What are Adrenal Glands?

Written by BIH of Decatur on . Posted in functional medicine, Men, Menopausal Research, obesity, overweight, Uncategorized, Women


Adrenal Health In Womenadrenal glands

by Marcelle Pick, OB/GYN NP

We’re all familiar with stress — it’s a constant element in women’s busy lives. But what we aren’t so familiar with is the body’s response to stress and the ways in which the stress we face today goes far beyond the kind of stress we faced as we evolved — and ends up depleting our energy and health.

When faced with a stressful situation, our bodies rely on the adrenal glands sitting atop our kidneys to monitor our “fight or flight” response. For the most part, our stress response evolved from short-term events — crises that came and went. If we had to run from a predator, for example, our healthy adrenal glands responded by releasing adrenaline, which makes us more alert and focused, and cortisol, which converts protein to energy and releases our stored sugar, glycogen, so our bodies have the fuel needed to respond quickly. In concert, the adrenal response rapidly increases our heart and respiratory rates and blood pressure while releasing energy, tensing our muscles, sharpening our senses, and slowing our digestion so we are primed to escape or fight back, whichever is needed. When the threat is gone, the body returns to normal — quickly with respect to adrenaline levels, less quickly with respect to cortisol.

Permission to nurture yourself: Granted!

Stress can help create hormonal imbalance. Nurturing self-care can help restore that balance. If, like many women, you spend a lot of your time taking care of everyone else, it’s more important than ever to make time for yourself. Do something to care for your body, your mind and your soul — like getting a massage, a reiki treatment, even taking a nap or hot bath.

But in today’s society, women are inundated with stress — stress that doesn’t let up. And when chronic stress repeatedly forces the adrenal glands to sustain high levels of cortisol, two things happen: first, the adrenals can’t attend to their broader role in hormonal regulation because the same resources they use to make hormones like estrogen are required to make cortisol, and second, cortisol starts to damage healthy tissues. Eventually,adrenal fatigue sets in, and many women experience symptoms such as weight gain, fatigue, insomnia, fuzzy thinking, depression, cravings and mood swings. Once the adrenals become depleted, it can lead to adrenal exhaustion and much more serious health concerns.

There are many ways to replenish adrenal health naturally. One thing I can promise you is that when you heal your adrenal glands, you’ll see results on every physical and emotional level, and your whole body will thank you for it!

Symptoms of adrenal imbalance — an “aggravating pattern”

Symptoms are your body’s way of informing you that it’s not receiving the support it needs. While none of these features has a direct causal relationship with adrenal dysfunction on its own, a distinct “aggravating pattern” emerges when all these factors are taken into consideration. See if you recognize these tendencies in yourself:

Symptoms to look for:

  • Blood pressure:  High or low blood pressure are signs to be aware of. Low blood pressure can often have the symptom of lightheadedness associated with it.
  • Food cravings and weight changes:  Abnormal weight gain in the abdomen and thighs. Do you have cravings for salty or sugary foods, sometimes feeling uncontrollable?
  • Energy:  Unable to stop, always on speed forward, ongoing fatigue, lack of stamina, feeling tired and wired much of the time. Lack of get up and go.
  • Emotions and coping ability:  Inability to deal with day to day stress, feeling overwhelmed much of the time, struggling to get through the day, driven, having a very “short fuse”, anxiety attacks, and/or unable to reframe ones thinking.
  • Thinking:  Mentally foggy, fuzzy thinking, inability to stay focused on one task, chronic racing thoughts.
  • Immune response:  Frequent infections, taking a longer time than others to recover from illness or infections or trauma.
  • Sleep:  Inability to fall asleep or falling asleep well but waking up nightly. Sleeping soundly but waking up exhausted.

Many other conditions can overlap the above noted signs and a symptom, so know that adrenal imbalance is not always the root cause.

If you feel you have any of these symptoms please call our office today and we will get you on track to becoming a better YOU!


The Importance of H2O

Written by BIH of Decatur on . Posted in functional medicine, Men, Menopausal Research, obesity, overweight, Uncategorized, Women


When the temperatures rise, getting enough to drink is important whether you’re playing sports, traveling or just sitting in the sun.

And it’s critical for your heart health.

Keeping the body hydrated helps the heart more easily pump blood through the blood vessels to the muscles. And, it helps the muscles work efficiently.

“If you’re well hydrated, your heart doesn’t have to work as hard,” said John Batson, M.D, a sports medicine physician with Lowcountry Spine & Sport in Hilton Head Island, S.C., and an American Heart Association volunteer.

Dehydration can be a serious condition that can lead to problems ranging from swollen feet or a headache to life-threatening illnesses such as heat stroke.

How much water do you need?

What does being well hydrated mean? The amount of water a person needs depends on climatic conditions, clothing worn and exercise intensity and duration, Batson said.

A person who perspires heavily will need to drink more than someone who doesn’t. Certain medical conditions, such as diabetes or heart disease, may also mean you need to drink more water. People with cystic fibrosis have high concentrations of sodium in their sweat and also need to use caution to avoid dehydration. And some medications can act as diuretics, causing the body to lose more fluid.

Thirst isn’t the best indicator that you need to drink. “If you get thirsty, you’re already dehydrated,” Batson said.

Batson said the easiest thing to do is pay attention to the color of your urine. Pale and clear means you’re well hydrated. If it’s dark, drink more fluids.

If you want to know exactly how much fluid you need, Batson recommends weighing yourself before and after exercise, to see how much you’ve lost through perspiration. It’s a particular good guide for athletes training in the hot summer months.

“For every pound of sweat you lose, that’s a pint of water you’ll need to replenish,” Batson said, adding that it’s not unusual for a high school football player, wearing pads and running through drills, to lose 5 pounds or more of sweat during a summer practice.

Not sweating during vigorous physical activity can be a red flag that you’re dehydrated to the point of developing heat exhaustion.

Water is best.

For most people, water is the best thing to drink to stay hydrated. Sources of water also include foods, such fruits and vegetables which contain a high percentage of water. Sports drinks with electrolytes, may be useful for people doing high intensity, vigorous exercise in very hot weather, though they tend to be high in added sugars and calories.

“It’s healthier to drink water while you’re exercising, and then when you’re done, eat a healthy snack like orange slices, bananas or a small handful of unsalted nuts ,” Batson said.

He cautioned against fruit juices or sugary drinks, such as soda. “They can be hard on your stomach if you’re dehydrated,” he said.

It’s also best to avoid drinks containing caffeine, which acts as a diuretic and causes you to lose more fluids.

Batson says drinking water before you exercise or go out into the sun is an important first step.

“Drinking water before is much more important,” he said. “Otherwise, you’re playing catch-up and your heart is straining.”

Not just for athletes or exercise.

Hydration isn’t just important during physical activity. Sitting in the sun on a hot or humid day, even if you aren’t exercising, can also cause your body to need more fluids.


People who have a heart condition, are older than 50 or overweight may also have to take extra precautions.

It’s also a good thing to keep tabs on your hydration if you’re traveling.

“You might sweat differently if you’re in a different climate,” Batson said.

The Truth About Coconut Oil: 10 Facts You Need To Know

Written by BIH of Decatur on . Posted in functional medicine, Men, Menopausal Research, obesity, overweight, Women

coconut oilCoconut oil is one of the few foods that can be classified as a “superfood.” Its unique combination of fatty acids can have profound positive effects on health. This includes fat loss, better brain function and various other amazing benefits.

Here are the top 10 health benefits of coconut oil that have been experimentally confirmed in human studies.

1.Coconut Oil Contains a Unique Combination of Fatty Acids With Powerful Medicinal Properties

Coconut oil has been demonized in the past because it contains saturated fat. In fact, coconut oil is one of the richest sources of saturated fat known to man, with almost 90% of the fatty acids in it being saturated (1).

However, new data is showing that saturated fats are harmless. Many massive studies that include hundreds of thousands of people prove that the whole “artery-clogging” idea was a myth (2).

Additionally, coconut oil doesn’t contain your average run-of-the-mill saturated fats like you would find in cheese or steak.

No, they contain so-called Medium Chain Triglycerides (MCTs) – which are fatty acids of a medium length.

Most of the fatty acids in the diet are so-called long-chain fatty acids, but the medium-chain fatty acids in coconut oil are metabolized differently.

They go straight to the liver from the digestive tract, where they are used as a quick source energy or turned into so-called ketone bodies, which can have therapeutic effects on brain disorders like epilepsy and Alzheimer’s.

Bottom Line: Coconut oil contains a lot of medium chain triglycerides, which are metabolized differently and can have therapeutic effects on several brain disorders.

2. Populations That Eat a LOT of Coconut Are Among The Healthiest People on The Planet

Coconut is kind of an “exotic” food in the Western world, primarily consumed by health conscious people.

However, in some parts of the world, coconut is a dietary staple that people have thrived on for many generations.

The best example of such a population is the Tokelauans, which live in the South Pacific.

They eat over 60% of their calories from coconuts and are the biggest consumers of saturated fat in the world.

These people are in excellent health, with no evidence of heart disease (3).

Another example of a population that eats a lot of coconut and remains in excellent health is the Kitavans (4).

Bottom Line: Plenty of populations around the world have thrived for multiple generations eating massive amounts of coconut.

3. Coconut Oil Can Increase Your Energy Expenditure, Helping You Burn More Fat

Obesity is currently one of the biggest health problems in the world.

While some people think obesity is only a matter of calories, others (myself included) believe that the sources of those calories are critical too.

It is a fact that different foods affect our bodies and hormones in different ways. In this regard, a calorie is NOT a calorie.

The medium-chain triglycerides (MCTs) in coconut oil can increase energy expenditure compared to the same amount of calories from longer chain fats (56).

One study found that 15-30 grams of MCTs per day increased 24 hour energy expenditure by 5%, totalling about 120 calories per day (7).

Bottom Line: The medium chain triglycerides in coconut oil have been shown to increase 24 hour energy expenditure by as much as 5%, potentially leading to significant weight loss over the long term.

4. The Lauric Acid in Coconut Oil Can Kill Bacteria, Viruses and Fungi, Helping to Stave Off Infections

Almost 50% of the fatty acids in coconut oil is the 12-carbon Lauric Acid.

When coconut oil is enzymatically digested, it also forms a monoglyceride called monolaurin.

Both lauric acid and monolaurin can kill harmful pathogens like bacteria, viruses and fungi (8).


For example, these substances have been shown to kill the bacteria Staphylococcus Aureus (a very dangerous pathogen) and the yeast Candida Albicans, a common source of yeast infections in humans (910).

Bottom Line: The fatty acids and breakdown products in coconut oil can kill harmful pathogens, potentially helping to prevent infections.

5. Coconut Oil Can Kill Your Hunger, Making You Eat Less Without Even Trying

One interesting feature of coconut oil is that it can reduce your hunger.

This may be related to the way the fatty acids in it are metabolized, because ketone bodies can have an appetite reducing effect (11).

In one study, varying amounts of medium and long chain triglycerides were fed to 6 healthy men.

The men eating the most MCTs ate 256 fewer calories per day, on average (12).

Another study in 14 healthy men discovered that those who ate the most MCTs at breakfast ate significantly fewer calories at lunch (13).

These studies were small and only done for a short period of time. If this effect were to persist over the long term, it could have a dramatic influence on body weight over a period of several years.

Bottom Line: The fatty acids in coconut oil can significantly reduce appetite, which may positively affect body weight over the long term.

6. The Fatty Acids in Coconut Oil Are Turned into Ketones, Which Can Reduce Seizures

A so-called ketogenic (very low carb, very high fat) diet is currently being studied to treat various disorders.

The best known therapeutic application of this diet is treating drug-resistant epilepsy in children (14).

This diet involves eating very little carbohydrates and large amounts of fat, leading to greatly increased concentrations of ketone bodies in the blood.

For some reason, this diet can dramatically reduce the rate of seizures in epileptic children, even those who haven’t had success with multiple different types of drugs.

Because the MCTs in coconut oil get shipped to the liver and turned into ketone bodies, they are often used in epileptic patients to induce ketosis while allowing for a bit more carbs in the diet (1516).

Bottom Line: The MCTs in coconut oil can increase blood concentration of ketone bodies, which can help reduce seizures in epileptic children.

7. Coconut Oil Can Improve Blood Cholesterol Levels and May Lower Your Risk of Heart Disease

Coconut oil is loaded with saturated fats, which actually do not harm the blood lipid profile like previously thought.

Saturated fats raise HDL (the good) cholesterol and change the LDL cholesterol to a benign subtype (1718).

In one study in 40 women, coconut oil reduced Total and LDL cholesterol while increasing HDL compared to soybean oil (19).

There are also rat studies showing that coconut oil reduces triglycerides, total and LDL cholesterol, increases HDL and improves blood coagulation factors and antioxidant status (2021).

This improvement in cardiovascular risk factors should theoretically lead to a reduced risk of heart disease over the long term.

Bottom Line: Studies in both humans and rats show that coconut oil improves important risk factors like Total, LDL and HDL cholesterol, which may translate to a reduced risk of heart disease.

8. Coconut Oil Can Protect Hair Against Damage, Moisturize Skin and Function as Sunscreen

Coconut oil can serve various purposes that have nothing to do with eating it.

Many people are using it for cosmetic purposes and to improve the health and appearance of their skin and hair.

Studies on individuals with dry skin show that coconut oil can improve the moisture and lipid content of the skin (22).

Coconut oil can also be very protective against hair damage and one study shows effectiveness as sunscreen, blocking about 20% of the sun’s ultraviolet rays (2324)

Another application is using it like mouthwash in a process called oil pulling, which can kill some of the harmful bacteria in the mouth, improve dental health and reduce bad breath (252627).

Bottom Line: Coconut oil can be applied topically as well, studies showing it to be effective as a skin moisturizer and protecting against hair damage. It can also be used as a mild form of sunscreen and as mouthwash.

9. The Fatty Acids in Coconut Oil Can Boost Brain Function in Alzheimer’s Patients

Alzheimer’s disease is the most common cause of dementia worldwide and occurs primarily in elderly individuals.

In Alzheimer’s patients, there appears to be a reduced ability to use glucose for energy in certain parts of the brain.

Ketone bodies can supply energy for the brain and researchers have speculated that ketones can provide an alternative energy source for these malfunctioning cells and reduce symptoms of Alzheimer’s (28).

In one 2006 study, consumption of medium chain triglycerides lead to an immediate improvement in brain function in patients with milder forms of Alzheimer’s (29).

Other studies support these findings and medium chain triglycerides are being intensively studied as potential therapeutic agents in Alzheimer’s disease (3031).

Bottom Line: Studies show that the fatty acids in coconut oil can increase blood levels of ketone bodies, supplying energy for the brain cells of Alzheimer’s patients and relieving symptoms.

10. Coconut Oil Can Help You Lose Fat, Especially The Dangerous Fat in Your Abdominal Cavity

Given that coconut oil can reduce appetite and increase fat burning, it makes sense that it can also help you lose weight.

Coconut oil appears to be especially effective in reducing abdominal fat, which lodges in the abdominal cavity and around organs.

This is the most dangerous fat of all and is highly associated with many Western diseases.

Waist circumference is easily measured and is a great marker for the amount of fat in the abdominal cavity.

A study in 40 women with abdominal obesity, supplementing with 30 mL (1 ounce) of coconut oil per day lead to a significant reduction in both BMI and waist circumference in a period of 12 weeks (19).

Another study in 20 obese males noted a reduction in waist circumference of 2.86 cm (1.1 inches) after 4 weeks of 30 mL (1 ounce) of coconut oil per day (32).

This number may not seem too impressive on the surface, but be aware that these people aren’t adding exercise or restricting calories. They’re losing significant amounts of abdominal fat simply by adding coconut oil to their diet.

11. Anything Else?

If you want to enjoy the immense health benefits of coconut oil, then make sure to choose organic, virgin coconut oil… NOT the refined stuff.

This is really just the tip of the iceberg. People are using coconut oil for all sorts of things with incredible success


What Is Vitamin D?

Written by BIH of Decatur on . Posted in functional medicine, Men, Menopausal Research, obesity, overweight, Women

vitamin DYour mom always said sunshine was good for you, but it turns out mom was even more prescient than we thought (as if that was even possible).  Science is continuing to find that vitamin D plays an ever more important role in our overall health. And there’s no greater source of it than that big ball of yellow energy that goes into hiding 6-8 months out of the year during fall and winter.

Studies have shown that a deficiency in vitamin D cancontribute to a poor immune system, dementia, high blood pressure, depression, and even muscle loss.

So, what is vitamin D?

When we talk about vitamin D from the sun, we’re really talking about vitamin D3, which the human body needs for a whole host of essential functions. Since we don’t actually produce the stuff, we need an external source, and our bodies are so amazing that we can synthesize vitamin D from sunrays that penetrate our skin. We need direct sunlight in order to do this, which means no barriers like windows can be between us and the sun, for about 10 to 15 minutes on our arms and legs each day, which is very difficult to get the farther you are from the equator, and especially during the fall and winter months when we see even less sun.

Since vitamin D contributes to your immune system, deficient sunlight has been linked as a major cause of the cold & flu season that springs up each winter.

Why do I need vitamin D?

     Vitamin D is not only crucial to activating your immune system, recent studies show that it lowers risk to depression, is associated with a decrease in dementia, aids in muscle repair post-workouts, and can help control blood pressure and weight gain.

But just because the sun is saying “sayonara”, it doesn’t mean you can’t get your daily dose of the good stuff. Supplements can be taken to ensure that you’re getting the right amount for you.

Since vitamin D is so integral to good health, don’t put off finding out whether you’re deficient. Your well being may depend on it.

Call our office today to set up appointment!  256-350-9880

Fibromyalgia, Who Told You There Wasn’t A Cure?

Written by BIH of Decatur on . Posted in functional medicine, Men, Menopausal Research, obesity, overweight, Women

upset-womanIf you listen to conventional medical “talk”.. you would tend to believe that Fibromyalgia has no cure. You would be one of the 10 million people who suffer with FMS who would accept their affliction as something that they must simply live with..

Well my comment to that is “HOGWASH”.. Who gives any physician the right to deny his/her patient the opportunity to seek “peer-reviewed” proven treatments? Now understand this.. I am not talking about some magical “herb” found in the tropical forest that has recently been discovered.. No, I am talking about accepted.. documented, and most important “successful” treatments that will reverse your suffering..

Forget the “backlash” from your physician if he or she refuses to embrace what they SHOULD already know.. I will not accept total ignorance of the facts… Now “hear” what I am about to say..

By no means am I putting down your family doctor.. I really believe that your doctor is doing what he/she has been taught…. Medical school is tough enough teaching the basics of human diagnosis. Unfortunately by the time your family doctor has put out his/her shingle.. research has advanced 5-10 years.. Now how does your doctor stay abreast of the research?

They have two choices.. one is too dig deep into the medical research journals and discover the wealth of information available for the multiple of sick folks…. Or they can rely on their pharmaceutical rep to keep them updated … Let’s get real.. Do you really think that the pharmaceutical rep is going to offer anything other than what his/her company has to sell?.. and you know what they sell.. Yes you are right drugs and more drugs…

Here I go again… my frustrations rising to the surface.. You too would be upset if you consulted with as many people as I have who are being “DENIED” (not on purpose) the truth… My objective in this report is to give you the A-Z on what you need to know to help yourself.

Let me do a quick review of the basics of Fibromyalgia.. (you can find a more detailed review of the basics on any of the “big .com health sites such as WebMd, MayoClinic.com.. but I can just about guarantee you WILL NOT find anything other than the same old.. same old.. on all these sites.. They all say the same thing and leave the reader to assume that the only treatment found in modern medicine are DRUGS.. What a shame…and can you believe they make millions… Now I subscribe to the 10 mega .com health sites and I have yet to see any of them offer the “suffering reader” an ounce of documented alternative advice… yes… yes.. I have read a few (hidden between the drug ads) “tiny” mention of a nutritional treatment but nothing to write home about.. But I can tell you with 100% confidence that you WILL NOT find any mention of WHY and HOW you are suffering with this disease..

Sorry.. there I go again.. I have to stop myself from getting downright mad.. at these “heavy hitters” who offer nothing of any real significance to make your life better and free of pain.. Again.. I will say.. and here me out… I AM NOT AGAINST the appropriate use of medications in the context of addressing the underlying issues which have got you here is the first place (excuse my English)

Back to the Basics: (the abbreviated version… I know what you want and it is not another regurgitation of the basics.. what you want is … HOW IN THE WORLD CAN I GET BETTER?? Am I right?. Well here is the short version of the Basics:

Here is a list of the most common signs and symptoms of Fibromyalgia

  • Widespread musculoskeletal pain
  • Aching
  • Fatigue
  • Localized tenderness
  • Tender lymph nodes
  • Morning stiffness
  • Heart palpitations
  • Dizziness
  • Aching
  • Temporal mandibular joint dysfunction
  • Depression
  • Anxiety
  • Irritable bowel syndrome
  • Raynaud’s syndromeFacts You May Already Know: Fibromyalgia (FM) is a rheumatic autoimmune syndrome that is characterized by widespread musculoskeletal pain, and an array of other symptoms. The symptoms may vary from day to day, ranging from moderate discomfort to severe disability.In 1986, sixteen medical centers in the United States and Canada joined together in a study to determine the criteria for diagnosing this condition. In 1990, a committee from the American College of Rheumatology (ACR) proposed diagnostic criteria for a diagnosis of fibromyalgia. They suggested that the criteria for fibromyalgia should include the presence of widespread pain in combination with tenderness at 11 or more of the 18 specific tender point sites.

    Here are some “gold” nuggets you can sink your teeth into..

    a) There is no ONE treatment for Fibromyalgia, meaning forget the notion that a specific vitamin or drug is going to cure fibromyalgia

    b) Change your mind-set on “looking” for the XYZ miracle treatment and begin to learn the importance of looking for the “real” cause(s) of your health condition.

    c) Remember, treatment is not “disease-specific” but rather treatment is “patient-specific”. This means that two people suffering with fibromyalgia may find that each receives two entirely different treatments and both dramatically improve.. One patient may find that the underlying cause of their condition is due to a thyroid problem, while the other person finds that their problem was due to a bacterial infection of the small intestine.

    Does this begin to make sense??

    Can you see how foolish it is to assume that the same medication or the same exact supplement would work for all people suffering with fibromyalgia or any other auto-immune disease?

    Begin to see how illogical it is to search for a specific treatment when in reality common sense should tell us, that just maybe what is causing your condition may be entirely different from what is causing your friend’s fibromyalgia..

    Now I hear you LOUD and clear.. you may be thinking, that sounds good but how do I find out what is causing MY problem.. and who is going to help me figure this whole thing out??

    Well.. this is where YOU need to take the initiative and LEARN the facts and present them to your doctor.. DON’T take no for an answer.. If your doctor refuses to “ACCEPT” the FACTS then it may be time to move on and find a doctor who is staying current with the medical literature.

    The following tests should be considered and eventually ordered by your physician.. Most insurance companies WILL pay for these tests. However, your physician has to order them..

    I am going to encourage you to educate yourself on the following tests.. For each test, I will explain the significance of why the test should be order and what the results would mean for you and your condition.. Remember, you are simply one to three tests away from making Fibromyalgia a bad memory.

    The most important thing to consider when searching for the solution for fibromyalgia or any other disease entity, is the fact that there are a variety of influences that are most likely contributing to your sickness. Looking for the causal chain is of primary importance in determining the course of action that each person needs to take to get well. Diet, food selection, gut integrity, adrenal function, and metabolic support are the first areas to consider.

    Heavy metals, thyroid, bacterial/parasitic infection and hormonal imbalances as well as gut integrity are significant clues that could be disrupting the whole process of cellular metabolism as it relates to lactate build up, energy production, and fatigue.

    Here are the key tests that one needs to have done in order to get well..

    Chemistry Profile (Blood): This profile generally includes the following tests: Albumin, Alkaline Phosphatase, Aspartate Aminotransferase, Bilirubin, Calcium, Creatinine, Lactate Dehydrogenase, Phosphorus, Total Protein, Urea Nitrogen, Uric Acid, and may contain others.

    My Comments: The basics of all patient evaluation should include a general metabolic panel, CBC.. etc.. Remember, the most obvious health challenges should always be ruled out prior to the ordering of Functional Medicine Lab Work. Most patients I consult with have already had a pretty decent work-up by their family physician and/or the rheumatologist. The problem stems from the fact that these tests, although being extremely vital to a basic work-up, are 9 times out 10 negative.. Nothing wrong! Nothing can be more frustrating than to hear your doctor say, that your blood test were all normal and he/she can not determine WHY you are having all these problems..

    Well this leads us to the next level of medical management and it is termed Functional Medicine Lab testing. The first test I recommend and it is the Hallmark test used to properly assess my patients suffering with Fibromyalgia. This one test is worth it’s weight in gold.. but is totally overlooked.. or better yet not known by traditional physicians. The name of the test is called…

    Array 2 – Intestinal Antigenic Permeability Screen (from Cyrex Labs)

    This test was developed by Dr. Vojdani and is designed to evaluate the mucosal lining of your intestines. Here is short bio on Dr. Vojdani.. Impressive!! Remember he is one of the many professors across the country who TEACH your family doctor what he/she knows (or should I say what he/she “should” know…)

    Dr. Aristo Vojdani is a renowned expert in immune function disorders and immunoassay technology. He was called before the U.S. Senate Committee on Veterans Affairs to provide crucial evidence proving the existence of the neuroimmunological disorders suffered by Persian Gulf war veterans. His testimony was instrumental in creating the law that now guarantees free medical care for affected Veterans. Dr. Vojdani has published 69 peer-reviewed scientific articles and holds 6 patents on inventions related to immunoassay technology. He continues to conduct cutting edge immune system related research and to serve as an Associate Professor at Charles R. Drew School of Medicine and Science in Los Angeles.

    Read this carefully… it is one of the MOST important things you will learn on WHY you may be suffering with fibromyalgia or may I say.. any number of “auto-immune diseases.

    Now look at the above picture.. what you see is something called the Mucosal Barrier.. The mucosal barrier is found in the small intestines, lung, sinuses, urinary tract etc.. and has many functions but for this report.. I am only going to discuss two.

    First, the Mucosal Barrier acts a protective barrier preventing “toxins” from entering the circulation. These toxins can be anything from viruses, bacteria, chemical exposures, food sensitivities and a bunch more. For the above illustration, let me use a chemical toxin like formaldehyde.. OK.. lets say you inhale this toxin.. normally if your mucosal lining (barrier) is healthy it will NOT allow it to enter the blood stream.. By the way.. the big “orange” ones above represent the bad guys.. Medically they are called “antigens”.. Viruses, bacteria, undigested protein, chemicals are all considered antigens.. The “small ones” above represent the “good guys”.. nutrients, minerals, amino acids and everything that is GOOD that SHOULD enter the circulation.

    Now again as long as your mucosal barrier is healthy.. the bad guys should stay out and the good guys are allowed into the circulation to supply nutrients to the cell.

    With me??

    The above picture represents the ideal..

    Simply put.. Healthy mucosa allows nutrients to pass the barrier while blocking the entry of toxins..

    This picture shows what happens when the barrier is damaged. Not only are the “bad guys (antigens) sneaking into the blood (circulation) but the nutrients (good guys) are blocked, not able to get into the blood and feed the cell.

    Now something bad will happen when the above occurs…You will have something called an antibody-antigen reaction…This means that the “bad guys” (antigens) are in battle with the “antibodies” (soldiers of the immune system)

    Is this making sense??

    Abnormalities of the immune or mechanical barriers leads to an inflammatory cascade of events. Now think about this.. if the cell is not “fed” no wonder you are fatigued.. The mitochondria (the powerhouse of the cell) is damaged..

    Now I am going to share something that will knock your socks off. Unfortunately, due to the complexity of this topic, I will have to reserve it for another report, but I WILL give you a small nugget to bite on..

    Serotonin and benzodiazopines are produced in the mucosal lining.. What is that.. yes.. when the mucosal lining is damaged.. your body CANNOT produce adequate amounts of the essential neurotransmitters such as serotonin, dopamine and norepinephrine. etc. and can you believe benzodiazopines.. No wonder Zoloft, Effexor, Xanax are prescribed by the truck loads..

    Does it make sense that just maybe.. if you “healed” your mucosal barrier you would not need to take Zoloft, Prozac and any of the more common antidepressants? Well.. think about it..


    If you are taking antidepressants or benzodiazopines (Ativan, Valium, Xanax) and are having a hard time or better yet an impossible time attempting to get off these meds… then you better believe that you should DEMAND that your doctor order the appropriate tests to check your mucosal barrier.. I would bet that over 90% of people who have been unable to get off these psychiatric medications have a compromised mucosal barrier function. Again, this is a “major” topic for another report.

    Now if you think this is new information.. think again.. Dr. Michael Gershon from Columbia-Presbyterian Medical Center wrote a book titled The Second Brain: A Groundbreaking New Understanding of Nervous Disorders of the Stomach and Intestine a number of years ago.. His research provides “exhaustive” documentation of the importance of the mucosal health and the production of serotonin, norepinephrine, dopamine and benzodiazopines

    It has been observed that patients with fibromyalgia have alterations in the metabolism and regulation of neurotransmitters such as serotonin, norepinephrine, and dopamine.

    Now I will warn you.. I would NOT accept anyone wearing a white lab jacket to “discount” something that may be the most important reason for your suffering. PERIOD!!

    Proper testing can identify many of these imbalances, and help determine which interventions are likely to be most effective for each patient.

    The following lab tests are strongly recommended:

    1: Comprehensive Blood Profile (most people have already had a decent blood test)

    2: Intestinal Barrier Function Test

    3: Cortisol/DHEA Levels

    4: Comprehensive Thyroid Profile including thyroid antibodies (DO NOT accept the TSH as the primary test for thyroid health).. I have seen too many patients with normal TSH levels exhibit abnormal reverse T3 and antibodies.. A normal TSH DOES NOT mean that your thyroid is functioning optimally..

    5: Comprehensive Stool Exam: based on the patients history, I may suspect a bacterial, fungal or parasitic infection. Ordering a comprehensive stool assessment may provide that one piece of the puzzle that can solve your pain and suffering..

    Over the last 6 months, I examined two patients both suffering with fibromyalgia who tested positive for a bacterial and parasitic infections.. Would you believe that one round of anti-parasitic medication followed with appropriate re-inoculation of the gut wall with pro-biotics reduced these patients symptoms by 75%..


    A comprehensive stool assessment includes “three” random stool samples NOT one. Most physicians will have the patient provide “one sample” and if negative will assume that nothing is wrong. This is a MAJOR problem in the world of diagnosis. For example, one of the patients above had two normal stool samples, but the third one came back with one of the worst parasitic pathogens. What would have happened if I only had the patient provide “one” stool sample?  Yes, you are right, one of the cause(s) of her problem would have been missed.

    Remember this and remember it well… the solution for your suffering is NOT to be found in a drug bottle or a bottle of supplements from your local health food store.. The answer lies in knowing what may be the cause(s) of the condition in the first place..

    Can it be that your fibromyalgia illness is due to a thyroid problem.. or maybe a GI tract infected with a bacteria or parasite pathogen.. or maybe a compromised mucosal lining blocking the absorption of essential nutrients and contaminated the circulation with antigens (bad guys)?? Well you tell me… a good diagnostic investigation will many times yield a good outcome.. Remember that..


    Please do not run out a buy some of the popular parasite programs that you see sitting on the shelves of your local health food store.. NO.. that is the WRONG thing to do.. First of all if you DO have a parasitic infection.. the last thing you want to do is “Self-treat” with one of those popular parasite formula… Remember this.. there are a number of “species” of parasites and “one-size fits all” parasite formula will likely be ineffective and worse may actually make you worse.. If you are asking why it has helped others.. than you must remember that if you roll the dice enough times you will get a lucky 7.. but I DO NOT play Russian Roulette with my patients.. I would rather be “sure” than assume when it comes to identifying the cause(s) of your health challenges.

    Well I hope this report has made sense… I am committed to sharing information that WORKS and works like nothing else has ever done in the past.

    You need to take full responsibility for your health and educate your family doctor.. Your doctor NEEDS to know that you will NOT accept anything less than what modern medical technology has to offer. Just because YOUR doctor has not heard about a test(s) DOES NOT mean that it doesn’t exist.. You now hold in your hands an answer that will change your life forever.. What are you going to do about it??

    Please feel free to have your doctor contact me.. I would be happy to assist your physician in helping you get well. I can be reached at 1-864-905-7605 or via e-mail drgrisanti@gmail.com

  • Dr. Grisanti’s Closing Comments:
  • This report provides a brief introduction of the importance of “good” medical detective work. The recommended tests are important for beginning the investigation of the cause of your health problem…. however, I must say.. there are other causes NOT discussed in this report. Due to the length of this paper, I focused on a few key areas commonly seen in doctors who practice Functional Diagnostic Medicine.
  • The following references are just a sampling of the abundant medical citations documenting all that I have written.. I will like to say in conclusion, that no physician can deny the existence of these findings and most certainly no physician in his right mind would discard what is considered the essence of clinical practice, and that is medical peer-reviewed research. Any physician who would take the time to review the many citations that follow, would have to walk away with a “renewed” perspective on health and disease.. and this would be found right in his/her backyard.. The National Library of Medicine.. http://www.ncbi.nih.gov/entrez/query.fcgiIf you are suffering from any one of these symptoms please take our online test you may be a candidate for our Bio-identical Hormone Replacement Therapy, and call us today, 256-350-9880

    Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.J Gastroenterol Hepatol. 2003 May;18(5):479-97.

    Sun Z, Wang X, Andersson R. Role of intestinal permeability in monitoring mucosal barrier function. History, methodology, and significance of pathophysiology. Dig Surg. 1998;15(5):386-97.

    Hollander D. Intestinal permeability, leaky gut, and intestinal disorders. Curr Gastroenterol Rep. 1999 Oct;1(5):410-6.

    Bjarnason I, MacPherson A, Hollander D. Intestinal permeability: an overview. Gastroenterology. 1995 May;108(5):1566-81.

    Ecknauer R. The barrier-function of the gastrointestinal (author’s transl)] Z Gastroenterol. 1982 Mar;20(3):150-63.

    Russell IJ, et al. Cerebrospinal fluid biogenic amine metabolites in fibromyalgia*fibrositis syndrome and rheumatoid arthritis. Arthritis Rheum. May1992;35(5):550-6.

    Ferraccioli G, et al. Somatomedin C (insulin-like growth factor 1) levels decrease during acute changes of stress related hormones. Relevance for fibromyalgia. J Rheumatol. Jul1994;21(7):1332-4.

    Gershon MD, Serotonin and its implication for the management of irritable bowel syndrome. Rev Gastroenterol Disord. 2003;3 Suppl 2:S25-34.

    Gershon MD, Review article: roles played by 5-hydroxytryptamine in the physiology of the bowel. Aliment Pharmacol Ther. 1999 May;13 Suppl 2:15-30. Review.

    Gershon MD, Chalazonitis A, Rothman TP, From neural crest to bowel: development of the enteric nervous system. J Neurobiol. 1993 Feb;24(2):199-214.

    Sivri A, Cindas A, Dincer F, Sivri B.Bowel dysfunction and irritable bowel syndrome in fibromyalgia patients. Clin Rheumatol 1996 May;15(3):283-286.

    Veale D, Kavanagh G, Fielding JF, Fitzgerald O. Primary fibromyalgia and the irritable bowel syndrome: different expressions of a common pathogenetic process. Br J Rheumatol 1991 Jun;30(3):220-222.

    Sperber AD, Atzmon Y, Neumann L, Weisberg I, Shalit Y, Abu-Shakrah M, Fich A, Buskila D. Fibromyalgia in the irritable bowel syndrome: studies of prevalence and clinical implications. Am J Gastroenterol 1999 Dec;94(12):3541-3546.

    Lubrano E, Iovino P, Tremolaterra F, Parsons WJ, Ciacci C, Mazzacca G. Fibromyalgia in patients with irritable bowel syndrome. An association with the severity of the intestinal disorder.Int J Colorectal Dis 2001 Aug;16(4):211-215.

    Teahon K, Somasundaram S, Smith T, Menzies I, Bjarnason I. Assessing the site of increased intestinal permeability in coeliac and inflammatory bowel disease. Gut. 1996 Jun;38(6):864-9.

    Peled Y, Watz C, Gilat T. Measurement of intestinal permeability using 51Cr-EDTA. Am J Gastroenterol. 1985 Oct;80(10):770-3.

    Russell IJ, et al. Elevated cerebrospinal fluid levels of substance P in patients with the fibromyalgia syndrome. Arthritis Rheum. Nov1994;37(11):1593-60

    Triadafilopoulos G, Simms RW, Goldenberg DL. Bowel dysfunction in fibromyalgia syndrome. Dig Dis Sci 1991;36(1):59-64.

    Chang L. The association of functional gastrointestinal disorders and fibromyalgia. Eur J Surg Suppl. 1998;(583):32-6.

    Wortmann RL. Searching for the cause of fibromyalgia: is there a defect in energy metabolism? Arthritis Rheum. Jun1994;37(6):790-3.

    Riedel W, Layka H, Neeck G. Secretory pattern of GH, TSH, thyroid hormones, ACTH, cortisol, FSH, and LH in patients with fibromyalgia syndrome following systemic injection of the relevant hypothalamic-releasing hormones. Rheumatol 1998;57 Suppl 2:81-7.

    Neeck G, Riedel W. Thyroid function in patients with fibromyalgia syndrome.J Rheumatol 1992 Jul;19(7):1120-2.

    Abud-Mendoza C, Magana-Aquino M, Medina R, Grimaldo JI, Rodriguez-Rivera G, Gonsalez-Amaro R. Hypothalamus-hypophysis-thyroid axis dysfunction in patients with refractory fibromyalgia,” Arthritis & Rheumatism, Abstract Supplement, Vol. 40, #9, September 1997.

    Aarflot T, Bruusgaard D. Association between chronic widespread musculoskeletal complaints and thyroid autoimmunity. Results from a community survey. Scand J Prim Health Care 1996 Jun;14(2):111-5.

Fill out my online form.

Get Directions