Clinical Repertory

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Clinical Repertory

The three docs whose protocols are featured on this CD-ROM use Thorne Research products almost
exclusively in their respective practices, and feel there is a need for a clinical repertory to help other
doctors use these unique, hypo-allergenic, well-researched products. As new research has been
conducted, it has become necessary to revise the original 3docs CD-ROM.
Stated the docs, This CD-ROM is designed to assist the practitioner in choosing the most
efcacious therapeutic regimen for various health conditions. Most of the products listed are from
Thorne Research, as they are the products we have used the most in our practices, and have found
to be of great quality and value. They are formulated with the utmost respect for the patient and
the practitioner, with special emphasis on hypo-allergenicity, absorption, and providing therapeutic
amounts of well-researched nutrients and botanicals. We are also aware that Thorne provides
excellent technical literature, including many informative product sheets and the peer-reviewed,
MEDLINE-indexed Alternative Medicine Review. However, we are also aware that they cannot
legally tell you explicitly which of their products are useful in treating specic health problems. But
we can.
The Clinical Repertory is laid out alphabetically by health conditions. You can click on the index
link in the left window for a specic condition, which will take you directly to that section. If you
have Adobe Acrobat version 4.05 or higher, you can search the repertory for specic words and
the program will take you to the areas of the Repertory where those words appear. If you do not
currently have Adobe Acrobat, it is provided for you on this CD-ROM. There are links in many
of the health condition sections that will take you to patient handouts, diets, vendor or laboratory
listings, as well as other health conditions that may be applicable. You can also print the Repertory, if
you would rather have it on paper.
Enjoy.

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Who are the 3 docs?


Walter J. Crinnion, ND
Dr Crinnion graduated from Bastyr University in 1982, and immediately began a private family
practice with specialties in allergies and environmental toxicity. In 1987 he opened the most
comprehensive cleansing center in North America, helping chronically ill persons clear toxins that
initiate illness or prevent healing. He has written numerous articles for periodicals, medical journals,
and books, and frequently lectures to physician groups across the nation. He had a weekly radio
show in Western Washington for several years (Healing Naturally Saturday 12:00 noon on KGNWAM 820) and had a weekly health segment on Northwest Cable News. He has been an associate
professor on the adjunct faculty at Bastyr University, where he has taught Geriatrics, Allergies,
and Environmental Medicine. He is presently director of the environmental medicine program at
Southwest College of Naturopathic Medicine and National College of Naturopathic Medicine. He
has served on the board of the American Association of Naturopathic Physicians (AANP) as Speaker
of the House of Delegates. In 1998 he received the rst AANP award for the best in-ofce research
for Naturopathic Physicians.
Gregory S. Kelly, ND
Gregory Kelly is a naturopathic physician licensed in the state of Connecticut. He is the medical
director for Signature Health Partners, co-creator of Body by Design, Co-Founder of 3Docs.Org, and
an associate editor of Alternative Medicine Review. He has been an instructor at the University of
Bridgeport in the College of Naturopathic Medicine, where he taught classes in Advanced Clinical
Nutrition, Counseling Skills I and II, and Doctor-Patient Relationships. Dr. Kelly has published
numerous articles on various aspects of natural medicine and nutrition, and contributed three
chapters to the Textbook of Natural Medicine, 2nd edition. His areas of special interest include
weight management, the role of stress in health and disease, circadian aspects of performance and
health, and mind-body medicine.
Lyn Patrick, ND
Lyn Patrick ND is a 1984 graduate of Bastyr University and is in private practice specializing in
chronic hepatitis C and environmental medicine in Durango, Colorado. She is a faculty member of
the Postgraduate Certication Course on Environmental Medicine through The Southwest College of
Naturopathic Medicine. Dr. Patrick is a Medline-published author of reviews in the eld of nutrition
and alternative medicine, is an Associate Editor for Alternative Medicine Review, and speaks internationally on integrative medical treatment of chronic hepatitis C and other topics.

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Copyright 2004 3Docs.Org q Clinical Repertory q page 2

Getting Started or How to use the Clinical Repertory:

Conditions that may respond to nutritional or botanical intervention are listed in alphabetical
order. Find the recommended therapeutics by clicking on the condition in the left hand column. A
brief description of the condition will appear, followed by a list of potential supplements. Those
supplements listed rst and in bold, are ones we consider to be the most important. If a condition
does not have any therapeutics in bold, that is because we feel they are all important or we have
otherwise indicated how to differentiate when to use a particular supplement. Recommended dosage
and mechanisms of action are listed next to each therapeutic option.
Other clinical considerations and potential laboratory tests are listed after many of the conditions.
All products are from Thorne Research unless otherwise specied.
Product names mentioned in this publication may be trademarks or registered trademarks of their
respective companies and are hereby acknowledged.
Another note: We all agree that every patient protocol must include a multiple-vitamin-mineral
supplement such as one of the Basic Nutrients products. With this factor in mind, we did not
include the redundant line in every indication listed. In certain cases we have noted specic
multiples that should replace Basic Nutrients in the therapeutic regimen.

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ACHLORHYDRIA / HYPOCHLORHYDRIA
Diagnosis: Gastric pH using Heidelberg gastric analysis or gastric aspirate analysis is preferable. A cautious
therapeutic trial with hydrochloric acid may also be undertaken, with care to avoid excess gastric acidity by discontinuing HCI if heartburn occurs.
THERAPEUTICS:
Betaine HCL & Pepsin or
Bio-Gest or
B.P.P.
Basic B Complex
Ascorbic Acid

DOSAGE:
1-2 caps/meal
1-2 caps/meal
1-2 caps/meal
1 cap tid
1 gram bid

MECHANISM:
To maintain adequate HCl
Increases HCl, pancreatic enzymes, and bile
Increases HCl and pancreatic enzymes
Corrects a deciency
Corrects a deciency associated with low HCl

CLINICAL CONSIDERATION:
1. Achlorhydria will usually result in disruption of gut microora, pathogenic overgrowth (i.e. Candida) and a range of vitamin
and mineral deciencies (including folic acid, B6, B12, calcium, and iron).
2. If positive for Candida see Candidiasis for protocol suggestions
LABORATORY CONSIDERATIONS:
Consider Comprehensive Digestive Stool Analysis (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 4

ACNE ROSACEA
Diagnosis: A chronic disease of the skin, involving the ush areas of the face (nose, cheeks, chin, and lower central forehead) usually
in mid-life, and characterized by varying degrees of erythema, telangiectasia, erythematous papules and pustules, plus slight desquamation.
THERAPEUTICS:
SF734

DOSAGE:
2 caps qid
between meals for
8 weeks
Betaine HCl/pepsin
1-2 caps/meal
Basic B complex
1-2 caps daily
Lactobobacillus sporogenes 1 cap bid

MECHANISM:
Helicobacter pylori implicated as a cause

Corrects a deciency
Corrects a deciency
Decreases gut derived endotoxins

CLINICAL CONSIDERATIONS:
Caffeine-containing foods should be avoided.
NOTES: _______________________________________________________________________________________________________
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ACNE VULGARIS
Diagnosis: Clinical diagnosis based on presentation of an inammatory cutaneous condition characterized by comedones, pustules,
and cysts. Key mechanisms: 1) Androgen excess 2) Possible insulin insensitivity in skin
THERAPEUTICS:
Vitamin A*(25,000 IU)
Zinc picolinate
(double strength)
Copper picolinate
E-500 or Ultimate-E
Pantethine
Black currant oil
Ultrachrome 500
Selenium picolinate or citrate

DOSAGE:
2 caps bid
1 cap tid

MECHANISM:
Decreases sebum production
Corrects a deciency

1 cap daily
1 cap bid
1-2 caps bid
2 caps bid -tid
1 cap daily
1 cap daily

Lactobacillus sporogenes

1 cap bid

Balances the zinc


Decreases lipid peroxidation
Regression of lesions, improves lipid metabolism
Corrects a deciency
Improves insulin sensitivity
Improves GSH peroxidase activity (decreases lipid
peroxidation)
Decreases gut derived endotoxins

* Use of high doses may be toxic if used for prolonged periods; monitor liver enzymes. Use of greater than 10,000 IU
daily should be avoided in any female with possibilty of pregnancy
CLINICAL CONSIDERATIONS:
High protein diet (44% protein, 35% carb, 21% fat) decreases 5-alpha reductase (decreases androgen production), and
enhances p450 clearance of estriol.
LABORATORY CONSIDERATIONS:
CBC/SMAC for fasting glucose (see optimal reference ranges for CBC/SMAC)
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 6

ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) / HIV INFECTION


Diagnosis: Prominent systemic complaints such as sweats, diarrhea, weight loss, and wasting, followed by aggressive cancer, particularly Kaposis sarcoma, Pneumocystis carnii pneumonia, and extra-nodal lymphoma. Progression to neurological manifestations
including dementia, asceptic meningitis, and neuropathy.
*Risk factors: Sexual contact with an infected person; parenteral exposure to infected blood by transfusion, needle sharing or perinatal
exposure.
THERAPEUTICS:
Basic Immune Nutrients

DOSAGE:
4 caps tid

Moducare

1 cap tid 1 hr
apart from meals
(after initial loading
dose of 2 caps
tid for one week)

MAY CHOOSE TO ADD ADDITIONAL:


Cysteplus
1-2 caps tid

MECHANISM:
Basic high-potency multiple with additional nutrients
specically known to benet people with HIV
Stabilizes CD4 counts; decreased viral load

Thiocid-300

2 caps bid -tid


1 scoop tid
(or to bowel tolerance)
1-2 caps tid

Quercenase

2 caps tid

Glycgel
PermaClear/Glutamine

1/4 tsp tid


2 caps bid

Organic Colostrum

1 tsp daily-bid(5 tsp


bid for bacterial diarrhea)

Inhibits HIV replication; prevents cytokine-mediated


cachexia; corrects cysteine and glutathione deciency
Improves immune function and lipid metabolism; prevents
AZT-induced side effects
Improves T-helper/suppressor ratios; corrects a deciency
HIV-1 integrase inhibitor; inhibits HIV transcription
Corrects a deciency; slows decline of CD4 cells; reduces
AIDS drug toxicity
Increases CD4 levels; corrects a deciency
Interferes with HIV-dependent enzymes decreasing viral
replication
Minimize liver damage from conventional HIV drugs (use higher
dose (1800 mg) if co-infected with hepatitis C)
Quercetin inhibits HIV integrase enzyme; bromelain is a
natural protease inhibitor
Stabilizes CD4 levels
Glutamine deciency may cause wasting and loss of G.I. immune
function
Natural immune factors with anitmicrobial action; AIDS-related
diarrhea

High Lactoferrin Whey

1-2 scoops bid

Lactoferrin shows considerable inhibitory activity against HIV.

L-Carnitine

2 caps tid

Co-Q-100
Curcumin
Selenium (picolinate or
citrate)
Beta-carotene
Ascorbic acid powder

1 cap bid
2 caps bid
1 cap bid

CLINICAL CONSIDERATIONS:
1. Weight/Resistance Training can help maintain muscle mass and promote enhanced immune system function
2. Massage: Massage can enhance aspects of immune system function
3. Supplementing diet with a whey protein powder shake 1-2 times daily (20-40 grams of whey protein powder) can assist with
maintaining muscle mass and glutathione levels
4. Consider blood type appropriate diets (http://darkwing.uoregon.edu/~sshapiro/ER4YT/foodlists_TOC.html).
5. Consider testing for the presence of environmental chemicals and initiating cleansing therapy to mobilize them from the
body. Most of the persistent ubiquitous environmental toxins are immunosuppressive, clearing them will help the immune
system to recover.
LABORATORY CONSIDERATIONS:
1. CBC/SMAC (see optimal reference ranges for CBC/SMAC)
2. CD4 count (values below 200/mm3 indicate an increased susceptibility to opportunistic infections) should be monitored
every 3 months
3. Consider Comprehensive Digestive Stool Analysis for ova, parasites, and probiotic bacteria (see Laboratory Listings)

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ADRENAL INSUFFICIENCY
Diagnosis: Clinical diagnosis conrmed by presence of postural hypotension; and general lethargy. Conrm with laboratory diagnosis
with blood or saliva when possible.
THERAPEUTICS:
DOSAGE:
Phytisone or Cortrex
1-2 caps bid-tid
Cortine or Adrenal Cortex 1-2 caps bid
(alone or in conjunction
with Phytisone)
Rhodiola
1 cap bid
B-Complex #5
1-3 caps daily
Buffered C Powder
1/2-1 tsp. daily
Pantethine
1-2 caps bid
Glycgel
1/4 teaspoon bid

MECHANISM:
Nourish adrenals; normalize cortisol
Nourish adrenals

Adaptogenic effects on neurotransmitters


Supports adrenals, correct a deciency
Normalizes cortisol levels
Nourish adrenals; normalizes cortisol
Use if cortisol is low by lab tests

CLINICAL CONSIDERATIONS:
Consider diet modication (see patient handouts on High Energy Low Stress Diet or Hypoglycemia Diet)
LABORATORY CONSIDERATIONS:
Salivary Cortisol/DHEA (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 8

ALCOHOLISM
Diagnosis: Physiologic changes are manifested by signs of withdrawal when alcohol intake is interrupted. Evidence of alcohol-associated illnesses, such as alcoholic liver disease, cerebellar degeneration, depression, blackouts, continued drinking despite strong medical and social contraindications. Positive serum diagnosis includes hypokalemia, hypomagnesemia, and blood alcohol levels.
THERAPEUTICS:
Siliphos
Phosphatidyl Choline

DOSAGE:
2 caps bid
2 caps tid

B-Complex #1

1 cap tid

Basic Detox Nutrients


Formaldehyde Relief
T.A.P.S. or S.A.T.

4 caps tid
1 cap tid
2 caps tid

Lipotrepein
Methyl-Guard

1-2 caps tid


1-2 caps tid

Niasafe-600 or Niacinamide 1 cap bid - tid


Pantethine or Taurine
1 cap bid - tid
GlycoTone

2 caps with meals

Anti-Oxidant

2 caps tid

Krill Oil
Carnityl
Lactobacillus sporogenes

1 cap bid
2 caps bid
1 cap bid

Omega Plus

2 caps daily

Thiocid-300
Vitamin A
Zinc Picolinate Dbl.Str.

1 cap tid
1 cap daily
1 cap bid

Theanine

1 cap daily to tid

MECHANISM:
Decreases liver enzymes and total bilirubin in alcoholic hepatitis
Corrects deciency associated with alcoholic liver
disease; protects liver from damage
Corrects a deciency; thiamine especially decient in
alcoholics
Promotes detox, prevents deciency. (in lue of other multi)
Promotes detox
Liver support: Milk Thistle decreases fatty degeneration,
insulin resistance, and improves immunity in cirrhosis
Liver support; improves bile ow
Homocysteine often elevated in chronic alcoholics, betaine can
protect liver or reverse hepatic liver deposition
Oxidizes ethanol, reducing acetaldehyde levels
Increases activity of alcohol dehydrogenase necessary for
metabolizing acetaldehyde
Alcohol craving may be related to reactive hypoglycemia
and/or insulin resistance
Reduces alcohol toxicity; enhances Phase II liver
detoxication
Correct a deciency
Reverses alcohol-related cognitive decline
Gut microora is severely damaged in alcoholics resulting
in malabsorption of nutrients and endotoxin production
Alcohol can interfere with delta-5 desaturase and cause
symptoms of EFA deciency
Water and lipid-soluble antioxidant
Corrects deciency of Vitamin A
Corrects deciency; deciency of vitamin A works
synergistically with def. of zinc to produce complications
of alcoholism
Relax and improve mental focus during withdrawal period

CLINICAL CONSIDERATIONS:
1. Ensure patient has appropriate sleep-wake cycles and gets adequate quality sleep.
2. Consider counseling, hypnosis, and biofeedback.
3. Ensure patient consumes a balanced, calorie adequate diet.
4. Testing for and elimination of allergic or sensitive foods. Consumption of such reactive foods helps to trigger cravings.
5. Craniosacral therapy for compression of sphenoid and basilar bones.
6. Consider full detox program as outlined in Dr. Walter Crinnions Detox brochure - provided by Thorne Research
LABORATORY CONSIDERATIONS:
CBC/SMAC (see optimal reference ranges for CBC/SMAC)
Utilize Zinc Sulfate taste test for zinc deciency.
NOTES: _______________________________________________________________________________________________________
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ALLERGY - GENERAL
Diagnosis: Immunologically mediated reaction to foreign antigens (allergens) causing tissue inammation and organ dysfunction. Can
be either A) Delayed hypersensitivity, a T-cell mediated allergy or B) Immediate hypersensitivity, an IgE-mediated allergy.
THERAPEUTICS:
Medi-Clear

DOSAGE:
Varies

Moducare

1 cap tid (away from


meals)
1-2 grams tid
2 caps bid

Ascorbic acid
Cal-Mag Citramate
or

Buffered C Powder
1-2 teaspoons daily
(in place
of Ascorbic Acid & Cal-Mag
Citramate)
Planti-Oxidants
2 caps bid
Lactobacillus sporogenes
1 cap bid
Omega Plus
2 caps bid
Krill Oil
1 cap bid
Petadolex
1 cap bid with meals

MECHANISM:
Many patients benet from an elimination diet. See Medi-Clear
Brochure (Thorne Research)
Increases immune cytokines and decreases IgE antibody
formation.
Antihistamine; mast cell stabilization
Calcium inhibits swelling of mucosal membranes;
magnesium deciency associated with atopic allergic
reactions
Antihistamine; mast cell stabilization

Antioxidant; antihistamine; anti-inammatory


Decreases gut derived IgE
Decreases inammation
Decreases inammation
Inhibits pro-inammatory leukotrienes

CLINICAL CONSIDERATIONS:
Consider Hypo-Allergenic Diet (see Hypo-Allergenic Diet)
LABORATORY CONSIDERATIONS:
1. ELISA allergy testing (see Laboratory Listings)
2. RAST allergy testing (see Laboratory Listings)
3. Skin Testing
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 10

ALLERGY - INHALANT (ALLERGIC RHINITIS / HAYFEVER)


Diagnosis: Watery rhinorrhea, sneezing and a scratchy throat with accompanied eye irritation and excessive tearing.
THERAPEUTICS:
QC nasal spray
Quercetone or
Quercenase or
HMC Hesperidin or
Hesperinase
MSM
Shea butter
Petadolex

DOSAGE:
1-2 sprays as needed
1-2 caps tid
1-2 caps tid
1-2 caps tid
1-2 caps tid
2 caps bid
as needed topically
to inside of nostrils
1 cap bid with meals

Moducare
Pantethine or
Molybdenum picolinate
Medi-Clear

1-2 caps tid


1-2 caps bid
1-2 caps tid
Varies

MECHANISM:
Antihistamine
Mast cell stabilization; anti-inammatory
Mast cell stabilization; anti-inammatory
Mast cell stabilization; anti-inammatory
Mast cell stabilization; anti-inammatory
Positive clinical study; mechanism unknown
Antihistamine/decongestant
Seasonal rhinitis; promote normal function of respiratory tissue
by maintaining smooth muscle tone
Decreases overactive immune response
Formaldehyde sensitivity; cofactor for
aldehyde dehydrogenase
Many patients benet from an elimination diet. See Medi-Clear
Brochure (Thorne Research)
Corrects faulty metabolism; increase PGE1 and PGE3
Decreases inammation

Super EPA or Omega Plus 1-2 caps tid


Krill Oil
1 cap bid
CLINICAL CONSIDERATION:
Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
LABORATORY CONSIDERATIONS:
1. ELISA allergy testing (see Laboratory Listings)
2. RAST allergy testing (see Laboratory Listings)

NOTES: _______________________________________________________________________________________________________
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ALLERGY - FOOD
THERAPEUTICS:
Medi-Clear

DOSAGE:
Varies

Perma-Clear
Betaine HCl/pepsin or
Biogest
Moducare
Pyridoxal 5 Phosphate
Molybdenum picolinate
Hydrolyzed Whey Protein
Lactobacillus sporogenes
Quercetone or
Quercenase or
HMC Hesperidin or
Hesperinase
Super EPA or Omega Plus
Krill Oil

3 caps bid
2 caps tid
1-2 caps tid
1 cap bid
1-2 caps tid
2 scoops daily - bid
1 cap bid
1-2 caps tid
1-2 caps tid
1-2 caps tid
1-2 caps tid
1-2 caps tid
1 cap bid

MECHANISM:
Many patients benet from an elimination diet. See Medi-Clear
Brochure (Thorne Research)
Decreases gut permeability to allergens
Increases food digestion (especially proteins) prior to
absorption
Decreases overactive immune response
Decreases MSG sensitivity
Decreases Sulte sensitivity; cofactor in sulte oxidase
Hypoallergenic meal replacement; elimination diet
Decreases gut derived IgE
Mast cell stabilization; anti-inammatory
Mast cell stabilization; anti-inammatory
Mast cell stabilization; anti-inammatory
Mast cell stabilization; anti-inammatory
Corrects faulty metabolism; increase PGE1 and PGE3
Corrects EFA deciency; Decreases inammation

CLINICAL CONSIDERATION:
Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
LABORATORY CONSIDERATIONS:
1. ELISA allergy testing (see Laboratory Listings)
2. RAST allergy testing (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 12

ALZHEIMERS DISEASE / SENILE DEMENTIA (see also MEMORY IMPAIRMENT)


Diagnosis: Clinical diagnosis of degenerative dementia usually beginning in the 5th or 6th decade of life, with memory loss one of the
earliest symptoms. Reduced ability to maintain attention to external stimuli, i.e. question must be repeated, disorganized thinking,
disorientation to time, place, and person. Depression, somatic complaints, memory decits, and stepwise deterioration are all part of
the pattern.
THERAPEUTICS:
DOSAGE:
Memoractiv or
1-2 caps tid
Individual Components (listed below)
Citicoline
1-2 caps bid
Phosphatidyl Choline

2 caps tid

Anti-oxidant

1 bid

Individual Components of Memoractiv:


GB-24 or GB-250
1 cap tid

Iso-Phos

1-2 caps tid

Carnityl

1-2 caps tid

Vinpocetine

1 cap tid

Bacopa
Methyl-Guard

1 cap bid
2 caps tid

Folacal
B-Complex #12, Bio B12,
Methylcobalamin, or
Cobamide
Betaine HCl/Pepsin
Zinc Picolinate (dbl str)
Ascorbic Acid
E-50 or Ultimate E
Moducare

1 cap daily
1-3 caps daily

Dehydrone-5 or 15
Taurine
Perfusia-SR

2 caps tid with meals


1 daily
3 grams daily
2 cap tid
1 cap tid
25-50 mg/day males
15-25 mg/day females
500 - 1500 mg. tid
3 caps bid

MECHANISMS:
Improves cognitive function (see individual components)
Preserve structural and functional integrity of neuronal membranes; prevent deposition of beta-amyloid (implicated in AD)
Corrects an age-related decline in cholinergic activity in the
brain (Alzheimers associated with decline in acetylcholine)
Antioxidant supplementation delays need for medication
if given after onset of disease.
Improves circulation to the brain; slows deterioration in
early Alzheimers; antioxidant effects; decreases platelet
aggregation.
A major component of nerve cell membranes; enhances
regeneration of damaged nerve network; enhances
dopamine and acetylcholine release
Cofactor in conversion of fatty acids to energy in mitochondria of nerve cells; provides acetyl groups for production
of acetylcholine; antioxidant
Improves oxygen delivery to the brain as a vasodilator;decreases
platelet aggregation; prevents hypoxic damage to the brain;
reduces cerebral edema; anticonvulsant
Improves memory and general cognition
High homocysteine levels associated with Alzheimers and vascular
dementia
Low folate may cause dementia
Corrects a deciency due to poor absorption

Enhances absorption of folate and B12


Corrects deciency
High dose vit C and E delays need for medication
High dose vit C and E delays need for medication
Decreases cortisol (decreasing cortisol associated
with improved memory)
Test for DHEA levels and supplement accordingly
Corrects deciency
Decreases lipid peroxidation; increases cognitive function

CLINICAL CONSIDERATIONS:
1. Consider testing for heavy metals including aluminum and detoxify accordingly
2. Ensure balanced, adequate calorie diet
3. Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
4. Ensure adequate quantity and quality of sleep
5. Rule out heavy metal toxicity as a cause. (See Heavy Metal Toxicity for therapeutics)
6. Test for DHEA and supplement 25-50mg daily (males), 15-25mg daily (females) if decient
7. Test for heavy metal exposure (aluminum associated with Alzheimers) and follow Detox protocol if indicated.
LABORATORY CONSIDERATIONS:
1. Heavy Metal Testing (see Laboratory Listings)
2. Salivary Cortisol/DHEA (see Laboratory Listings)
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AMENORRHEA
Diagnosis: Rule out pregnancy with urine or serum tests. Evaluate hormone function: FSH, LH, estrogen, prolactin, 17-OH steroids.
With galactorrhea, rule out prolactin-secreting pituitary adenoma & rule out protein-calorie-malnutrition and anorexia nervosa.
THERAPEUTICS:
Bio-Gyn
Black Currant Oil or
Omega Plus or
Krill Oil
Meta-Balance

DOSAGE:
2 caps bid
2 caps bid

MECHANISMS:
Nourishes and stimulates the pituitary and ovaries
Corrects a deciency

1 cap bid
2 caps bid

Glycgel
Phytisone or Cortrex
Thyrocsin
Iodine-Tyrosine
Hydrolyzed Whey Protein
Serenoa gelcaps

1/4 tsp. tid


2 caps bid-tid
2 caps bid
1 cap bid - tid
2 scoops bid
1-2 gelcaps bid

Corrects deciency
Amenorrhea due to hypo-ovarianism; phytoestrogenic;
phytoprogesterogenic
Phytoestrogen
Amenorrhea due to hypo-adrenalism
Amenorrhea due to low thyroid
Amenorrhea due to low thyroid
Amenorrhea due to protein malnutrition
Amenorrhea due to androgen excess/polycystic ovarian
disease

Progesterone Cream : Apply small amounts to the skin daily on days 16-25 of cycle (see Vendor Listings).
Note: If relying exclusively on the nutritional and herbal formulas listed, long-term treatment is often needed (allow 1218 months for normalization of cycle).
CLINICAL CONSIDERATIONS:
1. Nightly exposure to the waxing and waning of the moon throughout the month is a powerful environmental cue. Exposure to
the light of the full moon can often times completely normalize a womans cycle. This can be simulated by the following: On the
four nights when the moon would be at its brightest leave a bright lamp with a 100 watt light bulb on in the bedroom all night to
simulate the light of the moon. The lamp should be placed about 3 feet from the head. Allow 4 months of exposure to full moon
or lamp to assist with reestablishment of the rhythm of the cycle.
2. Castor Oil Pack applied externally over area of liver (see patient handout on castor oil packs)
LABORATORY CONSIDERATIONS:
1. Pregnancy Test (rule out pregnancy)
2. Hypothalamic/Pituitary Testing to include GnRH, LH, FSH, and TSH
3. Hormone Testing to include estrogen, progesterone, testosterone, prolactin, and thyroid hormone levels
4. Consider functional testing of liver detoxication capability (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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Copyright 2004 3Docs.Org q Clinical Repertory q page 14

ANEMIA, IRON DEFICIENCY (MICROCYTIC)


Diagnosis: Microcytic hypochromic anemia. Rule out blood loss and protein deciency.
THERAPEUTICS:
Basic Nutrients II, IV, or
Nutri-Fem
Ferrasorb or

DOSAGE:
2 caps tid
4 caps bid
2 caps bid

Iron Picolinate
Ascorbic Acid Caps
500 mg caps
1000 mg caps
Betaine HCl/Pepsin or
Biogest
Lactobacillus Sporogenes

1 cap tid

MECHANISMS:
Multivitamins with Iron
Multivitamins with Iron
Corrects deciencies (Fe deciency responds
quicker when B12, Folate included)
Corrects a deciency

2 cap bid
1 cap bid
2 caps tid

Enhances Iron absorption


Enhances Iron absorption
Enhances Iron absorption

1 cap bid

Restores proper gut bacteria; increases absorption of iron


and B vitamins

CLINICAL CONSIDERATIONS:
Advocate frequent consumption of cultured foods (miso, yogurt, etc.) and iron-rich foods (molasses and red meat).
LABORATORY CONSIDERATIONS:
1. CBC/SMAC (see optimal reference ranges for CBC/SMAC)
2. Stool for occult blood (available through most commercial labs)
3. Serum Iron Studies (available through most commercial labs)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Copyright 2004 3Docs.Org q Clinical Repertory q page 15

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ANEMIA, MEGALOBLASTIC
Diagnosis: Macrocytic anemia (MCV >100). Determine serum B-12 & folate levels. If low B-12, run Schilling test to evaluate intrinsic
factor production.
THERAPEUTICS:
B-Complex #12, Bio-B12,
Methylcobalamin, or
Cobamamide
Folacal
Ferrasorb
Betaine HCl/Pepsin, or
Biogest
Lactobacillus sporogenes

DOSAGE:
1 cap bid

MECHANISMS:
Corrects a deciency

1 cap bid
1 cap bid
2 caps tid

Corrects a deciency
Corrects a deciency
Enhances absorption of B12 and folate

1 cap bid

Enhances absorption of B vitamins

LABORATORY CONSIDERATIONS:
1. CBC/SMAC (see optimal reference ranges for CBC/SMAC)
2. Serum B12 and Folic Acid levels (available through most commercial labs)
3. Homocysteine levels (elevated homocysteine levels can indicate a functional impairment in B12 and folic acid metabolism)
(see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

ANEMIA, PERNICIOUS (see ANEMIA, MEGALOBLASTIC)

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Copyright 2004 3Docs.Org q Clinical Repertory q page 16

ANGINA PECTORIS
Diagnosis: Precordial pain or pressure precipitated by exertion and relieved by rest.
THERAPEUTICS:
Neo-Cardio
Perfusia-SR
Q-10 Plus
E-500 or Ultimate-E
Co-Q-100
L-Carnitine
Potassium-Magnesium
Aspartate or Citrate
Super EPA or
Krill Oil
Pantethine

DOSAGE:
1-2 caps tid
3 caps bid
1-2 caps tid
1 cap bid
1-2 daily
2 caps bid
2 caps bid

MECHANISMS:
Vasodilatory; decreases BP, increases cardiac output
Increases endothelium-dependant coronary vasodilation
Improves oxygenation of heart; decreases BP
Vasodilatory antioxidant; aids ventricular profusion
Corrects deciency and improves energy production
Improves cardiac energy efciency
Smooth muscle relaxation

1 cap tid
1 cap bid
1 cap bid

Decreases platelet aggregation, lowers LDL, raises HDL


Corrects EFA deciency
Corrects deciency

CLINICAL CONSIDERATIONS:
Lifestyle interventions to include stress management, dietary modications, and appropriate physical exercise.
LABORATORY TESTING:
1. Consider Cardiovascular Panel (see Laboratory Listings) and treat as appropriate
2. Consider 24-hour Holter monitor for Heart Rate/Rhythm Variability (see Laboratory Listings)
3. Monitor blood sugar, CBC, and thyroid function and treat if needed.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Copyright 2004 3Docs.Org q Clinical Repertory q page 17

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ANKYLOSING SPONDYLITIS
Diagnosis: Reduced range of motion of the spine with pain. Symptoms worsening with rest and improving with activity. X-ray diagnosis is conclusive evidence.
THERAPEUTICS:
Perma-Clear
Glucosamine Sulfate

DOSAGE:
3 caps bid
2 caps bid

Moducare

1 cap tid

E-500 or Ultimate-E
Bromelain
or Phytoprofen

1 cap bid
2 caps qid
2 caps tid

MECHANISMS:
Reduces gut permeability linked to AS; corrects dysbiosis
Aids in maintaining cartilagenous viability against the
osteoblast invasion and slows down osseous fusion
Balances THI/TH2 cytokines, decreases inammation/
autoimmune process
Studies indicate as effective as NSAIDs at reducing pain in AS
Reduces inammation
Reduces inammation

CLINICAL CONSIDERATION:
1. Consider liver support and detoxication (see Detoxification)
2. Consider low temperature sauna (see patient handout Low Temperature Sauna).
LABORATORY CONSIDERATIONS:
1. Consider testing for heavy metals, pesticides, and liver functional detoxication capability and detoxify if indicated
(see Laboratory Listings)
2. Consider gut permeability and dysbiosis studies. Increased dysbiosis and permeability seen in many cases of AS. Klebsiella
pneumoniae overgrowth and immune cross-reactivity implicated in AS.
3. Consider testing for chemical antibodies and detoxify if indicated (see Laboratory Listings)
4. Consider autoimmune screen (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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Copyright 2004 3Docs.Org q Clinical Repertory q page 18

ANXIETY
Diagnosis: Patient has a subjective sense of terror, and may exhibit physical symptoms including heart palpitations, pericardial pain,
nausea and hyperventilation.
THERAPEUTICS:
Sedaplus
Rhodiola

DOSAGE:
2-4 caps as
needed at bedtime
1 cap bid-tid

Bacopa
Theanine
5-Hydroxytryptophan
Melatonin
Niacinamide
Buffered C Powder
Inositol

1 cap bid
1-6 caps qd
1-2 caps tid
5 mg qd
1 cap tid
1 scoop tid
up to 10g daily

MECHANISMS:
Sedative botanicals
Adaptogenic; increases ability to withstand emotional and
physical stress by normalizing serotonin, norepinephrine, and
dopamine levels
Results in calming but improved focus; no sedation
Stimulates production of alpha brain waves
Precursor to serotonin
Decreases perioperative anxiety
Decreases middle of night wakefulness
Nourishes adrenals; Cal-Mag relaxing
Improves neurotransmitter release

CLINICAL CONSIDERATIONS:
1. Have patient complete diet diary to assess sugar in diet (see patient handout Hypoglycemia Diet).
.
2. Ensure patient receives adequate quantity and quality of sleep.
3. Ensure patient consumes a balanced, calorie adequate diet (carbohydrate, fat, and protein are all required in the diet to
properly nourish the CNS).
LABORATORY CONSIDERATIONS:
1. Perform salivary adrenal function tests and check for cortisol peaks and appropriate rhythm (see Laboratory Listings)
2. Consider glucose tolerance test or check for hyperinsulinemia
3. Perform thyroid tests to ensure proper thyroid function (available through most commercial labs)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Copyright 2004 3Docs.Org q Clinical Repertory q page 19

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APHTHOUS STOMATITIS (CANKER SORES)


Diagnosis: Small white circular lesions occurring singly or in small clusters on the inside of the mouth or lips. May be quite painful in
proportion to size.
THERAPEUTICS:
Lysine*

Glycgel
GI-Encap
Basic B-Complex
Iron Picolinate or Ferrasorb
Zinc Picolinate
Quercetone
Moducare

DOSAGE:
1 cap daily to
prevent; 4 caps
daily to treat
topically as needed
1 cap dissolved in
water as a tea qid
1-2 caps daily
1-3 caps daily
1-2 caps daily
1 cap bid-tid
1 cap tid

MECHANISMS:
If herpes-related, prevents viral replication

Heals and soothes the lesion


For acute lesions; symptom relief
Corrects a deciency
Corrects a deciency
Corrects a deciency
Stabilizes mast cells
Normalizes cortisol; decreases antibodies

*Monitor cholesterol, which can become elevated with high-dose lysine.


CLINICAL CONSIDERATIONS:
1. Food and chemical allergies often contribute (especially sensitivity to gluten).
2. Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

CS

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Copyright 2004 3Docs.Org q Clinical Repertory q page 20

ARTHRITIS, OSTEO
Diagnosis: Degenerative loss of cartilage of the joint surface, with osteophyte formation at joint margins.
THERAPEUTICS:
AR-Encap
Phytoprofen
Medi-Clear

DOSAGE:
2 caps bid-tid
2 caps bid-tid
Varies

Glucosamine Sulfate or
Glucosamine-Chondroitin
Collag-en
SB313 or HMC Plus
Niacinamide
or B-Complex #3

1 cap tid (increase


dose if overweight)
1 cap tid
1-2 caps tid

Ascorbic Acid or
Buffered C Powder
Copper Picolinate
Zinc Picolinate
E-500 or Ultimate-E
Boron
MSM-850
Lactobacillus sporogenes

1-4 grams daily


1-2 scoops daily
1 cap daily
1 cap bid
1 cap bid
1 cap tid
2 caps tid
1 cap bid

1 cap tid

MECHANISMS:
Anti-inammatory; collagen protective
Anti-inammatory, pain relief
Many patients benet from an elimination diet. See Medi-Clear
Brochure (Thorne Research)
Building blocks of larger glycosaminoglycans in cartilage
Nutrients necessary for collagen formation
Collagen stabilizing avonoids
Inhibits PARP-induced apoptosis which contributes
to joint degeneration
Enhances collagen formation
Enhances collagen formation
Co-factor for SOD, protects joints from destruction
Co-factor for SOD, protects joints from destruction
Stabilizes membranes and antioxidant
Needed for glycosaminoglycan optimization
Source of sulfur and methyl groups for cartilage synthesis
Decrease gut derived endotoxins

CLINICAL CONSIDERATIONS:
Consider Diet Modication (see patient handout Arthritis & Rheumatism Diet)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Copyright 2004 3Docs.Org q Clinical Repertory q page 21

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ARTHRITIS, RHEUMATOID
Diagnosis: Chronic, symmetric inammation of the peripheral joints.
THERAPEUTICS:
Moducare

DOSAGE:
1 cap tid
(after a loading dose
of 2 caps tid for one week)
AR-Encap
2 caps tid
Phytoprofen or
2 caps tid
Double Strength Bromelain 2 caps tid
Omega Plus or
2 caps tid
Krill Oil or
1 cap bid
Super EPA
2 caps bid-tid
Perma-Clear
3 caps bid
Medi-Clear
Varies
E-500 or Ultimate-E
HMC Plus or SB313
Methyl-Guard

1 cap bid
1-2 caps tid
2 caps tid

Oscap or
Ipriavone
Buffered C Powder
Pantethine
Zinc Sulfate
Lactobacillus sporogenes

2 caps tid
1 cap tid
1 tsp. bid
1-2 caps bid-tid
1 oz tid until tastes
strongly; then 1 oz. qd
1 cap bid

Boron picolinate
Selenium picolinate
Copper picolinate

1 cap qd-bid
1 cap daily
1 cap daily

MECHANISMS:
Decrease in TH2-induced antibody production

Anti-inammatory; collagen protective


Anti-inammatory
Anti-inammatory
Enhances anti-inammatory prostaglandins
Enhances anti-inammatory prostaglandins
Enhances anti-inammatory prostaglandins
Reduces gut permeability; re-establishes gut ora
Many patients get relief from elimination diet. See Medi-Clear
Brochure (available fromThorne Research)
Inhibits pro-inammatory prostaglandins
Collagen stabilizing; anti-inammatory
Prevents methotrexate or sulfasalazine
induced homocysteine elevations
Prevents steroid-induced osteoporosis
Prevents steroid-induced osteoporosis
Enhances collagen formation
Corrects deciency
Corrects deciency
Decreases gut derived TH2 cytokines (signicant change
in fecal ora associated with clinical improvement)
Corrects deciency
Antioxidant, increases GSH peroxidase
Balances zinc

CLINICAL CONSIDERATIONS:
1. Consider liver support and detoxication (see Detoxication)
2. Consider low temperature sauna (see patient handout Low Temperature Sauna)
3. Consider Diet Modication (see patient handout Arthritis & Rheumatism Diet)
LABORATORY CONSIDERATIONS:
1. Rh factor positive in about 80% of cases and ANA positive in about 25% of cases (available through most commercial labs).
2. Consider testing for heavy metals, pesticides, and liver functional detoxication capability and detoxify if indicated
(see Laboratory Listings)
3. Consider testing for chemical antibodies and detoxify if indicated (see Laboratory Listings)
4. Consider autoimmune screen (see Laboratory Listings)
5. Consider 24-hour Salivary Cortisol/DHEA and treat as appropriate (see Laboratory Listings)
6. Consider gut dysbiosis/increased permeability testing; treat as necessary.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

CS

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.org

Copyright 2004 3Docs.Org q Clinical Repertory q page 22

ASTHMA
Diagnosis: A condition marked by recurrent attacks of paroxysmal dyspnea, with wheezing due to spasmodic contraction of the bronchi. Etiology varies, but is most often connected to allergies.
THERAPEUTICS:
T- Asthmatica Plus

DOSAGE:
1-2 caps bid-tid

Petadolex

1 gelcap bid with meals

Quercetone or Hesperidin 2 caps qid


Moducare
1 cap tid between
meals
Beta-Carotene
2 caps qid
Ascorbic Acid
500 or 1000 mg caps or
Buffered C Powder or
Vitamin C w/ Flavonoids
3-5 grams daily
Magnesium (citrate
or citramate)
Betaine HCl or B.P.P.
Pyridoxal 5 Phosphate
Selenium (picolinate)
Medi-Clear

1-3 caps daily


1-2 caps w/meals
1 cap bid
1 cap daily
Varies

ALSO CONSIDER:
Methylcobalamin
Cysteplus or
Cysteplus II (pediatric)
Super EPA or
Omega Plus or
Krill Oil
Phytisone or Cortrex
GT-Ex
Coleus forskohlii

DOSAGE:
1 - 3 caps daily
1 cap bid-tid
1 capsule tid
1-2 caps tid
1-2 caps tid
1 cap bid
2 caps bid
1 cap bid-tid
1 cap bid

MECHANISMS:
Bronchodilation; anti-inammatory; antihistamine
(can cause nausea if dosed too high)
Inhibits pro-inammatory leukotriene synthesis and
promotes normal smooth muscle tone in respiratory
airways
Mast cell stabilizer; antihistamine
Decreases inammatory cytokines
Enhances lung epithelial cell differentiation.
Mast cell stabilizer; antihistamine
Enhances lung epithelial cell differentiation.
Mast cell stabilizer; antihistamine
Enhances lung epithelial cell differentiation.
Mast cell stabilizer; antihistamine
Corrects deciency; decreases tissue cytokines responsible
for mucus production & bronchial constriction
Hypochlorhydria often associated with asthma
Corrects deciency and normalizes tryptophan metabolism
Corrects deciency; antioxidant
Many asthma patients benet from an elimination diet.
See Medi-Clear Brochure (Thorne Research)

Corrects a deciency
Mucolytic - use for wet asthma
Enhances anti-inammatory prostaglandins
Enhances anti-inammatory prostaglandins
Enhances anti-inammatory prostaglandins
Enhances anti-inammatory prostaglandins
Adrenal support
Antioxidant
Bronchodilation

CLINICAL CONSIDERATIONS
1. Consider liver support and detoxication (see Detoxication)
2. Consider low temperature sauna (see patient handout Low Temperature Sauna)
3. Breathing exercises to include alternate nostril breathing
4. Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
LABORATORY CONSIDERATIONS:
1. Consider testing for heavy metals, pesticides, and liver functional detoxication capability and detoxify if indicated
(see Laboratory Listings)
2. Consider testing for chemical antibodies and detoxify if indicated (see Laboratory Listings)
3. Consider 24-hour Salivary Cortisol/DHEA and treat as appropriate (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Copyright 2004 3Docs.Org q Clinical Repertory q page 23

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ATHEROSCLEROSIS
Diagnosis: Hypertension, hypercholesterolemia. May be asymptomatic or may show intermittent claudication, dizziness, angina. Risk
factors include cigarette smoking and diabetes.
THERAPEUTICS:
E-500 or Ultimate-E
Lipoquinone-100 or
Co-Q-100 or
Lipoquinone-30 or
Co-10
Methyl-Guard

DOSAGE:
1 cap daily - bid
1 cap daily

Magnesium (aspartate,
citrate, or citramate)
Omega Plus or
Super EPA or
Krill Oil

1-2 caps bid

Choleast
Policosanol

1 cap tid
1-2 caps bid
peroxidation
1-2 caps bid
Lowers cholesterol & triglycerides; improves circulation
1-2 caps bid
Lowers cholesterol & triglycerides
(take at least 3-4 months for maximum benet)
1-2 caps tid
Lipid-lowering effects; bromelain
degrades brin and prevents platelet aggregation
Lowers total & LDL cholesterol; anti-ischemic; improves
angina; cardiac tonic; raises HDL; lowers homocysteine
1 cap tid
Reduces oxidative damage during an acute MI
3 caps bid
Stabilizes endothelium-dependent vasodilation
1-2 grams daily
Improves oxygenation of myocardium
1-2 caps bid -tid
Improves cardiac function; inhibit platelet aggregation
1-2 caps tid
Improves oxygenation to heart; decrease BP
1 cap bid
Prevents platelet aggregation

*Niasafe-600
Pantethine
Neo-Cardio

Cysteplus
Perfusia-SR
Carnitine
Taurine
Q10 Plus
GB24

1 cap tid
1 cap tid
2 caps tid

2 caps tid
2 caps tid
1 cap bid

MECHANISMS:
Decreases platelet aggregation
Improves oxygenation of myocardium and decreases fatty
liver
Improves oxygenation of myocardium
Improves oxygenation of myocardiium
Reduces homocysteine levels; improves liver
fat metabolism
Decreases vasospasm associated with angina; raises
HDL; lowers total cholesterol
Decreases platelet aggregation; lowers LDL, triglycerides;
raises HDL; improves fatty liver
Decreases platelet aggregation; lowers LDL, triglycerides;
raises HDL; improves fatty liver
Lowers cholesterol
Decreases total cholesterol; improves HDL/LDL; decreases lipid

* monitor for insulin resistance; use with Methyl-Guard to avoid possible elevation of homocysteine levels
CLINICAL CONSIDERATIONS:
Consider diet modication (see patient handouts on General Diet, Triglyceride Lowering Diet, and Cholesterol Lowering
Diets)
LABORATORY CONSIDERATIONS:
1.Consider Cardiovascular panel (see Laboratory Listings)
2.Monitor blood sugar and insulin levels and monitor for syndrome X/insulin resistance (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

CS

3D
.org

Copyright 2004 3Docs.Org q Clinical Repertory q page 24

ATTENTION DEFICIT DISORDER (ADD/ADHD)


Diagnosis: Disorder characterized by hyperactivity, inattentiveness, and impulsiveness.
THERAPEUTICS:
Nutri-ADD

DOSAGE:
1 cap bid-tid

DHA
Theanine
Rhodiola
Bacopa

1 cap qd-tid
1 cap bid
1 cap bid
1 cap qd-bid

Niacinamide
1 cap tid
B-Complex #1
1 cap bid
P-5-P
1 cap tid
OTHER CONSIDERATIONS:
Captomer
10 mg/kg body
weight daily in 3 divided
doses 3 out of 14 days;
repeat cycle until levels
normalize
Iron Picolinate
1 cap tid
Cal-Mag (aspartate,
2 caps bid
citrate or citramate)

MECHANISM:
Improves concentration & memory; OPC improves blood brain
barrier, Bacopa improves concentration, IsoPhos major
component of nerve cell membranes, Lactobacillus improves
nutrient absorption.
Correct deciency
Stimulates alpha brain waves; increases mental focus
Normalizes serotonin, norepinephrine and dopamine levels
Enhances nerve cell transmission to strengthen memory and
cognition (if not taking Nutri-ADD)
Positive clinical studies indicate benecial effects
Positive clinical studies indicate benecial effects
Co-factor in neurotransmitter synthesis
Use if heavy metal toxicity is a factor

Use if iron deciency is a factor and if B12 levels are questionable.


May help if decient

CLINICAL CONSIDERATION:
1. 74% of children with ADD have abnormal glucose tolerance tests. Avoid sugars and rened carbohydrates!
2. Avoid food additives including MSG and all articial colorings, avorings, and dyes.
3. Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
LABORATORY CONSIDERATIONS:
1. Testing to determine heavy metal burden (see Laboratory Listings) and treat as appropriate
2. Glucose Tolerance Test to determine sugar/carbohydrate handling capability
3. Food Allergies (see Laboratory Listings) with elimination of foods as appropriate
4. Iron Panel (available through most commercial labs)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Copyright 2004 3Docs.Org q Clinical Repertory q page 25

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AUTISM
Diagnosis: Condition described usually in small children as a self-centered trend, where reasoning and even disciplinary action may
fail to change the behavior. It is felt to be initiated by xenobiotic substances, possibly due to liver toxin accumulation.
THERAPEUTICS:
DOSAGE:
Lactobacillus sporogenes 1 cap bid
PermaClear
Methyl-Guard
B Complex #1
Pyridoxal 5Phosphate
Methylcobalamin or
Cobamamide
Magnesium (aspartate
citrate, citramate)
Moducare
Folacal
Zinc Picolinate

3 caps/50 lbs
body wt daily
2 caps bid
1 cap bid
10 mg/kg body weight
1 cap daily

MECHANISMS:
Decreases gut food antibodies and corrects intestinal
permeability
Decreases gut food antibodies and corrects intestinal
permeability
In place of Folacal, Methylcobalamin, and P5P
Positive clinical studies indicate benecial effects
Corrects deciency; normalizes serotonin metabolism
Corrects deciency

30 mg/kg body weight

Corrects deciency

1 cap tid
1 cap bid

Balances cortisol/DHEA levels


Increases biopterin activity to improve tryptophan/serotonin
metabolism
Decreases copper which can be a problem in autistics; enhances
metallothionein activity

1-2 caps bid

CLINICAL CONSIDERATIONS:
1.B6 works better clinically when combined with magnesium supplementation.
2. Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
LABORATORY CONSIDERATIONS:
1.Consider testing for heavy metals, pesticides, and liver functional detoxication capability and detoxify if indicated
(see Laboratory Listings) (see Heavy Metal Toxicity)
2.Consider testing for chemical antibodies and detoxify if indicated (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

CS

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.org

Copyright 2004 3Docs.Org q Clinical Repertory q page 26

BACKACHE
Diagnosis: Acute pain in the thoraco-lumbar spinal area. Rule out: 1) acute infection; i.e. renal disease, 2) inammatory spine disease;
i.e. ankylosing spondylitis, 3) dissecting aortic aneurism, 4) rapidly progressing neurological decit, 5) herniated disc. Upon ruling
these out, treat conservatively with the following:
THERAPEUTICS:
Phytoprofen
Myorel
AR-Encap
Glucosamine Sulfate or
Glucosamine-Chondroitin
Double Strength Bromelain
Collag-En

DOSAGE:
2 caps bid-tid
2 caps tid
2 caps tid
1 cap tid

MECHANISMS:
Anti-inammatory
If caused by muscle spasm
If caused by arthritis
Improves joint integrity

1-2 caps bid-qid


2 caps tid

If needed for acute inammation


Improves connective tissue integrity

CLINICAL CONSIDERATIONS:
1. Traumeel or Arnica Oil (if skin is not broken) topically for symptom relief (see Vendor Listings)
2. TEM patches topically for symptom relief (see Vendor Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Copyright 2004 3Docs.Org q Clinical Repertory q page 27

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BELLS PALSY
Diagnosis: An idiopathic facial paresis of lower motor neuron type, caused by inammatory reaction involving the facial nerve. Can be
a sequelae of Lyme disease.
THERAPEUTICS:
Phytoprofen
Methylcobalamin
Methyl-Guard
Hyper-Ex
Niasafe-600*
Olive Leaf Extract

DOSAGE:
2-3 caps bid
1 cap tid
2 caps bid
1-2 caps tid
2 caps tid
1 cap tid

MECHANISMS:
Anti-inammatory
Corrects deciency
Improves myelination and nerve health
Improves nerve health
Mechanism unknown (Increase circulation?)
If viral etiology

*Check liver enzymes periodically


CLINICAL CONSIDERATIONS:
Ultrasound therapy biweekly over the facial nerve has proven benecial in many cases when administered early in the course
of the disease.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

CS

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BENIGN HEPATIC STEATOSIS


(FATTY LIVER)
(NON-ALCOHOLIC FATTY LIVER DISEASE)
Diagnosis: Present in up to 75% of those more than 10% over ideal body weight, and in virtually all markedly obese individuals, including adults and children. Degree of fatty change correlated with degree of obesity. Also caused by excessive ethanol intake, drugs
(steroids, tamoxifen), iron overload, solvent exposure, rapid weight loss, total parenteral nutrition. Fatty liver impairs hepatic detoxication mechanisms. Increased risk of insulin insensitivity, hypertension, and hypertriglyceridemia (Syndrome X), type II diabetes mellitus.
Ultrasound good diagnostic tool, biopsy is denitive.
THERAPEUTICS:
MethylGuard

DOSAGE:
1-2 caps tid

Siliphos
Lipotrepein
Pantethine
Ultimate-E
Magnesium Citramate
Medi-Clear
Glyco-Tone

1 cap tid
2 caps tid
2-3 caps qd
1 cap bid
1 cap tid
Varies
1 cap tid

Taurine
GT-Ex
Lactobacillus sporogenes
Thiocid-300

2 caps tid
2 caps bid
1 cap bid
1 cap tid

MECHANISM:
Betaine, B12, folate necessary for methylation in liver, betaine
improves hepatic fat metabolism & can reverse fatty liver
Antioxident; hepatoprotectant; anti-brotic
Improve liver detox; enhance bile ow
Transfer fat from liver and viscera to subcutaneous tissue
Antioxidant; research indicates benet
Research indicates benet
See Medi-Clear Brochure (Thorne Research)
Improve blood glucose regulation, adrenal
function, lipolysis
Increase bile acid synthesis
Support weight loss, lipolysis
Normalize gut ora, reduce blood lipids
Lipid and water soluble antioxident

CLINICAL CONSIDERATIONS:
Weight reduction vital, if obese. Reduce carbohydrate intake. Regular exercise important.
LABORATORY CONSIDERATIONS:
Elevated triglycerides, AST, GGT common.
NOTES: _______________________________________________________________________________________________________
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BENIGN PROSTATIC HYPERPLASIA


Diagnosis: Mild to moderate palpable enlargement of the prostate gland with normal or slightly elevated PSA levels. Symptoms
include nocturnal and daytime urinary frequency, urgency, and reduced force of stream.
Goal: Decrease estrogens, decrease 5-DHT, inhibit 5-alpha-reductase & aromatase, decrease prolactin. Hormone prole normally
includes decreased testosterone, elevated 5-dihydrotestosterone, elevated estrogens, prolactin, LH & FSH.
THERAPEUTICS:
Basic Pygeum or
Serenoa Gelcap

DOSAGE:
2 caps bid
1-2 caps bid

Als Formula

4 caps bid

Moducare

1 cap tid
between meals

MECHANISMS:
Facilitates normal prostate function
Inhibits 5-alpha reductase enzyme which
converts testosterone to dihydrotestosterone
Basic multiple for men over 40 - includes prostate
hyperplasia preventive botanicals & amino acids
Normalizes estrogen; decreases inammation &
edema

Double Strength Zinc


picolinate

1 cap bid

Zinc lowers prolactin

Copper picolinate
Calcium D-glucarate
Lactobacillus sporogenes
Indole-3-carbinol
Lycopene

1 cap daily
2 caps bid
1 cap bid
1 cap bid
1-2 caps tid

Balances zinc
Inhibits beta-glucuronidase (enhances estrogen elimination)
Lowers cholesterol and lowers beta-glucuronidase
Normalizes P450 estrogen metabolism
Antioxidant; preventive of prostate CA

CLINICAL CONSIDERATION:
1. Ground ax seeds 1-2 TBL day. Flax seed lignin interacts with gut bacteria creates a natural aromatase inhibitor;
decreases estrogens.
2. Lowering cholesterol can sometimes have a favorable effect on BPH. Use Lactobacillus sporogenes and Pantethine.
3. Ensure patient receives adequate quantity and quality of sleep (Note: they should be able to awaken rested without an
alarm)
4. Diet should be balanced with adequate dietary protein, moderate fat and moderate carbohydrates. Avoid alcohol, especially
beer, sugars, rened carbohydrates, and saturated fats.
LABORATORY CONSIDERATIONS:
1. Hypothalamic/Pituitary Testing to include LH, FSH, and TSH
2. Hormone Testing to include estrogen, testosterone, prolactin, and thyroid hormone levels
3. PSA (if elevated further evaluation for prostate cancer should be conducted)
4. SMAC fasting blood sugar and glucose tolerance test. If elevated correct carbohydrate metabolism and avoid sugars and
rened carbohydrates. (see patient handout General Diet)
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 30

BIPOLAR DISORDER
Diagnosis: Manic and depressive episodes (manic episodes usually occur in teens and early adult life, with depressive episodes occurring later in life).
THERAPEUTICS:
Rhodiola

DOSAGE:
1 cap tid

Theanine
Phosphatidyl Choline

1 cap bid
2 caps qid

Hyper-Ex
5-Hydroxytryptophan

1-2 caps tid


1-2 caps tid

Buffered C
Methylcobalamin

3 g daily
3 caps daily

Super EPA or
Krill Oil

2 caps tid
1 cap bid

MECHANISMS:
Normalizes neurotransmitters; may provide benet for both
manic and depressive phases
Stimulate alpha brain waves for relaxation during manic phase
Enhances synthesis of acetylcholine; helps
during manic phase; may induce depression in some patients.
Discontinue use immediately if this occurs.
Enhance neurotransmitters
Increases serotonin; potentiates the effect
of lithium
Reduce vanadate to vanadyl form
Plus exposure to morning bright light to normalize circadian
rhythms.
Corrects deciency of omega-3 fatty acids
Corrects deciency of omega-3 fatty acids

*Avoid high doses of Glutamine (2 grams or more) - may enhance mania.


CLINICAL CONSIDERATIONS:
1. Ensure patient receives adequate quantity and quality of sleep (Note: should be able to awaken rested without an alarm)
2. Ensure patient consumes a balanced, calorie adequate diet (carbohydrate, fat, and protein are all required in the diet in
appropriate amounts to properly nourish the CNS). Slight calorie or macronutrient deprivation sustained over long periods can
induce substantial changes in personality and mood in susceptible individuals.
NOTES: _______________________________________________________________________________________________________
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BRONCHITIS
Diagnosis: Acute inammation of bronchial tree characterized by cough, initially nonproductive, and often fever. Pulmonary sounds
may be normal, or rhonchi may be present. Rule out pneumonia with chest x-ray if symptoms are serious or prolonged.
THERAPEUTICS:
Phytogen
Cysteplus
Synergisti-C
Double Strength Bromelain

Lactobacillus sporogenes
Arabinex
Buffered C Powder
Organic Colostrum

DOSAGE:
2-4 caps tid-qid
1 cap tid
2 caps bid
1-2 caps bid-qid
(depending upon size
of patient)
1 cap bid
1/3 -1 scoop daily-bid
1/4 - 1/2 scoop daily-bid
1 tsp daily-bid

MECHANISMS:
Anti-microbial; enhance immunity
Mucolytic
Antiviral; immune boosting
To enhance effectiveness of antibiotics if used

If antibiotics are used.


Mixed together with Buffered C in tea or juice. Taste is
acceptable for most pediatric patients
Natural immune factors with antimicrobial activity

NOTES: _______________________________________________________________________________________________________
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BRUISING
Diagnosis: Supercial injury produced by impact without laceration: a contusion.
THERAPEUTICS:
Vitamin C w/ Flavonoids
OPC-30 or OPC-100
Venocap
Diosmin-HMC
Arnica Oil
Traumeel

DOSAGE:
2 caps tid
1 mg/per kg body wt
1 cap bid

MECHANISMS:
Decreases capillary fragility
Decreases capillary fragility
Enhances venous circulation and aids in improving
elasticity of small veins
1 cap bid
Decreases capillary fragility; OK in pregnancy
Topically PRN (if skin is not broken)
Topically PRN (if skin is not broken)

NOTES: _______________________________________________________________________________________________________
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BURNS
Diagnosis: Thermal injury and scalding of tissues; severity calculated on total burn surface area (TBSA), depth of burn,
and patients age.
THERAPEUTICS:
Traumogen
Shea Butter
E-500 or Ultimate-E
Aloe (fresh)

DOSAGE:
3 caps qid
Apply 3 times daily
500 IU bid or topically
Topically as needed

Perfusia-SR

3 caps bid

MECHANISMS:
Connective tissue healing
Prevent scarring
Prevent scarring
Moisturizing, anti-inammatory with some
antimicrobial properties
Patients with severe burns have increased arginine oxidation. Supplementation reduces hospital stays , decreases infection, and increases
immunity.

CLINICAL CONSIDERATIONS:
1. For severe burns, selenium status and amino acid status (especially glutamine and arginine) can be compromised,
so support should be considered.
2. Hydration and electrolyte replacement is critical in managing moderate to severe burns
3. Gotu kola (Centella asiatica) topically can speed healing time and limit scar formation. Available through Wise Woman
(See Vendor Listings)
4. Homeopathic Cantharis 3-5 pellets of 30C every 1-4 hours (See Vendor Listings).
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 34

BURSITIS
Diagnosis: Acute or chronic Inammation of a bursa, characterized by pain, localized tenderness and limitation of motion. Rule out
tendinitis, gout, rheumatoid arthritis, cellulitis and other acute or chronic infection.
THERAPEUTICS:
DOSAGE:
MECHANISMS:
Phytoprofen
2-4 caps tid
Anti-inammatory
Buffered C Powder
1/2 scoop tid
Connective tissue healing
AR-Encap
2 caps tid
Provide nutrition for connective tissue
Super EPA or Omega Plus 2 caps tid
Enhances anti-inammatory prostaglandin production
or Krill Oil
1 cap bid
Enhances anti-inammatory prostaglandin production
Traumeel or Arnica Oil (if skin is not broken) topically PRN for symptom relief (See Vendor Listings)
NOTES: _______________________________________________________________________________________________________
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CANCER
Diagnosis: A highly anaplastic cellular tumor unlike benign tumor cells, exhibiting properties of invasion and metastasis, and classied
into two main categories: A) Carcinoma and B) Sarcoma.
FOR PRIMARY OR SECONDARY PREVENTION:
COLON CANCER / LUNG CANCER / STOMACH CANCER
THERAPEUTICS
DOSAGE:
MECHANISMS:
Supportive Care
7 caps daily
Prevent initiation or recurrence of cancer
Supportive Care II
5 caps daily
Folic acid
5 mg bid
Prevention
Super EPA
1-2 caps tid
Slows abnormal cellular proliferation
Cysteplus
1 cap bid
Protects against adenoma recurrence
Medibulk
1 tsp - 1 tbl bid-tid
Prevention
Lycopene
1-2 caps tid
Antioxidant associated with decreased risk of colon cancer
Curcumin
1 cap bid
Regression of precancerous lesions; avoid if on Cytoxan
FOR PRIMARY OR SECONDARY PREVENTION:
BREAST CANCER / CERVICAL CANCER
THERAPEUTICS
DOSAGE:
Supportive Care
7 caps daily
Supportive Care II
5 caps daily
Folic acid
5 mg bid
Super EPA
Calcium D-Glucarate
Indole-3-Carbinol

1-2 caps tid


1-2 caps bid
1 cap bid

Curcumin

1 cap bid

FOR PRIMARY OR SECONDARY PREVENTION:


PROSTATE CANCER
THERAPEUTICS
DOSAGE:
Supportive Care
7 caps daily
Supportive Care II
5 caps daily
Super EPA
1-2 caps tid
Lycopene
1 cap tid
Fractionated Pectin
1 scoop tid

MECHANISMS:
Prevent initiation or recurrence of cancer
Prevent initiation or recurrence of cancer
Prevent cervical dysplasia and carcinoma; use especially
with history of birth control use
Slow abnormal cellular proliferation
Decrease beta-glucuronidase (for estrogen-sensitive cancers)
Increases p450 metabolism of estrogens, decreases carcinogec
16-OH estrone (take if not taking Supportive Care)
Regression of precancerous lesions; avoid if on Cytoxan

MECHANISMS:
Prevent initiation or recurrence of cancer
Prevent initiation or recurrence of cancer
Slow abnormal cellular proliferation
Antioxidant associated with decreased risk of prostate cancer
Use during diagnostic work-up

FOR ESTABLISHED CANCERS & PATIENTS ON CONVENTIONAL CANCER TREATMENT:


THERAPEUTICS
DOSAGE:
MECHANISMS:
Supportive Care
7 caps bid
Enhance effect of conventional treatment
Supportive Care II
5 caps bid
Enhance effect of conventional treatment
Super EPA
1-2 caps tid
Slow abnormal cellular proliferation
Melatonin
25 mg daily
Antioxidant; tumor shrinkage; prevent metastasis; reduce
(in evening)
linoleic acid, a fuel for some cancer cells
Lycopene
2 caps tid
Associated with decreased cancer risk
Fractionated Pectin
1 scoop tid
Prevent metastasis
L-Glutamine powder
1-2 scoops bid
Protects gut from damage during abdominal radiation
Co-Q-100
400 mg daily
Increase immunity, shrink tumors
Vitamin K-2
15 drops tid
Modulates trascription factors leading to cell cycle arrest and
apoptosis
High Lactoferrin
1-2 scoops bid
Bovine lactoferrin and its pepsin-generated peptide lactoferricin
Whey Protein
possess direct antitumor activities
Inositol Hexaphosphate
1-2 scoops bid
Antitumor activity; regression in neoplasms
Curcumin
1-2 caps bid
Numerous in vivo and in vitro studies show improvement in
cancerous and precancerous lesions; avoid if on Cytoxan

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OTHER CONSIDERATIONS:
Moducare
1 cap tid
Arabinex
1 scoop bid
Quercetone
2 caps tid

GT-Ex

2 caps tid

Anti-Oxidants
and/or Planti-Oxidants
Ascorbic Acid

2 caps tid
2 caps tid
to bowel tolerance

Lactobacillus sporogenes

1 cap bid

Thiocid-300

1 cap bid-tid

Stabilizes CD4 counts and boosts cellular immunity


Prevent metastasis; increase NK activity
Lymphocyte proliferation, neutrophili free radical
scavenging, anti-angiogenesis, down-regulation of the
mitotic cycle in tumor cells, gene expression alteration,
and induction of apoptosis and tumor shrinkage
Preventive antioxidant; inhibit tumor initiation and
promotion; induce apoptosis
Preventive; offset side effects of conventional medicine
Preventive
Increases immunity; increases collagens ability to wall off
tumor; antioxidant
Decrease ornithine decarboxylase, beta
glucuronidase and enhance RBC & WBC during chemo and
radiation.
Lipid and water soluble antioxidant

CLINICAL CONSIDERATIONS:
1. Consider diet modications (either blood type appropriate diet [available at http://darkwing.uoregon.edu/~sshapiro/ER4YT/
foodlists_TOC.html or in Live Right 4 Your Type] or patient handout Cancer Prevention Diet )
2. Consider environmental toxin and heavy metal testing and treatment. Multiple environmental toxins have been associated
with the occurrence of certain cancers.

LABORATORY CONSIDERATION:
Immune system performance to include NK Cell Activity (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
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CANDIDIASIS
Diagnosis: Severe fatigue, multiple food or environmental sensitivities, impaired mentation and recurrent cutaneous, vaginal or oral
yeast infections. Diagnosis by stool culture and sensitivity for yeast organisms.
THERAPEUTICS:
SF722 or
Undecyn
Lactobacillus sporogenes
Medi-Clear
Perma-Clear
Biotin-8
Herbal Bulk
Tea tree oil suppositories

Organic Colostrum

DOSAGE:
3-5 gelcaps tid
2-3 caps tid
1 cap bid-tid
between meals
Varies
2 caps tid
1 cap daily
1-2 tsp in water
or dilute juice tid
insert one in
vagina nightly
until resolved
1 tsp daily-bid

MECHANISMS:
Antifungal
Antifungal
Promotes benecial gut ora
See Medi-Clear Brochure (Thorne Research)
Improves gut permeability for decreased chance of bacterial
translocation
Prevent conversion of yeast from budding to hyphal form
Promote bowel regularity; Prevent reabsorption
of toxic Candida metabolites
Anti-fungal for vaginal candidiasis

Natural immune factors with antifungal/yeast activity

CLINICAL CONSIDERATION:
1. Determine HCL levels and correct if needed.
2. Consider diet modication (see patient handout Candida Control Diet Program)
3. In chronic recurrent candida consider testing for low secretory IgA levels and the presence of helicobacter and giardia, all of
which will predispose to candida.
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 38

CARDIAC ARRHYTHMIA
Diagnosis: Disturbed heart rhythm. Classied as A) sinus arrythmia B) atrial premature beats C) paroxysmal supraventricular tachycardia D) atrial brillation E) atrial utter or F) ventricular arrythmias.
THERAPEUTICS:
Neo-Cardio
Q10 Plus or
Taurine
Co-Q-100 - add
if using Taurine alone
Magnesium (aspartate,
citrate or citramate)
Rhodiola
L-Carnitine

DOSAGE:
1-2 caps tid
2 caps tid
2 caps bid

MECHANISMS:
Decrease arrhythmia
Cardiac tonic
Modulates cardiac activity by stabilizing cation transport
across cell membranes

1 cap tid
1 cap tid

Cardiac tonic
Cofactor for Na-K ATPase, which regulates heart rhythm

1 cap bid
3 caps tid

Decrease arrhythmia, secondary to stress


Potentiate effect of anti-arrhythmia medication

LABORATORY CONSIDERATIONS:
1. Check WBC copper and zinc levels: PVCs can occur with an imbalance of copper and zinc.
2. Check Heart Rate Variability to determine nervous system balance (see Laboratory Listings)
3. Consider a cardiovascular panel (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
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CARDIOMYOPATHY
Diagnosis: Heterogeneous group of entities primarily affecting the myocardium. Cause may be idiopathic. Classications are A) dilation, B) hypertrophic, and C) restrictive.
THERAPEUTICS:
Co-Q-100
Q10 Plus*
Neo-Cardio*

DOSAGE:
1-2 caps tid
1-2 caps tid
2 caps tid

Selenium picolinate

1 cap daily

MECHANISMS:
Cardiac tonic
Cardiac tonic
Improve cardiac output; increase ejection fraction;
decrease heart size, antioxidant
Antioxidant

LABORATORY CONSIDERATIONS:
Consider a cardiovascular panel (see Laboratory Listings)
*Has blood-thinning properties
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 40

CARPAL TUNNEL SYNDROME


Diagnosis: Paresthesias of the radial and/or palmar aspects of the hand, with pain in the wrist or palm due to compression of the
median nerve by the exor retinaculum. EMG is considered diagnostic. Rule out root compression secondary to cervical osteoarthropathy.
THERAPEUTICS:
B-Complex #6
Pyridoxal 5 Phosphate
Riboavin 5 Phosphate
Phytoprofen
Super EPA or Omega Plus
or Krill Oil

DOSAGE:
3 caps daily
2 caps bid
1 cap bid
2 caps tid
2 caps tid
1 cap bid

MECHANISMS:
Correct deciencies of B2 & B6 associated with CTS
Correct deciency of B6 associated with CTS
Correct deciency of B2 associated with CTS
Anti-inammatory
Increases PGE1 and PGE3; corrects imbalance/deciency
Increases PGE1 and PGE3; corrects imbalance/deciency

NOTES: _______________________________________________________________________________________________________
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CATARACTS
Diagnosis: Opacity of the optic lens. Rule out diabetes mellitus and uveitis.
THERAPEUTICS:
Ocu-Clear
Anti-oxidant
Glutathione
Thiocid-300

DOSAGE:
2 caps tid
2 caps tid
1 cap daily
1 cap bid-tid

MECHANISMS:
Combination eye tonic
Prevent oxidative damage to lens
Decient in cataractous lens
Lipid and water soluble antioxidant

IF DIABETIC:
Quercetone or
HMC Hesperidin

2 caps tid
2 caps tid

Prevent oxidative damage to the lens


Aldose-reductase inhibiting avonoid

NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 42

CELIAC DISEASE
Diagnosis: Malabsorption syndrome precipitated by the ingestion of gluten-containing foods. Loss of villous structure in proximal
intestinal mucosa. Diagnosis by bulky, pale, frothy, foul-smelling, greasy stool.
THERAPEUTICS:
Perma-Clear
GI-Encap
Dipan-9
Lactobacillus sporogenes

DOSAGE:
3 caps bid-tid
2 caps tid
2 caps with each
meal
1 cap bid

Medi-Clear

Varies

MECHANISMS:
Decrease gut permeability improve gut integrity
Improve mucosal lining & decrease irritation of the gut
Improve fat malabsorption
Improve vitamin and mineral metabolism and decrease
intestinal permeability.
See Medi-Clear Brochure (Thorne Research)

*Multi-vitamin very important due to malabsorption.


CLINICAL CONSIDERATIONS:
Follow a gluten-free diet (see patient handout Wheat Allergies)
NOTES: _______________________________________________________________________________________________________
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CELLULITIS
Diagnosis: A diffuse, acute inammation within solid tissues, most often cutaneous, with hyperemia, edema and leukocytic inltration.
The skin often exhibits a peau d orange appearance. Strep. pyogenes (Group A, beta-hemolytic) is the most common cause. Serious cases may require penicillin.
THERAPEUTICS:
Phytogen
Berbercap*
Venocap

DOSAGE:
4 caps qid
1 cap qid
1-2 caps bid

Organic Colostrum

1 tsp daily-bid

MECHANISMS:
Anti-microbial
Anti-microbial
Decreases capillary permeability; anti-inammatory;
decreases edema
Natural immune factors with antimicrobial activity

*May also soak affected area with berberine removed from the capsule. Caution: highly pigmented - will stain.
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 44

CEREBROVASCULAR DISEASE
Diagnosis: Episodes of dizziness, weakness, blurred vision, and possible hemiplegia. Transient ischemic attacks (TIA) may be an early
manifestation. Postural hypotension and diplopia are also common signs.
THERAPEUTICS:
GB-24*or GB-250*
Vinpocetine*
Citicoline
Carnityl

DOSAGE:
1-2 caps tid
1 cap tid
1-2 caps bid
2 caps tid

CoQ100
Methylguard

1-2 caps daily


2 caps tid

MECHANISMS:
Blood thinner; improve oxygenation to the brain
Enhances cerebral circulation and oxygen utilization
Improved chance of recovery post-stroke
Improves cerebral blood ow; protects against ischemic
damage
Prevents post-stroke ischemia damage
Increased homocysteine implicated in cerebrovascular disease

* Have blood thinning properties so not to be used after hemorrhagic stroke (aneurism) or by people on blood thinning
medications
NOTES: _______________________________________________________________________________________________________
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CERVICAL DYSPLASIA
Diagnosis: Cervical inammation as evidenced by abnormal Pap smear.
THERAPEUTICS:
Moducare
Folic Acid Liquid

DOSAGE:
1 cap tid between meals
5 mg bid
(1 teaspoon=5 mg)

MECHANISMS:
Enhances NK cell activity
Prevents folate deciency-induced dysplasia; may help
reverse dysplasia related to oral contraceptive use & folate
deciency

or
Folacal
Indole 3-carbinol

5 caps bid
1 cap qd-bid

Vag-Paks or Vag-Pak
Suppositories

(check with Wise Woman Herbals for protocol) (See Vendor Listings)

Vitamin A

Selenium picolinate
Zinc picolinate
Methylguard

1 cap daily
or 2 caps daily for
one month
1 cap daily
1 cap daily
2 caps tid

Lycopene

1-2 caps tid

Normalizes P450 estrogen metabolism; clinical evidence of


effectiveness

Enhances cell differentiation

Corrects a deciency associated with epithelial cancer


Corrects a deciency
Increased homocysteine implicated in progression of cervical
dysplasia
Low levels associated with increased risk for CIN

TO ADDRESS HPV INFECTION:


Thuja-lomatium-vit A supp. (check with Wise Woman Herbals for protocol) (See Vendor Listings)
*Warning: High folate can mask a B12 deciency: supplement with methylcobalamin or cobamamide @ 2 caps daily.
NOTES: _______________________________________________________________________________________________________
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Copyright 2004 3Docs.Org q Clinical Repertory q page 46

CHOLELITHIASIS, INTRAHEPATIC
Diagnosis: Increased risk if female, Native American, or obese, and with rapid weight loss. Ultrasound diagnostic.
THERAPEUTICS:
Siliphos
Phosphatidyl Choline
Lipotrepein
Lactobacillus sporogenes
Curcumin
Ascorbic Acid (1 gram)
Taurine
BioGest

DOSAGE:
1 cap bid
2 caps tid
2 caps tid
1 cap bid
2 caps bid
1-2 caps tid
2 caps tid
1-2 caps with meals

Castor oil pack

Over liver prn

MECHANISM:
Improves composition of the bile to decrease stone formation
Fat emulsication
Enhance bile ow
Decrease cholesterol reabsorption from gut
Increases bile output and solubility
Increase cholesterol catabolism to bile acids
Increase bile acid synthesis
Improves fat digestion in cases where bile ow may be
compromised
Relieves spasm, pain in acute exacerbation

THERAPEUTIC CONSIDERATIONS:
Adequate water intake is a must.
Many patients have food intolerances that exacerbate condition. Most common are eggs, onions, and pork.
(see patient handout Egg Allergies)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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CHRONIC FATIGUE SYNDROME


Diagnosis: Chronic immunologically mediated inammatory process of the CNS. Major criteria for CFS include: A) fatigue for at least 6
months, B) exclusion of other causes of chronic fatigue. Symptomology: prolonged fatigue, myalgia, sleep disturbances, depression,
headaches, and painful cervical lymph nodes.
THERAPEUTICS:
Basic B complex #12 or
B complex #5
Myco-Immune

DOSAGE:
1 cap bid
1 cap bid
1-2 droppers tid

L-Carnitine
Cobamamide
Methylcobalamin
Rhodiola
Omega Plus or
Krill Oil

2 caps bid
2 caps daily
1 cap tid
2-3 caps daily
2 caps tid
1 cap bid

IF ASSOCIATED WITH FIBROMYALGIA:


Magnesium citramate
2 caps bid
IF ASSOCIATED WITH HYPOTENSION:
Glycgel
1/4 tsp. bid
GT-EX
1-2 caps bid tid

MECHANISMS:
Corrects a deciency
Corrects a deciency; enhances adrenal function
Modulates immune system; improves cell-mediated
immunity
Increases energy metabolism
Increases energy metabolism
Improves sleep cycles
For depression associated with chronic fatigue
Corrects a deciency
Corrects a deciency

Magnesium often decient in CFS; malic acid from Magnesium


Citrate Malate; increases mitochondrial ATP
Normalizes blood pressure
Normalizes blood pressure and increases blood volume

IF ASSOCIATED WITH CHRONIC VIRAL CONDITIONS:


Moducare
1 cap tid
Modulates immune system; improves cell-mediated immunity

*Note: Always supplement 2 caps Potassium citrate per 1/4 tsp Glycgel
If associated with adrenal insufciency: see Adrenal Insufciency section. Serotonin levels may be normal or, if
associated with bromylagia, may be low (see Fibromyalgia section)
CLINICAL CONSIDERATIONS:
1. Several aspects of circadian rhythm have been found to be disrupted among individuals with CFIDS. Consider lifestyle
interventions to provide environmental cues for proper circadian rhythms.
2. Regular massage can improve aspects of immunity.
3. Consider Hypo-Allergenic Diet (see patient handoutHypo-Allergenic Diet)
4. Consider testing for environmental chemicals and heavy metals which are frequent causative factors in unremitting fatigue.
Cleansing protocols are effective for recovering energy and cognitive function.
LABORATORY CONSIDERATIONS:
1. Tilt table test: many individuals with chronic fatigue have low blood volume which will be unmasked during a tilt table test
(generally only available through local hospitals)
2. Immune Panel to include NK Cell activity (many individuals with CFIDS have low NK cell activity and lower levels are
associated with poorer function) (see Laboratory Listings)
3. Salivary Cortisol/DHEA (the amplitude between morning and evening cortisol levels is often decreased in individuals with
CFIDS and a lower difference is associated with poorer function). (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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CIRRHOSIS, HEPATIC
Diagnosis: Fibrous inltration of the liver, often secondary to chronic alcohol consumption. An enlarged, rm, smooth liver with a blunt
edge is common. Liver enzyme levels are usually elevated, but need not be. Liver scan and biopsy are diagnostic.
THERAPEUTICS:
Siliphos

DOSAGE:
2 caps bid

T.A.P.S.

3 caps tid

Lipotrepein
Phosphatidyl Choline
Medi-Clear
L-Carnitine
Methyl-Guard
Taurine
Thiocid-300

3 caps tid
2 caps tid-qid
Varies
2 caps bid
2 caps bid-qid
2 caps tid
1 cap bid-tid

MECHANISMS:
Stabilizes hepatocyte membranes; antioxidant;
anti-inammatory
Stabilizes hepatocyte membranes; antioxidant;
anti-inammatory
Improves liver detox mechanisms; enhances bile ow
Emulsify fatty deposits
See Medi-Clear Brochure (Thorne Research)
Enhances fat metabolism in hepatic cells
Enhances fat metabolism in hepatic cells
Increases bile acid synthesis
Fat and water soluble antioxidant

CLINICAL CONSIDERATIONS:
1. If secondary to alcoholism, consider replacing multiple nutrient imbalances (See Alcoholism)
2. Castor Oil Pack applied externally over area of liver (see patient handout castor oil packs)
LABORATORY CONSIDERATIONS:
CBC/SMAC (see optimal reference ranges for CBC/SMAC)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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COLDS, ACUTE AND INFLUENZA


Diagnosis: Viral rhinitis and upper respiratory infection. Symptoms can include headache, nasal congestion, watery rhinorrhea, sneezing, muscle aches, fever, and coughing.
THERAPEUTICS:
IM-Encap or
Phytogen
Myco-Immune
Zinc lozenges*
Oscillococcinum (Boiron)
Synergisti-C
QC Nasal Spray
Isatis
Arabinex and
Buffered C Powder
Organic Colostrum

DOSAGE:
2-4 caps every
4-6 hours
2 dropperfuls qid
1 lozenge q 2 hr
1 vial bid-tid at beginning
of symptoms
2 caps bid-tid
1-2 squirts in each
nostril as needed
1-2 caps tid
1/3 -1 scoop qd-bid
1/4 - 1/2 scoop qd-bid
1 tsp daily-bid

MECHANISMS:
Immune boosting; antiviral
Increases immune activity (antiviral)
Use lozenges w/o sorbitol, mannitol, or citric acid
For Flu-like symptoms
Immune boosting; antiviral
Antihistamine; antiviral
Antiviral
Mixed together with Buffered C in tea or juice. Taste is
acceptable for most pediatric patients
Natural immune factors with antimicrobial activity

*This high dose of zinc is for short-term use only (3-5 days)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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CONGESTIVE HEART FAILURE


Diagnosis: Left ventricular failure as conrmed by exertional dyspnea, cardiac enlargement, pulmonary venous congestion. Later on
- dependent edema, basilar rales and lung crackles, possible left ventricular dysfunction.
THERAPEUTICS:
Neo-Cardio*

DOSAGE:
2 caps tid

Q-10 Plus*

2 caps tid

L-Carnitine

2 caps tid

ADDITIONAL CONSIDERATIONS:
Potassium Magnesium
1-2 caps tid
Aspartate
Taurine
1-2 caps tid
B-complex #1
1 cap daily
Co-Q-100 or
1 cap bid
Lipoquinone-100
1 cap bid
Perfusia-SR
3 caps bid

MECHANISMS:
Improves cardiac muscle function; decreases edema;
vasodilation
Improves cardiac muscle function; decreases edema;
antioxidant
Often decient in CHF

Corrects CHF-induced deciencies; enhances effects of


digitalis and reduces its toxicity
Improves cardiac function
Corrects a deciency
Improves cardiac function, oxygenation of tissues
Improves cardiac function, oxygenation of tissues
Stabilizes endothelium-dependent vasodilation; improves blood ow
and renal function in CHF

LABORATORY CONSIDERATIONS:
Consider a Cardiovascular Panel (see Laboratory Listings)
*Has blood-thinning properties
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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CONSTIPATION
Diagnosis: Unexplained delay of stool for days. Stool is either too dry, unusually large, and difcult to express. May be attributed to
dietary factors, physical inactivity, pregnancy, advanced age, lower bowel abnormality, or drugs.
THERAPEUTICS:
Herbal Lax
MediBulk or Herbal Bulk
(with lots of water)
Lactobacillus Sporogenes
Magnesium (aspartate,
Citrate or Citramate)
Ascorbic acid
Arabinex

DOSAGE:
1 cap in pm.
1-2 scoops with 8 oz of
water or juice tid
2 caps bid for 2 weeks;
then reduce to 1 cap bid
2 caps bid-tid

MECHANISMS:
Increases secretory activity of the gut
Bulk ber

To bowel tolerance
1/2-1 scoop daily

Osmotic laxative
Gentle form of ber; increases benecial fatty acids
in colon (butyric acid)

Increases benecial bacteria


Osmotic laxative

CLINICAL CONSIDERATIONS:
Check for achlorhydria, which can lead to constipation
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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CROHNS DISEASE
Diagnosis: Granulomatous colitis = segmental ssures or deep ulcers of the colon. Symptoms include abdominal cramping, diarrhea,
weight loss.
THERAPEUTICS:
Medi-Clear

DOSAGE:
Varies

Perma-Clear

3 caps bid-tid

Super EPA or
Krill Oil
Glutamine Powder or
High Lactoferrin
Whey Protein
Lactobacillus sporogenes

2 caps bid-tid
1-cap bid
1-2 scoops bid

Cortrex or Phytisone

2 scoops daily-bid
1 cap bid-tid
between meals
2 caps tid
1 cap bid with warm
water between meals
2 caps tid

Myorel

2 caps tid

GI Encap
Sacro-B*

MECHANISMS:
See Medi-Clear Brochure (Thorne Research)
Meal replacement; rest bowel; reduces exposure to antigens
Decreases gut permeability; anti-inammatory; increases
benecial ora
Balances cytokines, decreases inammation
Balances cytokines, decreases inammation
Provides fuel for small bowel enterocytes; heals the gut
Good protein source with natural immune modulators
Increases benecial ora
Improves integrity of the gut mucosa
Decreases relapse rate in Crohns
Steroid substitute (especially if coming off
steroids)
Antispasmodic

CLINICAL CONSIDERATIONS:
1.Replenish all vitamins, minerals & essential fatty acids; those with Crohns tend to be decient particularly in vitamins A,D,E,
K, folate, B12 & essential fatty acids.
2.Consider gluten free (see patient handouts Wheat Allergy and/or Dairy Allergy)
3.Hypo-Allergenic diets can result in improvement in some individuals (see patient handout Hypo-Allergenic Diet)
*Some patients with Crohns may be allergic to various strains of yeast
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

CUSHINGS SYNDROME (see HYPERCORTISOLISM)

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CYSTITIS
Diagnosis: Dysuria, urgency and frequency. Urinalysis usually shows increased WBCs and the presence of bacteria. Urine culture will
identify the organism, most commonly E. Coli.
THERAPEUTICS:
Uristatin
Buffered C Powder
Water
Magnesium citrate
Vacimyr
Lactobacillus sporogenes
Organic Colostrum

DOSAGE:
3-4 caps tid
1/2 scoop bid
12 glasses daily
1 cap with each meal
2 caps bid
2 caps bid
between meals
1 tsp daily-bid

MECHANISMS:
Antimicrobial; diuretic
Increase immunity; diuretic
Citric acid decreases pain in UTI
Prevent bacterial adhesion
Re-establish benecial ora
Natural immune factors with antimicrobial activity

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DEMENTIA (see ALZHEIMERS)

DEPRESSION, MENTAL
Diagnosis: endogenous unipolar disorder with sudden mood changes to involutional melancholia. Symptomatology: insomnia, anxiety,
anorexia, and weight loss are common.
THERAPEUTICS:
Hyper-Ex
5-HTP

DL-Phenylalanine
Methyl-Guard

DOSAGE:
1-2 caps tid
1 cap tid
(increase to 2 tid
if necessary)
1 cap bid
2 caps bid (am on
waking and at lunchtime)
2 caps bid
2 caps bid

Memoractiv
Folacal
Omega Plus or
Krill Oil

2 caps tid
1-2 caps daily
2 caps tid
1 cap bid

Rhodiola
Tyrosine

MECHANISMS:
Believed to inuence several neurotransmitter systems
Increases serotonin levels; improve sleep

Increases serotonin, norepinephrine, dopamine levels


Increases norepinephrine and dopamine levels
Increases norepinephrine and dopamine levels
Corrects deciencies of certain B vitamins
(B12 & folate deciencies linked to depression)
Stabilizes geriatric dysthymia
Increases effects of S.S.R.I.s; decreases side-effects
Corrects a deciency
Corrects a deciency

CLINICAL CONSIDERATIONS:
1. Ensure patient receives adequate quantity and quality of sleep (inadequate REM sleep associated with depression).
2. Ensure patient consumes a balanced, calorie adequate diet (carbohydrate, fat, and protein are all required in the diet to
properly nourish the CNS) (calorie and macronutrient restriction can induce depression in susceptible individuals).
3. Monitor Circadian rhythms (often disrupted in depression) and modify lifestyle to provide appropriate environmental cues.
(see patient handout Circadian Rhythms)
Note: If circadian rhythms are disrupted then timing of supplements becomes more important. Consider
supplementation of all amino acids to coincide with natural rhythms of their metabolic substrates.
4. Craniosacral therapy for compression of sphenoid and basilar bones
LABORATORY CONSIDERATIONS:
1. Consider salivary Cortisol/DHEA (elevated nighttime cortisol or low difference in amplitude between morning and evening
cortisol can indicate disruptions in circadian rhythms). (see Laboratory Listings)
2. Test for thyroid function
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DERMATITIS HERPETIFORMIS
Diagnosis: Rule out Celiac Disease. (see Celiac) Pruritic papules, vesicles, and papulovesicles mainly on the elbows, knees, buttocks
and posterior neck and scalp. Diagnosis is with light microscopy. May develop gastrointestinal lymphoma. IgA deposits in papillary
skin. Note: Asymptomatic celiac disease present in 75-90% of cases.
THERAPEUTICS:
Betaine HCl/Pepsin
Methylcobalamin or
Cobamamide
Moducare
Lactobacillus sporogenes

DOSAGE:
1-2 caps tid
(with meals)
1-3 caps daily

MECHANISMS:
D. herp. often associated with atrophic gastritis

1 cap tid
2 caps bid

Balance Th1/Th2 cytokines to decrease antibody prod.


Decrease gut-derived antibodies

D. herp. often associated with atrophic gastritis

CLINICAL CONSIDERATIONS:
Strict gluten-free diet helps to eliminate skin lesions in the majority of cases (see patient handout Wheat Allergy)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DETOXIFICATION - (General Cleansing Program)


Diagnosis: Generally from patient history, symptoms, and therapeutic goals, including spring cleaning, general detoxication, sluggish digestion, alcohol or drug use (prescription or OTC). Also, many disease processes involve an element of toxicity, including acne
vulgaris, allergies, arthritis and other inammatory conditions, asthma, gut dysbiosis, brocystic breast disease, premenstrual tension
syndrome, psoriasis, etc.
THERAPEUTICS:
MediClear

DOSAGE:
Varies

Medibulk or
Herbal Bulk
Lipotrepein

1/2 scoop/night; slowly


increase to 2 scoops
2 caps tid

MECHANISMS:
Promotes hepatic and bowel detoxication and systemic
inammatory control; Enhances gut rehabilitiation
See MediClear Doctors Guide (Thorne Research)
Binds toxins in the intestines, and speeds intestinal transit
time & detoxication
Improve liver detoxication; increase bile ow

If inammatory process involved:


See Inammation
IF INCREASED GUT PERMEABILITY INVOLVED:
See Intestinal Hyper-Permeability
IF ALLERGIES INVOLVED:
See Allergies
IF HISTORY OR LAB CONFIRMATION OF PESTICIDE, SOLVENT, FORMALDEHYDE, OR HEAVY METAL TOXICITY:
See Detoxication- Environmental, or Heavy Metal Toxicity
IF GUT DYSBIOSIS INVOLVED:
See Gut Dysbiosis
CLINICAL CONSIDERATIONS:
1. For more in-depth information on MediClear and the MediClear detoxication program, please refer to the MediClear
Doctors Guide, provided by Thorne Research or go to www.thorne.com/physicians/prod_info2.html and select MediClear
Doctors Guide.
2. For more information on elimination diets, please refer to the MediClear Patient Guide, provided by Thorne Research or
go to www.thorne.com/physicians/prod_info2.html and select MediClear Patient Guide.
3. For information on labs providing testing for toxicity and hepatic function, (see Laboratory Listings).
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DETOXIFICATION - (Environmental)
Diagnosis: Procedure used in cases of environmental (heavy metal, solvent, pesticide) toxicity.
THERAPEUTICS:
Basic Detox Nutrients

DOSAGE:
4 caps tid

Toxic Relief Booster


Hydrolyzed Lactalbumin

1 cap tid
2 TBL bid

Medibulk
Ascorbic Acid
Liver Cleanse

1/2 tsp/night; slowly


increase to 1 TBL
3-5 g/day
1 cap tid

Calcium d-glucarate

2 caps tid

MECHANISMS:
A multiple with higher levels of certain nutrients
commonly found decient in chemical overload
Nutrients and herbs for successful cleansing
Boost glutathione levels, reduce brain uptake of
toxins
Bind toxins in the intestines
Antioxidant
For individuals needing additional assistance in liver
detoxication
Promotes hepatic glucuronidation (inhibits
beta-glucuronidase)

IF EXPOSED TO SOLVENTS:
Solvent Remover

1 cap tid

IF EXPOSED TO PESTICIDES:
Pesticide Protector
1 cap tid
DHA
1 cap tid
IF EXPOSED TO HEAVY METALS:
Captomer (DMSA)
10 mg/kg/day
In 3 doses between
Meals; 3 days on/4-11
days off
Heavy Metal Support
1 cap tid
IF EXPOSED TO FORMALDEHYDE:
Formaldehyde Relief
1 cap tid

Nutrients necessary for solvent detoxication

Nutrients necessary for detoxifying chlorinated pesticides,


organophosphates & carbamates, and pyrethrins
Inhibits brain cell membrane damage
Chelates heavy metals (mercury, lead, arsenic,
cadmium)

Replaces nutrients lost during heavy metal detoxication

Nutrients to aid the liver in detoxifying aldehyde compounds

CLINICAL CONSIDERATIONS:
1. Consider low temperature saunas to induce lipolysis and mobilize stored toxins (see patient handout Low Temperature
Saunas)
2. Consider colonic irrigation.
LABORATORY CONSIDERATIONS:
1. Consider testing for heavy metals, pesticides, and liver functional detoxication capability (see Laboratory Listings)
2. Consider testing for chemical antibodies and residues (see Laboratory Listings)
3. See Provocative Testing for Heavy Metals for protocol.
4. For more information on DMSA (Captomer) and the heavy metal protocol see Heavy Metal Protocol
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DIABETES MELLITUS
Diagnosis: Polyuria, polydypsia and polyphagia. Diagnosis by Oral Glucose Tolerance Test with the 2-hour value plus one other value
exceeding 200 mg/dl.
THERAPEUTICS:
Diabenil

Perfusia-SR

DOSAGE:
2 caps tid
with meals
(1 cap tid for
grade-school age
children)
3 caps bid

Siliphos

1 cap bid

IF NEUROPATHY:
Thiocid-300
Carnityl
Omega Plus
Pantethine
B Complex #6 or #12

1-2 caps tid


1-2 caps tid
2 caps tid
1 cap bid
1-3 caps daily

Decreases protein glycosylation; decreases lipid peroxidation


Decreases protein glycosylation; antioxidant
Address deciencies
Improves vibratory sense; decreases pain
Corrects deciency

2 caps tid

Anthocyanosides improve retinal integrity; decrease


capillary permeability
Anthocyanosides improve retinal integrity; decrease
capillary permeability; antioxidants

IF RETINOPATHY:
Vacimyr
and/or
Ocu-Clear

2 caps tid

IF CARDIOVASCULAR/RENAL INVOLVEMENT:
E-500 or Ultimate-E
1 cap bid
Selenium picolinate
1 cap daily
Super EPA or Omega Plus 2 caps tid
or Krill Oil
1 cap bid
Arginine
1 cap tid

MECHANISMS:
Decreases blood sugar; decreases rate of complications

Endothelium-dependent vasodilation is impaired in types 1 and 2


diabetes. Arginine improves insulin sensitivity and decreases hypertension in DM.
Improved liver function with silymarin decreases blood sugar in
type 2 diabtetes

Antioxidant; decreases LDL oxidation; blood thinning


Antioxidant, works with Vitamin E, glutathione
Protects from renal failure
Correct EFA deciency
Increases endothlium-dependent coronary vasodilation

* For specic cardiovascular problems see the indicated section


NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DIARRHEA
Diagnosis: Increase in the frequency, uidity and volume of bowel movements caused by psychogenic disorders, drugs, intestinal
infections (bacterial & viral), parasitic infections, pancreatic disease, food allergy, cholestatic syndromes, etc.
THERAPEUTICS:
Sacro-B
Organic Colostrum
SF734

Entrocap
MediClear
Activated Charcoal*

DOSAGE:
1 cap bid-tid with warm
water between meals
5 tsp bid
2 caps tid for several
days; will make stool
black
1 cap bid-tid
Varies
1-2 caps bid-tid

MECHANISMS:
Decreases inammation; improves gut ora
Immune enhancing, anitmicrobial effects
Bismuth binding; DGL decreases inammation;
Berberine antimicrobial; bentonite adsorbs toxins
Anti-microbial
See MediClear Brochure (Thorne Research)
Adsorb endotoxins

*Note: Activated Charcoal is available in most pharmacies and health food stores
CLINICAL CONSIDERATIONS:
Ensure adequate hydration and electrolyte replacement.
LABORATORY CONSIDERATIONS:
Comprehensive Digestive Stool Analysis (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DIVERTICULAR DISEASE
Diagnosis: Diverticulosis is usually asymptomatic, diverticulitis usually with pain and tenderness in lower abdomen. Diagnosis by
barium enema x-ray. Rule out colon carcinoma.
THERAPEUTICS:
MediClear
Herbal Bulk or Medibulk
Phytoprofen or
Double Bromelain
GI -Encap
Perma-Clear
Entrocap
Lactobacillus sporogenes

DOSAGE:
Varies
1-2 tsp in 8 oz.
water or juice
2 caps bid-tid

MECHANISMS:
See MediClear Brochure (Thorne Research)
Improve integrity of gut wall

2 caps tid
3 caps bid-tid
1 cap tid
1 cap tid

Heal gut mucosa


Improve gut integrity
Anti-bacterial
Reverse dysbiosis

Anti-inammatory

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DOWNS SYNDROME (TRISOMY 21)


Diagnosis: Chromosomal aberration caused by failure of chromatid pair to separate in a dividing cell of an embryo. Resulting in various physical deformities and learning disability.
THERAPEUTICS:
Carnityl
Anti-Oxidant
Biogest
Medipro
Zinc picolinate
Copper picolinate
Thiocid-300

DOSAGE:
1-2 caps tid
1-2 caps bid
2 caps tid w/ meals
1/2-2 TBL. daily
Up to 120 mg daily
as needed
1 cap daily
1 cap bid-tid

MECHANISMS:
Study: improved memory in Downs Syndrome
D.S. causes increased oxidative stress
D.S. associated with malabsorption
Readily absorbable protein/nutritional supplementation
Helps normalize T3, GH, Thymulin
(use Zinc test to determine need)
To balance zinc
Lipid and water soluble antioxidant

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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DYSMENORRHEA
Diagnosis: Menstrual pain associated with ovular cycles in absence of pathological ndings.
THERAPEUTICS:
Nutri-Fem
Myorel
Krill Oil or

DOSAGE:
4 caps bid
2-3 caps every 4 hrs.
1 cap bid

Omega plus or
Black Currant Oil
CalMag citramate
Bio-PMT

2 caps tid

Ultimate-E or
E-500
Petadolex

MECHANISMS:
Basic nutrients for menstruating women
Antispasmodic
A study found it superior to sh oil for dysmennorhea, antiinammatory
Decreases PG2 (cause uterine contractions)

3 caps tid
2 caps bid last
two weeks of cycle
1 cap daily

Smooth muscle relaxation


Improves hormone metabolism and liver function

1-2 caps bid

Smooth muscle relaxant

Decreases pain with menstruation

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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DYSPEPSIA (INDIGESTION)
Diagnosis: A feeling of fullness, bloating, nausea, or heartburn after a meal, sometimes with accompanied eructations (burping) and/or
atulence. May accompany hypo- or achlorhydria.
THERAPEUTICS:
G.I.-Encap
Betaine HCl/Pepsin or
Dipan-9
Bio-Gest or

DOSAGE:
1-2 caps with meals
1-2 caps with meals
1-2 caps with meals
1-2 caps with meals

B.P.P. or

1-2 caps with meals

Planti-Zyme

1-2 caps with meals

MECHANISMS:
Soothes/heals gut mucosa
Increases gastric acidity
Provides pancreatic enzymes
Increases gastric acidity, provides
pancreatic enzymes & ox bile
Increases gastric acidity, provides
pancreatic enzymes
Plant-based digestive enzymes suited for vegetarians or vegans

CLINICAL CONSIDERATION:
Rule out hypo- or achlorhydria. See Achlorhydria.
NOTES: _______________________________________________________________________________________________________
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EATING DISORDERS
Diagnosis: Change of dietary patterns leading to physiological changes; i.e., anorexia nervosa, vitamin deciency causing metabolic
changes.
THERAPEUTICS:
Medipro or
MediClear or
High Lactoferrin Whey

DOSAGE:
2 scoops daily

MECHANISMS:
Meal replacement in obesity or in addition to a meal if
trying to gain weight

ANOREXIA OR BULIMEA:
Zinc picolinate or citrate
Oscap Plus
Basic Nutrients
5-Hydroxytryptophan
Cobamamide
Cortine
B-Complex #3

1 cap bid
2 caps tid
2 caps tid
1-2 caps tid
3 caps daily
2 caps tid
1 cap tid

Deciency associated with anorexia and bulimia


For anorexia- or bulimia-induced osteoporosis
Multiple vitamin with minerals to correct deciencies
Increases serotonin to decrease CHO craving, addictive behavior
Corrects deciency in anorexia
Promotes anabolism in anorexia
Some cases of anorexia associated with pellegra-like symptoms

OBESITY:
5-Hydroxytryptophan
GT-Ex

1-2 caps tid


2 caps tid

Increases serotonin to decrease CHO craving, addictive behavior


Thermogenic increase basal metabolic rate

CLINICAL CONSIDERATION:
1. With eating disorders it is imperative that complete elimination of all sensitive or allergic foods is accomplished.
Consumption of even a mild allergen will trigger craving for the main offenders.
2. Craniosacral therapy for compression of sphenoid and basilar bones
NOTES: _______________________________________________________________________________________________________
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ECZEMA (ATOPIC DERMATITIS)


Diagnosis: Pruritic exudative or lichenied eruptions on face, neck, upper trunk, wrists, hands, and in the folds of knees and elbows.
Patient frequently has a history of allergies, asthma or allergic rhinitis.
THERAPEUTICS:
Perma-Clear
Omega Plus or

DOSAGE:
3 caps bid
2 caps tid

Krill Oil
Moducare

1 cap bid
1 cap bid-tid

MediClear
Lactobacillus Sporogenes
Sacro-B
Glycgel
Vitamin A

Varies
1 cap bid
2 caps bid
Topically as needed
1 cap daily (children
1 cap twice weekly)
Planti-Oxidants
2 caps tid
Liver Cleanse
1 cap bid-tid
Selenium picolinate
1 cap daily
Zinc picolinate (dbl strength) 1-2 caps daily

MECHANISMS:
Decreases gut permeability (address food allergies)
Overrides defect in delta-6-desaturase enzyme
Reduces inammation; may also consider P5P, Mg, Zn,
and vitamin C needed as cofactors for desaturase enzymes
Correct a deciency (see Omega Plus)
Balances cytokines; increases cell mediated immunity
(normalizes prostaglandin synthesis)
See MediClear Brochure (Thorne Research)
Increases benecial bacteria (if not taking Perma-Clear)
Increases benecial bacteria (if not taking Perma-Clear)
Topical corticosteroid substitute
Epithelial cell differentiation
Decreases phosphodiesterase activity
Stimulates alternate complement pathway
Antioxidant
Enhances T4 to T3 conversion

CLINICAL CONSIDERATION:
Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
NOTES: _______________________________________________________________________________________________________
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EMPHYSEMA / CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)


Diagnosis: Abnormal permanent enlargement of air space distal to the terminal bronchioles with destruction of their walls. Diminished
breath sounds. Onset of symptoms after age 50. Chest X-ray conrms diagnosis.
THERAPEUTICS:
Anti-Oxidant
Cysteplus
Nebulized Glutathione*
Vitamin A
E-500 or Ultimate-E
Co-Q-100
MSM
L-Carnitine
Thiocid-300

DOSAGE:
I-2 caps tid
1 cap tid
As needed
1 cap daily (more with
close supervision)
1 cap bid
1 cap daily to bid
1-2 caps bid
1-2 caps tid
1 cap bid-tid

MECHANISMS:
Decreases oxidative damage to lung tissue
Reduces mucous and corrects viscosity
Increases local antioxidant defenses
Protects alveolae from damage
Decreases oxidative damage
Improves oxygenation of cells
Anecdotal reports of benet for emphysema
Improves exercise tolerance by improving efciency of lungs
Lipid and water soluble antioxidant

*Note: (See Vendor Listings)


NOTES: _______________________________________________________________________________________________________
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ENDOMETRIOSIS
Diagnosis: Associated with high estrogen:progesterone ratio.
THERAPEUTICS:
Bio-PMT
Indole-3-carbinol
Calcium D-Glucarate
Myorel
Ferrasorb

DOSAGE:
2 caps bid in last two
weeks of cycle
1 cap bid
1-2 caps tid
2 caps tid as needed
1 cap bid-tid

Progesterone cream
Castor oil pack
Ground Flax Seeds

1/4 tsp applied bid


On abdomen as needed
1-2 TBL daily

MECHANISM:
Aids in liver metabolism of estrogens
Aids in liver metabolism of estrogens
Aids in liver metabolism of estrogens
Antispasmodic for associated uterine cramping
For anemia if endometriosis is associated with
heavy menses
To offset high estrogen/progesterone ratio
Relieves spasm, pain
Decreases circulating estrogens

NOTES: _______________________________________________________________________________________________________
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EPILEPSY
Diagnosis: A cerebral disorder with attacks of altered consciousness, motor activity, sensory phenomena or inappropriate behavior.
Diagnosis by EEG.
THERAPEUTICS:
Iso-Phos
Taurine
Magnesium (aspartate,
citrate or citramate)
B-complex #12 or #1

DOSAGE:
1 cap tid
100 mg/kg body wt.
1 cap tid to qid

MECHANISMS:
Positive prelim. studies; component of nerve cell membrane
Neuroinhibitory amino acid; may help temporal lobe epilepsy
Anticonvulsant activity; correct a deciency

1 cap daily-tid

Pyridoxal 5-Phosphate

1 cap tid-qid

Anti-Oxidant
Thiocid-300

1-2 caps daily


1 cap bid-tid

B vitamin deciencies (especially B12) can cause seizures;


anticonvulsant meds can cause deciencies
Deciency of B-6 dependent decarboxylase enzyme can
result in seizures
Antioxidant; phase II liver detox
Lipid and water soluble antioxidant

*Warnings: Omega Plus or Black Currant Oil supplementation may exacerbate temporal lobe epilepsy.
Folic Acid safe if started at same time as anticonvulsant drug. If added later, can lower serum anticonvulsant drug
levels. Monitor levels strictly and adjust dosage accordingly, as breakthrough seizures can occur.
CLINICAL CONSIDERATIONS:
1. Rule out heavy metal toxicity. Heavy metals can induce seizures.
2. Rule out hypoglycemia. Hypoglycemia might be most important metabolic cause of seizures.
3. Perform zinc sulfate taste test and correct deciency if observed. Elevated copper/zinc ratio can induce seizures.
4. A ketogenic diet can help control frequency of seizures.
5. Food allergies can trigger seizures in children so Hypo-Allergenic Diet can be useful (see patient handout Hypo-Allergenic
Diet).
NOTES: _______________________________________________________________________________________________________
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EPISTAXIS (NOSEBLEED)
Diagnosis: Bleeding from vascular plexus on the anterior nasal septum. If recurrent check PT, PTT, platelet count and bleeding time.
THERAPEUTICS:
HMC-Plus
Vitamin C w/ Flavonoids
Diosmin-HMC

DOSAGE:
1-2 caps tid
1-2 caps tid
1-2 caps bid-tid

MECHANISMS:
Collagen tissue support to improve vascular integrity
Collagen tissue support to improve vascular integrity
Collagen tissue support to improve vascular integrity

CLINICAL CONSIDERATIONS:
Compress nasal alae rmly for 10 minutes if bleeding is heavy. Gelfoam compound may also be of great benet.
NOTES: _______________________________________________________________________________________________________
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EPSTEIN BARR VIRUS INFECTION (INFECTIOUS MONONUCLEOSIS)


Diagnosis: High Fever, sore throat lymphadenopathy, lymphocytosis. Diagnosis by serologic tests.
THERAPEUTICS:
Moducare

DOSAGE:
1 cap tid between meals

Olive-X
Myco-Immune
Organic Colostrum
IM-Encap
Arabinex
Lipotrepein
Vitamin C
Phytogen

1 cap tid
2 droppers full tid-qid
1 tsp daily-bid
2-3 caps tid
1 scoop bid
2 caps bid-tid
To bowel tolerance
2 caps tid

MECHANISMS:
Increases T-lymphocyte and decreases B-lymphocytic
effects; increases gamma interferon production
Antiviral
NK stimulating activity.
Natural immune factors with antiviral activity
Antiviral; immune stimulating
Immune stimulating
Addresses associated hepatomegaly
Antiviral
Immune-potentiating activity

CLINICAL CONSIDERATIONS:
Consider testing for environmental toxins and then doing appropriate cleansing protocols. Environmental toxins can suppress
the functioning of the cell-mediated immunity resulting in chronic infections.
NOTES: _______________________________________________________________________________________________________
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ERECTILE DYSFUNCTION
Diagnosis: Inability to achieve or maintain an erection sufcient for satisfactory sexual function.
THERAPEUTICS:
Perfusia-SR
OPC-100
GB-24

DOSAGE:
3 caps bid
1 cap bid
2 caps bid

MECHANISMS:
Biologic precursor of nitric oxide (NO), vasodilator
Stimulate activity of nitric oxide synthase (NOS)
Research suggests Ginkgo ameliorates antidepressant-induced
sexual dysfunction; also shown to strengthen activity of NOS.

CLINICAL CONSIDERATIONS:
There is a high prevalence of ED among men who smoke or have ischemic heart disease, hypertension, dyslipidemia, and
diabetes. Successful therapy needs attention to these underlying factors.
LABORATORY CONSIDERATIONS:
ADMA levels
NOTES: _______________________________________________________________________________________________________
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ESTROGEN DEFICIENCY (see HYPOESTROGENISM)

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FATTY LIVER (see BENIGN HEPATIC STEATOSIS)

FIBROCYSTIC BREAST DISEASE (MAMMARY DYSPLASIA)


Diagnosis: Painful, often multiple, bilateral masses in the breast. Frequently increases size of breast and occurs during the premenstrual phase of cycle.
THERAPEUTICS:
Basic Detox Nutrients
E-500 or
Ulitmate-E
Bio-PMT
Indole-3-carbinol
Iodine
Vitamin A*
Selenium picolinate
Zinc picolinate

DOSAGE:
4 caps bid
1 cap bid-tid
2 caps bid (last
two weeks of cycle)
1 cap tid
1 cap bid
1 cap daily
1 cap daily
1 cap daily

MECHANISMS:
Assists estrogen metabolism. Clears toxins.
Antioxidant; enhance estrogen metabolism, normalize FSH
and LH
Enhance hepatic hormone metabolism
Metabolize estrogen
Decrease breast tissue sensitivity to estrogen
May prevent proliferative benign breast disease
Enhances T4 to T3 conversion. (T3 decreases
high prolactin found in FBD).

* Use of high doses may be toxic if used for prolonged periods; monitor liver enzymes. Use of greater than 10,000 IU
daily should be avoided in any female with possibility of pregnancy
CLINICAL CONSIDERATION:
Enhance liver and colon function to ensure elimination of estrogen. (Consider Calcium d-glucarate, Indole 3-Carbinol,
Lactobacillus sporogenes, Methyl-Guard and Anti-oxidant).
NOTES: _______________________________________________________________________________________________________
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FIBROIDS (UTERINE)
Diagnosis: Common cause of menorrhagia, polymenorrhea and dysmenorrhea. Diagnosis by palpation on pelvic exam, ultrasound and
occasionally hysterogram.
THERAPEUTICS:
Basic Detox Nutrients
Bio-PMT
Soy Isoavones
Lipotrepein
Dipan-9
Indole 3-Carbinol
Calcium d-Glucarate

DOSAGE:
4 caps bid
2 caps bid
1 cap daily
1 cap tid
2-3 caps bid-tid
between meals
1 cap bid-tid
1-2 caps tid

MECHANISMS:
Assists estrogen metabolism. Clears toxins.
Hormone balancing
Phytoestrogen (antagonize endogenous estrogen)
Supports hepatic hormone metabolism
Proteolytic enzymes
Normalize estrogen metabolism
Inhibits -glucuronidase, promotes detoxication of estrogens

NOTES: _______________________________________________________________________________________________________
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FIBROMYALGIA
Diagnosis: A multi-faceted disease which may adversely effect the neuroendocrine, immune, and musculoskeletal systems resulting
in 11 of 18 specic designated points. It may develop post-Inuenza type A, post motor vehicle accident, after a prolonged period of
sleep deprivation, with RA, Lupus, Lyme disease, or HIV. Women are affected more frequently than men. FM may be confused with
chronic fatigue syndrome, because of the similar symptomatology, but the causative factor in CFS may be Epstein Barr virus, and
there is also no conrming evidence of the specic joint-muscle pains seen in FM. Irritable bowel symptoms or severe mood distur
bances are more common in FM. Serotonin levels are usually normal in CFS.

THERAPEUTICS:
Magnesium citramate

DOSAGE:
1 cap tid

5-HTP

Hyper-Ex
Quercetone

1 cap tid (increase


to 2 caps tid after 3
weeks if necessary)
1 cap bid
1 cap tid

Sedaplus
Bio-B12

2 caps at bedtime
1 cap qd

Methylcobalamin
Myorel
Thyrocsin

1 cap tid
2 caps tid
2 caps bid

MECHANISMS:
Magnesium and malic acid both found helpful for
bromyalgia
Increases serotonin levels which are low in some patients;
increases pain threshold
May increase serotonin, dopamine, norepinephrine levels
Blocks xanthine oxidase formation, reducing inammation
(present in some cases)
Restores REM sleep
Relieves muscle spasm and enhances muscle physiology
by reducing lactose accumulation in the muscles involved
Can improve sleep patterns
Decreases pain, tender points
Fibromyalgia/Thyroid connection

CLINICAL CONSIDERATIONS:
1. Efforts to correct sleep disturbances and enhance sleep quality should be a priority (consider a therapeutic trial of
methylcobalamin 3 mg per day for 30 days for sleep quality) along with appropriate lifestyle interventions to enhance quality
sleep.
2. Consider testing for environmental toxins and then doing appropriate cleansing protocols. Fibromyalgia is common in toxic
individuals
NOTES: _______________________________________________________________________________________________________
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FLU (see COLDS, ACUTE & INFLUENZA)

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GALLSTONES (see CHOLELITHIASIS)

GASTRITIS
Diagnosis: Rule out Helicobacter pylori infection with ELISA lgG/lgM blood tests
THERAPEUTICS:
Medi-Clear
GI-Encap
L-Glutamine

DOSAGE:
Varies
2-4 caps tid
1/2-1 tsp bid or
2-4 caps bid
3 caps bid

MECHANISMS:
See Medi-Clear Brochure (Thorne Research)
Heals gut mucosa
Heals gut mucosa

2 caps qid between


meals for 8 weeks;
followed by an 8-week
washout period

Anti-microbial; gut mucosa healing

IF STRESS CAUSED:
Moducare

1 cap tid

Sedaplus
Rhodiola

1 cap bid
1 cap bid

Normalizes cortisol/DHEA if stress is a contributing


factor
Enhances parasympathetic activity
Adaptogenic

Perfusia-SR
IF H. PYLORI POSITIVE:
SF734

Preliminary evidence suggests Arginine accelerates ulcer healing

CLINICAL CONSIDERATIONS:
Consider Diet Modication (See patient handout Bland Diet)
NOTES: _______________________________________________________________________________________________________
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GASTROESOPHAGEAL REFLUX DISEASE (GERD)


Diagnosis: History of reux of gastric contents into the esophagus. X-ray studies, endoscopy, esophageal manometry, and pH monitoring help to conrm the diagnosis.
THERAPEUTICS:
GI-ENCAP
Betaine HCL & Pepsin

DOSAGE:
MECHANISMS:
2 capsules qid
Soothing and demulcent botanicals protect mucosa.
1-2 capsules with each meal Reux can be associated with low stomach acid. Assess gastric pH
before using HCL.

CLINICAL CONSIDERATIONS:
Management of GERD includes, elevating head of bed 6 inches, avoid eating late in p.m., avoid dietary stimulants of acid secretion (coffee, alcohol, fats, chocolate, etc.), and smoking. Chronic reux should be monitored for development of Barretts metaplasia.
LABORATORY CONSIDERATIONS:
Assess gastric pH
NOTES: _______________________________________________________________________________________________________
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GINGIVITIS
Diagnosis: Painful acute gingival inammation and necrosis, often with bleeding, halitosis, fever, and cervical lymphadenopathy.
THERAPEUTICS:
Folic Acid Liquid

Vitamin C w/ Flavonoids
Co-Q-100 or
Lipoquinone-100
Zinc Sulfate

DOSAGE:
1/2 cap in 1/2 cup
water; rinse by mouth
for 5 min tid
2 caps tid
1 cap bid

MECHANISMS::
Enhances cell growth and repair

Collagen support; decreases bleeding


Improves oxygenation to cells

1 capful daily as
mouth rinse

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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GLAUCOMA (CHRONIC OPEN-ANGLE)


(Acute closed-angle is a medical emergency)
Diagnosis: Increased intraocular pressure with progressive loss of peripheral vision, headaches and cupping of optic disk. Differentiate from acute angle closure glaucoma which presents with severe eye pain and loss of vision. Acute glaucoma is a medical emergency refer patient to ophthalmologist or E.R.
THERAPEUTICS:
Ocu-Clear
Ascorbic acid

DOSAGE:
2 caps tid
To bowel tolerance

Thiocid
Citicoline

1 cap bid
1-2 caps bid

Co-Q-100 or
Lipoquinone-100
Super EPA or
Krill Oil
Magnesium Citrate
Moducare

1 cap daily
2 caps bid-tid
1 cap bid
1 cap bid
1 cap tid

Coleus forskohlii

1 cap bid

MECHANISMS:
Osmotic or collagen-stabilizing effects
Increases aqueous humor drainage; decrease viscosity of
hyaluronic acid
Increases glutathione, antioxidant
Two open trials have found improved visual function in open-angle
glaucoma; suggests it repairs damage to the optic nerve.
Decreases cardiac side-effects of drug Timolol
Increases prostaglandin sysnthesis
Source of EFAs and phospholipids
Antagonize calcium channels
Normalizes cortisol/DHEA levels (high cortisol associated with
increased IOP)
Increases cAMP, decreases intraocular pressure
(topical, may help to take orally)

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

GOITER (see HYPO- & HYPERTHYROIDISM)

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GOUT
Diagnosis: Articular pain, usually of a peripheral joint, with signs of inammation. Serum uric acid levels usually >7mg/dl, but may be
lower during acute phase. Rule out coexisting diabetes and /or renal dysfunction.
THERAPEUTICS:
Quercenase

DOSAGE:
2 caps tid

Vacimyr
Phytoprofen
Folic Acid Liquid
or Folacal

2 caps tid
2 caps tid
10 drops or
3 caps tid

Methylcobalamin or
Cobamamide
Lactobacillus sporogenes
Liver Cleanse

2 caps daily
1 cap bid
1 cap daily-bid

MECHANISMS:
Inhibit uric acid production and leukotriene
formation
Decrease uric acid levels
Anti-inammatory
Might help although clinical results have been inconsistent;
One study found it decreased uric acid by inhibiting
xanthine oxidase; two subsequent studies did not nd this
May become decient with colchicine; prevent folate from
masking a B12 deciency
Enhance fecal elimination of uric acid
Enhance liver function

*Warning: Supplements to avoid in doses higher than what is in a multiple vitamin: Vitamin A and Niacin
CLINICAL CONSIDERATIONS:
1. Consider diet modication (see patient handout Low Purine Diet)
2. Half pound per day of fresh or frozen cherries (or 8-16 ounces of black cherry juice) can be consumed during gout attack
and lower doses can be used consistently to help prevent future attacks.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

GRAVES DISEASE (see HYPERTHYROIDISM)

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GUT DYSBIOSIS
An imbalance between benecial gut micro-organisms and potentially pathogenic bacteria or yeast/fungi.
Diagnosis: Usually via stool culture or comprehensive digestive and stool analysis.
THERAPEUTICS:
Medi-Clear
Medibulk or
Herbal Bulk
Lipotrepein
Organic Colostrum

DOSAGE:
Varies
1/2 scoop/night; slowly
increase to 2 scoops
2 caps tid
1 tsp daily-bid

IF YEAST/FUNGI PRESENT:
SF722 or
3-5 caps tid
Undecyn
2-3 caps tid
Lactobacillus
Sporogenes
1 cap bid
IF BACTERIAL OVERGROWTH PRESENT:
Berbercap or
1 cap tid
Citricidin or
1 cap tid
Entrocap
1 cap tid

MECHANISMS:
See Medi-Clear Doctors Guide (Thorne Research)
To bind toxins in the intestines, and speed
intestinal transit time & detoxication
Improve liver detoxication, increase bile ow
Natural immune factors with antimicrobial activity

Antifungal
Antifungal
Probiotic bacteria

Antimicrobial
Antimicrobial
Antimicrobial; combines Berbercap & Citricidin in one product.

CLINICAL CONSIDERATIONS:
1. Consider dietary modications. (see patient handout Candida Diet).
2. Often intestinal hyper-permeability accompanies gut dysbiosis. (see Intestinal Hyper-permeability.)
LABORATORY CONSIDERATIONS:
Consider testing for dysbiosis and intestinal hyper-permeability. (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HAYFEVER / ALLERGIC RHINITIS (see ALLERGY INHALANT)


HEADACHE (see MIGRAINE)

HEAVY METAL TOXICITY


Diagnosis: The presence in the body of environmental pollutants at least 5 times as dense as water, which in excess quantities are
poisonous and may cause death to living organisms.
THERAPEUTICS:
Basic Detox Nutrients
Captomer

Hydrolyzed Whey Protein

Heavy Metal Support

DOSAGE:
4 caps tid on days
not taking Captomer
10 mg/kg/day
in 3 divided doses between
meals for 3 days; take 4-11
days off and repeat cycle
(may take several cycles)
1-2 scoops qd-bid

2 caps bid on days


not taking Captomer
1-3 grams tid
1/2 scoop-2 scoops pm

Ascorbic Acid
Medibulk
OTHER CONSIDERATIONS:
Toxic Relief Booster
1 cap tid
Liver Cleanse
1 cap qd - tid
Thiocid-300
1-2 caps tid

MECHANISMS:
Provides additional support for individuals with a toxic
burden
Chelates mercury, lead, cadmium, and arsenic

Replenish glutathione levels; branched-chain amino acids


block transport sites at blood-brain barrier
preventing re-absorption of heavy metals
Help mobilize heavy metals & replenish nutrients lost during
chelation process
Antioxidant
Colon cleanse
Additional detox support
Liver cleanse
Lipid and water soluble antioxidant that is able to bind heavy
metals for clearance

LABORATORY CONSIDERATIONS:
1. Consider testing to identify heavy metal toxicity (see Laboratory Listings)
2. See Provocative Testing for Heavy Metals for protocol.
3. For more information on DMSA (Captomer) and the heavy metal protocol see Heavy Metal Protocol
NOTES: _______________________________________________________________________________________________________
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______________________________________________________________________________________________________________
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HEMORRHOIDS
Diagnosis: Varices of the venous hemorrhoidal plexus, with rectal bleeding, protrusion and vague discomfort.
THERAPEUTICS:
Shea Butter

Venocap
Rectal suppositories #2
(Wise Woman Herbals*)

DOSAGE:
MECHANISMS:
Apply topically as
Soothing astringent
needed
Acute dosing: 2 caps tid
Improves vascular integrity
for 4 days, then
2 caps bid for 3 days
1 cap bid maintenance dose
1 cap bid
Astringent; tonifying herbs for increased venous integrity
Insert one nightly
Astringent herb, vitamin A and E in cocoa butter
until resolved

IF CONSTIPATED:
Herbal Bulk or Medi-Bulk
(with lots of water)
Herbal Laxative
Lactobacillus Sporogenes

1-2 tsp. with 8 oz of


water or juice tid
1 cap at bedtime
1 cap bid

Diosmin-HMC

IF LIVER OR PORTAL CONGESTION:


Liver Cleanse
1 cap daily or 1 cap bid

Bulk ber
Secretory laxative

Promote bile ow

*Wise Woman Herbals (See Vendor Listings)


NOTES: _______________________________________________________________________________________________________
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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HEPATITIS (ACUTE)
Diagnosis: Elevated AST (SGOT) and ALT (SGPT) usually > 1000 units. Hepatitis serum typing needed to diagnose specic type of
hepatitis.
THERAPEUTICS:
Basic Detox Nutrients

DOSAGE:
4 caps tid

T.A.P.S. or S.A.T.
Lipotrepein
Moducare

2 caps tid
2 caps tid
1 cap tid
between meals
2 caps tid
2 caps tid
1 cap bid
2 caps tid-qid
2 caps bid
1/4 tsp in warm water
1-2 caps tid
2 caps bid tid

Emulsies fat
Hepatoprotective; antioxidant; anti-inammatory
Antiviral
Decreases lipid peroxidation damage induced by the virus
Enhances cell-mediated immunity

1 cap bid

Decreases liver enzymes

Anti-Oxidant
Thiocid or
Thiocid-300
Phosphatidyl Choline
Curcumin
Glycgel*
SB313
IM-Encap or Phytogen
B-Complex #12 or
Cobamamide

MECHANISMS:
Clears toxins from liver & protects from liver damage
& inammation.
Antioxidant; decreases liver enzymes
Increases bile ow and fat metabolism in the liver
Increases cell-mediated immunity leading to antiviral
effects
Antioxidant, cell-mediated immunity
Lipid and water soluble antioxidant

CLINICAL CONSIDERATION:
*Supplement 2 caps Potassium Citrate per 1/4 tsp Glycgel to decrease chance of potassium loss from licorice

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HEPATITIS (CHRONIC)
Diagnosis: The type of hepatitis, whether chronic or acute, is determined by the presence of antibodies anti-HCV antibodies in the
case of hepatitis C and anti-HBV antibodies in hepatitis B. While liver enzymes, especially ALT, are elevated in acute hepatitis, they
often return to normal within the rst year. Only 33 percent of people with chronic hepatitis C demonstrate elevated ALT. Progression
of disease should be monitored by viral load and liver biopsy. Biopsy will show the extent of brosis or cirrhosis and rule out the presence of hepatocellular carcinoma.
THERAPEUTICS:
Selenomethionine, or
selenium picolinate, or
selenium citrate
Siliphos (silybum
marianumphosphatidylcholine
complex)
Curcumin
(95% extract)
Cynara scolymus
Thiocid-300

DOSAGE:
200 mcg daily

MECHANISMS:
Co-factor for glutathione peroxidase

2 caps bid

Antioxidant; hepatoprotectent; anti-brotic (dosage


based on severity)

1 cap tid

Anti-inammatory; antioxidant; hepatoprotectent

500 mg bid
600-1800 mg

Ultimate E
Basic Detox Nutrients
Vitamin K2

1 cap bid
4 caps tid
15 drops tid

Aids in lipid metabolism; hepatoprotectant


Protects from medication toxicity; important (2-6 caps) daily
(dosage based on severity) water and fat-soluble antioxidant
Fat-soluble antioxidant
Protects from liver damage and inflammation
Prevents hepatocellular carcinoma

CLINICAL CONSIDERATION:
Intravenous vitamin C and glutathione may be used in cases that require more aggressive treatment.
The above protocol is appropriate for non-cirrhotic individuals. Those with cirrhosis or specic autoimmune conditions
resulting from chronic hepatitis C should be treated appropriately with standard medical monitoring. Individuals co-infected
with HIV or hepatitis B should be treated aggressively as the disease progresses faster. In every case alcohol consumption
should be omitted completely.
NOTES: ______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HERPES SIMPLEX
Diagnosis: Vesicular eruption preceded by itching and soreness. Diagnosis by viral culture; serum antibody levels may be used to follow primary infections.
THERAPEUTICS:
Glycgel*

DOSAGE:
Topically as needed;
Internally: 1/4 tsp. in
warm water bid
Olive-X
1 cap tid
Moducare
1 cap tid (after
loading dose of 2
caps tid) between
meals
Lysine
1-2 caps daily to
prevent; 2 caps tid
during active disease
Indole-3-Carbinol
1 cap bid
Organic Colostrum
1 tsp daily-tid
IM-Encap or Phytogen
1-2 caps tid
Vitamin C w/Flavonoids
2 caps tid
Zinc Picolinate (dbl strength) 1 cap bid
Zinc Sulfate
1 oz topically qid

MECHANISMS:
Antiviral

Antiviral
Increases cell-mediated immunity necessary for
chronic viral conditions

Inhibits arginine-dependent viral replication

Stops replication of virus (preliminary studies in vitro)


Natural immune factors with antiviral activity
Increases immunity; antiviral
Increases immunity, antiviral
Enhances immunity
Acute outbreak topical relief

CLINICAL CONSIDERATIONS:
Consider diet modications (see patient handout Anti Herpes Diet)
Avoid Arginine supplements
*Supplement 2 caps Potassium Citrate per 1/4 tsp Glycgel to decrease chance of potassium loss from licorice
LABORATORY CONSIDERATIONS:
Consider Immune panel to include NK Cell Activity (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HERPES ZOSTER
Diagnosis: Shingles. Vesicular eruptions and neurologic pain in dermatomal patterns. Differentiate pleurisy, trigeminal neuralgia, Bells
palsy, chickenpox (in children). Cultures may be needed to differentiate from herpes simplex.
THERAPEUTICS:
DOSAGE:
(Same as Herpes simplex during active disease)
POSTHERPETIC NEURLAGIA:
Methylcobalamin or
1 cap daily
Cobamamide
Phytoprofen
2 caps bid-tid
Organic Colostrum
1 tsp daily-bid
B-Complex #1
1 cap bid-tid
E-500 or
1 cap daily-bid
Ultimate-E
Dipan-9
2 caps tid between
meals
M.F. Bromelain
1-2 caps tid between
meals

MECHANISMS:

Nerve analgesic
Anti-inammatory, pain relief
Natural immune factors with antiviral activity
Nerve analgesic
Enhances endorphins in PHN
Proteolytic enzymes compared favorably with acyclovir
Proteolytic enzymes compared favorably with acyclovir

CLINICAL CONSIDERATION:
Appropriate acupuncture can sometimes reduce intensity and duration of outbreak.
Consider diet modications (see patient handout Anti Herpes Diet)
LABORATORY CONSIDERATIONS:
Consider Immune panel to include NK Cell Activity (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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HYPERACTIVITY (see ATTENTION DEFICIT DISORDER)

HYPERCORTISOLISM (CUSHINGS SYNDROME)


Diagnosis: Central obesity, muscle wasting, thin skin, easy bruisability, psychological changes, hirsutism, purple striae, osteoporosis,
hypertension, elevated serum cortisol, and urinary free cortisol.
THERAPEUTICS:
Moducare
Dehydrone-5 or 15
Iso-Phos
Carnityl
Zinc Picolinate
Phytisone

DOSAGE:
1 cap tid
15-30 mg daily
1 cap tid
1-2 caps tid
1 cap daily-bid
2 caps bid

MECHANISMS:
Normalize cortisol:DHEA ratio
Increase DHEA (low when cortisol is in excess)
Normalize cortisol:DHEA ratio
Normalize cortisol:DHEA ratio
Needed for normal adrenal functioning
Normalize HPA

CLINICAL CONSIDERATION:
1. Chronic elevations (cortisol resistance) or disruptions in the circadian rhythm of cortisol can exist that do not progress to
Cushings syndrome.
LABORATORY CONSIDERATIONS:
Salivary Cortisol/DHEA levels (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HYPERESTROGENISM
Diagnosis: Abnormal results on urine, blood or saliva test. Clinical presentation of PMS, uterine broids, endometriosis, ovarian cysts,
brocystic breast disease, etc.
THERAPEUTICS:
Bio-PMT

DOSAGE:
2 caps bid

Soy Isoavones

1-2 caps qd

Calcium d-Glucarate

1-2 caps tid

Indole 3-Carbinol
1 cap bid-tid
Lactobacillus Sporogenes 1 cap bid
Ground Flax Seed
1-2 tbls qd

MECHANISMS:
Improves livers metabolism of estrogen; enhances progesterone
phytoestrogenic (decreases estrogen effect in hyper-estrogenic
conditions)
Inhibits fecal beta-glucuronidase, enhances
steroid hormone metabolism
Normalizes P450 metabolism of estrogens
Enhances estrogen elimination
Flax seed lignans interact with gut bacteria, create natural
aromatase inhibitor; decrease estrogen

CLINICAL CONSIDERATIONS:
1. Consider castor oil pack applied over the liver region (see patient handout Castor Oil Pack)
2. Consider Low Temperature Saunas to mobilize and eliminate estrogen-like compounds from adipose tissue (see patient
handout Low Temperature Sauna)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HYPERHOMOCYSTEINEMIA
Diagnosis: elevation of serum or plasma homocysteine levels.
THERAPEUTICS:
Methyl-Guard
Cysteplus

DOSAGE:
2 caps tid
1 cap bid-tid

MECHANISMS:
Lowers homocysteine levels
Decreases homocysteine levels

Warning: Avoid high doses of niacin (vitamin B3) supplementation. Evidence suggests niacin can increase
homocysteine levels.
CLINICAL CONSIDERATIONS:
1. High intake of coffee (>6 cups/d) can increase homocysteine levels. Increased levels found in heart disease, stroke,
recurrent miscarrages, peripheral vascular disease, cognitive decline/Alzheimers Disease, rheumatoid arthritis, depression,
osteoporosis,, and renal failure.
2. Avoid SAMe supplements can increase homocysteine
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HYPERLIPIDEMIA
Diagnosis: Elevation of serum lipid levels as identied by increased total cholesterol, LDL cholesterol, or triglycerides. Serum HDL is
frequently reduced.
THERAPEUTICS:
Choleast

DOSAGE:
2-4 caps bid

Policosanol
Pantethine

1-2 caps bid


2 caps bid

Super-EPA or
Krill Oil
L. sporogenes
Niasafe-600

2 caps tid
1 cap bid
1 cap bid between
meals
1-2 caps tid

Neo-Cardio

1-2 caps tid

L-Carnitine

2-3 caps tid

Ultrachrome-200 or
Ultrachrome-500
Phosphatidyl Choline
Herbal Bulk

1 cap daily-tid
1 cap daily-bid
2 caps bid-tid
1 scoop with lots
of water
1 cap bid

Thiocid-300

MECHANISMS:
Reduces the production of HMG-CoA reductase in the liver,
which lowers lipids
Lowers total cholesterol; improves LDL:HDL
Lowers cholesterol and triglycerides by improving lipid
metabolism
Lowers cholesterol and triglycerides (better for TGs)
Lowers cholesterol (binds in the gut)
Lowers cholesterol and triglycerides via decreased VLDL
synthesis, decreased HDL catabolism, decrease free fatty
acid mobilization
Lowers cholesterol by inhibition of synthesis and increased
catabolism of LDL.
Decrease triglycerides (increase transport into
mitochondria)
Decreases triglycerides by improving glucose metabolism
Increases liver metabolism of fats
Bind cholesterol in gut
Prevent lipid peroxidation

CLINICAL CONSIDERATIONS:
1.Avoid high doses of Niasafe-600 or vitamin B3 supplements in insulin resistant, obese or diabetic subjects.
2.Ensure diet includes sh and monounsaturated fats like olive oil and nuts like walnuts, almonds, macadamia, and pecans.
3.Consider diet modication (see patient handouts General Diet, Triglyceride Lowering Diet, and Cholesterol Lowering
Diet)
LABORATORY CONSIDERATIONS:
Consider monitoring thyroid function to rule out hypothyroidism
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HYPERPARATHYROIDISM
Diagnosis: Increased production of parathyroid hormone, as identied by elevated serum and urine calcium levels. May lead to renal
stones, polyuria, hypotension, uremia, and bone pain.
THERAPEUTICS:
Ipriavone

DOSAGE:
4 caps tid

MECHANISMS:
Inhibits parathyroid-induced bone resorption

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HYPERTENSION
Diagnosis: Chronic elevation of systolic and diastolic blood pressures.
THERAPEUTICS:
Neo-Cardio

Q10 Plus
Perfusia-SR
Coleus forskohlii
Co-Q-100 or
Lipoquinone-100
CO-10 or
Lipoquinone-30
Niasafe-600*
Super EPA or
Krill Oil
Melatonin

DOSAGE:
1-2 caps tid
Start low and increase
dose gradually
2 caps tid
3 caps bid
1 cap bid
1 cap daily

MECHANISMS:
Vasodilation; hypolipidemic

1 cap tid

Correct deciency

1 cap bid-tid
2 caps tid
1 cap bid
1-5 mg at bedtime

Vasodilation
Encourages vasodilatory prostaglandins

Vasodilation
Improves endothelium dependant vasodilation
Antihypertensive
Correct deciency

Lowers blood pressure

*WARNING: NIASAFE-600 AT THIS DOSE SHOULD BE AVOIDED IN INSULIN RESISTANCE AND TYPE 2 DIABETES
CLINICAL CONSIDERATIONS:
1. Ensure patient receives adequate quantity and quality of sleep (Note: they should be able to awaken rested without an
alarm)
2. Consider supplementation with methylcobalamin 1 mg tid, or melatonin 3-5 mg 45 minutes prior to sleep, if any issues with
sleep quality or quantity.
3. Hypertension can be secondary to sugar handling problems/insulin resistance. If abdominal obesity is present consider
likelihood of insulin resistance to be very high and implement a protocol to enhance insulin sensitivity.
LABORATORY CONSIDERATIONS:
1. Consider testing for nighttime melatonin levels (often disrupted in hypertension) (see Laboratory Listings)
2. Consider testing heart rate variability to determine relative balance between sympathetic/parasympathetic nervous system
activity (see Laboratory Listings)
3. Consider testing salivary Cortisol/DHEA and circadian rhythms (often disrupted in individuals with hypertension)
(see Laboratory Listings)
4.Consider oral glucose tolerance test to rule out blood glucose metabolism problems.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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HYPERTHYROIDISM (GRAVES DISEASE)


Diagnosis: Autoimmune thyroid disorder with increased formation of autoantibodies that bind to the TSH receptor in thyroid cell membranes and stimulate the gland to hyperfunction.
THERAPEUTICS:
Moducare

Vitamin C
E-500 or Ultimate-E

DOSAGE:
2 caps tid between
meals for 1 week; 1 cap
tid between meals thereafter
1-3 g. daily
1 cap daily

MECHANISMS:
Decrease thyroid stimulating antibodies (TSAb)

Correct deciency caused by antithyroid drugs


Protect against oxidative damage induced by high thyroid
levels

LABORATORY CONSIDERATION:
Test for heavy metal toxicity (see Laboratory Listings) and detoxify if appropriate.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

HYPOCHLORHYDRIA (see ACHLORHYDRIA)

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Copyright 2004 3Docs.Org q Clinical Repertory q page 94

HYPOESTROGENISM
Diagnosis: Low estrogen determined by 24 hr. urine collection, saliva test, or serum levels.
THERAPEUTICS:
Soy Isoavones
Meta-Balance
Bio-Gyn

DOSAGE:
1-2 caps daily
2 caps bid
1-2 caps bid

MECHANISMS:
Source of phytoestrogens
Phytoestrogenic botanicals
Enhance pituitary and ovarian function

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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HYPOGLYCEMIA
Diagnosis: A deciency of glucose in the blood stream identied by decreased plasma glucose levels. May occur in certain endocrine
disorders, such as hypopituitarism, Addisons disease or myxedema, acute alcoholism, or liver failure. May also be a result of insulin
overload in diabetics and/or insufcient carbohydrate intake.
THERAPEUTICS:
GlycoTone

DOSAGE:
1-2 caps tid

Ultrachrome-200 or
Ultrachrome-500

1 cap tid
1 cap daily-bid

MECHANISMS:
Improve pancreatic function & glucose uptake by
cells (avoiding reactive hypoglycemia caused by hypersecretion of insulin followed by a plunge in glucose);
Support adrenal function
Improves insulin binding, insulin receptor number
Improves insulin binding, insulin receptor number

CLINICAL CONSIDERATIONS:
Consider diet modication (see patient handout Hypoglycemia Diet)
LABORATORY CONSIDERATIONS:
1. Consider testing salivary Cortisol/DHEA and circadian rhythms (often disrupted in individuals with hypoglycemia)
(see Laboratory Listings)
2. Consider oral glucose tolerance test to rule out blood glucose metabolism problems.
3. CBC/SMAC (see optimal reference ranges for CBC/SMAC)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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Copyright 2004 3Docs.Org q Clinical Repertory q page 96

HYPOTENSION
Diagnosis: In adults, a systolic blood pressure of 90 mm Hg or less.
THERAPEUTICS:
Cortine or Phytisone
Glycgel
GT-Ex

DOSAGE:
2 caps with breakfast
& lunch
1/4 tsp bid
1 cap bid

MECHANISMS:
Normalize adrenal function
Increase blood volume
Inhibits COMT degradation of norepinephrine

CLINICAL CONSIDERATIONS:
Monitor supine and standing BP. Check adrenal function and also rule out hypoglycemia.
Consider diet modication (see patient handouts on High Energy Low Stress Diet or Hypoglycemia Diet)
Drink lots of water; do not restrict sodium
LABORATORY CONSIDERATIONS:
Salivary Cortisol/DHEA (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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HYPOTHYROIDISM
Diagnosis: Generally both serum T3 and T4 are decreased, with elevated TSH.
THERAPEUTICS:
Thyrocsin

DOSAGE:
2 caps bid

Bacopa

1 cap bid

MECHANISMS:
Nutritional substrates for the thyroid gland to
function efciently
Stimulates T4 production

IF NOT TAKING THYROCSIN:


lodine-Tyrosine
1 cap bid
Selenium picolinate
1 cap daily
Copper picolinate or citrate 1 cap daily
Zinc picolinate (30 mg)
1 cap bid

Comprise thyroid hormone


Necessary for conversion of T4 to T3
Necessary for thyroid hormone synthesis
Necessary for thyroid hormone synthesis

OTHER CONSIDERATIONS:
Phytisone
2 caps bid

Improved adrenal function

IF HASHIMOTOS THYROIDITIS:
Moducare
1 cap tid

Decrease thyroid antibody levels

IF IMPAIRED PERIPHERAL CONVERSION CONSIDER:


Moducare
1 cap tid
Normalize cytokines and cortisol/DHEA levels
CLINICAL CONSIDERATION:
Consider need to detoxify liver and evaluate for heavy metal toxicity. Avoid cottonseed oil!
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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ILEITIS, REGIONAL (see CROHNS DISEASE)

IMMUNODEPRESSION (NON-SPECIFIC)
Diagnosis: Immunologic deciency including, but not limited to, congenital and acquired disorders of humoral immunity (B-cell function) or cell-mediated immunity (T-cell function).
THERAPEUTICS:
IM-Encap
Basic Immune Nutrients

DOSAGE:
2 caps tid
4 caps tid

Arabinex

1-3 TBL daily


Pediatric: 1-3 tsp daily
1-2 droppers full bid-tid
1 cap tid between
meals
1 tsp daily-bid

enhance cell-mediated immune function


Increase direct cell-mediated immunity

1-2 scoops in water or


other liquid tid

Protein and specic amino acids such as glutamine


essential for proper immune functioning

Myco-Immune
Moducare
Organic Colostrum
Hydrolyzed Lactalbumin or
Medipro or
High Lactoferrin Whey

MECHANISMS:
Immune supportive nutrients, glandulars and botanicals
Multiple vitamin/mineral with additional immunosupportive
nutrients
Increase NK cell activity

Natural immine modulating factors

CLINICAL CONSIDERATION:
Consider testing for the presence of environmental chemicals and initiating cleansing therapy to mobilize them from the body.
Most of the persistent ubiquitous environmental toxins are immunosuppressive; clearing them will help the immune system to
recover.

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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INFERTILITY (FEMALE)
Diagnosis: Where pregnancy does not occur after one year of normal sexual activity without contraceptive use.
THERAPEUTICS:
Bio-GYN
Phosphatidyl Choline
Folacal
Vitamin C

DOSAGE:
2 caps bid
1 cap tid
1-3 caps daily
1000 mg bid-tid

Pyridoxal 5-Phosphate
B-Complex #1
E-500

2 caps bid
1 cap bid
1 cap bid

IF IRON DEFICIENCY IS A CAUSE:


Ferrasorb
1 cap tid

MECHANISMS:
Enhance ovarian & pituitary function
Softens the ovarian cortex in ovulation
Deciency may cause infertility
Enhances growth of ovarian follicle; may
enhance effects of fertility drugs
Increase progesterone; enhance pituitary hormone secretion
Boosts ovulatory function and reduces lipid peroxidation
Boosts ovulatory function and reduces lipid peroxidation

Iron deciency may cause infertility

CLINICAL CONSIDERATION:
Consider testing for the presence of environmental chemicals and initiating cleansing therapy to mobilize them from the body.
Many of the persistent ubiquitous environmental toxins have been associated with infertility; clearing them will help the
endocrine system to recover.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

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INFERTILITY (MALE)
Diagnosis: Inability to produce viable sperm in sufcient quantity.
THERAPEUTICS:
DOSAGE:
L-Carnitine
3 caps bid-tid
Zinc (citrate or picolinate) 30-90 mg daily
Vitamin C
Copper picolinate
E-500 or Ultimate-E
Phytisone
Basic Pygeum Herbal

500-1000 mg daily
1 cap daily-bid
1 cap daily
2 caps bid
2 caps bid

Anti-Oxidant
Methylcobalamin
Folacal
Glutathione
Phytisone
Basic Pygeum Herbal

2 caps bid
1 cap daily
1-2 caps daily
150 mg tid
2 caps bid
2 caps bid

Calcium d-Glucarate and/or 1 cap bid


Lactobacillus sporogenes
Perfusia-SR
3 caps bid

MECHANISMS:
Involved in sperm maturation; increase sperm motility
Deciency associated with decreased testosterone and
decreased sperm count
Improve sperm quality & number
If using high prolonged doses of zinc
Increase sperm motility; decrease lipid peroxidation
Normalize HPA axis
Improve quality and quantity of seminal uid (note: useful
if alkaline phosphatase is reduced)
Selenium & glutathione important constituents of sperm
Important for cellular replication
Important for cellular replication
Antioxidant, Increases sperm motility
Normalize HPA axis
Improve quality and quantity of seminal uid (note: useful
if alkaline phosphatase is reduced)
Enhance excretion of estrogen if estrogen levels are high
Helps maintain an erection by increasing circulation
(see ERECTILE DYSFUNCTION)

CLINICAL CONSIDERATION:
Consider testing for heavy metal exposure. Avoid 100% synthetic or synthetic blend material briefs.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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INFLAMMATION
Diagnosis: Pain, redness, and swelling in response to injury. Increased leukocyte counts with possible fever of unknown origin.
THERAPEUTICS:
Phytoprofen
Curcumin
M.F. Bromelain or
Double Strength Bromelain
Omega Plus or
Krill Oil

DOSAGE:
2 caps tid
1-2 caps bid
1-2 caps bid-tid

MECHANISMS:
Inhibits pro-inammatory leukotrienes & prostaglandins
Potent anti-inammatory avonoid
Reduces pro-inammatory prostaglandin formation

2 caps bid-tid
1 cap bid

MediClear

Varies

Reduces pro-inammatory prostaglandin formation


Decrease inammation by enhancing anti-inammatory
prostaglandin formation
For chronic inammation; See MediClear Brochure

NOTES: _______________________________________________________________________________________________________
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INFLUENZA (see COLDS, ACUTE & INFLUENZA)

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INJURY/SURGERY/TRAUMA
Diagnosis: Bodily injury from various causes including accidents or surgery.
THERAPEUTICS:
Traumogen

DOSAGE:
3 caps qid

Phytoprofen
Arnica 30c or 200c

3 caps tid
2-4 pellets prn

IF NOT TAKING PHYTOPROFEN:


M.F. Bromelain* or
1-2 caps tid
Double Strength Bromelain* 2 caps tid
OTHER CONSIDERATIONS:
Collag-En
1-2 caps bid
Diosmin-HMC
Ascorbic Acid
Ginger tea
Organic Colostrum
Perfusia-SR

2 caps tid
1 gm tid
as needed
5 tsp 3-6 times daily
3 caps bid

MECHANISMS:
Support for epithelial & collagen healing;
anti-inammatory; use before and after surgery
If signicant inammation is present; use after surgery
Homeopathic remedy for trauma

Decreases inammation and bruising

Provides additional support especially if injury


is to a ligament or tendon
Edema & lymphedema; post-mastectomy or other surgery
Supports collagen repair
Decreases post operative nausea
Reduce chances of endotoxemia in abdominal surgery
Reduces risk of post-operative infection; accelerates wound healing

*Excessive intake of bromelain may cause irritation


CLINICAL CONSIDERATIONS:
1. Traumeel or Arnica gel (if skin is not broken) topically for symptom relief (see Vendor Listings)
2. TEM patches topically for symptom relief (see Vendor Listings)

NOTES: _______________________________________________________________________________________________________
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INNER EAR DISORDERS (see MENIERES SYNDROME)

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INSOMNIA
Diagnosis: Sleeplessness of several nights in succession with possible added symptoms of depression.
THERAPEUTICS:
Melaton-1,3, or 5
Sedaplus
Theanine
5-HTP*
Niacinamide
Methyl-Guard
Methylcobalamin

DOSAGE:
1 cap 1/2 hr.
before bed
2-4 caps 1/2 hr.
before bed
1-2 caps before bed
1 cap 30-60 min
before bed
1 cap @ bedtime
1-2 caps daily
3 caps daily

MECHANISMS:
Chronobiotic; maintains normal circadian rhythms
Calming, sedative herbs
Increases alpha brain wave activity; promotes relaxation
Enhance serotonin which enhances melatonin
For those who wake & cant get back to sleep
Cofactors for melatonin and serotonin synthesis
Combine with AM bright light to normalize circadian rhythms

*5-HTP will normally help within one week if it is going to be helpful with insomnia.
See patient handouts Circadian Rythms and/or Sleep
NOTES: _______________________________________________________________________________________________________
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INSULIN RESISTANCE
A common feature and possible contributing factor to several health problems, including: type 2 diabetes mellitus, polycystic ovary
disease, hyperlipidemia, hypertension, cardiovascular disease, sleep apnea, obesity, and some hormone-sensitive cancers.
Diagnosis: Central obesity is a common characteristic. High post-prandial blood glucose. High serum insulin levels.
(see also BENIGN HEPATIC STEATOSIS)
THERAPEUTICS:
Magnesium Citramate
UltraChrome-500
Vanoxyl 5
Glycotone
Siliphos
Calcium Citramate
Potassium Citrate
Zinc picolinate
Thiocid-300
Co-Q-100
Medibulk
Perfusia-SR

DOSAGE:
2 caps bid-tid
1 cap daily-bid
1 cap tid
2 caps tid
1 cap bid
2 caps bid-tid
3 caps bid
1 cap bid
1 cap bid
1 cap daily
1/2-2 scoops daily
3 caps bid

MECHANISM:
Treats deciency; improves insulin sensitivity
Improves insulin sensitivity
Improves insulin sensitivity
Improve glucose disposal
Silymarin reduces insulin resistance
Improves insulin sensitivity
Treats deciency
Treats deciency; improves insulin sensitivity
Improve insulin sensitivity
Improve insulin sensitivity
High ber associated with improved insulin sensitivity
Improves insulin sensitivity

CLINICAL CONSIDERATIONS:
Peripheral insulin resistance is probably related to reduced hepatic function and a decreased ability of the liver to metabolize
insulin. Investigate and treat liver, if necessary.
NOTES: _______________________________________________________________________________________________________
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INTERMITTENT CLAUDICATION
Diagnosis: Intermittent symptoms of pain, weakness & circulatory impairment in distal lower extremity arteries. Femoral pulses are
absent or weak, distal pulses are absent.
THERAPEUTICS:
Niasafe-600
E-500 or Ultimate-E*
Perfusia-SR

DOSAGE:
1-2 caps tid
1 cap daily-bid
3 caps bid

GB-24 or GB-250*
Diosmin-HMC
Policosanol*
Super EPA
L-Carnitine
Methyl-Guard
Vinpocetine*

1 cap tid
2 caps bid
1-2 caps bid
1-2 caps tid
3-4 caps bid
2 caps tid
1 cap tid

MECHANISMS:
Vasodilation
Blood thinning; decrease clot formation
Improves endothelium-dependent vasodilation for improved
peripheral circulation
Antioxidant; vasodilation
Increases microcirculation and improves capillary integrity
Improves walking distances
Decreases platelet stickiness
Improves walking distances
If hyperhomocysteinemia is present
Improve circulation

* Do not use if patient is on blood thinning medication


NOTES: _______________________________________________________________________________________________________
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INTERSTITIAL CYSTITIS
Diagnosis: Often a diagnosis of exclusion. NIH diagnostic criteria for IC includes at least one of the following cystoscopic ndings and
subjective symptoms. Cystoscopic ndings; diffuse glomerulation in at least 3 quadrants of bladder or a Hunners ulcer. Symptoms;
pain associated with bladder or urinary urgency.
THERAPEUTICS:
Perfusia-SR

DOSAGE:
3 caps bid

MSM-750

2 caps bid

Glucosamine Chondroitin
Quercetone
Moducare

1 cap tid
2 capsules tid
1 cap tid

MECHANISMS:
Biologic precursor nitric oxide (NO); several studies have noted
clinical improvements in pain, urinary frequency, and other IC
symptoms with oral arginine supplementation
May be due to its ability to release and deplete substance P from the
bladder wall.
Substrate for GAG layer in bladder wall.
Stabilize mast cells.
Immunomodulation and buffering of negative stress response.

CLINICAL CONSIDERATIONS:
This is an extremely painful and debilitating condition. Combining several different therapies is often necessary before patients
have signicant symptom relief and tissue repair.

LABORATORY CONSIDERATIONS:
Food Allergy testing indicated.
NOTES: _______________________________________________________________________________________________________
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INTESTINAL HYPERPERMEABILITY (Increased Gut Permeability)


Diagnosis: Increased gut permeability diagnosed via varied methods, including ingestion of a lactulose/mannitol solution and assessment of urinary clearance of these molecules, or measurement of antibodies to gut-derived microorganisms.
THERAPEUTICS:
Medi-Clear
Perma-Clear

DOSAGE:
Varies
3 caps bid

L-Glutamine Powder
Organic Colostrum

1-2 scoops bid


5 tsp tid

MECHANISMS:
See Medi-Clear Brochure (Thorne Research)
Provides glutamine, antioxidants, and probiotics to heal gut, correct
hyper-permeability
Provides fuel for small intestine mucosal cells- heals gut
Contains growth factors that stimulate repair in NSAID-induced gut
damage

CLINICAL CONSIDERATIONS:
Intestinal hyper-permeability is correlated with inammatory bowel disease, celiac disease, food allergy, HIV/AIDS, ankylosing
spondylitis, asthma, atopic dermatitis (eczema), rheumatoid arthritis, urticaria, and alcoholism.

LABORATORY CONSIDERATIONS:
Lab testing for intestinal hyperpermeability can be conducted via a number of specialty labs (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
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IRRITABLE BOWEL SYNDROME


Diagnosis: Abdominal pain relieved by defecation. Associated with bowel habit change such as altered stool frequency and/or passage of mucous in stool.
THERAPEUTICS:
GI-Encap
Perma-Clear
Or
Lactobacillus Sporogenes
MediClear

DOSAGE:
2 caps with meals
2 caps tid

MECHANISMS:
Mucilaginous; support healthy gut mucosa
Improve gut permeability; enhance gut ora

1 cap bid
Varies

Normalize GI Flora
See MediClear Brochure (Thorne Research)

CLINICAL CONSIDERATION:
1. Stress management and sympathetic/parasympathetic nervous system balance can be critical considerations.
2. Appropriate Blood Type Diet (available in Live Right 4 Your Type) and/or hypo-allergenic diet (see patient handout HypoAllergenic Diet) can improve IBS in many individuals.
3. Elimination of sensitive or allergic foods which increase bowel inammation.
LABORATORY CONSIDERATION:
Consider Comprehensive Stool Analysis (see Laboratory Listings)
NOTES: _______________________________________________________________________________________________________
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KIDNEY STONES (see RENAL CALCULI)

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LEAKY GUT SYNDROME (see INTESTINAL HYPERPERMEABILITY)

LEARNING DISORDER
Diagnosis: Inability to comprehend or retain information due to central lesion or a chemical imbalance in the cerebrum.
THERAPEUTICS:
Nutri-ADD
DHA

DOSAGE:
1-2 caps bid-tid
1 cap qd-tid

Phosphatidyl Choline

2 caps tid-qid

Childrens Basic Nutrients

1-2 caps tid

MECHANISMS:
Improve memory and concentration
DHA is a key EFA in brain & retina; dyslexics tend
to have low levels in cell membranes
Improve memory and speed learning due to
enhanced cholinergic activity
Corrects deciencies

CONSIDER:
Bacopa
L-Tyrosine
5-HTP
Glutamine
Methyl-Guard

1 cap daily-bid
(up to 6 grams)
1 cap tid
1-3 grams
2 caps bid

Improve learning by enhancing nerve cell transmission


Substrate for neurotransmitters
Substrate for neurotransmitters
Substrate for neurotransmitters
Cofactors for neurotransmitter synthesis

CLINICAL CONSIDERATION:
1. Sugars, rened carbohydrates, food additives including MSG and all articial colorings, avorings, and dyes can contribute
in susceptible individuals.
2. Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet). This might help identify foods that are
triggering behavioral problems.
3. Adequate sleep quantity and quality are critical for learning and behavior.
4. Check for Environmental Toxins lead, mercury.
5. Check for iron deciency
LABORATORY CONSIDERATIONS:
1. Glucose Tolerance Test to determine sugar/carbohydrate handling capability
2. Food Allergies (see Laboratory Listings) with elimination of foods as appropriate
NOTES: _______________________________________________________________________________________________________
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LEUKOPLAKIA
Diagnosis: White plaque or patch on oral mucosa, usually considered precancerous. Diagnosis by biopsy.
THERAPEUTICS:
Beta Carotene or
Vitamin A*
E-500 or
Ultimate-E
Curcumin
Vitamin C
Glycgel

DOSAGE:
2 caps tid
1 cap daily
1 cap daily

MECHANISMS:
Enhance epithelial cell differentiation (avoid if smoker)
Enhance epithelial cell differentiation
Antioxidant; prevents cancer

2 caps bid
1000 mg
apply topically

Histological improvement noted in some cases


Antioxidant; prevents cancer

* Use of high doses may be toxic if used for prolonged periods; monitor liver enzymes. Use of greater than 10,000 IU
daily should be avoided in any female with possibilty of pregnancy
NOTES: _______________________________________________________________________________________________________
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LOW BACK PAIN (see BACKACHE)

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MACULAR DEGENERATION
Diagnosis: A gradual progressive bilateral visual loss due to atrophy and degeneration of the outer retina, retinal pigment epithelium,
and chorio-capillaries. Age-related condition.
THERAPEUTICS:
Ocu-Clear
Vacimyr
OPC-100

DOSAGE:
2 caps tid
1 cap bid
1 cap bid

MECHANISMS:
Strengthens retinal integrity; decreases oxidative stress
Decreases capillary permeability; membrane stabilization
Polyphenols enhance retinal integrity

CLINICAL CONSIDERATION:
Ensure patient consumes large amounts of pigmented fresh fruits and vegetables, especially foods high in lutein and zeaxanthin
(corn, orange peppers, kiwi, grapes, green leafy vegatables, zucchini, orange juice, yellow squash, egg yolk)
NOTES: _______________________________________________________________________________________________________
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MASTITIS (ACUTE INFLAMMATORY POST-PARTUM)


Diagnosis: Inammation of discrete areas of the breast in a lactating woman, accompanied by fever and chills.
THERAPEUTICS:
Phytogen
Vitamin C
Phytoprofen

DOSAGE:
2 caps tid-qid
1000 mg tid
2 caps tid

MECHANISMS:
Anti-microbial; enhances immunity
Boosts immunity
Anti-inammatory

*Hot packs applied to breast and hand expression to keep breast empty. Do NOT discontinue breastfeeding.
NOTES: _______________________________________________________________________________________________________
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MEMORY IMPAIRMENT (see also ALZHEIMERS DISEASE)


Diagnosis: Acquired persistent forgetfulness (in the absence of depression ) and inattentiveness. Age-related condition.
THERAPEUTICS:
DOSAGE:
Citicoline
1-2 caps bid
Memoractiv or
1-2 caps tid
take individual ingredients
INDIVIDUAL INGREDIENTS:
IsoPhos
1 cap tid
Carnityl
1-2 caps tid
Vinpocetine*
1 cap tid
GB24 or 250*
1-2 caps tid
Bacopa
1 cap bid

MECHANISMS:
Protects neurons from degeneration for enhanced memory
Enhances cognitive function and memory

Antioxidant; increases neuronal function


Antioxidant; increases neuronal function
Antioxidant; increases circulation
Antioxidant; increases circulation
Improve memory by enhanced nerve cell transmission

*See also Alzheimers for additional considerations


*Avoid if on blood-thinning medication
NOTES: _______________________________________________________________________________________________________
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MENIERES SYNDROME (Endolymphatic hydrops)


Diagnosis: Vertigo from distention of the endolymphatic compartment of inner ear.
THERAPEUTICS:
Planti-Oxidants

DOSAGE:
2 caps bid-tid

Perma-Clear

2 caps tid

MECHANISMS:
Reduces hyperpermeability of vasculature; avonoids
have been found benecial for Menieres
Menieres has been associated with response to antigen
challenge (food allergies); Perma-Clear decreases gut
permeability to antigens

NOTES: _______________________________________________________________________________________________________
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MENOPAUSE
Diagnosis: Cessation of menses due to aging or to bilateral oophorectomy. Hot ushes and night sweats seen in 80% of women in
menopause.
THERAPEUTICS:
Meta-Fem

DOSAGE:
4 caps bid

Meta-Balance
HMC-Hesperidin
Soy Isoavones
Ultimate E

2 caps bid
1-2 caps bid
1-2 caps daily
1 cap bid

IF TENDENCY FOR UTIS ADD:


Uristatin
1 cap daily (to prevent)
Vacimyr
1 cap daily

MECHANISMS:
Basic multiple for women of menopausal, peri- or post
menopausal age
Phytoestrogenic & progesterogenic botanicals & nutrients
Vasomotor stabilization (for hot ashes)
Phytoestrogenic; decreases hot ashes
Decreases hot ashes

Promotes host defense mechanisms


Promotes host defense mechanisms; prevents bacterial
attachment to bladder wall

FOR VAGINAL DRYNESS


Estriol/progesterone cream or suppositories (follow directions from compounding pharmacy) see vendor list
Vitamin E suppositories (Wise Woman) one nightly for two weeks followed by one twice/week
LABORATORY CONSIDERATIONS:
Testing for FSH, LH, estrogens, progesterone, and testosterone should be considered (through most commercial labs).
NOTES: _______________________________________________________________________________________________________
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MENORRHAGIA
Diagnosis: Excessive uterine bleeding the period of ow being greater than usual duration and amount. Consider: thyroid abnormality, uterine broids or cancer, and treat if needed.
THERAPEUTICS:
Nutri-Fem

DOSAGE:
4 caps bid

Vitamin C w/ Flavonoids

2 caps bid

MECHANISMS:
May be associated with specic nutrient deciency
including iron (either as a cause or effect)
Increases capillary integrity

IF EXCESSIVE BLOOD LOSS RESULTS IN ANEMIA ADD:


Ferrasorb
1-3 caps daily
Nutritional cofactors for RBC formation
Lactobacillus Sporogenes
1 cap daily
Enhances cofactor absorption
NOTES: _______________________________________________________________________________________________________
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MIGRAINE
Diagnosis: Periodic, severe, throbbing pain , frequently unilateral and often over the eye. Photophobia may be present and vomiting is
not unusual. Visual problems such as ashing lights may be experienced.
THERAPEUTICS:
DOSAGE:
Petadolex
1 cap bid
Riboavin-5-phosphate
2-4 caps bid
5-HTP*
1 cap bid
* Use with caution in cases of diabetes.
Black Currant Oil or
1 cap tid
Super EPA or
1-4 caps tid
Krill Oil
1 cap bid
B Complex #6
1 cap daily
Rhodiola
1 cap bid
Medi-Clear
Varies

MECHANISMS:
Maintain cerebral smooth muscle tone
Mechanism unknown
Replenishes serotonin levels and modulates pain
Enhances anti-inammatory prostaglandin synthesis
Enhances anti-inammatory prostaglandin synthesis
Enhances anti-inammatory prostaglandin synthesis
Inhibit proinammatory leukotriene synthesis
Increase brain sertotonin levels
See Medi-Clear Brochure (Thorne Research)

CLINICAL CONSIDERATIONS:
1.Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet). In some individuals elimination of offending
foods can substantially decrease migraines.
2.I.V. magnesium (1 gram) can be helpful in terminating an acute migraine attack.
3.Appropriate exercise can reduce the frequency and severity of migraines among some individuals.
4.Ensure patient is receiving adequate quantity and quality of sleep.(Note: they should be able to awaken rested without alarm)
5.Acupuncture can often times be very helpful with migraines.
NOTES: _______________________________________________________________________________________________________
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MISCARRRIAGE, HABITUAL
Diagnosis: Repeated loss of the products of conception from the uterus before the fetus is viable.
THERAPEUTICS:
Basic Prenatal
Bio-GYN

DOSAGE:
1 cap tid
2 caps tid

Methyl-Guard

3 caps bid

MECHANISMS:
Basic nutritional support
Supportive for female reproductive system; Aletris has a
long history of use for preventing miscarriage
Lower homocysteine levels. High levels
increase risk of miscarriage

NOTES: _______________________________________________________________________________________________________
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MITRAL VALVE PROLAPSE


Diagnosis: Nonspecic chest pain, dyspnea, fatigue or palpitation. Often a mid-systolic click is heard. Echocardiography may conrm
diagnosis. Most patients are female, many are thin. Severe cases of regurgitation will require surgery.
THERAPEUTICS:
Q10 Plus

DOSAGE:
1-2 caps tid

L-Carnitine
Taurine

2-3 caps tid


2 caps tid

MECHANISMS:
Cardiac tonic; CoQ10 & magnesium have both been
effective in clinical studies
Provide energy to the myocardium via fatty acid metabolism
Addresses brillation which might result

NOTES: _______________________________________________________________________________________________________
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MONONUCLEOSIS, INFECTIOUS (see EPSTEIN BARR VIRUS INFECTION)

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MULTIPLE SCLEROSIS
Diagnosis: Progressive demyelinating CNS disease with remissions and exacerbations of multiple symptoms such as: optic neuritis,
diplopia, weakness in leg or hand, paresthesias, gait disturbances, vertigo, etc.
THERAPEUTICS:
Anti-Oxidant
Omega Plus or
Krill Oil
Perma-Clear

DOSAGE:
2 caps bid
2 caps tid
1 cap bid
2 caps tid

IsoPhos
DHA
5-HTP
MF Bromelain
Dipan-9
Methyl-Guard
Lactobacillus sporogenes
Moducare

1 cap tid
1 cap tid
1-2 caps tid
1 cap tid between meals
2 caps tid between meals
1 cap daily-bid
1 cap bid
2 caps tid for 1 week;
then 1 cap tid between meals

MECHANISMS:
Decreases oxidative stress
Offsets faulty lipid metabolism
Correct EFA deciency
Food allergies often associated with attacks
on the myelin
sheath
Important nerve phospholipid
Offsets faulty lipid metabolism
Has been found to help cerebellar ataxia and improve speech
Proteolytic enzymes may destroy immune complexes
Proteolytic enzymes may destroy immune complexes
Corrects deciency of myelination cofactors
Corrects GI function and decrease gut derived antibodies
Decreases antibody production

CLINICAL CONSIDERATIONS:
1. If exacerbation coincides with seasonal allergies apply shea butter topically to nasal passages bid.
2. Consider heavy metal testing and treatment as mercury has been associated with this problem.
NOTES: _______________________________________________________________________________________________________
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MUSCLE CRAMPS
Diagnosis: Painful spasmodic muscle contractions often initiated by lack of proper circulation to the muscle involved.
THERAPEUTICS:
Myorel
Cal-Mag (citramate)
or Tri-Spartate if
potassium decient
L-Carnitine
Petadolex

DOSAGE:
2 caps tid
2 caps tid
1 cap tid

MECHANISMS:
Antispasmodic
Calcium & magnesium deciencies cause muscle
cramping

2 caps tid
1-2 caps tid

Muscle pain from over-exertion


Smooth muscle relaxant

NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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MUSCULAR DYSTROPHY
Diagnosis: Inheritable diseases with progressive weakness and degeneration of muscle bers. Elevated CPK and LDH enzymes,
muscle biopsy and EMG helpful in diagnosis.
THERAPEUTICS:
L-Carnitine
E-500
Bio-B12
Dipan-9
Co-Q-100

DOSAGE:
2 caps bid-tid
1 cap per day
1 cap tid
1 cap with each meal
1 cap bid

MECHANISMS:
Important nutrient for muscle cells

Improve mitochondrial energetics

CLINICAL CONSIDERATIONS:
There are potentially several other nutritional cofactors that might be of use:PAK, Lipoic Acid, B Complex #12, Idebenone.
NOTES: _______________________________________________________________________________________________________
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MYOPIA
Diagnosis: Near sightedness where the light entering the eye is brought in focus in front of the retina.
THERAPEUTICS:
Folacal
Calcium citramate

DOSAGE:
1 cap daily-bid
2 caps bid-tid

Ocu-Clear

2 caps bid-tid

MECHANISMS:
Folate has been associated with improvement in myopia
Calcium associated with strengthening of sclera in
progressive myopia
Enhance integrity of ocular tissue

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NEURALGIA
Diagnosis: Paroxysmal pain which extends along the course of one or more nerves. Many varieties of neuralgias are distinguished according to the part affected. Rule out heavy metal toxicity. If indicated see Heavy Metal Toxicity.
THERAPEUTICS:
Phytoprofen
Magnesium (citrate,
or citramate)
Basic B complex

DOSAGE:
2 caps bid-tid
2 caps bid-tid
1-2 caps tid

MECHANISMS:
Anti-inammatory, pain relief
For chronic nerve-related pain; NMDA receptor
antagonist; studies have only been done on IV
Corrects deciency

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NEUROPATHY (see DIABETES - NEUROPATHY SECTION)

NIGHT BLINDNESS
Diagnosis: Reduced visual acuity at night.
THERAPEUTICS:
Ocu-Clear
Vitamin A*
Vacimyr

DOSAGE:
2 caps tid
1 cap daily
1-2 caps tid

MECHANISMS:
Improve function of rods via rhodopsin
Correct a deciency
Flavonoids have afnity for rods

* Use of high doses may be toxic if used for prolonged periods; monitor liver enzymes. Use of greater than 10,000 IU
daily should be avoided in any female with possibility of pregnancy
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OBESITY (also see EATING DISORDERS and BENIGN HEPATIC STEATOSIS)


THERAPEUTICS:
GT-EX
5-Hydroxytryptophan
Hydrolyzed Whey Protein or
Medipro or
MediClear
Planti-Oxidants
Co-Q-100 or
Lipoquinone-100

DOSAGE:
2 caps tid
1-2 capsules in am
2 scoops bid or as
outlined in program

MECHANISMS:
Thermogenic effects
Decrease carbohydrate cravings
As a meal replacement or meal supplement

2 caps bid
1 cap daily

Decrease phosphodiesterase
Correct a deciency

CLINICAL CONSIDERATIONS:
Consider Diet Modication (see patient handouts General Diet)
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OSTEOPOROSIS
Diagnosis: a metabolic bone disease producing decrease in bone density and diminished bone strength.
THERAPEUTICS:
Oscap Plus

DOSAGE:
2 caps tid

Meta-Fem
Vitamin K2*
Lactobacillus sporogenes
Methylcobalamin

4 caps bid
15 drops tid
1 cap bid
3 caps daily

Methyl-Guard
Moducare

2 caps tid
1 cap tid

Ipriavone
(if not using Oscap Plus)

1 cap tid

MECHANISMS:
Bone building nutrients including calcium, magnesium,
vitamin D, and ipriavone
Basic nutritional support for women over 40
Stimulates bone formation; decreases hip fracture rate
Enhance absorption of calcium and bone growth cofactors
Normalize 24 hour rhythms of cortisol and bone
regeneration
Osteoporosis associated with high homocysteine levels
Normalize 24 hour rhythms of cortisol and bone
regeneration
Ipriavone enhances osteoblastic activity and decreases
osteoclastic activity

* Avoid in paitients on anticoagulant therapy


CLINICAL CONSIDERATIONS:
Ensure diet includes adequate quantities of green vegetables and cultured foods (cultured soy and cultured dairy).
LABORATORY CONSIDERATIONS:
1.Salivary Cortisol/DHEA (elevated nighttime cortisol can be indicative of disrupted circadian rhythms which would inuence
bone turnover) (see Laboratory Listings)
2.Consider an Osteoporosis risk evaluation (see Laboratory Listings)
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OTOSCLEROSIS
Diagnosis: a progressive disease which affects the bone surrounding the inner ear causing a conductive hearing loss.
THERAPEUTICS:
Ipriavone

DOSAGE:
2 caps tid

Calcium citramate

2 caps bid

MECHANISMS:
Decreases tinnitus associated with otosclerosis; improves
surgical outcomes
Reduces the otosclerotic lesion impingement on the cochlea

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PANCREATITIS
Diagnosis:
Acute: Most commonly associated with alcoholism or biliary disease (often gallstone blocking pancreatic duct). Severe, suddenonset, epigastric pain. Nausea and vomiting common. Temperature, pulse rate, WBCs are increased. Serum amylase can increase
dramatically in 3-6 hours. Serum hyperlipidemia, hypercalcemia common. Homocysteine can be present in urine.
Chronic: Often associated with alcoholism, with histological changes in pancreas from alcohol. Intermittent severe epigastric pain.
THERAPEUTICS:
Dipan-9
Anti-Oxidant
E-500
Planti-Oxidants
Phytoprofen
Pyridoxal 5-Phosphate
O.P.C.-100

DOSAGE:
2 caps tid w/food
3 caps bid
1 cap bid
2 caps bid
3 caps bid
1 cap tid
1 cap tid

MECHANISM:
To decrease need for pancreatic secretion
Antioxidants
Antioxidant
Plant-based antioxidants
Anti-inammatory
Decreases urinary homocysteine
Signicant pain relief in three case reports in chronic pancreatitis;
resolution of vomiting

CLINICAL CONSIDERATIONS:
1. In acute pancreatitis, it is important to rest the bowel; provide liquid-based food. Total parenteral IV nutrition may be
necessary.
2. Antacids help prevent pancreatic secretion.
LABORATORY CONSIDERATIONS:
CBC/SMAC- look for increased serum amylase, lipase, hypercalcemia, hyperlipidemia.
Ultrasound/CT/MRI can provide more denitive diagnosis.
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PARKINSONS DISEASE
Diagnosis: Symptomatic combinations of tremor, rigidity, bradykinesia, and progressive postural instability. Seborrheic dermatitis of
face and scalp is common.
THERAPEUTICS:
Extra Nutrients
Co-Q-100 or
Lipoquinone-100
Anti-Oxidant

DOSAGE:
2 caps tid
2-4 caps tid

Omega Plus

2 caps tid

1-2 caps bid-tid

GB24**
1 cap bid
Glutathione
1 cap qd - bid
or intravenous, 600 - 1,000 mg 3 times per week
Carnityl
1 cap bid-tid
Iso-Phos
1 cap tid
Thiocid or
1-2 cap tid
Thiocid-300
CystePlus
1 cap bid
NADH
5 mg bid
OTHER CONSIDERATIONS:
Basic B Complex
1-2 caps daily
L-Tyrosine*
100 mg/kg body weight
Niasafe-600
Taurine

1 cap bid
1-3 caps tid

MECHANISMS:
Correct deciency, antioxidants
Deciency may be associated with neurodegeneration
in Parkinsons; 600 - 1200 mg/day increases complex I activity
Reduce lipid peroxidation; increase glutathione levels, a
deciency of which is associated with oxidative damage in
the substantia nigra
GLA associated with decreased tremor in
Parkinsons; EPA/DHA reduce pro-inammatory cytokine
production
Increase cerebral blood ow
Perlmutter protocol
Protect substantia nigra; improve mitochondrial energetics
Component of mitochondrial membranes
Increase glutathione levels
Increase glutathione levels, antioxidant
Perlmutter Protocol
A number of the B vitamins become decient in PD
Increases dopamine; reduce rigidity
(Dont take with L-Dopa; competes)
L-Dopa causes niacin deciency
Low levels in brain of Parkinsons patients

*Warning: May counteract the effects of L-dopa when given without a decarboxylase inhibitor
**Avoid if taking blood thinning medication
CLINICAL CONSIDERATIONS:
Clinicians are having some success with the use of IV Glutathione
LABORATORY CONSIDERATIONS:
1. Consider testing for heavy metals, pesticides, and liver functional detoxication capability and detoxify if indicated
(see Laboratory Listings)
2. Consider testing for chemical antibodies and detoxify if indicated (see Laboratory Listings)
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PERIODONTAL DISEASE

(see GINGIVITIS)

PERIPHERAL VASCULAR DISEASE


Diagnosis: Heterogenous group of disorders characterized by pathological features of inammation and possible necrosis of blood
vessels in the periphery of the vascular system.
THERAPEUTICS:
GB-24*
Niasafe-600
E-500 or Ultimate-E
Perfusia-SR
Methyl-Guard
Planti-Oxidants
Venocap
Diosmin-HMC

DOSAGE:
2 caps tid
1-2 caps tid
1 cap daily-bid
3 caps bid
2 caps tid
1-2 caps bid
1 cap bid
1 cap bid

MECHANISMS:
Antioxidant; vasodilation; blood thinning
Vasodilation - intermittent claudication
Blood thinning; Antioxidant
Vasodilation - intermitten claudication
If hyperhomocysteinemia is present
Improve venous tone in chronic venous insufciency
Astringent; for venous insufciency
Astringent; for venous insufciency

*Avoid if taking blood thinning medication


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PHARYNGITIS
Diagnosis: Upper respiratory tract infection with hoarseness, cough, and coryza. Group A -Hemolytic Streptococci is
frequently the etiological agent.
THERAPEUTICS:
Phytogen
GARGLE RECIPE:
Buffered C Powder
Myco-Immune
Zinc Sulfate

Zinc lozenges*

Organic Colostrum

DOSAGE:
2-4 caps tid-qid

MECHANISMS:
Antimicrobial

1/2 tsp in warm water


plus 2 dropperfulls
plus 1 TBL
and gargle

Antimicrobial, immune boosting.

1 lozenge q 2 hr at
beginning of
infection
1 tsp daily-bid

Use lozenges w/o sorbitol, mannitol, or citric acid

Natural immune factors with antimicrobial activity

*This high dose of zinc is for short-term use only (3-5 days)
CLINICAL CONSIDERATIONS:
If positive for streptococcus infection antibiotic treatment is the standard of care (administer L. sporogenes 2 caps bid and
bromelain 1 cap qid in conjunction with antibiotics if they are used).
LABORATORY CONSIDERATIONS:
Ensure a throat culture is obtained and test for streptococcus infection.
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PNEUMONIA
Diagnosis: Acute infection of the parenchyma of the lung. Diagnosis by physical exam with dyspnea, productive cough and signs of
consolidation: conrmation with chest x-ray and sputum culture.
THERAPEUTICS:
Phytogen
Beta Carotene
Vitamin A*
IM-Encap
Organic Colostrum

DOSAGE:
2-4 caps qid
2 cap bid
2 caps bid for
one week
1 cap qid
1 tsp daily-tid

MECHANISMS:
Antimicrobial
Antioxidant; afnity for lung tissue
Immune boosting; afnity for epithelial tissue in lung
Immune system enhancing effects
Natural immune factors with antimicrobial activity

* Use of high doses of vitamin A may be toxic if used for prolonged periods; monitor liver enzymes. Use of greater
than 10,000 IU daily should be avoided in any female with possibility of pregnancy

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PREECLAMPSIA
Diagnosis: Onset of symptoms in third trimester of pregnancy. Symptoms can include hypertension, proteinuria, headaches, generalized edema, visual disturbances, and epigastric pain.
THERAPEUTICS:
Magnesium (aspartate,
citrate, citramate)
Calcium citramate
Pyridoxal 5 Phosphate
Super EPA or
Krill Oil
E-500 or
Ultimate-E
Ascorbic Acid 500 mg

DOSAGE:
1 cap bid-tid

MECHANISMS:
Preventive

2 caps bid
1 cap daily
2 caps bid
1 cap bid

Preventive
Preventive; correct a deciency
Preventive
Prevent EFA deciency

1 cap qd
1 cap bid

Decreases rate of preeclampsia


Decreases rate of preeclampsia

CLINICAL CONSIDERATION:
Ensure a balanced diet with adequate quantity of protein is consumed during pregnancy. Adequate protein intake throughout
pregnancy might help prevent preeclampsia. Do not restrict sodium.
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PREMENSTRUAL TENSION SYNDROME (PMS)


Diagnosis: Recurrent, variable cluster of troublesome physical and emotional symptoms which develop 7-14 days before the onset of
menses and subside when the menses begins. Note: Check for low thyroid function and correct if needed.
THERAPEUTICS:
Bio-PMT
Black Currant Oil or
Krill Oil

DOSAGE:
2 caps bid; last 2
weeks of cycle
2 caps bid
1 cap bid

Nutri-Fem

4 caps bid

Liver Cleanse
Lactobacillus Sporogenes
5-Hydroxytryptophan

1 cap daily
1 cap bid
1 cap tid
pre-menstrually
2-4 caps bid
from ovulation
continue thru ow
1-2 scoops daily
from mid-cycle
thru menses

GB24

Calcium-Magnesium
Citrate Powder

MECHANISMS:
Aid in hormone balancing & metabolism
Decrease inammatory prostaglandins
Study found better improvement in symptoms of PMS and
dysmennorhea when compared to standard sh oil.
Basic nutritional supplement for women of childbearing age.
Promote bile ow and hepatic estrogen elimination
Normalize GI ora; enhance fecal elimination of estrogen
Reduce anxiety / depression
Reduces uid retention; start at ovulation and continue through ow

Decreases symptoms of PMS; improves mood; decreases cramping

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PSORIASIS
Diagnosis: Dry, well-circumscribed silvery, scaly plaques, characteristically on the scalp, extensor surfaces of extremities, back and
buttocks.
THERAPEUTICS:
DOSAGE:
Omega Plus or Super EPA 2 caps tid
Coleus forskohlii
1 cap bid-tid
Lactobacillus Sporogenes 1 cap bid
Siliphos
1 cap bid
Folacal
Vitamin C
Vitamin A*
Pyridoxal 5-Phosphate
Zinc picolinate or citrate
Magnesium citrate or
Magnesium citramate
SF722

2 caps tid
1000 mg daily
1-2 caps daily
1 cap qd-bid
15-30 mg daily

Liver Cleanse
Moducare **
Planti-Oxidants

1 cap bid
1 cap tid
2 caps bid-tid

1 cap bid
2 caps tid

MECHANISMS:
Omega 3 fatty acids enhance benecial prostaglandins
Increases cyclic-AMP, decreases
plaque formation
Decrease ODC (lower polyamines)
Improves liver function, inhibits inammation, and reduces excessive
cellular proliferation
Inhibit ODC and polyamines
Inhibit xanthine oxidase
Decrease polyamines
Co-factor for desaturase enzymes
Co-factor for desaturase enzymes
Co-factor for desaturase enzymes
Aids in establishing healthy gut ora and removes toxins
which contribute to the skin disease.
Promote improved liver function
Normalize HPA axis
Decrease phosphodiesterase to increase cAMP.

*May need to take toxic doses to be effective


**May open capsule, mix with lotion and apply topically
CLINICAL CONSIDERATIONS:
1. Consider Hypo-Allergenic Diet (see patient handout Hypo-Allergenic Diet)
2. You may also mix Moducare with lotion and apply topically.
3. Consider supplementation with Dipan-9 (2 caps with meals) if any digestive disruption or symptoms of irritable bowel are
evident.
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RAYNAUDS PHENOMENON / SYNDROME


Diagnosis: Primary or idiopathic form of paroxysmal digital cyanosis, precipitated by cold or occasionally by emotional upset. The
thumb is rarely affected.
THERAPEUTICS:
Niasafe-600
GB-24*
Perfusia-SR
E-500 or
Ultimate-E
Omega Plus or
Krill Oil

DOSAGE:
1-2 caps bid
1-2 caps bid
3 caps bid
1 cap daily

MECHANISMS:
Vasodilation
Enhances circulation
Vasodilation
Enhances circulation

2 caps tid
1 cap bid

Corrects deciency
Corrects EFA deciency

CLINICAL CONSIDERATIONS:
If associated with autoimmune processes consider Moducare (1 cap tid) and Omega Plus (2 caps tid)
LABORATORY CONSIDERATIONS:
Consider immune testing for antinuclear antibodies (ANA) and other markers of autoimmune processes.
*Avoid if taking blood thinning medication
NOTES: _______________________________________________________________________________________________________
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RENAL CALCULI (CALCIUM OXALATE/URIC ACID)


Diagnosis: Severe ank pain radiating to the anterior lower quadrant if stone is lodged in the ureter. May be asymptomatic if lodged in
renal pelvis. Hematuria is common.
THERAPEUTICS:
Renaplex

DOSAGE:
2-4 caps tid

MECHANISMS:
Prevents stone formation; relaxes ureters

CLINICAL CONSIDERATIONS:
1. Correct insulin resistance if patient presents with abdominal obesity.
2. Ensure patient drinks adequate water.
3. Consider Low Purine Diet to reduce uric acid (see patient handout Low Purine Diet)
4. Consider low oxalate diet.
LABORATORY CONSIDERATIONS:
Perform serum/urine tests for hypercalcemia to rule out parathyroid hormone increase, as well as serum uric acid levels to
conrm type. X-ray diagnosis to identify size and location of stone.
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RETINITIS PIGMENTOSA
Diagnosis: Progressive loss of retinal response with retinal atrophy and clumping of the pigment, with contraction of the eld of vision.
Frequently hereditary.
THERAPEUTICS:
Vitamin A*
Taurine

DOSAGE:
1 cap daily
2 caps bid

MECHANISMS:
Overcome disturbed utilization of retinol
Overcome deciency of cellular uptake

* Use of high doses may be toxic if used for prolonged periods; monitor liver enzymes. Use of greater than 10,000 IU
daily should be avoided in any female with possibilty of pregnancy
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SCHIZOPHRENIA
Diagnosis: Psychotic disorders with syndromes manifested by massive disruption of thinking, moods, and overall behavior. It is considered to be brought on by multifactorial causes.
THERAPEUTICS:
*Niasafe-600 or
*Niacinamide
Pyridoxal 5 Phosphate
Ascorbic Acid
Glycine
Inositol

DOSAGE:
1-2 caps bid

MECHANISMS:
Effective for early & acute schizophrenics

1 cap bid
To bowel tolerance
0.8 mg/kg body wt.
Up to 10g a day

Corrects deciencies in the brain


Schizophrenics tend to have poor utilization of Vitamin C
Potentiate NMDA receptor
Mechanism unknown

*Check liver enzymes periodically


CLINICAL CONSIDERATIONS:
1. Rule out heavy metal toxicity.
2. Ensure patient consumes a balanced, calorie adequate diet (carbohydrate, fat, and protein are all required in the diet to
properly nourish the CNS). Sustained (4-6 months) calorie restriction even by as little as 200-400 calories per day can induce
psychotic behavior in susceptible individuals.
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SCLERODERMA
Diagnosis: Diffuse thickening of skin with telangiectasia and areas of increased pigmentation and depigmentation. Raynauds phenomenon in 90% of these patients.
THERAPEUTICS:
Moducare
E-500
Black Currant Oil

DOSAGE:
1 cap tid between meals
1 cap daily-tid
2 caps tid

MECHANISMS:
Decrease antibody production
Stabilize lysosomal membranes
Increase benecial prostaglandins

NOTES: _______________________________________________________________________________________________________
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SINUSITIS (MAXILLARY)
Diagnosis: This largest paranasal sinus is most commonly involved. Pain and pressure over the cheeks are the usual symptoms. Pain
may refer to the upper incisor and canine teeth via the 5th cranial nerve. Sinusitis may include a nasal discharge, usually thick, ropy,
and yellow, green, or brownish (tinged with blood).
THERAPEUTICS:
Phytogen
Arabinex or
Moducare
QC Nasal Spray
MSM
Quercetone or Hesperidin
Shea Butter (topically)
SF722
Organic Colostrum

DOSAGE:
2-4 caps bid-qid
1 scoop daily-bid
1 cap tid between meals
1-2 sprays in each
nostril as needed
2 caps bid
2 caps tid
as desired
4-6 cap qid for
30 days
1-2 tsp. daily

MECHANISMS:
Antimicrobial (during acute episode)
Boost immunity
Increase NK cell activity
Antihistamine
Decreases inammation; seems to have an afnity for nasal mucosa
Antihistamine
Shrink inamed nasal membranes
Chronic sinusitis often concomitant with fungal
overgrowth
Natural immune factors with antimicrobial activity

CLINICAL CONSIDERATIONS:
May mix berberine (Berbercap) with Shea Butter and apply to nasal passage
LABORATORY CONSIDERATIONS:
Culture and biopsy should be conducted for chronic sinusitis to determine whether fungal or bacterial organism is involved.
NOTES: _______________________________________________________________________________________________________
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SPRAINS
Diagnosis: Joint injury where some of the bers of a supporting ligament are ruptured but the continuity of the ligament remains intact.
THERAPEUTICS:
DOSAGE:
MECHANISMS:
*Collag-en or
2 cap bid
Nutrients for connective tissue repair
*Traumogen
3 caps qid
Nutrients for connective tissue repair
Phytoprofen
2 caps bid-tid
Anti-inammatory
Vitamin C
To bowel tolerance
Connective tissue repair
*Use Traumogen rst few weeks; then Collag-en to strengthen the connective tissue for the next several months.
CLINICAL CONSIDERATIONS:
1. Homeopathic Arnica 30c followed by Ruta 30c after initial shock, swelling, and bruising have subsided.
2. Traumeel or Arnica Oil (if skin is not broken) topically for symptom relief (See Vendor Listings)
3. TEM patches topically for symptom relief (See Vendor Listings)

NOTES: _______________________________________________________________________________________________________
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STROKE (see CEREBROVASCULAR INSUFFICIENCY)

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SYSTEMIC LUPUS ERYTHEMATOSIS (SLE)


Diagnosis: Inammatory auto immune disorder which may inict multiple organ systems. Its clinical signs are thought to be secondary
to the build-up of antigen-antibody complexes in the capillaries of the visceral structures.
THERAPEUTICS:
Moducare

DOSAGE:
1 cap tid between
meals after loading
dose of 2 tid for
one week
DHEA (Dehydrone-15)
100 mg daily
Omega Plus or
2 caps tid
Krill Oil
1 cap bid
E-500
1 cap bid-tid
Lithospermum 15 (from ITM) 4 tablets bid-tid

MECHANISMS:
Decrease antibody production

High doses have been found effective in SLE studies


EFA metabolism is altered
Correct EFA deciency
Antioxidant
Promote balanced immune system

* AVOID: 5-HTP TRYPTOPHAN METABOLITES MAY PROMOTE AUTO-ANTIBODY PRODUCTION IN THIS POPULATION
CLINICAL CONSIDERATIONS:
1. Consider Detoxication protocol (see Detoxication and patient handout Low Temperature Saunas).
2. Prioritize stress management and counseling as appropriate.
3. Ensure patient is receiving adequate quantity and quality of sleep.
4. The herb Gentianna macrophylla (3 caps bid available from Crane) (See Vendor Listings) can improve efcacy of
prednisone for patients using this medication.
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TENDINITIS
Diagnosis: Inammation of tendons and tendon-muscle attachments.
THERAPEUTICS:
Phytoprofen
Collag-En

DOSAGE:
1-2 caps bid-tid
2 caps bid

MECHANISMS:
Anti-inammatory
Nutrition for connective tissue

CLINICAL CONSIDERATIONS:
1. Traumeel or Arnica Oil (if skin is not broken) topically for symptom relief (See Vendor Listings)
2. TEM patches topically for symptom relief (See Vendor Listings)
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THROMBOPHLEBITIS
Diagnosis: Partial or complete occlusion of a vein by a thrombus with secondary inammatory reaction in the wall of the vein. Thrombus may form as a result of exposure of subendothelial tissues to platelets in the venous blood.
THERAPEUTICS:
M.F. Bromelain
Dipan-9
E-500
Glucosamine Sulfate
Phytoprofen
Planti-Oxidants
Venocap
Diosmin-HMC

DOSAGE:
MECHANISMS:
1-2 caps tid between meals Proteolytic enzymes to dissolve clots
2 caps tid between meals Proteolytic enzymes to dissolve clots
1 cap bid
Decrease platelet aggregation
1 cap tid
Substrate for glycosaminoglycans
2 caps bid
Anti-inammatory
2 caps bid
Antioxidant; improve collagen integrity
1 cap bid
Increase venous integrity
1 cap bid
Increase venous integrity

NOTES: _______________________________________________________________________________________________________
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TINNITUS
Diagnosis: Perception of sound without any external stimulus. Rule out Menieres syndrome, hypertension, arteriosclerosis, otitis
media, labyrinthitis, salicylate toxicity, anemia and hypothyroidism.
THERAPEUTICS:
Zinc picolinate or
Zinc citrate or
DS Zinc picolinate
GB24*
Ipriavone
E-500

DOSAGE:
2 caps bid
1 cap bid
1 cap bid
1-2 caps tid
2 caps tid
I cap daily

MECHANISMS:
To correct a deciency
To correct a deciency
To correct a deciency
For tinnitus due to vascular insufciency
For tinnitus due to otosclerosis
Increase circulation

*Avoid if taking blood thinning medication


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TONSILITIS (see PHARYNGITIS)

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ULCER, PEPTIC
Diagnosis: Recurrent burning pain often relieved by antacids or milk. Endoscopy is diagnostic. Rule out gastric cancer. Conrm or rule
out Helicobacter pylori infection using endoscopic biopsy, ELISA lgG/IgM serum tests.
THERAPEUTICS:
GI-Encap
SF734
L-Glutamine
Lactobacillus sporogenes
Medi-Clear
Curcumin

DOSAGE:
2 caps tid with meal
2 caps qid before
meals for 8 weeks
2 caps or 1/2 scoop tid
1 cap bid
Varies
2 caps bid

MECHANISMS:
Heal gut mucosa
Address H. pylori infection (if needed)
Provides fuel for enterocytes
Normal gut ora prevents recurrence of peptic ulcers
See Medi-Clear Brochure (Thorne Research)
A Phase II trial found signicant healing after four weeks

CLINICAL CONSIDERATIONS:
1. If high stress is possibly a contributing factor consider supplementation with Phytisone 2 caps bid
2. Consider Diet Modication (see patient handout Bland Diet)
LABORATORY CONSIDERATIONS:
Perform testing to conrm or rule out H. pylori infection
NOTES: _______________________________________________________________________________________________________
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ULCERATIVE COLITIS
Diagnosis: Granulomatous colitis = segmental ssures or deep ulcers of the colon. Symptoms include abdominal cramping, diarrhea,
weight loss.
THERAPEUTICS:
Medi-Clear

DOSAGE:
Varies

Perma-Clear

3 caps bid-tid

Moducare

1 cap tid between meals

Super EPA or
Krill Oil
Glutamine Powder
Lactobacillus sporogenes

Cortrex or Phytisone

2 caps bid-tid
1 cap bid
1-2 tsp bid
1 cap bid-tid
between meals
2 caps tid
1 cap bid with warm
water between meals
2 caps tid

Myorel
Phytoprofen
Arabinex

2 caps tid
2 caps tid
1-3 scoops daily

GI Encap
Sacro-B

MECHANISMS:
See Medi-Clear Brochure (Thorne Research)
Meal replacement; rest bowel; reduces exposure to antigens
Decreases gut permeability; anti-inammatory; increases
benecial ora
Decreases overactive T-helper response seen in U.C.
Balances cytokines, decreases inammation
Balance cytokines; decrease inammation
Provides fuel for small bowel enterocytes; heals the gut
Increases benecial ora
Improves integrity of the gut mucosa
Decreases relapse rate
Support adrenals (especially if coming off
steroids)
Antispasmodic
Anti-inammatory
Increase butyrate levels

CLINICAL CONSIDERATIONS:
1.Replenish all vitamins, minerals & essential fatty acids.
2.Consider gluten free (see patient handouts Wheat Allergy and/or Dairy Allergy)
3.Hypo-Allergenic diets can result in improvement in some individuals (see patient handout Hypo-Allergenic Diet)

NOTES: _______________________________________________________________________________________________________
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VAGINITIS
Diagnosis: Yeast or mycelial forms seen on wet mount/KOH. Perform stool culture for yeast to rule out enteric candidiasis.
THERAPEUTICS:
DOSAGE:
SF722
3-5 caps tid
Lactobacillus sporogenes 2-3 caps daily between
meals (may also be used
as vaginal suppository)
Herbal Bulk
1-2 scoop with 8 oz of
water or juice tid
Vitamin A*
1 cap daily
Biotin
1 cap daily to bid
IF BACTERIAL:
Herbal Vaginal
Suppository #1
(Wise Woman Herbals)
IF YEAST:
Tea tree suppository

MECHANISMS:
Antifungal
Increase benecial ora

To ensure bowel regularity, prevent


reabsorption of fungal toxins
Correct deciency; normalize epithelial cell structure
Biotin prevents hyphal form of yeast overgrowth

Insert one nightly


until resolved

Anti-microbial; heals inamed mucous


membranes

Insert one nightly


until resolved

Anti-fungal

* Use of high doses of vitamin A may be toxic if used for prolonged periods; monitor liver enzymes. Use of greater
than 10,000 IU daily should be avoided in any female with possibility of pregnancy.
CLINICAL CONSIDERATIONS:
If individual has recurrent vaginitis ensure blood sugar metabolism is not a contributing problem.
LABORATORY CONSIDERATIONS:
In individuals with recurrent vaginitis consider glucose tolerance test.
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VARICOSE VEINS
Diagnosis: Dilated, tortuous, supercial veins in the lower extremities, frequently with edema, pigmentation, and ulceration of the skin
of the distal leg.
THERAPEUTICS:
Venocap
Diosmin-HMC
Planti-Oxidants
Buffered C Powder

DOSAGE:
2 caps bid
1 cap bid
1-2 caps bid
1 scoop bid

MECHANISMS:
Astringent; enhances venous function
Astringent; enhances venous function
Collagen-stabilizing
Increases strength of collagen

NOTES: _______________________________________________________________________________________________________
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VERTIGO (see INNER EAR DISORDER/MENIERES DISEASE)

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VITILIGO
Diagnosis: Hypopigmentation of the skin, where the melanocytes are destroyed. The greater the pigment loss, the fewer the number of
melanocytes. May be associated with thyroid disturbance (hypo- or hyper), pernicious anemia, or diabetes mellitus.
THERAPEUTICS:
Methyl-Guard

DOSAGE:
2 caps tid

Iodine-Tyrosine

1 cap bid

MECHANISMS:
Homocysteine connection; melanocytes affected by
homocysteine
For thyroid stimulation even though T3 and T4 are normal
(2 week trial period)

CLINICAL CONSIDERATIONS:
Use UV light therapy locally over affected areas (rst apply SPF 25-45 sunscreen); look for underlying cause.
NOTES: _______________________________________________________________________________________________________
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WOUND HEALING (see INJURY/TRAUMA)

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