Sally K. Norton

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May 18, 2018 by Sally K Norton

Our Oxalate-Loaded Environment: No Seasons, No Awareness

I’m very excited to announce a new article in the Journal of Evolution and Health: “Lost Seasonality and Overconsumption of Plants: Risking Oxalate Toxicity” by me: Sally K. Norton. Link http://jevohealth.com/cgi/viewcontent.cgi?article=1085&context=journal (or you can download it from my site)

Please read and share this heavily referenced, peer-reviewed article. Perhaps it will help us all see how we’re eating today in a new light. The article offers an up-to-date synopsis of what we know about oxalates, based on my extensive review of the scientific literature.

The rest of this blog post revisits and expands on the key points from the article.

Oxalate Toxicity Illness

Once you realize that oxalate in foods is at the root of your suffering, you can’t help but wonder: Why am I in trouble with oxalate? Why is this happening? Hasn’t oxalate been around forever? Is there something wrong with me that made me especially vulnerable to the oxalate problem? Why me? – this is the classic victim question. Yes, you are a victim, but of what? I say you are a victim of modern progress, affluence, cultural trends, and generalized ignorance of oxalate science; hear me out. . .

Oxalate-related illness is, in general, a problem of: 1) oxalate exposure and 2) bioaccumulation inside of our bodies. This is so, regardless if the effects of this exposure and accumulation surface as arthritis, digestive problems, headaches, pain issues, skin trouble, bad sleep, or kidney stones.

The One-Two Punch

Let’s consider that modern eating patterns douse us in oxalate far too routinely. (Missed any meals recently?) When the continuous oxalate marinade (daily low to moderate doses) includes occasional pulses of extreme doses (as in a spinach smoothie or a bag of almonds), accumulation is bound to occur. This combination – constant eating of plant foods (like bread and spices) interspersed with the occasional dark chocolate bar or spinach salad – is especially good at promoting the build-up of minute oxalate deposits in the body. The speed and extent of this process may be what separates the seemingly unaffected from those of us with joint, digestive, brain and neurological issues. Beyond just the level of oxalate intake, these factors seem to be key determinants of how fast and how extensively oxalate toxicity develops:

  • oxalate absorption
    • (many dietary factors and other changing conditions will affect the amount that gets inside the body),
    • it is generally much higher then scientists used to think
  • gut health, and
  • internal inflammation.

Never a Break

Never before has it been so easy to obtain oxalate-heavy foods. At the same time, we’ve become nibblers (or grazers) who believe that six small meals daily make for a healthy and acceptable meal pattern. We never take off from eating plant foods. We used to have those breaks: things called winter, or drought, or crop failure, or high-holy fasting days. And, of course when we’re eating oxalate, we have no idea that we are doing it; no one has bothered to tell us. Hardly anyone is aware of the presence of oxalate in our beloved foods and its potential dangers. Never have we been so at risk for slow, low-grade health damage thanks to our modern food choices, constant eating, and unawareness.

Global Food System Has Erased the Seasons

Winter is gone. No longer do we subsist on ham, onions, pickles, and white biscuits from January to March. Now, fresh green spinach, fruits, and nuts of all kinds can be had any day of the year. Our modern food scene is slick and sexy (packaged with grand promises), tasty and super-convenient, affordable, and . . . risky.

You can get nearly anything you could want, seven days a week, 365 days a year. Refrigerated trucks, the interstate highway system, inter-continental shipping, and the 24-hour grocery store all work to meet the demand for affordable, constant access to any and all foods. We usually see this as a great victory of modern commerce, but the downside… well, it has made it possible to bypass and disarm the body’s own defenses against what was historically only periodic over-dosing on high oxalate plant foods. That’s my guess, anyway. There is not any good research on the amount of oxalate in our diets and how this has changed.

Getting Plenty of Neo Foods

Envision some modern basics: tea, chips, fries, and almond milk. . . Finding our way to a daily cup of tea was never this easy! No longer do you have to haul water from the river, or fire up a wood stove. Potato chips? They were mass-produced for home consumption only recently. And french fries? Routine access to fries came with the invention of cheap (and addictive) fast food in the 1950s. That helped to launch the new and steadily expanding practice of eating meals away from home,  not just on special occasions but as part normal daily life. Restaurants eagerly offer hash browns, potato chips, fries, and mashed (or baked) potatoes as the classic side. (Too cheap, popular, and profitable to resist.)

Almond and rice beverages? These new-fangled products became commercially available and widely distributed only about 10 years ago (and have been growing in popularity). And please note: These faux “milks” are marketed as a fitting substitute for calcium-rich dairy milk. They are not. Not only do they contain oxalate (which real milk does not), but they lack milk’s ability to protect against oxalate absorption offered by dairy calcium.

Normal variability in what and when we eat, and restrictions that once came with the seasons and periodic food scarcity, are all gone in modern affluent societies. Easy, routine access to tasty oxalate-ridden foods has created a new situation for our bodies. The constant bombardment of our bodies by oxalate is an escalating, and uniquely problematic source of toxic stress in 21st Century life. It’s as if it were Thanksgiving Day, every day. The harvest is in and abundance is the theme of the moment. Have whatever you like; if its “healthy”—have a lot of it, frequently.

Modern Concepts of Health Foods

Modern dietary approaches have placed great emphasis on the health benefits of vegetables, nuts, chocolate, and spices, despite their being high in oxalate. There is a great deal of encouragement, pressure even, to eat greens, nuts, fruits, and other “whole” plant foods. We constantly hear that the sure path to complete health is the “plant based” diet. If it doesn’t work, you are just not trying hard enough… so just keep selecting antioxidant-rich “health foods”.

In this culture, how would anyone ever begin to suspect something amiss with this moral and fail-safe approach to eating? They don’t, not until they have exhausted every other possible explanation for why they hurt or can’t think well or get restless sleep… but I digress.

Accumulation of Oxalate

Any tissue of the body can end up with oxalate deposits, not just the kidneys and other parts of the urinary system. But how and why? This question has been posed, but rarely studied, at least since 1940 when a London coroner found oxalate crystals at the site of a brain aneurysm in a 61-year old woman.1 The prevailing theory in medical science is that the entire drainage system had to be broken down (persistent kidney failure) for oxalate to collect in non-renal tissues. Yet the exceptions to this rule are many—littered across the various fields of research.

Pathologists report finding oxalate deposits in eyes, arteries, hearts, skin, wherever—despite functional, healthy kidneys. We find this in cases of acute oxalate poisoning among patients who have tried to commit suicide with oxalic acid washing powders or ethylene glycol anti-freeze (ethylene glycol is a metabolic precursor that becomes oxalate in the body), and in cases of genetic disorders that cause excessive internal production of oxalate. But we also find these deposits in the chronically ill, in previously injured tissues, and in perfectly healthy people.

Stuck in Catch Mode

The scientific evidence suggests that the body is good at a game of “catch and release”. This is a process in which healthy cells take on minute oxalate crystals with the intention of this being a temporary accommodation. When the coast is clear and conditions right, cells recruit immune cells to help them dismantle and release the sequestered oxalate and send it off for excretion. Our diets, however, are pitching oxalate steadily (and at quite a clip). The effect is that the catch and release cycle gets stuck in “catch” mode. Cells holding oxalate attract more oxalate crystals which then become ever-present because oxalate is ever-present in so many of our favored foods. Injured cells or cell fragments passively get saddled with crystals that not only persist but grow, for years and decades.

We don’t see the inevitable but invisible nano-deposits and non-crystalline traces in cells throughout the body. The trained pathologist can see the much larger micro-crystals (when the tissue are fresh and properly handled, and when using the appropriate stain and polarized light). But the hunt for these troublesome contaminants isn’t done in typical tissue biopsy and tissues are usually not fresh. (The central concern being the detection of cancerous cells.) The body, however, is aware of oxalate. It is designed to unload these toxic traces, if it can only get the opportunity.

Let the Toxin Go

The cells await the conditions necessary for dismantling and releasing crystals. It would seem that tissues may need several days of very low-level oxalate intake to start the slow process of dismantling, dissolving, and unloading these nano-deposits. (In one study, looking at rat kidneys, this process was underway in just a matter of days. In another study, complete dissolution of a crystal took five or more weeks to complete).

The way we eat, the “release” conditions don’t come very often or for very long. The next time someone tells you “you’re full of it” they might be right!  And they might be full of it themselves!

References

1. Glynn, L.E. (1940). Crystalline bodies in the tunica media of a middle cerebral artery. J. Pathol. Bacteriol. 51, 445–446.

December 21, 2017 by Sally K Norton

Winter Solstice and Imperceptible Change

Still life night scene photo: Winter Lit Lantern standing on snow with frosted greens and pine cones

Finding Your Own Brighter Days Ahead During the Yuletide

Today, in the Northern Hemisphere, our winter solstice sun appears at its lowest point in the sky. Many traditions and cultures honor these short days and long nights as a sacred and special time.

This time of year is associated with light – electric string lights, the burning yule log, and candles. Hanukkah in the Jewish tradition is the Festival of Lights, which just completed the 8 days of ritual illumination of the menorah. There’s the advent wreath of the Christian faith (weekly lighting of candles) and the all-night bonfire of the Yule log. The lights are reminders of our inner light, an affirmation of our higher and better selves, and hope for brighter days ahead – as we move through our darkest days.

Winter Festivities – Coping with Darkness and Chill

The trimmings, the sweets, the parties and the hoopla of the season are all intended to help carry us through this dark and cold time of the year. Without our social connections and the promise of brighter days ahead, the winter blues might be overwhelming. Parties and holiday gatherings remind us that we’re all in it together. And it can, indeed, be good medicine because we humans long for a sense of belonging, to feel that deep bond of family and community, to be part of a “tribe”.

Of course, we get distracted by all the “wanting”—feelings of lack, and a focus on stuff, or even our longings for perfect health.  And we easily miss the central point:  to love one another, to offer companionship and reinforce our connections through the trimmings and the gifts (the ones we give!). We tell ourselves that it is the cookies, the drinks, the food and the gifts that make the holiday special. Try them out all by yourself, and see if you can honestly say that is the case.

The Way Out of Winter Solstice Darkness

And then there is the pressure to be positive, cheery, merry, and bright. But you may have your pain, grief, or worry—your own reality that seems at odds with all the outward festivity. What if melancholy does have you in its grips? Does all this ‘cheer’ make you feel even more alone with your pain? It could, and you don’t need to apologize for that. Let me offer you permission to feel what is real for you.

I don’t mean to suggest that it is best to wallow in sorrow or become some version of Scrooge.  I’m just saying that you need and deserve some compassion—from yourself. And some loving input—from yourself. So, if you’re not feeling the “be-of-good-cheer” vibe, try this: Claim your right to be supported, by you, first and foremost.  Find 10 minutes of peace and calm to sit with pen and paper. Write a list of “wellness” actions you might take on your own behalf. Choose actions that would give you a solid and level foundation from which things will, at least, not get worse. Look for your own paths to healing, and be willing to take steps in those directions. Touch an inner compass, and find the place within you where purpose lives.

Imperceptible Change

The truth is that things don’t stay the same. Even though our sunken sun appears to be the same for several days before and after the solstice, we are still moving towards spring. So if you feel sad and perhaps even a bit hopeless, just know things won’t stay this way forever—especially because you’ve befriended yourself.

Winter solstice marks the beginning of the return of longer and brighter days, though there are many weeks of winter ahead. While we might be feeling the long darkness of night, the days are indeed growing, though we won’t see the difference at first. Yet by December 25th, where Christmas tucked itself into the calendar in place of a Roman winter festival*, daylight hours are indisputably getting longer. Hooray!

Remember, the dying of the sun and the passing of the year also mark a rebirth of the sun, of the cycles of life, and of hope, faith, and love in our hearts. May you nurture your own heart and soul this season.

Sending you my love!

Three young women in black with their snow person construction

Snow Fun


*December 25 was adopted as the date for Christmas in Europe in order to superimpose on the pre-existing mid-winter festivals. The Romans held a festival on December 25 of Dies Natalis Solis Invicti, “the birthday of the unconquered sun.”  The Romans also had a week-long winter festival called Saturnalia that included public feasting, dancing, singing and gambling. Houses were decorated with evergreens and bunches of holly were given as tokens of friendship. When this festival was absorbed into the Christian calendar, holly, evergreens, and other symbols were adopted as well.

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