Depression and anxiety are hitting all-time highs these days, sending millions of Americans in search of relief. While many avenues reduce or eliminate symptoms, particularly functional medicine protocols that reduce chronic inflammation, one must still tend to the health of the psyche. One powerful but overlooked relief from depression and anxiety is to spend time volunteering.
Volunteering has been shown to relieve depression and anxiety, lower blood pressure, release the social bonding hormone oxytocin, improve contentment, and trigger the same dopamine reward centers in the brain that food, drugs, and sex trigger.
In fact, studies on volunteering suggest it’s beneficial for us because the human brain is wired to help others. Although greed and selfishness are characteristic human traits, researchers have also found that altruism and cooperation are inherent qualities that set us apart from much of the animal kingdom.
Volunteering can be a way to exercise these areas of the brain and the mind that can easily go neglected in our overly busy survival-oriented society. However, human survival over the millennia has been credited to our ability to work together in child rearing, hunting, gathering, creating domiciles, and caring for sick or older members of the community.
Given our evolutionary history, it’s no wonder so many people are depressed and anxious. Social isolation and loneliness are considered just as risky to health as are obesity and smoking. Most Americans live in single-family dwellings with no links to their neighbors or a community.
How volunteering helps relieve depression and anxiety
Depression and anxiety can be very inwardly focused disorders. Even if that focus is intensely negative, it creates a feeling of separation and isolation from others. People with these disorders also commonly complain of feeling like they are useless and a burden to others.
Volunteering, on the other hand, has been shown to help people feel more connected to others, more optimistic, and more useful and purposeful. This is believed to be due in part to the release of oxytocin that volunteering triggers. Oxytocin is a “love and bonding” brain chemical that is also released during sex or from cuddling a baby or a pet.
Oxytocin not only makes you feel better, it has also been shown to reduce stress levels and lower inflammation — two powerful factors in causing depression.
Volunteering works on another powerful neurotransmitter when it comes to mood: Dopamine. Dopamine is our “pleasure and reward” neurotransmitter that is released when we have feelings of accomplishment, pleasure, or reward. Addictions are dopamine surges run amuck as people become hooked on the dopamine rush that comes with drugs, gambling, and other pleasurable indulgences.
However, sufficient dopamine is necessary to help us get things accomplished as well as to feel self-worth and purpose in life, two things people with depression often lack. Volunteering triggers a healthy dopamine release that then extends into other areas of their life.
Researchers also point to the fact that volunteering simply takes you out of yourself. Although dismissing your woes doesn’t make them go away, having compassionate perspective for other people’s struggles can help put your own in healthier perspective.
Also, while volunteering has mental health benefits, a caretaker position is also your source of income is commonly linked with increased stress and burnout.
The paradox of “being too busy” to volunteer
Most people cite their overly busy lives and booked schedules for not being willing or able to volunteer. But the experience of volunteers frequently shows that a paradoxical effect happens when you work it into your schedule anyways — the stress-lowering and mood-boosting effects of volunteering reduce the sense of chronic overwhelm that many people experience daily.
Volunteering can calm the over anxious mind and relax the muscles and breathing.
Functional medicine and depression
Although volunteering has proven benefits for depression and anxiety, it’s important to nevertheless pay attention to physiological factors that cause depression.
Depression has now been linked to things like chronic inflammation, lack of gut bacteria diversity, too much bad gut bacteria, leaky gut, and compromised brain health, such as from a past brain injury or brain inflammation.
These dysfunctions can stem from food intolerances, blood sugar imbalances, poor nutrition, a sedentary lifestyle, undiagnosed autoimmunity, hidden infections, or other underlying disorders that antidepressants will not address.
Ask my office for more ideas on how functional medicine can help you relieve depression and anxiety.
If you have a chronic health or autoimmune condition, chances are you also suffer from brain inflammation. Brain inflammation causes symptoms such as brain fog, fatigue, lack of motivation, and depression. We all have some degree of brain inflammation, but it can range from barely perceptible to debilitating depending on how advanced it is.
What kind of brain inflammation do you have? We can look at brain inflammation as either subtle, moderate, or severe, and as transient or chronic. Brain autoimmunity is another cause of brain inflammation and brain-based symptoms.
Subtle brain inflammation:
Slower mental speed
Reduced brain endurance (can’t read, work, or drive as long you used to)
Brain fatigue after exposure to specific foods or chemicals
Inability to focus and concentrate for long periods
Need to sleep more than 8 hours
Loss of appetite
Unable to be physically active
Severe brain inflammation:
Disorientation or confusion
Tremors or trembling
Symptoms are activated by exposure to a trigger but subside. Person has more good days than bad.
Symptoms are persistent symptoms and the person has more bad days than good.
Autoimmunity is a condition in which the immune system attacks tissue in the body, mistaking it for a foreign invader. Neuroautoimmunity is more common than people realize and can cause a wide range of neurological symptoms, depending on the area of the nervous system being attacked. Symptoms are caused by flares of the autoimmune condition, which can be whatever triggers the body’s immune system. These people also have symptoms of brain inflammation.
Most people think the brain is made up mainly of neurons and that neurons run the show. But in recent years, research shows neurons only make up about 10 percent of the brain. The rest is made up of the brain’s immune cells, called glial cells. Glial cells outnumber neurons 10 to 1.
Although the glial cells are the brain’s immune system, scientists have discovered they do much more than defend the brain. When the brain is not battling inflammation, glial cells support healthy neuron function, clear away plaque and debris that can lead to brain degenerative diseases such as Alzheimer’s or Parkinson’s, and they help facilitate efficient pathways of communication in the brain.
Factors that cause brain inflammation include a brain injury, unmanaged autoimmune disease, high blood sugar, eating inflammatory foods, undiagnosed food intolerances, excess alcohol consumption, a chronic viral or bacterial infection, leaky gut, leaky blood-brain barrier, hormonal imbalances or deficiencies, or other chronic health conditions and imbalances.
When the brain is in a chronic state of inflammation, this takes glial cells away from their job of supporting neuron health, debris clearing, and neuronal communication. This not only causes symptoms like fatigue and depression but also raises your risk of more serious brain disorders down the road.
If your symptoms are in the mild category, following functional medicine protocols (finding and addressing the root causes of your brain inflammation) can help restore your brain health. As long as you follow a healthy diet and lifestyle, you can keep brain inflammation at bay.
Removing foods that cause an immune reaction from your diet, gluten in particular.
Repairing leaky gut and leaky blood-brain barrier.
Improving microbiome diversity.
Addressing autoimmune conditions.
Addressing chronic infections.
Taking high-quality glutathione and other supplements to dampen inflammation.
Daily exercise, especially high-intensity interval training (HIIT).
Hormonal balance if necessary.
If your brain inflammation symptoms are in the moderate to severe category, you still need to follow these steps, but you may need pursue one or more of them very aggressively, as well as adjust your expectations. Unlike the immune system in the body, the brain’s immune system does not have an off switch and inflammation can move through the brain like a slow-moving forest fire for months, years, or even decades. If you have not been the same since a brain injury or other brain insult, this may apply to you.
Additionally, if glial cells undergo a severe inflammatory event, such as a brain injury, they can become “primed.” A primed glial cell permanently changes its physical structure to function less as a neuron helper and more as an immune soldier. This also shortens its lifespan. As with neurons, we only have so many glial cells — their numbers dwindle as we age, and unmanaged brain insults and injuries and unhealthy diet and lifestyle habits can accelerate their demise.
Once glial cells are primed, acute inflammatory events can trigger your brain inflammation symptoms, even if you are following a healthy diet and lifestyle. Also, symptoms from triggering events will be much more severe once your glial cells have been primed. Whereas someone with mild to moderate neuroinflammation may suffer from some brain fog or fatigue if triggered, a person with primed glial cells may see loss of brain function, depending on the area of the brain most affected. This could mean bouts of memory loss, inability to speak properly, loss of muscle function, fatigue so severe they are bed ridden, and more. Once your glial cells are primed, it becomes necessary to structure your life around preventing flares.
Note: One scenario that can occur with primed glial cells is that anti-inflammatory functional medicine protocols may work great for a few weeks and then the person has a rebound crash with severe symptoms. This does not mean the protocols aren’t working, it just means you need to slow down with your protocols and keep systematically working through the various mechanisms until you find your primary triggers, whether its blood sugar, hormonal imbalances, or a dietary or chemical trigger. They will be different for everyone.
Outside of brain inflammation lies another mechanism of brain-based symptoms called “neurons close to threshold.” This means that a triggering neurological event, such as smelling perfumes for the chemically sensitive person, eating gluten for the gluten intolerant person, pushing your brain past what it can handle (with reading, working, studying, driving, etc.), too much noise for someone who is sound sensitive, etc. can fatigue fragile neurons and trigger symptoms.
For instance, a scent-sensitive person may develop migraines and fatigue walking past a perfume counter, or a gluten sensitive person may suffer from brain fog and fatigue after eating gluten. Or a day-long drive may take three days to recover from for the person whose neurons have lost endurance.
Poor health and chronic inflammation sabotage neuronal mitochondria, the energy factory in each cell. This causes a neuron to fire too easily, and then to fatigue. A classic example is tinnitus — auditory neurons are too close to threshold and “hear” noise that isn’t there, which causes ringing in the ears.
In these cases, rehabilitation includes anti-inflammatory strategies for the brain, but also gently exercising the neurons back to better health. This may mean a gradual introduction of essential oils for the scent-sensitive person, using hearing aids to gently stimulate the auditory neurons for the person with tinnitus (there are other causes of tinnitus, this is just one), or gradually increasing reading time each day to build endurance.
This is a broad overview of neuroinflammatory concepts. Ask my office how we can help you manage your brain inflammation.
Chronic fatigue syndrome — more correctly called myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) — is one of the more frustrating chronic illnesses because most doctors don’t believe it exists or that it’s a psychiatric issue. Despite symptoms that completely debilitate its victims, ME/CFS is often the butt of jokes or medical ridicule because there is no lab marker to diagnose it even though it has been linked to inflammation of the nervous system.
However, that may change thanks to the invention by a father whose adult son has been bedridden with ME/CFS for the last 10 years.
The father, who is also a Stanford scientist, developed a simple blood test that measures the energy cells expend in order to maintain homeostasis after exposure to salt. Salt stresses cells, which must retain balance in sodium levels in order to function properly.
The researcher passed the cells exposed to salt through a small microchip that uses an electrical current to measure the energy exertion of the cells. Less exertion indicates the cells are able to easily maintain sodium balance, while more exertion meant finding balance required considerable effort.
The test was run on 40 people — 20 of whom suffer from ME/CFS and 20 healthy controls. In all 20 of the ME/CFS group, the cells expended significantly more energy in response to the salt compared to the cells of the 20 healthy people. This indicates the ME/CFS group had cells that were considerably less functional and more stressed.
Poor cellular function leads to poor function of the body and brain. Dysfunctional cells that can’t produce enough energy result in a body that is constantly fatigued and in poor health with multiple symptoms.
Although the test needs to be run on larger groups of people, if the research is able to replicate these results, it means conventional medicine will finally have the biomarker it needs to legitimize ME/CFS as a medical condition in the eyes of ordinary doctors.
Conventional advice for ME/CFS can be debilitating
One mistake many conventional doctors make when they examine a patient with ME/CFS is to assume they are lazy or hypochondriacs. As such, it’s common for doctors to tell ME/CFS patients to exercise to improve their symptoms.
This is bad advice for the ME/CFS patient whose cells are struggling to maintain just basic functions.
In fact, many patients with chronic fatigue are so severely fatigued they cannot work, have normal lives, or even leave their beds. Any exertion exacerbates their symptoms in what is called “post-exertional malaise.” For these individuals, exercise is an extremely inappropriate prescription.
ME/CFS affects several million people in the United States, although it’s estimated that as many as 90 percent of sufferers have not been diagnosed, due to the difficulty of receiving a proper diagnosis. It can take years and visits to multiple doctors to find one who will take the symptoms seriously.
Another difficulty in diagnosis is that patients suffer from multiple symptoms in addition to chronic fatigue, such as chronic pain, difficulties with memory and concentration, gut issues, and extreme sensitivities to light, sound, smell. Poor cellular function affects multiple organs so that symptoms can vary depending on the person.
ME/CFS can be diagnosed though a simple checklist of symptoms, however most primary care doctors are not aware of the list or adhere to the belief the disorder is imaginary. Conventional doctors also don’t like to diagnose ME/CFS because no drugs exist to treat it.
However, should the new testing prove to be accurate, it would give the millions of sufferers a diagnosis, thus eliminating the demoralizing mystery. This would also open the doors to new research into the condition.
Recent research into brain inflammation could also bring hope for ME/CFS
Fortunately, recent research breakthroughs in brain inflammation offer promise in not only validating ME/CFS but also its treatment.
Brain inflammation is more common than previously realized and is increasingly linked to myriad conditions other than ME/CFS, including depression, anxiety, childhood brain development disorders, and Alzheimer’s and Parkinson’s disease.
Immune cells in the brain outnumber neurons 10 to one and are vastly more important than previously realized. They are responsible for maintaining neuronal health and function and removing debris and plaque from the brain. However, when the brain is impacted by inflammation from dietary or lifestyle factors or a brain injury, the brain’s immune cells must abandon their jobs of supporting neuronal health and instead go into persistent warrior mode, damaging brain tissue in the process. Unlike the body’s immune system, the brain’s has no off switch.
There are no drugs to tame brain inflammation, however, it has been shown to respond to certain botanical compounds and functional medicine protocols that include dietary, lifestyle, and health interventions.
Ask my office for more advice on how we can help you with fatigue.
Although autoimmune disease symptoms can vary depending on the tissue the immune system is attacking, most people with autoimmunity struggle with bouts of fatigue, energy “crashes,” brain fog, inflammation, and pain. These symptoms can throw a frustrating wrench in your exercise habit. Or if these reoccurring symptoms have prevented you from starting an exercise routine, take heart. Regular exercise can be one of the most effective ways to manage your autoimmune condition — you just need to heed your body’s fluctuating needs and tolerance levels.
Autoimmune disease is a condition in which an immune imbalance causes the immune system to attack and destroy tissue in the body. It is a chronic inflammatory condition that many people successfully manage through functional medicine protocols that include dietary and lifestyle strategies as well as helpful nutraceuticals.
Regular exercise is paramount in managing an autoimmune condition for the following reasons:
It improves circulation, which helps oxygenate body tissue, deliver nutrients to tissues, remove debris, and facilitate detoxification.
It produces chemicals that enhance brain function, such as brain-derived neurotrophic factor; a healthy brain facilitates a healthy body.
How exercise may be different for the person managing autoimmune disease
Although autoimmune disease can feel like a burden, especially when you’re having a flare, many people report it has also forced them to live more balanced, healthy lives.
With autoimmune disease you typically don’t have the privilege of abusing your body to be more productive, to sleep less, to give too much, to say yes too often, and so on.
This also means you don’t always have the option of pushing yourself as hard as you’d like when you exercise. This can be hard on the ego, especially when it comes to exercising in a group situation. For instance, if you are involved in a team sport, group exercise class, or other situation that invites a competitive drive, your ego may want to do more than your body can deliver.
It’s important to pay attention to your body because while exercise has profound anti-inflammatory potential, over exercising will make inflammation worse and could trigger an autoimmune flare.
Likewise, if you’re new to exercise and afraid of triggering a flare, you may feel too intimidated by a group exercise class and looking “weak” or “lazy.”
Rest assured that’s just your ego talking and it’s best not to take orders from it if you want to prevent an autoimmune flare or excessive inflammation. Also, other people are too absorbed in their own workouts to notice yours.
If you would like help understanding Exercise and Autoimmunity disease, you can schedule a FREE 15-MINUTE CONSULTATION with Dr. Celaya.
Challenge yourself enough to release anti-inflammatory compounds but not so much you can’t comfortably return the next day
Many people with autoimmune disease find optimal results managing their autoimmunity by maintaining a consistent exercise schedule most days of the week.
Pulling this off means tuning in to your body to find the exercise sweet spot for autoimmune management — not too little and not too much.
Science shows using high-intensity interval training (HIIT) provides the most benefits for managing inflammation, boosting circulation and oxygenation, and improving brain function.
HIIT involves exercising at your maximum heart rate for short bursts of 30 seconds to 2 minutes, followed by a rest and recover phase, and then repeating.
If you’re new to exercise, even just a few minutes a day can start to deliver HIIT’s benefits. If you’d like to improve your fitness level, incorporate HIIT into a longer workout that also includes weight training and some endurance training.
It can be confusing knowing how to safely exercise to maximize its anti-inflammatory effects without going too far. Some great online resources exist that can help you figure out safe ranges using a heart rate monitor. Gyms such as Orange Theory Fitness also use heart-rate tracking, in addition to motivational coaching, to help you dial in your sweet spot.
The beauty of HIIT is that you can adjust it to your fitness level. One person’s HIIT may be sprinting up some stadium stairs while another person’s HIIT may be doing some push-ups from the knees. Both people benefit.
Keep these tips in mind when exercising with autoimmunity:
Find an exercise that is fun and enjoyable. Positivity is anti-inflammatory while dread and negativity are pro-inflammatory. Making it fun will be part of the health benefits. A group class or social setting may be healthy for the same reason.
Challenge yourself enough to get your heart rate up.
Don’t challenge yourself so much you trigger a flare. The key is to be able to do it again the next day. A consistent exercise schedule will deliver the most health benefits.
Pay attention to your body. If you are feeling so run down you can hardly get out of bed, that is probably not a good day to go work out. If you are feeling a little run down but can function, dial back the intensity of your exercise but see if you can still perform. Sometimes a light workout helps you recover faster than not working out.
If you are feeling really run down while working out, it may be better to quit early than to push through.
Capitalize on the days you feel good to challenge yourself a little more than normal, being cautious not to overdo it.
Remember, this is a lifelong condition that requires lifelong attention. Make each day of exercise about the long-range journey as much as that day’s session.
Ask my office for more information on managing autoimmune disease and chronic health symptoms.
Although few doctors know how to successfully manage autoimmune disease — a condition in which the immune system attacks the body — researchers say it has become a modern epidemic, affecting more people than heart disease and cancer combined. Conventional medicine also argues autoimmune disease has mysterious origins and is primarily genetic, but again research paints a different picture — autoimmune disease has largely been traced to the tens of thousands of toxic chemicals in our environment.
It takes the average person five years and visiting at least five different doctors before they receive a diagnosis for autoimmunity. Despite many published and peer-reviewed scientific studies about autoimmunity, rare are medical doctors who know how to identify symptoms of autoimmunity, properly screen for it, or appropriately treat it.
Most autoimmune patients are prescribed antidepressants or anti-anxiety medications, told they need to exercise more or lose weight, or told they are making up their symptoms. More than 75 percent of patients with autoimmunity are women, which suggests the sexism shown to exist in medicine stands in the way of better treatments.
If medical doctors do diagnose autoimmune disease, it is typically only after the disease has almost completely destroyed the targeted tissue, whether it’s parts of the brain, the thyroid gland, or the sheaths that coat the nerves. At this point they can offer invasive treatments such as steroids, chemotherapy drugs, or surgery.
Examples of popular autoimmune diseases include Hashimoto’s hypothyroidism, lupus, multiple sclerosis, psoriasis, type 1 diabetes, rheumatoid arthritis, Crohn’s disease, celiac disease, and vitiligo. Although about 100 autoimmune diseases have been identified so far, the truth is the immune system can attack any cell in the body and researchers believe there are probably more than 100.
Autoimmunity rates are skyrocketing. Consider the following:
Type 1 diabetes rose 23 percent between 2001 and 2009 in the US
Crohn’s disease rose 300 percent in 20 years in the UK
Inflammatory bowel disease has risen more than 7 percent every year in Canada
An Israeli study showed autoimmune rates are rising worldwide
Studies show autoimmune rates rise the most in developed nations and in countries that are developing while they are lowest in the least developed countries.
“Developed” has become synonymous with “toxic.”About 80,000 chemicals that haven’t been tested on humans are in our environment in the US and about 5,000 new ones are added every year. Random blood sampling studies show that we all have dozens, if not hundreds (depends on how many they test), of these chemicals in our bloodstream. One study of fetal cord blood found almost 300 different chemicals in newborns around the country.
Other studies link different chemicals to different autoimmune diseases. For instance, mercury has been shown to trigger lupus and pesticides are linked to rheumatoid arthritis.
Rising autoimmune rates are also traced to poor diets high in processed foods and low in plant fiber. This compromises the gut microbiome, or gut bacteria diversity, which has been linked to poor immune function.
Low vitamin D levels, high chronic stress levels, hormonal imbalances, high sugar consumption, and sedentary lifestyles are some of other common reasons for the autoimmune epidemic.
A functional medicine approach to autoimmune disease
When it comes to autoimmunity, functional medicine shines.
For one thing, we listen to you. We know you are not crazy, making up your symptoms, or attention seeking. Autoimmunity is frustrating and confounding in its wide variety of symptoms and mysterious nature. We understand how demoralizing this can be.
Although symptoms vary depending on the tissue being attacked, common symptoms among all autoimmune sufferers include fatigue, malaise, pain, brain fog, depression, and periods where you “crash,” or have such low energy you can’t function.
In functional medicine we use lab tests that screen for multiple autoimmune conditions at once. This allows us to identify an autoimmune reaction taking place that may not be advanced enough yet to cause extreme symptoms. This allows us to halt or slow its progression.
We also can test for the triggers in your environment, such as certain foods you may not be aware are sending your immune system into a tailspin, such as gluten, or specific chemicals, such as benzene. Avoiding these triggers can help you feel better.
Successfully managing autoimmunity is not necessarily about managing the part of your body that is being attacked. Instead, it’s about addressing your hyper zealous and misguided immune system. The immune system is very complex and always in flux, but thankfully new research is continually helping us learn new strategies to balance immunity, dampen inflammation, tame autoimmune flares, and prevent autoimmunity from progressing and devastating the body.
In fact, some autoimmune patients say their autoimmune disease has taught them how to live more balanced and healthy lives than they would have otherwise.
Ask my office for more information about how to manage your autoimmune condition.
After assurance from breast implant makers that concerns about silicone leaks were a thing of the past, more than 10 million women worldwide have received silicone breast implants in the past decade. However, a growing body of research — supported by increased symptom reporting by women —links silicone breast implants to autoimmune disorders and a rare form of immune cancer.
Silicone breast implants linked to autoimmune disease
Doctors commonly advise potential breast implant candidates that the risks are minimal, yet multiple recent studies indicate otherwise.
A recent study at the University of Alberta comparing nearly 25,000 women with breast implants to nearly 100,000 without them confirmed that nearly one in four implant recipients is at risk of developing an autoimmune disorder.
The risk for women with breast implants developing an autoimmune disease is 45 percent higher than for those without implants.
While former studies on the topic have been criticized because they were based on self-reporting by subjects, this study used doctor-based diagnoses to confirm results.
Previous research has also found surgical mesh implants used for gynecological or hernia repair may be linked to autoimmune disorders such as rheumatoid arthritis and lupus. Additionally, patients with allergies prior to the procedure were significantly worse afterward.
In the Alberta study, the strongest links were shown between silicone implants and these autoimmune conditions:
Sjögren’s syndrome, an autoimmune disorder of the salivary and tear glands.
Sarcoidosis, an autoimmune disorder of the lung, skin and lymph nodes.
Systemic sclerosis, an autoimmune disorder of the connective tissue affecting the skin, arteries, and visceral organs such as lungs and kidneys.
The theory behind these findings is that foreign material of the mesh and silicone implants causes an activation of the immune system. The body continues to fight the “invader” and over time autoimmunity develops.
Emerging form of breast implant-related cancer on the rise
Individuals with breast implants are also at risk of developing breast implant large cell lymphoma, or BIA-ALCL. BIA-ALCL is not breast cancer but a form of non-Hodgkin’s lymphoma, a cancer of the immune system.
In most cases BIA-ALCL is found in fluid and scar tissue near the implant, however there are cases where it spreads throughout the body.
The FDA states, “At this time, most data suggest that BIA-ALCL occurs more frequently following implantation of breast implants with textured surfaces rather than those with smooth surfaces.”
Plastic surgeons have identified 615 cases of BIA-ALCL worldwide with the disease occurring at higher rates among women with textured implants. French authorities have recommended against the use of textured implants due to the cancer risk.
At present, however, the risks are difficult to determine due to significant limitations in world-wide reporting and lack of data.
Lax reporting rules at fault for lack of patient awareness
Prior to 2017 the FDA allowed breast implant companies to report breast implant injuries as routine events that did not require public disclosure. This effectively kept the information from the public and may have skewed opinions on the safety of using them.
In 2017 reporting rules were changed and reports of injuries soared. At the current rate, they are slated to increase more than 20-fold in the last two years from the previous two-year period.
According to an ICIJ analysis of FDA data, after the rule change the number of suspected breast implant injuries skyrocketed from 200 a year to more than 4,500 in 2017 alone.
In just the first half of 2018, that number almost doubled to more than 8,000 filed reports.
The increase in reports doesn’t mean implants are suddenly going bad but that they may never have been as safe as patients were told in the first place.
The FDA has acknowledged a “transparency issue” regarding the undisclosed injury reports and that the increase in numbers reflected the change in reporting rules.
Changing the system to better protect breast implant recipients
The FDA warns that as many as one in five women who receive breast implants will get them removed within a decade due to complications such as rupture, deflation, and painful contraction of scar tissue around the implant, but currently there is no warning about autoimmunity.
The good news is that in response to the new information, the FDA and agencies around the world acknowledge that more research needs to be done to determine the autoimmune and cancer risks of implants.
While current studies do not prove breast implants cause these diseases, they do show that women with the implants suffer them at significantly higher rates than women without implants.
It’s proposed that bacterial infection of a biofilm that surrounds the implants is the likely cause of implant-related illness, including BIA-ALCL.
Patient advocates propose rules requiring breast implants to be sold with “black box” label warnings, which are reserved for life-threatening and other serious risks.
Undoubtedly, it will take much larger and longer studies to root out the details and bring about protective actions, and in the meantime, doctors and patients need to have deeper conversations about the benefits and risks of silicone breast implants.
Have you ever wanted to know everything there is to know about your thyroid? This 7-part video series will cover thyroid lab testing, nutrition and infections that affect the thyroid, toxins, thyroid hormone conversion, lifestyle, and adrenal interplay.