From: Guy R. Schenker, D.C. August, 1999 Dear Doctor, You enjoy reading case histories which illustrate the amazing power of metabolic balancing with NUTRI-SPEC. The case histories presented in this Letter are both informational and motivational. Seeing what power is easily at your disposal with NUTRI-SPEC gives you the motivation to get into your office and really help some people in a way you haven't helped them before, and in a way that no one else can. A case history also concretizes the abstract principles of NUTRI-SPEC. The philosophical premise that metabolic balancing is the only long-term effective way to increase your patients' adapatative capacity is brought to life in very real terms when you can envision the application of NUTRI-SPEC to a person that resembles in every detail dozens of patients in your own practice. Case Study #1: Amy came to us as a 46 year old school teacher with major complaints which included: - elevated cholesterol and triglycerides (for which she was taking Lipitor) - weight gain - depression (for which she took Prozac fairly regularly) - fatigue, lethargy, and muscle weakness - poor memory and inability to focus - night sweats The patient's primary motivation for seeking NUTRI- SPEC was to lower the cholesterol and triglycerides and - 2 - lose weight. The impetus here was the fact that her father had died at an early age of cardiovascular disease associated with extreme atherosclerosis. This patient had been on Lipitor for several years with minimal improvement in her cholesterol and triglyceride levels. She diligently followed the low fat, high complex carbohydrate diet recommended by the physician who had prescribed the Lipitor. After several years of monitoring her blood fats every couple of months and seeing them hardly budge, she was intelligent enough to realize there was something fundamentally wrong with her medical treatment regimen. She had been referred by a relative (who had tested parasympathetic) who had been put on a relatively high fat, low carbohydrate diet, and had experienced a dramatic turn-around in physical and emotional symptoms. Amy was thus in our office with an open mind, prepared to have her basic premises regarding health and diet turned completely upside down. We didn't disappoint her. Her initial NUTRI-SPEC testing revealed electrolyte stress and anaerobic imbalances. We explained to Amy that the metabolic imbalances we found through our objective testing system revealed that she had already taken several giant steps down the same road her father had traveled. We also assured her that it was not too late to completely reverse course and not only prevent the further advance of cardiovascular disease but to restore excellent cardiovascular health. To do so, however, would require that she completely abandon the ultra low fat diet she had been following. We explained how her metabolic imbalances were the cause of her early stages of cardiovascular disease and certainly the cause of her weight gain, not to mention her many other symptoms. We also explained that these metabolic imbalances were not only not helped by a low fat, high carbohydrate diet, but were actually exacerbated by that diet. Amy listened eagerly as we explained what she would have to do. We chose for her the supplements indicated by the Quick Reference Guide for her two metabolic imbalances. We gave her the NUTRI-SPEC Fundamental Diet along with the specific dietary recommendations for her electrolyte stress and anaerobic imbalances (including smothering everything she ate with olive oil). We modified the NUTRI-SPEC Fundamental Diet just slightly, since weight loss was one of her primary goals. Instead of giving her the protein to carbs ratio of 4:40 we changed the ratio to 4:32, giving her a little less carbs. - 3 - Then, we went one step further in altering the NUTRI-SPEC Fundamental Diet. Since she clearly understood and was receptive to the idea of switching from high carb low fat to the exact opposite, we explained to her that she could jump-start the weight loss aspect of her NUTRI-SPEC regimen if she would go on a 10 day period of even more carbohydrate restriction -- with a 4:8 ratio or less. We suggested that she pick a 10 day period when she knew she would not be encumbered by social events that would make it very difficult to abstain from carbohydrate. Amy responded to NUTRI-SPEC in typical fashion. On her first follow-up test the next week her electrolyte stress pattern was somewhat improved and her anaerobic test pattern was no longer evident. We thus already began reducing her supplementation. Also on this first follow-up it was noted that she was already in ketosis from nothing more than the NUTRI- SPEC Fundamental Diet. In other words, she was already burning her excess reserves of body fat. She had not yet done her 10 days of more rigorous carbohydrate restriction, but she planned to at her first opportunity. A couple of weeks later Amy did begin her 10 days of carbohydrate restricted NUTRI-SPEC Fundamental Diet and a very interesting thing happened. She felt so good both physically and emotionally that she decided to just stick with it. And that is exactly what she did. Instead of going on very low carbohydrate for 10 days she stayed on it pretty much continuously with only an occasional meal when, for social reasons, she violated it slightly -- then got right back on it immediately thereafter. As the weeks passed, Amy maintained a state of moderate ketosis and continued to feel well and lose weight. Now, pay close attention to what happened after 7 weeks on NUTRI-SPEC. Her tests at that stage revealed absolutely no electrolyte stress and no anaerobic imbalance, but, a glucogenic imbalance was now evident. This is not at all uncommon, even among your patients who are progressing very nicely. The glucogenic tendency existed in this patient all along and it probably had been her metabolic tendency since childhood. The glucogenic test pattern was masked by the electrolyte stress and anaerobic imbalances which needed to be corrected first to expose the underlying glucogenic problem. At this point we were able to drastically reduce and/or eliminate all - 4 - her ES and anaerobic supplements, and add Oxygenic G plus the glucogenic dietary recommendations. That her glucogenic tendency was extreme was evidenced by the fact that she had already been following what amounted to a perfect glucogenic dietary regimen. In other words, this was a person who was ideally suited to a high saturated fat diet and had absolutely no tolerance for carbohydrate. The patient was sharp enough to agree that this must be the case, since she felt so good on the low carbohydrate diet and had felt absolutely miserable during the years that she followed the low fat diet. Amy had skipped her first bi-monthly blood test after having started NUTRI-SPEC. She wanted to give it a chance to see what it could do for her. So, it was nearly 4 months after beginning NUTRI-SPEC that she nervously went for a cholesterol and triglyceride check. By now she had confided in her M.D. that she had totally abandoned his plan and was sucking down eggs and fatty meat to her heart's content, and almost totally abstaining from sugar and most other carbohydrates. Anxiously she faced her M.D. for his report of findings. She was deliriously happy to find that her cholesterol levels, while still somewhat elevated at 227, were down significantly, while her HDL (the "good" cholesterol) was the highest it had ever been. Her triglycerides (which is a far more important parameter than cholesterol as a predictor of cardiovascular disease) had plummeted all the way from a high of 289 to a perfectly normal 88. Amy was ecstatic. How many people just like Amy do you know? In other words, how many people do you know for whom you could prevent inevitable cardiovascular disease, while at the same time powerfully impacting their physical and emotional well-being? Case Study #2: Jenny is another interesting case to illustrate just what you can do with your NUTRI-SPEC system. She came to our office having been diagnosed with a "chemical imbalance of the brain" which caused severe depression and anxiety. This was not just your run-of-the-mill depressed 40 year old woman. Jenny's problems had persisted for more than 10 years, during which time she had been hospitalized on several occasions. She had worked herself off the drug Lithium, but was still taking large doses of both Prozac and Xanax daily. - 5 - Jenny's other major complaints were seasonal allergies for which she used an inhaler, and PMS. She also explained that all of her emotional symptoms were much worse during her premenstrual time. Typically her emotions tended toward anger when she was premenstrual. In addition to her medications, the patient was taking truckloads of nutrition supplements daily, and was using a progesterone cream which she said had helped with premenstrual breast tenderness. Jenny's first NUTRI-SPEC testing revealed one imbalance -- a potassium excess acidosis. She was, however, still under the influence of the medications and some of the nutrition supplements, so we considered it likely that she had other imbalances as well. She was put on the supplement regimen for potassium excess acidosis along with the NUTRI-SPEC Fundamental Diet. We gave particular emphasis to avoiding fruit, soda, and juice. Fruit was something that this patient was eating in fairly large quantities, thinking it was healthy. Also, because of the obvious estrogenic component to this patient's problems, we emphasized the no oil aspect of the NUTRI-SPEC Fundamental diet. On the first follow-up which was 5 days later, we got a much more clear picture of what Jenny needed. Now, without so much drug influence and non-specific supplementation clouding the picture, we found an electrolyte insufficiency and a glucogenic imbalance. The Quick Reference Guide gave us just the supplements and dietary recommendations Jenny needed. (As it turned out, most of the electrolytes she needed for the EI imbalance were the same ones we had given her 5 days previously for the potassium excess acidosis pattern). We explained to the patient that she had an acid hypoglycemia. We emphasized again the importance of avoiding sugar, particularly the acid sugars such as found in fruit and juice and soda. When we next saw the patient 3 weeks later, her test patterns were looking much better. She had just begun in the few days before that visit to experience diarrhea after taking her electrolytes. As you might expect, her QRG analysis showed that she no longer had the need for most of those electrolytes. - 6 - What are our thoughts on this patient? We must keep foremost in our mind that the patient's stated goal in starting NUTRI-SPEC was finding a way to get off her Prozac and Xanax. We suspect that that is a possibility, but it is something that must be done very slowly. After 8 weeks on NUTRI-SPEC her PMS has already improved significantly, which is a good sign that on her next visit (in 4 weeks) we should be able to begin the drug withdrawal. When we do, it will be very slowly and cautiously. (Remember, this patient has been hospitalized with emotional crises on several occasions.) Since she takes Prozac and Xanax both twice daily we will begin by deleting one dose of Prozac on Monday and one dose of Xanax on Friday as a starting point. How quickly we can progress from that point is completely determined by her objective test results. Our other thought on this patient is that there may be a parasympathetic component to her electrolyte insufficiency imbalance which is being hidden by her use of the inhaler. We are keeping a sharp eye out for a parasympathetic tendency and if that pattern ever emerges (even if partly hidden by the inhaler) we will pounce upon it with Complex P and whatever else may be indicated. What did you find noteworthy in reviewing these case studies? You may have noted that: - both patients had mental/emotional symptoms which responded very quickly to balancing with NUTRI-SPEC. - each had sugar overload as a causative factor in her metabolic imbalances, and each had poor glycemic control as a result of her imbalances. - each patient was literally destroying herself with a diet consisting of high carbohydrate and "natural" sugar, plus avoidance of saturated fat. - both patients were glucogenic and had many similarities in their treatment regimen, yet their symptoms and physical appearance couldn't have been more different -- overweight vs. lean, lethargic depression vs. manic depression. - each patient presented the same clinical picture as many of your patients -- patients whom you can and must help with NUTRI-SPEC. Sincerely, Guy R. Schenker, D.C.