11/10/2016. Lecture Overview. Support Documents for Module #9

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Digestive System Detoxification as a Diagnostic and Therapeutic Approach for Complex Patients or Clients Copyright 2016, Educational Resource Association.

1 Digestive System Detoxification as a Diagnostic and Therapeutic Approach for Complex Patients or Clients Copyright 2016, Educational Resource Association. This material may not be reprinted, distributed or used without permission. 1 Lecture Overview What is detoxification? Signs and symptoms of toxicity Phase 1 and 2 detoxification Bowel and liver detoxification: Step 1 bowel Step 2 liver Dietary guidelines while detoxing Types of detoxification programs Detoxing the sensitive patient 2 Support Documents for Module #9 General Recommendations for Detox Program handout. Detox Support for Sensitive Patient - handout Dietary Guidelines for Detox Program - handout Simple Detox Kits (pdf) SIBO Detox (pdf) Lecture slides (pdf) Lecture slides note taking (pdf) 3 1

What is Detoxification? The removal of cellular and metabolic debris from our blood and organ systems. Elimination of accumulated toxins acquired from food, water and environment.

2 What is Detoxification? The removal of cellular and metabolic debris from our blood and organ systems. Elimination of accumulated toxins acquired from food, water and environment. Elimination of bowel and liver toxins that negatively affect the rest of the body. 4 Healthy versus Unhealthy Cells 5 Why Should We Regularly Detox? To reduce the chemical load that accumulates over time and undermines our health, vitality and longevity. To prevent disease now and in the future To restore vitamins, minerals and enzymes To slow the aging process and optimize health To determine how many symptoms are related to lifestyle factors versus true underlying health problems. 6 2

Signs and Symptoms Associated With Toxicity Blood Test Abnormalities Skin Eruptions/Conditions Muscle and Joint Pain Fatigue Generalized Weakness Menstrual Irregularities Hormone Imbalances Sluggish

3 Signs and Symptoms Associated With Toxicity Blood Test Abnormalities Skin Eruptions/Conditions Muscle and Joint Pain Fatigue Generalized Weakness Menstrual Irregularities Hormone Imbalances Sluggish Bowels Neurological Disorders Headaches Hypersensitivity Reactions Difficulty Losing Weight Fluid Retention Fingernail Changes Hair Loss Brain Fog Inability to Focus Attention 7 The Kidneys Elimination of water soluble products found in the blood. Maintains electrolyte balance. Maintains acid/base balance. 8 Infra-Red Sauna Toxins are released from the subcutaneous fat via sweating. 9 3

4 Benefits of the Infra-Red Sauna Safer and more tolerable than radiant heat saunas for detoxification purposes (which need very high heat 180+). Deep penetration of tissues triggering the release of stored toxins directly into the sweat. Lower sauna temperature, i.e. 90 to 120 degrees Improved microcirculation Frequency of use increases detoxification capacity 10 The Digestive System 11 Bowels - Small Intestine & Large Intestine Need to move bowels at least 1+ time per day ideally. Auto-intoxication - bowel toxins being reabsorbed back into general circulation. Assessing bowel function: Infections Candida Gluten and other food sensitivities 12 4

Phase I Detoxification oxidation/reduction; need for minerals; more toxic compounds.

5 The Liver & Gallbladder All three need to work together 13 Liver & Gallbladder Processes toxins, metabolic by-products, drugs, chemicals and hormones. Phase I Detoxification oxidation/reduction; need for minerals; more toxic compounds. Phase II Detoxification conjugation; need for sulfur groups, amino acids and glutathione. Products are emptied into bowel for elimination

6 Detoxification Diet & Lifestyle What to Eliminate Processed Sugar White Flour Processed Grains Artificial Ingredients Chemical Additives Excess Caffeine Preservatives Hydrogenated Oils Rancid Oils Minimize Dairy Products Soft Drinks 16 Detoxification Diet & Lifestyle What to Include Organic Fruits & Vegetables Whole Grains Nuts & Seeds Cold-Pressed Oils Beans Organic, Free-Range Protein Sources. Wild Fish Filtered Water Herbal Teas Fresh Vegetable Juices Increase Raw Foods to 60-70% of diet. 17 Detoxification Diet & Lifestyle Exercise 4-5 times per week for 45 minutes to 60 minutes Exercise in the morning if possible Breathe, stretch, move, get outdoors 18 6

7 Basic Supplements for Detoxification Whole Food Concentrates. Essential Fats Highly Absorbable Multivitamin. Antioxidants Digestive Enzymes Glutathione or precursors Highly Absorbable Minerals and Trace Minerals. Probiotics Herbs to support Bowel, Liver and Kidney Detox. 19 Bowel and Liver Detoxification Helping to clear the symptom picture 20 Bowel & Liver Detox Need to support digestion, absorption and elimination from top to bottom. Digestive enzymes, hydrochloric acid and bile acids support detoxification and motility moving toxins out of the body. Improving bowel motility is a key aspect of detoxing the digestive tract. Must detox the bowel first, then the liver Both the bowel and the liver have a Phase I and Phase II detox system. Systems need to be supported through adequate nutrition. 21 7

8 Step I Bowel Detox Major pathway of elimination Poor bowel function effects many aspects of our health. Products from Phase I and Phase II liver detoxification are released into the bowel for elimination. Bowel functions as a detox organ itself with its own Phase I and Phase II detox system. If the bowels are sluggish, the body becomes autointoxicated by products that are meant to be eliminated. 22 Step II Liver Detox Detox the liver after the bowel All detox products from the liver ultimately move into the bowel for elimination. Liver detox with poor bowel function leaves you feeling worse. Optimizing digestion and bowel function will support liver detox by opening pathways of elimination in the liver. 23 Step II Liver Detox The liver is the first organ to receive both nutrients and toxins from the GI tract. The liver excretes toxins from the blood into the bile where it is stored in the gallbladder then ultimately released into the bowel. Working on the bowel first will make liver detoxing easier and patients generally feel the effects of detoxing the bowel right away. 24 8

9 Dietary Guidelines While Detoxing What not to eat: No gluten foods, minimal grains, no white potatoes No processed or packaged foods No food additives or preservatives Alcohol Anything with excess sugar in the form of glucose, sucrose, dextrose, maltodextrin, corn syrup. Alternative sweeteners including aspartame, Nutrasweet, Splenda, sorbitol, sucralose, mannitol, maltitol. Hydrogenated oils, canola oil, commercial salad dressing 25 Dietary Guidelines While Detoxing What to eat: Organic foods as much as possible Lots of fresh and lightly cooked veggies Eat freshly prepared foods as much as possible Raw, organic seeds and nuts Protein at each meal Healthy cold-pressed oils Cook with olive oil, butter or Ghee and coconut oil Fermented foods with each meal Ground flax seeds or other source of fiber if tolerated 26 Types of Detox Programs 1. Detoxing the Sensitive Patient 2. Simple Detox Programs for Uncomplicated Patients. 3. Detoxing the SIBO Patient 27 9

10 Detoxing the Sensitive Patient Follow the Steps & Start Slowly 28 Detoxification Programs for Sensitive Patients Step I Bowel Cleansing Start with the Detox Diet for 1-2 weeks Add a source of fiber, if tolerated, to promote healthy bowel movements. Binders to bind toxins in the bowel Have patient increase water consumption: ½ ounce per pound of body weight Prime basic detox pathways with nutritional supplements: Multivitamin, minerals, antioxidants, digestive enzymes 29 Fibers Most plant-based foods have a combination of soluble and insoluble fibers. Soluble Fibers - dissolve in water to form a gel-like consistency; good for constipation or diarrhea by absorbing liquid: Examples found in fiber supplements: acacia gum, pectin, psyllium, rice bran, beet fiber, flax seeds. Insoluble Fibers do not dissolve in water; best for constipation, bulks stool: Examples found in fiber supplements: cellulose, hemicellulose, lignans

Fiber Products -Flax (Linum usitatissimum) Seed 1.2 g -Psyllium (Plantago ovata) Seed Husk 1.2 g -Rice (Oryza sativa) Bran 1.

Fruit, Belleric Myrobalan (Terminalia bellerica) Fruit, and Chebulic Myrobalan (Terminalia chebula) Fruit.

casei, Lactobacillus salivarius, and Streptococcus thermophilus -Marshmallow (Althaea officinalis) Root Extract 48 mg -Papain (Papaya enzyme equivalent to 30,000 USP units/mg) 3.

31 Fiber Products Dietary Fiber 6 g Soluble fiber 1 g Insoluble fiber 5 g Protein 1 g Ingredients: Rice bran, beet fiber, oat fiber, apple fiber, cellulose, olive oil, and d-alpha tocopheryl

11 Fiber Products -Flax (Linum usitatissimum) Seed 1.2 g -Psyllium (Plantago ovata) Seed Husk 1.2 g -Rice (Oryza sativa) Bran 1.2 g -Dried Plum (Prunus domestica) Fruit 180 mg -Fenugreek (Trigonella foenum-graecum) Seed 150 mg -Slippery Elm (Ulmus rubra) Bark 150 mg -Triphala Blend 150 mg -Amla (Phyllanthus emblica) Fruit, Belleric Myrobalan (Terminalia bellerica) Fruit, and Chebulic Myrobalan (Terminalia chebula) Fruit. -Spectra Probiotic Proprietary Blend 60 mg -Lactobacillus acidophilus, Bifidobacterium bifidum, - Bifidobacterium infantis, Bifidobacterium longum, -Lactobacillus helveticus, Lactobacillus casei, Lactobacillus salivarius, and Streptococcus thermophilus -Marshmallow (Althaea officinalis) Root Extract 48 mg -Papain (Papaya enzyme equivalent to 30,000 USP units/mg) 3.7 mg Dosage: 6 capsules 1-2 times per day with a large glass of water. 31 Fiber Products Dietary Fiber 6 g Soluble fiber 1 g Insoluble fiber 5 g Protein 1 g Ingredients: Rice bran, beet fiber, oat fiber, apple fiber, cellulose, olive oil, and d-alpha tocopheryl acetate (antioxidant). Dosage: 1 scoop mixed well into a large glass of water or other beverage 1-2 times per day. NOTE: Best for constipation 32 Fiber Plus Binders Ingredients: Per 2 capsules: -Psyllium husk 850 mg -Charcoal 290 mg -Vitamin C 75 mg -Chlorophyll 25 mg -Apple pectin 25 mg -Lactobacillus Acidophilus 50 mg -Magnesium citrate 38 mg -Goldenseal 50 mg Dosage: 6 caps 2 times a day with 12 oz. water, or 4 caps 3 times a day with 8 oz. water. NOTE: Charcoal for added detox effect 33 11

Dosage: 1 heaping tablespoon 2 times per day in dilute juice; mix well in a shaker bottle. NOTE: stool will be black due to charcoal.

12 Fiber Plus Binders Ingredients: Flax Seed, Psyllium Seed, Apple Pectin, Activated Willow Charcoal, Marshmallow Root, Pharmaceutical-Grade Bentonite Clay, Slippery Elm Bark, Peppermint Leaf and Cayenne Pepper Blend Dosage: 1 heaping tablespoon 2 times per day in dilute juice; mix well in a shaker bottle. NOTE: stool will be black due to charcoal. 34 Detoxification Programs for Sensitive Patients Step II Liver Detox Continue Detox Diet and Bowel Support while detoxing the liver (Step I). Add liver detox products to support Phase I and Phase II detox pathways. Liver Detox 1-2 weeks Be aware that some liver detox products contain additional fiber; may need to reduce separate fiber supplementation. 35 Products to Support Liver Detox in the Sensitive Patient Supports Phase I & II Detox PDF Product Guide with detox recommendations available on Emerson Ecologics website Contains additional fiber Rice protein Dosage: 1 scoop 2 times per day in a large glass of water; start with ½ scoop in sensitive patients

13 Products to Support Liver Detox in the Sensitive Patient Supports Phase I & II Detox. Pea Protein No added fiber Dosage: 1 scoop 2 times per day in a large glass of water; may have to start with ½ scoop in sensitive patients. 37 Simple Detox Programs for Uncomplicated Patients Detox Kits That Work 38 Simple Detox Kits Seven Day Program contains 3 products and Detox Guide with Dietary Recommendations. Phase I & II Liver Detox Support. Added fiber in powdered detox drink. Herbal and nutrient support in capsules

Simple Detox Kits Seven Day Program contains 3 products and Detox Guide with Dietary Recommendations. Phase I & II Liver Detox Support. Added fiber in powdered detox drink.

Powdered Detox Formula Good for constipation types Good Support for Phase I & II Liver Detox.

14 Simple Detox Kits Seven Day Program contains 3 products and Detox Guide with Dietary Recommendations. Phase I & II Liver Detox Support. Added fiber in powdered detox drink. Herbal and Nutrient support in capsules. California Only Kit 40 Simple Detox Kits Step I & II Detox Program Contains Herbal Bowel Stimulants Senna and Cascara. Powdered Detox Formula Good for constipation types Good Support for Phase I & II Liver Detox. 41 Simple Detox Kits 15 Day Bowel Cleanse Kit Herbal Support for Liver but not specific for Phase I & II. Can use this for a simple bowel detox then add liver support with Phase I & II support products during second week of program. Good for constipation types 42 14

Simple Detox Kits Bowel, Liver, and Kidney Detoxification Packages www.herbdoc.

15 Simple Detox Kits Bowel, Liver, and Kidney Detoxification Packages 43 Detoxing the SIBO Patient Reducing Bacteria and Binding Toxins 44 Detoxing the SIBO Patient Goal is to reduce commensal bacteria, absorb products of fermentation and bind toxins. Must continue with Digestive Enzymes and Motility Support. No added fiber as this will add to symptoms Focus is primarily on GI detox Can add Liver Detox products/program when bowels are improved and elimination is consistent

BioBotanical Research Comprehensive Cleansing Program www.biocidin.

pathogens, etc. and then coordinating the findings with the clinical presentation of the patient/client.

16 BioBotanical Research Comprehensive Cleansing Program 46 Final Thoughts Mastering gastrointestinal problems is learning which tests provide you with the best information regarding pathogens, etc. and then coordinating the findings with the clinical presentation of the patient/client. Testing: OAT, GI pathogen, CDSA, SIBO, food sensitivity Treatments: Botanical, medications, various diets Bowel and liver detoxification 47 Thank You Kurt N. Woeller, D.O. & Tracy Tranchitella, N.D

Fiber: What Is It and What Does It Do? By James L. Holly, MD. Your Life Your Health. The Examiner. May 5, 2005

Fiber: What Is It and What Does It Do? By James L. Holly, MD Your Life Your Health The Examiner May 5, 2005 I don t know about you, but fiber has always been a mystery to me. Soluble fiber, insoluble fiber?