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Dr. Gregory Pais, ND
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Home arrow Naturopathic News arrow Issue #138 March 2014
Issue #138 March 2014
  1. INTRODUCTION
  2. CANCER PREVENTION MASTER CLASS
  3. MULTIVITAMIN LOWERS COLON CANCER RISK
  4. BREAST CANCER SURVIVAL AND VITAMIN D
  5. BPA DAMAGES MALE REPRODUCTIVE ORGANS
  6. DIETARY PREVENTION OF CANCER
  7. BREAST CANCER AND STATIN USE
  8. WEBSITE SERVICES
  9. FACEBOOK/NATURALDOC
  10. WISE SUPPLEMENT CHOICES
  11. VITAMN D TESTING
  12. EMERSON ECOLOGICS
Welcome to this issue of Naturopathic News, issue #138. 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. 


2014 Master Class Series

Discover New Concepts in Cancer Prevention…
"If You’re Serious About Lowering Your Risk For Cancer, No Matter What Your DNA May Have To Say About It, And Are Ready To Learn How You Can Create A Cancer Free Lifestyle, Then This Is What You’ve Been Looking For"

* Don’t give up. You can make a difference in your health!
* Your genes aren’t the only determinant of whether you will get cancer.
* 2 out of every 3 cancers are actually caused by the environment.
* It’s so easy to get overwhelmed and not know where to start.

Last issue I wrote about what I was faced with when my dad died of colon cancer (and many other family members developed cancer as I grew up). If I was going to take control of my health I had to do it on my own. 

It was much harder to do research in the late 60s, early 70s. You used the card catalog in the library; there was no Google (shocking I know). I knew that, if I developed colon cancer, I didn’t want to get Cobalt-60 treatments (radiation therapy of the day). I still remember how my bad dad looked after going through the recommended course of therapy.

I did manage to find some research studies supporting the idea that diet influenced cancer. That, along with Silent Spring by Rachel Carson motivated me to look at the quality of food, especially pesticide free. I’ve been eating organic and growing food organically ever since.

Over the last 22 years I’ve guided hundreds of patients in their efforts to remain cancer free. I truly believe there are fundamental elements that must be in place if you are to create the health you desire.

Three Fundamental Elements!

I’ve developed a Cancer Prevention Master Class that addresses three of the most important areas to work on to reduce your risk of cancer.
1. Environment-Understanding how the choices we make can literally Turn Off/Turn On how much risk we have (epigenetics). Give yourself the opportunity to change, starting Now.

2. Cancer As A Metabolic Disease-Using diet and food choices to directly target the metabolism of the disease.

3. Vitamin D-How to use Vitamin D in the best manner to lower your risk for cancer. 

Give Me 6 Hours and I’ll give you more than enough material to help you get started in this new path to cancer prevention.

Option #1: Cancer Prevention Master Class
Strict Limit: 21 spaces left
Normally, I’m paid $100s of dollars per hour to teach a full day class. I want to make it available to those who are the most interested. So I'm pricing this Master Class at $137.

OPTION #2: Master Class Diet Diary
Strict Limit: 12 Participants
Given the detailed nature of the main class, I know from past experience that there will be a few people left out if I don't offer a second option.

That's why I have decided to offer a Diet Diary option for those who need it. If you are a self starter, and need no further guidance then the Diet Diary option is NOT for you. But, if you are ready to take an up close and personal look at your daily food intake, and use that to help be well, then this is a great way to do it.

Over the last 16 years dozens of people have gotten great benefit from the $125 they paid for this 1 hour nutrition consultation by itself. Limited to Master Class participants I am offering this option for $157. As this is such an in depth look at the foods in your diet I can only offer this option to the first 12 who request it.

This is a separate meeting that takes place after you’ve attended the Cancer Prevention Master Class.

With Option 2 you'll get the 1 day Cancer Prevention Master Class PLUS a Diet Diary nutrition consultation. Giving you the best chance to hit the ground running and make the most of what you will learn. We'll look in depth at what you eat and review the supplements you're taking in order to get the program working for you.

OPTION #3: Inner Circle
Strict Limit: 6 Participants
In response to demand from previous students I’ve decided to open up my Inner Circle again and make it available. I haven't offered this in many years. I want only the most committed participants for this program. 5 hours of follow up after the class is over to help you put into practice what you’ve learned. $575- Includes Master Class, Diet Diary, and Vitamin D test-$70 value).

Discount!
If you register with another person at the same time, you each can take $30 off Option 1 or Option 2. $50 discount for each if you both register for Option 3.

Seating is strictly limited to just 21 more attendees so you get up-close-and-personal attention; your questions will be answered throughout the day! We’re keeping the Cancer Prevention Master Class small for  good reason. This is critical if you want to walk away from this seminar with the tools you need to succeed.

There are 21 spots left—that’s it. And when they’re gone, they’re gone. So if you’re serious about reducing your cancer risk, then register now!

Cancer Prevention Master Class
Saturday, March 29, 9-4pm
Residence Inn, Williamsport

To register, Call 570-974-9294 or email This e-mail address is being protected from spam bots, you need JavaScript enabled to view it


MULTIVITAMIN USE LINKED WITH LOWER COLORECTAL POLYP RISK
An article that appeared online on November 12, 2013 in advance of publication in the British Journal of Cancer describes the findings of Harvard researchers of a lower risk of colorectal adenoma (polyps) in women who used multivitamin supplements.

The current study included 43,641 women enrolled in the Nurses' Health Study II who underwent initial colonoscopy or sigmoidoscopy examinations between 1991 and 2007. Questionnaires completed every two years by the participants beginning in 1991 provided information on the use of multivitamin supplements and whether colon or rectal polyps had been diagnosed. Over the course of follow-up, 2,277 women were diagnosed with colorectal adenomas, of which 1,090 were classified as low-risk and 696 as at high risk of developing into cancer.

Women who reported using multivitamins at any time over the course of follow-up had a 14% lower risk of colorectal adenoma than nonusers. When duration of use was examined, subjects who used vitamins for 20 to 26 years experienced the greatest protective effect, with a 20% lower risk in comparison with those who did not report using a multivitamin supplement.

"The findings from our study support those of the studies in colorectal cancer and suggest that compounds in multivitamins may have long-term effects on the risk of adenoma," the authors write. They remark that folate (not folic acid), beta-carotene, and/or vitamins B6, C, D and E may be responsible for the protective benefits uncovered by the current investigation, although they note that experimental findings suggest that folate inhibits only the early stages of colorectal cancer.

"To our knowledge, this is the first prospective study to investigate the relation of long-term use of multivitamins on risk of colorectal adenoma in a cohort of younger women," the authors announce.
DR. PAIS’S COMMENTS: The results of these types of studies are often downplayed because we’re relying on information derived from questionnaires. Basically, we’re depending on people to tell the truth and remember accurately. Both of which can be problematic. However, I still find the information interesting. I just recognize the limitations inherent in this type of assessment.

The stand-out finding for me is the idea that, if a woman used a multi-vitamin mineral supplement at any point in time during the 16 years, they had a 14% lower risk of colorectal adenomas versus nonusers. This is huge! Though your doctor probably never mentioned this to you. And these results never made it to prime time.

Let me tell you. If there was a drug that lowered your risk of colorectal adenoma by 14% it would be on every cable news channel and plastered across billboards, late night tv, and your cell phone. Even if said drug grew a third joint on your middle finger and turned your pee blue.

Seriously though, the fact that, with increased time of use--20-26 years--your reduction in risk was 20%--makes it more likely that the protective effect of a multivitamin on lowering colorectal cancer risk is real.


VITAMIN D LEVELS AND  BREAST CANCER SURVIVAL 
The results of a meta-analysis conducted by a team from the Naval Health Research Center and the University of California, San Diego reveal a protective effect for higher levels of vitamin D against the risk of dying from breast cancer. 

Breast cancer is very common among women. In the United States in 2013, there were roughly 234,580 new cases diagnosed and 40,030 deaths from breast cancer. In 2012, there were an estimated 1.7 million new cases and 500,000 deaths worldwide from breast cancer.

Vitamin D may play a role in cancer through its ability to bind to cancer cells and help tell them to stop spreading, stop growing, or to die. The idea was to review many studies to find a relationship between breast cancer death rates and vitamin D levels. The research team looked at a total of 77 studies on breast cancer and vitamin D. They only included studies that looked at risk of death from breast cancer in which they could group study participants into four groups of vitamin D levels from lowest to highest, called quintiles.

For their analysis, Cedric F. Garland and associates selected five observational studies conducted between 2009 and 2013 that included a total of 4,443 women, among whom there were 471 cases of breast cancer. For women whose serum 25-hydroxyvitamin D levels were among the highest categories, a lower risk of dying from breast cancer was observed. In a pooled analysis of all participants, subjects whose vitamin D levels were categorized as high at an average of 30 nanograms per milliliter (ng/mL) experienced a 44% reduction in breast cancer mortality risk when compared to those whose levels were low at 17 ng/mL.

“Higher serum vitamin D concentrations were associated with lower fatality rates in patients with breast cancer,” the researchers concluded. “Patients with the highest concentrations of vitamin D had approximately half the fatality rate compared to those with the lowest concentrations.”

"There is no compelling reason to wait for further studies to incorporate vitamin D supplements into standard care regimens since a safe dose of vitamin D needed to achieve high serum levels above 30 nanograms per milliliter has already been established," he added.

The authors suggest the initiation of a clinical trial to test the effect of 10,000 international units (IU) per day of vitamin D3.
Meta-analysis of Vitamin D Sufficiency for Improving Survival of Patients with Breast Cancer. Anticancer Research, March 2014.
DR. PAIS’S COMMENTS: I love their reasoning. Vitamin D can be dosed safely so it should be integrated into standard care. Hopefully that is beginning to happen. In the meantime they want to test what will happen with a higher dose—10,000 IU/day. This can be done safely as long as the medical practitioner has appropriate training in nutrition. If the fatality rate lowers even more with the higher dose what a boon to millions of women. At the cost of about $.39 cents per day. How’s that for lowering the cost of health care!


BPA DAMAGE IN VITAL MALE REPRODUCTIVE ORGANS
BPA is an endocrine disrupter that mimics estrogen. In numerous animal studies, it is associated with hormone disruption, obesity, neurological damage and cancer. Despite the consistent evidence, it is still used in food cans, plastic beverage and water bottles, food packaging, and receipts, all of which are the main sources for BPA exposure in humans.

A main concern regarding the endocrine disrupting properties of BPA is the harmful effects on male reproductive organs, especially when exposure occurs during the intrauterine life. A 2005 study published in the journal "PNAS" found that exposing male rat fetuses in BPA levels below the range of exposure by pregnant women (10 ?g/kg), resulted in malformations of the male reproductive organs and disrupted the development of the prostate.  

In a different study published in 2006 in the journal "Cancer Research" the same low grade exposure to BPA in rats was shown to increase prostate gland susceptibility to adult-onset precancerous lesions and hormonal carcinogenesis. In the absence of human studies, the real impact on human male fetuses, whose mothers are exposed to higher amounts of BPA, is impossible to assess.
Developmental exposure to estradiol and bisphenol A increases susceptibility to prostate carcinogenesis and epigenetically regulates phosphodiesterase type 4 variant 4. Cancer Res. 66(11):5624-32.
DR. PAIS’S COMMENTS: I’ve been advising people for years not to use plastic for food or water. Finally, the message is getting through. In the meantime, if you just can’t wean yourself from the plastic lifestyle, here are some actions you can take to minimize exposure:

Don't microwave food in polycarbonate plastic containers (typically marked with recycle code 7).
Reduce use of canned foods.
Opt for glass, porcelain, or stainless steel containers, particularly for hot foods or liquids.
Use baby bottles that do not contain BPA. (The Food and Drug Administration banned its use in baby bottles in 2012; most manufacturers had stopped using it before that, but some people may still have older bottles.)


ONE POSSIBLE DIETARY APPROACH TO CANCER
Eat organic—EPA experts rank pesticide residues as one of the top 3 environmental cancer risks

“Eat a rainbow” of veggies and fruit. Half your plate should be vegetables

Eat hormone free—preferably pasture raised, grass finished.
No chemicals – Avoid trans fats, artificial flavors, colors, and preservatives, ,.

Good for the Gut—Probiotics, live fermented foods-homemade kimchee, sauerkraut, yogurt, etc.

B is for... Brassicas – Eat veggies from this family, which includes broccoli, Brussels sprouts, cabbage, bok choy, kale, collards, cauliflower, and kohlrabi, daily. Rich in nutrients and antioxidants and important for healthy hormone metabolism and liver detoxification.
Eat whole foods; avoid refined and processed foods

Love your liver—Alliums (garlic, onions, leeks), dark greens (chard, kale, collards, mustard greens, dandelion, etc) contain sulfur compounds necessary for effective liver detox, and are also generally nutritional powerhouses. Foods in this category are antimicrobial, cleansing, nourishing, and in some cases, directly anti-cancer. 

Fat is your friend—Choose healthy fats: extra virgin olive oil, fish oil, butter, and coconut oil. No fried or hydrogenated fats.

Spice up your life—Tumeric is anti-inflammatory, liver protective, detoxifying, and tumor-inhibiting! Add to rice, curries, sautéed veggies, eggs, etc.

Lively legumes—This food family includes lentils, chickpeas, kidney beans, black-eyed peas, adzuki beans, anasazi beans, navy beans, mung beans, black beans, and more. Good for you, if your body can digest them (experiment to find the type that works for you).

Fungus among us—Medicinal mushrooms. Deeply nourishing to the immune system and powerful supporters of liver function, medicinal mushrooms keep your vitality up through chemotherapy and radiation. Maitake (Grifola frondosa), Shitake (Lentinus edodes) are both used specifically in cancer prevention, chemo support, and treatment of liver diseases. Add these mushrooms to soups, stews, stir frys, sauté with greens.

Seaweeds—Dulse, arame, nori, kelp, wakame, kombu, hijiki, etc. Detoxifying, alkalinizing, protective against radiation damage, binding to heavy metals. Rich in iodine, an important nutrient in cancer prevention. With the contamination from the Fukushima nuclear meltdown an ongoing environmental disaster, sources of uncontaminated are harder to come by.

80/20 rule—Eat well most of the time, and allow yourself occasional treats without a 
need for guilt or punishment.

Avoid—Sugar, alcohol, trans fatty acids, deep fried foods, nitrates, smoked meats, food coloring and additives, aluminum cookware, GMOs, foods to which you are reactive, microwaved food, caffeine.


LONG TERM STATIN USE DOUBLES RISK OF BREAST CANCER
A 2013 study indicates that women who are long-term users of statin drugs have between 83-143% increased risk of breast cancer.
 
The population-based case-control study utilized data from women in the Seattle-Puget Sound region, which included 916 invasive ductal carcinoma (IDC) and 1,068 invasive lobular carcinoma (ILC) cases of 55-74 years of age diagnosed between 2000 and 2008, and a control of 902 women.

Whereas publicity on statin drugs has focused on their potential use for cancer prevention or as anti-cancer agents, this study found exactly the opposite with current users of statins for 10 years or longer having a 1.83-fold increased risk of invasive ductal carcinoma (IDC) and a 1.97-fold increased risk of invasive lobular carcinoma (ILC) compared to never users of statins.

Additionally, among women diagnosed with hypercholesterolemia, a condition marked by high levels of lipids and lipoproteins in the blood, current users of statins for 10 years or longer had more than double the risk of both IDC [an average of 104% increased risk] and ILC [an average of 143% increased risk] compared to never users.
“Long-term statin use and risk of ductal and lobular breast cancer among women 55-74 years of age.” Cancer Epidemiol Biomarkers Prev. 2013 Jul 5. Epub 2013 Jul 5.
DR. PAIS’S COMMENTS: Of course, a correlation between higher statin drug use and higher breast cancer risk does not necessarily imply causation. It could be that the women with high cholesterol are also following breast screenings recommendations. As some estimates show that standard breast screenings recommendations may have resulted in over one million US women being misdiagnosed and overtreated for breast cancer in the past 30 years, simply being compliant with breast screening guidelines will result in significantly increased risk of being diagnosed with breast cancer. No matter whether diagnosis is accurate or not.
 
Of course, this latest study may have found that cholesterol-lowering drugs and statin drugs in particular are carcinogenic. Statin drugs have previously been linked to increased risk of certain cancers, including prostate, colorectal, and kidney.  


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

Store: There are 413 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 138 issues of my health newsletter, "Naturopathic News”.

Optimal Health Points: This is my blog that I update periodically. Check out my latest post, “No Deaths From Vitamins, Minerals, Amino Acids Or Herbs”.


FACEBOOK
Come join my fan page at www.facebook.com/NaturalDoc 
Help me bring information, news, and stories about natural medicine to the Facebook community. 

For those of you who don’t know, Facebook is a social networking website. Users can add friends and send them messages, and update their personal profiles to notify friends about themselves. Additionally, users can join networks organized by city, workplace, and school or college. 

Facebook pages help you discover new artists, businesses, and communities as well as those you already love. On my fan page www.facebook.com/NaturalDoc I post discussions that you can join in with and relay breaking health news related to disease prevention, clinical nutrition, and ways to make you healthier. 

I’m looking forward to exploring this community with you. See you there!


LET ME HELP YOU MAKE WISE SUPPLEMENT CHOICES
As is often the case, a recent new patient asked if I would review their choice and use of supplements and herbs. Why does this happen so often? For many, taking a vitamin or herb is their introduction to natural medicine. Their desire to be healthier drives them to take supplements and herbs. The death, pain, discomfort, and side effects experienced with over the counter and prescription drugs compel people to look elsewhere. It’s very different with supplements and herbs which, when used correctly, have an incredibly low risk of harm.

Some people take this to an extreme and take every supplement or herb that someone tells them is ‘good for them’. It might be a clerk, an internet ‘expert’ source, or a friend who is marketing the latest or greatest fad. Most of these individuals or companies have no professional training or experience in the medical use of the supplements or herbs that they’re selling. The people they’re selling to come into my office with 5, 10, 15, or more supplements that they’re taking. Sometimes it’s been so long since they started taking them that they don’t remember why they’re doing it. When I ask, they can’t tell me what, if anything, a particular product is doing for them. Yet, they can be quite fearful of stopping any of these items, as if their health would careen off a precipice without them.

Why do I think my approach is any different? Partly, it’s because of my background. I’ve literally been working with nutritional supplements since 1974. That’s 36 years assessing the quality and effectiveness of supplements. Beginning in 1980 I started working with Western and Chinese herbs. The quality of herbs used and how they’re combined together has the greatest effect on the efficacy of the final product. Because I’ve grown, identified, harvested, and produced medicinal herbal products I recognize a good formula when I see one.

Licensed naturopaths like me receive the most extensive academic and clinical training in the use of nutritional supplements and herbal medicines of any professional in the United States. Nothing can substitute for such hands on experience, especially when you see, and are responsible for, the results of your treatments. Very different from the clerk in the store, or coworker who’s part of a MLM scheme. 

What I’m offering to is easy access to this experience and training. Both for you and your family. If you have questions about the supplements or herbs you are taking, or are thinking about taking, now is the time to ask. Send me an email with the brand and name of the product you’re taking. Let me know that you want to bring the bottles in at your next visit, so I can see what you’re taking. Start a discussion on my Facebook fan page. Either way I’ll give you honest feedback about what I think is good, or what isn’t. We’ll fine tune what you’re taking to maximize effect and eliminate waste. 

Let me hear from you and we’ll get started.


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 a long time I looked 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, plus $8 shipping. I am charging $65 per kit for patients to cover the total. 

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.


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. At the same time, I receive a percentage of each supplement sale. 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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