'The role of Nutritional Therapy in the care of individuals with cardiovascular related problems'
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1 'The role of Nutritional Therapy in the care of individuals with cardiovascular related problems' Nutritional Therapists have a primary role in offering evidence based recommendations to their patients seeking either practical suggestions for prevention or more aggressive intervention for recovery or resolution. The role of dietary choice and lifestyle activities are well understood in overarching principles but poorly understood in terms of individual relevance and compliance. This short summary provides a recommended source of nutrients as indicated in the accompanying presentation as having beneficial effects on risk and resolution from epidemiological studies, human studies, and animal studies. Each patient represents a puzzle, a personal story attached to a diagnosis. Through the Functional Medicine paradigm a careful review of systems includes: Hormonal and neurotransmitter imbalances Oxidation-reduction imbalances and mitochondropathy Detoxification and biotransformational imbalances Immune imbalances Inflammatory imbalances Digestive, absorptive, and microbiological imbalances Structural imbalances from cellular membrane function to the musculoskeletal system 1
2 Start Young Population based studies in the youth show that the precursors of heart disease start in adolescence. The process of atherosclerosis evolves over decades, and begins as early as childhood. The Pathobiological Determinants of Atherosclerosis in Youth Study demonstrated that intimal lesions appear in all the aortas and more than half of the right coronary arteries of youths aged 7 9 years. However, most adolescents are more concerned about other risks such as HIV, accidents, and cancer than cardiovascular disease. This is extremely important considering that 1 in 3 people will die from complications attributable to atherosclerosis. In order to stem the tide of cardiovascular disease, primary prevention is needed. Primary prevention starts with education and awareness that cardiovascular disease poses the greatest threat and measures to prevent or reverse this disease must be taken. understood for centuries but continues to receive questions about its validity as both a public health strategy and or individualised therapy. The Finnish study showing how a national shift to using a low sodium nutrient dense salt and its dramatic effects of death and morbidity continues to demonstrate that simple strategies can have powerful effects. The evidence for use of food supplements as specific modifiers of biological function are also hampered by the nature of the studies, the size of the groups and numerous confounders. Yet patients and practitioners see the difference in their health on a daily basis when used correctly. Food and food supplements are not drugs, but can have significant effects. The idea of taking kitchen ingredients and making them a therapy is appealing from a cost and safety perspective. Tumeric is probably one ingredient that can really say its time has come in this respect. Hope Unlike many other chronic medical conditions, cardiovascular disease is treatable and reversible, even after a long history of disease. Treatment through a Nutritional Therapist is primarily focused on diet and supplements and stress reduction through suitable lifestyle changes. There are many ways to solve a human s health problems, but few are not directly impacted upon by foods. The role of food as a medicine has been 2
3 Sources of Nutrients from Food Supplements. Novel Salt Substitute Pansalt as yet not available in the UK Vitamin D BRC: Bio D Mulsion BRC: Bio D Mulsion Forte 400iu 2000iu Resveratrol BRC: ResveraSirt HP (Dr Mark Houston) BRC: VasculoSirt (Dr Mark Houston) Essential Fatty Acids & Cofactors BRC: EFA-Sirt Supreme (Dr Mark Houston) BRC: Lipid-Sirt (Dr Mark Houston) Niacin ARG: Niacin (70360) 250mg Fat Soluble Antioxidant ARG: Fibronol Curcumin/Tumeric (poorly absorbed take with Piperine) ARG: Bioperine (75890) 25mg Wt Loss Protocol BRC: Control-IT produces immune management and steady controlled body composition changes Iodine (Thyroid) BRC: Iodizyme-HP 12.5mg Adrenal Support Dr W: Adrenal Rebuilder SIgA ARG: Saccharomyces Boulardii 9 Billion 3
4 Sources of Nutrients from Food Supplements. COQ-10 (ubiquinol) is a reduced form of coenzyme Q10) ARG: CoQH-CF 100mg Cytochrome P450 Support ARG: Fast and Be Clear Gut Permeability Support ARG: Permavite Treg IL-IO and TGFβ mucosal promoters ARG: L.Plantarum, Salivarius, Rhamnosus ARG: Saccharomyces Boulardii BRC: BioBifido Bac T Soluble BRC: Colon Plus Caps Multi Vi Min BRC: ProMulti-Plus Humour Rent out regular comedies and engage in group laughing, buy and save favourite clips for regular reviews. L-Carnitine ARG: L-Carnitine BRC: Bio-C Plus Potassium BRC: K-Zyme Vitamin E ARG: Natural Gamma E B Complex ARG: Super Vitamin B complex 500mg 1000mg 99mg 414mg 500mg Cod Liver Oil NN: Natural CLO 4
5 T HEALTH VESSELS SIRTUINS AGING VASCULAR NUTRITION RESEARCH ANCIENT THERAPY INNOVATIVE INTEGRATIVE ANT RECEPTOR IMMUNITY CARDIOVASCULAR BIOCHEMISTRY EDUCATION HEALING LIFESTYLE FOOD EXERCISE RESTRAINT H ATIENTS PRACTITIONERS COMPLIANCE INTELLECT DECISIONS APPLICATION COMPLIANCE HAPPINESS SYMPATHETIC ALL S APPLICATION FLOWCHART STRATEGY CO MORBIDITY MEDICINE SURGERY SKIN ELASTICITY YOUTHFULNESS BABY-BOOMER LONGEV S ARMSTRONG MENTAL OSTEOPATH NATUROPATH PHYSICIAN EXPECTATIONS TWENTYFIRSTCENTURY ATTENDANCE PO UATE TOXICITY DIET HEART HEALTH VESSELS SIRTUINS AGING VASCULAR NUTRITION RESEARCH ANCIENT THERAPY INN NTEGRATIVE ANTAGONIST RECEPTOR IMMUNITY CARDIOVASCULAR BIOCHEMISTRY EDUCATION HEALING LIFESTYLE FO CISE RESTRAINT HOSPITAL PATIENTS PRACTITIONERS COMPLIANCE INTELLECT DECISIONS APPLICATION COMPLIANCE H SYMPATHETIC ALLOWANCES APPLICATION STRATEGY CO MORBIDITY MEDICINE SURGERY SKIN ELASTICITY YOUTHFULN -BOOMER LONGEV ITY GENES ARMSTRONG MENTAL OSTEOPATH NATUROPATH PHYSICIAN EXPECTATIONS TWENTYFIRS ATTENDANCE POST GRADUATE TOXICITY DIET HEART HEALTH VESSELS SIRTUINS AGING VASCULAR NUTRITION RESEAR ENT THERAPY INNOVATIVE INTEGRATIVE ANTAGONIST RECEPTOR IMMUNITY CARDIOVASCULAR BIOCHEMISTRY EDUCAT ING LIFESTYLE FOOD EXERCISE RESTRAINT HOSPITAL PATIENTS PRACTITIONERS COMPLIANCE INTELLECT DECISIONS AP COMPLIANCE HAPPINESS SYMPATHETIC ALLOWANCES APPLICATION STRATEGY CO MORBIDITY MEDICINE SURGERY SKI TICITY YOUTHFULNESS BABY-BOOMER LONGEVITY GENES ARMSTRONG MENTAL OSTEOPATH NATUROPATH PHYSICIAN E NS TWENTYFIRSTCENTURY ATTENDANCE POST GRADUATE TOXICITY DIET HEART HEALTH VESSELS SIRTUINS AGING VAS ITION RESEARCH ANCIENT THERAPY INNOVATIVE INTEGRATIVE ANTAGONIST RECEPTOR IMMUNITY CARDIOVASCULAR HEMISTRY EDUCATION HEALING LIFESTYLE FOOD EXERCISE RESTRAINT HOSPITAL PATIENTS PRACTITIONERS COMPLIANC LECT DECISIONS APPLICATION COMPLIANCE HAPPINESS SYMPATHETIC ALLOWANCES APPLICATION STRATEGY CO MOR CINE SURGERY SKIN ELASTICITY YOUTHFULNESS BABY-BOOMER LONGEVITY GENES ARMSTRONG MENTAL OSTEOPATH ROPATH PHYSICIAN EXPECTATIONS TWENTYFIRSTCENTURY ATTENDANCE POST GRADUATE TOXICITY DIET HEART HEALT ELS SIRTUINS AGING VASCULAR NUTRITION RESEARCH ANCIENT THERAPY INNOVATIVE INTEGRATIVE ANTAGONIST RECE NITY CARDIOVASCULAR BIOCHEMISTRY EDUCATION HEALING LIFESTYLE FOOD EXERCISE RESTRAINT HOSPITAL PATIEN TITIONERS COMPLIANCE INTELLECT DECISIONS APPLICATION COMPLIANCE HAPPINESS SYMPATHETIC ALLOWANCES AP STRATEGY CO MORBIDITY MEDICINE SURGERY SKIN ELASTICITY YOUTHFULNESS BABY-BOOMER LONGEVITY GENES ARM NG MENTAL Prepared OSTEOPATH NATUROPATH based PHYSICIAN on Dr EXPECTATIONS Mark TWENTYFIRSTCENTURY Houston s ATTENDANCE research POST GRADUAT ITY DIET HEART HEALTH VESSELS SIRTUINS AGING VASCULAR NUTRITION RESEARCH ANCIENT THERAPY INNOVATIVE IN NTAGONIST RECEPTOR IMMUNITY CARDIOVASCULAR BIOCHEMISTRY EDUCATION HEALING LIFESTYLE FOOD EXERCISE RAINT HOSPITAL PATIENTS PRACTITIONERS COMPLIANCE INTELLECT DECISIONS APPLICATION COMPLIANCE HAPPINESS E APPLICATION STRATEGY CO MORBIDITY MEDICINE SURGERY SKIN ELASTICITY YOUTHFULNESS BABY-BOOMER MENTAL OPATH NATUROPATH PHYSICIAN EXPECTATIONS TWENTYFIRSTCENTURY ATTENDAN TOXICITY DIET HEART HEALTH YOUTH VES INS AGING VASCULAR NUTRITION RESEARCH ANCIENT T ANTAGONIST RECEPTOR IMMUNITY CARDIOVASCULAR BIO CH DUCATION HEALING LIFESTYLE SYM ALLOWANCES RESTRAINT HOSPITAL PATIENTS PRACTITIONERS COMPLIANCE INTE IONS HAPPINESS SYMPATHETIC ALLOWANCES APPLICATION STRATEGY CO MORBIDITY MEDICINE SURGERY SKIN ELAST HFULNESS BABY-BOOMER LONGEV ITY GENES ARMSTRONG MENTAL OSTEOPATH NATUROPATH PHYSICIAN EXPECTATIO TYFIRSTCENTURY ATTENDANCE POST GRADUATE TOXICITY DIET HEART HEALTH VESSELS SIRTUINS AGING VASCULAR N RESEARCH ANCIENT THERAPY INNOVATIVE INTEGRATIVE ANTAGONIST RECEPTOR IMMUNITY CARDIOVASCULAR BIOCHE ATION HEALING LIFESTYLE FOOD EXERCISE RESTRAINT HOSPITAL PATIENTS PRACTITIONERS COMPLIANCE INTELLECT D S APPLICATION COMPLIANCE HAPPINESS SYMPATHETIC ALLOWANCES APPLICATION STRATEGY CO MORBIDITY MEDICIN ERY SKIN ELASTICITY YOUTHFULNESS BABY-BOOMER LONGEVITY GENES ARMSTRONG MENTAL OSTEOPATH NATUROPAT ICIAN EXPECTATIONS TWENTYFIRSTCENTURY ATTENDANCE POST GRADUATE TOXICITY DIET HEART HEALTH VESSELS SIR G VASCULAR NUTRITION RESEARCH ANCIENT THERAPY INNOVATIVE INTEGRATIVE ANTAGONIST RECEPTOR IMMUNITY CA ULAR BIOCHEMISTRY EDUCATION HEALING LIFESTYLE FOOD EXERCISE RESTRAINT HOSPITAL PATIENTS PRACTITIONERS CE INTELLECT DECISIONS APPLICATION COMPLIANCE HAPPINESS SYMPATHETIC ALLOWANCES APPLICATION STRATEGY BIDITY MEDICINE SURGERY SKIN ELASTICITY YOUTHFULNESS BABY-BOOMER LONGEVITY GENES ARMSTRONG MENTAL O NATUROPATH PHYSICIAN EXPECTATIONS TWENTYFIRSTCENTURY ATTENDANCE POST GRADUATE TOXICITY DIET HEART ELS SIRTUINS AGING VASCULAR NUTRITION RESEARCH ANCIENT THERAPY INNOVATIVE INTEGRATIVE ANTAGONIST RECE NITY CARDIOVASCULAR BIOCHEMISTRY EDUCATION HEALING LIFESTYLE FOOD EXERCISE RESTRAINT HOSPITAL PATIEN TITIONERS COMPLIANCE INTELLECT DECISIONS APPLICATION COMPLIANCE HAPPINESS SYMPATHETIC ALLOWANCES AP STRATEGY CO MORBIDITY MEDICINE SURGERY SKIN ELASTICITY YOUTHFULNESS BABY-BOOMER LONGEVITY GENES ARM NG MENTAL OSTEOPATH NATUROPATH PHYSICIAN EXPECTATIONS TWENTYFIRSTCENTURY ATTENDANCE POST GRADUAT ITY DIET HEART HEALTH VESSELS SIRTUINS AGING VASCULAR NUTRITION RESEARCH ANCIENT THERAPY INNOVATIVE IN NTAGONIST RECEPTOR IMMUNITY CARDIOVASCULAR BIOCHEMISTRY EDUCATION HEALING LIFESTYLE FOOD EXERCISE RAINT HOSPITAL PATIENTS PRACTITIONERS COMPLIANCE INTELLECT DECISIONS APPLICATION COMPLIA TWENTYFIRSTC ENTY NUTRITION LIFE HEALTH ALLOWANCES APPLICATION STRATEGY CO MORBIDITY MEDICINE SURGERY SKIN ELAST HFULNESS BABY-BOOMER LONGEVITY GENES ARMSTRONG MENTAL OSTEOPATH NATUROPATH PHYSICIAN EXPECTATIO TYFIRSTCENTURY ATTENDANCE POST GRADUATE TOXICITY DIET HEART HEALTH VESSELS SIRTUINS AGING VASCULAR N RESEARCH ANCIENT THERAPY INNOVATIVE INTEGRATIVE ANTAGONIST RECEPTOR IMMUNITY CARDIOVASCULAR BIOCHE
6 SELECTING INTEGRATIVE ANTI HYPERTENSIVE TREATMENT BASED ON BLOOD PRESSURE STRATIFICATION USING RENIN PROFILING TESTS 1. Plasma Renin Activity (PRA & Serum Aldosterone) 2. Genova: Comprehensive Cardiovascular Risk Profile 3. Spectracell: Functional Intracellular Analysis VOLUME HYPERTENSION Low Renin (LRH) PRA <0.65ng/ml/hr MEDICATION YES NO ALPHA CALCIUM DIURETICS SARA CHANNEL NUTRITION LIFESTYLE SUPPLEMENTS NATURAL ANTI HYPERTENSIVE COMPOUNDS Exercise Meditation Omega 3 MUFA K+ Mg++ Ca++ Flavonoid Vitamin E Co Q 10 L Arginine Taurine Alpha Lipoic Acid Hawthorne Berry Taurine GLA K+ Mg++ Ca++ Co Q10 L Carnitine Alpha Lipoic Acid Magnesium NAC Vitamin E Omega 3 Calcium Hawthorne Berry DRUG NUTRIENT INTERACTIONS 1. DASH 2 Diet (Low Sodium) 2. Cooked Tomato (Lycopene) 3. Olive Oil 4. Mixed Sticks 7. Fish (Cold Water) 8. Co Q10 2 x x100mg 1. Co Q10 2 x 100mg mg 3. Taurine 2 x 2g 4. 2 x 500mg 5. Vitamin E as Gamma/ 6. Delta Tocopherols: 400 IU (AM) 7. L Arginine 2 x 5g 8. Vitamin E as Gamma/ 9. Delta Tocotrienols: 100mg (PM) 10. Omega 3: EPA 2400mg DHA 1800mg 11. GLA 2 x 240mg 12. Mg Malate 2 x 500mg 13. Hawthorne Extract 2 x 300mg 14. R Lipoic Acid 2 x 100mg (with Biotin) ACEI s Lower: Zn Beta Blockers: Lower: Co Q10 Increase: Glucose, Insulin DRUG NUTRIENT INTERACTIONS Angiotensin Receptor Blockers: Lower: Homocysteine, Uric Acid
7 Integrated approaches to hypertensive patients using evidence based medicine and nutrition. HYPERTENSIVE PATIENT Drug nutrient interactions with hypertensive patients are usually low risk. Mark C. Houston, MD. RENIN HYPERTENSIVE (HRH) PRA >0.65ng/ml/hr VERY HIGH RENIN HYPERTENSIVE PRA >6.5ng/ml/hr MEDICATION YES NO RENIN INHIBITORS ACE INHIBITORS CENTRAL ALPHA BETA ANGIOTENSIN RECEPTOR NUTRITION LIFESTYLE SUPPLEMENTS NATURAL ANTI HYPERTENSIVE COMPOUNDS Exercise Meditation Seaweed Tuna/Sardine Hawthorne Berry Pycnogenol Bonito Fish Casein Hydrolysed Whey Gelatine Sake Omega 3 Zinc Egg Yolks Hydrolysed Wheat Germ Isolate Taurine K+ Zinc Na+ Restriction Co Q10 GLA/DGLA HAWTHORNE BERRY Potasium (K) Co Q10 GLA/DGLA 1. Hydrolysed Whey (30grams/day) 2. DASH Diet (Low CHO) 3. Cooked Tomato (Lycopene) 4. Olive Oil 5. Mixed Sticks (4/day) 8. Cold Water Fish 1. Co Q10 2 x 100mg mg 3. Bonita Fish Extract 2 x 1500mg 4. Taurine 2 x 2g x 500mg 7. Pycnogenol 200mg 8. L Arginine 2 x 5000mg 9. Omega 3: EPA 400mg DHA 1600mg 10. Vitamin D 2000 IU 11. GLA 2 x 240mg 12. Zn 25 50mg 13. Hawthorne Berry 2 x 300mg DRUG NUTRIENT INTERACTIONS Diuretics: Lower: K, Mg, Folate, Zn. Increase: Homocysteine, Glucose, Creatinine, Insulin resistance
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