Chronic Fatigue Syndrome-Dr. Jacob Teitelbaum March 15, 2022…
Tue, 3/15 4:48PM • 2:04:30
SUMMARY KEYWORDS
treat, fibromyalgia, milligrams, day, symptoms, increased, infections, antibiotic, cfs, energy, treatment, test, thyroid, people, questions, fatigue, patient, silver, sleep, good
SPEAKERS
Bill Clearfield
06:38
Hi there I’m on So welcome everybody.
07:01
We have a few minutes to go Dr.
07:05
Title bomb should be on
Bill Clearfield 07:19
in the interim anybody have any questions? There is okay Okay, Dr. Teitelbaum, thank you so much for being with us this is truly an honor
07:48
for us and
Bill Clearfield 07:52
I picked up your book, the one that’s over your shoulder there in a bookstore in. I think it was the Bahamas in 1998. And I’d done a couple he just did a couple of years of acupuncture school and we’re just starting my own anti aging you know, wellness practice journey so and I think the thing that caught my eye was really the title I said, What Why can’t I think of think of a title that you know, like that, so. And so, we’ve been we’ve been admirers of yours from afar for a long time. Oh, thank
08:34
you. And the field has changed quite a bit since then. And the book accordingly so it’s, this is so treatable these days. We’re gonna have fun today. William, let me ask a question. I’m okay with taking questions during the month unless you prefer that. We save them for the after I can stay pretty much as long as people would like to answer questions.
Bill Clearfield 08:58
All right. It really it really is really one of my one of my jobs is to make sure everybody’s muted. Make noise.
09:10
If I invite you to, if you see questions coming up, I don’t know if people can
Bill Clearfield 09:15
we do it. They put it they put it in the chat. And at the end, I’ll ask them, and you can answer them and that way you kind of, you know, build up momentum
09:26
perfectly. We’ll go ahead and plan that will take the questions at the end. Why people want to stay for questions and answers can and those who have got to go them. Okay. Perfect.
Bill Clearfield 09:37
So, so in the interim, those of you who have not signed up for the conference yet Dr. Teitelbaum will be with us on Sunday afternoon. 230 Is it or 1/3? I think it’s 130. I don’t have I don’t have the schedule. I do have a year at 130, Sunday afternoon, march 27. He will be virtual with us. So if you haven’t signed up for the conference yet, please do it is we start a week from Friday. And you know, we have an all star lineup. We have you know a 4am would be green with envy with the lineup that we have. Besides you. We have Dr. McCulloh. We have least Gersh I know you know all these folks Kathleen O’Neil Smith, Thomas Levy, Francisco Lozano. You know like I’ve been saying this would be a $2,500.03 day weekend with with it with a different group. So we really have an all star lineup. Unfortunately, the hotels giving us all sorts of grief and we won’t be going back there. I was I was NV last year you know we had to do I did I ran it for my two laptops from my kitchen table. I almost envy you know, not doing that. Again. So but we’ll we’ll soldier on and make the best of it. So. So just to let you know that our group is actually 50 years this is its 50th year, believe it or not. Dr. Richard Rennes is on here somewhere. He was one of the originals. And Dr. Burgess over here with the ZZ Top look also was one of the originals. They’ve been around for a long, long time. We we’ve at different times have attempted to change us from rheumatic diseases to integrative medicine. But the AOA wants nothing to do with that so we leastly soldier on anyway.
11:52
We lose them
11:56
and by the way, I have to make a correction because Dr. Renza has had 40 more years than I have clinical.
Bill Clearfield 12:06
I don’t think I don’t think that’s even possible in room
12:10
in rheumatology. Oh,
Bill Clearfield 12:13
okay. I mean you know, when you when you when you read the when you read the you know, when you read read the history of medicine years, Hippocrates and Socrates and then John Burgess, write that letter, right? In chronological order, right.
12:28
I’ve only been hanging out with this crew for about five years, and it’s fun
Bill Clearfield 12:33
Oh, yeah. Okay, so we lost that title bomb here. I’m still here. Okay, all right. Oh, you just
12:45
okay, you’re not okay. Put the video should be on and we
Bill Clearfield 12:51
get so you can you can share the screen there.
12:54
So let me go ahead and do this
Bill Clearfield 13:04
we have Dr. Chalk here who’s I guess from Ohio so welcome.
13:08
Go box. So let me can you see the
13:13
slides? I do not.
13:18
Okay, so we’re gonna have to figure out how to get this. I’m wondering if I may need to know.
Bill Clearfield 13:26
My slides. You should be able to just do screen share there at the bottom.
13:31
That’s what I did. So I have my slides coming up. But I’m not sure how to get back to sync everybody else.
Bill Clearfield 13:42
Usually they put you in a little box in the corner.
13:45
You know, it’s not doing that
Bill Clearfield 13:55
where’s our where’s our resident people who know how to run this thing because you know, okay, who can share all participants who can start sharing when someone else’s sharing all participants so,
14:08
okay, so what I was looking to do is just to share the
Bill Clearfield 14:11
gist. Okay, it looks like looks like we got it.
14:14
And you see the slides, so I’m not gonna make the whole screen. Okay, perfect. I think we’re good.
Bill Clearfield 14:23
And then if you want to do the whole screen, go over to where it says from, you know, from beginning or from current slide and that’ll take care let’s see if that’ll take Okay, all the way over here from beginning all the way at the left. Yeah, right there. I
14:43
did that. Okay, so Okay. There you go. Can you see it? Perfect. I’m gonna have to keep your round rolling. Okay, so anytime we’ve been doing
Bill Clearfield 14:54
these for a year and a half now I’m just beginning to learn how to turn the thing on without the you know, I only had only had two to two glitches where I think it was about a week or two ago when the whole thing shut off and we had to start all over again and everybody had to join back. And then one week, we lost Dr. aulassa. If you know him. He was he got lost sort of somewhere in the ether. So
15:25
it’ll allow are fine. However it is getting
Bill Clearfield 15:28
getting better at it another 45 years and I think we’ll have it down.
15:34
Cool. So would you like to begin Oh,
Bill Clearfield 15:38
yeah. And if you don’t mind, we like to record it. That’s okay. We played it on a website. That’s a really
15:45
good way to get it out.
Bill Clearfield 15:48
Okay, so it is. So the next one we’re admitting is Dr. Spear. He’s our patriarch. He’s our oldest member still still with us. So he was one of the originals also so and he’s, I think one of the two left that there was only two rheumatologists that our group even though we’re the, you know, rheumatic diseases, subspecialties so Dr. Teitelbaum, you really no need no introduction. But if you want to just you know, let folks give you a 32nd spiel and then the floor is yours. Okay, get out of your way.
16:23
So what I’ll do is let me just go past the first couple of slides and I’ll give the intro again. In terms of disclosures. I make the shine dry Boson smart energy system. I have some association with recovery factors. But pretty much I don’t take money from any of the drug or supplement companies. So all the other stuff, they don’t get a penny. So you know people ask what’s a nice Jewish doctor like you doing in a field like fibromyalgia and natural medicine, and got into it the old fashioned way, came down with a nasty viral illness while I was in medical school. It knocked me out of medical school and left me homeless for a good part of the year. And it’s funny it’s as if the universe put a holistic homeless medical school sign on my park bench. naturopaths came by herbalist came by you know, energy medicine people came by and you know, here I am just med student I have no idea. I’ve never heard of any of this stuff. But all of them taught me bits and pieces of what I needed to do to recover be able to go back to medical school, and I spent the last 45 years researching we’ve at this point, we’ve done eight studies on effective treatment, or submitting the last two are in the process of being submitted for publication. Getting about 10 books, treated 1000s of people and developed what we call the shine protocol, which we’ll talk about today which has been shown in a randomized double blind placebo controlled study to help 91% of people CFS and fibromyalgia improve with an average 90% increase in quality of life. So we’re going to teach you have people come in complaining fatigue, CFS or fibromyalgia, to tell one from the other, or those with post COVID persistent symptoms. We’re going to go over today how to address these effectively. So let’s look at some of the numbers. 31% of American adults have severe fatigue. Now, again, that doesn’t count everybody that has fatigue, it’s probably the majority of Americans have fatigue and most people certainly want more energy. Now the principles we’ll talk about today will address this as well. If you look at the human energy crisis, the tip of that iceberg, we’re looking at about two to 4% or even higher, who have chronic fatigue syndrome and fibromyalgia which is like the worst case scenario for the human energy crisis. Post COVID chronic fatigue, which is now getting much more attention. It’s funny, the NIH budget last year was $12 million for fibromyalgia. I think they probably spent more on hangnail for stuff. I wonder if this is like the Cinderella stepchild in terms of the attention it gets. Now that’s gone up 100 fold which will be 1.1 5 billion for the next four years. That’s one of the Thank You COVID things in terms of the bright side of it, but post COVID fatigue which is basically post viral chronic fatigue syndrome, fibromyalgia. So there are dozens of infections that can trigger CFS and Fibro COVID is simply one more of those. So we’ll talk about how to adjust post COVID in general with a CFS and Fibro and then we’ll at the end we’ll focus on the specific issues that are specific to COVID and how to address those. The focus today is is not meant to dazzle you with 1000s of studies and the numbers. It’s meant to distill all of that into an easy to use clinical approach. So if you would like more on the science, ask me during the questions and stuff, but we’re gonna keep this really focused on what you can do now to get people better. So looking at the numbers, as I said for CFS and Fibro, about two to 4% of the population have overt CFS and fibromyalgia and considered double that, that have an intermediate form. postinfectious CFS and Fibro are common after many infections. You’ll see that in places and people who had SARS, the severe acute respiratory distress syndrome
20:31
40% of those for cases basically had chronic fatigue after with 27% meaning the diagnostic criteria for chronic fatigue syndrome. If you take a look at people who had epstein barr, or Coxiella or Ross fever, again, you’ll see 11% of these developed post viral chronic fatigue syndrome and a study by Lana Jason and people, college students who got moto while in college. 23% of them came down with chronic fatigue syndrome from the model. And we can read all these things but basically what the studies show is that numerous different infections will trigger CFS and fibromyalgia and as I said, COVID is just one more but it’s the one that’s getting attention because all things COVID are big business and, and good for media profits. Sorry if I’m a bit of a skeptic, but I find I take most of what is being fed to us with a grain of salt. So if you take a look at the symptoms of CFS and fibromyalgia and the symptoms of post COVID You’ll see that the overlap is quite remarkable. So in those people who had COVID 81% had fatigue afterwards. And those who have persistent post COVID symptoms of these, these are the ones that months later. So 81% of those with persistent symptoms. Had fatigue. 74% had widespread body pain, headaches and 72% 69% for brain fog, gut symptoms 67 Insomnia, which is a hallmark of fibromyalgia 66% And then the orthostatic dizziness 61% So we’re seeing that, again, the symptoms are pretty much what you’re going to suppose COVID are pretty much about to kind of see in CFS and fibromyalgia. And Dr. Fauci has noted that post COVID syndrome is basically highly suggestive of post viral chronic fatigue syndrome and me so the question is, number one, if somebody comes into you, and they say, I’m exhausted, I have severe fatigue. The number one question to ask them to distinguish Is this a day to day to day fatigue or other causes? of fatigue or do they have CFS and fibromyalgia is can you get a good night’s sleep? Think about it. Most of us have been working really hard, we’re exhausted. You give us a weekend where we can sleep and we’re out cold for the weekend, sleep all day all night. But in CFS and fibromyalgia, the hypothalamic Sleep Center is not working. Also, the sympathetic nervous system is not working. So what you’re going to see is that you get that paradox of can’t sleep even though you’re exhausted. So number one question somebody comes through with fatigue. Can you get a good night’s sleep if they say God, no. Then it basically presumed CFS or fibromyalgia until proven otherwise? Even if they have other conditions. For example, they may have lupus else lupus, no, it’s a secondary Fibromyalgia from the lupus. So even if they have other conditions, that paradox of can’t sleep despite exhausted that will sort it out for you very, very quickly. The there are other causes, besides the post viral chronic fatigue syndrome, that can cause post COVID symptoms. You can see PTSD which is very common, especially if they’ve been hospitalized. You’ll see specific organ damage. You’ll have a significant percent of people will have a myocarditis. You’ll see pulmonary disease from the shock lung and interstitial lung disease. You’ll see the CNS and brain fog you’ll see inflammation in the brain, which is likely mostly microglial activation, although you can certainly see strokes and other issues that are going on. So we’ll talk about how to address each of those non CFS parts of post viral CFS as post COVID symptoms as well.
24:53
So, number one, why are we seeing this epidemic of fatigue that’s going on and worldwide? Well, what we are seeing is a perfect storm for the human energy crisis. We have 50% of our diet now comes from empty calories, I think about 18% of our calories or sugar 140 pounds of sugar per person per year added to our diet and food processing. Another 18% of calories from white flour. And when you look at it over half of the vitamins and minerals in our diet have been removed. What we have dumped our calories. This is why we are seeing people being obese and malnourished together for the first time in human history. Meanwhile, if you look at Sleep Sleep is where we recharge our batteries. The average night’s sleep in the United States bid for lightbulbs were invented was nine hours per night. Now it’s six and three quarters. So we are have a 30% pay cut in terms of the amount of sleep that we’re getting. We’re seeing widespread hormonal deficiencies coming from aging chemicals in the environment, hypothalamic dysfunction associated with stress and a host of other causes. We’re seeing infections that are coming to surface that but then all biotics have been controlled in arson Candida and new viruses like COVID This increased Justin speed of modern life and there’s many many different things that are triggering the human energy crisis. So we talked about low energy. So what does that do? Okay, so this can be tired, right? It goes way beyond that. When you don’t have enough energy. Number one, you get muscle pain. A very important concept, especially as osteopaths is that when you have little when you don’t have enough energy. The muscles don’t go loose and limp as you would think intuitively. They get shortened. It takes more energy for the muscle to relax and to contract. That’s why during low energy you have a heavy workout and your muscles have low energy. You don’t come home and say honey, my muscles are all loose and limp. You come home and say they’re all tight. So low energy causes the muscles to get blocked in a shortened position. And that is arguably the most common cause of pain in this country. And not so arguably but most definitely missed by most physicians. Most physicians could no more do an exam a proper exam for muscle pain than they could pull the motor out of a car. They just the training and MD medicine for pain. Is dismal. The other thing besides for muscle pain and fatigue that you’re going to see when you have a severe drop in energy is hypothalamic dysfunction. Hypothalamus is an almond sized control center in the brain controls pituitary controls autonomic and hormonal function. At control sleep, all three of these are on that same circuit breaker and that circuit breaker the hypothalamus uses more energy for its size than any other area in the body. And that’s why when energy drops below certain levels it goes offline first, and indeed, does act as a circuit breaker to protect the system. It basically takes people out of the game when they have an energy crisis before they can keep pushing and do themselves more harm. So we talked about tripping a circuit breaker called the hypothalamus. As we start to control sleep, so you’re going to see most people even if they can’t sleep, they’re going to feel that it’s non restorative. And part of this is hypothalamic dysfunction. Part of it also is the body has trouble shifting from adrenaline response to the vagal parasympathetic response, and staying in adrenaline mode all night sympathetic dominant all night, makes for unrestful non restorative sleep. We see widespread hormonal deficiencies because pituitary which is controlled by the hypothalamus controls sleep. Our asthma, asthma controls the thyroid, the adrenal and reproductive hormones as well as others. So you’ll see widespread hormonal deficiencies despite normal testing, and especially important with COVID it controls autonomic function.
29:22
So what does that do for fatigue? When we stand up, we are a big bag of water, and blood is basically fluid. And what’s gravity going to do? If you think about it, we stand up all that blood should go downstream to our legs. And indeed, that does tend to do that. The autonomic system is what allows us to be an upgrade species. It has evolved so that the legs send the blood back up to the brain and the heart and the muscles and the other organs. But when that’s not working, what you’ll see is a blood goes down to the legs Pulsar AS if you’d lost two three units of blood very quickly, and the heart rate increases pulse goes up to go ahead and accommodate for that. For those who would like there’s a information sheet that I’ve put together a simple thing that you can give to those who treat as an orthostatic intolerance information sheet which is autonomic dysfunction, Potts and a major if you want to call it it will include a simple quiz that was on the Mayo Clinic journal that is about as effective as a tilt table test for screening for orthostatic intolerance. There’s also a 10 minute pulse test that people can do on their own at home. That if the pulse goes up from being horizontal for 10 minutes, then you stand up and you check the pulse every minute. If it goes up really more than 20 beats a minute, anytime during that 10 minutes that suggests autonomic dysfunction and orthostatic intolerance. What you may see in post COVID Is that they haven’t yet developed a pulse being able to adapt and compensate and you may see a drop in the blood pressure instead. So that’s not on the information sheet. But during the 10 Minute pulse, you can have a nurse to it or whatever, or have them do it at home and just check your blood pressure from lying down to standing on see how much that drops. So these are the things that are on the hypothalamic circuit. And as you mentioned low energy equals tight muscles equals pain. So we are talking about fibromyalgia being the energy crisis CFS, the same thing post COVID The same. And what our published double blind studies showed. We looked at people with CFS and fibromyalgia about half of cases of CFS a little under that our post viral or post infectious so you get a pretty good mix of this in that total group. And again, the studies show that 91% of people CFS and fibromyalgia using the shine protocol which we’ll discuss have an average 90% improvement in symptoms, and that’s a p less than point 0001 versus placebo for all of the outcome measures. For those who would like if you email me my email address is fatigue FA P IG up and then to see like Doctor fatigue doc@gmail.com If he asked for the treatment tools, happy to send you the orthostatic intolerance sheet. You can ask for links to the studies including the double blind study. You can ask for a simple questionnaire to screen for each of the different most common causes like thyroid or adrenal or Candida. And a treatment checklist of all these tools will make it much simpler. And we’re happy to supply those for free with anybody who would like so in the study outcome measures number one we asked, you know, be proud of they feel that they feel better or worse is much better, better, no change worse, much worse. And you’ll see the black bars represent the active group. So half of the people felt much better. And another 41% felt somewhat better, but not the other almost healthy kind of much better thing. And you’ll see for the placebo the usual kind of bell curve that you got. We did a well being visual analog scale. And again, what you’re seeing is at three months there was a 75% average increase in function, which increased at two years to a 90% average increase in function. There’s a validated scale effect, a disability index and you see in the active group, dramatic dramatic drop in the disability scales and as many of you are used to seeing you’re used to giving treatments that the person says hey, I felt better for a couple of weeks or a month or two, and then they crash and burn again, because there are many weak links in the illness. And if you only treat one of them, person will feel better for a little bit but then a strange all the other symptom systems may crash and burn again. And that’s why the comprehensive approach we’re going to discuss today
34:19
we wanted to see well, how long does the benefit persist and it showed that the two year follow up. They continue to get better and better despite being able to wean off of most of the treatments. So this is a comprehensive protocol. That makes a big difference. So as I mentioned earlier, I got into this when I had post-viral chronic fatigue syndrome in 1975. And you know, we all have to have something that gives us our joy and our pleasure and for me dedicating myself to make effective treatments available for everyone with a soreness has been my passion. So we talked about take home point number one, if it comes in with fatigue, you ask one question, they’ll tell you if they have chronic fatigue syndrome, can you get a good night’s sleep? If they say I can’t sleep I’m waking up three times a night it takes me an hour to to fall asleep. Even if I sleep I feel like I haven’t slept and it’s non restorative, presumed FCFS and fibromyalgia. And this protocol in that setting will generally be very helpful. It’s an energy crisis. And you optimize energy with the word shine. So right down Shi ne that is the acronym for getting people butter SS for sleep. H is hormone optimization, I would be infections and as nutritional support and he is just enough exercise to keep them from decompensating a deconditioning. If you push too much exercise, they can’t condition to that point they will crash and burn and be bedridden for two or three days. Those exercise as able. So let’s start by going through the evaluation and workup. You want to take a thorough history. And again, it can take you an hour just to go through all the questions to figure out the subgroups of problems that are going on. Or you can just have them fill out a checklist where they check off what they have and you can scan through that in five minutes. And that will tell you because you’ll see thyroid symptoms, adrenal symptoms, sleep issues, you just scan right through and you can see which one has a bunch of checks. And that’s how you tell that they’ve got that issue. The testing won’t do it. And again, I’m happy to send you the questionnaire. It will be a short form questionnaire that just has two simple things for CFS and Fibro it’ll have a treatment checklist. If you’re writing the same thing out over and over. Take the thyroid here’s how you take the thyroid here’s how you dose up new writing the same thing illegibly over and over day in and day out for the different supplements. That’s grossly inefficient. Use a checklist or just check our thyroid, okay, it’s all typed out, they can read it, you know, check off the adrenal support check off you know, here’s for sleep here the natural things here to prescription thanks again, I’m happy to send you these questionnaires. And the treatment checklist make it easy. For those who would like the long questionnaire versus the complete and thick past medical history. Do you have any drug allergies, what are you taking? Now you can ask for the long form questionnaire also and again then feel free just as an award documents you can just modify all of it to your practice. So if you want to email me at fatigue DRC fatigue dockets gmail.com Ask for the treatment tools, happy to send them along to you. Now, the labs are much less important than the history and there’s no test that I would use to diagnose CFS and fibromyalgia you know how do you diagnose it again fatigue Yes, can you get a good night’s sleep? No. Do you have brain fog widespread pain, okay, you have your diagnosis and diagnosis is easy. If people go on my website, there’s a five minute questionnaire that they do what I’ll tell them if they have CFS or fibromyalgia at the sed rate, let’s go through the key test the sed rate simple, cheap, priceless. The sed rate if it’s most people this illness have a low sub rate under five CFS and fireboat tends to be low. If the sed rate is over 20 You want to start thinking of inflammatory or autoimmune diseases or severe infections. Viral infections usually don’t do it for the chronic ones, but if it’s over 20 You’ve got a subgroup you want to look at autoimmune and inflammatory. If they’re over 50 You want to consider pi mile true America and then do a CBC in chemistry roll out the and I’ve seen people come with blood counts of 24 for the amount of Crips, you know and that people have nobody ever checked her blood count to another bedbound is crazy. The blood count chemistry separate for thyroid, the three T four is the main test. And again
39:09
you may I don’t know how many of you know where the normal range for blood testing comes from. You know and medical school I was given the impression that a group of wise elders was silver hair and snowy beards. And you know, who were the experts in medicine sat around a table I said, Well, if it’s something that’s normal range, the person’s probably fine. You know, and it was a shock to me to realize there was no such group, maybe a few of them put together by the drug companies who have it gives them both money to the medical organization seems to get to pick who sits on committees for making the decisions of you know what standard of practice will be. But the way that the normal range is derived from most tests is two standard deviations. They take 100 people and the 95% of the normal and the middle of the normal range and highest Most 2% are abnormal. To give a simple analogy for those I treat is the normal range for shoe sizes would be five to 13 That would include 95% of the population. So if some 300 pounds seven foot two Texan walked in with a size six shoe and said my shoes too tight, the doctor would say the test is in the normal range. There’s nothing wrong with this shoe. And that’s pretty much my exact analogy to what’s going on with how we use the testing and standard medicine these days that the test is normal doesn’t just mean they’re not the lowest or highest 2% of the population, but often the lowest 10% They have symptoms. That’s abnormal, but you already know this 54 TPO antibody if it’s positive i increases my suspicion, reverse T three if that’s high normal, then they may be just to teach you a lot that’s beyond the scope of this talk. But that can be helpful TSH when I was lecturing in Italy at the early Fibromyalgia conference. I the one of the other speakers was the main researcher for thyroid disease and fibromyalgia. And I asked him point blank is TSH, reliable in fibromyalgia? And he said absolutely not. Because again with the hypothalamic dysfunction the TSH is pretty close to being a meaningless test. But if it’s elevated, elevated being 2.5 or higher, I will be more likely to consider trial of the desiccated thyroid. I will check a DHA sulfate the BT 12 If the level is under 540 I’m going to treat if the iron percent saturation is under 22%. I’m going to treat that the ferritin is under 60. If you look at the research, you know a lot of people say if the ferritin is over 12 It’s fine. And researchers tend to be a pretty conservative group in their statements by and large. They may say well, this suggests that maybe we should reconsider our position. Now in the study one of the studies looking at the iron levels, the researchers point said point blank that using the normal range for iron deficiency is quote insane researchers don’t use that language. It It is insane. If the ferritin is under 60. I am going to consider treating with the iron morning cortisol. Technically, if it’s over six, it’s normal. Again, if you’re doing them cortisol in the middle of the day it’s just a random and interpretable result needs to be fasting and morning before 10am If it’s over six is normal. So if a person is bedridden with horrible symptoms of adrenal insufficiency and a 6.1 many endocrinologist will say it’s normal. No problem. If it’s 5.90 my god you may have Addison’s disease, but 6.1 No problem whatsoever. Most of us don’t about 18 in the morning. The I’ve had this lab several times accidentally due to cortisol levels on the same person, same tube of blood, these accidentally reproduced having to to 1000s of people you’ll see that usually they’re four to six points apart on the same tube of blood for the set for the cortisol level. So 5.9 life threatening 6.1 No problem. That’s how standard medicine is addressing it. So again, if they have symptoms, and the best symptom we’ll talk about it is do they get irritable when hungry or hangry and especially if the cortisol is under 16. I’m going to be suspecting and treating for low adrenal stress and then testosterone. Again 70% of people with CFS and pride grow are in the lowest 30% of the population. SF is a Spartan
44:01
Hello. Hello there. How are you, Jacob.
44:05
Good to see you too. If the testosterone is the lowest 30% of the population, if it’s under about 505 50 and men I’m going to treat and even if it’s low normal and women I’m going to treat and then again I don’t go testing for other infections because the testing is grossly unreliable, but there’s sometimes a will, but not routinely. So the testing is kind of what we just looked out here. Sleep. So let’s take a look. We talked about shine. How do you get these people well, sleep hormones, infection nutrition, exercise those stable. So how do you get them sleeping? First of all, sleep is not just for energy. Sleep is for pain. This research shows that people are sleep deprived you will get widespread pain and people with chronic pain. If you don’t get them sleeping, the pain won’t go away. And they can’t sleep because the sleeps on it’s not working. So go ahead and gotta get them sleeping. And there are a lot of natural sleep aids. I like a mix of six herbs called revitalizing sleep formula that’s not available in a practice or line. There’s a mix of four essential oils made by Euro medica it’s called terrific zzz it’s very good melatonin I’m going with higher doses now. five milligrams but I’ll even though the 10 milligrams sustained release it’s funny there’s some people who nothing will work for sleep and to give them 60 milligrams of melatonin they sleep. five HTP even the smell of lavender, haven’t put a drop of lavender or alone their upper lip and the center of the lavender will help them sleep. If they have a lot of pain at night the muscles are very tight in Epsom salt bath, two cups of Epsom salts and a tub of lukewarm water and that really can relax them but haven’t taken half hour to cool down before they go into the bed because of ice or sweat prescription sleep support I know a lot of us don’t like Ambien, but in terms of initiating sleep, the Z drugs Ambien, Lunesta, and Sanata are the most effective and for many of these people, they really need that and you’ll see we don’t see addictive issues if they’re taking 12.5 milligrams or less or 12.5 we sometimes start to see it what you will see if they stop it suddenly is rebound insomnia to Qantas put them on for two years and then stop suddenly want to decrease of two and a half milligrams and night every two months and wean them off. Some people will sleepwalk sleep eat you know sleep drive but a relatively small percentage Trazadone 25 to 50 milligrams works very nicely. Gabapentin can be very helpful. We’re seeing a big push now when the DEA doesn’t like things. We suddenly see a bunch of misinformation come out. But the routan is quite safe. Gabapentin with the exception of people who are taking narcotics. If they are taking high doses of narcotics. It increases the risk of overdose stuff by 50%. But in people who are not taking narcotics, the Gabapentin or high dose valium Xanax type things to Gabapentin the safe flexural I’m sorry. Anywhere from two and a half to five milligrams and if they’re not taking antifungals or Cipro than the zanaflex two to four milligrams as high as eight but usually two to four, any of these or in combination. So I start with the natural things that they will do better people do better with a low dose of four or five things than with a high dose of one. If you give them enough their sleep problems are profound. If you give them a high enough dose to keep them out all night, they will be hungover till three in the afternoon. But each of these different treatments has its own half life, which means it clears out of the body and its own speed based on the dose regardless of what else you’re taking on there. That’s arguable but as an overall thing. So if you give low doses of three, four things, the effect is additive during the night, it’ll keep them out, but they each get teared out of the body on their own. And they won’t be that hungover the next day. So an important principle however you decided to teach the natural medication or mix low doses of several things, especially if using the medications. The low doses of several things works better than a high dose of one.
48:51
After the hormones the hormones are made by the glands which are controlled pretty much by the hypothalamus. And you know thyroid is like gas pedal adrenal stress handler the reproductive hormones are important for much more than just reproduction and even mild underproduction can leave people feeling miserable. So again, remember we talked about the blood tests are based on you have to be in the lowest 2% of the population basically organ failure, our glam failure to be abnormal. The testing is looking for complete destruction or just you know severe malfunction but when you have the hypothalamic dysfunction, what you’re going to have is, you know, maybe 50% Drop in the thyroid. As we mentioned Dr. Profession Deacon dreidels research show that on TRH stimulation testing viral stimulation testing the TSH was still normal. But the increased on stimulation by only 50% of what it did unhealthy people, not enough for ground failure, but enough to lead the person miserable. So even mild underproduction I know I’m preaching to the choir here, but you got to treat the person nots as the blood tests. And as you know, use bioidentical hormones. So thyroid dysfunction, you can almost presume that it’s gonna be people with CFS and fibromyalgia. The majority of them are going to have underactive thyroid function. One because of the hypothalamic dysfunction, two they have the Hashimotos is more common. Iodine deficiency. We’ve lost half of the iodine in our diet. People Fibromyalgia have difficulty converting the T four hormone to the T three hormone which by the way, that conversion is dependent on adequate levels of iron. Another reason to keep it out ferritin over 60 and a significant percent will have to be receptor resistance. So what I’m going to say again, is to go ahead and treat based on the symptoms. And I don’t treat based on blood testing that the test is in the normal range means nothing. But I will check not TSH, TSH, you can expect it to be low if you’re adequately treating her many cases, but you want to make sure the free T four is not elevated. Because if it’s in the high normal the top 10% of normal. You can make the person worse increased risk of osteoporosis and such. So treat based on the dose that’s optimal to the person and then check the free T for to make sure that it’s not elevated or high normal that T four may be low with optimal treatment because the desiccated thyroid has T three that may suppress the T four. Don’t go chasing a low T four. If the person feels like the doser aren’t as optimal and the T four is not high. presumed that it’s optimal adrenal, the hypothalamic pituitary adrenal axis is off. You’re going to see this routinely in CFS you can see it and post COVID. And again, the first thing I’m going to go I’m going to diagnose based on symptoms. One, the number one symptom ask people do you get irritable and hungry and what you’ll often see is a person whose wisdom is real. If they get irritable and hungry or hangry you can presume the Adrenal Fatigue is present. Also, they tend to low blood pressure orthostatic intolerance to treat for the adrenal fatigue. The I will begin with increasing salt water I will go ahead and use a supplement called adrenal Plex and you can get that from Euro medica.
52:56
And that’s a very good, very good mix for this. And if I need to, I will use low dose hydrocortisone five to 15 milligrams a day. Now again, we’ve been taught that hydrocortisone is toxic and it is but not in these very low doses. If you look at the literature, and it took me three years going through the literature before I was comfortable, going ahead and using the very very, very low dose hydrocortisone. You don’t really see the most of the toxicity until you get over 20 milligrams a day because the body makes 35 milligrams a day. So if the equivalent anyway after absorption. So if you’re giving 10 milligrams a day and your body does not want it, it will just make 10 milligrams less. It’s when you go over the 20 milligrams a day that you start to see adrenal suppression. And our study we published we looked at pre and post courses and stimulation tests. Using these very low doses. We did not see any adrenal suppression. But when you go to 25 milligrams a day, you will start to see adrenal suppression and most of the toxicities the severe toxicities at 35 milligrams a day you’re going to start getting those. So I will use the hydrocortisone the cortef but only if needed and only if they don’t respond to the other natural treatments. Fungal infections i for infections. In my experience, the most important one to tweak certainly have Lyme we have a host of infections. But the number one most common infection to treat is Candida or fungal overgrowth. There’s not any test that I consider reliable for that, you know, fish test that you find helpful, that’s fine, but I’m going to treat based on the symptoms because of the immune dysfunction. This is an opportunistic infection you can almost presume to be present in CFS and fibromyalgia. How do you tell if they have chronic nasal congestion postnasal drip, if they get irritable bowel syndrome, gas, bloating, diarrhea, constipation, any of those I’m going to treat for Candida. I will treat probiotics. I will treat with a low sugar diet because yeast grow by fermenting sugar. There’s a host of natural antifungals there’s a Berberine but x which is a nice problem though the tannins there’s all kinds of herb I’m sure you probably have your own mix of natural antifungals that you like but again, the Berberine Maddox is one that I like, and I will use the die flu count 200 milligrams a day for six weeks. One to three days unless you’re treating just a Vatsal infection has nothing to do anything for the candida overgrowth, but to see about five to six weeks into it I Phu Kham you will go ahead and find that their chronic sinus stuff are starting to clear up their irritable bowel syndrome is going away. Their brain fog is starting to clear up and there are times I’ll even go to eight to 10 weeks. With the I’ve never seen worrisome liver inflammation, you’ll sometimes see a bump in the liver enzymes. But again, that tends to be transient. I don’t check the liver tests unless they’re taking it more than six weeks and six weeks as usual course. Again, if they’re taking Cipro if they’re taking statins, if they’re taking zanaflex That’s the drug interaction that conveys the level so you want to I usually believe those awful I’m giving the flu cam. The mold toxins which is very different to mold infection is present in a subset of these folks. Most of these going to be people with severe horrible anxiety and severe sensitivity to everything. You know, you can’t even give them melatonin or an herbal because they get horrible reactivity. In those cases, I will consider mold toxins. But that’s a whole nother talk in itself.
57:00
So in most people I will treat for Candida. For those for the chronic sinusitis there is a sinusitis nose spray, that compounding pharmacies I use ITC pharmacy for that can make that along with it. I flew Can you see these? People with chronic sinusitis, that after the 12 weeks of display and six weeks by fluke and eight weeks, goes away, makes a major difference for them. Other infections, there’s a host of viruses. For those who had a viral onset, they had what I call the drop dead flu and they have chronic flu like symptoms. The combination of Pham Vir 500 to 750 milligrams a given three times a day plus Celebrex 200 milligrams twice a day. This is a research by Dr. Pridgen PR IPG and showed a quite significant improvement after four to six months on the combination. The Celebrex, interestingly, is an anti viral it’s the only NSAID that I’ve seen. That’s on the market that also has the anti viral properties that augments the fanfare. I find a fan very much more effective than the vowel site for this issue. A small percent of people will have enterovirus, although it could be more than that, but if they have predominantly gut symptoms at the onset, there’s an herb called equilibrant But it’s not an easy one to take it can cause significant die off as the immune system shifts. Lyme you folks are probably already very familiar with Lyme disease and how to treat it again. That’s a whole nother talk in itself. To testing I consider unreliable, I will treat based if I have a clinical suspicion I will treat but here’s the key thing is like once you treated the line, you’re going to find a lot of people will have persistent symptoms. And that’s because the Lyme has triggered a secondary fibromyalgia. If you don’t treat the shine, you’re gonna find what happens is giving antibiotics and each time we raise the dose they feel better. But what’s happening? It’s a funny I don’t know why but the antibiotics seem to suppress the yeast dying off and causing symptoms, and you will keep they will get better and then you get candida overgrowth and suddenly they’re going to get worse you’re pushing antibiotic, which seems to suppress the yeast dying and so it doesn’t suppress yeast or suppresses the symptoms, and you got higher and higher doses on if you simply add the shine protocol to the anti Lyme, and especially treat the Candida. If you’ve been treating with antibiotics, they will often and suddenly they’re gonna find that Lyme symptoms, you’ve treated the whole picture now. And they’re getting better. And you’ll see parasites, basically the immune system is functioning poorly in this disease. So you’re going to see a whole host of processes that are going on viral infections against the spec the blood tests, I will check them but looking at the IgG the IgG positive just means they had it. But if it’s very high if it’s 640 or one to 640 or higher, or if it’s over four, for the IgG antibodies, I will consider viral reactivation. But mostly again after to the viral infection, chronic flu like symptoms, and Mark autonomic dysfunction, orthostatic intolerance, low blood pressure Dizzy understanding, I’m going to treat with the antiviral protocol and again, it’s four to six months. So there’s different titers that can be used. I’m mostly again will use the fan Veer 500 to 750 milligrams three times a day for six months, plus Celebrex 200 milligrams twice a day. The dose on a favour could be the 500 or the 750. Doesn’t seem to matter that much. But the Celebrex Doctor pigeon is saying that if you go with the lower dose and the 200 Twice a day doesn’t work. And again, a lot of what we call Lyme, I suspect is also there numerous antibiotic sensitive infections. And most of these we have no tests for that are useful. And we’re just fooling ourselves for the testing. What I would rather do is I’d look at the clinical symptoms. If they are suggestive to me of an antibiotic sensitive infection I will treat but I’m not going to label it a specific name I’m going to say suspected antibiotic sensitive infection. And I suspect that if they have low grade fevers, even 99 five most people are running low temperatures with the hypothalamic dysfunction. You’ll have people come in and say you know, I had the sound abiotic for dental work or for whatever and for that week, my chronic fatigue syndrome went away.
1:01:50
And I say well, could I could put you back on it long term, right? Not gonna get it just blows my mind as people are housebound, and the crippled and they took this antibiotic. And the doc said, No, we’re not going to do that. I can only imagine they going to actually say I’ve got acne. Oh yeah. Here’s a Euro doxycycline Yeah, it’s just we have an understandable hesitancy to use accessory on a radix. But in these crippling diseases, if they have low grade fevers, if they improved in the past dramatically, just CFS five year old with an antibiotic, I’m gonna put them on that antibiotic and I’ll give it to them as long as they need and I will cover them with the antifungals 200 milligrams twice a day, one day a week of the life blue cam to prevent candida overgrowth. The other thing you’ll see is people who come in to say, Do you have any drug allergies Yeah, I’m allergic amoxicillin, Cipro doxycycline and they give one or two other antibiotics and I said, How about anything else? No. It seems really unlikely that with these five antibiotics being chemically unrelated, that they would be allergic to these antibiotics or pick the antibiotic that you want, and not anything else. That suggests that it wasn’t really an allergic reaction. It was a Herxheimer reaction, and that they have something that they’re hurting to. That’s antibiotic sensitive. So I will consider in those cases studying really tiny doses like doxycycline 25 milligrams every four days and just starting really low. If they have chronic scalp sores, as funny, we don’t know why. But those people seem to improve with zithromax. If they have chronic lung congestion. I will also go ahead and consider the antibiotics just suggests an antibiotic sensitive infection. And people who had vertigo, not just a six week course but they started the infect the CFS Fibro with vertigo, they have chronic vertigo. Vertigo is not common and CFS and fibromyalgia. It was popularized with Laura Hillenbrand. Dizziness is common but not to vertigo where you feel like you’re spinning in a circle. That to me suggests an antibiotic sensitive infection and I will go ahead and give doxycycline scepter max or the other antibiotics as a therapeutic trial. We talked about the reasons for the nutritional deficiencies, increased nutrient losses as well. But the I don’t do much testing except make sure the ferritin is over 60 for the iron. I don’t want too much over 100 B 12 540. As if it’s under 540 I’m gonna treat but I like there’s vitamin powders, there’s clinical essentials clinical Essentials is very good but it’s low in zinc. So I supplement zinc without to find a good multivitamin that has about 25 to 50 milligrams or more of each of the B vitamins. At least 100 would be 12 Preferably 500 like 15 or sync 200 micrograms of iodine, Selenium. Selenium can increase diabetes risk. It’s not massive but it’s about 55% significance buff is significant. But if that happens at 55 micrograms a day or more, if they have Hashimotos. I’m going to give 200 micrograms of selenium but otherwise, I prefer multi that has about 55 milligrams. And I like to vitamin powders, but there are a number of very good ones. Again, clinical essentials plus zinc 20 milligrams is a very good multiquick It’ll have a B vitamins, it’ll have the minerals it’ll have the magnesium. Magnesium is critical. Also nutritional advice. There’s no one diet for everybody. See what leaves them feeling the best, but most of them will find that increased water increased salt you salt restrict with chronic fatigue syndrome, you will crash and burn. They need to decrease sugar and most people do better with a high protein low carb diet. In terms of other nutrients. I’ll give acetyl carnitine just for the three four months 1000 milligrams a day I will give the others something called Smart Energy System or D ribose. And that’s very, very good. I’ll give five grams two to three times a day makes a 61% average increase in energy. The Coenzyme Q 10 of acid actually switched. Now you’re on Medicare has 100 milligram chewable tablet, which has a gamma cyclodextrin which means that it increases the absorption seven fold. So the one habit is like seven pallets of CO q 10.
1:06:37
I took that myself and I could feel the difference immediately. So I’m switching to the Coenzyme Q 10 chewable tablet by your medica and the fish oil I’m going to use your Omega three because again, you want to decrease a pill count a one year Omega three is equivalent to about seven fish oil pills. I’m going to skip through the D ribose. Just because we have a good bit to cover yet through ribose. Again we found a study 61% average increase in energy and a multicenter study I picked up myself to one five grams group each day. I’m going to skip to recovery factors because it’s not gonna be available in the United States for another three to six months. But we’ve had two published studies now showing a pretty dramatic increase in energy and overall well being. If you want any of these studies, you know the recovery factor study other ribose Smart Energy Madonnas they haven’t been published yet so I don’t have that. So again, you want them to walk enough to where they feel good tired after, otherwise you’re going to decondition but not so much as where they get wiped out the next day count to start slowly increased by 50 steps a day every couple days. See what feels good leave it there for 12 weeks after 12 weeks on the shine protocol and if you production will skyrocket, then they can begin to condition so just a few slides on specific post COVID-19 a specific organ injury. Number one these people with who have long COVID orthostatic intolerance is real common and can be debilitating. And as I mentioned if you email me for the orthostatic intolerance information sheets, there’ll be a quick quiz. There’s a 10 minute pulse test, but also check their blood pressure lying down and standing up. If it’s dropping more than 10 millimeters with a long COVID that they probably have the orthostatic intolerance to sheet will tell you how to treat it. It’s it’s not hard. There’s plenty of things you can do it as much as they can be done for it. But again stuck by increasing water and salt intake. And they’re going to say that I’m already drinking like a fish but tell them that the hypothalamic dysfunction of antidiuretic hormone is low. They drink like a fish but they’re peeing like a racehorse. They need water they need salt. Optimize adrenal function Excel like the adrenal Plex. There’s no compression stockings they need to be medium pressure 20 to 30 millimeter. The knee highs help a bit but the thigh highs help even more. And again if you want the information sheet it summarizes all about the orthostatic intolerance. You’re going to see that much of the ongoing injury post COVID is oxidative injury. You have free radicals. You have inflammation. Those two I’ll use a clinical glutathione to shut off the oxidative stress again glutathione is the main antioxidant in the body. The NAC one gram twice a day is a good way to do it too and it’s cheaper. But right now the NAC and acetyl cysteine is very hard to find for some reason. Make sure they have a good multivitamin mineral antioxidants. And I’m going to put everybody with post COVID I’m going to put an integrative cancer. I’m going to put now that curcumin, Mosca humans are pretty absorbed. The one that I’m going to use is called cure pro where it has the turmeric oil out of doc in a turn round so it increases absorption sevenfold. This is what most of the research that clinical is being done with a cure approach to cancer research ie entourage research to depression research. I’m going to give the care pro 1500 milligrams twice a day for post COVID Or at least 750 milligrams twice a day. I take 750 milligrams a day myself, even though I feel great just because the health benefits are just so pronounced. You want to support decrease gradual, bloody, fortunately, even if they had a thrombotic event during the COVID infection, the risk of repeated severe thrombotic events is low afterwards. But I think it’s a good idea to be on omega three. Again. Your Omega three is what I use. Maybe a baby aspirin ongoing for a while to help keep the found biotic tendency down a cardiac injury. You’re gonna see many people. A lot of people have chronic shortness of breath, but most of them don’t have heart or lung problems. It’s not though oxygen but it’s a sense of air hunger is feeling like they can’t take big enough breath. And here’s the thing that the
1:11:33
if you have somebody complaining of shortness of breath, post COVID They need to get a pulse oximeter some simple you can get them for 25 bucks on Amazon. And this way when they’re walking around, pick up the shortness of breath if their oxygen saturation is staying over 95% It is not coming from cardiac or lung issues. It’s a sense of breathlessness but they’re getting plenty of oxygen and if they can know that it’s very reassuring for people. But if they do have cardiac injury, the oxygen levels are dropping. They have you know the doctor the cardiologist is checked and they have cardiac injury. There’s a phone app called cures A to Z C u r e s capital Aidas Dacy. It’s a free phone app. Most informations in the free app. There’s a $2 upgrade. All of this if you look up heart disease, anybody with heart disease. This recipe increases the efficiency of the heart muscle dramatically. I’ve seen people who with end stage ca chronic congestive heart failure. Two months later they’re just better. I know they’re told they’re going to die. They were resolved. So magnesium of kidney function is okay be complex these two other core for energy production to Coenzyme Q 10. And I got to go into chewable because you get higher levels through ribose five grams, three times a day increases cardiac muscle efficiency and the acetylcarnitine gram twice a day. This recipe if they have cardiac injury, myocarditis or other cardiac injury causing you know contributing to the post COVID This simple recipe is just again, cures A to Z phone up, download the free app on most phones you can get it and just look up heart disease recipes right there. And then for even more intense talk about magnesium is partager we’ll talk about Hawthorne and other things for the cognitive dysfunction. Again, a lot of that is supposed to viral CFS and fibromyalgia. But microglial activation is a major trigger. There’s something about mini strokes from the coagulopathy but if you find mostly 79% on autopsy, have microglial activation, treat them with a low dose Naltrexone three to four and a half grams. milligrams I’m sorry at bedtime. It may disrupt sleep. So most of you probably know how to use low dose Naltrexone and start with the starter pack but don’t forget the low dose Naltrexone and then all these other treatments into shine help the cognitive dysfunction and then the pulmonary fibrosis again, if they were in the hospital with pneumonia more likely, then the shortness of breath is probably coming from that or the cardiac that reassure them number one, that in shock long ARDS. The studies have shown in different diseases a cause that it usually heals itself over two years. It’s going to get better. Number two, use a pulse oximeter as you mentioned, user the cure protocol cumin, because all of these things help the healing. And again, if you’d like to free practice tools, email me at fatigue doc GML. com. If you’d like this PowerPoint file, you can ask for that too. We’re happy to send it along to you. Here’s my book wonderful book, EA blah, blah, blah. Anyway, so I want to thank all of you for joining us today. I’m happy to stay and take any questions that you have. The Shang protocol was reviewed in the Journal of the American Academy of pain management. And the reviewer noted that the sound protocol is an excellent and highly effective part of the standard practice for treating fibromyalgia. Five miles is very, very treatable. What’s missing is not lack of effective treatments, but lack of physician education. So I’m hoping that what you have today will give you enough to get these people feeling dramatically better and to get the livestock and thank you for being here. Happy to take questions, William.
Bill Clearfield 1:15:41
Thank you, sir. Well, let’s see what do we have in the chat? What is the yeast, yeast Candida test
1:15:51
that you prefer? Non there’s no tests that I would give a nickel for. The test that I use is do you have? Do they have nasal congestion postnasal drip or sinusitis or not and or do they have symptoms of irritable bowel syndrome, gas, bloating, diarrhea, constipation. If they have either of those in fibromyalgia, I will treat for the Candida diagnosis.
Bill Clearfield 1:16:18
Not one of the questions we need just to comment but I found that those chronic sinusitis that have been treated multiple times with with antibiotics frequently have some sort of fungal component.
1:16:31
Let me adjust volume at Mayo Clinic study showed that over nine well over 90% of people with chronic sinusitis, were having immune reactions to fungal elements in the sinuses. This is this has been shown in the research not sometimes but the vast majority.
Bill Clearfield 1:16:50
Okay, so we’ve used a combination antifungal and with a steroid that pretty much what you’re doing also,
1:17:00
you’re right no spray, the there’s a sinusitis no spray that’s a mix. Of the steroid, the flu can the backdoor bam, you can add bismuth and Xylitol and it kills the infections. It’s very benign. IPC pharmacy makes a good one most compounders can but they don’t buffer trademark burns so the ITC does not. If you want when you email me, I can give you the it’s called the sinusitis mo spray from IPC pharmacy. They’ll mail it to people if you’re ordered for them.
Bill Clearfield 1:17:37
Okay and next question. You have an approach to Epstein Barr Virus.
1:17:45
Yes, that’s the founder Celebrex works very very nicely for that family are 500 to 750 milligrams, three times a day. And a Celebrex 200 milligrams twice a day. Interestingly, Pepcid or Tagamet both modify immune functions as ways that are very, very helpful for getting rid of the chronic epstein barr. So that’s Pepcid are talking about where the other PPIs like Nexium and little purple those are deadly. I just I will not prescribe those for people except for rare exceptions. But the Tagamet and Pepcid can be very helpful. So this is a combo but for the antivirals, you’re looking at four to six months as a therapeutic trial and four months to start seeing the benefits Although adding in the Celebrex has been much quicker than that.
1:18:42
Great, okay, um
Bill Clearfield 1:18:47
and mostly attaboys and fabulous lecture on you recommend ubiquinone versus
1:18:55
with the chewable Coenzyme Q 10 That your America has that increases the absorption you know, other ones you get the modest increases in absorption. It was a toss up of the increased cost justified Ubiquinol versus ubiquinone. At this point, that whole conversation is moot using the the gamma cyclodextrin. We did one study using an HRG at Red ginseng that I should mention here. It’s red ginseng energy. That’s also your American make some very good stuff. No, not under payroll, but they just have really good quality stuff. And they have the one of the studies that we just be had published like simple link for the study, dramatic increase in energy we use the capsules or the chewables. And what we found was a similar effect from the 100 milligram chewable, as with the 400 milligram capsules, which drops to price 60% for people that’s what I take myself just as funny if I have a busy day like today, this isn’t the pack not end up not the practitioner line. This is a big at Red ginseng and the consumer line, but didn’t get it as red ginseng MSG, from ambisonic logics. And it’s quite because it has the gamma cyclodextrin added to the chewables and I get to chewables. The effect is dramatically better. I’m really impressed with a gamma second reduction. So for the Coenzyme Q 10. I will use a chewable that has a gamma cyclodextrin and I think your Medicare has that I know your Pharma has it and that’s what I use. And the one a day 100 milligrams a day is like 800 milligrams or kokuto.
Bill Clearfield 1:20:45
So we’ve had Dr. Yutani here with Dr. Dr. Patel from Central drugs and you know they have their glutathione with the cyclodextrin into is it.
1:20:55
I haven’t tried that one. But again, the gamma cyclodextrin in terms of decreasing pill count and increasing absorption you’re looking at a seven to eight fold increase.
Bill Clearfield 1:21:05
Employee it’s a it’s a I haven’t actually here it’s a it’s a transdermal.
1:21:11
So I don’t have experience with that but you do so let people know. Okay.
Bill Clearfield 1:21:17
So and that lecture is in our in our webinar thing on our website. So you can go back to what anybody wants to go back and listen to it. It’s on our website, the word slash webinars and look for Dr. Yutani. Why you TA and I and another shameless plug He will be with us also and hey, you know, I gotta get my I gotta get my bigs. Got a weekend week to go here and I can’t wait for it to be over if you want to know that. How do you assess the antibodies for Epstein Barr to decide treatment? I don’t
1:21:58
agree. Or do you? I don’t over 95% of adults are going to be positive. And the IgG antibodies for Epstein Barr for CMV HHV six, these are just normal infections. And most people have, there are a sheet that I have that will give what the 50th percentile is for the VCA for the different antibodies. But you know, at the end of the day, I’m fooling myself, even doing the blood testing for these things. What it boils down to they have chronic flu like symptoms. They had onset of viral infection. I’m just at this point. I do the the tests just because I guess I need to do a test. But at the end of the day, if they have chronic flu like symptoms, onset really acute viral illness, I’m putting them on the founder and celebrants period.
Bill Clearfield 1:22:48
Okay, that’s all the questions I have in the chat. Anybody else have any questions or comments? Dr. Burgess you must have something for us.
1:23:05
Yeah, I do. I was just wondering with Dr. Title BOMs experience if he’s seeing any more game Baray in the last few years.
1:23:16
I’m purely it’s funny thing. You know, we expected a whole slew of it coming from the COVID and the vaccines I haven’t seen a case of gowanbrae and decades. But John, again, as William is asking for questions, this is not the game show Jeopardy where everything has to be put in the form of question, please, I invite all of you to teach to if you have something carrier that you find really helpful. I’m going to invite you to filled in John, what what do you find most helpful and feeding this population?
1:23:49
Well, I was just considering the demyelinating Polly and if you’re seeing more of that, because I think there’s more talk about it. And I had Gamberi about 1020 years ago, and that’s why I can’t remember if it was 10 or 20 Because I again brain. My brain works differently but I think we’re seeing higher numbers then the textbooks would point to, they’ll say one out of 100,001 out of a million for the Miller Fisher syndrome. But but if you have 10 to 20 cases in a town of 100,000 That’s something else going on. And I’m not sure what that is.
1:24:37
You know, we’re seeing stress on the immune system that’s unparalleled in human history. And we’re seeing ignoring the underlying causes. Also unparalleled because they throughout the financial interests, so there’s a lot going on and then we’re not going to be talking about unless there’s an expensive medication, not be our thing is increased in small fiber neuropathy. That seems to be associated with immune dysfunction, specifically IgG one and IgG three antibiotic deficiency, and autonomic function. These are all three phases, I think of the same process. So I’m not seeing the Cambray but we are seeing small fiber neuropathy. The IV gamma globulin can be helpful to recovery factors in one of our studies that increased the IgG antibody levels 14% On average, and people deficiency. So that’s, that’s something that, again, when it’s available in the US, is very powerful in terms of the benefits we’re seeing. But again, I’m not surprised that chonda We’re seeing a whole lot of more autoimmune and immune related illnesses. That is for this generation, that’s the big epidemic.
Bill Clearfield 1:25:53
Um, I know when I when I heard you with Dr. Hertog, several months ago, you mentioned a little bit about you know, patient comes in and you know, how you how you sort of evaluate them. I know you gave us you know, your plan here but could you give us a little bit of you mentioned that you spend three hours with them or
1:26:13
are very efficient. Again, this is a complex multi system disease and the nice thing about the treatment checklist is that we’ll gather a massive amount of information. And again, I use a long form that I have that you’re welcome. We can ask for the long form and take but for most of you, what you’ll find is the short form that just takes each of the things we talked about, and in categories. Do you have symptoms of this, this, this this and all you do is you scan down to see where there’s a bunch of checkmarks and what the category headers, thyroid symptoms, all these checkmarks Yes, you got that and go through the different ones. And that’s just a quick way to do that. People can go online this actually is called energy analysis program.com. There’s a free quiz they can do they can even enter the lab test the burden of lab tests as well as the symptoms and it will give them a printout. You can just tell them to do it and bring it with them. And it’ll screen for pretty much all the things that are key things we talked about here. That won’t screen for the orthostatic intolerance, I don’t think but will that count data? Do they have a thyroid? Do they have adrenal? What are the sleep issues? And it’s just a computerized doctor, I actually hold US patent for computerized doctor that I made for people with chronic fatigue syndrome. It’s free, it doesn’t cost anything people just go online to the quiz Energy Analysis Program. Calm, haven’t been able to print out. It will. It’ll say here’s what’s going on and and fill in the treatment checklist. Here’s what to do to get the ball rolling through both medications and natural options. As I say my goal is effective treatment for everybody. One of the tools for that
Bill Clearfield 1:27:51
and you know I have to say that you’re very generous with your your knowledge and your you know, your all of the sort of proprietary things that you’ve you’ve come across that you use. I actually went when you went back to Hertog and you said I’d sent asked you for and you sent me the you know that package of information that you have and I would highly recommend it for everybody and then I realized I had gotten it almost 20 years ago. So I had the same thing you know it’s it’s upgraded, but I said this looks familiar. And I found it you know in like like in the back room somewhere. Sorry.
1:28:31
Ready for it when you’re ready for it? Yeah.
Bill Clearfield 1:28:33
But, you know, it’s that I’d had that a long time ago. Like I said, I found your book. What’s the bit in the late 90s, early 90s Actually, and you know, that just just the title alone was sort of like you know, sort of an eye opener. So someone asked about your opinion on medical marijuana and CBD,
1:28:54
if you’d like us to say smoking if you got them, you know, so it’s very, very helpful. I think that the whole issue is one of politics and economics. You know, if you once you strip out all of that, then it’s a matter of is safe. How does it work for you? Are you overdoing it? Common sense? It can be very helpful for people.
Bill Clearfield 1:29:17
Okay, so when you run across some things like you know, in chronic fatigue you mentioned infections, is there a certain protocol that you follow to certain labs that you laboratory studies you do in certain labs you use or just sort of like the instinct
1:29:34
I treat clinically, the labs are near useless. They are not reliable. And if you want to get some to fool yourself, make yourself feel like well, I see something black and white here. They don’t mean much. Do they have an onset of their illness with a viral infection? Do they have chronic flu like symptoms? You know that? And the answer yes. I’m going to go ahead and put them on founder and Celebrex as well as the immune and overall things. Do they have chronic low grade fevers? Do they have lung congestion? Do they have history of allergies to multiple antibiotics? Do they have a history of that they took an antibiotic and to CFS went away to the scalp scalps if they have any of those. I’m going to consider trial of antibiotics beginning with doxycycline and receptor Max and going from there or beginning with whichever antibiotic made me feel better in the past Lyme disease that to me the false I mean certainly if they have the bullseye under gust, but that falls to me under the you know antibiotic sensitive infections, that vertigo they have, you know, if you have a clinical suspicion of Lyme treat for apples, they’re going to tell if they have something as xenobiotic sensitive parasites high IGE high ESR foals if they were, you know, tromping through third world jungles or something when they held the onset it this is really much more common sense. This is the art of medicine is just listening to the person. You’ve been so trained to ignore the art of medicine in exchange for testing, but I you know, to give you an idea of the testing, cluster all waiting for settings on all the scam study just came out this week, but analysis showing that statins decrease death rate by 0.8%. Now, to put that in perspective, research shows that eating a little square of chocolate each day is associated with a 45% lower risk of death time to study period. One and a CAPTCHA is associated with a 30% versus lower risk of death versus less than 1% for the statins. You know, this, the when I remember when I first started medicine, I would do a cholesterol panel and a chemistry panel. On each of my patients. And this we’re using major national lab for two major national labs. I won’t say which one and I found that the cholesterol reading because the each panel had one was routinely 20 to 160 points different on the same tube of blood you know and I said this is odd. So the next 20 people coming in, I wrote down both readings of the cluster on the two tubes of blood on the same person. And they were just literally not uncommon. 100 points different. I said this is odd and they called the pathologist the lab manager in charge of the lab I said you got a problem. And you know they immediately God bless him. From that day forward. When I ordered both panels. They suppressed one of the cluster all greetings. That is some black and white doesn’t mean shit. Sorry. Listen to your own art of medicine this time. What’s your gut instinct? telega give the person 10 minutes they’ll tell you what’s going on your instincts you already know. And sometimes we have tests to confirm. But when we don’t have reliable tests, it’s okay to say you know, we don’t have reliable tests. So I’m going to go based on the clinical evidence and see how they respond to treatment radical concept called common sense. So I’m forgive me for teasing, but just
Bill Clearfield 1:33:06
know that’s fine in the heart, but so let’s go to the hormone realm. So Sony, ah, they’re not you know, some of my colleagues insist that they do saliva test and those are the only ones that are reliable, some have a urine test, and that’s the only one to rely on that’s reliable. And just where I am the state of Nevada doesn’t like any of those. So we they make us do the serum tests anyway. And I actually got pretty comfortable with them. I’m fairly confident what we’re doing with it. So the only comment on the types of tests little, little,
1:33:39
each machine is different things. If you look at the salivary reproductive hormone levels, versus the blood, reproductive levels, you know, versus the urine, you’re gonna get three totally different things. They’re measuring different compartments there are many different things that affect the levels. So I think you know, if it makes you feel better to have them, they are helpful, but I still find that the most helpful thing is are they tired, achy weight gain cold and pollen? Sounds like low thyroid, give them some time where they feel much better. They have low thyroid. I will I will take that over any test. Do they get irritable when hungry have a tendency to orthostatic intolerance have freakin sore throats? You know, I’m going to give them adrenal support and see if they get better. And if the ASI is showing glow, or you know I find that most helpful at nighttime if they can’t sleep without trouble falling asleep. Because their mind’s racing and ASI is high at nighttime salivary adrenal done I’m more likely to get Phosphatidyl serine but even for that, if they told me that I can’t fall asleep because my mind is racing. I’m going to say get a bottle of hospital sharing, spend 10 bucks, take 300 milligrams 90 minutes before bedtime and see if you fall asleep more easily. So I can do that. Or I can do a test. So forgive me if I’m a bit of a curmudgeon that comes to the gray hair John, I bet you and I on a bottle of tequila would have great fun being imagining.
Bill Clearfield 1:35:10
John John pretends to be a curmudgeon. So
1:35:15
you know, I’m cleaning out my office all day long and I was coming across papers and stuff. We were doing 40 years ago. And man it goes fast. And I don’t know how much progress we’ve made in with common sense and natural medicine. A lot a lot more than I predicted. I think so
Bill Clearfield 1:35:40
Okay, um, someone is asking about or Tierra Sol HP for patients with cardiovascular disease. I have no idea what that is. I know it’s it’s a combination. It’s an herbal remedy. Can you know what it is? You asked the question.
1:35:58
There can
1:36:00
no he says yes, yes, I am. Sorry, I was on mute. It is an herbal concoction and essentially what it does is it repairs the glycocalyx which is a the inside surface of all of our vessels that we kind of ignored for a long time. Mark Houston has been a big proponent of its use in the patients that I’ve been using it on. I’ve seen an average of 11 to 15 millimeters of mercury drop in diastolic. I’ve only been using it in patients for about six months. I don’t have any with cardiomyopathy, so I haven’t seen the profound observations that some of the cardiologist have seen. But I was just wondering if you had use this in your patient population that also has cardiovascular disease. Because it’s it’s profound.
1:37:13
I haven’t done that. But again, that whole area of treatments is I think, potentially very powerful from what I’ve heard so far for endothelial function for the blood vessel health, but when you’re looking at the cardiomyopathies, and a lot of these other things, the issue is heart muscle efficiency. So if it’s an issue of heart, muscle efficiency, arrhythmias, things like that, I’m going to be going over things that increase energy, the ribose B vitamins, magnesium acetyl, carnitine kuttan, that kind of a mix. For the vascular I don’t know that specific product. But I’m with the class of agent that you’re talking about. For the endothelial function, I think that potentially can be very, very valuable. So it we when you’re looking at the heart, it’s not a homogeneous organist, you have the muscle, you’ve got the vessels, you’ve got, you know, the different aspects that need to be addressed. Does that answer?
1:38:11
Yeah, yeah. I just think it would be valuable for for you to take a look at it. And I’d love to hear your opinion.
1:38:19
Thank you. You’re given that family of Asian I think it’s and Europe it’s a medication but for the endothelial function anyone
1:38:44
All right, sorry about that. Wasn’t me, but go ahead. You’re still there. Dr. Teitelbaum, oh,
1:38:53
I’m here but okay. But that’s kind of what I had to say and I don’t have that much experience with a promising for category of nutria.
Bill Clearfield 1:39:06
Okay, um, and so on that side by the tag team on that note, you know, there’s a lot of nitrous nitric oxide proponents any, any experience with that? Any thoughts on that?
1:39:24
It’s nitric oxide is such a big water system in the body. And so many things that help nitric oxide help other factors. The main way to address the nitric oxide directly is with arginine. But the problem with the Arginine is that it feeds the whole herpes family of viruses. And I because of that I’m I’m not really comfortable even in the vitamin powder that I use is low and arginine. I don’t go after the nitric oxide specifically, because the other things that I do will tend to take care of that. I will give a caution for those who are taking lysine I don’t recommend lysine to suppress herpes outbreaks in the CFS and fibromyalgia population, because it suppresses arginine. Arginine is critical for growth hormone production. And low growth hormone is common in CFS and Fibro so it’s one of the few times I’m going to go the medication the founder or the Valtrex. Over the lysine one, be careful with things that suppress arginine. For a number of reasons for cardiac function, I don’t play with nitric oxide that much just because you’re going to impair that other system, and I find other approaches.
Bill Clearfield 1:40:49
So we’re gonna have one of them is our vendors. Just don’t, don’t tell us how about any D. Also,
1:40:58
I think I don’t think of myself but it sounds very promising, especially using the intravenous on a B the NA BH is helpful in a small subset, about 20%. Especially people orthostatic intolerance, but those that have helped helps a lot. Because my population is small over the world. I don’t do the intravenous therapies on much, but I think the NID is, from what I’ve seen and heard is very promising. And for those of you that are giving intravenous therapies, I think certainly reasonable to consider.
Bill Clearfield 1:41:29
Okay, and it’s one of our newcomers here in the chat. It’s kind of a statement. I’m not as familiar with this type of medicine, but I’m concerned that anyone would give thyroid medication just because they had thyroid symptoms I’ve seen doctors do this in the past and ignore other significant etiologies. I’m sure it’s frustrating to test things and not find something wrong or just assume the labs aren’t reliable. But I think too much get stalled is scary. That’s a quote unquote, marrying his thought with data seems like it’s less of a faith based jump for patients.
1:42:04
Well, the thing is that I appreciate your spec, what you’re saying. And it’s just the different styles. There’s no right or wrong with it. But again, I agree with what you’re saying that if somebody comes in and says I’m tired, and have weight gain because it’s still thyroid I think you need to do a more comprehensive analysis of they have insulin resistance, they have other issues that are going on. But on the other hand, to rely on the thyroid tests that have been shown to be unreliable, especially in patient population with hypothalamic dysfunction, to say that we will not treat despite the research showing that this problem is very, very prevalent and common, and despite the research showing that the blood tests are grossly unreliable, it’s really also not evidence based. Then what you’re saying is that without definite proof, it absolutely doesn’t exist. Were scientifically that without definite proof. We don’t know from that if it exists. And then we need to look at the next thing, which is okay, what’s the probability? This is a high risk population because of the hypothalamic dysfunction? So there’s a high probability which then increases the likelihood of success with the treatment and alters the whole risk benefit assessment, and then you treat and you see if they get better, and they feel they feel dramatically better with it. So the question is, if you don’t have a test, if I’m going to play devil’s advocate, say we don’t have EKGs yet we go back in time. But we do have nitroglycerin and your doctor working in those days and somebody plus clenches a chest breaks into sweat, has pain going down their left arm and falls to the ground with crushing chest pain. Are you going to wait for the EKGs to be developed in 20 years more given by nitroglycerin tablet while you’re doing a more thorough assessment, looking for dissection and other kinds of things that may be contributing. So it’s, there’s no right or wrong with us. But the thing is to say that if there is no pestis reliable we can’t treat and we ignore the patient, because they’re just a person talking. And especially when the objective evidence has been shown to not be consistent. You know, as I mentioned before, the blood tests are not consistent on the same tube of blood. Then, you know, when it comes time to do the clear testing, they will make sure that that tube is done properly. But otherwise, a lot of this is just that it’s in black and white and in print. We’d like to think that makes a truthful, it’s not. So the bottom line is there’s no right or wrong with that. I invite people to do what feels best for them. But this is what I found after my 45 years of medicine is that I’m gonna listen to the patient. First, I will look at the reliability of the test. But if you don’t have reliable tests, then I will go ahead and look at the probability of the illness and not population, the risk of the treatment especially for slow and see how the person does. But again, I’m not saying My way is the better way. It just a different way. And I invite people don’t so
Bill Clearfield 1:45:07
comment was wasn’t a fair analogy and acute emergent situation versus sort of, you know, more and more chronic situation.
1:45:17
I think that if you have somebody who’s half bound, and 270 have done no test that’s reliable. To look at the because I’m not saying that we don’t look at the test. We do look at the test, but say the test shows that they’re in the last few percent of the population for thyroid for the 54. And they’re tired, achy, waking cold and polar. And exhausted poster child clinically. Would you say not to treat them because they’re not in the lowest two and a half percent but they’re in the lowest 3% Or would you say that okay, looking at the doing an assessment of the risk benefit and probability assessment, that if they have these symptoms, and they’re in the lowest fee percent of the population, despite the test being normal, that may be a therapeutic trial is warranted. There’s no right or wrong it’s just there’s different approaches. You know? Okay.
Bill Clearfield 1:46:17
Let me can I tell a little story, then, I know it’s getting late and probably want to leave but let me let me tell you a little story. So in 2007, I found myself in the Super District Hospital in Western Kenya, which was 160 kilometers west of Nairobi to Lake Victoria, find the electric line and take it south for another 160 kilometers. And there was a cinderblock building with a tin roof and that was the Sewer District Hospital. And I went there to visit a friend that I ended up staying there for nine months. When I got there, the Coulter counter which was the blood counting machine was broken and they told me the technician would be around in three months to fix it. When I left nine months later, they told me to Coulter counter was broken and the technician will be around in nine months in three months to fix it. They had an x ray machine it was a cobalt machine that was unshielded I wouldn’t let them turn it on. So I always remember this one patient he and the so the average age lifespan for a male there is 40 It was 46 at the time and a female 52. That was the average aged lifespan. There was a patient there he was about 50 years old and he had heart failure. And the intern says to be says, well, we give him diuretic for three days and he gets better and then you know when we stop it, he fills up again. And I said well why are you stopping it? And he says well he gets neuropathy as well. You need to give him potassium. And he says we don’t have potassium. They had every AIDS drug there but they didn’t have potassium. So having having dual dutifully been graduated from UCLA School of Medicine’s acupuncture program. I had learned pulse and tongue diagnosis and let me tell you There you needed you needed to know how to do that. So I thought so. So not an hour later. Young Well, it’s middle age there she was 20 years old came in, in respiratory distress. Do you have an Ambu bag? No, you have you know oxygen though. They didn’t nothing. So I didn’t you know so what what’s what do you do here as well they usually die. And so I they had they had sterile hypodermic needles. So I just opened a bunch of them and I did a lung treatment, you know acupunct acupuncture lung treatment, and it was a long five minutes before she went from gasping for air to her breathing, sort of stabilized. And about 10 minutes after that she woke up, looked around. So she had a bunch of needles, enter in the 27 if you know and all over she kind of pulled him out and said what’s going on here and got off the table and left. So just a little story so so what we did actually with it with the heart failure guy was the forest there had foxglove in it was native there. They didn’t like I said they didn’t have they didn’t have digitalis, they didn’t have beta blockers. They didn’t have diuretics, but they had an internet connection, even in 2007. So I found out what was in the forest and I got one of the medicine men to come and he came in full regalia. And he went out into the forest he found me Fox global, we chopped it up, and then we didn’t have capsules or anything. So what do you do with it? So we just put it in some water and drink it. How about nebulizing it? Well, if you have a nebulizer, yeah, that may work but we didn’t have that either. So the question is for Dr. Quinto, how about nebulizing bioactive silver hydrosol hydrosol to oxygenate the lungs? Well, again, if we, we didn’t have we didn’t have those kinds of things. So you know, where I was at the time in Wilkes Barre, Pennsylvania, we did have them but in the Super district hospital, we did so. So you kind of learn to live by your width. So, um, so whoever you know, so that the like Dr. Teitelbaum, I agree with, you know, there isn’t any right or right or wrong. You sort of have to follow your, you know, your, your instincts, but I think some of it might be, you know, experience, you know, things that I think back now, you know, when when what I knew about thyroid disease 30 years ago was that I looked at the thyroid and we looked at the TSH and if it was flagged high or low, I sent him to the endocrinologist and told the patients they were going to get a skinny needle biopsy that was about it.
1:50:40
At the time, Sara changed,
Bill Clearfield 1:50:42
and we couldn’t we couldn’t figure out when I couldn’t figure out when the if the TSH was zero point point, oh four and we gave him more more more Synthroid that it actually went down instead of going up. We didn’t we didn’t, you know, so I think some of it might be experienced. I don’t know. You know, Dr. Teitelbaum, you’re you’re the you know, the expert here.
1:51:02
Um, I think we’re all experts here. I wanted to add one other thing too, because we talked about the sinus and the Candida and the infections and I didn’t talk as much as I should, about the importance of the solver. If I’m going to use as no sprays. I will use these are 1023 of the natural immunogenic silver not spray, because I use the two together we can’t put silver in the other things because they’ll precipitate out so those are separate. But those really you can have a very strong benefit for people and stuff. One of my favorites is the cream, the aloe skimping. If you have people who have itches that just don’t seem to respond to anything. You’ll be surprised you know, put that stuff on. But I am picky about what I use for silver. Because you know, I’m having a loving grandkids and five kids I’d like Smurfs and good people but I don’t want them turning Smurfy with Julia taking silver that is going to build up on their skin. And with a natural immunogenic smitten there’s no risk of them. They do it properly. The silver is a very important thing to do. And bullion the again community art of medicine. We have been trained against trusting our own art of medicine and instincts. And I think that’s a horrific thing. We’ve been trained that taller person stay home I don’t even want to talk to you just do the tests. I’m sorry, the tests are a tool. But the art of medicine, to me is is an incredibly powerful tool. And we’re losing that because people don’t trust their own instincts. And that’s a big problem because otherwise all we’ll end up doing is being shills for the pharmaceutical industry. I need to listen to
Bill Clearfield 1:52:52
tell you have anything Dr. Patel you have anything to add here your this is kind of your your your belly with to Dr. Patel, we speaking at our conference also.
1:53:02
Thank you. It’s wonderful, very nice lecture and I just have a question about those with the cardiac problem with the low ejection fraction and patient being on every nutrient you mentioned there and and still, the ejection fraction is plenty. So where would you go after that?
1:53:29
After that there’s a nice Russian study that maybe I shouldn’t have said that was Russian but the study was thought was was actually controlled in people with very, very severe refractory heart failure. And they found that giving the magnesium is sparked hate. It was not just a magnesium Prometheus portait was contributed to the energy thing, I think was 3000 milligrams twice a day, which is not a lot of magnesium but sounds like it’s mostly the weight of that part eight molecule using the Hawthorne, Oh, these are the next two things that I would go with. But if you look up, get the cures A to Z phone app. And then look up heart disease. This is all listed out including the next steps after the initial five that I gave.
1:54:16
Thank you know
Bill Clearfield 1:54:17
welcome. I I’ve had that for about five years and I’ll highly recommend that I know that your your I think that yours also right
1:54:25
now. It’s $200 I’m teasing. It’s free. There’s a $2
Bill Clearfield 1:54:28
No, no. Yeah. I actually spent the $2 a number oh there
1:54:33
you go.
Bill Clearfield 1:54:37
So but it’s a very good app and as you know if you’re stuck you know if I’m stuck, I have it by my desk side here I get stuck I can always I can always find something that there’s always something else that you know that we can add. Add in cure. Yes. And it’s it’s really it’s pretty cool. It’s a really nice app. It’s very complete. And I use it all the time. So not that I’m the arbiter of anything so benefit from art Argentine 23 nasal spray decreases the viral cases and recovery as fast
1:55:13
I think the RS 23 are the natural immunogenic nasal silver nasal spray is growing and I recommend them routinely for anybody but I use it with the prescription one and the doctor can but even just using the silver by itself. Silver is a wonderful molecule.
1:55:34
So have you heard anybody developing problems from silver the other day I received the call and I am going to see that patient where the ionic silver was used in her and in her nose. And they also gave her by mouth and she severely debilitated severe chemical sensitivity and abdominal pain
1:56:01
and the first thing that comes over I would wonder if she killed off something was getting a Herxheimer reaction. The main problem of the silver is if you get too much they get arteria they turn blue. They don’t feel anything they just was mentioned but kind of smurfing doesn’t go away. So I’ve never seen that kind of a reaction from silver self could probably answer that better than I could. But in 45 years, I’ve never seen that but it would leave me if it even had to do with the solver. The question is what were they treating? Using the solver what they were treating as more like the component or the silver killed something those would be my first two suspicions. Assess Do you have thoughts with them? Oh, you’re on mute. Go on mute yourself. You have to unmute yourself or building has to unmute yourself.
Bill Clearfield 1:56:54
I think you can do it himself.
1:56:56
There we go. Sorry guys, please forgive. I was trying to respond by text. Um, yeah, certainly, depending on the silver the species of the silver is gonna dictate how powerful it is or not. So in the case of a bioactive silver hydrosol a sovereign silver and our gentle 23 die off certainly can happen I remember my what my ex wife being treated for Lyme and had a complete meltdown halfway through her treatment from the die off. So unless you’ve got a lot of liver support. Remember no matter what Silver’s leaving through glutathione dependent phase two liver detoxification girls go please. Glutathione dependencies deliberative detoxification is the pathway for expression so it’s going to tax the glutathione stores in the body preloaded with glutathione will preclude that. No, this was another good thing and organic diet of course. And then you can back off the treatment as needed until the patient does recover from a hurts but it hurts the end of the world. It’s obviously a sign that things aren’t happening. helping the patient through it is as important as what you’re doing to help them recover from it. Okay. Thank you for that. Thank you for my presentation.
Bill Clearfield 1:58:09
Thank you that you can’t I gave you my contact information will everybody has. If you if you’d like to, you know present some of some of your information for us. Please get in contact with me or leave me your contact because I must fill up. I can’t wait
1:58:26
for the record. I’m not Dr. Pinto. I’m Seth Quinto. I’m Steven Quinto son. I’m the sales manager for the professional side of our company which is our Jensen 23 Of course but I didn’t
Bill Clearfield 1:58:35
tell everybody everybody’s a doctor here don’t matter even though I love you guys.
1:58:39
We all do. We all know the I love you guys and gals.
Bill Clearfield 1:58:43
So I have endless Tuesdays to fill up we don’t have doesn’t have to be a doctor. So we’ve had we’ve had yoga instructors, we’ve had the suicide hotline persons. They they’ve even had me you know i every once in a while
1:58:59
I’d love to I’d love to bring I think you know I can do a lot beautiful
Bill Clearfield 1:59:05
Okay, terrific. I gave you my contact information. So, for sure.
1:59:11
I will definitely follow up.
Bill Clearfield 1:59:13
I’ll make sure it happens. Dr. Title, but I know it’s I know it’s going on while here if anybody else have any questions, comments he will Dr. Teitelbaum will be on 130 Sunday afternoon. My only regret is not with his life. When second regret is that we didn’t go to Hawaii to be with him life and the way the way things have worked out with the hotel in Las Vegas. I’m going to I’m going to I’m going to I might just blow the whole place up because they just drive me out of my mind. So doctor, Dr. Patel, you’re on? What do you want? You’re on?
1:59:52
I’m on Saturday
Bill Clearfield 1:59:53
or Saturday. Dr. Patel’s on Saturday at 230 Dr. Bedell bombs 130. Dr. Burgess is on Sunday. At Do you have have you at 445 We are up by the way. We’re up to 26 ama AOA category one credits now. From up from 24 We haven’t really packed a lineup on it’s gonna be it’s gonna be a long, long three days. We have a reception Friday night. After the last lecture and Saturday night Dr. makalah will be speaking he’s our last speaker and then there’s a reception with him out on the terrorists there. It’s at the Flamingo hotel. I know some of you have had issues with the with the hotel as we have. If you have let me know if they’ve given you because they kind of bait and switch this with with prices so and they told people that it was sold out and then they told us they didn’t sell them. We didn’t sell enough room so so it’s been a bit of an issue. So that Mr. Dr. Quinto, I’ll get in touch with you thank you for your information. I will. We will we will firm that up. And anybody have any comments questions? Dr. Teitelbaum, we can’t thank you enough. It was really terrific. to have you with us. It’s an honor. And it’s gonna be an honor next week. Here’s another let’s see. Great lineup. Yes, we know that Sean Devlin do will be speaking on his revolutionary use of ozone and silver for Lyme disease at the H O t.us. American Academy of ozone therapy June 2 The fourth in Denver so there’s that. Okay. And so, next week, Dr. aulassa will be back for round two on his immuno oncology series and then after that, we have a really great lady that I gave a talk to with functional microcurrent specific microcurrent and she’s got a really fascinating you know, tale to tell and she’s done some really terrific work with with sports figures and whatnot. So we’ll have her on and and anybody else who has any anything to present please let us know. Like I said there’s endless Tuesdays. We’re here every Tuesday at the same time. Same station. Eight o’clock Eastern five o’clock. Pacific and two o’clock in Hawaii. Right Dr. Teitelbaum. 51 right. Yesterday, so. So, I always I always ask our speaker we like to record this and we have on our website. We put the recordings so anybody can look at them. And we have we’ve been doing this for more than a year and a half now and we have quite a you know we have quite a library now. With aos rd.org/webinars See, I gotta get gotta get for everybody. There we go. That’s where the webinars are. I usually have them up within 24 to 48 hours. Sometimes we get a transcript with it. And for the again, ASR D word slash event. Is will take you to the website for the conference. And there’s some discounts there for almost everybody. And if you’re not at this point, let me know and we’ll get you some sort of discount. Even you Dr. Burgess. So thank you. So thank you, everybody. Again, any last comments, questions? And thank you so much for being with us. Thank you for supporting us, and we’ll see you again next week. Thank you Dr. Teitelbaum. It’s been a pleasure.
2:04:13
Welcome. Aloha.
Bill Clearfield 2:04:16
What a good word. In fact, Dr. Hertog, so maybe we can get him.
2:04:20
Mahalo, mahalo. Aloha. God bless everyone.