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1 ChiroCredit.com presents Nutrition 222 A Practical Approach to Implementing Clinical Detoxification Programs in Your Practice by Dr. Richard Powers, D.C. Disclaimer The material presented in these documents are for informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease, nor is it a substitute for examination by a physician, nor for an individualized (or customized) protocol based upon your own patient’s needs. Dr. Powers does not assume any responsibility for any outcome resulting from the lack of appropriate assessment and a personalized care plan based on the particular needs of each patient. The information is the opinion of the presenter and based upon many year of his education, research, and clinical experience, and is not necessarily endorsed (nor denied) by ChiroCredit® who is only providing the platform for the presentation. Information and claims about substances mentioned herein have not been evaluated or approved by the FDA. Presentation Objectives: Expanded ‘picture’ … value & need of detox Increased clarity … types of detox Greater confidence … outcome of detox ‘Real World’ tools … implement detox

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Page 1: Disclaimer - ChiroCredit · 2011-11-01 · 1 ChiroCredit.com presents Nutrition 222 A Practical Approach to Implementing Clinical Detoxification Programs in Your Practice by Dr. Richard

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ChiroCredit.com presentsNutrition 222

A Practical Approach to Implementing Clinical Detoxification Programs 

in Your Practice

by Dr. Richard Powers, D.C.

Disclaimer The material presented in these documents are for informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease, nor is it a substitute for examination by a physician, nor for an individualized (or customized) protocol based upon your own patient’s needs.

Dr. Powers does not assume any responsibility for any outcome resulting from the lack of appropriate assessment and a personalized care plan based on the particular needs of each patient.

The information is the opinion of the presenter and based upon many year of his education, research, and clinical experience, and is not necessarily endorsed (nor denied) by ChiroCredit® who is only providing the platform for the presentation.

Information and claims about substances mentioned herein have not been evaluated or approved by the FDA.

Presentation Objectives:

Expanded ‘picture’ … value & need of detox

Increased clarity … types of detox

Greater confidence … outcome of detox

‘Real World’ tools … implement detox

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Successful Practice:

“FORMULA”

Client’s   Experience:

Safe

Effective

Practical

Practitioner’s   Experience:

Fulfilling

Ease

Profitable

Life is like playing a violin in public …     and learning the instrument as one goes on.

Samuel Butler

Clinical Detoxification:

PURPOSE

WHY? … detoxification is more important today than ever before

HOW? … to implement safe, effective, and practical detoxification programs in your practice 

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Detoxification is more important today than ever before.

WHY?

Pesticide Content of Common Foods(highest to lowest)

• Strawberries• Bell peppers / Spinach• Cherries• Peaches• Cantaloupe• Celery• Apples• Apricots• Green beans• Grapes• Cucumbers

Source: Sustainable Cuisine White Paper (Earth Pledge Foundation)

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Agency for Toxic Substances & Disease Registry: CDC

Commonly Encountered Xenobiotics:

• Pesticides• Plasticizers• Perfluoro‐octanes• Industrial Pollutants (dioxins)• Pigments, paints & dyes• Preservatives, flame retardants (PBBs)• Petrochemical fuels (perchlorate) and solvents

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• Aldrin• Chlordane• DDT• Dieldrin• Furans• Dioxins

• Endrin• Heptachlor• Mirex• Toxaphene• Hexachlorobenzene• Polychlorinated biphenyls (PCB)

Persistent Organic Pollutants(POP’s)

“The Dirty Dozen”

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Safe, Effective & Practical Detoxification:

The ‘WHY’

Tissue samples from cadavers in the late 1970’s found that almost 100% had one to many chemical compounds stored in their body.

– These chemicals included known toxins like DDT, PCP, PCB, and dioxin.

1982 NAT Survey* showed 100% samplescontained toxic chemical compounds (e.g., dioxin).

KEY POINT: Finding a toxin‐free person is as difficult as finding a needle in a haystack.

*US EPA NHATS (National Adipose Tissue Survey, 1982)

Safe, Effective & Practical Detoxification:

The ‘WHY’

“For the first time in the history of the world, every human being is now subjected to contact with dangerous chemicals, from the moment of conception until death. 

In the less than two decades of their use, the synthetic pesticides have been so thoroughly distributed throughout the animate and inanimate world that they occur virtually everywhere.”

Rachel Carson, Silent Spring, 1962

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Toxicity is a reality … everyone is carrying a toxic burden.

Dr. Walter Crinnion, ND from Murray M, Pizzorno J., Textbook of Natural Medicine, p 299

Impaired Detoxification

Brain ‘fog’

Unable to concentrate, irritable, confused 

Mood swings

Restlessness 

Headaches

Chemical sensitivities

Joint Pain

Hives, rashes

Fluid retention

Feels ‘unwell’

Immune dysfunction– Under/Overactive 

– Autoimmune

Digestive disorders

Food sensitivities

Chronic fatigue

Frequent illness

Loss or exaggerated sense of smell or taste

Weight gain

Sleep disturbances

Intestinal Toxicity

Dysbiosis: 

Pathologic microorganisms in the GI tract create exotoxins that go directly to the liver and can unbalance Phase I & II reactions.

Entero‐hepatic circulation will recycle toxins that are in your intestines and not eliminated in feces.

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Intestinal Toxicity:Symptoms

Abdominal pain/tenderness 

Diarrhea/Constipation 

Gas/Bloating 

Mucus/blood in stool 

Sensitive to perfumes, chemicals, cigarette smoke

Worse damp, wet weather

Crave sugar, bread, alcohol

Fatigue, lethargy, feel “drained”

Feeling ‘spacey or unreal’

Allergies / itchy

– food, airborne, chemical

Chronic Sinus Congestion

Numbness, burning or tingling

Muscle aches

Pain and/or swelling in joints

Headaches

Can’t think/concentrate/poor memory

The supreme irony of life is that hardly anyone gets out of it alive. 

Robert Heinlein

The KEY:Minimizing the Total Toxic Load

LESS TOXINS IN:

Minimize Exposure to xenobiotics

Minimize Exotoxins from unhealthy gut

+MORE TOXINS OUT:

Replenish Deficiencies that impair neutralization and/or elimination of toxins

Reduce Burden of accumulated toxins

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Detoxification:

Far‐infrared sauna therapy– Detox through skin (plus via liver/gut/kidneys)

– Help deplete load of fat‐soluble chemicals/toxins 

– Low temp (110‐120 F) = just till sweat; 10‐30‐60 mins

– Ensure adequate adrenal & gut health; nutrient stores

Coffee enemas– Increase bile flow

– Upregulation CYP450 1A2 = affect some medications, hormones, etc.

Foot baths– Published evidence of efficacy?

Detoxification: Two Basic Approaches

Provocative

– Stimulate the release of stored toxins

Supportive

– Provide the body with it’s fundamental needs to properly detoxify 

Detoxification:

Provocative ‐ stimulate the release of stored toxins

Fasting

– Accelerates detoxification process

– Increased nutrient requirements (phase 2)

Chelation

– Pulls toxins back in to circulation

– Increased detox requires clear detox pathways: 

• liver/bile flow

• intestinal health/transit time

• kidneys

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Detoxification:

Supportive – Provide fundamental needs to detoxify (to neutralize and/or eliminate toxins)

Clean diet Oligoantigenic diet (gut)

Nutrient‐rich foods (nutrients)

Gut support Reduce gut‐generated exotoxins

Nutrient support Repenish macro/micronutrient deficiencies

Guaranteed …Frustration, Agony & Lost Income!

Stimulating toxic release before first ensuring body is prepared for increased circulating toxic load

Guaranteed …Frustration, Agony & Lost Income!

Inadequate patient education

Insufficient written instructions

Lack of preparation

Inefficient implementation

Ineffective monitoring

Unrealistic expectations

Incomplete follow‐through

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Unintended Results:

Extra staff hours explaining detox

Patient detox complaints

Add’l doctor hours trouble‐shooting

Uncertainty around safety issues

Poor compliance

Disappointment from unmet expectations

Lack of profitability

End up avoiding detox programs!

When it is obvious that the goals cannot be reached, don’t adjust the goals, adjust the action steps.

Confuscious

Safe, Effective & Practical Detoxification:

The ‘HOW’

FOUNDATION SET

EDUCATION & CONTEXT

DETOX SUPPORTNutrients + CaloriesCoaching (maintain comfort/energy)

RESULTS MEASURED

FOLLOW‐THROUGH

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Satisfied Patients

vs.

Raving Fans!

Detoxification:Goals Overview

Lower body’s toxic burden– Minimize xenobiotic/exotoxin exposure

– Improve body’s ability to transform existing toxins into harmless molecules that can be easily eliminated from body

Disrupt unhealthy dietary habits– Discover food sensitivities

– Establish healthier habits

Foster increased awareness– Improve ability to manage stress

– Experience greater levels of inner peace

Detoxification:Plan Overview

If and when detoxification is indicated, include appropriate guidance and support:

Education (benefit, process, goals, expectations, cost)

Preparation (clean diet, extra rest, gentle exercise)

Monitoring

Follow‐through

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Detoxification:Minimize Exposure

Diet: Whole, unrefined real food; low‐temperature cooking

Air & Water: Home filtration (drinking; shower)

Hygiene: (non‐chemical/toxic metal) deodorant; shampoo; suntan lotion; cosmetics; toothpaste; perfume/cologne

Household: (non‐chemical/toxic metal) air fresheners; cleaners; soaps/detergent; etc.

Habits: alcohol; smoking; medication; OTC

Environment: fertilizers (golf course); pesticides; herbicides; plasticizers (phthalates); BPA (plastic/cans); radiation (diagnostic + sunlight)

Detoxification:SAFE, EFFECTIVE and PRACTICAL 

Before Detoxification 1.  Provide Foundational support 

2.  Determine need

3.  Decide when safe to begin

4.  Create context (need, benefits, expectations)

5.  Set ‘stage’; establish ‘benchmarks’ to monitor results

During Detoxification 6.  Effective, safe and efficient detoxification protocols

After Detoxification 7.  Re‐measure biomarkers

8.  Acknowledging accomplishment and meaningful results

9.  Strategies going forward

+ Clinical Implementation Pearls 

Before Detoxification

1. Provide Foundational support

2. Determine need

3. Decide when safe to begin

4. Create context (need, benefits, expectations)

5.  Set ‘stage’ + Establish ‘benchmarks’ (to monitor results)

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Before Detoxification:1. Provide FOUNDATIONAL Support

Restorative Sleep (rest)

Appropriate Movement (exercise)

Dietary Habits (meal timing, food quality)

Nutrition (micro‐ and macronutrient balance)

Stress Management (+ address drug/alcohol use)

Movement + Deep Breathing + Pure Water + Daily BM

SYMPTOMS? (toxicity self test)

– weight gain, headaches, anxiety, sleep disturbances, joint pain, fatigue; resistant to change

EXPOSURE? (medical/personal history)

– habits, hobbies, workplace, home, dental, meds, diet

SIGNS? (exam)

– Murphy’s, liver, thumb web, skin pallor

LABS/TESTS?– blood tests, urine tests, VCS (visual contrast sensitivity test), GIFX/CDSA, SNP’s…

Before Detoxification:2. Determine NEED

Before Detoxification 3. Decide when SAFE to begin

GI health/Dysbiosis

– Bowel transit time

– BM frequency

– Dysbiosis questionnaire

– Urinary indican

– GI symptoms

Kidney function– Serum creatinine, BUN, 

electrolytes, bicarbonate

– Urinary pH

Overall Vitality

– BIA (BioImpedence Analysis) Phase Angle

– HRV (Heart Rate Variability) power spectrum amplitude

Nutrient Status

– Antioxidants, vits, mins, fa’s

Medications– Quantity, type, duration

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If not ready, or unsure … Replenish!

Pure Water

– sip throughout the day

Gut Health

– Probiotics Acidophilus/bifidus

– Prebiotics Inulin/arabinogalactans

– Fiber Soluble/insoluble

– Antimicrobials S. Boulardii/Berberine

– L‐Glutamine

Restorative Sleep

Movement

– Walking

– Rebounding

– Bicycling 

– Swimming (add taurineto help clear chlorine)

Nourishment

– Breakfast

– Nutrient‐dense foods

– Elimination diet

– Proper vit/min/aox(purity; potency; ratios)

If not ready, or unsure … Support!

Foundational Nutrients

– Bioactive vitamins

– Chelated minerals

– EPA/DHA

– Antioxidant/Pro‐oxidant

– Hypoallergenic protein

Cholagogues (bile flow)– Celandine; gugul; dandelion; 

beet leaf; black radish

– Methionine; taurine; choline; inositol

Homeopathic “Drainage” Remedies

– kidney support

– lymphatic support

– bile flow 

Avoid sources of toxic exposure– History

– Consultation Workplace

Home

Hobbies 

4. Create Context

Brain ‘fog’

Unable to concentrate, irritable, confused 

Mood swings

Restlessness 

Headaches

Chemical sensitivities

Joint Pain

Hives, rashes

Fluid retention

Feels ‘unwell’

Immune dysfunction– Infection/Cancer

– Autoimmune/Allergies

Digestive disorders

Food sensitivities

Chronic fatigue

Frequent illness

Loss or exaggerated sense of smell or taste

Weight gain

Sleep disturbances

REMIND … Impaired Detoxification

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4. Create Context

Abdominal pain/tenderness 

Diarrhea/Constipation 

Gas/Bloating 

Mucus/blood in stool 

Sensitive to perfumes, chemicals, cigarette smoke

Worse damp, wet weather

Crave sugar, bread, alcohol

Fatigue, lethargy, feel “drained”

Feeling ‘spacey or unreal’

Allergies / itchy

– food, airborne, chemical

Chronic Sinus Congestion

Numbness, burning or tingling

Muscle aches

Pain and/or swelling in joints

Headaches

Can’t think/concentrate/poor memory

REMIND … Intestinal Toxicity

4. Create ContextLESS TOXIC = FEEL BETTER

A detoxification program was administered to female workers who had been exposed to PCBs and other fat‐soluble industrial chemicals. 

Detoxification treatment reduced the PCB levels in adipose tissue by 63% and in serum by 49%.

The signs & symptoms these women had been 

complaining of improved.

Tretjak Z, Shields M, Beckmann SL. PCB reduction and clinical improvement by detoxification: an unexploited approach? Hum Exp Toxicol 1990;9:235‐44

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4. Create ContextLESS TOXIC = LOOK BETTER

There is currently no way of testing to determine the total amount of chemicals in a person’s body.

But, exposure of animals to chemical toxins changes body composition in favor of fat accumulation.

So, the poorer one’s body composition (less muscle and more fat), the more likely one has higher amounts of toxins stored away

Q&A:  Frequently Asked Questions

Why would I want to do a detoxification program?

How is this detoxification program different than others?

Why is this Detoxification Program considered practical?

Can I begin the Detoxification Program at any time?

How can I expect to feel DURING the detoxification program?

Q&A:  Frequently Asked Questions

How can I expect to feel AFTER it?

How will I know if the detoxification program worked?

What products are used and what is each product for?

How much will it cost? ($20‐35 per day)

Can I substitute other products in place of the ones recommended?

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Why do you think they call it a ‘practice’?… and call our clients ‘patients’?

Before Detoxification: 5. Setting the Stage

(At Initial Detoxification Appointment)

Review client’s updated Health Goals

Toxicity Questionnaire results (relate to client’s health condition)

Review any Detox Q&A questions

Reasonable Expectations– Feel better!

– Jump‐start physiology & “shape intelligence”

– Discover food sensitivities

– Establish better relationship with food

Unreasonable Expectations– Normalize all biomarkers

– Eradication of all symptoms (and toxins!)

– Major re‐shaping (and significant fat loss)

Before Detoxification: 5. Establish Benchmarks (biomarkers)

(At Initial Detoxification Appointment)

Toxicity Questionnaire (MSQ)

Measurements:waist, hip, thigh

B/P: sitting, recumbent, standing

BioImpedance Analysis (BIA) Phase angle = cellular health Body composition

Heart Rate Variability (HRV) Power spectrum = vitality Sleep / Stress status

Lab findings (lipids; ALT; AST; GGT…)

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During Detoxification

6.  Effective, safe, and efficient  detoxification protocols

During Detoxification: 6. Effective, safe, efficient protocols

Balanced Detox Support

Gut Support + Elimination

Cell Membrane Repair

Sufficient calories

Limit Digestive Burden

Dosing & Quantity Guidelines

Additional Considerations

6. Detoxification:Balanced Detox Support

Phase 1+2 & Liver Support:

– Dual‐phase optimizers – inhibit Ph‐1 + induce Ph‐2 Ellagic acid (pomegranate)

Catechins (green tea)

Glucosinolates (watercress)

– Hepatoprotectants

Silymarin (milk thistle)

Lipoic acid (controlled release)

Artichoke

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6. Detoxification:Balanced Detox Support

Phase 1+2 & Liver Support:

– Hypoallergenic protein (pea/rice)  Amino acids for Ph‐2 conjugation L‐glutamine (gut/muscle) Glycine & Taurine (bile)

– Methylation 

MSM, B6, B12, MTHF/folinic acid

– Glucuronidation Ca‐D‐glucurate

– Sulfation Na‐sulfate, MSM, NAC

6. Detoxification:Gut & Elimination Support

Lower Toxic Load:

• Toxin removal = Transit time + SCFA production Soluble + insoluble fiber

• Toxin reduction Probiotic Prebiotic

• Toxin exclusion L‐glutamine Immunoglobulins

• Toxin mobility Pure water

6. Detoxification:Cell Membrane Repair

Healthy fats: (maintain Membrane fluidity balance)

Increased fluidity:  (receptor responsiveness) Omega‐3 (EPA/DHA)

Omega‐6 (sunflower oil*)    

Increased structural integrity:  (free radical  resistance) MCTs (coconut oil)

Phosphatidylcholine

* BodyBio Oil 4:1

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6. Detoxification:Sufficient calories

39 obese persons on a calorie‐restricted diet for 15 weeks.

All chemical toxins studied increased in the blood stream while people were losing weight.

More weight (fat) someone lost, the higher the toxin levels. 

“These results raise concerns about an undesired and potentially harmful side effect of weight loss…”

Chevrier J, Dewailly E, Ayotte P, et al. Body weight loss increases plasma and adipose tissue concentrations of potentially toxic pollutants in obese individuals. Int J Obes Relat Metab Disord 2000;24:1272‐8

6. Detoxification:Limit Digestive Burden

“Elimination” Diet

– Avoid more common antigenic foods: Gluten, casein, soy, citrus, corn

– Minimize refined, processed food, toxic: Trans fats, “white” food, sugar, chemicals Unsafe fish (swordfish, tilefish, grouper, org. roughy, tuna, bluefish, bass, halibut)

– Emphasize: Nutrient‐rich organic foods Colorful vegetables (+cruciferous)

Digestive Support (as needed)

– Supplements: Digestive enzymes; HCl

Speaking of Digestive Burden…

Who was the first celebrity to succumb to the E. Coli outbreak?

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6. Detoxification:14‐Day Detox ‐ Dosing Guidelines

(can adjust to appetite and body size)

Protein MF   “Shake”   EPA/DHA      Detox  Dietary(26g)          Ingred.     (600mg)    Nutrients Guidelines

Day 1‐2:       2 sc.‐2x              1x               1‐2x           1 cap‐2x Elimination diet

Day 3‐4:       2 sc.‐3x 2x 2‐2x           1 cap‐2x Elimination diet

Day 5‐9:       2 sc.‐3x+ 2x               2‐2x           2 cap‐2x Stm Veg; Alk broth; (seeds)

Day 10:        2 sc.‐3x 2x               2‐2x           2 cap‐2x + all vegetables

Day 11:        2 sc.‐3x              2x               2‐2x           2 cap‐2x + non‐gluten whole grains

Day 12:        2 sc.‐2x 1x 2‐2x           1 cap‐2x + unsalted nuts/seeds (raw)

Day 13:        2 sc.‐2x 1x 2‐2x           1 cap‐2x + veg. protein (legumes)

Day 14:        2 sc.‐2x 1x 2‐2x           1 cap‐2x + animal protein (eggs)

Post Detox:

Day 15+:    2 sc.‐1/2x 1x 1‐2x       (1‐2 cap‐1x) + animal protein; sens. Foods

“Shake” Ingredients:

Fiber (8g); Probiotic; Prebiotic (1.5 g); Coconut oil (1‐2 Tbsp)

(Optional = L‐glutamine; Phosphatidylcholine; BodyBio oil)

6. Detoxification:Dosing Guidelines

(can adjust to appetite and body size)

Consume enough so not hungry (may miss eating)

Medical food “shakes”

Low‐carb steamed vegetables + alkaline ‘broth’

Daily intake: (during semi‐fast portion)

Calories: No need to measure (or worry)  Drink/eat to appetite

28 grams of fiber (adjust fiber for constipation)

400‐500 mg of magnesium (adjust to bowel tolerance)

70 grams of protein (adjust to weight/lean mass)

6. Detoxification:Dosing Guidelines

(can adjust to appetite and body size)

Quantities of Protein: Lean body mass x activity level (walking = 0.6)

Total weight

Lean mass Higher % body fat = Lower % lean mass

More muscle = High % lean mass

150 lb, 25% body fat = 75% lean; 150 x 0.75 x 0.6 = 68g

200 lb, 35% body fat = 65% lean; 200 x 0.65 x 0.6 = 78g

No BIA? (FFM) Adjust servings based on size (wgt) + body fat

“Ballpark” estimate O.K.

Use hunger as guide

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6. Detoxification:Quantity Adjustments

Adjust protein: Appetite

Size of the individual 

Ratio of lean mass to body fat (BIA)

Ability to handle qty magnesium (hx: loose stools?)

Adjust coconut oil: Ability to tolerate/digest fats/oils

Known challenges, gallbladder issues, bloated feeling 

Consider starting at lower dosages (1 tsp) and ramp up

Biliary support (cholagogues)

Adjust prebiotics if: Develop uncomfortable ‘gas’ or bloat

Reduce amount; or stop

Cholagogues (bile flow)

Homeopathic remedies

Herbs, amino acids (see list)

Lymphatics Skin brushing

Homeopathic remedies

Slant board

Walking or Rebounding

Kidney function Homeopathic ‘drainage’ remedies

Pure water (sipping)

6. Detoxification:Additional Considerations

Benefits– Reduce pain

– Strengthen immunity

– Lower cardiovascular risk

– Improve nutrient absorption

– Launch weight loss

– Discover food sensitivities

How it works– Supply nutrients for 

detox

– Limit digestive load

– Focus on ‘Basics’

How is it different?– Improve detox vs. 

stimulate toxin ‘dump’

Introduce “medical food” concept

Before beginning– Water, rest, exercise

Important notes– Hunger

– Discomfort

6. Detoxification: Additional Considerations

(Handouts)

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Detoxification Dietary Guidelines

– Elimination diet (oligoantigenic)

Clarification of terms:

– Pure water

– Low carbohydrate vegetables

– Nuts, seeds, butters

– Fruits/vegetable juice

– Protein foods

6. Detoxification: Additional Considerations

(Handouts)

‘Shake’ preparation

– Blend well

Day‐by‐day instructions

– ‘Shake mixture’

– Capsule dosages

– Dietary guides and tips Eat till satisfied…not full

Reminder: Eat plenty of steamed veggies (low‐carb)

Alkaline broth

Freshly prepared vegetable juice

6. Detoxification: Additional Considerations

(Handouts)

Reintroduction of Food (Day 10):– Vegetables– Whole, non‐gluten grains– Nuts and seeds– Protein

One every other day Note any reactions

Schedule appt. with the doctor (around Day 13)– Advise with food reintroduction– Familiarize with common food reactive symptoms

After the Detox (Day 14…)

Important Reminders– Daily bowel movements– Gentle exercise, extra rest– Call for phone consultation if uncomfortable

6. Detoxification: Additional Considerations

(Handouts)

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Alkaline Broth Recipe

– Prepare ahead

– Celery, green beans, zucchini, spinach, parsley

– Steam; puree; herbs; unrefined salt to taste

– Drink at least 1‐2 cups per day, can drink more

– If sensitive digestion:

Cook vegetables longer (45 mins.)

Drain – keep broth, discard vegetables

6. Detoxification: Additional Considerations

(Handouts)

After Detoxification

7.  Re‐measure biomarkers

8.  Acknowledge accomplishment and meaningful results

9.  Strategies going forward

7. Re‐Measure Biomarkers:

Toxicity Questionnaire (MSQ)

Measurements:waist, hip, thigh

B/P: sitting, recumbent, standing

BioImpedance Analysis (BIA) Phase angle = cellular health Body composition

Heart Rate Variability (HRV) Power spectrum = vitality Sleep / Stress status

Lab findings (lipids; ALT; AST; GGT…)

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8. Acknowledge Accomplishmentand Meaningful Results

What happened?– Goals achieved

– New body awareness

– Modified relationship with food

– New ‘healthy‐habit’ patterns

What didn’t happen?– Energy levels, ADL

– Goals not achieved

Acknowledge results in appropriate context

9. Strategies to Consider Going Forward:

Reiterate – detox was a “stepping stone”

Encourage – acting on realizations

Support – new healthy habits

Re‐emphasize – 5 “Basics”

Develop – home schedule

Consider – continuing some detox support

Monitor – progress (BIA, HRV, girth, labs…)

Clinical Implementation:Scheduling

Introduce Detoxification Concept: Inform and educate (Q&A; Tox Q.)

Appointment 1: (prior to Detox) Choose length of Progam (14 or 21‐day)

– Discuss detox “levels” based on need /budget  

Review Day‐by‐day Detox Guide + Products

Measure biomarkers (if not done recently)

Appointment 2: (toward end of Detox) Check‐in and Food Reintroduction (protein) 

14‐day Program: around Day 10‐13

21‐day Program: around Day 17‐20

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Clinical Implementation:Communication

Invite patient to call in

Check‐in with patient (phone)

– Daily bowel movements

– Satisfied appetite

– Sufficient energy levels

– Aggravation or new symptom

Clinical Implementation:Troubleshooting

– Insufficient bowel movements Water, movement, breathing, vegetables, fiber, magnesium citrate (start with 2 capsule at bedtime)

– Hungry More steamed vegetables (low carb) Add’l scoop of protein source (medical food “shake”) Raw, organic seeds/nuts (sunflower; pumpkin; almonds) 

– Low energy levels Extra rest (naps/earlier bedtime), more food (if hungry), gentle movement

– Symptom aggravation or new symptoms Homeopathic remedies More or different type of food

Clinical Implementation:Key Points

VEGETABLES: 

Encourage plenty of vegetable intake 

ELIMINATION: 

Remind to ensure at least one bowel movement every day

REVIEW: 

Suggest reviewing the entire program; then, each day, read and follow the appropriate day’s instructions

SCHEDULE: 

Schedule both appointments ahead of time

ASSISTANT: 

Have informed assistant guide patient through the process

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Clinical Implementation:

Detoxification Product Support

42 Servings (14‐day):

Protein (medical food ‘shake’)

Plus 1 bottle each of:

Detox support

Fiber

Probiotic

L‐glutamine

(Prebiotic)

EPA/DHA (omega‐3 oil)

Coconut oil

(BodyBio 4:1 omega‐3+6 oil)

(Phosphatidylcholine)

VALUE = BENEFIT:COST RATIO

Feel better!

Jump‐start physiology and “shape intelligence”

Discover food sensitivities

Initiate new healthier habits

Establish healthier food relationship

Gain body awareness

HOW WILL THEIR LIFE BE DIFFERENT, IF…?

Safe and Effective Detoxification:

Next Step

Review these MATERIALS

Do it! = Know the VALUE

Prepare AHEAD

Keep it SIMPLE

Do it YOUR WAY

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Where to Purchase:

BodyBio 4:1 oil– 4 parts sunflower oil to 1 part flaxseed oil

– Preserves 4:1 omega‐6 to omega‐3 ratio (research)

– Must be refrigerated

– Mfg: BodyBio

– Distributor: Emerson Ecologics, 800‐654‐4432

Coconut oil– Unrefined, unheated, non‐hydrogenated

– Centrifuge extracted

– www.coconutoil‐online.com

Our Opportunity

To listen and acknowledge

To educate and support healthier habits

… creating a more balanced schedule and lifestyle

… loving and giving to themselves 

To stimulate self‐reflection and increased awareness

To guide from the heart with authentic, safe, and 

effective approaches

We make a living by what we get, we make a life by what we give.

Sir Winston Churchill

Thank you.