cam
NOW LIVE AND ONLINE WWW.CAM-MAG.COM
The magazine for
complementary and
alternative medicine
professionals
FEBRUARY 2014 £6
Limbic Kindling:
hard-wiring
the brain for
hypersensitivities
CAM Student:
how to survive
your course
Immunological arrays:
new ways to test
arrive in the UK
‘The case is closed’:
College of Physicians
abandons science –
official
PLUS How to get your ND
Book for Sports
Nutrition Live!
and train with
the Functional
Sports Nutrition
Academy
Chronic fatigue and the need to get personal ■ ASA in
trouble again ■ Learning Zone – new CPD opportunities ■ Latest news and research
■
in THiS iSSUE
The magazine for complementary
and alternative medicine professionals
@CAMmagUK
www.cam-mag.com
contents
editor’snote
FEBRUARY 2014
The rise of medicinebased evidence
12
29
cover story
now livE And onlinE www.cAm-mAg.com
“What started out as ‘evidence-based medicine’ has now
morphed into ‘medicine-based evidence’- where drug companies
set the rules and the FDA gladly enforces them. And even though
the $300 billion pharmaceutical industry is ten times larger than
the supplement industry (only ~40% of which is vitamins) – we
are advised to ‘stop wasting our money’ only on the latter.”
That’s Dr Tom Guilliams, PhD, on page four of this issue,
coining a phrase we’re going to adopt: medicine-based evidence.
Tom’s comments were stimulated by his dissection of the
studies used by a group of doctors, apparently speaking for
the American College of Physicians, to justify a journal editorial
scandalously headlined, “Enough Is Enough: Stop Wasting
Money on Vitamin and Mineral Supplements” (see my rant on
this on page 18).
A prime example of medicine-based evidence arrived as we
went to print: we learnt that drug company marketing convinced
the Department of Health to spend £420 million pounds
stockpiling an antiviral medicine without having to prove that
it works. Reuters reported this latest twist in the Tamiflu saga:
“Parliament’s influential Public Accounts Committee (PAC) said
it was ‘surprised and concerned’ to discover that information on
methods and results of clinical trials of such prescribed drugs ‘is
routinely withheld’, and said there was a ‘lack of consensus over
how well Tamiflu ... actually works’.
‘The case for stockpiling antiviral medicines at the current
level is based on judgement rather than on evidence of their
effectiveness during an influenza pandemic’, said Richard Bacon,
a leading member of the committee.”
No one knows whether the drug is really effective because
manufacturers Roche have refused, for five years, to hand over
all its data from clinical trials.
Dr Ben Goldacre is behind a new campaign (www.alltrials.net)
to force drug companies to release the results of clinical trials
when they show their products are unsafe, ineffective or both. At
the moment, the companies bury those results.
Ben says: “Nobody can give you a fully-informed view on the
benefits of ANY treatment, let alone Tamiflu, because the results
of clinical trials are being routinely and legally withheld from
doctors, researchers and patients.” (Emphasis added)
Published evidence is what “evidence-based” medicine is
supposedly based on. But that evidence is incomplete.
And as you’ll learn about the American College of Physicians,
they can’t even interpret the evidence that they do get.
Welcome to the world of medicine-based evidence.
12 Limbic Kindling: hard-wiring the brain for
hypersensitivity
features
8
CAM Opinion: One size doesn’t fit all…Adele
Wolstenhulme urges us to stay focused on
individualisation
18 Randomised and uncontrolled: Editor Simon
Martin is upset about The Annals
20 Immunological arrays: new ways to test
arrive in the UK
24 CAM Student: new columnist Justin Lusty
launches his student survival plan
29 Learning Zone
•EarnanND:butdoyouknowwhat
naturopathy is?
•SarahMyhillblowsthewhistleonthemedical
profession
•AshandHaynespresenttheClinicalTrinity
•QualifywiththeFunctionalSportsNutrition
Academy
40 CAM conferences: the Big 5 for 2014
bookingnow
46 Chronic fatigue: Ben Brown on the need to get
personal
regulars
4 News
•Anti-supplementjournalissueshowsorthodox
medicine has abandoned science
•PrinceCharleshelpsexposeblockingofCAM
regulation
•ASAintroubleagain
41 LatestonSportsNutritionLive!
42 Listings
46 Research
•HighB12levelsmayindicatecancerrisk
•Cranberryconcentratereducesriskofurinary
tract infections in elderly
•TCMherbalmixtureequalsmetforminin
preventing diabetes
Simon martin, Editor
cam
FEBRUARY 2014
3
CAM nEws
‘Enough is enough’: anti-supplement journal issue
shows orthodox medicine has abandoned science
Few anti-supplement rants have attempted such blatant finality as the recent editorial in the Annals of
Internal Medicine titled “Enough is Enough: stop wasting money on vitamin and mineral supplements.”
The editorial, based on three papers in the same issue, declares in no uncertain terms that “...we
believe the case is closed – supplementing the diet of well-nourished adults with (most) mineral or
vitamin supplements has no clear benefit and might even be harmful. These vitamins should not be
used for chronic disease prevention. Enough is enough.” The publication of the editorial was hyped
by many news outlets who quickly found the usual supplement-bashers, all too willing to add insult
to injury by regurgitating decades-old sound bites. Dr Tom Guilliams, PhD, reveals why the editorial’s
conclusions are false.
A
nybody who has spent even a
brief amount of time evaluating
medical research knows that such
a conclusion – “the case is closed” – is as
arrogant as it is absurd. In fact, the editorial
doesn’t even do justice to the data presented
in the three papers – let alone the broader
evidence that supports the use of certain
nutrients for the prevention of chronic
disease.(1)
The three papers published in this Annals
issue were 1: the vitamin-only and placeboonly arms of the TACT (Trial to Assess
Chelation Therapy); 2: an attempt to see
measurable cognitive changes when giving
men a multivitamin; and 3: a systematic
review of studies using various supplements
for primary prevention of cardiovascular
disease and cancer.
study subjects on high-dose
pharmaceuticals
1. Initial data from the TACT trial showed
statistically lower events when patients
were given EDTA chelation, compared to
placebo.(2) The new study compared two
arms receiving no EDTA chelation (iv saline/
placebo) and given either placebo or a highdose multivitamin.
Patients were at least 50 years old and
all had sustained a previous myocardial
infarction. Primary end-point was a composite
of time to death from any cause, re-infarction,
stroke, coronary revascularisation or
hospitalisation for angina. A secondary
cam
is published for qualified
practitioners of complementary and alternative
ISSN 1475-9403
medicine
end-point using just cardiovascular death, reinfarction and stroke was also assessed. The
high-dose vitamins showed an 11% relative
reduction in the primary end point compared
to placebo, but this difference did not reach
statistical significance. The authors make it
clear that while the trial does not support the
routine use of high-dose oral multivitamin
regimen for all patients who have had an MI,
“the reduced statistical power due to a small
difference between groups, as well as the
non-adherence to the study regimen, limits
the conclusion of non-efficacy.” The number of
people who stopped their vitamin or placebo
therapy was staggeringly high, at 46%.
Left out
Let’s review a few things that were left out of
the editorial.
First, both the vitamin group and the
placebo group were consuming a high
number of pharmaceuticals. Subjects were
on aspirin (>82% of subjects), beta-blockers
(70%), statins (70%), ACEi/ARB (60%),
Clopidogrel (25%), and oral hypoglycaemics
(>20%). On top of this, nearly half the patients
were taking other supplements!
So in essence, this study was looking for a
statistical difference between one group
of subjects taking high-dose vitamins (46%
of whom discontinued taking them) and
another group of subjects (half of whom
were consuming another supplements of
unknown ingredients), while both groups
consumed high amount of pharmaceuticals
known to reduce both the primary and
secondary end-points.
One cohort saw a 38%, statistically
significant reduction in the primary endpoint when given the multivitamins: those
not on statins. So when we remove the effect
of statins, we see a strong benefit of the
supplements. A very strong trend also existed
in patients enrolled fewer than five years
since their MIs, suggesting supplements are
less effective the longer an individual has
been pharmacologically-treated.
Evidence? study and
intervention not designed
for the end-point
2. The second paper was a sub-study of the
Physicians’ Health Study II (PHS2). Previous
analysis had already showed that multivitamin
therapy statistically reduced the risk for
cancer and cataracts.(3) The new data were
from two groups given either a multivitamin
(Centrum Silver) or placebo. Subjects over
65 were recruited from within the PHS2.
Researchers found, after four telephone
assessments over 12 years, no statistical
difference between the two groups in mean
level of cognition. They concluded that “in
male physicians aged 65 years or older, longterm use of a daily [Centrum Silver] did not
provide cognitive benefits.”
There are many limitations of this study.
First, because this was a sub-study of the
PHS2, the first (baseline) cognitive test began
an average of 2.5 years after patients were
EDITOR sIMOn MARTIn BSc (Hons) e: [email protected]
www.cam-mag.com
COnTRIBUTInG EDITORs MIKE ASH, BSc (Hons), DO, ND, F DipION; NIKI GRATRIX, BA (Hons), Dip ION sUB-EDITOR AMY ROBINSON
e: [email protected] t: 01279 810077 GROUP sALEs MAnAGER ABIGAIL MORRIS e: [email protected]
t: 01279 810093 sALEs EXECUTIVE NATALIE.MITCHELL e: [email protected] t: 01279 810071
Published by Target Publishing Ltd,
PRODUCTIOn HANNAH WADE e: [email protected] t: 01279 810076 DEsIGn CLARE HOLLAND
The Old Dairy, Hudsons Farm,
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ACCOUnTs LORRAINE EvANS e: [email protected] t: 01279 810092
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MAnAGInG DIRECTOR DAvID CANN e: [email protected] t: 01279 816300
e: [email protected] www.targetpublishing.com
Some material may be speculative and/or not in agreement with current medical practice. Information in CAM is provided for professional education and debate and is not intended to be used by non-medically qualified readers as a
substitute for, or basis of, medical treatment. Copyright of articles remains with individual authors. All rights reserved. No article may be reproduced in any form, printed or electronically, without wriiten consent of the author and
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4
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FEBRUARY 2014
CAM nEws
randomised to their multivitamin or
placebo. This means that the baseline
could have already been influenced by
years of supplementation.
On top of this, subjects in the PHS2
were only prevented from taking other
multivitamins if those products contained
more than the US RDA of vitamin E,
vitamin C, beta-carotene or vitamin A.
Which means they could be consuming
high levels of B vitamins – known to
lower homocysteine (associated in
some studies with cognitive risk), or
any of a number of other supplements
known to affect cognition (Ginkgo biloba,
phosphotidylserine, omega-3 fatty acids,
vinpocetine etc) without the knowledge
of the researchers. Up to one-third of
subjects were taking other multivitamins
in the PHS2.
Since few observational studies have
examined the relationship between
multivitamin use and cognition, and
since the PHS2 was also not designed
to ask this question, these data do not
allow any broad conclusions about the
benefits of all multivitamins (and doses)
on potential cognitive benefits. While
we don’t typically recommend products
like Centrum Silver, it should have been
obvious to these researchers that this
product was not specifically designed to
modulate cognitive function in healthy
65-year-old male physicians.
It is curious that a study (PHS2) not
designed for this primary end-point,
coupled with an intervention (Centrum
Silver- one/day) not designed for this
primary end-point can be evidence for
anything – let alone for an argument that
the “case is closed”.
An ‘absurd and unscientific’
review
3. The last of the three published articles
is a systematic review of the benefits
and harms of vitamin and mineral
supplements in community dwelling,
nutrient-sufficient adults for the primary
prevention of either cardiovascular
disease or cancer.
After weeding through thousands
of potential articles, these reviewers
selected 103 (representing only 26
studies) that fit their selection criteria.
These trials varied considerably in
design, recruitment criteria and primary
end-points; most importantly, they
differed dramatically in the supplements
used. So not surprisingly, they “found no
consistent evidence that the included
supplements affected CVD, cancer, or
www.cam-mag.com
all-cause mortality in healthy individuals
without known nutritional deficiencies.”
Blinded by their desire to debunk
the use of “vitamins” and “minerals”,
these reviewers ignored the fact that
each nutrient has a completely different
mechanism of action, therapeutic dose
potential and historical data. Comparing
studies where subjects consumed the
hormone-like cholecalciferol with studies
using the water-soluble antioxidant
ascorbic acid, merely because both are
classified as “vitamins”, is absurd and
unscientific. On top of that, they excluded
any studies that used doses higher than
the upper tolerable limit set by the US
Food and Nutrition Board.
The authors admit the review study
design is used “primarily to evaluate
drug therapy. The design might not be
ideally suited to evaluate nutrients.”
This highly-selective review of
widely-divergent, low-dose studies
(only a few of which reflect “realworld” supplementation) adds little to
the evaluation of appropriately-dosed
nutrient supplements used for prevention
of chronic disease.
‘Medicine-based evidence’
A final perspective: studies designed to
“prove” drug efficacy are inadequate and
inappropriate to evaluate the benefits of
nutrients.
What started out as “evidence-based
medicine” has now morphed into
“medicine-based evidence” – where
drug companies set the rules and FDA
gladly enforces them. And even though
the $300 billion pharmaceutical industry
is ten times larger than the supplement
industry (only ~40% of which is
vitamins) – we are advised to “stop
wasting our money” only on the latter.
1. Guallar E et al. Enough is enough: stop wasting
money on vitamin and mineral supplements. Ann
Intern Med 2013, 159 (12): 850-1.
2. Lamas GA et al. Effect of disodium EDTA chelation
regimen on cardiovascular events in patients with
previous myocardial infarction: the TACT randomized
trial. JAMA 2013, 309 (12):1241-50.
3. Gaziano JM et al. Multivitamins in the prevention
of cancer in men: the Physicians’ Health study II
randomized controlled trial. JAMA 2012, 308 (18):
1871-80.
4. Rautiainen s et al. who uses multivitamins? A crosssectional study in the Physicians’ Health study. Eur J
nutr 2013, epub Oct 30.
* Tom Guilliams, PhD, has been involved with
dietary supplement research for almost 18 years.
His doctorate is from the Medical College of
wisconsin (Milwaukee) where he studied molecular
immunology. As VP of science and Regulatory Affairs
for Ortho Molecular Products, he has developed a
wide array of products. He teaches at the University
of wisconsin and University of Minnesota schools of
pharmacy and is a faculty member of the Fellowship
in Anti-aging Regenerative and Functional Medicine
(A4M). He is the founder of the Point Institute: www.
pointinstitute.org.
➞
cam
FEBRUARY 2014
5
CAM nEws
Prince Charles
helps expose ‘secret’
government blocking
of CAM regulation
HRH The Prince of Wales has voiced concerns
about delaying tactics that are blocking promised
regulation of herbal medicine practitioners.
The Daily Telegraph’s Laura Donnelly has
revealed that the government has set out a
timetable for even more discussions that push a
final report back to March 2015, when everything
will go on hold in pre-election manoeuvres.
Donnelly reports: “Under Labour, there were
two public consultations – in 2004 and 2009 –
which found high levels of public support for
regulation of those practising herbal and Chinese
medicines.
“In 2011 Andrew Lansley, the health secretary
at the time, pledged to introduce a register, which
would see therapists regulated by the Health
and Care Professions Council alongside 16
other types of health-care professionals, such as
physiotherapists, speech therapists and dietitians.
Plans were drawn up to bring in regulation by the
end of 2012.
“Last month, however, Dr Dan Poulter, the health
minister, wrote to senior figures in the industry,
inviting them to become part of an independent
Herbal Practitioners and Medicines Working
Group, ‘with the aim of reviewing, advising and
making recommendations to government on the
way forward in this complex area’.” Donnelly says
the Telegraph has seen the new timetable.
Michael McIntyre, chairman of the European
Herbal and Traditional Medicine Practitioners
Association, says: “In February 2011 Andrew
Lansley agreed that these plans would go ahead.
Since then there has been nothing, until now, and
the setting up of yet another committee about it,
starting all over again.”
McIntyre has written to Dr Poulter: “This
invitation and its terms of reference add to
widespread concern that the government is
going back on its public promise of February
2011 to bring in statutory regulation of UK herbal
practitioners – a view borne out by the protracted
timetable set for this work.”
Now Prince Charles has joined the fray,
according to the Telegraph. The paper reports
that he has “raised his concerns with Jeremy
Hunt, the health secretary, during a meeting at
Clarence House”.
A source is quoted as saying that the Prince
wanted to see “evidence-based complementary
treatments taking a proper integrated approach
that gives people choice and where regulation
would build confidence in making choices”.
* source: Prince Charles makes plea on alternative medicine, by
Laura Donnelly. www.telegraph.co.uk, Jan 19.
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FEBRUARY 2014
AsA in trouble again: switzerland’s
homeopathy assessors accuse it of
defamation
The Advertising Standards Authority
(ASA), the private company that has set
itself the task of policing complementary
and alternative medicine, has rejected a
Swiss government-sponsored report on
the effectiveness of homeopathy – and
the researchers involved have accused
the ASA of defamation and demanded a
right of reply.
As part of the Swiss government’s
Complementary Medicine Evaluation
Programme, the Health Technology
Assessment of homeopathy (HTA), was
assigned to Prof Peter Matthiessen
of the Centre for Integrated Medicine
at the University of Witten/Herdecke,
Germany, Dr. med. Gudrun Bornhöft
and colleagues. They published
their first findings in 2006. They
later turned their findings into a
book – Homeopathy in Healthcare:
Effectiveness, Appropriateness, Safety,
Costs, published by Springer in 2011,
in which they concluded that their
analysis of published trials constituted
“a truly remarkable result in favour of
homeopathy”.
Their report contained details –
according to freedom4health.com – of:
• more than 100 RCTs (randomised,
controlled trials) involving homeopathy.
• 22 meta-analyses.
• a detailed study of homeopathy’s
success in treating upper respiratory
tract infections. Six out of seven
controlled studies showed at least an
equivalence with conventional-medical
interventions, while another eight
(out of 16) RCTs showed results from
homeopathy treatment which were
significantly superior.
• studies showing beneficial homeopathic
effects on animals and plants and
• studies showing homeopathic medicines
producing changes in cells in vitro.
storm
The latest storm has erupted because
the campaigning organisation
Homeopathy: Medicine for the 21st
Century (H:MC21 – www.hmc21.org)
provided the ASA with a copy of the
book as part of its defence against
a complaint about an advertisement
promoting homeopathy. H:MC21
suggested it was seemingly conclusive
evidence that “homeopathy has a track
record of success in chronic disease”.
The ASA dismissed H:MC21’s
arguments and, along the way, disagreed
with the findings of Matthiessen and
Bornhöft, concluding: “After seeking
expert advice, we considered that
Homeopathy in Healthcare did not move
the case forward in favour of the efficacy
of homeopathy in treating medical
conditions, in light of conventional
standards for efficacy.”
In response, Prof Matthiessen and Dr
Bornhöft wrote to Guy Parker, chairman
of the ASA, saying: “...your writing
does not even begin to approach a
professional standard. We take great
exception to your untenable allegation
Russian investment boosts breakthrough
Virtual scanning technology
Nottingham-based Montague Diagnostics has merged with the Russian company Mimex
Inc to attract investment to commercialise Virtual Scanning in all world markets.
The move is a breakthrough for the leading-edge diagnostic and treatment system – a
cognitive, computer-based, games-like technology based upon an original mathematical
model of the autonomic nervous system and physiological systems.
CEO Graham Ewing explains: “It is the first technology to link cognition to cellular and
molecular biology. It does so because proteins absorb and emit light as they react – ie the
emitted bioluminescence alters our colour perception.” The system links deficiencies in
colour perception to the onset of pathologies and provides colour “supplements” in the form
of biofeedback light therapy.
The technology has been described in a series of 50 articles published in internationally
peer-reviewed medical journals, books and book chapters. “Strannik Virtual Scanning
and Strannik Light Therapy have been used in Russia since the mid-1990s,” says Graham.
“The technology was first approved in the Russian Health Services in 2001. More than 500
Russian doctors have been trained to use this technology.”
* For a demonstration of Virtual scanning online, see www.montague-diagnostics.co.uk.
www.CAM-MAg.CoM
CAM news
that we researched this important
subject with the superficiality that you
suggest, an implication that we consider
defamatory. You accuse us of basing our
conclusions largely on a reworking of
one deeply flawed paper, yet this is the
one paper on which you appear to have
based your own conclusions, which are
flatly contradicted by swathes of contrary
evidence of which you revealingly make
no mention. We find this bizarre.”
The researchers went on: “It is
customary that authors whose work is
misrepresented should have the right of a
reply to be published in the same location
as the attack was published. We therefore
demand that you please place our reply
on your website, with equal prominence
to your own text.”
They added: “I hope we can agree as a
question of basic morality that members
of the public should not be subjected to
false or misleading communications –
including yours”.
Freedom4health.com reports that Sir
Hayden Philips, the independent reviewer
of ASA Adjudications, confirmed that
the ASA’s report on H:MC21 was written
under his “personal supervision”.
F4H comments: “This report bizarrely
stated that the HTA contained no such
evidence of RCTs (randomised, controlled
trials) and more absurd still was Sir
Hayden’s belief that the HTA’s main
conclusion was based on a re-working
of just one negative analysis by another
report on homeopathy which chose to
selectively interpret in a negative way a
small number of specific studies.”
Confusing the issue
While Prof Matthiessen and Dr Bornhöft
may have been inadequately dealt with by
the ASA, we need to make it clear that their
book is not the official HTA handed in to
the Swiss government, although H:MC21
seems to have presented it as such. The
ASA is rejecting the evidence as presented
in the book; it is doubtful whether it has
addressed the findings of the original HTA
which, it has to be said, was only part of
the Swiss assessment process – which also
rejected the evidence.
Alongside the HTA, which was
requested from proponents and
supporters of homeopathy, the Swiss
government also organised a separate
meta-analysis of existing clinical
studies and then what were called “PEK”
studies: surveys into use by doctors and
hospitals, patient satisfaction and costbenefit analyses.
The Swiss were forced into this
process in order for insurance
companies to continue to pay for
homeopathic treatment. On conclusion
of the entire evaluation, the government
rejected homeopathy for reimbursement.
The final evaluation also rejected four
other modalities that were put through
similar appraisal: anthroposophic
medicine, neural therapy, phytotherapy
and Chinese herbal therapy.
* ASA adjudication on the H:MC21 ad: www.asa.org.uk/
Rulings/Adjudications/2013/7/Homeopathy-Medicinefor-the-21st-Century/SHP_ADJ_139800.aspx
* http://freedom4health.com
* Thanks to Alan Henness for outstanding, objective
documentation of the Swiss government’s process:
www.zenosblog.com/2012/05/that-neutral-swisshomeopathy-report.
Metabolic balance founder
Dr Wolf Funfack
Dr med. Wolf Funfack, founder of the popular and successful metabolic balance®
weight management system, died unexpectedly in December at the age of 67.
After completing his dissertation on “Infant and early Childhood Obesity”,
Dr Funfack practised 25 years as a doctor of internal medicine and as a nutritionist.
His experience with many different diet and nutrition programmes motivated him to
develop the metabolic balance® system, which has been recognised internationally
as an effective, all-natural method for optimising health, balancing hormones,
reducing weight, and permanently keeping off excess weight.
* www.metabolic-balance.com
See our special conference page
in this issue: page 40
➞
www.CAM-MAg.CoM
cam
FEBRUARY 2014
7
CAM opinion
one size doesn’t fit all...
Clinical psychoneuroimmunologist and nutrition practitioner Adele wolstenhulme urges
practitioners to stay strictly focused on the individual needs of clients – and not to get
seduced by the simplicity of generalised diet recommendations.
A
re nutritional therapists (NTs) in danger
of becoming the one-size fits all
brigade?
As an NT and clinical
psychoneuroimmunology (cPNI) practitioner,
I no longer subscribe to the broad brush “eat
little and often” mantra still so widely preached
on nutrition training courses, in the media and,
most recently, included as one of the BANTendorsed “Diet For Life” guidelines.(1)
Given the furore around this specific
guideline among colleagues engaged in
private chat – especially in light of evidence
in favour of caloric restriction (2), intermittent
fasting (3) and following the growing success
of programmes like metabolic balance® (MB), I
was admittedly very surprised it made the final
Press release. This is especially the case when
the diet was supposed to be for life, and wasn’t
meant as a short-term stepping stone.
As an MB coach myself, I’ve had the
pleasure of working with some amazing people
from all walks of life who, when they came to
me in clinic, were struggling with numerous
health and weight management issues. The
idea of fasting five hours between meals and
having only three meals per day felt like an
impossible task at first for most people! Yet
within just a few days for some, and a week
or two for others, it becomes second nature
as they began to tune into their natural hunger
and thirst “homeostatic feelings”. After three
months on MB, or through a cPNI-focused
nutrition programme – where the pancreas
is allowed a break to recover after the
approximate three hours it’s involved in the
digestion process – I was able to move the
majority of male clients onto eating between
15-18 times per week, and females to 18-21
times. Yes indeed, just two meals per day, with
breakfast regularly skipped, worked wonders
for their energy levels and general well-being.
For athletes and recreational exercisers,
once their metabolism was strengthened and
they became more adept at using fat for fuel,
they could more easily exercise when fasted
between 15-18 hours for improved and optimal
performance.(4) This is the way I now eat and
train myself, and it’s been transformational.
But I accept that fasting this long before
exercise may seem extreme to some, and I
8
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FEBRUARY 2014
would certainly not advise this to someone
until they’ve shifted enough towards a healthy
metabolic state, which takes time. Still, it’s a
far cry from eating 15 times a day, which some
of my clients were doing, while others were
regularly consuming healthy snacks between
meals, just as suggested in the BANT “Diet for
Life” guidelines, and getting nowhere. Even
healthier options were making them sick.
“it’s no longer good enough
for nTs to intervene only
with nutrition. we need to
prescribe clear, sciencebased, individualised
programmes that encompass
all aspects of nutritional
health and that also include
activity/movement and
techniques and information
that encourage adequate rest
and stress transformation.”
Of course, it wasn’t the food itself that was
the problem; it was more about the insufficient
number of hours they had left in the day when
their poor digestive systems were not taking
the lion’s share of their energy for processing
food and elevating their inflammatory state!(5)
Bombarded
Having said all this, I do understand “general”
and “simplified” information is necessary in a
modern society where people are bombarded
by questionable dietary and lifestyle guidelines
issued at government level and from other
top-down initiatives, including the World Health
Organization and its Global Strategy on Diet,
Physical Activity and Health, for example.
However as NT and cPNI practitioners, I believe
we must be as flexible as we can be with every
client we see, and understand that yes, there
will be some “skinny, skinny” body types where
eating six times a day is a must to function.
In my opinion we should be emphasising
how we tailor advice for individual needs
before anything else. We need to demonstrate
in the public domain that we are indeed
psychologically flexible, and flexible to
the needs of the individual – taking into
account, for instance, a person’s genetic
background, environment, knowledge base
and circumstances. We should promote this
individualised approach as the foundation of
our practices, this being the only real way of
helping people to regain the metabolic and
immunological flexibility needed for well-being
and resilience.
I’m sure the jury in the big wide world will
remain out for quite some time on eating
little and often versus caloric restriction and
intermittent fasting. But we must stay tuned to
all the latest research, and, critically, be open
to far-reaching and wide-ranging CPD to gain a
wider cross-section of ideas.
Studying cPNI taught me that in order to be
flexible, I had to be prepared to challenge all
I thought I knew, and accept that some ideas
firmly rooted in my early nutrition teaching
and practice had become outdated. I guess
that’s where I have a problem with purely selfdirected CPD study, which can simply serve to
validate your own opinions, irrespective of their
worthiness.
As a BANT member, the days of being able
to log CPD hours by simply reading a book or
watching a documentary should be over, or
very limited! I would urge fellow practitioners to
keep pushing your own boundaries, seek out
courses that may challenge all you think you
know, and then have the confidence to apply
it in practice. In my later clinical experience,
I have been inspired by how much more
empowered my clients are as a result.
Bite the Sun
Along with BANT, I encourage more NTs
and other CAM practitioners to engage in
public debate through their Twitter feeds and
Facebook sites, so clients and interested
public can read their views informed by
clinical experience and make up their own
minds. Maybe it’s from here that we can really
empower people to take control of their own
health.
I’d also encourage practitioners, their
clients and the general public to engage with
a new global grassroots health empowerment
initiative called Bite the Sun (BTS), for a Vital
Life, due to launch this month (www.bitethesun.
org). BTS was born out of the need to expand
www.CAM-MAg.CoM
cAm opinion
the food and nutrition campaign designed
and initiated by the Alliance for Natural
Health International in 2008 (www.anheurope.org /www.anhinternational.org).
We all agree there’s a very real need for
more practical and detailed information to
help guide and educate consumers, and
BTS has set out to do this in an engaging,
user-friendly and fun format. BTS has built
in sophisticated tools that allow individuals
to keep track of their diet, physical
activity, rest, sleep and emotional health,
and match these against optimal values
derived from authoritative sources.
Given the complexity of metabolic,
mitochondrial-related and other chronic
diseases, it’s no longer good enough
for NTs to intervene only with nutrition.
We need to prescribe clear, sciencebased, individualised programmes that
encompass all aspects of nutritional
health and that also include activity/
movement and techniques and
information that encourage adequate rest
and stress transformation.
Make your voice heard and get
involved. If we don’t throw our collective
experience into the ring, how can we
show the public the outcomes we are
getting from individualised strategies
based on the latest science? Let’s leave
the dieticians to be the sole standardbearers of the now-defunct “one size fits
all” approach. cam
References
1. BANT (the British Association for Applied
Nutrition and Nutritional Therapy) launched its
Diet for Life campaign in a media release in
December titled
“Revealed: Top 10 Secrets of Healthy Weight
Loss by Those in The Know. Healthy eating
is for life not just after Christmas”, with an
endorsement by GP Anita Nathan, “who has a
special interest in nutrition and obesity”. www.
bant.org.uk/bant/pdf/DFL/DIET_FOR_LIFE_
CAMPAIGN_MEDIA_RELEASE.pdf
2. Blagosklonny MV. Calorie restriction.
Decelerating mTOR-driven aging from cells
to organisms (including humans). Cell Cycle
2010, 9:4, 683-8. Online at http://fly-bay.net/
journals/cc/16-BlagosklonnyCC9-4.pdf
3. Li L et al. Chronic Intermittent Fasting
Improves Cognitive Functions and Brain
Structures in Mice. PLoS ONE 2013, 8 (6):
e66069. Online at www.plosone.org
4. Psilander N et al. Exercise with low glycogen
increases PGC-1alpha gene expression in
human skeletal muscle. Eur J Appl Physiol
2013,113 (4): 951-63.
5. Cani PD et al. Metabolic endotoxemia
initiates obesity and insulin resistance.
Diabetes 2007, 56 (7):1761-72. Online
at http://diabetes.diabetesjournals.org/
content/56/7/1761.full
About the
author
Adele Wolstenhulme,
FdSc, Dip cPNI, DipION,
BA (Hons), DipIT Sec
Man, is a Clinical
Psychoneuroimmunologist
and Nutrition Practitioner and consultant.
She is mKPNI, mBANT, NTCC, CNHC and
NHS Directory registered CAM practitioner
and a certified metabolic balance® coach.
She is director and founder of Inside Out
Nutrition (UK) Ltd & Health4Life: www.
inside-outnutrition.com.
Vitamin Es may be vital against dementia
While one medical journal was claiming
that taking supplements was a waste of
money (see report, page 4), two others
were running papers independently
showing the importance of vitamin E – in
all its forms – for the ageing brain.
One of those journals was the Journal
of the American Medical Association no
less, with a paper showing that vitamin E
as alpha tocopherol may delay decline in
mild-to-moderate Alzheimer’s disease.
A second study, published in
Experimental Gerontology, found that
several forms of vitamin E protect against
memory disorders.
“Since the cholinesterase inhibitors
[galantamine, donepezil, rivastigmine], we
have had very little to offer patients with
mild-to-moderate dementia,” said Mary
Sano, PhD, professor in the department
of psychiatry, Icahn School of Medicine at
Mount Sinai, co-author of the JAMA study.
“This trial showed that vitamin E delays
www.cAm-mAg.com
progression of functional decline by 19%
per year, which translates into 6.2 months
benefit over placebo.”
Prof Sano previously led a study on
vitamin E in patients with moderately
severe Alzheimer’s disease. She
found that the vitamin slowed disease
progression in this group of patients as
well.
In the second study, investigation of 140
65-year-olds over eight years discovered
that higher total serum levels of vitamin E,
and higher levels of gamma-tocopherol,
beta-tocotrienol and total tocotrienols
in particular, seemed to protect against
memory disorders. Vitamin E exists in
eight different natural forms and the entire
family plays a role in memory processes.
* Dysken MW et al. Effect of vitamin E and
memantine on functional decline in Alzheimer
disease. JAMA 2014, 311 (1): 33.
*Mangialasche F et al. Serum levels of vitamin
E forms and risk of cognitive impairment in a
Finnish cohort of older adults. Exp Gerontol
2013, 48 (12): 1428.
cam
FEBRUARY 2014
9
CAM news extrA
Information as important as medication
in reducing migraine pain
Prof Ted Kaptchuk and a team at Harvard Medical School have just published one of the
most important placebo studies ever conducted. CAM editor Simon Martin reports.
A
stunning and complex study comparing the
Seven attacks
effects of a well-known migraine drug has
The investigators studied more than 450 attacks
shown for the first time that at least 50% of
in 66 patients with migraines. After an initial “no
treatment” episode in which patients documented
the drug’s benefits may be due to the placebo effect.
their headache pain and accompanying symptoms
Now this throws into question the whole basis of
“scientific” pharmaceutical-based treatments, but
30 minutes after headache onset and again two
wait, there’s more…
hours later (2.5 hours after onset), the participants
were provided with six envelopes containing pills
You guess: when patients are given the
to be taken for each of their next six migraine
information that the pill they are about to take is a
attacks.
placebo, do they still get pain relief?
Answer: yes.
Yes: when migraine patients are given a “painkilling” placebo – labelled as placebo, so they know
it’s a placebo– many of them get the same pain
“The placebo effect is an
unacknowledged partner for
powerful medications” – Prof Ted
Kaptchuk, Harvard Medical School.
expectations (envelopes labelled “placebo”),
The Centre, home of Harvard’s placebo
(envelopes labelled “Maxalt or placebo”). In each
third leading cause of death behind heart disease
research unit, further said the study, for the first
of the three situations – positive, negative or
and cancer, never mind the swathe of damage
time, quantifies how much pain relief is attributed
neutral – one of the two envelopes contained a
done by their non-therapeutic effects, and given
to a drug’s pharmacological effect and how much
Maxalt (rizatriptan) tablet while the other contained
that Kaptchuk’s team have now shown that drugs
to placebo effect. However, in a sop to the industry
a placebo, no matter what the label actually
probably rarely work better than placebo, can
controlling orthodox medicine, its official statement
indicated.
we just say that as far as pharmaceuticals are
said that the study “demonstrates that a positive
concerned, “enough is enough”?
message and a powerful medication are both
the pills accompanied by positive information
The results consistently showed that giving
important for effective clinical care”. It does no
incrementally boosted the efficacy of both the
clinical effects of placebo and medication in a
such thing of course: in fact it shows how truly
active migraine medication and the inert placebo.
unique manner,” said Prof Kaptchuk. “Very few, if
useless many medications are and suggests that
any, experiments have compared the effectiveness
the energetic interaction between patients and
as placebo, they were being treated by the
of medication under different degrees of
white-coated authority figures may be as least as
medication – but without any positive expectation,”
information in a naturally recurring disease. Our
important as medication.
notes Burstein. “This was an attempt to isolate the
“This study untangled and reassembled the
discovery showing that subjects’ reports of pain
In an interview on US public radio, when
“When patients received Maxalt labelled
pharmaceutical effect of Maxalt from any placebo
were nearly identical when they were told that an
asked to explain the results, Prof Kaptchuk went
effect.” Conversely, the inert placebo labelled as
active drug was a placebo as when they were told
straight to that point, implying that it may well be
Maxalt was an attempt to isolate the impact of the
that a placebo was an active drug demonstrates
that almost anything delivered to a patient in a
placebo effect from pharmaceutical effect.
that the placebo effect is an unacknowledged
healthcare setting, with appropriate power, could
partner for powerful medications.”
kick off the bodymind’s self-healing mechanisms.
superior to the placebo in terms of alleviating pain,
The finding was startling to medical science,
we found that under each of the three messages,
Kaptchuk, who graduated with a degree in
Adds Kaptchuk, “Even though Maxalt was
Chinese medicine from a Chinese university in
he said, “Because in medicine, we think you
the placebo effect accounted for at least 50% of
1975 and became famous for his best-selling
have to think it’s a real drug for placebo to work.
the subjects’ overall pain relief. When, for example,
textbook “The Web that Has No Weaver:
But apparently, the body has memories, or an
Maxalt was labelled ‘Maxalt,’ the subjects’ reports
Understanding Chinese Medicine”. He is currently
embodied awareness, which operates below the
of pain relief more than doubled compared to when
Professor of Medicine at Harvard Medical School
level of consciousness.”
Maxalt was labelled ‘placebo’. This tells us that the
and director of the Harvard-wide Programme in
The other senior author of the paper appears
effectiveness of a good pharmaceutical may be
doubled by enhancing the placebo effect.”
Placebo Studies and the Therapeutic Encounter
to agree. Rami Burstein, PhD, Director of Pain
(PiPS) at Beth Israel Deaconess Medical Centre
Research at BIDMC and Professor of Anaesthesia
(BIDMC) in Boston, Massachusetts. He is a world
at Harvard Medical School commented: “One of
respond to a placebo because they think they’re
leader in placebo studies.
the many implications of our findings is that when
getting an active drug, our findings reinforce the
doctors set patients’ expectations high, Maxalt [or,
idea that open label placebo treatment may have a
migraine headache “confirms that a patient’s
potentially, other migraine drugs] becomes more
therapeutic benefit,” say the authors.
expectations – positive, negative or neutral –
effective. Increased effectiveness means shorter
influence the effects of both a medication and a
migraine attacks and shorter migraine attacks
placebo.”
mean that less medication is needed.”
BIDMC said that the “innovative” study of
10
“Maxalt”), two were made with negative
and two were made with neutral expectations
relief as patients given an actual pain-killing drug.
Given that prescribed drugs are currently the
Of the six treatments, two were made with
positive expectations (envelopes labelled
cam
FEBRUARY 2014
“Contrary to conventional wisdom that patients
* Kam-Hansen S et al. Altered placebo and drug labeling
changes the outcome of episodic migraine attacks.
Science Translational Med 2014, 6 (218): 218ra5. Epub
www.CAM-MAg.CoM
FEATURE ■ STRESS
Limbic kindling: hardwiring the brain for
hypersensitivity
It’s one of the most exciting concepts in neuroscience you’ve never heard of. And it’s
becoming a key model being examined as a possible theoretical basis for Multiple
Chemical Sensitivity (MCS) and Post Traumatic Stress Disorder (PTSD). Recently, a
leading researcher in CFS/ME, Dr Leonard Jason, has argued it provides a comprehensive
model to explain CFS as well. CAM contributing editor Niki Gratrix, BA (Hons), Dip ION,
introduces the idea and highlights the connections with infection and toxins.
L
imbic kindling is a condition where either
repeated neurological exposure to
initially chronic sub-threshold stimulus,
or a short-term high intensity stimulus (eg
brain trauma), can eventually lead to persistent
hypersensitivity to the stimulus.
Kindling was originally discovered in 1967
by Graham Goddard, who was studying
the effects of electrical stimulation of the
amygdaloid complex in the brain in learning
in rats.(1) He found that after long-term, low
intensity intermittent stimulation from electric
shocks to their brains, the rats began to have
12
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FEBRUARY 2014
spontaneous, epileptic-like seizures – even
when no stimulation was given. Goddard also
found he could create similar reactions using
chemical stimulation.
In 1970, Gellhorn suggested that
under prolonged stimulation of the limbichypothalamic-pituitary axis, a lowered
threshold for activation could occur.(2) Girdano
et al in 1990 proposed that the excessive
arousal could lead to an increase in dendrites
of the limbic system, which can further
increase limbic stimulation and hypersensitivity
to stimuli.(3)
Ashok Gupta was the first to propose a
similar theory as the basis for CFS/ME in
2002.(4) (A diagram from his paper is below).
Based on the work of Le Doux in the ‘90s (5),
Gupta suggested that an infectious, chemical
or psychological stressor could create a “cell
assembly” within the unconscious amygdala
and that these cell populations are particularly
resistant to extinction. As with Goddard and
Gellhorn, this again implied that people could
become “hard-wired” to respond more easily
to stimuli and in turn find it more difficult to
suppress the chronic stress, or “flight and fight”
WWW.CAM-MAG.COM
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FEATURE n STRESS
→
response established by Selye’s classic
model of stress.(3-5)
Where limbic kindling takes our
understanding of stress to new levels is the
idea that this kindling leads to “hard-wiring”
in the brain for an unhealthy response
to stress. This was boosted by a 2002
paper in the British Journal of Psychiatry,
where a systemic review of brain images
of patients with PTSD found “increased
activation of the amygdala after symptom
provocation”.(6)
In 2009, Dr Leonard Jason and
colleagues suggested that chronic longterm hyperarousal of the central nervous
system – from this “kindling” – leads to
chronic sympathetic nervous system
arousal and will in turn result in the
physiological abnormalities documented in
ME/CFS patients. This includes:
n immune system activation and movement
from TH1 to TH2 dominance;
n up-regulation of the hypothalamic-pituitaryadrenal axis initially, which over time leads
to reduction of cortisol output and glandular
depletion;
n disruption in ion channel transport;
n reduction of grey matter in the brain;
n reduction of GABA;
n depletion of neurotransmitter acetylcholine;
n depletion of antioxidants;
n and eventually the oxidative stress,
opportunistic infection and reactivation of latent
infections, poor mitochondrial function and
cardiomyopathy.(7)
In addition to those symptoms Jason et al
cited, chronic sympathetic nervous system
stress is also known to cause dysbiosis; for
example pre- and post-natal stress causes
dysbiosis in infant monkeys (8, 9) and
numerous papers now show CFS patients
often have gut dysbiosis and leaky gut.(10)
Methylation, detoxification
Stress has been identified as a primary cause
of pyrroluria (compromised haemoglobin
synthesis) by the late great Dr Carl Pfeiffer,
one of the co-founders of orthomolecular
psychiatry. This is important, as McGinnis et
al have explained that pyrroluria may also
be linked to leaky gut and it appears to also
induce porphyria – the “downstream” cousin of
pyrroluria, in which heme-producing enzymes
are dysfunctional. This in turn down-regulates
the CYP450 liver enzymes (11 – and covered
in CAM in the October 2013 issue). Many
patients with MCS have been found to have
porphyria (a topic covered in CAM in October
14
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FEBRUARY 2014
2012). Pyrroluria also means the patient
excessively excretes vitamin B6 and zinc,
which would slow the methylation cycle, again
reducing the ability to detoxify.
The lymph connection
Also of great interest is the possible link
between chronic stress and lymph stasis. Dr
Raymond Perrin, an osteopath specialising
in CFS, has theorised that lymph flow is
stimulated by a rhythmic pump governed
by the sympathetic nervous system, which
becomes dysfunctional in states of chronic
stress.(12) Perrin has developed a form of
deep lymphatic massage called the “Perrin
Technique” specifically for CFS (13) and has
published two studies on his work with CFS
patients.(14,15) In a UK study of more than
4217 patients in 2010 by the ME Association,
ranking how helpful different treatments are
for ME/CFS, after pacing and relaxation
techniques, the Perrin Technique ranked as
number three above at least 22 other types of
treatment.(16)
The vicious cycle of chronic
stress
The limbic kindling model explains how multiple
types of stressors, which can be psychological,
electrical or chemical, can all result in the
same outcome: chronic sympathetic nervous
system stress which reduces the body’s ability
to “rest, digest and detoxify”, and often results
in allergies and sensitivities to all these types
of stressors as well. Limbic kindling may also
explain electro-hypersensitivity.
The biochemical changes which result from
chronic sympathetic nervous system stress
include oxidative stress, inflammation
and toxin build-up, which in turn,
causes more limbic kindling and
explains how illnesses like CFS and
MCS become chronic.
The fact that limbic kindling
can both cause and be caused by
stressors, reflects the bi-directional
relationship between the brain and
the body, and the fact that the human
body is a complex adaptive system
where essentially everything affects
everything else.
Initial underlying causes of
environmental sensitivities and
illnesses like CFS may therefore
come from stressors directly acting on
the brain and triggering biochemical
changes downwards in the body, or
via factors acting directly on the body,
triggering changes upwards in the limbic
system through chronic inflammation.
Factors linked to psychology which create
limbic kindling in CFS include personality
issues such as proneness to being an
achiever, anxiety, or being an excessive
“helper” type.(16-19). Emotional trauma in
childhood is a well-established risk factor for
CFS onset in later life.(20-23) Emotional stress
related to how patients cope with becoming ill
with CFS (which is traumatic in itself) has also
been found to be a major factor in recovery.(24,
25) Emotional stress is also a well-established
trigger for onset of the illness.(26) Commonlyused psychological or energetic techniques for
CFS include NLP, CBT, EMDR, yoga, Qi Gong,
Mickel Therapy and meditation.(16)
Physical factors which can lead to chronic
inflammation and thus limbic kindling
include chronic infections, type IV delayed
hypersensitivity to toxins, and food and gut
inflammation.
In a second paper by Jason et al on
kindling theory and ME/CFS in 2011, the
authors argued that inflammation from chronic
infections could also cause limbic kindling. The
diagram here summarises their conclusion
that “we need studies based on systems
biology that explain the illness, in combination
with more details about the environmental
contributors to the illness as well as validation
of findings with functional studies.”(27)
Dr Stejskal, the researcher involved
with developing the Melisa test for type
IV hypersensitivity to heavy metals, has
completed numerous large studies confirming
metal sensitivity in CFS patients (discussed in
CAM, November 2013).
www.cAm-mAg.com
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FEATURE n STRESS
→
In Neuroendocrinology Letters
in 1999, Dr Stejskal discussed
studies linking inflammation to
heavy metals and concluded:
“Chronic metal-induced
inflammation may dysregulate
the HPA-axis and contribute to
fatigue”.(28) The authors went
on to state that other xenobiotics
such as formaldehyde and
isothiazolinones would have a
similar inflammatory impact and
that the genetic ability to detoxify
xenobiotics, together with the
individual susceptibility to the
toxin, are probably the most
important factors in whether a person develops
sensitivity.
Other sources of chronic inflammation can
include delayed type IV hypersensitivity to
foods, especially gluten (CAM, September
2013). An extensive referenced discussion
of the links between gluten sensitivity, gut
inflammation and CFS can be found on
Cort Johnson’s CFS advocacy site; www.
cortjohnson.com.(29)
Physical treatment interventions
for detoxification
A key point to take away from the limbic
kindling model is that the nervous system
can become sensitised to toxins and become
“programmed” to react to them.
While the intervention for type IV delayed
References
1. Goddard GV. Development of epileptic seizures
through brain stimulation at low intensity. Nature
1967, 214:1020–1.
2. Gellhorn E. The emotions and the ergotropic and
trophotropic systems. Psychologische Forschung
1970, 34: 48–94.
3. Girdano DA et al. Controlling stress and tension. A
holistic approach. (Prentice Hall, 1990).
4. Gupta A. Unconscious amygdalar fear
conditioning in a subset of chronic fatigue syndrome
patients. Med Hypoth 2002, 59: 727–35.
5. LeDoux J. The emotional brain: the mysterious
underpinnings of emotional life. (Simon & Schuster:
1996).
6. Hull AM. Neuroimaging findings in post-traumatic
stress disorder. Br J Psychiatry 2002, 181: 102-10.
7. Jason LA et al. Kindling and oxidative stress as
contributors to Myalgic Encephalomyelitis/Chronic
Fatigue Syndrome. J BehavNeurosci Res 2009, 1,
7(2): 1-17.
8. Bailey MT et al. Prenatal stress alters bacterial
colonization of the gut in infant monkeys. J Pediatr
Gastroenterol Nutr 2004, 38:414-421.
9. Bailey MT, Coe C. Maternal separation disrupts
the integrity of the intestinal microflora in infant
rhesus monkeys. Dev Psychobiol 1999, 35: 146-155.
10. Lakhan SE, Kirchgessner A. Gut inflammation in
chronic fatigue syndrome. Nutr Metab (Lond) 2010,
7: 79.
11. McGinnis W et al. Discerning the mauve factor,
Part 1. Alter Therap 2008, 14: 2. Dekel S et al.
16
cam
FEBRUARY 2014
well as nutritional support for
metabolic imbalances including
pyrroluria, porphyria, poor
mitochondrial function, leaky
gut, low adrenals and thyroid,
chronic infections and immune
system imbalances.
Conclusion
Limbic kindling and CFS/ME: a
model proposed by Jason et al (27).
immune system sensitivity to a toxin entails
testing for and removing the toxin from the
environment of the patient, and the intervention
for genetic polymorphisms affecting
methylation and other detox pathways may
entail recommending a “nutritional bypass” to
modulate and improve detoxification, sensitivity
to toxins due to neurological programming
may be served better by interventions to reset
the unconscious amygdala – such as NAET
therapy, a form of non-invasive acupuncture
therapy, or similar energy-psychology
techniques such as EFT (tapping).
Other physical treatment interventions
which should be accompanied by concurrent
psychological support commonly include the
Perrin technique for lymph stasis, cleanses
such as sauna and chelation therapy, as
Secondary salutogenic effects in veterans whose
parents were Holocaust survivors. J Psychiatr Res
2013, 47 (2): 266-71.
12. Perrin R. Lymphatic drainage of the neuraxis in
Chronic Fatigue Syndrome: a hypothetical model for
the cranial rhythmic impulse. J Am Osteopath Assoc
2007, 107 (6): 218-24
13. Perrin R. The Perrin Technique. (Hammersmith
Press: 2007).
14. Perrin RN et al. An evaluation of the
effectiveness of osteopathic treatment on symptoms
associated with myalgic encephalomyelitis. J Med
Eng Technol 1998, 22 (1): 1-13
15. Perrin RN et al. Muscle fatigue in chronic fatigue
syndrome/myalgic encephalomyelitis (CFS/ME)
and its response to a manual therapeutic approach:
a pilot study. Int J Osteopathic Med 2011, 14 (3):
96-105.
16. www.meassociation.org.uk/wp-content/
uploads/2010/09/2010-survey-report-lo-res10.pdf
17. Van Houdenhove B et al. Does high “actionproneness” make people more vulnerable to chronic
fatigue syndrome? A controlled psychometric study.
J Psychosom Res 1995, 39: 633-640.
18. Lewis S et al. Psychosocial factors and chronic
fatigue syndrome. Psychol Med 1994, 24, 661-671.
19. Arroll MA et al. A qualitative investigation
of everyday worries in individuals with myalgic
encephalomyelitis and chronic fatigue syndrome
(ME/CFS). Poster presented at the European Health
Psychology Society: Cluj-Napoca, Romania, 2010.
20. Taylor RR et al Sexual abuse, physical abuse,
Practitioners – and
researchers – would be wise
not to downplay or ignore
either psychological factors
or environmental factors
as primary causes and
perpetuating factors in
chronic complex illnesses like CFS and
MCS. Treatment interventions should
ideally be concurrent and multifactorial.
A thorough comprehensive physical and
psychological history and approach to
treatment may yield the highest rates of
success with patients. cam
About the
author
Niki Gratrix, BA (Hons),
Dip ION, mBANT, is one of
the UK’s leading nutritional
therapists specialising in
Chronic Fatigue Syndrome/
ME and related illnesses. She is one of CAM’s
contributing editors and a former CAM Award
winner. See her website for practitioners at
www.ExpertPractitioner.com.
chronic fatigue, and chronic fatigue syndrome: a
community-based study. J Nervous & Mental Dis
2001, 189 (10): 709-15.
21. Heim C et al. Early adverse experience and
risk for chronic fatigue syndrome: results from a
population-based study. Arch Gen Psychiat 2006,
63: 1258-66.
22. Heim et al. Childhood trauma and risk for chronic
fatigue syndrome – association with neuroendocrine
dysfunction. Arch Gen Psychiatry 2009, 66 (1):
72-80.
23. Staudenmayer H et al. Adult sequelae of
childhood abuse presenting as environmental
illness. Ann Allergy 1993, 71: 538-46.
24. Van Houdenhove B et al. Victimization in chronic
fatigue syndrome and fibromyalgia in tertiary care: a
controlled study on prevalence and characteristics.
Psychosomatics 2001, 42 (1): 21-8.
25. Howard A, Arroll M. The application of
integral medicine in the treatment of myalgic
encephalomyelitis/chronic fatigue syndrome. J
Integral Theory Practice 2011, 6 (4): 25-40.
26. De Meirlier K, Englebienne P. Chronic Fatigue
Syndrome: a biological approach (CRC Press 2002).
27. Leonard JA et al. An etiological model for
myalgic encephalomyelitis/chronic fatigue syndrome.
Neurosci Med 2011, 2 (1): 14–27.
28. Stejskal J, Stejskal V. The role of metals in
autoimmunity. Neuroendocrinol Lett 1999,20: 351-64.
29. www.cortjohnson.org/blog/2013/10/01/celiacdisease-gluten-sensitivity-chronic-fatigue-syndromemodern-malady-obscured-testing-next-steps.
www.cAm-mAg.com
FEATURE n RANDOMISED AND UNCONTROLLED
‘Enough is enough…the case is closed’
In his new regular column, fittingly titled “Randomised and Uncontrolled”,
CAM editor Simon martin takes an off-beat look at the world of alternative
medicine. This month he documents the self-styled ‘premier internal medicine
journal’ abandoning science.
N
ot so long ago I provoked fury in
certain circles when, in reporting on
Prof Edzard Ernst’s conclusion that
there was hardly any published evidence on the
effectiveness of Western herbal medicine as
practiced in the UK, I declared: “Well…the man
has a point.”
So when I say I agree with the conclusions
of the idiots at the Annals of Internal Medicine,
I know I’m risking the same backlash. But bear
with me.
The ill-informed fools behind the editorial they
headlined: “Enough Is Enough: Stop Wasting
Money on Vitamin and Mineral Supplements”
actually did say:
“…we believe that the case
is closed – supplementing the
diet of well-nourished adults
with (most) mineral or vitamin
supplements has no clear benefit
and might even be harmful. These
vitamins should not be used
for chronic disease prevention.
Enough is enough.” (1)
This statement is going to haunt Drs Guallar,
Stranges (from Warwick Medical School),
Mulrow, Appel and ER Miller III for decades to
come. Future medics will think it is an urban
myth and rank it alongside the statement
attributed to IBM chairman Tom Watson, who in
1943 allegedly opined, “The world only needs
five computers”.
Abandoning science
Joking aside, what “the case is closed”
statement tells us that here is a group of
medical doctors editorialising in the journal of
the American College of Physicians, the largest
medical speciality organisation in the US, who
have abandoned science.
It doesn’t matter what you think about
supplements, it is unscientific to make such a
statement.
On page 4 and 5 in this issue, Dr Tom
Guilliams has reviewed the studies that
prompted the Annals 5 to display their
ignorance to the world. You’ll see that they were
all so flawed that only doctors with a particular
agenda could possibly have used them as
evidence that supplements don’t reduce the risk
of chronic disease.
In contrast, I only dipped into the quoted
18
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FEBRUARY 2014
research – and one study struck me as
particularly bizarre.
This was a huge French study. It was one
of only four studies (the editorial says three,
but whatever) that Fortmann et al were able
to find worthy of inclusion in their systematic
review for the Annals (2) after screening 12,766
abstracts. It involved “13,017 men and women
living in France and examined a five-ingredient
multivitamin” – and, funnily enough, it was also
published in the Annals of Internal Medicine.(3)
Must be good then, right?
Well, if you’re out to prove that supplements
are pretty much useless, then yes. First thing:
the “multi” was “a single daily capsule of a
combination of 120mg of ascorbic acid, 30mg
of vitamin E, 6mg of beta carotene, 100mcg of
selenium, and 20mg of zinc”. Three vitamins
and two minerals? This is a worthwhile daily
“multi” supplement?
So rather than bashing the report, I’m
tempted to agree with it – along the lines of
“Ernst has a point” – and thank the reviewers
for pointing out that using stupidly low doses
of a stupidly narrow-spectrum of nutrients and
giving the same nutrients and the same dose to
thousands of people doesn’t have a spectacular
effect! We wouldn’t expect it to – but that, of
course, may be the point. Like the reviewers
we’ll gloss over the fact that, in the French
study, doing this did save a bunch of men from
getting cancer...ooops!).
Something else struck me and has to do with
the fact that the study population was, well, not
to put too fine a point on it…French.
So, apart from fine wine, snails, beautiful
women and a big bike race, what have the
French ever done for us? Well, the French tend
to use their medical doctors like the Americans
do…they have their numbers on speed-dial and
do tend to be a bit obsessive about check-ups
and the like.
According to The Economist, France is in
fact second only to the US in drug consumption:
“The French are Europe’s champion medicinetakers. No self-respecting family leaves the
doctor’s surgery without a multiple prescription
for drugs to treat even minor ailments.”(4)
So let’s amend the true story of one of only
four (or three) studies accepted from 12,766
abstracts for inclusion in a systematic review to
decide the effectiveness of supplements: it was
a study that took 13,000 drugged-up French
people, gave them miniscule amounts of
“vitamins”, watched them get cancer and heart
disease and then blamed the supplements for
not preventing it.
Drugs useless
The stats on French drug use were funny, from
another point of view. Says The Economist:
”Every so often, the health authorities strike a
batch of drugs off the list for reimbursement
under the social-security rules, because of
‘insufficient therapeutic value‘. Last year the
reimbursement rate was cut for 150 medicines
judged, in effect, useless.” And not so funny
(this is from 2011):
”A public-health scandal has now awoken
the French to the dangers of a heavy drugconsumption culture. This week Jacques Servier,
founder and boss of Servier Laboratories, was
due to appear in court in connection with a
criminal lawsuit brought by patients who took a
drug called Mediator. It was originally licensed for
diabetics, but family doctors began to prescribe
it in the mid-1990s as an appetite-suppressant.
Despite the ringing of alarm bells over the
years about its links to heart disease, both in
other countries and within the French medical
profession, the drug was not withdrawn in France
until 2009. By that time, according to different
estimates, between 500 and 2,000 people who
had been taking the drug had died.”
And finally…
“Even the Institut Necker, a research body,
reckons that, of 5,000 or so drugs available in
France, ‘nearly half serve no useful purpose’,
and many of those may be harmful.”
Enough is enough? Yes, I agree. cam
1. Eliseo Guallar, MD, DrPH; Saverio Stranges, MD,
PhD; Cynthia Mulrow, MD, MSc, Senior Deputy Editor;
Lawrence J. Appel, MD, MPH; and Edgar R. Miller
III, MD, PhD. (Oh yes, let’s have all their names for a
change!) Enough Is Enough: Stop Wasting Money on
Vitamin and Mineral Supplements. Ann Intern Med
2013, 159(12): 850-1. Free online at http://annals.org/
article.aspx?articleid=1789253
2. Fortmann SP et al. Vitamin and mineral supplements
in the primary prevention of cardiovascular disease
and cancer: an updated systematic evidence review
for the US Preventive Services Task Force. Ann Intern
Med 2013, 159:824-34.
3. Hercberg S et al. The SU.VI.MAX Study: a
randomized, placebo-controlled trial of the health
effects of antioxidant vitamins and minerals. Arch
Intern Med 2004, 164:2335-42.
4. Pass the pills: A scandal reminds patients of
the health risk from taking too many drugs. The
Economist, Feb 10, 2011: www.economist.com/
node/18114873.
www.cAm-mAg.com
FEATURE n lab testing
Immunological arrays: new
ways to test arrive in the UK
After many requests from practitioners, Cyrex immunological arrays are now available
in the UK. They include the long-awaited gluten cross-reactivity test popularised by
Tom O’Bryan, as well as a multiple toxin screen. Nutritionist christine Bailey, MSc,
PGCE, mBANT, explains what the new tests can be used for.
A
fter much anticipation, the Cyrex
arrays were launched in the UK thanks
to Regenerus Laboratories (www.
regeneruslabs.com). As part of the launch I
was fortunate enough to be trained directly by
Cyrex in the US on the use and application
of each array. Here is a summary to help you
decide which tests to use with your clients.
Array 1: gluten Sensitivity Screen
(oral fluid sample)
What it measures: Secretory IgA, Gliadin IgA
+ IgM, Transglutaminase IgA + IgM
When to use this test: a non-invasive method
for the identification of gluten reactivity, useful
when there is a family history of coeliac
disease and/or for young children. The
inclusion of IgM covers the mucosal immune
reaction against these antigens in IgA deficient
patients.
This test can identify gluten reactivity before
villous atrophy is present.(1) If positive, array
3 is recommended for a more comprehensive
assessment.
Array 2: Intestinal Antigenic
Permeability Screen
What it measures: Actomyosin IgG,
Occludin/Zonulin IgG, Occludin/Zonulin IgA,
Occludin/Zonulin IgM, Lipopolysaccharides
(LPS) IgG, Lipopolysaccharides (LPS) IgA,
Lipopolysaccharides (LPS) IgM.
Intestinal permeability can cause systemic
inflammation, which can then sustain itself
by its ongoing effect on the gut. This array
assesses gut barrier damage by measuring
antibodies to barrier proteins. It can therefore
detect barrier damage long before there is
dysregulation in absorptive function. This
makes it very different from the lactulose/
mannitol test, which was originally designed to
be an assessment of nutrient absorption, not
intestinal permeability.
20
cam
FEBRUARY 2014
This screen identifies an immune response
indicating damage to the intestinal mucosal
microstructures, including the epithelial cell
network and the intercellular tight junctions. It
does this by identifying antibodies against the
tight junction proteins (occludin and zonulin)
and antibodies to the actomyosin network
(a protein complex that regulates intestinal
barrier function by maintaining the plasticity of
tight junctions). It also measures an immune
response to lipopolysaccharides, which can be
involved in the initiation and/or perpetuation of
chronic, systemic inflammation.
When to use this test: consider this test for
clients with suspected food allergies, gluten
sensitivity, inflammatory bowel disease,
autoimmune diseases, family history of
autoimmune disease, neurological conditions
(Multiple sclerosis) or problems with cognitive
function (depression, anxiety, schizophrenia).
(WGAs), lectins that can bind to cells involved
in the immune system and induce toxic
damage, inflammation and autoimmunity. It
also includes various tissue transglutaminases,
which indicate tissue damage to various
tissues in the body, including neural tissue.
When to use this test: recommended for
clients who you suspect have intestinal
mucosal damage, complain of wheat or
gluten allergy and/or intolerance. Consider
this test for clients who present multiplesymptom complaints (including Chronic
Fatigue Syndrome and fibromyalgia), suffer
from abnormal immune cell count and
function, or who may suffer from blood-brain
barrier permeability, neurological conditions,
depression, or any autoimmune condition (eg
thyroiditis, arthritis, myocarditis, dermatitis).
Gluten needs to be consumed for this test to
be accurate (see below).
Array 3: wheat/gluten Proteome
Sensitivity and Autoimmunity
Array 4: gluten-Associated
Sensitivity and cross-Reactive
Foods
What it measures: This is the most
comprehensive wheat and gluten sensitivity
panel available. It includes measurement
of IgA and IgG against multiple gluten and
wheat epitopes. Standard serological testing
only includes serum IgG and IgA against
gliadin and tissue transglutaminase-2 (tTG2).
These antibodies are measured against minor
components of a wheat protein called alphagliadin. However wheat consists of multiple
proteins and peptides, including alpha-gliadin,
omega-gliadin, glutenin, gluteomorphin,
prodynorphin and agglutinins. Any of these
antigens has a capacity to challenge the
immune system.
This array also includes opioid peptides,
which have been linked to symptoms such
as “brain fog”, behavioural problems, mood
swings, depression, or other neurological
complaints. It identifies wheat germ agglutinins
What it measures: IgG and IgA combined
to a range of foods known to cross-react
with gluten (1, 2). Other foods tested are
common allergens or foods commonly overconsumed on a gluten-free diet, which may
lead to sensitivity. The foods include dairy,
milk chocolate, sesame, hemp, rye, barley,
buckwheat, sorghum, millet, spelt, amaranth,
quinoa, yeast, oats, egg, soy, tapioca, corn,
coffee, rice and potato.
When to consider this test: consider this test
for clients on a gluten-free diet who are gluten
sensitive or coeliac and still don’t feel well
despite following a gluten-free diet. This is also
suitable for clients who have an autoimmune
disease, or have intestinal permeability, which
does not appear to be improving despite
treatment. If the client is gluten sensitive and
cross-reactive foods are identified, these
www.cAm-mAg.com
lab testing n feature
will need to be avoided for life in the same
way as gluten. If any of the foods commonly
consumed on a gluten-free diet show positive,
the offending foods should be eliminated from
the diet while the gut is healed. These foods
may be able to be reintroduced on a rotation
basis and the test re-run to check for any
further reaction.
Array 5: Multiple Autoimmunity
Reactivity Screen and Arrays 6,
7, 7x, 8: Specific Autoimmunity
Reactivity Screens
What these arrays measure: Array 5
measures IgG and IgA to 24 different tissues
in the body, detecting the presence of
autoantibodies. Arrays 6, 7, 7X and 8 focus
on particular organs, tissues or disease
conditions. The detection of autoantibodies is
the first step in the detection of autoimmune
conditions. Antibodies can be present in the
body many years before signs and symptoms
of the disease or diagnosis is made. Early
detection before extensive tissue damage
would allow a window of opportunity to address
and arrest and even in some cases reverse the
autoimmune condition.
When to use this test: for clients with any
idiopathic condition, gluten sensitivity/coeliac
disease, chronic intestinal permeability,
www.cam-mag.com
diagnosed with an autoimmune condition
or chronic toxin exposure. It is important to
note that this is not a test to diagnose any
condition, but to identify the presence of
autoantibodies to body tissues. On detection of
autoantibodies, a referral may be required.
Array 11: Chemical Immune
Reactivity Screen
What it measures: This panel looks at
toxins from a biological source (aflatoxins)
and toxicants from human-made sources
(BPA, heavy metals, mercury compounds,
formaldehyde, parabens, benzene ring
compounds etc.). Rather than looking at
levels of these compounds in the body (eg
through urine, hair, blood etc), it is measuring
antibodies to these chemicals bound to tissue.
Two people may have the same exposure
to a particular chemical and one will not be
affected, while the other can have significant
health consequences from it. The presence of
these antibodies indicates not only exposure to
these compounds but loss of tolerance and a
body burden of chemical exposure, which may
trigger an autoimmune reactivity.
When to use this test: particularly useful for
clients exposed to toxicants on a regular basis,
clients suffering with an autoimmune condition
or showing an abnormal immune response,
intestinal permeability and for clients with
increased chemical sensitivities.
Array 20: Blood Brain Barrier
What it measures: the blood brain barrier
(BBB) is a physical barrier formed by the
arrangement of endothelial cells and tight
junctions that line the capillaries that supply
blood to the brain. This test measures blood
brain barrier protein (IgA and IgG combined
and IgM). Breach of the BBB can arise due to
traumatic head injuries, stress, inflammation
and/or environmental triggers such as
toxicants, foods and pathogens. Due to
cross-reactivity between environmental
triggers and neurological tissues, patients with
circulating antibodies to known environmental
triggers who experience BBB breakage, are
at risk of those environmental antibodies
infiltrating the brain and causing neurological
tissue damage.(4)
For example, if a gluten-reactive patient
continues to consume gluten and has BBB
permeability, the circulating gliadin antibodies
can enter the nervous system and attack
the tissues to which gliadin cross-reacts.
The patient’s immune system will produce
autoantibodies against the neurological
tissues, which will cause further damage,
leading to neuroautoimmunity. Similar
cam
FEBRUARY 2014
→
21
FEAtURE n lab testing
→
cross-reactivity can occur with
microbial infections.
When to use this test:
BBB permeability has been
linked to various conditions,
including Parkinson’s disease,
Sarcoidosis, Traumatic brain
injury, Multiple sclerosis,
Alzheimer’s disease and autism.
Consider this test for clients
who play contact sports or
activities in which repeated head
trauma occurs, have intestinal
permeability or exhibit changes
in cognitive function.
the practicalities
In order to order these tests you
first need to register with Cyrex
laboratories (www.cyrexlabs.
com). During registration you
will asked for your qualifications
to ensure only qualified
practitioners can access the
tests. Regenerus Labs, who are
responsible for managing orders
in the UK and Ireland, verify
your account. You will then be
able to order the tests for clients
direct from the Cyrex website.
When you place an order you
will also need to pay for the
tests. As this is in dollars, you
will need to convert to pounds to
let your clients know how much
each test costs. A requisition
form is generated which needs
to be emailed to your client.
Specimen requirements
A test kit will be sent to your
client. Only two of the panels
(array 1 and SigA test) require
an oral fluid specimen, the
others require blood samples.
All Cyrex arrays are covered
by one test collection kit, which
can be used for multiple arrays.
As blood samples need to be
centrifuged, it is recommended
clients contact Regenerus for
details of their nearest blood
collection centre. An additional
charge is normally made to
take the bloods. The client
then sends the sample back to
Regenerus with the requisition
form enclosed.
testing and a glutenfree diet
For arrays 1 and 3, a glutenfree diet may produce a false
negative result. Cyrex do not
recommend reintroducing gluten
into the diet to undertake these
arrays. However if the client
does wish to reintroduce gluten,
they need to eat the equivalent
of half a slice of bread daily for
two weeks, then wait 25 days
before taking the test to allow
time for any IgG antibodies to be
detected in the blood.
Interpretation guidance
Test results take 14 working
days to turn around. The results
will be sent to the practitioner
for interpretation. Regenerus
provide support and guidance
to practitioners for assistance
with interpretation as needed.
Regenerus will also be providing
additional interpretation training
for practitioners throughout
2014: www.regeneruslabs.com.
References
1. Bonamico M et al. First salivary
screening of celiac disease by
detection of anti-transglutaminase
autoantibody radioimmunoassay in
5000 Italian primary school children.
J Pediatr Gastroenterol Nutr 2011,
52 (1):17-20.
2. Vojdani A et al. Immune response
to dietary proteins, gliadin and
cerebellar peptides in children with
autism. Nutr Neurosci 2004, 7 (3):
151-161.
3. Alaedini A et al. Immune crossreactivity in celiac disease: antigliadin antibodies bind to neuronal
synapsin I. J Immunol 2007, 178:
6590-5.
4. Zoikovic B. The blood brain
barrier in health and chronic
diseases Neuron 2008, 57 (2):
178-201.
About the author
christine Bailey, MSc, PGCE, mBANT, CNHC, AFCMP is
a well-known nutritionist, chef and author of numerous
health and recipe books. Director of Advance Nutrition
Ltd, she provides nutritional services to health and
food companies, corporates and regularly appears
in the media. She sees clients in Harley Street and
Berkshire: www.advancenutrition.co.uk.
22
cam
FEBRUARY 2014
New DNA
analysis assesses
methylation, detox,
insulin, inflammation
– in one go
D
NAlysis
Biotechnology,
in conjunction
with Nordic
Laboratories, brings
new laboratory
testing to the fields
of complementary
medicine and exercise
this year. DNAlysis and
Nordic are Platinum
sponsors of the
Sports Nutrition Live!
conference in May,
hosted by our sister
magazine, Functional
Sports Nutrition.
As the name
suggests, DNAlysis
provides genetic
testing which
empowers each
Part of a typical report.
individual with
personalised information about their own health attributes, weight
management patterns and exercise preferences and capabilities.
In contrast to traditional genetic testing, which looks for highpenetrance disease-causing genes, this testing assesses certain
well-researched, low-penetrance genes that can be strongly influenced
by lifestyle, nutrition, exercise and supplement choices. For example,
DNAlysis’s primary health test, DNA Health, measures almost 30
genes that code for methylation, cholesterol metabolism, detoxification,
inflammation, anti-oxidant status, bone health and insulin sensitivity.
The practitioner can assess health imbalance or disease susceptibility
from the genetic results, which is then paired with a full health and
lifestyle history of the client. Interventions can be based not only on
current presenting symptoms, but also on future health risks.
Physiologically, every person has some genetic weak spots.
Appropriate testing can identify these, allowing practitioners to start to
apply truly personalised interventions.
* DNA Life is offering a four-day practitioner certification course
next month (Friday March 21-Monday March 24, 10am-5pm each day).
Sign up at www.dnalife.eu.
www.cAm-mAg.com
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checks 50 to 150 food and drink types to help identify
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WWW.CAM-MAG.COM
cAm Student
How to survive as a student
New columnist Justin Lusty begins his student survival guide series. In a previous
existence Justin was a specialist consultant in start-ups and growing businesses, with
15 years’ finance and strategy experience. Students and lecturers at ION, where he was
student rep, voted for him in overwhelming numbers for the CAM Awards. In months to
come he will be addressing the leading “FAQ” issues that plague would-be practitioners.
T
he most concerning aspect of CAM
training is just how many students fail
to progress. The drop-out rate from
courses is surprisingly high, and those who
do qualify rarely make a good living. Many are
forced to return to their previous careers.
The reasons for this low success rate
are rarely discussed, but became clear in
my two years as a student representative
supporting more than 150 students. While
academic failure plays some part in students
dropping out of courses, loss of direction,
isolation, lack of family support, confidence
lapses, separation, bereavement, poor health
and financial problems are equally common
causes. With so many pitfalls to negotiate,
CAM students need a robust survival plan to
see them through. The following strategies
have been shown to work.
1. Set your own goals
If you’re focusing on your course grades rather
than how well you’re progressing towards
your career goals, think again. A fixation on
grades and competition with other students
is stressful, not least because marking in the
CAM field is largely subjective. Academic
achievement is also a poor predictor of CAM
career success, and students that focus on the
qualification as an end result often have little
idea how to use it in the real world.
Establishing what you intend to do with your
qualification makes it easier to view the course
as a means to an end. You can then structure
and prioritise your studies to meet your specific
goals. You’ll have your own benchmarks for
success, and exam results and coursework
marks lose their importance.
Having clear goals also ensures that when
you inevitably hit a bad patch and think, “Why
on earth am I doing this course?”, you’ll know
exactly why and will retain the motivation to
carry on.
2. minimise the risks
Start taking practical steps to reduce the risk of
not completing the course. Identify your skills
gaps (eg academic writing and understanding
statistics are common ones) and request
training from your college.
Prepare a clear financial budget to avoid
cash shortfalls. Create plans to ensure you
will have enough study time and to address
isolation. Start consolidating family support.
All these will ensure you have the capacity to
absorb whatever your course can throw at you.
3. Use failure as a learning tool
When you do experience a poor course result,
do not allow yourself to dwell on this as a
cAm Awards Student
of the Year
Nominations from Institute for Optimum Nutrition lecturers and
students for Student of the Year winner Justin Lusty were the
most ever received for any CAM Award hopeful, ever, and all paid
tribute to his outstanding support and service to other students –
while getting distinctions in all modules.
Justin has a business background – he is a chartered accountant, has a BSc in
economics and an MBA with distinction from Cass Business School, London – and is
director and founder of realstartups.co.uk. He is due to graduate from the Institute for
Optimum Nutrition in June. He shares our concern at the huge number of drop-outs, not
only during CAM courses, but even after graduating, and is actively working to correct
the situation. This is the first of a series of student-angled columns he is writing for CAM.
24
cam
FEBRUARY 2014
personal failure. Be resolute about using the
situation as a learning experience to improve
your future performance through reflection and
feedback.
Students who avoid situations that involve
potential failure or humiliation rarely develop
the resilience and experience to succeed.
4. Build support networks
Start building support groups to insulate
you from course challenges. These
groups can improve motivation and learning,
reduce isolation and provide a forum to
let off steam. They can also improve your
performance through exam revision groups,
joint projects, information-sharing and direct
feedback.
5. Start preparing for business
now
Never forget that being a CAM practitioner
is about running a business. You’ll only stay
afloat if you can generate revenue from clients
or other business opportunities immediately
after qualifying.
That means building your reputation and
contact base while you’re still a student. Never
assume clients will flock to seek your services,
however good you are. You need to make
them aware of you and find ways to attract
them first. If you haven’t used social media
such as Twitter and Facebook before, start
now. Getting known takes time!
If these five survival strategies seem
unachievable, think again. We’ll be explaining
how to put them into practice over the coming
months. Follow them and increase your
chances of success. cam
* Justin runs several nutrition support communities
with hundreds of members on Facebook. Find him
there and also contact him via justin.lusty@zen.
co.uk, Twitter – @slimmerhealth and uk.linkedin.
com/in/justinlusty. His first book and software
package, The Woman’s Guide to Starting Your Own
Business – How to Create a Safe, Family Friendly
Venture is due to be released in December.
www.cAm-mAg.com
THE CAM CONFERENCES RETUR
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Places are extremely limited, so guarantee yours today. Telephone
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• CARDIOVASCULAR HEALTH - SATURDAY 15 MARCH 2014, Cavendish Conference Centre, London
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CARDIOVASCULAR HEALTH
Saturday 15 March 2014, 11.30 - 17.15,
Cavendish Conference Centre, London
PAUL CLAYTON
ONLY CONNECT – ‘HOW MUSCLE, BONE, LIVER, AND ADIPOSE TISSUE DRIVE –
AND CAN CURE – DIABESITY AND SARCOPENIA.’
The Pasteurian medical paradigm makes it difficult for clinicians to understand
or treat disease effectively, and cardiovascular disease is a good example of this.
The circulatory system is intimately related to hepatic, pancreatic, adipose and
skeleto-muscular physiology, as well as diet and lifestyle factors, and any truly
effective treatment must take this nexus into account. Sarcopenia is an integral
component and risk factor, acting via insulin resistance, lipaemias, visceral
obesity and the AMP-K / MTOR axis to drive CVD and other diseases. Effective
and curative new strategies are presented.
PROFESSOR SVEND AAGE MORTENSEN
HOW A NEW, NATURAL TREATMENT MAY RESTORE CARDIOVASCULAR HEALTH
Poor cardiovascular health and especially heart failure have major costs –
not only in terms of lost quality of life but also in the way of massive health
expenses for surgery and medical treatment. A relatively new, safe, natural, and
seemingly effective treatment may, however, turn out to improve cardiovascular
therapy in the future. Danish cardiologist Professor Svend Aage Mortensen will
present the results of Q-Symbio and other existing studies on essential nutrition
for healthy hearts.
PHILIP RIDLEY
CHOLESTEROL, THE ESSENTIAL STEROL FOR HEART HEALTH
Being supporters of traditional, nutrient dense foods is controversial today,
since most of our most nutrient dense foods are those rich in cholesterol
and saturated fats. Philip will present evidence that these foods are in fact
protective against heart disease, that cholesterol and saturated fats are essential
nutrients and that statin drugs may cause rather than prevent heart disease.
The hypothesis presented is that heart disease is a modern condition brought
on by malnutrition, toxicity and modern processed foods. Philip will also
discuss the far reaching implications for public policy.
• BANT AGM - SATURDAY 15 MARCH 2014, 9.00 - 11.30, Cavendish Conference Centre, London
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• Auto-immunity - SATURDAY 13 SEPTEMBER 2014, 9.00 - 17.30, Cavendish Conference Centre, London
• Gut/Brain Axis - SATURDAY 8 NOVEMBER 2014, 9.00 - 17.30, Cavendish Conference Centre, London
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the Learning Zone
Inside: earn an nD: but do you know what naturopathy is?
Sarah Myhill blows the
whistle on the medical profession ash and haynes present the Clinical trinity CPD dates
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Thinking of studying naturopathy
– but do you know what it is?
It’s not nutritional therapy and it’s not functional medicine: or is it? Naturopath Jackie Day, ND, MH,
DNI, FGNI, FNNA, MAMH, chair of the General Naturopathic Council, explains the scope of modern
naturopathic practice – and introduces a new opportunity for qualified practitioners to earn an ND.
S
ometimes you get an answer
you didn’t bargain for. When
preparing this article I asked
several people “What does a
naturopath do?” A response I didn’t see
coming was “Aren’t they all hippytrippy?” So that’s who all those people
tramping through the muddy fields at
the Glastonbury Festival are.
My question was a serious one,
because in the UK the huge benefits
of consulting a naturopath seem to
be poorly understood, but why? This
leads me to a conundrum: if you put
ten naturopathic practitioners in a
room and ask each of them to define
the work of a naturopath, how many
different answers would you get?
Possibly ten. At General Naturopathic
Council (GNC) meetings we’ve found
it difficult to agree a clear definition
to describe the work of a naturopath.
That’s because naturopathy isn’t a
therapy; rather it’s a set of philosophies
and principles used in practice
alongside all manner of therapeutic
skills.
To complicate matters further, in
the UK we have naturopaths and
naturopathic practitioners. Graduates
of naturopathy courses will be
awarded the universally-recognised
naturopathy diploma (ND), entitling
them to use the title naturopath. Many
practitioners, from a range of CAM
professions, incorporate naturopathic
principles and they may consider
themselves to be naturopathic
practitioners. In the UK we also have
naturopaths who have graduated
from colleges in Australia, where
30
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curricula are different. In the US, there
is even more complication, since there
are both thousands of practitioners
practising some variation of
naturopathy learnt in courses ranging
from part-time to correspondence,
while there are also graduates of
highly competitive full-time, four
year, post-graduate trainings aimed
at being the equivalent of medical
school. These schools, like the famous
Bastyr University, award a doctorate
of naturopathic medicine. Graduates
use the protected title “naturopathic
physician” and refer to themselves as
doctors. (And, in some states these
NDs have the right to perform minor
surgery and prescribe a limited
number of pharmaceuticals). So, it’s
not surprising it’s difficult to define the
work of a naturopath.
The GNC is a forum for the
profession, with the aims of being
inclusive and to maintain the highest
standards. Its member professional
associations (PAs) vary in therapeutic
specialisms but share a common
thread, namely their members use
a naturopathic approach in practice.
Some PAs accept only fully-qualified
naturopaths as members, others also
accept naturopathic practitioners.
Our member PAs are: the Association
of Master Herbalists, Association of
Naturopathic Practitioners, Guild of
Naturopathic Iridologists, Incorporated
Society of Registered Naturopaths and
the Naturopathic Nutrition Association.
The GNC’s website identifies the
therapeutic qualifications of individual
registrants; this information promotes
transparency, helps to remove a cloak
of mystique, and hopefully removes
that “hippy-trippy” image from the
profession. It promotes naturopaths
as specialists in their fields; this is
important, because it enables the
public to make an informed choice.
After all, there’s no point in booking
an appointment with a naturopath
who specialises in osteopathy if you
think a naturopathic herbal medicine
approach is the answer to your health
problems. However, it’s important
to look at naturopathy as a multidisciplinary approach to healthcare
that blends age-old healing traditions
with scientific advances and current
research.
The naturopathic stool
The analogy of a three-legged stool
is often used to explain naturopathy,
the legs representing the causes of
disease: biochemical (what we eat
and how we eat affects the body’s
make-up or chemistry), neurological
(we need effective nerve impulses)
and structural/mechanical. The latter
is an often overlooked but significant
cause of health problems; for example,
if we are slumped over a desk most
of the day, poor posture can lead to a
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raft of disorders such as lung problems,
fatigue, anxiety and increased allergic
responses. Influencing the legs of our
stool individually and collectively will
be that 21st century scourge of stress
and emotions. With a stool, when
one leg breaks or is faulty the other
legs lose their balance; naturopaths
consider the human body reacts in the
same way.
Many people associate the roots
of naturopathy with the USA, but its
principles go back a long way. In the
4th century BC, Hippocrates believed in
viewing the whole person to look for a
cause of disease, and using the laws of
nature to induce cure. It was from this
original school of thought that modern
naturopathy takes its principles:
n Recognition of the healing power
of nature (vis Medicatrix Naturae) –
nature has the innate ability to heal the
body, given proper guidance and tools.
n Identify and treat the cause
(Tolle Causam) rather than focus on
presenting symptoms – there will
be an underlying cause, ie chemical,
physical or neurological (the triad of
health).
n Do no harm (Primum Non Nocere) –
begin with minimal interventions and
proceed to higher level intervention
only if necessary.
n Treat the whole person – including
physical, mental, emotional, genetic,
social, environmental and spiritual
factors.
n Naturopath as teacher (Docere) – a
naturopath empowers patients to take
responsibility for their own health by
Healing holistically
“Having previously spent 20 years working for large corporates with increasing pressure and stress and
little personal gain, it has been a relief to be able to manage my own time and commitments and also
know how to take control of my own health. I have been a Naturopathic Nutritional Therapist for five years
and I find it a real pleasure to be able to support others on their own journeys towards a better quality of life.
“By living my life naturopathically I am able to recognise when I take on too much or the stress levels are rising and I
feel no guilt taking time out for myself, whether for yoga, riding my horse or spending time with my family. I pass on my
knowledge to my family and I hope my teenage daughters will carry this through into their adult lives.
“I do feel passionate about the power of healing holistically. Being able to share my knowledge with clients, friends
and family gives me a real sense of purpose in life. I have recently become principal of the Natural Healthcare College and
I am now guiding the next generation of therapists and so helping to widen the net of those we can share our valuable
knowledge with.” – Caroline Peyton, Dip NNT, MNNA: www.naturalhealthcarecollege.com
teaching self-care.
n Prevention is better than cure – a
naturopath emphasises optimal
wellness and the prevention of disease.
The roots of Nature Cure
Many early 20th century American
naturopaths were European
immigrants, and to understand
naturopathy in 21st century UK we
need to look at the influence of those
pioneers.
Back in 19th century Germany,
Vincent Priessnitz developed the
idea that “nature cure” could treat
illness and injury, having observed
how animals in the wild recovered.
He began the development of
modern hydrotherapy, the external
or internal use of water in any
of its forms (water, ice, steam).
Hydrotherapy was used widely in
ancient cultures before it became
well-established as the traditional
European water cure. Numerous
studies have examined hydrotherapy’s
Providing the answers
potential immunomodulatory effects,
with promising results. Outside of
naturopathy so few practitioners
employ this incredibly beneficial
therapy that can also be taught to
patients; it costs them nothing to
incorporate simple hydrotherapy
techniques in their own homes.
The name Nature Cure was coined
in 1895 by John Scheel to describe
a system for treating disease using
natural modalities such as diet, fresh
air and water. It was popularised
by Benedict Lust, considered to be
the father of American naturopathy.
Nature Cure became more commonly
referred to as naturopathy when
additional therapies were accepted,
such as the development of clinical
nutrition by another German,
Johann Schroth. Some naturopaths
continue to adhere to the original
Nature Cure principles that were
developed before the days of
nutritional supplementation; the
only supplements they employ are
“I suffered years of chronic ill-health and severe acne, particularly during my early teens and well into
my 20s; the advice and solutions offered were very unsatisfactory. However discovering naturopathy
spectacularly turned my life and health around. I trained as a naturopath, iridologist, herbalist, osteopath
and acupuncturist and have lived a naturopathic lifestyle ever since.
“For over 20 years I have been very privileged to extend my knowledge, experience and my holistic naturopathic advice
to friends, family and the many patients from abroad and around the UK who seek answers to their health issues, assisting
in resolving their health imbalances and turning their lives around with resounding results.
“I am as passionate about naturopathy now as I was 20 years ago. In particular, using iridology analysis helps me to
home in on the actual causes of imbalances and therefore be able to advise specifically. I feel it is truly amazing that in
today’s world naturopathy and iridology can not only provide the answers, but also acknowledge the body’s inherent
healing power and the potential towards good health in each individual.
“I believe for almost every imbalance, there is a naturopathic solution, and even if individuals are not experiencing
symptoms, as a preventative everyone should have a naturopathic health check at least once a year.” – Marcia Harewood,
DO, ND, MRN, MH, DNI, MGNI, MNNA, MAMH: www.marcia-harewood.com
32
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vitamins B12 and D, plus DHA. But the
“triad of health” remains a consistent
concept of the Nature Cure practice.
Lust had been taught hydrotherapy
and other natural health practices in
Bavaria by Father Sebastian Kneipp,
who dispatched Lust to the USA to
spread the word about this approach
to health. In 1902 Lust purchased
from Scheel the right to the term
“naturopathy”, defining it as a principle
and including therapeutic techniques
of herbal medicine, homeopathy
and hydrotherapy, plus dietary
recommendations such as avoiding
tea, coffee and alcohol.
Lief boosts naturopathy in
the UK
In the first half of the 20th century,
naturopathy was prospering in the
UK. An influential exponent was
Stanley Lief, who studied naturopathy
and osteopathy in the USA before
setting up the Nature Cure Resort at
Champneys Spa. To support the triad
of health, physical modalities such
as therapeutic exercise, massage,
energy work and naturopathic
manipulation became an integral
component of his practice. Nowadays,
bodywork encompasses a range of
treatment modalities that complement
naturopathy perfectly.
The plurality of therapeutic
techniques promoted by Lust, and
developed by naturopaths such as
John Harvey Kellogg, Henry Lindlahr
and Bernard Jensen, is the cornerstone
of naturopathy today in the UK,
where naturopaths are traditionally
multi-qualified and are likely to have
one or more therapeutic qualifications
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alongside a naturopathy diploma
(ND). Drawing influence from other
systems of healing such as TCM and
Ayurveda, a wide range of therapeutic
modalities will be incorporated
within naturopathic clinical practice.
They may include diet and clinical
nutrition, lifestyle, hydrotherapy,
homeopathy, botanical medicine and
physical therapy. This is an awesome
combination for patients, so much
being available in one package. It’s like
the best supermarket multi-buy.
The fit with functional
Where does naturopathy fit
with the 21st century concepts
of functional medicine (FM)
and psychoneuroimmunology/
psychneuroendocrinology (PNI)? When
I first learned about FM, my immediate
reaction was,“Jeff Bland has discovered
naturopathy!” Research into how the
brain’s firing patterns impact on the
immune system gave us the new
branch of cell biology dubbed PNI by
Candace Pert and colleagues.“Can
anger or other ‘negative’ emotions
cause cancer?” asked Pert. Along with
researchers such as David Spiegel, Pert
confirmed that immune activity can
be directly enhanced or suppressed
by emotional states. Does this mean
we now have scientific backing for
our naturopathic three-legged stool,
confirmation that if you break one leg
the whole thing falls apart?
FM and PNI have strengthened
aspects of naturopathic practice,
with FM investigating the causes
of disease and exploring the body’s
attempts to restore homeostasis. It
has added immense knowledge and a
strong body of thought that explains
scientifically what naturopaths have
learnt, and put into practice, from
empirical evidence. PNI is able to
provide naturopathic practitioners
with the latest, evidence-based
research into interactions between
the nervous, immune and endocrine
systems. While research is confirming
naturopathic wisdom, it’s just as well
those early naturopaths didn’t wait
around for clinical corroboration.
Hippocrates must be looking down,
shaking his head in despair that it’s
34
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Nature heals
“Trained as a biologist, and working for several years in agriculture as an agronomist, my mid-life
reassessment led me to study a previously vague interest in nutrition and naturopathy.
“Fortunately, I met the late Dr Milo Siewert, who trained me in holistic medicine in the late 1980s and
allowed me a good deal of apprenticeship in his residential natural health clinic. I was hooked, and went on to study
other modalities, including manual lymphatic drainage, metabolic typing, reflexology, colonic hydrotherapy and Kneipp
hydrotherapy, the latter two of which I teach.
“I passionately believe in the cardinal naturopathic tenet ‘nature heals’ and in the vital force which governs our lives.
Using classical naturopathic methods integrated with modern nutritional therapy, I have seen many people empowered
to heal themselves. Naturopathy to me is a philosophy coupled with a skill set which follows the laws of nature to give us
balance, healing and health.” – Roger Groos, BSc, DHM, MACH, RT: www.rogergroos.co.uk
taken 2,400 years for the human race’s
brightest brains to scientifically prove
he was right to use the herb rosemary
to boost brain performance.
Individualised
All this research is great, but much
CAM research has focused on single
modalities, specific supplements,
and particular herbal constituents.
This type of research is out of
context with the wider CAM system
used by naturopaths. The optimal
research model for evaluating
naturopathic interventions must
allow for individualised, multifaceted
therapeutic strategies, and their
potentially synergistic results.
FM practitioners often employ
extensive questionnaires and use lab
tests to provide scientific justification
for therapeutic recommendations,
whereas many naturopaths use
assessment techniques such as
iridology and kinesiology. In the hands
of well-trained practitioners, both
are excellent tools to help identify
root causes of disease. They provide
instant information and don’t involve
additional costs to the patient,
though naturopathic practitioners
will use lab tests when necessary. A
naturopathic assessment takes into
account the web-like interconnection
of the body’s organs and systems; Eric
Yarnell, the author of Naturopathic
Gastroenterology, considers effective
naturopathic assessment and case
history taking can provide around 98%
of the answers needed.
Iridology has been extensively
researched and is used by medical
doctors in Germany and Eastern
Europe. It gives practitioners a
snapshot of the integrity of the
body’s organs and systems, enabling
them to instantly assess the patient’s
constitutional tendencies, structural
issues, and predispositions to various
health conditions. The efficiency of
the excretory organs, as well as levels
of toxicity and congestion in organs
and systems are easily assessed,
providing iridologists with vital
information to use alongside their
therapeutic specialisms – eg nutrition,
homeopathy and herbal medicine.
In the 1960s, George Goodheart, a
chiropractor, correlated a connection
between muscle behaviour,
acupuncture meridians and body
systems. Kinesiology (also known as
functional neurology in some circles)
provides an effective assessment
tool to help identify imbalances, and
points the way to the most appropriate
naturopathic treatment.
Adding an ND to your
existing qualification
Looking to the future, with the help
of its PAs and colleges, the GNC aims
to promote a profession that will
command respect throughout the
world. It is moving forward, giving
it a voice within the international
naturopathic community, forging
valuable links to international PAs,
registering bodies and training
facilitators in the US, Australia, Eire
and Europe. But equally, the GNC
aims to support its registrants.
One way it is doing just that is by
giving its Associate registrants the
unique opportunity to upgrade to
full Registered Naturopath status by
completing those naturopathic core
elements that haven’t been learnt in
earlier training. As nutritional therapy
plays a significant role in naturopathic
practice, its practitioners, especially
those trained in the naturopathic
approach, find they have already
completed a significant number of the
naturopathic core elements.
This is proving to be an exciting
opportunity. The GNC PAs have recently
organised successful constitutional
hydrotherapy and naturopathic
adjustment technique (bodywork)
upgrade courses. This opportunity,
that puts the coveted ND within the
reach of many nutritionally-trained
and other qualified practitioners, is
available to members of the PAs that
register GNC associate naturopaths: the
Association of Master Herbalists, Guild
of Naturopathic Iridologists and the
Naturopathic Nutrition Association.
Is naturopathy alive and well in
the 21st century? Oh yes! But maybe
sometimes it’s masquerading under
different guises. Though it’s somewhat
depressing that some things haven’t
changed since the days of the early
naturopathic pioneers and we’re still
preaching from the same hymn book,
namely watch the tea, coffee and
alcohol!
About the
author
Jackie Day, ND, MH,
DNI, FGNI, FNNA,
MAMH, is chair of the
General Naturopathic
Council, president of
the Naturopathic Nutrition Association
and Information Officer for the Guild of
Naturopathic Iridologists International.
Jackie was part of the GNC team that
in 2009 revised the Core Elements
for Naturopathic Education, and
established the Naturopathic National
Occupational Standards.
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Sarah Myhill blows the whistle on
the medical profession
Well-known as an expert on chronic fatigue and other long-term conditions
for which orthodox medicine has demonstrated it has no answers, Dr Sarah
Myhill was targeted by the medical authorities for providing effective “alternative”,
nutrition-based treatments for conditions that conventional medicine had failed
to answer. Here she explains the thinking behind the BioCare Spring Seminar.
M
odern Western medicine,
driven by vested interests,
is failing to address the
root causes of disease
processes. Symptom-suppressing
medication and polypharmacy is
resulting in an escalation of disease
and a system of so-called “health” care
which is not sustainable. Doctors are
failing patients and the NHS has lost
its way.
That’s’ the proposition behind a bold
BioCare spring seminar led by Dr Sarah
Myhill.
Say BioCare:“Conventional
medicine increasingly is being
bypassed by intelligent patients who
wish to understand the underlying
pathophysiological mechanisms
which are causing their ill-health. In
addressing these issues, Dr Myhill
is whistle-blowing on the medical
profession to empower people to heal
themselves through addressing the
root causes of their diseases.”
Practice in the ‘real world’
Dr Myhill notes:“Five years at medical
school followed by one year in hospital
jobs does little to prepare a doctor
for the real world. I had no answers
to the early questions thrown up
by NHS general practice – ‘Why do I
have high blood pressure?’ ‘Why do I
get such awful headaches?’ ‘Why am
I depressed?’ Correct conventional
answers to these questions are
deficiency of, respectively, antihypertensive drugs, painkillers and
SSRIs. But this is not the ‘why’ of the
matter. Indeed it is hardly even the
‘what’ of the matter. Masking the
36
cam LEARNING ZONE
Spring seminar leader:
Dr Sarah Myhill.
symptoms does not explain them.
The clues, which the symptoms
represent, have been missed and the
investigative detective work, which
should have resulted from those clues,
has been left undone.
“Doctors routinely confuse the
making of diagnoses with merely the
descriptions of symptoms and clinical
pictures, neither of which constitutes
a diagnosis. Examples include
hypertension, asthma, irritable bowel
syndrome or arthritis, all of which are
descriptions of symptoms and none of
which is an actual diagnosis. Clinical
pictures include Parkinson’s disease,
heart failure or Crohn’s disease. But
these are convenient titles simply to
slot patients into symptom-relieving
categories which do little to reverse
the disease process or afford a
permanent cure. Symptom-relieving
medication postpones the day when
major organ failures result. This is
unsustainable medicine.”
Sarah recalls:“My early days in
NHS general practice were exciting!
I learnt to expect miracles as the
norm. I watched a child’s ‘congenital’
deafness resolve on a dairy-free diet, I
saw patients with years of headaches
see relief from cutting out gluten
grains, I saw women with chronic
cystitis gain relief from cutting yeast
and sugar from their diets. A proper
diagnosis establishing causation has
obvious implications for management
and potential for cure. What was so
astonishing to me was that when I
tried to communicate my excitement
and experiences to fellow doctors
– they could not have been less
interested and dismissed me as a ‘flaky
quack’!
“However the greatest challenge
came from seeing and treating
patients with ME/chronic fatigue
syndrome. This was the elephant in the
room! There was absolutely no doubt
that these patients were seriously
physically unwell. I saw Olympic
athletes, England footballers and
cricketers, university lecturers, airline
pilots, tough farmers, fire fighters
and Gulf War veterans reduced to a
life of dependency by debilitating
pathological fatigue. What has been
so unexpected is that the answers to
treating ME/chronic fatigue syndrome
have shed a whole new light on other
common medical problems such as
cancer, heart disease, dementia and
other such degenerative conditions.”
If you’ve never heard Sarah speak, you
need to. According to one recent delegate:
“There are not many presenters one
can listen to for a whole day without
getting tired. Dr Myhill presents a very
enjoyable mix of entertaining anecdotes,
in-depth knowledge and understanding,
and practical applicability.” See Dr Sarah
Myhill at the BioCare® Spring Seminar
“Sustainable Medicine – whistle-blowing
on the medical profession”: Monday March
31, 10am-4.30pm, Cavendish Conference
Centre, London. To book: 0121 433 8774.
Fees: £75, students £60.
Return of
the Clinical
Trinity:Ash and
Haynes show
how to treat
the patients
who are ill in
multiple ways
Nutri-Link’s Clinical Education division
is providing a rare opportunity to
learn from the combined experience
of Mike Ash and Antony Haynes, with
a return of their sell-out Clinical Trinity
workshop series in March.
The Clinical Trinity series of
presentations takes real case
histories and weaves a combination
of mechanism and management
explanations around the events to
explain the thinking behind the choice
of interventions. Using the Functional
Medicine model as the template, the
speakers bring their combined 50-plus
years of clinical experience to life and
engage in a question and answer
session after each case.
Mike, one of CAM’s contributing
editors, says:“Practitioners of all
persuasions are facing the problem
of multiple complications appearing
simultaneously in one person, and
the tendency is to treat each problem
individually. The clinical trinity series
explores how, through understanding
of key mechanisms, meaning response
and experience, it is possible to unwind
multiple problems simultaneously,
while keeping in mind the needs and
expectations of the client or patient.”
...
PRODUCT SHOWCASES
Bant Approved
CPD Courses &
Events At CNELM
Personalised Sports Nutrition
Nine day module led by Ian Craig, editor, FSN.
Part of the MSc in Personalised Nutrition taught
at CNELM
Dates: 25-27th April; 9-11th May and 23-25th
May. Cost: £50/day (£40 student). 10% disc for three or more
days.CPD: 6 hours/day (54 total)
Food Reactive Disorders and Autoimmunity
The surprising autoimmune connection to musculoskeletal
diseases
Presenter: Dr Tom O’Bryan. Date/Time: 12 March 2014, 10.001800hrs. Cost: £65. CPD: 6 hours.
Unable to attend? Both courses available as an online package
Contact: [email protected], T: 0118 979 8686, www.cnelm.co.uk
A Career in Professional
Acupuncture Practice
Part time, professional acupuncture and Chinese
Medicine. Training available at weekends as well as
online. Professionally accredited by T.C,M.A.B.
www.tcmab.co.uk Enrolling for March 2014. £3,200 p.a.
Details from [email protected].
www.acupuncturefoundation.com.
Top Of The Class!
Every parent knows that providing our kids with the
best nutritional support is key. Keeping children focused
in the classroom can be a challenge, and the benefits
of fish oils are rarely out of the media, but often the
fishy taste means it’s a big no-no for kids. Smart Focus
from Higher Nature’s new Kids range,
is a UK first – these deliciously
fruity omega-3 and 6 jellies promise
no fishy aftertaste. With a unique
formulation of EPA, DHA and GLA,
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and are completely free from artificial
colours, sweeteners, flavours and
preservatives. For further information
please call freephone; 0808 178 8614
or visit
www.highernature.com/practitioner.
WWW.CAM-MAG.COM
LEARNING ZONE
... UPDATE CONTINUING PROFESSIONAL DEVELOPMENT
Last year they introduced the
concept of the Clinical Trinity, a tried
and tested three-pronged approach to
clinical management, and focused on:
n the “meaning response” and how to
optimise it;
n mechanism; how to use the
scientific explanation of “how and
why” in a meaningful and dynamic
manner, plus
n where to focus your attention and
experience in the complex patient,
the translation of knowledge into
action and where to gain as much
knowledge as possible and how to
then use that in the planning and
implementation.
By popular demand, they are
re-running Clinical Trinity 1 in the
morning session and introducing
Clinical Trinity 2 in the afternoon.
The two events may be attended as
individual events, or for those who
have not attended part one and/or
would enjoy a refresher, Mike and
Antony recommend the morning
session as well as the afternoon.
What you will experience:
n How to apply functional medicine
from a nutritional perspective, with
real-life examples.
n How to apply a systems approach in
a clinical setting.
n Understanding of a rational and
evidence-based intervention linked
with a healing encounter and the
meaning response.
n A comprehension of how to achieve
Rod Lane on fatigue
Experienced naturopath Rod Lane explores fatigue, with a specific focus on
sub-clinical and clinical thyroid dysfunction in two special afternoon events
based on practitioners’ own clients: bring your difficult cases to discuss.
• Wed 26 Feb 1.30pm-4.30pm, Beckett’s Farm Conference Centre, Birmingham.
• Thurs 6 Mar 1.30pm-4.30pm, Manchester Conference Centre.
* Booking: Jacqui at [email protected] or call 0121 433 8774.
Sports nutrition in practice
Clinical nutritionist Mark Robertson, MSc, from BioCare’s Clinical Nutrition
Team, gives a three-hour run through the complexities of using diet and
supplementation to prepare for exercise, sport and endurance activities – and
explains how to optimise recovery.
the best outcome by using multiple
skills simultaneously.
Mike Ash, DO, ND,
BSc, FDipION: since
1982 Mike has provided
health care, and for
25 years he was the
principle clinician and founder of
the Eldon Health Clinic, where he
employed the principles and
practices of functional medicine
from 1991 until its sale in 2007. Mike
remains in private practice offering
specialist care for patients with
complex mucosal immune-related
conditions, as well as lecturing
internationally. He is also an adjunct
faculty member of the Institute for
Functional Medicine.
Looking for your start in the complex
world of sports nutrition? In May,
Functional Sports Nutrition editor
Ian Craig MSc, CSCS, INLPTA, leads a
three-day lecture and workshop series
culminating in the Sports Nutrition
Live! conference – for four days of
training.
“The 2014 FSNA short course
provides easy entry to FSN training,
SPONSORED BY
May:nutritional endocrinology
38
cam LEARNING ZONE
page 42, last issue), and has a
special interest in how the internal
environment interacts with fat and
endocrine hormones. He gives a
one-day seminar in central London
on “Nutritional Endocrinology – a
functional approach to hormone
balance”.
* Date: Saturday May 17, 9am-5pm.
Fee: £99 early bird and then £125.
Details: 0800 212 742, [email protected],
www.nutri.co.uk.
* Wimpole lecture theatre in the Royal
Society of Medicine is beautifully
presented and allows for easy sight of the
slides and interaction with the speakers.
Spaces are limited and Mike recommends
early bookings for both part 1 if you need a
refresher or were unable to attend the first
event, and part 2. Date: Saturday March
29, 9.30am-1pm. Part 2 is 2pm-5.30pm.
Fees: £39 plus VAT per session. Details:
www.nleducation.co.uk, 08450 760 402.
Qualify with the Functional Sports Nutrition
Academy three-day short course – and get
Sports Nutrition Live! conference free
* Date: Friday March 28, 1.30-4.30pm, Beckett’s Farm Conference Centre, Birmingham.
2.5 BANT CPD hours applied for. Booking: Jacqui at [email protected] or call
0121 433 8774.
In May, we’re treated to a
speaker brand-new to the UK:
chiropractor, kinesiologist and
clinical nutritionist Dr Robert
Rakowski, DC, CCN, DACBN, DIBAK,
clinic director of the Natural
Medicine Centre in Houston, Texas.
Dr Rakowski is one of the few
certified instructors in biological
terrain assessment (for more on
that see our research article on
Antony Haynes,
BA, DipION, is a highly
experienced nutritional
therapist and author,
who has evolved a very
successful general practice using the
functional medicine principles and
practices to great effect. A CAM
Award winner for Outstanding
Practice, he is well-known for his
dynamic lectures, always bringing
real-life examples.
which can be extended in time to
post-graduate certificate and diploma
opportunities”, says Ian.
The course is Wednesday May 28
to Friday May 30. Students then join
delegates at Sports Nutrition Live! on
Saturday May 31; all at the Cavendish
Conference Centre, central London.
To Book NoW: Places start from £699,
including a free seat at Sports Nutrition Live!
(worth £99), and free products worth more
than £165. Places are limited to 40 and are
already selling after last month’s launch
announcement. For more information and to
book, log on to www.fsnacademy.co.uk, or
phone the booking hotline on 01279 810080.
Nutri heads-up:Pizzorno here in June
for detox seminar
Nutri Advanced offer a chance to
learn from one of the world’s leading
natural medicine educators, bringing
naturopathic physician Dr Joe Pizzorno,
ND, to London in June.
Pizzorno is one of the founders
of Bastyr University, the pioneering
naturopathic medical school, and
author or co-author of some of our
essential textbooks. His topic for
the central London, one-day
seminar is “Optimising Health and
Lifespan through Nutrition and
Detoxification”.
* Date: Saturday June 14, 9am-5pm. Fee: £99
early bird and then £125. Details: 0800 212
742, [email protected], www.nutri.co.uk
CONFERENCES n BOOK NOW
Time for you to book: big 5 CAm
conferences are filling up
Big-name established speakers
and new faces alike are signed
up for the 2014 series of CAM
Conferences in collaboration with
BANT (British Association for
Applied Nutrition and Nutritional
Therapy) and supported by
Platinum sponsors PRL.
D
r Tom O’Bryan, DC, a world authority
of gluten and auto-immunity and gut
expert Dr Natasha Campbell-McBride,
MD, have just confirmed for September’s
conference on auto-immunity.
Other speakers include nutritional therapist
and former intensive therapy nurse Anne
Pemberton, who introduced us to “biliary sludge”
with her article in last month’s CAM on her
special subject – the role of bile and the gall
bladder in detoxification, BANT chairman Miguel
Toribio-Mateas, MSc, Fellow of the American
Academy of Anti-Aging Medicine; Dr Robert
Verkerk, PhD, scientific director of the Alliance
for Natural Health, and Dr Robert Marshall,
PhD, founder of Premier Research Labs (PRL)
and a world expert on cellular resonance. Dr
Marshall is sure to transmit his enthusiasm
Our conference sponsors
Premier Research Labs (PRL) are our
Platinum sponsor for 2014’s series. “PRL is
known internationally as the pre-eminent
manufacturer of excipient-free, premier
quality nutraceutical formulations and super
food concentrates”. They are the world’s first
producer of cellular resonance products
designed to restore quantum coherences to
the body’s biofield.
PLATINUm: Premier Research Labs.
BRONZE: Ila-Spa (May); Bio-Kult (Sept, Nov);
Rio Trading (all five).
The Big 5 for 2014
n Cardiovascular health (and BANT agm)
– March 15
n Anti-ageing – May 10
n Detoxification – June 7
n Auto-immunity – September 13
n Gut/Brain Axis – November 8
*Booking now open for next year’s CAm
Conferences in collaboration with BANT.
Places are limited by the size of the venue,
so book yours today online at www.
camconferences.com or telephone 01279
810080. There are substantial discounts
available for BANT members and students,
as well as multiple booking discounts for
booking more than one event.
40
cam
FEBRUARY 2014
and excitement about this field. As PRL put
it: “Exciting research over the last 15 years
has shown that the outer membrane structure
of every cell in your body is a unique, semicrystalline matrix. This means that every one of
the trillion plus cells in your body has an ideal
resonant frequency, much like a crystal glass
that rings its own special note when struck.
“The consequences of this stunning
discovery of resonant frequencies are
enormous. It is a secret key that unlocks the
hidden door to why some people can quickly
shift to great health – and others can’t. This
discovery reveals why the ideal resonant
frequency of each cell can only be sustained
or regained by consuming nutrients that are
also at their ideal resonant frequencies. This
dynamic interaction between the cell and the
nutrient creates a highly beneficial, harmonic
resonant effect in which the cell is able to
ingest not only the nutritional factors but can
also absorb the higher resonant frequencies
embedded in the nutrient.”
Presenting at Cardiovascular Health
in March are Prof Paul Clayton, Fellow of
the Institute of Food, Brain and Behaviour
(Oxford), visiting professor at the University
of Pecs (Hungary) and a member of the
Board of the Medical Academy of the
Russian Federation; Philip Ridley, director
of the Weston A. Price Foundation’s annual
European conference; and Prof Svend Aage
Mortensen from Copenhagen, lead researcher
on a recent study that identified CoQ10 as “the
first drug to improve heart failure mortality in
over a decade”.
Joining Miguel and Dr Marshall for the
anti-ageing focus in May are heilpraktiker
Tom Fox, a colleague of the Natura
Foundation’s Leo Pruimboom, a clinical
psychoneuroimmunologist involved with the
European MSc in clinical PNI at the University
of Girona, and researcher in the field of
exercise and sports; and psychiatrist Dr Susan
Downs, MD, MPH, president of the Silicon
Valley Health Institute.
In June, Anne Pemberton and Robert
Verkerk’s fellow-presenters are integrated
health and ecological medicine specialist
Dr Rajendra Sharma, MB BS, MFHom; and
Cell Symbiosis Therapy practitioner Gillian
Crowther, MA (Oxon).
In November, two new
speakers – Umahro Cadogan
(pictured, above) and Charlotte
Watts (left) – will join the team
presenting on the Gut/Brain
axis.
Umahro has lectured
extensively for more than a
decade within the functional
medicine world on the intricate role that
nutrition, biochemistry and genomics play in
creating 21st century healthcare. He runs a
busy practice in Copenhagen and lectures
internationally to both healthcare professionals
and patient groups.
Charlotte Watts, DipION, was our CAM
Award winner for Outstanding Practice in
2012. A nutritional therapist with more than
ten years’ experience and a yoga teacher, she
is the author of The De-Stress Diet and has
lectured for top UK nutritional colleges.
Save money: book now for
more than one event
The CAM Conferences do sell out quickly,
so book now. (We’re not just saying that!)
We are ready to take bookings for all five
events and you save money if you book
for more than one.
who you’ll see: our
conference exhibitors
More than conferences, these events also
feature mini-exhibitions. Practitioners
and exhibitors alike tell us that they
welcome having more time and a lesspressurised opportunity to interact,
outside the maelstrom of the standard
expo environment. It is easier to talk and
make a genuine connection.
Exhibiting at the 2014 series are:
Green People; Nutri Advanced; Mycology
Research; Global by Nature; Igennus;
Genova Diagnostics; Schwabe Pharma;
Revital; Tigon; Pharma Nord; Really
Healthy Company; Alliance for Natural
Health; Biolab; San Omega.
* 70% of stand space already sold
* If you are interested in exhibiting
or sponsoring a CAm Conference,
telephone 01279 816300 or email sales@
targetpublishing.com. Tabletops are
limited and sold on a first-come-first
served basis.
www.CAm-mAg.COm
New for 2014
Places
are
limited
31 May 2014, Cavendish Conference Centre, London
Following last year’s sold out and successful event, Sports Nutrition Live! returns for 2014.
Inviting 185 sports professionals to meet, learn and do business, Sports Nutrition Live! is a
unique and personal day’s education dedicated to growing your knowledge of sports nutrition.
Editor of Functional Sports
Nutrition and Total Sports
Nutrition magazines, Ian is an
exercise physiologist, nutritional
therapist, NLP practitioner and an
endurance coach. Ian specialises
in sport from an integrative health perspective and in
his Johannesburg clinic, merges the fields of sports
nutrition and nutritional therapy in an applied way so
that both health and performance are considered.
• Dr Adam Carey
A doctor, nutritionist and leading
commentator on all areas of sports
nutrition and human performance,
Adam was head of nutrition for the
England Rugby Football Union from
1999 to 2006, and performed a
similar role for the England Cricket squad in 2005
and the Welsh Rugby Union in 2011. Adam also runs
Corperformance, providing wellness programmes to
large multinational organisations including BP, Lloyds
TSB and Ineos.
• Umahro Cadogan
Adjunct professor at the University
of the Western States, Umahro has
lectured extensively for more than a
decade within the Functional Medicine
world on the intricate role that
nutrition, biochemistry and genomics
plays in creating 21st century healthcare. He runs a
busy practise in Copenhagen and lectures internationally
to both health care professionals and patient groups.
• Pete Williams
An exercise and medical scientist,
utilising a Functional Medicine
approach in treating disorders of
lifestyle, Pete Williams M.Med.Sci
CSCS has a particular interest in
the negative long-term effects of
stress on the body and how that impacts on optimal
health with business executives, the general public and
athletic groups.
• Ian Craig
Places start from £99, including free products worth over £160. Places are limited and
last year’s event sold out with months to go.
Book online: www.sportsnutritionlive.com
Telephone: 01279 810080
www.sportsnutritionlive.com
Supported by
FUNCTIONAL
SPORTS NUTRITION
ACADEMY
PRODUCTS
A-Z Nutritional Health
Solutions
THE REALLY HEALTHY
COMPANY LTD
1 Larch Court, Royal Oak Yard
156-170 Bermondsey Street
London SE1 3GB
Tel: 020 8480 1000
Email: [email protected]
www.healthy.co.uk
profile RHC started in 1995 as a
green food company. Our founder
was the first to introduce organic
Klamath Blue Green Algae into
Europe, and since then we have
thoughtfully expanded our range
to only include superlative quality
nutritional supplements including:
AlphaGuard Plus antioxidant complex;
AlphaCurumin ultra-absorbable
curcumin extract; AlphaProst
Plus prostate complex; Biobran
MGN-3, one of the most effective
immunomodulators available; ProKnox
low-molecular weight antioxidant;
NKCP Nattokinase for maintaining
healthy blood circulation; and all
the food supplements used in the
Pfeifer Prostate and Breast Protocols.
Please contact us for our practitioner
catalogue and practitioner discounts.
HERBAL REMEDIES
HELIOS HOMEOPATHY LTD
97 Camden Road, Tunbridge Wells,
Kent TN1 2QR
Tel: 01892 537254
8 New Row, Covent Garden
London WC2N 4LJ
Tel 0207 379 7434
www.helios.co.uk
profile Established in 1986 Helios is
renowned for making quality remedies by
hand to traditional methods. Whilst the
business we founded over 26 years ago
has grown to serve practitioners, patients
and the public around the world, we have
never lost touch with our passion for
healing and our founding principles – “to
create a new source of potent, accurate
and effective remedies to bring profound
healing and relief of suffering”. We offer a
fast responsive service to our customers
and all our remedies and products are
backed by friendly, expert advice from our
team of qualified homeopaths.
42
cam FEBRUARY
2014
PRACTITIONER SUPPLIES
NUTRITIONAL
SUPPLEMENTS
HEALTHAID LTD
HealthAid House, Marlborough Hill,
Harrow Middlesex HA1 1UD
Tel: 0208 4263400
Fax: 0208 4263450
Email: [email protected]
www.HealthAid.co.uk
profile HealthAid is one of UK’s
premier manufacturers of nutritionally
balanced supplements. The range
comprises of Vitamin, Mineral, Herbs,
Essential aromatherapy oils and natural
Bodycare products. Established over 30
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HealthAid is dedicated to supplying
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NUTRI ADVANCED LTD
Meridian House, Botany Business
Park, Macclesfield Road, Whaley
Bridge, High Peak SK23 7DQ
Tel: 0800 212 742
Fax: 0800 371 731
Email: [email protected]
www.nutri.co.uk
profile Nutri Advanced has
been providing effective nutritional
supplements and exceptional service
to health care professionals for over 30
years. Our range of products has been
developed over many years to meet
the needs of the busy practitioner.
Included in our range is the UK’s
finest omega-3 fish oil, Eskimo-3. In
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Metagenics employs a team of over
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HUMAN FOOD SEAWEED™
INGREDIENTS AND
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Seagreens, Warren Virgate, West Sussex
RH13 6PD Tel: 01444-400403
Email: [email protected]
www.seagreens.co.uk
profile RESEARCH AWARDS For 3
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Research Councils UK in 2011. PRODUCT
AWARDS ‘Best VMS product’ - CAM 2012.
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Sunday 2010. PRODUCTION AWARDS by
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MANUFACTURERS in 10 countries
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find Seagreens organic food and nutrition
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BIOCARE®
Lakeside, 180 Lifford Lane,
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West Midlands B30 3NU
Tel: 0121 433 3727
Fax: 0121 433 8705
Email: [email protected]
www.biocare.co.uk
profile BioCare® - the leading
producer of innovative and high
quality nutritional supplements in
the UK. The BioCare® range offers
over 220 products formulated
using unique manufacturing
processes such as emulsification,
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and holds regular practitioner
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BIO-PATHICA LTD
VITABIOTICS LTD
1 Apsley Way, London, NW2 7HF
Tel: 020 8955 2600
Fax: 020 8955 2602
Email: [email protected]
www.vitabiotics.com
profile Vitabiotics is the UK’s fastest growing
major vitamin supplement manufacturer,
as well as being the overall number 1 VMS
Company by value sales in the UK. Vitabiotics
also exports to over 100 countries worldwide
and are regularly used and recommended
by health practitioners. Vitabiotics has been
manufacturing leading consumer healthcare
products for over 40 years and have created
a unique portfolio of products at the forefront
of scientific developments in key sectors,
including life stage nutrition and women’s
health. Vitabiotics has been recognised for its
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vitamin business to receive a coveted Queen’s
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are designed to provide maximum efficacy by
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formulations are based on solid scientific
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Vitabiotics works closely with some of the
UK’s best known and most trusted healthcare
organisations and charities including the Royal
College of Midwives, National Osteoporosis
Society and the National Childbirth Trust (NCT).
PO Box 217, Ashford, Kent TN23 6ZU
Telephone: 01233 636678
Email: [email protected]
www.biopathica.com
profile Formed in 1996, Bio
Pathica Ltd are Sole Distributors and
Importers for The Anti Homotoxic
Remedies manufactured by HEEL
GmbH in Baden Baden Germany.
They also import and solely distribute
synergistic products such as Probiotics
from WASA Medicals in Sweden
- Spirulina, Chlorella and a range
of Natural Skincare Products from
Sanatur in Germany. In addition
they use a manufacturing pharmacy
to have homoeopathic products
manufactured on an individual basis.
All of these products can be effectively
used by professionals in all fields
of Medicine, Veterinary and Dental
Practice. The business is run with
Customer Service and Satisfaction
as its main objective. Supplies are
generally despatched within 24hrs
of receiving an order. The supply of
products is limited to Practitioners
and Professionals only. In association
with Bio Pathica - The International
Academy for Homotoxicology offer
a free online Introductory Course in
Homotoxicology. For more course
details visit www.iah-online.com
LIVE ONLINE AT WWW.CAM-MAG.COM ■
HEALTH INTERLINK LTD
CYTOPLAN LIMITED
Unit 8 Hanley Workshops,
Hanley Road, Hanley Swan,
Worcestershire WR8 0DX
Tel: 01684 310099
Fax: 01684 312000
www.cytoplan.co.uk
profile Cytoplan – An exclusive
practitioner-dedicated company
specialising in a unique range of foodbased products which are exceptionally
bio-effective. The founding principle
of Cytoplan is to base product
development on the increasing
awareness through science that “nature
know best”. This means we seek to
create natural products that optimise
support for the many body systems,
as we believe completely in the body’s
wonderful self healing ability when
properly supported. We are currently
working with scientists and Doctors
in the development of wholefood,
phytonutrient and detox formulae at
the cutting edge of the most recent
scientific research. Cytoplan products
are conceived by common sense,
grounded in science and proven with
results. Our products are for those
who are serious about health, trust that
nature holds the key to real health and
want a company they can believe in.
Interlink House, Unit B, Asfordby Business
Park, Melton Mowbray, Leicestershire
LE14 3JL
Tel: 01664 810011 / 0845 2604424
Fax: 01664 810012
Email: [email protected]
www.hi-prosport.com
www.health-interlink.com
profile Importers and distributors
of the highest quality nutritional and
herbal formulations since 1994. Our
aim has always been to provide our
clients with the purest most innovative
and bio-available products available.
We are the UK distributor for Thorne
Research Inc. the most respected
manufacturer of truly pure nutritional
and herbal formulations in the world Jarrow Formulas who have developed
an exceptional variety of economically
priced quality products - Garden of Life
specialising in complete whole food
nutrition. Our pricing policy, discount
structure, practitioner preference and
loyalty schemes and patient direct
prescription service are second to none.
Our bespoke test kit service for Applied
Kinesiologists is extremely popular and
continues to expand daily.
HIGHER NATURE
HADLEY WOOD HEALTHCARE
LTD
28 Crescent West
Hadley Wood
Barnet
Herts. EN4 0EJ
Tel: 0208 449 1113
Fax: 0208 449 2113
Email: [email protected]
www.hhcproducts.co.uk
profile Supplying practitioners
with specialist products has been our
mission for over 20 years. During this
time we have introduced high quality
product ranges from well known
brands such as Acidophilus Pearls,
Enzymatic Therapy, Natures Way, ITI,
Natural Factors as well as specialist
products like Dr Shamsuddin’s IP6
with Inositol formula, Phytogen,
ST-Repair and Organic Red Yeast.
We actively support the individual
practitioner and small independent
business through our no minimum
order policy and friendly one to one
telephone support and product advice
service where needed. If you are
looking for a fresh range for clinic or
business let’s chat. Please call and talk
to one of our practitioner and trade
account team today!
Burwash Common,
East Sussex, TN19 7LX
Orders: Freephone 0808 178 8614
Nutritional Advice: 0870 066 4458
Fax: 0870 066 4010
Email: [email protected]
www.highernature.co.uk/
practitioner
profile Higher Nature is an innovative,
independently owned UK company
with a long, outstanding reputation as
pioneers in nutrition. With an extensive
range of supplements, beauty products
and healthy organic foods, all developed
for optimum health, we are renowned
for quality, integrity, expert advice and
excellent service. Our products are
formulated by an experienced team
of nutrition experts. Our Kids, True
Food, Premium Naturals, Performax
Sports and Omega Excellence ranges
are some of the most advanced
formulations available. Our new online
CPD accredited education academy
offers free information at www.
highernatureacademy.com. Register
free today, and why not register your
nutrition practice on our free nutritional
database, www.nutripeople.com and
receive all the latest research as well.
INDIGO HERBS LTD
Dyehouse Lane Trading Estate,
Glastonbury, Somerset, BA6 9LZ
Tel: 01458 831 447
Email: [email protected]
www.indigo-herbs.co.uk/practdirect
profile Indigo Herbs supply a wide
range of Supergreens, Superfoods,
Herbal Powders, Herbal Teas, Tinctures,
Raw Chocolate Ingredients, Essential
oils and other natural health products.
For over 7 years now we have been
providing pharmacoepial grade
products at very reasonable prices.
Many of our products are organically
certified. We adhere to GMP as well as
our own stringent quality standards
which, along with our gold standard
customer service, means we have
built up a very loyal customer base.
PRACTITIONERS: We operate a FREE
practitioner service allowing you to
advertise on our online directory, access
our herbal information and receive
a 12.5% discount with no minimum
spend. Indigo Herbs – Empowering
Optimum Health and Nutrition.
CLASSIFIED
PHARMA NORD (UK) LTD
Telford Court,
Morpeth, NE61 2DB
FREEPHONE: 0800 591756
Fax: 01670 534903
Email: [email protected]
www.pharmanord.co.uk
profile Pharma Nord is one of
Europe’s largest manufacturers of
preventive dietary supplements
and herbal remedies. The company
develops, manufactures and markets
scientifically well founded dietary
supplements based on optimal bioavailability, safety and documentation.
Pharma Nord’s research database
contains more than 8,000 scientific
studies - including a large number of
studies conducted with Pharma Nord’s
own preparations. The database is the
cornerstone of product development
and the entire product range without
exception are manufactured in
accordance with the current GMP
guidelines (Good Manufacturing
Practice). All of our products are
blister packed to ensure the active
ingredients are not exposed to the
atmosphere and maintain 100% of
their efficacy over time. We offer
technical support and training via our
team of experts which includes BANT
accredited nutritionists. Our excellent
customer service team are available to
answer your calls and queries, MonFri, 9am-5pm and if you order before
2pm we will guarantee shipment that
same day.
LAMBERTS HEALTHCARE
LTD
1 Lamberts Road,
Tunbridge Wells,
Kent TN2 3EH
Tel: 01892 554313
Fax: 01892 515863
Email: [email protected]
www.lambertshealthcare.co.uk
profile Lamberts® has been supplying
nutritional and herbal supplements for
practitioners in the nutrition industry for
over 25 years. We are the leading experts
in nutrition, producing the highest quality
products in some of the most modern and
technically advanced factories in Europe.
These operate to stringent pharmaceutical
standards of Good Manufacturing
Practice (GMP) and are approved by the
UK Department of Health, Medicines
Control Agency. Lamberts® philosophy
of healthcare is all about ‘sound’ science
– we only develop products that are at the
relevant potency, based on an in-depth
understanding of the latest nutritional
research. And we have a range of over
150 products including vitamins, minerals,
amino acids, digestive aids, essential fatty
acids and herbs, as well as specialist
formulas. We also provide training and
support to many practitioners, including
one-to-one training and seminars which
are recognised for CPD hours by the
British Association for Applied Nutrition
& Nutritional Therapy (BANT) and the
Naturopathic Nutrition Association (NNA).
For further information or to receive a
practitioner pack, please call us on 01892
554313.
RIO TRADING COMPANY LTD
Unit 2, Centenary Estate, Hughes Road,
Brighton. BN2 4AW
Tel: 01273 570987
Fax: 01273 691226
Email: [email protected]
www.riohealth.co.uk
profile Rio Trading Company is
a manufacturer and distributor of
natural products from around the
world. The company specialises in
South American botanicals, bringing
you a selection of high quality,
whole-plant botanicals and extracts
including Quebra Pedra, Pau d’Arco,
Graviola (soursop), Guarana, Rio Rosa
Mosqueta rosehip oil and more. It is
the UK distributor for Green Food’s
Green Magma, Himalaya Herbal
Healthcare’s Liv.52 and Cystone,
Epigenar, and Nutramedix.
Register with us as a practitioner for
access to detailed product information.
Details can be found on our website at
www.riohealth.co.uk
cam FEBRUARY
2014
43
CLASSIFIED ■ LIVE ONLINE AT WWW.CAM-MAG.COM
BIOENERGETIC SYSTEMS
SERVICES
ASSOCIATIONS
SOLGAR VITAMINS LTD
Solgar Vitamins, Aldbury,
Tring, Herts HP23 5PT
Tel: 01442 890355
Fax: 01442 890366
www.solgar.co.uk
profile Since 1947 in the USA, Solgar
has been dedicated to the research and
manufacture of nutritional supplements
to the highest standards. As a result the
Solgar gold label is recognised as the
ultimate symbol of quality worldwide.
With in-house research laboratories, a
state-of- the-art manufacturing facility
in Leonia, New Jersey, in-house quality
control procedures, Solgar’s customers
can be confident that their supplements
are of the highest quality and potency
available. Solgar vitamins award-winning
range of more than 450 vitamins,
minerals, herbs, amino acids and
specialist food supplements is backed by
comprehensive, distribution, customer
care, sales, technical and strategic
marketing support.
NUTRIVITAL HEALTH LIMITED
Worcester House,
4 Dragon Street,
Petersfield
Hampshire GU31 4JD
Tel: 01730 233414
[email protected]
www.nutrivital.co.uk
profile UK supplier of the Asyra
health screening device – arguably
the best bioenergetic testing device
currently available. More at: www.
asyra.co.uk Provider of Scenar
technology: highly effective pain relief
and accelerated healing technology.
See: www.scenarworld.co.uk
European supplier of the Biofield
Viewer advanced imaging technology.
See: www.biofieldviewer.co.uk
The NutriVital range of high-purity
nutritional, herbal and homeopathic
products, providing a complete range
of practitioner solutions. The range
has been refined over 16 years use in
our own clinics. See: www.nutrivital.
co.uk/shop
We are committed to enhancing
your clinical success, whatever your
discipline or experience.
PROBIOTICS
THE NATURAL DISPENSARY
LTD
26 Church Street, Stroud, Gloucestershire
GL5 1JL
Tel : 01453 757792
Fax : 01453 751402
Email: [email protected]
www.naturaldispensary.co.uk
profile The Natural Dispensary is an
independent Nutritional Supplement
Mail Order Company, dedicated to
Practitioners and their Clients. With
over 6000 Practitioner prescribed
products under one roof, our aim is to
provide an efficient One Stop Service.
As a registered Practitioner, you can
benefit from favourable Practitioner
prices and only one account to
manage. Both you and your Clients
can save time and effort, as well as
postage and packaging, by buying
different brands of supplements from
only one distributor. Registration and
ordering are available via website,
telephone, fax or email and delivery is
direct to your Clinic or Clients. Please
get in touch, we are here to help.
44
cam FEBRUARY
2014
BRITISH ASSOCIATION FOR
APPLIED NUTRITION AND
NUTRITIONAL THERAPY
27 Old Gloucester Street, London WC1N 3XX
Tel: 0870 606 1284
www.bant.org.uk
profile The British Association for
Applied Nutrition and Nutritional Therapy.
The largest non-profit body representing
Nutritional Therapy (NT). This highly
regarded professional body welcomes
members who seek to provide the highest
level of practice. Membership benefits:
•Competitive BANT insurance scheme.
•Code of Ethics and Practice. •CNHC
aligned •Free listing in our easy access
online directory. •Online CPD modules.
•Mandatory CPD for members in a bid
to improve standards and credibility of
the profession. •Access to PR, Marketing
and Business Toolkits. •BANT Seminars.
•BANT recognised CPD events, jobs and
classifieds. •Emails on key professional
information. •Monthly newsletters. •Access
to contacts for your local and regional
media. •Regional support groups. •Free
downloads of seminars. •Online access
to Natural Medicines Comprehensive
Database. •Opportunities to contribute
to shaping the future of the industry.
•Take part in stakeholder engagement
programmes. •BANT council working
closely with official regulatory bodies. If
you are serious about nutritional therapy
join us today.
CRANIOSACRAL THERAPY
EDUCATIONAL TRUST
78 York Street, London W1H 1DP
Tel/fax: 07000 785778
Email: [email protected]
www.cranio.co.uk
Course Director: Michael Kern D.O.,
R.C.S.T., N.D. author of ‘Wisdom In The
Body – The Craniosacral Approach To
Essential Health’.
profile The Craniosacral Therapy
Educational Trust has been providing
practitioner trainings in Craniosacral
Therapy since 1989 and is established
as a school of excellence offering
in-depth courses in a clear and
accessible way. This two-year part time
training is presented by a team of highly
experienced teachers in a supportive
and creative environment. An emphasis
is placed on developing practical skills
that work with the essential factors
that govern our health, and supporting
our innate capacity for health. Courses
start each Autumn and are fully
accredited by the Craniosacral Therapy
Association and the International
Affiliation of Biodynamic Trainings. Also,
regular introductory weekends - next
dates:21/22 September 2013. Plus
‘Living Anatomy’ - an experiential eightweekend foundation course in Anatomy
and Physiology starting each January.
BIO-KULT PROBIOTICS
(PROTEXIN)
Lopen Head, Somerset, TA13 5JH
Tel: 01460 243230
Fax:01460 249543
Email: [email protected]
www.bio-kult.com
profile Bio-Kult and Bio-Kult
Candéa are manufactured by probiotic
specialists Protexin. Bio-Kult is a unique,
multi-strain probiotic with 14 strains of
beneficial bacteria, expertly formulated
to help maintain healthy digestive and
immune systems.
Bio-Kult Candéa is a probiotic
supplement with grapefruit seed
extract and garlic - taken daily it can
help strengthen the body’s natural
defenses against Candida. Protexin
is dedicated to ongoing research
and development and has 20 years
experience of manufacturing a broad
range of probiotic supplements. BioKult is available to the public through
health food stores; health practitioners can contact Protexin directly.
THE BELMONT
HYPNOTHERAPY CENTRE
CThA - COMPLEMENTARY
THERAPISTS ASSOCIATION
598-608 Chiswick High Road, 2nd Floor
Chiswick Gate, London, W4 5RT
Tel: 0845 202 2941
Fax: 0844 779 8898
Email: [email protected]
www.ctha.com
profile The Complementary
Therapists Association (CThA) is the
leading organisation representing
Complementary Therapists in UK and
Ireland.
As CThA members Therapists receive
a quarterly Magazine, with the latest
information on Exhibitions and Seminars.
Free membership of the UK’s largest
online directory of Complementary and
Beauty Therapists, www.embodyforyou.
com
Members have access to Local Groups
& Forums giving then the opportunity to
meet with like minded Professionals.
Access to Discounted Rates on Insurance.
Belmont Centre, 46 Belmont Road,
Ramsgate, Kent, CT11 7QG
Tel: 01843 587929
Email: [email protected]
www.belmont-centre.co.uk
profile There are many misconceptions
about hypnosis, however, there is nothing
magical or mystical about the practice of
hypnosis. Hypnosis is a natural state, achieved
in deep levels of relaxation, during which it
is possible to communicate directly with the
subconscious mind. When people are in this
hypnotic state, it is possible to instruct the
subconscious to bring about the behavioral
changes needed, whether it is to quit smoking
or to source why you are feeling the way you
are. All who train with Jean Murton and her
students learn to deal with their own problems
as well as gaining the skill and confidence to
help others to over come any psychosomatic
issue that have reduced or even destroyed the
quality of their lives. For more information call
01843 587929 or visit www.belmont-centre.
co.uk or email
[email protected]
Condensed courses designed to offer
professional qualifications; schedule sessions
which are arranged to accommodate your
existing commitments.
LIVE ONLINE AT WWW.CAM-MAG.COM ■
TESTING SERVICES
INDEPENDENT
PROFESSIONAL
THERAPISTS
INTERNATIONAL
PO Box 106, Retford DN22 1WN
Tel: 01777 700383/703177
Fax: 01777 869429
Email: [email protected]
www.iptiuk.com
profile IPTI is an association
that has been providing insurance
cover for therapists since 1982.
Membership and insurance is available
for practitioners of Alternative/
Complementary Therapies, Beauty
Therapists, Hairdressers and Fitness
Professionals. The IPTI policy
includes Malpractice & Professional
Liability, Public Liability and Products
Liability all in one package, at a very
competitive price. The policy can offer
cover up to £5 million indemnity and
can also cover for working abroad. The
teaching of workshops and practitioner
level courses is also covered under
the policy. Students may also join IPTI
and all members receive copies of our
chatty and informative newsletter.
NAP4EU LTD
14 North Parade, Penzance, Cornwall TR18
4SL
Tel: 01259 743 255
Fax: 01259 743 002
[email protected]
www.right4eu.com
profile NAP4EU Limited is the EU
distributor of products manufactured in
the USA by North American Pharmacal
Inc. These products are created by
Dr. Peter D’Adamo N.D. who is the
author of ‘The Blood Type Diet’, ‘The
Genotype Diet’ and other publications on
Nutrigenomics. NAP4EU sells diagnostic
test kits, a variety of educational
materials and the worlds first truly
individualised food supplements
and cosmetics. We are all unique
biochemical individuals and we need to
profile our nutrition accordingly in order
to optimise the health potential inherent
in our genetic makeup. Blood type is a
valuable genetic marker, and functions
as the gateway to our immune system
and metabolic needs. Nutrition is the
ultimate epigenetic tool with which we
can influence which genes we choose
to turn on, and which we choose to
turn off.
DISTRIBUTOR
INSURANCE
KINETIC NATURAL PRODUCTS
DISTRIBUTOR
258 Belsize Road, London, NW6 4BT
Contact: Alexander Barani
Tel: +44 (0)845 072 5825
Fax: +44 (0)845 072 5826
Email: [email protected]
www.kinetic4health.co.uk
profile Kinetic supplies ethical
and specialised herbal and dietary
supplement brands to the natural
products industry. Leading dietary
supplements and herbal brands
include; Natures Answer, pioneers in
standardised and non-standardised
alcohol-free and low-alcohol liquid
herbal extracts, liquid nutritional
supplements, and superfoods and oral
care products; Renew life, specialist
products for digestive care and
detoxification; Emergen-C from Alcer
No1 selling effervescent vitamin C
supplement, Terra Nova, holistic yet
scientifically based enhanced nutritional
supplements; Nutiva the No 1 leading
organic & coconut food brand and
Organic Food Bar “probably the best raw
bar on the market”.
HOLISTIC INSURANCE
SERVICES
181a Watling Street West
Towcester, Northants
NN12 6BX
Tel: 01327 354249
Fax: 0845 2222237
Email: [email protected]
www.holisticinsurance.co.uk
profile HIS was formed 10
years ago to provide insurance for
complementary therapists. We insure
over 20,000 therapists from a variety
of disciplines.
We offer a comprehensive package
of insurance including malpractice,
professional indemnity, public and
products liability insurance with a
long standing and secure insurer. We
aim to process applications within
24 hours of receipt. Our clients also
have access to a 24 hour legal advice,
counselling and health and wellbeing
helpline.
Contact us on 0845 222 2236 or info@
holisticinsurance.co.uk
REGENERUS LABS
Aero 14, Redhill Aerodrome, Kings Mill
Lane, Redhill, RH1 5YP
Tel: 0333 9000 979
www.regeneruslabs.com
profile Regenerus Laboratories is
the leading laboratory service provider
for internationally-based, functional
laboratory specialists. As the sole
channel in the UK for many of the
world’s top laboratories, we pride
ourselves on high quality service, a
personalised approach, backed up with
the very best range of hand selected
functional laboratory testing, being
demanded by our ever increasing
list of health care professionals. We
don’t believe one laboratory can be
the best at everything, which is why
we approach those who are best at
what they do and bring them to your
doorstep. Backed up with leading
scientific support, we ensure our
customers receive the very best
service, at fair and competitive prices
for every single one of their clients.
CLASSIFIED
TRAINING PROVIDERS
CELL SYMBIOSIS THERAPY
ACADEMY
Industriegebiet “Auf der Mark”
Eisenstraße 1
D-57482 Wenden-Gerlingen
Tel: 0208 399 7949 (UK)
Email: [email protected]
www.cst-academy.co.uk
profile The Cell Symbiosis
Therapy Academy specialises in
providing training in a unique,
mitochondrial-based approach called
“Cell Symbiosis Therapy®” (CST)
for doctors and complementary
practitioners. CST traces the origins
of most chronic disease to the switch
from mitochondrial to cytosolic
ATP production. Understanding the
evolutionary programmes that drive
this switch is key to reversing what
may often be a protective mechanism.
Going to the heart of cellular
processes – the mitochondria – to
restore energy generation along the
electron transport chain opens up
entirely new avenues to practitioners.
Please visit our website for more
information and details of upcoming
seminars.
TOXICOLOGY
NEW VISTAS HEALTHCARE
LTD
Plassey Park, Limerick.
Phone: 00353-61-334455
Fax: 00353-61-331515
Email: [email protected]
www.newvistashealthcare.com
profile Bioregulatory medicine
is the branch of healthcare required
for the world of today, the paradigm
change which has been heralded over
the past quarter century. New Vistas
is at the forefront of this change
providing a range of products and
services which meet the needs of the
community to prevent the ongoing
development of diseases.
Homoeopathic combination remedies,
detoxification and organ remedies to
provide optimum health. Specialised
herbal remedies, nutritional supplements
and superfoods complement the
homoeopathic strategy.
Detailed training and backup service is
available for CAM providers.
FOR SALE
Quantum–Wave Laser (Low
level totally safe healing laser)
Also
- 650nm Red Laser Pulsar
Probe
- 780nm Infra-Red Laser Pulsar
Probe
Includes
- Laser adapter/charger
- DVD for training
- Storage carrying case
Testimonials available
£2,500 ONO
Contact Mr S Gilford
01491 872308
cam FEBRUARY
2014
45
CAM RESEARCH
FUNCTIONAL MEDICINE
Chronic fatigue: we need to get personal
Naturopath Ben Brown, ND, author of a new review paper, looks at hopes for a better,
more integrative and personalised approach to treatment.
M
any of us have had very personal
experiences with Chronic Fatigue
Syndrome/ Myalgic Encephalomyelitis
(CFS/ ME), in part because it is a relatively
common illness, but mainly because current
mainstream treatments, namely cognitive
behavioral therapy and graded exercise therapy,
are unlikely to result in significant improvements
and may make symptoms worse.
Anyone who has sat with a CFS/ ME sufferer,
and heard their personal story, taken their
clinical history and run investigative tests, knows
that this is a complex and highly individual
“disease”. In fact, CFS/ME is perhaps better
viewed not as a classic disease diagnosis, but
as a state of energetic collapse resulting from
a state of physical dysfunction unique to that
individual.
Image 1: Modifiable
pathways for CFS/ ME
management (from ref 1).
Pioneering
Fortunately there have been considerable
this meant that eight people out of 26 improved
gastrointestinal disturbances, immunological
advances made by pioneering scientists and
on NADH, while two out of 26 did on placebo.
aberrations, inflammation, oxidative stress and
clinicians who have often been outcast for their
(2) There are a couple of ways to interpret this:
mitochondrial dysfunction. And it is these that
beliefs. Today we can clearly see that there is not
firstly you could criticise the results as being
act as the framework for the review (see image
a single cause, nor is there a single treatment,
insignificant because not enough people had
1). [Editor’s note: in addition remember factors
but CFS/ME is a heterogeneous disorder that
a strong enough clinical response – as indeed
such as correctable individualities in detox
would benefit best from a highly personalised
some outspoken critics did (3) – or you could
management plan.
consider the possibility that a one size-fits-all
capability, methylation and so on explored in
CAM’s recent series.]
This makes the management of CFS/ME
complex but highly personalised, and the
corresponding effort put into investigation and
integrative management can be deeply rewarding
in terms of improvement to people’s lives.
I was flattered to attract an editorial by leading
CFS/ME, Fibromyalgia (FM), sleep and pain
expert Dr Jacob Teitelbaum, MD.(4) Dr Teitelbaum
has authored several books on CFS/ME/FM and
led perhaps the first published investigations
into personalised integrative treatment approach
for these illnesses.
He points out: “These syndromes are not the
same in everyone and do not lend themselves
to a one-size-fits-all solution. Rather, these
syndromes represent a severe energy crisis
where the person has essentially blown a fuse
called the hypothalamus. By restoring energy
production and getting rid of problems that
increase energy consumption, hypothalamic
I recently published a narrative review that
set out to capture the complex nature of CFS/
ME, with the aim of creating a framework that
view possible CFS/ME treatments.
may help guide future research and clinical
Individualise
management of the illness.(1) The purpose
Nutritional interventions are a particularly good
was not to identify the “cause” of the illness
example of the importance of individualising a
per se, but to explore the physiological states
diverse range of treatment approaches, because
of dysfunction characteristic of CFS/ME
although CFS/ME sufferers have been shown
and identify corresponding evidence-based
to have a wide range of functional nutritional
treatments.
deficiencies, not all have the same deficiencies.
Something that becomes immediately
Further, the treatment effect size of a nutritional
apparent when exploring published studies on
intervention is often small, thus a patient would
CFS/ME treatments, is that clinical responses
benefit more from multiple, individualised
are highly variable, whether that treatment is
interventions than a simple course of NADH
a behavioural intervention, dietary change, a
alone, for example.
medication, or a nutraceutical. Using the nutrient
46
approach may not be the best lens with which to
Beyond nutritional deficiencies, a wide range
reduced nicotinamide adenine dinucleotide
of potential pathways for intervention have been
(NADH) as an example, one clinical study found
identified in CFS/ME, including food sensitivities,
a 30.7% clinical response rate compared to 8%
physical deconditioning, psychological
in the placebo group. In real patient numbers
and physical stress, environmental toxicity,
cam
FEBRUARY 2014
www.CAM-MAg.CoM
CAM RESEARCH
function can be restored, and the
CFS, FMS and ME usually improve
— and will sometimes resolve.
This has been demonstrated in
NUTRITON
High B12 levels may indicate cancer risk
our published placebo-controlled
Vitamin B12 (cobalamin – Cbl) is essential for
They also found that after five years of follow-up, the
research, which showed that by
maintaining healthy bodily function, but higher than
risk for haematological and alcohol and smoking-
treating with what we call the
normal levels (reference range 200-600pmol/L) may
related cancers remained high for those with levels >
SHINE Protocol, 91% of people
indicate that a patient is at risk of developing certain
800pmol/L.
improved, with an average 90%
cancers, according to a study in the Journal of the
increase in quality of life.”(5)
National Cancer Institute. Previous studies had
suggested an association between high Cbl levels and
specific cancers.
The researchers note that high plasma Cbl levels
are probably not related to normal vitamin B12 intake
because consumption of Cbl-containing foods or
supplements does not increase plasma Cbl levels
substantially. Rather, high Cbl levels may result from
some unknown malignant process.
Aarhus University Hospital, Denmark, researchers
used Danish Medical registries to review the records
of 333,667 patients without cancer who had been
referred for Cbl testing and to estimate the incidence
of cancer in this population from 1998 to 2010. They
found that the risk of cancer overall increased with
higher Cbl levels, especially during the first year after
measurement and for those with levels > 800pmol/L.
The SHINE protocol is
a wonderful example of a
pragmatic approach to the
clinical management of CFS/ME/
FM. “SHINE stands for (1) sleep,
(2) hormonal support (despite
normal lab tests), (3) infections, (4)
nutritional support and detox, and
(5) exercise as able.”
Although we have a long
way to go, collaborative patient
management with a diverse range
of healthcare providers can help
bridge the gap between people
currently being misdiagnosed,
told their illness is in their head,
The authors conclude that “…high plasma
Cbl levels increased the risk of subsequently
diagnosed cancer, mostly within the first year of
follow-up.”
* Arendt JFB et al. Elevated plasma vitamin B12 levels as a marker
for cancer: a population-based cohort study. J Nat Cancer Inst
2013, epub Nov 13.
CAM comments: Concerns that B12 supplementation
may cause cancer are ill-founded according to this report.
Researchers finger an “unknown malignant process”.
When you look at B12’s physiological role in the body
– which includes “DNA synthesis in cells undergoing
rapid turnover” (medscape.com) and involvement in the
immune system, it could well be that higher B12 levels
are a RESULT of cancer and not the other way round – in
other words, either part of the body’s defence mechanism
(through increased absorption) or a result of the body
being fooled by the cancer.
or not being made aware of the
wide range of possible treatment
options.
* For free online training in the SHINE
protocol and registration in a network
and database of diverse health
professionals specialising in CFS/ME/
FM treatment, see www.Vitality101.com/
FFPN
References
1. Brown, BI. Chronic Fatigue Syndrome:
A Personalized Integrative Medicine
Approach. Altern Ther Health Med 2014,
20 (1):29-40.
2. Forsyth LM et al. Therapeutic effects
of oral NADH on the symptoms of
patients with chronic fatigue syndrome.
Ann Allergy Asthma Immunol. 1999, 82
(2):185-91.
3. Colquhoun D, Senn S. Is NADH effective
in the treatment of chronic fatigue
syndrome? Ann Allergy Asthma Immunol.
2000, 84 (6): 639-40.
4. Teitelbaum J. Chronic Fatigue
Syndrome, Fibromyalgia, and Myalgic
Encephalomyelitis: a clinical perspective.
Altern Ther Health Med. 2014 , 20 (1):
45-46.
5. Teitelbaum JE et al. Effective treatment
of chronic fatigue syndrome and
fibromyalgia: a randomized, doubleblind,
placebo-controlled, intent to treat study.
J Chronic Fatigue Syndrome 2001, 8 (2):
About the
author
Ben Brown, ND,
is a naturopath,
science writer
and lecturer.
He is also
technical director of Viridian
Nutrition. Ben’s website: www.
timeforwellness.org.
www.CAM-MAg.CoM
GUT HEALTH
Probiotics reduce pathogens in piglets: may substitute for
antibiotics
Piglets fed probiotic
strains that adhere to the
did not change the general
Enterococcus faecium showed
reduced numbers of potentially
pathogenic Escherichia coli
strains in their intestines,
according to a team of German
researchers. In 2006, the EU
prohibited the feeding of
antibiotics to livestock as
growth promoters.
The team aimed to investigate
whether probiotics could
substitute for antibiotics, by
reducing pathogen populations
in the intestines.
“We found a clear reduction
of E. coli strains possessing
typical genes for extra-intestinal
pathogenic E. coli (ExPEC),”
said first author Carmen
Bednorz of Freie Universitat
Berlin. The reduction was
particularly noticeable in
intestinal mucosa (and less
swine intestinal microbiota,
so in the faeces), which was
but reduced infections by
“very interesting” because
Chlamydia spp. and pathogenic
E. coli, according to the report.
While a number of strains
of E. coli are pathogenic,
non-pathogenic E. coli
“contributes to the maintenance
of the microbial gut balance”,
according to the report. These
were relatively unaffected by
the feeding of E. faecium, which
did not influence the overall
intestinal E. coli diversity. The
researchers conclude that E.
faecium inhibits pathogenic E.
coli from becoming attached to
the intestinal mucosa.
“ExPEC typically harbour a lot
of adhesion genes that promote
colonisation of the mucosa.”
Antimicrobials are thought to
promote growth in industriallyreared livestock because
without them, in such close
quarters, a surfeit of pathogens
slows growth. “Our data
suggest that the feeding of
probiotics could substitute
for antimicrobials as growth
promoters,” says Bednorz.
“This could help to reduce
the burden of antimicrobial
resistance”.
In previous studies,
researchers found that
feeding E. faecium probiotic
* Bednorz C et al. Feeding the probiotic
Enterococcus faecium strain NCIMB
10415 specifically reduces Escherichia
coli pathotypes adherent to the
gut mucosa of piglets. App Environ
Microbiol 2013, epub Oct 11.
cam
FEBRUARY 2014
47
CAM RESEARCH
PHYTOTHERAPY
TCM herbal mixture equals metformin
in preventing diabetes
NUTRITON
Cranberry concentrate reduces risk of
urinary tract infections in elderly
New research published in the
American Journal of Geriatrics
shows that more than 25% of
bladder infections (cystitis) can
be reduced with the regular use of
cranberry concentrate supplements
in vulnerable older people in nursing
homes at high risk of urinary tract
infections. More than 20% of these
high-risk elderly did not develop
any UTIs at all when taking the
cranberry capsule in a double-blind,
randomised, placebo-controlled trial.
The Public Health and Primary
Care (PHEG) department of Leiden
University Medical Centre conducted
the one-year study in 21 Dutch
nursing homes in cooperation with
the supplier of cranberry concentrate,
Springfield Nutraceuticals.
As many as 30% of all infections
occurring in nursing homes in the
UK are urinary tract infections. The
importance of preventing infections
in nursing homes is paramount, as
many residents have fragile health
and an infection can have serious
consequences. With the increase in
bacterial resistance, antibiotic therapy
is not always a solution.
The preventative effect of
cranberries on urinary tract infection
has been known for many years. “The
Indians already knew the medicinal
properties of these berries”, says
Monique Caljouw, PhD. “Among other
particles, these berries contain the socalled PAC-particles that prevent the
48
cam
FEBRUARY 2014
adhesion of infection-causing bacteria
in the bladder wall.”
Cranberry juice has a sour taste
and patients – especially the elderly
– often fail to drink a glass twice a
day, for an extended period. Using
sweetened juice for a long period of
time is not desirable because of the
high levels of sugar used in most
cranberry juices to mask the sour
taste, explain Caljouw and Prof Dr
Jacobijn Gussekloo. Other prevention
methods are less appropriate.
“Vitamin C does not seem to work and
cranberry juice has its disadvantages.
The administration of a low dose
of antibiotics causes resistance;
cranberry capsules are therefore
appropriate,” says Caljouw.
The cranberry supplement used
in this study contains the whole
cranberry: skin, seeds, pulp, juice and
fibre, which previous research has
shown is preferable to those which
do not contain the whole fruit. It also
has a patented manufacturing process
that provides a bioactive protection
to all parts of the cranberry, avoiding
destruction by gastric acid.
* Caljouw MAA et al. Effectiveness of
cranberry capsules to prevent urinary tract
infections in vulnerable older persons: a
double-blind randomized placebo-controlled
trial in long-term care facilities. J Am Ger
Soc 2014, 62 (1): 103-10. Available online at
http://onlinelibrary.wiley.com/doi/10.1111/
jgs.12593/abstract
* The study used Cranaxil Pro cranberry
concentrate supplied by Springfield
Nutraceuticals: www.springfieldnutra.com/
product/cranaxil/65.
One year of taking capsules of a traditional Chinese herbal
medicine formula, reduced prediabetic patients’ risk of progressing
to diabetes by 30% – comparable to that found in studies of
diabetes medications acarbose and metformin, but without the
side-effects.
People who are prediabetic face a heightened risk of developing
type 2 diabetes, as well as heart disease and stroke. “With diabetes
evolving into a serious public health burden worldwide, it is crucial
to take steps to stem the flood of cases,” said one of the study’s
authors, Chun-Su Yuan, MD, PhD, of the University of Chicago.
“Patients often struggle to make the necessary lifestyle changes to
control blood sugar levels, and current medications have limitations
and can have adverse gastrointestinal side-effects. Traditional
Chinese herbs may offer a new option for managing blood sugar
levels, either alone or in combination with other treatments.”
During the double-blind, randomised, placebo-controlled trial, 389
participants at 11 research sites in China were randomly assigned
to take either a capsule containing a mixture of ten Chinese herbal
medicines or a placebo. For a year, subjects took capsules of either
the Chinese herb mixture, called Tianqi, or the placebo, three times a
day before meals.
At the end of the trial, 36 participants in the Tianqi group and
56 in the placebo group had developed diabetes. Tianqi includes
several herbs that have been shown to lower blood glucose levels
and improve control of blood glucose levels after meals.
*Chun-Su Yuan C-S et al. Chinese herbal medicine Tianqi reduces progression
from impaired glucose tolerance to diabetes: a double-blind, randomized,
placebo-controlled, multicenter trial. J Clin Endocrinol Metab 2014, epub Jan 16.
NEUROGENERATION
Higher vitamin D levels help in Parkinson’s
A new study exploring vitamin
D levels in patients with
Parkinson’s disease (PD) may
lead to supplements being used
to delay or prevent the onset
of cognitive impairment and
depression.
In a study of 286 Parkinson’s
patients, researchers found
higher plasma vitamin D
levels were associated with
lower symptom severity,
better cognition, and less
depression in the entire group;
the relationships were even
stronger in those who were not
demented.
“The fact that the
relationship between vitamin
D concentration and cognitive
performance seemed more
robust in the non-demented
subset suggests that earlier
intervention before dementia is
present may be more effective,”
said Dr Amie Peterson, MD, of
the Oregon Health and Sciences
University.
The authors point out that a
cross-sectional study cannot
determine causation: for
instance, does low vitamin D
affect cognitive performance,
or are persons with more
advanced PD and worse
cognition less ambulatory,
get less sun exposure, and
subsequently have lower
vitamin D? The study also did
not consider if patients were
taking vitamin D supplements.
* Peterson AL et al. Memory, mood, and
vitamin D in persons with Parkinson’s
disease. J Parkinson’s Dis 2104, 3 (4):
547-55.
www.CAM-MAg.CoM
Only 40
places
available
New for 2014
FUNCTIONAL
SPORTS NUTRITION
ACADEMY
Functional Sports Nutrition Academy Course 28-31 May 2013
Functional Sports Nutrition magazine is delighted to launch the UK’s first academy course
focused solely on functional sports nutrition. We have 40 exclusive places available for the
four-day course, culminating with a free place at Sports Nutrition Live! 2014.
Why join the academy?
• Hosted by leading sports nutritionist and editor of Functional Sports Nutrition magazine, Ian
Craig, with special guest speakers Umahro Cadogan and Pete Williams.
• The UK’s only course dedicated to the ‘functional model’
• Free place at Sports Nutrition Live! Included
• Free products worth over £160
About the host, Ian Craig
Editor of leading sports nutrition magazines, Functional Sports Nutrition
and Total Sports Nutrition, Ian Craig MSc, CSCS, INLPTA is an exercise
physiologist, nutritional therapist, NLP practitioner and an endurance coach.
He was a competitive middle-distance runner for 20 years and is now a more
leisurely cyclist and triathlete. Ian specialises in sport from an integrative health perspective
and in his Cape Town and UK clinics, merges the fields of sports nutrition and nutritional
therapy in an applied way so that both health and performance are considered. In addition
to editing this magazine, Ian also lectures and writes extensively in the UK and South Africa
on the concept of ‘Functional Sports Nutrition’. Additionally, he is the module leader of the
Centre for Nutrition Education’s ‘Competitive Athlete’ postgraduate course and is a lecturer
at Stellenbosch University’s Sports Performance Institute.
Places start from £699, including a free place at Sports Nutrition Live! worth £99 and
free products worth over £160. Telephone 01279 810080 or log on to
www.fsnacademy.co.uk to book your place. There are only 40 places available and they
are sold on a first-come-first-served basis.
www.fsnacademy.co.uk
Supported by
CAM news extrA
CAM’s
contributors
Our thanks this month to:
n Christine Bailey, MSc, PGCE, mBANT,
CNHC, AFCMP, nutritionist, chef and
author, director of Advance Nutrition
Ltd: www.advancenutrition.co.uk.
n Naturopath Ben Brown, ND,
science writer and lecturer, technical
director Viridian Nutrition: www.
timeforwellness.org.
n Jackie Day, ND, MH, DNI, FGNI,
FNNA, MAMH, chair of the General
Naturopathic Council, president of the
Naturopathic Nutrition Association
and Information Officer for the
Guild of Naturopathic Iridologists
International.
n Niki Gratrix, BA (Hons), DipION,
mBANT, is one of the UK’s leading
nutritional therapists specialising
in Chronic Fatigue Syndrome/ME
and related illnesses. She is one of
CAM’s contributing editors and a
former CAM Award winner. See her
website for practitioners at www.
ExpertPractitioner.com.
n Naturopath Roger Groos, BSc, DHM,
MACH, RT: www.rogergroos.co.uk.
n Dr Tom Guilliams, PhD,VP of
Science and Regulatory Affairs for
Ortho Molecular Products, faculty
member of the Fellowship in Antiaging Regenerative and Functional
Medicine (A4M), founder of the Point
Institute: www.pointinstitute.org.
n Registered osteopath and
naturopath Marcia Harewood, DO, ND,
MRN, MH, DNI, MGNI, MNNA, MAMH,
also an acupuncturist, iridologist and
herbalist: www.marcia-harewood.com.
n New columnist Justin Lusty,
BSc, MBA, CAM Award winner as
Student of the Year: www.realstartups.
co.uk.
n Naturopathic Nutritional
Therapist Caroline Peyton, Dip
NNT, MNNA, principal of the
Natural Healthcare College: www.
naturalhealthcarecollege.com.
n Adele Wolstenhulme, FdSc, Dip
cPNI. DipION, BA (Hons), clinical
psychoneuroimmunologist/nutrition
practitioner and consultant, director
and founder, Inside Out Nutrition
(UK) Ltd & Health4Life: www.insideoutnutrition.com.
50
cam
FEBRUARY 2014
Tom O’Bryan speaks at CNELM on food
reactive disorders and autoimmunity
“The surprising autoimmune connection to
musculoskeletal diseases” is the focus for
an unexpected treat: gluten expert Dr Tom
O’Bryan, DC, presenting a seminar on food
reactive disorders and autoimmunity at
CNELM on Wednesday March 12.
Tom is well-known to CAM readers for his
pioneering work on auto-immune diseases
in general and non-coeliac gluten sensitivity
in particular.
He is a faculty member of the Institute
for Functional Medicine and the National
University of Health Sciences. He serves
on the Scientific Advisory Committee of the
International and American Association
of Clinical Nutritionists and the Medical
Advisory Board of the National Association
of Nutritional Professionals.
* Centre for Nutrition Education & Lifestyle Management
(CNELM), Wokingham, March 12, 10am-6pm. BANT
approved for 6 hours CPD. Fee: £65. To book: Lesley
Shepherd at [email protected] or 0118 979 8686. www.
cnelm.co.uk.
Wise Traditions, real food, at
Sandown this month
European conference of the London
chapter of the Weston A. Price Foundation
brings some of the most well-known
names of the Wise Traditions movement to
Sandown Park this month.
They include Sally Fallon Morell, MA,
founding president of the Foundation
and founder of A Campaign for Real
Milk; Chris Masterjohn, PhD, is creator of
Cholesterol-And-Health.Com, a website
dedicated to extolling the benefits of
traditional, nutrient-dense, cholesterolrich foods and to elucidating the many
fascinating roles that cholesterol plays
within the body; and Stephanie Seneff,
PhD, who will explore the subject of her
most recent paper (featured in Research
update, CAM October 2013), with a
presentation titled “GMOs and Roundup: a
Marriage Made in Hell”.
The event is accredited by the The
Naturopathic Nutrition Association,
Association Federation of Nutritional
Practitioners (FNTP) and British Association
of Applied Nutrition and Nutritional Therapy
(BANT). Certificates are available.
The NNA say: “The Naturopathic
Nutrition Association are very pleased
to be working with The Weston A. Price
Foundation towards CPD recognition
of their conferences. Promotion of a
naturopathic approach
to healthcare is
fundamental to the
NNA’s values; and this is
reflected in the research
and teachings of Weston Price.”
The organisers explain: “Challenging
the “politically correct” nutrition advice
from the diet dictocrats, the Weston A.
Price Foundation builds on the research
and values of Dr Weston A. Price, bringing
together traditional techniques and
practices from farmers, artisan food
producers, nutritionists, doctors, therapists
and the general public every year to form
a rich, enjoyable and informative hub of
nutrition and knowledge.”
Alongside a number of movements
that contribute to restoring nutrientdense foods to the human diet, the
Weston A. Price Foundation supports
accurate nutrition instruction, organic and
biodynamic farming, pasture-feeding of
livestock, community-supported farms,
honest and informative labelling, prepared
parenting and nurturing therapies. Specific
goals include establishment of universal
access to clean, certified raw milk and a
ban on the use of soy formula for infants.
* Fourth annual European conference, February 8-9,
2014. Details: www.westonaprice.org/london.
April-May: oestrogen
Nutritional therapist and behavioural
psychologist Jo Gamble leads a four-part
webinar series on Healthy Oestrogen
Metabolism, starting in April.
As with Nutri Advanced’s successful
weight loss and detox programmes, this
series is aimed at having practitioners
experience the process of getting into
hormone balance before using the system to
support clients.
* Dates: April 24, May 1, 12 and 27. Details: 0800 212 742,
[email protected], www.nutri.co.uk.
www.CAM-MAg.CoM