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In this Issue...


Food & Recipes

Special Letters

Special Events

Rx News & Research

Ask Heather











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Heather's IBS Newsletter ~ For Irritable Bowel Syndrome

May 30, 2007

SALE! ENDS IN 2 DAYS   Shop here and use the discount code MAY07 when you check out for an extra 10% off!

Researchers call hypnotherapy a cure for IBS

How Duane lost all his IBS worries, plus 30 extra pounds

Hello to everyone ~

We have some rather mind-blowing news and research this week. First, as a thank you to our newsletter subscribers, we're offering a special 10% discount through this newsletter, good through the end of May. If you use the promotional code MAY07, which can be applied to any order whatsoever, you'll automatically receive a second 10% discount code for your next purchase. The second code will be good through the entire month of June.

Simply click through here to add items to your cart and you'll get the discount code MAY07 automatically upon check out!

Plus, for the first time ever, researchers are using the word "cured" in the same sentence as IBS. A study just released found an 85% cure rate after 1 year for hypnotherapy-treated children with IBS.

Finally, we have a wonderful letter from Duane, who no longer has any worries about suffering an attack whatsoever, and who lost thirty extra pounds in the process. Learn how he did it right here!

Best Wishes,
Heather Van Vorous

Did a friend send you this newsletter? Sign up here for your own free subscription.

~ Heather's Tummy Fiber ~
For the Dietary Management of Abdominal Pain, Diarrhea, &, Constipation

IBS Acacia Tummy Fiber
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Strawberry Rhubarb Cobbler

This is a safe, low fat, dairy free version of an old-fashioned dessert, and it's absolutely delicious!

Use the freshest, ripest fruit you can find it. Cooking it until it disintegrates will greatly increase the tolerability of the fruit's insoluble fiber, and adding Acacia Tummy Fiber will give an even greater soluble fiber foundation.

8 Servings

Filling:
2 C hulled, finely chopped fresh strawberries
2 C finely chopped fresh rhubarb
1/2 C to 2/3 C granulated sugar (to taste)
1 T cornstarch
2 T Acacia Tummy Fiber
1 T fresh lemon juice

Biscuits:
2 C sifted white flour
2 t baking powder
3/4 t baking soda
1/2 t salt
2 T granulated sugar
3/4 C soy milk
1 t apple cider vinegar
4 T canola oil

Preheat oven to 425F.

For Filling: Add fruit and all filling ingredients except lemon juice together in a medium saucepan, and bring mixture just to a low simmer. Cook and stir until fruit disintegrates, about 5 minutes. Remove from heat and add lemon juice. Spray an 8" or 9" baking pan or casserole dish with cooking oil spray, and fill pan with fruit mixture.

For Biscuits: In a large bowl, sift and whisk the flour, baking powder, baking soda, salt, and sugar. Set aside. In a small bowl combine the soy milk and vinegar, stir, and let sit a few minutes until mixture has thickened. Add soy mix and canola oil to flour mixture, and blend with a fork just until it forms a ball.

Turn dough out onto a lightly floured surface and knead 4-5 times. Pat dough into a rectangle about 1/2 inch thick and cut with 2 inch round cookie cutters (a drinking glass turned upside down works well). You should have about 10 biscuits. Set the biscuits over the fruit mixture so that they are lightly touching.

Bake cobbler for 15-20 minutes, until a toothpick inserted into a center biscuit comes out clean.

Serve warm, with soy vanilla ice cream for an extra special treat!

Are you just learning how to eat for IBS? A little intimidated at the thought of special IBS recipes? Not quite sure just what makes these recipes special in the first place? Don't worry! Come see the IBS Diet pages, and find the answers to all your questions.

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Fennel is terrific for bloating & gas, Peppermint is great for IBS pain & spasms.

divider No Worries About an Attack Whatsoever - Plus a 30 Lb. Weight Loss!

Dear Heather,

I just wanted to drop you a line to let you know that I have been an IBS sufferer for many years. I am now 45 years old and have been faithfully following your advice for the past 12 months and what a difference. I used to think that suffering with debilitating cramps and having to make excuses for not traveling too far from a washroom facility was going to be a part of my life forever. Boy, was I wrong.

Your book Eating for IBS has changed my life. Not only is my wife much happier as I now do a large amount of the cooking and trying new recipes, but I have my life back with no worries about suffering an attack whatsoever. I canít express how much this has changed the way I live my life on a day to day basis.

Not only do I feel much better, but Iíve lost 30 lbs as an added bonus. I have taken up running (something which I wouldnít even attempt in the past) and recently completed my first 5K run...and came in 6th.

My family and friends have noticed a huge difference in my attitude and my physical appearance and I owe it all to that day where I decided to take my life back and visited your website for the first time.

I have come across quite a few people in the past year who also suffer from IBS, and Iíve steered them to your book and your website. I suffered in silence because I thought I was one of a very few that had this syndrome, but have since come to find out that there are many more just like me. Iím living proof that there is help for IBS.

I owe you and your book a great deal of gratitude and I know my family would say a huge THANK YOU as well...as the change in my life has meant a whole new attitude that they have noticed in a big way.

Take care and keep up the good work.

Thanks again,

Duane Boyce
Cochrane, Alberta, Canada

Thank you from the bottom of my heart, Duane. I am SO glad you're doing better! ~ Heather

Did you miss the recent letter from Marla, who had constipation and diarrhea forever, but they're now completely gone?

~ Eating for IBS ~
Comprehensive IBS Diet Information & Safe Foods vs. Trigger Foods

Eating for IBS
Addresses multiple IBS symptoms * Teaches substitution, never deprivation

Finalist for the Julia Child cookbook award!

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New Retail Stores Carrying Heather's Tummy Care Products
We're continuing our special rebate offer for people who buy Tummy Care products at their local stores, and we have new store announcements this week as well.

Arkansas

Fain's Herbacy
61 North Main St
Eureka Springs, AR 72632
479 253 5687

California

Sunshine Foods
1115 Main St
St. Helena, CA 94574
707 963 7070

Staff of Life
1305 Water St
Santa Cruz, CA 95062
831 423 8632

Massachusetts

Gold Thread Herbal Apothecary
1 North Main St
Florence, MA 01062
413 587 0620

North Carolina

Art of Healing
9188 Shallowford Rd
Lewisville, NC 27023
336 945 3263

Washington

Seattle Digestive Health Clinic
418 N. 35th St
Seattle, WA 98103
206 802 8355

If you don't have a store in your area carrying Tummy Care products yet, please give them this flyer to ask them.


~ Heather's Tummy Tamers ~
For the Dietary Management of Abdominal Pain &, Bloating
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Our Peppermint Oil Caps have the added benefits of fennel and ginger oils, and they help prevent abdominal pain, gas, and bloating!

divider Influence of Genetics on Irritable Bowel Syndrome
A recent study at the Beth Israel Deaconess Medical Center, Boston, MA noted that a genetic contribution has been proposed for irritable bowel syndrome (IBS) and gastro-oesophageal reflux disease (GERD), but that this proposal has been controversial. The study aimed to determine the relative contribution of genetic factors in GERD, dyspepsia (upper abdominal pain) and IBS. After examining 986 twin pairs with completed validated symptom and psychological questionnaires, the study found estimates of genetic variance were 22% for IBS, 13% for GERD and 0% for dyspepsia, but adjusting for anxiety and depression removed the statistical significance for IBS and GERD. The conclusion was that there is a genetic contribution to GERD and IBS but not dyspepsia; this may be mediated by the hereditability of anxiety and depression. Go here for comprehensive information about irritable bowel syndrome...

Go here for more information about this study...

IBS: Patient Attitudes, Concerns and Knowledge
A recent study at the Section of Gastroenterology & Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire looked at Irritable bowel syndrome (IBS) as a common, chronic disorder that reduces patients' quality-of-life. The study aimed to evaluate the knowledge, fears and concerns of IBS patients. Seven hundred thirty-six IBS patients were eligible. 83% of respondents were women, with a mean age of 53.7 years, and mean duration of symptoms of 14.2 years. Patients frequently believed that IBS develops because of anxiety (80.5%), dietary factors (75.1%) and depression (63.2%). Few respondents (28.7%) recognized that abdominal pain is the cardinal symptom of IBS, and 40.6% stated that colonoscopy can diagnose IBS. One in seven patients mistakenly believed that IBS turns into cancer, and 29.9% mistakenly thought that IBS increases the risk of inflammatory bowel disease.

The study concluded that many IBS patients have significant misconceptions regarding the nature of their disease and its prognosis. These findings are discordant with physicians' views and practices and highlight the need for patient-oriented educational programs. Go here for more information about this study...


Hypnotherapy a Cure for Pediatric IBS
Hypnotherapy is effective for the treatment of children with irritable bowel syndrome (IBS) and functional abdominal pain (FAP), investigators reported at the 2007 Digestive Diseases Week conference.

"The children we studied had very long-lasting symptoms, and hypnotherapy proved to be highly effective with this group," said lead investigator and presenter Arine Vlieger, MD, PhD, pediatrics fellow, St. Antonius Hospital, Nieuwegein, Netherlands.

Gut-directed hypnotherapy has been shown to be highly effective in the treatment of adult patients with IBS. So Dr. Vlieger and colleagues conducted a study to evaluate this treatment approach in a pediatric population.

The investigators enrolled 53 children between the ages of 8 and 18 years who had been diagnosed with IBS or FAP. The subjects were randomized to standard therapy or to 6 hypnotherapy sessions of 30 minutes over a 3-month period. The endpoints of the study were pain intensity, pain frequency, as nausea, headache and appetite. The investigators defined a cure as a greater than 80% improvement in pain.

At 3 months, the investigators observed a cure rate of 59% for treated subjects versus 12% in subjects receiving conventional therapy. After 1 year, the cure rate reached 85% for hypnotherapy-treated subjects and 25% for those receiving conventional therapy.

The authors concluded, "Gut-directed hypnotherapy is highly superior to conventional therapy in the treatment of children with longstanding FAP or IBS. Further studies are warranted to confirm our findings." Go here for a gut-directed hypnotherapy program...

Go here for more information about this study...



Looking for more IBS research and news? Check the IBS Research Library!

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divider New Drugs for IBS
"Now that Zelnorm has been pulled from the market, are there any new IBS drugs on the way?"

I don't know for sure that this is actually the case, but it seems to me that the number of new drugs in the pipeline for IBS has slowed over the past few years. Whether this is because the serious problems the first two IBS drugs (Lotronex and Zelnorm) have had has discouraged or delayed new research, or if it's just a coincidence, I'm really not sure. One thing that does seem clear is that there is no blockbuster drug for all IBS symptoms coming any time soon.

Cilansetron (brand name Calmactin), an IBS-diarrhea drug widely anticipated for release in 2005, has instead been withdrawn from consideration of USA approval. The drug was withdrawn after receiving a "not approvable" action letter from the FDA requesting additional clinical trials. No information about future trials of the drug is available. The pharmaceutical company has stated that, "Given the amount of clinical work requested and in the framework of the estimated potential market there, Solvay prefers to give priority to the development of other compounds in its research and development pipeline." It sounds to me like this drug is dead in the water.

Lubiprostone (brand name Amitiza) is a new drug that's been approved for the treatment of chronic idiopathic constipation in adults. It's a locally acting chloride channel activator - a class of drug that has not been approved specifically for IBS in the past. However, recent studies have shown that it can help patients with IBS-constipation. Two twelve-week, independent studies showed patients who received the drug were nearly twice as likely as those who did not receive the treatment to report moderate or significant relief of IBS symptoms. The study's lead author, Douglas A. Drossman, M.D., Co-Director, University of North Carolina Center for Functional Gastrointestinal and Motility Disorders in Chapel Hill, N.C., has stated that this drug may soon be an option for people with IBS-constipation.

Linaclotide (no brand name as of yet) is a brand new - and therefore unknown - class of drug that is an agonist of a receptor found on the lining of the intestine. In preclinical testing linaclotide was shown to increase fluid secretion into the intestine, accelerate intestinal transit, and decrease visceral pain in women with IBS-constipation. So far, research has shown that linaclotide can improve a range of bowel functions which are typically impaired in patients with IBS-C. Additional trials are expected, and I'd guess it will be at least several years before the drug could receive approval.

Renzapride (brand name unknown) is in Phase III clinical development in the USA for the IBS-constipation, and possibly IBS-alternating. The new drug has two components which affect intestinal motility: 5-HT4 receptor agonists and 5-HT3 receptor antagonists. A 5-HT4 agonist is the active ingredient in Zelnorm, the IBS-constipation drug that was pulled from the market in 2007 after it was linked to an increased risk for heart attacks and strokes, and a 5-HT3 antagonist is the component of Lotronex, the IBS-diarrhea drug that was pulled from the market in 2000 after being linked to ischemic colitis, five patient deaths, and was later reinstated under stringent restrictions. The makers of Renzapride state that, "This dual mode of action is unique and gives renzapride the potential to normalise bowel function rather than move from one extreme of constipation or diarrhoea to the other." Renzapride has completed Phase IIb of the approval process. Efficacy of the drug was shown in both men and women, but appears to be more prominent in women.

Incredibly, there don't seem to be any other drugs with final trial results expected before 2008 - if then. If you know of anything coming soon that I've missed, please let me know.

Given the serious - and in some cases deadly - side effects that have come with recent IBS drugs, I hope that the new alternatives being developed have a higher safety profile.

Meanwhile, given that completely safe treatments such as gut-directed hypnotherapy are now being called a "cure" by researchers, I think this is a much-preferred way to manage symptoms without taking any risks at all.

~ Heather

Did you miss the recent "Ask Heather" about how to key the best treatments to your specific symptoms? Find it here...

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