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Nutrition Collaboration A collective of health practitioners mentoring one another in topics related to nutrition. Who, When, Why Anyone who wishes to join – You select yourself Second Monday each Month 1 - 2pm To share and build understanding of the common and uncommon knowledge of the practice of nutrition in the care and treatment of ourselves and the patients under our care. Rules Share your knowledge with each other. Competition and knowledge hording only supports lost knowledge. This group endeavors to share knowledge and clinical experience to serve not only ourselves, but all people. It is asked that we as a group consider: “If you want to learn something read about it. If you want to understand something, write about it. If you want to Master something, teach it.” Yogi Bhajan What does this mean? At some point we ask you to present a topic for presentation to the group. This presentation need only be 30-35 minutes in length with a power point or notes available in Word for the group. You should be able to do a Q&A with the group to follow. Everyone will be encouraged to participate in the Q&A and it is asked that this become a roundtable type Q&A. If you chose not to present, that is your decision and you will not be ousted from the group. Please Help This Run Smoothly Push *6 now to mute your line When the speaker is finished, if you have a question or wish to add to the discussion, press *6 to be put in the queue. Inflammation The Cumulative Repair Deficit What is Inflammation? • Textbook Answer – Inflammation: A basic way in which the body reacts to infection, irritation or other injury, the key features being redness, warmth, swelling and pain. Inflammation is now recognized as a type of nonspecific immune response. • Patient Answer – The process the body undergoes to remove and replace (heal) damaged tissues, isolate pathogens (germs etc.) and dispose of dead tissue and debris associated with the damage that occurred. An Environmental metaphor What's your environment? or Stopping natural processes Rx Killers Associated Press April 19, 2005 By Marilynn Marchione “With prescription drugs Vioxx and Bextra already pulled from the market, a study has raised disturbing questions about the heart safety of over-the-counter pain relievers such as Advil, Motrin and Aleve.” Those taking the “drugs for at least 6 months had twice the risk of dying of a heart attack, stroke or other heart-related problem.” The study was released at an American Association for Cancer Research conference in Anaheim. “The findings add to the suspicion that the heart risk extends beyond the so-called COX-2 drugs – Bextra, Vioxx and Celebrex – to the larger family of medications known as non-steroidal anti-inflammatory drugs, or NSAIDs, which include naproxen, ibuprofen and virtually all other over-the-counter pain relievers.” “’To the best of our knowledge, these are the first data to support putting a [black] box warning on NSAIDs, not just COX-2s’ said Dr. Andrew Dannenberg, a Cornell University scientist who helped do the study.” “The NSAID users were dying at twice the rate of the others from heart related problems.” “Risk was highest among ibuprofen users who were nearly three times more likely to die of cardiovascular disease than non NSAID users.” Why doesn’t the medical community get it? In the last 6 years • • • • Nearly 3,000 Americans have died from terrorism 30,000 Americans have died from food poisoning 240,000 Americans have died on our highways 600,000 Americans have died from medical mistakes Source: U.S. News & World Report 9/03/07, pg. 24 BY Randall Larsen A retired US Air Force Colonel The Director of the Institute for Homeland Security in Alexandria, VA Author Our Own Worse Enemy #4 Core Physiologic Principal Stressors Tissue damage / cytokine release Activation of the inflammatory cascade Restorative functions unable to meet demand Cumulative Repair Deficit - inflammation Adrenal fatigue and hyper-reactivity Reduced Immunologic mechanisms Symptoms - Chronic infection/toxic burdens Disease diagnosis – chronic progression Address inflammatory burdens Food allergy reduction Gut lining integrity – stop the leak Reduced inflammation / immune burden Medical Intervention – anti-inflammatory Liberated repair / renewal mechanisms Graceful aging Material from Dr. Stuart White 4 - Inflammatory status • Cumulative Repair Deficit – functional definition • Cytokine driven inflammatory levels drive the adrenals • All inflammation is perceived as a wild animal trying to eat you - fight or flight • Cortisol increases, adrenals fatigue Material from Dr. Stuart White Environment? I have been wrong. The germ is nothing. The terrain is everything Louis Pasteur On his deathbed in 1895 Inflammatory Burdens • Trauma • Pathogenic • Environment Environmental Burdens to Consider – Allergenic burden – Toxicity – Adrenal Fatigue – EFA deficiencies/imbalances – Standard American Diet? Determining Food Allergy Burdens • Most food allergies are delayed sensitivity reactions – difficult to objectively determine • Elimination is the most accurate and labor intensive - 2 week elimination then reintroduce and watch for 4 days for reactions • Histaminic Reactions (rash, red eyes, serous secretions) vs. Immune Activity (fever, catarrhal, lymphatic congestion, aching) • Basic 4 allergies that most complicate healing process – wheat (gluten), corn, soy, milk (casein) - Additionally suspect chocolate, peanuts, tomatoes, beef Food Allergies – Now & Later Immediate response within hours or next day Delayed response onset 2-7 days later Histaminic Immunological – viral, bacterial, parasitic Red, burning eyes, serous secretions (clear) Colds & Flu – WBC mediated response Tiredness, sleepiness Achiness Headaches Catarrhal, phlegm (colored) Mood changes, irritability Fever Rashes, hives Eczema Nausea, cramps, diarrhea Emesis Loss mental acuity Elevated C-reactive protein, SED rate, AA:EA ratio Determining Toxicity Fatty Acid Imbalance or Deficiency Standard American Diet In the US, we allow over 10,000 chemical additives in our food supply. The average American consumes: • 14 lbs of additives per year. • 160 pounds of sugar. • 8 pounds of salt. Ref: “Do You Know What Your Patients Eat?” Monograph, E. Cheraskin, W. Ringsdorf, Dept. Oral Med., U. Alabama 1976. Page Phase II Diet • Addressing Inflammatory Burdens Trauma – Acute - appropriate triage & tissue repair nutrients like Ligaplex I or II, Cyruta plus (rutin), Zymex II or Multizyme (proteolytic enzymes) taken b/w meals. Pain management with Saligesic, Boswellia complex, California Poppy. – Chronic – address mechanical causes (subluxation, etc), support tissue as per above and investigate the environment. • Pathogenic – Infection (Calcium Lactate, Thymex, SSO, Congaplex, Epimune complex, Andrographis complex, Echinacea Premium, Euphrasia complex, etc.) – Infestation (Wormwood, Gut Flora Complex, Zymex II) • Environment – Allergenic burden / Gut repair– Allergen testing/removal, Cataplex AC, Enzycore – Toxicity - SP Purification, Spanish Black Radish, Chlorophyll Perles, – Adrenal Fatigue – Drenamin, Rehmannia, Rhodiola Ginseng, Withania, Eleutherococcus, etc. – EFA deficiencies/imbalances – Tuna Omega, Calamari Omega 3 Liquid, Black Currant Seed Oil, Linum B6, – Standard American Diet? – Dietary Guidance (Dr. Melvin Page Phase I & 2 Diets) “The only person who never makes a mistake is a person who never does anything” - Theodore Roosevelt-