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Welcome everyone to the July/August edition of The Nutritional Supplement.
This issue has a focus on immunity and links to Covid-19. A paper of particular interest on oral hygiene and Covid-19 has recently been co-authored by an MSc student at CNELM - see this section below.
Not all the views represented in this issue are necessarily the views of CNELM.
We refer you to our Position Statement shared with students on the 2nd April via email and confirm that our position remains that at this current time there is no substantive research evidence to support the use of natural agents in the 'treatment' of Coronavirus Covid-19. Excerpts from the Position Statement are reshared below.
The new online Why Weight Practitioner course has started and another opportunity to start in Sept - feedback so far is very encouraging.
Happy reading - Coriander Stone
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EXCERPTS FROM CNELM COVID-19
POSITION STATEMENT
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CNELM recommends that all clients, students and clinic supervisors follow the guidance provided by the UK Government regarding how to protect yourself and others from Coronavirus. Nutritional Advice is not a replacement to Government guidance or medical advice. CNELM students and clients that live outside of the UK should be cognisant of UK guidance but must however follow advice of Governing Authorities in their location and seek guidance if there is a conflict in advice.
Covid-19 is a new infection in humans. As of this time there is no substantive research evidence to support the use of natural agents in the ‘treatment’ of Coronavirus-Covid 19. There are a number of natural agents, many of which are reported in the public domain that might theoretically be of benefit based on other research studies on the impact of such nutrients on the immune system and for other viral infections.
BANT members are not at this time able to issue any advice or guidance on COVID-19. There is currently a lot of information available to clients regarding nutritional interventions in relation to Coronavirus. Please download a flyer here that details the basis of nutritional therapy. Nutritional Therapists work with individuals to address nutritional balance and help support the body towards maintaining health. This is the approach taken by CNELM in all health queries that might arise, including those related to Covid-19.
CNELM considers that diet, hydration, exercise, sleep and relaxation are foundations for health. CNELM does not endorse any specific nutrient, natural agent or product for the prevention and/or management of any health condition. BANT professional members working as nutritional therapists with clients aim to address nutritional balance and help support the body towards maintaining health. Nutritional therapists aim to assess the judicious use of nutrients, natural agents and products on an individualised basis. Laboratory assessment may be recommended to justify the use of natural agents to support a personalised nutrition intervention.
The full updated Position Statement was shared with students on the 2nd April via email and primarily relates to students seeing clients in the Student Training Clinic. However, the general principles are relevant to CNELM's academic stance regarding there currently being no substantive evidence to support the use of natural agents in the 'treatment' of Coronavirus-Covid 19.
A further update regarding recommendation of tests in the Student Training Clinic will be issued over the coming two weeks.
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Our Why Weight Practitioner (WW8) module is now available as an online distance course. Please reply directly to Faye Hall faye@cnelm.co.uk as indicated below.
We are extremely pleased to be able to offer this 7-week course online with the following start dates for 2020. The June course has recently started, but for those of you still interested for September please see below. September dates will run as follows:
The online version consists of a combination of self-directed distance learning, live tutorials and weekly peer practice.
Student feedback from the June modules has been overall positive so far and we have had the following feedback from two students: -
"I was very happy to work with [Faye Hall] and I learnt a lot. [Faye] enabled me to build the confidence I will need in my practice to coach a client in weight loss."
"I really enjoyed the session yesterday and I can see that I am going to get a lot out of this training. I was running Week 4 of my 6-week programme last night and my mind was buzzing with how I could improve the course by adding in coaching sessions as an optional add-on. I already do some group coaching with them in Week 1."
If you have completed your NLP Practitioner Certification and you are keen to acquire some applied NLP tools and techniques, specifically aimed at supporting people to manage their weight then this course is likely of high interest.
If your goal is to practice as a coach in the area of weight management, or if you are an existing practitioner already working with weight loss clients then completing this course is likely to be a real enhancement to your practice and the results you achieve with your clients
There are 6 Activity Content Blocks (ACB), which cover the training experience with coaching practice and live tutorials run weekly.
The schedule for the June WW8 Online Module is as follows:
- Monday 29th June and every Monday thereafter for 6 weeks each ACB will be released for you to study and review.
- (Each ACB contains video content, reading material and activities)
- Tuesday 30th June and every Tuesday for 7 weeks thereafter there will be a live training tutorial for the group.
- Each week you will be designated a practice partner and required to complete the weekly coaching practice relating to the ACB for that week. This is a compulsory and essential component of the course.
The timetable for the September WW8 online module will follow a similar schedule.
The course offers an estimated 35 hours spread over the 7 weeks, meaning a commitment of approximately 5 hours each week to complete the training.
The cost of this course is £550 without written and practical assessment; and £750 with assessment.
There are currently places available to register for the September modules. Places are limited to 8 for each cohort.
Remember the prerequisite for this course is an NLP Practitioner Certificate. For those wishing to complete the assessment, proof of insurance to practice as an NLP Practitioner will also be required.
Register Your Interest:
If you are interested in attending this course, please contact me via email faye@cnelm.co.uk or by booking a time on my calendar below for the opportunity to learn more.
BOOK AN APPOINTMENT HERE
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We are pleased to inform you that MSc student Nawar Kamona has co-authored a paper as second author that has been accepted for publication by the British Dental Journal for June 26th. The title of the paper is 'Could there be a link between oral hygiene and the severity of SARS-CoV-2 Infections?
Nawar shared that she felt a deep passion (as well as confusion and curiosity) to explore the current literature on COVID-19. Nawar complimented CNELM being a big part of her academic growth and for providing her with the tools to apply pathophysiological mechanistic reasoning to science, particularly when safely practising clinical nutritional therapy. Nawar is a practising nutritional therapist. Nawar has included CNELM as her affiliate institution.
You can access the full paper here.
Nawar introduces the paper here: -
"Oral hygiene should be improved during a COVID-19 infection in order to reduce the bacterial load in the mouth and the risk of a bacterial superinfection. We recommend that poor oral hygiene be considered a risk to COVID-19 complications, particularly in patients predisposed to altered biofilms due to diabetes, hypertension or cardiovascular disease. Bacteria present in patients with severe COVID-19 are associated with the oral cavity, and improved oral hygiene may reduce the risk of complications. Whilst COVID-19 has a viral origin, it is suspected that in severe forms of the infection, bacteria plays a part, increasing the chance of complications such as pneumonia, acute respiratory distress syndrome, sepsis, septic shock and death.1
The development and severity of complications following a COVID-19 infection depend on numerous host and viral factors that will affect a patient's immune response. Whilst 80% of patients with COVID-19 infections have mild symptoms, 20% progress to have a severe form of infection associated with higher levels of inflammatory markers (Interleukin 2, 6, 10) and bacteria.2,3 They also exhibit a remarkably higher neutrophil count and lower lymphocyte count than in mild patients.4 A high neutrophil count is abnormal for a viral infection, but common for a bacterial infection, suggesting that in severe cases of COVID-19, bacterial superinfection is common.
The three main comorbidities associated with an increased risk of complications from COVID-19 are diabetes, hypertension and cardiovascular disease.5 These comorbidities are also associated with altered oral biofilms and periodontal disease. Periodontopathic bacteria are implicated in systemic inflammation, bacteraemia, and pneumonia.6 Bacteria present in the metagenome of patients severely infected with COVID-19 included high reads for Prevotella, Staphylococcus, and Fusobacterium, all usually commensal organisms of the mouth.7 Over 80% of patients in ICU exhibited an exceptionally high bacterial load,3 and treatment has been successful with a dual regime of an antiviral and an antibiotic.8 It is clear that bacterial superinfections are common in patients suffering from a severe case of COVID-19.”
References
1. World Health Organization. Clinical management of severe acute respiratory infection when COVID-19 is suspected. Interim guidance, 13 March 2020. Available at: https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected (accessed April 2020).
2. Gong J. Correlation Analysis Between Disease Severity and Inflammation-related Parameters in Patients with COVID-19 Pneumonia. Tongji Hospital, 2020.
3. Liu J. Neutrophil-to-Lymphocyte Ratio Predicts Severe Illness Patients with 2019 Novel Coronavirus. Beijing Ditan Hospital, 2020.
4. Zheng M, Gao Y, Wang G et al. Functional exhaustion of antiviral lymphocytes in COVID-19 patients. Cell Moll Immunol 2020; DOI: 10.1038/s41423-020-0402-2.
5. Zhou F, Yu T, Du R et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet 2020; 395: 1054-1062.
6. Nagaoka K. Prevotella intermedia induces severe bacteremic pneumococcal pneumonia in mice with upregulated platelet-activating factor receptor expression. American Society for Microbiology, 2014.
7. Chakraborty S. Metagenome of SARS-Cov2 patients in Shenzhen with travel to Wuhan: OSF Preprints, 2020.
8. Gautret P, Lagier J-C, Parola P et al. Hydroxychloroquine and azithromycin as a treatment of COVID-19: Results of an Open-Label Non-randomized trial. Int J Antimicrob Agents 2020; DOI: 10.1016/j.ijantimicag.2020.105949.
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The Covid-19 pandemic has caused a surge of focus on nutrition and the impact it can have on our health. Some of the most at-risk groups for severe symptoms from Covid-19 are those with chronic health conditions that are impacted by our diet. This podcast looks at how the industry might address this going forwards.
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This article from the BMJ Nutrition, Prevention & Health explains that an adequate supply of a wide range of nutrients is essential to support the immune system to function optimally.
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I would welcome a selection of brief reflections on your studies, student experience, or clinic or coaching clients that you think would be helpful to other students. We would really like to develop this section of the Student Newsletter over the coming year. Please email me at coriander@cnelm.co.uk with your input.
This edition’s case discussion focuses on a middle-aged woman with early Parkinson’s and hyperlipidemia.
Read the case discussion here and please do send me your thoughts on this case study for discussion in the next edition at coriander@cnelm.co.uk |
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The Alliance for Natural Health (ANH) has paired up with the British Society for Ecological Medicine (BSEM) to offer a low-cost, 3-micronutrient protocol alongside the ANH food plan to help what the ANH believe might enable children to return to school more safely.
We invite you to share your views and open discussion on the ANH proposed protocol for immune support.
Please note: the views of the ANH and BSEM do not necessarily reflect the views of CNELM. |
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Louisa Richards
BSc Nutritional Therapy
Louisa graduated from CNELM with a BSc Nutritional Therapy, as well as achieving her NLP Practitioner qualification there.
Read her story here...
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The microbiome is apparently critical to our health and survival.
However, as the tools to measure and analyse microbial communities have improved, it’s gradually become clear that the microbiome is nowhere near as important across the animal kingdom as it’s often portrayed to be. Many animals seem to have more flexible or less stable associations with microbes; some don’t seem to rely on them at all. These animals are now allowing scientists to gain new insights into the mystery of how and why the microbiome evolves — its real importance, and the nuanced balancing act of pros and cons that lies at its core.
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This is a fantastic video *discuss vit C* with Jerome Burne in this weekly update from the Alliance for Natural Health.
The Alliance for Natural Health have published an article about the potential use of natural therapies for managing the symptoms of Covid-19. *for info only etc*
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Tea & Mood:
Researchers are discovering how the ingredients in a cup of tea can lift mood, improve focus and perhaps even ward off depression and dementia.
Researchers at Princeton University have developed a way of systematically evaluating how the microbial communities in our intestines can chemically transform, or metabolize, drugs that are taken orally, in ways that impact on their efficacy and potentially safety.
Microbiome & Stroke:
A new study suggesting that gut bacteria have links to an abnormality in a brain blood vessel that can increase the chances of stroke.
Genes & the Microbiome:
Specific genes are linked to the existence and amount of certain gut bacteria, according to new research involving nearly 4,000 individuals which authors say could transform our understanding of common diseases, including obesity, irritable bowel syndrome, and Alzheimer's.
Covid-19 is a new infection in humans. As of this time there is no substantive research evidence to support the use of natural agents in the ‘treatment’ of Coronavirus-Covid 19. There are a number of natural agents, many of which are reported in the public domain that might theoretically be of benefit based on other research studies on the impact of such nutrients on the immune system and for other viral infections.
CNELM considers that diet, hydration, exercise, sleep and relaxation are foundations for health. CNELM does not endorse any specific nutrient, natural agent or product for the prevention and/or management of any health condition. BANT professional members working as nutritional therapists with clients aim to address nutritional balance and help support the body towards maintaining health. Nutritional therapists aim to assess the judicious use of nutrients, natural agents and products on an individualised basis. Laboratory assessment may be recommended to justify the use of natural agents to support a personalised nutrition intervention.
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Greens & Coconut 1 Pot Rice
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Please email me your favourite recipes to coriander@cnelm.co.uk and how you came to find them!
Ingredients (serves 4):
100g greens, washed (I used a mixture of spinach and cavolo nero)
1 large bunch of coriander (or 100g more greens)
400ml coconut milk
1 tsp salt
2 sticks lemongrass, bashed and roughly chopped
5 garlic cloves, peeled, 3 of them finely chopped
1 tbsp extra-virgin olive oil
2 medium onions, peeled and finely chopped
2 green chillies, finely chopped
200g white long-grain or basmati rice
200g peas, fresh, or frozen and defrosted
Toasted nuts and fresh herbs, to finish (I used mint, basil, chives and their flowers)
Method:
First make the liquid that the rice will cook in. Put the greens, coriander, coconut milk, salt, lemongrass and two whole cloves of garlic into a blender with 300ml cold water and puree until smooth. If you have a small blender, you can do this in batches.
Rinse and drain the rice thoroughly in cold water and set aside.
In a large saucepan over a medium heat, heat the oil until hot. Add the onion and chillies, and cook for five minutes, until soft and sweet. Add the chopped garlic and cook, stirring often, until fragrant – two to three minutes.
Add the rice and cook, stirring, for a couple of minutes to toast and seal.
Turn up the heat to high, pour in the coconut and greens mixture, add the peas and bring to a simmer. Immediately put a lid on, reduce the heat to low, and cook for 15 minutes, until all the liquid has absorbed into the rice.
Remove from the heat, cover the lid in a clean tea towel, put it back on the pot and leave to steam for 10 minutes. Then fluff the rice with a fork and serve with some toasted nuts and herbs.
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All times are UK time unless specified.
CNELM Events:
The CNELM professional enhancement days can also be found here.
- 15th July 11am - Exercise and the Immune system: This workshop comes out of the Level 7 Sports Module. The sports workshops have always been well attended and receive positive feedback. Details to register for this workshop will be sent out via email as soon as possible.
- 24th September - Student research presentations - Indrani Saha
- 6th October and 3rd November - Products day - N&P module leader's
Non CNELM Events:
- AIC 2020: Advancements in Clinical Research and Innovative Practices in Functional Medicine Due to the COVID-19 pandemic, for the first time ever the 2020 AIC experience will be entirely online. $875.00
- 7th November 2020, 155 Bishopsgate, Liverpool Street, London, EC2M 3YD, BANT AGM
- Demystifying SIBO with Dr Jason Hawrelak
- Human Nature - ancient drives in a modern world, Various dates and locations, Free, 10AM - 3:30PM
- Unnatural selection - evolution or devolution?, Various dates and locations, Free, 10AM - 3:30PM
- List of discounted clinical education seminars here
More webinars, events and podcasts can be found in the Science and Education section of the BANT website.
Archived Recordings:
Disclaimer
CNELM occasionally circulates information regarding external events which we think may be of interest to students, graduates and/or staff. Please note that CNELM is not involved in the organisation or the content of such events and circulates all such information in good faith.
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We would like to gather your feedback for CPD events at CNELM. There are several upcoming events to be held at CNELM and it would be great to gather your thoughts on these events, as well as internal events such as Lab days and other events run by CNELM staff.
Could anyone who has attended these events please email me their brief thoughts on them to coriander@cnelm.co.uk.
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CNELM circulates by email and includes in the student newsletter a range of job opportunities. Several students at CNELM already hold qualifications enabling differning scopes of practice. All students if working in the nutrition field should keep mindful of CNELM's Fitness to Practice Policy and ensure their scope of practice or work is in keeping with existing qualifications. If ever in doubt it is best to contact Kate as Head of Quality Assurance or Dave as Centre Administrator/Practice Supervisor.
Nutrition qualified professional required for video content, copywriting and editing - freelance (French, Spanish, and/or Italian speakers):
Company: Igennus Healthcare Nutrition
Location: From home
Employee status: Freelance - flexible hours
About Igennus: We are a family-run company based in Cambridge, offering high impact nutrition supplements expertly formulated by our in-house team of nutrition specialists.
Job description: We are seeking a confident nutrition professional who is either a native speaker, or fluent in French, Spanish, and/or Italian. You will be required to translate video scripts and present nutrition supplements and health topics in video format for use on our online platforms. We also require support to localise product web pages, requiring some translation and editing. No specialist recording equipment necessary and full support will be provided.
Qualities/qualities:
■ Qualified nutritionists
■ Native or fluent in French, Spanish, and/or Italian
■ Experience in/confidence for presenting
How to apply:
Please contact maxine@igennus.com for more information.
More classifieds can be found here, here and here.
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