Clinical Repertory
Clinical Repertory
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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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)
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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.
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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
* 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)
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DOSAGE:
4 caps tid
Moducare
1 cap tid 1 hr
apart from meals
(after initial loading
dose of 2 caps
tid for one week)
MECHANISM:
Basic high-potency multiple with additional nutrients
specically known to benet people with HIV
Stabilizes CD4 counts; decreased viral load
Thiocid-300
Quercenase
2 caps tid
Glycgel
PermaClear/Glutamine
Organic Colostrum
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
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)
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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
4 caps tid
1 cap tid
2 caps tid
Lipotrepein
Methyl-Guard
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
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
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
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
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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
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
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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)
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2 caps tid
Anti-oxidant
1 bid
Iso-Phos
Carnityl
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
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
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)
Copyright 2004 3Docs.Org q Clinical Repertory q page 13
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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
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)
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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
1 cap bid
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)
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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
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)
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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
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: _______________________________________________________________________________________________________
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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)
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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: _______________________________________________________________________________________________________
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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
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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
Ascorbic Acid or
Buffered C Powder
Copper Picolinate
Zinc Picolinate
E-500 or Ultimate-E
Boron
MSM-850
Lactobacillus sporogenes
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: _______________________________________________________________________________________________________
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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
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: _______________________________________________________________________________________________________
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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
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: _______________________________________________________________________________________________________
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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
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: _______________________________________________________________________________________________________
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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
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: _______________________________________________________________________________________________________
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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
Corrects deciency
1 cap tid
1 cap 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: _______________________________________________________________________________________________________
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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
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: _______________________________________________________________________________________________________
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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
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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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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
1 cap bid
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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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
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
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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
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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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
Curcumin
1 cap bid
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
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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
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
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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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
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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______________________________________________________________________________________________________________
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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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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
NOTES: _______________________________________________________________________________________________________
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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)
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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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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
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
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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
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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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
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
*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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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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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
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)
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: _______________________________________________________________________________________________________
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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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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
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
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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DOSAGE:
Varies
Medibulk or
Herbal Bulk
Lipotrepein
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
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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
1 cap tid
2 TBL bid
Medibulk
Ascorbic Acid
Liver Cleanse
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
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
2 caps tid
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
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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
Anti-inammatory
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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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
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
Planti-Zyme
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
OBESITY:
5-Hydroxytryptophan
GT-Ex
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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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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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
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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
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
*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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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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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
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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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
IF STRESS CAUSED:
Moducare
1 cap tid
Sedaplus
Rhodiola
1 cap bid
1 cap bid
Perfusia-SR
IF H. PYLORI POSITIVE:
SF734
CLINICAL CONSIDERATIONS:
Consider Diet Modication (See patient handout Bland Diet)
NOTES: _______________________________________________________________________________________________________
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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
1 capful daily as
mouth rinse
NOTES: _______________________________________________________________________________________________________
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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: _______________________________________________________________________________________________________
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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: _______________________________________________________________________________________________________
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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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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
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
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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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
Diosmin-HMC
Bulk ber
Secretory laxative
Promote bile ow
CS
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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
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
1 cap tid
500 mg bid
600-1800 mg
Ultimate E
Basic Detox Nutrients
Vitamin K2
1 cap bid
4 caps tid
15 drops tid
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
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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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
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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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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CS
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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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CS
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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
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
L-Carnitine
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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CS
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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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CS
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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
*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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CS
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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)
LABORATORY CONSIDERATION:
Test for heavy metal toxicity (see Laboratory Listings) and detoxify if appropriate.
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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CS
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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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CS
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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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CS
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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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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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______________________________________________________________________________________________________________
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CS
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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
OTHER CONSIDERATIONS:
Phytisone
2 caps bid
IF HASHIMOTOS THYROIDITIS:
Moducare
1 cap tid
CS
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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
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
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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______________________________________________________________________________________________________________
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______________________________________________________________________________________________________________
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______________________________________________________________________________________________________________
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CS
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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
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
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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CS
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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
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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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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CS
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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
NOTES: _______________________________________________________________________________________________________
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CS
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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
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
NOTES: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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CS
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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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CS
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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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CS
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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
CS
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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: _______________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
CS
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DOSAGE:
Varies
3 caps bid
L-Glutamine Powder
Organic Colostrum
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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CS
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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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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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CS
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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
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
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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CS
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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
* 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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CS
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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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CS
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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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CS
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MECHANISMS:
Protects neurons from degeneration for enhanced memory
Enhances cognitive function and memory
CS
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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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CS
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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
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
CS
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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
CS
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.org
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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CS
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DOSAGE:
1-2 caps tid
L-Carnitine
Taurine
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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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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CS
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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
NOTES: _______________________________________________________________________________________________________
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CS
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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
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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CS
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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
NOTES: _______________________________________________________________________________________________________
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CS
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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
NOTES: _______________________________________________________________________________________________________
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CS
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.org
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
NOTES: _______________________________________________________________________________________________________
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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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CS
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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)
NOTES: _______________________________________________________________________________________________________
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CS
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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
CS
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.org
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
NOTES: _______________________________________________________________________________________________________
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CS
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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.
NOTES: _______________________________________________________________________________________________________
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CS
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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
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)
NOTES: _______________________________________________________________________________________________________
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CS
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PERIODONTAL DISEASE
(see GINGIVITIS)
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
CS
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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 lozenge q 2 hr at
beginning of
infection
1 tsp daily-bid
*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.
NOTES: _______________________________________________________________________________________________________
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CS
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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
NOTES: _______________________________________________________________________________________________________
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______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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CS
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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
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.
NOTES: _______________________________________________________________________________________________________
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CS
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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
NOTES: _______________________________________________________________________________________________________
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CS
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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.
CS
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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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CS
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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.
NOTES: _______________________________________________________________________________________________________
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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
CS
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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
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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.
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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)
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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
* 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
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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
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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
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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
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)
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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
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
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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.
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