Category Archives: Schizophrenia & Bipolar Disorder

Seth Roberts and Circadian Therapy

A while back I noted that hypothyroidism is a circadian rhythm disorder and that dietary steps that restore circadian rhythms, like intermittent fasting and daytime eating, should be therapeutic (“Intermittent Fasting as a Therapy for Hypothyroidism,” Dec 1, 2010).

Many other disorders besides hypothyroidism feature disturbed circadian rhythms:

  • Sleeplessness and poor sleep
  • Depression, bipolar disorder, and other psychiatric disorders
  • Dyslipidemia, metabolic syndrome and obesity.
  • Neurodegenerative disorders

Circadian rhythm disruption also suppresses immune function and increases vulnerability to infectious disease.

Restoring or strengthening circadian rhythm may be therapeutic for all of these conditions. Even for healthy people, tactics for enhancing circadian rhythms may improve health.

Which brings us to Seth Roberts.

Seth Cured a Sleep Disorder With Circadian Therapy

Seth is a well-known blogger, a Paleo dieter and psychologist, author of  The Shangri-La Diet, and a great self-experimenter.

Seth recently gave a talk that tells the history of his self-experimentation.

It turns out he suffered from disturbed sleep for many years. He experimented to find cures for 10 years; nothing worked. But then he got a lead.

When a student suggested he eat more fruit, he started eating fruit for breakfast. His sleep got worse! This was exciting to Seth because it was, in 10 years, the first thing he tried that changed his sleep.

He had the idea of trying no breakfast. It turned out that skipping breakfast improved his sleep. One of his slides:

This directly supports our idea that intermittent fasting (confining eating to an 8-hour window each day) should be therapeutic for circadian rhythm disorders such as disturbed sleep and hypothyroidism.

But what’s exciting is that Seth continued his experiments to find other ways to improve his sleep. As a psychologist, he knew that human contact controls when we sleep: people are most awake at the times they have contact with other people, and asleep when isolated.

He knew that watching TV can have effects similar to socializing. So he tried watching Jay Leno one morning. He slept very well the next night.

It turns out that looking at human faces is almost as good as real socializing. Here is Seth’s data relating mood to whether he looked at faces:

Seth also tracked his mood over the course of the day. The response of mood to seeing pictures of human faces clearly followed a circadian (24-hour) rhythm:

Another thing that relates to circadian rhythms is exercise: we normally exercise during the day and rest at night.

For a scholar, the easiest way to exercise is to stand rather than sit (for instance, by working at a standing desk). Seth tried standing 9 hours a day – and it cleared his sleep problem!

Of course, standing is not a very strenuous exercise. Seth found that if he just stood on one leg, the effect was much more intense, and he could fix his sleep problem with only minutes of one-legged standing per day.

He also found that eating more animal food improved his sleep. It’s possible that animal fat may enhance circadian rhythms more than other foods.

Conclusion

I found this fascinating – because it adds more evidence regarding the centrality of circadian rhythms in health – and exciting, because it shows that simple tactics can be therapeutic for circadian rhythm disorders.

In the hypothyroidism post, I suggested the following tactics for improving circadian rhythms:

  • Light entrainment: Get daytime sun exposure, and sleep in a totally darkened room.
  • Daytime feeding: Eat during daylight hours, so that food rhythms and light rhythms are in synch.
  • Intermittent fasting: Concentrate food intake during an 8-hour window during daylight hours, preferably the afternoon. A 16-hour fast leading to lower blood sugar and insulin levels, and the more intense hormonal response to food that results from concentration of daily calories into a short 8-hour time window, will accentuate the diurnal rhythm.
  • Adequate carb intake: Eat at least 400 “safe starch” carbohydrate calories daily during the afternoon feeding window. Relative to a very low-carb diet, this will increase daytime insulin release and, by increasing insulin sensitivity, may reduce fasting insulin levels. It will thus enhance diurnal insulin rhythm.

To these, we can add several more based on Seth’s findings:

  • Looking at human faces: If you work at a computer, keep a window up that cycles among photos of faces, or shows a video of a talk show; keep photos of your family near your screen.
  • Standing: Work at a standing desk or, failing that, get in the habit of standing on one leg rather than two.
  • Animal fat: Eat a diet high in animal fats.

These tactics cured Seth’s sleep disorder. Might these tactics also cure or greatly improve other circadian rhythm disorders – including hypothyroidism and psychiatric disorders like depression and bipolar disorder? Could looking at human faces help the obese lose weight and improve their lipid profiles?

I don’t know but I’d certainly give these techniques a try before pharmaceutical drugs. I believe these techniques deserve clinical testing as therapies for all diseases associated with disrupted circadian rhythms. I believe that they may be just as beneficial for the healthy: by improving immune function, they may delay aging and extend lifespan.

A few weeks ago, when I posted a video of Don Rumsfeld defending the use of a standing desk (the same video was later linked by John Durant and Mark Sisson), I brashly stated, “There are few single life adjustments more likely to improve your health than working at a standing desk.”

Perhaps that statement wasn’t as exaggerated as it may have seemed!

Seth’s Talk

Why Wheat Is A Concealed Cause of Many Diseases, II: Auto-Antibody Generation

This week we’re examining why wheat is the most dangerous food, and focusing on its role in causing autoimmune diseases. In Tuesday’s post, we talked about how wheat induces a leaky gut; today, we’ll look at how wheat generates auto-antibodies that attack self tissue.

Known Wheat-Derived Auto-Antibodies

In the book we talk about the role of gluten in creating auto-antibodies that attack tissue transglutaminase (tTg), a human enzyme that is abundant in the thyroid and gut. This leads to Hashimoto’s thyroiditis and celiac disease.

However, wheat can generate auto-antibodies to other human molecules besides tTg. These include:

  • Collagens I, III, V, and VI. tTG catalyzes the cross linking of gliadin peptides with interstitial collagen types I, III, and VI, leading to formation of antibodies against collagen. Celiac disease patients have been found to have circulating auto-antibodies to collagens I, III, V, and VI. [1]
  • Synapsin I. Synapsins are a family of proteins regulating neurotransmitter release at synapses. By forming antibodies against wheat gliadin in animals, and then immunoprecipitating human proteins with these antibodies, investigators found that antibodies to wheat gliadin bind strongly to synapsin I. Anti-wheat antibodies from celiac disease patients bind to human synapsin I. [2]

Other known targets of wheat-generated auto-antibodies include gangliosides, actin, calreticulin and desmin. [3,4]

More Wheat-Derived Auto-Antibodies Still to be Found

Scientists may have only begun to identify the human proteins that wheat can generate antibodies against.

For instance, auto-antibodies taken from the blood of celiac disease patients bind to an unidentified 55 kiloDalton protein expressed on the nuclear membrane of intestinal cells, endothelial cells and fibroblasts. [5] That nuclear protein remains unidentified today.

Effects of Wheat-Derived Auto-Antibodies

These various wheat-derived auto-antibodies can trigger attacks against a wide range of tissues. Blood vessels are a frequent target. In our book we note that heart transplants are generally precipitated by wheat-derived autoimmune attacks on the heart. [6]

Nerves are another. Wheat-derived antibodies against neuronal tissue, probably targeting synapsin, can produce “neurologic complications such as neuropathy, ataxia, seizures, and neurobehavioral changes.” [2]

Neurologic deficits, including axonal neuropathy and cerebellar ataxia, are among the most common extraintestinal symptoms associated with celiac disease. In addition, elevated levels of anti-gliadin Ab have been associated with idiopathic neuropathy and ataxia, even in the apparent absence of the characteristic mucosal pathology. [2]

I’ve bolded that last part because it shows that you can have neurological damage from wheat even if your intestine is doing fine.

Neuronal synapsin has been reported to be reduced in bipolar disorder and schizophrenia. [7] Both diseases have been tied to wheat consumption. It’s possible that wheat-derived autoimmune attacks on synapsin may be a causal factor in both diseases.

The ability of wheat to induce peculiar autoimmune reactions is perhaps best illustrated in schizophrenia. Schizophrenics frequently have antibodies to wheat, but not the ones that occur in celiac disease:

In contrast to celiac disease patients, an association between the anti-gliadin immune response and anti-TG2 antibody or HLA-DQ2 and -DQ8 markers was not found in individuals with schizophrenia. In addition, the majority of individuals with schizophrenia and anti-gliadin antibody did not exhibit antibody reactivity to deamidated gliadin peptides. Further characterization of the antibody specificity revealed preferential reactivity towards different gluten proteins in the schizophrenia and celiac disease groups. These findings indicate that the anti-gliadin immune response in schizophrenia has a different antigenic specificity from that in celiac disease and is independent of the action of transglutaminase enzyme and HLA-DQ2/DQ8. [8]

There are multiple mechanisms by which wheat consumption contributes to schizophrenia and other mental illnesses – we mentioned opioid peptides last week – and elimination of wheat should be a first step in treating schizophrenia, bipolar disorder, and other mental illnesses.

Conclusion

Wheat is a toxic food which can trigger auto-antibodies against a variety of tissues, precipitating a diverse array of autoimmune conditions. Many of these autoimmune conditions have not yet been characterized.

Other grains and legumes can induce autoimmune damage in similar fashion. In a comment today, John Wilson noted that he had recurring mouth sores until he gave up peanuts, which cured the problem. Peanuts are a legume and, much like wheat, contain a variety of immunogenic toxins.

If you have an odd, unexplained medical condition, try Step Two of our book – removing toxic foods from the diet. Removing immunogenic toxins will cure many pathologies, and make it easier to diagnose whatever is left over.

Related Posts

Other posts in this series:

  1. Wheat Is A Cause of Many Diseases, I: Leaky Gut Oct 26, 2010.
  2. Why Wheat Is A Concealed Cause of Many Diseases, III: Adjuvant Activity Nov 01, 2010.

References

[1] Dieterich W et al. Cross linking to tissue transglutaminase and collagen favours gliadin toxicity in coeliac disease. Gut. 2006 Apr;55(4):478-84. http://pmid.us/16188922.

[2] Alaedini A et al. Immune cross-reactivity in celiac disease: anti-gliadin antibodies bind to neuronal synapsin I. J Immunol. 2007 May 15;178(10):6590-5. http://pmid.us/17475890.

[3] Alaedini A, Green PH. Autoantibodies in celiac disease. Autoimmunity. 2008 Feb;41(1):19-26. http://pmid.us/18176861.

[4] Shaoul R, Lerner A.  Associated autoantibodies in celiac disease. Autoimmun Rev. 2007 Sep;6(8):559-65. http://pmid.us/17854749.

[5] Natter S et al. IgA cross-reactivity between a nuclear autoantigen and wheat proteins suggests molecular mimicry as a possible pathomechanism in celiac disease. Eur J Immunol. 2001 Mar;31(3):918-28. http://pmid.us/11241297.

[6] Sategna-Guidetti C et al. Binding by serum IgA antibodies from patients with coeliac disease to monkey heart tissue. Scand J Gastroenterol. 2004 Jun;39(6):540-3. http://pmid.us/15223677.

[7] Vawter MP et al. Reduction of synapsin in the hippocampus of patients with bipolar disorder and schizophrenia. Mol Psychiatry. 2002;7(6):571-8. http://pmid.us/12140780.

[8] Samaroo D et al. Novel immune response to gluten in individuals with schizophrenia. Schizophr Res. 2010 May;118(1-3):248-55. http://pmid.us/19748229.