Page 49 - Spring2020
P. 49

Reading Between the Lines

             By Merinda Teller


             Alpha-Gal Syndrome and Ticks: A False Trail?



               Individuals who tend to follow the advice  term “allergy” did not come along until 1906,   Allergic
            of mainstream nutritionists likely find the  following on the heels of French physiologist   conditions,
            on-again, off-again demonization of red meat  (and eugenicist) Charles Richet’s 1902 invention
            rather confusing.  Weston A. Price Foundation  of the term “anaphylaxis.”          and especially
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            members know better, recognizing that red    Around that time, injected antitoxins and   food allergies,
            meat—when sourced from healthy animals  vaccines—new on the scene—were causing     exploded
            raised on healthy farms—is not only innocent  “new diseases and strange reactions that phy-
            of the many crimes of which it is often accused  sicians could not explain.”  Observing these   beginning
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            but is a nutrient-rich powerhouse. 2      “hypersensitivity reactions” that seemed to   around 1990.
               But what if you are a nutritionally informed  involve the “collision of antigen and antibody,”
            red meat lover—enjoying animal fats, organs  particularly with repeated injections, Austrian
            and bone broth as well as varied cuts of meat—  pediatrician Clemens von Pirquet coined the
            and you suddenly cannot eat anything red-  term “serum sickness” and later elaborated the
            meat-related without developing hives, rashes,  concept of allergy.
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            excruciating stomach pain or life-threatening   Over subsequent decades, professionals
            anaphylaxis? In the past, allergy experts con-  continued to debate the meaning of various
            sidered red meat allergy to be unusual,  but  allergy terms and concepts, and even today,
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            by 2012, a red meat allergy dubbed “alpha-gal  these are not necessarily agreed upon or used
            syndrome” or simply “alpha-gal”—named after  in a consistent and precise manner.  There is a
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            a carbohydrate molecule (galactose-alpha-1,3-  firm consensus, however, that allergic condi-
            galactose) present in non-primate mammalian  tions—and especially food allergies—exploded
            meat and high-fat dairy products —had made  beginning around 1990.  The alarming increase
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            it into the pages of Science magazine, which  in allergies over a relatively short period of
            colorfully described it as “a carnivore or BBQ  time is, in most experts’ view, a strong clue
            lover’s worst nightmare.”                 that environmental factors are a leading allergy
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               Since then, the number of individuals aller-  trigger —and researchers believe that this holds
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            gic to red meat—both adults and children—has  true for the rise in red meat allergy as well. 7
            continued to climb.  In the U.S., one specialist
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            sees five new patients a week and reports having  A MEDICAL MYSTERY
            treated nine hundred individuals over the past   In 2009, several simultaneous case reports
            decade.  The same trend is apparent in numerous  appeared in the scientific literature describing
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            other countries—including various European  the mysterious red meat allergy, with research
            nations, Japan, South Korea, Panama, Brazil,  teams from the U.S.,  Australia  and France
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            the Ivory Coast and South Africa —with the  all converging on similar assertions about the
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            result that a lot more carnivores are coming face  presence of alpha-gal immunoglobulin E (IgE)
            to face with their “worst nightmare.”     antibodies in their patients. Researchers were
                                                      somewhat puzzled by the new syndrome, how-
            A MODERN MALADY                           ever, because it “defie[d] some of the bedrock
               As medical historians remind us, allergies  tenets of immunology”   and  “challenge[d]
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            are a “modern malady.”  Hay fever became a  the current paradigm for food allergy.”  For
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            recognized condition only in 1870,  and the  example, while IgE antibodies typically are
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