Chronic inflammation, autoimmune disease, and Mast Cell Activation Syndrome are part of chronic Lyme disease and tick-borne infections for many. Chronic inflammation, autoimmune disease, and mast cell activation are due to an imbalance in Th1, Th2, and Th17 components of the immune system. These individual components are controlled through the actions of T regulatory cells, also called Tregs.
Here is a breakdown of what these different parts of the immune system regulate through a release of pro-inflammatory and anti-inflammatory cytokines. The types of cytokines in each of these systems provides a fingerprint to show if someone has too much or too little of each component. Unfortunately, testing for these cytokine fingerprints is not reliable.
It is possible to regulate Th1 or Th2 inflammation directly by taking cytokine regulators like curcumin or prescription Plaquenil—or by taking mast cell regulators like quercetin or antihistamines like Zyrtec. But a stronger way to balance this inflammation is through improving Treg cell numbers or function. Think of Tregs as the parent in the room controlling the unruly Th1 and Th2 children.
As the parent in the room Tregs also regulate over exuberant Th1 and Th17 children that lead to autoimmune illnesses.
In my practice, I have found two useful ways to improve Treg function. This includes using low dose naltrexone (LDN) and the peptide Thymosin Alpha-1. However, the FDA no longer allows the production of Thymosin Alpha-1. Fortunately, Integrative Peptides Thymogen Alpha-1 may mimic the effect of the peptide Thymosin Alpha-1 by using two bioregulator ingredients called Thymogen and Immune Peptide A2*.
You can use LDN or Thymogen Alpha-1 together or independently. If you are trying either one, give at least 6 months to see if they work.
LDN is also effective at regulating mast cells by directly attaching to mast cell toll receptors. And LDN regulates fibromyalgia and fibromyalgia-like pain by directly binding to toll receptors and microglia immune cells in the brain that regulate pain transmission. Keep these additional functions in mind as you choose between using Thymogen Alpha-1 and LDN. One more point, LDN requires a prescription from a compounding pharmacy while Thymogen is available as a supplement. For more information see Low Dose Naltrexone (LDN) & Lyme and Key Oral Peptide Strategies to Repair and Restore in Lyme & Mold Toxicity
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* Use as recommended by your physician or health care provider. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.
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Marty Ross, MD is a passionate Lyme disease educator and clinical expert. He helps Lyme sufferers and their physicians see what really works based on his review of the science and extensive real-world experience. Dr. Ross is licensed to practice medicine in Washington State (License: MD00033296) where he has treated thousands of Lyme disease patients in his Seattle practice.
Marty Ross, MD is a graduate of Indiana University School of Medicine and Georgetown University Family Medicine Residency. He is a member of the International Lyme and Associated Disease Society (ILADS), The Institute for Functional Medicine, and The American Academy of Anti-Aging Medicine (A4M).
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