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The Cause of All Disease: A Unified Theory Thomas E. Levy, MD, JD iAIM Conference Manila , Philippines June 16 - 17, 2017

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Page 1: The Cause of All Disease: A Unified Theory · Dental implants (improperly placed) e. Chronically infected tonsils. ... Facts and Fictions Fiction #1: ... strongly entrenched myths,

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.

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