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.


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