Hello, this is Dr. Pati and we’re at capacity. So, I’m going to go ahead and get started. So today I wanted to tell you a little bit about my experience with identifying and combating inflammation. I’ll be doing this through a pace presentation with some basic things that I’ve learned. I think that the main thing here is that we can have programs that are highly complicated but what we find is that the more basic the program is, the more likely it is that the patient will succeed in the program.
Now, how do I turn these slides? Okay. So even Time magazine, of course, agrees that the secret killer is inflammation. We know that inflammatory processes are responsible for cardiac events and colon cancers and Alzheimer’s, and basically any other disease of the body is going to be identified that way. In our practices, the most important identification is going to be clinical.
When I see a patient who’s overweight or I see anybody with any kind of skin lesions or complaining of arthritis. Those are the things that we know are showing us that there is some kind of inflammation in the body. This is really just a joke when I say combating inflammation – do not eat. It is true that inflammation has to do not only with what we eat in a big way but also how much we eat.
It turns out that the amount of calories we eat directly corresponds to the amount of inflammation in the body. So, some of the diseases that we are seeing that clearly tell us that some sorts of inflammation and I can tell you that any time I see any of these conditions, I’m going to start looking at the gut first. So whether a patient starts with telling me that they have an allergic reaction which usually is coming from intestinal imbalances in the bowel flora and destabilizing mass cells.
So you have more of an allergic reaction. Or whether it’s arthritis and effecting particular joints. We know that once you’re in an inflammatory state, what happens is that the joint, the organ, the system that is the weakest is going to demonstrate whatever the disease is. It could be a genetic weakness towards a certain cancer. It could be a cardiac weakness. It could be the joints. It could be the bowels. It could be the blood vessels.
I think it’s important to realize that inflammation can cause any of these in the place that it usually presents is the place that is most likely to be the weakest. Any time you see eczema and psoriasis in a patient and I’ve highlighted some of the ones that are very, very clear. Any time you see any kind of skin manifestation, you know that there’s some kind of inflammatory process going on and generally that inflammatory process is going on in the intestinal system.
So, and of course, if you have a case with anybody with ulcerative colitis or irritable bowel. Anybody who tells you, “I’ve got reflux,” you know that they have some kind of generalized inflammation. Partly related to the fact that they’re not absorbing nutrients and partly related to the fact that mucosal inflammatory process is a very large creator of cytokines, which can affect any part of the body.
The most common presentation that we’re having actually of generalized inflammation. Anybody we’re seeing with any of those things, we’re looking for adrenal insufficiency because nowadays, it just seems to be more common. As we know that if there are stressors that are affecting the body that the first demand goes to cortisol.
As the body’s adrenal system starts to try to manufacture enough cortisol, it will steal from DHEA and progesterone; and, at the same time because the sympathetic system is firing – you start to utilize more nutrients. The nutrients that you use most commonly under these scenarios is B vitamins, magnesium, and vitamin C. So, I think that it’s really important to recognize that even a patient with a progesterone deficiency may and especially if it’s coming earlier than you what you expect like a teenager or a person in their 20’s.
You have to look at why and generally this is because of some kind of stressor that’s creating a lack of enough progesterone. What you see in these patients with these low hormones is all kinds of inflammatory processes because as you may know, these major hormones that I’ve listed on this page are the major hormones that are responsible for keeping inflammation throughout the body controlled.
As soon as they start to go down, we start to see all of the diseases that we just talked about a second ago and as the inflammation continues the chance of having a more serious condition is actually more likely. There’s many markers that we can have for inflammation. One of them and I’ve highlighted one that I use more frequently, is the hsCRP. We’re looking for that number to be less than 1.
I can tell you that the first marker of inflammation is as I pointed out before, is the clinical presentation. If you get any of the clinical presentations that I’ve just listed a second ago? You know you have inflammation, but there’s certain markers you can follow. You can follow the hsCRP. You can follow the IL-6 and I’ll show you why the IL-6 is not a very good one to follow.
It’s not a very stable one and therefore, and you can see the ranges are different from the different labs. IL-6 does correlate well with sudden cardiac death and death, in general within three years but the only thing is the lab test is not as accurate. Similarly, TNF alpha is not the most accurate test but luckily even a white blood cell count above 7 correlates with inflammation. So does a triglyceride level greater than a hundred and HgbA1c greater than 5.4.
So, these are the numbers that we’re looking for but anything above this, you know that you have a lot of glycation going on in the body. When you have glycation because of simple sugars or refined product, there’s very good studies to show that that is the source of a great deal of inflammation. I’ll also be showing you the antioxidant function. This is one of my favorite markers to follow for inflammation.
So beside the clinical presentation, the hsCRP and the antioxidant function are two that I use in a great way and they appeal to patients because they’re familiar with these things. I’ll show you a patient and the case that we have, and how we used that. This is actually a study from the Cardiac literature that just shows that out of all of the analytes that you can test, there’s very little stability of Acute phase reactants, and Fibrinogen,and adhesion molecules, and Cytokines.
Obviously, if they’re frozen they can be stable but I find that the easiest ones to follow are hsCRP and WBC count. So those are the ones that I follow beside the clinical presentations. I included this slide just so that you know that this is a full article available online that actually talks about all the markers of inflammation and how they are measured. If you want to get that kind of information and to just look at how this correlates.
I have to say that I don’t think that you ever can depend on any one marker but what you do is you use the entire clinical picture along with several different markers to give you the entire picture. So a C-reactive protein we know indicates an increased risk for destabilized plaque and clotting. People with high levels of 3.0 in a New England Journal of Medicine article were almost three times as likely to die from a heart attack.
I think that was within four to five years that that study was done. This is another study showing that C-reactive protein and IL-6 predict over a 4.6 year period when they were both high at 2.6 times more likely to die from some kind of inflammatory disease. So when we talk about how we actually address inflammation, I think that’s where the heart of what I want to cover today would be.
Many of you may know that the model that I use is based upon correcting all of these five areas. You’re going to see that without correcting even one of these areas, you’re not going to get the whole picture of the inflammation. To give you a very simple idea, even mind stress. That’s going to put weight and burden on your hormonal profile especially your cortisol, your DHEA, your progesterone, and decline all of those hormones so that you have more inflammation in the body from that hormonal imbalance.
Mind stress is similarly will increase your nutritional utilization and if the nutritional utilization is too high, you won’t have enough antioxidants to combat any kind of free radical damage that normally would occur in the body. Similarly, something simple like body pain. If I had a patient coming in and telling me that they’re in pain. Not only do I know that they have an inflammatory process mostly starting from the gut generally, but I also know that in turn that pain is putting a stress on the system which would increase the inflammation even more.
So, you really have to address each and every area to get a complete picture and a complete solution. So, I want to give you an example of a man who came in a few years ago. A 42-year old male with ulcerative colitis. This gentleman if I’m not mistaken was on six more mapped purine at the time we starting treating him. He was having exacerbations every 4-5 months. This is a very, very typical scenario.
You have a person with a gut imbalance, some kind of intestinal something whether it’s IBS or reflux or ulcerative colitis. This scenario has gone on for eight years and slowly as the nutrient deficiencies start to kick in, you see the severe fatigue. That’s what this gentleman had presented with this severe fatigue for four years with an energy level of 1-2, rated out of 10. Then comes the last piece which is when that inflammation gets bad enough, you start to have severe pain all over.
If you look at these patients with long-standing inflammatory conditions of the intestines, you always find that they eventually also develop the arthritic complications that come with this. So this is a very typical scenario. We see this very frequently so this is a nice case. Then also the sleep 2 out of 10. Many of you may know that there are studies showing that sleep deprivation actually in itself will increase all the cytokine markers by anywhere from 20-40%, depending upon which study and which group of people you look at.
So when we see people with sleep deprivation, we know that that in itself correcting that is going to help because it’s only in sleep that you can correct the adrenal stress which ultimately fixes the adrenal level, hormones and decreases inflammation through that way. So each area is just as important as the other. I’ve put a lot of importance on sleep. He came in with his lab values.
Again, we’re going to be looking at his situation from the point of view of hormones, nutrients, toxicities, mind, body, the whole thing. So hormone-wise, the testosterone level was 176. This is a total testosterone. The bioavailable was 76 and in the parentheses, you see where the upper quartile where I would like to see these optimally. The DHEA-S was 38 and that one should optimally be somewhere in the upper hundreds to 200 range.
The free T3 which is basically the only most important marker that I follow for thyroid. Should be looked at to be above 450. If you look at the American Endocrine Society, they use 680 as their upper limit but we know T3 is the only active fraction in the body. The AM Cortisol was seven and even though this was within the normal range on the Serum labs and these are all Serum labs.
This would be considered a person, any time you see a number under nine, you know that this person is not sleeping well. They’re not recovering their adrenals and they’re not producing any hormones partly because of the adrenal burner and of course, we know that because all the hormones are low. The C-reactive protein which we want under 1.0 is at 9.3.
You may know that if that C-reactive protein and this is a high sensitivity one, goes above 10, you may know that there are some recommendations that you go searching for all kinds of cancers and diseases throughout the body because it’s a marker that’s one of the indicative markers.
I can tell you that we’ve had patients on who this was the sole marker along with an alleviative WBC who have been diagnosed with cancers just by following these two markers and wondering what was happening. HgbAlc was 5.6 – we’re looking for that to be under the 5.3-5.2 range. When we did nutrient testing and we used antioxidant function profile from Spectracell.
We found that that Spectracell was in the 38th percentile or so somewhere under the 50th percentile, which means you still have 50% of your free radicals available to do damage. We’re always looking for upper quartile on this. This is a very, very typical pattern for somebody who’s B vitamin deficient because you can see all of the green squares show that they’re just barely above the blue line.
Which the blue line represents 25th percentile with a B6 actually having fallen below it and the important thing here is that you’re always looking for the 75th percentile. The magnesium was in the 30th percentile. The glutathione was in the 25th percentile. I’m not showing you that slide here but there obviously was quite a bit of inflammation. So, our goal is to going to be to bring this antioxidant function up.
We did do a Genova CDSA Panel and just basically this is more academic than anything else. It showed us an Eosinophil X of 13, which is double of where we would want it and that’s very indicative of high level inflammation as our Putrefactive short chain fatty acids (SCFAs). So, just some markers that you could measure, but I wouldn’t suggest that we measure them on everybody. We could have guessed it when we saw a Crp of 9.3.
So in this gentleman’s case, we discussed how the symptoms are caused by imbalances in each of the five areas and started with some therapy. The goal of the first eight weeks in our program is just to get them feeling better before we start to make the program complicated with, “Take away this. Do this dietary change.” The first goal is to get them feeling better as quickly as possible.
So we supported the adrenal glands with DHEA 25 mg at AM and noon orally. Testosterone PLO 50 mg every day and we offer all three forms of testosterone but we used this one because that’s what he preferred. Melatonin at 3 mg at night to help him get into REM four sleep. Cortisol 5 mg in the AM and noon. Actually, the instruction that we give these people is to start tapering themselves upwards with an AM, noon, and 3 PM dose, until they feel okay.
If you read Jeffries Williams, Safe Uses of Cortisol, you’ll find that up to 20 to even 30 mg you’re not really going to be suppressing the adrenal activity in any big way. We’re rather liberal especially with these patients in allowing them to go up for a few months if they need to. We held on the thyroid in this case even though it was low and suggested that we start it later only because we recognized that without supporting the adrenal glands, we may have a cardiac reaction.
The nutritional program that we used was mostly food-based. We use a lot of super fat foods that are dense because as you may know, it takes 35 peaches and four apples in order to make up for one peach and one apple about 10 years ago. Plant-based because of the antioxidants and inflammatory value but we didn’t start that until later. Then basic supplements, a multi and omega. I’ll tell you about in the measurement of the nutrition status.
This is the crux. You always want to measure because with measurement are three things that you learn. One thing that you learn with measurement is what is the adequacy of the food and supplement program. The second thing you learn is what is the absorption of it. And, the third thing is whether the utilization is being matched. For an example, under high stress people utilize more magnesium and vitamin C and Bs.
For a high level athlete, you use more COQ10 and Carnitine. So, it is depended upon utilization. In terms of this gentleman’s nutritional program, the food part we started very easy. We started with just discontinuing dairy because dairy is such a high inflammatory potential because of the casein. We started Mangosteens juice four ounces, twice a day and I’ll show you the company we used for that.
Mangosteens has an independent COX 2A inhibitor activity and it’s one of the strong antioxidants. We use a lot of juices but we try to pick and choose to keep the supplement regimen down. We started on Essentials 5 in 1 which I’ll show you why we picked that, and RxOmega. Then B12 injections every week for actually probably in this case, we used it for almost 12 weeks in methylated form.
Magnesium Glycinate 480 mg at night which we got from Premier Research Lab and N-Acetyl Cysteine (NAC) which was 1200 mg per day. You can see that we’re aiming for a plant-based diet in the future. This is all to just reduce that inflammation. This is basically a very strong anti-inflammatory program alone with the hormones that we put onboard. You can see, you can pick so many things for an anti-inflammatory program.
I’ll have people ask me, “Well, is Resveratrol better? Is this better? Is that better?” At the end of the day, you’re looking to correct certain markers. So, the way you choose is what it is that suits the patient and the patient’s able to do. It turns out that Essentials 5 in 1 does have all the hormone activators in it like the selenium which is at 400, and the chromium which is at 500, and a good level of iodine of 1000 mcg, and a methylated B12.
If you look at some of the other ones that I have up here, the doses are not going to be close to what we’re looking for in for caps and also the cost. I think the most important thing is you want something that’s basic that can be used without having too many bottles. As far as Omega, based upon data that was published in The New England Journal about the enteric-coated preparations being almost 2-3 fold absorbed in a better way.
I find the ability to keep the dose down and still achieve a correction. When I say correction, I mean that we actually are measuring the HS-omega levels and seeing that you know there’s some kind of correction in most of these. So, you really look to measure the HS-omega, the omega levels because otherwise it’s difficult. There’s a lot of debate about whether you want to a triglyceride form or an Ethyl ester form.
There’s two factors that sort of drive the way I’m choosing. One is enteric-coating because it increases the absorption a couple of folds and it allows you to keep the pill count down. The second again is just measurement. I always get this question about krill oil versus fish oil so I put this slide in here just to address that. The main thing is that the omega 3 content of krill oil is only 7-24% and fish oil is greater than 30%, and then the RxOmega is greater than 75%.
The fish oil has greater stability. It turns out that krill oil is not necessarily more sustainable and has greater absorption. Actually, the FDA has required those claims to be removed. I also often get the question from vegetarians as to whether or not it’s okay for them to utilize flax and hemp, and all those kind of sources to get the omega 3 up. What I found when we measure is that and this was what would be expected in order to make.
You know, for an example, flaxseed has short chain fatty acids, alkaline like acid in order to make 46 mg of EPA or DHA long chain fatty acid. You would have to take in 1000 mg of the short chain fatty acid which means you’d be really having to take in a lot of flax just to make enough for a long chain fatty acid is which is what you need for the protection. So, I think it becomes hard when people are vegetarian to meet this need.
Still there are good sources and hemp and algae, and as you know, ultimately all of it comes from algae. That’s also why, interestingly, from farmed salmon has almost a 3-6 fold lower omega 3 content compared to its omega 6 content. So, that’s also you know for people who are asking you, “Well, can I get it from salmon?” Yes, you can. But any fish you get from has to be wild instead of farmed because with the farmed ones, you’re going to get more pesticides, more color residue, and also a inferior content of omega 3.
Just a little tidbit. As far as this election, mostly because it’s enteric-coated, I’m using that one. Also, if you look at the cost. The cost of this particular one is really actually the cheapest when you look at the capsules. The number of capsules, there is actually two for the RxOmega which is what you want to use. This is the test that I look at, the HS-Omega Index, the EPA DHA ratio. We know that if it’s above 8%, it gives you a very lower risk of any cardiac event.
The nice thing here, I have so many people come in and say, “Well, I’m taking Omega 3-6-9. Is that okay?” Generally, the answer should be no because omega 6 is always an over abundance. I can tell you when even when you look at this one here, you can see that the omega 6 and especially the arachidonic acid is way up too high. This is very commonly what we see. So, this is the kind of person you’re going to say, “Take omega 3 only because your 6:3 ratio is too high.”
Of course, we use omega 3’s and the data supports you using it in all of these conditions. I can tell you just with omega 3 and the nice thing with the enteric-coated is even one pill is going to give you the equivalent of 2-2.5 g of rbc content for the omega. I found that just that alone can decrease anxiety, depression by somewhere between 20-50% and that’s actually in the literature. It’s absolutely a mainstay for the inflammation.
In this gentleman, we used our standard way of taking care of the mind. The one in the red is the most important, to rearrange the schedule to include 30-60 minutes of protected time and uncommit weekends. We tell these people not to watch the news, not to know who’s having a bad marriage, who’s sick; and conscious breaths to oxygenate. Really and if they’re doing any exercise, we ask them to exercise in the aerobic range in a heart rate that they can speak.
So we ask them to go outside and walk but not to exercise in a prime level range because what they’re doing if they do, is they’re producing lactic acid and increasing all of their cytokine inflammation. At week six and this is on this regimen: DHEA 50 mg, testosterone at 50, cortisol has come up to 20 now, melatonin is at six instead of the three where we started. We started on Armour Thyroid and alleviated it from 30 to 60.
Four caps of Essentials. Two of Omega, 600 mg of magnesium glycinate at night. You have to realize this came after a middle visit. I’m jumping to week six. N-Acetyl Cysteine at 1200. B12 and folate injections twice a week and no dairy. So, this is the and mangosteens juice. So, this is basically the regimen this gentleman is on and we don’t know anything about the exacerbations yet because it’s too soon.
The fatigue, the energy level is now consistently at six which is once when a patient tells you, “My energy level’s a little better. My pain level’s a little better.” The pain is now a four out of ten and they’re sleeping. You know that you’ve managed to get inflammation down to some extent. Of course, we didn’t have any measurements at the six-week mark but just the clinical picture of less pain is telling you that there’s less cytokine and less inflammation going on in the body.
At this point we increase the Armour from 60-90. I used Armour in this case because it was a T3, T4 combo, which seems to work quite well. We added PureGreens which was a superfood which would increase our plant-based program and at this point, added a plant-based diet. So the basic diet that we added was based upon a flipped pyramid with the vegetables at the bottom; 50% vegetables, 25% protein, 25% complex carbs at every meal. Breakfast, lunch, and dinner.
You can be assured that this is a ratio that I found to have the most beneficial effect on glycemic control, insulin control and any kind of inflammation at all. So this is a really nice plate to use. For an example, a breakfast would consist of maybe sautéed vegetables and some kind of steel-cut oats and possibly an egg. So, if you were eating on this mode without the plant-based diet, that would be something it would look like. We ask people to do this for even their snacks.
Okay. You may know that the China Study does show the effect of animal protein on cancers and heart attacks, and everything. Just to give you an idea. Something like milk protein which is 87% casein. Increases cancer, foci proliferation in rats and you can see 20% casein gives a very big proliferation versus 5% casein. This is just a simple example of a kid with eczema. You guys may have heard this before but you know it was one of the stark examples.
Just after stopping the dairy for three weeks, this young boy ended up going from eczema and two years of weeping lesions with bandages to basically 50% better with bandages off. As we put the plant-based program as a full effect, by three months he was completely better. We know that plant-based diets have been associated with basically decrease in all of the inflammatory conditions that exist.
The nutrient composition of plant and animal-based foods is actually quite surprisingly, you’ll find that from 500 calories, from equal parts of tomato, spinach, lima beans, peas and potatoes. You get 33 g of protein and equal 500 calories from beef, chicken, pork, and whole milk, you get 34 g of proteins. So, really there’s more fiber of course in the plant-based which is on the left and more beta-carotene.
You also can see that there interestingly, is much more iron in the plant-based. Much more magnesium; much more calcium. It’s a more nutrient supportive food. We’ve used plant-based programs for people with very, very successfully in: fibromyalgia, psoriasis, eczema, arthritis, any of the bowel states, any inflammatory state with a high CRP, a low antioxidant profile, high blood pressure – any of these things.
The hardest one I can tell you is high blood pressure because by the time they’ve been diagnosed with high blood pressure, they’ve already had the disease for 15-20 years. That’s what the cardiac literature is showing. Actually most of our literature is showing that any time we get a disease diagnosis, you can be rest assure that it was in the making for 15-20 years. The way that we did the plant-based diet is usually we do it for 2-3 months.
In this person’s case, he strictly stuck to it for three months. Adding a lot of green super foods and various type of supplements that we like to use. They’re supposed to eat vegetables, whole grains, nuts and seeds. That’s the crux of the program. Avoid all meat, fish, dairy, and eggs which are known to increase cytokines in the body. Minimize canned, boxed, processed, refined, fried, charred, and overcooked.
It’s very well shown at this point that the diabetic literature and the endocrine literature does show that overcooked food is going to give you more glycation and more damage in the body. So of course, when I said that we use sub supplements, it depends upon what the patient needs. I’ll show you what we ended up using in this patient’s case. The cleansing of vegetables. We usually give them a list and help them which is learning how to make smoothies and things like that, and ask them to stick to this with many different colors of vegetables.
We really work quite a bit with them to figure out how they can add the superfoods. When I give you a list of superfoods, the thing to realize is that not every patient is going to think that any of these are necessarily palatable. That’s why many of them we have encapsulated into something called PureGreens or rather it is encapsulated in PureGreens, and that’s the one that I tend to use.
We do try to put a heavy emphasis on trying to utilize these superfoods from raw organic sources and in food forms if possible. So we work with a blender and try to teach them how to pick these superfoods and which one suit them. If they can even get four or five of them in a day, we’re happy. I think the top one generally are the raw cacao, the hemp seed, the aloe, the blue green algae, the Maca which helps rebuild the adrenal gland, the coconut which is an amazing superfood.
We recommend that they use coconut milk and coconut water. We absolutely recommend they use coconut water as a staple to drink it and then of course, many of the sea. You’ll recognize a lot of things on here. You’ll always tell people, “Oh, they’ve shown Resveratrol” because Resveratrol has been studied more. I would say that probably you’re going to find that anything with high antioxidant value is going to be of use.
This is one of the companies, actually there’s two companies on here. Genesis is one of the companies that we get our juices from because there’s no additives, no preservatives, and no wild harvested on a hundred year protected land which makes it basically better than organic certified and I get the mangosteen from there. Sunfoods is what we’re using for the wild organic.
We keep some of these in the office and then tell patients to set up their own accounts so that they can get these. I can tell you the mangosteen is really amazing and helping with the joints. The PureGreens formula, the six capsule is what they’ve written down here. You’ll notice that even in six capsules, you’re getting the full 200 mg of Resveratrol which is a cardiac dose and a full organic and raw 250 mg of turmeric.
Remember, that organic products have 30% to 40% more nutrient value than otherwise and that’s been shown actually in a randomized study. So, this is a way to get the full green tea dose which is concentrated and this is what’s been studied for cancer actually. The organic cacao being dulse. This is nice way to not have to taste these horrible things but some of them taste okay. Many of them don’t taste that great in these kinds of proportions.
In this gentleman we used three capsules, three times a day to give him nine capsules because we were trying to reverse him. I really haven’t seen a formula that has all of these kinds of things in this kind of dose. Also this is raw and organic, and Spectrophotometrically tested which means that you’re not talking about something that is even remotely possibly contaminated because they do the Spectrophotometric testing on every raw material, which is not what any of the other companies list in here at least what they’re doing.
The price is also extremely reasonable. At five months, this gentleman is on DHEA, testosterone, the cortisol is out now. This is now a fast-forward to five months. His melatonin is still there at 6. The Armour is at 120. We’ve got our basics onboard. The multi and the omega. We’ve still got magnesium onboard. Magnesium is one of your biggest adrenal supporters so that stayed onboard.
NAC. The only time I would discontinue these is if I got another Spectracell showing that these were corrected. B12 and folate. This is going to be discontinued at this point. This gentleman has been plant-based for three months. Nine of Pure Greens and mangosteen. The entire five months hasn’t had an exacerbation. The energy is corrected to nine. The pain is a zero. This is a no cortisol which means the adrenals are corrected most likely because his sleep has corrected to eight solid hours, in addition, to the nutrients.
As far as levels, the testosterone level was 640. I mentioned above 700 but if you have a clinical response at 640, that’s perfectly fine. The bioavailable is 254. Again, I mentioned above 350 is optimal. So, I’m not going to drive the numbers higher if there’s a clinical response. Similarly with the DHEA, it’s 120. We might be looking for above 200. Free T3 is 320, clinical response is good.
AM cortisol is corrected. Crp, she needs to come down a little bit better to be very much optimal but it’s very much lower than it was before. The WBC count is an eight. Actually, I don’t know what the new number was on that one. The HgbA1c was 5.2 and the antioxidant function had come up probably about 20 percentile points, still not as high as we want it. You can see it’s still in the red.
All of the B vitamins had come up. You’re really looking for them to be in the 70th percentile. They kind of look like they’re mostly in the 60th percentile or 50th percentile but they’re way better than the 30th they were in. If you look at the magnesium, it’s also corrected and so has the zinc. The CDSA has also corrected. I’m going to tell you this is completely academic. I would never get this test right now.
So, if you look at what the anti-inflammatory programs should look like. It should look like correcting the hormones that are anti-inflammatory; correcting the nutrients that are going to give you the most result with the least number of bottles. You’ll notice that this gentleman was not really on that many bottles when you looked at it at the end of the day. Remove the toxicities just by increasing oxygenation.
Increasing hydration, which part of the program is that they have to hydrate at least half their body weight in ounces with salt in it, and usually we use pink salt. Increasing the pH which is what was done with a plant-based diet. You were eliminating toxin. It’s not some elaborate system of eliminating them. It’s a very basic system but it works pretty well. By reducing the mind stressors and reducing the body pain put less stress on the system, and also by exercising, of course, in a more aerobic range.
So as I was pointing out, the way that you’re going to identify inflammation. The way we identify is by the clinical presentation and the most common these days that we’re seeing is this kind of adrenal insufficiency. This gentleman obviously had some adrenal insufficiency going on. In his case, it was testosterone that was low. But what happens as people get sick over time no matter what the initial disease was, you eventually will add adrenal insufficiency to the diagnosis.
So, clinical presentations with these kinds of conditions are more important than the markers. The clinical presentation is the most important. Then of course, we’re looking for specific markers especially as I was mentioning, the hsCRP. In this gentleman, we did get the HgbA1c down. The antioxidant function wasn’t in the 75th percentile but it was better than where it started.
So, I think that for today that’s how much we’re going to cover. I appreciate your attendance and your attention today. If there’s any questions that you can type them in and I can answer them. So, I’m going to read the questions out loud so that you can see them. So, what is my opinion on Juice Plus+? So, the opinion on Juice Plus+…
I think that the concept is a good one and it is certainly a way for people to get in vegetables and get in their materials. There’s two things I’m currently unaware of is whether it’s raw and whether it’s organic. I think organic is critical especially when you look at the pesticide content that’s coming out of so many things.
I would say that the patients that I have tested on Juice Plus+ and I have tested a lot of patients on Juice Plus+ are generally antioxidant deficient. It’s not just because of the Juice Plus+ but clearly the Juice Plus+ hasn’t been able to correct some of the things that I’ve seen. So, it has a lot of things in it but it doesn’t have necessarily therapeutic things in it.
A lot of the Juice Plus+ content is regular vegetables and fruits. I would say that if you’re going to take some kind of a capsule for that purpose, take a superfood capsule. Take something like PureGreens. Take something that has dense nutrient foods in it rather than green peppers and tomatoes and so on, but it’s definitely the right idea.
Will this webinar be available again to view after this original airing? Yes, it gets posted onto the website of MDPrescriptives. Are your Bowel Cleanse 1 and 2 meant to be taken together? They’re always meant to be taken together. I use them with probiotic for the first one month or two.
I don’t keep people on this. I’m trying to train them taking 1 and 2 together with a probiotic with every single meal while I’m trying to train the bowels to function properly. If you look, there’s actually a detox newsletter that talks about how to use these without the problem. Plant-based diet, is it raw or cooked?
We try to recommend that they use as much raw as possible, but really both raw and cooked. For breakfast, what is the protein source? It could be lentils. It could be hemp seed. It could be nuts and seeds. We do ask them to eat nuts and seeds in it. So these are the kind of sources of protein that one eats in the morning in a plant-based program. We do have a few raw organic sources of protein powders that we use which I actually didn’t show you. I probably should have and I will in a future webinar.
What is my opinion on machines that alkalinize water? I think that if you’re doing other things to alkalinize the body, being very aggressive about the water is also important. I think that a lot of people, if you’re eating a high acidic diet in alkaline water – that’s not going to help but I do think that paying a lot of attention to water sources is critical.
Will you make your slides available? Yes, those will be available on the internet. Can you reduce the PureGreens daily dose if the person eats vegetables and fruits but you just want to augment a little? Absolutely and the way to decide how you do this is what is their antioxidant function? If their antioxidant function’s good, you may not need any kind of supplementation.
See, you only want people to get them from their food. When we use supplementation, we try to use supplementation extremely carefully because we’re not really looking to have them take one million pills. So, absolutely! For patients that are allergic to fish, how do you recommend they take their omega?
I have had patients tell me this and I have not had anybody allergic to the omega3 but I’m sure it can happen. So, I’m not going to say that it can’t happen. Can you check the pH of the urine to ensure alkalization? Yes, and you’re looking for a pH level of greater than 6.4-7.0 in the morning.
Next question, how do you type trait your thyroid dosing by symptoms or blood, and how often do you adjust or test? We type trait our thyroid dosing by symptoms only and retest every three months just to make sure they’re within the safe range. If whether, they’re below the range or above the range, if they’re symptom-free?
That means good energy, good mental clarity, good memory, focus, concentration, metabolic metabolism is good – we stop increasing the thyroid dose but we pretty much will increase it reasonably aggressively every three to four weeks. Where do you get recipes for smoothies, etc that we give to our patients?
We utilize a lot of books. We’ve used a lot of Jeff Primack books and so on. I will tell you that what we’re finding now is that we have a basic veggie smoothie which we are modifying ourselves according to the patient, and the patient’s tongue and the patient’s taste. You can’t believe how many things you may recommend in the superfood category.
So, we actually have people and this is what the basis of we have now a short nutritional preceptorship of two days where doctors are sending in their nutrition person just to see how you work with a patient to get it doable because what you’re trying to do is figure out which superfoods. I’m not committed to which ones. If they have big gut issues, I definitely want them on aloe. Raw organic aloe is going to be the way to go.
What do you do for the patients with diverticulitis as far as nuts and seeds? You have to limit the nuts and seeds for people with diverticulitis. They can grind them and you know that’s one of the ways we can do it. Let’s see, what’s the next question? Are we still doing the position training in Orlando in the office?
Yes, we have a clinical preceptorship to learn the hormones, nutrients, detoxification, mind and body restoration. So, we do have that. Everyone talks about water. What water are we supposed to be drinking? Alkaline? Reverse osmosis? I think paying attention to water. Reverse osmosis system is the one that I have in my house but frankly I’ve looked at the systems of the Canyon water.
The one thing about Canyon water and this is one of the things that we very much follow in our practice because we try to limit ourselves to things that are not multi-level marketed. The fact is that that’s the same thing with Juice Plus+. It’s the same thing with Canyon water. They are multi-level marketed and I think that’s a problem.
I think the mechanism that they have for the Canyon water is actually the best and apparently, there’s some way to do it without the multi-level marketed piece to it. So, I think that the water is critical. I mean a great majority of our body is water and also to pay attention to the water we’re bathing in.
You absolutely should have water purifiers and chlorine removers on the showerheads, and not be swimming in chlorine water. It’s absolute one of the biggest inflammatories you could ever have in your body is chlorine, and hypochlorite form comes from that. Let’s see. Somebody’s asking again, where is it that we will be able to hear this or see the slides? On MDPrescriptives website.
Another question. Patient’s allergic to iodine, do you give still for low thyroid? Now, remember that allergy to iodine is not a real entity because all of our plants and all of our sources that we eat have some iodine in them. This is a mineral micronutrient which is an essential micronutrient.
So generally, when we’re talking about allergy to iodine, if somehow had it in a contrast or they’ve had it in some kind of source which they were allergic to. I can tell you it’s not the micronutrient iodine. So, we will often give them a very, very low dose and what I’ll tell them to do is maybe take an iodoral capsule. Crush it and take a little bit of powder and put it on their tongue, or test it through Lugols solution, or something like that.
You can be rest assure that if they’re taking PureGreens, they’re getting iodine. If they’re taking Essentials, they’re getting iodine. So, yes, we do still give it for low thyroid and of course, as you may know we’re also asking people to continue on good doses of iodine of at least 2-6 mg for protection from the electromagnetic radiation and so on.
The name of the person I mentioned for smoothies is Jeff Primack but you can also look at David Wolfe. He’s got a lot of stuff on there. We also have actually a recipe book coming out at the end of the year which we’ll share what we’ve learned over our experiments. To clarify how many omegas you would give to a patient an equivalent dose of two grams daily to lower triglycerides.
Now, I have found to lower triglycerides. The omegas are highly effective. It is really better if you can have them take two of the RxOmega per day. It’s the equivalent of two 3-4 g and if you look at most of the studies with triglycerides, they’ve used anywhere in the 2-4 g range. I have to say I’ve had much more effectiveness with the two capsules than with just one but even one will work.
Iodine allergy, do you give it with a Benadryl for a patient reassurance? No. I just do it, you know I just basically tell them that pretty much it’s an essential micronutrient and let’s support it slowly. Just be extremely slow. Next question. When replacing progesterone, what level are you aiming at? Or premenopausal and post menopausal in the Serum?
You’re aiming for a clinical response primarily where they’re: sleeping perfect, they have no anxiety, they have no panic attacks, no irritability, no PMS symptoms, no heavy bleeding, breast cysts, ovarian cysts, fibroids, things like that. You want a Serum level between 5-15 on day 21 for a cycling person and even for a non-cycling person at any point.
I’ve had patients with a level of three who are perfectly fine and a patient who needs a level of 20. So, that’s why the clinical response is more important because remember when you’re measuring levels, no matter how you measure it – you’re not going to be able to control for receptor site functioning.
You know receptor site function is what determines how well a hormone works. So, if you have very active receptors, you may be able to get away with a much lower level. Next question. Can people order from MDPrescriptives and be bought by anyone or only through a practitioner? It’s a clinician land only.
The doses are, it’s a therapeutic dosing line. It can be ordered through a practitioner only or a practitioner recommends it and prescribes it, and then it can be ordered through the website. Do you have issues with blood thinning and bruising on two omegas daily? I have not seen it but you will always find a patient here and a patient there that will have that but I haven’t seen it. It certainly is theoretically possible.
Ultra-sensitive Estradiol, what is the target here? Again, clinical response but we know that between 50-80 mcg per mil you’ll have protection of the bone, brain, and heart, whereas the reproductive range is in the 400-200 range. So, we’re not looking for reproductive range. When women get breakthrough bleeding or early periods, is it estrogen or progesterone causing this?
Generally, it is a combination of too much estrogen and too little progesterone. So, you want to alleviate the progesterone to get rid of the breakthrough bleeding but you always will get a transvaginal ultrasound to make sure they’re not growing anything strange, or have a hypoplastic endometrium.
So, for this evening that’s the number of questions that we’re going to take. I hope that you guys enjoyed this webinar and get a chance to apply some of this stuff. Thank you very much for being such a great audience.