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THE NUTRI-SPEC LETTER
Volume 8 Number 1
From:
Guy R. Schenker, D.C.
January, 1997
Dear Doctor,
We have just completed some dramatic improvements in
your NUTRI-SPEC analytical system of clinical nutrition.
These changes give you three big advantages:
a. The tests are easier and faster to perform.
b. The test interpretation is much easier.
c. Your analysis is much more specific -- more clearly
defining each patient's individual needs.
This letter will summarize these exciting changes.
A. Changes in the test procedures:
1. The following tests have been entirely deleted
from your testing procedure:
a. The second of the three blood pressures.
b. The pilomotor reflex.
c. The Sargent's Line reflex.
d. The pupil reflex.
2. The following tests have been added:
a. An adjusted saliva pH
b. A fourth pulse
3. We have given you a new Test Results Form
reflecting these changes in the test procedure.
4. Adjusted Saliva pH:
a. A chart is printed right on your Test Results
Form showing you how to convert your patient's saliva
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pH to the adjusted saliva pH. You add to or subtract
from the saliva pH according to the patient's specific
gravity. Enter the adjusted saliva pH next to
the saliva pH on the Test Results Form.
5. New Respiratory Rate, Blood Pressure and Pulse
Procedure:
a. With the patient supine, and having already
taken the patient's saliva pH, measure the patient's
first pulse for 15 seconds, multiply by 4 and enter
on the Test Results Form.
b. Take the patient's respiratory rate for 30
seconds, multiply by 2 and enter on the Form.
c. Take the patient's first systolic and
diastolic blood pressures, and record.
d. With your watch or timer ready, ask the
patient to stand. Begin timing as the patient's feet
hit the floor. At the 5 second mark begin counting
your second pulse, counting seconds 5 through 20. At
the 20 second mark immediately begin counting over
again to get the third pulse, counting from seconds 20
through 35. You now have two numbers, for example, 16
and 18, representing the second and third pulses.
Multiply each by 4 and record on the Form.
e. With the patient continuing to stand, take the
second systolic and diastolic blood pressures and the
fourth pulse. Record the blood pressures and
multiply by 4 to record your fourth pulse.
f. Have the patient sit, and test the breath hold
6. As before, the remaining tests (dermographics,
cough and gag reflexes, and pupil size) may be performed
either before or after the other tests.
7. The urine surface tension and multi stix
procedures are unchanged. (But be certain you are up to
speed with the latest instructions for surface tension --
it remains your most important test.)
8. Though we have deleted the pupillary reflex as a
test, the pupil size takes on additional significance in
your testing procedure. The pupil size has over the years
demonstrated the highest correlation of all our tests with
Sympathetic/Parasympathetic imbalances.
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B. Streamlining your test interpretation.
1. Interpreting your patients' test results has
always been as simple as asking yourself five questions -
one from each page of your Quick Reference Guide. The
procedure was fast and simple. However, there was
considerable room for the doctor's subjective
interpretation of whether or not a particular imbalance
existed in a patient.
2. We are now giving you an entirely revised Quick
Reference Guide. It follows the familiar format of each
page representing the analysis of one of the five
NUTRI-SPEC fundamental balance systems. There are,
however, these important improvements:
a. The top of each page gives you just a few
quick tests to determine whether this patient is a
likely candidate for the imbalance under
consideration. In other words, if a 4-Point
Quick-Scan of your patient's tests does not reveal an
obvious tendency toward one imbalance or its opposite,
you need look no further -- just turn the page and
consider the next imbalance.
b. The ranges of abnormal results for each test
are much more specifically defined in this new Quick
Reference Guide. This will eliminate any subjective
guess work on your part.
c. The supplement recommendations available for
you to give your patients have been greatly expanded.
d. The parameters indicating the need for each
supplement are very specifically defined.
3. This improved Quick Reference Guide analysis will
assure that virtually any two NUTRI-SPEC doctors will
come to precisely the same conclusion for any patient.
C. Greater specificity in treating your patients.
1. The new test procedures, plus this more efficient
analysis, will allow you to be even more specific, and
thus more effective, in treating your patients.
2. You will find fewer ambiguous test patterns. In
other words, you will find less patients "on the border-
line" of an imbalance. It will most usually either
obviously be there or not.
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3. You will find, in general, that you are treating
fewer imbalances for each patient upon initial testing.
4. You will, however, find that new imbalances very
frequently show up on subsequent testing.
a. But when these new imbalances show up they
will be quite obvious.
b. These imbalances will generally not show up
until the initial imbalances that you were treating
have improved dramatically. (But this improvement may
come very quickly.)
WHAT IS THE SPECIFIC RATIONALE BEHIND EACH
OF THESE IMPROVEMENTS IN YOUR TEST PROCEDURE?
Let us consider first the tests we have deleted from
our system. There isn't much to say about these tests
other than that they do not meet our testing criteria of
providing significant information about our patients with
little time and energy invested. The pilomotor reflex,
Sargents line, and pupil reflex have failed over thousands
upon thousands of patients (tested in my practice and
yours) to consistently provide us valuable information.
When these three tests "fit" they fit into a sympathetic
or parasympathetic pattern that was already clearly
obvious from our other tests. When they did not fit, it
was these tests that confused the clinical picture rather
than bringing it into focus. You've got better things to
do than stare at your patient's pupil for 30 seconds when
the results of that test will be equivocal at best.
These three tests now join the other tests in
Appendix A of your book that are not part of our routine
analysis. Be aware that they exist -- because at times
they are relevant, but use that information only in the
occasional instance when it is clinically significant.
Let us talk now about the far more significant change
in your procedure for orthostatic blood pressure and pulse
challenge. We have deleted one blood pressure and added
one pulse. Why? Our procedure for challenging the
immediate orthostatic blood pressure response simply was
not working. Why not?
You may be interested to know that a normal
orthostatic blood pressure response actually involves four
changes in direction of the blood pressure within one
minute. The blood pressure goes from a steady state in
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the supine position to a quick peak within a few seconds
after standing, then plunges to a trough at about 10
seconds after standing, then rises dramatically to a
higher peak at 20 seconds, after which it gradually
declines to the standing steady state which is reached at
about one minute.
We were attempting to measure the peak that ideally
occurs at 20 seconds. As you can well imagine, the
slightest difference in timing between one staff member
and another in your office, or between your office and
some other Doctor's office would give an entirely
different interpretation of a particular patient's
orthostatic blood pressure response.
This created a real dilemma for NUTRI-SPEC testing
because the physiologic demands on the body when moving
from a supine to a standing position are so perfectly
correlated with several of your NUTRI-SPEC metabolic
imbalances. We hated to delete a test that was so
important -- yet realized that having an inconsistent test
was worse than no test at all.
After studying hundreds and hundreds of test patterns
we were very pleased to find that the pulse response
actually gave us more information than we ever could have
obtained from the second blood pressure reading.
Like the BP, the pulse also goes through several very
rapid changes of direction upon moving from the supine to
the standing position. Your new procedure of counting the
second pulse from seconds 5-20, and the third pulse from
seconds 20-35, and then another after the steady state has
been reached, enables you to nail down exactly by what
means your patient attempts to adjust to the physiologic
demands of the orthostatic challenge.
Beginning in next month's Letter I will give you the
specific rationale behind the adjusted saliva pH and
explain how beautifully it now correlates with each of
your NUTRI-SPEC fundamental imbalances. I will also go
page by page through the new Quick Reference Guide
explaining what each of the exciting improvements means to
you and your patients. To obtain your copy of the new QRG
just give us a call. We will send one immediately, at no
charge. You need this now -- CALL TODAY.
Let us close for this month by bringing you up to
date on some of the most significant changes in your
NUTRI-SPEC supplements.
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1. We have slashed the price of your electrolyte
supplements from between $6.00 and $6.50 per bottle all
the way down to $4.50. (As NUTRI-SPEC grows we are able
to buy in larger quantities at significant cost savings --
and we are delighted to pass the savings on to you.)
2. Your Oxygenic A-Plus now contains GLUTATHIONE. This
is perhaps the most valuable nutrient in the whole
Oxygenic A product. I could go on for pages detailing the
amazing biological activity of Glutathione. For now
suffice it to say that it is essential in the body as a
carrier of oxygen, as a component of Glutathione reductase
enzyme, and as part of Glutathione peroxidase. We have
wanted to supercharge Oxygenic A-Plus with glutathione for
years. We are ecstatic that we can finally give it to you
3. We have added MAGNESIUM CHLORIDE to your product line.
Magnesium Chloride will be a valuable component of your
NUTRI-SPEC regimen for:
- certain electrolyte stress patients
- certain acidosis and alkalosis patients
- certain parasympathetic patients with asthma
4. Finally, we are about to add six pure-form amino acids
to your product line. The potent biological activity of
these amino acids will be described in the coming months
as we detail the improvements in your Quick Reference
Guide analysis. The amino acids (which will be available
some time later this month) include:
- L-Tyrosine - Taurine - L-Methionine
- L-Phenylalanine - L-Glutamine - L-Histidine
This is an exciting time to be a part of NUTRI-SPEC.
Make It A Good Month,
Guy R. Schenker, D.C.
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