. So mechanistically,

immune modulating diets is unrelated to " food triggers, " although

some avoided foods may coincidently be considered common triggers

among rosaceans in this group.

Regarding sugars, I may be cutting too fine a line, but I wouldn't

intuitively think it helpful to make a global statement about sugar

as a trigger. It's not like cold weather -- where, despite individual

variability, it's relatively easy to standardize one's reaction from

trigger to trigger. But with sugar, so much depends on a person's

digestive and hormonal responses at the time of sugar ingestion,

among many other factors. It's certainly true that under certain

circumstances in many people ingesting sugar in a particular manner

may result in many symptoms, including facial flushing, but -- and

here's where the cutting may be too fine -- that entire series of

events (the hyperglycemic reaction, or sugar high) would be the

trigger, not the sugar. As a practical example: quickly drinking a

Big Gulp bottle of Pepsi on an empty stomach could bring on a sugar

high which for that person routinely includes facial flushing. But

even if that person was an undiagnosed diabetic, taking a sip of

Pepsi after a big meal isn't likely going to cause any hyperglycemic

reaction, and a person with normal glycemic response may well

tolerate that same Big Gulp for dessert without problems. And a

person used to drinking Big Gulps would likely react differently to a

particular bottle than someone who hasn't ingested sugar in a while.

If we consider something like sugar a trigger, then aren't all great

looking men/women triggers too?

Marjorie

Marjorie Lazoff, MD

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Share on other sites

Guest guest

> I was reading through your response below and was interested in

> your saying that a high protein, low carbohydrate diet decreases

> general immune response. I know that following such a diet causes

> ketosis. Were you referring to that?

No, Matija, I wasn't. I don't believe immune modulating diets would

be high protein, and I don't see how ketosis would be beneficial.

They stay clear of sugars, but beyond that I can't help you with the

specifics of immune modulating diets.

Continuing on with your interesting post: you're right, there would

be a clear difference between reacting to ingested histamine, and

having an allergic reaction that involves a cascade of cellular and

immune-mediated substances, one of which is release of intracellular

histamine. The foods you describe as " natural dilator substances " or

that release dilators after ingestion sound like they could trigger

flares in sensitive rosaceans. But I'm not familiar with food

allergies that only or predominately cause just facial flushing,

which is how I understand the term " trigger. " (Allergies can cause

rashes, but even if on the cheeks it's still an allergic rash, not a

rosacea rash.) This is an area I don't know much about from a rosacea

perspective, but I'll educate myself. Thanks for the information.

Just so we're not confusing each other, neither food allergies nor

histamine-releasing foods have anything to do with immune modulating

diets. The latter is a diet that inadvertently or intentionally

avoids the specific nutrients necessary to build or stimulate certain

components of the immune system. Without them, the immune system has

low amounts of key components and so it can't function normally --

and so can't mount a full inflammatory response. So mechanistically,

immune modulating diets is unrelated to " food triggers, " although

some avoided foods may coincidently be considered common triggers

among rosaceans in this group.

Regarding sugars, I may be cutting too fine a line, but I wouldn't

intuitively think it helpful to make a global statement about sugar

as a trigger. It's not like cold weather -- where, despite individual

variability, it's relatively easy to standardize one's reaction from

trigger to trigger. But with sugar, so much depends on a person's

digestive and hormonal responses at the time of sugar ingestion,

among many other factors. It's certainly true that under certain

circumstances in many people ingesting sugar in a particular manner

may result in many symptoms, including facial flushing, but -- and

here's where the cutting may be too fine -- that entire series of

events (the hyperglycemic reaction, or sugar high) would be the

trigger, not the sugar. As a practical example: quickly drinking a

Big Gulp bottle of Pepsi on an empty stomach could bring on a sugar

high which for that person routinely includes facial flushing. But

even if that person was an undiagnosed diabetic, taking a sip of

Pepsi after a big meal isn't likely going to cause any hyperglycemic

reaction, and a person with normal glycemic response may well

tolerate that same Big Gulp for dessert without problems. And a

person used to drinking Big Gulps would likely react differently to a

particular bottle than someone who hasn't ingested sugar in a while.

If we consider something like sugar a trigger, then aren't all great

looking men/women triggers too?

Marjorie

Marjorie Lazoff, MD

Link to comment
Share on other sites

Guest guest

> I was reading through your response below and was interested in

> your saying that a high protein, low carbohydrate diet decreases

> general immune response. I know that following such a diet causes

> ketosis. Were you referring to that?

No, Matija, I wasn't. I don't believe immune modulating diets would

be high protein, and I don't see how ketosis would be beneficial.

They stay clear of sugars, but beyond that I can't help you with the

specifics of immune modulating diets.

Continuing on with your interesting post: you're right, there would

be a clear difference between reacting to ingested histamine, and

having an allergic reaction that involves a cascade of cellular and

immune-mediated substances, one of which is release of intracellular

histamine. The foods you describe as " natural dilator substances " or

that release dilators after ingestion sound like they could trigger

flares in sensitive rosaceans. But I'm not familiar with food

allergies that only or predominately cause just facial flushing,

which is how I understand the term " trigger. " (Allergies can cause

rashes, but even if on the cheeks it's still an allergic rash, not a

rosacea rash.) This is an area I don't know much about from a rosacea

perspective, but I'll educate myself. Thanks for the information.

Just so we're not confusing each other, neither food allergies nor

histamine-releasing foods have anything to do with immune modulating

diets. The latter is a diet that inadvertently or intentionally

avoids the specific nutrients necessary to build or stimulate certain

components of the immune system. Without them, the immune system has

low amounts of key components and so it can't function normally --

and so can't mount a full inflammatory response. So mechanistically,

immune modulating diets is unrelated to " food triggers, " although

some avoided foods may coincidently be considered common triggers

among rosaceans in this group.

Regarding sugars, I may be cutting too fine a line, but I wouldn't

intuitively think it helpful to make a global statement about sugar

as a trigger. It's not like cold weather -- where, despite individual

variability, it's relatively easy to standardize one's reaction from

trigger to trigger. But with sugar, so much depends on a person's

digestive and hormonal responses at the time of sugar ingestion,

among many other factors. It's certainly true that under certain

circumstances in many people ingesting sugar in a particular manner

may result in many symptoms, including facial flushing, but -- and

here's where the cutting may be too fine -- that entire series of

events (the hyperglycemic reaction, or sugar high) would be the

trigger, not the sugar. As a practical example: quickly drinking a

Big Gulp bottle of Pepsi on an empty stomach could bring on a sugar

high which for that person routinely includes facial flushing. But

even if that person was an undiagnosed diabetic, taking a sip of

Pepsi after a big meal isn't likely going to cause any hyperglycemic

reaction, and a person with normal glycemic response may well

tolerate that same Big Gulp for dessert without problems. And a

person used to drinking Big Gulps would likely react differently to a

particular bottle than someone who hasn't ingested sugar in a while.

If we consider something like sugar a trigger, then aren't all great

looking men/women triggers too?

Marjorie

Marjorie Lazoff, MD

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Guest guest

Dr. Lazoff,

It is commendable how much time you spend with this group answering so

many questions

and helping us.

I think I am not on the same page with you when it comes to defining

triggers for rosacea.

My understanding for rosacea triggers is what the NRS says, " Factors

that may trigger rosacea flare ups, "

[ see ----- http://rosacea.org/trip.html ] with the list of factors.

The NRS nor medical authorities do not

recognize sugar or a diet high in carbohydrates as a trigger factor. I

am not discussing allergic reactions. I am saying

that a trigger causes a rosacea flareup. I understand what you are

saying about flushing, but I am talking about

rosacea flareup triggers, not flushing alone. Flushing may or may not

produce a rosacea flareup, correct?

A rosacean can become embarrased and flush or blush and may not have a

rosacea flareup, and obviously this

may be a problem, but being embarrased is not a rosacea trigger. Are we

on the same page?

You concern about the " long term health effects if these diets work by

causing a decrease in general immune response, not just

chronic inflammation " and assuming that the cea Diet is an " immune

modulating diet " which may or not be true since

it depends on what that means, is noteworthy, but as I said, I am not

discussing allergens. I am discussing rosacea triggers that produce

flareups. I am confused that an immune modulating diet causes a

DECREASE in general immune system response.

What are you talking about?

Have you read Protein Power by Drs. Eades? Would you consider this diet

an 'immune modulating diet' or the Sugar Busters! diet which is also

written by three medical doctors? And I do appreciate your

clarification on this. Again, thanks.

Brady Barrows

> (from brady)

>

>> There is enough evidence that a diet high in sugar and

>> carbohydrates is a significant tripwire for rosacea even though the

>> National cea Society does not recognize this, nor do medical

>> authorities. However, one day a clinical study will prove this

>> beyond doubt, if someone with the credentials who has money, power

>> and courage will objectively investigate this. The

>> cea Diet Users Support Group gives enough evidence of this.

>> Most rosaceans do not want to change their diet lifestyle, but

>> prefer pills, topical treatments, IPL, and any treatment allowing

>> them to keep eating and drinking their current food and drink, so

>> this does not appeal to the vast majority of rosaceans. But, you

>> may be interested in researching this yourself.

>

> I don't know about your diet in particular, Brady -- please let me

> know if I'm missing something -- but in general the relationship

> between diet and the immune system is fairly well documented in the

> medical literature, both as a way of modulating the inflammatory

> response and in the area of food allergens.

>

> While certainly effective in decreasing chronic inflammation like

> rosacea, immune modulating diets (that strongly limit sugars, among

> other things) are notoriously difficult to stay on. ly, it's

> also easy to imagine untold long term health effects if these diets

> work by causing a decrease in general immune response, not just

> chronic inflammation.

>

> A person on an immune modulating diet who eats chocolate, for

> example, may well experience increased inflammation, but I wouldn't

> call that a rosacea trigger. I would view that as a return to normal

> manifestion of inflammation.

>

> Foods, drinks, and manner of cooking that increase facial flushing

> are rosacea triggers, and avoiding them makes obvious sense. That's

> not a food allergy, since allergies are stereotypic responses.

> Allergic rashes can sometimes be difficult to diagnose, especially

> when several rashes are present at the same time. But good allergists

> can tell with only a glance what's an allergic reaction on the face

> and what isn't.

>

> Thank you for your email, and I appreciate your letting me know about

> your diet.

>

> Marjorie

>

> Marjorie Lazoff, MD

>

>

>

>

>

> --

> Please read the list highlights before posting to the whole group

> (http://rosacea.ii.net/toc.html). Your post will be delayed if you

> don't give a meaningful subject or trim your reply text. You must

> change the subject when replying to a digest !

>

> See http://www.drnase.com for info on his recently published book.

>

> To leave the list send an email to rosacea-support-

> unsubscribe

>

>

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Share on other sites

Guest guest

Dr. Lazoff,

It is commendable how much time you spend with this group answering so

many questions

and helping us.

I think I am not on the same page with you when it comes to defining

triggers for rosacea.

My understanding for rosacea triggers is what the NRS says, " Factors

that may trigger rosacea flare ups, "

[ see ----- http://rosacea.org/trip.html ] with the list of factors.

The NRS nor medical authorities do not

recognize sugar or a diet high in carbohydrates as a trigger factor. I

am not discussing allergic reactions. I am saying

that a trigger causes a rosacea flareup. I understand what you are

saying about flushing, but I am talking about

rosacea flareup triggers, not flushing alone. Flushing may or may not

produce a rosacea flareup, correct?

A rosacean can become embarrased and flush or blush and may not have a

rosacea flareup, and obviously this

may be a problem, but being embarrased is not a rosacea trigger. Are we

on the same page?

You concern about the " long term health effects if these diets work by

causing a decrease in general immune response, not just

chronic inflammation " and assuming that the cea Diet is an " immune

modulating diet " which may or not be true since

it depends on what that means, is noteworthy, but as I said, I am not

discussing allergens. I am discussing rosacea triggers that produce

flareups. I am confused that an immune modulating diet causes a

DECREASE in general immune system response.

What are you talking about?

Have you read Protein Power by Drs. Eades? Would you consider this diet

an 'immune modulating diet' or the Sugar Busters! diet which is also

written by three medical doctors? And I do appreciate your

clarification on this. Again, thanks.

Brady Barrows

> (from brady)

>

>> There is enough evidence that a diet high in sugar and

>> carbohydrates is a significant tripwire for rosacea even though the

>> National cea Society does not recognize this, nor do medical

>> authorities. However, one day a clinical study will prove this

>> beyond doubt, if someone with the credentials who has money, power

>> and courage will objectively investigate this. The

>> cea Diet Users Support Group gives enough evidence of this.

>> Most rosaceans do not want to change their diet lifestyle, but

>> prefer pills, topical treatments, IPL, and any treatment allowing

>> them to keep eating and drinking their current food and drink, so

>> this does not appeal to the vast majority of rosaceans. But, you

>> may be interested in researching this yourself.

>

> I don't know about your diet in particular, Brady -- please let me

> know if I'm missing something -- but in general the relationship

> between diet and the immune system is fairly well documented in the

> medical literature, both as a way of modulating the inflammatory

> response and in the area of food allergens.

>

> While certainly effective in decreasing chronic inflammation like

> rosacea, immune modulating diets (that strongly limit sugars, among

> other things) are notoriously difficult to stay on. ly, it's

> also easy to imagine untold long term health effects if these diets

> work by causing a decrease in general immune response, not just

> chronic inflammation.

>

> A person on an immune modulating diet who eats chocolate, for

> example, may well experience increased inflammation, but I wouldn't

> call that a rosacea trigger. I would view that as a return to normal

> manifestion of inflammation.

>

> Foods, drinks, and manner of cooking that increase facial flushing

> are rosacea triggers, and avoiding them makes obvious sense. That's

> not a food allergy, since allergies are stereotypic responses.

> Allergic rashes can sometimes be difficult to diagnose, especially

> when several rashes are present at the same time. But good allergists

> can tell with only a glance what's an allergic reaction on the face

> and what isn't.

>

> Thank you for your email, and I appreciate your letting me know about

> your diet.

>

> Marjorie

>

> Marjorie Lazoff, MD

>

>

>

>

>

> --

> Please read the list highlights before posting to the whole group

> (http://rosacea.ii.net/toc.html). Your post will be delayed if you

> don't give a meaningful subject or trim your reply text. You must

> change the subject when replying to a digest !

>

> See http://www.drnase.com for info on his recently published book.

>

> To leave the list send an email to rosacea-support-

> unsubscribe

>

>

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Share on other sites

Guest guest

Dr. Lazoff,

It is commendable how much time you spend with this group answering so

many questions

and helping us.

I think I am not on the same page with you when it comes to defining

triggers for rosacea.

My understanding for rosacea triggers is what the NRS says, " Factors

that may trigger rosacea flare ups, "

[ see ----- http://rosacea.org/trip.html ] with the list of factors.

The NRS nor medical authorities do not

recognize sugar or a diet high in carbohydrates as a trigger factor. I

am not discussing allergic reactions. I am saying

that a trigger causes a rosacea flareup. I understand what you are

saying about flushing, but I am talking about

rosacea flareup triggers, not flushing alone. Flushing may or may not

produce a rosacea flareup, correct?

A rosacean can become embarrased and flush or blush and may not have a

rosacea flareup, and obviously this

may be a problem, but being embarrased is not a rosacea trigger. Are we

on the same page?

You concern about the " long term health effects if these diets work by

causing a decrease in general immune response, not just

chronic inflammation " and assuming that the cea Diet is an " immune

modulating diet " which may or not be true since

it depends on what that means, is noteworthy, but as I said, I am not

discussing allergens. I am discussing rosacea triggers that produce

flareups. I am confused that an immune modulating diet causes a

DECREASE in general immune system response.

What are you talking about?

Have you read Protein Power by Drs. Eades? Would you consider this diet

an 'immune modulating diet' or the Sugar Busters! diet which is also

written by three medical doctors? And I do appreciate your

clarification on this. Again, thanks.

Brady Barrows

> (from brady)

>

>> There is enough evidence that a diet high in sugar and

>> carbohydrates is a significant tripwire for rosacea even though the

>> National cea Society does not recognize this, nor do medical

>> authorities. However, one day a clinical study will prove this

>> beyond doubt, if someone with the credentials who has money, power

>> and courage will objectively investigate this. The

>> cea Diet Users Support Group gives enough evidence of this.

>> Most rosaceans do not want to change their diet lifestyle, but

>> prefer pills, topical treatments, IPL, and any treatment allowing

>> them to keep eating and drinking their current food and drink, so

>> this does not appeal to the vast majority of rosaceans. But, you

>> may be interested in researching this yourself.

>

> I don't know about your diet in particular, Brady -- please let me

> know if I'm missing something -- but in general the relationship

> between diet and the immune system is fairly well documented in the

> medical literature, both as a way of modulating the inflammatory

> response and in the area of food allergens.

>

> While certainly effective in decreasing chronic inflammation like

> rosacea, immune modulating diets (that strongly limit sugars, among

> other things) are notoriously difficult to stay on. ly, it's

> also easy to imagine untold long term health effects if these diets

> work by causing a decrease in general immune response, not just

> chronic inflammation.

>

> A person on an immune modulating diet who eats chocolate, for

> example, may well experience increased inflammation, but I wouldn't

> call that a rosacea trigger. I would view that as a return to normal

> manifestion of inflammation.

>

> Foods, drinks, and manner of cooking that increase facial flushing

> are rosacea triggers, and avoiding them makes obvious sense. That's

> not a food allergy, since allergies are stereotypic responses.

> Allergic rashes can sometimes be difficult to diagnose, especially

> when several rashes are present at the same time. But good allergists

> can tell with only a glance what's an allergic reaction on the face

> and what isn't.

>

> Thank you for your email, and I appreciate your letting me know about

> your diet.

>

> Marjorie

>

> Marjorie Lazoff, MD

>

>

>

>

>

> --

> Please read the list highlights before posting to the whole group

> (http://rosacea.ii.net/toc.html). Your post will be delayed if you

> don't give a meaningful subject or trim your reply text. You must

> change the subject when replying to a digest !

>

> See http://www.drnase.com for info on his recently published book.

>

> To leave the list send an email to rosacea-support-

> unsubscribe

>

>

Link to comment
Share on other sites

Guest guest

Hi ,

Here is the link to the soup recipe that I gave out a month ago:

http://groups.yahoo.com/group/rosacea-support/message/35766

It is a pain to chop all those veggies, especially after a long day

at work. I usually chop the onions, garlic, red bell pepper and kale.

For the broccoli and cauliflower, I buy chopped veggies from the

store. I usually buy them from Trader Joe's (they have them in

plastic bags) or I buy them loose from my local Safeway store. The

broccoli and cauliflower are the hardest to clean and chop up, so I

rely on those chopped veggies. Personally, I don't notice a

difference in my skin between the chopped veggies and the cauliflower

head or bunch of broccoli. I don't use frozen veggies as they don't

have the same calming effect on my skin.

I eat this soup every day. I do vary the veggies, but I try to get at

least two-three servings of cruciferous veggies in the soup. I like

it better than steaming. My parents juice veggies, and they'll make

some for me when I come over, but it's too much work to do for me. I

mainly rely on the soup. Also, I eat carrot sticks for lunch.

For breakfast, I eat two servings of oatmeal (1 cup dry) with 1/2 cup

of applesauce, about 15 dried cherries (from Trader Joe's), and a cup

of milk. I also take a tablespoon of olive oil. For lunch, I'll have

1 cup of cottage cheese, carrot sticks, two slices of bread (yeast in

bread doesn't bother me), and 1.5 ounce box of raisins. I also mix a

tablespoon of olive oil with the cottage cheese. If I don't do that,

I'll eat about 20 almonds. For dinner, I'll have 4 ounces of salmon

or chicken or beef, the soup, a tablespoon of olive oil mixed with

one cup of brown rice. I have dessert two to three times a week. I

eat a serving of cheesecake, cream puff, piece of cake, or a serving

of ice cream. That's basically it. I do eat bean dishes to

substitute for my protein in the evening and will have leftover bean

dishes for lunch.

I hope that helps!

Take care,

Matija

> > Nonetheless, I do follow a moderate protein and moderate

carbohydrate

> > diet. I get about 60 grams of protein a day (which is the rda for

my

> > height and weight) and eat 6-7 servings of whole grains a day. I

also

> > eat 9 servings of fruits and vegetables a day, along with 25% of

my

> > calories coming from fat, mostly olive oil and nuts. I eat salmon

3

> > times a week. I also try to abstain from sugar. I don't add any

to my

> > meals and avoid processed foods with them. I do eat desserts

about 2-

> > 3 times a week. I do notice that my skin is less reactive when I

> > follow that type of diet. I am also hypothyroid, and eat like

this to

> > gain more energy. That's why I started eating this way in the

first

> > place, and I did notice a change in my skin. Dr. Nase has

discussed

> > the role of simple sugars triggering flares.

>

> hi matija,

>

> thanks for posting this response. you are following the type of

diet and the

> proportions that i aspire to! i'm having trouble with the actual

application

> of it you might say though. i do fine with the protein: i eat alot

of

> salmon, catfish and albacore, some chicken and turkey. i do ok with

the

> whole grains too. i have always eaten them, as opposed to white

flours. now

> though i am steering clear of yeasted breads as they seem to cause

some

> minor reactions. i eat oatmeal and brown rice regularly and am

trying to

> incorporate other grains like quinoa into my day. where i have the

most

> trouble is getting the 9-10 servings of fruits and veggies every

day. it's

> hard for me to achieve every day for a couple reasons: 1)i have a

limited

> repertoire of recipes and 2)i get sick of chopping them all every

day. i

> have avoided doing alot of " bulk " chopping because i know that the

nutrients

> can be destroyed easily.

>

> so the above is sort of a long prelude to asking you, could you

share some

> of the ways you prepare vegetables? what is a typical days or even

weeks

> menu for you? do you mostly steam them? do you juice? i believe you

are the

> one that mentioned making a veggie soup and i somehow missed the

> recipe...would it be too much trouble to repost it?

>

> thank you very much!

>

> carrie

>

> ps: thank you by the way for the vbeam info. i'm going to email

that doctor

> and see if she does have a bay area referral. i'll let you know.

Link to comment
Share on other sites

Guest guest

Hi ,

Here is the link to the soup recipe that I gave out a month ago:

http://groups.yahoo.com/group/rosacea-support/message/35766

It is a pain to chop all those veggies, especially after a long day

at work. I usually chop the onions, garlic, red bell pepper and kale.

For the broccoli and cauliflower, I buy chopped veggies from the

store. I usually buy them from Trader Joe's (they have them in

plastic bags) or I buy them loose from my local Safeway store. The

broccoli and cauliflower are the hardest to clean and chop up, so I

rely on those chopped veggies. Personally, I don't notice a

difference in my skin between the chopped veggies and the cauliflower

head or bunch of broccoli. I don't use frozen veggies as they don't

have the same calming effect on my skin.

I eat this soup every day. I do vary the veggies, but I try to get at

least two-three servings of cruciferous veggies in the soup. I like

it better than steaming. My parents juice veggies, and they'll make

some for me when I come over, but it's too much work to do for me. I

mainly rely on the soup. Also, I eat carrot sticks for lunch.

For breakfast, I eat two servings of oatmeal (1 cup dry) with 1/2 cup

of applesauce, about 15 dried cherries (from Trader Joe's), and a cup

of milk. I also take a tablespoon of olive oil. For lunch, I'll have

1 cup of cottage cheese, carrot sticks, two slices of bread (yeast in

bread doesn't bother me), and 1.5 ounce box of raisins. I also mix a

tablespoon of olive oil with the cottage cheese. If I don't do that,

I'll eat about 20 almonds. For dinner, I'll have 4 ounces of salmon

or chicken or beef, the soup, a tablespoon of olive oil mixed with

one cup of brown rice. I have dessert two to three times a week. I

eat a serving of cheesecake, cream puff, piece of cake, or a serving

of ice cream. That's basically it. I do eat bean dishes to

substitute for my protein in the evening and will have leftover bean

dishes for lunch.

I hope that helps!

Take care,

Matija

> > Nonetheless, I do follow a moderate protein and moderate

carbohydrate

> > diet. I get about 60 grams of protein a day (which is the rda for

my

> > height and weight) and eat 6-7 servings of whole grains a day. I

also

> > eat 9 servings of fruits and vegetables a day, along with 25% of

my

> > calories coming from fat, mostly olive oil and nuts. I eat salmon

3

> > times a week. I also try to abstain from sugar. I don't add any

to my

> > meals and avoid processed foods with them. I do eat desserts

about 2-

> > 3 times a week. I do notice that my skin is less reactive when I

> > follow that type of diet. I am also hypothyroid, and eat like

this to

> > gain more energy. That's why I started eating this way in the

first

> > place, and I did notice a change in my skin. Dr. Nase has

discussed

> > the role of simple sugars triggering flares.

>

> hi matija,

>

> thanks for posting this response. you are following the type of

diet and the

> proportions that i aspire to! i'm having trouble with the actual

application

> of it you might say though. i do fine with the protein: i eat alot

of

> salmon, catfish and albacore, some chicken and turkey. i do ok with

the

> whole grains too. i have always eaten them, as opposed to white

flours. now

> though i am steering clear of yeasted breads as they seem to cause

some

> minor reactions. i eat oatmeal and brown rice regularly and am

trying to

> incorporate other grains like quinoa into my day. where i have the

most

> trouble is getting the 9-10 servings of fruits and veggies every

day. it's

> hard for me to achieve every day for a couple reasons: 1)i have a

limited

> repertoire of recipes and 2)i get sick of chopping them all every

day. i

> have avoided doing alot of " bulk " chopping because i know that the

nutrients

> can be destroyed easily.

>

> so the above is sort of a long prelude to asking you, could you

share some

> of the ways you prepare vegetables? what is a typical days or even

weeks

> menu for you? do you mostly steam them? do you juice? i believe you

are the

> one that mentioned making a veggie soup and i somehow missed the

> recipe...would it be too much trouble to repost it?

>

> thank you very much!

>

> carrie

>

> ps: thank you by the way for the vbeam info. i'm going to email

that doctor

> and see if she does have a bay area referral. i'll let you know.

Link to comment
Share on other sites

Guest guest

Hi ,

Here is the link to the soup recipe that I gave out a month ago:

http://groups.yahoo.com/group/rosacea-support/message/35766

It is a pain to chop all those veggies, especially after a long day

at work. I usually chop the onions, garlic, red bell pepper and kale.

For the broccoli and cauliflower, I buy chopped veggies from the

store. I usually buy them from Trader Joe's (they have them in

plastic bags) or I buy them loose from my local Safeway store. The

broccoli and cauliflower are the hardest to clean and chop up, so I

rely on those chopped veggies. Personally, I don't notice a

difference in my skin between the chopped veggies and the cauliflower

head or bunch of broccoli. I don't use frozen veggies as they don't

have the same calming effect on my skin.

I eat this soup every day. I do vary the veggies, but I try to get at

least two-three servings of cruciferous veggies in the soup. I like

it better than steaming. My parents juice veggies, and they'll make

some for me when I come over, but it's too much work to do for me. I

mainly rely on the soup. Also, I eat carrot sticks for lunch.

For breakfast, I eat two servings of oatmeal (1 cup dry) with 1/2 cup

of applesauce, about 15 dried cherries (from Trader Joe's), and a cup

of milk. I also take a tablespoon of olive oil. For lunch, I'll have

1 cup of cottage cheese, carrot sticks, two slices of bread (yeast in

bread doesn't bother me), and 1.5 ounce box of raisins. I also mix a

tablespoon of olive oil with the cottage cheese. If I don't do that,

I'll eat about 20 almonds. For dinner, I'll have 4 ounces of salmon

or chicken or beef, the soup, a tablespoon of olive oil mixed with

one cup of brown rice. I have dessert two to three times a week. I

eat a serving of cheesecake, cream puff, piece of cake, or a serving

of ice cream. That's basically it. I do eat bean dishes to

substitute for my protein in the evening and will have leftover bean

dishes for lunch.

I hope that helps!

Take care,

Matija

> > Nonetheless, I do follow a moderate protein and moderate

carbohydrate

> > diet. I get about 60 grams of protein a day (which is the rda for

my

> > height and weight) and eat 6-7 servings of whole grains a day. I

also

> > eat 9 servings of fruits and vegetables a day, along with 25% of

my

> > calories coming from fat, mostly olive oil and nuts. I eat salmon

3

> > times a week. I also try to abstain from sugar. I don't add any

to my

> > meals and avoid processed foods with them. I do eat desserts

about 2-

> > 3 times a week. I do notice that my skin is less reactive when I

> > follow that type of diet. I am also hypothyroid, and eat like

this to

> > gain more energy. That's why I started eating this way in the

first

> > place, and I did notice a change in my skin. Dr. Nase has

discussed

> > the role of simple sugars triggering flares.

>

> hi matija,

>

> thanks for posting this response. you are following the type of

diet and the

> proportions that i aspire to! i'm having trouble with the actual

application

> of it you might say though. i do fine with the protein: i eat alot

of

> salmon, catfish and albacore, some chicken and turkey. i do ok with

the

> whole grains too. i have always eaten them, as opposed to white

flours. now

> though i am steering clear of yeasted breads as they seem to cause

some

> minor reactions. i eat oatmeal and brown rice regularly and am

trying to

> incorporate other grains like quinoa into my day. where i have the

most

> trouble is getting the 9-10 servings of fruits and veggies every

day. it's

> hard for me to achieve every day for a couple reasons: 1)i have a

limited

> repertoire of recipes and 2)i get sick of chopping them all every

day. i

> have avoided doing alot of " bulk " chopping because i know that the

nutrients

> can be destroyed easily.

>

> so the above is sort of a long prelude to asking you, could you

share some

> of the ways you prepare vegetables? what is a typical days or even

weeks

> menu for you? do you mostly steam them? do you juice? i believe you

are the

> one that mentioned making a veggie soup and i somehow missed the

> recipe...would it be too much trouble to repost it?

>

> thank you very much!

>

> carrie

>

> ps: thank you by the way for the vbeam info. i'm going to email

that doctor

> and see if she does have a bay area referral. i'll let you know.

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This is from Matija, who intended it as a public post:

-=-=-=-=-=

Hi Dr. Lazoff,

I think you misunderstood the first part of my message, and perhaps

were speaking to Brady's cea Diet rather than what type of eating

plan I'm following, which I laid out in my message. I believe Brady's

diet is extremely low in carbs - perhaps less than 50 mg. a day

(equivalent to two slices of bread). I don't think this is healthy

because of the possibility of ketosis (which I think happened to me)

and, of course, the loss of nutrients from eating complex

carbohydrates. I assumed that the loss of nutrients was the long term

harm you were talking about here:

" ly, it's also easy to imagine untold long term health effects

if these diets work by causing a decrease in general immune response,

not just chronic inflammation.

I simply wanted to see if you thought ketosis would also decrease

general immune response. As I said in my previous message, I

foolishly tried an extremely low carb diet a few years ago and got

symptoms of ketosis. It was horrible, and I don't believe at all that

this would be a benefit to overall health much less rosacea. I

thought I made that clear in my previous message. I'm sorry if I

didn't. I would never encourage anyone to try an extremely low

carbohydrate diet. It's bad for health.

The eating plan I eat is based on the FDA's food pyramid. I am very

concerned with increasing the strength of my immune system in a

healthy and balanced way.

As well, I have lots of type II diabetes in my immediate family and

wanted to see if I could help avoid getting that in the future. I've

read a book called, " Eat, Drink and Be Healthy " by Walter C. Willett,

MD, MPH, who is chair of the Dept. of Nutrition at the Harvard U.

School of Public Health and a professor of Medicine at Harvard

Medical School. In a nutshell, he believes that getting eating too

many simple carbohydrates and those complex carbohydrates which have

a high glycemic load, like potatoes, may lead those who are

susceptible to type II diabetes to develop the disease. He advocates

at least six servings of whole grains daily like brown rice,

buckwheat, millet, whole wheat, etc., and those veggies lower on the

gylcemic load, like carrots and sweet potatoes, to maintain healthy

blood sugar. According to his research, eating whole grain foods and

eating low glycemic load vegetables have nutrients that can help

forestall the development of type II diabetes.

Here is some information about this from Dr. Willett:

http://www.hsph.harvard.edu/press/releases/press021197.html

Also, here is a simple explanation of glycemic index vs. glycemic

load (I believe the sugar busters diet goes by glycemic index. Dr.

Willett explains the difference in his book, but it is more involved

and too long to type!):

http://www.drmirkin.com/nutrition/9566.html

Anyway, the type of eating plan recommended by Dr. Willett is very

much unlike the cea Diet of Brady B. I don't think any MD would

recommend it, except for Dr. Atkins. I did notice that eating like

Dr. Willett's suggests did reduce my fatigue and did make my skin

less prone to flares. I don't know what the relationship is with

rosacea though. This may not hold true for some people, but it seems

to hold true for me. I might be undergoing the placebo effect for

rosacea. If it is, at least I'm helping to stave off the development

of Type II diabetes in the process. Personally, I don't think sugar

is a trigger in and of itself. I eat desserts two to three times a

week. I would think I'd get a flare and bumps from that if I did.

When I eat a trigger food like peanuts or vinegar or caffeine once,

I'd get a flare pretty much within an hour of two of eating it. There

is another process going here with me if I eat sugar like I did

before -- half a cup a day -- I estimate.

I was quoting Dr. Nase regarding, histamine-releasing foods, food

allergies and large amounts of sugar. As I said in my previous

message, I think food allergies can happen in an individual, but is

rare. I think most people with rosacea who react to histamine-

releasing foods with flares and bumps do so like described in page

101 of Dr. Nase's book. I don't know the process of flares for food

allergies. I don't have food allergies. I imagine it incorporates the

release of IgE after eating the food one is allergic to. I really

don't know. I imagine that the reaction after eating a food a person

is allergic too would have other symptoms such as diarrhea, rashes on

other parts of the skin, swollen lips, throat, tongue, etc. Some

people with rosacea do not react to any foods at all. Certainly, food

triggers are not universal with rosaceans.

About Dr. Nase, I don't know if you read over the archives, but he

has a Ph.D. in Microvascular Biology and works at Indiana University

performing vascular research. He also has rosacea. He wrote a book on

it that many of us have. He's also published in medical journals.

It's available at http://www.drnase.com . I believe his CV is on the

site.

With your background, it would be interesting to see what your

thoughts on the book are. Dr. Nase also posted many extremely helpful

suggestions on how to combat rosacea in message on our board. Please

read through the archives and you'll see them.

Sorry this is so long, but I wanted to make sure that I correctly

said the difference between my eating plan and that of Brady.

Take care,

Matija

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This is from Matija, who intended it as a public post:

-=-=-=-=-=

Hi Dr. Lazoff,

I think you misunderstood the first part of my message, and perhaps

were speaking to Brady's cea Diet rather than what type of eating

plan I'm following, which I laid out in my message. I believe Brady's

diet is extremely low in carbs - perhaps less than 50 mg. a day

(equivalent to two slices of bread). I don't think this is healthy

because of the possibility of ketosis (which I think happened to me)

and, of course, the loss of nutrients from eating complex

carbohydrates. I assumed that the loss of nutrients was the long term

harm you were talking about here:

" ly, it's also easy to imagine untold long term health effects

if these diets work by causing a decrease in general immune response,

not just chronic inflammation.

I simply wanted to see if you thought ketosis would also decrease

general immune response. As I said in my previous message, I

foolishly tried an extremely low carb diet a few years ago and got

symptoms of ketosis. It was horrible, and I don't believe at all that

this would be a benefit to overall health much less rosacea. I

thought I made that clear in my previous message. I'm sorry if I

didn't. I would never encourage anyone to try an extremely low

carbohydrate diet. It's bad for health.

The eating plan I eat is based on the FDA's food pyramid. I am very

concerned with increasing the strength of my immune system in a

healthy and balanced way.

As well, I have lots of type II diabetes in my immediate family and

wanted to see if I could help avoid getting that in the future. I've

read a book called, " Eat, Drink and Be Healthy " by Walter C. Willett,

MD, MPH, who is chair of the Dept. of Nutrition at the Harvard U.

School of Public Health and a professor of Medicine at Harvard

Medical School. In a nutshell, he believes that getting eating too

many simple carbohydrates and those complex carbohydrates which have

a high glycemic load, like potatoes, may lead those who are

susceptible to type II diabetes to develop the disease. He advocates

at least six servings of whole grains daily like brown rice,

buckwheat, millet, whole wheat, etc., and those veggies lower on the

gylcemic load, like carrots and sweet potatoes, to maintain healthy

blood sugar. According to his research, eating whole grain foods and

eating low glycemic load vegetables have nutrients that can help

forestall the development of type II diabetes.

Here is some information about this from Dr. Willett:

http://www.hsph.harvard.edu/press/releases/press021197.html

Also, here is a simple explanation of glycemic index vs. glycemic

load (I believe the sugar busters diet goes by glycemic index. Dr.

Willett explains the difference in his book, but it is more involved

and too long to type!):

http://www.drmirkin.com/nutrition/9566.html

Anyway, the type of eating plan recommended by Dr. Willett is very

much unlike the cea Diet of Brady B. I don't think any MD would

recommend it, except for Dr. Atkins. I did notice that eating like

Dr. Willett's suggests did reduce my fatigue and did make my skin

less prone to flares. I don't know what the relationship is with

rosacea though. This may not hold true for some people, but it seems

to hold true for me. I might be undergoing the placebo effect for

rosacea. If it is, at least I'm helping to stave off the development

of Type II diabetes in the process. Personally, I don't think sugar

is a trigger in and of itself. I eat desserts two to three times a

week. I would think I'd get a flare and bumps from that if I did.

When I eat a trigger food like peanuts or vinegar or caffeine once,

I'd get a flare pretty much within an hour of two of eating it. There

is another process going here with me if I eat sugar like I did

before -- half a cup a day -- I estimate.

I was quoting Dr. Nase regarding, histamine-releasing foods, food

allergies and large amounts of sugar. As I said in my previous

message, I think food allergies can happen in an individual, but is

rare. I think most people with rosacea who react to histamine-

releasing foods with flares and bumps do so like described in page

101 of Dr. Nase's book. I don't know the process of flares for food

allergies. I don't have food allergies. I imagine it incorporates the

release of IgE after eating the food one is allergic to. I really

don't know. I imagine that the reaction after eating a food a person

is allergic too would have other symptoms such as diarrhea, rashes on

other parts of the skin, swollen lips, throat, tongue, etc. Some

people with rosacea do not react to any foods at all. Certainly, food

triggers are not universal with rosaceans.

About Dr. Nase, I don't know if you read over the archives, but he

has a Ph.D. in Microvascular Biology and works at Indiana University

performing vascular research. He also has rosacea. He wrote a book on

it that many of us have. He's also published in medical journals.

It's available at http://www.drnase.com . I believe his CV is on the

site.

With your background, it would be interesting to see what your

thoughts on the book are. Dr. Nase also posted many extremely helpful

suggestions on how to combat rosacea in message on our board. Please

read through the archives and you'll see them.

Sorry this is so long, but I wanted to make sure that I correctly

said the difference between my eating plan and that of Brady.

Take care,

Matija

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Share on other sites

Guest guest

This is from Matija, who intended it as a public post:

-=-=-=-=-=

Hi Dr. Lazoff,

I think you misunderstood the first part of my message, and perhaps

were speaking to Brady's cea Diet rather than what type of eating

plan I'm following, which I laid out in my message. I believe Brady's

diet is extremely low in carbs - perhaps less than 50 mg. a day

(equivalent to two slices of bread). I don't think this is healthy

because of the possibility of ketosis (which I think happened to me)

and, of course, the loss of nutrients from eating complex

carbohydrates. I assumed that the loss of nutrients was the long term

harm you were talking about here:

" ly, it's also easy to imagine untold long term health effects

if these diets work by causing a decrease in general immune response,

not just chronic inflammation.

I simply wanted to see if you thought ketosis would also decrease

general immune response. As I said in my previous message, I

foolishly tried an extremely low carb diet a few years ago and got

symptoms of ketosis. It was horrible, and I don't believe at all that

this would be a benefit to overall health much less rosacea. I

thought I made that clear in my previous message. I'm sorry if I

didn't. I would never encourage anyone to try an extremely low

carbohydrate diet. It's bad for health.

The eating plan I eat is based on the FDA's food pyramid. I am very

concerned with increasing the strength of my immune system in a

healthy and balanced way.

As well, I have lots of type II diabetes in my immediate family and

wanted to see if I could help avoid getting that in the future. I've

read a book called, " Eat, Drink and Be Healthy " by Walter C. Willett,

MD, MPH, who is chair of the Dept. of Nutrition at the Harvard U.

School of Public Health and a professor of Medicine at Harvard

Medical School. In a nutshell, he believes that getting eating too

many simple carbohydrates and those complex carbohydrates which have

a high glycemic load, like potatoes, may lead those who are

susceptible to type II diabetes to develop the disease. He advocates

at least six servings of whole grains daily like brown rice,

buckwheat, millet, whole wheat, etc., and those veggies lower on the

gylcemic load, like carrots and sweet potatoes, to maintain healthy

blood sugar. According to his research, eating whole grain foods and

eating low glycemic load vegetables have nutrients that can help

forestall the development of type II diabetes.

Here is some information about this from Dr. Willett:

http://www.hsph.harvard.edu/press/releases/press021197.html

Also, here is a simple explanation of glycemic index vs. glycemic

load (I believe the sugar busters diet goes by glycemic index. Dr.

Willett explains the difference in his book, but it is more involved

and too long to type!):

http://www.drmirkin.com/nutrition/9566.html

Anyway, the type of eating plan recommended by Dr. Willett is very

much unlike the cea Diet of Brady B. I don't think any MD would

recommend it, except for Dr. Atkins. I did notice that eating like

Dr. Willett's suggests did reduce my fatigue and did make my skin

less prone to flares. I don't know what the relationship is with

rosacea though. This may not hold true for some people, but it seems

to hold true for me. I might be undergoing the placebo effect for

rosacea. If it is, at least I'm helping to stave off the development

of Type II diabetes in the process. Personally, I don't think sugar

is a trigger in and of itself. I eat desserts two to three times a

week. I would think I'd get a flare and bumps from that if I did.

When I eat a trigger food like peanuts or vinegar or caffeine once,

I'd get a flare pretty much within an hour of two of eating it. There

is another process going here with me if I eat sugar like I did

before -- half a cup a day -- I estimate.

I was quoting Dr. Nase regarding, histamine-releasing foods, food

allergies and large amounts of sugar. As I said in my previous

message, I think food allergies can happen in an individual, but is

rare. I think most people with rosacea who react to histamine-

releasing foods with flares and bumps do so like described in page

101 of Dr. Nase's book. I don't know the process of flares for food

allergies. I don't have food allergies. I imagine it incorporates the

release of IgE after eating the food one is allergic to. I really

don't know. I imagine that the reaction after eating a food a person

is allergic too would have other symptoms such as diarrhea, rashes on

other parts of the skin, swollen lips, throat, tongue, etc. Some

people with rosacea do not react to any foods at all. Certainly, food

triggers are not universal with rosaceans.

About Dr. Nase, I don't know if you read over the archives, but he

has a Ph.D. in Microvascular Biology and works at Indiana University

performing vascular research. He also has rosacea. He wrote a book on

it that many of us have. He's also published in medical journals.

It's available at http://www.drnase.com . I believe his CV is on the

site.

With your background, it would be interesting to see what your

thoughts on the book are. Dr. Nase also posted many extremely helpful

suggestions on how to combat rosacea in message on our board. Please

read through the archives and you'll see them.

Sorry this is so long, but I wanted to make sure that I correctly

said the difference between my eating plan and that of Brady.

Take care,

Matija

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i would be interested in trying the soup that has been mentioned as part of

the rosacea diet-could someone please tell me where i might find it-or better

yet-could someone just show it in your response to this post? thank you.

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i would be interested in trying the soup that has been mentioned as part of

the rosacea diet-could someone please tell me where i might find it-or better

yet-could someone just show it in your response to this post? thank you.

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> How about not worrying about what other people

> understand or don't? Post an opinion, offer a

> suggestion, detail an experience, clue other

> members into an interesting article, development,

> whatever, ask questions that you are dealing with

> or answer a question and leave it at that.

I agree, there's lots of helpful information here, and I too

appreciate the free flow of ideas and experiences (and hope that I've

been contributing to it). But I too feel the anti-science bias

operating here -- by that, I mean facts and theories and personal

experience are expressed as if one and the same, without distinction.

I do worry about what others understand or don't from my words, even

when discussing health care with those who aren't my patients (though

obviously without the responsibility that entails in real life).

Marjorie

Marjorie Lazoff, MD

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> How about not worrying about what other people

> understand or don't? Post an opinion, offer a

> suggestion, detail an experience, clue other

> members into an interesting article, development,

> whatever, ask questions that you are dealing with

> or answer a question and leave it at that.

I agree, there's lots of helpful information here, and I too

appreciate the free flow of ideas and experiences (and hope that I've

been contributing to it). But I too feel the anti-science bias

operating here -- by that, I mean facts and theories and personal

experience are expressed as if one and the same, without distinction.

I do worry about what others understand or don't from my words, even

when discussing health care with those who aren't my patients (though

obviously without the responsibility that entails in real life).

Marjorie

Marjorie Lazoff, MD

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> How about not worrying about what other people

> understand or don't? Post an opinion, offer a

> suggestion, detail an experience, clue other

> members into an interesting article, development,

> whatever, ask questions that you are dealing with

> or answer a question and leave it at that.

I agree, there's lots of helpful information here, and I too

appreciate the free flow of ideas and experiences (and hope that I've

been contributing to it). But I too feel the anti-science bias

operating here -- by that, I mean facts and theories and personal

experience are expressed as if one and the same, without distinction.

I do worry about what others understand or don't from my words, even

when discussing health care with those who aren't my patients (though

obviously without the responsibility that entails in real life).

Marjorie

Marjorie Lazoff, MD

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A big fat " amen " to that! Conventional medicine has done next to

nothing for this condition. I certainly appreciate the doctor's

contributions to this board and she is definitely an asset to this

board, but the other anecdotal information is equally valued.

>

> > > It's hard to discuss beliefs that are based

> > on gut feelings or

> > > personal experience, because even when

> > everyone is thoughtful and

> > > polite it can feel hurtful when others don't

> > validate those

> > beliefs.

>

> Discussing personal experiences and feelings are

> a large part of the discussion on this list. It's

> not hard for me and it's not my impression that

> it is hard for others here on the list either. to

> restate once again, it's a big part of why I am

> part of this group.

>

> > > That goes for me as well -- my beliefs are

> > based on what I've

> > > experienced in science and medicine, so it's

> > hard for me to

> > > understand others who don't prioritize

> > factual information or

> > logical

> > > deduction as a basis for knowledge. It's not

> > the only kind of

> > > knowledge, of course, but we're discussing

> > here real things in the

> > > material world. But I know many people don't.

>

> this comment comes across as very condescending

> and arrogant. is it appropriate here? I'm not

> sure...how do you propose to know how other list

> members prioritize information?

>

> > > Humans are by nature imaginative beings, and

> > a few isolated facts

> > and

> > > unexplained connections can sometimes take

> > our imagination to

> > > insightful ventures, though not always. I'm

> > in an email discussion

> > > group where sometimes we talk about

> > conspiracy theories for fun,

> > but

> > > I know there are people in the group who

> > seriously believe them. (I

> > > always tease them extra hard. ) Some of

> > what gets posted here

> > > reminds me of that kind of creative energy,

> > though of course this

> > > topic is very serious to many people here.

>

> to this I would say thanks for your opinion on

> imagination and it's place in the world, but is

> this tack appropriate for this list? go ahead and

> state your opinion, but making some sort of

> connection between your personal views and the

> views you assume people on this list have, are

> not really your business nor of course are they

> necessarily correct.

>

> > > you specifically, I hope you know that. It's

> > my way -- I enjoy e-

> > > groups, but it's not a comfortable medium for

> > me as a physician,

> > > there's so much potential for

> > misunderstanding, in all directions,

> > > and worse if I make personal replies. And I

> > don't always have the

> > > free time I've had the past few days.

>

> How about not worrying about what other people

> understand or don't? Post an opinion, offer a

> suggestion, detail an experience, clue other

> members into an interesting article, development,

> whatever, ask questions that you are dealing with

> or answer a question and leave it at that.

>

> No one has to justify themselves here and

> everyone on the list is free to take or leave

> whatever information they may come across.

>

> > > It's nice to know that your diet works so

> > well for you.

> > >

> > > Marjorie

> > >

> > > Marjorie Lazoff, MD

>

> thanks,

>

>

>

> __________________________________________________

>

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