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DrRic presenting Detox lecture at Bodhi Prem Yoga May 12 2012
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Detox Deconstructed-The Saguil Approach
We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
Enrique Saguil, M.D.
We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
First Health Associates
2010 S. Arlington Heights RdLL Suites
Arlington Heights, IL
Nutrition
Grounding
Movement
DrRic
The First Health Approach
We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
Your Community of Care
Ric Saguil, MDJason Gruss, MDTom Jordan, RD
Katrina Christie, LCPCJennifer Green, NDJoe Musolino, DC
Emery Paredes, PTYu Zhu, MD China
You
What stops us from regular E S P -“Distractions”
Senate Select Committee on Nutrition and Human Needs
• “….During this century, the composition of an average diet has changed radically. Complex carb, fruits, veg and grain which were the mainstay now play a minority role. At the same time, fat and sugar composition have risen to the point where these dietary elements alone now comprise 60% of the total caloric intake…..”
..that was from 1977!!
The McGovern Committee
Bob Dole and George McGovern
Detoxification
• Found in many cultures, originally associated with purging impurity from the body
• With religion (Lent, Ramadan, Yom Kippur) it is associated with enlightenment.
• Modern proponents suggest a reset of the body function in addition to creating a feeling of energy.
• Shatkarma….the ancestor of “detox in a box”
Shatkarma
1. Neti2. Dhauti
3. Nauli
4. Basti5. Kapalbhati6. Trataka
A process of cleansing and
purifying the nasal passages.A series of cleansing techniques divided into three(1 internal (2 head (3 thoracic
Massaging and strengthening the abdominal organs
Washing and toning the large intenstine
Breathing technique for purifying the frontal brain
Intense gazing at one point or object to develop power of concentration
Neti
• Neti pot filled with room temp water and salt (one tsp per 0.5 L water)• Feet apart, lean forward, insert gently, elbow
up and pour until ½ container is empty gently blow mucus.
• Repeat to other side• Dry nostrils alternate nostril 10 breaths
standing, leaning right leaning left, leaning
Varisara Dhauti
• Light semi liquid meal night before• Khichari (white rice/mung dal, clarified butter
with a little tumeric (no salt)• Eat at the end of practice, after 45min of rest,
again later in the day. • 2 glasses warm salty water aqap then 8 asana• Repeat 3x and attempt BM• Water again aqap followed by 8 asana
The five asana activate peristalsis and enhance the cleansing process-open the pyloric sphincter-open the ileocecal sphincter-open the anus
Nauli
• Madhyama Nauli
• Dakshina Nauli (right isolation)
• Vama Nauli (left isolation)
Basti
• Jala Basti-Yogic enema• Sthal Basti-dry yogic enema• Moola Basti-anal cleansing
Kapalbhati
• Vatkrama kapalbhati (air cleansing)• Vyutkrama kapalbhati (sinus cleansing)• Sheetkrama kapalbhati (mucous cleansing)
Trataka
Ayruvedic Approach End Result-
• Lightness of the body, clarity of the mind and increased energy
• Regular bowel movements with no gas or bloating
• A clean tongue and fresh breath
Shatkarma 1. Clean out2. Clean out3. Move 4. Clean out 5. Breath the Mind6. Mind
1. Neti2. Dhauti3. Nauli4. Basti5. Kapalbhati6. Trataka
Action
Modern Day Detoxing
Medical Non Medical
What ever works!
A word on Science of our GUT
http://www.nhlbi.nih.gov/health/public/heart/chol/wyntk.pdf
Miles of capillaries and microvilli…
…all work to constantly absorb, filter and move.
Resting the GUT When it works good, we feel good
When GUT is abused, it un-filters hell
RECHARGE!
When GUT is on holiday, a lot of energy frees up
Mario says:This is why after the first week,
detoxers feel so energetic!
How to choose which diet?
The Saguil Approach toNutrition Change
• Has to be safe
• Take some time off
• Precede the event with grounding
• Rescue medicines or herbs
• Celebrate with a hallmark change in movement and spirit
(or warn others!)
(or warn others!)
(for side effects)
Bottom line is the RESET
SafeCheapReliable?
Knowing the facts
• Glycemic index• Food side effects (later…)• Calories • Portion size
Food for Thought (bad thoughts)
GI (glycemic index) of the GI
Fructose heavy high GI
Insulin Dumping/Cortisol dumping
Jumpstart in a Nutshell..
Daily diet for 7-10 days1200-1400 calories per day:• Whole Grains• Vegetables• Protein• Dairy Alternatives• Fruit• Fat
H2O
Whole Grains =2 cups
OR1 cup cooked grain 2 slices of bread
1 ½ cups dry cereal
Vegetables = 2 ½ cups
OR4oz vegetable juice 1 cup raw vegetables
3 cups raw lettuce
Protein = 5 ½ servings
or½ cup cooked legumes ½ cup tofu or tempeh
4 oz fish 4 egg whites or 2 whole eggs
Dairy alternatives = 1 cup
1 cup almond soy rice coconut
Fruit = 1 serving
1 piece of fruit ¼ cup of dried fruit
½ cup of fresh or frozen
Fat = 2 teaspoons
or1 tsp oil 1 ½ tsp tree nut butter
1 tablespoon chopped nuts or ground flaxseed
WHOA!!!!!!
DrRic Disclaimer
• I am not a • I am not a • I am not a • I am not a
• I am a Yoga Teacher • I am a Compassionate Physician• I am an Integrative Medicine Physician
Sustainability Team
Registered Dietician“Health Coach”Naturopathic DocBehavioral Specialist
Gut-Brain Connection
When the GUT is unhappy, we are unhappy
Bottom line with Nutrition
Step away from the animal!
Hunter Gatherer Mentality
We didn’t invent the practice of medicine…. we’re just changing the way it’s provided.
First Health Associates
2010 S. Arlington Heights RdLL Suites
Arlington Heights, IL
Nutrition
Grounding
Movement
DrRic
Emotion controls GUT
• Insure REM• Set up a conducive environment• Remove distractions• Rescues for 21days• Don’t nap• Switch macronutrient times
Sleep Cycles
I don’t need much sleep- doc
The Saguil Approach to Restful Sleep
• Valerian/Hops Melatonin• PJ/s, pillows and blanky, Temp-67, darkness• LCD 3m away, ear plugs, light blocker, no tech• Lavendar/sandalwood, SL melatonin, 4/7/8• Rhodiola, light box, Metallica• Protein day, carbs night,
Behavioral Therapy
Brain/GUT Relationship?
Always have to include the mind with the diet change When the brain is unhappy, the GUT is unhappy
Control the Brain before the GUT
• The Limbic System controls gut and emotionality• Neuroplasticity concept• Prefrontal cortex seat of judgement and planning- sight of highest order cognitive activity• Increasing connection (white matter) L prefrontal to amygdala yields more resiliency to adversity
The bottom line with Grounding
• Average American is very good with the
• Average American is lacking the
stress response
relaxation response
Both take practice
Get Ready to Rumble!!!
The Relaxation Response
• 5-10 min. at the beginning and end of your day
• Cultivate RR with help
30
Or Try
Look familiar?
Modern Day Ashram
Caveat with diet and exercise
• Watch the increase in exercise/decrease in cal• Performance will suffer so can be dangerous• Consider low and slow during the fast
...what in morning was truth, in evening will become a lie. -Carl Jung
Bottom line with Movement
• Change the concept of movement• Imbibe “brain stillness” into the endeavor• Warm up can be the “pause”.• Vigorous exercise is good… ….balanced exercise is better!
Your Exercise
Speaking of supplements…
• Herbs for Brain –(relaxing during starvation)• Herbs for Sleep• Herbs for Liver • Herbs for Colon • Aromatherapy
-Then return back to the usual O3, Vit D3, MVI and DrRic’s personal picks
DrRic fav’s for colon
• Slippery Elm –lube and antiinflam• Marshmallow Root –” “• Ginger - prokinetic• DGL –protects the stomach• Magnesium – constipation/spasm• Probiotic – diarrhea/immunity• Digestive enzymes - +/-• Mucosagen by Orthomolecular
Read your box labels
DrRic fav’s for liver
• Milkthistle –(Natures Way purple top) “Thisilyn” 200m/d
• SAMe• Vitamin AA –(no alcohol)
Read your box labels
DrRic fav’s for brain
• SAMe• St Johns Wort• 5HTP• Valerian with Lemon Balm• Magnesium • O3
• Kava kava / Ashwaganda Read your box labels
Aromatherapy
• DiGize• Ocotea • Sandalwood • Lavendar • Sage
To induce release of oxytocin and serotonin
The Reveal
Embark (set the date)
Enlighten (read)Enlist (get help)Empower (ground)Encourage (share)
The Saguil Approach to Sustainable Change
QUESTIONS?
COMMENTS?CONCERNS?
Knee Pain in the Outdoor Athlete
REI Schaumburg 5/23 Wed 7-8pm
1209 E Golf RdSchaumburg, IL
Phone: (847 )619-6729