A recent study indicates clinical evidence for remission through diet in IBD:
"Clinical remission was achieved by week 6 by 11/15 (73%) of study participants, and all 11 maintained clinical remission during the maintenance phase of the study."
Konijeti, Gauree Gupta et al. “Efficacy of the Autoimmune Protocol Diet for Inflammatory Bowel Disease.” Inflammatory bowel diseases 23.11 (2017): 2054–2060. PMC. Web. 9 Apr. 2018.
That's really great, but I did that protocol strictly for 3 years straight and it never worked for me. (I continued it because it had a good effect on my sinuses, but not my lymphocytic colitis).
This is not the only research regarding microbiome and autoimmune disease. While this article states that their findings seem most promising for Lupus Nephritis, there are recent articles that point to other microbes which are relevant to rheumatoid arthritis: https://www.sciencedaily.com/releases/2016/07/160711151315.h... and https://www.nih.gov/news-events/nih-research-matters/gut-mic... among many others with the search "rheumatoid arthritis and gut microbes". See this for MS https://www.scientificamerican.com/article/gut-germs-appear-... This is my all time favorite that just came out in Nature which shows that anti-inflammatories may contribute to slow growth of beneficial gut microbes. I have identified at least two first line DMARD's used in rheumatoid arthritis that are mentioned in this article. https://www.nature.com/articles/d41586-018-02780-x?utm_sourc... So, while autoimmune diseases amy not stem from gut bacteria, there is definitely some relationship about which we need to learn more.
Happy to help you share a board or pin from outside Pinterest. I've absolutely never had a problem with any of the things you mention. My problem with Pinterest is that it is way too commercial now with lots of links to buy and spam contained within images. I used to enjoy it but not so much now.
but you are the average HN user right? I'm sure I'd be able to share a board easily to you if I wanted to.
What I witnessed is constant struggle between my 30yo fiancee and our 50yo wedding planner. It happened multiple time, so there is an obvious issue either on the sharer's side or on the receiver side.
For many autoimmune-related conditions patient’s symptoms also appear to fluctuate randomly, with symptoms such as pain and fatigue coming seemingly out of the blue. This includes chronic diseases such as Lupus, Rheumatoid Arthritis, Fibromyalgia and a long tail of other conditions [1].
People with these lifelong illnesses typically experience a roller-coaster of recurring symptom flare-ups, wreaking havoc with their lives. Yet there are patterns to the flare-ups. This is an opportunity to make a big difference for millions of people [2].
The key to make sense of the data for these diseases is a record of patient’s symptoms. Assembling useful datasets is not only a question about access, but also about resolving human factors to successfully collect the essential information from patients.
A major challenge is to get a large number of patients to continuously track their symptoms. Most want to know what’s in it for them. It takes substantial incentives for people to regularly report outcomes and use wearables for data collection. Until we can make the marginal cost hit zero, they need to benefit from their efforts and investment, preferably instantly.
Agree with much of the above with some exceptions: secretaries create documents for partners and senior level associates. There is usually a bank of standard provisions that the secretary pulls from. Partner A says pull the standard template plus x and Y provisions. Secretary prepares and Partner reviews. On the billing, you may see preparation charged at the secretary's hourly rate with review at the partner's rate. Lawyer's have plenty of accountability from their clients. Corporate clients hire outside firms to review billings. Each year corporations review their outside counsel and decide if they want to find new counsel. Big Corp invites big law firm X, Y and Z in for a "dog and pony show". Competition between law firms is fierce.
