Monday, November 28, 2011

Mito Cocktail - Quinine

Here is what America's Compounding Center says about Quinine:

"Quinine, which is derived from the herb Cinchona succirubra, was historically applied topically to treat hemorroids and varicose veins. It can be prescribed by a doctor as the doctor as the brand-name medication Qualaquin to treat malaria and the tick-borne illness babesiosis. It is also taken by patients to prevent or treat nighttime leg cramps, and can be used to alleviate leg and muscle cramps in patients with mitochondrial disease. Quinine is taken at low doses of 200-300 mg once every evening for leg cramps, but is used in higher doses for the treatment of malaria and babesiosis. Quinine can cause serious side effects, including a condition called cinchonism, which may result in severe headaches, abdominal discomfort, convulsions, and vision problems. Quinine can also cause severe allergic reactions, hearing problems and ringing in the ears, fever, chills, blood abnormalities, confusion, dizziness, changes in heart rate and/or rhythm, jaundice, and kidney or liver problems."

Thursday, November 17, 2011

Mito Cocktail - Magnesium Orotate

America's Compounding Center says the following about Magnesium Orotate:

"Magnesium orotate is a naturaly occurring substance involved in DNA synthesis, maintaining healthy heart function, and in producing energy for the body's cells. Magnesium orotate may be used to treat magnesium deficiency, improve exercise performance, and improve heart function in patients with cardiovascular disease. Dietary sources of magnesium orotate include root vegetables and whey. Typical dosing for magnesium orotate ranges from 500 - 2,000 mg twice daily, to be taken before meals. Magnesium orotate supplementation is generally well-tolerates, but patients may experience diarrhea."

Mito Cocktail - Uridine

America's Compounding Center says the following about Uridine:

"Uridine is naturally present in the body and is a component of RNA whichis used to produce DNA. Urisine is also involved in the breakdown of carbohydrates to produce energy. Some patients with mitochondrial diseases cannot produce uridine. A recent clinical trial has reported that uridine supplementation may improve cognition, muscle control, and kidney function in children with mitochondrial disease and was generally well-tolerated over a period of two years. The ideal dose of uridine for patients with mitochondrial disease is currently unknown. Long-term therapy with 150 mg of uridine daily has been reported as safe. Uridine supplementation may cause stomach discomfort and diarrhea."

Mito Cocktail - Ribose

America's Compounding Center says the following about Ribose: 

"Ribose is a sugar that is produced by the body from food as a source of energy. Ribose may be effective at increasing energy levels, improving ath;etic performance, improving functionality in patients with coronary artery disease, fibromyalgia, and congestive heart failure, and to prevent symptoms associated with the mitochondrial disease moadenylate deaminase (MAD) deficiency (also known as AMPD deficiency) after exercise, such as muscle pain and cramping. Ribose is usually given as a 15g oral dose four times daily, but can also be given before, during, and after exercise to prevent muscle cramping. Side effects of ribose include stomach discomfort, nausea, diarrhea, headache, and hypoglycemia."

Mito Cocktail - N-Acetyl Cysteine (NAC)

America's Compounding Center says the following about N-Acetyl Cysteine (NAC):

"N-acetyl cysteine, also known as acetylcysteine or NAC, is an antioxidant related to the amino acid cysteine. N-acetyl cysteine is commonly used to treat acetaminophen (Tylenol) overdose; however, there are many other uses for this medication. N-acetyle cysteine is also used to relieve respiratory symptoms associated with chronic bronchitis, cystic fibrosis, and reduce mucous in other lung conditions, and to prevent liver and kidney damage. It is used in patients with mitochondrial disease dues to its antioxidant effects. Dosing depends on the indication, but oral dosing for chronic conditions generally ranges from 200-600 mg two to three times daily. Side effects of n-acetyl cysteine include nausea, vomiting, diarrhea, rash, headache and drowsiness."

Mito Cocktail - Glutamine

America's Compounding Center says the following about Glutamine:

"Glutamine is a naturally occurring amino acid that is primarily produced and stored in the muscles. It helps the body produce proteins and protects the lining of the stomach. Glutamine also acts as an antioxidant and helps to protect and remove harmful waste products from the liver. Glutamine supplements are used to treat short bowel syndrome, inflammatory bowel disease, inflammation of the mouth associated with chemotherapy, to prevent nerve damage due to chemotherapy agents, to improve wound healing, and to treat glutamine deficiency in patients with mitochondrial disease and other conditions. Dietary sources of glutamine include meats, dairy products, and uncooked spinach. Glutamine is generally given orally as 5 grams (in powder, tablet or capsule form) up to six times daily, for a total daily dose of up to 30 grams per day. Patients should mix the powder with cold or room temperature liquids, as heat inactivates glutamine. Side effects associated with glutamine supplementation include rash, stomach discomfort, nausea, vomiting, swelling in the arms and legs, cough, fever, chills, and liver and kidney problems."

Mito Cocktail - NADH

America's Compounding Center says the following about NADH:

"NADH, which stands for nicotinamide adenine dinucleotide hydrate, is a naturally occurring chemical related to B vitamins that helps the body produce energy necessary for normal cell function. NADH supplements have ben used to enhance immune system function, increase energy levels, improve athletic performance, decrease blood pressure and cholesterol levels, improve nerve function in patients with Parkinson's disease, decrease the side effects of some medications used to treat human immunodeficiency virus (HIV) infection, and for conditions such as mitochondrial disease that may result in NADH deficiency. Patients typically take between 2.5 and 10 mg of NADH by mouth daily. Side effects reported with NADH supplementation are minimal and include insomnia and anxiety."

Mito Cocktail - Coenzyme Q10 (Idebenone)

America's Compounding center says the following about idebenone:

"Idebenone is a synthetic product similar to coenzyme Q10 (CoQ10) which is primarily used for its antioxidant effects. The effects of idebenone are being investigated in patients with Alzheiner's disease, optic nerve problems, a type of heart failure known as Fredreich's ataxia, and mitochonrial disease. Patients most commonly receive doses of 90-120mg of idebenone by mouth daily, but doses up to 300mg daily have been used. Side effects associated with the use of idebenone include stomach upset, nausea, vomiting, diarrhea, headache, dizziness, and confusion."

Wednesday, November 16, 2011

Mito Cocktail - Vitamin D3

America's Compounding Center says the following about Vitamin D3:

"Vitamon D3, also known as cholecalciferol, is a fat-soluble product which is naturally produced by the skin when a patient is exposed to sunlight. Fat-soluble vitamins are stored by the body and do not need to be replaced daily through dietary consumption.  Dietary sources of vitamin D include dairy products and fish. Vitamin D is necessary for calcium absorption and is involved in bone formation. Adequate vitamin D intake reduces the risk of bone fractures, and may reduce the risk of heart disease and certain types of cancer. Severe vitamin D deficiency may cause rickets, a condition involving softening of the bones and joint malformation due to a combination of calcium, phosphate, and vitamin D deficiency. Causes of vitamin D deficiency include malabsorption or genetic disorders, lack of exposure to sunlight, poor dietary intake, and kidney failure. Because vitamin D is a fat-soluble vitamin, doses are represented in international unitls (IU), rather than milligrams (mg). Vitamin D is commonly given orally in doses of 400-2000IU daily. Side effects are rare, and may include weakness, fatigue, headache, and loss of appetite."

Mito Cocktail - Folic Acid

America's Compounding Center says the following about Folic Acid:

"Folic Acid, also known as folate or pteroylglutamic acid, is a B vitamin involved in DNA synthesis and the production of red blood cells. In pregnanct women, folic acid is necessary for the development of the baby's spinal cord. Dietary sources of folic acid include green leafy vegetables, beef, eggs, fish, and whole grain cereals.  Folic acid deficiency may be due to alcoholism, malabsorption syndromes, genetic and mitochondrial disease, liver disease and certain medications. Symptoms of folic acid deficiency include anemia. fatigue, forgetfulness, headache, and diarrhea. The UMDF recommends a supplemental dose of 1-10 mg of folic acid daily. Folic acid is generally well-tolerated, but high doses may result in side effects such as abdominal pain and diarrhea."

Mito Cocktail - Vitamin K1

America's Compounding Center says the following about Vitamin K1:

"Vitamin K1, also known as phytonadione or phylioquinone, is a fat-soluble vitamin that plays an important role in producing specific chemicals in the liver that allow blood to clot. Fat-soluble vitamins are stored by the body and do not need to be replaced daily through dietary consumption. Dietary sources of vitamin K1 include green leafy vegetables, such as spinach, broccoli, and kale. Vitamin K1 is commonly administered in newborns to prevent bleeding, and is also used to reverse the effects of the anticoagulant medication, Warfarin. Causes of vitamin K1 deficiency include malabsorption syndromes, genetic defects, liver disease, bowel resections, and poor dietary intake. Vitamin K1 deficiency may cause unusual bleeding or easy bruising. Common doses of oral vitamin K1 supplementation range from 1-25 mg daily. Potential side effects include jaundice and allergic reactions, such as rash, hives, and airway constriction."

Mito Cocktail - NA Succinate

America's Compounding Center says the following about NA Succinate:

"Na sucinate, also known as sodium succinate or succinate, is a chemical involved in the body's production of energy required for normal cell function.  Succinate has been studied to improve mitochondrial function in patients with mitochondrial disease, and may aid in energy production and increase overall energy levels. Succinate is also an antioxidant that helps protect against damage to cells by harmful chemicals called free radicals and may even help to prevent cancer. The UMDF recommends taking 6 grams of sucinate daily."

Mito Cocktail - Biotin

Here is what America's Compounding Center says about Biotin:

"Biotin, also known as vitamin H, is a water-soluble B complex vitamin that is involved in the metabolism and conversion of food into energy. Water-soluble vitamins are not stored in the body, therefore need to be replaced regulalry in the diet. Biotin helps maintain the health of several tissues, including the eyes, skin, hair, and liver. Dietary sources of biotin include egg yolk, mushrooms, dark green vegetables, liver, and shrimp. Biotin deficiency is rare, since it is normally produced in the intestine. Biotin deficiency is usually due to chronic malabsorption, genetic disorders, or long-term therapy with total parenteral nutrition (TPN), anticonvulsants, or antibiotics. Symptoms associated with biotin deficiency include stomach upset, fatigue, muscle pain, hair loss, anemia, mood changes, and dry skin or a grayish discoloration of the skin. The UMDF recommends taking 2.5-10 mg of biotin daily. Biotin supplementaion has been associated with stomach upset, but is generally well-tolerated."

Mito Cocktail - Selenium

America's Compounding Center says the following about selenium:

"Selenium is an essential element found in trace amounts throughout the body. It is an antioxidant and may have anticancer and anti-aging effects. Selenium also helps maintain immune system and thyroid function. Dietary sources of selenium include nuts (particularly Brazil nuts), fish, shellfish, meats, and whole grain breads and cereals. Selenium deficiency is rare, but can occur in patients with malabsorption syndromes, genetic and mitochondrial disease, and in alcoholics. Complications of selenium deficiency include changes in the fingernails and nail beds, muscle weakness or pain, bleaching of the skin and hair, and heart problems. The UMDF recommends taking 25-50 micrograms (mcg) of selenium daily. Patients should not receive more than 400 mcg of selenium per day due to risk of selenium toxicity, which can result in fatigue, hair loss, and skin lesions. "

Tuesday, November 15, 2011

Mito Cocktail - Vitamin C

America's Compounding Center says this about Vitamin C:

"Vitamin C, also known as ascorbic acid, is a water-soluble vitamin found in fresh fruits and vegetables such as oranges, green peppers, broccoli, tomatoes, kiwi, and strawberries. Water-soluble vitamins are not stored by th ebody, therefore they need to be replaced regularly in the diet.  Vitamin C is a natural antioxidant, helps the body maintain skin and bone health, and aids in wound healing. Vitamin C has been studied for many uses, including prevention of the common cold, cancer, and heart disease, as well as treatment of high blood pressure, and acceleration of wound healing in patients with severe burns. Causes of vitamin C deficiency include poor dietary intake, cigarette smoking, malabsorption syndromes, and genetic disorders. Symptoms of Vitamin C deficiency include fatigue, petechiae, bleeding or swollen gums, dry skin, brittle nails and bone changes. In cases of severe deficiency, a patient can develop scurvy. The UMDF recommends taking 100-500 mg of vitamin C one to three times daily. Adverse effects associated with high-dose Vitamin C supplementaton include nausea, stomach upset, diarrhea, and kidney problems. "

Mito Cocktail - Cobalamin (B12)

America's Compounding Center says the following about B12:

"Cobalamin, also known as Vitamin B12 or cyanocobalamin, is a complex B vitamin involved in DNA synthesis, and in the conversion of food into energy. Dietary sources of cobalamin include meat, poultry, clams, oysters, liver, and dairy.  Since cobalamin is stored in the body, deficiency is rare and takes about three years for the body to develop. Cobalamin deficiency most commonly develops in patients with chronic malabsorption syndromes, genetic disorders, and vegetarians who do not consume any animal products. Complications of cobalamin deficiency include anemia (low red blood cell count), fatigue, muscle weakness, poor coordination, confusion, and tingling or numbness in the hands and feet. Cobalamin is available in oral, injectable, or intranasal dosage forms. A common oral dose for patients with cobalamin deficiency ranges from 100-1,000 micrograms (mcg) daily. Potential side effects of cobalamin supplementation include itching, diarrhea, headache, and anxiety."

Mito Cocktail- Pyridoxine (B6)

America's pharmacy says this about B6:

"Pyridoxine, also known as vitamin B6, is a water-soluble B vitamin involved in the conversion of carbohydrates and protein into sources of energy. Water-soluble vitamins are not stored by the body, therefore they need to be replaced regularly in the diet. Pyridoxine is also necessary to maintain healthy nerve cell function, and is involved in the production of red blood cells and hormones. Dietary sources of pyridoxine include whole grain breads and cereals, spinach, green beans, bananas, carrots, eggs, chicken, and walnuts. Pyridoxine supplementation is used to treat pyridoxine deficiency, which may be due to malabsorption or genetic disorders, alcoholism, poor dietary intake, or certain medications. Symptoms of pyridoxine deficiency include dry, peeling skin, mental confusion, nerve dysfunction, and poor coordination. Pyridoxine can also be used to treat medical conditions such as anemia and nerve disorders. Typical doses used in the treatment of pyridoxine deficiency range from 10 to 250mg daily, but doses up to 600mg daily have been used. Potential side effects of pyridoxine include and increased sensitivity to light, rash, headache, stomach upset, allergic reactions, and tingling or numbness in the hands and feet. "

Mito Cocktail - Niacin (B3)

America's Compounding Center says this about Niacine (B3):

"Niacin, also known as nicotinic acid, nicotinamide or vitamin B3, is a complex B vitamin. Niacin is used to treat patients with niacin deficiency, known as pellagra, which may be due to poor dietary intake, aging, malabsorption syndromes, or alcoholism. Classic symptoms associated with pellagra include inflammation and irritation of the skin, mental confusion, and diarrhea. Patients commonly develop a rash with darkening or thickening of the skin on the face. Niacin is found in lean meats, poultry, grains, eggs, fish, milk and legumes (such as beans, peas and peanuts). The recommended dose of niacin for mitochondrial disorders ranges from 50-100mg by mouth daily, according to the UMDF. Side effects associated with niacin supplementation include stomach discomfort, flushing of the upper body (particularly face and neck), headache, and liver problems. "

Monday, November 14, 2011

What is N-Acetylaspartic Acid (NAA)?

This is a question I've been asking over the last month. What, exactly, is this chemical, NAA, that is low in J's brain?

Simply stated,  N-Acetylaspartic Acid (NAA) is a marker of neuron integrity and viability.  A study in the American Journal of Neuroradiology said the following:  Due to its near-exclusive localization to neurons and their processes, NAA is regarded as a marker for their health and density, and its level has been reported to decline in all neurodegenerative central nervous system disorders in adults.

N-Acetylaspartic Acid even has an entire website dedicated to it.  N-Acetylaspartic
NAA is also known as N-acetylaspartate and NAA is the second most  most abundant amino acid in the brain. NAA gives off the largest signal in MRS of the human brain. This along with the fact that it is pretty much exclusive to neurons, makes it a reliable marker.  The levels measured in the brain are decreased in many neuropathological conditions ranging from brain injury, stroke,  Alzheimer's  to Parkinson's. This also makes NAA a reliable diagnostic molecule for doctors treating patients with brain disease.

An article that I found on PubMed says: 
An article I found on PubMed says this:  "MRS studies of human brain disorders have invariably detected decreases in brain NAA concentrations when neuronal loss or dysfunction are involved with one major exception: Canavan Disease... virtually all other neurological disorders involving neuronal loss or dysfunction result in reduction of NAA levels."

A 2003 Medscape article  titled MRI Shows Brain Injury in MS That Precedes Atrophy says the following:  
"Neuronal cell death may be an important marker to measure the progression of MS, and this eventually may be a therapeutic target. "First you lose the neurons, and then the axons atrophy," Dr. Gonen told Medscape. "We don't have a treatment that interrupts this process, but physicians can use these images to encourage their patients to take medications that prevent attacks."

The marker for neuronal cell death is the amino acid derivative N-acetylaspartate (NAA). Because this protein is present almost exclusively in neuronal cells, Dr. Gonen and colleagues theorized that quantifying the level of NAA by proton MR spectroscopy would give an indication of whether the patient was experiencing a loss of these cells. Therefore, they sought to quantify the relationship among NAA levels, brain volume, and disease duration to better understand the early developments in MS."

Mitochondria and Brain Disease

Mitochondria and Brain Disease is a great article for anyone looking for the link between the two.

"It is not surprising that, in adult neurons, which depend primarily on ATP production to meet bioenergetic demands, any compromises in mitochondrial function place neurons at a high risk for both dysfunction and/or death. The association between mitochondrial abnormalities and disease has been known for approximately four decades, with the description of a patient with hypermetabolism and a skeletal muscle biopsy demonstrating large numbers of abnormal mitochondria, a disorder now termed “mitochondrial myopathy” (Cassarino & Bennett, 1999). There exists substantial evidence that mitochondrial dysfunction and oxidative damage may play a key role in the pathogenesis of neurodegenerative disease. Evidence implicating both mitochondrial dysfunction and oxidative damage in the pathogenesis of Alzheimer’s disease (AD), and Huntington’s disease (HD), as well as ischemia and other neurological disorders, continues to accumulate"  

MR Spectroscopy in Mitochondrial Diseases

Proton MR Spectroscopy of Mitochondrial Diseases: Analysis of Brain Metabolic Abnormalities and Their Possible Diagnostic Relevance

I've been trying to find medical papers on MRS in Mito.  This one seems to be quite useful.  Our doctor sent us a good one, but I have not been able to find it on-line.  I'd say enjoy reading, except, if you are interested in reading, it isn't likely because you enjoy the topic (at least this is the case for me...I wish I'd never heard of Spectroscopy, to be honest)!

A quote from the article:  "Mitochondrial diseases with respiratory chain dysfunction are a wide group of clinical disorders that result from mutations in mitochondrial or nucleus-encoded OXPHOS subunit genes. Skeletal muscles and brain are the most commonly affected tissues mainly because their energy production strongly relies on mitochondrial oxidative phosphorylation. However, other organs and tissues such as heart, liver, kidney, and endocrine glands may also be involved. Different syndromes have been described on the basis of the type of primary or nucleus-driven mitochondrial DNA (mtDNA) mutation, but in most cases the consequent biochemical defect is not related to a single clinical manifestation. Diagnosis is often a challenge, based on a multidisciplinary approach that uses clinical, biochemical, neuroradiologic, and genetic data (13)."

When Neuromuscular Disease Affects the Brain

The MDA has a great article titled When Neuromuscular Disease Affects the Brain  
The following is an excerpt from the last portion of the article that addresses Mitochondrial Disease:

"Mitochondrial Diseases: Damage to the Brain

  Of all the neuromuscular diseases covered in MDA’s program, those that have to do with the mitochondria — the tiny energy-producing units tucked inside human and animal cells — are perhaps the most mysterious, confusing and challenging for physicians and families.
   All cells and the tissues in which they’re located require energy to function, but some tissues — such as the brain and muscles — require more energy than others. That’s probably why defects in mitochondrial function hit these areas hard.

 There are several types of mitochondrial diseases, and they all have different characteristics. What’s even more confusing is that even when a mitochondrial disease runs in a family, various family members can have different symptoms or degrees of severity, even though their mitochondrial flaw may be the same.    Neuromuscular disease specialist Tim Miller at Arizona Health Sciences Center in Tucson says it isn’t so much the mitochondrial defect itself that makes the difference in cognitive functioning. Instead, as with the congenital muscular dystrophies, it’s the presence or absence of severe seizures, as well as two other aspects of mitochondrial disease — strokes and high levels of lactic acid in the blood.
   “Seizures are a major factor,” Miller says. “For kids with underlying mitochondrial changes, you have to worry, because seizures can damage things even worse.”
   Fortunately, Miller says, seizures can often be adequately controlled with medication. But these medications can themselves cause some side effects, which can include sleepiness, confusion, memory problems and trouble with vision. The benefits and side effects have to be carefully weighed by the doctor and parents and the dose meticulously monitored.
   Strokes or “strokelike episodes” occur in some children with mitochondrial diseases. A “stroke” is the term for an interruption of blood supply to the brain, with resulting brain damage, either temporary or permanent. Strokes can be caused by either abnormal bleeding in the brain or an obstruction to blood flow in the brain.
   “There are probably changes in the brain’s blood vessels,” Miller says. “We know that mitochondrial dysfunction can affect blood vessels.” (Other experts say strokelike episodes may sometimes be seizure-related.) Unfortunately, there’s little that can be done to prevent or control these episodes.
   When mitochondria don’t produce energy for cells in the usual way, energy-producing pathways are altered, leading ultimately to the buildup of lactic acid. When enough of this chemical gets into the blood, it changes the blood’s acidity level, which leads to a host of unwelcome changes in body chemistry. This lactic acidosis isn’t good for the brain, causing a variety of cognitive symptoms.
   “The body maintains a very strict level of acids and bases,” Miller says. “Any time that level is affected, it can affect thinking.”
   Miller says a medication called lactulose (brand names Constilac, Chronulac and others) can sometimes be used effectively to draw off some of the acid into the intestines, but that the best approach may be to try to prevent lactic acid buildup from occurring in the first place.
   Making sure the child’s respiratory function is adequate, preventing or promptly treating infections, and maintaining good nutrition can all help prevent lactic acidosis, Miller says.
   “When kids are challenged with something like an infection, that may make it more difficult for them to stay in [metabolic] balance,” he says. Parents have to be on the lookout for signs of infection and for cognitive symptoms that suggest lactic acid may be building up. Diminished concentration, diminished talking, confusion and irritability are among those symptoms.
   The brain’s vision-processing cells, as well as the retina at the back of the eye and the muscles that control eye movements, can all be affected in mitochon-drial diseases, so vision can be a problem.
   Vision therapy may be helpful, as can assistive technology such as adapted computer screens and computer-operating devices.
   Hearing can also be affected, and some children need hearing aids and/or devices to help them communicate.
   Children with mitochondrial diseases and their families often need referrals to hearing and speech specialists, vision specialists, respiratory doctors and therapists, educational specialists, and social workers or counselors. (Ask about these specialists at your MDA clinic and through the public school system in your area.)"

Mito Cocktail- Thiamine (B1)

The handout from our compounding pharmacy, America's Compounding Center, says the following about Thiamine:

"Thiamine, also known as B1, is a water-soluble, complex B vitamin.   Water-soluble vitamins are not stored by the body, therefore they need to be replaced regularly in the diet.  Thiamine is essential to maintan heart and nerve cell function, and for converting food sources into energy. Thiamine is commonly found in legumes (such as beans, peas, and peanuts), whole grain cereals and breads, pork,m and beef.  Common causes of thiamine deficiency include poor dietary intake, malabsorption syndromes, alcoholism, prolonged diarrhea, and states that increase thiamine requirements, such as pregnancy.  Thiamine deficiency, known as beriberi, can cause neurological symptoms, such as tingling or loss of feeling in the hands and feet, and muscle weakness. Patients with thiamine deficiency may also experience cardiac symptoms, such as increased or abnormal heart rate. The UMDF recommends taking 50-100mg of thiamine by mouth daily., but doses up to 800mg daily have been used in patients with mitochondrial disease. The most common side effects associated with thiamine supplementation include allergic reactions, such as rash or hives, and stomach upset, which can be minimized if taken with food."

Friday, November 11, 2011

My First Holy Communion

Here is a blast from the past. This is a picture taken with my friend, Lisa, on the day of my First Holy Communion. March 13, 1977. It is an old Polaroid.

We didn't attend church very often when I was growing up, at least not that I can remember.  This was especially true after my First Holy Communion and our move to another state.  On this day, God had a special plan for me.  Of course I didn't know it then, but look how far I've come-- and He protected me and drew me closer to Him each and every day.  God is good!

Mito Cocktail - Vitamin E

Vitamin E can be part of a person's Mito Cocktail.  Remember that each Mito patient is different and the cocktail is tailored to the individual.  America's Compounding Center says this about Vitamin E in their Mito Cocktail handout:

" Vitamin E, also known as tocopheral, is a fat-soluble vitamin. Fat Soluble vitains are stored by the body and do not need to be replaced daily through dietary consumption. Vitamin E is a natural antioxidant and is involved in the formation of red blood cells. Dietary sources of Vitamin E include vegetable oils, nuts, seeds and green leafy vegetables. Vitamin E has been studied to prevent cancer, Alzheimer's disease, diabetes and heart disease, as well as to treat dementia and improve cognition. However, these results have been somewhat controversial and inconclusive. Vitamin E deficiency is rare (since it is stored in the fat), and occur most often in premature infants and patients with abnormal fat absorption due to genetic or malasorption disorders. Symptoms of Vitamin E deficiency include muscle weakness, anemia, and nervous system dysfunction such as tingling or numbness in the hands and feet, loss of balance, and lack of coordination. Because vitamin E is fat soluble, doses are generally represented in international units (IU), rather than milligrams (mg). The UMDF recommends taking 200-400 IU of Vitamin E one to three times daily. Side effects of Vitamin E supplementation include nausea, diarrhea, bleeding or bruising easily, headache, and fatigue.  Patients with certain health problems such as diabetes or heart disease, should not take more than 400IU of vitamin E daily, as some studies have shown that it may increase the patient's risk of death."

Making Cinnamon Rolls

Sean is my not-so-little chef.  He has always liked to cook and bake.  This morning, he make Wildtree's Sunday Morning Cinnamon Rolls .  They are so easy to make, even my 15 year old can do it!  I drank my coffee and read The Daily while he worked away.  I captured these photos of the entire process from start to end.  If you are interested in Wildtree products, check out my Wiltree website. Have a blessed day!

1 Cross + 3 Nails = 4 given

I don't like all of the cards I make... I love the stamp set, but I'm not sure about the card. I figure I should go ahead and share those cards I feel are dismal failures, too. This is the first week in a long time that we have not had to go to ANY doctor's appointments.  I thought we might, but we were able to avoid going. Yeah us! Sean has finally recovered from football and made it to play racquetball at the Y for the first time since we joined. He has always been too tired to come along.  No one stayed up or woke up with pain last night, so life is good.

I just posted my Sugar-free Vanilla Creme Brulee recipe in Pattie's Kitchen. Check it out.  I can't tell the difference and I am a sugar snob.

So, now for the card I don't think is all tat great. You win some, lose some.

See what I mean..... not my best work ever.

Thursday, November 10, 2011

Mito Cocktail - Creatine Monohydrate

I'm learning a lot as I share information from America's Compounding Center's handout.  I think it is wonderful that they send this with the part of the boys' Mito Cocktail they compound for us.

"Creatine Monohydrate is a naturally occurring substance that is stored in the muscles and serves as a source of energy. It is produced in the liver, kidneys and pancreas, but can also be found in meats and fish. Creatine supplements are often taken by body builders and weight lifters to improve athletic performance. The UMDF recommends taking 5g of creatine twice daily. Side effects of creatine supplementation include stomach upset, nausea and muscle cramping."

Mama's Mission of the Month

I'm doing well with Christie's November Challenge and I'm making headway on the other tasks I placed on my Mama's Mission list this month.  I find making it to daily Mass is so rewarding, but it is SO hard to get to Daily Mass when I've been up at night.  I made it once last week, but haven't gone this week. Tomorrow, I hope to get there.  It is my goal for Friday morning.

My youngest  has had a bad Mito week so far.  Back pain woke him up and kept him up for a while one night, another night it was eye pain and last night he was having unusual symptoms of feeling weak and dizzy (along with stomach pain).   Dear God, he's not my dizzy one!  He has had a few bouts of dizziness in the past, but nothing like his older brother.  That is supposed to be Sean's symptom and not his!  ~laughter~ He seems better this morning, thankfully. I am offering many prayers of thanksgiving because of the Neurontin's effects on Joseph's pain.  Here is a picture we took yesterday at the YMCA.  Joseph playing racquetball. Something he had to stop because the foot, ankle, back and leg pain were too much.  So, while he's had some bad nights, I am thankful for the good days.

Racquetball brought to you by Neurontin

What's up with the late night pain?  I wish I could remember everything from all of the Mito sessions I have gone to.  He does seem better most mornings-- unless he is having one of his "I'm going to vomit" days. In the scheme of things, our kids are really mildly affected by Mitochondrial Disease.  Today, I am remembering in prayer all the Mito kids who are in the hospital right now.  Hope to go visit one of our friends today.  Muffins are in the oven!

Wednesday, November 9, 2011

Mito Cocktail - CoQ10 (Ubiquinone)

America's Pharmacy sent us this wonderful information sheet on all the components of the Mito Cocktail with our boys prescription. They were helpful and worked to get our insurance to cover the Mito Cocktail, too!

"CoQ10  also known as ubiquinone, is a natural antioxidant that is involved in producing a molecule that serves as the primary energy source for all cells. Dietary sources of CoQ10 include fish, meats, eggs, spinach, and peanuts. CoQ10 has been used in studies to prevent cancer and heart disease, increase energy levels, lower blood pressure and cholesterol levels, enhance immune system function, and for the treatment of mitochondrial disease. The UMDF recommends taking 5-15mg per kilogram of ubiquinone daily. In general, CoQ10 is well tolerated, but some side effects include nausea, stomach upset, headache, loss of appetite, and dizziness."

Mito Awareness Won!

I'm so excited!  I just found out that my Mitochondrial Disease Awareness Card won the challenge.  I receive a $20 gift certificate. I love free stamps! You can see the post here

Unity Opportunity Challenge

Here is a card I made for the current Unity Opportunity Challenge:

I used a set by Unity (Jillibean Soup) called Snowflakes Fall From Heaven.

Mito Cocktail - Carnitor (L-carnitine)

America's Compounding Center says the following about L-carnitine:

"Carnitor, also known as L-Carnitine, levocarnitine, and carnitine, is an amino acid that is naturaly produced in the liver and kidneys and is stored primarily in the muscles, heart and brain. It helps the body convert fat into sources of energy. Dietary sources of carnitine include meats (particularly red meat) and dairy products. Carnitine deficiency is rare, since the body usually produces an adequate amount, and is often due to a genetic defect, such as mitochondrial disease. Premature infants who are fed exclusively formula that does not contain carnitine may also become deficient. Symptoms and complications associated with carnitine deficiency may include muscle weakness, liver problems, heart failure, and hypoglycemia. ...The typical dosing range for patients wth mitochondrial disease is 30-100mg per kilogram daily. The UMDF recommends starting at 30mg/kg/day, and increasing to a maximum of 10mg/kg/day. Side effects associated with carnitine therapy include stomach upset, diarrhea, body odor, and rash. Carnitine may also increase the risk of seizures in patietns with a history of seizures."

Mito Cocktail, an Introduction

According to a handout from America's Compounding Center, "The Mitochondrial Cocktail or "mito cocktail" refers to a combination of commonly used vitamins and minerals taken by patients with mitochondrial disease. There are many different types of mitochondrial diseases, which may be genetic or acquired. DNA mutations result in mitochondrial dysfunction, which impairs the ability of the body to convert food into energy. Although there is no cure for mitochondrial disease, many patients respond well to dietary supplementation."

MitoAction has a great explanation on its blog that can be found at this link: The Mito Cocktail Explained  I think this is a good article that will help to gain a basic understanding of what the Mito Cocktail is.

Mito Cocktail - Riboflavin (B2)

The Foundation for Mitochondrial Medicine says this: 

"Mitochondrial disease means the power plants in cells don't function properly. When that happens, some functions in the body don't work normally. It's as if the body has a power failure: there is a gradation of effects, like a 'brown out' or a 'black out'.

Scientifically, it is actually a category or group of diseases. That's why mitochondrial disease takes many different forms and no two people may look alike."

Because these powerhouses of the cells (Mitochondria) do not function properly, patietns take the Mito Cocktail to help improve cellular function.

The information on Riboflavin (below) comes from the sheet our compounding pharmacy sent to us. America's Compounding Center says this about Riboflavin (B2)

"Riboflavin, or vitamin B2, is a water-soluble B vitamin necessary to maintain healthy cell function in the eyes, mucous membranes, skin, hair and nails. Water-soluble vitamins are not stored by the body, therefore they need to be replaced regularly in the diet. Dietary sources of riboflavin include green leafy vegetables, dairy, eggs, meats, poultry, fish and whole grain cereals.  Common causes of riboflavin deficiency include malabsorption syndromes, alcoholism, and poor dietary intake. Symptoms associated with riboflavin deficiency usually affect the eyes and skin and include blurred vision and sensitivity to light, dry, flaky skin and sore throat. Riboflavin supplementation has been used to treat patients with riboflavin deficiency and has also been studied for migraine prevention. The UMDF recommends that patients take 100-400mg of riboflavin by mouth daily. Doses between 100 and 120 mg daily have been studied in children with mitochondrial disorders. The most common side effect associated with riboflavin is a bright yellow-orange discoloration of the urine. "

Tuesday, November 8, 2011

Mito Cocktail - Alpha Lipoic Acid

There is no cure for Mitochondrial Disease. The Foundation for Mitochondrial Medicine says the following:

"Currently there are no highly effective mitochondrial disease treatments. Though related symptoms, such as seizures or attention problems can be managed with various medications, the mitochondrial disease itself is unchanged. Unfortunately, supplements such as CoQ10 and L-Carnitine have little to no effect on most patients.

In 2009, FDA approval occurred for an EID (Emergency Intervention Drug) to treat a mitochondrial disease with the new drug from Edison Pharmaceuticals, EPI-743. This represents the first steps toward viable treatments and hopefully, the beginning of many more near-term advancements in mitochondrial medicine research."

I've met many Mito families who have asked what the various components of the Mito Cocktail are, and what does each one do or target?  Today, I wanted to write about Alpha Lipoic Acid (ALA).  Our compounding pharmacy (America's Compounding Center) sent us the following information on ALA.

"Alpha Lipoic Acid (ALA), also known as thioctic acid, is an antioxidant that is naturally produced by the body and helps convert glucose into energy. Dietary sources of ALA include red meat, liver, broccoli, spinach, and yeast. ALA deficiency is rare, as healthy patients produce enough themselves, but certain genetic and metabolic disorders can lead to a deficiency, including patients with mitochondrial Disease. Because of its effects on glucose, ALA has been studied to improve circulation, prevent nerve damage, and improve blood glucose control in patients with diabetes. ALA may also improve mental function in patients with dementia because of its antioxidant effects. The UMDF recommends taking 60-200 mg of ALA three times daily. Side effects associated with ALA supplementation include nausea, vomiting, rash and headache."

I'm hoping to get information on all the Mito Cocktail components on my blog soon. 

30 days of Giving and Thanks - Giving Blood and Marrow

November is rolling right along, isn't it? I've been trying to do extra deeds of giving and thanks, though we typically do this year-round.  I've been able to do my normal activities and add a little here and there. We often bring meals, food and other items to friends.

The boys will be featured in a Winter Days of Giving commercial that airs in our local area all December long.  We shot the commercial last month-- we hope it will encourage others to donate blood.  This time of year is when they REALLY need blood donors. I'm continuing with the challenge, but won't write about all of the extra things I've done. Somethings are better left unsaid, right?

I'm hoping that others will give blood this Christmas Season, this is what I'd like to write about right now.  Blood and bone marrow donors save lives. Having two boys with Shwachman-Diamond Syndrome, a bone marrow failure syndrome,  we realize the need for blood and blood products. We have many friends whose lives were saved by generous blood donors.  Sean and Joseph received IgG (a blood product made from blood plasma) for over 9 years.  Joseph has been off of IgG for a few months and we are hoping he will continue to do well lke his brother, Sean, who has been off of IgG for 2 years.

Joseph almost went to transplant back in 2006-early 2007. The doctors felt it was a real possibility-- so much so that they did a preliminary search of the bone marrow donor  and cord blood registries registries (6.5 million registered donors) in preparation. We found out that Joseph doesn't have a match.  Our family was retyped (HLA typing was also done back in 2000 when they felt the boys wold be going to transplant) -- it confirmed that Matthew is a perfect 10/10 match for Sean and not a match for Joseph. 

We lost a  SDS friend last year because he developed leukemia and did not have a match. He died waiting to receive a bone marrow transplant. There are many people who are waiting for life saving bone marrow.   If you are interested in how to become a donor, please visit

Sunday, November 6, 2011

Son Of Braves GM has Mitochondrial Disease

I read an article today about the son of the Braves GM who has Mitochondrial Disease.  It is uplifting!  He plays baseball at the college level and it made me think of the baseball player in our house who has Mito.  You can read the article here.

It sounds a lot like my boys.  Dr. Shoffner is amazing and I am glad that he is tireless in his efforts to find real treatments and a cure for Mitochondrial Disease.  

A few quotes for those who don't want to read the entire article:

"It seemed the more he worked out, the worse shape he’d be in. If he started off bench pressing 185 pounds, he was down to 130 the next week. He’d have cramps that lasted two hours after a football game, no matter how much fluid he drank. The longer he played in a game — and as a ninth grader he played fullback, linebacker and kicked and punted for Landmark Christian’s junior-varsity team — the worse he got."

"He didn’t know it, but he was dealing with a chameleon of a disease. It targets mitochondria, “power plants” in almost every kind of cell in the body which convert nutrients from food and oxygen into energy. Mitochondrial disease can affect different systems in the body — brain, heart, muscle — at different times in different people. It’s complex and difficult to diagnose."

"A frantic call to the neurologist, who then consulted Wren’s other doctors, brought word: Wren should see Dr. John Shoffner, a specialist in mitochondrial disease. He was world renown and practicing in Atlanta."

LSU v Alabama

The boys' football games were cancelled due to bad field conditions.  I think we were supposed to be sad about this, but we were elated! This made it possible for us to watch the LSU game live, in real time!

What a game! Sean had a migraine and ended up going to bed as halftime started. That's just life with Mitochondrial Disease.   It was a nail biting game all the way through OT.   In the end, LSU won in OT 9-6. Geaux Tigers! I feel a National Championship game coming on........
This is the play of the game according to The Daily.  I agree. This interception saved LSU.

Friday, November 4, 2011

Mito Awareness Card

I'm in love with this $6 set from Ippity!  It is called All things are possible.  When I saw it, I knew I had to have it to make Mito Awareness cards.  See the entire set below or at the hyperlink above. 5 stamps for $6 is an awesome deal.  I also made another 4 X 4 Mito Awareness card for the Unity Opportunity Challenge with this set. Isn't it cute?

The entire set:

30 Days of Giving and Thanks Days 3 & 4

Yesterday, I sent out two notes of thanks to people who have been a blessing in our lives. Today, I want to drop off little gifts and send notes.  That is my plan. I'm hoping to stick to it. I went to Mass this morning and offered prayers of Thanksgiving, so that was also mission accomplished for my challenge.

Thursday, November 3, 2011

Mama's Mission for November

My friend, Erika, is on a mission. She's right that we don't share all the bad stuff.  We blog about the great days, the fun stuff and the cute things our children say.   Those of us who blog about our lives often hold ourselves accountable when we share various aspects of our lives on our blog. More likely when we share the things we'd LIKE to do or how we'd like to be.  I often share the ugly side of living with chronic illness, but I certainly don't share it all. Some aspects just aren't fit for print! Perhaps, part of my mission could be about sharing with others the details of chronic illness? I know that I have been helped tremendously over the years by those moms who have been willing to share the good, the bad and the ugly with me. I also have a mission to accomplish-- to be a better Catholic, follower of Jesus and a better homeschooling mom.  I think this monthly mission and exercise in accountability will be helpful for me!

I think the monthly mission idea is a great one - especially for those of us who are trying to live authentic Catholic lives.   Mama Jenn first started the Monthly mission.  I'm going to label my completed missions under the label  "Mission Complete" and things I don't get done under "Mission Not Complete Yet"

So, my Mama Mission for November is going to be to participate in Christie's Challenge of the month and a few other things.  My mission is going to center around a more authentic Catholic life, I mean, my blog is about A Catholic Life, right?  So, I plan on making it to confession at least twice a month.... let me make a list:

1) Participate in Christie's monthly challenge
2) Go to confession at least twice this month
3) Do a little fall cleaning
4) Update the medication lists
5) Finish reading Consoling the Heart of Jesus
5) Start Reading Fulfillment of All Desire
6) Go to daily Mass at least once a week
7) Finish going through clothes and donate them
8) Try to make my evening prayer time a little longer
9) Don't skip morning offering and prayers

Want to join me?  I'm hoping this Mama's Mission will bring me closer to A Catholic Life and get a few extra things done along the way!

Let's make this Clear: Obama is pro-abortion

LifeNews has compiled his record which can be seen here

I have a bumper sticker on my car that says, "You can't be both Catholic and pro-choice". I've seen stickers that say, "You can't be Christian and pro-choice". True.

The Catholic Church has always been clear on defending life from the moment of conception.  We need to be clear and defend life from the moment of conception. As Catholics, our bishops told us in the last election that LIFE was the most important issue. I say, without life, liberty and the pursuit of happiness are not possible. What do social justice (read welfare) programs help if we kill them before they are born?

Last election, I was amazed at the number of "Catholics" who voted for (or at least supported) Obama in the election. How can a pro-life people put Obama stickers on their cars? Because they don't care about babies being murdered in the womb.  I pray that Catholics will vote pro-life in this next election. Because, without life, liberty and the pursuit of happiness are not possible. Everyone deserves a chance to live and have liberty and happiness. Steve Jobs was adopted, what if his mother had aborted him instead of giving him up for adoption? Would we have all the cool apple products? That's something to ponder.  Would we have a cure for AIDS already?  Did we abort the mind that would have figured that out or found a cure for cancer? 

Wednesday, November 2, 2011

30 Days of Giving and Thanks Challange (Days 1 & 2)

Over at Bushel and a Peck, Christie is having a year of challenges.  She started this a few months ago.  November's challenge is 30 days of giving and thanks. This Challenge is designed to stir up our sense of gratitude for all the blessings in our lives. Over this thirty days, we will be finding ways each day to Give or to offer Thanks. It doesn’t have to be monetary, but it certainly can be. You can sign up by visiting her blog here.

Here is what Christie's family is doing ( took this from this link):

Here’s what Christie says her family is doing:
"Even days of the month (2nd, 4th, 6th, etc.), an act of “Thanks” - a notecard to a family member, co-worker, friend, or neighbor to say that you are thankful for them. 

Odd days (1st, 3rd, 5th, etc.) an act of giving, just because. We’re going with small gifts that will either be hand-carried or mailed. From homemade items to small gift cards ($5)

You can do 100 different things. You can make baked goods and deliver them with a note-card every other day. You can create homemade crafts. You can show up at someone’s house and clear their leaves. You can clean for an elderly friend. You can volunteer at a soup kitchen. You know what your family is good at and can commit to! You can come up with a variety of amazing ways to offer Thanks or Give to others. Whatever you decide, the discipline is to make it happen all of the 30 days of November. This is a choice to say that for this year, for this month, for this holiday season - we’re reaching out to those we maybe haven’t been so great at keeping up with, or maybe those we just want to show extra love to, or to those who have needs that we can meet. Whatever your reasons, and whomever you lavish your Thanks and Giving on…we want to turn-around the habit of taking care of ourselves or always looking out for #1 into Giving and Thanks. You will be blessed! (trust me…)"
 I like to make cards for people... I often donate them to others to give to their friends and family.  I've been working the last several days on making cards to give away. Today, we brought a friend to the range, does that count as giving a gift? ~smile~  As each day goes by this month, I hope to complete this challenge each day!

The Versatile Blogger

Several months ago, Lisa awarded me with the Versatile Blogger Award... and with all the medical craziness, I never did anything with it. I was supposed to award it to 15 of my favorite blogs (do I read 15 blogs?) ....

The rules of the award are:
1) Thank the giver
2) Tell 7 things about yourself
3) Award fifteen bloggers with the award

Fun Stuff!   Seven things about me... hmmm... Here's what I wrote a few months ago.

1) I love my Catholic faith (still do!)
2)I love being a wife, mother and homeschooling mom (well, most days, anyway! ~smile~) I love my family (check).
3) I am passionate about finding a cure for Shwachman-Diamond Syndrome and Mitochondrial Disease (AMEN)
4) I think God has a sense of humor because I often feel he picked the wrong mom to raise chronically ill kids! Most days, with God's grace, I handle it well.... other days I don't do so well (Still the same.. abnormal bone marrow biopsies and brain MRI/MRS is testing my ability to cope)
5) I love and support the Second Amendment (Went to the range today, as a matter of fact, so, yes... I still love the second amendment)
6) I love gardening (Yep)
7) I have a passion for cooking (hey-- that's why I started Pattie's Kitchen) (YES!)

Now for my favorite blogs... I'm awarding the Versatile Blogger Award to these Bloggers (I'm several months late, but it is my blog, right?)

1) Not Just an Ordinary Life
2) Raising (& Teaching) Little Saints
3) Cause of Our Joy
4) Kix in Life
5) Bushel and a Peck
6) Nun Blog
7) Colombian Brewed
8) Forever, For Always, No Matter What
9) Homespun Love
10) Adventures of a Trailing Spouse
11) Keep Infants with Down Syndrome
12) Totus Tuus family & Catholic Homeschool
13) Thoughts, ramblings, Points of Interest (Mito Blog)
14) Mito Families
15) Duru Kuzusu

Unity November KOM Sketch Challenge

Here is what I came up with for the Unity November KOM Sketch Challenge

Here is the template we needed to follow for this challenge:

Miracles Abound

Do you stop to thank God for the small miracles that happen in your everyday life? Some big, some small.... they are all around, if we take the time to look for them.  Today's miracle is brought to you by Sean, my middle son.

What is it with boys and writing? Sean is quiet in his protests, the other two are not.  Sean had one Merchant of Venice essay looming over his head for months. It was the only thing keeping him from completing 9th grade.  He finally finished it today in about an hour. He wrote the outline on the way to the range and then wrote the 5 paragraphs in an hour once we got back home.

REALLY? He hasn't been able to write this in months... and all of a sudden, he gets it done in just over an hour? It has to be God, right? Because surely, a child who was able to write wouldn't leave this last assignment undone for months and months, right?

Tuesday, November 1, 2011

Unity Opportunity Mini Challenge

I made this card for the Unity Opportunity Challenge

The challenge is to make a mini.   a mini card (4x4 or smaller) - a mini layout (6x6 or smaller) - a mini book - etc.

Captain's Log: Stardate 65334.3 Feast of All Saints

Captain's Log: Stardate 65334.3 Feast of All Saints:  I entered a strange dimension where my children forgot the daily homeschooling routine. It was as if they'd never done a day of school in their lives. Thankfully, I followed Cupid, our fearless cat, through a portal back into our own dimension. I was only gone 5 minutes in our current dimension, but spent an hour in the alternate dimension. The children in this dimension are much better behaved. I wonder if they were warned somehow....maybe Valentine found the portal first....
While quite unruly, the children in the other dimension were much better at taking their pills. 
You know you are a Catholic family when the night before the Feast of All Saints one of your children says, "Are they picking up the trash tomorrow? It is a holiday, it is All Saints Day!"   Sean was serious as could be.  Little did he know that not everyone celebrates All Saints Day......  
Happy All Saints Day, y'all!

Get Buggy with Unity

I used the cracked glass technique to make this All things Unity card Challenge- Getting Bug'gy with It:

Unity Challenge Simple Cat

Another 4X4 card I made... very simple. I was going to add other things, but decided that simple is sometimes best!

Unity Challenge- Butterfly

Here is another 4X4 card I made for the Unity challenge

Look on the Bright Side