“I wish someone had told me that before I graduated”

Recently someone asked me to write a chapter in a book for new Veterinary graduates.
I thought it might be useful for many people of different walks of life, so here are my
TIWI KWIP’s — This cone of shame is a mnemonic word that specialists and “older” vintage  practitioners use to explain “Things I Wish I Knew When I was in Practice”
 I always enjoy listening to these lecturers, as their stories given with their “retrospectroscope” are illuminating and often a relief to hear that others had gone through your situation, bringing some hilarity to our subjective failings .  For instance the Professor of anaesthesiology was lecturing to us and relayed a humorous story about an Anaesthetist climbing the long ladder to heaven after he had passed away.  There was a long chalkboard next to the ladder, and after each step you had to place a chalk mark  next to the ladder for any mistakes you made in your life or any work related mishaps.  On his way up he met a surgeon he knew coming down, and he was surprised and somewhat concerned to see that this surgeon was heading the wrong way! “Hey, are you ok? Did you get rejected at the pearly gates?” he asked. “No, I just ran out of chalk, I’m coming down to get some more!” the surgeon said.
I hope, as you travel through your working life, that you realize that all the great Veterinarians that you respect, and that have gone before you, are there because they never gave up, and that they probably made all the mistakes that you perhaps will, or are going through right now.  Your licence to “practice” means just that- you will forever be “practicing” and learning. Listen to your colleagues, listen to your clients, avoid becoming judgemental, stay humble.  You are still the top of your High School league, and necessarily in the top 1% academically, so be aware that Veterinary Medicine and Surgery is not always clear sailing, and it is not always your fault. This does not mean that you shouldn’t acknowledge anything that did not go 100% smoothly, but remind yourself, and your clients, that we are dealing with biology, not changing an old tyre, and we cannot guarantee immortality at any cost. We can only do our best, with our heartfelt desire to help. The vast majority of our work will be an improvement for their pet, and we are definitely more knowledgeable than any other non- veterinarian out there giving advice on pet care.
There will be  many moments of mild, or even severe anxiety,  and several periods of doubt, during your first few years as a Veterinary Surgeon and Physician.  You will gain experience. Keep moving and seek help if you are feeling overwhelmed- because it’s actually a normal part of the process!  Many “disasters” are actually a lesson which in the future will help you to help someone else.  Cherish those, and remind yourself how well you recovered from that situation. Save your client thank you notes, and refer to the many outstanding successes you have had if you ever find yourself feeling down about your profession.
sunrise boys

First off remember that you are NOT ALONE.  You really do have friends and family that care, just go and find them.   Get social.  Talk to PEOPLE.  Off load your grief. The rate of suicide in the veterinary profession is unacceptably high.  It has been shown that those  vets who have a more balanced life, with a social supporting structure such as church, drama clubs, book clubs, soccer, netball, football have much less stress related illness. Exercise based activities that are routinely added to your week are a survival mechanism, it might seem a chore but just DO IT!  Find your TRIBE, so you have a sense of purpose and belonging. Tribes exist online (Facebook) and in real time in your community, its the niche- doing what you like together with a small group.
1) Develop an attitude of gratitude towards your boss and nurses. Bring food to share!  When you graduate you do not know everything and the nurses and staff often know a heck of a lot more than you. Be kind to the nurses especially, some of them may not seem worth it (they get stressed by new grads) but time will pass and you will improve.
2) Expect the unexpected– re spay– plan everything well, and something will happen that you didn’t expect, but don’t feel bad about that because next time you will do that better.   Everyone drops a spay pedicle in their first year, don’t panic, extend the incision and find the kidney in that area, its right under it.   Exteriorize and have good vision of the tract.  Don’t use thin  monofilament suture around the uterine stump in fat/peri-oestrous  as when the swelling happens (as it always does post) the material will cut into the tissue and the animal can bleed out from there.
3)  There are always more options than what you have been taught at Uni, consider referring if you are stumped- no shame in that: ophthalmology, Dentistry, Dermatologist, Internist referral, also “alternative medicine” to a qualified veterinarian trained in acupuncture, Chinese herbs, western herbs, essential oils, remedial massage, chiropractic, osteopathy- refer to your colleagues it will make you look AWESOME. (not dumb) if you get a patient that you cannot think of a way forward.  Visit your colleagues and watch them practice, see if you can be a trainee under their mentorship. Join the local journal club.
4) FAMILY first!  Make time for dating and looking after your partner and plan family fun times- your family is more important than work. However if they are very “needy” you might have to put in place some outside help, eg. if you are caring for elderly parents, an autistic child, or disabled partner, you need back up plans for when you are scheduled to work.  I have been both employer and employee, and understand both sides, however if an employer is looking after an family crisis member and their casual staff calls in at the last minute repeatedly to say they cannot work because their child has a head cold and cannot go to school – you can understand that this is really not the employer’s problem, even if government regulations in the workplace industry might allow some time off for parental leave. It’s important to be thoughtful of your colleague’s time.  Be kind to your workplace and have babysitters lined up to cover these incidences. There are paid agencies such as “Dial an Angel” and lovely grandmothers nearby, figure it out in advance, prior to your need!
Remember the saying “if you fail to plan, you are planninbaristag to fail”. Plan to make time for your family and help the practice plan to give you time off.
5) Nutrition! Don’t skip breakfast! Have 1gm of protein/kg of your body weight every day. If you  need to have a smoothie on the run, then do that. Plan nutritious stews for evening meals, a slow cooker and a rice cooker with steaming basket on top are essential to your growing family. Throw everything in the crockpot before you go to bed, and its done for the day!
6) Do 7 minutes of exercise everyday- this could be 1 minute of push ups, 1 minute of star jumps, 1 minute of planking, 1 minute of running on the spot, 1 minute of stair climbs and 1 minute each of side planking
fatcatI’m in shape! (Round is a shape, right?)You can watch the morning news while doing this.

7) Find a hobby- art, painting, pottery, snorkeling etc- you need to put GOOD pictures into your brain daily, to wipe out or replace the BAD pictures that will come in- the Hit by cars, the emotional client that blames you (incorrectly usually!) for not picking up their pets disease, the euthenasia where everyone cries etc- these all affect your adrenals and will give you a type of Post Traumatic Stress Disorder or PTSD.  You need to file these away and calm your hormones. Reset your Parasympathetic gut healing and remove the cortisol/adrenal rush.
8) See a Qualified Naturopath and an Integrative GP doctor–and ask for a referral to a specialist if necessary,  to help you cope and find strategies, supplements, and diet advice to get you back on track if you are feeling not quite 100%
9)  SMILE! It’s contagious–Do IT- even if you don’t feel like it. Be happy.  It is a choice.  Learn to meditate on that.
smile pup
Good luck and be well, go for the long haul– life journey!
Feel free to pop over to my wellness sites for more advice. https://www.facebook.com/Naturopathvet?fref=ts
Naturopathvet.com
Dr Elaine Cebuliak
Get your antioxidants in early in the day, and take large quantities!

Get your antioxidants in early in the day, and take large quantities!

ANIMAL WELLNESS ph 61 7 31221997
Veterinary Integrative Care Clinic AND Advanced Veterinary Dentistry
Greenslopes Shopping Mall
Shop 6B/700 Logan Road,
Greenslopes Qld 4120
www.animalwellness.com.au
http://www.facebook.com/?ref=home#!/animalwellness

http://naturopathvet.com/

Dr Elaine Cebuliak BVSc MACVSc dentistry, Dip Ed, Dip Rem Massage, Cert Chinese Herbs, Cert IVAS Qual Acupuncture, CMAVA, Adv Dip Naturopathy, Adv Dip Herbal Med, Adv Dip Nutrition       ph 61-422413404
http://www.pethealth.com.au/Page/animal-massage-brisbane

The Angelina Jolie factor & Ovarian Cancer: Risks, Genetics, epigenetics and nutrigenomics

We have all heard about the famous and beautiful actress Angelina Jolietmb_173x173_angelina-jolie-parenting-21may14-01 having taken the preventative steps of having her breasts, and now her ovaries surgically removed due to the presence of her cancer causing genetic roulette make up. She made this decision after careful consultation with her medical advisors, and after watching her mother die of the same genetic cancer.  She is such an admirable and gifted human being with otherwise an amazing genetic makeup.  It takes us aback with this news to appreciate that she really is, indeed, human.
Many of you readers may have formed an opinion about this. Some have voiced disappointment in the media hype with their pontificating on conspiracy theories. That is “she was manipulated by big pharma” or having surgery to improve the coffers of the Medical establishment etc. this quite frankly does not make sense. There is very little pharmacy associated with surgical healing compared to cancer chemotherapy. It’s actually a much more straightforward procedure. Even a complete ovariohysterectomy is only a few days in hospital.  I am sure that a woman of such high regarded stature would have had excellent medical advice and care. It is very likely that she will also partake of nutritional medicine, including herbs and  antioxidant therapies replete in omega 3 rich meals.  Integrative medical care in the United States is much more advanced than here in Australia, although we do have the Olivia Newton John Hospital opening in Victoria.  http://www.austin.org.au/cancer/
Others are saying that she was not given adequate informed holistic advice, otherwise why would she have surgery, especially if her organs were not shown to be cancerous. I think this too is unlikely.  Angelina and her family are well connected and intelligent people.
It’s more likely that the general public is less informed.
Having just returned from a visit with the senior professor in oncological gynecology, Professor Obermair http://www.obermair.info/inform…/gynaecological-cancer/… I think I can speak from the medically established  point of view given the latest research which puts some women (with the bad BRAC1&2)  somewhere between 30-80% certain to have ovarian cancer at some stage in their future if they carry a percentage, in total summation of genetic markers called SNP’s, that  produce the overall risk factor.
Ovarian cancer is insidious, and by the time it is diagnosed it is usually too late to save those precious mothers, wives and daughters. . It’s a difficult diagnosis to make, the signs and symptoms are not specific-and the cancer markers CA125 and HE4 are not 100% sensitive or specific. Therefore– speaking from the specialists:  it is simply an unacceptable risk if you have the strong SNP BRAC 1 and BRAC 2. End of discussion. Take it out, end of future risk.

As a veterinary surgeon who has performed thousands of ovariohysterectomies  and indeed some lifesaving surgeries, (pyometron, leiomyoma, adenocarcinoma) I can see their point.

I think it is most likely that Angelina had the best advice – she seems level headed and a smart cookie- and am confident it wasn’t about cosmetics. The public are probably not generally knowledgeable about the serum markers and DNA tests, as this is relatively new technology.  Given that her mother died a horrible death from this and that we are not privy to her exact BRCA figures, we are the uninformed. 

Because she is a public figure we can question her choice, but its likely that she did not have much choice from a statistic and genetic understanding. No doubt she will continue on with herbal, and nutritional supplementation, as did Olivia Newton John and all others. If Angelina had even a small cystic change on her ovaries, she would have been advised that there is no way to tell if this benign change could not become cancerous, and by the time it is “watched for change” it is often too late and peritoneal metastatases have spread. That is the dilemma in this diagnostic plan. You can read some more about it here:http://www.obermair.info/…/gynaecolo…/ovarian-cancer/…

Gynaecological Cancer Uterine Cancer In Australia, uterine cancer is the most common gynaecological cancer with more than 2000 women newly diagnosed every year. Typically it is a disease of postmenopausal women. Fibroids can become cancerous.  Ovarian cysts can become cancerous.

 I think the real point is that there is a lot more to understand about the intricacies now known regarding BRCA genes.

The SNP pedia explains the genetics in some detail, and it turns out that “23 and me ” saliva test is actually not as accurate as one would hope. There are over 2 thousand genetic markers when considering the 2 BRCA types. For the cancer markers 1+2 SNPedia currently contains 1456 BRCA1 SNPs and 1497 BRCA2 SNPs. Some of the variations in these genes are linked to Breast cancer and ovarian cancer, and other variations are benign. (See also BRCA1 and BRCA2 for individual gene discussions and links).
Microarray platforms used by DTC genomics testing companies such as FamilyTree DNA and 23andMe usually test a subset of substantially less than 100 BRCA1 or BRCA2 SNPs, typically, the most common ones. This results in both false positives (which includes being found positive for a variation that’s benign) as well as false negatives (the person tested carries a bad mutation, but it won’t be found since it’s one of the many SNPs that aren’t actually tested.
Having just researched and gone over the “23 and me” genomics (you can read about testing yourself here: https://www.23andme.com/)   I think it is not as simple as black and white, “it is what it is” does not explain the complex interaction of multiple genes…that is people on the outside (not being privy to geneticists, medical teams and the individuals circumstances) and without that genetic map knowledge might lump everyone into yay or nay piles. Diet and preventative measures are helpful FOR SOME, but they have a poorer probability of cancer reversal for others. Its not as simple as “you have BRAC1 gene so you must chop off your breasts”. There are thousands of genes with several of them interacting to set off or disallow the telomerase/cancer restriction to occur. Its actually more like a calculus problem, with many arithmetic variations and its very complex. One can have a multiplying variation of cancer causing genes which factor into the equation. As we age and our telomeres contract (its inevitable really, none of us get out of this life alive in the end!) our natural killer cells and immune system struggles. If you have a few SNPs that code for cancer they may increase your risk with age to an unacceptable level.( http://www.snpedia.com/index.php/Rs1042838)  This predisposition may rear its ugly head at any time- its like a time bomb.. Surgical removal of the offending, out of control tissue is a realistic option and is likely life saving for some. Not everyone will need to do this procedure, but for those with the 80% risk factors its definitely something to consider. If the multiplying factors weigh in at say 10% the option is less straightforward and perhaps not something someone would want to do, as the surgeries are not without trauma and side effects. Its great to be optimistic and open minded, but not so open that your brains fall out. Nutritional  medicine and herbs have a place and Gerson diets, Budwig principle, http://www.budwigcenter.com/the-budwig-diet/#.VRT1nmeJhdg,  and essential oils can help and I encourage you all to review https://www.youtube.com/watch?v=LHKaVd_twIE
apple 415
The risk factors based on genetic testing may also be misleading.http://www.survive-and-thrive-cancer.com/angelinajoliemastectomy.aspx#.VTcdF5WlBFR It may well be that the risk of breast cancer being passed down through the generations is seldom due to true genetic inheritance but rather due to an ‘inheritance’ of similar non-constructive dietary habits, lifestyle ways and emotional patterns.
I advocate careful choices–>health, nutrigenomics, herbal medicine and Surgery if it is indicated. It does very little to support the patient to say that “they must have eaten too many toxins or didn’t take enough tumeric, or didn’t pray enough or eat enough salad” if they, in fact drew the short straw in the gene pool. As more of us become thoroughly educated about the genetic risk factors, we may be seeing a whole new method of cancer treatment- genetic manipulation and deletion of some of our nasty genes. There is already the possibility of adding the mitochondria from a third person into an embryo making a “three person zygote”. Hmmm, now that is an interesting concept. We likely will not achieve immortality, nor would we want that- where will everyone fit on the planet? 😉

So the point is the oncological checks for ovarian cancer are so far poor diagnostic and prognostic indicators , ultrasound does not diagnose (It can’t differentiate a benign cyst from malignancy) , the cancer markers are somewhat inaccurate (benign uterine fibroids also elevate CA125), and the genetic potential is the only marker that is relatively accurate in identifying risks. The diagnosis of ovarian cancer is best made by excising the suspect ovary- the complete ovary within a bag carefully, with no Fine Needle aspirate- it seeds the cells into the peritoneum. The surgery is tricky, but curative.   If you have been given a big bundle of bad genes its probably better out than in, but if you have only a minor “bad hand” you might want to think about it – rest and digest, but pay closer attention to monitoring. (Ultrasound and serum testing CA125 and HE4). Eat healthy take in daily antioxidants and antitumour diets.  Avoid processed meat (ham, salami) and eat a largely plant based, preferably organic diet.  Avoid simple sugars. Joanna Budwig diet of flax seed oil and cottage or quark cheese with your salads is likely beneficial.  See our facebook site for more!    https://www.facebook.com/Naturopathvet?fref=nf

Get your antioxidants in early in the day, and take large quantities!

Get your antioxidants early in the day, and take large quantities! Juice it up, but avoid simple sugars and choose green vegetables with each meal.  Ripe fruit provides enzymes for your body to digest. Have 1gm/kg body weight protein.

 

Vaccinations: To Prick or not to prick?

Just had a discussion about vaccinations: There is a lot of information out there about pros and cons of vaccines. Unfortunately much of the information is biased one way or the other. Here are some comments worth considering.  This is an article about puppies and dogs mostly, but some reference to 2 legged individuals is mentioned.

The timing: of the vaccinations are important.  To be protective the puppy/baby/kitten needs to have a vaccine given AFTER the maternal antibody levels have waned, otherwise mum’s antibodies nullify the antigen injection.  “Annual boosters” are NOT necessary and contribute to dis-ease. The dog’s immunity post vaccination lasts for many years, if not life- which is similar to MMR- you only really need one vaccine for life. The Mother’s antibodies (in the bitch and in humans!) come through the colostrum milk and provide immunity to the baby/puppy as long as there is breast feeding continuing, and while the babie’s gut is immature. The gut seals itself and the mother’s antibodies reduce by the 16th week of age. Vaccines are necessary then to give the bub its own immune push, and we recommend ONLY the NECESSARY core vaccines- DH&P (this is dogs! not humans- stick with me…I am a Naturopath and a Vet!).

REACTIONS: We do see vaccination reactions in puppies as well, unfortunately.  Holistic vets have recognised this for over 30 years, and have been integral in pushing the Veterinary group to recognise this!

 The type of vaccinations are also important considerations, (oral, intranasal, injection etc)the injectable bordatella causes major BAD reactions- anaphylaxis and death. Don’t do that one! the intranasal vaccine works and does not have the same negative reactions. DH&P reactions occur, usually after the second or 12-14 week shot. Its not common, but it is commonly missed! The reactions include GME (Ganulomatous Meningo Encephalitides), arthritides, skin reactions, autoimmune diseases- such as hypothyroidism, and possibly “Autism” or “hasn’t been right since” The problem arises more commonly in the very small white fluffy breeds. It’s likely a dose dependent problem and maybe related to the open blood brain barrier when the animal is teething. Vaccines should NOT be given to sick or ill animals.  Here is an article about vaccination reactions in dogs:

 What this means for humans is open to conjecture, but certainly one should vaccinate for ONLY the diseases present and with “good” vaccines which are modified live, that do not have mercury, formalin, artificial dyes (sets up food and insect allergy) and should NOT be given to sick or ill children- if you have Pyroluria or MTHFR genetics you should take supplements/give them to the kid prior. Thuja homeopathic may be useful, and giving 1/2 doses to small breeds and supplementing with vitamin E, vitamin B and spirulina provides methylation detox help. The accumulated evidence indicates that vaccination protocols should no longer be considered as a “one size fits all” program. Giving too much vaccinal antigen to a small breed puppy also can increase the risk of adverse reactions.http://drjeandoddspethealthresource.tumblr.com/…/dodds

What are vaccines and what are their purpose?
Vaccines are biological preparations used to stimulate immunity to a disease. They commonly contain a piece of infectious agent (bacteria or virus) that has been changed to make them less dangerous but more stimulating to the immune system. They do this usually by being killed or “live attenuated”. Most these days are live attenuated or modified live. The vaccine also contains “adjuvants”: additives that boost the immune response. These adjuvants are things like aluminium. They also contain preservatives to stop them becoming contaminated.  The commonly used vaccines in dogs contain several organisms together: eg the C3 vaccine contains three viruses; the C5 contains 5 infectious agents (the core 3 viruses and 2 agents of kennel cough).  Vaccines are delivered into the body in different ways. Most commonly they are injected under the skin. In the case of kennel cough vaccines, they can be delivered “locally” into the nose.

Why are vaccinations important?
Vaccinations are important to protect against infectious disease, especially those that can kill. In dogs these are the core vaccines, against distemper, infectious hepatitis and parvo virus. Vaccination programs have successfully reduced the number cases of deadly, infectious viruses and in so doing have made dogs healthier. Distemper, which was common when I was a child, is now almost non-existent. Likewise parvo virus, which swept the world in an epidemic in the 70’s and was rampant in the 80’s, is much less commonly seen. This is largely due to vaccination.

Vaccines also protect against common, but not fatal illnesses like kennel cough. Like a flu vaccine, it is possible to catch the illness, but symptoms are usually less severe. These are called “non-core vaccines”.

How effective are vaccines?

 Vaccines are general speaking very effective at producing immunity if used appropriately. They do however vary in their effectiveness to produce immunity in an individual animal. The effectiveness depends on several factors, including:

1.       The strain of the infectious agent used in the vaccine (some strains produce a strong immune response, such as the newer parvo vaccines).
2.       Completing a proper vaccination schedule (multiple doses are typically needed, at correctly spaced intervals)
3.       The individual genetic predisposition of each dog (some may be overly sensitive to the vaccines and more prone to side effects, whilst other individuals do not develop sufficient immunity despite being properly vaccinated).

Are there any problems or side effects with vaccines?

YES!! It is important that you know this. Vaccines are not benign, harmless substances. They work by affecting the immune system and can have long term, far reaching effects on it. There are three main categories of side effects or problems.  There is much more information here: u. There is much more on Dr Jean Dodds sites. http://www.britfeld.com/vaccination-adverse.htm

The first one is the least dramatic and most common: local pain or swelling at the injection site. This usually passes within a day or two. Just be careful handling your dog or puppy in that area.

The second one is quite uncommon and is an acute, sudden anaphylactic (allergic) reaction to the vaccine. The dog may become ill in the hours following vaccination: common signs are aches and pains, fevers and chills, reluctance to move. Rarely your dog or puppy may show other signs of neurological, gastro-intestinal, or respiratory disturbance. Mostly these are mild but occasionally strong and severe reactions are recorded. Veterinary assistance should be sought. DO NOT VACCINATE your dog again if your pet has ever experienced a vaccination reaction, as it is likely to be worse next time.

The third category is a delayed immunological response, up to 45 days afterwards. The signs commonly include milder symptoms like fever, stiffness, sore tummy, sore joints, increased susceptibility to infections, itchy skin and ears. Rarely, stronger signs are seen, including neurological and brain disorders, blood and bleeding disorders, liver and kidney failure and bone marrow suppression. We highly recommend titre testing in lieu of revaccinating atopic or itchy dogs, as we have seen them become increasingly pruritic each year following vaccination. After all, vaccinations are there to prime the immune system and make them more hyperactive.

Why are there such side effects from vaccines?

 We are still trying to understand all that goes on when we vaccinate, and afterwards. It is thought that a number of factors are involved including

1.       Using more effective (stronger) modified live (attenuated) vaccines.
2.       Possible preservatives, adjuvants and contaminants.
3.       “over-vaccinating”: giving a booster every year. Latest research shows that most dogs only need a booster as an adult every 3-5 years minimum.
4.       Mixing too many agents together in one vaccine: this provides too great a challenge at once.
5.       Vaccinating animals when they are stressed or unwell.
6.       Giving the agents by injection, rather than locally into the area affected.

What can we do then to maximize the benefits of vaccinations and reduce the harm and side effects?

1.       Only vaccinate your dog or puppy when they are healthy and not stressed.
2.       Do not give heartworm injections or other treatments at the same time. Wait two weeks at least.
3.       Have your dog receive the minimum number of puppy vaccines and adult boosters.
4.       Replace the annual booster vaccination visit with a full wellness exam, including blood tests.
5.       Ask your vet to use only “core vaccines” by injection : distemper, hepatitis and parvo virus (C3)
6.       Kennel cough vaccine, if needed, is best administered in the nose.
7.       If multiple injections are needed (eg to cover for leptospirosis as well) then wait at least two weeks between them. Use the minimum number of  agents at any one time.
8.       Do not vaccinate your dog against giardia or corona virus. These diseases are rare and the vaccines provide questionable immunity.
9.       Do not vaccinate puppies younger than 8 weeks.
10.    Seek veterinary advice regarding vaccination for geriatric animals and those with chronic health issues.

What vaccination protocol is recommended then?

 Puppies: I recommend two vaccines only, and do not give any before 8 weeks of age. Final vaccines can be given at 11 or 12 weeks, if your vet is using one of the newer products, such as nobivac. This means your puppy can be fully protected and out and about with all important socializing from 13 weeks.

Teenagers: Give a first booster 12 months after the final puppy vaccination. It is not necessary to vaccinate again sooner than this.

Adults: Do a blood test every year (titre test) to check if immunity is low and if a booster vaccination is required. Titre tests are available for the core vaccines but not for kennel cough. If boosters are needed for kennel cough for boarding, agility, showing etc, then the intranasal vaccine is recommended.

If your dog does not need a kennel cough booster for one of these reasons, then I suggest you pass on this and keep to a healthy diet and lifestyle and immune boosting supplements instead.

Train yourself to go to see your vet for an annual wellness exam for your dog: NOT a booster vaccination. The wellness exam should include blood work for titre test, and any other tests you and your vet deem necessary or important.

In Conclusion:
Vaccines are important tools in keeping your dog healthy. However, they need to used carefully to cause no harm. Please discuss vaccination for your pet with your vet. If in doubt, a second opinion never hurts. There is also lots of information available regarding vaccines and vaccination protocols. W Jean Dodds of California, USA is a world authority and research leader in this field. I highly recommend her work to you.

Detox your Pet!

Detox your pet!
We all want our health span to equal our life span, and we certainly want our pets  to live a happy, healthy and long life. Unfortunately we cannot make this an “eternal” or forever life – but we can try to help them bypass the poor quality events–arthritis, dermatoses, otitis externae (ear infections) and cancer caused by poor diets,  and toxins.
We know that readers of this magazine already know that the world is full of pollutants! Poisonous chemicals cumulate over time in our pet’s, and our own bodies usually stored in fat tissue which might become a nidus for tumour growth. Taking the “Rubbish out” is a life long/daily/weekly event – leading to a longer life (ask my husband!)
Harmful waste products are either flushed out –down the urine pathway filtered out  via our kidneys, or through our entero-hepatic cycle and out the other “hole”.  Some are sweated out via skin/ears which may be  represented as dermatitis and otitis
The simple answer to detox is to feed fresh, organic balanced foods that are species appropriate, and to provide ample sources of pure clean water. www.catinfo.org gives great information about feeding cats, and our clinic www.animalwellness.com.au can help with soecific diets.  Adding a good quality Spirulina or chlorella and Zeolite can help to bind out toxins that have accumulated in one’s body. If there is heavy metals- such as Lead -eg. in Mt Isa or Broken HIll mining towns, Zeolite given as small amounts weekly can help remove some of the toxicity. Each patient is an individual,  and the amount and type of detox will vary accordingly. Some animals- such as man, primates and guinea pigs require exceptional levels of vitamin C to prevent scurvy during the clearing process, and small amounts of vitamin B and Selenium are also necessary. A complete blood count and serum analysis prior to embarking on a diet change or “detox”  helpful to customize a particular organ system recovery.  For example, renal problems are helped to detoxify with the herb Rehmannia, and liver toxins are cleared with s-AME, milk thistle, dandelion root and vitamin B’s. All require thorough rehydration therapy.
  Where are these pollutants? Our pets, and us, drink them  in our water (fluoride, oestrogens “the birth control pills”, agricultural chemicals), and eat them in our food- insecticides, herbicides (GMO produce are glyphosate friendly-meaning you will get a big dose of BT toxins and Round up ready gut problems if you ingest corn, maize, wheat!  We also absorb them from our skin- which is a carrier NOT a barrier.  Avoid putting unnecessary toxins onto your, or your pet’s skin: Did you know that your skin is a carrier, NOT a barrier- as was previously thought. That means whatever you put On your skin is carried INTO your body and absorbed until it is eliminated. This has implications for nanoparticles in sunscreen (linked to cancer)  and phthalates and parabens in soaps, shampoos and cosmetics.
Bodies also produce endogenous toxins- that is stress and its dependent hormones- adrenaline, cortisol etc cause some wear and tear on internal tissues and produce some waste that also needs to be cleared out. Think your dog is chilled out and not stressed? Think again. Most little white fluffies (maltese, poodles, shitzu) just love and miss their owners so much that they can burn out their adrenals the same as their humans. Talk to an animal behaviourist to improve their attitude, and work on “Calm and mindful” pet therapy.

Check your food labels: Natural does not necessarily mean “Natural” as in “gift from Nature”.

It is commonly a marketing tool- it  means “can taste like a natural food” or smells like a “Nature derived smell” when in fact it can be entirely synthetic and made from plastics and coal tar- a by product of the petrochemical industry. Its a lot cheaper and therefore more profitable for the company  to , and make Liver, or chicken flavor and Red erythrosine dyes onto plastic “food” chews that so many dogs go Whacko from. (you know the TV commercial!)

Its the same for us- Vanilla, an orchid seed pod is very expensive to grow and then bottle.  That’s why most of your chocolate  (which of course you do NOT feed to your pets) and cookies use ethyl vanillin- its cheap, but WHAT is THAT doing to your body and organ systems- especially if your body has no way of breaking it down? Where is it stored (think fat, liver etc! ) and how is it removed from your body? Much of  it must pass through into urine and  faeces- because it is found in our seawater, which means both the liver and the kidneys had a “go” at filtering it.  What does it do the the environmental food chain then?

Some contaminants in our food chain bioaccumulate. This means that if it is in the soil or seawater (via sewerage)  the smaller organisms eat it, incorporate this into their bodies, and as the larger organisms consume them in turn, there is a greater toxic dose per gram ingested. As Man and his pet charges are  “Apex” predators we all end up with the stuff back in our bodies at a higher dose.  This is true for everything that is NOT food that is ingested and cannot get removed with the waste.  Food gets broken down by your digestive system or by your liver to its primary components: Carbon, Hydrogen, Oxygen, and Nitrogen plus some sulphur micro and macro minerals calcium, magnesium etc. Every cell gets washed in the serum that carries these molecules and each cell tries to figure out if it is food or foul—If you can’t  build cells or run enzymes with the molecules there, then the chemicals are either stored  in fat or liver–or put away in between muscle layers if it cannot be flushed out.  Its vitally important that you feed your  pet’s and your body daily with the building  blocks for your cells to regenerate and that you avoid putting bad stuff into the system.

Don’t be fooled! If a substance has “not yet been found” to cause cancer it might just mean that the correlation has not been documented in enough places- and that possibly too many doctors /research scientists are on the receiving end of a pay back! (Conspiracy theorist?  nah, its just business as usual! If  your research funding pays your mortgage who/what ya gunna call??) . You can  check pubmed entrez – the scientific research  site– for information about the anthropogenic (ie synthetic man made substances) found in the atmosphere that DO NOT BREAK DOWN in the ocean’s waters.  Type in any number of “food” preservatives and see what comes up.

As a rule of thumb: think

1) fluid therapy ensure food is hydrating (this *not * dry food)

2) avoid all “food” colourings (that are NOT food)  and most preservatives (vitamin E, C are ok)

3) Fresh is best.  The organic produce and pulp from your juicer is an awesome addition

4) add some green chlorophyll (spirulina, chlorella, kelp powder) – small amount for cat, larger for dogs.

5) seek help from an Integrative, Holistic Veterinarian.

ANIMAL WELLNESS ph 61 7 31221997
Veterinary Integrative Care Clinic AND Advanced Veterinary Dentistry
Greenslopes Shopping Mall
Shop 6B/700 Logan Road,
Greenslopes Qld 4120
www.animalwellness.com.au
http://www.facebook.com/?ref=home#!/animalwellness

http://naturopathvet.com/

Dr Elaine Cebuliak BVSc MACVSc dentistry, Dip Ed, Dip Rem Massage, Cert Chinese Herbs, Cert IVAS Qual Acupuncture, CMAVA, Adv Dip Naturopathy, Adv Dip Herbal Med, Adv Dip Nutrition       ph 61-422413404
http://www.pethealth.com.au/Page/animal-massage-brisbane

“Natural” is a marketing Tool: Beware of Synthetic Cosmetics and fake- Frankenfoods!

BANG ON 2015!

Congratulations everyone! By reading this, and being *here* – this means you have made it to 2015!

Not a small feat in today’s world of cancer, sickness and ill health. I personally have lost a few loved ones last year, as have many of my friends.  I commiserate with the mind numbing grief that you might experience.   January is a time of introspection, a kindness to ourselves to start over again, to move forward. 

Let’s try to turn this year into one of ACTION instead of Re-action. Being Wellness is about being proactive. Find the weak spots and Tweak ’em. For more hints and tips hop over to our dual facebook sites- the human side of Being Wellness is https://www.facebook.com/pages/Beingwellness/1508587542703500

and the Veterinary Pet site is here: https://www.facebook.com/animalwellness

As a Naturopath and Veterinary Surgeon and Physician I am known for my enquiring mind- WHY? is a common question to come from me.  The next question to follow is “What can we do to fix it?” followed by “How can we prevent this from happening?”  I am sure it drives my staff and family nuts sometimes- and certainly it may not be good for my adrenals, however THAT is the stuff I am made of, and I guess I must be OK with that because it somehow seems to work for me most of the time. You have to ask what the pay off is for me personally, and for others that are somehow “driven” to fight the good fight and to see what we can achieve. Guess I was just born that way.

Today I want to talk to you about MINDFULNESS ingestion: what you eat and what you put on your  body. Did you know that your skin is a carrier, NOT a barrier- as was previously thought. That means whatever you put On your skin is carried INTO your body and absorbed until it is eliminated. This has implications for nanoparticles in sunscreen (linked to cancer)  and phthalates and parabens in soaps, shampoos and cosmetics.

Natural does not necessarily mean “Natural” as in “gift from Nature”. It may NOT be a carbon life form derived product. It may, in fact be chemical mimicry that could be dangerous to your bodies’ chemistry.

 It is most likely a marketing tool- it really means “can taste like a natural food” or smells like a “Nature derived smell” when in fact it can be entirely synthetic and made from plastics and coal tar- a by product of the petrochemical industry. Its a lot cheaper and therefore more profitable for the company  to make a Rose scent in a test tube than to grow the roses, transport them to a distillery, and make a pomade, bottle it etc. Its the same for Vanilla, an orchid seed pod- very expensive to grow and then bottle.  That’s why most of your chocolate and cookies use ethyl vanillin- its cheap, but WHAT is THAT doing to your body and organ systems- especially if your body has no way of breaking it down? Where is it stored (think fat, liver etc! ) and how is it removed from your body? Much of  it must pass through into urine and  faeces- because it is found in our seawater, which means both the liver and the kidneys had a “go” at filtering it.  What does it do the the environmental food chain then?

Some contaminants in our food chain bioaccumulate. This means that if it is in the soil or seawater (via sewerage)  the smaller organisms eat it, incorporate this into their bodies, and as the larger organisms consume them in turn, there is a greater toxic dose per gram ingested. As Man is an “Apex” predator we end up with the stuff back in our bodies at a higher dose than the little guys.  This is true for everything that is NOT food.  Food gets broken down by your digestive system or by your liver to its primary components: Carbon, Hydrogen, Oxygen, and Nitrogen plus some sulphur micro and macro minerals calcium, magnesium etc. Every cell gets washed in the serum that carries these molecules and each cell tries to figure out if it is food or foul—If you can’t  build cells or run enzymes with the molecules there, then the chemicals are either stored or put away or flushed out.  Its vitally important that you feed your body daily with the building  blocks for your cells to regenerate and that you avoid putting bad stuff into the system.

Don’t be fooled! If a substance has “not yet been found” to cause cancer it might just mean that the correlation has not been documented in enough places- and that possibly too many doctors /research scientists are on the receiving end of a pay back! (Conspiracy theorist?  nah, its just business as usual! If  your research funding pays your mortgage who/what ya gunna call??) . You can  check pubmed entrez – the scientific research  site– for information about the anthropogenic (ie synthetic man made substances) found in the atmosphere that DO NOT BREAK DOWN in the ocean’s waters. 

  However pubmed is not a complete site as articles written in Chinese or non recognised journals are not listed. 

For example  heavy metals and organochlorines were found in wild caught fish in New Zealand.  (e.g., organochlorine pesticides (OCPs), PCBs and selected heavy metals) were analysed in  http://www.ncbi.nlm.nih.gov/pubmed/21402398 A cumulative lifetime cancer risk assessment showed potential health risk for consumption of some species, even at low consumption rates and provided the basis for establishing recommended dietary consumption limits for harvest sites within the study region.

 If they do not break down in the salt water, which is similar to the human body – what are we doing in our own bodies with this substance? the branding of “Natural” is a lie, synthetic GRAS (generally recognised as safe) does not necessarily= safe. Think DDT and various Monsanto poisons- glyphosate advertising (weedicide) was that it is so safe you can drink it. We have a rate of cancer that is approaching 100%, as in” everyone will have some form of cancer in their lifetime”. We should not be ingesting or putting on our skin non food. Synthetic stuff is NON FOOD. simple.

Doterra: Gift of the Earth or of the Laboratory? Certified Synthetic The Birch Report Overview: Doterra’s Birch Oil has been scientifically analyzed by a world leader of environmental laboratory services. It was discovered in this analysis that the Methysalicylate was an artificial additive.
instituteoflightandsound
 I went to a talk on chemical additives last year – it was a good night overall with some great discussion and wonderful food by a Brisbane group Lost Boys. The topic raised the issue of FRAGRANCES and what “certified organic” means. Miranda Kerr’s mum presented ,and is staunchly on the side of positive choices for confirmed certified organic produce and beauty and fragrance care. She is positive that the Pthalates had caused her to have splenic tumours and to be unwell. I asked the question about ethyl vanillin as I am aware that this is in many chocolates (eg. on the packet of biscuits in Ikea) and in doTERRA essential oils. I have studied aromatherapy, use many brands of essential oils, and have been concerned over misrepresentation of the word “Natural” flavouring- which ethyl vanillin is labeled as. It is NOT Natural in that it is a synthetic petrochemically derived substance, and therefore it is misleading to have this in our food or in topical essential oils especially when most people will read the word “Natural” and assume it is from nature (which I guess petrochemicals are…but that is beside the point!) I want to eat organic plants and food, not artificial dyes or possible poisons. I’m not even sure that it breaks down in our bodies, as it certainly hangs around in the environment a long time- often a sign of ongoing toxicity. ***** see below–vanillin= ethylvanillin–is found as a marine water pollutant. (hence it stays in the environment a long time) see the reference below. Unfortunately this ingredient is in every confectionary, cookie, cake etc but we shouldn’t be eating it most likely! Lindt has bourbon vanilla beans!! yay. win.

Anyway I thought it was essential that people understood the difference in the wording so that when they read a packet of food -or essential oil, and see the word “Natural” they will now know that it is NOT necessarily natural at all. Vanillin is not natural. Its synthetic.
Apparently someone in the audience took offence at this as I mentioned both Ikea cookies and DoTerra have ethyl vanillin in them, and she pretty much threatened me with libel after the talk– and wanted to argue with me about this, saying that there was no evidence that doTerra had ethyl vanillin in their oils and she was of the opinion that I was a Young living spy (inferring that I was making this up). Of course this has nothing to do with any affiliation- I would use doTerra if they didn’t do the adulteration with synthetics, but I told her I am 100% correct and have done my research. Synthetic incipients smell good but have no place on my body or in others trying to detox.  I’ve actually gotten pretty good at sussing out synthetic essential oil smells, AND they give me a headache!  I have some inherited mitochondrial defects, so I suppose I am a canary in the mineshaft of fragrances.
Well I am sorry that she was offended, but I have researched this quite thoroughly and I am referring to independent labs that verify this. She asked me to show her the data- so here is some data- I asked her to prove me wrong- and to take this up with her doTerra manufacturers, not merely her “upline” who have a vested interest in cover up.

Here is the impartial external lab testing on seve
http://www.learningabouteos.com/…/3rd-party-test-results-f…/

Comments and conclusions from our Chemist, as cut and pasted right from the report:

% of trans-Thuyanol and Neomenthol too low,
% of Limonene and 1,8-cineole too high :
BATCH NOT IN COMPLIANCE WITH THE NORM OF MENTHA PIPERATA US ESSENTIAL OIL: NF T 75-210 : 2008

You can view the report for yourself by clicking here: doTERRA Peppermint Analysis.

Although our Chemist only commented on the constituents that were out of range, you can see from the report that “ethyl vanillin” is listed as the last constituent in the analysis. When I asked Mr. Dantin about the constituent, he told me ethyl vanillin is a “synthetic compound.” The sample only contains 0.07% ethyl vanillin, which is technically a trace amount. However, according to Mr. Dantin, “ethyl vanillin is a huge odor, more than vanillin!”

To confirm our Chemist’s comment that ethyl vanillin is a “huge odor,” I overnighted doTERRA’s Peppermint to our Essential Oil Expert and asked his advice.

Our Essential Oil Expert comment after an organoleptic assessment (sniff test!): This essential oil smells very pleasant, but it lacks the “clean” odor of a quality peppermint oil. It is over-sweet and reminiscent of a peppermint and dark chocolate candy. This would be consistent with a low concentration of added ethyl vanillin, a powerful odorant that smells of vanilla/chocolate.

Essential Oil Expert comments: Two samples (DoTerra and Heritage) were clearly from the same source. Both samples also contained 0.07% ethyl vanillin, which is a synthetic compound. The fact that many samples were run on the same equipment, but ethyl vanillin only showed up in two oils (which were virtually identical in every other respect as well) suggests that this was not an aberration or contamination that happened during analysis. *******Mar Pollut Bull. 2011 Nov;62(11):2404-11. doi: 10.1016/j.marpolbul.2011.08.029. Epub 2011 Sep 13.
Differential presence of anthropogenic compounds dissolved in the marine waters of Puget Sound, WA and Barkley Sound, BC.
Keil R1, Salemme K, Forrest B, Neibauer J, Logsdon M.
Author information
Abstract
Organic compounds were evaluated in March 2010 at 22 stations in Barkley Sound, Vancouver Island Canada and at 66 locations in Puget Sound. Of 37 compounds, 15 were xenobiotics, 8 were determined to have an anthropogenic imprint over natural sources, and 13 were presumed to be of natural or mixed origin. The three most frequently detected compounds were salicyclic acid, vanillin and thymol. The three most abundant compounds were diethylhexyl phthalate (DEHP), ethyl vanillin and benzaldehyde (∼600 n g L(-1) on average). Concentrations of xenobiotics were 10-100 times higher in Puget Sound relative to Barkley Sound. Three compound couplets are used to illustrate the influence of human activity on marine waters; vanillin and ethyl vanillin, salicylic acid and acetylsalicylic acid,

3rd Party Test Results for Peppermint Essential Oil | Learning About EOs – Using Essential Oils…

Learning About EOs – Using Essential Oils Safely

learningabouteos.com

Learning About EOs – Using Essential Oils Safely
learningabouteos.com
Here is some further information about Vanilla oil  from Mercola.com:contains approximately 150 aromas, many of which are present in very small amounts. Vanillyl ethyl ether, acetic acid, p-hydroxybenzaldehyde, and caproic acid are among the chemicals present in it. 7

Benefits of Vanilla Oil

vanilla oil benefitsIn ancient Africa, healers used vanilla for stomach problems. The European doctors of the 16th and 17th centuries used it as an antidote for poisoning and stomach complaints, and as an aphrodisiac.

Vanilla oil has been documented to have antispasmodic, balsamic, calming, emmenagogue,8 antioxidant, antidepressant, and aphrodisiac properties,9 which enables it to assist in the following:

  • Fight some types  of cancers
  • Regulate menstruation
  • Relieve nausea
  • Ease stress, anxiety, depression, and insomnia
  • Heal wounds
  • Enhance your libido10
  • Induce sleep and encourage dreaming11

Vanilla oil can also work as a fever reducer due to its eugenol and vanillin content, the same compounds that lessen inflammation and strengthen the body’s immune system. 12

How to Make Vanilla Oil

It’s important to establish that finding 100 percent pure vanilla oil today is highly unlikely, as it is extremely expensive. Most of the cheap vanilla oils available commercially are either heavily processed or contain loads of synthetic materials, and are unfortunately passed off as the real deal by unscrupulous manufacturers. Unlike other essential oils, vanilla oil cannot be obtained through steam distillation because of its very delicatestructure.

There are 3 types of vanilla oil extracts:

  • Vanilla carbon dioxide (CO₂) – The vanilla pods are put inside a stainless steel chamber that has been injected with CO₂ gas. The air inside the chamber is then pressurized. Under these conditions, CO₂ liquefies and becomes a supercritical fluid that pulls the oil from the pods. In the end, the CO₂ turns back into gas again, leaving the vanilla essential oil.
  • Vanilla absolute – Preferred in perfumery products, absolute vanilla is obtained by selective solvent extraction, using initially non-polar solvent such as benzene, followed by a polar solvent such as ethanol. 13
  • Vanilla oleoresin – This is a semi-solid concentrate produced by solvent extraction from macerated beans. Vanilla oleoresin is actually just a commercial term, as the liquid extract is not really an oleoresin but a resinoid obtained from the vanilla pods. 14

Each type is claimed to be better and purer than the other. But remember, the more processed it is, the less pure and the lower-quality your vanilla oil will be. More often than not, the natural aroma and essence of vanilla oil is lost during these processes. To avoid the risk of being duped into purchasing chemical-laced vanilla oil, I recommend making your own vanilla tincture and infusion at home. Try using these recipes:

DIY Vanilla Tincture

Simply soak whole vanilla pods in a jar of 151-proof rum. After 2 weeks, transfer the mixture in a separate container. Sift the solid particles away using a strainer, and you’ve gota high quality vanilla tincture. .15

DIY Vanilla Oil Infusion

Here are 2 ways to do vanilla oil infusion:

  1. Mix 1 teaspoon of your homemade vanilla tincture with 8 ounces of an essential oil of your choice, or
  2. Get whole vanilla pods or beans. Chop them into pieces and remove their seeds.  Add them directly to your carrier oil. Although it’s ready to use after a week, letting it sit longer will make your vanilla oil infusion stronger and more effective. It’s okay not to filter out the vanilla pods from the oil if you want, but make sure that it’s completely immersed and it’s kept in an airtight container to prevent oxidation.

For carrier oils, I recommend jojoba, almond, and apricot essential oil, for they don’t have a strong odor that may overpower vanilla oil’s sweet-smell. 16 I also advise using only organic vanilla pods to get optimum

Holistic = Homeopathy (only)??

Greetings Sentient ones!

I had an interesting weekend attending a surgery conference. On the whole it was most enjoyable, but it did raise my awareness that there is still an ignorance about what the term holistic entails. Holistic practitioners embrace a “heal the wholeness” of the individual.

There are many therapeutic models that are employed by the Naturopath, some would say this type of para-professional medical team member uses functional pathology, analysis of physical features and dietary/lifestyle/developmental history in a thorough way.

Often I am approached by clients and requested to “get to the bottom” of why they are experiencing different signs and symptoms. This means that I require a whole history and also review of their previous test results. (There is no point in spending extra dollars retesting eg. intestinal biopsies, recent blood work etc if they have recently been done!).

What I find fascinating is that some GP doctors or even specialists completely discredit the word “Holistic” as they simply have no idea about the meaning of the word. These doctors are simply confused about the terminology.
Although I have clients that tell me incredible stories about their, or their relatives healing at the hands of a Homeopathic practitioner, (ie this is a Homeopath- using a diluted water based therapy orally) many doctors assume that the word Holistic equals Homoeopathy=water=nothing in it (equates to quackery in their mind). They then further confuse the word Holistic with Naturopath and rudely disregard an entire profession of Natural healers!

I do wonder why these otherwise intelligent people (Doctors, Specialists) have no understanding of the functional pathology and mind-body medicine that Naturopaths practice. It seems that there is a separation of body parts in the minds of the standard western medical paradigm. That is the process by which emotions, and the hormones released by certain thinking processes (anxiety, worry, anger) leading to a cortisol stress response and physical body breakdown, is simply not recognised. Naturopaths like to delve down and get to the bottom of WHY this is happening, correcting the gut biome and changing diet, attitudes, and lifestyle while doing so.

It is for this reason that multiple supplements and lifestyle/nutritional changes are recommended. This may take several visits to the Naturopath while the client undergoes paradigm changes and baby steps forward. Its not too different to “going on a diet” and “getting more exercise” which is REALLY what the medical profession should be recommending anyway- instead of drug therapies!

In my Animal work I find that many of my veterinary patients reflect lifestyle concerns of the owner- that is the stresses of the home are also impinging on the health of their pet. Diet is also implicated as a factor, or cause of some of the dis-ease.

A Holistic practitioner recognises this, and although some Naturopaths also use Homoeopathy, most of us do all the above, and include diet recommendations, some form of body work, exercise, Herbal therapies and macro and micronutrient changes.

So please, inform your doctors and let them know that Naturopaths CAN and DO work with the medical profession as allied health care professionals. We ARE covered by most health care funds.

Go and drink some water now! 😉

That Trying Testing Technical Trap for Thyroid disease!

Hello folks,

There seems to be an epidemic of Hypothyroidism caused by the autoimmune disease called Hashimoto’s thyroiditis.

This is basically where the body turns on itself and starts “eating” its own thyroid.

Very often people have not had adequate testing to diagnose this, as thyroid autoantibodies need to be identified.

Here is a list for you to print off and take to your doctor if you are having any of the following signs:

Unexplained weight gain, lethargy, itchy dry skin, tiredness, puffiness, constipation and other GI signs, cold hands and feet, sluggish in the morning, slow heart rate, faint, feeling weak.

SUGGESTED TESTINGS FROM HASHIMOTO’S AUSTRALIA

Thyroid Testing

Full Thyroid Testing of:
TSH, FT4 & FT3, TPOAb & TgAb (antibodies)**
RT3 (Reverse T3) This is NOT covered by Medicare. It will be a private cost to yourself. Costs range from $50 – $80 upwards dependant on the lab you use.

Recommended labs for RT3 testing in:
WA = Clinipath
SA=
NT=
VIC=
NSW=
QLD=
ACT= Capitol
TAS=

**Please see page 3, it has important Medicare advice for you AND your doctor to enable Medicare to cover the costs of some or all of these tests (excluding RT3)

Blood Testing

FBC (Full blood count)
U & E (Urea & Electrolytes – includes Potassium & Sodium)
Full Fasting Cholesterol
Fasting Glucose
Full Iron Panel (includes: Iron, Transferrin, Saturations & Ferritin)
Full Liver Panel
Full Kidney Panel
AM & PM Cortisol (Saliva testing is more accurate but is NOT covered by Medicare, check for costs involved))
Urinary Iodine testing (NOT covered by Medicare, around $50+, check for costs)
H. Pylori (if required)

Magnesium
Calcium
Selenium
Folate/Folic Acid
Zinc
Copper

Vitamin Testing

Vitamin D
Vitamin B1, B6 & B12
Vitamin A, C** & E (not as important but “may” be worthwhile)

**Vitamin C – check with your own state’s lab of preference. In WA through St John’s Pathology, you are required to attend their Head Lab in Subiaco due to the extra requirements of the testing procedure.

Hormonal Testing

E1, E2, E3 & Progesterone (Saliva testing is more accurate, but is NOT covered by Medicare, please check for costs involved)

Autoimmune/Inflammatory Markers Testing (if required due to family history)

ANA
ENA
ESR
CRP
Complements C3 & C4

Allergy/Coeliac Testing

IgE (Rast) – includes Animal, Food, House Dust/Mite, Grass & Mould panels (if required)
IgA & IgG Coeliac screen (Negative result “may” not mean you are not Gluten Intolerant/Sensitive)
DQ2/DQ8 Gene Test for Coeliac (if required)

A good website for a “symptom checker” of gluten intolerance can be found at
www.glutenfreesociety.org

Additional Information

If you are on any antidepressants, please check with your doctor if you should be monitored with any extra blood testings involving that. Some meds have leaflets which state requirements of monitoring via blood tests but it’s not always the case your doctor does any monitoring.

REMEMBER

ALWAYS ask for copies of all your blood tests. Ask your doctor to specifically write “copy to patient” on any and all lab requests. Your doctor’s “normal” result for yourself “may” not always the case. If you need copies of prior tests and your doctor is reluctant to provide them, please contact your lab for instructions on how to obtain your copies. It may mean signing an authority and once ID is provided you can get your copies sent to your home address.

*** Important Medicare Advice

The item number for thyroid function test, comprising of TSH, free T4 and free T3 is 66719.
The TSH test is covered by Medicare, but the free T4 and the free T3 will only be paid by
Medicare if at least one of the following conditions is satisfied (see MBS schedule below).

However if one of the following conditions is NOT satisfied, you can request for private billing.
The laboratory should test the free T4 and/or the free T3 if the tests have been requested on
the referral form by the doctor and it is clear you will be paying for the tests.

If the doctor writes down TFT then the laboratory may only test the TSH and the free T4.

If the doctor writes down TSH, free T4 and free T3 separately on the form then there will be
no confusion and the proper tests will be done.

For more information on item numbers you can check online at www.mbsonline.gov.au under
MBS.
“Thyroid function tests (comprising the service described in item 66716 and 1 or more
of the following tests – free thyroxine, free T3, for a patient, if at least 1 of the following
conditions is satisfied:
(a) The patient has an abnormal level of TSH;
(b)The tests are performed:
(i) for the purpose of monitoring thyroid disease in the patient; or
(ii) to investigate the sick euthyroid syndrome if the patients is an admitted patient; or
(iii) to investigate dementia or psychiatric illness of the patient; or
(iv) to investigate amenorrhoea or infertility of the patient;
(c) the medical practitioner who requested the tests suspects the patient has pituitary
dysfunction;
(d) the patient is on drugs that interfere with thyroid hormone metabolism or function
(item is subject to rule 9)”

This schedule from the MBS was up to date in January 2012

Medicare information provided by www.thyroidwa.com


 


 

Tinnitus: Those bells are ringing!

Tinnitus: Those bells are ringing! 

Tinnitus is a condition in which there is “ringing” in the ears. The noise can be intermittent or continuous, and can vary in loudness. Some people hear a hissing or buzzing, rather than ringing.   

Many causes – almost everything that can go wrong with our ears can produce tinnitus as a symptom! Perhaps as simple as wax against the eardrum, or as serious as a tumour on the hearing nerve. Otosclerosis (fixation of the tiny stirrup bone in the middle ear) can produce tinnitus; so can Meniere’s disease. . Noise destroys!  EXPOSURE TO EXCESSIVE NOISE, e.g. chain saws, machinery, rock concerts, IPODs/music earphones.   Damage to the middle or inner ear can create an annoying buzzing or ringing sound that can become worse with age and is related to a progressive arthritis or otosclerosis (bones of the ear)  Treatment therefore depends on limiting factors that will cause further damage and considering the sorts of treatment you might consider for generalised arthritis, plus increasing blood flow and circulation to the specific affected areas.

Hearing aids Good quality and properly fitted- can reduce and even eliminate most tinnitus associated with hearing losses. Hearing aids take away the strain of listening and distract from the tinnitus by bringing you more environmental sounds from the outside world.

Therapeutic Noise Generator– if the tinnitus or ringing is constant and annoying this device which looks like a hearing aid and recommended for people with no hearing loss. It produces a blend of external sounds which stimulate most fibres of the hearing nerve helping to deviate attention away from the tinnitus, and may help people adjust to living and studying/reading etc.

Nervous system diet:

Go High antioxidant,low carb, High fat (saturated, monounsaturated fatty acids and omega 3 fish and flax oils) protein + EFA oil, multicoloured fresh foods- as many vegetables as you can get into your system. Vitamins A,D, E are fat soluble and need a protein/fat source such as cold water fatty fish 3-5 times a week to help your gut absorb these essential nutrients. B vitamins,meat nuts and seeds.Try green smoothies for breakfast, with Spirulina, chlorella and parsley, plus add trace minerals to your smoothie, particularly chromium and vanadium to balance your insulin levels and prevent a proinflammatory state. Supplement with omega 3 oils 3 capsules 3x/day.

Treatment:

Once the condition occurs it is managed by attempting to correct the source-  treat and manage infections such as viral causes with Vitamin C, L-lysine, herbal supplements (Echinacea, Elderberry, turmeric, ginger, Golden Seal)  and manage stress with Herbs (Withania, ginseng, Rehmannia) yoga, relaxation/meditation, massages, osteopathy, acupressure and acupuncture.

5% of tinnitus is caused by a jaw joint (TMJ) problem as jaw muscles and a muscle in the middle ear are closely connected. When jaw muscles spasm the ear muscles react by pulling the eardrum too tight, and this situation can result in tinnitus. A remedial massage therapist using essential oils of helichrysum, lavender and copaiba may help reduce these taught trigger points. 

In many people the middle ear is at fault, but virtually any part of the hearing system (includes ear and brain) may be the culprit.  If the inner ear, or cochlear, is involved it may progress to hearing loss, a decreased ability to hear, which is divided into two main categories: Conductive, which is hearing loss due to something interfering with the sound passing to the inner ear; and sensorineural –caused by nerve or organ damage within the ear (viral, bacterial, trauma). Loud noise, aging, infection, ear wax, tumors and other conditions can cause hearing loss. Cognitive Behaviour Therapy (CBT)
Effective in alleviating distress and producing adaptation to tinnitus. CBT is threefold: changing the way a person perceives tinnitus; teaching ways to focus attention away from tinnitus and achieving control over stress. Offered by clinical psychologists.

Eat to Nourish your Nerves! Try to eat a salad a day and a piece of fish such as sardines, salmon or an egg plus flax oil dressing and a couple of handfuls of nuts -walnuts and cashews have adequate vitamin B6 and some oils to replenish your nervous system.

What Can Make Tinnitus Worse and how can I help prevent and Treat?
1. Loud noise! – Exposure to sudden or long-term noise can damage your hearing with resultant deafness and tinnitus. High-risk groups include industrial workers, farmers, transport workers – and don’t forget that noisy lawn mower! Reduce the noise source or protect your ears with earplugs, or ear muffs. Leisure noise can also be a hazard, e.g. rock concerts, boom boxes in cars and misuse of a digital iphone/ipods – never play it loudly.

2. Stress and Fatigue – They make tinnitus worse! Keeping busy – trying to focus your energies OUTWARD AND AWAY from the tinnitus – is an excellent idea, but stress and fatigue only undermine your healing. Minimise them by rethinking your lifestyle. Relaxation therapy can help greatly if  practised daily.

Hypnotherapy from a qualified practitioner may help. Also good – sports, hobbies, yoga, t’ai chi, reflexology or massage.

3. Medications – It is essential to tell your family doctor about your tinnitus; some common medications cause tinnitus as a side effect or make your existing tinnitus worse. Take special care with medications for arthritis, rheumatic diseases, some antibiotics, and anti-depressants. Also aspirin – ask your doctor about alternatives.

4. Try easing off caffeine (tea, coffee, coca-cola, chocolate), and alcohol as they can temporarily worsen tinnitus for some people. Avoid quinine – as in “tonic” water .Avoid  Nicotine and marijuana too. Smoking narrows your blood vessels which supply vital oxygen to your ears and their sensory cells. PLEASE – quit smoking!

5. Take supplements: Gingko biloba, Gotu kola essential anti-inflammatory omega 3 fatty acids (DHA, EPA) Quercetin, Vitamin A,D,C,E, B’s Zinc, Magnesium, Selenium and a diet high in antioxidants (berries, green leafy veges) will help reduce stress and repair your body. Check with your Doctor for doses if on warfarin.

6. Eat a well balanced diet, get adequate exercise 20min/day-  maintain a healthy weight; being obese results in an proinflammatory state.  Exercise helps to lubricate your body and allows the nutrients to get through to your cells. Reducing atherosclerosis and plaque build up with good nutrition and exercise will keep the circulation to your nervous system active and healthy.

7. Keep your Ears/head and neck warm! If your circulation to your ears is reduced with your body’s attempt to stay warm, the tinnitus can get more pronounced.

 

 

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Chai tea for Ear health: in a large pot 5 cups of water and 5 tbsp of Dandelion tea/coffee and brew with 2 tbs each of coconut milk, coconut oil,  3 cm of Rehmannia glutinosa root (from chinese supermarket) pinch of turmeric, cardamom pods, anise, ginger, cinnamon and nutmeg, plus 2 drops of stevia or honey to taste, blend in 1 tsp of flax oil prior to serving .

 

 

 

8. Get regular soothing, gentle neck and shoulder massages this will keep the blood circulating efficiently through your auditory nervous system, oxygenate and cleanse and prevent toxin build up.

 

 

What do I eat NOW?

I hear ya, you want 2014 to be the conquering year of getting in shape (round is a shape, right? ;-))
So here is a great kick start Joe Cross style (yes, grab that “Fat Sick and Nearly Dead” DVD http://www.fatsickandnearlydead.com/),
This means getting rid of sugar, carbs and increasing your nutrient value especially greens. Try this for breakfast and for a fast pick up during the day. Drink 6 glasses of mostly vege juices daily.

Green Smoothie Boost
Mix in high speed blender:
1 cup water (or coconut water)
1 stick celery
2 leaves kale
1 green apple
1/2 small cucumber (lebanese)
1 kiwifruit
50 gm baby spinach leaves
Juice of half lemon or lime
and organic spirulina, wheat grass, alfalfa, broccoli sprouts or phyto organic essential powder- 2 tsp.

Off you go! and have a GREAT day!

A variation to boost your detox and help your liver is to add 1-2 small pieces of turmeric. This is very helpful as an anti-inflammatory, antiarthritis, anticancer treatment. If you are detoxing for brain/neurological function (MS, Alzheimers etc) swallow 2 tablespoons of coconut oil twice a day as well.

If you have had many amalgam fillings it will take 1 month for every year you have had them to slowly detox your heavy metals out of your bones and fat deposits, your liver will need support while you do this to methylate the free radical toxins out (and into your poo! and out of your body) so you will need fibre daily. Try flax seed crackers- I love love love these ones from iherb.com http://www.iherb.com/search?sug=mary%27s+gone+crackers&kw=gone+crack&rank=2&x=0&y=0#p=1 and when you check out use my priority value code vet344 and you will receive 5-10$ off your first order! Its rewards based (not network marketing) so you will get your own code when you check out – share this and you too will gain rewards. Awesome way to shop for organics and yummy foods and supplements.

Naturopathic principles to support people with LHON Genetics

Naturopathic principles to support people with LHON Genetics
Since 1983 this Naturopath has been aware of a rare and devastating genetic disease that causes sudden irreversible blindness, with presently no treatment available and very little warning about its onset. You can read more about it here: http://www.ifond.org. and here:http://www.lhon.org/lhon/LHON.html You can read about the optic nerve here http://en.wikipedia.org/wiki/Optic_nerve
You see it was about this time that my brother, a fine and upstanding Dentist, found that he could not see the sutures he had placed the week before in his patient’s mouth. His optometrist advised him to take a break and rest his eyes from eye strain, as the optometrist could see no apparent cause to this sudden blindness while examining his retina. The ensuing months led to a bucket load of tests and hospitalisation in the London hospital for Nervous disorders, ruling out every possible brain disorder- Parasitic infection, heavy metal toxicity, MS, tumour, Parkinsons, Lou Gherigs, etc. All Nada. Negative. My bro was sent home back to Australia legally blind and unable to practice his life-long well studied career, with no obvious plan to move forward as there was no diagnosis. Hoping to regain his vision, and find a cause for this devastating disease was the focus of the next year. Unfortunately at that time there was no genetic testing, and many visits to multiple specialists were unfruitful. T he rule out factors added up and they came to the provisional diagnosis of LHON. No treatment, No CURE!
Causes: LHON is the acronym for Leber’s Hereditary Optic Neuropathy. It is a sudden blindness due to an inherited mitochondrial enzyme deficiency. There is some supportive evidence based data linking the onset to a TRIGGERED response caused by various Reactive Oxygen Species/Free Radicals . Free Radicals are by products of chemical reactions with the cell contributing to apoptosis or cells breaking down. Women can get LHON but the incidence is rarer, contributing to the theory that female hormones are somehow protective to the optic nerve.
Because there are triggering events in some cases- which lead to subsequent apoptosis of the optic nerve (=programmed cell death) it is possible that preventative steps may help.
This may also be true of many mitochondrial disease processes, and so it may be worthwhile considering possible treatment strategies that may help –especially in the early stages of the onset of blindness.
I will add a disclaimer here- it is not possible to diagnose or treat any disease via the internet, you will need to work out what is best in your own situation. What I will list below are some naturopathic principles that others- including myself– have found useful. You see a genetic test was produced in the early 90’s and I have found that all of my mitochondria and my kids are also affected. They are now in their late 20’s early 30’s. All are doing well, and are aware of their genetic potentials. Through the internet I have also found many individuals with my mutation –boys, girls, and several women- younger than I –HAVE also gone blind from this horrid disease. So far no other members of my family have been affected, except perhaps my mother who suffered from atrial fibrillation in the last 20 years of her life and eventually succumbed to a clotting stroke secondary to that. LHON also causes heart disease. Remember that mitochondria affect the WHOLE body, they are the power houses of your cells, the “eveready battery” system. It is for this reason that several LHON affected individuals have multiple health challenges. It is imperative that you seek your own pathway and visit your own GP and eye specialist to discuss these strategies. You may find some of these ideas and lifestyle hints helpful. However some herbal and orthomolecular vitamins and minerals maybe contraindicated with some medications. Speak with a medically trained herbalist and nutritionist and discuss with an integrative doctor.
AIM for a BALANCE of hormones and body function:
Specifically Insulin, Oestrogen, Progesterone, Thyroxine, and Cortisol.
“Normalising” the body’s various metabolic processes and keeping “good health” involves the disciplines of nutrition, exercise physiology, sleep cycles, Stress management, and environmental toxin awareness. Its all about what we EAT, THINK, and DO! Its Lifestyle factors: Food, Fun and Fitness. By maintaining a great diet high in plant phytochemical antioxidants, GOOD quality fat, staying well hydrated, with low levels of stress and a low/healthy BMI fat ratio, while avoiding various toxins (smoking—of all types, paint fumes, alcohol, chemical preservatives, artificial flavourings, dyes, insecticides, weedicides and drugs) you have a better chance of living WELL. This is the Naturopathic principle behind stabilising LHON mitochondria. Wild blood sugar fluctuations by eating inappropriate candy, lollies, sugar, cakes, pastry, pasta and bread are pro-inflammatory and cause insulin surges, which in turn affect adrenaline and cortisol levels. Eating a low GI (glucose index) diet with plenty of good fat, some protein and phytonutrients is key to health.
EMOTIONS:
The chemistry involved in the body is delicately balanced by hormones and food/nutrient intake. If you are releasing cortisol and adrenaline, the Calcium, Magnesium and other trace minerals are affected because every metabolic process in the body is affected! Yes even your kidneys will change their function if your brain puts out a signal that says STRESS!!! They will lose more vital nutrients to make way for other minerals to stay in the body to make more chemicals such as adrenaline and allow the blood pressure to elevate. Amazing systems our integrated organs! This is why families that are affected with a member who has/or is going blind need to acknowledge their grief and to seek counselling/meditation/or religious support to put back those “happy hormones” and return to a buzzing healthy body. Deal with it. For GOOD!
The grief and devastation to the individual and their family lasts a life- time with subsequent emotional roller coaster effects that continue to roll out over generations. Coping and living with dis-ease depends on the support structure of the family, the community, and the inherent strength of the individual. Find those groups, go to church, rotary or Lions club, or find a local community group with a similar interest (Chess or Golf—like my bro,line dancing, rock and roll, Agility dog handling, learning a new language, cooking etc).
Happy Hormones are linked to Happy emotions and will help balance your digestive system, your ability to absorb nutrients and will decrease your stress levels. Always a good thing. Seek your happiness bubble, as long as it is not self destructive! Exercise has been shown to increase happiness and decrease your risk of cancer by a whopping 37% so definitely add that to your Health achievement goal !

Research and lab rats:
Science takes at least 10-20 years to study medical phenomenon—the time PhD students work on and prepare their thesis and their Professors consider and work on the problem. To “do no harm” medically speaking scientific protocols and necessary ‘double blind placebo control” rules apply. Research grant proposals need to be garnered, and suppliers of cold hard cash need to be convinced that this research is necessary. This means that any preventative measures or possible treatments for a condition that does not affect a large percentage of the population is poorly funded and may even be stalled midway through its procedure. You can donate to this research via http://www.ifond.org.
While research is ongoing for LHON there have been only a few breakthroughs in the last 30 years that show promise. In the meantime hundreds more carriers have been identified throughout the world and many more souls have been inflicted by this optic nerve disease.
Through the gift of the internet and Facebook many LHON affected souls and their families have been able to communicate with each other, forming friendships across the globe which provid understanding and emotional support. It is through this avenue that I have been requested to write about my naturopathic understanding and personal experiences with LHON>
What has become apparent is that there is a resilience with many who have become blind, and who have gone on to develop a sense of humour about it and function well within society. Very few have regained a little vision over time, although most are still praying for a cure to restore their sight.

Let us break down some of the factors and possible triggers leading to the onset of LHON and for that matter any mitochondrial dis-ease.

Causes of Mitochondrial stress:
 Genetic (there are several areas on the mitochondrial DNA that are faulty-read about this in http://www.ifond.org)
 Obesity/Insulin Resistance / Inflammatory/dietary Metabolic reactions
 Infections
 Toxins
 Hormonal Imbalances – progesterone/oestradiol protective effects
 Stress
 Deficiencies of vitamins and other nutrients
 Exposure to environmental pollutants and radiation

Protective mechanisms for gene activity based on three main areas:
 Detoxification
 Methylation in the liver
Antioxidants

 Decrease in antioxidant status in the individual may contribute to DNA damage – increased free radical exposure without neutralisation
 As we age, the ability for the body to produce anti-oxidants declines dramatically
 Impairs the ability for damaged DNA to repair itself faster.
 Free radical damage to DNA from chemical changes alters the DNA structure and therefore gene expression
 Antioxidant status is imperative to be maintained especially as the body ages.
Important antioxidants:
 CoQ10
 Vitamin C
 Vitamin E
 Selenium
 Vitamin A
 B vitamins – especially B1,3,6,9,12 necessary for the liver to detoxify via the methylation cycle.

FOOD FACTORS:
It has been known for many years that what we eat (or don’t) is vital to how our body performs.
The role of Nutrition is key to physiological processes in the body– “the concept of health and dietary recommendations have been expanded to include achievement of genetic potential, prevention of disease and extension of longevity” Harper, AE, Am.J.clin.Nutr 1987 Vitamin and mineral deficiency at CRITICAL times are implicated in a number of pathological processes.
This is especially true in children, for instance if a child needs iron, vitamin A or iodine they NEED it NOW. Otherwise that child is going to pay for it for the rest of her life. If you meet that need the positive outcomes are glorious—2 Billion kids could be helped by supplementing these 3 things! (UNICEF. Micronutrient Initiative and United nations University).
If you have gut issues (see later blogs about gluten specifically) you may be harbouring inflammation, which releases damaging free radicals. Yep, those are the same nasty beasties that circulate through your body and bathe your optic nerve.
I hear you, you are asking: What do we need to eat?
Be aware that there is no ONE diet for everyone, as everyone has specific needs to stages of their life cycle. Growth, Pregnancy, new job, marathon running, lactating, and celiac disease all require different levels of nutrients, and specific co-factors.
There is, however ample scientific evidence to show that the advice on the Heart Tick foundation boxes of high sugar cereals is not correct. Today’s food pyramid is just WRONG—their emphasis at the bottom is on high processed sugar- refined in breads and pasta and this is fraught leading to inflammation. There is NO NEED to eat trans fats or processed margarine. Choose an unprocessed natural diet and avoid anything with numbers and preservatives. Do not eat empty calories- no sweets, cakes or candy/lollies. Avoid fried foods. Increase your omega 3 fatty acids, which should be fresh in foods such as chia, flax and other seeds and nuts and oily fish (Mackerel, salmon and a very little tuna- the latter has more mercury so should only be eaten no more than twice a month).
Nutritional imbalances are more common that frank single nutrient deficiencies in the western world. Beriberi (thiamine deficiency) Kwashiokor and Marasmus (overall protein deficiency) and Pellagra (vitamin B3 deficiency) is not common, however subclinical B6 and B12 deficiency could be underlying some neurological diseases.
The body is always changing and replacing cells. You are basically a new person every 7 years. Maybe that is why relationships suffer every 7 years. (Just kidding – no need to change partners every 7! They can change and grow with you too!).
The ability to switch on and switch off various metabolic processes using food therapy is called Nutrigenomics. We have found adding supplements and changing the diet to our chronic disease cases such as various dermatitides, cancer, arthritis, diabetes, and heart problems can greatly improve outcomes. Together with the necessary medical interventions this form of Integrative Medicine is superior to plain pharmaceutical measures.
Just a quick word about Diet: there are many different diets out there and many different types of body stages, ages and conditions. What suits one person may not suit another, and most doctors know bugger all about this! Nutritional colleges don’t even agree with each other, and certainly the RDI (Recommended Daily Intake), or RDA (Recommended daily allowance) vastly underestimates nutritional requirements for dis-ease treatments. It’s going to take some research to work out what your individual body needs, however be assured that good wholesome organic foods grown on health non toxic soil are bound to be better for you than toxic waste preservative- coal tar dyed processed crap loaded with sugar and insectide sprays.
I’m going to make this simple for you, if you follow this golden rule you will notice a huge health improvement:
Eat less CRAP:
C- carbonated drinks
R- REFINED SUGAR
A-artifical sweeteners & Colours
P- Processed foods
Diet and Nutrition are NOT the same thing. Diet refers to the foods that are consumed and chosen on a daily basis, and Nutrition is the the factors that are retained and utilised by the body. Therefore, as all good naturopaths will tell you, the state of your gut function and digestion and absorption are where you should concentrate your efforts for healthcare. See some later blogs about poo and you. Having a Bristol Stool chart comparison gives you some idea about where you need to aim your efforts. Basically on the scale of 1-6 where 1 is hard rabbit type of pellets (constipation) and 6 is diarrhoea- runny pats with no form, an ideal faecal movement is about a 4- a submarine affair with sausage like ends and about 4-5 links at least once a day. This is significant, as runny poos likely mean you are not absorbing your nutritient factors adequately and constipation means you are probably dehydrated and lacking magnesium and other elements necessary to tonify the bowel, as well as a sluggish bowel will harbour more toxicity and bad bacteria increasing inflammation in the body.
A quick way to improve your digestion is to drink 2 glasses of warm water with ½ a lemon squeezed into it first thing in the morning. Then go for a 10 minute walk or do some stretches. Disciplining yourself to do this has seen improvements in 90% of my patients. It’s a simple and achievable process- baby steps to better health! This will rehydrate you and alkalinise the body, as well as increasing the gastric enzymes and HCL required to start your digestion.
Body types and Mineral Metabolism:
Another aspect of balancing your metabolism is to pay attention to your body type, as the structure is often linked to trace mineral imbalances. Scientifically proven HTMA (Hair Tissue Mineral Analysis) may be performed- this will work out which minerals need adjusting, and help your body absorb the correct minerals. Visit a Naturopath to obtain a Naturopathic diagnosis, based on observation of your nails, tongue, diet recall, skin etc. If you cannot afford to do this, at least try the zinc test and examine your fingernails. If there are white marks on them you are likely zinc deficient, and this is a very important mineral cofactor for many metabolic processes in your body. The most common deficiencies are vitamin D3, Zinc, Selenium and omega 3 fatty acids. The most common excesses are processed foods and sugar. Fix these simple things and you will be on your way for health.
The two basic body types are the apple shape with more fat in the centre and above the middle core- this is also known as a sympathetic type. Sympathetic here refers to the autonomic nervous system and a sympathetic system is adrenaline driven, type A personality, likes or seeks stress and is present in about 30% of the western population. This is a more testosterone type, and although I have not seen any studies linking this body type to the incidence of LHON blindness, it may be possible to look at a data base and define this at some future date. There are more males falling into the sympathetic body type as well, and as more males become affected by LHON than females this might be a future research area to look at the composition of mineral balanced due to the neuro-endocrine function which determines body type. They have low levels of Calcium and Magnesium in hair and blood samples and may require these minerals to be supplemented.
The other main body type is called the parasympathetic body- it is more pear shaped and represents more than 60% of the western population (except in Scandinavia where there is an equal distribution across the board of the 2 body types!). Parasympathetic people are type B personalities and have higher levels of Calcium and phosphates in their blood and hair, are more sedentary and nurturing and less stress- seeking.
The corollary one must ask: What does the body need to make and protect myelin and optic nerve tissue?
First the body needs to be signalled and told what to do with the nutrition. This is related to hormone levels – hence this is why menopausal women are cautioned to use hormone replacement therapy to protect their capacity to make more mitochondria. Oestradiol gives the mitochondria a kick- and this is possibly why there is an increase in men going blind at around the 30 age mark. (Although to this author’s knowledge presently no one has actually done a study to measure these hormones and link them to the onselt of LHON disease in men).
Progesterone also supports myelin sheath cell makers. Wild Yam crème has been used effectively to help perimenopause and PMS women and may well help men with this genetic predisposition. The studies are yet to be done on this.
Nutritional care for the myelin: we need to feed those suckers- they are formed fromLipoproteins and B vitamins! Lipo-proteins are the structures making up cell membranes. YES: The body needs good quality fat for its cell structure. That is why the presently taught “food pyramid” which is bottom heavy on grains and flour is BAD for LHON people. Carbs are pro-inflammatory they burn quickly, do not add to structure, and cause an insulin surge followed by a dip, thereby creating a hunger for more- and linked to the present day obesity epidemic and increase in diabetes type 2. Dementia, a neurological disease is also called “Diabetes type 3” today for a good reason- a low fat high carbohydrate diet is linked to onset of dementia and Alzheimers disease. Good quality fat (butter, fish oil, flax oil) has an anti-inflammatory action and is useful for building cell structure.
There are many studies that show improvement of dementia patients if “good” fat (omega 3’s fish/flax oil and coconut oil) intake is increased with an antioxidant such as turmeric powder.
Similarly the naturopathic outcome of correcting a vitamin B12 or Fatty acid deficiency for nervous function has been well documented.
There are numerous other nutrients which act as antioxidants. These are phytochemicals found in foods, but the research from the Doheny eye institute supports the synthetic coenzyme Q 10 called Idebenone at somewhere between 300-600 mg/day.
Please be aware that if your doctor has prescribed statin drugs to lower your cholesterol you will be deficient in mitochondrial function and will need to at least supplement with coenzyme q 10 at a minimum of 300 mg twice a day. Statin drugs will decrease your ability to make vitamin D3 and a host of other hormones. They cause muscle weakness and mitochondrial deficiency. Idebenone may also be of benefit , and you may want to question your doctor carefully about the need to take these drugs and if nutritional functional foods may be of benefit, together with weight loss if you are obese.
Some functional foods include those high in antioxidants.
Antioxidants in foods include:
 Quercetin – in the skin of citrus, in pineapple core, red onions and other fruits.
 Resveratrol – in red grape skin
 Polyphenols , in many fruits, vegetables, herbs and teas
 Phytoestrogens- in clover, soya (use fermented, eg. Miso and tofu) cohosh, wild yam and sweet potatoes
A rule of thumb is if the fruit and vegetable are multicoloured (ie eat from the rainbow) you are likely to gain multiple antioxidants in your diet. Make a ton of vegetable juice fresh and eat a little fruit. Add fresh turmeric and ginger to your drinks. These will increase your ORAC scale. The higher the ORAC scale the more useful as a “free radical mopper” these drinks and foods are.
Detoxification:
This happens in the liver and free radicals and toxic substances are filtered out here (hence the requirement for no or low alcohol imbibation- and if you must choose red wine without sulphate preservatives, at least you will take in some resveratrol!) If you have a liver problem it will show up in blood tests as an elevation of ALKP and ALT.
It’s important to look after your liver. Take regular supplements of s-AME, Milk thistle, Vitamin E and Selenium, a multi B, Zinc and Sip Green tea often. Eat Artichoke and bitter herbs/lettuces (radicchio, rocket, Cap coy, Kang Kung, purslane, dandelion, spinach, parsley, Cilantro=Coriander) and collard greens regularly. Choose a mostly plant based diet and mostly organic (or wash/soak all fruit and vege in a detoxifying rinse- see www. naturopathvet.mysisel.com for organiclens)
If the liver is not cared for or abused (eg drinking alcohol- or drugs including antibiotics!) Problems with detoxification pathways will occur – this leads to DNA damage. DNA is sensitive to toxic chemicals – DNA expression and structure is altered with toxicity.
 Phase 1 – toxic metabolites are produced – need to be cleared effectively, otherwise accumulate – especially the steroid hormones.
Methylation:
Methyl groups – CH 3 – are utilised to regulate gene expression. (switches off/switches on where necessary). Therefore lack of methylation compromises this activity – gene expression is altered.
 Main nutrients for methylation processes:
o Folate, B6, B12, Methionine (1 methyl group), SAMe (3 methyl groups)
Inflammatory/neurotoxic factors:
 Higher BMI levels – more adipose tissue to store harmful steroid hormones derived from western diets – meats, poultry, eggs, dairy
 Xenoestrogens found in packaged foods, plastic containers, landfill, pesticides, fertilizers, agricultural soil, animals, fish, grains – mimic estrogen and are toxic – stored in fat tissue and contribute to carcinogenesis
Diet:
• Review your diet and consider the following:
– Food allergies/sensitivities – gluten is common and commonly missed/misunderstood. Some nuts (peanuts) sesame seeds, and milk proteins (casein) are next in line.
– Organic foods – reducing the processed and artificial components of the diet as much as possible
– Alkalinising the diet – reducing acid-forming foods if necessary cut out red meat and sugar.
– Increase anti-inflammatory foods – oily fish, onions, garlic, citrus, tumeric, leafy greens, celery, berries
– Reduce heated saturated fats, trans and hydrogenated fats – use monounsaturated fats for cooking and in salads – olive and avocado or coconut oil.
– Reduce refined sugars and carbohydrates – these are pro inflammatory
– Reduce red meat intake – inflammatory
– Increase fibre – improves excretion
– Increase sulfur foods (cruciferous veges broccoli, brussel sprouts) – liver detox
– Reduce the burden on digestion – easier to digest foods – nutritionally dense foods – eat more pumpkin, chicken soup, slow cooked stews, eggs.
– Introduce chlorophyll into the diet via juicing – increasing green leafy veg. – helps with detox and as a blood cleanser
– Maintain healthy protein intake – quality protein foods – yoghurt, eggs, salmon, nuts.
– Maintain healthy calorie intake – to avoid weight loss
– Herbal teas – ginger, rosehip, peppermint, withania, passionflower, GREEN TEA
Increase the intake of certain Phytochemicals found in plants which have undergone research are as follows:
• Genistein
– an Isoflavone found in Soy and Flaxseed – inhibits angiogenesis
– may play a major role in the prevention of breast and testicular cancers
– antioestrogenic
– mimic estrogen – attaches to same receptors
– inhibits 5-alpha reductase in prostate (Davis, SR.et.al, 1999)
– anti-tumour effects
– Curcumin
– obtained from Tumeric
– inhibit breast cancer development
curcumin and genistein – most potent inhibitors against growth of human breast tumour cells induced by pesticides
Lignans
• Insoluble fibres found in flaxseed, bran, lentils, garlic, celery, outer husks of grains
– bind to oestrogen, testosterone and DHT to increase excretion and prevent accumulation
– Flaxseed contains the highest amount of lignans (Schultz, TD et.al, 1991) Chia seeds are also helpful
– Contribute as a food source for gut bacteria to improve immunity and resistance to disease. Globe artichoke , chicory and melons are also a great source of inulin acting as a prebiotic for “good gut bugs to grow”. Good guts create a biome which manufactures helpful hormones and vitamin K and B’s. These assist in brain function, and well your optic nerve is part of your brain!
– Anti-tumour, Anti-mitotic, Anti-oxidant, oestrogen regulating effect via receptor binding
• Green Tea
– contains the polyphenol Epigallocatechin-3-Gallate (EGCG)
– anti-angiogenic, anti-inflammatory, induces apoptosis of human epidermoid carcinoma cells and regulates cell cycles
– preventative against a variety of cancer types especially skin cancers
Lycopene
– carotenoid family – found in red flesh fruits and vegetables
– highest in tomatoes – also in red capsicums, goji berries, pawpaw, carrots
– Inhibits growth promoting effects of cancer cells
– Activates tumour suppressor genes
– Indole-3-carbinol
– Found in cruciferous vegetables
– Inhibits formation of carcinogenic eostrogens – 16-HydroxyEstrone
– Prevents estrogen-dependent cancers, prevents cervical cancer from HPV (Cancer Research 59, 3991-3997, 1999)
– Enhances chemotherapy effects
– Induces detoxification pathways
– Rosemary
– Carnosol – chemical in Rosemary found to be:
– Effective against blocking tumorgenesis in human bronchial epithelial cells (Offord, EA et.al 1995)
– Reverses resistence to chemotherapy drug treatment
Fish Oils
• Quercetin
– Found in red onions, berries, apples, beetroot, citrus
– Anti-oxidant
– Inhibits drug resistant estrogen receptor treatments
Potentiates
Detoxification for various organs:
– Liver support – Sulfur amino acids – Methionine, Taurine, Glutathione, Cysteine
– A, quercetinCo-factors for enzymes – Selenium, Magnesium, B group, Vitamin C, CoQ10, Manganese, Copper, Vitamin E
– Gut Support – soluble and insoluble fibre, pre and probiotics, vitamin A, Zinc, slippery elm
– Kidney Support – All antioxidants, Vitamin C, Selenium etc. Herbs – celery, Rhemannia and other Diuretic herbs
– Lung support – broccoli, glutathione, vitamin
– Heart Health- Hawthorne berry, Selenium, Vitamin E

PHEW! That’s a lot to take in if you are new to this game of nutritional science, right?
So to go with my baby steps plan this is an easy suggestion. Buy a juicer. Listen and watch Joe Cross’s movie “Fat, Sick and Nearly Dead” and drink a juice with pineapple, carrot, beetroot, celery, turmeric and ginger daily for a week then mix up your green juices so that you are drinking fresh 3 times a week minimum. If you are having signs of blindness IMMEDIATELY jump on the juices and add more good fat (butter, coconut oil, fish oil, flax oil) to your diet and remove sugars and processed foods. Eat goji berries like they are going out of style- by the handfuls. Take your Idebenone at HIGH doses immediately, and some vitamin E. Have your vit D3 checked and see a naturopath to have your minerals analysed.
So you are probably asking how am I going? So far I have not gone blind. When we first learned about LHON it was thought to only affect males, generally at the 30 year stage. I have since found many women, girls and young boys have been struck with this blindness at all ages. Perhaps I have managed myself well, or perhaps my hormones have protected me. This is what I have found with my own body, and remember everyone is different- even if we have the same genetic mitochondrial enzyme deficiency. My particular DNA pattern is 11778- it has a poor prognosis for vision return if affected and is implicated in many LHON plus signs.
My heart is OK, with a mild murmur which is thought to be no problem at this stage, however my mother suffered from Atrial fibrillation for many years prior to her serious stroke, so I am cognisant that I must be vigilant and will take warfarin if my heart becomes a fibrillation candidate. Fortunately my other parameters seem stable and healthy.
My vitamin D3 levels were down, and everyone should have these checked as this influences all your metabolic processes. In order to make D3 you need GOOD cholesterol in your diet, and sunshine. If either are lacking you may need to supplement orally, and the dose is often a lot higher than is on the lable. I take massive doses if ever I have a sign of a cold or a flu, but only for a day or 2- like 100,000 international units. I also increase vitamin C in the bioflavonoid range and zinc. I am almost never sick.
As a desk nerd and Naturopath I have noticed signs of pre syndrome x (cortisol undoubtedly playing a part as my weight gain coincided with the stress of looking after my stroked out mother) which led to a plunge in my thyroid.
Since Mother’s passing, I am addressing this now with increasing my walking and beach visits, and adding more kelp to my diet (sushi! Yum). Also removing gluten has been a big help – which causes leaky gut and is inflammatory.
I am a 56 year old menopausal woman who has worked and studied most of my life. So far I have had what I consider 2 near miss incidences of blindness in my left eye. Both times vision has recovered immediately after taking mega doses of antioxidants. These are what I have taken:
Synthetic Idebenone (900 mg /day for a few days only when the eye went blurry- I don’t take it every day) a goji berry drink with high ORAC levels from Young Living Essential Oils called Ningxia Red, several cups of strong green tea, a Cathay chinese herb called Ming mu di huang wan, and I chewed them all down with handfuls of dried Goji berries. I also make berry smoothies once a fortnight out of mixed frozen berries (YUM!) with a blender, and take Entrapro.com probiotics occasionally. I love Turmeric and curried food and eat this almost daily, often with coconut oil. I have at various times taken Neways supplements including Revenol, and also Usana antioxidants. These are all good, but I feel the greatest “hit” has been from coconut oil and turmeric plus the Goji drink. The natural progesterone effect of the wild yam crème has also been helpful to normalise hot flashes, although the chinese formula Liu wei di huang wan (also called Rehmannia 6) has been more useful.
I have also noticed that the Blackmore’s celloid of PS (potassium sulphate) is very helpful for my energy levels and I will chew one of those when feeling tired or stressed. It is very safe and can be taken several times a day as it is such a low dose. Possibly ingesting bananas may help, as a good source of potassium. I just had a banana smoothie while writing this blog, in fact.
Recently I have been taking a bioidentical hormone with a small amount of progesterone sublingually as I noticed when I was back from a teaching mission (about diabetes prevention) in Bali that I was having small sweats- thank goodness it is NOT malaria! I had this PCR tested for! I may still have some residual infection in some root canal work I have recently had performed- but THAT is a whole new blog. Dentistry is my “pet” special field, and I have written books on it! My mouth has been an adventure in dentition since I was quite young and was dealt a monobrow short sighted overenthusiastic amalgam filling overdrilling dentist. I have been “dealing with it” ever since.
Another thing: life is not immortal, and we are best to take a philosophical stance with the cards we are dealt with.
“The Pessimist complains about the wind,
The Optimist expects it to change’
And the REALIST adjusts the sail”
William A Ward.

Adjust your sails, fix your own boat- because you are the captain of your own ship. No one else controls you but YOU!
Best in health for now-
Cheers all,
And keep your mitochondria mumbling along………… stay healthy, be wise and be gentle on your body, it’s there for LIFE!