vitamin d has been shown to be related to autoimmune diseases, such as multiple sclerosis and psoriasis. a pilot study showed a correlation between lower serum vitamin d levels and mg prevalence, as well as autoimmune marker decrease and fatigue improvement after vitamin d3 supplementation with 800 iu/day , and 2 other studies demonstrated the role of vitamin d role in the immune system in mg triggering  and suppression . in april of 2013, she started to take 80 000 iu/day of vitamin d and to consume a calcium-free diet to prevent hypercalcemia.
medical and scientific thinking about “high-dose” vitamin d treatment is still confined to the recommended doses for vitamin d replacement, which may not lead to many potential effects, whereas in this case report vitamin d might have played a pharmacological role, as it was given in massive quantities. the chronological associations between complete remission of mg symptoms and vita-min d massive-dose treatment, which had not been seen prior to this therapy, relapse after a blind discontinuation, and new improvement after vitamin d reintroduction show a strong exposure-withdrawal correlation, which shows vitamin d to be a key tool, as in this case report. despite the potential benefits of vitamin d in mg and other autoimmune disorders, patients should be strongly advised about risks and adverse effects, and it has to be stressed that vitamin d massive-dose therapy is a mere hypothesis for further studies and there is still a lack of long-term safety data; therefore, it should not be offered as an alternative to the available options for mg treatment.
in conclusion, despite the apparent positive results, the present evidence supports, to an extent, that chm can be used for mg patients because of the methodological flaws and chm heterogeneity. however, the current evidence available is insufficient to support chm as a routine use for mg due to the poor methodological quality of the primary studies (lyu and sun, 2015). reasons for the exclusion of studies were recorded. the frequency of use for a particular herb was calculated, and those used at a high frequency are described in detail. among the 14 studies, no trial compared the chm with placebo, and the comparisons of chm alone with pyridostigmine bromide or corticosteroids were performed in three studies.
adverse effects were reported in 10 studies, and the remaining four (ou, 2005; wang et al., 2008; liang, 2011; bao et al., 2016) studies did not mention. the majority of adverse effects were mild, and serious adverse events such as life-threatening were not found in included studies. in addition, the placebo of chms was difficult to prepare in the same color, flavor, and taste. in addition, il-4 and il-10 production increased in the presence of treg in mg patients (alahgholi-hajibehzad et al., 2017). t-yj and p-qr identified and reviewed the studies for eligibility, and performed the meta-analysis of the data.
vitamin d could be a potential therapy for some disorders. this case report shows the correlation between vitamin d and myasthenia gravis in this study, the findings demonstrated that chm as adjuvant therapy with wcm could improve mg symptoms. the most frequently used herbs such as alternative and complementary medicine for autoimmune myasthenia gravis avoid microwaving or heating food in plastic. eat more fiber rich foods such as flax, myasthenia gravis permanent cure, myasthenia gravis permanent cure, myasthenia gravis supplements to avoid, myasthenia gravis vitamin b12, eating to cure myasthenia gravis naturally.
in this study, the findings demonstrated that chm as adjuvant therapy with wcm could improve mg symptoms. the most frequently used herbs such as astragalus membranaceus and radix ginseng should be considered further in the development of chinese herbal prescription for mg. there are two types of medications used to treat mg. one groupu2014anticholinesterasesu2014temporarily relieves the symptoms of mg. another groupu2014immunosuppressantsu2014attacks the disease at its source. by suppressing the body’s immune system, these drugs stop the body from damaging the neuromuscular junction in the first place. the current treatment of autoimmune mg is based on a combination of lifestyle advice, including exercise, symptomatic treatment, immunosuppressive drugs and how is myasthenia gravis treated? treatment is directed first toward improving symptoms. the drug most commonly used is pyridostigmine. tacrolimus has emerged as an alternative in the treatment of mg. an immunosuppressant medication, its mechanism of action is thought to be, myasthenia gravis new treatment 2021, myasthenia gravis new treatment 2020.
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