UltraPrevention

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Ultra-Prevention

• LTC John OBrien

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• The Canyon Ranch experience is the pursuit of
  optimal health feeling the best you can
  physically, mentally and spiritually. Canyon
  Ranch offers dozens of daily fitness activities,
  delicious spa cuisine, wellness consultations in
  preventive medicine, nutrition, stress
  management, spiritual awareness, and many
  rejuvenating body and skin care treatments

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OBJECTIVES

• Discuss the Myths of Medicine
• Discuss the Pathology of the Five Forces of
  Illness
• Discuss how to Prevent the Five Forces of
  Illness from causing disease
• Diet
• Exercise
• Supplements
• What changes will you make today
• As a person
• As a health care provider

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Thomas Edison

• The doctor of the future will give NO medicine
  BUT will interest his patients in the care of the
  human frame, in diet, and in the cause and
  prevention of disease

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The Myths of Medicine

• US Healthcare
• Excellent Acute Care
• Chronic Care? On 16 health indicators, US ranked
  12 out of 13 countries (JAMA)
• Review so
• Kill the Myths
• Change your practice (If the shoe fits.)
• Lay ground work for a new theory for healthcare
  in the US!

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Myth 1 Your Doctor Knows Best

• Medicine changing rapidly Hard to keep up, much
  of the change is Contradictory
• Enormous advances, but treatments are often more
  Crippling than disease.
• Many doctors treat Symptoms rather than Causes
• Medicine lacks an Organizing Theory

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Myth 1 Your Doctor Knows Best

• Medical Education crash course in intensive
  In-Hospital medicine, not
• Nutrition
• Lack of Energy, Sleep
• Weight Control
• Chronic Digestive Diseases
• Depression, Anxiety

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Myth 1 Your Doctor Knows Best

• Flawed Model Acute vs Chronic Disease
• Doctors diagnose Illness, they dont Optimize
  Health
• Not enough Time!
• 23 seconds until Interruption, on average
• Picked treatment before hearing full story!
• Insurance companies reimburse only if doctor
  makes a Diagnosis

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Myth 1 Your Doctor Knows Best

• After diagnosis, customary solution is to
  Prescribe Drugs
• Doctors often prescribe medications for a symptom
  that is most likely caused by another Medication
• Should we use Probiotics?
• HMOs priority is controlling costs rather than
  maintaining health

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Myth 2 If You Have a Diagnosis, You Know Whats
Wrong with You

• The moment you receive a Diagnosis is when the
  thinking process should start.
• Why does this person have Asthma, GERD or
  depression?
• Identify and Understand the factors that led to
  development of symptoms/illness

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Myth 3 Drugs Cure Disease

• Conventional medicine uses drugs to interfere
  with, rather than support, human biology
• Smoke alarm dont go upstairs and just unplug it
  to stop the beeping!
• Most prescription drugs just stop the alarm.

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Myth 4 Your Genes Determine Your Fate

• Most doctors treat your Family History rather
  than you
• What runs in your family? Heart disease? Insulin
  resistance? Eating pork rinds for breakfast?
• Most people inherited their parents habits as
  much as they inherited their genes.

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Myth 5 Getting Older Means Aging

• Is our life span the same as our life expectancy?
• Life expectancy 80 years
• Life span up to 120 years
• Health span how long we are healthy, usually
  does not equal our life span
• Ultraprevention Health span Life span

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Myth 6 Fat is a Four-Letter Word

• Intake of unsaturated fats is Essential and
  Critical to the functioning of every cell in our
  bodies!
• Not how much fat, but what kind
• Crucial role of Omega-3 Fatty Acids in our diets!

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Myth 7 You Can Get All the Vitamins You Need
from Food

• More than 80 percent of Americans are deficient
  in one or more nutrients on a daily basis
• RDA developed to avoid deficiency diseases like
  rickets rather than to promote optimal health
• Food is biggest source of antioxidants, but also
  generates free radicals

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Five Forces of Illness

• New paradigm of well-being, based on latest
  research
• Basic framework that explains and unites the
  processes of health and illness
• Truly prevent rather than just detect disease

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Five Forces of Illness

• Malnutrition
• Impaired Metabolism
• Inflammation
• Impaired Detoxification
• Oxidative Stress

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Five Forces of Illness

• True prevention starts long before detection can
  occur
• Not an ambulatory collection of separate organs
  everything is related
• Imbalances/dysfunctions in one system lead to
  added stresses in others
• When stresses and imbalances tax the organ
  reserve of any system, symptoms and illness
  results
• Beginnings of these diseases is like the first in
  a long line of dominoes to fall in a reaction
  that may take years to complete

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Five Forces of Illness

• Ultra-Prevention not just integrative or holistic
  medicine
• Integrative medicine patchwork quilt of
  disparate systems these separate systems dont
  always blend well
• Holistic Medicine theory of mind/body/spirit,
  but lacks scientific underpinnings
• Ultra-Prevention any age! Like IRA, the sooner
  you begin investing, the better!

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Malnutrition or Sludge

• Most Americans overconsumptive undernutrion
  too many calories, too few nutrients
• 80 deficient in at least one of essential
  vitamins, minerals
• 91 not eating 5 fruits and vegetables per day

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Malnutrition or Sludge

• Main areas of Malnutrition
• Essential Fatty Acids
• Essential Minerals (Mg, Zinc, Selenium, Ca)
• Folic Acid and B-Complex Vitamins
• Antioxidants
• Even if we eat the appropriate nutrition, we
  still need to digest and absorb these nutrients
  many ways for this to go wrong

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Impaired Metabolism, Burnout

• Metabolism creation of usable energy for all
  bodily functions from food
• Burnout loss of energy that cells need to
  perform their functions
• Key Mitochondria in our cells take nutrients we
  absorb, convert to ATP

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Impaired Metabolism, Burnout

• May not be efficient
• Development of Insulin Resistance
• Mitochondrial damage from free radicals
• Thyroid dysfunction
• Inefficient oxygen utilization

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Impaired Metabolism, Burnout

• To boost your metabolism
• Lose weight (decrease insulin resistance)
• Eat less (less damage from free radicals)
• Euthyroid
• Make more mitochondria weight training and
  interval work

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Inflammation or Heat

• My wifes lecture the Unifying Theory of
  Inflammation could earn Nobel Prize!
• Numerous triggers
• Common end result Activation of the immune
  system
• Usually one of the first dominoes
• Often a silent killer check with the
  ultrasensitive CRP

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Inflammation or Heat

• Cytokines working well forces that reduce and
  increase inflammation are in check
• When inflammatory cytokines become overly
  dominant, diseases such as Alzheimers, heart
  disease, diabetes and Parkinsons can occur
• Also process that leads to rapid aging of every
  part of the body

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10 Top Ways to Cool Inflammation

• Lose Weight
• Clean your teeth! (Periodontal disease)
• Get rid of Allergens, including food
• Avoid Inflammatory Foods
• Arachidonic Acid Animal Fat, shellfish, egg yolk
• Hydrogenated Fats
• The White Menace
• Spice it Up!

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10 Top Ways to Cool Inflammation

• Unleash the Power of Exercise
• Increase your daily Antioxidant Intake
• Vitamin A and E
• Vitamin B Complex, C
• Multivitamin with minerals, including Zinc
• Decompress (relax, laugh, keep journal)
• Take a Probiotic? (ABX, stress, poor diet)
• Take a Baby Aspirin

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Impaired Detoxification or Waste

• Detoxification process of breaking down and
  eliminating from the body anything that shouldnt
  be in it
• Converts toxic substances (hormones waste
  products of metabolism medications unnatural
  substances) to nontoxic ones
• Liver is the detoxificaton workhorse

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Impaired Detoxification or Waste

• Critical area of testing and treatment at Canyon
  Ranch
• Check for wide ranging symptoms
• Special test ASA, caffeine, tylenol, check for
  elimination the next day in blood, urine and
  saliva
• Imbalance in detox can often be remedied by
  providing appropriate nutrients or supplements to
  enhance its detoxification function

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Improving Detoxification

• Sulfur-containing amino acids
• Vitamins A, B6, B12, Folic Acid
• Trace Minerals Mg, Selenium, Zinc, Cu, Manganese
• Milk Thistle
• Liver is one of the organs vital for longevity

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Oxidative Stress or Rust

• When metal is exposed to oxygen, it rusts
• Oxygen steals electrons, changing its properties
  similar process in our bodies tissues
• 1954 Denham Harmon oxidants are the cause of
  aging as well as the major cause of most diseases

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Oxidative Stress or Rust

• Byproduct of cellular metabolism is oxidative
  stress in form of free radicals
• One of the chief causes processing of the food
  that you eat
• Body naturally manufactures antioxidants to douse
  these free radicals
• Problem quantity of free radicals exceeds the
  bodys ability to quench them
• Worse with excessive food intake, especially
  foods with a lot of empty calories

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Oxidative Stress or Rust

• Restrict caloric intake Biosphere II
• Lost an average of 14 body weight and improved
  every measurable health variable.
• To reduce oxidative stress eat less, eat foods
  with a high NCR, eat more fruits and vegetables
  (whole range of antioxidants, vit C, E,
  beta-carotene)

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Testing the Five Forces

• Consider
• Ultrasensitive CRP
• Homocysteine levels
• Insulin Resistance
• Ultraprevention.com

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What will you do differently?

• As physician
• As person
• Dietary changes?
• Food substitution?
• Supplements/Vitamins?
• Omega-3 FA?
• Exercise add interval training, increase
  frequency and duration

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