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APRIL 2017 £6

Psoriasis: Chronic illness: “You’ll never New research:


Ben Brown on Dr Dietrich Klinghardt’s recover…” how vitamin C
cracking auto- structured approach Then Rebecca beats cancer and
inflammation to Lyme and other Cotterall discovered B vits protect
and auto-immunity complex conditions natural medicine against pollution

Integrative Healthcare and Applied Nutrition

IHCAN
The practice and science of natural medicine

Intolerance, MTHFR
and methylation:
dealing with
histamine
c,
ni

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t pa IS
n’ is

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Integrative Healthcare and Applied Nutrition Integrative Healthcare and Applied Nutrition Integrative Healthcare and Applied Nutrition Integrative Healthcare and Applied Nutrition Integrative Healthcare and Applied Nutrition

IHCAN 2017 IHCAN 2017 IHCAN IHCANsummit


2017 IHCAN 2017 Do th
conferences focus on for doctors awards
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cover.indd 1 27/03/2017 10:58
pg 2 - Biocare.indd 1 27/03/2017 14:31
Integrative Healthcare and Applied Nutrition IHCANeditor’s note
IHCAN magazine
is published for qualified practitioners of
Ignorance is bliss…
complementary and alternative medicine

Published by Target Publishing Ltd,


unless you’re a patient
The Old Dairy, Hudsons Farm, What do this month’s blockbuster triumvirate Ben Lynch, Dietrich Klinghardt
Fieldgate Lane, Ugley Green,
Bishops Stortford CM22 6HJ and Ben Brown have in common?
t: 01279 816300 They are all offering effective, evidence-based solutions for conditions
f: 01279 816496
e: info@targetpublishing.com that orthodox medicine finds difficult, if not impossible, to deal with. In Dr Lynch’s case – an
www.targetpublishing.com exposition on MTHFR, methylation and histamine - that medical system doesn’t even know what
EDITOR: SIMON MARTIN, BSc (Hons)
the problem is.
e: simon.martin@ihcan-mag.com In a similar vein, this issue’s In Practice features a relatively newly-minted practitioner who
was told she would never recover from Lyme and chronic fatigue – as there was “no treatment”!
CONTRIBUTING EDITORS: MIKE ASH, BSc
(Hons), DO, ND, F DipION; BEN BROWN, ND; Rebecca Cotterall was sentenced to a wheelchair for a few years. Her three-year course at CNM
Miguel Toribio-Mateas, MSc, BSc (Hons),
HEATHER ROSA, fBANT, FHEA
took her five years…but now, yes, she IS recovered. If she had stayed with what conventional
medicine had to offer – ie nothing – who knows what state she would be in?
SECTION EDITOR: REBECCA SMITH
It’s no wonder GPs are reeling under “unmanageable” workloads (see news story, page 8) and
CAM STUDENT editor: JUSTIN LUSTY nobody wants the job; they simply don’t have the tools to deal with complex, chronic conditions.
SALES DIRECTOR: RUTH GILMOUR Maybe because they remain wilfully ignorant of the power of nutrition. And let’s hear it for the
e: ruth.gilmour@targetpublishing.com
t: 01279 810084 practitioners to whom medicine has handed over anything to do with that food business: dietitians.
GROUP SALES MANAGER: ABIGAIL MORRIS
We now learn that these people preside over a system that seems nothing wrong with spending
e: abigail.morris@targetpublishing.com just 94p a meal on patients in hospital (news, page 7). No wonder they’re telling people they’ll
t: 01279 810093
never recover.
SALES EXECUTIVE: MARIA FRANCIS
e: maria.francis@targetpublishing.com
And a highlight of the research reported in this issue is that after 40 years of denial, baseless
t: 01279 810071 criticism and outright aggressive action on the part of orthodox medical “science”, it is emerging
PRODUCTION: HANNAH WADE that vitamin C is just as powerful against cancer as Nobel Prize winner Dr Linus Pauling tried to
e: hannah.wade@targetpublishing.com
t: 01279 810076
tell them.
Scientists at the University of Salford report that vitamin C is up to ten times more effective
DESIGN: CLARE HOLLAND
at stopping cancer cell growth than pharmaceuticals such as 2-DG. It turns out that good old
ADMINISTRATION/DISTRIBUTION:
YOLANDA CLOUTING vitamin C can be used to target and kill cancer stem cells, the cells responsible for fuelling fatal
e: yolanda.clouting@targetpublishing.com tumours (see story, page 41).
t: 01279 810064
Pauling, Irwin Stone, Detmann, Cameron, Manners, Issels, Richardson, Wright, Cathcart, our
SUBSCRIPTIONS MANAGER:
YOLANDA CLOUTING own UK Dr Patrick Kingsley and many others in our “industry” used vitamin C against cancer: all
e: yolanda.clouting@targetpublishing.com dismissed as quacks.
t: 01279 810064

The magazine formerly known as CAM thanks you!


ACCOUNTS: LORRAINE EVANS
e: lorraine.evans@targetpublishing.com
t: 01279 810092 Changing CAM to Integrative Healthcare and Applied Nutrition: well, honestly, it was a bit scary.
MANAGING DIRECTOR: DAVID CANN But you’ve overwhelmed us with your positive response to the name change. So a big thank you
e: info@targetpublishing.com
t: 01279 816300 for the amazing support.
SIMON MARTIN, EDITOR
Some material may be speculative and/or not in
Keep up with Simon on Twitter @simoncamedit
agreement with current medical practice. Information
in CAM is provided for professional education and
debate and is not intended to be used by non-
medically qualified readers as a substitute for, or

QUOTE of the MONTH


basis of, medical treatment. Copyright of articles
remains with individual authors. All rights reserved.
No article may be reproduced in any form, printed


or electronically, without wriiten consent of the
author and publisher. Copying for use in education An older adult who is not taking any medication is a relative rarity, and limiting a sample to such
or marketing requires permission of the author and
publisher and is prohibited without that permission. individuals would not provide representative data. Accordingly, after setting exclusion criteria,
Articles may not be scanned for use on personal or
commercial websites or CD-ROMs. Published by Target medication use and chronic health problems need to be routinely considered as potential


Publishing Limited. Colour reproduction & printing by
The Magazine Printing Company, Enfield, Middx. EN3
confounders, and variables representing use of particular medications need to be evaluated statistically
7NT www.magprint.co.uk. ©2017 Target Publishing for their impact Stunning admission on how medical research is routinely skewed, from the intriguing paper “Close
Ltd. Produced on environmentally friendly chlorine
free paper derived from sustained forests. To protect Relationships, Inflammation, and Health” (Neuroscience & Biobehavioral Reviews 2010 Sep; 35(1): 33–38.)
our environment papers used in this publication are
produced by mills that promote sustainably managed • Thanks to Niki Gratrix for highlighting the paper: read Niki’s latest update on ACEs (Adverse Childhood Events) at www.nikigratrix.com/
forests and utilise Elementary Chlorine Free process to silent-aces-epidemic-attachment-developmental-trauma.
produce fully recyclable material lin accordance with
an Environmental Management System conforming
with BS EN ISO 14001:2004. The Publishers cannot
accept any responsibility for the advertisements in
this publication. IHCAN’s contributors Our thanks this month to:
• Emily Blake, BA (Hons), MA, DipCNM, mBANT CNHC reg, Clinical Sophia Health Institute, developer of Autonomic Response
Nutrition Advisor at BioCare: www.biocare.co.uk. Testing, and an expert on Lyme disease and chronic illness:
• Contributing editor, naturopath Ben Brown, ND, author The www.klinghardtacademy.com.
Digestive Health Solution: www.timeforwellness.com. • Naturopathic physician Dr Ben Lynch, ND, our go-to authority on
• In Practice featured practitioner Rebecca Cotterall, DipCNM (Nutr MTHFR and methylation defects. President and CEO of Seeking
Ther): www.hellohealing.co.uk. Health Educational Institute (www.seekinghealth.org), www.mthfr.
• BANT’s supervision manager, Helen Monk, DipION, BSc (Hons): net and Strategene.
https://fullylivingme.com. • In Practice section editor Rebecca Smith, ASK, CMH, CHyp, PNLP,
• Dr Dietrich Klinghardt, MD, PhD, lead clinician at the SQHP: www.newportcomplementaryhealthclinic.co.uk.

APRIL 2017 I ihcan-mag.com 3

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IHCANcontents

in this issue
APRIL 2017
Features
44 “You’ll never recover…”
Lyme disease and chronic fatigue for
13 years put REBECCA COTTERALL
in a wheelchair, but now she IS
recovered and helping others to
do the same, as a CNM-trained NT.

24
Read her inspiring In Practice story
Intolerance, MTHFR
and methylation: Regulars
dealing with histamine
Conference favourite, naturopathic physician
5 News
•B  vitamin supplements reduce
Dr BEN LYNCH, ND, intolerant to histamine epigenetic effects of air pollution
himself, explains the genetic links to a common • Naturopaths push Integrative
problem – and what to do about it Oncology
• Scottish hospitals spending just
94p per patient meal

8 Need support?
Join a supervision scheme

10
14
New releases
Psoriasis: cracking •S  wiss phytotherapy brand
Dr.Dünner launching in UK
autoinflammation
• Prebiotic properties of
and autoimmunity mushroom nutrition
Drawing on the most up to date published • NattoPharma chief launches
research, naturopath BEN BROWN, an IHCAN new K2
contributing editor, explains the auto-immune and
autoinflammatory components of psoriasis, its links
with insulin resistance, metabolic syndrome, heart
12 Your CPD dates

disease and a host of co-morbidities, and explores


the potential of individualised nutritional treatment 18 “Living legend” confirmed
for April conference
Prof Stig Bengmark, MD, PhD, leads
on chronic illness, and is joined by

30
antioxidant and vitamin C authority
Dr Thomas Levy, MD, JD
Chronic illness:
a structured
approach 36 Listings

A tide of chronic illness is not being stemmed by


orthodox medicine, and patients are increasingly 40 Research
•A  mazon hunter-farmers have
turning to integrative practitioners as a last resort. healthiest arteries ever seen
Dr DIETRICH KLINGHARDT, MD, PhD, has developed • Pauling vindicated: vitamin C ten
an insightful approach to the challenge of unravelling times more effective than drugs at
complex ill-health conditions over the course of his targeting cancer stem cells
42 years in medical practice • Is dysbiosis healthy? Yes – if you’re
on a high-fat diet

3 4.indd 4 27/03/2017 10:59


Follow us on Twitter
@CAMmagUK
IHCANnews
www.ihcan-mag.com

B vitamin supplements reduce


epigenetic effects of air pollution
Researchers at Columbia University’s Mailman
School of Public Health have shown that B
vitamins may play a critical role in reducing
the impact of air pollution on health.
Billed as the first study to investigate an
intervention to prevent or minimise the
adverse effects of air pollution, the study
tested a supplement containing 2.5mg of folic complex issues,” said Jia Zhong, principal
acid, 50mg of vitamin B6 and 1mg of vitamin investigator. “Until we can attack the problem
B12). The results are published online in the on an individual level we are a long way from
journal PNAS (Proceedings of the National fully tackling its challenges for the public’s
Academy of Sciences). health.”
The study, conducted with Harvard’s T. The researchers administered one placebo
H. Chan School of Public Health, in Sweden, or B-vitamin supplement (2.5 mg of folic acid,
China, Singapore, Mexico and Canada, reveals 50 mg of vitamin B6, and 1 mg of vitamin B12)
how individual-level prevention may be used daily to each adult recruited for the trial. To
to control the potential pathways underlying take part in the intervention, volunteers were
adverse effects of the airborne particles PM2.5 required to be healthy non-smokers, 18 to 60
– particles with an aerodynamic diameter of years old, who were not taking any medicines
<2.5μm. or vitamin supplements.
“The molecular foundations of air pollution’s Plasma B vitamin measurements taken
health effects are not fully understood, and the before and after placebo and supplementation
lack of individual-level preventative options showed that B-vitamin supplements
represented a critical knowledge gap”, said significantly increased the median plasma
Prof Andrea Baccarelli, MD, PhD, chair of concentrations of folic acid, vitamin B6 and
Environmental Health Sciences at Mailman. vitamin B12.
“Our study launches a line of research for Ambient particles were drawn from an
developing preventive interventions to inlet next to a heavily trafficked street in
minimise the adverse effects of air pollution downtown Toronto, with more than 1,000
on potential mechanistic markers. Because of vehicles passing through each hour. Particles
the central role of epigenetic modifications in were delivered via an “oxygen type” facemask.
mediating environmental effects, our findings Blood samples were collected and measured
could very possibly be extended to other using the Infinium Human Methylation 450K
toxicants and environmental diseases.” BeadChip.
“While emission control and regulation is
Systemic inflammation the backbone of prevention, high exposures
The WHO estimates that 92% of the world’s are, unfortunately, the rule still in many
population currently lives in places where air megacities throughout the world. As
quality levels exceed the WHO limits of 10μg/ individuals, we have limited options to protect
m3. PM2.5 is one of the most prominent air ourselves against air pollution. Future studies,
pollutants because the particles deposit in the especially in heavily polluted areas, are
respiratory tract, resulting in both lung and urgently needed to validate our findings and
systemic inflammation and stress. ultimately develop preventive interventions
“The health effects of air pollution and using B vitamins to contain the health effects
how it plays a role in one’s health raise many of air pollution”, said Baccarelli.

Catch Ben’s new podcast


Contributing editor Ben Brown, ND, has a new podcast on the go.
Go to http://www.timeforwellness.org/podcast to find links to his
broadcasts on SoundCloud, iTunes and Stitcher.
Ben has already interviewed Deanna Minich on Phytonutrients, Personalised Nutrition and
Mind-Body Vitality; Karen Ward on Inflammatory Bowel Disease, SIBO and nutritional therapy;
and Robyn Puglia on Autoimmunity, Viral Infection and Functional Medicine.

APRIL 2017 I ihcan-mag.com 5

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IHCAN news

“Integrative Oncology…is
not alternative medicine”
The Seattle unit makes that clear in a headline following goals: aid in delivery and efficacy of conventional
on its website, and explains: • Improve general health and optimize treatments, including radiation and
“Rather, integrative oncology combines wellness. chemotherapy.
both time-tested and scientifically based • Strengthen and support the various organ “Although many oncologists may not
complementary medicine therapies with systems, including the immune system, during discuss integrative care with their patients,
conventional, or standard cancer treatment and after conventional oncology treatment. the majority of Americans with cancer are
methods, including surgery, radiation, • Prevent and manage adverse effects or using some form or another of what might be
chemotherapy, hormonal and biological symptoms experienced during treatment. considered ‘complementary and alternative
therapies. At Seattle Integrative Oncology, • Incorporate a targeted nutritional and medicine’. There are thousands of ‘natural’
we not only bring you expert naturopathic supplement plan based on demonstrated products recommended as ‘good for cancer’,
cancer care, but we also strive to provide a anticancer effects. however they are of varying degrees of purity
comprehensive and holistic approach that is • Address those factors that may contribute to and potency. It is therefore critical that you use
seamlessly integrated with every aspect of your tumor cell development and activity; such as the guidance of a well-trained and experienced
health care. inflammation, oxidative stress, poor glucose/ natural medicine expert to ensure your safety
“Depending on each patient’s individual insulin control and immune dysfunction. and maximize the efficacy of your treatment.”
needs and desires, our approach combines the • When possible, provide strategies that may • http://seattlend.com.

W
hile UK practitioners who annual conference of OncANP. The roughly
are not medically-qualified $45,000 (35,000 GBP) costs of a resident for
have to tread carefully the year fall into five buckets: salary and taxes
around anything to do with ($41,047), administrative costs ($1,482),
cancer, naturopaths in the malpractice insurance ($682), continuing
US seem to be winning the battle to be formally education for the resident ($1478), and
recognised for their potential contribution to professional memberships (included in the
cancer treatment. $310). The average salary for an MD resident
At stake is not only freedom to practise for in Seattle in $61,000 (around 49,000 GBP).
the naturopathic physician profession, but also The Aschtgen-Joseph team noted that
access to government funding for residency Chad Aschtgen Erica Joseph the salary of a Medical Assistant is $38,539
positions in conventional hospitals. JOHN (around 31,000 GBP). The suggestion was
WEEKS, of The Integrator Blog News and 2006, the American Board of Naturopathic that it might be better to spend a few more
Reports explains (http://theintegratorblog. Oncology was created as the standards and thousand to fund a naturopathic resident.
com). credentialling programme through which The more intriguing data are in the
Most people are not aware of how a licensed naturopathic physician (ND) can breakdown of how many additional patient
significantly Medicare subsidises residencies become a Fellow (FABNO). Chad Aschtgen, ND, visits per week, via the resident, are needed
for medical doctors. An estimate in 2013 FABNO, SIO’s founder (pictured), is among the to make the programme cost out, and SIO’s
put the total at $10.1 billion annually. This roughly 100 naturopathic physicians who have actual experience. SIO’s average revenue per
is an average of $112,642 per resident. achieved Fellow status. visit is $156.26 (125 GBP). Notably, this does
Naturopathic physicians are among those who Meanwhile, on the educational side, the not include natural pharmacy. Product sales
would like to see this federal pie expanded or Council on Naturopathic Medical Education, are not part of the SIO business model. If the
shared with other professions. a federally-recognised accrediting body used resident works 46 weeks of the year, to return
The naturopathic profession hasn’t been by the eight North American colleges, created the $45,000, the team estimates that break-
sitting on their hands. It has slowly built a programme for accrediting residencies as
a network of 56 residencies, through the well as a Universal Naturopathic Residency
colleges, and from the ground up through application. The leaders of the Association
multiple strategies. The anatomy of one of Accredited Naturopathic Medical Colleges
successful bootstrapped residency programme (AANMC) established a process through
at Seattle Integrative Oncology (SIO) was which residency applicants apply via the
recently unveiled at the annual meeting of the “Naturopathic Postgraduate Association
American College of Naturopathic Oncology. Matching Program”. The SIO programme is
The Seattle Integrative Oncology accredited through an affiliation with Bastyr
programme rests on an evolving infrastructure University.
inside the naturopathic profession and In February 2017, Aschtgen and former
naturopathic medical education. The first step SIO resident Erica Joseph, ND, LAc, (pictured)
was the formation of the Oncology Association presented a poster of remarkable financial
of Naturopathic Physicians (OncANP). In transparency on the SIO residency at the 6th

6 ihcan-mag.com I APRIL 2017

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even is 6.26 additional visits per
week. The actual experience was
that in the first year of Joseph’s
two-year residency, SIO’s patient
visits increased by 35.6% the
first year and a whopping 90%
the second year, significantly
{ camchat
Emily Blake, BA (Hons), MA,
DipCNM, is a Clinical Nutrition
Advisor at BioCare: www.
biocare.co.uk.
I am struck daily by the number of people affected by
traumatic experiences such as bereavement or physical abuse.
Many people have never received any form of therapy and are
passing the break-even point. living each day with a cloud of unresolved emotion hanging
over them and a catalogue of health complaints, including
depression, anxiety and gastrointestinal issues, which stem
Cancer core curriculum
from their traumatic experience.
While working out the
When a client confides in us that they experienced a trauma,
residency’s mechanics, Aschtgen how many of us feel prepared to initiate that vital conversation
has also partnered with one of with them about their experience?
naturopathic medicine’s most When did it happen? Did they receive any therapy?
influential leaders over the last How are they feeling about it now? It is one of the hardest
30 years, Michael Traub, ND, conversations which we will have in practice, and we may feel
DHANP, FABNO, to create an nervous about how clients will react to gentle questioning
American Board of Naturopathic about their trauma. But, with the ever-growing body of
Oncology Core Curriculum. research demonstrating the detrimental impact of stressful
Elements include skills experiences on our health, especially when they occur during
working in multidisciplinary childhood – termed Adverse Childhood Experiences (ACEs),
environments and “coordinating I feel that it is our responsibility to tactfully initiate that
conversation.
care with medical, radiation,
Encouraging a client to talk about their trauma, to the
and surgical oncology, as well
degree which they feel comfortable with, can set them on
as palliative care and other
the path towards deep healing. It can provide us with a far
integrative disciplines, such
deeper understanding of the emotional health of our clients
as acupuncture, massage, and and the timeline of events which led to their current clinical
mind-body therapies”. Skill presentation, which enhances our ability to help them. And the
building in both evaluating and sheer process of a client opening up about their experience,
conducting research is also especially if they have suppressed their emotion for years,
prioritised. can be profoundly therapeutic in itself. Indeed, “opening the
This Core Curriculum includes floodgates” can be the most important step on a trauma
19 separate elements, from client’s journey to recovery.
complications to communication • Romens SE et al. Associations between early life stress and gene methylation
in children. Child Dev 2015, 86(1):303-309.
and oncology emergencies to
survivorship. The curriculum
is being piloted through
naturopathic oncology resident Scottish hospitals spending
directors. Initial conceptual
work has commenced on a more
just 94p per patient meal
thorough residency manual. A BBC Scotland investigation has found that Borders
Joseph and Aschtgen hospitals spent £3.18 per day per patient on meals and
presented a second poster snacks.
on “Management of Hot Other health boards such as NHS Ayrshire and Arran and
Flashes in Oncology Patients”. Dumfries and Galloway spent a similar amount.
SIO is involved in multiple “NHS Grampian spent £3.50 per day, which it said broke
discussions with Seattle-area down as 94p for each of the two main meals and £1.62 for
medical delivery organisations snacks and drinks”, said the BBC.
that are aimed at creating Nutritional expert Prof Mike Lean said: “There must be
more access to integrative a lower limit below which quality will be sacrificed in a
naturopathic oncology services. variety of ways.
Five naturopathic oncology The BBC quoted Prof Mike Lean, chair Prof Mike Lean,
residencies exist in the United Chair of Human Nutrition (Medicine) at the University of
States. SIO offers the only Glasgow, saying, “Meal quality has a number of elements: it
naturopathic oncology in has to look good, taste good, texture must be good and it has
Seattle, and currently has a new a biological importance – so it must be nutritionally good.”
oncology resident in the clinic, Conservative MSP Brian Whittle, who has been asking
Jenna Bailey, ND. questions in parliament about where patients’ food comes
from, said: “Eating healthy, high-quality meals when you’re
• John Weeks is Publisher/Editor of
The Integrator Blog News and Reports in hospital can make a big difference to your recovery. If
(http://theintegratorblog.com). patients aren’t eating well, they can’t get well.”

APRIL 2017 I ihcan-mag.com 7

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IHCAN news education and training

GP workloads at Need support? Join a


‘critical point’, supervision scheme
new report warns HELEN MONK, Supervision Manager for BANT
Unmanageable workloads are not only impacting quality of (the British Association for Nutritional Therapy
care, but are probably going to prevent the NHS from recruiting and Applied Nutrition) explains the innovative
its target of 5,000 new GPs. supervision scheme put in place by the professional
Feedback from doctors in a survey published by Red Whale,
one of the leading providers of primary care medical education
body for Registered Nutritional Therapists.
in the UK, shows a profession reeling from pressure of work. BANT introduced its supervision supervision, the individual’s skills
scheme in 2014, and it has since grown are not assessed, their practice is not
“My job makes me feel utterly, totally stressed, steadily in numbers and maturity: the supervised and they are not observed
depressed and suicidal. I realise I have to change objective is to provide every BANT in clinic. Additionally, the supervision
something soon to save my sanity.” member with access to the supervision sessions are completely confidential,
scheme by the end of this year. so there is no reporting to anyone
“Not being able to deliver safe or quality care is both In creating the scheme, BANT’s externally.
goals are to help practitioners to feel
demotivating and frightening – how long before I
supported and valued, and to ensure How BANT supervision
make a major mistake, because I am just too drained
that best practice and achievements works
and shattered to pick up on an important cue?” are implemented and recognised. The BANT Supervision Scheme is
As a result the scheme applies both group-based. Trained, accredited
“I am shocked to see how many GPs in early or to newly-qualified and experienced supervisors facilitate groups of up to
mid-career are solving this problem on an individual practitioners. eight Registered Nutritional Therapists
basis by cutting down their sessions or moving out of To achieve these goals, BANT’s team (RNTs) during two-hour sessions
general practice altogether.” identified he following aims: spaced throughout the year. BANT’s
• To seek to continually improve goal is for active RNTs to engage in
standards of practice and patient care between 12 and 18 hours of supervision
These are just some of the quotes from over 1000 GPs from
across the profession, and to meet per year.
across the UK who have been surveyed for the new report,
standards of best practice that exist The BANT Supervision Scheme is
“Diagnosing the GP crisis: voices from the front line of primary in other healthcare professions with based on “classic” supervision as used
care”, released last month. differing regulatory bodies. in counselling and psychotherapy.
The report reveals the unprecedented effect of • To provide support from more There is a substantial body of literature
unmanageable workloads on GPs – on their own well-being, experienced members of the to back up supervision’s usefulness
on their ability to perform their duties safely, and on the future profession. to practitioners in the helping
retention and recruitment of doctors into general practice. • To create an additional career path as professions.(2)
Key findings include: a BANT Supervisor for BANT members During the sessions, the supervisor
with the appropriate experience. doesn’t tell participants what to
• Unmanageable workloads are compromising the quality and
• To demonstrate high standards of do, nor judge their performance in
consistency of the care that GPs are able to provide: 85% say
professional practice, client safety any way. Rather, they will facilitate
that the volume of their workload prevents them from doing and member supervision to other participants to reflect deeply on their
their job well. healthcare sector professionals and to work, through a process of discussion
• Unmanageable workloads are forcing GPs out of the the public. using an open questions model.
profession and contributing to a recruitment crisis: more than • To support more BANT members in
90% have either left or considered leaving due to increasing having thriving, successful practices Bench-marking Best
workloads, or have reduced their hours in order to cope. and increasing the number of client Practice
• Less than a third (30%) would choose to train as a GP if they consultations conducted by members Supervision in various forms is a
overall. routine part of working life in many
were given the option now.
other healthcare professions, such
The findings suggest that the workloads may prevent the
What is supervision? as social care, midwifery, dietetics,
NHS from meeting its target to recruit and train 5,000 new Supervision is a structured process of psychology, psychotherapy and
doctors into general practice over the next five years. regular professional support that aims homeopathy, to name just a few.
“We know that GPs want to provide high-quality, consistent to support a practitioner’s personal However, this process varies greatly
care to their patients, but in many cases the vast and and professional development, from profession to profession.
unmanageable workloads that they face prevent them from through discussion and reflection.(1) During the development stage
being able to do so,” says Caroline Greene, GP and Business Supervision can take place one to one, of the BANT Supervision Scheme,
Development Director at Red Whale. or in groups. BANT benchmarked supervision-
Clinical supervision is often like approaches in place in other
“This report shows that the impact of those workloads has
confused with the kind of management healthcare professions, particularly
reached a critical point, leaving many GPs feeling unable to
supervision found in the workplace. in relation to those that have similar
safely and effectively do their jobs, and forcing others out of However, it is very different – in clinical objectives to BANT.
general practice altogether.”

8 ihcan-mag.com I APRIL 2017

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BANT supervision groups meet
regularly to support BANT
members with their professional
development, resolving client and
practice dilemmas, and growing
thriving, successful businesses.

{
This enabled BANT to design a supervision
scheme for members that met best practice “I just wanted to say thank you
across the health and caring professions, while for another great year of BANT
tailoring it to meet BANT’s members’ specific
supervision. I’m really grateful for
requirements. For example, as BANT members
the kind and caring support you give.
tend to be self-employed, supervision provides
the opportunity to review and learn from other
Starting out as an NT has huge
practitioner cases; this is something which challenges, and it has helped me
many employees in an NHS clinical setting have enormously to develop my business
integrated into their work structure. Supervision and know that I am doing it right.
also provides peer support, which helps reduce I would feel very isolated without
potential isolation, in absence of workplace it. Both the commercial and the
teams. technical help has been invaluable.”
– Sally W, Registered Nutritional Therapist.
Benefits of supervision
Membership of the supervision groups has
been stable, demonstrating that members find Secondly, BANT will be rolling out online
these groups useful and enjoyable. As well as supervision groups to more members, following
contributing to BANT’s aim to raise standards the popular pilot which started in November
in nutritional therapy, supervision has many 2016. These enable members, who are not
benefits for the practitioner. It helps with: able to travel to an in-person group, to access
• Resolving dilemmas that arise in day to day supervision and still benefit from the group
work. experience.
• Optimising skills for running a profitable and Thirdly, new modes of supervision will be
efficient practice. piloted, to give members the flexibility to
• Maintaining high standards, in line with choose supervision that works best for them.
policies such as the BANT Professional Practice Approaches that are being considered for future
handbook. development include one-to-one supervision,
• Facilitating successful relationships with clients among other formats.
and others in the wider professional community. This is an exciting time for BANT and the
• Growing relationships with peers. many projects and activities that are in progress
• Fully realising the individual’s potential. to support members and promote nutritional
• Setting career goals. therapy, including supervision.
• If you are a nutritional therapist and interested in
Exciting future finding out more about opportunities to join BANT
supervision, email Helen Monk, BANT Supervision
2017 sees the start of BANT’s next strategic Manager at supervision@bant.org.uk.
five-year plan. Front and centre of the plan
is helping members increase the number of
consultations they deliver and improving the BANT’s supervision manager,
professional standing and standards of BANT Helen Monk, Dip ION, BSc
(Hons) Complementary Therapies
Members. Supervision is at the heart of these two – Nutritional Health (University
ambitions. of Greenwich), is a registered
BANT plans to create opportunities for many nutritional therapist who runs
Fully Living Me, a Hertfordshire-
more members to engage with supervision. based nutrition and lifestyle
Firstly, we’re extending the new student consultancy. She focuses on child
workshop programme. This programme has health, including concerns such
as eczema, ADHD and food intolerances, fussy eating and
been successfully piloting supervision taster issues with weaning; supporting women who want to get
workshops to final-year nutritional therapy pregnant; and support for men and women dealing with
students, and allows them to experience the health issues such as migraine, PMS, IBS, psoriasis and
fatigue. She holds clinics in Hitchin, Watford and London’s
support that supervision will give them when Victoria Dock.
setting up their new businesses upon graduation. • https://fullylivingme.com.

APRIL 2017 I ihcan-mag.com 9

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IHCAN new releases

Swiss phytotherapy brand Dr. Dünner


launching in UK
Dr.Dünner, the family-run Swiss herbal health – www.drdunner.co.uk –
brand founded in 1948 by Dr Helene Dünner, before a consumer
will be bringing its products to the UK next launch from June.
month. Dr.Dünner will be exhibiting
Currently trading in 20 countries, with at Natural and Organic Products
subsidiaries in China, Netherlands and Europe on stand C72 on April 2-3
Germany, the company will be introducing in the Excel Centre, London.
a selection of its products under a new sub- Robert Bastong, managing director,
brand PhytoVitality, which has been developed Dr.Dünner, commented: “Natural health is
for the UK market. exploding in the UK and across the world,
Dr.Dünner has a long history of developing making it the perfect time for our brand –
health products using herbal ingredients which was founded in principles of a natural
sourced from its locality in the alpine approach to health over 60 years ago – to grow.
Entlebuch, and grown organically, as well as “Dr.Dünner’s Swiss heritage is also crucial • Liquid Yellow Gentian, Melissa and Mint with
across the world. to its unique positioning. PhytoVitality is an Calcium.
“The PhytoVitality brand balances the expression of Switerland’s long history of • Liquid Dandelion, Edelweiss and Centaury
scientific and natural elements of the balancing nature and science to benefit health, with Choline.
Dr.Dünner approach, rooted in the evidence- as well as the healthy Swiss lifestyle – it’s no • Biosphere Entlebuch Sheep‘s Butter, Juniper
based scientific principles of phytotherapy coincidence that Switzerland has the longest oil, Pine Needle oil massage cream.
to use plant based ingredients to maintain average life expectancy in Europe.” • Devils Claw, Checkerberry and Rosemary gel.
health”, they tell us. “The PhytoVitality The PhytoVitality products launching in the • Ashwagandha, Basil and Biotin capsules.
products comprise unique blends for UK include: • Rhodiola, Passion flower, Copper and Vitamin
immunity; digestive, liver and nerve functions; • Nasturtium, Rosehip and Elderflower B capsules with Zinc.
stress and anxiety; energy; muscles and joints. capsules with Vitamin C. • Turmeric, Pepper and Green Tea Capsules
The UK launch will commence with • Liquid Linden Blossom, Elderflower and with Vitamin C.
wholesale listings and a UK specific website Thyme with Vitamin C. • www.drdunner.co.uk

Portuguese universities investigate the prebiotic NattoPharma


properties of mushroom nutrition chief
launches
new K2
A group of Portuguese dependent
universities prebiotic effect
has shown how with higher activity Wiley‘s Finest is launching a
mushroom nutrition on B. animalis new vitamin K2 product at
can have a beneficial when compared Natural and Organic Products
prebiotic effect on to L. casei and B. Europe (April 2-3, Excel
some gut bacteria longum. There was Centre) and have wheeled out
and may be able to no impact on the a big gun to help them.
indirectly reduce the acidophilus strain. Vitamin K2 is the most
ability of pathogenic bacteria such as Salmonella to Prebiotic agents can have an indirect recently discovered common
adhere to the wall of the gastrointestinal tract. inhibitory effect on pathogenic bacteria through nutrient deficiency that, when
Prof Tito Fernandes and Prof Manuela Pintado its selective fermentation by the probiotic bacteria corrected, has been clinically
studied Coriolus versicolor supplied by Mycology in the colon. In addition, prebiotics may inhibit the proven to have potentially
Research Laboratories (MRL) and reported results adhesive capacity of pathogenic bacteria. Following- dramatic health benefits – on
in ”Bioactive Properties of Mushroom Coriolus up on that hypothesis, the researchers tested the the circulatory system in
versicolor” in the Clinical Journal of Mycology (5, Jan impact of Coriolus biomass upon Salmonella particular.
2017). enterica, Staphylococus aureus and Escherichia At the stand to explain will
In this in vitro study, the scientists from the coli adhesion to mucin using mucin (Type II be Dr Hogne Vik, MD, PhD,
Catholic Portuguese University in Oporto and the Sigma-Aldrich) as a model of the intestinal Chief Medical Officer with
Faculty of Veterinary Medicine in Lisbon compared mucus. NattoPharma ASA. A physician
the prebiotic effect of Coriolus versicolor on four The results showed a potential inhibitory effect by education, Dr Vik was the
probiotic strains: (Lactobacillus acidophilus L10, of the Coriolus substrate, especially in the case of driving force behind Superba
Lactobacillus casei L26, Bifidobacterium longum BG Salmonella enterica. Krill Oil and was involved
and Bifidobacterium animalis B80). • Research article is here: http://www.mycologyresearch.com/ with Tonalin (CLA) and other
The researchers found a potential strain- articles/view/107. successful supplements.

10 ihcan-mag.com I APRIL 2017

new releases.indd 10 27/03/2017 11:02


Are you a complementary
health practitioner looking
to add Muscle Testing and
Kinesiology techniques to
enhance your current skill set?

Wondering about starting an exciting and


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pg11 - ads.indd 1 27/03/2017 14:32


IHCAN dates NEWS EXTRA
Medicinal mushroom
Biological Core Protocols for Chronic trials: Hifas da Terra find
Illness: Klinghardt in London oncology collaboration
Klinghardt Education, the new organisation running seminars for Dr Dietrich Hifas da Terra, the medicinal mushroom company, has
Klinghardt, MD, PhD, is bringing him to London this month to present his announced a breakthrough in its ongoing efforts to
“biological master protocols” for chronic illness. collaborate with oncologists and scientific researchers.
Dr Klinghardt’s major feature in this month’s issue (page 30) begins to Together with 14 different hospitals in Spain and Italy,
explore some of the ideas and suggestions for treatment that will be covered in their research team is running clinical trials of an
detail on the day. integrative approach to several types of cancer including
• Sunday April 9, Holiday Inn Bloomsbury. Details: http://klinghardtinstitute.com/product/biological- colorectal, breast, neurodegenerative and lung.
master-protocols.

Become a certified Medical NLP


Health Practitioner in seven days
The Acumedic Foundation and the • improve clinical outcomes in your
Society of Medical NLP have come own field.
together to present in London in • enhance existing skills and integrate
April a seven-day training specifically them seamlessly with all specialties.
tailored for CAM practitioners. • reduce and resolve stress (both
This is an opportunity to train patient and practitioner).
directly with Garner Thomson, NLP • master the language of hypnosis and
Mushrooms for cancer: HdT scientists show oncologists the raw materials for
Master Trainer, and Dr Khalid Khan, indirect influence. high-concentration extracts. Left to right: Dr Arturo Rodríguez Blanco, PhD and
Head of R&D for HdT; Dr Pere Gascon, Director of the Molecular Oncology Labs
a primary care physician, GP trainer, • orientate patents towards healing for CELLEX; Dr Manuel Constenla-Figueiras, Chief of Medical Oncology Service,
and undergraduate tutor for King‘s and health. at the University Teaching Hospital of Montecelo; Dr Iván Simón Gómez,
Micosalud brand HdT; at the Hifas da Terra Laboratories in Galicia, Spain.
College London School of Medicine. • create your own, unique techniques
They are the creators of Medical NLP for lasting change. Researchers will test high-concentration mushroom
and authors of the best-selling Magic • optimise time you spend with extracts as adjuvant cancer therapy. Hifas da Terra
in Practice: Introducing Medical NLP… clients. created the Mico-Onco Care line specifically for those
The Art and Science of Language in • reduce risk and increase patient needing secondary support from cancer treatment –
Healing and Health. satisfaction. with aims including to reduce secondary effects of cancer
They will teach how to: • Booking and further information: therapies and consequently improve quality of life.
• acquire explicit new techniques to Phone +447973892877, email garner@ Hifas da Terra is also currently collaborating with
garnerthomson.co.uk, and see https://
approach a wide range of complex, pagelead.leadpages.co/mnlp-health- Apices, a CRO carrying out clinical research services, on
chronic conditions. practitioner-2017. a randomised double-blind clinical trial of combination
therapy with chemotherapy and the nutraceutical “Mico-
Digest” (containing Ganoderma lucidum, Agaricus blazei,

Nutri stage new IFM event Grifola frondosa, Hericium erinaceus, Pleurotus eryngii,
Pleurotus ostreatus and Myrciaria dubia) to evaluate
Nutri Advanced are presenting a day the possible improvement in the quality of life of 169
of case-based training and patient- patients with aggressive metastasising colorectal cancer.
centred functional medicine as The company is also in the process of starting two
presented by the UK IFM Certified other clinical trials, which are EC-funded.
Practitioners Group.
This exclusive group of 13 UK-
based practitioners spans different Can vitamin D supplements
disciplines, meaning that they
are viewing functional medicine Presenting case histories: Pete Williams, in pregnancy prevent autism?
from many different angles giving M.Med.Sci, CSCS, IFMCP. Giving vitamin D supplements to mice during pregnancy
attendees different experiences and understanding of the foundational prevents autism traits in their offspring, University of
understanding of how the functional tools and resources used by seasoned Queensland researchers have discovered.
medicine model fits into clinical IFM Certified Practitioners (IFMCP). “Our study used the most widely accepted developmental
practice. This clinical and teaching team model of autism in which affected mice behave abnormally
and show deficits in social interaction, basic learning and
The event is the first independent comprises of Pete Williams, Jo
stereotyped behaviours”, said lead researcher Prof Darryl Eyles,
training day in the UK to be Gamble, and Robyn Puglia, who will
from UQ‘s Queensland Brain Institute.
recognised as an Institute for share their decades of knowledge and “We found that pregnant females treated with active
Functional Medicine educational experience as they model strategies vitamin D in the equivalent of the first trimester of pregnancy
event, say Nutri. of clinical implementation using the produced offspring that did not develop these deficits”.
“Through the process of case- Functional Medicine approach.” In human studies, QBI researchers recently found a link
based learning, those attending this • May 13, London. £149: www.nutriadvanced. between pregnant women with low vitamin D levels and the
day-long event will advance their co.uk/events. increased likelihood of having a child with autistic traits.

12 ihcan-mag.com I APRIL 2017

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pg13 - ads.indd 1 27/03/2017 14:32
IHCANfunctional medicine masterclass

Psoriasis: cracking auto-


inflammation and autoimmunity
Think psoriasis is just a skin disease? Think again! Drawing on the most up to date published research,
naturopath BEN BROWN, an IHCAN contributing editor, explains the auto-immune and auto-
inflammatory components of psoriasis, its links with insulin resistance, metabolic syndrome, heart
disease and a host of co-morbidities, and explores the potential of individualised nutritional treatment.

P
soriasis, a chronic inflammatory (innate auto-inflammatory response) that to the management of psoriasis could include
multi-organ disorder with clinical initiates a Th17/Th22-dominated early T-cell individualised, patient-centred care (9), in
manifestation in the skin and infiltrate, to a Th1-dominated psoriasis plaque addition to addressing modifiable environmental
often the joints, is very common, (adaptive autoimmune response).(4) and nutritional factors, as these play an
with an estimated prevalence Comorbid illnesses are an important important role in the both the development and
of approximately 2%–5% of the consideration in psoriasis; it is associated perpetuation of the disease.(10)
population.(1) It is typically characterised by with several systemic disorders, including
raised, well-demarcated, erythematous oval Crohn’s disease, type-2 diabetes mellitus, Dysbiosis
plaques with adherent silvery scales, and is cardiovascular disease, metabolic syndrome, Research suggests that dysbiosis of gut bacteria
associated with significant comorbidity – depression and cancers, particularly lymphoma plays a primary role in the development and
including depressive illness, cardiovascular and skin cancer.(5) Notably, 6-42% of patients perpetuation of autoimmune diseases, and it
disease, psoriatic arthritis, and decreased with psoriasis have psoriatic arthritis.(6) is well established that the gut microbiota can
quality of life.(2) These associations suggest that psoriasis may influence the expression of specific lymphocyte
In contrast to autoimmunity, be the cutaneous manifestation of a systemic subsets involved in autoimmunity. See the
autoinflammation is characterised by systemic inflammatory state.(7) Imperial College paper from 2015 for more on
inflammation in the absence of high-titer Standard drug, topical and phototherapy this.(11) Psoriasis shares genetic and clinical
autoantibodies or autoreactive T lymphocytes treatments for psoriasis frequently have relationships with Cohn’s disease, which is
(3). This spectrum may help explain the adverse side-effects and are often ineffective; linked to gastrointestinal dysbiosis and loss
progression of psoriasis from an IL-1–TNF- safer and more effective management options of tolerance to intestinal microbes, and it
mediated, neutrophil-dominated inflammation are needed.(8) An improved clinical approach has been proposed that psoriasis is linked to

14 ihcan-mag.com I APRIL 2017

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dermal dysbiosis and loss of tolerance to skin psoriasis through a number of mechanisms,
microbes (11, 12). including DNA modification, lipid
Although intestinal dysbiosis has not been peroxidation, and production of inflammatory
well studied in psoriasis, an experimental cytokines.(31) Overproduction and/or
study from Ireland – “Bifidobacterium inadequate removal of reactive oxygen species
infantis 35624 modulates host inflammatory could result in oxidative stress in psoriasis,
processes beyond the gut” – has suggested and could be due to factors such as exposure
it could be an initiating factor in systemic to external pro-oxidant stimuli or impaired
Th17 activation and psoriasis-like skin endogenous antioxidant defenses.(32)
inflammation.(13) Intriguingly, giving Therapeutic interventions that target
probiotics to people with acne has been shown oxidative stress, such as antioxidants,
to reduce systemic inflammation.(15) And may be useful according to a 2016 review
a case study of an adult man with treatment published in Free Radical Research.(33) A
refractory psoriasis reported dramatic clinical study using coenzyme Q10 (50mg
normalisation of his psoriasis when, as a daily), vitamin E (natural alpha-tocopherol,
treatment for his gastroduodenitis, doctors 50mg), and selenium (aspartate salt,
eradicated H. pylori eradication; and that 48mcg) resulted in improvements in several
was despite no previous clinical symptoms parameters related to oxidative stress,
indicating gastrointestinal involvement.(14) included superoxide production, copper/zinc-
superoxide dismutase, and catalase, as well
Intestinal permeability and as a significant reduction in disease severity,
endotoxaemia coinciding with normalisation of oxidative
Increased translocation of gut-derived stress markers.(34) Selenium with or without
endotoxin into the peripheral circulation vitamin E has however failed to reduce clinical
has been suggested to play a role in the symptoms, despite some improvement in
development of dermatological disorders. metabolic markers.(35-37)
(15) Indeed, metabolic endotoxaemia
associated with intestinal permeability is a The different that personalised diet and Insulin resistance
well-established source of chronic low-grade supplementation can make: pictures from the Psoriasis has been associated with a higher
case study published by orthomolecular physician
inflammation. (See the 2014 review (16) prevalence of insulin resistance, type 2
Dr Matthias Rath and colleagues: http://www4.
“Gut microbiota and metabolic syndrome” dr-rath-foundation.org/research_news/articles/ diabetes risk and metabolic syndrome
by University of Bologna authors, which is issue-46-health-information-benefits-of- (38-40). Although insulin resistance is often
micronutrients-in-skin-disease-psoriasis.html.
free online.) A small study found evidence of considered a co-morbidity, evidence suggests
increased intestinal permeability in patients disorder that evolves into an autoimmune that poor insulin metabolism could adversely
with psoriasis when compared to healthy disease (21). affect skin physiology by contributing to
controls (17). An intestinal permeability- Polarisation of Th1 and low Th2 cells has the pro-inflammatory state in psoriasis.
targeted nutritional intervention involving long been thought to be central to psoriasis, (41) Some evidence supports the idea that
dietary changes (high fresh fruits and however it appears both Th1 and Th2 are insulin resistance causes psoriasis, including
vegetables, low protein from fish and fowl, involved in psoriasis pathogenesis (22, 23). correlations between insulin resistance
fiber supplements, olive oil, and avoidance Other important mediators of inflammation and disease severity (42), and exacerbation
of red meat, processed foods, and refined in psoriasis are IL-23, IL-17 and adipokines of psoriasis with insulin therapy but risk-
carbohydrates) and herbal teas (saffron including adiponectin.(24, 25) Inflammatory reduction with oral hypo-glycaemic agents.
tea and slippery elm bark) was found to pathways are important targets for nutritional (43, 44) Supplementation with the insulin-
improve psoriasis symptom scores and reduce interventions, which may have dual benefit of sensitising mineral chromium at a dose of
intestinal permeability (18). addressing inflammatory comorbidities and 600mcg daily for six weeks improved both
reducing metabolic disease risk.(26, 27) As an insulin resistance and psoriasis severity,
Shared inflammatory pathways adjuvant therapy, dermatology specialists at but only in patients with established insulin
Chronic inflammation can contribute to the University of Florence have shown that a resistance.(45)
the development of psoriasis as well as lecithin-based delivery form of curcumin can Nutritional and lifestyle-based management
comorbidities and metabolic disease risk, and reduce inflammation and improve treatment of insulin-resistance is an important
so is something that is important to consider outcome.(28) C-reactive protein (CRP) consideration.
in treatment. Psoriasis shares immunological correlates with disease severity and may be
pathways with other chronic inflammatory useful for monitoring nutritional intervention “Psychodermatology”: the
diseases, including arthritis, obesity and response.(29) brain-skin axis
other autoimmune diseases (19, 20). Psychological stress and alterations in
However, there are also distinct differences Oxidative stress sympathetic adrenal medullary axis and
in the immunopathology, suggesting Systemic oxidative stress is a consistent hypothalamic pituitary adrenal (HPA) axis
unique management strategies are needed. feature of psoriasis and may contribute to function share a bi-directional relationship
Dysregulation of both innate and adaptive disease development, associated increase with psoriasis, the so-called brain-skin axis
immune systems are involved in psoriasis, in cardiovascular risk, and be an important – or “psychodermatology”, as researchers at
and is uncertain if psoriasis is primarily an target for patient management.(30) Oxidative London’s Royal Free have described it.(46)
autoimmune disease or an inflammatory stress could contribute to the development of On one hand psoriasis itself is a cause of

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IHCANfunctional medicine masterclass
significant psychological stress, while on the Summary of dietary considerations
other psychological stress could contribute to
Intervention Discussion Guidance
the development and exacerbation of psoriasis
though neurogenic inflammation, including Health-promoting diet Unhealthful dietary practices appear Increasing vegetable intake, low
interactions with leucocytes and mast cells.(47) to be more frequent in patients with consumption of meat, avoidance of junk
psoriasis, and could increase disease food and sugar, and specific foods, such as
Stressful life events have been linked to
risk and severity. black coffee, black tea, chocolate, pepper,
subsequent psoriasis exacerbations (48), and smoked foods, monosodium glutamate, and
there is a clinically significant prevalence of alcoholic drinks may be useful. Consider
depression, anxiety and perceived stress.(49) dietary supplements to optimise nutritional
Features of HPA axis dysfunction in psoriasis intake and skin health.

include significantly higher reactivity to acute Weight-loss diet Overweight and obesity can Dietary and lifestyle-based weight loss
stress (50), low cortisol (51), and evening contribute to disease severity regimes, including low-energy diets, can be
elevations in cortisol (52). Cortisol expression though increased low-grade considered as a component of nutritional
and HPA axis dysfunction have been shown inflammation and diet-induced management.
weight loss results in clinical
to correlate with psoriasis severity.(53, 54)
improvement.
There is some evidence that mind-body
interventions, especially cognitive behavioral Gluten-free diet There is a higher frequency of Confirmed coeliac disease must be
therapy, can improve quality of life and reduce coeliac disease and gluten sensitivity managed with a strict gluten-free diet,
in psoriasis, and gluten-free diets are however a gluten-free diet should be
feelings of stress as well as disease severity in
effective. considered even in the absence of
people with psoriasis.(55) histologically confirmed coeliac disease or
positive antibodies.
The power of a health-promoting
diet within six months.(59) The “before” and people with psoriasis have an approximately
Several factors associated with unhealthy “after” pictures tell the story (see page 16). three-fold increased risk of coeliac disease.
diets have been found to be common in people (66) Although most investigations have
suffering from psoriasis, including a higher Weight loss diet implemented gluten-free diets in antibody-
consumption of simple carbohydrates and fat, Overweight and obesity, especially central positive psoriasis patients, antibodies to
and lower intake of complex carbohydrates, obesity, may contribute to the development gliadin may be elevated in the absence of
omega-3 PUFAs and fibre, some of which and exacerbation of psoriasis.(60) Several biopsy-confirmed coeliac disease (67), and
have been correlated with disease severity. clinical studies have found that dietary and improvements in skin manifestations similar
(56) In an observational study of 62 patients lifestyle weight loss interventions reduce the to psoriasis have been observed in people
with mild-severe psoriasis, researchers at the severity of psoriasis in overweight or obese with NCGS after a gluten-free diet.(68) These
University Medical School of Naples found people.(61) observations suggest that the possibility of
that those who most consistently stuck to a A low-energy diet providing 800-1000 kcal gluten sensitivity should be considered even
traditional Mediterranean-style diet reported per for eight weeks to induce weight loss, in the absence of histologically confirmed
less severe symptoms – and less inflammation, followed by eight weeks of reintroduction coeliac disease or positive antibodies.
as assessed by CRP levels.(57 – 2015 Journal of normal food intake – reaching 1200 kcal Clinical studies and case reports have
of Translational Medicine paper free online.) per day – resulted in clinically important demonstrated important benefits of gluten-
In an intervention study from Brazil – “Pilot improvements in symptom and quality of free diets in psoriasis patients with gluten
study on which foods should be avoided by life in overweight patients with psoriasis, sensitivity.(69-71) In one such study, coeliac
patients with psoriasis”, most patients with according to a study published in JAMA screening in people with psoriasis revealed a
psoriasis (88.37%) reported reduced scaling Dermatology.(62) Another investigation found high prevalence (4.1%) compared to controls,
and erythema, milder outbreaks during the that a low-energy diet, providing 855 kcal per as assessed with anti-tissue transglutaminase
year, and improved quality of life when they day and mostly comprised of fresh and cooked antibodies and subsequently confirmed
cut down on foods such as black coffee, black vegetables, resulted in a significant reduction histologically. After a six-month gluten-free
tea, chocolate, pepper, smoked foods, beef, in serum lipids and clinical symptoms of diet there was a marked improvement of
monosodium glutamate, and alcoholic drinks, psoriasis after four weeks (63). In another skin lesions in seven out of eight people.(72)
and increased consumption of beta-carotene study, published in Clinical Nutrition, a Another report comparing the effects of a
containing foods, fruit, white meat and whole low-energy diet that was also designed to gluten-free diet in psoriasis patients with and
grains.(58) increase omega-3 (average 2.6 grams per day) without positive antibodies found that there
Well-known physician researcher Dr and reduce omega-6 fatty acids improved was a highly significant decrease in psoriasis
Matthias Rath and colleagues (www4.dr- metabolic profiles in 44 obese patients, symptoms scores, but only in those with
rath-foundation.org) have published a 2015 improved responses to immuno-modulating positive antibodies.(73) ihcan
nutritional therapy case report (free online) in therapy, and resulted in a significant clinical
Experimental and Therapeutic Medicine. Here, improvement over six months.(64) About the author
a woman with severe, treatment-resistant Ben Brown, ND, is a
psoriasis encouraged to increase vegetable Gluten-free diet naturopath, nutritionist,
intake, lower consumption of meat, avoid junk Both coeliac disease and non-coeliac gluten speaker, and science writer.
He is a contributing editor of
food and sugar, and was put on a personalised sensitivity (NCGS) have been associated with Integrative Healthcare and Applied Nutrition,
nutritional supplement regime, particularly psoriasis, and a gluten-free diet has been board member and lecturer at BCNH College
of Nutrition and Health, Technical Director
high in various forms of vitamin C. She shown to reduce symptom severity in some at Viridian Nutrition and author of The
experienced complete resolution of symptoms cases.(65) Some researchers estimate that Digestive Health Solution. Visit www.timeforwellness.org.

16 ihcan-mag.com I APRIL 2017

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LI BO
M O
IHCANconferences

IT K
ED N
SP OW
AC
ES
“Living legend” confirmed
for April conference
We are delighted to announce that Professor Emeritus Stig Bengmark,
MD, PhD, FRACS (hon), FRCPS (hon), will be joining us at the “Inflammation
and Antioxidants” IHCAN Conference in collaboration with BANT on Saturday April 22.

T
ravelling from human health – the role of pre-, step outside his usual round of academic
Sweden, Prof pro- and synbiotics” (Clinical medical conferences and agree to appear
Bengmark will join and Translational Medicine, with us and BANT.
us at the Cavendish December 2012). Dr Thomas Levy is a board certified
Conference Centre Stig is one of medicine’s cardiologist who became a campaigner for
in London to present a two- best-kept secrets. The paper that vitamin C after working with pioneering
parter: “Choosing Health brought him to our attention dentist Dr Hal Huggins and seeing incredible
– Honour your intestinal is an inspirational must-read, clinical results.
microflora, so that you may whether you can get one of the Vitamin C is an “old fashioned” nutrient
live long”. few remaining tickets to see that is making
Addressing the antioxidant him present in person or not. a comeback,
theme of the conference, we Free to access online, and an helped by new,
welcome one of the world’s easy read, the paper is “Obesity, highly absorbable
leading experts on vitamin C, Professor Emeritus Stig Bengmark the deadly quartet and the liposomal
Dr Thomas Levy, MD, JD. contribution of the neglected daily organ supplement
After a long successful career as a surgeon, rest – a new dimension of un-health and its forms and surge
professor and clinic director, Prof Bengmark prevention” (online at https://www.ncbi. in research. (See
has become an acknowledged world authority nlm.nih.gov/pmc/articles/PMC4526765). the latest study
on chronic inflammation and chronic diseases, In it he deals with food habits – including validating the
which he says the facts show are a result of insufficient “organ rest” between meals – as use of vitamin C
dysbiosis. the real threat to the health of the Western Dr Thomas Levy against cancer on
Stig received his MD and PhD in medicine world. He also warns that the early-warning Research update, page 40.)
from Lund University in Sweden and has held signs of impeding disease are often ignored in “A question that has been presented to
the position of Honorary Visiting Professor at orthodox treatment circles. me numerous times since the publication of
University College London since 1999. He is “The dysbiosis-induced low-grade my book, Curing the Incurable: Vitamin C,
a founding member of the editorial board of inflammation and malfunctioning immune Infectious Diseases, and Toxins, is ‘What kind
HepatoBiliary Surgery and Nutrition (HBSN), system induces early a series of various, of vitamin C should I take, and why?’” says Dr
who describe him as “a living legend” and say seemingly benign, manifestations in the body, Levy. “It is a very good question indeed,
he was “one of the three greatest European for which the sufferers often seek medical as the variable effects on both short-term
surgeons in recent history”. advice at their local general practitioner (GP, and long-term clinical outcomes can be
HBSN editor Prof Yilei Mao adds, “Stig family doctor), and often receive symptomatic dramatic” ihcan
has always had unlimited, unexpected, treatment. However, these minor, but
broad-spectrum, bright new ideas based irritating, symptoms should be taken
on his unique observations that ordinary seriously, as they are all signs of ongoing low
researchers would have ignored.” grade inflammation, which with time might
Prof Bengmark’s list of academic bring serious consequences – severe diseases
publications is almost 1,000-strong. His
long career at the top of the field of liver
and with time death.”
He also points up the huge differences Book now...
There is now limited availability
and gall bladder specialism has given him between modern Western-style eating
for this conference, so we
unique insights into chronic disease and and a more Paleo regime, and breaks this
recommend you secure your
inflammation. His investigations have led him down in terms of the liver and bile:
place as soon as possible.
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IHCANallergy and intolerance

Intolerance, MTHFR and


methylation: dealing
with histamine
Conference favourite, naturopathic physician Dr Ben Lynch, ND, intolerant to
histamine himself, explains the genetic links to a common problem – and what to do about it.

H
istamine intolerance is becoming intolerance. You have a bucket of histamine antihistamines (long-term))
more and more prevalent. and your body requires histamine in order to • Nutrient demands (stress, anxiety, lack of
I have it. function. sleep)
I also have MTHFR and am • Hormonal insufficiency (adrenal fatigue)
susceptible to methylation You need it • Hormonal excess (oestrogen)
deficiency. Given the prevalence of the MTHFR You need histamine to do a variety of things – • Lifestyle (excessive exercise, alcohol)
polymorphism, it only makes sense that the such as: • Diet (fermented foods, high protein intake,
general population is also very susceptible to • get blood, ie nutrients and oxygen, delivered aged foods, leftovers, citrus, fish)
histamine intolerance. to various areas • Environment (high pollen counts, dust
I wish I’d known I had histamine • pay attention mites)
intolerance 30 years ago. Now that I’ve • digest your food • Associated conditions (leaky gut, IBD, IBS)
addressed it, so many of my symptoms are • move your bowels There are four main genes which are central
gone – or are manageable. • enhance exercise to processing histamine:
The issue is that histamine intolerance can The ideal amount of histamine allows these • HNMT – which requires SAMe as a cofactor
rear its ugly head anytime, anywhere. You things to occur – and occur perfectly. (and this requires an effective MTHFR
have to be ready for it and know how to deal As histamine levels increase, your tolerance enzyme to help produce SAMe)
with it. for it goes down. You start to get too much • DAO – which requires vitamin B6 and copper
Identifying whether you have histamine blood flow, have too much attention, move • MAO – which requires vitamin B2 and iron
intolerance is not easy – and it is COMMONLY your bowels too often and your exercise is • NAT2 – which requires CoA (which stems
missed. now affected negatively. from vitamin B5)
The only true way to know if you have This translates into histamine INtolerance. If any one of these genes are slowed or
histamine intolerance or not is to go on a Your histamine bucket is overflowing. burdened, then the removal of histamine
low histamine diet for a period of time. Feel You need to get rid of some of it. Not easy, is slowed – and symptoms of histamine
better? You are then histamine intolerant. as there are many factors which increase intolerance occur.
Congratulations! You’ve joined the elite club histamine – and they should all be addressed. How can you see if these histamine-related
of folks who actually understand what is ailing The causative factors for histamine genes are slowed down due to genetic
them. intolerance are many: polymorphisms?
Now – my job is to help you beat it. • Genetic susceptibility (MTHFR, DAO, MAO, Order a 23andMe genetic test and then run
Before we do that, let’s get into what HNMT, PEMT…) your raw data through StrateGene (https://
histamine intolerance actually is. Imagine a • Pathogens (a number of which produce seekinghealth.org/product/strategene).
five- gallon bucket. You have a lot of things histamine or block methylation) I developed StrateGene with a team of
to put in there: soap, toys, screwdriver, • Nutrient deficiencies (B12, folate, B6, B2, B1, researchers. We have one section of the
watermelon, your favorite cat who doesn’t sit Zn, Cu, C, methionine) report specifically dedicated to histamine
still, a pound of sand and two gallons of water. • Nutrient excesses (histidine, protein excess metabolism. Here we show the genes
Obviously, you’re going to have issues. You in general) associated with histamine breakdown along
need to make some decisions. What stays? • Medications (antibiotics, antacids and even with the epigenetic controls and cofactors.
What goes? The cat must stay. You’d Very cool seeing it graphically.
love the water to stay, but your
favorite cat told you otherwise. Sand What are symptoms of
is chosen, as is the soap, because you histamine intolerance?
know your favorite cat is going to do I want to share with you one of
something to the sand. my favorite research papers of
The rest stays behind and off you all time – as it is so beautifully
go with your cat, sand and soap. done: “Histamine and histamine
This is the same thing as histamine http://seekinghealth.org/product/methylation-and-clinical-nutrigenomics-part-i-video-course. intolerance”, by Laura Maintz and

24 ihcan-mag.com I APRIL 2017

CAM TEMPLATE.indd 24 27/03/2017 11:16


Natalija Novak, was published in the American • and others which I am forgetting This way, we can see all of them and see if
Journal of Clinical Nutrition in This is a slurry of symptoms and issues, they are correlated.
2007. But that paper – while great – is not isn’t it? If a patient walked into my clinic with all of
nearly as comprehensive as mine – especially This goes to show that it is best to think these symptoms, I’d be evaluating:
in terms of how to deal with histamine WHY, HOW and MECHANISM of various • lifestyle (sleep, hobbies, work, family,
intolerance. conditions rather than focusing on the friends, enemies)
Signs and symptoms of histamine “condition” itself. • environment (zipcode, farming community,
intolerance are difficult to identify because Can you imagine a patient walking in with urban, location to wires, cell towers)
many have delayed reactions – we’re talking a the list above? They do. Every day. • mindset (optimist vs pessimist, “not my
few hours after eating, possibly. In the orthodox medical field they would fault” vs “all my fault”, talker vs listener, how
Common signs and symptoms of histamine have to go to a variety of different doctors: vs what, etc)
intolerance: • dermatologist • diet (usual foods – unedited – a journal is
• flushing • pulmonologist key here – including fluids)
• rapid heart beat • psychiatrist • supplements
• profuse sweating • gastroenterologist • meds (inc OTC)
• headache • gynecologist • calendar of events (in utero to current – use
• migraine • endocrinologist a timeline of main issues in life – sickness,
• food allergies • cardiologist stressors, exposures, surgeries)
• seasonal allergies • general practitioner In terms of labs, I’d be evaluating (if a first
• urticaria Then, each doctor is going to prescribe office call and patient could afford them –
• prickly heat a variety of medications: otherwise would skip labs and wait to do it
• large swollen mosquito bites • cortisone until I was stuck and patient not improving):
• runny nose • antihistamines • CDSA (comprehensive digestive and stool
• bloody nose • SSRI analysis with O&P x 3)
• car sick • calcium-channel blockers • RBC fatty acids
• seasickness • hormones • Urinary organic acids
• motion sickness in general • fiber • Plasma amino acids
• itchy All of the above medications are • Serum ferritin
• irritable palliative only. • Thyroid panel (free T3, free T4, TSH, rT3,
• nausea anti-TPO, anti-TG)
• vomiting Masking • Homocysteine
• higher sex drive (not really a problem They simply mask the symptoms and not one • Methylation profile (SAM:SAH ratio)
typically, but good to know) of them addresses the underlying cause. • Lipid peroxides
• asthma In fact, some of them exacerbate the actual • Vitamin D
• exercise-induced asthma main complaints! This happens to thousands • Histamine (but not very good marker –
• stomach ache of patients – daily. varies a LOT – need to evaluate history)
• menstrual cramps Let’s look at it from the way practitioners • Total IgE, IgG, IgM, IgA
• chest tightness should be looking at this. Instead of asking, • CBC with chem panel
• loose stools “What is your chief complaint?”, it should be: • Genetic testing
• skin issues (eczema, psoriasis) “Please list ALL of your symptoms from most • and some others if needed
• insomnia aggravating to least aggravating.” From Michael McEvoy via my Facebook

APRIL 2017 I ihcan-mag.com 25

CAM TEMPLATE.indd 25 27/03/2017 11:16


IHCANallergy and intolerance
page – I thought this to be an interesting n Resources: The Low Histamine Chef changes all around, I have improved SO much.
comment and worthy of sharing here: (http://thelowhistaminechef.com)– fantastic My genetics predispose me to histamine
“Consistently I’ve observed a basophil % of resource. I cannot vouch for all content intolerance – big time.
1 or greater to correspond approximately to though. Some is great and some is likely not. • MTHFR compound heterozygous (1298 x
a whole blood histamine of 60 or greater. A % Kinda like here at MTHFR.Net – some of my 677) – check
basophils of 2 typically features a whole blood articles are great – and others – “eh”. • MAO – slowed and male – check and check
histamine greater than 150.” • DAO – multiple homozygous polymorphisms
It needs to be clear – CRYSTAL – that Genetics which predispose to – check, check, check
histamine intolerance is COMMON. histamine intolerance • HNMT – don’t know status but my MTHFR is
Now let me be clear on another point. n MAO: a gene which requires B2 as cofactor, messing with my methylation by itself – so
Histamine intolerance is ONE issue out of is polymorphic, slower in men and reduces already setting up my HNMT to struggle.
potentially many that are going on. This is why tyramines, histamine and catecholamines To give you an idea of my histamine
I outlined all the causative factors above. I am (stress neurotransmitters). Hm. Riboflavin is intolerance situation:
NOT saying that all you have to do is address great for migraine sufferers… • Life-long – but had no idea until about a year
histamine intolerance and that laundry list of n DAO: a gene which requires B6 and copper ago
symptoms will go away. as cofactors, is polymorphic a LOT and reduces • Total IgE: elevated
What I AM saying is that histamine extracellular histamine (bacteria and food). • CDSA: normal
intolerance is a major contributor to a laundry n HNMT: a gene which requires SAMe as • CBC with chem panel: normal
list of symptoms and must be evaluated – in a cofactor, is polymorphic and reduces • Food allergy panel: high histamine foods
addition to other things. intracellular histamine. came back high – lime, avocado
n MTHFR: helps regulate methylation which is • Consume histamine-containing foods:
Run the trial needed to reduce intracellular histamine. Uses reaction – irritable, sweaty, insomnia,
A simple trial of what I am going to B2 as cofactor. eczema, sweaty feet, rapid heart rate, nose
recommend is highly recommended for those n PEMT: produces phosphatidylcholine, which bleeds (since I was a kid), tight chest.
suffering from a chronic long-term variety of is needed to for cell membranes –keeps them • Intolerant to alcohol – especially red wine
ailments which may come and go or just stay stable and healthy. • Serious dust mite intolerance
or get worse. There are common supplement • Huge mosquito bite welts
In order to reduce histamine loads, I recommendations which I use if the dietary, • Tingling skin
typically recommend these things right out of lifestyle and environmental changes are • Intolerant to heat
the gate: implemented. Having since cleaned up my lifestyle,
n Diet: no fermented foods, no leftovers, no It is NO use for a client to take diet, environment, gut, mindset and added
citrus, only FRESH fish or no fish, no alcohol, supplementation if they are going to just supplementation, my histamine intolerance
no aged foods. This includes cheeses, wines keep on living a life which is not conducive to is now significantly improved. It comes back
and processed meats. Limit protein intake health. A supplement is designed to ENHANCE fast, however. On a flight to London, I wanted
to about 0.8 grams protein/2.2lb of body – not to REPLACE basic lifestyle, dietary and to sleep, so I decided to drink some red wine.
weight, as protein provides histidine. Histidine environmental choices. Within ten minutes, I had a nose bleed, faster
transforms to histamine. Eat more fatty foods As one transforms their lifestyle, diet and heart rate and sweating.
(healthy – like ghee) and whole grains (quinoa, environment – and mindset – many things I wanted to hit myself – but I already looked
wild rice). A more ketogenic diet would be resolve on their own – however, not always of like someone hit me in the face so I didn’t
great – but some cannot tolerate this (due to course. make it any worse. That goes to show you
adrenal fatigue and electrolyte imbalance). Supplementation requires all systems to be how fast it can come back – especially with
n Lifestyle: sleep, reduce stress (huge), supported. If any one system is unsupported, slowed histamine-metabolising genes. I was
breathe (seriously), optimise exercise – don’t then symptoms of histamine intolerance may also under stress – flying, work stuff and tired.
overdo it, laugh!, do things you love – don’t not resolve. I didn’t take my adrenal support….
wait anymore. For example, a friend of mine has had Supplements which support methylation,
n Environment: new pillow, dust mite allergies for longer than I’ve known him – MTHFR, histamine metabolism and histamine
covers, clean the house, clean ducts, air which is more than 20 years. His allergies regulation [Ben names US brands – but you
purifiers, no air fresheners (dang things were improving significantly but the missing can find UK equivalents]:
SUCK and are very nasty and contribute to piece? Supporting his adrenals. After adding • Histamine Block: useful to take before
histamine intolerance due to aldehydes), rip this in, despite a high pollen count, allergies eating foods/drinks with histamine. I should
out carpet, install hardwood or tile, fresh were gone. have taken this before the red wine – but it
air, drive with air recycle on whilst in traffic The more one adjusts and cleans up their was buried in my bag located in the overhead
otherwise fresh air. diet, lifestyle, environment and mindset, compartment. This supplement contains the
n Mindset: positive, get it done attitude, the less supplementation is needed. Also, at natural DAO enzyme which breaks down food-
empower, remove the “fix me” mentality as first, more supplementation may be needed derived histamine. This may also be taken
it is the patient who must fix themselves and to restore missing nutrients, eliminate if your digestive system is full of histamine-
seek the right healthcare (which is NOT easy pathogens, restore beneficial bacteria, producing bacteria. Get tested with the CDSA.
to do). stabilise cell membranes, restore gut health Interesting fact: pigs don’t get seasick as they
n Learn: give them reading material. Like Keto and adapt to stress. have a TON of DAO enzyme and metabolise
Clarity, The Metabolic Makeover, Think BIG, Phew – that was me some time ago – and it histamine very well. Hm – they can eat a ton of
Aspire, I Can Do Anything If I Only Knew What also may be you. I still suffer from histamine rotten food/leftovers and are fine with it…
It Was, … Never stop learning. intolerance – and always will – but with my n HistaminX: useful to help reduce seasonal

26 ihcan-mag.com I APRIL 2017

CAM TEMPLATE.indd 26 27/03/2017 11:17


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pg27 - POTP.indd 27 27/03/2017 14:36


IHCANallergy and intolerance
allergies or blunt histamine symptoms. reduce the acidity of the vitamin C. enough amounts. Healing the gut brings
Best to take in AM, afternoon and evening n Optimal PC (softgel or liquid): if back the DAO enzyme – if it is not messed
or as directed– during times of histamine methylation is hindered, then so is cell up like mine due to a genetic polymorphism.
intolerance. When not having symptoms, membrane formation. Did you know that Regardless of a DAO polymorphism, one
then only taking once a day or not at all is 70% of your methylation is dedicated to still needs to heal the gut. If your gut is
recommended. If I have a runny nose from making cell membranes?! If cell membranes healthy, then you can skip this step. If you get
dust mite allergies, I take one of these. It stops. are not made from the appropriate material – irritable from taking L-glutamine, back off
It’s a new product so I’m still experimenting phosphatidylcholine – then inflammation and the amount you are taking and support with
with ideal dosing and recommendations. cell damage will occur. This leads to histamine magnesium and B6. You likely have higher
n ProBiota Bifido: a probiotic which supports release. Support cell membrane integrity by levels of glutamate and are not getting it
a healthy flora but without increasing providing phosphatidylcholine. Also, eating out fast enough Magnesium is useful to help
histamine-producing bacteria. Best to take eggs is a great way to get choline. metabolise glutamate.
after dinner and away from anti-microbials. n Optimal Creatine: if methylation is n Multivitamin which works for
n Optimal Liposomal B12 with hindered, and it typically is in those with you: having comprehensive support –
L-5-MTHF: a higher dose of methylcobalamin histamine intolerance, then creatine formation minerals, vitamins and others – is needed
and a little methylfolate to help support the is likely hindered as well. Given that most of to optimise all pathways of histamine
methylation cycle. Great to give to kids or your methylation is used up to produce both metabolism.
sensitive people and graduate the dose – phosphatidylcholine and creatine, wouldn’t it Can you cure histamine intolerance?
drop by drop if needed or full dropperful or make sense to supplement with both of these No.
as directed by your healthcare professional. in order to conserve methylation so it can then Can you maintain and support the body’s
This is what I give to my son with histamine focus on reducing histamine?! Yes! It works! ability to balance histamine levels?
intolerance. He, like me, is compound Using creatine that is bound to magnesium is Absolutely.
heterozygous MTHFR, DAO snps and slow way more effective than other creatines, which If there are two things to try in order to
MAO. He doesn’t do well with that much may contribute to gas and bloating. reduce histamine intolerance:
methylfolate but he needs some – and this is n Optimal Fish Oil: useful to stabilise cell 1. Creatine and phosphatidylcholine.
what I turn to. membranes which are inflamed and leaking 2. Reducing stress (sleep, mindset,
n Optimal Liposomal Vitamin C: vitamin C histamine from mast cells. meditation, exercise, hobbies, adaptogens).
is known to help stabilise mast cells and thus n L-Glutamine Powder or Optimal OK – that’s technically three, but those
reduce histamine intolerance. The added GI Powder: healing the intestines is key, as are the three big ones.
phosphatidylcholine is supportive as well the DAO enzyme lives in the intestinal wall. If Try some of these lifestyle, dietary
to cell membranes. Take anytime during the one has leaky gut or GI inflammation, the DAO and environmental tricks. You’ll be
day with or without food. Some need food to enzyme is not going to be present in nearly surprised! ihcan

Support
n Oxygenation: Work, be outside and sleep adaptogens. If tired upon waking and hard
with your window open at least a crack. to get out of bed in the morning – and a
Get rid of the stale air and bring in fresh night owl – then you may need something

for stress oxygen into your area and being. Increasing


oxygenation reduces anxiety and stress.
like Adrenal Cortex to really nourish your
adrenals. Only take Adrenal Cortex in the
As mentioned previously, stress increases the n Sleeping: are you sleeping well? Able to morning with breakfast or as directed You’ll
demand of the MTHFR and MAO enzymes – go to bed consistently, fall asleep, stay asleep find you need these nutrients some days
and also methylation in general. and wake rested? If not, this is going to add and other days not. I only take them both
If you stress your methylation, you are on to your stress – physical and emotional. periodically.
the road to histamine intolerance. The bucket n Eating: eat a balanced whole foods diet n Exercise: if you have the energy, get out
of histamine may overfill as your body has to as much as possible. Limit large breaks and burn some of it off by doing what you
deal with other things. Thus, reducing and between meals or at least eat when you feel love. Sports, walking with a friend – and
balancing stress is an incredibly important hungry – don’t hold out. If hungry, eat. If it can be a four-legged friend (there are
thing to do. Get stress out of your bucket. not hungry, well then maybe you don’t have some three-legged ones out there and
The way to balance stress is multifactoral to, but if your stress increases, go get some it is awesome to see them doing well; I
– as most anything. protein, healthy fats and quality whole grain actually was studying to become an equine
n Breathing: are you breathing properly? carbs like quinoa or wild rice or veggies. veterinarian: I changed course, obviously). If
Seriously. Not a stupid question. Belly Limit sugar, as this will just cause a long term you exercise, don’t push yourself past what
breathe, find good books and teachers – yoga issue and spike stress. Also don’t eat loads you are comfortable in doing. If you do, you
is great to teach how to breathe. Are you of protein, as this just provides the building are going to stress your body, deplete your
holding your breath at times? Tune in to that. block to histamine – via the amino acid found methylation and increase your histamine
I found that I hold my breath sometimes in protein – histidine. levels. Exercise-induced asthma? Yes – you
when I am reading or writing….and I read n Adrenals: if the adrenals are burned out, wore out your methylation and now your
and write a lot. I’m fixing this issue and so are you. Restore adrenals with the above histamine levels built up and now you
trying to find out why I do it. Note – I think recommendations. Supporting with nutrition cannot run anymore. A key to supporting
it comes down to histamine, as when I and herbal interventions are also helpful for yourself during exercise is nourishing your
take a HistaminX I seem to belly breathe some. If you find you jump or are intolerant electrolytes and mitochondria. If you do
more effectively – not as constricted. Still to stress, ie. yelling too much, quick to this, you can exercise more productively and
evaluating. anger, scare easily, then you could use some optimally.

28 ihcan-mag.com I APRIL 2017

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pg29 - Renew Life.indd 1 27/03/2017 14:36
IHCANclinical practice

Chronic illness: a
structured approach
A tide of chronic illness is not being stemmed by orthodox medicine, and patients are
increasingly turning to integrative practitioners as a last resort. Dr DIETRICH KLINGHARDT,
MD, PhD, has developed an insightful approach to the challenge of unravelling complex
ill-health conditions over the course of his 42 years in medical practice.

I
n acute illness, patients come to the results hint at a success rate of 33% and a burden is ever-increasing. Current estimates
clinic because they have one significant failure rate of 66%. Meanwhile the numbers suggest that every one of us has upwards of
symptom. In chronic illness, patients of those suffering from severe neurological 20,000 different toxic chemicals in our body,
present with a long list of symptoms: some illnesses are increasing by the day. Over the mostly stored in the matrix of the connective
of them may be life-threatening, some last 20 years the number of women dying tissue, where our intelligent system carefully
appear insignificant (but to the client they from neurological illness in the US (80% from attempts to separate these molecules so that
are not). Most medical diagnoses are based Alzheimer’s disease) has increased by 663%. they cannot synergistically interact with each
on using Latin words to describe the outward Most other neurological illnesses are also other. The tests available to practitioners to
appearance of a symptom (ie arthritis = increasing dramatically – autism, Parkinson’s, identify these pollutants in our organisms are
inflammation of the joint), but fail to address MS, ALS and others. Among serious scientists woefully inadequate. It is a losing battle. What
the underlying cause. Conventional medicine there is a consensus that most illnesses of do we do? If (mostly) undetectable chemicals
has largely avoided dealing with the growing the brain and nervous system are caused by are closely interlinked with chronic illness, as is
evidence that chronic illness is affecting ever inflammation either due to toxicity (including so clear from the current literature, what chance
larger subsections of our population. Doctors fine particle pollution) or secondary to do we have of making a causal diagnosis?
learn little in medical school to prepare them bacterial infections/viruses. Many practical solutions have appeared in
for this unfolding worldwide crisis. Every therapeutic approach should be the pre-CAM environment in the 1950s,
Since the mid-‘90s, awareness has preceded by a clear diagnostic workup and a ‘60s and ‘70s: EAV (Electroacupuncture
increasingly grown of the presence of treatment plan based on the diagnostic results. according to Voll), Applied Kinesiology, VAS
Lyme spirochetes underlying many chronic But there is a major problem: every week an (vascular autonomic reflex), the Bi-digital
conditions. Treatment options with long- estimated 15,000 new chemicals are released O-Ring Test, and Autonomic Response Testing
term antibiotics emerged. The published into the environment worldwide. Our body (ART).

30 ihcan-mag.com I APRIL 2017

CAM TEMPLATE.indd 30 27/03/2017 11:08


The 4 Steps – biological treatment
of chronic illness
The following is the approach pioneered at the Getting information: Autonomic
Sophia Heath Institute in Seattle, Washington.
The approach has four components that Response Testing
should be followed sequentially – sometimes ART uses changes in various stress indicators
the steps can overlap. such as arterial blood flow in the hand and
muscle tone as information. These changes are
Step 1: Balance the client’s general interpreted and can suggest or even predict
physiology whether a planned intervention or medication
This requires lab work that needs careful will have a positive or negative effect.
interpretation. First the electrolytes and the At my Sophia Health clinic, every patient
pH of urine and saliva should be balanced. (during every visit) is examined with
Dr Emanuel Revici (http://drrevici.com) conventional medical, orthopaedic and
evaluated the pH of 50,000 healthy people in neurological tests, but in addition also with
the late 1940s and established the following ART.
numbers as ideal normals: saliva 6.7, urine ART represents an evolution and an Acupunct 2016, 28(3):162-167). The validity
6.2. These numbers differ greatly from expansion of the technique that was originally of ART was further confirmed in another
proposed by Omura in 1985 (https://www. independent investigation focused on breast
recent publications that have been based on
ncbi.nlm.nih.gov/pubmed/6124084), and cancer (Holist Nurs Pract 2017, 31(1):21-29).
assumptions, not real research.
was subsequently validated in a number of Results based on medical tools like hair
Balancing the hormones based on the
studies including two randomised, blinded analysis for toxic metals and urine challenge
results of 24-hour urine, saliva and blood
clinical trials (J Manipulative Physiol Ther tests with chelating and complexing agents
samples is also important.
1984, 7(2):99-104; BMC Complement Altern are still disputed, doubted and often refuted
Looking at antioxidant reserves is helpful, Med 2016, 16(1):492). In a paper published in conventional circles and in the courtrooms.
but basing treatment on this alone can be a in 2016, ART developed at the Sophia Health With EAV and ART it is possible to scan the
dangerous mistake: our system uses oxidative Institute was used by independent researchers body of a client in minutes for thousands of
mechanisms to fight microbes. The same in the diagnosis and treatment of painful chemicals and metals. ART is being taught in
microbes can use antioxidants (Co-Q10, R-lipoic scars. In this study, the authors state that “In the UK in regular courses, and our protocols
acid, glutathione etc.) to protect and shelter our experience, ART produces useful and will be presented in detail on April 9, 2017, in
themselves. Oral supplements first nurture consistent information most of the time” (Med London (www.klinghardtInstitute.com).
the microbiome in the gut and we only get the
leftovers, or worse, the metabolic products from toxins is a vital part of treating chronic utmost to survive in a hostile host, and it is
created (which can currently only be suspected illness and should be considered early in the this drive that forces them to take over some
based on an organic acids urine test). treatment. It will facilitate all the downstream of the controls in the immune system of the
Chronically ill clients have desynchronised steps. host.
brain waves, expressed as insomnia, A good example is Lyme: spirochetes invade
depression, mental decline and emotional Step 3: Immune modulation the very cells of the immune system that are
instability. Acupuncture, neural therapy As far back as the early 1900s, published supposed to kill them (CD 57). There, they
and osteopathy are often helpful, as well as medical literature held that most symptoms can live undetected for decades. But the host
brainwave biofeedback. of chronic illness are caused by the client’s pays a price: the immune system ends up not
immune reactions to microbes, microbial only blinded towards the spirochetes, but also
Step 2: Establish a valid detoxification metabolic products and toxins, and by to a host of other infectious agents: viruses,
protocol immune reactions to man-made toxins. parasites, toxins, etc.
Current estimates are that we have roughly This reaction is amplified by the client’s Multiple indicators of immune system
65,000 metabolic enzymes, including cell psychological state. status are available today (Ig G/M/A/E
wall channels (such as insulin receptors The microbes themselves will do their subclasses, interferons, cytokines etc.), but
and calcium channels), neuropeptide- and where treatment is concerned, the medical
hormone-producing enzymes. According to community has given us very few practical
Prof Boyd Haley, the world’s most renowned “We can therefore answers: antibiotics, steroids, interferon,
mercury scientist, all of these enzymes are
compromised by mercury. The large group of
conclude that Borrelia and ibuprofen etc.
For us this is the domain of homeopathy. We
metallo-enzymes is especially vulnerable: if the typical co-infections use ultra-fine dilutions of the offending agents
sufficient zinc is not available, the enzymes
substitute lead or cadmium instead. It has
are involved in many or (Borrelia, EBV, aluminium, glyphosate and so
on). We can down-regulate overactive immune
long been known that mercury facilitates the most chronic conditions. responses and up-regulate functions that are
growth of Candida and the related secretion Including the treatment impaired. Many of the most brilliant solutions
of numerous toxins. Aluminium creates a
favourable environment for the growth and of these infections in the have their origin in the UK, but the researchers
and teachers are not honoured for their work
virulence of Lyme spirochetes. Glyphosate management of chronic as they should be. Traditional homeopathy,
greatly disrupts the microbiome in our
gut, which is a hugely important part of
illness has become a osteopathy, acupuncture, chiropractic, the
wise use of herbal adaptogens, all have their
our immune system. Liberating our tissues secret to success.” legitimate place.

APRIL 2017 I ihcan-mag.com 31

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IHCAN clinical practice

Step 4: Reduction of the pathogen


burden
Many questionable directions have emerged
“Out of the first provoked 150 PCR tests performed on
in the CAM field; one of these current is the patients diagnosed with chronic intractable complex
concept that persistent pathogens live either illness, many of whom were negative for pathogens in all
intracellularly or hidden in “biofilm”.
What is the problem with cracking biofilms
the commercially available tests, 148 came back positive
with enzymes and going after the bugs with with an average of three pathogens found from the
antibiotics? The problem is that our own
symbiotic microbes also live in biofilm,
Lyme co-infection group.”
carefully organised along the gut membrane, 3. A tissue biopsy with targeted staining of significantly healthier, often resulting in a
but also along our fascia, in the liver and even the suspected pathogen. negative PCR test (RK protocol) done nine-12
in the brain (alpha proteobacteria). You can The traditional serum or urine PCR test has months after establishing a four-step protocol
imagine what happens if biofilm and antibiotic been shown to have extremely low sensitivity, using only biological agents and methods.
strategies are used like machine guns to but the highest specificity of all At the Sophia Health Institute, we also use
destroy all biofilm. the tests. We have developed a new mental field therapy (a new and effective
In contrast, we have found that there are approach to increase the sensitivity of any form of PTSD treatment also used for the
selected herbal and detox strategies that microbiological test currently available: management of unresolved conflicts), targeted
preferentially soften and invade only biofilms we use ultrasound to drive microbes out of ozone injections (especially if joints are
occupied by pathogens. In the pathogen- their sanctuaries where they persist into the affected), pulsed magnetic fields, intravenous
hosting biofilm the mucopolysaccarides are bloodstream, then collect the client’s urine laser therapy and many acupuncture-related
strung together using toxic metals, while in and perform a PCR test. This test method is techniques to increase drug uptake and
healthy biofilm they are strung together with referred to as the RK Protocol (Ruggiero/ resynchronize the brain.
calcium and magnesium. It makes sense to Klinghardt). Currently we are testing for
have the patient on a metal detoxification Borrelia, Bartonella, Babesia, Ehlichia, heavy In conclusion
protocol before engaging in wild killing sprees. metals and glyphosate. We live in a different world now: toxins,
The protocol to decrease the microbial Here’s a number that even shocked us: out electrosmog, polluted air and polluted food
burden should start with correct diagnosis. of the first provoked 150 PCR tests performed sources – they have not been part of human
There is much confusion in the field: for on patients diagnosed with chronic intractable development for millions of years. The
commercial reasons the use of the microscope complex illness, many of whom were negative combined influence has created a perfect
has largely been abandoned. A culture for for pathogens in all the commercially available storm that interferes with every aspect of our
Lyme spirochetes may take three months tests, 148 came back positive with an average genome, proteome and metabolism, and has
–the patient may not be alive by the time the of three pathogens found from the Lyme co- changed the medical environment drastically
diagnosis is made! Most newer tests are based infection group. and fundamentally.
on the reactions of a competent immune We can therefore conclude that Borrelia Chronic illness is the predictable outcome,
system (Western Blot, etc.), which most of and the typical co-infections are involved in and we need rational, inexpensive and
my patients no longer have. Only a limited many or most chronic conditions. Including effective tools for diagnosis and therapy.
number of tests can truly show the presence the treatment of these infections in the Love and compassion for the client and a
of a pathogen: management of chronic illness has become a supportive environment is a must during
1. Using EliSpot (enzyme-linked secret to success. this process: this cannot be offered by the
immunosorbent spot) technology to show With the RK protocol/test done before and healthcare practitioner – it has to come from
a cellular response of the innate immune after successful treatment we learned that the client’s community or family.
system’s T-cells against antigens antibiotics have failed to clear the system of • Protocol workshop in London April 9, 2017: Holiday Inn
2. PCR testing to look for DNA sections of Lyme and co-infections in a large percentage Bloomsbury, London WC1N 1HT. Dr Klinghardt will address
the particular microbe of clients. However, a targeted liposomal these issues in detail and will present simple effective
protocols based on the insights presented in this paper:
2. Culture-based tests (as popularised by Dr herbal protocol (www.KiScience.com) http://klinghardtinstitute.com/product/biological-master-
Joseph Burrascano, MD) has helped many of our clients to become protocols/

The exciting news from the Testing with ultrasonographic techniques invented of the human body.
Klinghardt Academy last and developed by Dr Ruggiero, validated by DNA The goal of the RK Protocol is to identify and
month was the publication of testing. “This represents a paradigm change with fight hidden pathogens, toxins and aberrant cells;
a groundbreaking new paper profound implications for diagnosis and treatment it aims at achieving accurate and early diagnosis,
by Dr Klinghardt and Dr Marco of chronic conditions ranging from silent infections at indicating the most appropriate therapeutic
Ruggiero, MD, PhD, in the peer- to neurodegenerative diseases, autism and intervention and at maximizing the efficacy of
reviewed American Journal of cancer”, says the Academy. specific therapeutic interventions.
Immunology. The RK Protocol is based on two phenomena The paper describing in full detail the RK
In it they describe an original procedure of resonance: the resonance between identical Protocol is an open-access publication, available
known as the “Ruggiero-Klinghardt Protocol” substances, and the resonance between free online at http://thescipub.com/PDF/
(RK Protocol) that merges Autonomic Response ultrasounds and cellular and molecular structures ofsp.11074.pdf.

32 ihcan-mag.com I APRIL 2017

CAM TEMPLATE.indd 32 27/03/2017 11:09


pg33 - ads.indd 1 27/03/2017 14:37
IHCAN clinical practice

Dr Klinghardt’s Lyme Protocol


IHCAN is privileged to bring
you the latest version of the
successful protocol continually
updated by Dr Klinghardt.

Step 1: the foundation


Cistus tea (prevention of tick bites, biofilm-
dissolving, borreliocidal) – start with two cups
per day, slowly increase to eight cups per day.
As soon as any improvement is noticed, stay
with that dose without further increase. If a
die-off effect or worsening occurs, go back to
the last tolerated dose.

Binders – two options:


a. Lava Vitae (special zeolite – has scooper
inside): two scoops 2-3 times daily between noticed. If a dose of two pipettes twice daily is Medicine 19 June 2013: 5(190); 190ra81;
meals and/or at bedtime. reached and has to be increased, start a third Scientific American June 20, 2013). Like
b. Chlorella: 8-16 tablets (250 mg each) 3 dose in the middle of the day. If a die-off effect other homeopathics, Ag23 is taken straight
times per day, 30 minutes before meals or at or worsening is noticed, go back to the last and undiluted away from all other items,
bedtime (binders are to capture mobilised tolerated dose and stay there for at least ten including food, water or other drinks. Dosage:
biotoxins in the intestinal tract to prevent their days before attempting to increase the dose 2 tablespoons 2-3 times per day.
re-absorption). again. Do not exceed two full pipettes three Most patients benefit from decreasing
n Hyaluronic Acid Liquid: Teases microbes times per day. Stay on that dose if no further the aluminium burden of lungs and brain.
out of protected hiding places; nutrient for change is noticed and add the next item. Aluminium has been shown to enhance the
joints and connective tissue. The Ki-Science n Astra Smile (known effects of the destructiveness of Lyme. Add Polmolo to the
product has the exact Dalton molecular size ingredients: anti-bacterial, anti-viral, neuro- mix and titrate the optimal dose in the same
for complete sublingual uptake. Take 3-4 protective and neuro-regenerative, anti- manner. This can be done independent of the
dropperfuls twice daily. If joint pain is the main ageing): start with one drop twice daily, titrate presence of Lyme or other related infections.
presenting issue, consider a third dose. to tolerated and effective dose. Many Lyme patients have undiagnosed
n Cistus Incanus tincture: 15 drops twice a n Coriandolo Plus (known effects: removal kidney problems since the inner lining of
day. of toxic metals, normalizes serum lipids, the kidney, ureter, bladder, and urethra are
increases bile flow): start with one drop twice favourite hiding and feasting places of Lyme
Step 2: The liposomal antimicrobial daily, increase to full dose of two dropperfuls and Co. Renolo: take separately from the
cocktail: KiVita three times per day as tolerated. This item cocktail in a glass of water and titrate to the
To increase the depth of penetration of the can also be used separately from the cocktail effective dose. Full dose: three dropperfuls
mix, an ultrasound jewellery cleaning device in a cup of water. Best if combined with ionic three times a day in a full glass of clean water.
can be used (costs less than £30). Put water footbath for 20 – 30 mins twice weekly. Can also be squirted on food (salad dressing,
in the chamber, place the closed jar with n Propolis Plus (known effects: anti-viral, cooked veggies etc).
the mixed herbal tinctures into it – after the radioprotective, anti-bacterial, anti-fungal. • Dosages recommended are for a 70kg person.
shaking – and vibrate for 12 minutes. In our experience: powerful anti-Bartonella • More information and scientific references: see the
Powerpoint presentation “Lyme Solutions” from the
Slowly titrate doses to tolerance. Start with effects): titrate carefully to tolerated dosage. workshop in London, February 2016, available at www.
ART-tested dose, increase by two drops once/ Some patients may be allergic to propolis, KlinghardtInstitute.com.
week for each dose. If worsening: go back to which should be picked up early during initial • Most items used in this protocol can be sourced from www.
KiScience.com. The individual ingredients of the herbs can
last tolerated dose, wait, and start to increase titration). Full dose: two dropperfuls three
be viewed in an attachment of the same presentation. Dr
again. Full dose: one pipette four times/day times a day. Klinghardt says that other suppliers can be used, as long as
and weekend dose of 1-2tbsp twice daily. n Ag23: low-potency homeopathic the products are sourced carefully and meet the sensitive
exclusion criteria. Herbs may have the same name but may
If patient still tests for one of the co- preparation of nanonised silver with a not have the same amount of biological activity.
infections, single test these items to add to the multitude of documented broad-spectrum During the initial active treatment phase, antioxidant
vitamins have been shown to be an obstacle rather than
daily doses: anti-microbial properties. It does not helpful.
n Sweet Annie plus Sweet Stevie (known cause silver storage problems (such as Most chronic Lyme patients start feeling better after
effects of Sweet Annie: anti-protozoal, anti- skin discoloration) as many colloidal silver three-four months on this protocol and reach a profound
level of recovery after 18 months.
viral, anti-fungal, anti-inflammatory. Stevia: products would do if taken for long periods “Some patients who were severely ill for many years and
anti-Lyme, penetrates pathogenic biofilms): of time. Silver has been shown to work on have taken antibiotics for more than three months may need
a safe, simple, inexpensive and well-tolerated maintenance
one drop twice daily each, double every three its own, but it also potentizes the effect of dose of some of these liposomal herbs for the rest of their
days until improvement of any symptom is other anti-microbials (Science Translational lives”, says Dr K.

34 ihcan-mag.com I APRIL 2017

CAM TEMPLATE.indd 34 27/03/2017 11:09


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APRIL 2017 I Ihcan-mag.com 39

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IHCANresearch
EVOMED
Amazon hunter-farmers have healthiest arteries ever seen
The Tsimane people – a forager-farmer- University of New Mexico. “Their lifestyle
hunter population of the Bolivian Amazon suggests that a diet low in saturated fats
– have the lowest reported levels of vascular and high in non-processed fibre-rich
ageing for any population, with coronary carbohydrates, along with wild game and
atherosclerosis (hardening of the arteries) fish, not smoking and being active throughout
being five times less common than in the US, the day could help prevent hardening in
according to a study published in The Lancet the arteries of the heart. The loss of
and being presented at the American College subsistence diets and lifestyles could be
of Cardiology conference. classed as a new risk factor for vascular
“Our study shows that the Tsimane ageing, and we believe that components of
indigenous South Americans have the lowest this way of life could benefit contemporary
prevalence of coronary atherosclerosis of sedentary populations.”
any population yet studied”, said senior Although the Tsimane lifestyle is very
anthropology author, Prof Hillard Kaplan, different from that of contemporary society,
certain elements of it are transferable and
“This is an excellent could help to reduce risk of heart disease.
While industrial populations are sedentary
study with unique for more than half of their waking hours
findings. The Tsimane (54%), the Tsimane spend only 10% of their

get 72% of their energy daytime being inactive. They live a subsistence
lifestyle that involves hunting, gathering,
from carbohydrates. fishing and farming, where men spend an

The fact that they have average of 6-7 hours of their day being
physically active and women spend
the best indicators of 4-6 hours.

cardiovascular health “The Tsimane also exercise – a lot”,


commented Peter Whoriskey in his
ever reported is the Washington Post report titled “These people
exact opposite to many eat monkeys and piranhas. They also have the
lowest rates of heart disease ever measured”!
recent suggestions He says: “They use both shotguns and bows
that carbohydrates are and arrows, and their average hunt lasts more
than eight hours, covering more than ten miles
unhealthy.” – Dr Gavin of tracking. To cut a farm plot out of the jungle,
Sandercock, reader in clinical they generally use metal axes and scythes – not
Tsimane hunter-gatherers: some of the healthiest people
alive – despite a high incidence of parasite infection.
chain saws. And, because of the thinness of the
physiology (cardiology) at the soil, they have to carve out a new plot every
(Pictures: University of New Mexico, M. Gurven and E.
Schniter.)

University of Essex growing season.” weight, age, heart rate, blood pressure,
Their diet is largely carbohydrate- cholesterol, blood glucose and inflammation.

Diet and exercise


based (72%) and includes non-processed Based on their CT scan, almost nine in ten of
carbohydrates which are high in fibre such as the Tsimane people (596 of 705 people, 85%)
• 1 7% of their diet is game including wild rice, plantain, manioc, corn, nuts and fruits. had no risk of heart disease, 89 (13%) had low
pig, tapir and capybara (the world’s largest Protein constitutes 14% of their diet and risk and only 20 people (3%) had moderate
rodent). comes from animal meat. The diet is very low or high risk. These findings also continued
• 7% freshwater fish including piranha and in fat, compromising only 14% of the diet – into old age, where almost two-thirds of those
catfish. equivalent to an estimated 38 grams of fat aged over 75 years old had almost no risk
• Family farms grow rice, maize, manioc root each day, including 11g saturated fat and no and 8% (4 of 48) had moderate or high risk.
(like sweet potato) and plantains (similar trans fats. In addition, smoking was rare in the These results are the lowest reported levels
to banana). population. of vascular ageing of any population recorded
• Fruit and nuts from foraging.
to date.
• 72% of calories from carbohydrates.
Scans By comparison, a US study of 6814 people
• 14% from fat compared and less saturated
In the observational study, the researchers (aged 45 to 84) found that only 14% of
fat than typical Western diets.
visited 85 Tsimane villages between 2014 Americans had a CT scan that suggested no
• 14% of calories from protein, mostly lean
and 2015. They measured the participants’ risk of heart disease and half (50%) had a
meat and fish.
• Men average 17,000 steps a day, women
risk of heart disease by taking CT scans of moderate or high risk – a five-fold higher
16,000. the hearts of 705 adults (aged 40-94 years old) prevalence than in the Tsimane population.
• Over-60s have a step count over 15,000. to measure the extent of hardening Most common age of death among the
of the coronary arteries, as well as measuring Tsimane is 70. “People often think that life in

40 ihcan-mag.com I APRIL 2017

research.indd 40 27/03/2017 11:10


All references online at www.ihcan-mag.com/references

these places nasty, brutish and short, but that


just isn’t the case”, said project anthropologist
Benjamin Trumble.

Inflammation not a factor


In the Tsimanes, heart rate, blood pressure,
cholesterol, and blood glucose were also low,
potentially as a result of their lifestyle. The
researchers also note that the low risk of coronary
atherosclerosis was identified despite there being
elevated levels of inflammation in half of the Tsimane
population (51%, 360 of 705 people).
“Conventional thinking is that inflammation
increases the risk of heart disease”, said Prof Randall
Thompson, cardiologist at Saint Luke’s Mid America
Heart Institute. “However, the inflammation common
to the Tsimane was not associated with increased
NUTRIENTS
risk of heart disease, and may instead be the result of
high rates of infections.” Pauling vindicated: vitamin C ten
times more effective than drugs at
Because the study is observational it cannot
confirm how the Tsimane population is protected
from vascular ageing, nor which part of their lifestyle
(diet, physical activity or not smoking) is most
targeting cancer stem cells
protective. The researchers suggest it is more likely Vitamin C is up to ten times more clinically-approved drug stiripentol,
effective at stopping cancer cell growth three natural products – caffeic acid
“Based on their CT scan, than pharmaceuticals such as 2-DG, phenyl ester (CAPE), silibinin and

almost nine in ten of the according to scientists at the University


of Salford.
ascorbic acid – and experimental
pharmaceuticals, such as actinonin,
Tsimane people had no risk The research, published in FK866 and 2-DG.
of heart disease.” Oncotarget, is the first evidence that
vitamin C (ascorbic acid) can be used to
While they found that natural
antibiotic actinonin and the compound
to be a result of their lifestyle than genetics, because target and kill cancer stem cells (CSCs), FK866 were the most potent, the
of a gradual increase in cholesterol levels coinciding the cells responsible for fuelling fatal natural products also inhibited
with a rapidly changing lifestyle. tumours. CSC formation, with Vitamin C,
“Over the last five years, new roads and the Dr Michael Lisanti, Professor of outperforming 2-DG by tenfold in terms
introduction of motorised canoes have dramatically Translational Medicine, said: “We of potency.
increased access to the nearby market town to buy have been looking at how to target
sugar and cooking oil”, said Dr Ben Trumble, Arizona cancer stem cells with a range of Following Pauling’s lead
State University. “This is ushering in major economic natural substances including silibinin Vitamin C has previously been shown to
and nutritional changes for the Tsimane people.” (milk thistle) and CAPE, a honey-bee be effective as a non-toxic anti-cancer
The researchers did not study whether coronary derivative, but by far the most exciting agent in studies by Nobel Prize winner
artery hardening in the Tsimane population are the results with vitamin C. Linus Pauling, and was recently shown
impacted on their health, but note that deaths from “Vitamin C is cheap, natural, to reduce mortality by 25% on breast
heart attacks are very uncommon in the population non-toxic and readily available, so to cancer patients in Japan. However, its
so it is likely that their low levels of atherosclerosis have it as a potential weapon in the fight effects on CSC activity have not been
and heart disease are associated. The researchers against cancer would be a significant previously evaluated and in this context,
are investigating this in further research. step.” it behaves as an inhibitor of glycolysis,
“This study suggests that coronary atherosclerosis Cancer stem-like cells are thought which fuels energy production in
could be avoided if people adopted some elements to be the root cause of chemotherapy mitochondria.
of the Tsimane lifestyle, such as keeping their LDL resistance, leading to treatment failure Lead author Dr Gloria Bonuccelli
cholesterol, blood pressure and blood sugar very low, in patients with advanced disease and added: “This is further evidence
not smoking and being physically active”, said senior the triggers of tumour recurrence and that vitamin C and other non-toxic
cardiology author Dr Gregory Thomas, Long Beach metastasis (regrowth). compounds may have a role to play in
Memorial Medical Centre. “Most of the Tsimane are The Salford team set out to assess the the fight against cancer.
able to live their entire life without developing any bioenergetics of cancer stem cells with “Our results indicate it is a promising
coronary atherosclerosis. This has never been seen a view to disrupting their metabolism. agent for clinical trials, and as an add-
in any prior research. While difficult to achieve in the Focusing on energy-transfer, they on to more conventional therapies, to
industrialised world, we can adopt some aspects of measured the impact on cell lines in prevent tumour recurrence, further
their lifestyle to potentially forestall a condition we a laboratory of seven substances, the disease progression and metastasis.”
thought would eventually effect almost all of us.”

APRIL 2017 I ihcan-mag.com 41

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IHCANresearch
FOOD
What NOT to eat: strawberries, spinach top EWG’s
2017 Dirty Dozen
Strawberries remain at the top of choices, whether you’re buying • nectarines
the Dirty Dozen™ list of the EWG conventional or organic produce”, • apples pesticides.
Shopper’s Guide to Pesticides in said Sonya Lunder, an EWG senior • peaches • Spinach samples had an average
Produce™, with spinach jumping analyst. “If you can’t buy organic, • celery of twice as much pesticide
to second place in the annual the Shopper’s Guide will steer you • grapes residue by weight than any
ranking of conventionally grown to conventionally grown produce • pears other crop. Three-quarters of
produce with the most pesticide that is the lowest in pesticides”. • cherries spinach samples had residues of
residues. Lunder said it’s particularly • tomatoes a neurotoxic pesticide banned in
The Environmental Working important to reduce young • sweet bell peppers Europe for use on food crops – it’s
Group’s analysis of tests by the US children’s exposures to pesticides. • potatoes part of a class of pesticides that
Department of Agriculture found “Even low levels of pesticide Each of these foods tested recent studies link to behavioural
that nearly 70% of samples of 48 exposure can be harmful to positive for a number of different disorders in young children.
types of conventional produce infants, babies and young pesticide residues and contained By contrast, EWG’s Clean
were contaminated with residues children, so when possible, higher concentrations of Fifteen™ list of produce least
of one or more pesticides. USDA parents and caregivers should pesticides than other produce. likely to contain pesticide
researchers found a total of 178 take steps to lower children’s Pears and potatoes were new residues includes sweet corn,
different pesticides and pesticide exposures to pesticides while still additions to the Dirty Dozen, avocados, pineapples, cabbage,
breakdown products on the feeding them diets rich in healthy displacing cherry tomatoes and onions, frozen sweet peas,
thousands of produce samples they fruits and vegetables”, said Dr cucumbers from last year’s list. papayas, asparagus, mangoes,
analysed. The pesticide residues Philip Landrigan of the Mt. Sinai Key findings: eggplant, honeydew melon,
remained on fruits and vegetables School of Medicine. • Nearly all samples of kiwis, cantaloupe, cauliflower
even after they were washed and, For the Dirty Dozen list, strawberries, spinach, peaches, and grapefruit. Relatively few
in some cases, peeled. EWG singled out produce with nectarines, cherries and apples pesticides were detected on
“If you don’t want to feed your the highest loads of pesticide tested positive for residue of at these foods, and tests found low
family food contaminated with residues. The list includes: least one pesticide. total concentrations of pesticide
pesticides, the EWG Shopper’s • strawberries • The most contaminated sample residues.
Guide helps you make smart • spinach of strawberries had 20 different • https://www.ewg.org.

A&P BRAIN HEALTH


Surprising new role for lungs: Alzheimer’s disease linked to the
making blood metabolism of omega 3 and 6
Using video microscopy in the A new study published in PLOS problems and 14 clinically diagnosed
living mouse lung, University Medicine’s special issue on dementia Alzheimer’s patients.
of California San Francisco reports that the metabolism of They also looked at three different
omega-3 and omega-6 unsaturated areas in the brain, one that usually
scientists have revealed that
fatty acids in the brain are associated shows little tau and amyloid, one
the lungs play a previously
with the progression of Alzheimer’s that shows more tau and another
unrecognised role in blood
disease. that shows more amyloid. The main
production. Release of platelets in the lung Most AZ research has focused on molecules that were different were six
Reporting online in Nature, vasculature. (Picture: University of
tau and amyloid proteins. They start small fats, including omegas, which
California – San Francisco.)
the researchers say that the accumulating in the brain up to 20 changed in abundance in different
lungs produced more than “This finding definitely years before onset of the disease. regions of the brain.
half of the platelets – blood suggests a more sophisticated Yet despite research millions spent They found that unsaturated fatty
components required for the view of the lungs – that investigating them, they have not acids were significantly decreased in
clotting that stanches bleeding they’re not just for respiration been solidly proved to be causative. Alzheimer’s brains when compared to
– in the mouse circulation. but also a key partner in Researchers from King’s College brains from healthy patients.
In another surprise finding, formation of crucial aspects of London and the National Institute on Co-lead author of the study, Dr
they identified a previously the blood”, said pulmonologist Aging in the United States looked at Cristina Legido Quigley from King’s
brain tissue samples from 43 people said: “While this was a small study, our
unknown pool of blood stem Mark Looney, MD, a professor
ranging in age from 57 to 95 years results show a potentially crucial and
cells capable of restoring of medicine and of laboratory
old. They compared the differences in unexpected role for fats in the onset of
blood production when the medicine. “What we’ve
hundreds of small molecules in three dementia. Most surprisingly we found
stem cells of the bone marrow, observed here in mice strongly groups: 14 people with healthy brains, that a supposedly beneficial omega-3,
previously thought to be suggests the lung may play a 15 that had high levels of tau and DHA, actually increased with the
the principal site of blood key role in blood formation in amyloid but did NOT show memory progression of the disease.”
production, are depleted. humans as well.”

42 ihcan-mag.com I APRIL 2017

research.indd 42 27/03/2017 11:10


PHARMA MICROBIOME
Older women taking high-
n Got carbs? may have beneficial effects on liver
dose statins have 50% metabolism and may protect against
increased risk of diabetes Researchers find metabolic disease.

Older women taking cholesterol-lowering statins face


new way gut Many studies have shown that

a significantly increased risk of developing diabetes, bacteria deal with dysbiotic bacteria can cause disease.
However, these studies generally follow
according to a University of Queensland study
published in Drugs and Ageing.
sugars a similar protocol that may impact on
Scientists have found that single the outcome: they transfer dysbiotic
UQ’s Dr Mark Jones said women over 75 faced a
microorganisms in the human gut have bacteria to axenic mice that do not have
33% higher chance of developing diabetes if they were
the ability to disassemble the most any microbiota. For example, axenic mice
taking statins; this increased to more than 50% for
women taking higher doses of statins.
complex of carbohydrates in our diet. that receive microbiota from the gut of
“We found that almost 50% of women in their late It is the first time such a discovery has obese mice would increase their total
70s and 80s in the study took statins, and 5% were been made and it is hoped that this may body fat, indicating that microbiota play
diagnosed with new-onset diabetes”, Dr Jones said. be used to one day identify new pre- and a causative role in the development of
“Statins are highly prescribed in this age group but pro-biotic products to help digestion. obesity.
there are very few clinical trials looking at their effects Led by Prof Harry Gilbert, from Serino and his colleagues reasoned
on older women. The vast majority of research is on the Institute for Cell and Molecular that axenic mice are ill-equipped to
40- to 70-year-old men”. Biosciences at Newcastle University, the deal with dysbiotic microbiota. Their
study is published in Nature. gut barrier is impaired, favoring
Bacteria in the large bowel have a an uncontrolled spread of bacteria
major impact on health and physiology throughout the body. In addition, their
as they help to disintegrate substances immune system is not well developed.
in food that we cannot digest, such as So instead of using axenic mice, the team
starches and fibre. The main source of used normal, healthy mice, which have
nutrients available to the gut bacteria not been treated with antibiotics before.
are carbohydrates from the human diet,
which the body is unable to metabolise. Protection against metabolic
The most complex of these disease
carbohydrates is the plant A high-fat diet increases the production
polysaccharide, rhamnogalacturonan of glucose by the liver and can eventually
STEM CELLS II (RG-II), which can also be found at lead to metabolic disease. However, when
Electroacupuncture elevated levels in red wine. Serino and his colleagues transplanted

mobilises repair, pain-


Previously it was thought that only dysbiotic microbiota from mice on
groups of bacteria would be able high-fat diet to healthy mice, they found
relieving stem cells to metabolise and breakdown RG-
II, reflecting its complex structure.
that the production of glucose in the
liver was reduced, rather than increased.
within two hours However, this research shows that single Therefore, dysbiotic microbiota counter
A study led by Indiana University School of organisms present in the gut can also the metabolic effect of high-fat diet
Medicine researchers has demonstrated that cope with it. and may thus protect the host from its
electroacupuncture triggers a neurological The team of international scientists consequences. Similar effects were also
mechanism that can help promote tissue repair and found that RG-II is metabolised through observed when the researchers used
relieve injury-induced pain. the action of a type of bacterial enzyme, microbiota from genetically obese mice.
Four senior authors led a team of more than 40 known as glycoside hydrolases, which In another set of experiments, the
scientists at institutions in the United States and target the complex carbohydrate sugars researchers transplanted dysbiotic
South Korea. They performed a series of lab tests in the large bowel. microbiota from obese mice to healthy
involving humans, horses and rodents that followed mice and then put these mice on a high-

n Is dysbiosis
the effects of electroacupuncture from the stimulus fat diet. Normally, a high-fat diet would
of the needle all the way to the brain. Depending lead to weight gain. However, the body
on the species, electroacupuncture led to activation healthy? Yes – mass of mice that had received dysbiotic
of the hypothalamus within nine to 22 minutes. if you’re on a microbiota did not change, and their
adipose tissue showed smaller fat cells,
Reparative mesenchymal stem cells (MSCs) were
released into the bloodstream within two hours. high-fat diet consistent with increased plasma free-
Electroacupuncture treatments resulted in An unhealthy diet changes the fatty acids.
higher thresholds for injury-induced pain, as well composition of the gut flora and In conclusion, dysbiosis after high-fat
as considerable increases in the presence of a type it is generally assumed that this diet may not all be detrimental. As long as
of collagen that promotes tendon repair, and anti- maladaptation called “dysbiosis” triggers the gut barrier is intact and the immune
inflammatory cells known to be predictors of faster disease. A study published in Molecular system is functional, dysbiosis may even
healing. Systems Biology by Matteo Serino and protect the body from metabolic effects
The horses used in the study had been injured his colleagues at the Université Paul of unhealthy diets. “Our observation may
during training for international dressage Sabatier in Toulouse now challenges this encourage a new debate on the role of
competitions, and the six people who took part were view. Using mice as a model organism, gut microbiota dysbiosis in the induction
healthy volunteers, who still showed activation of the researchers show that dysbiosis of metabolic diseases”, said Serino.
their hypothalamus through brain imaging.

APRIL 2017 I ihcan-mag.com 43

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inpractice

“You’ll never recover –


there is no treatment”
Name: Rebecca Cotterall.
Website: www.hellohealing.
co.uk.
Qualifications: Dip. Nutritional
Therapy from College of
Naturopathic Medicine (CNM).

How long did it take for you to


qualify?
Five years, after several periods
of serious illness alongside
studying

Where do you practise?


At my clinic in Chorley,
Lancashire, but I also see clients
all over the UK via Skype

What’s your main therapy/


modality and why?
Nutritional therapy. I see
recovery as a triangle: the mind,
the physical body, and nutrition.
I think you can do a lot of work
on the mind or on the body with
exercise, but without nutrition
you may not fully recover; from
my own personal experience,
I think nutrition is the most
powerful tool in the box.

Why did you decide to


become a practitioner?
I have had Lyme disease and
chronic fatigue for 13 years –
since I was 13 years old. I had
little schooling and I was in a
wheelchair for many years. At
times my mum would have to
bathe me and take me to the
toilet. I was very weak and
couldn’t walk – or even talk.
Standard Western medicine
offered nothing at all. I was told I was about finding the root cause How long have you been in Dr Sarah Myhill. She was the first
may never recover, and there was of our problems. I went onto practice? person I came into contact with
no treatment. study at CNM, thoroughly enjoyed 18 months now, and it has who was helping people in this
I started working with Dr it, and even healed myself while flown by. area, and she gave me so much
Sarah Myhill when I was 18, and studying. I am now about 80-90% help and drive to overcome this.
started to see drastic changes. I normal and run my own business Who or what has been the But day to day it is the strong,
realised how nutrition can be so and live a very busy lifestyle. So main influence/inspiration on determined young people I work
healing to the body and how it now I shout it from the rooftops! your practice? with every day, when I get the

44 ihcan-mag.com I APRIL 2017

in practice.indd 44 27/03/2017 11:11


emails, texts, phone calls that
they are making progress when
they never ever thought it would
be possible. They make such huge
changes and have a great attitude.
We can focus on the negativity
and the failings in our country in
the healthcare system, or we can
focus our energies on those who
want the help now.

What conditions or types of


client do you see most of?
My main client base is those who
suffer with chronic fatigue and/
or Lyme disease. Most seem to
be women in their 20s and 30s. I
seem to attract a certain type of
person, which I think can be true
for many practitioners. We all
have a different vibe.

What do you find the easiest


to work with?
I wouldn’t say anything is easy to
do; my passion is Lyme disease,
so I can deal with that the most
efficiently, but it is never an easy
task. I follow a certain regime
with clients, but every single
Lyme/CFS client is so different.
I love it because they make
progress, sometimes for the first
time in their lives, and that’s
amazing. sand, because from having this from an NT, so I expect a high
illness, I know first-hand how level of commitment and honesty.
What is your favourite type of destructive that can be. Dr Richard Horowitz’s Why Can’t
client? Do you enhance your business I Get Better? Solving the Mystery
One who believes they can get What one thing is absolutely with any projects outside of of Lyme and Chronic Disease is
better and will make every effort essential to you in your your clinic? a wonderful book about all the
to make it happen. practice? I do regular writing, blogging, different techniques when it
Trust. If a client doesn’t trust I also run successful 21-day comes to recovery from Lyme
What is the most challenging me and my recommendations, detox programmes, day retreats Disease, detox, metals, gut etc.
type of symptoms/illness/ then I will suggest we don’t work focusing on the body and It is a regular go-to for me in my
problem that you get together. I explain to all new the mind, and I enjoy giving office.
presented with? clients that it is a partnership, so motivational talks in schools
I find very poorly clients who if it becomes evident they don’t with my story. I also work for Why do you do what you do?
don’t listen to their bodies very trust what I’m saying, I can’t CNM as their Course Consultant I fiercely believe people can
frustrating; people who are trying see the partnership working. I in Manchester and as a clinic recover. Whether it is IBS,
to go back to work when they really believe that clients have supervisor. migraines or a hugely complex
are struggling to shower and to find the right practitioner for illness like chronic fatigue
dress themselves. I find denial a themselves. Everyone is different. Which CAM book has helped or Lyme disease. Nutrition is
tricky one to deal with, and when I think a lot of the time I go above or inspired you most, so far in powerful and the body can
people bury their heads in the and beyond what is expected your career? heal, IF it is given the right

APRIL 2017 I ihcan-mag.com 45

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inpractice
interventions and the right for 3-6 months and have CAM consultations. Say yes to every have Fudge my cockapoo as my
environment. I am the walking practitioners to look after them opportunity. fellow employee in the office.
evidence that people can along with chefs, house cleaners,
recover with hard work and therapists, yoga teachers – What is the biggest challenge What would you like to see
determination. everything people need to you face as a practitioner? covered in IHCAN that we’re
recover from chronic illness. The thing I struggle the most not getting to?
If money, time and effort with is loneliness. I used to work I would love to see more help for
were no object, what one What piece of advice would in retail, so it was all hustle and practitioners to keep them in tip-
thing would you change you give to newly-qualified bustle and office banter. I also top shape – maybe a yoga pose to
about your practice or practitioners who are just struggle with not having the try, or walking the dog more as a
integrative medicine and setting up a business? team I want/need to implement tip or a reminder to make sure we
nutritional therapy in Networking. Join a networking all my wild ideas! I would love stay sane, because it is tricky this
general? group you enjoy and make to implement on a bigger scale balancing act to make sure we
I would love to have a huge house friends, not necessarily in the to reach more people and show are as well as possible so we can
in the country where people can same field, but contacts are great. people how powerful nutrition is. be the example and help all our
come and be cared for full time Think outside the box of just 1-1 One day, maybe, and until then I lovely clients with their health.

Case study Chronic fatigue syndrome in a 19-year-old


A 19-year-old woman came to see water. I have been working with her nutrition student, so now she knows
me with chronic fatigue syndrome. 5 R protocol (Remove, Replace, for six months. We started to see why she should do some things
She was making no progress, she Reinoculate, Repair, Rebalance) and results in about three months, but and avoid others, therefore she is
was coeliac and was struggling with oregano to kill off her parasites. this is a long-term case to get her more motivated to make changes
university. She relied on her parents We supported her adrenals with back to full health. because she knows why. I think is
to cook, drive and support her, and meditation and mindfulness, and it true of many clients; in order for
she rarely left the house. She had regular protein. Progress them to succeed, they want to listen
also not had a period in 12 months. She also saw a naturopath, so She is an ongoing client and I want and learn.
regular probiotic and oregano to work on other areas with her in
Assessment enemas were helping with her the future. I am keen to look into What did you learn?
In 2015 she had been diagnosed parasites. detox with her. Sometimes the simple interventions
with glandular fever, coeliac and Probiotics and broths to support With a CFS/Lyme client I explain make the biggest changes. I didn’t
PCOS (polycystic ovary syndrome), her digestion and immune system that this is now their new lifestyle go strong on supplements with this
but she pushed through and ended as well as monitoring her vitamin – the eating habits, sleep, exercise, client, and I wanted to work with her
up coming to be because it was all D levels. stress management. If they go with mainly food. It was powerful.
getting worse. She also had mould I encouraged her to switch her back to a typical Western lifestyle,
in the room where she studied. She wifi off at night to give her body a symptoms can creep back in. I think Would you do anything
had not been breast fed. I thought break, and also asked her to look it is all about educating them on different?
that her whole body was struggling into her skincare and start using their symptoms and their bodies I would possibly go in with an EBV
under the weight of everything, her more natural products. and making it realistic for them test if I started with her again, it is
immune system was poor and her She decided to draw up her own to continue. I promote the 80/20 something I want her test her on.
digestion was struggling, as well meal plans to stay on track. idea: if they are good 80% of the
as hormonal balance and nervous time, they can have that treat. In my Resources
system. Outcome experience when you ask someone My experience in my clinic quite
We did a CDSA (comprehensive After a few months, she went on to be 100% angelic, they tend to fall often comes from my 13 years with
digestive stool analysis) and an holiday with her friends! I was off the wagon and experience a lot this condition, I follow Dr Myhill’s
adrenal profile. She had many as overjoyed, as was she. She is of guilt. research and Dr Dietrich Klinghardt
parasites, a huge amount of managing university so much better, very closely, and attend a lot of CPD
dysbiosis, and an infection with high cooking and looking after herself. Conclusions events of his. As you can expect,
cortisol. She also started her period again, After slowly rebuilding her immune my struggle and recovery from
which for both of us was such a and digestive system, other aspects CFS/Lyme disease brings such an
Intervention measurable goal that showed her – such as hormonal health and understanding of my clients and an
She loved “health foods”, a lot of new lifestyle is working. nervous system – fell into place. I empathy. My training at CNM was
which were processed, so I switched She is thrilled, and is now think education was a big part for also so helpful, and I still use many
her to a wholefood diet, fat, researching a career in nutrition as her; she wanted to know why we of the original ideas which I learnt
veggies, fish and plenty of filtered she is so encouraged by the results. did everything, and was like a little there.

The IHCAN Awards are hugely successful, but we’re aware they only reward and recognise a handful of practitioners and clinics each year. Meanwhile, we know
that CAM practitioners are quietly getting on with changing people’s lives, every day – and we want to celebrate and share the inspiration. So we’ve re-vamped our
popular In Practice series. It is coordinated by regular contributor Rebecca Smith, who runs a successful practice of her own, established 20 years ago. Contact her
direct to be part of the feature: rebecca@newportcomplementaryhealthclinic.co.uk, and follow her on Twitter: @NCHealthClinic.

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