From: Guy R. Schenker, D.C. January, 1999 Dear Doctor, Suppose next week a 51 year old man comes into your office as a new patient. He suffers from chronic hepatitis which was discovered seven years ago. He has had 3 biopsies and no cause or explanation for the condition can be found. For the seven years since the hepatitis diagnosis was made the patient's "liver specialist" has engaged in "watchful waiting," as the patient's liver enzymes climb higher and higher. "Watchful waiting" is merely a euphemism for, "I don't know what the cause of your condition is and I am completely helpless to do anything for you." Your new patient is a pretty sharp individual. He is mentally quick and physically lean and healthy. As a successful sales manager he has an assertive personality that does not lend itself well to passively watching his condition worsen year by year. After seven years, he has had more than enough of this nonsense and he is ready for action. A friend has referred him to you because of the scientific system of clinical nutrition you use. The patient would like to know if there is anything you can offer him with NUTRI-SPEC to help control his condition. There is one other pertinent piece of information in the patient's history. Seven years ago when he was initially diagnosed with hepatitis it was also found that his blood pressure was 170/110 and he was put on a beta blocker which has supposedly been keeping his blood pressure controlled at around 140/85. You have just completed the history -- what do you do now? - 2 - Of course you will immediately implement the NUTRI-SPEC regimen for hepatitis. You gather from your shelves all the NUTRI-SPEC supplements that are "good for the liver." You are confident that with the proper selection of NUTRI-SPEC remedies to "support the liver," the patient will respond beautifully. No, I am not serious -- can't you take a joke? What do you really do? You do the same thing that I would do -- the same thing that any NUTRI-SPEC practitioner would do -- you test the patient to determine where is the breakdown in his metabolic control systems. The patient's testing will reveal one or more fundamental metabolic imbalances sure to be causative in his hepatitis. As I am sure you have guessed, your hypothetical new patient is in actuality a real person -- one who has been under my care since the Fall of 1997. What kind of test patterns did the patient show? We found one imbalance -- an electrolyte stress. We used the Quick Reference Guide electrolyte stress protocol to select just the right supplement regimen for this patient, and put him on the NUTRI-SPEC Fundamental Diet. Did we throw in a few extra nutrients to "support liver function?" Did we add some herbs that are reputed to be "good for the liver?" Certainly not. You may be wondering why not. You may be thinking that because of the hepatitis this patient has special needs. Yes, he has special needs. They are the same special needs of any patient with his particular set of test results. That is the whole point of NUTRI-SPEC -- to define exactly what the special needs are for each individual, based on objective test patterns, when evaluated within the context of the five fundamental metabolic control systems. Do we, as NUTRI-SPEC practitioners, not agree that an electrolyte stress imbalance can be associated with chronic hepatitis? Since an electrolyte stress imbalance is typified by destruction of the electro-negative colloidal properties of the body fluids, and by excess electrolyte load and abnormal pH in the various body fluid compartments, and by a loss of tissue membrane integrity resulting from oxidative damage -- isn't it likely that - 3 - these same pathological processes can provide fertile ground for the development of hepatitis? This sounds like a plausible theory -- but does it prove valid in the real world? Let us see what happened to our patient. Within six weeks of beginning the NUTRI-SPEC electrolyte stress regimen, the patient was showing very nice improvement in his objective test pattern. There was so much improvement, and the patient was feeling so well, that we discussed the possibility of gradually working off the beta blocker. For the seven years he had been on the beta blocker his blood pressure had supposedly been maintained at around 140/85. It is interesting to note that on his initial NUTRI-SPEC testing his first blood pressure reading was 140/86 -- just exactly what the patient's blood pressure had been for years. But -- look what happened upon orthostatic challenge. When the patient stood up his blood pressure went all the way up to 170/100, and that was while under the influence of the beta blocker. Now, after six weeks of NUTRI-SPEC, his systolic blood pressure upon orthostatic challenge actually dropped, and his diastolic only went up 8 points. The patient was thrilled at the prospect of being able to work his way off the beta blocker and so we agreed to delete one day a week. An even more significant finding six weeks after beginning NUTRI-SPEC was that the patient's most out of control liver enzyme, SGOT, had decreased from 1900 to 1500 -- the first decrease ever. We saw the patient six weeks later and the results were mixed. On one hand his blood pressure was improved so much that there was no longer any evidence of an electrolyte stress pattern. At that point we further decreased the beta blocker to 5 days a week. On a less positive note, the liver enzyme had risen from 1500 to 1700. This was still not as bad as it had been initially but was not ideal. The patient also reported that on that most recent blood test his cholesterol was checked and it was elevated at 280. We saw the patient in another six weeks and again there was no sign of an electrolyte stress pattern so we continued the electrolyte stress regimen and decreased his beta blocker to only 4 days a week. On the patient's next NUTRI-SPEC testing six weeks later, not only was there no ES test pattern but the - 4 - patient's blood pressures and pulses were actually below normal. This was despite the fact that he was only taking the beta blocker 4 days a week. We now decreased the beta blocker to 3 a week. We next saw the patient in eight weeks and were able to decrease the beta blocker to only 2 days a week. On this visit the patient also reported an update in his blood work. It showed that his cholesterol had come from 280 down to 230, but more importantly, it showed a stunning drop in his SGOT all the way down to 62! In summary -- within 7 1/2 months after starting NUTRI-SPEC the patient had seen his liver enzymes go from dangerously out of control down to only slightly above normal. At the same time he was able to decrease the dosage of his beta blocker down to only two doses per week. His blood pressures and pulses were lower on two doses a week than they had ever been on seven days per week. Furthermore, his cholesterol had dropped to 230 from at least 280 (though it may have been much higher than 280 when we first started). What happened in this patient? Quite simply NUTRI- SPEC was able to restore the electro-negative colloidal properties of the body fluids. NUTRI-SPEC also restored normal intra-cellular and extra-cellular fluid and electrolyte composition and movement. NUTRI-SPEC also restored normal pH to each of body fluid compartments. NUTRI-SPEC also restored normal oxidative metabolism. NUTRI-SPEC also facilitated cholesterol and triglyceride clearing through the liver. NUTRI-SPEC also improved arterial elasticity and myocardial metabolism. Is it so surprising that with these (and other) many advantages of NUTRI-SPEC a patient could gain the upper hand in his fight against hepatitis while at the same time restoring normal cardiovascular function? There are many reasons why this was an appropriate case history to include in this Letter. We have been discussing in the last several Letters the increased power and specificity of your newly revised Quick Reference Guide protocol for electrolyte stress patients. While we tend to associate electrolyte stress imbalances with a tendency to cardiovascular disease, it is important to note that a breakdown in that metabolic control system has far reaching implications that affect the metabolism and body chemistry of every tissue and cell in the body. - 5 - This case also serves to substantiate our claim that with the NUTRI-SPEC protocol for electrolyte stress imbalance we can literally save lives. Picture the life this 51 year old man would have experienced without NUTRI-SPEC. How long would he have lived before succumbing to either hepatitis or cardiovascular disease? What would have been the quality of his life? Now think how much happier, healthier and longer his life will be now that his adaptative capacity has been increased with NUTRI-SPEC. This is also a good case to illustrate the procedure by which we can wean hypertensive patients off their blood pressure medication. It must be done gradually; it must be done carefully; but in many cases it can be done. This particular patient came down in less than 7 months to only 2 doses of one medication weekly. We have not reduced him further simply because his blood pressures and pulses stopped dropping. With NUTRI-SPEC objective indicators to guide you, you can determine very precisely the medication needs of your patients. Since we are on the subject of medications and electrolyte stress patients, it is time to comment further on calcium channel blockers (CCBs). We have already given you the essentials of the CCB story in previous writings, but it bears repeating here. CCBs hit the scene in the early 80's and immediately swept the cardiologists off their feet. Since the drugs were so effective at lowering blood pressure, and since elevated blood pressure was considered a risk factor for cardiovascular disease, it was concluded that CCBs would be an excellent medication choice for hypertensive patients. Since it lowered blood pressure so effectively it was assumed it would lower heart attacks and strokes as well. That was a reasonable hypothesis; but 15 years later it was proved to be not only not true but -- horrors -- CCBs actually increased the incidence of myocardial infarct. When that news hit the medical journals, the pharmaceutical industry did some serious back peddling and excuse making. No sooner had they spent about a zillion bucks trying to convince the medical profession that CCBs were really all right, than further studies came out showing that CCBs also increased the incidence of strokes. Another zillion dollars has been spent on propaganda and, believe it or not, doctors are still prescribing CCBs for long term blood pressure control. - 6 - (I should point out that CCBs do have a valuable place, and that is in the crisis therapy for someone with a life-threatening tachycardia out of control, or certain hypertensive crises. But while valuable in certain short term crises, it is devastating when used long term.) Now there is even more bad news on CCBs. A study published in the December 1997 Journal of the American Geriatrics Society shows that when people on CCBs were given brain scans and intelligence tests they did poorly on the intelligence tests and their brain scans showed high white matter sensitivities (which is a finding linked directly to impaired mental function). Yet another study published in the March 7, 1998 British Medical Journal showed that there is a 5-fold increase in the incidence of suicide among patients on CCBs. The suicides were thought to result from depression caused by the CCBs. Why have we gone on at length about CCBs? Because as you have seen, you are frequently in a position to reduce the blood pressure medicine taken by your ES patients. If your patient is on a CCB you want to place a high priority on eliminating that medication. If a patient is on a CCB in addition to other blood pressure medications, then encourage the patient to begin slowly weaning off the CCB immediately. If your patient is on a CCB as the only hypertensive medication, then tell him to consult the prescribing doctor and see if the doctor is willing to switch to a beta blocker or an ACE inhibitor. Did you learn anything in this Letter about what you can achieve with NUTRI-SPEC? Do you begin to appreciate the power you have with a patient-specific approach to nutrition based on objective testing and analysis? The service you offer with NUTRI-SPEC is of incomparable value. Sincerely, Guy R. Schenker, D.C. P.S.: Advise your patients taking electrolytes or dis- persing agents to add them to water rather than adding the water to the electrolytes. They dissolve better that way.