It's unclear how much of this is is due to changes in diet, hygiene hypothesis, or environmental pollutants/endocrine disruptors.
I wish we understood this better.
Right out of the gate you hit the issue that there simply aren't many "very early onset IBD" (impacting children under 6 years old) specialists because historically there were so few cases. We've seen well regarded IBD specialists who reflexively try to order tests and procedures that their own hospital will then refuse to even perform because they can't be done safely on young children. The IBD specialists are in general simply unfamiliar with young children because of the historical rarity.
From the VEO IBD specialists we have worked with they all report that the numbers are exploding and no one has any real idea why.
On top of that most of the more modern and effective treatments for IBD and Crohns aren't approved for young children at all and even top tier insurance will fight tooth and nail against covering them because their use in children can be considered off-label.
Water still needs to be transported 167 miles from HH, during which it can pick up plenty of things, like lead, chromium 6, bacteria and all sorts of other fun stuff. Never mind it has likely sat in a local reservoir for some period of time and who knows what the condition of those things are.
Before it was chlorine and then apparently that wasn't enough, so they switched to chloramine. Then, they do shit like this, with some weird spin on it:
https://www.sfgate.com/bayarea/article/SF-s-pure-drinking-wa...
I had several fish tanks (one ~400 gallons) that I was caring for during that switch over. I tried to do filtration and additives and the fish were never the same, they all died. It just seems intuitive that adding something to water that kills fish almost instantly, couldn't be great for humans either.
Needless to say, I only drink RO water, put a filter on my whole house and in my shower. That probably isn't enough, but at least it is better than nothing.
https://www.epa.gov/dwreginfo/chloramines-drinking-water
https://19january2017snapshot.epa.gov/www3/region9/water/chl...
Are you drinking local RO water? Like rain off your roof? Isn't that full of local smoke particles?
Untrue and easily googled...
" Even when disinfection occurs during water treatment processes, bacterial regrowth may occur in the long journey through water distribution systems. ... Bacterial regrowth in water distribution systems can occur because of the accidental entry of microorganisms at cross connections and broken pipes and the recovery of microorganism populations affected by disinfectants in water treatment plants. "
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3799508/
> Isn't that full of local smoke particles?
The same could be said of HH, no?
There is less smoke pollution in the HH area than right here in the bay area where everyone is running their cars all the time.
Since this article was written, there have been fires almost every year. The water also moves from HH to other reservoirs along the way. Let's also not forget that the dirty air from SF, blows east.
I also wasn't talking about rainwater, I was talking about reverse osmosis.
I would bet MONEY that if you looked at IBD rates among people who tend to frequent taco bell (lots of beans == lots of fiber) and people who tend to frequent, say, McD's, you'd see a lower rate among TB-goers. Doesn't seem like a hard experiment to set up.
I am rather convinced quite a few peopl have IBS/IBD in significant part due to their high fiber diet which tend to be high in FODMAPs if not meticulously designed and inflame the intestines with solid residue. People blindly recommending fiber as a panacea, and I’m not saying it doesn’t have a place in the treatment of IBS/IBD, but just blindly throwing fiber at the problem as if it’s always going to help us legitimately going to land people in hospital.
A big advantage to the low FODMAP diet and why it’s taken off is that it can treat constipation and diarrhea without having to adopt a high fibre diet.
Fiber I believe it’s generally recommended you take as much as you can if you aren’t having issues.
Are we sure Taco Bell has not discovered a novel way to remove important nutrients from this item as well?
[0]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1588096/ [1]: https://en.wikipedia.org/wiki/Denis_Parsons_Burkitt
The USDA [1] makes their calculations from a proportion of 14g fiber for each 1000kcal consumed - if you're an adult male with a healthy diet you're likely consuming around 2000-2500kcal, which puts your fiber needs at 28-35g per day.
You probably need more of it, but I'm not a doctor and even less *your* doctor, so please don't just take my word for it. :)
[0] https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-h...
[1] https://www.dietaryguidelines.gov/sites/default/files/2021-0...
- you