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The Cause of All Disease:A Unified Theory
ThomasE.Levy,MD,JDiAIM ConferenceManila,PhilippinesJune16-17,2017
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Reference CheckingGo to:
http://www.ncbi.nlm.nih.gov/pubmed/
InthePubMed searchbox,enterthesevenoreightdigitnumber,byitself,attheendofeachreferenceinthispresentation.ThisisthePubMed Identifier(PMID)number
Thenclickon“Search”andyouwillgodirectlytotheAbstractofthatarticle,orforafewarticles,youwillhaveaccesstothefullarticle.IfthereisnoPMIDnumber,itisnotavailableonPubMed.
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The Cause of All Disease:A Unified Theory
Theonsetandevolutionofall diseases,aswellasalloftheassociatedsymptomatology,iscausedby,and/ormediatedby:
IncreasedOxidativeStress(IOS)IOSexistswhentheproductionoffreeradicals(highlyreactivepro-oxidants)exceedsthebody’santioxidantcapacitytoneutralize(reduce)them,ortopreventtheirproductioninthefirstplace.IOSalways existswherethereisadeficiencyofantioxidants,anexcessoffreeradicals,orboth.[Halliwell (2006),16760481]
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Redox MedicineBasics
Theessenceofredox (reduction-oxidation)medicineisreallytheessenceofvitaminC-basedbiochemistry.
Pro-oxidant (aka“toxin”)Takes,orcausestobetaken,electronsawayfrombiomolecules (OXIDATION)
Antioxidant (vitaminCistheprototype)Gives(orrestores)electronsbacktooxidizedbiomolecules (REDUCTION)
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Redox MedicineBasics
Alldisease,then,resultsfromtherelativepresenceofandtheinteractionsamongandbetween:
Pro-Oxidants(Toxins)
Pathogens(Pro-OxidantProviders)
Antioxidants(Nutrients)
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Redox MedicineBasics
Thebasicredox natureofvitaminCandthepro-oxidantnatureofalltoxinsconciselyexplainswhyvitaminC,alongwithmanyotherantioxidants,hasbeendocumentedtobeaneffectiveantitoxin againstall toxinsforwhichithasbeentested,invitroandinvivo,inplants,animals,andhumans,andincludingclinicalstudies.[Levy(2002),book,CuringtheIncurable]
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Redox MedicineBasics
Apro-oxidantandatoxinareactuallyONEANDTHESAME,andtheyhavethesameeffect.
Anantioxidantisatrueantitoxin,becauseitrestorestheelectrondepletioninanoxidizedbiomolecule inducedbythetoxin,or itreducestheelectron-depletedtoxinitself,makingitrelativelyorcompletelyinert,dependinguponthetoxinanditsmicroenvironment.
Allpathogens induceincreasedoxidativestressbyoxidizingimportantbiomoleculesneededfornormalmetabolismviatheproductionofendotoxins,exotoxins,oxidizedmetabolicbyproducts,andsometimesduetospaceoccupationfrominfectiousbulk.Theyalsoconsumeantioxidantstores.
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Redox MedicineBasics
Redox Biology
Even though there is a tremendous variety of molecular structure among all of the known toxins, they ALL SHARE the property of taking, or causing to take, electrons from other molecules, oxidizing them and causing a state of increased oxidative stress.
If a molecule does not cause the loss of one or more electrons from another molecule it IS NOT TOXIC, and it CANNOT BE TOXIC. Toxicity and any symptoms of toxicity cannot exist unless electrons are being taken from other molecules (oxidation).
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Increased Oxidative Stress (IOS):Disease Determination
Whatdiseaseonehasdependson:1.Theduration oftheIOS(acuteorchronictoxicity)2.Thelocation oftheIOS(extracellular,intracellular,
specificorgansortissues)3.Thedegree oftheIOS(minimaltosevere)4.ThecombinationoftheabovethreeIOSfactors(for
example;severeintracellularIOSinanorgan—malignancy;ormildintra-and/orextracellularIOSinmuscleandjoints—myalgias andarthralgias
5.Thenatureofthetoxin(pro-oxidant) involvedintheIOS(uniquechemicalcharacteristics)
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Toxin Characteristics
1.Solubilityproperties(fat,water,combination)
2.Molecularsize(physicalaccess)3.Ioniccharge,neutrality4.Uniquemolecularstructure(physicalfit)5.Howreadilyitoxidizescertainbiomolecules
6.Tendencytoproduceoxidativechainreactionsortooxidizesinglebiomolecules
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Toxin Characteristics 7.Tendencytotargetspecificenzymes,aminoacids,
antioxidants,andantioxidantenzymes8.Tendencytophysicallyaccumulateandblock
criticalbiomolecules frominteracting9.Toxinsimilaritytostructuralbiomolecules
(replacement,incorporation)10.Accesstoexcretionbychelation11.Accesstoexcretionwithoutchelation12.Accesstoexcretionbysweating
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Promoters of Chronic Diseases (Pro-oxidant Sources)
1.Infections(endotoxins,exotoxins,aerobicandanaerobicmetabolicbyproducts,dental);documentedtostronglypromoteoxidativestressandlessenantioxidantcapacity
2.Knownexogenoustoxinexposures(heavymetal,pesticides,etc.)
3.Toxicironstatus (mostpeoplein“normal”rangearetoxic)4.Toxiccalciumstatus (theruleinallAmericanadults)5.Dietarytoxinexposures(constipatedgut,Clostridium);
inadequate/poornutritionand/orpoordigestion;poordigestionisworsethanpoornutritionintermsofimpactontheantioxidantcapacityofthebody
6.Lowsexhormonelevels;lowthyroidfunction,especiallyintracellularly
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Treatment Principles for All Chronic Degenerative Diseases
1. Prevent/minimize new daily toxin exposure (environmental, dental, dietary, digestive)
2. Neutralize existing toxins present in body3. Excrete toxin stores in a non-toxic, or minimally toxic,
manner4. Resolve infections, and eliminate the reasons for
contracting new infections5. Supplement optimally to maximize the
antioxidant/nutrient status of the body as completely as possible
6. Address hormone imbalance, typically deficiencies of testosterone, estrogen, and/or thyroid hormone
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Chronic Disease Treatment Protocol
1. Lessen/Minimize new toxinsA. No calcium, iron, or copper supplementation (Toxic
Nutrients)B. Address dental toxins/infections
a. Chronically infected teeth (root canals, CAP)b. Gum infection/inflammationc. Cavitationsd. Dental implants (improperly placed)e. Chronically infected tonsils
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Toxic Nutrients1. Calcium(seeDeathbyCalcium,freedownload
atlevy.medfoxpub.com)2. Iron3. CopperWhilethesethreesubstancescanhavenutrient
valueundertherightcircumstances,theyallreliablyincreaseoxidativestresswheretheyaccumulate,andtheyareallstrongcontributorstoheartdisease,cancer,andchronicdiseaseingeneral.
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Calcium:Background Information
Calciumisprominentlyfeaturedinthepopularpressandmedicalliteratureprimarilybecauseofitsstillnearlyuniversally-recommendedusageinthetreatmentofosteoporosis,andevenforgoodhealthingeneral.
Whilecalciumisessentialfornormalcellularfunction,elevationsofcalciumbothinsideandoutsidethecellsarepartofthefinalcommondenominator fornearlyallchronicdegenerativediseases,forthedevelopmentandaggressivenessofanygivencancer,andforprematurecelldeath.Theevidencealsoindicatesexcesscalciumcausesmanychronicdiseases,andisnotjustincidentallyassociatedwiththem.
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Calcium:Facts and Fictions
Fiction#1:“Calciumsupplementationpreventsfractures.”
ManystudiesinvolvingcalciumsupplementationthatshoweddecreasedfractureincidencealsosupplementedvitaminD,typically800IUdaily,as400IUofDalongwithcalciumdidnotconsistentlyproduceabenefit.(Jacksonetal.,2006[16481635];Bischoff-Ferrarietal.,2005[15886381]).
AdequatevitaminDalonereliablydecreasesfractureincidence.(Bischoff-Ferrarietal.,2012[22762317];Rizzolietal.,2013[23320612])
Calciumsupplementationalonedoesnot preventfractures(Kurabayashi,2012[22549199])
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Calcium:Facts and Fictions
Fiction#1:“Calciumsupplementationpreventsfractures.”
Calciumsupplementationcanminimallyimprove theresultsofthebonemineraldensitytests.However,thisisacosmeticchangeonly,astheincreasedcalciumcontentfromsuchsupplementationisreallynodifferentfromafreshcoatofpaintonafencewithrottingwood.Itlooksbetter,butitdoesnotrestoreanystructuralintegritytothefence,andthefencewillcontinuetodeteriorate.Thehealthystructuralmatrixofthebonerequiresvastlymorethancalciumforrepairandregeneration.Whilethetestcanshowabetter“number,”itisnotreflectiveofbetterbone.
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Calcium:Facts and Fictions
Fiction#2:“Calciumsupplementationandincreaseddietarycalcium
aregoodforyou.”
Thisisaclassiccaseofmarketingfictioncompletelytrumpingscience.Thetruth:aprospectivestudyovera19-yearperiodfollowed61,433women.Womenwiththehighestintakeofcalciumandwhosupplementedcalciumaswellhadanall-causemortality risk2.5timeshigherthanthosewomenwhodidnotsupplementcalcium.(Michaelsson etal.,2013[23403980])
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Calcium:Facts and Fictions
Fiction#3:“Youcannotgetenoughcalciuminyourdiet
withoutdairyproducts.”
Moremarketingfiction.Enjoyyourdairyifyouwish,butdonotdeludeyourselfintothinkingthatanythingbeyondaminimalamountofitinyourdietisgoodforyou.Body-widestatesofcalciumdeficiencyareverystronglyentrenchedmyths,nothingmore.Asistoooftenthecasewithanumberofstrongly-promoted“scientific”assertionsandbeliefs,theexactoppositeistrue.
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Calcium:Facts and Fictions
Fiction#4:“Everyonewithosteoporosishasacalcium
deficiency.”
Inthebones,yes;inthebody,no.Fully99%ofthebody’snormalcontentofcalciumisinthebone,andasosteopenia andosteoporosisrelentlesslybreakdowntheintegrityofthebone,alargeamountofthiscalciumendsupwhereonly0.1%ofitshouldbe:intherestofthebody.
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Calcium:Facts and Fictions
Fiction#5:“Thebiggestdangerfacedbytheosteoporosispatientis
disabilityordeathfollowingafracture.”Anothercompletelywrongbutcommonlyheldview.In10,000postmenopausalwomenwithlowbonemineral
density,a60%increasedchanceofdeathwasseeninthelowestquintileofBMDcomparedtothehighestquintile(aka,heaviestsupplementers).However,mostofthedeathsdidnotrelatetoafracture.(Browneretal.,1991[1677708]
Significance:whileanosteoporoticfracturecanbedeadly,theconsequencesofitscommonlyacceptedtreatmentsaredeadlier.
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Calciumand Oxidative Stress
Calcium,whichisconcentratedupto10,000times moreoutsidethecellsofthebodythaninside,needstobemaintainedwithinafairlynarrowrangeofnormalinsidethecellstopermitoptimalcellularfunction.Anyintracellularcalciumconcentrationsabovethisnormalrangearealwaysaccompaniedbyincreasedintracellularoxidativestress,andareprobablytheprimarycauseofthisstate.Theverylargegradientofcalciumfromextracellulartointracellularrequiresasignificantconsumptionofenergyinordertobeproperlymaintained,andanysignificantcompromiseinenergyavailabilityinvariablyleadstoprogressivelyincreasingandtoxicintracellularcalciumconcentrations.
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Calciumand Oxidative Stress
Thebonescontainupto99%ofthecalciumpresentinthebody.Thecalciuminsolutionintheblood,theextracellularfluids,andthecytoplasminsidethecellsisonlyapproximately0.1%ofthetotalcalciumcontentinthebody.Asosteoporosisandtheosteopenia ofagingevolveovertime,anenormousamountofcalciumfloodstheextracellular fluids,andcalciumdepositioninvariablyresults.Theintracellularcalciumlevelsalsorisesufficientlytosubstantiallyincreaseintracellularoxidativestress,promotingallchronicdegenerativediseases,whilealsobeingarequiredfactorformalignanttransformation.
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Levels of IntracellularOxidative Stress
Atleasteightlevelsofoxidativestresscanexistoverthespectrumofnormal,chronicallydiseased,andcancerouscells:1.Noneornon-detectable (dormant,fully
differentiated,non-replicating)2.Minimal (physiological,baselinemetabolicactivity)3.Minimaltomoderate (upregulated physiologicalmoderate
oxidativestresscanresultinmultiplesignalingfunctions,withupregulationordownregulationofvariousmetabolicreactionstakingplace)[Santos(2011),21236334]
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Levels of IntracellularOxidative Stress
4.Moderate (chronicallyupregulated).Thislevelofincreasedoxidativestresscanexistinanormalcell,butonlytransiently,aswhenatemporaryburstofincreasedmetabolicactivityisneeded,suchasinactivereplication.Whenpresentmostorallofthetime,thislevelofintracellularoxidativestressischaracteristicofnon-malignantchronicallydiseasedcells.However,whenintracellularFentonreactionbiomolecules areupregulated,thislevelheraldsthearrivalorimminentarrivalofmalignanttransformation.Cancercellsalwayshaveconsistentlyincreasedintracellularoxidativestress,above thedegreeseeninnon-malignantchronicallydiseasedcells. .
5.Moderatetoelevated Whenchronic,thisischaracteristicofestablishedandreplicatingcancercells.Somediseasedcellsinchronicdegenerativediseasescanintermittentlyreachtheselevelsandnotresultinmalignanttransformation[Zhou(2012),23165949;Parri (2013),23146119]
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Levels of IntracellularOxidative Stress
6.Elevated amountofintracellularoxidativestress.Seeninthemostmetabolicallyactiveofcancercells,suchasactivelymetastasizingcells;temporarilypresentinnormalcellsonlywhenproceedingtoprogrammedcelldeath(apoptosis)[Shen (2013),23373752]
7.Greatlyelevated intracellularoxidativestress,suchasincancercellswithsignificantlyupregulated Fentonactivity,primedbypro-oxidativeagents,asinchemotherapy,toproceedtoapoptosisornecrosis
8.Maximal intracellularoxidativestressincancercells,characteristicallyafleetingstate,ascellsbypassapoptosis,proceedingtocellnecrosisandrupture
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Iron Toxicityfrom “Enriched” Food
1.Iron,muchofitintheformofmetallicironfilings,hasbeenroutinelyaddedtothevastmajorityofourprepared,“enriched”foodproductsforover70years
2.Nearlyall(>95%)adultsintheUSandaroundthedevelopedworldareinastateofchronicironexcessthroughouttheirbodies
3.Torealizethatthisexcessdietaryironchronicallyinflamesthegut,andappearstohelpinitiatemanyfoodallergies,includinggluten-related,aswellassignificantchronicinflammatorygastrointestinaldisorders
4.Thisexcessdietaryironcanbeeasilyavoided,andsimplemeasuresareavailabletobringtheironstoresinthebodybackintoahealthy,trulynormalrange
5.Onyoutube.com,typein“ThomasLevyironvideo”
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Iron Extracted byMagnet from Enriched Cereal
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Iron in “Enriched” Foods
Asageneral rule,bothorganicfoodproductsandfoodproductsmarketedasgluten-freehavenoironadded.Thebasicideaisthatthefoodcompaniesrealize,atsomelevel,thatthebuyersofeitherorganicorgluten-freeproductswantfoodthatisasunadulteratedaspossible.Butthisisnotthecase100%ofthetime(maybe90%).Alwaysreadlabelscarefully.SometimesyoumightreadanIngredientslabelthatusestheword“enriched”withoutspellingoutwhattheenrichmentis.Thisalwaysmeansironplussomethingelse.Donotconsumesuchaproduct.
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“Food Grade” Iron Filings
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Ferritin/Iron Facts
Excessironisstoredmostlyinferritin,andferritin levelsaredirectlyindicativeoftheoverallcontentofironinthebody.Serumironlevelshavelittletonocorrelationtoironstoresinthebody.Thenonferritin poolofironincludesheme andheme-containingproteins,iron-sulfurcomplexes,andotheriron-containingenzymes(Mattia,1986,3457008)
Whenunboundironexceedsnormalmetabolicneeds,thesynthesisofferritin isstimulated,andexcessintracellularironisstoredwithintheshellofhollowferritin molecules(Hoffman,1991,1962568).
Increasedoxidativestressalsoresultsinincreasedferritinsynthesis(Cairo,1995,7822298).
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Ferritin/Iron Facts
Aferritin levelofabout50ng/mlisconsideredbymostphysicianstobeclearlynormal,andborderingonbeingtoolow.Thisisnottrue.Considerthefollowingstudy:
High-frequencyblooddonorswithameanferritin levelof17ng/mlshowedsignificantlyimprovedarterialelasticitycomparedwithlowerfrequencyblooddonorswithameanferritin levelof52ng/ml.Thismeansthatalevelof50ng/mlofferritin,althoughvastlymoredesirablethanlevelsof200,300,400,andhigher,isstillclearlytoxic.(Zheng,2005,15961703)
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Ferritin/Iron FactsReducingironlevelsinthebodybyphlebotomylessenslipid
peroxidation andoxidativestress.(Salonen,1995,7852918)In100cancer-freepatientswithperipheralarterydisease,
ironreductionbyphlebotomyappearedtolessentheincidenceofnewcancersanddecreasedcancer-relateddeathsoverasix-yearperiod.Averageferritin levelsin23individualswhodiedwas135.5ng/ml.Inthe77survivorstheaverageferritin levelwas83.6ng/ml.(Depalma,2010,20304584)
Blooddonationappearstoreducetheincidenceofcardiovascularevents(Tuomainen,1997,9080998;Meyers,1997,9326996)
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Iron & Copper FactsElevatedlevelsofironandcopperarefoundinhumanatheroscleroticplaques(Stadler,2004,15001454).Alongwiththecalciumthatisdeposited,itisapparentwhatthetriadoftoxicnutrients(iron,calcium,andcopper)willvirtuallyalwaysdowhensupplemented.
In54femalepatientswithbreastcancerversus54patientswithoutbreastcancer,thecancerpatientshaveastatisticallysignificantincreaseinserumlevelsofiron,copper,calcium,andphosphorus.Thecancerpatientsalsohadastatisticallysignificantdecreaseinzinclevels.(Pavithra,2015,25737978)
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Metallic Iron and the Gut
Goodhealthisvirtuallycenteredonhavingandmaintainingahealthygut.Butchronicmetallicand/or supplementalironinthegutmeansthat:
1.Leaky(inflamed)gutresults.Somefoodisincompletelydigestedandprematureabsorptionoccurs
2.Theunabsorbedandincompletelydigestedfoodresultsinslowedguttransittime withincreasedputrefaction andtheproductionofexceptionallypotenttoxins,usuallyrelatedtogastrointestinalinfections/overgrowths(Clostridium).
3.Theincompletelydigested(andsometimeslargelywhole)foodsgainaccesstothelymphatics andtheblood,andautoimmunereactionsandfoodallergies,sometimessevereandlife-threatening(peanut)canresult.
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Metallic Iron and the Gut
4.Incompletedigestionresultsinpoorassimilationofqualitynutrients,vitamins,andminerals.
5.Focalinfectionsinthegutcanappear,inadditiontothechronicovergrowthofpathogenicflora.Probiotics canonlydosomuch.
6.Gastricandduodenalulcers,heartburnandreflux,gas,cramping,anddiarrhea/constipationsyndromes
7.Crohn’s diseaseandchroniculcerativecolitis8.CeliacsprueandGLUTENSENSITIVITY9.Everydiseaseinthebodywillbeworsened,andmanydiseaseswill
begiventhefoundationandbasistobeinitiated.10.Verypossibly,themainbenefitofanorganicdietisnometalliciron
andamuchbetterdigestionduetoinherentlybetterguttransittimesbecausefoodcombinationsaremoreoptimal.
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Metallic Iron and the GutFACT:Refinedgrainshavebeenenrichedsince1941withironandthreeBvitamins.
FACT:Theincidenceofceliacsprue (basically,advancedglutensensitivity)hasincreasedfourfold(400%)since1948 inmenastheyage(anAirForcestudy)
CONCLUSION:Youdecidehowsignificantthisassociationis.
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Metallic Iron and the Gut
Howtoxicwouldglutenbeinanormal,ratherthanachronicallyinflamedgut?Oureatinghabitsreallyneverpermitourgastrointestinaltracttogotoitsnormalbaselineofhealthin,conservatively,greaterthan95%ofbabies,children,andadultstoday.
Iamnotadvisingsomeonewithknownglutensensitivitytostartingestinggluten.However,Iamsuggestingthatinmanypeople,“givingup”ironcouldallowtheguttohealsufficientlysuchthatsomeglutensensitivitiesandfoodallergiescoulddisappearorbecomeveryminimalinthefuture.
Whydosomanykidsnowhavelife-threateningpeanutallergiesnowandnot100yearsago?Perhapsitistheinterventionof“modernfoodscience”andthepublichealthauthorities.
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Metallic Iron and the GutA2010studyintheJournalofAllergyandClinicalImmunology
foundthenumberofchildrenwithdocumentedpeanutallergieshadincreasedfrom0.4%in1997to0.8%in2002to1.4%in2008(almosta400%increasefrom1997). (Sicherer,2010,20462634)
Afterbarelymeritingawordinthemedicalliteraturebeforethe1980s,theincidenceofpeanutallergiesbegantocreepupinthe1990s.
Whenthebabyboomerswerekids(50sand60s),apeanutbutter-and-jellysandwichwasacommonfood,notafatalsnack.Why??Cumulativeguttoxinexposure,headedbyincessantironingestion,metallicandotherwisewouldappeartobeaneminentlylogicalconclusion.
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Food Allergies Increasing
BasedonPubMed searching,articlesonfoodallergiesreached100peryearin1971
Morethan500articleswerepublishedintheyear2000
Morethan1400articleswerepublishedintheyear2014
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Non-Metallic (Supplemental)Iron and the Gut
Itisalso veryimportanttorealizethatallofthesupplementaland/orprescribedoralformsofironwillpromotechronicgutinflammationviaincreasingtheactivityoftheFentonreactioninsidethecellsliningthegut.
So,whenyouareprescribedironforaniron-deficientanemia,thesecondarygutinflammationislimitedtotheperiodofsupplementation,unlessthatperiodwasveryprolonged.
Butwhenthe“supplemental”ironisinnearlyeverymealyouconsume,thesecondaryinflammationandleakygutbecomeandremainchronic,evenwhenmetallicironisnotpresent.
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Chronic Disease Treatment Protocol
1. Lessen/Minimize new toxinsC. Dietary/digestive (optimize bowel transit time)
Food combining, chewing, liquids, enzymes, low glycemic, minimize meat/complex protein quantities, minimize dairy (less calcium as well as poorer digestion). Consider Total Food Pulverization.
Poor foods digested perfectly produce less toxicity than optimal/organic foods digested poorly (less digestion and assimilation, more putrefaction)
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Chronic Disease Treatment Protocol
2.Eliminate old toxinsRemember that detoxification is also retoxification.
A. Traditional agents (DMSA, DMPS, EDTA, penicillamine, deferasirox)
B. Nutrient agents (alpha lipoic acid, inositolhexaphosphate, any agent supporting and increasing intracellular GSH levels, such as NAC, whey protein, and liposome-encapsulated GSH)
C. Sweating (far infrared sauna, aerobic exercise)D. Always protect with adequate antioxidant coverage to
minimize retoxification damageE. Need for a specific detox regimen depends on clinical
response to the rest of the protocol
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Chronic Disease Treatment Protocol
3.Eradicate infectionsMost infections significantly lowering antioxidant stores
through the body will be found in dental sources. However, for many individuals, chronically infected tonsils will significantly impair or even block the recovery from many different chronic diseases. Usually tonsils that need extracting will be on the same side of the body as an existing or even previously extracted root canal-treated tooth. Generally, once a tonsil has drained a root canal or other infected tooth for any significant length of time, it cannot recover even if that tooth is extracted. Rather, it becomes a source of chronic focal infection, seeding pathogens and toxins throughout the body.
The tonsil protector becomes the infector.
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Restoring Hormonal Balance
Generally, estrogen or testosterone replacement therapy should be low, slow, and bioidentical to optimize benefit and minimize risks. Lower dosing over longer periods of time, aiming only for restoring hormone levels to low to mid-range normal, especially for individuals greater than 65 to 70 years of age, should be the goal of treatment [Basaria (2013), 22562960]. The coronary artery calcium score, which also reflects all-cause mortality risk, along with CAD-related bloodwork should be carefully tracked to verify risk factors are lessening rather than worsening. Treating low testosterone in men decreases mortality [Shores (2012), 22496507], but the treatment parameters above must be followed. Avoid synthetic progestogens (progestin—carcinogenic). Unaltered progesterone—fine [Fournier (2008), 17333341; Chlebowski (2010), 20959578]
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Testosterone Replacement Considerations
Factors in restoration of deficiency (similar to restoration of estrogen deficiency)
Dose, type, formulations, routes, duration, timing, accompanying antioxidants, serial clinical correlation and laboratory testing, target levels
Also, regarding PSA monitoring:Testosterone does promote preexisting prostatic cancer cell growth, but does not induce malignant transformation in the prostate. Testosterone therapy actually offers the benefit of exposing the presence of preexisting prostate cancer via follow-up PSA testing before it might have reached a more advanced stage.
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Restoring Hormonal BalanceThyroid Hormone
While it is reasonable to try to correct a low thyroid status in anyone, it would appear especially important to do so in the patient with metabolic syndrome and/or known cardiac disease. Many individuals have intracellular cellular hypothyroidism not reflected on standard thyroid function tests, and a proper ratio of free T3 to reverse T3 needs to be achieved, as that is reflective of normalized intracellular thyroid function. As with sex hormone replacement, thyroid administration should be low and slow. Proper clinical correlation is essential.
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Importance of EuthyroidStatus in the Body
Broda Barnesreportedon1,569patientsthathetreatedwithdessicated thyroid,mostovera20-yearperiod.Only4 menhadheartattacksduringthisperiod.Foragroupthissize,theFraminghamstudyestablishedthat72individualsshouldhavesustainedheartattacksduringacomparableperiodoftime.
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Importance of EuthyroidStatus in the Body
Veryamazingly,noonewasaskedtostopsmokingormodifyanyoftheirdietaryorexercisehabitsduringthisperiodoftime.62%ofthemeninthestudygroupweresmokers.Barnesalsonotedthatatleast30fatalheartattacksoccurredinthosewhostoppedthyroidtherapyanddroppedoutofthestudy.(BarnesandGalton,1976,Hypothyroidism: TheUnsuspectedIllness)
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HypothyroidismConsiderations
Mostadultsareatleastmildlyhypothyroid;standardthyroidbloodtestingfrequentlydoesnotreflectthis.Rather,suchtestingdoesreflecthyperthyroidismfairlywell,aswellassevere hypothyroidism.
Muchofthereasonforthisisthatmostmildlyhypothyroidindividualshaveintracellularhypothyroidism,notconsistentlyreflectedincirculatingthyroidhormonelevels.Only20%ofT3isproducedinthethyroid,therestisproducedincellsoutsideofthethyroidfromT4takenupinthosecells.
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Thyroid TherapyConsiderations
Monitorthyroidtherapy(dessicated thyroid)bysymptom improvement,bodytemperature,andbyimprovement/normalization ofthefreeT3/reverseT3ratio.
Aimforaratioof18/1,orslightlygreater.Ifhypothyroidsymptomsarestillclear-cut,aslightlyhigherratiocanbeacceptable.Butevenifmildsymptomsarestillpresent,havingaratioofabout20/1isastrongassurancethatsubstantialextracellularandintracellularhypothyroidismisnolongerpresent.
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Thyroid TherapyConsiderations
Theimportantofnormalizing,orsignificantlyimproving,thehypometabolic statesecondarytodiminishedintracellularthyroidfunctionisarguablyoneofthemostimportantyetchronicallyunaddressedfactorsintheeffectivetreatmentofheartdiseaseandchronicdegenerativediseaseingeneral.
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Chronic Disease Treatment Protocol
5. Optimize levels of vitamin C and other critical nutrientsAll quality nutrients and supplements are ultimately beneficial
only because of their antioxidant, electron-donating nature at the molecular level.
There are many different ways to supplement effectively, depending on individual needs and economic ability.
Any good supplementation regimen should feature an effective vitamin C administration regimen. No regimen of supplementation devoid of vitamin C will deliver the health impacts of proper vitamin C supplementation without accompanying supplementation. This is not to say, however, that a wide variety of quality supplementation is not optimal, along with the vitamin C.
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Supplementation: The Big Four
MagnesiumA. A natural calcium channel blocker (Fawcett et al., 1999
[10618948]); magnesium and calcium are biological antagonists (Anghileri, 2009 [20228002])
B. Dissolves calcium deposits (Steidl and Ditmar, 1990 [2133625])
C. Mg deficiency increases intracellular calcium (Fox et al., 2001 [11811859])
D. Increases bone density and decreases fracture incidence (Ryder et al., 2005 [16274367])
E. Decreases all-cause mortality (Woods and Fletcher, 1994 [7908076]; Shechter et al., 2003 [12845247])
F. Non-toxic at supplemented doses
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Supplementation: The Big Four
Vitamin CA. Osteoporosis is bone scurvy, with a generalized deficiency of
antioxidants as well. The other agents discussed compensate for this scurvy to the degree that some antioxidant capacity is restored to the bone. However, the rebuilding of new bone requires adequate vitamin C
B. Decreases bone resorption and increases bone synthesis; supplemental vitamin C results in greater bone density; accelerates fracture healing and is essential for normal bone integrity
C. Highest VC levels, least fractures.D. Decreases all-cause mortality.E. Virtually non-toxic at any dose; no definable toxic level ever defined
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Supplementation: The Big Four
Vitamin KA. Activator of proteins known to inhibit ectopic calcification, like
osteocalcin and matrix Gla protein (MGP) (Theuwissen et al., 2012 [22516724])
B. Helps dissolve existing calcifications (Schurgers et al., 2007 [17138823])
C. Neutralizes warfarin (an agent that causes ectopic calcification) (Price et al., 1998 [9743228])
D. Decreases risk of fracture (Shiraki et al., 2000 [10750566]) and improves bone quality (Saito, 2009 [19949271])
E. Decreases all-cause mortality (Geleijnse et al., 2004 [15514282])F. No definable toxicity at any dose level (Pucaj et al., 2011
[21781006])
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Supplementation: The Big Four
Vitamin DA. Normal vitamin D blood levels with most dietary regimens assures
adequate calcium intakeB. Critical for far more than bone and calcium metabolism, regulating up to
2000 genes (Wacker and Holick, 2013 [23306192])C. Deficiency causes osteoporosis (Bolland et al., 2010 [19906799])D. Excess worsens osteoporosis (Masterjohn, 2007 [17145139])E. A key determinant of bone mineral density while growing up (Pekkinen et
al., 2012 [22768331])F. In therapeutic range, decreases all-cause mortality (Semba et al., 2010
[19953106]; Schottker et al., 2013 [23446902])
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Vitamin C, Ozone,and Chronic Diseases
Nearly all chronic degenerative diseases have an infectious/toxic component, and treatment will always remain inadequate and incomplete until this is addressed. Ozone is a powerful adjunct or stand-alone therapy for difficult infections.
Many of the following are sources of chronic/focal infection and chronic disease, although they mostly exist in a symptomatically silent capacity:
1. Chronically infected untreated tooth roots, root canal-treated teeth, gums, tooth extraction sites, implants, tonsils and lymphoid tissues, and sinuses
2. Non-oral cavity sites, including bronchi, gut, gallbladder, liver, fallopian tubes/uterus, prostate gland, skin, heart, kidney, joints, veins, and bone.
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Recap1. Increased oxidative stress is the final common
denominator of all chronic degenerative disease.2. Reducing oxidized biomolecules and/or preventing the
oxidation from taking place will mitigate all diseases and reverse them as well if too much secondary structural/mechanical damage has not occurred.
3. Vitamin C is a foundational treatment that should be applied to ALL chronic diseases.
4. Intravenous vitamin C is a highly effective and wide-ranging treatment that remains little appreciated in spite of low cost and no documented toxicity.