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Doctor insights on: Ala Pugachova

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Which foods are the best source of alpha-linolenic acid (ALA)?

Which foods are the best source of alpha-linolenic acid (ALA)?

Flax, soy, walnuts: This is a type of omega 3 fatty acid. Sources include those mentioned and canola oil plus others. Like any fat too much is bad! High fat diets cause disease even if they are "good fats." See a discussion about this class of fat here: http://www.umm.edu/health/medical/altmed/supplement/alphalinolenic-acid ...Read more

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My doctor says my ALA and PBG are both high. What gives?

My doctor says my ALA and PBG are both high. What gives?

Asked your doctor?: You've not presented any symptoms which prompted those tests. PBG (porphobilinogen) is a breakdown product of hemoglobin. High numbers mean that PBG's not being cleared through the urine or stools. Conditions such as hepatitis, lead poisoning, porphyria, & other things can cause high levels. ALA (amino levulinic acid) is another test for porphyria. You have abdominal pain or something? ...Read more

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I took the supplement ALA then drank alcohol 2 hours later is that safe?

I took the supplement ALA then drank alcohol 2 hours later is that safe?

Not sure.: Because this is a supplement, and not a medication, there have been no formal studies concerning safety and drug interactions. Therefore it is not known for sure whether it has interactions with alcohol. I would recommend that if you are going to continue to take it, that you try to avoid taking alcohol at the same time or within a few hours. Good luck. ...Read more

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When trying to balance out omega 3 to 6, does consuming ALA count as so little of it gets converted?

When trying to balance out omega 3 to 6, does consuming ALA count as so little of it gets converted?

Eat omega 3: the omega 6 is inflammatory so try and focus on omega 6 You get enough of it in a standard diet so you need more 3 ALA isn't enough to get your needs focus on flax fish and other sources ...Read more

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Ok turmeric and ala don't work - what are alternative OTC vitamin/herbs good for lupus to go with my medications :) ?

Ok turmeric and ala don't work - what are alternative OTC vitamin/herbs good for lupus to go with my medications :) ?

None, but...: There aren't any otc herbs, vitamins, or supplements that treat lupus, but that may be a good thing. Once a person has lupus, she has an autoimmune disease. Her immune system is no longer working right. However, it would be quite frightening if companies were selling over-the-counter herbs, vitamins, or supplements that were strong enough to alter the function of people's immune systems. ...Read more

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Would sacral iliac and ala injections cure coccyx pain?

Would sacral iliac and ala injections cure coccyx pain?

Depends: Sacro-iliac injections would only be expected to cure symptoms coming from that specific joint. It would be fairly uncommon for sacro-iliac problems to cause pain in the tailbone (coccyx). There is a condition known as Coccydynia. In that case the coccyx is tender and patients have pain sitting down. A steroid injection in the coccyx is the main injection we try for that. ...Read more

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Is flaxseed with ala omega 3 oils healthy? 2 tbs per day is not too much?

Is flaxseed with ala omega 3 oils healthy? 2 tbs per day is not too much?

Sounds good!: Most likely the product your are describing has some essential vitamin supplementation and the omega-3's are an added benefit. The fact that you have researched this and are interested in this type of supplementation reflects well on your long term healths goals. Keep it up:). ...Read more

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I was consented for Si joint and medial branch block. On discharge note it says that I've had si joint and sacral ala injections, is this branch block?

I was consented for Si joint and medial branch block. On discharge note it says that I've had si joint and sacral ala injections, is this branch block?

NO!: a sacral block is a block of the sacral nerve roots . A medial branch block is a block of the nerves that serve the facet joints, Two very different procedures and two very different anatomic locations. Perhaps the doctor/operator changed his mind when seeing what was present on your imaging. ...Read more

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When trying to balance omega 3 to omega 6, does ALA count the same as EPA and DHA?

Let your body do the: balancing. Rather than taking pharmacologic doses of supplements, try to eat foods that are rich in the Omega fatty acids. Eat Oily fish (Tuna, Salmon,Swordfish etc) 1- 2 times per week then let your body take in what it needs from what it is offered. Your body can only use vitamins, and trace elements to its capacity. More than that makes your sweat smell like fish, and it is just wasted. ...Read more

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Why group ala/epa/dha as omega-3 since ala has very limited % can be converted to DHA ? Very confuse.

Why group ala/epa/dha as omega-3 since ala has very limited % can be converted to DHA ? Very confuse.

Buy what you need: The key to avoiding all this confusion is to buy what you want or what you need. That means a person should not buy the "precursor" compound or supplement, and then try to figure out how much of it is converted to the active compound that he really is interested in. If one buys only the active compound, he has no confusion at all. ...Read more

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Read that DHA omega-3 fatty acid is the most important one & ALA is not as important as DHA & EPA.Can i concentrate on foods on DHA, EPA & forget ALA?

Read that DHA omega-3 fatty acid is the most important one & ALA is not as important as DHA & EPA.Can i concentrate on foods on DHA, EPA & forget ALA?

Balance is important: DHAi is especially helpful for brain health, primarily in the developing brains of younger folks and when there has been brain trauma. EPA is a close second. ALA is use for nerve health such as in a person w/neuropathy, nerve damage. Peace and good health. ...Read more

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Plant omega-3 ala need to be converted to epa/dha before it can be utilised hence how could we use ala value as omega-3 since it is not 100% convert?

Plant omega-3 ala need to be converted to epa/dha before it can be utilised hence how could we use ala value as omega-3  since it is not 100% convert?

Buy what you need: The key to avoiding all this confusion is to buy what you want or what you need. That means a person should not buy the "precursor" compound or supplement, and then try to figure out how much of it is converted to the active compound that he really is interested in. If one buys only the active compound, he has no confusion at all. ...Read more

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Why is ALA considered inferior to DHA and EPA omega 3's? Do the latter have better health benefits?

Why is ALA considered inferior to DHA and EPA omega 3's?  Do the latter have better health benefits?

EPA & DHA important: EPA and DHA are considered more important due to many proven benefits. ALA may help protect against cardiovascular disease but its main importance is as a precursor to EPA and DHA. Many people have difficulty converting ALA to EPA/DHA so ingesting EPA/DHA appear to have more benefits. See http://chriskresser.com/why-fish-stomps-flax-as-a-source-of-omega-3 ...Read more

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Flax seed had about 4 X as much omega 3 vs 6. However, the omega 3 is ALA and not DHA. So after ALA is converted is the omega 3 actually less than 6?

Flax seed had about 4 X as much omega 3 vs 6.  However, the omega 3 is ALA and not DHA.  So after ALA is converted is the omega 3 actually less than 6?

No: I don't fully understand your question. Only 8-30% of ALA is converted to EPA or DHA (women convert more than men) -but ALA, EPA and DHA are all omega 3's so the conversion does not affect the amount of omega 3's or the ratio of omega 3 to 6. See http://lpi.oregonstate.edu/infocenter/othernuts/omega3fa/ ...Read more

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Hi I am strictly vegetarian and looking for omega-3 DHA source. I wanted to know if ALA in Walnuts gets converted to DHA sufficient well in our body?

Hi I am strictly vegetarian and looking for omega-3 DHA source. I wanted to know if ALA in Walnuts gets converted to DHA sufficient well in our body?

Not really: Research suggests that only about 0.5% of ALA is converted to DHA and some people may not be able to make that conversion at all. There are vegan sources of DHA from algae. See http://chriskresser.com/why-fish-stomps-flax-as-a-source-of-omega-3 and http://www.veganhealth.org/articles/omega3 and http://www.omegavia.com/omega-3-options-for-vegans/ ...Read more

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