Bell’s Palsy

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    • #1278
      Archived Posts
      Moderator

      Hi, my client had Bell’s Palsy last and managed an almost complete recovery by avoiding foods high in arginine and taking 2g of L-lysine a day. However she is so terrified of getting it back that she is still doing this.

      I recommended she ran a Virus Test to see check her current status, but would be really grateful for any other advice.

      She has no obvious symptoms now, but feels her face has never quite returned to normal.

      Thank you, Emma

      Posted By Emma Vanlint 7/11/17

       

       

       

    • #1280
      Christine Bailey
      Moderator

      Dear Emma,

      Many thanks for your question regarding your client you has suffered with Bell’s Palsy in the past.  We have spoken about this condition on the linked in forum in the past so you may wish to read previous discussions such as this one http://tinyurl.com/ydbb9to6

      Bell’s palsy is a dysfunction of cranial nerve VII (the facial nerve) that results in inability to control facial muscles on the affected side.

      Bell’s palsy is the most common acute mononeuropathy (disease involving only one nerve) and is the most common cause of acute facial nerve paralysis.

      Viral infections were investigated as a cause and then dismissed as no evidence could be found. Then more sophisticated methods of testing were undertaken, specifically the new molecular biological technique called polymerase chain reaction (PCR), and it was discovered that the herpes virus was a causative agent.

      Mulkens PS & Schirm J. Cause of Bell’s palsy: herpes simplex virus]. Ned Tijdschr Geneeskd, February 28, 1998; 142(9): 438-42. http://tinyurl.com/33hf29g

       

      The herpes virus can be transported to the facial nerve, where it may remain dormant until it activates and causes Bell’s pals. Although this theory has yet to be proven, supporting evidence is strong enough that Bell’s palsy is often treated with antiviral drugs (e.g., acyclovir, famciclovir, and valacyclovir) used to kill the herpes virus. To date, although viral DNA has been found in the facial nerves of patients with Bell’s palsy, no studies have actually found actively replicating herpes viruses.

      Other infectious diseases that may be associated with Bell’s palsy include Lyme disease, the common cold, hepatitis C, influenza, HIV, typhoid fever, and tuberculosis – so you may wish to consider these as well depending on her health history. Herpes viruses, specifically herpes simplex virus type 1 and herpes zoster virus, which causes chickenpox, are thought to be involved in a substantial proportion of cases.

      Bell’s palsy is usually self-limiting. The trademark is rapid onset of partial or If the upper part of the face is involved, affected people may have problems with their eyes. Because they are unable to close their eyes, dryness is a problem. In extreme cases this dryness can result in eye damage or even blindness. To help avoid these problems, some physicians recommend the use of paper tape at night to keep the affected eye closed and lubricated. In addition, people with Bell’s palsy may experience loss of taste or abnormally enhanced hearing because the muscle that stretches the eardrum is paralysed.

      Most people with Bell’s palsy (about 80 percent) recover within a few weeks or months. Among those who don’t recover fully, the affected side of their face may continue to be weak and droop. About one in sixty people will experience Bell’s palsy at some point in their lifetime. It can occur at any age, but is most common between the age of fifteen and sixty. Therefore, supporting the immune system and making lifestyle changes can be helpful – sleep and stress in particular need to be addressed if relevant.

      Rowlands S, Hooper R, et al. The epidemiology and treatment of Bell’s palsy in the UK. Eur J Neurol. 2002 Jan;9(1):63–7.http://tinyurl.com/cuqj5o3

       

      Given the role of inflammation in Bell’s palsy, natural agents that help manage the inflammatory response, such as curcumin and omega-3 fatty acids from fish oil, may help support a more balanced immune response during viral reactivation in the facial nerve. In addition, nutrients that support healthy nerve cell function such as vitamin B12 and acetyl-L-carnitine may also confer benefits to those afflicted with Bell’s palsy. Vitamin B12 has also been documented to improve the symptoms of Bell’s palsy. In one study, three groups of patients were tested: one received methylcobalamin (vitamin B12), one received corticosteroids, and the third received methylcobalamin in combination with corticosteroids. At the end of the study, the patients in both methylcobalamin groups showed greater improvement in their symptoms than those in the corticosteroid group

      Jalaludin MA. Methylcobalamin treatment of Bell’s palsy. Methods Find Exp Clin Pharmacol. 1995 Oct;17(8):539–44. http://tinyurl.com/bwgodsr

       

      I would therefore consider optimising B vitamins with this client in addition to supporting the immune system.  There are plenty of effective anti-virals in addition to lysine of course but the key here is to prevent reoccurrence and for this reason I would focus more on lifestyle changes and supporting the immune system. Anti-viral interventions include licorice, zinc, lysine, and reishi mushrooms and humic acid / monolaurin

      Consider whether there are other factors affecting immune health – food sensitivities for example. Check vitamin D status and supplement as needed. If she is still suffering with inflammation then consider use of fish oil and anti-inflammatory formula. Pay attention to her gut health as well – probiotic support, repairing leaky gut if relevant may be helpful.

      Acetyl-L-carnitine is a compound found throughout both the central and peripheral nervous systems and plays a role in a number of processes, including the processing of fatty acids. Therapeutically, it can help damaged neurons regenerate and reduce neuronal damage after injury. Studies have found that acetyl-L-carnitine is effective for treating various forms of neuropathy, including diabetic and drug-induced neuropathies. So, if she still feels there are lasting effects this may be something to consider.

      Flatters SJL, Xiao W-H, et al. Acetyl-l-carnitine prevents and reduces paclitaxel-induced painful peripheral neuropathy. Neuroscience Letters 397 (2006) 219–223. http://tinyurl.com/ydb42x54

       

      SUGGESTED SUPPLEMENTS

      The following supplements are suggested for you to consider in light of your relevant expertise and intimate understanding of the needs of your client or patient. They may be used in isolation or as part of a multi supplement strategy, but at all times the consideration of their use should be tied into the specific needs of the individual you are responsible for.

      Lowering inflammation and immune support

      Wholly Immune (ARG) – 1 scoop daily in 8oz liquid. http://tinyurl.com/33v5um9 Contains nutrients (B complex vitamins, vitamin C, vitamin A), botanicals, and mushroom extract to lower inflammation and support immune health

      Fatty Acids

      EFA-Sirt Supreme (BRC) – take 2 three times daily – http://tinyurl.com/h3czc9x

      General Immune support

      Cytozyme-THY (BRC) – take 1-2 daily

      Vitamin D3 Complete (ARG) – take 1-2 daily based on vitamin D levels – http://tinyurl.com/jqx3ttt

      Phospholipid Colostrum (ARG) – take 1tbsp three times daily – http://tinyurl.com/zwty66b

      Anti-viral

      Humic Acid (ARG) – take 1 twice daily – http://tinyurl.com/lmj7lu7

      Neurological support

      Acetyl-L-Carnitine 500mg (ARG) – take 1 twice daily – http://tinyurl.com/yd72aqjq

      Bio-3B-G (BRC) –  take 2 with each meal

      I hope this helps with your client

      Christine

       

       

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