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Dr. Gregory Pais, ND
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Home arrow Naturopathic News arrow Issue #86 - November 2009
Issue #86 - November 2009
  1. INTRODUCTION
  2. KIDNEY DISEASE & LOW VITAMIN D
  3. BPA HEALTH PROBLEM

  4. MOTOR NEURON DISEASE AFTER HPV VACCINE

  5. VITAMINS AND MINERALS ARE SAFE

  6. MUSCLE PAIN, VITAMIN D, AND STATINS

  7. FLU REPORT

  8. WEBSITE SERVICES

  9. GET YOUR VITAMIN D TEST WITH ZRT LABORATORY

  10. WILLIAMSPORT FARMER’S MARKET

  11. ITHACA OPTIMAL HEALTH

  12. EMERSON ECOLOGICS

Welcome to this issue of Naturopathic News, issue #86. It's my mission to help you find optimal solutions to health problems. This newsletter is one way to do that. The more educated you are about your health options the better able you will be to take control of your health. If you would like to stop receiving my newsletter please send me an email and let me know. If you have a friend or family member who you think would appreciate the information provided, send me their email address.

Thanks to the patient who suggested that I change the order of what you read to make it easier to get to the new material. You’ll find the sections on Website Services, Vit. D test, Williamsport Farmer’s market, and Ithaca Optimal Health, at the end of the newsletter. Let me know what you think.



KIDNEY DISEASE LOW VITAMIN D
Results of a new study show that low levels of vitamin D places more than 60% of African Americans at risk for kidney disease that ultimately leads to dialysis. End stage renal disease (ESRD), was analyzed in a nationwide sample of 13,000 Americans who required dialysis, and included measurements of the vitamin D metabolite 25(OH) D.

The researchers analyzed whether vitamin D plays a stronger role in the development of kidney disease in African Americans. According to Michal L. Melamed, MD, of Albert Einstein College of Medicine "We found that 25(OH) D deficiency was responsible for about 58% of the excess risk for ESRD experienced by African Americans”.

Melamed says the findings are another reason to ensure that everyone gets enough vitamin D. Low vitamin D levels have been linked to a variety of health problems including increased cancer risk, diabetes, which has now reached epidemic proportions globally, heart disease risk, which is now extremely prevalent among Americans, decreased immune function, and high blood pressure. Now low vitamin D levels are linked to kidney disease, and the link is strongest among African Americans.

DR. PAIS’S COMMENTS: Previous studies have shown that low vitamin D levels are a risk for the development of kidney disease. African Americans and other minorities are most likely to develop end-stage renal disease, and are increasingly diagnosed at a younger age. In the current study, low vitamin D levels were found to increase the risk of kidney disease by 2.6 percent among all participants. For African Americans, the risk of end stage kidney disease that requires dialysis was found to be approximately 58 percent, and was linked to low vitamin D levels.


BPA HEALTH PROBLEM
Bisphenol-A, or BPA, is an estrogen-mimicking chemical, invented about 120 years ago, that is used to make hard plastics and epoxy resins. It can be found in numerous consumer products that people use on a daily basis, including water bottles, baby bottles, canned foods,  and microwaveable plastic dishes and containers.

The Environmental Working Group has published http://www.ewg.org a review excellent information about BPA, showing the timeline of BPA’s use over the years. Industry uses more than 6 billion pounds of BPA a year. It’s no surprise that scientists have found that 95% of people tested have dangerous levels of BPA in their bodies.

DR. PAIS’S COMMENTS: It’s very important to consider the cumulative effect of being exposed to the total amounts of BPA from cans, bottles, plates and all other sources over the years.

In September 2008 the National Toxicology Program of NIH (NIH publication No. 08-5994) determined that BPA may pose risks to human development, raising concerns for early puberty, prostate effects, breast cancer, and behavioral impacts from early-life exposures. It also shows that nearly all of the exposure is through the food supply, which emphasizes the importance of avoiding BPA-laced food and beverage containers of all kinds as this is how your food becomes contaminated.

BPA leeches into whatever food or beverage you put in a plastic container, canned good, or plastic baby bottle. And if you microwave the containers or bottles, or place hot liquids or food into them, BPA is released 55 times more rapidly.

When considering plastic, avoid containers with recycling label No. 7, as these varieties usually contain BPA. No. 3 (DEHA) and No. 6 (Styrene) are also considered unsuitable for use with food due to their toxic ingredients. Other plastics with labels No. 1, No. 2, No. 4, and No. 5 do not contain BPA, but they do contain other chemicals and are best avoided.

Be careful of possible misleading labeling. Not long ago, SIGG announced that their aluminum water bottles, which many people purchased to avoid the BPA found in plastic bottles, actually contained BPA. Of course, aluminum is a bad substitute in the first place because of the correlation with aluminum use and Alzheimer’s disease.

Reduce your overall exposure to BPA by:
Storing food and beverages in glass bottles and jars.
Only use glass bottles and non plastic dishes for your baby.
Use natural fabric toys, not plastic.
Don’t microwave food in plastic containers.
Don’t use plastic wrap.
Replace plastic dishes, silverware, utensils, and cups with glass, stainless steel, or wood.



MOTOR NEURON DISEASE AFTER HPV VACCINE
Investigators are reporting a case of motor neuron disease after immunization with the Merck vaccine Gardasil. The Merck product is designed to prevent infection with several types of human papillomavirus. Presenting at the 134th annual meeting of the American Neurological Association, researchers describe a case of rapidly progressive disease leading to the death of a 14-year-old girl.

"Pathological features support the temporal association of the clinical presentation and vaccination and provides supporting evidence that immune-mediated reactions to the nervous system are potential risks after Gardasil vaccination," Catherine Lomen-Hoerth, MD, director of the Amyotrophic Lateral Sclerosis Center at the University of California San Francisco, told the meeting.

"Our patient received 3 doses of Gardasil with symptom onset 2 months after her last dose," the presenters wrote. "Despite treatment with aggressive immunosuppression, her weakness relentlessly progressed and she died of respiratory failure 21 months after the onset of her weakness."

Postmortem evaluations revealed widespread infiltrates of T lymphocytes and macrophages in the grey and white matter at all levels of the spinal cord. Researchers also report extensive demyelination and severe loss of motor neurons.

In September, investigators presenting at the European Committee for Treatment and Research in Multiple Sclerosis annual meeting reported cases of autoimmune disorders after immunization with Gardasil.

Presenter Maria Bouktsi from the Interbalkan European Medical Center in Thessaloniki, Greece, said that her team is questioning whether the immuno-stimulatory properties of the human papillomavirus like particles of the vaccine are triggering adverse effects in vulnerable patients.

It is the same question that researchers asked in a recent issue of Multiple Sclerosis (2009;15:116;119). Ian Sutton, MD, from St. Vincent's Hospital in New South Wales, Australia, and his team reported 5 cases of multiple sclerosis after vaccination with the drug. The group reported in January that patients presented with multifocal or atypical demyelinating syndromes within 21 days of immunization.

"Human papillomavirus vaccines elicit a strong inflammatory systemic immune response," said Til Menge, MD, from Heinrich-Heine University in Düsseldorf, Germany.
His group suggests that it was this inflammatory response that may have triggered a case of fulminant neuromyelitis optica in a previously healthy 17-year-old girl.
American Neurological Association 134th Annual Meeting: Poster WIP-19. Presented October 13, 2009.

DR. PAIS’S COMMENTS: These are a few of the health concerns related to this vaccine. I suggest that you do extensive research before accepting this vaccine for yourself or your child.


VITAMINS AND MINERALS ARE SAFE
There was not even one death caused by a vitamin or dietary mineral in 2007, according to the most recent statistics available from the U.S. National Poison Data System. The 132-page annual report of the American Association of Poison Control Centers published in the journal Clinical Toxicology shows zero deaths from multiple vitamins; zero deaths from any of the B vitamins; zero deaths from vitamins A, C, D, or E; and zero deaths from any other vitamin.

Furthermore, there were zero deaths in 2007 from any dietary mineral supplement. This means there were no fatalities from calcium, chromium, zinc, colloidal silver, selenium, iron, or multimineral supplements.

Over half of the U.S. population takes daily nutritional supplements. Even if each of those people took only one single tablet daily, that makes 154,000,000 individual doses per day, for a total of over 56 billion doses annually. Since many persons take more than just one vitamin or mineral tablet, the numbers are considerably higher, and the safety of nutritional supplements is all the more remarkable.

61 poison centers provide coast-to-coast data for the U.S. National Poison Data System, which is then reviewed by 29 medical and clinical toxicologists. In 2007, NPDS reported 1,597 fatalities from drugs and other ingested materials. Not one death was due to a vitamin or dietary mineral supplement.
Bronstein AC, Spyker DA, Cantilena LR Jr, Green JL, Rumack BH, Heard SE; American Association of Poison Control Centers. 2007 Annual Report of the American Association of Poison Control Centers'. National Poison Data System (NPDS): 25th Annual Report. Clin Toxicol (Phila). 2008 Dec;46(10):927-1057.

DR. PAIS’S COMMENTS: The next time you hear someone state, ignorant of the scientific research, that supplements are not safe, you can correct them. The score for 2007 was, deaths due to drugs 1,597 to 0 deaths due to vitamins or minerals.


MUSCLE PAIN, VITAMIN D, AND STATINS
In this study 11 adults who were previously forced to stop drug therapy as a result of statin-induced myalgia were looked at.

Initial doses of vitamin D ranged from 1,000 to 10,000 IU/day, with individual doses directed toward raising serum 25OH D3 levels above 60 nmol/L.
 
Of the 11 subjects, 8 were vitamin D deficient (defined as 25(OH)D3 levels <60 nmol/L). Of those 8 subjects, 3 were severely deficient (defined as 25(OH)D3 levels <30 nmol/L. Cessation of statin therapy combined with vitamin D supplementation resulted in complete resolution of muscle pain in 6 of the 8 subjects and significant improvement in 2 additional patients. Resolution of symptoms occurred within 3 months.

Statins often cause muscle pain or more severe muscle-related side effects (such as myositis and rhabdomyolysis). At least some of the muscle pain appears to be a function of statin-induced coenzyme Q10 deficiency. However, while some evidence suggests that supplemental CoQ10 reduces statin-induced myalgia, the treatment is not consistently successful.
 
Vitamin D deficiency also causes myalgia. The combination of statin therapy and vitamin D deficiency appears to have triggered the myalgia, at least in those subjects whose muscle pains disappeared after starting vitamin D therapy-particularly the patients who were then able to reintroduce long-term statin therapy with no recurrence of the previous side effects.
 
Lee P, Greenfield JR, Campbell LV. Vitamin D insufficiency-a novel mechanism of statin-induced myalgia? Clin Endocrinol 2009;71:154-6.

DR. PAIS’S COMMENTS: Patients taking statins that experience myalgia should be tested for vitamin D deficiency and treated when appropriate. At the very least, normal physiology will be restored. At best however, myalgias associated with statin use may resolve as a function of supplementation.


FLU REPORT
37 year old man. Did not get sufficient sleep for several days before getting ill. Symptoms developed over 24-36 hours. Fever of 101 degrees. Tired. Sore throat. Achy. 
Treatment: Took 1 tube of Oscillococcinum per day for 3 days. All symptoms 70-80% better after starting Oscillococcinum.
This is another instance of someone taking much more Oscillococcinum than necessary. There are at least 100 tiny pellets in each tube. 1 pellet=1 dose. Therefore, there are about 100 doses in each tube of Oscillococcinum.

For the extent of the flu season this year I will be reporting on the flu cases I hear about through my practice. Both to let you know what I’m hearing and to encourage the gathering of symptoms to flesh out the genus epidemicus—the homeopathic medicine(s) that best match this year’s presentation. So if you’ve got any cases to share email me. The following information is important:
Age, sex
Slow or rapid onset
Sequence of symptoms
Symptom detail
Diagnosis if any
Treatment if any
Resolution

Many people are asking me about the flu. When I ask them if they’re read my newsletter, #84 September 2009, they either didn’t receive it or haven’t read it. It was my goal when I dedicated the whole issue to the topic of influenza that it would be a practical resource. If you didn’t see it check to make sure that your Spam filter isn’t blocking emails from my website. You can always access it at http://www.foroptimalhealth.com/index.php?option=com_content&task=view&id=306&Itemid=4


WEBSITE SERVICES
Here are some pages that are of particular interest:

Store : There are 243 products from Emerson listed on this page. If yours isn’t one of them please let me know and I will add it so you can order online. This is particularly convenient after hours or on the weekend. Of course, you can always order by phone from Emerson at 800-654-4432.

Newsletter : Here you will find all 85 issues of my health newsletter, "Naturopathic News”.

Optimal Health Points : This is my blog that I update periodically. Check out Michael Pollan’s Dietary Do’s and Dont’s.


GET YOUR VITAMIN D TEST WITH ZRT LABORATORY
It just happened again the other day. A patient sent me a copy of the Vitamin D test she just had done. With frustrating results. The wrong test was done. After all these years, and all the information available, MDs and laboratories still order the wrong test. What a waste of money and time.

For the last 6 months I’ve been looking for a home Vitamin D test. One that would be simple, easy, and accurate to do on your own. I finally found one. ZRT Laboratory in Beaverton OR. ZRT emphasizes research and technological innovation.

Until now, venipuncture blood serum has been the standard medium for testing Vitamin D. ZRT has developed and refined Vitamin D testing in blood spots. A few drops of blood from a quick and nearly painless nick of the finger, placed on a filter paper to dry are all that is needed. The total 25 (OH) Vitamin D is then determined by liquid chromatography/tandem mass spectrometry (LC-MS/MS). This method has been shown to be as accurate as the assay standard.

Ordering A Vitamin D Test
ZRT allows anyone to order a Vitamin D test kit for $95 plus shipping and have it sent to their home. ZRT will let me prepay for kits and send them to my office for $55 each. I am charging $65 per kit for patients to cover my overhead and analysis of results.

If you are interested in getting a Vitamin D test done through my office please prepay so I can order you a kit. Then you can either pick it up at my office or have it shipped to your home. Once you’ve taken the sample and sent it back to ZRT it’s only a matter of time before your results are sent back to me. I can even look at them online before the mail arrives.

If your doctor has refused to order a Vitamin D test or worse, ordered the wrong one, this is the fastest, least expensive, most accurate way to do it ourselves. Once we know what your Vitamin D levels are, the next step is making sure that you achieve optimum levels for prevention of disease and maintenance of health.


WILLIAMSPORT FARMER’S MARKET
Buy Local!    Buy Fresh!    Buy Organic!
Every Saturday 8-1
Corner of Hepburn St. and Little League Boulevard
The Farmer’s Market is happening every weekend throughout the summer. Find the best organic and local fruit, vegetables, meat, and eggs. There are even local craftspeople. Yes, Steam Valley Fiber Farm is back at the market. With it’s great selection of mohair, yarn, on display.

ITHACA OPTIMAL HEALTH
I’m excited to announce that I have opened a new office in Ithaca, New York. Why Ithaca? We feel very drawn to the area—socially, culturally, and politically. Now with the help of some friends we’re practicing there. Joy Weber, a massage therapist, has graciously opened her massage space to me, every 2nd Saturday of the month. I’ll be seeing patients there starting August 8. If you have any friends or family in the area let them know.
My Ithaca office address is 329 South Geneva St., Ithaca NY 14850.


EMERSON ECOLOGICS
I am often asked what supplements I recommend. Many of you have been surprised to discover that I favor food over pills; lifestyle changes over fads. I have been working with nutrition for over 30 years, herbs for over 20 years. Where and when appropriate I recommend them to my patients. I strive to act from knowledge, experience, and research.

Emerson Ecologics (800-654-4432) carries almost all of the nutritional supplements and botanical extracts that I think are useful. Their customer service is excellent and their delivery is reliable (often only 2-3 days to this region). It’s a great way to get physician quality products at reasonable prices.

To offset the cost of shipping, reference my name when you establish your account and receive a 10% discount on every order. If you have any questions about these items feel free to email me.

That’s it for this issue of Naturopathic News. If you’ve thought a bit extra or learned something new, then I achieved my goal. As usual, if you have questions or concerns brought up by these subjects, let me know.

Gregory Pais, ND, DHANP
580 E. 3rd. St.
Williamsport  PA  17701
570-320-0747
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www.foroptimalhealth.com