Okay, this is Sangeeta Pati. Thank you so much for joining us for our webinar this evening. I’m excited to share with you how I’ve used Spectracell in the practice of my hormonal therapy practice, which basically started out as a hormone practice and ended up expanding to other things as I’ve realized that working with hormones alone was just not going to be enough. So, that’s how we all expect to feel after we are restored to our optimal state.
So, as I was mentioning I started with a system where… I’m a OBYGN and it was rather easy to actually start into the practice of utilizing hormones but very soon it became clear that hormones alone would not solve the problems completely. Then we actually needed nutrition to activate the hormones and therefore I had to learn a whole lot about how to restore optimal nutritional levels, and how to measure them, and how to correct them, and what was the best way to correct them.
Soon after that came the realization that you knit require the bowel, the liver and the gallbladder in order for hormonal therapies to work and of course, mind and body balance. So this is really the five-point model whether somebody comes in with osteoporosis or they come in with a heart attack, or they come in saying they just want hormonal therapies and want to be optimal. We’re always looking to restore optimal function to all of these areas so that we have the best results.
I want to focus on nutrition today but before I go to nutrition, I’m going back to the slide just to point out that if we have more mental stressors and more physical stressors. Our use of the hormonal systems and the nutritional systems, for example; cortisone, magnesium, B-12, vitamin C, progesterone, testosterone – all of those go up. So when we have a lot of physical activity going; when we have a lot of mental activity going, we’re not going to have the same kind of reserve in terms of nutrition and hormones as we would normally have.
When we’re working with these patients, it’s important to let them know that as many things they can un-commit from, as many things that they can reduce – they’re going to be able to restore their levels much faster. It doesn’t take long to figure out how important nutrition is when you look at the plant willow and you see the color variations.
You’re very quick to realize that when there’s a deficiency of a nutrient, there’s a phenotypic variation in the way that the plant actually looks. Plants obviously need nutrients. Similarly, we also know that in humans nutritional deficiencies cause weight gain, insomnia, fatigue, headaches, anxiety. This study in JAMA published in 2002, quote says,
“There’s an overwhelming evidence of vitamin deficiencies are associated with chronic disease process and the overall condition of one’s health. Inadequate intake levels are linked to cardiovascular disease, cancer, and osteoporosis.”
Because we know that nutrient deficiencies cause disease of the muscular system, the bones, the nervous system, the organs, and the cardiovascular system because they cause DNA damage. This is an important thing because the DNA damage eventually leads to organ damage and eventually leads to degenerative conditions such as cancer, generally, somewhere between five to ten years down the line.
The important point here is that if we end up fixing the nutritional deficiency, we’re able to correct the DNA damage. The power of this is critical because we know that a single nutrient deficiency can cause breaks, can cause oxidation damage, and knowing that we can repair them and that that repair can pass on to our children is important. If I had known this when I was taking care of all my OB patients who are pregnant, I probably would have gotten a Spectracell on every single one of them.
Simple examples would be; example such as zinc. We now know that a zinc deficiency can alter the [influer?] [5:17] receptor and replacing the zinc corrects the genetic deficiency which means if the mother corrects that genetic deficiency before having her children, that gene is corrected and passed on in a corrected fashion. The nutrition program that we’ve put together that I use in every patient who’s on hormonal therapy has three components.
The most important component is you can guess is going to be food such as plant-based foods and super-foods. Why? Nature obviously packages the food much better than we can ever do in a supplement bottle. For example, vitamin C is packaged with bioflavinoids in the peel and so on. There are some basic supplements that we generally use but I can tell you the most important part to motivate patients and to guide the therapies is the measurement that we do annually, or biannually, to figure out what the actual levels are.
This is where the Spectracell come in. Obviously, the philosophy when we’re using these programs because they easily can get overwhelming is that the knowledge we get from doing this kind of testing is their power to choose what’s right for them. If we give them four or five things to do and they end up doing one or two things, I ask them to congratulate themselves for the things they do and do not put energy into things that they do not do. Energy goes where energy flows.
There’s five basic dietary recommendations that we make. These are basic principles. One, when a patient first comes in I let them know that they can measure their nutritional status so we don’t have to be guessing what they need. We encourage people to eat more plants of variety of colors. Eat organic because they have 30-40% more nutrients. Add super-foods so we can make up for the deficit in our food supply which the USDA reports is about 50% reduction in the last 50 years, and of course, we ask them to choose their supplements carefully.
The measurement aspect which is what I’m going to focus on today is mostly what I have used is the Spectracell Functional Intracellular Analysis. This is a non-fasting blood draw which makes it rather easy because when patients are in my office and they decide to go ahead and get the test, I’m able to draw it at any time of the day as long as effects hasn’t come. It needs to be over-nighted.
The tested itself is described in detail on the report but in general it consists of stimulating the patient’s lymphocytes for a few weeks and then growing them in plates that are deficient in the nutrient that’s being measured, so the perforation reflects the cells internal reserve of the specific nutrient. The nice thing about Spectracell is that most insurances cover Spectracell. The cash price is $370. The Medicare copay is $88, and most other insurances pay somewhere between $170 and $270 is the copay.
There are other tests that I have used. NutraEval is one of it from Genova Diagnostics. Similarly, this is an insurance covered with copay. It’s comprehensive. It has a lot of detail in terms of amino acids and fatty acids, and GI breakdown but I will say that after using several different reports and everything has its merits. The report is very extensive and overall I found it’s rather confusing for the patient to identify priorities and actually create a plan.
So in my practice, we’re mostly using the Spectracell and patients are getting it annually. We’ve interpreted and used this test in over 4,000 patients and the most important thing I can tell you that this test will achieve is just to motivate the patient to pay attention to their nutrition. They’re so excited to see that you’re making recommendations based upon a scientific piece of data that the insurance has covered a good deal of it, and that you’re making specific recommendations mostly based in food. Some may be based in supplements.
They’re able to come in nine months later, retake their test, and see that they’ve actually made movement. Also at the time we educate patients about Spectracell. We also tell them about the data on genetic damage and how we know that you can reverse genetic damage by identifying nutrient deficiencies. So, the patients in our practice, almost a hundred percent of them actually end up getting the Spectracell test at some point.
As far as the timing, it’s either 3-6 months after hormonal therapies are started and for those three to six months, we’re using a standard supplement and diet regimen. We somehow use it sometimes immediately for chronic disease. If I’ve a patient whose come in here with a cancer or heart disease, or they’re very sick and they really need to know immediately. We need to make sure that we’re covering all our bases. We will really push them to get this test.
We do it annually for most and repeat at greater than six months because the test measures 120 days. So all our patients coming in and saying, “Well, I didn’t take my vitamins yesterday,” or, “I didn’t take my vitamins for last week,” but it doesn’t really make that much difference because it’s measuring a 120-day number. Some patients come in and say, “I just want a baseline. So, I want to get a baseline and then see where it is.”
That actually would be the ideal way. A lot of patients don’t choose it. It’s important to realize that when you measure using this blood test, the measurement reflects three things. It’s going to measure the adequacy of the food you eat and the supplements you take. Food is going to be more bio-available than supplements. It will measure the absorption of the gastric system and this is probably the most important piece that patients come in asking about.
It will also measure utilization. For example, I find that most of my athletes who are working out very heavily will be deficient in CoQ10 and magnesium and L-Carnitine, and many of the things that run the muscles. People who have adrenal insufficiency and stressors will be deficient in B12 and magnesium, and vitamin C. People who have gastric issues will be deficient in glutamine and B vitamins.
So, there’s some different patterns we look for and I’m actually going to show you some samples of those patterns as we go on. In a restorative approach, one assumes that underlying imbalances cause symptoms and disease. Those underlying imbalances lie in those five areas as we talked about but we also assume that there’s such a thing as an optimal number. So, an example would be that 30-100 in a Serum for vitamin D is optimal, is normal.
An optimal level would be above 70 because that’s the level at which the cancer rate, the dementia rate, the thyroid function improves by almost 50%. So when we look at the numbers and even whence with Spectracell putting the number in the blue mark as functional deficiency and in the yellow as borderline deficiency with a black mark, and the distribution is noted with all the little X’s that you see.
I’m always looking for this test to fall up above the upper quartile of the distribution. I explain this to every patient when they come in so we’re not just looking to identify what you’re highly deficient in and what you’re borderline in, but what you’re not at the top in. So, we’re looking to correct it into the upper numbers. That’s where we get the best results. One of the most important pieces that I find that motivates patients especially to eat more super-foods and vegetables is their understanding of this part of the test which is the antioxidant function.
The antioxidant function is determined by throwing free radicals at proliferating cells and seeing what kind of survival and how many of them are actually taken care of. So if you throw for an example, a hundred free radicals at cell structures or your cells, in this patient, 65 of them would be handled and 35 would be left. I usually tell people we’re aiming for above the 75th percentile.
I’m going to go through a little sample report and then I’d like to go through some cases in my practice that I think illustrates some of these principles. So, in terms of deficiencies, they report two categories; functional and borderline. Both functional and borderline, if you see what I show you here. The borderlines are in the yellow, the functionals are in the blue. I’m looking for them to be in the 75th percentile, up at the top.
So the report comes in like this and when I show the patient the first page, I usually point out the Spectrox result first and say, “This is one of the most important pieces of this test because it’s telling us what your body’s capacity is for antioxidants.” You’re always hearing about antioxidants. Do you need more? Do you have enough? Or do you need less?
I haven’t seen people who need less but I can tell you people who start using super-foods and all of the kind of things we have available and they clean up their inflammation in the intestine, their numbers go up greatly. There are many pages to this test that describe different things. I don’t necessarily go with the repletion suggestions and I’ll show you how I monitor it.
In discussing it with a patient, I find these pages with the numbers to be less useful and the pages with the graphs to be more useful. So I’m going to go through with you how I view it with a patient and then we’ll go to some cases. So with this patient with their B-complex vitamins, it’s rather easy to see that the B12 and folate are of course low which are very common in people who have more stress or intrinsic deficiency. B5 is also low which is up in a stress-related one.
You can also see that even B6 doesn’t need that 75% criteria, either does B1. The only one that’s close is B2 and B3 that are coming up into the 50th percentile. We’re looking for 75th percentile. Anytime I see a B-vitamin pattern that looks like this, you have to wonder whether you have an intestinal mucosa that’s actually producing B-vitamins because most of our B-vitamins are produced by the flora in the intestine.
The clue to this comes in the second piece of information we get here. In the second piece of information we see that I usually look at the glutamine. So in this case, the glutamine is relatively fine, as you’ll see is in the 50th percentile. The other amino acids are also okay. So, chances are that this is more of an actual deficiency in B-vitamins than it is an intestinal malabsorption issue.
The next row is showing us that most of the minerals are sitting at the 35th percentile. I find this part of great use. So you have a patient who comes in with diabetes or any kind of insulin resistance or weight issue and you recommend that they take Chromium. Or you recommend that they take Zinc which is on this page, or Alpha Lipoic Acid. All three of those including magnesium control the insulin receptor.
So, if you’re trying to get somebody’s diabetes down and I’ll show you a case with that later on. You’ve got to know whether or not these particular nutrients are off because if they’re off, it’s difficult to get the glucose tolerance factor to work appropriately. The most common deficiencies that we find are, of course, B-12 and folate; vitamin D. I find it confusing sometimes where the vitamin D in the Serum is high and the vitamin D intracellularly is low.
Generally, what I’ve associated that with is it turns out that vitamin D requires magnesium to get intracellular. So, very often when you find the vitamin D on the Spectracell low and the Serum is high, look at the magnesium. Look at the other minerals. There’s other minerals that are responsible for vitamin D getting into the cell. Magnesium, zinc.
I note iodine and ferritin, although they’re not measured in the Spectracell but these are the most common nutrient deficiencies you’ll find, and zinc. So, I’m giving you a simple example. This is a 57-year old woman who’s on a multivitamin when she comes in and three months, she ends up being treated by me. This is actually one of my first patients that I realized the power of the nutrition in.
She was on oral progesterone 75mg, Estradiol transdermally at 2 mg, and she was on a T3/T4 compounded bio-identical prescription which is 228 physiological thyroid which had T4 100/T3 33. These are all pretty good doses hormonally. She really wanted to stay on her multivitamin. She didn’t want to swallow multiple pills and she had a little bit of a compliance issue. So we started her on the hormones.
About three months later, she reported a little increase in energy level, barely any weight loss. She was looking for weight loss. Memory was about the same and mood was about the same. It had gone from a five to six. This is on a scale of 10. So, she started at a four out of ten. She went to a six out of ten. This is some kind of result but this is obviously not the kind of result that we are looking for.
So, what we talked about at that point is just putting her on a basic multivitamin and a fish oil that would allow us to use some of the things that we’re looking for in terms of activating the hormone. So, some of the criteria we look for is: vegetable capsule, no dye, no preservative, no fillers, and most importantly, hormone activating doses. So for example, active and inactive B’s. Enough K2. Enough zinc, 50 mgs is what we look for; 400 mcg of selenium; vanadium, chromium 500 mcg which activates the insulin.
So, you’re looking to use something that will allow you to have and know that the patient’s at least on something that will allow the thyroid and the adrenals to work. The reason why I mention adrenals because in this slide, you’ll note that I’m always trying to choose B vitamins that have both inactive like you can see B2, Riboflavin 50 mg but also the active form which is Riboflavin5 Phosphate.
So, you’re looking for inactive and a active form every time you’re trying to treat the adrenals in a patient. We also try to use an enteric-coated fish oil because it’s going to reduce the inflammation much more than a regular fish oil, simply because it’s absorbed about 2.5 times regular fish oil. This is a New England Journal of Medicine article that shows it. I usually put everybody on 2.5 mg.
So when we started her at month six on a multivitamin/mineral with selenium 400 mcg, and zinc 50 mg, and B12 2000 mcg. She actually at the sixth month mark, her energy level had gone up to an eight. Her weight had come down another 10 pounds, and her memory and mood were better. This is the point in time when we would actually put her into a weight loss program.
We don’t put people in weight loss programs until we know their energy and their mood and their sleep is corrected. Once it’s corrected, we’re able to start. You know I believe is, is at that point the metabolism is corrected. If you do a weight loss program, then maintenance will be a lot easier. In her case, her antioxidant function started in the 38th percentile and went up to about the 65th percentile, and her B-complex vitamins also improved by the Spectracell.
So, that would be a typical example of somebody who by putting them on good nutrition, giving them also motivation because sometimes they need motivation. They need to see that their numbers are low in order to be interested in doing anything to improve it and when they see the improvement, they will stay on the nutritional programs that you prescribe.
So this is another example, this is JW. No improvement with multivitamin/mineral, omega. We always put everybody on those two things. She’s been on adequate doses of progesterone and thyroid for six months. This time Armour thyroid, which has both T4 and T3 in it with no improvement. So, obviously we go about explaining to her that the state of the mind and the body is going to make a difference on how much nutrition she uses and how much hormonal therapy she needs.
The critical component that we’re probably missing is what the status of nutrition is and whether or not she has toxins. Whether she’s absorbing the multivitamin and the omegas that we put her on because we put her on the appropriate doses but she’s had absolutely no result. This is a perfect example where the Spectracell is critical. So, in her B vitamins, you can see that she’s hitting borderline in deficient on every single B vitamin; B1, B2, B3, B6, B12, Folate, B5, and Biotin.
This patient most likely has a gastric issue and when we look at the next line in the Spectracell which shows us the glutamine. The glutamine is your best indicator of whether or not you have inflammation going on in the intestines and whether or not there’s a gut issue to address. So the glutamine level you can see is down in the blue which means it’s a significant deficiency. There’s other amino acids that are off too but when you read any of these reports, you always want to focus.
When you see this all on one line, you’re looking for glutamine on the second line. Then you’ll find that in the vitamins and minerals, there are a lot of them that are in a good place and some of them that are not. But more importantly, on the very last page comes another piece of information which is that the Glutathione is almost nonexistent; very, very low.
Glutathione is responsible and important for detoxifying the liver. It’s part of the metabolic cascade for processing progesterone, estrogen, any of our hormones, any of the toxins in the body. It’s made out of glycine, glutamine, and cysteine which you can see right next door to the glutathione is the cysteine, which is also functionally very deficient. So, there’s also other antioxidants that are low here.
I would tell you that the vitamin C, although it measured as normal and wasn’t derived by the Spectracell team. I’m suggesting that that vitamin C should be a lot higher and actually by correcting that vitamin C, you would also see a significant correction in glutathione. So, how does one address this? If I have an extremely ill patient, I’m going to possibly… Or a patient who’s on chemo or a patient who has having big issues.
I may even give IV glutathione, but IV glutathione is very short-lived and we know that the main reason why glutathione is low is because the glutamine and cysteine are low. So this is really a perfect example of a gut issue. The very first thing we do in a patient like this is discontinue all the supplements. Everything that could be causing irritation, you discontinue.
I usually put them on a standard gastric regimen and that consists of a probiotic, a digestive enzyme which they take with every meal. Glutamine, in this case because it’s so low; 400 mg three times a day and aloe arborescence at least for a month or two. It’s different from Aloe Vera and it has a different effect on the immune system and the gut lining. I usually put them on one ounce twice a day.
If the patient has any kind of gastric symptoms, you can expect that 85% of the time this regimen will correct them. Whether it’s reflux, whether it’s IBS, whether it’s Crohn’s, whether it’s osteochondritis. The symptoms generally abate when you have this kind of anti-inflammatory regimen onboard, but you also have to support it.
The probiotics that you like to pick are something that has lots of different probiotics and upper and lower bowel represented, and digestive enzymes should include things that have protein, carbohydrate, and all of the different ones that you need. The other part of this is that you have to reduce inflammation in the gut also by reducing the exposure to inflammatory products. What’s the number one inflammatory product that we take patients off of ?
It would be cow’s milk simply because we know that 87% of milk is casein. So it’s not that they’re necessarily allergic to it but casein happens to be a very inflammatory protein in the gut. If you have an inflammation in the gut, you will have more inflammation with casein in the gut. This is just an example of 20% casein and 5% casein in the proliferation of cancer cells. You can see it’s quite a bit higher. This is 20% gluten.
If I had a choice of taking somebody off of casein or taking somebody off of gluten, I’d choose casein first because clinically I found that that makes the biggest difference. There’s also studies showing that casein looks like pancreatic cells and the body can’t tell the difference so the antibodies to casein attack the pancreas. We know that more milk causes more Type 1 diabetes. More milk causes more fractures.
There are lots of non-dairy “milk” and “cheese” options. So, we teach our patients to use them. In the patient that I told you about is going to be important for her to realize that the more plants that she eats in her diet and the less animal protein she eats in the diet – the more chance that the lining of the intestine will be fixed and she’ll make her own B vitamins, and she’ll absorb what she’s taking because she was on a hefty dose with really very little response.
We know that the plant-based diets have been shown to be associated with less chronic disease of every form, diabetes, stroke, auto-immune disease, arthritis, heart attacks, cancers, and neurologic disease, even bone loss. We have successfully used these programs in patients with: allergies, sinus problems, gastric conditions, fibromyalgia, psoriasis, eczema, arthritis, high blood pressure, cholesterol, and high C-reactive protein (Crp).
Also in patients who measure low in the Spectrox and have low antioxidant. What we have to remember when we put patients on these programs, I want to go back to the philosophy which is if a patient does – the patient’s knowledge is their base for them to choose from. They should pat themselves on the back for anything they do because these are hard programs and reversing these diseases takes a pretty strict following of the program.
So we ask them to choose as much as they can do but I can tell you that dairy is going to be the number one thing that we want to go after. We know that plants do have enough nutrients. This is just a simple slide showing plant-based foods (500 calories), animal-based foods (500 calories) mixed as you can see from the things that are listed. The same amount of protein. Much more fibre. Much more magnesium. Much more calcium. Much more iron.
Contrary to popular belief, all of these things when I measure spectracells are before and afters, you’ll find that the numbers are much better corrected on plant-based diets than the animal-based diets. So, do we encourage everybody to go plant-based? Not necessarily. We just ask them to eat more plants. So, I’ve told you that she would be encouraged not only to measure but in her case, to eat more plants, less protein and eat more organic and add more superfoods.
This is just a study showing that you know the organic versus conventional food nutrients. The organic foods actually have anywhere from 10% to 372% the nutrients than conventionally grown crops. So, this is an important fact. This is why I ask people to go towards organic. But since the USDA has reported that we have reduced nutrients in our soil and they actually did a study that they published showing that they had a 50% reduction in 50 years.
We actually do ask patients especially this kind of a patient who has a low antioxidant profile to add the superfoods to the picture either through smoothies or through eating them separately. There is no one superfood that we add. You’ll hear people say, “Well, this one’s better than that one. That one’s better than this one.” But at the end of the day, it’s the mix, the different colors and the practicality of what’s available and what’s affordable, and what they can do.
So, food is a major piece of our hormonal program and actually most of our patients who come in to our program have a mandatory visit with the nutrition person where we measure and recommend the food program and the supplement program that we’re recommending. At 12 weeks this patient is feeling better and when I say feeling better, I’m not going into the details of it but this would be anxiety, sleep, energy and mood swings; and she’s done the GI regimen.
This is three months. She’s on less dairy, more plants, and she’s still on the same dosing of hormones. So, what would we do now? So at this point, I would add back, a multivitamin/mineral, and the fish oil just like I mentioned before. This is basically the major regimen that I put every patient on. I would keep the glutamine going. The rest of it can drop out of the equation if the patient wishes it.
This patient is probably going to be better staying on probiotic and enzymes for awhile but you find patients getting very tired of eating too many pills. So, the one thing you want to keep her on is glutamine because that’ll keep the mucosal lining appropriate. As I was saying, obviously knowledge is power to making firm choices.
I think I showed you the before and afters for her but she would at the nine month mark, after that particular regimen of putting of the glutamine onboard, you can add back the multivitamin and the omega. Then six months later, repeat it. So, what we’re doing is at the three month mark, we keep the glutamine going. We add back the supplement protocol and then we re-measure six months from there.
You’ll probably find at that point that that has actually healed. So, this is a 57-year old male who came in reporting a low sex drive, low motivation, depression. He was on Zoloft. He had a 22 lb. weight gain. His energy level was a four and he had high cholesterol. We ordered the normal Serum labs on him. This is what we normally order. It may be quick if I don’t go through all of it but remember that this webinar will be posted, so you’ll be able to look at it later if you wish.
The other tests that we routinely order, we always do an exam. We do a DEXA scan. We always do and encourage the nutritional Spectracell Functional Intracellular analysis either right at the beginning or at the follow-up. We’re always looking at vitamin D and iron. I do not do the iodine spot test anymore. I don’t think that it’s very accurate at all. This patient comes in with a testosterone level of 237. It doesn’t matter what the bioavailable is when the total is 237.
We’re looking for numbers above the 700,-800 range. A free T3 of above 400 and if you look at the literature, you’ll see levels of 2.3-7.7. So, you’re looking for the upper quartile. A total cholesterol of 280 with an LDL of 130, and a hemoglobin A1c (Hgb) of 6.2. So, we’re looking to lower that to 5.3. For every patient we explain this model to them that with their hormonal therapy, we’ll be looking at nutrition, mind, body, and also the toxins.
When we give them a written individual plan, it’s a “Aha!” moment for the patient and it also puts it on paper that we will be looking at nutrition. We will be looking at your hormonal levels and following them. So, this patient is placed on testosterone PLO cream 75 mg a day. There’s other options that we use and also on some thyroid. At this point, we would discuss the nutritional options and the nutritional option for Spectracell either could get it now for a baseline.
Option number two, could start the supplements and get it in 3-6 months. This patient chooses option number one. So we put him on a multivitamin and mineral and two grams of enteric-coated fish oil, which will equal about four to five grams of fish oil in blood level. By week six, on this regimen, his sex drive is a little better. It’s at six. Motivation is a little better. It’s at six. Fatigue has gone from a three to a 6-7 and his testosterone has improved.
His cholesterol interestingly has come down a little bit. He’s on a good omega and his hemoglobinA1c hasn’t been touched, though. We continue to work with him by improving his thyroid and giving him some iodine because he still has an energy level of 6-7. Now, this man wants to lose 22 pounds. We wouldn’t put him towards any kind of a weight program until he came in saying, “My energy level’s good. My motivation’s good. I’m feeling good.”
That’s when you know the metabolism is completely corrected. It’s not completely corrected yet. We need to look at nutrition. He had gotten a Spectracell when he came first so at week six we have results. The results usually take 4-5 weeks so we schedule the review on the return visit. He has a low antioxidant function. Low B-complex vitamins. You can see they’re all scraping the bottom. The glutamine was not deficient.
Other deficiencies that were identified were COQ10, magnesium, ALA (Alpha Lipoic Acid), zinc, and vitamin E. Now the importance of this is that he obviously has a borderline and high-risk for diabetes and that means that his insulin receptor is not working very well. Which of these nutrients is known to be part of that insulin receptor? Magnesium is. Alpha Lipoic Acid is. And, zinc is.
So, remember that he’s already on a multivitamin/mineral that has the zinc and the vitamin E in it. Zinc 50 mg and 800 mg of vitamin E. But he’s not on COQ10 so we put him on 200 mg. We put him on magnesium glycinate of 600 mg because you usually need to give a much higher dose of magnesium in order to correct a magnesium deficiency and it takes a long time to correct it.
Sometimes when we get a repeat Spectracell within 3-4 months, we’re not seeing a huge increase. We see some increase but a not a complete correction. I find that people need to stay on magnesium especially people who have adrenal insufficiency. They have to stay on it. Period, but people need to stay on it for a year before we start to see good intracellular correction of magnesium models.
Alpha Lipoic Acid of 400 mg and now we’ve got a complete picture. If we hadn’t gotten the Spectracell, we wouldn’t have known that these other things were missing and we probably wouldn’t make a big dent on that sugar. What do we do about the low antioxidant function? I had already mentioned to you that we would be wanting to add superfoods but what are the tools we give the patients?
We have a nutritional consult with them where we show them how to make smoothies. We show them how to make juices, but we also refer them to things that are available on Netflix and so on. You’ll find that there’s this movie which actually is showing how somebody took their journey and lost a 150 lbs. The most important thing with it is that there’s a website that the patient can go to. To learn how to make a juice that’s orange, a juice that’s green, and a juice that’s purple; and, do different juices every day.
It turns out that these juices aren’t that hard to make and the juicer that you recommend is about $60. So for a lot of our patients, in addition to doing a nutritional program, we say, “Go and try to add some of these high-density antioxidants to your picture” because you cannot make up for it by giving them tablets. People get pill esophagitis and it doesn’t work. So, this is usually what we recommend.
By week 12, this gentleman’s testosterone has come up to 740. His total cholesterol has come down from 280 to 212. His hemoglobinA1c has come from 6.2, now to 5.8. That movement is most likely because of the COQ10, the magnesium and the Alpha Lipoic Acid that we added in addition to the other things, and the fact that the zinc is also in the picture which is part of this picture. We’re aiming for a 5.3
So when I say it’s time for a Metabolic Balance Program, this is when we would work on the toxic aspect of things because he’s feeling well. His antioxidant function has improved. His B vitamins have improved. Really by adding the nutrition, we have added to the picture and improved a lot of things. He still has weight to lose.
So this is when we would get into the last piece of this thing which would be to put him in a Metabolic Balance Program where we generally would give him a 100% vegetable diet for seven days. Then a 50% vegetable diet thereafter. Balanced by one-quarter protein and one-quarter complex carbs. With that program, this gentleman actually did end up losing the weight.
So, I want to make the point here that with no matter what the patient comes in with, we’re using this entire model and nutrition is a quora cox of this model. There’s many ways of measuring it with what the patient has to understand. So yesterday I had a patient come in with osteoporosis. She’s been on hormonal therapies and her bone density has not been improving. What I had to explain to her was that there’s particular hormones that are specifically known to stimulate osteoblastic activity.
There’s particular nutrients that we know are required to build bone. We know that the studies are showing that people who’ve been given 800-1200 of elemental calcium without measuring their calcium levels have had increased propensity towards cardiovascular events like stroke and heart attacks. Mostly because they’re depositing the calcium as plaque. Which would happen if you don’t have the other nutrients that are needed to make bone.
Namely, some of them would be vitamin D, magnesium, vitamin K. It would also happen if the pH of the body was too low. Or if you had too much mercury or lead, displacing the magnesium and calcium. So our entire idea that calcium was the key has been displaced because now we also know that the more calcium you take into your body, unbound – the pH drops and the body actually mobilizes more calcium in order to make up for that pH drop.
So we know that the nutritional aspect is an important aspect but also the pH. If the pH of the body is too acidic, then it’s like putting all the builders in the building blocks but having a cement that’s too wet. So when we start to explain the whole thing to the patient that, “You need the physical exercise. You need this specific hormones. You need all the nutrients and we can measure each and one of these things. We can measure the pH of your body.”
What you want to do is look at the urine pH early in the morning and your pH should be above 6.7 in the morning. If it’s not above 6.7 – add more greens. Add more mineral salt. We use pink salt which is like a 92 mineral salt. Basically, between adding greens and adding pink salt, we’re able to raise the pH and then you’ve got a situation where you can build bone. We’ve seen many patients build bone using this exact model.
Similarly, whether they have fatigue or whether they have insomnia, we always show them that each piece is somehow going to play a role in the picture so that it’s not just one thing or the other. “Oh, I took magnesium and nothing happened. I took chromium and nothing happened.” But what if you needed chromium and thyroid and something else? So it’s easier for them to understand if we explain it to them in its entirety.
I think I’ve mentioned to you and told you that our food program is the most important part of our nutritional program along with the measurement and that we try to empower people by giving them the ability to choose. I can tell you it’s a real chore for people to add one thing to their diet or remove one thing from their diet. So, one visit is never enough. They need to work with somebody’s who is going to work on their nutrition regularly with them so that they can continue to improve while they’re going through their journey in trying to optimize their health.
There’s some reading that I share, things that have helped me in my journey in understanding this. The material I share comes from the 10,000 patients that we’ve seen and the results we’ve had in them. We will be presenting in Orlando this year, Science and Case Applications in using this 5-point framework for hormone restoration in men and women, and covering all the hormones. So, if any of you are in town or want to see that, please attend. We’d love to see you.
I am now at the end of this presentation and I am so happy for all of you that have attended. I have the ability to take questions. So, if you have any questions, please… Okay, so we already have questions. We just have to be able to see them. So, the first question was, I entered the listen-only mode. Can I do both webinar and by phone?
The most important thing to know is that this program is going to be on the website of MDPrescriptives and you’ll be able to access it. We’ll also be putting it on our website at Sajune.com. So, you’ll be able to access this. Are there any other questions? Somehow we’re having trouble reading questions here. So if you have questions, I don’t know why we’re having trouble with this but when the program will be available will be by the beginning of next week.
If you have other questions, I’m going to give you my email. It’s firstname.lastname@example.org. I did get one question here. Any thoughts on intravenous nutrients versus oral nutrient therapies? I would tell you that the fact is that at the end of the day, it’s rather difficult for patients to come in and continue to get intravenous therapies. Most intravenous therapies are only for short-term use. I will use them if somebody’s going through a chemo regimen or needs to detoxify.
I’ll give glutathione if I have an adrenal fatigue or somebody who’s very worn out from active sports. I may use a Myers IV but I think that what I’m trying to emphasize is that you have to emphasize the food program over everything else and then the supplement program, and then measurement. So that would be the order of it and IV therapies would sort of be last. I actually think as [manikzuma?][51:20] delivery improves, we’re not going to have the kind of issues that we have that we have to use IV therapies.
Why do you recommend the active and inactive forms of vitamins with adrenal conditions? Simply because the enzymes that are required to make the active forms from the inactive forms need nutrients and need activity that’s usually missing. So, initially, you always want to use active and inactive forms so people can have the effect of the B’s almost immediately. Good question.
The next question is, is it okay to use frozen steam bags of vegetables? So, the most important thing is that principle and philosophy that we should congratulate ourselves for everything we do because you see the fact is that nowadays in the grocery store, you can get frozen steam bags of vegetables that you can either steam or there’s ones that you can microwave. The upside is that you get vegetables.
If they’re organic, you get 44% more nutrients. If they’re frozen and flash-frozen, the nutrients are often preserved better than fresh vegetables. The downside, the steam bag is usually plastic which means you’re going to get some amount of phthalates into your food. If you microwave it, you’re going to microwave it at 400 degrees and lose most of the phytonutrients. So, there’s pluses and minuses but if you can’t access and you have to use the other method that at least you’re getting the vegetables.
The next question. I have a patient who has had intestinal bypass surgery and she certainly is a challenge. So, that is a challenge because they’re not going to have a lot of times the kind of absorption and production of B vitamins, especially in absorption of anything. I also have had a number of intestinal bypass patients and I don’t see that you’re asking a question here, but I know that it is a challenge.
I can tell you that getting an idea of this is a patient that I would get the Spectracell first before I did anything. This is a patient in whom you may end up using either IM or IV forms of nutrition more actively. We’ve had good luck when we’ve used those things. Along with the Spectracell test, what other tests do you find most helpful? For example, for the thyroid panel?
So, the fact is that there’s many ways to measure things. The reason why I choose to use certain things is because either I’ve had a lot of experience using it and interpreting it. I think the most important thing is that you have the ability to use it and the patient can understand the result. That’s actually the reason why I don’t use the Neutroval. So the other test that I find helpful is I order a Serum panel on everybody.
If you’re asking me if I use the salivary panels, you can use salivary urine or salivary Serum for any of the hormones but I usually start with Serum because I can get my results with the Serum without any problems. So, that’s usually why I use the Serum. Yes, I order a full thyroid panel: free T3, thyroid antibodies, TSH, and all of that. How do you approach the long-term GERD patient on meds with respective [indiscernible] [54:58] digestion? So, this is a critical question.
If you have a patient with gastroespohageal reflux and they’re on medications, the first thing you can guarantee yourself is that they’re not going to absorb vitamin B12, iron, calcium or magnesium well. That’s been very well shown. So, we know that we’re stopping the hydrogen production and controlling the symptom of GERD. Simultaneously, reducing their nutrient absorption and increasing their chronic disease. So, you have to get them off the meds.
How do you do it? The exact same approach I showed you for that patient with the glutamine deficiency and the B vitamin deficiency which is we put them on a comprehensive probiotic and enzyme to take with every meal. We ask them to get off of the dairy completely for four to eight weeks. Eighty percent of patients just with those two things, even without glutamine and without aloe will end up having just about complete resolution and will be able to come off of their medication.
If that doesn’t do it, then we tighten up more. We put them on glutamine. We put them on the aloe. Then we ask them to really get on a plant-based diet to allow the inflammation to decrease. Once the inflammation is gone, their gut health is better. We know that 75% of the immune system lies in the gut. So, it’s critical that the intestines are addressed for a patient with hormonal problems.
As most of you know, anybody who’s doing hormonal therapies out there, you know that these patients just don’t come in with, “I want my hormones fixed.” They come in with a whole list of things and they’re assuming hormones is part of the picture but as I’m showing you and as you already know, nutrition and other things are part of the picture. If you don’t fix the intestines, you don’t make neurotransmitters and you don’t process the hormones well. Let’s see.
What are your thoughts on using baking soda with or without apple cider vinegar mixed in water? For, wait a minute. It moved and I can’t… Okay, mixed in water for improving alkalinity? So, it isn’t a bad approach at all but we’re not missing apple cider vinegar. So, the first thing we’re missing is actually enzymes and probiotics. So, the first way I would go would be to give probiotics and enzymes because that is actually restorative. That’s actually something they’re missing.
Then baking soda and apple cider vinegar, they can work but at the end of the day if you get the probiotic, you get the lining fixed – it works very well. How is the aloe product you recommend different than regular aloe juice? Regular aloe juice is aloe vera. Aloe vera is perfectly fine after the second month but the first month or two, aloe arborescence is going to be a stronger correction to the intestinal mucosa. In terms of, inflammation intestinal correcting the immune system.
So I generally at least try to keep them on aloe arborescence for a month or two. Do you also see a lot of Candida or yeast growth as a problem in your practice? Of course. There’s a lot of this in the practice. The approach that I try to use is exactly the same though. I do not use a Candida diet. I generally try to get the gut corrected through strong probiotic regimens and using the aloe glutamine. That regimen I use in anybody where I see that’s there’s any kind of intestinal thing and then if I have to do more, I’ll do more.
Let’s see here. I think that’s about as many questions as I can take today. We are going to not send a recording but we will be posting it on sajune.com and mdprescriptives.com. If you want to listen to it, you can. I really want to thank you guys for taking the time out of your schedule to participate today. I’ll look forward to hearing you and seeing you and taking your questions on a future webinar. So, have the best day ever!