Category Archives: NEPT Clinical Pearls

Taking pictures of all the food you eat in a day – October 18th, 2015

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
October 18th, 2015

Taking pictures of all the food you eat in a day

Have you ever thought about taking pictures of all the food you eat in a day and making them available to your patients and clients as an example of healthy eating? If not, you should consider it. People learn by example. Photograph your food and explain to people why you eat it and how to make it.

It would make a good gift for people when they come to your website.

On this vein, I need to share something that made me laugh. Here’s a link to an article where a dietician does just that – photos and journals her food for a day.

http://www.businessinsider.com/what-a-nutritionist-eats-in-a-day-2015-9

It’s so bad it’s laughable. Let me know your thoughts.

Book Review: Magnificent Mind at Any Age by Dr. Daniel Amen – October 12th, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
October 12th, 2018

The latest book I’ve been listening to is Magnificent Mind at Any Age by Dr. Daniel Amen. It’s packed with powerful gems. His research stems from the thousands of brain scans he’s performed.  He gives a brain assessment for those who don’t have access to brain scans.  Dr. Amen maps out symptoms, conditions, and behaviors to particular areas of brain imbalance and offers solutions based on cognitive skills, mindfulness practices, nutrients and herbs before drug therapies.

I highly recommend this book.

Book Review: My Stroke of Insight by Jill Bolte Taylor – October 5th, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
October 5th, 2018

I just finished listening to My Stroke of Insight: A Brain Scientist’s Personal Journey, by Jill Bolte Taylor, a brilliant book that highlights the importance of right brain functions and intuition.

It’s written by a brain doctor who had a stroke and recounts her thought process as it was happening and journals her recovery process.

I highly recommend it!

Dr. Alan Hopkins – September 28th, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
September 28th, 2018

You know how valuable I believe lab testing is — and you have access to a huge module on it, plus the blood chemistry software, which provides a great educational resource.

Earlier this week, I did a webinar with Dr. Alan Hopkins, who has created a direct access lab resource we can use. It’s similar to Direct Labs, in that it also uses Quest Labs to run tests.

The biggest difference is that Dr. Hopkins is offering a very generous affiliate payment to us when we refer a client for testing. He is currently offering a bundle that includes $1500 worth of lab tests, plus his training in interpretation. He is also offering 20% commissions when you register through my link.

I suggest you watch the presentation, as it offered lots of great gems.

Plant Based Keto? – September 21st, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
September 21st, 2018

Plant Based Keto?

Isn’t that an oxymoron?

Actually it’s not, and I’ve been doing it for almost 4 months.

I’ve been eating huge quantities of veggies, plus avocado, coconut, olives, nuts and seeds and staying in ketosis since the beginning of June.

When your clients say they are “doing keto” ask them to share their test results. How are they testing to determine they are in ketosis. Are they?

I talked a lot about it on a recent webinar called “Beyond Keto, Plant-Based and Fear-Based Food Plans.” You can catch the replay here.

It should be available for a while longer.

Thyroid Testing Tip – September 14th, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
September 14th, 2018

Thyroid Testing Tip

If a client gives you prior labs to look at (a good idea), be sure to notice the TSH levels.  If they tend to fluctuate widely — even if in “normal” range or ideal range, suspect autoimmunity.  

Test TPO (thyroid peroxidase antibodies) and Antithyroglobulin antibodies.  I like to see TPO under 10 and antithyroglobulin under 1.  If elevated, you’ll need to follow the suggestions in the Thyroid Module for handling autoimmune thyroid issues.   There’s a great PDF that’s in part 5 of our Thyroid Revive and Thrive (TRT) program in the client site. 

We recently had a caller from the TRT program share her labs from another nutrition-oriented practitioner, and I was shocked. He told her that antibodies in the 400s were nothing to be concerned about.  She started our course, and asked him to run  a complete battery of the tests we recommend. He thought it was pointless, but did it anyway.   Her TPO had risen to over 900, and TSH was 33. T3 and T4 were low, even by lab standards, and his comment was, “I guess there really is a problem, and we may need to put you on medication.”   No mention about healing leaky gut, identifying stressors like heavy metals, viruses, or trauma.   I was shocked, as he’s a prominent doc in the nutrition world.   In a 10-minute conversation, we came up with a plan, and figured out that her fatigue and thyroid symptoms started after a bout with mono. Before that, she was an energetic athlete. 

I share this to empower you to use what you are learning, and have confidence in your ability to help people who’ve not been helped by other practitioners.

 

Book Review: Why Can’t I Get Better, by Richard Horowitz – September 7th, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
September 7th, 2018

I’ve been listening to an audiobook while I run called, Why Can’t I Get Better, by Richard Horowitz.

This book is for those people who have tried everything, including maybe even Lyme testing or treatment, to consider the combination of Lyme, coinfections, and heavy metal overload.

According to Horowitz, much of Lyme and the coinfections, especially babesiosis, are missed due to poor testing. A combination of IGeneX labs and Western Blot, in his experience, is the most sensitive.

The first part of the book is heavily focused on his antibiotic protocols. But towards the middle and end, he starts to talk about functional medicine and nutrition.

The section on heavy metals and toxins was a real eye-opener for me.

He split tested hair and challenged urine (challenged with DMSA at a specific amount per body weight) and found the urine much more sensitive.

It really brought home for me the need to do Lyme testing, tox screens, and heavy metal urine testing in all of our mystery cases, as well.

I will caution you to be careful when using the challenge on folks with severe neurological impairment, as mobilizing toxins from storage during the testing can worsen symptoms. In that case, you may want to start with hair as an initial screen.

I highly recommend the book. The audio comes with a PDF companion with questionnaires and protocols.

I believe that addressing diet and foundational pillars would enhance his antibiotic protocols and cut back on the need for long-term use. Who knows… he may conclude that at the end of book too. I still have a few chapters to go.

Book Review: Fat Chance by Robert Lustig- August 10th, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
August 10th, 2018

I’ve been reading a book called Fat Chance by Robert Lustig.

I’m enjoying his explanations of how fructose and alcohol are handled in the body, step by step.

It’s a good reference book for helping you explain to your overweight and insulin resistant people.

Obesity as a metabolic disease is explored, as well as food policy and big business brainwashing. Check it out.

 

The Ins and Outs of COMT – August 3rd, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
August 3rd, 2018

The Ins and Outs of COMT

If you’ve been on any of my nutrigenomics calls, you know that COMT is mentioned a lot.   COMT, catecholamine-o-methyltransferase, is an enzyme coded by the COMT gene, and SNPs are found to be present in approximately 80% of the population.

This article does an excellent job of explaining what COMT is, what it does, and what happens when it’s not functioning at full capacity.  

 

 

Niacin in the Management of Coronary Artery Disease – July 20th, 2018

 

Nutritional Endocrinology Practitioner Training (NEPT)
Clinical Pearl
July 20th, 2018

Niacin in the Management of Coronary Artery Disease

Low levels of high-density lipoprotein cholesterol (HDL-C) and elevated triglycerides (TG) affects millions of people around the world. These findings are strongly linked to a significantly increased risk of coronary heart disease (CHD), even with people who achieve or surpass the current low density lipoprotein cholesterol (LDL-C) targets.

Based on an analysis of the AIM-HIGH trial, discussed in an article in the Journal of Clinical Lipidology, May 2018, these people may benefit from niacin.

The AIM-HIGH (Atherothrombosis Intervention in Metabolic Syndrome with Low HDL/High Triglycerides and Impact on Global Health Outcomes) trial didn’t demonstrate even small clinical benefits to taking extended-release niacin (ERN) when they compared  3,414 statin-treated patients with established cardiovascular disease and low baseline levels of HDL, to those taking the placebo.

Another analysis before the AIM-HIGH suggested that ERN provided benefits in ERN-treated patients with high triglycerides ( >200 mg/dL) and very low HDL-C (<32 mg/dL) at baseline.

A new analysis looked at how changes in TG-enriched lipoproteins and HDL subfractions impacted risk in the groups of people that either received the treatment or didn’t.

This unique lipoprotein is particularly harmful because, unlike LDL particles, which have to undergo oxidation before they can be taken into the interior lining of the arteries, Remnant Lipoproteins (RLP) can be readily transformed into foam cells, which is what comprises arterial plaque. In fact, RLP is one of the four major risk factors cited by the National Cholesterol Education Program that contributes to heart disease.   

This paper suggests that the benefit seen in patients taking niacin was due to a reduction in this particularly harmful lipoprotein called RLP.

(Journal of Clinical Lipidology, May 2018)  LINK to ABSTRACT Relationship between lipoprotein subfraction cholesterol and residual risk for cardiovascular outcomes: A post hoc analysis of the AIM-HIGH trial.