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8/29/20151. Welcome 2 The Montgomery Heart and Wellness Nutritional Boot Camp Session One

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Page 1: 8/29/20151. Welcome 2 The Montgomery Heart and Wellness Nutritional Boot Camp Session One

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Page 2: 8/29/20151. Welcome 2 The Montgomery Heart and Wellness Nutritional Boot Camp Session One

WelcomeWelcome

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The Montgomery Heart The Montgomery Heart and Wellness Nutritional and Wellness Nutritional Boot Camp Session OneBoot Camp Session One

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Baxter Montgomery, MD, FACCBaxter Montgomery, MD, FACC

Clinical Professor of Medicine, Division of Clinical Professor of Medicine, Division of Cardiology/ Cardiac Electrophysiology UT– Cardiology/ Cardiac Electrophysiology UT– Houston Houston

Director, Houston Cardiac Association and Director, Houston Cardiac Association and JAM Institute of Medical Education and JAM Institute of Medical Education and ResearchResearch

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Montgomery Heart & Wellness Montgomery Heart & Wellness Overview and ConceptsOverview and Concepts

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The Montgomery Heart & Wellness The Montgomery Heart & Wellness Build a Better You ConceptBuild a Better You Concept

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The Basis for Chronic IllnessThe Basis for Chronic Illness

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Define and Remove Sources of Poor NutritionDefine and Remove Sources of Poor Nutrition Define Sources of Excellent Nutrition and Define Sources of Excellent Nutrition and

Replace Poor Nutritional SourcesReplace Poor Nutritional Sources Create an Environment that Reinforces Create an Environment that Reinforces

Necessary Lifestyle ChangesNecessary Lifestyle Changes Provide Individuals with Necessary Tools and Provide Individuals with Necessary Tools and

Skills to Make Long Standing Lifestyle ChangesSkills to Make Long Standing Lifestyle Changes Enable MHW Patients and Wellness Clients to Enable MHW Patients and Wellness Clients to

Become Their Own Health and Wellness Become Their Own Health and Wellness ExpertsExperts

MHW Model of Nutritional InterventionMHW Model of Nutritional Intervention

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Examples of The Program Examples of The Program Effects and BenefitsEffects and Benefits

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A 74-year-old lady who presents with complaints of chest tightness at rest and A 74-year-old lady who presents with complaints of chest tightness at rest and with exertion along with SOB with minimal exertion and generalized fatigue.with exertion along with SOB with minimal exertion and generalized fatigue.

Medical HistoryMedical History• HTNHTN• HypertriglyceridemiaHypertriglyceridemia• Type 2 DiabetesType 2 Diabetes• AsthmaAsthma• Sleep ApneaSleep Apnea

Surgical HistorySurgical History• Hernia RepairHernia Repair• Tubal LigationTubal Ligation• Carpal Tunnel SurgeryCarpal Tunnel Surgery• PericardiocentesisPericardiocentesis• HysterectomyHysterectomy

Family History Family History • HypertensionHypertension• Heart DiseaseHeart Disease• AsthmaAsthma

Example OneExample One

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MedicationsMedications• Levemir 70 units qam and 30 units qhsLevemir 70 units qam and 30 units qhs• Humalog 34 units qam and 34 units TID b/f mealsHumalog 34 units qam and 34 units TID b/f meals• Klor-Con 10 10mEq bidKlor-Con 10 10mEq bid• Cozaar 50 mg dailyCozaar 50 mg daily• Diltiazem 240mg qdDiltiazem 240mg qd• Furosemide 80 mg qdFurosemide 80 mg qd• Vitamin D 50,000 IU 2 times per weekVitamin D 50,000 IU 2 times per week• Pantoprazole 40 mg qdPantoprazole 40 mg qd• Benzonatate 100 mg tidBenzonatate 100 mg tid• Isosorbide Mononitrate qdIsosorbide Mononitrate qd• Simvastatin 40 mg qdSimvastatin 40 mg qd• Travatan 0.004% 1 gtt qdTravatan 0.004% 1 gtt qd• Prednisone 10 mg ½ tab qdPrednisone 10 mg ½ tab qd• Meclizine 25 mg prnMeclizine 25 mg prn• Metolazone 5 mg prnMetolazone 5 mg prn• Nitroglycerin 0.4 mg prnNitroglycerin 0.4 mg prn

AllergiesAllergies• NoneNone

Example One(continued)Example One(continued)

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ExamExam• Wt 289 lbsWt 289 lbs• BP 155/75BP 155/75• HR 85HR 85• General – Moderately obeseGeneral – Moderately obese• Heart and Lungs – without significant Heart and Lungs – without significant

abnlsabnls• Extremities – Bilateral edema of about Extremities – Bilateral edema of about

1+1+

Example One(continued)Example One(continued)

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Intervention for Our Patient in Example Intervention for Our Patient in Example OneOne

• NutritionalNutritional• Foods to Avoid Foods to Avoid • ✦ ✦ All forms of animal flesh (pork, beef, chicken, turkey, fish, etc.)All forms of animal flesh (pork, beef, chicken, turkey, fish, etc.)• ✦ ✦ Dairy products (any animal’s milk or derivatives thereof Dairy products (any animal’s milk or derivatives thereof

including yogurt, cream, cheese, butter, ice cream, sherbet, etc.)including yogurt, cream, cheese, butter, ice cream, sherbet, etc.)• ✦ ✦ Eggs and egg products Eggs and egg products • ✦✦ Processed cereals (oatmeal, corn flakes, grits, etc.)Processed cereals (oatmeal, corn flakes, grits, etc.)• ✦ ✦ Cooked grains (rice, pasta, bread, corn, wheat, or foods with Cooked grains (rice, pasta, bread, corn, wheat, or foods with

wheat gluten such as breads)wheat gluten such as breads)• ✦ ✦ Soft drinks, pasteurized fruit juices, alcohol, coffee, etc.Soft drinks, pasteurized fruit juices, alcohol, coffee, etc.• ✦ ✦ Any other pasteurized beverages Any other pasteurized beverages • ✦ ✦ Any foods that are fried, baked, steamed, grilled, boiled, Any foods that are fried, baked, steamed, grilled, boiled,

microwaved, roasted, or sautéedmicrowaved, roasted, or sautéed

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Medical (red were stopped, blue started, black Medical (red were stopped, blue started, black cont’d)cont’d)• MedicationsMedications• Levemir 70 units qam and 30 units qhsLevemir 70 units qam and 30 units qhs• Humalog 34 units qam and 34 units TID b/f mealsHumalog 34 units qam and 34 units TID b/f meals• Klor-Con 10 10mEq bidKlor-Con 10 10mEq bid• Cozaar 50 mg dailyCozaar 50 mg daily• Diltiazem 240mg qdDiltiazem 240mg qd• Furosemide 80 mg qdFurosemide 80 mg qd• Vitamin D 50,000 IU 2 times per weekVitamin D 50,000 IU 2 times per week• Pantoprazole 40 mg qdPantoprazole 40 mg qd• Benzonatate 100 mg tidBenzonatate 100 mg tid• Isosorbide Mononitrate qdIsosorbide Mononitrate qd• Simvastatin 40 mg qdSimvastatin 40 mg qd• Travatan 0.004% 1 gtt qdTravatan 0.004% 1 gtt qd• Prednisone 10 mg ½ tab qdPrednisone 10 mg ½ tab qd• Meclizine 25 mg prnMeclizine 25 mg prn• Metolazone 5 mg prnMetolazone 5 mg prn• Nitroglycerin 0.4 mg prnNitroglycerin 0.4 mg prn• Tekalmo 300/10Tekalmo 300/10

Intervention for Our Patient in Example Intervention for Our Patient in Example OneOne

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Follow up in One WeekFollow up in One Week• Feels BetterFeels Better• Less EdemaLess Edema• Blood Sugars DecreasedBlood Sugars Decreased• Physical AssessmentPhysical Assessment

Wt 271 lbs (18 lbs decreased)Wt 271 lbs (18 lbs decreased) BP 145/77 (10 mmHg decrease of SBP)BP 145/77 (10 mmHg decrease of SBP)

Example One(continued)Example One(continued)

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Medical (red were stopped, blue Medical (red were stopped, blue started, black cont’d)started, black cont’d)• MedicationsMedications• Vitamin D 50,000 IU 2 times per weekVitamin D 50,000 IU 2 times per week• Pantoprazole 40 mg qdPantoprazole 40 mg qd• Benzonatate 100 mg tidBenzonatate 100 mg tid• Isosorbide Mononitrate qdIsosorbide Mononitrate qd• Simvastatin 40 mg qdSimvastatin 40 mg qd• Travatan 0.004% 1 gtt qdTravatan 0.004% 1 gtt qd• Nitroglycerin 0.4 mg prnNitroglycerin 0.4 mg prn• Tekalmo 300/10Tekalmo 300/10

Intervention at One WeekIntervention at One Week

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Follow up in Two WeeksFollow up in Two Weeks• No Chest Pain or Shortness of BreathNo Chest Pain or Shortness of Breath• Rare episodes of WheezingRare episodes of Wheezing• No EdemaNo Edema• Blood Sugars DecreasedBlood Sugars Decreased• Wt 267.5 (21.5 lbs decreased from Wt 267.5 (21.5 lbs decreased from

baseline)baseline)• BP 155/81 (near baseline on fewer meds)BP 155/81 (near baseline on fewer meds)• Meds Meds

Travatan 0.004% 1 gtt qdTravatan 0.004% 1 gtt qd Tekalmo 300/10 qdTekalmo 300/10 qd

Week Two Follow upWeek Two Follow up

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SummarySummary

Could have initiated with cardiac Could have initiated with cardiac catheterizationcatheterization

Could have added medications for anginaCould have added medications for angina Could have done nuclear stress testCould have done nuclear stress test InsteadInstead

• Began intense nutritional changesBegan intense nutritional changes• Reduced medicationsReduced medications• Followed in office closelyFollowed in office closely

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Example TwoExample Two

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46-Year-Old Lady Needing Clearance for 46-Year-Old Lady Needing Clearance for Gastric Bypass SurgeryGastric Bypass Surgery

46-years-old46-years-old Medical HistoryMedical History

• ObesityObesity• Pre-diabetesPre-diabetes• High Blood PressureHigh Blood Pressure

SymptomsSymptoms• Chest Pain that woke her from sleepChest Pain that woke her from sleep• Shortness of Breath with exertionShortness of Breath with exertion• FatigueFatigue

Initial Heart Test FindingsInitial Heart Test Findings• Abnormal EKGAbnormal EKG• Enlarged Heart with 20% to 25% pumping functionEnlarged Heart with 20% to 25% pumping function

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The Initial Coronary AngiogramThe Initial Coronary Angiogram

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Repeat Coronary Angiogram Repeat Coronary Angiogram After InterventionAfter Intervention

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DetoxificationDetoxification

Concepts and OverviewConcepts and Overview

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What is Detoxification?What is Detoxification?

Detoxification - the term used to describe the process your Detoxification - the term used to describe the process your body goes through to get rid of toxinsbody goes through to get rid of toxins

Detoxification symptoms—both physical and mental—may Detoxification symptoms—both physical and mental—may appear when you alter your lifestyle appear when you alter your lifestyle

Examples of lifestyle changes include: Examples of lifestyle changes include: • changing your dietchanging your diet• exercising exercising • discontinuing a current habitdiscontinuing a current habit

eating chocolate eating chocolate drinking coffee. drinking coffee.

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Detoxification OverviewDetoxification Overview

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Detoxification MechanismsDetoxification Mechanisms

The Body has to Process all Substances that are The Body has to Process all Substances that are IngestedIngested

Ingested Substances have Two Basic ComponentsIngested Substances have Two Basic Components• NutrientsNutrients• Waste (Toxins)Waste (Toxins)

The Balance of Nutrients to Waste (Toxins) The Balance of Nutrients to Waste (Toxins) Determine the Basis of the Body’s HealthDetermine the Basis of the Body’s Health• Nutrients > Waste = HealthNutrients > Waste = Health• Waste > Nutrients = IllnessWaste > Nutrients = Illness

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Major Organs/Systems of FocusMajor Organs/Systems of Focus

Kidney and Urinary SystemKidney and Urinary System Gastrointestinal SystemGastrointestinal System Other Systems to ConsiderOther Systems to Consider

• Lymphatic SystemLymphatic System• Mucous Membranes and Internal Tissue Mucous Membranes and Internal Tissue

Linings (“Internal Skin”)Linings (“Internal Skin”)• Respiratory TractRespiratory Tract• Skin (External)Skin (External)

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Renal DetoxificationRenal Detoxification

The KidneyThe Kidney

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Images of Renal and Urinary Images of Renal and Urinary SystemSystem

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The Physiology of Renal DetoxificationThe Physiology of Renal Detoxification

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Aspects of Basic Kidney Function and Aspects of Basic Kidney Function and DysfunctionDysfunction

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Detoxification by the KidneyDetoxification by the Kidney

Approximately 190 liters of blood pass through Approximately 190 liters of blood pass through the kidney daily (25% of total circulation).the kidney daily (25% of total circulation).

Waste is RemovedWaste is RemovedMedicationsMedicationsByproducts of Food AdditivesByproducts of Food AdditivesByproducts of Normal Metabolism Byproducts of Normal Metabolism

Electrolytes are BalancedElectrolytes are BalancedPotassiumPotassiumSodiumSodiumOthers (phosphorus, magnesium, calcium, etc.)Others (phosphorus, magnesium, calcium, etc.)

Water is RegulatedWater is Regulated

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Functions of the LiverFunctions of the Liver

Production of Production of bilebile, which helps carry away , which helps carry away waste and break down fats in the small waste and break down fats in the small intestine during digestionintestine during digestion

Production of certain Production of certain proteinsproteins for blood for blood plasmaplasma

Production of Production of cholesterolcholesterol and special proteins and special proteins to help carry fats through the bodyto help carry fats through the body

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Functions of the LiverFunctions of the Liver

Conversion of excess glucose into Conversion of excess glucose into glycogen for storage (glycogen can later glycogen for storage (glycogen can later be converted back to glucose for energy)be converted back to glucose for energy)

Regulation of blood levels of amino acids, Regulation of blood levels of amino acids, which form the building blocks of proteinswhich form the building blocks of proteins

Processing of hemoglobin for use of its iron Processing of hemoglobin for use of its iron content (the liver stores iron)content (the liver stores iron)

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Functions of the LiverFunctions of the Liver

Conversion of poisonous ammonia to urea Conversion of poisonous ammonia to urea (urea is an end product of protein (urea is an end product of protein metabolism and is excreted in the urine)metabolism and is excreted in the urine)

Clearing the blood of drugs and other Clearing the blood of drugs and other poisonous substancespoisonous substances

regulating blood clottingregulating blood clotting resisting infections by producing immune resisting infections by producing immune

factors and removing bacteria from the factors and removing bacteria from the bloodstreambloodstream

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GASTROINTESTINAL GASTROINTESTINAL DETOXIFICATIONDETOXIFICATION

The Small IntestineThe Small Intestine

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Basic Function of Small IntestineBasic Function of Small Intestine

DuodenumDuodenum• Receives secretions from the liver and Receives secretions from the liver and

pancreas using bile ducts pancreas using bile ducts • It uses these secretions to extract nutrients It uses these secretions to extract nutrients

from foodfrom food JejunumJejunum

• A major area of absorptionA major area of absorption IleumIleum

• Provides passage from small intestine to large Provides passage from small intestine to large intestine (colon)intestine (colon)

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GASTROINTESTINAL GASTROINTESTINAL DETOXIFICATIONDETOXIFICATION

The Large IntestineThe Large Intestine

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The Large IntestineThe Large Intestine

It is about 1.5 meters (4.9ft) longIt is about 1.5 meters (4.9ft) long It absorbs waterIt absorbs water Passes Solid Waste Material out of the bodyPasses Solid Waste Material out of the body Major ComponentsMajor Components

CecumCecumColonColon

AscendingAscending TransverseTransverse Descending Descending

RectumRectumAnusAnus

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Other SystemsOther SystemsLymphatic SystemLymphatic SystemMucous Membranes and Internal Mucous Membranes and Internal

Tissue Linings (“Internal Skin”)Tissue Linings (“Internal Skin”)Respiratory TractRespiratory TractSkin (External)Skin (External)

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What are Common Detoxification Symptoms?What are Common Detoxification Symptoms?

Clogged sinusClogged sinus ConstipationConstipation CoughCough DiarrheaDiarrhea FatigueFatigue FeverFever Flu symptomsFlu symptoms Cold symptomsCold symptoms GasGas HeadacheHeadache IrritabilityIrritability MoodinessMoodiness Skin rashSkin rash StomachacheStomachache

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How to Treat DetoxificationHow to Treat Detoxification

RestRest

Consume raw fruits and vegetable juice Consume raw fruits and vegetable juice

Drink plenty of waterDrink plenty of water

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Food Toxins and Toxic FoodsFood Toxins and Toxic Foods

Why Must We Remove Certain Why Must We Remove Certain Foods From Our Diet?Foods From Our Diet?

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Toxins in Our Food SourcesToxins in Our Food Sources

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Toxins in Our Food Sources DairyToxins in Our Food Sources Dairy

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Toxins in Our Food Sources DairyToxins in Our Food Sources Dairy

The most significant carcinogen that we The most significant carcinogen that we consume is casein (one of the milk consume is casein (one of the milk proteins)proteins)

Cancer cells can be turned off and on with Cancer cells can be turned off and on with dairy consumptiondairy consumption

Source – Source – The China StudyThe China Study, T. Colin Campbell, T. Colin Campbell

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Toxins in Our Food Sources DairyToxins in Our Food Sources Dairy

Antigens in Dairy – RA, OsteoarthritisAntigens in Dairy – RA, Osteoarthritis

Dairy Proteins – Allergies, Asthma, SinusDairy Proteins – Allergies, Asthma, Sinus

Other Conditions Contributed to Dairy: Acne, Other Conditions Contributed to Dairy: Acne, Atherosclerosis, Stomach (bloating, pain, cramps, Atherosclerosis, Stomach (bloating, pain, cramps, diarrhea, gas), Bronchitis, Chest Infections, diarrhea, gas), Bronchitis, Chest Infections, Eczema, Hay Fever, Hemorrhage, HTN, Hives, Eczema, Hay Fever, Hemorrhage, HTN, Hives, Juvenile RA, MS, Nasal Congestion, Kidney Juvenile RA, MS, Nasal Congestion, Kidney Disease, Pyoderma, Skin Rash, SneezingDisease, Pyoderma, Skin Rash, Sneezing

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What causes a 130 pound calf to become a 2,000 pound cow What causes a 130 pound calf to become a 2,000 pound cow within a matter of months?within a matter of months?

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Toxins in Our Food SourcesToxins in Our Food SourcesPoultry/Beef/Pork/LambPoultry/Beef/Pork/Lamb

Toxins & Pesticides in FeedToxins & Pesticides in Feed

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Toxins in Our Food SourcesToxins in Our Food SourcesPoultry/Beef/Pork/LambPoultry/Beef/Pork/Lamb

FecesFeces

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Toxins in Our Food SourcesToxins in Our Food SourcesPoultry/Beef/Pork/LambPoultry/Beef/Pork/Lamb

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Toxins in Our Food Sources FishToxins in Our Food Sources Fish

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Toxins in Our Food Sources FishToxins in Our Food Sources Fish

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Toxins in Our Food Sources FishToxins in Our Food Sources Fish

Heavy Metals – Mercury – Can cause brain Heavy Metals – Mercury – Can cause brain damage in fetusesdamage in fetuses

Plastics – PCBs - polychloronated biphenyl Plastics – PCBs - polychloronated biphenyl – used in transformers & capacitors – – used in transformers & capacitors – banned since 1976banned since 1976

Flame RetardantsFlame Retardants

DioxinsDioxins

Farm-raised – small, fat-rich fish fed to Farm-raised – small, fat-rich fish fed to larger fish – those small fish contain 10x larger fish – those small fish contain 10x the contaminants of salmonthe contaminants of salmon

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Toxins in Our Food SourcesToxins in Our Food SourcesProcessed FoodsProcessed Foods

Coal Tar Dyes – CarcinogenCoal Tar Dyes – Carcinogen• Artificial colors, flavors and odors are Artificial colors, flavors and odors are

made from coal tarmade from coal tar• Found in soft drinks, cosmetics and Found in soft drinks, cosmetics and

many medicinesmany medicines• Foods with bright colors, strong Foods with bright colors, strong

flavors and odors often contain coal flavors and odors often contain coal tartar

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Page 58: 8/29/20151. Welcome 2 The Montgomery Heart and Wellness Nutritional Boot Camp Session One

Toxins in Our Food SourcesToxins in Our Food SourcesProcessed FoodsProcessed Foods

MSG, BHT (butylated MSG, BHT (butylated hydroxytoluene), BHA (butylated hydroxytoluene), BHA (butylated hydroxyanisole), DEShydroxyanisole), DES

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Toxins in Our Food SourcesToxins in Our Food SourcesProcessed FoodsProcessed Foods

NitrosaminesNitrosamines• Carcinogen (liver, stomach, brain, Carcinogen (liver, stomach, brain,

bladder, kidneys)bladder, kidneys)• Chemical preservative and color Chemical preservative and color

enhancerenhancer

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Toxins in Our Food SourcesToxins in Our Food SourcesProcessed FoodsProcessed Foods

MSG – Look for Other Names on MSG – Look for Other Names on LabelsLabels• Hydrolyzed Vegetable Protein/Hydrolyzed ProteinHydrolyzed Vegetable Protein/Hydrolyzed Protein• Natural FlavoringNatural Flavoring• Hydrolyzed Plant Protein/Hydrolyzed Oat FlourHydrolyzed Plant Protein/Hydrolyzed Oat Flour• Plant Protein Extract/Textured ProteinPlant Protein Extract/Textured Protein• Sodium CaseinateSodium Caseinate• Calcium CaseinateCalcium Caseinate• Yeast ExtractYeast Extract• Natural Beef or Chicken FlavoringNatural Beef or Chicken Flavoring

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How Do I Know if I Have Toxins in My How Do I Know if I Have Toxins in My Body?Body?

Hair Analysis Testing Heavy MetalsHair Analysis Testing Heavy Metals

• MercuryMercury• AluminumAluminum• IronIron• CopperCopper• Cadmium Cadmium • LeadLead• ArsenicArsenic

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ResourcesResources

drgrisanti.comdrgrisanti.com holisticmed.comholisticmed.com hairanalysistest.comhairanalysistest.com chemicalbodyburdern.orgchemicalbodyburdern.org electroherbalism.comelectroherbalism.com

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What are You Willing to What are You Willing to Give Up?Give Up?

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What About Exercise?What About Exercise?

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The Nutritional Boot The Nutritional Boot Camp ExperienceCamp Experience

What to Expect and How What to Expect and How to Maximize Your to Maximize Your

Experience and ResultsExperience and Results

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The Montgomery Heart and Wellness Nutritional Boot The Montgomery Heart and Wellness Nutritional Boot CampCamp

How Should You ProceedHow Should You Proceed

Consult Your Physician

Medications may need to be changed.

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Foods to Completely Remove During Boot CampFoods to Completely Remove During Boot Camp

Remove All Forms of Animal Flesh (Dead or Alive)Remove All Forms of Animal Flesh (Dead or Alive)• FishFish• ChickenChicken• BeefBeef• PorkPork• Worms, Roaches, Rats, etc.Worms, Roaches, Rats, etc.

Remove All Forms of Cooked Foods (steeped teas okay)Remove All Forms of Cooked Foods (steeped teas okay) Remove All Forms of OilsRemove All Forms of Oils Remove All NutsRemove All Nuts Remove All Processed FoodsRemove All Processed Foods Remove All Pasteurized FoodsRemove All Pasteurized Foods

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What Can I Eat?What Can I Eat?

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WaterWater Natural Plant Based FoodsNatural Plant Based Foods

• Raw FruitRaw Fruit• Raw VegetablesRaw Vegetables• Raw SeedsRaw Seeds• Raw SproutsRaw Sprouts

SunshineSunshine

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What is Optimal Nutrition?What is Optimal Nutrition?

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The Boot Camp ProcessThe Boot Camp Process

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Food Food

Classification SystemClassification System

Food Levels 0 through 3 are best for Food Levels 0 through 3 are best for detoxificationdetoxification

Food Levels 4 through 6 are good Food Levels 4 through 6 are good maintenance levelsmaintenance levels

Food Levels 7 through 10 are best Food Levels 7 through 10 are best avoided – Level 7 may be tolerable on avoided – Level 7 may be tolerable on very rare occasions very rare occasions

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Nutritional ZonesNutritional Zones

Zones Detoxification Zone

Slow Healing or Maintenance Zone

Disease Development or Progression Zone

Food Levels Level 0 Level 4 Level 7

Level 1 Level 5 Level 8

Level 2 Level 6 Level 9

Level 3 Level 10

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The Montgomery Heart and Wellness The Montgomery Heart and Wellness Nutritional Boot CampNutritional Boot CampHow Should You ProceedHow Should You Proceed

Review the “List of Foods to Avoid” and commit Review the “List of Foods to Avoid” and commit them to memorythem to memory

Review the Food Classification Scheme and List of Review the Food Classification Scheme and List of Foods and menus in each Food LevelFoods and menus in each Food Level

Decide on a Food Level to Follow during the four Decide on a Food Level to Follow during the four week period and try to stay at that levelweek period and try to stay at that level

No portion limits in Food Level 0-3No portion limits in Food Level 0-3

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How Should You Proceed?How Should You Proceed?

100% Compliance! 100% Compliance!

Upon completion of the four week Upon completion of the four week period, resume a nutritional regimen period, resume a nutritional regimen that is comfortable for you to comply that is comfortable for you to comply with that is as close to the center of the with that is as close to the center of the classification system diagramclassification system diagram

Enjoy the Journey!Enjoy the Journey!

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Frequently Asked QuestionsFrequently Asked Questions

What if I’m hungry?What if I’m hungry?

What do I do about cravings?What do I do about cravings?

What if I want something warm?What if I want something warm?

What if I want to chew?What if I want to chew?

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Finally …Finally …It’s Only 4 Weeks!It’s Only 4 Weeks!

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What Can You Expect?What Can You Expect?

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Change in WeightChange in Weight

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Change in BMIChange in BMI

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Systolic Blood Pressure EffectsSystolic Blood Pressure Effects

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Diastolic Blood Pressure EffectsDiastolic Blood Pressure Effects

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Effects on Heart RateEffects on Heart Rate

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Neck SizeNeck Size

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Effects on WaistlineEffects on Waistline

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Total CholesterolTotal Cholesterol

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Effects on LDL CholesterolEffects on LDL Cholesterol

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Effects on Kidney FunctionEffects on Kidney Function

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Effects on C-Reactive ProteinEffects on C-Reactive Protein

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Effects on SED RateEffects on SED Rate

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Effects on Fasting GlucoseEffects on Fasting Glucose

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Effects on A1CEffects on A1C

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Nutritional Boot CampNutritional Boot Camp• Five Sessions over 4 weeks (monthly meetings)Five Sessions over 4 weeks (monthly meetings)• Remove all forms of animal protein, processed Remove all forms of animal protein, processed

carbohydrates, eggs, and dairycarbohydrates, eggs, and dairy• Raw Fruit and VegetableRaw Fruit and Vegetable• Food Preparation DemosFood Preparation Demos• Supermarket shopping roundsSupermarket shopping rounds

Get Connected and Join Wellness ClubGet Connected and Join Wellness Club• Platinum, Gold, Online, or CustomPlatinum, Gold, Online, or Custom• Monthly Nutritional CounselingMonthly Nutritional Counseling• Food Preparation DemosFood Preparation Demos• Customized Meal PlansCustomized Meal Plans

Boot Camp and Beyond!Boot Camp and Beyond!

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How to Get ConnectedHow to Get ConnectedMeet with our staff to discuss our different Meet with our staff to discuss our different programs and wellness clubsprograms and wellness clubsMHW Platinum ClubMHW Platinum Club• Build a Healthier, Younger YouBuild a Healthier, Younger You• Enhanced Fitness and Anti-agingEnhanced Fitness and Anti-aging

MHW Gold ClubMHW Gold Club• Build a More Energetic and Fit YouBuild a More Energetic and Fit You• Monthly Nutritional Follow up and Track Your ProgressMonthly Nutritional Follow up and Track Your Progress

MHW Online ClubMHW Online Club• Online access to videos and other educational materialsOnline access to videos and other educational materials• Unlimited Recipes from The Garden KitchenUnlimited Recipes from The Garden Kitchen

Custom ProgramsCustom Programs

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It’s Only 4 Weeks!It’s Only 4 Weeks!

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NEWS FLASH!NEWS FLASH!

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Burger King running out of ribs Fast-food chain sold its 10 millionth rib, Fast-food chain sold its 10 millionth rib, expects to expects to exhaust supply this month..

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