CLINICAL MASTERY OF ADRENAL LAB ANALYSIS & PATIENT COMMUNICATION SKILLS
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1 CLINICAL MASTERY OF ADRENAL LAB ANALYSIS & PATIENT COMMUNICATION SKILLS Who Studies Dr. Kalish? Those new to clinical nutrition and functional medicine who want a clear clinical model to follow to get them started Successful practitioners looking to add nutrition and functional medicine services to help more people Experienced clinicians wanting to develop a streamline, effective and profitable functional medicine oriented business model 1
2 Who is Dr. Kalish? 18 Years of Practice, Treated Over 8,000 Patients Owned and Managed Two Integrative Health Clinics in Del Mar, CA Founder Kalish Method Functional Medicine Clinical Training Program Trained hundreds of chiropractors as well as medical staff at Dr. Mercola s center in Chicago and medical staff at Mayo Clinic Normal Adrenal Glands Dr. Dan s secret: only sees patients Tuesday, Wednesday, Thursday, all cash practice Corollary of item above, EVERY WEEKEND IS A FOUR DAY WEEKEND, time for rest and recovery Dr. Dan drinks heavily and parties like a 20 year old college student every weekend! NOT, I have three kids and am a full time dad four days a week, and thankfully I get to go back to work on Tuesdays! Dr. Sam in NYC s secret: every day at work took nap from 1pm to 3pm result, normal adrenal glands 2
3 Functional Adrenal Stress Profile Normal Case 1: New to Clinical Nutrition and FUNctional Medicine Practitioner Status: Knows he wants to use clinical nutrition and functional medicine, but is not sure exactly how to get started, so many options but no idea of where to begin New Patient Complaints: Susan B., female, attorney, age 45 weight gain, hot flashes and night sweats, still having a regular period What To Do: Herbs for hot flashes, CoQ10 for low energy, maybe some adrenal glandulars, or thyroid support, post menopausal herbs for hot flashes or pre menopausal formulas because of her age? 3
4 Case 1: New to Clinical Nutrition The Plan: Test and fix Susan s adrenal hormones first, correct lifestyle factors and then see what symptoms are left over DR. KALISH CLEAR CLINICAL MODEL TREAT IN THIS ORDER Usually precipitated by one of the Stress Hormones following events: -death -divorce Decreased immune -childbirth (usually 2nd or 3 rd ) response -overwork GI Pathogen acquired, Food intolerances, Leaky gut TOXINS Detox system overwhelmed 4
5 Pregnenolone Steal Acetyl CoA Cholesterol B5 Progesterone 17 - Hydroxyprogesterone 17α - Hydroxylation Pregnenolone 17- Hydropregnenolone 11 - Deoxycortisol Androstenediol Testosterone Dehydro - epiandrosterone Androstenedione Cortisol 5α - Dihydro Hydroxy - testosterone testosterone 19 - Hydroxy - androstenedione Cortisone Estradiol - 17α Estrone Estradiol - 17β Functional Adrenal Stress Profile Stage I 5
6 Case 1: The New Practitioner SUSAN B. WELLNESS PROGRAM: 1. Test and correct adrenal hormones, in three months evaluate for use of female hormone support 2. Test and correct Digestive system either now or in next few months 3. Test Organix Profile in future for overall nutrient status 4. Start lifestyle factors plan now: Diet, Exercise, Stress Management and Sleep programs BODY SYSTEM ONE WELLNESS PROGRAM Adrenal Exhaustion Stage 1 upon arising breakfast mid morning lunch mid afternoon dinner DHEA Drops Pregnenolone Drops Multi Packs Vitamins/Minerals/EFA s 1 pack 1 pack Vitamin C bioflavinoids before sleep updates to program: Seriphos as needed based on high cortisol readings OPTIONALFOR BLOOD SUGAR: Extra blood sugar support product 1 1 Case 2: Quick Fix Practitioner/Dyslexic Practitioner Practitioner Status: He has studied clinical nutrition and functional medicine and is stuck either: 1. Focus on quick fix protocols, relieving symptoms quickly 2. Treating underlying causes, but out of sequence New Patient Complaints: Bill W., 35 year old news anchor, sugar cravings, memory loss, weight gain What To Do: Amazing candida cleanse, high mercury levels on test, detox protocol 6
7 Case 2: Quick Fix Practitioner/Dyslexic Practitioner The Plan: There are Three Body Systems that we can treat in the same order to achieve consistent results a wide variety of cases Mistake 1: Treat GIfi first why is this a problem? Mistake 2: Detox patient first why is this a problem? Underlying Cause is mercury toxicity but is treated last symptoms can be depression, later could be nerve pain... LEVEL 1 Root Causes THREE LEVELS OF FUNCTIONAL MEDICINE Following the Arrows: Type 3 Compound LEVEL 2 LEVEL 3 Body Systems G.I. / Yeast Overgrowth Symptoms Sugar Cravings Mercury Exposure Detox Overload Cognitive Impairment Adrenal Burnout (5 10 Years) Obesity, Fatigue & Depression 7
8 Correct body systems in this order Adrenal Female hormones thyroid PHASE 1 MAIN TREATMENT BEGINS WITH LIFESTYLE -Stress management -Healing diet -Spiritual/emotional -Exercise -Sleep -ADRENAL PROTOCOLS HERE GI PHASE 2 -treat leaky gut -probiotics -parasites, bacteria, yeast Detox PHASE 3 -support liver cells, detox pathways -heavy metal detox Progression of Stages in Adrenal Exhaustion 8
9 Functional Adrenal Stress Profile Stage II Case 2: Quick Fix Practitioner/Dyslexic Practitioner WELLNESS PROGRAM: 1. Test and correct adrenal hormones starting now 2. Test and correct Digestive System starting in 60 days 3. Detox mercury when GI system functioning well 4. Start lifestyle factors plan now: Diet, Exercise, Stress Management and Sleep programs BODY SYSTEM ONE WELLNESS PROGRAM Adrenal Exhaustion Stage 2 upon arising breakfast mid morning lunch mid afternoon dinner DHEA Drops Pregnenolone Drops Multi Packs Vitamins/Minerals/EFA s 1 pack 1 pack Vitamin C bioflavinoids before sleep updates to program: Licorice Root as needed based on low cortisol readings OPTIONALFOR BLOOD SUGAR: Extra blood sugar support product 1 1 9
10 The Kalish Method Functional Method Training One Month and Six Month Programs Available One-Month Introductory Trainings, Weekly Meetings for 60 Minutes - Test and Correct Your Own Adrenal Glands in Class Six-Month Mentorship, small groups of 15 practitioners - Interactive, Live Webinar Format Once Per Week for 90 Minutes - Extensive In Class Practice Assessing Labs and Designing Protocols - Patient Program Guides, Training Manuals, Readings, Classes Recorded - Unlimited Access to Dr. Kalish, Continuing Education Programs Available - Puts the FUN in Functional Medicine DISCOUNT COUPON CODES AVAILABLE FOR THIS CALL Q: What Makes the Kalish Method Different? A: We Integrate Key Functional Medicine Lab Tests Lifestyle Coaching 10
11 Patient Communication is the Key That s why if you join the class Everyone Does Lab Testing Everyone Makes Dietary Changes Everyone Implements Supplement Protocols Everyone Learns How to Involve Their Patients The class is fun, you will laugh you will cry, I promise you ll enjoy every moment Dr. Dan Kalish Case 3: Communication Breakdown Having a Nervous Breakdown? Patients Driving you Insane? Practitioner Status: treating underlying causes, has clinical skills mastered but 1. Frustrated by patient communication issues (it is hard to explain this stuff to people clearly so that they understand what we understand) 2. Business infrastructure problems, have too many supplements in inventory, give discounts, fees too low New Patient Complaints: Lizzy, age 29, chronic fatigue What To Do: Explain the whole protocol clearly her main problem her other doctors was she didn t understand them 11
12 Case 3: Communication Breakdown The Plan: Quickly and clearly communicate complex subjects, to motivate person to heal through understanding of their condition, fear of unknown prevents healing Patient Questions we have to address: How did I get here? Three ways people get sick What do I have to do to get better? Change four lifestyle factors and do lab tests for three body systems Causes of Hormonal Imbalance Emotional Stress Dietary Stress Pain & hidden inflammation 12
13 Stress hormone solution Lifestyle Factors for recovery Sleep/Rest Exercise Stress Management Healing Diet Functional Adrenal Stress Profile Stage III 13
14 Case 3: Communication Breakdown WELLNESS PROGRAM: 1. Test and correct adrenal hormones starting now 2. Test and correct Digestive System starting in 60 days 3. Second round of GI programs to follow 4. Start brain chemistry protocol in 4 months 5. Start lifestyle factors plan now: Diet, Exercise, Stress Management and Sleep programs BODY SYSTEM ONE WELLNESS PROGRAM Adrenal Exhaustion Stage 3 upon arising breakfast mid morning lunch mid afternoon DHEA Drops dinner Pregnenolone Drops Multi Packs Vitamins/Minerals/EFA s 1 pack 1 pack Vitamin C bioflavinoids Licorice Root as needed based on low cortisol readings Extra blood sugar support product 1 1 before sleep updates to program: Are You Ready To Take The Next Step? 1. The Next Six Month Training Program Starts Tuesday, April 26 th 2. With Class Size Limited to 15 Students, only two spots remain. 3. Sign up now and save $1,000! 4. 20% discount off regular course fee of $ Discount only for members of FM Town. Coupon code available at Code is FM Town. 5. Upcoming Free Webinar: 14
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