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Anti-inflammatory Diet

Regarding the Anti-inflammatory Diet: The whole point of the avoid list is to remove as much of the inflammatory foods and commonly allergenic foods to give the body a much needed rest and hopefully begin to rejuvenate. This is similar to an allergy elimination technique. For example, you know that wheat & dairy products are everywhere and one of the most allergic foods. These foods need to be eliminated first.

I have my patients follow the anti-inflammatory diet for a month and then add 1 food every few days. If eggs ( I also know they are a perfect protein food) are what you miss the most… make it the first thing to try. Patients find this sooo easy to do themselves.

I want my clients to feel responsible and enpowered to take charge of their own health using nutrition. Each day I hear new clients come in and share with me their disappointing stories of things they have already tried. After they have been on my anti-inflammatory diet program for a month (sometimes sooner), they come to find out they had an exaggerated immune reaction (IGG). Clients get the message quickly without any nagging from me. Please don’t think I’m going to be upset with you for not following the diet to a tee. I love watching patients teach themselves their own lessens.

This is an example of one of the product protocols I use to help ‘miracles’ occur in my patients.

Choice 1: Ultraclear/Advaclear 28 day from Metagenics. This is a great maximum bang for the detoxing buck.

Choice 2: Xymogen OptiCleanse GHI, Mitochondrial Kit 28 day cleanse. Both have simple directions.

I keep track of patients progress using the body composition analysis. I personally evaluate and work with each patient to ensure weight loss progress.

Chronic pain patients can have slower pogress….sometimes several years and patience is the hardest thing to do. I look for the slow and steady slope with my chronic pain patients.

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Hormone Replacement Therapy

I was asked how I felt about hormone replacement therapy. I wanted to share the following thoughts with you:
We are born with an excess amount of hormones to ensure survival of our species through reproduction. However, hormones are very powerful and can have very stimulating, excitatory, and proliferative effects within the body. As such, they are treated by the body as toxic and we have evolved mechanisms to detoxify them (these mechanisms in turn rely heavily on support from a healthy diet and lifestyle). Perhaps, as these mechanisms wear (throughout the aging process), the body naturally turns down its production of hormones.

In other words, if aging ensures the survival of our species by (a) clearing out older “models” and making room for new “models” (which in turn allows for continued evolutionary change) and (b) protecting the gene pool from individuals who have become laden with infectious parasites, then perhaps it makes sense for the body to naturally turn down the production of hormones (that would otherwise promote reproductive success and stimulate tissue growth/proliferation) in synchrony with the aging process. If you feel this way, it does not make sense to work against the body’s natural clock using hormone replacement therapy (HRT).

If you feel synthetic or bioidentical hormones are appropriate for you, you should first prepare the body using lifestyle intervention as well as provide the necessary nutrients to support the healthy, downstream detoxification of those hormones (keeping in mind that it can take years of eating properly to “train” the liver to properly detoxify). By the time patients come to see me, most are manifesting symptoms that are reflective of an underlying imbalance caused, over time, by unhealthy lifestyle habits. At this point, patients want immediate and drastic action. Even so, this still does not provide a rationale for long-term hormone replacement therapy.

In my opinion, natural Hormone Replacement Therapy (HRT) can be used, if necessary in the short-term, and for others the long -term. Some typical conditions I recommend hormone related supplements are to address mood-related issues, fatigue, loss of sex drive, and muscle wasting. Topical creams for vaginal dryness are helpful as well. There is very little scientific evidence to support HRT as a treatment strategy for the chronic conditions that women naturally become more susceptible to after menopause (diabetes, CVD, osteoporosis, and cognitive decline) and there is certainly no rationale for placing women on HRT indefinitely. The bottom line is that, if your doctor recommends HRT, it is incumbent on him/her to make sure that those hormones are being properly metabolized and cleared from the body.

The long-term treatment strategy in post menopausal women should focus on:
Manage stress and nurture the adrenal glands in order to support continued hormone production.
Provide healthy, estrogen-mimicking support using phytoestrogens like soy isoflavones.
Use diet and lifestyle intervention to address chronic inflammatory conditions (diabetes, CVD, osteoporosis, and cognitive decline) that women naturally become more susceptible to after menopause (keeping in mind that insulin resistance plays such a significant role in perpetuating this inflammation).

I hope this helps!

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Paleo Diet

Paleo Diet: A client asked me “When was the Paleo Diet popular” and “What changes occured in our diet since?”
The answer to this question is quite variable. There are probably as many legitimate answers to this question as there are readers of this response.

Here are a few thoughts:
Paleo diets began to be displaced in the Fertile Crescent about 12,000 years before present. But who knows how long it took to make a complete shift? Further, these people formed only a tiny part of the world’s population at that time. In some parts of the world, the Paleo, hunter-gatherer diet persisted in human populations well into the Twentieth
Century. Vilhjalmur Stefansson wrote several books about the diet of the Inuit with whom he lived for about 11 years early in the 20th Century.

The agricultural revolution made grain-based foods more affordable to everyone. Those who cultivated these crops had historically grown them as cash crops and enjoyed such foods only on special occasions. A variety of perspectives identify the agricultural revolution in Great Britain at different times. The Agricultural revolution is usually seen as occurring in the 18th and 19th centuries following several inventions that made
cultivating, sowing, and harvesting more efficient and less labour
intensive. However, others point to the use of an internal combustion engine combined with the use of chemical fertilizers as constituting the largest leaps forward in agricultural production.

As for the “fast food” diet, there are a variety of ways of seeing that as well. When I was a child growing up in Los Angeles, during the 1960s, we were very aware of fast foods. I could have milk and cereal out of a box at breakfast, a Coke in a bottle at lunch, buy donuts in between, and later that day pick from A & W, Jack-In-The-Box, McDonalds or a host of other fast food restaurants. In High School, “The” place to hang out with friends was a deli while having coffee with sugar. Candy bars and cookies were commonplace.

The general notion about paleo is that if we evolved eating a particular food, we are more likely to thrive eating this same food. In broad terms, that eliminates refined sugar, dairy, and gluten. Some people insist that legumes be completely eliminated from a paleo diet, while others are less rigid about legumes. Still others argue that only raw foods are truly paleo, while others harken to archaeological proofs of when humans harnessed fire (although nobody really knows when we began to cook
our food).

I think that if we can stick to eating more fresh fruits, vegetables, and meats, our chances of being close to human eating habits prior to the Neolithic are pretty good. I hope this proves helpful.

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TG/HDL ratio

Most places you look these days are saying the TG/HDL ratio is the most important test of blood lipids, and should be under 2.0, or preferably under 1.0. Beyond that there is CRP, and a bunch of different, more expensive tests:
http://www.bhlinc.com/clin_test.php
http://www.atherotech.com/
http://www.atherotech.com/content/files/pdfs/vap_report_sample.pdf
http://www.your-story.org/spectracell-laboratories-now-offers-hs-omega-3-indexr-161378/
http://www.spectracell.com/lpp/

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Alzheimer’s disease(AD).

Question: Jeff, my mother was diagnosed with Alzheimer’s disease(AD). Any suggestions? Answer: Beta-amyloid protein creates plaque that weakens nerve cell function in the brain.

Fortunately, there are several steps you can take that may reduce risk of amyloid buildup…
Exercise daily
Increase omega-3 fatty acid intake
Increase vitamins B6, B12, and folic acid intake (these vitamins reduce homocysteine, which has been linked to amyloid formation)
Use Supplementary curcumin (antioxidant and anti- inflammatory properties are believed to break up amyloid)
Increase intake of EGCG (a green tea flavonoid)

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What I Do…

I often hear my clients say “I don’t know what to call you: a Physical Therapist, a Chiropractor, a nutritionist?” because I don’t just perform traditional Chiropractic manipulation. I also often get asked “What is my approach called?” First and foremost I see myself as a teacher. I teach procedures and methods to help my clients get out of pain, I teach corrective exercise plans, and nutrition and diet plans. I love using my skills in manual therapy, rehabilitation exercise, and nutrition to focus on solving my clients health issues and concerns. I see the full value in mixing all of the traditional health approaches and alternative health approaches into intelligent health methods.

My approach to each client is not a cookbook. I focus on finding the source of each client’s pain – evaluating posture, the joints, the muscles, the fascia, and diet. My evaluation is individualized and personalized, but not a cookbook. I systematically examine my clients for 1) muscle trigger points (tender points within muscles that can cause pain); 2) joints that have too little motion and joints that have too much motion and 3) nutritional deficiencies. This takes time and patience on my part and my client’s part. My first office examination takes about one hour and follow up visits are 30 minutes. I need to test what we are finding, and treat the key under- or overactive muscle. One visit we may concentrate on your breathing to see how well your diaphragm is moving; another visit may find us concentrating on an upper neck dysfunction; another session may find us teaching you how to activate a core muscle deficit; or another session we may learn exercises for a low back instability.

Most importantly, you will learn to participate in your own recovery. This is the basis of my rehabilitation approach! I will be checking your soft tissues and probably using the Deep Muscle Stimulator (DMS) or warm laser as part of my treatments; I will check your core; your feet; and even your TMJ (jaw).

I have had some amazing mentors and teachers and I will blend what I have learned over being in practice for 27 years to guide our treatment. This is what separates me from what most others do. I don’t just focus on the site of symptoms, I look at the whole body.

When you are ready I can teach you how to use the foam roll on your dense and tight muscles; strength training with kettlebells, & flexibility and stretching exercises. If you need weight loss, I am happy to help you reach your goals. Please feel free to send this information to your friends.

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Long-Term Bisphosphonate Use Linked to Abnormal Bone Formation

An unusual type of bone fracture has been reported in women who have taken bisphosphonates for osteopenia and osteoporosis for more than 4 years, according to 2 studies reported at the American Association of Orthopaedic Surgeons 2010 Annual Meeting.

Joseph Lane, MD, chief of the Metabolic Bone Service at the Hospital for Special Surgery and professor of orthopedic surgery at Weill Cornell Medical College in New York City said concern is mounting that long-term use of these drugs might adversely affect bone quality.

Osteoporosis, a loss of bone mineral density that can occur as we age is a real concern to avoid because 1 in 5 patients who have a hip fracture die within 1 year.

Bisphosphonates have been shown to prevent the rapid loss of bone that occurs during the first years of menopause and to reduce the incidence of fracture in postmenopausal women.

However, there have been reports of “peculiar” fractures — that is, low-energy femur fractures that are seen in patients who have been on long-term bisphosphonate treatment. The first report was published in 2005 in a “semi-obscure” journal, Dr. Lane told Medscape Orthopaedics.

In a second unrelated study, Melvin P. Rosenwasser, MD, Robert E. Carroll Professor of Hand Surgery at Columbia University in New York City, and colleagues evaluated the bone structure of 112 postmenopausal women with primary osteoporosis, 62 of whom had been taking bisphosphonates for at least 4 years, and 50 control subjects who were taking only calcium and vitamin D supplements.

They found that bisphosphonate use improved structural integrity early in the course of treatment, but that these gains were diminished as treatment extended beyond 4 years.

“It seems as if there is a plateau of benefit at 4 or 5 years and, after that, the benefit is negated. In the early treatment period, patients using bisphosphonates experienced improvements in all parameters, including decreased buckling ratio and increased cross-sectional area,” he said in an interview with Medscape Orthopaedics. “But after 4 years of use, these trends reversed.”

Women (and men), If you have been on these drugs for 4 years, consider taking a break and use a natural supplement called Ostera from Metagenics instead.

American Association of Orthopaedic Surgeons (AAOS) 2010 Annual Meeting: Abstract 241, presented March 10, 2010; Abstract 339, presented March 11, 2010.

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In a recent interview I was asked…

Why did you become a chiropractor? I knew I wanted to help people, and be involved in enhancing other peoples lives. I grew up in a household with an older brother that was a ‘druggie’ and my Mom was up and down with her weight using diet medications. I became afraid of drugs and interested in other health care methods. I was clear that I didn’t like blood and surgery. At the age of 19, when I was researching careers, I found out about Chiropractic and what they did. I tried Chiropractic for a neck injury and felt great relief. I also saw how much pleasure the doctors I met seemed to get from there careers, I wanted to be a part of this system of health care. I have learned that the art of good medicine is ‘fine tuning’ and working together with clients.

What is your mission or higher purpose in life? I want to provide the finest rehabilitation and performance methods, integrated into Chiropractic care to enhance clients lives. I love to see people enjoy and live to do the activities they want to do. I feel good guiding and helping clients get out of chronic pain, and improve there personal lives and relationships. People never know how healthy they can become until they try nutritional approaches and corrective exercise therapy.

What are the things you love most (or inspire you most) about being a chiropractor?
Our patients are us, just in pain, heavier and out of shape. But they definitely want what we have, methods to help them get out of pain. I love teaching functional exercise training and nutritional therapy to other doctors and my clients. I know I make a difference in reducing injuries and improving performance, whether it is in sports, relationships and attitudes, or clients work life. I am fortunate that I get to teach postgraduate courses in corrective exercise therapy, diet, and nutrition to other doctors around the Country.

Please let me know if there is anything else I can help you with.

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