April 14, 2025

Fringe “Essentials” Supplements

At Fringe, we believe that foundational health starts with giving your body what it needs to function every single day. That's why we created our Essentials line: three core supplements that we think most people should take on most days. The fringe essentials Line These include: Vitamin D & K Mix – for bone, immune, and cardiovascular health. Magnesium Mix – to support over 800 enzymatic processes in the body. Electrolyte + Mineral Mix – to replenish the vital nutrients missing from modern water. Each was chosen not because they’re trendy, but because they fill real gaps created by how we live today — from sun avoidance to soil depletion to water purification.   Here’s Why These Three Have Earned Their Place in Our Essentials Line   1. The Vitamin D & K Combo: A Vital Synergy The Widespread Problem of Vitamin D DeficiencyDespite being called the "sunshine vitamin," most people today don’t get enough vitamin D — especially in North America, where long winters, sunscreen use, and indoor living are the norm. Over 90% of Americans don’t get enough vitamin D from their diets, making supplements essential to raise vitamin D levels when sun exposure is inadequate. Why does this matter? Vitamin D plays a crucial role in: Calcium absorption Bone mineralization and remodeling Immune function, including pathogen defense and inflammation control Mood regulation and brain health But supplementing with Vitamin D alone isn’t enough. How your body uses that calcium matters too.Vitamin K: Vitamin D’s Partner in Calcium TransportVitamin K (especially MK-7, the most bioavailable form of vitamin K2) acts like a traffic director for calcium, whose absorption from the intestines is regulated by vitamin D. It activates proteins that help shuttle calcium into bones and teeth (where it belongs), and away from soft tissues like arteries (where it absolutely does not belong).Without adequate vitamin K, high vitamin D and calcium levels could contribute to arterial calcification and cardiovascular issues. That’s why we combine Vitamin D3 and K2 (MK-7) in our Fringe Vitamin D & K Mix.In short: Vitamin D helps you absorb calcium. Vitamin K makes sure it goes to the right places. 2. Magnesium: The Mineral You're Probably Not Getting Enough Of Magnesium is involved as a cofactor or activator in more than 800 enzymatic reactions in the body — everything from energy production and muscle function to blood sugar regulation and stress modulation.Yet it’s one of the most commonly deficient nutrients, with over 50% of adults falling short of the Recommended Dietary Allowance (RDA). Why Is Magnesium Deficiency So Common? Modern agriculture has depleted our soil of magnesium, so plants (and animals that eat them) contain less. Processed foods — which make up the bulk of the modern diet — are stripped of minerals. Stress, caffeine, alcohol, certain medications, and sugar all increase magnesium excretion. Most multivitamins either lack magnesium or contain forms with poor absorption. Even people trying to eat a whole-foods, nutrient-dense diet may struggle to get enough, especially if they have higher needs due to exercise, stress, or underlying conditions.What Magnesium Supports: Nervous system regulation and resilience to stress Muscle relaxation and prevention of cramps or twitching Heart rhythm stability Sleep quality and circadian rhythm regulation Blood sugar control Bone strength (working hand-in-hand with Vitamin D) Fringe Magnesium Mix is formulated with bioavailable forms (including glycinate, orotate, and malate), making it gentle on digestion and effective at raising magnesium in the body.In short: If you’re not actively supplementing with magnesium, there’s a good chance you’re not getting enough.   3. Electrolyte + Mineral Mix: What Water Is Missing Most people think of electrolytes only when they’re sweating — but these charged minerals are always working behind the scenes to keep your body in balance.     What Are Electrolytes? Electrolytes are minerals that carry an electric charge. They’re critical for: Hydration Muscle contractions (including your heart) Nerve signaling pH balance Nutrient transport in and out of cells The key players include sodium, potassium, magnesium, calcium, and chloride.The Hidden Problem: Modern Water Is Mineral-EmptyOur ancestors drank natural water from springs and rivers — water that picked up minerals as it flowed over rocks and through earth. This water was a meaningful source of nutrients, especially calcium and magnesium.Today, most of us drink filtered, distilled, or reverse-osmosis water. While necessary to remove contaminants like lead, arsenic, or chlorine, these processes also remove beneficial minerals.According to the World Health Organization (WHO), natural water can contribute 1% to 20% of daily intake for key minerals. Removing them leaves us not only with nutrient gaps, but with “hungry” water that can actually pull minerals from the body.Filtered water has been linked to: Increased mineral losses in urine, sweat, and feces Reduced hydration (water is less retained) Impaired electrolyte homeostasis Why Supplementing Electrolytes Daily Makes SenseFringe Electrolyte + Mineral Mix is formulated to: Re-mineralize filtered or RO water Restore hydration balance Support energy production and exercise recovery Replenish electrolytes lost via sweat, urination, or stress Help offset mineral-poor modern diets It's a simple, effective way to bring your drinking water closer to what nature intended.In short: Supplementing with electrolytes daily helps restore the essential minerals missing from modern, filtered water — supporting hydration; energy, nerve and muscle function; and overall mineral balance. Why We Chose These 3 as Our Essentials   You might be wondering: Why these three? Why not include more? Here’s what makes them “Essential”: They’re fundamental – They address chronic, widespread deficiencies They're backed by science -  There are decades of research supporting their safety and benefits They’re difficult to get from nature in our modern world – Because of depletion of soil, water, and our indoor lifestyles, the nature-based sources of these nutrients are hard to access. They’re interconnected – Magnesium and Vitamin D work together; electrolytes and magnesium support hydration and muscle function; and vitamin K2 ensures D3 doesn’t misplace calcium.   It’s true that some people would benefit from taking additional supplements. But these are the three that most people need most often. Our future plans include developing supplements for special populations, but we’re committed to always being transparent about who would (and would not) benefit from taking them. Our primary goal isn’t to sell products – it’s to educate, support, and empower people to enjoy optimal health as naturally as possible   What Makes Fringe “Essentials” Supplements Unique? There are a lot of supplements out there. So, what makes Fringe’s Essentials line stand out? Here’s what sets our Essentials apart: Better Forms of Nutrients – Backed by Science + Vegan Vitamin D3 Unlike most D3 supplements sourced from lanolin (derived from sheep’s wool), ours is 100% vegan, derived from sustainable lichen. + MK-7 Vitamin K2 We use the most bioavailable, long-acting form of Vitamin K2, shown to stay active in the body for up to 48 hours and effectively direct calcium into bones and away from arteries. + Water-Soluble DK Formula Most fat-soluble vitamins are difficult to absorb without food. Our DK is designed for optimal absorption even without fat in a meal, supporting consistency and convenience. + Three Forms of Magnesium Our Magnesium Mix contains a thoughtful blend of magnesium glycinate, malate, and orotate — three highly bioavailable forms that are gentle on digestion and support energy, calm, muscle, and cardiovascular health. + Electrolytes + Trace Minerals Our Electrolyte & Mineral Mix includes a broad spectrum of trace minerals, not just sodium and potassium. Supporting everything from thyroid health to enzymatic function and mimic the natural balance found in spring water.       Clean Formulations We skip all the unnecessary extras found in most supplements: No natural flavors No stevia or artificial sweeteners No sugar No gums or thickeners No unnecessary fillers No soy, dairy, or gluten Our belief is simple: If your body doesn’t need it, it doesn’t belong in your supplement.     Our Small Scoops Mission One of our core values is helping people feel better, without overwhelming them with capsules or giant scoops. That’s why we’ve committed to our Small Scoops Mission.We formulate our powders to be low in volume and high in impact, so they can easily be mixed into water, added to a smoothie, or even mixed into foods. No giant tubs or 4-pills-a-day protocols. Just what your body needs, in a form you’ll actually want to use.   Final Thoughts Health doesn't have to be complicated. Sometimes, it’s about giving your body the basic building blocks it needs with consistency.Fringe’s Essentials line isn’t about treating symptoms. It’s about supporting your body’s capacity to thrive by filling in modern-day nutrient gaps with the most foundational support we can offer.Because sometimes, feeling better starts with getting back to what’s essential.

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April 9, 2025

Vitamin D and Immune Health

What is vitamin D? Vitamin D is a fat-soluble vitamin that plays a key role in many bodily processes, especially those related to bone strength and immune function. Unlike most vitamins, your body can actually make its own vitamin D — but only when your skin is exposed to direct sunlight. Specifically, ultraviolet B (UVB) rays trigger a reaction in the skin that produces a precursor to vitamin D, which is then converted by the liver and kidneys into its active form.   Beyond sunlight, vitamin D is found in a limited number of foods. Fatty fish like salmon, sardines, and mackerel are among the richest natural sources. Smaller amounts occur in egg yolks and beef liver, and many everyday products — such as milk, orange juice, and breakfast cereals — are fortified with added vitamin D. Because few foods naturally contain much vitamin D, and because modern lifestyles often limit sun exposure (due to indoor living, sunscreen use, and geographic location), vitamin D deficiency is surprisingly common, even in generally healthy individuals. For this reason, many people turn to supplements to maintain healthy levels year-round. There are two main forms of supplemental vitamin D: D2 (ergocalciferol) and D3 (cholecalciferol). Vitamin D2 is typically derived from plant sources like mushrooms exposed to UV light, while D3 usually comes from animal-based sources such as lanolin (from sheep’s wool) or fish oil. There is one vegan source of vitamin D3: lichen, which is an organism comprised of algae or cyanobacteria combined with fungi. Both D2 and D3 can raise vitamin D levels in the blood, but D3 is generally more effective and better absorbed by the body. Absorption also depends on dietary fat, since vitamin D is fat-soluble — meaning it’s best taken with a meal that includes some healthy fat to help your body use it efficiently. However, vitamin D can be made to be water soluble, which greatly increases its bioavailability.    How does vitamin D affect the immune system? Vitamin D plays a central role in helping the immune system function efficiently and stay balanced. Rather than simply “boosting” immune activity, it acts more like a modulator — supporting the body’s ability to defend against harmful invaders while also preventing the immune system from becoming overactive. This balancing act is crucial for staying healthy, as both underactive and overactive immune responses can lead to problems. Immune cells throughout the body — including in the skin, lungs, and gut — have receptors for vitamin D, meaning they can respond directly to its presence.     In the innate immune system — the body’s first line of defense — vitamin D enhances the ability to recognize and respond to threats quickly. It helps activate important immune cells which are responsible for detecting pathogens and signaling other immune responses. Vitamin D also promotes the production of antimicrobial molecules which act like natural antibiotics and can directly destroy bacteria, viruses, and fungi. These rapid-response mechanisms are essential for containing infections early, before they spread. In the adaptive immune system — which provides more targeted, long-term protection — vitamin D helps fine-tune how immune cells behave. It influences T cells which help keep the immune system in check and prevent excessive inflammation. It also affects B cells, which are responsible for producing antibodies, by reducing unnecessary activation and promoting immune tolerance. In this way, vitamin D supports a balanced immune response — strong enough to protect, but not so aggressive that it turns against the body’s own tissues.   Is there evidence that vitamin D promotes effective immune function? Yes, a growing body of research supports the role of vitamin D in promoting effective immune function in a wide range of immune-related outcomes, including:   Infections: Some studies have shown an association between low levels of vitamin D and increased susceptibility to colds, flu, and viral illnesses as well as reduced infections with vitamin D supplementation. For example, a randomized controlled trial of vitamin D supplementation by frontline healthcare workers in Mexico found that participants receiving 4000IU/day of vitamin D had a lower rate of infection with SARS-CoV2 compared to those receiving a placebo. Similarly, another randomized controlled trial found that vitamin D supplementation by children aged 2 to 5 years with 2000IU/day reduced infection with influenza (but not enterovirus).      Autoimmune diseases: Because of its role in regulating immune function, vitamin D has garnered attention for its potential role in influencing autoimmune diseases. The VITAL study, a large-scale randomized trial, found that participants taking 2,000 IU of vitamin D daily (combined with omega-3 fatty acids) for five years experienced a 22% reduction in the incidence of autoimmune diseases, including rheumatoid arthritis and psoriasis, compared to those receiving a placebo. Similarly, a comprehensive review highlighted that numerous studies have found correlations between low vitamin D levels and both the onset and progression of MS. Additionally, a scoping review focusing on MRI findings in MS patients reported that higher vitamin D levels were associated with fewer new active lesions and reduced lesion volume, suggesting a potential protective effect.   Cancer: Emerging research suggests that vitamin D may play a significant role in cancer prevention and management. A comprehensive umbrella review of 71 systematic reviews found that vitamin D₃ supplementation was associated with a 10% reduction in total cancer mortality (odds ratio , 0.9; 95% CI, 0.87-0.92; P < 0.01). Additionally, an analysis indicated that achieving higher serum 25-hydroxyvitamin D concentrations could potentially reduce cancer incidence rates by approximately 70%. These findings underscore the potential of vitamin D in reducing both the occurrence and mortality of various cancers.       Inflammatory responses: Vitamin D also appears to help regulate inflammation in the body, acting almost like a natural “dimmer switch” for the immune system. Several studies have found that vitamin D can reduce the production of pro-inflammatory molecules — the kinds that are often elevated in chronic diseases — while increasing anti-inflammatory compounds. This balancing effect may help explain why low vitamin D levels are often linked with higher levels of systemic inflammation. For example, a study found that people with lower vitamin D levels had significantly higher levels of C-reactive protein (CRP), a common marker of inflammation in the blood. While more research is needed, these findings suggest vitamin D may support overall immune balance, not just in response to illness but also in maintaining a healthy baseline state. How much vitamin D is needed for optimal immune function? While it’s clear that vitamin D plays an important role in immune regulation, there is no universally agreed-upon amount that guarantees optimal immune function. Research continues to evolve, and current recommendations vary widely depending on the source. Most guidelines were designed with bone health in mind and may not reflect what’s truly needed for immune support or chronic disease prevention. Blood Levels (25-hydroxyvitamin D) Vitamin D status is measured by a blood test that checks for 25-hydroxyvitamin D , the circulating form of the vitamin. Deficiency is typically defined as anything below 20 ng/mL (50 nmol/L), but for immune function, many researchers argue that this threshold is far too low. Levels of at least 30 ng/mL (75 nmol/L)are often cited as a baseline, but some of the strongest evidence — including large trials like the VITAL study — suggests that 40–60 ng/mL (100–150 nmol/L) may offer the most benefit for immune system balance and resilience. Raising blood levels into this optimal range can be surprisingly difficult with low doses. Many people — especially those with darker skin, higher body weight, or limited sun exposure — require higher intakes for levels of blood vitamin D to increase. Daily Intake (From Diet and Supplements) Although official government recommendations suggest 600–800 IU per day for adults, this level is primarily intended to prevent bone disease, not to support optimal immune function. A growing number of clinicians and researchers now advocate for daily intakes of 2,000–5,000 IU to achieve and maintain optimal blood levels for immune health — especially in people who live in northern latitudes, use sunscreen regularly, or spend most of their time indoors. In fact, research has shown that intakes up to 10,000 IU per day are safe for most people, with no evidence of toxicity at these levels in healthy individuals over extended periods. The commonly cited upper limit of 4,000 IU/day was set conservatively and has been challenged by multiple studies that demonstrate a much higher threshold for risk. Ultimately, because vitamin D needs vary based on genetics, lifestyle, and current levels, the most reliable approach is to test blood levels periodically and tailor supplementation accordingly. Why should vitamin D be taken with vitamin K? Many health professionals recommend pairing vitamin D3 with vitamin K2(typically in the MK-7 form) to ensure that calcium metabolism stays properly balanced — especially when supplementing with higher doses of vitamin D. Vitamin D and vitamin K work together to support not just immune health, but also calcium balance and cardiovascular safety. One of vitamin D’s primary roles is to help the body absorb calcium from the diet. But once calcium is in the bloodstream, vitamin K helps direct it to the right places — such as bones and teeth — and away from soft tissues like arteries, where excess calcium could contribute to plaque buildup. What makes Fringe Vitamin D & K Mix the best in the market? Fringe Vitamin D & K Mix, providing 2,500 IU of vitamin D3 per day, aligns well with the evidence-based perspective of doses that support optimal immune function. It also has three unique characteristics that make it a better choice than other Vitamin DK supplements on the market:  Water Solubility – Both vitamin D and K are fat-soluble vitamins, which makes their absorption of fat-soluble vitamins complex and results in a lower bioavailability than water-soluble vitamins (bioavailability refers to how much of the ingested nutrient is delivered to body tissues). The bioavailability of fat-soluble vitamins can be increased significantly through a safe and simple conversion process that makes them water-soluble and able to readily be absorbed through the walls of the small intestine. Research has demonstrated that water-soluble vitamin D is about twice as bioavailable as fat-soluble vitamin D.  Vegan D3 – Research has clearly demonstrated that vitamin D3 is superior to vitamin D2 at raising blood levels of 25-hydroxyvitamin D. The vast majority of vitamin D3 supplements source the vitamin from sheep’s wool, which produces a waxy substance called lanolin. Because it is animal based, lanolin-derived vitamin D3 is not suitable for vegans. In contrast, Fringe Vitamin D & K Mix uses the only vegan source of vitamin D3, which is lichen. Lichens are living organisms that consist of fungus combined with algae or cyanobacteria. Lichen-derived vitamin D3 is identical to that produced from sheep’s wool, but is non-animal based, making it suitable for everyone.  Vitamin MK-7 - Fringe Essentials Vitamin D & K contains vitamin MK-7, the most bioavailable form of vitamin K. It is derived from the fermentation of Nattō, which is plant-based and suitable for vegan diets. Other ingredients The other ingredients in Fringe Vitamin D & K Mix are all natural and non-GMO. They include inulin and myo-inositol (also sometimes called vitamin B8) to help with dosing, medium chain triglyceride (MCT) oil to help with emulsification, and licorice extract for increased bioavailability. All our products are verified by independent third-party lab testing to ensure that they are free from molds, pesticides, mycotoxins, and heavy metals. We also leave out all the stuff you don’t want like artificial sweeteners, additives, gums, and ‘natural flavors’.   Conclusion Vitamin D plays a vital role in helping the immune system function effectively and stay in balance. While there’s still some debate about the exact levels needed for optimal immune function, a growing body of evidence suggests that many people benefit from higher blood levels and daily intakes than current guidelines recommend. Maintaining healthy vitamin D levels is one of the simplest and most impactful steps you can take to support long-term immune resilience, and Fringe Vitamin D & K Mix  is an ideal supplement to help you achieve this goal.

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December 17, 2024

Should I Take a Vitamin D & K Supplement?

Should I Take a Vitamin D & K Supplement? The short answer to this question is, “almost definitely, yes!” Vitamin D is the “sunshine vitamin”, and since modern humans spend so much time indoors, most of us are woefully deficient in this critically important vitamin. And while vitamin D is found in some foods, surveys of dietary intake have shown that almost everyone consumes inadequate amounts. Some people are also deficient in vitamin K, and because vitamin D and K work synergistically, they should always be taken together. Read on to learn more about how these important nutrients work in our bodies to support health, and why Fringe’s unique vitamin D and K formulation is ideally designed to meet our needs.  shop fringe vitamin D & K   What is vitamin D & K? Vitamins are nutrients that our bodies require in small amounts for proper growth and metabolism. Since they’re required in amounts as low as milligrams (mg) or micrograms (mcg), they’re referred to as micronutrients. This contrasts with macronutrients, which are needed in larger amounts, and include carbohydrates, proteins and lipids (fats).  Vitamins D and K share the unique characteristic of being fat-soluble. The absorption of fat-soluble vitamins requires dietary fat, which makes it more complex than the absorption of water-soluble vitamins. Fat-soluble vitamins are also stored in the body, while water soluble vitamins are not. Examples of water-soluble vitamins are vitamin C and the B vitamins.            What is vitamin D & K? Technically, vitamins are obtained from the diet – but as already mentioned, vitamin D is the “sunshine vitamin”. While all vitamins (including D) can be ingested through food, vitamin D is also made when the skin is exposed to the UVB light from the sun. In fact, the amount of vitamin D that can be made from the sun far exceeds the amount that is normally consumed from food sources. And since UVB rays don’t pass through windows, direct sun exposure is required for vitamin D synthesis. + More  Since our modern lifestyles now have us spending up to 90% of our time indoors, dietary intake of vitamin D has become really important, with dietary supplements taking centre stage. This is because it’s hard to match the amount of vitamin D made from sun exposure from vitamin D rich foods. Thirty minutes of midday sun in the summer results in the body making around 10,000 to 20,000IU of vitamin D –  which is the equivalent of consuming 50 to 100 servings of sardines, one of the best food sources of vitamin D! In the absence of sun exposure, dietary supplements are really the only way to ensure that you’re consuming sufficient vitamin D to support optimal health. Vitamin D is so important that many governments recommend, and even mandate, that it to be added to certain commonly consumed foods. When vitamin D is added to food, these are called fortified foods. In the United States, vitamin D is often added to fluid milk and other dairy products, calcium fortified fruit juices, and breakfast cereals and grains. The amount of added vitamin D is usually limited to around 100IU per serving. Clearly, this falls way short of the 10,000 to 20,000IU we generate from 30 minutes in the midday sun! In addition to fortified foods, good food sources of vitamin D include egg yolks, fatty fish (such as sardines, salmon, arctic char, herring, mackerel and rainbow trout), and beef liver. Since both fortified and natural vitamin D containing foods are usually animal-based, vegans and vegetarians are more likely to be deficient. Vitamin D2 comes from plants and fungi, while vitamin D3 comes mainly from animal sources, or less commonly, non-animal sources like lichen. Fortified food may contain either form. Like vitamin D, there is also some uniqueness in terms of how we obtain vitamin K, at least one of its two forms. The two forms of vitamin K are phylloquinones (vitamin K1) and menaquinones (vitamin K2), with K2 being produced by bacteria in the human gut. Vitamin K2 produced in the gut is absorbed into the body, and does contribute to our overall vitamin K status. However, the amount produced in insufficient to meet our needs, and some dietary intake is also required. Dietary intake of vitamin K1 comes mainly from leafy green vegetables, such as spinach, broccoli, and lettuce, as well as some oils such as canola and soybean. Vitamin K2 is mainly produced by bacteria and is found in some animal-based foods like meat, dairy, and eggs, as well as fermented foods. Since K1 in plants is tightly bound to chlorophyll, it is less bioavailable than K2, with less than 20% being absorbed into the body.           What do vitamins D & K do in the body? Vitamins D and K each have critical biological functions. Here’s a look at what each one does to support our health: + Vitamin D     Maintains Bone Health – Vitamin D is required for the absorption of calcium from the intestine and the mineralization of bone. Supports Muscle Strength – Vitamin D increases protein synthesis in muscle cells, thereby helping to support muscle strength. Decreases Inflammation – Vitamin D is associated with reduced inflammation, at least in part by shifting the profile of immune cells from a pro-inflammatory to an anti-inflammatory state. Regulates Immune System Function – Vitamin D is a powerful regulator of the immune system, and supports protective immunity. Protects Against Oxidative Stress – Vitamin D reduces oxidative stress, and can protect cells and tissues against oxidative damage. Supports Brain Function – Vitamin D supports brain function by protecting it against damage from inflammation and oxidative stress. This “neuroprotective action” occurs across multiple regions of the brain. + Vitamin K   Maintains Bone Health – Vitamin K is required for the activation of proteins involved in bone assembly, in a process known as carboxylation. Without vitamin K, these proteins remain inactive and bone structure is compromised. Regulates Blood Clotting – Vitamin K is required for proper blood clotting, also known as coagulation. Here, vitamin K activates proteins involved in the blood clotting cascade, again via the process of carboxylation. Decreases Inflammation – Vitamin K reduces the expression of pro-inflammatory molecules, which may reduce overall inflammation. Protects Against Oxidative Stress – Vitamin K has antioxidant activity that can reduce oxidative stress by inhibiting the buildup of damaging reactive oxygen species. This is a poorly understood role of vitamin K, but it may have important health implications. Regulates Glucose & Insulin Metabolism – Vitamin K helps to regulate glycemic status, affecting both glucose and insulin metabolism. This occurs via activating effects on proteins, which are dependent on vitamin K.  Regulates  Immune System Function – Although a minor player relative to vitamin D, vitamin K plays a role in immune system regulation, as evidenced by its ability to affect levels of certain immune cells.        How do vitamin D & K work together to support health? It’s obvious from this list that vitamin D and K overlap in some of their biological roles. And it turns out that when it comes to maintaining bone health, they actually work together as a team. Simply put, vitamin D increases the absorption of calcium from the intestines into the blood, which ideally should be delivered to bones (as well as teeth). The transfer of calcium from the blood into bones first requires vitamin D dependent synthesis of specific proteins. However, these proteins are synthesized in an inactive form. This is where vitamin K comes in... + More  As previously mentioned, vitamin K activates proteins involved in bone assembly, turning these inactive proteins into active ones which can then shuttle calcium into bone. In the absence of vitamin K, calcium won’t be deposited where it should be – in the bones and teeth. When calcium isn’t deposited into the bones and teeth, it is also a problem for the cardiovascular system. If calcium builds up in the blood, which is what happens when vitamin D is present without sufficient vitamin K, this calcium gets deposited in the arteries – which can cause atherosclerosis and cardiovascular disease. So, vitamins D and K must be taken together to ensure that calcium gets deposited into bones, and not arteries, and to support optimal bone and cardiovascular health.   How much vitamin D & K do I need? Vitamin D The issue of optimal vitamin D intake is highly controversial. The Institute of Medicine (which sets the dietary intake recommendations for all nutrients as recognized by the US government) recommends 400 international units (IU) for children up to age 12 months, 600 IU for people ages 1 to 70 years, and 800 IU for people over 70 years. However, this recommendation only considers amounts needed to prevent serious bone disease, not to support optimal health. According to a scientific article published by authors including Harvard University’s Chair of Nutrition, the Institute of Medicine’s recommended intake of vitamin D “may be insufficient for important disease outcomes” and recommends a higher daily intake of up to 4,000IU per day, which has also been recommended as the “prophylactic” daily dose for most adults. Notably, total body sun exposure provides the equivalent of 10,000IU per day. The conflict over optimal vitamin D intake is based on disagreement over what target levels of blood vitamin D should be. While the Institute of Medicine states that 20ng/mL of 25-hydroxyvitamin D is sufficient, this is solely based on evidence related to bone health, which ignores the multitude of other biological roles for vitamin D. In contrast, the Endocrine Society recommends having blood levels over 30ng/mL, the American Association of Clinical Endocrinologists recommends 30-50ng/mL, and the D* Action Project suggests 40-60ng/mL.  With so much controversy, how should the average person approach vitamin D supplementation? Our advice is to work with a health care provider who can monitor your blood vitamin D levels and tailor recommendations accordingly. Many people have genetic polymorphisms or medical disorders that affect their vitamin D levels, so it’s difficult to make blanket recommendations that apply to everyone. People also have different lifestyles, including time spent outdoors, and live at latitudes with varying sun exposure. Body weight is also an important factor for vitamin D recommendations, as is skin color. Working with a health care provider who can consider your unique variables and do appropriate lab work is the best way to ensure you meet your personal needs. Vitamin D needs will also vary depending on your level of seasonal sun exposure. In general, vitamin D needs go up in the winter months, especially for people who live at northern latitudes.  Vitamin K The recommended intake for vitamin K is 120mcg for males and 90mcg for females aged 19 and over. Since disturbance of the gut microbiome (called dysbiosis) decreases intestinal vitamin K2 synthesis, people with gut issues may have increased dietary requirements for vitamin K.              Am I at risk of vitamin D or K deficiency? There are several groups that are at an increased risk of vitamin D deficiency, including: Groups at an increased risk of vitamin K deficiency include: People taking blood thinners, which antagonize vitamin K People taking antibiotics, which destroy vitamin K producing gut bacteria (cephalosporin antibiotics may be especially problematic) People with malabsorption disorders including celiac disease, ulcerative colitis and Cystic Fibrosis, who have difficulty absorbing vitamin K People who have undergone bariatric (weight loss) surgery      Can I take too much vitamin D & k? Vitamin D The main concern about excessive vitamin D intake is that it may increase calcium to dangerous levels. However, research suggests that hypercalcemia is unlikely to occur in healthy adults when blood vitamin D is below 700ng/mL, which far exceeds the recommended targets of 20 to 60ng/mL previously described. A 2007 scientific analysis of vitamin D intake and toxicity found no evidence of toxicity at an intake of 10,000IU per day and suggested that the currently recommended upper limit of 4000IU per day be revised. Subsequently, the Institute of Medicine revised their “No Observed Adverse Effect Level” to 10,000IU per day. Vitamin K There is no recognized upper limit to the amount of vitamin K1 or K2 that can be consumed. The Office of Dietary Supplements states that “no adverse effects associated with vitamin K consumption from food or supplements have been reported in humans or animals”. A synthetic form of vitamin K, called menadione, has caused toxicity in infants, but in the US this form is generally only used at present in animal food.         What is the prevalence of vitamin D & K deficiencies? + Vitamin D The prevalence of vitamin D deficiency depends on what level of intake is targeted. The most conservative recommendation is the “official” recommendation from the Institute of Medicine, which as mentioned recommends 400IU for children up to age 12 months, 600 IU for people ages 1 to 70 years, and 800 IU for people over 70 years. Even at this low level of recommended intake, the most recent national analysis of vitamin D intake in the US found that daily intake of vitamin D from food was only 204 IU in men and 168 IU in women. This is only about a third of the Institute of Medicine recommended intake, and about 5% of the 4000IU per day recommended by other experts. At the population level, approximately 92% of men, 97% of women, and 94% of people ages 1 year and older consumed less dietary vitamin D than is estimated to meet the needs of at least half the US population. Many people do take vitamin D supplements, which increases the overall observed combined daily intake from food and supplements to 692 IU in men and 1204 IU in women, with more women taking supplements than men. Supplements are clearly helpful at increasing daily vitamin D intake, but at the current level of supplementation most people still fall well short of the higher intakes recommend by some experts. + Vitamin K The average daily intake of vitamin K according to the most recent national dietary analysis shows that men consume 118mcg and women consume 121mcg. This increases to 125mcg and 129mcg for men and women, respectively, when vitamin K supplements are also considered. These results show that most people are meeting their recommended daily intake of vitamin K intake. However, low levels of vitamin K intake have been observed in older adults, where they are associated with an increased death rate.  These results show that most people are meeting their recommended daily intake of vitamin K intake. However, low levels of vitamin K intake have been observed in older adults, where they are associated with an increased death rate.  Because increasing intake of vitamin D results in the synthesis of proteins that must be activated by vitamin K to prevent deposition of calcium in the arteries, vitamin K should always be supplemented along with vitamin D, regardless of whether dietary intake is sufficient. Especially considering that there is no upper limit of intake for vitamin K, combining these two vitamins in a supplementation regimen is prudent.           What are the health risks of vitamin D deficiencies? Identification of health risks from having low vitamin D depends in part on what value of blood vitamin D (specifically, 25-hydroxyvitamin D) is determined as the level of deficiency. The “deficiency level” ranges from less than 12ng/mL to less than 30ng/mL, depending on which organization you follow. This will reflect a wide range of dietary and supplemental vitamin D intake. Because of this variation, the health risks of vitamin D deficiency will vary based on the deficiency level cutoff being used. + More  If we broadly consider vitamin D deficiency to include anything below 30ng/mL of 25-hydroxyvitamin D, some of the associated health risks are: Loss of calcium from bones and increased risk of osteoporosis Increased risk of bone fractures Reduced muscle strength and increased risk of falling Increased blood markers of inflammation  Increased risk of autoimmune disease, such as inflammatory bowel disease Increased susceptibility to infection Increased risk of dental cavities Increased risk of cancer Increased oxidative stress and related diseases such as diabetes and cardiovascular disease Increased risk of brain diseases such as dementia and depression Low circulating levels of vitamin D have also been associated with an increased risk of death from all causes, called “all-cause mortality”, as well as deaths from cardiovascular disease and can     What are the health risks of vitamin k deficiencies? Although rare, vitamin K deficiency is associated with several notable health risks, including: Increased risk of osteoporosis Increased risk of bleeding disorders Increased risk of diseases with an inflammatory component, such as diabetes Increased risk of cardiovascular disease Low circulating levels of vitamin K have also been associated with a 19% increased risk of all-cause mortality. How could taking a vitamin D & K supplement help me? Vitamin D Multiple scientific studies show benefits from taking supplements of vitamin D. These include: Reduced incidence of viral infections Reduced incidence of dental cavities Reduced incidence of cancer (when administered daily) Reduced symptoms of Polycystic Ovary Syndrome (PCOS) Increased bone mineral density (when supplemented with calcium) Reduced risk of falling (especially when combined with calcium) Reduced depressive symptoms Reduced mortality in critically ill patients Improved blood markers in patients with ulcerative colitis Reduced insulin resistance in non-diabetic pregnant women Reduced C-reactive protein, a biomarker of inflammation Reduced systolic blood pressure Reduced exercise-induced muscle cell damage Improved non-verbal memory in healthy adults Improved glycemic control in diabetics Vitamin K For vitamin K, scientific studies also show benefits of supplementation, including: Decreased risk of bone fractures Improved bone mineralization and strength Reduced risk of developing diabetes Improved glycemic control Reduced C-reactive protein, a biomarker of inflammation Reduced wound healing time (when applied topically) Reduced symptoms of peripheral neuropathy (in patients with vitamin B12 deficiency or Type II Diabetes) Improved markers of cardiovascular disease Importantly, supplementation with vitamin K2 and vitamin D in combination has shown positive effects on bone mineral density when compared to a control group eating a regular diet.        Should I take a calcium supplement when taking vitamin D & K? One of the main effects of vitamin D is to increase calcium absorption from the intestine, which – along with vitamin K – will allow calcium to be deposited into bone. But for this to occur, dietary or supplementary calcium must be ingested as well, or else there won’t be any calcium present to absorb! + More  Some research has shown that bone mineral density improves when taking vitamin D supplements, provided it is taken along with calcium. Research has also shown that supplementation with vitamin D and calcium reduces the risk of total fractures by 15%, and the risk of hip fractures by 30%. However, not all studies have shown these benefits, leading some researchers to conclude that taking calcium (with vitamin D) for the prevention of osteoporosis and fractures is unwarranted. Some research has also suggested that taking supplemental calcium can have adverse effects on the cardiovascular system. This has led to a debate over whether taking calcium supplements to prevent osteoporosis has more benefits than risks. There’s no doubt, however, that calcium is an essential mineral. Ideally, it should be obtained from foods, such as dairy foods, almonds, and sardines. A little-known fact is that natural water also often contains calcium, which is removed with many modern filtration systems. Drinking calcium-rich mineral water in place of filtered water can be source of dietary calcium intake. Interestingly, the daily target range of calcium intake from diet and/or supplements varies widely among health organizations, from a minimum of 400mg to up to 1300mg per day, depending on age and gender. These recommendations have also changed across time, which shows a lack of clarity regarding optimal intake. If you consume very little calcium in your diet, then taking a supplement may be warranted. Many supplements on the market are quite high in calcium, with 500-1000mg per serving. These should be avoided. It’s better to take a supplement that more closely mimics dietary intake, at 250mg or less. If your calcium intake is extremely low, a low dose supplement could be taken 2 to 3 times per day.   Are there nutrients other than calcium and vitamin K that interact with vitamin D? Yes! Magnesium is another nutrient that is interacts with vitamin D. Many enzymes that synthesize and metabolize vitamin D are dependent on magnesium for proper functioning, so optimal magnesium status is important for vitamin D. Most people do not consume sufficient dietary magnesium, and due to depletion of magnesium from our soil and foods, supplementation may be necessary to meet our daily needs.  Vitamin A is another nutrient that interacts with vitamin D. Some vitamin D binds to vitamin A, forming a unit called a “heterodimer”. This A/D heterodimer can regulate the expression of many different genes, including several involved in bone health. Vitamin A is found in foods like liver, fish, eggs, and dairy, while pre-vitamin A (also known as carotenoids) are found in plant foods like leafy greens, peppers, and carrots.  Ensuring adequate intake of vitamin A is important when supplementing with vitamin D. Vitamin A can be consumed through foods and supplements, and it is also added to some foods (like breakfast cereals) via fortification. Survey data has shown that 22% of the US population suffers from vitamin A deficiency, while 33% consume an excess. Since there are serious risks (like birth defects) associated with taking too much vitamin A, widespread supplementation is not recommended, although it is certainly warranted in some cases. shop fringe vitamin D & K   What should I look for in a vitamin D & K supplement? (1) Read the ingredients – Most dietary supplement will contain both active and inactive or “other” ingredients. You need to pay attention to both. The active ingredients are the ones that you are looking for, and a vitamin D and K supplement will contain at least one form of each as an active ingredient. Choose the form that best meets your needs (see #3 in this list for more details!). Although this information may be hard to find, it’s helpful to know where these active ingredients are sourced from. Naturally sourced ingredients are always better than artificial ones. + More  The inactive ingredients are usually there to: (1) provide bulk (filler), (2) hold the product together (binding agents, coatings), (3) add flavor or sweetness, or (4) keep the product from clumping together (flow enhancers). Sometimes this list is long, and it’s often where some undesirable ingredients sneak in, such as potassium sorbate, artificial colors, or titanium dioxide. It’s best to keep this list short and naturally sourced. (2) Verify product purity – Only choose high quality products that verify their purity via an unbiased chemical analysis performed by a third-party lab. These analyses should be reported in a Certificate of Analysis (COA) that is readily available to consumers, often through a QR code link. COA’s should be available for each batch of products, and will measure contaminants such as heavy metals, microbes, and pesticides. (3) Consider the form(s) of vitamin D & K in the supplement – There are two forms of vitamin D that are found in dietary supplements, vitamin D2 (ergocalciferol) and vitamin D3 (cholecalciferol). Vitamin D3 is sourced mainly from animals, although lichen is a vegan source of D3. Vitamin D3 is the form made in humans following exposure to UVB light. In contrast, vitamin D2 is sourced from plants. Vitamin D3 is largely recognized as being more “bioavailable”, meaning more of the vitamin that is ingested gets delivered to body tissues. Studies that directly compare the bioavailability of D3 to D2 show that vitamin D3 raises blood levels of 25-hydroxyvitamin D more than vitamin D2, so it is preferable to choose a supplement containing vitamin D3. If you are vegan, choose a supplement that contains D3 sourced from lichen. As previously described, there are also two forms of vitamin K, vitamin K1 (phylloquinone) and vitamin K2 (menaquinones). Vitamin K1 comes mainly from plants, while vitamin K2 is made by bacteria and is found in animal-based and fermented food. Vitamin K2 is further subdivided into MK-4 through MK-13. Each of these subgroups of vitamin K2 has a slightly different molecular structure. Dietary supplements usually include MK-4 or MK-7. MK-4 occurs naturally in foods including liver, butter, and cheese, while MK-7 is made through fermentation, with the best source being Japanese fermented soybeans (called Nattō). Studies have shown that vitamin MK-7 is more bioavailable than vitamin MK-4, so it is preferable to choose a supplement containing vitamin MK-7. (4) Choose the supplement form you prefer – Supplements come in three main forms: capsules/tablets, powders, or liquids. Which one you choose is really a personal preference. Powders and liquid can be added to liquids, like smoothies, and are a great option if you don’t like swallowing pills.        How is Fringe Essentials Vitamin D & K different from other supplements? Fringe Essentials Vitamin D & K has three highly unique attributes that make it superior to other products on the market: + Water Solubility Water Solubility – We’ve already covered that both vitamin D and K are fat-soluble vitamins. The absorption of fat-soluble vitamins is complex, which results in a lower bioavailability than water-soluble vitamins (recall that bioavailability refers to how much of the ingested nutrient is delivered to body tissues). The bioavailability of fat-soluble vitamins can be increased significantly through a safe and simple conversion process that makes them water-soluble and able to readily be absorbed through the walls of the small intestine. Research has demonstrated that water-soluble vitamin D is about twice as bioavailable as fat-soluble vitamin D. Another advantage to making vitamin D and K water-soluble is that it will eliminate the competition that occurs for the absorption of fat-soluble vitamins. And when you supplement with water-soluble vitamin D and K, you don’t need to consume them with food (especially food that contains some fat) to optimize absorption, like you do with fat-soluble vitamins.As a water-soluble powder, Fringe Essentials Vitamin D & K can be added to any liquid where it will dissolve easily without residue.    + Vegan D3 Vegan D3 – Research has clearly demonstrated that vitamin D3 is superior to vitamin D2 at raising blood levels of 25-hydroxyvitamin D. The vast majority of vitamin D3 supplements source the vitamin from sheep’s wool, which produces a waxy substance called lanolin. Lanolin is extracted from sheep’s wool and put through a process which creates and extracts vitamin D3 using UVB light and chemical solvents. Because it is animal based, lanolin-derived vitamin D3 is not suitable for vegans. Fringe Essentials Vitamin D & K uses the only vegan source of vitamin D3, which is lichen. Lichens are living organisms that consist of fungus combined with algae or cyanobacteria. Lichen also make vitamin D3 following exposure to UVB. Lichen-derived vitamin D3 is identical to that produced from sheep’s wool, but is non-animal based, making it suitable for everyone.    + Vitamin MK-7  Vitamin MK-7 – Fringe Essentials Vitamin D & K contains vitamin MK-7, the most bioavailable form of vitamin K. It is derived from the fermentation of Nattō, which is plant-based and suitable for vegan diets. The other ingredients in Fringe Essentials Vitamin D & K water-soluble powder are all natural and non-GMO. They include inulin and myo-inositol (also sometimes called vitamin B8) to help with dosing, medium chain triglyceride (MCT) oil to help with emulsification, and licorice extract for increased bioavailability.                Dosing & Safety Fringe Essentials Vitamin D & K contains 2500IU of vitamin D3 and 130mcg of vitamin K2 (as MK-7). Because our vitamins are water soluble, they are more readily absorbed than most vitamin D and K supplements on the market, which means you don’t need to take as much to have the same effect.   + Learn more  For adults, we recommend using 1 scoop of Fringe Essentials Vitamin D & K per day as a maintenance dose when sun exposure is limited. A maintenance dose is meant to maintain blood levels of 25-hydroxyvitamin D within the range of 40-60ng/mL. However, if your blood vitamin D is very low, it may be necessary to take more until you reach this target range. The only way to know for certain how your body is responding to supplementation is to have your blood tested. This inexpensive test can be ordered by your health care provider, and home testing kits are also available. Lesser amounts can be taken when direct sun exposure is higher because skin synthesis of vitamin D will be much higher. Kids can also take Fringe Essentials Vitamin D & K. Based on age, the recommended doses are: for children aged 1-3 years old, ¼ scoop per day; ages 4-8, ½ scoop per day; ages 9-13, ¾ scoop per day; ages 14+, 1 full scoop per day. As with adults, the only way to know for certain how a child is responding to supplementation is to have their blood tested. For children under 1 year of age, please consult a health care provider before using. Vitamin D and K are safe to take when pregnant and breastfeeding. Of course, consult your doctor before beginning a supplement regimen. Fringe Essentials Vitamin D & K is incredibly safe. We use high quality ingredients and test every batch of our final product to ensure safe levels of toxic ingredients, including heavy metals, molds, and pesticides. We also leave out all the stuff you don’t want like artificial sweeteners, additives, gums, and ‘natural flavors’.     Is there anyone who should not take a vitamin D & K supplement? One group that needs to be cautious about vitamin K supplementation is people taking anticoagulant, or blood thinning, medications. Taking high levels of vitamin K when on anticoagulants can decrease the effectiveness of the drug, which could increase the risk of blood clot formation. This is because of vitamin K’s important role in the blood clotting cascade. To recap Vitamin D deficiency is rampant in modern society. Sunshine provides us with a free and natural source of this essential vitamin, but on average, we spend 90% of our time indoors, leaving this vital resource untapped. Since it’s difficult to consume enough vitamin D from the diet, adding a high-quality supplement to your daily health regimen is an easy fix. Fringe Essentials Vitamin D & K combines vitamin D with vitamin K, a duo that is needed for optimal bone and cardiovascular health. In contrast to most supplements on the market, ours is water-soluble, which means more of it gets to where it’s needed. It’s also naturally sourced, non-GMO, and vegan – containing only what you need, without unnecessary additives and fillers. Simply mix 1 scoop of Fringe Essentials Vitamin D & K into your water, smoothie, coffee, tea, or favorite beverage daily. You can also take a bit more or less, depending on the season and your unique needs!      The contents in this blog; such as text, content, graphics are intended for educational purposes only. The Content is not intended to substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider.

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March 15, 2024

Top 10 Evidence-Based Uses for Red Light Therapy

Red Light Therapy, also known as photobiomodulation (PBM), may be used to support the health of cells and tissues throughout the body.  Defined as the use of red and/or near infrared (NIR) light to influence biology, most modern PBM devices emit both types of light, which have similar effects but penetrate the body to different depths. Red light is visible to the human eye, while infrared light is not, although it can be felt as heat. While early research on PBM used primarily lasers, more recent research has found that LED’s can also be used, which also have the advantage of applying light to a larger area of the body as well as an improved safety profile. The use of LED in red/NIR devices has also greatly reduced the cost of treatment, making it something that can be done in the comfort of one’s own home. There are many mechanisms by which PBM affects the body, with the most well-known being increasing the synthesis of ATP (the energy currency of the cell) through effects on the electron transport chain in the mitochondria. The link between PBM and improved mitochondrial function has been well established. This increased supply of energy can be used to do all kinds of cellular work, including healing, growth, maintenance, and repair. There are thousands of published studies showing the efficacy of PBM for a wide range of health applications, ranging from general support for healthy cells to improving brain function in Alzheimer’s Disease patients.  Here, we will review the top 10 evidence-based uses for PBM, as supported by scientific research: Reduce inflammation: Red and NIR light have anti-inflammatory effects, and unlike anti-inflammatory medications (such as NSAID’s), do not cause side effects. Studies have found that PBM affects levels of many molecules involved in inflammation, including reactive oxygen species, reactive nitrogen species, and prostaglandins. The ability of PBM to reduce inflammation suggests that it could have therapeutic potential in many chronic diseases that involve inflammation, including arthritis, Alzheimer’s Disease, and depression. Improve skin health: Red/NIR lights are being widely used in spas and dermatology clinics for their effects on skin health, in addition to at-home use. As already mentioned, PBM can improve the appearance and healing of scars, and it is also helpful in the treatment of wrinkles,  psoriasis, acne, rosacea, burns, and herpes. As well, PBM has been found to increase hair growth through stimulation of the hair follicle found in the dermis of the skin. Improvements in skin health are associated with increased collagen production in the dermis of the skin.  Decrease pain: Pain creates a huge burden of disability, both personal and economic. There is evidence that PBM decreases many types of pain, including knee, neck, low-back, temporomandibular joint, and post-surgical pain. PBM can also reduce pain associated with arthritis and fibromyalgia. There are several mechanisms of pain reduction by PBM, including decreasing inflammation, decreasing oxidative stress, reducing the sensitivity of neurons, and decreasing the transmission of pain related nerve impulses.  Improve athletic performance: PBM has been found to improve athletic performance in several ways, including decreasing muscle damage associated with exercise, decreasing muscle fatigue, improving muscle capacity, and speeding post-exercise recovery. PBM increases ATP production, which is needed for exercising muscles. PBM also helps muscles through increasing the synthesis of antioxidants, reducing inflammation, and decreasing synthesis of lactic acid (although not all studies have found this effect). Animal research has also shown that PBM can reduce muscle loss associated with trauma.    Reduce depression and anxiety: Depression and anxiety are highly prevalent mental disorders, and currently available pharmaceutical medications have limited efficacy and associated side effects. PBM has been shown to reduce depressive symptoms in both humans and animals, likely due to improvements in mitochondrial function, increased brain blood flow, and decreased neuroinflammation. A 2009 clinical trial found a reduction in symptoms of depression and anxiety in as little as a single session of PBM. The effects of PBM on mental health are so compelling that a recent systematic review of PBM concluded that it is “strongly recommended” as a treatment for moderate depressive disorder and is “recommended” for the treatment of anxiety disorder. Studies of PBM and depression often apply PBM directly to the skull, while some use an intranasal approach.  Improve cognitive function: PBM has been shown to improve cognitive function in both healthy and diseased patients. Clinical trials in healthy subjects have shown that PBM can improve outcomes including executive function, which consists of cognitive skills used for planning and performing tasks, as well as memory. People with traumatic brain injury (TBI) and stroke have also been shown to benefit from PBM, due to upregulation of brain repair mechanisms including the synthesis of new neurons. A recent systematic review similarly showed that PBM can help people with Alzheimer’s Disease by decreasing oxidative stress in the brain, reducing brain inflammation, and improving cognition. Speed healing from injury: It has already been mentioned that PBM has positive effects on muscle tissue, including speeding recovery from post-exercise damage, as well as on wound healing, such as from burn injuries. PBM can also speed healing from injuries to bone, including fractures and more complex bone injuries that require the use ceramic materials. Tendon injuries also benefit from PBM, with research showing that PBM increases the amount of collagen, which provides structural support during healing.  Promote fat loss: A somewhat surprising effect of PBM is to promote fat loss. This is particularly true when combined with exercise. A study of obese women found that PBM combined with exercise resulted in a higher percentage of fat loss than when exercise was combined with a placebo light. Another study found similar results, along with changes in levels of a marker associated with increasing brown adipose tissue, which improves metabolism. When combined with treadmill training, PBM decreases the appearance of cellulite and increases metabolism in the thighs. In addition to effects on metabolism, PBM may also cause fat cells to release their contents into the blood, where they can be metabolized or excreted. Improve immune function: Although an in-depth investigation of how PBM affects the immune system specifically has yet to be done, there is strong evidence that PBM improves immune function, as evidenced by its beneficial effects in many immune-related disorders. For example, in Hashimoto’s thyroiditis (an autoimmune disease affecting the thyroid gland), PBM improved levels of thyroid hormones and decreased the need for medication, probably due to a reduction in inflammation. Similarly, in multiple sclerosis (an autoimmune disease affecting the nervous system), PBM increased the regeneration of nerve cells and decreased markers of inflammation. PBM also improves immune function and inflammation in the oral autoimmune disease oral lichen planus. It has even been shown to improve outcomes of COVID-19 infections, likely by reducing inflammation and improving immune function. The process of inflammation is controlled by the immune system, and many disorders (such as autoimmune diseases), involve an impaired immune response.  Improve sleep: Light is a primary regulator of the body’s circadian rhythm, so it is not surprising that PBM has effects on sleep. Application of PBM during wakefulness improves sleep quality in people with cognitive decline, Guillain-Barré Syndrome, fibromyalgia and stroke. Interestingly, sleep duration decreased with full body PBM in elite athletes, while other parameters such as exercise recovery improved. When PBM is applied during sleep, there is an increased clearance of waste products from the brain and improved flow of cerebrospinal fluid, which are required for optimal brain health. So, PBM is beneficial when applied when either awake or sleeping, and the benefits relate more to improving sleep quality and physiology, rather than to increasing sleep duration.  This list of uses for PBM is not exhaustive. Research exploring the use of PBM is expanding into many areas of health, with exciting results being seen in areas including hypertension, polycystic ovarian syndrome, eye health, and fertility, to name but a few. Truly, the range of applications of PBM for improving health is incredibly vast and can be explained by the cellular and molecular changes induced by light exposure.  If you’re interested in buying a home PBM device, you have many options. When choosing a device, first look for a one that emits both red and NIR light. Second, look at the power of the device. While many high powered PBM units are available (usually at a higher price point), research shows that when it comes to light, more is not necessarily better. This is because PBM treatment to many tissues has a “biphasic” effect, where lower levels are beneficial while higher levels are not. But you don’t want to go too low, or you won’t get the treatment effect. Many of the cheaper devices on the market are underpowered and provide very little irradiation. At Fringe, our PBM devices were designed to mimic exposure to the sun, with consideration of the range of light exposure used in scientific research. Lastly, consider the type of device that is most appropriate for your condition. PBM devices come in panels and wearable forms such as wraps, with wearables providing more flexibility in terms of application and panels being better for general irradiation of larger surfaces.  For more information about Fringe light products, go to: https://fringeheals.com/shop-all-products/

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February 7, 2024

Light Therapy for the Lymphatic System

What is the lymphatic system? Of all the systems of the body, the lymphatic system is probably the most underappreciated and misunderstood. Many people have never even heard of it, and of those who have, most don’t really know what it does. Even medical doctors report that their understanding of the lymphatic system is “suboptimal”, and that the teaching of this system and its associated diseases in medical school was insufficient. Anatomically, the lymphatic system can be thought of as a network of vessels and organs that carry a clear fluid called lymph. The system largely travels alongside the system of blood vessels in the body. The lymphatic system includes hundreds of lymph nodes, which can sometimes be felt superficially in regions like the neck, armpit and groin. The tonsils are considered lymph nodes, but due to their size are sometimes referred to as lymphoid organs. Other lymphoid organs include the bone marrow, spleen and thymus. Lymphoid organs produce cells called lymphocytes, which are immune cells. The lymphocytes are carried in the lymphatic fluid throughout the body.  The lymphatic fluid (or lymph) is mostly produced by liver and intestines. In addition to lymphocytes, lymph also carries fat, proteins, and pathogens. It can also carry cancer cells, making the lymphatic system a potential route for cancer metastasis. This is why it is standard practice to biopsy lymph nodes near a tumor to determine if the cancer has spread. Lymph flows in one direction, upwards towards the neck, which requires the vessels to have one-way valves that prevent backflow and a pumping system that involves both extrinsic and intrinsic forces. Extrinsic forces include skeletal muscle contractions, while intrinsic forces involve contractions of lymphatic muscle cells. When pumping is impaired, lymph fluid will accumulate (usually in the extremities) and cause swelling, also referred to as edema.   The lymph composition reflects the functions of the lymphatic system. These include: (1) carrying out many activities of the immune system (such defending against invading pathogens), (2) transporting and absorbing fats and fat-soluble vitamins, (3) maintaining fluid balance, and (4) removing cellular waste, which is recycled by the liver. These functions are essential to maintaining health, and impairment of lymphatic system function can cause a wide range of problems including (but not limited to) lymphedema (tissue swelling), autoimmune diseases, and cancer. The lymphatic system can ultimately be viewed as inseparable from the immune system, although it also has additional roles that make it distinct. It can also be thought of as a “subsystem” of the circulatory system, because it absorbs plasma that escapes from the blood and that contains important nutrients which are returned to the bloodstream through lymphatic vessels. Lymphatic vessels dump directly into the circulatory system through the venous system. This happens in the neck, where the lymph dumps into vessels such as the subclavian vein. Between 8 and 12 litres of fluid per day is returned to the blood through the lymphatic system.  Although it was previously thought that the lymphatic system was not found in the brain, a network of brain lymphatic vessels was recently identified. These vessels are found in the meninges, which make up the outer three layers of the brain and spinal cord. Meningeal lymphatics drain cerebrospinal fluid (which surrounds the brain) into lymph nodes in the neck and help to clear waste out of the brain. It is also a “pipeline” for immune cells. The lymphatic system in the brain has been termed the “glymphatic system” and is especially active during sleep. This system has been linked to brain diseases such as dementia, including Alzheimer’s.  There are many ways to support lymphatic system health, such as with exercise and massage, which support the flow of lymph. Lymphatic system health is also supported by minimizing the intake of toxins through food, water, and the environment. Another supportive tool is red light therapy, which has recently been identified as an effective way to optimize the health of the lymphatic system and can be done at home using devices including panels and wraps. What is red light therapy? The term “red light therapy” usually describes the use of both red and near infrared light, although only the red light produced by the device is visible to the naked eye. Infrared light can still be perceived by the body as heat when it contacts skin. Red and near infrared light therapy is the application of artificially generated light in the red and near infrared spectral bands.  Red and near infrared light are naturally produced by the sun, which gives off solar radiation. The term radiation describes energy that is transmitted in the form of waves or particles. The spectrum of light in our environment consists of both light we can see (visible light) and light that our eyes can’t perceive (invisible light). This is called the electromagnetic spectrum. The visible light spectrum is quite narrow, consisting of wavelengths that range from 400 to 700nm and span from violet to red in color. Red light is part of this visible light spectrum, while near infrared light is not. While early research on light therapy used primarily lasers, more recent research has found that LED’s can also be used, which also have the advantage of applying light to a larger area of the body as well as an improved safety profile. The use of LED in red/near infrared light therapy devices has also greatly reduced the cost of treatment, making it something that can be done in the comfort of one’s own home.  What is the evidence that that red light therapy affects the lymphatic system? Before we dive into looking at some of the general mechanisms by which red light therapy affects the lymphatic system, let’s look at some of the research evidence that specifically demonstrates the utility of red light in treating disease via lymphatic system modulation. While this is a very new area of research, many compelling studies have shown red light therapy to be helpful in improving the function of this important system. Glymphatic System – The glymphatic system of the brain is a key player in diseases of the brain, including dementia, Alzheimer’s, and Parkinson’s disease. The ability to clear waste from the brain is described as the glymphatic system’s “most central” function – which means that waste buildup will result when the system is impaired. Glymphatic system function declines with age and because of disease and trauma, such as stroke and traumatic brain injury. It is critical to brain health to support glymphatic function.  Red light therapy was recently described as “a non-invasive neuroprotective strategy for maintaining and optimizing effective brain waste clearance” via the glymphatic system. As evidence, near infrared light has been shown to activate the glymphatic system in the brains of diabetic mice. Similarly, in animal models of Alzheimer’s Disease, application of both red and near infrared light increases glymphatic system activity and results in clearance of amyloid, which is a toxic protein. Red light therapy has been shown to be improve symptoms of Alzheimer’s disease and other forms of dementia in humans, and although these studies have not specifically looked at glymphatic function, it is likely that it is affected.  Red light therapy has also been shown to improve glymphatic system function in brain injuries. In rats with experimentally induced intraventricular hemorrhage (which mimics stroke), application of near infrared light increases lymphatic drainage and speeds the rate of recovery. And in ex-football players suffering from chronic traumatic encephalitis, application of near infrared light caused lymphatic vessels in the brain to dilate, which would be expected to increase flow and clearance of waste from the brain. Since this system is particularly active during sleep, using red light therapy during sleep or in the evenings might be most helpful.  Lyphedema – Lymphedema is swelling that occurs because of lymph buildup. This usually happens in the legs or arms, but it can occur in other areas as well. Primary lymphedema is a result of a problem present from birth, while secondary lymphedema is acquired, usually from an infection, cancer, or as a consequence of cancer treatment. The underlying cause of lymphedema is disruption of the lymphatic system, which prevents the proper flow and drainage of lymph. Lymphedema is usually chronic and progressive, and symptoms can greatly affect quality of life. Most research on red light therapy and lymphedema has focused on breast cancer patients. Breast cancer treatment often involves removal of lymph nodes from around the breast, and/or radiation, which can disrupt the flow of lymph out of the arm. In a review of nine studies using red light therapy to treat breast cancer related lymphedema, overall, both a reduction in size of the affected arm and pain was achieved. Eight studies used near infrared light while one used red light, and all but one study specified directing the light therapy to the armpit region. Three studies also targeted other areas on the arm. The observed reduction in arm size was expected to be clinically meaningful. Red light therapy may also reduce lymphedema of the head and neck. Lymphedema in this area is usually caused by radiation in patients with head and neck cancers. Lymphedema here can be very problematic, causing problems with eating and swallowing. Red light therapy may help to reduce edema in the area, as well as to improve the condition of the skin.  Inflammation – Inflammation is a hallmark of many diseases currently ravaging modern society, such as arthritis, ulcerative colitis, inflammatory bowel disease, heart disease, diabetes, cancer, Alzheimer’s Disease, and depression. Inflammation is also associated with acute diseases involving the heart, pancreas, liver, and other organs, as well as trauma and infection. Treatment of inflammation associated diseases makes up the majority of health care spending in the US, costing billions of dollars annually. The lymphatic system plays a key role in regulating inflammation, and increased activity of the lymphatic system has been associated with reduced inflammation since it helps to remove excess fluid. Red light therapy’s ability to decrease inflammation has been well-established. As described by Dr. Michael Hamblin, former Associate Professor at Harvard Medical School, “one of the most reproducible effects of is an overall reduction of inflammation”. Studies have found that light therapy affects levels of many molecules involved in inflammation, including reactive oxygen species, reactive nitrogen species, and prostaglandins. Light therapy has even been found to reduce inflammation in the brain, known as neuroinflammation.  Although the role of the lymphatic system in inflammation is well established, most studies using red light therapy to decrease inflammation have not specifically assessed its effect on the lymphatic system. However, when this relationship was investigated, it was found that application of near infrared light to lymph nodes caused a decrease in inflammation and related swelling.  How does red light therapy affect the lymphatic system? Clearly, red light therapy has many positive effects on the lymphatic system of the body and the glymphatic system of the brain. Research on precisely how red and near infrared light mediate these benefits is not extensive, but there are several general mechanisms that have been identified. Relaxing Lymphatic Vessels – Red light therapy can induce the relaxation of lymphatic vessels. This happens through a process called vasodilation.  When lymphatic vessels are more relaxed, the flow of lymph is increased. This has been observed experimentally to occur in the glymphatic system of the brain. In the brain, increased vasodilation may allow larger molecules (such as the amyloid protein) to pass into the lymph, improving the clearance of waste. Vasodilation may be due to increased production of nitric oxide, which could act on smooth muscle cells that are the “motor unit” of lymphatic drainage.  New Lymphatic Vessel Synthesis - Lymphangiogenesis is the process of formation of new lymphatic vessels. In a mouse model of lymphedema, application of red light therapy induced lymphangiogenesis, suggesting that in conditions where lymph flow is impaired due to lymphatic system damage, red light therapy may restore function by supporting the production of new lymphatic vessels.  Activating Mitochondria – Mitochondria are found in cells throughout the lymphatic system. Mitochondria are right in molecules called chromophores, which absorb light. Specifically, red and near infrared light stimulate cytochrome c oxidase, a mitochondrial enzyme that produces ATP, the energy currency of the cell. This increases ATP synthesis which provides more energy to cells throughout the lymphatic system. Rd light therapy has been shown to modulate oxidative stress and reactive oxygen species production, which might improve the function of lymphatic system cells.  Stimulating Lymphoid Organs – Lymphoid organs are affected by aging, which leads to impaired functioning of the immune system and increases susceptibility to illness. This primarily affects the thymus gland, which is found in the upper chest behind the sternum. Application of red light therapy to the thymus through the chest wall may support thymus health and decrease age associated changes and could perhaps support thymus function throughout the lifespan. Application of red light therapy to other areas, such as lymph nodes, may also support lymphatic system function through tissue stimulation. How do I choose a red light device to affect the lymphatic system? For at home use of red light therapy, the majority of products (especially the affordable ones) will use LED lights, rather than laser. While early light therapy research was done using lasers, LED lights have become much more popular over the last decade. In 2018, Dr. Michael Hamblin – the world’s leading light therapy expert – concluded that LED lights using comparable parameters to lasers performed “equally well”, which is very important because LED powered light therapy devices can be made at a fraction of the cost of laser devices. Laser powered devices are still a favorite in medical offices, which makes sense given their high cost and higher risk of adverse effects such as skin irritation. Red light products on the market vary quite a bit in terms of their intensity (or power) and the specific wavelengths of light that they deliver. Studies vary in both parameters, and it appears that a range of wavelengths and intensity are beneficial. For maximum versatility, it is recommended to choose a multiwavelength device that provides both red and near infrared light, since each has some unique cellular effects. In terms of intensity, it may be ideal to mimic the intensity of the sun, which is around 24 mW/cm2 at the skin. This is described as the “sweet spot” between higher intensities, which can have harmful effects, and lower intensities, which will have no effect at all. When using red light therapy to support the lymphatic system, choose a sun-mimicking product and don’t overdo it when it comes to treatment frequency and duration. Red light therapy devices come in several forms, many of which can be used to support the lymphatic system. Red light LED panels can be used to treat most body parts, including the face, chest and back. Panels provide broad coverage but do require you to stay stationary and seated during the treatment. Panels are a good choice for directing light at the lymphatics in the neck and upper chest, around the thymus gland. If you would prefer to lie down while doing a treatment, you would do better with a portable LED wrap rather than an LED panel. Portable devices are also the best choice if you would like to have the option of moving around during your treatment. Portable red light wraps can comfortably be used on most body parts except the head and neck. Red light wraps that are specifically designed for the head are the best option for targeting the glymphatic system in the brain, although this system can also be supported with an LED panel. Every person’s needs are unique, but there are many different device options to choose from.   Conclusion Red light therapy can be used at home to support the health of the lymphatic system. Research has demonstrated that it is a safe and effective treatment for a range of disorders, such as dementia, lymphedema, and inflammation. By improving the structure and function of lymphatic vessels, red light therapy increases the flow of lymph. This may be especially important in the brain, where waste buildup can cause serious illness such as Alzheimer’s disease. Choosing the right product is easy: Select a red light panel or wrap that delivers red and near infrared light, mimics the intensity of the sun, and fits into your lifestyle.  For more information about Fringe light products, go to: https://fringeheals.com/shop-all-products/

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February 7, 2024

Red Light Therapy for Gut Health

The Human Gut The human gut, also known as the gastrointestinal tract (GI tract), consists of the esophagus, stomach, small intestine, and large intestine. In simple terms, it is a tube or passageway for food that passes from the mouth to the anus. Each part of the gut has its own job to do, which is usually described as the digestion and absorption of food, and the excretion of digestive waste products.  In recent years, however, a critical new role has emerged for the human gut, specifically the large intestine. As the last part of the GI tract, the large intestine receives food after most of the nutrients are absorbed and functions to reabsorb water and some remaining minerals. While this final step in the processing of food is essential, equally (if not more) important is the role of the large intestine as host to the gut microbiome, which is being described as a “major determinant of health.”  The Gut Microbiome The human body contains over 150 times more genes from resident microorganisms (such as bacteria, viruses, and fungi) than from its own human cells. With a total weight of just over 2kg, microbial cells outnumber human cells by around 10 to 1. Most of these organisms went unrecognized until the last two decades. However, we now know that the body is literally teeming with invisible inhabitants, which comprise what is referred to as the human microbiome. The combined human and microbiome genome is referred to as the “holobiome”.  The term “resident” is an apt descriptor when it comes to the microbiome. These organisms live inside the body, from birth to death. They also reside on the surface of the skin. And while the germ theory of disease has conditioned us to believe that most microorganisms are pathological, in fact the human microbiome is one of the most important biological predictors of health. The opposite is also true: alteration in the microbiome is an important predictor of disease. The microbiome communicates with the body, and the body communicates with the microbiome. This crosstalk is essential for human health.  The human microbiome can be broken down into several divisions, based on location. The microbiome that lines the mouth is the oral microbiome; the microbiome that lines the skin is the cutaneous microbiome; the microbiome that lines the vagina is the vaginal microbiome; and the microbiome that lines the digestive tract is the gut microbiome. The gut microbiome is the most well researched biome. The role of the gut microbiome is complex and spans a wide range of diverse functions. Gut microbes are involved in the metabolism of carbohydrates, lipids, and proteins, and help to extract nutrients from food. In the gut, they produce useful molecules such as short chain fatty acids and vitamin K. Gut microbes also manufacture neurotransmitters such as serotonin, and through the gut brain axis, regulate many aspects of cognitive function. The microbiome is also involved in the metabolism of ingested drugs and toxins.  The gut microbiome starts its development in utero and continues throughout the fetal period, with further colonization during delivery. Most gut microbes are acquired post partem, with breast milk as an important source in early life. A diet containing predominantly plants and whole foods is considered optimal to support the gut microbiome, with fiber being of utmost importance. Processed food, food that is high in sugar, and low fiber diets are bad for gut health. It has been recommended that dietary guidelines be revised to support a healthy gut microbiome. In addition to diet, there are several other factors that influence the health of the gut microbiome. According to the Canadian Digestive Health Association, non-dietary ways to strengthen the microbiome including: avoiding antibiotics, regularly sleeping for at least 8 hours per night, getting regular exercise, and engaging in stress reducing activities. Evidence is also accumulating that gut microbiome health can be supported by therapy with red and near infrared light.  Light Therapy Light therapy (also known as photobiomodulation) is the application of light with specific wavelengths to the body for the purposes of influencing biology. The most common form of light therapy uses red light (RL), which is visible as the color red, and/or near infrared light (NIRL), which is not visible but can be felt as heat. The RL used in light therapy usually ranges from 600 to 700 nanometres (nm), with the unit nm referring to distance the light wave travels in one cycle. The NIRL used in light therapy usually ranges from 800 to 900nm. RL and NIRL are naturally produced by the sun, which gives off solar radiation. The term radiation describes energy that is transmitted in the form of waves or particles. The spectrum of light in our environment consists of both light we can see (visible light) and light that our eyes can’t perceive (invisible light). This is called the electromagnetic spectrum. The visible light spectrum is quite narrow, consisting of wavelengths that range from 400 to 700nm and span from violet to red in color. RL is part of this visible light spectrum, while NIRL is not. Red and near infrared light therapy is the application of artificially generated light in the red and near infrared spectral bands. The term “red light therapy” usually describes the use of both RL and NIRL, although only the red light produced by the device is visible to the naked eye. IRL can still be perceived by the body as heat when it contacts skin. How Does Red Light Therapy Affect Gut Health? Red light can affect gut health both through effects on the microbes in the microbiome, as well as on the gut cells of the human host. It’s hard to tease out precisely what is happening in this complex microenvironment, but one thing is clear: light therapy administered to the gut has a positive biological effect. Research has indeed shown that light can modify the microbiome. For example, when RL or NIRL was applied to the abdomen of mice, the composition of the microbiome shifted to include more of a bacterial strain that is associated with better health. Bacteria have also been found to respond to the direct application of RL. Light therapy also impacts human cells. Light is absorbed in cells by molecules called chromophores, many of which are found inside the mitochondria. Mitochondria are the powerhouses of the cell, which make the energy currency of the cell known as ATP. Mitochondria are also involved in regulating the production of molecules called reactive oxygen species (ROS), which play a role in normal cellular function but can be harmful in high amounts. This is known as oxidative stress. Through its effects on mitochondria, light therapy can increase cellular energy production and modulate oxidative stress. Intestinal oxidative stress is associated with disease. Through effects on cellular metabolism and ROS production, as well as through reduction of other molecules such as reactive nitrogen species and prostaglandins, light therapy can decrease inflammation. Both RL and NIRL have anti-inflammatory effects, and unlike anti-inflammatory medications (such as NSAID’s), do not cause side effects. Inflammation is a hallmark of many gut disorders, such as Crohn’s Disease and Ulcerative Colitis.  By improving the health of the gut (both the microbiome and human gut cells), a wide range of positive effects are observed, including: Improving communication between microbiome and the rest of the body.  Improving digestion of food and production of energy and nutrients. Decreasing inflammation and production of reactive oxygen species. Increasing production of short chain fatty acids involved in immune function. Improving the health of the gut lining. Gut Dysbiosis When the gut microbiome is dysregulated, there is an adverse effect on its human host. This is called gut dysbiosis. Poor dietary choices, sedentary lifestyle, increased stress, and use of antibiotics (and other pharmaceuticals) can cause the gut microbiome to become unhealthy. This causes a loss of integrity of the gut lining, also known as leaky gut. In turn, the gut becomes permeable to things like microbes and food fragments, which activate the immune system and trigger an inflammatory response. Chronic inflammation ensues, and a vicious cycle is established in which the gut becomes increasingly compromised, which worsens the inflammation. Dysbiosis also impairs metabolism.  Gut dysbiosis has been associated with an enormous range of human disease, including metabolic syndrome, neurological disorders, immune system disorders, autism, psychiatric disorders, obesity, systemic inflammation/autoimmunity, type 2 diabetes, chronic pain, multiple sclerosis, inflammatory bowel disease, and eye diseases. A 2021 article in The Guardian described that “The great opportunity – but also the great difficulty – of gut microbiome science is that poor gut health is associated with such a vast range of conditions.” This means that there is enormous potential to reduce human disease by improving the health of the gut microbiome, although it is important to acknowledge that our understanding of these relationships is still limited.  Clinical Applications of Light Therapy to the Gut The use of light to improve health dates back thousands of years. Sunlight has been used in medicine since at least the time of the Ancient Greeks, to treat conditions such as tuberculosis, skin disorders, and bacterial and fungal infections. However, the practice fell out of favor during the 20th century as modern societies embraced the medical pharmaceutical model of therapeutics. Over the last decade, there has been an increasing interest in harnessing the power of light as a therapeutic, and a wide range of applications are being explored. Several studies have investigated what happens when RL and/or NIRL light is applied to the abdomen. Interestingly, the bulk of this research has been done using abdominally applied light to treat brain disorders, rather than for GI tract diseases. This is because of the important relationship between the gut microbiome and the brain, through a pathway known as the gut-brain axis (GBA), which involves bidirectional communication between the gut (including the microbiome) and the brain. The GBA plays an important role in brain, gut, and immune health. Alterations in the gut microbiome may be associated with disease through the GBA. RL and NIRL applied to the abdomen (as well as the neck, head and nose) of Parkinson’s disease (PD) patients has been shown to modulate the composition of the gut microbiome, with a shift towards more “healthy” bacteria. Light applied to the abdomen and neck for 12 weeks also decreased symptoms such as impaired mobility in PD patients, with improvements lasting for up to a year. PD is a degenerative brain disease that causes motor symptoms (such as balance and gait problems) and non-motor symptoms (such as depression, sleep disorders, and cognitive impairment). It affects around one million people in the US, and over 10 million people globally.  Application of RL and NIRL to the abdomen (as well as the head) has also been used in the treatment of Alzheimer’s Disease (AD). In a 2022 clinical trial of patients with mild to moderate AD, those receiving light therapy showed improved cognitive function relative to the control group. Alzheimer’s Disease (AD), a form of dementia, is a neurodegenerative disease that comprises 70% of dementia cases. AD affects 1 in 10 US adults over the age of 65, or 5.7 million Americans.  It has been suggested that light therapy applied to the abdomen may be useful in reducing depression. The composition of the gut microbiome has been linked to depression, with depressive patients showing higher levels of certain bacteria that are involved in the synthesis of neurotransmitters such as serotonin and GABA. These neurotransmitters are involved in the regulation of mood. Gut microbiome composition has been strongly associated with mental well-being.   Given the associations between brain diseases and the GBA, it has been suggested that targeting the microbiome holds great potential in the treatment of neurodevelopmental and neurodevelopmental diseases. In addition to AD and PD, these include diseases such as multiple sclerosis, autism spectrum disorder, attention-deficit hyperactivity disorder, migraine, post-operative cognitive dysfunction, and long COVID. According to researchers from Australia, many studies are currently underway “with the aim of restoring the microbiome and potentially altering the course of these brain conditions.”  Light therapy may also be helpful in modifying the microbiome in diseases that primarily affect other body systems. For example, in a case report of a patient with breast cancer, application of NIRL to the abdomen was associated with increased diversity of gut microbes, which is considered to be a healthy change. The authors suggest that light therapy may be a way to improve gut health in patients with chronic disease. Most patients with chronic disease use medications which may adversely affect gut health (especially the microbiome). There is also great potential to use light therapy to treat gut disorders. For example, animal research has found that application of RL to the abdomen of rats with experimentally induced colitis (a form of inflammatory bowel disease) improved many markers of gut health, including reducing inflammation. There is interest in studying the use of light therapy to improve gut health in human subjects as well. Notably, a study using NIRL applied to the abdomen (as well as the front of both thighs) is currently underway to assess whether treatment reduces pain, fatigue, and depression in patients with inflammatory bowel disease. Effects on the gut microbiome will also be measured.  Using Light Therapy for Gut Health There are many light therapy devices on the market today that could be used at home to target gut health. With so many options available, how can you know which device is best for you? Here are five issues to consider. Style Preference: To treat the gut with light therapy, light should be applied to the abdominal area. Two types of devices are most appropriate for abdominal applications: (i) a light panel, or (ii) a light wrap. Your personal level of comfort with a device is important. Imagine yourself using it – Do you want to stand in front of the device, or would you prefer the flexibility of being able to lie down while wearing it? Do you want a device that is wireless, or can you commit to being close to an electrical outlet so that you can plug it in? Think about your personal preferences and choose accordingly. Laser vs LED: Light therapy is administered using either laser or LED lights. While early light therapy research was done using lasers, LED lights have become much more popular over the last decade. The research described in this article includes both types of light sources. In 2018, Dr. Michael Hamblin – the world’s leading light therapy expert – concluded that LED lights using comparable parameters to lasers performed “equally well”, which is very important because LED powered light therapy devices can be made at a fraction of the cost of laser devices. For at home use, look for a device that uses LED lights as safe and affordable option. Light Color/Wavelength – As described in this article, both RL and NIRL have been used in studies of light therapy to treat gut disorders. Positive results have been observed when these wavelengths were used either together or individually. So, look for products that use RL and NIRL either alone or in combination. Light Intensity – Light intensity refers to the amount of light being delivered by a device. It is also referred to as irradiance. The required intensity when using light therapy to impact gut disorders is unclear. There is variability in light intensity between studies, and no studies have directly compared different intensities. Since light is being delivered to the skin of the abdomen, it may be prudent to follow the advice given for light therapy to the skin, and mimic the intensity of the sun, which is around 24 mW/cm2. This is described as the “sweet spot” between higher intensities, which can have harmful effects, and lower intensities, which will have no effect at all. Placing a high intensity device directly on the skin could be harmful. Choose a sun-mimicking product and don’t overdo it when it comes to treatment frequency and duration. Education – While light therapy education will not change the specific functionality of a device, it does have the potential to profoundly impact how someone uses the technology. When a company provides evidence-based education that teaches consumers why, how, and when to use a product, devices can be used to better support healing. Look for products with accompanying education and instructions for use, whether in printed and/or digital formats. You can also look for companies that provide support by phone or email to current or prospective customers. Conclusion Hippocrates is credited with stating that “All disease begins in the gut”. While today’s science does not yet support that level of conviction, we do know that gut health is intimately associated with the overall health of the human body. We also know that “what happens in the gut doesn’t stay in the gut”, but rather influences other organs and systems through complex communication networks. The gut microbiome is inextricable from our own human gut, and both are important for optimal health. When using light therapy for gut health, it’s important to also engage in other gut-friendly activities. These include eating a gut healthy diet, staying hydrated, exercising regularly, and limiting stress. It’s advisable to work with a health care provider with expertise in this area and who can provide appropriate support. Many questions remain about how light therapy can be used to support gut health, but preliminary pre-clinical and clinical evidence supports the use of RL and NIRL both to induce healthy shifts in the gut microbiome and to decrease inflammation. Since RL and NIRL also have other effects, such as increasing energy and decreasing ROS production, many other benefits are likely to be observed. This is certain to be an area of active research interest, especially given the amazing safety profile of light therapy and the increasing availability of at-home devices. For more information about Fringe light products, go to: https://fringeheals.com/shop-all-products/

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February 7, 2024

What is Earthing?

Earthing means connecting the body to the earth’s surface electric charge. Earthing is said to be a form of “electric nutrition” and a “universal regulating factor in Nature” because research has shown that it has a profound impact on human health (Menigoz et al., 2020). In fact, the simple act of regular contact with the earth has been shown to positively influence immune function, enhance muscle healing, improve bone health, reduce blood pressure, increase blood flow, enhance nervous system functioning, and improve sleep and mood. The earthing movement came out of Germany in the late 19th century and promoted sleeping on the ground outdoors and being barefoot outside as ways to achieve health (Just, 1903). In the 1920’s, Dr. G.S. White reported that sleeping on the ground, or connected to the earth such as by copper wire attached to grounded pipes, resulted in improved sleep (White, 1929). However, it wasn’t until the late 20th century that these ideas gained traction, when Clint Ober (Ober, 2000) and Sokal and Sokal (Sokal & Sokal, 2011) in Poland confirmed through research studies that there were many health benefits to being grounded to the earth. Ober, who worked with cable TV, realized this association through his experience with electrical systems, which require contact with the ground in order to be electrically stable. When these systems are connected to the negative charge on the earth’s surface they are said to be “grounded”. The term “grounding” is used synonymously with the term “earthing”. There are two ways to connect to the flow of electrons over the surface of earth: (1) directly, by putting the body in contact with natural conductive surfaces such as grass, soil, gravel, stone and sand; (2) putting the body in contact with grounded conductive mats, pads, body bands, or patches (usually while sitting or sleeping). The earth’s electron flow comes primarily from lightning strikes, solar radiation, and other atmospheric phenomena. These electron sources are continuous and give the earth a natural negative electric charge, since free electrons are negatively charged. (Menigoz et al., 2020). Until quite recently, it was the natural human state to be grounded virtually 24 hours a day. Humans walked barefoot and slept on the ground for most of our evolutionary history. Even when we adapted to wearing footwear and using bedding, it was made from animal skins that when moistened with ground moisture or sweat were able to conduct electrons from the ground to the body. Only recently have we shifted to wearing footwear with synthetic soles, living primarily on top of concrete. In this way, we might be said to be disconnected from our “electric roots” (Sinatra et al., 2017).  The theory of “electron deficiency syndrome” states that as a consequence of the loss of an electric connection to the earth, that a natural source of electron flow to the body has been lost, which will have significant adverse physiological consequences (Oschman et al., 2015). Following this, it is possible that the loss of electric connection to the earth, a relatively recent phenomenon, might underlie (at least in part) the rise in global illness of the 21st and 22nd century (Menigoz et al., 2020). Humans As Bioelectrical Beings The idea that electron flow from the earth may play an important role in regulating human physiology is consistent with our understanding of humans as bioelectrical beings. Internal bioelectric signals regulate the function of the cardiovascular, nervous, immune and endocrine systems. The measurement of the body’s electrical character is called electrophysiology.  The flow of electrons over the surface of the earth can be transferred into the human body through direct contact. Electrons have a negative charge, and in the body, like to occur in pairs. These electrons can act to neutralize free radicals, which have an unpaired electron that makes them unstable. Some free radicals are also known as reactive oxygen species. Free radicals are readily produced in the body and can do damage to surrounding cells and tissues. The free electron of a free radical can be “quenched” by an electron donor, stabilizing it in a pair. This is how antioxidants work – they act as electron donors to neutralize free radicals. In this way, the earth is seen as a giant antioxidant (Menigoz et al., 2020). Probing into this mechanism more deeply, it has been proposed that the electron flow provided by earthing may be able to break through the “inflammatory barricade” that can slow the healing response. This barricade develops in response to trauma or infection and serves to wall off damaged tissues and prevent bacteria, pathogens, or debris that result from an injury from travelling to (and harming) nearby tissues. However, the barricade also prevents treatments like antioxidants from accessing the site of injury, which can reduce the rate of healing. Because the barricade is made of the connective tissue collagen, which is a semi-conductor, electrons are able to cross through and perform their healing antioxidant action at the site of damage. In fact, all proteins act as semi-conductors which could have profound implications for the movement of electrons throughout the body. This may be particularly relevant for chronic inflammatory diseases (Sinatra et al., 2017).  The effect of earthing on the electrical potential of the body has been demonstrated in research. Measurements of the body’s electrical induced fields in the left breast, abdomen, and left thigh were measured while both grounded and ungrounded, and it was found that the measured voltage in the grounded state was equalized with the Earth’s electrical potential. This voltage stayed constant despite the application of an electrical field. In contrast, when ungrounded, the application of an electrical field to the three body positions resulted in a large increase in electrical potential at the surface of the body, which is thought to disturb the electrical charges of molecules inside the body (Applewhite, 2005).  As described by Nobel Prize winner Richard Feynman, when the electric potential of the body is the same as the Earth’s electric potential (which is what has been shown to occur during grounding), the body becomes an extension of the Earth’s electrical system in a phenomenon known as the “umbrella effect”, which results in the person being unaffected by electrical disturbances (Feynman et al., 1963). Earthing has also been shown to result in rapid changes in measures of body electrophysiology as measured by brain electroencephalograms (EEG’s) and muscle electromyograms (EMG’s) (Chevalier et al., 2006). This evidence clearly indicates that the concept of earthing affecting the electrical nature of the body is not merely theoretical.  Effects of Earthing on the Body Immune System: The immune system regulates inflammation. Earthing has been shown to alter the inflammatory response to an injury, especially chronic infection. This is thought to be accomplished by passage of electrons through the inflammatory barricade previously described, which allows for healing following infection and injury. Inflammation has been shown through infrared imaging to decrease within 30 minutes of earthing, which is accompanied by metabolic changes that suggest tissue healing (Oschman et al, 2015). Earthing the human body has also been shown to speed up the immune response following vaccination. This has been demonstrated by measuring levels of immune markers in the blood following vaccination (Sokal & Sokal, 2011). Musculoskeletal System: Earthing helps muscles to recover from exercise. Three studies have shown that earthing is able to reduce delayed onset muscular soreness (DOMS) that occurs 24-72 hours after unusual or strenuous exercise. In the first study, 4 healthy men experienced a reduction in DOMS as well as pain and inflammation compared to a control group (Brown et al., 2010). In the second study, a larger group of 16 healthy men experienced similar effects (Brown et al., 2015). In the third study, subjects slept on an earthing sleep mat and compared to a control group, experienced positive effects such as a faster recovery, decreased inflammation, and less muscle damage (Müller et al., 2019). Earthing during cycling exercise has also been shown to significantly reduce the level of blood urea, which is an indicator of muscle and protein breakdown (Sokal et al., 2013). Based on these findings, it appears that earthing may be a simple and effective method to enhance recovery after exercise, which is important as very few interventions are known to help with DOMS.  Bone health has also been shown to benefit from earthing. After a single night of sleeping grounded, subjects showed decreases in levels of the minerals calcium and phosphorus in both the blood and urine, which suggest a reduced rate of bone loss (Sokal & Sokal, 2011). Cardiovascular System: Earthing has been shown to improve blood flow in adults. Specifically, earthing has been found to increase the Zeta potential of red blood cells. The zeta potential is an indicator of the strength of the negative charge on the surface of red blood cells that helps to maintain the spacing of the blood cells while in the blood, which reduces the “viscosity” or thickness of the blood. When the zeta potential is higher, blood cells repel each other and there is less clumping and improved blood flow. In one study, the zeta potential increased by an average of 270% within two hours of earthing (Chevalier et al, 2013). The relationship of this effect to negative charge, and the speed of the effect, seems to clearly illustrate the electrical influence of earthing on the body.  Earthing has also been shown to reduce blood pressure. In a study of 10 patients with hypertension, all subjects experienced a decrease in blood pressure with earthing. Blood pressure decreased when patients grounded themselves for at least 10 hours per day using a grounding mat. Systolic blood pressure decreased by an average of 14% (Elkin & Winter, 2018). Other cardiovascular related effects have been found with earthing. A placebo-controlled study found an increase in respiration rate, stabilization of blood oxygenation, and an increase in the pulse rate and perfusion index (a measure of blood flow) variability when grounded. These changes are thought to indicate the onset of a healing response that requires an increase in oxygen consumption (Chevalier, 2010). Autonomic Nervous System: Earthing affects the function of the autonomic nervous system (ANS) in both infants and adults. The ANS is responsible for regulating body processes such as heart rate, blood pressure, respiration and digestion. When earthing patches were placed on the skin of premature babies, within minutes increases in heart rate variability (HRV) were observed, which indicate better functioning of the ANS. This may help to reduce the risk of necrotizing enterocolitis, which is severe illness that affects about 10% of premature infants and can cause death (Passi et al., 2017). In adults, earthing has been found to cause a shift from an overactive expression of the sympathetic nervous system (“fight or flight”) to a parasympathetic (“rest and digest”) state that regulates heart rate, respiration, digestion, and other functions (Chevalier, 2010). Earthing also exerts a normalizing effects on levels of the stress-related hormone cortisol (Ghaly & Teplitz, 2004). In this way, earthing has the effect of reducing stress. Skin: Earthing has been found to increase blood flow to the skin. Following earthing, there was a rapid increase in blood flow to the face in a placebo-controlled study in which the control group was given a “sham” earthing experience (Chevalier, 2014). This might explain the results of a survey that found that women reported having better facial complexions after earthing (The Earthing Institute). Increased blood flow to the face, neck and torso has also been shown following earthing (Chevalier, 2015).  The effects of earthing on the skin have also been studied in the context of wound healing. A case study of an 84 year old woman with an eight-month old open wound near her ankle responded dramatically to two weeks of using an earthing patch after several unsuccessful treatments at a specialized wound center (Sinatra et al., 2017). This is consistent with animal research that shows that electric currents increase energy production and protein synthesis in rat skin (Cheng et al., 1982). Sleep: Many people report better sleep with earthing. The first report of improved sleep with grounding came in the 1920’s from Dr. G.S. White (White, 1929). More recently, in a study of 12 participants, 11 subjects reported that they fell asleep faster and all subjects reported fewer nighttime awakenings after 8 weeks. Subjects also showed normalization in their 24-hour profile of cortisol secretion (Ghaly & Teplitz, 2004). Similarly, in a controlled, blinded study of 60 subjects who reported disturbed sleep and chronic muscle and joint pain, the group who slept on the grounded sleep mats reported a wide variety of benefits, including improved sleep and sleep apnea after one month (Ober et al., 2010). Mood: Earthing has been shown to improve mood. In a double-blind, placebo-controlled study of 40 adult men and women, those who spent an hour sitting comfortably in a recliner on a grounded mat, with their head on a grounded pillow, and with grounding patches on their palms and soles showed significantly improved mood compared to the control group, who used the same products that were not grounded. Specifically, participants reported a more pleasant mood, feeling less tired and more relaxed, and feeling more positive (Chevalier, 2015).  Clinical Recommendations Earthing represents an incredibly safe, inexpensive, and effective intervention that can easily be integrated into one’ life. There are three ways that health care providers can recommend earthing to their patients. These are: 1. Earthing outdoors. Sessions of 30-40 minutes daily have been shown to be effective (Sinatra 18). This is also the most inexpensive method of earthing. People can go barefoot outdoors or can buy outdoor conductive footwear. Unfortunately, time and weather may be limiting factors. Also note that in order for electron transfer to occur, one must be on a natural conductive surface, such as soil, sand, gravel, grass or stone. 2. Earthing products. There are a number of grounding products that are available commercially. These include sleep mats, blankets, bands, patches, chairs, and mats. These products are connected via an electrical cord to a grounded outlet, or less commonly, to a grounding pole placed in the earth. Prices vary but are quite reasonable. 3. Earthing in clinic. Health care practitioners can provide treatments to patients while lying on an earthing mat, or can provide in-clinic earthing sessions where patients use grounding products like chairs, mats, and patches.   Conclusion Our modern lifestyles provide us with many benefits, but they also have served to disconnect us from the earth. It is becoming increasingly clear that this may have adverse effects on our health, and conversely, that health can be improved by reconnecting with the “electric nutrition” of the earth in some way. While earthing outdoors is a free and easy way to get grounded, there are many accessible products available that can facilitate this connection. Given the ease and safety of this intervention, it is recommended that everyone incorporate earthing into their routine of health maintenance and disease prevention.  For more information about Fringe light products, go to: https://fringeheals.com/shop-all-products/ References Applewhite R. (2005). The effectiveness of a conductive patch and a conductive bed pad in reducing induced human body voltage via the application of earth ground.” European Biology and Bioelectromagnetics; 1: 23–40. Brown, D., Chevalier, G., & Hill, M. (2010). Pilot study on the effect of grounding on delayed-onset muscle soreness. Journal of alternative and complementary medicine (New York, N.Y.), 16(3), 265–273. https://doi.org/10.1089/acm.2009.0399 Brown, R., Chevalier, G., & Hill, M. (2015). Grounding after moderate eccentric contractions reduces muscle damage. Open access journal of sports medicine, 6, 305–317. https://doi.org/10.2147/OAJSM.S87970 Cheng, N., Van Hoof, H., Bockx, E., Hoogmartens, M. 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