From: Guy R. Schenker, D.C. March 1999 Dear Doctor, Carefully consider the following case history in light of what you learned in the last two Letters about how to "cure" hepatitis with NUTRI-SPEC. I had a woman come to me who had had hepatitis for 20 years. She was now suffering from extreme ascites. The medical profession could offer her no help other than a diuretic (aldactone) and putting her on a waiting list for a liver transplant. THE WOMAN HAD BEEN ALL OVER THE COUNTRY TO ALTERNATIVE HEALTH CARE CLINICS WITH NO HELP GAINED ANYWHERE. She had been given every nutrient reputed to "support the liver." She had been dosed with every conceivable herbal and homeopathic remedy considered to be "good for the liver." Yet her condition deteriorated unabated. THE DAY SHE SHOWED UP IN MY OFFICE SHE LOOKED AS IF SHE HAD ALREADY DIED. Her skin was a gray color and her hair looked like straw. Along with the hepatitis and ascites the patient had extreme colitis. She had not had a formed bowel movement in 13 years. Upon NUTRI-SPEC testing the patient was found to have three metabolic imbalances -- electrolyte insufficiency, dysaerobic, and glucogenic imbalances. We treated those three imbalances strictly according to your QRG protocol (with no "remedies" thrown in) and witnessed an absolute miracle. - 2 - Within a couple of weeks her MD cut her aldactone in half, and then in a few more weeks cut it in half again. By just the second week the patient had well-formed stools and not a trace of either blood or mucous. After just three weeks the patient had color in her face, life in her hair, and a sparkle in her eye. After eight weeks she looked fully 20 years younger than she had on day one. (She is in her mid 40's and looked in her 60's before NUTRI-SPEC.) After ten weeks ... THE PATIENT TOOK HERSELF OFF THE WAITING LIST FOR A LIVER TRANSPLANT! Why is it pertinent to compare this hepatitis patient to the man with hepatitis who was discussed in the last two Letters? These two cases, when put side by side, are a perfect illustration of the essentiality of a patient- specific approach to nutrition. We have here two hepatitis cases that responded positively beyond our wildest expectations. Yet -- and this is the critical point -- you will recall that the man with hepatitis had an electrolyte stress imbalance with an anaerobic component, while this woman and an electrolyte insufficiency imbalance as well as a dysaerobic imbalance. Not only were these patients treated differently despite having the same disease -- their treatment plans were exactly opposite. The "cure" for one hepatitis patient is the same as for any hepatitis patient, which is the same as for any patient -- and that is to increase adaptative capacity by restoring metabolic balance. Your goal with NUTRI-SPEC is to define exactly what are the special nutrition needs for each individual patient, based on objective test patterns, when those objective tests are evaluated within the context of the 5 metabolic control systems. With this patient-specific NUTRI-SPEC approach: - You will restore in each patient efficient oxidative energy production while at the same time inhibiting excess oxidative free radical reactions. - You will restore normal glycemic control. - You will restore normal intracellular and extracellular fluid and electrolyte composition and movement. - 3 - - You will restore pH balance in each of the body fluid compartments. Knowing that you can achieve all that should help you lose interest in ancient Chinese herbs, homeopathic remedies, and mega vitamin therapy, as well as any of the other popular "natural cures." Now that we have used this patient to illustrate the essentiality of patient-specific nutrition, we can also use this case history to introduce our discussion of --- ELECTROLYTE INSUFFICIENCY IMBALANCE. Your revised QRG protocol for this imbalance has given you the first comprehensive and effective approach to patients suffering the debilitating fatigue and stress and hormonal imbalances associated with the inability to hold electrolytes. There are several keys to the efficacy of your EI QRG protocol. The first is being able to determine what combination of electrolytes to prescribe as each patient's individualized "electrolyte tonic." The proper electrolyte tonic can help each patient maintain physical and emotional equilibrium when faced with even the most stressful situations. The tonic should be mixed in the proper amount of water (as per the patient's hydration status) and taken first thing in the morning. Then, the same tonic can be mixed and carried with the patient and consumed throughout the day, particularly when fatigued or stressed out. The second major development in your new EI QRG protocol is the concept of determining the patient's hydration status. This hydration number applies to patients of all imbalances but is most significant in patient's with electrolyte stress and electrolyte insufficiency imbalances. Remember, your EI patients are hypovolemic. That means that they need to increase their body fluid volume. However, these patients are very often also hypotonic which means they need the electrolyte salts even more than they need water. When you carefully monitor the hydration status during the first few follow-up tests on your EI patients, you can get a good estimation of how much water they need to consume as part of their electrolyte tonic. (When an EI patient's hydration number is above 50 have them just mix their electrolytes in as much water as they need to make the taste palatable.) - 4 - Also note that ... AN EI PATIENT'S ELECTROLYTE NEEDS ALMOST ALWAYS CHANGE ONCE YOU INITIATE YOUR TREATMENT REGIMEN. Think of the initial supplementation as a clinical trial. The way the patient responds to these nutrients, as shown by the first follow- up test (always within a week of the initial test), actually gives you more information about what they need than the initial testing did. The third major improvement in your electrolyte insufficiency QRG protocol is the addition to your NUTRI- SPEC supplement line of Formula EW and Sodium Glycerophosphate. We will be covering these two supplements in more detail in next month's Letter. One additional comment should be made regarding electrolyte insufficiency and the woman with hepatitis described above. There was something that made me nervous when I began treating that patient. I wondered if there was a chance that the sodium salts indicated by the QRG could possibly aggravate her ascites? Her clinical response soon gave me to know I had nothing to fear. However, this is an issue that frequently comes up in the questions that you phone and fax to NUTRI-SPEC. The amount of sodium that you give many of these patients concerns you, particularly in those patients (usually women) who have a tendency to retain fluid. Our experience has been that the sodium salts not only do not increase fluid retention, they actually decrease the fluid retention by strengthening the adrenal and pituitary control of fluid dynamics. However, there is the possibility of running into problems with fluid retention if one or both of two problems occur. The first of these problems is that you do not monitor the patient's hydration, and so their water intake is inadequate. They will not have adequate water to keep the electrolytes moving into the cells and/or out through the kidneys. In such cases you can get an interstitial edema until the person consumes enough water. The other common problem in people that retain fluid on the indicated electrolytes are those who are eating too much carbohydrate. This carbohydrate induced fluid retention is common to people of all metabolic tendencies, not just those with an electrolyte insufficiency imbal- - 5 - ance. There are many people who can eat two pieces of bread and gain more weight than the weight of the bread. It is as if the bread were a sponge that diffused throughout their interstitium, sucking up enough water (and salt) to make them puffy and squishy. I wish I could say the exact mechanism by which this carbohydrate induced fluid retention occurs -- but I cannot. The reason I cannot get a good handle on it despite having studied hundreds of patients who suffer with the problem is because the condition is probably largely hormone related and thus can cross the boundaries of the metabolic balances. In other words, since excess estrogen is certainly a factor, as is excess insulin or excess cortisol in some cases -- you will see this fluid retention reaction in patients who are ketogenic as well as those who are glucogenic, and in anaerobic patients as well as dysaerobic patients. Another way to say this is that the excess carbohydrate hits a person at their weakest link, exacerbating whatever metabolic imbalances they tend to have. And -- virtually all the metabolic imbalances can be associated with abnormal fluid and electrolyte dynamics which, in turn, can be associated with fluid retention. One other major factor in this carbohydrate induced edema relates to not so much the direct effect of the excess carbohydrate but to the fact that excess carbohydrate means, almost by definition, insufficient protein. The colloidal effect of adequate protein in the body fluids prevents interstitial edema since the oncotic pressure caused by the proteins keeps fluid in the plasma. For the purposes of this discussion on electrolyte insufficiency imbalance, the main thing you need to know is that the sodium salts will give your patients a tremendous surge in vitality if normal hydration is maintained, and, if their carbohydrate intake is appropriate. In next month's Letter we will give a presentation on electrolyte insufficiency imbalance to parallel the presentation we gave on electrolyte stress imbalance several months ago. You may recall the chart with two columns that defined the two major categories of electrolyte stress imbalance. The same type of sub- categorization applies to electrolyte insufficiency imbalance. Each of the two sub-categories of electrolyte insufficiency imbalance is associated with a certain set - 6 - of stress hormones and with certain accompanying metabolic imbalances. Look for the details next month. Sincerely, Guy R. Schenker, D.C. P.S.: By now most of you have received samples of all the updated printed materials for patient education. All the imbalance descriptions that you give your patients have been re-written. And, there is a new master folder entitled, "What NUTRI-SPEC Will Do For You," in which you enclose each patient's imbalance descriptions and their Report of Findings describing their individualized diet and supplement regimen. If you have not received a copy of these materials call us and we will send one at no charge. The imbalance descriptions can be ordered from us, but as in the past, you are welcome to use the sample we give you as a master from which you make your own copies if that is more convenient and cost effective for you. The two major changes in the Report of Findings concern the NUTRI-SPEC Fundamental Diet. Nuts and seeds containing toxic oils are deleted, and the point chart is revised to allow unlimited intake of non-starchy vegetables free of any points. "What NUTRI-SPEC Will Do For You," is an all new handout to give to your patients. It is the cover folder that wraps around all the materials that you hand out. It gives an in-depth explanation of what the goals of NUTRI-SPEC are, and the essentials of how this objectively determined patient-specific nutrition plan will work for that individual. Quite frankly, I have to say that there is far more written there than 9 out of 10 patients will care to read. But many doctors have approached us over the years requesting something to accompany the Report Of Findings that gives a little more detailed explanation than does the "The Secret Of Good Nutrition." This new folder satisfies that request. Only 10% or less of your patients will actually read the thing, but the other 90% will take security from knowing that it is there, even if they don't care to read it. Check out these materials very carefully -- I think you will find that they really facilitate your ease of administering NUTRI-SPEC to a larger and larger number of the patients who need your help. Sincerely, Guy R. Schenker, D.C.