Medical Topics

Choose your medical topic…

Dec 072011
 

Here’s a document about a self-help way to help with a hiatal hernia (and heartburn) that has benefited many patients (passed onto me by Michael Turk, L.Ac.):
Hiatal Hernia and Heartburn: What you should know

Other general recommendations for GERD/heartburn:
1) Take digestive enzymes with every meal and/or with symptoms of heartburn.
2) Or take a teaspoon of aluminum-free baking soda (bicarbonate of soda). This is neutralize the overabundance of stomach acid. Great for alkalinizing the body in any case.
3) Another great herbal remedy for this is a traditional Chinese herbal formula known as ‘Curing Pills‘ since it cures all digestive ailments (good for nausea/vomiting, indigestion, even some types of diarrhea): take 2 with meals or with symptoms.

Dec 072011
 

My general protocol is:

1) Krill Oil: 2g/day or Fish Oil: 3g/day (less expensive than Krill Oil)
(Brands: Thorne for Krill Oil, Metagenics for Fish Oil)

2) Policosanol: 1/day
(Brand: Metagenics Cholarest)

3) Niacinamide: 1000mg/day
(Brand: Metagenics Alapars)

4) Folic Acid/B12: 600 mcg of B12
(Brand: Professional Complementary Health Formulas Homocysteine Spray)

If cholesterol levels do not normalize within 3 months, add:
5) Red Yeast Rice: 1200 mg w/ CoQ10 30 mg (minimum). Preferred: w/ CoQ10, 100 mg/day.
(Brand: Doctor’s Best)

NOTE: Red Yeast Rice can affect the liver, so yearly liver function tests are recommended.

Although I highly recommend not using statin drugs, if you are taking a statin drug for reducing hyperlipidemia, the anti-oxidant CoQ10 is definitely needed. See brief article about statin drug use and CoQ10.

Dec 072011
 

Wheat Belly
By William Davis, M.D.
Rodale, Inc., 292 pp., $25.99
 

Published August, 2011

This book should convince us all to eliminate wheat from our diet. It is an UNHEALTHY WHOLE GRAIN! Although the author is guilty of a little hyperbole here and there, the cardiologist author makes an excellent case that consumption of wheat is the main cause of obesity and diabetes in the U.S. Hyberbole aside, the author presents scientific data explaining his thesis along with case histories and other anecdotal evidence explaining how many health conditions are resolved once wheat consumption is halted.

Modern wheat is a result of hybridization that occurred starting in the 1940’s. By 1980, all world production was using the new high-yield strains. It is a “Faustian bargain” of “trading abundance for health”.1 Modern strains of wheat have a higher quantity of genes, “purposeful modifications” to “confer baking and aesthetic characteristics of flour”, resulting in more gluten proteins.2 Additionally, there are many other nongluten proteins and enzymes, which can potentially cause allergic reactions and trigger asthma and skin rashes.3 Note that since 2003, international guidelines have been developed to subject this type of gene modification to food safety testing. As the author frankly writes, our modern wheat “made its way into the human food supply with nary a question surrounding its suitability for human consumption”!4

Conventional wisdom, as taught by the American Diabetes Association, dieticians and the USDA tells us to eat whole grains and complex carbohydrates instead of “simple carbohydrates in the form of candy and soft drinks”, but whole wheat is as bad or worse, than those! Wheat has a severe effect on our blood glucose levels. This modified complex carbohydrate is mainly composed of an enzyme that is rapidly converted to glucose, which results in increasing blood sugar rapidly.5 The author tells us “whole wheat bread increases blood sugar to a higher level than sucrose”6, or “wheat products elevate blood sugar levels more than virtually any other carbohydrate, from beans to candy bars”7 as posed in an inquiring statement on the book’s back jacket “Did you know that eating two slices of whole wheat bread can increase blood sugar more than 2 tablespoons of pure sugar can?” (emphasis mine)

The traditional gauge on how the body responds to eating carbohydrates is called the ‘Glycemic Index’ (GI). It is a measure of how the blood sugar rises after eating carbs, and “few foods have as high a GI as foods made from wheat8. This high rise in blood sugar results in rapid weight gain, (the author’s term of) ‘Wheat Belly’ and obesity. This weight gain tends to be primarily around the abdomen, resulting in visceral fat. Visceral fat cells cause an inflammatory reaction in our bodies. This inflammatory cascade leads to wide array of health problems, especially diabetes and cardiovascular disease. (It is worth noting that in Chinese Medicine, it has long been said that grains cause inflammation also.) Besides inflammation, a process called glycation also occurs.9 Glycation especially damages the cartilage in joints but also causes many health conditions associated with diabetes, or in effect, aging. There is a way to measure the level of glycation in the body. It is by a simple blood test used to measure how well the blood glucose has been controlled in the past two to three months (all diabetics should already be familiar with it): Hemoglobin A1C or HbA1C. The higher your HbA1C, the more glycation is occurring to damage your body (see ‘accelerated aging’ list in summary below) – this is then basically a way to measure of how fast you are aging.10

A summary of the consequences of inflammation and glycation resulting from the consumption of wheat:
• Accelerated aging – cataracts, wrinkles, kidney disease, dementia, arthritis, atherosclerosis11
• Diabetes – both Type 1 (especially associated with Celiac Disease) and Type 2 – insulin resistance12
• Cardiovascular disease – hypertension from excess visceral fat, ‘high cholesterol’ (hyperlipidemia), atherosclerosis13
• Osteoarthritis and osteoporosis – destruction of bone and cartilage tissue14
• Rheumatoid arthritis – aggravation of joint inflammation in this autoimmune disorder (i.e., probably not causative of onset of disease)15
• Skin diseases – acne, eczema, psoriasis, vitiligo, oral ulcers and many others16
• Gastrointestinal diseases – IBS, acid reflex17 (causative effect not proven in research, but anecdotal evidence suggests possibly curative for some)
• Asthma – exacerbation of symptoms18 (anecdotal evidence also)
• (Last but not least) Celiac Disease – an autoimmune reaction from eating gluten that causes intestinal damage and a very wide range of health conditions

Another important concept to understand is that the gluten in wheat also has an addictive effect! This occurs because gluten is broken down by the digestive process into certain amino acids that cross the blood-brain barrier. These cause the release of ‘exogenous morphine-like compounds’, called exorphins, in the brain. Because of this additive effect, consuming wheat makes us crave it more, therefore it is a appetite stimulant! Note that other grains that do not contain gluten do not have these same neurological effects of addictive behavior or appetite stimulation.

Another new concept discussed in this book that is “beginning to gain ground in the medical community” is that diabetes is a disease of ‘carbohydrate intolerance’19. Research has shown repeatedly, in both humans and animals, that sharply reducing carbohydrates “reverses insulin resistance, … and visceral fat” (emphasis mine).20 The author summarizes this by saying:

    “Virtual elimination of carbohydrates, including the ‘dominant’ carbohydrate of ‘healthy’ diets, wheat, not only improves blood sugar control, but can erase the need for insulin and diabetes medications in adult (Type 2) diabetics – otherwise known as a cure”.21

Now that it is more clear why the consumption of wheat is not healthy and that consumption of it causes a ‘wheat belly’, it can be recognized that elimination of eating it is the key to weight loss and will also help a myriad of health problems. Weight loss is immediate once wheat is removed from the diet, especially when it is not replaced with other carbohydrates! But be aware to not replace wheat with other carbohydrates including gluten-free substitutes though, since they are made from various starches that are just more high glycemic index carbs.

Where to go from here?
Wheat elimination may initially seem to be burdensome, but as the author comments, and I concur, it does makes life easier in the long run22. As someone who eliminated wheat over 3 years ago for my own health challenges (I am far from being a purist – I still eat wheat very occasionally), I can attest to the ease of which one can eliminate wheat when doing so helps one feel better, and having a ‘side effect’ of losing weight even without that being a top priority, and also being given the possibility to even reverse a health problem! When focused with this agenda, it is easier to narrow down your accepted food choices to wheat-free foods, and generally speaking, eliminate the types of processed foods that we shouldn’t be consuming much of anyhow!! But yes, it is a bit of a challenge initially, I admit. But again, eliminating wheat immediately helps one eliminate many poor food choices! When one goes out to eat – all those deep-fried, breaded entrees in both American and Chinese restaurants (from chicken-fried steak to sweet-and-sour pork), all the sandwiches made of bread and cured ‘lunchmeats’ (which also shouldn’t be consumed anyhow), and all the bread options for breakfast (bagels, pastries, ‘healthy’ muffins, etc.) aren’t even choices one desires any longer. And grocery shopping actually is easier also – heading only to the aisles on the sides of the market – purchasing meats and fish, dairy and produce.

To eat healthy consuming primarily whole, unprocessed foods, whether one follows the advice here and eliminates wheat or not, one must mainly prepare and cook foods at home anyhow. One way I recommend to incorporate more vegetables into the diet is to do stir-frys using olive oil. One can use Asian-based spices like ginger, seaweeds or tamari (wheat-free soy sauce) and rice wine, and/or typical garlic, onions, peppers (spicy or bell, or both) and mushrooms as a base. The next step is to use dark, green leafy veggies such as spinach, chard, kale, mustard greens or bok choy. From there, add the vegetables and spices you like. Add green beans, snow peas, broccoli, cauliflower, etc., etc. in any combination you prefer. One can make it more Italian flavored by using oregano, rosemary and basil, for example. Adding raw seeds and nuts gives one even more options: sunflower, sesame, hemp, and flax seeds, or slivered almonds, walnuts, cashews, etc. In winter, many options for vegetable-based soups are possible also. In warmer months or climates, one can make all kinds of veggie-based salads. (Raw veggies and salad greens have the general energetic property of being cold as taught in Chinese Medicine, and are therefore generally better suited for consumption in the hot seasons, like summer.) And egg scrambles or omelets are another great way to incorporate vegetables in your diet. Additionally, keep in mind that we now have access to foods from all different cultures, even if one lives where ethnic foods are not available, every food item imaginable is now available via the internet to give one even more possibilities to eat healthy if one opens their mind to it! Of course, snacking foods without wheat still abound: healthy chips or veggies and dips, cheese and wheat-free crackers, tempeh or tofu options, etc. – just eat them in moderation. Note also that one will get plenty of fiber eating a diet rich in vegetables and nuts also.23

SUMMARY – WHAT TO EAT (as outlined by Dr. Davis)

1. Consume unlimited quantities of:

√ Vegetables (except high-carb ones like potatoes and corn)
√ Raw nuts
√ Use oils such as extra-virgin olive oil, coconut oil and avocado oil
√ Small amounts of animal proteins, preferably grass-fed (and avoid cured meats entirely)24
√ Eat dairy items such as eggs and cheese (fermentation slows glycemic response compared to unfermented dairy)

2. Consume limited quantities of:

• Dairy products as milk, cottage cheese, yogurt and butter (since these tend to increase the release of insulin)
• Soy, limited quantities and preferably fermented (since all soy is possibly genetically modified)
• Fruit, limited quantities

Dr. Davis ends his book with a few yummy-sounding recipes (including desserts) such as: Hot Coconut Flaxseed Cereal, Flaxseed Wrap, Crab Cakes, Wheat-Free Pizza (with a cauliflower-based “dough”), and Carrot Cake (uses coconut flour).

In summary, to be very clear, consistent elevated blood sugar levels caused by the consumption of any processed foods such as sodas, candy and other sugar-loaded simple carbohydrates, including complex carbohydrates like other whole grains, will also cause the list of health problems shown here to be caused by wheat due to the same result of inflammation, glycation and visceral fat. Clearly, a diet needs to consist of a very low amount of these ‘food’ items. But the main point here is that we have been convinced that eating a certain whole grain is healthy, when in fact, it is definitely NOT! Additionally, “remember that the need for ‘healthy whole grains’ is pure fiction” and “forget everything you learned about ‘healthy whole grains’”!25 These statements are both strong and succinct, yet still strange to some even given the information here – so read the book to get more of the details, and maybe you will realize that this MD knows what he is talking about, and eventually, the ADA and dieticians will too!

Links:
My original blog posting about this book
Wheat Belly: Book Excerpt
_______________
1p. 226.
2p. 38.
3p. 40.
4p. 30.
5p. 32.
6p. 32-33.
7p. 35.
8p. 63.
9p. 125.
10p. 145.
11p. 139, 145.
12p. 95-115.
13p. 146-158.
14p. 125, 127.
15p. 128.
16p 183-184.
17p. 92-3.
18p. 9.
19p. 111.
20Ibid.
21Ibid.
22p. 199.
23p. 195.
24Consumption of animal proteins also results in glycation, especially from fried and cured meats.
25p. 192.

Dec 012011
 

Excellent summary of how to avoid causative actions of Alzheimer’s Disease (AD) and how to use natural medicine to prevent it! (from Townsend Letter, The Examiner of Alternative Medicine) How to Heal Alzheimer’s Disease

Highlights:
Avoid Aluminum: Everyone knows this by now, but what must of us don’t know is that all the baked goods (breads, pastries, pancakes, etc.) we consume are made with baking powder with aluminum. Alum is also used in purifying of water in city water treatment plants and fluoride “greatly enhances the absorption of aluminum”. We also get aluminum in our bodies from using standard OTC antiperspirants and deodorants, especially those that are sprays (it is inhaled as well as absorbed dermally).
Exposure to heavy metals, like mercury: Do oral chelation agents, long-term (suggestions will be added later) and maintain normal hormonal levels.
High Homocysteine levels: Common with cardiovascular disease, osteoporosis, taking NSAIDS like acetaminophen and certain antibiotics. (Note: MDs are just now becoming familiar with this but will often test the blood level of Homocysteine when one has cardiovascular disease.)
Eat an anti-inflammatory diet (whole foods and less animal foods).
Drink pure water.
– Take supplements such as a high dosage B Complex, vinpocetine, and Lithium Aspartate.


I recommend the following combination now: Pure Encapsulations Memory Pro and Doctor’s Best Lithium Asparate. Memory Pro is a great combination product to support brain function. It contains Bacopa and Gingko, both known to increase memory, Tumeric known as a great anti-inflammatory herb, and Resveratrol, the great anti-oxidant known to be found in red wine or grapes (here it is from a Chinese herb, Polygonum, as is most Resveratrol in supplements).

Nov 302011
 

Calm (Jr)” by Evergreen Herbs is a great herbal combination for ADD/ADHD. It is a combination of herbs to calm the mind, improve memory and learning ability, balance the central nervous system, and detoxify the liver.

As the Evergreen Herbs Clinical Manual states “The effects of the formula have been documented with clinical trials, and the functions of the individual herbs have been shown by numerous clinical studies.”
I have had success with using this product on my young patients!

Nov 022011
 

Quotes from Dr. Julian Whitaker’s November 2011 newsletter: “several review studies involving hundreds of clinical trials and several hundred thousand people have concluded that, for most children and adults, there is little scientific support for annual influenza vaccinations. Even if they prevent the flu – a big ‘if’ – 80 percent of all flu-like illnesses are caused by viruses and bacteria not targeted by the vaccine.” and “Furthermore, many flu vaccines contain thimerosal, which is 50 percent ethyl mercury, the most toxic biologic poison on earth. Ethyl mercury is so toxic the EPA requires full protective gear and self-contained air for workers cleaning up 200 parts per billion (ppb). A flu shot contains close to 25,000 ppb!”

Basically there is more marketing hype than scientific basis around the idea that all Americans should get flu shots – keep in mind that I say ‘Americans’ – flu vaccinations are not done like this anywhere else in the world! (Why do you think even grocery stores are marketing flu vaccines? It is about $$$ and playing to your fear of being ill for a few days!!!)

Please think about natural alternatives to prevent the flu!! (And if you do get it, remember that there are herbal medicinals to help treat the flu too)!

Oct 282011
 

This is an article I wrote which was published in the local Lotus Guide, Directory for Healthy Living in Jan/Feb/March 2011:

Unexplained Health Conditions may be caused by Gluten Sensitivity!

I am a Certified Gluten Practioner affiliated with
Dr. Thomas O’Bryan’s Gluten World.

Oct 152011
 

Isaac Eliaz, M.D., is an Integrative Oncology specialist. He is a Licensed Acupuncturist and integrates Chinese Medicine and Naturopathic Medicine with allopathy (our common ‘western medicine’). He is the founder and researcher of EcoNugenics, a nutraceutical product company known for anti-cancer products (PectaSol (Modified Citrus Pectin or MCP) and BreastDefend).

Research shows MCP to be effective in many types of cancer, especially breast and prostate cancer. See his various websites for more details:
Dr. Eliaz’s Clinic
Dr. Eliaz
EcoNugenics
Breast Cancer Guide
Prostate Cancer Guide

EcoNugenics products are sold at Heavenly Herbs and Acupuncture.

Oct 142011
 

Rebecca Katz is the author of the cookbook The Cancer Fighting Kitchen and is a senior chef of Commonweal Cancer Help Program in Marin County, California. The Commonweal Program is the epitome of teaching people to use Integrative Medicine to treat cancer. This cookbook is full of good, healthy, fun and EASY recipes and useful for anybody who KNOWS they should eat healthy but aren’t sure where to start!

Oct 142011
 

From Harper’s Index, October 2011:
‘Number of states in which less than 20 percent of adults are obese: 0’
Reference: Centers for Disease Control and Prevention (Atlanta)

Oct 062011
 

Wheat Belly by William Davis, MD, was published in 2011. This book tells more of the story as to why wheat is a grain that should be consumed rarely, if at all. This book especially shows how wheat consumption leads to a a ‘wheat belly’ – visceral fat accumulation – and hence to the rise in diabetes since it affects our blood sugar levels almost as bad as plain table sugar (this includes ‘whole grain’ bread)!

Life Extension Foundation magazine article: Wheat – the Unhealthy Whole Grain

If you have arthritis, diabetes, cardiovascular disease, or simply want to lose weight: READ THIS BOOK so you understand why the inflammatory cascade that wheat causes has helped lead us to an epidemic level of obesity, many inflammatory conditions and even auto-immune disease!

Oct 052011
 

Great article that includes herbs and foods used in Traditional Chinese Medicine food therapy with easy recipe for flu and cold prevention! This is exactly in alignment with my typical advice to patients (uses herbs/medicinal foods mentioned in my Flu article: Treating Influenza and Viral Infections using Natural Medicine.)

How to Boost your Immune System with Herbs

Astragalus Tonic Soup recipe

Here’s another link for the soup recipe on this blog (in case the above link disappears sometime in the future):

Astragalus Tonic Soup recipe

Of course, Astragalus can be purchased at my office (it has a mild, sweet taste)!

Sep 262011
 

‘Ba Zheng San’ is a common Chinese herbal formula for a bladder infection or Urinary Tract Infection (UTI). It works extremely well and will definitely out-perform using cranberry juice or other western herbs! I use the version from Evergreen Herbs. This formula is available from many other companies, but I think this one works the best! Of course, drink plenty of fluids to flush the bladder too (read: plenty of water)! And if one wants to use cranberry juice, I recommend using the non-sugar-added variety and drink about one quart per day for 5-7 days. I also carry a cranberry pill for those hard-core cranberry ‘lovers’: Nature’s Answer Cranberry 2 also includes western anti-bacterial herbs, so this is a good combination formula as well.

Sep 212011
 

Dr. Tori Hudson, N.D. is a prominent Naturopathic Physician, whose specialty is Women’s Health. She is the author of “Women’s Encyclopedia of Natural Medicine, 2nd edition”, is a Women’s Health columnist for the “Townsend Letter for Doctors and Patients” and the newsletter “Emerson Quarterly”, by Emerson Ecologics, a naturopathic product distribution company (recipient of the 2011 Corporation of the Year award from The American Association of Naturopathic Physicians (AANP).

Sep 012011
 

Dr. Jake Fratkin is an American scholar of Chinese Medicine. This is his October 2009 article on this topic. This article’s target audience is for Chinese Medicine professionals, but it is a great summary article discussing Chinese Medicine diagnosis and treatment for influenza in general.
http://drjakefratkin.com/swine-flu

Condensed version also published at Acupuncture Today, a professional journal.