Tag Archives: allergies

We’re depressed, allergic, overweight, alone, and demented. What causes what?

Among the wonders of the western world is how many people are allergic to nuts compared to a few decades ago, and to gluten, and to a host of other things that hardly anyone was allergic to 50 years ago. Perhaps it’s a change in perception, but it doesn’t seem that way.

When I was in public school in NY, back in the 1960s, there was a subsidized lunch program serving, every day, peanut butter sandwiches. Peanut butter is nearly totally fat. It was ladled each day, from a giant tub, provided by the USDA, and slathered on USDA bread along with jelly from some other vat. The smell filled the lunch area, and the fats and sugars filled our stomaches. No one seemed bothered by the nuts, and no one showed obvious signs of passing out. And despite the ill diet, we were less obeease than today. Even today, in poor countries, thy still serve massive peanut butter dishes, or bread covered in lard, and these countries show fewer allergy problems, and less obesity in general.

Perhaps it is the lack of exposure to peanuts in the US that caused the allergy (sounds almost plausible), and maybe it’s the dietetic food that causes obesity, and the glut of non-gluten that causes gluten allergies. These connections may be false, but If true, it would suggest we’re in for many more problems.

Moving to depression and dementia. We’re seeing more and more of both, and at earlier ages. In our era, virtually everyone over 80 shows signs of clinical dementia, often Alzheimer’s dementia, but the rates are rising, especially in those 55-70, and it seems most every adult is depressed. I don’t know why, though lots of people on the internet have speculative explanations. There are also cures, and perhaps some work. The research behind at least one of the best hopes for an Alzheimers cure was shown to be falsified, just made up. Not that funding was stopped quite, highlighting another problem that is becoming more common: people in trust positions no longer behave in a trustworthy way. Nor are they punished for lying. Strange to add that an anti-obesity drug, Metformin, seems to actually work at weight loss, and helps against Alzheimers dementia. Then again, from other research, it seems that obesity protects from dementia.

Some of the problem seems to be societal, a lack of friendship and companionship. I could imagine that isolation leads to dementia, depression, and weight gain. Another thought, pushed by RFK Jr., is that new drugs and vaccines are responsible for allergies and ADHD, along with changes in diet. It’s possible. At least some comes from early diagnosis, and a change in the definition of dementia. Perhaps that’s the reason for the significant difference state to state. Yesterday’s curmudgeon is redefined as depressed, and drugged (more in some states than others), and becomes isolated (again more in some communities). The disoriented, lonely patient is then given anti anxiety drugs and classified as a dementia patient. It happens in some cases, but there seems to be a rise in real dementia too: the sort of stumbling and blankness that reflects general brain deterioration. As for ADHD, I’m still not convinced this is a new real disease; it could be that’s how boys always behaved.

Would we be less depressed or demented or less autistic with different vaccinations, or different foods, or with more human interaction? Would people be less isolated if they were less depressed or autistic? RFK’s family now claims that RFK Jr is demented himself for even asking these questions. My guess, totally unsupported is that the rise in allergies, dementia, obesity, and depression are related somehow, but I’m not convinced that RFK Jr. has picked out the right connection. What causes what? Perhaps someone can use statistics, or biology experiments to help untangle this stuff. It seems horribly important to the majority of Americans.

Robert Buxbaum, Sept 10, 2024. There was a. bit of a joke in the last comments: my daughter got a degree in epidemiology, and is employed in part to answer just the sort of questions I’ve posed.

Penicillin, cheese allergy, and stomach cancer

penecillin molecule

The penicillin molecule is a product of the penicillin mold

Many people believe they are allergic to penicillin — it’s the most common perceived drug allergy — but several studies have shown that most folks who think they are allergic are not. Perhaps they once were, but when people who thought they were allergic were tested, virtually none showed allergic reaction. In a test of 146, presumably allergic patients at McMaster University, only two had their penicillin allergy confirmed; 98.6% of the patients tested negative. A similar study at the Mayo Clinic tested 384 pre-surgical patients with a history of penicillin allergy; 94% tested negative. They were given clearance to receive penicillin antibiotics before, during, and after surgery. Read a summary here.

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Orange showing three different strains of the penicillin mold; some of these are toxic.

This is very good news. Penicillin is a low-cost, low side-effect antibiotic, effective against many diseases including salmonella, botulism, gonorrhea, and scarlet fever. The penicillin molecule is a common product of nature, produced by a variety of molds, e.g. on the orange at right, and in cheese. It is thus something people have been exposed to, whether they realize it or not.

Penicillin allergy is a deadly danger for the few who really are allergic, and it’s worthwhile to find out if that means you. The good news: that penicillin is found in common cheeses suggests, to me, a simple test for penicillin allergy. Anyone who suspects penicillin allergy and does not have a general dairy allergy can try eating appropriate cheese: brie, blue, camembert, or Stilton. That is any of the cheeses made with penicillin molds. If you don’t break out in a rash or suffer stomach cramps, you’re very likely not allergic to penicillin.

There is some difference between cheeses, so if you have problems with Roquefort, but not brie or camembert, there’s still a good chance you’re not allergic to penicillin. Brie and camembert have a white fuzzy mold coat of Penicillium camemberti. This mold exudes penicillin — not in enough quantity to cure gonorrhea, but enough to give taste and avoid spoilage, and enough to test for allergy. Danish blue and Roquefort, shown below, have a different look and a sharper flavor . They’re made with blue-green, Penicillium roqueforti. This mold produces penicillin, but also a small amount of neurotoxin, roquefortine C. It’s not enough to harm most people, but it could cause an allergic reaction to folks who are not allergic to penicillin. Don’t eat a moldy orange, by the way; some forms of the mold produce a lot of neurotoxin.

For people who are not allergic, a thought I had is that one could, perhaps treat heartburn or ulcers with cheese; perhaps even cancer? H-Pylori, the bacteria associated with heartburn, is effectively treated by amoxicillin, a penicillin variant. If a penicillin variant kills the bacteria, it seems plausible that penicillin cheese might too. And since amoxicillin, is found to reduce the risk of gastric cancer, it’s reasonable to expect that penicillin or penicillin cheese might be cancer-protective. To my knowledge, this has never been studied, but it seems worth considering. The other, standard treatment for heartburn, pantoprazole / Protonix, is known to cause osteoporosis, and increase the risk of cancer, and it doesn’t taste as good as cheese.

A culture of Penicillium roqueforti. Most people are not allergic to it.

The blue in blue cheese is Penicillium roqueforti. Most people are not allergic.

Penicillin was discovered by Alexander Fleming, who noticed that a single spore of the mold killed the bacteria near it on a Petrie dish. He tried to produce significant quantities of the drug from the mold with limited success, but was able to halt disease in patients, and was able to interest others who had more skill in large-scale fungus growing. Kids looking for a good science fair project, might consider penicillin growing, penicillin allergy, treatment of stomach ailments using cheese, or anything else related to the drug. Three Swedish journals declared that penicillin was the most important discovery of the last 1000 years. It would be cool if the dilute form, the one available in your supermarket, could be shown to treat heartburn and/or cancer. Another drug you could study is Lysozyme, a chemical found in tears, in saliva, and in human milk (but not in cow milk). Alexander Fleming found that tears killed bacteria, as did penicillin. Lysozyme, the active ingredient, is currently used to treat animals, but not humans.

Robert Buxbaum, November 9, 2017. Since starting work on this essay I’ve been eating blue cheese. It tastes good and seems to cure heartburn. As a personal note: my first science fair project (4th grade) involved growing molds on moistened bread. For an incubator, I used the underside of our home radiator. The location kept my mom from finding the experiment and throwing it out.

Change your underwear; of mites and men

The underware bomber mites make it right.

Umar, the underwear bomber.

For those who don’t know it, the underwear bomber, Umar Farook Abdulmutallab, wore his pair of explosive underwear for 3 weeks straight before trying to detonate them while flying over Detroit in 2009. They didn’t go off, leaving him scarred for life. It’s quite possible that the nasty little mites that live in underwear stopped the underwear bomber. They are a main source of US allergens too.

Dust mite, skin, and pollen seen with a light  microscope. Gimmie some skin.

Dust mite, skin, and pollen seen with a light microscope. Gimmie some skin.

If you’ve ever used an electron microscope to look at household objects, you’ll find them covered with brick-like flakes of dried out skin-cells: yours and your friends’. Each person sheds his or her skin every month, on average. The outer layer dries out and flakes off as new skin grows in behind it. Skin flakes are the single largest source of household dust, and if not for the fact that these flakes are the main food for mites, your house would be chock full of your left over skin. When sunlight shines in your window, you see the shimmer of skin-flakes hanging in the air. Under the electron microscope, the fresh skin flakes look like bricks, but mite-eaten skin flakes look irregular. Less common, but more busy are the mites.

The facial mite movie. They live on in us, about 1 per hair follicle, particularly favoring eyelashes. Whenever you shower, your shower with a friend.

The facial mite movie. They live on in us, about 1 per hair follicle, particularly favoring eyelashes. Whenever you shower, you shower with a friend.

Dry skin is mostly protein (keratin), plus cholesterol and squalene. This provides great nutrition for dust mites and their associated bacteria. In warm, damp environments, as in your underwear or mattress, these beasties multiply and eat the old skin. The average density of dust mites on a mattress is greater than 2500/gram of dust.[1]  The mites leave behind excrement and broken off mite-limbs: nasty bits that are the most common allergens in the US today.

An allergy to dust shows up as sneezing, coughing, clogged lungs, and eczema. The most effective cure is a high level of in-home hygiene; mites don’t like soap or dry air. You’ve go to mop and vacuum regularly. Clean and change your clothing, particularly your undergarments; rotate your mattresses, and shake the dust out of your bedding. Vacuuming is less-effective as a significant fraction of the nasties go through the filter and get spread around by the vacuum blower.

As it turns out, dust mites and their bacteria eat more than skin. They also eat dried body fluids, poop residue, and the particular explosive used by Umar Farook, pentaerythritol tetra nitrate, PETN (humans can eat and metabolize this stuff too — it’s an angina treatment). The mites turn PETN into less-explosive versions, plus more mites.

Mighty mites as seen with electron microscopy. They eat more than skin.

Mighty mites as seen with electron microscopy. They eat more than skin.

There are many varieties of mite living on and among us. Belly button mites, for example, and face mites as shown above (click on the image to see it move). On average, people have one facial mite per hair follicle. It’s also possible that the bomber was stopped by poor quality control engineering and not mites at all. Religion tends to be at odds with a science like quality control, and followers tend to put their faith in miracles.

Chigger turning on a dime

Chigger turning on a dime

larger than the dust mite is the chigger, shown at left. Chiggers leave visible bites, particularly along the underwear waste-band. There are larger-yet critters in the family: lice, bed bugs, crabs. Bathing regularly, and cleaning your stuff will rid yourself of all these beasties, at least temporarily. Keeping your hair short and your windows open helps too. Mites multiply in humid, warm environments. Opening the windows dries and cools the air, and blows out mite-bits that could cause wheezing. Benjamin Franklin and took air-baths too: walking around naked with the windows open, even in winter. It helped that he lived on the second floor. Other ways to minimize mite growth include sunlight, DOT (a modern version of DDT), and eucalyptus oil. At the very minimum, change your underwear regularly. It goes a long way to reduce dust embarrassing moments at the jihadist convention.

Dr. Robert E. Buxbaum, Sept 21, 2014. Not all science or life is this weird and wonderful, but a lot is, and I prefer to write about the weird and wonderful bits. See e.g. the hazards of health food, the value of sunshine, or the cancer hazard of living near a river. Or the grammar of pirates.